Buffalo Spree Health + Medicine in WNY 2023 by Buffalo Spree

HEALTH + MEDICINE IN WESTERN NEW YORK 2023

Pure Dental embraces innovation

WOMEN IN MEDICINE

WNY’S FIRST CANNABIS DISPENSARIES

THE AIR WE BREATHE ...AND MORE!

MARCH 2020

66 WOMEN’S HEALTH

Microscopic photo of endometrium showing brown staining in many of the tissue’s stromal cells

N E W W O R K L E D B Y researchers in the Jacobs School of Medicine and Biomedical Science at the University at Buffalo, in collaboration with University of Michigan researchers, focuses on connection between the presence of nerves in endometriosis lesions and pain. Endometriosis is a condition where uterine-like tissue grows outside of the uterus, causing chronic pain that affects five to ten percent of women worldwide. The study proposes that excessive neurotrophins, proteins that stimulate neuron growth and mitigation, may heighten the density of nerves in endometriosis tissues. It also identifies molecular pathways activated in endometriosis and a key neurotrophin receptor that is elevated in endometriosis patients. Robert N. Taylor, MD, PhD, senior author on the paper and professor of obstetrics and gynecology and pathology and anatomical sciences in the Jacobs School, says, “The association of pain with endometriosis has been known for a hundred years, but the relationship between the volume of lesions and degree of pain symptoms is poorly correlated.” The researchers aim to develop new pain treatment that won’t affect hormonal function. The findings were published in the American Journal of Pathology, online in May, and featured on the cover of the August journal.

LOCAL WINNERS

Bridging sports and medicine UB student spent August with Bills’ medical team M O H A M E D B A H , A T H I R D Y E A R student at the Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, was awarded the opportunity to work with the medical team for the Buffalo Bills football team this past August. He was one of nineteen medical students across the nation chosen to be part of the National Football League Diversity in Sports Medicine Pipeline Initiative, a joint program of the NFL Physicians Society and the Professional Football Athletic Trainers Society aimed at increasing and diversifying the pipeline of students interested in sports medicine and diversifying NFL club medical staff. “My favorite part was [seeing] the players in action and [being] part of preseason games and exhibitions,” Bah shares. “Seeing real-time medical decisions and learning more about sports medicine was valuable. It was great to be exposed to the entire medical staff; you don’t realize how many working parts there are behind the scenes.” Bah certainly learned from the best; the Buffalo Bills’ medical staff recently received national recognition and was honored as the Ed Block NFL Athletic Training Staff of the Year.

BAH PHOTO BY SANDRA KICMAN/UNIVERSITY AT BUFFALO; ENDOMETRIOSIS PHOTO COURTESY OF UNIVERSITY AT BUFFALO

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UB ENDOMETRIOSIS STUDY TARGETS NEW PAIN RELIEF

“It was a wonderful opportunity,” says Bah. “I am so blessed.”

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ERIE COUNTY’S FREE NARCAN TRAINING T H E E R I E C O U N T Y Department of Health

is providing free training on opioid overdose recognition and how to administer Narcan, a medication used to treat overdoses, along with free Narcan and Fentanyl Test Strips. Numbers from the department show there were 245 opioid-related deaths from January through July 2023 in Erie County, and the number is rising. erie.gov/health/trainings-presentationspublications-resources

MENTAL HEALTH

FIRST PERSON ADVOCACY “ F I R S T P E R S O N A D V O C A C Y, I N C . has two missions. One, lift the stigma of mental health and two, open up the lines of communication between individuals who have a mental illness and individuals who do not have a mental illness,” shares founder and president Glenn Goldman. Growing up with a mental disorder, Goldman knows the harmful effects of stereotypes, stigmas, and judgment. His website offers mental health resources as well as a mindfulness, poems, and thoughts blog. First Person Advocacy also created the Hearts of Gold and Kindness campaign. On the site, a form is provided for all to share the story of anyone who “showed you kindness, stood up for what’s right, or even made a gesture that brought a smile to your face.”

ROSWELL PHOTO COURTESY OF ROSWELL PARK COMPREHENSIVE CANCER CENTER

NOTEWORTHY

ROSWELL PARK RECEIVES RECOGNITION

N E W S W E E K H A S A WA R D E D Roswell Park Comprehensive Cancer Center a ranking on its list of America’s Best Cancer Hospitals for 2023. Out of 175 cancer hospitals honored across the country on the inaugural list, Roswell is the only honoree in the Buffalo area. Working with global research firm Statista, rankings were determined from a national survey of hospital managers, health care professionals, patient experiences, and metrics on hospital quality. Forbes has also ranked Roswell third on its list of top New York State employers. This ranking is based on an anonymous worker survey about workplace culture, benefits, and inclusion.

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Roswell Park is the only WNY healthcare center to be named by Forbes as a top NYS employer.

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MEDICAL CANNABIS: WHAT YOU SHOULD KNOW About its uses, accessibility, efficacy by Kellie Mazur

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WNY WELCOMES FIRSTS IN CANNABIS DISPENSING

MEDICAL CANNABIS has always been a subject riddled with questions. Is it safe? Has its effectiveness been proven? What conditions is it useful for? Now, even with recreational cannabis being legal in twenty-three states (including in New York, where adults twenty-one and older may possess up to three ounces of cannabis and up to twenty-four grams of concentrated cannabis for personal use), confusion around prescription cannabinoids remains. “The biggest thing is understanding, not necessarily what medical cannabis is, but understanding what adult use of recreational cannabis is and the differences there,” says Christopher C. Ralyea Jr., Director of Cannabis Research, DENT Neurologic Institute. Ralyea defines recreational cannabis as THC-dominant products used by individuals looking for a euphoric sensation (“high”), while medical cannabis products are THC-CBD combinations tailored by certified medical providers to treat specific conditions. Incorporated into a

D A N K 7 1 6 , located at 501 Main Street, is Buffalo’s first legal dispensary. Owner/operator Aaron Van Camp secured his CAURD (Conditional Adult-Use Retail Dispensaries) license through a social justice program with New York State. “It’s about bringing legal, safe and high-quality cannabis to our community,” says Van Camp, who spent over six years in prison for cannabis charges. His dispensary offers cannabis in a variety of forms, including flowers, pre-rolls, edibles, beverages, topicals, vapes, cartridges, tinctures, and concentrates. Dank 716 prides itself on having highly trained educators or “budtenders” on the floor at all times to help customers enjoy cannabis safely. “We are here for the avid cannabis connoisseur and the brand-new beginner,” Van Camp says. “Our experience is tailored to you. If you walk in and know what you want, we can get you out fast. But if you want to ask questions about how different strains work, we can do that too.” The dispensary partners with experienced local growers, including Bison Botanics, Greenside Cannabis, and Empire Hemp Co. to ensure premium quality. “When you purchase through a dispensary, it goes through a lab and you know what you’re getting,” Van Camp stresses. “Plus, we want the little growers to have stake in our shop too.” To learn more, visit 716dank.com. WNYers can also take advantage of the area’s first e-commerce platform and delivery service, Canterra. The website sells and delivers adult-use recreational cannabis to Erie, Niagara, Chautauqua, Cattaraugus, Allegany, Wyoming, Genesee, Orleans, and Monroe counties, with plans to expand coverage by the end of 2023. “Canterra provides an upscale cannabis delivery service combined with an easy and discreet shopping experience,” says co-founder Matthew Krupp. Customers can browse over 350 THC and CBD products. To order, visit canterra.co, add items to your cart, confirm your age, and enter contact and payment information. The delivery driver, an experienced budtender, will contact you regarding product arrival. An adult with a valid twenty-oneplus identification must receive the order. Generally, Canterra operates within a five-hour delivery window. “We work with more than 100 different brand partners across New York, with dozens from the Western New York area,” says Krupp. “It’s about delivering a true ‘farm-to-flame’ experience, where consumers can better connect to our local farmers without ever having to leave their home.” — K.M.

