Ocean County Woman - 2015 May/June

Ce leb ra

r ea Y ting Our 7th

An Educational Resource for Women and Their Families

FREE ~ Please Take One “DOING THE RIGHT THINGS WELL”: THE QUALITY MANAGEMENT TEAM AT ACUITY SPECIALTY HOSPITAL.

In the healthcare community, doing the “right things” means following practices that are proven to improve patient outcomes.

Page 5

APPLYING FOR SOCIAL SECURITY DISABILITY?

You’ve made the difficult decision to stop working due to injury or illness and to apply for Social Security disability benefits (SSD). Are you doing everything you can to ensure you will qualify? Page 33

SPRING INTO BETTER SLEEP: TEN STEPS TO STARTING A PROGRAM FOR RESTFUL SLEEP.

In our daily lives, there are many factors that contribute to poor sleep.

Common ones include stress, poor habits, lack of exercise, and .eating inappropriately.

Page 16

Kathleen Loria, Director of Operations at Atlantic Neurosurgical Specialists, continues to guide her patients to a higher level of healthcare. Read more on pages 41, 42 & 43

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2015

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Medical Professionals

2

Health &Wellness

Alzheimer’s Disease & Physical Therapy Written by Elise Paolantonio, DPT

What is Alzheimer’s Disease?

A

Law

lzheimer’s disease is the most common form of dementia, affecting one in eight Americans over the age of 65. Dementia is a general term for a variety of conditions that develop as a result of malfunctioning nerve cells in the brain.

Research has shown that individuals with Alzheimer’s disease tend to develop abnormal structures in the brain, called plaques and tangles, that block communication between nerve cells in the brain and body. Plaques build up in the spaces in between nerve cells, and consist of a protein called beta-amyloid. Tangles are described as a collection of twisted fibers made from a different protein, called tau, that develop inside nerve cells rather than in between them. Because the nerve cells are unable to work properly, individuals can experience a variety of cognitive, behavioral, and physical symptoms.

Alzheimer’s disease is progressive, meaning that is worsens over time, and although there is currently no cure for Alzheimer’s disease, medication and physical activity can be helpful in slowing its progression.

What are the signs and symptoms?

Gait Training

Elder Law

In addition to developing an exercise program, a physical therapist will evaluate and determine the most appropriate assistive device for each patient in order to provide safe ambulation. The most common assistive devices are rolling walkers, single point canes, and quad canes. The physical therapist will educate and train the patient on how to correctly use his/her assistive device during ambulation. If unsafe ambulation is identified during the initial evaluation, subsequent treatment sessions will consist of gait training, in order to maximize safety awareness. As quality of gait improves, the patient will be challenged to negotiate obstacles and ambulate on various surfaces, in order to simulate real life situations. Continued practice will eventually lead to improved safety awareness during community ambulation and while performing daily tasks.

Theater &Entertainment

The most common symptom of early-stage Alzheimer’s disease is difficulty remembering newly learned information. As we age, it is common to experience occasional memory loss or slowed thinking; however, serious memory difficulties and confusion are signs that the brain is not working exactly as it should.

As the disease progresses, individuals tend to experience mood and behavior changes, increased confusion about time and place, disorientation, and difficulty responding to the demands in their environment. Physical symptoms accompany cognitive changes, particularly muscle disuse, difficulty walking, negotiating turns and obstacles, and loss of balance.

How can physical therapy help?

The physical symptoms mentioned above ultimately increase an individual’s risk of falling, which can possibly lead to serious injury. Research has shown the importance of physical activity for overall well-being. During a physical therapy evaluation, a licensed physical therapist evaluates various components of the body in order to determine impairments that may be contributing to All-Care’s Jackson location at 355 North a patient’s symptoms. From there, an individualized Countyline Road opened March of 2015.

Call 732-833-1133 today for information exercise program is created to meet the specific needs of each patient. A supervised exercise program, with the goal of increasing muscle strength and improving balance, will ultimately lead to improved safety awareness and decrease a patient’s fall risk. The following are important aspects that are addressed in each exercise program, as deemed appropriate by a physical therapist:

Education

Strength and Flexibility

As Alzheimer’s disease progresses, individuals tend to become more sedentary, which leads to muscles becoming weak and tight. This is predominantly true for the muscles of

Elise Paolantonio, DPT. graduated from the University of Delaware in 2011 with a Bachelor of Science in Exercise Physiology and a minor in Disabilities Studies. She continued her education at the University of Delaware where she earned her Doctorate of Physical Therapy degree in January 2014. Elise has clinical experience in a variety of settings, including inpatient rehabilitation, acute care, outpatient orthopedics, and pediatric rehabilitation. Her professional areas of interest include post-operative rehab, orthopedics, amputation, and neurological rehabilitation of the pediatric and geriatric populations.

the hips and legs. The lower extremity muscles are very important for standing and walking, so as they become weak, it becomes particularly difficult to perform daily tasks and ambulate, or walk around. Physical therapy can help break this cycle by developing a safe strengthening and flexibility program to improve muscle performance. As an individual’s strength starts to improve, exercises may be altered or advanced to further maximize strength gains.

Balance

Fine Art Photography

Along with safe ambulation, balance is by far one of the most important aspects of minimizing an individual’s fall risk. Balance can be divided into two components: static and dynamic. Static balance refers to an individual’s ability to maintain balance while in a still position, whether that be while seated or standing. Dynamic balance refers to maintaining balance while moving. Both static and dynamic balance are addressed during physical therapy by simulating tasks that individual’s experience in their daily lives. These tasks include reaching, stepping onto and off of various pliable surfaces, and negotiating obstacles while walking. This is a great opportunity to not only challenge balance, but also memory, as the patient will need to follow directions and remember multi-step commands.

By challenging balance in various ways, the body is better able to adapt and learn how to respond safely and appropriately during real life situations.

What happens after you finish physical therapy?

All of the factors addressed during physical therapy work together to improve overall function and safety. Once an individual has achieved his/her goals and is ready to be discharged, the physical therapist will provide the patient with a home exercise program so that the gains made during physical therapy can be maintained. Physical therapy can provide the tools for success, however it is up to the individual to use the information he/ she has learned to continue to maximize safety and functional mobility!

Business &Finance

Call 732-849-0700 to schedule an appointment at the Whiting facility

1-(855)-3ALLCARE

Come Experience The All-Care Difference For Yourself!

Whiting • Toms River • Brick Manchester • Barnegat • Jackson

Certified Hand Therapist

Free Transportation For Patients In Need www.AllCarePTC.com

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January/Feb May/June 2015

Featured Articles Heading ^ F3eatured Articles^

00 ^ A rticles

ading

Medical Professionals Professional Dentistry All Care Physical Therapy......................................................... 2 Aesthetic Dental Creations ..................................................... 12 Medical Professionals Nutrition & Wellness ^ Health & Wellness AtlantiCare Regional Medical Center: ^ Elder Life Management All Care Physical Therapy, LLC. ...............................................2 Jennifer Nosti, RDH................................................................12 TheAcuity HeartSpecialty InstituteHospital .................................................................

5 Meridian Fitness & Wellness New Jersey..................................5 .............................................

12 of Elder Life Management ..........................................................

50 ................................................... 13 Business & Finance Shore Vascular & Vein Center ...................................................

6 Ocean Health & Weight Loss.................................................. 15 23 Shore Vascular & Vein Center. . ..........................................6, 84 Copiers Plus, Inc..............................................................14, ^ Assisted Living AtlantiCare Regional Medical Center: The Heart Institute. . ......7 Hypnosis For Women .............................................................

30 Bella Derma Medi Spa ..............................................................

7 Toms River Chamber of Commerce. . .....................................60 ............................................. 13 Spring Oak Assisted Living .................................................... 51 Ocean Otolaryngology Associates, P.A..................................10 Care Services ............................................................ 38 Ocean Plastic Surgery, PA 9 HolisticChiropractor ^ ofEducation .............................................

23........................................................

University Urology Associates New Jersey........................11 Jersey Shore Pharmacy52 .........................................................

57 Atlantic NeuroSurgical Specialists .........................................

17 Waves of Transformation Wellness Center, Inc.....................19 .............................................

30PA and Ocean County College ...........................................................

Ocean Plastic Surgery Laser Center.........................13 AtlantiCare-Bariatric .........................................................

20, 21 Yoga Nine Mind/Body Studio .................................................

61 Wicker & Rattan Stephen L. Newman,38 MD, MBA. .............................................16 ............................................. ^ Business & Personal Storage The Wickery. . ..........................................................................20 ^ Contemporary & Rattan Furniture Kathy A. Banks, DMD .............................................................

22 Bella Derma Medi Spa. .............................................

57...........................................................17 Airship Storage ....................................................................... 52 House Interiors................................................... 14, 15 Toms River X-Ray, CT & MRI Center ................................

24, 25 HeritageAwning Premier Pain Centers.............................................................21 ............................................. 61 ^ Wigs & Hair Replacements Giglio Awning. .........................................................................22 Bio-Behavioral Health. ............................................................23 ^ Financial Management Stephen L. Newman, MD, MBA .............................................

26 rniture Gastroenterologists of Ocean Abstrax Hair Design................................................................

53 County...................................

26 & Rattan Furniture Rushwald ..................................................................

16 Premier Pain Centers..............................................................

27 Mark S.Contemporary .......................................

14, 15 ^ Acupuncture AtlantiCare Regional Medical Center: Heritage House Interiors.........................................................23 GardenThe State Foot & Ankle .....................................................

28 ^ IT Services KoehlerLoss Acupuncture ..............................................................

54 Center For Surgical Weight & Wellness............

27 Professional Dentistry Gastroenterology of Ocean County ........................................

29 RS Technical Services ............................................................

18 Paonessa Colon and16 Rectal Surgery, PC..............................31 ^ Adult Community .............................................

Aesthetic Dental Creations...............................................24, 25 ^ Home Health Care Seaview Orthopeadics & Medical Associates ........................

31 Kathy A. Banks, DMD.......................................................34, 35 Fountainhead Properties ........................................................

55 South Jersey Fertility Center..................................................36 Senior Law Helpers ........................................................................ 19 Nina J. Paonessa, DO, FACOS ..............................................

39 ^ Fashion & Beauty .............................................

18 The Matus Law Group. .....................................................28, 29 Toms River X-Ray, CT & MRI.......................................

Center.....................................37 Ocean Hematology & Oncology 40, 41 ^ Law Straffi & Straffi, Attorneys at Law............................................30 Lynne’s Fashion Boutique ......................................................

56 Institute for Complementary and Alternative Medicine...........39 Barnabas Health Medical Group Ocean County Ob/Gyn ...... 42 Matus and Connell .................................................................

32 Kathleen M. Dotoli, Esq.. .............................................

Barbara’s Boutique .................................................................

66 ........................................................33 Caring Heart & Brain19 Imaging. ................................................44 NJ Community Spine & Pain ..................................................

43 Straffi & Straffi, Attorneys at Law ...........................................

33 Jay Turnbach, Esq., LLC. . ......................................................45 The Children’s Hospital of Philadelphia. .................................46 Leisure & Lace ........................................................................ 67 Whiting HealthHealth Care by Revera ..............................................

45 Jay Turnbach, Esq. LLC ................................................... 34, 35 Insurance Barnabas Medical Ob/Gyn..............................50 ^ Consignment Shop .............................................

32 Group: Reliable&Health Solutions.......................................................28 Barnabas Health Medical Group: Dr. Sumy H. Chang...........51 Institute For Complementary & Alternative Medicine .......

46, 80 ^ Carpet Flooring Treasures From Heaven.......................................................... 58 w ...........................................

33Oncology.............................................52 Ocean Hematology & Massage School Total Hearing Care ..................................................................

Best Carpet & Flooring 36 ^ Women of Ocean County47 .........................................

60,...........................................................

61 .......................................

34, 35& Medical Seaview Orthopaedic Associates..........................54 NJ School of Massage........................................................... 40 Barnabas Health: Dr. Sumy H. ^ Chang ....................................

48 ^ Home Improvement Business & Finance Precious Metal Buyer Featured on theCountertops Cover .................................... 36 South Jersey Fertility Center ..................................................

49 Progressive Dimensions .............................................

36 LLC. Copiers Plus ...........................................................................

62 Precious Metal Buyers, ...................................................

3 Atlantic Neurosurgical Specialists..............................41, 42, 43 Caring Heart & Brain Imaging.................................................

59 ....................................... ^ Awnings Toms River Chamber of Commerce 65 Elder Law Education Precious Buyer Giglio Awnings........................................................................ 37 rtops^ ....................................

36 ^ Find Us On Facebook Rice ElderMetal Law.........................................................................8 Ocean County College...........................................................46 Precious Metal Buyers .............................................................

3 ^ Ultimate Day Spa 73 Health & Wellness Facebook Coupons ................................................................

In-Home Care ^ Elder Skin............................................................................. 38 OceanLaw Health & Weight .............................................

37 Loss.................................................. ^ Theatre & Entertainment 9 Simply Karing with Kindness..............................................................47 RiceMarin ElderIntegrative Law..........................................................................

8 ^ Bathroom Remodeling Therapy.......................................................18 Iluminate ................................................................................74 Hair Designs Simply Skin Day Spa..............................................................18 Beautiful ^ Education Bathrooms & More .................................................. 49 44 Abstrax Hair Designs. .......................................................48, .............................................

38 Gazillion Bubble Show ..........................................................74 HypnosisTree for Women..............................................................32 Peppermint Child Developmental Center .................

10, 11 ^ Tire & Auto Service Center Assisted Living Buyer & Cellar........................................................................75 Yoga Nine Mind/Body Studio. .................................................38 Ocean County College ...........................................................

52 SBRSpring Tire Exchange ................................................................

44 Oak of Forked River....................................................55 .............................................

44 50 Shades-The Musical.........................................................75

3 Elder Life Management 3 Elder Life Management .......................................................... 50

Acupuncture ^ Assisted Living

Koehler Acupuncture..............................................................56

Spring Oak Assisted Living .................................................... 51 Adult Community ^ Fountainhead.

Education .........................................................................57 Ocean Copy, CountyFax College ...........................................................

52 & Notary Services ^ The Business & Personal Storage Wordstation, Copy Fax +.................................................59 AirshipCASA Storage ....................................................................... 52 ^ CASA Wigs & Replacements forHair Children..................................................................62 AbstraxWomen Hair Design................................................................ of Ocean County..................................63, 6453 ^ Acupuncture SCAN.......................................................................66, 67 KoehlerArt Acupuncture Gallery .............................................................. 54 ^ The Adult Community Oasis Gallery...................................................................68 Fountainhead Properties ........................................................

55 Business & Personal Storage Storage. ......................................................................69 ^ Airship Fashion & Beauty Lynne’sMother’s Fashion Boutique ...................................................... 56 Day Tribute Happy Mother’s Day. . .......................................................69, Barbara’s Boutique .................................................................7066 Day Tribute LeisureFather’s & Lace ........................................................................

67 Happy Father’s ...............................................................71 ^ Consignment Day. Shop Fashion & Beauty Treasures From Heaven .......................................................... 58 Barbara’s Boutique. ^ Women of Ocean................................................................72 County ......................................... 60, 61 Leisure and Lace....................................................................73 ^ Business & Finance Business Opportunity Copiers Plus ........................................................................... 62 Nerium. ...................................................................................76 Toms River Chamber of Commerce ....................................... 65 Theatre & Entertainment ^ ItFind Us On Facebook Shoulda Been You...............................................................78 Facebook ................................................................

GazillionCoupons Bubble Show. ...........................................................7973 ^ Theatre & Entertainment Travel Vagabond Travel Agency, Inc................................................81 Iluminate ................................................................................74 Fine Art Photography Gazillion Bubble Show ..........................................................74 Tracy Harman Photography...................................................83 Buyer & Cellar ........................................................................75 Community .............53, 59, 61, 65, 68, 74, 75, 77, 80, 82 50 Shades-The Musical .........................................................75 ^ Fine Art Photography ✤ Please Take Advantage Of Our Many “Enter To Win” TracyContests Harman Throughout Photography....................................................

The Paper And On Facebook! ✤79 Jersey Shore Pharmacy.........................................................58 ^ Community ................

63, 64, 68, 69, 70, 71, 72, 76, 77, 78 Leah Schwartz: Certified Barre Instructor. ..............................72 ^ Fine Art Photography v Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper And On Facebook! v ............................................. 44 Tracy Harman Photography....................................................

79 Precious Metal Buyer Precious Metal ^Buyers Community ................ 63, 64, 68, 69, 70, 71, 72, 76, 77, 78 Of Our Many “Enter To Win” Contests Throughout The Paper And On Facebook! v

GetArtWhat YouMetals…

Deserve…

BeingToScammed!

The of Precious What Avoid Do You Need Know Before You Sell? o You Need To Know Before You Sell?

Part III

Written By: through a completely transparencourages his customers to shop Written andent certified by the Office of Metal Weights and Measures.

If coming you don’tto see TheBy: County Woman Staff transaction.

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Metal s the owner of Precious Metal Ocean County Weights and Measures at (732) 929-2166. and they are subject to tant tips to for you to know ensed and him. buys, melts and trades gold and TipJersey Buyers, Dov Oppenheim #8 Get a COMPLETE sales receipt Tip # 3 Best To Shop monitoring Around. by the Manchester before selling your precious metstate of New He has the following imporother precious metals. buys, melts and trades goldHis busi- If you sell your item, be sure the buyer provides you with a It is best to shop around.

Make Police Department.

Dov is als. e subject to tant tips to for you know ness precious is about giving people andtoother metals.

His what complete sales receipt with detailed information in case a dispute sure you go to a few places confident in his prices and even Dov Oppenheim wner your precious mete Manchester before, O selling theyisdeserve theirpeople valuables arises business about for giving after the sale. This information must name and Tipinclude: #1 Dothe Business Locally. before making your final decint. Dov is als. whatDov they deserve Owner for their Oppenheim, address of the buyer, the date of the transaction, the names of the and Do your business locally sion. Legitimate buyers should rices and even valuables through a completely precious metals purchased, the fineness of the metals purchased, Must beware of “one day” and temnever pressure their summers TipCall #1 Do Business Locally. transparent transaction. In the the weights of the precious metals purchased, the prices paid To Schedule porary hotel and mall buying into selling anything they are not Do your businesslast locally andDov gave issue, our readers for by the precious metals at the standard measures of weight, Your beware Personal events. Some sellers will leave comfortable selling. Try and do of “one day” andimportant temsome insight on myths and the name, address and signature of the seller of the precious Private the next day and you won’t have so within 24-48 hours as gold porary hotel andand mallstigmas buying that are commonly metals.

Appointment anyone to go back to when (if ) prices change events. Some sellers will leave attached to the business of daily. Maximize your profit when selling your gold and silver by you find you were cheated out of the next day andselling you won’t have Stay tuned for more important tips gold. knowing your rights, and knowing how to stay away from scams your valuable metals. Also, avoid anyone to go back when (if ) in plain in thesight. next issue.

Tipto#6 Testing and cheats. mail-in services because you have you find you were cheated Call 732-597-2225 to schedule Dov recommends watching carefullyoutas of the buyer tests your little controlyour over the sale. valuable metals. avoid youritems appointment with Call 844-762-8937 to schedule gold. Manyyour of my customers haveAlso, told me that their because youinhave Dov Oppenheim. came up asmail-in 10-14kservices after testing.

When fact, the items were appointment with Dov Oppenheim, now!

Tip #2 Don’t trust a quote control over the stamped aslittle 14-18k.

However, on sale. rare occasions it’s the jewelers www.pmbuyers.com given over the phone. that cheated their customers years ago by selling them a piece of www.pmbuyers.com Never believe a price quote given jewelry at 14-18k wastrust actually only 10-14k. Must Call To Tip #2that Don’t a quote Schedule Your over the important phone. Many buyers Tip #7 Weighing in plain sight. given over the phone.

“Stay tuned for more Personal Private will offer you a much higher By law, Never the buyer musta weigh your items believe price quote givenindividually and in Appointment tips in the next issue.” plain sight over of thethe seller.

MakeMany sure the buyer’s scales are inspected phone. buyers www.TheCountyWoman.com www.TheCountyWoman.com TheCounty County Woman The Woman Magazine will offer you a much higher visit www.pmbuyers.com The County Woman Magazine www.TheCountyWoman.com tyWoman.com ntyWoman.com May/June 2014 May/June 2014

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price just to get their customers in the door.

Tip # 3 Best To Shop Around.

It is best to shop around. Make sure you go to a few places before making your final decision. Legitimate buyers should never pressure their summers into selling anything they are not comfortable selling. Try and do so within 24-48 hours as gold prices change daily.

Stay tuned for more important tips in the next issue.

Call 732-597-2225 to schedule your appointment with Dov Oppenheim. www.pmbuyers.com Must Call To Schedule Your Personal Private Appointment visit www.pmbuyers.com

May/June 2014 May/June 2014

May/June 2015

Publisher’s Note

4

An Educational resource for Women and Their Families Since 2008

Monmouth County Woman Since 2008

Ce leb ra

r ea ting Our 7th Y

Publisher........................................................ Lynn K. Wolf lynn@acwoman.com • 609-929-4189 Art & Production Executive.......................Meghan Morse staff@thecountywoman.com • 856-885-8066 Public Relations Executive ...................... Lauren Shover staff@thecountywoman.com • 856-885-8066 Feature Cover Writer..........................Gena Ansell-Lande Graphic Designer, Real Grafix Design.......... Cathy Tveici Graphic Designer, Golden Design, LLC...... Laura Golden golden.design@verizon.net Graphic Designer, Designer Photos........... Paula Brewer designerphotos@rocketmail.com Website Designer.............................................P.J. Santos www.digitalartstation.com Distribution Manager..................................... Mike Dziuba For advertising inquiries, please call:

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

The County Woman

Welcome to the May/June 2015 Issue Of Ocean County Woman!

“Snow Expected in Northeast as Spring Arrives” was the headline on March 20th. It seemed like winter would never end! But for us, spring finally arrived on April 3rd when our Canadian Goose couple started building their nest in the patch of long grass by the parking lot mailboxes. For the next 24 to 28 days, we will not venture near the mailboxes or trash cans in order to avoid having the father goose run towards us with wings fully spread, loudly squawking as he tries to keep his mate and future gosling safe. We’re hoping, however, that if we carefully avoid making eye contact with “Dad,” we can get close enough this year to actually witness the baby gosling hatching and leaving the nest under the watchful eyes of its mother and father.

This family drama will be playing out during the same season we honor the mothers and fathers in our own lives. First up is Mother’s Day on May 10th, a time to recognize how special Mom is and to make sure she feels loved and appreciated. Please read the tributes to mothers on page 69 & 70, submitted by the readers of Atlantic County Woman, Ocean County Woman and Monmouth County Woman publications.

Then on June 21st, we observe Father’s Day, celebrating the contribution that fathers and father figures make towards their children’s lives on page 71. In between those two celebrations is Memorial Day on May 25th, a day when we honor all those men and women who have died in service to their country. Many towns will pay tribute to the fallen with parades and wreath-laying ceremonies. Memorial Day is also the unofficial beginning of summer in New Jersey, as the beach communities come alive with activities.

We are grateful to all the men and women who died in our country’s service. We honor all the parents, and those who serve as parents in a child’s life, for the work, love and commitment required to raise a healthy child. On a personal note, I am grateful to all our loyal readers, Facebook fans and Twitter followers for your support of our publications, Atlantic County Woman, Ocean County Woman and Monmouth Country Woman. Last but not least, I want to thank the contributing writers and our extended staff for bringing us valuable articles about health and wellness, legal and medical topics, retail and travel, and much more.

The May/June Issue is packed with information you won’t want to miss!

As we look forward to warmer weather, we hope that all along the Jersey Shore enjoy their plans for the summer ahead.

Best,

Lynn K. Wolf, Publisher and the Staff at The Ocean County Woman

P.O. Box 619 Turnersville, NJ 08012

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The publisher willliable not for be delay or failure in part of an The will delay or in partany of part an advertisement. advertisement.

The publisher publisher will not not be be liable forliable delay for or failure failure in performance performance in and/or ifif all of issue performance in publication and/or distribution all or any portion an issueor delayed orfor in publication publication and/or distribution distribution all or or any anyifportion portion of an an issue isisofdelayed delayed orissuspended suspended for any The publisher exercise reasonable in instances and will suspended for any Thewill publisher exercisejudgment reasonable judgment in these any reason. reason.

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Woman’s Newspaper assumes responsibility unsolicited material reproduc TheThe Woman’s Newspaper assumes nono responsibility The Woman’s Newspaper assumes no responsibilityforfor forunsolicited unsolicitedmaterial materialoror orreproductions reproductions by made by made advertisers. tions made by advertisers. advertisers. newspaper published 15th every other month.

ThisThis newspaper willwill be be published byby thethe 15th ofof This newspaper will be published by the 15th ofevery everyother othermonth. month.

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Featured On The Front Cover Kathleen Loria, Director of Operations Atlantic Neurosurgical Specialists (ANS) Kathleen Loria, the new director of operations at ANS, has been involved in the care of patients requiring brain, spine and neuromuscular surgery for years. Read more about her specialties and ANS on pages 41, 42 & 43.

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May/June 2015

Medical Professionals

5

“Doing the Right Things Well” :

The Quality Management Department at Acuity Specialty Hospital

T

need to help them overcome illness can also put them at prior to transitioning into a Quality Management role he Quality Management [QM] risk for developing an HAI. in 2007. Patient Safety is Jenn’s passion. She helps the Department at Acuity Specialty

The QM department develops and implements leadership team implement processes that will decrease Hospital has one focus: Ensuring preventative measures to help avoid the development of the likelihood of a negative event for patients. Likewise, that the hospital does the right things, and infections at Acuity. Continuous if an event does occur, Jenn works with the team to does them well. What does that mean? In education of patients, families determine if things could have been done better to edical rofessionals the healthcare community, doing the6 “right and staff is the number one improve care for future patients. Jenn and the team track things” means following practices that are intervention provided by the and trend patient safety event data as part of the Quality proven to improve patient outcomes. “Doing department. The most effective Management System, with the goal being to deliver safe, the right things well” means that the quality way to prevent the spread of reliable care to patients. of care given to patients is monitored over infections is through hand ealth ellness time. The QM Department uses this data to hygiene, which includes hand Melissa Szarzynski, BSN, RN, is the Quality, Written Claire Brown,washing BSN RN Director Provider Relations. gels or foams. and theof use of sanitizing identify areas where improvement is by needed, Safety, and Infection Prevention Other interventions include decreasing the number Before Mr. Newell could be transitioned to ften understated and behind the scenes, Case Managers and Coordinator.

She has been a to ensure that the hospital’s patients receive his next level of care, the Case Management Social Workers can hugely impact the way in which a patient of days during which patients have invasive devices, nurse for 22 years, and has the highest quality care. aw department had to make sure he got The Case Management Department, will transition from an acute care setting into another level

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Acuity – A Facility That Is Dedicated To Creating Miracles H &W L

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monitoring the appropriate delivery of antibiotics,a permanent intravenous access (an practiced theHoffmann bedside Left toboth Right: at Kathy RN, of care ranging from a rehabilitation unit to home or to an extended Cathy Reedy RN, Christa isolating patients as necessary, bathing patients daily In MSW 2014, arteriovenous device) for his hemodialysisand in nursing research.Fries care facility.

Director of CM, Tracey McNally BSN, RN. treatments. The Case Manager assigned to withaan antibacterial soap, and upon ensuring that the physical Acuity Healthcare assigns Case Manager to every patient Melissa dedicated her talents to his case, (Tracey) had to discuss the progression of his medical condition daily admission. The purposeenvironment of this role is to is be hygienic. the patient’s advocate, while helping Quality Management. Melissa’s with the nephrologist and surgeon to determine which facility would be equipped the physician to coordinate and manage the personalized plan of care through the

The prevention of HAIs involves a team approach, main focus is to decrease the to either perform the Hemodialysis or could send Mr. Newell out to outpatient inpatient stay. Case Management also helps to ensure proactive, safe discharge dialysis.

Tracey also had to ensure that Mr. Newell would receive transportation with participation from every single member of risk of HAIs for every patient, to planning while moving the patient appropriately across the continuum of care. and from Mainland Manor to his place of treatments.

A case manager overseesthe the hospital’s processes of staff, care delivered to patients.

Their role is the patient themselves, and the through surveillance andDialysis prevention activities. In Mr. Newell was finally discharged to his own home from Mainland Manor to work collaboratively with the entire interdisciplinary health care team and is patient’s loved ones. The QM Department provides the addition to evidence based infection control practices, often referred to as the “Driver of the Bus or the Captain of the Ship” by bringing Facility on Friday 1.23.15. It was a wonderful moment for him to see his cats framework and education toward this important goal. again, Ms. Cali and Mr. Blue. education is a major component of Melissa’s role. both leadership and patient advocacy to each case that they oversee. By working The CaseShe Management at Acuityamount is proud to a part of the care and collaboratively with the The entire Quality interdisciplinary team, case management a spends ateam significant ofbe time with staff Management Teamplays at Acuity final discharge of Mr. Newell from Acuity Specialty Hospital and that he is vital role in achieving quality outcomes and the timely provision of care. Many andwith patients to ensure that best practices are clearly The department is involved in every aspect of hospital Colligan, the Director of reunited his cats. of the general public do notMichelle realize the multi-faceted roleBSN, of the RN, Social is worker and finally communicated and implemented. operations, from the delivery of patient care, QualityHospital Management.

Michelle Case to Manager within the healthcare system. Acuity Specialty is extremely Managers whomexperience, are employee safety, to the physical conditionfortunate of the to be staffed with three dedicated, experienced Contact us today at 609-441-8123 to learn more. has Case 17 years nursing RNs, as well as a Director of Case Management who holds a Masters Degree in building. It focuses closely on the prevention of high-risk with a significant Social Work. patient safety events such as hospital acquired infections, of time spent Mr. Newell, aamount former patient of Acuity, Acuity Specialty Hospital of had been on a trip Virginialeadership in November falls, medication errors, skin ulcers, and more. intonursing New Jersey is a long term 2014 when he experienced some shortness of and hospital operations Spotlight on Healthcare Associated breath and exhaustion. He waited until acute care hospital located For Information or Referrals, Call 609-441-8123 She transitioned he reached home roles. to see his own doctor.

Infections inside of AtlantiCare Unfortunately, heto ended up in ainlocal Quality 2012.

Healthcare-associated infections, or HAIs, are Regional Medical Center in hospital and had to be placedoversees on a Michelle infections that people can acquire while they are ventilator. Mr. Newell, 75, had suffered from Atlantic City. Our hospitalthe entirenumerous Quality health Management System problems prior to histo admisreceiving treatment in a healthcare setting. HAIs can be within-a-hospital provides ensure that alltodepartments areas sion the hospital, butand hadservices tried to live acquired anywhere healthcare is delivered. HAIs may be independently he could. He lives alone in 30 private rooms to the functioning smoothlyastogether.

Michelle makes caused by any infectious agent, but are most commonly his own home with his daughter living next medically complex and sure that the hospital is compliant with all caused by bacteria. door. While in the hospital, Mr. Newell Mr. Newell at Mainland Manor. of the regulations which apply to hospitals. critically ill. Patients underwent a Video Thoracoscopic Surgery Throughout the US, about 1 in every 25 inpatients (VATS) to remove excessShe fluidalso around his lungs and he began Hemodialysis serves to educate hospital staff, meeting acute care criteria develops a hospital acquired infection. Annually, these treatments due to acute kidney failure. Following these procedures, he was transphysicians, and other stakeholders regarding are seen by physician th infections lead to the loss of tens of thousands ofAcuity lives Specialty Hospital on December 8 2014 and was successfully ferred to Acuity Specialty Hospital celebrates its hospital performance and opportunities for specialists daily and and cost the healthcare system billions of weaned dollars.from the ventilator. He also received management of his complex medical 5th year in Atlantic City, New Jersey. needs. His daughter wasimprovement. very involved in his care and medical progress.acts Sheas the Additionally, Michelle Additionally, HAIs can have devastating emotional and typically discharged to worked closely with thehospital Case Management Department help them planOfficer. his Safety Officer andtoCompliance medical consequences. The US Department of Health acute and sub-acute discharge.

Mr. Newell was discharged from Acuity Specialty Hospital to Mainland

Manor SubofAcute rehabilitation unit on January 10th, and Human Services has identified the reduction rehabilitation centers, Our team specializes in the care of patients 2015, for continued stay at Jenniferfollowing TrallohisSchreiber, MSN, MBA, healthcare acquired infections as a national priority goal. rehabilitation skilled nursing facilities or Acuity. The Case Management team at Acuity Specialty with needs that include: RN, CPPS, is the HAIs are transmitted more easily whenHospital a patient is had referred Mr. Newell to Mainland Manor, their homes.

• Ventilator weaning Patient Safety Officer. especially sick or needs invasive medical devices asof many facilities where patients are sent which is such just one to and following their stay at Acuity. Mainland Manor Skilled Jenn has 17 years of • Complex wounds bloodstream catheters, endotracheal tubes, urinary Nursing Facility has the ability to provide patient’s short nursing experience. catheters. Infections can be introduced during surgical • Infectious diseases term physical and occupational therapy.

Like Michelle, Jenn had procedures or through contamination of the“Ihealthcare • Medically or surgically complex care can’t wait to see Ms. Cali and Mr. Blue; I have significant experience them so much.” Mr. Newell said about his beloved environment. The use of antibiotics is alsomissed a contributing • Multi-system organ dysfunction “I haven’t seen them since Thanksgiving.” sighed Mr. in nursing leadership factor in the development and severity ofcats. healthcareTracey and Kathy at the Newell, during my visit to him at Mainland Manor. patient’s bedside. and hospital operations acquired infections. In short, many of the things patients www.acuityatlanticcity.com

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March/April 2015

May/June January/Febru 2015

Medical Professionals

6

~ Varicose Veins- Not Just a Cosmetic Problem ~

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ne of the most common circulatory system problems affecting individuals of all ages is venous insufficiency, also known as “Venous Reflux Disease”.

Jeffrey S. Gosin, M.D. FACS 442 Bethel Road Somers Point, NJ 08244 (609) 927-VEIN (8346) www.GetGreatLegs.com

This occurs when one-way valves in the leg veins begin to fail and become leaky.

This causes blood to pool in the legs and can lead to the development of large protruding legs veins, known as varicose veins. It can also cause a variety of painful or uncomfortable symptoms in the affected legs. Some of the most common of these symptoms are leg pain, leg fatigue and heaviness, swelling and skin itching. In severe cases, this can lead to permanent defects in the appearance and integrity of the skin and even the development of wounds, called venous leg ulcers.

It is estimated that 20 to 40 million Americans suffer from venous insufficiency.

Both men and women are affected. The most common risk factors are occupations that require standing, a family history of varicose veins, pregnancy, being over weight and increasing age. However, some affected individuals do not have any of these risks. The diagnosis of venous reflux disease is made with physical examination and painless Doppler ultrasound testing.

Advances in treatment now make relief of the symptoms and appearance of varicose veins possible without the need for hospitalization or painful vein stripping surgery.

For some people, wearing special venous support stockings will help control symptoms.

However, when stockings alone are not sufficient, or when individuals require a more permanent solution to varicose veins, new minimally invasive office procedures can often be used to cure venous reflux disease and its symptoms.

One of the most effective treatments for venous reflux disease is the Closure® Procedure. This is a remarkable new procedure that treats the abnormal veins with radiofrequency (RF) energy. The RF energy is delivered through a device called a catheter that is inserted into the diseased vein. This causes the vein to close down, essentially removing it from the circulation. The body then redirects the blood into the normal leg veins. This eliminates the venous reflux, markedly relieving the symptoms and often improving the appearance of the varicose veins as well. The procedure is performed in a comfortable office setting and takes about 30 minutes or less.

There are usually no incisions or sutures. General anesthesia is not required. Patients typically experience minimal discomfort and are able to return to their usual activities in about a day or two.

Photo by Donna Andrews Photography

Jeffrey S. Gosin, M.D. FACS Dr. Gosin grew up on the Jersey Shore, and after graduation from the University of Pennsylvania and Jefferson Medical College, he completed his training and was delighted to come back and begin his practice.

He completed his residency in general surgery and a fellowship in vascular surgery at Robert Wood Johnson University Hospital. He has three children and enjoys spending time at the beach and boating. Dr. Gosin is a fellow of The American College of Surgeons and a member of The Society for Vascular Surgery, The Society for Clinical Vascular Surgery, and numerous other national surgical and vascular societies.

Trust the Board Certified vascular surgeon of the region’s premiere Vascular and Vein Care Center to help you get great legs.

We have extensive experience with thousands of successful cases. We treat varicose veins at the source of the problem for the most effective results with minimal discomfort and fast recovery. Most people are able to return to their usual activities within about a day.

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Medical Professionals

7

Living Well with Heart Failure Heart failure is a leading cause of hospitalizations among adults 65 and older. In people with heart failure, the heart begins to “fail” in its efforts to pump oxygen-rich blood throughout the body. The heart is still beating — just not as efficiently as a normal heart.

FIGHTING FLUID RETENTION, FATIGUE For heart failure patients, because blood is not moving forward properly, the body thinks that it is dehydrated. This causes the body to retain extra salt and fluid, which can accumulate in the lungs, legs and the rest of the body, and may cause swelling in the legs or belly and difficulty breathing when lying flat.

“This makes the heart even less efficient, further impairing the flow of blood through the body. That’s why a lot of patients with heart failure have other symptoms, such as shortness of breath, inability to exercise, and fatigue,” says Christina Wjasow, MD, FACC, an AtlantiCare board-certified cardiologist.

NEW ADVANCES IN TREATMENT “AtlantiCare is committed to being a partner with our heart failure patients. Our goal is to empower patients to take control of their condition through education and understanding of their disease process,” says Dr. Wjasow. “In addition to a multidisciplinary medical committee that ensures the care we provide follows the latest evidence-based guidelines, AtlantiCare Regional Medical Center (ARMC) has nurse navigators specifically dedicated to helping patients coordinate their after-hospital care and follow-up.”

In the last decade or so, significant advances have been made in the medications approved to treat heart failure, as well as in the availability of other treatment options such as pacemaker and defibrillator therapies, and a novel treatment known as aquapheresis therapy.

ARMC was the first hospital in southeastern New Jersey to offer aquapheresis therapy. Aquapheresis uses a mechanical fluid removal system to filter excess water and salt from the blood, significantly reducing fluid overload and water weight.

LIVING WITH HEART FAILURE?

Download our free app for your smartphone or mobile device AtlantiCare has created an interactive tool to help people diagnosed with heart failure manage their health. The application — called WOW ME 2000mg — is intended to support the care heart failure patients receive from their primary care provider or cardiologist.

The app helps you learn and perform your daily heart failure self-management tasks, such as monitoring weight, tracking intake of liquids and sodium, being physically active, taking medications as prescribed, evaluating symptoms, and more.

Search for “AtlantiCare” in the iPhone® App Store to download the free WOW ME 2000mg app.

“I have found aquapheresis therapy to be a very effective treatment for some patients, especially patients with excessive amounts of fluid retention due to a weakened heart, whose symptoms do not always respond to IV medications such as diuretics,” Dr. Wjasow says.

For more information about AtlantiCare, visit www.atlanticare.org or www.atlanticarewell4life.org, call the AtlantiCare Access Center at 1-888-569-1000, or find AtlantiCare on Facebook at www.facebook.com/AtlantiCare.

REGIONAL MEDICAL CENTER

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

8

ELDEr AND DiSAbiLiTy LAW ELDEr AND DiSAbiLiTy LAW Nancy M. rice, Esquire, CELA Nancy rice, CELA by the CertifiedM. as an ElderEsquire, Law Attorney Certified an Elder Law Attorney by the National as Elder Law Foundation

National Elder Law Foundation

Elder lderL Law aw E E lder L aw

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• Estate/Trust Administration • Guardianships • Estate/Trust Administration • Guardianships • Will Contest • Special Needs Trust • Will Contest • Special Needs Trust • Medicare, Medicaid, Long-Term Care • Medicare, Medicaid, Long-Term Care & Disability Planning & Disability Planning 200 Asbury Avenue • Ocean City, NJ 08226 • 609.398.3447 200 Asbury Avenue • Ocean City, NJ 08226 • 609.398.3447 1236 Brace Road, Suite F • Cherry Hill, NJ 08034 • 856.673.0048

1236 Brace Road, Suite F • Cherry Hill, NJ 08034 • 856.673.0048

www.riceElderLaw.com www.riceElderLaw.com

Nancy Answers QuestionsAbout about Nancy Rice Rice Answers Questions Nancy Rice Answers Questions About Retirement Assets, Savings Bonds More Retirement Assets, Savings Bondsand And More Retirement Assets, Savings Bonds And More W

need to make our clients aware of the fact we have the option of reporting the hen we plan estates or that beneficiaries willaware have of to the payfact accrued on dies the decedent’s final advise executors and Wheninterest a person owning a signifineedtheir to make our clients hen we plan estates or advise taxes on the money they receive income tax return is we trustees are handling cant number of US(1040), savingswhich bonds, that there beneficiaries will have to pay executorswho and trustees who are income When person owning aexecutor. signifitocertain make our clients aware of the fact hen we plan estates or trusts, advise have the aoption ofdies reporting accrued income taxestypes on the they receive handling estates and from of money investments, such something we discuss with thethe estates and trusts, we need to we need cant number of US savings bonds, we tax that there beneficiaries will have to pay executors and trustees who are interest on the decedent’s final income from certain types of investments, such as need to consider both the income tax and • When we work with clients whose consider both the income tax and as traditional IRAs, annuities, and US have the option of reporting the accrued taxes on the money they receive and trusts, we income return (1040), which is something traditional IRAs, annuities, and US savthe capitalhandling gain tax.estates Why? savings bonds. assets include IRAs annuities and we disthe capital gain tax. Why? cuss with the executor. interest on decedent’s income tax ings bonds. from certain types of investments, such as need• to consider both the income tax and • Sometimes, we recommend that if savings bonds, with a lotfinal of “trapped Retirement assets assets (IRA’s, 401(k)’s, capital • Retirement (IRA’s, 401(k)’s, • When we work with clients whose • Sometimes, we recommend that if return (1040), which is something we distraditional IRAs, annuities, and US savthe gain tax.

Why? a client is interested in leaving money interest,” we encourage them to redeem profit sharing sharing plans, plans, etc.), etc.), annuities annuities and profit assets include IRAs annuities and a client is interested in leaving money to cuss with thecarefully, executor.matching up savings bonds. that they leave all or part of savings bonds allassets have one one thing in com- ings to charity, these assets • Retirement (IRA’s, 401(k)’s, and savings bonds all have thing bonds, with awork lot ofwith “trapped interest,” charity, that they leave all or part of an • When we clients Sometimes, wenaming recommend that ifas mon: as theyas grow value years, an• IRA to charity, the charity deductions they might have (for whose example, profit sharing plans, etc.), annuities and in common: theyin grow inover valuethe over we encourage them to redeem these assets IRA to charity, naming the charity as benassets include IRAs annuities and savings client is interested in leaving money to you dobonds not report theone income earned and abeneficiary of the IRA, because charities if a spouse is in a nursing home and savings all have thing in comthe years, you do not report the income carefully, matching up deductions they eficiary of the IRA, because charities do bonds, with a lot of “trapped interest,” charity, that income they leave all or part of an you do not pay income taxes onthe these mon: as and they grow innot value over years, do not pay taxes. medical expenses are very high). might have (for example, if a these spouseassets is in not pay income taxes. earned you do pay income taxes we encourage them to redeem IRA to charity, naming the charity as benearnings. you do not report the income earned and

It is important to keep in mind that

On a non-tax note, we emphasize a nursing home and medical expenses It is important to keep in mind that on All these carefully, matching up deductions they are eficiary of the IRA, because charities do of earnings. these assets grow “tax deferred.” you do not pay income taxes on these only a spouse may “rollover” an IRA. If to clients that IRAs, annuities, and life very high). only a spouse may “rollover” an IRA. If This Allisofdifferent, these assets grow “tax deferred.” might have (for example, if a spouse is in not pay income taxes. of course, than “tax earnings. you leave an IRA to children, they can insurance are not note, by their Wills!

On a non-tax we emphasize to you leave an IRA to children, they can This isAn different, of course, thaninvestment “tax a nursing home andgoverned medical expenses are It is important to keep in mind that free.” example a tax-free All of these assetsofgrow “tax deferred.” clients that IRAs, annuities, and life insurcreate “beneficiary IRA’s” which will defer We spent a good amount of time with create “beneficiary IRA’s” which will defer free.”

An of a tax-free investment very high). would beexample a RothofIRA, which funded only a spouse may “rollover” an IRA. If This is different, course, thanis “tax ance are not governed by their Wills! Weof the reporting reporting of of the the income. income. In In other other the clients thatwe theemphasize beneficiaries with after-tax dollars youis do not would be a Roth IRA,(i.e., which funded On aconfirming non-tax note, to you leave an IRA to children, they can free.” An example of a tax-free investment spent a good amount of time with clients words, they will not have to report all of words,“beneficiary they will not havewhich to report all of their IRAs, annuities, and life insurance get a after-tax deduction for the amount you put clients that IRAs, annuities, and life insurwith dollars (i.e., you do not create IRA’s” will defer would be a Roth IRA, which is funded confirming that thetheir beneficiaries of their the income income in in one one year or or over over five fiveyears; years; the are consistent with overallWills! estate in aaRoth IRA) but it grows tax-free.

By ance areannuities, not governed by their We the reporting of theityear income.

Intheir otherlife get deduction for the amount you put with after-tax dollars (i.e., you do not IRAs, and life insurance are they can “stretch out” over they can “stretch it out” over their all lifeof plan.a good amount of time with clients contrast, aIRA) traditional or rollover IRAByis spent words, they will not have to report in a Roth but it grows tax-free. with their plan. expectancies. get deductionyou forget theaamount youfor put expectancies. consistent Capital that gain the tax is overall differentestate from the taxa deferred: confirming beneficiaries of their the income in onebonds year or(E,over five years; a traditional ordeduction rollover IRABythe is Capital gain tax is different from the • US savings EE and I incontrast, a Roth IRA) but it grows tax-free. money you put into a deduction regular IRA, and •can US “stretch savings itbonds (E, EE andlife I income tax. It applies when you purchase IRAs, annuities, and life insurance are they out” over their tax deferred: you get a for the income tax.

It applies when you purchase Bonds) are also tax-deferred investments. contrast, a traditional IRAasis it you do not pay taxes or onrollover the money Bonds) are also tax-deferred investments. aa quote asset (such aa house, with their estate plan.or expectancies. money you put into a deduction regular IRA, quote capital capital assetoverall (such as as house, or You pay one half of the value of the bond consistent tax deferred: you get a forand the grows, but you do have to pay taxes when You pay one half of the value of the bond stock in a corporation).

