Category: Sponsored

TrueBeam therapy makes a difference for Prime Healthcare patient

Boonton residents John and Wendy Crans are grateful for the expertise, experience, compassion, and support that the Saint Clare’s Health team provided to John throughout his journey with prostate cancer.

According to the CDC, nearly 250,000 men in the U.S. are diagnosed with prostate cancer every year, rendering it the second most common cancer among American males. For these individuals, the right treatment not only helps determine their survivability, but also their comfort and quality of life.

Providing the utmost in high-quality and compassionate care, the team at Prime Healthcare’s north Jersey hospitals — including Saint Clare’s Health (Denville/Dover/Boonton), Saint Mary’s General Hospital (Passaic) and Saint Michael’s Medical Center (Newark) — proudly deliver state-of-the-art treatment in a comfortable and convenient community environment and are setting a new standard of cancer care.

It’s an experience that 77-year-old Boonton resident, retired government employee, and active volunteer firefighter John Crans can attest to.

After a series of tests confirmed that his PSA (prostate-specific antigen) levels were on the rise, “my urologist, Dr. Vincent Cubelli, did a biopsy of my prostate and I was subsequently diagnosed with prostate cancer in October 2020,” Crans said.

While surgery was an option, his team of specialists at Saint Clare’s Health advised against it based on his age and physical condition and instead recommended that he consider TrueBeam therapy, a radiosurgery treatment system that allows doctors to target hard-to-reach tumors and deliver safe, effective, and convenient treatment in just one to five sessions compared to as many as 45 sessions of conventional radiation therapy. Since completing five treatments in January 2021, Crans is now enjoying life cancer-free and couldn’t be more grateful for the expertise, experience, compassion and support that the Saint Clare’s team provided.

The Prime Health Care recommended that John Crans undergo TrueBeam therapy, a radiosurgery treatment system that allows doctors to target hard-to-reach tumors and deliver safe, effective, and convenient treatment in just one to five sessions.

An Optimal Solution

“We check the prostates of our older male patients through physical exams and blood testing on a regular basis and John has been a patient of mine for several years,” said Dr. Cubelli, MD, attending urologist with Morris County-based Garden State Urology, an affiliate of Saint Clare’s Health. “When his PSA results began rising, we decided that we needed to do a biopsy, which ultimately revealed a number of cancerous sectors of the prostate that warranted treatment.

“While we perform surgery for prostate cancer using a laparoscopic robotic approach and Saint Clare’s possesses the state-of-the-art da Vinci robotic surgical system to accomplish that, our collaborative team agreed that surgery wasn’t ideal for John because it would pose extra risks/side effects and that radiation would be a more optimal alternative,” said Dr. Cubelli, who referred Crans to Anurag Chandra, MD, radiation oncologist at Saint Clare’s Health.

Among the radiation options available to treat prostate cancer, “stereotactic body radiation therapy, or ‘SBRT,’ is a higher-level technology that only a few of the hospitals in North Jersey have, but which is resident at Saint Clare’s,” Dr. Chandra said. “Through our TrueBeam system, we’re able to deliver precise, high-dose, pinpoint treatments of radiation to the prostate in just one to five sessions and significantly reduce the risk of collateral damage to adjacent organs.

“In addition to its low risk of toxicity, the main advantage of SBRT for patients is its convenience given that it’s delivered in just five or fewer sessions that are spaced out every three to four days,” Dr. Chandra said. “Studies reveal that at least half of all prostate cancers diagnosed in the U.S. are earlier-stage/lower-risk cases that would be great candidates for SBRT and John’s was one of them.”

An Excellent Prognosis

Since completing his TrueBeam sessions more than a year ago, Crans and his doctors have been thrilled with his progress.

“At the start, my PSA was 8.17,” Crans said, “and as of my last blood test, my PSA was .97 and I feel great.”

“For the right patient, TrueBeam can effectively address their treatment needs in a convenient setting, and John was an ideal candidate for this therapy,” Dr. Cubelli said. “Over a year after his treatment, he’s doing exceptionally well and I’m fairly confident that he’ll remain cancer-free for the long-term, though  we’ll continue to monitor him in the event that anything changes.”

“John’s prognosis should be excellent,” concurred  Dr. Chandra.

As they continue to enjoy family events with their children and grandchildren and prepare to celebrate their 51st wedding anniversary in May, John and Wendy Crans can’t thank the Saint Clare’s team enough.

“Every member of the Saint Clare’s team was awesome from start to finish and I truly appreciated Dr. Chandra’s honesty and the time he and my other doctors took to discuss my treatment options, their pros and cons, and the process involved,” Crans said. “I like to be close to home and after meeting with all  of my doctors, there was no question that I was going to have my treatment at Saint Clare’s.”

“Equipped with the finest technologies available and a staff of doctors, nurses, and support personnel who love taking care of patients, Saint Clare’s provides exceptional oncology care,” Dr. Cubelli said. “We’re proud to offer top-quality care close to home  in a comfortable, non-stressful environment.”

“We offer high-level technology like TrueBeam in the convenience of a community setting, which enables us to treat patients quickly, easily and safely,” Dr. Chandra said. “Along with so many other services that a patient might require in their cancer journey, including physical therapy/rehab, social work, nutritional counseling, speech and swallow services and more, we have all of the medical and ancillary support onsite to be able to offer patients everything they need right in their own backyard.”

