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Meet Your Doctor

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Dr. Andy LopezWilliams

Andy Lopez-Williams is president and clinical director of ADHD & Autism Psychological Services and Advocacy in Utica and Syracuse.

NOVEMBER 2018 • ISSUE 153

Is retirement the end?

Page 4

Facing fears of ‘Golden Years’ Story, Page 3

The eyes have it

Uplifting Endeavors

November is Eye Donation Month as awareness builds over importance of being a donor. Page 4

Dentistry 101: Tooth Extraction To pull or not to pull, that is the question! See ‘Smile With Dr. Suy’ inside

How powerful is the combination of high-protein intake and weight training? According to diet and fitness expert Pauline DiGiorgio, it can help combat dementia.

Probiotics all the rage This supplement may very well rock your world. Page 16

See ‘Pauline’s Pieces’ inside

Care for a Kumquat? You probably don’t know what kumquats are, but they are in season and provide a tremendous amount of nutrients.

Golden Years Special Edition

See SmartBites inside

The Blues

Cassandra Sheets, CEO at the Center for Family Life and Recovery, addresses depression. Page 8

November 2018 •

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Page 1

Had a Stroke. Back on Stage.

Musician Todd Hobin KNOW THE SIGNS • CALL 911 IMMEDIATELY

Central New York music legend Todd Hobin knew nothing about stroke — but he does now. That’s why he’s raising awareness about stroke risk factors and its signs and symptoms.

FACE DROOPING

A. S. T.

ARM WEAKNESS

SPEECH DIFFICULTY

Fact: Stroke is the fifth leading cause of death and a leading cause of disability in the U.S. Important to know: Stroke can happen to both men and women — at any age. Good news: Stroke is preventable by managing medical risk factors and healthy lifestyle choices. What to do: Time lost is brain lost. So it’s vital to know the signs of a stroke — F.A.S.T. Four words to live by: Call 911 and say, “Take me to Crouse.“ When it comes to stroke, every moment matters. As one of just 10 hospitals in New York State to have earned Comprehensive Stroke Center status, and with the region’s newest ER and hybrid ORs, Crouse offers the most advanced technology for rapid stroke diagnosis and treatment

Read Todd’s story and learn more: crouse.org/toddhobin.

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • November 2018

TIME TO CALL 911

Does Retirement Mean Death? Statistics show seniors can be vulnerable after their working years By David L. Podos

he term “Golden Years” was coined in 1959 as an advertising pitch for Sun City, Ariz. It was a catch phrase directed at people who were close to retirement, and the possibility that after a long career of working, would find solace in then-America’s first large-scale retirement community. The thought was retirees would enjoy the endless days of warmth and sunshine, golfing, hobbies or just plain “doing nothing” by sitting by the poolside sipping a favorite cocktail. It was a Mortka huge success. After working 30, 40, or more years, for many people the idea of retirement is a sweet one. There will be less stress and worry, more time to attend to overall health, perhaps a membership to a local gym, yoga, or rock climbing, sleeping longer, hanging out with more family and friends, and travel. However, for many retirees the picture isn’t so rosy, and, in some cases, can actually be deadly. According to the research nonprofit group American Progress, about 3.4 million seniors aged 65 and older live below the poverty line. These are apart from the millions more who are barely making ends meet or slightly above the poverty line. The plight of retirees in debt is characterized by relentless loan payments, decreasing assets and day-today budgeting problems. Money woes among the elderly affect not only their physical and mental health, but also put a strain to their relationships brought about by regrets over bad decisions and actions of the past.

So, is early retirement a healthy idea? A study at Shell Oil Co. looked into that very question and found that people who retired at age 55 had almost twice the risk of death compared to people who retired at age 60. More disturbing news comes from an article written by Patrick J. Skerrett, former executive editor for Harvard Health: “A new salvo comes from researchers at the Harvard School of Public Health. They looked at rates of heart attack and stroke among men and women in the ongoing U.S. Health and Retirement Study. Among 5,422 individuals in the study, those who had retired were 40 percent more likely to have had a heart attack or stroke than those who were still working. The increase was more pronounced during the first year after retirement, and leveled off after that.”

‘I was very nervous’

Of course, everyone’s situation is different and unique. Suzie Lupinski, who lives in the town of Columbia in Herkimer County, retired just over a year ago after 35-plus years in the insurance business. “I was very nervous in the beginning when I started to give some serious thought to retirement,” Lupinski said. Finally, she made the decision. “My stress levels went up. I asked myself, ‘What am I going to do now’? I got up every morning at 5:15 to get ready for work. After retirement, I still was waking up at the same time. It took a while to break that pattern and while I was adjusting, I was still dealing with added stress and anxiety,” she noted. Now settled and relaxed into

Continued on Page 15

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In Good Health is published 12 times a year by Local News, Inc. © 2018 by Local News, Inc. All rights reserved. Mailing Address: 4 Riverside Drive, Suite 251, Utica, NY 13502 • Phone: 315-749-7070 Email: lou@cnymail.com

Editor & Publisher: Wagner Dotto Associate Editor: Lou Sorendo Contributing Writers: Patricia Malin, Barbara Pierce, Kristen Raab, Deb Dittner, Pauline DiGiorgio, Brooke Stacia Demott Advertising: Amy Gagliano 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.

November 2018 •

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Meet

Your Doctor

By Barbara Pierce

November is Eye Donation Month

ovember is Eye Donation Month, and the Eye Bank Association of America will be raising awareness about the life-changing opportunities that are created through eye donation. Eye Donation Month 2018 will focus on all the individuals who make the gift of sight possible. Eye bank staff, funeral directors, medical examiners/coroners, hospital administrators, cornea donor families and cornea recipients are the enduring champions for the millions of people around the world whose lives were transformed through cornea donation and transplantation. In 2017, more than 50,000 corneas were provided for transplant with a more than a 95 percent success rate. Almost anyone can be a cornea donor, regardless of vision, age, or past ocular health issues such as cataracts or laser vision correction. The transplants performed each year increase their recipients’ productivity and reduce their health care costs, contributing $6 billion in benefits to the U.S. health care system. It all starts with registering to be an eye, organ and tissue donor and sharing your decision with your family and loved ones. During Eye Donation Month, EBAA and its member banks will promote cornea donation and transplantation awareness, encourage individuals to register as eye, organ and tissue donors, honor donors and their families, and celebrate cornea recipients. EBAA is the nationally recognized accrediting body for eye banks. Since 1961, EBAA member eye banks nationwide have made possible more than 1.8 million sight-restoring corneal transplantations. Individuals interested in learning more about cornea donation and transplantation should visit the EBAA website at restoresight.org. While there, visitors can also get information on how to register as a donor to leave the lasting legacy of the gift of sight. The Eye Bank Association of America, established in 1961, is the oldest transplant association in the nation and sets standards, provides education, and engages in advocacy to support eye donation, and cornea transplantation and research. To learn more, visit www.restoresight.org.

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Dr. Andy Lopez-Williams

Andy Lopez-Williams, clinical and forensic neuropsychologist, is president and clinical director of ADHD & Autism Psychological Services and Advocacy in Utica and Syracuse. He specializes in the assessment and treatment of neurodevelopmental disorders of children and adults, including attention deficit hyperactive disorder and autism. In 2007, Lopez-Williams founded AAPSA. for their child’s problems. I wish that I could help all parents realize that they are not to blame but that they are part of the solution. For any child, the parent is the person who will spend the most time with that child, love that child more than anyone, and has a vested interest in the child’s future. Thus, it makes perfect sense to me that we should be helping parents feel more empowered and effective in helping their children. At AAPSA, our services are based on our view that parents should be respected and valued as the most important persons in helping children.

Q.: What was your vision in founding AAPSA? A.: I’ve always seen AAPSA as a way to bring the very best evidence-based assessment and treatment services to the community, and to deliver these services with compassion and respect for every individual we encounter. My staff and I enjoy being that place where people feel like they have received the help they need to improve their lives. It’s hard work, but the feedback we get from patients and families whose lives we have positively impacted helps maintain our enthusiasm and commitment to helping others. Q.: What is the main thing you would like the community to know about AAPSA? A.: The most important thing to know is that we can help. There are effective treatments for most mental health and neurodevelopmental disorders. Unfortunately, I often hear statements like, “Let’s wait and see if he grows out of it.” These statements are the worst advice a parent can receive. The reality is the earlier that a problem is treated, the better the outcome. If I could change one thing, I would want parents, teachers, and physicians to avoid waiting to get a child assessed. If you suspect there is a problem, get your child evaluated. Waiting often leads to worsening of symptoms and makes it harder to achieve gains. In many cases, we can identify problems in development as early as 18 months. If you are concerned, bring your child to a specialist who can help determine if there really is a problem that requires treatment. Q.: What are you most passionate about? A.: Professionally, there is nothing more important to me than truly helping people. In order to do this, it is critical that I never stop learning. There is nothing more rewarding to me than to hear that I have helped someone improve his or her life. I am continually humbled and honored that people would choose us to help them, and I feel a great sense of responsibility to do everything we can to provide them with the absolute best possible care. To do that, I can never be satisfied with my knowledge and skill. I love learning new methods for helping people so I can continue to improve as a clinical neuropsychologist. Honestly, I lose sleep thinking about people who really need help

but are not getting that help. We, as a field, have the knowledge and ability to help people but there are so many barriers to people getting the care they need. It’s incredibly unfortunate that anyone in our society today has to go without care.

Q.: Is there a waiting list for your services? A.: Occasionally, we may have a brief wait to get treatment, but we work hard to not have people wait. If someone contacts our office, they are scheduled as soon as possible for an evaluation. After the evaluation, we make treatment recommendations and work diligently to get them into treatment as soon as possible.

Q.: Many of the children you treat, and their parents, have multiple challenges. What would you like parents to know? A.: Parenting is difficult, and parenting a child with a neurodevelopmental disorder may be one of the hardest jobs in life. Parents can often feel isolated and blame themselves

Q.: How do people pay for the services of AAPSA? A.: All of our services are typically covered by insurance. Occasionally, insurance companies will decline to cover services but we pride ourselves in fighting those battles with insurance companies for our patients.

Lifelines Birth year: 1970 Birthplace: Utica Current residence: New Hartford Family: Married with three children. My wife and I love spending time with our kids and instilling core values in them that will allow them to be kind, caring, and responsible adults. Hobbies: I love spending time with family and friends. Besides reading, I really enjoy fitness, sports, and travel. My wife and I own THRIVE Athletic Center in New Hartford and we are committed to helping people be healthy, well, and happy. I am a certified spinning instructor and exercise regularly.

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • November 2018

Golden Years

Screen Time

Cancer screening may not be necessary for older adults By Barbara Pierce

ur risk of cancer rises dramatically as we age — cancer is, after all, a disease of aging, a consequence of living longer. So it makes sense that older folks should be routinely screened for new tumors — or does it? “Yes, the incidence of cancer is higher in older people, but it is not as aggressive,” said Dr. Leslie J. Kohman, member of the Eastern Division Board of the American Cancer Society and professor of surgery at SUNY Upstate Medical University, Syracuse. “If you won’t live at least another 10 years, there’s no benefit to discovering that you have cancer,” said Kohman. “Treatment is far more complicated for an older adult.” Kohman There’s a lag of about 10 years to really see a benefit from cancer screening, explained Kohman. The benefits of screening that are seen in younger people are not seen in older adults. So if your life expectancy is less than 10 years, why do it? Enthusiasm for cancer screenings runs high among patients and doctors, both of who tend to overestimate the benefits but underappreciate the risks. Among people in their 70s and 80s, cancer screenings often detect slow-growing tumors that are unlikely to cause problems in their lifetime. Often, women with dementia who have only a few years to live are given a mammography. For them to be treated for breast cancer would only scare them, and they would not live long enough to benefit, added Kohman. An example is 89-year-old Elena Altemus who has dementia and is cared for in a nursing home. According to Kaiser Health News, she often forgets her children’s names and sometimes can’t recall whether she lives in Maryland or Italy. Yet she was recently screened for breast cancer. “If the screening is not too invasive, why not?” asked her daughter, Dorothy Altemus. “I want her to have the best quality of life possible.” Nearly one in five women with severe cognitive impairment, like Altemus, are still getting regular mammograms, according to the American Journal of Public Health, even though they’re not recommended for people with limited life expectancy. Having a mammogram is not pleasant for any of us, but if you have dementia, if could be very disturbing to go through. Having surgery for breast cancer would be a cruel, most disturbing thing to inflict on a woman with dementia, experts

ascertain. In some cases, women are being screened for tumors in organs they no longer have. In one study, nearly two-thirds of women who had a hysterectomy got screened for cervical cancer. “There is definitely over-screening in older adults,” Kohman said.

