Monmouth's Ask the Doctor May/June 2019

Monmouth County’s Ask The DOCTOR THE HEALTH &WELLNESS MAGAZINE F R YOU ANDYOUR FAMILY SPRING ISSUE MAY/JUNE 2019

Local Physicians Answer Your Health Questions

NEWS YOU CAN USE:

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

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A PICTURE ISWORTH 1,000 HUGS

We approach every resident as an individual we care about, with real challenges, and most often, real ambitions to heal. A picture may be worth 1,000 words, but at Imperial, it's also worth 1,000 hugs to those we have helped over the years. Expect the unexpected at Imperial Healthcare, with lovely accommodations, amenities and facilities that promote the healing process and create a pleasant environment for all. • Beautifully designed resident rooms • State-of-the-art therapy gym

• Inviting, airy sunroom and day rooms • Enclosed center courtyard with gazebo • Beauty and Barber Shop • Vintage style snack lounge • Internet Café • Spacious and bright activity room

732.922.3400 • WWW.IMPERIALHEALTHCARENJ.COM 919 GREEN GROVE RD • NEPTUNE, NJ 07753

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We understand that choosing a rehabilitative care center can be difficult. CareOne has the experience and know-how to help patients and their families receive the right care and information, and to ensure that patients return home stronger. Our physical, occupational and speech therapists help patients regain strength and independence. To that end, CareOne’s staff provides 48% more therapy per patient day than the statewide average, and 53% more than the national average.* Call today. You will have peace of mind knowing that your loved one’s care is in our hands. CAREONE REHABILITATION CENTERS

CAREONE AT HOLMDEL 188 Route 34 Holmdel, NJ 07733 732.946.4200

CAREONE AT KING JAMES 1040 Route 36 Atlantic Highands, NJ 07716 732.291.3400

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CAREONE AT JACKSON 11 History Lane Jackson, NJ 08527 732.367.6600

Take a virtual tour at www.care-one.com Toll Free 877.99.CARE1

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Miss Wheelchair New Jersey By Pam Teel

Millie Gonzalez was born with Spina Bifida, a developmental disability affecting more than 166,000 people in the U.S. Judges crowned her Ms. Wheelchair NJ of 2019 after an afternoon of interviews and a platform speech on November 4th, 2018 at the Make a Wish Foundation, NJ. Ms. Wheelchair is a competition based on advocacy, achievement, communication and presentation. As the New Jersey State titleholder, Millie is working to educate, increase awareness, and advocate for the elimination of architectural and attitudinal barriers for the more than 54 million Americans living with disabilities using her platform ‘Sur- vival of the Fiercest: Taking Control of Your Life Through Self Care.’

As an outspoken advocate for people with disabilities, she will be using her platform to:

• empower people with disabilities to practice self-care and do what brings us joy;

• improve emergency preparedness, response and recovery for people with disabilities;

• encourage people with disabilities to face our addictions and seek related services; and

• amplify the voices of the disability community to increase positive disability awareness and understanding of disabil- ity culture and etiquette among the general public.

As the state titleholder, she is also responsible for attending and speaking at events throughout New Jersey and lobbying for disability-related issues. You can follow Millie on www.facebook.com/mwnj2019. Please consider donating to her gofundme page. 100% of funds raised will support her work, including travel, materials, etc., as Ms. Wheelchair New Jersey 2019, and to pro- mote and encourage people with disabilities to live fiercely. She will also be representing the State of New Jersey in the Ms. Wheelchair America 2020 competition in Little Rock, Arkansas, from July 1–7, 2019.

Follow Millie on www.facebook.com/MWNJ2019 or contact her via email to mswheelchairnj2019@gmail.com.

Millie Gonzalez, M.A. Ms. Wheelchair New Jersey 2019 Live Fiercely: Take Control of Your Life Through Self-Care #MWNJ2019 #LiveFiercely GoFundMe

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OUR DEPARTMENTS Health Articles and Q&A Pages ............................ 7 Your questions answered from local physicians, medical news and information As We Age ..............................................................13 Articles and physician information just for seniors Kids’ Health & Camp ............................................ 24 Information, news and expert advice to raising healthy children from pregnancy to 18 Men’s Health ..........................................................31 Expert tips for Men’s health and fitness The Healthy Palate ............................................... 34 Recipes to enjoy and local dining options for eating out Healthy Home .......................................................40 Here you will find expert tips to make your home healthier, safe and fabulous Healthy Mind & Soul ............................................ 55 Inspirational stories and advice on achieving mental balance and clarity Financial Health ..................................................60 Information, resources and news related to the health and well-being of your financial future Physician Profiles .................................................. 66 Physician information, including credentials, to help you choose a doctor or find out more about a doctor that you go to now Diet & Fitness ........................................................ 73