View Crans’ story and other cancer success stories from Prime Healthcare patients at cancercarenj.primehealthcare.com.

Prime Healthcare is an award-winning health system operating 46 hospitals and more than 300 outpatient locations in 14 states, providing over 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians dedicated to providing the highest quality health care.

The L.E.A.D. FEST State Fair to feature Roots & Boots Tour and Southern Rock Fest

The L.E.A.D. FEST State Fair is a quintessential summer tradition.

Along with a daily lineup of live entertainment, the 2022 L.E.A.D. FEST State Fair is bringing two premier country concert events to the Garden State this summer:  the “Roots & Boots Tour” featuring Sammy Kershaw, Aaron Tippin and Collin Raye with Tequila Rose on Sunday, June 26, and “Southern Rock Fest” featuring the Marshall Tucker Band, Kentucky Headhunters and Southern Steel on Saturday, July 2.

“These incredible concert events undoubtedly will provide two spectacular days of amazing entertainment, and we are thrilled to be able to bring these talented and award-winning country music artists to the L.E.A.D. FEST State Fair,” said Nick DeMauro, L.E.A.D. executive director. “Each year, our No. 1 goal is to make the State Fair bigger and better. This year we feel we’ve succeeded in creating an affordable event that truly has something for everyone.”

The 11-day State Fair takes place from June 24 to July 4 at Mercer County Park Fairgrounds, 1638 Old Trenton Road, West Windsor Township. Presented by L.E.A.D. (Law Enforcement Against Drugs and Violence), all L.E.A.D. FEST events benefit the organization’s programs and related initiatives. The Allentown-based nonprofit’s programs help to deter youth and adults from drug use, drug-related crimes, bullying and violence.

The Roots & Boots Tour on June 26 promises to be a powerhouse country concert where Kershaw, Tippin and Raye headline an evening filled with stories, songs and modern country sounds. The trio has amassed almost 70 combined Top 40 hit singles, becoming among the most sought-after country and folk artists on the 2022 music scene. Classic rock and new country group Tequila Rose kicks off the show from 4 to 7 p.m., followed by Roots & Boots from 8 to 10 p.m.

From a first-class Kiddie Land to super-spectacular thrill rides and everything in between, L.E.A.D. FEST State Fair has it all.

On July 2, “Southern Rock Fest” brings another great day of country music to the State Fair. Southern rock tribute band Southern Steel takes the stage from 3 to 5 p.m., followed from 6 to 7:30 p.m. by the Kentucky Headhunters, who created a musical hybrid of honky-tonk, blues and southern rock. Headlining the day are southern rock pioneers The Marshall Tucker Band from 8 to 10 p.m.

Gate admission to the State Fair is $5 on weekdays and $8 on weekends. General admission, ride tickets, Mega Passes and reserved seating for the Roots & Boots Tour and Southern Rock Fest can be purchased in advance online at www.theleadfest.com. Concert tickets include gate admission.

There will be no shortage of delicious food during this year’s L.E.A.D. Fest State Fair.

Family-Friendly Fun

The L.E.A.D. FEST State Fair is a quintessential summer tradition. This year, the jam-packed event will be open Monday through Friday from 5 to 11 p.m., and weekends and July 4 from 1 to 11 p.m.

Favorite attractions making a return include Robinsons Racing Pigs, the always-popular pie eating contest, a petting zoo, educational puppet Granpa Cratchet and Cowtown U.S.A., an all-day exhibit that contains an old-time creamery where patrons participate in preparing a cow for milking by hand. The State Fair’s midway provider, Reithoffer Shows, will ensure there’s plenty of delicious food, carnival games and prizes, and rides for children and adults alike — from a first-class Kiddie Land to super-spectacular thrill rides and everything in between. A new addition to the State Fair this year is a Business and Craft Vendor Tent on the weekends.

L.E.A.D. FEST Carnival

L.E.A.D. FEST carnival will bring the fun to East Brunswick this summer. General admission and ride tickets can be purchased in advance online at www.theleadfest.com.

The carnival schedule is as follows:

  • Brunswick Square Mall (755 Route 18, East Brunswick) from July 21-31. Hours are Monday to Friday from 5 to 11 p.m. and Saturday and Sunday from 1 to 11 p.m. Midway provided by Reithoffer Shows.

For more information and tickets, visit theleadfest.com. For more information about L.E.A.D., visit leadrugs.org or email info@leadrugs.org.

— Lori Crowell

 

 

 

 

 

Unforgettable experiences await this summer in Sussex County

Enjoy a hydrobike tour through Lake Hopatcong Adventure Company this summer.

Explore the great outdoors in New Jersey’s beautiful Sussex Skylands Region this season.

If you’re looking for some great escapes close to home this summer, look no further than scenic and spacious Sussex County. Tucked away in the state’s northernmost county and offering a plethora of great outdoor adventures sure to please every palette, New Jersey’s famed Sussex Skylands Region is the ultimate destination this season.

“What makes summer in the Skylands so special? In a word, it’s the ‘outdoors,’” confirmed Tammie Horsfield, president of the Sussex County Chamber of Commerce and Sussex Skylands Destination Marketing Organization in Newton. “If being outside gives you a happy heart, then the Sussex Skylands is just the place for you.”