When you sell Capital gain tax is different from the • US savings bonds (E, EE and I you do not pay taxes on the money as it stock in a corporation).

When you sell a at the time of purchase, and it increases in money youthe putmoney into aout. regular IRA, and you take at the over time of purchase, and it increases acapital capitaltax. asset, thedifference difference between income It applies when you purchase Bonds) are also tax-deferred investments. asset, the between the value the years, such that it can actugrows, but you do have to pay taxes when you •doSimilarly, not pay taxes on the money as it annuities and savings in over theofyears, such that it can sales price and purchase price quote capital (such as aprice house, or You pay one thefour value of the bond sales price andasset the the purchase is generallyvalue grow tohalf three or times the stated athe you take the money out. grows, but you do have to pay taxes bonds are tax deferred. You do not when pay stock in a corporation).

When you sell a actually grow to three or four times the is generally considered to be “capital at the time of purchase, and it increases in ally considered to be “capital gain.”

The value by the time it is cashed in (depend taxes •take Similarly, annuities and savings you out. onthe themoney money as it grows but you capital asset, the difference between the value over the years, such that it can actustated value by the time it is cashed in gain.”

The gain can be “adjusted” by the gain can be “adjusted” by the costs of sale ing upon the interest rate).

You can’t tell bonds are taxtoannuities deferred.

You do not pay in andthe savings are• Similarly, required pay tax on increase sales price and the purchase price is generally grow to three or four times the stated (such as realtor or broker commissions) by looking at a US savings bond what it (depending upon the interest rate).

You costs of sale (such as realtor or broker taxes the money as money it grows butinitially you bonds are taxnot deferred.

You do you not pay valueon (but on the andconsidered improvements you madegain.” to the propto beimprovements “capital The is worth.

You can, use(dependa chart by time it however, isatcashed in can’t tellthe by looking a US savings bond ally commissions) and you putrequired in). taxes on the money grows but you in value are to pay as taxiton the increase erty (e.g. a new roof on the house). to value them, or enter the bonds into a gain can be “adjusted” by the costs of ing upon the interest rate).

You can’t tell what it is worth. You can, however, use a made to the property (e.g. a new roofsale on There pay are required toseveral pay taxreasons on thewhy increase in value (butare not on the money you we initially Many times our clients purchased their website program located at (such as realtor or broker commissions) by looking at a US savings bond what it chart to value them, or enter the bonds the house). attention to the taxation of these value (but not on income the money you initially put in). andtimes their our residence apurchased long time ago www.treasurydirect.gov/indiv/tools/tools_ and improvements you made to the propisinto worth.

You can, however, use aatchart a website program located www. stock Many clients write why Wills.weWe put in). are when investments There severalwe reasons pay and have quite a bit of capital gain, which savingsbondcalc.htm erty a new the house). totreasurydirect.gov/indiv/tools/tools_ value them, or enter the bonds into a their(e.g. stock androof theiron residence a long time There are reasons why we attention to several the income taxation of pay these website Many times our clients purchased their program located at savingsbondcalc.htm. ago and have quite a bit of capital gain, attention to the income taxation of these investments when we write Wills. We stock and their residence a long time ago www.treasurydirect.gov/indiv/tools/tools_ When a person dies owning a whichLaw has not been taxed. gain is investments when we write Wills.

WeRice has been Nancy practicing Estate Planning and Elder in New JerseyCapital and and bit of gain, which savingsbondcalc.htm significant number of US savings bonds, nothave taxedquite untilayou sellcapital the property.

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Pennsylvania since 1986. She was Certified as an Elder Law Attorney in 1997, and has maintained offices in Camden and Cape May counties, specifically in Cherry Hill and Nancy been practicing Estate Planning and Elder Law in New Jersey and OceanRice City.hasCall 609-398-3447.

Pennsylvania since 1986. She was Certified as an Elder Law Attorney in 1997, and has maintained offices in Camden and Capewww.TheCountyWoman.com May counties, specifically in Cherry Hill and The County Woman Magazine Ocean City. Call 609-398-3447.

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

big difference between income tax and capital is that capitalgain gainistax has notgain beentax taxed.

Capital notcan disappear death income taxbig taxed untilatyou sell(whereas the property.

The has notnot). beenbetween taxed. Capital is not difference incomegain tax and capital does taxed sell the property.

The big tax isyou that capital gain tax can disap gain Inuntil other words, when a person dies difference between income tax and capital pear at death (whereas income tax does owning a highly-appreciated house not). gain tax is the thatestate/beneficiaries capital gain tax cangetdisapor stock, In other words, ameaning person dies pear at death (whereas income tax does a “stepped up” cost when basis, owning a highly-appreciated house not). that if these assets are sold, the estate/ orInstock, estate/beneficiaries get otherthe words, person diesaas beneficiaries reportwhen theira“cost basis” “stepped up” cost basis, meaning that if owning a highly-appreciated house the value of are the sold, asset the on the date of death! these assets estate/beneficiaor stock, the estate/beneficiaries get a There are some limitations toasthis “stepries report the value “stepped up”their cost “cost basis,basis” meaning that if up” in asset 2010on because of the one-year repeal of the the date of death!

There these assets are sold, the estate/beneficiaof Federal Estate tax, but“step-up” for most arethe some limitations to this ries report their “cost basis” as the valuein people, this tax rule results in them paying 2010 because of the one year repeal of the of the asset on the date of death!

There Federal Estate tax, but for most people, little or no capital gains tax when they are some limitations to this “step-up” in this taxreal rule results instock. them paying little inherit 2010 becauseestate of theorone year repeal of the or no capital gains tax when they inherit • When advise clients Federal Estatewetax, but for mostabout people, real estate or stock. estate planning, we out thislittle rule this tax rule results in point them paying • When we advise clients about estate when they want to make gifts during orplanning, no capitalwegains taxout when they inherit point this rule when their lifetime. We counsel against giving real estate they wantortostock. make gifts during their lifehighly appreciated • When advisecapital clientsassets, aboutbecause estate times.

We we counsel against giving highly gifts of these assets during a lifetime do of planning, we point out this rule when appreciated capital assets, because gifts not benefit from the “step-up” in basis at they want to make gifts during their lifethese assets during lifetime do not benefit death, and the recipient gets the donor’s times. giving highly from We the counsel “step-up”against in basis at death, and basis (“carryover and will have to appreciated capital assets, because gifts of the recipient getsbasis”) the donor’s basis (“carthese assets during lifetime pay capital gains when the asset is sold. ryover basis”) andtax will havedo tonot paybenefit capital from the “step-up” basisistoatsold. death, and gains This stuffthe is in tough get through, taxtax when asset the gets the donor’s (“carThis tax stuff is ittough to basis getsave through, butrecipient understanding can really a lot but understanding it can really save a lot ryover basis”) and will have to pay capital of money. of money. gains tax when the asset is sold.

Nancy Rice canis answer This tax stuff tough toyour get through, Nancy Rice can answer questions and concerns, but understanding it can really saveyour a lot Call 609-398-3447. ofquestions money. and concerns,

Nancy Rice can answer your questions Calland toconcerns, Schedule an Call 609-398-3447.

Appointment

Call 609.398.3447 Ocean City: 609.398.3447

Call toHill: Schedule an Cherry 856.673.0048 Appointment

OceanJanuary/February City: 609.398.3447 2014 Cherry Hill: 856.673.0048

January/February May/June2014 2015

H ealth& &W Wellness ellness H ealth

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Are You Ready For Success With Weight Loss?

T he HCG Diet at Ocean Health & Weight Loss is not being called the Weight Loss Cure for nothing!

We offer amazing and unique weight loss results in an industry that has been crawling with supposedly effective diets for years.

But there are a few points that can make or break your success on the program: Stick to the diet. We are there with you all the way. The way the HCG interacts with the body means you get significant weight loss, but it also means that if you introduce fatty foods or sugar to your body while it is under the effect of the HCG it will soak it up resulting in higher than normal weight gain in reaction to the foods ingested. So having that one bite or two of your favorite dessert or those yummy ribs at the neighbor’s barbeque will actually undo all the hard work you’ve put in for the entire day (or more).

Keep ready made meals on hand. The hardest time to stick to a diet is when you’re starving.

And when you’re on a low calorie diet (even with the fabulous distraction from hunger that the HCG provides) you’re going to have moments when you feel like you HAVE to eat RIGHT NOW! So keep ready made meals on hand. Pull one of the recipes from our site or whatever phase you are in from the computer and make it or double it or whatever you think will work for you (and your family if you’re feeding the group) and

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then take the leftovers and package What Is Cheating And them up in handy individual size How It Can Happen? servings.

The primary criterion of Test various herbal teas and fla- the HCG diet is to follow Low Calorie Diet (LCD). The dieter’s vors of Stevia until you come menu should not cross the limit up with a combination that you the amount of calories we give like. This is the only “limitless� item on the HCG diet in addition you per day. People suffering from to water so if you like it you’ll have obesity often fail to adhere to this a much easier time of it for the guideline and end up with failure. duration.

Let us have a look how cheating Take advantage of the “season- can happen. • Obese people feel more hunger ingsâ€? you are allowed on the diet. Lemon juice in your water as compared to the normal people. can make a huge difference. Have There is some sort of psychologia variety of spices so that you feel cal compulsiveness in such kind of like you’re having something new appetite. They try to justify themand exciting when you serve up selves that a slight quantity would another meal of grilled chicken. not affect them. In this process, HCG dieters have even suggested they cross over the limit. that cutting up an apple and driz• People have habit of being zling lemon juice on it serves as a over-enthusiastic while they are very yummy dessert. with friends or in restaurants.

Cheating on HCG Diet Persuasion often carries them The HCG Diet is one of the most away. One such mistake can successful weight loss programs. become the cause of massive caloHowever, there are still some rie gain. reports of failure. In most of such • Dieters sometimes unconsciously cases, cheating has been the main overeat. The causes are unawarereason. People have consciously or unconsciously crossed the Linda Before limit of the low calorie diet per day. The consequences have been sudden stop in the weight loss process or unsatisfactory result after completion of the plan. You Must Follow The Plan to Reset Your Metabolism. (far right) Jill Houston, with

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weight loss client Linda.

Though HCG has been in the headlines for then last couple of years, it is by no means a “new� diet. It’s roots go back almost 60 years to Dr. Simeon research into malnutrition for expectant mothers as well as obesity causes and effects; especially for patients with pituitary disorders.

HCG or Human Chorionic Gonadtropin is a hormone produced within pregnant women. Dr. Simeon discovered that this hormone actually regulates the hypothalamus. The result for you and me is that when we eat a calorie restricted diet, our bodies burn fat for fuel while leaving the lean muscle tissue untouched. And it does this faster than anyone would have ever believed possible.

AMAZING • Amazing Results in the First Week hCG • Lose .5-1 pound per day WEIGHT • No Hunger on the hCG Diet LOSS! • Easy to Make Recipes

ness or carelessness.

They either don’t know the calorie value of the edibles they are consuming or they just overlook it.

Tips to Avoid Cheating Though people find it extremely challenging to stick to the low calorie menu, proper planning can make your journey easier. Here are some tips to help you avoid cheating.

Before After Your determination can help you accomyour body doesn’t go into starvaplish the HCG diet tion mode. Make sure you have a journey successfully. Always keep in mind that you have undertaken meal plan and stick to it. Ocean the program for some result. Don’t Health will help you with this plan. It will be easier once you be tense, rather be cheerful to start seeing the pounds fall off; think of the day when you will and that happens to most dieters have completed your goal, feel almost immediately! better than ever and love yourself being toned and healthy.

Call 732-608-9681.

Sticking to the HCG diet is Join the hundreds of men very possible. The low calorie diet and women who have in combination with the HCG’s dropped 20 to100 lbs. at effect on the body ensures that Ocean Health!

Discover a truly 6 !))1 21 remarkable way to 5 = lose weight quickly

-6'29)5 % 758/< 5)0%5.%&/) and safely. Reset your :%< 72 /26) :)-+,7 48-'./< %1( 6%*)/< to )6)7 <285 metabolism help you 0)7%&2/-60 72 ,)/3 <28 .))3 keep the weight off.

7,) :)-+,7 2** !7236 <285 &2(< *520 6725-1+ );')66 *%7 Stops your body from

storing excess fat.

26) 72 281( )5 %< :-7, , >",) %7 851-1+ -)7 )(-'%//< !83)59-6)( 26) /&6 -1 (%<6 %785%/ 25021) /)%5 ",28+,7 52')66

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www.OceanHealth4You.com

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

May/June 2014 May/June 2015

Medical Professionals

10

Health &Wellness

Are You Tired Of Sinus Pain And Pressure?

under local anesthesia. Local anesthesia is first applied via cotton applicators Law inserted in the nose. Injections of local anesthesia follow, but the majority

D

id 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. are the sinuses?

3What Sinuses are air-filled pockets in the areas surrounding the nose. There

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.

Elder Law

Theater &Entertainment

are four groups of sinuses on either side of your face.

What is Sinusitis?

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.

3

is Balloon Sinuplasty?

3What 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 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 instruments, opens blocked sinuses. This procedure is less invasive than traditional sinus surgery. It allows most patients to return to normal activities quickly.

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 1 2 3 4 their office under local anesthesia. The reported complication rate for Balloon Sinuplasty is low.

Education

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Steps Associated with Balloon Sinuplasty™

Testimonial:

Having suffered with chronic sinusitis for years, I was advised by Dr. Peters I needed nasal surgery. Being 79 years of age, I was a bit reluctant and, truly, not looking forward to the surgery. The ease and 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

painful?

3IsInthisselectprocedure patients, Balloon Sinuplasty may be performed in the office

Fine Art Photography Bruce W. Peters, DO, FACS

Stephen Kupferbuerg, MD, FACS

Christina Gillespie, MD

Dr. Bruce Peters, Dr. Stephen Kupferberg, and Dr. Christina Gillespie are the Board Certified Physicians of Otolaryngology Associates. They are dedicated to providing their patients with excellence, integrity, and respect in all aspects of adult and pediatric Ear, Nose and Throat disorders ; including in office Balloon Sinuplasty.

Business &Finance

Ocean Otolaryngology Associates, P.A. 54 Bey Lea Road, Suite 3 Toms River, NJ

l l a C y a d o T

61 Lacey Road, Whiting, NJ

732-281-0100

www.OceanENTFacialPlastics.com

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

January/Feb May/June 2015

18

Live Life

Medical Professionals 11 Medical Professionals Dry:M Treating Urinary Incontinence25 edical Professionals

IEnlarged Prostate And Urinary Tract Issues

t would be difficult to watch an hour of that women wait and the bladder to release urine asked to limit fluid intake, avoid bladder primetime television today without seeing average of 6.5 years at the wrong time. irritants such as caffeine and alcohol, an advertisement for overactive bladder from the first time they The first step towards and do pelvic floor exercises – “kegels”. medicationMy or adult diapers. experience symptoms treatment is diagnosing There are also medication commonly husband just turned 68 years old and is The common signs and symptoms of BPH include: The fact is more than 37 million until they obtain• aAn often recurring, sudden urge to urinate. the type of incontinence used to treat overactive bladder (OAB) up States three –orone four times night tofor their adults inwaking the United in six – perdiagnosis and and are sometimes prescribed to treat • An increase in frequency of urination - especially at then night.pinpointing interpersonal and professional function. People thecause causeor of symptoms as blood in the t from would be difficult to watchurinary an hour suffers •problems.

A weak or interrupted urinary stream. bladder thewith underlying stresssuch urinary incontinence.

In certain urinate.

Heoveractive has alsobladder, complained thatofheprimetime strainscontrol to sexual, bladder control problems often struggle with simple everyday urine (hematuria), painful urination television today without seeing an advertisement • Difficulty starting and stopping urination. causes. We ask our patients cases of incontinence involving the frequency, or urgency.

Unfortunately, Peopleforexperiencing pass urine. Our primary care physician diagnosed activities, suchorasleaking working,ofshopping, for (dysuria), urinary incontinence, urinary bladder Dribbling urine. or seeing a movie, many overactive people dismiss suchmedication urinary or adult diapers. bladder control• issues to complete a “voiding miscommunication of nerves to the bladder, fear of embarrassing wetting episodes or not being near a frequency or hesitancy, an inability to pass • Inability to completely empty the bladder. diary” which provides him with (Benign Prostatic symptoms toBPH be of than “getting older”Hyperplasia). suffer diminished great a neurostimulator (commonly called The factaispart more 37 million adults inoften the United restroom. Also, overactive bladder sufferers are two to three urine (retention), or a sudden and and do not seek medical intervention. social lives.

Even mild symptoms affect insight and aids in diagnosis. may be the best States – one in six – suffers from overactive bladder, Diagnosing BPH Is there any hope for us to get a good night’s rest times more likely to regularly experience disturbed sleep, overwhelming needa Bladder to urinatePacemaker) (urgency) and The fact frequency, is, overactive bladderUnfortunately, and urinary many urinary or urgency. people social, sexual, interpersonal and professional

The gold standard for diagnosing treatment option.

Diagnosing BPHself-esteem. is often initially done through a overeating, and poor much more. again? ~(the Sarah Q.symptoms dismiss such urinary to be a part of “getting older”Peopleroutine retention inability to completely empty function. with bladder urinary issues, including incontinence, is Incontinence is a not a hopeless digitalcontrol rectal exam (DRE).

Additionally, we Treatment: andbladder) do not seek intervention. overactiveoften Diagnosis: the are medical not a normal part of The the fact is,problems struggle with simple called Urodynamic testing or Urodynamic problem. There are many treatment options also order a common blood test known as PSA (prostate behavior modification may diagnosis Bladder issues can be caused a multitude I and am urinary happy to tell you a little medical bladder retention (thewith inability to completely aging process, can cause embarrassment, everyday activities, such antigen) as control working, study.

This seriescauses of of tests, all doneIninsome one instances, available, however, only proper specific to explore and rule by out other be sufficient to deal with urinary incontinence. factors.

In certain cases, pregnancy and childbirth, obesity, empty bladder)the arequality not a anormal part of the aging and canthe diminish of living shopping, a movie, for fear including of visit, along(infection with the data for these symptoms prostatitis of from your voiding will lead to proper treatment. Although intervention, getting fulldaily night’s sleep is process,or seeing You may be asked to limit fluid intake, avoid bladder weak pelvic muscles or diabetes candiary contribute to cases, overactive can cause embarrassment, and can diminish the quality of daily wetting dramatically. embarrassing episodes or not beingcancer. give the physician objective data behavior modification and pharmaceutical the prostate) and prostate Inwill certain we definitely possible.

We see many men with BPH irritants such as caffeine and alcohol, and do pelvic bladder.

Additionally, certain medications or inactivity also living dramatically.

Facts: our patients cystoscopy.

Thisfunctions. Additionally, near a restroom.recommend Also, overactive bladder have arelated to bladder therapy work for some, they may be floor exercises – “kegels”. There are also medication can contribute to such issues. who ultimately find relief fromtotheir symptoms. allows us to see the size of the prostate and a cystoscopy to Facts: Women are twice as likely as men sufferers are twoprocedure to three times more likely physicians often perform or poorly tolerated by other Patientused Testimonials: commonly toineffective treat overactive bladder In some bladder control problems are caused by evaluate thepeople, degree of obstruction. experience is Women urinary are twice incontinence. as likely as men This to experience tourinary regularly experience disturbed sleep, further assess the urinary tract.(OAB) A cystoscopy patients.

It is definitely possible to and been are sometimes treat stress miscommunication between nerves. Specifically, the brain and I have a patient atprescribed UniversitytoUrology since 2005. My incontinence.

This is due to pregnancy, childbirth, menopause due to pregnancy, childbirth, menopause overeating, and sacral poor self-esteem. is a testdothat the doctor to look at doctor referred live In life Understanding BPH Treating BPH urinary incontinence. certain cases incontinence family medry. to Dr. Gaziofbecause of his good nerves, which control the bladder, not allows communicate andthe the structure structure of the female urinary tract. OlderDiagnosis: women and of the female urinary the inside of the bladder and the urethra reputation amongst the doctors and he was right.

I was suffering Men who have symptomatic BPH will eventually involving the miscommunication of nerves to the The prostate is a walnut-sized gland that produces properly, causing the nerves to tell the bladder to release urine experience urinary incontinence more often than younger tract.

Older women experience urinary

Bladder control issues can be caused using a thin, lighted instrument called a day and night with urinary issues.

At my worst, I was going to the require some medical intervention.

BPH can be treated bladder, a neurostimulator (commonly called a Bladder semen, the fluid that transports sperm and is located at the wrong time.

Types ofdribble Incontinence women. incontinence more often than younger bathroom every hour and would urine.

I was diagnosed by a multitude of factors.

In certain cases, cystoscope.

This study helps find the cause by taking daily medications, however, many men find Pacemaker) may be the best treatment option.

The first step towards treatment is diagnosing the type of below the bladder and surrounding the urethra (the tube • Stress Urinary Incontinence Bladder control problems may also affect younger people, and childbirth, withurine BPH. I triedisthe medications and they helped but(SUI) I did – women. pregnancy weak symptoms such as blood this to be aobesity, burden.

Ultimately patients often a not a hopeless problem.

There are incontinence and then pinpointingofmany the underlying cause orfind in theIncontinence that carries urine out of the body).

BPH is a common, Leakage on effort, exertion, sneezing, especially women who have just given birth.

In fact, a recent not feel completely better.

After a flow test, the doctors recom non-cancerous Bladder control problems may where also the prostate pelvic muscles or diabetes contribute painful urination many (dysuria), minimally invasive treatment or(hematuria), surgery to be the correct treatment options available, however, only proper causes.

We can ask our patients to complete a “voiding diary” condition in men mended I have a procedure.

After reviewing all the information, study found 25% of women over 18 years old has experienced or coughing. affect younger people, especially women tocan overactive bladder.

Additionally, certain urinary incontinence, treatment option them.and Such treatments are doneurinary frequency diagnosis willtolead to proper treatment.

Although behavior which provides greatfor insight aids in diagnosis. gland becomes enlarged.

An enlarged I was willing proceed. a few weeks after the procedure, episodes ofjust leaking urine involuntarily, andprostate one-third ofconmen • UrgeWithin Incontinence –work who have given birth.

In fact, a recent in the office or at the same day surgery department and medications or inactivity also can contribute or hesitancy, an inability to pass urine modification and pharmaceutical therapy for some, they The gold standard for diagnosing urinary issues, including strict the urethra and cause a wide variety of symptoms I noticed a remarkable change.

I am peeing like I was 20 again! have experienced loss of bladder control during their adult Leakage accompanied bypatients. or preceded rarely require any admission to the hospital. study found 25% of women over 18 years may be ineffective or poorly tolerated by other to such issues. (retention), or a sudden and overwhelming incontinence, is called Urodynamic testing or Urodynamic ~ S.P., North Brunswick, NJ including frequent urination or difficulty urinating. lives. by urgency (an overwhelming need to Untreated BPH can lead to need permanent damage to the is definitely old The has experienced episodes of of leaking (NIH) data study.

This series of tests, all done in one along with theand It In some people, bladder to visit, urinate (urgency) much more. possible to live life dry.

Institutes OnlyNational one in eight AmericansHealth who have experiencedstates loss of I met Dr. Gotesman at the hospital in July.

Wego!”) consider urinate…“Gotta go, gotta bladder oryour kidneys.

Idiary would you to take your urine involuntarily, andofone-third of men data from voiding willurge give the physician problems are caused by Treatment: that more thanhave 50% in their 60’s data and control as many as ourselves blessed that he was on-call that weekend. We bladder control been men diagnosed.

Recent has shown • Mixed Incontinence – husband to a urologist for further evaluation and to data related to bladder functions.

Additionally, have experienced loss of80’s bladder controlsymptoms between nerves.

In some instances, behaviorwere very surprised that he took the time to discuss my issues 90% in theirwait 70’sand and have oftime BPH. objective that women average of 6.5some years from themiscommunication first Leakage associated with urgency AND discuss theoften treatment options that are best for him. physicians perform a cystoscopy to further assess thesufficientand during their adult lives.

Specifically, the brain and sacral nerves, modification may be to answer deal my husband’s questions. He even took the time they experience symptoms until they obtain a diagnosis for effort, exertion, sneezing, or coughing.

• Stress Urinary Incontinence (SUI) – Leakage on urinary tract.doAnot cystoscopy is a testwith that allows the doctor to their Only one in eightproblems.

Americans who have draw be a picture of the kidney and bladder and explain why I which control the bladder, urinary incontinence.

Youto may For more information, bladder control effort, exertion, sneezing, or coughing. look at the inside of the bladder and urethra using a thin, am having issues. He is like an encyclopedia for Urology. We experienced loss of bladder properly, callthe609-581-5900, People experiencing bladdercontrol control have issues oftencommunicate suffer switched to UUANJ and feel– so lucky to accompanied have 928-5300 found suchby or lighted instrument called a cystoscope.

This study helps find For more information call (609) 581-5900 or (732) • Urge Incontinence Leakage (732)928-5300 been diagnosed.

Recent data has shown causing the nerves to tell diminished social lives. Even mild symptoms affect social, caring doctor.by ~ Mary R., Toms River, NJ preceded urgency (an overwhelming need to www.UUANJ.com or visit www.UUANJ.com oravisit

Live Life Dry: Treating Urinary Incontinence Q

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T

Mukaram Gazi, MD, FICS, FACS

Director, Robotics & Laparoscopic Surgery Board Certified Urologist Assistant Clinical Professor Rutgers/RWJ Medical School NJ Monthly Magazine Top Docs Recognition; 2012 - 2014 Consumer Research Council, America’s Top Urologist; 2008 - 2013 Consumer Research Council, Compassionate Physician Award; 2008 - 2013 Director, Robotics & Laparoscopic Surgery Board Certified Urologist Board Certified Urologist Fellow American of Surgeons Assistant ClinicalCollege Professor, Rutgers RWJ Medical School -New Brunswick Adjunct Associate Professor; Fox Chase Cancer Center NJ Monthly Top Docs In practice in Ocean County 1974 Top Urologist: 2008-2013 Consumer Research Council,since America’s AdultResearch & Pediatric Urology Consumer Council, Compassionate Physician Award: 2010-2013 Specializing in Ambulatory Urology 5 Years of Post Graduate Clinical Research Experience Member- Alpha Omega Alpha Medical Honor Society Director, Robotics & Laparoscopic Surgery Member - American Urological Association Board Certified Urologist - 2014 Compassionate Physician Award Adult Vitals & Pediatric Urology Assistant Clinical Professor, Rutgers Specializing in Ambulatory UrologyRWJ Medical School- New Brunswick NJ Monthly Top Graduate Docs: 2011-2014 5 Years of Post Clinical Research Experience Consumer Research Council, America’s Top Urologist: 2008-2013 Membner - Alpha Omega Alpha Medical Honor Society Consumer Research Council, Compassionate Physician Award: 2010-2013 Vitals - 2014 Compassionate Physician Award

Mukaram Gazi, MD, FICS, FACS Parvez Mahmood, MD, FACS Alexander Gotesman, MD

Mukaram Gazi, MD, FICS, FACS Alexander Gotesman, MD Robert Peterson, DC, PA-C Board Certified Physician Assistant

Professor - Physician Assistant Program,MD Philadelphia University Alexander Gotesman, Robert Peterson, DC, PA-C Adult & Pediatric Urology Specializing in Ambulatory Urology Board Certified Physician Assistant 5Professor Years of -Post Graduate Clinical Research ExperienceUniversity Physician Assistant Program, Philadelphia Member- Alpha Omega Alpha Medical Honor Society Vitals - 2014 Compassionate Physician Award

Dominique Etienne, PA-C

Board Certified Physician Assistant Michael Nazmy Jr., MD Howard University Physician Assistant Program Fellowship trained in Urologic Dominique Etienne, Cum LaudeOncology HonorsPA-C Fellowship trained in Minimally Invasive & Robotic Surgery College of Pharmacy, Nursing and Allied Health:

Board Certified Certified Urologist Physician Assistant Board Dean’s List,Assistant 2008-2013 Howard University Physician Program, Cum Laude Honors MemberAmerican Urological Association Trustee Scholar, 2009-2011 College ofAmerican Pharmacy, Nursing and Allied Health: MemberMedical Association Dean’s List, 2008-2013 Trustee Scholar, 2009-2011

For more information, urinate…”Gotta go, gotta go!”) call 609-581-5900, University Urology Associates of New Jersey was established in 2003 • Mixed Incontinence – Leakage associated (732)928-5300 and is proud to be serving Mercer, Monmouth and Ocean Counties.

Our with effort, exertion, sneezing, or coughing. or visit iswww.UUANJ.com mission to be a solutions basedurgency practice,AND maximizing the value of the service we

deliver our patients with commitment to excellence, integrity, innovation Urology Associates of New Jersey wasstate established andUniversity treatment. We continually strive to provide comprehensive of the in 2003 and is proud to be serving Mercer, and making.

Ocean Counties. art urological services with emphasis on patient education and Monmouth shared decision Treating Our patients with compassion, dignity, and based trust remains steadfast goal. missionmutual is to berespect, a solutions practice,out maximizing the value of the service we deliver our patients with commitment to excellence, integrity, innovation and treatment. We continually strive to provide comprehensive state of the art LOCATIONS: urological services with emphasis on patient education and shared decision making.

Treating patients with Hamilton Hamilton compassion, dignity, mutual respect, and trust remains out steadfast goal.

1374 Whitehorse Whitehorse Hamilton 1374 Hamilton 11 Square Road Road Square Hamilton, NJ 2 Hamilton, NJ 08690 08690 LOCATIONS: Howell Hamilton Howell 2364 Route 9 South 2364 Route 9 SouthHamilton 1374 Whitehorse 1 Howell, NJ 07731 Howell, NJ 07731 Square Road 2 Lakewood NJ 08690 Hamilton, Toms River:70 East 3 900 Route 20 Hospital NJ Drive Lakewood, 08701 Toms River, NJ 08755 Howell Toms River: 2364 RouteDrive 9 South 20 Hospital 34 FORHowell, APPOINTMENTS: NJ 07731 Toms River, NJ 08755 3



      

(609) 581-5900 Lakewood FOR APPOINTMENTS:

AdultUrology Urology••Pediatric PediatricUrology Urology •• Urologic Urologic Oncology Oncology •• Male Male Infertility Infertility Adult Sexual Dysfunction • Urodynamics • Stone Disease • Female Urology Sexual Dysfunction • Urodynamics • Stone Disease • Female Urology Laparoscopic Surgery • Robotic Surgery • Reconstructive Urology Laparoscopic Surgery • Robotic Surgery • Reconstructive Urology

www.TheCountyWoman.com www.TheCountyWoman.com TheCounty County Woman Woman Magazine Magazine The Adult Urology • Pediatric Urology • Urologic Oncology • Male Infertility

Types of Incontinence

(732) 900 Route 70 East (609) 581-5900 928-5300 Lakewood, NJ 08701 (732) 928-5300 UUANJ.COM

UUANJ.COM

FOR APPOINTMENTS:

September/October May/June 2014 2015 (609) 581-5900

(732) 928-5300

Nutrition

12

&

Wellness

Why We CRAVE

Is your conscious brain in control of what you eat?

Is there more to it than strong or weak willpower? What makes you EAT? Jennifer Nosti, nutritional therapist,

RDH

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here are many factors that influence when we eat and what we eat: physiological (within your body) and environmental (outside of your body).

It can be hormonal or neural factors, olfactory or visual factors, conscious or unconscious factors. So, even when you have amazing willpower, you still may have a hard time resisting those pesky cravings.

Now, let’s discuss some of the specifics.

✤ The Journal of Neuroscience SLEEP…

reported on a study that showed that sleep deprivation led to decreased activity in the frontal cortex and the insular cortex, areas of the brain that are responsible for evaluating appetite.

The amygdala is the area of the brain that is responsible for decision making and emotions, and when the brain is deprived of sleep, the amygdala triggers an increase in the desire for food.

Furthermore, a study in The American Journal of Clinical Nutrition (2) stated that when an overtired brain was presented with food, there was an increased response in the areas of the brain that are associated with reward.

What does this mean? When you are behind on your sleep, the changes in your brain can actually cause you to desire more food while simultaneously decreasing your ability to accurately assess if you are hungry or not.

Unfortunately, while sleep deprived, you also tend to choose unhealthy or high-calorie foods, which can lead to weight gain. The more sleep deprived you are, the more extreme these responses can become.

(1)

✤ EXERCISE… Luckily, this one can work in your favor! While

it may seem that more exercise and burning calories would increase your appetite, it’s actually the opposite.

A study published in the Journal of Applied Physiology (3) showed that aerobic exercise reduced neuronal responses in the areas of the brain associated with food reward. This means that when you are exercising, your brain doesn’t get the same pleasurable response to food, making you less excited to eat.

✤ STRESS… All people have some stress in their lives, whether

it’s kids, work, driving in traffic, money; the list goes on… but what does this have to do with the food we eat?

The study reported in The Journal of Neuroscience (1) also showed that women who experienced higher levels

of stress showed an increase in activity in the areas of the brain that are linked to reward, motivation and decision making when shown images of high-calorie foods. It also identified a decrease in activity in the frontal areas of the brain that are active in strategic planning and emotional control. This can boil down to a decreased ability to choose healthy food when under heightened stress. This may promote a cycle of additional stress when guilt sets in about choosing the higher fat and higher calorie foods.

Stress will also increase the production of the hormone cortisol. The same study (1) showed that individuals who produced high amounts of cortisol while under stress also consumed a greater amount of high-fat and sugary foods.

✤ HUNGER… Have you ever heard the saying “don’t grocery

shop when you are hungry”? A study published in Appetite (4) asked people who were hungry and those who were satiated to choose foods that they would eat for an entire week. Those who were hungry chose foods that were overall unhealthier than those who were satiated. The results were the same when the participants chose foods to consume immediately.

✤ GENDER… Sorry, ladies, this one works against us too.

When looking back at our evolutionary history, humans would eat as much food as possible when it was readily available so they could store it as fat to be used as energy when there was a food shortage. Females had the added responsibility of nourishing a growing fetus and producing milk for that infant. It makes sense that females often selected higher calorie, higher fat foods when compared with males.

What are some things that you can do to help?

Humans, by nature, tend to want to conform. So surround yourself with people who eat how you want to eat. When you are on a diet, have a team. Friends and family who are eating healthy will encourage you to do the same.

Make sure you are getting enough sleep. This is critical in making wise food choices.

Get frequent exercise. This will help increase endorphins, which will help combat stress and reduce cravings while burning calories. If you don’t have time to get to the gym, you can get additional steps in by choosing the parking spot at the back of the lot and choosing the stairs over the escalator or elevator when you can. The steps add up.

Often, the challenge with dieting is figuring out what to eat and when to eat it. If this is a burden for you, my nutritional system can do the legwork for you. You can enjoy a lifestyle with healthy, easy-toconsume shakes and snacks to help get you through your day, reduce stress and keep those nagging cravings at bay.

The County Woman Magazine www.TheCountyWoman.com

Before

After

For more information, email Jennifer Nosti at NutritionEmpowersWealth@gmail.com 1. The Journal of Neuroscience, June 26, 2013, Vol. 33, no. 26.

“Tired and apprehensive: anxiety amplifies the impact of sleep loss on aversive brain anticipation.” Andrea N. Goldstein, Stephanie M. Greer, Jared M. Saletin, Allison G. Harvey, Jack B. Nitschke, and Matthew P. Walker.

2. The American Journal of Clinical Nutrition, April 2012, Vol. 95, no. 4. “Sleep restriction leads to increased activation of brain regions sensitive to food stimuli.” Marie-Pierre St-Onge, Andrew McReynolds, Zalak B Trivedi, Amy L Roberts, Melissa Sy, and Joy Hirsch.

3. Journal of Applied Physiology, May 2012, Vol. 112, no. 9.

“Aerobic exercise reduces neuronal responses in food reward brain regions.” Nero Evero, Laura C. Hackett, Robert D. Clark, Suzanne Phelan, and Todd A. Hagobian.

4. Appetite, January 2015, Vol. 90. “Food reward. What it is and how to measure.” Peter J. Rogers and Charlotte A. Hardman.

A Night Of Nutrition And Wealth Building June 25th at 7pm

Radison Hotel Freehold NJ- 50 Gibson Pl, Freehold, NJ 07728

Jennifer Nosti, RDH 

NutritionEmpowersWealth@gmail.com

1(800)661-0278 May/June 2015

Medical Professionals

13

Liquid Lift It’s amazing what a day at the Ocean can do for you !

W

hen you just begin to detect the signs of aging, a liquid facelift is a great option. This completely non-surgical approach allows Dr. Small to use a variety of injections to smooth lines and wrinkles wherever they may be. The treatment can even postpone the need for a facelift.

These injectables include Botox, Juvederm, Voluma, Radiesse, Boletero, and Fat Grafting. Botox is an injectable that targets the wrinkles caused by muscle activity. Juvederm, Voluma, Boletero, and Radiesse are fillers that target wrinkles caused by lost volume. They can also subtly lift sagging jowls and cheeks by supporting the structure of your skin.

Fat grafting or lipofilling is an exciting process that removes adipocytes (fat) from areas of the body where you have excess (such as the thighs or buttocks) and strategically places it into areas of the face where you need it.

Lipofilling has the added benefit that you do not need to worry about an allergic reaction or rejection because it is your own tissue.

Dr. Small has performed liquid facelifts for numerous happy patients who leave his office looking naturally younger.

This typically does not change the appearance of the area from which the fat was removed.

Recovering from a Liquid Lift

Recovery from a liquid facelift will depend a great deal on the number of injections you receive and whether you are receiving fat grafts. Dr. Small will tell you all you need to know to heal as fast as possible, and he will watch your progress to ensure an optimal result and quick recovery. For most treatments there is no down time from work or activities.

Complementary treatments

Often these treatments alone provide a great result but for some complementary procedures can enhance your result. An example might be laser treatments to remove red or brown spots and wrinkles in the skin that fillers cannot treat.

Give us a call today and schedule a complimentary consultation.

The Liquid Facelift Procedure

A Liquid Lift can treat multiple areas and is personalized for you.

Non Invasive Botox Juvederm Radiesse Boletero Vanquish

Breast

Augmentation Lift Reduction Reconstruction Revision Augmentation Revision Reconstruction

Body

Liposuction Tummy Tuck Body Lift

732-255-7155 PROMOTIONS MAY-JUNE 2015

GIFT CARDS ARE AVAILABLE !

COMPLIMENTARY LIQUID LIFT CONSULTATION $25 OFF ANY LIQUID LIFT PROCEDURE Cannot be combined with any other discount or offer. Offer subject to change without notice.

Not redeemable for cash. The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment for any other service, examination, or treatment that is performed as a result of and within 72 hours of responding to the advertisement for free, discounted fee or reduced fee service, examination or treatment.

Artistry • Beauty • Rejuvenation

Laser Center

Ma trix Fractional C02 Resurfacing Hair Removal Spider Vein Tattoo Removal All Colors Photofacials Erbium Laser Refresher Peels Pul sed Dye Laser Scar Treatment

Face

During your consultation, Dr. Small will evaluate your skin carefully and listen to your concerns about your appearance.

He will create a personalized plan for your liquid facelift and provide you with other options based on his conversation with you.

Most of the fillers have a local anesthetic to make the treatment comfortable. For fat grafting, mini-liposuction is used to remove the excess fat from the donor area(s), and the fat is carefully treated and then injected into the facial areas that have lost volume.

Vectra 3 D Imaging Breast Face Body

OCEAN PLASTIC SURGERY P.A. AND LASER CENTER Toms River, NJ • Manahawkin, NJ • Office: 732-255-7155

Esthetician Services Microdermabrasion Classic Facial

Facelift Cheek Lift Neck Lift Eyelid Surgery Fat Transfer~ Lipoaugmentation Rhinoplasty Chin Augmentation Otoplasty

(other variations acne, back and mini)

Revitalize and Valentine (Erbium) \ Facial-Combines Laser and Esthetician Treatments Waxing Tweezing Make up application

1301 Route 72 West • Suite 260 • Manahawkin, NJ 780 Route 37 West • Suite 240 • Toms River, NJ

www.oceanplasticsurgerynj.com • 732-255-7155

The County Woman Magazine www.TheCountyWoman.com

Under the Direction of Dr. Stephen Small, we provide comprehensive Laser skincare and Plastic surgery of the Face, Breast and Body.

We seek to enrich lives by enhancing or restoring your natural beauty. We listen to every patient’s unique needs and desires and look to see that they have an exceptional experience.

Dr. Stephen Small is an experienced, board certified, plastic surgeon who is a naturally artistic innovator on the cutting edge of medicine to serve his patients in the most up-to-date and personalized manner.

May/June 2015

Business

14

&

Finance

W

ith the continued growth and expansion of our business along with improvements in technology, we added a new copying and printing division in 2003. A three times “Best of the Press Gold Award” recipient, our services division has developed quickly and offers a wide ranging list of commercial and personal printing services including business cards, real estate postcards, direct mail, letterheads, carbonless forms, booklets and building, invitations and announcements, and promotional items, large format banners and posters, blueprint and reprographic services and also offer design services and document shredding.

“Custom work is our specialty. I find this part of the business to be a very rewarding. We get to be creative with the various requests we get.

Things like scanning and touching up original artwork, creating life-size cut outs for special events, all kinds of interesting projects,” states Bob Matthews.

“Service truly is our Specialty” When my wife Debbie and I started Copiers Plus, Inc. in 1986, we really had no idea of how fast the technology would change. After all, it was during the time when fax machines were first starting to become popular. Fast forward to 2015 and we cannot live without the ability to scan-to-email.

At Copiers Plus we represent the award winning lines of Ricoh/Lanier and Samsung products. We handle everything from small home office models all the way up to high-speed production units; black & white and full color multi-function products, printers, scanners, fax machines, and all the software necessary to improve business workflow.

We offer our products and services to all of Southern New Jersey, with offices located in Egg Harbor Township, Ocean City, and Palmyra. As great as these products are, they are only as good as the organization that is providing the service.

And that’s where Copiers Plus excels.

Copiers Plus’ expansion into specialized large format printing, sign fabrication, vehicle graphics and lettering, vinyl banners, signs, and window graphics has rapidly grown from their Ocean City location.

We pride ourselves on versatility and innovative design coupled with cutting edge technology which enables us to meet the needs of a wide base of customers.

From hand drawn invitations, custom photo collages to elaborate memorials… we do it all! Let our expert staff help you create your next project.

THREE CONVENIENT LOCATIONS! 935 West Ave. Ocean City, N.J. 08226 609-398-7676

3112 Fire Road, Unit C, Egg Harbor, Twp., NJ 08234 609-645-7587

21 East Broad Street Palmyra, N.J. 08065 1-800-834-3598

www.copiersplus.com • info@copiersplus.com

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

B potlight Business usinessSS potlight

67 15

~ Interview with Robert Matthews ~

Copiers Plus Robert P. Matthews Three Convenient Locations: 935 west ave, ocean City, N.J. 08226, 609-398-7676 3112 Fire Road, Unit C, egg harbor twp., NJ 08234, 609-645-7587 21 east broad street, Palmyra, N.J. 08065, 1-800-834-3598 www.copiersplus.com

RobeRt P. Matthews

Keeping it in the Family . . .

Keeping it in the Family Copiers Plus Epitomizes a Family Business

Copiers Plus Epitomizes a Family Business When Robert and Debra Matthews started their business, Copiers Plus, they knew that cus-

tomer serviceand would be aMatthews priority. In fact, theirtheir company slogan:Copiers “ServicePlus, is ourthey Specialty,” When Robert Debra started business, knew also that customer would be astaff. priority.

In fact, their company slogan:digital “Service became wordsservice to live by for their Serving as a traditional and specialty officeisequipourment Specialty,” to years live by staff. Serving as a equipment. traditional Bob and company,also theybecame representwords over 28 in for the their field selling and servicing specialty digital office equipment company, they represent over 28 years in the field adds, “We continue to grow as a result of our loyal customers who refer our company to others. selling and servicing equipment. Bob adds, “We continue to grow as a result of our loyal Our customers are the most important people in our business. We are dependent on them.” customers who refer our company to others. Our customers and our employees are the most people in our business.

We are dependent on them.”

Tellimportant us about your newest printing services location.

We opened a new printing business two years ago at 935 West Ave. in Ocean City. Our primary Tell us about your newest printing services location. objective was to offer both, retail services along with traditional commercial printing with a focus on large We opened a new printing business three years ago at 935 West Ave. in Ocean City with format color printing. the plan that our two sons, Bob Jr. and Shane would manage production and customer service.

Our primary objective to offer retail services along with traditional Tell us about the three mainwas services youboth, provide. commercial printing with a focus format color printing.

We have a walk-in retail businessonforlarge copying, blueprint copying, PC rental, fax service and scanning.

We also offer commercial printing for letterheads, business cards, forms, invitations and graphic design.

Tell usFinally, aboutwethe main services you provide. have a large format color printing business for banners, posters, indoor and outdoor signs, Weand have a walk-in retail business for copying, blueprint copying, fax and e-mail service vehicle lettering and wrapping. along with document scanning. We also offer commercial printing for letterheads, business cards, forms, invitations andimportant graphic design.

Finally, we offer large format color printing for What is the single most aspect of your business banners, posters, indoor outdoor that sets it apart fromand others like it?signs, vehicle graphics and vinyl wraps.

We provide a super fast turnaround from our courteous and knowledgeable staff. We take a “can do” Whatattitude is the single of your business thatfashion sets itservice. apart from others like it? to everymost singleimportant request. It aspect really comes down to good old We provide very fast turnaround for most projects by our courteous and knowledgeable staff.How We take a “can do” involved attitude to single request. It really comes down to good old did you become in every printing services?

About 12 years ago we relocated into a larger facility on Fire Rd. in Egg Harbor Township. Being as fashion customer service. we are located on a major highway and surrounded by retail businesses, we decided to create a new How did youfocused becomeoninvolved printing services? division retail andincommercial printing. Already in the digital copier equipment business, it About 12 years ago we relocated a larger facility on Fireour Rd. in Egg Harbor seemed like a natural transition. I felt thatinto we would be able to leverage experience in the equipTownship.

Beingtoas weour were located on a major highway and surrounded ment industry lower costs on the machines and the maintenance.

Boy was I wayby off!commercial The printing and retail businesses, create adeadlines, new division focusedbreakdowns, on retail and business is nothing likewe thedecided equipmenttobusiness; communication typographical commercial printing.

Already in the digital seemed likecan errors, problems getting paid, the list goes on. copier Frankly, equipment I almost gave business, up. However,itas my mother a natural that child. we would beit able tofinally leverage ourtheexpertise in the attest,diversification.

I was an extremelyI felt stubborn I stuck to and we crossed ten year hump and equipment business to be successful in the commercial printing business. things began to fall into place.

