IGH CNY 223 July 2018 by In Good Health: CNY's Healthcare Newspaper

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Upstate orthopedist Timothy Damron talks about same-day total knee replacement. Patients get to the hospital early and go back home at the end of the day — with new knees

Trim Healthy Mama Is this new diet for you? Local experts weigh in

CNYHEALTH.COM

JULY 2018 • ISSUE 223

Summer Care • Swim Safely: One-fifth of those who drown are children aged 14 and younger. Find out what you can do to push the statistics down • Sunscreen: Understanding all the lingo • Mosquito Bites: Natural ways to keep mosquitos from biting you Page 17

Wednesday Sunrise Yoga

Clinton Square in downtown Syracuse is well-known as a festival venue or an ice skating rink. However through July 25, it is the site for Wellness Wednesdays, a series of various fitness programs

Pregnancy & Pot Smoking

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Growing number of women smoke pot during pregnancy. Local experts weigh in

Things you need to know about depression Crack a Crab for Lean Protein and More Gloriously low in fat and calories, crab is an excellent lean protein source. See SmartBites inside

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Worse for Women? The statistics are startling: 26 percent of adults aged 30 to 70 have sleep apnea. But are women more affected than men?

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Say hello to healthy. NOCHSI is now ConnextCare. Say hello to ConnextCare, Oswego County’s largest connected primary care network. And while our name may be new, our physicians and staff are the same familiar faces from NOCHSI. They’re just a little more connected. To you. Learn more at connextcare.org, or better yet, stop in to one of our six main sites and say hello.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • July 2018

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Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Members who get “Extra Help” are not required to fill prescriptions at preferred network pharmacies in order to get Low Income Subsidy (LIS) copays. You must continue to pay your Medicare Part B premium. The Part B premium is covered for fulldual members. Our dual-eligible Special Needs Plan is available to anyone who has both Medical Assistance from the state and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. Other pharmacies, physicians and/or providers are available in our network. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Aetna complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATTENTION: If you speak a language other than English, free language assistance services are available. Visit our website at www.aetnamedicare.com or call the phone number listed in this material. ESPAÑOL (SPANISH): ATENCIÓN: Si usted habla español, se encuentran disponibles servicios gratuitos de asistencia de idiomas. Visite nuestro sitio web en www.aetnamedicare.com o llame al número de teléfono que se indica en este material. 繁體中文 (CHINESE): 請注意：如果您說中文，您可以獲得免費的語言協助服務。請造訪我們的網站 www.aetnamedicare.com 或致電本材料中所列的電話號碼。 Y0001_4002_9196_FINAL_1 Accepted 01/2017

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CALENDAR of

HEALTH EVENTS

Aug. 4

Multi-organ blood analysis offered in Oswego Oswego Health’s annual Oswego multi-organ blood analysis will be held Saturday, Aug. 4 in the cafeteria of Leighton Elementary School, located on Buccaneer Avenue in Oswego. Oswego Health and the Oswego Kiwanis Club are teaming up once again to offer the community this important screening. This full battery of tests can help prevent potential health problems. The cost of the analysis is $40. Typically these tests can cost more than $340. In addition, there are two optional tests that each cost an additional $20. They include a vitamin D screening and the Prostate Specific Antigen (PSA) test, which is recommended to men older than age 50. Community members are encouraged to make their appointment online at oswegohealth/blood analysis. The screening will be offered from 6:30 to 10 a.m. A 12-hour fast is

required. Checks to cover the cost of the screenings should be made out to Oswego Health. The analysis screens individuals for various conditions such as anemia, diabetes, and others, as well as for coronary, kidney, and liver diseases. The most popular screening at the event is the portion of the analysis that assesses LDL and HDL cholesterol along with triglycerides. The analysis also includes the TSH screening that tests for thyroid conditions. Lab technicians from Oswego Hospital will be on hand to conduct the blood draw. The results of the multi-organ blood analysis will be sent directly from the Oswego Hospital lab to the participant’s home and their physician in an easy-to-read format. Oswego Health will also hold a blood analysis at the Central Square Medical Center from 6:30 to 9:30 a.m. on Saturday, Sept. 15. Community members can also register for this screening online at oswegohealth/ blood analysis.

SBH to Provide Job Training for Those Who Want to Become Counselors, Advocates

yracuse Behavioral Healthcare has been awarded $267,011 to provide job training for people in Onondaga and Oswego counties to become credentialed alcoholism and substance abuse counselors (CASACs) and certified recovery peer advocates (CRPAs). There is currently a shortage of both CASACs and CRPAs in the region, and this often leads to staff shortages across agencies. These shortages have the potential to delay access to treatment for people needing help at a time when many people need access to care due to the current opioid and heroin epidemics. “The national opiate crisis has highlighted the shortage of peers and counselors working in substance use and mental health disorders,” said Jeremy Klemanski, president and CEO. “This grant will allow SBH to train and prepare people in our community that want a path to rewarding work helping people with substance use and mental health disorders gain training leading to

certification. These certifications give people a significant advantage helping them climb the career ladder in counseling and peer work professions.” The goals for the project are to provide job training at no cost to the participant, prepare participant for an entry level position in the field, and link participants with potential employers to fill vacant positions to expand existing services. Additionally, there will be increased access to care for people who need services and reside in Oswego or Onondaga counties. This increased access to care will lead more people into a lifestyle of recovery, where they may also be able to seek meaningful employment and contribute to the economic well-being of the region. SBH has a training institute that will provide comprehensive training in both of these professionals. The funds will provide job training for up to 300 people and increase access to care.

Golden Year’s Special. Don’t Miss the Next Issue of In Good Health. Page 4

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • July 2018

Nationally Recognized Stroke Care. Say “Take Me to Crouse.” As one of just 10 hospitals in New York State to have earned Comprehensive Stroke Center certification, Crouse Health is proud to provide the full range of stroke care services.

Minutes Matter Comprehensive stroke centers are the best-equipped medical centers in a geographical area that can treat any kind of stroke or stroke complication. At Crouse, receiving fast stroke diagnosis and treatment starts even before patients arrive at the Emergency Room. Once on the scene, our Emergency Medical Services partners start communicating with our ER and stroke teams, providing information vital for immediate treatment. Working together, we’re consistently meeting — and exceeding — aggressive door-totreatment times that surpass the U.S. average. Crouse provides options for post-stroke rehabilitation, as well as continuing education to patients, our EMS partners and the community about the risks factors and signs of stroke.

Advanced Stroke Rescue Crouse is the only hospital in the region equipped with two hybrid operating room suites, allowing our multidisciplinary stroke team to provide the most advanced endovascular stroke rescue capabilities 24/7.

Exceeding Stroke Treatment Standards Median Time (minutes)

2016

38.5

2017 2018

YTD

Source: AHA/ASA Get With the Guidelines

If tPA is given within three hours of symptoms, the effects of stroke decrease significantly. Crouse has earned the American Heart/Stroke Association’s Target: Stroke Honor Roll Elite Plus recognition for meeting — and exceeding — AHA guidelines for giving tPA within 45 minutes.

Community Partner KNOW YOUR STROKE SIGNS

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FACE DROOPING

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TIME TO CALL 911

As a New York State-designated Primary Stroke Center since 2007, we’ve worked to raise awareness in our community about the warning signs of stroke. With our designation as a DNV Comprehensive Stroke Center and home to the region’s newest ER, Crouse Health continues to deliver superior stroke care to Central New York patients.

STROKE? CALL 911.

crouse.org/stroke

July 2018 •

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Meet

Your Doctor

By Chris Motola

Timothy Damron, M.D. Don’t Count on an American to Do CPR Just over half of Americans know how to perform the emergency procedure.

f someone collapsed in front of you, could you perform CPR? If you answered no, you’re hardly alone. Just over half of Americans know how to perform the emergency procedure. And even fewer know the recommended hands-only technique for bystanders, a new Cleveland Clinic survey reveals. The survey also found that many Americans can’t tell the difference between heart attack and stroke symptoms. This could lead to delays in patients receiving proper treatment. “When someone is suffering from cardiac arrest, time is not on their side,” physician Steve Nissen, chairman of cardiovascular medicine, said in a clinic news release. “Immediate CPR can be the difference between life and death, doubling or even tripling a person’s chance of survival. It’s a skill that can be easily learned, and we encourage everyone to equip themselves with this knowledge and not be afraid to use it during an emergency,” Nissen said. The online poll queried more than 1,000 U.S. adults. Fifty-four percent of respondents said they know how to perform cardiopulmonary resuscitation. However, only one in six knew that hands-only (just chest compressions, no breaths) is the recommended CPR method for bystanders. And only 11 percent knew the correct rate (100 to 120 a minute) for chest compressions. An automated external defibrillator (AED) can also be a lifesaver when someone suffers cardiac arrest, but only 27 percent of respondents said there is an AED where they work, the survey found. The survey also found that heart attack and stroke symptoms were frequently confused. Fifty-nine percent falsely believed that sudden numbness or weakness of the face, arm or leg is a symptom of a heart attack. And 39 percent incorrectly thought that slurred speech is a heart attack symptom. These actually are common stroke symptoms.

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Upstate orthopedist talks about same-day total knee replacement Q: You’re offering same-day knee replacement surgery. How does that work? A: That’s correct. They come in in the morning. They have their knee replacement. And they have their recovery and physical therapy before they go home. They’re instructed in how to walk and do stairs. And once they meet all the discharge criteria, they’re able to be discharged that same afternoon. Q: What’s changed that’s allowed you to do it this quickly? A: The key thing that opened the floodgates was that the Centers for Medicare and Medicaid Services reclassified total knees on their list of outpatient surgeries. So there are a number of outpatient surgery centers across the country that are doing these. They have demonstrated that they can be done safely. The key thing is doing it smartly and having a team and pathway organized for the patient to get the best care despite the fact that they’re going home the same day. It’s not the conventional way to do it; I’ve seen it change over the course of my career from the patient arriving the day before surgery, to arriving the same day and then going home a day or two later. Now this is just sort of the next step. Q: So this is mostly a process-based change, not any kind of technological breakthrough. A: You are correct. There is not a bit of new technology that is driving this process. It’s the same techniques, procedure and equipment. Q: How have the outcomes been? A: We’re at the very early end of the curve. The patients we’ve worked on so far have done well. We’re being very selective at the moment. We are trying to select healthy patients with good support from family members

IN GOOD HEALTH – CNY’s Healthcare Newspaper • July 2018

and who are highly motivated. We certainly don’t push this on patients. We want them to be engaged and do well with this program. Q: Are these mostly younger patients? A: It’s more the health status. Younger patients, while they might be healthier, aren’t always the best candidates for this. It really just depends upon the individual. But health comorbidities are very important. So we want patients who are good candidates for the operating room, who don’t have medical issues that might arise early after the discharge, like patients with diabetes, kidney failure patients, patients with cardiac disease. It’s not that those patients can’t be done this way, and there are places successfully using more liberal criteria, but we’re being selective about it. Q: Walk me through the day of one of these patients. A: So the patient arrives — usually these are first-case-of-the-day patients — between 6 and 6:30 for a 7:30 start case. And they are brought into the pre-operating area by the nursing staff. They get intravenous access, checked in, and all their paperwork is reviewed. Then they’re seen by anesthesia, who discusses what they’re going to do. In terms of anesthesia, we do a few things differently. We use a shorter-acting spinal so that the

In The News

Upstate University Hospital recently announced it’s performing one-day knee replacement surgery at its Community Campus. Known as The Swift Knee program, three surgeons are involved Timoty Damron, Emil Azer and Robert Sherman. Under the program, patients arrive early in the day and are discharged before evening. patient can recover more quickly. In addition, the anesthesiologist will typically discuss the use of a regional block. It’s a different, supplemental means of pain control that’s more localized and longer acting. Those injections will last at least into the next day. So then, after anesthesia talks to them, then the surgeon will see the patient, answer any questions, make sure all the paperwork is in order. Then the family is sent to the waiting area. Also this happens before 7:30. Then the patient will receive the regional block. Then the patient is taken back to the operating room for the 7:30 start. At that point we perform the surgery. Then we put the dressings on, and what’s different here is we bypass the recovery room. The patients are returned to the pre-op area and are cared for by the same nurses who saw them when they came in. At that point, once the spinal starts to wear off, they’re seen by physical therapy. And once the patient’s motor ability returns, they’ll take a few steps with a walker. Once they’re doing well, there’s a platform with a few steps that the physical therapist will work with them on. Once they’ve completed physical therapy and met all the discharge criteria, they’re ready to go home. I, of course, will have been stopping by to check on them multiple times over the course of their recovery. We try to follow up with them the next day and make sure they’re still doing well. Q: What’s the recovery time? A: It’s not all that different than the traditional approach. There are no restrictions with regard to weight-bearing or walking right away. As soon as they can progress off the walker, they can do so. We’re still using in-home therapy to help them achieve independence. Some patients do within a couple weeks. Others take longer. Most patients are pretty fully recovered by six to eight weeks.

