Wellness Archives - NJ Family https://www.njfamily.com/category/me-time/wellness/ Tue, 06 May 2025 20:53:46 +0000 en-US hourly 1 https://wordpress.org/?v=6.9 https://njfamily-images.s3.amazonaws.com/wp-content/uploads/2019/09/cropped-NJF_BUG_FNL-2-32x32.jpg Wellness Archives - NJ Family https://www.njfamily.com/category/me-time/wellness/ 32 32 Thirty Years of Beauty in Livingston: Inside Dieci Lifestyle Spa’s Journey https://www.njfamily.com/dieci-lifestyle-spa/ Tue, 06 May 2025 12:07:33 +0000 https://www.njfamily.com/?p=228567 The moment you walk through the doors of Dieci Lifestyle Spa in Livingston, you’re immediately struck by its size, warmth, and modern feel that’s both luxurious and welcoming. The spa […]

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Dieci Spa
Dieci Spa

The moment you walk through the doors of Dieci Lifestyle Spa in Livingston, you’re immediately struck by its size, warmth, and modern feel that’s both luxurious and welcoming.

The spa is 13,000 square feet over two thoughtfully designed floors. There’s a cute shop as you walk in with beauty, style, and wellness goodies for sale, a full-service salon with hair and nail services (and an area for men to get pedis, too), and a spa.

This fall, Dieci celebrates a major milestone: 30 years in business. For husband-and-wife founders and owners Marie and Paul Gaglioti, the anniversary represents much more than longevity—it’s a celebration of community, adaptability, family and, of course, self-care.

It’s also a reminder of how far they’ve come since they first had a vision to turn a former car dealership into an expansive day spa three decades ago.

To celebrate Mother’s Day, Dieci is giving away a $200 gift card. To enter to win, head to our Instagram
Dieci Lifestyle Spa
Dieci Spa

A Trailblazing Beginning

In 1995, the idea of a European-inspired day spa with multiple offerings in skin care and body treatments under one roof was cutting edge. “There was nothing like it,” recalls Marie, who began her career as a makeup artist and channeled her background in art to design the spa. “We wanted people to walk in and feel like they had escaped to Europe.”

Her husband Paul, a hairdresser who had built a loyal following at his own salon in West Orange, was also thinking big, not only in terms of expanding but also growing the beauty services they could offer in one place. “He said, ‘I want to go to the next level,’” Marie says.

“That next level was a spa. We were ahead of our time, for sure. There were no computers. People didn’t even know what a facial really was.”

After doing some research, they learned that the spa concept originated in ancient Roman bathhouses and Italian hot springs. That history inspired the name “Dieci,” which means “ten” in Italian—a nod to their Italian roots. The number ten also worked well for marketing (ie. “ten reasons to come to Dieci”).

The Gagliotis’ vision was to offer top-tier beauty and wellness services in a warm space. They also made it their mission to focus on training and education for their staff while building connections within the Livingston community.

Marie Gaglioti

Marie’s makeup artistry background gave her an understanding of facial structure, skin tone, and technique. “Every face I worked on felt like painting a canvas,” she says. “It was all about dimension and detail.” Paul focused on training Dieci’s stylists, recruiting recent cosmetology graduates and training them in-house for two years. Then they sent them to top training academies in New York City, Florida and California. The result is a team of stylists and estheticians who have been with Dieci for 20 years or more.

The past three decades haven’t been without challenges, including the 2008 recession and the COVID-19 pandemic. Marie credits the spa’s loyal team and clients as two of the biggest reasons they were able to withstand those challenges. “We’re a family-owned business, and we treat our staff like family. That’s what’s kept us going.”

Classic and Forward-Facing Beauty and Wellness

Today, Dieci offers a curated mix of classic services with their own take on what’s trending. During a recent visit, I got to try facial fitness: a sculpting, gua sha-based treatment that lifts and tones facial muscles. Gua sha is a traditional East Asian technique that calls for gently scraping the skin with a smooth-edged tool to improve circulation, release tension, and promote lymphatic drainage. “It’s like a workout for your face,” Marie says. “But in our version, you’re lying down, relaxing, and listening to music.”

Luciana, who has been with Dieci for 25 years, did my facial fitness session. It featured a mix of microchanneling (a gentler alternative to microneedling), Celluma LED light therapy, and lymphatic drainage massage. The experience is super relaxing and leaves your face with a noticeable glow from the skin “workout.”

Celluma LED light therapy at Dieci Spa

After facial fitness, I had a chance to experience Dieci’s Himalayan Salt Lounge. The lounge circulates microscopic salt particles through the air, which are great for your skin and also have respiratory benefits. “If you’ve ever gone to the beach and just breathed in that air—you know the feeling,” Marie says. “It’s like that. But here, all year round.” The spa also offers infrared sauna treatments, CBD massages, and targeted cupping for chronic pain or recovery.

When you work in the beauty industry, you know skincare, so we asked Marie about her regimen. “I use Eminence and a growth serum called Biopelle, made from snail stem cells. It’s full of peptides and hyaluronic acid—completely natural,” she says. “And I believe in treating yourself. A facial, a massage, even just a blowout—it makes you feel good, and that energy goes with you.”

To celebrate Mother’s Day, Dieci is giving away a $200 gift card. To enter to win, head to our Instagram

A Major Milestone

To mark its 30th anniversary, Dieci is running monthly specials throughout the year, from facial bundles and body treatment discounts to seasonal hair and nail promotions. The celebration will culminate in a 30th Anniversary Party this October, bringing together clients, team members, and the Livingston community.

Paul and Marie in London

Last month, Dieci hosted its first-ever Wedding Expo showcasing vendors, beauty tips and pampering for brides-to-be and their wedding parties. “Our clients are savvy,” Marie says of the Livingston community. “They’ve pushed us to stay current and raise the bar. We wouldn’t be here without them.”

The family feel of their spa and business is another reason behind their success. Marie and Paul have been married for 39 years. The couple has 3 kids (Peter, Paula and Daniel) and 6 grandkids (Emilia, Paul, Daniela, Gianna, Luca and Angelina).

Their son Peter oversees a big part of the spa’s operations, handling everything from HR to inventory control. “We’ve worked together every day of our lives,” Marie says. “And we still love it. That’s rare—and I’m grateful.”

To celebrate Mother’s Day, Dieci is giving away a $200 gift card. To enter to win, head to our Instagram

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Cosmo Ranked This Jersey Shore City a Top Girls’ Trip Spot Just in Time for Mother’s Day https://www.njfamily.com/asbury-park-momcation-girls-trip/ Thu, 01 May 2025 19:32:22 +0000 https://www.njfamily.com/?p=227584 We love our kids—but let’s be honest, sometimes mama needs a break! This Mother’s Day month, plan a day with your besties for some much-needed R&R in one of New […]

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Asbury Park / MADISON MARQUETTE

We love our kids—but let’s be honest, sometimes mama needs a break! This Mother’s Day month, plan a day with your besties for some much-needed R&R in one of New Jersey’s favorite Shore towns. It’s even been named one of the top 20 spots in the country for a mom escape by both Cosmopolitan and SIXT.