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EVALUATE YOUR CHILD'S RISK OF LYME DISEASE THIS SUMMER By Dr. Steven Dowshen In warm weather, the threat of Lyme disease might make you think that your kids would be safer in your living room than in the great outdoors. Though a child's risk of getting Lyme disease after being bitten by a tick is only about 1%-3%, it's important to consider the factors that affect Lyme disease risk. It's true that Lyme disease is the leading tick-borne disease in the United States, with 20,000 to 30,000 cases reported to the Centers for Disease Control and Prevention (CDC) each year. Most cases of Lyme disease occur in the Northeast, upper Midwest, and Pacific coast areas of the United States. And Monmouth County New Jersey is one of the hardest hit states where incidences has been reported. Most Lyme disease cases occur between April and October, particularly in June and July. OUTDOOR ACTIVITIES AND PETS: Besides living in one of these areas, other factors that might increase a child's tick risk include: • Spending a lot of time outdoors in tall grass, brush, shrubs, or wooded areas • Having pets that may carry ticks indoors • Participating in activities such as landscaping, hiking, camping, fishing, or hunting in tick-infested areas SAFETY TIPS: So your teen got a job as a landscaper this summer and you're planning a family camping trip — does that mean Lyme disease is in your family's future? No, but it does mean that you should take some precautions to protect your family — such as using insect repellent and wearing light-colored clothing when outdoors to make spotting ticks easier — and know how to remove a tick, just in case. IF YOU FIND A TICK: 1. Call your doctor, who may want you to save the tick after removal for identification as the type that may carry Lyme disease or another type of illness. You can put the tick in a sealed container to preserve it. 2. Use tweezers to grasp the tick firmly at its head or mouth, next to the skin. 3. Pull firmly and steadily on the tick until it lets go of the skin. If part of the tick stays in the skin, don't worry, it will even- tually come out — although you should call your doctor if you notice any irritation in the area or symptoms of Lyme disease. 4. Swab the bite site with alcohol. 5. One note of caution: Don't use petroleum jelly or a lit match to kill a tick — they're not effective. These methods won't get the tick off your skin and might just cause the insect to burrow deeper and release more saliva (which increases the chances of disease transmission). 6. It's important to remove the tick as soon as possible. The longer the tick is attached, the greater the chance that Lyme disease will be transmitted. Usually, bacteria from a tick bite will enter the bloodstream only if the tick stays attached to the skin for 24-48 hours or longer. If the tick is removed within 1-2 days, it is less likely to have transmitted Lyme disease. SEEK MEDICAL CARE IF: • The tick might have been on the skin for more than 24 hours. • Part of the tick remains in the skin after attempted removal. • A rash of any kind develops (especially a red-ringed bull's-eye rash or red dots on wrists and ankles). • The bite area looks infected (increasing warmth, swelling, pain, or oozing pus). • Symptoms like fever, headache, fatigue, stiff neck or back, or muscle or joint aches develop. THINK PREVENTION: • After kids play outside, check their skin and hair — especially the scalp, behind the ears, around the neck, and under the arms. • When playing in wooded areas, kids should wear long-sleeved shirts and pants and tuck pant legs into their socks. • Use an insect repellant with at least 10% to 30% DEET for protection against bites and stings in kids older than 2 years, always carefully following the directions for application. • Avoid tick-infested areas. Dr. Steven Dowshen is the Chief medical Editor of KidsHealth.gov

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The Importance of Staying Cool This Summer&Avoiding Heat Illness

H E A L T H A R T I C L E S A N D Q & A If you have symptoms of heat illness, take off as much clothing as possible and wet yourself with cool or lukewarm water. Drink some fluids. Stay in the shade or air conditioning. WHEN TO SEEK CARE If you become confused, lose consciousness, vomit frequently, stop sweating or stop urinating, seek care immediately! PREVENTION • Stay in air conditioning if possible. • Drink lots of water before, during and after any outdoor Your body sweats to cool itself. As it gets warmer, your body must sweat more. As the sweat evaporates, your body gets cooler. If the weather is hot and humid, your sweat cannot evaporate well. So, as the humidity goes up, your body doesn’t cool off as well. This means your internal temperature rises. When you cannot sweat enough to cool your body, you may get heat illness. Heat cramps, heat exhaustion, heat stroke and sunstroke are dif- ferent heat illnesses. SYMPTOMS • Fatigue • Weak Muscles, cramping muscles • Dizziness, confusion TREATMENT • Nausea/vomiting • Headache The comfort of any patient is critically important during any dental procedure. How this is achieved is tailored to the pain threshold and anxiety level of the individual. In my office patients have the option of four (4) possible sedation methods. Each has its advantages and disadvantages and they will be discussed. Option one (1) is a “Local Anesthetic”. This involves the administering of an injection containing a solution that will “numb” the treatment sight. The duration of this technique is anywhere from 1-3+ hours depending upon the quantity and specific solution used. The advantage of this technique is its quick onset as well as dissipating in a short period of time. The patient has no problem with driving after a procedure and can easily return to work or school. Option two (2) is “Nitrous Oxide”. The use of this gas allows a patient to experience a sense of relaxation and is able to achieve a higher pain tolerance. As long as a patient does not experience any breathing issues (or sinus issues) most patients can usually tolerate this well with much success. The effects of the nitrous oxide also wears off relatively quickly at the conclusion of the procedure. Depending upon the specific dental procedure being performed, it is possible for the mask to interfere with the site of treatmentOption three (3) is “Oral Sedation”. Administering oral medication such as “valium”

