Monmouth's Ask the Doctor July/August

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

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

Bellmawr, NJ

1239

RESIDENTIAL CUSTOMER

Publishing Enterprises, Inc. GUNTHER

Permit No.

LOCAL

Paid

ECRWSS

PRST STD US Postage

Expert Aging in Place Solutions

Tub to Walk-in Shower Specialist

The Affordable Solution for Independence in the Bath

• Step-thru access for existing tubs • Installs in 1/2 day • Reversible • Integral part of tub, not a cap • Works with all types of tubs • Factory Appearance • Eco-friendly, reduces waste

BEFORE

AFTER

™

732-561-5682 | WWW.TUBCUT.COM FREE IN-HOME ESTIMATES

NJ HIC LIC# 13VH07801300

ASK THE DOCTOR

SUMMER 2022

2

COMPREHENSIVE PERSONAL Care Touch

DR. KIRAN MEDASANI, MD MEDICAL DIRECTOR

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

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

C O A O F A T T - -

W B A N , N : - -

www.GuntherPublications.com

Publishing Enterprises, Inc. GUNTHER

3

OUR DEPARTMENTS Health Articles and Q&A....................5 Your questions answered from local physicians, medical news and information Family Matters .................................10 Information, resources and news related to the health and well-being of your family’s future As We Age.......................................... 14 Articles and physician information just for seniors Healthy Home.................................... 21 Here you will find expert tips to make your home healthier, safe and fabulous

THE MILLSTONE TIMES Monmouth County’s ASK THE DOCTOR

Writers Pam Teel Lauren Kolacki

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

Publisher Cami Gunther

Administrative Assistant Lauren Kolacki

Scan this QR Code with your smart phone to go directly to our website.

Download “Bar Code” app on your phone

©2015 by Gunther Publishing Ent. The content of GPE publications and its affiliates are copyrighted. GPE publications are published 12 times a year. Established 10/2008. Distribution and Post office receipt available. All GPE products are distributed free of charge. Average reader per copy is 2.1. No copying or reproduction of the content of this newspaper is allowed without the express written permission from the publisher. GPEs publisher/owner reserves the rights over all electronic copying and reproduction of material contained here within. The publisher, editor, agents, and sales staff reserve the right to reject the advertisements for any reason. Credit for mistakes shall not exceed the costs of the ad in the month which the error occurred.

CAMI@GUNTHERPUBLICATIONS.COM • (732) 995-3456

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

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

Lauren Kolacki Max Druckman

Scan this QR Code with your smart phone to go directly to our website. Download “Bar Code” app on your phone Complete Family Foot & Ankle Care A Step Up Podiatry Administrative Assistant Lauren Kolacki

CAMI@GUNTHERPUBLICATIONS.COM • (732) 995-3456 Q: Aren’t All Running Shoes the Same? A: No, proper footwear provides stability, support and overall foot and back health. When we run, our bodies absorb tremendous impact. The shock from this im pact is felt in the feet and travels up our spine. This can cause stress and strain on the joints which can lead to both back and feet pain and injury over time. There is no better protection for your feet than shoes. ©2015 by Gunther Publishing Ent. The content of GPE publications and its affiliates are copyrighted. GPE publications are published 12 times a year. Established 10/2008. Distribution and Post office receipt available. All GPE products are distributed free of charge. Average reader per copy is 2.1. No copying or reproduction of the content of this newspaper is allowed without the express written permission from the publisher. GPEs publisher/owner reserves the rights over all electronic copying and reproduction of material contained here within. The publisher, editor, agents, and sales staff reserve the right to reject the advertisements for any reason. Credit for mistakes shall not exceed the costs of the ad in the month which the error occurred.

Dr. Sanjay Gandhi, DPM

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!

215 Gordons Corner Road, Suite 2A, Manalapan, NJ 07726 ASTEPUPPODIATRY.COM • 732-446-7136

ASK THE DOCTOR

SUMMER 2022

4

Commemorating the Contributions of Cancer Research Greats By, Norman E. Sharpless, M.D. There are those moments, those events that make it the ideal time to stop and reflect on the past.

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

Such is the case with the passing of Dr. Emil Freireich, who died in February at the age of 93 in Houston, his long-time home. Having be gun his career in the 1950s at NCI, Dr. Freire ich went on to become one of the most accom plished physician–scientists to ever step into a lab or comfort a worried patient. I never had the opportunity to work with Dr. Freireich. But like so many other cancer re searchers, I was influenced by his work. He pro vides a preeminent example of how our own ac tions can have an enduring impact on so many others.

