Monmouth County's Ask The Doctor May/June

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Ask The Doctor is CNJ’s only magazine that only contains editorial regarding health and wellness.

Monmouth County’s Ask The DOCTOR THE HEALTH &WELLNESS MAGAZINE F R YOU ANDYOUR FAMILY SPRING 2022

NEWS YOU CAN USE: • Kids’ Health • Beauty • Eating Well • Fitness • Aging • ...and more Local Physicians Answer Your Health Questions

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SPRING 2022

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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.

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OUR DEPARTMENTS Health Articles and Q&A....................5 Your questions answered from local physicians, medical news and information As We Age.......................................... 12 Articles and physician information just for seniors Family Matters ................................. 17 Information, resources and news related to the health and well-being of your family’s future Healthy Home....................................22 Here you will find expert tips to make your home healthier, safe and fabulous

THE MILLSTONE TIMES Monmouth County’s ASK THE DOCTOR

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THE MILLSTONE TIMES Monmouth County’s ASK THE DOCTOR

Writers Pam Teel

Art Director/ Graphic Designer Stephanie Frederick Intern Surabhi Ashok Bianca Battaglia Nazli Mohideen

Publisher Cami Gunther

CHILD, ADOLESCENT & ADULT PSYCHIATRIST

Lauren Kolacki Max Druckman

Administrative Assistant Lauren Kolacki

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SPRING 2022

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

What to Do When You Don’t Agree with Your Doctor By Robert Pedowitz, DO

Medicine is part art, part science. While some conditions are relatively easy to diagnose, others are more complex. At times, physicians and their patients may have differing opinions about a diagnosis or treatment plan. So, what’s the best way to express your concerns to your doctor? It’s completely acceptable to disagree with your healthcare provider. Long gone are the days that “the physician is always right.” Now, we want you to be a participant in your care. We value patients’ opinions. While we’re still the clinical experts, it’s important for us to hear—and address—any concerns that you may have. Establish Trust . In an ideal scenario, you have a physician who you trust; someone who you see regularly and knows your

medical history and health goals. Whether you have a long-time, trusted physician or are seeing a provider for the first time, think about your goals and expectations for the visit, and be honest about things like lifestyle habits (smoking, drinking, diet) or your religious beliefs, which can impact your treatment options. Think of it like dating: the conversation shouldn’t be one-sided, with your doctor monopolizing the conversation. Be open and honest about your health and if you’d don’t feel comfortable with your doctor, you should consider switching medical practices. Once trust is established, ask yourself: Do I like this doctor? Do I trust and respect her opinion? Am I comfortable with this treatment? Have all of my options been fully explained to me? Ask Questions . If you don’t understand your diagnosis or treatment options, ask questions. This goes for a complex cancerous tumor or a simple upper respiratory infection. In either case, our job to make sure that you fully understand your condition and our plan for treating it. For example, you have a sore throat and think it warrants antibiotics, but your doctor won’t give you a prescription and says just to rest and drink fluids. Because your sore throat is caused by a virus, antibiotics won’t help, but if your doctor doesn’t ex plain that to you, you think that he didn’t treat it correctly. Feel free to ask why you didn’t receive the care you had anticipated. I would avoid telling your doctor that he or she is wrong. If you don’t agree with your doctor’s opinion, ask things like, “Why did you prescribe this medication,” “Why do you think this treatment won’t work,” “Why don’t you think that I have XYZ condition,” or “Why did you come to this decision?” There is likely a good explanation for the difference in opinion. If you have concerns, write them down and take some time to think about your top 2 or 3 issues. Your doctor will be put off if you pull out a laundry list of complaints that include everything from the lack of parking near the office to medication side effects that you’re experiencing. Focus on the most important issues first. Be Honest . Tell your doctor if you haven’t followed through with his past advice or treatment, even if you’re embarrassed about it. When a patient says they aren’t taking a medication that I’ve prescribed or haven’t gotten a test I suggested, I ask why. Sometimes the answer is that they can’t afford the medication or had a side effect from it. This is important information for your doctor to know. Another reason for noncompliance can be that the doctor didn’t explain why he or she was advising that treatment or test. Again, we need to know if you don’t understand something. ...continued on page 6

