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An Educational Resource for Women and Their Families

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Gastroenterologists of Ocean County Page 33

The Buckley Insurance Group Pages 34 & 35

Dream Homes, Ltd. Page 54

The physicians at Advocare Stafford Orthopedics recognize and appreciate that getting back into action, work, and play is a priority for those who lead active lifestyles. Read more on pages 9, 10, & 11.

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Fountainhead Page 66

Photo By Tracy Harman Photography

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2016

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Medical Professionals

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Elbow Pain and How Physical Therapy Can Help: Epicondylitis (Golfer’s Elbow or Tennis Elbow) By: Katharine “Kat” Zaborowski, DPT, Physical Therapist at All-Care Physical Therapy Center, Jackson NJ location

The Facts: • Affects 1-3% of the United States’ population • Affects both men and women equally • Affects people of all ages What could my symptoms be? • Pain in your elbow (see figure 1) • Pain with wrist motions • Pain with gripping or twisting motions • Pain that gets worse with activity and better with rest What is epicondylitis? Epicondylitis refers to inflammation and irritation of the muscles and tendons that attach to the epicondyles in the elbow. The epicondyles are the bony projections you can feel on the inside and outside of the elbow (see figure 2). Large groups of muscles attach to each of these bony projections. These muscles are responsible for motions of the elbow, wrist and hand. When these muscles continuously pull on the bone, they can irritate the bone and initiate an inflammatory response. This can result in the tenderness and pain that is felt in the elbow. Types of epicondylitis: Specifically, there are two types of epicondylitis which you may have heard of: Golfer’s elbow and Tennis elbow. Golfer’s elbow refers to irritation and pain along the inside of the elbow; while Tennis elbow refers to pain along the outside of the elbow (see figure 3). Each is named according to the specific sport and body mechanics that can lead to epicondylitis.

1-(855)-3ALLCARE

Come Experience The All-Care Difference For Yourself! Whiting • Toms River Manchester • Barnegat • Jackson Forked River • Brick • Home Therapy Certified Hand Therapist

How can I get epicondylitis? Activities like golf and tennis are some of the examples of sports that can lead to the overuse of these muscles. If one is utilizing an improper form, hitting technique or grip mechanic during these sports it can lead to epicondylitis. However, it is important to recognize that epicondylitis is not limited to athletes; it also commonly affects carpenters, musicians, seamstresses or tailors and those who perform a lot of work on computers. Why does it hurt? The tenderness felt can be due to a wide variety of causes including overuse of the muscles in the forearm, repetitive gripping activities, imbalances of the musculature in the shoulder, and/or repetitive turning and twisting of the wrist. Additional common causes can include weak core muscles and weak rotator cuff muscles. Repetition of the same strenuous motion can lead to the overuse of these muscles which can lead to microscopic tears in the tendons. These tears along with the irritation of the musculature and tendons can lead to inflammation and degeneration of the muscle attachment sites onto the bone which can cause the pain that is felt. I think I may have epicondylitis, what should I do? Diagnosis of this disorder can be made by special tests that can be performed by your doctor or physical therapist during your initial examination. X-rays or additional imaging may be requested in order to rule out other disorders of the elbow. How can physical therapy help? An exercise program can be designed specifically for you! The program will involve specific exercises in order to stretch and strengthen the muscles in your forearms, shoulders, or core depending where the deficits may be. Education may be required in specific form and technique during tasks in order to try to prevent reoccurrence of this disorder. Your physical therapist may use additional modalities in order to decrease the pain and inflammation including: ultrasound, electrical stimulation, ice, massage and other muscle stimulating techniques. At All-Care Physical Therapy we specialize in innovative techniques in order to address your elbow pain. A customized program will be developed by our skilled physical therapists in order to make your road to recovery as simple and painless as possible. To schedule an appointment at our Jackson location please call: 732- 833-1133.

Free Transportation For Patients In Need www.AllCarePTC.com

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Katharine Zaborowski, DPT Jackson Physical Therapist Kat earned her Bachelors in Biology from Arcadia University in 2007 and graduated with her Doctorate in Physical Therapy from the University of Maryland Eastern Shore in 2015. During her studies she and a fellow student conducted research utilizing Diagnostic Ultrasound in order to assess scapular stabilizer muscle thickness which was accepted to be presented at the APTA’s Combined Sections Meeting.    Kat has completed clinical affiliations in outpatient orthopedic clinics (including our Jackson facility), acute care settings, and a neuro rehabilitation unit specialized in treating patients with strokes, traumatic brain injuries and spinal cord injuries.   Kat’s treatment approach includes evidence based practice, incorporating patient goals and hands on individualized care.  She is committed to optimal patient care by being an advocate for her patients, empowering others and making sure she considers the person as whole.

September/October 2016


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September/October 2016


Publisher’s Note

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An Educational resource for Women and Their Families Since 2008 2008 Since

Monmouth County Woman Ce leb ra

r ea ting Our 8th Y

Publisher.......................................................... Lynn K. Wolf lynn@theocwoman.com Production Manager ...................................Lauren Shover staff@thecountywoman.com Marketing Production Executive ..........Jessica Sochocky staff@thecountywoman.com Regional Sales Executive.............................Anne Dallegro anne@thecountywoman.com • 917-750-2734 Distribution Manager.......................................Mike Dzuiba mike@thecountywoman.com Graphic Designers.................................................................. Golden Design LLC • CCO Design Company For advertising inquiries, please call:

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Welcome to the September/October 2016 Issue Of The Ocean County Woman! We are looking forward to the crisp cool weather of the coming season, which officially begins on September 22. As the landscape bursts into vibrant colors of red, yellow and orange, we will all enjoy relief from the 90-degree temperatures and 80% humidity of the past few months! Ocean County Woman is primarily a resource publication for the women of Ocean County and their families. You will read articles written by experts in the fields of health & wellness, law, education, fashion, beauty and much more. We offer wonderful giveaways for spa and acupuncture treatments as well as theatrical performances. We receive many phone calls and notes from our avid readers, providing us with valuable feedback we can use to gauge their interests. We would like to share with you a note we received just this past month: “As a new resident of Ocean County, I find the County Woman magazine so helpful in finding new professionals in the health care field. Thank you for an excellent publication.” - E. Crawford. It is our privilege to provide you with a valuable publication that is read by many and utilized as an educational resource. We hope you continue to enjoy the many informative articles that fill these pages. We also hope you enjoy the coming fall, a beautiful season full of fun activities at the Jersey Shore! Sincerely,

All correspondence should be addressed to:

The County Woman

Lynn K. Wolf and the staff at the Ocean County Woman Publication

P.O. Box 619 Turnersville, NJ 08012

Featured on the Cover Advocare Stafford Orthopedics

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Featured L-R: Samuel Epstein, DO; Judy Kerlin, APN; Eric Baskin, DPM; James Morrow, DPM. This dedicated team works together to help patients get back into action. Learn more about Advocare Stafford Orthopedics and these physicians on pages 9, 10, & 11. Cover photo by Tracy Harman Photography. Schedule your fall portraits today. See page 3.

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September/October 2016


Contents ^ Medical Professionals

All-Care Physical Therapy Center, LLC.............................2 Shore Vascular & Vein Center............................................6 AtlantiCare Regional Medical Center: The Heart Institute...........................................................7 Quality Dermatology........................................................12 AtlantiCare Regional Medical Center: The Center For Surgical Weight Loss & Wellness...........18 Atlantic Neurosurgical Specialists...................................21 Ocean Otolaryngology Associates, PA......................24, 25 Ocean Plastic Surgery PA and Laser Center...................27 University Urology Associates of New Jersey...........28, 29 Acuity Specialty Hospital of New Jersey.........................31 Gastroenterologists of Ocean County.............................33 Barnabas Health Medical Group: Ocean Gynecological and Obstetrical Associates..........38 Barnabas Health Medical Group: Dr. Sumy H. Chang....39 Kathy A. Banks, DMD................................................40, 41 Bella Derma Medi Spa.....................................................42 Ocean Hematology & Oncology................................44, 45 Toms River X-Ray, CT & MRI Center...............................46 Paonessa Colon and Rectal Surgery, PC........................47 Dr. Park Avenue...............................................................50 Reproductive Science Center of New Jersey.................53 Mona Lisa Touch North Dover.........................................55 Institute for Complementary and Alternative Medicine...57 Memory Enhancement Center........................................61 Pain Management at Garden State Medical Center.......83

^ Pediatric Dentistry

^ Interior Design

^ Featured on the Cover

^ Assisted Living

Ocean Pediatric Dental Associates...................................8 Advocare Stafford Orthopedics.............................9, 10, 11

^ Exterior Improvement

Built Rite Windows..........................................................13

^ Law

Kathleen M. Dotoli, Esq...................................................15 Kevin B. Riordan, Esq.....................................................19 The Matus Law Group.....................................................22 Straffi & Straffi, Attorneys at Law....................................48

^ Financial Management

Tony Karpowich, Wells Fargo Advisor.......................16, 17

^ Real Estate

Paul Curatolo, REMAX at Barnegat Bay.........................19

^ Pediatric Medical Day Care

Manchester Pediatric Medical Day Care.........................20

^ Precious Metal Buyer

Precious Metal Buyers....................................................23

^ Professional Dentistry

Aesthetic Dental Creations..............................................26

^ Fine Art Photography

^ Reverse Mortgages

^ Health & Wellness

^ Medicare Insurance

Tracy Harman Photography..............................................3 Princeton Behavioral Health..............................................5 Circle of Life Chiropractic................................................14 The Body Wrap Shoppe & Spa.......................................30 Yoga Nine Mind/Body Studio....................................36, 37 Holistic Health Spa..........................................................52 Holistic Health Counseling: A Balanced Approach.........56 Hypnosis for Women.................................................58, 59 Jersey Shore Pharmacy..................................................68

Health & Wellness

5

Barbara Sica, Homebridge Financial...............................32 The Buckley Insurance Group...................................34, 35

^ Elder Law

Rice Elder Law................................................................43

^ Business & Finance

Copiers Plus....................................................................49 Greater Toms River Chamber of Commerce...................70

Hope is not just our address, it’s our promise.

Bellissima Designs, LLC..................................................51 Spring Oak of Toms River................................................52 Spring Oak of Forked River.............................................60

^ Construction & RREM

Dream Homes, Ltd. ........................................................54

^ Massage School

New Jersey School of Massage......................................62

^ Funeral Planning

DeGraff Funeral Home.....................................................63

^ Education

Ocean County College....................................................63

^ Permanent Hair Removal

Monmouth/Brick Electrolysis....................................64, 65

^ Adult Community

Fountainhead...................................................................66

^ Hair Designs & Hair Replacement

Abstrax Hair Designs.......................................................67

^ In-Home Care

Senior Helpers.................................................................69

^ Acupuncture

Koehler Acupuncture.......................................................71

^ Women of Ocean County...............72, 73, 74 ^ Theatre & Entertainment

Two River Theater............................................................76 Cagney............................................................................78 Gazillion Bubble Show....................................................79

^ Community...........................71, 75, 77, 80, 81, 82

Introducing Princeton House Behavioral Health’s outpatient center at 615 Hope Road, Eatontown. Princeton House Behavioral Health, a unit of Princeton HealthCare System, is a regional leader in behavioral healthcare. Our Women’s Program — the premier service of its kind in New Jersey — is now available at our new outpatient center in Eatontown. “Our Women’s Program is special and unique because it’s women empowering women to become more selfcompassionate and less self-critical,” says Judith Margolin, PsyD, Clinical Director of Women’s Programs at Princeton House Behavioral Health. “While each of our outpatient programs is designed around specific needs, they all are based in dialectical behavior therapy. This helps women better understand their experiences, regain coping skills and interact more effectively with others — all in an extremely supportive environment.” Women’s outpatient programs at Eatontown include: Trauma

Trauma and addiction

Emotion regulation

Dialectical behavior therapy (DBT)

For more information or to make a

888.437.1610 or visit princetonhouse.org. referral, please call

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Medical Professionals

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Kiss Your Veins Goodbye Trust the Board Certified vascular surgeon of the region’s premiere Vascular and Vein 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 a day.

SOME OF OUR SERVICES: • The Venefit (Closure) procedure • Microphlebectomy • Sclerotherapy (Asclera) for treatment of spider veins • Award winning Excel V Laser for treatment of spider veins and unsightly facial veins • IAC accredited noninvasive vascular laboratory on site

Jeffrey Gosin, M.D., F.A.C.S. Board Certified Vascular Surgeon

• The only center in the entire Delaware Valley to offer EnlightenTM laser for the most advanced laser tattoo removal

609-927-VEIN (8346) • 442 Bethel Road • Somers Point, NJ 08244 www.GetGreatLegs.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Medical Professionals

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Saluting AtlantiCare’s Heart Heroes and their mission to increase availability of AEDs AtlantiCare’s Heart Heroes partnership recently marked a major milestone: donating its 200th automated external defibrillator (AED) in the community. AEDs are small, computerized medical devices that bystanders can use to restart the heartbeat of a person who has gone into sudden cardiac arrest.

“Sudden cardiac arrest is a life-threatening medical emergency, and the use of an AED in conjunction with cardiopulmonary resuscitation (CPR) can help stabilize the patient until emergency medical services arrive on the scene,” says Rose McCarthy, RN, outreach coordinator for the Heart Institute at AtlantiCare Regional Medical Center (ARMC) and program manager of AtlantiCare’s Heart Heroes program. The AtlantiCare AED Heart Heroes partnership was formed in 2002 to meet an important and underserved need across Atlantic, Cape May, and Ocean counties: increasing the availability of AEDs in public places. Through this partnership, AtlantiCare has made AEDs available at schools, places of worship, recreation centers, municipal buildings, fire and police stations, municipal buildings, area attractions such as zoos and many other locations throughout our area. “AEDs can save a life in a matter of seconds. When you see someone in sudden cardiac arrest, the first thing you should do is call 9-1-1 to get help. Then, start CPR and, if you’re in a public place with access to an AED, follow the device’s voice and visual prompts to assist the person while waiting for the first responders to arrive. The AED will guide you, step by step, in what to do, and you have the option to select English or Spanish instructions when you first start the machine,” Rose says.

Who are the AtlantiCare Heart Heroes? The AtlantiCare Heart Heroes is an AtlantiCare Foundation-funded program that places AEDs in the community on behalf of the Heart Institute at AtlantiCare Regional Medical Center. The program began in 2002, spurred by a small group of dedicated AtlantiCare volunteers who were known as “The Heart Heroes,” who raised funds to help AtlantiCare make AEDs available in the community.

Want to help save lives? • Support the Heart Heroes — Participation in a Heart Heroes fund-raising event and donations to the AtlantiCare Heart Heroes Matching Funds Program are always welcome. Please visit www.atlanticare.org/donate or call our Heart Heroes office at 609-407-4781 to pledge your gift. • Join the Heart Heroes — Meetings of the group take place from 2:30 p.m. to 3:30 p.m. on the second Tuesday of each month at ARMC’s Mainland Campus in Pomona. Please call 1-888-569-1000 to register or visit www.atlanticare.org/heartheroes for more information about volunteering. • Request an AED for your organization — The Heart Heroes partnership funds a portion of the cost for each AED ARMC provided. The requesting community group or organization is asked to share in the cost by donating matching funds. For more information, contact Rose McCarthy at 609-404-7979 or visit www.atlanticare.org, Community and Patient Resources, to download an AED matching funds application.

Organizations, groups and individuals can donate directly to the program, which has placed more than 200 AEDs in the community, by making a gift to the Foundation.You too can become a Heart Hero by making a donation to bring an AED to a community today.

Call 1-888-569-1000 or visit atlanticare.org for more information.

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Pediatric Dentistry

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IT TAKES A TEAM! GET TO KNOW YOUR CHILD’S DENTAL HOME By Dr. Elisa Velazquez, Ocean Pediatric Dental Associates Our pediatric specialty office is comprised of well-trained, caring professionals who make going to the dentist fun & educational! We would like to introduce our amazing hygienists. A dental hygienist has the following training: • • • • • •

Taking and developing dental radiographs (x-rays) Removing calculus and plaque (hard and soft deposits) from all surfaces of the teeth Applying preventive materials to the teeth (e.g., sealants and fluorides) Teaching parents appropriate oral hygiene strategies to maintain oral health (e.g., tooth brushing, flossing and rinsing) Counseling families about good nutrition and its impact on oral health Making impressions of patients’ teeth for study casts or models of teeth

Cindy B. has been with the practice from its inception over 15 years ago! She runs our hygiene department, including hygiene scheduling for both offices. She defines what OPDA is about by her professionalism and caring, and always puts her patients first. She lives in Brick with her two sons. When not in the office Cindy spends time with her family and friends and loves going to the gym.

Linda F. has been with OPDA for 14 years. She started as a patient who became a dental assistant and then became a dental hygienist with a Bachelor’s degree in Biology. She runs our school outreach program and DOPAC program (Dental Orientation Program for Autistic Children). She has a calming and caring manner, which makes her exceptional with special needs kids. Linda has a beautiful daughter and in her spare time loves to bake and spend time with friends and family.

Dr. Elisa Velazquez (Dr. Lisa) is the owner of Ocean Pediatric Dental Associates. She graduated from the University of Medicine & Dentistry of New Jersey in 1999 and completed her pediatric residency program as chief resident in 2001. In 2002, she received a Master of Science degree in Oral Biology. Dr. Lisa earned her board certification in pediatric dentistry and is a Diplomate of the AAPD. Dr. Lisa is a member of the American Dental Association (ADA), American Academy of Pediatric Dentists (AAPD), & New Jersey Dental Association (NJDA). She is past president of the Monmouth-Ocean County Dental Association (MOCDS) and serves as state trustee and is the Vice-President of the NJ Academy of Pediatric Dentistry (NJAPD). She is the staff dentist for Children’s Specialized Hospital and the Ocean County chairperson for children’s dental health. Dr. Lisa is on the surgery staff at St.Barnabas’ Community Medical Center and Monmouth Medical Center. She holds a specialty permit to perform conscious sedation in the office. Dr. Lisa has been named “TOP DENTIST” by her peers for NJ Monthly magazine.

Nina R. is a graduate of UMDNJ (now Rutgers SHRP). She has been happily working at OPDA for the past nine years. Working with children has been a great joy for her. She is a wife, and proud mom of two beautiful little boys. Currently, Nina is enjoying her time at home with her newborn and twoyear-old sons. When not working or caring for her family, Nina enjoys spending time at the beach and practicing yoga.

Stacy O. has been with OPDA for nearly 13 years. She has a passion for working with children and truly tries to make it her goal to make each child smile and feel comfortable during their visit. She is our infant oral healthcare instructor and teaches at many Ocean County schools, Head Start, and Girl Scouts about oral health education and nutrition. She also works as an adjunct professor at three colleges in NJ in their dental hygiene departments. Stacy spends her free time with her husband (her high school sweetheart) and her four daughters.

These women are a slice of the elite team of Ocean Pediatric Dental Associates. Next time you are in the office, please give them a BIG THANK-YOU! Donna C. joins our practice full time with nearly 25 years of experience. She is friendly and loves working with children and helping them grow up cavity free. She is happily married for 27 years to her husband, Terry. Donna has a daughter attending Donovan Catholic and a son on his way to Drew University.

Jen F. has been part time with OPDA for nearly 10 years! She enjoys working with children and making sure they have a fun dental experience. When not at work, Jen is busy at home in Beachwood with her husband and two boys.

Tracey B. has been with OPDA for 4 years in our Manahawkin office. She has been a hygienist for nearly 22 years and loves working in a pediatric office. She is friendly and bubbly and always has a smile on her face. Tracey lives in Manahawkin with her husband, four children, three cats, and two dogs!

Karen C. has recently joined our practice, bringing 26 years of experience working with children. Her kind, caring and gentle manner, along with her exceptional ability, provides confidence and security to her young patients. Karen is a mom of two boys and lives in Brick with her husband.

Your Child’s Dental Home Toms River 368 Lakehurst Rd. Toms River, NJ 08755 732-473-1123

Manahawkin 102 East Bay Avenue Manahawkin, NJ 08050 609-597-9195

www.OceanPediatricDental.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Medical Professionals

9

Welcome to

Specializing in orthopedic and podiatric care, Samuel Epstein, DO, Judy Kerlin, APN, Eric Baskin, DPM, and James Morrow, DPM will get you back into action.

Our physicians recognize and appreciate that getting back into action, work, and play is a priority for those who lead active lifestyles. Our patients range from student athletes at the top of their game to ‘backyard quarterbacks’, ‘weekend warriors’, and ‘soccer moms.’

Our goal is to provide patients with both courteous and quality professional care. We strive to provide the best orthopedic and podiatric care that today’s technology can offer, treating the whole patient in the context of his or her life and circumstances. We value the clinician-patient relationship, high quality patient service, and accountability of clinicians and staff to meet the needs of our patients.

Contact Advocare Stafford Orthopedics to schedule your appointment. 1168 Beacon Ave. • Manahawkin, NJ 08050 • 609-597-6092 • www.advocarestaffordortho.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


10

Featured on the Cover

Your Are in Good Hands at Advocare Stafford Orthopedics

The physicians at Stafford Orthopedics all have one thing in common: to try non-surgical forms of treatment first, recommending surgery only if conservative measures fail. Treating everything from injuries and diseases of bones, muscles, joints, peripheral nerves, as well as diabetic wounds and gait conditions, they are committed to both courteous and quality professional care. Caring for patients of all ages from infants to the elderly, their underlying philosophy behind all that they do is to treat the whole patient in the context of his or her life circumstances. A large part of their practice involves the treatment of broken bones, sports medicine and arthritis.

Getting to Know the Physicians Samuel E. Epstein, D.O. OCW: How did you get involved in the field of Orthopedic Medicine? Dr. Epstein: My father was a family doctor and in the summers he would take me to his office while he treated his patients. I knew at a young age that I wanted to become a doctor and help people. In high school and college I wrestled and played football. Needless to say, I had sports injuries that required treatment. The treatment of sports injuries was very interesting to me and I wanted to be able to take care of these musculoskeletal injuries both operatively and non-operatively. OCW: What are the most common conditions you treat on a daily basis? Dr. Epstein: We see a great deal of hip, knee, ankle, foot, shoulder, elbow, wrist, back, and neck pain due to injury or arthritis. We also see conditions such as carpal tunnel syndrome and trigger fingers. OCW: What sets advocare l Stafford Orthopedics apart from other facilities like it? Dr. Epstein: We have been treating patients in Southern Ocean County for approximately 50 years and always treat the whole patient, considering their individual needs. In most cases, we believe in conservative treatment first. Only after this fails, do we recommend surgery. We understand most of the people we see are in pain and usually fit them in our schedule within a day; even if that means extended hours. Our office staff is very “user friendly” and competent. OCW: How do you stay current with the latest advances made in your field? Dr. Epstein: Being a doctor is a life long learning process. I constantly read journals and attend conferences and webinars to stay current. I am involved in hospital committee’s in which I use “Evidence Based Medicine” and “Best Practices” to develop the highest quality treatment protocols for my patients. However, there is no substitute for experience and we all learn by doing. I have been doing Orthopedic Surgery for 27 years and have had the opportunity to hone my craft.

OCW: Tell us about some of the more cutting edge options you offer your patients. Dr. Epstein: Many of our patients are faced with joint, muscle or tendon pain, which has not been resolved with medication, physical therapy, cortisone injections or viscosupplement injections (Synvisc). They may be contemplating surgery to alleviate their pain; or they may have resigned themselves to live with it. However, there are other options. One of those is Platelet Rich Plasma (PRP) injections. You may have heard of high profile athletes going to Europe to have these injections. Your blood is made up of plasma (the liquid part of the blood) and cells. The cells in your blood include red blood cells, white blood cells, and platelets. The platelets help the blood to clot when you cut yourself. They also contain a high concentration of healing factors, which conveniently allow the cut to heal. To make PRP we draw your blood and spin it down in a centrifuge. When the blood is spun down, it separates into a layer of red blood cells, white blood cells, and platelets. We draw off the platelet rich layer of the blood plasma (PRP) as this portion has a much higher concentration of healing factors. The PRP is then injected directly into the damaged tendon, muscle, or joint. PRP injections help the body to heal tendons and muscles damaged by injury or overuse and help to sooth the pain in arthritic joints. Although these injections are not FDA approved, I provide them to my patients. The reason they are not yet approved is that the FDA process of approval is very expensive. Unlike pharmaceutical drugs, PRP cannot be sold for profit since it’s obtained from your own blood. Therefore, there’s no financial incentive for companies to go through the expense of getting FDA approval. Unfortunately, without FDA Approval, most insurance will not cover the expense of obtaining the PRP. Many patients consider the expense worth it, if it can alleviate their pain or help them avoid surgery.

For more information or to schedule an appointment, call 609-597-6092 or visit www.advocarestaffordortho.com.

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Featured on the Cover

Eric S. Baskin, DPM FACFAS OCW: How did you become involved in the field of Podiatric Medicine? Dr. Baskin: In college I worked in an army hospital where I shadowed different physicians from all fields of medicine. What really impressed me about podiatry is the fact that patients come into the office with pain and leave pain-free after a few minutes of treatment. Not many fields of medicine can claim this. OCW: What are the most common issues you see on a daily basis? Dr. Baskin: I see a great deal of issues from gait abnormalities to deformities, such as flatfeet, fractures, and sprains. I also see dermatological diseases, nerve related diseases, and diabetic related conditions of the foot and ankle. In addition, I specialize in pediatric abnormalities such as toe walkers. As a podiatrist, you wear many hats such as plastic surgeon, orthopedist, dermatologist, and neurologist of the foot and ankle. OCW: What sets your practice apart from others like it in the area? Dr. Baskin: Our commitment to patient satisfaction sets us apart. We strive to be the Nordstrom’s of orthopedics and foot and ankle related treatment. By providing our patients with the best possible service, quality of care, and highest code of ethics, we make this happen on a daily basis. We realize when people come to our office they are not looking to have surgery and we strive to keep them out of the operating room by providing the most comprehensive and conservative treatments in modern medicine. If conservative treatments have been exhausted and surgery is required, we utilize the

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latest technology and techniques. Our primary goal is to get people back to their busy lives as soon as possible. OCW: How do you stay current with new advances made in your field? Dr. Baskin: I attend continuing education conferences yearly, as well as, train residents and students when they do rotations in the office. I love when I am asked to lecture at surgical conferences. My most recent lecture was in June where I completed my residency. It was nice to be back with other alumni. OCW: What can older women do to prevent foot diabetic related problems to the foot and ankle? Dr. Baskin: Good blood sugar control will prevent many of the diabetic related complications associated with the foot and ankle. Control of glucose levels through lifestyle and medical guidance can prevent loss of sensation, peripheral vascular disease, and foot deformities. Appropriate shoe gear and treatment of conditions such as flatfeet, high arched feet, bunions and hammertoes are also important in preventing complications. I am always happy to educate patients on shoe options, conservative and surgical treatments, and foot care to keep you healthy and active.

James Morrow, DPM, AACFAS OCW: How did you become involved in the field of Podiatric Medicine? Dr. Morrow: My interest was fostered through the care I witnessed in my own mother’s life. As a registered nurse who raised three children, she developed a rare foot condition resulting from juvenile diabetes. Without the efforts of her podiatric and orthopedic team, she would not be the active and healthy grandmother that she is today. OCW: What are the most common issues you see on a daily basis? Dr. Morrow: Common conditions include: bunions, hammertoes, neuromas, flat feet, and heel pain. Most folks don’t realize how easily these can be treated once properly identified. Non-surgical treatment can be most effective when initiated early. OCW: What sets your practice apart from others like it in the area? Dr. Morrow: It’s exciting to me that we can offer the most up-to-date treatments, both conservative and surgical, right here in the convenience of Ocean County. It’s my personal belief that the best treatment begins with an attentive doctor who first listens and develops a personalized treatment plan for each patient. OCW: How do you stay current with new advances made in your field? Dr. Morrow: Practicing evidenced based medicine is important in today’s changing healthcare environment. Physicians must stay current with these changes in order to provide the highest quality of care possible. As a podiatrist, I do this through conferences, lectures, webinars, and journals. I also work with local students and residents during their training.

OCW: What can older women do to stay safe and avoid falls? Dr. Morrow: According to the CDC, each year more than 2.5 million elderly Americans are treated in emergency rooms across the country for falls. Falls usually occur at home and can lead to a serious injury. Preventing falls in older adults should start by visiting your doctor to evaluate your current medication list. Incorporating strength and balance exercises and taking measures to make your home safer are simple, effective ways to prevent falling. Also, what you wear on your feet could help reduce your chances of a fall. A study of those over the age of 65, by Washington University professor Dr. Thomas Koepsell, discovered an increased chance of falling in individuals not wearing shoes. They found that those who wore socks, slippers, or went barefoot were at an 11% increased chance of falling when compared to those who wore shoes. So it is important to opt for shoes that are firm, with rubber soles and a thin, beveled heel.

