Igh cny 172 april14 by In Good Health: CNY's Healthcare Newspaper

in good April 2014 • Issue 172

Menopause Experts suggest natural ways for menopause relief

Mammograms Latest study says they are not effective. Some local doctors disagree

Hormones: Friend or Foe?

Pass More Peas, Please!

Health Strategies for Preventing Alzheimer’s Disease

CNY’s Healthcare Newspaper

Better Health? Get Married Studies show married couples live longer than single counterparts

Upstate’s Carroll Grant offers overview of autism, causes, treatment and acceptance

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Free legal services for those suffering from cancer Earnestine Williams is one of many people with cancer who have benefited from the free legal services provided by the Cancer Legal Advocacy and Services Program, a nonprofit that helps low-income people. Page 7

‘Savvy Senior’ author offers six healthy lifestyle strategies that can help most people reduce the risk of getting it. Meet Your Doctor SUNY

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Learning Disabilities on the Rise

The Other Side

Local experts discuss if trend is the result of better screening or other Page 5 issues.

Psychic medium Elizabeth Williams (left) says she has the ability to communicate with those who have died. Page 9

April 2014 •

IN GOOD HEALTH – CNY’s Healthcare Newspaper

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FDA Approves First Device to Prevent Migraines

he U.S. Food and Drug Administration in March approved the first device aimed at preventing migraines. The device, called Cefaly, is a headband-like device that runs on a battery and sits across the forehead and over the ears, the FDA said in a statement. “The user positions the device in the center of the forehead, just above the eyes, using a self-adhesive electrode,” the agency explained. “The device applies an electric current to the skin and underlying body tissues to stimulate branches of the trigeminal nerve, which has been associated with migraine headaches.” Cefaly is made by Belgium-based Cefaly Technology and is available by prescription only. The device is only indicated for use by adults and should only be used for 20 minutes per day, the FDA said. The agency also noted that “the user may feel a tingling or massaging sensation where the electrode is applied.” One migraine expert welcomed news of the device’s approval. “This device is a promising step forward in treating migraine headaches, as it addresses an important part of what we believe triggers and maintains a migraine attack,” said physician Myrna Cardiel, a clinical associate professor of neurology at NYU Langone Medical Center and NYU School of Medicine in New York City. She added that the rate of positive responses to the Cefaly device “appear to be comparable to what we see with

most oral migraine preventive medications.” Millions of Americans are afflicted by migraines, which typically involve intense, throbbing pain in one side of the head, along with nausea, vomiting and a sensitivity to light and sound. According to the U.S. National Institutes of Health, about 10 percent of people worldwide complain of migraines, with women affected three times more often than men. The FDA said Cefaly’s approval was based on the results of a clinical trial in Belgium involving 67 people who had more than two migraine attacks per month and who had avoided medications in the three months prior to trying the device. Compared to people using an inactive placebo device, people who used Cefaly had “significantly fewer” days spent battling migraines compared to nonusers. They also had less need for migraine medications, the FDA said. Approval was also based on a “patient satisfaction study” of more than 2,300 Cefaly users in Belgium and France. That study found that 53 percent of people who tried the device said they were satisfied with it and would buy one for continued use.

“Vitamin D Study for Women at High Risk for Breast Cancer” A research study sponsored by the National Cancer Institute

• Are you age 50 or younger? • Have you been told that you have dense/fibrous breasts, or that you are at high risk for breast cancer? • Are you willing to take a Vitamin D supplement or a placebo pill daily for 1 year? You may be eligible for a research study looking at the effect of Vitamin D on the prevention and earlier diagnosis of breast cancer! (NOTE: Some women previously diagnosed with certain breast diseases or early stage breast cancers may also be eligible to participate.) For more information, please call: Hematology Oncology Associates of Central New York Research Department 315-472-7504 ext.1350

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • April 2014

U.S. Could Face Shortage of Cancer Doctors

eople fighting cancer might have to wait longer to see a cancer specialist in the coming decades, as demand for treatment outpaces the number of oncologists entering the workforce, a new report released in March warns. Demand for cancer treatments is expected to grow by 42 percent or more by 2025, while the supply of oncologists will only increase by 28 percent, experts found. The mismatch between supply and demand could result in a shortage of nearly 1,500 oncologists by 2025, according to the American Society of Clinical Oncology (ASCO) report. People living in rural areas will be hardest hit by the shortage, the report predicted. Currently, only 3 percent of oncologists are based in rural areas, even though that’s where 20 percent of Americans live. “We never want to have a cancer patient have to wait to get in to see a cancer physician,” said physician Richard Schilsky, ASCO’s chief medical Spring Career Fair-Ads _Layout 1 3/26/14 10:58 AM Page 1 officer. “Since we’re aware of the issue, we are beginning to think about how to mitigate it.”

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Schilsky said he believes oncologists will need to rely on primary-care physicians, nurse practitioners and physician assistants to handle basic cancer treatment and follow-up care as demand for services grows. “That will leave the oncologists time to deal with the more complex cancer patients,” he explained. Certain factors will likely combine to increase the number of patients seeking cancer treatment in coming years, Schilsky said, including: • The aging of the baby boomer generation. “They are now all in their 60s, and that’s the age at the highest risk for getting cancer,” he said. • Improved cancer treatment. A record 13.7 million cancer survivors now live in the United States, Schilsky said, and many want to maintain a relationship with their oncologist even though they are cancer-free. • Health care reform. “There are going to be millions of people who didn’t previously have health insurance and [who] will be seeking care for cancer,” Schilsky said. The total annual cost of cancer care in the United States is projected to reach $175 billion by 2020, an increase of 40 percent from 2010, according to the report.

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In Good Health is published 12 times a year by Local News, Inc. © 2014 by Local News, Inc. All rights reserved. Mailing Address: P.O. Box 276, Oswego, NY 13126. • Phone: 315-342-1182 • Fax: 315-342-7776. Editor & Publisher: Wagner Dotto • Associate Editor: Lou Sorendo Contributing Writers: Jim Miller, Eva Briggs, M.D., Gwenn Voelckers, Deborah Banikowski, Deborah Sergeant, Anne Palumbo, Melissa Stefanec, Matthew Liptak Gail Behm, RN, Lorie Giamartino, Heather Kidder • Advertising: Jasmine Maldonado, Marsha K. Preston, Jim Maxwell, Jean Clarke • Design: Chris Crocker • Office Manager: Laura J. Beckwith No material may be reproduced in whole or in part from this publication without the express written permission of the publisher. The information in this publication is intended to complement—not to take the place of—the recommendations of your health provider. Consult your physician before making major changes in your lifestyle or health care regimen.

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CALENDAR of

HEALTH EVENTS

All month

Head Start Pre-K September opens enrollment Head Start Pre-K in Oswego County is accepting enrollment applications for the 2014-2015 school year. Head Start Pre-K program goal is promoting school readiness through hands-on learning experiences, active play and nutritious meals and snacks. Staff includes teachers with master’s or bachelor’s degrees in education, teaching assistants, classroom aides, family advocates, cooks and nurses. Head Start looks to partner with families and encourages parent involvement. Families may apply for enrollment by attending an “Application Day” being held in April. For dates, times and locations, families may call the program’s main number, 315-598-4711, for more information or to schedule an application for enrollment. Waiting lists are maintained for openings that may occur throughout the school year. Head Start Pre-K enrolls 3- and 4-year-old children and is provided at no cost to families that meet income eligible guidelines. Head Start is the longest running national school-readiness program in the United States. In Oswego County, Head Start Pre-K enrolls 224 children at seven centers located throughout the county.

April 5, 26, May 18

Kelberman Center hosts annual walk for autism Autism awareness month is celebrated throughout April and the Kelberman Center will host its annual Walk for Autism on various locations: • Saturday, April 5, in Oneida, at Oneida High School; • Saturday April 26 in Boonville (VFW), Cooperstown (Glimmerglass State Park) and the Mohawk Valley (SUNYIT Campus Center); • Sunday May 18 in Syracuse at Long Branch Park in Liverpool). All walks begin at 10:30 a.m. with

registration beginning at 9 a.m.   The Walk for Autism is the initiative of a group of parents heightening autism awareness in local communities and raising needed funds that will remain in Central New York. Family and friends are encouraged to join as parents, concerned citizens and advocates to take steps toward increased awareness and services for those with autism spectrum disorder. Sites will feature music, refreshments, activities, prizes and the opportunity to socialize with those united by this common cause.   Visit the Kelberman Center’s website at kelbermancenter.org to download pledge forms or to create an online fundraising page. For more information on the Walk for Autism, including pre-registration date and locations, contact the Kelberman Center at 315-797-6241, visit the center on Facebook or email at walkforautism@ kelbermancenter.org.    The Kelberman Center is a regional center for excellence for individuals with autism spectrum disorders and related learning challenges. It is dedicated to excellence in service through prompt evaluation and diagnosis; individualized education and services; social and life skills enhancement; innovative practices, training and research.

April 11

Good Samaritan 5K Run takes place in Liverpool The Good Samaritan 5K Run/Walk is a faith-based family event that will take place at 9 a.m. Saturday, April 12, at Long Branch Park in Liverpool. The event will feature a 5K race that is geared for both runners and walkers of all levels. Participants should register online at www.GoodSamaritanRun.org. Pre-race packet pickup will take place from 12 p.m. to 6 p.m. at Fleet Feet in DeWitt, Friday, April 11. The event will include an awards ceremony, vendors, concession stands, and post-race refreshments for registrants, including a swag bag full of goodies. Other activities include an optional biblical

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April 26

Event to raise awareness of pancreatic cancer Three families, all having personally felt loss in their lives from pancreatic cancer, are working to create awareness of this disease and raise vital research dollars toward finding a cure. They are promoting the Fifth Annual Luau for Lustgarten Fundraiser from 5 – 11 p.m., Saturday, April 26, at the RIT Inn & Conference Center, 5257 W. Henrietta Road, West Henrietta, near Rochester. All proceeds will benefit the Luau for Lustgarten Foundation. Last year 300 attendees raised nearly $16,000 for the Lustgarten Foundation. Organizers say the new event will be larger than last year’s with good food, music, auctions, raffles. For more information, call Cheryl Marrese at 585-225-3088 or email her at luauforlustgarten@yahoo.com. Those interested in the event may also visit www.lustgarten.org/luau2014.

April 26

Baby expo returns to Oswego On April 26 Mother Earth Baby will host its the Second Annual Healthy Baby Expo and the Oswego site of the Fourth Annual Guinness World-Record Setting “Great Cloth Diaper Change” International Event. This year’s Healthy Baby Expo will take place from 10 a.m. to 3 p.m. at the Lake Ontario Conference Center at 26 E. First St., Oswego. This fun family event is ideal for new and expecting moms and for children of all ages with a focus on health and wellness for young children and their families. This is a free event and the first 100 registered to participate in the GCDC will receive a swag bag full of goodies. Additionally, the event will feature fun family and child activities, raffles and door prizes from over 50 participating sponsors, free samples, product demonstrations, and more! The 2013 event drew an estimated 500 participants and featured over 30 vendors, exhibitors and presenters. For more information, visit www. healthybabyexpo.com or contact Lisa Emmons at lisa@mebabyshop.com. Emmons can also be reached at 315216-4622.