FOXTROT MEDIA / Toast City Diner, Asbury Park

Asbury Park placed 19th on a list of 20 “momcation” spots in the U.S. by SIXT, and No. 20 out of 35 girls’ trip destinations in the country by Cosmo. We love Asbury Park for its cute Grand Arcade shops, gorgeous beaches, art galleries, restaurants and endless things to do along the boardwalk and in the city.

ISTOCK.COM / JF BENNING

Start your day with a top tier caffeine fix at Asbury Park Roastery or have some next level pancakes or avo toast at Toast City Diner. Asbury is known for being a city that’s home to innovative spots and the new Jewish-Italian fusion restaurant Judy’s, and its neighboring speakeasy-like bar, Harry’s, are just one example. The bar and restaurant are open to the public, although part of the St. Laurent hotel (you can book a night or two there, too).

ASBURY PARK BREWERY

Sign up for a food tour and taste a variety of authentic dishes throughout the city. Save room for dessert at Coney Waffle.

MADISON MARQUETTE / Convention Hall

No trip to Asbury is complete without a show at the iconic Stone Pony or House of Independents. Get your old school game on at the Silverball Retro Arcade, try glassblowing at Hot Sand, or catch a movie at Showroom Cinema.

A shoreline walk at sunrise is always good for the soul, or enjoy some quiet time at Sunset Lake Memorial Park. Asbury Park Pedal Boats rents swan-shaped pedal boats you can take out on Wesley Lake.

STAFF PHOTO

Relaxation is the goal at Artemis Ethos Holistic Beauty Soul Spa Salon, which offers the most glorious scalp massages. Kur Wellness Studios has a yoga studio and Ayurvedic therapies.

ASBURY PARK CHAMBER OF COMMERCE / Grand Arcade

There are lots of cute shops selling Jersey Shore-themed clothes and accessories at the Grand Arcade, and if you’re visiting on Mother’s Day weekend, you’ll catch the extra pop-up shops of the Spring Bazaar.

Book a room at the Berkeley Oceanfront Hotel or Asbury Ocean Club for a full getaway experience.

ISTOCK.COM/BRIAN LOGAN / Robinson Ale House and Tim McLoone’s Supper Club

How did Asbury rank so high on a national list? To determine the rankings, the analysis by SIXT looked at Google Trends searches for Mother’s Day, worldwide, over the past month; as well as Cosmo’s list of the top girls’ trip ideas. Analysts looked at the number of premium resorts and spas in each area, plus TikTok views from the most popular video highlighting the destination (as of March 24). Although Asbury does not have any all-inclusive resorts, it does have five spa and wellness retreats, and there have been 413,000 TikTok views.

MADISON MARQUETTE

The Top 20 Momcation Destinations in the U.S., According to SIXT:

  1. Sedona, Arizona
  2. Bar Harbor, Maine
  3. Pagosa Springs, Colorado
  4. Napa Valley, California
  5. Jackson Hole, Wyoming
  6. Vail, Colorado
  7. Lake Tahoe, California
  8. Big Sky, Montana
  9. Sun Valley, Idaho
  10. Park City, Utah
  11. Newport, Rhode Island
  12. Charleston, South Carolina
  13. Montauk, New York
  14. Asheville, North Carolina
  15. St. Michaels, Maryland
  16. Austin, Texas
  17. Nashville, Tennessee
  18. Santa Barbara, California
  19. Asbury Park, New Jersey
  20. Las Vegas, Nevada

The 35 Best Girls’ Trip Destinations, According to Cosmopolitan:

  1. Newport, Rhode Island
  2. Lake Tahoe, California
  3. St. Michaels, Maryland
  4. Park City, Utah
  5. Napa Valley, California
  6. Nashville, Tennessee
  7. Outer Banks, North Carolina
  8. Las Vegas, Nevada
  9. Big Sky, Montana
  10. Pagosa Springs, California
  11. Montauk, New York
  12. Santa Barbara, California
  13. Vail, Colorado
  14. Woodstock, Vermont
  15. Carmel-by-the-Sea, California
  16. New York, New York
  17. Bar Harbor, Maine
  18. Ojai, California
  19. Sedona, Arizona
  20. Asbury Park, New Jersey
  21. Austin, Texas
  22. Willamette Valley, Oregon
  23. Charleston, South Carolina
  24. Sun Valley, Idaho
  25. New Orleans, Louisiana
  26. Palm Springs, California
  27. Asheville, North Carolina
  28. Nantucket, Massachusetts
  29. Jackson Hole, Wyoming
  30. Telluride, Colorado
  31. Portland, Maine
  32. Santa Fe, New Mexico
  33. Solvang, California
  34. Mackinac Island, Michigan
  35. Aspen, Colorado

Get the latest on the best things to do with your family in and around New Jersey by signing up for our newsletter and following us on Pinterest, Facebook and Instagram!

Read More:
The Best Things to Do in Asbury Park
Our Guide to All Things Mother’s Day: Brunch, Activities, Gifts & More
Planning a Mom’s Night Out? These Two NJ Towns Ranked the Most Fun
This Jersey Shore Beach Town Is a Hot Spot During The Offseason, Too

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Let’s Talk: NJ Activist Deb Belfatto is on a Mission to Boost Women’s Wellness https://www.njfamily.com/lets-talk-nj-activist-deb-belfatto-is-on-a-mission-to-boost-womens-wellness/ Fri, 21 Mar 2025 15:06:14 +0000 https://www.njfamily.com/?p=215739 Deb Belfatto is a force for women’s health and wellness. The tireless advocate has an unwavering belief in lifting up the women around her. It’s long been her calling, or […]

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COURTNEY VAN JAHNKE PHOTOGRAPHY

Deb Belfatto is a force for women’s health and wellness. The tireless advocate has an unwavering belief in lifting up the women around her. It’s long been her calling, or as she puts it more meaningfully, her path to purpose. When it comes to health in all its forms, Belfatto wants to make sure every woman has access to the education and support needed not just to survive, but to thrive.

That mission began in 1988, when she was diagnosed with breast cancer at 33 years old. Her daughter Lindsay was just 2. “There were no young women talking about breast cancer then,” she recalls. “I was sitting in waiting rooms filled with older women, and I felt so isolated. I didn’t know a single person my age who had been through this.”

Belfatto with her daughter Lindsay / COURTNEY VAN JAHNKE PHOTOGRAPHY

She also knew immediately that she had something many other women didn’t. “I had resources. And I was quickly struck by how many women didn’t,” she says.

That realization eventually led her to co-found the North Jersey affiliate of Susan G. Komen for the Cure, a force for breast cancer education, screenings, and research funding in New Jersey. For more than 15 years, she helped raise millions of dollars to support women—especially those in underserved communities—making sure they got the mammograms, treatment, and support they needed.

Then, in 2021—35 years after her first diagnosis—Belfatto got the call she never imagined would come a second time. “I had breast cancer again,” she says, referring to it as her WTF number two. But this time she was empowered with enough information to be an honorary oncologist and had a team of doctors led by one who was also a dear friend. She knew she was ready to face that second diagnosis and treatment plan with full optimism.

