Princeton's Ask The Doctor Jan-Feb 2019

The Greater Princeton Area Ask The DOCTOR The Health &Wellness Magazine For You And Your Family WINTER ISSUE JANUARY/FEBRUARY 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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Vol.2 No. 3

American Heart Month By YMCA of Western Monmouth County

February is American Heart Month, and as a leading community-based organization committed to improving the nation’s health, the Old Bridge Y urges everyone in the community to get a blood pressure screening. High blood pressure is often referred to as “The Silent Killer” because there are typically no warning signs or symptoms. Killing about one-in-four women, heart disease is the leading cause of death in the United States for men and women. High blood pressure, high LDL cholesterol, and smoking are key risk factors for heart disease. About half of Americans (49%) have at least one of these three risk factors. Several other medical conditions and lifestyle choices can also put people at a higher risk for heart disease, including diabetes, overweight and obesity, poor diet, physical inactivity and excessive alcohol use. While high blood pressure and heart disease are serious conditions, the good news is that a healthy heart is an achievable goal through lifestyle changes. The Y offers the following tips to help families be heart healthy. 1. Get Physical: Being physically active every day is fun and can improve the function of your heart. 2. Take a Snooze: Lack of sleep can be associated with elevated cholesterol and blood pressure. Adults need at least seven, but no more than nine hours of sleep at night to aid with the prevention of heart disease. Children need 10-12 hours of sleep per night. 3. Shape Up Those Recipes: Makeover your family’s favorite recipes by reducing the amount of salt and saturated fat and substituting a lower fat food without sacrificing tastes. 4. Feeling the Pressure: Revised blood pressure guidelines from American Heart Association mean that nearly half of all Americans (46 percent) have high blood pressure. Lowering or maintaining normal blood pressure can greatly reduce your risk for heart disease and stroke. Start self-monitoring your blood pressure and know the numbers. Discuss the results with you doctor if needed. Wear red and visit the Freehold Y at 470 East Freehold Road on Friday, February 1, for a Go Red Weigh Hard Workout at 10:30am. For more information about how the Freehold Y can help keep you heart healthy, visit www.ymcanj.org.

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JANUARY/FEBRUARY 2019

FAMILY GENERAL DENTIST

666 Plainsboro Rd., Suite 645 • Plainsboro, NJ 609-275-0022 • Drpaterson@comcast.net www.plainsborodentalarts.com ALL ages, and ALL aspects of dentistry! INCLUDING COSMETIC AND IMPLANT DENTISTRY

Peter Paterson, DMD Kimberly Minassian, DMD Ariane Seto, DMD

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

A:

Allison J. Scharf, DC

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“There Is No Place Like Home”

Infinity Health Care Services, LLC provides non-medical home health and personal care services to seniors, elderly, mentally challenged and physically challenged adults. Through coordinated care and support for clients and their families, Infinity Health Care Services, LLC enables individuals to remain in the safety and comfort of their own home environments for as long as possible. Infinity Health Care Services, LLC also serves clients transitioning back home from assisted living settings or from a hospital, nursing home or rehabilitation facility. Our clients have peace of mind knowing that we are dedicated to their satisfaction and quality of life. We have experienced home care professionals to assess your needs and provide quality care. We evaluate and communicate your preferences to our nurses, aides, and caregivers matching you with those best suited to meet your needs. Explore Your Options Today!

100 Overlook Center 2 nd Floor • Princeton, NJ 08520 609-375-2159 • www.infinityhealthcareservices.com

Have a Heart?!

Valentine’s Day conjures up images of all types of hearts…candy-shaped hearts, flowers shaped like hearts, and other heart shaped decorations aplenty. It is a day when we celebrate love! But, what about the hearts we love the most…our elderly friends and relatives! As people age, they are increased risk for heart disease, and what many do not know is that heart disease is the number one killer of people over 65. In addition, heart disease is the number one cause of death in the United States. Fortunately, aging does not have to automatically mean heart disease or even premature death or disability from it. Therefore, as we approach Valentine’s Day, help a senior friend or family member, learn a few heart healthy tips that will help them lower their risk of heart disease and avoid heart problems in the future. Although we can’t change some risk factors such as family history, sex, or age, there are some key heart disease prevention steps that will reduce their risk. Here are nine heart disease prevention tips that will get them started. 1. Don’t use any type of tobacco and don’t smoke. 2. Exercise at least 30 minutes on most days of the week 3. Eat a healthy diet that is rich in whole grains, fruits and vegetables. 4. Avoid salt and refined sugar. 5. Limit intake of fried foods, packaged snack food, margarine, red meat, full fat dairy products and coconut and palm oils. 6. Maintain a healthy weight. 7. Get enough quality sleep 8. Manage stress 9. Get regular checkups Finally, in this season of love, have a heart and make sure the ones you love stay heart healthy so we can love them and have them with us for a long time to come. Happy Valentine’s Day.