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H E A L T H A R T I C L E S A N D Q & A When to Get a Second Opinion . I encourage my patients to get second and sometimes even third opinions when they’re dealing with life-threatening cancer or elective surgery. Treatment options can vary widely in these areas, so I pro vide referrals to specialists, so my patients feel as informed as possible about their options. Be sure to bring your records or have them sent to the new office before your appointment so the doctor has the infor mation necessary to form an opinion. During the first appointment, explain what your doctor had recommended and ask their opinion about her advice: Do I really need surgery? What approach would you take? What’s your opinion about my options? When to Find a New Doctor . If you and your doctor continually don’t see eye to eye, it may be time to find another doctor. Red flags can include: • Pushing a certain treatment or product more than another • Touting his personal views or own products • Not making enough time for your questions or rushing through the appointment • Not being open to all treatment options • Not explaining things thoroughly • Being resistant to hearing other opinions • Being rude or curt As a doctor, it’s my job to provide advice for my patients and guide them toward better health. While I base my clinical decisions on evidence-based medicine, I don’t know everything. Your path to wellness requires shared decision making between you and your healthcare providers. If you’re not getting that now, get a second opinion—or a new doctor. Don’t Rely on Information on the Internet. At your appointment, avoid saying things like, “I already know what’s wrong with me” or “My friend says I have XYZ.” While it’s tempting to try to diagnose yourself, there is a lot of inaccurate medical advice on the Internet. I tell my patients to be discerning about the websites they visit; sometimes sites are fund ed by a pharmaceutical company that’s trying to push a particular medication or they’re the work of a well-meaning but ill-informed support group manager. Be cautious of the information that you read online. For example, if you’re trying to figure out what’s making you more tired than usual, you could wrongly diagnose yourself with everything from Lyme disease to sleep apnea to cancer. Physicians and other providers have dedicated their lives to medical education. Leave your diagnosis to the experts. If you want to read up on a condition, I recommend the Centers for Disease Control and Prevention (CDC), National Institutes of Health (NIH), Mayo Clinic, Cleveland Clinic, the Journal of the American Medical Association (JAMA), and the New England Journal of Medicine.

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SPRING 2022

Q: LEADERS IN LEAST INVASIVE PAIN & SPINE PROCEDURES How can Platelet Rich Plasma Treatment Help Shoulder and Knee Pain?

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

Platelet Rich Plasma erapy also referred to as PRP erapy, is a progressive non-surgical treatment to treat a variety of conditions including arthritis, ten don injuries, and ligament injuries. PRP is part of a group of state-of-the-art treatments collectively referred to as Regenerative Medicine. PRP treats an injured area naturally using your body’s own growth factors to accelerate healing. It has been shown to be safe and e ec tive for numerous joint and so tissue injuries. It has been extensively researched in numerous medical journals and publications all over the world. Some of the many uses of Platelet Rich Plasma include osteoarthritis (degenera tive arthritis) of the spine, knee, shoulder, hip, hands, and feet, as well as menis cus tears, plantar fasciitis, and rotator cu tears. e procedure is simple and is performed in the o ce. e PRP process begins when a small amount of the patient’s blood is removed from the arm and placed into a special container. e blood is then placed into a device called a centri fuge which spins the blood to help the separate the portion of the blood which becomes concentrated with platelets, thereby giving the procedure its name. ese platelets are important because they release growth factors to recruit stem cells and to assist in healing an injured area naturally. Once the PRP is isolated, it is injected to the injured area under the guidance of an ultrasound machine to help accelerate healing and reduce pain.

is healing works on the simple principle that your body is perfectly capable of healing itself. Your blood contains all the essential components that the body produces to repair tissue damage. Each time you have an injury, the platelets in your blood along with growth factors, stem cells, cytokines, and other elements create a sca olding on the site. e damaged tissues use this framework to regenerate and repair. e entire process takes approximately one hour, and pa tients are sent home the same day. Patients on average report more than 50% improvement in 6 weeks and up to 100% improvement in 12 weeks. is may eliminate the need for more aggressive and expensive treatment options such as long-term medication or surgery. In a recent study, researchers at Hospital for Special Surgery gave patients with early osteoarthritis an injection of PRP and then monitored them for one year. A er one year of the PRP injection, physicians evaluated the knee cartilage with magnetic resonance imaging (MRI). While previous studies have shown that patients with osteoarthritis can lose roughly ve percent of knee cartilage per year, the Hospital for Special Surgery investigators found that a large majority of patients in their study had no further cartilage loss. At minimum PRP also prevented further knee deterioration.

