in good Keep moving! The key to happiness is within your grasp! Page 12
Relay drums up funds to fight cancer Page 3 Meet Your Doctor
free
Bipolar Disorder March 2017 • Issue 133
MVhealthnews.com
Mohawk Valley’s Healthcare Newspaper
Afflicted Mohawk Valley teen gets proactive Page 20
Men’s Health Special Section
True Visionary
Dr. Robert Pavelock specializes in endoscopy
Learn about advances in cataract surgery at Rome Hospital’s Health Night presentation.
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Cantaloupes
Some fruits are so fragrant and luscious that we don’t think about their nutritional value. For many, a cantaloupe is just that sort of fruit. Read more in SmartBites.
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Boost Your Child’s Immune System Page 14
March 2017 •
Pauline’s Pieces: Check out hottest fitness crazes Page 19
Remarrying? Make certain that your finances are in order Page 6
IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper
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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. Mondays
Support group for OCD sufferers
AMZHMDNLM 14-Mar-2014 07:57
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change, please contact your sales representative Book Customer Service at 1-800-891-1899.
The Central New York Obsessive Compulsive Foundation, Inc., a registered nonprofit agency, has offered OCD sufferers in the region a weekly support group since 1997. Brian’s OCD Support Group meets from 6:30-8 p.m. every Monday except holidays in the Sister Regina Conference Room, first floor, St. Elizabeth Medical Center, 2209 Genesee St., Utica. Meetings are professionally assisted the third Monday of each month. For more information, call founder Susan Connell at 315-768-7031, email her at info@cnyocf.org, visit www.cnyocf.org or check out Cen NY OCD Support Group on Facebook. A speakers’ bureau is available at no cost.
Food Addicts in Recovery to meet
Food Addicts in Recovery holds an anonymous meeting from 7-8:30 AAMZHMB2DNLMA p.m. Mondays at Trinity United ______________________ Methodist Church, 8595 Westmoreland Road, Whitesboro. For more information, call Helen Please Note: Print quality may vary from final product. at 315-794-2314.
DUPLICATE PROOF
Visit us at berkshirefarm.org or call (315) 454-4700 to learn how you can be a hero in a child’s life
Community Information Seminar:
Bariatric Surgery March 8, 2017 • 6:00 p.m.
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
Presented by
January Hill, MD Utica Business Park 125 Business Park Drive, Suite 150, Utica, NY The offices of William A. Graber, MD, PC
To register call 315-235-2540 or toll free 877-269-0355
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.
Wednesdays/Thursdays
Overeaters Anonymous plans meetings Overeaters Anonymous meets from 5:30-6:30 p.m. every Wednesday in Room 101 (first floor) at Rome Memorial Hospital, 1500 James St., Rome. It also meets from 7-8 p.m. every Thursday at Oneida Baptist Church, 242 Main St., Oneida. Participants are asked to use the rear door. There are no dues, fees, weighins or diets. For more information, call OA at 315-468-1588 or visit oa.org.
March 2
Parents bond to battle addiction A support group — Parents of Addicted Loved Ones — will meet 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 support group is for parents with a son or daughter who is addicted to drugs and/or alcohol. The next meetings are March 2 and March 16. According to recent research cited by the National Institute for Drug Abuse, opioid and heroin overdose deaths now exceed annual deaths from car crashes. PAL is incorporated as a non-profit organization and is run by a volunteer board of parents. For more information on the organization, visit www.palgroup.org or call PAL at 480-300-4712.
March 13
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. March 13. 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
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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • March 2017
In search of a cure
TOG ETHER WE MAKE A DIFFERENCE
COUGH, COLD OR
Relay for Life celebrates survivors, drums up funds By Amylynn Pastorella
T
he Mohawk Valley has hosted the American Cancer Society’s Relay for Life for more than 25 years. Relay for Life tells a story of survivorship, remembrance and victory in real life. It has just one mission: to find a cure for cancer. Relay for Life is the classic David versus Goliath tale, where cancer is the villain, a very daunting figure. It hides in waiting then Wahl attacks its victims through the pancreas, colon, lungs, thyroid, spine, breasts, eyes, sinuses and other areas of the body. But every year, more people in the Mohawk Valley don their armor and fight it. Relay for Life is looking for more people to join this fight. In February, the American Cancer Society held
SORE THROAT?
