Author Archives: Joe Hilbert

  1. A New Path to Migraine Relief? How CGRP Medications May Help

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    Migraines steal moments—quiet mornings, family dinners, or a much-needed night’s rest. For many people who live with them, the search for real relief becomes a revolving door of treatments: Botox, acupuncture, over-the-counter options, or long-standing prescription medications.

    Because these medications are appearing more frequently in TV commercials and online ads, many patients are curious about what they actually do and whether they’re right for them. To help bring clarity, Christina “Chrissy” Camp, MSN, FNP-C, BSN, PCCN—of the Neurology Division at Shore Physicians Group in Somers Point—explains how CGRP medications work and when they may be considered.

    Before discussing the newest treatment options, Chrissy emphasizes that effective migraine care starts with understanding the whole patient—not just the headache.

    “You’re coming to us because you don’t feel well,” she says. “So it’s important we don’t just cover up symptoms with medications without a full assessment. A headache can be caused by a lot of things, and I need to make sure we’re treating the right problem.”

    Sometimes, she explains, a headache that seems like a migraine could actually be something more concerning—such as a mild stroke—or connected to an issue like untreated sleep apnea, Vitamin deficiencies, or infectious diseases. In those cases, jumping immediately to migraine medication could mask the symptoms while the underlying condition goes overlooked. “We want to rule out the big, the bad, and the ugly,” she says. “My job is to make sure we’re not missing something important. That means reviewing records, ordering imaging when appropriate, looking at lab work, and really listening to the patient.”

    Once she determines a migraine is truly a migraine, Chrissy helps patients understand what’s happening inside the body. “A migraine is a neurological event,” she says. “When it starts, the body releases inflammatory markers that irritate blood vessels and make nerves hypersensitive.” One of the most important of these markers is CGRP—calcitonin gene-related peptide.

    Clinically, CGRP is a neuropeptide found throughout the brain and nervous system. During a migraine, levels of CGRP rise sharply, triggering blood vessels to dilate and increasing inflammation around the nerves that sense pain. This is what makes migraines feel so intense. CGRP medications work by blocking either the peptide itself or its receptor, interrupting this chain reaction. “By stopping that signal,” Chrissy explains, “we stop the symptoms from spiraling into a full migraine.”

    “Inflammatory markers ramp up irritation in the nerves and blood vessels,” Chrissy adds. “CGRP is one of the signals that tells the body, ‘Okay, this is turning into a migraine.”

    That’s where CGRP-targeting medications come in. She uses a local analogy to explain them. “Picture traffic on Route 9 going from Somers Point into Linwood,” she says. “Now imagine another line of traffic coming off Ocean Heights Avenue at Wawa that cuts across and stops that flow. CGRP medications block the migraine signal the same way—they prevent it from getting from point A to point B.”

    These newer medications come in two forms. Preventive options, like Emgality, Ajovy, and Aimovig, are monthly injections that reduce how often migraines occur. Acute medications—brands like Nurtec ODT or Ubrelvy—are taken at the first sign of an attack to stop it before it escalates. Both types are well tolerated and often work for patients who have exhausted other treatments.

    But none of that happens before Chrissy completes a thorough, personalized evaluation. “I don’t want to hand someone a medication when the real issue might be their sleep apnea, vitamin deficiency, or an infectious disease, or when I need to rule out a mild stroke first,” she says. “The goal is not just to make the headache go away—it’s to understand why it’s happening.”

    For those in our community who have struggled to find lasting relief, Chrissy’s thorough, evidence-based approach—and the potential relief made possible from CGRP medications—offers renewed hope. It’s a path forward grounded in understanding the whole patient and helping them reclaim more of the moments that matter.

    Chrissy Camp, MSN, FNP-C, BSN, PCCN, treats patients at Shore Physicians Group’s Neurology Division offices located at 700 Shore Road in Somers Point, NJ. To schedule an appointment with Reeva Salkin, call 609-365-6202.

  2. Blood Tests for Alzheimer’s: What They Can and Can’t Tell Us

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    New research has brought renewed attention to blood tests that may help detect biological markers associated with Alzheimer’s disease. These tests, which identify proteins such as amyloid and tau, have generated headlines for their potential to identify brain changes long before symptoms appear. But as promising as the science may be, they come with important limitations—and even more important context for patients and families.

    To help clarify the role these tests currently play in neurological care, insight was provided by Reeva Salkin, MSN, APN-BC, ANP-BC of Shore Physicians Group’s Neurology Division in Somers Point, NJ. Salkin evaluates patients who worry their memory lapses may signal something serious and understands both the appeal and the risk of relying too heavily on these newly publicized tests.