Come to the ONONDAGA CYCLING CLUB

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character costume contest, various gift drawings, a children’s obstacle course, My Gym bounce house, laser tag shooting range, and inspirational live music.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • April 2014

2014 BIKE FAIR April 19th, 1 to 4 pm in the Destiny USA Skydeck

Free info sessions on all things cycling— including bike maintenance, different riding and racing styles, and Onondaga Cycling Club information. Free helmets and fitting for kids. (Limited supply.)

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May 6, 13, and 20

Workshop for women who live alone Do you live alone? Is it a challenge for you? “Living Alone: How to Survive and Thrive on Your Own” is a three-part workshop offered for women who want to find joy again and gain the know-how to forge a meaningful and enriching life on their own. Participants will meet others in similar situations and learn practical strategies to overcome loneliness, rediscover their true self, socialize in a couples’ world and think differently about living alone. The workshop takes place at House Content Bed & Breakfast in Mendon from 7 to 9 pm. on three consecutive Tuesdays: May 6, 13, and 20. The workshop fee of $125 includes a Living Alone binder, empowerment exercises and lots of helpful resources. To register, contact Gwenn Voelckers at 585-624-7887 or email gvoelckers@ rochester.rr.com

May 7

DEMENTIACARE2014 to feature national experts Heather Snyder, director of medical and scientific operations for the national Alzheimer’s Association, will present at DEMENTIACARE2014, May 7 at the Doubletree By Hilton Hotel Syracuse. Presented by the Alzheimer’s Association, Central New York Chapter, this third annual conference welcomes individuals caring for people with Alzheimer’s disease or a related form of dementia for a day of learning and empowerment. Admission to the conference is $75 and includes a continental breakfast, lunch, refreshments and a resource guide. “Our goal is to equip the caregivers that attend with practical solutions for their everyday use,” said Catherine James, chief executive officer for the Alzheimer’s Association, Central New York Chapter. “In planning this year’s conference, we decided to get back to basics and discuss the topics that are most requested and asked by those that call our office and visit our website. We’re lucky to have such a great pool of experts in this area to draw from.” Snyder will present two breakout sessions on research: current progress in Alzheimer’s research and advanced Alzheimer’s research topics. Alzheimer research is one of three breakout tracks at the conference, of which attendees can choose one or both presentations. Other tracks include: • Tough Talks, which confronts the difficult conversations faced by family caregivers. Physician Carol Podgorski from the University of Rochester Medical Center will present tactics for navigating difficult discussions and family issues, while a panel of facility and home care experts will discuss how to make the transition into home or long term care. • Caregiving at Home, featuring a joint presentation from first responders from Syracuse Police and Fire Departments and Rural/Metro of Central New York on keeping a person with dementia safe and safeguarding the living environment. A second session in that track, presented by physician Nanette Dowling of Upstate Medical University, focuses on practical solutions to dementia-related behaviors. For more information and to register, visit www.alz.org/cny or call 315-472-4201 x108.

Learning Disabilities on the Rise Experts attribute the fact to better screening

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he Centers for Disease Control states that 6.4 million children aged 4 through 17 have received an ADHD diagnosis at some point, representing a 41 percent rise in past decade. A study by the University College London reports that up to 10 percent of children have some type of specific learning disability such as dyslexia, dyscalculia, ADHD and autism. While the rising number may seem alarming, Dianne Pennings, director of Children Services for Learning Disabilities Association of Central New York, said the fact can be attributed to better screening. “There are better processes in place and better ways of identifying the kids who need help. That has heightened everyBarna one’s awareness.” Previously, students who struggled to learn were chided for laziness or marked as not intelligent. But people with learning disabilities typically work hard and do well in other areas, such as excelling in reading and writing but failing math or bringing home A’s in science but lagging behind in reading. Now, schools are working better internally to meet kids’ needs. “There’s more coordination of services, not the separation of special

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those supports are even more critical. The majority of time when I step back and look at the big picture, a lot of the success has to do with the support at home. It’s critical to the development of all children. Students with learning disabilities seeking higher education benefit from the academic accommodation most colleges offer. Many colleges maintain an accessibility office. Transitioning between high school and college challenges every student, especially those with learning disabilities. In high school, the school district ensures the student receives a good education. In college, the responsibility lies more upon the student to proactively seek an education.

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How to Spot Signs of Learning Disability

ulie Murray, admissions and marketing manager for The Norman Howard School in Rochester, said that parents are often the first to notice their child is having some difficulties compared to siblings. “If they’re young and have a slow development of vocabulary, that could indicate a learning disability,” Murray said. “Do they have trouble buttoning, zipping and tying? Difficulty in familiar words, poor handwriting, inverting words? Do they have trouble making friends? Parents should go with their gut if they think there’s something amiss. Talk with the pediatrician and their teachers.” Dianne Pennings, director of Children Services for Learning Disabilities Association of Central New York, shared a few other signs of a

possible learning disability. “It’s not necessarily going to be a reason to test early on,” she said. “We have the whole developmental [aspect]. Some children develop faster than others. “Reading to them, talking to them, singing: these are important. Expose them to everything and see how they develop and progress in that area. “If we’re reading to a child, are we seeing progress in their verbal skills? Are they developing that dialogue and repetitive skills? Are they following along? Are they learning how to turn the pages? The key piece is being in tune to the developmental progress they make and honing in when they have the yearly appointment with the doctor. They’ll do a developmental check to make sure

we’re on track. The earlier we can intervene, the better.” For older children attending school, the signs differ. “If the child is stressed or has anxiety or more of those emotional pieces like not liking school or not wanting to go to school, that may indicate a learning disability,” Pennings said. “We have to be in tune with our kids at that emotional level. Are they avoiding their homework? Why? Get down to the nitty-gritty. Why are they struggling with it? Reach out to the teacher and find out. It could be a variety of reasons as to why this is happening.” A formal evaluation can help parents better understand a child’s strengths and challenging areas.

April 2014 •

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Page 5

Meet

Your Doctor

By Deborah Jeanne Sergeant

Carroll Grant, MD SUNY Upstate expert offers overview of autism, causes, treatments and acceptance Q. How has public perception of autism changed? A. In the early ‘70s, autism was a very little-known disorder. A few clinicians and parents were aware of autism. Since the mid-70s, a lot of interest and knowledge has increased. In 1987, when “Rain Man” was a popular movie, the character [played by] Dustin Hoffman helped educate the community, making autism a household word. Over the years, more attention has been paid to children with this atypical learning style and more children are being identified as having this neuro-biological disorder.

complex needs. Some schools are working very hard to create a welcoming community. East Syracuse Elementary, for one, is doing a phenomenal job, so that’s something to celebrate. Q. What methods are effective in helping children with autism? A. We have no one treatment that works for each child. There are se-

Q. How have parents and educators improved in meeting children’s needs in the 40 years you have worked in autism? A. There is more information available for families and professionals in how to support children with autism. In the ‘70s, very little was known as to how to support children in gaining skills and becoming more independent. Today there are many strategies that have been proven to be available in altering development and encouraging children in becoming more independent and effective in communicating their needs. There’s also more support for families who are helping a child whose behavior can be somewhat challenging. Parents can come together and help and support each other. Q. How has research helped parents and educators? A. More research shows what is effective and what’s not. Not until 1967, autism was identified as a neuro-biological order. Before that, bad parenting was blamed for why the children were withdrawing from the world. It wasn’t until then that it was identified they have a neuro-biological difference. They were born that way. Parents were not the origin of the problem. Q. How are most children discovered as being on the autism spectrum? A. Schools are more in tune to children who have learning differences. That’s part of the reason for the increase of children with autism and with other developmental and mental health differences like learning disabilities, bi-polar and more. Many families struggle to support their children. Teachers are faced with children with many Page 6

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • April 2014

lect strategies that work for different children. We have yet to find the cause for all cases of autism. We’re helping make information to be more clearly presented to children using visual strategies, which helps children. Having a schedule and showing progression can help them. They will have a better sense of how to comply with the expectations of something like going to school. If you didn’t know why people were getting you out of bed and you didn’t know what was ahead, that would be stressing. Q. How are children with autism different? A. A child with autism has an inherent difficulty in comprehending language. They may be able to recite the alphabet and the script from every Disney movie, but a schedule may be too much to comprehend. We chunk it down and make it more visual. There’s a higher likelihood to make it successful. They may also get rigid if the schedule changes. It can create a meltdown to change a routine they’ve been able to count on. The inherent pieces of autism is the inability to use social information. If you call most children’s names or give them a look for bad behavior, they understand. A child with autism misses out on that. They may learn, but their initial deficit is using social cues to learn and find what’s valuable. It involves language, give-and-take. If you talk to a child and say, “How was your day?” your child responds. But with autism, kids don’t do that well. It’s qualitatively different. Someone can be social but not pick up on social cues. Q. What causes autism? A. There has been a tremendous amount of research in identifying polygenetic reasons for a child processing information

Editor’s note: Since the 1970s, the Autism Society has celebrated National Autism Awareness Month in April. Autism is a spectrum disorder, meaning that people with autism may range from those who need constant care to high-functioning individuals. The latter have been able to develop coping mechanisms limited to their chosen profession. The Autism Society estimates that one in 88 children in the United States is somewhere on the autism spectrum. Almost one in 54 boys are affected by autism.

as a child with autism does. Q. What are some common misconceptions about autism? A. “Rain Man” characterized one person with autism, but not all people with autism are like the Dustin Hoffman character. It’s a spectrum disorder and they all have different strengths and weaknesses. One child could be sitting in a corner and rocking or flapping his hands or another who has great language skills but won’t stop talking about a subject that doesn’t interest you. They both have autism. Some individuals who have autism can do brilliant things, things you or I wouldn’t have the attention or persistence to do. There’s speculation about Thomas Edison, whose persistence led to so many inventions. He had focused interests and conceptualized new ideas. People who are neuro-typical may not be able to achieve it. It’s not just a disability but a different learning style. Q. What is your day like? A. I’m an administrator. I have a staff of 32 who take on referrals and try to meet the family’s needs. I supervise all of that and I’ve written an interactive puppet workshop, Kidspeak, that goes out into the schools every week. It’s designed to help teachers and students understand different learning styles to create a welcoming community for students. I’m piloting the curriculum that goes with Kidspeak, too. Q. What is your outlook for working with children who have autism? A. I hope we can support every child with autism to be the most independently happy individual they can be and create a more welcoming community that’s more accepting of individual differences.

