Monmouth County's Ask the Doctor Early Spring 2022

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


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

Bellmawr, NJ



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


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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Less Responsibility, More Tranquility Monmouth Crossing is a vibrant assisted living community that offers the comforts and privacy of home without the responsibilities. Our safe, caring environment allows for maintained independence, extra support when needed, and a socially fulfilling lifestyle. We offer the peace of mind that comes from living in a community that has been repeatedly recognized for outstanding, quality care by both Holleran, a national leader in senior living research, and the NJ Department of Health and Senior Services by earning Advanced Standing Distinction for nine consecutive 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..........................................10 Articles and physician information just for seniors Family Matters ................................. 15 Information, resources and news related to the health and well-being of your family’s future The Healthy Palate............................ 18 Recipes to enjoy and local dining options for eating out Healthy Home....................................23 Here you will find expert tips to make your home healthier, safe and fabulous


Writers Pam Teel

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

Publisher Cami Gunther

Lauren Kolacki Max Druckman

Administrative Assistant Lauren Kolacki

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

Complete Family Foot & Ankle Care A Step Up Podiatry

Custom orthotics are specific, prescription inserts customized to your feet and your conditions. They usually have a firm bottom shell, to achieve body support, and a softer topcover for cushion and shock absorption. Orthotics should be comfortable for wear! They are also hidden in shoes, so nobody even knows you are wearing them. Beware of imitations that are not custom made, as they are just off-the-shelf inserts. Also, beware of how they are made. Acceptable techniques are plaster casting, foam box impression casting, and the latest digital casting or 3D casting. Some casting is static (you stand or sit while an impression of your feet is obtained), but the most accurate is dynamic casting (you walk while pressure readings and impressions are obtained so that the doctor has more information on what your feet are doing while you walk)...most of us can't afford to go through life standing still, right? So I believe in dynamic digital casting! A properly and professionally made orthotic is an important solution

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Dr. Sanjay Gandhi, DPM




Telehealth-Based Cancer Care Surged During COVID. Will It Continue?

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

Appointments with health care providers via video and phone calls, known as telehealth, increased dramatically during the COVID pan- demic. After their 7-year-old daughter Eva was diagnosed with advanced Wilms tumor in 2020, Chris and Alicia LaBonne sought out a second opinion on Eva’s treatment from doctors at Vanderbilt-IngramCancer Center (VICC) in Nashville. But instead of making the two-and-a- half-hour drive from their home in Chattanooga to Nashville for an office visit, the LaBonne family hopped on a video call with a pediatric oncologist at VICC. “When your child is going through cancer, just those little things— like you get to stay home one more day instead of having to go to the hospital again—can make a big difference,” Alicia said. Doing the visit virtually “just made it so much easier on the whole family.”

