Serving the Community with Outpatient Rehab Services
Gina Varela, Therapy Manager
HealthSouth Rehabilitation Hospital of Tinton Falls
2 Centre Plaza, Tinton Falls, NJ 07724
BIO: HealthSouth Rehabilitation Hospitals lead the way in rehabilitation services, consistently outperforming peers with a unique, intensive approach to rehabilitative care. They partner with every patient to fi nd a treatment plan that works for them. In addition to providing quality inpatient care, HealthSouth in Tinton Falls serves the community with a variety of outpatient rehabilitation services designed to help anyone achieve their recovery goals.
How do your outpatient programs serve the HealthSouth community?
At HealthSouth we have two roles – to provide a continuum of care to our HealthSouth inpatients once they are discharged to home and also to provide outpatient services to the surrounding community. Our mission is to offer a full spectrum of rehabilitation services for the community, and our outpatient programs play an important part in helping each individual patient achieve their optimal level of recovery. We want people in the community to know that we are more than an inpatient facility – we are here to serve their outpatient rehabilitation needs.
What kinds of outpatient services do you offer?
We offer Physical Therapy, Occupational Therapy, and Speech Therapy services. We treat a variety of patient diagnoses, including orthopedic injuries, neurological impairments, balance disorders, pre- and post-surgical rehab, cognitive/memory/language disorders and hand injuries. Our team of highly skilled and experienced therapists are able to provide the newest evidence-based treatments and rehabilitation techniques. Therapists work together to create the most effective individualized plan of care to help each patient reach their full potential for recovery and independence.
What are some of your specialized outpatient programs?
We offer many specialized programs including Vestibular Rehabilitation, which is designed for people who have vertigo, post-concussion syndrome vestibular dysfunction or balance deficits.
We also provide a program designed for patients living with the effects of Parkinson’s Disease or other movement disorders, which is called PWR (Parkinson’s Wellness Recovery). This is a comprehensive program that is evidence-based, and utilizes structured exercises designed to help slow disease progression, restore motor function and improve quality of life. To further help our patients living with Parkinson’s Disease we offer an LSVT LOUD Program. This is a voice-specific therapy designed to help improve voice volume, speech intelligibility, increase facial expression and improve confidence.
Our Driver Assessment Program utilizes the DriveABLETM which is an evidenced-based assessment tool designed to evaluate medically-at-risk drivers. It is used to help physicians, patients, and family members make objective, informed decisions about a patient’s fitness-to-drive. This assessment is helpful in determining when – or if – an individual who has experienced cognitive decline due to stroke, dementia, or similar conditions can safely return to driving.
How would someone access outpatient rehab at HealthSouth?
Though patients often come to us after discharge from our inpatient rehab, no prior hospital stay is necessary to take advantage of our outpatient rehabilitation services. We participate in most insurance plans. Anyone who feels they would benefit from outpatient rehabilitation can call (732) 460-5384 to schedule an appointment or for more information.
Making the “impossible” possible through Sedation Dentistry
BIO: Being both a dentist and board-certified anesthesiologist, Dr. Lichtenstein created and developed his sedation dentistry office in Holmdel, NJ to incorporate the facilities of a hospital operating room in a friendly, pleasant, private office setting. He and his highly trained staff offer general dentistry services as well as dental treatments that can be performed using sedation dentistry and general anesthesia techniques to make their patients’ experiences more pleasant and comfortable.
What sets your dental practice apart from others?
In addition to over 20 years experience, THE most important thing that sets me apart from all other dentists doing “sedation” is – I did a full hospital based residency program in anesthesiology. I am an anesthesiologist.
(I spent 80 – 90 hours per week in hospital, mainly OR, as as well as critical care areas (ICU, CCU, PICU, ER) and outpatient treatment sites.) Patients choose my practice because I have a full training background in anesthesiology, with state-of-the-art monitoring equipment that other dental offices may not have.
Are there different options available for sedation dentistry?
Sedation for dental procedures in our office provides several options and depends on what works best for each individual. It can be as simple as talking to a patient to reduce anxiety, and the use of nitrous oxide (“laughing gas”). The next level is the administration of Valium-like drugs orally. The next level is intravenous medication for moderate conscious sedation. General anesthesia is the deepest level on the continuum, its administration reserved for practitioners with the highest level of license. The use of general anesthesia is reserved for patients with the more difficult issues. The higher the level of sedation needed, the more training the dental professional needs to have.
What kind of patient benefits from sedation dentistry?
Really, any patient who wants to have a more relaxed and comfortable experience when they have dental work done can opt for some level of sedation. There are people who are afraid to have the needle for the Novocain local anesthetic, and those for whom the usual doses do not numb the mouth sufficiently to block the pain. Any patient who has anxiety, fears, or phobias that render them reluctant or unable to seek out the dental care they need can be helped by sedation dentistry. Little children often can’t understand what is happening at the dentist, so it’s hard for them to sit still and cooperate. There are also a whole range of people with other special needs who are able for the first time to access regular dental treatment at our office.