its annual kickoff in Utica to start the fundraising season leading to the relay on June 10-11 at locations throughout the region (see related story, this page). In 2016, over 4 million individuals and businesses worldwide participated in Relay for Life events. In the Mohawk Valley, events are held in Utica, Whitesboro, Ilion, Rome, Sauquoit, Boonville, Remsen, Dolgeville, Utica College and SUNY Polytechnic Institute. You can count on Karen Wahl being at the Relay for Life in Utica. Wahl is a cancer survivor, team captain and a member of the planning committee of one of the biggest teams at the event — St. Elizabeth Medical Center. The St. E’s Saints, the Angel Buds and the Burrstone Bombers will be participating in the Relay for Life event under the umbrella of the MVHS. “As a survivor, you walk the opening lap at the relay with a true sense of gratitude and thankfulness,” she said.
TIME TO VISIT
FAXTON URGENT CARE O P E N 8 A . M . T O 8 P. M DA I LY
We have all the services to get you up and running… including labs, x-ray, ultrasound & CT. N O A P P O I N T M E N T N E E D E D , J U S T WA L K R I G H T I N ! At the Faxton Campus, corner of Burrstone Road and Bennett Street (across from Murnane Baseball Field).
Continued on Page 10 March 2017 •
IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper
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Meet
Your Doctor
By Patricia J. Malin
Dr. Robert Pavelock For many people, March is the time of year for spring cleaning. For Robert Pavelock, a gastroenterologist affiliated with Mohawk Valley Endoscopy and Digestive Disease Medicine at the Utica Business Park and in Oneida, spring is associated with another type of cleaning — an annual screening for colorectal cancer. He recently discussed this often-overlooked disease with In Good Health senior writer Patricia J. Malin. Q.: Why is March a good time of year to be designated colorectal cancer awareness month? A.: March has traditionally been designated as colon cancer awareness month. With spring on the horizon, one thinks of renewal, life awakening, and time to contemplate one’s state of health. Preventing colon cancer is a rather simple affair and there are effective methods of doing this. Q.: Many times, cancer sneaks up on people and attacks before notable symptoms are evident. What common symptoms would indicate colorectal cancer? Can it be detected with a routine annual physical or does it require a separate colonoscopy exam? A.: Colon cancer can manifest itself in a number of ways. For example, an individual may be bleeding from a colon cancer slowly and not see the blood. This can lead to an iron deficiency anemia causing fatigue or just detected in routine blood work. Colon cancer may cause a change in bowel habits such as a change in the shape of the stool, new onset of constipation or even loose stool if a cancer is located distally and only loose stool can pass. Rectal bleeding that is visible to a person in the bowl, on their underwear or toilet paper may also be a sign. Any adult with rectal bleeding should be evaluated. More advanced cancers can metastasize to the liver, brain and other organs, causing for example abdominal pain, jaundice and unintentional weight loss. We do not want to get to this point. The key thing to remember is that colon cancer is preventable. It starts as small growths within the colon called polyps that generally cause no signs or symptoms. Many polyps remain as benign growths throughout a person’s life, but others slowly evolve into colon cancer. Removing all polyps detected at colonoscopy will prevent this. This why colonoscopy is recommended in average-risk patients at age 50, at age 45 in African-Americans and earlier in higher-risk individuals, such as those with a family history of colon cancer. Colon cancer can be suggestPage 4
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ed at a routine exam by detecting occult (invisible) blood in the stool during a rectal exam or providing stool samples submitted on cards that detect the blood. Colonoscopy is needed to confirm the presence of the cancer in the event of positive results. Newer methods are now available to detect the DNA of advanced polyps and colon cancers through a stool sample. A positive result would require a colonoscopy. False negatives may also occur, not detecting smaller pre-cancerous growths. For this reason, colonoscopy is considered the gold standard for detecting colon cancer and polyps. Virtual colonoscopy is a technique utilizing a CT scanner and specialized software that provides a three-dimensional picture of the inside of the colon. It is non-invasive but still requires a bowel preparation and administration of air to distend the colon. Any polyps or masses detected would require a subsequent colonoscopy. Virtual colonoscopy is generally not covered by most insurance plans as an initial screening tool; however, this may change. Colonoscopy remains the most cost-effective way of preventing and detecting colon cancer. Q.: Would you say many people are not as aware of colorectal cancer compared with more high-profile diseases, such as breast cancer? What can you, or other physicians, in the Mohawk Valley do to spread the word? A.: Unfortunately, yes. The bowels are a part of the anatomy most people avoid thinking about. It is estimated that 50 percent of people who should be tested are not. This has improved, however, through public education efforts such as television and print awareness advertising. Primary care physicians have become much more proactive in encouraging their patients to undergo screening and include it in their initial patient evaluations. High-profile cases of colon cancer, such as that of Katie Couric’s late husband, and her efforts to increase awareness have had a