Lifelines: Carroll Grant, PhD, directs the Margaret L. Williams Developmental Evaluation Center at Upstate Golisano Children’s Hospital. She has worked in the field of autism for more than 40 years. Education: Finished PhD at Syracuse University. Earned post-doctorate in school psychology at SUNY Oswego. Completed master’s and doctorate in special education at Syracuse University. Earned a master’s in special education from the University of Maine, and master’s in early childhood from St. Joseph College, Conn. Personal: Born in Hartford, Conn. Lives in Fayetteville. Likes spending time with her family and traveling.

Free legal services for those suffering from cancer Cancer Legal Advocacy and Services Program serves the low-income population in CNY region by offering free legal services By Aaron Gifford

arnestine Williams was already battling cancer when her world fell apart. She was diagnosed in 2011. A year later, her daughter, Shontravia Tucker, died at the age of 29. Williams immediately found herself in a custody fight for her grandson. “It was a lot to deal with,” Williams recalled, adding that she was also holding down a full-time job at the time. “It was too much at once. If I was doing it all on my own, I’m sure I would have dropped something.” By word of mouth, she had heard about Hiscock Legal Aid Society’s pro-bono Cancer Legal Advocacy and Services Program (CLASP), which is a partnership with Legal Services of Central New York Inc. and provides legal and supportive services to individuals with cancer and their families. The areas of expertise range from permanency planning, insurance, civil litigation, disputes over medical insurance coverage, Social Security matters, housing and, in Williams’ case, family law. Sharon Sorkin, staff attorney for the Hiscock Legal Aid Society, assisted Williams with the court petition and accompanied her to all court appearances. Williams grandson’s father initially fought her petition, but eventually agreed to her request for joint custody in which Williams would be the primary caregiver. “With my medical bills,” she said, “I wouldn’t have been able to afford a good lawyer — definitely not as good as the one I had [Sorkin].” Williams had her last chemotherapy treatment in April 2013 and has remained cancer-free since then. This program has kept Sorkin pretty busy, though she is still hoping to get the word out to more cancer patients who could use some help. Last year, she served 108 clients in the program, which included 149 cases. The prior year, there were 115 clients and 160 cases. With Legal Services of Central New York’s assistance, CLASP has tallied more than 1,000 cases since its 2006 inception. The program serves 16 counties and receives funding from the state Department of Health Bureau of Chronic Disease Control — Cancer Support and Survivorship Initiatives. In 2003, New York became the first state in the nation to have such a program. The program does not cover criminal defense, and clients with bankruptcy issues are referred to other attorneys who will take on the case pro bono. For most clients, CLASP works on health care proxy arrangements, living wills and power of attorney documents. Many, if not most clients are near or below the poverty line. “They need to have a candid conversation about what they’re going to face, and how they’re going to face it,” Sorkin said.

Sorkin said a significant portion of her clients didn’t get access to health care until after they were very ill, and lost their fight to cancer. Much of her time is spent outside of the law office or courtrooms, at a client’s bedside or meeting with families. Although she has witnessed a lot of pain and suffering, Sorkin is determined to continue this type of work. “The gap between health care and people in poverty is huge,” she said. “What I often see is, when they get a cancer diagnosis, their support system starts to fall apart. Parents worry about who is going to care for their kids.” Sorkin also has personal reasons: Her father passed away from cancer at a young age, and her husband has beaten the disease twice. Outside of work, she is taking classes at Syracuse University to broaden her knowledge of health care. Elaine Amory, staff attorney for Legal Services of Central New York Inc., said CLASP is a regional effort linking legal, medical and social services providers. “Many clients come to us with a multitude of problems,” she said. “Much of our work deals with financial hardship. Many of our clients are recently impoverished due to their illness. Our priority is to serve the low-income population in our region by offering free legal assistance.” Amory and Sorkin generally divide the caseload according to their areas of practice, and often work together handling different aspects of a person’s legal needs. It’s not uncommon for Sorkin to assist a client with a foreclosure matter while Amory helps the same person to access Medicaid. In one instance, a woman and her husband, both senior citizens, came to Amory because her insurance provider was refusing to pay for some of the woman’s cancer care. Amory explained that the client had been diagnosed with oral cancer and had surgery, which required her to see a specialist to construct a prosthetic device for the roof of her mouth. “This case required a great deal of research, compilation of an appeal with her records, and assistance from her treatment team,” Amory said. After two levels of appeals over the course of a year, the insurer issued a favorable determination and made the payment. Amory said it’s very unlikely that a person could prevail in a case like this without having an attorney, and under other circumstances the client would not be able to afford the extensive legal representation required to maintain such an appeal. “Yet paying such a costly bill, when they were in fact entitled coverage, is a hardship they should not have to bear,” Amory said. “I am glad that we could offer assistance through CLASP.

Local Optometrist Helps Legally Blind to See Again Dr. George S. Kornfeld helps patients with macular degeneration continue reading, driving, TV and maintaining independence. Macular degeneration is the most common eye disease amongst the senior population. As many as 25% of those over 65 have some degree of degeneration. The macula is one small part of the entire retina, but it is the most sensitive and gives us sharp images. “Our job is to figure out everything and anything possible to keep a person functioning visually,” says Dr. Kornfeld.

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My Turn

By Eva Briggs

Two New Diseases that Animals Spread to Humans

’ve written before about zoonoses, disease that are carried by animals and spread to humans. Recently two more such diseases have made it into the news. The first, Middle East respiratory syndrome (MERS) is carried by camels. Doctors first detected it in 2012 in Saudi Arabia, where it’s sickened 182 people. Seventy nine of them — 43 percent — died. Camels infect people via their respiratory secretions. When camels cough, snort or spit, their virus-laden saliva gets into the air or contaminates surfaces. I’m not personally familiar with camels, but purportedly they are rather drooly creatures. No one knows whether the MERS virus actually sickens camels, because apparently it is difficult to tell whether a camel is any more slobbery than usual. Infected people may have only mild respiratory symptoms, similar to a cold. But some people become seriously ill with fever, cough and shortness of breath. Those at highest risk have chronic illnesses like diabetes, lung disease, kidney failure, or diseases that

suppress immunity. So far most affected people acquired the disease from camels. Sick people sometimes spread the disease to close contacts like family members, healthcare workers and nearby patients in the hospital. Fortunately the virus has not been highly contagious from person-to-person. Research shows that the MERS virus has been around in dromedaries (the one-hump kind of camels) since 1992. Scientists think the virus came from bats, which host other coronaviruses like SARS (severe acute respiratory syndrome). SARS caused a global outbreak in 2002-2003 that killed more than 700 people. Camels may be a zoo curiosity here, but they are highly valuable, internationally traded livestock. They supply meat and milk and serve as transportation. In addition, there are beauty camels that compete in pageants and sell for as much as $1 million. There is no clear way to protect farmers, slaughterhouse workers, breeders, and others who regularly contact camels. A 2003 study found 35 percent of young camels and 15 percent

of mature camels had active infections. There is a rapid, inexpensive MERS test for camels. Actively infected camels can be identified and isolated, quarantined and not sold or traded until their infection subsides. Current evidence suggests that infected camels recover and probably develop life-long immunity. Scientists may develop a camel vaccine for MERS, though a human vaccine is unlikely because it’s still a rare disease in people. Closer to home, there is an outbreak of Mycobacterium marinum infections in New York City. The causative organism is a bacteria related to the tuberculosis bacteria. I learned about it in medical school as a condition as rare as hen’s teeth, causing skin infections in people who cleaned tropical fish tanks or perhaps cut their hand while deep-sea fishing. The organism is actually quite widespread, but rarely infects people. That’s why the New York State Department of Health issued a recent advisory to physicians after an alert hand surgeon, Danny Fong, noticed a cluster of cases. There are at least 30 recent cases, believed to stem from seafood markets

in Chinese neighborhoods. Not known is whether it’s due to a particular market, or whether it’s from a particular type of seafood. The disease starts as bumps under the skin, and progresses to a non-healing wound. Untreated, it invades deeper tissues such as nerves, muscles and tendons. When that happens, surgery is needed. Biopsy of the suspicious lesion makes the diagnosis. Tissue is examined under the microscope and sent for cultures. The bug is difficult and slow to grow, so doctors should treat suspected cases with appropriate antibiotics without waiting for culture results. It can take weeks for the condition to respond, and the total treatment may take months. Prevention is the best idea. Wear gloves when handling raw seafood, cleaning tropical fish tanks, scraping barnacles off a boat, or other activities where you might contact marine fish and shellfish. Mycobacterium marinum cannot be acquired by eating contaminated seafood, and it does not spread form person to person.

Eva Briggs is a medical doctor who works at two urgent care centers (Central Square and Fulton) operated by Oswego Health.

Safety Concerns with E-cigarettes By Gail Behm

obacco control programs and health care providers are voicing a significant concern with the growing popularity of a non-regulated electronic nicotine delivery device called e-cigarette. This electronic nicotine delivery system has hit the ground running as it gains popularity with adults and youth. The e-cigarette is a device with three main parts — a battery, atomizer and cartridge. The cartridge contains varying amounts of nicotine, chemicals and propylene glycol. When the user inhales, the battery-operated vaporizer heats the liquid solution into a vapor. “Vaping” has become the term used to describe inhaling the vapor that is produced from the end of the e-cigarette, replacing the term smoking. Currently, there are no e-cigarettes that have been approved by the FDA

as a safe and effective product. One study conducted by the FDA in 2009, found toxic cancer causing chemicals, including an ingredient found in anti-freeze. The testing was performed on two leading brands of e-cigarettes and 18 cartridges. Other Behm scientific testing has found varying amounts of nicotine in cartridges that were all marked as having the same dose. This inconsistency in amounts of nicotine make it difficult for consumers to know exactly what amount is being delivered by the product. Nicotine cartridges should be kept away from children as they pose a risk

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • April 2014

for nicotine poisoning. Nicotine inhaled, ingested or in direct contact with the skin can be hazardous to children, pets, pregnant women, nursing mothers, people with heart conditions and the elderly. Nicotine is a highly addictive substance whether it is delivered in a cigarette or an electronic nicotine delivery device. One of the major health concerns is the effect of the e-cigarette on youth. Surveys conducted by the CDC in 2011-2012 show that e-cigarette experimentation use doubled among middle and high school students. Data from 2012 tells us that 1.78 million students have used e-cigarettes. Further, an estimated 160,000 students that reported using the e-cigarette had never tried a conventional cigarette or other tobacco product. The fear is that the e-cigarette

will be a gateway for youth to become addicted to nicotine. Evidence based practice has shown the greatest success with smoking cessation is to combine research proven methods and treatments with a behavioral modification program. The phone number to the New York State Smoker’s Quitline that offers free telephonic counseling is: 1-866-6978487 (toll free) or online counseling, a chat room and education are available at www.nysmokefree.com. Gail Behm is a registered nurse. She works in the cardiopulmonary rehabilitation program at St. Joseph’s Hospital Health Center in Syracuse.