Life expectancy a factor

Over-screening is epidemic in the U.S. By looking for cancers in people who are unlikely to benefit, “we find something that wasn’t going to hurt the patient, and then we hurt the patient,” said a geriatrics professor online. “Older adults have many factors that need to be considered,” added Kohman. “Your life expectancy. Once you’re in your 80s, you probably have less than 10 years to live. Even if you’re 75, your life expectancy is probably about 11 years.” “Your chance of dying of cancer is only one of many things you could die of; there are so many other ways you might die. Cardiovascular disease is a bigger threat than cancer,” she said.

Yes, you might die of something else, from dementia to heart disease to pneumonia, long before your cancer would ever have become a threat. Prostate cancers, in particular, are often harmless. As this is a slow-growing cancer, the American Cancer Society recommends screening only for persons expected to live 10 years or more.

The same recommendation applies to breast cancer screenings — only for persons expected to live 10 years or more. Colon cancer screening is recommended up through age 75. People aged 76-85 should talk with their health care provider about whether continued screening is right for them. Screening is unnecessary for most people who are older than 85. “A colonoscopy can have severe complications,” explained Kohman. “Such as perforation of the colon tissues which become more fragile with age. Instead, do a stool test for blood in the stool.” Decades of public awareness campaigns have convinced us that cancer screenings are essential. And our doctor doesn’t want to tell us we don’t need to be screened because we’re not going to live long enough to benefit. However, if you’re 65 or older, and your doctor suggests a cancer screening, ask him or her why if he wants to screen you, suggests Kohman. “Ask, ‘What is the benefit of having this screening? Why do you want to find out?’ You’re more likely to have harm from being treated for a cancer that would not cause harm, like a small breast cancer, or the vast majority of prostate cancers.” “Cancer screening for older adults should very individualized — as to the patients’ state of health, philosophy, and life expectancy,” she added.

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November 2018 •

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Golden Years

Lost in Loneliness?

To be happy in old age, you’ve got to get out of the house

rable to smoking. Some studies show that loneliness is twice as dangerous as obesity. It can wreak havoc with any of us feel alone. your immune system and increase More seniors face aging inflammation, leading to diabetes, without a partner or family heart disease, arthritis, speeds the member to be there when we need someone, without anyone to support onset of dementia and other serious health conditions. us through difficult times. “Ask a zookeeper to develop We all need social connections to a space for Homosapiens, and he thrive — no matter how old we are. Connections with others are critically would list at the top ‘Obligatorily important to our physical and mental gregarious: Do not house in isolaParkway Center, Memorial Parkway, Utica, recently hosted a dinner dance hoedown tion,’” said Eric Klinebert in his book well-being. “Going Solo.” He’s right. Humans Many of us don’t have children, that featured a chicken barbecue with all the fixings, entertainment and line dancing. don’t do well being alone. or our children don’t live near us. Experts recommend we connect As we lose spouses, partners, and There’s something for everyone.” tops, cells phones, and TV,” said Fawith others in a social setting at least friends to death and disability, we To learn more about the Parkway ther Jim Cesta of St. Mary of Mount aren’t able to replace them. The older once a week. Even being around Center, Spezzano invites people to Carmel, Utica. “People are looking strangers is better than sitting home we are, the less mobile we are, and for a connection with others, a comjust walk in or call first if they wish. alone. the more difficult it is to establish munity. Being a part of a community “Our members are great at welcomWhat to do if you or an older new relationships. promotes health and healing.” ing new people,” she said. adult in your life is growing isolated? Proposal# “I’m alone with my dog and If a traditional church or synMP Order he classification of: You do have to force yourself don’t know where to turn. I fear agogue isn’t for you, consider Ad Helpful advice to get out of your house, if you can. becoming homeless, and I’m scared Unitarian Universalists, HumanLetter — Get involved: Consider volunto death,” said a member of Elder Or- “People tell us they were sitting at ists, Buddhists or others out of the teering. “I feel like I’m doing somehome alone and unhappy, then came phan Facebook group online. Many mainstream. thing worthwhile, something that 2014 of us have the same fears. here and got involved and it saved — Become internet and social makes a difference,” said 87-year-old their life,” Spezzano said about the “The need for a social network media savvy: You’ll find groups to Frances Mannino of Utica. Acct# A1ZGFE Sales Rep: GRIMALDI, JENNIFER Size: HCN6 Parkway Center. L “That’s why we’re Ad Id: AMZHMA1 Contract# 5544766 is a big issue,” said Sara Spezzano, meet this goal, such as NY Connects After her husband died, Mancommunications director at the Park- here.” for ideas. Connecting with others “We have a lot of things going on nino began volunteering at Hospice way Center in Utica. online is especially important if you and Palliative Care in New Hartford. here that contribute to a long life and There are serious health consecan’t get out of the house. Facebook — Learn new things: Take an good health,” she added. “Like aerquences to social isolation. Studies and others have discussion groups adult education class. Most libraries obics, ‘Stay Young Strong Bones,’ sofind that socially isolated older peolike Elder Orphan Facebook group have book clubs and activities. cial activities, recreation, card games, ple are twice as likely to die premathat creates support, friendships, and — Find a support group: Engage Wii bowling, a social club, and trips. turely, with a mortality rate compaconnection for older persons living with a grief group or a group of peoalone. ple with similar concerns. You’ll get — Consider shared housing: valuable information as well as an Those living alone are prone to many opportunity to meet others. Diabetes? health issues compared with those Whatever your interests, there who live with another and are 70Flat Feet? are probably others with the same to-80 percent more likely to develop interests: historical societies, podementia. Plantar Fasciitis? litical groups, people who like to “I went way beyond my comfort You may be eligible for shoes at little or no cost! dance, hike, or garden. zone when I invited Liz to share my Churches are a time-honored house,” said my friend Julie. “I’d way to get people in your life. “I never lived with anyone but my definitely believe that those who are husband. When he died, I was so part of a church have better health lonely. Liz was looking for a place to and longer lives,” said Father John live. It’s worked out well for both of Hogan of St. Mary of the Assumpus. It’s nice to have someone to have tion Church, Oswego. “In our pardinner with from time to time. It feels ish, the senior citizens’ interactions good that there’s someone who cares with one another are a source of about how my day went. I’m really support; their camaraderie makes all glad I pushed myself.” the difference in the world to them.” The Parkway Center can be “We’re all so out of touch with reached at 315-223-3973 or visit people, and in touch with our lapwww.theparkwaycenter.org. By Barbara Pierce

Upstate Cerebral Palsy begins holiday project

pstate Cerebral Palsy has begun its annual Holiday Miracles Project, sponsored by NBT Bank, to help needy children receiving agency services receive gifts and necessities this holiday season. Caring donors receive a child’s wish list and then purchase and wrap items on the list.

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AMZHMDNLM 14-Mar-2014 07:57

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • November 2018

Anyone interested, including co-workers, families, individuals and school groups, are invited to participate and help make a positive impact through sponsoring a child or children, the majority of whom would otherwise go without this holiday season. For more information on Holiday Miracles, call 315-927-2305.

Ask The Social

Security Office

From the Social Security District Office

Check income-related Medicare premium

edicare is our country’s health insurance program for people age 65 or older. Certain people younger than age 65 can qualify for Medicare, too, including those with disabilities and those who have permanent kidney failure. If you’re a Medicare beneficiary who has been informed that you must pay more for your Medicare Part B or Medicare prescription drug coverage premium because of your income, and you disagree with the decision that you need to pay a higher premium amount, you may request an appeal. The fastest and easiest way to file an appeal of your decision is by visiting www.socialsecurity.gov/disability/appeal. You can file online and provide documents electronically to support your appeal. You can also file an appeal online even if you live outside of the United States. You may also request an appeal in writing by completing a Request for Reconsideration (Form SSA-561-U2) at www.socialsecurity.gov/forms/ssa-561.html. If you don’t have access to the in-

ternet, you can request a copy of the form by calling us at 1-800-772-1213 (TTY 1-800-325-0778). Learn more by reading our publication “Medicare Premiums: Rules for Higher-Income Beneficiaries” at www.socialsecurity.gov/pubs/EN05-10536.pdf. Know someone who hasn’t signed up for Medicare yet? They can use our online Medicare application if they: • Are at least 64 years and 9 months old; • Want to sign up for Medicare but do not currently have any Medicare coverage; • Do not want to start receiving Social Security benefits at this time; and • Are not currently receiving Social Security retirement, disability, or survivors benefits. You can learn all you need to know at www.socialsecurity.gov/ benefits/medicare and easily share these resources with family and friends.

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Battling the Blues Is depression affecting you or a loved one? By Rachel Evans

ct. 11 is National Depression Screening Day. The theme this year is “Reach Out” and emphasizes connecting with people around you and building social supports. Make mental health a priority. Mental health is just as important as physical health. This day is an

opportunity where hospitals, clinics, colleges, and community groups can screen for various forms of depression and mood disorders. According to the Centers for Disease Control, one out of every six adults in the United States will suffer from depression in their lifetime. Worldwide, an estimated 350 million people of all ages suffer from depression.

According to Cassandra Sheets, CEO at Center for Family Life and Recovery, Inc., “Depression is real and can stem from certain physical or genetic conditions. Heredity can play a part in someone becoming depressed. Trauma, stress, and social isolation are known to cause depression. Several prescription medications list depression as a possible side effect.”

Suffering from depression?

Depression is a treatable mental health condition that is typically characterized by persistent sadness and loss of interest. The following are some additional symptoms of depression:

— Changes in sleep and appetite — Poor concentration — Loss of energy — Loss of interest in usual activities — Low self esteem — Hopelessness or guilt Be aware that not all people experience symptoms of depression or the degree of symptoms may vary. For an online screening, go to: www.HelpYourselfHelpOthers. org. If any of the above symptoms sound like what you, a friend, or a family member is experiencing, schedule an appointment with Sheets your doctor today. Depression may cause some people to have thoughts of hurting themselves or taking their own life. If you or anyone you know is thinking about hurting themselves, seek immediate help. Call 1-800-273-TALK (8255) to reach a 24−hour crisis center or dial 911. Locally, the Mobile Crisis Assessment Team is also available to assist at 315-732-6228.

