Monmouth County's Ask the Doctor Sept/Oct

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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 FALL 2020

NEWS YOU CAN USE:

Local Physicians Answer Your Health Questions

• Kids’ Health • Beauty • Eating Well • Fitness • Aging • ...and more : i ’ l i ll i i ...

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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 Therapy also referred to as PRP Therapy, 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 effec- tive for numerous joint and soft 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 cuff tears. The procedure is simple and is performed in the office. The PRP process begins when a small amount of the patient’s blood is removed from the arm and placed into a special container. The 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. These 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.

This 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 scaffolding on the site. The damaged tissues use this framework to regenerate and repair. The 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. This 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. After 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 five 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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FALL 2020

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THE FIRST STEP TOWARD A NEW TOMORROW STARTS HERE. Newsweek has ranked Blake Recovery Center as the #1 addiction treatment center in New Jersey. Addressing substance abuse is never easy, especially during stressful times. But be assured that changing your life for the better can begin today in a supportive and safe environment, providing inpatient and intensive outpatient services. We treat every form of addiction, right here in New Jersey. You deserve this and your loved ones deserve to have you back in their lives. Visit CarrierClinic.org/BRC or call 800-933-3579.

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FALL 2020

Ear Seeds Are The Newest trend By, Lauren Kowlacki

Ear "seeds" is a term used to describe seeds that come from the vaccaria plant, used in place of acupuncture needles in the ear. It is a form of au- riculotherapy, or ear acupressure, where a seed is used to help stimulate pressure points in the ear. The seeds, made of magnets or vaccaria flower seeds, are often covered in gold or crystal, making both a subtle fashion and health statement. Like acupuncture and reflexology, the seeds purportedly stimulate relaxation, helping with anxiety and spiritual healing. According to traditional Chi- nese medicine (TCM), different areas of our ears correspond to different organs and systems within the body. Stimulating these parts can treat ail- ments in those various organs and systems

The seeds, which are small, hard, round objects are to be applied to differ- ent pressure points in the ear with adhesive tape. The patient can then press the points where the seeds are and stimulate the acupuncture or acupres- sure points. They look like teeny-tiny gold studs but are actually seeds. Ear seeds are used to help relieve back pain, neck pain, weight loss, anxiety, PTSD, insomnia, depression, stress and many other conditions. Ear seed therapy, also called Auriculotherapy, is the stimulation of specific points on the ear, which is believed to be a mi- crosystem of the entire body. Known to work with your body to help you lose weight by decreasing your appetite while increas- ing your metabolism. There are some limited scientific studies to support the health benefits, but more research is needed and the biological reasons for why ear seeds may work has not yet been discovered.

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OUR DEPARTMENTS As We Age.......................................... 13 Articles and physician information just for seniors The Healthy Palate............................ 21 Recipes to enjoy and local dining options for eating out Healthy Home................................... 26 Here you will find expert tips to make your home healthier, safe and fabulous Financial Health . ..............................33 Information, resources and news related to the health and well-being of your financial future Kids’ Health & Camp........................ 36 Information, news and expert advice to raising healthy children from pregnancy to 18 Healthy Mind & Soul. ....................... 38 Inspirational stories and advice on achieving mental balance and clarity

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FALL 2020

Q: What are COVID Toes?

A: As the world continues to struggle with the COVID-19 pandemic, new symptoms of the virus continue to be identified. One such symptom, purple or red lesions on the toes and hands, has been dubbed “COVID toes” and has gained attention over recent weeks. Rashes have been associated with the coronavirus more than other viral infections but not a sure and definite sign someone may have COVID.

Dr. Sanjay Gandhi, DPM

These rashes on toes are newer symptoms and have been emerging and show how people can react to infections in different ways. Some of these symptoms actually aren’t new in the realm of viral infections. It’s not uncommon for someone to have a viral infection and have a rash or blotchy area on their body. COVID toes are just another way that the body can respond to a viral infection. Should you notice a rash or COVID toes in addition to the common symptoms of the coronavirus, it’s best to contact your healthcare provider sooner than later.

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New Research Is Being Done For The Uses Of Lavender By, Lauren Kowlacki Lavender research suggests that it may be useful for treating many issues. Some studies suggest that consuming lavender as a tea can help digestive issues such as vomiting, nausea, intestinal gas, upset stomach, and abdominal swelling. Studies and research also show an improvement is sleep on some individuals with insomnia and restlessness. Lavender oil is believed to have antiseptic and anti-inflammatory properties, which can help to heal minor burns and bug bites. Research suggests that it may also be useful for treating anxiety and depression. Lavender is not approved by the Food and Drug Administration (FDA) and should not be taken in place of approved and prescribed medicines.