1168 Beacon Ave. • Manahawkin, NJ 08050 609-597-6092 • www.advocarestaffordortho.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


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Medical Professionals

Hair Loss Hair loss, or alopecia, is a concern for men, women, and children. Treatments for hair loss include medications such as Propecia and Rogaine, hair replacements, and hair restoration as well as treatments at a local dermatology office. Mistakenly thought to be a strictly male disease, women actually make up 40 percent of American hair loss sufferers. Hair loss in women can be absolutely devastating for the sufferer’s self-image and emotional wellbeing. Hair loss can be temporary or long-lasting. Temporary hair loss can be easy to fix when its cause is identified and dealt with, or difficult when it is not immediately clear what the cause is. Hair loss that could possibly have been temporary may become long-lasting as a result of a delayed diagnosis. Alopecia is the medical term for excessive or abnormal hair loss. There are different kinds of alopecia. What all hair loss has in common, whether it’s in men or women, is that it is always a symptom of something else that’s gone wrong in your body. Your hair will remain on your head where it belongs if hormone imbalance, disease, or some other condition is not occurring. That condition may be as simple as having a gene that makes you susceptible to male or female pattern baldness or one of the forms of alopecia areata, or it may be as complex as a whole host of diseases. Fortunately, hair loss may also be a symptom of a short-term event such as stress, pregnancy, and the taking of certain medications. In these situations, hair will often (though not always) grow back when the event has passed. Substances including hormones and medications or diseases can cause a change in hair growth, or the pattern and duration of shedding phases. When this happens, synchronous growth and shedding occur. Once the cause is dealt with, many times hairs will go back to their random pattern of growth and shedding, and the hair loss problem stops. Unfortunately, for some women, hair loss becomes a lifelong struggle. Dihydrotestosterone (DHT), a derivative of the male hormone testosterone, is the enemy of hair follicles on your head. Simply put, under certain conditions DHT wants those follicles dead. This simple action is at the root of many kinds of hair loss, so we’ll address it first. Androgenetic alopecia, commonly called male or female pattern baldness, was only partially understood until the last few decades. For many years, scientists thought that androgenetic alopecia was caused by the predominance of the male sex hormone, testosterone, which women also have in trace amounts under normal conditions. While testosterone is at the core of the balding process, DHT is thought to be the main culprit. A simple blood test ordered by either your primary care doctor or dermatologist will determine testosterone level in your body. When your body goes through something traumatic, like childbirth, malnutrition, a severe infection, major surgery, or extreme stress, many of the 90 percent or so of the hair in the anagen (growing) phase or catagen (resting) phase can shift all at once into the shedding (telogen) phase. About 6 weeks to 3 months after the stressful event is usually when the phenomenon called telogen effluvium can begin. It is possible to lose handfuls of hair at a time when in full-blown telogen effluvium. For most who suffer with TE, complete remission is probable as long as severely stressful events can be avoided. For some women, however, TE is a mysterious chronic disorder and can persist for months or even years Source: The American Hair Loss Association (http://www.americanhairloss.org/women_hair_loss/oral_contraceptives.asp)

Dr. Renata Flaks

without any true understanding of any triggering factors or stressors. Traction alopecia is caused by localized trauma to the hair follicles from tight hairstyles that pull at hair over time. If the condition is detected early enough, the hair will regrow. Braiding, cornrows, tight ponytails, and extensions are the most common styling causes. Oral contraceptives can also cause hair loss. The American Hair Loss Association recommends that all women interested in using oral contraceptives for the prevention of conception should only use lowandrogen-index birth control pills, and if there is a strong predisposition for genetic hair loss in your family, the use of another non-hormonal form of birth control is recommended. There are some other types of hair loss. Please make an appointment with us today to find out what kind of hair loss you have and treatment options you have.

Call us for an appointment or your comprehensive skin cancer screening today.

732-244-2666 Visit www.qualityderm.com

QUALITY DERMATOLOGY Dr. Renata Flaks, DNP

732-244-2666

707 Main Street • Toms River www.qualityderm.com Open Monday - Friday Same Day Emergency Appointments Available Accepts most insurance plans Accepting New Patients

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Exterior Improvement

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Built Rite Windows is the window installation and replacement window specialist in Central NJ, Ocean County and Monmouth County. Their experienced staff will help you determine the window type and style that best fits your home. They sell and install the highest quality products at the most reasonable prices, with full service included. All products meet Energy Star Requirements. A second-generation family owned business; Built Rite Windows is owned and operated by Lucia and Ron Dambrosio. Lucia, who is involved in local charities, and Ron, a Vietnam Vet, has served the Jersey Shore area for over 37 years. Lucia’s son, John, is responsible for sales and her son, Vincent, is responsible for installations. You can also find Ron installing windows, that is, when he is not on the golf course.

More than just windows: • If your looking for additional year round comfort, check out their patio enclosures, sunrooms and decks.

Come visit Built Rite Windows at their new location: 1591, Rt. 37 W, Toms River, NJ, Monday - Friday 9:00 AM - 5:00 PM, and Saturday 10:00 AM www.builtritewindows.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Health & Wellness

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The Chiropractic Pregnancy Connection Newly expectant moms typically go into planning mode. Names, outfits, nursery colors – all the ingredients that create the foundation for a new addition to the family. Many get so immersed in the future that they neglect the present realities of their bodies and the pregnancy. They are willing to accept symptoms associated with pregnancy as “normal.” Although common, low back pain, headaches and nausea are not normal.

chiropractic analysis and adjustment that reduces nerve interference and balances the maternal pelvis. This again optimizes function and may allow the baby to get into a desired fetal position for an easier birth. This becomes important because as you improve maternal function, you decrease the chances for unnecessary interventions during birth. Literature has reported that women under chiropractic care may have a 6- to 8-hour decrease in the birthing process.

Chiropractic care increases your body’s ability to adapt and function the way it was designed to. When your body adapts more fluidly to the changes of pregnancy, it reduces these common symptoms, such as low back pain, nausea, heartburn, headaches, leg pains, etc. Chiropractic during pregnancy focuses on creating an easier birthing experience for both mom and baby. In the mother, it prepares the pelvis by bringing balance to the pelvic musculature, ligaments and spinal segments. A balanced pelvis allows the baby to move into the optimal fetal position. Babies can present in a breech presentation if the mother’s pelvis is misaligned. The Webster technique, used by prenatal chiropractors, is a specific

Obviously stress during labor can affect both the mother and baby. In addition to emotional and chemical stress, the physical stress plays a vital role in how the birth will go. Many mothers who have experienced pain and distress earlier on in their pregnancy have had a harder time during delivery. These are the very stressors that should be addressed by a prenatal chiropractor. Whether you are looking to conceive or are currently hosting a gender reveal party, I encourage you to find a chiropractor who can partner with you throughout your pregnancy.

Meet Dr. Stephanie

Pediatrics & Pregnancy

New Patients

Dr. Stephanie Wigner

For more information, call 732-295-4000 or visit www.circleoflifechironj.com. Office Hours

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The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Law

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How Much Is My Workers’ Compensation Case Worth? Written By: Kathleen M. Dotoli Esq. For over twenty years, I’ve been fortunate to have represented hundreds of Ocean County working men and women for whom I have fought hard to get the benefits they deserve under the New Jersey Workers’ Compensation system. Work-related injuries come in all shapes and sizes. A traumatic workplace injury can be as a result of a slip and fall due to a wet floor, a ladder misstep, equipment malfunction, motor vehicle accident or even bodily assault. An occupational injury can happen when a worker “overuses” their body to the point where a joint or muscle becomes so inflamed and painful medical attention is required. Examples of occupational injury include a plumber’s aching back as a result of lifting heavy water heaters up and down steps for years or a mechanic’s carpal tunnel syndrome as a result of excessive use of small tools. As a result of the events described, workers can experience injuries to their back, shoulder, neck, hip, knees, feet or hands; they can also damage several different body parts as a result of one single event and that is quite common. You already know from my past articles that Workers’ Compensation provides injured workers with fully paid medical benefits (no deductibles, no co-pays) and wage replacement when an authorized doctor says they cannot work due to their injury. But did you also know that Workers’ Compensation allows for a settlement at the end of your case based on your loss of bodily function? “How is the value of my case decided?” is an important question many injured workers ask. The amount of money awarded at settlement takes into account many facts and conditions that must be reviewed in order to fairly assess each case. For example, it is imperative that I review every client’s complete set of medical records prior to sending my client to a specialized type of medical evaluation called a permanency exam. This exam outlines the extent and nature of the injury and disability resulting in a percentage of disability being assessed. Around the same time, the employer’s Workers’ Compensation carrier also sets up a permanency exam. As you can imagine, the results of each exam are often very different!

Taking the evaluations, the physical complaints of my clients, the extent to which they are able to return to work, and my 20+ years of experience assessing cases, I issue a settlement demand to the insurance company. Upon review, the insurance company might make an offer to settle the matter. But that’s not the end of the story. Many times, we are not able to agree on a settlement and either or both parties require judicial intervention. A Judge of Workers’ Compensation is consulted in those instances and is asked to make a recommendation. If the parties still cannot agree or further information is necessary, a trial will commence, usually beginning with the testimony of the injured worker followed by the testimony of corroborating witnesses, employers, co-workers and medical professionals. Upon conclusion of the trial, the Judge is asked to render a decision. Knowing that your case may go to trial is another good reason to make sure you hire an experienced Workers’ Compensation attorney.

If you need guidance, call 732-228-7534 today for a free consultation.

jerseyshoreworkerscomp.com.

Call 732-228-7534 Today! Your consultation is free! 225 Washington St. The Cottage, Toms River, NJ 08753 Kathleen M. Dotoli, Esq. was raised in Westwood but spent weekends and summers at her family’s shore house in Ocean Beach. Eventually, she made the move to Ocean County to live full time. She says:

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The County Woman Magazine www.TheCountyWoman.com

September/October 2016


16

Financial Management

Tony Karpowich Shares His Experience As A Chartered Retirement Planning Counselor OCW: Tell us about your move from your previous investment firm to Wells Fargo Advisors Financial Network. Tony: My decision to leave my prior

investment firm, after 16 years of service, was not as difficult as one might think. Things certainly change over long periods of time: people come and go, policies change, cultures change and then one day, all of a sudden, you find yourself somewhat adrift somewhere in the middle, just meandering along, albeit successfully. I’m more of a get-up-and-go type of person, excited for the new day and its challenges and the potential for good outcomes. About a year ago, I had gotten a call from a woman by the name of Cindi Cooper, Vice President of Regional Business Development for Wells Fargo’s independent brokerage channel. She wanted to recruit me to the firm. I immediately said to her, “I cherish my clients, they come first and foremost, and I am particularly protective of the manner in which I do my business. Are you still interested in talking to me?” Indeed she was. She wanted to know all about me, not only my business practices and philosophy, but about me the person, my family, my history. She told me all about Wells Fargo’s independent brokerage channel; that Wells Fargo goes way out of its way to treat you as a business owner, far removed from the employer-employee business model. By this time, I was approaching 25 years in the financial advisory business and I had always worked for someone else. But I had become more and more interested in establishing my own wealth management company, while still partnering with a firm for advisory and technical support as well as regulatory compliance.

OCW: What advantages does your move to Wells Fargo Independent Brokerage Services provide for your investors? Tony: I often like to say to people, “I’ve unhitched myself from the

wagon.” As an independent financial advisor, I have full autonomy as to what I recommend to clients and how I go about my business. As I said to Cindi Cooper some time ago, my clients come first and foremost. Wells Fargo is an overwhelmingly strong proponent of this principal and I stay true to it each and every day. On a grander scale, my affiliation with Wells Fargo Advisors has made me a part of a financial conglomerate, Wells Fargo & Company, which boasts $1.7 trillion in assets and is ranked as America’s 30th largest corporation (Fortune 2015). I have the ability to tap into Wells Fargo’s full array of inventory and products and advisory services. From an investment planning perspective, Wells Fargo’s Envision Process is a “must use” on the part of the investing public. It forces people to take a “financial inventory” of themselves. As a financial advisor, I use the Envision Process to help investors identify and prioritize life goals, refine them, implement an investment strategy to achieve those goals, implement investment recommendations, monitor them, and make adjustments along the way. All of these elements are critical to achieving financial reward and success.

After many weeks of back and forth phone calls, I informed Cindi that I was ready to come to St. Louis to engage in due diligence meetings (along with my wife, JoAnn, who was to become my assistant). We truly met phenomenal people from Wells Fargo and we were quick to realize they genuinely cared as much about us as people as potential business owners. So here I am today, a little more than five months into the ownership of my own wealth management company, Gold Star Wealth Management, LLC. The whole experience has simply been awesome. Most importantly, I’m 200% happier and fully re-energized.

For more information, call 848-200-1170 or visit www.goldstarwealthmanagement.com.

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Financial Management

17

Tony Is The Key To Your Financial Health OCW: What are the top investment strategies for women and what specific advice do you have for women investors? Tony: I don’t believe that investing per se is gender-centric. It’s situationalcentric, there is no “one-size-fits-all.” Everybody’s situation is different, whether young or old, married, widowed or divorced, employed or unemployed, newly rich because of inheritance or poorer through unexpected circumstance. Then, of course, everyone’s tolerance to risk varies. Quite often, however, the goals are all the same: college savings, retirement savings, estate planning, and so on. As a financial advisor, my responsibilities are to listen, fact-find, and ultimately arrive at realistic solutions for the individual, couple, or even household.

There is one specific piece of advice I would give to women, however. It really has to do with husbands and wives. Earlier in my career, first-time meetings with prospective clients were often done solo, husband only—it was just the way it was. Eventually, I thought better of this arrangement and made it a prerequisite that to meet with me, the “Mrs.” had to come along, and not just for the first meeting, but all meetings. I adapted because I saw firsthand what could happen if a husband pre-deceased the wife. To put it bluntly, it was not good. Children and even friends would arrive with vying interests and concerns and suddenly the three-ring circus was back in town. By bringing wives into the decision making process, I was able to help educate them about the investment and planning process and, ultimately, build within them a certain degree of comfort and confidence. Over time, an entire relationship would become stronger to the point of being rock solid. This facet of financial advising is by far the most rewarding.

There is one other piece of advice that I would give to everyone. The one thing an investor can never get back is time. Just can’t be done. So in my travels, discussions, and speaking engagements I always emphasize this: START YOUNG!! Sometimes you hear the swan songs entitled: “I Ain’t Got No Money,” or “I’ll Do It Later, I’ve Got Lots of Time.” These songs will never ever make the Top 40. I always go on to say that a 20 oz. cup of Wawa coffee costs about a $1.64. Multiply that by 365 days and you come to about $600. If you’re 22 years old and take that “Wawa-Windfall” and contribute every year to a Roth IRA (preferably) or a Traditional IRA (if you need the tax deduction), at age 60 (38 years later) at an annualized compounding rate of return of 6%, you’ll have saved up $81,500. Two cups of that Wawa coffee or $1,200 per year would go to $163,000. And 3 cups or $1,800 per annum settles in at $244,000. Lastly, there is no substitute for having a plan that is based on a vision of financial wellbeing. Diversification via historically superior money managers, patience and time are the key elements to building a strong financial foundation and ultimately financial freedom. Finding an experienced and successful financial advisor is an important part of the foundation as well, one who is not only for you, but with you.

For more information, call 848-200-1170 or visit www.goldstarwealthmanagement.com. (Investment products and services are offered through Wells Fargo Advisors Financial Network, LLC (WFAFN), Member SIPC. Gold Star Wealth Management is a separate entity from WFAFN).

Are you searching for a Financial Advisor? Are you unhappy with your current advisor? Are your accounts receiving the service they deserve? Are you struggling to manage your portfolio on your own? Has your portfolio lived up to your expectations? Experience the Wells Fargo Advisors difference. If you are looking for a Financial Advisor who stands apart from the crowd, come and see what makes us different. We offer comprehensive investment advice, a broad range of investment choices, and dedicated personal service.

Gold Star Wealth Management Tony Karpowich, Senior Financial Advisor Chartered Retirement Planning Counselor 680 Hooper Ave., Bldg. A, Ste. 104, Toms River, NJ 08753 Direct: 848-200-1170 • tony.karpowich@wfafinet.com goldstarwealthmanagement.com Investment and Insurance Products:

NOT FDIC Insured

NO Bank Guarantee

MAY Lose Value

Investment products and services are offered through Wells Fargo Advisors Financial Network, LLC (WFAFN), Member SIPC, a registered broker-dealer and a separate non-bank affiliate of Wells Fargo & Company. © 2013 Wells Fargo Advisors Financial Network, LLC. All rights reserved. 0716-04022 [74034-v5] A1587 (2992702_496580) Gold Star Wealth Management is a separate entity from WFAFN.

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


18

Medical Professionals

ENJOYING LIFE COMPLETELY AFTER BARIATRIC SURGERY

Since having bariatric surgery at The Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center (ARMC), lifelong Hammonton resident Dianne Lombardo is down more than 90 pounds — and feeling more energetic and healthier than ever. She’s off her blood pressure medications, enjoying bike rides with the love of her life, and jumping around with her grandkids. She even traveled to Israel recently, comfortably buckled into her airplane seat for the first time in decades.

“I’ve worked hard over the years to battle weight gain. I began losing that battle in my early 20s. It would be an understatement to say I’ve tried just about every diet and weight-loss plan that came along. I’ve lost the same 60 pounds over and over again, each time gaining even more than I lost,” says Dianne, 52. As the scale creeped up, Dianne’s mind went into overdrive worrying about food, diets, what not to eat, what to eat, and how to lose weight. “The struggle began to consume my thoughts,” she recalls. Her decision to have weight-loss surgery was made after an extensive review of all the options available in the tri-state area. She interviewed other bariatric surgery patients, reviewed statistics, and talked over her choices with her husband and her primary care physician. Ultimately, Dianne’s research led her to AtlantiCare and to Alexander Onopchenko, M.D., FACS, medical director of the Center for Surgical Weight Loss & Wellness at ARMC. He performed a SADI procedure, a new modification of duodenal switch, which no one else in South Jersey offers.

“The Boot Camp, educational classes, and patient preparation were some of the reasons I chose the Surgical Weight Loss & Wellness at ARMC. Dr. Onopchenko and his staff are dedicated to the whole being of a person. I appreciate the care and concern taken with each person as an individual,” Dianne says. While recovering from surgery at ARMC, she felt a particular comfort knowing many of the people taking care of her had undergone bariatric surgery themselves. “This really impressed me because they could truly understand the struggle, as well as the recovery process. The nurses and staff were so encouraging and informative as they cared for me,” Dianne explains. Dianne is sharing her story in the hopes others will take encouragement from her weight-loss journey and get the tools they need to improve their health and, therefore, their life. “Obesity is a battle that needs the correct tools to fight. Bariatric surgery is the tool that worked for me. I have and will continue to recommend Dr. Onopchenko and the AtlantiCare team,” she says.

For more information, visit www.atlanticareweightloss.com or call the AtlantiCare Access Center at 1-888-569-1000. The Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center is designated as a Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery.

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Law

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Need An Experienced Injury Lawyer? I’m Here To Help You! Kevin Riordan, Esq. has been certified by the Supreme Court of New Jersey as a Civial Trial Attorney. For over 30 years, personal injury attorney Kevin Riordan, Esq., has handled a wide variety of legal cases. Being involved in an accident or incident that results in personal injuries can be devastating to an individual and their family. The personal injury field allows him and his staffers to help innocent victims maneuver through the legal process, which can be complicated and time-consuming. Kevin adds, “We try to get the most compensation for their pain and suffering, while treating them with compassion, dignity, and respect.” Another benefit to hiring Kevin is that he is a sole practitioner. As a sole practitioner, in a personal injury law firm, we offer a number of benefits to potential clients. You will have a more direct one-on-one working relationship with your lawyer. Your case will not get lost in the shuffle. They are also more willing to take on smaller cases and often have lower fees and costs. Kevin attended Kalamazzo College and received his law degree from New York Law School. He is a member of the Ocean and American Bar Associations.

Kevinm Rior

KEVIN B. RIORDAN, ESQ.

20 Hadley Ave., Toms River, NJ • Call: 732-240-2250 Email: kbrlaw@comcast.net • www.kbrlawfirm.com

Real Estate

Paul Curatolo

Your Jersey Shore Real Estate Authority As a full-time agent and a life long resident of northern Ocean County I’m intimately familiar with the area. The bulk of my business is by referral and with that said; I’m truly interested in satisfying every client. I’m humbled by the opportunity to serve you and will do everything in my power to make this a smooth and stress free transaction. I have strategically aligned myself with the finest professionals through the entire process and can recommend someone for every phase of the buying and selling process. This is a one stop shop! I have spent the last 16 years in luxury sales and look forward to providing you with the luxury experience you deserve.

The County Woman Magazine www.TheCountyWoman.com

Paul Curatolo REALTOR ASSOCIATE Office: 732-914-0074 Cell: 732-300-7034 curatolo140@gmail.com

www.jerseyshorehomesbypaul.com Buyers Agent • Listing Agent • Foreclosures Short Sales • Relocation • Retirement Communities

September/October 2016


20

Pediatric Medical Day Care

Becoming a parent can be a daunting prospect for anyone. Sometimes, a parent is faced with something that presents an even larger challenge – having a child with special medical needs. Not only do you have to care for a child, you now have to learn to attend to the child’s special needs. On top of that many families need both parents to work to provide. In these cases a parent may look for assistance by attempting to enroll at a local daycare. Unfortunately, many are turned away because an ordinary daycare cannot accommodate the child’s medical needs. One can be left feeling that they must face this all on their own without any support. Fear not. You are not alone. There is a Pediatric Medical Daycare right in your backyard. Located in Manchester NJ, Manchester Pediatric Medical Daycare has the answer to this dilemma. At our daycare a parent can get the help they need for the special medical needs of a child. We believe that every parent should be able to get the support that they need. Manchester Pediatric Medical Day Care is a facility for medically fragile and medical device dependent children. To most the term Pediatric Medical Day Care is unfamiliar. What this means is children under six that are unable to attend regular Day Care/preschool for medical reasons (such as asthma, epilepsy, or diabetes) can attend our program. This is a Medicaid funded program and a child must have Medicaid services to attend. We are open Monday through Friday and provide free transportation to and from the facility, and hot lunch and snacks. The foundation of our program is our experienced nursing staff. Each and every nurse that is part of the program has many years of pediatric nursing experience and are PALS (Pediatric Advanced Life Support) certified. Not only are our nurses experienced and well trained, they all go through a rigorous interview process to ensure the utmost moral integrity and personal character. We believe that the importance of good role models cannot be over-stated. Atop the nursing care foundation, we have built a structure of services to advance children’s growth and development in physical, emotional, and educational aspects. Education during the years preceding six can shape a child’s path to success. It’s been widely proven that these years are crucial in a child’s brain development and consequently ability to learn and retain knowledge. We believe that just because a child is medically compromised does not mean they should have to compromise on education. To that note we have a Child Life Specialist, a teacher who is both well versed in education and setting appropriate educational goals for each child, and knowledgeable in therapeutic practice. This ensures that education and therapy are integrated and working together towards the individual child’s needs. Often children with medical needs fall behind on meeting their appropriate developmental milestones. Sometimes this is caused by long hospital stays or the need for the caretaker to focus heavily on the child’s medical needs. To make sure that we give each one of our children the ability to reach their full potential we employ Physical, Occupational, and Speech Therapists. Each child is assessed upon admission and individual therapy goals are created. The therapists then coordinate with one another to ensure that all therapeutic disciplines are working in unison. We call this our Interdisciplinary Therapy Team. At Manchester Pediatric Medical Day Care we realize that no matter what we are able to accomplish when a child is under our care, it pales in comparison to what the parent can contribute over the countless hours they spend together. We hold a Parent Teacher Conference on a regular basis to update the parents or guardians on the Medical, Education, Therapeutic, and Emotional status, thus allowing parents to work together with the program towards these goals. Additionally, we employ a full time social worker to navigate the complicated world of obtaining medical services. We have all at one point or another have gone through the process of dealing with government agencies. Medicaid applications, for example, can be confusing and intimidating. Our social worker will walk you through the process step by step. They will also help parents find additional resources provided in the community, such as subsidized housing, food stamps, and after hours care. There is a world of untapped resources that we can help parents obtain. Lastly, we provide the social interaction so often unavailable to these children. Often children must stay at home either with a parent, a nurse, or both. This does not give the child the ability to build the social skills needed when finally getting to the school age. By providing a stimulating social atmosphere and age appropriate peer to peer interaction a child can enter the school system without any social deficit. At Manchester Pediatric Medical Day Care, parents can get the support and assistance for their child that has unique medical needs. Medicaid funding means you can get all of our services, including transportation, at no cost to you. Find out more about our hiding gem. We could be the answer you’ve been looking for.

732-323-8400 1770 Tobias Ave., Manchester Township, NJ, 08759

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Medical Professionals

21

Teacher Retires and Becomes Pioneer in Brain Tumor Vaccine Trial Vaccine Uses Patient’s Own Immune Cells to Recognize and Destroy Cancer Cells Rita Coakley of Roxbury, NJ, is a pioneer of many sorts. For example, as a fifthgrade teacher at Lincoln Roosevelt Elementary School, she didn’t always make her students read from books. Instead, she often taught them by telling stories to make learning more meaningful. She recently retired from teaching – a few months earlier than expected – and now she’s a pioneer in a brain tumor vaccine trial. The transition happened very quickly. When Rita was asked about a specialoccasion outfit, she couldn’t recall where she bought it. For Rita and her husband, Leo, that was a real concern – since Rita can tell you every detail about every dressy outfit she owns. Leo began peppering her with questions … but she couldn’t answer any of them. They went right to the hospital, where she had a CT scan. A day later, she met Atlantic Neurosurgical Specialists’ Dr. Yaron Moshel, a neurosurgeon specializing in complex brain tumor surgery, who informed her there was a mass. “You’re kidding,” Rita replied. She had no symptoms except for the temporary memory loss and recurring headaches she had been having for years. She thought nothing of them. Dr. Moshel predicted a glioblastoma, a form of brain cancer. “Brain tumors are like real estate,” he said. “Location. Location. Location. And we can get this one out.” A week later, the tumor was successfully and completely removed. Chemotherapy and radiation treatments followed. Rita retired a few months earlier than planned and is now one of the first patients enrolled in Phase III of the DCVax® trial. This treatment is designed to stimulate a patient’s own immune system to fight cancer. According to Dr. Moshel, who is co-director of the Brian Tumor Center of New Jersey and investigator on the trial, DCVax is unique. It is a personalized vaccine created by educating a patient’s own immune cells to recognize and kill his/her cancer cells. Rita’s participation in the trial is being administered by Dr. Michael Gruber, co-director of the center. “Before Rita started radiation, we collected a coffee-cup’s worth of white blood cells and extracted her dendritic cells,” he details. “We then sent the cells and the tumor to a facility in Tennessee. They take the protein from the tumor and introduce it to the dendritic cells so they learn to recognize and kill the cancer cells bearing those

MCW/OCW Neuro-Focus/Coakley_Moshel #845_r4.indd 1

proteins. Essentially, Rita’s white blood cells go to boot camp to learn to fight her own tumor cells bearing the proteins. Rita will be injected with the resultant vaccine over the course of the next two and half years.” Rita and Leo are thrilled about the opportunity to be in this trial. “This is like an extra insurance policy,” Leo said. “In addition to the normal follow-up treatment Rita will receive, Rita Coakley is participating in the DCVaxR trial, a form which includes one week of of immunotherapy designed to stimulate a patient’s own oral chemo for each of the immune system to fight cancer. next six months, she will also have the benefit of the vaccine. Even though the trial includes a possibility of receiving a placebo, if her tumor reappears, she will immediately receive the vaccine as part of her treatment.” Even though battling brain cancer is no picnic, Rita and Leo have incredibly positive attitudes. “The care Rita has received has been outstanding,” Leo concludes. “Dr. Moshel, the ANS team and Morristown and Overlook Hospitals have been incredible.” When asked what advice she’d give to other patients, Rita quipped: “Keep a positive attitude and never underestimate the power of prayer. And make sure you have medical professionals who are brilliant. Never lose your sense of humor. Battling cancer is traumatic, and humor plays a critical role in recovery. Take advantage of the support that’s out there. The love and caring from family, friends, co-workers, medical staff and other patients goes a long way on the road back to good health.” For more information on ANS, visit ansdocs.com or call our Neptune office at 732.455.8225. To schedule an appointment with Dr. Moshel or inquire about patient trials, please call our Morristown office at 973.285.7800.

The County Woman Magazine www.TheCountyWoman.com

8/12/16 2:31 PM

September/October 2016


Law

22

‘Spendthrift Trust’ Gets Divided At Divorce Even though a wealthy family put assets in a trust for their children in order to protect them from creditors, a child’s interest in the trust could be divided in a divorce, says the Massachusetts Appeals Court. While this result is unusual, it goes to show that even a solid spendthrift trust might not be perfect if a creditor – in this case, a spouse – is sympathetic enough. Curt Pfannenstiehl was a beneficiary of a family trust worth some $25 million. He and his wife, Diane, had a son with dyslexia and ADD and a daughter with Down syndrome. Curt worked for his family’s business and earned $170,000 a year for a job that usually Christine L. Matus, Esq. pays about $50,000. Diane had been an Army Reserve officer, but Curt’s family pressured her to give up her job shortly before she completed the 20 years of service that would have earned her a military pension. Diane became the primary homemaker and took care of the children, whose needs were very demanding. About half the family’s income came from trust distributions.