Follow this advice

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • November 2018

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The following are simple tips that you can add to your day to prioritize your mental health: — Turn your cell phone off for 20 minutes a day and spend that time going for a walk outside. — Focus on your breathing throughout the day, and listen to your body’s cues. — Journal and write down three things you are grateful for or proud of yourself for doing today. — Reach out to a friend in need today and pay attention to how you feel afterward. Helping others can boost your own well-being. — Set aside time to exercise every day. Working out can help reduce your stress and feelings of anxiety and depression. — Be aware of the symptoms of depression. — Mental health and physical health have many connections, and one is eating healthy. Try to eat a piece of fruit at every meal every day. — Develop a consistent sleep routine. Try to go to bed at the same time every night and keep track of how many hours of sleep you are getting. — Reach out to a friend. Stay in touch with loved ones. Schedule a lunch date or meet for coffee. Spending time with friends can help to improve your mood. — Spend time with your pet. Taking care of a pet can have a calming influence on you and reduce stress. — Try to keep alcohol use to a minimum and avoid all drugs. Alcohol can negatively affect sleep and mood. While it may provide a temporary mood boost, over time, alcohol can increase depression. The Center for Family Life and Recovery, Inc. has a number of professional counselors on staff to help. Both day and evening appointments are available for both individual and counseling sessions by calling 315-733-1709.

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MVIGH_Naqvi_4.7917x10.444.qxp_Layout 1 6/20/18 11:21 AM Page 1

Golden Years What’s in your medicine cabinet?

CANCER CARE. CLOSE TO HOME.

Manage, safeguard your medications properly By Barbara Pierce

ow many of us know exactly what’s in our bathroom medicine cabinets? For most us, a quick look inside our medicine cabinet may offer more than a few surprises. The odds are that we’ll find some old prescription bottles way beyond their expiration date or that we’re no longer taking, maybe some old vitamins and questionable supplements. “It’s a good idea to go through Burns your medicine cabinet every three to six months,” advised Scott Burns, pharmacist and director, Rome Memorial Hospital Retail Pharmacy, Rome. “Look for medication you’re no longer taking or expired medication.” It’s the same process as going through your refrigerator and taking out expired food. Expired pills, like expired food, are not recommended for use, said Burns. “We don’t keep mayonnaise and milk after their expiration date; we shouldn’t keep any expired product in our refrigerator, pantry, or medicine cabinet. An expired product is an expired product.” There is little evidence that outdated medications become toxic or harmful. However, medication does lose its effectiveness once it’s expired, Burns explained. “All the expiration date means is that it will not be 100 percent effective; the degree to which it loses its effectiveness varies by the medication. The pharmaceutical company determines this by testing. Some say it’s 80 percent effective after a year; others say 50 percent. It depends on the medication.” It’s especially important not to take this chance with medications that are critical to your health — like nitroglycerin, which should be replaced every six months. You absolutely do not want to take the risk of needing a nitroglycerin pill to treat sudden heart pain, and have the pill not work. And the epinephrine in EpiPens also loses its potency past its expiration date. You don’t want to take a chance that your EpiPen no longer is effective to stop a severe allergic reaction.

Blood pressure pills or blood sugar-lowering agents are medications that all protect you from life-threatening complications. Expiration dates shouldn’t matter for a medicine that you are supposed to take regularly for a chronic problem, such as to keep your blood pressure normal. If you are taking the medicine as prescribed, it should never have an expiration date that has passed. Expiration dates should be an issue only when you have a medicine for a recurring temporary problem. Toss out medications that you are no longer taking. You could accidentally take the wrong pill or someone else could. “We think our medications are safe and secure, but they can fall into the wrong hands,” suggested Burns. “Grandkids get them; they think they know what they’re doing. They bring them to school with bad consequences.” Unused prescription drugs were the most common source of misuse and diversion in teens, according to the federally sponsored National Survey on Drug Use and Health. “To discard expired medications and those you are no longer taking, there are several options,” Burns said. “The Rome Police Department has a prescription drop box in the lobby, and soon we’ll have a drop-off here at our pharmacy. That is safest and easiest.” “Don’t flush it down the toilet or put in the water; it will get in the waste and that’s not good for the environment,” he added. It is important to keep an accurate written list of your medication, Burns advised. This could be critical in case you cannot communicate this information. The list should include the name of the medication, the dose you take, and the frequency. “Every time you see a doctor, update your current list, and put the date on the list,” he advised. “As people get older, they’re often seeing multiple physicians: a cardiologist, primary physician, dermatologist; all are prescribing medications. One of our biggest challenges is when a patient is admitted through the emergency room. They aren’t at their best and may not be able to tell us what medication they’re taking. ‘A little pink pill’ or ‘a big white pill’ doesn’t help us. We could provide so much better care if we had accurate information about their medication,” he said.

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Expertise Compassion Hope l

Rome Memorial blood drive exceeds goal

ome Memorial Hospital recently partnered with the city of Rome Fire and Police departments for the first American Red Cross Battle of the Badges blood drive competition at the hospital. Hospital employees, community members and city employees rolled up their sleeves and donated blood supporting either “Team RFD” or “Team RPD.” As a result, 43 pints of blood were collected, exceeding the goal set to help the Red Cross meet patient and hospital demand for blood. “Rome fire and police departments traditionally hold friendly sports competitions to support a community cause,” explained deputy fire chief Mark Kohlbrenner. “Look-

November 2018 •

ing for a way to include all ages from both departments, I challenged the police department to join us in the Battle of the Badges blood drive to see which department could recruit the most blood donors in the community.” Kohlbrenner, who is also a radiological technologist at RMH, worked with director of education/employee health and volunteers, Julie Chrysler, coordinator of the hospital’s blood drives. RMH hosts a blood drive every other month. The next community blood drive will be from 10 a.m. to 4 p.m. Nov. 20 in the hospital’s second-floor classroom, 1500 N. James St. To register, call the hospital’s volunteer department at 315-338-7134.

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Page 9

Between You and Me

By Barbara Pierce

Third wheel

Being grandparents has its disadvantages

y new granddaughter was here. My life changed; I loved her intensely. You know what that’s like if you’re a grandparent. I loved her more than anything or anyone else. That was on one hand. The other hand, belonging to her parents, held all the cards. I soon learned that I could love my granddaughter fiercely, but I had no say — not in anything. My Pierce suggestions were not even heard, not wanted. Though when the exact same suggestion came from my daughter’s best friend, it was an awesome idea promptly acted on. Submitting to the rules and wishes of our adult children and their partners is humbling. Now my grandkids are teens. Here are some guidelines that have kept me in the good graces of my daughter and her husband over the years, so that I can have a good relationship with them and my two grandchildren. I have incorporated Barbara

Graham’s “7 Unbreakable Laws for Grandparenting” from Grandparents. com. • Seal your lips. Even if you’re a psychotherapist who many look to for parenting advice and people read your articles on childrearing, and you successful raised your own children, your adult children will assume you know nothing about childrearing. Your advice and opinions will not be welcome, unless they ask for it. They seldom do that, and even then, it’s questionable as to whether they really want to hear your answer. • Tread lightly. “Ah, my poor tongue is sore from being bitten,” Roxana Robinson wrote in the book “Eye of My Heart,” describing the pleasures and perils of being a grandparent. You may love your grandchild as your own, but never forget that they are not your own. I was there when both grandchildren were born. I was there from their moment of birth. I thought we were all one big happy family. I was wrong. The parents were skeptical if they could even trust me with their precious child. Did I know how to hold her the right way? Did I know when to burp her? Did I know watching her means I cannot take my eyes off her,

even for a minute? It took me a few blunders to secure their trust — which must be renewed fairly often. Making sure I’m still with it, I guess. • Abide by the rules of the parents. “The dos and don’ts of childrearing change with every generation. If I had listened to my mother, I would have held my son only while feeding him (every four hours) — and not one second longer, lest he turn into a ‘mama’s boy,’” says Graham.

Whole new world

These days, with all the latest information on childrearing online, and the practical wisdom shared by my daughter and her friends, most new parents are up to speed — and beyond — but we grandparents most definitely are not. Baby slings? Co-sleeping? The Mutsy Slider Stroller? Who knows what these things are or how to operate them? • Accept your role. All grandparents — whether on the maternal or paternal side — are at risk of being shut out if they fail to observe any of these commandments. Try to think of yourself as a relief pitcher in a baseball game: You’re on the bench until your adult children call you up and then you must do exactly as they say if you want to stay in the game. (I’ve already said this, but I think it’s essential.) Graham adds: “If you’re the mother of a new father, you may not have the same access to your grandchild as the maternal grandmother does, at least in the beginning. New mothers are often the primary caretakers of babies, and they tend

to lean on their own mothers for support. This is not a problem — unless you think it is. Your grandchild will love you too.” • Get a life. Don’t let your desire to be an important part of your grandchildren’s lives take precedence over your own life. Have an active life of your own; have your own interests. You have your life; they have theirs. You can be close, yet you are separate — boundaries, boundaries, boundaries. • If your grandchildren don’t live near you, figure out how to keep a connection with them. They do need you in their life; you bring a dimension they can’t get from their parents. Learn to Skype and do it regularly. As grandparents, we must be cheerleaders for our grandkids — always believing in them, supporting them, taking their side. I asked my grandson what makes a good grandparent: “Bring me money or candy!” was his answer. But he’s only 12. So I’ll bring him candy though I believe that the greatest gift we can give our grandkids is the gift of wonderful memories. Shared experiences are what they’ll remember as adults, not the expensive gifts. I love Robinson’s description of being a grandparent: “It’s like being told you no longer have to eat your vegetables, only dessert — and really only the icing!” • Barbara Pierce is a retired licensed clinical social worker with many years of experience helping people. If you would like to purchase a copy of her book, “When You Come to the Edge: Aging” or if you have questions for her, contact her at barbarapierce06@yahoo.com.

The Intersection of Cancer Specialists and Local Care

medical oncology affiliate

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Now accepting patients. 604 Seneca Street, Oneida • (315) 361-2381 • oneidacancer.org Page 10

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • November 2018

CALENDAR of

HEALTH EVENTS

Got a health-related activity or event that you would like publicized? Call Lou Sorendo at 315-749-7070 or email lou@cnymail.com.

Mondays

Thursdays

Food Addicts in Recovery to meet

Loved one on drugs? There is support

Food Addicts in Recovery holds an anonymous meeting from 6:308 p.m. Mondays at Trinity United Methodist Church, 8595 Westmoreland Road, Whitesboro. For more information, call Helen at 315-794-2314.

Tuesdays

Insight House offers family support group Insight House Chemical Dependency Services, Inc. is offering a family support group meeting from 6:15-7:30 p.m. Tuesdays at Insight House, 500 Whitesboro St., Utica. The group is free and open to anyone who is concerned about a loved one’s relationship with alcohol, opiates/heroin, or other substances. For more information about the group, call 724-5168, ext. 265, from 8:30-4 p.m. weekdays. All calls are strictly confidential.

CNY Services Milestones is featuring a support group for anyone dealing with another person’s drug and/or alcohol addiction. The support group meets at 6 p.m. Thursdays at 502 Court St., Suite 210, Utica. The support group is free and open to those struggling with a child, partner, wife, husband, mother, father or friend who is battling addiction. For more information, call Tony at 315-717-9153.

Nov. 1

Parents bond to battle addiction A support group — Parents of Addicted Loved Ones — meets from 7-8:30 p.m. on the first and third Thursdays of every month at the Canajoharie Fire House, 75 Erie Boulevard, Canajoharie.

The next meetings are Nov. 1 and Nov. 15. The support group is for parents with a son or daughter who is addicted to drugs and/or alcohol. PAL is a nonprofit organization run by a volunteer board of parents. For more information, visit www. palgroup.org or call PAL at 480-3004712.

Nov. 1

Free health and wellness class offered Herkimer County HealthNet is sponsoring a free health and wellness series called “Big Picture Nutrition” open to anyone interested in living a healthier, more fulfilled and balanced life. With Lela Niemetz, owner of FoodFeasible, attendees are sure to have their health and wellness horizons broadened. The next session on meal planning will be featured from 5-6:30 p.m. in room 295 at Herkimer College, 100 Reservoir Road, Herkimer. The class will include a live food demonstration and recipes. Reservations are required. For more information or to register, call HCHN at 867-1552 or email Elyse Enea at eenea@herkimercounty. org.