    “These blood tests can’t be done at your local lab,” she explained. “They have to be sent to a private specialty company and are used only in very specific cases. Even if the result is positive, it doesn’t necessarily predict what a person’s future will look like.”

    Salkin notes that test results—positive or negative—can easily lead to misunderstandings. “If the test shows certain biomarkers, someone may interpret that as an inevitable sign of Alzheimer’s, and that isn’t the case. But if it’s negative, a person might feel they don’t need to make healthy changes. Neither reaction is helpful.”

    Right now, these emerging tests support—but do not replace—a full evaluation. Alzheimer’s is diagnosed through careful history-taking, cognitive assessments, medical review, and imaging when appropriate.

    Salkin emphasizes starting with the basics because many common medical issues can mimic dementia and are far more easily treated. Vitamin B12 deficiency, thyroid disorders, vitamin D deficiency, and even infections can produce symptoms that look like early cognitive decline. “B12 deficiency is extremely common,” she said. “Addressing it can dramatically improve mental clarity.”

    Brain imaging, while useful, is also only one piece of the picture. Some individuals show age-related changes on MRI and function perfectly well, while others with normal scans experience real symptoms. This is why clinical context remains critical.

    When discussing what constitutes concerning symptoms, Salkin draws an important line. Occasional misplaced keys or a forgotten phone are not the red flags. “What concerns us are changes truly out of character—getting lost on the way to a familiar place, difficulty managing bills, or confusion that persists. Those are the cues to look deeper.”

    Yet despite the anxiety many patients feel, Salkin stresses that there is meaningful room for optimism. “Lifestyle plays a significant role,” she said. “Keeping the brain active, learning new things, staying socially connected—these can all influence cognitive health. If something feels mentally challenging, that’s good. It means the brain is engaged.”

    While Alzheimer’s blood tests may someday offer earlier insights, they are not intended as first-line screening tools, nor should they be interpreted without a larger medical context. As Salkin explains, “People are understandably worried when memory changes begin. The best approach is a thoughtful, step-by-step evaluation that looks at the whole person.”

    For now, the most effective path forward remains careful clinical assessment, attention to overall health, and habits that keep the mind active—long before turning to a specialized blood test for answers.

    Reeva Salkin, MSN, APN-BC, ANP-BC, treats patients at Shore Physicians Group’s Neurology Division offices located at 700 Shore Road in Somers Point, NJ. To schedule an appointment with Reeva Salkin, call 609-365-6202.

  3. Learning to Live Well with Celiac Disease: How Shore Physicians Group Dietitian Tiffany Rios Can Help

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    Being diagnosed with celiac disease can feel overwhelming at first. Suddenly, foods you’ve eaten your entire life—breads, pasta, sauces, even seasonings—may be off-limits. You find yourself navigating a whole new world, reading labels and probably feeling overwhelmed. But with the right support and guidance, it is possible to eat well, feel better, and protect your long-term health.

    At Shore Physicians Group, registered dietitian Tiffany Rios, RD, CDE, helps people with celiac disease make sense of this lifelong diagnosis. She not only explains why a strict gluten-free diet is medically necessary, but also teaches patients how to safely enjoy food at home, while traveling, and when dining out.

    Why Going Gluten-Free Matters

    Gluten is a protein found in wheat, rye, and barley. In people with celiac disease, eating gluten triggers the immune system to attack the lining of the small intestine. This damages the body’s ability to absorb vitamins and minerals, which can lead to nutrient deficiencies, fatigue, anemia, digestive issues, and even long-term complications like osteoporosis, other autoimmune conditions, and—in rare cases—intestinal cancer.

    Unlike people with gluten sensitivity, who may simply feel better avoiding gluten, those with celiac disease must strictly avoid it for life. Rios stresses that even small amounts of gluten can cause harm, which is why education and careful planning are essential.

    Learning Where Gluten Hides

    Reading labels is the first step. “Gluten can be sneaky,” Rios explains. “Because gluten is not recognized as a food allergen, there is no clear ‘contains gluten’ statement on ingredient lists, like you see for milk or tree nuts.” It’s found in many unexpected places, such as:

    • Soy sauce and marinades
    • Some seasoning packets
    • Soups and sauces that use wheat as a thickener
    • Oats, unless specifically labeled gluten-free (oats are often grown with wheat, and can be contaminated with gluten)

    The good news is that many companies go through the process of certifying that their product is gluten free. You can know it’s safe when you see one of the several variations of certified gluten free logos. The logo means it has been tested to ensure it contains less than 20 parts per million of gluten.