Embracing a Path to Purpose
Belfatto also knew she wanted to frame her journey in a way that gave others hope. “Everything leads you somewhere,” she says. “And this time, it led me to Let’s Talk.” Belfatto wanted to reach and support women who lack access to care. She wanted to remind women who put themselves on the back burner while taking care of their kids or elderly parents to prioritize themselves, too. She wanted all women to know there is community in sisterhood and that sisterhood does wonders for both your physical and mental health.

Belfatto with her husband Joe / COURTNEY VAN JAHNKE PHOTOGRAPHY

Belfatto was raised by a supportive and nurturing mother who taught her not just to count her blessings but to share them. “And do it with grace and with power,” she says. She grew up in Essex County, spent more than two decades in Summit, where her daughter Lindsay was raised, and now calls Jersey City home—a city she loves for its energy, walkability, and diversity.

Belfatto with her family in Puglia, Italy / COURTESY OF THE BELFATTO FAMILY

Every day, Belfatto is filled with gratitude for what she calls her abundant blessings—her husband Joe Belfatto (not only her partner in life but also in all things philanthropic), her daughter Lindsay and son-in-law Marcus and grandkids Rocco and Louie. Having her family and sisterhood of friends work alongside her to pull off her biggest and boldest vision yet has been instrumental. Let’s Talk Women’s Health & Wellness is not just a one-day symposium dedicated to women’s wellness at NJPAC in Newark. It’s a movement.

The Evolution of Let’s Talk
Now in its third year, Let’s Talk Women’s Health & Wellness has become the must-attend New Jersey gathering for women’s self-care. “It’s part event, part movement, part giant hug,” Belfatto says. “You walk in, and I guarantee you’ll walk out with a new friend, some real talk, and a whole new perspective on how to take care of you.”

When she first imagined Let’s Talk, Belfatto envisioned a place where women could talk openly and honestly about things that matter—breast health, mental health, finances and more. “The whole truth and nothing but the truth—that’s what we’re about,” she says. “We’re not here to sugarcoat things. We’re here to have real conversations about what women need.”

Movement and fun are a big part of Let’s Talk / COURTNEY VAN JAHNKE PHOTOGRAPHY

Let’s Talk brings together doctors, wellness experts and women from all backgrounds to learn, connect, and support one another. The symposium covers five pillars: physical well-being, mental health, spiritual wellness, financial health and human connection.

There’s a wellness lounge where women can try movement sessions, meditation, and self-care workshops. There’s a marketplace showcasing women-owned businesses (think everything from stylish finds to wellness products to unique gifts). And there’s community. “I always say, you’re going to walk in and make a new friend that day,” Belfatto says. “There’s joy, there’s tears, there’s connection—it’s all there.”

And this year, there’s an even bigger focus on health equity, with mobile mammography screenings on-site to provide exams to female veterans who might not otherwise have access. “No woman should be denied the same quality of care that I received,” she says. “Health equity is everything.”

Belfatto at the podium at Let’s Talk / COURTNEY VAN JAHNKE PHOTOGRAPHY

If you’ve ever seen Belfatto in action, you know she not only makes a statement with her words, but also with her style. Whether it’s a blazer with a statement ladybug pin that embodies her positivity or her signature Lingua Franca sweaters embroidered with powerful phrases like Love is the Cure, she finds a way to use fashion as a conversation starter. “I love to wear a message,” she says. “Clothing can be fun, but it can also be meaningful. I want what I wear to reflect what I believe in.”

One of her favorite pieces? A custom jacket by Cara Brown Designs of Lambertville, a woman-owned business that specializes in handcrafted jewelry and fashion. “My friends gifted me a blank jacket for my 70th birthday, and then I got to design it with patches and details that tell my story,” she says, pointing to meaningful phrases like Path to Purpose and the logo for Let’s Talk as examples.

Belfatto films her first podcast episode with her Let’s Talk team (pictured from left): Marlie Massena, Sally Younghans and Lisa Marie Falbo / LONGSHOT PRODUCTIONS

Now that Let’s Talk has become its own 501(c)(3) nonprofit, Belfatto is looking to the future, and expanding the movement by hosting more community events throughout the year and launching a podcast. “I want to keep the conversation going year-round,” she says. “There’s so much more to talk about.”

A mobile meditation studio at last year’s Let’s Talk / COURTNEY VAN JAHNKE PHOTOGRAPHY

A Day For You
This year’s event is set for March 29 from 9 am – 5 pm at NJPAC in Newark. Expect conversations on topics women don’t talk about enough—from cancer and fertility to motherhood and sexual health to menopause and mental health. There will be experts, doctors, and wellness professionals participating in panels and breakout sessions. A Wellness Lounge will offer mindfulness and movement, a lesson on how to get better sleep, a chance to create a personal vision board, sip a mocktail and more.

Anna Mae Creates, a Jersey City-based business that makes cute tote bags, zip pouches and more, was part of last year’s Let’s Talk marketplace. / COURTNEY VAN JAHNKE PHOTOGRAPHY

You’ll also be able to shop at a marketplace filled with women-owned businesses. Author, motivational speaker, media personality, and beauty expert Mikki Taylor will serve as emcee for the day.  Tickets include breakfast, lunch, snacks and a swag bag.

“I want every woman to walk out of Let’s Talk knowing that she matters,” she says. “That she’s worthy of care, of joy, of taking up space. This isn’t just a one-day event—it’s a mindset shift.”

For more information about Let’s Talk Women’s Health & Wellness and for tickets, click here and be sure to use code NJFAMILY30 for a 30 percent discount on tickets. Student and young professional rates are available as well as the opportunity to buy a “Sister Ticket” for a woman who may require additional resources to attend.

We’re giving away two tickets to Let’s Talk Women’s Health & Wellness for you and your bestie. To enter to win, head to New Jersey Family’s Instagram page for details! 

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Self-Care Ideas That Make a Big Difference on Mind, Body and Soul https://www.njfamily.com/self-care-ideas-that-make-a-big-difference-on-mind-body-and-soul/ Mon, 06 Jan 2025 21:03:24 +0000 https://www.njfamily.com/?p=201645 In today’s busy world, it can feel as though we are pulled in every direction, responding to others’ needs and wants. Sure, on a good day, homework gets turned in […]

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ISTOCK.COM / RIDOFRANZ

In today’s busy world, it can feel as though we are pulled in every direction, responding to others’ needs and wants. Sure, on a good day, homework gets turned in on time, the dog makes it to his vet appointment, and everyone enjoys a homemade dinner served at a reasonable hour.

However, if this leaves you unable to get adequate sleep, exercise, nourishment and love, then you might benefit from more self-care. The result? A healthy mindset, strong body and satisfied soul – plus, by taking care of yourself, you are more capable of supporting loved ones.

The start of the new year presents an ideal time to reset, recharge and prioritize self-care.
As healthcare professionals, we have seen people take small steps toward making self-care a regular practice, gaining big benefits to their overall well-being.