Are there other types of special needs do you accommodate?
We feel that no one should be forced to suffer poor dental health because of a disability or disorder. There are a wide range of conditions that we accommodate, including neurological disorders like Parkinson’s or epilepsy that can cause tremors or seizures. Individuals on the autism spectrum or those with Down’s Syndrome may not understand that the dentist is here to take care of them, so sedation helps to calm their fears and give them an easier and more comfortable experience. Similarly, with Alzheimer’s and dementia, decreased reasoning capacity can keep the patient from cooperating. When the patient is asleep, the dentist can do the work that the patient needs.
Can you talk about your practice philosophy?
The mainstay of my practice is restorative dentistry. I want to fix and save the natural teeth whenever possible. We do root canal therapy, whether conventional or surgical, oral and periodontal surgery, and place and restore implants with the least discomfort to the patient. Sedation allows for work to be done on multiple teeth at the same appointment, even for the patient who can’t sit in a dental chair or keep their mouth open for extended periods. Our objective is to maintain a healthy mouth and teeth, so that every patient is able to speak properly, eat without discomfort, and flash a winning smile.
Sal Cannizzaro, CEO
SFC Enterprises, Inc.
Immediate Care Medical Walk-In
Marlboro Medical Arts Building
479 Route 520, Suite A103
Marlboro, NJ 07746 (732) 218.7550
OVERVIEW: The Immediate Care vision is to be the emblem for superior quality, patient centered care in the communities they serve. They are creating a new standard for urgent care services, one that combines a personalized, caring environment with a commitment to providing compassionate and convenient healthcare services.
With your background not originally being in the medical field, what made you want to move into urgent care centers in NJ?
My vision of building and opening a medical complex came from wanting a place where I myself could go for emergency services, X-rays, and lab work as well as my primary doctor. While plans for the Marlboro Medical Arts Building were on hold, I was introduced to the concept of urgent care centers, from which Immediate Care Medical Walk-In was started. We were finally able to break ground on this facility in August 2016.
How many medical facilities have you opened thus far?
The Marlboro Medical Arts Building houses the ninth urgent care center for Immediate Care Medical Walk-In.
What were the most important factors you considered when choosing the location for the Marlboro Medical Arts Building?
When looking for the ideal property for this facility, I considered the population of the community and surrounding towns, visibility and accessibility for patients. I also looked for a location that I could add to in the future.
Do you plan to expand the Marlboro Medical Arts Building? If so, what do you plan to include?
Yes, we have already begun plans for an additional 24,000 square foot, two-story building that will house a surgery center and medical offices for pain management and sports medicine.
What are some of the surprises or challenges you encountered when building your own medical arts building?
I initially started this project in 2005, but a huge challenge was the recession that the economy encountered shortly after plans were started. However, this challenge brought with it my discovery of the urgent care business from which Immediate Care Medical Walk-In developed.
What other practices are located on premises?
Within the facility is Immediate Care Medical Walk-In of Marlboro, CentraState Physical Therapy and Primary Care, Dr. Gostovich, Marlboro Medical Arts Pharmacy, and Dr. Sadek of Advanced Surgical and Bariatrics.
With so many projects and responsibilities, is it difficult to create a work/life balance?
I am very lucky to have a family that is so understanding and supportive of my work. I truly enjoy what I do, which makes them very happy for me. I also have the privilege of working with my son, Frank, who is the Vice President of Construction for SFC Enterprises Inc.
Can you tell us a bit about your involvement in the community?
We make every effort to be involved with all the communities that we are a part of whether that is sponsoring the local schools, participating in town events or hosting blood drives. We are in the business of helping people and that continues outside our urgent care centers.
What’s next for Immediate Care?
Immediate Care is always looking for a new way to make medical treatment more accessible, convenient and cost effective. We plan to continue to implement additional healthcare services and expand to new communities.
Mary Brighton, MS, RDN
Hackensack Meridian Health Integrative Health & Medicine (732) 263-7999
BIO: Mary Brighton is a Registered Dietitian and French trained Culinary Nutritionist. As an Integrative Nutritionist with Hackensack Meridian Integrative Health & Medicine, she works with the Integrative team on a Five Pillars of Health and Well-Being (Sleep, Activity, Purpose, Nutrition, and Resilience) approach, with the ‘food as medicine’ philosophy as the basis of her nutrition counseling and classes with patients and the community. Mary strives to see every person, young to less young, optimize their health and live a longer more productive life.
I’ve noticed that when I have a cold, food doesn’t taste as good. Can you tell me why?
Smell is the most important sense in how we perceive the flavor of the food we eat. When there is a physical problem with processing odors, the pleasure in relation to our diet is diminished. Taste is mostly odor detection, so if food has lost its flavor, the problem is usually a smell issue. Our taste sense, which is a sensory system, is similar to sight and audio senses. The tongue’s taste buds perceive chemical signals from the food we eat and work together with the aromas in food, our memory, temperature and even the texture of the food to bring the final ‘yum!’ picture to the person eating.