    In addition, there is such a thing as ‘gluten free wheat starch’ which is in some certified gluten free foods. Often, people with celiac are confused by this, but the wheat itself is not a problem for celiacs – it’s the gluten protein found in wheat. Gluten free wheat starch has been processed to remove the gluten and is safe for people with celiac.

    Whole Foods First

    Of course, the easiest and most nutritious way to eat gluten-free is by focusing on whole foods: fruits, vegetables, lean proteins, beans, nuts, seeds, and naturally gluten-free grains like quinoa and rice.

    “If you find it overwhelming to go gluten free, try focusing on whole foods like these that require no attention to labels,” Rios shares.

    Rios also works with patients to rebuild gut health using supportive strategies such as probiotics, L-glutamine, and digestive enzymes if needed, especially during the early stages of healing.

    Dining Out with Confidence

    Eating at restaurants can be one of the biggest challenges after diagnosis. Rios encourages patients to use resources like the Find Me Gluten Free app where customers can leave detailed reviews about restaurants that offer gluten free options. She also suggests joining regional Facebook groups for gluten-free dining recommendations and travel tips. In our area, there is “Atlantic County Gluten & Dairy Free” and “Gluten Free New Jersey”.

    Rios also educates patients on how to ask the right questions at restaurants to avoid eating foods that are cross contaminated. One of her favorite local places for gluten free meals is Josie Kelly’s.

    Kathleen Lloyd, who owns Josie Kelly’s Public House in Somers Point with her husband, Dermot, says their restaurant has become a safe haven for people with celiac disease. They’re proud to have over 40 five-star reviews on the Find Me Gluten Free app.

    “We know it can be scary for people with celiac disease to dine out, so we’ve gone to great lengths to have safe cooking processes in place, to train our staff to answer questions, and to provide a separate gluten free menu to enhance the guest experience,” Lloyd says. She adds, however, that it’s important guests always notify their server they are gluten free, because they’ll alert the kitchen staff to take those extra precautions, like changing gloves and utensils, and fully cleaning the grill.

    “Gluten free guests have many more options at Josie Kelly’s than most restaurants. We offer everything from small plates, soup, burgers and sandwiches to salads, entrees and desserts. You can enjoy a guilty pleasure like French fries cooked in our dedicated fryer, or our lamb burger with a gluten free bun. Or, choose something on the healthier side, like our vegan and gluten free garden pie, or a salad topped with lean protein. For dessert, we have a flourless chocolate cake elevated with strawberry and cardamom coulis, along with a variety of gluten free French macaron flavors.”

    Support for the Journey

    Adjusting to a gluten-free lifestyle is not just about avoiding certain foods—it’s about protecting your health for the long term. Rios works one-on-one with patients to create safe and nutritious meal plans, identify hidden sources of gluten, support digestive healing, recommend supplements where appropriate and provide trusted dining and product resources.

    “Celiac disease can feel like a big change, but once patients are educated and confident in what they’re eating, they feel so much better.”

    Tiffany Rios, RD, CDE, is a Registered Dietitian and Certified Diabetes Educator with Shore Physicians Group’s Endocrinology Division at 18 West New York Avenue, Somers Point, NJ. She offers nutrition counseling for people with a wide range of conditions and needs, including celiac disease, diabetes, and more. To schedule an appointment, call 609-365-5300.

  4. Teen Boot Camp Empowers Young Athletes with Type 1 Diabetes to “Learn, Train, Connect”

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    For teens living with type 1 diabetes, staying active and managing blood sugar can be a balancing act that feels overwhelming. But at Diabetes Training Camp’s Teen Boot Camp, young athletes learn how to thrive — both on the field and in life — by combining sports performance with practical diabetes management.

    The program, developed and led by Matthew Corcoran, MD, an endocrinologist with Shore Physicians Group, is designed for active teens with type 1 diabetes and their parents. Over the past several years, Dr. Corcoran and his team have built a program that blends elite-level sports training with education, community, and fun.

    “It’s truly a sports performance camp,” said Dr. Corcoran. “We teach agility drills, speed skills, weightlifting, and running techniques — all while showing teens how to manage their diabetes on the fly.” The Teen Boot Camp welcomes about 20 teens and their parents each session, attracting athletes from across the country — from soccer, basketball, baseball and team sport athletes to runners and cyclists, dancers, hikers and even scouts.

    The camp is supported by a roster of leading experts from some of the nation’s top institutions, including Boston Children’s Hospital, the Barbara Davis Center, Northwestern University, Stanford University, and the University of Colorado. The staff includes endocrinologists, exercise physiologists, diabetes educators, a licensed social worker, registered dietitians, and mental skills coaches who help athletes build resilience, focus, and confidence. “Mental skills coaches are what we used to call sports psychologists,” explained Dr. Corcoran. “They help athletes with goal setting, self-talk, visualization, and dealing with setbacks. For teens with diabetes, those tools are even more important because they face extra layers of challenge.”