Lifelines Name: Timothy A. Damron, M.D. Position: Professor of orthopedic surgery and vice chairman of orthopedic surgery at Upstate. Also teaches cell and developmental biology and neuroscience and physiology Hometown: Kewanee, Ill. Education: MD: University of Illinois College of Medicine, 1988; residency: University of Wisconsin Hospitals and Clinics, 1993; fellowship: Mayo Clinic, 1994 Affiliations: University Hospital; Community General campus; Crouse Organizations: American Academy of Orthopedic Surgeons; Orthopedic Research Society; Musculoskeletal Tumor Society Family: Wife (Linda); son (Neil), daughter (Lucia) Hobbies: Kayaking, hiking, walking with dog.

Depression: Problem Affects More Women Than Men

tudies show that depression is underreported. People aren’t getting the help they need, sometimes because they don’t know the warning signs or where to turn, or are embarrassed because of the stigma that can still surround mental health issues. But the numbers are too great to ignore. Up to 26 percent of U.S. women and up to 12 percent of men will experience major depression at some point in their lives. In any given year, that’s 16 million American adults. As many as one in 33 children and one in eight teens also struggle with depression that’s 9 percent of kids aged 12 to 17 in any given year. And new research suggests these numbers may be even higher. It’s important to recognize signs of depression in yourself or a loved one, including a child, and to get help from a doctor.

Signs of depression: • Persistent sadness, anxiety or an “empty” feeling • Hopelessness, guilt, worthlessness, helplessness • Loss of interest in hobbies and favorite activities • A lack of energy and persistent fatigue • Difficulty concentrating, remembering, making decisions • Difficulty sleeping, early morning awakening or oversleeping

• Appetite and/or weight changes • Restlessness or irritability • Physical symptoms including pain • Thoughts of death or contemplating suicide Take immediate action if you or a loved one is having suicidal thoughts. If you’re thinking of harming yourself or attempting suicide: • Call 911 or go to the nearest hospital emergency room. • Call the toll-free 24-hour National Suicide Prevention Lifeline at 1-800-273-8255. • Ask a family member or friend to help you make these calls or take you to the hospital. The stigma around depression exists, in part, because it’s poorly understood. However, one study found that once people are educated about it that it’s an illness and not something those affected bring on themselvethey are more likely to change their thinking and accept that depression can and should be treated. Family members of someone going through depression should become educated about the disease because they make up an important part of the depressed person’s support network and can help prevent a recurrence. Source: HealthDay News

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Onondaga, Oswego, Cayuga and Madison Counties

CNY’s Healthcare Newspaper

Looking for a Serene Environment in the suburbs of Syracuse NY with a view of the lake instead of traffic and high-rise buildings? A contemporary building that offers you, your employees and clients a great atmosphere from which to conduct business?

A monthly newspaper published by Local News, Inc. 5,000 copies distributed throughout more than 1,000 high traffic locations, including all Wegmans stores.

In Good Health is published 12 times a year by Local News, Inc. © 2018 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, Gwenn Voelckers, Deborah Banikowski, George W. Chapman, Deborah Sergeant, Anne Palumbo, Melissa Stefanec, Chris Motola, Eva Briggs (MD), Sergey Kravchick, M.D., Barbara Pierce, Ernst Lamothe Jr., Aaron Gifford, Maria Pericozzi, Mary Beth Roach • Advertising: Amy Gagliano, Cassandra Lawson • Layout & Design: Dylon Clew-Thomas • Office Assistant: Kimberley Tyler 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.

Dental Office for Rent: Previously a general practitioner office, 2000 square feet, all set up for 4 operatory offices, large waiting room, private doctor’s office, staff lounge with private bathroom and shower, lab and sterilization area, private office manager’s office, suitable for specialists, handicapped accessible, available immediately at the Lakeland Professional Building, 812 State Fair Blvd, Contact Skip DeLorenzo at 315-727-7547 Now there is a new contemporary office building that offers you, your employees and your clients this Class A atmosphere from which to conduct business. Lakeland Professional Building. Also available 2000 square feet of executive office space for rent, beautifully landscaped overlooking Onondaga Lake, free parking on paved lot, fully air conditioned, easy access to Highways, Downtown Syracuse via 690, and Thruway July 2018 •

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Cancer Care Twice as Costly in U.S. Versus Canada

hat a difference a border makes, when it comes to the cost of cancer care. Common chemotherapy for advanced colorectal cancer costs twice as much in Washington state as it does a short walk across the Canadian border into British Columbia, researchers report. A month’s worth of chemotherapy cost $12,345 on the U.S. side of

the border versus $6,195 just over the line into Canada, according to findings presented recently at the annual meeting of the American Society of Clinical Oncology (ASCO), in Chicago. What’s more, the extra money Americans paid didn’t buy them any more time on Earth. Average survival was roughly similar on either side of the border.

“You don’t necessarily see that patients in Canada are faring much worse, or worse at all, which is sometimes the impression that we have in this country — that our outcomes are far better than in places with single-payer health care,” said principal investigator Veena Shankaran. She is a colorectal oncologist and associate member with the Fred Hutchinson Cancer Research Center in Seattle. For their study, Shankaran and her colleagues compared treatment and insurance claims data from western Washington and British Columbia — two regions that abut at the U.S./Canadian border. The researchers specifically looked at chemotherapy which treatments were chosen, how often people underwent chemo, and how they

fared, Shankaran said. The analysis included 1,622 patients with metastatic colorectal cancer in Canada and 575 in the United States. Patients in British Columbia tended to be older than those in western Washington, 66 years versus 60 years old, but otherwise were very similar demographically. Overall, more Washington state residents received chemo than patients in British Columbia 79 percent versus 68 percent. The researchers said this might be because the American patients were younger on average. There were slight differences in the type of chemotherapy used between the countries, but “clinical trials have really shown these regimens are comparable in terms of efficacy,” Shankaran said. This was borne out by the survival rates, which were about the same for both regions. Average overall survival for people receiving chemo was 21.4 months in Washington and 22.1 months in British Columbia. Among patients who did not receive chemo, median survival was 5.4 months and 6.3 months, respectively. The big difference boiled down to the cost of chemotherapy treatment. Both leading types of chemotherapy cost more in the United States than in Canada, Shankaran said.

Healthcare in a Minute By George W. Chapman

Right to Try: New Law May Help Patients — to a Certain Point

ecently signed as law, the Right to Try legislation allows patients with life threatening conditions to “request” medicines that have not yet received final approval by the Food and Drug Administration (FDA). The patient must have exhausted approved

treatment options and be unable to participate in clinical trials. Unfortunately, the law does not require drug manufacturers to honor such requests. The law also does not require insurers to pay for the requested drugs. Historically, insurers have refused to pay for experimental treatment.

DRIVe The U.S Department of Health and Human Services recently introduced the Division of Research, Innovation and Research and Ventures (DRIVe). The new initiative will accelerate innovations that address systematic health concerns by funding innovation, through grants and venture capital investment, that address systematic health concerns. The focus is to save lives lost to aberrations in our healthcare system like sepsis, which is a life-threatening complication caused by infection. ACA 2019 Uncertainty and confusion are the bane of any business, particularly insurance. The recent termination of the individual mandate, in conjunction with the persistent rumors regarding removing the pre-existing conditions and another attempt to repeal the Affordable Care Act, will cause premiums to increase by as much as $1,000 on the exchanges

next year. Meanwhile, President Trump is promising lower premiums and better coverage. Physicians and hospitals remain vigilant, as repealing and replacing the ACA will most likely result in loss of insurance by millions, resulting in bad debts. New Jersey became the second state to enact its own individual mandate, effective January 2019. Massachusetts has had an individual mandate, even before the ACA. Power Trio The much ballyhooed triumvirate of JP Morgan Chase, Amazon and Berkshire Hathaway has announced the hiring of their CEO to oversee the healthcare partnership. They were expected to release the name of the CEO by the end of June. The three companies feel they can do a better job than traditional insurers have done for their 1.5 million employees. Skeptics believe the trio has no idea what they are getting into which, ironically, speaks to how bad

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • July 2018

things are in healthcare. Two of the nation’s top five insurers voiced their concerns. Not being totally naïve, the trio is allowing things to develop over 20 years. Despite some nasty phone calls, JP Morgan CEO Jamie Dimon said “we’re going to take a crack at it.” Colon cancer About 270,000 people a year die of colon cancer. It is the second deadliest cancer behind lung cancer which kills about 800,000 a year. The American Cancer Society just released new guidelines recommending that routine screening begin at 45 years old. (It used to be 50 years old.) You should discuss this with your primary care physician. Most insurers should pay for the diagnostic/ preventive colonoscopy. If you have a history in your family, your physician might recommend screenings even sooner than 45. With proper screening, this cancer is nearly 100 percent avoidable. Even stage 1 colon cancer has a 80-90 percent survival rate. Medicare 2026 The Medicare board of trustees reports the inpatient trust fund could be depleted in just eight years (2026). The recent tax cut has accelerated the depletion of the fund by three years. Now is the time for the federal government to negotiate drug prices. Otherwise, the “solution” will most likely be a combination of: increased Medicare premiums to seniors, increased deductibles and coinsurance, decreased benefits and payments to providers. United/AARP scheme A class action lawsuit has accused the two organizations — Unit-

ed/AARP — of an illegal rebating or scheme. United is the country’s largest Medigap carrier. Medigap insurance covers what Medicare does not, like certain procedures and any out-of-pocket responsibilities. According to the complaint, in exchange for AARP sponsoring United’s Medigap policy, United rebates almost 5 percent of the premiums received from beneficiaries to AARP, which then uses those rebates to pay for the monthly collective group plan premium in order to bind coverage. In 2016, AARP earned nearly $600 million in royalty payments from United across all insurance products. Anxiety up The American Psychiatric Association released a poll that, not surprisingly, indicates we are all more anxious. While millennials have the highest levels of anxiety across all age cohorts, baby boomers had the largest increase in anxiety levels. More women than men admit they are more anxious. Health, safety, finances, relationships and politics are the top stressors. The APA recommends regular exercise, relaxation, healthy eating and more time with family and friends to reduce stress and anxiety. George W. Chapman is a healthcare business consultant who works exclusively with physicians, hospitals and healthcare organizations. He operates GW Chapman Consulting based in Syracuse. Email him at gwc@gwchapmanconsulting.com.

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Page 9

Live Alone & Thrive

By Gwenn Voelckers

Practical tips, advice and hope for those who live alone

Living Alone Can Be Simply Beautiful!

ne of the beauties (and benefits) of getting older is that Iâ&#x20AC;&#x2122;ve gained enough self-knowledge and confidence to figure out what really matters to me and what really doesnâ&#x20AC;&#x2122;t. This is especially helpful when making decisions about how best to simplify my life. Now that summerâ&#x20AC;&#x2122;s long, warm days have arrived, Iâ&#x20AC;&#x2122;m finally finding time for cleaning, clearing, 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: n List your priorities. Write them down. Knowing what really matters 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 for old-timesâ&#x20AC;&#x2122; sake is not doing me any good. In fact, it only serves to

clog my closet. Off it goes to Volunteers of America. n Start small. De-cluttering our lives can be daunting. I always begin by cleaning up one â&#x20AC;&#x153;cornerâ&#x20AC;? at a time. Today, itâ&#x20AC;&#x2122;s my desk. More specifically my desktop. Iâ&#x20AC;&#x2122;ve gathered all the many documents, bank statements, Post-it note reminders, cards, etc. into one big pile. Later today, Iâ&#x20AC;&#x2122;ll sort it out and discard probably 90 percent of it, in favor of making space and time for the things that need attention. n Purge your email in-basket. My â&#x20AC;&#x153;digitalâ&#x20AC;? 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 unsubscribing to unsolicited email newsletters and shopping site promotions. n Clear your counter. Clear not just your clutter, but your counter. Noth-

ing sinks my spirits faster than walking into to my kitchen and finding the counter covered with old newspapers, unopened mail, yesterdayâ&#x20AC;&#x2122;s coffee cup 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. n Purchase help. This is so not â&#x20AC;&#x153;me.â&#x20AC;? Iâ&#x20AC;&#x2122;m a do-it-yourselfer. But lately, Iâ&#x20AC;&#x2122;ve made an investment in favor of efficiency and in keeping with my priorities. While I like to iron my own clothes (I find it peaceful and satisfying), I have found myself getting way, way behind. Shirts were piling up, and all my untended laundry was causing me stress! So I bit the bullet and decided to invest in pressing services offered by my local dry cleaner. Itâ&#x20AC;&#x2122;s cheaper than full dry cleaning and I feel on top of things again. n Reduce your choices. This has made a big and positive difference in my life. One tiny example: Like most women, I have makeup samples galore and have been reluctant to throw anything out. But, Iâ&#x20AC;&#x2122;ve changed my ways. Iâ&#x20AC;&#x2122;ve discarded (or donated) many of the free makeup samples Iâ&#x20AC;&#x2122;ve accumulated over the years and now only have my â&#x20AC;&#x153;go toâ&#x20AC;? products within easy reach â&#x20AC;&#x201D; one cleanser, one moisturizer, one mascara, one eye shadow, etc. How easy is that? My morning routine is simplified, and my bathroom counter is now easier on the eyes. â&#x20AC;˘ Carry around less stuff. Many of us

