Regular exercise lowers your risk of heart disease, stroke, cancer, dementia, diabetes and other chronic diseases. It helps you to be a happier person. It fuels your inner glow.
Achieving a healthy weight will never go out of style, and a healthy diet combined with regular exercise is the best way to maintain your weight loss goals.
The future of the fitness industry looks fit indeed. In fact, the Department of Labor Statistics predicts that the employment of personal trainers and fitness professionals will only increase, rising 8% by 2024.
Skilled Personal Instruction
Personal training is a perennial trend. One-on-one sessions are more immersive, more personalized and may produce results more quickly. But one important shift is happening: more education. Credentialing is becoming more important.
“With the growth of fitness centers and personal trainers/instructors, clients should be careful who they hire,” says Stu Rosenstein of OVOX Gym & Training and a gym owner for over 30 years. “Anyone can get ‘certified.’ Some certifications take just a few hours, some through an online course. Being certified doesn’t mean the trainer has any real experience or practical knowledge. Having skilled instructors who understand each client’s wants and needs can make a major difference in helping clients achieve their goals.”
Stu recognizes the need to keep members engaged. Each workout area at OVOX is its own unique environment. Classic body building films are screened in the free weight area and a LifeScape cardio feature transports members to hiking trails, mountain meadows and even the winding streets of European villages.
Boutique Group Fitness
Group training, especially in a boutique studio setting, connects both instructors and members, says The Bar Method owner Chrissy Valerio. A former professional dancer, Chrissy was introduced to The Bar Method when she was looking to switch up her own workout routine.
“I was immediately impressed with the personal attention students received from their instructors, which focuses on form and safety,” recalls Chrissy, “while I also fell in love with the changes I was seeing in my own body. When a franchise opportunity came along, I dove right in.”
Chrissy notes that her staff and instructors are all passionate about The Bar Method. “As a result,” she says, “we have a strong community where members feel connected, empowered and supported.”
Open Up Your Fitness Options
Versatility is also important, says Christopher DiGiorgio, General Manager at I AM FITNESS. “People who are looking to start a fitness program or get back into shape can be a little tentative at first,” says Chris. “Circuit training is a great way for beginners to start working out at a low intensity and then build up to a higher intensity and maybe even try a new workout.”
Chris observes that having something for everyone in a friendly, community-based fitness environment helps build confidence as well as muscle. “Our trainers provide members with the encouragement to look into other forms of fitness,” he says, “such as an aquatics program, group fitness or martial arts.”
Science-backed workout equipment that maximizes results and lowers injury risk, amenities such as showers and lockers, even childcare or a summer program such as Camp Coconuts at I AM FITNESS, provide the incentives that we all need to get up and get moving.
Advances in radiologic technology play an important role in diagnosing medical conditions and diseases. Since Wilhelm Roentgen discovered X-rays in 1895, transformations in radiology have been improving the level of healthcare in our community.
State-of-the-Art 3D Mammography
3D mammography – digital breast tomosynthesis – is a revolutionary diagnostic breast imaging tool that improves the detection of early-stage breast cancer, when it is easier to treat.
In the US, 1 in 8 women are diagnosed with breast cancer each year. “Studies show a 10% to 30% increase in overall breast cancer detection using 3D mammography, compared to using 2D imaging alone,” says Robert E. Wold, MD, a board-certified radiologist.
3D mammography also helps to reduce the stress of mammography, especially for the one in four women who are “called back” for additional screenings and possibly invasive diagnostic biopsies.
“3D technology divides the breast into multiple very small slices, thereby removing overlapping tissue,” says Dr. Wold. “Together the images create a crystal-clear 3D reconstruction of the breast.”
Skilled radiologists review a reconstruction of the breast, one slide at a time, almost like turning pages in a book. These comprehensive visual aids radiologists who are experienced with digital breast tomosynthesis to recognize areas of concern. 3D tomosynthesis is especially advantageous in young women and women with dense breasts.
“The American Cancer Society, the American College of Radiology, the American Congress of Obstetricians and Gynecologists and the American Society of Breast Disease recommend a screening mammogram every year for women beginning at age 40,” advises Dr. Wold. Like a conventional mammography, breast tomosynthesis radiation levels are well below the limits defined by the FDA.
“Women who have a strong family history of breast cancer and those who are at increased risk due to a genetic history of breast cancer should begin screening earlier,” concludes Dr. Wold. “Women should know how their breasts normally look and feel, and should report any change immediately to their doctor.”