David P. Young, DMD, DICOI or “halcion” allows patients to achieve a slightly deeper level of comfort and relaxation that can last for a few hours. When this technique is utilized, the patient must be escorted home after the procedure as their driving ability is impaired. The specific dosage is case specific. It is not uncommon for patients to nap after the conclusion of the dental procedure. Option four (4) is “ IntraVenous (IV) Sedation”. With this technique an intravenous line is placed into a blood vessel thus having a direct line for the medication. For this procedure I have a Dental Anesthesiologist in my office, as constant monitoring of vitals is critically important. With this method of sedation, a patient can sleep through all of the care that’s being performed and wake up with no memory of any discomfort or time reference of the procedure. All patients must have an escort to accompany them home as they lack the cognitive capacity to drive. Patient comfort during a dental procedure is, as stated earlier, a very important factor during the appointment. Time must be taken to discuss which option is right for you. If you have any questions regarding Dental Sedation, feel free to call me at my office. activity. • Avoid drinks with caffeine or alcohol. • Increase the amount of time you spend outdoors every day little by little. • Take a lot of rest breaks while outdoors in hot weather. • Avoid direct sunlight and stay in the shade when you can. • Wear light-colored, loose-fitting, open-weave clothes. • Avoid activities that require you to wear a helmet. • Protect yourself from the sun by wearing a hat and sun- glasses and by putting on sunscreen of SPF 15 or higher. NEVER leave anyone—a person or animal—in a closed, parked vehicle. This is life threatening. Try to schedule activities or workouts early in the morning or late in the evening. Avoid heavy outdoor activity between 10 a.m. and 6 p.m., when the sun is hottest. Although anyone at any time can suffer from heat-related ill- ness, some people are at greater risk than others. Check regularly on infants and young children; people aged 65 or older; people who have a mental illness, and those who are physically ill, espe- cially with heart disease or high blood pressure. Individuals with chronic respiratory illnesses such as asthma or chronic obstruc- tive pulmonary may find that their conditions worsen during pe- riods of high heat and humidity.

QUESTION: I need to have dental treatment performed but I am concerned and anxious about experiencing any discomfort. What are my options so I can be as comfortable as possible?

4432 Route 27, CN-201, Kingston, NJ 08528 Phone: 609.497.0808 www.David YoungDMD.com

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What Causes Head and Neck Cancers? Alcohol and tobacco are major risk factors for cancers of the head and neck. All tobacco products, including cigarettes, cigars, pipes, and smokeless tobacco (chewing tobacco, snuff, or a type of chewing tobacco called betel quid) are linked to head and neck cancer (except for salivary gland cancers). Drinking any type of alcohol, such as beer, wine, or liquor, also raises the risk of getting cancers of the mouth, throat, and voice box. About 70% of cancers in the oropharynx (which includes the tonsils, soft palate, and base of the tongue) are linked to human papilloavirus (HPV), a common sexually transmitted virus. Ultraviolet (UV) light exposure, such as exposure to the sun or artificial UV rays like tanning beds, is a major cause of cancer on the lips. Occupational exposures or being exposed to certain substances while on the job, can increase the risk of getting cancers in the nasopharynx. Working in the construction, textile, ceramic, logging, and food processing industries can cause peo- ple to be exposed to substances like wood dust, formaldehyde, asbestos, nickel, and other chemicals. About twice as many men as women get head and neck cancers. They are more likely to be diagnosed in people who are over 50 years of age. What Are the Symptoms of Head and Neck Cancers? In the mouth, cancer can cause— • A white or red sore that does not heal on the gums, tongue, or lining of the mouth. • Swelling in the jaw. • Unusual bleeding or pain in the mouth. • A lump or thickening. • Problems with dentures. At the back of the mouth (pharynx), cancer can cause— • Trouble breathing or speaking. • A lump or thickening. • Trouble chewing or swallowing food. • A feeling that something is caught in the throat. • Pain in the throat that won’t go away. • Pain or ringing in the ears or trouble hearing. In the voice box (larynx), cancer can cause— • Pain when swallowing. • Ear pain. In the sinuses and nasal cavity, cancer can cause— • Blocked sinuses that don’t clear. • Sinus infections that do not respond to treatment with antibiotics. • Bleeding through the nose. • Headaches. • Pain and swelling around the eyes. • Pain in the upper teeth. • Problems with dentures. If you are 26 years old or younger, talk to your doctor about HPV vaccines. These vaccines were developed to prevent cervical and other genital cancers. HPV vaccines also may prevent some kinds of head and neck cancer. Use condoms and dental dams consistently and correctly during oral sex, which may help lower the chances of giving or getting HPV. Use lip balm that contains sunscreen, wear a wide-brimmed hat when outdoors, and avoid indoor tanning. Make sure to visit the dentist regularly. Checkups often can find head and neck cancers early, when they are easier to treat.