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JANUARY/FEBRUARY 2019

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

Susan G. Komen and iPlay America Team Up in the Fight Against Breast Cancer with the Fourth Annual Pink Power Party Event iPlay America will host the fourth annual Pink Power Party fundraiser benefitting Susan G. Komen Central and South Jersey (Komen CSNJ) at The Event Center @iPA in Freehold, NJ on Thursday, March 21, 2019. This ladies’ night out event will feature shopping and vendors, live entertainment and plenty of pink, supporting Komen CSNJ’s mission to end breast cancer forever. “The Pink Power Party promises to be an excellent opportunity for dedicated supporters of Susan G. Komen Central and South Jersey to come out and have a truly fabulous evening at The Event Center @iPA, while carrying on the vital and important work the group does for New Jersey,” said Jessica Schwartz, vice president of sales and marketing at iPlay America. This event will raise funds for life-saving breast cancer services within the community including mammograms, diagnostic services, transportation services and breast cancer education. “We are grateful to iPlay America for hosting the Pink Power Party once again this year, with the hopes of bringing together women of all ages and raising money for our community,” said Suzanne Corson, executive director of Susan G. Komen Central

and South Jersey. “We are thrilled to have this exciting opportunity to connect with women in our service area and help make an impact in the fight against breast cancer.” Attendees can enjoy a complimentary cocktail and a buffet dinner. Xtreme Event Group will keep the music going all evening long. Selfie Snapshots’ photo booth will be filled with pink, making memories for guests. LOLA’S Boutique of Manalapan will style a fabulous fashion show with looks from day to night. The dancers of Dancin’ on the Edge, Manalapan, will have some special performances planned. This event is sponsored by Gunther Publications and Rebecca Proske, CFP, Branch Leader of Charles Schwab in Freehold, NJ.

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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 .............................................................. 11 Articles and physician information just for seniors Kids’ Health & Camp .............................................18 Information, news and expert advice to raising healthy children from pregnancy to 18 Men’s Health .........................................................30 Expert tips for Men’s health and fitness The Healthy Palate ............................................... 32 Recipes to enjoy and local dining options for eating out Healthy Home ....................................................... 35 Here you will find expert tips to make your home healthier, safe and fabulous Healthy Mind & Soul ............................................40 Inspirational stories and advice on achieving mental balance and clarity Financial Health ..................................................42 Information, resources and news related to the health and well-being of your financial future I Am Beautiful ....................................................... 47 Everything from tips to trends Where to go in NJ for specialty services Diet & Fitness ........................................................ 52

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Monmouth County’s ASK THE DOCTOR The Greater Princeton Area ASK THE DOCTOR THE MILLSTONE TIMES

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A BETTER, FASTER HEALTHCARE ALTERNATIVE

HAVING HAND PROBLEMS? TAKE CAREOF YOURHANDSBEFORE IT'S TOO LATE! Hand Injury-Surgery or Impairment Can Be Complicated! And May Result in Permanent Loss of Hand Functions. Don't Play with Your Hands.. NOT THIS TIME!!!

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Located in: Edison NJ, Freehold NJ, and Old Bridge NJ Always seeks a Diagnosis from a specialized Hand Surgeon and Rehabilitation by a Certified HandTherapist. PRESCRIPTION FROM HAND SURGEON IS REQUIRED

www.ablehandsrehab.com For information call 732-727-7333

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

Helping The Family Cope With Winter Allergies By Cassandra Mayall

More than 50 million Americans struggle with allergies every year. Many of these allergies occur in the winter, but are easily mistaken for a cold as the symptoms can be similar, but it’s important to distinguish between the two. Pollen isn't just an issue during spring and summer; in fact some plants pollinate in the winter, but additionally other indoor allergens can be problematic too. Avoiding The Cold Another trigger for winter allergies is the simple fact that people spend more time indoors to keep warm. Air indoors has been found to be two to five times more polluted indoors than outdoors, directly impacting your health. Commonly used cleaning products that contain chemicals add a lot of pollution to the air indoors and can trigger allergy symptoms, such as skin irritation, headaches and a runny nose. Children are more sensitive to chemicals in products, so try to use them when they’re not home or in a different room and open windows to improve the air quality. Even better, switch to natural cleaning products to avoid the issue altogether, which can be bought or made at home. Cedar Fever

