Monmouth County's Ask The Doctor Magazine Nov/Dec 2020

Monmouth County’s Ask The DOCTOR THE HEALTH &WELLNESS MAGAZINE F R YOU ANDYOUR FAMILY HOLIDAY 2020

Local Physicians Answer Your Health Questions

NEWS YOU CAN USE:

• Kids’ Health • Beauty • Eating Well • Fitness • Aging • ...and more

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Q & A

ANSWER:

The optomap ultra-widefield retinal image is a unique technology that captures more than 80% of your retina in one panoramic image while traditional imaging methods typically only show 15% of your retina at one time. Your retina (located in the back of your eye) is the only place in the body where blood vessels can be seen directly. This means that in addition to eye conditions, signs of other diseases (for example, stroke, heart disease, hypertension and diabetes) can also be seen in the retina. Early detection of life-threatening diseases like cancer, stroke, and cardiovascular disease. It also facilitates early protection from vision impairment or blindness. Early signs of these conditions can show on your retina long before you notice any changes to your vision or feel pain. While eye exams include a look at the front of the eye to evaluate health and prescription changes, a thorough screening of the

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Q & A

Q: What is your advice on “having the talk” with your parent? A: It can be hard to raise the subject of long-term care with your parent or loved one. Usually, as physical and mental capacity begin to diminish, the burden of care slowly shifts onto the family and eventually becomes difficult to sustain. Everyone ages; There’s no shame in getting older, though someone who has only known independence for many years may feel embarrassed to need daily assistance. That em- barrassment may manifest itself as denial or obstinacy and may make the necessary conversation concerning long-term care that much more challenging. Ideally, families would discuss future living arrangements regularly and begin those discussions before it becomes necessary. In reality, we rarely want to think about our loved one’s difficulties and as a result, the conversation is continuously put on the back burner. Here’s some practical advice if you feel that your loved one is approaching the day when they need consistent care and supervision: • Be honest. Most parents do not want to become dependent on their children, but they may not realize the time, energy, and money that their care requires of you. Lovingly communicate how a senior care residence might be best for everyone. • Be patient. Return to the conversation periodically if you sense resistance. Avoid showing frustration or anger and continue to empathize with the life change such a move would require. • Enlist a partner. Discuss this situation with other people in your loved one’s life such as his/her friends, a fam- ily physician, a clergy member, or his/her spouse. Remember you are not alone in this. I am always here to chat and answer your questions. Please call me directly or schedule a visit. I look for- ward to helping you feel comfortable. Best, Jamie Kellenbach (732) 536-3000 Executive Director Jamie Kellenbach

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THE MILLSTONE TIMES Monmouth County’s ASK THE DOCTOR Writers Pam Teel

Reinstating the Dr. Home Visit... We Bring Hearing Home to You!

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Lauren Kolacki Max Druckman

Better hearing is an important part of how we communicate and stay connected to the world and the people we love. For many, seeking hearing care is the first step to a happier and healthier future, being able to secure these ser- vices at home is paramount for many of our clients. Whether you want to explore hearing aids, or discuss concerns about your hearing health, Dr. Laura Padham Visiting Audiologist is here to provide you with options.

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Q: I’m scared of surgery.What non-invasive treat- ment can I do to get rid of stubborn body fat? A: I recommend CoolSculpting because it is FDA approved, can be done in my office and requires zero down time. It is a non-invasive body contouring treatment designed to target and destroy fat by using cooling energy to penetrate the dermis and destroy those stubborn fat cells that aren’t responding to your hard work. One treatment can lead up to 20% fat loss. CoolSculpting is an excellent choice for clients who are looking for permanent fat loss without surgery or liposuction. The benefits of CoolSculpting include: • Clinically proven fat loss • Zero downtime and recovery • Easy, painless procedures

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Confirming you were raised by a Narcissist parent By, Lauren Kowlacki

Q & A

As children, we look up to our parents for support, nurturing and love. But when we were denied these things, we can develop a variety of internal beliefs, behaviors and coping mechanisms to help us survive in such a difficult environment. As adults, we often emulate these same coping mechanisms which hurt us. Being raised by a narcissistic mother and/or father often contributes to the problems and struggles as an adult. The first thing needed is to understand the signs and recognize the diag- nosis. When you have had a narcissistic mother and/or father you have been taught to believe that you are the crazy and imbalanced one, instead of them. This causes you to constantly doubt yourself and any feelings you have about them. Is this feeling familiar?