    Diabetes Training Camp Teen Boot Camp holds sessions, workouts and education for the parents of the teen athletes, too. Parents learn how to support and advocate for their teen and work on communication skills to foster an open and loving relationship. Parenting a teen with T1D comes with it’s own set of challenges and DTC helps the parents find a successful path forward.

    The immersive three-day camp is held at two locations: Spooky Nook Sports in Lancaster, Pennsylvania, and the Colorado Academy in Denver. Participants and staff stay on site together, sharing meals and activities from 7 a.m. to 9 p.m. each day. Days are filled with multiple workouts, educational workshops, and community events, including barbecues, pool parties, and the camp’s famous kickball and dodgeball games. While the camp focuses on physical performance, Dr. Corcoran said one of the greatest benefits for participants is psychological.

    “Our motto is ‘Learn, Train, Connect,’” he said. “The biggest benefit is connection. Teens come to camp feeling isolated — they’re the only kid with diabetes on their team or at their school. Here, they realize they’re not alone. They find a community that understands them, and parents do, too.”

    For athletes with type 1 diabetes, managing blood glucose during exercise can be complicated. Physical activity, insulin, and adrenaline all influence glucose levels, which can rise or drop dramatically in minutes. “We teach them how to regulate their nutrition and insulin to keep their energy steady,” said Dr. Corcoran. “They learn when to eat, when to adjust insulin, and how to level the playing field so they can focus on performance, not numbers.” Many families arrive at camp without a plan for exercise and blood sugar management, leading to unpredictable highs and lows, taking their athlete out of the game. By the end of camp, participants leave with a roadmap — and the confidence — to safely pursue an active lifestyle and a plan to stay in the game.

    Dr. Corcoran emphasizes that fitness is “the great equalizer.” Whether or not these teens become college or professional athletes, the lessons they learn at camp set them up for lifelong health. “We’re helping them build habits that will let them lead healthy, active lives,” he said. “If they can learn to manage exercise and diabetes now, they can handle whatever challenges come their way.”

    Type 1 diabetes is an autoimmune condition in which the pancreas produces little or no insulin, the hormone that regulates blood sugar. It’s most often diagnosed in children and young adults, requiring lifelong insulin therapy. With proper management, people with type 1 diabetes can live long, healthy, and active lives.

    Diabetes Training Camp operates as a volunteer-based, at-cost program. About half of all Teen Boot Camp registration fees are supported by the camp’s scholarship fund, ensuring families in need can participate. “We have a registration fee that covers a teen and a parent, and our scholarship fund helps families who need assistance get there,” Dr. Corcoran explained. “Currently, 40 to 50 percent of our registration dollars for the teen camp come from that scholarship fund.”

    To help sustain these opportunities, the organization will host its 8th annual fundraiser, “Come Experience the Magic,” on November 14 at the Hard Rock Hotel & Casino in Atlantic City. Proceeds directly support scholarships for future campers. Learn more at diabetestrainingcamp.com/2025-come-experience-the-magic or make a donation and reserve your spot here.

    For Dr. Corcoran and his team, the Teen Boot Camp is about more than sports — it’s about empowerment. Each teen who walks through the door leaves knowing they are not defined by diabetes, but strengthened by it. They gain not just the skills to manage their health, but the confidence to chase their goals — on the field, in the classroom, and throughout their lives. As Dr. Corcoran puts it, “If they can master this, they can handle anything.”

  5. When the Gallbladder Causes Trouble: Gallstones and Gallbladder Surgery

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    Most people don’t think much about their gallbladder—until it starts causing pain. This small, pear-shaped organ sits just under the liver and helps digest fat by storing and releasing bile. When something goes wrong, such as the formation of gallstones, it can lead to intense discomfort and potentially serious complications. The good news is that gallbladder problems are common, well understood, and highly treatable.

    Understanding Gallstones

    Gallstones are hardened deposits that form inside the gallbladder. They can range in size from a grain of sand to a golf ball, and some people have just one while others have many.

    “Gallstones develop when substances in bile, such as cholesterol or bilirubin, become unbalanced,” explains Shore Physicians Group General Surgeon James J. Tayoun, DO, FACOS. “They can block the normal flow of bile, causing pain, inflammation, or infection.”

    Certain factors make a person more likely to develop gallstones. These include being female, being over age 40, and having a family history of gallstones. Obesity, rapid weight loss, and diets high in fat and cholesterol also raise the risk, as do certain medical conditions such as diabetes.