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70 Medical cannabis continued O CTO B E R 2 0 2 3 H E A LT H + M E D I C I N E I N W N Y

patient’s comprehensive care plan, cannabis therapy promotes the medical benefits and efficacy of the plant, while minimizing potential for negative psychoactive effects or “the high.” “It’s important to note that cannabis is not a panacea. It’s not a cureall,” explains Ralyea. “But there are individuals who have had beneficial response, whether that’s with chronic pain syndromes, multiple sclerosis, Parkinson’s disease, neuropathy, anxiety, sleep disturbance, and irritable bowel syndrome, among a host of other indications.” If you believe you can benefit from medical cannabis, the first step is to consult a physician, who will educate you on treatment options and provide certification for use, if medical cannabis is deemed beneficial for your care plan. “The physician or clinician will tackle vital preliminary questions like ‘How do I titrate my dose?’ ‘When do I take it?’ ‘When shouldn’t I take it?’ ‘What are the things I need to look for as far as side effects?’ ‘How do I know if it’s working?’” explains Ralyea. In some cases, accessing cannabis treatment isn’t easy. According to a new study led by a University at Buffalo researcher, factors driving many health care disparities in the US can also affect who has access to cannabis for managing symptoms related to cancer treatment. The findings suggest race and income both affect which patients have access to cannabis, where they get it from, and in what form. The study states: “Although nearly 43% of the study’s randomly selected 352 participants received medical certification for cannabis, those who identified as Black/African American were significantly less likely to be certified compared to the group’s white participants, and were also more likely to report using cannabis in forms associated with adverse health outcomes, like varieties intended to be smoked or vaporized.” “This is sadly yet another way in which systemic factors like racism and inequitable distribution of income impacts whether patients have the same access for managing cancer-related symptoms,” says Rebecca Ashare, PhD, associate professor of psychology in the

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UB College of Arts and Sciences, and the study’s first author. Currently, cost further increases these disparities as, outside of rare circumstances with workers’ compensation insurance, cannabis therapy is not covered by insurance companies. Ralyea offers hope on this front: “I imagine we are going to see them start to cover this at some point in the future, whether that’s next year or five years from now. It’s currently a Schedule 1 Drug [defined as drugs with no currently accepted medical use and a high potential for abuse]. Once that changes to Schedule 2 or 3, we anticipate insurance companies will start to cover the outpatient cost, or the cost of cannabis therapy, in medical use. On a very basic level, cannabis therapy, under the guidance of a clinician, has been shown to be able to reduce or completely replace consumption of traditional pharmaceuticals in some patients,” said Ralyea. The DENT Cannabis Clinic is working to legitimize this treatment modality, Ralyea adds. The clinic actively wants to be part of the patient’s care team, meaning close collaboration to determine why the patient is seeking cannabis. DENT currently stands at 13,000 medical cannabis patients, among the largest of its kind in the United States. The data enables a deep exploration. “We can research cannabis for a host of indications that we see at DENT,” Ralyea says. “Whether that’s Parkinson’s disease, neuropathy, trigeminal neuralgia, or an oncology patient, we have a very extensive list of what we’re able to look at and say, ‘When a patient comes in, here’s the dose that they typically need, or here’s the specific product that they need, or what is the specific cultivar that this patient needs for that specific disease state. “There’s so much to unlock within cannabis,” he continues. “This is not your standard pharmaceutical drug pipeline, where you have a single drug and single target, and we will learn everything we can about that in a defined time period. We have a lot to unpack, a lot of potential interactions, and we’re going to continue to see advancements in cannabinoid-based therapies for probably the next decade.”

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ASK THE EXPERT

ENDODONTIC CARE CAN SAVE YOUR TEETH

by Shawn Jordan, DDS, MS; Cynthia Czaperacker DMD, MS; and Mariel Webber, DDS

Left: Mariel Webber, DDS Middle: Shawn Jordan, DDS, MS Right: Cynthia Czaperacker, DMD, MS

ABOUT

Apex Endodontics is the largest, most technologically advanced endodontic office serving the WNY community. We specialize in saving teeth from extraction by performing root canal therapy and other pain management treatments. The Apex dental team includes twenty team members and doctors that specialize in urgent dental care with a focus on each patient’s individual needs. At Apex, we create a relaxing, positive experience with personalized music, blankets, aromatherapy, and three sedation options. Prospective patients can virtually tour the Apex office and watch a full patient experience video on our website. At Apex, you are treated with the utmost care.

CONTACT 716-695-3636 www.ApexEndoPLLC.com LOCATION

125 Grand Island Boulevard Tonawanda, NY 14150

What is a root canal and why might I need one?

Why choose Apex Endodontics?

Contrary to what you may have heard, a root canal is a painless treatment which aims to clear infection and protect a tooth from further harm. During root canal treatment, affected tissue is removed and the interior of the tooth is cleaned, disinfected, and sealed. The restored tooth can last a lifetime. There are many reasons a tooth may need treatment, including a deep cavity, tooth pain or sensitivity, possibility of cracks, or previous dental trauma. Bacteria can enter the pulp tissue and germs then cause infection. If left untreated, an abscess can form and, if the infection is not removed, pain and swelling can result.

Apex is centrally located—just seconds from the I-190. Our new office, built in 2022, is spacious, modern, and peaceful; it was specifically designed to best care for our team and the patients we serve. Patient needs are personalized with choice of music, aromatherapy, and many more calming amenities at no additional cost. Apex is packed with the latest technology including Gentlewave, 3D imaging, microscopes, and so much more. Our doctors collaborate on cases, accept payment plans, and offer three types of sedation options. Most importantly, the Apex dental team is the best in the business. Our doctors, dental assistants and administrative team members are trained professionals that thrive on helping patients.

My tooth doesn’t hurt, but I was told by my dentist I need a root canal. What if I don’t do anything? If left untreated, a tooth infection can impact other areas of the body. A tooth infection may cause bone loss in the jaw, which can harm neighboring teeth. An infection can also spread through the blood and infect vital organs like the brain and heart.

What about taking an antibiotic? Can that get rid of the infection in my tooth? An oral antibiotic is digested and picked up by your bloodstream. Unfortunately, an infected tooth no longer has a blood supply, so the oral antibiotic can’t get into the tooth to kill the bacteria. Root canal therapy physically and chemically removes and kills the bacteria to resolve the infection and save the tooth.

Dr. Shawn Jordan, owner of Apex Endodontics, is an endodontist from Hamburg, NY. He completed his Doctorate of Dental Surgery at UB Dental School. Dr. Jordan also practices at the Buffalo Veteran’s Hospital and has hosted numerous lectures to collaborate with and support local general dentists and dental specialists. Dr. Cynthia Czaperacker is a board certified endodontist from Western New York. She earned her Doctor of Dental Medicine from the University of Pittsburgh and her Certificate in Endodontics from the University of Illinois in Chicago. She has a special interest in regenerative endodotics, which aims to preserve or regenerate the vitality of teeth. Dr. Mariel Webber joined Apex in 2023 and has been practicing endodontics in the WNY community for four years. She was admitted to UB’s dental school at age seventeen as part of a combined degree program with SUNY Geneseo. Dr. Webber is published in the Journal of Endodontics and teaches as an associate clinical professor at UB Dental School.

fir st per sonadvocacy.c om So many in our community show kindness on a daily basis. Our goal is to recognize those in WNY who go above and beyond to be kind, especially when no one is looking. If someone showed you kindness, stood up for what’s right, or even made a gesture that brought a smile to your face, we encourage you to share their story so we can highlight the very best of the city of good neighbors.

Glenn Goldman

Founder & President First Person Advocacy, Inc.

Scan to share a story of kindness.