positive impact. The mandate to include colon cancer screening as an included benefit in insurance plans through the Affordable Care Act has also increased screening rates. We are finally starting to see a decrease in the incidence of colon cancer over the last decade. Q.: How do you overcome a patient’s hesitancy or fear of having a colonoscopy? A.: At an initial consultation for colonoscopy, it is important to emphasize why it is recommended. We explain the polyp-to-colon cancer sequence and how the removal of polyps prevents colon cancer. Those who get screened generally do not get colon cancer. Conversely, those in whom we find colon cancer have generally never had a colonoscopy. I explain that the procedure is painless with modern anesthesia techniques and that the complication rate is extremely low. The preparation is often a concern, but this has improved and is generally quite tolerable. The Mohawk Valley Endoscopy Center where I perform many of my colonoscopies is designed to be efficient and provide as comfortable an experience as possible. A very high patient satisfaction rating supports this. Likewise, Oneida Healthcare Center where I perform colonoscopies for patients in Madison County provides an often stress-free experience.
IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • March 2017
Q.: As an undergraduate in college, you majored in anthropology, which is an unusual starting point for a career in medicine. What or who encouraged you to become a physician? A.: I had never really given thought to being a physician. Anthropology is the study of humankind, in particular the comparative study of human societies and culture and their development. Different cultures and languages have always fascinated me.
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Lifelines
Age: 60 Birthplace: New York City Residence: New Hartford Education: SUNY Stony Brook, bachelor’s degree, 1980; Nicholas Copernicus Academy of Medicine, Krakow, Poland (Stony Brook medical exchange program), medical degree, 1984; clerkship, VA Medical Center, Northport, 1985; internship, internal medicine, and residency, internal medicine, Stony Brook University Hospital Board certification: Gastroenterology, American Board of Internal Medicine Affiliations: Associate, American College Of Physicians; member, American Medical Association, American Gastroenterological Association Family: Children: Paul, Natalie, and Robert Hobbies: Hiking, bicycling, collecting old maps, traveling
Between You and Me
By Barbara Pierce
What do women like in a man? You might be quite surprised
A
re you taller than the average man? If so, you’re lucky. Your chances of having that hot woman you just met being attracted to you are much better than those of your short buddy. Yes, height matters. But if you’re not tall, don’t get discouraged. There are other things — just as valuable as height — that make women want you. You can’t change your height, but there are other things you can change to make her want you. Things that make a man appeal to women are fascinating and complex. Here’s the key: It’s biology. Who attracts us is rooted deep in our unconscious minds. We’re wired to be attracted to some people and not to others. We’re programmed by evolution. Go back to the days of our cavemen ancestors, Pierce when men hunted woolly mammoths for dinner and fought off saber tooth tigers every other Sunday. A woman’s best chances to survive and to raise a healthy bunch of cave babies would have been to get with the right caveman. That is what programs our brains to this day. For example, how you smell is huge — it has a big effect on a whether a woman is attracted to you. Women find the aromas of men dissimilar to their own to be the most desirable. The odors of men who smelled similar to them selves made them recoil in disgust. You’ve got to admit, that’s about as basic as it gets. There’s something about deep male voices that give women a sexual buzz. It’s because they perceive a deeper voice as a sign of a larger and stronger physical presence. What if your voice isn’t deep and honey-in-your-ears husky? The voice
Oneida, Herkimer in good
Cool hand Luke
Men who have slower movements and speech are seen as more at ease and confident, and thus, more attractive. Slowing yourself down might feel strange at first, but with practice it will become second nature. If you own a dog or a cat, women will rate you as more attractive; it makes you appear more relaxed and approachable. And how you care for your pet tells them a lot about you. It’s not true that “opposites attract.” People who are like each other in disposition and personality are more compatible. Look for a woman in your league as far as good-looking goes — someone about the same level of attractiveness. People who smile a lot are rated as more attractive; a happy smile compensates for a less attractive appearance. The simple act of touching and cuddling can make the two of you feel closer. Body language speaks louder than words. Keep your hands and torso open. Keeping your hands stuffed in your pockets and your shoulders turned inward sends the signal that you’re not interested. But
and
Health MV’s Healthcare Newspaper
is a versatile instrument that can be tailored. So if you’re not happy with the squeak that you’re producing when you talk, sign up for a few voice training or speaking lessons, and you’ll be surprised with how much versatility you’ll find in your voice. A large, strong physical presence is a good quality for short-term hookups. Women are more likely to have short-term relationships with guys who have big muscles. Less-muscular men were thought to be a better fit for long-term relationships. So build muscle (but not too much). Moving slowly is a desirable trait that is attainable as well. Look at any typical alpha male in a movie and you’ll notice they do everything extra slow — Clint Eastwood for instance. He hardly says more than a few dozen words in a movie but he still looks like the coolest guy ever.