    Gallstones are typically diagnosed through an ultrasound or other imaging test. Some people have gallstones without symptoms and may not need surgery, but when pain or complications occur, removal of the gallbladder is usually recommended.

    Signs You Might Have a Gallbladder Problem

    Gallbladder attacks often occur after eating a fatty meal, though pain can happen at any time. The discomfort is typically felt as a sudden, sharp pain in the upper right or middle of the abdomen, and it may radiate to the right shoulder or back. Some people experience nausea, vomiting, bloating, or indigestion after eating.

    “If you experience severe or recurring abdominal pain—especially if it lasts more than a few hours or is accompanied by fever or vomiting—you should seek medical attention,” says Dr. Tayoun. Untreated gallstones can lead to serious issues such as infection, bile duct blockage, or pancreatitis, so early evaluation is important.

    When Surgery Is the Best Solution

    In many cases, the best long-term solution for gallstones or chronic gallbladder inflammation is surgery to remove the gallbladder, known as a cholecystectomy.

    “Gallbladder removal is one of the most common and safest surgeries performed today,” says Dr. Tayoun. “Most procedures are now performed using a surgical robot, which provides better visualization, more precise movements, and a lower likelihood of needing to convert to open surgery. Minimally invasive laparoscopic surgery is also an option, with smaller incisions, less pain, and faster recovery.”

    A robotic or laparoscopic gallbladder surgery typically takes about 45 minutes to one hour, and patients usually spend a few hours in recovery before heading home the same day. Some cases require an open surgery, which involves a larger incision and a slightly longer recovery period, but this is less common.

    Most people return to normal daily activities within a week or two, though it’s best to avoid heavy lifting for several weeks. The body continues to function normally without a gallbladder because the liver still produces bile that flows directly into the intestine to aid digestion.

    Living Well After Gallbladder Surgery

    After surgery, most people notice that their digestion improves and that the painful attacks are gone. Dr. Tayoun recommends gradually reintroducing fatty or fried foods and focusing on a balanced diet rich in lean proteins, fruits, vegetables, and whole grains.

    “Recovery is usually smooth, and the relief from symptoms can be life-changing,” he says. “The key is not ignoring warning signs and getting evaluated early.”

    While most people have no lasting effects from gallbladder removal, a small number may experience temporary changes in digestion. These symptoms are typically mild and improve as the body adjusts.

    When to See a Surgeon

    If you’ve been told you have gallstones or you’re experiencing frequent abdominal pain, schedule a consultation with a general surgeon. “Early evaluation helps prevent complications such as infection or pancreatitis,” says Dr. Tayoun. “We can discuss whether surgery is right for you and make sure you get the care you need safely and efficiently.”

    About James J. Tayoun, DO, FACOS

    Dr. James J. Tayoun is a Penn Affiliated General Surgeon with Shore Physicians Group who specializes in advanced minimally invasive procedures for conditions affecting the stomach, colon, and vascular system. He treats acid reflux, hernias, diverticulitis, colon tumors, gallbladder disease, aortic aneurysms, varicose veins, and peripheral artery disease.

    He sees patients at Shore Physicians Group Surgical Division, 649 Shore Road, Somers Point, NJ 08244.
    To schedule an appointment, call 609-365-6239.

  6. Meniscal Tears: The Knee Injury That Can Sideline Anyone

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    Whether you’re watching NFL preseason, college football kickoffs, international soccer matches, or high school games under the Friday night lights, one injury keeps making headlines: meniscus tears. As athletes of all levels take the field this season, it’s a term you’re likely to hear often. But it’s not just athletes who are at risk—this common knee injury can happen to anyone, including people who don’t play sports at all.

    According to Dr. Dante Marconi, orthopedic surgeon with Shore Physicians Group, the menisci are two C-shaped pieces of cartilage in each knee that act like a shock absorbers between the thighbone and shinbone. “You have one on the inner side and one on the outer side of the knee,” he said. “They help cushion and stabilize the joint, especially during twisting or pivoting motions.”

    In younger, active people, meniscal tears are often the result of sudden, forceful movement—think cutting on the soccer field or changing direction quickly during a football play. But in older adults, meniscal tears can occur from something as simple as standing up awkwardly from a chair or squatting to reach for something on a low shelf. Degenerative tears related to arthritis are especially common as we age.

    “Sometimes it’s a pop that the person feels right away,” said Dr. Marconi. “Other times, it shows up as joint line pain, especially with twisting or bending. Deep squats or getting up from a seated position might become painful.” The injury is confirmed with an MRI.

