Monmouth's Ask The Doctor Jan-Feb 2019

Monmouth County’s Ask The DOCTOR THE HEALTH &WELLNESS MAGAZINE F R YOU ANDYOUR FAMILY WINTER ISSUE JANUARY/FEBRUARY 2019

Local Physicians Answer Your Health Questions

NEWS YOU CAN USE: Kids’ Health Beauty Eating Well Fitness Aging ...and more

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ASK THE DOCTOR

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We understand that choosing a rehabilitative care center can be difficult. CareOne has the experience and know-how to help patients and their families receive the right care and information, and to ensure that patients return home stronger. Our physical, occupational and speech therapists help patients regain strength and independence. To that end, CareOne’s staff provides 48% more therapy per patient day than the statewide average, and 53% more than the national average.* Call today. You will have peace of mind knowing that your loved one’s care is in our hands. CAREONE REHABILITATION CENTERS

CAREONE AT HOLMDEL 188 Route 34 Holmdel, NJ 07733 732.946.4200

CAREONE AT KING JAMES 1040 Route 36 Atlantic Highands, NJ 07716 732.291.3400

CAREONE AT WALL 2621 Route 138 Wall Township, NJ 07719 732.556.1060

CAREONE AT JACKSON 11 History Lane Jackson, NJ 08527 732.367.6600

Take a virtual tour at www.care-one.com Toll Free 877.99.CARE1

*The Centers for Medicare and Medicaid Services’ Nursing Home Compare ratings

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DO YOU HATE YOUR CPAP?

DANGERS OF GOING UNDIAGNOSED FOR SLEEP APNEA & SNORING

√ Hypertension √ Depression √ Cardiovascular Disease √ Chronic Fatigue √ Impotency √ Weight Gain √ Headaches

Do you snore?

Home sleep test option available by participating physicians! If you believe you are suffering from sleep apnea or snoring, Shore Dental SleepCare is here to help. Medicare and most medical insurance plans accepted.

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JOHN M. YOUNG JR.DDS Board Certified in Dental Sleep Medicine | Diplomate American Board of Dental Sleep Medicine 273 Route 34 Colts Neck, NJ 07722 • 732.761.8300 • Shoresleep.com

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H E A L T H A R T I C L E S A N D Q & A

Susan G. Komen and iPlay America Team Up in the Fight Against Breast Cancer with the Fourth Annual Pink Power Party Event iPlay America will host the fourth annual Pink Power Party fundraiser benefitting Susan G. Komen Central and South Jersey (Komen CSNJ) at The Event Center @iPA in Freehold, NJ on Thursday, March 21, 2019. This ladies’ night out event will feature shopping and vendors, live entertainment and plenty of pink, supporting Komen CSNJ’s mission to end breast cancer forever. “The Pink Power Party promises to be an excellent opportunity for dedicated supporters of Susan G. Komen Central and South Jersey to come out and have a truly fabulous evening at The Event Center @iPA, while carrying on the vital and important work the group does for New Jersey,” said Jessica Schwartz, vice president of sales and marketing at iPlay America. This event will raise funds for life-saving breast cancer services within the community including mammograms, diagnostic services, transportation services and breast cancer education. “We are grateful to iPlay America for hosting the Pink Power Party once again this year, with the hopes of bringing together women of all ages and raising money for our community,” said Suzanne Corson, executive director of Susan G. Komen Central

and South Jersey. “We are thrilled to have this exciting opportunity to connect with women in our service area and help make an impact in the fight against breast cancer.” Attendees can enjoy a complimentary cocktail and a buffet dinner. Xtreme Event Group will keep the music going all evening long. Selfie Snapshots’ photo booth will be filled with pink, making memories for guests. LOLA’S Boutique of Manalapan will style a fabulous fashion show with looks from day to night. The dancers of Dancin’ on the Edge, Manalapan, will have some special performances planned. This event is sponsored by Gunther Publications and Rebecca Proske, CFP, Branch Leader of Charles Schwab in Freehold, NJ.

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OUR DEPARTMENTS Health Articles and Q&A Pages ............................ 5 Your questions answered from local physicians, medical news and information As We Age .............................................................. 11 Articles and physician information just for seniors Kids’ Health & Camp .............................................18 Information, news and expert advice to raising healthy children from pregnancy to 18 Men’s Health .........................................................30 Expert tips for Men’s health and fitness The Healthy Palate ............................................... 32 Recipes to enjoy and local dining options for eating out Healthy Home ....................................................... 35 Here you will find expert tips to make your home healthier, safe and fabulous Healthy Mind & Soul ............................................40 Inspirational stories and advice on achieving mental balance and clarity Financial Health ..................................................42 Information, resources and news related to the health and well-being of your financial future I Am Beautiful ....................................................... 47 Everything from tips to trends Where to go in NJ for specialty services Diet & Fitness ........................................................ 52

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Monmouth County’s ASK THE DOCTOR The Greater Princeton Area ASK THE DOCTOR THE MILLSTONE TIMES

Publisher Cami Gunther

Marketing Representative Leanne Swallwood

Interns Nicole Iuzzolino Danielle Testa Gabriella Mancuso

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A BETTER, FASTER HEALTHCARE ALTERNATIVE

HAVING HAND PROBLEMS? TAKE CAREOF YOURHANDSBEFORE IT'S TOO LATE! Hand Injury-Surgery or Impairment Can Be Complicated! And May Result in Permanent Loss of Hand Functions. Don't Play with Your Hands.. NOT THIS TIME!!!