Madison
having with your hands open, standing in an open stance shows you’re available. It’s potent. A bit of stubble is good. There’s a reason why actors like George Clooney and Brat Pitt rock the days-without-a-shave look. They understand that women dig a bit of stubble. It’s one of the bad-boy trademarks that women have a soft spot for. Facial hair correlates not only with maturity and masculinity, but also with dominance and aggression, experts say. An intermediate level of beardedness is most attractive, they say. Women are into men who can
talk about their feelings. When men are vulnerable, women find them more desirable both emotionally and sexually. Being vulnerable will not hurt men’s masculinity; rather, it’s just the opposite. Emotionally well-rounded men are more desirable to women and likely to be better long-term partners than men who are closed up and unwilling to share. If that woman you’re really attracted to is not interested in you, don’t feel bad. You just don’t have what’s in her unconscious as attractive. You just aren’t right for her; move on to another. You will find the right person.
• 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.
INSIGHT HOUSE counties
Chemical Dependency Services, Inc.
A monthly newspaper published by Local News, Inc. 20,000 copies distributed. To request home delivery ($15 per year), call 315-749-7070.
In Good Health is published 12 times a year by Local News, Inc. © 2017 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, Amylynn Pastorella, Pauline DiGiorgio 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.
Drug & Alcohol Treatment Services OUTPATIENT CLINIC & DAY REHABILITATION PROGRAM • DWI Assessment & Counseling • Suboxone Therapy *** Psychiatric Assessment • Family Support Group *** Adolescent Services *** Women’s Track • Addiction & Opiates *** Relapse Prevention Groups INTENSIVE RESIDENTIAL 7-9 MONTH PROGRAM • Appropriate for Males & Females • Suboxone Therapy *** Psychiatric Assessment SCHOOL-BASED PREVENTION PROGRAMS • HYPE (Helping Youth Thru Prevention Education) *** Project Success All inquiries are strictly confidential. Most medical insurances and Medicaid accepted. Sliding fee scale available. No individual denied services for inability to pay.
(315)724-5168 1-800-530-2741 www.insighthouse.com 500 Whitesboro Street, Utica New York 13502 March 2017 •
IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper
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Men’sHealth
Remarrying? Look before you leap Consider financial implications that come with territory By Barbara Pierce
A
lmost half of those getting married have been married before. Sure, there are many who move on to long, happy second marriages. But the shocking reality is that 67 percent of second marriages end in divorce, as do 73 percent of third marriages. It gets harder to keep the show on the road as you move onto the next marriage. Divorce is complicated at any stage in life, but remarriage presents even more issues. The complications that come with second and third marriages — ex-spouses, children and stepchildren, assets acquired over the years — all need special attention. For people about to take their second or third jump into matrimony, whether it’s after divorce or after the death of a spouse, here are tips from collaborative law attorney Michael G. Putter of Rome, who specializes in matrimonial and family court matters. Discuss and explore a prenuptial agreement, Putter suggests. Even for a first marriage. Rather than a recipe for divorce, a prenup spells out rights and responsibilities during marriage and can lead to fewer arguments about finances. It is a written contract between prospective spouses that states how assets will be owned and distributed during the marriage, in the event of divorce and at death. A prenup must be in writing and signed by both partners. Each must have his or her own attorney, adds Putter. Couples have wide latitude in creating agreements tailored to them. A prenup won’t hold up if it’s done at the last minute, said Putter, as this implies it was done under duress. Also, it won’t hold up if either partner has failed to reveal their
complete financial situation — what you own, what you owe. It can get thrown out of court if you don’t make a complete disclosure, said Putter. “I often represent people who have many assets; they are reluctant to share financial information with their fiancée,” he said. “I have a client whose prenup was thrown out for this reason. His wife was surprised to learn he had much more than he shared with her.” “You don’t have to share account numbers with your partner, just list the last four digits of the account,” he recommends.
