Monmouth's Ask the Doctor November-December 2018

Monmouth County’s Ask The DOCTOR THE HEALTH &WELLNESS MAGAZINE F R YOU ANDYOUR FAMILY HOLIDAY ISSUE NOVEMBER/DECEMBER 2018

Local Physicians Answer Your Health Questions

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ASK THE DOCTOR

NOVEMBER/DECEMBER 2018

KNEE PAIN Dr. Scott Paris

QUESTION: What’s the best way to treat knee arthritis? Consider a non-surgical treatment that really works!

O s teoarthritis of the knee is the #1 leading cause of disability in the U.S. Over 27 million people suffer with knee arthritis and that number continues to grow. With knee arthritis, the cartilage breaks down and wears away, leaving the bones to rub together causing pain swelling stiffness and limited range of motion. As the cartilage breaks down, the knee loses its lubricating fluid. We found that by replacing this lubricating fluid with a natural substance called Hyalgan, the lubrication is restored and many patients experience amazing pain relief.

DOES IT HURT? Many of our patients report that they feel little to no pain at all!We do everything possible to minimize any pain from the procedure, from pain relieving spray and a local anesthetic, to precision guidance that ensures we are always in the right spot. WILL MY INSURANCE COVER HYALGAN? This procedure is covered by most major insurance companies including Medicare. Our insurance department pre-verifies every patient. WHO WILL BE PERFORMING THE HYALGAN PROCEDURE? Dr. Scot Paris is the medical physician who performs the Hyalgan injection. Dr. Paris is trained as a general surgeon and has extensive experience with a variety of surgical procedures. With his conservative approach, he has excelled in the non-surgical treatment of knee pain with the use of fluoroscopy guided Hyalgan injections. SO HOW DO I KNOW IF YOUR KNEE PAIN TREATMENT PROGRAM WILL HELP ME? If you are tired of suffering with painful arthritis of the knee, and you want to see if the latest advances in non-surgical treatment can help, all you have to do is call 732-683-1800 to set up a risk free consultation. During the

WHAT IS HYALGAN AND HOW DOES IT WORK? Hyalgan is a natural lubricating fluid that acts as a lubricant and shock absorber inside the knee joint. The substance in Hyalgan is hyularonic acidwhich is normally found in high levels in healthy joints. Replacing the hyularonic acid with Hyalgan lubricates the joint and reduces pain. Hyalgan has been administered over 40 million times and has been proven to provide long-lasting relief of knee pain from osteoarthritis. WHAT IF YOU ALREADY TRIED KNEE INJECTIONS? If you have had injections like this in the past and experienced poor results, there is still hope! Many doctors in this area offer similar injections, but very few use precision fluoroscopy guidance. Fluoroscopy guidance ensures that the pain relieving Hyalgan reaches the knee capsule where it bonds with the joint fluid to create a lubricating and cushioning layer. Without fluoroscopy, it is estimated that doctors “miss” the capsule over 30%of the time resulting in poor results. We want each and every one of our patients to have the greatest chance of success, so every injection is done with precision fluoroscopy guidance to ensure that the Hyalgan gets into the capsule 100%of the time. Because of this, patientswho previously felt little to no relief with non-flouroscopy guided injection are now getting excellent results. The other “big difference” in our results is the multitude of other supportive care options that we have available to enhance the effectiveness of the Hyalgan procedure. These options include state of the art medical laser treatment, physical therapy, manipulation, corrective osteoarthritis bracing (takes pressure off the damaged section of the knee), and natural anti-inflammatory products. The combination of these treatments offers you what we feel is the most comprehensive non-surgical knee treatment program available.

consultation all of your questions will be answered in a warm and friendly environment. Knee replacement surgery is a very extreme measure to take without considering all of your other options first. Once it’s done there is no turning back. For that reason we encourage you to schedule an appointment to see if you are a candidate for Hyalgan treatment.

We are proud to offer our patients a comprehensive knee pain treatment program that includes the best non- surgical methods to relieve pain all under one roof. We look forward to having the opportunity to help you feel better. Take the first step in ending your knee pain and call to schedule an appointment today!