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Dr. Steven Linker, OD

QUESTION: What is Optomap retinal imaging?

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

free. It is suitable for every age, even children. The capture takes less than a second. Images are available immediately and you can see your own retina and exactly what your eye care practitioner sees in a 3D animation. Most importantly, early detection means successful treatments can be administered and reduces the risk to your sight and health.

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

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Protecting Your Health Information

Before computers, medical data was stored in paper. These days, almost everything is gathered, analyzed and transmitted electroni cally. This means your personal information be may be prone to cy ber-attacks. The Health Insurance Portability and Accountability Act (HIPAA) provides data privacy and security provisions or safeguarding medi cal information. This includes the HIPAA Privacy Act that gives you several different ways to ensure your medical data is being used and secured safely. While you may not be able to set the level of security devoted to your medical data, there are still proactive ways you can approach your safety. Regularly checking your credit can give you indications

that your personal information has been compromised. The sooner you see your information being misused, sooner you can take corrective steps to regain control of your credit. Your Social Security number is one of the most important pieces of information that needs to remain private. If compromised, someone else can open credit card accounts, apply for loans and even gain access to your bank account. The best ways to prevent someone else from gaining access to your SSN include: keeping your card in a safe place (at home, not a wallet), frequently checking your accounts for fraudulent activity and using an identity protection service. While you may think leaving your data in the hands of your medical professionals means it’s protected, it may not be in your best interest. Doctors are in charge of many different records, which can mean unintentional mistakes. Do yourself a favor and check up on your medical records to avoid errors. H E A L T H A R T I C L E S A N D Q & A

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Special running footwear is constructed for the purpose of protection with a thicker heel to ab sorb impact and a heel-to-toe drop to match the natural gait cycle of running. Running shoes are intended to complement the natural feel of your foot. Proper shoes should feel like an extension of your feet with the added protection that helps control the high-impact forces and ensures proper running form, which reduces joint strain. Proper running shoes are only part of the solution: strengthening and conditioning our muscles in our legs and core-region is also essential for injury prevention. Treadmill use can induce 3 to 5 times the shock forces from your feet, all the way upto your spine! This makes choosing the best shoegear even more important. Our office can answer all your shoe questions. We measure for the best fit, can add shock absorbing inserts, and use superior brands for running and many other activities!

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Many Older Adults Screened Un

Many older adults are being screened for cancer who no longer need to be, results from a new study show. Based on a nationwide survey, the study found that at least half of older adults had received at least one unnecessary cancer screening test in the previous few years. The United States Preventive Services Task Force (USPSTF) recommends that people at average risk of cancer get col orectal cancer screening through age 75, breast cancer screening through age 74, and cervical cancer screening through age 65. In general, above those ages, people have a greater likelihood of being harmed by than benefiting from these tests, ex plained Barry Kramer, M.D., M.P.H., of NCI’s Division of Cancer Control and Population Sciences, who was not involved in the study. The term "overscreening" is used to describe the use of such tests past the point where they are likely to provide a net benefit. People often aren’t aware that there are potential harms from cancer screening, explained Jennifer Moss, Ph.D., from Penn State University, who led the new study, which was funded in part by NCI and published July 27 in JAMA Network Open. These harms can include false-positive test results that lead to unnecessary follow-up procedures. “But what we’re particularly worried about for older adults is the harm from the test itself. All of these screening tests are medical procedures that have potential side effects,” Dr. Moss said. This risk of harm is highest for invasive tests, such as colonoscopy. Studies have shown that the overall benefits of screening, such as detecting cancer earlier when it's potentially easier to treat, outweigh the likelihood of harms in younger adults. However, the harms increase as people age. Screening tests usually pick up slower growing cancers. “For some tests, it can take 10 to 15 years, or even more, to reveal their benefits. The older you are, the less likely you are to reap those benefits,” said Dr. Kramer. As people grow older, the more they are likely to die of another cause before a cancer that might have been detected early on a screening test would have caused symptoms. “The harms, however, are front-loaded: they often occur at the time of the test or shortly thereafter,” he said. “That's why these recommendations are in place, to make sure that people who get screened are going to benefit and that the likelihood of the risks or harms are minimized to the extent possible,” Dr. Moss added. Even during the current pandemic, if you find a lump or experience bleeding or other concerning symptoms, “get to your doctor,” he said. “That’s not screening—that’s workup of a potentially serious problem.” But overall, the study results highlight that better education about cancer screening in older adults is needed, for both clinicians and the public, said both Dr. Moss and Dr. Kramer. “When we hear public service announcements or people talking generally about cancer screening, we don't hear a lot about the age when you should stop getting screened,” Dr. Moss said. Among both clinicians and the public, she contin ued, “I think that there's pretty low awareness of when older adults should graduate out of screening.” “Many practitioners are not aware of what the guidelines are,” agreed Dr. Kramer. But also, he added, conversations about stopping screening are difficult ones, particularly if a clinician has a long-term relationship with someone.