Another major sign of being raised by narcissists is the constant guilt you struggle with. In other words, while you might suspect that there is something “off ” with your parents, you feel ashamed to think about them in such a way, and you tend to start beating yourself up instead. It important to know that there are two main kinds of narcissists: 1. Engulfing Narcissists— these are parents who see their children as extensions of themselves. In other words, engulfing narcissistic parents become obsessively involved in your life to an extreme extent. They don’t respect your boundaries or acknowledge you as a separate person. 2. Ignoring Narcissists — these are parents who have very little interest in their children. Ignoring narcissists clearly see the boundary between themselves and their children. As a result, they neglect to take care of their children or show an active interest in their lives. The next step is to know the signs. If any of these signs are familiar to you in your upbringing, In other words, you were told by your parent/s things such as, “Don’t leave me. I need you. I can’t live without you.” This made it impossible for you to live an autonomous life or establish independent priorities other than catering to the needs of your parent/s. 2. They laid on the guilt thick Another method of controlling you was to constantly guilt trip you into doing what they wanted. They may have told you, “I’ve done so much for you, I’ve sacrificed everything for you.” As a result, you felt indebted to them and as though you “owed” them complete obedience. 3. They only loved you when you did what THEY wanted Your parent/s withdrew love very easily. If you failed to do what they wanted, they would either punish you severely, or give you the silent treatment. You had the impression that they only loved you when you PROVED your worth to them and did things as they want and when they want. 4. They liked to “get even” with you When you did something “wrong” or against their will — even in the smallest way — they made sure they punished you. This petty and childish way of “getting even” may have been subtle or very obvious. For instance, they may have deliberately sabotaged something you cared about, broke something of yours, or hid something to get back at you. 5. They never respected your boundaries There wasn’t any “private” space to call your own growing up. Your parent/s would go through your room and private belongings, without a thought, sometimes even using what they found against you. 6. They competed with you If you ever got something nice, they took it from you, or got something nicer to “out-do” you. you were in fact raised by a narcissist parent. 1. They tried to control you through codependency

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7. They “owned” your accomplishments Whenever someone complimented your achievements, your parent/s would instantly jump in and shift the attention to them- selves. For example, if someone congratulated you for winning a soccer trophy, your parent/s would butt in and say something along the lines of, “Yes, she gets it fromme. I was always athletic as a child.” They love the spotlight and frequently stole it from you. 8. They constantly lied to you Your parent/s lied to manipulate, control and take advantage of you in some way, shape or form. You never knew what you could trust was “real” or truthful around them, or whether they were setting up a hidden trap for you to fall into. 9. They never listened to (or cared) about your feelings You felt that you could never share your feelings with your parent/s because they would either make fun of you or talk about themselves instead. Somehow, whatever issue you faced as a child was spun into a pity party for them, not you. 10. They constantly insulted you Your parent/s berated, demeaned and harassed you on a constant basis. They may have even latched onto an insecurity of yours and used it to humiliate you. 11. They exerted explicit control over you In other words, when you didn’t obey them, they would punish you. The message was very clear, “Obey me, or I’ll punish you.” You were punished through emotional or physical abuse including emotional blackmail, hitting or beating. 12. They gaslighted you In order to control you, they used a psychological manipulation tactic known as gaslighting. What this means is that they would deliberately make you feel crazy, or cause you to doubt your sanity, in order to gain the upper hand. This led to the development of constant self-doubt during your childhood, adolescence and present life. 13. They “parentified” you As a child, you were expected to “parent” your parent, or behave as a surrogate parent to cater for their needs, instead of them catering to yours. 14. They had a “favorite” or “golden” child In your family there was the “golden” child and the “scapegoat” child. In other words, one child was seen as perfect and capable of doing no harm. The other child was seen as the black sheep, and the cause of all issues (this is also known as an identified patient). These roles could have also switched frequently. 15. They reacted intensely to any form of criticism Did you ever criticize your mother or father? What was their general reaction? If your mother and/or father was a narcissist, they likely reacted in an extreme way. They would scream at you and likely physically hurt you through smacking, or some other method. 16. They projected their bad behavior onto you For example, if you were in an argument, they would hysterically scream at you, “How dare you talk to your mother that way. Go to your room. We’ll talk after you stop screaming at me.” 17. They never displayed any empathy They never asked about your feelings, sympathized with you, or cared. They seemed to be solely interested in their own feelings. 18. They were infallibly correct and never wrong Even when they made a mistake or treated you in an unfair, or unjust way, they never apologized for their mistake. When you confronted them about it, they denied all accusations and tried to spin the blame onto you. 19. They liked to present a perfect family image to outsiders Your parent/s went to great lengths to ensure that others perceived you as a loving/successful/enviable family. Likely, you were very aware of this ploy, but kept silent for fear of wrath from your parent/s. How to Confirm That You’re the Child of a Narcissist After reading through this list of symptoms you might still be unsure of how to define your parent/s. That’s normal. Your narcis- sistic mother and/or father wouldn’t have exhibited all of the signs above (but if they did, pay attention).