TAI CHI FOR HEALTH

would do well to lighten our loads. I used to live in a â&#x20AC;&#x153;what if?â&#x20AC;? world: What if my car slides off the road and into a ditch? What if I needed to leave my house in a hurry to help a friend? What if TripAdvisor alerted me to an incredible discounted flight to Paris? Well, you get the idea. My oversized purse and car used to be filled with boundless â&#x20AC;&#x153;just in caseâ&#x20AC;? provisions â&#x20AC;&#x201D; a change of clothes, back-up makeup, spare boots, a hair dryer ... you name it. But, no more. Iâ&#x20AC;&#x2122;ve simplified my life. Now, I only carry basic necessities and my AAA card. Life is much simpler now that Iâ&#x20AC;&#x2122;ve lightened my load. â&#x20AC;˘ 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 stuff make my life simpler or more complicated? Does it bring me joy? If the answer is no, think twice, and consider making changes in favor of your priorities. Itâ&#x20AC;&#x2122;s as simple as that.

Gwenn Voelckers is the founder and facilitator of Live Alone and Thrive, empowerment workshops for women and author of â&#x20AC;&#x153;Alone and Content,â&#x20AC;? a collection of inspiring essays for those who live alone. For information about her workshops, to invite her to speak, or to purchase her new book, call 585-624-7887, email her at gvoelckers@rochester.rr.com, or visit www. aloneandcontent.com.

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Healthy Monday

Syracuse event continues to make an impact Program encourages people to exercise, eat less meat and practice yoga and meditation, among other things By Maria Pericozzi

eople view Monday — more than any other day of the week — as a day to kick start healthier choices and behaviors, according to research done by Johns Hopkins. The Lerner Center for Public Health Promotion at the Maxwell School of Citizenship and Public Affairs, part of Syracuse University, has been doing Healthy Monday Syracuse since the center opened in 2011. “We do quite a bit of work on campus and in the community as well,” said Leah Moser, the assistant program director at the Learner

Center for Public Health. “We nudge and encourage people to think about their health on Monday, with the idea that having a successful start on a Monday makes people more likely to continue those behaviors for the rest of the week.” Healthy Monday is a national initiative to end chronic preventable diseases by offering weekly prompts and programs to support people and participating organizations in starting and sustaining healthy behaviors. The program works in partnership with other departments on

campus, including food services, recreation services and many others. Four graduate students are also working with the center to plan and coordinate the initiatives. “We enjoy having the opportunity to work in partnership,” Moser said. “That’s really what makes our work valuable. These are ideas we hear from our campus community and it is a collaborative effort.” Meatless Monday, Move-it Monday and the Monday Mile are just a few of the programs offered for Healthy Monday Syracuse. Those

programs have also expanded to St. Joe’s Hospital Health Center and Upstate Medical University. Meatless Monday reduces red and processed meat intake by about 15 percent, Moser said. “Many health organizations were recommending reducing the intake [of meat] to reduce the risk of heart disease and heart attacks,” Moser said. There is also a yoga class and meditation on the Syracuse campus every Monday. “The small changes in the environment prompt people and make it easier for them to do something beneficial for their health on a Monday and keep it going for the rest of the week,” Moser said. Moser said people enjoy the Healthy Monday Syracuse program. “We have been continuing to expand and refine our offerings on campus,” Moser said. “We always invite feedback from everyone on campus.” The end goal of this program is to eventually see a healthy community with lower rates of chronic disease. Moser said in the next 10 years she would like to see an expansion of the campaign. “I don’t want to see so much that we are extending our presence, but that we are helping to build these ideas of the Monday campaign through work our partners are doing,” Moser said. “We want to encourage people all week long and see a curriculum developed around the idea of Healthy Monday.”

Wellness Wednesdays Free fitness classes in Clinton Square in Syracuse include yoga, urban bootcamp By Mary Beth Roach

linton Square in downtown Syracuse is well-known to Central New Yorkers as a festival venue or an ice skating rink. However, since June 13 and through July 25, it is the site for Wellness Wednesdays, a series of various fitness programs offered morning, noon, and night. As the name indicates, the event takes place on Wednesdays. Presented by Metro Fitness, which provides the instructors, the series features a Sunrise Yoga from 6:30 to 7:30 a.m., Yoga Flow from 12:15 to 12:45 p.m., and Urban Bootcamp, from 5:30 to 6:15 p.m. All the classes are free and open to the pub-

lic. No pre-registration is necessary. “When you exercise with others it adds an element of accountability/ motivation and it’s just more fun,” said Randy Sabourin, team leader for Metro Fitness. “I believe you are going to be more successful with a group, workout buddy or by utilizing the services of a personal trainer.” The series has been going for several summers in Clinton Square, and some of the programs have changed to meet new fitness trends. For example, the boot camp component was added a couple of years ago, due to the popularity of boot camps across the country. Sabourin has had his Metro Fit-

ness club in downtown for about 23 years, and is hopeful that with all the new residents and businesses downtown, that Wellness Wednesdays will attract the biggest crowds to date. The program is also supportJuly 2018 •

ed by the City of Syracuse Dept. of Parks, Recreation and Youth Programs; the American Heart Association/American Stroke Association; Custom Logo USA; and Avalon Printing.

IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Page 11

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hen it comes to having “the talk,” many teens admit they’re not communicating with their parents or their doctors about sex, new research reveals. “Teens and young adults account for more STIs [sexually transmitted infections] than all other ages combined,” said study co-author Kari Schneider, a physician and an assistant professor in the department of pediatrics at the University of Minnesota. “Pediatricians and parents play a vital role in discussing STIs and safer sex practices with adolescents,” she added in a news release from the Pediatric Academic Societies. For the new study, researchers asked close to 600 teens, aged 13 to 17, how often they talked to their parents about sex. The teens were also asked if they’d seen a doctor in the past year, if they had talked to a doctor about sex, and if they had been screened for a sexually transmitted disease. In addition, the researchers polled 516 parents of teens, asking them how often they talked about sex with their children and if they were aware of discussions their child had with a doctor about sex.

The poll showed that 45 percent of the teens were not routinely asked about sex by their doctor. And sexually transmitted disease screening was offered to only 13 percent of them. Interestingly, just 39 percent of the teens said they talked to their parents about sex, while 90 percent of the parents reported having such a discussion with their teens. The researchers noted that teen girls were asked about sex more often than boys. And mothers were more likely to talk about sex with their children. Race also played a role. White parents were more likely to discuss sex with their teenage children, but white teens were less likely to be offered screening for sexually transmitted diseases, the poll found. According to the report, older teens were more likely to have discussions about sex and be offered screening. The researchers pointed out that nearly half of the parents polled were aware of discussions about sex between their teen and a doctor, but 25 percent of the parents in the study didn’t think these conversations should take place.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • July 2018

Blood Pressure Check? There May Soon Be an App for That

omeday soon, a simple touch of a finger to a smartphone case might be enough to provide instant, accurate blood pressure readings. That’s the promise of new technology detailed by developers in the March 7 issue of Science Translational Medicine. Researchers say they’ve invented a special phone case, using high-tech 3-D printing, that contains an embedded optical sensor on top of a “force” sensor. When the user presses a finger onto the sensor embedded in the case, “it provides measurable

pressure on an artery in the finger in the same way that a blood pressure cuff squeezes an artery in the arm,” according to a journal news release. That information is then fed to a smartphone app that converts the data to a real-time blood pressure reading, displayed on the phone, according to a team led by Ramakrishna Mukkamala of Michigan State University. The researchers tested the usability of the device on 30 people, and found that about 90 percent could position their finger correctly and get consistent read-

ings after only one or two attempts. Two heart specialists said the device might one day be a game-changer. “An accurate blood pressure measurement technique is critical for making helpful decisions in the management of hypertension,” said physician Joseph Diamond. He directs nuclear cardiology at Long Island Jewish Medical Center, in New Hyde Park. He stressed, however, that more rigorous testing must be done before any new blood pressure measuring technology becomes standard.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Physician Bauer examining patient foot.

Orthopedic surgeon Thomas Haher goes to the Dominican Republic once a year with a group of other providers. They perform about 10 surgeries — the goal is to perform 20 surgeries a year in future trips.

Nurse practitioners Meg McDonnell and Evan Belanger distributing toys.

‘Uno A La Vez’

Syracuse surgeon leads group that provides free orthopedic services in the Dominican Republic. The group wants to raise more funds to buy additional medical supplies and medications By Aaron Gifford

rthopedic surgeon Thomas Haher and several of his colleagues travel to the Dominican Republic annually, but not for the purpose of escaping frigid Central New York winters or to relax on a beach. The trips are for work. No one is paying for the medical services they render, and they spend their own money for airfare, food and lodging. And yet, they always come home feeling happy and invigorated, declaring to customs that the reason for the visit was both business and pleasure. “You can’t beat the feeling you get when you see that you’ve helped someone that so desperately needed it. To see kids walking straight again, that’s the greatest thrill,” said Haher, a Syracuse-based orthopedic surgeon who leads the Uno A La Vez (meaning “one at a time”) initiative to provide orthopedic services in the Dominican Republic. The program began in 2014, replacing a similar program Haher led in Honduras for 20 years. While Haher enjoyed the progress that his team made in the tiny Central American country, aspirations to help an impoverished Caribbean nation remained with him. The Dominican Republic is widely viewed as a vacation destination, though it is a country with a tremendous wealth gap. Residents in the mountainous areas lack transportation to get to the clinics in the cities. The government provides some basic health services Page 14

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for its citizens, but sophisticated surgeries or implants aren’t covered. Road accidents, which often include pedestrians being hit by vehicles, are the third leading cause of death in the Dominican Republic. Motor scooter collisions that leave victims with life-long injuries are fairly common. “They can’t get an operation on their arms or legs,” Haher said. “With most of the jobs in agriculture, if you have a crooked arm or leg and can’t do the work, then you are doomed to a life of poverty.” The team, led by Haher and longtime friend and colleague Brian Bauer, an orthopedic surgeon from New Jersey, includes nurses, surgical technicians, an anesthesiologist and various others. They hail from different practices and hospitals in the Central New York region. “As soon as you get to the airport,” said Amanda Ciarlei, a nurse on the team and the media director for Uno A La Vez, “it’s just a group of people who have the same willingness to help. The idea of competition and everything else goes out the window. You come home with a different perspective.” During their most recent short trip, in February, they performed nine surgeries. A local Jesuit organization coordinated the transportation, providing round trip service to some families that live two hours or more away from the clinic. That organization also assures that the patients have access to necessary follow-up care after the American volunteers

IN GOOD HEALTH – CNY’s Healthcare Newspaper • July 2018

leave. The clinic was located outside of Santiago. The facility was built by the Institute for Latin American Concern (ILAC). The volunteers stayed on a campus there where lodging and meals were provided for $40 per day. ILAC is an entity of Creighton University in Omaha, Neb. In keeping with Creighton’s Catholic Ignatian values, the ILAC facility provides services in the area of health care, education, agriculture and spirituality to poor, rural residents of the Dominican Republic. On the way to the ILAC campus from the airport in Santiago, team members observed that almost every building they passed was in need of repair. Vegetation was overgrown on almost every property, and there was garbage on the side of the roads. Still, the scenery of the island in its simplicity was breathtaking. The crew had to wait for a cow, leisurely taking its time on a beautiful sunny day, to pass before they could enter the ILAC campus, Ciarlei said. The Syracuse team utilized two operating rooms on the campus. Despite the age of the equipment, everything was maintained and in perfect working order, Ciarlei said. Most of the surgeries performed were to fix limbs that had not healed correctly. Normally, patients are expected to purchase their own implants to repair any fracture. The cost of the equipment like screws, plates or rods to repair fractures, costs about 2,000 percent of the monthly income of the average Dominican

citizen. All told, the volunteers pay about $1,000 each for airfare, food and lodging and other expenses. Some of the doctors have donated additional money to the program, though much of the equipment is donated. Many of the plates and rods that were used in the surgeries to help limbs heal were considered expired by U.S. medical standards even though they were in perfectly acceptable condition. “They worked wonderfully.” Haher said. Haher, a New York City native who fell in love with Central New York after he began his medical career here, plans to continue the Dominican Republic initiative on an annual basis. Young doctors and medical professionals in the area have expressed an interest in future trips, so the organizer is hopeful that this project will continue long after he retires. Ciarlei is planning fundraisers to help with the costs of future trips, including a wine-tasting event. Uno A La Vez members have their sights set on performing up to 20 surgeries a year in future trips. “It’s been a very rewarding experience so far,” she said. “Without the support and donations of our local community, we wouldn’t have been able to perform as many (surgeries) as we did.” For more information about the program, including donation opportunities, visit www.whatsyourchange.org

My Turn

NOW...MORE CHOICES

By Eva Briggs

FOR WOMEN’S UROLOGY

INCONTINENCE AND OVERACTIVE BLADDER CAN DRAMATICALLY IMPACT A WOMAN’S QUALITY OF LIFE.