The Donald’s word on prenups President Donald Trump’s pre-
nups were in the news in the past. His prenup said for each year they were married, the more she would get, up to 10 years when it dissolved. “There’s nothing really nice about it,” Trump told CNN in 2006, a year after his marriage to Melania. “But in our world — with the long court fights and vicious lawyers, and with all of the problems — if you have money or if you think you’re going to have money, you have to have a prenuptial agreement.” Bringing up a prenup can be awkward. “I tell clients to attribute it to me,” attorney Ann-Margaret Carrozza told USA Today. “I soften the blow by saying I know this is the last thing you’re thinking about. I become the heavy and say they absolutely have to do it, or the kids will
be fighting with each other.” Openly discuss finances before marriage, advises Putter — what you each own, what you each owe. When you talk about a wedding date, that’s when you should be talking about finances. Most don’t. They don’t have courage to talk about where they are financially. Finances are the No. 1 reason people get divorced, be it first, second or third marriage. Many getting married for the second time want to keep their assets separate. They want to see that their spouse is taken care of, but beyond that, they want to make sure anything left goes to their children. Prospective spouses need to know how much is already going to the children. Millennials may have huge college debts, sometimes guaranteed by a parent. If a parent guaranteed $250,000 in loans and their new spouse didn’t know about this, it could be a tension point. Both partners need to review each other’s credit reports. Be honest about where you stand financially before the marriage to avoid future discord. If there’s debt, you need to communicate about plans to pay off that debt. It can be a huge challenge causing much stress. Change your beneficiaries. One of the biggest mistakes people make when they remarry is forgetting to change beneficiaries. Review beneficiaries on life insurance, annuities, IRAs, and at work. If you’ve forgotten to change your beneficiary, your ex will get your cash whether you want them to or not; it’s binding. Putter promotes collaborative law as an alternative to the typical legal process. Collaborative law involves open communication between involved parties with professional assistance from legal counsel, but without court intervention. For more information, visit www. mvacollaborativelaw.com, www.michaelputter.com or call 315-371-1862.
Report: U.S. kids abandoning sodas
T
here’s good news when it comes to American teens’ diets, with more high school kids saying no to sodas and other sweetened beverages, researchers say. A new report from the U.S. Centers for Disease Control and Prevention found that while just over a third of kids in grades nine through 12 drank a sweetened beverage each day in 2007, that number had fallen to 20.5 percent by 2015. Still, more can be done to help kids avoid the empty calories of sweetened sodas and drinks, the CDC team said. Despite declines in soda consumption, “intake of other sugar-sweetened beverages, including energy drinks
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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • March 2017
and sports drinks, are increasing,” noted a group led by CDC researcher Caitlin Merlo. “And overall consumption of all sugar-sweetened beverages, such as soda, fruit drinks and sweetened coffees and teas, remains high.” According to the report, children and adolescents get about 20 percent of their daily calories from beverages. Some of these drinks can contain nutrients such as calcium or vitamins D or C, but many “provide [only] calories with no beneficial nutrients.” Rising child obesity rates have given new urgency to messages about the health hazards of sugary drinks, and the new study suggests those messages may be getting through.
Men’sHealth Are you for real?