Q & A

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Medicaid/J.A.C.C. Covered Service Many young children develop a condition in which the middle ear fills with thick fluid -- so-called "glue ear." Of- ten, children have no symptoms and parents seek medical help only when they notice that youngsters have hearing problems. Dr. Jordan Josephson is an ear, nose and throat special- ist at Lenox Hill H spit l in New York City. He said that kids are much more prone to glue ear because "the eusta- chian tube -- which is the tube that connects the ear to the back of the nose -- gets clogged," often during a sinus infection, allergy or even pollution-linked inflammation. Right now, treatments such as "antibiotics, antihista- mines, decongestants and intranasal steroids are ineffec- tive and have unwanted effects, and therefore cannot be recommended," wrot a team of British researchers led by Dr. Ian Williamson of the University of Southampton in England. In the new study, Williamson's team assessed another glue ear treatment -- "auto-inflatio " with a nasal balloon -- in a group of 320 children aged 4 to 11 years. During the treatm nt, the child blows through each nostril into a nozzle to inflate the balloon. The children were randomly assigned to either use the balloon treatment three times a day for one to three months, or to undergo standard care. Compared to those in the standard-care group, children who used the balloon treatment were more likely to have normal middle- ear pressure at one month (about 36 per- cent versus 47 percent, respectively), and at three months (about 38 percent versus 50 percent, respectively). They also had fewer days with symptoms, the researchers re- ported. "Auto-inflation is a simple, low-cost procedure that can be taught to young children in a primary-care setting with a reasonable expectation of compliance," according to the study authors, who believe the treatment should be used more widely in children over age 4. The nasal balloon "has been around for decades," Jo- sephson said. "When I trea children with the e problems, I tell the parents to have the child blow up balloons and squeeze their nose and try to pop their ears," he explained. You have always been there for your mom, and now GoldenYears Care is here for you Nasal Balloon Can Treat Youngsters For "Glue Ear" By Mia Ingui For kids with a common hearing problem, a simple procedure may be an al- ternative to antibiotics or drainage tubes. Asimple procedure using what's known as "nasal bal- loon" can treat hearing loss in children with a common middle-ear problem, pre- venting unnecessary and ineffective treatment with antibiotics, according to a new study. 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!