Birthmarks Over 80 percent of babies are born with some sort of birthmark

irthmarks are skin irregularities present at birth or appearing within the first few weeks of life. They can arise from pigmented cells (melanocytes), from blood vessels, or from other skin components. Over 80 percent of babies are born with some sort of birthmark. Fortunately most are simply endearing marks that make babies unique to their mothers. Most have no long-lasting medical consequences or serious cosmetic effects. Two percent of newborn infants have congenital melanocytic nevi — commonly called moles. Most are small, less than 0.5 centimeter (about 0.2 inch). Small moles remain less than 1.5 centimeter (0.6 inch) in adulthood, and rarely cause problems. On the other end of the size spectrum are giant congenital nevi, over 14 centimeters (5.5 inches) in infancy, enlarging to over 40 centimeters (15 inches) in adulthood. In addition to causing cosmetic problems, they have a high risk of becoming cancerous over time. They can morph into malignant melanoma, a dangerous type of skin cancer. Even removing a giant nevus does not completely eliminate the cancer risk. Melanoma can still occur at the original site or at a more distant location. Lifelong monitoring by a dermatologist will be required even after giant congenital nevi are removed. Medium (0.5-7 centimeter) and large (7-14 centimeter) congenital nevi also have an increased risk for turning into cancer and should be watched. Dermal melanosis, commonly called Mongolian spot, is a common pigmented birthmark. These flat spots are blue, gray or brown. Typically they are found on the lower back or buttocks. They fade away in a few years. Sometimes Mongolian spots are mistaken for bruises, potentially leading to incorrect accusations of child abuse. A type of birthmark formed from vascular (blood vessel) tissue is a hemangioma, sometimes called strawberry mark. Not always be visible at birth, they soon appear and grow for several months. The hemangiomas next enter a rest phase lasting

a few months. Starting at about 1 year of age, hemangiomas shrink and most disappear by age 5. For this reason treatment usually isn’t necessary unless so large that the circulation is affected, or if the location affects body function. For example, a hemangioma on the eyelid could prevent normal vision development. Sometimes hemangiomas occur internally where they may be asymptomatic or cause problems such as airway obstruction. Treatments include surgery, laser treatment, or medicines that cause shrinkage. Nevus flammeus, also called port-wine stain, is another vascular birthmark. They are visible at birth as flat dark red to purple lesions. Rather than fading over time, they can deepen in color and become bumpy. When cosmetically problematic, they can be treated by laser. The best results occur when treated early, before 1 year of age. Port-wine stains occurring near the eye may cause glaucoma. They also can, be part of Sturge-Weber syndrome where the underlying brain is affected leading to seizures and intellectual disability. Nevus simplex occurs in 1/3 of babies. Also called “stork bites,” “angel kisses,” or salmon patches, these are flat pink to red lesions. They are usually found in the midline. Common locations back of the neck, forehead, eyelids, and lip. Most resolve spontaneously by age 2 or 3. Laser treatment can treat persistent facial lesions. Birthmarks or skin changes over the lower back (dimples, sinuses, excess hair patches, hemangiomas) sometimes signal underlying spine problems. A physician should further evaluate these. Eva Briggs is a medical doctor who works at two urgent care centers (Central Square and Fulton) operated by Oswego Health.

IF YOU’RE EXPERIENCING:

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IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Page 15

SmartBites

The skinny on healthy eating

Crack a Crab for Lean Protein and More

ome people see crab the same way they do white pants: a summertime fancy to be enjoyed from Memorial Day to Labor Day. Me? I fancy the crustacean all year long because it’s simply too nutritious and too delicious to do otherwise. Gloriously low in fat and calories, crab is an excellent lean protein source. A 3-oz. cooked serving (about ¾ cup) has only 90 calories, 1 gram of fat, scant carbs, and 20 grams of complete protein. Slow-to-digest protein keeps us sated longer, is essential for building and repairing tissue, and is also an important building block of bones, muscles, cartilage, skin and blood. Eating too little protein, in fact, can make us feel sluggish, irritable,

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and weak. What’s more, not consuming enough protein can make the struggle to lose weight even harder. Crab rocks with a wide variety of vitamins and minerals — from iron to zinc, niacin to selenium — but it’s biggest claim to nutrient fame is its vitamin B12 content: nearly 150 percent of our daily needs in an average serving. Vitamin B12 lies at the core of our body’s ability to make DNA for new cells, form healthy red blood cells, maintain sound nerves, and turn the food we eat into energy. Furthermore, vitamin B12 may help protect against brain volume loss in the elderly, according to researchers from the University of Oxford. Looking to boost your hearthealthy omega-3s? Much like other shellfish, crabs deliver. While no omega-3 superstar (like salmon), an average serving of crab has about 400 mg, which many deem an adequate daily amount for most. A diet rich in omega-3s may help to prevent heart disease and stroke, lower inflammation, and improve cognitive function. Because crabs come from the salty sea, they do have sodium, from around 300 to 900 mg per 3-oz. serving, depending upon which kind of crab you eat (Alaskan King has the most; Blue, the least). Since too much sodium can increase your risk of stroke, high blood pressure and heart disease, you’ll want to monitor your intake and skip the extra salt and salty butter. Crabs also serve up about 60 mg of cholesterol per 3-oz. portion, which may or may not concern you. Although my cholesterol runs high,

I’m less concerned about dietary cholesterol these days because numerous studies — including one from the Harvard T.H. Chan School of Public Health — claim that, for many, the

biggest influence on blood cholesterol is the mix of fats and carbohydrates in your diet, not the amount of cholesterol in your food.

Helpful Tips

When buying fresh, choose crabs that feel heavy for their size, move when you touch them, smell briny-fresh, and look bright and clean. Cooked crab in the shell should smell fresh, with no trace of “fishy” odor. Crab meat sold outside the shell is available fresh-cooked, frozen, and canned. It’s best to cook and eat live crabs the same day they are purchased. Fresh-cooked crabmeat will keep for two days, refrigerated. Canned crab is often imported from Asia and tends to have more sodium than fresh and frozen crab.

Crab Cakes with Spicy Rémoulade

Adapted from Cooking Light; serves 4 Crab cakes:

2/3 cup panko (Japanese breadcrumbs), divided 1 tablespoon minced fresh flat-leaf parsley (or 1 teaspoon dried) 2 tablespoons finely chopped green onions (or 2 garlic cloves, minced) ½ Fresno pepper, seeded, finely chopped (optional) 2 tablespoons canola-based mayonnaise 2 teaspoons fresh lemon juice 1 teaspoon Dijon mustard ½ teaspoon Old Bay seasoning ½ teaspoon Worchestershire sauce 1/8 teaspoon kosher salt 1/8 teaspoon coarse black pepper 1 large egg, lightly beaten 8 ounces lump crabmeat, picked over 1 tablespoon olive or canola oil

Combine 1/3 cup panko and next 11 ingredients (through egg) in a large bowl, stirring well. Add crab; stir gently just until combined. Shape crab mixture into 4 equal balls. Gently flatten balls to form 4 (4-inch) patties. Refrigerate for 30 minutes. Place remaining 1/3 cup panko in a shallow dish. Coat cakes with panko. Heat a large nonstick skillet over medium-high heat. Add oil to pan; swirl to coat. Add patties; cook 3 minutes on each side or until golden. Serve with lemon wedges or spicy rémoulade.To prepare rémoulade, whisk ingredients together in a small bowl.

Anne Palumbo is a lifestyle colum-

nist, 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.

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Natural Prevention of Insect-Borne Diseases By Deborah Jeanne Sergeant

Swim Safely One-fifth of those who drown are children aged 14 and younger: CDC By Deborah Jeanne Sergeant

bout 3,536 people drown accidentally in non-boating related accidents in the US annually, plus around 300 people die in boating-related incidences — one-fifth of those are children aged 14 and younger, according to figures from the Centers for Disease Control and Prevention. In addition, for each child who dies from drowning, another five children receive emergency care for non-fatal submersion injuries. These can cause long-term disabilities such as memory problems, learning disabilities and permanent loss of basic functioning. Robert Newmyer, pediatric intensive care unit physician at Upstate Golisano Children’s Hospital, said that parents can take steps to reduce their children’s risk of drowning and submersion injuries. “Know if, when and where a lifeguard is on duty,” said Newmyer said. “If there isn’t one, the caregiver or child is the lifeguard.” It’s easy to think that someone else at the pool party is watching the children when actually no one is. Newmyer, who is also an assistant professor of pediatrics, neurology, and neurosurgery, said that many times, he hears “I only looked away for a second” such as when parents are distracted while unloading groceries from the car and a child slips out back to the pool unattended. Parents should understand the differences between the hazards inherent to swimming pools and other bodies of water, which can have rip currents, undertows and debris that can pull swimmers under. Toddlers and very young children can drown in less than two inches of water, so they need supervision even in small wading pools. “Remember the buddy system,” Newmyer said. “Have a buddy when you’re in the water, whether at the YMCA or at a pond.” To improve children’s swimming ability, Jay Bonafede, spokesman for the American Red Cross Western and Central New York regions, advises families to make sure everyone in the family learns to swim and swims only in designated areas under the watch of lifeguards and with a swim buddy. Swimmers should follow the rules at all times, such as no horseplay at the pool and no swimming further than the boundary at the lake. “A lot of Red Cross tips are very basic and commonsense and we like

Who’s Most Likely to Drown?

• Males. Almost 80 percent of people who drown are male. • Ages 1 to 4. Children of this age range have the highest drowning rate. Drowning is the second-leading cause of unintentional injury-related death behind motor vehicle crashes. • Minorities. Between 1999 and 2010, the unintentional drowning rate for African Americans was significantly higher than that of whites across all ages with the greatest disparity among children 5 to 18 years old using swimming pools being 5.5 percent higher than the same aged whites. Source: Centers for Disease Control and Prevention (CDC to make them catchy, something people will remember,” Bonafede said. One of these is “Sit, stay and throw; don’t go” to help someone who’s struggling to keep above water. Instead of jumping in the water, sit down to stay balanced and throw a lifeline. Securing home swimming pools is also vital to promoting water safety — and, in some municipalities, part of local ordinance. “If you own a pool, make sure you have a fence around the entire area,” Bonafede said. “Make sure it’s tall enough and the gate is locked so your child and no neighbor’s child stumbles in.” Newmyer said that an open gate, lack of a fence or unlocked window or door contributes to about 70 percent of residential drowning incidences. Keep in mind that a child determined to explore the pool area may use chairs or other items to climb over the fence. Remove these from outside the pool area. For aboveground pools, removing the ladder and locking it up elsewhere can add an additional measure of safety. Pool covers cannot prevent children from drowning. If a child is missing, check the pool first. Don’t rely upon novelty flotation devices for water safety. Choose only Coast Guard-approved devices, but never leave children unattended while swimming for even a moment. Visit www.redcross.org or call 800-RED-CROSS for information on Red Cross courses.

he Centers for Disease Control and Prevent (CDC) stated in May that insect-borne disease increased from 27,000 in 2004 to 96,000 in 2016 — and that’s only reported cases. These diseases include Lyme Disease, West Nile virus and newcomer Heartland virus, which has recently appeared in the U.S. While using insect repellant containing DEET (N,N-diethyl-meta-toluamide) can help prevent bites that could be infectious, some people don’t want to repeatedly expose themselves to the chemicals in repellants because of their toxicity, especially when used frequently. A few other strategies can help prevent bites. Joanne Wu is an integrative and holistic medicine and rehabilitation physician who specializes in wellness. She recommends using citronella, eucalyptus or tea tree oil. “Add a couple drops to 1 teaspoon of a carrier oil,” she said. “It’s a natural repellent. Consider using astringents like witch hazel mixed with oils to spray.” Planting lavender around the yard and tossing a sprig of thyme in the fire on a chilly evening can also ward off mosquitoes. Why do these work? “It’s about masking your scent so it’s not attractive,” Wu said. She added that seeking a good quality oil is important for maximum effectiveness. Leslie Eimas, owner of My Oils Life in Fayetteville, sells Young Living Oil and likes the company’s Repel Aroma for pets and Insect Repellant for humans. “It has in it lemongrass, geranium, spearmint, thyme, clove, citronella and rosemary,” Eimas said. “It’s 100-percent natural and plantbased.” Always well diluted in a carrier oil, try cedar, catnip (if you don’t have cats), or mint oils as well.

