Princeton's Ask the Doctor May/June 2019

The Greater Princeton Area Ask The DOCTOR The Health &Wellness Magazine For You And Your Family SPRING ISSUE MAY/JUNE 2019

Local Physicians Answer Your Health Questions

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

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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

QUESTION: Why is it unwise to ignore symptoms of GERD? ANSWER: Gastroesophageal Reflux Disease (GERD) and acid reflux have been used interchangeably. GERD affects about 10 to 20% of adult population. It is a condition where stomach contents enter the esophagus due to a weak lower esophageal sphincter. Common symptoms include heartburn and a sense of acid or sour taste in the back of the mouth. Nausea and vomiting including blood may be seen. Trigger factors for GERD include acidic foods like tomato sauce and orange juice.Also chocolate, peppermint, coffee, carbonated beverages, alcohol, smoking, fried foods, large meals and lying down soon after eating can cause GERD. Hiatal hernia (a part of the stomach is pushed up above the diaphragm), results in a weak lower esophageal sphincter and leads to GERD. It is important to pay attention to symptoms of GERD and seek medical help before complications develop. Complications of GERD include: 1. Reflux esophagitis or inflammation of the esophagus leading to erosions or ulcers. 2. Difficulty with swallowing due to stenosis or narrowing of the esophagus. This is due to repeated inflammation with scar tissue formation. 3. Barrett’s esophagus where the lining of the esophagus changes to small intestinal lining. This can lead to a deadly form of esophageal cancer known as adenocarcinoma. 4. Atypical GERD which can cause hoarse voice, asthma attacks and esophageal spasm with chest pain. GERD can be effectively treated in a majority of the patients by lifestyle modifications and medications. This includes avoiding trigger foods, eating at least three hours before lying down and elevating head end of the bed. Medications include antacids, acid reducers such as H2 blockers and Proton pump inhibitors. Early diagnosis and treatment of GERD can avoid serious complications including cancer of the esophagus.

PREMIER GASTROENTEROLOGY OF PRINCETON • PUNITHA SHIVAPRASAD, DO 5 PLAINSBORO RD, MEDICAL ARTS PAVILION • SUITE #360, PLAINSBORO, NJ 08536 CALL (609) 917-9917 or VISIT PREMIERGASTROENTEROLOGYOFPRINCETON.COM If you have GERD symptoms, please call (609)-917-9917 OR visit premiergastroenterologyofprinceton.com

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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

Amazing Grace

A: Q:

By Linda McAndrew RN, BSN • Director of Nursing In both the Christian and Jewish religion, Easter and Passover are considered to be two of the most important holidays of the year. Both of What Is NAET? I Nambudripad’s All rgy Elimination Techniques, or NAET, was developed in 1983 by Dr. Devi S. Nambudripad, who suffered from a number of allergies throughout her life. She believes that “95 percent of human ailments arise from some sort of allergy,” which is defined as a sensitivity to an allergen that causes energy blockages and imbalances. Her years of research led her to formulate a hypothesis that says reactions to an allergen can be reduced or even eliminated by relieving energy blockages and “reprogramming” how the central nervous system processes that allergen. NAET combi es a number of drug-free, non-invasive techniques for diagnosis and treatment, including chiropr cti manipul tion, kinesiology, acupressure, acupuncture and nutrition. HOW DOES NAET WORK? NAET uses special muscle response technique to test how the body responds to an allergen and determine if a sensitivity exists and wh re th e erg blockage is located. The treatment is performed while the patient remains in contact with the allergen. This makes it possible to eprogram how the brain res onds to that allerg . The patient mu th n avoi exposu e to the allergen for at l ast 25 hours. these holidays signify hope and transformation and both play an important part in family life. How can we help seniors with dementia become more involved in the blessings of the season? Anyone who has a loved one suffering from dementia or Alzheimer’s knows that the disease can be isolating because of the manifestations of the symptoms. These symptoms include memory loss, anxiety, and a decrease involvement in life in general. How better to help these wonderful seniors than to engage them in the many activities associated with both Easter and Passover. Here are several activities that may help. One activity that can help with both memory and anxiety is to make lavender Easter sachets. The sachet pouches are created by filling premade fabric squares with lavender seeds and then sewing or gluing the open end closed after it is filled. This activity can be easily done with the entire family involved. Lavender can decrease anxiety and also help with memory. Because the aroma or smell of the lavender enters through the nose, it transmits signals to the hippocampus which is closely related to memory and emotions. An Easter egg hunt is another way to help Alzheimer’s or dementia family members enjoy both filling and hiding eggs for younger children to find. Have plastic Easter eggs filled with various fun items including jelly beans candy and other Easter symbols. After the eggs are filled, help the senior hide the eggs in preselected places for the hunt. This activity will serve the purpose of involving everyone in the activity and can help the senior remember family activities from days gone by. An activity that can involve all members of a family for Passover is the creation of a Blessing Bag. With many people standing on street corners and highway exits, the creation of Blessing Bags can be used as an activity for Alzheimer’s seniors and also to help those less fortunate than ourselves. Most Blessing Bags are filled with a variety of helpful things that can be easily gotten at a Dollar store. The following are suggestions for the contents of the Blessing Bag: 24 count zip lock baggies (to be used as the Blessing Bag), Personal Care items such a socks, toothpaste, tissues, lip balm, band aids, a packet of analgesics; Shelf-stable food items such as a protein bar that’s both crunchy and salty, fresh fruit; Printed items such as coupons for free meals, names, addresses, and phone numbers of local food pantries; Seasonal items such as hand warmers. By helping seniors with dementia create Blessing Bags they are helping to create hope for those in need. Easter and Passover helps all of us remember that we all have a place in God’s plan in these seasons of hope and transformation. Happy Easter and Passover to all. Dozens of imbalances and sensitivities to substances can be diagnosed and treated with NAET. Only one allergen can be treated at a time, although several similar allergens can sometimes be combined into a single reatment. For exa ple, you might be able to combine treatment for environmental llergies involving pollen, ragweed and grass. It all depe ds on the individual patient and the level of sensitivity. YOU DON’T HAVE TO ACCEPT ALLERGIES AS PERMANENT If food, envir nmental or chemical allergies are affectin your quality of lif , I’d be happy to discuss NAET with you in greater detail. While no treat ent for allergies, sensitivities or any other health condition is completely guaranteed, I have successfully treated hundreds of patients with NAET at In Good Hands Chiropractic Cent r. I many cases, patients experienced some relief after just one visit. NAET is just ne more way I can help you restore balance and stimulate healing without medication. Contact me today to schedule an appointment. Allison J. Scharf, DC

IN GOOD HANDS CHIROPRACTIC CENTER, LLC • 609-924-9331 330 N. Harrison Street, Suite 6 • Princeton, NJ 08540

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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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Miss Wheelchair New Jersey By Pam Teel

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

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

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

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

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

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

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

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

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

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

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

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The Importance of Staying Cool This Summer&Avoiding Heat Illness

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

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

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

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

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

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

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Can Dogs Sniff Out Cancer? By Pam Teel

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

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The Face in Home Health Care By Pam Teel

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

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

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