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nnecessarily for Common Cancers “A physician who for years has been ordering tests for their patients may find it very difficult to say, 'You've reached the point where you're not likely to live long enough [to benefit],’” he said. A Need for Informed Decision-Making It’s also likely that a subset of older adults with good health and longer life expectancy would benefit from continued screening, but it’s not yet clear exactly who those people are, said Dr. Moss. More research is needed in this area, she added. “When estimating the balance between benefits and harms, there’s often an upper age range. But that age range, the upper limit, is not fixed in stone as years go by,” said Dr. Kramer. More research is also needed into when and how to have conversations about stopping screening, added Dr. Moss. “There's a lot that we can learn from practice around lung cancer screening and prostate cancer screening,” she said. “Both of those screening tests are not really recommended for everyone who walks through the door. You're supposed to talk to your provider about whether or not it's appropriate for you, what your risks are, and what would the risks be of the test itself. “We’ve done some focus groups with older adults about how people would want to talk about stopping screening with their provider,” she explained. “And a lot of older adults are really willing to [have these conversations]. They want information that’s very targeted to them and their personal health risks.”

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Detecting Depression Through a Screen By: Nazli Mohideen

Mental health is an ongoing crisis in America, affecting an estimated 50 million adults, and this number is only worsening because of COVID. There have been increased reports of people struggling with anxiety and depression along with alcoholism and substance abuse. This is largely in part due to financial uncertainty, job loss, online learn ing, and social isolation. Depression is generally described as a medical illness that can negatively affect how someone feels, thinks, or acts, ac cording to the American Psychiatric Association. The ill ness is far more serious than just a “bad day” or “feeling sad.” When left untreated, depression can lead to strokes, heart attacks, sleep deprivation, weight gain or loss, and more. Having trouble staying asleep, changes in physical activity levels, and thoughts of suicide are some of the many signs that someone may be suffering from the illness. In what they’re calling Project “Seabreeze,” Apple technol ogy is trying to detect depression in its users through data monitoring. The project, in partnership with researchers from Biogen and the University of California, will analyzve sleep and typing patterns as well as movement. Researchers believe being aware of heart and respiration rates will also be helpful when drawing a connection between symptoms and a possible diagnosis of depression. Apple technology is well-accustomed to creating features for tracking various aspects of health. The Apple Watch,

for example, tracks sleep schedules, menstrual cycles, and heart rate. There are also options to alert the user of any ab normal heart rate changes in addition to timers for proper hand washing. With this new style of detecting depression using biometrics, Apple hopes this will open new doors for detecting other conditions like autism, anxiety, and differ ent types of cognitive decline. Some Apple users are wary about the ethics of this idea, but all the data collected will be strictly on the Apple device and nothing will be sent to the company itself. To truly test if the concept is feasible, Apple and UCLA be gan a study in August 2020 with 150 people, which will last until 2023. During this time, data from Apple technology is collected, hormone levels are recorded, and questionnaires are filled out by the sample population. Even though Apple is ambitious to add these features to its products and diagnose more conditions, the research will take years to properly conduct and for the idea to be imple mented, if at all. With technology use and the number of people struggling with mental health on the rise, Apple's proposed idea might just be an extraordinary breakthrough waiting to happen, both in technology and in healthcare, as we know it. Sources:

https://www.psychiatry.org/patients-families/depression/what-is-depression https://www.webmd.com/depression/guide/untreated-depression-effects

https://nypost.com/2021/09/21/iphones-may-soon-detect-depression-autism-and-cognitive-decline/ https://support.apple.com/guide/watch/track-important-health-information-apple-apd0d5d452ce/watchos https://techcrunch.com/2021/09/21/apple-is-reportedly-working-on-mental-health-monitoring-using-iphone-data/

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ASK THE DOCTOR

SPRING 2022

FA M I LY M AT T E R S

Are you getting the help with your medical bills you are entitled to?

Medical bills can be confusing and overwhelming and often come at a time when you’re already in distress. You might feel like you’re navigating a winding maze of infor mation just to understand what you owe, to whom, and by when. You may feel pushed to pay amounts you can not af ford or do not owe to protect your credit. Help is available. Under the Affordable Care Act, nonprofit hospitals are required to offer financial help to people who can’t afford their medical care. This is in return for the tax and other benefits they get from operating as a nonprofit. Financial assistance is an important part of the nonprofit hospital’s commitment to its community. Additionally, some state laws require uncompensated care to be provided by both nonprofit and for-profit hospitals. Although your hospital might post information or give you a document as part of your paperwork, they might not follow up with you, so the information can be easy to miss. If you’re worried about your ability to pay for your care, tell the hospital! You can bring this up before your treatment, as well as during the billing process. Steps to ask about charity care or financial assistance for medical bills 1. Ask for a copy of the hospital’s Financial Assistance Policy up front, because by law, the policy must explain how to apply for help 2. Fill out an application form, if required, and be ready to provide information about your income, including last year’s tax forms or a current pay stub, and your expenses, including your rent or mortgage payment, utilities, credit cards, and other debts 3. Ask your provider how long it takes to process your application for financial assistance, how to get answers to ques tions about the application, and what happens with your bill in the meantime 4. Notify any debt collectors that you’re seeking financial assistance for the bill and tell them to pause collections while that process plays out—and if they already reported it on your credit, to show the bill as disputed 5. Follow up with your provider about the status of your application as necessary At first, you might get little or no information about the financial assistance available to you, so you might end up believing you must pay the full amount on your bill. You might not know who to ask or where to get information about financial help. The application might be confusing and the evaluation process for financial assistance might not be clear, either. It might take persistence to get the help you’re entitled to. Even if your bill is past due and you’re being contacted by a debt collector, you can ask the debt collector to pause col lections while you seek financial help through the hospital’s program. Getting help with medical bills does not jeopardize your status If you have come to the United States and are not a citizen, you can ask for and receive help with medical bills for you and your family, without fear of negative consequences to your immigration status. If you primarily speak a language other than English, you can ask for the information in your preferred language. What the law requires According to IRS requirements, nonprofit hospitals must: • Put information about the financial assistance policy on their websites, in plain language, along with the applica tion forms • Make paper copies of the information available at no cost, including in emergency rooms and admissions areas • Tell the community about the financial assistance policy • Tell patients about the financial assistance policy State laws may also impose additional financial assistance requirements on hospitals operating within the area that you received care. Whether you need help affording medical treatment, finding transportation to get to an appointment, or are having trouble paying for prescribed medication, 211 can help you identify available resources. Call 211 from a cell phone or landline to speak to a local specialist. If you’re having an issue with debt collection, you can submit a complaint with the CFPB online or by calling (855) 411-CFPB (2372).

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Questions about RMDs? Rebecca has answers.

FA M I LY M AT T E R S

Talk to us about smart withdrawal strategy solutions.

Schwab can help you calculate your Required Minimum Distributions and even provide tax-smart withdrawal strategies and IRA solutions to help maximize your retirement income. If you’re getting ready to retire, we’re ready to help you prepare for it.