The distributions were controlled by Curt’s brother and a lawyer for the family business. Once a divorce was filed, the trustees immediately stopped all distributions to Curt (but not to the other family members), and the family took what a judge called a very tough, “scorched earth” approach to fighting Diane financially in court. This was true even though Diane would have custody of the couple’s daughter and a very limited ability to earn a living due to the daughter’s special needs. The Appeals Court (in a 3-2 vote) sympathized with Diane and said she should be entitled to a portion of the value of Curt’s interest in the trust. Again, this is an unusual result. Spendthrift trusts usually work well. But the case goes to show that even a good spendthrift trust might not be bulletproof in all cases, especially if the result could be perceived as unfair.

For more information, call 732-281-0060 or visit www.MatusLaw.com. Helping people protect assets for Special Needs Children and conduct smooth real estate closings for almost two decades. Basic Estate Planning FOR PARENTS WITH SPECIAL NEEDS CHILDREN

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The County Woman Magazine www.TheCountyWoman.com

September/October 2016


P Precious recious M Metal etal B Buyers uyers • Gold, Silver & Platinum • Rare Coins & Bullion

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t is with much appreciation and delight that I have met a young, honest businessman by the name of Dov Oppenheim. I have lived in Ocean County for four years and recently, I’ve lost my pension and all of my investments. In order to make ends meet, I had brought phenomenal pieces of jewelry to several places… MISTAKE! cash for gold advertisements - whether at hotels, jewelry/pawn t is with much appreciation and delight BIG that I have met a young,Never honestuse businessman by the name of Dov Oppenheim. businesses and especially through private person advertising! I have lived in Ocean County for four years and recently, I’ve lost my pension and all of my investments. In order to make ends meet, Unfortunately for me, I was robbed blind. I was not allowed to remove, nor was I paid for the precious I had brought phenomenal piecesinofmy jewelry to several BIG were MISTAKE! Never in usesize cashand for gold - whether stones jewelry. All ofplaces… my stones substantial karatadvertisements weight. Some were extremely rare, at hotels, jewelry/pawnlike businesses and especially through private person advertising! my 4.5 karat emerald-cut kunzite, my 2 karat chrome diopside, and my 4 karat Burmese ruby. I was told they wantedblind. the gold that thetostones They even deducted weight from the gold Unfortunately for me, Ionly was robbed I was and not allowed remove,would nor wasbeI pulverized. paid for the precious stones in my jewelry. because of the All of my stones were substantial in gemstones. size and karat weight. Some were extremely rare, like my 4.5 karat emerald-cut kunzite,

Approximately ago,ruby. I had the honor of meeting my 2 karat chrome diopside, and my 4one karatyear Burmese I was told they only wanted the gold and that the stones would Dov Oppenheim at Precious Metal Buyers, LLC in Manchester.

be pulverized. They even deducted weight from the gold because of the gemstones.

It was through Dov that I became extremely educated in the “honest way” of

Approximatelybusiness one year practice ago, I hadwith the honor of meeting at also Precious Metal Buyers, LLC in Manchester. precious metalsDov andOppenheim gems. Dov works closely with

It was through Dov that I became extremelythem educated in thebusiness “honest way” of business practice with precious detectives and notifies of illicit transactions. metals and gems. also Dov worksOppenheim closely with detectives and notifies thembecome of illicit business Dov I trust completely. He has a dear transactions. friend.

Please beware of any other precious metal/gemstone scams! They are everywhere. Please beware of any other precious ~ Maryellen S., Manchester

I trust Dov Oppenheim completely. He has become a dear friend. metal/gemstone scams! They are everywhere.

visit www.pmbuyers.com ~ Maryellen S., Manchester

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

Dov Oppenheim, Owner

visit www.pmbuyers.com

November/December September/October2014 2016


Medical Professionals

24

The Salivary Glands Written by Stephen Kupferberg, MD, FAC

There are both major and minor salivary glands. The major salivary glands are the parotids, submandibular and sublingual glands. The function of all the glands is to produce saliva to moisten the mouth, aid in digestion, and help protect the teeth from decay. The parotid glands empty into the mouth via a single tube called a duct. It is called Stensen’s duct and it is located in the cheek near the second molar of the upper teeth. The submandibular gland empties under the tongue in the front of the mouth through Wharton’s duct. The sublingual gland has many ducts in the floor of the mouth. There are multiple minor salivary glands located in the lips, cheeks and other areas of the mouth and throat.

Several different problems can involve the salivary glands including obstruction, infection, tumors, and other disorders. Obstruction most commonly occurs in the parotid and submandibular glands. It may be due to the formation of stones in the gland or ducts. Strictures or narrowing can also slow salivary flow. When a person eats, the nervous system signals the gland to increase its production of saliva. This may back up and cause the gland to swell. This swelling usually decreases slowly after a meal. The most common infection in children is mumps and affects the parotid glands. This usually occurs in children who have not been immunized. Infections also happen in adults. This often occurs in the elderly who become dehydrated or with severe obstructions. This often necessitates antibiotic therapy. Tumors also occur in the salivary glands. They most commonly present as painless swellings on the side of the face or upper neck. Aggressive tumors can present with involvement of the facial nerve, causing decreased movement in portions of the face. Most tumors are benign. Pleomorphic adenoma and Warthin’s tumors are the most common benign lesions. Mucoepidermoid carcinoma, adenocarcinoma, and adenoid cystic carcinoma are the most common malignant tumors. Diagnosis is often made by physical examination. A mass can be felt in the cheek or neck. Stones can sometimes be noted by palpation in the mouth. CT scans or MRIs are often necessary to delineate the extent or size of tumors or stones. If a tumor is found, a fine needle aspiration biopsy is often performed to figure out the pathology to guide further therapy. Small stones may be removed by sialoendoscopy. This involves removing the stones through the ducts with a small camera, graspers, baskets, or lasers. Larger stones will necessitate more extensive surgery. Tumors will often necessitate surgical intervention. Tumors involving the parotid gland will often necessitate a superficial or total parotidectomy with facial nerve dissection, as this nerve divides the gland into superficial and deep lobes. Malignant lesions may result in sacrifice of part or all of the facial nerve. Submandibular gland lesions are removed by excising the entire gland. If malignancy is noted, then radiation therapy and possible chemotherapy may be needed.

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The County Woman Magazine www.TheCountyWoman.com

Lorraine Fetherman, L.E., C.P.E. & Debbie Matusas, L.E., C.P.E.

September/October 2016


Meet the Physicians

25

Meet The Board Certified Physicians At Ocean Otolaryngology Bruce W. Peters, DO, FACS Dr. Bruce Peters is a board certified Otolaryngologist who established his practice in Ocean County in 1997. A graduate of Philadelphia College of Osteopathic Medicine and residency at Thomas Jefferson University Hospital, Philadelphia, Dr. Peters then completed his Fellowship in Facial Plastic Surgery and Reconstructive Surgery at the University of Miami Hospital. He specializes in functional and cosmetic nasal surgery, sinus surgery, thyroid surgery and skin cancer surgery. Dr. Peters is a member of the American College of Surgeons, the Academy of Otolaryngology, Head and Neck Surgery, the Academy of Facial Plastic Surgery and the N.J. Academy of Otolaryngology. He resides in Wall, N.J. with his wife and two daughters and enjoys golf and fishing in his leisure time.

Stephen Kupferberg, MD, FACS Dr. Stephen Kupferberg is a board certified Otolaryngologist and has been in practice for 18 years. He is a graduate of Jefferson Medical College, Philadelphia, Pa. and completed his internship and residency at the Medical College of Georgia, Augusta, Ga. Dr. Kupferberg practiced in Maryland for four years before moving to Toms River where he resides with his wife and two sons. He specializes in nasal and sinus surgery and head and neck surgery and adult and pediatric ear, nose and throat disorders. His leisure time is spent outdoors with his family, cycling, camping, hiking and golfing.

Christina Gillespie, MD Dr. Christina Gillespie is a board certified Otolaryngoloigist who has been in practice in Toms River since 2013. She completed her internship and residency in Otolaryngology at Walter Reed Army Medical Center. Before moving to Toms River, she served as Chief of Otolaryngology at William Beaumont Army Medical Center in El Paso, Texas for eight years. At Ocean Otolaryngology, Dr. Gillespie sees patients of all ages with a variety of medical problems. Her specialties include pediatric otolaryngology, sinus surgery, and surgery for sleep apnea. She also treats common medical conditions such as hearing loss, tinnitus, hoarseness and chronic cough. Dr. Gillespie resides in Monmouth County with her husband and daughter. She enjoys spending time with her family as they explore the Jersey Shore. She is also an avid tennis player.

OCEAN OTOLARYNGOLOGY ASSOCIATES

has three convenient locations in Toms River, Brick, and Whiting. For more information or to schedule an appointment with one of these Board Certified Physicians, please call 732-281-0100 or visit www.OceanENTFacialPlastics.com.

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


26 40

Professional Dentistry

Medical Professionals

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

31

May/June 2016 2016 September/October July/August 2016


Medical Professionals

27

Loving Your Skin And Your Selfies

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

Love your selfies while loving your skin. We can help to remove the brown spot blemishes and lines that don’t just go away, along with facial blood vessels of the nose and cheeks. Our advanced state-of-the-art laser center has any number of treatments to eliminate and restore your skin’s youthful beauty. These changes are most noticeable in our face, chest, décolleté, and hands. As we age, the collagen production in our skin decreases and the structural support diminishes, causing visible changes. Ultraviolet light from the sun and other factors, such as smoking, contribute to these changes. Good skincare and skin protection help you maintain youthful skin but are not 100 percent restorative or protective. Advances in fractionated CO2 laser skincare and micro pulsed skin rejuvenation now offer treatments with little to no downtime while enhancing the skin strength and elasticity. The result is more youthful, smoother skin with better texture and color. These treatments use specific laser light energy which goes to the second layer of the skin, resulting in new collagen formation, resulting in skin renewal. The fractionation (untreated areas of skin) between these pulses accelerates recovery. Recovery that once took weeks now takes a few days with the fractionated CO2 laser and skin renewal with no downtime with micro pulsed treatments.

At Ocean Plastic Surgery P.A. and Laser Center, Dr. Stephen Small will give you treatment options specifically for your skin concerns. Dr. Small performs all treatments and will provide you with a safe, precisely controlled treatment to meet your skincare needs with minimal to no downtime. Are treatments safe? Laser treatments are safe, effective, affordable and proven treatments for virtually all skin types except very dark skin. A personalized consultation will determine if this treatment is right for you. How well do brown and red spot treatments work? These treatments can eliminate or significantly reduce facial or body red and brown spots. Treatments take about 10 minutes. Usually three treatments are needed for optimal results. How does laser hair removal work? Our hair removal lasers can reduce 70-80 percent of your hair growth after three to four treatments. These treatments have been life changing for some of our patients as it has eliminated hair growth as a focus in their daily lives.

When should I start treatments? Treatments can be performed anytime and the downtime tailored to your lifestyle. However, sun exposure after treatment needs to be minimized, making this skin rejuvenation treatment ideal in the fall or winter. We provide other skin-smoothing treatments such as Botox, Dysport and fillers while excelling in cosmetic surgery of the breast, face and body. These additional treatments can complement or enhance the results of another treatment. Dr. Small’s goal is to help his patients achieve a beautifully natural appearance. He understands that undergoing plastic surgery is very personal, and strives to provide an exceptional result and experience. You will be cared for in a comfortable, compassionate setting with a staff that is ready to serve you.

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The County Woman Magazine www.TheCountyWoman.com

September/October 2016


28

Medical Professionals

UROLOGY GROUP OF CHOICE Treating patients with compassion, dignity, mutual respect, and trust. For the fourth consecutive year, the doctors of University Urology Asociates of New Jersey have been recognized by fellow medical practitioners to be among the best urologists in the Garden State. We continually strive to provide comprehensive state-of-the-art urological services with emphasis on patient education and shared decision making. Treating patients with compassion, dignity, mutual respect, and trust remains our steadfast goal.

At University Urology Associates, we specialize in: • Adult Urology • Pediatric Urology • Urologic Oncology • Male Infertility • Sexual Dysfunction • Urodynamics • Stone Disease • Incontinence • Female Urology • Laparoscopic Surgery • Robotic Surgery • Reconstructive Urology HOWELL 2364 Route 9 South Howell, NJ 07731

(Left to Right) P. Jadeja, MD, Alexander Gotesman, MD, Linda Mahmood, Mukaram Gazi, MD, FACS, Parvez Mahmood, MD, FACS & Not Pictured Robert Peterson, DC, PA-C & Imani Rosario, MD

NEW EXTENDED HOURS! University Urology Associates of New Jersey was established in 2003 and is proud to be serving Mercer, Monmouth, and Ocean counties. Our mission is to be a solutions-based practice, maximizing the value of the service we deliver our patients with commitment to excellence, integrity, innovation, and treatment.

To set up an appointment, please contact: (732) 928-5300 • (609) 581-5900 www.UUANJ.com HAMILTON 1374 Whitehorse Hamilton Sq. Rd. Hamilton, NJ 08690

The County Woman Magazine www.TheCountyWoman.com

TOMS RIVER 20 Hospital Drive Toms River, NJ 08755 September/October 2016


Business Spotlight

29

University Urology Welcomes Dr. Imani Rosario! As a third-year medical student at Georgetown University, Dr. Imani Rosario became fascinated with the field of urology. “After rotating through the various sub-specialties within the field of surgery, it became clear to me that urology was the area of medicine most challenging and rewarding to me,” she says. Unlike other fields, urology provides the opportunity for doctors and patients to form long-term therapeutic relationships and allows for management of patients throughout the life cycle. She adds, “I look forward to getting to know and care for my patients over many years.” CW: What are the most common issues that you treat? Dr. Rosario: As a urologist I diagnose and treat disorders of the genito-urinary tract in both men and women. The most common problems I see are kidney stones, urinary problems such as incontinence, enlarged prostate, and cancers of the prostate and bladder. CW: Which area of your field gives you the greatest satisfaction? Dr. Rosario: I love working with patients to develop treatment plans tailored to their individual needs and lifestyles. I have a special interest in some of the specific urological problems such as bladder leakage, pelvic floor problems, and sexual dysfunction. CW: As a physician, what are your primary objectives? Dr. Rosario: My primary objective is providing patient care in a compassionate and sensitive manner. I focus on evidence-based medicine and cutting-edge techniques. One of my beliefs has always been to tailor the care to the individual patient and encourage patients and their families to take an active role in their treatment plan. CW: What is the most challenging part of your job? Dr. Rosario: Delivering bad news and information to patients of life-threatening diagnoses is one of the most challenging parts of my job. Each patient is a fellow human being with plans, dreams, and feelings just like my own. For me, part of being a good doctor means putting myself in my patients’ shoes and empathizing with what they are going through. While I believe the ability truly empathize with people is a gift, it can be emotional taxing at times. In spite of these challenges, having the opportunity to offer comfort, healing and understanding to people in times of great need remains one of my greatest joys. CW: Tell us a little bit about your family. Dr. Rosario: Although I am a native New Yorker, I am now proud to call New Jersey my home. My husband, Ramon, and I have twins, a boy and a girl. We are also the proud parents of a pair of funny (and very spoiled) rescue dogs. My French bulldog, Oliver, is a certified therapy dog that has visited patients in hospitals and nursing homes, bringing a bit of light and companionship to the ill. All he asks for in return is lots of snuggling and the occasional piece of cheese.

Dr. Imani Rosario earned her medical degree from the Georgetown University School of Medicine, where she was very involved in community service activities and received the Michael J. Caruso award for humanism in medicine. After completing her postgraduate training in urology at Rutgers New Jersey Medical School (formerly the University of Medicine and Dentistry of NJ–NJ Medical School), she accepted a position as Assistant Professor of Surgery in the Division of Urology at Rutgers NJ Medical School, where she was responsible for training and teaching medical students and general surgeons and urologists in training. Dr. Rosario received multiple nominations for the Golden Apple teaching award and was recognized for outstanding patient care. She also served in a leadership capacity as Program Director of the Urology Residency program.

For more information, call 732-928-5300 or visit www.UUANJ.com.

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Health

30

&Wellness

Recover From The Summer Sun With Face & Body Treatments At The Body Wrap Shoppe & Spa

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ummer has come and gone and it’s time to give your body some much needed rejuvenation. The Body Wrap Shoppe can help your skin with some popular facials and massages that will get your body ready for the cold winter months to come. Begin your path to more beautiful and healthier looking skin today!

Triple ACE Double Peel

Restorative Body Renewal

Citrus, anti-aging sun damage peel. This will rejuvenate your skin and those prone to sun damage and melanoma.

If you are looking to heal dry and dull skin, Restorative Body Renewal scrub is the best choice. We will use a revitalizing sea salt scrub, mixed with essential oils; to stimulate the skin and improve circulation. This is followed by a gentle, full body massage with a light body butter cream to soothe and restore the new layer of skin, while keeping you relaxed and comfortable.

Radiance Facial

Our experienced esthetician will analyze your skin and create the ultimate facial for you. Whether you are a person struggling with acne, suffering from a dull complexion, facing a superficial skin issue, or just need to relax, our customized facial is perfect for you.

Pink Grapefruit Indulgence

This is a full body scrub followed by an aromatic infused steam shower. For further relaxation, you will enjoy an infrared heat blanket, while enjoying the blissful aroma of Pink Grapefruit.

O2 Lift

Our invigorating O2 lift repairs dull skin, wrinkles and pigmentation with its remarkable, all natural ingredients. This facial also builds collagen and creates an ageless glow and feel to the skin. This treatment infuses oxygen, plant-derived stem cells, peptides and a high concentration of enzymatic botanicals into the skin leaving it luminous, refreshed and rejuvenated.

Island Retreat

Enjoy this de-stressing full-body massage using organic coconut oil, which will leave your skin feeling smooth and hydrated. The anti-inflammatory properties of this oil will also help to relax any tension you may have. Enjoy a tropical get-away all year round with this experience.

Visit: www.TheBodyWrapShoppe.com

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Gobble Wobble 5 K Run on November 24th Thanksgiving Day

Hosted by The Southern Ocean Ladies Running Club Visit our website for more information www.casaofoceancounty.org

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September/October 2016


Medical Professionals

31

Acuity Hospital: A Simple Choice For Complex Patients Written by Claire Brown, BSN, RN, Director of Provider Relations Mrs. Falciani was admitted to Lankenau Medical Center – Main Line Health – in Wynewood, PA on March 7th, 2016. Mrs. Falciani, 81, who is a long-term resident of Hammonton, had been admitted for extensive abdominal surgery to have a large part of her colon removed. In addition, Mrs. Falciani had an extensive cardiac history, which made her an extreme risk for surgery. She returned to the Mrs. Falciani Operating Room for subsequent abdominal surgeries on March 10th and March 15th. It was a very traumatizing experience for her during this time; however, as a first-generation Italian immigrant, her family said she was very resilient and always exhibited a positive attitude throughout her life. Mrs. Falciani could not come off the ventilator after the third abdominal surgery due to her fragile medical condition, which also included her cardiac and pulmonary issues. By March 31st, she also received a tracheostomy (a tube that comes out of the neck to breathe) to stabilize her breathing. During this time, Mrs. Falciani’s two sons, Amerigo and Delfino, along with their families from Atlantic County, travelled tirelessly to Lankenau Medical Center to visit her. They believed that she received excellent care there but once she became medically stable, they felt she should be transferred to a specialized hospital such as Acuity Specialty Hospital for further ventilator management as well as being closer to home. Mrs. Falciani had already been in Lankenau Intensive Care Unit for 68 days. During this time, the staff at Lankenau tried diligently on numerous occasions to wean her from the ventilator. Her medical condition prevented this from happening at that time. Acuity Specialty Hospital of New Jersey is a long term acute care

For Information or Referrals, Call 609-441-8123

hospital located inside AtlantiCare Regional Medical Center in

A Simple Choice for Complex Patients

Atlantic City. Our recently renovated hospital-within-ahospital provides 30 private

rooms equipped with state of the

art monitoring to the medically

complex and critically ill. Patients are seen by physician specialists daily and typically discharged to acute and sub-acute

rehabilitation centers, skilled nursing facilities or their homes.

Jennifer Brown, BSN, RN, Employee of the Year 2015 and Kathy Kerstetter, MSN, RN, ACNP-C, Leader of the Year 2015

Our achievements speak for themselves:

• •

First hospital in New Jersey to achieve ISO 9001:2008 certification, maintained since 2012 New Jersey Hospital Association Excellence in Quality Improvement Award- 2016 American Association for Respiratory Care Center of Excellence 2012-present Current ventilator weaning rate over 80% Wound healing rate over 80%

Our team specializes in the following needs of our patients: • • • • •

Ventilator weaning Complex wounds Infectious diseases Medically or surgically complex care Multi-system organ dysfunction

www.acuityatlanticcity.com

Mrs. Falciani’s son, Dr. Amerigo Falciani, had been advised by another medical expert who is prominent in the local community that she could most likely be removed from the ventilator at Acuity Specialty Hospital. So, on April 15th, Acuity Specialty Hospital received a referral to go to Lankenau Medical Center to evaluate her medical Mrs. Falciani and Delfino condition. She was immediately accepted for transfer by the Clinical Liaison, Sabina Booker, from Acuity. This was pending the surgeon’s permission for her to be discharged from Lankenau and transferred to Acuity. On May 6th it was determined by her surgeon that she was medically stable to transfer to Acuity, which was the next appropriate step. However, this was when the long battle with her insurance company began. A request from Karie Melton, Social Worker at Lankenau, was made for authorization to transfer her to Acuity Specialty Hospital and was denied by the insurance company. The understanding was that the insurance company would place her into a long-term nursing home for patients on ventilators, which was not near friends or family. They did not think she had a good chance of getting off the breathing machine. “Speaking for my mother, I believe she deserved the chance to have the breathing tube and feeding tube removed, which is what the Acuity Hospital specializes in. The proposed solution by the insurance company was completely unacceptable!!” said Mrs. Falciani’s son. Even after extensive medical information was submitted to the insurance company with recommendations by medical staff at Lankenau, the insurance company was not willing to give an authorization for her to come to Acuity Specialty Hospital. The insurance nurse negotiator at Acuity and Mrs. Falciani’s son Amerigo fought diligently to appeal the denial. Numerous telephone calls were made by both of them to overturn the decision made by the insurance company. “My mother worked hard all her life and should get the healthcare needed.” On May 16th the insurance company finally decided to reverse their decision and she was transferred to Acuity the next day! During her stay at Acuity Specialty Hospital, Mrs. Falciani was not only successfully weaned off the ventilator, but she was also able to have her tracheostomy and nasogastric tube removed. In addition, she was able to tolerate a regular diet without difficulty and able to ambulate with assistance from the physical therapists. On June 14th Mrs. Falciani was finally medically cleared and ready for discharge from Acuity to an acute rehabilitation hospital. Once again, she was denied this level of care by the insurance company. With the physician’s help at Acuity, this was overturned that same day. She then spent the next 4 weeks in rehab regaining her strength. Mrs. Falciani is extremely grateful for the care she received at Lankenau Medical Center and Acuity Specialty Hospital but after 129 days in 2 hospitals and a rehabilitation hospital, she was thrilled to transition to the next level of care. On July 14th Mrs. Falciani was finally discharged from the acute rehabilitation hospital. It had been a long and arduous journey for her and her family but because she had many fine doctors, nurses and advocates along the way, she was able to return home. She is now happily at home with her close friends and family. She enjoys entertaining her friends, who come over for espresso. Her family was especially grateful for the perseverance of the staff at Acuity Specialty Hospital, who relentlessly pursued her rights to receive the care she needed and deserved.

For more information, call 609-441-8123 or visit www.acuityatlanticcity.com.

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Reverse Mortgages

32

TOP TOP

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Director Director of Reverseof Lending Reverse Lending Mortgage Mortgage Loan Originator Loan Originator NMLS NMLS # 404007# 404007 Office:Office: 732-738-7100 732-738-7100 Ext.466 Ext.466 Cell: 732-569-4830 Cell: 732-569-4830 bsica@homebridge.com bsica@homebridge.com www.HomeBridge.com/BarbaraSica www.HomeBridge.com/BarbaraSica HomeBridge HomeBridge Financial FinancialServices, Services, Inc.Inc. Corporate Corporate NMLS IDNMLS #6521 (www.nmlsconsumeraccess.org). ID #6521 (www.nmlsconsumeraccess.org). 194 Wood Ave South, 9th194 Floor,Wood Iselin, NJAve 08830. South, New Jersey 9th Floor, Residential Iselin, Mortgage NJ 08830. Lender License New Jersey 9200151.Residential Mortgage Lender License 9200151. Licensed Licensed Mortgage Mortgage Banker Banker (B500691) (B500691) - New - New York State York Department State Department of Financial Services. of Financial Licensed by Services. Pennsylvania Licensed Department by Pennsylvania of Banking 20394. Department of Banking 20394.

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September/October 2016


Medical Professionals

33

My Doctor Says I Have Hepatitis! WRITTEN BY: OMAR TAMIMI, MD, GASTROENTEROLOGISTS OF OCEAN COUNTY Hepatitis is an often-misunderstood condition of the liver that can, at times, be fatal. Proper management in its early stages can prevent long-term injury and liver failure. What does hepatitis mean? Hepatitis is a general term used to describe an illness caused by the inflammation of the liver itself. The individual cells of the liver become inflamed, which results in the dysfunction of the entire liver. How did my doctor discover that I have hepatitis? Hepatitis is usually first diagnosed by routine blood tests that measure quantities of proteins (enzymes) that are normally produced by liver cells. When these levels are high in the bloodstream, this suggests the liver cells have been damaged and are leaking the enzymes into the blood. Hepatitis is defined as acute or chronic, based on how long the inflammation has been present. Inflammation lasting greater than six months is considered chronic. Not all causes of hepatitis are capable of causing a chronic condition, for example, Hepatitis A infection. What causes hepatitis? There are many causes of hepatitis—too numerous to mention here. The most common causes are viruses; thus the frequent description of the diagnosis refers to it as a viral illness. The viruses that designate Hepatitis A, B and C are the most prevalent. Other common causes include hepatitis from excess fat in the liver, alcohol consumption, as well as ingestion of prescription and over-thecounter medications, such as acetaminophen. Our own immune system can also cause hepatitis by producing antibodies against liver cells. Can I have hepatitis without symptoms? Many, if not most, patients with hepatitis have no symptoms or are unaware of the symptoms they may be experiencing, which is why patients may be suffering a chronic condition and not even know it. Common symptoms, when they are present, include fatigue, fever, vague abdominal pain, dark urine and yellowing of skin and eyes. Acute hepatitis will cause symptoms in the patient more often than chronic hepatitis. What testing will I need to undergo? The vast majority of the investigation will involve extensive blood testing. This will allow your physician to narrow down the potential cause of your hepatitis. An ultrasound of the liver is almost uniformly ordered to evaluate the anatomy for any structural defects or growths, as an early part of the investigation. A biopsy of the liver is frequently required to determine the severity of inflammation, help isolate and exclude the cause as well as scarring from chronic inflammation. This is usually performed under ultrasound or CT guidance. How serious is hepatitis? Acute hepatitis that becomes overwhelming can lead to liver failure and possible death. Chronic hepatitis can lead to extensive scarring of the liver called cirrhosis. This may eventually result in liver failure or possible liver cancer. Is hepatitis curable? There are many causes for hepatitis with just as many treatment options. Your doctor will advise you on the appropriate treatment for your individual condition. Some medications can clear viral infections from the bloodstream with eventual eradication. This results in resolution of the hepatitis. Other treatments slow the progression of hepatitis to cirrhosis and liver failure. Therefore the appropriate detection, identification and treatment of hepatitis is mandatory for good health. In summary, hepatitis is an inflammatory condition of the liver caused by a variety of factors. The exact cause must be properly identified to optimize treatment regimens. This will minimize the likelihood of the long-term complications of liver disease.

PATIENT TESTIMONIALS “I cannot say enough, how everyone was kind and understanding. This was my first time using Dr. Tamimi and I now have become a patient for life. There was no judgment from anyone. Thank you all, for being so caring.” ~ Wayne, age 51, Bayville

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

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

Hospital

Gastroenterologists of Ocean County

Board Cert

Hospital Privileges at Community and Medical Centers Centers Hospital Privileges at Community &Ocean Ocean Medical

• • • •

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

473 & 477 Lakehurst Rd.

• • • •

Swallowing disorders Endoscopic treatment of hemorrhoids Capsule Endoscopy Bravo pH Monitoring

7 Sherwood Dr.

473 & 477 Lakehurst 7 Sherwood Drive Route 9 Toms River,Road NJ 08755 Lakewood, NJ355 08701 Toms River, NJ 08755 Lakewood, NJ 08701 Bayville, NJ 08721* 732-349-4422 732-367-3338732-349-4422 732-349-4422 732-367-3338

939 Lacey Rd. Forked River, NJ 08701 609-971-5949

Medicare, HMO’s and most insurance accepted.