Although some people have success rubbing the above plants on the skin, the essential oils provide a more concentrated source of the properties that repel insects and they’re easier to apply in liquid form. Don’t forget to use physical barrier strategies such as wearing long sleeves and pants when walking in woods or gardening, she said. Also, tuck pants into socks and check for ticks before coming indoors. Light-colored fabrics help make ticks easier to see. Tightly woven material is tougher for the insects to penetrate. In general, try to avoid areas with high grass and brushing through undergrowth and branches. That’s where insects like to live and wait for hosts. If you choose a product containing DEET, select one with 15 percent or lower concentration of DEET to minimize exposure while still providing repellant. Don’t apply repellant indoors to minimize inhalation. Use only as directed on exposed skin. Use flea and tick prevention measures on pets and check any pets that go outdoors. Ask your veterinarian before using essential oils with pets because cats and dogs can have serious reactions to them. Eliminate sources of standing water, which is where mosquitoes like to lay eggs. Keep your yard mowed and bushes trimmed. Mosquitoes aren’t as active mid-morning through early evening, so plan to perform yard work or engage in outdoor activities during those times. Check your window screens and around window air conditioners for holes and gaps.

Health Tip: Understanding Sunscreen Lingo

here may be no easy answer unless you understand sunscreen lingo, the American Academy of Dermatology says. A recent study in JAMA Dermatology found that fewer than half of people asked at a dermatology clinic understood the meaning of “broad spectrum” or “SPF.” The academy offers this primer about sunscreen lingo: • “Broad spectrum” sunscreen means it can protect you from the sun’s UVA and UVB rays. This will help prevent skin cancer, early skin aging and sunburn. • Sunburn protecJuly 2018 •

tion factor (SPF) determines how well sunscreen protects from sun damage. SPF of 15 filters 93 percent of UVB rays, while 30 SPF filters 97 percent of those rays. • No sunscreen is entirely waterproof, but some are water-resistant. The product is considered water resistant if it stays on wet skin for 40 to 80 minutes. • Sunscreen should be reapplied every two hours, even if your skin stays dry. • A chemical sunscreen absorbs the sun’s rays, while a physical sunscreen protects you by deflecting the sun’s rays.

IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Page 17

M.D. Vs. D.O.

The rise of osteopathic doctors: medical students pursuing a D.O. degree has increased by 85 percent in the past decade By Deborah Jeanne Sergeant

ou may have noticed “D.O.” after a physician’s name. It means doctor of osteopathy. While medical doctors — M.Ds — comprise the majority of physicians, the number of osteopathic medical students has increased by 85 percent in the past decade, according to the American Osteopathic Association. As of 2017, the number of D.Os and osteopathic medical students was 137,099. Medical doctors practice allopathic medicine. Their training focuses on disease diagnosis and treatment based upon tests and symptoms. Osteopathic doctors take a different approach. Richard Chmielewski, who holds a doctor of osteopathy degree, is the founder and medical director at The Falcon Clinic for Health Wellness and Recovery in New Hartford. He said that the emphasis on whole body health represents the biggest difference in osteopathic medicine. D.Os treat the entire person, not a set of symptoms. “People understand that traditional model, which is basically the M.D./allopathic approach, is

disease-oriented,” Chmielewski said. “Specifically, diagnosis is aimed toward specific treatment for a specific disease. It’s very much evidence-based and pharmacological and surgery-oriented. “The D.O. approach embraces all that and we’re licensed just as M.Ds The approach has always been to optimize the patient’s ability to improve their life both mentally and physically and to optimize the whole healing process.” Though most D.Os receive training in primary care, they can specialize in numerous other areas.

Chmielewski said that demand for osteopathic doctors is growing. With the expense and side effects of prescription medication and surgery, more patients don’t want to take these routes they don’t have to. That’s why he started the Falcon Clinic, he said. “Seeing the necessary but episodic care, I figured there must be a way to give them better, more comprehensive care,” Chmielewski said. “I opened the Falcon Clinic in 2004. The purpose of that clinic was to provide general medical care but to incorporate osteopathic medicine to offer more comprehensive style for acute problems.” The rise in interest in osteopathic medicine has led to more schools teaching osteopathic medicine. Thirty-one states have osteopathic medical schools. “There’s been a buzz for a long time,” said Barbara Greenwald, executive director of the New York State Osteopathic Medical Society in New York City.

Greenwald said the growth in osteopathy has to do with responding to the physician shortage, which is exacerbated by the number of experienced physicians retiring, growing number of baby boomers needing more medical care and the larger number of people receiving care because of the Affordable Care Act. The need is especially dire in small communities. “People want to stay in big cities,” Greenwald said. “Osteopathic medicine, because they were discriminated against and kept from having medical privileges in large hospitals, began practicing in rural areas. They kept building on this and a lot of the facilities they start are in under-served areas.” Most allopathic medical schools operate out of big city hospitals, but “osteopathic medicine began carrying a torch for opening medical schools in under-served areas,” Greenwald said. Osteopathic schools aren’t usually connected to a hospital, so it’s more economical and easier to found an osteopathic school. Osteopathic doctors are meeting the need for more primary care physicians. Since specialties can mean higher reimbursement and regular hours, fewer M.Ds are pursuing primary care. “Osteopathic medicine produces more primary care and family care doctors,” Greenwald said. Greenwald said that D.Os receive the same training and practice as M.Ds with four years of medical school and three to four years of residency; however, it’s the philosophy of care and training in additional ways of providing care that make the difference.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • July 2018

Things You Need to Know About Depression By Ernst Lamothe Jr.

epression hits all types of people. It doesn’t matter if you are rich and famous — such as designer Kate Spade or renowned celebrity chef Anthony Bourdain — or some kids at an Ohio school district, where six teens committed suicide in six months earlier this year. Suicide rates increased by 25 percent across the United States over nearly two decades ending in 2016, according to research published by the US Centers for Disease Control and Prevention. Twenty-five states experienced a rise in suicides by more than 30 percent and almost every state saw an increase. “Suicide continues to increase, and depression is a lot more common than we think,” said physician Ahmed Nizar, medical director of the comprehensive psychiatric emergency program at St. Joseph’s Health Hospital in Syracuse. “This is not a problem we can just ignore because it is in the forefront of our lives and we have to be vocal about it.” In New York, the suicide rate increased by 28.8 percent between 1999 and 2016.The latest statistics show about 45,000 lives were lost to suicide each year. Veterans made up about 18 percent of adult suicides but represent about 8.5 percent of the US adult population. Middle-aged adults had the highest increase. Nizar talks about five issues, stereotypes, and warning signs for those suffering with depression that could lead to suicide.

Depression isn’t selective

It is difficult to know what someone is battling with inside. Viewing their lives from the outside could offer only a glimpse into their

reality. Riches and a glamorous life doesn’t always tell the entire story. Everyone has their own struggles even as they are showing off a brave outward face. “Obviously the recent deaths of celebrities committing suicide has brought this to people’s attention. They see people who are incredibly successful and rich and think they have it all and wonder why they would do it,” said Nizar. “The truth is, depression can hit anyone even the 1 percent of financially successful people. Finding happiness doesn’t just happen because you can afford to be happy.”

There are warning signs

Even though individuals can experience depression and mental health issues in various ways, there remains some common threads and symptoms. People who experience financial or social loss, inability to sleep or sleeping too much and sudden physical illness can lead to individuals putting themselves in a dark place. “Watching someone’s mood is very essential in the process. If you have a friend or family member become impulsive or aggressive, if they start saying unhealthy thoughts like ‘I just can’t carry on anymore’ or ‘I don’t have anything to live for,’ don’t ignore those signs,” said Nizar. “If they are drinking significantly more or you find them spiraling after a relationship ended, you have to pay attention.” Nizar added that if you know someone who is consistently feeling anxious it can lead to them being more depressed.

Opioids

Drug use is another cause of death that is on the rise, according to the CDC study. The rising opioids issue has caused significant dilemmas in the healthcare industry. Every day, more than 115 people in the United States die after overdosing on opioids, according to the National Institute of Drug Abuse. The misuse of and addiction to opioids — including prescription pain relievers, heroin, and synthetic opioids such as fentanyl — is a serious national crisis that affects public health as well as social and economic welfare. There has been some link to suicide and opioid and drug use. “Substance abuse and depression can go together. And if left untreated, the struggle will continue to rise,” said Nizar. “I know people who have dealt with years of back pain and they never see it getting better. It makes them feel horrible and anxious, especially if their treatment feels like it has stalled. Sadly, people go into their doctor’s office for one ailment to fix an issue and then can come out with an addiction to painkillers.”

Monitor their social media

Social media such as Facebook, Twitter, Instagram, Snapchat, and YouTube allow people to create online communities to share information, ideas, personal messages and other content. It also allows people to share their thoughts. And in the 21st century, people are not afraid of sharing, which could give others a window to what is going on in their lives. “I have seen a trend that people are more openly expressing their

Physician Ahmed Nizar, medical director of the comprehensive psychiatric emergency program at St. Joseph’s Health Hospital. thoughts. We see people on social media that are saying things about how they feel that should have you worried if you know them well,” added Nizar. “They could be reaching out and it could be a cry for help.”

Isolation

Human beings are meant to feel connection to others. But when somebody suddenly relishes feeling isolated or tries to cut themselves off from a large segment of family and friends, it is a distinct warning sign that depression may have overtaken them. “This is why some of the highest causes of suicide is after a broken relationship. Relationships give us a sense of worth, and without that, a person can feel like there is nothing to live for,” added Nizar. “When you see someone experience that you need to talk with them. Depression is not something that goes away with an afternoon nap.”

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Women’s Health Trim Healthy Mama. Is This Diet For You? Local experts praise new diet method By Deborah Jeanne Sergeant

f you’ve spent any time on social media lately, you’ve likely heard of Trim Healthy Mama (www. trimhealthymama.com) from the book “Trim Healthy Mama Plan” by Pearl Barrett and Serene Allison. Also known as THM, it’s an eating plan that offers both pros and cons, according to area health experts. Not just for mamas, the eating plan basically involves nixing white flour, white sugar, unhealthful fats and artificial sweeteners; never eating carbohydrates and fat sources in the same meal; and eating every three hours. Those following the plan also choose as most of their carbohydrate intake fruit, vegetables or, occasionally, low glycemic index bread, such as sourdough bread. Kelly Springer, registered dietitian and owner of Kelly’s Choice, LLC in Skaneateles, said that the emphasis on fruits and vegetables makes THM overall pretty healthful. “If we eat foods that are natural, whole and have one ingredient, those foods are the foods that nourish our bodies, help us maintain weight and keep us from chronic diseases,” she said. Short-term and yoyo dieting can lead to weight gain, as individuals return to the old habits that caused weight gain. Springer views THM’s “lifestyle” promotion as likely more effective, providing they stick with it. She also likes how THM promotes not going longer than three hours without food, as long as participants make good food choices for

snacks. But she added that the rigidity of the plan may make it difficult to follow, particularly not consuming fats and carbohydrates in the same meal. “I believe we should have all the food groups in a meal,” Springer said. “The combination of food is important to make sure we get all the macronutrients we need. I’m not sure where the science is for separating food groups.” To reduce calories and glycemic index food consumption, THM says to use non-sugar sweeteners. Springer said that although xylitol has been proven to be safe, she prefers natural, plant-based sugar substitutes such as monk fruit or stevia. Springer also wants clients to understand why they eat what they do. “When we educate someone and give them the knowledge, they truly make better decisions in their eating plan,” she said. “With these type of diets, they’re told to just follow the plan instead of learning why and how and when. Then people find long-term success.” Heather Carrera, certified nutrition specialist at the integrative practice of Lesley James, MD, in Rochester, also felt impressed by the healthful aspects of THM, including the emphasis of healthful carbohydrates sources and mindful eating. She cautioned that people with complex issues involving gut health, inflammation or hormone issues may not be able to follow THM. THM’s insistence on eating fat