Prostate MRI Fusion
Prostate cancer rates in men are similar to breast cancer rates in women in the US. The prostate gland, a soft tissue structure about the size of a walnut, lies deep within a man’s pelvis between the bladder and penis, in front of the rectum.
Recent advances in MRI – magnetic resonance imaging – have allowed doctors to evaluate the prostate gland in ways that were previously impossible. Today’s technology improves prostate cancer detection, staging of patients with known prostate cancer and evaluation of recurrent disease in men whose prostate gland has been removed.
“When we started our prostate MRI program in 2012 we were performing one prostate MRI per month. As urologists learned of the power of this test our practice has grown; currently we average more than 90 patients per month,” says board certified diagnostic radiologist Stephen McManus, MD, confirming the growing use of MRI for prostate cancer diagnosis.
MRI uses electromagnetic properties to collect information about organs and other tissues. Cancerous tissue has a different set of magnetic properties than surrounding normal tissue. MRI is able to capture these differences in amazingly clear images.
“To ensure accuracy every prostate MRI is double read by two radiologists, each experienced in this area,” says Dr. McManus. “Additionally, we use 15 data points to illustrate the exact position of any findings.”
Finally, many urologists who perform these biopsies will use state-of-the-art technology called MR-ultrasound fusion biopsy. The MR images are superimposed on the prostate gland at the time of biopsy, which improves accuracy.
“These three critical steps assist the patient’s urologist in identifying targets during the biopsy procedure, increasing the chances that the cancer is sampled,” says Dr. McManus.
“Prostate MRI along with MRI ultrasound fusion biopsy is at the leading edge of prostate cancer care,” says Dr. McManus. “Residents in the greater Monmouth County area are fortunate to have this university hospital-grade technology available close to home.”
CT – Virtual Colonoscopy & Lung Scans
A CT scan – computerized tomography – can help detect lung cancer and colon cancer by providing unobstructed 3D views, enabling early diagnosis, when treatment options have the best chance for success.
“Low Dose CT Scans for lung cancer screening have been shown to decrease deaths from lung cancer by 20%. If you are a current heavy smoker or have quit within the last 15 years, you should talk to your primary care physician or pulmonologist to see if this test is right for you,” says Janet Spector, MD.
“When caught early enough, the survival rate for lung cancer is very high,” explains Dr. Spector. “By the time a lung tumor shows up on a chest x-ray, the cancer will be at a much later stage, much larger, and with an outcome that may be much less optimistic.”
Lung cancer remains the second most common cause of cancer death in the US for both men and women after skin cancer. More men and women die from lung cancer than from colon, breast and prostate cancers combined.
People age 50 and older should get screened for colorectal cancer every five years and, thanks to today’s medical imaging technology, there’s more than one type of colonoscopy.
“Colonoscopy remains the gold standard for colorectal cancer screening and prevention,” says Dr. Spector, “but a less invasive procedure – virtual colonoscopy – has benefits for some patients.”
Patients who should consider virtual colonoscopy include those for whom anesthesia is too risky, or who are simply too fearful of a conventional colonoscopy.
“The best test is a test a patient is willing to have,” affirms Dr. Spector.
There are no dyes, no sedatives, no IV and a lower risk of complications with virtual colonoscopy. Instead of a long tube topped by a camera inserted through the rectum, with virtual colonoscopy only a small disposable tube is used to inflate the colon with carbon dioxide.
A reduced radiation CT scan is taken outside of the body, with the patient lying first on their back and then on their stomach. The CT images clearly show even small polyps and other abnormalities inside the rectum, colon and pelvic area.
Both tests still require a clean colon, so a clear liquid diet and a laxative prep are necessary. If a polyp is found, a conventional colonoscopy is needed to remove the polyp or get a biopsy.
“Colorectal screening is important because it saves lives,” says Dr. Spector. “The most common symptom of colon cancer is no symptom at all. Only a colonoscopy allows us to see it and catch it early, so have a colorectal discussion at your next check-up.
No matter what you choose, don’t put this test off for fear of discomfort.”
In the United States today, life expectancy is at an all-time high. The average American can expect to live to 78 years old, and many are living longer.
While many older adults choose to age in place in their homes, more and more are realizing the benefits that senior living communities can provide to the healthy aging process.
“We embrace the concept of successful aging,” says Allison Nidetz, General Manager of The Brielle at Seaview, “and surround each individual with a personalized balance of independence and caring support. Residents can continue to pursue their interests and hobbies, or learn new ones, in a flexible, resident-centric environment.”