WhatWhat are some of theof best of owning your own business? are some theaspects best aspects of owning your own business?

I thrive on challenges and creative problem solving.

I feel veryour fortunate because I love The timing of this question could not be any worse as we just received health insurance renewal. whatThe I do.

I enjoy interaction with my staffof and overallthisculture hasyour been premium hasthe been increased by an average 80%.the However, is part ofthat owing owncreated busiin myness. work environment.

Additionally, owningsolving. a business provides flexibility with I thrive on challenges and creative problem I am very fortunatesome because I love what I do.my I schedule. enjoy the interaction with my staff and the overall culture that has been created in my work environment.

Additionally, owning my own business gives me a little flexibility on the hours I work which enables me to How does it feel to have your children follow in your footsteps? Was it a natural progression for enjoy my hobbies. them?

It’sHow extremely thinkchildren many parents love to have their children follow does it rewarding. feel to haveIyour follow inwould your footsteps? in their footsteps especially if they a business. It presents excellent opportunities and Was it a natural progression forown them?

It’s one the best feelings in my Ilife. fathers would loveboth to have follow in in challenges forofeveryone involved. feelI think verymost fortunate to have of their our children sons working their footsteps especially if they own a business.

The most important thing is that your children are happy the business. and content. I feel very fortunate to have both of my sons working in the business.

Tell us about the vehicle wrapping services you offer.

WeTell have provided vehicle wrapping wrappingservices and lettering for over two years with over 50 projects us about the vehicle you offer. completed.

They are mostly partial a few We have provided vehicle advertising wrapping and graphics lettering foralong almost with two years withwraps over 40and projects com-full They are mostly wraps along with partial wraps and a fewprocedure. full color changes.

This is a colorpleted. changes.

This is anadvertising extremely labor intensive and technical We provide an extremely labor intensive and technical procedure.

We provide a complete from concept and complete solution from concept and design, through production andsolution installation.

We also design, through production and installation.

We also provide vinyl lettering and magnetic signs. provide vinyl lettering and magnetic signs.

Are there any special projects you are working on? on?

Are there any unique projects you are working Yes. Yes. We We arewere currently withproducing renovating an additional 6500 square Cove feet of recentlyinvolved involved with and installing two murals in Castaway at Playland on the Ocean City boardwalk.

One was 10 feet tall by 150 feet long, and the other was production space at our Egg Harbor Township location. This expansion will enable20 usfeet to tall by 50 feet long. operate more efficiently as we continue to grow are services division.

If youIf are of of any officefor equipment or commercial for your business, you in areneed in need a printer your business or home, callprinting Copiers Plus, 609-645-7578 call Copiers Plus, an appointment with one of their and schedule an 609-645-7578 appointment withand one schedule of their excellent service personnel. knowledgeable staff member.

Visit their website at www.copiersplus.com and like Visit their website at www.copiersplus.com and like them on Facebook. them on Facebook.

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

July/August 2014 May/June 2015

Medical Professionals

16

SPRING INTO BETTER SLEEP:

Ten Steps To Starting A Program For Restful Sleep

1. COMMITMENT: As in any change, 3. IDENTIFY: In our daily lives, there are 7. CHECK: Ask your sleep doctor if you have ✤ ✤ ✤ commitment it is crucial. Without it, attempting any many factors that contribute to poor sleep. Common sleep apnea, restless legs, or abnormal behavior while of these steps may not be worthwhile.

2. MEASURE: Prior to making changes in your ✤ sleep, it is important to determine the quality of your

sleep length. This involves using a simple sleep diary or the use of an automatic app for the iPhone/android “sleep cycle”.

In the morning, in your diary write what time you went to the bedroom the previous night, the time you turned the lights off, how many hours you felt you slept, and how you felt as you awoke in the morning.

ones are stress from personal, financial and family issues, poor habits as in smoking, coffee/tea/ soda consumption, lack of exercise, and eating at inappropriate times.

4. CHANGE: There are many seemingly minor ✤ issues in our environment that promote poor sleep.

Make sure that the bedroom light, temperature, sound and humidity are to your liking, as well as your pillow and mattress. Even the most expensive mattress is inexpensive when you consider how many hours you spend sleeping.

Do you or a family member experience snoring, daytime sleepiness or wake up unrefreshed in the morning?

5. ELIMINATE: The bedroom is for ✤ sleeping! Do not watch television, use your

laptop and cellphone, or look at any watch or clock while in bed! Facebook, texting, tweeting are for the daytime. The light from the cellphone causes you to stay awake.

If you have insomnia, you should refrain from eating 3 to 4 hours before bedtime, and also stop any alcohol intake at that time. Both could prevent falling asleep or staying asleep.

6. CONTROL: Take control of your ✤ sleep with the realization that you are making

Stephen L. Newman MD MBA Diplomat American Board of Sleep Medicine

• • • • • • • • •

Fatique Evaulation Sleep Apnea Abulatory, at home, sleep studies Overnight in laboratory diagnostics Driving evaluation CPAP/BIPAP therapy Provent therapy Snoring Evaluation and Treatment Narcolpesy evaluation

35 Beaverson Blvd, Suite 7C Brick, NJ 08723 Any questions, please call us at 732-920-8022, email drslnewman@drnewman.org. or visit

www.DrNewman.org.

decisions about the influence your stressors place upon you. Write down a worry list at least five hours before bedtime. This list should include things that you normally think about at bedtime, or if you awake in the middle of the night. If you start to think about one of these issues at bedtime, recognize that you have addressed them earlier and need not repeat it.

asleep. Many of these commonly cause us to awake repeatedly or can prevent us from falling asleep. Sleep apnea causes someone to snore and stop breathing repetitively. It is often brought to the doctor’s attention by a bed partner’s observation that the individual breathes very shallowly and then snorts.

Closer observation often results in the awareness that the individual has stopped breathing entirely.

These repetitive awakenings often also result in the individual’s impression that they are not sleeping.

8. SUPPORT: Any change in your life is always ✤ made easier with the support of family and friends. If you are solo and going it alone, perhaps consultation with a sleep disorders physician is in order.

✤

9. CHALLENGE: Changes are hard to make.

Most of us with a chronic health problem wish for a rapid total resolution. When the health issue requires steady continuous work , we have to step out of the comfort zone and endeavor to make that change.

10. SET THE DATE: No change is easy. ✤ However, when you set a date, plans are better defined and your road to better sleep starts!

For more information, contact us at 732.920.8022

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

Happy National Pet Week

National Pet Week® is May 3-9, 2015, (always the first full week in May). This week is dedicated to celebrating the more than 200 million pets that enrich our lives each and every day. National Pet Week® was created in 1981 by the American Veterinary Medical Association (AVMA) and the Auxiliary to the AVMA to honor the many important roles pets have in our lives and to promote responsible pet ownership. Whether companion, comedian, confidant or protector, our pets are always there for us and don’t ask much in return. National Pet Week® celebrates this bond and encourages pet owners to be certain they provide their best friend with all they need for a happy, healthy life every week of the year.

Out of the following fun facts, four are true and one is made up! Can you guess which is the bogus fact? u Dogs do not have an appendix. v A pack of kittens is called a kindle & a pack of adult cats is called a clowder. w Iguanas are able to hold their breath for up to 30 minutes. x A goldfish can live up to 20 years. y Many hamsters only blink one eye at a time.

Answer: x is FALSE! A goldfish can live up to 40 years!

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Medical Professionals

Law

17

Health &Wellness Elder Law

Theater &Entertainment

Fine Art Photography Education

Business &Finance

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

January/Feb May/June 2015

Health

Health

& Wellness

& Wellness

Health Wellness Are18You Running On & Empty?

00

00

Are You Running On Empty?

Rediscover What Is Important To You

M M W

any of us feel stressed, exhausted, anxious and empty.

Once to handle it “all”, now feeling irritable or unable any ofable us feel stressed, exhausted, anxious and empty. ithnow the arrival of spring, it is not uncommon for people about more thing”, wefeeling feel like empty, Once doing able to“one handle it “all”, irritable or unable to realize a change in weather is not the answer doing “onetrue more thing”, we feelthat like empty, battered about remnants of our selves. to limited feeling better.

We often battered ourit,true We don’tremnants often think of about but selves. we aren’t to our physical being.

We blame the “winter blues” for our However, it isWenot uncommon to find that Weabout don’t our often think and about it, but we discontent. aren’t limited to our physical being. forget mental spiritual components. forget about our mental and spiritual components. dissatisfaction We eat for fuel, butour what fuels you mentally?with our lives comes from living a life We eat for fuel, but what fuels you true to mentally? our values.

What inspires andnot nurtures you?

e e

What inspires and nurtures you? goals, meet deadlines, take vacation, and yet, somehow we still We pursue It may be going for a long, leisurely walk, reading a book, or soaking in the tub, It may be going for a long, leisurelyfeel walk, reading a book, missing. or soaking in thedissatisfied tub, there is something Feeling with your life is not a pleasant taking in the latest art exhibit, or simply sitting appreciating the sounds of nature. taking in the latest art exhibit, or simply sitting appreciating the sounds nature.direction. These feelings may be experience, but it can lead you in aofpositive Whatever important because they are telling you that your actions are out of synch with your Whatever itit is, is, you you need need it. it.

This up. feel because or talents.

This isis where where many many of of us us get get caught caughtvalues, up. We Wegoals, feel guilty guilty because there there are are so so

Imagine that your life is handed back many other things yet to do on that never-ending list.

There’s a reason we refer to many other things yet to do on that never-ending list. There’s a reason we refer to itit to you and you are able to do anything you want.

What is important to you? What values will direct you? as aa never-ending never-ending list. list. ItIt isn’t isn’t going going anywhere. anywhere. This This isis the the key. key. as Make a list that summarizes your most important values in terms of People will will often often not not do do things things for for themselves themselves because they feel feel selfish. selfish. They They People because they family, work, community, spirituality, etc. often feel guilty taking the time to do the things that inspire and nurture them. often feel guilty taking the time to do the things Thethat finalinspire part ofand thisnurture processthem. is to compare how you are currently spending But there is a difference. Nurturing, feeding, and fueling yourself mentally is about But there is a difference. Nurturing, feeding,your and time fueling yourself mentally about with your list of mostis important values. How well do they match being the best “you” you can be so you can be even better to those around you. other?better Whattoclues you find being the best “you” you can be so you caneach be even thosecan around you.that will help you find more satisfaction in You benefit. They benefit. It’s a gift really. your life?

Have you been chasing goals or focusing on your values? Do the two even match?

You benefit.

They benefit.

It’s mind a gift really.

So, go ahead.

Nourish your and spirit. If someone accuses you of being selfish, you can look mind If you feel your life is missing “something”, but can’t quite figure out So,in gothe ahead.

Nourish your spirit. them eye and honestly say, “Thisand is my gift If tosomeone you”. accuses you of being selfish, you can look callisus see how we can help put the value back in your life! them in the eye and honestlywhat, say, “This mytoday gift to to you”.

Please call us so we can help you find the way to obtaining better balance in your life Marin Integrative and learncall howustosorefuel yourself andfind stopthe “running empty”!better Please we can help you way to on obtaining balance in your lifeTherapy, (732) 244-2210.

Filler

(732)224-2210

and learn how to refuel yourself and stop “running on empty”! Marin Integrative Therapy, (732) 244-2210.

Filler Health & Wellness

Professionals dedicated to total wellness.

Let our exceptional staff offer you our many years of Professionals dedicated to total wellness. experience along with compassionate, individualized attention.

We understand total wellness includes services Let our exceptional staff offer you our many years of experience along individualized for both your mindwith andcompassionate, body! attention. understand total wellness Pick one We service or choose them all... includes services for both and body!

We areyour heremind to meet your individual Pick one service or choose them all...

needs!

We are here Couple, to meet your Individual, andindividual Child needs!

Counseling

Individual, and ChildServices Counseling WeightCouple, Loss/Nutrition Weight Loss/Nutrition Services Groups and Classes on a variety of subjects (Please check ourand websiteClasses for our latest on schedule.

Pre-registration is required.) a variety of subjects Groups

(Please check our website for our latest schedule. Pre-registration is required.)

Hours of Operation: 8am-8pm Mon-Fri

Hours of Operation: 8am-8pm Mon-Fri Weekends by appointment.

Weekends by appointment.

www.MarinIntegrativeTherapy.com www.MarinIntegrativeTherapy.com Beth Kane, M.S.W.,

LCSW, co-founder of Marin Integrative Therapy, Therapy, LLC, LLC, Integrative started her career working started her career working with individuals individuals with with severe severe with medical and mental health medical and mental health issues. Sought after for profesissues. afterand forarticles professional Sought interviews sional anddeveloped articles in her interviews field, she has in her field,forshedepression, has developed a specialty aanxiety, specialty for depression, coping with chronic medical coping illness, with and grief. anxiety, chronic medical illness, and grief.

Marin Integrative Therapy, (732) 244-2210.

86 E.Integrative Water Street, Toms (732) River, NJ 08753 Marin Therapy, 244-2210.

86 E. Water Street, Toms River, NJ 08753

It’s Time For Your Spring/Summer Body Tune Up Cellulite treatments that really work!

Our Synergie System is a vacuum massage treatment. When done consistently and assisted by your homecare, these treatments will certainly make a difference in cellulite.

Is cellulite just fat? Fat is the result from more calories consumed than the body can metabolize. The result is a firm cushion of solid fat under the skin that acts as a support structure to the skin. Cellulite is a word that describes the deterioration of the fat and its surrounding connective tissue. This results in the “firm” fat cells swelling with water and toxins. Circulation is strangled. The result…unsightly lumps and bumps. Our treatments along with drinking a lot of water and a healthy diet will make the difference. Best done in a series of at least 8 treatments. Package prices available.

care for themselves. Tell the family. We have a beautiful Mother’s Day gift set from Nerium. While supplies last.

Father’s Day is June 21st. Real men do Spa!! They have skin, feet, hands and the tension in their back, oh my! A good professional massage can also help his golf game. In addition we have some great skin care products for them. Remember these special men on this special occasion.

The Best Gift Ever!

Simply Skin Gift Cards can be purchased on our website, by phone or in the spa.

In the spa we can gift-wrap your Gift Card with any spa boutique purchase. We offer some unique gifts for Mothers, Fathers, Graduates, Teachers, Moms-to Be, Brides and other special people in your life!

Mother’s Day is May 10th. That special day of the year to remember all the women who have influenced your life. Some you call, some you send a card and others get a special gift to show just how much you care. Nothing says I care about you more than a gift card allowing women to

The County Woman Magazine

www.joannjuralewicz.nerium.com

We are located at:313 West Water www.TheCountyWoman.com

Street, Toms September/October River, NJ 08753 2014 (Just a quarter mile east from Exit 81 of the Garden State Parkway.) www.simplysdayspa.com Please call Simply Skin at 732-505-9448 to make your appointment.

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

September/October 2014 May/June 2015

Chiropractor

19

Do Children Need Chiropractic Care?

Written by Daniel Eric Mutter, DC

1

Children and chiropractic, you say? Why would they need it?

If you were under the impression that “Chiropractic is only for (old) people with neck and back pain” or some variation of this statement, then it would naturally seem strange to consider how vital chiropractic care is for children. They don’t often complain about neck aches or back aches, the long hours in the office, the commute, the injury they had ten years ago, or the story associated with who they are and how they got there. Here is another impression: “Chiropractic has the potential to help anyone with a spine and a pulse.”

Chiropractic is about the structure and function of the body as a whole. Long ago, chiropractors identified that one of the most profound ways to improve the structure and function of the body was to look to the spine. Within the spinal column is the lifeline of the body, the extension of the brain that feeds information to and relays information from all parts of the body. When this communication between the brain and the body is affected, our ability to sense our environment (to feel and to learn) and our ability to adapt to it (be healthy and play well with others) is affected.

1

Why should children get adjusted?

Some of the most important neurological and developmental progress in our lives occurs when we are young. Growing up lays the groundwork for the bodies we will inhabit and the minds we will identify with for the rest of our lives. When the structure of the body holds tension, stress and strain are placed on the soft nerves and spinal cord that communicate with the brain. Altered structure means altered function, and tension in the body means tension on the nerves. Tension on the nerves means tension in how we experience the world and how effectively we are able to navigate it. When this occurs in a body that is in a constant state of growth and development (i.e. children) it can have serious and long-term consequences.

Tension can be caused by three primary groups of stress: physical, chemical, and mental/emotional. Physical stress includes falls, fights, the birth experience, or chronic compulsory sitting. Chemical stressors are things like smoke, pesticides, medications and vaccinations, diets with excessive preservatives and sugars, and chemically treated water. Mental/emotional stress is a major group for children because they are constantly evolving. Now more than ever they are exposed to massive amounts of information (think cell phones, tablets, television, school work) while trying to figure out what it means, how to use it, and how to integrate it.

Waves of Transformation Wellness Center, Inc. Location: 309 Main St. Toms River, NJ 08753

732-244-5008 wavesoftransformation.com njwavesoftransformation@gmail.com

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Dr. Donna M. Mutter, DC Dr. Daniel Eric Mutter, DC Services: b Family Wellness Chiropractic b Network Spinal Analysis b Somato-Respiratory Integration b Reorganizational Healing Workshops b CORE Score Neural Efficiency Testing

All of these stressors impact young spines and bodies as much if not more so than older ones. It is for this reason that chiropractic care is so significant for children.

1

Why do parents bring their kids to the office?

Parents bring their children to chiropractors for many different reasons. Often it is for some kind of injury, but sometimes for things like asthma, indigestion, colds, or attentional deficits. Although chiropractic helps children with these and various other complaints, it important to understand that chiropractic does not treat conditions or diseases. Chiropractors are highly trained to deliver gentle, specific adjustments to help reorganize how tension is stored in the body. When the structures of the body are “in line” then the functions they support can work harmoniously.

This healthy expression of function is known as wellness.

If you have any questions about the benefits of chiropractic care for children, the low force chiropractic discipline of Network Spinal Analysis that we practice in the office, or whether our services resonate with you (or your child), please call us at 732-244-5008 or look us up at wavesoftransformation.com.

Dr. Donna M. Mutter, DC has been serving Ocean County for 30 years. She practices a reorganizational approach to health and wellness utilizing a form of chiropractic known as Network Spinal Analysis. She has been on both the clinical and Dr. Donna M. Mutter, DC and Dr. Daniel Mutter teaching staff for this work since 1986. Her practice, Waves of Transformation, is located in Toms River, NJ. Dr. Daniel Mutter, DC practices reorganizational chiropractic at Waves of Transformation. After studying Philosophy at The College of New Jersey and graduating salutatorian from Life Chiropractic College West, he joined his mother in practice in 2013.

Stafford Communications Group Executive Wins Enterprising Women Of The Year Award CJ Stafford, president of Stafford Communications Group, Incorporated and Highlands resident, has been named a winner of the 2015 Enterprising Women of the Year Awards by Enterprising Women magazine.

The award honors top women entrepreneurs from North America and around the globe for their commitment CJ Stafford, President to their workforce and local community.

The annual Enterprising Women of the

Year Awards is in its 13th year and widely considered one of the most prestigious recognition programs for women business owners. Honorees are recognized for their fast-growth businesses, mentorship and active support of women in entrepreneurship, and community leadership.

“It is indeed a personal honor to be recognized by Enterprising Women and receive the Enterprising Women of the Year Award,” said Stafford. “It’s also a source of

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great pride to our firm. It is a true testament to the business benefit and undeniable value our professionals deliver to our clients every day.”

Stafford Communications Group has been serving clients across the country for more than 20 years and offers a wide variety of services including customer care, consulting, and marketing. For more information about Stafford Communications, visit www.staffcom.com.

May/June 2015

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Happy Memorial Day

Memorial Day, originally called Decoration Day, is a day of remembrance for those who have died in service of the United States of America. Over two dozen cities and towns claim to be the birthplace of Memorial Day. While Waterloo N.Y. was officially declared the birthplace of Memorial Day by President Lyndon Johnson in May 1966, it’s difficult to prove conclusively the origins of the day. Regardless of the exact date or location of its origins, one thing is clear – Memorial Day was borne out of the Civil War and a desire to honor our dead. It was officially proclaimed on May 5, 1868 by General John Logan, national commander of the Grand Army of the Republic.

“The 30th of May, 1868, is designated for the purpose of strewing with flowers, or otherwise decorating the graves of comrades who died in defense of their country during the late rebellion, and whose bodies now lie in almost every city, village “We cherish too, the Poppy red and hamlet churchyard in the land,” he proclaimed. The date was chosen because it wasn’t the anniversary of any particular That grows on fields where valor led, battle. By 1890 it was recognized by all of the northern states. The South refused to acknowledge the day, honoring their dead It seems to signal to the skies on separate days until after World War I (when the holiday changed from honoring just those who died fighting in the Civil That blood of heroes never dies.”

War to honoring Americans who died fighting in any war).

Source:http://www.usmemorialday.org/?page_id=2

By Moina Michael

The History of

Memorial Day

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May/June 2015

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Health &W ellness Dr. Quinones believes

Solutions To Chronic Pain at Premier Pain Centers One of the most successful methods of treatment she works with is

Carmen m. Quiñones, m.D. Premier Pain Center

Dr. Carmen M. Quiñones is a Board Certified Interventional Pain Management Physician who has been practicing in New Jersey since 2006.

She successfully treats many conditions, including spinal stenosis, degenerative disc diseases, whiplash injuries and sciatica.

Focused on studying the science of spine and musculoskeletal disorders, her specialty is in interventional pain management modalities, including lumbar epidurals, steroid injections, facet joint nerve blocks, radiofrequency ablation, and trials with spinal cord stimulators.

Currently practicing at Premier Pain Centers in Shrewsbury, East Brunswick, and Freehold pain management offices, she is dedicated to enhancing her patient’s quality of life. Dr. Quiñones also sees patients with osteoarthritis and conditions associated with joint and nerve pain. “As a physiatrist, I diagnose muscle, nerve, and bone disease and specialize in non-surgical treatment. I felt that further training in interventional pain management would optimize the care of my patients.”

lumbar epidural steroid injections and nerve blocks. They are usually done for conditions such as low back pain radiating to the leg (“sciatica or radiculopathy”). These conditions are commonly caused by spinal stenosis or a bulging disc putting pressure on the nerve. The lumbar epidural steroid injection is a minimally invasive procedure where a steroid is injected in the space between the vertebra and the meninges covering the spinal cord.

“The steroid and local anesthetic will help to decrease inflammation and therefore relieve pain. The pain relief may last from days to years. This will allow the patient to resume their normal activities including an exercise program.”

The procedure begins with a trial of the stimulator. This will help determine if the procedure is going to be successful. The trial is done in an outpatient setting,” she adds.

The trial leads will be inserted percutaneously into the epidural space. The leads are properly positioned until the patient reaches stimulation in the affected areas.

The leads will be connected to an external device and the patient will be sent home. In three to five days the patient will return to the office and the leads are removed.

If the patient achieves at least 50% pain relief, then the leads will be implanted permanently, which will require a minimal surgery.

Law

chronic). The main difference between chronic and acute spinal related pains and the different methods for treatment are important to understand. She explains, “Acute pain is when the pain is present for less than three months and is usually related to acute tissue damage whether it is post-surgical, herniated disc or any injury. Chronic pain refers to pain that has been present for more than six months. The treatment for acute and chronic pain often overlaps in the early stages.”

Elder L

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Spinal cord stimulation is an innovative approach frequently used to treat conditions such as chronic lumbar radiculopathy, complex regional pain syndrome and failed back surgery syndrome.

The procedure is done after the patient has failed conservative treatment, such as physical therapy, medication and therapeutic injections. The stimulator provides pain relief by transmitting mild electrical impulses to the spinal cord. “The stimulation interrupts the pain signals going into the brain. The patient will experience a pleasant tingling sensation in the area where the pain is felt.

Education

There are many facets that set Premier Pain Centers apart from other practices.

the most challenging aspect of her profession is to create community awareness that there are options for people who suffer from chronic pain. But with a great challenge comes aw her greatest reward: leading her patients to a pain free life!

Dr. Carmen Quiñones is a member of the American Society of Interventional Pain Physicians (ASIPP) and the New Jersey Society of Interventional Pain Physicians (NJSIPP). Along with her Board Certification, Dr. Quiñones is also a Fellow of the American Academy of Physical Medicine and Rehabilitation (FAAPMR). After completing her medical training with a residency in Physical Medicine and Rehabilitation at Montefiore Medical Center in New York City, she was awarded an an Interventional Spine Fellowship at Emory University in Interventional Spine andand PainPain Fellowship at Emory University in Atlanta, Georgia.

Atlanta, Georgia.

Bilingual in Spanish and English, Dr. Quiñones lives in Monmouth County with her family and enjoys hiking and practicing yoga.

Fine Art Photography

“Our practice provides compassionate, quality and state-of-the-art care through an integrated team of physicians and allied-health professionals. Our physicians take a leadership role in the advancement of the science of interventional pain medicine.

As an expert in musculoskeletal disorders, my goal is to provide pain relief, and most of all, quality of life!”

Many of Dr. Quiñones’ patients describe their pain as being acute (as opposed to

Business &Finance

Our Mission is to provide quality medical care to our patients in an atmosphere of warmth, professionalism and integrity.

Front seated: Scott E. Metzger, MD; Peter S. Staats, MD, MBA; John Mak, MD; (middle row) Carmen Quiñones, MD;S. Michael O’Hara, DO; Mak, Cherie Front seated: Scott E. Metzger, MD; Peter Staats, MD, MBA; John Weiss, PA-C, ATC, Renee Wolf, PA-C;MD; Sean Li, MD; MD; (middle row)CSCS; Laurie (back Greisch,row) NP, Carmen Quiñones, Michael O’Hara, DO; Cherie Weiss, PA-C, ATC, CSCS; (back row) Renee Wolf, PA-C; Kulbir S. Walia, MD and Mark Cattell, RPA-C. Sean Li, MD; Kulbir S. Walia, MD and Mark Cattell, RPA-C.

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

September/October 2013 January/Feb May/June 2015

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Medical edical P ro fessionals M edical P rofessionals P rofessionals Business & P ersonal Storage IT ITSS Services ervice IT ervices

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He always there when called upon minutes, I know that rely on My his advice atand all times. is a rare occurrence these days find someone asrare competent changed the ourisand infrastructure was constructed within days there of aand major internal ITcan disaster. company could not Itfunction without prompt careatto and dedication Robert and and RS Technical to find someone as competent and trustworthy as Robert.” ~ Stewart Lenner, President, Arrow Environmental Services trustworthy as Robert.” ~ Stewart Lenner, President, Arrow Environmental Services Services. He is always there when called upon within minutes, and I know that I can rely on his advice at all times. It is a rare occurrence these days to find someone as competent and trustworthy as Robert.” ~ Stewart Lenner, President, Arrow Environmental Services Art Gallery

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Health &Wellness Elder Law

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Business Spotlight

25

~ Interview With Dr. Balaji Srinivasan ~

Smiles Are Guaranteed At Aesthetic Dental Creations

Dr. Balaji Srinivasan Aesthetic Dental Creations Professional 13a unique dental experience. In addition t AestheticD Dentalentistry Creations Dr. Balaji Srinivasan and his talented staff offer 21 S. Hope Chapel Road Suite 124 Jackson, NJ 08527 (732) 363-5370

www.aestheticdentalcreations.com

A

to improving your dental heath, their primary concern is respecting their patients time and quality customer service.

They value “quality” over “quantity” when it comes to treating their patients. In fact, one thing you will never see is a waiting room full of patients waiting to be seen. Dr. Srinivasan adds, “We respect our clients by educating them not only about their dental health, but their overall health. We value their time and go the extra mile. Dentistry can be so varied based on a dentist’s comfort level. I have chosen to offer more services by educating myself in different specialties.”

3What does a typical day look like for you?

Dr. Balaji: My typical day may include fixing a broken tooth, performing a smile enhancement, which could range from cosmetic veneers to cosmetic Strickland Facelift Dentures (TM) or treating TMJ pain. Kids who have early crowding and need interceptive orthodontic appliances could also been seen on my schedule. These are just a few of the types of appointments I could have in my day.

3How did you become involved in the field of dentistry?

Dr. Balaji: My parents were both physicians so I grew up surrounded in a healthcare environment. I remember scrubbing up and watching a gastric surgery that my Dad performed when I was in high school. It motivated me to do well in school and ultimately chose dentistry as my profession. It was important to be my own boss and make my own hours. My Dad worked a lot during my childhood and he missed out on many of my high school baseball games. I didn’t want that for my future kids so dentistry was the perfect fit.

3What is the most rewarding part about your profession?

Dr. Balaji: I enjoy getting to know my patients on a personal level and look forward to hearing about their lives during their visits. I now treat some of their kids so I’m guessing I am getting a “little” older. Helping patients who suffer with debilitating pain like headaches from their TMJ is also highly rewarding, and of course improving a person’s self-confidence with a smile rejuvenation ranks very high as well.

3What is the most challenging part about your profession?

Dr. Balaji: Dealing with the non-clinical duties can be frustrating and selecting and training the right team members who share my passion can also be a challenging task. Fortunately, I have been blessed with employees who love what they do and are exceptional at patient care.

3What are the primary symptoms of TMJ?

Dr. Balaji: TMJ pain can present itself with many different symptoms. A patient can have headaches, ear congestion, ringing in the ears (tinnitus), vertigo, neck pain and tightness in the cheek muscles. The way your teeth meet and how much the muscles are overworked have a lot to do with causing these symptoms.

3What attracted you to Neuromuscular Dentistry?

Dr. Balaji Srinivasan

Dr. Balaji: My wife suffered with migraines and jaw pain for many years. I would make her a nightguard like I was taught to do in dental school. Unfortunately, her pain remained. I began my long journey of postgraduate training at the world-renowned Las Vegas Institute. It is the only teaching facility that uses neuromuscular principles for treating TMJ. After several years of training, which is still ongoing, I can say that my wife, along with many of my patients are living pain-free lives.

3Tell us about the K-7 System.

Dr. Balaji: The K-7 Evaluation System is a very sophisticated piece of technology that allows me to measure and display objective physiologic, anatomic and functional data about the TMJ. Being able to measure and read jaw function and muscle status adds invaluable information to the diagnostic process.

3What are some of the more successful treatments for patients suffering from TMJ?

Dr. Balaji: There is no better way to treat TMJ than with neuromuscular principles. We see many patients who are referred to us by neurologists, ENTs, physical therapists and dentists. These patients have seen many professionals over time without any significant relief to their symptoms. Once we use our technology combined with my ability to interpret the situation and find an ideal bite, these same patients experience tremendous improvements.

Dr. Balaji grew up in Bergen County but currently resides in Ocean County. He chose dentistry so he could have more flexibility in his schedule, which allows him to spend more time with his wife Tracie, and their two beautiful children, Ava (11) and Gavin (8). He played collegiate baseball and continues to be an avid fan of the game. Currently, he is a coach for his son’s Little League team. He says, “It gives me great joy to watch him enjoy the same sport I played and loved as a child.”

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March/April 2015

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26 12

Medical Professionals Medical Professionals

Burning Questions About Gastro Esophageal Reflux Disease

Written by: Kenneth Glazier, MD Gastroenterologists of Ocean County

M

ost of us at one time or another has suffered from heartburn. We have all seen the ads for the numerous acid suppressing medicines. The question is when to take notice of these symptoms and to seek the advice of a doctor.

What is GERD?

Gastro Esophageal Reflux Disease (GERD) is a condition related to stomach acid backing up into the esophagus. The esophagus is the food tube that connects the mouth to the stomach. At the bottom of the esophagus is a muscle called the lower esophageal sphincter (LES). The job of the LES is to squeeze the bottom of the esophagus tight to prevent the stomach acid from splashing up and burning the esophagus. It is supposed to stay closed at all times except when we swallow, belch or vomit. The LES can inappropriately relax causing acid to enter the esophagus. When stomach acid enters the esophagus it can damage the lining of the esophagus and cause symptoms such as a burning sensation in the chest called heartburn. Reflux may be so severe that a person may believe they are having a heart attack. Atypical symptoms can also occur like excess belching, hoarseness, sore throat, asthma, or chronic cough.

What can I do to prevent GERD? There are a number of lifestyle and dietary changes that can be tried for most people with GERD. Avoiding foods and beverages that can inappropriately relax the LES is recommended, such as fatty foods, spices, tomato products, coffee, alcohol and sodas. Stopping cigarette smoking and losing weight if overweight can improve symptoms. Behavior modifications such as elevating the head of your bed

on blocks or using a specifically designed wedge will help keep the stomach contents and acid in the stomach. Decreasing the size of portions of dinner and eating dinner 2 to 3 hours before bedtime can also avoid night time GERD.

tor. Patients with heartburn for a long time dramatically increase their risk for developing Barrett’s esophagus and cancer of the esophagus.

What medicines are used to treat GERD?

Barrett’s Esophagus is a permanent change in the type of cells lining the esophagus in a reaction to chronic acid injury. This condition is associated with an increased risk for the development of cancer of the esophagus. Esophageal cancer is increasing in incidence more rapidly than any other type of cancer. Barrett’s esophagus is most commonly diagnosed in Caucasian males in their fifties to sixties.

Barrett’s Esophagus and cancer of the esophagus are best diagnosed with upper endoscopy.

Medicines used to treat GERD include antacids which neutralize acid already produced by the stomach. Other medicines like H2-blockers and proton pump inhibitors suppress the production of acid by the stomach. These medicines are used to prevent symptoms of heartburn and aid in healing of acid induced injury.

These medicines are available both over the counter and by prescription. Prescription medications are usually stronger and may give better relief of symptoms.

When should I worry about GERD? There are certain alarm symptoms that may indicate a more serious condition than just typical GERD. If someone with heartburn has problems swallowing, weight loss, nausea, anemia, or blood in the stool then they should tell their doctor. Patients who have had heartburn more than five years or have heartburn starting after the age of 45 should also be concerned and notify their doctor. Alarm symptoms may indicate bleeding ulcers, scars in the esophagus called strictures or even cancer of the esophagus. If medications are required for more than an occasional use or for prolonged periods of time it is important to discuss with your docHospital

As you can see heartburn may not just be a symptom to grin and bear, but may represent a serious health problem. It is therefore very important to talk to your

What is Barrett’s Esophagus?

doctor if your symptoms are long standing, require chronic medication therapy or are associated with alarm features.

Patient Testimonials

“Dr. Glazier is so informative. He takes his time with you. Everyone is concerned for your comfort. The facility is beautiful and clean. The nursing staff is very friendly and knowledgeable. Everyone took their time with me and made me feel very relaxed and comfortable. Dr. Glazier is so nice and so informative every step of the process he will take. I really like him and I trust he will be able to help me with my gastric problems.” ~ Susan, Bayville (EGD)

z

husband and I are long standing patients of Dr. Glazier. He is the z“My absolute best. His compassion and caring are over the top. Everyone

at both Endoscopy Centers are top notch. We would not go anywhere else.” ~ Doris, 59, Jackson but the best to say about Dr. Glazier and his staff. z“ITheyhavearenothing very attentive, knowledgeable, caring, and very pleasant. I

recommend Dr. Glazier to anyone who asks!” ~ Sandra, 50, Lanoka Harbor

What is Endoscopy?

Upper endoscopy is a painless procedure that is performed in our outpatient endoscopy center. The test may only take five minutes to perform.

The test is performed by a gastroenterologist while you sleep. An anesthesiologist is also involved to provide sedation through an intravenous needle. The doctor will take a pencil thin tube with a light and a camera on the tip and slide it into your mouth and follow the pathway the food takes down the esophagus, stomach and small intestine. These areas can be carefully examined, photographed and biopsied. The risks of complications from the test are very small. There are no alternative tests that can allow the doctor to take important biopsies of the esophagus which are necessary to diagnose Barrett’s esophagus and cancer of the esophagus.

Gastroenterologists of Ocean County

Meet The Doctors Of Gastroenterologists Of Ocean County.

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

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Board Certified Gastroenterologists

Allan Cohen, MD • Omar Tamimi, MD • Jill Collier, MD • Edgar Bigornia, MD • Kenneth Glazier, MD • Jai Mirchandani, MD Hospital Privileges at Community and Ocean Medical Centers

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

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

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

1617 Route 88 West Brick, NJ 08724 Now seeing 732-249-4422

patients in our new Brick office location!

September/October 2014 May/June 2015

Medical Professionals

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Getting Back on Track with Weight Loss after Bariatric Surgery Studies show that weight regain happens in up to 39 percent of people who’ve had gastric bypass or another type of bariatric surgery.

In this issue of Ocean County Woman, we look at why the pounds can creep back — and what you can do get back in control.

“A certain amount of weight regain after bariatric surgery is a normal and expected phenomenon.

However, for some people, medical, psychological, or lifestyle factors can significantly derail their efforts to keep off the excess pounds for the long term,” says Alexander Onopchenko, MD, FACS, medical director of the Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center (ARMC).

CAUSES OF WEIGHT REGAIN Medically related influences include a mechanical or anatomic failure of the original operation. For other people, side effects of certain medicines — including antidepressants and antipsychotic medications, beta blockers to treat high blood pressure, and chronic oral steroid therapy — can lead to significant weight regain.

Finally, preventing weight gain is “impossible without diet and exercise. Ultimately, an hour of extra activity above the functions of daily living is required for successfully maintaining weight loss,” explains Dr. Onopchenko.

REGAIN CONTROL, NOT WEIGHT According to Dr. Onopchenko, “the most important thing you can do besides maintain your diet and exercise is to follow up in our office at least yearly following the first post-operative year and attend our support group meetings as often of as possible.”

39%

gastric bypass patients regain weight.

“Psychological stress can cause patients to revert to old eating habits and stray from their prescribed high-protein diet in favor of highcarb and high-fat comfort foods. This can lead to grazing and increased overall caloric intake with weight regain,” says Dr. Onopchenko.

“Here, we can identify problems early and offer solutions before you feel that you are ‘too far gone.’ In support groups, common struggles are identified and solutions are discussed with reinforcement of how to continue with the lifestyle guidelines,” he says.

ANOTHER OPTION FOR SOME: BARIATRIC REVISION SURGERY If you have been closely watching your diet and exercising regularly but still regaining weight, you may wish to explore the possibility of bariatric revision surgery.

“Revision surgery is reserved for patients who have experienced adverse symptoms or significant weight regain due to a mechanical or anatomic problem with their original operation. But even in these cases, success always includes adherence to diet and exercise,” says Dr. Onopchenko.

For more information about AtlantiCare, visit www.atlanticare.org or www.atlanticarewell4life.org, call the AtlantiCare Access Center at 1-888-569-1000, or find AtlantiCare on Facebook, www.facebook.com/AtlantiCare.

WEIGHTLOSS SURGERY SEMINAR Minimally Invasive Bariatric Surgery

Join us to learn about these minimally invasive surgical procedures

for weight loss: • Laparoscopic Sleeve Gastrectomy • Laparoscopic Biliopancreatic Diversion (BPD) with Duodenal Switch (DS) • Laparoscopic Gastric Bypass Roux-En-Y • Laparoscopic Adjustable Gastric Banding (LAP-BAND®) Registration required, call 1-888-569-1000 to reserve your seat.

View our weight-loss webinars at www.atlanticare.org/bariatricseminars

REGIONAL MEDICAL CENTER The Center for Surgical Weight Loss & Wellness

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Law

28

Five Tips To Protect Your Child With Special Needs-Updated Part 1

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bout five years ago, I wrote this blog post regarding this topic. It was written about the time my youngest daughter turned one. As many of you may know if you read my articles, I have two beautiful children. My youngest was born with the gift, Down syndrome. As I review it, these tips are still relevant today but I’ve also added some new updated information for parents to think about.

Protecting a child with special needs may lead families to make common mistakes. Here are a few examples: 1. Custodial Accounts. Commonly, there are custodial accounts in the name of a child with special needs. Such an account, however, will affect the child’s availability for government assistance. Custodial accounts are often established long before the child’s special needs are recognized. If the account has an excess of $2,000.00, parents must deplete any such accounts for the care of their child to qualify for Medicaid assistance or allocate the assets to a pooled trust or first party special needs trust. If parents choose to provide assets to or for the benefit of that special needs child, a special needs trust may be established by parents or other family members and gifts can be made directly to this trust account.

U.S. News & World Report, 2012, had discovered that “More than 20 million U.S. families have at least one member with special needs.” Their most important concern? It was their child’s health as well

as with planning how to financially support their child throughout their lifetime, since many of them will outlive their parents but might not be able to support themselves and live independently.

What is a special needs trust? Also, known as a supplemental needs trusts, enables third-party individuals, generally family members, to leave an inheritance to disabled heirs without those assets counting against them for the purpose of securing public benefits. Since these assets are titled to the trust, they are not considered part of the estate. Also, there is no limit to how much you may contribute. This is just some of the highlights of this type of trust.

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2. 529 Plan. There also may be a 529 Plan in the name of a special needs child. This account in the child’s name may affect the child’s ability to receive government assistance. The 529 plan is considered an available asset of the child’s when determining his or her eligibility following the death of the individual who established the plan for such child.

Recently, Congress passed the ABLE Act, Achieve a Better Life Experience. Like s 529 Plan, ABLE accounts allow families to set aside money (up to $14,000 per person annually), and pay no taxes on that money’s growth as long as it’s used for qualified expenses. ABLE accounts will be offered by states – although the Department of the Treasury and IRS are also involved.

Based on the strong bipartisan support the ABLE Act received, it is anticipated that states will start offering accounts later this year.

Stay tuned for more important tips in the July/August issue.

Next issue will cover the retirement plan and insurance policy beneficiaries for special needs.

Do you have someone in your life with a Disability? are they financially protecteD?

About The Author... Christine

Matus is an Economics graduate from Rutgers University and continued her education at Touro Law School, where she has been helping people protect assets for special needs children and conduct smooth real estate for over almost two decades in Toms River, NJ. She is an active member of the Filipino American Cultural Development Center of Toms River and a legal advisor for the Filipino American Medical Society as well as the Philippine Nurses Association of Ocean County.

The Matus Law Group is here to help!

• Special Needs Trusts • Wills & Estate Planning • Guardianships • Health Care Proxies

• Long Term Care • Powers of Attorney • Inheritance Tax Planning • Trusts

81 East Water St. Suite 2C • Toms River, NJ, 08753 Tel: (732) 281-0060

www.MatusLaw.com5

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Christine L. Matus, Esq.

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Business Spotlight

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~ Interview With Christine L. Matus, Esq. ~ MATUS LAW GROUP 732-281-0060

81 East Water Street Suite 2C Toms River, NJ 08753

www.MatusLaw.com

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Family Protector: Christine Matus Provides Legal Assistance for Those Who Need it Most

rom an early age Christine Matus was exposed to the various different aspects of real estate through her parents. “My parents were both savvy with real estate and at one point my Mom had close to a dozen properties that she owned and managed. I would go with her to visit these properties and learned a great deal by watching her interact with the tenants and managers,” she adds. Therefore it was a natural progression for her to be drawn to real estate law. However, her real passion is derived from the work she does with the special needs population. Christine has devoted a large part of her practice to this area of the law. As an attorney, she protects the assets for special needs children and adults so they can have the lifestyle they deserve. And because she has a special needs child of her own, she understands it on a very personal level as well. “When my daughter was born, she presented us with a wonderful gift. She has taught my older daughter lessons in tolerance, patience and compassion very early in her life. For my husband and me, we have been given the ultimate lesson of unconditional love,” she adds. While lecturing to the public on various topics of special needs and estate planning, she is able to share her mission, which is to educate families on all of the options they have so they are equipped to make the best choices for themselves.

CW: How did you become involved in real estate law?

Christine Matus: Every firm I have worked with has touched upon that area of the law so I have had some terrific mentors. Both estate planning and real estate are based on relationships. I have learned that valuing the relationships I form with my clients makes for more success all the way around.

CW: What is the most rewarding part about your profession?

Christine Matus: Special needs planning allows me to help out the most vulnerable members of our society. I help them realize their dreams and provide peace of mind and security for their families.

Regarding real estate law, the challenge is remembering that there are many emotional aspects that must be acknowledged. Sometimes selling a home can be a bittersweet transaction. A client may be moving on to the next level but emotionally be very sad. As attorneys and professionals in this area, we have to respect that. With estate planning for those with special needs, many of the challenges come from making sure the public is well aware of the options they have. When my daughter was born with Down Syndrome, I discovered that finding information to help her was very difficult. There was a tremendous amount of conflicting information and without my network of professionals, I am not sure if I would have received the correct information in the amount of time that I had.

CW: Tell us a little bit about the planning you do for special needs clients describe that aspect of your business and how it challenges you.

Christine L. Matus, Esq. Christine and her husband Steven have two children, ages five and seven. They travel to Holland frequently as that is where Steven is from. As a result, her children have become “fantastic” travelers.

Besides being a member of the New Jersey State Bar Association, she is also dedicated to public service. Christine is an active mediator with the Superior Court of New Jersey, Special Civil Part, a volunteer for Caregivers, Inc., a Eucharistic Minister, and a Board Member of the Ocean County YMCA.

Christine Matus: My passion for this area of law stems from my everyday personal experiences. My own family teaches me about the triumphs and challenges of having a special needs child more than any other law book can ever provide.

As a result, we take a holistic method of caring and helping our clients. Planning for the future of a special needs child involves creating an estate plan that includes a special needs trust. A special needs trust is set up for a person with special needs to supplement any benefits they may receive from government programs. A properly drafted special needs trust will allow the beneficiary to receive government benefits while still receiving funds from the trust.

We like to take the time exploring the individual’s lifestyle, what makes them happy, and how they picture the “perfect” day. Our planning goes beyond just building the special needs trust, and includes other professionals such as financial advisers, therapists, and schools.

We are proud to have started the Matus Law Group Life Series Program. This is where we invite clients to exclusive private events, free seminars, and provide resources that involve ways to enhance the lives of not only the special needs individual; but their family members too. For example, we interview professionals in different areas from financial advisers to charities asking how they work and how they play a part in estate planning. An upcoming interview will involve a therapy dog trainer and their benefits. We then offer these interviews to our clients and will have them posted on our website as free resources for them. We also host fun events like client dinners that have an educational aspect.

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Law

30

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Daniel Straffi, Jr. was admitted to practice in the States of New Jersey and Pennsylvania, as well as the District Court of New Jersey in 2001. A graduate of Boston College in 1998 and Rutgers-Camden School of Law in 2011, he began his legal career in 2001 serving as a judicial law clerk for the Presiding Judge of Family Law in Mercer County.

In 2004, he joined his father’s law practice. He has focused his practice on representing individuals and businesses in the areas Daniel Straffi, Jr., Esq. of bankruptcy, divorce and criminal defense. He is further an active member of the NJ and Ocean County Bar Associations.

Call Today for a

Free Consultation!

Is Bankruptcy An Option? Look Out For These Signals “Who do I choose to pay this month?”