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Goodwill home medical equipment Helping People Obtain Adequate Medical Equipment at a Cost By Pam Teel Lorraine Melani is the director of business development for Goodwill Industries. Lorraine represents the Home Medi- cal Division. Her job is to create relationships between Goodwill and organizations so that they can sell equipment or get equipment donated to them. Goodwill Home Medical sells donated DME adult to pediatric that has been sanitized and refurbished at drastically discounted prices. They sell to the general public and to adult and pediatric facilities, as well as schools for children with complex disabilities. They make equipment affordable for all thanks to generous donations. Lorraine goes into the public and creates relationships between Goodwill Home Medical and facilities, hospitals, schools, and the community. She has worked for Goodwill for three and a half years, and in that time she has created so many rela- tionships and told so many people about Goodwill Home Medical through both the hospitals and through her networking contacts. Good Will Home Medical Equipment offers refurbished home medical equipment to individuals and families. They are the number one place to donate un-opened medical supplies in Philadelphia and South Jersey. They are a division of goodwill industries of Southern Jersey and Philadelphia. They welcome tax deductable gifts to expand their services. A 501 (c) (3) non- profit organization, they collect gently used wheelchairs, walkers, canes, crutches, hospital beds, and more. All equipment is sanitized and refurbished at their facility in Bellmawr, NJ. With over 50 million people in America without health insurance, sometimes obtaining adequate medical treatment, prescriptions, and home medical supplies can be a challenge. Even for those with health insurance, strict rules and guid- ance can limit access to essentially needed equipment. To donate home medical supplies in Philly and South Jersey, contact Goodwill Home Medical Equipment. All of their donation centers accept medical equipment and supply donations. To find the nearest Goodwill, go to: www.goodwillnj. org. Financial donations help fund employment training and career services that prepare individuals with special needs for competitive employment. Your gift gives them a chance to overcome obstacles, a chance to work, earn a paycheck, and gain a better quality of life. To make a donation, call Juli Lundberg, Director of Corporate Communications at: (856) 439 -0200 ext. 99230. Showroom warehouse - 609.812.2210 Call for hours. Anyone is welcome in the showroom. 300 Benigno Blvd. Bellmawr, NJ. 08031

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Can Dogs Sniff Out Cancer? By Pam Teel

Dogs have an excellent sense of smell, so much better than our human noses. Dogs have 25 times more smell receptors than humans, boosting their smelling ability by 100,000 times. It is a true fact that that a dog’s olfactory abilities are so great that he can potentially sniff out cancer in humans. The brain of a human is dominated by the visual cortex, but the brain of a dog is controlled by the smell or olfactory cortex, which is approximately 40 times larger than that of a human. The olfac- tory bulb in a dog has a large number of smell-sensitive receptors, which range between 125 to 300 million, and it is a hundred thousand to a million times more reactive than that of humans. In addition, dogs have a second smelling device in the backs of their noses that we don't have, called Jacobson's organ. That double smelling system allows trained dogs to detect cancer's unique odors, called volatile organic compounds. Studies of dogs and cancer detection are based on the fact that cancerous cells release different metabolic waste products than healthy cells in the human body. The difference of smell is so significant that the dogs are able to detect it even in the early stages of cancer. Dogs are able to identify the chemical traces in the range of parts per trillion. Some studies have confirmed the ability of trained dogs to detect the skin cancer melanoma by just sniffing the skin lesions. Furthermore, some researchers have proven that dogs can detect prostate cancer by simply smelling patients’ urine. Dogs may also be able to sniff out the presence of cancerous cells through a human’s breath. The ability of dogs to detect cancer has great potential benefits. Some researchers believe the trained dogs will become integrated di- rectly into patient care, while other researchers recommend the skills of the cancer-detecting dogs be confined to the laboratories, where the gas chromatographs could be used to isolate the specific compounds that are identified by the dogs. Recent developments in this area include a simple breathalyzer that can change color according to the compounds in the breath indicating the presence of cancer. In a research study conducted by the Pine Street Foundation, breath samples of 31 breast cancer patients, 55 lung cancer patients and 83 healthy people were presented to five trained scent dogs (three Labrador retrievers and two Portuguese water dogs). These dogs were able to detect or rule out breast and lung cancer, at all stages of the disease, with approximately 90 percent accuracy. An expert in melanomas, Dr. Armand Cognetta of Tallahassee, studied whether dogs could detect skin cancer and enlisted the help of a dog trainer. With the samples of melanomas, he worked to train a dog to sniff out the skin cancer. The dog used in the study was able to detect the melanoma approximately 99 percent of the time. Furthermore, this research proved that the dog could successfully detect the malignant melanoma lesions from the benign lesions in patients. Millstone Township resident Linda C. will tell you that her Brittany Spaniel, Holly, found her cancer and literally saved her life. Linda has stage 4 Invasive Ductal Carcinoma that spread to her liver and spine. She had a lumpectomy and then heavy chemo, which put her in remission in 2014, but it was her dog that she believes initially found her cancer. The dog literally tried to dig it out of her chest. As she gave out a high pitch cry, the dog kept digging, to no avail. This strange behavior prompted Linda to go to the doctors. They found the cancer when it was 2mm. If Linda hadn’t listened to the dog and thought something was not right, she would never have gone to the doctors because she didn’t feel it and she wasn’t sick. She fully credits Holly for saving her life. “She found my cancer again this time. She would snuggle and sniff my breast and lay on top of me hugging me. She’s an awesome girl and we feel blessed to have her,” Linda stated. In the United Kingdom, Lucy, a cross between a Labrador retriever and an Irish Water Spaniel, failed miserably at guide dog school. Bred to be a hunting dog, she had a good nose. For the next seven years, Lucy learned to sniff out bladder, kidney and prostate cancer, and was even used in a study. Over the years, she has been able to detect cancer correctly more than 95% of the time. That's better than some lab tests used to diagnose cancer. Now, Lucy is part of one of the largest clinical trials of canine cancer detection. A British organi- zation, Medical Detection Dogs, has eight dogs sniff out 3,000 urine samples from National Health Service patients to see whether they can discern who has cancer and who doesn't. Claire Guest is the CEO of Medical Detection Dogs. Her Fox Red Labrador, Daisy, much like Linda’s dog Holly, caught her breast cancer six years ago when she was 45. "She kept staring at me and lunging into my chest. It led me to find a lump," Guest remembers. The tumor was deep in her breast. Her doctors said that by the time she would have felt it herself, the cancer would have been very advanced. "Had it not been drawn to my attention by Daisy, I'm told my prognosis would have been very poor," she said. In 1989, doctors at King's College Hospital in London wrote in The Lancet about a woman whose dog persisted in smelling a particular mole on her leg. That mole turned out to be early-stage malignant melanoma. Over the next 26 years, studies from France to California to Italy have concluded that dogs really can detect the smell of cancer. Using dogs to find cancer in a therapeutic setting would need a lot of years of study and a lot of development. It's still far from that and it probably wouldn't be a realistic way to screen patients. It would take an immense amount of resources to train dogs to recognize the many types of cancer that can affect humans. In addition, while no test is perfect, at least doctors know how accurate different tests, such as mammograms, are and at what rate they produce false positives and false negatives. But these rates would vary for each dog. Moreover, dogs can get bored, hungry and have bad days. You'd have to be carefully monitoring their effectiveness throughout their cycles. Both Linda and Clair were very lucky that an unlikely hero came along in their lives at a time when they needed them most.