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www.ablehandsrehab.com For information call 732-727-7333

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H E A L T H A R T I C L E S A N D Q & A

Helping The Family Cope With Winter Allergies By Cassandra Mayall

More than 50 million Americans struggle with allergies every year. Many of these allergies occur in the winter, but are easily mistaken for a cold as the symptoms can be similar, but it’s important to distinguish between the two. Pollen isn't just an issue during spring and summer; in fact some plants pollinate in the winter, but additionally other indoor allergens can be problematic too. Avoiding The Cold Another trigger for winter allergies is the simple fact that people spend more time indoors to keep warm. Air indoors has been found to be two to five times more polluted indoors than outdoors, directly impacting your health. Commonly used cleaning products that contain chemicals add a lot of pollution to the air indoors and can trigger allergy symptoms, such as skin irritation, headaches and a runny nose. Children are more sensitive to chemicals in products, so try to use them when they’re not home or in a different room and open windows to improve the air quality. Even better, switch to natural cleaning products to avoid the issue altogether, which can be bought or made at home. Cedar Fever

It’s inevitable that you’ll spend time outdoors in the winter, where pollen can still get the better of you. Cedar pollen is responsible for a lot of winter allergies, pollinating between December and March. It gives off such large amounts of pollen that the trees look like smoke is coming off them. They mainly grow in South and Central Texas, but high winds in the winter can spread the pollen great distances, affecting many people on its way. Symptoms are similar to hay fever, such as congestion, runny nose and itchy eyes, earning it the name cedar fever. Winter allergies are common, so it’s important to understand if your symptoms are caused by a cold or an allergen. Identifying the trigger means you can avoid it and manage your symptoms, which will make you feel a lot better throughout the colder months.

I CAN SAVE YOUR TEETH

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Consulting • Coaching • Motivational Speaking

H E A L T H A R T I C L E S A N D Q & A Lastly, people are living longer; higher rates of illness and disabilities are expected to increase dramatically. Medicare and pharmaceutical benefits continues to shift to a cost sharing platform. There are coverage gaps embedded into Medicare plan designs and healthcare disparities exist among seniors; which leaves the average consumer financially exposed. No worries....Help is on the way!! We have a staff of professional certified insurance consultants with decades of experience and specializes in designing, underwriting, S eniors are working past age 65 and employers are looking for ways to provide affordable health care benefit coverage for a diverse population of staff. According to the U.S. Bureau of Labor Statistics, about 40 percent of people ages 55 and older were working or actively looking for work in 2014. The labor force participation rate, is expected to increase fastest for the oldest segments of the population-most notably, people ages 65 to 74 and 75 and older-through 2024. In addition, most seniors find it frustrating and difficult to compare Medicare plans designs due to the overwhelming amount of information they receive. Their inability to organize or process the information needed to determine plan options can be overwhelming. Our Fight For Life “Together We Can Survive”

negotiating and implementing, strategic employee benefits programs for a diverse population of staff. We provide expert guidance to employers with 2 - 100 employees, underserved men, women and seniors transitioning onto Medicare to gain equal access to affordable healthcare, clearly understand their coverage options and make informed coverage decisions designed to save time and money. Our staff have a clear understanding

Valerie Mathis-Leake CLTC, CBC, AHIP Founder, Our Fight For Life

of the healthcare rules, regulations and state mandates and help our clients to maximize benefit potential working within the four corners of an enforce healthcare contract. We focus on proactive effective strategies and proper risk management planning designed to maximize healthcare benefits providing equal access to healthcare while managing out of pocket cost. To learn more contact us:

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QUESTION: How does The Mona Lisa Touch counteract vaginal dryness? V aginal dryness is extremely common during menopause. It’s just one of a collection of symptoms known as the the size of the vagina. The Mona Lisa Touch is a new therapy for the treatment of vaginal dryness that is non hormonal, non medication and non surgical using a gentle laser. Dr. Simigiannis is one of the leading gynecologists in the nation using this new procedure.

genitourinary syndrome of menopause (GSM) that involves changes to the vulvovaginal area, as well as to the urethra and bladder. These changes can lead to vaginal dryness, pain with intercourse, urinary urgency, and sometimes more frequent bladder infections.