Dr. Scott Paris using precision fluoroscopy guidance to ensure the best results possible.

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NOVEMBER/DECEMBER 2018

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

Alzheimer’s Awareness By Lauren Kolacki Alzheimer’s is the most common form of dementia. It is a progressive disease that results in memory loss and other cognitive abilities that interfere with everyday life. In early stages, it is noticed that an individual will have trouble remembering newly acquired information. As the disease worsens, more difficulties present themselves as the individual becomes more confused and experiences additional memory loss. Those suffering from Alzheimer’s may not recognize it due to the cognitive changes they are experiencing, however, the symptoms will be present to family members and friends. As early diagnosis and intervention methods improve dramatically, so do treatment options and support resources. That is why spreading awareness regarding this mind-altering disease is so important, to be able to improve the suffering individual’s quality of life as much as possible. Alzheimer’s New Jersey is an organization dedicated to performing this exact operation. Additional funding is needed for Alzheimer’s research and resources so Alzheimer’s New Jersey is determined to get it. Their goal is to advocate for those who are affected by this heart breaking disease. Their mission is to respond to the needs of people in New Jersey who are affected by Alzheimer’s disease and other dementias, by providing programs and community partnerships that increase awareness and access to services. There are several programs run through the foundation that can be very beneficial to an individual with Alzheimer's or the people in their life. In addition to helping to advance research, Alzheimer’s New Jersey offers community-based support, assistance and education through their Helpline, Respite Care and Wellness Program, Family Support Groups and Education Programs for family caregivers and healthcare professionals.There are several opportunities to contribute to the fight against Alzheimer’s. Visit https://www.alznj.org for more information about volunteering, advocating, donating and/or walking.

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OUR DEPARTMENTS Health Articles and Q&A Pages ............................ 5 Your questions answered from local physicians, medical news and information As We Age ............................................................. 10 Articles and physician information just for seniors Kids’ Health ............................................................17 Information, news and expert advice to raising healthy children from pregnancy to 18 Men’s Health ......................................................... 23 Expert tips for Men’s health and fitness The Healthy Palate ............................................... 27 Recipes to enjoy and local dining options for eating out Healthy Home ....................................................... 32 Here you will find expert tips to make your home healthier, safe and fabulous Physician Profiles . ................................................ 36 Physician information, including credentials, to help you choose a doctor or find out more about a doctor that you go to now Healthy Mind & Soul ............................................ 38 Inspirational stories and advice on achieving mental balance and clarity Financial Health ..................................................40 Information, resources and news related to the health and well-being of your financial future I Am Beautiful .......................................................45 Everything from tips to trends Where to go in NJ for specialty services Diet & Fitness .........................................................51

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ASK THE DOCTOR

NOVEMBER/DECEMBER 2018

Komen CSNJ Volunteer Melanie Gibson Shares Passion to be MORE THAN PINK By Megan Romanczuk

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

Volunteers at Susan G. Komen Central and South Jersey (Komen CSNJ) play a vital role in our community, dedicating countless of hours and commitment to raise funds and awareness for breast cancer. Without the efforts of their passionate hearts, we would not be able to accomplish all we do. Today, we are shining our spotlight onMelanieGibson, star volunteer for the fight against breast cancer. She helps manage LOLA’s in Manalapan, New Jersey, and began her journey with Komen CSNJ through this role. “LOLA’s styled the fashion show at the 2016 Pink Power Party at iPlay America with Komen CSNJ,” said Gibson. “This is where I fell in love with the mission along with the staff and other volunteers, and of course the survivors.” Since then, Melanie has continued volunteering for Komen CSNJ and enthusiastically lends a hand whenever she can. She has continued to model for the fashion show at the Pink Power Party each year, while helping with event publicity and promotion on social media. One of Melanie’s favorite volunteer memories has been working the 2017 Race for the Cure, where she used her sales skills and bubbly personality to help sell Komen CSNJ swag on event day with her co- worker Jeanine. Seeing the survivors and those living with metastatic breast cancer at the event “gleaming with hope” as they walked together in the survivor procession was an incredible moment for Melanie, one that still resonates with her.