Dr. Bruce Chabner, a cancer research lumi nary (and another NCI alumnus), who was kind enough to provide some thoughts on Dr. Freireich, described him as “formidable” and “brilliant,” a man who often had a smile on his face but wasn’t “afraid to challenge people.” When describing Dr. Freireich’s accomplishments and legacy, it’s only appropriate to mention another research legend, Dr. Emil "Tom" Frei, who died in 2013. Many in the cancer community are familiar with the story of the “two Emils,” who worked together at NCI, and later at other institutions, pioneering the approach of giving children with acute lymphoblastic leukemia (ALL) several chemo therapy drugs at the same time. Over the course of a decade, the combination chemotherapy approach they developed transformed what was for chil dren “a horrible disease—a death sentence,” as Dr. Freireich once described it, into a cancer for which cures became com monplace. What often gets less attention is that some of their studies testing combination chemotherapy for childhood ALL also heralded the introduction of the cooperative clinical trial in cancer: researchers at different centers all working on the same study, using the same treatments and protocols, in an effort to answer their scientific question more rapidly and with more robust data. It’s not hard to look at this milestone and see how it laid the groundwork for today’s clinical trials enterprise. For exam ple, NCI’s National Clinical Trials Network includes five large research groups and more than 2,000 clinical sites, and it conducts hundreds of trials at any given time. In many ways, this massive network of cutting-edge science was born from those first group trials of combination chemotherapy that Drs. Freireich and Frei helped to organize. Of course, Drs. Freireich and Frei made many other contributions. Dr. Freireich, for instance, partnered with the father of a patient at the NIH Clinical Center who worked at IBM to create the first device to separate out blood components from fresh human blood. He showed that the platelets separated from whole blood could be used to treat a serious complication of blood cancers: hemorrhage. As Dr. Chabner explained, this advance was “absolutely fundamental to the treatment of lymphomas and leukemias. Kids were dying because of hemorrhage.” These accomplishments alone would have amounted to stellar scientific careers. But after moving to the University of Texas MD Anderson Cancer Center in 1965, Drs. Freireich and Frei continued their work, directing studies that led to continued improvements in the treatment of blood cancers. Dr. Frei left MD Anderson in the early 1970s for the Dana-Farber Cancer Institute. He took the reins as its director not long after, following the passing of the center’s namesake and yet another research icon, Dr. Sidney Farber. In addition to helping construct a world-class cancer research program at Dana-Farber, Dr. Frei continued his own research, including pioneering work on bone marrow transplants to treat cancer. Dr. Emil Freireich, who died in February 2021, working with a blood cell separator at MD Anderson Cancer Center. Credit: National Cancer Institute

...continued on page 6

www.GuntherPublications.com

Publishing Enterprises, Inc. GUNTHER

5

H E A L T H A R T I C L E S A N D Q & A the long-term follow-up care of survivors of childhood cancers. Take Dr. Jane Cooke Wright, a pioneering cancer researcher and physician who broke barriers as an African-American woman in Continued from page 5... Especially this year, as we commemorate the 50th anniversary of the National Cancer Act of 1971, it feels only appropriate to reflect on the impact of others in the cancer research community who, although they are no longer with us, made possible so much of what came after that momentous legislation. That includes Dr. Joe Simone, who also did foundational work on childhood leukemia in his long and distinguished career, beginning at St. Jude Children’s Research Hospital but also at several other NCI-Des ignated Cancer Centers, where he held leadership posts. Dr. Simone died in January at the age of 85. Among his many accomplishments, Dr. Simone helped direct—along with Dr. Don Pinkel—some of the landmark clinical trials that allowed the term “cure” to be used in the same sentence as “childhood leuke mia.” He also oversaw the creation of one of the first clinics dedicated to

Norman E. Sharpless, M.D., NCI Director

medicine. Beginning in the early 1950s, her work established the efficacy of several different chemotherapy drugs for solid tumors, and she pioneered tailoring treatment based on the side effects patients were experiencing. She was also a founding member of the American Society of Clinical Oncology and held leadership positions in many other research organizations. And then there is Dr. Jimmie Holland, who in the 1980s essentially created the field of psycho-oncology during her long and storied career at Memorial Sloan Kettering Cancer Center. A tireless advocate for patients, Dr. Holland led efforts to develop validated measures of patients’ quality of life for use in clinical trials and championed research on cancer’s long term psychological impact on survivors, such as anxiety and depression. And any discussion of cancer pioneers is incomplete without mentioning Dr. Min Chiu Li, who, while at NCI in the 1950s and 1960s, helped to bring about several paradigm-changing advances in cancer treatment. He was the first clinician to cure a solid tumor with chemotherapy—choriocarcinoma, which forms in the uterus. But his research also provided one of the earliest examples of identifying biomarkers that could predict treatment response and the use of adjuvant therapy to wipe out any disease lurking after initial treatment. Not only did all of these remarkably intelligent and perseverant researchers help to improve the lives of so many who were sick and in need of care, they also had an immeasurable influence on so many who pursued medicine and research as their career and calling. They shared a commitment to training the next generations of cancer researchers, imparting their knowledge, commitment, and desire to serve in the way they knew best. In so doing, they helped to create and grow a web of excellence that is woven throughout the entire cancer care enterprise in this country and beyond. It’s daunting to try to capture the impact these amazing scientists had—and there are, of course, many others who I have not mentioned. But for me, during a time of such monumental change and discovery in cancer research and care, it’s worth