Following are some of the not-to-miss outdoor activities that Sussex County has to offer this summer:

Make Time for Mountain Creek — “Mountain Creek is summer central,” said Horsfield of this four-season “mountain playground” located in Vernon (mountaincreek.com). “Head to the waterpark that’s carved out of the mountainside or the Mountain Creek Bike Park where rentals are available.” Need breeze and speed? “Zip over to the Mountain Creek ziplines, which range from 200 to 1,500 feet in length and are suspended high above a mountaintop lake,” she said.

Savor the State Parks — “State parks are ‘the gold mines of good times’ in the Sussex Skylands and this summer they’re all free,” Horsfield said. “Hit the parks for swimming, fishing, picnics (some parks have charcoal grills), hiking, kayaking and more, and also be sure to explore hidden treasures like Kittatinny Valley State Park’s beautiful Butterfly and Hummingbird Garden in Andover,” she said. Walkers and hikers also will relish the Skylands Regions’ tons of trails, including miles of the famous Appalachian Trail.

Enjoy a cruise around Lake Hopatcong on the 57-foot Miss Lotta.

Don’t Miss Nolan’s Point on Lake Hopatcong — The scenic drive up to Nolan’s Point opens up to a range of fun adventures on and around Lake Hopatcong, the largest lake in New Jersey. Among the fun activities there, “check out Lake Hopatcong Golf, where you’ll enjoy playing mini golf among miniature replicas of the lake’s historical landmarks,” Horsfield said. “Take in magnificent views of Lake Hopatcong aboard the ‘Miss Lotta’ (lhcruises.com), a state-of-the-art, 57-foot Skipper liner which offers a variety of themed, meal and private cruises.” If you’re interested in fun activities around the lake, Horsfield recommends checking out the Lake Hopatcong Adventure Company, where you can get out on the water and enjoy nature on a Hobie Mirage Eclipse stand-up pedal board, which enables effortless aquatic adventures without a paddle. “Thirty- and 60-minute water adventure tours are led by experienced guides and combine fitness and fun,” she said, noting that pedal-powered hydrobike and kayak tours as well as biking and hiking adventures also are available.

Get Wet and Wild  Enjoy water rides, a picnic grove where you can bring your own cooler full of food, water slides, a sand beach featuring a crystal-clear 20-acre lake for swimming and boating and an 18-hole miniature golf course at the 200-acre Tomahawk Lake Waterpark in Sparta (tomahawklake.com). 

A featured work by Elizabeth Belz at ‘Making Matters: Fresh Perspectives in Fine Craft,’ an exhibit on display at Peters Valley School of Craft in the Delaware Water Gap through Aug. 7.

Enjoy the Arts — Through Aug. 7, enjoy “Making Matters: Fresh Perspectives in Fine Craft,” a wonderful exhibit on display at Peters Valley School of Craft (petersvalley.org), an immersive craft school in the Delaware Water Gap. Held in the school’s Sally D. Francisco Gallery, “the exhibit showcases the talented visiting instructors and artistic staff who will be teaching the variety of classes offered in each of the studios at Peters Valley,” Horsfield said.

Cascade Golf Course, one of six golf courses at the 4,000-acre Crystal Springs Resort in Hamburg.

Spread Your Wings at Crystal Springs — “Crystal Springs Resort (crystalgolfresort.com) offers the ultimate staycation, no flights required,” said Horsfield of the 4,000-acre destination in Hamburg that features two hotels (the Grand Cascades Lodge and Minerals Hotel), great golfing, 10 restaurants (including its Crystal Tavern, 4-star Restaurant Latour and seasonal farm-to-table Chef’s Garden), two spas and a variety of seasonal activities. “There’s golf galore on six unique courses, amazing indoor and outdoor pools (including the Biosphere Pool at the Grand Cascades Lodge), canoeing, kayaking, hiking, basketball, tennis and a range of special on-site activities this summer, including fishing, archery, horseback riding, animal educators, art classes, goat yoga, axe throwing, paint and sip events, and much more,” she said.

The patio of the famed Windlass Restaurant overlooking Lake Hopatcong.

Enjoy the Culinary Scene  Sussex County offers a wide variety of cuisine and culinary experiences, from lakeside dining at The Windlass in Lake Hopatcong, Andres Lakeside in Sparta, or The Carriage House in Branchville to The Biergarten at the St. Moritz Grill and Bar in Sparta or beautiful meadow views at The Walpack Inn in Walpack. This summer, diners will also enjoy expansions to popular Krogh’s Restaurant and Brew Pub in Sparta that will include a new rooftop bar (“The Krogh’s Nest”), a new patio and additional indoor/outdoor dining.

Sample Nature’s Bounty  Enjoy the best of the Garden State’s farm-fresh produce at the Sparta Farmer’s Market, the Sussex County Farmer’s Market in Augusta or the Farmer’s Market at the Shoppes at Lafayette.

Settle in to Fun Summer Events  Summer in the Skylands Region is all about special events, including the 12th annual Rock, Ribs & Ridges Festival at the Sussex County Fairgrounds in Augusta June 24-26, the New Jersey State Fair at the Sussex County Fairgrounds on Aug. 5-13, and a great lineup of summer performers at the Newton Theater in Newton (skypac.org).