“It made me feel like no matter what happens in life there’s always a light at the end of the tunnel, and although the path to get to it may be rough, the outcome is all worth the while,” said Melanie. Being a Komen CSNJ volunteer has been an amazing experience for Melanie, allowing her to meet new people while helping those who’ve been through the most unimaginable struggle—breast cancer. “Volunteering for Komen CSNJ makes me feel like I am contributing as much as I can in the fight to end breast cancer,” said Melanie. “By volunteering, it makes me feel like we can all do a small part in trying to raise awareness and end this disease forever.” Melanie is looking forward to being part of the MORE THAN PINK Walk as a volunteer on Sunday, November 4 at Six Flags Great Adventure. You’ll see her big smile at the Komen CSNJ merchandise tent once again! She is looking forward to seeing the Komen CSNJ staff and event participants, while celebrating the “sea of survivors and their family surrounding them with love and support on a day that we honor them and fight for those who lost their battle to the disease.” For those interested in getting involved, Melanie wants you to know that your time, effort and dedication make a true difference. “At the end of the day after a long event, it feels amazing knowing that I could have possibly made a small impact on the fight to end breast cancer,” said Melanie. The Komen CSNJ team is thankful for Melanie’s incredible dedication and passion. Join Melanie and other volunteers at this year’s MORE THAN PINK Walk on Sunday, November 4 at Six Flags Great Adventure. Learn more: komencsnj.org/25years

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QUESTION: How does The Mona Lisa Touch counteract vaginal dryness? V aginal dryness is extremely common during menopause. It’s just one of a collection of symptoms known as the the size of the vagina. The Mona Lisa Touch is a new therapy for the treatment of vaginal dryness that is non hormonal, non medication and non surgical using a gentle laser. Dr. Simigiannis is one of the leading gynecologists in the nation using this new procedure.

genitourinary syndrome of menopause (GSM) that involves changes to the vulvovaginal area, as well as to the urethra and bladder. These changes can lead to vaginal dryness, pain with intercourse, urinary urgency, and sometimes more frequent bladder infections.

Dr. Helen Simigiannis, MD, FACOG

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These body changes and symptoms are commonly associated with decreased estrogen. However, decreased estrogen is not the only cause of vaginal dryness. It is important to stop using soap and powder on the vulva, stop using fabric softeners and anticling products on your underwear, and avoid wearing panty liners and pads. Vaginal moisturizers and lubricants may help. Persistent vaginal dryness and painful intercourse should be evaluated by your healthcare provider. If it is determined to be a symptom of menopause, vaginal dryness can be treated with low-dose vaginal estrogen, or the oral selective estrogen-receptor modulator ospemifene can be used. The Mona Lisa Touch is a new therapy for the treatment of vaginal dryness that is non hormonal, non medication and non surgical that has been FDA-approved using a gentle laser. Regular sexual activity can help preserve vaginal function by increasing blood flow to the genital region and helping maintain

Adolescent & Routine Gynecology Menopause

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

Urinary Incontinence Endometrial Ablation Birth Control

Q:

Did you know the change in seasons can affect your mood? Now that the cold, darker, winter weather is upon us, you may be starting to feel different than you did during the summer months. The atmospheric pressure is changing and that can be a contributing factor to you experiencing headaches, sinus congestion, muscle aches and soreness, increased joint pain and stiffness and even trouble sleeping and concentrating. Over the next several months when there is less sun light, there is less vitamin D readily available for our bodies to absorb – this can contribute to a more sluggish feeling during the day and a less restful sleep at night. Chiropractic manipulation can help to keep your nervous and immune systems functioning the best they can, which can make a huge difference, especially during the change of seasons. If you find yourself or anyone you know beginning to suffer as we head into winter, please give me a call! REMEMBER - KEEP YOUR SPINE IN LINE AND YOU’LL BE FINE! IN GOOD HANDS CHIROPRACTIC CENTER, LLC • 609-924-9331 330 N. Harrison Street, Suite 6 • Princeton, NJ 08540