This is the place for best-in-class cardiac care. First in the region to offer minimally invasive advanced heart valve replacement. 2,500 patients with renewed hope. A world-class team with our area’s highest success rates. Gates Vascular Institute is the place for life-saving cardiac care. Learn more at KaleidaHealth.org/GVI

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Your mental health is a priority Your mental health shouldn’t be stigmatized

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SHERI WAGNER

WOMEN IN MEDICINE

F O U R -T I M E S P R E E T O P D O C Dr. Sheri Wagner has worked at Oishei Children’s Hospital (formerly Women and Children’s Hospital of Buffalo) for the past fifteen years but, as of 2022, she became the only board-certified Pediatric Hospitalist in Erie and surrounding counties. “Hospitalist is a well-known career option now, but sixteen years ago when I completed my training, the career was in relative infancy,” explains UBMD physician Wagner who earned her MD at University at Buffalo’s Jacobs School of Medicine and Biomedical Sciences and completed her Pediatric Residency at Children’s (now Oishei). “General/community pediatricians used to primarily care for their own patients as inpatients. As hospital medicine became more complex, and outpatient versus inpatient practices further diverged, pediatricians chose to focus more on their outpatient practices, and hospitalists became the norm in caring for inpatients. In 2016, Pediatric Hospital Medicine was recognized as a subspecialty.” The change was almost a formality for Wagner, who’d been acting chief of the unrecognized division at Oishei; in July, the new division was formally recognized within the UBMD Department of Pediatrics, and Wagner was formally named Chief. “That was a proud moment for me and my hardworking colleagues,” says Wagner, who now has a certified title to go along with the type of medicine she’s been practicing for years. “I’d always pictured myself a community pediatrician,” she says. “I knew I didn’t want to focus on a specific organ system because I enjoyed them all. This career worked out perfectly for me because I love being part of the large UBMD academic institution, affording me the opportunity to stay on the cutting edge of inpatient medicine. But the most fulfilling part of my career is handsdown patient care. Nothing compares to being at the bedside, watching children recover and be discharged home where they belong. The kids make my job amazing.”

by Donna Hoke

STAMPFER PHOTO COURTESY OF ROSWELL PARK COMPREHENSIVE CANCER CENTER

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JOLEENE STAMPFER by Alycia Ripley

A S A C H I L D , Joleene Stampfer was born missing teeth. After many orthodontist visits designed to replace them and secure proper positioning, she fell in love with dentistry. Stampfer graduated from Erie Community College with an Associates of Applied Science in Dental Hygiene, but COVID restrictions spurred her to advance her pursuits. As her children grew comfortable with online learning, she was inspired to apply to SUNY Farmingdale’s Dental Hygiene Bachelor’s degree program with the hope of ultimately revisiting her goal of working at Roswell Park Comprehensive Cancer Center.

Stampfer’s passion for dentistry and empathetic nature made her a good fit for Roswell, where she now serves as Registered Dental Hygiene Research Coordinator in the department of Cancer Prevention and Control at Roswell. “Thankfully, my husband and children have been my biggest supporters. They knew dental research to be my ultimate goal and how much I valued Roswell as an organization,” she says. Stampfer’s current project allows her to both connect and collaborate with patients in a study titled Host and Microbial Risk Factors of Oral Thrush in Cancer Patients Receiving Chemotherapy. “Our goal is to identify the host and microbiome factors that contribute to oropharyngeal thrush susceptibility in cancer patients receiving chemotherapy,” she explains. “It will identify targets for preventive interventions, potentially reducing the need for antifungal and antibiotic medication.” Stampfer is also drafting a research proposal to encourage further dental research at Roswell. “Dental research contributes to not only oral health but overall well-being,” she enthuses. “The ability to contribute to this project as a member of the Roswell Park team is a dream come true.”

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Women in medicine continued

KATE RITTENHOUSE-OLSON by Nancy J. Parisi

RITTENHOUSE-OLSON PHOTO BY NANCY J. PARISI

A LIFELONG LOVE OF SCIENCE

and the untimely loss of a sister, Robin, to breast cancer put Kate Rittenhouse-Olson on a path that ultimately led her to create biotechnology start-up For-Robin, Inc. in 2012. Rittenhouse-Olson serves as president and Chief Science Officer of the Williamsvillebased organization, whose tagline is “A Company with a Mission: to improve therapy for women with breast cancer by adding treatment with JAA-F11 monoclonal antibody.” The JAA comes from the first names of Rittenhouse-Olson’s three children and, since patenting, the treatment pathway has included extensive clinical trials of this therapeutic antibody that stops breast cancer tumors from metastasizing. Its mechanics look promising to fight colon, prostate, and bladder carcinomas as well. Rittenhouse-Olson earned her Doctorate at UB in Microbiology and Immunology in 1984 and was named Full Professor in the Department of Biotechnical and Clinical Laboratory Sciences in 1993. She taught at University at Buffalo until 2017, when she became Professor Emeritus. She and her lab team spent decades studying the disaccharide Thomsen-Friedenreich antigen (named for the two researchers who discovered it) and the way that the antigen– and its nemesis, the antibody–work. “The antigen is two connected sugar molecules that come to the surface of tumor cells, helping cancer cells spread throughout the body,” Rittenhouse-Olson says. “Our antibody, JAA-F11, which we first grew in 1994, blocks metastasis. “I love my research, and teaching, and seeing when students’ lightbulbs turn on over their heads. It’s pretty exciting to be a teacher,” she continues. “I didn’t do all of this to make money, but to help people. Robin would be happy to be remembered, and that she really made an impact.”

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L-R: Drs. Kenyani Davis and LaVonne Ansari

LAVONNE ANSARI AND KENYANI DAVIS by Sara Ali

COMMUNITY

ANSARI AND DAVIS PHOTO BY STEPHEN GABRIS

CRITICAL

OUR

People connections improve our lives, our neighborhoods, and our city. And a strong community requires influential leaders. Enter Drs. LaVonne Ansari and Kenyani Davis, Community Health Center of Buffalo (CHCB) CEO/Executive Director and Chief Medical Officer. Ansari has always taken a special interest in the community, wearing many hats throughout her career, including as rehabilitation therapist, education worker, and human rights worker. She was on the panel for the United We Stand summit through the Biden administration to talk about the impact of the May 14, 2022 Tops tragedy and how we, as a community, can overcome hate. After converting to Islam at nineteen, Ansari dedicates much of her work to human rights for Islamic women. “My goal is to build a better community for Muslim women,” she says. As such, she advocates on national and local levels for preventive care, wellness, and education through the W. Deen Mohammed (WDM) Muslim Association through the Masjid Nu’man on Fillmore Avenue. In September 2023, she won a Community Dedication WELLBEING.

Award through the WDM Muslim Association. Davis is also immersed in her community. Since 2017, she has been the Director for Employee Health for University at Buffalo Graduate Medical Education, where she handles accommodations for physical and mental health and wellbeing for residents and fellows of UB. From 2016-2019, she was Assistant Medical Director for Millennium Collaborative Care, where she redesigned the Medicaid Delivery System in WNY. She also served a three-year term on the governor’s task force for maternal mortality. “We looked at creating a process in how we understand maternal mortality, especially for underserved communities, particularly for African American women in New York State,” she explains. “The task force was created to review the current state and come up with recommendations on what we can do to address disparities. The next term will take the recommendations and make them actionable.” Davis has recently been appointed to the advisory board for Erie County Health Department Office of Health Equities. There, she will examine where Buffalo stands regarding BIPOC communities and underserved populations. The team will address systematic and structural barriers creating disparities in health throughout WNY. “Until we understand racism and move past implicit bias, we cannot dismantle a system and create a new one that is good for all people,” she contends. Both Ansari and Davis look forward to future initiatives to continue fighting the multiple issues in Buffalo, especially the East Side. They are both working on initiatives through their work and the CHCB to create a stronger and better Buffalo for everyone.