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Freehold Challenger Sports By Pam Teel

The Freehold Challenger Sports Program is a three-season pro- gram that includes soccer in the fall, baseball in the spring and basketball in the winter. The programs function is to serve chil- dren with special needs in the Freehold area. Started in 1993, it was created for athletes classified as being eligible for Special Ed- ucation and formulated so that the children could learn and enjoy the full benefits of participating in a sports program, not stuck on the sidelines watching someone else play. The program is environmentally structured to the children’s abilities and is open to athletes of all ages who are enrolled in some form of special services in school. The action takes place on Sun- day mornings at the Little League complex in Freehold Township or in a public school. The children also get to travel to play other teams. The program helps the special needs population develop athletic skills and motor skills. It also helps promote social skills and teamwork while strengthening their self esteem and encour- aging sportsmanship and fair play. The Freehold Area Challenger Sports is run by Director, Alan Goldstein, a retired School Psychologist and former Special Edu- cation Teacher. Goldstein never liked how the children with spe- cial needs were bullied at school for being different and felt the need for a program for youth with special needs that mirrored a typical child’s activities. Together, with the help of other coaches and volunteers in the area, they developed a program that would

K I D S ’ H E A L T H & C A M P

Brooke Zolezi and Michael

teach the children new skills in various different sports and a way for them to have fun while feeling that they are a part of a team. Each player is paired with a buddy who assists him or her throughout the year. The players range from three years old and up. Goldstein created the all-volunteer division for Western Monmouth County, which is hosted by Freehold Township. (There is a waiting list to become a buddy.) Goldstein has stated that he gets great satisfaction watching the children learn the sport and grow in their skills from season to season. He loves seeing them moving around, but best of all, he loves the smiles on their faces. He was excited, when in 1989, Little League, Inc. launched the Challenger Division for those with Mental and Physical challenges. In 2017 his team was chosen to participate in the Little League Challenger Division Exhibition at the Little League Baseball World Series in Williamsport, PA. Brooke Zolezi is one of the volunteers who works with her buddy Michael. She helps him participate in each sport ac- tivity by actually going out with him, whether in the field or on the basketball court. Volunteers help boost their buddy’s confidence, cheer them on and guide them. “It is such a rewarding experience and we have grown to love Michael like family,” Brooke stated. Brooke is a junior in high school. This is her second year in the program. She also volunteers for Centra State Medical Center. Helping others has always been her passion. She always had interest in the Challenger Sports Program but was a competitive dancer so her schedule would not permit. Once she gave up competitive dance to cheer for her high school, her Sundays were free to help out in the program as a buddy. She has always had an interest in working with children and adults with special needs; it is also something she will pursue in college, possibly teaching Special Ed or becoming an Occupational Therapist. The program has very young children and also adults. Her buddy Michael is twenty-eight. Brooke looks forward to spending every Sunday with him and his family, along with the other young adults on his team. She has formed special relationships with them all. “It is the most rewarding volunteering I have ever participated in,” Brooke stated. To find out more about the Freehold Challenger Sports program, go to: freeholdareachallengersports.org or look them up on facebook.