For More Information

The Sussex County Chamber of Commerce and Sussex Skylands Destination Marketing Organization are located at 120 Hampton House Road in Newton and can be reached by calling 973-579-1811 or visiting sussexskylands.com for travel information.

It’s a Grand Day at the beach in Cape May

The Grand Hotel features attractive year-round theme escape packages including Girlfriends Getaways, holiday specials and midweek and other weekend promotions.

The Grand Hotel, Oceanfront in historic Victorian Cape May, is the perfect choice for your next seaside getaway or family vacation. The hotel is located at the southernmost point of New Jersey approximately two-and-one-half hours from the heart of New York City. Friends will tell you it’s an easy drive down the Garden State Parkway to Exit Zero, where the beach and fun begin!

The Grand Hotel offers a variety of lodging accommodations including double, queen and kingsize bedding, some with efficiency units included. There are several different suite options available, perfect for the whole family. Ask about the hotel’s newly renovated Two-Story Townhouse Suites. Resort Amenities include an Olympic-size heated outdoor and heated indoor pools and large Jacuzzi, professional fitness facility, family fun game room and more. Try Hemingway’s, a steak and seafood restaurant, during your stay and enjoy hearty breakfast, unique lunch and affordable family dining with dancing on the weekends throughout the year.

Resort amenities at the Grand Hotel include an Olympic-size heated outdoor and heated indoor pools and Jacuzzi, professional fitness facility, family fun game room and more.

The Grand Hotel features attractive year-round theme escape packages including Girlfriends Getaways, holiday specials and midweek and other weekend promotions. The hotel is a few steps from the beach and minutes from local boutique shops, quaint streets to tour and casual eateries in which to feast.

Visit either GrandCapeMay.com or on the Facebook page: The Grand Hotel of Cape May for daily specials and future promotions. The Grand Hotel is located on the Oceanfront at 1045 Beach Ave., Cape May, NJ 08204.

For more information or reservations, call 609-884-5611.

Tops Diner: Following reconstruction, iconic Hudson County eatery reigns supreme

Tops Diner in East Newark is embarking on a new chapter following a massive multimillion-dollar reconstruction that takes New Jersey’s diner concept to the next level.

New Jersey is regarded as the “diner capital of the world” and for good reason. Among the most iconic of these eateries is Tops Diner in East Newark, a destination dining experience that has become a statewide legend and garnered national recognition as one of the top diners in the country.

The Hudson County institution is embarking on a new chapter following a massive multimillion-dollar reconstruction that takes New Jersey’s diner concept to the next level. The original 5,000-square-foot diner was torn down and replaced at the same 500 Passaic Ave. address with the new Tops Diner, which celebrated its reopening last fall. At 15,000 square feet, it is three times larger than the original with seating for about 400 customers.

Although the aesthetics have changed, the high-quality food and service for which Tops Diner is known remains. “A diner is a place for people to relax, enjoy great food and feel comfortable. That was the atmosphere at the ‘old’ Tops Diner, and it remains in our new space,” said Jim Golemis, who owns and operates Tops Diner with his brothers, Van and John. The brothers inherited the restaurant from their father, George, who purchased it in 1972.

Golemis said plans for the diner’s rebuild have been in the pipeline for about a decade. “We collaborated with a world-renowned team of architects and designers to create an ambiance that instills the classic feel of a diner that has been here since the 1940s but with a modern twist. Tops Diner represents what a diner is in 2022. Although this is a state-of-the-art building with a completely different ambiance, we have maintained the integrity of the original restaurant in its design, menu and level of hospitality.”

Although the aesthetics have changed, the high-quality food and service for which Tops Diner is known remains.

The diner’s interior boasts an 18-stool counter adorned with black marble and serving a full selection of cocktails, beer, wine and spirits. Other features include a world-class kitchen, outdoor patio-style dining, an open-concept bakery, a Moët & Chandon champagne vending machine and coffee/espresso and ice cream stations.

Tops Diner’s elevated menu transcends “typical” diner fare and has kept patrons coming back for breakfast, lunch, dinner and late-night snacks for decades. The diner’s supplier of meat and fish, along with all the other products and ingredients are carefully chosen for quality, freshness and flavor. The massive menu includes milkshakes and smoothies, appetizers, handcrafted burgers, soup and salads, sandwiches, pasta, chicken, steaks and seafood, house favorite entrees and more.

Customer favorites include “George’s Special,” farm fresh eggs, hash browns, two buttermilk pancakes, bacon and sausage; and “Big‘s Chicken & Waffles,” a half chicken fried in house, giant Belgian waffles and Mike’s hot honey.

“We serve more than 15,000 hungry customers every week,” Golemis said. “People are amazed at how many meals we serve and how many customers we take care of in an efficient manner — without sacrificing quality.”

Diner patrons enjoy live music from an in-house DJ Wednesday through Sunday from 7 to 11 p.m. “You could hear anything from ‘80s music to rock or jazz. We are always trying to evolve and elevate the experience for customers,” Golemis concluded.

Tops Diner is open daily, from 8 a.m. to 11 p.m. Takeout and delivery are available.

Walk-ins are welcome but reservations are encouraged via the Tops Diner website at www.thetopsdiner.com.

Should they stay or should they go? ENT Scott Kay, MD, discusses tonsil and adenoid problems in children and adults

It has become less routine to remove tonsils and adenoids during childhood because surgeons today are taking a more conservative approach to performing routine surgeries, notes Dr. Scott Kay of of Princeton Otolaryngology Associates.