Here are some recommended self-care ideas to try in 2025:

Digital Detox

We are spending more time on devices than ever. In fact, according to digital reference library DataReportal, worldwide, people ages 16 to 64 spend an average of six hours and 40 minutes surfing the web each day. That may not sound like an insane amount of time, but it adds up to approximately 101 days a year, which, to us, sounds like a lot!

While it may not be easy, we suggest doing a digital detox. Spending time offline can help you sleep better, form deeper connections with others, improve your mood, and increase your focus and productivity. Sounds good, but how can you unplug when you feel tethered to your device?

First, consider how and when you use technology. This will help you determine your approach to disconnecting digitally and set you up for success. Like so many of our patients, we find ourselves using our devices at bedtime — so our digital break means powering off or charging our devices in another room, one hour before going to sleep. We do this 3-5 nights per week, every week, but you should decide how the digital detox will work best for you.

Determine how long – one week, one month – you plan to implement this change, and once you have achieved the goal, evaluate the experience to decide if this is something for the long-term.

Make Time for Gratitude

Gratitude is an emotion similar to appreciation that evokes a sense of happiness and thankfulness. When you’re feeling overwhelmed (by that looming homework, the dog or dinner), practicing gratitude can be a healthy, powerful way to ease your emotional state and increase feelings of optimism.

Every day, in a journal that makes you smile, write down three things that you are thankful for. This can be an easy, effective way to recognize all the wonderful things in your life. Maybe today you appreciate a specific person, a treasured place, being able to help your elderly parents, spending time in nature, or connecting with spirituality.

By identifying what you appreciate, you can reflect on the beauty in the small things. Small moments of gratitude are the ultimate self-care for the soul.

Embrace Community Care

Community care where we work together for the collective good has a positive impact on not only our individual wellbeing, but also on society. It is important to understand that self-care and community care are interconnected.

To embrace community care, ask yourself what you enjoy doing. Are you interested in supporting specific causes or helping neighbors in need? Find other like-minded individuals to join at community rallies or give back to family and friends at various volunteer projects.

Do you treasure the time you have for hobbies? Participate in a monthly book club where you can connect with others, laugh, learn, and engage in interesting conversation, or attend a knitting meet-up to make new friends and indulge in your crafty side.

Collaboration and connection are essential to improving our wellbeing – and if you are working on it at the individual level, add in a few strategies to benefit the community, too.

Walk in Nature

Regardless of fitness level, everyone benefits both physically and mentally from walking – and we encourage you to get outdoors when the weather allows. There are countless physical and mental health benefits of fresh air, including improved mood, strengthening of your immune system, and cleaning your lungs.

Whether you enjoy a challenging hike or a calmer stroll, the exercise improves your circadian rhythms, helps you get better sleep, builds physical strength, and increases energy levels. While it can be difficult to make time for a daily walk – even just 20 minutes – when you mark it on your calendar or make plans to walk with others, you are more likely to follow through.

And walking can promote both self-care and community care; find a community-based group to connect with others while nourishing your soul.

By recognizing your own needs and responding with care and intention, you’re sure to thrive in the year ahead. You deserve to feel your best!

Janet Post, MSN, RN, NC-BC, NBC-HWC, CHt, is a community outreach nurse at Holy Name Medical Center in Teaneck. Janet uses a mind-body-spirit approach to help people achieve their highest level of health and well-being. She is a graduate of the Holy Name School of Nursing, holds a Master of Science in Nursing (MSN) from Walden University, and is a certified hypnotist. Passionate about integrating holistic healthcare modalities into community health, Janet earned her nurse coach certification through the American Holistic Nurses Association and is a certified health and wellness coach through the National Board for Health and Wellness Coaches.

Olivia Von Vorst, BSN, RN, MEDSURG-BC™, is a community outreach nurse at Holy Name in Teaneck where she uses her extensive experience in adult health educational programming to empower communities to support disease-specific self-management skills. Olivia takes pride in building meaningful relationships within her community, inspiring members to overcome challenges, and embrace the tools they need to lead healthier lifestyles. Currently, Olivia is pursuing her master’s degree in Nursing Education at Walden University to further enhance her teaching skills and expand her impact.

 

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Picture Book Aims to Support Families Impacted By Metastatic Breast Cancer https://www.njfamily.com/picture-book-aims-to-support-families-impacted-by-metastatic-breast-cancer/ Sat, 23 Nov 2024 20:38:27 +0000 https://www.njfamily.com/picture-book-aims-to-support-families-impacted-by-metastatic-breast-cancer/ A recent report from The American Cancer Society shows breast cancer is increasingly impacting younger women, particularly women under 50. For women diagnosed with metastatic breast cancer (MBC) – the most aggressive […]

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A recent report from The American Cancer Society shows breast cancer is increasingly impacting younger women, particularly women under 50. For women diagnosed with metastatic breast cancer (MBC) – the most aggressive form of cancer – parenting young kids and teens adds another level of challenge.

Randolph resident, pediatrician, mother and grandmother Beth Gelman knows this struggle firsthand. She was diagnosed with MBC at the age of 55.  Her experience inspired her to team up with seven other women living with MBC and a family psychiatrist to write The Adventure Jar: A Story of Magic for Families Living with Metastatic Breast Cancer,  a picture book that shows adventures don’t always mean taking a trip but can be had at home by doing creative things together as a family, even during very hard times. We asked Beth about her experiences, the book and how it aims to help others going through MBC.


New Jersey Family: Getting a cancer diagnosis is overwhelming in so many ways, especially if you’re parenting kids or teens. How did your cancer journey along with your experience as a pediatrician and new grandmother inspire you to help other parents navigating cancer?  

Beth Gelman: When I was diagnosed with metastatic cancer I had to leave my career behind to focus on my health, but I knew I needed to have more in my life than just being a cancer patient. With the encouragement of my daughter, I founded Happynest, a parenting consulting company to help parents navigate the challenges of child-rearing. Naturally, I feel a special connection to women facing metastatic breast cancer (MBC). Those with young children cannot stop being a parent when they don’t feel well. Since opening Happynest, I have been offering my services for free to women with MBC. The group discusses not only the typical concerns all parents encounter but also the additional challenges of navigating an MBC diagnosis when you have young children.

NJF: How did “The Adventure Jar” come to be and how does the book reflect your personal experiences?

BG: Gilead Sciences in collaboration with members of the MBC community, such as myself and professionals, including a psychiatrist, came up with the idea to create a book for children whose families were dealing with MBC. I love how the book shows that sometimes moms with MBC don’t feel their best and aren’t able to do the things they would like to do. I experience this all the time and it’s tough to not be able to have the energy to do everything I want for my family.

NJF: The book focuses on finding magic in everyday moments. Can you share an example of a meaningful adventure with your family that brought you comfort or joy during your cancer journey?

BG: My family rented a beach house for a week, not far from Savannah, where my son, daughter-in-law, and new baby granddaughter live. My daughter came as well. Being together as a family in a setting that made everyone comfortable allowed us to really enjoy one another. I am grateful that I have so many wonderful memories and, more importantly, that my family will have those to look back on after I am gone.

NJF: How has your support system played a role in helping you cope with MBC? What role can extended family members, like grandparents or close friends, play in supporting kids during this time?