During the video call, the VICC oncologist reviewed Eva’s medical records, shared his knowledge of Eva’s specific type of tumor, and discussed treatment options to give her the best possible outcome—all from a laptop set up on the LaBonne family’s kitchen table. Chris only had to take 30 minutes off from teleworking instead of an entire day traveling to Nashville. That telehealth visit went so well that Chris and Alicia decided to transfer Eva’s care to VICC. The family then met with a pediatric surgeon to discuss Eva’s surgery plan and a radiation oncologist to coordinate her radiation schedule. Those visits were also done by telehealth. In December 2020, Eva began her treatments in person at VICC. “If we could have done chemo over telehealth, we would have,” Alicia joked. By July 2021, a scan showed that Eva’s cancer was gone. For families like the LaBonnes, the option to see health care providers virtually is reshaping their cancer care experience. Al- though it can’t entirely replace in-person care, telehealth offers patients convenience, time and cost savings, flexible scheduling, ac- cess to specialists far away, and what many patients and doctors describe as intangible benefits, such as reduced exposure to germs. Oncology is not a unique example of telehealth’s growth. From primary care to cardiology, as the use of telehealth surged during the COVID-19 pandemic, so too has the demand for more access to this virtual form of health care. But experts caution that our understanding of the role of telehealth in cancer care and how to deliver it equitably is still in its infancy. Studies are needed, they say, to help telehealth transition successfully from a temporary solution during the pandemic to a permanent and integral part of the cancer care experience that’s accessible to all who need it. The telehealth surge has been partly aided by temporary policy measures have helped loosen some of the restrictions around telehealth during the public health emergency, such as those preventing health care providers from providing remote care across state lines. Many states also waived licensure requirements for clinicians to provide telehealth. Now, legislation is working its way through Congress to help make some of these changes permanent. The Telehealth Extension Act, for example, aims to lift geographic re- strictions to allow people with Medicare to access telehealth no matter where they live. Dr. Curtis said it will be important to see what results from some of these legislative efforts, as well as policies around insurance reimbursement and licensure, because those variables could impact hospitals’/doctor’s offices’ willingness to fully invest long term in telehealth. In the meantime, it’s important for the health care community to continue accumulating evidence showing that tele- health provides value to both patients and clinicians, he said. While these bills move through the legislation labyrinth, many people with cancer have reported high satisfaction with their tele- health visits. According to available data, that appears to be particularly true for certain needs, such as cancer genetic counseling. Larry Starling’s treatment for male breast cancer at a local hospital is being guided via telehealth by an oncologist at VICC. Contrary to the perception that patients may feel disconnected to their health care providers in a virtual setting, Starling said his telehealth visits have felt more personal than his in-person office visits. “In an office setting, the doctor is thinking about the next patient,” he said. “Whereas on the telehealth visit, you feel like it’s just you and the doctor and you have their undivided attention.”

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Dr. Steven Linker, OD

QUESTION: What is Optomap retinal imaging?


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

Check out our website for more information MONMOUTHVISION.COM

Dr. Steven Linker, OD Monmouth Vision Associates 50 Rt 9 North Suite 206 Morganville, NJ, 07751 Tel: 732-617-1717

retina is critical to verify that your eye is healthy. Getting an optomap image is fast and pain-

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

LIBRARY OF CONGRESS ACQUIRES AUDIO DIARIES FROM HEALTHCARE WORKERS DURING COVID-19 Collection fromThe Nocturnists Documents Challenges Healthcare Workers Faced as Pandemic Evolved The Library of Congress has acquired audio diaries featuring more than 200 frontline healthcare workers in the fight against COVID-19, a collection that provides first-hand testimonies from hospitals and communities across the country as the public health crisis unfolded. The audio library was donated by The Noctur- nists, a San Francisco-based independent medical storytelling community and podcast. The majority of the recordings were originally collected for the “Stories from a Pandemic” series in the spring of 2020, of

Healthcare workers struggled with their own fears of the COVID-19 pandemic while trying to save lives. (Art by Lindsay Mound)