A scary, yet common question many people are forced to ask themselves on a regular basis. With unemployment steadily high and the number of under-employed folks even higher, the nature of today’s economy has left the majority of people grappling with difficult financial questions such as the one posed at the beginning of this paragraph. This is especially in New Jersey where the cost of living is amongst the highest in the country.

When is it time to consider bankruptcy as an option? The following are some signals to look out for: “ROBBING PETER TO PAY PAUL.” Credit cards are often a necessary evil. In a perfect world, we would all use our credit cards sparingly and with discretion, allowing ourselves the opportunity to pay for a family vacation or a special gift over time. Unfortunately, in today’s down economy, the luxury of credit has turned more into a staple of survival. People have no choice but to use credit to put food on their table and purchase gas to go to work.

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Community

This begets then having to use credit to pay for existing credit obligations, or “Robbing Peter to Pay Paul” as it is known. For many, it is a merry-go-round that simply will not stop. Bankruptcy may be an option for stopping this whirlwind ride.

LIQUIDATING RETIREMENT SAVINGS JUST TO GET BY. It’s tough to think about the future when the present can be so burdensome financially. For many of the people I meet with, their future is now. They naturally seek to tap into whatever funds are available in order to stay above water.

As a result, people can tear through years of hard-earned savings, often at a great penalty and tax consequence, with nothing to fall back on.

Bankruptcy could potentially protect these assets so that those years of savings do not dwindle away.

FALLING BEHIND ON MORTGAGE AND HOME EQUITY LINES. Falling behind on mortgage and home equity lines - The most straightforward and clearest schedule signal of financial distress. When our rock, our shelter, comes under attack, difficult

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decisions must be made as to whether a home is salvageable and/or worth investing further into. Bankruptcy can often be an option for saving a home.

However, as has become increasingly common, it can also be a way of getting out from underneath it.

MINIMUM PAYMENTS MAXIMUM EFFORTS. With the way interest rates on credit card have risen today, people are at a loss to explain how they can pay so much for so long and have the same exact balance due from years prior. Disposable income is tight in today’s economy – there is only so much to go around after we pay our food, gas and whatever keeps the lights and heat on in the home. This is to say nothing of actually considering some form of savings. If all of one’s disposable income is going toward just staying above water with respect to minimum fees, bankruptcy may be an option to consider.

WHEN THE EMOTIONAL STRAIN START’S AFFECTING AN AREA OF ONE’S LIFE. I often tell clients that 50% of what I do is relieving financial stress and the remaining 50% is relieving emotion. The effect of falling behind

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on bills can have a far reaching effect on people well beyond the financial ramifications. It can effect how we treat our spouses, our children, our co-workers, and perhaps most common – how we treat ourselves. Lack of sleep, depression, poor eating habits – there are many ways that financial distress can materialize in our own lives. It’s important to take a step back, acknowledge the signs, and be proactive in taking action.

I hope that this article was helpful in trying to acknowledge the signs of financial distress in order to take the next step in evaluation your options, including bankruptcy. Your overall quality of life and well-being may depend on it! Call today for a free consultation!

Are You Suffering From Panic/Anxiety? Are You Afraid To Ask For Help?

P.H.O.B.I.A. - Panic/Anxiety Support Group We are an OFF-LINE self-help support group that meets every wednesday evening from 7pm to 9pm at St. Stephen’s church in Waretown, NJ. Our group helps people who suffer from panic and anxiety to find support and compassion among fellow sufferers. We have been established in Ocean county NJ since 1993.

For more information call Cathy at (609) 971-9110 or email at phobia@comcast.net.

You can also visit us on the web at www.members.tripod.com/~PhobiaGroup/index.html or on Facebook at www.facebook.com/phobiasupportgroup.

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

40 44 40 44

Medical edical P Professionals rofessionals M 31 M edical P rofessionals M edical Professionals Medical Professionals March Is National Colorectal Cancer Awareness Month Making Sense of A Complicated Condition: Here’s What You Should Know: How To Prevent And Treat Colorectal Cancer March Is National Colorectal Cancer Awareness Month alization of the inside Here’s What You Know: How To Prevent And Medications Treat Colorectal Cancer How common is colorectal cancerShould and who is at risk? incontinence from theofdiarrhea. can be administered H ealth &W ellness 1 Inflammatory Bowel Disease colonofand rectum.

Colorectal cancer is the secondcancer most common cancer the H tothe control the disease Colitis. alization theactive inside ofA associated with Ulcerative How common is colorectal andby who is atinDisease risk? ealth &W ellness Over two million individuals are affected Crohn’s or colonoscopy is a safe, painThis may keep patients from requiring hospitalization.

The the colon and rectum.

A United States among both men and women.

It affects 140,000 Colorectal cancerThese is thetwo second mostare common in the Health &Wellness Ulcerative Colitis. diseases knowncancer as Inflammatory less, outpatient procedure colonoscopy is a safe, painmost commonly dispensed medications are antibiotics and antipeople annually and causes 50,000 deaths.

The average person has a United States among both men and women. It affects 140,000 L Law aw Law

Bowel Disease (IBD). IBD can attack both the small and large performed under a lightIf those medications fail, your physician less, outpatient procedure one in 20 chanceand of developing colorectal in his/her lifetime. agents. people annually causes 50,000 deaths.cancer The average person has a inflammatory intestines.

The large intestine is comprised of the colon and sedation.

Most patients This increased if there is acolorectal family history of colorectal polyps performed under a light (steroids), immunomodulators and may prescribe prednisone one inrisk 20ischance of developing cancer his/her lifetime. rectum and theissmall intestine is in made uppatients of theinwith jejunum and the undergo a Most gentlepatients oral bowel or cancer, and even higher still those a history of sedation. amino salicylates.

Immunomodulators can be used to maintain This risk is area increased ifintestine there is a can family history ofwith colorectal polyps ileum.

Any of the be affected IBD and the prep/cleanse in preparation undergo a gentle oral bowel breast, uterine or ovarian cancer, and patients with a history of extenthe disease for a longer period of time. or cancer, and higher in those patients to with a history of for a colonoscopy.

A narof is theeven disease canstill vary from patient patient.

NinaPaonessa, Paonessa,DO, DO,FACOS, FACOS, distribution Nina prep/cleanse in preparation sive inflammatory bowel disease such as ulcerative colitis or Crohn’s breast, uterine or ovarian cancer, and patients with a history of exten- row, an established colorectal surgeon flexible tube with a an established colorectal Nina Paonessa, DO, FACOS, forOccasionally a colonoscopy.

A narcolitis.

Although colorectal cancer may at any age, or more than patients can experience flare ups. In order to sive inflammatory bowel disease such as occur ulcerative colitis Crohn’s practicing in Ocean County, lighted camera on its tip from the rectum to the beginning practicing an surgeon established colorectal in surgeon 90% of Although patients diagnosed with colorectal cancer are age, over more age 40than control row, flexible tube with a is passed the disease, a doctor may increase a patient’s medication colitis. colorectal cancer may occur at any answers questions about colCrohn’s Disease Monmouth County practicing in Ocean County, of the colon, calleditsthetipcecum.

Biopsies of any growths tumors and this risk doubles every ten Translated, this means camera is passed from the rectum to not theorbeginning 90% of patients diagnosed withyears. colorectal areages over agethat 40 a orlighted may even addonnew medications.

If the flare up is orectal oneabout ofregarding the colleadCrohn’s Disease is commonly found incancer patients 16-40, answerscancer, questions discusses the basics seen can be done at this time and provide the definitive diagnosis. of the colon, called the may cecum. of any growths or tumors person’s risk for developing ten colorectal Translated, cancer increases means significantly andcan thisalso riskbe doubles that a controlled, the needBiopsies to be hospitalized in order to rest ing cancers in both and but foundevery to affect years. other ages as well.this This disease Based upon thepatient findings on colonoscopy, your colorectal surgeon or orectal cancer, one ofmen the leadInflammatory Bowel Disease. seen can be done at this time and provide the definitive diagnosis. with age. person’s risk for developing colorectal cancer increases significantly the bowel and administer steroids intravenously. women. ing cancers in both men and other specialist may recommend other testing such as blood work, is only known to be approximately 20% genetically transferred Based upon the findings on colonoscopy, your colorectal surgeon ora with age.

What causes colorectal cancer? women.

CT scan of the abdomen and pelvis, pelvic MRI and/or ultrasound.

Dr. Paonessa specializes in from a family member who has been diagnosed with some form other specialist may recommend other testing such as blood work, a It is generally agreed that nearly all colon and rectal cancer begins Surgery may be required for patients suffering from chronic What causes colorectal cancer? the Dr. evaluation and treatment of IBD. Crohn’s Disease has several symptoms such as abdominal The best of waythetoabdomen diagnose and polyps and pelvic early colorectal cancers is to Paonessa specializes in CT scan pelvis, MRI and/or ultrasound. of withand colon and of the disease or from life threatening conditions of in benign polyps,anal called adenomas.

These polyps, It cramping, is generally agreed that nearly all colonpre-malignant and rectal cancer begins forms pain, pain, joint pain (arthritis), unexpected undergo routine screening colonoscopy. thepatients evaluation treatment The best way to diagnose polyps and early colorectal cancers is to rectal conditions/ diseases or occur called indiarrhea. the adenomas. wall of the may colon and/or rectum and may IBD such as massive bleeding, perforation or infection. Before in growths, benign Theseaccompany pre-malignant polyps, of patients with colon andand weight loss,polyps, and/or Fever these undergo routine screening colonoscopy.

How is colorectal cancer treated? eventually sizewall andofbecome cancer, or medically speaking, frequently performs laparo-and becoming a candidate for surgery you must have tried medication or growths,increase occur ininthe the colon and/or rectum and may rectal conditions/ diseases symptoms.

Nearly all cases of colorectal cancer require surgery. Radiation and How isand colorectal cancer treated? scopic surgery for herlaparopatients. carcinoma.

This is in known as the “adenoma-carcinoma sequence”. experienced no improvement.

Patients that suffer for eventually increase size and become cancer, orcause medically speaking, therapy frequently performs There is no cure for Crohn’s Disease and its is still chemotherapy are sometimes required in addition to of surgery.

If the She also offers conservative and Several factors have been mentioned in the literature that may Nearly all cases of colorectal cancer require surgery.

Radiation and years with Ulcerative Colitis have an increased risk developing scopic surgery for her patients. unknown. carcinoma.Several This istheories known as thecentered “adenoma-carcinoma sequence”. have on the immunological minimally invasive treatment cancer is diagnosed and treated in the earliest stages, approximately chemotherapy are sometimes required in addition to surgery.

If the increase a person’s risk for developing colorectal cancer and include: large bowel (colon) cancer. Definitive surgery for Ulcerative She also offers conservative and system, Several which factors ishave mentioned in the literature that may the been body’s defense system, or possible 80-90% patients and are restored to the theirearliest normal health.

The cure options for many common ano- age, a diet cancer isis of diagnosed treatedthis in stages, approximately high in fat and cholesterol, an inactive/sedentary lifestyle, Colitis minimally invasive treatment curative for treating form of IBD. It is very increase a person’s risk for developing colorectal cancer and include: bacterial causes.

Although there is currently no cure for rate decreases to 50% or less when the cancer is diagnosed in cure the rectal disorders.

She frequently smoking and exposures.

80-90% oftopatients restored to theirwith normal The options for many common ano- obesity, discussare surgical options yourhealth. colorectal surgeon age, a diet high inmedication fat environmental and cholesterol, an inactive/sedentary lifestyle, important Crohn’s Disease, can be administered to treat early explains to her patients that later/advanced stages. or Less than 5% ofcancer all colorectal cancerinpatients rate decreases when diagnosed rectal disorders. She frequently What are thetemporarily symptoms of colorectal cancer? obesity, smoking and environmental exposures. because timingtoof50% surgeryless and the the procedure ischosen are verythe “just because I am a surgeon, onsets and/or relieve the pain and symptoms require a colostomy or “bag”, thanks to modern technology.

Dr. explains to her patients that later/advanced stages.

Less than 5% of all colorectal cancer patients to each patient.

Unfortunately, polyps and early cancers docancer? notdispensed produce any physi- important What are the symptoms of colorectal associated with the illness.

The most commonly doesn’t mean everyone needs Paonessa prides herself in being able to maintain this standard of care “just because I am a surgeon, require a colostomy or “bag”, thanks to modern technology. Dr. cal Unfortunately, signs or symptoms.

Therefore, symptoms usually indicate late or in her own practice. Not only is she able to minimize the number surgery.

There are other options medications are corticosteroids, anti-inflammatory agents, and polyps and early cancers do not produce any physidoesn’t mean everyone needs Paonessa prides herself in being ablearetoserious maintain this standard of care advanced The most common symptoms of colorectal Crohn’s and Ulcerative Colitis diseases that require Isurgery. can offer you.”

Paonessa colostomies/”bags” created for her able patients, but she the performs a cal signs ordisease. symptoms.

Therefore, symptoms usually indicate cancer late or of There areDr. other options immunosuppressants. in her own practice.

Not only is she to minimize number are rectal bleeding and changes in bowel habits such as constipation a patient to be closely monitored and to schedule preventative has been named Proctologist advanced The most symptoms of colorectal cancer majority In somedisease. cases surgery maycommon be needed if the condition becomes of her colorectal cancer surgeries usingbut laparoscopic sur-a I can offer you.” Dr. of colostomies/”bags” created for her patients, she ifperforms Board-certified in Paonessa general testing to limit his/her risk ofsurgery cancer.

Make sure that yousurgery are or These and symptoms insurgery, many of Yearnamed by theProctologist American arediarrhea. rectal bleeding changes incommon bowel habits such other assoconstipation severe or complicated.

Not allare cases require it disorders is best hasthe been gery.

Laparoscopic colorectal is a minimally invasive majority of her colorectal cancer surgeries using laparoscopic surof the gastrointestinal tract so it is very important to have a thorough experiencing any or all of the symptoms discussed above, that you College of Osteopathic surgery and proctology Board-certified in general toorschedule diarrhea.a These symptoms many other disorders of the Year by the American consultation witharea common colorectalinsurgeon.

A colorectal in which small incisions are made to perform major surgery. gery.

Laparoscopic colorectal surgery is a minimally invasive This surgery Proctologists, awarded the examination should you experience them.

NOT ALL RECTAL appointment your physician and apain colorectal and a fellow of the allows foran shorter hospitalarewith stays, incisional andThis earlier of the gastrointestinal it is very important to have thorough schedule College ofand Osteopathic surgery proctology surgeon in conjunctiontract withsoyour gastroenterologist can abest in which small incisions madedecreased to perform major surgery.

BLEEDING IS DUEyou TOexperience HEMORRHOIDS. ItALL is very important surgeon Patient’s Choice Award and promptly.

American College of Proctologists, awarded the return to work and other activities. examination should them.

NOT RECTAL determine treatment for each individual case. and a fellow of the allows for shorter hospital stays, decreased incisional pain and earlier for patients toISremember this and seek evaluationItifisthey are expethe Compassionate Doctor’s Patient’s Choice Award and BLEEDING DUE TO HEMORRHOIDS. very important Osteopathic Surgeons, Can be prevented?

American College for of six returncolorectal to work andcancer other activities.

Award

by Vitals.com riencing rectal bleeding.

Other symptoms such as ifabdominal pain the Paonessa Compassionate Doctor’s Dr. Paonessa is a fellowship trained colorectal surgeon who for patients to remember this and seek evaluation they are expeDr. specializes consecutive years, andfor is on Osteopathic Surgeons, Colorectal cancer is one of cancerspatients that is preventable.

Can colorectal cancer bethe prevented? and weight lossbleeding. are usuallyUlcerative late symptoms and possibly indicate Award by Vitals.com six the has over ten years of experience infew treating with IBD. riencing rectal Other symptoms suchquite as abdominal pain Colitis HealthGrades Honor Roll.

Obtaining a screening colonoscopy at regular intervals is the single in colon and rectal Dr. Paonessa specializes Colorectal cancer is one of the few cancers that is preventable. consecutive years, and is on the advanced/extensive disease.

She is experienced in the ongoing maintenance care and surgical and weight loss are usually late symptoms and quite possibly indicate Another form of IBD is Ulcerative Colitis (UC). This causes best way to prevent colorectal cancer.

Your colorectal surgeon or surgery.

She been in in colon andhas rectal Board-certified in generHealthGrades Honor Roll.

Obtaining a screening colonoscopy at regular intervals is performs the single advanced/extensive disease. care of patients with IBD. Additionally she frequently How is colorectal cancer diagnosed? inflammation of the lining of the large intestine (colon and/ specialist is able to review the guidelines for colorectal screening surgeon colonoscopy practice for 10 years. al surgery proctolobest way to prevent colorectal cancer.

Your or surgery.

She hasand been in Board-certified in She gener(minimally invasive surgery) for those patients who orHow rectum).

The for developing Colitis occurshis- laparoscopic Evaluation of onset colorectal cancer is firstUlcerative begun with a complete is colorectal cancer diagnosed? gy and a fellow of the American Although based upon your age, medical history and family history. specialist is able to review the guidelines for screening colonoscopy al surgery and proctolocompleted her colon and practice 10 years. She surgery proven, for IBDstudies and who are candidates for this type ofadditoryEvaluation and physical exam, athe digital rectal exam and possibly College offor Osteopathic during two stages of life:including between of 15 to a30 and of colorectal cancer is firstages begun with complete his- require not definitively published in family the literature gy and surgery a fellow offellowship the American Although based upon your age, medicaloffice history and history.mention rectal testing the stool for blood.

A colonoscopy is the most definitive test completed colon and Surgeons, Dr.her Paonessa specialsurgery.

Call Dr. Paonessa’s today for a consultation if you between ages of 70 toincluding 80. Likea digital Crohn’srectal Disease, of tory andthe physical exam, examthe andcause possibly tional factors that may lower your risk of developing colorectal cancer College of Osteopathic not definitively proven, studies published in the literature mention addiizes in colon and rectal surgery. used to diagnose colorectal cancer.

A colonoscopy is performed by at Lehigh Valley Hospital experiencing anya high of thefiber, above symptoms or have IBD rectal surgery fellowship Ulcerative is blood. unknown. and include: eating low fatofdiet, maintaining a and testing theColitis stool for A colonoscopy is the most definitive test are Surgeons, Dr. Paonessa specialtional factors that may lower your risk developing colorectal cancer She has beenValley in practice foris9 aused colorectal surgeon othercancer. specialist inare order to get aCrohn’s direct visurequire management. in Allentown, PA. She healthy weight, and engaging in regular, exercise. a Thetosymptoms oforUlcerative Colitis similar at Hospital izesLehigh in colon and rectal surgery. diagnose colorectal A colonoscopy istoperformed by and include: eating a high fiber, low fat vigorous diet, maintaining years.

She completed her colon co-editor of the textbook She has been in practice for 9 Disease and include: abdominal pain, in diarrhea, loss, visua colorectal surgeon or other specialist order toweight get a direct in Allentown, PA. She is healthy weight, and engaging in regular, vigorous exercise. and rectal surgery fellowship Call For732-282-1500 An Appointment, Call For An Appointment, years.

She Treatment completed her colon fever, and/or rectal bleeding.

Some patients may even experience Surgical at Lehigh Valley Hospital in Client co-editor of the textbook and rectal surgery Call For An ...

Appointment, 732-282-1500 Allentown, PA. fellowship of Hemorrhoids, 2nd Testimonials Surgical Client Client Testimonials at Lehigh Treatment Valley Hospital in She is co-editor 732-282-1500 edition.

Dr. Allentown, PA.Paonessa of Hemorrhoids, 2nd Testimonials ...

Nina J. Paonessa, DO, FACOS “Dr. Paonessa is simply bestaofskilled the best! of the textIn addition tothe being surShe is co-editor believes in patientClient Testimonials Colon and Rectal Surgery edition.

Dr. Paonessa She is very skilled and knowledgeable with book Surgical Nina J. Paonessa, DO, FACOS of the text-care Inmeasures addition toPaonessa being a isskilled surDoctor so caring, Josephine B.geon, centered and Josephine B. Treatment Board in General the added of compassion and believes inof patientClient Testimonials ColonCertified and Rectal SurgerySurgery and Proctology book Surgical “After I had a colonoscopy and found out I had colon “After I hadgeon, a colonoscopy and foundand had colon Doctor Paonessa isIIso caring, Hemorrhoids, compassionate and attentive, I out felt like she kindness....I am a retired RN am so Josephine preserving patient’s centered care and Treatment of each Board Certified in General Surgery and Proctology cancer, myB.primary primary physician physician recommended recommended II see see Dr. Dr. cancer, my 2nd edition.

2101 Route 34 South, Suite H • Wall, NJ 07719 grateful for only the wonderful careI and shea “After I had colonoscopy found out Ihelp hadbut colon compassionate and feltgoing like she was my good friend.

Ian considered to independence, being Hemorrhoids,eachwell Paonessa.

Nota only is she sheattentive, anand excellent surgeon, preserving patient’s Paonessa.

Not is excellent surgeon, but Dr. cancer, mya primary physician recommended I see Dr. hassuch given to me as herperson patient.”

2101 Route 34 Suite H M-F • Wall, NJto07719 2ndPaonessa edition. Shewell she’s compassionate as well. well. would she’s such agood compassionate person as II Paonessa, would 732-282-1500 • South, Office Hours: 9AM 5PM was my friend.

I considered going to a New York hospital until I met Dr. and dignity. provides independence, being Paonessa.

Not only is she an excellent surgeon, but believes in -Christine, recommend Dr.Jackson, Paonessa NJ to anyone anyone and and everyone.” everyone.”

Dr. Paonessa recommend Dr. Paonessa to she’s because such a compassionate person astowell. would 732-282-1500 • Office Hours: M-F¢ to 5PM the latest, up-to-date patient-cenNew York hospital I met Dr. and dignity.

She provides but of her Iuntil decided stayI Paonessa, local ¢ laparoscopic surgery surgery ¢9AM colonoscopy believes ¢ laparoscopic colonoscopy tered careinandand preserving each recommend Dr. Paonessa to anyone and everyone.” treatments tailors ¢ abdominal/pelvic surgery ¢ anorectal surgery “Dr.because anI exceptional Patricia E. glad ¢ surgery ¢ surgery the latest, up-to-date patient-cenPatricia E. but of is her decided to colorectal stay localgood and I Paonessa am I did.

I can’t say enough ¢ abdominal/pelvic laparoscopic surgery ¢ anorectal colonoscopy patient’s independence, well ¢ fecal incontinence ¢ pelvic floor disorders disorders “Isurgeon. credit Dr. Dr.IfPaonessa Paonessa for saving saving my life. life.

Her you want a doctor who you ¢ fecal incontinence ¢ pelvic floor tered care and preserving each “I credit for my Her each plan of care to the treatments and She tailors ¢ endoanal/rectal abdominal/pelvic surgery ¢ office anorectal surgery Patricia E. glad being and dignity. provides and Itrust, am Ilistens, did.

Iwho can’t saymade good things about Dr. Paonessa, and Ienough highly rec¢ ultrasound ¢ proctology thoroughness and attention to detail made the who ¢ endoanal/rectal ultrasound ¢ office proctology thoroughness and attention to detail the patient’s independence, well can who truly cares, individual patient’s needs. ¢ fecal incontinence ¢ pelvic floor disorders “I credit Dr. Paonessa for saving my life.

Her each plan of care to the the latest, up-to-date treatments ¢ anorectal anorectal manometry/physiology manometry/physiology difference for myDr. recovery.

I’ve never metIfor a doctor doctor like ¢ things about Paonessa, and recdifference for my recovery. never met ahighly like ommend her tothen everyone know. being and dignity. She provides can help you, sheI’ve is one you!” ¢ endoanal/rectal ultrasound ¢ office proctology thoroughness and attention to Ithe detail made the and tailors each plan of care to her—so attentive and caring.”

Call 732-282-1500 individual patient’s needs. her—so attentive and caring.” the latest, up-to-date treatments -Marianne, Toms River, ¢ anorectal manometry/physiology difference for I’veNJ met a~doctor likeS. ommend hermy torecovery. everyone Inever know.

Marie the andindividual tailors eachpatient’s plan ofneeds. care to Call 732-282-1500 her—so attentive and caring.” ~ Marie S. the individual patient’s needs. www.TheCountyWoman.com The County Woman Magazine March/April 2014 www.TheCountyWoman.com The Magazine County Woman Magazine www.TheCountyWoman.com January/Feb The County Woman

May/June 2015 www.TheCountyWoman.com The County Woman Magazine January/Feb The County Woman Magazine March/April 2015 www.TheCountyWoman.com www.TheCountyWoman.com The County Woman Magazine March/April 2014

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Paonessa Colon and Rectal Surgery, P.C. Paonessa Colon and Rectal Surgery, P.C.

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March is National Colorectal Cancer Awareness Month March is National Colorectal Cancer Awareness Month

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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

Make Your Mind Work FOR You – Instead of Against You! Rhoda Kopy is a nationally certified consulting hypnotist and wellness coach, with specialty certification is 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.

Health

&

Wellness

Empowering Children And Teens Using Hypnosis

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hildren and teens can learn to “program” themselves for success, and develop an attitude of “I can do it!” when facing difficult situations. Think back over

your growing-up years. What were some of the key challenges you faced?

Were you made fun of because you were overweight or bit your nails or got caught up in some other negative habit? Were you a capable athlete or student who didn’t perform well because you lacked confidence and focus? Were you super shy and had difficulty interacting with other people?

Did standing up in front of the class to do a presentation scare the heck out of you? Were you petrified of going to the doctor’s office and getting the dreaded needle? Imagine having access to tools that would have allowed you to feel empowered, competent and capable, and equipped to handle challenges.

What a difference that would have made! That’s precisely why hypnosis and coaching is a wonderful approach for children and teenagers. What they gain through several sessions, which includes instruction in self-hypnosis, lays a foundation that helps them as they travel through life.

While many adults benefit from this approach, kids, in particular, have a natural affinity for it. Hypnosis engages the subconscious mind – that

part connected with behavior patterns, emotions, and memories, and which is the seat of the imagination. Children are so adept at using their imagination that they are said to be in a state of hypnosis much of the time. They are masters at daydreaming, playing “pretend,” and engaging in “make believe.” That ability allows them- to easily visualize, sense, or feel the things that are suggested to help them resolve an issue. Teenagers tend to be more analytical; but their curiosity about hypnosis, their imagination, and desire to make changes generally make them good candidates for this approach, as well.

Some of the issues commonly addressed with teens and children include: • Negative habits (i.e., like thumb sucking, nail biting, skin picking, unhealthy eating) • Fears (i.e., needles, being alone, dentists, doctors) • Performance blocks (i.e., sports, academics, arts) • Focus and concentration (including studying and test-taking) • Bedwetting • Shyness and social unease • Organization and time management • Stress management Trying to address issues like these with the logical part of the

Commonly Asked Questions about Hypnosis What is hypnosis? It’s a naturally occurring state, like ❀ daydreaming, becoming absorbed in a good book, or zoning out while you’re driving. Used in a clinical setting, it’s a powerful vehicle for change. You are coached into a state in which the deeper part of your mind, the subconscious, is more accessible and open to change. Diverse techniques are used, such as guided imagery, mental rehearsal, NLP, etc. As with meditation, there are many physiologic benefits when it’s practiced regularly.

Do some people lose control? That only happens on TV and ❀ in the movies. People use this technique because they want to gain more control over themselves. No one can make you think, say, do, or

mind – the conscious mind – doesn’t usually achieve results. You can talk to your child from now until the cow jumps over the moon about how the “needle” really won’t hurt, but all the rationalizing in the world isn’t going to change that gut reaction to scream and kick and flee. Appealing to the subconscious mind, using a variety of safe and gentle techniques, is what gets results. Young people who are introduced to hypnosis and coaching, and who practice what they’re taught, tend to: • Feel more competent and capable • Be more relaxed • Focus more easily • Feel empowered • Creatively problem solve • Feel equipped to handle challenges Children and teens who are good candidates for this approach include those who are open to the approach and who: • Want to resolve the particular issue – and see the benefits in doing so • Are able to discuss their feelings and goals surrounding the situation • Can sit quietly for at least ten minutes at a time • Will spend a few moments each day practicing certain techniques and/or listening to a CD • Are able to follow simple instructions

feel anything that runs counter to who you are and what you want.

What if I’m not “hypnotize-able”? It’s rare that someone is ❀ unable to enter this state because it is a naturally occurring state.

Therefore, just about anyone who wants to enter the state can do so.

And, the more it’s practiced, the easier it becomes. People who would not be good candidates include those with organic brain damage, difficulty processing simple information, and severe and untreated psychiatric disorders.

Is it possible to get stuck in hypnosis? No. It is possible to drift ❀ into a sleep state, however, because it’s often quite relaxing; but a good practitioner won’t let that happen.

Can I use this approach instead of seeing a medical doctor ❀ or a therapist? This is not intended to take the place of licensed medical or mental health care. If you are having a significant physical or mental health problem, it needs to be appropriately handled. There are times when it is necessary for a hypnosis practitioner to request authorization before seeing certain clients, and hypnosis practitioners often work in tandem with physicians and therapists.

www.HypnoForWomen.com

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Filing A Worker’s Compensation Claim: 23 Law aw 33 What are the benefits?

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Please Compensation benefits, the first thing Administration (SSA) uses to review your file. with Kathleen M. Dotoli, for Social Security disability would be difficult to do any of your past jobs because of your from your employer’s workers’your compensation insurwhen making any of the associated with your injury.

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Here’s aare list of the Five Kathleen M. Dotoli, Esq Esq. applicants who allege they are “ready, you not working, ifIfyou are able to work inweekly a Top job that you held in the past.

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This Social Security Disability benefits is an important m effects oftoyour injury, also known are many people who go on to have physical limitaCommittee for the NJ State Bar Foundation. a claim while Claims. you are looking for work.

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If you need guidance with serious injuries proven andyou supported by medical Receiving compensation for❇your foryour SSD lifestyle. whilethereceiving unemployment Youpermanent Represent Yourself uk are Workers’ Compensation important to speak to me to determine how to balance your or enjoy life!

It just means that you have to be your need to bring home a paycheck, don’t hesitate to contact me for Executive Committee for the NJ injury is something are unlikely withoutproper filing representation, it’s evidenceapplication, that have long term limitations. benefits, consider the effect ityou will have on to get Without Committee for the Ocean County retion, careful. they How much youfinancial arehard paidtime depends on your needs with your disability application. aday-to-day free consultation. will have a approving your State Bar Association as well as a a claim. hque careinjury, occupation, job function and personal your SSD application.

Bar Association and a Member easy to see how someone could make 2.

Is your medical condition so severe that it But is filing a claim really necessary? member of the Vincent J. Apruzzese it is Receiving compensation for your permanent of the Workers’ Compensation I hope you see now why style. ❇ You Missed a Workers’ Compensation basic mistakesbenor omissions on 225 theirWashington St. The Cottage interferes with basic work related activities?

For instance, your Mock Trial Committee for the NJ Executive CommitteeWithout for the NJthem, thousands of NJ law in you New workers are entitled to ury isBy something areJersey, unlikelyinjured to get without filing efits are so important! file that could cause them to lose their on. are you a secretary who can no longer use her hands due Deadline State Bar Association as well as a Toms River, 08753 aim.

State BarNJ Foundation. three really important benefits - benefits they need in each yearthe would Generally, SSAfind givesthemselves lacking medical tonow carpal tunnel syndrome?

That might prevent youworkers frommember of the Vincent J. Apruzzese case. Don’t assume you cannot hire I hope you see why Workers’ Compensation benorder to get better, pay their bills, and provide compen225 Washington St. ThetoCottage treatment, income and compensation for their injuries. stance, you days appeal your legal representation for what Committee for the NJ quality being Without able to type, or useof the of 60Trial s are so important! them, file, thousands NJ phone for long periods Mock Phone: (732) 228-7534 e sation for their permanent injury. If you’re ever hurt at Toms There’s no two ways about it.

Workers’ Compensation River, NJ 08753 initial denial, Request for State Bar Foundation. may be the most important proceeding kers each year would find themselves lacking medical time.

Are you a long haul truck driver who cannot sit for om work,income you’ll and need to know about these three benefits. of Request New Jerseyofworkers each year and compensation fordue their injuries. your life.

Attorneys are not paid Have you or a loved one been long periods of time to a severe back injury?

If benefits that’sReconsideration, thehelp thousands dstment, of Phone: (732) 228-7534 • The first and most important benefit is payment 225 Washington St. The Cottage ere’s no two ways about it.

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Attorneys Have you or a loved one been injured at work and That’s where to turn to ensure ALL of physical therapy and even psychological testing to help Toms River, NJ 08753 are protected?

Don’t navigate this maze alone!

Call me activities”. comply with these statutory navigate this maze alone! Call n’tated know where to turn to ensure ALL of your rights your rights are protected? Don’t experienced in SSD applications will make deal withDon’t catastrophic injuries.

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Call 3.navigate Is onethis ormaze more of your medical issues on today the SSA deadlines and cannot offer a me today to discuss your injury. sure your file is complete and updated navigate this maze alone! Call Phone: (732) 228-7534 aySSA to discusslist yourof injury.

The consultation is FREE me today to discuss your injury. at all stages of your claim to ensure a disabling conditions?

Some diagnoses are so severe good reason why a deadline The consultation is FREE and evere The consultation is FREE and that the SSA will automatically deem them to be totally was missed, an assumption I am only paid if I get you successful outcome for you. y Children’s Boutique I am only paid if I get you disabling.

Others may be severe but require documentation, can be made by SSA that you RESULTS. If you or a loved one need help ation, RESULTS. doctor’s reports, evaluations to assess your condition and are not truly disabled. Know with an SSD application, call me d perhaps your testimony.

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y For Social Security

Phone: (732) 228-7534

732.228.7534

children’ They offer a mix of hand-made and store brands, embroidery thiss boutique. most important step. children’sservices, boutique. They offer a mix of hand-made and store brands, embroidery services, fun sewing classes and more! Sea La Vie carries both boys and girls clothing from sizes fun sewing and more! Sea La Vie carries both boys and girls clothing from sizes Newborn to Girl’s size 16 and Boys size XL. The owner, Christina Rubenstein, has beenclasses in Newborn to Girl’ s size 16 and Boys size XL. The owner, Christina Rubenstein, has been in business for five years making children’ s clothing out of her home, selling at craft shows Enter To Win Theonline Leukemia & the Lymphoma (LLS) the world’s health agency to making children’s clothing out of her home, selling at craft shows and under business,Society Too Too Cuteis Tutus.

She largest will bevoluntary creatingbusiness clothing and fordedicated five years embroidering in the andCure will leukemia, feature other local crafters.

La and Vie tounder be improve blood cancer. The LLSstore mission: lymphoma, Hodgkin’sSea disease and myeloma, and Thestrives Leukemia & the Lymphoma (LLS) the world’s agency online business,Society Too Too Cuteis Tutus.

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to Enter to Win a Pair of Tickets to See One of Great Shows! embroidering in the store andCure will leukemia, feature other local Two crafters.

La Vie to and be improve blood cancer. The LLS mission: lymphoma, Hodgkin’sSea disease and strives myeloma,

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March 28, 2015 Honoring The The County Woman Magazine

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In the history of totally insane wedding days… the quality life of patients families. LLS funds blood cancer research around the Visit Us On Facebook Name: _________________________________________________________________________ or Instagram! world and provides free information and support services.

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6616 Ventnor Ave

•

www.TheCountyWoman.com

Visit Us On Facebook

Come enjoy all-you-can-eat or Instagram!spaghetti City: _________________________________________ State: _________ Zip: _______________ November/December 2014 with meatballs, bread, and salad!

2:00 - 6:00PM Phone: __________________________ Email: _________________________________________

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November/December 2014 March 28, 2015 p Gazillion Bubble Show

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Medical Professionals

34

28

Health &Wellness

Your Comfort Is Our Concern

I

f you have been advised by your dentist or dental specialist that you “need to see the oral and maxillofacial surgeon” for treatment, come see us!

Law

Whether you need simple or complex tooth extractions, or grafting or implant procedures, or have a lump or spot in your mouth, or traumatic injury, we are here to make your evaluation and treatment experience COMFORTABLE for you.

Our receptionist will welcome you to our practice and will help you make an appointment in as timely a fashion as possible. Our competent financial coordination staff will help you understand and utilize your insurance benefits.

your loved one will be fully monitored before, during, and after the procedure by multiple team members. A range of anesthetic options exist, from ultra-light conscious sedation to moderate and deep sedation, to general anesthesia.

Each patient is treated individually, with careful attention to physical and medical conditions, age, body size, and pain and anxiety levels.

Elder Law Kathy A. Banks, DMD

Theater &Entertainment

Our office is “state of the art” with modern oral surgery, dental implant and bone grafting, instrument sterilization, anesthesia equipment, soft tissue LASER, hand held NOMAD x-ray technology, i-CAT FLX 3D cone beam computed tomography, and more; offering you the best there is to offer in in-office oral and maxillofacial surgical care.

Dr. Banks and her well- trained Surgical-Anesthesia Team members provide the following services to make your treatment pleasant and comfortable, from your initial evaluation throughout treatment and aftercare:

3

Local anesthesia:

Education

The administration of a medication by injection in order to make part of the mouth or face numb is called local anesthesia, often called “dental injections”. For those patients who have minimal anxiety, this may be all that is needed to make your procedure comfortable.

3

Nitrous oxide analgesia sedation: Often called “laughing gas” or “sweet oxide he air”, initialnitrous decision to

T

inhalation sedation is very well accepted by most patients, especially remove third molars the pediatric patients. The nitrous oxide gas is breathed using a special (wisdom teeth) is most mask that fits over the nose, or the nose and often mouth.

Ourbypatients are made a general monitored before, during, and after the administration of the nitrous dentist or orthodontist. oxide gas. While most patients will not be fullyMost asleep duringwho theare patients procedure, they will report feeling of euphoria, decreased anxiety, and referred to the oral and maxillessened awareness of pain. lofacial surgeon (OMS) do not

3

Fine Art Photography

have healthy wisdom teeth that

have erupted, or grown into a Other services: cleansable and/or functional Occasionally, patients are just so fearful that we have to help them position in the mouth. feel less anxious BEFORE delivering intravenous anesthesia or nitrous HEALTHY we mean free oxide gas. We also treat certain patients who areByunable to cooperate of gum disease and caries (dental fully with the initiation of anesthesia. Premedication sedative decay). Sowith thereaare no pockets medication, inhalation anesthesia, oral and intramuscular anesthesia present in the gums between the may be utilized for some of these patients. wisdom tooth and the next tooth

forward, or around the wisdom toothand itself, andyou there will beonno Dr. Banks will discuss your options with you help decide redness or swelling or otheraresigns the option that is best for you. Remember, your comfort and safety of infection. A healthy wisdom our main concerns. tooth will have no cavities, or there was a cavity that has been Intravenous anesthesia: For more information or to schedule ansuccessfully appointment treated with a dental Intravenous anesthesia can be administered to patients of all filling. call 609-488-2325 today! ages. Our surgical-anesthesia team approach ensures that you or

By CLEANSABLE, we mean that the wisdom tooth is in a Dr. Banks is a graduate of Rutgers University College of Arts and Sciences, position in the mouth where Camden with a B.A. in biology, and Temple University School of Dentistry, all the surfaces of the tooth can be successfully maintained, at Philadelphia. She completed a one year Advanced Education in General Dentistry brushing and flossing.

Residency Program at the University of Medicine and Dentistry of New Jersey in Practice Limitedhome, To by Oral & If the area is difficult to clean, Maxillofacial surgery Camden and Stratford, NJ, and then completed a four year Post-Graduate Residency then bacteria can colonize and

3

Business &Finance

KATHY A. BANKS, DMD

Program in Oral and Maxillofacial Surgery at the University of Medicine and Dentistry of New Jersey in Newark. She is a Diplomate of the American Board of Oral and Maxillofacial Surgeons and the American Board of Dental Anesthesiology.

She is a member of the dental staff at Jersey Shore University Medical Center in Neptune, New Jersey and is involved with teaching the postgraduate GPR residents in the clinic and in her private office setting. She has been instrumental in the development of several New Jersey State Board of Dentistry approved continuing education courses offered by J.S.U.M.C Department of Dentistry Continuing Education Department for dentists, hygienists and dental assistants.

249 S. Main Street, Unit 4 Barnegat, NJ 08005

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Dr. Banks is a graduate of Rutgers U biology, and Temple University School Tel: 609-488-2325 Education in General Dentistry Reside kbanks@drbanksoms.com NewA. Jersey in Camden Kathy Banks, DMD and Stratford, N Practice Limited To Oral & Maxillofacial Surgery Program in Oral and Maxillofacial Su 249 S. Main Street, Unit 4 Maxillofacial Surgeons and the Americ Fellow of The Association Barnegat, NJ American 08005 Kathy A. Banks, DMD of Oral & Maxillofacial Surgeons Practice Limited To Oral & Maxillofacial Surgery She609-488-2325 is a member of the dental staff a Tel: Diplomate of The American Board Fax: 609-488-2342 249 S. Main Street, Unit 4 clinicofand in her private office setting.

Oral & Maxillofacial Surgery Barnegat, NJ 08005 Specialty Permit #4070 offered by J.S.U.M.C Department of D Tel: 609-488-2325 Fellow of The American Association of Oral & Maxillofacial Surgeons Diplomate of The American Board of Oral & Maxillofacial Surgery Specialty Permit # 4070

Fax: 609-488-2342 Fellow of The American Association of Oral & Maxillofacial Surgeons Diplomate of The American Board of Oral & Maxillofacial Surgery Specialty Permit # 4070

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

January/Feb May/June 2015 The County Woman Magazi

Business Spotlight

35

~ INTERVIEW WITH DR. KATHY BANKS ~

Kathy A. Banks, DMD Practice Limited to Oral & Maxillofacial Surgery

249 S. Main Street, Unit 4 Barnegat, NJ 08005 609-448-2325 www.drbanksoms.com

KATHY A. BANKS, DMD

Kathy A. Banks, DMD

Practice Limited To Oral & Maxillofacial Surgery

y A. Banks,

249 S. Main Street, Unit 4 Barnegat, NJ 08005 of The American Association DMD Fellow

d To Oral & Maxillofacial Surgery Tel:of 609-488-2325 Oral & Maxillofacial

Fax: 609-488-2342

Surgeons

Diplomate of The American Board 9 S. Main Street, UnitFellow 4 of The American Association of Oral & Maxillofacial Surgeons Diplomate of The American of Oral & Maxillofacial Surgery Barnegat, NJ 08005 ofBoard Oral & Maxillofacial Surgery Specialty Permit # 4070

Tel: 609-488-2325 Fax: 609-488-2342

ican Association of Oral & Maxillofacial Surgeons American Board of Oral & Maxillofacial Surgery Specialty Permit # 4070

Specialty Permit #4070

Dr. Kathy Banks Is Dedicated To Patients In Need of Oral & Maxillofacial Surgery

For Dr. Kathy Banks, becoming a dentist was something she dreamed of for as long as she can remember. When she began dental school one of her first clinical rotations was in the Oral and Maxillofacial (OMS) Department and she became hooked right away. She adds, “It was the one discipline of dentistry where I was really challenged clinically and mentally. The surgical specialty of OMS bridges the gap between medicine and dentistry.”

Because she provides surgical treatment for patients of all ages, she has to have a good understanding of pediatrics, adolescents, adults and geriatrics. She adds, “Most OMS’s like myself have extensive training in general anesthesia and provide those services in our offices.

Therefore we are able to cover the whole spectrum of pain and anxiety management. Additionally, many of our patients have medical conditions that affect their ability to tolerate surgery and anesthesia. This requires that we have a current understanding of medicine and the competency to manage the surgical and anesthetic needs of our patients.”

Kathy graduated from Rutgers University College of Arts and Sciences, Camden with a B.A. in biology, and received her degree of Doctor of Medical Dentistry from Temple University School of Dentistry, Philadelphia. Following dental school, she completed a one year Advanced Education in General Dentistry Residency Program at the University of Medicine and Dentistry of New Jersey in Camden and Stratford, NJ, and then completed a four year Post-Graduate Residency Program in Oral and Maxillofacial Surgery at the University of Medicine and Dentistry of New Jersey in Newark (Rutgers School of Dental Medicine). She is a Diplomat of the American Board of Oral and Maxillofacial Surgeons and the American Board of Dental Anesthesiology.

There are many rewarding aspects of this specialty but for Kathy the best part is that everyday is different. OMS encompasses a wide scope of procedures. “The modern, Board Certified Oral and Maxillofacial Surgeon who is currently competent should have comprehensive training and expertise to safely provide general anesthesia in their office as well,” she adds.

Additionally, they are likely to have training and expertise in the following areas: • Treatment of oral and dental conditions, such as removal of wisdom teeth, bone grafting and dental implant surgery.

• Pathology and trauma involving the facial bones, jaws and related soft tissues.

• Reconstruction of defects resulting from pathology, trauma, or congenital conditions • Orthognathic surgery (surgery to correct the alignment of the jaws and teeth).

• Cosmetic surgery and other cosmetic procedures such Botox treatment and “fillers” such as Juvederm.

• Surgical management of temporomandibular joint disorders Part of what makes her job so interesting is the variety of techniques she uses on any given day. For instance, in the same 24 hours she can be in her office sedating a pediatric patient to biopsy a benign lip lesion, perform a dental implant bone grafting procedure on an adult; and be in the hospital that afternoon with an adolescent patient for corrective jaw surgery.

However, for Kathy the most rewarding part is the opportunity it provides to use her knowledge and skills as a surgeon to improve the quality of life for her patients.

She says, “I can eradicate a pathologic condition, extract painful teeth, perform a surgery to improve esthetics and function, or just give reassurance to someone who may need it. I am fortunate that it’s my job to help people.”

Kathy is also heavily involved in patient advocacy. “Every year in April I travel to Washington DC with OMS colleagues from all over the country. I meet with Congressmen and Senators and educate our lawmakers on the impact of their legislations in the care I provide for my patients. Although this is a source of personal enrichment for me, I have also learned the importance of being an active participant in the democratic process,” she says.

Like most medical professionals in today’s healthcare climate the most challenging part for her is the insurmountable amount of paperwork and insurance claims that need processing.

Of all the different ailments Kathy encounters the most devastating is oral cancer. She says the most critical piece of advice she can offer to improve oral health is the following: “Don’t smoke! Smoking negatively affects every aspect of being…growth, development, healing, breathing, longevity…and the list goes on and on.”

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

36

Medical Professionals

Fibroids Eliminated without Hysterectomy Fibroids are benign uterine muscle tumors present in one out of four women of reproductive age. They are a common cause of heavy, painful periods. They can also dramatically increase the risk for miscarriage and diminish fertility. Sometimes a fibroid will grow larger than a grapefruit. When they grow large they canProfessionals cause 00 Medical symptoms from pushing on other organs in the pelvis – such as the bowel and bladder. Not all fibroids cause problems Presented South Jersey Fertility Center orby:need any treatment.