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in more ways than one.

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gppconline.com • greatlakescardio.com

Expert Cancer Care, Close to Home. Great Lakes Cancer Care Collaborative oﬀers access to a network of physicians and 24-hour emergency care. Our board-certiﬁed team of cancer experts, located throughout WNY are dedicated to providing you with patient-centered care and the best outcomes. Cancer Treatment Services • Breast • Head and Neck • Lung • Esophagus, Colon and Rectal • Uterine and Ovarian • Bladder, Prostate, Kidney and Testes

Resources • Clinical Trials • Genetic Testing • Patient Navigation • Educational Seminars • Rehabilitation Services • Cancer Survivorship • Nutrition Support

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ONE STEP AT A TIME

Exercise is an important part of medical treatment by Justin Sullivan

I T I S O F T E N S A I D that if exercise could be packaged in a pill, it would be the most widely prescribed and beneficial medicine in the nation. In addition to exercise’s proven health benefits, it has recently been proven to help manage medical events from cancer to sportsrelated concussions.

Exercise in treating multiple myeloma

Despite previous research stating that immune systems in patients with multiple myeloma—a rare cancer that forms in the plasma cells located within the bone marrow—don’t function properly, a new clinical trial led by Roswell Park Comprehensive Cancer Center Chief of Myeloma Dr. Jens Hillengass considers exercise as a nonpharmaceutical method to control the threestage disease.

The clinical trial enrolled forty-three patients, who took part in a six-month program of physical activity. Half the group received supervised strength training twice a week, while the other half—unsupervised—used Fitbits with remote prompts to gradually increase their walking. Participants provided blood samples before and after the exercise intervention to facilitate comparison of exhausted vs. non-exhausted T cells. The study focused on CD4+ and CD8+ T cells, white blood cells capable of fighting cancer. According to Hillengass, when those cells are exhausted, they become too weak to sustain the attack. While preclinical studies have shown that exercise can reduce immune exhaustion, few studies have examined how exercise affects biomarkers that measure immune exhaustion in cancer patients. The research team used flow cytometry, a technique used to identify cell properties, to determine how many exhausted and nonexhausted T cells participants had before and after the common exercises, no different from what a person would do at the gym. “The patients appreciate that they can do things again,” says Hillengass, an alumnus of University of Heidelberg, Germany. “They say, ‘I couldn’t reach the upper shelve in my kitchen before’ or ‘I couldn’t open a juice box and now I can.’” While mental health was not measured in this study and is historically difficult to measure, Hillengass says the study reminded patients of their abilities and gave them a more positive outlook. “[Exercise] is considered almost a cancer treatment,” Hillengass notes.

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This trial was complementary to the other multiple myeloma trials, research and advancements such as “game-changing” Chimeric antigen receptor (CAR) T-cell therapy, a form of immunotherapy that uses specially altered, genetically engineered T cells to fight cancer. The doctor said that the therapy has seen around an eighty percent response rate, compared to previous methods that have only seen around thirty percent.

IT DOESN’T HAVE TO BE HARD TO BE BENEFICIAL

Exercise as treatment for concussion recovery

For the first time, prescribed aerobic exercise is recommended early after concussion, validating the findings of multiple clinical trials led by researchers at University at Buffalo, Dr. John Leddy and co-author professor Barry Willer, Ph.D., who for more than two decades have been developing and studying prescribed aerobic exercise to speed recovery in individuals who’ve had a concussion. While previous research shows that an initial period of relative rest after sport-related concussion (SRC) may be important and that excessive physical activity may temporarily worsen symptoms, this new study found that strict rest, known as “cocooning,” is not effective for sportrelated concussion and light physical activity, such as walking, during the forty-eight hours after SRC facilitates recovery. The colleagues’ method, known as Buffalo Protocol, has been shown to not only facilitate faster recovery from sportrelated concussion, but also prevent persisting post-concussive symptoms (PPCS) primarily in adolescents, the most vulnerable group. To facilitate recovery within the first forty-eight hours after SCR, the study encourages clinicians to encourage light physical and cognitive activity but limit usual screen time. “It is no longer acceptable for clinicians to tell athletes after concussion to rest from all cognitive and physical activity until all their symptoms resolve,” Leddy says. “Patients should stop cognitive or physical activity that more than mildly increases symptoms but can resume— after a brief period of relative rest—once symptoms return to the former level.” The doctor notes that prescribed exercise treatment is based upon the individual’s response to exercise testing. Exercise should keep the heart rate below the point at which symptoms worsen more than mildly. Exercise is a fundamental practice to strengthen well-being for all individuals, and studies like these are proving how important is for recovery as well as prevention and maintenance.

F R O M S T R O N G M U S C L E S A N D B O N E S , to improved respiratory as well as cardiovascular health, living an active lifestyle at any age has numerous benefits including reduced risk of Type II diabetes, heart disease, and cancer. But perhaps the biggest misconception about exercise is that it must be strenuous to be effective. Non Exercise Activity Thermogenesis (NEAT) is an important factor in maintaining beneficial activity levels. Thermogenesis is a metabolic activity that occurs in every living organism and which burns calories to generate energy or heat. Therefore, choosing NEAT activity—any physical movement that burns calories—over being sedentary boosts your overall health. Making your bed or playing with a pet are NEAT. Here are a few more: • Going on foot to take the bus or train • Cleaning and household chores • Working at a standing desk • Climbing stairs • Gardening • Washing your vehicle Any time you can choose to move, do it! (Aim for a minimum of 4,000 steps of movement.) Small lifestyle changes such as taking the stairs, stretching, or taking movement breaks during your workday all count! Once you start thinking this way, you’ll be amazed at how many ways you can add NEAT to your day. Over time, these changes become easier and your body becomes fitter. — J.S.

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AIR QUALITY IN WNY What you need to know by Christine Pearl

FROM CONCERNS OVER COVID VIRAL

to winds that blew smoke from Canadian forest fires to Western New York, we’ve probably heard more about air quality in the past three and a half years than ever before. What does it all mean and what can we expect in the future? LOAD

Dr. Satish Sharma, CEO and president of You First Services

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READING THE INDEX

Canada has experienced an unprecedented forest fire season, causing rare air quality concerns up and down the US East Coast. According to the Canadian Interagency Forest Fire Centre (CIFFC), as of the end of August, more than 37.8 million acres have been burned, which is roughly the size of the state of Georgia. There

DR. SHARMA PHOTO BY KC KRATT; STERISPACE PHOTO BY BUFFALO PHOTO PROS

“This smoke is going to be in the air more often. Part of climate change is that northern latitudes are warming faster than the rest of the world, and this was well predicted.” are 1,000 fires currently burning, more than 650 of them deemed out of control. “This has been the worst wildfire season in Canadian history, and that goes back a ways,” says meteorologist Don Paul. “Widespread fires in Western Canada have happened in the past, but usually the smoke from those fires arrives aloft by the time it gets to the eastern Great Lakes; we don’t get concentration or particulates near the surface that we got earlier in the summer from fires in Quebec and parts of Ontario, where the smoke is lower in the atmosphere. One day, we had truly unhealthy levels according to the Air Quality Index.” The Air Quality Index (AQI) is located on every National Weather Service homepage, and is updated hourly, says Paul, who notes the information is especially helpful for the elderly, those with asthma or

T H E A I R Q U A L I T Y I N D E X ( A Q I ) is the Environmental Protection Agency’s metric for reporting air quality. It ranges from 0-500—the higher the number, the greater the air pollution and public health concern. AQI measures five major pollutants as regulated by the Clean Air Act: ground-level ozone, particle pollution, carbon monoxide, sulfur dioxide, and nitrogen dioxide. Six color designations correspond to different levels of risk. The general rule is that AQI of 100 or lower is satisfactory, while anything over 100 is unhealthy, first for at-risk groups and later for everyone. Airnow.gov also has guides available to assess different risks to your health. Visit to see guides based on Ozone, Particle Pollution, and Guides for Schools. — C.P.