Dr. Helen Simigiannis, MD, FACOG

For more information feel free to contact: Dr. Helen Simigiannis, MD, FACOG Antheia Gynecology 375 US Highway 130, Suite 103 East Windsor, NJ 08520 Next to the Americana Diner 609.448.7800 www.antheiagyn.com

These body changes and symptoms are commonly associated with decreased estrogen. However, decreased estrogen is not the only cause of vaginal dryness. It is important to stop using soap and powder on the vulva, stop using fabric softeners and anticling products on your underwear, and avoid wearing panty liners and pads. Vaginal moisturizers and lubricants may help. Persistent vaginal dryness and painful intercourse should be evaluated by your healthcare provider. If it is determined to be a symptom of menopause, vaginal dryness can be treated with low-dose vaginal estrogen, or the oral selective estrogen-receptor modulator ospemifene can be used. The Mona Lisa Touch is a new therapy for the treatment of vaginal dryness that is non hormonal, non medication and non surgical that has been FDA-approved using a gentle laser. Regular sexual activity can help preserve vaginal function by increasing blood flow to the genital region and helping maintain

Adolescent & Routine Gynecology Menopause

Urinary Incontinence Endometrial Ablation Birth Control

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JANUARY/FEBRUARY 2019

H E A L T H A R T I C L E S A N D Q & A

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WHAT IS FLOATING? A floating session is a luxurious escape from the constant stress of life’s daily pressures. You can leave the noise and confusion behind, and for the first time in your life, experience Total relaxation and deep healing in your private, peaceful space. An extremely powerful tool for Im- proving health; floatation spa therapy has been found to consistently provide great relief frommental and physical stress, fatigue, chronic pain and arthritis. Virtually every person who has integrated floatation into their lifestyle has benefited from one or more of the following health benefits; lowered blood pressure, improved sleep, improved concentration, enhanced creativity and relaxation. Floating sessions have also aided in producing positive behavior changes such as; losing weight and quitting smoking. EXPERIENCE WEIGHTLESSNESS Doctors have observed that maintain- ing the body erect against the force of gravity creates stress on the spine and joints and may be part of the cause of arthritis and other uncomfortable condi- tions. By allowing the body to float, this stress is temporarily alleviated, there- by allowing muscles and joints to relax and heal faster. No training, prepara- tion or skill is required. You cannot sink. Anyone, regardless of body type, will float like a cork, effortlessly on top of the heated epsom salt water solution. PRINCETON HEALTH INTEGRATION CENTER F LOATAT I ON THERAPY

Introductory Special $20 OFF YOUR FIRST 1-HOUR FLOAT! At Princeton Health Integration Center

Salt Spring Mineral Spa ™ Large enough for you and a therapist or a close friend

ENHANCE PERFORMANCE By relaxing the analytical side of your mind, floating induces whole brain thinking where we can become more creative and expressive. In this environment our ability to absorb information and achieve desired goals are enhanced through visualization and positive thoughts. Athletic coordination and performance is improved through greater stamina, speed, strength and quicker recovery time from intense workouts. Floatation spa therapy is recommended by sports trainers and used as a high-tech training tool by triathletes. REJUVENATION Based upon the therapeutic powers of the mineral rich Dead Sea, the Epsom salt used in flotation spa therapy draw toxins to the surface of your skin giving your body a powerful systematic detoxification. Mineral spa therapy helps to strengthen your immune system, triggers the release of endorphins and reduces the level harmful biochemicals in your body. Floaters speak of seeing things anew and describe the world as fresh, glowing, intense and more vivid. You become stronger, healthier and happier. THE MEDICAL COMMUNITY A survey of family physicians found that half of those surveyed regularly prescribe some form of alternative therapy or have tried it themselves. The American Medical Association recently suggested that its 300,000 members “be- come better informed regarding the practices and techniques of alternative or unconventional medicine.” Medical research includes numerous studies on the healthful benefits of floating. YOUR FIRST FLOAT As you enter your secluded mineral spa, your body is gently cradled by the warm salt water. You are instantly weightless, floating peacefully and effortlessly on your back. Enjoying the freedom from the light, noise and gravity, your body relaxes and releases the tension it holds. Your mind stops chattering and brain wave activity is reduced, resulting in a deep state of mental and physical relaxation. You are now in a stress-free world of limitless potential, unaware of time and space. Your healing has begun. While floating motionless, feel what goes on inside your body, mind and spirit. In this loving, accepting and supportive atmosphere, you are free to think, be or feel whatever you wish. An hour passes like several minutes. As if awakening from a deep sleep or therapeutic massage, you are renewed and relaxed. Come out glowing and radiant. Your skin is toned and refreshed. Your mind is clear and alert. Tonight, you will sleep deeply and comfortably. A feeling of well-being will stay with you for days. OUR SPA FACILITY Over forty years of research and engineering has gone into the design of mineral spas. Our therapeutic envi- ronment is safe, healthful and fun. We are part of an alliance of facilities around the world who have chosen The Salt Spring Mineral Spa™ open environment. It is luxuriously arranged spa, easy to use, complete with private shower, dressing area and all amenities for your comfort and enjoyment. Our spa is sanitary; purified before and after every visit with a powerful ozone generator. Of particular interest is the five by eight-foot size spa itself, large enough for two people; which has a high ceiling, Fresh air vent, sliding door and controlled light and music. This state-of-the-art design lends to the feeling of spaciousness and comfort. A complete orientation, including a short video is provided. We are located near the intersection of 518 and 206, just four miles north of Princeton. Call 609-924-7337, for more information, gift certificates, or to schedule your float. 952 ROUTE 518 • SKILLMAN, NJ 08558 • WWW.PRINCETONHIC.COM