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ASK THE DOCTOR

NOVEMBER/DECEMBER 2018

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

Think Vaping is Safer than Smoking? 10 Reasons to Reconsider By Robert Pedowitz, DO

When a patient asks if vaping is safer than smoking, I tell them that neither is safe, potentially pose health risks, and that both habits should be broken. While vapes—also called vapor cigarettes, electronic ciga- rettes, or e-cigarettes—have been marketed as a safer alterna- tive to smoking traditional cigarettes, there hasn’t been enough research for me to safely tell my patients that it is indeed safer. A Closer Look at Vaping A vape is an electronic device that simulates the feeling of smoking tobacco by heating a liquid to generate an aerosol, called a “vapor,” that the user inhales. The liquid in the vape, called e-liquid or e-juice, is usually made of nicotine, propylene glycol, glycerin, and flavorings. The U.S. Food and Drug Administration has yet to regulate e-liquid ingredients, study the safety of inhaling these prod- ucts, or deem that e-cigarettes are a safer alternative to smoking cigarettes. While the agency is expected to release guidelines, they are a few years off. Because there isn’t data on how these substances can affect your body, it’s difficult for me to advise my patients about their use. What I do know is that several aspects of these products have been proven unsafe in other uses: 1. Nicotine: Most e-juice formulations include nicotine, which we know is harmful and addictive. It can cause de- lays in brain development if used at a young age, leading to attention deficiency, learning, and mood issues. 2. Propylene glycol: We know that this chemical—even if a person is only exposed occasionally—can cause throat or eye irritation, and inflammation of the lung. 3. Flavors: With tasty-sounding flavors like cotton candy, butterscotch, and blueberry cheesecake, many e-cigarette companies are aiming to attract teens, whose bodies are still developing. Because vaping businesses aren’t required to reveal the chemicals in these flavors, we simply don’t know what our children are inhaling—and the long-term effects of their use. While the Flavor and Extract Manufac- turers Association have regarded some of the chemicals in flavors as “safe,” the majority of data doesn’t look at how the body reacts when the chemical is inhaled, as opposed to ingested in a less-intense quantity in a food product. 4. Aldehydes: Some flavors contain aldehydes, a compound of carbon, hydrogen, and oxygen. The most common com- pound in this group is formaldehyde. Most versions cause inflammation of the respiratory tract and, with exposure over time, have been linked to cancer. 5. Diacetyl: The use of this chemical, which simulates the taste and smell of butter, has been linked to a condition called popcorn lung. It has been found to cause damage to the lung, particularly inflammation of the lining of the lungs, causing them to look like popcorn. Despite being outlawed for use in microwave popcorn, diacetyl is still used in many e-cigarette flavors, including vanilla, maple,

and coconut, as well as alcohol-flavored, candy-flavored, and fruit-flavored varieties. 6. Cannabis use: Some flavors can include cannabis oil, which is derived from the cannabis plant, the same source as marijuana. The use of cannabis oil in vapes is not yet regulated. Aside from the addictive properties of cannabis, there’s also a danger if the plants have been grown using herbicides and pesticides, which can become concentrated when inhaled, increasing cancer risk. 7. Addictive properties: The flavors used in vapes can alter the rate of nicotine absorption due to the pH balance of the liquid. For example, strawberry e-juice has higher pH level, so the rate of nicotine absorption is accelerated. If your goal is to ween yourself off of nicotine, you could be inhaling more nicotine while vaping, not less. 8. Secondhand affects: The aerosol generated by vapes can contain droplets of nicotine and other toxins that have been linked to cancer. 9. Liquid dangers: e-cigarette juice can cause poisoning when ingested, so it’s important to keep them away from young children. They also can damage the skin. 10.Explosion risk: Vapes have the potential to explode, since the devices feature condensed air (think of an aerosol spray can) and a heating element. Kids and Vaping More than 25 percent of children and teens in middle school and high school have admitted to trying vaping, according to the U.S. Surgeon General. Is vaping a gateway product to stron- ger drugs? Maybe. There is evidence that cannabis use in all forms is on the rise among this impressionable age group. Further, a study published in the Journal of the American Medical Association in 2016 found that of adolescents who said they vaped, the activity was associated with a higher risk of more frequent and heavy smoking among study participants six months later. The bottom line is that smoking—whether cigarettes, vapes, hookah, recreational marijuana, or cigars—is bad for your health. At least with traditional smoking I have a solid body of evidence I can use to guide care and prescribe tools to quit. There is no body of knowledge on vaping, so my ability to care for its side effects is limited. If you think you have a smoking-related medical condition or are interested in quitting, contact your primary care physician. Dr. Robert Pedowitz is board-certified in family medicine and is a doctor of osteopathic medicine. He is the medical director of Family Practice of CentraState, which has offices in Freehold, Jackson, East Windsor, Colts Neck, Marlboro and Monroe. He can be reached by calling 866-CENTRA7.