By creating a community structured around key pillars of wellness – social, intellectual, vocational, spiritual, physical and emotional – residents keep moving, keep learning, stay connected and have fun.
“As we enter our 60’s, 70’s and 80’s, this type of engaged living becomes an important tool for maintaining mental, physical and emotional health,” says Allison. “It’s never too late to live the best life possible.”
Memory Care Solutions
Alzheimer’s disease and dementia disorders present unique care challenges.
“Family caregivers of cognitively impaired seniors find that when the stress of daily care is removed, so is the tension and worry,” says Galina Markovich, ANP, RN, Director of Millennium Memory Care. “Loving relationships can flourish knowing mom or dad is safe, healthy and comfortable.”
Unlike dementia residents housed in a locked wing, communities like Millennium Memory Care are completely dedicated to providing informed and effective care, even for those residents with behavioral issues that might exclude them from admission to other assisted living settings.
The entire environment at Millennium Memory Care is specifically designed to care for individuals with memory impairment. Staff members are trained in memory care and other aspects of aging, including helping family members understand and deal with a
loved one’s condition as it progresses. “We provide constant companionship and a social environment that reduces isolation while increasing awareness, cognition and engagement,” says Galina.
Innovative sensory stimulation enables pleasant, long-term memories, provides joy, and decreases anxiety and agitation. Physician supervision and a full-time nursing staff manage diabetes, wound care and other medical conditions.
Respite care can be a great way for a senior to try out assisted living and can provide a much-needed break for a caregiver to handle a medical issue or simply take some time for themselves.
During a respite stay, settings like The Brielle at Seaview and Millennium Memory Care provide access to all the amenities and care provided to full-time residents.
A Commitment to Education on Aging
At The Brielle at Seaview, new topics are presented each month, helping families learn, share and connect over important issues around aging. “Ongoing educational opportunities such as our Second Tuesdays lecture series are designed to help caregivers understand and become prepared for the changes they or their family members may face,” says Allison.
Millennium Memory Care presents free monthly support groups in conjunction with the Alzheimer’s Association of Greater New Jersey, to help community members understand the basics, early warning signs and disease progression of dementia, and to learn practical solutions.
Meaning and purpose are brought to the lives of residents at The Brielle.
“I love that the focus is on the individual but focused on creating moments of joy for those living with Alzheimer’s or other forms of dementia,” says Diana Thompson, the Lifestyle Director at The Brielle. People living with dementia typically struggle with stringing moments together and remembering details, so it is important to create those individual moments of joy for them.
Since the implementation of the Valeo™ Signature Programs, in September of 2016, the staff has noticed more engaged residents and they are excited about the activities and interest profiles that were created to match the strengths or interests between residents and staff. It does not matter if you are a program director, the chef, or a member of the housekeeping team, Valeo creates opportunities for staff and residents to learn and grow together. “This is not just another program, it is the culture,” says Diana.
Create & Compose is Diana’s favorite signature program because music is the universal language. She has seen people unable to speak suddenly sing along with a song. She loves seeing them show a different side that they have struggled with expressing in the past.
A proud moment happened this April for residents, their families and staff at The Brielle as they put the Valeo program into action by painting a mural of Snug Harbor Botanical Garden. Elizabeth, the Recreation Aid and Valeo Coordinator, recalled a resident that had difficulty engaging and was passive when it came to activities. She struggled to hold the paint brush during the mural program, but with the help of staff guiding her hand, she soon started painting flowers on her own. Now she walks past the mural and tells everyone “That’s my flower.” That’s what you call creating “a moment of joy.” Click here to see photos of this beautiful mural and read more about this event.
Want to learn how The Brielle can help you create moments of joy for someone you love? Call Kathy Azbell at 929-236-9249 or visit us for Welcome Wednesday Open Houses from 2-4pm every Wednesday. Let us know you are coming by completing this form today.
Holmdel Imaging is a state of the art diagnostic medical imaging provider of high quality, cost effective imaging services. Our center offers Magnetic Resonance Imaging (MRI), Breast MRI, Ultrasound, Computed Tomography (CT), Bone Density, Digital Mammography and X-Rays. Our mission at Holmdel Imaging is to provide the highest quality professional radiology services for our patients and referring physicians, combined with a friendly staff and convenient, comfortable facility. Our goal is to be recognized as the imaging center of choice in the region.
What is Holmdel Imaging doing to keep current with technological advances in radiology?