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A S W E A G E

Our Fight For Life “Together We Can Survive” Prescription drug spending has increased to 4.6 percent in 2019. It is estimated that the increase will continue, on average, each year 5.5 percent through 2027. 7 WAYS TO LOWER DRUG COSTS 1. Consider switching to generics or other lower-cost drugs. There may be a generic or less-expensive brand-name drugs that would work just as well. You may be able to save money by using mail-order pharmacies plans. 2. Choose a plan that offers additional coverage during the gap. There are plans that offer additional coverage during the coverage gap. However, plans with additional gaps coverage may charge high- er monthly premiums. 3. Pharmaceutical Assistance Programs. Some pharmaceutical companies offer help for people enrolled in Part D. Find out whether there's a Pharmaceutical Assistance Pro- gram for the drugs you take. 4. State Pharmaceutical Assistance Programs. Many states offer help paying drug plan premiums and/or other drug costs. For example: PACE (PA), PAAD (NJ) & EPIC (NY) . Find out if your state has a State Pharmaceutical Assistance Program. 5. Apply For Extra Help Medicare and Social Security have programs that helps people with limited income and resources. Note: You must qualify for Extra Help or a Special Needs Program. A dedicated and loyal staff with over 200 years of experience. Stop by for a visit and meet our devoted Care Team at The Chelsea at Manalapan! 732-972-6200

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6. Explore national and community-based charitable programs that can help with your drug costs like these: • National Patient Advocate Foundation • National Organization for Rare Disorders • Benefit checkup 7. Find an independent Medicare certified advisor with an AHIP certification. An independent consultant is not considered an employee of a specific insurance compa- ny; therefore they provide expert unbiased Medicare guidance.

Valerie Mathis-Leake CLTC, CBC, AHIP Founder, Our Fight For Life

They are trained to help you with the entire Medicare selection and enrollment process. Most services are free. Find an agent on the National Association of Health Underwriters website: https://forms. nahu.org/consumer/findagent2.cfm You can find us there at zip code 08823 serving the tri state.

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The Face in Home Health Care By Pam Teel

Randi Goldberg has a very important job making sure that her clients’ needs are met. As the Director of Community relations at Always Best Care Senior Services, Randi wears a few hats at a time, traveling to the many different facilities that partner with Always Best Care and are in need of providing their clients/residents with home care services. Always Best Care Senior Services is a franchise. The one Piya and Robby Paulus own covers not only Monmouth County, but Ocean and Middlesex Counties as well. Randi’s roll in the company, besides being a resource for clients, is business development. She meets with families, whether they are still at home, at assisted living facilities, or rehab centers, and educates them about the best services or placement for their loved ones.