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The Other Side Medium says she can communicate with people who died By Matthew Liptak

hen time is running short for a person on this Earth, they can be confronted by some big questions. What happens to a person after death? Will I meet my departed loved ones again? Psychic medium Elizabeth Williams of Syracuse has given comfort to many in their final days and she has found admirers of her work in a place you may find surprising — the medical community. “I’d say that regardless of how intelligent or scientific we are, we don’t know what we don’t know,” said Maryann Roefaro, CEO of Hematology/Oncology Associates of Central New York. “Science does not always explain gifts of spirit. Elizabeth Williams (left) and Christine Petosa at the Center for Truth and Light in Syracuse. Williams is a An open mind is always psychic medium who works with many terminally ill a gift. Family members of patients have often shared patients in the area. Petosa is a client and friend. their stories with me, telling me about the level of peace, comfort concerned both about him and her own and acceptance they have achieved as a health, she said. Her reading went well result of their loved one finding peace, and later, when her own husband, Jim, comfort and acceptance through their was diagnosed with terminal esophaexperience with Elizabeth.” geal cancer, he had a reading too. Williams has been practicing as a Urge to know medium professionally for 16 years. “He decided to have a reading,” She said she has had the ability to comPetosa said. “Originally the reading municate with those who have died since she was a child. According to her, was he wanted to figure out if he should stop having his chemo or not. it runs in her family with her mother, uncle, great-grandmother and son hav- He had had chemo right from the beginning. He never stopped. It was very ing had similar attributes. She thinks it hard on him. Just before the reading he may be a genetic trait. got results of the PET scan that showed Her office, The Center for Truth the cancer had spread. There really and Light, is located at 886 E. Brighton Ave. in Syracuse. Clients meet with her was nothing else to do as far as chemo but he went through with the reading and she is able to do a reading where anyway. she listens to what the clients deceased “So the two of us sat in the readloved ones have to say. Many have ing with Elizabeth. Because Elizabeth found the answers they’re looking for doesn’t remember what happens in the after they’ve met with Williams. readings, she might not even know this They believe they are able to comunless I told her. We sat there and Jim municate with those who have gone has many relatives on the other side before them with the help of Williams and they were all gathered together. and often find much relief in the conHis father did most of the speaking. versations. Williams’ work with the terminally They were all happy and they were laughing and they were joyful. ill has helped both the sick and those “His grandmother said, ‘The whole they leave behind move on, at the least Catholic family is gathered here today.’ emotionally. and a couple of them said ‘We’re “When people are going through waiting for you. We’re with you all the the dying process, they’re suffering,” time. We don’t miss you. You miss us. Williams said. “Their physical body is We’re with you all the time.’ It was a hurting and they’re holding on to this joyful experience.” world. They don’t want to leave their Both Williams and Petosa accept family. They don’t want to leave their that there are many skeptics. Petosa friends. They don’t want to leave what they know so I help them communicate said she has a solid example of the readings being effective. She said with the other world, what’s unseen. she had a reading with Williams that Maybe a loved one, maybe an angel — connected her with her husband after most of the time it’s a loved one. The he had died. She said Jim supplied a whole idea is if we communicate with the loved ones who are on what we call password to his iPad that she had been looking for. the other side in the heaven-world, it Williams maintains she is not out brings the person who is going through to challenge religious beliefs or prove the transition a great sense of comfort her validity, but only seeks to help othto help them realize that life doesn’t ers. Although she charges for her work, stop here. You have a soul. Something she also mentioned she did $10,000 continues on.” worth of pro bono work last year. Christine Petosa is both a client “I’m not out to make people beand friend of Williams. Petosa first met lieve,” Williams said. “Typically most Williams four years ago when she did people come because they really want not have her usual dreams about her to know something.” father who had passed away. She was

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SmartBites

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h, spring. Nothing heralds this wondrous season quite like daffodils, bird songs and sweet, chubby peas. I’ve adored peas since I was a child, when I used to pluck them, fresh, from grandpa’s garden. These days, I’m an even bigger fan, because peas are loaded with the kinds of health-promoting nutrients that many of us care about: protein, fiber and several essential vitamins. Like other legumes, peas serve up a decent amount of protein per cup: 9 grams or about a fourth of our average daily needs. Although a pea’s protein is not complete (meaning it does not have all nine essential amino acids), it can easily be combined with, say, a whole grain to make it complete. Proteins build and maintain all the cells and tissues in the body and, in fact, are responsible for almost all of the body’s processes. Most of the protein I now consume is from plants. I prefer plant proteins over animal for three main reasons: they’re healthier for hearts (no saturated fats to elevate cholesterol), they’re typically lower in calories, and they’re better for the environment (plant-based foods take less water, energy and fuel to produce than animal products). Peas also pack a terrific fiber punch, delivering about a third of our average daily needs in one cup. Not bad for such a dainty thing. Fiber contributes to good health by stabilizing blood-sugar levels, promoting regularity and ferrying bad cholesterol out. What’s more, some studies suggest that increasing fiber reduces our susceptibility to diseases such as heart disease, colon cancer and diabetes. Looking to make a dent in your daily dose of vitamins? Great news: Peas are a vitamin powerhouse, delivering admirable amounts of A, C, several Bs, and K (nearly 50 percent of our daily K needs in one small cup!). Vitamin K, which helps blood clot properly, is a key ingredient in maintaining strong, healthy bones. Not everyone loves peas — point taken. But when you consider all the nutritious benefits, combined with how wonderfully low they are in fat, calories, cholesterol and sodium, well, all we are saying is…give peas a chance.

Pea Guacamole 2 cloves garlic ¼ cup fresh cilantro (or 1 tablespoon dried) 1 medium shallot or small onion 1 red jalapeno chile juice of 1 lime 1 tablespoon olive oil ½ teaspoon salt ¼ teaspoon coarse black pepper ½ teaspoon red pepper flakes (optional) Place peas in medium saucepan with ½ cup water; cover. Bring quickly to boil. Reduce heat, stir and cook gently 4-6 minutes or just until tender. Drain and allow to cool slightly. While peas are cooling, place garlic in food processor and pulse to mince. Add cilantro, pulse several times; then add shallot and jalapeno and pulse until the mixture looks finely chopped. Add remaining ingredients and pulse until the peas are crushed but not completely pureed.

HELPFUL TIPS If buying fresh peas, look for firm, plump pods that are a vibrant medium green. Use as soon as possible for best taste. Unwashed, unshelled peas will last several days in the refrigerator. Shell just before use. If using processed peas, choose frozen over canned: the texture, flavor and color are better. Steaming peas in as little water as possible helps to preserve the vitamin C.

Anne Palumbo is a lifestyle columnist, food guru, and seasoned cook, who has perfected the art of preparing nutritious, calorie-conscious dishes. She is hungry for your questions and comments about SmartBites, so be in touch with Anne at avpalumbo@aol.com.

Live Alone & Thrive

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Spring cleaning for the soul: Living alone can be simply beautiful!

ne of the beauties of getting older is that you’ve gained enough self-confidence to figure out what really matters to you and what really doesn’t. This is especially helpful, when making decisions about how best to simplify your life. As the light of day increases, I can’t help but think about spring cleaning and getting rid of all those things that clutter my conscience and physical world. With great anticipation, I look forward to shedding outdated clothing, time-worn routines and unhealthy habits. I am ready to clean up my act and de-clutter my life. Care to join me? Here are some tips: List your priorities. Write them down. Knowing what really matters to you will help you decide where to start first. One of my priorities is to live in the present. Holding onto that gorgeous, skimpy dress I wore in my 30s (but can

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no longer squeeze into) is not doing me any good. Off it goes to Volunteers of America. Start small. De-cluttering our lives can be daunting. I began by cleaning up my life one “corner” at a time. Today, it’s my desk. More specifically my desk top. I’ve gathered all the many documents, bank statements, post-it note reminders, cards, etc. into one big pile. Later today, I’ll sort it out and discard probably 90 percent of it, in favor of making space and time for the things I care about. Purge your email in-basket. My “digital” life can be as overwhelming as my real life. How did I get on so many automated email lists? Oh, I remember now . . . I made a fatal decision and purchased a pair of shoes online. That will do it! This morning, I spent worthwhile time

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Women’s issues Natural Menopause Relief By Deborah Jeanne Sergeant

enopause represents a natural phase of life. But that doesn’t make it any easier for women suffering the hot flashes, night sweats, mood swings and other unpleasant side effects associated with ending menstruation. The risk of unwanted side effects from prescription hormones has caused many women to seek more natural ways to cope with The Change. Physician Adrienne D. Bonham, an associate professor in the department of obstetrics and gynecology at the University of Rochester Medical Center in Rochester, suggested a few behavioral modifications that may help. “Anxiety may lead to hot flashes,” she said. “Try to increase relaxation using meditation, yoga or massage.” Taking time to reflect, read inspiring literature or meditate can improve one’s sense of calm. Exercise can also help reduce stress; however, the heat it generates can trigger hot flashes as the body heats up. Bonham recommends avoiding vigorous exercise because it increases body temperature. Walking,

Pilates, yoga, and tai chi provide examples of low-impact forms of exercise. Keeping fit can help in weight control, too. Carrying extra pounds may increase hot flashes. “Maintaining a healthy body weight through a combination of good diet and regular exercise is recommended,” Bonham said. Yet another good reason to avoid smoking: it leads to more hot flashes. When a hot flash occurs, it may help to practice what Bonham calls “paced respirations.” “These are slow, deliberate breaths from the abdomen which, if started at the start of the hot flash, may decrease its severity and length,” Bonham said. The Food and Drug Administration does not regulate supplements; however, some have been shown anecdotally to support women’s health. Whether prescription, over-the-counter or natural products, patients should talk with their health care provider about anything they take to avoid complications from contraindications. Ashely Ellis manages The Vitamin

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • April 2014

Shoppe in Dewitt. She said, “Many women seek formulas that combine ingredients” for a more comprehensive support for their health during menopause. Customers who want stand-alone supplements to support female health often select black cohash, wild yams, and phyto-estrogens. Laurel Sterling, registered dietitian

and wellness educator for Natur-Tyme in Dewitt, believes that in addition to taking time to exercise, de-stress and get enough rest, women at every stage of life should address their diet with the “core four” which consist of a multivitamin, essential fatty acids, probiotic, and a supplement of calcium, magnesium and vitamin D-3. “The multivitamin should have enough B vitamins, particularly B-6 and folate, iron, vitamin A, vitamin D-3, and vitamin E,” she said. Sterling added that a B-complex vitamin helps support the body’s response to stress. “If stress is really getting you down, focus more on the adrenals with balancing herbs like rhodiola, ashwaganda, holy basil, theanine or a combination of these,” she said. A multi-vitamin formula helps replace depleted stores of nutrients when stress or poor diet takes its toll. She recommends a food-based rather than synthetic supplement. “Omega-6 fatty acids, such as evening primrose oil or borage oil, nourish dry skin, hair, and mucous membranes, as well as, aids in natural hormone production,” Sterling said. “During perimenopause, between 45 to 55, generally, the hormones are definitely fluctuating,” she added. “If extra bone building is needed, even more D may be needed along with minerals like boron and strontium.” It’s also important to engage in weight-bearing exercise to maintain strong bones. These include walking, martial arts, aerobics routines, dancing and similar activities. Sterling added that chaste tree berry/vitex “naturally balances progesterone. Consider adding in some green tea. This helps maintain healthy breast cells, and can assist with energy and metabolism. 5-HTP enhances serotonin, and improves mood and calms anxiety. It also helps mild depression, and improves sleep.”