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You have always been there for your mom, and now GoldenYears Care is here for you

We provide Adult Day Services For Special Needs Adults (21 years old +)

Medicaid/J.A.C.C. Covered Service

Medicaid/HMO/DDD

Call UsToday For ATour or Info! (732) 851-6640 www.GoldenYearsCareNJ.com • Medical AppointmentTransportation • Around-the-clock attention • Physical & OccupationalTherapy In House • Free Door-to-DoorTransportation • Delicious Food Options (Spanish, Russian, Italian & more) • Onsite & Offsite Activities: (Ping Pong, Zumba, Shopping Excursions, Museums, Crafts,Trips to the Shore and much more) • Onsite Hairdresser Serving Monmouth, Middlesex & Ocean Residents Conveniently off Rt 33 and NJTurnpike Exit 8 108Woodward Rd. Manalapan, New Jersey If your loved one needs care during the day, trust GoldenYears Care to put them in good hands!

Call UsToday For ATour or Info! (732) 845-3332 • Free Door-to-DoorTransportation • Health Evaluations • Bi-Lingual staff • Music & PetTherapy

• Educational Programs to assist & encourage independance with activities of daily living • Social Activities • Fabulous food and menu options • Recreation, Exercise,Trips to Museums, Stores, Crafts and more... Serving Monmouth, Middlesex & Ocean Residents

20 1-A Jackson Street Freehold, New Jersey

We Offer Something Special Nowhere Else Found In CNJ ForYour Loved One! Active Day Adult Services

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OUR DOORS ARE NOW OPEN! ALLAIRE’S NEW SUBACUTE UNIT delivers clinical excellence & a level of luxury unmatched in the area.

TELEMEDICINE To assure 24/7physiciancare for our patients, we now offer

A S W E A G E

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RESORT-STYLE REHABILITATION I N T R O D U C I N G

Our hotel-like setting & amenities include: • Magnificent, Spacious Patient Suites • 12 Private Rooms • Large Flat Screen Smart TVs • Bluetooth Speakers • Sleeper Sofa, Desk & Refrigerator in Larger Suites • Concierge Service

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Accepting most insurances including Horizon Medicare.

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JANUARY/FEBRUARY 2019

Get To Know Your Local Rehab &Nursing Facility By Eryn Giuliano Allaire Rehab + Nursing is a Special Care Nursing Facility that provides world class Sub Acute Rehab in a beautifully renovated unit specially designed to give each and every patient the feeling of comfort and luxury. It is also the ONLY In-Patient Neurological Impairment Program for Young Adults in the State of New Jersey, which we call Horizon’s at Allaire. This program is through the New Jersey Medicaid program and offers intensive therapy on a long-term basis, individualized activities and where young adults will be around those their age. To clarify, young adults ages 18 through 59 will qualify should they meet the criteria detailed by the State and have an appropriate diagnosis; such as Multiple Sclerosis, Cerebral Palsy, Brian Injury, Spinal Cord Injury for example. Our specially trained team of Neuro Patient Care Technician’s are making a world of difference when combined with the amazing nursing team at Allaire. Not only do we offer skilled nursing care, we will be providing all nurses and certified nursing assistants the opportunity to become a Certified Brain Injury Specialists. Horizon’s at Allaire is ever evolving with the activities and events being held both in and off site for these young adults. Our Director of Horizon’s, Victoria Smith, considers each of their interests and executes a fabulous array of fun, educational and invigorating activities throughout the year. 7 Days AWeek Therapy: • Post-Surgical RESORT-STYLE REHABILITATION I N T R O D U C I N G NEW! SUBACUTE UNIT delivers clinical excellence & a level of luxury unmatched in the area. Another wonderful aspect to our building is our Computer Lab that was developed and managed by, Jonathan Klausner, a brain injury survivor! Not only can he relate to the young adults, he provides them all with adaptive equipment to ensure there is nothing holding them back from what they wish to accomplish. Being part of our Horizon’s at Allaire program, also includes the opportunity to complete their GED and move forward with college courses through Brookdale Community College! We would love the oppor- tunity for you to tour Allaire, experience our young adult program and enjoy the positive and encouraging environment! • Orthope ic • Respiratory • Cardiac • Neurological Our hotel-like setting & amenities include: • Magnificent, Spacious Patient Suites • 12 Private Rooms • Large Fl t Screen Smart TVs • Bluetooth Speakers • Sleeper Sofa, Desk & Refrigerator in Larger Suites • Concierge Service Did you know that falls are the most common ca se of fatal and non-fatal injuries in the elderly? And colder weather brings sluggish joints and less blood flow to the body and the brain. This leads to slower reaction times and more unsteadiness. 1 out of 4 people aged over 65 falls every year. Over 3 million injuries are treated annually in the ER. Over 55 billion dollars are spent on treating the elderly due to falls, of which Medicare and Medicaid shoulder 75% of the cost. Not only is the fall a disastrous event, the after effects of depression, physical decline, feeling of helplessness, and isolation all are very common. This also leads to increased stress for the family or immediate caretaker. Accepting most insurances including Horizon Medicare. Reserve your PRIVATE SUITE TODAY!