A S W E A G E

Randi’s week starts off with a meeting every Monday with Care Coordinators from each county. They meet to discuss any potential problems, to collaborate about the best way to serve their partners by putting together themed events, different activities that enrich the residents, and more. With more than ten years experience, Randi is more than willing to lend her expertise in the Senior Health Care Business; two of those years working for Piya and Robby Paulus at Always Best Care Senior Services. Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. In select markets they have also added skilled home care for clients that suffer from illness or injury. Their passion for helping people maintain a safe, independent and dignified lifestyle represents the strong foundation of Always Best Care. Every client receives extraordinary care in an inspiring environment with caring and compassionate people. Their Care Co- ordinators have worked with thousands of seniors across the country. Their services include: In Home Care, Assisted Living Care placement and Alzheimer and Dementia care. The Always Best Care resources include an extensive library to help you make better informed decisions on senior care and more. Their vision is to work as a united TEAM providing the best senior care in the world, with the broadest range of services and the most supportive and consistent care anywhere. Always Best Care Senior Services provides senior care in Monmouth, Middlesex, Ocean Counties. All of their caregivers are carefully screened, thoroughly trained, bonded and insured to provide the safest and highest level of care. They have strong relationships with area hospitals, social workers, senior communities and Assisted Living Centers, hospice companies, and more. Their goal is to always provide a solution. The first step in the process includes a personal consultation with a Care Coordinator at no charge to you. In the meeting, they will thoroughly discuss your care needs and create a detailed and personal care plan that is based on the needs at hand. To contact the Monroe Office, Please call or email owners, Piya and Robby Paulus at: ppaulus@abc-seniors.com Call today (732) 483-4611 or contact Randi Goldberg directly at 732-318-7086 rgoldberg@abc-seniors.com • 1 Rossmoor Drive, Suite 125, Monroe Township, NJ 08831

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MAY/JUNE 2019

A S W E A G E

Drs. Segal, Shriver, Rho, Meirowitz, Osias and Bellows provide patients with timely, compassionate, high quality care for their digestive ailments. If you would like to arrange a consultation with one of our physicians, call us at 609-924-1422 Princeton Endoscopy Center provides services (colonoscopy, upper endoscopy) that can detect early signs of colorectal cancer and can help doctors diagnose unexplained changes in bowel habits, abdominal pain and bleeding and weight loss. Our goal is to

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I CAN SAVE YOUR TEETH

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A S W E A G E

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MAY/JUNE 2019

A S W E A G E

COMPREHENSIVE PERSONAL 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

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NEVER GIVE PERSONAL INFORMATION TO GET PERSONAL INFORMATION When I was a caregiver for my moth- er, I juggled a full-time job, two chil- dren, a relationship, and trying to be the best caregiver I could be. When the time came that I needed help, I would hop on the computer at night and Google information. This was a daunting task. Primarily because not all the information I found was al- ways correct. I was on family forums, thinking this was the best place to find others who were in the same situation as myself, someone trying to manage a family and an aging loved one. I would find a piece of information and try to execute it only to find out the in- formation that I found was incorrect or not very clear. put them on their call list and would call them on a regular basis. The prob- lem with these sites (usually the first 5-10 sites that come up in a Google search) is that the family who is ex- hausted and tired from being the sole care providers for their loved ones, did not realize it was not the facilities that they were directly contacting. In some cases, some families just stop looking because they were so overwhelmed by being on these call lists. So now, with no plan, a crisis hits, and their options are now limited to being referred within the same health system with no given choice or to some company with whom they are not quite comfortable because of how fast their loved one’s discharge came up. No time to com- pare their options for themselves to find the best appropriate options for their loved ones. By Sheli Monacchio ADVICE FOR THE AGING COMMUNITY

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

A S W E A G E

In my mother’s case, she got very ill at age 60 and was diagnosed with 4th stage lung cancer. We never had preliminary conversations on what her wishes were. So, when the time came, she was too ill to even discuss these very important things with us. When my brother and I tried to have those conversations earlier in her life, her response was always led with hu- mor. “Put me in a pine box and float me down the river.” The crisis hit, and our family was not prepared for the journey we were about to embark upon. Given my mother’s age, this was not even something that we thought about at that time in our lives. When “the crisis” hit, we were at a loss for what resources were available to her. This was in 2007. I worked in the se- nior industry and reached out to my knowledgeable colleagues for help. I am not sure what I would have done if it wasn’t for my network of people. Since then, I have worked with nu- merous families who told me horror stories about Googling information and getting wrong or inappropriate answers for the situation they were dealing with based on the individu- al they were caring for. Over my 20 year career, there were COUNTLESS stories about how a family caregiver went on the internet to get informa- tion about an Assisted Living Facili- ty or a Home Care Agency and were asked to share their personal informa- tion in order to get the information they were looking for. They may have received some information, but along with that information came a ton of unsolicited sales calls from communi- ties and agencies from all over. Some not even from their local area. The websites who asked for their person- al information were companies who were contracted with multiple facil- ities who would share their personal information with each facility, who all