while to think about and appreciate those who laid the foundation for where we stand today. We’re all the better for what they did, and that should be celebrated and remembered. Source: Cancer.gov

ASK THE DOCTOR

SUMMER 2022

6

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

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.

Our Online Reviews: EXCELLENT!

(609) 371-9100 East Windsor • East Brunswick • Marlton North Brunswick • Morganville VISIT OUR WEBSITE: WWW.SPINEINA.COM

ADVERTISEMENT

www.GuntherPublications.com

Publishing Enterprises, Inc. GUNTHER

7

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

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-

License # 27OA00454300 Cert. # 27OM00044200

ADVERTISEMENT

ASK THE DOCTOR

SUMMER 2022

8

I CAN SAVE YOUR TEETH

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

Dr. Wayne A. Aldredge Advanced Treatment of Gum Disease and Loose or Missing Teeth

Dental Implants (All-on-4® ) One-Visit Gum Correction (Pinhole®) Advanced Laser Treatment (LANAP®) Gum and Bone Restoration Second Opinions

Board Certified * Comfort Focused * Sedation Available

Periodontics & Implant Dentistry

999 Palmer Ave Suite 1 Holmdel, NJ 07733 www.isaveteeth.com Call Today for a Consultation! 732-671-7100

Dr. Wayne A. Aldredge is a Board Certified Periodontal Specialist

CHILD, ADOLESCENT & ADULT PSYCHIATRIST

All services provided 100% via telehealth during COVID-19 pandemic

All services provided 100% via telehealth during COVID-19 pandemic

SERVICES FOR ADULTS & TEENS MENTAL HEALTH PARTIAL CARE & INTENSIVE OUTPATIENT PROGRAMS 732.655.4CFW(4239) CENTER FOR WELLNESS PROGRAMS INCLUDE GROUP THERAPY, INDIVIDUAL THERAPY, PSYCHIATRIC ASSESSMENT AND FOLLOW UP COMMERCIAL INSURANCE ACCEPTED FOUNDED BY A DOUBLE BOARD CERTIFIED CHILD/ADOLESCENT & ADULT PSYCHIATRIST

INDIVIDUALIZED CARE EXTENDED SESSIONS DOUBLE BOARD CERTIFIED

Appointments in Freehold & Monroe Twp.

CENTERFORWELLNESSNJ.COM 312APPLEGARTHRD • SUITE 200 •MONROETWP 08831 Accessible within 5 minutes of the NJ Turnpike, Rt 33 & Rt 130

609.245.8550 WWW.GSINGHMD.COM

www.GuntherPublications.com

Publishing Enterprises, Inc. GUNTHER

9

Thinking about your retirement? Let’s talk about retirement planning solutions and advice.

FA M I LY M AT T E R S

Get one-on-one help on your road to retirement.

No matter where you are in your retirement planning, we can help you prepare to reach your goals. From personalized service and financial specialists to powerful planning tools that can help you stay on track, you’ll find it at Schwab. If you’re ready to stop working, we’re ready to get started. Whatever your retirement goals may be, our financial professionals can help you prepare. From personalized advice and financial specialists to powerful planning tools that help you stay on track, you’ll find it at Schwab.

Rebecca Proske, CFP ® Branch Leader

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

schwab.com/freehold

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

schwab.com/redbank

© 2022 Charles Schwab & Co., Inc. (“Schwab”) Member SIPC. All rights reserved. (1121-1JG7) SCH6973-20 (07/22)