A generation ago, nearly every child had their tonsils removed. It was just part of childhood. But, in recent years, doctors have become more selective about removing this lymphatic tissue that lives inside your mouth.

Following, Dr. Scott Kay, a board-certified ear, nose and throat (ENT) specialist and founder of Princeton Otolaryngology Associates, answers common questions to help patients decide whether the tonsils and adenoids should stay — or go.

Tonsils, Dr. Kay explains, are similar to lymph nodes but are located in the back of the mouth, rather than inside the body. Adenoids are a patch of tissue that sits at the very back of the nasal passage.

While tonsils and adenoids are thought to help fight infection, Dr. Kay said they may have outlived their usefulness.

“They are supposedly the first line of defense in upper respiratory tract infections,’’ Dr. Kay explained. “But, in my opinion, I don’t think they serve a significant purpose, especially since they can get infected and make you sick.’’

What Are the Symptoms of Tonsil and Adenoid Difficulty?

“Tonsils have ridges and crypts (small pits), nooks and crannies, like an English muffin,’’ Dr. Kay explained. “They shed epithelial cells into these crypts and bacteria like to feed on those cells. If the bacteria are particularly bad, like strep, you can get recurring infections.’’

This condition is known as tonsillitis. In addition to recurring strep infections, symptoms may include swelling of the tonsils, a white or yellow coating on the tonsils, a slight change in the voice due to swelling, sore throat sometimes accompanied by ear pain, painful swallowing, swollen glands in the neck, fever and bad breath.

Ear infections, on the other hand, are typically caused by adenoids. Children are especially prone to ear infections caused by adenoids, which are positioned right behind the eustachian tube. When children are exposed to viruses they weren’t previously exposed to, the adenoids become chronically inflamed. That inflammation spreads to eustachian tubes, which block the ears from ventilating, allowing fluids to build up. Adenoids also can cause nasal obstruction

There are clear signs indicating a patient should consider a tonsillectomy, including more than six bouts of tonsillitis in one year or more than nine bouts in three years.

Despite all these risks, it has become less routine to remove tonsils and adenoids during childhood. That, Dr. Kay explained, stems from the fact that surgeons today are taking a more conservative approach to performing routine surgeries.

“If you’re doing operations without indications, the chances of complications are high,’’ Dr. Kay explained. “Generally, the trend has moved away from routinely removing tonsils and adenoids as it used to be.’’

That said, Dr. Kay frequently sees college-age patients who need tonsillectomies.

“College age is a big time for tonsil infections because of the high incidence of communicable disease in the dormitory setting,’’ Dr. Kay said.

The good news is that there are clear signs indicating a patient should consider a tonsillectomy, including more than six bouts of tonsillitis in one year or more than nine bouts in three years. Recurring strep infections are always an indication of tonsilitis, while recurring peritonsillar abscess, an infection between the tonsil and the pharynx, is a serious condition that can be life-threatening.

“This type of infection needs to be drained,’’ Dr. Kay explained. “If you have it more than one time, that would be an indication to have the tonsils removed.’’

Mononucleosis and obstructive sleep apnea may also be signals that the tonsils are causing problems.

“If a child is witnessed as having obviously trouble breathing at night, that child could be suffering from obstructive sleep apnea and should be evaluated,’’ Dr. Kay said.

The great news is that once tonsil or adenoid surgery is completed, nearly 100% of patients no longer experience recurring infections.

Dr. Kay’s Approach to Evaluating and Treating Tonsillitis

When Dr. Kay first sees a patient — child or adult — for recurring problems that may stem from the tonsils and adenoids, he takes a comprehensive medical history, including identifying the number of infections a patient has suffered and the patient’s sleep patterns. A thorough physical examination is conducted, in which Dr. Kay examine both the tonsils and adenoids.

Depending on the findings, he may recommend antibiotics or steroids. For serious, chronic conditions, surgery is typically the best treatment choice.

Tonsillectomies are performed under general anesthetic. In the vast majority of cases, both the tonsils and adenoids are removed. Once the surgery is complete, Dr. Kay typically injects the muscles with long-acting anesthetic so that the patient can go home to begin the recovery process without significant pain.

Typically, younger patients recover in five days or so. For patients older than 13 or 14, it can take 10 days for patients to be able to eat normally and they may experience pain for a few weeks, but the operation is just as safe for older patients as it is for children.

“A huge falsehood is that tonsillectomies are more dangerous for adults and that’s not true,’’ Dr. Kay said. “Recovery takes a little longer, but the procedure is not more dangerous.’’

While bleeding is the most common complication of tonsillectomies, it is extremely rare, with a tiny percentage of cases requiring a second visit to the operating room. Dehydration is a risk, since drinking can be uncomfortable after the operation. However, this can usually be managed with the appropriate pain medications.

“I have my patients taking Tylenol or Advil on a regular basis after surgery,’’ Dr. Kay said.

The great news is that once the surgery is completed, nearly 100% of patients no longer experience recurring infections.

“It is a great operation in the sense that it always takes care of the problems that the tonsils and the adenoids were causing,’’ Dr. Kay said. “So, if a patient is having these types of problems, there is a solution. The first step is to seek out the advice of an ENT.’’