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

|

Allan Cohen, MD •Omar Tamimi, MD• Jill Collier, MD • Edgar Bigornia, MD

The County Woman Magazine www.TheCountyWoman.com

1617 Rte. 88 W. Brick, NJ 08724 732-349-4422

Forked Rive

* Limited hours by appointment.

www.GastroOfOcean.com 355 Rte. 9 Bayville, NJ 08721* 732-349-4422 *Limited hours by appointment

Medicare, HMO’s and most insurance accepted.

www.GastroOfOcean.com September/October 2016


Medicare Insurance

34

NJMEDICAREPLANS.COM OUR FREE SERVICE HAS HELPED THOUSANDS OF NJ SENIORS SAVE MONEY ✔ Unbiased personalized quotes from the major carriers in NJ. ✔ New clients save an average of $250 to $1000 per year without changing doctors. ✔ New to Medicare? Ask about our Turning 65 checklist. ✔ Help with Medigap, Medicare Advantage and Part D (Rx plans). ✔ Medigap plans can be changed anytime, do not wait! ✔ We handle all of the paperwork and we do make house calls. ✔ We are a local, family owned agency and we become your advocates. ✔ Let us walk you through the “Medicare Maze” and give you peace of mind. Call Now

(732)746-3320

The Buckley Insurance Group 2060 Route 88 • Brick, NJ 98724 Community

www.buckleynj.com

Volunteers Wanted Learn about CASA of Ocean County and Join the CASA Training to Become a

Abused and Neglected Children in Foster Care Need a Voice in Court- You Can Become That Voice.

Court Appointed Special Advocate Visit: www.casaofoceancounty.org

For details please call CASA at 732-797-0590 or email Kara@casaofoceancounty.org

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Business Spotlight

35

Kerri Buckley

Helping Seniors Find Peace Of Mind `OCW: How did you get started

`OCW: What sets Buckley

in the field of insurance?

Insurance apart from other agencies?

Kerri Buckley: I have actually worked in the insurance field for quite a while in different capacities. I worked in Human Resources for a number of years for a local healthcare organization and during that time, I worked a lot with our group insurance, as well as life, disability and workers compensation insurance. My husband, Derick, started a business focusing on Medicare, Life Insurance and Annuities in 2009. In 2014, he talked about expanding the business and making it a family agency. At that time, I obtained my license and together we expanded his business into The Buckley Insurance Group.

Kerri Buckley: First and foremost, we are a free service. There is absolutely no cost to our clients for our help. We also make house calls. If a client does not want to come to our office in Brick, we will go their home. Also, since we are independent agents, we have the ability to show our clients a variety of plans and services. We do not just represent one company; we can compare rates of all the companies and find the best rate for them. My husband, Derick, has been recognized as a top agent in the field both nationally and locally since 2011. As a family, we strongly believe in giving back to our community. Our agency supports many local and national charities. We do this not only monetarily, but, also perform volunteer work throughout the year.

`OCW: What is the most rewarding part about your profession?

Kerri Buckley: The most rewarding part of my OCW: What are the most profession is that we get to help Seniors save money common issues you see in your at a time in their lives where every penny counts. Kerri Buckley It is also rewarding to educate them as well. A lot profession? of seniors do not fully understand their plans. For Kerri Buckley: The most common issue we example, a common misconception is that you see is that seniors are paying too much for their can only change your Medicare Supplement plan Medicare plan. On average, we can save new during Open Enrollment, which is not the case. A Medicare Supplement clients $25 to $90 per month on their plan without them having to change plan can be changed at any time during the year and a lot of people do not doctors (which is very important). As I mentioned earlier, another issue is the know that. A big part of our business is education and helping clients make misconception that a Medicare Supplement plan can only be changed during informed decisions, which save them money. Open Enrollment, which is not the case. Lastly, people are approached by agents who can only sell a certain plan. They are not able to compare the OCW: Why do you think seniors struggle so much different plans and rates which, being an independent agent, we have the ability to do. This helps them to save money. in understanding their policies? Kerri Buckley: I think the whole process is overwhelming for seniors. When OCW: Tell us about some of the local charities you someone is turning 65, they get inundated with materials from all different companies, which causes confusion. There are different types of Medicare support. insurance (Medicare Supplement and Medicare Advantage plans) and, a lot Kerri Buckley: The Buckley Insurance Group supports Dottie’s House, the of times, they do not understand the difference between the two types of Wounded Warriors of Ocean County, Ocean of Love and Big Brothers and plans. We take the time to go through each of the plans and help them to Big Sisters of Ocean County (Derick serves on the Board of Big Brothers and determine which plan will meet their needs and budget. We provide them Big Sisters). I serve on the Board of Directors for the Chamber of Commerce with a Turning 65 Checklist, plus easy-to-read quotes from the major carriers and we donate to the Chamber’s Educational Foundation, which provides available to them. scholarships to the local high school students in Brick.

`

``

`

`

For more information, call 732-746-3320 or visit www.buckleynj.com 2060 Rt. 88, 2nd Floor, Brick, NJ

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


36

Health &Wellness

Strength And Stability Written by Laurie Greene, PhD, ERYT Yoga Nine, Ventnor & Ship Bottom, LBI

“Do yoga, hell, I can’t even touch my toes!”… that they took discipline and a commitment to practice – “sadhana,” a practice which could be quite dangerous.

“Do you think you can get me to do that?” How many times have we heard this kind of a response from someone we meet on the street when they find out that we are yoga teachers? It’s ironic that yoga is thought of as a practice which is about touching your toes. In fact, the physical practice of yoga stems from the medieval Tantric tradition which is about anything but this kind of gymnastics. In the Tantric system, the body is a vessel for the energetic force of “prana” – which enlivens the universe. The practice of yoga is about “pranayama,” techniques which enable the practitioner to take in, store, and conserve this energy as in comes into the body through one’s breath. In doing so, one may ultimately accomplish amazing feats, “cheat death,” and merge with the divine source of this energy.

In modern terms, we at least know that the locks aligned at the center of the body provided stability and strength to the practitioner while they worked with this powerful force. We might view this as akin to “core strength,” where the body is always being pulled inward and upward, and is dependent upon these seals being held for their effectiveness. It is for this reason that touching your toes or performing any seemingly “advanced” postural feats, like a handstand or legs bound behind your head, is of little import unless they are in service of this energetic principle – keeping energy contained. After all, if someone can do a handstand and has never done yoga, or be born a contortionist, how can these be advanced practitioners? So stop chasing your toes. Come and get stronger and more effective in your actions with us. Anyone can do it. Yoga is not just for the young Open and flexible. Classes

These techniques include breath control and the use of energetic locks and seals within the body – “bandhas.” We do not know everything about this practice, because many of its secrets were revealed through the required tutelage of a teacher – “guru,” who guided each student safely through these very powerful practices. We do know

Offered 7 Days A Week All Year Long

For more information, call 609-404-0999 or visit www.yoganine.com.

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Health &Wellness

37

TRAINING AND CONTINUING EDUCATION Yoga Nine: Training And Continuing Education 250-Hour Teacher Training: Fundamentals The most comprehensive basic level training available. Registration now open. See website or call 609-404-0999 for application, meeting dates, and requirements. September 2016 May 2017 *YA Certified

Therapeutics: 60-hour Advanced Segment (can be used toward 500TT cert)
 Meets one weekend a month for six sessions, October 2016 -May 2017 Learn methods for teaching inclusively within the context of open classes, and ways to incorporate therapeutics into your private teaching practice.

Call 609-404-0999 or visit www.yoganine.com
 • *YA Certified
 • $900

Retreat to Morocco! • March 10-17, 2017 Join us in the breathtaking UNESCO World Heritage Site city of Essaouira, a relaxed fishing town on the coast of Morocco. (For television enthusiasts, the recent series Game of Thrones was filmed here.) Of late there have been many amazing press pieces on this lovely part of Morocco. We have been going to Morocco for the past four years and to Essaouria for the last three. It is the perfect location for a yoga retreat in Morocco as it offers a more relaxed medina and some of the best shopping in the country!

$3000/$3200 payment plan

Vinyasa Krama: Targeted Sequencing & Adjusting in Support of “Deep Learning” September 16-18 Iyengar Weekend of Workshops with David Sirgany (Ventnor Studio)

Wednesdays, 6-9pm Specialized training for yoga teachers One Wednesday a month Learn the art and science of coupled sequencing and adjusting to bring students into a deeper practice and help them to overcome obstacles to advancement.


2016 DATES: • September 14: Teaching From Energetic Principles of Alignment • October 12: Overcoming Fear in Backbends • November 9: Twists and Binds-Closing the Loop • December 7: The Kinetic Chain: Adjusting the Body with Ease $45/session, $400/10 session certification, pre-registration required
 3 CEU’s per Session-Specialty Certificate issued with completion of 30 hours (all 10 sessions) CEU certificate issued for each session YA Certified

609-404-0999 • www.yoganine.com • Ventnor • Ship Bottom LBI

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


38

Medical Professionals

Gynecological Cancers: Prevention, Genetics and Care Dr. Nonna Kolomeyevskaya Shares Her Expertise Dr. Kolomeyevskaya (called Dr. K or Dr. Nonna by her patients) talks about some of the latest information on preventing, diagnosing and treating gynecological cancers:

The Human Papillomavirus and Cancer Nonna V. Kolomeyevskaya, MD Gynecologic Oncology Dr. Kolomeyevskaya is affiliated with Monmouth Medical Center in Long Branch and Community Medical Center in Toms River. She practices alongside Dr. Thomas Hackett. To schedule an appointment with Dr. Kolomeyevskaya, contact: 3349 Highway 138 East Building B, Suite F Wall, NJ 07719 732.280.5464

Various types of Human Papillomavirus (HPV), transmitted sexually, can cause cancer of the cervix, vulva, vagina , anus, throat, and penis. The Federal Drug Administration (FDA) has approved three vaccines to prevent HPV infections that are recommended for teenagers before the onset of sexual activity. “Parents should learn about and discuss the HPV vaccination with their pediatricians well before their children are sexually active,” says Dr. Kolomeyevskaya. “By focusing on early prevention, many can avoid cancers that my colleagues and I treat every day.” Dr. Kolomeyevskaya recommends regular cervical screenings for all women to detect the presence of HPV. Those with preinvasive disease, should continue close monitoring to prevent progression to cancer and pay attention to any symptoms such as abnormal vaginal bleeding or discharge.

Genetic Links to Gynecological Cancers

N

onna Kolomeyevskaya, MD, a fellowship-trained gynecologic oncologist specializing in surgical and medical therapy of women with gynecologic cancers, as well as precancerous disease of the female genital tract and complex benign conditions, joined Barnabas Health Medical Group (BHMG) this year. She treats patients at both Monmouth Medical Center in Long Branch and Community Medical Center in Toms River. As a third-generation physician, Dr. Kolomeyevskaya has a passion for medicine. Fascinated about the complexity of women’s health care issues, she dedicated herself to a career in gynecologic oncology. Graduating magna cum laude from Boston University and earning her medical degree at Albany Medical College in New York. Dr. Kolomeyevskaya completed a residency in obstetrics and gynecology at Baylor College of Medicine in Houston, Texas, followed by a gynecologic oncology fellowship at Roswell Park Cancer Institute in Buffalo, New York, where she performed more than 500 surgeries. Early in her career, she distinguished herself in research and has authored and co-authored numerous scientific publications in peer-reviewed articles. She received the Roswell Park Cancer Institute Award for the Best Basic Science Report.

Approximately 10 percent of ovarian cancers occur because of a familial genetic mutation. Dr. Kolomeyevskaya says that women with strong family history of breast, colon, endometrial or ovarian cancer affecting several family members in consecutive generations should seek genetic counseling to determine if they inherited a genetic mutation such as BRCA1 and BRCA2 that would increase their risk of breast, ovarian, fallopian tube or primary peritoneal cancers. If a genetic mutation is found, prophylactic surgery is discussed with regard to fertility planning and close surveillance with or without hormonal therapy may be recommended. Breast cancer screening is available in the form of mammogram or MRI; ovarian cancer screening is done with ultrasound, as the CA 125 test is not very effective. Additionally, children and first-degree family members should be tested, and a monitoring or treatment plan may be put into place. Women with increased life-time risk of ovarian cancer should undergo prophylactic salpingooophorectomy—removal of both fallopian tubes and ovaries—once they complete childbearing to prevent developing cancers of the ovary and fallopian tube along with prophylactic mastectomy with/without reconstruction to prevent breast cancer. Additionally, oral contraceptives may be prescribed to women with BRCA 1 and 2 mutations to decrease the risk of ovarian cancer.

The County Woman Magazine www.TheCountyWoman.com

Minimally Invasive Surgery Dr. Kolomeyevskaya utilizes minimally invasive laparascopic and robotic techniques using the daVinci Surgical System whenever feasible. She advocates this approach for patients with uterine cancer, early-stage ovarian and cervical cancer— including women interested in fertility- sparing surgery. Robotic surgery allows for faster recovery, less pain, decreased pain medication use, and often, better cosmetic results due to smaller incisions than those used in traditional open surgery.

Tips for a Lifetime of Gynecological Health • Know your family medical history, especially as it relates to breast, ovarian, uterine and colon cancers, and get genetic counseling if warranted. • Maintain a healthy weight and eat a balanced diet; overweight women are prone to developing endometrial cancer. • Speak with your doctor about prevention strategies, including the HPV vaccination for younger family members. Follow your doctor’s recommendations regarding cervical cancer screening (Pap smears and HPV co-testing). • Seek medical care for any unusual symptoms, changes in menstrual bleeding, postmenopausal bleeding, spotting after intercourse, abnormal vaginal discharge, new onset of pelvic or lower abdominal pain or pressure, changes in bowel habits, increase in abdominal girth, early satiety, etc. • Continue to see a gynecologist on a regular basis throughout life, even after menopause or hysterectomy.

About Barnabas Health Medical Group Barnabas Health Medical Group is a multispecialty 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 throughout RWJBarnabas Health, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. For more information, visit www.BarnabasHealthMedicalGroup.org.

September/October 2016


Medical Professionals

39

October is National Breast Cancer Awareness Month While breast cancer is the most frequently diagnosed cancer in women, the good news is that survivorship is on the rise. During Breast Cancer Awareness Month in October, fellowship trained Sumy H. Chang, MD, FACS, a board-certified breast cancer surgeon, encourages women to celebrate survivorship and make breast health a priority. A member of Barnabas Health Medical Group, in partnership with Community Medical Center, Dr. Chang provides Ocean County women with access to the latest in prevention, detection and treatment for breast-related issues – including breast cancer. She is also affiliated with the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch and Monmouth Medical Center, Southern Campus in Lakewood. “Detecting early stages of breast cancer will give you the best prognosis as treatment can begin sooner,” says Dr. Chang. “While there’s no magic bullet to prevent breast cancer, women can take measures to minimize the side effects of treatment – getting screened is key.”

Dr. Chang encourages women to take the time to learn more about breast cancer detection and stand alongside survivors we call our mothers, sisters, grandmothers, aunts, cousins and friends. “Women need to arm themselves with accurate information and new findings without getting caught up in the buzz of rumors and half-truths.” Screening and treatment are key to higher survival rates. The American Cancer Society reports that breast cancer death rates declined by 36 percent from 1989 to 2012 due to improvements in early detection and treatment, avoiding approximately 249,000 breast cancer deaths.

Screening Despite the new ACS guidelines that recommend women should begin screening at age 45, Dr. Chang feels strongly that women at “average” risk for breast cancer should start their first mammogram at age 40.

Sumy H. Chang, MD, FACS Fellowship Trained Breast Surgical Oncologist 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 and Monmouth Medical Center, Southern Campus in Lakewood. 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

Jacqueline M. Wilentz Breast Center 600 River Avenue Lakewood, NJ 08701 732.923.7702

About Barnabas Health Medical Group 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 throughout RWJBarnabas Health, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. For more information, visit www.BarnabasHealthMedicalGroup.org. “Mammograms are still considered the “gold” standard of screening, and while they aren’t 100 percent accurate, they are still the best screening tool available. So, why not get mammograms to help detect cancer at an earlier stage when it’s most treatable?” she says. Dr. Chang notes that because of these new guidelines, many women think it’s ok not to get screened when they really don’t know their risk. “I’m concerned that patients with a higher risk may fall through the cracks following a false sense of security thinking they don’t need annual mammograms and don’t need to start until age 45.” Dr. Chang also encourages women to “know their body” and to report any changes in their breast to their physician. A breast self-exam (BSE) forces women to pay attention to how their breasts typically look so they’ll be more aware of any irregularities,” says Dr. Chang. Changes include: a lump, skin irritation, nipple retraction, redness, swelling or pain, nipple discharge and change in color, shape, size or texture.

Medications/Treatment Today Breast cancer treatment continues to evolve. In the past, benign lesions were removed as a knee-jerk response. “Now, that’s no longer the case as we look at pathology and take a more individualized approach,” says Dr. Chang. Today, more women are opting for needle biopsies – a less invasive, more tolerable approach – rather than a surgical biopsy. In the past, there was one regimen of chemotherapy drugs and today, there are several. Tamoxifen, a popular breast cancer drug for years, was a one size fits all approach. Now, there are other drugs that are better in terms of decreasing the risk. A newer treatment, immunotherapy, also called biologic therapy, is designed to kill cancer cells specifically. It uses substances

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either made by the body or in a laboratory to selectively kill breast cancer cells. Therefore, this treatment has fewer side effects and a better response because it’s specifically targeting cancer cells. As for the future, research is underway on a vaccine that will help boost the immune system to lower the risk of the cancer returning. “Women diagnosed with breast cancer today have a better chance of survivorship than ever before,” says Dr. Chang.

Types of Mammograms Screening mammograms are used for women who are at average risk and have no breast symptoms. The goal is to find breast cancer when it’s too small to be felt. Diagnostic mammograms are performed if abnormalities are found in a screening mammogram or if there are noticeable breast problems. With 3D mammography or tomosynthesis, multiple pictures of the breast are taken and displayed in slices, which allows the radiologist to examine the breast more thoroughly. The images can then be turned into a 3D picture. Women should consult with their physician if 3D is the right option.

September/October 2016


Medical Professionals

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DR. KATHY A. BANKS Your Expert in the Face, Mouth, and Jaw Would you like to smile with confidence? See Dr. Banks to discuss your dental implant solution. There is no need to suffer any longer with broken down teeth and ill- fitting dentures. From single implants to whole arches, let Dr. Banks help you get the smile you want! Have you been told that you are not a candidate for dental implants? Get a second opinion with Dr. Banks. She will carefully review and discuss your implant and bone grafting treatment options using 3D imaging and virtual implant software planning. Do you think you can’t afford dental implants? See Dr. Banks! All phases of implant surgery can be comfortably and conveniently performed in the office. Intravenous and general anesthesia available. Payment options are available and we work with many dental insurances.

Single implant tooth replacement

Multiple implants replacing multiple teeth with dental bridge

All teeth in one arch replaced with implants and full arch dental restoration

Office hours 8 A.M. – 5 P.M. (Monday – Friday) Bone Grafting • Dental Implants General and Intravenous Anesthesia Jaw Pathology and Reconstructive Jaw Surgery

Dr. Kathy A. Banks

Board Certified Oral and Maxillofacial Surgeon

249 S. Main St. # 4 | Barnegat NJ | (609) 488-2325 www.drbanksoms.com Specialty Lic # 4070

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September/October 2016


Medical Professionals

41

TIRED OF YOUR UGLY AND FAILING DENTAL BRIDGES? FED UP WITH YOUR DENTURES? ARE YOUR TEETH A CONSTANT SOURCE OF PAIN AND EMBARASSMENT? You don’t have to live like this anymore!

REVITALIZE® YOUR LIFE Diane’s result (dentistry by Dr. V. Felici)

A RECENT SUCCESS Diane was suffering. She was sick and tired of the pain and embarrassment of loose dentures and messy denture adhesives. Her dentures seemed to control her life.

In one day, Diane’s life was changed. Now, Diane is pain free, with secure and beautiful upper and lower teeth. NO more dentures! No more adhesives! Diane can now chew and smile with confidence.

Dr. Kathy A. Banks is one of the most experienced oral and maxillofacial surgeons in Ocean County providing dental implant surgical services. With Revitalize®, or “all- on-four” treatment, old dentures, missing teeth and failing dental restorations are replaced with new teeth that are connected to dental implants. At the same time, the dental implants are placed into the jaws, giving patients immediate results.

Call today and schedule an appointment: 609-488-2325

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Jimmy’s result (dentistry by Dr. D. Federici)

A RECENT SUCCESS Jimmy was suffering from painful, broken teeth. His dental bridges were failing and he was sick and tired of the pain and embarrassment of his unattractive teeth.

In one day, Jimmy’s life was changed. Jimmy is now pain free, with secure and beautiful upper and lower teeth. Now, Jimmy can chew and smile with confidence.

September/October 2016


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Medical Professionals Medical Professionals

Law

75

Health &Wellness Elder Law

Theater &Entertainment

Fine Art Photography Education

Business &Finance

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September/October 2016


Elder Law

43

YAsk Nancy M. Rice, Esq. Certified Elder Law Attorney

Nancy Rice has been practicing Estate Planning and Elder Law in New Jersey and Pennsylvania since 1986. She was Certified as an Elder Law Attorney in 1997, and has maintained offices in Camden and Cape May counties, specifically in Cherry Hill and Ocean City. She can answer your questions and concerns- just call 609-398-3447.

Will Contests: How Do They Work? In New Jersey, the probate of a Will and the appointment of an Executor is most commonly not a formal procedure. If a Will is properly executed and has two Witnesses and a Notary, the Will can be admitted to probate by the Surrogate’s Office of the County in which the deceased resided. No court proceeding is required, and Surrogates Offices are set up to make the Probate process simple and cost-efficient. If a beneficiary of an estate has reason to think that the Will to be submitted to probate is not valid, it is critical that he or she contact a lawyer immediately following the death. New Jersey law provides that the Will cannot be admitted to probate by the Surrogate until the eleventh (11th) day following the date of death. During that 10-day period, anyone seeking to challenge the Will may file a Caveat, a simple statement of objection, which prevents the Surrogate from probating a Will for that Estate. If a Will is presented, the Surrogate advises the named Executor under the Will that he or she must file a Complaint and Order to Show Cause. He or she must file this in the Superior Court, Chancery Division, Probate Part to have the Will admitted to probate by the Court. If no Caveat is filed, and the Will is in proper form, the Surrogate may admit the Will to probate and issue Executor “Short Certificates” to the person appointed as Executor in the Will. As an Executor of the estate has tremendous power, it is critical to prevent the appointment of the Executor from the outset if there is a basis to challenge the Will. This is important

because most judges are hesitant to “remove” an Executor after he or she is appointed, unless there is clear evidence that he or she acted improperly. If the Will has already been admitted to probate, you must still act promptly if you want to challenge it. In New Jersey, a resident who has received Notice of Probate of the Will has only four (4) months to contest the filing of the Will; non-residents have only six (6) months. The reasons to challenge the validity of a Will, include: (A): The Will was subject of a fraud; (B): The Will was not properly executed; (C): The person who signed the Will (Testator) did not have “testamentary capacity” to understand or sign the Will; (D): The Testator was coerced or unduly influenced to sign the Will. A. Fraud It is fairly unusual but possible that a Will was signed as a result of someone’s fraudulent conduct. An example of this is, if a Testator is beguiled into signing a document without knowing what it is, what it says, or even that it is a Will. Another example is if a beneficiary induces a Testator to execute a Will based on false facts (e.g. a suitor promises to marry the Testator if he is made a beneficiary under the Testator’s Will, when the suitor has no actual intention of marrying the Testator). In the context of a Will contest, fraud will not be presumed. Moreover, if the Testator learns of the fraudulent conduct and does nothing to change the Will over an extended period of time, it may be argued that the Testator affirmed the contents of the Will and, as a

Part 1

result, it may be upheld. B. Due Execution In New Jersey, a typewritten Will must be witnessed by two (2) persons, over the age of eighteen (18) years, both of whom witnessed the Will signing. It is helpful (but not necessary) for the Will to have a “self-proving affidavit” attached, which is signed by the Testator, the Witnesses, and a Notary. If a Will is entirely in the handwriting of the Testator (called a “holographic” Will), New Jersey requires no Witnesses but it cannot be admitted to probate to the Surrogate; it must be admitted by the Court, upon filing of a Complaint and Order to Show Cause.

In the next issue, we will discuss the other two grounds to challenge a Will: (1) Lack of Testamentary Capacity and (2) Undue Influence. In the meantime, if you believe that a Will should be challenged because it is defective, for one reason or another, you should hire a seasoned attorney, who has significant experiences in this area of law. Do not delay with your decision to engage an experienced attorney because the law allows only a narrow window of time during which a caveat and/or a Will contest may be filed.

Nancy Rice can answer your questions or concerns, call 609-398-3447.

Estate/Trust Administration • Guardianships • Will Contests • Special Needs Trust • Medicare, Medicaid, Long-Term Care & Disability Planning

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

www.RiceElderLaw.com

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September/October 2016


Medical Professionals

44

October is Breast Cancer Awareness Month

Diagnosed With Breast Cancer:

T

What’s Next?

he biopsy shows that you have breast cancer. In addition to the shock and emotional turmoil, a thousand questions go through your mind. “The surgeon said that he took everything out, so why do I need chemotherapy?” “What are my chances?” “Am I going to die from cancer?” “My friend only needed to take a pill, why am I not getting that?”

Not everyone diagnosed with breast cancer is treated the same because no two tumors are alike. Even after the lump in the breast is removed surgically, there is a risk of cancer growing back in the same breast or spreading to other organs, a process called metastasis. The risk of metastasis is based on a number of factors. Age, menopause, the stage of the cancer and characteristics of the tumor cells (grade, hormone receptors called ER and PR, and Her-2) all determine the risk of relapse or metastasis. Age: In general, young women tend to have more aggressive tumors and are more often treated with chemotherapy than older women. Stage: Breast cancer is staged from Stage 0 to Stage IV; Stage 0 is pre-cancerous and is also known as carcinoma in situ (DCIS or LCIS). Stage 0 cancer does not metastasize and does not require chemotherapy. Stage I is a small tumor (<2cm) confined to the breast; when the tumor has spread to the lymph nodes or if the tumor is >2cm it is Stage II. Stage III includes tumors that have spread to lymph nodes in the neck, have affected more than four lymph nodes, or have spread to the skin and chest

wall. When the cancer has metastasized to other organs (commonly to the bones, lungs or liver), it is Stage IV. The higher the stage, the higher your risk is of relapsing; chemotherapy, hormonal therapy or both are recommended to reduce that risk. Tumor Characteristics: Certain features on the cancer cells can predict the aggressiveness of the cancer. Cancer cells are graded from I to III, grade I being the least aggressive and grade III being the most. The tumor cells are also tested for hormone receptors on the surface of cancer cells, called ER and PR (estrogen and progesterone). Tumor cells are also checked for a protein called Her-2. About 25-30% of all breast cancers are Her-2 positive. Her-2 positive patients are treated with a drug called Herceptin.

Who Needs Chemotherapy?

Even if the visible tumor is removed surgically, you may have cancer cells floating around in your system that can deposit in different parts of the body. This can happen a few months to several years later, producing metastasis. Research has shown that this risk can be reduced by giving chemotherapy for a few months. In addition, hormonal therapy and Herceptin are used in appropriate patients. After surgery, your surgeon will refer you to a Medical Oncologist who will then determine the kind of treatment you may need. Women who have very early stage breast cancer may not need any treatment and should be observed periodically. Most women with ER and PR positive tumors are treated with Tamoxifen (before menopause), or Arimidex (Anastrazole) or Femara (Letrozole) (after

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

Side Effects

Chemotherapy can cause nausea, fatigue, vomiting, hair loss, mouth sores, low blood counts and numbness in the extremities. These are all reversible and improve once treatment is discontinued. With the use of newer medications, nausea and vomiting can be prevented considerably.

To learn more about treatment of breast cancer or other cancers, contact Dr. Sarah J. Easaw at 732-961-0010.

Visit www.oceanhemonc.com

Scan Here!

Ocean Hematology & Oncology Center for Cancer & Blood Disorders  We offer a full range of Hematology & Oncology services.

1255 Route 70, 31S Near Exit 88 on GSP

Lakewood, NJ 08701

732.961.0010

www.OceanHemOnc.com Accepts Most Insurances. Affiliated with Kimball Medical Center and Community Hospital Access to Clinical Trials.

 We are dedicated to providing state-of-the-art cancer care in a warm and personalized manner.  Our newly renovated, spacious infusion room provides a peaceful and friendly atmosphere to patients while they receive chemotherapy and other infusions.  We have a highly qualified, experienced and compassionate staff.