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

Caring Connections of New Jersey and Pennsylvania is a non-profit or- ganization who has a mission to edu- cate seniors and their families locally in their own community. This will be a focused initiative in 2019, so please connect with us so you can be in the loop of our educational events held in your local area. Another mission that we have is to create a safe place for seniors and their families to get in- formation, to not only look at options, but also a place where caregivers and seniors can ask questions to find the right solutions for the person they are caring for or to make an educated plan for their own future based on their own individuality and wishes. We have also created a Facebook Group called New Jersey Resources for Se- niors-CCNJ. We encourage families and seniors who are looking to make some decisions, to join our group and visit our website www.caringconnec- tionsnj.org for a safe place to ask ques- tions without ever having to give your personal information. You should never have to GIVE information to GET information. Start having these difficult conversa- tions with your loved ones so you are clear on what their wishes are before a crisis hits. I wish I would have had them with my mother so that we had more options when it came time for her to receive the care she needed. Caring Connections of New Jersey is a non-profit organization whose primary mission is to educate seniors and their families on the options that are available in their local community. Visit our website at www.caringconnectionsnj.org or call (609) 960- 2265 for assistance.

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

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MAY/JUNE 2019

• Palliative Care • COPD • Medicare &Medicaid Certi ed • Private Insurance Contracts Providing Excep ional Healthcare Since 1954 Subacute Care • Long-Term Care • Specialized Care for the Memory Impaired in a Secured Unit • Fully Equipped Rehab Gym with Hydrotherapy Pool • Physical & Occupational Therapies 7 Days a Week • Oasis Program • Respite Care • Hospice Care Palliative Care • COPD • Medicare & Medicaid Certifed Private Insurance Contracts OUR 200-BED FACILITY OFFERS: • Two 60-Bed Long -Term Care Units 36-Bed Subacute Rehabilitation Unit • 44-Bed Secured Memory Unit •

OUR 200-BED FACILITY OFFERS : • 44-Bed Secured Memory Unit • 36-Bed Subacute Rehabilitation Unit • Two 60-Bed Long -Term Care Units