which only a small fraction was published on the podcast and accompanying online story map. The gift also includes the pandemic-related material fromThe Nocturnists’ “Black Voices in Healthcare” series, which was recently selected as a pod- cast honoree in the 2021 Webby Awards. Additionally, the group plans to donate recordings collected for the follow-up series, “Stories from a Pandemic: Part 2”, launching today on The Nocturnists podcast. The “Stories from a Pandemic” archive, a unique on-going collection of well over 700 audio clips to date, helps describe the “inner landscapes” of doctors, nurses, and other health care practitioners — some of whom worked the overnight shift — as they faced what the CDC has called the country’s worst public health crisis in a century. In fact, COVID-19 was the third leading cause of death in the U.S. last year, and more Americans have died after contracting the virus than in both World Wars and the Vietnam War combined. As the nation begins to crawl back to normalcy amid a massive vaccination effort, the collection of audio diaries serves as a reminder of the impact COVID-19 has had on the healthcare system, the economy, education, world commerce and daily life in America. But the collection also offers testimonies about what normalcy may look like at home and in the workplace, going from fear and anxiety to hope and optimism. “The Nocturnists’ collection is full of intimate, real-time stories from medical practitioners at the beginning of the COVID-19 pandemic, confronting the human toll on their patients, themselves and their communities. You hear the sounds of the workplace, the exhaustion in their voices, and the big and small ways they try to cope and contribute; it’s really a re- markable gift,” said Elizabeth Peterson, director of the American Folklife Center at the Library of Congress. The American Folklife Center, which will house and preserve this digital archive, has been collecting oral histories from different groups and communities since 1976. The collections include interviews with civil rights leaders, as well as first-hand accounts from 9/11 first responders, survivors from hurricanes Katrina and Rita in 2005, and war veterans since World War I. “The Nocturnists is thrilled to be partnering with the U.S. Library of Congress, the nation’s oldest federal cultural institu- tion, for our ‘Stories from a Pandemic’ audio documentary storytelling project. We couldn’t imagine a better home for our audio library, which captures the raw emotions of numerous healthcare workers in the first few months of the COVID-19 pandemic and will serve as a historical document for future generations,” said Emily Silverman, a practicing internist and founder of The Nocturnists. Many contributors withheld their full names and other identifiers to provide a candid assessment of their working condi- tions, and the poignant accounts describe their personal risks, struggles and all-consuming frustrations while tending to the sick and dying. ...continued on page 8

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Continued from page 7..

The collection reflects the daily scenes and emotional toll that played out in rural and urban hospitals across the nation in the early weeks of the pandemic, when the initial wave of cases overwhelmed emergency rooms, ICUs and morgues. The shortage of personal protective equipment (PPE) for medical staff, including masks and gloves, or ventilators for severely ill patients, added to the chaos in facilities already understaffed and overburdened. Arghavan Salles, an Iranian American bariatric surgeon in Stanford, California, had volunteered at an ICU unit in a New York City hospital, in what she described as an emotional “roller coaster ride,” at times fearing that the ill-fitting PPE would not protect her from contracting the virus. “The first couple of nights I was here were worse than I thought they would be in terms of how the patients were doing. I was very disappointed, I guess, really more upset about a couple of patients struggling to stay alive,” Salles says in one recording. “Who signed up to be rationing care and to have to decide whether someone’s mom, sister, or friend is going to get dialysis? I don’t think any one of us did.” For his part, Calvin Lambert, a first-year maternal-fetal medicine fellow in the Bronx, reflects on the disproportionate impact of the COVID-19 pandemic on African Americans and other communities of color and their general distrust of medical authorities. Lambert remembers treating a pregnant African American patient who became “irate, scared and tearful” as she refused to get nose-swabbed for the coronavirus, fearing that by doing so she would contract the virus. “Rather than be defensive, it’s up to us to be understanding, to understand where they’re coming from and to try to de- mystify and to rebuild that trust through (patient) education and empowerment,” Lambert says in the recording. “I cannot help but think about how the healthcare system has sometimes failed these groups and how we need to continue to restore their faith in us.” Jacqueline Flores, a family medicine practitioner in California, remembers the day back in March of 2020 when an ICU patient died of COVID-19 after being taken off life support. By then, the hospital had instituted a no-visitor policy, so her family could only say goodbye from a computer monitor wheeled into the room. “It just made me sad to think of all those people who are currently battling this disease, and their family members are not allowed into the room, in their final moments. Made me quite emotional today,” said Flores, whose hospital repurposed a unit for an anticipated surge in COVID-19 patients. In the last year, the COVID-19 pandemic has claimed the lives of more than 595,000 people in the U.S. alone, according to data compiled by Johns Hopkins University. This crisis has also created a pandemic of grief, as thousands have died alone in hospital beds due to visitor restrictions. Families have had to say goodbye to loved ones from the blue glow of their smartphone screens, and virtual funerals have become the new norm. Silverman, an internist at the Zuckerberg San Francisco General Hospital and assistant professor of medicine at the Uni- versity of California in San Francisco, founded The Nocturnists to support the well-being of medical professionals through the healing power of storytelling and “to unearth complex truths about doctoring, build community and facilitate an envi- ronment of acceptance and healing,” according to the group’s website. Since its debut in 2016, The Nocturnists has produced over a dozen live storytelling shows in the Bay Area and New York City and is now in the fourth season of its podcast, which features selected stories from The Nocturnists’ live shows, an ongoing “Conversations” series with medical authors, and the two special audio documentary series, “Stories from a Pandemic” and “Black Voices in Healthcare”. The Nocturnists is currently creating a new audio documentary series for the fall of 2021 called “Shame in Medicine”, in collaboration with researchers from the “Shame and Medicine” project at the University of Essex and “The Shame Conversation” at Duke University. The timely collection of diaries joins the Library of Congress as the ongoing national vaccination campaign aims to fast track the reopening of schools, businesses and institutions, and a gradual return to normal pre-COVID-19 family life. Prior to receiving the gift fromThe Nocturnists, the Library of Congress started building new collections within the last year to document the global COVID-19 pandemic through photographs, posters, public health data, and artists’ responses to the health crisis. The Library of Congress is the world’s largest library, offering access to the creative record of the United States — and extensive materials from around the world — both on-site and online. It is the main research arm of the U.S. Congress and the home of the U.S. Copyright Office. Explore collections, reference services and other programs and plan a visit at loc. gov; access the official site for U.S. federal legislative information at; and register creative works of authorship at