A S W E A G E

Revolutionizing Care Delivery ™

115 Dutch Lane Road, Freehold, NJ 07728 • 732.431.7420 • allairehc.com

Your podiatrist, Dr. Sanjay Gandhi , is an active participant in the National Fall Prevention Program. This includes a podiatric and gait examination to check for risk factors of falling. If you qualify, you are entitled to balance braces that keep your legs from “wobbling” or “teetering”. You also may be able to get free shoes that provide the proper support and grip to maintain ground reactivity. Preventing falls is essential to keeping those minor bumps and bruises away, but also to preventing major head injuries that can cause bleeding and sometimes permanent damage. If you are over 65, and feeling even the slightest bit unsteady, get screened properly today! You have nothing to lose and everything to gain. A Step Up Podiatry

Dr. Sanjay Gandhi, DPM Our Specialty Services For Adults, Children & Seniors Bunions Children Corns & Callouses Diabetic Foot Care Flatfeet Fungus HammerToeTreatment Heel Pain InGrownToeNails Plantar FasciitisTreatment Plantar Warts Orthotics and Surgery

215 Gordons Corner Road, Suite 2A Manalapan, NJ 07726

Complete Family Foot & Ankle Care

ASTEPUPPODIATRY.COM • 732-446-7136

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The Lights are Always On

Com hom t Chelse !

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A SSISTED L IVING · M EMORY C ARE · R ESPITE S TAYS 732-536-3000 CHELSEASENIORLIVING . COM

Men’s Health: Colorectal Cancer Screening Questions for the doctor

If you are 50 to 75 years old, get screened (tested) regularly for colorectal can- cer. You may need to get tested before age 50 or after age 75 if colorectal cancer runs in your family. Cancer of the colon or rectum is also called colorectal cancer. The colon and rectum are parts of the large intestine. There are several kinds of screening tests for colorectal cancer. Before your next doctor visit, it is important to have a list of questions for your doctor. Visiting the doctor can be stressful. It helps to have questions written down ahead of time. You may also want to ask a family member or close friend to go with you to take notes. 8 important questions: • What is my risk for colorectal cancer? • When do you recommend that I start getting tested? • How often do I need to get tested? •

What are the different types of screening tests for colorectal cancer? Which screening test do you recommend? Why? What happens during the screening? How do I prepare? Are there any dangers or side effects of screening?

• • • •

How long will it take to get the results?

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ADVICE FOR THE AGING COMMUNITY HEALTH SIGNS TO LOOK FOR WHEN YOUR AGING LOVED ONE IS LIVING INDEPENDENTLY By Sheli Monacchio Sometimes we don’t see our parents as much as we would like. Life gets in the way and our responsibilities pull us in many directions. We speak to mom or dad on the phone and they tell us everything is just fine. But is it? Take note of minor changes you may see while visiting your loved ones. Are they weary while navigating throughout their home or yours? Holding on to furniture and walls? Do they appear more confused with all of the family around and did they eat less than usual? Do they look like they are not physi- cally taking care of themselves the way they used to? It may be time to look into this a little deeper. Difficulties with Activities of Daily Living- (ADLs), such as bathing, changing clothes, housework, or even just getting around. Social Isolation- If your loved one stays at home with little social activity, or spends less time with friends that they used to see on a regular basis. Forgetfulness- Did your loved one forget to do the things they were used to doing daily or did they miss appointments?Remember that if your loved one is suffering from dementia, they cannot control their behavior. Provide a stimulating environment that will allow your loved one to remain safe. When the time comes that you can no longer care for your loved one on your own or if their symptoms become unmanageable, it may be time to reach out to a professional for help at home or take the next steps to find a community ap- propriate for your loved one. Loss of Appetite -Has your loved one been eating? If so, what have they been eating? If they can no longer cook for themselves and/or eat healthy foods, then it may be time to reach out to someone to help. Weight Loss/Looking Frail- This is a sign that their bones may not be as strong as they used to be, and if they fall then the situation could escalate very quick- ly. For instance, have your loved one hold a cup of coffee or tea. Do they have the strength to hold it or is the cup shaking? Neglected Environment- An unorganized, cluttered or messy home can be a sign that they can’t clean anymore, or it might be so cluttered that it can af- fect their own hygiene. Also look for: unopened bills and personal mail, a full voicemail box, an unmade bed, or expired food. If you see any signs listed above while visiting this holiday, it may be time to talk to your loved one about the next steps in their life to help keep them safe. Will they prefer to stay at home as they age, or is assisted living a better option for them? Caring Connections of New Jersey is a non-profit organization whose prima- ry mission is to educate seniors and their families on the options that are avail- able in their local community. Visit our website at www.caringconnectionsnj. org or call (609) 960-2265 for assistance.