Nov. 1

HealthNet offering free pre-diabetes program Mohawk Valley residents with pre-diabetes or who are at high risk for Type 2 diabetes now have more

resources to prevent diabetes. A free diabetes prevention program designed to help participants reduce their risk for Type 2 diabetes by learning to eat healthier, lose weight, become more physically active, and manage stress is being offered by Herkimer County HealthNet. The program, which began Oct. 11, meets from 5-6:30 p.m. every Thursday at the Mohawk Reformed Church, 20 S. Otsego St, Mohawk. After the first 16 weeks, the program will meet monthly for six months to continue to offer support and help participates stick to their new healthy lifestyle. The cost for this program is free and includes material to help participants learn how to become more physically active and learn skills to make healthy food choices. Pre-diabetes is defined as having a blood glucose (sugar) level that is higher than normal but not high enough to be diagnosed as diabetes. Those interested in attending the program can contact HealthNet at 315-867-1552 or email eenea@herkimercounty.org.

Nov. 3

Valley Health Services to feature musician Valley Health Services in Herkimer and The Stanley Theater in Utica will feature “An Evening with Chris Botti” at 7:30 p.m. Nov. 3 at The Stanley Theater. Botti, award-winning master trumpeter and composer, has mesmerized audiences for over two

Continued on Page 18

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Page 11

Community Memorial in expansion mode Hospital in Hamilton to double its space, add services By Patricia J. Malin

ommunity Memorial Hospital in Hamilton recently broke ground on a $2 million expansion project that will double the size of its current hospital by next year. “The reason we are adding additional space to this facility is twofold,” said Community Memorial President and CEO Sean Fadale. “We are at capacity in our current space with 11 providers providing care. Plus, the number of providers in Fadale that space limits our flexibility and our ability to grow.” The Hamilton Family Health Center, 164 Broad St., was built in 2005 and has just over 5,000 square feet. The expansion will add another 5,000 square feet. Construction has started and should be complete by next summer. Of the 11 providers at Community Memorial Hospital, they are mostly nurse practitioners and physician assistants, with nine being full time. The health center has two part-time physicians. There is no set goal on how many new providers will be hired. “We hope to expand both primary care and specialty care, such as urology and obstetrics-gynecology services,” Fadale added. “This facility will be anchored by a strong group of primary care providers and pediatrics and by specialty providers

This is what Community Memorial Hospital’s new Family Health Center will look like when complete. in the areas of cardiology, general surgery, and pulmonology. “Our goal is to keep health care local and eliminate the need for residents of this region to have to leave town for access to primary and specialty care,” he added. The expansion will not only provide better services for Community Memorial Hospital patients and for the surrounding community, but the New York State Department of Health is indirectly encouraging it, Fadale said. “Hamilton has been designated as a physician shortage area by New York state, especially for primary care,” Fadale said. “Unless we add space for providers, we would be unable to recruit additional providers to Community Memorial Hospital.” Fadale acknowledged the challenges of recruiting primary care medical staff and specialists to a rural area. Unfortunately, the shortage is nationwide and makes recruitment more difficult. “The fact that we are building a new space, expanding and updating our current facilities is allowing us to recruit successfully,” Fadale said. “We will be getting a new primary care physician who will be starting next summer.” Above all, Community Memo-

rial sells itself on the quality of life found in Central New York. “We have found that when thinking about numbers, there are so many openings across the country for providers,” Fadale added. “When they start thinking about joining a large practice, it’s hard to get physicians to look at us, but once they do, and they hear about our plans for the future, and the easy access we have to places like New York City, Philadelphia and Boston, we can be very successful. Also our size allows us to be nimble and adjust to patients’ needs,” he said. Community Memorial Hospital was founded more than 60 years ago and now serves 45,000 people in 27 communities throughout Madison County and the eastern sections of Onondaga County, as well as parts of Chenango and Oneida counties. It provides primary care services with a network of five family health centers in Hamilton, Morrisville, Munnsville, Cazenovia and Waterville, an after-hours urgent care clinic, and 24-7 emergency medical services. Fadale became CEO six years ago and said improving the hospital’s “capital needs” has always been on his agenda. Then this year, the board

of directors and administrative team decided the time was right and funds were available to meet those needs. The project will be cover by $2 million in funding that comes almost completely from donors and the Community Memorial Foundation. “We will execute this project around our budget and in some places we may not have the highest-end finishes, but we will have a very functional and high-quality space for our patients, our providers and staff,” he said. Community Memorial is affiliated with Crouse Health in Syracuse, and some members of Crouse’s board serve on the 18-member Community Memorial board. Community Memorial Hospital employs nearly 400 people and is an economic factor in Madison County. It has 25 beds and is the only hospital in New York state with a 5-star rating in patient satisfaction, according to its website. Also, it is the only hospital in the state to achieve an award as one of Healthgrades America’s 100 Best Hospitals for Joint Replacement (2016). It has also been named one of the 100 Best Hospitals for Overall Orthopedics.

Down but not out

Buddy Walk helps to create awareness of Down syndrome By David L. Podos

anna Park in downtown Utica was bustling with activity as Upstate Cerebral Palsy recently held its 23rd annual Buddy Walk. The walk creates awareness of Down syndrome and corresponds with Down Syndrome Awareness Month, which is observed in October. “The Buddy Walk helps Down syndrome clients as it serves to bring them recognition in the community,” said Kristen Vennero, vice president of communications at UCP. “The clients wait all year in anticipation of the yearly event. It brings a sense of camaraderie to them. Beyond that, it brings great positive and healthy energy to all participants. Our clients are able to make connections with other people who are diagnosed with Down syndrome and that is a good thing.” According to Vennero, the event Page 12

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was the biggest yet with more than 400 people attending. “The Buddy Walk is such a great event. It brings families, classmates, neighbors, co-workers and friends out to promote people with Down syndrome,” said Julie Suprenant, director of communications at UCP. “These people go to school, work, and contribute to the community. They deserve our kindness and respect like any other person.”

Chromosomal defect

Down syndrome is congenital and a disorder that affects both intellectual capacities as well as physical abilities. It comes about from an extra copy of chromosomes (specifically, chromosome 21). One out of every 700 babies born in the United States has Down syndrome, according to www.healthline. com. This equates to 6,000 babies born with Down syndrome each year in the U.S.

Anthony Murad and Eileen LaBarbera take part in the festivities at the 23rd annual Buddy Walk. Even though the disorder can be a challenge, many people with the syndrome live full and productive lives. Allison Bishop attended the UCP Buddy Walk. She owns Allies Celfie Central, a photo booth business. As her business card states: “It’s all of the fun of a photo booth without the booth, creating instant memories and instant connections!” Bishop has Down syndrome. Allison’s sister Kelly supported her and helped to get the business off the ground, from website develop-

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • November 2018

ment to the design of business cards. Allison says since she started over two years ago, she has provided her services for over 200 events. “I am so excited to be working and doing something that I really enjoy. I love seeing people happy and having fun,” she said. Bishop is an alumnus of New Hartford schools, attended College Works at Mohawk Valley Community College, and has received numerous recognitions for advocacy for those with Down syndrome and disabilities.

The Balanced Body

By Deb Dittner

Fitness: You Can Do This! Following an exercise regimen takes persistence, desire

ant some good news? Of course! Who doesn’t? Physical fitness will help you to feel younger and live longer. Regular exercise will put you at a lower risk of dying from a variety of causes. Fitness will also improve your sleep, prevent weight gain, decrease your risk of high blood pressure, stroke, Type 2 diabetes, and depression and anxiety. Dittner Physical fitness doesn’t have to be super-strenuous to gain results. Moderate activities five to six times a week can lead to improved and lasting health benefits. Moving at a moderate intensity for at least 30 minutes most days of the week, and at least twice a week incorporating aerobic exercise (cardio) with weight-bearing activities to strengthen all muscle groups, should be practiced. The No. 1 one reason most people say they don’t exercise is a lack of time. I hear ya! We’re all crazy busy but incorporating even short bouts of movement into your schedule will be beneficial. Add brief 10-minute segments into your day to reduce cardiovascular disease. For example, park your car at the farthest end of the parking lot at work and walk in. If your job has elevators, take the stairs. Instead of sitting at your desk eating lunch, take a walk in the park and sit on a

bench to enjoy your meal. This way, you are getting some vitamin D and fresh air as well. Set your specific fitness goals and be realistic. Start up gradually. Don’t set out to run a 10K road race in a month when you haven’t run in years. You need to build strength and endurance. Starting out too quickly can sometimes lead to an injury that will sideline you even longer, causing frustration. To be more realistic, set your goals on a 5K walk-run road race in a couple months. Consider scheduling your fitness plans right into your daily planner. By putting this in writing into your schedule, you will be more likely to complete it. Take into account that obstacles may come into play, so have a plan B to either do something else that day involving movement, make up the time or add it to your next session.

Get a workout buddy

An excellent way to make sure fitness becomes a part of your life is to work out with a friend. You will have each other to push along the way on those days that you “just don’t feel like it” or it’s “too cold outside.” Motivating each other is also more fun as you see each other gain strength and endurance. Sticking to your new fitness routine can be challenging, so you’ll want to vary your exercise. There are a variety of activities to choose from such as walking, running, swimming, high-intensity interval training, cardio, yoga, and even going outside with your kids to

play soccer. If you’re not sure what you could or should do for fitness, consider a trainer. This doesn’t need to be long-term but just to get your started, learn proper technique and achieve goals. Of course, if you haven’t exercised in many years, check with your health care provider to make sure it’s a go. Joining a gym or health club may also help to motivate you on your quest. Already have equipment at home? Hop on that stationary bike, treadmill, stair climber, ski machine, or rowing machine. Not in the budget? Remember using a hula-hoop or jump rope as a child? Those are very reasonably priced, a ton of fun and even a good

laugh at the beginning. Is mobility an issue? Consider chair yoga. It’s often said to make any habit stick you need to incorporate the program into your life for 90 days. Maintaining a fitness routine will come as easy as brushing your teeth and sleeping for seven-to-nine hours nightly. You can do it! One step at a time will lead to many rewards in the future. • Deborah Dittner is a family nurse practitioner and health consultant. Her mission is to transform as many individuals as possible through nutrition and lifestyle changes. For more information, check out her website at www.debdittner. com or contact her at 518-596-8565.

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Page 13

Diet & Fitness Pauline’s Pieces

By Pauline DiGiorgio

Protein boost, weight training bolsters mind, memory

ypically, hearing of someone using the dynamic combination of increasing protein intake and lifting weights at the gym automatically leads you to think that person is striving toward a dream buff body. But I’m here to shed some light of how the power blocks of protein and strength training can help you stop blaming DiGiorgio your forgetfulness on your “old age.” Eating a healthy diet is important for general well being, but it might be even more beneficial in the pre-

vention and delay of the progression of Alzheimer’s disease. So why consumer more protein? Twenty percent of the human body is made up of protein, so therefore eating more will increase the proper macronutrients to make enzymes, hormones and other body chemicals work toward better brain function. Try eating these top-rated “brain foods” for potential memory-boosting powers: (Note: Some of the food choices also contain a bit of Omega 3 with protein, a double whammy! Omegas are amazing for focus and preventing body inflammation. Let’s try to aim for 10-15 grams of protein per meal if you are not very active; 15-20 if you are very physically active.)