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Women’s issues Hormones: Friend or Foe? By Lorie Giamartino

ormones — it is such a funny word, but if you suffer from a hormone imbalance, you know that it is far from humorous. Many people do not know that there is an abundance of hormones in the human body, not just estrogen and progesterone. When all the hormones work like they are supposed to, it is like a symphony. But if one hormone level is off, it is like broken violin strings and it throws the whole symphony off. Included in this hormone symphony are the estrogens: estradiol, estriol and estrone, then progesterone, testosterone, DHEA, melatonin, thyroid, cortisol and even cholesterol. As women age, they experience a change in hormone levels and enter a phase in life called peri-menopause, which is then followed by menopause. Also, women who have a hysterectomy are forced into what is called surgical Giamartino menopause. Men, too, experience a dip in testosterone levels as they age and that is referred to as andropause. Some people sail through these changes with little or no symptoms, but then there are the unlucky women who have all kinds of problems. Common complaints include hot flashes, irritability, difficulty sleeping, memory loss, a “foggy” feeling and decreased libido, just to name a few. But you don’t need to live like this, help is here. I’m a compounding pharmacist who specializes in bio-identical hormone replacement therapy or BHRT. I’ve been a pharmacist for 25 years and a compounding pharmacist for more than 10 years. I was trained in specialty compounding in Texas at Professional Compounding Center of America. It was amazing to learn all the endless possibilities of prescription compounding. Pretty much if you dream it, you can make it. I work at Brewerton Pharmacy and Compounding Center, which is owned by my parents Nick and Nancy Chervinsky. We’ve been serving Brewerton and surrounding areas since 1976. My parents always wanted to help people and they passed that trait down to me. So, I take my special training in compounding to help women who are suffering from hormone imbalances. The term compounding means making medications that are not commercially available and tailoring it for

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Bio-identical hormone replacement therapy can help women with hormone imbalance a specific patient’s needs. It’s medication made specifically for the individual, not a one-size-fits-all dose. I work together with the doctor and patient to come up with a therapy plan to help women. The term bio-identical means using the same hormones that are identical to the ones in a women’s body. Unlike the drug Premarin, which is made from pregnant mares’ urine, bio-identical hormones include drugs such as estradiol, progesterone and testosterone. Bio-identical hormone replacement therapy can be achieved from commercially available products such as estradiol tablets or patches and progesterone capsules. However, for those women who can’t use these products, I can compound many different dosage forms that can include one or several hormones incorporated into them. For instance, I compound hormone creams that are rubbed in and absorbed through the skin. Topical creams allow a woman to use lower doses of hormones because they are absorbed through the skin and don’t go throughout the body like an oral pill. In addition, I compound troches, which are like a lozenge and the hormones are absorbed under the tongue. I also can make traditional capsules for those who just like to take a pill and be done with it. The dosage form depends on the individual woman and her lifestyle. The goal of BHRT — or any hormone therapy for that matter — is relief of symptoms at the lowest effective dose. Nobody should use more hormones than they need, it can be dangerous. In conclusion, BHRT is still hormone therapy and requires a doctor’s prescription. There are several providers in Syracuse and surrounding areas that offer the therapy in their practices. In addition, some family doctors are willing to write compounded BHRT with a little help from me.

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Lorie Giamartino is a registered pharmacist working at Brewerton and Village Pharmacies. She is a graduate of the Albany College of Pharmacy and received her compounding training at the Professional Compounding Centers of America in Houston, Texas. She and her husband John live with their three daughters in Central Square. For more information, call 315-676-4441 or visit brewertonpharmacy.com.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • April 2014

Mother reflects on pros, cons of parenthood

here are so many things that unite us. The shared human experience is a beautiful thing. There are also many things that divide us. One major division among adults is whether or not you have children. According to a 2012 report from the National Health Statistics Reports, which is published through the U.S. Department of Health and Human Services, there are about 62 million men and 62 million women aged 15 to 44 in the United States. Of that number, about 35 million women and 35 million men had biological children. That makes having children the norm, but not by much. Some people are childfree by choice and others have various difficulties in having children. No matter what the reason people remain childfree, it’s a milestone that separates. Everything changes when you have kids, and life-changing experiences have a way of changing one’s life. The idea floats around that people who decide not to have children are missing out. There is a counter idea that people who decide not to have children have more carefree and action-packed lives. I believe that no matter what circumstance you find yourself in, you are always going to have those the grass-is-always-greener moments. No one is right or wrong, having children is very rewarding, but it’s also very challenging. Sometimes, the grass really is greener on the other side. Before having a child, I believed the pros of having a child outweighed the cons. Believe it or not, I still believe that. However, there are moments when I am at the end of my rope and question my sanity. Kids, like any other close loved one, have a way of pushing your proverbial buttons. So if you are childfree, by choice or by circumstance, I am going to be brutally honest with you. There are things I miss from my childfree days. I am going to share my grass-is-greener moments. I think if all parents were honest with each other about the emotional rollercoaster that is child rearing, this world would be an easier place to raise children in. So, in no particular order, here goes. • I miss sleep. Sweet, beautiful, uninterrupted sleep • I miss a (somewhat) clean house. • I miss not being exposed to every cold, flu, and bug known to the Northeast. • Sometimes, I miss doing what I want, when I want to. • I miss only having to deal with my own bodily fluids. • I miss date night, on anything

Before having a child, I believed the pros of having a child outweighed the cons. Believe it or not, I still believe that. more than a bi-annual basis. • I miss my days of (somewhat) ample savings and play money. • I miss having uninterrupted adult conversations. • I miss my friends without children, who I hardly see anymore. • I miss going to the bathroom and showering without being interrupted. • Every now and again, I miss being a bad example (e.g., eating ice cream and having wine for dinner, sleeping until noon or swearing profusely when something makes me angry). • I miss having free time.

Who is missing what? The amount of joy my daughter has brought to my life is second to none. I wouldn’t trade being a parent for any other experience in the world, but that’s just me. Everyone is different and gets different things out of life. With every gain, there is a sacrifice, and I have made a lot of sacrifices in order to become a parent. There are times when I am missing out. There are times when childfree people are missing out. That’s because whenever you choose one path, you miss out on taking another path. That other path had all sorts of experiences in store. Some were awesome, some were hilarious, and some were downright awful. I chose the child path, and my experiences have been all of those things and then some. Differences may divide us, but they (watch out for the cliché) also make the world a more enjoyable and interesting place to live in. The truth is, we are all missing out on something. The secret to a happy life and happy parenthood is to be happy with what you have. I may have my grass-is-greener days, but I know everything in life is what you make of it, including weeklong stomach bugs. We all just have to savor the delicious moments in life, the ones that make us thankful for the path we’re on.

Women’s

issues

Physical Therapy Provides a Natural Alternative to Pain During Pregnancy By Heather Kidder

ix million pregnancies occur in the United States per year. Of these pregnancies, 80 percent of women will report experiencing low back pain during the pregnancy, of which one-third will rate their pain as severe to completely debilitating. Physical therapy is an excellent natural alternative to help women manage their low back pain while pregnant, allowing them to focus on the arrival of the new addition to their family. During pregnancy, the joints within Kidder the low back become very loose, and may become misaligned, creating pain. Furthermore, it is typical for a woman to gain 30 to 50 pounds during her pregnancy, which will create increased compression forces within joints and create imbalances. All of these bodily changes can further lead to poor force placement within the

low back, leading to lower back pain. Physical therapy is a safe, natural, and cost-effective alternative for the management of low back pain during pregnancy. PT has been shown to decrease sick leave for pregnant women. It is safe for women without a high-risk pregnancy to be active and exercise throughout the nine months leading up to their baby’s birth. Some proven exercises that can be performed during physical therapy are pelvic tilts, sit-to-stands, bridging and rowing. In addition to these exercises, a physical therapist educates on posture, appropriate hip alignment with handson techniques. A trained physical therapist will also take into consideration positions that labor may occur. Heather Kidder is a doctor of physical therapy (DPT) and works at SportsPT Care in Motion, which has offices in Camillus and Liverpool, among other locations. For more information, visit www.sptny.com.

U.S. Home Births Continued Steady Increase in 2012: CDC

he percentage of U.S. women choosing to give birth at home or in a birthing center rather than a hospital has grown by 56 percent in less than a decade, according to a new government report. Although hardly the norm, out-of-hospital births accounted for 1.36 percent of U.S. births in 2012, according to the U.S. Centers for Disease Control and Prevention. A year earlier, 1.26 percent of births occurred away from a hospital, while just 0.87 percent of such deliveries took place in 2004. “That’s a pretty good jump in a single year, and it’s been a continuing trend since 2004,” said T.J. Mathews, a demographer with the CDC’s National Center for Health Statistics. The new numbers reflect the ever-growing popularity of home births aided by midwives, said Lynn Johnson, midwife and administrator of Women’s and Children’s Services at Huntington Hospital in New York. “More people are talking about midwifery birth and having their experience as they would like to have it,” Johnson said, adding that some women worry about losing their autonomy and having a doctor call the shots during delivery. Two-thirds of the out-of-hospital births occurred at home, the CDC found, while another 29 percent occurred in a birthing center. Another 5 percent occurred in a clinic, doctor’s office or other location. The CDC also reports births outside the hospital carried a lower “risk

profile” in 2012, with a smaller proportion of preterm and low birth weight babies than in hospital delivery rooms. Other highlights of the report follow: • White women chose out-of-home births about four times more often than other ethnic groups — about 2 percent of whites versus half a percent of blacks, Hispanics and Asians. “They’ve consistently had higher rates for a while now,” Mathews said of whites. “If they’re getting good results and they’re talking to each other, it becomes more of a normal option for that population.” • The six states leading the charge in out-of-hospital births are Alaska, Pennsylvania, Idaho, Montana, Oregon and Washington, with 3 percent to 6 percent of births occurring at home or in a birthing center. • Women in Rhode Island, Mississippi and Alabama accounted for only 0.33 percent to 0.39 percent of home births. • About 4 percent of out-of-hospital births were preterm in 2012, compared with almost 12 percent of hospital births. Similarly, about 3 percent of out-of-hospital births were low birth weight vs. more than 8 percent in the hospital. • In the 36 states that have birth certificates that note whether the delivery took place as intended, 88 percent of home births took place as planned in 2012. This indicates these home births were not surprises, Mathews said.