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ASK THE DOCTOR

NOVEMBER/DECEMBER 2018

A S W E A G E

Taking Care of Your Knees at Every Age The knee is the largest joint in the body, making it vulnerable to a wide range of problems. Being aware of these prob- lems and how to prevent them can help keep your knees healthy throughout your life, says Frederick Song, MD, an ortho- pedist on staff at Princeton Medical Center (PMC). OVERUSE INJURIES: In young athletes, overuse injuries are increasingly common, including patellofemoral syn- drome, a dull pain caused by irritation under the knee cap. These injuries are often caused by playing the same sport year- round, which weakens muscles that protect the knee. Playing different sports during different times of the year can help prevent injuries by working different muscle groups. “The number one way to treat overuse injuries is to temporarily stop playing that sport, and work on a supervised strengthening program”, Dr. Song says. “It’s hard for parents and athletes to commit to stopping, but it can prevent more serious problems.” TRAUMATIC INJURIES: Injuries from stopping or changing directions too quickly, or colliding with someone, are common in youth athletes as well as young and middle-aged adults. These injuries include ligament tears and tears of the meniscus, which acts as a shock absorber between knee bones. Adults who participate in sports should also vary their activities and perform exercises to strengthen the hamstrings and quadriceps — muscles that support the knee. Keeping your core muscles strong is also essential for injury prevention. For tears, treatment usually involves surgery to remove or repair the damaged meniscus or reconstruct the ligament. DEGENERATIVE INJURIES: In adults over 50, the most common knee problem is osteoarthritis, the gradual break- down and loss of cartilage. It’s difficult to prevent arthritis, but keeping your weight down, strengthening the muscles surrounding the knee and focusing on low-impact exercises such as swimming and biking can help. Osteoarthritis is first treated conservatively with physical therapy and anti-inflammatory medication. Second-line treatments include injec- tions to reduce pain or improve lubrication in the knee. “If a patient exhausts these treatments and continues to have pain that affects their daily activity,” Dr. Song says, “then we discuss knee replacement.” When to See a Doctor Sudden pain and swelling due to injury should be evaluated as soon as possible. Swelling that comes on gradually and doesn’t improve in a matter of days with rest and ice, should also be brought to your doctor’s attention. PMC offers a full range of services to help patients return to active, comfortable living, and is rated as High Performing in hip and knee replacement by U.S. News & World Report.