Color

Level of Concern AQI

Description

Green

Good

Satisfactory. Little to no risk.

0-50

Yellow Moderate 51-100

Acceptable. There may be risk for people unusually sensitive to air pollution.

Orange Certain Groups 101-150

Unhealthy for members of sensitive groups may experience health effects. The general population is less likely to be affected.

Red Unhealthy 151-200

The general population may experience health effects, which may be more serious for members of sensitive groups.

Purple Very Unhealthy 201-300

Health alert: risk of health effects is increased for everyone.

Maroon Hazardous 301 and higher

Health warning of emergency conditions: everyone is likely to be affected.

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We Help You Help. When you help care for a loved one, you take care of everything. But are you taking care of yourself? AARP can help with information and useful tips on how you can maintain a healthy life balance, care for your own physical and mental well-being, and manage the challenges of caring for a loved one. Because the better care you take of yourself, the better care you can provide for your loved one. You’re there for them. We’re here for you. Find free Care Guides to support you and your loved one at AARP.org/caregiving

other chronic heart and lung diseases, and parents of infants. This past summer, air quality issues had Western New Yorkers adjusting outdoor plans to avoid sore throats and worse, and Paul cautions that this could happen more frequently in the future. “Part of the climate impact is that there have been large areas of Canada in drought or just shy of drought conditions, and you have vast tracts of unmanaged forest and real wilderness,” he says, adding that the Canadian government doesn’t have the resources to get into some areas to clean out the vegetation. “This smoke is going to be in the air more often. Part of climate change is that northern latitudes are warming faster than the rest of the world, and this was well predicted.” This summer had an area of low pressure over northern Quebec that stayed for days, and it supplied a northwest flow in the lower atmosphere that led a lot of the smoke to Western New York. These blocking patterns appear linked to climate change, so it is possible that this summer is part of a larger trend. Beyond this past summer’s smoke, data indicates that COVID cases are again on the rise. With the end of the federal public health emergency in May, the Centers for Disease Control and Prevention stopped tracking cases, but there are still ways to chart COVID’s path. In the third and fourth weeks of August, there was a 30.2 rise percent in COVID related hospitalizations. With three new variants circulating at press time, the CDC is expecting an even greater rise through fall and winter. While most Americans have built some immunity to the virus, variants ensure that COVID is here to stay and air quality of indoor spaces plays a big part in mitigating its spread. SteriSpace, a Buffalo-based company, has developed first of its kind sterilization technology designed to destroy airborne biological contaminants such as hardy bacterial spores, vegetative bacteria, and viruses from a continuous volume

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airflow, with an effectiveness of 99.9999 percent. CEO and president of You First Services, Dr. Satish Sharma, says SteriSpace heats up to 460 degrees Fahrenheit, hot enough to destroy any pathogen in the environment; it also meets criteria for air sterilization and has tested well for eliminating

With three new [COVID] variants circulating at press time, the CDC is expecting an even greater rise through fall and winter. chemical and biological allergens and select chemical contaminants. SteriSpace was installed in Schoellkopf Health Center in Niagara Falls in June. While this was a huge step, Sharma sees a larger potential for his product to be installed in hospitals, communal living places like nursing homes, schools, and government buildings. “This homegrown technology will protect millions of people worldwide, create job opportunities and make people feel safe again,” he says. “This is needed right now—scalable efforts to put this in place everywhere to protect people.” While air quality continues to change, we maintain the ability to adapt to protect ourselves. Wear a high quality N95 mask when AQI is at 150 or higher. Regarding COVID, the World Health Organization’s updated guidelines recommend masks following a recent exposure, if you suspect you have COVID, when with someone with at high risk for severe disease, when in crowded, enclosed, or poorly ventilated spaces— and any time you can’t afford to be sick in the upcoming week or two.

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AI IN MEDICINE

It’s been around longer than you think by Jordana Halpern

PHOTO BY KC KRATT

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Dr. Jinjun Xiong with student Yuting Hu

A R T I F I C I A L I N T E L L I G E N C E —computers performing functions that historically required human intellect—continues to advance in myriad sectors. Between 2021 and 2022, thirtyfive percent of businesses globally increased use of machine learning by four percent. Experts predict “intelligent” machines will increasingly be used to perform general tasks including lifting heavy objects, driving cars, and household chores. But what about medicine? The World Health Organization reports that AI is fueling a new revolution in the health care sector. A recent Swedish study reported that artificial intelligence was able to accurately detect twenty percent more breast cancers from mammograms than traditional screening by radiologists. A recent peer-reviewed article, “Artificial Intelligence for Medical Diagnostics—Existing and Future AI Technology!” in the National Institute of Health, Library of Medicine reports, “There are already a number of research studies suggesting that AI can perform as well as or better than humans at key healthcare tasks, such as diagnosing disease.” Jinjun Xiong, Ph.D., SUNY Empire Innovation Professor, is leading the conversation about medical AI in Western New York. An awardwinning research scientist who co-founded both the IBM Smarter Energy Research Institute and the IBM-ILLINOIS Center for Cognitive Computing Systems Research, Xiong is now scientific director and co-director of the AI Institute for Exceptional Education, established this year with a $20 million grant from the National Science Foundation and the Department of Education’s Institute of Education Sciences. “People in every industry, including medicine, are always seeking out the shiniest objects and right now the most shiny object is AI,” says Xiong, whose X-Lab@UB is attracting local, national, and international students and postdoctoral fellows to participate in cutting-edge research for AI systems and solutions.

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CHATGPT IS NOT A MEDICAL EXPERT

R E C E N T G E N E R AT I V E A I T E C H N O L O G I E S (like ChatGPT)

seem to offer more opportunities for the curious who want immediate information about disease symptoms, diagnosis, and medical options. But is an AI chatbot like ChatGPT ready to offer those answers? Not quite yet, says Xiong. While Chat GPT can be a useful tool for learning, it can also lead to incorrect diagnoses as it can generate hallucinated or incorrect information, as well as rely on information from non-professionals. “The algorithms and the data itself may have biases and limitations. ChatGPT doesn’t yet have the knowledge model to diagnose patients’ symptoms and people should learn about those limitations,” cautions Xiong who notes that the rise in major industry promoting AI, as well as concerns about AI, has prompted investigation by United States Congress. This past May, Sam Altman, CEO of OpenAI which developed ChatGPT, was called to testify on AI oversight, at a bipartisan closed-door event before The U.S. Senate Judiciary Committee. In short, when researching medical issues, stick to verified and credentialed sources. — J.H.

“Everyone is asking, How can I leverage this kind of technology?” says Xiong, noting that AI algorithms have, in fact, been used in health care for more than a decade to analyze patient records, X-rays, MRIs, ultrasounds, and CT scan images. Xiong and his colleagues actively engage with UB’s Jacobs School of Medical and Biomedical Science to learn more about where AI works—as well as where it doesn’t. “We’re working collectively to explore, for example, how AI may be used to manage pain, heal wounds, and find better ways to diagnose disease and prescribe treatment,” he says. “We’re also working to educate medical professionals and patients of the potentials and limitations of AI, and how we should manage those limitations.” Even with promising new results and evolving technology, it seems most are not quite ready to trust AI over human diagnosis and treatment. A February 2023 Pew Research Center study reported that sixty percent of Americans would be uncomfortable with their medical provider relying on AI. “We’re not yet comfortable with AI and I think this is the greatest concern,” says Xiong. “To make a simple analogy, why do we trust the spell checker tool, even though it occasionally suggests a word that was not our intention to use? In terms of outcome, we may not know how spell checker works, but we’ve become comfortable using it because we have more experience and control in using it. If there’s a mistake created by the spell checker, you’ll just retype it and you’ll move on. But if there’s a mistake with your diagnosis, that’s another matter. We’ve got questions. We wonder if the right data has been captured for our health. What’s going to happen if something goes wrong? There’s a lot of private information being collected, with AI in play. Will AI look at my private information without my consent? As technologists and researchers, we are trying to address those AI weaknesses and unknowns. “My key takeaway for people is this: please don’t be afraid of AI,” continues Xiong. “As scientists, we continue to push the AI frontiers in finding new ways to improve technology and narrow the huge gap between what AI can do and what our society needs it to do. We should continue to invest in AI, manage its risks and limitations, and benefit from AI innovations wherever it makes sense.”