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

Compassionate Care, Close to Home

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September/October 2016


Community

45

Celebrating Life… While Living with Cancer Submitted by Dr. Sarah Easaw

“Just before I turned 30, I was diagnosed with stage III breast cancer. My daughter was 6 months old at the time. Doctors said I needed surgery, chemotherapy and radiation. I was devastated… I didn’t know what the future would hold for me and our family…”

Tina,* now 36, was explaining her story at the Cancer Survivors’ Day celebrations conducted by our practice, Ocean Hematology & Oncology. She came to the party with her two beautiful children…two-year-old Mark* and Elena,* who will soon be seven. Later Tina was dancing to the country music with the two of them. Several people joined – many of them have survived cancer; some are still dealing with it. But this is a day they want to forget about their struggles, not thinking about the months of chemotherapy, radiation and surgery that most of them had to go through. Not worrying about the uncertainty of the future. They are not concerned about the disability that their disease and the treatment had left them with.

This is a day they want to celebrate! They are celebrating life.

Statistics show that there are 15 million cancer survivors living in the United States. By 2026 it is estimated that the number will reach 20 million. Cancer treatment has improved dramatically in the last two decades. More and more people are living with cancer, as early detection and treatment have improved.

Living with cancer is stressful. But life after cancer has its own challenges.

The National Cancer Survivors’ Day (NCSD) Foundation was started about three decades ago to recognize cancer survivors and their families and to address the problems they face. Every year they organize events nationwide to honor cancer survivors and their caregivers. According to the definition given by NCSD, anyone who is diagnosed with cancer is a survivor. Challenges start the day you are told about the diagnosis. They do not end when treatment ends. In fact, for many, the anxiety level increases after the treatment is over. When the treatment is done, many feel like they are set free into a new world, and they have to start a new life, as if they have to learn to walk again.

Even with the new advances in cancer treatment, there are side effects that could linger on for months or years. Although most survivors are able to return to work, they may not be able to perform at their fullest. This, along with the time lost from work during the treatment, can cause significant financial strain.

The fear of “what if the cancer comes back?” is real for most survivors. Any new symptom, even trivial, can raise tremendous anxiety. This can

lead to many doctors’ appointments and unnecessary diagnostic tests. The physical, psychological, financial and emotional strain that survivors and their families undergo has to be dealt with seriously. We have been hosting an annual Cancer Survivors’ Day celebration for the past eight years. It started out as a small gathering in our waiting room. This event has been so well received by our patients and their families. Each year the number of attendees has increased. Now we are holding the event in an outside venue. The tremendous support from well-wishers and the dedication of my staff make this event very colorful and successful every year. But it is the survivors and families who are the stars of the day. To see 55-year-old Carolyn,* battling throat cancer; 60-year-old Mary,* a two-time breast cancer survivor, widow of Robert,* who succumbed to blood cancer five years ago; and the children of Tina,* 3 and 7 years old…all come to one stage to dance, laugh, sing and share their stories. To see the joy and happiness on their faces…that is what survivors’ celebrations are all about. Mrs. Francis,* mother of 23-year-old David,* who was diagnosed with CML last month, put it very nicely as she was leaving the party. She lost her older son nine years ago. She said, “Today was my older son’s death anniversary. Usually I sit at home and cry every year, this day. Today, I would have done the same, more so since David was diagnosed with cancer too. But then I thought of the invitation to this event. I told David, we are going to celebrate life today. I went to the cemetery in the morning, prayed for my sons and came for this party. This has been the most wonderful thing that happened to us in a while. I have never enjoyed this much in a long time! Thank you for giving me an opportunity to celebrate life…!”

Yes, celebrating life, one moment at a time, is what Cancer Survivors’ Day is all about! *names changed for patient privacy

732.961.0010

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www.OceanHemOnc.com September/October 2016


Medical Professionals

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

Here are some of the more common concerns with mammograms and the explanations as to why they occur. Q: Why do you have to squeeze my breasts?

Q: Why do you have to pull my breasts?

Q: Why do you have to take so many images?

A: When a patient undergoes a

A: Mammograms are all about early

A: The standard way to image the

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

breast cancer detection. Breast cancer can form in any portion of breast tissue. Therefore, it is important to have as much breast tissue imaged as possible. So our technologists need to physically pull the breast onto the x-ray film so all of the breast tissue is included in the mammogram.

Before

After

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

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

Before

After

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

Q: Sometimes when I am asked to return for more images, the technologists use a paddle that squeezes my breast even more. Why does that happen? A: Occasionally, the radiologist will

see an area on the mammogram which is suspicious. It must be determined whether this is truly cancer or overlapping breast tissue. A specialized paddle will be used to press on the area that is suspicious. If the area of concern disappears with the compression, it is likely an artifact and represents overlapping breast tissue. If this area persists with compression, cancer must be considered and additional imaging or a biopsy may be performed. Mammograms are extremely important for breast cancer detection. Although mammograms can occasionally be uncomfortable, they often save lives. As always if you have any question, please do not hesitate to contact our staff.

For more information, call 732-244-0777 or visit www.TomsRiverXray.com. As always, contact our office where our staff will be more than happy to assist you.

About The Author...

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

732-244-0777 • PET/CT • Diagnostic X-Ray • Ultrasound • Digital Mammography • CT Scan • Nuclear Medicine • High Field Open Bore MRI • Bone Densitometry

Deer Chase Professional Park • 154 Route 37 West • Toms River, NJ 08755 Cyrus Khorrami, M.D.

Tel: 732-244-0777 • Fax: 732-244-1428

www.TomsRiverXray.com5

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

EXPERIENCE & EXPERTISE you can count on.

September/October 2016


Medical Professionals

47

What Is An Anal Abscess?

An anal abscess is an infected cavity filled with pus found near the anus or rectum.

What is an anal fistula?

An anal fistula is frequently the result of a previous or current anal abscess, occurring in up to 50% of patients with abscesses. Inside the anus are small glands. Sometimes, these glands become clogged and become infected. This leads to an anal abscess. The anal fistula is the tract or tunnel that forms between the clogged gland inside the anal canal and the infected skin/abscess outside of the anus. A fistula can present with or without an abscess. Other causes of anal fistula are: Crohn’s disease, radiation, trauma and malignancy/cancer.

How does a person develop an anal abscess or fistula?

Most anal abscesses are the result of an acute infection in the glands inside of the anus. Occasionally, bacteria, fecal material or foreign matter can clog the anal gland and create a condition for an abscess to form. Once an abscess is drained, in approximately 50% of cases, a tunnel (fistula) will persist under the skin connecting the infected gland to the outside skin where the abscess was located. When this occurs, patients typically experience some type of persistent drainage from the site of where the abscess had been in the perianal skin.

What are the signs or symptoms of an abscess or fistula?

A patient with an abscess may have pain, redness or swelling in the area around the anus. Other common symptoms are fevers, chills, fatigue and generally not feeling well. Those patients that develop an anal fistula frequently complain of perianal irritation, moisture in the perianal area and/or persistent, episodic drainage in the perianal area. A common complaint of patients with anal fistula is the sensation that they cannot keep the perianal area clean or that they feel “wet” in the perianal area.

Are there any tests performed to diagnose an abscess or fistula?

A majority of anal abscesses/anal fistula are diagnosed by history and physical examination alone. Occasionally, additional studies such as CT scan or MRI can assist the surgeon with the diagnosis of deeper abscesses or to help identify a deeper or complex fistula tract/tunnel.

How is an anal abscess treated?

Are antibiotics necessary to treat anal abscess or anal fistula?

Antibiotics, alone, are NOT a wise treatment for anal abscess or fistula. Studies have shown that for uncomplicated abscesses, the addition of antibiotics to surgical drainage does not improve healing time or reduce the potential for recurrences. There are, however, certain circumstances in which antibiotics may be added to surgical drainage. These would include those patients with extensive cellulitis, patients with cardiac valvular disease, and those patients with altered or suppressed immune systems. This determination is made by your surgeon after taking a careful, detailed medical history and performing a physical examination.

What is the treatment for anal fistula?

Surgery is almost always necessary to treat an anal fistula. This may require a single stage or multi staged procedure. Colorectal surgeons are specialists who are trained to treat anal fistula and are well versed in the different types of surgeries to treat anal fistula. Surgery for anal fistula involves connecting the external opening (site of drainage on the skin) to the internal opening (the clogged gland in the anus). There are several different types of surgical procedures to accomplish this and a colorectal surgeon would determine which procedure is best suited to your condition. The different types of surgery for anal fistula include anal fistulotomy which connects the internal opening (clogged gland) with the external opening (site of drainage on the skin). This creates a groove that will heal from the inside out. Other procedures to treat anal fistula include filling the fistula tract with a material to occlude the fistula or disrupting the tissue around the fistula in order to close the fistula. If performed correctly, surgery for fistula is unlikely to affect bowel control.

What to expect when recovering from fistula surgery?

Patients will be provided pain medication to assist with the discomfort associated with fistula surgery. Taking stool softeners, laxatives and fiber supplement will help to avoid constipation in the postoperative period. Patients should plan for some time at home to recover. Discussing with your colorectal surgeon the anticipated time away from work is very important. Sitz baths also play a key role in the postoperative care.

The treatment of anal abscess is surgical drainage. Once the overlying and surrounding skin has been numbed with local anesthetic agents, an incision is made in the skin over the abscess to drain the pus. This can usually be performed in the surgeon’s office with local anesthetic and may sometimes require deeper anesthesia in the hospital setting. For patients, such as diabetics or patients with suppressed immune systems, hospitalization may be required for more significant infections.

To schedule an appointment, please call 732-282-1500 or visit www.paonessacrs.com. Dr. Paonessa is a fellowship trained colorectal surgeon who is skilled at treating patients with anal abscess and anal fistulas. She has a 24 hour policy in her office so that if you are in pain from an anal abscess, you can be guaranteed to be seen within 24 hours. Most anal abscesses are drained right in the office under local anesthesia. Dr. Paonessa is also well trained in a variety of techniques to treat simple and complex anal fistulas with excellent outcomes. If you are experiencing any of the symptoms above, call Dr. Paonessa’s office to make an appointment and get on the road to feeling well.

Colon and Rectal Surgery

Board Certified in General Surgery and Proctology • laparaoscopic surgery • colonoscopy • abdominal/pelvic surgery • anorectal surgery • fecal incontinence • pelvic floor disorders • endoanal/rectal ultrasound • office proctology • anorectal manometry/physiology 2101 Route 34 South, Suite H Wall, NJ 07719

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1172 Beacon Avenue, Suite B Manahawkin, NJ 08050

Phone: (732) 282-1500 Fax: (732) 282-1501

Office Hours: M-F 9AM to 5PM

www.paonessacrs.com September/October 2016


Law

48

How Do Creditors Harass People? W

Daniel Straffi, Esq.

Let Me Count The Ways…

hat’s the first thing we think of when we get an early morning phone call? Emergency. It startles us – we wonder who’s in trouble and what action we need to take, all before we’ve had our first sip of coffee. Then imagine it’s a creditor on the other end. We are angry. We feel harassed. It’s a terrible start to our day, and worse, it’s likely not the last we will be hearing from them.

For many of us, this scenario is not hard to imagine at all. Although there are laws in place to curtail some creditor recovery actions and techniques, the reality is that people are more overwhelmed by creditor harassment at their home and workplace than ever before. Here are a few ways bankruptcy may be an option in stopping creditor harassment and collection efforts.

1. Stop harassing phone calls. This is likely the most common

complaint I hear from folks when they are contemplating bankruptcy. The phone calls are non-stop. Many people stop answering their phones all together. It’s that constant emotional strain of knowing that they are being hounded that eats at people’s ability to sleep or otherwise carry on the normal functions of their day. Phone calls can sometimes extend to family members or the workplace. Creditors are becoming more creative in their methods by the day. Bankruptcy is a means of stopping the harassment. Upon the filing of a bankruptcy petition, all methods of harassment and communication by creditors ceases by law. It is a powerful means of protecting oneself and moving forward.

2. Stop wage garnishment. Some folks can withstand the

harassment…that is until the harassment transforms into more affirmative collection efforts. The most common and effective form of collection comes in the form of wage garnishment. People don’t want their employers to know about certain debt problems they may be experiencing. Once a wage garnishment is imposed, the debtor has no say in the matter. Not only can this be a source of concern and consternation between the debtor and his or her employer, but it, obviously, will have a dramatic effect on a person’s ability to meet their monthly expenses once the garnishment goes into effect. Bankruptcy will stop a wage garnishment in its tracks.

3. Levied bank accounts. Ignoring creditor harassment can sometimes mean ignoring everything that comes in the mail. This would potentially include lawsuits and the judgments that would arise from them if said lawsuits are ignored. Oftentimes, the call to action to proactively deal with one’s debts comes only after their bank account is frozen without warning. Bounced checks, lack of disposable income and an inability to pay bills for the month follow. In some cases, if a bankruptcy is filed soon enough, those monies can be saved. However, it is best not to wait until the last minute. It is important that folks not ignore their credit situation until the last minute, or their assets can come under attack. The point of all of this is that waiting to explore one’s options does nobody any good. It is important to be proactive in addressing credit problems for the sake of your family, your job, and, most significantly, your own sanity. The purpose of bankruptcy is to get a fresh start. Taking that first step in exploring your options – and refusing to allow yourself to be harassed any longer – is the key to acquiring that fresh start.

For more information, call 732-341-3800 or visit www.straffilaw.com.

670 Commons Way • Toms River, NJ CALL: 732-341-3800 VISIT: www.straffilaw.com

We are a debt relief agency that helps people file for relief under the bankruptcy code. Protect Yourself Against Foreclosures, Judgments, & Harassing Creditors Local Author

Stormy Waters From the Darkness of Grief to the Light of Hope

Author Rosalie Stolinski Siciliano deals with the feelings of grief, the moments you want to scream and the moments you think you cannot move. She has captured both in such a way that you cannot help but experience them as she did. Join her as she recounts a journey through harrowing despair and onward to the promise of a new beginning. Rosalie Stolinski Siciliano

Book can be purchased on Amazon or by contacting the author at Rosadie@comcast.net.

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Business &Finance

49

Copiers Plus Is Keeping It In The Family When Bob and Debra Matthews started their business, Copiers Plus, they knew that customer service would be a priority. In fact, their company slogan: “Service is our Specialty,” also became words to live by for their staff. Serving as a traditional and specialty digital office equipment company, they represent over 28 years in the field selling and servicing equipment. Bob adds, “We continue to grow as a result of our loyal customers who refer our company to others. Our customers and our employees are the most important people in our business. We are dependent on them.” CW: Tell us about the main services you provide. Bob: We have a walk-in retail business for copying, blueprint copying, fax and e-mail service along with document scanning. We also offer commercial printing for letterheads, business cards, forms, invitations and graphic design. Finally, we offer large format color printing for banners, posters, indoor and outdoor signs, vehicle graphics and vinyl wraps. CW: What is the single most important aspect of your business that sets it apart from others like it? Bob: We provide very fast turnaround for most projects by our courteous and knowledgeable staff. We take a “can do” attitude to every single request. It really comes down to good old fashion customer service.

CW: How did you become involved in printing services? Bob: About 12 years ago we relocated into a larger facility on Fire Rd. in Egg Harbor Township. Being as we were located on a major highway and surrounded by commercial and retail businesses, we decided to create a new division focused on retail and commercial printing. Already in the digital copier equipment business, it seemed like a natural diversification. I felt that we would be able to leverage our expertise in the equipment business to be successful in the commercial printing business. CW: How does it feel to have your children follow in your footsteps? Was it a natural progression for them? Bob: It’s extremely rewarding. I think many parents would love to have their children follow in their footsteps especially if they own a business. It presents excellent opportunities and challenges for everyone involved. I feel very fortunate to have both of our sons working in the business. CW: Tell us about the vehicle wrapping services you offer. Bob: We have provided vehicle wrapping and lettering for over two years with over 50 projects completed. They are mostly advertising graphics along with partial wraps and a few full color changes. This is an extremely labor intensive and technical procedure. We provide a complete solution from concept and design, through production and installation. We also provide vinyl lettering and magnetic signs. If you are in need of any office equipment or commercial printing for your business, call Copiers Plus, 609-645-7587 or visit their website at www.copiersplus.com and like them on Facebook.

Incredible Custom Work & Vehicle Wraps Vehicle wraps are a very memorable way to spread your business’s message. Vehicle wraps for sales, service and delivery vehicles are a powerful branding and marketing tool. Brightly colored, attractive vehicle wraps make your company vehicles stand out from all the other cars on the road. Passing drivers won’t pay much attention to a plain white van on the road, but they will notice a well-designed vehicle wrap. Colorful vehicle wraps are so engaging that peoples’ eyes naturally gravitate towards them. The people who will see your vehicle wrap the most are the people in your area. Local marketing produces outstanding results because people like to deal with nearby businesses.

TWO CONVENIENT LOCATIONS! 935 West Ave. 3112 Fire Road, Unit C Ocean City, NJ Egg Harbor Twp., NJ 609-398-7676 609-645-7587 Hours: M-F 9am-5pm Hours: M-F 8am-5:30pm

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Medical Professionals

50

Are You Struggling With Those Problem Areas? SmartLipo Might Be The Answer

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If you were unhappy with your “beach body” this summer or still struggling with those problem areas, Dr. Park Avenue has a great solution for you. SmartLipo. SmartLipo is an FDA-approved, minimally invasive alternative to traditional liposuction surgery used for removing excess body fat. Considered a breakthrough in body contouring and cosmetic surgery, SmartLipo is an effective way of performing liposuction using laser technology. Who is a good candidate for SmartLipo? procedures, heavy anesthesia allows the surgeon to use larger If you are unhappy with the shape of your body and are in instruments with more aggressive and quicker movements, good health, then you are likely a good candidate for SmartLipo. which result in faster overall procedure times. Faster Age and genetics alter the shape of your body, causing the procedure times means more procedures can be performed, accumulation of fat that is resistant to diet or exercise. SmartLipo but because they are using heavy anesthesia, larger is best suited for that healthy individual who eats right, exercises instruments and more aggressive movements, their patients and generally lives a healthy lifestyle, but can’t seem are exposed to greater risks and have longer and more to lose weight from a trouble area – such as painful recoveries. SmartLipo is done using smaller hips, saddlebags, back of the arms, etc. instruments; patients have more uniformity in their result, less bruising due to the characteristics of the How much downtime will I have? 25% Off laser, and generally just a better cosmetic result. Immediately after your procedure Laser Hair you will walk out and be able to perform How many SmartLipo sessions will I need? mild activities. Unlike the need for Only one session per area is needed to achieve Removal prolonged recovery and possible overnight full results. stay when liposuction is performed with Will SmartLipo results be permanent? heavy anesthesia, downtime is minimized. As adults we do not create new fat cells; when we SmartLipo significantly reduces tissue trauma and gain weight, our fat cells expand. When SmartLipo is done, post-procedural pain while completely eliminating postthe fat cell is destroyed and no longer has the ability to hold anesthesia recovery. Most patients are able to return to normal fat. The body will readjust to not having those fat cells and desk-type work in one to two days and some patients are able to will place fat in cells in other parts of the body. For this return to work the same day, depending on the area treated. reason, we advise that clients do not use this procedure as Why doesn’t the SmartLipo procedure need heavy a diet. After SmartLipo it is very important that clients eat anesthesia? well and exercise to avoid weight gain in other parts of the SmartLipo only requires local numbing. This ensures body. patient safety and improved recovery. In traditional liposuction

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The County Woman Magazine www.TheCountyWoman.com

Maria Pulice

September/October 2016


Interior Design

51

Bellissimo, simply stated “Beautiful Designs = Beautiful Rooms” Bellissima Designs is a full service Interior Design firm working with all kinds of budgets. Whether it is just helping pick a color for a room or designing and managing an entire home renovation project. About Maria Maria has been designing dream rooms for clients since 2005. With her eye for detail, she finds inspiration from her clients taste and personalities as well as the architectural space they are trying to bring back to life. She keeps on top of the latest products and trends and is an active member of Window Covering Association of America (WCAA) since 2011 and National Kitchen and Bath (NKBA) since 2007.

CLOSETS

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mariaa.pulice@gmail.com www.bellissima-designs.com 908.872.1183

TESTIMONIALS “Bellissima Designs was recommended to me by a co-worker and friend. Maria helped us redesign our 40 year old kitchen. In addition to giving us great ideas on granite, cabinets, backsplash and floor tiles, she also managed the project from beginning to end. We did not have to worry about contractors, deliveries or returns. She was a pleasure to work with and we’ve called her for other projects, most recently, a beautiful new bathroom!!” - Jeanette, Marlboro NJ “I love working with Maria! She has such great ideas and was able to find unique things that fit my ‘house personality’. She found the perfect fabric for window treatments and coupled it with the perfect design. She also found bar stools and lighting fixtures that added the extra touch I was looking for. She’s professional but so easy to work with and is very responsive to questions.” – Judy Strom

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


SpP ecialized R eadin gR Pemoval rogram ermanent H air ellness H ealth & W

52

25 21

What’s With The Hairs On My Chinny-Chin-Chin? Results Of A Gap In Summer Reading Instruction Massage… It’s More Than Just Skin Deep!

Submitted by Lorraine Fetherman, L.E., C.P.E. problem big. Our treatment will help PCOS (polycystic ovary syndrome). of these issues up While Some your child was catching on lost is too small or tooEmail to the inability to grasp certain Effect: Your child usand at uninhibited. can be addressed through medication and a doctor’s Licensed and Certified Electrologist you feel clean, carefree, self-confident skills, your child did not learn the new skills loses some of the information. enter trance mean like meditative state,will and still other’s info@learningpressllc.com advice. However, thata doesn’t your hair issue Submitted by Mary Winch, Owner, Holistic Health Spa needed to be a proficient reader. Take advantage of the free consultation. o, you information noticed alearned few hairs Cause: Information may need talk. It’s here, in deep relaxation however, end. Wethat canwas help you stored inwithtothat. for more We will explain in detail how theinformation. process works for Picture this…a peaceful, relaxing An athlete joins teamindividual again growing on your chin, cheeks during the school year. theatbody, mind and spirit are able to the integrate, Removal memory during Hair the school year that wasAreas not a Analogy: your needs. Everyone is unique in his or her atmosphere, soft music, a capable, well after a long-term injury. The team members reconnect and download, if you will, all of the stresses Electrolysis can be applied to most facial and body mastery level. Therefore, much of it was lost. and/or upper lip. situation, but we are all the same when it comes to the Cause: A child’s working memory rubbing and kneading your trained therapist continued already waytime and stimuli of who the day, week,working month,are (insert your parts, including: hair a removal. results we want: permanentGet isWHY!? not being utilized, which prevents Analogy: athlete was ready to break pain and stress away, floating out An of the ahead. frame here) that may be trapped in the muscles and • Abdomen • Eyebrows certain information from reaching longa personal record but took some time off. treatment feeling like a wet noodle And maybe the hair onroom your head is thinning, too? 75% OFF COUPON tissues of the body. •ABikini line of learning during Call 732-477-9040 •has Chin today! term memory.and Mastery occurs only when about few hours Now the athlete to rebuild the skills he blissfully going the rest of your The entertainment is endless with our bodies; it’s just Taking the time to cultivate a less stressed, more • Legs for assessment and diagnosis • Upper lip information long-term memory. the summer will enrich yourthis day tranquil and serene.orSounds great, she originally worked hard to build. Mention not all goodreaches entertainment. ($195 value for $48.75) balanced life requires diligence, patience and dedication • Jawline & sides of face article doesn’t it?answer Permanent Hair Removal Analogy: Athletes need to continue child’s during thea Hormones are the to our own well being. experiences When wePOSITIVE make ourselves Effect: Your •child will&score lower Breasts underarms and receive PRODUCING SUBSTANTIAL BENEFITS ON READING While it’s no secret that massage therapy has many developing their skills ora decline they willor an off-balance, school year. Whether it isathletic an increase, ComeACHIEVEMENT and priority, our lives andnose, relationships become more joyful Monmouth/Brick on standardized tests during the As well as the ears, parts of the fingers, health doing benefits painknow, relief, better circulation, lose potential. it is their your full hormones theincluding trick. As you and fulfilling. Experience Us atLLC school year. toes, feet, your first treatment, increased and range motion, a etc. We have therapy success with: men and women, manyflexibility times throughout ouroflives, go to name Learning Press, PATHWAYS TOit can ELECTROLYSIS Massage is more than just skinwith deep, Effect: When your child returns We understand the embarrassment, selfa free child few, did know that regularCause: massage can in factneeded be catch-up time through “changes” suchyou as puberty, childbirth, breast- Your THE 2 Locations: 2150 HwyBuilding 35, Ste. 4, 250 be adiscomfort helpful tool incomes enriching and enhancing our lives • Dyslexics consultation. consciousness and that with to school, your child will start 74Belmar Brick Blvd., feeding, perimenopause, menopause, simple aging, etc. during the beginning of the school year due quite cathartic and in some cases life changing? In a 2510 Blvd. 522 Brick Blvd. Cannot be combined by allowing us to give back to ourselves all that we give Sea Girt, NJNJ08750 unwanted hair. If summer. it is just cleaning up your •theADD/ADHD Also,with therea are countless medications that affect hairinformation off low self-esteem dueconstantly Suite 118, Brick, to the lost during with any other offer. By world where we are asked to give out more Wall, NJ 07719 Brick, NJ 08723 to others. appointment only. Either eyebrows or clearing a beard, we can help. No hair growth and hair loss as well, and health issues such as than we receive physically, mentally, emotionally and • CAPD location.an Exp. 2/29/16 Call 732-262-1200 today to schedule PRODUCING SUBSTANTIAL POSITIVE BENEFITS ON READING ACHIEVEMENT Mary Bethmassage D’Antoni spiritually, therapy can Ihelp to lessen the deficit every year in the United States, keeping up with the am Lorraine Fetherman, L.E.,•C.P.E. Undiagnosed challenged readers appointment orSpeaker visit www.holistichealthspanj.com. Business owneraofsafe, Learning Press LLC, of excited “Pathways thecelebrated Mind,” constant changes in the health and beauty world. by providing neutral atmosphere the body, I amAuthor proud for and to say Itojust myEducator, 20th We have success with: Learning Press, LLC WHOis ARE WE?expert who bhairfree.com Mary Beth D’Antoni reading has been active in in theMarch field of education for thirty years. She yearand as an Electrologist 2015. I love what I mind and spirit toabe replenished nurtured through 2150 • Dyslexics l-r Visit Hwy 35, Ste. 250 do. I ama one of the of lucky who looks forwardandinformation, holds a NJ K-12 teaching certificate. She earned Bachelor Artspeople Degree inFor Psychology a Master’s Debbie Matusas,please L.E., C.P.E. more visit: MASSAGE touch. “It’s a butterfly Sea Girt,effect...” NJ 08750 Lorraine • ADD/ADHD to going to work. I get to peopleReading feel better about SIGNATURE One of my two associates, she has been an Electrologist Degree in Education. SheFetherman, worked as a seventh grade Language Artshelp Teacher, Teacher, Adjunct www.holistichealthspanj.com themselves, feel more confident and less I minute 75 signature withto an for over 17 years. She is a great asset our practice and L.E., C.P.E. During massage, the to body enters a state of deep Serving Monmouth •massage CAPD Professor of Reading and is author of “Pathways the Mind, “a reading program for students whoinhibited. have difficulty learning Licensed CertifiedCounties Electrologists: am passionate about what I doinand the people Iadditional help. & &Ocean her love her. hear wonderful feedback all the 732-359-0241 15clients minute hot stone application from traditional methods. Her educational experience has concentrated work remedial, developmental and •I Undiagnosed challenged readers relaxation where endorphins areinvolved released, reducing pain, Lorraine Fetherman I am always looking to learn more. I will be attending Debbie Matusas, time. She is very accommodating to our clients’ needs, enrichment areasthe for kindergarten through college level students. Ms. D’Antoni has done extensive independent research mind slows the breath becomes unrestricted. savings through Debbie Matusas a 3-day Electrolysis Symposium in Quebec City this$75 ($10 offering her services days, 10/31/2016) nights and weekends at our L.E.,and C.P.E. related to students with learning disabilities. Her program “Pathways to the Mind “isand based on her in experience, findings and more information, please For also please visit: visit: Barbara Stoll August for many lectures workshops our field. Brick location. Debbie continues her education, While in this phase some people may fall asleep, others research on the development of reading skills and has been recognized throughout Monmouth and Ocean counties.

S

P

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MIND

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

January/February September/October 2016 July/August 2016


Medical Professionals

53

“Could I have Polycystic Ovary Syndrome (PCOS)?” What is PCOS?

P

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

What are the symptoms?

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

How is PCOS diagnosed?

Women with PCOS are diagnosed after obtaining a detailed medical history, physical exam, pelvic ultrasound, and relevant blood testing. Irregular or missed menstrual periods, increased male pattern hair growth and adult acne are common. Ultrasound may show enlarged ovaries with numerous small follicles. Blood testing may reveal higher levels of male hormones.

What causes PCOS?

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

What are the long-term health risks?

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

How does PCOS affect my chances of fertility?

Women with PCOS have anovulatory cycles, meaning an egg is not released each month, making it difficult to conceive. Using fertility medications can improve their chances of ovulation and achieving pregnancy.