Feel like an imposter? A fraud? You’re in good company By Barbara Pierce “I still doubt myself every single day. What people believe is my self-confidence is actually my reaction to fear,” actor Will Smith has said. “I’ve written 11 books, but each time I think, ‘Uh oh, they’re going to find out now. I’ve run a game on everybody, and they’re going to find me out,’” claims Maya Angelou. From Academy Award-winning actress Kate Winslet: “I wake up in the morning before going off to a shoot, and think, I can’t do this; I’m a fraud!” Welcome to the club if you’ve ever felt like this — the Impostor Syndrome Club. Obviously, you’re in good company. Common symptoms include worrying that your success in life is the result of an error and everyone around you is more competent than you. It’s a long list of people who worry about being uncovered as an impostor. Living with a nagging fear of being “found out” as not being as smart or talented or deserving as people think is common. It’s so common that the term “impostor syndrome” was coined to describe it. It’s not a mental illness; it’s a phenomenon. Researchers believe that up to 70 percent of people have it sometime. Olivia Cabane, professor at Stanford Business School, asks the incoming class: “How many of you feel that you are the one mistake that the admissions’ committee made?” And every year, about two-thirds of the students raise their hands. Cabane says in her book “The Charisma Myth”: “Now this is a curious state of affairs because getting into a top-notch program is not easy. There are many hurdles to clear. It takes hard work as well as talent. Yet despite this, the majority of students who achieve their goal of admission seriously doubt they deserve to be there.” Both men and women struggle
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with feeling like they are imposters. The chronic self-doubt and sense of being a fraud that imposters feel overrides any feelings of success or proof of their competence. Even with much objective evidence that they’re doing well — good performance reports, promotion history, grades — they feel that they’re faking it or skating on thin ice. Any minute, they’ll be unmasked and revealed as a fraud. It’s a problem for those who have it, as it causes us to be critical of ourselves all the time. It causes us to choke up and not perform well at the things we do best. It stops us in our tracks with a feeling of such tremendous self-doubt that our confidence is shot. It may be more common among young people but “a person of any age can experience it,” said Nancy Grabow, a licensed certified social worker from Sherrill.
Humbling experience
“I’ve had that feeling,” she admitted. “I call it humbling, and humbling is an appealing quality. It is not a good quality to feel very selfassured, to feel like you can achieve anything.” “It’s important for professionals to have a diagnosis for everything,” she added. “But sometimes we go overboard.” Feeling like an imposter is the domain of the high achiever. Those who set the bar low are rarely victims. So if you see yourself here, pat yourself on the back because you’re not willing to settle into the ranks of the mediocre. You’re a person who aims high and does your best at whatever you do. So what can you do so that you don’t sabotage yourself with your self-doubts? “Fake it ‘till you make it” is good advice. Don’t wait till you feel confident to act confident. Being bold is not about being right, or being perfect, or knowing it all. It’s about marshaling resources, information and people. It’s seeing problems as opportunities, occasionally flying by the seat of your pants, and being willing to fall flat on your face and know you will survive. As Grabow said, it’s important to have humility — to admit when you don’t know something. A way to build confidence is to be authentic and accept that you don’t need to know everything. Public radio talk show host Diane Rehm shares this in her book “On My Own:” “When I first began my broadcasting career, I was so deathly afraid every morning before going on the air that I was almost paralyzed inside. No one other than my husband knew that; no one seemed to notice it. He and I talked about this fear a great deal. One day he said to me: ‘Just let the fear in.
Don’t try to fight it. Let it be a part of who you are.’ Words I shall never forget.” Let the fear in. Be OK with it. Say to yourself: “The fact that I feel useless right now doesn’t mean that I really am.”
Next time you feel like a fraud at work, remember that even your boss probably feels similarly. Hopefully, that will help you act confidently in the face of whatever comes your way.
What if you could choose?
5 Days or 45 Days
March 2017 •
hoacny.com
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Men’sHealth
Rolling the dice Could you be a problem gambler? By Barbara Pierce
W
orld-class casino gambling, right here in Oneida County — open 24 hours a day. As more casinos open and become more popular, the number of people who are gambling addicts has grown right along with the number of casinos. No one knows just how many in the Mohawk Valley are addicted to gambling. People don’t talk about it and don’t admit it’s a problem for them. But state leaders know there’s a huge problem. They recently opened a number of inpatient addiction treatment centers for problem gamblers. “We used to have one inpatient treatment center for gambling addiction for the whole state; now we have six,” the hotline counselor at New York State Office of Alcoholism and Substance Abuse Services stated. March is Problem Gambling Awareness Month. The goal is to promote awareness about gambling addiction, to educate people about the warning signs of problem gambling, and let people know about the help that is available. Gambling is entertainment for many people, but for some, it can become an addiction. It becomes a problem when a person develops an impulse to gamble despite the negative impacts it has on his or her life. Although problems that result are mostly financial concerns, it probably will affect other areas of the gambler’s life. Being in debt can trigger depression and anxiety — even cause suicide. It puts severe stresses on relationships with family members. In extreme cases, gambling addicts end up stealing to continue to gamble or to pay off gambling debts. Although most gambling-related crimes involve embezzlement, forgery, petty theft, and are usually non-violent crimes, the fact that it becomes the cause of a criminal act is
alarming. Problem gambling is costly — both literally and figuratively. Gambling addiction is a serious problem. Gambling addicts look just like everyone else. They don’t have sunken eyes, extreme weight loss, or marks on their arms. It’s hard to know when a friend or family member has a problem.