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




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Signs and Symptoms of Iron Deficiency Every organ and tissue in your body needs oxygen to work. Red blood cells are the transport system that carries oxygen from your lungs to the rest of your body. When you have anemia, your body doesn’t have enough of these blood cells. You get iron deficiency anemia when your body is low in iron. You need iron to make hemoglobin -- a protein that helps your red blood cells carry oxygen. Without enough oxygen in your blood, and you may have:

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A S W E A G E For Older Adults, Geriatric Assessment Reduces Cancer Treatment Side Effects Geriatric assessments can potentially identify older adults at highest risk of serious side effects from cancer treatment. For older adults undergoing treatment for advanced cancer, results from a clinical trial show that a health measurement tool called a geriatric assessment can be an important part of treatment planning. In the trial, older patients whose care was guided by a geriatric assessment were much less likely to experience serious side effects. In the study, community hospital and clinic staff could use the information and care recommendations provided by the geriatric assessments to help make treatment choices for some patients. They could decrease the intensity of the treatment older adults re- ceived, increase the amount of supportive care, or do both. Compared with people in the study who didn’t receive geriatric assessment–guided care (the usual care group), people who received assessment-guided care (the intervention group) not only experienced fewer side effects, they also were less likely to ex- perience falls in their homes during treatment. However, no differences in survival were seen between the two treatment groups. Findings from the study were published No- vember 3 in The Lancet. Older adults with other health problems, such as other diseases or physical disabilities, are rarely included in cancer clinical trials, explained Supriya Mohile, M.D., a geriatric oncologist at the University of Rochester’s Wilmot Cancer Institute who led the study, which was funded in part by NCI. That means that in real-world settings, where older patients often have other health conditions, clinicians don’t necessarily know the optimal doses of commonly used therapies that balance effectively treating their cancer with limiting treatment-related side effects. “Historically, there’s been a concern about undertreatment of older adults, but for those with aging-related conditions and ad- vanced cancer, we’re probably overtreating them,” she said. In this study, “the geriatric assessment changed the decisions clinicians made about treatment and that led to lower toxicity.” “The fact that there was no difference in [how long patients lived] despite receiving lower dosages of chemotherapy is important,” added Diane St. Germain, R.N., M.S., of NCI’s Division of Cancer Prevention (DCP), who was not involved with the study.