A S W E A G E

(908) 369-8711 Noteworthy Pulmonologist Specializing in Critical Care and Hypertension Medicine, George Julius Poiani Jr, MD Recognized as a 2018 Top Doctor in Bridgewater, NJ George Julius Poiani Jr, MD, Pulmonologist with the Somerset Pulmonary & Sleep Medicine Center, and affiliated with Robert Wood Johnson University Hospital Somerset, has been named a 2018 Top Doctor in Bridgewater, New Jersey. Top Doctor Awards is dedicated to selecting and honoring those healthcare practitioners who have demonstrated clinical excellence while delivering the highest standards of patient care. Dr. Poiani is a highly respected and experienced physician, having been in practice for over three decades. His career in medicine began in 1981, when he graduated from the UMDNJ-Robert Wood Johnson Medical School. Upon earning his Medical Degree, Dr. Poiani completed his Internal Medicine residency, followed by his Pulmonary and Critical Care Medicine fellowship with Robert Wood Johnson Medical School. Dr. Poiani is triple board certified in Internal Medicine, Pulmonary Disease, and Critical Care Medicine by the American Board of Internal Medicine. Also, Dr. Poiani is currently the Chief of the Pulmonary Division at Robert Wood Johnson University Hospital-Somerset campus. He is determined to enhance his patients’ quality of life, providing high quality, individualized care in order to ensure the most optimal results. He provides expert diagnosis and treatment for a wide array of conditions, and has an international reputation as a specialist in pulmonary hypertension and interstitial lung disease. For his wealth of experience and expertise, Dr. Poiani serves as a Clinical Associate Professor at Robert Wood Johnson Medical School. His meticulous approach to patient care, coupled with his dedication to his work, and contributions in his field makes Dr. George Julius Poiani Jr, MD a very worthy winner of a 2018 Top Doctor Award. For his wealth of experience and expertise, Dr. Poiani serves as a Clinical Associate Professor at Robert Wood Johnson Medical School. His meticul us approach to patient care, coupled with his dedication to his work, and contributions in his field makes Dr. George Julius Poian Jr, MD a very worthy winner of a 2018 Top Doctor Award. 39 E. Mountain Rd, Hillsborough • www.foothillacres.com Providing Exceptional Healthcare Since 1954 • SubacuteCare • Long-TermCare • SpecializedCare for the Memory Impaired inaSecuredUnit • FullyEquippedRehabGym withHydro- erapyPool • Physical&Occupational erapies 7DaysaWeek • OasisProgram • Re piteCare • HospiceCare • PalliativeCare • COPD • Medicare&MedicaidCerti ed • Private InsuranceContracts 609.448.7036 Call our admissions team today to schedule a tour! Post-Hospitalization Rehabilitation Personalized, Goal-Oriented Treatment Physical Therapy • Occupati na Therapy Speech Therapy • 24-Hour Nursing Staff Certified Dietitian • Long-Term Care Respite Care • Hospice & Palliative Care Religious Services • Kosher Kitchen Medicare, Medicaid and most insurances accepted • Post-Hospital Nursing and Therapy • Long-Term Care • Respite Care 609.448.7036 Call our admissions team today to schedule a tour! OUR 200-BED FACILITY OFFERS: • Two 60-Bed Long -Term Care Units 36-Bed Subacute Rehabilitation Unit • 44-Bed Secured Memory Unit • Providing Excep ional Healthcare Since 1954 Subacute Care • Long-Term Care • Specialized Care for the Memory Impaired in a Secured Unit • Fully Equipped Rehab Gym with Hydrotherapy Pool • Physical & Occupational Therapies 7 Days a Week • Oasis Program • Respite Care • Hospice Care Palliative Care • COPD • Medicare & Medicaid Certifed Private Insurance Contracts Dr. Poiani is triple board certified in Internal Medicine, Pulmonary Disease, and Critical Care Medicine by the American Board of Internal Medicine. Also, Dr. Poiani is currently the Chief of the Pulmonary Division at Robert Wood Johnson University Hospital-Somerset campus. He is determined to enhance his patients’ quality of life, providing high quality, individualized care in order to ensure the most optimal results. He provides expe t iag osis and treatment for a wide arra of conditions, and has an international reputation as a specialist in pulmonary hypertension and interstitial lung disease. 39 E. Mountain Rd, Hillsborough www.foothillacres.com OUR 200-BED FACILITY OFFERS : • 44-Bed Secured Memory Unit • 36-Bed Subacute Rehabilitation Unit • Two 60-Bed Long -Term Care Units George Julius Poiani Jr, MD 245 Union Avenue Suite 2c Bridgewater, NJ, 08807 • Post-Hospital Nursing and Therapy Long-T rm Care • Respite Care Providing Exceptional Healthcare Since 1954 • Subacute Care • Long-Term Care • Specialized Care for the Memory Impaired in a Secured Unit • Fully Equipped Rehab Gym with Hydro- erapy Pool • Physical &Occupational erapies 7 Days a Week • Oasis Program • Respite Care • Hospice Care • Palliative Care • COPD • Medicare &Medicaid Certi ed • Private Insurance Contracts (908) 369-8711 (908) 369-8711 Noteworthy Pulmonologist Specializing in Critical Care and Hypertension Medicine, George Julius Poiani Jr, MD Recognized as a 2018 Top Doctor in Bridgewater, NJ George Julius Poiani Jr, MD, Pulmonologist with the Somerset Pulmonary & Sleep Medicine Center, and affiliated with Robert Wood Johnson University Hospital Somerset, has been named a 2018 Top Doctor in Bridgewater, New Jersey. Top Doctor Awards is dedicated to selecting and honoring those healthcare practitioners who have demonstrated clinical excellence while delivering the highest standards of patient care. Dr. Poiani is a highly respected and experienced physician, having been in practice for over three decades. His career in medicine began in 1981, when he graduated from the UMDNJ-Robert Wood Johnson Medical Scho l. Upon earning his Medical Degree, Dr. Poiani completed his Internal Medicine residency, followed by his Pulmonary and Critical Care Medicine fellowship with Robert Wood Johnson Medical School. 39 E. Mountain Rd, Hillsborough www.foothillacres.com George Julius Poiani Jr, MD 245 Union Avenue Suite 2c Bridgewater, NJ, 08807 (908) 369-8711

• Post-

Nursi Thera

OUR 200-BED FACILITY OFFERS: • Two 60-Bed Long-Term Care Units 36-Bed Subacute Rehabilitation Unit • 44-Bed Secured Memory Unit •

• Long • Respi

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www.GuntherPublications.com Post-Hospitalization Rehabilitati Personalized, Goal-Oriented Treat CALL OUR ADMISSIONS TEAM TODAY TO SCHEDULE A TOUR! Providing Exceptional Healthcare Since 1954 • SubacuteCare • Long-TermCare • SpecializedCare for the Memory Impaired inaSecuredUnit • FullyEquippedRehabGym withHydro- erapyPool • Physical&Occupational erapies 7DaysaWeek • OasisProgram • Re piteCare • HospiceCare • PalliativeCare • COPD • Medicare&MedicaidCerti ed • Private InsuranceContracts 609.448.7036 Call our admissions team today to sched OUR 200-BED FACILITY OFFERS: • Two 60-Bed Long-Term Care Units 36-Bed Subacute Rehabilitation Unit • 44-Bed Secured Memory Unit • 39 E. Mountain Rd, Hillsborough www.foothillacres.com THE GARDENS AT MONROE 189 Applegarth Road • Monroe, NJ 08831 thegardensatmonroe.com (908) 369-8711

Post-Hospitalization Rehabilitation Personalized, Goal-Oriented Treatment Physical Therapy • Occupational Therapy Speech Therapy • 24-Hour Nursing Staff Certified Dietitian • Long-Term Care Respite Care • Hospice & Palliative Care Religious Services • Kosher Kitchen Medicare, Medicaid and most insurances accepted

39 E. Mountain Rd, Hillsborough • www.foothillacres.com

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THE GARDENS AT MONROE