    There are many types of tears—vertical, horizontal, or radial—all of which refer to the direction and location of the damage within the meniscus. One key factor for healing is blood supply. The outer edge has some circulation and might heal on its own, but most tears happen in the inner portion, where blood supply is poor and healing without surgery is unlikely.

    In those cases, surgical repair is often the best option. “We use small arthroscopic tools and sutures to bring the torn edges together,” explained Dr. Marconi. “It’s outpatient surgery, so people are home the same day.”

    With meniscal repairs, recovery includes partial weightbearing for about a month, a gradual rehab process, and no deep knee bending for three months. Most people return to full activity—including sports—within six months. For degenerative type meniscal tears, sometimes only shaving out the injured portion can be indicated. Recovery is much less as there are no weightbearing restrictions afterwards.

    Dr. Marconi also incorporates platelet-rich plasma (PRP) therapy into many repairs to boost healing. “We take a small amount of the patient’s blood, spin it down to concentrate the platelets, and inject it at the site of the repair,” he said. “There’s now solid orthopedic evidence that PRP improves healing for meniscus tears.”

    Time matters. “You want to address the tear early, ideally within the acute phase after injury,” Marconi said. “The longer you wait, the harder it is to get a good repair—and the higher the risk that the tear will worsen.”

    So whether you’re a high school athlete, a weekend warrior, or just someone who knelt down the wrong way and felt something pop—know that meniscal tears are treatable. With expert care and timely intervention, most patients can return to the activities they love.

    Dr. Dante Marconi treats patients at Shore Physicians Group’s Orthopaedic Division offices located at 710 Centre Street, 2nd Floor in Somers Point, NJ, and 4450 East Black Horse Pike, Mays Landing, NJ. To schedule an appointment with Dr. Marconi, call 609-365-6280.

  7. Myths vs. Facts: Prostate Cancer

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    Prostate cancer is one of the most common cancers in men, yet myths and misconceptions can make it confusing to understand. This September, during Prostate Cancer Awareness Month, it’s a good time to separate fact from fiction and learn what you really need to know.

    Myth 1: Prostate cancer only affects older men

    Fact: While risk increases with age—most cases are diagnosed in men over 50—it can develop earlier, especially in men with a family history of prostate cancer or certain genetic mutations like BRCA1/2.

    “Men with higher risk factors – black men or those with a strong family history – should start the conversation about prostate screening in their early 40s,” says Dr. Todd Lehrfeld of Jersey Urology Group. “Men of average risk should discuss screening with their doctor at age 50. Early detection is often the key to successful treatment.”

    Myth 2: Prostate cancer is always slow-growing and harmless

    Fact: Some prostate cancers grow very slowly, but others can be aggressive. Early detection is critical to identify cancers that require treatment before they spread.

    “Not all prostate cancers behave the same way,” Dr. Lehrfeld explains. “Some may never cause issues and just require monitoring, while others can progress quickly and require prompt treatment. That’s why timely screening is so important.”

    Myth 3: You don’t need a PSA test if you feel fine

    Fact: Prostate cancer often has no early symptoms. A PSA (prostate-specific antigen) blood test, along with a digital rectal exam (DRE), can detect cancer before symptoms appear.

    “Men can feel perfectly healthy and still have early-stage prostate cancer,” says Dr. Lehrfeld. “PSA testing is one of the best tools we have to catch cancer when it’s most treatable.”

    Myth 4: Prostate cancer treatment always leads to sexual dysfunction or incontinence

    Fact: Modern treatments are more targeted and personalized than ever. Side effects are possible, but many men maintain a good quality of life with careful planning, advanced surgical techniques, radiation options, and ongoing support from their healthcare team.

    “We have a range of treatment options that focus on both effectively treating the cancer and preserving quality of life,” Dr. Lehrfeld notes. “It’s no longer one-size-fits-all.”

    Myth 5: Lifestyle doesn’t matter

    Fact: Diet, exercise, and overall health can influence prostate cancer risk and recovery. Maintaining a healthy weight, staying active, eating a balanced diet rich in fruits, vegetables, and whole grains, and limiting red meat and processed foods can support prostate health.

    “Lifestyle changes aren’t just about prevention—they can help men recover more quickly and feel better during treatment,” Dr. Lehrfeld adds.

    Bottom Line

    Awareness is the first step toward prevention and early detection. Talk to your primary care physician about when to start screening based on your age, family history, and personal risk factors. By taking proactive steps, you can protect your prostate health and ensure that if cancer does develop, it’s caught early—when treatment is most effective.