WHAT IS CONSUMER FRAUD? BY JOHN BAZZURRO As we swing into the springtime, many people have work performed on their homes. Fortunately, under New Jersey state law there is protection for homeowners who enter into contracts with home improvement contractors. New Jersey has promulgated the Consumer Fraud Act for the protection of consumers in various types of transactions. One type of transaction to which consumers are entitled to protection under this Act is home improvement contracts. “Home-improvement contracts”areany typeof contract inwhich improvements are made to the home of a consumer. When such a contract is entered into between a consumer homeowner and a “home improvement contractor,” certain information and language must be contained within the form of the contract to ensure that consumers within the State of New Jersey are adequately protected from potentially fraudulent and/or “fly-by-night” companies. The most important aspect of the Consumer Fraud regulations as they apply to home improvement contracts is the necessity for the contract to be in writing and for the written contract to include various pieces of information. The contract shall contain the contractor’s legal name, address and registration number; a copy of the contractor’s certificate of insurance; the total price of the contract including any finance charges; the right to cancel within a three day period; and a full and complete detailed description of the work with part numbers and manufacturers’ names if any equipment is to be installed. If the work under the contract requires permits from the local municipality, it is the obligation of the home improvement contractor to obtain same and insure that any such permit applications are closed out at the completion of the job. Importantly, the regulations prevent any home improvement contractor from demanding final payment of the contract unless and until any such permit applications are closed out to the satisfaction of the local municipality. Basically, all of these requirements are to prevent any confusion as to the terms and nature of the contract between the homeowner and the contractor. The good news for homeowners is that, in the event a home improvement contractor violates any of the terms of these regulations and such violation causes monetary damages to the homeowner, the homeowner may be entitled to triple the amount of damages together with counsel fees in the event the homeowner is required to bring a lawsuit against the contractor. Unfortunately, as I have seen many times in my practice, despite the fact that regulations are in place to protect the homeowner, oftentimes the contractor does not have sufficient assets to pay to the homeowner even if the homeowner wins their case in court. Importantly, based on all the above, I recommend to my clients that they utilize a home improvement contractor who has been in business for a number of years and has a long-lasting reputation in the community. First and foremost, if the contractor has such a reputation, the chances are that the work will be satisfactory. Second, in the event something does go wrong with the job, the contractor will have the assets to make the homeowner whole. If you believe you have been the victim of some type of consumer fraud, please do not hesitate to contact my office to discuss this matter with an attorney.


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

Jewish lifecycles are a time of growth when we express ourselves through ritual. Cantor Barbra is available to serve your needs whether it is a Bar/Bat Mitzvah for your child, your own wedding, or the naming of your child. Celebration and Education for Your Family Celebration and Education FOR YOUR FAMI LY

Jewish lifecycles are a time of growth when we express ourselves through ritual. Can- tor Barbra is available to serve your needs whether it is a Bar/Bat Mitzvah for your child, your own wedding, or the naming of your child. • CERTIFIED CANTOR WITH 12+ YEARS OF PULPIT EXPERIENCE • OFFICIANT AT BAR/BAT MITZVAH CEREMONIES, BABY NAMINGS AND WEDDINGS • PRIVATE OR SMALL GROUP LESSONS CONDUCTED VIRTUALLY • LEARN TO READ HEBREW Certified Cantor with 12+ years of Pulpit Experience Learn to Read Hebrew Private or Small Group Lessons in Your Home Cantor Barbra Lieberstein

Ceremonies conducted in person or virtually

Officiant at Bar/Bat Mitzvahs Ceremonies, Baby Namings and Weddings

CANTOR Barbra Lieberstein Certified Cantor with 12+ years of Pulpit Experience

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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 • 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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Tor Technology By Valeria Mancuso