Is Sleep Apnea Worse for Women? Studies Say “Yes”

he statistics are startling. According to the American Academy of Sleep Medicine, 26 percent of adults aged 30 to 70 have sleep apnea. Left untreated, its sleep-disturbing effects can lead to life-threatening cardiovascular problems, including high blood pressure, chronic heart failure, atrial fibrillation and stroke. And for women, the impact can be even more severe. Studies led by UCLA School of Nursing professor Paul Macey have repeatedly shown that there are significant differences between the impacts of sleep apnea on men and women. While men are more likely to have sleep apnea, women with sleep apnea have a higher degree of brain injury. “Because women report different symptoms, they tend to be misdiagnosed,” Macey said. “Early detection Page 20

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and treatment is the best way to protect against damage to the brain and other organs.” In his most recent study, Macey and colleagues examined medical records and brain scans of a group of patients who were diagnosed with sleep apnea and a group without sleep apnea. Macey found several apparent connections between thinning of the brain’s cerebral cortex and apnea symptoms. The researchers also found distinct changes in brain structures and cognitive symptoms that differed between men and women. For example, in the frontal lobe, which controls cognitive skills and motor function, more regions appear thinner in women with apnea than men or in the group of patients without sleep apnea. That difference might explain the impact on memory and other mental processes among women with the disorder, the re-

IN GOOD HEALTH – CNY’s Healthcare Newspaper • July 2018

Kelly Springer, registered dietitian and owner of Kelly’s Choice, LLC in Skaneateles, said that the emphasis on fruits and vegetables makes THM overall pretty healthful. and carbohydrates separately is something with which she disagrees. “That is one of the things that slows down the absorption of sugars from carbohydrates,” she said. “I say, always pair a carbohydrate with protein and healthy fat. It slows down the absorption. I was never taught that separating carbs from protein has any evidence of helping people lose weight. Fat helps you say satiated and full and aids with the absorption of some vitamins.” Many THM recipes listed online are dessert recipes, or ones geared to replace now-forbidden foods. Since they’re trying to improve dishes that include things like white flour, they often call for more obscure and expensive ingredients. Carrera said that this may cause some people to decide they can live without the temptation; however,

others may just cave in and go for the forbidden dessert or tempting baked good. She also thinks that losing weight doesn’t have to be complicated. “This diet may make it more complicated,” Carrera said. “You don’t have to do elaborate bread recipes. You could choose to not have bread. Most THM recipes are replacements for cravings, but I think it’s better to replace things with healthful foods and train your taste to crave healthful foods.” She said that many people can lose weight successfully by eating whole, healthful foods in modest portions, staying active, sleeping well and enjoying the occasional treat (preferably homemade with healthful ingredients), “but if it’s not, it’s okay if you’re a generally healthy person,” Carrera said.

searcher said. The study continues to illustrate the significant clinical differences between men and women with sleep apnea, and points to the need for different treatment approaches to address these varied symptoms. The higher degree of brain injury in women may underlie their more common cognitive problems compared with men, while thinning associated with

both men and women who have sleep apnea may be behind the disordered breathing seen between both, the researchers said. It is not clear whether these physical brain changes precede the sleep apnea disorder, or worsen sleep apnea’s symptoms as the disorder progresses. Each study “is like uncovering another piece of what might be going on,” Macey says.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Women’s Health

Bariatric Surgery: What Does It Take to Lose Weight After Procedure? Number of surgeries skyrocketing as obesity prevalence continues to rise By Deborah Jeanne Sergeant

he number of bariatric surgeries in the U.S. has increased from 158,000 in 2011 to 216,000 in 2016, based on figures from the American Society for Metabolic and Bariatric Surgery based in Gainesville, Fla. Part of the reason that the figure is rising is that the number of candidates is increasing. According to the Centers for Disease Control and Prevention, obesity increased in the U.S. adult population from 30.45 percent in 1999-2000 to 35.65 percent in 2009-2010, the most recent statistics available. It’s easy to see why more and more people want to lose weight. Obesity raises the risk of more than 40 health conditions. “Obesity is associated with a 50 to 100 percent increased risk of premature death compared to healthy weight individuals,” states the Office of the Surgeon General. Bariatric surgery, which uses surgical procedures to reduce the

amount of food a person can hold at a time, doesn’t equal lasting weight loss for some patients. Among other stipulations, surgeons may require patients to begin a healthful eating plan and exercise regimen before surgery, but sticking with it can represent a barrier to lasting weight loss. “As many as 50 percent of patients may regain a small amount of weight (approximately 5 percent) two years or more following their surgery,” states the American Society for Metabolic and Bariatric Surgery. “ The organization further stated that “successful” weight loss following bariatric surgery is described as losing at least 50 percent of excess body weight. To achieve better success in losing weight after bariatric surgery, patients need a great deal of support before and after surgery, according to Kelly Springer, registered dietitian and owner of Kelly’s Choice, LLC in

Skaneateles. She recalled that when she first started in bariatrics, she sat down with patients the day before surgery to tell them what they could and could not eat after surgery. It took years for bariatric program managers to understand that dietitians need to meet with clients multiple times before and after surgery to help educate patients. Springer is working on back-ontrack programs for people who did not receive that education and regained weight after bariatric surgery — or those who struggle to follow their new healthy lifestyle. Some patients have no idea they were supposed to begin taking multivitamin supplements for life. Unlike a fad diet or abandoned exercise regimen, the changes must be lifelong to lose weight and to avoid the weight piling back on once it’s lost. Patients should also address the reasons why they gain weight.

Some obese people use food as a coping mechanism for stress or to help them handle emotions. “What we’re finding is a lot of emotional eating, the weight gain is from other sources in life,” Springer said. “We found there was a lot of abuse or neglect from childhood or domestic violence as to why that person has had disordered eating. This piece is just as important as nutrition. If that’s not addressed, the person is still going to use food to try to overcome that emotional hardship.” To become successful in weight loss, patients need to develop healthful ways to manage stress and emotions. Accountability also makes a big difference, too. Journaling food and activity can help track progress in how the patient is eating. By not adopting new ways to look at food, the old impulses can lead bariatric patients to continue to fall back into overeating eventually. Immediately post-surgery, patients can eat very little food at a time, about half a cup. “Over time, you can stretch that out, like a uterus when having a baby,” said Barb Goshorn, bachelor’s level registered nurse, has a master’s in applied clinical nutrition. She operates Goshorn Wellness Center in Webster. “If they go back to old behaviors, the weight does go back on.” “It’s a lifestyle change, not a diet that ends in November. People who think of it as such can have tremendous success.”

Women’s Services — right at home Healthy You — Oswego Health wants to inspire women to be the best and healthiest version of themselves. From offering annual screenings to providing exceptional healthcare services, we are dedicated to your good health at every stage of your life. Our Womens Services Include: • Breast Care • Cardiology • Care OnDemand • Female Incontinence • Maternity/OB-GYN • Primary Care Page 22

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • July 2018

Oswego Health For more information please visit oswegohealth.org/healthy

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hristine just became a single mother of her children, 15- and 12-year-old sons, and a 6-yearold daughter. I know Christine and her children well, as they are neighbors to and best friends with my daughter and her children. Christine just split from Bob. Here’s what I’d like to say to her: Dear Christine: You’re now a single mom — take charge. The lives of your kids depend on you to get it together and assure them, in both what you say and how you behave, that everything is under control. Life as a single mom will test every part of you. Expect the unexpected and take it as it comes. I’ve been there. I know how tough it is. It’s tough and can be brutally difficult, but you can do it. You have the strength within you; you just need to tap into it. Be tough, resourceful, no-nonsense person I know you can be. Your kids need you to be a responsible adult, to take charge. Your kids are devastated. They can’t start to heal until you can take charge. You have to let them know that, no matter what, you’ll figure it out, make it work, and you’ll always be there for them. No matter how devastating the upheaval of your split with Bob, how deep your pain, or how frightening the road ahead, remember there is no one your kids need more than you. To be a good mom, you need to drop the things of the past, forget all the “What ifs?” and the “What might have beens,” and turn your attention to the fact that you’re now a single mom. Don’t let the bad that happened to you consume you. It doesn’t matter how you ended up a single mother; you’re in a new world now. Divorce takes a terrible toll on kids. Their family is the primary source of their security and happiness — it’s been yanked out from under them. It’s a devastating blow that their father is gone. The wounds are real and deep, doesn’t matter if they’re teens or toddlers. And, Christine, what you did last week — bringing your new boyfriend to meet your sons — what an incredibly stupid thing that was! I’m so disappointed in your poor judgment. What were you thinking? Most relationships end. So your kids get to like the latest man in your life, then you break up with him. They (and you) have to go through the pain of losing him. That’s bad enough for you, but you shouldn’t put your kids through that time and time again. Meeting a series of men who will move in and out of their

521 E. Washington St. Syracuse, NY. 315-218-7366 • 315-469-7322 lives-nothing good can come of that. Meeting your kids should be a special privilege offered to a man only when he’s proven himself to be a stable presence in your life and you’re sure he’s going to be around for a while. Evidence is overwhelming that kids raised by single parents don’t fare nearly as well as those raised in two-parent families. They are far more likely to abuse drugs, do poorly in school, serve time in jail, may be chronically ill, depressed or sexually promiscuous. But having your kids raised by both parents is not an option for you. Make no mistake: dads do matter. Dads have a powerful influence over their children, just by being there and by loving them. No one can replace a dad. Kids desperately want him in their lives though he may be the last man you want in your life. What’s more, they need him. So you have to try to give them their dad in their lives. It’s a serious dilemma. You don’t want anything to do with him, but your kids love him and want to be close to him. But when it comes down to you or them, guess what? You lose; they win. Sacrifice is the central theme in the lives of all good moms. So after taking control of your own life and providing your kids a safe and secure home, the most important thing you can do for your kids, without question, is give them a real shot at a solid relationship with their dad. Don’t ever let them think they were in any way responsible for the divorce. Kids tend to blame themselves for what happens in their family. And don’t bad mouth their dad; they have half his genes, after all. Tell them good things about their dad. Let them talk about him openly. Let them see him as often as possible. Kids need to learn firsthand what a good father is. Find good two-parent families and make them a part of your kids’ world. Let them learn through friends or family the critical lessons they can learn from observing good men being husbands and fathers. Or how can you expect them to create it for themselves and their kids? So be the great single mom I know you can be. Love, Barbara Barbara Pierce is a free-lance writer who writes for the Mohawk Valley edition of In Good Health.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Page 23

Parenting

pathways to pathways to independence independence

By Melissa Stefanec MelissaStefanec@yahoo.com

Stones I Won’t Throw

A pathways to Coordination of Services (Meals, Nutrition, Transportation, independence Medical Appointments, etc.) Coordination in of Services Assistance Locating Appropriate Housing

(Meals, Nutrition, Transportation, Medical Appointments, etc.)

