Now accepting new patients

To Your Good Health

By Keith Roach, M.D.

Men With Factor V Leiden Can Still Receive Testosterone Therapy

DEAR DR. ROACH: I have Factor V Leiden, but I have been wanting to do testosterone replacement therapy. I have heard that testosterone causes blood clots. Obviously, with FVL, that would be a huge deal for me. Is this true? Does it cause clots, or is it safe for me to do? -- R.C.

ANSWER: Factor V Leiden is a common genetic variant that increases a person’s risk for developing a blood clot. However, a person who has never had a blood clot, but who is identified as heterozygous (meaning they only have one copy of the gene) for factor V Leiden, is still not likely to have a blood clot during their lifetime and is not recommended for treatment to prevent a blood clot.

Testosterone replacement therapy in men with FVL does increase the risk of blood clots in some studies, but not in others. In the studies that have shown an increase in risk, the risk has been estimated as approximately one person per thousand treated with testosterone each year. However, the risk occurs mostly during the first three months, and after two years on treatment, there is no additional risk. Thus, roughly one man per 500 who has FVL and gets treated with testosterone will get a clot, according to the studies that show an increase in risk. This is a small risk, but a blood clot is a significant potential problem. So, the risk of getting a clot should certainly go into the discussion about whether to give testosterone replacement to a man with FVL and symptomatic low testosterone levels. Most of the men I have seen with this issue have elected to take the replacement.

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Dr. Roach regrets that he is unable to answer individual questions, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu.

© 2023 North America Synd., Inc. All Rights Reserved

A Long Overdue Thank You

I want to sincerely thank all of the people who stopped to help after my accident on February 13th on I-390 (Groveland Road). I will never forget the people who took time out of their evening to make sure I (and the other individual) were okay. Thanks to the man who let me use his cell phone....it was very nice of you. A huge thank you to Trooper Anderson for your kindness, professionalism, and helpfulness. You are all angels!

Farmington Fire Dept. and Water Dept.Many Thanks!

I want to RAVE about my town’s Volunteers - Chief Phil Robinson, Dawn Malcomb & Matt Hauf and crew with the Fire Dept. Also, Josh Fagner and crew at the Water Dept. Thank you all for coming to our rescue on a Saturday morning with our basement water problem! You all saved our basement from extensive damage! Your kindness, extra help and care are appreciated. We are so grateful to you all!

An ER MD at Rochester General Hospital was a Gem

In mid-October 2022 I went to the Rochester General Hospital emergency room (ER) and got there about 6:15PM. I went there because at about 5:15PM I took my blood pressure with my home device. It registered 202/102 which, for an 81 year old man, was very high. After waiting about an hour a nurse called me to the ER examine room and found my blood pressure lower at 155/95. A doctor then came in and after many medical questions stated I could leave and see my own MD the next day. I advised him that I had a problem. My wife was in the main waiting area in the front of the hospital being brought there in a wheelchair cause she could not stay in the darkish ER corridor with me. Also my car was in the ER parking lot. Dr. Singh became a gem and a savior. He got a wheelchair and pushed me to where my wife was. Then he got my 80 year-old wife in the wheelchair and pushed her for 10 minutes with me behind out of the waiting room through the ER to the ER exit. What Dr S. did was above and beyond

Shopping carts

If you can walk to get a shopping cart or handicap cart, why can’t you return it to the store or cart corral? The answer is just plain laziness! Instead, some leave them between parked cars or in front of their own car and then look around to see if anyone is watching before quickly scurrying away. Even with children, you still have to get one when you arrive. How would you like it if the wind blew one into your car and dented it? Bet you wouldn’t.

No delivery is that important

I was heading to [local town] about 6pm Friday and got almost to [local road] and someone with a red delivery sign on top came down [local road] doing about 60-70 mph and blew the stop sign straight across to [local road]. He had to be doing 70 mph down [local road]. Thank god there was not anyone coming the other way. I did not catch what delivery it was, just that it was a dark blue or black car or SUV with a red sign on top. There is no delivery that important to speed like that. Should be held accountable.