How is PCOS treated in the women not interested in pregnancy?

In women not attempting pregnancy, menstrual irregularity is often treated through the use of oral contraceptives.

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When abnormal hair growth is the primary concern, oral contraceptives can help, while the addition of medications can directly inhibit hair growth. Excess hair can be removed through shaving, tweezing, waxing or the use of electrolysis and laser treatment. PCOS can affect many facets of a woman’s health. It is important that patients be educated about the implications of this condition; that proper evaluation and care is implemented by their provider. At the Reproductive Science Center of New Jersey, we are available to answer your fertility questions, perform a complete fertility evaluation, and present you with individualized options for conception, all in a comfortable and caring setting. Our patients are made to feel like guests in our home. We are a full-service fertility center, experienced in all the latest technologies and look forward to helping you achieve success. Reproductive Science Center of NJ has three locations, Eatontown, Toms River, and Lawrenceville. Our center offers convenient hours along with Free Phone Consultations and Free Second Opinions.

For more information, call 732-918-2500.

Pictured (L-R): Drs. Ziegler and Martinez

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One entry per person. Entries will be accepted through October 31, 2016. Winners are responsible to redeem their tickets. No refunds or exchanges. Transportation or meals will not be included. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

Name: _________________________________________________________ Address: _______________________________________________________ City: _________________________ State: _________ Zip: _______________ Phone: ____________________ Email: _______________________________ Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012

Or Visit www.Facebook.com/TheCountyWoman to Enter Online!

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Constructions & RREM

54

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One entry per person. All winners will be emailed tickets. Multiple entries will be disqualified. Entrants may enter for tickets to multiple shows. Entries will be accepted through October 31, 2016. Some shows will be drawn sooner based upon run date. Winners are responsible to redeem their tickets. No refunds or exchanges. Transportation or meals will not be provided. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Medical Professionals

55

“It’s OK To Talk About It” “It” refers to the changes in vaginal health and it happens

to a majority of women. Now there’s something you can do about it that is clinically proven to bring relief. MonaLisa Touch® is a functional vaginal rejuvenation treatment based on a special fractional CO2 laser, specifically created for the vaginal mucosa. • Quick and Painless • Rapid Results • No Down Time • FDA Approved • 3 Treatments Of Less Then 5 Minutes • No Anesthesia • No Side Effects The MonaLisa Touch® treats menopausal vaginal symptoms and vaginal discomfort at any age when hormones or medications do not work, or are not a safe or desired option.

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The County Woman Magazine www.TheCountyWoman.com

September/October 2016


M

Health & ellness Health @W Wellness

Are You Ready For Food Rehab?

“Let food be thy medicine and thy medicine be thy food” Hippocrates

ost of us know we need to make some lifestyle changes in order to experience better health and vitality. The trouble is HOW do we make those changes? Somewhere along the way we have stopped eating real food. We can’t figure out what is real and what is processed. Everyone is confused and hearing so many mixed messages. No wonder we have lost our way. My best advice to you is DO NOT get your nutrition advice from the media. Rethink everything you’ve ever heard about what healthy eating really is and keep an open mind.

We eat very poorly in this country and we need to get back to basics. We are overweight yet undernourished. Our bodies have nutritional needs that can only be met by eating real whole foods. You cannot possibly get what you need from these food-like products that are stripped of their vitamins, minerals, enzymes and fiber. We are literally starving for nutrients. And what we are left with, after years of poor eating, are a whole lot of ailments. We are overweight, sick, weak, tired, have autoimmune diseases, anxiety, depression, fibromyalgia, colitis, IBS, autism, ADD, ADHD, Asperger’s, migraines, and blood sugar imbalances that lead to heart attacks, strokes, diabetes, high cholesterol. You name it—we’ve got it. We are needlessly suffering. The answers are right under our noses. We don’t have a Prozac deficiency—we have a global nutrient deficiency. The good news is you can practice nutrition therapy all on your own! You have the ability to heal yourself with natural substances that your body actually recognizes and is craving instead of relying solely on medications and surgeries. It’s time for us to become more proactive about our health and our bodies and get our lives back. There is not one specific diet for all of us. Everyone is different and we have different physical, environmental and nutritional issues and needs. I will figure out those needs for you and specifically tailor a meal plan based on your individual needs. How can we correct the problem if we don’t figure out what the problem is? We will work on digestion, detoxification, improving immune function, and determining what nutritional deficiencies you may have. We will determine if you suffer from food intolerance that may cause inflammation in your body, causing autoimmune disease and inflammation in the brain. Certain proteins can turn into opiate compounds which can leak into your bloodstream through a leaky gut and cross the blood-brain barrier. If you are an overeater, for example, you may literally be addicted to certain foods because of this, just like a drug or alcohol addiction. It is time for food rehabilitation. Stop blaming yourself. It will take patience and persistence as we incorporate new foods into your lifestyle until you finally reach your optimal level of wellness.

Are you ready to make a change in your life or help your children make changes in theirs? Are you ready for a Food Rehab? Community Community

Karen Cooney is a Nutrition Therapist and Psychological Counselor. She is a Board Certified Health Practitioner and a member of the American Association of Photo by Drugless Practitioners. Studio 539 She has a Bachelor’s degree in Nutrition/Dietetics and a Master’s degree in Psychological Counseling. Check out her website, www.KarenCooney.com, to find out more or call 609-548-9029.

-Holistic Health Counseling A Balanced Approach

What is making you sick, tired and overweight? Have you tried doctors and medications without any relief?

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DID YOU KNOW

70 -80 % of immune system is located in your gut and 50% of your serotonin is found in your gut.

Possible Food Sensitivities/Alzheimer’s/Autism Spectrum Disorders/Autoimmune Disorders/Cancer/Extreme Fatigue/ Gastrointestinal Disorders/Gluten Issues/Weight Gain/Chronic Congestion/Ear Infections/Yeast Infections/Depression Having a healthy gut is central to your health. It is connected to everything that happens in your body. • We will test for hidden food sensitivities, heavy metal toxicity • Cleanse/Detoxification • Provide individualized nutrition plans made specifically for you • Promote tissue healing in the gut • Provide nutrition supplementation

Karen Cooney, MA, CHHC - Nutrition Therapist The Commons at Royce Run, 1064 S Main Street Manahawkin, NJ 08050 • Building 1 - 2nd Floor

609-548-9029 www.KarenCooney.com

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2nd Annual Food Truck Wind Up Saturday, October 15th, 2016 Faces Of The Elderly 12:00PM-6:00PM & Craft FBeer Fest or a book on the perils and pleasures of aging, Long Branch photographer

Hal Kahn is seeking men and women whose faces reflect their triumphs and Free Admission struggles. AllPark volunteers will be photographed and receive electronic copies of Take Yourself Out To The Ball & images at Too! no charge. Food & Drink Bring Your Friends their and Your Dog Kahn believes older people are too often ignored in today’s culture. Every face Sold Seperately has a story to tell, he says, and he wants to document and honor those accounts Parking Fee: $5/ Car Come on over to the Lakewoodof Blue at First of aging in America. theClaws trialsStadium and tribulations Energy. This year, we’ve expanded to include some great activites or onto themake infield! true family dayplease out! call Kahn at 505-795-9585 or write to FacesoftheElderly@gmail.com For“Fall moreFest” information an A appointment, VENDORS: Please call 855-478-6888 for information.

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

July/August 2016 September/October 2016


Medical Professionals

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Understanding Prolozone From the American Academy of Ozonotherapy website

Prolozone® is a homeopathic/oxygen-ozone injection technique developed and pioneered by Dr. Frank Shallenberger. It is excellent for all forms of musculo-skeletal and joint pain including chronic neck and back pain, rotator cuff injuries, degenerative and arthritic hips and knees, degenerated discs, and shoulder and elbow pain. Because in many cases Prolozone actually corrects the pathology of the disorder, there is a 75% chance for the chronic pain sufferer to become permanently pain free. Prolozone is a form of non-surgical ligament reconstruction and is a permanent treatment for chronic pain. Prolozone is a connective tissue injection therapy of collagenproducing substances and ozone gas which can reconstruct damaged or weakened connective tissue in and around joints. These substances are injected into the damaged connective tissue in and around a joint to rebuild the damaged areas. By repairing the connective tissue, this is all that is needed to permanently reverse chronic pain. Prolozone Therapy is an injection technique similar to Prolotherapy that uses ozone. The use of ozone causes the joint to heal much more quickly than in traditional Prolotherapy. This is because ozone is a highly reactive molecule and when injected into a joint capsule, it is able to stimulate the fibroblastic joint-repairing abilities. Prolozone is derived from the word ozone and the Latin word “proli” which means to regenerate or rebuild. It literally means rebuilding tissues with ozone. It is important to understand what the word Prolozone actually means. “Prolo” is short for proliferation, because the treatment causes the proliferation (growth, formation) of new ligament tissue in areas where it has become weak. Ligaments are the structural “rubber bands” that hold bones to bones in joints – acting like the body’s shock absorbers. Ligaments can become weak or injured and may not heal back to their original strength or endurance. Ligaments will also not tighten on their own to their original length once injured. This is largely because the blood supply

to ligaments is limited, and therefore healing is slow and not always complete. To further complicate this, ligaments also have many nerve endings, and therefore the person will feel pain at the areas where the ligaments are damaged or loose. We can think of our joints as the hinge on a door. Until the hinge is fixed, the door just isn’t going to open or close right, and it’s the same exact story with our joints. If we are athletic or if we are just getting older, there is some gradual and natural degeneration of the moving parts of the body due to ongoing recurrent mechanical stress, and failure of tissues to repair. This can come from lack of nutrients, lack of circulation, aging and inflammation. When this happens the ligaments, tendons, and cartilage become dehydrated and weaker. This results in laxity and more abnormal mechanical stress and shearing forces on the joint. Abnormal shearing forces and torsion cause more joint dysfunction. This leads to a progressive separation of the ligaments from the superficial covering on the bone called the periosteum. This pulling on the periosteum creates a space, which the body fills in with new bone. These new parts of bone are called osteophytes. They are the premier signs of degenerative arthritis in and around the joint. Osteophytes and joint laxity result in a reduced range of motion, which causes strain on surrounding muscles, which then become either over- or under-worked leading to more dysfunction and pain. Prolozone causes repair and tightening of the lax structures, partially torn connective tissue and ligaments. Prolozone halts the pain/inflammation cycle. This allows for better circulation, increased blood flow carrying nutrition, and hydration of the damaged tissues. This allows for a healing environment within the joint to develop and results in increased range of motion and decreased pain and inflammation. Just about every joint can be injected and with minimal discomfort. Costs are also reasonable and significantly cheaper than Prolotherapy, PRP and Stem Cells with comparable results in non-severe cases.

Contact Dr. Bartiss at ICAM to see if you may benefit from the protective and reparable properties of Prolozone Therapy.

Institute For Complementary & Alternative Medicine 24 Nautilus Drive, Suite 3, Manahawkin, NJ 609-978-9002 504 Hamburg Tpk., Suite 205, Wayne, NJ 973-790-6363 By Appointment Only: 639 Stokes Road, Suite 202, Medford, NJ 609-654-5900 www.ICAMBartissMD.com

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 Therapy (BHRT). He has helped numerous individuals take their lives back and reclaim their health.

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

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


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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

Health

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Wellness

Let Your Mind Move Your Body -

And Boost Your Physical and Emotional Well-Being

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Do you keep telling yourself you need to exercise, but can’t seem to fit it in? Maybe you belong to a gym, but hardly ever get there. Getting in more activity is something many people want to do, but just can’t seem to muster the “oomph” to do it. That’s unfortunate, when it’s clear that 30 minutes a day of aerobic activity (like brisk walking, biking, dancing, etc.) boosts physical and emotional health. And, it doesn’t have to be done all at once.

According to research, daily exercise is one of the single greatest predictors of health, longevity, and well-being.

A Surgeon General report states, “Millions of Americans suffer from illnesses that can be prevented or improved through regular physical activity.” According to the CDC and other health organizations, it may:

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

• Increase your chances of living longer. • Improve your mood and reduce stress. • Reduce your risk of cardiovascular disease. • Control your weight. • Build and maintain healthy bones, muscles, and joints. • Reduce your risk of developing diabetes. • Manage blood pressure. • Reduce your risk of some cancers. • Improve your energy level and stamina.

• I’m too tired. The less you move, the more tired you feel. It’s a vicious cycle. Break out of it now! One of the best ways to feel more vibrant and energetic (and confident and sexy!) is to get in regular activity. Say to yourself, “Exercising boosts my energy level and confidence.”

• Improve cognitive function, and prevent or delay onset of Alzheimer’s. • Reduce feelings of depression and anxiety. • Improve balance and reduce falls in older adults.

But, as with many things, “knowing” what to do and “doing” it are very different. Do you talk yourself out of getting in more activity? Words are powerful, and the more you repeat them, the more you believe them. Think about the excuses you’re making – and do some excuse-busting; for example:

• I don’t enjoy exercising. How giddy do you get brushing your teeth or doing laundry? Some things just need to get done. Come up with activities that appeal to you. Even if you don’t get excited about them, do them anyway – and remind yourself of the benefits! “This is the only body I will have in this lifetime, and I treat it with respect.”

• I don’t have time. Take another look at the list of benefits, and decide you’re going to make time. If you have time to watch TV, read, meet with friends, etc., you can make time to move. Avoid it at your own peril. Put reminders in your phone or on your calendar. Change your self-talk to, “I make time to exercise every day!” • I have physical problems. Maybe you have a condition that limits your activity in some way. With your doctor’s okay, exercise those parts that can be exercised. Lack of movement only contributes to more problems. Move what you can! Tell yourself, “I want the benefits of regular movement, and I move what I can.”

The County Woman Magazine www.TheCountyWoman.com

The reality is that you have the ability to change your mindset, and to develop smarter and healthier patterns that will contribute to a better life. It’s never too late to begin. If you need a push, hypnosis and coaching can help you get into better lifestyle habits.

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If you would like personalized assistance to help you move forward, call me at 732-270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being.

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www.HypnoForWomen.com

September/October 2016


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Commonly Asked Questions About Hypnosis

What is hypnosis used for? Hypnosis or hypnocounseling is an efficient way to help you remove barriers and reach your goals. It can help to release negative patterns like smoking, unhealthy eating, nail-biting, procrastinating, etc. It can induce a strong feeling of relaxation, reduce stress, and improve sleep quality. Many people use hypnosis to get over a fear, like fear of flying, public speaking, or being in enclosed spaces. It’s often used to build confidence, and to improve concentration and focus, study habits, social skills, and sports performance. How does it work? While you’re relaxing in a comfortable chair, the practitioner will coach you into a state in which your conscious, logical mind quiets down, allowing more activity in the subconscious mind – the part involved with behavior patterns, memories, and emotions. In that state, your mind is more receptive to making desirable changes. Hypnosis is a powerful vehicle for change and offers many benefits when practiced regularly. Would I be under the control of the hypnosis practitioner? People use this technique because they want to gain more control over themselves. No one can make you think, say, do, or feel anything that runs counter to who you are and what you want. TV and movies often distort reality for entertainment purposes. What if I’m not “hypnotize-able”? It’s rare that someone is unable to experience hypnosis, because it’s a naturally occurring state that you’ve spontaneously entered many times (like when daydreaming). 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. However, because it’s very relaxing, it is possible to drift into a natural sleep state, but an observant 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 a hypnosis practitioner may request authorization before seeing certain clients, and hypnosis practitioners often work in tandem with physicians and therapists.

Exercise Success Stories

I’m not using my treadmill as a closet anymore! I’m up early every morning and get in a good 20 minutes before work. It’s a great way to clear my head, get energized, and start my day. It’s also helping me keep my weight down. And I can keep up with my grandkids. What a difference!

It was really bothering me to be a couch potato. I knew how unhealthy it was, but until I came to see you I couldn’t get myself to be more active. I felt like I was stuck in a rut. I used to come home from work exhausted, fix dinner, plop on the couch, and watch TV for hours. I hated how I felt. Things are so much better now. I have a lot more energy, my brain’s working better, and I move easier. Even my joints feel better. You were right – I was able to change old habits and get into better ones.

I’m finally using my gym membership, and I feel terrific – so much stronger and more fit. Also, I have tons of energy. I’m even preparing for a half-marathon with some friends. Thank you for getting me to move again.

My doctor is really happy at how I’ve improved my lifestyle. I’m happy, too! I’m exercising and eating healthier. My cholesterol is down, my blood sugar numbers are better, and even my blood pressure came down a bit. When I go out with friends, I’m not the one lagging behind anymore. Thanks!

After I hurt my ankle, I got out of the habit of doing my usual activities. I couldn’t get back into them on my own. With your help, I changed things around. Everything seems so much better now. I started a walking group and I’m taking Zumba classes! I’m even thinking about trying yoga.

Hypnosis for Women Visit www.HypnoForWomen.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


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Assisted Living

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 small decisions. In the May/June 2014 issue, we focused on four aspects in order to make your parent’s move to a new living arrangement as smooth as possible. To begin, making a list of questions is the most important. Checking out local and national referrals along with public services through your state’s Department of Human Resources, can be helpful in finding a good place for them to live. Spring Oak of Forked River is one of the most affordable Assisted Living communities in Ocean County, NJ. To understand how to pay for it, you will need a clear understanding of your parent’s financial resources. To continue, we will focus on three more aspects in order to make your parent’s move to a new living arrangement quite simple.

What medical, emotional, financial and family resources will my parent and I need? Be proactive! Dealing with medical paperwork, coordinating schedules, pulling together resources, is rough enough, in addition to the challenge of helping your parents move into a assisted living facility. You will also be dealing with the emotions that inevitably arise when you have to deal with what is likely the final chapter of a loved one’s life. It is easy to get a little overwhelmed, and that is okay, but you will be more effective in accomplishing what you need to get done if you try to stay on top of things. Get a flexible file, or use whatever file system works for you, and collect all medical records and all drug information (name of drug, purpose, dosage). Keep these updated and take them with you when your parent is examined or evaluated, when a new doctor is seen, and when new drugs are prescribed. If your parent has someone else take them for doctor visits, be sure they have a copy of this information, so it travels with your parent. Join a caregiver group. To find one, call your local senior center, church, or local assisted living communities. The aging of the baby boomer generation will provide you with plenty of chances to find good company on this new journey in your life. Caregiver groups can be an invaluable place to get advice and emotional support. Help your parent stay engaged with family and peers, even if it’s a challenge. Have family take turns calling and visiting. Try to coordinate visits and calls with friends and neighbors. Be sure that wills, living wills and powers of attorney are in order. Get as much information as you can about bank accounts, insurance policies, last wishes, names of

doctors, lawyers and ministers. This is often a difficult subject for parents and children; in our family we approached it by having the adult children discuss and take care of these tasks at the same time as our elderly parents. Engage as many family members as you can to work through this process. Too often things get dumped on a dutiful daughter or son, while the rest of the family looks on. Even if everyone doesn’t agree on what is done, everyone should be heard and involved. If there is extreme disagreement in the family, you may want to have an elder care attorney or minister mediate.

What can they take with them? Spring Oak Assisted Living allows you to personalize the apartment as you choose. We have no restrictions to wall hangings or mounted flat-screen TVs. We also allow pets. This all depends on where they’re going and how much living space they will have. •

Take favorite pictures and other small treasured things that may be decorating their walls; familiar things can make them feel more at home more quickly, and it gives them things to talk about with their new neighbors.

Make a floor plan of their new residence on paper or on the computer and do a scaled layout of their furniture. Then decide what they will take and what to do with the excess so it’s not in your basement or an expensive storage facility for years to come.

Some communities allow very small dogs and cats; most do not. Ask the community for a list of do’s and dont’s.

How much might their life change? At Spring Oak Assisted Living, we strive to have all new resident’s acclimate to their new home seamlessly. Our “welcoming committee,” made up of four existing residents, spend some time every day, for the first few weeks of the new resident’s arrival, helping them feel comfortable. This is often one of the biggest changes in a person’s lifetime. Many seniors view this move as the last one of their lives, and it can cause them to be sad, depressed, or angry. More positive folks see it as a way to unburden their families and feel more secure about receiving the ongoing care they need. Community caregivers are trained to notice and deal with differing attitudes, and you should work with them and with your parent to help them adjust.

Call 609-242-2661 today!

Call for an Appointment Today

609.242.2661 601 N. Main St. (Route 9)

The County Woman Magazine www.TheCountyWoman.com

Lanoka Harbor, NJ September/October 2016


Medical Professionals M P edical

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The Only Center In NJ That Specializes In MCI, The Only Center in NJ thatRelated specializes in MCI, Alzheimer’s Disease And Conditions! Alzheimer’s disease and Related Conditions!

Common questions we ask our patients The Memory Enhancement Center of Dr. Ross received his medical degree from the at the Memory Enhancement Centers America provides unmatched excellence in State University of New York Downstate Medical Dr. Ross received his medical degree an from the Theaccurate Memorydiagnosis Enhancement Center treatment of of America: Common questions patients we ask Center in Brooklyn. He then completed internship the and proper State University of New York Downstate Medical and residency in Internal Medicine at Nassau County America provides unmatched excellence in of•you atrepeat the Memory Enhancement Do you questions about the events of the day? of individuals age 45 and older who have Center Center in Brooklyn. then completed internMedical in EastHeMeadow, New York,anwhere the accurate diagnosis and proper treatment Centers America: • Do youof avoid driving to unfamiliar locations? he was Chief Resident, and a fellowship in the ship and residency in Internal Medicine at Nassau concerns about their memory. Individuals of individuals age 45 and older who have • Do you questions about thepost events of calendars the day? • Do yourepeat rely more on reminders, its or Department of Geriatrics andEast Adult Development at County Medical Center in Meadow, New York, concerns come • Domore come about to the their centermemory. from theIndividuals Tri-State area before? youthan avoid driving to unfamiliar locations? Mount Sinai Medical Center in New York, New York. where he was Chief Resident, and a fellowship in to the center from the Tri-State area.Why? • Doyou yourely havemore trouble conversations Dr.theRoss is a Diplomate of the National Board of Why? They receive in our state of the facility a • Do on recalling reminders, post its orthe next Department of Geriatrics and Adult DevelopThey receive in our state of the facility a Medical Examiners andment of theatAmerican BoardMedical of Internal Medicine day or several moredays thanlater? before? Mount Sinai Center in Newwith York, comprehensive confidential consultation calendars added qualification in Geriatric Medicine. comprehensive andand confidential consultation • Doyou youhave seemtrouble confused while doing familiar things in New York. Dr. Ross is a Diplomate of the National • Do recalling conversations Dr. Ross’ Achievements atcost no cost to them or their insurance. at no to them or their insurance. Board of Medical Examiners and of the American Board of Internal Medicine outside theornext daythe or home? several days later? • Alzheimer’s Caregiver Humanitarian of the Year (2011) with added qualification in Geriatric Medicine. it just simple forgetfulnessoror something • Do Is itIsjust simple forgetfulness • Doyou youseem have confused trouble paying the bills? • Academy of Physicians in Clinical Research Board of Trustees while doing familiar Dr. Ross' Achievements something (2011-2012) • Do you get confused about the day, date or month of more? more? things in or outside the home?

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Ross hashas thethebest approaches year? • Dothe you have trouble paying the bills? Dr.Dr. Ross bestand andnewest newest approaches to highly and accurately diagnose the cause of • Do you getconfused lost or confused driving to highly and accurately diagnose the cause of • Do you get about while the day, dateor walking memory loss in all that come to the Center. It is in a familiar place? memory loss in all that come to the Center. It is or month of the year? hoped soon thethe center • Doyou youget have in your speech? hoped soon centermight mightoffer offer aa program program toto • Do lostpauses or confused while driving prevent or delay MCI/AD. We are the only center • Do you have problems prevent or delay MCI/AD. We are the only center or walking in a familiarfinding place? even common words in NJ that specializes in MCI, Alzheimer’s Disease using familiar names? in NJ that specializes in MCI, Alzheimer’s Disease • Dooryou have pauses in your speech? and related conditions. • Do you sometimes forget what you wanted to say in and related conditions. • Do you have problems finding even common All dementia starts with what is called Mild the middle of afamiliar conversation? All dementia starts with what is called Mild words or using names? Cognitive Impairment or MCI. Most doctors • Do you walk into a room and forget what you came Cognitive Impairment or MCI. Most doctors • Do you sometimes forget what you wanted have heard the term MCI but don’t know how to to do or get? have heard the term MCI but don’t know how to to in saythere in the middle of a conversation? properly apply it to the appropriate patient with If you answered positively to two or more of these properly apply it to the appropriate patient with • Do you walk into a room and forget what memory loss. It is quite simple: questions then call the Memory Enhancement Center memory loss. It is quite simple: you came in their to do or get? The world renowned physician/neurologist, of America today for a free consultation. You have world renowned physician/neurologist, If you answered positively to two or more Dr. RonThe Peterson, MD who literally wrote the nothing to lose except more of your memory if you Dr. Ron Peterson, MD, who literally wrote the book of these questions then call The Memory book called Mild Cognitive Impairment has the wait a minute longer. called Mild Cognitive Impairment has the following Enhancement Center of America today for a free following criteria that need to be in place to After memory tests at your what criteria that need to be in place to diagnose MCI: consultation. You have nothing to loseoffice, except more diagnose MCI: else is done to help explain the cause? 1. Memory concern corroborated preferably by a of your memory if you wait a minute longer. 1. Memory concern corroborated preferably by a Dr. Ross provides a detailed consultation to you close friend/family member. close friend/family member. After memory tests at your what and your current physicians so theyoffice, can also help you 2. Objective memoryimpairment impairment for for the 2. Objective memory theage ageand and else is done to help explain the cause? decide upon the next course of action. This may be a education of the subject (we administer these simple education of the subject (we administer these prescription of an FDA approved drug for dementia/ Dr. Ross provides a detailed consultation to teststests of memory at the at center to determine if this simple of memory the center to deteryou and yourDisease. currentIn physicians soathey can also Alzheimer’s some cases, suggestion to criteria is satisfied. mine is this criteria is satisfied. help you decide upon the next course of action. reduce or eliminate possible medication(s) that can 3. Largely intact general cognitive function (meaning 3. Largely intact general cognitive function (meanbe a prescription of an loss FDA be may contributing to your memory as approved well as offer meet andand talktalk withwith you there ing to tomost mostpeople peoplewho who meet you This drug for dementia/Alzheimer’s Disease. In some you an opportunity to participate in a pharmaceutical would notnot be anything noticeable). there would be anything noticeable). cases, a suggestion to reduce or eliminate possible sponsored clinical research trial. An abnormal level 4. Generally preservedactivities activitiesof of daily daily living 4. Generally preserved living(this medication(s) that can be contributing to yourwith of B12 in your blood may also be a factor along simply means you can still drive, prepare meals, (this simply means you can still drive, prepare memory as welland as offer anpossible opportunity thyroid loss conditions manyyou more causes.to shop, change appointments by phone, renew meals, shop, change appointments by phone, participate in a pharmaceutical sponsored clinical medications by phone with the pharmacy or renew medications by phone with the pharmaresearch trial. An abnormal level of B12 in your prescription benefits plan plan manager, and care for all cy or prescription benefits manager, and blood may alsoOF beALZHEIMER’S a factor alongDISEASE with thyroid SYMPTOMS daily basicdaily needs. careyour for all your basic needs. conditions and many more possible causes. Repeat questions 5. Not demented(this (thismeans meansno no dementia dementia which 5. Not demented which Misplace possessions essentially refers yourloss lossof of such such abilities essentially refers totoyour abilitiesnoted SYMPTOMS OF ALZHEIMER’S DISEASE Are at a loss for words n Repeat questions in number 4). 4). noted in number Forget recent events, conversations and n Misplace possessions If you If you have MCI,ititisiscritical critical you you have have aathorough have MCI, thorevaluation. There is noisbetter place place qualified to have n Are names at a loss of for friends words or relatives ough evaluation. There no better qualified Confused sense of direction and the proper testingtesting than atthan the Memory Enhancement n Forget recent events, conversations and names of time friends and to have the proper at the Memory become lost in familiar places Enhancement Ross and his staff. or relatives Center withCenter Dr. Rosswith and Dr. his staff. Havesense difficulty performing of direction and time andchores become or lostusing in TheThe evaluationrequires requiresoften often less less than evaluation than90 90minutes n Confused appliances and tools familiar places minutes our office. Our staff courteous, is most courtein ourinoffice. Our staff is most caring and difficulty finances n HaveHave difficulty performinghandling chores or using appliances and tools ous,compassionate caring and compassionate needs of all to the needs of to all the individuals seeking Show changes in mood and/or personality n Have difficulty handling finances individuals seeking answers to why their memory answers to why their memory is failing. is failing.