For more information about the evaluation and treatment of tonsillitis and related conditions,

and other services provided by Princeton Otolaryngology Associates, or to make an appointment to see Dr. Kay at the practice’s Monroe or Plainsboro offices, call 609-445-4445 or visit drscottkay.com.

Hoarseness: Tips for primary care physicians in understanding the causes, from voice overuse to more serious factors

The underlying causes of hoarseness include everything from voice overuse to more serious conditions, including cancer.

Hoarseness is a common condition that can have various underlying causes, ranging from voice overuse to being an indication of more serious conditions, including cancer, according to Dr. Scott Kay, a board-certified ear, nose and throat (ENT) specialist and founder of Princeton Otolaryngology Associates.

Following, Dr. Kay offers advice to primary care practitioners about how to diagnosis and treat hoarseness and guidelines for when it’s time to refer patients to a specialist.

First, what is hoarseness?

“Any change in the voice that the patient complains about should get the primary care doctor’s attention,’’ Dr. Kay explained. “The problem may not always be consistent. Patients may complain about fluctuations in the voice. They may not be able to project, or their voice may sound spasmodic. Other times, patients experience a rough or breathy sound to the voice.’’

One of the most common causes of hoarseness is viral infections.

“Any kind of infection that causes even the slightest amount of edema to the vocal cords will cause a change in that person’s voice,’’ Dr. Kay explained. “Vocal cords are thin membranes that lay on top of a tendon. The way those membranes vibrate can be altered with the most minute fluid accumulations.’’

Another common cause is known as “singer’s nodules,’’ caused by repetitive overuse and misuse of the voice, including singing loudly for extended periods of time or shouting, Dr. Kay said.

“Any traumatic movement of the vocal cord can cause these conditions,’’ Dr. Kay explained. “Even a cough is pretty violent to the vocal cord.’’

Smokers and people who use their voice a lot often experience vocal cord polyps, while reflux is another common culprit, leading to vocal cord granuloma — small areas of inflammation.

Neuromuscular issues can cause vocal cord paralysis, which could be linked to a virus or a tumor elsewhere in the body, such as the lung, brain or neck. Thyroid surgery has also been known to cause vocal cord paralysis. Another common affliction is spastic dysphonia, a neurologic condition that causes a stuttering pattern to the voice.

Less-common causes, Dr. Kay added, are cancer, the HPV virus and antibiotics causing a yeast infection in the vocal cords.

If a patient’s hoarseness is constant, this suggests a nodule, tumor or polyp on the vocal cord or paralysis when one vocal cord is not working at all.

Tracking Down the Cause of Hoarseness

In the primary care setting, physicians can begin to identify the cause by determining whether a patient’s hoarseness is constant or fluctuating.

“If it’s fluctuating, then it’s more consistent with reflux,’’ Dr. Kay explained. “The same is true for people with neurological conditions.’’

If the condition is constant, this suggests a nodule, tumor or polyp on the vocal cord or paralysis when one vocal cord is not working at all, according to Dr. Kay.

Frequency of voice use, smoking and suffering from gastroesophageal reflux disease (GERD) are other important factors to be explored, as is age, with older people more likely to experience hoarseness, especially if they go long periods without using their voice.

Absent an obvious finding, it may be difficult for primary care physicians to parse out the cause of hoarseness, Dr. Kay said. They can prescribe voice rest, but if that does not work, it is best to refer to a specialist.

“In cases where it’s thought to be due to voice misuse, prescribe voice rest for three days,’’ Dr. Kay said. “If it continues to be an issue, then a referral should be made because it could be indicative of more serious conditions.’’

In cases where the patient’s problem fluctuates and GERD symptoms are presented, primary care physicians can treat with a proton pump inhibitor such as Nexium or an H2 blocker like Pepcid.

Dr. Kay cautions against waiting too long to refer a patient to a specialist.

“If a patient experiences hoarseness that is constant for more than a few weeks, that should raise suspicion,’’ Dr. Kay said. “Even a patient who complains about their voice not being normal warrants further investigation.’’

Difficulty breathing or swallowing calls for immediate referral to an ENT or the emergency room, he added.

Listening to a patient’s voice provides immediate clues as to the cause of hoarseness.

Dr. Kay’s Approach to Evaluating and Treating Hoarseness

Listening to a patient’s voice is the first step that Dr. Kay takes when seeing a patient for hoarseness. This provides immediate clues as to the cause of the problem. Next, he uses a small device to examine the throat and larynx, a procedure known as laryngoscopy.

“That will tell me if there’s paralysis or a lesion on the vocal cord,’’ Dr. Kay explained. “Next would be to treat it or to move on to what’s called video stroboscopy.’’

This involves having a patient speak into a microphone that triggers a strobe light showing the movement of vocal cords in slow motion.

“Depending upon the results of those studies, I may order a CAT scan or an MRI if I suspect there is cancer or some sort of paralysis involved,’’ Dr. Kay said.

Depending on the cause of the hoarseness, Dr. Kay would employ various treatments, including antibiotics, antifungals or steroids and voice rest or therapy.

If a lesion, tumor, cyst or polyp is identified, microscopic laryngeal surgery is required to remove the pathology. While this procedure is done under general anesthesia in the hospital, it is minimally invasive, requiring no skin incisions. For cancer patients, removal of the lesion would be coupled with radiation therapy.