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Say no to slouch: Why your posture matters and how to fix it

Are you craning your head forward or slumped in your chair as you read this? If so, you may be doing your body harm. Sitting in a slumped position doesn’t just look sloppy. It reduces your lung capacity and can lead to high blood pres- sure, digestive issues, and muscular imbalances. And it’s not just your body that suffers. Slouching is linked to low self-esteem and depression. But before you straighten up, it’s important to understand what good posture is and isn’t. When most people try to fix poor posture, they unintentionally create more muscular tension, which can lead to dysfunction and pain. Keep reading to understand why sitting at your desk encourages bad posture, and discover the best way to sit at work to improve your health and well-being. Your body on office work Americans sit for an average of 13 hours per day, according to one study. You may have experienced aches and pains from sitting too much, and you may even have heard that sitting is worse for you than smoking. But sitting doesn’t have to be painful or terrible for your health. Humans have been sitting for thousands of years, and people in every culture do a lot of sitting. Recently, researchers discov- ered that the Hadza, a tribe of modern-day hunter-gatherers in Tanzania, sit for about 10 hours a day. But not all cultures experience pain or poor health from sitting. And working in a seated position isn’t necessarily a risk factor for lower back pain, according to a review of medical studies. The problem isn’t sitting, but how we’re sitting.

When you sit in front of a computer, it’s natural to unconsciously move closer to the screen. In the process, many people tuck their tailbones, round their spines forward, hunch their shoulders, and tilt their heads upward. This posture compresses the neck, squeezes the lungs and other organs, and inhibits breathing. But because office workers are immersed in what they’re doing, they may not change positions or get up and move around frequently. The result? Musculoskeletal disorders are common in computer workers. According to a recent study, 45 percent of computer workers suffer from headaches, low back pain, neck pain, shoulder pain, or wrist and hand pain. The body adapts to the way you sit and move, so office workers often develop muscular imbalances from sitting in awkward postures. For instance, if you round your shoulders forward day after day, the upper-back muscles that keep the shoulder blades pulled down weaken and the pectoral muscles on the front of the shoulders shorten. Many office workers gradually develop postural kyphosis, some- times called text neck, where the shoulders are perpetually rounded and the head juts forward. It’s also common to develop tight hip muscles on one side of the body from perpetually crossing one leg over the other. When you have a muscular imbalance, some muscles must work harder to overcompensate for the weak ones, which can lead to pain or injury. Fortunately, posture-related muscular imbalances can usually be reversed with awareness, time, and effort. But it’s easier to prevent them in the first place by improving your posture. The catch? “Good posture” may not actually be good for you. When good posture isn’t good You’ve probably been told to “sit up straight, pull your shoulders back, and suck in your belly.” But this posture isn’t good for your body even if it looks better than slouching. Why? Arching your back by thrusting your ribs upward to hold your shoulder blades together causes tightness in the upper back. And sucking in your stomach doesn’t actually strengthen the abdominal muscles. Instead, it creates a vacuum in the abdominal cavity that inhibits circulation, slows digestion, and weakens the core muscles, according to biomechanist Katy Bowman, author of Move Your DNA. Plus, it’s exhausting to hold the body upright with muscular tension. You can probably only hold yourself erect for a few minutes until you inevitably fatigue and slouch again. So, what should you do instead? Don’t think about straightening up, which creates stress and tension in the body. Instead, think about proactively positioning yourself in your office chair in the first place.