AI ADVANCEMENTS CONTINUE IN WNY UB’s new MRI scanner paves the way for innovation

L-R: Ferdinand Schweser, PhD, associate professor of neurology and radiology technical director of UB’s Center for Biomedical Imaging; Robert Zivadinov, SUNY Distinguished Professor in the Department of Neurology, Jacobs School, and director of the CBI; Tim Murphy, SUNY Distinguished Professor in the Jacobs School and director of UB’s Clinical and Translational Science Institute stand in front of UB’s new MR 7700. O N S E P T E M B E R 7, R E S E A R C H E R S at the University at Buffalo and throughout Western New York attended an all-day imaging research symposium to learn about UB’s groundbreaking new research tool: an operational five-point-five-ton Philips MR 7700 3Tesla, one of the most powerful AI-enabled magnetic resonance imaging (MRI) scanners available. The MR 7700 was installed in the Center for Biomedical Imaging (CBI) in UB’s Clinical and Translational Research Center in late June; the massive scanner was hoisted seven stories high and lowered into the CBI by a crane. Acquisition of the scanner was a result of an indepth collaborative research agreement between UB and Philips. The September symposium informed researchers about the impressive capabilities of the 3Tesla (Tesla indicates the strength of the magnet) scanner and how it can be used in future research. Because the scanner is much more powerful than previous models, researchers can obtain in a few minutes the same amount of information conventional scanning takes two hours to produce. The CBI aims to utilize the new scanner in studies that address disparities in underserved or underrepresented populations, as well as rare diseases in the region. The scanner will allow researchers across UB to achieve breakthroughs in understanding and treating complex diseases such as multiple sclerosis, Alzheimer’s, traumatic brain injuries, and heart disease. UB is the first institution in the country to dedicate such an advanced scanner solely to research. The first MR 7700—installed late last year at Tufts University—is used for clinical applications. Dedicating this MR 7700 to research allows UB to eliminate the challenge of competing clinical needs. — Staff

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PHOTO BY DOUGLAS LEVERE/UNIVERSITY AT BUFFALO

AI in medicine continued

O CTO B E R 2 0 2 3 H E A LT H + M E D I C I N E I N W N Y

Meet the doctors Pure Dental takes pride in its dedicated team of professionals who combine diverse expertise to create a seamless and patient-centric experience. Dr. Gregory White, a certified Oral and Maxillofacial Surgeon, brings his skills and knowledge to the forefront. A graduate of the University of Buffalo School of Dental Medicine, Dr. White’s additional surgical residency training at the University of Cincinnati has honed his surgical finesse. Alongside Dr. Keith Vibert, he co-founded Pure Dental Buffalo to introduce innovative technology to Western New York while enhancing the patient dental experience.

Pure Dental: Where dental implant innovation begins

ure Dental, located in the heart of Williamsville, is the future of dentistry. Set within a peaceful and serene spa environment, Pure Dental takes pride in being at the forefront of cutting-edge dental technology. Its mission is simple: to redefine dental implantology through the progressive Four Ever Smile™ system, a transformative solution that exceeds conventional implant approaches. This groundbreaking dental solution redefines the narrative of tooth restoration, leveraging as few as four dental implants to restore both upper and lower teeth. This innovation is tailored for individuals with dentures, missing or failing teeth and transcends boundaries. Even those once deemed ineligible for implant procedures can now revel in the prospect of a rejuvenated smile, attainable in just four hours.

The Four Ever Smile™: Elevating dental implantology Implant dentistry has evolved; the Four Ever Smile™ system is a testament to this. Focusing on comprehensive restoration, this approach utilizes as few as four dental implants to replace missing upper and lower teeth. A shift from the traditional implant strategies, Four Ever Smile™ offers hope and a new lease on life for patients grappling with broken, missing teeth. This innovation redefines possibilities, extending its promise even to those previously deemed unsuitable candidates for implant procedures. Pure Dental replaces teeth with the most advanced digital and 3D imaging techniques. The teeth are digitally designed at the in-house lab and made from the best, most durable dentistry material available today: Zirconia. Unlike other hybrid materials, Zirconia is highly resistant to fractures and breaks, providing the patient with a long-lasting Four Ever Smile™.

Complementing Dr. White’s proficiency, General Dentistry practitioner Dr. Elizabeth Michaels lends her insight to provide a holistic approach to patient care. A Buffalo native educated at Stony Brook University in Long Island, New York, Dr. Michaels is well-versed in general, cosmetic, and restorative dentistry. This dynamic duo synergizes their expertise to address patient concerns, ensure comfort, and deliver transformative smiles.

In-house dental lab for precision Pure Dental’s in-house dental lab is central to its commitment to excellence, and a testament to its dedication to precision and innovation. Equipped with cutting-edge milling machines and 3D printers, Pure Dental’s lab is a hub of technological advancement. This facility ensures that every dental restoration adheres to the highest standards of quality and accuracy. Integrating an in-house lab minimizes patient waiting time and enhances predictability of patient outcomes.

A streamlined and efficient process Pure Dental’s streamlined full-arch dental implant process epitomizes efficiency without

The home of the

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compromising quality. From diagnosis to treatment, every step is executed with meticulous attention. The collaboration between dental practitioners and the in-house lab minimizes delays and optimizes precision. The result? Reduced treatment times, quicker recovery periods, and remarkable patient satisfaction.

Accessibility through convenience and affordability Pure Dental believes that its innovation should be accessible to all. The Four Ever Smile™ system incorporates groundbreaking technology at an affordable price. Transparent pricing structure and flexible financing options make it easier for more individuals to restore radiant smiles. Pure Dental’s commitment to accessibility includes a free consultation, complete with a comprehensive dental exam, X-ray analysis, and a 3D CAT scan, ensuring a positive start to achieving a confident smile.

Real stories, real results The objective measure of Pure Dental’s success lies in patients’ stories. One patient shares, “I used to dread smiling. But after my procedure at Pure Dental, it felt like a new beginning. I enjoyed my first steak in years, and now I can’t stop smiling!”

Experience Pure Dental Pure Dental is not just any ordinary dental clinic, but a sanctuary of innovation and top-notch patient care. ItsFour Ever Smile™ system is more than a procedure; it’s a life-altering journey. Pure Dental invites you to experience the intersection of medical innovation and compassionate care. Contact Pure Dental at (716) 333-PURE or visit Foreversmile.com if you’re ready to embrace a transformative smile. Your journey to a new smile begins at Pure Dental.