Spring cleaning for the soul: Living alone can be simply beautiful! from page 11 unsubscribing to unsolicited email newsletters and shopping site promotions. Clear your counter. Not just your clutter, but your counter. Nothing sinks my spirit faster than seeing my kitchen counter covered with yesterday’s newspaper, mail, magazines and more. Ugh. I feel so much better and in control when I come downstairs in the morning to a clean and organized kitchen counter. Purchase help. This is so not “me.” I’m a do-it-yourselfer. But lately, I’ve made an investment in favor of efficiency and in keeping with my priorities. While I like to iron my own clothes (and find it peaceful and satisfying), I have found myself getting way, way behind. Shirts were piling up, and all this untended laundry was causing me stress! So I bit the bullet and decided to invest in pressing services offered by my local dry cleaner. It’s cheaper than full service and I feel on top of things again. Reduce your choices. This has made a big and positive difference in my life. One example: Like most women, I have makeup samples galore and have been reluctant to throw anything out. But, I’ve changed my ways. I’ve discarded (or donated) many of the free samples I’ve accumulated over the years and now only have my “go to” products within easy reach — one cleanser, one moisturizer, one mascara, one eye shadow, etc. How easy is that? My morning routine is simplified, and my sink counter is now easier on the eyes. Carry around less stuff. Many of us would do well to lighten our loads. I am the worst culprit. I tend to live in a “what if” world: What if my car slides off the road and into a ditch? What if I needed to stay overnight with my

I can’t help but think about spring cleaning and getting rid of all those things that clutter my conscience and physical world. mother who’s not feeling well? What if I get a spur-of-the-moment invitation to spend a weekend in Paris? (Ha! Not likely) Well, you get the point. My oversized purse and car have been filled with “just in case” provisions — emergency supplies, a change of clothes, a back-up curling iron, and Ativan for flight anxiety. But, no more. I’ve simplified my life. Now, I only carry Ativan. I’m kidding, of course, about the Ativan. Well, maybe not (smile). Life is much simpler now that I’ve lightened my load. Stay vigilant. Clutter can sneak up on you. Before you know it, your desk, your inbox, your counter, car and conscience can fill up with unwanted, unnecessary stuff. Routinely ask yourself: Will this make my life simpler or more complicated? If the answer is the latter, think twice, and consider making changes in favor of your priorities. Gwenn Voelckers is the founder and facilitator of Live Alone and Thrive, empowerment workshops for women held throughout the year in Mendon, New York. For information about her upcoming May workshops, check out the calendar listing in this issue or to invite GVoelckers to speak, call 585-624-7887 or email: gvoelckers@ rochester.rr.com.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Page 17

Women’s issues The Latest on Annual Mammograms:

They Are Not Effective But experts are divided about most recent study By Deborah Jeanne Sergeant

he latest findings from the Canadian National Breast Screening Study, published in the British Medical Journal, indicate that mammography used as a screening tool for women 40 through 59 made no difference in mortality compared with monthly self breast examination and a clinical breast exam. Researchers studied 89,835 women. Each received a clinical breast exam, then researchers divided them into two groups, one that received only clinical breast exams for four years and the other that received annual mammograms as well. For 25 years, researchers followed up with the women. The number of women in the control group who died was nearly the same as the women receiving clinical breast exams plus mammograms. “Mammography detected many more invasive breast cancers,” said lead researcher Cornelia Baines, professor emeriti at the University of Toronto’s Dalla Lana School of Public Health. “Survival time was longer in women getting mammography.” “[However], the number of deaths from breast cancer was the same in both groups at 25 years,” she was quoted as saying. Physician Arnold Baskies, who sits on the national board of directors for American Cancer Society, said that the study “was poorly done in general. Nine studies have looked at this question and only this one has come to this conclusion. The conclusion has been criticized at best.” One widely criticized issue is that since the women received clinical breast exams before the study commenced, researchers could have favored women with noticeable lumps by putting them in the mammography group. Baskies also pointed out that the population of the US is different ethnically than in the Canadian study; that US radiologists use more sophisticated equipment (especially considering the study began 25 years ago) and that US radiologists abide by a higher standard of methodology than that of Canadian radiologists; and that the Canadian researchers did not properly analyze their data. “Mammography screening didn’t become widespread until the ‘90s,” said physician Jennifer Barna, a specialist in breast radiology affiliated with Crouse Radiology Associates. “Since then, studies have shown that breast cancer mortality rate have decreased by 30 percent. For 50 years before that, survival rates were unchanged. It does appear to be related to widespread screening.” Barna thinks that the Canadian study’s flaws include the equipment, which she said was not even state-ofthe-art when the mammograms were performed in the ‘80s.

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“Mammography has shown significant technological improvements since that time, like digital mammography,” Barna said. She also said that the technicians used a less-effective method for administering the mammograms. “It also gave placement for the breast for the images that is not known now as the best placement for the breast,” Barna said. “The images at the time didn’t use a grid, a type of device that decreases scatter. Without a grid, images are cloudy and harder to see. There are significant improvements now.” President and CEO of Susan G. Komen breast cancer organization, physician Judith A. Salerno, offered a view on the study. “The Canadian study adds to a growing body of evidence that mammography is an imperfect screening tool for breast cancer,” she said in a statement released to In Good Health. “We agree. It is based on 1950s technology, and can lead in some cases to over-diagnosis and overtreatment of breast cancers. The problems with mammography have been established for many years.” Another unexpected finding from the study is that mammogram screening leads to overtreatment of breast cancer. The study indicated that between one in four to one in five cancers that appear on a mammogram would not need treatment; however, since the ability to tell the difference between fatal and non-fatal cancer isn’t foolproof,

IN GOOD HEALTH – CNY’s Healthcare Newspaper • April 2014

any discovered cancer receives treatment, whether it’s warranted or not. “The more important question, and the one we ask every time one of these studies is released, is what we can do to provide women with more reliable and cost-effective tests to detect breast cancer,” Salerno further stated. “Once detected, we need tests that can tell us, with more certainty, which tumors are likely to become invasive and which might not require extensive treatment. The search for better early detection methodologies is an important focus for research.” Regardless of detection via mammography, self breast exam or clinical breast exam, early detection is key for optimal treatment. “We encourage all women to learn about their risk, discuss the right screening schedule for them with their doctors, know the look and feel of their breasts and report changes to their healthcare provider,” Salerno stated. Salerno hopes that more women become aware of both their risks and what’s normal for their breasts so they can make better decisions about their health. Susan G. Komen’s breast self-awareness messages include knowing family health history and personal risk factors; talking with health care providers about screening tests; beginning clinical breast exams every three years starting at age 20 and annually at 40; and knowing what is normal for breast appearance. Further, women should maintain

a healthy weight, exercise, breastfeed their infants, limit alcohol, exercise, limit menopausal hormone therapy, and perform regular self breast examinations. As for when to start mammograms, Baskies said, “A certain percentage of women benefit from younger mammograms but we don’t know who they are.” That’s why discussing risk factors with a physician is critical for making these choices. The American Cancer Society guideline says to start screening at 40 because statistically, that’s when most cancers start. For women with sufficient risk factors, that age may be younger.

Are You at Risk? Susan G. Komen breast cancer organization identifies factors that greatly increase breast cancer risk: • A mutation (or a first-degree relative with a mutation) in the BRCA1 or BRCA2 gene. • A strong family history of breast cancer, such as a mother and/or sister diagnosed at age 40 or younger. • A personal history of invasive breast cancer. • A personal history of ductal carcinoma in situ (DCIS), lobular carcinoma in situ (LCIS) or atypical hyperplasia. • Radiation treatment to the chest area during childhood or young adulthood. • A mutation (or a first-degree relative with a mutation) in the TP53 or

A Healthy Marriage Studies show married couples live longer than single counterparts By Barbara Pierce

ant to live a long life? Get married. Study after study has shown that married people, particularly men, live significantly longer than their single friends. Deanna Brady, family nurse practitioner and board member of the Nurse Practitioner Association of New York State, says being married not only elongates your life but also keeps you in general better health. “Many studies have proven that being married not only lowers your risk for heart disease, but it also boosts your immune system, happiness levels and helps you live longer, while lowering stress and depression levels,” said Brady, who works in Utica. Marriage comes with a priceless gift: better health. Experts agree that happily coupled people have less stress, have lower Brady disease rates and enjoy other health perks. There are many reasons why a loving union makes for a longer, fitter life. “Couples in long-term relationships usually have healthier and more stable lifestyle habits,” says Brady. When women find mates, they spend less time at the late-night bar scene with a martini and cigarette. Compared to singles, married people are less likely to smoke, drink heavily or use illegal drugs. Plus, monogamy reduces the risk of sexually transmitted infections since you won’t be going home with a guy you just met. You’re also less likely to participate in risky activities. Married people aren’t usually out there bungee jumping, sky-diving, or zip lining. And if you’re part of a couple, you’re more likely to get into a structured routine of eating better and going to bed at the same time each day, which is better for your overall health.

Someone’s got your back Having a spouse means there’s someone to remind you to take vitamins or get a mammogram. There’s also an extra set of eyes to notice your health changes. If you have a complicated medication regime, you have someone to help handle it. Your partner sees things you may not see. “I was having headaches every day,” said Richard Mason, a 69-yearold widower. “I just took pain medication and slept. Turned out I had a brain tumor. If I had a partner, she would have insisted I find out what was wrong with me. I need to find a partner for the sake of my health.” Wedded people also spend less time in hospitals. Your partner may even help you recover from a life-threatening illness. Your ability to recover is tied to the idea that you’ve got a meaningful con-

nection to another human being. Indeed, one study found that a married woman’s risk of dying from any cause is half that of a single woman.

Marriage equals less stress Brady said married people have less stress, less depression and anxiety and more of a “mental boost,” keeping them happier than singles. Results from a survey led by the University of Warwick showed that 40 percent of married people say they are happy in life, compared to only 25 percent of single people. The same study said married men have an additional seven years added onto their lives, while women get an extra three tacked on. Brady said researchers at the Mayo Clinic support a theory which explains the reason for less stress among married couples: “A problem shared is a problem halved,” meaning that the ability to share worries with someone gives a person the financial and emotional resources of two people, which lessens their stress load. Chronic stress can lead to or exacerbate just about every kind of health problem, including heart disease, stroke and cancer. Stress raises blood pressure, disrupts sleep, impairs immune function and raises the risk of obesity. Plus, stressed people often fall back on bad coping mechanisms such as smoking, drinking, overeating and using drugs, which further erode health. Having a partner to talk and laugh with — and lean on — eases burdens. In a study of 400 nurses, British researchers found that those in long-term relationships were far less affected by job stresses than singles. In a healthy marriage, you have a regular listening partner who knows you well enough to understand your concerns. Having somebody to check in with and talk through stressful issues is helpful.