BG: My support system is critical. I have an amazing family and friends who I can count on to support me emotionally and physically. Even though my children are older, having a mother with MBC is very hard for them. Their peers really don’t know how to talk to them about what they are going through and their family, especially their aunts, cousins and grandparents are stepping up to help them with frequent phone calls to check in and invites to dinners, movies and nights out.


NJF: What are some practical ways that parents with MBC can take care of their health while also managing the demands of parenting?

BG: It’s all about prioritizing. I ask myself what needs to get done today and what can wait. Don’t be afraid to ask for help. You don’t have to be a Wonder Woman; people actually want to help and feel good about being able to do something that can make something easier for you. You must listen to your body and take care of yourself before you can take care of others. You can still have time with your kids, snuggling up on the sofa, reading a story, or watching a movie together.

NJF: With the rise in breast cancer cases among younger women, what are some key steps that can be taken to support early detection, especially for mothers who may be juggling many responsibilities?

BG: It’s so important to make healthcare a priority. Discuss risk factors with your gynecologist and come up with a plan together for screening. Remember that our children learn from us, from our behaviors. If you make your health a priority, your children will learn that when they grow up, they need to do the same.

NJF: How can families get a copy of The Adventure Jar?
BG: Families can download the free e-book or order a free copy of “The Adventure Jar” here.

Read More:
The Future of Cancer Treatment: How New Therapies Can Improve Outcomes 
Navigating Cancer Survivorship: What Comes Next After a Diagnosis
Should You Get Genetic Testing for Cancer Risk? Here’s What to Know

 

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Embrace Good Sleeping Habits Before Kids Go Back to School https://www.njfamily.com/embrace-good-sleeping-habits-before-kids-go-back-to-school/ Tue, 27 Aug 2024 11:32:52 +0000 https://www.njfamily.com/embrace-good-sleeping-habits-before-kids-go-back-to-school/ Back to school means a new year of challenges and adventures for your kids. But no one can learn when they’re sleepy (and cranky). After a summer of late nights […]

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©ISTOCKPHOTO.COM / IMAGE_SOURCE_

Back to school means a new year of challenges and adventures for your kids. But no one can learn when they’re sleepy (and cranky). After a summer of late nights and sleeping in, the whole family probably needs a sleep makeover. Here’s how to get everyone back into the groove, with tips from the American Academy of Pediatrics, the American Academy of Sleep Medicine and the Sleep Foundation:

MAKE SURE KIDS GET ENOUGH SLEEP

It’s probably more than you realize: Preschoolers need 10 to 13 hours of sleep, while grade schoolers require 9 to 12 hours. Teens need 8 to 10 hours.

START ADJUSTING TO EARLIER BEDTIMES GRADUALLY

About a week or two before the new school year begins, start inching back bedtimes. Have your child go to bed 15 minutes sooner and get up 15 minutes earlier to help them get used to the new schedule.

BEGIN A SOOTHING NIGHTTIME ROUTINE

This helps kids of any age settle down so they can fall asleep more easily. A bath, reading a book together, and tucking them in can be part of the ritual for young kids. Big kids should find something that relaxes them, such as journaling, reading or meditating. Your kids should put down screens at least an hour before bedtime.

ENSURE YOUR CHILD’S BEDROOM IS A PEACEFUL PLACE

The room should be dark, cool and quiet. Use a sound machine to mask street noise if that’s a problem.

SET UP A PHONE CHARGING STATION

To encourage everyone to unplug, keep phones out of bedrooms. This also prevents late-night scrolling (this applies to you, too!).

PRIORITIZE SLEEP FOR YOURSELF, TOO

Your kids are watching you. And we promise you’ll feel better able to handle the morning routine when you get a good night’s sleep, too.

—Arricca Elin SanSone is a New York-based health and lifestyle writer.

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Loopwell in Montclair Will Transform the Way You Think About Wellness https://www.njfamily.com/loopwell-in-montclair-will-transform-the-way-you-think-about-wellness/ Tue, 21 May 2024 12:01:06 +0000 https://www.njfamily.com/loopwell-in-montclair-will-transform-the-way-you-think-about-wellness/ The moment you step into Loopwell in Montclair, you feel an immediate sense of calm. That feeling is intentional. A new 15,000-square-foot indoor and outdoor wellness space on Maple Avenue, […]

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STAFF PHOTO

The moment you step into Loopwell in Montclair, you feel an immediate sense of calm. That feeling is intentional. A new 15,000-square-foot indoor and outdoor wellness space on Maple Avenue, Loopwell is a first-of-its-kind well-being hub in New Jersey.

STAFF PHOTO

Co-founders and husband and wife team Debbie and Sean Looney designed it as a place “to connect people to purpose, balance and well-being.” Inspired by a need for meaningful in-person connections, co-founder Debbie Looney says there’s a strong link between well-being and increased productivity.

“The pandemic clearly showed us that well-being cannot be achieved from a virtual app or platform,” she says. “At Loopwell, our mission is to make well-being more accessible, one community at a time.”

STAFF PHOTO

We visited the space earlier this month during an official launch event that featured everything from a juice bar and wellness shots to aromatherapy, meditation and sound bowls. Other activities included gratitude journaling, intention setting, aromatherapy and crystal healing with a Reiki practitioner. Reiki is a Japanese form of energy healing that promotes relaxation and reduces stress and anxiety. Crystal healing is believed to affect us in two ways—vibration and mindset.

Trust us when we tell you you need to bring your mama tribe here stat because everything about this space and its mission will do you good.

LOOPWELL

Bracelets for attendees at the special event were made with snowflake obsidian. Restoring balance to the body, mind and spirit, snowflake obsidian is meant to support the process of personal transformation. It encourages us to replace negative inner dialogue with a more positive mindset. This is just one of many examples of how thoughtfully curated every last detail and event is in this space.

From being led in a positive affirmation meditation to using a Loopwell-being Wheel to visualize your current and desired life, every member of the team here has a deep knowledge of and passion for wellness.

LOOPWELL

Lunch at the special event was served up by Nami Nori, a casual temaki bar specializing in open-style sushi hand rolls in Montclair (with locations in NYC’s West Village and Williamsburg). You’ll want to add Nami Nori to your list of must-try sushi spots. We highly recommend the signature temaki, tuna poke and vegan options. They are as delicious as they are visually stunning.

A salad bar with organically and ethically sourced ingredients boasted seasonings and dressings with ayurvedic enhancements like cilantro chutney and beet and almond flour dip, each with its own unique nutritional and healing properties.

LOOPWELL

The afternoon ended with a panel discussion featuring Debbie Looney; Susan McPherson, author of The Lost Art of Connecting; Satya Scainetti, founder of Satya Jewelry; and Komel Caruso, co-founder of HerMD, which hosted another event and discussion that same week focused on menopause, sex and skin.

LOOPWELL

Looney says her goal is to make wellness accessible to the community since going on a wellness retreat or seeking a wellness specialist is not possible for many. “[Loopwell is] a place where people can connect and gain purpose, balance and well-being in our community,” Looney says. “We are curating different classes, workshops experiences. … We have amazing coaches, experts, teachers and instructors who are empowering people to take care of themselves and practice self-care because right now we all need that.”