ASK THE DOCTOR

SUMMER 2022

10

The Six Types of Testing and Manipulation Tactics Used by Children By, Surabhi Ashok You have a strict curfew for your kids, and on one weekday, they want to go somewhere at a time past that designated curfew. They keep asking you for permission the whole day even after you said no the first time they brought it up. Eventually, you get tired of the constant questions and allow them to bend the rules “just this once,” this is a classic case of testing and manipulation. Testing and manipulation are tactics utilized by children in or der to get what they want from their parents/guardians. Children tend to resort to six different types of these tactics when they don’t want to follow their parents’ rules. Another method is intimidation. Intimidation comes in the form of attacks, both verbal and physical. Younger children may throw temper tantrums if they’re denied something, kicking, banging their heads, and screaming. Older children may swear, yell at their parents, storm away, etc. The third tactic of testing and manipulation is similar to intimidation: threats. Kids may say hurtful things out of anger at a situation. Threats like “I won’t do my homework unless…” or “I’ll run away” are made in the hope that the parent/guardian will lift their restrictions. The fourth tactic is martyrdom. The goal of this tactic is to make the parents feel guilty. For example, a child may not come down to eat dinner or may put on a tearful look. Parents then forget the discipline they’re enforcing because they don’t want their child to feel that way. The next method of testing and manipulation is butter-up. The child in question, in this case, will compliment the parent and try to make them feel good. In addition, the child may behave abnormally well in order to make it more likely for their parents to agree to what they want. Some adults even come to anticipate this strategy because it’s so commonly used: “You only act like this when you want something.” Finally, there are physical tactics. With this particularly scarier case, the child may attack their parents physically, break items around the house, and more. The physical tactic is usually only seen after multiple occurrences of violent behavior. Badgering, intimidation, threats, and martyrdom are done with the intent of creating an uncomfortable atmosphere. These four tactics of testing and manipulation change the dynamic of the household to give the power to the children rather than the parent. If these methods continue to be used, not only will the children have a lower frustration tolerance but will sustain conflict ing emotions within a family. One way to handle testing and manipulation, especially in regards to younger children, is the 1-2-3 Counting Method. The first time your kid uses a testing and manipulation tactic that day, count it as the first warning. If the behavior continues and your kid gets a third warning, encourage a “rest period” to cool down in a room, chair, etc. When the rest period is over, don’t lecture your child and instead carry on with your day. Eventually, limits will be set in place and your child will under stand to stop acting out with the first warning itself. Source: https://www.123magic.com/parenting-tips/the-six-kinds-of-testing-and-manipulation-in-children.html | https://www.123magic.com/parent ing-tips/managing-testing-and-manipulation.html The first tactic is badgering. Badgering is exemplified in the sce nario from before. Children will try to wear their parents down by repeating certain words and questions until their parents give in. Some won’t stop talking, with phrases like “please,” until they achieve their goal.

FA M I LY M AT T E R S

www.GuntherPublications.com

Publishing Enterprises, Inc. GUNTHER

11

DO YOU HAVE UMBRELLA COVERAGE? By John Bazzurro

Over the past several weeks, I have had two unfortunate situations that have arose in my practice that have prompted me to write this article concerning something called “umbrella coverage.” Despite its name, this type of insurance coverage has nothing to do with protection from weather events. As will be seen below, “umbrella coverage” is another layer of insurance coverage that is recommended in order to properly protect you and your family against judgments and lawsuits arising out of your negligence or the negligence of a family member within your household. In one case, my client was significantly injured in a motor vehicle accident with a 17-year-old boy who had only recently received his drivers’ license. The automobile insurance policy on the young man’s vehicle had policy limits of $250,000.00 for the benefit of parties injured as a result of the negligent operation of the vehicle. The young man and his family live in a large home in an upper class Township within Monmouth County and, as such, it would seem that he and his family would have a reason to protect their assets over and above the $250,000.00 policy limits of their automobile insurance. Unfortunately, they did not have additional insurance coverage and, as such, given the significant nature of my client’s injuries, their personal assets could now be in jeopardy in the litigation. In another case, a client of mine caused a significant accident in which a number of people were injured. Although I only represented her on the traffic tickets she received, both her and her husband inquired as to whether or not it was likely that they were going to be sued for personal injuries arising out of the accident. Similar to the family above, my client and her husband only had automobile insurance with $300,000.00 in policy limits to cover the injuries sustained by the other individuals involved in the accident. The client’s husband was a medical professional and, once again, had significant assets over and above the $300,000.00 policy limits which he and his wife should have protected. When I asked them if they had “umbrella coverage” to further protect them, they did not know what it was. At a minimum, if you own a home and an automobile, you should have an automobile insurance policy that protects you against injuries you cause in a motor vehicle accident as well as homeowners’ insurance which protects you against injuries caused by you and your resident family members for negligent acts (other than an automobile accident) that cause injuries to others. All homeowners’ insurance policies contain an “automobile exclusion” for which the homeowners’ policy will not cover injuries to others as result of the operation of an automobile. If either of these policy limits are insufficient to “pay for” the injured parties’ injuries, “umbrella coverage” is intended to supplement your policy limits. Typically, “umbrella coverage” is purchased to supplement the above referenced automobile insurance policy limits and homeowners’ coverage policy limits; often at a reasonable rate. Such “umbrella coverage” is utilized and necessary to protect assets when your assets are greater than the policy limits afforded by either your homeowners’ policy or motor vehicle policy. Unlike homeowners’ coverage, “umbrella coverage” does not contain an “automobile exclusion” and, as such, would be available to supplement automobile insurance coverage in the two scenarios described above. Accordingly, while it is a good idea to review your insurance coverages on a regular basis with a qualified insurance agent or broker, you should always be cognizant of the amount of your automobile coverage and homeowners’ coverage in relation to the amount of assets you intend to protect. Importantly, regardless of the amount of assets you presently have, a judgment against you arising out of your negligent acts may last for 20 years or more and, therefore, assets which you accrue in the future may also be in jeopardy. So, regardless of the level of your present assets, it may be a good idea to protect your future with such “umbrella coverage.” Should you have any questions concerning this article, please feel free to contact my office or, alternatively, immediately discuss these issues with a qualified insurance agent or broker.