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A S W E A G E

Monmouth Crossing Receives its seventh consecutive Advanced Standing distinction MonmouthCrossing, CentraStateHealthcare System’s senior assisted living community, has received its seventh consecutive Advanced Standing distinction from the New Jersey Department of Health and Senior Services. Designed to elevate quality, the Advanced Standing program is a voluntary program open to all licensed assisted living facilities and comprehensive personal care homes in New Jersey. Monmouth Crossing received this distinction by demonstrating compliance with all local, state and federal regulations and submitting quality data that reached benchmarks set by its peers. Quality standards that assisted living facilities must demonstrate to receive this distinction include ongoing employee training and high resident and family satisfaction scores. Only those facilities that meet these qualifications are eligible for the certification. Heleyne Gladstein, administrator of senior services explains, “This award is a great testament to our level of service and recognizes the compassionate care that our residents and their families have come to expect from the staff at Monmouth Crossing.” Monmouth Crossing offers apartments including studio, one and two-bedroom designs. Residents at Monmouth Crossing receive a personalized care plan created by registered nurses, and services are customized to meet each resident’s needs andpreferences. The community also offers separate residential services for seniors with memory disorders. Residents actively plan social and cultural programs, local and regional trips, holiday celebrations and oversee their own community governance. For more information about Monmouth Crossing, call (732) 303-8600 or visit www.monmouthcrossing.com.

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NOVEMBER/DECEMBER 2018

A S W E A G E

The Lights are Always On

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Caring Connections of New Jersey By Lauren Kolacki

As Sheli Monacchio attended another networking event, she couldn't help but think, “There has to be a more efficient way to bring professionals together for the right reasons.” The issue with these events is that by the time the group got through formalities and introductions, there was not enough time to make any further connections with other professionals. As Sheli brainstormed, it occurred to her, a networking organization that would connect health care professions with educating seniors. She acted on that idea and in 2011, she founded Caring Connections. Caring Connections is a nonprofit organization, soon to be a 501(c)(3), that provides education to seniors, over 65, and their families, as well as, lend support to those professionals that provide them with healthcare and other services. Alongside Sheli, President and founder, is Linda Mundie, Vice President, Cris Brown, Secretary, and Katie Chambers, Treasurer. Since 2011, Caring Connections has created a network of over 600 qualified healthcare professionals and has expanded into seven counties; Monmouth, mercer, Middlesex, Ocean, Somerset, Burlington and Buck County, Pennsylvania. In 2019 they plan to spread into Union and Camden county. The Goal of Caring Connections is to educate seniors in the community and provide reliable resources to them. By doing so, Caring Connections hopes to put a halt to seniors haphazardly googling, looking for guidance. When they end up on the internet, they put themselves at risk for scams and fraud- ulence. There is also a Speaker's Bureau that focuses on educating seniors, their family members and the health care professionals who serve them. The speakers are experts in their field and are available to speak at facilities, senior centers, senior community clubs and local libraries and public spaces. Their "educa- tion only" approach is welcomed by seniors, professionals, families and caregivers throughout New Jersey and Pennsylvania. "Education only”, meaning they will not use this time to solicit seniors but to share community events, and topics on educating seniors and their families on resources that are avail- able to them before a crisis hits. The members of Caring Connections provide care from the heart while staying up to date with the best practices and building relations with other quality health care professionals. Once a month a meeting is held where your entry fee is a can of food (to be donated). This is an opportunity for the health care professionals to network with one another. The biggest change to this group is opening the website to seniors. If they need a speaker on anything from 'safety in the home' to 'how to pay for a nursing home', they now have access to find their topic of choice and are able to request a speaker. There is also social media available where they can post in the group or privately message other members. This acts as a great support system for those who may need it. If seniors have access to resources and prior education, they will be prepared, in the event of a crisis, that is why Caring Connections is so important. Seniors and family members can find these resources or additional information at https://caringconnectionsnj.org or on their Facebook group called New Jersey Resources for Seniors-CCNJ where they can post questions and have professionals and other members provide a great support system for those who need it.

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• 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 •