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Show changes in mood and/or personality

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• Alzheimer's • Certified Caregiver Physician Humanitarian Investigator of the Year (2011) • Academy of Physicians in Clinical ResearchinBoard • Second followship trained Geriatrician NJ of Trustees (2011-2012) • Certified Physician Investigator Dr. Ornstein has aingreat • Second followship trained Geriatrician NJ deal of experience caring for patients with cognitive impairment including Dr. Ornstein has a great deal of experience caring mild, moderate and severe Alzheimer’s disease. This for patients with cognitive impairment including includes the areas of primary care and as a principal mild, moderate and severe Alzheimer’scare disease. investigator providing compassionate to those This includes thehisareas of primary care and as a most in need of services. principal investigator providing compassionate He has been an investigator on many importantcare to thosetesting most in his efficacy services.of the latest studies theneed safetyofand He has been an diseases investigator onasmany compounds battling such Mild important Cognitive Impairment and Alzheimer’s studiesDisease/Dementia. testing the safety and efficacy of the latest “I have been a practicing internist for over thirty years havecognitive an compounds battling diseases such and as mild intimate and knowledge of theDisease/Dementia. overwhelming health issues confronting the impairment Alzheimer’s of today. For the past five years, it has beenyears my medical “Iseniors have been a practicing internist for over thirty and havemission an in life and definitely my distinct pleasure to offer hope and reassurance by intimate knowledge of the overwhelming health issues confronting the seniors way of clinical research to those unfortunate individuals diagnosed with of today. For the past five years it has been my medical mission in life and Alzheimer’s disease.” definitely my distinct pleasure to offer hope and reassurance by way of clinical research to those unfortunate individuals diagnosed with Alzheimer’s disease.”

Memory Issues?

Taking action today may lead to tomorrow's answers. To learn more please contact:

Memory Enhancment Center 732-379-7768 732-263-0101 Dr. Ross will personally respond to your phone call. 4 Industrial Way West, 2nd Floor Eatontown, NJ 07724

www.memorycenternj.com May/June 2016 September/October 2016 July/August 2016


Massage School

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Are You Looking For A Career Change- Where You Can Be Your Own Boss? The New Jersey School of Massage offers extensive 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. Massage Practitioners often see themselves less as business people and more as individuals with a calling or mission. There are approximately 320,000 trained therapists providing massage and bodywork in the United States. Today, there are more than 250 known types of massage and bodywork. The massage training can also be a stepping-stone to continuing a career in the medical field. Many massage therapists enjoy the flexibility of being a therapist, as well as, feeling relaxed themselves. Spas employ an estimated 338,600 people in the United States. Many therapists have their own private clientele and some may work at day spas, health clubs, salons, resorts/ hotels, hospitals, rehabilitation centers, cruise ships or with sports teams or schools. Although massages relax individuals, there are also many

other benefits. In a study of migraine sufferers, massage therapy reduced the duration and intensity of pain, reduced stress and depression. Research shows that massage therapy has a beneficial effect on the following: cancer, 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. The geritric generation benefits also from massage by improving blood circulation and easing aches and pains. Visit www.NJSchoolofMassage.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. Textbooks, a massage table and a school T-shirt

Divorce Financial Analyst

Day & Evenin g Classes Start ing in November. Yo ur invited to sit in on a class!

At the New Jersey School of Massage, we work with your individual needs of scheduling your home life, children and work. From age 18 to 65, you can find a niche where you will be helping clients while enjoying a satisfying career. Our teachers have years of experience in their area of expertise. We have an affordable tuition and easy payment plan.

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

Located On: Corner of Route 37 &166 917-5 North Main Street Toms River, NJ

Will Your Divorce Leave You Broke? Remember your marriage may be ending but the rest of your life lies ahead.

Donâ&#x20AC;&#x2122;t Get Divorced Until You Call John P. Cito. jcito@divorceplan.com

John P. Cito, CDFA Helps You Plan & Secure A Divorce Settlement So You Can Live Your Life Your Way 732.655.4233 1540 Highway 138, Suite 203 Wall, NJ 07719

The County Woman Magazine www.TheCountyWoman.com

www.divorceplan.com

September/October 2016


Education

63

Non-Credit Programs For Movers, Shakers, And Fun Seekers!

If you’re interested in changing careers, moving up the ladder, or simply expanding your interests, the Department of Continuing and Professional Education (CPE) at Ocean County College (OCC) has it all. From professional development and fasttrack career training to personal enrichment and kids programs, OCC has something for everyone! Whether you’re six or sixty-six, you’re sure to find a non-credit course to get you started on a successful career or fulfilling personal life. Business & Technology: If you’re looking to update your computer skills or find a new career, CPE has courses to get you started in the right direction. Computer classes are geared for the beginner as well as advanced professional. For the novice, get-up-to-speed with classes in Microsoft Excel, Word, or Outlook. And the system administrator certificate, office support specialist bookkeeping course, along with classes in human resources, legal office assistant, among others, are perfect for job seekers. Health Care: OCC is known for the success rate and employment opportunities stemming from its non-credit health care offerings. Programs, certificates, and individual courses can enhance a current health care career or help you begin a new career! Nurses and massage therapists can look to OCC for professional development programs. And many fast-track career programs prepare graduates in just three to six months to sit for state and national certification exams. Personal Enrichment: A variety of classes are available for adults 18 and over including dance, language, genealogy, golf, music, painting, photography, and more. If you’re an adult age 55 or over, the Academy for Lifelong Learning will enrich your

Funeral Planning

life. Membership is free and includes discounts for movie tickets and specified shows by the Garden State Philharmonic and the Jay and Linda Grunin Center for the Arts. Classes for Kids & Teens: Adults aren’t the only ones who benefit from non-credit classes! Youth programs include art, dance, music, sports, science, and summer camps, among others. New this fall is Sensitivity Super Powers, an enrichment-based program for high functioning children with Autism Spectrum Disorder. Educational Preparation: If you need to brush up on your skills, you can take classes for the High School Equivalency Prep, SAT, TEAS, and English-as-a-Second-Language. Employers & Employees: Business Engagement works with employers to provide training for employees in computers, management, and supervisory skills. Training can be customized to individual needs. In some instances, training may be grant funded tuition free! Let us visit your business and conduct a needs analysis, design a specific curriculum, and provide training in person or online. Online Programs: Too busy to travel to campus? Non-credit courses are available via a traditional face-to-face classroom or online. You can start online career training anytime and work at a pace that suits your individual style. Financial Aid: Payment Plans and grants may be available for certain fast-track career training programs. The Department of Veterans Affairs has also approved many programs for veterans’ educational benefits.

Ocean County College has Something for Everyone!

To learn more, contact Ocean County College’s Department of Continuing and Professional Education at 732-255-0409, cpeinfo@ocean.edu, or www.ocean.edu/cpe.htm.

CAREERS TRAINING WORKFORCE DEVELOPMENT

ENRICHMENT KIDS' CLASSES

www.ocean.edu/cpe.htm

DeGraff Lakehurst Funeral Home

P

The Benefits Of Pre-Planning

re-planning your funeral can significantly minimize the many stresses and pressures that accompany the grieving process of losing a loved one.

The sad truth is thousands of people die (whether expected or unexpectedly) each year without the proper end-of-life plan in place. Making funeral arrangements at the time of loss is extremely difficult for those left behind. Families tend to take comfort at the time of death simply from knowing their loved one’s funeral reflects their wishes. Although pre-planning might sound morbid, it isn’t. It is part of sensible estate planning. This will allow you to control the type of funeral you want, such as traditional viewing and burial, cremation with a viewing, cremation with a memorial service or direct cremation. Upon your passing, the truth is that most people don’t have any idea how to get started. Pre-planning takes the guesswork out of the common question of “What do we do next?” A properly structured pre-plan can not only ensure that

your family knows what to do, but can also make sure your decisions are efficiently implemented. By reducing many of the obvious family pressures, this provides some extra time for them to work through some of the other struggles such as dealing with the grief and loss, notifying your loved ones and creating the best possible way to celebrate and memorialize your life.

If you would like more information on the benefits of pre-arranging your funeral service, please call our dedicated staff at 732-657-7868. Testimonials “Thank you for your kindness, caring and compassion. I will always be grateful for your heartfelt warmth in my time of need.” “I wish to thank you on behalf of my family for the beautiful way you handled my mom’s interment. Everything ran so smoothly. Without your help, we would have been lost. Thank you so much.”

The County Woman Magazine www.TheCountyWoman.com

DeGraff Lakehurst Funeral Home 119 Union Ave. Lakehurst, NJ 08733 www.DeGraffFuneralHome.com

Call: 732-657-7868 Family Owned and Operated Serving All Faiths Sherry DeGraff

Manager, NJ Lic. No. 3921

September/October 2016


Permanent Hair Removal

64

Stop Tweezing And Waxing!!

Yes, You!! 

At Monmouth/Brick Electrolysis, we can help you eliminate unwanted hair

PERMANENTLY!

Please do yourself a favor, call us today:

732-948-9547.

We offer hours seven days a week by appointment.

We will help you feel more self-confident, clean and uninhibited. We know how it feels; we are not just Permanent Hair Removal Experts; we are clients too. Mention this ad and receive 50% off your first treatment with a free consultation

Offer cannot be combined. By appointment only. Expires 10/31/2016.

Licensed and Certified Electrologists Lorraine Fetherman, L.E., C.P.E. Debbie Matusas, L.E., C.P.E. Not Pictured: Barbara Stoll, L.E., C.P.E.

“It’s a butterf ly effect…”

Monmouth/Brick Electrolysis

2510 Belmar Blvd. Wall, NJ 07719

Breast Cancer Awareness

522 Brick Blvd. Brick, NJ 08723

732-948-9547 • bhairfree.com

October Is Breast Cancer Awareness Month! Breast cancer is the second most common kind of cancer in women. About 1 in 8 women born today in the United States will get breast cancer at some point. The good news is that many women can survive breast cancer if it’s found and treated early. A mammogram – the screening test for breast cancer – can help find breast cancer early when it’s easier to treat. National Breast Cancer Awareness Month is a chance to raise awareness about the importance of early detection of breast cancer. Make a difference! Spread the word about mammograms and encourage communities, organizations, families, and individuals to get involved. For more information about Breast Cancer Awareness Month, visit www.nationalbreastcancer.org.

Did You Know? • 240,000 New Cases Of Breast Cancer Are Diagnosed Each Year • 25-30% Reduced Mortality Rate For Women Ages 50-70 With Early Detection • Women Age 40+ Should Have A Yearly Mammogram Screening (Don’t forget self exams!)

EARLY DETECTION SAVES LIVES!

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Business Spotlight

65

Electrologist Debbie Matusas Will Take Care of Your Unwanted Hair Debbie Matusas, L.E., C.P.E.

B

OCW: How do you stay current with new developments in your field? Debbie: I attend seminars and continuing education classes to keep up with all the latest information. I also received my Allied Health Degree at Ocean County College while earning my Electrolysis Certificate.

Before Debbie Matusas became a certified OCW: What sets your business apart from others like it? Electrologist she was a client Debbie: One way we are different is that we stay open seven days a herself and fell head over week and try to accommodate each client every day. We have three heals for the procedure. She highly experienced professionals working together to help everyone adds, “I was completely sold with their needs. We all love what we do. on the process and loved OCW: What are some common misconceptions people have the confidence it gave me.” about Electrolysis? So much so that she wanted Debbie: People think electrolysis is permanent within a few to share that feeling with treatments. It is a process and a commitment, but one that is well others. Debbie has now been practicing for 18 years and remains just as worth it. I often compare it to a diet where “slow and passionate about the procedure as she steady” gets the best result. Most clients return once was in the beginning. Electrolysis remains a week or every other week as needed. However, the Did you know the only FDA approved method of hair that electrolysis was unwanted hair will be gone forever once the series of removal for men, women, and children. treatments are complete. invented more than Today’s medical electrolysis devices OCW: Are there more men coming into your destroy the growth center of the hair 100 years ago to practice these days? with chemical or heat energy. After a remove irritating, Debbie: Over the past 18 years of practicing very fine probe is inserted into the hair in-grown eyelash electrolysis, I have worked on a significant follicle, the hair is removed with tweezers. hairs? percentage of men. It is a highly successful treatment OCW: What is the most rewarding part about for them as well. your profession? OCW: What are the most common issues you see in Debbie: I love the fact that I can help people feel better your profession? about themselves. There is just nothing better than helping people Debbie: Most people don’t realize the affect that stress and feel more confident. I look forward to and enjoy the interaction hormones can have on hair growth and on hair growth cycles. That I have with my client’s during their treatments. It gives them the is another reason why when clients ask, “How long will this take,” opportunity to vent in a private place; all while helping increase it’s hard to give an answer. This is not a “one size fits all” process. their self-esteem. The relationship I have with my clientele is very Everybody is different and each client has a unique situation. Hair personable, private, and a highly rewarding part of my profession. growth is the result of heredity and hormone levels. Also, some drugs OCW: What is the most challenging part for you? and illnesses can stimulate hair growth. Debbie: One of the more challenging aspects is trying to explain the way hair growth cycles work. Most of my clients don’t realize Specialists like Debbie are known as “Electrologists” how many hairs they tweeze prior to trying electrolysis. Adding those and they have undergone specific training to hairs up in a week, it can get extremely frustrating for them to just professionally administer the electrolysis procedure. If allow the hair to grow and not tweeze. They are permitted to trim the you are considering this procedure, be sure and do your hair in between treatments, but pulling the hair out has to stop. This research before committing to an appointment. The is critical for electrolysis to be effective. There is a minimum of three wrong decision can mean not only extra sessions and hundred hair follicles per square centimeter of the skin. Although cost, but also pain and discomfort. Be sure and make an electrolysis is a slow process, it is immensely rewarding when you informed decision. stick with it and listen to instructions from a professional.

2 Convenient Locations:

2510 Belmar Blvd. Wall, NJ 07719

522 Brick Blvd. Brick, NJ 08723

732-948-9547 bhairfree.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


66

Adult Community

Staying Close to be Independent. Home Choices for 55+ Relationships that matter most are so important in the retirement, right-sizing home decisions. Location, cost, and cost control make up the next set of decisions. Balancing all of it together takes family communication, couple communication and a careful personal assessment of the financial considerations. Ocean County, the one county with the largest and best-served 55-plus population, is that because of its central location and excellent growth planning. No one knows what tomorrow will really hold for them; most people have to rely on the best-guess. Once that part of the equation is set, gathering the facts takes time, footwork and travel. To preserve and grow those relationships that matter most, a geographical choice that keeps it simple is often the best solution. No opportunity should be overlooked. Let’s say home ownership is preferable to renting. This is a place where Fountainhead, a land-lease community with new and pre-loved homes, can be the right move to the right-size the home and lot, and keep the costs in line for the long-term. Because the land is usually the largest investment in a home ownership opportunity, the leasing of the land takes that concern and the ever-increasing ownership taxes out of the concern. Of course there are taxes as part of the land-leasing scenario, fully disclosed and separately identified in the lease. While the lease can increase on a limited basis due to “rent” control, the taxes are exempt as they can change based on the municipal budget. In these times where there has been very low/no inflation over the past 15-16 years, the lease increases have been under 1% of the lease after taxes are subtracted. For a more detailed explanation, begin the friendly relationship with a Fountainhead home ownership consultant. New and pre-loved homes at Fountainhead 55+ community range in square footage from about 900 square feet to approximately 1,300 square feet, all featuring 2 bedrooms and at least 1.5 bathrooms. New homes, built to the strict HUD/manufactured home construction standards, offer all energy-efficiency gas heating, windows and appliances plus ample choices of quality extras and upgrades to personalize your home. Today’s home is situated on an insulated crawl space over a concrete foundation system. Protected as required by NJ and federal building standards for crawl-space homes from weather disasters, Fountainhead was fortunate not to experience anything more than power outage during “the big storm.” All winter, the Fountainhead private roads are kept open and the private utility systems feature auxiliary power. People love living where the costs are comfortable, where the location is excellent, where the people are friendly, where the office is welcoming and caring, and where the neighbors keep up their property. Fountainhead is a place to love living. Fountainhead looks and feels like a traditional residential neighborhood with ample off-the-street parking, wide streets and right-size lots. Mature trees help keep the yard cool and offer opportunities for autumn/spring exercise when the leaves fall. Right-sizing includes homesite-care options. For the freedom-devoted 55+ couple, most find it comforting to know that the service is optional and not “forced.” And, as pets are a large part of home satisfaction, they are accepted within limits and per the usual good-pet citizen behavior agreements. Back to location: Jackson Township is 100 square miles, almost the largest municipality in area in all of NJ. Located 10 miles from Six Flags, Fountainhead is literally around the corner from all the services and easy access to Exit 22 of I-195. This makes the shore, the Parkway and the Turnpike very easy to access. Without a clubhouse, expenses are more controllable, social opportunities are self-directed, and duplicate memberships are avoided. Specifically, 1 mile away from the Fountainhead door is the Meridian Health Village where 18 hours a day there is something for every age and ability; ¼ mile away opening soon will be the CentraState all-inclusive offering. But for those who want a little help breaking the ice, Fountainhead offers opportunities during the spring, summer and autumn. Whether financing or buying “cash,” Fountainhead offers experience-based information on navigating the home-buying, closing process in America’s revised home-buying financing environment after Dodd-Frank. There is ample financing for Fountainhead homes, there are no more “no doc” home financing options in any home purchase, there are no more “no money down” loans for home buyers. There is and has been very little default in the NJ manufactured home loan portfolio as compared with the overall home mortgage experience. Buying at Fountainhead is a credit transaction and prospects will expect to provide income, debt and general background information for any purchase. The caring and professional Fountainhead office and property staff remain committed to building and offering the best of new manufactured homes in a comfortable, convenient location. Jim Viviano’s family is carrying on with him his dream of an affordable, well-designed, well-kept, long-time home ownership community for people at least 55 years of age.

The County Woman Magazine www.TheCountyWoman.com

The “Hudson”

The “Madison” • Quality Constructed Homes • Central Air & Gas Heat • Deluxe Appliances • Energy Efficient Insulation • 2 and 3 Bedrooms • Beautiful Kitchens • Land Leasing • Off-Street Parking • 25 min. to Trenton • 20 min. to the Shore • New and Pre-owned Homes

1 Rose Drive, Jackson, NJ 08527 For directions call

732-928-3100

or visit our website

njfountainheadhomes.com

September/October 2016


Hair Designs & Hair Replacement

67

Autumn Leaves Don’t Have To Be The Only Colorful Part Of This Season As another summer slowly winds down, we once again try to get back on our ‘regular’ schedules. Many of us tend to let some things go during the summer months. We want to enjoy the nice weather, be carefree and we often put off anything that takes away from that time. One of the things avoided are your salon appointments. The summer sun, air and activities gradually cause hair color to fade. As color fades, the tones blend together and all dimension is lost. Regrowth sometimes blends in a bit more and we believe we can skip an appointment... or two. Like it or not, eventually we must get back into our ‘hair routine’ with regularly scheduled hair color appointments. Just like skin tones, makeup and even clothing colors change from season to season, hair color needs to be adjusted as well. It does not have to be a drastic color change each season, but subtle changes are a must. Colors that may work beautifully in July do not always flatter in September or October. Embrace the beautiful colors of Fall: deep and rich tones of golds, reds, and browns. The possibilities are limitless, yet you can still stay within your ‘comfort zone.’ The right hair color will accentuate eyes and enhance skin tone. Another important tip is to not lock yourself into the same exact color, year round, for life! Allow one of the professionals at Abstrax Hair Designs to adjust what is needed. When you let your colorist do what they do best, you will achieve maximum results.

COMMUNICATION IS KEY!! In the salon, there is always a way to suit your individualized needs. It is extremely important to discuss all of your needs with your colorist to ensure the perfect look. We all have one goal in mind: we want you looking your very best. When it comes to working with your colorist, be sure to communicate prior to any service. • To start, make certain your colorist understands all of your preferences, such as what you want done to your hair and do not want. • Next, find out how much commitment is involved with the process selected, such as how often you will need to make salon appointments, how much time is needed for each appointment, and what cost is involved. • In conclusion, always let your colorist know about any allergies you have, or any changes in health; this can affect the results of your hair. Come in to Abstrax Hair Designs today and let our experienced colorists cater to your distinct hair type and needs. During your visit, we will teach you how to obtain the salon finish look every day and recommend products for your daily, at-home maintenance. The hair industry is a visual art form. Please feel free to bring pictures, magazine clippings, and any other examples to aid your colorist in grasping your vision. Other helpful hints include a description of your lifestyle, job requirements, and the amount of time you allot for daily care.

For more information, call Abstrax Hair Designs at 732-255-1733 or visit www.abstraxhairdesign.com.

2494 Moore Rd. Ste. #1 Toms River, NJ 08753 (In the Stone Hedge Prof. Bldg.)

732.255.1733 www.abstraxhairdesign.com

We at Abstrax Hair Designs would love to give you an individualized, amazing look. Call 732-255-1733 to schedule an appointment today. You will not be disappointed. Your time is precious,we will not waste it! Laura Cole, AHLC Secretary, Master Certified, Tricology Specialist

Appointments are required. Call today for your FREE consultation!

October is...

Breast Cancer Awareness Month!

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Health

68

&

Wellness

BACK TO SCHOOL TIME ALREADY? Health Problems That Spread At School Submitted by: Jay Greco, RPh

Fifth disease is another viral disease. It causes a lacy rash on arms and redness on cheeks that looks like the result of a well-placed slap. Unless your child feels too sick, there’s no need to stay home. That’s because the disease only spreads before symptoms appear. However, tell the school so female employees of childbearing age can be notified. Fifth disease can severely hurt a developing fetus.1 Although there are many kinds of hepatitis, hepatitis A is the most common type in children. This virus is in blood and bowel movements, so hand washing is really important to prevent its spread. A child with hepatitis A should stay home until a week after the onset of illness and until any jaundice (yellowed skin) disappears. Another disease spread through bodily fluids is HIV/ AIDS. Although it can cause anxiety among parents, remember that casual physical contact – such as hugging, holding hands, or sharing a glass – does not transfer this virus.1

K

ids should learn to share, right? But, gee whiz…. When it comes to bugs and other contagious health problems in school, does your kid have to get everything that’s passed around? Whether kids are packed into a classroom or messing around on the playground, they do tend to share lots of health problems in school. What can you do about it? And when should you be concerned? Here are a few things to think about.

Does head lice top your list of concerns?

Although these creepy insects might disgust you, it may help to know that they don’t cause diseases or other health problems – other than maybe a red, rash-like reaction. Of course, that doesn’t mean you want to ignore them since they spread really easily. Follow up with the doctor if your child complains of an itchy scalp or you catch sight of tiny white eggs firmly attached at hair roots. These are often confused with dandruff. Your child’s doctor may prescribe a treatment and other over-the-counter (OTC) shampoos or rinses. Follow directions closely and be sure to ask me if you have any questions.1

Cold Or Flu

Then, there’s the run-of-the mill cold or flu. Deciding whether or not to send your child to school can be a challenge. General rule of thumb? If there’s a fever, keep them home – until the fever’s been gone for at least 24 hours.2 If there’s no fever, more than likely it’s a cold and it’s okay to go to school. When in doubt, check with your child’s doctor. And, don’t forget the flu vaccine, which is recommended for everyone six months and older.3

Viral Infetctions And Other Diseases

Viral infections such as chicken pox are common, too. Many are contagious before skin lesions appear. Be sure to keep your child home until the sixth day after the rash appears unless all lesions are dry and crusted over. To prevent this infection, have your child vaccinated.1

Jay Greco, RPh Jersey Shore Pharmacy

20% OFF

Valid for Over-the-Counter Items ONLY. Cannot be combined with any other offers. Expires 10/31/16

Stop by or call Jersey Shore Pharmacy, 609-660-1111, and I can advise you on the best way to keep your child comfortable while the cold or flu runs its course. I can also give you a brief overview of prescription or OTC treatments for the more common childhood viral infections.

“We have everything you need for a healthier tomorrow.” Sources 1. American Academy of Pediatrics: “Contagious Health Problems in Schools.” http://www. healthychildren.org/English/ages-stages/gradeschool/school/pages/Contagious-HealthProblems-in-Schools.aspx 2. WebMD: “Your Child: Too Sick for School?” http://www.webmd.com/cold-and-flu/features/ your-child-too-sick-for-school 3. American Academy of Pediatrics: “The Flu: A Guide for Parents.” http://www.healthychildren. org/English/health-issues/conditions/chest-lungs/Pages/The-Flu-A-Guide-for-Parents.aspx

www.jerseyshorepharmacybarnegat.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


In-Home Care

The County Woman Magazine www.TheCountyWoman.com

69

September/October 2016


Business & Finance

70

Greater Toms River Chamber of Commerce With the Nine + Dine/Scholarship Dinner behind us (mark your calendar for 2017’s coming Monday, June 12th), we are looking ahead to our 1st Annual SUP, the River Event at the Toms River Country Club, on Saturday, September 17th.

THIS EVENT IS SPECIAL FOR A FEW REASONS.

One!

It’ll wrap-up our “Summer of Sports, Fitness, and Wellness” - which already highlighted an elementary school fun run, with a CPR certification clas, and a health fair. It’s important for our business community to support activities and initiatives that promote well-being. A healthy workforce is a strong workforce.

Jeremy Grunin, Chairman

Two!

We are teaming up with the Barnegat Bay Partnership in an effort to fundraise to protect our Bay AND showcase on of our most beautiful assets - our riverfront. Aside from the physical SUP event on the 17th, we are hosting a networking breakfast aboard the amazing River Lady - do business, eat breakfast, and cheer on our participants from the best (dry) seat in the house!

Three!

We are celebrating our local community college - Ocean County College - with a “Best Dressed Viking” competition (sporting a $500 prize)! OCC has provided area residents with an outstanding, affordable, two-year education for more than 50 years. So get out your Viking-style helmets, braids, and beards and join us!

Noelle Carino, CEO GREATER TOMS RIVER CHAMBER OF COMMERCE CORDIALLY INVITES YOU TO ATTEND THE

This fun-hearted, community-rich event is sure to be a crowdpleaser year over year - and we want you to be part of the big splash!

Waters Edge 125 Bayview Avenue, Berkeley Township, NJ

nd Annual Awards Reception

Enjoy this amazing “local summer” weather, and don’t forget...# WeAreTR!

JOIN US Thursday, October 20, 2016 6:00 PM - 9:00 PM

AS WE HONOR DISTINGUISHED CITIZEN OF THE YEAR

Jonathan Z. Petro, Esq. AND DISTINGUISHED BUSINESS OF THE YEAR

Noelle W. Carino

Creative Click Media

CEO PS - Our awards reception is coming up this October! Check out the info to the right for details!

With a special Spirit of Excellence presentation by the US Chamber to

Congressman MacArthur Also including Special Recognition Wave Awards BUSINESS PARTNER OF THE YEAR

Welcome New Members Audi Toms River Hoops360 LLC Wellspring Church Socially Ever After, LLC Tio Juan’s Margaritas Holisticare Hospice Gloria Nilson & Co. Real Estate Seacoast Clothing Base Camp Adventure Fitness Shore Security Technologies, LLC FUN BUS M. A. Smith LLC Interior Design Bad Ass Networking, LLC Marine Trades Association of NJ Heritage Business Systems, Inc. Salon Milan

SPONSORSHIP OPPORTUNITIES *MULTIPLE SPONSORSHIPS ARE AVAILABLE FOR ALL LEVELS EXCEPT THE “EVENT SPONSOR”

EVENT SPONSOR $5,000

Includes 10 tickets // Listing on signage as Event Sponsor // Company representative may co-emcee event // Full color ad on back cover of the Event Journal // Listing on Special Recognition page // Recognition at all chamber events leading up to Reception, as well as all media

PLATINUM SPONSOR $2,500

Includes 8 tickets // Listing on signage as Platinum Sponsor // Full color ad (inside front or inside back cover) in Event Journal // Listing on Special Recognition page

Includes 6 tickets // Listing on signage as Gold Sponsor // Full page color ad in Event Journal // Listing on Special Recognition page

SILVER SPONSOR $1,000

Includes 4 tickets // Listing on signage as Silver Sponsor // Full page b+w ad in Event Journal // Listing on Special Recognition page

BRONZE SPONSOR $750

Thompson Healthcare & Sports Medicine NONPROFIT OF THE YEAR

People’s Pantry RSVP: October 11, 2016 • Business Attire, please

GOLD SPONSOR $1,500

E Video Productions GROUNDBREAKING BUSINESS OF THE YEAR

Includes 2 tickets // Listing on signage as Bronze Sponsor // Half page b+w ad in Event Journal // Listing on Special Recognition page

REGISTER ONLINE www.tomsriverchamber.com Click on the Events tab For more information, please contact Danielle Norcross, Greater Toms River Chamber of Commerce (732) 349-0220 or danielle@tomsriverchamber.com

2016 Event Journal Size & Rate Schedule

Full Page Color Ad

$500 • 4¾"W x 7¾"H Full Page B+W Ad

$250 • 4¾"W x 7¾"H Half Page B+W Ad

SUPPORTING SPONSOR

FIRM ADVERTISING DEADLINE

$250

OCTOBER 3, 2016

Non-Prof it B+W Ad

Includes listing on signage as Supporting Sponsor // Business card size b+w ad in Event Journal (2" x 3.5")

DINNER TICKET $125

The County Woman Magazine www.TheCountyWoman.com

$175 • 4¾"W x 3¾"H $50 • 2¾"W x 2¼"H

Email print-ready jpeg and pdf files to: danielle@tomsriverchamber.com

P: 732-349-0220 • info@tomsriverchamber.com • tomsriverchamber.com 1027 Hooper Avenue, Building 1, 2nd Floor, Suite 5, Toms River, New Jersey 08753

September/October 2016


Community

71

LANDLORD/TENANT SEMINAR 2016 The seminar will offer information on the landlord/tenant process including: • The landlord/tenant filing process • Forms and documentation involved • What happens at the landlord/tenant hearing

FREE PROGRAM OPEN TO THE PUBLIC

September 23, 2016 10 am - 12:30 pm Superior Court of NJ, Ocean Vicinage Jury Assembly, 1st Floor 100 Hooper Ave., Toms River, NJ 08753

To reserve space or for more information please call: 732-929-2063 or Email: oceanlric.mailbox@njcourts.gov

This seminar is presented by the Ocean Vicinage Legal Research and Information Center in coordination with South Jersey Legal Services. Please note that your personal case cannot be discussed. Acupuncture

,

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Women Of Ocean County

72

Barbara Sica, Director of Reverse Lending, Homebridge Financial Born and raised in Ocean County, Barbara Sica has been a trusted source in the local mortgage and real estate community for 30 years. As HomeBridge’s Director of Reverse Lending, not only has Barbara helped thousands of local residents finance their own homes, she has also assisted countless New Jersey seniors maintain their quality of life by explaining to them how to utilize reverse mortgages for their own benefit. Modern reverse mortgages are not the deceptive loans many thought them to be decades ago. Today, reverse mortgages allow seniors to leverage the equity in their home so they can live the life they’ve become accustomed to, in addition to financing unplanned medical expenses, vacation travel, as well as for other things of interest to themselves and their families. Barbara considers her approach in the mortgage industry “old school” and takes pride in the information sessions she provides potential customers, as well as being there for them every step of the way during these incredibly important financial transactions. HomeBridge itself is one of the faster growing, mortgage specific lenders in the country, licensed in 49 states, as well as Washington, D.C.