Over the past few years there have been significant advances in the field of radiology, and it’s our mission at Holmdel Imaging not only to be current, but as much as possible to stay ahead of the curve as innovations become available. We have just taken delivery on a GE Revolution 64-slice CT scanner, the latest state-of-the-art machine that delivers uncompromised image quality while using a lower dose of radiation.
We continually update with the latest software upgrades for MRI scans, to produce the clearest possible pictures. Our newest software improves image resolution while allowing for shorter scan times. Shorter scanning time is especially helpful for patients who are nervous or anxious, or those with physical problems that make it difficult to lie still for long periods of time.
We also provide the latest in 3D Digital Mammography, a screening and diagnostic tool for breast cancer screening developed a few years ago. It is a proven technology advance that offers significant advantages to our patients.
How does lower-dose CT scanning benefit your patients?
Our new 64-slice scanner with lower dose protocol is an exciting advance, because you want to reduce the amount of radiation exposure for patients as much as possible. Especially if a patient needs multiple scans, the lower dose helps to limit overall exposure. This machine offers the lowest radiation dose you can get to date without compromising image quality.
We hear a lot about 3-D mammography, but does it really make a difference?
We were one of the first facilities in the area to offer 3D mammography, ahead of even some of the hospitals. Both the traditional 2D and the new 3D scanning use X-rays, but 3D divides the breast into very small slices, so we can scroll through the images and see smaller lesions earlier than we could in the past.
The benefits of this are two-fold: First, we can find cancer earlier. According to a 2014 statistic, the increase in the cancer detection rate with 3D mammography is approximately 28.6 % for all cancers and 43.8% for invasive cancers. Secondly, with 3D we can now see when something that may have looked questionable before is not a cause for concern. This means that fewer women experience the anxiety that goes along with call-backs for further scans that then prove to be unnecessary.
As a patient, how do I decide which radiology facility is right for me?
Number one, you want to make sure that the doctors reading the studies are board-certified, with experience in reading all modalities. You want to find a place that has the latest equipment, and one with a staff that is accessible, friendly and accommodating. At Holmdel Imaging, we know that patients are under stress when they come in for a test, so we aim to make the experience as easy and comfortable as possible. Lastly, the cost of outpatient imaging is usually less than hospital imaging. Holmdel Imaging has 94 – 96% positive scores in monthly patient satisfaction surveys, confirming that the right facility is one that offers the best imaging, considerate staff, and lower cost.
Hackensack Meridian Integrative Health & Medicine
27 South Cooks Bridge Rd.
Jackson, NJ 08527 (732) 994-7855
Discover the Benefits of Patient-Centered Healthcare
David C. Leopold, MD, is the Medical Director at Hackensack Meridian Integrative Health & Medicine. He specializes in integrative pain management, lifestyle medicine, and integrative cancer care. Dr. Leopold is a diplomate of the American Academy of Family Medicine and is board certified in family medicine. He is a also a diplomate of the American Board of Holistic Medicine and the American Academy of Pain Management. He is a certified medical acupuncturist.
What is Integrative Medicine and Health?
Integrative medicine is patient-centered health care that looks at all aspects of health and illness. It roots out the causes of illness: from the physical and psychological to the environmental and genetic. It uses all medical systems for healing and treatment, from conventional approaches and mind-body medicine,to old world traditions such as botanicals and acupuncture. Integrative medicine does not blindly accept“alternative” approaches or reject conventional Western medicine but looks for the best approach for each patient. It stresses prevention and looks for less invasive, more natural treatments. Above all, at Hackensack Meridian Integrative Health & Medicine, each patient partners with an integrative practitioner to create an individualized treatment plan.As a result, our patients become empowered to make healthy lifestyle changes.
Who should consider receiving integrative medical care?
Everyone can benefit from integrative medical care since it is simply GOOD health care and since there are beneficial results in a wide group of patients.Acupuncture has successfully decreased the amount of pain medications needed post surgery. Biofeedback techniques and supplements treat or reduce the medications needed for hypertension. Meditation helps with depression and anxiety. And there are botanicals that decrease cholesterol and blood glucose levels. These are just a few examples.
What is unique about the Hackensack Meridian Integrative Health & Medicine program?