— Salmon, 4 ounces equals 30 grams of protein — Walnuts, 1/4 cup equals 4 grams of protein — Almonds 1/4 cup equals 8 grams of protein — Yogurt, 1 cup equals 14 grams of protein Now for the iron-pumping doubters out there: Studies show the related effect of hormonal and norepinephrine releases that happen during exercise lead to better memory and mind clarity. I should say here that it does not have to be a dramatic jump to become a full-blown fitness guru to

see and feel some results. Beginners can reap the benefits by starting off small and doing body weight exercises such as squats, knee bends and push-ups, which produce similar memory boosting. So, head to a sporting goods store, grab a couple of inexpensive hand weights and YouTube an athome dumbbell workout. It’s as easy as that, and the hardest part is just to remember. • Pauline DiGiorgio is a fitness ambassador and Group X instructor at Retro Fitness gyms. Questions? Email her at ptlifts@gmail.com.

Now Seeing Outpatients at Sitrin! Sitrin: Injury management Dr. Alfred Moretz

program saves time, money and speeds recovery

Orthopedic D Surgeon Clinic Hours Monday & Tuesday: 9 am to 5 pm Thursday & Friday: 9 am to Noon On-call appointments also available

2050 Tilden Avenue, New Hartford, NY 13413 • 315-737-2246 www.sitrin.com MRTZ-4.79x6.69 4C Ad.indd 1

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uring the past few months, individuals have been successfully treated for orthopedic injuries through Sitrin’s new injury management program. Led by Dr. Alfred Moretz, orthopedic surgeon and musculoskeletal specialist, Sitrin’s program focuses on fast, functional recovery by coordinating treatment within the clinic team. Throughout the program’s introductory period, questions have arisen from the community. Moretz has taken the time to answer some of the questions about this new injury management outpatient program and how it can help people in need. Q.: What led you to develop this program? A.: “After years of treating acute musculoskeletal problems and seeing recent, less-than-optimal changes to health care, I was convinced a much better way could be developed.” Q.: How is this program different? A.: “It affords direct, timely access to treatment for acute musculoskeletal problems without having to go through a maze that is costly both in terms of time and money.” Q.: What do you find are people’s biggest frustrations after an injury? A.: “Not getting a prompt an-

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • November 2018

swer as to what is the problem and how to treat it.” Q.: What are the benefits to patients? What will patients get out of this program? A.: “Through this program, patients — and not the system — control their health care access. This leads to better, less expensive and more efficient care.” Q.: How quickly can a patient get in for an appointment? A.: “We try our best to make appointments within 24 hours or less.” Q.: There can be challenges in accessing care after an injury. How does this program sidestep such challenges, such as expense, time, referrals, etc.? A.: “By working closely with physical therapists, we can quickly and efficiently evaluate and treat patients, and get them back to their pre-injury level faster.” Clinic hours at the Sitrin Health Care Center are Mondays and Tuesdays from 9 a.m. to 5 p.m., and Thursdays and Fridays from 9 a.m. until noon. Moretz is also available for on-call appointments. Call 315-737-2246 for more information or to schedule an appointment. Sitrin is located at 2050 Tilden Ave., New Hartford.

Spiritual Health Milk & Honey

By Brooke Stacia Demott

Handle with Care

Kind, compassionate approach can only result in good vibes

“

The fruit of the spirit is gentleness.” — Galatians 5:22

“Nothing is so strong as gentleness, nothing so gentle as real strength.” — Francis De Sales You know that feeling of being held underwater by an overzealous friend in a public pool? You can’t breathe, you can’t get away, everyone is watching, and you think, yep, this is the end. That’s what it’s Demott like trying to raise a large family without training. Five years ago, we were drowning under the heavy hands of parental inadequacy. Too hard on some kids, too easy on others, we resented their childish irresponsibility instead of patiently guiding them out of it. Worse, we held silent grudges against them. We needed help. Enter Dan and Sandy Oostdyk, the generous and knowledgeable founders of Grace and Glory in Oswego, a discipleship house and wildly popular Christian day camp. The couple has raised nine children successfully to adulthood and offered to counsel us in parenting. We met once a week for several months, candidly laying our dysfunctional cards on the table for their analysis. We complained about the kid’s behavior, spouting lofty ideals that couldn’t be attained. I felt like a failure — we barely qualified as

grownups, let alone Christ-like role models. On one occasion, Dan concluded: “See, a big problem is you need to be gentle with your kids.” That bothered me; I likened gentle to passive, and I knew the products of passive parenting — spoiled, ungrateful, sullen adults who failed to see themselves through the lens of reality and cared little for the people around them. “What do you mean, exactly?” I asked skeptically. Dan’s explanation, as was customary, came wrapped in a story. The Oostdyk family get-togethers are heavily populated. To engage the crowd, Dan often organizes family games, like a group pillow fight. Adults and kids form a large circle and “challenge” one another. The object is to push someone out. Inevitably, a small child will throw down the gauntlet to their father. As the 2 year old summons every ounce of strength against his 30-yearold opponent, his confidence soars, watching Dad stumble and fall by degrees, eventually, to the outside. The beaming, victorious baby is met with the cheers of his amused family. “Obviously, Dad is stronger than his child. But he holds back. His gentleness encourages the baby to persevere, and gain confidence,” Dan said. “Gentleness is power under restraint, for the good of another.”

out of love. Gentleness was missing from our instruction. As I began to examine what makes a person “gentle,” three critical elements presented themselves. — Skill: What’s so scary about handing your kid a hatchet to chop wood for the first time? Or letting a 4 year-old hold the new baby? They have zero skill. New territory is forged with desire and excitement, but not experience. Instructors must be skilled to safely and properly guide their students. Gentleness requires us to have the right tools and the ability to employ them wisely. If we recognize that we aren’t equipped, like Brian and I weren’t, then it’s critical to find a willing mentor. Only a humble student can hope to become a wise instructor. — Precision: “My doctor is amazing. He just goes in slashing and whacking off parts until he gets to the right spot,” said no one, ever.

Once you have skill, you must be precise about where it is applied. Pinpoint the area of need in a conversation or a situation and focus in on the real heart of the matter. — Pressure: “Gentle” is an adverb; it requires action. There is nothing apathetic about the gentle individual. Engaging is a prerequisite; all the skill and focus in the world mean nothing unless you act upon it with the right amount of pressure. Too little, and you make no impact. Too much, and you can do great damage. Dan’s story helped me to understand how God deals with us. He restrains His own power for our good, so that we might learn, gain confidence, and struggle with difficulty and grow. How? As the creator and sustainer of life, God has total authority over the earth; and yet, He is both patient and intentional. He applies pressure skillfully and precisely into our lives, to bring us to knowledge of Himself. It is often painful, but not without purpose. Our instructor’s lessons find meaning in His ultimate promise: “Come to me, all you who are weak and weary, and I will give you rest. For I am gentle and humble in heart and you will find rest for your souls.” — Matthew 11:28-30. • Brooke Stacia Demott is a columnist with In Good Health newspaper. Got a question for Demott? Feel free to email her at brooketo@aol.com.

Skill, precision and pressure

So, we began to understand that our parenting was too reactionary. When the kids’ behavior annoyed us, we often responded harshly instead of intentionally. Our aim needed to become correcting and training them

Seniors: Time to get busy! Continued from Page 3 a healthy routine, she can spend more time with family and enjoy other activities. Lupinski said a big part of adjusting to retirement is having something to do, like hobbies such gardening. She and her husband have a large garden and both enjoy the time together attending to it. Paul Mortka, a special education teacher at Herkimer County BOCES, retired back in 2009 after 30 years of teaching at the Herkimer site. Mortka said his biggest challenge once he retired was filling the people void. “I interacted with over 80 people every day, then it was completely gone,” he said.

Mortka, who prides himself on being an excellent teacher, said, “I had to find something to be great at again.” Lucky for him he had talent in landscaping. Being retired provided the time needed for improvements on his property. Mortka has some suggestions for those close to retirement: “Don’t retire from something, retire to something. Build your social network, volunteer, take care of your health, and stay active.” Here are some additional common tips that retirees can follow. — Utilize the services of local senior citizens’ organizations — Work part-time — Find a hobby — Volunteer — Stay physically active as possible November 2018 •

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Health & Nutrition

Gut feeling Probiotics: Found in supplements and food, these microorganisms foster ‘good’ bacteria By Jessica Arsenault Rivenburg

robiotics have been increasingly hailed as a cure-all for the digestive tract, and even for some non-digestive ailments. But are they really the wonder supplement many think they are? Probiotics are live, active microorganisms found in the digestive tract and also in some foods that are considered “good” bacteria, explained Crystal Hein, registered dietitian and owner of Crystal Clear Nutrition, PLLC, in Herkimer. “Ultimately, probiotics are good for gastrointestinal health,” Hein said, adding that they help balance the flora, or bacteria, of the intestines. They are made up of a genus bacteria species and a strain, she said. Common probiotic names include Lactobacillus, Bifidobacterium, Streptococcus, Escherichia, Enterococcus, Bacillus and Saccharomyces, which is a yeast. There’s no question probiotics do offer benefits to many people in various situations, said Dave Murray, pharmacist at Kinney Drugs in Ilion. Doctors prescribing antiobiotics, particularly those in a strong dose or to be taken over a long course, often prescribe a probiotic to be taken along with it. This is because antibiotics kill all bacteria, the bad and the good, Murray explained. Killing the good bacteria in the gut can lead to stomach and bowel discomfort and diarrhea. Taking a probiotic alongside the antibiotic helps restore the flora and counters side effects, he said. But that doesn’t mean probiotics are only for those taking antibiotics. While probiotics are still being tested and studied to see what health benefits they might have, they do appear to be beneficial for inflammatory bowel disease, irritable bowel syndrome, management of ulcerative colitis and constipation, said Hein. Studies also indicate supplements appear to have a positive impact on vaginal and urinary tract

health, eczema and lactose intolerance. Some have even claimed the supplements have helped symptoms of asthma, arthritis and celiac disease. However, recent studies indicate probiotics probably do not affect such health issues. Many people opt to take a daily probiotic supplement to assist digestion, reduce gas and bloating, boost immunity and aid in bowel regularity. “We’ve seen a number of patients struggle with recurring constipation. They tried increasing fiber and taking stool softeners without much effect,” Murray said. “But then they try a probiotic, and within days the issue has resolved itself.”

Time of adjustment

As with all things, there can be side effects for some, which, coincidentally, can include gas and bloating, Murray noted. These side effects are not common and usually resolve themselves within a week or two as the body adjusts to the change in internal flora. “Different probiotics perform different functions in the body and different strains have been shown to be effective for specific conditions,” Hein said. “This area of nutrition needs more research regarding effectiveness and safety, and amounts to obtain health benefits. You should check with a medical professional to determine which probiotic strain is best.” For those looking to add a probiotic supplement to their diet, drug store shelves offer no shortage of options. There exist capsules, gummies, chocolates and powder packets in a dozen mainstream brands. The amount of probiotics within each is measured in what is called CFU’s, or colony forming units. The potential problem lies in that the CFU count printed on the box is the amount that existed at the moment of manufacture, Murray explained. As the product goes through temperature changes in transport and sits on the

Maureen Westervelt of Ilion checks out probiotics at Kinney Drugs in Ilion recently.