But here’s the catch Marriage only buffers stress if your union is fairly happy. Unhappy relationships with a lot of conflict and hostility are harmful to your health. That’s especially true for women, because the physical effects of tension — elevated stress-related hormones, higher blood pressure, faster heart rate and depressed immune function — linger longer in females than in men. The effects aren’t minor. In a 2009 University of Manitoba (Canada) study, depression rates were nearly three times higher among unhappily married women as those who were blissfully wed. Marital discord has a physical toll too. People in stressful relationships are more likely to develop diabetes, cardiovascular diseases, and other chronic diseases. But divorce isn’t the path to better health. In a study, people who lost their spouse to death or divorce had more chronic health problems on average than married or single people. So although marriage can be very healthy for most, choose your partner carefully and put a lot of effort into making it work.

What They Want You to Know:

Cardiac Rehabilitation Nurses

By Deborah Jeanne Sergeant

ccording to the American Heart Association, “Cardiac rehabilitation (cardiac rehab) is a professionally supervised program to help people recover from heart attacks, heart surgery and percutaneous coronary intervention (PCI) procedures such as stenting and angioplasty. Cardiac rehab programs usually provide education and counseling services to help heart patients increase physical fitness, reduce cardiac symptoms, improve health and reduce the risk of future heart problems, including heart attack.” • “Individuals who attend cardiac rehab want to be well. They often start out fearful and skeptical, but soon find that cardiac rehab is a positive environment. As a nurse, it is a privilege to work in an atmosphere where the patients are just as committed to wellness as those taking care of them. • “Exercise not only strengthens the heart muscle it lowers bad cholesterol, increases good cholesterol, strengthens bones and generally allows people to do more with less effort. Becoming physically fit is just one of the goals of cardiac rehabilitation. Educational programs increase the understanding of the disease process and are an important part of learning how to become healthy and retaining that lifestyle. • “Classes about controlling high blood pressure, heart healthy eating and stress management are just a few examples of the heart/wellness education patients receive at the Lakeside Heart Center. Heart disease is the leading cause of death in the U.S. and cardiac rehab has been proven to decrease the risk of a second cardiac event.” Colette Badger, RN, Oswego Health’s Lakeside Heart Center • “We meet a variety of people, some of whom stay with us for the longer haul in our maintenance exercise program. They are young, elderly, wealthy, not-so-wealthy, male, female, all with a story, outlining their progress through the health care continuum. • “Many stories sadden us with their reports of suffering, loss and hopelessness, only to hearten us, literally, when we can witness firsthand their amazing recoveries. Emotions abound as they heal, then graduate with the knowledge that they have increased their exercise levels often by 50 to 100 percent. • “During their initial interview in the cardiac rehab setting, we take April 2014 •

time to invite family members to come in to view our education classes and to watch their husband, wife, mother, father or whatever relationship exercise. This follows the old adage that two heads are better than one when following the various points brought up in the classes. Families can help the learning process by reviewing and commenting on tips expressed during these seminars. Most importantly it demonstrates to the patient how important he/she is to that family member that they take the time to participate. This is invaluable in terms of support. • “Patients, come prepared for your session with the appropriate clothing, equipment, such as glucometers properly stocked with strips for those who have diabetes, and time allowed for you to make the most of every exercise day. • “Everyone in cardiac rehab is provided a home exercise program so that exercise both in and out of rehab can become a good habit. Remember that both establishing a new habit — and ridding yourself of a bad one — takes a good three months to foster before it becomes automatic. We will always ask you if you have exercised and how much time it took. Please reward us with a daily tally of what you did for exercise and how many minutes you devoted to it. • “Always, always ask questions. We providers enjoy the teaching process and really feel your interest when you try to clarify information we are only too happy to provide. • “Take advantage of being in a group with others who have weathered similar circumstances. We can’t tell you how often hearing another’s story often provides tools for you to help deal with this new heart disease condition. • “Above all, relax and enjoy yourself. You will meet people who may become long-lasting friends. Enjoy your experience.” Cathleen Donegan, RN, clinical coordinator, Cardiac Rehabilitation at St. Joseph’s Hospital Health Center

Deborah Jeanne Sergeant is a writer with In Good Health. “What Your Doctor Wants You to Know” is an ongoing column that appears monthly to give our area’s healthcare professionals an opportunity to share how patients can improve their care by helping their providers and by helping themselves.

IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Crouse Hospital Offers Non-surgical, Minimally Invasive Relief for Sinusitis

The Social Ask Security Office Provided Deborah Banikowski, Social Security OfficeSocial Security Office

Sinusitis is one of the most common chronic health problems in the U.S. The simple act of breathing is not so easy for those who suffer from sinusitis, an infection or inflammation of the sinuses. In fact, sinusitis is one of the most common chronic health problems in the U.S., afflicting 37 million Americans each year. Chronic sinusitis can cause headaches, congestion, fatigue or nausea, significantly impacting an individual’s physical, functional and emotional quality of life. But a minimally invasive non-surgical procedure available at Crouse Hospital called balloon sinuplasty may provide relief for those experiencing frequent sinusitis. Unlike conventional sinus surgery, which cuts away tissue to open the blockage, sinuplasty improves breathing without incisions by opening sinus passages, thereby relieving pain and pressure associated with chronic sinusitis. “It’s very similar to the way doctors expand clogged arteries using a balloon,” says physician John Wanamaker, who performs the procedure at Crouse, along with physician Edward Sall. Both are highly regarded board-certified otolaryngology surgeons with significant experience in this particular procedure.

Sall has been doing balloon sinuplasty for four years; Wanamaker for three years. During sinuplasty, a thin, flexible tube — called a catheter — is equipped with a small balloon at the end and guided through the nostrils into the blocked sinus. The balloon is then inflated just enough to expand the sinus opening, causing the area to become wider and allowing for ventilation and discharge. Sinuplasty is an outpatient procedure performed under general anesthesia. “Because no cutting of tissue is involved, there’s less risk of developing scar tissue that could re-block the sinus, a concern with conventional surgery,” says Sall. Both surgeons add that recovery time with the balloon approach is much faster compared to traditional surgery, and many patients can resume their normal activities quicker, while experiencing significant improvement in their symptoms. To learn more about balloon sinuplasty ask your doctor or visit crouse. org/sinus.

Helping Americans With Disabilities

he World Health Organization abilities through this fast-track disabilheld the first World Health ity process. Assembly in 1948, and, begin“We are dedicated to providing ning in 1950, every year on April 7 the vulnerable Americans with faster world comes together to observe World access to disability benefits through Health Day. Each year, World Health our ‘Compassionate Allowances’ proDay focuses on a particular subject of gram,” Acting Commissioner Carolyn interest to global health. W. Colvin said recently. “Social SecuAt Social Security, we focus rity disability benefits are a on people’s health every day. vital lifeline for individuals Specifically, we provide benefits who are facing severe diseases for people with disabilities. To and we must ensure that they help expedite the disability proreceive the benefits they rightly cess, we recently announced the deserve.” addition of 25 new “CompasWhile Social Security joins sionate Allowances” conditions. individuals, groups and orgaThese new conditions include nizations around the globe to 12 cancers, such as prostate observe World Health Day on cancer, as well as disorders that April 7, we work all year round affect the digestive, neurologi- Banikowski to help Americans with health cal, immune, and multiple body issues live a healthier life. In systems. addition to cash benefits, beneficiaThe “Compassionate Allowances” ries obtain Medicare coverage after 24 program expedites disability decisions months, a vital element in preserving for Americans with the most serious an individual’s health and, in the long disabilities to ensure that they receive run, world health. their benefit decisions within days Learn more about disability beneinstead of months. By incorporating fits at www.socialsecurity.gov/disabilcutting-edge technology, the agency ity. can identify potential “CompassionFor more information on the ate Allowances” and quickly make “Compassionate Allowances” program, decisions. To date, we have approved including a list of all qualifying condialmost 200,000 people with severe distions, please visit www.socialsecurity. gov/compassionateallowances.

Q&A

American Chiropractic Association President Keith Overland, NYCC President Emeritus Ken Padgett, and ACA Vice President Dr. Tony Hamm.

NYCC honored by ACA New York Chiropractic College has been named the American Chiropractic Association’s very first recipient of its “Chiropractic College of the Year Award” given at the organization’s recent house of delegates meeting held during the National Chiropractic Legislative Conference in Washington, D.C. The ACA is the largest professional association in the United States advocating for more than 130,000 doctors of chiropractic, chiropractic assistants and chiropractic students. It cited NYCC’s close working relationship with the ACA and the college’s favorable results in working with the VA system. “We’re thrilled to receive this Page 20

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recognition,” said NYCC President Frank Nicchi.”It’s certainly an honor to partner with the ACA and extremely rewarding to enjoy success in our efforts to solidify relations with the Veteran’s Administration by advancing the integration of chiropractic.” Kenneth Padgett, past NYCC president, accepted the award on the college’s behalf. Subsequent recipients of the annual award will be chiropractic colleges and universities who will have similarly distinguished themselves for their demonstrated dedication, leadership and service to the ACA, to the chiropractic profession, and to quality chiropractic education.

IN GOOD HEALTH – CNY’s Healthcare Newspaper • April 2014

Q: We adopted a baby girl overseas and brought her home with us to the United States. We need to get a Social Security number for her. What do we do? A: In general, to apply for a Social Security number for your child you must: • Complete an application for a Social Security card (Form SS-5), which you can find online at www.socialsecurity.gov/ssnumber; • Show us documents proving your child’s: United States citizenship or immigration status; adoption; age; and identity. • Show us a document proving your identity; and • Show us evidence that establishes your relationship to the child if your name is not noted as the parent on the child’s evidence of age. The adoption decree or the amended U.S. birth certificate will suffice. In most cases, you can mail or take your application and original documents to your local Social Security office. Remember, all documents must be either originals or copies certified by the issuing agency. We cannot accept photocopies or notarized copies of documents. You may not yet have

proof of your child’s citizenship, but we can assign a Social Security number based on documentation issued by the Department of Homeland Security upon the child’s arrival in the United States. When you do receive documentation of your child’s citizenship, you can bring it to us, and we will update your child’s record. We will mail your child’s number and card as soon as we have verified your documents with the issuing offices. Q: How long do I need to work to become eligible for retirement benefits? A: Everyone born in 1929 or later needs 40 Social Security credits to be eligible for retirement benefits. You can earn up to four credits per year, so you will need at least 10 years of work to become eligible for retirement benefits. During your working years, earnings covered by Social Security are posted to your Social Security record. You earn credits based on those earnings. If you become disabled or die before age 62, the number of credits needed to qualify for Social Security benefits depends on your age at the time you die or become disabled. A minimum of six credits is required to qualify for Social Security benefits regardless of your age.