A dedicated and loyal staff with over 200 years of experience. Stop by for a visit and meet our devoted Care Team at The Chelsea at Manalapan! 732-972-6200

445 Route 9 South Manalapan, NJ 07726

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COMPREHENSIVE PERSONAL Touch

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DR. KIRAN MEDASANI, MD MEDICAL DIRECTOR

A t King Manor Care and Rehabilitation Center, we are dedicated to providing professional quality health care in a warm environment. Our highly experienced and devoted sta of health care professionals treat each patient with respect, compassion and dignity. Centrally located on the Jersey Shore, King Manor Care and Rehabilitation Center has been servicing the community for over 25 years.

SERVICES INCLUDE: Sub Acute Rehabilitation Long Term Residency Alzheimer’s Care & Memory Enrichment Hospice & Comfort Care Respite Hospitality

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• Palliative Care • COPD • Medicare &Medicaid Certi ed • Private Insurance Contracts Providing Excep ional Healthcare Since 1954 Subacute Care • Long-Term Care • Specialized Care for the Memory Impaired in a Secured Unit • Fully Equipped Rehab Gym with Hydrotherapy Pool • Physical & Occupational Therapies 7 Days a Week • Oasis Program • Respite Care • Hospice Care Palliative Care • COPD • Medicare & Medicaid Certifed Private Insurance Contracts OUR 200-BED FACILITY OFFERS: • Two 60-Bed Long -Term Care Units 36-Bed Subacute Rehabilitation Unit • 44-Bed Secured Memory Unit •

OUR 200-BED FACILITY OFFERS : • 44-Bed Secured Memory Unit • 36-Bed Subacute Rehabilitation Unit • Two 60-Bed Long -Term Care Units