  8. Grin And BEAR It: Shore Physicians Group Orthopaedic Surgeon Dr. Dante Marconi Offers Groundbreaking ACL Repair with BEAR Implant

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    An ACL tear is one of the most common and frustrating injuries for athletes and active individuals. The traditional fix—surgical reconstruction using graft tissue—can restore stability, but it also comes with trade-offs: the need to harvest tissue from elsewhere in the body or rely on donor grafts, longer recovery, and the loss of the knee’s native ligament. Now, a new option is giving certain patients a chance to heal more naturally.

    The BEAR® Implant—short for Bridge-Enhanced ACL Repair—is the first medical technology approved by the FDA that enables the body to heal a torn ACL rather than replacing it with a graft. It works by bridging the gap between the torn ends of the ACL and creating an ideal environment for the body to regenerate the ligament.

    Shore Physicians Group Orthopaedic Surgeon Dr. Dante Marconi is one of a select few surgeons in South Jersey to perform ACL repair using a BEAR Implant.

    “With a reconstruction, we either take tissue from the patient’s own knee—like the patellar or quadriceps tendon—or we use a cadaver graft,” said Dr. Marconi. “That tissue replaces the ACL, but you’re giving up something else in the process. You might end up with weakness or discomfort where we harvested the graft.”

    The BEAR Implant avoids that trade-off. The implant is made of a special protein-based material and is soaked in the patient’s blood before being placed at the site of the tear. This encourages natural healing and reattachment of the torn ends of the ACL—provided the tear is near the bone and the procedure is performed within a specific window after injury.

    Think of it like repairing a frayed rope. Traditional reconstruction cuts out the damaged rope and ties in a new one. The BEAR technique tries to mend the original rope with a special patch that encourages the fibers to fuse back together.

    “The key is keeping the native ACL because it has proprioception fibers—basically, the nerves that tell your brain where your knee is in space,” Dr. Marconi said. “That feedback can be lost when we replace the ligament with a graft.”

    Not all patients are candidates. The tear must be located near the bone, and the procedure has to be done within about two months of injury. But for those who qualify, the benefits are promising: a knee that feels more like it did before the injury, without the added trauma of graft harvesting.

    Dr. Marconi was able to perform the procedure after encountering his first ideal candidate—a patient with the right tear pattern in the right timeframe. He had been training on the technique for over a year and was waiting for the right moment to bring it to the operating room.

    “This isn’t something we’ll do all the time,” he said, “but it’s something we can do, and if it’s right for the patient, it can be a great option.”

    With the addition of the BEAR Implant to his surgical offerings, Dr. Marconi is helping lead the way toward less invasive, more biologically sound options for ACL repair—giving patients in South Jersey a new reason to feel hopeful after a tear.

    Dr. Dante Marconi treats patients at Shore Physicians Group’s Orthopaedic Division offices located at 710 Centre Street, 2nd Floor in Somers Point, NJ, and 4450 East Black Horse Pike, Mays Landing, NJ. To schedule an appointment with Dr. Marconi, call 609-365-6280.

  9. Find Relief from Chronic Pain with Shockwave Therapy in Ocean City, NJ

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    If you’ve been living with chronic pain that just won’t go away, you’re not alone—and you don’t have to keep suffering. At Shore Physicians Group in Ocean City, Dr. Megan McQuarrie, board-certified family medicine physician with advanced training in sports medicine, is now offering shockwave therapy, a non-invasive treatment that’s helping patients finally find lasting relief.

    What Is Shockwave Therapy?

    Shockwave Therapy is a safe, non-surgical treatment that uses gentle sound waves to stimulate your body’s natural healing process. In just 15–20 minute sessions, it helps boost healing, improve blood flow, reduce inflammation, and repair damaged tissue. With no downtime required, you can return to your normal activities right away.

    Conditions Shockwave Therapy Can Treat

    Shockwave therapy is an excellent option for many painful conditions, including plantar fasciitis (heel pain), tennis and golfer’s elbow, shoulder pain and calcific tendonitis, Achilles tendon pain, chronic muscle tightness and trigger points, and other lingering sports or overuse injuries. Many patients begin noticing improvement within just a few sessions, with results that continue to build over time.

    Why Choose Dr. Megan McQuarrie?

    Dr. McQuarrie combines her expertise in family medicine and sports medicine to take a whole-person approach to healing. She has helped countless patients return to the activities they love, and shockwave therapy adds another powerful tool to her care. Whether you’re a dedicated athlete or someone who simply wants to move without pain again, Dr. McQuarrie tailors treatment to your unique needs and goals.