Actions tell all
You can identify them by their behavior. — Signs of a problem gambler include a constant preoccupation with betting, betting higher and higher amounts of money, and lying about his betting habits to others. — You could be a problem gambler if you constantly think about and/or prepare for gambling sessions, gamble during work or when you are expected at home, get into debt from gambling and lie to borrow money. Or, if you use illegal means to get money to gamble. — If you are neglecting your family, work, or other personal responsibilities, you may have a problem. If you feel a need to gamble to relieve stress, you may have a problem. — If you spend all your money on gambling and still feel the need to gamble after you’ve lost all your money, you have a problem. Gambling until all your money is gone is a grave sign of problem gambling. — If you are hiding your gambling activities, it means you know it’s becoming a problem. When you lie to cover things up, this is a sign that the habit is becoming unhealthy. — If you feel irritable or empty when you’re not gambling, this is a type of withdrawal. Gambling addicts become irritable when not able to satisfy the urge to gamble. Some feel empty and depressed when they are not gambling. — If you may have a problem with gambling, by all means, ask for help.
Help is available and it works. One of the first steps to helping yourself is admitting you have a problem. Gamblers Anonymous is a 12step program, an alternative to the destruction of compulsive gambling. Participants share their experiences, strength, and hope with each other to solve their common problem. Though there are currently no GA meetings in the Mohawk Valley, there are meetings in Syracuse and Schenectady. “It’s a great program,” said Tom of GA. “People do drive long distances to come to our meetings. If a
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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • March 2017
person needs help, it’s not too far.” For more information on GA and information on its meetings, see their website at www.newyorkga.org/ or contact Tom at 518-441-6962. In-patient treatment is an option for those with a serious gambling problem. OASAS oversees inpatient services. The nearest facility to the Mohawk Valley is St. Lawrence in Ogdensburg, (315) 393-1180. To be admitted, call to learn its admission criteria, advised the hotline counselor. For help in finding services, call 1-877-8-HOPENY.Trained staff are available 24 hours each day, 365 days a year. All calls are anonymous and confidential.
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Men’sHealth
Cancer and you Devastating news, but you can fight back By Deb Dittner
A
diagnosis of cancer can be devastating. No one wants to hear those three words — “You’ve got cancer.” So, if you or a loved one receives a cancer diagnosis, there are many steps you can take to make the going a bit easier. Enlist the help of either a family member or close friend to be by your side and for the extra pair of ears, for support, for company during tough times. Sure, there are times you will want to be alone to think things Dittner through for yourself, but that extra hug is so much needed. Initially, you may feel that tests, treatment, and/or surgery need to be done “yesterday.” Slow down. Breathe. Listen to what your heart and body is saying to you. The breath will help to decrease stress and anxiety. Sit comfortably with both feet flat on the floor and your hands either on both knees or placed in your lap. Close your eyes and inhale to the count of eight, hold for the count of eight, and then release for the count of eight. After a few rounds of this breathing method, you will feel more in control and relaxed. Once you receive a cancer diagnosis, begin to research the disease, oncologists and other health care providers to be on your “team.” Begin to understand what the current traditional options for treatment consist of and how to find those who may offer other possibilities. The team consists of practitioners
in functional and integrative medicine. Interview the providers you find and choose what best suits your needs. The cancer is only a piece of what needs to be treated. A whole body approach needs to be considered consisting of energy therapy, supplements, whole nutrient-dense foods, and other possibilities to increase your immune system. Eat whole nutrient-dense foods to help decrease inflammation. Eliminate dairy and other animal products as these can contain hormones. Eliminate sugar as it feeds cancer. Research shows the average American consumes approximately 152 pounds of sugar per year. Choose low-glycemic fruits as a dessert. Make at least half of your plate plant rich, and — if not vegan — one quarter of your plate a lean, clean protein. Consider purchasing a juicer and juice. Use organic fruit and vegetables as much as possible. Go to www.ewg.org for information on the “Clean 15” and “Dirty Dozen” to choose appropriately. When juicing, use a 3-to-1 ratio of veggies to fruit. Adding ginger (anti-inflammatory and gut healthy) and lemon (aids in alkalinity) will add to the flavor. The type of body care and cleaning products need to be chosen with caution. Many personal care products contain ingredients that have not been approved by the U.S. Food and Drug Administration. Companies are not required to test their products and can leave off hazardous chemicals from the ingredient list. Many of these chemicals may increase the risk of cancer, are hormone disruptors, cause infertility and even birth defects. Cleaning products for the home fall into the same category. The Environmental Working Group (www. ewg.org) provides lists of harmful