Another potential treatment is vocal cord injections for people with paralysis or weak vocal cords.

“I use hydroxyapatite, which is the same substance used for improving the appearance of facial wrinkles,’’ Dr. Kay explained.

Dr. Kay works closely with primary care physicians when treating patients for hoarseness and other conditions.

“When primary care physicians refer a patient, I always send a letter of my findings and how I’m managing the condition,’’ he said. “I keep them up to date with any developments and am always available to talk to physicians at any time.’’

For more information about the evaluation and treatment of hoarseness and other services provided by Princeton Otolaryngology Associates, or to make an appointment to see Dr. Kay at the practice’s Monroe or Plainsboro offices, call 609-445-4445 or visit drscottkay.com.

Party time at the track

 

Give your party some extra thrills with the excitement of live horse racing at Meadowlands Racing & Entertainment.

The track has both outdoor and indoor party spaces perfect for parties and major life celebrations.  With a variety of beverage and food packages available, including a delicious barbecue menu, your next party is sure to be a hit. Book your summer party today.

East Deck & Rooftop Terrace

This deck and terrace provide exceptional sights of the racing action as well as sweeping views of the NYC skyline.

West Deck

With an incredible view of the finish line, the covered West Deck also has direct access to the promenade and grandstand. Its large and open layout makes it a great option for bigger parties.

VIP Tents

The Backyard has three private VIP tents, which have their own direct entrance from the parking lot. Get up close and personal with the races and enjoy sunset views in a covered setting with plenty of space for all.

Skybox Suites

These private rooms overlook the track and offer private stadium-style seating. With moveable walls, these suites can fit parties up to 200 people.

Trackside

An expansive area that is perfect for mitzvahs, galas, receptions and large corporate events and tradeshows.

Book a private tour today with Andrea Lokshin at alokshin@playmeadowlands.com or 201-842-5013.

You also can view all of the track’s spaces by visiting PlayMeadowlands.com/Party.

Family-friendly L.E.A.D. FEST promoting anti-drug, anti-violence themes promises something for everyone

Bigger and better than ever, this year’s L.E.A.D FEST events include five carnivals and an 11-day State Fair taking place from June 24 to July 4 at Mercer County Park Fairgrounds.

Presented by L.E.A.D. (Law Enforcement Against Drugs and Violence), L.E.A.D. FEST events benefit the organization’s programs and related initiatives.

Carnivals and state fairs are beloved summer traditions. There’s no better place for the whole family to enjoy rides, food, music and fun than at 2022 L.E.A.D. FEST events. Bigger and better than ever, this year’s events include five carnivals and an 11-day State Fair taking place from June 24 to July 4 at Mercer County Park Fairgrounds, 1638 Old Trenton Road, West Windsor Township.

Presented by L.E.A.D. (Law Enforcement Against Drugs and Violence), L.E.A.D. FEST events benefit the organization’s programs and related initiatives. L.E.A.D. provides the leadership, resources and management to ensure law enforcement agencies have the means to partner with educators, community leaders and families. The Allentown-based nonprofit’s programs help to deter youth and adults from drug use, drug-related crimes, bullying and violence. L.E.A.D. is committed to reinforcing the mutual respect, goodwill and relations between law enforcement and their communities.

“The L.E.A.D. State Fair saw its biggest year ever in 2021 with more than 50,000 attendees. We hope to hit a new milestone in 2022,” said Nick DeMauro, L.E.A.D. executive director. “Funds raised at our carnivals and the State Fair are important to L.E.A.D.’s mission, allowing us to make our programs more accessible to a greater number of youngsters in the communities we serve. We couldn’t be more excited to bring five amazing events to New Jersey this year. Our goal is to create family-friendly, community-based events that are fun for everyone while at the same time promoting anti-drug and anti-violence activities in the state.”

Funds raised at carnivals and the State Fair are important to L.E.A.D.’s mission, allowing programs to become more accessible to a greater number of youngsters in the communities it serves.

The jam-packed State Fair promises something for everyone. Along with free nightly musical entertainment, attendees can look forward to two premiere concert events and some exciting new additions, including a Business and Craft Vendor Tent on the weekends. The State Fair will be open Monday through Friday from 5 to 11 p.m., and weekends and July 4 from 1 to 11 p.m.

Favorite fan attractions include Robinsons Racing Pigs.

Favorite fan attractions include Robinsons Racing Pigs, the always-popular pie eating contest, a petting zoo, educational puppet Granpa Cratchet and Cowtown U.S.A., an all-day exhibit that contains an old-time creamery where patrons participate in preparing a cow for milking by hand. The State Fair’s midway provider, Reithoffer Shows, will ensure there’s plenty of delicious food, carnival games and prizes, and rides for children and adults alike — from a first-class Kiddie Land to super-spectacular thrill rides and everything in between.

The pie-eating contest is always popular.

Along with a daily lineup of live entertainment, this year’s State Fair includes two premier country concert events: the Roots & Boots Tour featuring Sammy Kershaw, Aaron Tippin and Collin Raye with Tequila Rose on June 26 beginning at 4 p.m., and Southern Rock Fest featuring the Marshall Tucker Band, Kentucky Head Hunters and Southern Steel on July 2 starting at 3 p.m.

Along with a daily lineup of live entertainment, this year’s State Fair includes two premier country concert events.