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FALL 2020

How to sit well According to Jenn Sherer, a movement expert who teaches a postural program called “spinefulness,” the key to sitting up straight is po- sitioning your pelvis correctly in your chair. Office workers usually tuck their pelvis when they sit down, which curls the back into the shape of the letter C. Instead, Sherer advises people to untuck their tailbones by hinging forward from the hips before sitting down. Here’s how to do it: 1. Stand in front of your chair with your feet hip-width apart. 2. Hinge forward from the hips (not the waist) until you feel your hamstrings (the muscles on the back of the thighs) stretch. Your bottom will be sticking out behind you. 3. Tip backward into your chair, maintaining the hinge in your hips as you do. 4. Relax your back and chest. Voila, you’re sitting up straight with a relaxed upper body. If you notice yourself slumping later, don’t arch your back and suck in your belly. Instead, stand up and repeat the above process. There aren’t many scientific studies on which posture is best, so Sherer draws on anthropological data. She adapted her method from teachings by Noelle Perez Christiaens, a French yoga teacher who has traveled around the world to study how people in diverse cultures sit, stand, and walk into old age without pain. Wearable devices are an increasingly popular way to improve posture. They can’t teach you the fundamentals of sitting well, but they may be helpful training tools as long as they don’t encourage you to arch your back or suck in your stomach. Look for a device such as Lumo Lift that allows you to set your own target posture and alerts you when you deviate from it. Sit and be fit Now that you know how to sit up straight in a relaxed way, you may be tempted to keep that pose for several hours. Don’t do it! Moving around frequently throughout the day is the best way to maintain health and mobility and prevent musculoskeletal pain. In one study, computer workers who took breaks every 20 minutes reported the least discomfort from sitting all day, compared to work- ers who took breaks every 40 minutes or who took no breaks at all. In another study, people who took at least one break in the morning had fewer headaches and less back pain and eye strain than those who didn’t. While on a break, walk around and gently stretch muscles that tighten when you’re sitting, such as the neck, chest, shoulders, hip flexors, and hamstrings. If you sit all day at work, make an effort to increase your activity levels when you’re not at work. Walking, climbing, yoga, qigong, Tai chi, dance, swimming, and other full-body activities help keep the muscles, joints, and connective tissue strong, flexible, and mobile. Conclusion

You already know it makes a difference when you sit up straight. Slouch for a few minutes during your next staff meeting and then sit upright, and you’ll immediately feel the difference in your mood and con- fidence. It’s not your imagination. The way you move changes the way you feel. A re- cent analysis of 55 studies suggests people who sit and stand in powerful postures feel more powerful. Changing how you sit requires mindful- ness, and you may need to be patient with yourself. Research suggests it takes an av- erage of 66 days to change a habit. But it’s worth it. As your posture improves, you may also notice improvements in your health, confidence, and general well-be- ing. https://www.quill.com/blog/lifestyle/ why-posture-matters.html

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Bruising & Bleeding? Can it be ITP? By, Lauren Kowlacki

Immune thrombocytopenic purpura, (ITP) is an autoimmune bleeding disorder. Immune thrombocytopenia (ITP) is a dis- order that can lead to easy or excessive bruising and bleeding. The bleeding results from unusually low levels of platelets — the cells that help blood clot. The immune system destroys platelets, which are necessary for normal blood clotting. Persons with the disease have too few platelets in the blood. ITP is sometimes called immune thrombocytopenic purpura or simply, immune thrombocytopenia. ITP occurs when certain immune system cells produce antibodies against platelets. Platelets help your blood clot by clumping together to plug small holes in damaged blood vessels. The antibodies attach to the platelets. The spleen destroys the platelets that carry the antibodies. In children, the disease sometimes follows a viral infection. In adults, it is more often a chronic (long-term) disease and can occur after a viral infection, with use of certain drugs, during pregnancy, or as part of an immune disorder. ITP affects women more often than men and is more common in children than adults. The disease affects boys and girls equally. Symptoms can include any of the following: • Easy or excessive bruising • Superficial bleeding into the skin that appears as pinpoint-sized reddish-purple spots (pete- chiae) that look like a rash, usually on the lower legs • Bleeding from the gums or nose • Blood in urine or stools • Unusually heavy menstrual flow If you think these symptoms are familiar, make an appointment with your doctor if you or your child develops warning signs that worry you.

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FALL 2020

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New CDC Report Provides First Analysis of Lung Injury Deaths Associated with Use of E-cigarette, or Vaping, Products

Numerous deaths in patients with e-cigarette, or vaping, product use associated lung injury (EVALI) have been reported to CDC. Of the first 29 deaths among patients with EVALI analyzed in a report done in December 2019, 59% were men and the median age was 45 years. Patients with EVALI who died were older than the overall popula- tion of EVALI patients. Among the 19 EVALI patients who died and for whom CDC had available data on substances used, 84% report- ed any use of THC-containing products, 37% reported any use of nicotine-containing products, 63% reported exclusive use of THC-containing products, and 16% re- ported exclusive use of nicotine-containing products. As of December 2019, 49 states, the District of Colum- bia, and the U.S. Virgin Islands have reported 1,604 cases of EVALI. Data from today’s report indicate that patients with EVALI are mostly young, white males. Among pa- tients with available data, 79% were under age 35, 78% were non-Hispanic white, and 70% were males. Addi- tionally, about half of the cases, and two deaths, occurred in patients under age 25 years.