Our unique program emphasizes our five pillars of health, utilizes a team approach and provides services under one roof in a brandnew beautiful environment. Our five pillars of health are assessed for each patient: sleep, activity, purpose, nutrition and resilience. The team consists of specialists who have exemplary training in integrative and functional medicine, treating the whole person – mind, body and soul. The team includes a nutritionist, health coach, acupuncturist, nurse practitioner, physician and psychologist. Patients can self-refer to any of the Integrative Medicine staff members, meaning if someone wants to see the nutritionist,they do not need to see the integrative physician first.
Does an Integrative Medicine Physician replace my current primary care provider or internist?
Absolutely not! The Integrative Medicine Physician will work as a consultant with the patient and their primary care physician or specialist. In fact, patients who do not have a primary care provider will be referred to the appropriate doctor for their general care.
To make an appointment with our Center for Integrative Health & Medicine call (732) 994-7855 or visit meridianintegrativemedicine.com for more information.
Hackensack Meridian Integrative Health & Medicine team members:
Nicole Cerillo, RD, LDN, integrative nutritionist
Judson D. Chaney, ND, LAC, acupuncturist
Vivian A. Kominos, MD, FACC, FABOIM, integrative physician and cardiologist
Sara Scheller, BSN, RN, CPN, CCRN, integrative health coach
Emma Stafford, APN, integrative nurse practitioner
Lisa Sussman, PsyD, health psychologist
A new surgical program cares for children’s orthopedic issues.
A new pediatric orthopedic surgical program was launched in October at the Children’s Hospital at Saint Peter’s University Hospital, adding to its full range of pediatric specialized healthcare services for newborns and children through young adulthood. Saint Peter’s Children’s Hospital is designated by the state of New Jersey as an acute care children’s hospital, one of the most advanced hospitals of its kind in the nation. Dr. Alfred Tria is chair of the Department of Orthopedic Surgery at Saint Peter’s University Hospital. Dr. Bipin Patel is chair of pediatrics at the Children’s Hospital. Drs. Kondratyeva and Kawashima are pediatric orthopedic surgery specialists in the new program.
Why launch a specialized pediatric orthopedics program at the Children’s Hospital?
This service was really needed. A pediatric orthopedist is the best-trained and most experienced doctor to properly evaluate and treat musculoskeletal (bone, joint, or muscle) problems in a child who is still growing. A tremendous number of kids come in and out of the hospital, and it was time to take a serious look at this and develop this division within our department. We wanted to offer patients 24/7 care for their pediatric orthopedic injuries and problems. We were happy to provide this service to our patients, and we can service area community hospitals that do not have these services as well.
What are some of the children’s orthopedic issues treated by the pediatric orthopedic surgical program?
The surgeons treat all types of issues, including birth defects and deformities, traumatic injuries and spinal conditions such as scoliosis. When surgery is indicated, our minimally invasive neonatal and pediatric surgeons use advanced surgical equipment and tiny video cameras to perform major procedures on the youngest patients. The result is less trauma to the body, which translates to less pain and pain medication for our most fragile of patients. Complications are dramatically reduced, less anesthesia is required and overall healing time is decreased. In fact, many patients are discharged within a day or two after a complex procedure.
Who are the doctors on staff at the Pediatric Orthopedics Program at Saint Peter’s Children’s Hospital?
To launch the program, the hospital hired two newly minted pediatric orthopedic surgery specialists—Alexandra Kondratyeva, D.O., who completed her fellowship at Columbia University Medical Center, and Amie Kawashima, D.O., who was a fellow at Shriner’s Hospital and St. Christopher’s Hospital for Children in Philadelphia. Only about 30 to 40 doctors earn pediatric orthopedic surgical fellowships a year, so we are lucky to have both Alexandra and Amie. Also, Saint Peter’s has seven pediatric anesthesiologists – more than any facility in the area – who are trained to treat the special needs of children ages infants to teens.
What are the benefits of a specialized pediatric program?
Treatments for children are different than for adults, and the orthopedic pediatric program at The Children’s Hospital at Saint Peter’s joins the spectrum of programs and services designed to address the particular challenges of childhood. Both Drs. Kondratyeva and Kawashima often remark on how very rewarding it is for them to work with kids. Unlike with any other specialty, they treat a variety of conditions and can follow up with their young patients from birth through age 20. Helping children also involves answering the concerns of parents, and we believe that it is important to keep parents well-informed about their kids’ care.
Problems we can help with include:
• Limb and spine deformities noted at birth or later in life
• Gait abnormalities (limping)
• Broken bones
• Bone or joint infections and tumors.
Saint Peter’s University Hospital
54 Easton Avenue
New Brunswick NJ 08901 (732) 565-5437 www.saintpetershcs.com