The symptoms depend on the size and location of a fibroid. These tumors start to fade away Endometriosis is a female medical condition often after menopause because they are dependent on the associated with painfulestrogen periods and pelvic discomfort. which drop female hormones and progesterone after the “change life.”

It consists of the uterine of endometrial tissue from inside Traditionally this has been done by laparotomy, which means opening the abdomen

Could Pelvic Endometriosis Be Interfering with Your Fertility?

with a large enough incision for the surgeon to reach in both hands. The recovery the Treatment for growing fibroids is in only necessary for those women who are bothered by wombareas outside of the uterus. includes 2 nights in the hospital and 6 weeks before a return to full physical activity. fibroid-related symptoms or for those with fibroids greater than 3-5 cm in size who

Fortunately a new revolutionary method is available these days which utilizes a want toDuring a pelvic exam endometriosis may be suspected by palconceive a baby. pating tender nodules behind the uterus or by visualizing a persistent minimally-invasive approach called laparoscopy. The woman typically returns home The medical term for fibroids is “myomas,” so the surgery to remove these from the ovarian cyst on ultrasound that has certain echogenic characteristics (an the same day as the surgery and recovers sufficiently to return to work in 1-2 weeks uterus is termed a myomectomy. A hysterectomy is the term for removing the uterus. “endometrioma”). Many times endometriosis can be found even in the since the 5 incisions are only as long as the width of their index finger. Laparoscopy Thus a hysterectomy can be a solution for fibroids for those women who no longer absence of symptoms or signs. The diagnosis can only be confirmed or consists of a lit scope for visualization and narrow instruments which can dissect the want to become pregnant.

The women suffering with fibroids who want to maintain excluded by undergoing a laparoscopy. Endometriosis is staged based fibroids out, repair the uterus with suture. The fibroids are placed in a strong plastic their ability to have children can choose a myomectomy.

There are 3 different surgical on the depth of the lesions and the extent of the involvement in the bag which is brought up to the small skin incision. With use of a scalpel the tissue approaches by which a myomectomy can be performed.

The type of surgical approach pelvis. Stages 1 and 2 are termed “minimal” and “mild” endometriosis, is cut into rope shaped pieces tha fit through the small skin opening. Laparoscopic depends on the location, size, and number of fibroids present.

There are also a couple of while stages 3 and 4 are “moderate” and “severe” disease. The presence causing them to adhere to other pelvic structures, and thereby distort myomectomy is generally performed with the assistance of the da Vinci surgical device non-surgical measures to try to alleviate the suffering from fibroids, though pregnancy is of an endometrioma in an ovary usually translates to at least stage 3. the normal anatomy. Having a normal anatomical relationship of the (sometimes referred to as “the robot.”) The robot allows the surgeon to manipulate the not following the non-surgical methods. recommended The prevalence of endometriosis has been calculated to be 3-10% ovary and fallopian tube are crucial for natural conception since the egg narrow instruments with much more accurate control than with standard laparoscopy.

The least invasive surgical approach is through the vagina utilizing a thin lighted in the general population of reproductive age women; however, it is must reach the fallopian tube where fertilization can take place.

The robot provides the same strong suturing technique as is used with the laparotomy scope (hysteroscope) that can slip in through the natural opening in the cervical found in 40% of infertile patients. Endometriosis often runs in families. or There are a number of treatment options to boost fertility for approach, but without the extended post-operative recovery that comes with the larger canal.

However, this approach can only access fibroids that are close to 50% more Most experts agree that endometriosis impairs fertility. One mechanism these women with endometriosis. Probably the easiest treatment from abdominal incision. Patients usually return home the same day as the surgery. Studies exposed in the central cavity of the uterus.

Only a small proportion of women have for infertility is the inflammatory response incited by the endometriosis the patient’s perspective is to have the endometriosis lesions surgically have found that the “Robot-assisted” laparoscopic myomectomies have a lower risk their bothersome fibroids limited to just that location, but it is a very satisfying surgery lesions. White blood cells, the warriors in the body’s defense system, eradicated during a laparoscopic procedure, which is done so that the for poor healing of the surgical incision and loses less blood. This minimally invasive for those candidates as the recovery and return to usual activity from hysteroscopy is try to eradicate the abnormally located endometrial tissue and release doctor can make the definitive diagnosis. Laparoscopy is an outpatient approach is usually an option when there are fewer than 8 significant fibroids and none generally only 3 days. substances into the pelvic cavity which have been shown to be toxic to procedure commonly referred to as “band-aid” surgery owing to the fact exceed 10 cm in size. sperm, eggs, and embryos. In addition, as the body tries to heal the in When fibroids are located in the middle of the muscular uterine wall or even on the that the necessary incisions are so small as to be sufficiently covered by flamed areas it may inadvertently scar the fallopian tubes and/or ovaries Any time that an incision is made fairly deep into a woman’s uterine wall she outer boundaries of the uterus, an approach through the abdominal skin is necessary. standard band-aids. In cases of modershould have (according to national standards) a C-section delivery when she ate or severe endometriosis it has been SJFC Celebrating 25 Years of Creating Families in the South Jersey Area! is 9 mos. pregnant rather than trying to push the baby out in labor. This well-established that surgical removal of caution is taken due to concern that her weakened uterus may not hold both endometriosis lesions and adhesive up to the stress of labor. One potential complication of any abdominal scar tissue improves fertility by restoring Division of Regional Women’s Health Group, LLC surgery is scar formation involving the pelvic organs, such as the ovaries the correct anatomical relationship of the Full Service Infertility Center With: and fallopian tubes. This scarring could potentially limit fertility unless in fallopian tubes and the ovary. The addiSOUTH JERSEY FERTILITY CENTER · All Of The Doctors Are Board Certified In Reproductive vitro fertilization is pursued. To lower the risk for adhesion formation most tional use of medications such as Lupron, is now offering a discount for IVF to Endocrinology And Infertility surgeons place a dissolvable barrier over the uterine scars. Patients who have a GnRH-agonist, to suppress any residual · Top Doctor Awards For 7 Years In A Row ACTIVE MILITARY AND VETERANS · Laparoscopic Tubal Reversals Call 856.596.2233 ext. 1227 for more information. had a myomectomy should not get pregnant for 3 months after surgery to endometriosis has been advocated by · Money Back Guarantee Available For Ivf And Donor Egg some. allow the uterus to heal well. The chance for more fibroids to form following · Full Service Fertility Center removal or ablation of fibroids is approximately 30%, but only about 10% of

However, numerous studies have · Robotic Surgery Available patients will require another procedure for their recurrent fibroids because of failed to show that these medications imRobert A. Skaf, MD FACOG symptoms. prove fertility rates beyond that of surgery Top Row (left to right): Peter G. Van Deerlin, MD FACOG Dr. Gary Packin, alone. This may be, in part, due to the Dr. Stephen Sawin, Stephen W. Sawin, MD FACOG Conclusion fact that patients must avoid becoming Dr. Peter Van Deerlin, Gary S. Packin, DO FACOOG, Dist.

In summary, fibroids in the uterus are relatively common but pregnant while on these medications for Dr. Oumar Kuzbari Oumar Kuzbari, MD, FACOG only sometimes cause significant problems, such as uterine fear of possibly inducing birth defects. Yet Bottom Row (left to right): Barbara Alice, APN-C, MSN Barbara Alice, APN-C, MSN, the optimal time to achieve pregnancy bleeding and pain, that they need to be addressed. The entire Tracy Krause, APN-C,MSN Dr. Robert Skaf, may be immediately following the surgery uterus need not be sacrificed if the woman wants to retain her Tracy Krause, APN-C, MSN (when the fallopian tubes have just been fertility. Fortunately there is a new minimally invasive surgical flushed and before any scar tissue has procedure that takes advantage of robotic technology to Visit us on our Website www.sjfert.com had a chance to re-form). Post-operative allow removal of the fibroids through keyhole incisions which 400 Lippincott Drive Harbor Pavilions Burlington Prof Campus AtlantiCare Life Center medication IS recommended, however, Suite 130 570 Egg Harbor Rd • Suite B4 500 English Creek Ave. • #225 1900 Mt. Holly Rd #4A allows a much shorter and easier recovery than the previous Marlton, NJ 08053 Sewell, NJ 08080 Burlington, NJ 08016 Egg Harbor Twp. , NJ 08234 when pelvic pain from endometriosis is method of surgical removal through a 5 inch incision.

609-386-4701 856.596.2233 856.218.8863 609.813.2192 the patient’s biggest concern.

www.TheCountyWoman.com January/February 2015 The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com May/June 2015

South Jersey Fertility Center

Pictured...

MB edical Pro essionals usiness Sfpotlight

25 37

~ Interview with Cyrus MDTo ~ Know Radiologists: The Doctor You Khorrami, Should Get



What is unique about the family owned radiologist business, I recently learned of an interesting statistic. A survey was Toms river X-ray CT & mri Center? conducted Miami, Florida and Burlington, Vermont where Large corporations orin hospitals run most radiology practices.

Ours is a family run practice, which is random asked ismother that has a radiologist does. very unusual in people radiology. Mywere father founded ourwhat practice.itMy been the office administrator for many years.

I serve the medical As with any are family run business, we take pride in Greater then 40 percent ofas people didn’t director. know radiologists doctors. what wethis, do and work hard to provide the very best service possible.told For me us, when comes provid Hearing I was reminded of a story.

My friend in residency whenithe first to decided best of care our patients, is noleaving detail too small. We deeply caretoforfixourradios. patients, many to go ing intotheradiology, histofather thoughtthere he was medicine and wanted of whom since 1981.

We strive tomay treatknow all of our patients like theyspecialty are a Although thishave may been seemwith sillyour to practice some people, not everybody about the medical part of our family. of radiology. I will answer some of the most frequently asked questions about radiologists.

Experience & Expertise You Can Count On!

as the medicaldoctors? director, how would you describe the many different services Are radiologists

Deer Chase Professional Park 154 Route 37 West Toms River, NJ Phone: 732-244-0777 www.tomsriverxray.com

Toms river X-ray CT & mri center provides for its patients?

Radiologists are medical doctors who specialize in diagnosing and treating disease and injury by Our office has as all the equipment one would find in any top-level academic hospital. Our services usinginclude medical imaging techniques such as X-Rays, MRI, CT, Mammography and Ultrasound. ultrasound, x-ray, fluoroscopy, bone density, nuclear medicine, CT, MRI, mammography,

What of(for training and education does aofradiologist need to complete? andkind PET/CT cancer diagnosis as well as diagnosis Alzheimer’s disease).

A What radiologist must graduate from an accredited schoolyour and business? pass a licensing is a common misconception peoplemedical have about examination.

After medical school, they complete a four to five year training program called due Some people believe that radiology tests are long and uncomfortable and potentially dangerous a residency.

A residency focuses on a specific medical education in such fields as quality to the use of radiation. However with modern equipment and techniques, today’s procedures are fast, interpretation of medical and radiation safety.

For additional comfortable, and very imaging safe. Not examinations all radiology exams use radiation to obtain the images.training, As for themany radiologists also do often a fellowship-one two aadditional of specialized exams that use complete radiation, the levels received to during single test years are negligible and nottraining-in dangerous. a particular subspecialty of radiology, such as breast imaging, cardiovascular radiology, or Please describe the education and skills of the radiologists at Toms river nuclear medicine.

X-ray CT & mri. Why is it important to note that radiologists are doctors?

If Radiologists you take into years ofspecialize undergraduate education, the average radiologist has areaccount medicalfour doctors who in diagnosing and ultimately directing the treatment disease and injury by using medical imaging techniques such as X-rays, CT, MRI, mammography, more ofthan 13 years of training. and ultrasound. Radiologists are type expertsofincertification anatomy and the Idiagnosis disease.

In order to comDo radiologists receive any shouldofask about?

municate with colleagues (surgeons,bypediatrics, OB/GYN, etc.),ofthe radiologists have to be as Radiologists aretheir usually board-certified the American Board Radiology after passing knowledgeable as the specialists referring to them. three rigorous examinations. Additionally, the equipment in a radiologist’s office is certified by the In order to provide the very best care, we must have the very best doctors in our office. All of our American College of Radiology. This assures obtaining the highest quality of images at the lowest radiologists are highly trained and have many years of experience. Almost all of our radiologists have possible radiation dose. advanced subspecialized training from top academic centers. This allows us to provide the type of

What does a seen radiologist actually do? quality care at any university hospital while allowing us to provide the personal attention and

Radiologists playofan important role in your health care in several different ways. First, they level of service a family run business. act ashow an expert consultant your with referring doctor who sent you to to the radiology do you work as to a team otherphysician specialty(the doctor groups in order centersolve for testing).

Theyhealth will aid him or her in choosing the examination that fits your needs. Then a patient’s complaint? the radiologist assist bytogether interpreting the resulting recommending further All doctorswill should work as a team to providemedical the very images best andand most complete care for every The more I know about our patients’ medical histories, their current symptoms, and the conscans patient. or treatments when necessary. cernsreferring their doctors may say have, the have morereviewed accurate Ithe canradiology be when interpreting a study. That why I When doctors they scans and reports, theyisusually very gone close over relationship with mostthe of study the doctors thisradiologist. area. Most of the referring physicians meanhave theyahave and discussed with inthe private phone number and often call with questions and helpful information. It is this level of Whohave aremythe people who take the X-Rays or perform the ultrasounds? direct communication and teamwork that results in the very best care for our mutual patients.

Those are radiology technologists or ultrasound sonographers. They are invaluable members are the most common health you see at Toms riverThey X-ray CT received & mri? of theWhat radiology team who are licensed to conditions perform a particular examination. have Our facility sees everything and anything you can imagine. The purpose of a test can range from extensive training, however, they are not physicians.

something as simple as looking for gallstones or pneumonia, to detecting breast cancer with screen-

Caning I talk to my radiologist? mammograms, to diagnosing and following cancer treatment. The health conditions diagnosed are Absolutely!

Your you and your referring physician in choosing the as numerous as radiology the numberisofavailable possible to diseases. properhow examination, the resulting medical images, and in using test results to has your interpreting business changed in response to the health recommend further examinations or treatments. insurance industry over the past 3 years?

Although may not physically see the radiologist during visit, the radiologist a very With the you pressures for insurers to keep health care costs low, it your can be challenging to ensureis that integral part of your health care.

Always feel free to regard the radiologist as your own physician patients get the best quality care through their health plans. My staff strives diligently to work with and your preferred imagingcompanies center as to your extension of your family office. patients and insurance keep costs manageable withoutdoctor’s sacrificing our level of service.

Ashow always if you have any questions, feel free to contact our office do you keep current on new developments in your field? where our isstaff will be more happy to assist you.

Medicine a constantly evolving field.than Radiology is particularly exciting, with732-244-0777. new technologic break-

Cyrus Khorrami, mD Medical Director of Toms River X-Ray CT & MRI Center

throughs and advances in imaging. The best way to keep current is to attend conferences and constantly read medical journals. We are required to have 75 hours of continuing education every three Patient Testimonials years. Since I find my field fascinating, I enjoy reading as much as I can about it.

“I wasAllinformed by the staff regarding myAmerican procedure and of what it entailed. of our equipment is accredited by the College Radiology, which This is thereally highestrelieved stanmy anxieties I may haveInhad!”

- Jean, River dard for equipment. order to maintain this accreditation, we are always upgrading andToms replacing our equipment to provide the very latest technology and best image quality.

“I get all my studies done here. I always enjoy seeing a friendly face at Toms River X-Ray, and What do you find most rewarding about your business? they give me the feeling that my care and comfort is important to them.”

- Marie, Brick I am very blessed that I have found a field that I love, where I am able to make a positive impact every day in many people’s lives. Helping someone and making a difference is the greatest “The staff is very professional and work as a team. They go above and beyond the call of duty.” reward I could ask for.

- Michael, Manchester

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

May/June2015 2014 May/June

H ealth & Wellness H ealth & Wellness

38

27

Fueled By Breath “Breath is the bridge, which connects life to consciousness, which unites your body to your thoughts.” ~ Thich Nhat Hanh Yoga is the art of breathwork.

Breath is the crossroads between mind and body; it is what animates all movement. This movement (vibration) is the essence of existence. So, we are alive because we are moving. At the very least, our heart is beating, our blood is coursing through our veins, thoughts go by, our lungs inflate and deflate, cells grow and die. We move, we change. Rumi muses on this creative, life-giving force when he says,

“In your light I learn how to love. In your beauty, how to make poems. You dance inside my chest where no-one sees you, but sometimes I do, and that sight becomes this art.” ~ Rumi

This is no more apparent than when we watch someone move “gracefully”.

Moving with the desire of one’s breath (kama prana) is, in fact, the definition of grace. Art interprets this essential movement. It views what is around us all the time from an analytic and novel perspective. Dance, and other artistic forms of movement take what is natural and obtuse and bring it into the light of understanding. Hatha yoga (physical) practice is based on this same conceptual framework. We look to our natural breath in order to understand the inherent movement of the body and then expound upon these movements to create sequences of movement we call VINYASA.

“ Re -you-venate”

“Chanting is no more holy than listening to the murmur of a stream, counting prayer beads no more sacred than simply breathing… If you wish to attain oneness with the Tao, don’t get caught up in spiritual superficialities.” ~ Lao Tzu (c.604 - 531 B.C.)

Vinyasa is fueled by breath. It links breath and movement in accordance with the breath’s desire. It is an expression of how the body exists; it is the dance of existence.

Article Written by: Laurie Greene, Owner, Yoga Nine, Smithville & LBI

Come practice with us at Nine Come practice with us Yoga at Yoga Nine and experience who you are in your and experience who you are in your body in a different way. Experience body in a different way. Come watch the art of vinyasa accompanied by live the art of vinyasa when Edward Clark music, or the sound of your own breath. and Nikki of Tripsichore And while Durrant you are here, learn howYoga you Theater of London come to community perform can connect with your local the art movement vinyasa in and giveofback in littleinways everyday their piece, BREATH. through ourFUELED “Pop-Up BY Service”program.

2015 Events May Upcoming - June 2014 Upcoming Events SPRING- WORKSHOPS WORKSHOPS - TRAINING COMMUNITY

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C MIND/BODY STUDIO FirstSummer Schedules and SPECIALS begin May 23-Sept 7 A month $50 N May 28….Summer Schedule Begins in LBI E S P609.404.0999 609.494.9299 Unlimited Classes Y e Lifeguard Special* $108 O g D ASMITHVILLEn Offer valid through and May 108April daysMayonly 23-Sept 7 *good for evening classes only (Ventnor & LBI ONLY) ssaSHIP BOTTOM LBI a 7 a o June 6 - 8 - Edward Clark ti g M

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Begin September 2014 hOMe for the Holidays* $250 Registration Now Open 108 days- May 23-Sept 7 *Full-Time Students with ID Call for information or go to www.yoganine.com Brigantine Puddle Jumper* $225 66 days- July 4-Sept 7 *Smithville Studio ONLY

Pay It Forward Yoga* – FREE CLASSES with Karma Shop In Our Fair Trade Store *Take free PIFY classes and find out how you can for Gifts That Give Twice help others in our local community with POP-UP SERVICE opportunities. Organic Cosmetics, Green Products & Therapeutic Massage

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Call for information or go to www.yoganine.com Photo by Donna Andrews

Photo by Paul Dempsey

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May/June 2014 May/June 2015

Medical Professionals

39

... --- ... S-O-S ... --- ... STOP OUR SNOT ... --- ...

W 20

ith allergy season quickly approaching, many of you are thankful for the ending of our the bitterly cold winter yet dread the symptoms that will soon drain you of your energy, focus, concentration and sleep, to say nothing of the itchy runny nose, sneezing, coughing and scratching episodes that literally drive you crazy.

M edical Professionals Alternative therapies such as NAET, basic mechanisms by which this UBII

38 P SubcutaneousM Pellet Therapy

A Far Too Common True-Life Scenario

acupuncture, herbals, bee pollen and local (Urine/Blood Isode Injections) works is Patient: Doc, I’ve got nasal congestion, honey have had some positive effects in several by rendering the mixture sterile and by sneezing, coughing, post-nasal drip and edical rofessionals individuals, but nothing has met more success lysing or breaking up the peptide contents headaches and runny eyes. It happens every than utilizing ozone in addressing not only of the allergens responsible for the allergies year and is worse in the spring but it is always NOT ALL OF HORMONE the symptoms of allergy but the underlyingealth and symptoms, thus renderingellness them more TESTOSTERONE: present andFORMS troublesome to me.

ADMINISTRATION ARE cause(s) in terms of repairing a decreased immunogenic to the body through the actions “The Co-Ed Hormone” Doctor: Take this prescription of CREATED EQUAL immune system. of an enlightened and heightened immune antihistamine/decongestant Demand better care ... n this month’s article Ialong wouldwith like tothis present to you the “T”concept is amongmedicine the most common issues facing Low Conventional goessoto steroid system. antibiotic, and if that doesn’t work we will try Okay then what is the answer? thehave agingthe male.

It affects multiple aspects of their lives, choice. Inreceiving nearly every day experience ability Are youofcurrently treatment for low weuse, which will suppress the immune system Homeopathic Remedies Simple!

Demand better something elsehormones? in two weeks. aw including sexwant drive,to incontinence and maintenance of care! to make a choice.

We what we andover don’t or imbalanced Arechoose you feeling anywantand time actually heightens the response In addition to the injections, which are muscle mass. In men, testosterone therapy can of a restauWouldpellet you be accepting Patient: It’sand been two weeks, Doc, and I’m Coping with your symptoms isn’t controlling your symptoms! better?

Perhaps you are worse? eat drink, what wefeeling watch on TV, our friends, what we do for improve erectile functioning thus (very often) eliminating to the antigens, causing rant the that allergy servessymptoms cold coffee, warminitially twice weekly, we prepare for the notalet... any What’s Don’t thewe need for “The Blue Pill”. In addition to improving living,better. etc. As far asnext? our healthcare is concerned, have limited Withoutaenough testosterone, gainingutilizing and sustaining beer and uncooked food? How patient in addition to causing or worsening diabetes, homeopathic remedy Whether you are a man or a woman, this month’s Doctor: Okay, no•worries, let’s trywe these energy, drive, motivation and assertiveness, pellet HOT FLASHES NIGHT SWEATS • purchase INSOMNIA •focus, ANXIETY lean body mass can be difficult. Testosterone is also the choices in terms of the coverage and what is affordable a regardless carpenter that is building your homeofand chooses all theaconite, fixtures, colors and article is going to set you straight regarding the most glaucoma, cataracts, weight gain, ulcers, belladonna, and low therapy with testosterone willabout ensure of age that tinctures prednisone pillstoand spray • LOSS hormone of desire and arousal – womenvodka experiencing DEPRESSION • JOINT PAIN • nasal HEADACHES OF SEXUAL DESIRE and afforded us. this steroid effective and safest “bio-available” form of hormone appliances job forand your “custom” home?

Of course not, so why accept this in your healthyou will keep up adrenal with yoursuppression high-profile andmore. those osteoporosis, your urine that is taken under the tongue levels may simply lose their interest DRYNESS • athe BRAIN • Pellet WEIGHT GAIN... andVAGINAL one therapy more course different antibiotic lder awin sex forever without restoration availableof in worldFOG today. care? your not life’s most precious commodity? youthful co-workers waiting for youIs to failhealth and fall. restoration to optimal levels.

But, in regards to what treatment we receive from our What is ozone? three to four times a day as needed to rid therapy has been around sincemore the 1930s.

This concept and come back in norm’! two weeks. become the ‘new physicians and healthcare providers, we are told what we

In short, ozone is a “supercharged” form lingering symptoms while awaiting resolution isPatient: similar to Ithefeel once most prescribed drug in America Complementary and Alternative Medicine . . . worse and have gained seven PROCEDURE: -Premarin, but and muchrarely like other bioidentical hormones, awhy. of oxygen that has the ability Despite popular (mis)belief, CAM physicians serve to complement notaddressed replacepainless must do given an explanation to stabilize of the underlying cause(s) being Insertion is a simple in-office non-invasive pounds and developed yeast infection Take contol your and symptoms at their lack of approval from the FDAaand has leftsolve an unnecessary current medical practices.

It is the conventionally close-minded practitioners thatincision feel is minimal surgery under local anesthesia.

A ¼” cells that release histamine – a chemical that through the use of ozone. [thrush] on my unjustified fearful of the associated relief source for“consequences” natural, lasting through You mustpublic legally betongue. informed ... made in the upper hip area followed by“should placement intimidated by CAM physicians and principles that make the decision of I orof the is responsible for the symptoms of itching small Perhaps the most dramatic use of ozone with their use. heater ntertainment Doctor: Noisproblem!

Take these troches five pellets which areproblem about half thefor size of awith Tic-Tac. The reality that your healthcare provider legally must offer you choices after Bio-Identical Hormone Replacement Therapy (BHRT). shouldn’t I” consider alternative therapies.

The biggest arises those In 2008, the FDA gave its blessing to Slate and sneezing, etc., associated with allergies. inNothe treatment of allergies that isI small have and can be sutures are required as the incision times for ten days and surely all pros daily and cons, including risksthat and will benefits.

Unfortunately, most of us do not critical illness. Despite a patient’s failing health and mental, emotional and physical Pharmaceutical’s Testopel, - athe bio-identical testosterone closed through the use of a butterfly bandage.

Ozone also improves the immune system and personally witnessed dozens of times over the rid you ofright the thrush.

Begin a men. low-fat diet exercise this and believe that for the “doctor pellet therapy designed exclusively (Toknows date, best” and you should follow his/ ailing, the only time a traditional provider will “allow” CAM therapies is when it is promotes a natural immunization process past few months has been injecting the sinuses the FDA has yet to admit the NEED for testosterone in her andrecommendations. try exercising more frequently. If all else often too late to benefit from them.

Reasons Optsimilar for Pellets women). within the body by utilizing the antigens or through thetogums, to the Over dentalOther fails I willpractitioners send you and to the ENT doc, who Patients understand and discuss options Don’t be a victim of misinformation when it comes to your health. Speak up and As moremust patients experience thefor easetheir care . . .

Forms ofofBHRT foreign substances or allergens that are directly procedure numbing your teeth before canIn perform [that at bestforwill this rapidlysurgery toxicmethod environment, itprovide is essential that you as a patient play ask questions. Demand answers and alternatives.

Run away fromisthe closed-minded and effectiveness ofchanging this delivery testosterone 1. Ease of administration-it painlessly causing the allergies. practitioners and playine drilling orrole pulling aown tooth.

The ozone implanted gas (and estrogen in women), itofhas become increasingly foractive onlyand temporary and cause painteam. and It is confusing, an integral partrelief your own healthcare troublesome an active and integral yourlasts healthcare. rt hotography under the skininand four to six months. popular for both sexes despite its unapproved FDA use in S-O-S Rescue Program is successful injected in this way will kill upon contact any and downright to hear conflicting reports and opinions regarding various treatseveral missed work days].

2. No fluctuating levels as is seen with all other forms Invest in life’s most hormone precious commodity-your health. orscary most people, the first thought that comes tointervention, mind regarding women.

Women too often tread carefully at the mere suggestion

A very successful S-O-S bacteria, virus or fungal infection it comes in ments in conventional mainstream medicine, not to mention “alternative therapies”. of administration. (See Diagram) Testosterone (and in women, estrogen) delivered of testosterone therapy.

They have been brainwashed imbalance is a women in menopause.

A decline in a woman’s hormone levels To learn more about CAM and medical providers offering these services patient is placed in been the middle their doctor, and CAM (Comple-now offered through ICAM, Rescue Program, contact with. constant levels throughout the day 3. Maintains byA pellet implant, has used tobetween treat migraines and specialist Despite advances in medical technology into believing that they don’t need testosterone and that mentary and Alternative Medicine) physicians andtestosterone) don’t knowhas where to turn or whobyseen avoiding the ups and downs seen with other forms of search the web at ACAM.org or A4M. been utilized tens of thousands of menstrual headaches.

It is also a very effective treatment (estrogen, progesterone and is generally at a stage in life known it is dangerous and flooded with risks and fatal outcomes. Bottom Line: For those who are regular and “new and improved” medications BHRT for dryness, urinary urgency to vaginal believe or trust. incontinence, As a traditionally trained familyand physician, individuals I wasisnot taught hownonsense!the This nothing but In fact, a women’s risk throughout world suffering the course of and reliability. asgeared menopause.

The decline isits usually rapid and dramatic, andAsisanaccompanied by aside, I would like toreaders announcebody direct and indirect involvement ofmyOCW magazine orit my website, frequency.

In toward both menchanging and women, testosterone has 4. Your absorbs only what requires based on to interpret a medical study and determine value We were taught of premature death from any allergies cause including cancer from not only seasonal but allergies your allergy season, nothing appears been shown increase energy, relieveflashes, depression, increaseofswings, in the fight againstand the Ebola Epidemic through use of Bio-Oxidative activity andthe metabolic the and day. you havelevel been exposed toneeds the during wonders ducation markedly increased without optimal and balanced such asrepresentatives hot mood weight gain, sleep disorders a loss tosymptoms trust the to pharmaceutical interpretation theisstudy that was biased of any kind, including (Multiple sensetoofdeter well-being, relieve anxiety or andreduce improve the memory Therapies.

In addition, I am miracles pleased andof proud toother announce theof addition the ordiscomfort 5. Convenienceforms hormone hormone levels--period!!! MCS ozone therapy for the treatment toward their drug product.

The intent of this article is not to bash the medical sex drive, to namepellets acaused few. andof concentration.

Testosterone increase lean body Chemical Sensitivities), a condition thatmembers at ICAM. When testosterone runs low in a once or twice daily dosing. of womentwo new starting staff Lucia, ourrequire front desk coordinator and length the afflictions byreader the system or itsof providers but rather enlighten the right and need to ofadministration asthma, arthritis and infection, to Lyme mass (muscle strength, bone density) and decrease fat as to their very often in their twenties, it affects multiple aspects of practitioner.

6. The difference between a medication and a poison prevents individuals from venturing Melanie, our outside new nurse various pollens, grasses, and whatever communicate better with their medical providers.

A patient must understand their mass. BOTH men and women need levels of however, Unbeknownst toadequate most of us, men too their go through a period or phase disease and cancer.

If you are troubled th their lives not unlike same age counterparts (men). the is the dose. Pellet form of BHRT utilizes 1/20by safety of their plastic bubble.

The program testosterone for optimal mental physical health in care. the underlying condition and fully and discuss options to their else triggers your allergies.

And, although Testosterone is the hormone thatWish helpsuswomen manage recurrent and intractable sinus symptoms, well and as always, Be Well and God Bless. same dose of hormone that other forms would require similar to a woman in menopause known as andropause.

Andropause, sometimes addition to protect or thehave prevent chronic illness, such aswho areconsists a series injections utilizing inance My life’s experiences taught me that the people the emotions, mostof against an ofthe their ensuring little things, like a happy usiness many seek out allergy shots (weekly for consider hundreds fellow to achievewhat optimal levels overofthe same sufferers time frame of Yours in Health,tears.

Heart Attack, Stroke, Colon Cancer, Colon Cancer, Breast ending chick-flick doesn’t evoke uncontrollable Low male referred to as “man-o-pause” or “midlife crisis,” is experienced by nearly every act, thought, theory or medical treatment and “bad mouth it” are always the ones that an ozone mixture with a small volume of months toCancer years), symptoms continue to pellettried therapy (3-6... months).

Cancer, Prostate Alzheimer’s, Parkinson’s Disease have ...

--ICAM’s S-O-S Rescue Mark James Bartiss, MD testosterone impacts a woman’s weight, focus, energy, drive know the leastpoint about it.in This is less than arrogance, islevels counterproductive the patient’s own urine and blood that is atlinger some their lifetime aswith hormone decline, although onset is much and Osteoporosis, which have allnothing been associated low and For more information contact us yearly and very often worsen. (motivation) and libido just like it doesthe in men.

- Proof Program ... --... and misleading.

To schedule an appointment, call ICAM at 609-978-9002. testosterone levels. painlessly injected into the buttock.

The two at that even in year 2015 women are notas treated equals. symp- 609-978-9002 more gradual than in women and therefore not as readily noted are asthose

HORMONE IMBALANCES: H ALONE. &W SUFFER YourWOMEN Health –DON’T Your Choice L

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toms affecting women in menopause.

Mark James Bartiss, MD is a medical writer, lecturer, and author, REMEMBER…. When and is recognized as a top ten specialist in the field of Bio-Identical it comes to your health, Mark James Bartiss, MD is a medical writer, lecturer, and author, and is recognized as a top ten specialist in the field of Bio-Identical Hormone Replacement (BHRT).

He has helped numerous take their lives backyou anddoreclaim their health. have options HormoneTherapy Replacement Therapy (BHRT).

He hasindividuals helped numerous

individuals take their lives back and reclaim their health.

and a choice.

Institute for Complementary and Alternative Medicine

24 Nautilus Drive, 5 • Manahawkin, NJ and 08050 Alternative | 609-978-9002 Medicine Institute for Suite Complementary 50424Hamburg Tpk, Suite Suite5205 • Wayne, NJ NJ08050 | 973-790-6363 Nautilus Drive, • Manahawkin, | 609-978-9002

TESTIMONIALS When I moved to Ocean County over 20 years ago I found myself suffering from allergies that caused congestion, pain, post nasal drip and chronic infections.

I sought help from various doctors but nothing worked. I was considering surgery for a deviated septum when I heard about the ozone treatment offered at ICAM. I made an appointment for this simple procedure, which was quick and painless. By the time I left the office I was free of symptoms for the first time in years! I haven’ t had one sleepless night due to my sinuses since then. It is amazing to me that I could enjoy lasting relief after such a simple, brief, and painless procedure. I have told everyone I know about this (and even some total strangers!)

- Patty

My brother Mark and I have recently rekindled our relationship after over a decade. As long as I have known my brother he has been a leader (and a rebel) and I knew that he would have a positive impact on those he touched. ever since I was a young child I suffered sever allergy symptoms that kept me from living a quality of life between the headaches and inability to breathe well and lack of sleep. After just one ozone sinus injection I had instant relief that lasted three months so far! In addition, while I am awaiting a necessary total knee replacement, Mark injected my knee with ozone and that too has lessened my pain by 50%. Thank you brother and continue your calling.

- Daniel Bartiss

504 Hamburg Tpk, Suite 205 • Wayne, NJ | 973-790-6363

By Appointment Only: 639 Stokes Road, Suite 202 • Medford, NJ 08055 | 609-654-5900

www.ICAMBartissMD.com www.ICAMBartissMD.com

www.TheCountyWoman.com The County Woman Magazine November/December May/June www.TheCountyWoman.com TheCounty County Woman Magazine 2014January/February The Woman March/April 2015 www.TheCountyWoman.com The Magazine County Woman Magazine www.TheCountyWoman.com 2015 2015

Massage School

40

Looking For A Career Change?

Do You Want To Be Your Own Boss or Make Extra Income?

NJ School of Massage offers you training with a personal touch.

We care about you, your life and your future. We prepare you to become a confident, professional and licensed massage therapist.

Alice Marin New Owner/Director

Why become a massage therapist?

Massage practitioners report they are motivated by a genuine desire to improve the health and well being of clients. Practitioners often see themselves less as business people and more as individuals with a calling or mission.

Per the AMTA®, there are up to 350,000 trained therapists providing massage and bodywork in the United States. There are more than 250 known types of massage and bodywork. Many massage therapists say that they love the flexibility of being a therapist as well as feeling relaxed themselves.

The massage training can also be a stepping stone to continuing a career in the medical field.

Where do massage therapists work?

Spas employ an estimated 338,600 people in the United States. Massage services are provided at 88 percent of spas. Many therapists have their own private clientele. Others may work at day spas, health clubs, salons, resorts/hotels, hospitals,

rehabilitation centers, cruise ships, or with sports teams or schools.

BENEFITS OF MASSAGE

In a study of migraine sufferers, massage therapy reduced the duration and intensity of pain, reduced stress and depression, and increased functional status and quality of life. Research has shown that massage therapy has a beneficial effect on the following: chronic back and neck pain, bone, joint and muscle pain, nerve impingement pain; balance, range of motion, flexibility; circulatory disorders; constipation; fibromyalgia; immune function; loss of sleep; and postpartum depression. Consumers in 2012 had a positive response to massage, with 75 percent reporting very favorable feelings about their most recent experience. Per the AMTA Consumer Surveys, 2003- 2014, approximately tweny nine percent of US adults received a massage at least once.

Massage helps children as well: Improving

sleep for babies; reducing aggression and hyperactivity in adolescents with ADHD; increasing alertness in autistic children; improving lung function in asthmatic children; and reducing glucose levels in diabetic children.

NJ School of Massage (which was established in 1995 and is under new management) strives to make sure that each

and every student is trained to prepare them for a successful massage career.

Not only will they be prepared for spa (Swedish) massage but also sports, medical, prenatal, geriatric, and cancer/hospice massage.

We work with your individual needs of scheduling your home life, children and work.

Whether you’re 20 or 55, you can find a niche where you will be helping clients while enjoying a satisfying career. Our teachers are very dedicated to their area of expertise. We have an affordable tuition and easy payment plan.

We’re conveniently located on the corner of Route 37 & 166 in Toms River in the Corinne Jewelers Plaza.

We invite you to visit our website at

NJSchoolofMassage.com for more information or to register online

or call the school at 732-505-0055 for more information.

917-5 North Main Street corner of Route 37 & 166

Toms River, NJ

732-505-0055

njschoolofmassge.com

The County Woman Magazine www.TheCountyWoman.com

Day classes are 3 days a week, 9 a.m. to 5 p.m. for 6 months.

Evening classes are 2 days a week, 6 p.m. to 10 p.m. for 10 months.

Textbooks, a massage table and a school T-shirt are included in the tuition!

May/June 2015

Medical Professionals

41

Big Data: Taking the Pain ANS. OUR PATIENTS TO A HGUIDING ealth &W ellness HIGHER LEVEL OF HEALTHCARE. Out of Medical Decisions Law

You go into a doctor’s office. You’re sick … and scared. Will the doctor deliver good news or bad news? Will he be nice and approachable … or distant and too technical? How will you know if you’re making a good decision about your treatment – or a bad one? How will you pay for it?

The list goes on.

In business, most corporations rely on “Big Data” to make decisions. And now patients like you can too.

Elder Law

Theater &Entertainment

Atlantic NeuroSurgical Specialists (ANS) is bringing “Big Data” to its patients who need brain, spine and neurovascular surgery. Unlike other medical practices that just started collecting data due to Obama Care requirements, ANS has been collecting data for the past four years. As a result, ANS is helping its patients make sound medical decisions based on real nationwide results.

Fine Art Photography

According to Kathleen Loria, director of operations at ANS, “ANS is known for its cutting-edge approach to medical therapies, business practices and patient care. So it’s no surprise we’re ahead of the curve in using data to help drive treatment decisions.”

ANS catapulted into data thanks to the interest of its own Dr. John Knightly, who serves on the spine executive committee of the American Association of Neurological Surgeons – Congress of Neurological Surgeons. The organization launched the first national neurosurgical clinical registry, the “National Neurosurgical Quality Outcomes Database.” The registry collects and analyzes clinical data used to measure the quality and efficacy of common spinal and neurosurgical procedures.

Education

And, ANS is playing a key role in this initiative.

“We are gathering information on individual patients so we can identify the areas of clinical practice that are most successful,” Loria explains. “This powerful tool helps us identify the right treatment for the right patient at the right time.”

This type of high-level collaboration and multidisciplinary approach to surgery and care doesn’t happen everywhere, but it does happen here. New Jersey’s largest neurosurgical practice consists of board-certified neurosurgeons, all of whom are fellowship-trained in their specialties including spine, brain tumors and endovascular care. Our neurosurgeons are afforded an unparalleled ability to focus on their sub-specialties. Because of this, our specialists can offer the rarest of treatment options and are the most qualified to provide an accurate diagnosis. Additionally, Atlantic NeuroSurgical Specialists (ANS) handles the most minimally invasive spine surgery cases in the state. This advancement in surgery is allowing patients to reap the benefits of smaller incisions and quicker recovery times. We are highly specialized, nationally renowned, and are among the very best practicing medicine.

Business &Finance

Data is collected before surgery and then one, three and 12 months afterwards. All data is strictly confidential and handled according to federal guidelines for the protection of personal healthcare information.

The results speak for themselves.

Don’t let insurance come before your health.

Ask to speak with our insurance counselor.

For more information, visit www.ansdocs.com.

“We are changing the way we treat patients based on the data,” Loria details. “Take herniated disc, for example. Before now, all patients with herniated discs were treated similarly. Now, we can tailor a specific treatment to a woman who not only has a herniated disc, but diabetes and osteoporosis as well – all based on national outcomes.

“We are very encouraged by the value ‘Big Data’ brings to brain, spine and neurovascular surgery,” Loria concludes. “This holistic approach to patient care is revolutionizing treatment. We look forward to continuing to work with our patients to assess their responses to treatments, improve the high-quality care we provide and contribute to the advancement of neurosurgical care nationwide.”

3700 Route 33 Neptune, NJ 07753 732.455.8225 11 Overlook Road Suite 180 Summit, NJ 07901 908.516.2941

310 Madison Avenue Suite 300 Morristown, NJ 07960 973.285.7800

2345 Lamington Road Suite 107 Bedminster, NJ 07921 973.285.7800

89 Sparta Avenue Sparta, NJ 07871 973.729.0266

464 Hudson Terrace Suite 203 Englewood Cliffs, NJ 07632 973.285.7800

For more information, call 732-455-8225 or visit ansdocs.com.

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Featured On The Cover

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A Trailblazer Among Trailblazers: Kathleen Loria and Atlantic NeuroSurgical Specialists Continue Soaring to New Heights

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athleen Loria, the new director of operations at Atlantic NeuroSurgical Specialists (ANS), has been involved in the care of patients requiring brain, spine and neurovascular surgery for years. Having served as director of finance at ANS since 2002 – a role she still maintains – she has a deep understanding of what patients and their families face. And, she has a deep level of compassion for them. That compassion – along with her strong business acumen and experience – is what motivates Kathleen to bring cutting-edge patient and business practices to ANS every day.

“Since our founding in 1958, ANS has been known as a trailblazer – not just in medical therapies, but in our approach to patients and the care of their physical, emotional and financial wellbeing,” she notes. “Our goal is to continue pushing the envelope, doing what’s best for our patients and delivering the gold standard in patient and customer care.”

Kathleen is a CPA and active member of several professional accounting and healthcare management associations. As a wife and mother of seven daughters, she is uniquely qualified to bring the highest level of care and compassion to the office every day.

Q

How did you become involved in the field of neurosurgery?

As a CPA, I had been in public accounting before starting my own firm in 1993. I acquired ANS as a client in 2000 and worked as a consultant before coming onboard full-time in 2002. As director of finance, I was responsible for running the financial side of the practice. That exposed me to every element of the business – from the cost of copier paper … to helping patients through the maze of insurance, new treatments and everything in between.

Today, as director of operations at ANS, I manage the operations of the practice in addition to the finances. This broadened scope of responsibility enables me to get further involved in all aspects of the practice – including initiatives like “Big Data,” patient support groups, and bringing added value to our patients.

Q

What is the most rewarding part of your profession? What is the most challenging?

For me, the advances that have been made – and continue to be made – in brain, spine and neurovascular surgery are the most rewarding.

ANS, nationally known to be at the forefront of the latest medical technologies, plays a significant role in those advances. It’s incredibly fulfilling to be on the cutting edge of new treatments and seeing how they change the lives of patients. Our doctors are involved from initial inception … through trials and mainstream use.

Kathleen Loria (far right) and medical staff at ANS wear grey to honor brain tumor patients.

ANS is also known for its progressive business practices. I enjoy being a part of and witness to the results of this kind of innovation, too. In the case of data, for example, using national results to tailor the right treatment for the right patient at the right time is a game changer.

The most challenging part, on the other hand, is that many people don’t know about all of the advances in the field of neurosurgery … so they can’t benefit from them. That’s why ANS is committed to patient education. We actively disseminate information to empower patients and their families to make the best decisions about their care. Currently, for instance, we are talking to the public about the most important question to ask regarding stroke: “What more can be done?” By asking this question to the right medical team, there often is more that can be done when told, “He suffered a stroke. There’s nothing more we could do.” But if the question isn’t asked, that option is off the table.

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The County Woman Magazine www.TheCountyWoman.com

4/9/15 5:01 PM

May/June 2015

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Featured On The Cover

What sets Atlantic NeuroSurgical Specialists apart from others in the industry?

ANS is unique in many ways. You can experience our distinctiveness throughout our practice, starting with our staff of more than 60 across our six offices. Each staff member is hand-picked based on his/her affinity to advanced thinking, pushing the frontier, and compassion.

Our uniqueness spreads to our spa-like offices designed to help calm our patients and their families. You experience it in our commitment to patient-driven care and best-in-class, concierge customer service … our internal (not outsourced) billing department that hand-holds patients from the very beginning … and our 16 physicians, several nurse practitioners, physician assistants and other medical support staff who are focused on bringing the latest treatments, innovations and advances to our patients.

In addition to running private support groups and being active in local and social media, we have a foundation – the ANS Center of Hope Foundation. I am honored to sit on the board and serve as the treasurer of this organization that helps brain tumor patients of all ages and walks of life. This volunteer group offers transportation to doctors’ appointments, prepared meals, child care, grocery shopping, additional counseling and more.

Q

What motivates you on a daily basis?

I’m always looking for a challenge. I’m always looking for efficiencies, and I’m always looking for inspiration.

I find this every day at ANS. We are a progressive practice that is willing to invest the time, money and energy to go to the next level – be it on an operational or medical level. That quest constantly presents me with challenges, the opportunity to create efficiencies and inspiration.

Q

How do you like to spend your time away from the office? Favorite leisure activities?

My favorite leisure activity is my family. With my husband, our family of seven daughters and our female dog, I keep very busy.

Our girls range in age from 14 to 28, so we are involved in all kinds of activities. I am treasurer of our high school athletic booster club and an avid runner. Plus, I love to read.

Professionally, I am a member of several organizations including the American Institute of Certified Public Accountants, New Jersey Society of Certified Public Accountants, Healthcare Financial Management Association and Medical Group Management Association.

Q

What words of advice do you have for other women?

I believe women can successfully compete in the marketplace.

I’ve experienced that personally. In my past, I worked on large corporate accounts at CPA firms. I served as controller of a real estate management firm in New York City before starting my own firm when I had children.

Initially, for my current position as director of operations here, the group wanted to hire an experienced COO with an MBA. They recognized, however, that my diverse professional experiences, tenure here, immersion in every element of the practice and compassion brought more value to our patients and staff than a newcomer with set credentials.