“It is evident from the report that these lung injuries are disproportionately affecting young people,” said Robert R. Redfield, M.D., director of the Centers for Disease Control and Prevention. “As CDC receives additional data, a more defined picture of those impacted is taking shape. These new insights can help bring us a step closer to identifying the cause or causes of this outbreak.” The report also reinforces that THC-containing products continue to play a major role in the outbreak. Among 867 patients with available data on specific e-cigarette, or vaping, product use in the three months preceding symptom onset, 86% reported any use of THC-containing products, 64% reported any use of nicotine-containing products, 52% reported any use of both THC-containing products and nicotine-containing products, 34% reported exclusive use of THC-containing products, and 11% reported exclusive use of nicotine-containing products. At this time, FDA and CDC have not identified the cause or causes of the lung injuries in these cases, and the only commonali- ty among all cases is that patients report the use of vaping products, including e-cigarettes. No one compound or ingredient has emerged as the cause of these illnesses to date; and it may be that there is more than one cause of this outbreak. We do know that THC is present in most of the samples tested to date, and most patients report a history of THC-containing products. The latest national and state findings suggest products containing THC, particularly those obtained off the street or from other informal sources (e.g. friends, family members, illicit dealers), are linked to most of the cases and play a major role in the outbreak. The CDC recommends that you do not use e-cigarette or vaping products that contain THC. And since the specific cause or causes of lung injury are not yet known, the only way to assure that you are not at risk while the investigation continues is to consider refraining from use of all e-cigarette and vaping products. Adults addicted to nicotine using e-cigarettes should weigh all risks and benefits and consider utilizing FDA approved nicotine replacement therapies. They should not turn to or resume using combustible tobacco. There is no safe tobacco product. All tobacco products, including e-cigarettes, carry a risk. CDC will continue to update guidance, as appropriate, as new data emerges from this complex outbreak. More information about the investigation is available at www.cdc.gov/lunginjury.

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FALL 2020

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Why Don’t Older Adults Report Financial Exploitation? Shame and embarrassment – Many people are ashamed to admit that they have been financially exploited. • Loyalty – Older adults may be reluctant to report a family member, caregiver or other person who may treat them well in other ways.

A S W E A G E

• Fear of retaliation – Older adults might fear not being believed or losing their independence by being declared incompetent and moved into a “nursing home.”

• Dependence – Victims may be dependent on the abuser for care or assistance.

• Denial – Some victims are unwilling or unable to acknowledge that financial exploitation is happening to them.

• Self-blame – Abuse can erode an older person’s self-esteem, and some victims may believe they deserve or have caused the abuse.

• Lack of awareness – Some victims are unaware that they are being exploited, or don’t know to whom they can report financial exploitation. What should you do if you or someone you know becomes a victim of financial exploitation or another form of elder abuse? In most instances of suspected elder abuse, including financial exploitation, you should contact Adult Protective Ser- vices, generally a part of your county or state department of social services. You can find information about reaching your local Adult Protective Services office at the Eldercare Locator at eldercare.acl.gov, a public service provided by the U.S. Ad- ministration for Community Living, or by calling 1-800-677-1116. If the older person is in danger or you believe a crime has been committed, call 911 for an immediate response from the police. For cases of identity theft, contact your local police and the Federal Trade Commission (FTC) at 1-877-438-4338 or identitytheft.gov. If the loss involves funds held in a financial institution, such as a bank or credit union, report the problem to the financial institution immediately. If the loss involves credit products, such as a credit card or loan, contact the creditor immediately. Remember that you are often not responsible for credit card charges or payments out of your bank account if you did not authorize them. For more infor- mation go to consumerfinance.gov/askcfpb.

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FALL 2020

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GET A GRIP! Afraid of Falling?