It’s inevitable that you’ll spend time outdoors in the winter, where pollen can still get the better of you. Cedar pollen is responsible for a lot of winter allergies, pollinating between December and March. It gives off such large amounts of pollen that the trees look like smoke is coming off them. They mainly grow in South and Central Texas, but high winds in the winter can spread the pollen great distances, affecting many people on its way. Symptoms are similar to hay fever, such as congestion, runny nose and itchy eyes, earning it the name cedar fever. Winter allergies are common, so it’s important to understand if your symptoms are caused by a cold or an allergen. Identifying the trigger means you can avoid it and manage your symptoms, which will make you feel a lot better throughout the colder months.

I CAN SAVE YOUR TEETH

QUALITY HOME CARE YOU CAN TRUST We include everything from companionship, meal preparation, medication reminders, shopping and errands, light housekeeping and laundry, to personal care and help with bathing and dressing.

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

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

HCSF License# HP0276400

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Consulting • Coaching • Motivational Speaking

H E A L T H A R T I C L E S A N D Q & A Lastly, people are living longer; higher rates of illness and disabilities are expected to increase dramatically. Medicare and pharmaceutical benefits continues to shift to a cost sharing platform. There are coverage gaps embedded into Medicare plan designs and healthcare disparities exist among seniors; which leaves the average consumer financially exposed. No worries....Help is on the way!! We have a staff of professional certified insurance consultants with decades of experience and specializes in designing, underwriting, S eniors are working past age 65 and employers are looking for ways to provide affordable health care benefit coverage for a diverse population of staff. According to the U.S. Bureau of Labor Statistics, about 40 percent of people ages 55 and older were working or actively looking for work in 2014. The labor force participation rate, is expected to increase fastest for the oldest segments of the population-most notably, people ages 65 to 74 and 75 and older-through 2024. In addition, most seniors find it frustrating and difficult to compare Medicare plans designs due to the overwhelming amount of information they receive. Their inability to organize or process the information needed to determine plan options can be overwhelming. Our Fight For Life “Together We Can Survive”

negotiating and implementing, strategic employee benefits programs for a diverse population of staff. We provide expert guidance to employers with 2 - 100 employees, underserved men, women and seniors transitioning onto Medicare to gain equal access to affordable healthcare, clearly understand their coverage options and make informed coverage decisions designed to save time and money. Our staff have a clear understanding

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

of the healthcare rules, regulations and state mandates and help our clients to maximize benefit potential working within the four corners of an enforce healthcare contract. We focus on proactive effective strategies and proper risk management planning designed to maximize healthcare benefits providing equal access to healthcare while managing out of pocket cost. To learn more contact us:

(800) 220-7491 • F: (732) 960-5207 INFO@OURFIGHTFORLIFE.COM WWW.OURFIGHTFORLIFE.COM

Schedule Your Appointment Today!

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

For more information feel free to contact: Dr. Helen Simigiannis, MD, FACOG Antheia Gynecology 375 US Highway 130, Suite 103 East Windsor, NJ 08520 Next to the Americana Diner 609.448.7800 www.antheiagyn.com

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

Urinary Incontinence Endometrial Ablation Birth Control

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

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WHAT IS FLOATING? A floating session is a luxurious escape from the constant stress of life’s daily pressures. You can leave the noise and confusion behind, and for the first time in your life, experience Total relaxation and deep healing in your private, peaceful space. An extremely powerful tool for Im- proving health; floatation spa therapy has been found to consistently provide great relief frommental and physical stress, fatigue, chronic pain and arthritis. Virtually every person who has integrated floatation into their lifestyle has benefited from one or more of the following health benefits; lowered blood pressure, improved sleep, improved concentration, enhanced creativity and relaxation. Floating sessions have also aided in producing positive behavior changes such as; losing weight and quitting smoking. EXPERIENCE WEIGHTLESSNESS Doctors have observed that maintain- ing the body erect against the force of gravity creates stress on the spine and joints and may be part of the cause of arthritis and other uncomfortable condi- tions. By allowing the body to float, this stress is temporarily alleviated, there- by allowing muscles and joints to relax and heal faster. No training, prepara- tion or skill is required. You cannot sink. Anyone, regardless of body type, will float like a cork, effortlessly on top of the heated epsom salt water solution. PRINCETON HEALTH INTEGRATION CENTER F LOATAT I ON THERAPY

