Princeton's Ask The Doctor November-December 2018

The Greater Princeton Area Ask The DOCTOR The Health &Wellness Magazine For You And Your Family HOLIDAY ISSUE NOVEMBER/DECEMBER 2018

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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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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ASK THE DOCTOR

NOVEMBER/DECEMBER 2018

“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

Presents or Presence

The Holiday Season is a time when many families gather and celebrate the happiness and joy of being together. However, for some, including many of our senior citizens, the joy of the season is lost in the sadness and depression as they feel isolated and alone. Why is sadness and depression seen more frequently during the holiday season? For many people, the holidays are an emotional time when thoughts of loved ones gone and happier times cause many people to feel sad and isolated. Seniors can also be affected by health concerns and limited mobility and these limitations can further isolate as seniors stay home, unable to visit family and friends. Limited mobility can also prevent shopping, decorating and baking which are all associated with the merriment of the season. Finally, living in a nursing home or assisted living facility and also having a limited income can further contribute to their sadness and depression. So, how can we help our elderly friends and families be part of the joy of the season? If you ask most seniors, they will tell you, it’s not about the material presents, but rather the gift of our presence. Lift the spirits of an elderly person by spending time with them. Help decorate their tree or home or perhaps help them to bake cookies. If a senior resides in a nursing home and if they are able to leave, bring them to your home to be part of the holiday festivities. By investing a little time, the magic of the season can also be part of your senior’s life.

Linda McAndrew RN, BS. • Director of Nursing Infinity Healthcare Services, LLC

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QUESTION: I get bloated when I consume dairy and I get fatigued when I eat wheat. Do I have food allergies? ANSWER:

252 W. Delaware Ave Pennington, NJ 08534

A food allergy occurs when the immune system responds abnormally to food proteins. These allergies are classified by type of immune reaction. An IgE immediate food allergy is the classic peanut allergy. The immune response is fast - symptoms usually starting within 30 minutes. Hives, itchy/ swollenmouth, throat discomfort, difficult breathing, vomiting/diarrhea are the characteristic symptoms. It is potentially a life-threatening situation. A “skin prick” test is used to diagnose which foods (or additives to foods) are causing the immediate food allergies. An IgG or IgA food allergy produces chronic symptoms. Celiac disease is an autoimmune condition where IgG and IgA antibodies attack the gluten in wheat and then cross react to the intestinal wall. Damage to the intestinal wall causes poor absorption of nutrients and can lead to health problems like anemia and osteoporosis. A blood test is used to diagnose celiac disease. Food sensitivity is a delayed reaction to foods that occurs up to 72 hours after consuming the food. Many believe it involves the IgG antibody class. The most common symptoms include abdominal bloating and pain, joint pain, headache, brain fog, fatigue and rashes. Because the symptoms are common and delayed from the triggering foods, many people with difficult to diagnose symptoms will request these kinds of food sensitivity blood tests. Recent advances in food sensitivity testing has made these tests much more accurate and revealing than they used to be. Food intolerance is a reaction to food that does not involve the immune system. Lactose intolerance is a condition of varying degrees of bloating, abdominal discomfort and diarrhea caused by low levels of the enzymes needed to break down cow’s milk. Treatment of adverse reactions to foods is avoidance of the triggering food or food additives. The trick is to know your triggering foods.

Dr Kate Thomsen’s office for holistic health care is located in Pennington, NJ. She is trained in Family Medicine, and Board Certified in Integrative Medicine, and is an Institute for Functional Medicine Certified Practitioner. She has been practicing Functional Medicine for 20 years. For more information see www.drkatethomsen.com or call the office at 609-818-9700.

QUESTION: What’s new in dentistry today?

For many years dentists would promote their practices as “Cosmetic Dentistry”. To many, the term cosmetic dentistry would mean the use of veneers to make the front teeth look whiter and healthier, or the use of composite restorations instead of the silver, amalgam fillings. Today, when the term “cosmetic” is used, it also needs to include “facial esthetics”. It is not correct to separate the teeth and their appearance, from the smile or even the rest of the face. The entire facial structure needs to be evaluated when you want to achieve that perfect smile.

David P. Young, DMD, DICOI Unfortunately, as we age, changes occur not only to our teeth and gums, but also the muscles of the face. As these muscles relax, facial tone and fullness diminish and wrinkles develop. To achieve optimal esthetic goals this needs to be addressed as well, not only the broken yellow front teeth. With the use of Botox and Dermal Fillers, a more youthful beauty can be restored to your face and your new smile will radiate even better. Millions of people use Botox and Dermal fillers to achieve a more relaxed and smooth facial appearance, while still having the freedom of expression. Not only is Botox used for esthetic purposes, it is very helpful for people who suffer from TMJ syndrome, chronic migraine headaches, and other types of facial pain. Botox is an FDA approved purified protein which is injected into targeted muscles and temporarily blocks signals that cause muscle movement, essentially relaxing the muscle which reduces or eliminates fine lines and wrinkles. An attractive smile can significantly improve your image and self-confidence. Total facial esthetics will bring out your full beauty potential. For further information on Facial Esthetics and Cosmetic Dentistry, feel free to contact my office for a consultation. Your smile is not limited to how good your teeth look, it’s how you radiate with total facial beauty.

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

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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

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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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

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

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

A:

Allison J. Scharf, DC

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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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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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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

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The Lights are Always On

Com hom t Chelse !

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

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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.

A S W E A G E

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NOVEMBER/DECEMBER 2018

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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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• 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

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. 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. 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. 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 • 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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