STAFF PHOTO

Loopwell programming focuses on 8 core areas of well-being – social, emotional, mental, physical, spiritual, occupational, environmental and financial – to increase self-awareness, focus and performance. “When people take care of their well-being their capacity in life and at work improves – it’s just common sense,” co-founder Sean Looney says.

The space is bright, airy and full of sunlight. Huge open rooms are well-suited for communal gatherings and classes. During warmer weather, visitors can use Loopwell’s outdoor space as well.

Loopwell will host corporate events, retreats and workshops and classes for individuals. A membership plan is in the works in the near future.

Preview this gorgeous space by watching our video on Instagram.

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Read More:
A Scalp Massage At This Jersey Shore Salon is The Treatment You Didn’t Know You Needed
10 Ideas For Girls Night Out in NJ

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Here Are 6 Yoga Poses to Try with Your Kids https://www.njfamily.com/here-are-6-yoga-poses-to-try-with-your-kids/ Wed, 08 May 2024 17:53:30 +0000 https://www.njfamily.com/here-are-6-yoga-poses-to-try-with-your-kids/ Yoga is a great way for kids to learn how to control their body, use their breath, and foster a sense of mindfulness. Plus, doing it with their grown-up is […]

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COURTESY OF KATE LOMBARDO OF YOGA RENEW / Star Pose

Yoga is a great way for kids to learn how to control their body, use their breath, and foster a sense of mindfulness. Plus, doing it with their grown-up is an opportunity for positive connection.

Here are six yoga poses to try with your kids, along with images and instructions for each.

1. Star Pose

How to:
Start standing in mountain pose
Step or hop the feet wide
Reach your arms high to the sky
Stand tall and proud and take 3-5 deep breaths

Benefits: This pose is such a great one for teaching your little how to take up as much space as possible with their body. It helps to strengthen their legs and stretch their arms, and is a great way to build confidence while they stand tall and proud.

COURTESY OF KATE LOMBARDO OF YOGA RENEW/ Warrior 2

2. Warrior 2

How to:
Stand with your feet wide.
Turn the whole right leg forward
Bend the right knee
Bring your arms out to a “T” shape
Take 3-5 breaths and stand strong

Benefits: This is such a fun pose for kids to do because you can tell them to use their imaginations and imagine being a strong superhero warrior. Teaching them to turn one leg forward and bend the knee is also great for practicing body awareness and coordination.

COURTESY OF KATE LOMBARDO OF YOGA RENEW / Wide Legged Forward Fold

3. Wide-Legged Forward Fold

How to:
Stand with the feet wide and the hands on the hips.
Fold forward and bring the hands down to the floor.
Walk the arms out long for an extra stretch in the side body and to create a fun tunnel for your little.
Stay for 5-7 breaths

Benefits: This pose is not only a great way to help your little one stretch their legs and strengthen the muscles in their feet, it’s also a ton of fun to do because often their grown-up ends up becoming a tunnel that then can climb underneath. Plus, as kids get older and can actually stay in the pose for a bit longer, it can have a really calming effect for the mind and help them to relax.

COURTESY OF KATE LOMBARDO OF YOGA RENEW/ Dancer Pose

4. Dancer Pose

How to:
Stand facing your little with both feet together
Bend your right knee and hold your outer foot with your right hand
Hold your little’s opposite hand to help balance
Make sure to laugh and keep a sense of humor while managing the wiggles in this pose
Hold for 3-5 breaths

Benefits: Poses like this are great to help kids work on their balance and coordination while leaving room for them to fall and be silly. Plus, holding hands with their grown-up for support is a great way to foster connection.

COURTESY OF KATE LOMBARDO OF YOGA RENEW / Flying Bow Pose

5. Flying Bow Pose

How to:
Lie on your back and bring your knees into your chest with your feet in the air.
Have your little stand in front of you and hold their hands
Place your feet on their hip bones
Straight your legs to lift them up
Keep your arms locked for added support
Smile and be prepared for lots of happy giggles

Benefits: There are few things kids love more than flying through the air with support of their grown-up. This pose helps littles find a sense of freedom and fun while also challenging them to keep control of their bodies so they can stay flying. Plus, it’s a good workout for the grown-up as well!

COURTESY OF KATE LOMBARDO OF YOGA RENEW / Savasana

6. Savasana

How to:
Lay down on the floor
Have your little lay on top of you
Give them a big hug
Breathe together

Benefits: Turning savasana into a chance for a hug is a great way to create connection to your little and help to co-regulate your nervous systems. Stay for as long as your little wants to and soak in those kiddie cuddles.

Kate Lombardo is a certified yoga instructor, the co-owner and director of YogaRenew, headquartered in Hoboken, and a mom of two.

Get the latest on the best things to do with your family in and around New Jersey by signing up for our newsletter and following us on Pinterest, Facebook and Instagram!

Read More:
Celebrate Mother’s Day at These Amazing Brunch Spots
Mother’s Day Gifts We’re Putting On Our List This Year
20 Things She Really Wants To Do For Mother’s Day

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Meet One of the Moms Behind HerMD https://www.njfamily.com/mom-crush-healthcare-for-hermd/ Mon, 08 Apr 2024 19:59:16 +0000 https://www.njfamily.com/mom-crush-healthcare-for-hermd/ During their lifetime, 43 percent of women will experience some issue with their sexual wellness. As women, we’ll spend 40 percent of our lives in some menopausal state. Working with […]

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COURTESY OF HerMD / Komel Caruso

During their lifetime, 43 percent of women will experience some issue with their sexual wellness. As women, we’ll spend 40 percent of our lives in some menopausal state. Working with her sister, Dr. Somi Javaid, West Orange mom of two Komel Caruso is addressing this head on with HerMD, which recently opened its first NJ location in Millburn. Here, Caruso tells us what sets it apart and how we can best advocate for ourselves.

New Jersey Family: What is HerMD and what sets it apart from other medical practices?

Komel Caruso: HerMD is a female-founded physician-led women’s health provider committed to revolutionizing women’s healthcare. We operate within an insurance-based system and ensure all of our providers are trained in menopause and sexual health, which nationwide only 20 percent of providers are. 

In 2023 we opened our fourth location nationwide right here in Millburn! 

COURTESY OF HerMD / The official grand opening of HerMD in Millburn

NJF: It’s inspiring to see sisters partnering in something so meaningful. What inspired you to launch HerMD together and how do your backgrounds complement one another?

KC: It is a joy to be on this journey with my sister, Dr. Somi Javaid, as we continue to build the movement behind our mission to bring women the healthcare we all deserve. 

HerMD is inspired by our mother who at age 45 was rushed into emergent quadruple bypass surgery with a condition so severe that if the heart attack had come, she would not have survived. In the time leading up to it, she was repeatedly dismissed by doctors despite her obvious symptoms of cardiac disease and a family history of both cardiac disease and sudden cardiac death. Doctors attributed the pain in her left arm and chest and shortness of breath to anxiety. They suggested that the demands of motherhood were stressing her out and recommended that she cut back on her caffeine consumption. At that time Somi was 20 and was pre-med, I was 15, and our brother was 14. 