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Q&A: How to Manage Living with Cancer During the Holidays Our neuro-oncology care providers answered the most common questions they receive during the holidays. Read their advice to help you manage living with a brain and spine tumor so you can enjoy the holiday season. Holiday parties, decorating, cooking, gift-giving, and preparing to visit with family and friends may make you more anxious than excited. With cancer care or caregiving, where do you fit in the list of endless holiday demands? And how do you fit in with those around you unable to relate? The loss of a loved one to cancer – recent or not – can also be painful during the holidays. Our experts are here to help. We asked Alvina Acquaye, health and wellness counselor, NCI-CONNECT; Terri Armstrong, Ph.D., deputy chief and senior investigator; Heather Leeper, M.D., assistant research physician; Marta Penas-Prado, M.D., associate research physician; and Christine Siegel, Nurse Practitioner; all of NCI’s Center for Cancer Research, Neuro-Oncology Branch to answer your pressing and common questions about managing cancer during the holidays. Use their advice to help you stress less and cheer more. Q: How do I manage the stress of cancer with the demands of the holidays? A: The holidays without cancer can cause stress. Add in doctor appointments and treatments and it can be overwhelming. Take care of your- self and plan to pace yourself. Make it a point to also briefly check-in with yourself. Ask yourself: How am I doing right now? What do I need right now? After you identify what you need, come up with an action plan to take care of your needs. Be aware of the physical stress of entertaining and traveling and do not overexert yourself. Ask friends and family to help with tasks like wrap- ping presents or taking you or your loved one to appointments. You can also order takeout, shop online, and decline being this year’s party host. If you feel really overwhelmed, try relaxation techniques and slow rhythmic breathing, or gift yourself a massage. Q: How do I manage fatigue from treatment with holiday activities? A: Treatment side effects, like fatigue, nausea and pain, can make partaking in all holiday activities unattainable. Plan ahead and communi- cate with loved ones. Decide which activities are most important to you and save your energy for them. Tell family and friends in advance that you may not be able to participate in all or certain activities. You can also ask for help with physical tasks like cooking and decorating. And as busy as the holiday season is, take time to rest and relax. Practice good sleep habits, eat healthy, and get moving. A brisk 10-minute walk can be energizing. Q: How can I provide an update on my cancer and avoid answering the same questions over and over? A: : Repeating how cancer has affected you or your loved one can be exhausting. You can avoid feeling like a broken record by communicating your diagnosis and treatment with your family and friends in advance. You or a loved one can send an email, a text message, or a social media post that provides a status update you’re comfortable sharing. Telling people how you are or how treatments are affecting you in advance can also help prepare family and friends if you have experienced physical or cognitive changes. If others ask for details of your diagnosis or treatment, remember you are free to share as much or as little as you are comfortable with. If you choose to share, here is an example of what you can say: I have a tumor in my brain and/or spinal cord. Brain and spinal cord tumors in adults are rare. The treatments and symptoms are quite differ- ent from other cancers. My tumor and the treatments make it challenging for me to speak, walk, and remember names and dates. Q: What are good gifts for a person going through treatment? A : A meaningful gift recognizes the needs of a person. Write an encouraging message on a card or share your favorite photo or memory with them. Blankets, pillows, eye masks, water bottles, food and gas gift cards, magazines, books, and other items to keep them busy while they sit through chemotherapy, for example, are useful. You can also offer to help them with tasks they can’t do during treatments or may be too tired to do afterward. Offer to wrap their presents, help them decorate, or cook them dinner. Q: Can I travel before or after treatments and what do I need to bring with me? A: Cancer treatments shouldn’t prevent you from traveling, but there are precautions you should take. Talk to your doctor about your per- sonal treatment plan to see if you can delay treatment or change a scheduled appointment. Items you should take during your trip include your treating doctor’s name and contact information and a list of medications with dosage information. You and your caregiver should also consider wearing medic alert bracelets. Airports are busy during the holidays. Wash your hands often or carry hand sanitizer. You can also carry disin- fectant wipes to clean sitting areas and tray tables. If you use a wheelchair or have other medical equipment, or need assistance going through security, review TSA Airport Security guidelines and procedures in advance to make your travels less stressful. Q: How can I honor the memory of my deceased loved one? A: Many feel the loss of their deceased loves ones more intensely during the holidays because we have so many memories, family traditions, and gatherings surrounding this time of the year. There are many ways to honor and cherish your loved ones during the holidays: preparing their favorite foods, playing their favorite songs, sharing memories of them with friends and family by displaying their picture, looking at family photo albums together, and honoring their legacy by acting on or carrying out their wishes, making donations in their name, or lighting a candle in their honor. Closing Tips to Enjoy the Holidays If you find yourself feeling overwhelmed, then give yourself time and space to feel however you are feeling. Be kind to yourself by not taking on more than you feel you can handle. Pay attention to when you are feeling irritated, angry, tired, or overwhelmed as these can be signs of exhaustion. Try to enjoy your holiday season and celebrations in whatever form they take. This year may be different than years past and that’s ok. Partake in the activities you enjoy most, ask for help and start new traditions. Your health and wellness during the holidays are paramount and those around you will understand. The holidays are about renewed hope and being grateful for your loved ones or honoring their memory. For more info, visit: https://www.cancer.gov/rare-brain-spine-tumor/blog/2019/manage-cancer-holidays?cid=eb_govdel_en_ccr_nciconnect__ Credit The National Cancer Institute

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We provide Adult Day Services For Special Needs Adults (21 years old +) ADVICE FOR THE AGING COMMUNITY Enjoying the Holidays in Spite of Covid By, Howard Seidman-Guest Blogger

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

Seniors look forward to the rituals of fall and winter hol- idays often more than most people. Gathering family and friends to share stories and a meal – it’s a part of the circle of life.