    Schedule Your Appointment Today

    Don’t let chronic pain hold you back any longer. With shockwave therapy, you may finally find the relief you’ve been searching for. Physical Therapy and Primary Care Patients interested in Shockwave Therapy can call Shore Physicians Group’s Orthopaedic Surgery Division at 609.365.6280. If the patient is deemed to be a good candidate for Shockwave Therapy, then the SPG Surgical Division can refer that patient to Megan McQuarrie, MD, Family and Sports Medicine physician in Ocean City. You don’t have to be Dr. McQuarrie’s primary care patient to be seen. Shockwave Therapy is an out-of-pocket cost to the patient.

    Dr. McQuarrie provides shockwave therapy treatment at Shore Physicians Group’s Ocean City Primary Care office, located at 1645 Haven Avenue, Suite C.

  10. The Hidden Risk of Turmeric and Other Supplements: What Influencers Won’t Tell You

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    By Dr. Megan McQuarrie, Shore Physicians Group, Ocean City Primary Care

    You may have heard the recent story about a 57-year-old N.J. woman trying to manage joint pain who followed the advice of a medical influencer she saw on social media and began taking turmeric supplements every day. What seemed like a harmless addition to her wellness routine, promoted as “natural” and anti-inflammatory, landed her in the hospital one step away from liver failure.

    Unfortunately, she’s not alone. Stories like this are becoming more common as influencers and unregulated online “experts” recommend high-dose supplements without warning of the risks. In her case, she was taking more than ten times the amount considered safe by international health standards, all without realizing the potential consequences.

    “This patient had been taking 2,250 mg of turmeric daily, a dosage that is commercially available and may appear safe because it’s on the shelf,” said Dr. Megan McQuarrie of Shore Physicians Group. “But it’s actually considered a high dose, and in her case, it caused serious liver injury.”

    When “Natural” Isn’t Safe

    Dietary supplements may look and sound like safe alternatives to medication, but too much of a good thing can quickly become dangerous.

    Supplements like turmeric, vitamin D, and even herbal detoxes are generally safe in small, food-level doses. But when taken in large or concentrated amounts, especially over time, they can overload the body and cause serious harm.

    “Turmeric is a perfect example,” Dr. McQuarrie said. “Cooking with turmeric is safe, and may even offer health benefits. But when people take high-dose capsules, especially those with added black pepper extract to enhance absorption, it can overwhelm the liver’s ability to process it.”

    Turmeric is now one of the most frequently cited supplements linked to toxic hepatitis in the U.S.

    Other risks of excessive supplement use include:

    • Kidney damage from too much vitamin D or C
    • Heart issues from excessive potassium or stimulant-based weight loss pills
    • Increased bleeding risk from high-dose omega-3s or ginkgo
    • Digestive upset from excess magnesium or fiber
    • False lab results from large amounts of biotin

    Why It Happens More Often Than You Think

    Unlike prescription medications, dietary supplements aren’t closely regulated in the U.S. That means there are no strict dosing standards, and ingredients don’t always match what’s listed on the label. Many supplements are marketed as “all-natural” or “doctor-approved,” but without context, those claims can be misleading and even dangerous.

    “It’s really important to read the labels and fine print, check dosages, and ask your doctor if the supplement you’re interested in is right for you,” Dr. McQuarrie advised. “That includes factoring in any medical conditions or medications you’re taking, as well as how much of that substance you’re already getting from your diet. For example, foods like curries and stews can contain significant amounts of turmeric.”

    It’s easy to see how someone could assume that more is better, especially when it’s being promoted as healthy. But when your body can’t break down what you’re putting in, damage can happen fast—especially to the liver and kidneys, which are responsible for filtering it all.

    How to Stay Safe

    Before starting any new supplement, even one you’ve seen widely promoted online, talk to your doctor, especially if you’re on other medications or have underlying health conditions.

    Here are a few additional tips:

    • Stick to recommended doses and avoid “high potency” or mega-dose versions unless specifically advised.
    • Choose reputable brands that are third-party tested for purity and accuracy.
    • Report all supplements to your healthcare provider before lab tests or procedures.
    • Pay attention to symptoms like fatigue, yellowing of the skin or eyes, dark urine, or nausea. These can be signs of liver or kidney stress.

    Smart Supplement Use Starts with You

    Supplements can absolutely support your health, but only when used wisely and with proper guidance. The next time you see a health tip on your feed, take a step back. What works for one person might not be safe for everyone.

    At Shore Physicians Group, we’re here to help you make smart, informed choices for your health. If you have questions about a supplement or want help building a safe wellness plan, don’t hesitate to reach out.

    “Your health deserves more than internet advice,” Dr. McQuarrie said. “It deserves expertise and care you can trust.”

    Dr. Megan McQuarrie is accepting new patients ages 10 and up at Shore Physicians Group’s Ocean City office, located at 1645 Haven Avenue, Suite C. To schedule an appointment, call 609-399-6263.

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