I tell women – especially those just starting out: make good decisions, work hard, always do the right thing, go above and beyond, keep marching forward … and you will succeed.

310 Madison Avenue Suite 300 Morristown, NJ 07960 973.285.7800

11 Overlook Road Suite 180 Summit, NJ 07901 908.516.2941

2345 Lamington Road Suite 107 Bedminster, NJ 07921 973.285.7800

3700 Route 33 Neptune, NJ 07753 732.455.8225

89 Sparta Avenue Sparta, NJ 07871 973.729.0266

464 Hudson Terrace Suite 203 Englewood Cliffs, NJ 07632 973.285.7800

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May/June 2015

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Caring Heart & Brain Is Dedicated To Creating Miracles Written by Lorraine Catalano, CNMT and Imaging Director

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Q Why Should I Ask My Doctor About A Cardiac Perfusion Study?

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aring Heart & Brain Imaging has made the latest cardiac technology available to residents of the Jersey Shore, who could only benefit from this same testing if they traveled to New York City, Philadelphia or Southern Jersey.

A Cardiac PET Scan is the newest version of a cardiac stress test. Also called a cardiac PET PERFUSPECT PET SION study, it allows your cardiologist to determine if your heart muscle is receiving adequate blood flow Cardiac Perfusion Cardiac Perfusion and if that blood flow is evenly distributed.

The Cardiac PET Scan is far superior to the present stress testing and will further eliminate any unnecessary procedures such as cardiac catheterization. Patients will benefit from the scan by dealing with speedier scan times-approximately 45 minutes as opposed to a two to four hour SPECT scan. More importantly, it cuts patient exposure in half because the Attirius scanner reduces patient exposure to radiation. PET Scans also 2414 Highway 35, provide clearer, more precise 2D images better suited for detection of disease. We use applications exclusive Manasquan, N 08736 to CHCI that provides extensive data and measurements that guarantee appropriate diagnosis and treatment.

We have a great deal of compassion for our patients well being and like to do whatever it takes to make Phone: them comfortable, including playing their favorite music, something from our gourmet coffee bar or the company of our very attentive therapy dog, Dillinger. This is the only system that uses CFR-cardiac flow reserve-to guarantee accurate calculation of presence of obstruction: the only true way to determine if blood flow is compromised. Above all, Cardiac PET is the only technology that identifies early disease invaluable to younger patients with high risk factors.

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CHCI is the only facility in New Jersey offering this technology!

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Brain Imaging

732.292.1008 www.CHCI.biz

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Q What Can Be Done About Memory Loss Or Family History Of Alzheimer’s Disease?

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

Let’s talk about the brain…Caring Heart & Brain Imaging is the first imaging center in New Jersey to be able to detect plaque in the brain, the precursor to Alzheimer’s disease. Although fighting the disease of Alzheimer’s continues to be an uphill battle, there is great hope on the horizon. That hope comes in the form of new treatments, medications, and most important new methods of early detection. The AMYVID Pet Scan is the new “weapon” on the market to combat this heartbreaking disease.

If you are experiencing memory loss, and/or have a family history of Alzheimer’s disease, the Amyvid PET Scan could help you do just that.. help your children. Alzheimer’s disease affects the entire family. Help protect your children by getting an early diagnosis; the neuritic plauque that is a precursor to Alzheimer’s disease can be present in our brains years before symptoms occur.

The AMYVID PET SCAN may enable diagnosis of Alzheimer’s disease by identifying beta-amyloid plaque in brain tissue. This means that the disease can be diagnosed several years before symptoms actually appear and an individual can receive groundbreaking treatments before the disease develops to advanced stages. Just as important, the incorrect diagnosis of Alzheimer’s may be eliminated for patients thought to have it and appropriate treatment decisions can be made based on the patient’s actual form of dementia.

Another important benefit to undergoing a PET scan is the reduced radiation exposure. The scanner does not use CT in obtaining brain images. This is a huge factor for patients who may have had substantial radiation in the

Business usiness &F &Finance inance

past. This scan will give the information needed for doctors to make appropriate treatment decisions.

Be sure to stop by and tour their impressive facility and meet their friendly, talented staff.

NORMAL No plaque present

MEMORY LOSS Plaque Present

Don’t let this oppurtunity to receive the best and most accurate technology for cardiac care slip away from you. Tell your doctor you want only the best. We are happy to answer any questios you or your doctor may have.

Lorraine Catalano, CNMT and Imaging Director

CARING HEART & BRAIN IMAGING We can be reached at 732-292-1008, or visit our website at www.CHCI.biz E-mail: service@caringheartcoronaryimaging.com

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March/April 2015 March/April 2015 January/Febru January/Feb May/June 2015

Law

Law

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What To Do When There Is A Two BigPrenuptial New ChangesAgreement In Divorce Law: Here’s What They Mean NIn September, Governor Christie

ALIMONY REFORM: Written by: Jay Turnbach, Esq. education, and training. As the years pass, you need to owadays, many marriages start with defined After years of percolating around Trenton, an agreement was finally reached among continually reassess your marketability and education. rules regarding divorce. These rules are set the politicians to change the alimony laws. Those changes do little to alter the ultiThe job you were able to perform in your thirties and mate outcome of alimony decisions, but do contain some revisions of the process by forth in prenuptial agreements. These agreements signed two new pieces of forties, may not be a good fit inwhich your fifties and sixties. alimony modifications and terminations are adjudicated. can limit the distribution of property, curtail alimony Don’t be afraid to put demands on your spouse for legislation impacting the family law.

The major include: awards, and generally put a dependent spouse at tuition to continue your education, or timehighlights to work to (1) Dispensing with the phrase “permanent alimony” in favor of “open duraThe first isIfthe Jersey Family a disadvantage. yourNew spouse insisted upon such acquire experience and skills. access to our country’s most basic safety net: tional alimony.” This, inyourself reality, isoflittle more than a change in jargon to soften an agreement, you have to beAct aware that the law of the cutting 1Secure your financial future the social security system. Upon your retirement, the Collaborative Law which represents edge the psychological blow to payors. divorce as lawyers and judges know it may not apply If your pre-nup limits the distributions of assets your amount of your earnings over your lifetime is used to of dispute resolution, and the second is a purported (2) Ayou limitation on alimony terms to no thanofthe length of theyou marriage spouse acquired during marriage, then have to determine themore amount social security are eligible to you. cases where marriages are more thanwith twenty in length; be your own retirement planner. If except you areinfortunate to receive.

People moreyears credits in the system “alimony reform” The important thing tolaw. understand is that you are A more regularized forgreater alimony modification cases where spouse a payorcan enough to have a wealthy spouse, it(3)may behoove you to process receive benefits.

A full in time working not powerless in these situations. You simply need job (where relief should faster under the new in thea event a maximize yourACT: 401(k) contributionloses everya year, and put receivebe between $2,000.00 andstatute $3,000.00 monthoffrom to THE abide by a different set of rules.

It’s sound advice NEW JERSEY FAMILY COLLABORATIVE LAW job loss); some of your remaining disposable income in additional social security depending upon their work history at age to understand your situation and review it often. If Having been a founding member of the Jersey Shore Collaborative Law Groupaccounts if you are eligible. Perhaps qualified retirement 65 or 67.

A stay at home spouse may only be eligible you’ve signed a prenuptial agreement, you need to take (4) A more regularized process for alimony modification in cases where a payor myself – the first collaborative divorce group in New Jersey – even it is with great apride establish brokerage accountwishes for your retirement receive $300.00 or $400.00 per month on her affirmative steps to be sure that it does not come back to retire, whereby to there is now a presumption of reasonableness of aown that we can announce that New Jersey has, with the passing ofguided this statue, given all by input from an investment professional. security.

While some facts to haunt you. You need to act differently than spouses payor’s retirementThe at the account age he orfrom she issocial entitled to receive fullthere socialaresecurity divorcing parties an alternative to contentious, costly litigations. fact The that collaborative you were asked to sign a pre-nup is aand signal which would allow you to claim a benefit equal to one that are unencumbered by prenuptial agreements. This benefits; process is thoughtfully designed to put family interests ahead that of allyour else.spouse In a collabdoes not expect things to be business of yourofspouses benefitmaking upon divorce, one-half means getting regular advice from professionals and (5) A slightly more liberal half definition cohabitation, it morethat likely that orative divorce, trained divorce professionals work together with the divorcing couple as usual in the event of a divorce. Early in the marriage, will almost surely be insufficient to live on given the reviewing your financial circumstances often. having a boyfriend or girlfriend will result in a downward modification or terto reach optimal divorce solutions in a private, confidential out court setting.

This that the effect of that is your youofshould clearly signal other terms of the prenuptial agreement. Don’t rely of alimony. (This change allows a finding of cohabitation even when 1Don’t wait til you get to get informed new legislation ensures thedivorced process remains confidential andincreased secure. need to worry about your mination savings, your skills, upon a wealthy spouse to take care of you if a prenuptial parties maintain separate residences if other indicia of “couple-hood” are met.

Women who have signed prenuptial agreements If you have children, complex business interests, a desire for privacy, or simply a That may mean less availability and your retirement. agreement exists to limit his obligation. Know your favoring their spouses should meet at least annually with to him, a smaller contribution by you toall, thedependent householdspouses rights. anwell attorney The spouse who desire to move forward in divorce by building a healthy new post-divorce relationship All in madeConsult out fairly in theregularly. reform process.

Of course, a family law attorney and a financial advisor. If you expenses, andinvestigate his understandingit that you to willbebeseen meeting to take of athis prenuptial agreement in with your soon-to-be ex-spouse as co-parents, then you should absolutely remains how theexpects courts are goingadvantage to interpret legislation.

If you are wait until divorce to gage the impact of a prenuptial your attorney to an make sure you always you would the event hasthe noimpact reason of to any complain if you and consider a collaborative divorce. It is truly “the thinking annually person’s” with way to divorce. alimony recipient, be wiseoftodivorce, consider romantic relaagreement on your fate, the only possible outcome for where youLaw stand when it tionship comes toupon your your specific want to know how couldchanges affect your Call my office for more information and visit the Jersey Shoreknow Collaborative alimony benefits, because thethat rulesagreement seem to have materiyou will be a negative one. You need to work hard to prenuptial agreement. ability to provide yourself with basic security, shelter, Group at www.jsclg.org.

Be sure to seekyour out a trained collaborative law proally. Likewise, if you are an alimony recipient expecting to remain single through and ensure Website you understand your position regarding If your spouse required you to sign a pre-nup, well-being when good work that mayyou notneed be antooption. fessional.

Lawyers yet trained in the collaborative process cannot give you the full retirement age andbut beyond, this legislation makes it clear plan carefamily’s assets uponnot divorce. then expects your career to be subordinate to his, or to If you have questions, consult with us benefit of the process.

Again, call my office for a list and locations to find other colfully for the day the alimony may end, which is likely to be the date upon There are several key things to keep in mind. If his desireadvisors. to travel and live a leisurely retirement with laboratively trained attorneys, mental health professions and financial which your payor becomes eligible for full social security benefits. before you make any decisions. your prenuptial agreement limits your right to collect you, you need to understand that you may be depriving alimony, you need to be mindful of acquiring job skills,

Jay Turnbach, Esq., LLc

732.286.4860 732.286.4860 ree T Telephone elephone FFree onsulTaTion ConsulTaTion C

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

www.NJFamilyLawyer.net www.NJFamilyLawyer.net

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

Schedule an appointment with Jay Turnbach, Esq., to further discuss your concerns.

732-286-4860.

Washington Street 2229 Hooper Ave, Suite 6A Toms TomsRiver, River,NJ NJ 08753 08753

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

Jay Turnbach has 19 years’ experience handling family law matters in Ocean and Monmouth Counties. He is certified by the Supreme Court of New Jersey as a Certified Matrimonial Law Attorney. He is qualified as a divorce mediator pursuant to Rule 1:40 of the New Jersey rules of Court. He is the immediate past president of the Jersey Shore Collaborative Law Group, and a former chairman of the Family Law Committee of the Ocean County Bar Association.

May/June 2015 November/December 2014

Education Business & Personal Storage

46 50

Improve your English!

English as a Second Language

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. 37 o We for you? f you are a non-native speaker of English cess f Which ESL course is right st & c Rt. Beginning level classes center on conversational and need to upgrade your speaking, 70 ,b e listening, reading, and writing skills, Ocean English that is needed for effective verbal 2420 Ridgeway Boulevard • Manchester communication.

Intermediate classes focus on County College can help. Whether your www.airshipselfstorage.com listening and speaking skills, along with reading, native language is Spanish, Chinese, or vocabulary, grammar, and writing. Advanced Russian, all non-native speakers of English “Your Garage Away From Home” classes include more rigorous work in grammar, will find assistance through the English-asreading, and writing, helping you to refine your a-Second Language (ESL) program.

English skills and focusing on the vocabulary ESL courses aim to enhance the conversational skills you need for effective verbal needed to read and write at the college level.

So whether you are looking to prepare for communication. ESL classes also offer the A clutter free life is as easy as 1-2-3 opportunity to practice and develop fundamental high school, college, a new job, or if you would structures of English grammar that are necessary just like to improve your English skills, Ocean County College can help you prepare for a for effective written communication. In Pick a storage unit size. bright future!

Drive-Up Units addition, you’ll improve the listening skills Not sure what size you need? Call us, Getting started is easy. No application is needed to understand native speakers of English we will help you determine what you need.

Climate Units needed to take aControlled non-credit ESL course, but and later on be able to undertake academic testing and advising are required. Testing must The OCC English as a Second Language (ESL) Program offers work. No matter what your level, you’ll be able languageReserve instruction for non-native speakers of English. Take our beRV/Trailer completed priorStorage to registration in order to focus on the improvement of the skills and your storage space.

ESL Placement Test FREE of charge to see how strong your language to determine your appropriate class level. To vocabulary needed to read with greater speed and Competitive Pricing By phone stop and take developmental a tour! skills are. Onceor your skillby levels improve, courses are schedule an appointment for testing, advising, comprehension. available in a variety of other subjects, too. registration, and tutoring,Monitoring please contact Video Camera Ocean County College’s Department of  Beginner, Connie Ross at 732-255-0400, ext. 2252, or Move yourIntermediate, stuff. & Advanced Levels Continuing and Professional Education has 24/7 Access to Units Free Language Testing cross@ocean.edu. non-credit ESL courses that meet your needs.

You can accessyour unit anytime you like.

Visit Ocean County College’s Continuing ESL courses are offered in all semesters including Questions? Contact Connie Ross at and Professional Education web page at beginner, intermediate, and advanced levels.

732-255-0400, ext. 2252 • cross@ocean.edu www.ocean.edu. *Offered only on selected units and subject to availability. Applies to first month’s rent only. Promotions good for new customers Not available or additional spaces. Pricing subject to change.

Each course runs 30 hours withonly. classes meetingon transfers www.ocean.edu Reservation required to guarantee price. Restrictions, taxes and fees may apply. Actual unit sizes may vary from approximate size estimate. Please inspect any unit before renting. twice per week for five weeks.

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Care Close to Home As part of The Children’s Hospital of Philadelphia Care Network, our practices, conveniently located in Cape May, Smithville and Somers Point, provide comprehensive primary care for children from birth through age 21. We accept most insurance plans, and our doctors have staff privileges at local hospitals, in addition to The Children’s Hospital of Philadelphia. We look forward to partnering with you to help your children stay their healthiest. We are accepting new patients, as well as children vacationing with their families.

CHOP PRIMARY CARE LOCATIONS AND HOURS: Harborview/Cape May Harborview/Smithville 1315 Route 9 South 48 South New York Road Cape May Court House, NJ 08210 (Route 9) 609-465-6100 Smithville, NJ 08205 609-748-2900 Monday – Friday 8:30 a.m. – 5 p.m.

Monday – Friday 8:30 a.m. – 5 p.m.

OUR CLINICIANS: George P. Bross Jr., D.O. • Yasmin D. Deliz, D.O. • Christopher W. Drexler, D.O. • Sharon L. Held, D.O. • Mark P. Jacobson, D.O. • Christopher J. Keenan, D.O. • Courtney G. Kivel, C.R.N.P. • Lisa J. Share, M.D. • Andrea R. Thorp, D.O. • Gerald E. Vekteris, D.O.

Harborview/Somers Point 505 Bay Ave. Bayside Commons Somers Point, NJ 08244 609-927-4235 Monday and Friday 8:30 a.m. – 5 p.m.

Tuesday, Wednesday and Thursday 8:30 a.m. – 7:30 p.m.

Saturday 8:30 a.m. – Noon

www.chop.edu/locations ©2014 The Children’s Hospital of Philadelphia, All Rights Reserved. 9363/NP/06-14

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May/June 2015 November/December 2014

In-Home Care

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May/June 2015

48

Hair Designs

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Business Spotlight

49

~ Interview With Laura Cole ~ Losing Your Hair?

Let Abstrax Hair Designs Give You A New Look

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aura Cole of Abstrax Hair Designs has been working in the hair industry since she was just 13 years old. Her talent runs in the family, as she is a third generation hair stylist. Gerry, Laura’s mom, opened her first salon in 1976 and Laura did most of the cleaning and some shampoos for the other stylists. It was a full-service salon offering everything from cuts to color treatments. Gerry and Laura have been working together for close to 40 years.

At 17, Laura received her Cosmetology License and attended professional classes and seminars so they could expand their services at the salon. In the 1980’s, both women became members of the American Hair Loss Association and continued to further their education in all aspects of hair replacement. They are now American Hair Loss Council Certified Master Hair Replacement Specialists and Certified Trichologists. “Hair loss is such a personal journey – and nobody ever signs up for that trip. Once you find yourself losing your hair, the first thing you need is answers. Why am I losing my hair? Who can help me find solutions,” Laura adds.

CW: Laura, what is your involvement with the AHLC? Laura: Currently, I am a Board Member of the organization. It is so wonderful to be a part of an organization and industry that helps so many men, women and children. My Mother and I still attend educational classes and hands on demonstrations so we can continue to provide exceptional care for our clients, and offer the latest methods and products that the industry has to offer.

CW: How do you help your clients that suffer from hair loss?

Laura: We can’t change genetics but we can slow down the process. Hair loss can be a result of many factors including hormones, medications, stress, aging, Alopecia, Lupus and Trichotillomania, just to name a few. There is treatment for every hair loss condition. The industry has come a long way with FDA or health approved pharmaceutical and topical treatments and the most natural surgical (and non- surgical) hair replacements depending on your hair loss situation. Whether you are biding time while deciding what treatment to begin, letting hair follicles rest, or undergoing treatment, there is a great deal we can do for you.

Laura Cole The American Hair Loss Council (AHLC) is the only not-for-profit trade association serving the hair restoration industry. Their members consist of highly trained hair replacement specialists and technicians, certified trichologists, extensionists, wig fitters, and hair transplant surgeons, as well as manufacturers and distributors of industry related goods. They provide education, accreditation, peer networking and support among medical and non-medical hair restoration professionals, while providing support for individuals suffering from hair loss. All services are provided in an atmosphere of respect and confidentiality.

CW: What are some style options for those wanting to minimize their hair loss?

Laura: Through cut, color, and care we try to minimize the effects of hair thinning and hair loss. We’ll suggest a new style like wearing hair forward to accentuate facial features and maximize thinning hair. Irregular “choppy” or notched ends, including bangs also visually plump up the look and helps soften the long, flat look of fine and straight hair on any face shape, especially oval. Our color formulas expand the actual diameter of the hair while protecting it from damage during the process. When applied properly and artistically, highlights will contrast a darker base and lowlights will add dimension so hair looks thicker.

CW: What type of medical specialists do you suggest your clients visit in regards to their condition?

Laura: We suggest seeing a Dermatologist and a Primary Care Physician. A dermatologist can diagnose any scalp infection or fungus, in addition to examining hair follicles under a microscope. They can prescribe approved medications and refer you to the proper physician who can further diagnose and rule out any autoimmune conditions or diseases. A medical doctor is the only one who can write a prescription for a “cranial prosthesis” (a medically necessary wig).

A primary care doctor can also check for hormone imbalance, side effects of any medications, malnutrition and stress issues.

At Abstrax Hair Designs & Hair Replacement Center professionals will work with you to help match your needs with an array of solutions and choices.

They will answer your questions and help you find a solution that works within your budget. Best of all, your first consultation is free.

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Medical Professionals

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Doctor or Midwife? It’s Your Choice.

Health &Wellness Law

Ocean Gynecological and Obstetrical Associates Has You Covered One of the most important decisions an expectant mother makes during her pregnancy is deciding who will deliver her baby. Is it an obstetrician or a certified nurse-midwife? The choice is personal – based on priorities, preferences and beliefs.

“The childbirth experience is a time where you need to be cared for and trust deeply in your provider,” said Jamie. “I found that with Karen Carola [certified nurse-midwife and Director of Midwifery at OGOA] and the other midwives at Ocean Gynecological and Obstetrical Associates.”

About Barnabas Health Medical Group

Elder Law

Barnabas Health Medical Group is a multi-specialty group practice comprising highly trained and experienced world class primary and specialty care physicians.

Barnabas Health Medical Group physicians provide compassionate and innovative cutting-edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey.

Backed by the vast continuum of resources of Barnabas Health, the largest not-for-profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence.

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Jamie Hanley, a 33-year-old Tinton Falls resident and owner of Elevate Yoga in Hazlet, opted for a certified nurse-midwife at Ocean Gynecological and Obstetrical Associates (OGOA), a member of Barnabas Health Medical Group. For Jamie, her choice was clear as the whole concept of midwifery was appealing to her.

Here, Jamie shares perspective on why she chose a midwife for the recent birth of her daughter Jemma.

Why I Chose a Midwife

“When I experienced complications in the early stages of my pregnancy, the midwives attended to me right away and were extremely supportive. And I saw the physicians, too. I like how the doctors and midwives partner together to make sure you get all the care you need.”

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The midwives offered education throughout pregnancy and for childbirth – from what vitamins to take, to prenatal exercise, breathing for childbirth, medication vs. no medication and more.

“They’re holistic-minded but practical and helped ease a lot of my concerns,” she said.

Education

When Jamie first told people she was using a midwife, many assumed she was having a home birth.

Ocean Gynecological and Obstetrical Associates has two convenient office locations:

F

Business &Finance

or more than 50 years, women in Ocean County have trusted Ocean Gynecological and Obstetrical Associates (OGOA) to provide comprehensive obstetric and gynecological care. In 2012, OGOA took the bold step of expanding to include a team of experienced, board-certified nurse-midwives to join its seasoned group of boardcertified physicians. Today, OGOA is one of the only practices in the region that offers daily appointments with a midwife for in-office gynecological or prenatal care and around-the-clock midwifery coverage for pregnant women in the hospital. OGOA has one of the lowest C-section rates for obstetrical practices in the region.

Toms River Office 368 Lakehurst Road, Suite 303 Toms River, NJ 08755 732.349.0485

Lakewood Office 475 Route 70, Suite 101 Lakewood, NJ 08701 732.364.8000

To learn more, visit barnabashealthmedicalgroup.org.

Office Hours Monday through Friday: 8:30 a.m. to 5 p.m.

“Although I ended up being induced, I was made aware of all the choices and felt very informed each step of the way. The midwives seamlessly integrate natural options with medical interventions, making childbirth a positive and empowering experience.”

When it came time for labor and delivery at Community Medical Center, Jamie received support throughout her entire stay from the midwives, doctors and nurses. The midwives also helped her and her baby adapt to breastfeeding.

“I felt a deep sense of connection working with midwives as they’re all women and mothers themselves. With the midwives and physicians working in partnership, it’s like you’re getting twice as much care!”

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January/Feb May/June 2015

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After Your Breast Cancer Diagnosis (Part II): Health &W &Wellness ellness A Review of Mastectomy as a Surgical Option You have breast cancer. Now what?

After the initial shock of a breast cancer diagnosis, many women feel overwhelmed by the array of available treatment options.

“Breast cancer treatment is not onesize-fits-all. I take the time to listen to my patients, understand their concerns, and address any questions they have before working with them to develop an approach that meets their individual needs – not only medically, but emotionally as well,” says fellowship-trained Sumy H. Chang, MD, FACS, a board-certified general surgeon dedicated to breast health.

A member of Barnabas Health Medical Group, in partnership with Community Medical Center, Dr. Chang provides Ocean County women with access to the latest prevention, detection and treatment options for breast-related issues – including surgical options to treat breast cancer.

LawAbout Barnabas Health Medical Group Barnabas Health Medical Group is a multispecialty group

In the last issue of Ocean County Woman, Dr. Chang explained lumpectomy, or breast-conserving surgery. Here, Dr. Chang covers mastectomy – the total removal of the breast.

What is mastectomy?

Mastectomy involves the surgical removal of all breast tissue to treat breast cancer or to prevent it in women with a strong family history or genetic mutations that increase their risk of developing the disease. Women may choose to remove one or both breasts, depending on their diagnosis and personal risk for reoccurrence.

There are several types of mastectomy from which a woman can choose:

Theater &Entertainment ntertainment Modified Radical Mastectomy: all breast tissue and most of the underarm lymph nodes are removed Simple (Total) Mastectomy: all breast tissue is removed, including the nipple and areola

Education ducation Sumy H.

Chang, MD, FACS Breast Surgeon Board Certified in General Surgery Dr. Chang is affiliated with Community Medical Center in Toms River and the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch.

To schedule an appointment with Dr. Chang, contact: Community Medical Center 67 Highway 37 West Riverwood 1 Building, First Floor Toms River, NJ 08755 732.557.2153 Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center 300 Second Avenue Long Branch, NJ 07740 732.923.7702

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practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting-edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of Barnabas Health, the largest not-for-profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence.

Fine Art rt Photography hotography

To learn more, visit barnabashealthmedicalgroup.org.

Skin-Sparing Mastectomy: preserves only the breast skin *

Nipple-Sparing Mastectomy: preserves the breast skin, nipple and areola * *These procedures are usually performed in women who are undergoing breast reconstruction surgery. Your breast surgeon should explain your reconstructive options with you prior to undergoing any kind of breast surgery.

One or more drains (plastic or rubber tubes) will be in place to remove blood and/or lymph fluid that collects while you are healing. Drains usually stay in place for one to two weeks and will be removed during a follow-up visit with your surgeon.

How long does it take to recover after mastectomy?

B usiness &F &Finance inance

How do lumpectomy and mastectomy differ? usiness

Mastectomy is a major surgery that involves complete removal of the breast tissue and requires general anesthesia. Lumpectomy conserves some breast tissue as it only involves removing the tumor and the surrounding affected area, not the entire breast. Mastectomy does not usually require additional radiation treatment, while lumpectomy may require further treatment.

What can I expect immediately following a mastectomy?

Most women undergoing a mastectomy will stay in the hospital for one to two nights. The surgeon will wrap the surgery site in a bandage that fits snugly around the chest.

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Most women who have a mastectomy return to their normal activities within four weeks, though individual healing time varies. Women who undergo breast reconstruction immediately following a mastectomy will take a bit longer to fully recover.

Does mastectomy affect additional cancer treatment?

The surgery you select does not affect whether you will have chemotherapy, hormone therapy, or targeted therapy – these treatment options are based upon your tumor and individual cancer diagnosis. Most women who choose mastectomy do not need radiation. However, some women will need radiation even after mastectomy.

Dr. Chang notes that women should speak with their physician to determine the best treatment approach for them and to learn more about their personal estimated recovery times.

January/Febr May/June 2015 January/Feb May/June 2015

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Quit Smoking, Live Longer • 1 to 9 months after quitting: Coughing and shortness of breath decrease; cilia (tiny hair-like structures that move mucus out of the lungs) start to regain normal function in the lungs, increasing the ability to handle mucus, clean the lungs, and reduce the risk of infection.

• 1 year after quitting: The excess risk of coronary heart disease is half that of a continuing smoker.

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

T

he Health hazards of smoking were discussed in the previous issue of OCW. Though everyone knows that smoking is injurious to health, few are able to quit successfully. This is due to the strong addictive potential of nicotine. Most people need medical help to break away from this dangerous habit.

Q

What are the benefits of quitting?

“I stopped smoking last year. Do I still have a risk of cancer?”

The health benefit from smoking cessation can be summarized in this order. (Adapted from ACS website, cancer.org) • 20 minutes after quitting: Your heart rate and blood pressure improve.

• 12 hours after quitting: The carbon monoxide level in your blood drops to normal.

• 2 weeks to 3 months after quitting: Your circulation improves and your lung function increases.

• 5 years after quitting: Risk of cancer of the mouth, throat, esophagus, and bladder are cut in half. Cervical cancer risk falls to that of a non-smoker. Stroke risk can fall to that of a non-smoker after 2-5 years.

• 10 years after quitting: The risk of dying from lung cancer is about half that of a person who is still smoking. The risk of cancer of the larynx (voice box) and pancreas decreases.

• 15 years after quitting: The risk of coronary heart disease is that of a non-smoker.

Q

How do I quit smoking?

“I have attempted to quit smoking several times, but I simply cannot do it.”

Does this sound familiar?

Medical professionals hear this statement many times a day. In fact, only a minority of smokers is able to quit “cold turkey”. Others need help, support and most often medications.

Nicotine can cause mental and physical dependence. There are support groups and smoking cessation programs that can help with the mental addiction. Help from friends and family is also essential to fight the mental urge to continue smoking.

PART II

Nicotine Replacement Therapy:

Heavy smokers can develop withdrawal symptoms upon quitting abruptly. To prevent this, several nicotine replacement methods are available, either by prescription or over the counter. FDA has approved nicotine patches, gums, inhalers, lozenges and nasal sprays to help smokers who want to quit.

Medications that help to quit smoking: Bupropion (Zyban) Bupropion (Zyban®, Wellbutrin®, or Aplenzin®) is a prescription antidepressant in an extended-release form that reduces symptoms of nicotine withdrawal. It does not contain nicotine. This drug acts on chemicals in the brain that are related to nicotine craving. Bupropion works best if it’s started 1 or 2 weeks before you quit smoking. The usual dosage is one or two 150 mg tablets per day.

Side effects of bupropion include dry mouth, trouble sleeping, appetite changes, agitation, constipation, and headaches. Bupropion should only be taken under the care of a physician.

tors in the brain. In addition to decreasing the pleasure a person gets from smoking, it also reduces the symptoms of nicotine withdrawal.

Chantix should be started a week before the day you plan to quit.

Quitting smoking is a complex process. In addition to nicotine replacement therapy and medications, a lot of will power, emotional support and strength are also needed to help a person quit this unhealthy habit.

Nicotine patches (transdermal nicotine systems): Patches give a The Tobacco Quit Center measured dose of nicotine through of New Jersey offers treatment the skin. You are weaned off To get more details, please programs throughout New contact Jersey to nicotine by switching to lower-dose assist in smoking cessation. patches over a course of a few weeks.

Sarah J. Easaw, MD,visit FACP For more information Patches are available in different www.instituteforprevention.com strengths. The 16-hour patch is useor call: 973-926-7978 or ful for the light-to-average smoker. www.oceanhemonc.com 732-886-4149.

The 24-hour patch provides a steady dose of nicotine, avoiding ups and To get more details, please contact Varenicline (Chantix) downs. It helps with early morning ® Sarah J. Easaw, MD, FACP Varenicline (Chantix ) is withdrawal. But there may be more another medicine that is used to 732.961.0010 side effects like disrupted sleep pathelp people stop smoking. It works www.oceanhemonc.com terns and skin irritation. by interfering with nicotine recepDepending on body size and smoking habits, most smokers should start using a full- Compassionate Cancer Care, Close to Home strength patch (15-22 mg of nicotine) daily for 4 weeks, and then use a weaker patch (5-14 mg of nicotine) for another 4 weeks. The patch should be put on in the morning on a clean, dry area of the skin without much hair. It should be placed below the neck and above the waist — for example, on the upper arm or chest. The FDA has approved using the patch for a total of 3 to 5 months. Some possible side effects of the nicotine patch include: Skin irritation (redness and itching), dizziness, palpitation, sleep problems or unusual dreams, headache, nausea and muscle aches and W We offer a full range of Hematology & Oncology services. stiffness.

Patient Testimonials:

• Dear Dr Easaw, I wanted to let you know just how very much I appreciate you helping my Mom. You embody what a physician should be and your help will never be forgotten. Thank you for being the person you are and the compassion you have shown to my family. May God bless you and your family. No thank yous can show how much gratitude my family has for you. ~ Mary E

Visit www.oceanhemonc.com

732.961.0010

W We are dedicated to providing state-of-the-art cancer care in a warm and personalized manner.

W Our newly renovated, spacious infusion room provides a peaceful and friendly atmosphere to patients while they receive chemotherapy and other infusions.

W Our staff is highly qualified, experienced and compassionate.

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

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

• I wish to thank Dr Easaw and her wonderful staff at Ocean Hematology. You made this part of my journey less painful, comfortable and pleasant. I enjoyed all our talks, smiles, hats, comforters, and oh,yes! the recipes (Diane). Be Blessed as you have Blessed me… ~ Pauline

Smoking Cessation

Lakewood, NJ 08701

732.961.0010

www.oceanhemonc.com Accepts Most Insurances Affiliated with Kimball Medical Center, Ocean Medical Center and Community Hospital Access to Clinical Trials

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January/February 2013 May/June 2015

Community Community

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For cancer survivors, or Living With Cancer Celebrating Life … While someone dealing with cancer

National Cancer Survivor’s Day® Celebrations

Bounjour . . .

YOU’RE INVITED

ANational Cancer Survivor’s Day

National Cancer Survivor’s Day® “Springtime in Paris” Celebration

Cancer Survivor is someone who is diagnosed with cancer at any time during his or her life.

Celebrations hosted by Sarah J. Easaw, MD & Staff The National Cancer (Ocean Hematology & Oncology) (Center) Dr. Sarah J. Easaw of Ocean Hematology & Oncology is When: Friday, June 5: 1.00-4.00 pm Survivors’ Day is celebrated proud to sponsor the annual National Cancer Survivor’s Day party.

Fri., June 20th • 1.00 to C 4.00ommunity nationwide to honor and pm Where: celebrate those who have sur- Mansion-on-the Plaza, Mansion-on-the-Plaza, 108 Brick Plaza, Brick, N.J. 08723 vived cancer or are undergoing Free Admission ~Life cancer treatment.108 Brick Plaza, Brick, NJ Bring One st!

Celebrating …GueWhile L An afternoon filled with entertainment, music, delicious food and lots of fun!

Sarah J Easaw MD and staff at Ocean Hematology National Cancer Celebrating Life…While living with cancer & Oncology is hosting A Cancer Survivor is someone who is diagnosed with cancer at any time during their life.® Survivor’s Day National Cancer Survivors’ RSVP: Maria or Marisa at The Cancer Survivors’ Day is celebrated nationwide to honor and celebrate those who Day National Celebrations for Cancer Celebrations have survived cancer orand are undergoing cancer treatment. Sarah J Easaw MD and staff at Ocean Ocean Hematology & Oncology Survivors in Monmouth Hematology & on Oncology for Cancer Cancer Survivor732-961-0010 before June 1, 2014.

Ocean Counties June is hosting National Cancer Survivors’ Day Celebrations Survivors in Monmouth and Ocean Counties is someone who 20th.

If you are a cancer survivor, You are is diagnosed with invite cancer d to join us for this Celebration of Life.

If you are a cancer patient • A day to honor your strength and courage… or a survivor and are interat any time during or • To his • To meet with those who have traversed the same path as youhonor have your strength and courage ested in attending this event, her life.

• To meet with people who have traversed similar paths • Share your experiences, fears and hopes… please RSVP to Maria or The National Cancer Dr. Sarah J. Easaw of Ocean Hematology & Oncology is To celebrate(Center) life while Marisa at Ocean Hematology and most of all, to have lots of fun… Survivors’ Day is• celebrated living with a diagn osis ofDay Cance proud to sponsor the annual National Cancer Survivor’s party. r & Oncology at: 732-961-0010 nationwide to honor and A day filled with music, food and entertainment.

3-Minute Makeovers for Women: before June 1, 2014. celebrate those who have surIf you are a cancer patient or a survivor and are interested in attending this event, please RSVP Annie Labbate, Riverfront vived cancer or are undergoing to Maria or Marisa at Ocean Hematology & Oncology at: 732-961-0010 before May 15, 2015. cancer treatment.

Hair Studio and Spa Admission is Free… You may bring one guest with you.

Sarah J Easaw MD and Hope to see you there! staff at Ocean Hematology Ocean Hematology & Oncology & Oncology is hosting 1255 Rt 70 31S, Lakewood, New Jersey, NJ 08701 National Cancer Survivors’ Ph: 732-961-0010 www.oceanhemonc.com Day Celebrations for Cancer Survivors in Monmouth and June I was diagosed with breast cancer. I was lucky enough to be directed In 2009, Testimonials From Past Survivor’s Day Parties Ocean . . . Counties on to a wonderful oncologist, Dr. Sarah Easaw and her caring staff. In 2010, I 20th.

I want to thank you for the wonderful Cancer Day Survivors party that I received an invitation to a “50’s Party” being thrown by Dr. Easaw and her staff to all a cancer patient attended in June 2011. The Fiesta Theme was so much fun. I especially If you are cancer patients and survivors. along with their guests. The affair was in her office where it or a survivor are interenjoyed the professional dancers and hearing the patient’s stories was very inspiring.

I wasand decorated and Dr. Easaw and her staff dressed like people from the 50’s ested in attending event, would like to thank you and your staff for all your hard work and making that such a along withthis some of us! Dr. Easaw had an “Elvis” performer for entertainment. The food please RSVP to Maria or special day. was plentiful and not to be believed. Everyone had a great time. In 2011, again another Marisa at party Ocean Hematology ~ Geraldine M. honoring the cancer patients survivors and those in treatment. This year it was a “Fiesta”.

The food was delicious and again Dr. Easaw and her staff were dressed accord& Oncology at: 732-961-0010 Al an I had a nice time at your party, and we thank you very much. ingly in “Fiesta” clothes. This year it was at a fire house and the entertainment was dancbefore June 1, 2014. ~ Lois ers. Everyone had a chance to learn a new dance. Again Dr. Easaw and her staff outdid

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Fri

Man

Bienvenue a Paris!

• • • •

Dr Easaw and staff, Thank you again for a delightful afternoon of fun, food and fellowship. ~ Dottie

~ Trish

Dear Dr. Easaw, I am still basking in that warm and wonderful party you gave us all...You truly outdid yourselves. Can’t wait for next year’s party.

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themselves. Everyone had a great time. This year the theme is ‘Springtime in Paris’ “Casino Night” andand it it will be at a new place. I know it will be wonderful again. I don’t know if the doctor and staff have any idea what a great boost this gives to us who have or had cancer, we appreciate all the work they do not only as our “Medical Team” but as such loving and caring individuals. I thank them all from the bottom of my heart and God Bless each and everyone of you ... thanks Cheryl Washington

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

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00

The Aging Spine: A When CommonYou Cause Of Back And Leg Pain What Happens Have Scoliosis?

PART ONE

T M

hisost willpeople be a will 2-part article which willatdiscuss theinpresentation, experience back pain some point their life. As symptoms and thejoints diagnosis ofhips scoliosis.

Theexperience second part people age, their (such as and knees) wear willand focus on treatment and prognosis. tear. The spine also consists of a complex set of joints that can degenerate. When Scoliosis this degeneration leads a narrowing the spinal is a condition thattocauses the spine of to curve and canal in the lower back,rotate it is referred to as lumbar spinal stenosis. in an abnormal fashion. It is a common concern of Anatomy many parents. The most common category of scoliosis is

It is important to understand some“Adolescent of the basicsIdiopathic of the anatomy of the Adolescent spine to understand termed Scoliosis.” identifies lumbar spinal stenosis. The spinal column consists of a series of bones connected to one the typical ages of onset being ten to skeletal maturity.

In fact, another by intervening discs, joints and ligaments. The bones are referred to as vertebrae. most scoliosis is identified during the initiation of puberty.

The vertebrae have a space within them called the spinal canal where the spinal cord and denotes ourthe incomplete its origin nerve roots travel. Generally Idiopathic in the low back region spinal cordunderstanding has ended andofthere are or exact causativeoffactors. nerve roots that supply the legs.

The sections the spinal column have different names, where the low back section is referred as the lumbar spine.organizations such as the Throughto the efforts of many

What happens as theScoliosis spine Research ages? Society, causative factors and theories are

With aging, the normal discs and joints that investigated. connect the vertebrae degenerate.

This leads constantly being Depending on the source, to narrowing of the discs andthere arthritic changes of the joints, which can subsequently to of often is a genetic component recognized -- up tolead 30% pain in the low back. In addition, the ligaments overgrow and bone spurs form. All of these scoliosis shows a positive family history. Research continues factors together cause the spinal canal to get narrower over time. Once the spinal canal narto elucidate the to specific genetic influences.

Currently, the rows to a certain point, the nerves that travel the legs get pinched causing lumbar spinal genetic factors are considered multifactorial and no single stenosis.

genetic been discovered. Other theories such as hormonal factors are being What influence are thehas symptoms? investigated.

Other factors have been discounted as contributive such as athletic The symptoms of lumbar spinal stenosis include back pain, whichfactors can vary depending on activities, lack of activity other such as heavy backpacks. the severity of the arthritis.and There caninfluences also be pain in the buttocks that can travel down the of the legs, oftentimes referred as “sciatica.”

There can also be numbness back Scoliosis is more common than to most people realize.

Approximately 25 out or oftingling in the buttocks or legs.

As the pressure on the nerves roots worsens, weakness can occur, 1,000 adolescents have some form of scoliosis. The majority of curvatures are small and especially in the foot. Patients will often times report that the pain is worse by standing up managed only with observation and surveillance. However, as many as 3-5 out of 1,000 straight and walking, but gets better with sitting and leaning forward. As time progresses, adolescents require some treatment. young girls andin boys patients will will not be able to walkform as farofthey once didBoth without feeling pain their are legs.affected, Some however, girls are diagnosed more often and have curvatures that more frequently patients, however, note that leaning forward on a shopping cart will allow them to walkrequire farther treatment. without pain.Thankfully, most patients with scoliosis only require observation.

How Scoliosis defined as a spinal curvature of more than 10 degrees. Measurements are is it istreated?

Theon treatment begins first withentire seeingspine. a physician in dealing with the spine and made x-rays obtained of the Spinaltrained curvatures are viewed and described obtaining accurate diagnosis.

The diagnosis is made based on the history and physical as “C” or an more commonly “S” shaped.

An x-ray of a typical patient with adolescent exam, and scoliosis also with depicts X-rays and MRI. Generally, is started with non-surgical idiopathic an “S” shaped curvetreatment with a thoracic (upper back) and a options. lumbar This includes physical therapy, medications, acupuncture and steroid injections. Oftentimes (lower back) component. A pediatric orthopaedic surgeon will often follow diagnosed patients will feel good pain relief from these treatments. If a patient has a poor quality of life children multiple times a yearand andnon-surgical perform x-rays to assesshave possible scoliosis progression. due to lumbar spinal stenosis, treatments not worked or only worked temporarily, Symptoms and findings of scoliosis are often subtle but may become more apparent then surgery is considered. The main stay for treating lumbar spinal stenosis is to remove the ligaments, boneasspurs andpuberty. other compressive factors pressure on during growth spurts, such during Thankfully, pain from is notplacing a common finding thescoliosis. nerve roots.

This process is referred to as decompression, a laminectomy.

Thescoliosis surgeon in Equally uncommon are neurologic symptoms. or Physical findings of doesinclude not remove all of theinvertebrae, only theaelements in thetilt back are placing may differences shoulder height, subtle pelvic andthat bulging ribs orpressure scapula on the roots. Sometimes a spinal fusion is also needed for various reasons. The laminectomy observed from behind. There are times legs may appear to be of unequal length. School can be done using a traditional incision, a small “mini-open” incision or a minimally invasive screening an important recognition.

However, is most approach. remains The choice of approachpart will of bescoliosis determined based on the severityscoliosis of the stenosis, often recognized by pediatricians during routine and well visits. the individual patient and surgeon factors. Most people experience good pain relief in their surgery and arepatient able to with resume their normal lifestyle after and recovering from surgery. legsA after typical adolescent scoliosis will be examined undergo However, improvement in the is variable. surveillance x-rays every 4-6back months.

This is often tailored to the type and extent of In Conclusion . . . Additional types of imaging, such as MRIs and CT Scans are the scoliotic curvature.

Lumbar spinal stenosis is not one commonplace cause of back and leg paincurvatures, that affectshowever, people asthere they are age. for typical It is important to see a physician trained in treating this disease to obtain an accurate diagpatients with unique curvatures or features that may require nosis. Once that is achieved, there are multiple treatment options that can help improve a additional imaging techniques.

Seaview Orthopaedic & Medical Associates

Call one of our convenient locations to schedule your appointment.

Board Certified And Fellowship Trained Physicians

Spinal Surgery Total Joint Re STEVEN BERKOWITZ, M.D., P.A. Bone Density T ROY D. MITTMAN, M.D., P.A. Workers’ Compe ARTHUR P. VASEN, M.D., PH.D., P.A. Foot & A ■ OCEAN OFFICE KENNETH Y. CHERN, M.D., P.A.■ BRICK OFFICE 1200 Eagle Avenue 1640 Route 88 West HARALAMBOS DEMETRIADES, M.D., P.A. Ocean, NJ 07712 Brick, NJ 08724 222 ARTHUR K. MARK, M.D., P.A. Ph: (732) 458-7866 Ph: (732) 660-6200 CHRISTOPHER J. SPAGNUOLA, M.D., P.A. HOAN-VU T. NGUYEN, M.D., P.A. 120 ARON M. GREEN, M.D., P.A. B SUNIL R. THACKER, M.D., P.A. 16 KEVIN C. MCDAID, M.D. Clea PAUL T. HAYNES II, M.D. 294 Appl JOEL P. FECHISIN, M.D. Sa ROBERT P. PANNULLO, M.D. ■ MONROE OFFICE ■ FREEHOLD OFFICE 294 Applegarth Road, Suite C 222 Schanck Road D.O. ADAM M. MEYERS, Freehold,W.NJGREAVES, 07728 KEIRON M.D. Monroe Twp., NJ 08831 Ph: (609) 495-1888 Ph: (732)GARLA, 462-1700 ww SUDHA M.D.

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Official Team Doctors Of:

■ BARNEGAT OFFICE 500 Barnegat Blvd, Bldg. 200 Barnegat, NJ 08005 Ph: 488-3988 Ph: (609) 609-488-3988

patient’s quality of life.

Paul Haynes II MD, FAAOS

■ SATELLITE OFFICE

IN LAKEWOOD

Seaview & Medical Medical SeaviewOrthopaedic Orthopaedic & Associates has provided the highest Associates has provided the highest quality care in Monmouth and quality of of care in Monmouth, Middlesex Ocean Counties forfor over and Ocean Counties over3030years. years.