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Call UsToday For ATour or Info! (732) 845-3332 • Free Door-to-DoorTransportation • Health Evaluations • Bi-Lingual staff • Music & PetTherapy Summer/fall are great for outside events, but lower temperatures move gatherings inside.Unfortunately, coronavirus is more likely to spread indoors. The more people you interact with, the closer you interact, and the longer that interaction lasts, the higher the risk of getting/spreading COVID-19. If spending time with friends and loved ones is the reason for getting together, would another type of gathering – where everyone can main- tain the CDC’s recommended six feet of social distancing – work in place of meals? If everyone is healthy enough, a hike or long walk could mean fresh air, exercise and great conversation. A bundled-up gathering around a campfire could also provide low-risk opportunities to interact. Outside: Not an Option? If you’re intent on tradition and breaking bread inside: • The safest way to celebrate is with people you’re already isolating with. • If you have visitors, gather in well-ventilated rooms(open win- dows or doors) large enough for social distancing. • Avoid close contact with visitors: don’t shake hands, elbow bump, or hug. Waving, verbal greetings are best. • Have multiple food/drink stations without shared utensils. • All guests should wear face-masks when not eating. • Keep hand sanitizer available. • Keep lists of people you may be visiting, or who have visited you, and when visits happened, in case contact tracing is needed. • 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 Medicaid/HMO/DDD But in the age of coronavirus, we need to put the brakes on traditions and figure out ways to celebrate without increas- ing potential virus exposure, especially for seniors and people at high risk for COVID-19 complica- tions. Alternatives

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

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!

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“It’s so good to see you!” Visits resume at local assisted living facility after months apart. Meet The Leaders of The Solana Marlboro Assisted Living Who Served as the Safety Net During COVID Crisis. Jamie showed early promise as a college intern working at our Montville community. Upon graduating from Penn State with her bachelor’s degree in Health Policy and Administration, she was hired as an Assisted Living Coordinator at the Chelsea at Montville. During this period, she was accepted into the Chelsea Executive Director In-Training program and earned her Certified Assisted Living Administrator (CALA) certification. Jamie’s quick rise to the position of Executive Director at our Marlboro community is evidence of her professionalism and dedication to the senior living model. Outside of work, Jamie has a lifelong love of dancing, including contemporary, ballet and tap. She also enjoys travelling and spend time with her friends and family. Vivian is proud to share that she works with a team of nurses at The Chelsea at Fanwood who truly understand continuity of care. Knowledge, communication and heart make the residents comfortable in a safe environment at all times. Vivian’s love for humanity, especially special needs children and the elderly, is what inspired her to become a nurse. Being very mindful about the care she provides, she holds herself to a high standard and, likewise, her staff. Attention to detail is a key part of her job, as is ensuring that her team members excel as they provide care to our residents. In her free time, Vivian loves to travel and is honored to work with organizations that assist less privileged children. Sam’s affinity for the older population began while spending time with her grandmother and great aunts. She brings lots of warmth to our community and extensive experience in the kinds of activities that enrich the lives of our residents. Sam started with Chelsea as a Lifestyles Director in 2018 and quickly became an essential part of the team. Sam naturally progressed into becoming a part of the sales process for The Chelsea at Warren and brings a positive attitude and passion for her work to the Chelsea at Solana Marlboro. Outside of work, Sam enjoys baking, cooking and listening to podcasts. She resides in South Plainfield. Samantha Zappulla Director of Community Relations Vivian Eghan Director of Health Services Jamie Kellenbach Executive Director