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Assistance in-7551 Locating (315) 565 -7551 (315) 565 sasyr .org/pathways sasyr .org/pathways Appropriate Housing

s human beings, we can’t help but judge one another. When we see others, especially strangers, we are forming opinions about them. We are imagining their stories and trying to fit them into a box that is familiar to us. We want to make sense of our world and track our progress through it. We want to see how we measure up. The problem with seeing how we measure up to others brings two things — we either feel inferior or superior to others. In order to feel the latter, we judge. People seem to layer on the judgment especially thick when it comes to parents and children. As a parent, you don’t even have to leave your home to feel the beady little eyes of judgment glaring down at you. Judgement comes from social media and entertainment. Almost everywhere you look, there is something or someone giving you the proverbial sideways glare. It sucks, and every parent feels it. I cannot fathom a world without unnecessary judgment. It seems as impossible as two days straight of sleeping in, a day of uninterrupted bathroom breaks, and day without my two children bickering with each other. Although I recognize a judgment-free world is impossible, I also believe small changes really do add up. So, in the thread of being the change I want to see, here are 10 things I have (almost) completely stopped judging other parents for. What you feed your kid — Tonight, I tried to feed my kids falafel, olives, hummus, chicken and rice. You know what they ate? A few bites of chicken and the pita bread that came on the side. Sometimes, I just don’t care what form the calories come in, as long as my kids are swallowing them. Kids are so picky, and I can’t throw out seven dinners a week. So, sometimes, I feed them food I know they will eat. I just plug the dietary holes with gummy vitamins. Your kid having a public meltdown — Fellow Mom or Dad, when this happens, I truly feel for you. It’s hard to watch your kid struggle. It’s hard to watch your kid’s emotions irrationally derail while you stand by helplessly. It’s even harder when you have some middle-aged person staring down their nose at you because selective amnesia has eliminated their children’s prior meltdowns from memory. Hang in there. I promise to give you a sympathetic nod and knowing smile while your toddler melts into a puddle about not being able to buy whatever eye-level bait a store has set out. Your kid being messy — I try to keep my kids’ clothes and

Coordination of Services (Meals, Nutrition, Transportation, Eligibility: Arranging In-Home Care Services MedicalEligibility: Appointments, etc.) 1. Active Medicaid Medicaid, A Chronic Physical Disability, Need for In-Home Care A Chronic Physical Disability Assistance in Locating Financial Assistance for Housing Appropriate Housing Need for In-Home Care Arranging In-Home Care Services Financial Assistance for Housing

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • July 2018

faces clean. There are even times when I wipe and disinfect them under bright lights, decide their attire is pristine, and then notice half of a chocolate-covered banana stuck to their cheek when I strap them into the car. I don’t know how it’s possible, but they seem to seep chocolate and ketchup from their pores. Your child saying something inappropriate — If I had a dollar for every time one of my kids made a butt or poop joke when his or her first three jokes didn’t land, we would be taking fancier family vacations. Kids are constantly searching for reactions from others, and they will stop at almost nothing to get them. How you spend your free time — When you don’t have your kids, the world is your oyster. As long as you aren’t hurting anyone or yourself, enjoy life how you see fit. What kind of music you or your children listen to — Great people like all kinds of music. Kids needs to be exposed to different kinds of music. Just like music helps adults work through their innermost emotions, it does the same for kids. Just make sure your kids are listening to music (I might actually judge you if you let them skip that). What you named your kid — Unless it’s something mean or unsavory, I can’t describe how little I care about what name you pick for your offspring. Do you like it? Great, that works for me. Your kid not listening to you — I often get complimented on my children’s’ good behavior. There are just as many times when I am close to losing my sanity because my children have zero interest in following directions. Just like adults, kids have bad days, and that results in not listening. Raising your voice at your kid in public — If you aren’t being emotionally abusive to your kid, but you’ve lost your bananas and finally raise your voice 10 decibels, who am I to judge? Even the strongest of parents lose their cool, and this is bound to happen outside the safety of your home. A bad parenting moment — We all have these. Sometimes, my patience, energy and will are depleted and I do something I feel guilty about. So, next time I see somebody doing a shoddy job of parenting, I will give them the benefit of the doubt and assume that mistake came after a day of patience and good stuff. After all, when we stop being judgmental of how others are failing, we can focus on the areas in our own lives that need improvement. Without the deflection of judgment, we can grow as parents and as people.

7. 8.

10.

Colonoscopy? New Guidelines Lower Screening Age to 45

ost people should now begin colorectal cancer screening at age 45, say new guidelines that were spurred by the rising rate of the disease among younger Americans. For years, the American Cancer Society (ACS) and other medical groups have advised people at average risk of colon and rectal cancer to begin screening at age 50. Earlier screening has been reserved for people at increased risk. But the ACS is now changing that advice — a shift largely driven by the fact that colorectal cancers are increasingly being diagnosed in younger Americans. Just last year, an ACS study found that since the mid-1990s, colon cancer rates among Americans aged 20 to 54 have been steadily inching up — by between 0.5 percent and 2 percent each year. Rectal cancer has risen more rapidly, by 2 percent to 3 percent per year. Someone born in 1990 now has twice the risk of colon cancer, and four times the risk of rectal cancer, as someone born in 1950, the new report noted. “It’s going up at a pretty alarming rate. And we don’t know why,” said physician Andrew Wolf, who led the ACS guidelines development group. “Everyone wants to say that it’s the obesity epidemic, poor diet and lack of exercise,” Wolf said. “But those things do not fully explain the rise.” And, since most people do not start colorectal cancer screening until age 50, changes in screening rates would not account for the increase among younger Americans, he added. However, it’s not certain that screening at age 45 will save more lives, according to Wolf. Clinical trials are the “gold standard” for proving that — and most trials of screening have not included people younger than 50. But the ACS commissioned a “modeling” study in developing the new guidelines. It used existing data to estimate the effects of screening at age 45. The conclusion was that earlier screening had a better “benefit-risk ratio” than screening at age 50. Americans aged 45 to 49 do have a lower rate of colorectal cancer than those aged 50 to 54 — at about 31 cases per 100,000 people, versus 58 per 100,000. But, the ACS said, the higher rate among people in their early 50s is partly because they have more early cancers detected through screening. So, the true risk of the disease among people in their late 40s may actually be similar. The risks of screening, meanwhile, are low, Wolf said. Those hazards are mainly confined to colonoscopies — which can, rarely, puncture the colon wall or cause significant bleeding.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Page 25

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crotal pain or testalgia (testicular pain) has been defined as testicular pain when it occurs for more than three months. Pain is usually perceived in the testes, epididymis or the vas deferens. It was estimated that 2.5 percent to 4.8 percent of urological visits are for chronic scrotal pain. Most men are in their mid to late 30s, although the condition can occur from adolescence to older age. Despite the numerous possible causes, in 25–50 percent there is no definite source. The mechanism of acute pain is not fully understood, but recent research found a markedly higher number of nerve fibers with the evidence of degeneration in the spermatic cord nerves in men with testicular pain. There are two special forms of scrotal pain syndrome. The first is the post-vasectomy scrotal pain syndrome, which occurs in 2-20 percent of men who have undergone a vasectomy. The likelihood is higher six months after vasectomy and 2-6 percent of these patients have a VAS score greater than 5 (visual analog scale from 0 to 10 points). The second form is post-inguinal hernia repair and its frequency is significantly higher after laparoscopic rather than open operations. Diagnosis

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tion will be effective as a treatment. Treatment It should be started with nonsteroidal anti-inflammatory drugs (NSAIDs) and antibiotics, particularly when there is evidence of infection. Doxycycline and quinolones are best, as they appear to have the highest penetration into these structures and may be given up to four weeks if indicated. Other oral agents include antidepressants, such as Amitriptyline and Nortriptyline, or anticonvulsants such as Neurontin (Gabapentin). However, these drugs are not beneficial for post-vasectomy pain. Epididymectomy could be used when the pain is localized to the epididymis and appears to have its best outcomes following vasectomy. However, its efficacy for treatment of other forms is very low. Vasectomy reversal (vasovasostomy) can be offered in patients after vasectomy and it can completely or partially relief the pain in 75 percent and 10 percent of the patients. Microdenervation of the spermatic cord (MDSC) became the most effective treatment for the patients who didn’t respond to medical treatment. The goal of the operation is to divide all neural fibers, but to preserve the arteries (testicular, cremasteric, deferential). The key selection measure for this procedure is a positive yet temporary response to a spermatic cord block. Upstate Urology offers all of these treatment modalities to patients with scrotal pain syndrome.

History and physical exam are the most important diagnostic tools. History should focus on onset, duration, severity (graded on a 0–10 scale), location and referral of pain. Further evaluation includes a urinalysis, urine and semen culture if indicated. A duplex Doppler scrotal ultrasound should be performed to Physician rule out structural abnormalities. Sergey MRI of the spine should be obtained Kravchick if there is a history of back pain. In specializes in patients with elevated red blood cells general urology, count in urine CT scan should be endourology, considered to exclude renal colic. male health: When initial work-up for scrochronic prostatal pain failed to detect a SAGE Upstate oﬀetiology, ers programs titis/chronic reasonable next step is spermatic and socials for olderis gay, lesbian, pelvic pain cord nerve block, which performed bisexual and transgender adults in syndrome and by injecting bupivacaine or lidocaine testicular pain into the spermatic cord. Oswego Successful Syracuse, Cortland, & U�ca and practices at pain relief is helpful in both diagnoUpstate Urology at UHS and Wilson sis and in determining whether miHospital in Binghamton. crosurgical spermatic cord denerva-

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By Jim Miller

How to Make a Living Will Dear Savvy Senior, What’s the best way to go about making a living will? I recently retired and would like to start getting my affairs in order, just in case.

Approaching 70 Dear Approaching, Preparing a living will now is a smart decision that gives you say in how you want to be treated at the end of your life. Here’s what you should know, along with some resources to help you create one. Advance Directive To adequately spell out your wishes regarding your end-of-life medical treatment you need two legal documents: A “living will” which tells your doctor what kind of care you want to receive if you become incapacitated, and a “health care power of attorney” (or health care proxy), which names a person you authorize to make medical decisions on your behalf if you become unable to. These two documents are known as an “advance directive,” and will only be utilized if you are too ill to make medical decisions yourself. You can also change or update it whenever you please. Do-It-Yourself It isn’t necessary to hire a lawyer to complete an advance directive. There are free or low-cost resources available today to help you write your advance directive, and it takes only a few minutes from start to finish. One that’s completely free to use is Caring Connections, a resource created by the National Hospice and Palliative Care Organization. They provide state-specific advance directive forms with instructions on their website (CaringInfo.org) that you can download and print for free. Or you can call 800-658-8898 and they will mail them to you and answer any questions you may have. Or, for only $5, an even better tool is the Five Wishes living will. Created by Aging with Dignity, a nonprofit advocacy organization, Five Wishes is a simple do-it-yourself document that covers all facets of an advance directive that will help you

create a more detailed customized document. It is legally valid in 42 states and the District of Columbia. To learn more or to receive a copy, visit AgingWithDignity.org or call 888-594-7437. Want Legal Help If you would rather use a lawyer, look for one who specializes in estate planning and health care-related matters. The National Academy of Elder Law Attorneys (NAELA.org) and the National Association of Estate Planners and Councils (NAEPC. org) websites have directories to help you find someone. Costs will vary depending on the state you reside in, but you can expect to pay somewhere between $200 and $500 to get one made. Do Not Resuscitate You should also consider including a do-not-resuscitate order (DNR) as part of your advance directive, since advanced directives do little to protect you from unwanted emergency care like CPR. Doctors and hospitals in all states accept them. To create a DNR, ask your doctor to fill out a state appropriate form and sign it. Another tool you should know about that will complement your advance directive is the Physician Orders for Life-Sustaining Treatment (POLST). Currently endorsed in 22 states with 24 more in some phase of development, a POLST translates your end-of-life wishes into medical orders to be honored by your doctors. To learn more or set one up, see POLST.org. Tell Your Family To insure your final wishes are followed, be sure you tell your family members, health care proxy and doctor so they all know what you want. You should also provide copies of your advanced directive to everyone involved to help prevent stress and arguments later. For convenience, there are even resources like DocuBank.com and MyDirectives.com that will let you and your family members store your advanced directive online, so you can have immediate access to them when you need them.

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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Page 27

Tips to Keep Seniors Safe in Summer Heat

6 L

oretto provides care for thousands of older adults each year, including keeping residents and program participants safe during the summer heat. Whether you are an older adult or you care for one, the experts at Loretto are offering the following tips to help keep seniors safe across all of Central New York during the hot summer weather: Stay hydrated — Seniors are more susceptible to dehydration, so drink plenty of water. Dress appropriately — Cotton is a light and breathable fabric that keeps the body cooler. Look for loose-fitting and light-colored clothes to wear in warmer temperatures. Be sure to wear sunblock, sunglasses and hats, too. Stay in the shade or indoors — High temperatures can

1. 2.

worsen chronic medical conditions in seniors. Look for indoor activities with air conditioning whenever possible, such as visiting the library, shopping mall or movie theater. Slow down — Remember that older adults may not be able to walk as fast or as far as you, so slow down and take it easy when you’re with a senior. Check on elderly neighbors — Knock on the door if you haven’t seen them in a while. Ask if they need help with yard work or other activities. Talk to your doctor — Everyone has different needs. Be sure to talk to your doctor about what precautions are most important for you.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper • July 2018

The Social Ask Security Office By Deborah Banikowski District Manager, Syracuse

Monitoring Your Earnings Record Can Really Pay Off

ou work hard for your money. You’re saving and planning for a secure retirement. Now you need to make sure you’re going to get all the money you deserve. Regularly reviewing your Social Security earnings record can really pay off, especially when every dollar counts in retirement. If an employer did not properly report just one year of your work earnings to us, your future benefit payments from Social Security could be close to $100 per month less than they should be. Over the course of a lifetime, that could cost you tens of thousands of dollars in retirement or other benefits to which you are entitled. Sooner is definitely better when it comes to identifying and reporting problems with your earnings record. As time passes, you may no longer have easy access to past tax documents, and some employers may no longer be in business or able to provide past payroll information. It’s ultimately the responsibility of your employers — past and present — to provide accurate earnings information to Social Security so you get credit for the contributions you’ve made through payroll taxes. But you can inform us of any errors