Prebiotics vs. Probiotics

hile probiotics are “good” bacteria, prebiotics are found in food components that promote the growth of helpful bacteria in the gut Probiotics need prebiotics in order to work. Prebiotics are typically high-fiber foods that act as food for human microflora. Prebiotics are used with the intention of improving the balance of these microorganisms. Prebiotics include fructooligosaccharides, such as inulin fiber and

shelf in a store, the CFU count is most likely diminishing. Hein suggests looking for packaging that says “live and active cultures.” “It is important to use reputable brands,” she stressed. “Look for the USP verified mark seal. This indicates the supplement has met specific stringent requirements for quality and safety.” Murray specifically recommends the probiotic Florajen to all his patients, he said, as it is kept in the refrigerator and therefore maintains its live and active culture count more reliably. In most drug stores, customers must ask for Florajen at the pharmacy counter. Apart from supplements in pill form, probiotics can be found in fermented foods such as yogurt, kefir, sauerkraut, miso, tempeh and

galactooligosaccharides. People can include more prebiotics in their diet by eating more fruits, vegetables and whole grains, particularly bananas, leeks, onions, garlic, asparagus, artichokes, soybeans, whole wheat products, legumes, dandelion greens and root, Brewer’s yeast and mushrooms. Prebiotics and probiotics can be paired together either in supplement form, or in the food a person eats, such as bananas in yogurt or stir-frying asparagus with tempeh. kimchi. “Most probiotics are safe for most healthy people,” Hein said. “However, certain medications may interfere with the effectiveness. It is a good idea to check with your health care provider or pharmacist. They can tell you how much to take, what strains are best for your condition, the best timing, and medication interactions.” “For those people under medical supervision, those with a weakened immune system or those with a compromised gastrointestinal system, you should also check with a doctor,” she said. “There is not a one-size-fits-all approach when using probiotics. I think caution needs to be taken when using probiotics in large combinations at high doses until there is sufficient scientific evidence supporting this.”

Annual dental visits important to overall health as regular wellness visits

hirty percent of adults in Central New York did not visit a dentist within the past year, according to the results of a new survey commissioned by Excellus BlueCross BlueShield. “The lack of annual routine dental care by such a large segment of the population is surprising, because 74 percent of respondents report having a regular dentist,” said Richard Lockwood, vice president and chief medical officer, Excellus BlueCross BlueShield. The American Dental AsPage 16

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sociation recommends that everyone visit his or her dentist for an exam and cleaning at least once a year, and preferably once every six months. Good dental care isn’t just about checking for cavities and gum disease. Many diseases that affect the entire body often first become apparent as mouth lesions or other oral problems. More than 90 percent of all systemic diseases produce oral signs and symptoms, reports the Academy

of General Dentistry. A dentist may identify the following health conditions during a routine oral exam: — Diabetes — GERD (gastro-esophageal reflux disease) — Cancers of the head, neck, mouth and throat — Osteoporosis — AIDS (acquired immune deficiency syndrome) — Autoimmune diseases, includ-

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • November 2018

ing Sjogren’s syndrome, rheumatoid arthritis and lupus — Celiac disease — Anemia — Chronic kidney disease “People should view routine dental care the same way they view other routine medical care, such as wellness visits, standard immunizations, and screenings for high blood pressure, high cholesterol, diabetes and various cancers,” said Lockwood.

Seniors: Get creative! Add creativity to your life for healthy and happiness By Barbara Pierce

usic, dance, poetry, painting and other arts pump new life into older minds and bodies. The arts help all of us live healthier, happier lives. We all are creative — not just a select few. We all can benefit from art, whatever type we prefer. “We very much believe that arts are a key part of a whole, happy, healthy life,” said Jane H. Malin, executive director, Mohawk Valley Center for the Arts, Little Falls. “We absolutely Malin feel that the various types of art do quite a bit for health: emotionally, physically, and mentally. Arts definitely promote a healthier, happier life for people of all ages.” Participating in art is essential for us all, offering a wide range of health benefits. It provides benefits for both the creator and viewer: decreasing stress, reducing depression and anxiety, increasing self-esteem, boosting social experiences, and even preventing disease. The most popular classes at MVCA are mindfulness meditation and tai chi, both taught by Rosann Scalise. Malin described how these classes began three years ago. “We started a program with the Alpine Nursing Home. First, we did a baseline on the participants,” she said. “Then, Rosann and others led tai chi, art classes, music classes, and even harmonica lessons. After six months, we retested. Participants showed an average of 50 percent improvement with less depression, fewer behavior problems, decreased stress, and increased range of motion.” This is significant proof of how art enhances well-being and quality of life. Many other studies confirm Malin’s findings that being involved in art affects people in many positive ways. Making art improves cognitive functions by producing both new

A group of senior citizens explore the wonders of tai chi. neural pathways and thicker, stronger dendrites. In this way, it enhances cognitive reserve, helping the brain actively compensate for pathology by using more efficient brain networks or alternative brain strategies. Take for example Sally Connors, an 82-year-old former schoolteacher who lives in a retirement facility. New York Times online reports how she and a friend surprised themselves by writing their life stories in rap and performing their rap memoirs for at-risk teenagers they were mentoring. Both said their newfound involvement with the arts has made them feel decades younger.

color class or open art class. The open art class is for everyone. “There’s no instructor; we provide the space, people work together on art projects, and then we have a coffee and cookie break,” she said. Some suggestions to get more art in your life: — Discover what’s available in your community that appeals to you. Explore what’s going on at MVCA, the Parkway Center, and other organizations. Go to gallery openings, local arts and crafts fairs, concerts, writing classes, and your library.

Seeing what artists are doing can be great sources of inspiration. — Read books to inspire creativity. “When I’m looking for ideas, I go to my local library and check out the non-fiction section, the section numbered 700-800. All the stuff about art is there,” says Robie Benve online. “One of my favorites is ‘The Art Spirit’ by Robert Henri.” My favorites for inspiration are Julia Cameron’s books, especially “The Artist’s Way.” Find books that may teach you new techniques, or inspire you to create something new. You can get lots of ideas. — If you’ve been involved in art already, you might still have your art supplies somewhere. Make them easily accessible for when you’re feeling inspired. — Take lots of photos of things and places you like, suggests Benve. Store them in an organized way. When going through magazines, clip out and save pictures that you like and somehow inspire you. Looking at your photos and pictures may spark you. — Create for the sake of creating; the fun is in the journey, not the destination. Don’t worry about anyone else seeing the final product. Do it because you enjoy it. Enjoy every step of it, even the mistakes, because they teach you a lot. For more information on the Parkway Center, call 315-223-3973, or visit www.theparkwaycenter.org.

Array of choices

“We do all four main types of art at MVCA — music, visual arts, literary arts and movement, ” Malin said. “We have music lessons, voice or instrument, and we hold concerts that feature local musicians. We keep the price as low as possible. People are able to hear music, relax, relieve stress, and have mental stimulation. We have several painting classes. For movement, we have tai chi. Also, in collaboration with the library, we help people express themselves in writing.” Art classes are available at the Parkway Center in Utica. Communications director Sara Spezzano invites people to check out its waterNovember 2018 •

MOHAWK VALLEY CENTER FOR THE ARTS INC.

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CALENDAR of

HEALTH EVENTS

Got a health-related activity or event that you would like publicized? Call Lou Sorendo at 315-749-7070 or email lou@cnymail.com. Continued from Page 11 decades with his creative jazz expression that expands beyond the limits of any single genre. For over two decades, Botti has amassed a spectacular variety of honors, including multiple gold and platinum albums, to become the nation’s largest selling instrumental artist. For more information about Chris Botti, please visit his website at http://chrisbotti.com. A special pre-concert dinner is being offered at The Fort Schuyler Club, Utica, with a limited number of reservations available for $45. Concert tickets range in price from $35 to $95. To purchase tickets to the pre-concert dinner and/or the concert, contact The Stanley’s box office at 315-724-4000 from 10 a.m. to 4 p.m. weekdays. Sponsored by Excellus BlueCross BlueShield, this concert event is the lead fundraiser for VHS and The Stanley Theater to secure funds needed by both nonprofit organizations.

Nov. 5

CNY Diabetes to host grocery store tour People with diabetes, pre-diabetes and their family members are invited to grocery shop with a registered dietitian and learn more about their food choices. The grocery store tour, hosted by the Mohawk Valley Health System’s Central New York Diabetes Education Program, will run from 6-8 p.m. Nov. 5 at Hannaford Supermarket, 4593 Commercial Drive, New Hartford. Those who attend the tour will learn: — Where to locate total carbohydrate information on a food label — The importance of choosing foods with fiber as part of your daily diet — How to weigh fruits and vegetables — The importance of monitoring the amount of food you eat to help meet blood glucose or weight goals Call CNY Diabetes at 315-6245623 to register.

Nov. 5

Free smoking cessation classes slated The Oneida County Health Department, in collaboration with the Mohawk Valley Health System, is offering a free, three-week series of Freshstart Smoking Cessation classes. Freshstart is an evidence-based program created by the American Cancer Society. Classes will be held from 5-6:30 p.m. on Nov. 5, 12, and 19 in the Sister M. Johanna Conference Room Page 18

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at the St. Elizabeth campus, 2209 Genesee St., Utica. Refreshments will be provided. Those who complete the program will receive a $25 grocery gift card. Also, a smoking cessation support group meetings will take place from 5-6:30 p.m. Nov. 15 in the second floor conference room at the St. Luke’s Campus, 1656 Champlin Ave., Utica. Refreshments will be provided. The Freshstart approach is geared toward helping participants increase their motivation to quit, learn effective approaches for quitting and guide them in making a successful quit attempt. The class provides essential information, skills for coping with cravings and group support. The program is open to all Oneida County residents who are 18 years and older. For more information or to register, contact Joanne Ambrose at MVHS at 315-801-8269.

Elderwellness Council, Inc. This event will honor three categories of caregivers. The categories include the community caregiver, which honors a community leader whose care giving spans across multiple populations. The professional caregiver honors a health care professional such as an employee of a hospital, nursing facility, or home care agency. The informal caregiver honors an unpaid caregiver that is usually a family member, friend or neighbor. For more information, call Oneida County Office for the Aging/Continuing Care at 315-798-5456.

Nov. 12

Support forum for patients, cancer survivors The Mohawk Valley Health System’s Cancer Center’s monthly support forum for patients and cancer survivors will be held at 6 p.m. Nov. 12. The cancer support forum meets at 6 p.m. on the second Monday of every month in the Cancer Center’s fireplace lounge on the main floor of Faxton Campus, 1676 Sunset Ave., Utica. The forum, led by the Cancer Center’s social worker, offers support to anyone who has received a cancer diagnosis. Light refreshments will be served. For more information or to RSVP, call 315-624-5241.

Nov. 8

Nov. 12

Laryngectomy support group to meet

Support group to meet at Rome Memorial Hospital

The Laryngectomy Support Group will hold its monthly meeting at noon Nov. 8 in the Sister Regina Conference Room on the first floor of the St. Elizabeth Medical Center hospital building, 2209 Genesee St., Utica. The support group is sponsored by SEMC. Laryngectomy support group meetings are held at noon on the second Thursday of each month. A laryngectomy is the procedure to remove a person’s larynx and separates the airway from the mouth, nose and esophagus. The laryngectomee breathes through an opening in the neck, called a stoma. The public is welcome to attend. Those with questions can call the speech therapy department at 315801-4475.

The brain aneurysm, AVM (arteriovenous malformation) and stroke support group will meet from 5:30-7 p.m. Nov. 12 at Rome Memorial Hospital’s second-floor classroom. The group meets on the second Monday of every month. RMH is located at 1500 N. James St., Rome. For more information, call Deb Dunn at 315-533-6467 or email RomeNY@JoeNiekroFoundation.org.

Nov. 8

Community caregivers to be honored The Oneida County Office for the Aging/Continuing Care and the Community Elderwellness Council, Inc. recently announced the caregivers who will be honored at the annual Celebrating Life event Nov. 8. The Community Elderwellness Council Board of Directors selected Louis B. Tehan of Utica for the community caregiver award; Janet “J.C.” Degni of One Caring Place, Utica for the professional caregiver award and Lauren Kornmeyer of Whitesboro for the informal caregiver award. November marks National Family Caregiver Month and the annual Celebrating Life event that is cosponsored by the Office for the Aging/ Continuing Care and the Community

Nov. 15

VHS presents CNE opportunity Valley Health Services in Herkimer will host a one-day conference, “Diverse Approaches to Palliative Care,” from 8 a.m. to 4:15 p.m. Nov. 15 at the Holiday Inn, Utica. The daylong conference features speakers, luncheon and three workshops. Dr. Leslie Kohman of SUNY Upstate Medical University in Syracuse will discuss creating ambulatory palliative care programs during her opening keynote address. The closing keynote address will highlight pain assessment and management using opioid pharmacokinetics, presented by Dr. Melinda McMinn of Crouse Hospital in Syracuse. Bassett Medical Center is an approved provider unit of Continuing Nursing Education by the Northeast Multi-state Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This activity is approved for six contact hours of CNE.