Before

After

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QUITTERS ALWAYS WIN

State Quitline helps smokers become exceptions to the rule by Justin Sullivan

S I N C E I T S 1 9 9 9 I N C E P T I O N , the New York State Smokers’ Quitline (NYSSQL) has helped millions of New Yorkers kick the smoking habit one call, text, or message at a time. Based at Roswell Park Comprehensive Cancer Center, this free and confidential program from the New York State Department of Health Tobacco Control Program provides evidence-based services to New York state residents who want to stop vaping, smoking, or using tobacco. What began as a six-person helpline that mailed literature on quitting has developed into a robust program with specialists who stay up to date with the latest science on effective stop-smoking strategies. Smokers curious about the program can investigate at nysmokefree.com before taking that crucial first step and calling the Quitline. The website offers tips for quitting, managing stress, and handling “slips” or relapses. NYSSQL—one of the first quitlines in the nation—is funded through the Master Settlement

Agreement (MSA), where seven major US tobacco companies agreed to pay $206 billion in annual payouts to forty-six states, including New York, as compensation for taxpayer money spent to combat tobacco-related diseases and the loss to local economies. Since the MSA was signed in November 1998, about fifty other tobacco companies have signed the agreement and are bound by its terms. “Our goal is a public health goal to reduce the harm caused by tobacco products,” says Quitline director Dr. Andrew Hyland. The Centers for Disease Control & Prevention reports that smoking manufactured, combustible, commercial tobacco products has declined from 20.9 percent of adults in 2005 to twelve percent in 2022, but NYSSQL’s job is far from over. Because despite the MSA imposing restrictions on tobacco company marketing practices and prohibiting advertising aimed at youth, Quitline has watched the tobacco industry continue to pour millions into marketing dangerous “smoking alternatives” such as vaping or chewing tobacco—and reap the benefits. E-cigarettes—often referred to as vapes, vape pens, or JUUL—have grown in popularity among those thirteen-to-twenty-four and contain highly addictive nicotine that can harm adolescent brain development—and that’s not the device’s only harmful ingredient. Worse, e-cigs are not regulated by the Food and Drug Administration (FDA). The amount of nicotine in each product varies and FDA testing has shown that nicotine amounts do not always match the labeling.

LEARN2QUITNY CONTINUES WITH FUNDING RENEWAL

L A S T M AY, the New York State Health Department renewed its contract with Roswell Park Comprehensive Cancer Center, home of the twenty-three-year-old New York State Smokers’ Quitline. Awarded on a competitive basis, the $20 million contract ensures funding for the program for the next five years just in time for the new wave of individuals looking to quit. Last year, Quitline introduced the new Learn2QuitNY, a six-week program originally developed for Roswell Park cancer patients. It’s now been redesigned and expanded to accommodate all New York State residents who want to quit. Automated texts, delivered daily, help people learn as well as practice new, proven strategies and skills to help them quit commercial tobacco products for good. Ron A. of Buffalo is one of the many participants who benefited from Learn2QuitNY. “A big part of the success was the follow-up calls from Quitline,” he says. “It was so helpful to know someone was looking out for my well-being. That encouraged me to feel good about what I was doing and to keep going.” The contract renewal means New York remains one of few states with a Quitline managed by an in-state organization; most are managed by corporate vendors. — J.S.

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Quitline connects individuals looking to quit with proven nicotine replacement therapy, such as patches, gum, lozenges, and talking with a certified Quit Coach. “This is a bona fide, very difficult addiction to break,” says NYSSQL Client Relations and Outreach Director Paula Celestino. “There is no shame, no blame, no judgment.” As Quitline developed and diversified to become more accessible for callers of all ages and from all walks of life, so has its specialists’ approach. “Our specialists are very forward-looking,” Hyland says. “They have the individual imagine the goals they can achieve and the success they can have by quitting despite the short-term cravings.” Quitline assists people of many ages, ethnicities, and economic backgrounds. The majority have used commercial tobacco products for at least twenty years. People with disabilities, veterans, and individuals with mental health challenges battle addiction at a much higher rate, Hyland and Celestino note, but they stress that no two Quitline callers are alike. And for those uninsured and/or without a primary doctor, Quitline is their last resort. Some Quitline participants find success on their first attempt; others need several attempts before succeeding. The key factor in success, Hyland and Celestino say, is the individual’s desire to quit. If the desire is there, Celestino notes that with each attempt, the individual should not be discouraged as they are building coping skills. “Each time someone makes an attempt, they’re getting a little bit closer to being tobacco-free,” she points out. “At least they had a [quitting] experience.” Quitting smoking confers benefits that begin just twenty minutes after a person’s last puff when heart rate and blood pressure drop closer to normal levels. Quitting smoking lowers risk of various cancers, heart attack, and stroke. Financially, not buying cigarettes can save more than $3,000 per year. NYSSQL’s online savings calculator helps wannabe quitters visualize how much money they’ll save in six months, and one, five and ten years. In addition to any cessation treatments, experts recommend quitters keep up water intake to flush toxins from the body, eat healthful, nutrient-rich foods, and exercise, especially as the lungs heal. It’s never too late to realize the benefits of a smoke-free life. While increased education on the dangers of tobacco has cut the smoking rates among millennials in half, Quitline stays busy helping older, years-long smokers attempting to quit for the first time. And even though Hyland and Celestino like to envision a smoke-free world without a need for Quitline, they anticipate a new wave of callers resulting from the recent one-dollar additional tax per twenty-pack of cigarettes as well as about-to-bepassed legislation banning flavored tobacco. As long as there is need, NYSSQL staff are ready to help. The New York State Smokers’ Quitline can be reached at 1-866-NY-QUITS (1-866-697-8487) from 9:00 a.m.–9:00 p.m. Monday–Thursday and 9:00 a.m.–5:00 p.m. Friday–Sunday.

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HACK YOUR HEALTH

Your phone can level up your fitness journey by Reagan Zuber

S O M A N Y O F U S D O N ’ T K N O W half of what our phones and related apps can do, but when it comes to health, a smartphone offers a pocketful of tools to take charge of it. Push notifications help you stay motivated, informed, and on track to advancing your goals. (App suggestions at the bottom of each section are all free or offer free options.)

The pink heart

Let’s start with the Health app that comes on all iPhones. Explore it to see the wealth of information it can collect, especially if you give it a little help, i.e. some personal data. Completely customizable for your needs, it can measure everything from your cardio fitness—a predictor of lifespan—to how unsteady your gait is. And if you have an Apple watch, it syncs right up. (Pro tip: If you have an Apple Watch, make those activity rings your face so you can see how you’re meeting movement, exercise, and stand goals throughout the day.) Great to hydrate

Set down your coffee, folks. It’s recommended the average person drink eight to ten glasses of water every day; do you? Water tracking apps keep tabs on your hydration progress, often sending you reminders to sip. Some apps have fun mascots, visual aids, and challenges—and rewards—to motivate you to keep drinking. Apps can also use your personal health details to more accurately calculate your water needs. One type of water bottle will even link to your phone, light up when you need to drink, and automatically track your daily intake. Try these: Waterllama, Plant Nanny Water Tracker, Aqualert: Water Tracker Daily

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Snooze, don’t lose

Sleep hygiene, under threat with increased screen time, is critical to overall health including warding off chronic issues like obesity, diabetes, and heart disease. If maintaining a quality sleep routine is difficult for you, white noise apps and sleep meditations can help lull you asleep on hard nights, and serious issues can be addressed with insomnia-focused apps. Some apps track sleep quality throughout the night with noise and motion sensors to show you your sleep cycle phases during the night. Other features can calculate when the best time is to go to sleep or wake up based on your natural sleep cycle, alarms to wake you gently and effectively, and the ability to compare sleep quality over time. (Pro tip: Put the screen down an hour before bedtime; it improves your sleep!) Try these: Sleep Cycle, Noisli, Pzizz, Slumber Strut your stuff

The Centers for Disease Control recommends walking 7,000-8,000 steps per day and studies acknowledge that even 4,000 is better compared to lesser amounts when it comes to increasing longevity. Myriad apps use motion sensors in your phone to track your steps, and you can set goals to watch your patterns of walking over time. If you prefer walking outdoors, some apps map routes as a visual aid. You can even earn rewards or money for charity for every step you take! Try these: Pacer, CharityMiles, Pedometer, MapMyWalk Handy habits