For more information or to schedule an appointment call 732-569-4830 or visit www.homebridge.com/barbarasica.com.

Jill Collier, MD, Gastroenterologists of Ocean County Jill was born in Newark and raised in East Brunswick, graduating East Brunswick High School in 1982. She attended college at the University

of Pennsylvania, graduating with a degree in Biology. She was Phi Beta Kappa and graduated Magna Cum Laude. Jill earned her medical degree and completed her residency at The Mount Sinai School of Medicine in New York. She was a member of the honor society Alpha Omega Alpha. Her gastroenterology training was completed at Albert Einstein/Montefiore Medical Center in the Bronx. She was one of the first two women accepted into the gastroenterology program at Montefiore. She joined Gastroenterologists of Ocean County in 1995. She is currently Medical Director of the Endoscopy Center of Toms River. She has been chosen as one of “America’s Top Physicians” annually since 2007. She has performed over 20,00 procedures during her career. She is on staff at Community Medical Center and Ocean Medical Center, and has offices in Toms River, Brick and Forked River. Jill has been married to her husband, Douglas, for over 25 years. They have two beautiful children. Dr Collier and her family reside in Toms River, where they are very active in the community. She enjoys skiing and traveling with her family and being involved with her children’s activities.

To schedule an appointment call 732-349-4422 or visit www.gastroofocean.com.

Photo by Tracy Harman Photography

Judy Kerlin, Orthopedic Nurse Practitioner, Advocare Stafford Orthopedics Judy Kerlin, APN, is currently employed at Advocare Stafford Orthopedics as an orthopedic nurse practitioner. Originally from Philadelphia, PA, she now resides in Ship Bottom, NJ. She has worked in this area for over 40 years. Prior to returning to school to obtain advanced degrees, she worked as a registered nurse at Southern Ocean Medical Center. After graduation, she became board certified and has worked as an Orthopedic Advanced Practice Nurse for the past 20 years. Her scope of practice includes caring for patients with musculoskeletal (muscle, bone, joint) complaints. Judy has office hours on Monday and Wednesday and can treat all orthopedic complaints, including new injuries and chronic problems, such as arthritis. With her varied experiences and caring demeanor, you will be sure to receive the best care from her.

For more information please call 609-597-6092 or visit www.advocarestaffordortho.com. Photo by Tracy Harman Photography

Lori Sherman, CNM, MPH, APN, Barnabas Health Medical Group

Specializing in nurse-midwifery and women’s health, Lori is dual-certified as a certified nurse-midwife and women’s health nurse practitioner. She has delivered well over 1,000 babies throughout her career. As a midwife, Lori provides comprehensive, gentle care to patients - from annual gynecological care, contraception counseling, pre-natal care, labor and delivery through menopause. She also provides one-on-one nurturing care to support laboring mothers’ individual choices for labor and delivery. Passionate about being a midwife, Lori feels that every birth is miraculous and she’s happy to play a role in a woman’s transformative part of her life. Lori helps guide women through the decision process of having a medicated (epidural) or unmedicated child birth and spends time with women during the course of their labor and birth and during prenatal care. She strives to empower women to make the best choices for themselves and their families throughout pregnancy and their lifetime. Lori earned both a B.S. and a M.S. in nursing from the University of Pennsylvania in Philadelphia. She is a member of the American College of Nurse Midwives and the Association of Reproductive Health Professionals. Prior to a career as a CNM, Lori earned a Master of Public Health degree from Boston University. As a member of Barnabas Health Medical Group, Lori is on staff at Ocean Gynecological & Obstetrical Associates and delivers babies at Community Medical Center. She is part of a team of five CNMs and five OB/GYNs – one of the few practices in the area offering 24/7 midwifery care.

For more information, call 732-349-0485 or visit www.barnabashealthmedicalgroup.org.

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Women Of Ocean County

73

Kathleen Dotoli, Esq. Ms. Dotoli is a licensed NJ attorney and has been practicing law and protecting workers’ rights for over 20 years. She is the co-chair of the Ocean County Bar Association’s Worker’s Compensation Committee and a member of the NJ State Bar Association’s Worker’s Compensation Executive Committee. Ms. Dotoli also completed ten years of training with the Justice James Coleman Workers’ Compensation Inns of Court. Additionally, Ms. Dotoli is a Board Member of the American Red Cross, South Jersey Division and is a Member of the Paralegal Advisory Committee of Ocean County College. One of her proudest achievements is being a member of the NJ Bar Foundation’s Vincent Apruzzese Mock Trial Committee. This is the committee that creates the challenging statewide mock trial program for high school students statewide. Ms. Dotoli holds several lectures each year for the public to learn more about Workers’ Compensation and Social Security Disability benefits. Ms. Dotoli lives and maintains her law practice in Ocean County, stating, “This is where my heart is and where I was meant to enjoy life, practice law, and help others.”

For more information please call, 732-228-7534 or visit www.jerseyshoreworkerscomp.com. Photo by Tracy Harman Photography

Gerry Hergert, Owner, Abstrax Hair Designs

Gerry was born in Rahway, raised in Linden and graduated from Franklin Beauty School in 1961 as a licensed Cosmetologist and married her high school sweetheart Lou. She

raised three wonderful children Laura, Maria and Louis III and moved to Brick in 1971 and opened her first hair salon in 1976. In 1989, she relocated the business to Toms River and renamed it Abstrax Hair Designers. Gerry has expanded the business to include specialties in Hair Replacement, Wigs, Air Brushed Makeup and Skin Care products, designed specifically for Cancer patients. Her passion is to make people without hair look good and feel good about themselves. She becomes part of providing them with a new life! Gerry received her Master Certification from The American Hair Loss Council, as a Board Certified Master Hair Replacement Specialist. Achieving all requirements and meeting stringent guidelines, set by the AHLC. Gerry also achieved Certification as a Trichology Specialist, she then introduced Capilia to Abstrax Hair Designs becoming the first Capilia Head First Center in New Jersey. Trichology is the study of Hair & Scalp and its remedies. Gerry is a member of the Lakewood Chamber Commerce. When not working, Gerry enjoys spending time with family and her four grandchildren Iain, Aaron, Gavin, and Andrea. She loves flowers, birds particularly Humming Birds, and of course her Standard Poodle Luchiao. Gerry is an active member of the American Hair Loss Council, The National Hair Society, BBB, Professional Beauty Association/ National Cosmetology Association, Esthetics America CIDESCO USA/NCA.

Gerry can be reached at 732-255-1733 or visit www.abstraxhair.com. Photo by Tracy Harman Photography

Sharon Boyer, Acuity Hospital, Atlantic City

Sharon Boyer is an expert in the unique world of medical record coding of ICD-9 & 10-CM (International Classification of Diseases). Sharon pursued a two-year program in Health Information Management through the National AHIMA (American Health Information Management Association) organization and underwent intensive courses in ICD-9-CM coding through the NJHA (New Jersey Hospital Association). Because of Sharon’s expertise, dedication and attention to detail, she made the recent transition to ICD-10-CM a seamless process. Sharon also passed two national certifications: RHIT (Registered Health Information Technician) and CCS (Certified Coding Specialist). Medical coding is used throughout the United States and the WHO (World Health Organization) for a myriad of purposes including reimbursement, research and development, and quality improvement. Her hobbies include singing women’s A cappella barbershop harmony in two Sweet Adeline choruses, one in Cape May County and one in Villanova, PA. She has been singing barbershop harmony for 10 years and has been selected to compete on the prestigious Sweet Adeline International stage this October in Las Vegas with the Valley Forge Chorus representing the Atlantic-Bay-Mountain Region 19. Sharon has been married to her husband, Scott, for 35 years, has one daughter, Devon, and has a spoiled Yorkie-poo, Fritz, and a tuxedo cat, Bella. Sharon lives locally in Sea Isle City.

For more information please call 609-441-8123 or visit www.acuityatlanticcity.com Photo by Donna Andrews Photography

Hina Ahmed, Physican Assistant, Reproductive Science Center of New Jersey

Hina Ahmed is a Physician Assistant who currently resides in Mercer County, NJ. She was born in Hyderabad, India, and immigrated to the United States with her family at a very young age. She attended Pace University for a B.S. degree with a focus in Physician Assistant Studies. She also attended Eastern Virginia Medical School and obtained an M.S. in Clinical Embryology and Andrology. From very early on, Hina has always had a love for women’s health. Her mother, a gynecologist in India, worked with the indigent pregnant population. Some of her earliest memories are of watching her mother work tirelessly with the underserved. She began her career in New York City at the prestigious Memorial Sloan Kettering Cancer Center, where she worked with top surgeons. At the Reproductive Science Center of New Jersey, she plays an important role in working closely with infertile couples, guiding them through the maze of infertility treatment and helping them to achieve their dream of having a family. Hina is married with two children ages 15 and 9. As a family, they enjoy traveling, exploring new places and cuisine, and giving back to their community.

For more information please call, 732-918-2500, or visit www.FertilityNJ.com Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Women Of Ocean County

74

Christina P. Sardarian, BS, RN, Institute for Complementary and Alternative Medicine

Christina Sardarian obtained her Bachelor’s degree in Public Health-Health Promotion/Disease Prevention at West Chester University with a minor in Alternative Medicine. While in Pennsylvania, she became certified in Reiki Level Two. She moved to NJ, obtained her nursing degree, worked ( and currently still work) in the Emergency Department, then naval base and now ICAM doing all the IV therapies. For over five years, Christina has worked in the ER and also worked as the Clinic Nurse at the Lakehurst Naval Air Base. Having an ER background and being at ICAM allowed Christina to witness the best of both worlds, coneventional medicine and alternative medicine. Christina adds, “My reason for choosing this career path is because I have always had a passion for alternative therapies. I have always been openminded and open-hearted to the possibility that other paths are available to everyone to treat the mind, body and spirit.” Christina grew up in Levittown, Pennsylvania and now resides in Manahawkin, NJ with her husband and two amazing boys, aages four and a three months. In her spare time, she enjoys doing yoga, learning new things, teaching others and spending time with her family.

For more information, call 609-978-9002 or visit www.ICAMBartissMD.com.

Photo by Tracy Harman Photography

Peggy McFarlane, MS, RD, CDE, Center for Surgical Weight Loss & Wellness at ARMC

Peggy McFarlane, MS, RD, CDE, is the Registered Dietitian for the Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center (ARMC). Her years of experience and knowledge of diabetes and weight management help surgical weight loss patients manage nutrition for wellness. Peggy lives in Egg Harbor Township with her husband and son, but grew up on the beautiful “Island in the Sun,” Barbados, and lived and studied in Trinidad for two years before transferring to the US to complete studies in Dietetics and Human Nutrition. She is very active with volunteering and her passion is “Mingle Ministry,” a program to help underserved and underprivileged communities, and empower residents to take charge of their health. Peggy is also a very active volunteer with Seashore Seventh Adventist Church in Pleasantville, where she is the Family Relations and Health Coordinator, assists and facilitates programming for grant funds and plans community events.

For more information about AtlantiCare, call 1-888-569-1000.

Marie Hartigan, Scheduling Coordinator, Senior Helpers

Marie is a true-blue Brooklyn girl, born and raised. She and her family made the move to New Jersey in 1972 and they currently reside in Toms River. She is a former Branch Administrator, retiring after 30 years from a very prestigious financial services firm. Following retirement, Marie traveled extensively but still felt a bit restless with all her newfound time and went in search of her “second career”. Desiring a change of pace, she found an administrative position with Senior Helpers in 2013, where she was able to utilize her managerial skills and customer service experience. Quickly realizing she had found her niche, Marie donned the role of Scheduling Coordinator. Marie is a very tirelessly giving person and it shows in the relationships she has forged and developed with the clients and esteemed caregivers, playfully giving her the moniker of “matchmaker”. When Marie is not handling her many challenges as a Scheduling Coordinator, she continues to give of herself by volunteering with a local nonprofit crisis helpline, where she has done so for over 15 years, continually reaffirming her commitment to community. She lends a compassionate ear and provides assistance to area residents truly in need. Marie also has a profound love of animals, which shows abundantly when she speaks of her dog, often termed her third child. With the remains of the day, Marie is blessed with a very loving and understanding family, which is what truly motivates her life. We are very fortunate to say, it does not appear retirement is on the horizon for Marie any time soon.

For more information, call 732-657-3600 or visit www.SeniorHelpers.com. Photo by Tracy Harman Photography

Alice Marin, Owner, NJ School of Massage Alice, a native of Hoboken, moved to Toms River in 1983. Alice is well known in Toms River having worked for WJRZ fm for 10 years and TR Chamber of Commerce for six years, as an Event Coordinator. In 2000, she entered the holistic medical field as a massage therapist. In 2008, she continued her medical dream by receiving a certification as a medical assistant and a fitness trainer, which gave her the opportunity to work for Ocean Health Initiatives health clinics. In 2011, she began teaching anatomy and physiology for NJ School of Massage in Toms River, NJ, where she personally trained many students to become professional massage therapists. As of March 2015, she is the new owner of NJ School of Massage. She believes that a career in Therapeutic Massage is gratifying, fulfilling and financially rewarding. In addition, she also believes it’s not just about the anatomy and physiology book work or the hands on bodywork practice, it’s all about transforming the person to become more than they can be. Alice has participated in choir singing at church and loves biking, hiking and exercising.

For more information, call 732-505-0055 or visit www.njschoolofmassage.com. Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Community

75

A Fall Weekend of Fa mily Fun! October 15th-16th, 2016 Visit New Jersey’s 11 land based lighthouses and related museums for an opportunity to step back in time and learn more about our state and country’s history. Lighthouses have played an important role in New Jersey’s history, guarding mariners and protecting our coast for over a century. Visitors can enjoy an opportunity to tour the state and visit each lighthouse over the weekend, and help raise funds for preservation of these majestic landmarks. Hours of operation for each lighthouse can be found on the website. Night climbs are being offered at Absecon, Cape May, Tinicum & Tuckerton from 6pm to 8pm on Saturday. Supported in part by a grant from the NJ Department of State Division of Travel & Tourism. www.visitnj.org

Children 11 years and younger will climb free with an adult!

Visit us at at www.LighthouseChallengeNJ.org

Business & Personal Storage

Take Back Your GarageWe’ve Got Space!

www.AirshipSelfStorage.com

We Now Rent UHaul Trucks For Your Convenience

2420 Ridgeway Blvd. Manchester, NJ

732-323-0700

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The County Woman Magazine www.TheCountyWoman.com

September/October 2016


76

Theatre & Entertainment Chicago, 1927 and sheâ&#x20AC;&#x2122;s The Mother of the Blues... GET YOUR TICKETS TODAY! 732.345.1400 tworivertheater.org or 21 Bridge Avenue in Red Bank, NJ

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Community

77

Beyond the Classroom and Critical Concerns:

Global Education for Girls OCTOBER-NOVEMBER 2016

THE MERCY UNIVERSITY OF NEW JERSEY

Throughout the months of October and November, The Grunin Center for the Arts will be partnering with Georgian Court University, the Toms River Library, the Girl Scouts of America and others to provide free programming for students of all ages addressing the topic of educating girls around the world. Beyond the Classroom and Critical Concerns: Global Education for Girls will feature multiple points of engagement including lectures, panel discussions, documentary films, spoken word poetry, and more; all free of charge to the public. Featured artwork of Mary Mihelic titled “53 Running Girls” will be on display across OCC and GCU’s campuses. A schedule of events will be made available to the public in August. For more information, contact Mark Wilson at mwilson@ocean.edu.

Community

2016 Ocean County Women’s Hall of Fame Inductees Announced Soroptimist International of Toms River Area has announced the honorees for this year’s Ocean County Women’s Hall of Fame October 13th celebration. Gale Wayman, a long-time resident of Island Heights, will receive the Woman of Distinction Award in recognition of her life-long humanitarian work. The Making a Difference for Women Award will be given to soccer player Christie P. Rampone, who, both on and off the field, is a champion for women and girls. Ocean Health Initiatives will receive the Advancing the Status of Women Award for their “…quality, accessible and comprehensive primary health care to the residents of Ocean County regardless of their economic status, age, ethnicity, religion or insurance status, with the majority of its patients being women and children.” Gale Wayman has been helping others since she was a child -- she was raised that working together with others is the best way to accomplish positive goals. Throughout her life, she has been a leader, a mentor, an advocate for women’s rights and a philanthropist, as well as a successful businesswoman.

She has been involved with Rotary, Medical Societies, the Ocean County College Foundation, The College of New Jersey Women in Leadership and Learning Board, and Big Brothers Big Sisters of Ocean County. She successfully ran her husband’s business, The Neighborhood Doctor Centers until 1996; established a business that exported muchneeded medical supplies to developing countries; taught business at Xian International Studies University, China; and most recently developed a new home building business, Island Heights Homes, LLC. Christie Pearce Rampone is the former captain of the United States National Women’s Soccer team, a position which she held for 8 years. She is widely regarded as one of the greatest defenders to ever play the game of soccer, and has played in 5 Federation International Football Association (FIFA) Women’s World Cup finals; and 4 Olympics. Christie is a 3-time Olympic gold medalist (2004, 2008, 2012), and a 2-time FIFA Women’s World Cup champion (1999, 2015). While competing at the highest level in women’s soccer since 1997, Christie has continued to work with and inspire young girls. On and off the field, her leadership in championing women’s sports is widely recognized and she is passionate about giving back to young soccer players and her community. She

has provided camps and clinics for female players for over 15 years and continues to run soccer camps for girls in Ocean and Monmouth counties. Soroptimist is a global volunteer organization that works to improve the lives of women and girls through programs leading to social and economic empowerment. The Toms River Soroptimists join 1,300 Soroptimist clubs in 20 countries and territories that empower women and girls through volunteer projects in local communities Ocean County College houses the Women’s Hall of Fame at their Toms River campus in the Grunin Center for the Arts 2nd floor theater lobby. The induction event, co-chaired by Jennifer Stueber and Sue Sedivec, will be held Thursday, October 13, 2016, at The Clarion Hotel and Conference Center, Toms River.

Dinner tickets and sponsorship opportunities are available by contacting sitomsriverarea@soroptimist.net or Sue Sedivec at 908.600.8738.

SOROPTIMIST INTERNATIONAL OF THE AMERICAS

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Theatre

&

Entertainment

“ROBERT CREIGHTON IS BORN FOR THE ROLE.

-

“ SHOWSTOPPING! Pure hallelujah moments.

78

-

Musical Hollywood’s The

About

Photo: Carol Rosegg

Tough Guy in Tap Shoes

Riki Kane Larimer Presents

CAGNEY

Robert Creighton Music & Lyrics by Robert Creighton & Christopher McGovern Book by Peter Colley Choreographed by Joshua Bergasse Directed by Bill Castellino Starring

Telecharge.com 212-239-6200 - Westside Theatre 407 W 43rd St. NYC - CagneyTheMusical.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Theatre

&

Entertainment

79

INGENIOUS BUBBLE ” WIZARDRY. -THE NEW YORKER

Telecharge.com or 212.239.6200

For groups or birthdays call 866.642.9849

New World Stages 340 W. 50th St

GazillionBubbleShow.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Community

80

Please join Sam & Gail Tobias on September 24, 2016 for the first Heart of Gold Benefit supporting The Max Cure Foundation, Inc. in the fight against childhood cancer. This chic evening of food, music, dancing and poolside drinks will feature a live and silent auction as well as a DJ in an atmosphere right out of Miami Beach. Proceeds to benefit The Max Cure Foundation and itâ&#x20AC;&#x2122;s Roar Beyond Barriers New Jersey program which provides financial assistance to local families in need who have a child battling cancer.Â

The Event Will Include Special Celebrity Guest Appearances!

Date

September 24th, 2016 Rumson, New Jersey Hosted by Mr. & Mrs. Sam Tobias

Tickets

$150 per individual $250 per couple Price increase after August 31, 2016 Purchase online at MaxCureFoundation.org/heart-gold-tickets/

Prestige Party Rental Your Party & Tent Rental Specialist

Contact

Gail Tobias gbain1234@gmail.com 917-969-7570

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Community

81

OCEAN COUNTY LIBRARY Visit www.theoceancountylibrary.org for information about other great programs and library resources

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


82

CASA

CASA of Ocean County Seeks Volunteers for Fall Training Classes Court Appointed Special Advocates is a unique volunteer organization that has been serving as a child’s rights advocacy program in Ocean County for over a decade. CASA’s mission is to advocate for the best interest of vulnerable children in foster care who have been removed from their homes due to 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. CASA of Ocean County exists to recruit, screen, provide training and supervise the CASA Volunteers. The vision of CASA of Ocean County is to provide a CASA Volunteer for every foster child in Ocean County. CASA is actively seeking volunteers, especially males, to advocate for children in foster care so they are not further victimized by a very complicated court system. Children in foster care, through no fault of their own, become a part of the system, and they are taken away from much more than their homes and parents/siblings. When a child is placed in foster care, the child is assigned multiple case workers, a law guardian and the Children in Court Judge. A CASA Volunteer is appointed by the Judge on the most complicated cases to ensure the child’s medical, educational, and emotional needs are met while in foster care. A CASA Volunteer is the one compassionate, consistent and caring advocate who will make an investigation into the changes involving the child’s life. The volunteer will prepare court reports to the Judge with recommendations that will assist the Judge in making the best decisions on behalf of the child. The CASA Volunteer serves as the child’s voice in court that is often unheard. A foster child faces a multitude of problems while in foster care due to the lack of integration and coordination of efforts and services that exists inside and outside of the Family Court System. This directly contributes to delays in case handling and decision making that are not optimal for the child who is waiting for a forever home.

www.casaofoceancounty.org • 732-797-0590

CASA is in the process every day of screening and interviewing concerned citizens who are willing to attend a 30-hour child’s rights advocacy training class. The advocates will commit to visit their child/children at least once a month, attend quarterly court hearings, and serve for 12-18 months. The volunteer will be trained to prepare objective court reports that make recommendations in the child’s best interest. The ultimate goal of the CASA would be assist all parties involved during the process so the child would ultimately return home to healthier parents, become adopted by a family member, and/or adopted by a foster family. This program is so truly rewarding to know that your volunteer work can change the course of a child’s life forever. In 2015-2016, CASA served 168 children with the service of 70 volunteers and 18 active Board Members. The volunteers donated over 10,000 hours of time. CASA celebrated 14 adoptions and 36 family reunifications. CASA relies on the volunteers from Ocean County to assist these children and need more volunteers to step up and say, “I am for the child.”

For more information on volunteering, please visit the website at www.casaofoceancounty.org or call the office at 732-797-0590.

GOOBLE WOBBLE 5 K Run on November 24th Thanksgiving Day Hosted by The Southern Ocean Ladies Running Club Visit our website for more information www. casaofoceancounty.org

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Medical Professionals

83

Pain Free After 10 Years Out-patient procedure provides relief where other treatments have failed.

Florence Fialkowski, a grandparent from Toms River, has always enjoyed an independent, active lifestyle. Even after retiring from her job as a secretary at Fairleigh Dickinson University in 1986, Florence has always maintained her busy, on-the-go routine. Incredibly, Florence has also suffered for nearly 10 years with chronic back pain. “I never had any accident or injury to my back, it just slowly started to hurt more and more every day. The pain eventually grew so strong that I realized that I needed help. So I went to my primary care physician who sent me for an MRI.” The MRI of Florence’s spine showed severe spinal stenosis. Her doctor explained that it is a narrowing of the spinal canal—the area the spinal cord and nerves travel through. When this area becomes narrower, the spinal cord and nerves can get pinched and squeezed causing pain. Florence’s physician put her on a regimen of Tylenol and physical therapy. After a few weeks and no noticeable relief in symptoms, her physician suggested she consult with Dr. Dharam Mann at Garden State Medical Center. Dr. Mann specializes in interventional pain medicine, a field where physicians are specialty trained to treat patients with acute and chronic pain. The leading cause of spinal stenosis is wear and tear on the spine due to aging,” says Dr. Mann. “In fact, the most common direct cause of spinal stenosis is osteoarthritis, where the cartilage that cushions joints starts to degenerate due to age.” This meant that Florence’s condition was irreversible, and treatment would be geared towards treating the symptoms of her condition, to help manage her pain. Florence and Dr. Mann discussed several different treatment options and Dr. Mann began treating Florence’s pain with epidural steroid injections. These types of injections are commonly used for her condition because the steroids are able to reduce spinal cord inflammation which relieves the pressure on the nerves, alleviating the pain. However, the amount and length of relief varies among patients and after a few rounds of treatment which provided only a few weeks of relief, Dr. Mann suggested a minimally-invasive treatment option called a spinal cord stimulator (SCS). “A spinal cord stimulator is an implantable system that delivers electrical impulses to nerves in the spinal cord,” says Dr. Mann. “These impulses are able to mask pain signals before they reach the brain. The device is proven to provide significant long term pain relief and reduce or eliminate the need for pain medications. As an intervention for chronic back and/or leg pain, spinal cord stimulation can be an effective alternative or adjunct treatment to other therapies that have failed to manage pain on their own.” Florence had her spinal cord stimulator implanted in April of 2014. The procedure was performed in Dr. Mann’s out-patient surgery center, and Florence was discharged within an hour. Despite minor soreness near the implant site, Florence reported 100% back pain relief since having her procedure.

Florence Fialkowski says she has had 100% pain relief in her back thanks to her neurostimulator implant.

“I am a busy person – I like to do my own housework and cooking... For a long time I was not able to do many of these things on my own. I had been in pain for so long and nothing was working, I almost gave up. Words are inadequate to express the remarkable difference the SCS implant has made for me. I will be eternally grateful to Dr. Mann and his staff.” - Florence Fialkowski, Patient at Garden State Medical Center

Dharam Mann, MD Garden State Medical Center Board Certified in Anesthesiology & Pain Management *Trained at Harvard Medical School 732-202-3000

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JERSEY CHOICE TOP DOCTORS

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To learn more about SCS or to find out if you are a candidate for this or any other procedure, contact Garden State Medical Center. GSMedicalCenter.org 732-202-3000 Offices in Toms River, Brick, West Long Branch, Manahawkin, Marlboro, and Whiting

The County Woman Magazine www.TheCountyWoman.com

September/October 2016


Medical Professionals

37

Acuity Specialty Hospital of New Jersey is a Long Term Acute Care hospital located inside

AtlantiCare Regional Medical Center in Atlantic City. Our recently renovated hospital-within-a-hospital provides 30 private rooms equipped with state of the art monitoring to the medically complex and critically ill. Patients are seen by physician specialists daily and typically discharged to acute and sub-acute rehabilitation centers, skilled facilities or their homes.

The County Woman Magazine

www.TheCountyWoman.com

The County Woman Magazine www.TheCountyWoman.com

July/August 2016

September/October 2016

Profile for The County Woman

Ocean County Woman - 2016 September/October  

The County Woman ™ is part of a nationally syndicated publication and has been around for over 31 years. There are over 371 other counties t...

Ocean County Woman - 2016 September/October  

The County Woman ™ is part of a nationally syndicated publication and has been around for over 31 years. There are over 371 other counties t...