Q&A

Q: What is the earliest age that I can receive Social Security disability benefits? A: There is no minimum age as long as you meet the Social Security definition of disabled and you have sufficient work to qualify for benefits. To qualify for disability benefits, you must have worked under Social Security long enough to earn the required number of work credits and some of the work must be recent. You can earn up to a maximum of four work credits each year. The number of work credits you need for disability benefits depends on the age you become disabled. For example, if you are under age 24, you may qualify with as little as six credits of coverage. But people disabled at age 31 or older generally need between 20 and 40 credits to qualify, and some of the work must have been recent. For example, you may need to have worked five out of the past 10 years. Learn more at www.socialsecurity. gov/disability. Q: What is substantial gainful activity (SGA)? A: We use the term “substantial gainful activity,” or “SGA,” to describe a level of work activity and earnings. Work is “substantial” if it involves doing significant physical or mental activities or a combination of

or omissions. You’re the only person who can look at your lifetime earnings record and verify that it’s complete and correct. So, what’s the easiest and most efficient way to validate your earnings record? n Visit www.socialsecurity.gov/ myaccount to set up or sign in to your own my Social Security account; n Under the “My Home” tab, select “Earnings Record” to view your online Social Security Statement and taxed Social Security earnings; n Carefully review each year of listed earnings and use your own records, such as W-2s and tax returns, to confirm them; n Keep in mind that earnings from this year and last year may not be listed yet; and n Notify us right away if you spot errors by calling 1-800-772-1213. More detailed instructions on how to correct your Social Security earnings record can be found at www.socialsecurity.gov/pubs/EN05-10081.pdf. Securing today and tomorrow requires accuracy and diligence on our part and yours. You’ll be counting on Social Security when you reach retirement age. Make sure you’re getting every dollar you’ve earned. You can access us any time at www. socialsecurity.gov. both. If you earn more than a certain amount and are doing productive work, we generally consider that you are engaging in SGA. For example, the monthly SGA amount for 2018 is $1,180. For statutorily blind individuals, that amount is $1,970. In these cases, you would not be eligible for disability benefits if you made over those amounts. You can read more about substantial gainful activity and if your earnings qualify as SGA at www.socialsecurity.gov/oact/cola/ sga.html. Q: I’m trying to figure out how much I need to save for my retirement. Does the government offer any help with financial education? A: Yes. For starters, you may want to find out what you can expect from Social Security with a visit to Social Security’s Retirement Estimator at www.socialsecurity.gov/ estimator. The Financial Literacy and Education Commission has a website that can help you with the basics of financial education: www.mymoney. gov. Finally, you’ll want to check out the Consumer Financial Protection Bureau, which offers educational information on a number of financial matters, including mortgages, credit cards, retirement, and other big decisions. Visit the Consumer Financial Protection Bureau at www.consumerfinance.gov.

H ealth News Crouse certified as comprehensive stroke center Crouse Health has received certification from DNV GL – Healthcare as a comprehensive stroke center, reflecting the highest level of regional experience for the treatment of serious stroke events. DNV GL – Healthcare is one of the leading accrediting agencies in the U.S. The DNV GL – Healthcare comprehensive stroke center certification is based on quality standards established by the federal Brain Attack Coalition and the American Stroke Association, and affirms that the recipient hospital addresses the full spectrum of stroke care: diagnosis, treatment, rehabilitation and education, while establishing clear metrics to evaluate outcomes. With this latest designation, Crouse becomes one of just 10 hospitals in New York state to have earned comprehensive stroke center certification. “Not only is this great news for Crouse, it is also great news for our patients and the community,” says Crouse Health CEO Kimberly Boynton. “This designation is a reflection of Crouse’s clinical excellence in meeting the most rigorous quality and process standards in treating stroke, and demonstrates the expertise and commitment of our physicians, nurses, interventional technicians and the entire clinical team,”

adds Boynton. Crouse has been a New York state-designated primary stroke center since 2007. Comprehensive stroke centers are typically the largest, best-equipped hospitals in a given geographical area that can treat any kind of stroke or stroke complication. Crouse is the only hospital in the region equipped with two hybrid operating room suites, allowing the stroke team to provide the most advanced endovascular stroke rescue capabilities. “With stroke care, you must have the best clinicians and resources, but also the ability to act organizationally with extreme efficiency because of the time-critical nature of these events,” said physician Tarakad Ramachandran, medical director of Crouse’s stroke program. “Official certification from DNV GL validates all the effort we have put into this program to ensure the health and safety of our patients.”

Nascentia Health announces new employees

Nascentia Health, a local leader in home healthcare services, has recently announced the addition of the following individuals: • Certified home health agency (CHHA): Anna Anthis, speech language pathologist; Tabitha Denegal, communication center supervisor; Bruce Fike, care transition coach; Elisabeth Freeman, registered nurse; Michael Parkhurst, care navigator; Jennifer Phillips, registered nurse; Lee Rich, recruitment/retention specialist; Melissa Rogers, licensed prac-

Rescue Mission partners to deliver health care services to homeless The Rescue Mission Alliance and the Center of Treatment Innovation (COTI) of Syracuse Behavioral Healthcare have launched a partnership aimed at improving health care for those within homeless shelters in Onondaga County. The Shelter Health Partnership is a homeless health and healing initiative that will engage mental health and substance use providers (Liberty Resources and COTI) and primary health care providers in offering health care within homeless shelters in in the area. “This partnership will allow us to better serve people experiencing homelessness and to increase their chances of receiving health care and finding and maintaining permanent housing,” said Amber Vander Ploeg, Rescue Mission chief programs officer. The challenge of accessing health care often creates an obstacle for homeless people seeking permanent housing, Vander Ploeg said. Many of these individuals then spend long periods of time in shelters. The Rescue Mission’s 183bed Kiesewetter Emergency Shelter in Syracuse is the largest shelter in Onondaga County. The mission provides more than 90,000 overtical nurse; Shelley Trace, registered nurse; and Jennifer Zuber-Bozek, customer service center team leader. • Licensed home care service agency (LHCSA): Brittney Benedict, Alyzza Dana, Tashyana Griffin,

St. Camillus Honors Supporters The Centers at St. Camillus and affiliate Integrity Home Care Services on June 14 held its Celebration of Service event to honor two individual and, for the first time, an organization, for their services to St. Camillus and others in the community. • Michael J. Byrne: A principal at the law firm Byrne, Costello & Pickard P.C., which was instrumental in establishing St. Camillus in 1969 and has provided the nonprofit organization legal assistance for nearly 50 years. Byrne also served as a trustee of the St. Camillus Foundation for 27 years, including four years as chairman. • Shirley Cruickshank: An active member and officer of the Friends of St. Camillus auxiliary for more than 20 years. During her tenure, “Shirl” greatly contributed to fundraising and community efforts by creating and organizing several annual events. Under her leadership as president from 2012 to 2018, the Friends of St. Camillus raised and donated back $160,000 to support St. Camillus. • Syracuse Auto Dealers Association (S.A.D.A.): The first-ever professional organization to be honored by St. Camillus’ Celebration of Service, S.A.D.A. has helped The Centers at

night stays at its shelter each year. Starting June 18, COTI is embedding two certified recovery peer advocates at the Rescue Mission’s Syracuse shelter from 8-11 a.m. Monday and Tuesdays, and one advocate from 8-11 a.m. on Thursdays. The work the advocates perform depends on the individual, but includes everything from developing recovery plans, accompanying clients to appointments, and modeling coping skills, to providing crisis support after hospitalization or incarceration, linking clients to formal recovery supports, and assisting with applying for benefits. Liberty Resources staff will perform mental health evaluations once a week. Their services allow individuals to enter into permanent supportive housing, Vander Ploeg said. Services provided by COTI as part of the Shelter Health Partnership will not be restricted to the centralized location of the Rescue Mission’s shelter. COTI peer advocates will also be able to work collaboratively with the Rescue Mission Street Outreach Team, Catholic Charities and other Onondaga County shelter programs.

Cheryl Jezerski, Ann Relyea, Jamie Schaefer, Jessica Smith and Cortney Suits — all home health aides. • Managed long-term care program (MLTC): Martha Falero, care manager; Kiley Gross, care coordinator; Yosefia Heights-Lafontaine, utilization review nurse; Lisa Jones, provider relations representative; Sharry Lane, care coordinator; Rachael Miller, billing and health claims specialist; Kaden Platt, team leader; Katrina Smith, care manager; and Marguerite Vaccaro, care manager. “We’re honored to welcome these individuals to the Nascentia Health team,” said President and CEO Kate Rolf. “As our system continues to evolve to meet the changing needs of our community, their new perspectives and unique skills and talents will be essential to our continued success.”

HERPES BUT HONEST

St. Camillus’ 2018 Celebration of Service honoree Michael J. Byrne, center, was presented with a limited edition commemorative 2018 Swarovski crystal ornament by, from left, Jim Spencer, chairman of The Centers at St. Camillus board of trustees, longtime friends and fellow St. Camillus’ supporters Carol and Griffith Williams, and Aileen Balitz, president and CEO of St. Camillus and its affiliate Integrity Home Care Services. St. Camillus raise nearly $79,000 in just a few short years through its visionary and popular annual Charity Previews. In 20 years, S.A.D.A. has

raised more than $3.5 million dollars for dozens of worthy non-profit organizations in Central New York. July 2018 •

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H ealth News Nurse practitioner joins OCO medical staff

Nurse practitioner Heather Shannon has recently joined the staff of OCO’s Reproductive Health Services. Shannon, who holds a master’s degree in public health from Upstate Medical University and Syracuse University, as well as master’s degree in midwifery from the University of Rochester and a bachelor’s degree in nursing from Nazareth Shannon College, most recently worked at Upstate Medical University as the director of business development and hospital liaison for the Upstate Cord Blood Bank. Prior to that Shannon developed, implemented and directed Upstate’s first full scope, independent, provider-based midwifery practice. The practice provided health care services to women of all socioeconomic status. “I want to be able to make a difference in our community,” said

Shannon. “Returning to practice and interacting with patients is the way to accomplish that. As a nurse practitioner with OCO I will be able to help women throughout their reproductive years from adolescence to post-menopausal as well as men in regards to all aspects of their reproductive health, from routine checkups and preventative care, to the diagnosis and treatment of physical conditions with a focus on reproductive health.” Shannon’s knowledge and experience as a midwife has allowed for a seamless transition to a nurse practitioner. “The medical scope of midwifery and nurse practitioner are very similar,” said Shannon. “Both are focused on encompassing all women’s health issues; including increasing their quality of life through health and wellness education and seeing to it that they regularly receive their routine checkups when needed.” “With more than 20 years of experience as a certified nurse midwife and women’s health nurse practitioner, Heather is a great addition to our team of providers,” said director of OCO Health and Nutrition Services Brian Coleman. “She is patient focused with a desire to help her patients make informed decisions about their health and health care.”

OCO’s Centers for Reproductive Health provided 5,556 patient visits to more than 3,100 patients.

OCO Installs New Slate of Officers

Executive Director of Oswego County Opportunities (OCO) Diane Cooper-Currier announced the installation of the 2018-19 slate of officers for OCO’s board of directors at the agency’s annual meeting held recently at Springside at Seneca Hill. From left are: vice president Jeff Coakley, executive vice president and chief operating officer, Oswego Health; secretary Yvonne Petrella, dean emerita, division of extended learning SUNY Oswego; president Holly Carpenter, executive director, Fulton Housing Authority; past president Connie Cosemento, retired teacher; and treasurer Deana Michaels, assistant vice president / branch manager, Pathfinder Bank.

Syracuse Behavioral Healthcare opens on-site pharmacy

of an on-site pharmacy in collaboration with Genoa Healthcare. The pharmacy is operating at 329 N. Salina St. in Syracuse, co-located with the agency’s certified community behavioral health clinic, and will be open 8:30 a.m to 5 p.m.(closed for lunch from 12:30 to 1 p.m.) Monday through Friday. Genoa Healthcare is the largest provider of pharmacy, telepsychiatry, and medication management services for individuals with behavioral health or other complex, chronic health conditions. “The on-site pharmacy will improve access to medication for patients with substance use and or mental health disorders”, says Jeremy Klemanski, president and C.E.O. “People with substance use and mental health disorders sometimes struggle to maintain their medication adherence. Embedding a pharmacy with a treatment program should yield improved medication adherence rates for our patients. This is the second such pharmacy opened on-site at a Behavioral Health Outpatient Clinic in New York state. We are happy to provide this to Central New York.”

Syracuse Behavioral Healthcare recently announced the opening

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