Lanes

Right lane ends, merge left doesn’t mean accelerate then cut off the car that’s already in the proper lane. Slow down. Do you feel you have to be in front? You don’t have the right away!

Refresh Your Home for Spring

Reorganize cluttered areas

If a room (or rooms) in your house are in disarray, start by reorganizing those often-used spaces to give them a like-new look and feel. Begin by removing everything from the room - including the furniture, if you’re ableand separate your belongings into boxes or piles based on what you plan to put back in the room, move to another location and throw away or donate. Once you’ve cleaned the space, resituate the necessary furniture then place items you’re keeping back in their places in tidy fashion so they’re easy to locate.

Advice For A Successful Career Change

Research the job market. Look into the industries for the field you are considering. Is it the right time for success in this field? Industries tend to ebb and flow. Do not leave a job only to find the next career has few, if any, openings. Job growth projections are available through resources like the U.S. Bureau of Labor Statistics.

NOW HERE’S A TIP

By JoAnn Derson

* The way some items are packaged these days, you need to be Houdini to get into them. When you’re dealing with blister packs -- items sealed inside a hard plastic wrapper that looks to be heat crimped on the outsides -- try your can opener. You can run it around the edge of stubborn plastic packages, enough to get the item out. It’s more secure than a carpet knife or razor.

* Want to be able to tell at a glance which key belongs to the front door, the shed, your grandma’s house, etc.? Raid your (or your wife’s or daughter’s) stash of nail polish to paint the tops of keys to color code them.

* “Styrofoam trays that come with meat or in the produce area are very handy helpers for lots of little jobs. If yours are clean and unmarred, wash with hot, soapy water, rinse and dry for later. They are perfect for sending a friend home with leftovers, as you can cover the meal with plastic wrap. There is then no need to return a plate.” -- D. in Indiana

Conesus Lake

Hiring For The 2023 Summer Season

We are looking to sta our Dock & Yard Crews!

Boat Detailer/Cleaner – 1 full-time seasonal position available. Can be labor intensive. Responsibilities include cleaning boats as they come out of storage, detailing new boats, assisting at dock.

Position to start April 1

Boat Mover/Yard Crew – 2 full-time seasonal positions available. Responsibilities include picking up & taking boats to storage. Launching and hauling boats from lake. Assisting where needed. MUST have trailering experience! Boat operation not required but is a plus!

Position to start April 1

Dock Crew – 2-5 seasonal positions available. Responsibilities include pumping gas, assisting slip customers, cleaning boats, helping with boat rentals. Must be at least 16 years of age with reliable transportation. Position to start Mid April.

Call 585-346-2060 and ask for Lara or email your resume to conesusservice@smithboys.com

* For a deck of playing cards that has gotten sticky, put it in a bag (paper or plastic) and add a bit of baby powder. Shake vigorously. Take the cards out and shuffle to get off the extra powder. They are likely good as new.

* “Tidy loosely folded electric cords by storing them in cardboard tubes. The tubes can be cut to fit from a paper towel roll, or you can use a smaller, toilet-paper roll. Even long cords can be stored together in a giftwrap core. Do not overfill a tube, nor wind any electrical cord too tightly.”

-- O.R. in Nevada

* If you have a juice spill on clothing, try club soda to remove it when the stain is fresh.

Local Avon, NY Manufacturer accepting applications for Customer

Service Position

• Requires good data entry skills

• Communicating with customers

• Filing

• Minimum associate’s degree preferred

• Minimum 5 years’ o ce experience

• Excel & Word document pro cient

Starting pay $16.50/hr, negotiable based on education & experience.

Hours: M-F 8:00am-4:30pm.

PTO per company handbook, Paid Recognized Holidays. Elective Bene ts include: 401K, Medical, Dental, Life Insurance. Eligible for $250 Sign-on Bonus at 90 days employment. EAP, Long and Short Term Disability.

Apply in person at 495 Rochester St., Avon, NY or email H-R@graymetal.com

According to a 2018 report from the Bureau of Labor Statistics, the average person changes jobs between 10 and 15 times during his or her career. In addition, many workers spend five years or less in each job.