For Somi and me, that experience led us directly to HerMD and has deeply influenced our drive to ensure women are no longer dismissed and to deliver women the health care they truly deserve. That means being treated by providers who are trained in sexual health and menopause. 43% of women will experience some issue with their sexual wellness and all women will go through menopause. In fact, we will spend 40% of our lives in some menopausal state. Yet, nationwide only 20 percent of providers are trained in menopause and sexual healthcare.

NJF: Your areas of focus include sexual health, menopause, gynecology, and medical aesthetics. What other areas do you cover and at what age do you recommend women begin coming to HerMD?

KC: We treat the whole woman. Our patients come to us for their annual gynecological exam, menopause, sexual health and wellness, and aesthetics and then we go from there depending on their symptoms and issues of concern. Our providers often see both mothers and daughters from the same family and provide services that go well beyond traditional gynecological care.  We have a phlebotomist onsite, where labs can be drawn, and we offer ultrasound and imaging as well as minimally invasive surgical procedures. 

We also offer survivorship care, for those who have or have had cancer, as well as weight management and treatment for PCOS, fibroids, and endometriosis.

We recently launched HerMD Aesthetics in Millburn, which nicely rounds out our approach to whole-body care. So many of our patients in perimenopause or menopause experience symptoms that affect their appearance, and as a result affect how they feel. We empower women to understand what their options are to treat those symptoms and for those who choose to receive cosmetic treatments, we’re happy to provide them.

COURTESY OF HerMD / HerMD founders, from left, Kathy Lai and sisters Somi Javaid, MD, and Komel Caruso

NJF: You’ve spoken about how little time we get as patients with our doctors. How is HerMD trying to solve that?

KC: Our patients are treated in appointments that range from 20 minutes to 40 minutes depending on how much time the patient and the provider need. We’re able to do so in an insurance-based system thanks to the cash-based aesthetics business model, which is a revolutionary model for a healthcare company and one we’re very proud of. 

Not only is this critical in terms of delivering to the patients the care they deserve but it’s very important when it comes to the mental health of our medical professionals. They need the time to do the work they’re passionate about, treat our patients, and avoid burning out. 

NJF: Menopause is an area that has traditionally gotten so little attention so when it does come it can hit women like a Mack truck! What do you feel are the biggest misconceptions about menopause? 

KC: I think the biggest misconceptions are around symptoms and treatment options. For so long, menopause has been whittled down to “just” a hot flash when in reality there are so many symptoms that impact us from head to toe. They include brain fog, dryness, joint pain, incontinence, insomnia, low libido, anxiety and depression–the list goes on. And for so long, women were told to just “grin and bear it,” but that advice is at best unhelpful and at worst dangerous. There are so many safe and effective treatment options for menopausal symptoms. Hormone therapy, prescription medications, minimally invasive procedures, lasers, and many over-the-counter options exist making it possible to thrive during menopause and beyond. 

Women spend a large portion of their lives in a menopausal state, it’s so important to know that those years can be full, happy, and vibrant.

NJF: How long does menopause typically last and what is your approach to treating women during this stage?

KC: Symptoms can last up to 10 years before menopause(during perimenopause) and can last for up to 20 years post-menopause. We treat each individual specifically. We have an initial 40-minute consultation with each patient to review their symptoms and their impact on their daily life. From there our providers craft an individualized treatment plan in partnership with the patient.

NJF: What about perimenopause? When does that typically begin and what is your approach to helping women with this transition?

KC: During perimenopause, we can experience all the head-to-toe symptoms of menopause. I am a proud perimenopausal woman myself and it can last for up to 10 years prior to menopause. Our approach here is the same: We have a consultation with each patient to understand what they are experiencing so that we can then craft a treatment plan together.

NJF: What about cost? Are most insurances accepted?

KC: We accept most major medical insurances as well as Medicare. 

NJF: What do you like best about living in West Orange?

KC: I love the community I live in! We have South Mountain Reservation and the zoo. We also are close to so many other neighborhoods in NJ, including Summit, Maplewood, South Orange and Montclair. We love being close to the city, but living in a beautiful suburb. I often say NJ is the best-kept secret in America. We have great food, parks, the beach and proximity to NYC. 

NJF: What are your favorite things to do in NJ as a family?

KC: We love food, trivia, and sports! We feel very lucky to live near so many fantastic restaurants including Artie’s, Summit House, Turtle and the Wolf, Boschetto – the list goes on!  You will often find us on Thursday nights at Pineapple Express Barbeque for trivia nights and during football season you can catch us at the the Jets home games!

NJF: You have 4 locations now. What’s next for HerMD?

KC: We have so many things on the horizon! We plan to continue expansion and open additional locations. We also will continue with our mission of education, advocacy and empowerment. We do this through events within the community and often in partnership with other health and wellness brands!

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Are You a Mom and Business Owner? Enter Our Mompreneur of the Year Contest!

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Getting a Colonoscopy Is The Best Way to Prevent Colorectal Cancer https://www.njfamily.com/getting-a-colonoscopy-is-the-best-way-to-prevent-colorectal-cancer/ Thu, 14 Mar 2024 09:37:13 +0000 https://www.njfamily.com/getting-a-colonoscopy-is-the-best-way-to-prevent-colorectal-cancer/ Colorectal cancer often presents with no symptoms, which is a scary thought considering more than 150,000 new cases are diagnosed in the U.S. each year. In recent years, people in […]

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Colorectal cancer often presents with no symptoms, which is a scary thought considering more than 150,000 new cases are diagnosed in the U.S. each year. In recent years, people in their 30s and 40s are being diagnosed more frequently than ever before. Dr. Patrick Boland, a medical oncologist in the Gastrointestinal (GI) Oncology Program at the Rutgers Cancer Institute of New Jersey, the state’s only NCI-designated Comprehensive Cancer Center together with RWJBarnabas Health, said knowing your family history and getting screened as early as age 45 are crucial when it comes to catching and treating cancer early on. We asked him what we can do to reduce our risk of cancers of the colon and rectum, and why it’s so important to get your routine colonoscopy.

New Jersey Family: What is colorectal cancer, and what are its signs and symptoms?

Dr. Patrick Boland: The colon is the large intestine. It’s one of the last parts of the digestive system. The rectum is the last part of the colon. Colon cancer is an invasive tumor that forms in the colon that can potentially spread, causing bigger issues.

Sometimes the symptoms are different from the colon versus the rectum, but it’s all the same tube. Many people with colorectal cancer will be asymptomatic, even when it spreads. A lack of symptoms doesn’t mean you don’t need to get screened.

Some symptoms people may have are rectal bleeding or a persistent change in bowel habits, such as sudden constipation. There’s a risk of things such as colon blockage. Partial blockage can cause pain or cramping, but most often when colorectal cancer is diagnosed, people don’t have any pain whatsoever. With all cancers, there is the potential for weight loss.

NJF: How many people are diagnosed each year, and what do we know about the age of people diagnosed and the subsections of that population?