Introductory Special $20 OFF YOUR FIRST 1-HOUR FLOAT! At Princeton Health Integration Center

Salt Spring Mineral Spa ™ Large enough for you and a therapist or a close friend

ENHANCE PERFORMANCE By relaxing the analytical side of your mind, floating induces whole brain thinking where we can become more creative and expressive. In this environment our ability to absorb information and achieve desired goals are enhanced through visualization and positive thoughts. Athletic coordination and performance is improved through greater stamina, speed, strength and quicker recovery time from intense workouts. Floatation spa therapy is recommended by sports trainers and used as a high-tech training tool by triathletes. REJUVENATION Based upon the therapeutic powers of the mineral rich Dead Sea, the Epsom salt used in flotation spa therapy draw toxins to the surface of your skin giving your body a powerful systematic detoxification. Mineral spa therapy helps to strengthen your immune system, triggers the release of endorphins and reduces the level harmful biochemicals in your body. Floaters speak of seeing things anew and describe the world as fresh, glowing, intense and more vivid. You become stronger, healthier and happier. THE MEDICAL COMMUNITY A survey of family physicians found that half of those surveyed regularly prescribe some form of alternative therapy or have tried it themselves. The American Medical Association recently suggested that its 300,000 members “be- come better informed regarding the practices and techniques of alternative or unconventional medicine.” Medical research includes numerous studies on the healthful benefits of floating. YOUR FIRST FLOAT As you enter your secluded mineral spa, your body is gently cradled by the warm salt water. You are instantly weightless, floating peacefully and effortlessly on your back. Enjoying the freedom from the light, noise and gravity, your body relaxes and releases the tension it holds. Your mind stops chattering and brain wave activity is reduced, resulting in a deep state of mental and physical relaxation. You are now in a stress-free world of limitless potential, unaware of time and space. Your healing has begun. While floating motionless, feel what goes on inside your body, mind and spirit. In this loving, accepting and supportive atmosphere, you are free to think, be or feel whatever you wish. An hour passes like several minutes. As if awakening from a deep sleep or therapeutic massage, you are renewed and relaxed. Come out glowing and radiant. Your skin is toned and refreshed. Your mind is clear and alert. Tonight, you will sleep deeply and comfortably. A feeling of well-being will stay with you for days. OUR SPA FACILITY Over forty years of research and engineering has gone into the design of mineral spas. Our therapeutic envi- ronment is safe, healthful and fun. We are part of an alliance of facilities around the world who have chosen The Salt Spring Mineral Spa™ open environment. It is luxuriously arranged spa, easy to use, complete with private shower, dressing area and all amenities for your comfort and enjoyment. Our spa is sanitary; purified before and after every visit with a powerful ozone generator. Of particular interest is the five by eight-foot size spa itself, large enough for two people; which has a high ceiling, Fresh air vent, sliding door and controlled light and music. This state-of-the-art design lends to the feeling of spaciousness and comfort. A complete orientation, including a short video is provided. We are located near the intersection of 518 and 206, just four miles north of Princeton. Call 609-924-7337, for more information, gift certificates, or to schedule your float. 952 ROUTE 518 • SKILLMAN, NJ 08558 • WWW.PRINCETONHIC.COM

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

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

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

Medicaid/HMO/DDD

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!

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

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

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OUR DOORS ARE NOW OPEN! ALLAIRE’S NEW SUBACUTE UNIT delivers clinical excellence & a level of luxury unmatched in the area.

TELEMEDICINE To assure 24/7physiciancare for our patients, we now offer

A S W E A G E

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RESORT-STYLE REHABILITATION I N T R O D U C I N G

Our hotel-like setting & amenities include: • Magnificent, Spacious Patient Suites • 12 Private Rooms • Large Flat Screen Smart TVs • Bluetooth Speakers • Sleeper Sofa, Desk & Refrigerator in Larger Suites • Concierge Service

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Reserve your PRIVATE SUITE TODAY!

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Accepting most insurances including Horizon Medicare.