Praveen Yalamanchili, MD. Dr.medical Yalamanchili is aatfellowship-trained Spine Medical Surgeon, who completed his training at Emory University in Atlanta, Georgia.

Dr. Paul Haynes completed school UMDNJ/New Jersey School in Newark New Jersey.

Following medical school, he completed his internship and residency at Albert Einstein College of Medicine at Montefiore Medical Center in New York.

Dr Haynes went A native of New Jersey, Dr. Yalamanchili has returned home after completion of his Fellowship training. He attended medical school at UMDNJ – Robert Wood on to complete his fellowship in Orthopaedic Surgery as well as Pediatric Sports Medicine, Limb & Pediatric Deformity also at Albert Einstein JohnsonCollege Medicalof School and completed orthopaedicanresidency at UMDNJNew at Jersey Medical School.

He specializes in the treatmentinofStaten spinal disorders Medicine.

He also his completed Arthroscopic Fellowship Staten Island Orthopedics & Sports Medicine, Island, New York.

Dr. Haynes is a general orthopaedic surgeon, specializing in Pediatric Sports Medicine, Limb & Pediatric Spine Deformity as as including degenerative, deformity and trauma and has particular interest in cervical (neck) surgery as well as minimally invasive and motion sparing well procedures.

General and Pediatric Orthopaedic/Surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital.

www.seaviewortho.com • 732-660-6200

www.seav i ewwww.TheCountyWoman.com or t h o. com • 732- 660 -6 2 0 0 The County Woman Magazine

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November/December 2014 May/June 2015

Assisted Living

Assisted Living

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Spring Oak Assisted Living Of Forked River Wants To Help You Questions To Consider When Moving A Parent Into Assisted Living Deciding to move a parent into assisted living is a big decision - and one that is best done by making numerous smaller decisions. From considering to make such a move to taking action (or not) can be done more easily by realizing a few things about the process. You are not the first person to manage the many issues, challenges and emotions this decision entails. You can learn from many others who have already benefited from assisted living.

The following list is intended to help you oversee details that should not be ignored – whether they are emotional, financial, or pragmatic - you may need to focus on these aspects in order to make your parent’s move to a new living arrangement as smooth as possible.

Where do I begin?

At the beginning, of course. Make a list of questions.

The most important - “Is this move really necessary?”

Consider the pros and cons to a variety of options: • Can they stay where they are, with more outside or family help?

• How much assistance do you need in the assisted living arrangement you envision for your parent (for example - would a room-mate or live-in caregiver work)?

• Can they move in with family or someone close to them?

• How willing are they to move?

• What other special circumstances apply to your unique situation?

How do I find a ‘good’ place for them to live?

Spring Oak Assisted Living of Forked River is proud to be part of many Federal, State, and Local Agency’s referral lists. Our resident testimonials, and family letters are available to all new families and their loved ones.

Check out local and national referral services. Public

services can be found through your state’s Department of Human Resources. There are many private referral services as well. Most private services earn a referral fee from the community your parent chooses to reside in so there should be no charge to you for this service. Just to be safe, always ask first if there is a fee.

How much will it cost?

Spring Oak Assisted Living is one of the most affordable Assisted Living communities of Ocean County NJ. Our fees include room and Board Care (cable and phone if desired). There are never add-on costs or additional fees for extras.

Private pay assisted living facilities in the US range from $800 to over $5,000 monthly, based on location and level of care. In addition to rent, lease, or purchase costs consider any add-ons that may be required or desired. Some examples of these costs can include: • Administration of medication • Laundry service • Transportation to doctors or shopping • Security deposit When you are pricing and comparing various assisted living facilities, you should also find out how often fees rise and how much notice you will get about such raises.

How will we pay for it?

Spring Oak Assisted Living takes pride in keeping costs affordable, while keeping standards high.

Many assisted living communities want an assurancein the form of a net worth statement- that your parent will be able to afford to live there for the reasonably projected future. If you are serious about helping your parent move into assisted living, this is a time where you will likely need a clear understanding of your parent’s financial resources. This may be uncomfortable, but it is often necessary. When you move a loved one into assisted living you should recognize that this person is losing the

Spring Oak’s cooking demonstration.

ability to independently manage numerous parts of their life. Settling financial issues is often an emotional turning point for many families, but with a clear financial picture you will be able to evaluate what they can afford in the way of housing and assistance.

If your parent is a military veteran or a spouse of one, visit a Veterans Administration office (or you can get started at their website) to see if they are eligible for ongoing benefits.

Medicare does not pay for housing, but under strict financial restrictions Medicaid may. The federal government is currently reforming its long-term care benefits (Medicaid long term care reform). It will not help to transfer your parents assets into your name to decrease their net worth; there is a strict ‘look back’ of several years when considering eligibility for Medicaid.

Visit us at www.springoakforkedriver.com

We at Spring Oak are here for tours 7 days a week to help family and friends of aging loved ones. We offer a full service Assisted Living and Memory Care neighborhood for those in need of dementia and Alzheimer’s care.

Call for your tour 609-607-6002.

Call for an Appointment Today

609.242.2661 601 N. Main St. (Route 9)

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

Lanoka Harbor, NJ May/June 2015 2014 May/June

Acupuncture

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Can Acupuncture Help With Seasonal Allergies?

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cupuncture has been used successfully to treat seasonal allergies for decades in the states and for centuries in China.

Acupuncture treatment focuses on opening the nasal passages, boosting the immune system and strengthening the organs and energetic pathways of the body to prevent allergic reactions from recurring.

What Are Seasonal Allergies?

A seasonal allergy is an allergic reaction to something that is typically only present for part of the year. Pollens are the most common cause of seasonal allergies. Spring is traditionally the worst season for allergies because of new growth on trees and weeds. Fall is also a rough time for allergies due to other blooming plants and leaf mold.

How Does Acupuncture Help To Relieve Allergies?

Acupuncture can help with acute symptoms of allergies, such as stuffy or runny nose, dry, itchy eyes, post nasal drip, itchy throat and cough.

Needles are used to stimulate the body’s Qi (life energy). By moving the body’s qi, congestion in the sinuses and nose can be moved, and inflammation and dryness in the eyes can be cleared. Often some

relief of these symptoms can be achieved during the first treatment.

Acupuncture treatment is not only focused on acute symptoms, but also the underlying causes of the allergies. In Chinese medical theory, the body is protected by Wei Qi (defensive qi). This protective energy flows at the surface of the body, providing resistance to things like cold and flu and allergies. People who have weak Wei Qi are more susceptible to get sick or have allergy symptoms. By needling some points on the body that help support the wei qi, we can help to prevent symptoms in the future.

Can Chinese Herbs Help To Relieve Allergies?

Chinese herbs can also be used to help with allergies. All of the Chinese medical theory about

allergies can be applied in the same way to Chinese herbs. Formulas are

made to treat acute symptoms and boost the immune system to prevent future symptoms. For convenient usage, Herbal formulas come in tablet form. One of the most appealing advantages to taking herbal formulas is that there are no unwanted side effects. People do not have to worry about drowsiness at work or while driving, or immune system suppression or over reliance on medication.

How Often Do I Need To Get Treated?

Initially, treatment about twice a week would be suggested. Once significant relief has been achieved, usually 2-3 weeks, treatment could be less frequent. As treatment continues and the immune system becomes stronger, symptoms should become less severe. It is possible through some continued treatment after the allergic season that symptoms the following year would be less severe or cleared completely.

The younger a person is when they start treatment, the more likely they are to be rid completely of the issue.

Can Acupuncture And Chinese Herbs Be Helpful With Other Allergies?

Yes, In Chinese medical theory, all allergies can be addressed by treating the acute symptoms and

Conditions Commonly Treated

By Acupuncture Allergies & Asthma Anxiety & Depression Arthritis Autoimmune Disorders Back Pain & Sciatica Chronic Fatigue Genitourinary Disorders Gynecological Disorders Headache & Migraine Hypertension Infertility

We Feature Complementary Techniques Moxa Insomnia Tui Na Massage Menopause Cupping Nausea & Digestive Disorders Gua Sha Neuropathy Skin Disorders Electro–Acupuncture Smoking Cessation Strains & Sprains Stress Tendonitis Weight Management Whiplash

Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723

732.262.0637

www.koehleracupuncture.com

supporting the affected energy systems in the body. This is true for any environmental allergies, pet allergies, and even food allergies.

Commonly Treated Seasonal Allergy Symptoms: • Sneezing • Runny or stuffy nose • Dry or irritated eyes • Post nasal drip • Cough • Chest congestion • Wheezing Commonly Treated Conditions: • Allergic Rhinitis • Allergic Conjunctivitis • Sinusitis • Otits Media • Upper Respiratory Infection • Asthma • Food Allergies Koehler Acupuncture can help relive those seasonal allergies. Call 732-262-0637 and schedule your appointment today.

AboutKeith...

Keith Koehler received his Bachelor’s of Science in Health and Physical Education at Lock Haven University, and his Masters in Acupuncture and Oriental Medicine from the New England School of Acupuncture.

His philosophy from the very beginning has always been to treat his patients in the way that he would want to be treated. Since opening his practice in 2004, his core beliefs remain the same. His favorite Chinese principle is to treat everyone of his patients as an individual. When he is not in the office, you can find him surfing, practicing twi chi and spending time with his family.

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Adult Community

Fountainhead Offers Long-TermA Solutions Independent Living 00 dult For C ommunity 57

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Keeping our financial independence is paramount in keeping our personal independence. Owning a right-size home at Fountainhead with a right-size financial obligation is the way to plan for the unexpected twists of aging.

Residential leases at Fountainhead are a compilation of easy living behavior expressed in a legal plain-language document.

Open-minded know The a clearcommon understanding by anypeople budget. denominator the lessee and lessor is the key to long-term compatibility. cost. The leasemakes is easy to shortest read and simpl On-site management ownership for the Our biggest asset, the family home, can become a burden distance between a question and an answer.

A residential overnight if our health or the health of our loved one changes.

New or Newer Homes Are Great C land lease is different than other leases people may have Even if our supportive family has to relocate, sometimes we The homes, some the estab experienced.

There is nonewest real concern for “losing the in lease”; As we grow into the latter stages ofhave lifeto and to sure, move where simplification of make achoose change. For if our possessions are the community zoned for the use in perpetuity, the state or islonger than any other new home. Yo holdingtousspend back, or more holdingof us our in ourfree place,time we need to be responsibility will give us the opportunity participating land use laws prohibit any significant changes, and the realistic and move them out of our way. Worrying about the plywood sub-floor, high peaked roof, co in the things we enjoy most, it is timebest to solution consider theworrying choices. relationship is one of mutual balance and cooperation. It is doesall what does: it consumes energy budget friendly version that is also energ decision to choose a relationship of the and slows our progress. Narrowing down the choices is only a home ownership Finding The Right Match For You And Your Budget home to the symbol land over aof land/home purchase. Like being as good as the list of choices. commitment, with carpet and Adult communities can be over-the-top offering amenities we hope to enjoy or attached to your neighbors in an apartment, condo or Here at Fountainhead 55+ community, we want you to element you. experienced co-op, owning the hometo andplease leasing the landOur is a financial plan to enjoy- even currently enjoy. The key is to find the one that matches your include us in your choices. We may not be the answer for decision thatshow is very right the retired and the about-to-be andfor demonstrate benefits of bu everyone, butout we offer an intelligent long-term solution wishes and does not break the bank. Breaking of the same old and exploring allretired.

Some of the more popular interior op independent living after 55. Because our lots are the options are two of the skills we’ve to honed along trail.

Lookareinto land leased New homes at Fountainhead are manufactured homes, about 5,000 squarelife’s feet and our streets an extra-wide ances, composite countertops or circle w systems-built homes and modular-style homes, which are very communities; you will find as wide ofresidential a selection of40amenities any other 30 and feet, we offeras a similar privacy55+ bufferchoice also the option to ceramic tile fl energy efficient.

Their construction – ingo an with environmentally as most peopleless enjoy in a residential subdivision.

But we locations without the land cost and with much ongoing ownership expense. is equal The to on-site construction.are endless w are a land-leased lifestyle community. This is a cost-effective controlled facility says –“you”. possibilities Homes may vary in age from proposed-to-be-built, to new and there is always Economies of bulk buying and constructing inside a solution to single-family home ownership for the retirement home, so why not see what building result in a home that is great quality at an is offered? A years.

Instead of investing again leasing “vintage” too. If you are a conservative buyer and/or notina real bigestate riskownership taker, land attractive square-foot New home have the spectivecost. buyer can buyers imagine, each manufa after the family home is sold, the home owner invests may be the right choice for you. A hybrid home ownership option that allows you privilege of choosing the color of the siding, shingles, in the home – a lower investment than the land-home survive hurricane style winds and the na carpet, countertops, fixtures & appliances, and more. From tradition.

Investing a newless homecostly purchase in a land-lease freedom to be the homeowner you have always beeninwith responsibilities. materials topermits, stay atcustomers their strongest, fo a selection ofall approved building may communityNew is the Jersey first levelisofone stress that relief and financial Fountainhead, a 55+ community in Jackson, offers a selection choose the neighborhood where they would like to live. security. Land-lease fees include taxes and other services. you choose stay in th of homeowner services that you choose as you need to.

Most homeowners choose Fountainhead wasOnce established in the 1980’s and to has added Jackson Township has municipal approval over increases the years.of As home styles and construction middle I-195 between the Shor in lease fees, so this the is theinterior/exterior second level of stress relief: the and homes through a home from a model or a blueprint and customize colors improvements have been made, existing homeowners have lease fee does not increase as much as the change in the visit Fountainhead 55+. design features. Then they move ontoconsumer designing their of lot. been incentivized to buy new homes. The community is priceand index.maintaining The long-term benefits this Maximum allow well-established and offers homes for most home owner to enjoy his lifestyle for years more than in feels privacy due to large lots, mature trees the and wide streets evoke a neighborhood that Jackson is home to budgets. about 60,000 peo other home ownership options.

he best stress relief is to live in a comfortable, affordable place where the ownership costs, maintenance and energy costs won’t become a burden. Who can predict how much medical insurance will cost next year, who can predict the interest rates and stock market? The cost of retirement is uncertain, but certainly will cost more next year than it did last year. We retiring people need a return to stability, and a way to put money-worrying away.

So Many Houses For Sale, So Many Adult Com

I

t is a great and sometimes undervalued privilege to have a choice.

It is one of the great things about our country- we have many choices, an endless supply of them.

familiar and where nice people reside. we all need just down the block from Fo It is my suggestion that age 55+ people considering award-winning recreation facilities for al Land Leases Are Another Option right-sizing their future home decisions to maintain a non-binding andstability a greatmake location.

If you must contin Land leases are very secure, and designated by municipal land use zoning. Leases their financial informational meeting appointment with a housing County you won’t find a better to are auto renewable, and the homeowner’s lease is protected by law. Security, mutual consultantOcean at Fountainhead. Make your decision once to the main commuter routes. W understandingANand cooperation, communication; these are some of the elements that you have access all the facts.

ACTIVE 55+ ADULT COMMUNITY make very good long-lasting lease relationship.

Thea Source of a New Worry-Free Lifestyle in JacksonAt ! Fountainhead, while there are For directions to the sales nearly one hundred to build, 75% of the households have resided in • Top Qualitymore Homes • new Naturalhomes Gas and Central Air Jackson, NJ 08527 call 73 their homes for 10 years more.

This has allowed for a very good market to satisfy • Deluxe Appliances • Energy or Efficient Insulation • 2 and 3 Bedrooms www.njfountainheadho • Beautiful Kitchens • Land Leasing Saves You Money

Fountainhead • Spacious Lots, Mature Trees, Wide Streets, Off-Street Parking

Stop at the Office for The Best Home Choice For 55+ Population About Location ~ Great Homes Long TermInformation Affordability 1 Rose Drive, Jackson, NJ~08527 New homes for 2015!

• 25 min. to Trenton, 20 min. to the Shore • New and Pre-Owned Homes Available

For directions call, 732-928-3100, or visit our website www.njfountainheadhomes.com.

The County Woman Magazine www.TheCountyWoman.com

For directions to the sales center at 1 Rose Drive, Jackson, NJ 08527 call 732-928-3100 or visit www.njfountainheadhomes.com

Like us on Facebook at Facebook.com/FountainheadNJ

May/June 2015

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HHealth ealth& @ 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.

www.jerseyshorepharmacybarnegat.com

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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www.TheCountyWoman.com The County Woman Magazine

May/June 2015 May/June 2015

E Cducation ommunity

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59

Fast-Track Training For A Future In Health Care The Mental Health Association in Atlantic County Interested in a stable, well-paid career?

Medical Assistant

Has The Potential To Touch Start Lives a new career in

Another job in great demand is a Medical In today’s economy, many people are Assistant. As a Medical Assistant, you’ll be on a looking to either start a new career or career track to work in the offices of physicians, enhance their current resume, and the podiatrists, chiropractors, and other health pracOCC offers training in some of the fastest growing areas of employment. healthcare industry is one of the largest titioners. Through lecture, lab practice, and skills • Physical Therapy Aide testing,equate you’ll becomewellness proficient in all the eople often toaspects theofabsence of physical illness, but another employers in Ocean County.

• Medical Assistant medical office including administrative and clini-

less than six months!

P

important aspect, mental health, should not be neglected because it affects

• Patient Care Technician cal tasks. This course will prepare you to sit for the Many healthcare jobs are in high demand … many areas of daily life like sleep, relationships and work.

Certified Clinical Medical Assistant certification • EKG Technician and you can train today for a great career in just through the National Health Career Association • Dental Assistant three to twelve weeks! Ocean County College’s (NHA).

A local, non-profit has been working for 50 years to provide about •aMedical rangeCoding/Billing of topics: anxiety/depression, grief and loss, (OCC) Department of Continuing & Professional Specialist Other Career Options . . . education, hoarding, among others.

Education offers opportunities support, for fast-track career and advocacy to promote mental health.

YouHealth can alsoAssociation expand yourincareer options through In an • Medical Office Specialist training, leading to the possibility of agency immediate That is the Mental Atlantic education role, workers reach the public by offering OCC’s fast-track certificates to become a Patient Vicki Phillips, employment upon successful program completion.

• Medical Scribe County (MHAAC). training on how to assist youth or adults post- trauma or Care Technician; EKG Technician; Assistant; Classes start in Director the fall, spring, and summer semesExecutive “Our services and supports are for those affected byDental mental crisis. • Paramedic Other staff is stationed at local hospitals to assist families Medical Coding, Medical Billing, or Medical Office ters. Register today!

• Personal Trainer health problems -- we offer many programs for people living navigating the system. A special team of crisis counselors and Specialist; Medical Scribe; Paramedic; Personal Physical Therapy Aide with mental illness as well as for their families to understand case manager • Pharmacy Technician also worked with residents following Trainer; Pharmacy Technician; and Phlebotomy disaster the illness,” said Vicki Phillips, Executive Director.

Hurricane Sandy.

• Phlebotomy Technician Join one of the fastest growing entry level jobs Technician; among other opportunities.

MHAAC has the potential touch the lives of nearly in 5.of the The MHAAC office is located at 4 E. Jimmie Leeds and become a Physical Therapy Aide.

This course Start to your career and become part of1 one prepares you for employment in hospitals, orthope- number That’s the estimated of people who will face an issue Road, Suite 8, Galloway. Call 609 652-3800 or fastest growing fields in the nation! dic clinics, nursing homes, andduring sports rehabilitation a lifetime. MoreFor people are reaching out for help, but more information on health careers visit us online at www.mhaac.info. Funded centers. Job duties include preparing work istreatment still needed to and reduce stigma raise awareness. training, call and the Ocean County College us forHealth more information by the NJ Division ofCall Mental and Addiction areas, answering phones, ordering and staff can Atsupplies, MHAAC, assist one-on-one or inand small groups Department of Continuing Professional or visit us online!

Services, grants and fundraising. transporting patients under the direct supervision of Education at 732-255-0404 or visit www.ocean.edu/cpe.htm a physical, occupational, or speech therapist. www.ocean.edu to view the latest catalogue.

732-255-0404

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Copy, Fax & Notary Services

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Business & Finance

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OCWoman_Health_Cert_July-August_2014_4x5 ad.indd 1

5/27/2014 2:13:32 PM

Typing, Copy, Fax & Notary Services

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he Wordstation, Proofreader On Site The often-neglected art of proofreading is practiced heLtd. Wordstation, celebrates daily at The Wordstation. We provide contract services to Ltd. is celebrating its 25th year in advertising agencies, publishers and independent writers its 25th year inJersey business and journalists, ensuring the perfect end product for all business at the those who write and disseminate their writing to the world. at the Jersey Shore.

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Word Processing

Project-based word processing and data entry services for all businesses, plus manuscript services for aspiring writers and education professionals who must “publish or perish,” but may not have the time to type and format to their publisher’s guidelines. We are experts in APA, MLA, Gregg and other major style manuals.

self-service copier, fax and computer terminals, or let us do it for you. B&W and color copies, single or double-sided, up to 11″ x 17″.

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July/August 2014 May/June 2015

B usiness B usiness&F & Finance inance

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79

Toms River - Ocean County Chamber of Commerce News

Welcome NeW members

Institute for Prevention/DART Coalition talent - the students of the Ocean Michele Buldo County Vocational Technical 1691 US Hwy. 9, Toms River, NJ 08754 732-886-4757, fax: 732-886-4809 School. www.instituteforprevention.org Organizations/Charities/Non Profits

Letter from the Executive Director

awards for your golfing efforts by participating in A Letter from the Receive President: contests, see your business name highlighted throughout

Imagine it’s a warm, sunny day It is hard to believe the holiday season is already upon us. The Chamber the day by taking one of our sponsorship opportunities, in June. into invit- In September has You had walk a busy fallanseason. honored, The as Jaya & Linda Grunin with a win greatwe raffle prizes, and, golfer, walk-away ing group of local business owners Organization The Toms River-Ocean County guaranteed door prizeYear andatswag Foundation, as Distinguished of the ourbag.

50th Annual Awards Telephone, Inc. and operators.

You see familiar, as Chamber of CommerceGTS is proud Reception at Eagle Ridge Golf Club. We also gave special recognition “Wave Cassandra Pierce well asAwards” new, faces.

You enjoy lunch The Chamber’s 22nd Annual Golf Outing is slated for to be able to provide this annual out to Ocean County Vocational Technical School, Ocean County College 209 Center Street, Lakehurst, NJ 08733 before&slinging your golf clubs over Thursday, June 11th at Eagle Ridge Golf Club in Lakenetworking event for our members 732-323-8620, fax: 732-323-8660 CASA of Ocean County at that event. In October, we had another successful your shoulder, and hopping in your wood, and it’s bound to be a warm, sunny day for us. and non-members alike.www.gtstelephone.com Maureen Stankowitz, Dina M. Vicari, Esq. Business After Hours at Tuscan Bistro Bar & our Technology Committee hosted Dina M. Vicari, Esq. Lotano Information TechnologyNoelle & golf cart for the afternoon. You President Chairwoman another informative Seminar on Security.

The Chamber continues to offer a variTelecommunications Interim President Chairwoman Bring your own foursome, or allow us to pair you up with All are welcome! spend the next few hours enjoying of networking for our members toreciprocal take advantage of. Please join generation and profitability in mind.

Wireless Zone of Toms River the weather, connecting withety folks, and workingopportunities up a thirst. lead us for our General Membership Holiday Meeting on Tuesday, December 9, 2014 at Ramada Toms River where we will Contact present the Ocean office today toDenise inquire about this year’s event Koerner 1334 Lakewood Road, Unit #36, a golfer? join–usA for dinner prizes.

732-349-0220.

County YMCAbecause & Yourcocktails Grandmother’s Cupboard with “A Season of Just Giving Season of and Living Award”. To register for this event Perfect timing are served!

And when allthe Not Toms River, NJ 08755 www.oc-chamber.com News &you Events Page.you’re in luck of that time outdoors has made hungry, 732-818-0300, fax: 732-818-0122 Or peruse (and even purchase) the artwork of our local Happy Mother’s Day! www.wirelesszone.com/tomsriver because a delicious dinner awaits.

TOMS RIVER-OCEAN COUNTY CHAMBER OF COMMERCE Toms River – Ocean County GENERAL MEMBERSHIP HOLIDAY MEETING Chamber of Commerce honoring COUNTY TOMS RIVER-OCEAN nd 22 Annual www.TheCountyWoman.com CHAMBER OF COMMERCE Ocean County YMCA &

Woman Magazine

GOLF OUTING

SEPTEMBER 17, 2014 YourWEDNESDAY, Grandmother’s Cupboard and Networking Dinner

EAGLE RIDGE GOLF CLUB, 2 AUGUSTA BLVD, LAKEWOOD, NJ

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Information Technology & Telecommunications

Welcome New Members Gannett Co., Inc./Asbury Park Press Frank Cannamela

Hair Cuttery -Whiting Commons 3600 Highway 66, Neptune, NJ 07754 732-643-3150, fax: 732-643-2777 Cindi Pelletier January/February 2015 www.app.com 400 Lacey Rd Ste 7, Whiting, NJ 08759 News & Media 732-350-0053 Bahr & Sons Electrical www.haircuttery.com Robin Consumer &Bahr Personal Services /Hair Salons

Thursday, June 11, 2015 “A Season of Giving - A Season Living Award” Eagle of Ridge Golf Club Special Recognition Award: Tuesday, December 9, 2014 2 Augusta Boulevard • Lakewood, NJ 08701 ~ Business Beautification of the Year ~ Non-Profit Partner at of the Year ~ Business Partner of the Year Sponsorships-Submit by AUGUST 28, 2014

Ramada Toms River, 2373 Route 9, Toms River ( ) COCKTAIL RECEPTION SPONSOR - $2,500.00 A GOLFER? There are still ways to market your GOLFER REGISTRATION Registration 11:30 a.m. ~NOT Buffet Lunch 12:00 p.m. *10 Reception Tickets *your name on signage as Cocktail Reception host at aEvent business.

Consider donating prize or joining us for our Entry Fee: $225 per player *special recognition at dinner Sponsored *premium location full page color ad in virtual ad journal networking dinner! by: TD Bank Register by March 5, 2015*listed for $100 a Foursome on adOFF journal recognition page *recognition in all media and newsletters

82 Shorewood Drive, Bayville, NJ 08721 732-269-5333 High Tech Innovations Construction & Home Services

Miranda Maniscalco Construction Group, LLC. 1719 RTCrest 10 Suite 215, Parsipanny NJ 07054 Scott O’Donnell 973-889-0030 st 401 N. Main Street, 1 Floor, www.hticonsultants.com PO Box 1035, Barnegat, NJ 08005 609-698-2122, 609-698-2422 Technology Servicesfax: - IT Consultants www.crestconstructiongroup.com Construction & Home Services

Toms River Business Development Corp Merchant Solution WilliamTSYS Golkiewicz Ignacio Pereyra 218 Main Street, Toms River, NJ 08753 219 Sunset Drive North, 732-341-8738 Seaside Heights, NJ 08721 www.downtowntomsriver.com 609-444-6223, fax: 609-798-0327 Businesswww.tsys.com to Business Services

PRIZE DONATIONS $35.00 Members / $40.00(Non Members • Limited number of Exhibit Tables Available $25.00 Fee Cost: Includes: ) FLASH DRIVE SPONSOR - $2,000.00 • Green Fees & Cart • Buffet Luncheon *4 Reception Tickets *your nameby onVersatile signage as Flash Drive at Event MAJOR PRIZE – sponsor Golf course foursome, gift certificates, Entertainment Event Designs • Driving Range • Awards & Prizes *name on event flash drive *Full page color ad insports virtualor journal merchandise, theater tickets, etc.

• Cocktail Hour Please • Networking Dinner *listed bring an unwrapped giftonfor a needy childover - page any age (voluntary) Door Prizes ad journal recognition (Valued $100) Business Services Proper Attire Required - No Jeans - Soft ( Spike )your HORSShoes D’OEUVRE SPONSOR - $1,500.00 with business card attached are welcome!

Weichert RealtorsToms River DOOR PRIZE ITEM – Gift baskets, gift certificates, DVH Capital Ventures RSVP FOR Golfers & Foursomes by: June 2015name on signage *6 Reception Tickets5,*your as Dinner Sponsor at Event David Harak Joe Palatnik shirts, other assorted merchandise (Valued $50 & under) ****VIRTUAL AD JOURNAL TO *Full BE DISPLAYED EVENT**** *listed as Dinner sponsor in virtual ad journal page color ad inAT virtual ad journal Hometown SPONSORSHIP OPPORTUNITIES 43 Joyce7 St, Toms Court, River, NJ 08753 CONTRIBUTOR ITEM – Each golfer will receive a bag Little Egg Harbor, NJ 08087 Email your ad as an attachment in the following formats: JPEG/GIF/PNG to danielle@oc-chamber.com ( ) DESSERT SPONSOR $1,500.00 732-278-4728 EVENT SPONSOR – Event Exclusivity – $2,000 732-803-3048, fax: 609-296-0386 filled with promotional items (110 of each item required) *6 Reception *your name on signage as Dinner Sponsor at Event www.josephpalatniksellsnjrealestate.com www.davidsdiscounts.net Includes: 4 Golfers – Event Sponsor SignTickets ___Full Page (color) 10” x 7” $100.00 ___Half Page (color) 5” x 7” $50.00 ___¼ Page (color) 5 ½ x 3 ½ $25.00 *listed as Dinner sponsor in virtual ad journal *Full page color ad in virtual ad journal Internet & Web Services Real Estate All Only) prize contributors will be recognized on Only) the prize (Landscape Orientation Only) (Portrait Orientation (Portrait Orientation DINNER SPONSOR – $1,800 ( ) MAJOR SPONSOR $1,000 Scala Italian Deli & Catering board and prize handout at the event. Major Sponsors Includes: 4 Golfers – Dinner Sponsor Sign *4 Reception TicketsTO *your name on signage as Major Sponsor at2, Event MorganAnthony Stanley DEADLINE ADVERTISE DECEMBER 2014 Scala that RSVP

by May 22, 2015 will be included in all *listed on ad journal recognition page *Full page black & white in virtual ad journal Sam Mangiapane 896 Fischer Blvd, Toms River, NJ 08753 DRIVING RANGE SPONSOR – $1,500 Chamber promotions Please register online at www.oc-chamber.com NEWS & EVENTS PAGE 732-506-0099 1433 Hooper Avenue, Suite 140 Includes: 2 Golfers – Signage on Range ( ) AWARDS SPONSOR - $500.00 Restaurants or call: 732 349-0220 email: info@oc-chamber.com Contributors will be recognized in the prize handout at Toms River, NJ 08753 *your name on signage as Awards Sponsor at Event *half page black & white ad in virtual ad journal GOLF BALL SPONSOR – $1,250 the event.

732-505-4755 John F. Peto Studio Museum *listed as Awards sponsor in ad journal **GENERAL MEMBERSHIP Includes: Name on all golf balls HOLIDAY – 1 Golfer MEETING - R.S.V.P by Tuesday, Dec. 2, 2014** No Shows will be chargedmorganstanleyFA.com/Samuel.mangiapane Sally Gauntt All sponsorships ( ) SUPPORTING SPONSOR - $250.00 will be included on sponsorship board 102 Cedar Avenue,Services PO Box 1022, Investment/Financial GOLF CART SPONSOR – $1,000 in event *your name on signage as Supporting Sponsor at Eventand *quarter pagehandout. black & white ad in virtual journal Island Heights, NJ 08732 Includes: Name on all golf carts 732-929-4949 NAME(S): *listed as supporter in ad journal Morganwww.petomuseum.org Engineering, LLC If you are donating to the golf outing please drop off at OR EXCLUSIVITY $1,300 COMPANY NAME: Organizations/Charities/Non Profits the Chamber office, no later than Friday, June 5, 2015.

Lauren Plump and Betsy O’Dowd ( ) RECEPTION TICKETS ~ $125.00 per person # of Tickets: ________________ LUNCHEON SPONSOR – $800 If you would like some one to pick up your donation 130 Central Avenue Immediate Medical Walk-In of Toms River ADDRESS: Includes: 1 Golfer – Lunch Sponsor Sign please contact the Chamber office at 732-349-0220.

Island Heights, 08732 Rey Bolic, NJ Director of Marketing Guest(s) Name:______________________________________________________________________________________________________ PHONE: EMAIL: PUTTING CONTEST SPONSOR – $800

________________________________________________________________________________________________________________________ Includes: 1 Company Golfer – Signage on Green I’D LIKE TO RESERVE AN EXHIBIT TABLE AT THE EVENT Name:_____________________________________________________________________________________________________ BEAT THEAddress:______________________________________________________________________________________________________________ PRO SPONSOR – $500 # ATTENDING: VISA/MC/DISCOVER/AMEX#: Phone:_________________________________Email:________________________________________________________________________ Includes: Signage at Hole

EXP. DATE: AGREEMENT

SEC#:

PLEASE REGISTER ONLINE PLEASE REGISTER ONLINE: WWW.OC-CHAMBER.COM TOTAL AMOUNT:

DEADLINE http://www.oc-chamber.com/news-events.html FOR ADVERTISING: AUGUST 28, 2014 PRIZE SPONSOR – $350 PAYMENT ENCLOSED $_____________ PLEASE EMAIL YOUR AD IN PDF to PRIZE Includes: Signage at Dinner – 2 Dinner Tickets UNWRAPPED GIFT FOR A NEEDY CHILD DONATE A FILE DOOR Payment Type (circle one): Check/Visa/MC danielle@oc-chamber.com Please include golfers information OF COMMERCE Card #:_________________________________________ FLAG SPONSOR – $225 TOMS RIVER-OCEAN COUNTY CHAMBER when OF applicable.

TOMS RIVER-OCEAN COUNTY CHAMBER COMMERCE

❑

❑

Hooper Avenue,NJ Suite08753 301, Toms River, NJ 08753 1415 Hooper Avenue, Suite 301,1415 Toms River, Phone: 732 349-0220For Fax: questions 732 349-1252 info@oc-chamber.com or additional information Phone: 732 349-0220 Fax: 732 349-1252 info@oc-chamber.com • www.oc-chamber.com

Exp. Date____/____

TEE SPONSOR – $150 Sec. Code______________

NETWORKING DINNER ONLY – $65

please contact: Danielle Norcross danielle@oc-chamber.com

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

Toms River Shopping Center 1 Rte. 732-270-9690 - 732-270-9691 37 West, Toms River, NJ 08753 www.morganengineeringllc.com 732-335-9400 Architects & Engineers www.immcare.com Hospitals & Healthcare

Murray Grove Retreat and Renewal Center JenniExecutive Cakes Louise Ille.

Director Jennifer Richmond 431 North Main Street, PO6,Box 246, 815 Hooper Avenue, Unit Lanoka Toms Harbor, 08734-0246 River,NJ NJ 08753 732-608-0832 609-693-5558 www.jennicakesnj.com www.murraygrove.org Food Services & Bakeries Consumer & Personal Services Spas/Tanning Centers

November/December 2014 May/June 2015

Community

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Mirage Go Red for Women Submitted by: Marie Tansey

T

he women of Four Seasons at Mirage celebrated the life of Mary Iamonte at the eighth annual Mirage Go Red for Women fundraiser on February 6, 2015. Mary was a friend, neighbor and Go Red for Women committee member for several years. The fiery glow of red was evident as we celebrated and remembered Mary and all of the women who lost their lives to heart disease and stroke.

Since 2003, the red dress has been the national ♥ symbol of commitment to take swift action against

heart disease and stroke in women. Out of this, National Wear Red Day was born. As in the past, the Mirage women and their guests proudly wore red outfits as a sign of support to the American Heart Association’s national Go Red for Women campaign. To raise awareness of the number one killer heart attack and stroke of women is the purpose and objective of this campaign.

In an opening statement to the Women of Mirage and guests, on behalf of Judy Okun and herself, Linda Kropf stated: “It’s great to be back, stronger than ever! Today, two people come to mind as the source of our inspiration. Back in 2005, Steve Jobs, co-founder of Apple, said “If you live each day as if it was your last, someday you’ll most certainly be right. No one wants to die.

Even people who want to go to heaven don’t want to die to get there. Your time is limited, so don’t waste it living someone else’s life. Don’t be trapped by dogma. Don’t let the noise of others’ opinions drown out your own inner voice.

Have the courage to follow your heart and intuition.”

Steve’s legacy immediately brought to mind our own Go Red for Women committee member, Mary Iamonte, who we sadly lost this past year. Mary worked tirelessly with us for the past seven years and always inspired us with her unwavering willingness to give and share. She never let anything negative stand in her way. We all remember her as someone who opened her heart to anyone in need, and to any organization who helped those in need. She created beauty in this world and left a legacy of love through her family and friends.

Her memory will live on in all the lives she touched, especially ours.

Because of each of you, and women like Mary, Mirage Go Red for Women moves forward in our efforts devoid of dogma, full of passion, and dedicated to helping all women, no matter where, to defeat heart disease.

To Steve Jobs and Mary Iamonte, thank you for inspiring our team…and, for proving that those people who are crazy enough to believe they can change the world are the ones who usually do.

♥

♥

♥

♥

♥

Wishing Heart Health to All!”

Iamonte, husband of Mary, along with his two ♥ Bruno daughters Tina Armstrong and Patricia Pranke, lit the candle for the candle lighting ceremony. The ceremony

was done to celebrate the life of Mary Iamonte and the lives of those lost to heart disease.

Bonnie Levy-McAlister gave a reflection celebrating Mary Iamonte. Highlights of Bonnie’s reflection is as follows: Who was Mary Noel Iamonte? For more than forty years she was the devoted wife of Bruno. Mary was a loving and nurturing mother to Tina and Trish. She was more than a mother, she was and continues to be their best friend and now has become their Guardian Angel.

Mary was the best Grammy to her six grandchildren.

She did not let her illness or her two major heart surgeries interfere with that role. Mary was a caring and supportive sister, and yes she was a loyal, forever friendnot just to me but to all those she met.

Even though our friend Mary could not physically be with us today-she is here in our thoughts and in our memories and she will forever be in our hearts. I know I speak for my Mary when I thank each and everyone of you from the bottom of her heart for honoring her here today and by celebrating her life through your support for the Go Red For Women organization. She would be humbled by the outpouring of love and care you have all shown. She would be more than honored by your dedication and remembrance.

The guest speaker for the event was Carol Ash, DO. Dr. Ash is a board certified general internist, fellowship trained pulmonary care and sleep medicine specialist. She is currently the Director of Sleep Medicine for Meridian Health in New Jersey.

Dr. Ash’s presentation included topics such as How many hours should an adult sleep? Why is getting enough sleep important to our physical and mental health? What can we do to our home to ensure that we get a good night’s sleep? She stated that research shows that the amount of sleep that an adult needs varies from person to person and depends on many factors. The average range is seven to nine hours. Studies show that reducing sleep to six hours per night causes us to do poorly on tests of mental performance and physical abilities. There is also increased risk for cardiovascular disease, weight gain, insulin resistance, anxiety and depression. She also stated that new theories suggest sleep is a reset process that allows the brain to reorganize and restore our physiology, strengthening mental abilities and daytime function. Sleep is essential for maintaining critical thinking, judgment, spatial orientation, reaction times and emotional stability.

Judy Okun, Chairperson, thanked and expressed her appreciation to all the women who have tirelessly worked so hard and dedicated endless hours to this year’s Go Red For Women event. As a result of this year’s fundraising efforts, we are anticipating approximately $12,000 in contributions to be made to the American Heart Association Go Red for Women Program. This will increase our total contribution to in excess of $60,000.

Judy asked that we all remember and support all donors and contributors who have supported our Annual Go Red event. The best thanks we can give them

♥ ♥

is through our patronage.

Margaret Thatcher once said “…if you want anything said, ask a man. If you want something done ask a woman”. Well—women of Mirage, you certainly did an extraordinarily fantastic job in our fundraising efforts.

♥

♥

Judy Okun, Linda Kropf, Relda Lockwood, and Alice Hines.

♥

♥

Bruno Iamonte with his daughters Tina Armstrong and Trich Pranke.

Carol Ash, DO.

♥

♥

Mirage Go Red for Women fundraiser.

Photos by Morrie Enyeart

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Community

Community

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63

CASA VolunteerTraining Training CASA IsIs Gearing Gearing Up Up For ForSummer Spring Volunteer Submitted by: CASA of Ocean County, Inc.

Abused and neglected children need more than the system can provide • A six-year-old girl rescued from an abusive father only to be bounced around to eight foster homes and six different schools over the course of two years.

• Four children separated from one another and placed in different locations after their mother was jailed.

• A young boy prescribed 12 different psychotropic medicines by healthcare professionals who have no access to his medical records or ability to follow-up on his

care.

• A teenage girl kicked out of her house, and forced to sleep on a cot in the hallway of a group home until she turned 18—when all her possessions were handed to her in a garbage bag as she was officially “aged out” of the system.

These are not isolated stories. They are everyday realities of children in the foster care and child welfare system. A system full of devoted and deeply caring people that is simply too overburdened and under resourced to protect the rights and needs of vulnerable children.

The solution is a CASA volunteer—a specially trained advocate, appointed by a judge, who fights for the rights of children during the most vulnerable time of their young lives. A trusted adult empowered to ensure that each child is well cared for—

CASA of Ocean County Seeks Fundraising Committee Members CASA of Ocean County is currently recruiting volunteers to serve as Fundraising Committee Members. Committee members will help us reach our commitment to find safe, nuturing, and permanent homes for the more than 400 children throughout Ocean County who have been removed from their homes because of abuse or neglect.

IF YOU CAN

• Serve for one year • Give about five hours a month • Attend monthly meetings • Advocate on behalf of our children

You may be qualified!

If interested, please contact Vicki Weiss at 732-797-0590 for more information.

For other volunteer opportunities visit www.oceancountycasa.org for more information.

C A S A O F O C E A N C O U N T Y, I N C .

able to find a safe, loving, permanent home.

But nearly 90 percent of the children in our community who need a CASA volunteer do not have one. Over 600 children in Ocean County don’t have the hope a CASA volunteer can offer.

We won’t rest until every child has a CASA volunteer.

SAVE THE DATE!!!

Friday June Friday, June5th 6 CASA’s Fifth Annual Food and Wine Tasting

Held at the Beachwood Community Center

Visit our website at

Save the Date for Friday, June 6 for CASA’s Fifth Annual

www.casaofoceancounty.org Food and Wine Tasting

for information on all future events.

Held at thefundraising Beachwood Community Center Stand up for these children.

Visit our website at www.casaofoceancounty.org for Stay connected as we fight to information on all future fundraising events. ensure every child has a safe, permanent, loving home. Volunteer Your Time to Change a Child’s Life!

Nobody longs for a safe and loving family more than a child in foster care. As a CASA volunteer, you are empowered by the courts to help make this dream a reality. You will be the one consistent adult in these children’s lives, vigilantly fighting for and protecting their fundamental right to be treated with the dignity and respect every child deserves. You will not only come people from all walks of life. We are bring positive change to the lives of these vulnerable children, but also their children simply looking for people who care about and generations to come. And in doing so, children and have common sense. As a volunteer, you will be thoroughly trained you will enrich your life as well. and well supported by professional staff What Do CASA to help you through each case. You must Volunteers Do? pass a background check, participate in a CASA volunteers listen 30-hour pre-service training course and first. Then they act. agree to stay with a case until it is closed (a Volunteers get to know year and a half on average). the child by talking with everyone in that child’s Interested in helping children life; parents and relatives, but not ready to commit to foster parents, teachers, medical profesbecoming an advocate? sionals, attorneys, social workers and othThen consider sponsoring a child and ers. They use the information they gather providing them with a CASA of their to inform judges and others of what the child needs and what will be the best per- own. Please call our office today to become a volunteer or sponsor a child. manent home for them.

Please call the Executive Director, Vicki Who Can Be a Volunteer?

Weiss, at 732-797-0590 or visit our You do not have to be a lawyer or website at www.casaofoceancounty.org social worker to be a volunteer. We wel-

Vicki Weiss, executive Director cAsA of Ocean county 1108 Hooper Ave. Bldg. 1 Suite C Toms River, NJ 08753 Phone: 732-797-0590 • Fax: 732-797-0594

Court Appointed Special Advocates (CASA) of Ocean County, Inc. is an independent, non-profit organization committed to advocating for the best interest of at risk children in out-of-home placement who are victims of abuse and neglect. The CASA volunteer serves as the child’s voice in court and is committed to moving the child towards a safe and permanent home.

Like us at Ocean County CASA

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

May/June 2014 May/June 2015

Women Of Ocean County Laurie Moody-Tidcombe, RN, MSN, NP-C, CBN AtlantiCare

Growing up in Audubon, New Jersey, Laurie Moody-Tidcombe was always interested in sports medicine — and also wanted to become a mom.

“Nursing was a profession that could potentially give me a balance of home life and a career. Nursing has given me the flexibility to do both,” says Laurie, who lives in Absecon with her daughter, son, and the family’s two cats.

Laurie worked as a registered nurse for 11 years before she became a certified nurse practitioner at AtlantiCare Regional Medical Center (ARMC). In her current role with AtlantiCare’s Center for Surgical Weight Loss and Wellness, she sees patients in the medically supervised weight-loss program, as well as patients who have had bariatric surgery.

In addition to that role, Laurie works as a nurse practitioner at ARMC, where she manages plans of care for acute care patients while they are hospitalized and any follow-up needed after discharge.

Quality family time is a priority for Laurie outside of work. “I enjoy watching my children’s sporting activities. We love going to the beach and make the most out of living near the Jersey Shore,” she says.

To learn more about AtlantiCare, visit www.atlanticare.org or call 1-888-569-1000.

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Sarah J. Easaw, MD, FACP Specialist in Hematology & Oncology

Dr. Sarah Easaw is a board certified Oncologist and Hematologist who has been practicing in Lakewood since 2006. She completed her internship and residency in Internal Medicine at Harlem Hospital, affiliated with Columbia University, followed by a fellowship in Hematology and Oncology at New York Medical College in Valhalla, New York. Before moving to Ocean County, she practiced Hematology and Oncology in Westwood, New Jersey for 10 years.

Dr. Easaw founded Ocean Hematology & Oncology, a medical practice focusing on the treatment of cancer and blood disorders. She received Star Career Academy’s Excellence in Healthcare Award in 2010.

Her clinical expertise is equal to her ability to treat each patient as an individual with care and compassion.

“Dr. Easaw is the most wonderful, compassionate woman and doctor that I have ever met,” says a patient.

Dr. Easaw is a member of the American Society of Clinical Oncology and the American Society of Hematology and is a fellow of the American College of Physicians. She is affiliated with Kimball Medical Center, Ocean Medical Center and Community Medical Center.