If you’re trying to be more consistent in your healthy habits, there’s an app for that. Get reminders throughout the day to keep up with your desired habits; some apps even allow you set time limits in which to complete tasks and help you plan where and when to accomplish it. Many habit apps have community elements to provide encouragement, charge you if don’t maintain your habit, and track streaks for added encouragement. Search the App Store for the habit you want to maintain or Try these: Routinery, Habitica, Way of Life Work it out

There have never been so many workout apps! They track your activity levels, time out exercises and sets, and personalize workout plans to specific goals and preferences. They estimate calorie burn and choose exercises based on difficulty levels or desired challenge. They have tutorials, encouragement, community features, and advice. Personal trainers and group classes

can even be accessed through your device and in your home. Whatever way you choose to move, there is an app that will support you in getting stronger. Try these: Caliber, Nike Training Club, Freeletics Mindful meditations

Mental health is just as important as physical health, and taking a pause in a busy day has numerous benefits. Meditation apps help you set aside the day’s worries and connect with yourself. Guided meditations are often available with different goals, lengths, and intended audiences so that you can experiment with different types to find a preference. Breathing exercises, affirmations, storytelling, and visualization exercises are all effective and available. White noise, meditation music, or even a simple timer are also options. The best part is you can easily access peace wherever you are. Try these: Headspace, Insight Timer, Smiling Mind

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AAA screening: Abdominal aortic aneurysms (AAA)—bulging in your abdominal area, near your largest artery—affect men more than women. For men, a one-time screening with ultrasound should be performed for those sixty-five to seventy who have smoked. Blood pressure: Usually done in office, blood pressure (BP) tests screen for hypertension. BP should be checked at least once every two to five years in people eighteen and older who have optimal blood pressure and no heart disease risk factor. In adults fifty and older, BP should be checked at least every two years. Blood tests: Routine bloodwork can identify a host of issues from high cholesterol to thyroid malfunction and can provide an early alert for issues that might become more serious. More specific tests may be ordered if there is cause for alarm, as bloodwork can help diagnose cancer, diabetes, coronary disease, HIV/AIDS, and much more.

SCREENINGS A TO V

Knowing when and why could save your life by Judith A. Rucki

ROUTINE PHYSICAL EXAMS are generally recommended once every three years if you’re younger than fifty and in good health and once a year after age fifty. Even if you’re feeling fine, annual physical exams create a baseline for your health; screenings do the same and are an important part of a good preventative health program. Some screenings are routine for physicals while others are recommended based on age, family history, risk factors, or symptoms. A screening could be a blood test, a physical exam, or a list of questions your doctor asks you. Familiarize yourself with the list of common screenings below—some routine, some ordered when specific symptoms or conditions present—and you’ll be a step ahead when it comes to proactive health.

Bone density: Scans of the hip and spine determine if you have osteoporosis, a disorder characterized by fragile bones more likely to break. Bone density scans should be performed at age sixty for at-risk women and at sixty-five and older for all women. Women over fifty who have broken a bone should also get a density scan. BRCA genetic testing: Women with a strong family history of breast and ovarian cancer may benefit from genetic testing for the existence of BReast CAncer Gene 1 and BReast CAncer Gene 2, two genes often present in hereditary cases. Health organizations recommend BRCA testing for women with personal or family history from age twenty-five. Colonoscopy: For patients of average risk, doctors will recommend a first colonoscopy at age forty-five. The screen checks the large intestine for abnormalities, including cancer. If colon polyps are identified, they can often be removed during the procedure. Other screening methods include stool sample testing, sigmoidoscopy, and CT scans of the colon. CT Scan: These low dose x-rays provide doctors detailed imagery of organs, bones, or blood vessels by combining varied angles to create a “slice.” Such scans are used to detect bone and joint problems, cancer, heart disease, emphysema, organ masses, severity of internal injuries, tumor and clot conditions, and more. Specifically, lung cancer screening is recommended for anyone fifty and older who has a history of heavy smoking, currently smokes, or has quit within fifteen years. Dental exams: Mouth health is an important factor in overall health, so having a dentist regularly examine your teeth, mouth, and throat can not only

Diabetes or prediabetes: The American Diabetes Association (ADA) recommends adults be screened for diabetes starting at age forty-five, regardless of weight. Additionally, individuals without symptoms of diabetes should be screened if they are overweight or obese and have one or more additional diabetes risk factors.

PAP test: For women aged twenty-one at up, cervical cancer and human papillomavirus (HPV) screenings call for a PAP test every three years, or an HPV test every five years up to age sixty-five. Women between sixty-five and seventy who have had three normal tests within the past ten years can stop having PAP tests.

Eye exams: Even if you don’t wear glasses, eye exams are essential to vision health, particularly because many critical eye conditions are best caught early. Eye exams can detect cataracts, glaucoma, and macular degeneration, all of which can lead to sight loss. Children should have eye exams at six months, three years, the start of school, and at least every two years following. Adults aged eighteen to sixty should have exams at least once every two years, and annually after age sixty.

PSA blood test: For men, this screening measures the levels of prostate-specific antigen (PSA) in the blood. Regular prostate exams and PSA tests should start at age fifty. Earlier testing is recommended for Black men, or for those with close relatives with prostate cancer.

Hearing screenings: Children should first be screened before they’re a month old, while adults should be screened by an audiologist once per decade and every three years after age fifty. One in three adults over age sixty-five has hearing loss. Hepatitis C: Everyone ages eighteen to seventynine needs to get tested for hepatitis C at least once. Hepatitis C is a serious liver disease caused by the hepatitis C virus (HCV). The most common way to get hepatitis C is by encountering the blood of someone who has it. Medicine can cure most cases of hepatitis C. Hormone profile: A complete evaluation of hormone levels in a woman’s body can benefit women in perimenopause or when sudden or drastic hormone fluctuations can occur. A doctor may also order hormone testing to detect and/or treat polycystic ovary syndrome (PCOS), fibroids, diagnosed alopecia (hair loss), and other more severe hormone issues. Regular hormone screenings are recommended for women after age sixty. Mammograms: The newest guidelines say woman should begin annual mammograms—X-ray pictures of the breast—beginning at age forty and

Skin checks: A head-to-toe dermatologist examination for suspicious freckles or moles, which may be cancerous, is recommended by early twenties—sooner if you’re at high risk. Annual exams should be accompanied by monthly self-checks. Vaccines: Though not “screenings” per se, vaccines are an important part of health maintenance and disease prevention. Ask your doctor if you and your children are up to date on the following: Chickenpox, COVID-19, flu, Hepatitis B vaccine, HPV (human papillomavirus), meningitis, MMR (measles, mumps, and rubella), Tdap vaccine (Tetanus, diphtheria, and whooping cough) or Td (tetanus, diphtheria).

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identify, manage, and/or prevent continuing through age seventyproblems like cavities, gum four. Experts don’t agree on the I N W E S T E R N N E W YO R K 20 2 3 disease, loose fillings, and oral benefits of having mammograms cancer, but getting your teeth for women seventy-five and cleaned at these visits is a prophylactic measure. A older, but along with mammograms, yearly breast child’s first dental visit is recommended by one year and regular self-exams can also help detect cancer old or within six months of the appearance of the in its early stages. first tooth. Memory screening: Brief tests conducted by Depression: This common but serious illness can health care providers can detect early signs of memory be diagnosed through a combination of lab tests loss, which enable you to make lifestyle and other and talk evaluation. Medical experts say depression beneficial changes sooner rather than later when the screening should begin at age eleven. Individuals disease has progressed. Early memory screenings are sixty-plus should be screened periodically, especially beneficial for those who have experienced age-related memory loss or are sixty-five or older. if experiencing low mood or suicidal ideation.

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For military veteran caregivers, caregiving often starts earlier in life and lasts longer. To better care for your loved one, you must also care for yourself.

Get a FREE military veterans caregiving guide at

aarp.org/caregiving