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • November 2018

Registration cost is $130 ($110 for each additional attendee from the same facility). For more information and to register, contact Kathy Eisenhut at 315-866-3330, ext. 2245.

Nov. 16

Auction, dinner to benefit Neighborhood Center The 16th annual Auction & Dinner in support of The Neighborhood Center, Inc. will be held from 6-9 p.m. Nov. 16 at Hart’s Hill Inn, Whitesboro, according to the Marie A. Russo Neighborhood Center Institute. Featured will be a silent and live auction. Tickets are $40 each and include dinner and a chance at a $1,000 door prize. Funds raised from this event each year support The Neighborhood Center’s child and family programs. For more information, call 315272-2600 or visit www.neighborhoodctr.org.

Nov. 19

Family support group focuses on addiction Families who are dealing with the problems of addiction can find help and information at a support group meeting from 6-7 p.m. Nov. 19 in the second floor classroom at Rome Memorial Hospital. The group meets the third Monday of each month and is free and open to everyone. Offered by the hospital’s Community Recovery Center, the support group provides an opportunity to discuss issues with others who are in the same situation. Certified by the New York State Office of Alcoholism and Substance Abuse Services, the Community Recovery Center, 264 W. Dominick St., Rome, offers alcohol and substance abuse treatment for adolescents and adults. Open from 8 a.m. to 4 p.m. Monday and Friday and from 8 a.m. to 9 p.m. Tuesday-Thursday, the center participates with most major insurance programs, including Medicare and Medicaid. A sliding scale fee is available for self-pay clients. For more information about the support group or the Community Recovery Center, call 334-4701.

Nov. 21

Valley Health Services accepts syringes Valley Health Services is accepting the community’s medical waste of needles, syringes and lancets from noon until 2 p.m. on Nov. 21. The service is available on the third Wednesday of every month. The waste must be in approved puncture-resistant containers available at local pharmacies and properly marked “biohazard.” The containers may be brought to the outpatient receptionist on the ground floor at VHS, who will contact the personnel responsible for medical waste disposal. VHS is located at 690 W. German St., Herkimer. Questions may be directed to Tammi King, infection control nurse, at 866-3330, ext. 2308.

A Grand Time For Senior Health

Rehab, nursing facility in Ilion places focus on relationship-based care By Jessica Arsenault Rivenburg

he Grand Rehabilitation and Nursing took over the former Mohawk Valley Health Center in Ilion. “It’s a big change and we’re very excited about it,” said Doug McGregor, director of marketing and hospital liaison. “Everything has been very positive. We offer relationship-based care that starts on day one. The Grand has definitely assisted and improved upon that.” The Grand Healthcare System, headquartered in Whitestone, Queens, comprises 14 facilities statewide, with five in the Oneida and Herkimer county region, said regional vice president Bruce Gendron. “We’re really pleased to be in the Ilion community,” he said. “It’s a great space with a really good workforce. It’s not a facility that needs a tremendous amount of work. It’s already providing great care. We look forward to making further improvements where we can.” One of those improvements may be the leasing of space in the attached and currently empty, former Ilion Hospital, Gendron said. Though he

could not give specifics at this early stage, he said The Grand is looking into several possibilities in the health care field that would benefit both The Grand residents and community. “There’s some great opportunities,” he said. “We’re talking to a variety of organizations.”

Not just babysitting

The Grand offers long-term care and short-term rehabilitation, respite care and medical-model adult daycare with transportation and meals. Medical-model means that rather than being simply an adult babysitting service, The Grand meets the medical needs of daycare members by administering medication, dressing wounds, bathing and providing diabetic monitoring and care, McGregor explained. A major focus of The Grand, which is a carryover from the facility’s days as the Mohawk Valley Nursing Home, is relationship-based care that begins before a resident is even admitted, McGregor said. McGregor himself, along with another liaison, meets every resident in the hospital before admission. “We’ve always done that. It’s an

important part of what we do,” he said. “I am able to be bedside every day to meet the resident, to speak with their family and to make everyone feel comfortable. It makes for a smooth transition.” Before The Grand’s takeover, McGregor was alone in his position as liaison. Thanks to the new management, it is now a two-person position, allowing for much more

time to be taken with each resident, McGregor said, adding he is very pleased with the change. “The Grand has taken us in with open arms,” he said. “We’re basically one big family.” Gendron and McGregor said they hope to host an open house to introduce the community to The Grand sometime in early December.

AMERICANS SPEND 8+ HOURS A DAY STARING AT A SCREEN WHEN WE SPEND SO MUCH OF THAT TIME ON OUR SCREENS, we lose time for the

other things we value. So, think twice next time you reach for your screen of choice.

November 2018 •

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Health News Valley Health Services’ staffer becomes LPN Danielle Morczek, employed with Valley Health Services in Herkimer since November 2008, feels accomplished in her professional career as she dons a new title: licensed practical nurse. Morczek graduated in June 2018 from the LPN program through Herkimer County BOCES at Remington School, Ilion. Morczek’s career at VHS began as a certified Morczek nursing assistant and has progressed from there. She has been an aide, worked in longterm care, rehabilitative services and home care. “I have maxed out as an aide, reached a juncture and was ready for the next stage of my career,” Morczek said. She works in the adult day health care program. Morczek lives with her husband, Roger, and son, Damian, in Mohawk.

VHS offers volunteer opportunities Volunteers are needed in the activities and rehabilitation departments of Valley Health Services in Herkimer to assist with the transportation of residents within the building to and from activity programs and physical and occupational therapy sessions. Also needed is an evening receptionist to greet visitors and accept phone calls. Interested individuals are asked to contact Kristen Lenaghen, volunteer coordinator, at VHS by calling 315-866-3330 ext. 2262.

Root Farm has new executive director Upstate Caring Partners, Inc. affiliate agencies recently welcome Peter Blanchfield as the new Root Farm executive director. Blanchfield, a native of the Mohawk Valley, will maintain financial and programmatic oversight of the Root Farm equine, horticulture, agriculture and recBlanchard reation programs, and will also foster donor cultivation, providing strategic management and insight to enrich and lead the Root Farm into the future. Prior to joining the Root Farm, Blanchfield was vice president of finance and investor relations at MAP, an investment firm based in Palo Alto, Calif., where he led MAP’s investor relations team and fundraisPage 20

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Rome-based practices relocate offices

AmeriCU continues support for local Children’s Miracle Network hospitals AmeriCU and its members recently increased their support for the Children’s Miracle Network hospitals within the communities the credit union serves. In April, as part of Credit Union Youth Month, AmeriCU encouraged members to begin building healthy savings habits early. For every deposit of $50 or more in a youth savings account, AmeriCU pledged to donate to the CMN. With the help of AmeriCU members and a match donation from CO-OP Financial Services, AmeriCU was able to donate $12,000 to the three CMN hospitals in the area — Faxton-St. Luke’s Healthcare of Utica, Upstate Golisano Children’s Hospital of Syracuse, and Samaritan Medical Center of Watertown. Above from left, AmeriCU’s Assistant Vice President of Financial Center Services (Region A) Mike Manuele, Yorkville financial center manager Ellen Traub, Children’s Miracle Network coordinator Andrea MacDiarmid, and AmeriCU’s marketing and event coordinator Julie Tramacera celebrate the check presentation. As part of the Utica-Rome Chapter of the New York Credit Union Association, AmeriCU and other local credit unions donated $15,176 to the Children’s Miracle Network hospital at Faxton-St. Luke’s Healthcare in 2017.

ing efforts for MAP’s natural gas and renewable energy royalty partnerships. Prior to joining MAP, Blanchfield had been an investment professional at Emory University, and prior to that served as the chief investment officer and member of the finance team at Hamilton College for 14 years. Blanchfield is a native of the Mohawk Valley who grew up in New Hartford. He earned a bachelor’s degree at Franklin and Marshall College, Lancaster, Pa., and completed his graduate work at DePaul University’s School of Public Service, earning a master’s degree in nonprofit management. Blanchard and his family, who collectively share a love of horses, education, fitness and the outdoors, recently returned to the Mohawk Valley after spending nine years in Northern California.

All About Women welcomes new provider Certified family nurse practitioner Colleen A. Smith has joined Rome Medical Practice’s obstetrics and gynecology practice, All About Women. She is accepting new patients at the office located in the Beeches

Office Complex, 7900 Turin Road, Rome. “Colleen has been caring for women and their families for more than 21 years, including 14 years specializing in gynecological care, so she offers a wealth of experience and knowledge for the care of our patients,” said Smith Rosemel Atkinson, vice president of physician practices at Rome Memorial Hospital. Smith graduated from SUNY Morrisville with a registered nursing degree. After 10 years of nursing, including experience in emergency, intensive care and surgical recovery nursing, she earned certification as a FNP through the Community General School of Nurse Practitioners in Syracuse. Smith is a member of the American Academy of Nurse Practitioners and the Mohawk Valley Nurse Practitioners Association.

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • November 2018

Subscription? Call 315-749-7070

Rome Medical Practice’s Rome Surgical Specialists and Pulmonology and Sleep Medicine practices have both relocated to 1614 N. James St., Rome. The new office is located adjacent to Rome Memorial Hospital. General surgeon Pedro Del Pino of Rome Surgical Specialists, pulmonologist Mohammed Seedat and family nurse practitioner Katherine M. Freeman of Rome Pulmonary and Sleep Medicine are all seeing patients at the new offices. Both practices are relocating from their Hill Road offices to be closer to the hospital and allow patients the convenience of seeing their provider and receiving diagnostic testing and treatment nearby. Appointments for pulmonary function tests, pulmonary rehabilitation and sleep studies will be coordinated in a timely manner.

Chestnut Commons practice adds specialist Patricia Dispirito recently joined the staff of Chestnut Commons Physical and Occupational Therapy. Specializing in pelvic floor rehabilitation, Dispirito brings with her more than 35 years of experience in outpatient therapy, home care, skilled nursing and private practice. Additionally, she has spent time as an instructor at Dispirito Utica College and Herkimer County Community College, helping to train the next generation of physical therapists. Weakened or impaired pelvic floor muscles can be a result of a number of issues, including aging, illness or childbirth. Dysfunctions involving the pelvic floor muscles can contribute to urinary incontinence, chronic pelvic pain, and sexual dysfunction.

MVHS New Hartford medical office gains NP Steven Egert recently joined the Mohawk Valley Health System Medical Group as a family nurse practitioner at the New Hartford Medical Office–Crossroads Plaza and has admitting privileges at Faxton St. Luke’s Healthcare in Utica. Egert has been Egert employed as a staff nurse with MVHS at the St. Luke’s

Continued on 21

CENTRAL NEW YORK

Health News Continued from Page 20 Campus in Utica since 2012. He also served as an adjunct clinical instructor for Morrisville State College from 2014-2017. Egert earned his Master of Science and Bachelor of Science in nursing degrees from SUNY Polytechnic Institute in Utica. His areas of clinical concentration were primary care and pediatrics and his specialties included gastrointestinal and surgery.