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Get To Know Your Local Rehab &Nursing Facility By Eryn Giuliano Allaire Rehab + Nursing is a Special Care Nursing Facility that provides world class Sub Acute Rehab in a beautifully renovated unit specially designed to give each and every patient the feeling of comfort and luxury. It is also the ONLY In-Patient Neurological Impairment Program for Young Adults in the State of New Jersey, which we call Horizon’s at Allaire. This program is through the New Jersey Medicaid program and offers intensive therapy on a long-term basis, individualized activities and where young adults will be around those their age. To clarify, young adults ages 18 through 59 will qualify should they meet the criteria detailed by the State and have an appropriate diagnosis; such as Multiple Sclerosis, Cerebral Palsy, Brian Injury, Spinal Cord Injury for example. Our specially trained team of Neuro Patient Care Technician’s are making a world of difference when combined with the amazing nursing team at Allaire. Not only do we offer skilled nursing care, we will be providing all nurses and certified nursing assistants the opportunity to become a Certified Brain Injury Specialists. Horizon’s at Allaire is ever evolving with the activities and events being held both in and off site for these young adults. Our Director of Horizon’s, Victoria Smith, considers each of their interests and executes a fabulous array of fun, educational and invigorating activities throughout the year. 7 Days AWeek Therapy: • Post-Surgical RESORT-STYLE REHABILITATION I N T R O D U C I N G NEW! SUBACUTE UNIT delivers clinical excellence & a level of luxury unmatched in the area. Another wonderful aspect to our building is our Computer Lab that was developed and managed by, Jonathan Klausner, a brain injury survivor! Not only can he relate to the young adults, he provides them all with adaptive equipment to ensure there is nothing holding them back from what they wish to accomplish. Being part of our Horizon’s at Allaire program, also includes the opportunity to complete their GED and move forward with college courses through Brookdale Community College! We would love the oppor- tunity for you to tour Allaire, experience our young adult program and enjoy the positive and encouraging environment! • Orthope ic • Respiratory • Cardiac • Neurological Our hotel-like setting & amenities include: • Magnificent, Spacious Patient Suites • 12 Private Rooms • Large Fl t Screen Smart TVs • Bluetooth Speakers • Sleeper Sofa, Desk & Refrigerator in Larger Suites • Concierge Service Did you know that falls are the most common cause of fatal and non-fatal injuries in the elderly? And colder weather brings sluggish joints and less blood flow to the body and the brain. This leads to slower reaction times and more unsteadiness. 1 out of 4 people aged over 65 falls every year. Over 3 million injuries are treated annually in the ER. Over 55 billion dollars are spent on treating the elderly due to falls, of which Medicare and Medicaid shoulder 75% of the cost. Not only is the fall a disastrous event, the after effects of depression, physical decline, feeling of helplessness, and isolation all are very common. This also leads to increased stress for the family or immediate caretaker. Accepting most insurances including Horizon Medicare. Reserve your PRIVATE SUITE TODAY! Revolutionizing Care Delivery ™

A S W E A G E

115 Dutch Lane Road, Freehold, NJ 07728 • 732.431.7420 • allairehc.com

Your podiatrist, Dr. Sanjay Gandhi , is an active participant in the National Fall Prevention Program. This includes a podiatric and gait examination to check for risk factors of falling. If you qualify, you are entitled to balance braces that keep your legs from “wobbling” or “teetering”. You also may be able to get free shoes that provide the proper support and grip to maintain ground reactivity. Preventing falls is essential to keeping those minor bumps and bruises away, but also to preventing major head injuries that can cause bleeding and sometimes permanent damage. If you are over 65, and feeling even the slightest bit unsteady, get screened properly today! You have nothing to lose and everything to gain. A Step Up Podiatry

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

215 Gordons Corner Road, Suite 2A Manalapan, NJ 07726

Complete Family Foot & Ankle Care

ASTEPUPPODIATRY.COM • 732-446-7136

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The Lights are Always On

Com hom t Chelse !

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A SSISTED L IVING · M EMORY C ARE · R ESPITE S TAYS 732-536-3000 CHELSEASENIORLIVING . COM

Men’s Health: Colorectal Cancer Screening Questions for the doctor

If you are 50 to 75 years old, get screened (tested) regularly for colorectal can- cer. You may need to get tested before age 50 or after age 75 if colorectal cancer runs in your family. Cancer of the colon or rectum is also called colorectal cancer. The colon and rectum are parts of the large intestine. There are several kinds of screening tests for colorectal cancer. Before your next doctor visit, it is important to have a list of questions for your doctor. Visiting the doctor can be stressful. It helps to have questions written down ahead of time. You may also want to ask a family member or close friend to go with you to take notes. 8 important questions: • What is my risk for colorectal cancer? • When do you recommend that I start getting tested? • How often do I need to get tested? •

What are the different types of screening tests for colorectal cancer? Which screening test do you recommend? Why? What happens during the screening? How do I prepare? Are there any dangers or side effects of screening?