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Health Strategies for Preventing Alzheimer’s Disease Dear Savvy Senior, Are there any proven strategies to preventing dementia? My 80-yearold mother has Alzheimer’s which has me wondering if there is anything I can do to protect myself. Concerned at 53 Dear Concerned, While there’s currently no cure for Alzheimer’s disease, new research indicates that there are a number of healthy lifestyle strategies that can help most people reduce the risk of getting it. According to the Alzheimer’s Association, the key factors that increase the risk of getting Alzheimer’s are advanced age, family history and heredity, but research shows that our general health plays a factor too. While we can’t do much about our age, family or genes, we do have control over how we treat our body and brain. Some medical experts even estimate that by following these healthy tips now in middle-age, you can actually reduce your risk of developing Alzheimer’s by as much as 50 percent, or at least delay its onset by a few years. Here are the recommended strategies. Manage health problems: Studies have consistently shown that Alzheimer’s disease is closely related to conditions like diabetes and heart disease. So, if you have high blood pressure, high cholesterol or diabetes you need to treat them with lifestyle changes and medication (if necessary) and get them under control. Left untreated, these diseases over time will cause damage to the vessels that feed blood to the brain making them more vulnerable to damage, and increasing your risk of dementia. Exercise: Aerobic exercise increases blood flow to all parts of your body, including your brain, to keep the brain cells well nourished. So choose an aerobic activity you enjoy like walking, cycling, dancing, swimming, etc., that elevates your heart rate and do it for at least 30 to 40 minutes three times a week. Eat healthy: A heart-healthy diet, like the Mediterranean diet, will also help protect the brain. A Mediterranean diet includes relatively little red meat and emphasizes whole grains, fruits

and vegetables, fish and shellfish, and nuts, olive oil and other healthy fats. Also keep processed foods and sweets to a minimum. Sleep well: Quality, restful sleep contributes to brain health too. Typically, adults should get between seven and nine hours of sleep daily. If you have persistent problems sleeping, you need to identify and address the problem. Medications, late-night exercise and alcohol can interfere with sleep quality and length, as can arthritis pain, sleep apnea and restless leg syndrome. If you need help, make an appointment with a sleep specialist (see sleepeducation.com) who will probably recommend an overnight diagnostic sleep test. Challenge your brain: Research shows that mind challenging activities can help improve memory, slow age-related mental decline and even build a stronger brain. But be aware that mind-challenging activities consist of things you aren’t accustomed to doing. In other words, crossword puzzles aren’t enough to challenge your brain, if you’re already a regular puzzle doer. Instead, you need to pick up a new skill like learning to dance, play a musical instrument, study a new language or do math problems — something that’s challenging and a little outside your comfort zone. Brain-training websites like Lumosity.com and BrainHQ.com are excellent mind exercising tools because they continually adapt to your skill level to keep you challenged. Socializing and interacting with other people is another important way to stimulate the brain. So make a point to reach out and stay connected to friends, family and neighbors. Join a club, take a class or even volunteer — anything that enhances your social life. Reduce stress: Some stress is good for the brain, but too much can be toxic. There’s growing evidence that things like mindfulness meditation, yoga and tai chi are all good ways to help reduce stress. For more tips, call the National Institute on Aging at 800-222-2225 and order a free copy of their booklet “Preventing Alzheimer’s Disease: What Do We Know?” Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit www.savvysenior. org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper

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H ealth News Audiologist joins Oswego Health’s ENT practice Oswego Health’s Lakeshore ENT practice welcomes audiologist Karah Gottschalk to the Oswego practice, where she is providing hearing and balance testing for those of all ages using the newest technology. Gottschalk earned her doctor of audiology degree at the University of Louisville and completed her residency at the University Hospitals Case Medical Center, in Cleveland. She also holds a certificate of clinical competency (CCC-A) from the American Speech and Hearing Association. Throughout her schooling, she took Gottschalk part in extensive training in all aspects of audiology, allowing her to offer comprehensive hearing and balance services. Oswego Health has purchased the latest hearing and balance equipment for Gottschalk so community members can receive exceptional audiology care close to their homes. For those with hearing issues, Gottschalk is conducting specialized hearing tests using an audiometer in a newly purchased sound booth. The Audiostar audiometer offers patient comfort and consistent results. When testing an infant’s hearing, she will utilize advanced Auditory Brainstem Response (ABR) equipment. For balance testing, state-of-the-art

Videonystagmography (VNG) equipment, which records a patient’s eye movements during a serious of actions, can assist in determining a patient diagnosis.

Crouse Medical Practice has new executive director Daniel Aronson has been named executive director of Crouse Medical Practice, PLLC (CMP). CMP was formed in 2010 as a way for Crouse Hospital to further align the organization with its physicians, with the goal of building an integrated healthcare delivery network over time. Aronson has been with Crouse Hospital since last year, when he started as business manager for the Crouse Orthopedic/ Spine Co-Management agreement for Crouse Hospital and CMP. Prior to joining Crouse, Aronson was a corporate director at Martins Point Health Aronson Care in Portland, Maine. An accomplished healthcare executive with more than 30 years of business and management experience, he has served in senior leadership positions for Loretto, Excellus and United Healthcare. Aronson attended Drew University, where he received his bachelor’s degree in political science. He also received his master’s degree in public administration from Syracuse Univer-

sity.

The first physician group to join CMP was Syracuse-based Internist Associates of CNY in 2010. As executive director, Aronson will provide leadership and oversight of CMP’s clinical and financial operations and direction, including the ongoing strategic growth and development of the practice in concert with the hospital’s mission, vision and values.

Chief Executive Officer M. Kate Rolf said, “We are always seeing opportunities to enhance our delivery of care to patients. Partnering with a larger, more diverse and progressive post-acute care services company enables us to do so. Upstate has an excellent reputation. Their size and outreach can better support the needs of our patients and keep the cost of care more affordable.”

Oswego Hospital OB-GYN VNA Homecare and Upstate becomes board certified HomeCare enter agreement Upstate HomeCare and VNA Homecare recently announced that they have entered into a preferred provider relationship. Under the agreement, Upstate Homecare will supply the infusion, oxygen and durable medical equipment needed by VNA Homecare patients. “This partnership is a perfect way to celebrate 28 years in business. We are pleased to work with VNA Homecare and extend our services to their patients. Our organization is continually looking for ways to enhance our services and delivery of care for the communities we serve,” said Gregory LoPresti, CEO of Upstate HomeCare. The organizations are working on further developing innovative products for the community such as a care transition program designed to reduce hospital readmissions by presenting a more detailed, clear assessment of the patient’s clinical status at the time of discharge. VNA Homecare President and

OB-GYN Venkata Ramani Dasari has recently become board certified in her specialty. Dasari earned the board-certified distinction from the American Board of Obstetrics and Gynecology after taking rigorous oral and written examinations. Dasari is on the active medical staff at Oswego Hospital and is associated with the practice of Oswego County OB/GYN, P.C., which has offices in both Oswego and Fulton. She has been providing care Darasi to area women for three years. In addition, she is a member of the American Congress of Obstetricians and Gynecologists (ACOG). Dasari completed her residency at St. John Hospital and Medical Center in Detroit, Mich. She attended medical school at Osmania Medical College in Hyderabad, India.

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Call For Appointment: 349-5820 www.oswegohealth.org Page 22

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Oswego Health Services Center: 140 West Sixth, St., Suite 220, Oswego, NY 13126

IN GOOD HEALTH – CNY’s Healthcare Newspaper • April 2014

R. Damani Howell, MD

Nephrology Associates announces new website Nephrology Associates of Syracuse, PC, located in Syracuse, is recently announced its newly revamped website at www.nephrologysyracuse. com. The website has new and im-

proved features, resources and information to assist current and new patients interact with the office. A secure patient portal is available for patients who are interested in protected access to their information. Physicians at the practice include Richard Kopecky, Scott Reinhart, Adebowale Oguntola, Philip Ondocin, Matthew Chaffin, Simardeep Mangat and Bala Murthy.

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AUBURN COMMUNITY HOSPITAL 2013 ACHEIVEMENTS

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Quality Community healthCare

VA CLINIC-We are proud to continue our service to local veterans through our contract renewal with the Veterans Administration to maintain a primary care clinic. Our VA clinic now offers telemedicine for a broad array of specialty services for our veterans. Their care is now kept close to home. LABORATORY- Joint Commission has re-accredited the laboratory. This accreditation assures you that we meet high quality standards. NEW PHYSICIANS-We welcomed 48 new active and courtesy practitioners to the medical staff in 2013. Our dedication to bringing you a highly qualified medical staff is a continual process. PRIVATE PATIENT ROOMS-We have converted many of our patient rooms into private rooms to enhance your comfort and care while you are with us.

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CPOE, COMPUTERIZED PHYSICIAN ORDER ENTRY- A state-of-the-art CPOE information technology system has been implemented in order to ensure patient safety. Physician orders are now placed electronically. NEW EMERGENT AND URGENT CARE PROVIDERS-Eastern Fingerlakes Medical Care has assumed the medical leadership of our Emergency Room and our two Urgent care centers. This group of ER physicians and assistants is comprised of experienced and dedicated providers who live and practice in our community. URGENT CARE HOURS-You asked for longer hours and we listened. Both Auburn and Skaneateles urgent care facilities new hours are Monday thru Friday 8:00am-8:00pm and weekends 8:00am-6:00pm.

THE PATIENT EXPERIENCE INITIATIVE Quality Assurance has begun a new initiative to continually improve the quality of your stay.

NEW OB/GYN OFFICE IN SENECA FALLS-Auburn Obstetrics and Gynecology is offering their great care to women in Seneca Falls at their new location, 24 Main Street in Seneca Falls.

STATE-OF-THE-ART CT SCANNER-The newest technology is now available to you at Auburn Community Hospital now giving the highest quality images available to aid in diagnosis and treatment of illness. Due to the community’s need, Saturday hours have been added for CT and MRI scans along with general Radiology exams.

ONGOING COMMUNITY OUTREACH PROGRAMS-We continue to educate our community through programs such as, Medically Speaking, Women’s Health Institute, Heart Expo and the patient education module on our website, www.auburnhospital.org.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Are your child's immunizations up to date?

Shots

Spots Call your child’s doctor today!

Fidelis Care is working to keep our members and the community healthy. Measles and Chickenpox are just two of the diseases that you can prevent by having your child immunized. Children under the age of 2 don't have all the defenses they need to fight off infection. Immunizations (shots) protect them from dangerous childhood diseases like: • Whooping Cough • Hepatitis • Rotavirus

• Mumps • Diphtheria • Flu

• Polio • Measles • Chickenpox

• Tetanus and more...

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Some children who had employer-based health insurance coverage within the past three months may be subject to a waiting period before they can enroll in Child Health Plus. This will depend on your household income and the reason your children lost employer-based coverage.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • April 2014