Large Firm Representation With Personal Attention

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

FA M I LY M AT T E R S

• Personal Injury • Motor Vehicle Accidents • Nursing Home Neglect • Wills

• General Civil Litigation • Employment Law • Residential and Commercial Real Estate Transactions

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

ASK THE DOCTOR

SUMMER 2022

12

FA M I LY M AT T E R S

Over 20 years experience! He treats patients of all ages in a variety of clinical areas, including post-operative, orthopedics, geriatrics, and balance/vestibular disorders. Rovy has extensive background in Myofascial Decompression, Spinal Muscle Energy Techniques Sports Medicine, Postural Restoration, and Orthopedic Manual Therapy. Rovy Samson MEET OUR NEWPHYSICAL THERAPIST

• Acupuncture • Physical Therapy • Chiropractic Care • Reiki & Sound Healing NOW AVAILABLE!

• Nutrition Counseling w/Dietitians • Therapeutic Medical Massage • Spinal Decompression

GOD BLESS AMERICA

DO YOU SUFFER FROM BACK PAIN? SCIATICA? We successfully treat back pain daily. We can identify and correct the causewithoutmedication. Wewill teach youspecificpostureexercisesandlifestylemodifications to resolve your pain while guiding you on how to prevent future flare ups. We can provide nutritional recommendations to aid in reducing inflammationwhile improving your overall health. NEW AND EXCITING WELLNESS SERVICES BEGINNING IN SEPTEMBER! • Personal Fitness Training - Single & Couples • Fitness Classes • Circuit Fitness Training • Yoga & Meditation Classes • Reiki & Sound Healing Classes & MORE! PRE OPENING SPECIALS NOW AVAILABLE! CURIOUS ABOUT TRYING ACUPUNCTURE? 5 REASONS YOU NEED REIKI Acupuncture is extremely effective, relaxing & has been used for thousands of years to correct imbalances in our energy (chi) flow which improves all aspects of health. Physical Therapy Appointments Available!

1. Control Allergies 2. Treat Back & Joint Pain

3. Increase Focus & Relaxation 4. Aid in Digestive Disorders 5. Reduce Pain & Inflammation 6. Improve Sleep & Insomnia 7. Eliminate Stress and Headaches YOUR HEALING BEGINS HERE™