Virtual Safety: What is tor technology? The Tor project is a non-profit organization that conducts research and development into online privacy and anonym- ity. It was designed to keep people from learning or tracking your browsing information online. The technology bounces internet users and websites traffic through relays run by thousands of people around the world, making it very difficult to identify the source of information or the location of the internet user. Some disadvantages do go along with it including slower internet because of those relays. Also, YouTube does not play unless you use the opt-in trial of YouTube's HTML5 site to bring it back. Who created tor technology? The original technology was developed by the United States Navy. It received about 60% of its funding from the State Department and Department of defense. Other funding came from Electronic Frontier Foundation, Knight Founda- tion, and the Swedish International Development Cooperation Agency. It was launched in 2004 to protect internet user’s privacy from corporations. Who uses Tor? The project team says the technologies users fall into four main groups including, normal people who want to keep their internet activities private from websites and advertisers, those concerned about cyber spying, users evading censorship in certain parts of the world and military professionals. Bloggers, business executives, IT professionals and law enforcement officers are key users. For more mainstream users, it could mean running Tor so that your children's location can't be identified when they are online, or could mean a political activist in China, Russia or Syria could protect their identity. There are over 4 million users of Tor Technology. Resources:






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GOLF COURSE & RESTAURANT OPEN TO THE PUBLIC YEAR ROUND! GOLF COURSE & RESTAURANT 2022 Golf Membership PACKAGES ARE NOW AVAILABLE! Membership types include: • Full membership- unlimited play including carts • Full Senior membership (60 and over) – includes carts • Senior & Non-senior weekday memberships with carts • Active Military includes carts • Police and Firefighter includes carts • Teachers and Educators with carts • Walking only memberships • 9-Hole membership with cart for golfers on the go. NEW NEW


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• 1 tbsp tarragon • 1 tbsp parsley • 1 tbsp chive • 1 tsp black pepper (freshly ground)

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Directions: In a food processor, mix to crush the peas and salt until smooth. Add the olive oil and purée until smooth. Remove the mixture and combine the herbs and black pepper. Stir until fully mixed.




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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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Split Personality DisordeRS By Valeria Mancuso

Split Personality Disorder Explained Those with a split personality disorder, more popularly known as dissociative identity disorder or DID, have two or more distinct personalities. A person with this has separate differences between these two identities, which is referred to as alters. These different personalities each control the person’s mind, body and identity for some time. However, a person with DID can maintain their primary identity. This is there original personality that they will answer to. Their primary identity may be unaware of the other personalities they may have. Each alter has their own name, age, gender, moods, memories and vocabulary. The shift between each personality occurs when the person has a trigger. Causes of Split Personality There is no exact cause of DID, however there is a connection between the condition and trauma that person may have faced. Early or childhood trauma and abuse could be the reason why a person has many different identity’s. Trauma can stem from physical abuse, sexual abuse, emotional neglect from family/ friends, and psychological abuse. Symptoms Symptoms of someone with a split personality disorder include experiencing two or more separate personalities, each with their own self-identification, a change in a person’s sense of self and frequent gaps in memory and personal history. In some cases, one personality may pick up certain habits and may experience symptoms the other personality does not have. Different habits could include smoking and becoming violent. Different symptoms could include anxiety, amnesia, losing sense of time, going into a trance-like state, out of body experienc- es, engaging in behaviors that are unusual for the person, sleep disturbances, etc. The person could become stressed because they are afraid of a personality change or because they may be unaware of the change which can affect their ability to live a normal life. Diagnosis Split personality disorders can take time to diagnose because doctors need to observe a person’s symptoms, and dismiss other conditions. The doctor also needs to observe all personality’s of the person to see how they affect that person. Time is very important when it comes to diagnosis. Treatment Doctors usually prescribe treatments based on each individual case. No specific medication exists for DID. Treatment is based on any conditions that occur in this persons disorder. Psychotherapy is the main treatment for people with spilt personalities. Psychotherapy is talk therapy which may help a person walk through and learn to accept their triggers. Other therapies include art therapy, movement therapy, and relaxation techniques which can act as a treatment for DID. Resources:




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