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www.GuntherPublications.com 39 E. Mountain Rd, Hillsborough www.foothillacres.com Post-Hospitalization Rehabilitati Personalized, Goal-Oriented Treat CALL OUR ADMISSIONS TEAM TODAY TO SCHEDULE A TOUR! (908) 369-8711 (908) 369-8711 Noteworthy Pulmonologist Specializing in Critical Care and Hypertension Medicine, George Julius Poiani Jr, MD Recognized as a 2018 Top Doctor in Bridgewater, NJ George Julius Poiani Jr, MD, Pulmonologist with the Somerset Pulmonary & Sleep Medicine Center, and affiliated with Robert Wood Johnson University Hospital Somerset, has been named a 2018 Top Doctor in Bridgewater, New Jersey. Top Doctor Awards is dedicated to selecting and honoring those healthcare practitioners who have demonstrated clinical excellence while delivering the highest standards of patient care. Dr. Poiani is a highly respected and experienced physician, having been in practice for over three decades. His career in medicine began in 1981, when he graduated from the UMDNJ-Robert Wood Johnson Medical School. Upon earning his Medical Degree, Dr. Poiani completed his Internal Medicine residency, followed by his Pulmonary and Critical Care Medicine fellowship with Robert Wood Johnson Medical School. Dr. Poiani is triple board certified in Internal Medicine, Pulmonary Disease, and Critical Care Medicine by the American Board of Internal Medicine. Also, Dr. Poiani is currently the Chief of the Pulmonary Division at Robert Wood Johnson University Hospital-Somerset campus. He is determined to enhance his patients’ quality of life, providing high quality, individualized care in order to ensure the most optimal results. He provides expert diagnosis and treatment for a wide array of conditions, and has an international reputation as a specialist in pulmonary hypertension and interstitial lung disease. For his wealth of experience and expertise, Dr. Poiani serves as a Clinical Associate Professor at Robert Wood Johnson Medical School. His meticulous approach to patient care, coupled with his dedication to his work, and contributions in his field makes Dr. George Julius Poiani Jr, MD a very worthy winner of a 2018 Top Doctor Award. For his wealth of experience and expertise, Dr. Poiani serves as a Clinical Associate Professor at Robert Wood Johnson Medical School. His meticul us approach to patient care, coupled with his dedication to his work, and contributions in his field makes Dr. George Julius Poian Jr, MD a very worthy winner of a 2018 Top Doctor Award. 39 E. Mountain Rd, Hillsborough • www.foothillacres.com Providing Exceptional Healthcare Since 1954 • SubacuteCare • Long-TermCare • SpecializedCare for the Memory Impaired inaSecuredUnit • FullyEquippedRehabGym withHydro- erapyPool • Physical&Occupational erapies 7DaysaWeek • OasisProgram • Re piteCare • HospiceCare • PalliativeCare • COPD • Medicare&MedicaidCerti ed • Private InsuranceContracts 609.448.7036 Call our admissions team to ay to schedule a tour! Post-Hospitalization Rehabilitation Personalized, Goal-Oriented Treatment Physical Therapy • Occupational Therapy Speech Therapy • 24-Hour Nursing Staff Certifi d Dietitia • Long-Term Care Respite Care • Hospice & Palliative Care Religious S rvices • Kosher Kitchen Medicare, Medicaid and most insurances accepted • Post-Hospital Nur ing and Therapy • Long-Term C re • Respite Care 609.448.7036 Call our admissions eam t d to schedule a tour! 609.448.7036 Call our admissions team today to sched OUR 200-BED FACILITY OFFERS: • Two 60-Bed Long -Term Care Units 36-Bed Subacute Rehabilitation Unit • 44-Bed Secured Memory Unit • Providing Excep ional Healthcare Since 1954 Subacute Care • Long-Term Care • Specialized Care for the Memory Impaired in a Secured Unit • Fully Equipped Rehab Gym with Hydrotherapy Pool • Physical & Occupational Therapies 7 Days a Week • Oasis Program • Respite Care • Hospice Care Palliative Care • COPD • Medicare & Medicaid Certifed Private Insurance Contracts Dr. Poiani is triple board certified in Internal Medicine, Pulmonary Disease, and Critical Care Medicine by the American Board of Internal Medicine. Also, Dr. Poiani is currently the Chief of the Pulmonary Division at Robert Wood Johnson University Hospital-Somerset campus. He is determined to enhance his patients’ quality of life, providing high quality, individualized care in order to ensure the most optimal results. He provides expe t iag osis and treatment for a wide arra of conditions, and has an international reputation as a specialist in pulmonary hypertension and interstitial lung disease. 39 E. Mountain Rd, Hillsborough www.foothillacres.com OUR 200-BED FACILITY OFFERS : • 44-Bed Secured Memory Unit • 36-Bed Subacute Rehabilitation Unit • Two 60-Bed Long -Term Care Units • Post-Hospital Nursing and Therapy • Long-Term Care • Respite Care 39 E. Mountain Rd, Hillsborough • www.foothillacres.com George Julius Poiani Jr, MD 245 Union Avenue Suite 2c Bridgewater, NJ, 08807 Providing Exceptional Healthcare Since 1954 • SubacuteCare • Long-TermCare • SpecializedCare for the Memory Impaired inaSecuredUnit • FullyEquippedRehabGym withHydro- erapyPool • Physical&Occupational erapies 7DaysaWeek • OasisProgram • RespiteCare • HospiceCare • PalliativeCare • COPD • Medicare&MedicaidCerti ed • Private InsuranceContracts (908) 369-8711 OUR 200-BED FACILITY OFFERS: • Two 60-Bed Long-Term Care Units 36-Bed Subacute Rehabilitation Unit • 44-Bed Secured Memory Unit • 39 E. Mountain Rd, Hillsborough www.foothillacres.com THE GARDENS AT MONROE 189 Applegarth Road • Monroe, NJ 08831 thegardensatmonroe.com Post-Hospi alization Reh bilitation Personalized, Goal-Oriented Treatment Physical Therapy • Occupational Therapy Speech Therapy • 24-Hour Nursing Staff Certified Dietitian • Long-Term Care Respite Care • Hospice & Palliative Care Religious Services • Kosher Kitchen Medicare, Medicaid and most insurances accepted • Post- Nursi Thera • Long- • Respi Providing Exceptional Healthcare Since 1954 • Subacute Care • Long-Term Care • Specialized Care for the Memory Impaired in a Secured Unit • Fully Equipped Rehab Gym with Hydro- erapy Pool • Physical &Occupational erapies 7 Days a Week • Oasis Program • Respite Care • Hospice Care • Palliative Care • COPD • Medicare &Medicaid Certi ed • Private Insurance Contracts (908) 369-8711 (908) 369-8711 Noteworthy Pulmonologist Specializing in Critical Care and Hypertension Medicine, George Julius Poiani Jr, MD Recognized as a 2018 Top Doctor in Bridgewater, NJ George Julius Poiani Jr, MD, Pulmonologist with the Somerset Pulmonary & Sleep Medicine Center, and affiliated with Robert Wood Johnson University Hospital Somerset, has been named a 2018 Top Doctor in Bridgewater, New Jersey. Top Doctor Awards is dedicated to selecting and honoring those healthcare practitioners who have demonstrated clinical excellence while delivering the highest standards of patient care. Dr. Poiani is a highly respected and experienced physician, having been in practice for over three decades. His career in medicine began in 1981, when he graduated from the UMDNJ-Robert Wood Johnson Medical Scho l. Upon earning his Medical Degree, Dr. Poiani completed his Internal Medicine residency, followed by his Pulmonary and Critical Care Medicine fellowship with Robert Wood Johnson Medical School. 39 E. Mountain Rd, Hillsborough www.foothillacres.com OUR 200-BED FACILITY OFFERS: • Two 60-Bed Long-Term Care Units 36-Bed Subacute Rehabilitation Unit • 44-Bed Secured Memory Unit • George Julius Poiani Jr, MD 245 Union Avenue Suite 2c Bridgewater, NJ, 08807

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TENDER SMILES

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Advertising in This Magazine WORKS

English–Chinese Immersion School International Baccalaureate Accredited Program (IB) Early Learning through Grade 8 Inquiry Based Learning Small Class Sizes

Dr. Steven Linker, OD Monmouth Vision Associates 50 Route 9 North, Suite 206 Morganville, NJ, 07751 Tel: 732-617-17177 http://monmouthvision.com/

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“Monmouth County’s Ask The Doctor Magazine Is The Best Advertising I have ever done for my practice. My office also gets a lot of new business and the ads always bring in quality patients and not patients who are just looking to use a coupon.”