1. Reduce stress 2. Improve mental clarity 3. Increase healing 4. Minimize headaches 5. Heal previous trauma

GIVE THE GIFT OF WELLNESS! GIFT CERTIFICATES AVAILABLE

15 East Railroad Ave. Jamesburg, NJ • 732-656-1740 WWW.INNOVATIVEWELLNESSCENTER.COM

*

www.GuntherPublications.com

Publishing Enterprises, Inc. GUNTHER

13

Integrating Geriatric Assessment into Cancer Care: A Conversation with Dr. Supriya Mohile More than 60% of patients with cancer are age 65 and over. Despite the relatively high prevalence of cancer in older adults, there is a gap in knowledge about the safest and most effective cancer treatments for patients in this age group. In this interview, Supriya G. Mohile, M.D., who directs the Geriatric Oncology Research Program at the University of Rochester's James Wilmot Cancer Institute, discusses the unique issues experienced by older adults with cancer and the recent publication of guidelines on incorporating geriatric assessment into patient care. What unique challenges do older people with cancer face? Most cancer patients in the United States are older than 65. Older patients also have the highest mortality from cancer. Nevertheless, there has not been as much of a focus on effectively managing their care as there should be. So, these patients face a lot of challenges. First, there is a lack of safety and efficacy data on treating older patients, because they are typically not well represented in clinical trials. For example, oncology is moving toward targeted therapies, and these treatments tend to have different side effects than traditional chemotherapy. Some of these side effects, such as cardiotoxicity, can be more dangerous for many older adults with cancer. This creates problems when treating older patients, because there just isn’t enough data to support the safety of many of these new treatments in older patients, especially those age 75 and over. Second, older patients tend to have other medical problems in addition to their cancer—not just other health conditions, or comorbidities, but also disabilities, including cognitive, physical, and functional disabilities. Disabilities are important to outcomes because they are associated with increased toxicity from treatment and early mor tality. And many oncologists, surgeons, and primary care doctors who care for older adults aren't sufficiently trained in assessing disability and how a disability may affect the efficacy and safety of a particular cancer treatment. Third is access to care, especially for those older patients who are frail or have difficulty getting to appointments. Older patients also often have difficulty with care coordination, managing their medicine, or even their ability to be safe at home during treatment.

A S W E A G E

ASK THE DOCTOR

SUMMER 2022

14

A S W E A G E

Revolutionizing Care Delivery™

RECOVER IN LUXURIOUS COMFORT. Allaire Rehab & Nursing, a newly renovated upscale healthcare center in Freehold, delivers unparalleled subacute rehabilitation & skilled nursing care.

Our hotel-like setting & amenities include:

Reserve your PRIVATE SUITE TODAY!

Sleeper Sofa, Desk & Refrigerator in Larger Suites

Magnificent, Spacious Patient Suites 12 Private Rooms Large Flat Screen Smart TVs

NEW! Telemedicine to assure 24/7 physician care

Bluetooth Speakers Concierge Service

Allaire is the only Special Care Nursing Facility in New Jersey to offer intensive therapy on a long term basis for young adults (18-59) with a Neurological Impairment. Horizons is a 174-bed special care neurological unit centered on nurturing independence and optimizing recovery.

In Response to COVID-19

Our staff is trained to implement strict adherence protocols in enhanced infection control practices. We continue to diligently assess all patients to ensure the safety of our staff and residents and are dedicat d to deliv ring the h ghest quality of care.

Horizons is a 174-bed special care neurological unit centered on nurturing independence and optimizing recovery.

115 Dutch Lane Road, Freehold, NJ 07728 | 732.431.7420 | AllaireHC.com

www.GuntherPublications.com

Publishing Enterprises, Inc. GUNTHER

15

The Scandinavian Sleep Method

As much as you love your partner, sometimes it’s not always smooth sailing when it comes to a good night’s sleep. If their presence in your bed is causing you to lose sleep, whether it be con stant snoring, constant movement, or other un conscious inflictions, sometimes sleep disruption leads couples to get a sleep divorce sending one to the stillness of an empty bedroom or even a nearby couch. If things haven’t gotten that disas trous yet, there are other changes you can make to try to improve your sleep situation. One such solution is the technique known as the Scandina vian sleep method. The Scandinavian sleep method is simply the practice of using two separate duvets or blankets instead of one queen or king size one. And if you want to be truly Scandinavian, you’ll want to re linquish your top sheet as well. The Scandinavian sleep method earned its name because the practice is fairly common in the Scandinavian countries of Denmark, Nor way, and Sweden, but it’s also done in other parts of Europe, like Iceland and Germany. If you come from a single-duvet country, like the United States, this may seem like a strange practice, but it could be the key to finally getting a good night’s sleep.

A S W E A G E

People who cocoon themselves in their blankets and leave the other to freeze all night with nothing to cover themselves, or those who have body temperatures that emanate heat like a hot radiator, or the opposite, having cold feet, can benefit from this method. The double-duvet system seems like the perfect solution to these issues and involves two twin-sized duvets. Making your bed with two duvets instead of one may seem confusing, but it’s actually pretty simple. First you must remove the flat sheet from your bed. Then take two twin size duvets and lay one on each side of the bed. Take the first blanket and lay it a little more than halfway across the bed. You don’t want half your blanket hanging over the edge of the bed. Then repeat with the second blanket so that they overlap. Essentially, you’re still sharing the same bed but what you do under your covers is your business. Pros of the Scandinavian Sleep Method- cocooning in your blanket. If you love to wrap yourself up in your blanket, you don’t have to worry about someone yanking away your covers to share the blanket. No blanket stealing in the middle of the night. No feeling like you’re lying by a fireplace if your partner is emitting excessive body heat. Cons for the Scandinavian sleep method, not having a top sheet. As people are creatures of habit, getting used to no top sheet could be tricky but there is an easy fix, just add one. If you are fighting to get to sleep and still want to share a bed, give the two blanket system a try. You don’t lose any of the coziness of sharing a bed, but it allows you to prioritize your own comfort and sleep without detracting from your partner’s sleep.