• • • •

How long will it take to get the results?

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ADVICE FOR THE AGING COMMUNITY HEALTH SIGNS TO LOOK FOR WHEN YOUR AGING LOVED ONE IS LIVING INDEPENDENTLY By Sheli Monacchio Sometimes we don’t see our parents as much as we would like. Life gets in the way and our responsibilities pull us in many directions. We speak to mom or dad on the phone and they tell us everything is just fine. But is it? Take note of minor changes you may see while visiting your loved ones. Are they weary while navigating throughout their home or yours? Holding on to furniture and walls? Do they appear more confused with all of the family around and did they eat less than usual? Do they look like they are not physi- cally taking care of themselves the way they used to? It may be time to look into this a little deeper. Difficulties with Activities of Daily Living- (ADLs), such as bathing, changing clothes, housework, or even just getting around. Social Isolation- If your loved one stays at home with little social activity, or spends less time with friends that they used to see on a regular basis. Forgetfulness- Did your loved one forget to do the things they were used to doing daily or did they miss appointments?Remember that if your loved one is suffering from dementia, they cannot control their behavior. Provide a stimulating environment that will allow your loved one to remain safe. When the time comes that you can no longer care for your loved one on your own or if their symptoms become unmanageable, it may be time to reach out to a professional for help at home or take the next steps to find a community ap- propriate for your loved one. Loss of Appetite -Has your loved one been eating? If so, what have they been eating? If they can no longer cook for themselves and/or eat healthy foods, then it may be time to reach out to someone to help. Weight Loss/Looking Frail- This is a sign that their bones may not be as strong as they used to be, and if they fall then the situation could escalate very quick- ly. For instance, have your loved one hold a cup of coffee or tea. Do they have the strength to hold it or is the cup shaking? Neglected Environment- An unorganized, cluttered or messy home can be a sign that they can’t clean anymore, or it might be so cluttered that it can af- fect their own hygiene. Also look for: unopened bills and personal mail, a full voicemail box, an unmade bed, or expired food. If you see any signs listed above while visiting this holiday, it may be time to talk to your loved one about the next steps in their life to help keep them safe. Will they prefer to stay at home as they age, or is assisted living a better option for them? Caring Connections of New Jersey is a non-profit organization whose prima- ry mission is to educate seniors and their families on the options that are avail- able in their local community. Visit our website at www.caringconnectionsnj. org or call (609) 960-2265 for assistance.

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COMPREHENSIVE PERSONAL Touch

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DR. KIRAN MEDASANI, MD MEDICAL DIRECTOR

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

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

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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 •

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

17 www.GuntherPublications.com Post-Hospitalization Rehabilitati Personalized, Goal-Oriented Treat 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. 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 to ay 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! 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 • 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 • Post-Hospital Nursing and Therapy • Long-Term Care • Respite Care 39 E. 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 • RespiteCare • HospiceCare • PalliativeCare • COPD • Medicare&MedicaidCerti ed • Private InsuranceContracts (908) 369-8711 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 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 • Post- Nursi Thera • Long- • Respi 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 OFFERS: • 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

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Advertising in This Magazine WORKS

English–Chinese Immersion School International Baccalaureate Accredited Program (IB) Early Learning through Grade 8 Inquiry Based Learning Small Class Sizes

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What should I do if my child’s speech or language appears to be delayed?

Talk to your child’s doctor if you have any concerns. Your doctor may refer you to a speech-language pathologist, who is a health professional trained to evaluate and treat people with speech or language disorders. The speech-language pa- thologist will talk to you about your child’s communication and general development. He or she will also use special spoken tests to evaluate your child. A hearing test is often included in the evaluation because a hearing problem can affect speech and language development. Depending on the result of the evaluation, the speech-language pathologist may suggest activities you can do at home to stimulate your child’s development. They might also recommend group or individual therapy or suggest further evaluation by an audiologist (a health care professional trained to identify and measure hearing loss), or a developmental psychologist (a health care professional with special expertise in the psychological development of infants and children).

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JANUARY/FEBRUARY 2019