Rebecca Proske, CFP ® Branch Leader

Freehold Branch 3425 Route 9, Suite 101 Freehold, NJ 07728 732-298-6380 schwab.com/freehold Red Bank Branch 55 Broad Street, 1st Floor Red Bank, NJ 07701 732-345-2739 schwab.com/redbank

Steven Sklaver, CFP ® , CRPC ® , AAMS ® Branch Leader

ASK THE DOCTOR

SPRING 2022

LIABILITY FOR ALCOHOL SERVED IN YOUR HOME? By John Bazzurro

FA M I LY M AT T E R S

A lot of my clients ask me whether or not they can be responsible for serving alcohol to their guests. The short answer in the State of New Jersey is "yes." New Jersey has a "social host" liability statute (N.J.S.A. 2A: 15-5.6) which allows people to sue for property damage or personal injury caused by an intoxicated individual who was served alcohol at your home. Accordingly, we all must be aware of this law, its parameters and when to stop serving alcohol to our friends, relatives and guests. Pursuant to the above referenced statute, a "social host" will be responsible for injuries or property damage caused by an intoxicated person's operation of a vehicle after the intoxicated person was served alcohol by the "social host." However, a "social host" will only be responsible for that intoxicated person's actions if it can be proven that the "social host" served alcohol to that intoxicated person at a time when that person was "visibly intoxicated." Thus, if, at one of your parties, you serve alcohol or allow the consumption of alcohol by a person who is "visibly intoxicated," you will be responsible for any injuries and/or property damage caused by that intoxicated person resulting from their operation of a motor vehicle. Accordingly, it is important to try to more readily define "visible intoxication." Unfortunately, the term "visible intoxication" is somewhat subjective in nature and may differ from person to person. However, some signs of visible intoxication that may be offered as proof at the time of a lawsuit will include, but are not limited to, the slurring of speech, staggering, loud boisterous behavior, bloodshot eyes, inappropriate behavior, strong odor of alcohol, etc. Therefore, it is suggested that, in the event one of your guests begin exhibiting one or all of these signs at your home, you immediately stop serving them alcohol. Further, to protect yourself from liability and for the safety of the public in general, it is also recommended that any such individuals exhibiting these signs not be allowed to drive. It should be pointed out that, although "visible intoxication" is rather subjective, the statute provides some guidance. If it is determined that an individual's blood alcohol content was less than .10% at the time you served them their last alcoholic beverage, you cannot be responsible for their behavior. Further, the statute indicates that if an individual's blood alcohol content was between .10% and .15%, there is a presumption that the "social host" did serve that person at a time that they were visibly intoxicated. However, this presumption may be overcome by the "social host" by competent evidence (i.e.- witnesses, etc.). Please note, however, that the analysis set forth above is with respect to the service of alcohol to adults (individuals over the age of 21 years old) and does not apply to the service of alcohol to minors. The service of alcohol to minors should never be undertaken in a social setting due to the fact that it could give rise to criminal liability as well as civil liability for instances where that minor may injure someone else regardless of whether or not the use of a motor vehicle is involved. The bottom line is that we all must pay attention to our guests when we are serving alcohol at a social event to ensure that alcohol is not provided to those who may fit one of the above referenced criteria.

Large Firm Representation With Personal Attention

AREAS OF PRACTICE: • Municipal Court Practice, Including Defense of DWI, Traffic Tickets and Non-Indictable Offenses • Workers Compensation

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Certified by the Supreme Court of New Jersey as a Civil Trial Attorney Member of New Jersey and New York Bars

David P. Levine, Esq. Of Counsel to the Firm Michael B. Shaw, Esq., Associate Attorney 200 Meco Drive, Millstone Twp., NJ Email: jtbazzurro@bazzurrolaw.com 732-410-5350 • www.bazzurrolaw.com

JOHN T. BAZZURRO, Esq. David P. Levine, Esq. Of Counsel to the Firm Michael B. Shaw, Esq., Associate Attorney 200 Meco Drive, Millstone Twp., NJ jtbazzurro@bazzurrolaw.com • BAZZURROLAW.COM

Certified by the Supreme Court of New Jersey as a Civil Trial Attorney Member of New Jersey and New York Bars

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ASK THE DOCTOR

SPRING 2022

The Mourning After Monthly Grief Counseling Group Surviving & Thriving After a Loss When someone we love dies, it can feel as though an

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