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

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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We accept most insurances. Please allow our expert team to be your source of information by calling us at (732) 677-1200. 3419 ROUTE 9 N • FREEHOLD, NJ 07728 • (732) 677-1200 •WWW.WEDGWOODGARDENS.COM

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The Consumer Financial Protection Bureau is helping long-term care facilities protect older Americans from financial exploitation We’ve heard a lot of stories about vulnerable adults falling prey to con artists, family members, fiduciaries, and pro- fessional advisers who steal their nest eggs and threaten their financial security. A son steals $315,000 from his elderly mother’s retirement accounts and frequents casinos. When he doesn’t pay his mother’s rent, she’s evicted from her assisted living facility. The pastor of a 77-year-old man with Alzheimer’s and Parkinson’s diseases makes 130 withdrawals from the man’s bank account but fails to make nursing home payments on his behalf for nine months. The man was nearly discharged from his nursing home. These stories are all too common. You can download the free manual online at consumerfinance.gov and see more similar stories which helps family members and assisted living and nursing facility staff with the know-how to prevent and spot the warning signs of abuse. Here are some warning signs that a long-term care resident is being financially exploited or abused: • Possessions disappear from a resident’s room or apartment • Resident pressured to make a decision or sign a document “now” • A previously uninvolved person claims authority to manage a resident’s care and/or finances but does not provide documentation • Unpaid facility bills • Resident’s checkbook or check register shows checks made out to “cash” frequently or check numbers out of sequence • Frequent or costly gifts to facility staff or volunteers

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FALL 2020

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Protecting Your Brain As You Age By Lauren Kowlacki

A dedicated and loyal staff with over 200 years of experience

Some health conditions can negatively impact your brain. Heart disease, high blood pressure and diabetes can alter or damage blood vessels throughout your body, in- cluding the brain. Alzheimer’s disease and other types of dementia also harm the brain. While no one knows how to prevent dementia, many approaches that are good for your health in other ways, including engaging in exercise and eating a healthy diet, are being tested. Getting mental stimulation is important. Through re- search with mice and humans, scientists have found that brainy activities stimulate new connections between nerve cells and may even help the brain generate new cells, de- veloping neurological "plasticity" and building up a func- tional reserve that provides a hedge against future cell loss. Any mentally stimulating activity should help to build up your brain. Read, take courses, try "mental gymnastics," such as word puzzles or math problems. Experiment with things that require manual dexterity as well as mental ef- fort, such as drawing, painting, and other crafts. Also, it is important to get all recommended health screenings regularly. Managing health conditions, such as diabetes, high blood pressure and high cholesterol is im- portant too. Be sure to talk with your doctor or pharmacist about the medications you take and any possible side effects on memory, sleep and how your brain works. To learn more about how to move or exercise in a healthy way, ask your health care provider about your personal situation.

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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.

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FALL 2020

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FALL 2020

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Your Healthcare is in Women’s Hands • Women Hold 76% of All Health Care Jobs, Gaining in Higher-Paying Occupations. • Women have driven 80%of the overall growth in the booming health care field since the turn of the century. The number of full-time, year-round workers in health care occupations has almost doubled since 2000, increasing from 5 million to 9 million workers, according to the U.S. Census Bureau’s American Community Survey. Women account for three-quarters of full-time, year-round health care workers today. Since 2000, median earnings for women in healthcare have increased in part from their growing numbers in higher earning occupations and longevity on the job. About half of full-time, year-round health care workers have at least a college degree, and almost a quarter have an advanced degree. This often translates into earning differences across occupations. Combining the occupation entry-level education information from the Bureau of Labor Statistics with the data from the American Community Survey illustrates the relationships between education, occupation and earnings. While women in lower education jobs have seen little change in their earnings, women moving into higher-education occu- pations have gained opportunities for higher earnings. Women have increased their participation in record numbers in health care occupations that require higher education, in- cluding dentists, optometrists, pharmacists, physicians and surgeons, and veterinarians. These occupations were dominated by men in 2000. Women now make up the majority of veterinarians and pharmacists, and have made strong gains, doubling their representation, in other occupations such as dentists and optometrists. At the same time, the number of men who are dentists or veterinarians decreased over the two decades. Even so, today men still make up more than half of dentists, optometrists, EMT/paramedics, and physicians and surgeons. In some health care occupations, such as nurse midwives, speech pathologists, dental assistants and medical assistants, wom- en account for at least 90% of workers. There are about 763,000 physicians and surgeons working full-time, year-round and about a third are women. As the nation’s population continues to grow older and demands for health care continue to increase, women working in health care occupations will likely play a key role in addressing these needs.

ASK THE DOCTOR

FALL 2020

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