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ASK THE DOCTOR NOVEMBER/DECEMBER 2018 Post-Hospitalization Rehabilit Personalized, Goal-Oriented Tre CALL OUR ADMISSIONS TEAM TODAY TO SCHEDULE A TOUR! (908) 369-8711 39 E. Mountain Rd, Hillsborough www.foothillacres.com (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. 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Mo ntain 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 • RespiteCare • 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 • Occupational Therapy Speech Therapy • 24-Hour Nursing Staff Certifi d Dietitia • Long-Term Care Respite Care • Hospice & Palliative Care Religious S rvices • Kosher Kitchen Medicare, Medicaid and most insurances accepted • Post-Hospital Nur ing and Therapy • Long-Term C re • Respite Care 609.448.7036 Call our admissions eam t d to schedule a tour! • Post Nur The • Lon • Res 609.448.7036 Call our admissions team today to sche 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. 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Mountain Rd, Hillsborough • www.foothillacres.com George Julius Poiani Jr, MD 245 Union Avenue Suite 2c Bridgewater, NJ, 08807 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 (908) 369-8711 OUR 200-BED FACILITY OFFER • 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 Post-Hospi alization Reh bilitation 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 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 OUR 200-BED FACILITY OFFER • Two 60-Bed Long-Term Care Units 36-Bed Subacute Rehabilitation Unit • 44-Bed Secured Memory Unit • George Julius Poiani Jr, MD 245 Union Avenue Suite 2c Bridgewater, NJ, 08807 THE GARDENS AT MONROE

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TENDER SMILES

Amazon Echo for Parenting By Lauren Kolacki Technology advancements have changed the way the world operates. Some nostalgic adults fear their take over, while others have decided to take them for all they are worth. If there is an opportunity to decrease the amount of effort that is required every day, even the slightest bit, shouldn't we take advantage? In 2014, Amazon created a hands-free speaker you control with your voice, the Amazon Echo. Echo connects to the Al- exa Voice Service to play music, make calls, send and receive messages, provide information, news, sports scores, weath- er, etc. As if those features weren’t good enough, individuals claim that Alexa is now even helping them parent. “Alexa, set timer.” Alexa’s clock feature is able to set timers to remind your children that it’s time to start their homework or take their medicine. It can put a cap on screen time or be their morning alarm. Alexa also has an, “Out the Door” skill, which keeps kids on track in their morning rou- tine and even makes it fun. “Alexa, settle a dispute.” Alexa has a “Kids Court” skill, which allows children to work out their disagreements. The people involved each tell Alexa the problem. She suc- ceeds with questions and encouragement to talk the children through the situation. “Alexa, tell a story.” Alexa reads aloud audio books from audible. If you ask, she’ll tell your children a captivating fairy tale or spooky horror story. Alexa even tells interac- tive tales that you influence by answering questions, playing a character, or even directing the action. “Alexa, play a game.” There are several child-friend- ly games to entertain your children for hours. Your classics, such as, bingo, tic tac toe and rock, paper, scissors to more specific such as, an escape room, Mickey Mouse adventures and a detective’s case. “Alexa, play a song.” Some parents have Alexa play the clean-up song when it’s time to put their toys away or play an uplifting dance playlist to prompt a homework break. Music can make waking up or doing chores more desirable.

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Tips on Surviving the Holidays as Separated Parents By Joely Phenes The holidays can be an especially hard time for families of divorce. The time of year can be very stressful for par- ents in terms of planning. If you are a divorced or sepa- rated parent, here are some tips on surviving the holidays: Split the holidays up: If you and your ex-spouse live close-by, you can try splitting the holidays up. For exam- ple, have the kids spend Christmas Eve with one parent and Christmas Day with the other. However, if you live far apart, it can be difficult to transport the kids back and forth. Instead, you can take turns hosting the major holi- days like Thanksgiving and Christmas. Spend the holidays together: If the two of you are on good enough terms, you may want to spend the holidays together. Although this is probably not your ideal situa- tion, the kids will be happy to be with both parents. How- ever, if this creates arguments and negativity, this may not be the best option. FaceTime: Sadly, not all parents live close enough to their children to see them during the holidays. Thankfully tech- nology allows you to spend time with people who may be hundreds of miles away. FaceTiming your loved ones cer- tainly does not replace seeing them in person, but it is a good substitute. Traditions: Just because your family is not the same as it always was does not mean you have to give up old tradi- tions. You can still decorate your Christmas tree together, play some games of dreidel, or do whatever you have al- ways been doing. But if your current situation doesn’t al- low for these traditions, don’t force them. Try and come up with new traditions; they will help you and your children get used to the new family situation and feel optimistic about future holidays.

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