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What should I do if my child’s speech or language appears to be delayed?

Talk to your child’s doctor if you have any concerns. Your doctor may refer you to a speech-language pathologist, who is a health professional trained to evaluate and treat people with speech or language disorders. The speech-language pa- thologist will talk to you about your child’s communication and general development. He or she will also use special spoken tests to evaluate your child. A hearing test is often included in the evaluation because a hearing problem can affect speech and language development. Depending on the result of the evaluation, the speech-language pathologist may suggest activities you can do at home to stimulate your child’s development. They might also recommend group or individual therapy or suggest further evaluation by an audiologist (a health care professional trained to identify and measure hearing loss), or a developmental psychologist (a health care professional with special expertise in the psychological development of infants and children).

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Growing up with AutisM: Tim’s Story By Pam Teel

18 year-old Tim Rohrer graduated from Allentown High School last June. Growing up was not so easy for him. Tim had autism. Like others with autism, Tim faced many challenges in life, both academically and socially. School was really hard for him. Even in a large high school with many students, there were still many times that Tim felt all alone. He tried hard to fit in, but he was always made to feel like an outsider. Because he was different, he didn't get invited to many play dates, parties, or social gatherings. A lot of times he sat alone during school lunches. Tim wanted nothing more than to be like everyone else and do the same things that they did. He wanted to be invited to sweet sixteen parties, the beach, or even just out for a bite to eat, but that rarely happened. Although people may be nice and say hello in school there is so much more to that they could have done. It’s an emotional struggle knowing that your peers are out doing things with friends and you are never asked to join. It was such a struggle for Tim emotionally to deal with all the pain of not being accepted. Tim’s parents always worried about his future and what he would be able to do. They wondered if he would ever be able to work, or drive a car, or even if he would be able to function on his own. However, as Tim got older, he surprised them all. He developed an ex- treme amount of determination and motivation to achieve things. He wanted to be like everyone else. He worked doubly hard in high school on things that for most teens were relatively easy. He was determined to learn how to drive and at sixteen he passed his permit test. When he turned seventeen, he got his license on the first try. He wanted to get a job like other normal kids. He knew it wouldn’t be easy having autism. He interviewed at many different places but never heard back from any of them; yet he kept looking. Eventually, he went on an interview at Iplay America and the people there hired him on the spot after he impressed them in a group interview. He’s been working there ever since. On more than one occasion they let his family know what a phenomenal job he’s doing. During high school, Tim received a few awards. As a sophomore he received the Principals Award, which is for kids that have had lots of difficulty but have persevered and achieved academic excellence. As a senior he received the Presidential Silver Award, another award based on those who faced hardship in life but have overcome and achieved academic success! As Tim got older, he had a dream, and that dream was to help raise awareness about social isolation and what it can do to you. He wanted to help to educate other students about acceptance of people who might have some physical and mental disabilities. He was tired of being invisible and wanted to help others who might have felt the same way he did in school. He talked about this desire for a long time and then decided to write a guide to try and teach kids to how to interact with those with disabilities. Learning to socially accept someone that has a disability needs to be taught when the children are young and carried out throughout high school. Parents need to let their children know that it’s ok to be friends with someone with a disability and how they should included in your school life and not treat them like they didn’t exist. There are only two kinds of people in this world, followers and leaders. Leaders aren’t afraid to step out of their norm regardless of what people say about them. Be that leader and the next time you see someone sitting alone at lunch or wanting to be a part of the conversation or the party, reach out to them, include them, despite what others think. When he showed the guide to his mother, she knew he had something special. She decided to send it to a few organizations. She sent it to the NJCIE, the NJ Coalition for Inclusive Education. The next morning they contacted her and said they loved it and wanted to share it on their website as a resource listing Tim as the author. They felt it was the meaning of inclusion and what they strive for. It was posted on social media and is now forever on their website. His mother also sent it to POAC, Parents of Autistic Children. They loved it too and are now using parts of it in school assemblies. A program Tim belongs to called Best Buddies, which promotes social inclusion, also loved it and plan to use it. Tim asked his mother to share it with the Millstone Community via facebook forums and the feedback was incredible. People thanked him for writing the guide. They applauded Tim for speaking up and sharing his story. The comments were truly inspiring. Tim’s journey to get his word out is still making its way around. It’s been truly amazing how fast his story spread and how much the community embraced it. It’s now posted on the AHS school website and Mr. Leary, the head of Child Study in Allentown, sent it to all the Monmouth County Directors of special Ed. Tim's employer was so impressed that they offered to help promote the guide using their PR department. Tim has also written a guide more for teens, which include worksheets that will help, teach kids. All of Tim’s teachers, work supervisors and friends in life will tell you that he is the kindest, sweetest, most polite young man they know. Tim currently attends the Monmouth County Career Center and is focusing on Computer and Business applications and is doing very well there. We need to teach our children to be kind to kids with disabilities and to include them in their everyday activities. It can really make a difference in someone’s life. No one should feel left out. Tim's dream to help end the struggle he had growing up is coming true. Getting his guide out to as many people as possible is a great start. Keep up the great work Tim. You will truly make a difference!

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