She resides in Monmouth County with her husband and two children.

To learn more about Dr. Easaw and her practice, call 732-961-0010 or visit www.oceanhemonc.com.

Photo by Tracy Harman Photography

Donna M. Mutter, DC Owner, Waves of Transformation Wellness Center, Inc. Dr. Donna M. Mutter, DC has been serving Ocean County for 30 years.

She practices a reorganizational approach to health and wellness utilizing a form of chiropractic known as Network Spinal Analysis. She has been on both the clinical and teaching staff for this work since 1986. Her practice, Waves of Transformation Wellness Center, Inc. is located in Toms River, NJ. Dr. Donna has established the ultimate family-based wellness practice. Her passion is working with pregnant mothers and young children. Her practice members range in age from newborn to late eighties, and in many cases she sees multiple generations of the same family. In fact, she has started to care for the children of practice members who she first saw when they were children!

Her practice is also family-based for another reason, as her son Dr. Daniel Mutter, DC joined Waves of Transformation Wellness Center, Inc. in 2013. Dr. Donna has two daughters, Sarah, who is a Marine Biologist, and Melissa, who is studying for her Master’s degree in Social Work at Monmouth University.

Dr. Donna can be reached at www.wavesoftransformaton.com and 732-244-5008.

Carmen M. Quiñones, MD Interventional Pain Management Physician at Premier Pain Centers

Carmen Quiñones is double board certified in physical medicine and rehabilitation, as well as, pain medicine. She completed her residency at Montefiore Medical Center in NYC. After completing her fellowship in interventional pain management at Emory University in Atlanta she moved to Monmouth County.

She is a member of the American Society of Interventional Pain Physicians (ASIPP) and the New Jersey Society of Interventional Pain Physicians (NJSIPP). Along with her Board Certification, Dr. Quiñones is also a Fellow of the American Academy of Physical Medicine and Rehabilitation (FAAPMR).

Dr. Quiñones has been practicing locally since 2006. Her practice is devoted to using non-operative and minimally invasive treatment of spine, musculoskeletal disorders and electrodiagnostic studies.

To her, the most challenging aspect of her profession is to create community awareness that there ARE options for people who suffer from chronic pain!

Carmen is bilingual in Spanish and English. She enjoys spending quality time with her husband and two daughters, Mia and Milana Isabel. Traditionally, she loves teaching them the importance of family and traditional values and spending time with them outdoors.

To contact Dr. Quinones, call Premier Pain Centers at 732-380-0200 or visit www.premierpain.com for more information. She will now be seeing patients in the Manahawkin location.

Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

Photo by Tracy Harman Photography

May/June 2015

Women Of Ocean County

64

Marita Spooner, RN

Michele Green-Ferrante

Nurse Manager, Endoscopy Center of Toms River Marita was born, raised and educated in Germany. She received her nursing degree from the St. Bernhard School of Nursing in Germany. After graduating, she worked at a Trauma Center in Duisburg, Germany. She now lives in Manasquan, NJ. Marita transferred her nursing license with the CGFNS and was eligible to sit for the NJ Board exam in 1988. Since then, she has worked as a Registered Nurse in telemetry, surgical step-down, and, for the past 15 years, in Endoscopy. She joined the Endoscopy Center of Toms River in 2009.

As the Nurse Manager, she is responsible for daily operation of the Endoscopy Center of Toms River, as well as the supervision of all nursing and ancillary staff. She also serves as the Infection Control liaison and resource for all staff.

Marita feel privileged to work with all the Physicians and dedicated staff at the Endoscopy Center. Her goal is to provide the highest quality care to all patients and provide colon cancer screenings in a safe, comfortable and friendly environment.

She has one daughter, who lives in Boston. In her free time, Marita enjoys reading, gardening, and travel.

Marita can be reached at the Endoscopy Center, at 732-349-4422, or by email at mspooner@gastroofocean.com.

Program Director, Mental Health Association

Filled with passion for her work, Michele Green-Ferrante quickly rose through the ranks at Mental Health Association – Ocean County (MHAOC) to her present position, Program Director. According to co-workers, she’s the first one to volunteer or say “I’ll help.” A natural caregiver, she’s a mother and family member who’s cared for sick relatives.

Michele connected with MHAOC while seeking help for anxiety. Often sharing her story and calling upon her personal experience, she educates and supports individuals with mental illness and their families. Toward that end, she partners with many local agencies. Presently she’s working toward her Disaster Response Crisis Counselor certification.

Throughout her professional career, Michele has worked with the public as a Real Estate Agent and an administrative assistant for a mortgage company. A nearly lifelong resident of New Jersey, she was born in Westwood and now lives in Lacey. She’s Chairwoman of Ending Homelessness Group.

To balance out her busy work life, she spends quality time her with husband, Ken, her mother, and her children: April, Gina, Kenny. Family trips to Aruba for snorkeling provide treasured memories.

She also cares for several pets, all rescues.

To contact Michele, call 732-244-0940, by email at mgreen@mhanj.org, or visit www.mhanj.com for more information.

Photo by Tracy Harman Photography

Marta Jabs

Photo by Tracy Harman Photography

Dawn Celona Office Manager, Stephen L. Newman

Marta has enjoyed a varied career, and for these last many years she has been involved in medical care and office administration. She feels very fortunate to be working as the office manager for Dr. Newman, whom she has known for almost thirty years, with a wonderful staff that feels like a second family.

In Dr. Newman’s busy practice of internal medicine, pulmonary and sleep disorders, Marta has been able to use skills from an earlier career as a women’s wear buyer for a 17-store chain based in the San Francisco area. Her work history began after having been contracted to write a series of “How To” books on plant care for a local publishing company after graduating from U.C. Berkeley.

Throughout her childhood, and into her adult years, she lived on the East and West Coast, in the Midwest and South. She found herself back in New Jersey raising her two sons, Andrew and Adam Knox, in Beachwood. Now, Marta resides with her husband, George Jabs, a long time pharmaceutical rep, former minor league ball player for the Mets, now turned tennis fanatic, and their four rescued dachshunds and one cat.

For more information, call 732-920-8022 or visit www.Dr.Newman.org.

Case Supervisor, CASA of Ocean County

Dawn Celona graduated from Stockton College, where she frequently volunteered with her sorority, Delta Delta Delta. She applied to be a volunteer with Court Appointed Special Advocates (CASA) in 2012, when she left teaching to pursue her graduate degree in school counseling.

As a volunteer advocate, Dawn served as the voice in court for a teen in foster care for nearly two years before she began working for the organization as a Case Supervisor. In addition to processing new cases, training volunteers, and assisting with fundraisers, Dawn serves as a source of support, helping the volunteers she supervises write reports to the court and advocate for the needs of the children they serve.

In her spare time, she coaches indoor color guard in Toms River and enjoys spending time at the beach with her husband and her dog.

To contact Dawn, call 732-797-0590 or visit www.casaofoceancounty.org for more information.

Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

Photo by Tracy Harman Photography

May/June 2015

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ommunity CCommunity

65

Kiwanis club of Bordentown, Caring Cooks at the Long Branch House.

Singer Olivia lead the 2014 Walk with Ronald.

The County Woman Magazine Magazine www.TheCountyWoman.com

May/June 2015

SCAN

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                  

                    

                    

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                    

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                           

          

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Business Spotlight

67

~ MEET THE WOMAN BEHIND SCAN – PAT BOHSE ~

B 180 Route 35 • Eatontown (basement level of Monmouth Mall)

732-542-1326 www.scannj.com.

ack in 1975 when Pat Bohse was working in Jersey City, she was asked to evaluate the Meals-on-Wheels program. As a result of the evaluation, she was then asked to run the Senior Nutrition program, which included 12 senior nutrition sites and a large Meals-on-Wheels program. It was then that she knew she had found her calling. From 1977 to 1989 she was the Director of Senior Nutrition for Caring Community in Greenwich Village NYC. She adds, “I was fortunate enough to always work with a committed and loving staff, boards of directors and seniors.”

In 2012, her company Bohse & Associates did an Extreme Makeover of SCAN (Senior Citizens Activities Network). “It was falling on hard times and as a result the staffing changed and the Board asked me to help because of my background with the aging world,” she adds. They were able to turn the organization around in six months and in 2013, the Board asked Pat to become the Executive Director.

CW: Tell us about your previous experience before becoming the Executive Director of SCAN.

Bohse: In 1989 I started a management-consulting firm called Bohse &  Pat Associates, Inc., where we worked with not-for-profits and government agencies. We

did strategic plans, board development and training, working especially with senior programs.

I joined organizations such as NANASP’S Board of Directors, became the Association Manager for the 21 County Offices on Aging in NJ, and consult for LiveOn NY for over 20 years.

CW: What is the most rewarding part about your profession?

Bohse: It is highly rewarding as a consultant to see when an agency uses a strategic  Pat plan to get focused they become successful. We have done hundreds of plans in the last

26 years. When organizations are successful, their clients/customers are able to get the services they need. The most rewarding part about being at SCAN is working with our members; I learn something new every day. I love their stories, the history that they have lived through, but most of all their joy of life.

CW: What is the most challenging part?

Bohse: Most people (organizations) do not like change. Getting them to  Pat understand that having a plan, an educated board of directors and staff, and a clear

vision that will help them become successful can be a challenge. We always stay with our clients after we do a plan. At SCAN my greatest challenge is marketing them to the world.

When new people come to SCAN they cannot believe that it has been here for 26 years.

Also, fundraising to support the organization is quite challenging. We do not receive any government money to support our operations so we depend on sponsorships, membership dues, class fees, donations and special events.

CW: How do you spread the word about SCAN?

Bohse: We do a mailing to 3,000 people three times a year, send out weekly  Pat e-blasts and send out press releases regularly. We also have a Face Book page and a

website. Additionally, we have three TV shows seen monthly on Comcast, Cablevision, and FiOS in Monmouth and Ocean Counties, and we have our own SCAN YouTube channel.

The viewing public does receive quality, trusted information from our TV shows. However, the best marketing tool is word of mouth.

CW: Why did the agency decide to change the acronym from “Senior” to “Social” Community Activities Network?

Bohse: No one wants to be called a senior citizen. Our members range in age  Pat between 50 and 89 and SCAN is a place for them and members of the public to come

and be social. We know that socialization helps all of us to stay healthy; mentally, emotionally and physically and each one of our classes is its own community.

Pat Bohse

Executive Director

SCAN is made up of many small communities; each of SCAN’s classes is its own community. It is the most cost effective group around. They provide 3- 13 week semesters and their classes range between $3.00 to $8.00 per class for members.

It is clear to see that throughout the years Pat has become the voice for people who could not speak up for themselves, both professionally and personally. In the beginning, she wanted to help Save the World, but now it’s simply about helping one organization at a time to be the best they can be. A noble cause for sure!

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

68

Art Gallery You are cordially invited to view

the works of Nolan Willence

at a newly opened Contemporary Fine Art Gallery

THE OASIS GALLERY 495 Route 9, Bayville, N.J. Saturdays 10AM - 5PM Sundays 12PM - 5PM Or by appointment:

P: (732) 657-3930 • C: (732) 575-5851 • E: nolan2032@yahoo.com

Nolan Willence’s Art Shop is

NOW OPEN! Prices starting at $35

Community

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Business

&

Personal Storage

69

Take Back Your GarageWe’ve Got Space!

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2420 Ridgeway Blvd.

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Clean & Friendly • Affordable • 27/7 Hr. Access Alarmed • Video Surveillance • Safe & Secure Happy Mother’s Day

Lori Lenzi I am a 12-year-old girl who has the most amazing mom in the world, Lori Lenzi! I would love to honor my mom not just for being the great English teacher she is to 77 7th graders at Texas Avenue School in Atlantic City, but also for taking the role of a mom and dad in my life.

My mom is a purpose-driven soul and strives to impact lives through example, inspiring words, and positive attitude! MY mom rocks!!!!!!!

Sincerely,

Sandi D’Amato

Mary Rizzi I would like to thank my mom for everything that she taught me that made me a better person. She was so upbeat, giving and loving, and she held our large family of eight siblings to the highest standards. When diagnosed with Leukemia, she maintained her dignity and her strong faith helped all of us heal and get through this difficult time. One of her many phrases were “this too shall pass” and “ put your faith in our Lord”. We love and miss her everyday!

Your loving daughter,

Ree

Eliana Heard (The daughter of the most amazing mom in the world.)

Rachel Schoenstein

and Ashley

Thank you for being you! From a toddler in diapers to a business owner in workout gear, you have taught me everything I know and have always guided me in the right direction. Your kind soul and generous spirit has such a positive impact on others around you. I am so proud to call you my mom!

Love, your daughter,

“A Mother is she who can take the place of all others but whose place no one else can take.”

Rachel

While Mother’s Day is a special time of year to shower affection on the matriarch of our family, every day we wake up grateful for our most amazing mother, wife and grandmother, Sandi D’Amato. She is our first phone call in the morning, our best friend and our biggest cheerleader. It is an honor and blessing to call her our mother and for her nine grandchildren to call her Mom-Mom. It is beyond measure as there are not enough adjectives in the world to express how fabulous she is and how much we love and appreciate her!

Happy Mother’s Day, Mom! We love you the whole world, “The A Team”, Alexa, Ava

The County Woman Magazine www.TheCountyWoman.com

- Cardinal Mermillod May/June 2015

70

Mother’s Day Tribute

Happy Mother’s Day Carmen Clemente

Karen Shover

On Mother’s Day 2015, I want to honor my mom, Carmen Clemente, from Manhattan, NY. My mom is a strong-willed, hardworking woman that raised her children with a lot of hard work, though believing that she was going to be an extraordinaire mother and professional for her family. Carmen, being a single mother, had a job as a secretary in a local store to be able to raise her family, and she decided to acquire a college degree, as she always wanted. A few years later, she started working in Puerto Rico (PR), brought by the military, and she met my father who supported her in pursuing her dreams of becoming an executive in the Hotel Industry. Soon after, she enrolled in a local higher education institution called Universidad del Este (“Northeast University”) in Puerto Rico (commonwealth of the United States). The university was very similar to Hunter College of NYC, the school that she wanted to attend, so she was engaged with the school system and curriculum and enrolled as a Business Administration major. She was working during the day and at night she was going to school. The children were under the care of Dad and their grandmother.

Soon, she graduated with honors and was hired to work in a prestigious hotel chain in the Touristic area of Isla Verde in the City of Carolina, PR. The excellence of her performance in the hotel industry brought her to become a Vice President of a five (5) star hotel in PR and hosted many celebrities with excellence. All her achievements never changed her loving and humble heart, as a strong woman and as a loving mother. She is my support and had been for many years and I want to honor her on Mother’s Day as the strongest mother from Manhattan in Puerto Rico.

Thank you for taking care of us,

A mother’s love is simply the best, better than the rest. Thanks for showering me with your love all my life, mom. I am grateful every day for you!

Love,

Patricia Morse

Lauren

Ruth A. Rosa For my Mom in heaven, Ruth A. Rosa (Nanny) to so many! Thank you, Mom, for showing me how to love all my children equally (in spite of what they say!), showing me how to be a strong woman (when sometimes weakness seems a better option), showing me there is more to life than material things, and beauty IS in the eye of the beholder!

Thanks for giving me the Faith I need to lean on, especially since we had to let you go!

Love,

Agnes Rosa

Catherine Roseberry

Mom, you are a warm, caring, and a truly altruistic woman. Everyone you meet is drawn to you and your generous, gentle ways. I just want to thank you for always being there for me and for the loving way you show me you love me every day.

Happy Mothers Day! Love you, Mom.

Hugs from Tracy!

Yamir, Tania, lila (Lynette) and my Dad.

Anna Eckrote My mother, Anna Eckrote, is 102 years old, does her own cooking and cleaning and household chores. She also can beat us at pinochle, card games and other board games.

This is a photo of her at her favorite place the Sunset Beach in Cape May last summer. Her 4 daughters believe she has designer genes! We are grateful to the designer.

Love, your daughter,

Meghan

My mother is an amazing and a very inspiring woman because she lost her father at the age of three and was raised by a single mom who struggled all her life. She insisted that she would get an education that would secure her life and became a pharmacist and a mother of five children, who are physicians and pharmacists themselves. She instilled independence, kindness, hard work and family values in us.

She always lived with a smile on her face even through hardships and even during wartime. She always made us feel like it’s going to be ok and she still does the some for us until this day.

Love, your daughter,

Mariam Ghobriel-Sawiris

Frances and Lois Some people are fortunate enough to have mothers who love them. These two women not only provided a constant source of love, but they were a constant source of inspiration. Compassionate, loving, and kind - lessons that led us exactly where we are today. It is because of them, we are truly who we are. We honor you, today and always, Frances and Lois, for being true examples of love and kindness.

Love,

Gerri Richards

Mom, you are the greatest teacher I ever had: you taught me to always be strong, loving, compassionate, and selfless.

Whether you were nursing us back to health when we were sick or cooking our dinner every night, you always put your family (and others) before yourself and your sacrifices do not go unnoticed. Thank you for always laughing with me, supporting me, and encouraging me to follow my dreams. I am proud to have you as a mom. Happy Mother’s Day! XOXO Love you to the moon and back,

The County Woman Magazine www.TheCountyWoman.com

Kevin and Beth Kane May/June 2015

Father’s Day Tribute

Happy Father’s Day

Herb Houston

Ralph Garrow

Paul R. D’Amato

This is my dad and me, Ralph and Tony Garrow. He is one of the most important people in my life. If it weren’t for him, I would not be where I am now in many aspects of life. I can still hear some of his life-lesson talks as if they were said yesterday and now I get to share them with my three awesome children! I hope my kids will love me as much as I love him!

Love, your son, Tony

To the man who works each and every day to make all of our dreams come true; to the man who played sharky with us when we were little girls; to the man who now, as adults, never lets our wine glasses go empty… To the captain of our A-Team; to the Pop-Pop who is adored by his nine grandchildren; to the man who was our first true love: happy Father’s Day, dad!!!! Thank you for all you do for our family. Your girls love you beyond measure.

Love,

Alexander J. Barrera

Alexa, Ava and Ashley

You are our favorite superhero and softest teddy bear! You are the strongest man in the world and yet you let us so easily defeat you with our little fists and karate kicks. Thank you for working so hard so that we can go to Disneyworld and play video games. You are raising us to be kind, gracious and respectful to all people and teaching us how to properly treat all women like you treat mommy- like a queen. You are the best daddy ever and we love you to infinity and beyond!

Robert Morse

Love,

Paul, Massimo and Rocco

Alfred Rosa Dad, there are no words to say how much I love you. For all you have done to love and teach and give all you had, I thank you. Your examples of patience, forgiveness, and honesty stay with me to this day. You were my guiding light through a lot of stormy days! You have showed me how to be so much to so many, as you were.

If I could have you with me again even for a bit, my time would be filled telling you how much you are still loved and missed!

Love,

Aggie

“A Father is someone you can look up to no matter how tall you grow.”

71

Dad, I’ve truly never met anyone with a bigger heart than you. You have been my protector, my guide, and my inspiration since childhood. Thank you so much for working as hard as you do to take care of everyone around you and for showing God’s love through example. Even though I may not always be around to go food shopping with you anymore or run to the door to greet you when you get home, I will always be your little girl. Happy Father’s Day! XOXO Love you with all my heart,

Meghan

Peter Kelly I am thankful for my dad because he is the most supportive, generous and loving father a girl could ask for! He constantly goes out of his way to make sure my older brother, younger sister and I have everything we need, and he is our biggest fan. All three of us know that no matter what, he will always love us - and we’ll always love him!

Love, your daughter,

Bridget Kelly

Thank you for always being there for all of us. We all love you so much. You gave me the greatest gift of all: you believed in me!!!! I love you Dad. Love, your daughter,

Jill

Martin Rizzi I would like to thank my dad for being the most hardworking, sweetest man who worked seven days a week supporting his eight children.

He had a zest for life and was a loving father.

My best memories were when we were younger, piling into the car for Sunday drives, whether it was to the Jersey Shore, McDonald’s, carnivals, parks or our summer vacations, it was always an adventure!! I truly treasure those precious memories and miss him every day! Happy Father’s Day, Dad!!

Your loving daughter,

Ree

Greg Lande When my husband, Greg, is with our twin 6-yearold boys, Max & Griffin, nothing else matters in the world. He has that rare ability to turn off everything around him and focus solely on them. He is their hero, role model and most of all, friend.

If my boys turn out to be even half the man their Dad is, then we have done our job well as parents. Greg wears many hats but the one that suits him best is that of Dad. Happy Father’s Day to one of the Greats!

Love,

Gena

To Walt and Al, Two men who, unfailingly, were not only models of hard work, discipline and responsibility, but who also gave much love, guidance, and support. You always put others before yourselves. We are forever grateful we were able to call you “Dad.” All our gratitude and love always, Kevin and Beth

- Anonymous

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

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Reasons To Shop at Leisure and Lace...

O

ur newest employee has worked here for 10 years, our manager has been here for 30 years and our owner and fearless leader has over 40 years of experience in the lingerie industry. We believe in selling quality merchandise that lasts for more than six months . Our sales team works with you to find the perfect fit and solution for your lingerie problems and we work with local seamstresses to assure the perfect fit of your wedding gown, formal attire and prom dress.

We can smooth that muffin top with our favorite product , the waist cincher. It offers lower back support and can improve posture.

Our wide selection of slimming camisoles control the midriff and smooth back bulge, while staying light enough for every day.

Bras are daily apparel and therefore should be of high quality so that you are lifted and supported. Lift and support not only makes your clothing look better, but they provide relief to your neck and shoulders.

Bras, bras and more bras. We have a great selection of bras starting with coobie, a young girl’s first bra to women’s serious supporting bras that will lift, separate and give you the figure that your old bras have been hiding. But, let’s not forget about the comfortable sports bras, nursing bras and specialty bras that we carry for every occasion in your life.

New customers often greet us with concern and frustration, saying “I am tired of my bras stretching out and falling apart in four months.”

Who wouldn’t be? Knowing our well constructed bras will not stretch or fall apart is one of the many reasons you’ve stayed with us throughout the years.

Realizing quality is much more cost effective in the long run. “Oh , I have a middle” is a comment many woman make after a good fitting.

Now for the Bride to Be... we carry everything a bride could need for her special day. Your dress is in, your fitting is near and we have the undergarments to make it all work. While you’re 1. We are here to help you look your best. here you will notice we offer bridal chemises, 2. We generally have the answer to your question.

3. beentofitting women 38best. years!

1. We We have are here help you look for your peignoir sets, and bridal sleepwear adorned with 4. sister and yourthefriend toldtoyou toquestion. come here.

2. Your We generally have answer your Yourhave mother youwomen to comeforhere so you had better get here! beentold fitting 38 years!

“Bride” in rhinestones that can be 3.5.4.6. We Because of and youryour fine friend cottontold sleepwear, many here. of which is made in the U.S.A. Your sister you to come Our 20% Discount ontomost items. means Panky mother told you come hereThis so you had Hanky better get here!too! customized for your entire bridal 5.7.8.6. Your Our collection of bridal chemises, thongs and Because of your fine cotton sleepwear, many ofpajamas. which is made in the U.S.A. 9.

Our complimentary gift-wrap.

20% Discount on most items. This means Hanky Panky too! party. We also carry playful Hanky 10.7.8. Our Our collection great selection of bras that youthongs like because they do support with Our of bridal chemises, and pajamas. comfort and, as you tell us, they hold up longer than 6 months.

9.

Our gift-wrap.

Panky thongs in a rainbow of colors, complimentary 10. Our great selection of bras that you like because they do support with and, as you tell us, they hold up longer than 6 months. a treat for the groom and much morecomfort othing makes a woman happier than finding the right bra that not only fits well, but looks pretty too.

Leisure and Lace has been providing women with the highest quality undergarments for over 35 years. The store exciting than a toaster! was born when Betty Vasser heard a lingerie store was needed in the area. She started out at Sears as the othing makes for a woman than findingforward the right bramy that notlingerie only fitsstore well,seemed but looks prettytotoo. manager lingeriehappier and adds, “Going with own natural me.

Leisure has been undergarments for over 35 “club years.house” The store Make it a Happy Mother’s Day department I am so and luckyLace because I loveproviding what I do.women I don’twith playthe golfhighest and I quality don’t play tennis, so I come to my was born when Betty Vasser heard a lingerie store was needed in the area.

She started out at Sears as the and spend time with many nice people.” manager for lingerie and adds, “Going forward with my own lingerie store seemed natural to me. with a gift from Leisure and Lace. department Weso lucky sat down with IBetty to learn more about thegolf success her lingerie store.so I come to my “club house” I amWe because love what I do.

I don’t play and Iofdon’t play tennis, CW: Whattime setswith Leisure Lacepeople.” apart from other stores? and spend many&nice BV: Our experienced sales help is the most valued feature of Leisure & Lace. We have wonderful and caring are stocking our store with beautiful We sat downOur with Betty to learnPhyllis more about the with success lingerie store. employees. store manager, has been meof forher over 27 years and knows this business inside and What sets Leisure & Lace stores? with the business. Our employees take time with out.

Bernice worked for us in apart the 80’sfrom and other is still concerned robes, night gowns and pajamas CW: BV: Our experienced sales help is thefind most valuedwhat feature Leisure & Lace. We have wonderful and caring our customers making sure they exactly theyofneed. employees. Our store manager, Phyllis has been with me for over 27 years and knows this business inside and CW:out.

What are most customers looking foriswhen visiting your made out luxurious and soft fabrics.

Bernice worked for us in the 80’s and still concerned with store? the business. Our employees take time with BV: our Without a doubt, people come Leisure andwhat Lacethey to find a bra that not only fits well, but also durable, customers making sure theytofind exactly need. comfortable and attractive at the same time. Control garments come in second right before special Each gift can be beautifully gift CW:accessories What are that mostgive customers looking for when visiting your store? a finishing touch to an outfit.

BV: Without a doubt, people come to Leisure and Lace to find a bra that not only fits well, but also durable, CW:comfortable Tell us about lingerie selection? andyour attractive at the same time. Control garments come in second right before special wrapped and tied with a bow. It’s the BV: Lingerie is a great gift to receive.touch It is to somewhat accessories that give a finishing an outfit.of a luxury and wonderful to put on after a long day. A little something lacey and feminine is complimentary to a woman.

Tell us about your lingerie selection? perfect way to wish the women in CW: OCW: What isisaavailable forreceive. summer BV: Lingerie great gift to It isgifts? somewhat of a luxury and wonderful to put on after a long day. A little Our soft computer haveisbecome a classic to among our customers. People receive them as a gift and something lacey andjackets feminine complimentary a woman. your life a Happy Mother’s Day. BV: then return to Leisure and Lace to purchase them as a gift. Sleepwear in fine natural fabrics can be a great OCW: What is available for summer gifts?

10 Reasons To Shop Leisure & Lace 10 Reasons To Shop Leisure & Lace N N

gift. A matching gown and robe is the ideal item for that traveler on your list. We have pajamas and BV: Our soft computer jackets have becomebooties. a classicPretty among our customers.

People gifttoand nightshirts in fun prints with matching camisoles are a great wayreceive to perkthem up a as suita or layer thenadded returncolor. to Leisure Lace our to purchase them as ahand gift. written Sleepwear fine natural fabrics can a great for Over and the years Gift Certificates, andinbeautifully wrapped, havebealways gift.

A matching gown and robe is the ideal item for that traveler on your list.

We have pajamas and been a hit. The receiver can come for a personal fitting; many of our items are discounted 20%. nightshirts in fun prints with matching booties. Pretty camisoles are a great way to perk up a suit or to layer for added color. Over the years our Gift Certificates, hand written and beautifully wrapped, have always been a hit. The receiver can come for a personal fitting; many of our items are discounted 20%.

“The perfect fitting bra might as well be a myth, unless you shop at Leisure &DefyLace!” your age, Defy gravity

Once you find a comfortable bra you will be hooked on Leisure and Lace.

Defy your age, Defy gravity Once you find a comfortable bra you will be hooked on Leisure and Lace.

199 New Road, Suite 9 Central Square Linwood, NJ 08221

h Betty Vasser (seated) Owner, Phyllis Doran, 25 year employee

609.927.5572

“ You will see such a difference in your clothing with a good bra.”

– A quote from one woman in the dressing room to another.

“ You will see such a difference in your clothing with a good bra.”

Before: A Bra that does not fit properly is unflattering and uncomfortable.

– A quote from one woman in the dressing room to another.

Before: A Bra that does not fit properly is unflattering and uncomfortable.

Before: A bra that does not fit properly

After: A visit to Leisure & Lace Assures a proper fit every time. See for yourself!

is unflattering and uncomfortable.

After: A visit to Leisure & Lace Assures a proper fit every time. See for yourself!

Betty Vasser (Seated) Owner, Phyllis Doran, 24 Year Employee Betty Vasser (Seated) Owner,

Doran, Year Employee “You will seePhyllis such a24difference in your clothing with a good bra!”

- A quote from one woman in the dressing room to another.

The County Woman Magazine www.TheCountyWoman.com

After: A visit to Leisure & Lace assures a proper fit every time. See for yourself!

May/June 2015

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Is Your Wardrobe Ready For Summer?

Finally… summer has arrived and any of your lifestyle clothing

needs, whether for travel, work, home, yoga, or dinners by the beach can be found at Barbara’s Boutique.

Wearing the right summer dress can make a bold style statement this summer. There is a summer dress for every woman and the styles include being sleeveless and short sleeved. In addition, you can find comfortable, fun and flirty maxi dresses by Red 23; jumpsuits by Clara Sun Woo and novelty sweaters by Lisa Todd.

New color themes for summer include Underwater, Terracotta, and Solar themes that boost a riot of colors with variations of cobalt blue, deep navy, aqua green, and turquoise blended beautifully with pink and purple hues in the Underwater theme. The Terracotta theme represents an antique charm using shades of stony grey, shabby white and fruity colors. And the Solar theme has exuberant red, orange, purple, and vibrant green will add spice to any outfit.

Hurry to Barbara’s for your summer shopping. There are numerous tanks and fun, lengthy tops to help you layer your outfits. It’s easy to create an entirely new outfit or tweak an existing outfit by shopping at Barbara’s.

Health & Wellness

What is Barre?

Barre is a ballet-inspired, Pilates based workout. It’s a great way to develop lean muscle mass while improving your strength, balance and flexibility. With a mix of cardio, yoga, core strengthening and ballet, you will sweat, shake, tone and burn all while moving to upbeat music.

The hour flies by as you are having fun and working hard. The class format always stays the same, but the exercises change and advance just as your body will.

Leah Schwartz, certified Barre Instructor

I started my journey when I took my first barre class. Barre challenged my body in ways that nothing else had before. Each week I watched as I became leaner and stronger. Soon I was committed to a 6-day a week routine that helped me focus on form and alignment. My hard work paid off, not only did I see results, but I found my passion and soon became a certified barre instructor.

Teaching is a fulfilling experience for me. I am excited with each opportunity to teach and love to inspire my students to reach their goals just as I had.

The County Woman Magazine www.TheCountyWoman.com

For more information, contact Leah Schwartz by phone,

609-226-3696 or email,

Schwartz88@aol.com

May/June 2015

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Reading Really is Fundamental..It’s Up to You to Help Your Child Get Started

By Glynis Jean Wray

F

or parents eager to encourage their children to read more, there is hope. At the recent American Library Association Midwinter conference in Chicago, the spotlight was on child and young adult literacy.

There, literary awards were presented for the coveted Newberry, Caldecott and Coretta Scott King book awards honoring the best materials for youth in the field of literature. The titles (which follow below) are recognized worldwide for the high quality they represent and serve as a guide to parents, and educators in selecting the best materials for children.

Back home in Ocean County, here are some of the local resources and real-life strategies for parents frustrated by too much time spent staring at screens instead of pages.

Ocean County Library promotes early literacy in several ways. While you may be feeling frustrated at the moment, getting your children to read more can be fun.

The importance of early literacy and reading to children can’t be disputed. By using literacy resources for children, incorporating books, and looking for creative ways to promote reading, the Ocean County Library gives children a head start toward building a rich, vivid imagination and academic success.

Ocean County Library has an informative website that provides parents, youth librarians, early child hood specialists, preschool teachers, childcare providers and others with the resources that help young children develop the skills they need before they learn to read (www.theoceancountylibrary.org/readytoread). As the largest public library system in the State of New Jersey, our 21 locations play an essential role in supporting early literacy with in the community. Indeed, early literacy is a key element of our mission: “Connecting people, Building Community and Transforming Lives.”

We know that literacy skills develop in real-life settings through positive interactions with good materials and other people. The process begins at home, but there are a number of simple practices that parents can institute with

OCEAN COUNTY LIBRARY

their young children to help get them ready to read. Early literacy development is a continual development process that begins in the first years of life.

Now, it’s important to point out that early literacy does not mean early reading. Formal instruction that pushes toddlers to achieve adult models of reading is not appropriate and, in fact, can be harmful. Instead, research shows that exploring and playing with books, singing nursery rhymes, listening to stories, recognizing words and scribbling are the real building blocks of literacy development. It even involves recognizing colors.

Ocean County Library has many early literacy initiatives. Each branch has at least one early literacy games computer, with material provided from the company AWE, Inc. These AWE touch screen computers are engaging the children who are learning while playing games. Another new database available inside each Ocean County Library is ABCMouse.com. Most parents might be familiar with it as a commercial website at home, but the library offers more than 3,500 learning activities with no pop-up ads, making ABCMouse.com a child-safe and educational free site. Concepts such as art, math, music and reading are presented via books, games, puzzles and songs.

☼Early Literacy helps!

Every Child Ready to Read and Family Place are two more examples of early literacy at Ocean County Library. Your librarians are here to help, but we know early literacy begins with the primary adults in a child’s life. These programs are a series of parent-and-child workshops that help prepare parents for their critical role as the child’s first teacher.

And, since our emphasis is always on diversity, both can be presented in both Spanish and English. Your children’s librarians present these workshops throughout the year. At these workshops, parents and caregivers learn that talking, singing, reading, writing and playing are simple daily practices and activities key to learning to read.

Adding play to storytime has been shown to help develop and reinforce early literacy skills. By encouraging children to build and play during storytime at the library, you can heighten their level of engagement with the story while encouraging them to use their creativity, imagination, and dexterity. The combination also increases a child’s physical, cognitive, and emotional development. What’s more, children will be more likely to start developing and telling their own stories.

As school testing and the curriculum debate churns throughout the country, Ocean County Library is doing its

part to have children ready to meet the growing demands for 21st Century skills. Ocean County Library has seven branches that are Family Place Libraries™, a network of children’s librarians nationwide who believe that literacy begins at birth, and that libraries can help build healthy communities by nourishing healthy families. The Family Place Libraries network currently includes more than 400 sites in 27 states and continues to grow.

☼Reading to children promotes development.

Reading books to children is one of the most important things you can do to promote literacy development. Additionally, parents can try these creative strategies to foster a love of reading.

Add a little playacting.

Instead of just reciting the same old story, improvise a little. Don’t be afraid to deviate from what’s on the page. Incorporate different accents for the characters, add drama with theatrical hand gestures, build anticipation by including pauses, and let the emotions of the story register on your face. Encourage interaction. When reading to your preschooler, pause every now and then to ask questions about the story, wonder aloud about alternate endings, or propose new character names.

Talk about books. The benefits of reading to children don’t have to stop after you’ve closed the book. After sharing a story together, bring it up in conversation throughout the day. Compare a real-life event to something that happened in the book, or ask how they think a certain character would handle a specific situation. Incorporate key vocabulary that was presented in the book, so your child gets an idea of how the words fit into different contexts.

Finally, take a trip to the Ocean County Library.

Acquaint your budding reader with our wonderful services and our friendly librarians, emphasizing a respect for the facility and the books.

Check with your local branch, or visit the website www.theoceancountylibrary.org

Watch for the Winners The Youth Media Awards are a major highlight of the ALA Conference. Here are the winners to watch for during your next trip to the library: The John Newbery Medal for the most outstanding contribution to children’s literature went to “The Crossover,” written

by Kwame Alexander. The Randolph Caldecott Medal for the most distinguished American picture book for children was awarded to “The Adventures of Beekle: The Unimaginary Friend,” illustrated and written by Dan Santat, and the Coretta Scott King (Author) Book Award recognizing an African American author and illustrator of outstanding books for children and young adults was awarded to “Brown Girl Dreaming,” written by Jacqueline Woodson.

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

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OCEAN COUNTY LIBRARY Visit www.theoceancountylibrary.org for information about other great programs and library resources

Meet Elliot Tiber, Author of

Meet Eric Burns, Author of

TAKING WOODSTOCK 1920: THE YEAR THAT MADE THE DECADE ROAR Toms River Branch Wednesday, Jun. 24, 7 p.m.

Registration required, begins May 18.

Taking Woodstock is the funny, touching, and true story of Elliot Tiber, the man who was instrumental in arranging the site for the original Woodstock Concert.

Elliot, whose parents owned an upstate New York motel, was working in Greenwich Village in the summer of 1969.

He socialized with the likes of Truman Capote, Tennessee Williams, and photographer Robert Mapplethorpe, and yet somehow managed to keep his gay life a secret from his family. Then on Friday, June 28, Elliot walked into the Stonewall Inn—and witnessed the riot that would galvanize the American gay movement and enable him to take stock of his own lifestyle. And on July 15, when Elliot learned that the Woodstock Concert promoters were unable to stage the show in Wallkill, he offered to find them a new venue. Soon he was swept up in a vortex that would change his life forever.

Toms River Branch Tuesday, May 19, 7 p.m.

Registration required, begins May 4.

One of the most dynamic eras in American history— the 1920s—began with this watershed year that would set the tone for the century to follow. Eric Burns will discuss how that one year had such an impact on history.

Burns, a former NBC News correspondent and Today Show pundit, appears regularly as a commentator for Entertainment Tonight and hosts A&E’s Arts & Entertainment Revue. He was the former host of Fox News Watch and has won an Emmy for media criticism. He is the author of Infamous Scribblers and The Spirits of America and lives in Westport, Connecticut.

SUSAN COWSILL

Toms River Branch • Friday, May 15, 7 p.m. • Register Online or call 732-349-6200.

Susan Cowsill first entered the pop-culture consciousness at the age of eight, as the youngest member of the ’60s musical family the Cowsills, who graced the AM airwaves with such enduring pop hits as “Hair” and “The Rain, the Park and Other Things,” and who were the real-life inspiration for TV’s Partridge Family. In adulthood, she’s emerged as an acclaimed singer-songwriter, first as a key member of beloved alt-roots-pop supergroup the Continental Drifters and more recently on her widely acclaimed second solo album Lighthouse.

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

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Business Opportunity THE

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Nerium isn’t just skincare from the neck up! NeriumFirm is the only contouring product on the market that harnesses the power of the patented NAE-8® extract of the Nerium oleander plant. This powerful formula helps reduce the appearance of cellulite and dimpling and helps smooth, tighten, and firm the appearance of loose skin. NeriumFirm also helps give you a youthful, contoured, and toned look.

These amazing products show REAL RESULTS in 30 days OR YOUR MONEY BACK! To order your products, go to: www.joannjuralewicz.nerium.com We also offer a business opportunity unlike any other. For more information, go to: www.joannjuralewicz.arealbreakthrough.com

JoAnn Juralewicz, Independent Brand Partner: 732-505-9448

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

Community

Renaissance Faire May 23, 24, 30, 31 June 6, 7 10AM - 6PM

77

Now Open Thre e We e For 2 kends 015

Featuring

Highland Games May 23 & 24

Come Experience The Magic!

Human Chess Match Shakespeare Joust Tournament Sword Fighting Artisan Merchant Village Comedy Shows Glassblowing Music & Song Turkey Legs Liberty Lake 1195 Florence Columbus Road Bordentown, NJ 085505 Exit 52A om Interstate 295 1-888-864-8222

Discount Tickets at: NJRenFaire.com

The County Woman Magazine www.TheCountyWoman.com

May/June 2015

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Theatre heatre & &E Entertainment ntertainment

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Illustration: Esther Wu

In the history of totally insane wedding daysâ&#x20AC;Ś this one takes the cake.

WITH

DAVID BURTKA MONTEGO GLOVER CHIP ZIEN JOSH GRISETTI ADAM HELLER MICHAEL X. MARTIN ANNE L. NATHAN NICK SPANGLER AND EDWARD HIBBERT

NOW ON BROADWAY

Brooks Atkinson Theatre, 256 W. 47th Street (Between Broadway & 8th Avenue) Ticketmaster.com 877-250-2929 ItShouldaBeenYou.com

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

March/April 2015 May/June 2015

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&Entertainment ntertainment

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

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Travel ravel

FAMILY VACATIONS STARRING THE “KIDS” “Create Lasting Memories”

55 63

Taking It With You: A Packing Primer

More fun, more memories! Part of raising a family is making memories that your children will cherish forever. A family vacation is part of those memories.

Today’s opportunities to travel as a family arebooked as wideyour open as your imaginaYou’ve tion. From warm beaches to excitinglong adventures, destination offers a new awaitedevery vacation with your Travel experience.

Professional andand you’re We have some suggested kid’s focused resorts destinations with ready to pack your special activities and amenities that the entire family will enjoy:

suitcase.

Now the big question is:

✿ CURTAIN BLUFF, ANTIGUA feels both country-club and cozy at the same What do you take

time. This charming resort with an Alain Ducasse-trained chef for wonderful dining has Ocean views with you?

If you’re cruising in the Caribbean from every room, diving a game room and Ceebee Kids WithWatersports so many new including fees and • Add aand fewwaterskiing, more tee shirts and another pairthe of shorts restrictions the airlines have to a• turquoise Club. The beach is beautiful leading Caribbean Sea.poncho, and zippered plastic bags Lightweight sweater, rain imposed for baggage, you will have to consider leaving your entire closet for wet suits. at home from now on. Some airlines are charging for carry-on bags now, • Whatever you forget you can purchase on board or at the and other airlines let you board first if you have no carry-on bags. So was what created to be the ultimate get ports or resorts. are the essentials to pack? together getaway, where everything is Included and unlimited. TheAprotected white sand few years from now whatbeaches Here is a packing primer from Carole Kaiman, Travel Professional that (rated the best in the Caribbean by Travel & Leisure) exciting watersports and unlimited you will remember is the scuba total diving might help with the process. experience of your vacation, NOT (for certified divers). things you forgot pack.and surf are about children. Amazing waterparks withthe body slides, lazy to rivers ForBEACHES a week inresorts the Caribbean: *Remember, your Vagabond* simulator are a favorite of the kids. The Caribbean Adventure with Sesame Street and the XBOX play • 2 swimsuits Virtuoso Travel Professional can (put 1 in carry-onwith so you can goand right to the beach) lounges areyour so popular children families.

19 Specialty restaurants children’s dining areas provide great choices. assist you inand planning a vacation 2 cover-ups It•will be a great family vacation memory. with the most value and added (1 with sleeves for evenings dining on the beach & 1 Pareo) touches to make your experience a memorable one.

• Yoga pants and 2 tank tops ships were built with families in mind.

A deluxetofamily Ocean view Our dedication our clients before, during and after every vacation • 2 shorts and 2 tees stateroom with Verandah is perfect for a family of 4 or 5.

There’s a 3 story AquaDunk body slide for kids makes a world of difference.

• 3 sundresses with no fearFlip onflops, deck,flat or for the younger there’s the AquaLab with a looping waterslide.

• SHOES: sandals, wedges,set, sneakers Enjoy Yourisland TravelorExperience.

Disney destinations vary from Caribbean cruises with Disney’s own private cruising Europe • Pashmina • Sunglasses with special highlights for the kids to enjoy.

Your Vagabond Travel Virtuoso Advisor • Packable sun hat and foldable beach bag For over 25 years, The go on to Mexican all-inclusive resorts, exciting travel to • Costume jewelry, (leave the realoptions jewels home) Carole Kaiman and an evening purse South Africa for families, Alaska tours (Perfect forTravel summer vacation) Vagabond Must Haves: and fabulous Tauck tours of Europe.

• Insect Repellent, Sun Protection (with at least 30 SPF) *Check out • Facial and body moisturizer Start your unforgettable vacation www.virtuosolife.com by contacting Travel Advisor Carole Kaiman, at Vagabond • Make up Bag: waterproof mascara, eyeliner, for Digital Magazine 732-222-2792 or 732-842-2600.

Travel, a Virtuoso Agency in Littleour Silver today. hair conditioner and shampoo and some amazing travel ideas.

✿ BEACHES, TURKS & CAICOS

✿ DISNEY CRUISE

Create memories that will last a lifetime.

Carole Kaiman, Travel Specialist Vagabond Travel Virtuoso Agency 542 Prospect Ave. Little Silver New Jersey 07739

*Check out www.virtuosolife.com for our Digital Magazineand some amazing travel ideas.

Over 25 Years

732-222-2792 Direct 732-842-2600 Office

website: www.vagabondtvl.com

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Girls on the Run Monmouth & Ocean Counties



www.gotrcnj.org

“We inspire girls to be joyful, healthy and confident using a fun, experience-based curriculum which creatively integrates running.”

We believe that every girl CAN embrace who she is, CAN define who she wants to be, CAN rise to any challenge, CAN change the world.

CAN



Designed to allow every girl to recognize her inner strength, the Girls on the Run curriculum inspires girls to define their lives on their own terms. Throughout the season, the girls make new friends, build their confidence and celebrate all that makes them unique.

GOTR of Central NJ

The Girls on the Run lessons encourage positive emotional, social, mental and physical development. Participants explore and discuss their own beliefs around experiences and challenges girls face at this age. They also develop important strategies and skills to help them navigate life experiences. At the end of each 10 week session, the girls participate in a Girls on the Run 5k event.

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Completing the 5k gives the girls a tangible understanding of the confidence that comes through accomplishment as well as a framework for setting and achieving life goals. Crossing the finish line is a defining moment when the girls realize that even the seemingly impossible IS possible.

Join us at the Girls on the Run 5K Saturday, June 6th in Fair Haven www.runsignup.com/gotr5kmonmouth

The spring season is under way; the new fall season will begin the week of September 14th. If you would like to start a site in your area or enroll your daughter in an existing site please refer to the contact information below.

Volunteer coaches are also needed at several locations in Monmouth & Ocean Counties

Please contact Donna York, Executive Director at donna.york@girlsontherun.org or 908-285-9202

The County Woman Magazine www.TheCountyWoman.com

Join us as a COACH

Volunteering for Girls on the Run of Central NJ will change your life as much as the girls you coach! You do not need to be a runner!!

May/June 2015

Fine Art Photography

The County Woman Magazine www.TheCountyWoman.com

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May/June 2015

Summer is here! Don’t hide your veins.

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609-927-VEIN (8346) 442 Bethel Road • Somers Point, NJ 08244 • www.GetGreatLegs.com

The County Woman Magazine www.TheCountyWoman.com

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May/June 2015