ASK THE DOCTOR

SUMMER 2022

16

A S W E A G E

ASSISTED LIVING IN THE HEART OF MONMOUTH COUNTY

®

Safe visits in a designated area allow families to visit their loved ones at The Chelsea.

445 Rt. 9 South, Manalapan, NJ 07726 P 732-314-7084 • chelseaseniorliving.com We are keeping our residents engaged and active. Call today 732-314-7084 to arrange a safe visit!

Assisted Living • Memory Care Short-Term Stays

Impaired Visual Acuity in Older Adults

Impairment of visual acuity is a serious public health problem in older adults. Impaired visual acuity is consistently associated with de creased quality of life in older persons, including reduced ability to perform activities of daily living, work, and driving safely, as well as increased risk of falls and other unintentional injuries Impaired visual acuity refers to decreased clarity or sharpness of vi sion and is affected by a number of factors. These include changes in lowlight vision, color vision, binocularity (ability to focus on an ob ject with both eyes), contrast sensitivity, accommodation (ability to change focus), and stereopsis (depth perception), as well as visual field loss (areas in the field of view in which objects cannot be seen). Re fractive errors, presbyopia, age-related macular degeneration (AMD), and cataracts are common causes of impaired visual acuity in older adults. Presbyopia, which occurs as part of the natural aging process of the eye, is the loss of the eye’s ability to change its focus to see objects that are near.

Although not evaluated in screen-detected populations, several types of treatment are effective for improving visual acu ity once visual impairment has been identified. Corrective lenses improve visual acuity in patients with a refractive error. Treatment of cataracts through surgical removal of the natural lens followed by intraocular lens implantation is effective for improving visual acuity. The most common treatment for wet AMD is intravitreal injections of vascular endothelial growth factor (VEGF) inhibitors. Photodynamic therapy, a treatment combining verteporfin (a photoreactive agent) and low-level laser light, is also used. Laser photocoagulation, an older treatment for wet AMD, is associated with blind spots in the treatment area and is no longer in common use. Treatments to reduce progression of dry AMD include antioxidant vitamins and minerals.

www.GuntherPublications.com

Publishing Enterprises, Inc. GUNTHER

17

We provide Adult Day Services For Special Needs Adults (21 years old +) WE PAY CASH FOR SINGLE ITEMS TO ENTIRE ESTATES! • Watches, Clocks, Pocket Watches ANTIQUES & COLLECTIBLES BUYERS E TATE LIQUIDATORS

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

A S W E A G E

• Paintings, Prints, Bronzes • Estate Jewelry

Call UsToday For ATour or Info! (732) 845-3332 • Free Door-to-DoorTransportation • Health Evaluations • Bi-Lingual staff • Music & PetTherapy Military Collections Wanted Swords, Knives, Helmets, Etc. • Chinese & Japanese Artwork & Porcelain • Sports Collectibles • Comic Books • Old Toys • Records • Cameras • Lamps • Military Collections Medicaid/HMO/DDD • Coin & Stamp Collections • Judaica • Costume Jewelry

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

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

MOVING or DOWNSIZING? CALL US!!

• Educational Programs to assist & encourage independance with activities of daily living • Social Activities • Fabulous food and menu options • Recreation, Exercise,Trips to Museums, Stores, Crafts and more... Serving Monmouth, Middlesex & Ocean Residents WE BUY VINTAGE LIQUOR 346 PALISADE AVE, BOGOTA WE BUY ANYTHING OLD. ONE PIECE OR HOUSE FULL. WILL TRAVEL. ANTIQUE & ESTATE BUYERS • Sterling Flatware Sets TOP $ ANTIQUE STERLING 201-880-5455 CELL 917-887-6465 20 1-A Jackson Street Freehold, New Jersey We Offer Something Special Nowhere Else Found In CNJ ForYour Loved One! Active Day Adult Services WILL TRAVEL ENTIRE TRI-STATE AREA FREE ESTIMATES