Gate admission is $5 on weekdays and $8 on weekends. General admission, ride tickets, Mega Passes and reserved seating for the Roots & Boots Tour and Southern Rock Fest can be purchased in advance online at theleadfest.com. Concert tickets include gate admission.

The Marshall Tucker Band is among featured acts performing with the Southern Rock Fest on July 2.

L.E.A.D. FEST Carnivals

Sammy Kershaw is among the performers taking the stage June 26 as part of the Roots & Boots Tour.

L.E.A.D. FEST carnivals bring the fun to five different locations throughout the Garden State this summer. General admission, ride tickets and Mega Passes for all carnivals can be purchased in advance online at theleadfest.com.

The carnival schedule is as follows:

  • Westfield Garden State Plaza (One Garden State Plaza, Paramus) from May 26-30; June 1-5; and June 8-12. Hours are Wednesday through Friday from 5 to 11 p.m.; Saturday, Sunday and Memorial Day from noon to 11 p.m. Midway will be provided by Reithoffer Shows. “This year, our Paramus event starts on Memorial Day weekend,” DeMauro said. “Attending the carnival that weekend is a great way to have fun and usher in the start of the summer season.”
  • Voorhees Town Center (2140 Voorhees Town Center, Voorhees Township) from June 2-11. Hours are Monday through Friday from 5 to 10 p.m., Saturday from 1 to 10 p.m., and Sunday from 1 to 8 p.m. Midway provided by Amusements of America.
  • Monmouth Mall (180 Route 35, Eatontown) from June 3-12. Hours are Monday through Friday from 5 to 11 p.m. and Saturday and Sunday from 1 to 11 p.m. Midway provided by Reithoffer Shows.
  • Gloucester Premium Outlets (100 Premium Outlet Drive, Blackwood) from July 8-17. Hours are Monday to Friday from 5 to 11 p.m. and Saturday and Sunday from 1 to 11 p.m. Midway provided by Reithoffer Shows.
  • Brunswick Square Mall (755 Route 18, East Brunswick) from July 21-31. Hours are Monday to Friday from 5 to 11 p.m. and Saturday and Sunday from 1 to 11 p.m. Midway provided by Reithoffer Shows.

For more information and tickets, visit theleadfest.com. For more information about L.E.A.D., visit leadrugs.org or email info@leadrugs.org.

Turn the heat up at the Chili Knockout and Spicy Food Festival May 21

If you’re the kind of person who likes to feel a burn when you eat, then the crew at Good Time Tricycle Productions has got you covered with its inaugural Chili Knockout and Spicy Food Festival — Atlantic City’s first spicy food celebration. The goal of this innovative festival is simple, said festival producer Jon Henderson: “We want people to buy a ticket and burn their faces off with delicious spicy food.”

Over 20 different culinary partners will be participating in this event, including festival partner Bourre, Duck Town Tavern & Liquors, Cuzzie’s Pizzeria Kitchen, Slab House, and Tennessee Avenue Beer Hall. In addition to enticing attendees with various multicultural foods that will heat up their taste buds, each spot will be giving attendees its own unique take on chili. And the best part? As an attendee of the festival, you’re the judge. “Everyone will get a lanyard with a punch-card,” Henderson said. Each attendee will be using that punch-card to do their patriotic duty of voting for best in show. And the stakes are high for this temperature-rising contest. The winner not only gets a spiffy championship belt, but also $5,000 cash to be split with a charity of their choice. “We want people to go on a culinary journey,” Henderson said. With all the culinary diversity in the Atlantic City area, he said that there’s always a new food to try, a new hot sauce to indulge in, a new way to experience a heated up flavor profile. There’s myriad ways to utilize fire-breathing foods and spices, and the Good Time Tricycle gang has made sure that they will all be showcased.

There will be many different activities for all to participate in, including a “guess the hot sauce” game, as well as a hot-pepper-eating contest, in which seven lucky attendees will get the chance to show off their fire-breathing skills. And what festival would be complete without a little beverage? Spicy cocktails will be available to test your resolve and open up new culinary doors.

Besides setting their taste buds on fire, attendees will also be able to experience Atlantic City’s burgeoning artistic culture. There will be dozens of local artists showcasing their art, performing their respective mediums, and presenting their art for sale. “We think it’s really important to embrace local culture, especially with such a fast-growing art culture here in Atlantic City.” In addition to artists, there will be a variety of different live music entertainment as well as opportunities to watch people actually play with fire. It will be a party-like atmosphere that the folks at Good Time Tricycle have designed specifically to bring families and the local community together.

For something as special as an inaugural spicy food fest, you can’t just plop it down in any old location. As Henderson and his staff are ever focused on supporting the local community, they’ve chosen a site that’s become a focal point of a vastly growing neighborhood of Atlantic City: the Orange Loop Arena on New York Avenue, a 60,000-square-foot site that has become vital to the neighborhood now known as the Orange Loop Area. The neighborhood boasts amazing eateries, coffee shops, and local shops. “We just want people to open new culinary doors for themselves. There’s always something new to try, and why not do it while supporting your local community?”

Chili Knockout and Spicy Food Fest takes place Saturday, May 21, from 11 a.m. to 6 p.m. The entry fee is $25 per person for judges and $15 per person for those non chili folks, and children age 12 and under are free. For more information, call 609-385-0716 or visit the website.

— Dani Fleischer