Now Is a Good Time to Move Into Assisted Living “We have seen the worst of the pandemic and worked very hard to make the Assisted Living experience safe. We are now at the point where we have rigorous safety protocols in place to ensure those entering our buildings are disease-free, and those who live and work in them are frequently tested and monitored. COME TO OUR COMMUNITY WITH CONFIDENCE. Whether it’s an exploratory tour or a new move-in, we hope that you can put your trust in us to care for your loved ones. We are currently allowing limited visits by appointment with social distancing and masks and have had a number of successful move-ins over the summer.” - Jamie Kellenbach, Executive Director

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COMPREHENSIVE PERSONAL Care 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

C O A

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Can an Apple a Day Keep Alzheimer’s Away? By Susan Heckler

New research has discovered apple juice three times a week helps prevent Alzheimer’s and heart disease. Dr. Thomas Shea, a neuro- biologist, at the University of Massachusetts topped off 10 years of studying apples’ effects on brain health. They used test tubes, Petri dishes, and mice for years. Then finally they confirmed their find- ings with a human clinical trial. Twenty-one Alzheimer’s Disease (AD) patients from ages 72 to 93 were fed four ounces of apple juice twice daily for thirty days. There were improvements with memory as well as the negative emotional moods normally associated with AD victims. Dr. Shea concluded that by drinking apple juice only three times per week, you would reduce your chances of Alzheimer’s by 75%. Other animal studies have demonstrated that apples protect the heart, increase lipid metabolism, and reduce inflammation. A Florida State University study involving several women aged 45 to 65, discovered that a heavy diet of apples reduced LDL in the women by 23% in six months. The women also lost three and a half pounds on average. How to Juice Apples Yourself

Conventionally grown apples usually top the Environmental Working Group’s (EWG) “Dirty Dozen” list of excessively pesticide sprayed fruits and vegetables. Try to find organically grown apples or apples that are locally grown as small or- chard apples may not be not sprayed, but they are not USDA certified organic. Organic raw and unfiltered apple juice is better than pasteurized. The best way to go is juicing just enough apples to drink at one sitting each time. A slow speed masticating juicer is recommended. This type of juicer eliminates the extra fiber that inhibits rapid absorption while concentrating the juice of several items in one drink and preserving the enzymes that a high-speed juicer may destroy. Do not peel the apples. Cut them into pieces small enough for the juicer and include the core, seeds and all. Adding a small piece of peeled ginger root into the juicer adds more inflammatory protection. A freshly squeezed lemon can be add- ed also. This should be done at least three times a week. Early Alzheimer’s Disease (AD) Symptoms If confusion, fog, and memory loss is creeping in as a matter of daily life, the apple juice approach is good, but it may not be enough if AD symptoms have already set in. Orthomolecular medical doctors specialize in curing with high dose vitamin and mineral supplements, such as IV me- ga-dose Vitamin C. They have had a good deal of success with all types of brain issues using large doses of niacin, aka vitamin B3. It shouldn’t be buffered as niacinamide, it needs to be plain niacin. This helps generate ATP for cellular energy in the brain. Coconut Oil? Consuming a tablespoon of pure cold pressed coconut oil twice or more daily has even reversed advanced Alzheimer’s. Dr. Mary Newport reversed her husband Steve’s advanced Alzheimer’s, which couldn’t be improved with pharmaceuticals, after discovering fresh virgin coconut oil has MCTs (medium chain triglycerides) that the liver can easily convert to mo- lecular energy enhancing ketones. Alzheimer’s Disease is considered diabetes 3 by some health experts. Dysfunctional insulin in the brain starves brain cells of the glucose needed for cellular metabolism. But ketones replace the glucose that’s in short supply in an AD victim’s brain. Coconut oil also helps create “good cholesterol” that forms much of the tissue in the brain and also protects the central nervous system with a myelin coating.

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A dedicated and loyal staff with over 200 years of experience

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Stop by for a visit & meet our devoted Care Team at The Chelsea at Manalapan! 732-972-6200 445 Route 9 South Manalapan, NJ 07726

I CAN SAVE YOUR TEETH

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