Dr. Boland: The general estimate is about 150,000 people a year in the U.S. are diagnosed. That’s a pretty large number. Fortunately, most cases diagnosed are in the early stages, meaning stages one to three, and haven’t spread yet.  More than half of people diagnosed are in their early to mid-60s or younger.

The rates are relatively similar between men and women. African Americans are often diagnosed at a more advanced stage, or their prognosis may be a little bit worse.

ScreenNJ is a statewide service that provides education about cancer prevention and detection to the community and professionals. ScreenNJ supports NJ residents to obtain cancer screening through navigation and mobile health services regardless of their ability to pay. For more information about ScreenNJ visit screennj.org.

NJF: What does the global increase in colorectal cancer diagnoses before age 50 mean in terms of risks and screening?

Dr. Boland: For age 55 and younger, we’ve seen there’s really been an uptick in the last number of years. Then when you look at people younger than 40 and 30, for sure there’s been an uptick. In fact, from the most recent evidence, colorectal cancer is the leading cancer killer in men under age 50 and the second leading cancer killer in women under age 50.

For a long time, the screening recommendation was to start at age 50, unless you have  a family history. In the last several years, there’s been data that’s emerged that has pushed to lower that age to 45.  The U.S. Preventative Services Task Force,which is pretty conservative in terms of what they will endorse, has shifted their recommendation to starting screening at age 45 for people who are average risk and don’t have a family history.

Still, a lot of people don’t get screened or aren’t up to date on screening. That’s still an issue that we have, I think, as a society in general.

NJF: Why do you think people are being diagnosed younger and younger?

Dr. Boland: The groups that are at the biggest risk right now, I think, are those who are old enough to be screened and haven’t been, and those who are too young to get screened. On the other hand, the rate of colorectal cancer is actually dropping in older age groups, probably in part related to screening.

The bottom line is, we don’t really know why the rates are going up, but it’s really being seen across the world.  It’s most visible in countries where there’s Western culture. Certainly, the thought is that some of it is related to the foods we’re eating and the way our lifestyles have changed dating back decades.

ScreenNJ is a statewide service that provides education about cancer prevention and detection to the community and professionals. ScreenNJ supports NJ residents to obtain cancer screening through navigation and mobile health services regardless of their ability to pay. For more information about ScreenNJ visit screennj.org.

NJF: What increases the risk for colorectal cancer? What can we do to lower our risk?

Dr. Boland: The thing that is overshadowed is knowing your family history.

More than light alcohol use, extra weight, obesity, diabetes, smoking, and diets that are higher in red meats but lower in fiber and fruits and vegetables are factors that could increase someone’s risk.

Getting regular exercise and plenty of fresh fruits and vegetables, not smoking and limiting alcohol use and red, smoked, and processed meats, are all potentially protective and are in your best interests.

Some studies done on colon cancer survivors showed that the risk of recurrence or being diagnosed with another cancer was lower in people who live a healthy lifestyle. There is a point where damage can be done, but you can still benefit from stopping or changing behavior.

NJF: Are there other diseases or other cancers that are related to colorectal cancer?

Dr. Boland: The most common hereditary colorectal cancer syndrome is Lynch Syndrome: it’s understood that more than 1 in 300 people are affected by Lynch Syndrome, though many may not be aware of it. With Lynch syndrome, we see a risk of multiple cancers, with uterine cancer being another more common cancer seen.

Recently there has been a push for the majority of patients diagnosed with colorectal cancer to have genetic testing dose, to see if they might be affected by a hereditary condition, like Lynch Syndrome. This is often done by a blood test and is especially important for younger patients and those with a family history. For patients, the two most important things they can do related to these risks are 1) find out about their family cancer history and 2) ask their doctor whether they should have genetic testing done.

NJF: We know that a colonoscopy is crucial for colorectal cancer screening. What are the latest guidelines in terms of when and how often we should get screened?

Dr. Boland: I think the best screening test is the one that gets done. Colonoscopy is the best test because it’s a test where in addition to findings cancers, they can find early growths (polyp) and then the polyps can be removed before they become cancerous. This helps to reset the clock. The advantage of the colonoscopy is it’s one of the few screening tests where you can take something that would turn into cancer and get it out.

The guidelines are to start—if there’s no other compelling family history—at 45 and then every 10 years. Typically, the thought is that it can take 10 years to go from a little growth or change in the colon to a polyp to cancer. Between that, screening would be more symptom-guided.

Typically, when someone is diagnosed with colon cancer, the recommendation is they get a repeat one within a year. Then usually the follow-up is based on that. Often it’s every three to five years afterwards. Sometimes things will be tailored where it’ll be more frequent.

If there’s a strong family history, it merits a discussion about when you should start or how often you should do it. There are some guidelines surrounding that, depending on the situation.

ScreenNJ is a statewide service that provides education about cancer prevention and detection to the community and professionals. ScreenNJ supports NJ residents to obtain cancer screening through navigation and mobile health services regardless of their ability to pay. For more information about ScreenNJ visit screennj.org.

NJF: What other screening is available besides a colonoscopy? Are at-home tests beneficial?

Dr. Boland: The major options for screening are a colonoscopy, which is the entirety of the colon; or a sigmoidoscopy, which is basically doing part of the colon, but a little bit more frequently.

Then the other option is stool-based tests. We look for microscopic blood in the stool; we call it fecal occult blood (FOBT). The next generation of that, what we call FIT testing, is a more sophisticated way to detect microscopic blood. Additional variations of this testing can detect tumor DNA in the stool in additional.

The at-home tests, if done regularly and are negative, are reassuring. If someone is adamantly opposed to a colonoscopy, I think there’s value in that you’re getting that test done. The catch is, if it’s positive, then you’re going to be advised to get a colonoscopy done. There’ll be stronger reason at that point.

NJF: People tend to shy away from the colonoscopy because of the prep. What are your thoughts on that?

Dr. Boland: The prep is actually the most important part, because you really want to get things cleaned out so that when the doctor goes in there, they have good visibility. If it’s not cleaned out, it’s like driving in a fog; you lose your landmarks, you can’t see stuff so well.

There are multiple different options for the prep, like liquids or pills, and some are shown to clean the colon out more. Ultimately, every option must give you diarrhea to clear things out. Typically, you consume clear liquids for at least a day. You cannot have red dyes or anything like that. After they do the procedure, you can eat normally again.

Dr. Patrick Boland is a medical oncologist and a member of the Gastrointestinal (GI) Oncology team at the Rutgers Cancer Institute of New Jersey. He graduated from Jefferson Medical College (now Sidney Kimmel Medical College) in 2006. Following completion of his residency at Boston University Medical Center in 2009, he went on to oncology fellowship at Fox Chase Cancer Center, completing this in 2013. He spent the first several years of his career at Roswell Park Cancer Institute, as a GI oncologist, focusing a large part of his time on cancers of the lower intestinal tract (colorectal, small bowel, and anal cancers). He has expertise in the treatment of cancers across the GI tract and in clinic treatment of a variety of conditions. He is passionate about clinical and translational research and believes research is the key to improving the care of all patients.

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