Are there any disorders that affect our sense of smell?
Smell disorders are a common problem with several million Americans suffering either temporarily or chronically from this condition. Half of all diabetic persons have a diminished sense of smell and taste and almost all those with Alzheimer’s disease have lowered smell capacity. Viral infections like colds and flu, certain medications, smoking, alcohol abuse and other brain related disorders are linked with smell disorders. As we age, over a quarter of persons over 55 years old and about two-thirds over 80 years old have a lowered sense of smell.
Why should health professionals know about the taste and smell sense?
Unlike our sense of sight and hearing, which are apparent to the health professional, our loss of smell sensitivity is not detected as well, and this problem can have devastating effects on a person’s lifestyle and food enjoyment. Appetite and food intake can go up or down, and because the flavor of foods is linked to emotion and memory, a person with a smell disorder can feel isolated and even depressed. Genes also play a role in taste perception and certain genetic variations can affect how we perceive flavor. This is why cilantro tastes delicious for some of us but tastes like soap to others! By knowing how important smell is to food pleasure, we can guide a person to the different options available, some of which are related to food preparation and nutrient availability.
If we have a smell disorder, what can we do to help food be more flavorful?
In the aging population we see people trying to make food ‘taste’ better by adding more salt to their meals. Rather than adding table salt, we emphasize textures and temperatures, spices and herbs that help the mouth taste food but don’t involve the olfactory sense.
How can we keep our sense of taste and smell as we get older?
There are certain trace mineral deficiencies that are related to taste and smell, in particular zinc. Good oral hygiene and nutritious diet with adequate zinc are important to support our sense of smell and food enjoyment. In our practice, I talk to people about the taste of food and look for any underlying factors on why their appetite for flavorful food is down.
Advanced Robotic and Laparoscopic Procedures with Excellent Patient Care
Dr. Amit Kharod is the Chief of Surgery at CentraState Medical Center. A general surgeon, board-certified in general and laparoscopic surgery, he specializes in gallbladder removals, laparoscopic hernia repairs, complex abdominal wall construction surgery, and breast surgery. He is the founder of Advanced Surgical Health Associates (ASHA), and with physicians Dr. Thomas Kayal and Dr. Michael Menack, the practice offers a wide array of robotic and laparoscopic procedures with excellent patient care.
What are some of the most common procedures you perform?
Some of the most common procedures we perform are gallbladder removal and hernia repair. The difference with our practice is that all of our surgeons have undergone advanced training to perform many different procedures laparoscopically using state-of-the-art tools and technology, such as robotics. A very small group of surgeons in the country have received special training to perform this surgery.
As a surgeon, it allows you the control, range of motion, and visibility of open surgery, while simultaneously allowing you to get precise results within a very small space at different and sometimes difficult angles. This type of precision usually translates into significantly less pain and faster recovery for you.
What type of robotic-assisted surgery do you offer for gallbladder removals?
I perform cholecystectomy (gallbladder removal) by using the Single-Site™ instruments on the da Vinci® Si™ Surgical System. The da Vinci System features a magnified 3D high-definition vision system and fl exible single-site instrument which enable me to operate with enhanced vision and precision. By using this system, I can remove your gallbladder through one tiny incision in the belly button, making the procedure virtually scarless.
What type of hernia surgeries do you perform?
Mostly ventral and hiatal hernias. Ventral hernias cause a bulge or lump in the abdomen, which increases in size over time. Unlike a ventral hernia, a hiatal hernia is located in the diaphragm. It doesn’t have any symptoms you can see, but can cause heartburn and gastroesophageal reflux disease (GERD). Both hernias can be repaired by minimally-invasive surgery. To repair a ventral hernia, we make a few small incisions in your abdomen using long, thin surgical instruments and a small camera that guides the surgeon.
A hiatal hernia can be fixed through a minimally-invasive procedure called Transoral Incisionless Fundoplication (TIF), which corrects GERD by creating a valve mechanism at the bottom of the lower esophageal sphincter. TIF is performed under general anesthesia and most patients return to work within a few days.
Do you have any recommendations on how patients should choose a surgeon?
Even straightforward surgeries can result in complications, so make sure you choose your surgeon carefully. Research providers by asking your social network, as well as medical office and hospital based nurses for recommendations, and make sure you choose a quality surgeon with whom you feel comfortable entrusting your life.
Don’t hesitate to ask a surgeon for patient references. You want to make sure that the surgeon you choose is regularly performing the operation you need with consistently successful outcomes.
What are some other surgical procedures that patients are getting in your office?
We also provide conservative surgical options for the bowel, liver, appendix, thyroid & parathyroid, veins, and hemorrhoid treatment. In addition, we offer testing for chronic constipation, fecal incontinence, and esophageal reflux. At ASHA, we will work with you to figure out the best plan of action for your health.