for

ASK THE DOCTOR

SUMMER 2022

18

CREAMRIDGEGOLFCOURSE.COM | ROOSTATCREAMRIDGE.COM 181 Rt 539, Cream Ridge, NJ 08514 • (609) 208-0050 As always, we appreciate your business and look forward to a great 2022! d • Onsite & Offsite Activities: (Ping Pong, Zumba, Shopping Excursions, Museums, Crafts,Trips to the Shore and much more) • Onsite Hairdresser Serving Monmouth, Middlesex & Ocean Residents onveniently off Rt 33 and NJTurnpike Exit 8 108Woodward Rd. Manalapan, New Jersey If your loved one needs care during the day, trust GoldenYears Care to put them in good hands! INCLUDING “THE COMPLETE GOLFER” PACKAGE, A TOTAL LEARNING PROGRAM WITH VIDEO ANALYSIS. CALL THE PRO SHOP FOR DETAILS. Golf Lesson Packages Available GOLF COURSE & RESTAURANT OPEN TO THE PUBLIC YEAR ROUND! GOLF COURSE & RESTAURANT 2022 Golf Membbership PACKAGES ARE NOW AVAILABLE! A You have always been there for your mom, and now GoldenYears Care is here for you Call UsToday For ATour or Info! (732) 851-6640 www.GoldenYearsCareNJ.com • Medical AppointmentTransportation • Around-the-clock attention • Physical & OccupationalTherapy In House • Free Door-to-DoorTransportation • Delicious Food Options (Spanish, Russian, Italian & more) 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 Medicaid/J.A.C.C. Covered Service Join us for lunch or dinner in our heated tents THE MUSIC IS BACK EVERY FRIDAY NIGHT

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

Medicaid/HMO/DDD

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

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

20 1-A Jackson Street Freehold, New Jersey

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

www.GuntherPublications.com

Publishing Enterprises, Inc. GUNTHER

19

WANT MORE WEBSITE TRAFFIC?

The BEST GIFT EVER! Learn to Fly at the Princeton Flying School

GET A FREE WEBSITE REVIEW OPTIMIZE YOUR WEBSITE RANK FOR SEARCH ENGINE KEYWORDS ATTRACT MORE TRAFFIC

These Great Gift Certificates for the INTRODUCTORY FLYING LESSON FOR $199 can be found at Princetonairport.com

FLAIRMG.COM | 848-208-2087 WEBSITES | SEO | SOCIAL MEDIA | MARKETING GRAPHIC DESIGN | BROCHURES | CONTENT

Princeton Airport, 41 Airpark Road, Princeton, New Jersey 08540 609-921-3100 • 39N@princetonairport.com www.princetonairport.com

PRINCETON AIRPORT

ASK THE DOCTOR

SUMMER 2022

20

Healthy Lawns - Healthy Water What can you do?

H E A L T H Y H O M E

1. Choose a no phosphorus and slow-release nitrogen fertilizer. Check the first and second number on the package for nitrogen and phosphate content. Formula 26-0-3, for example means no phosphate. 2. Apply fertilizer at the spreader setting shown on the bag to avoid overuse and underuse of product. 3. Retun any unused product to the original container for future use. 4. Do not apply fertilizer products if a heavy rain is predicted. 5. Use a drop speaker or a rotary spreader with a single guard to keep fertilizer on the lawn and off driveways, roadways and walkways. Sweep up excess fertilizer from paved surfaces. 6. For a healthier, greener lawn, fertilize after the first lawn cutting in the spring and again in the fall when weather conditions are best for grass to absorb nutrients.

PAVING • MASONRY • SEALCOATING

SERVING NJ FOR OVER 20 YEARS & STILL GOING STRONG!

732.810.9511

MENTION THIS AD & SAVE 10% WWW.TRINITYPAVINGNJ.COM

www.GuntherPublications.com

Publishing Enterprises, Inc. GUNTHER

21

YOUR NEIGHBORHOOD CARPET & FLOORING STORE

Happy to Serve You for 31 Years!

“I am thrilled with the response and new business I got from my half page ad in my first issue of this magazine.”

CONCORDIA SHOPPING CENTER 1600 Perrineville Road, Monroe Township 609-395-5588 WWW.ABCARPETNJ.COM

Senior Discounts Available

H E A L T H Y H O M E

Carpets • Carpet Runners/Area Rugs Waterproof Vinyl • Hardwood • Sand & Refinish FREE Padding • Estimates • Installation Removal of Old Carpet • Furniture Moving Shaw • Coretec • Mohawk • Kane • Mirage • Phenix • Masland Mon-Fri 9am-5pm • Sat 10am-3pm

JOHN GALLAGHER GALLAGHER & SONS MASONARY & PAVING 908-720-2444

AB CARPETS • 609-395-5588 $500 OFF Any Sale of $ 4001 & up or More Flooring Purchase With coupon. Cannot be combines with any other offers or prior purchases. TMT

AB CARPETS • 609-395-5588

$250 OFF Any Sale of $ 2500 to $ 4000 Flooring Purchase With coupon. Cannot be combines with any other offers or prior purchases. TMT

For more information about advertising, call 732-995-3456

ASK THE DOCTOR

SUMMER 2022

22