MVHS Waterville office welcomes NP Nicole Schreck, a family nurse practitioner, has joined the Mohawk Valley Health System Waterville Office-Madison Street Business Park and has admitting privileges at Faxton St. Luke’s Healthcare in Utica. Prior to joining MVHS, Schreck was employed as a staff nurse at Schreck Rome Memorial Hospital. She also worked as a clinical instructor for the advanced Bachelor of Science in nursing program at Utica College and a certified nursing assistant at Sitrin Healthcare Center in New Hartford. Schreck received her Master of Science degree in nursing from SUNY Polytechnic Institute in Utica. She received her Bachelor of

Science in nursing degree from Grand Canyon University, Phoenix, Ariz. and completed her Associate of Applied Science in nursing degree at St. Elizabeth College of Nursing in Utica.

HEALTHCARE GUIDE Advertise in the 2019 Edition

Kelberman Center offers bonus program The Kelberman Center in Utica celebrated Direct Support Professionals Appreciation Month in September with the launch of a new DSP incentive program open to staff in Kelberman’s four residences located in Chittenango, Fayetteville, and Sylvan Beach. Full-time residential DSP staff in good standing at the end of each quarter will receive a $300 bonus, up to $1,200 each year. “Our residence counselors put their hearts into their work each and every day, supporting our individuals year-long through weekends, holidays, and all kinds of weather,” said Catherine McGuiggan, managing director of program operations. Residence counselors support residents’ daily living needs while helping them implement person-centered plans. For more information or to apply, visit www.kelbermancenter.org/ employment. The center, an affiliate of Upstate Caring Partners, provides services and support for people affected by autism spectrum disorder throughout the lifespan, from diagnoses and preschool to adult living.

Comprehensive Guide to Healthcare / Senior Services ONLINE AND IN PRINT ALL GLOSSY, ALL COLOR

Contents — Information about hospitals and health systems, leaders in healthcare profiles, update on health care trends and a large resource section listing a multitude of healthcare service providers, nonprofit organizations and support groups. Distribution — Available free of charge at more than 1,000 high-traffic locations in Central New York, including all Wegmans (two months), doctors’ offices, health centers, hospitals, dentist offices and more. Online – Interactive edition available at www.cnyhealth.com, www. MVhealthnews.com and cny55.com. Readership — Healthcare consumers, healthcare providers, physicians, subscribers to In Good Health newspaper and 55 PLUS magazine.

Call your representative for advertising and sponsorship opportunities. Or email editor@ cnyhealth.com

Herkimer County HealthNet donates funds to support transportation program Herkimer County HealthNet presented a $4,000 check to the RIDE Program of Herkimer County Catholic Charities in support of health care transportation in rural communities. One of the primary barriers regarding access to health care in rural communities is transportation, according to Thomas C. Curnow, executive director of HCHN. He noted the RIDE program is a critical service for older individuals who may not have other alternatives for transportation. RIDE supports transportation for seniors to their medical appointments. Celebrating the occasion are, from left, HCHN program coordinator Elyse Enea Bellows; Curnow; Catholic Charities of Herkimer County program director Rae Raffle-Maxson; and RIDE program volunteer Joan VanSlyke. RSVP volunteers operate the RIDE program by serving as dispatchers and drivers. In 2017, volunteer drivers transported seniors for more than 60,000 miles. However, the RIDE program is in dire need of volunteer drivers. Those interested may contact Raffle-Maxson at Catholic Charities of Herkimer County at 315-894-9917. November 2018 •

ROCHESTER NEW YORK

Published by 55 PLUS & In Good Health —The Local Healthcare Newspaper.

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Page 21

Smile with Dr. Suy

Welcoming New Patients to Five Local Family Health Centers!

Defining dentistry: What is a tooth extraction? Editor’s note: This is another segment in a continuing series titled “Defining Dentistry,” designed to enlighten readers on various components of dentistry.

MORRISVILLE

13460 SOUTH STREET, MORRISVILLE, NY 13408

(315) 684-3117

MONDAY, TUESDAY, WEDNESDAY, FRIDAY 8:00 A.M. TO 5:00 P.M. THURSDAY 8:00 A.M. TO 8:00 P.M.

HAMILTON

164 BROAD STREET, HAMILTON, NY 13346

(315) 824-4600

Cardiology • Pediatrics • Laboratory • Pulmonology • Surgery

CAZENOVIA

3045 JOHN TRUSH JR. BOULEVARD SUITE 1, CAZENOVIA, NY 13035

(315) 815-1430

Pediatrics • Primary Care

MUNNSVILLE

5180 SOUTH MAIN STREET, MUNNSVILLE, NY 13409

(315) 495-2690

MONDAY 9:00 A.M. TO 7:00 P.M. TUESDAY-FRIDAY 8:00 A.M. TO 5:00 P.M.

WATERVILLE

117 WEST MAIN STREET, WATERVILLE, NY 13480

(315) 841-4184

MONDAY-FRIDAY 7:30 A.M. TO 5:00 P.M

All services are directly connected to and supported by Community Memorial Specialties and Hospital Services, and accessible to the Crouse Health network of services Be sure to follow and like us for the latest news and updates!

CommunityMemorial.org Page 22

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By Dr. Salina Suy

appy November everyone! Thank you for joining me again in this month’s “Smile with Dr. Suy” segment. I love all the positive feedback at the offices. It is so great to hear people love to learn about the exciting field of dental medicine. I hope everyone is enjoying the “Defining Dentistry” series. Today, Suy we talk about the epic “tooth pull.” What really is the dentist doing during a tooth extraction? Let’s find out. A tooth extraction is the procedure in which a tooth is taken out of its socket from the jawbone. It is a form of oral surgery in the field of dental medicine. There are several reasons why your tooth may need to be extracted. Among those reasons are: — Impaction: Teeth are stuck underneath in the jaw. This usually occurs because of crowding or lack of space in the bone. Third molars (wisdom teeth), particularly the lowers, are the last to erupt and are more likely to be impacted. — Wisdom teeth: Most troublesome if they are causing pain or problems within the jaw — Orthodontic treatment: To make room for straightening of the teeth — Fracture below the gum line, which makes the tooth difficult to restore, particularly if completely broken — Severe bone loss: Periodontal disease; smoking can increase bone loss — Dental abscess: Infection in the gum due to various reasons — Trauma: Traumatic injury like damages as a result of falling — Dental decay: Cavities that are large and cause other problems

What are surgical risks?

A problem called a dry socket can develop. This occurs when a blood clot doesn’t form in the hole or the blood clot breaks off or breaks down too early. It results in bone

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • November 2018

pain and unfortunately can only be partially treated until the tissue heals over the site. Caution: Dry socket is very painful, so it is vital to follow post-op directions closely. Other risks include: — Accidental damage to nearby teeth, such as a fracture of fillings or teeth — An incomplete extraction, In which a tooth root remains in the jaw — Fractured jaw: Occurs in rare cases and usually on frail patients with known bone disease — A hole in the sinus during removal of an upper back tooth (molar) — Soreness in the jaw muscles and/or jaw joint — Long-lasting numbness in the lower lip and chin. An injury to a nerve may occur in rare instances. Complete healing may take three to six months. In rare cases, the numbness may be permanent.

What is procedure like?

Tooth extraction procedures can vary depending on a patient’s clinical case. Patients will always need some form of local anesthesia to numb the area. This has been done typically with novocaine, but doctors are using lidocaine now along with other derivatives. After you are numb, your dentist will test the area. Pressure and pulling sensations are normal to feel during the procedure; pinching is not. Dental instruments are used to elevate the tooth and forceps to grasp the tooth out of its socket. During the procedure, a bur may be used to cut hard tissues, whether it be tooth or bone, to increase access the area. You may or may not be awake — most procedures can be tolerated without sedation. Sedation is recommended for some patients if they have a complex procedure, have dental anxiety or request to be “knocked out.” Sometimes, teeth need to be taken out. When teeth are taken out that need to be replaced, there are many options to do so. If you need a tooth pulled, rest assured the procedure isn’t as bad as the movies make it. What matters most is that you trust the doctor who is doing your procedure. • Dr. Salina Suy is a health and wellness advocate and general dentist in Utica. Want to learn more? Visit Facebook @smilewithdrsuy or www.smilewithdrsuy.com.

Health in good

MV’S HEALTHCARE NEWSPAPER

EMPLOYMENT

Advertise your health-related services or products and reach potential customers throughout the Mohawk Valley for as little as $90 a month. Call 749-7070 for more info.

INDUSTRIAL MAINTENANCE MECHANIC:

MANUFACTURING

Immediate openings - Keymark Corporation, Fonda, NY

Keymark Corporation, a major supplier of Aluminum Extrusion to several industries is recruiting for heavy industrial manufacturing workers.

Direct Hire - $16.00 - $21.00 Per hr DOE Multi skilled technician, who installs, maintains, troubleshoots and repairs industrial machinery, process equipment, facility physical structures, motors, electrical components, pipe and piping components within a manufacturing plant.

The following positions represent a few of the positions we are recruiting for:

• • • • • •

Responsibilities: • Troubleshooting, diagnosing and repairing mechanical, electrical, pneumatic and hydraulic systems.

Waste Water Treatment Operator Crane Operators Material Handlers Caster Hoist Operators Press Operators

• Knowledge of safety rules, especially lock-out/tag-out. • Flexibility to work all shifts, hours, weekends, and holidays as required. • Programmable Logic Control (PLC) troubleshooting experience. • Performing preventive maintenance tasks including cleaning, lubricating and adjusting equipment for optimal performance. • Improving processes. • Perform equipment changeovers, including sanitation of equipment and piping.

Successful candidates should be able to demonstrate the capability to learn new skills and responsibly follow safety policies and production procedures.

If you are interested in a career opportunity, you may fill in an application on our website at www.keymarkcorp.com or stop in to fill out an application. A Drug-Free Work Environment/An Equal Opportunity Employer

• Other duties as assigned. • Eligible for pay for skills increase

Requirements: • Completion of a formal maintenance mechanic training program or prior experience. • Knowledge of PLC’s, mechanical, electrical, pneumatic and hydraulic systems. • Ability to read and understand documents such as safety rules, operating and maintenance instructions, mechanical drawings and procedure manuals. • Problem solving skills. High School or GED is required

To apply, please go to our web site at www.keymarkcorp.com. UT-000635615

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WE HAVE OPPORTUNITIES FOR YOU! IMMEDIATE NEED FOR: RNs / LPNs

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4 Riverside Drive, Suite 251, Utica, NY 13502 November 2018 •

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Page 23

Medicare+Medicaid= More Benefits for You! Medicare Card NEW

You may be eligible for additional money-saving benefits through our Dual Advantage plans, including:

MEDICARE HEALTH INSURANCE Name/Nombre

JOHN L SMITH

Medicare Number/Número de Medicare

1XX0-XX0-XX00 Entitled to/Con derecho a

HOSPITAL (PART A) MEDICAL (PART B)

PLE SAM

Coverage starts/Cobertura empieza

01-01-2018 01-01-2018

•

Medicaid/Common Benefit Identification Card (CBIC) NEW

Monthly OTC Card up to $100 (to pay for items like OTC medications, toothpaste, incontinence supplies, and more)

•

Transportation

•

Dental

•

Care Management support

•

Top-quality doctors and hospitals

•

Discounts for hearing devices*

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and many more!

For a complete listing of plans in your service area, contact the plan. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Out-of-network services may require more out-of-pocket expense than in-network services. Benefit restrictions apply. Fidelis Legacy Plan is an HMO plan with a Medicare contract. Enrollment in Fidelis Legacy Plan depends on contract renewal. *Fidelis Legacy Plan partners with TruHearing for discounted purchases of hearing devices.

Call us today! 1-800-860-8707 TTY: 711

Monday–Sunday, 8:00 a.m.–8:00 p.m. from October 1–March 31 Monday–Friday, 8:00 a.m.–8:00 p.m. from April 1–September 30

www.fideliscare.org

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • November 2018

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