Mohawk Valley celebrates National Wear Red Day
T
he Greater Utica area celebrated National Wear Red Day recently. Throughout the area, local businesses, community groups, hospitals, towns and schools wore red on Feb. 3 to help spread the message that heart disease and stroke cause one in three deaths among women each year — more than all cancers combined. For the second year in a row, the American Heart Association’s Go Red For Women campaign hosted a National Wear Red Day Luncheon in Rome at the Beeches Inn & Conference Center, sponsored by Rome
Memorial Hospital. Nearly 200 people attended the event, which featured speaker Patricia Cummings, a heart attack survivor. Keynote speaker Loretta Myers shared her experience as a medical professional and both the mother and daughter of congenital heart defect survivors. Cardiovascular diseases kill about one woman every 80 seconds, but the good news is about 80 percent of cardiovascular diseases may be prevented.
• Deborah Dittner is a nurse practitioner and health consultant for amateur and professional athletes. If you’re an amateur or professional athlete looking to increase energy, boost performance and shorten recovery time, check out my website www.debdittner.com to learn how. If you’re an athletic department head, coach, or athletic trainer, and would like to learn how your team can gain a competitive edge through whole foods-based nutrition and wellness, contact me at 518-596-8565
chemicals.
Exercise essential
Get up and move. Physical movement is necessary to stay strong. Exercise boosts immunity, increases endurance, builds muscle, reduces inflammation, and provides added energy. With daily movement, you will be better able to handle cancer treatments and procedures, and recover more quickly. It is very important to commit to some form of exercise whether it be yoga, Pilates, weights, swimming, tai chi, dance, or walking on a regular basis beginning with 10 minutes and building to 30 minutes or more. Reduce stress. A diagnosis of cancer can be one of the most stressful events in your life. You need to find the best way for you to manage stress so as not to weaken your immune system, alter your sleep habits, or create more illness. As mentioned earlier, breathing exercises are a great way to reduce many stressful situations. Other forms of stress reduction include yoga (the added benefit of movement), meditation (even as little as 5-10 minutes is helpful), getting out in nature (again more movement), and massage (so relaxing). You may need to seek professional help as well since dealing with a cancer diagnosis can be extremely difficult.
March 2017 •
Nightly restorative sleep for seven to nine hours is healing to the body, allowing you to best respond to treatment(s). If you are a coffee drinker, stop by noon. If you drink alcohol, decrease the amount and have it with a meal. Alcohol disrupts melatonin necessary for sleep and blood sugar levels. Start approximately one hour before you are ready to go to sleep with a nightly routine. Take an Epsom salt bath (excellent in magnesium) with therapeutic grade essential oils, have a cup of herbal tea, or read a book or magazine. Eliminate all electronics — such as TV, iPhone and computer — as these stimulate the mind. Create a calming atmosphere. Keep the temperature cool and dark with curtains to block all light. Climb into bed and journal. Write whatever comes to mind about your day. Also, write about three things you are grateful for and why. End with an affirmation such as “I am healing every day.” Most importantly, believe in you. Care and love yourself just as you are. Be present. Know your truth. In the words of Buddha: Do not dwell in the past, Do not dream of the future, Concentrate the mind on the present moment.
IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper
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Diet & Nutrition All fruits, vegetables not created equal Produce has varying levels of nutritional value Kristen Raab
M
om has always said eating fruits and vegetables is a necessity. While our plates should include a colorful array of produce, we should be mindful of which of these foods are best for our needs. Knowing the nutritional content of our favorites helps us alter our diets as needed. Choosemyplate.gov says fruits and vegetables should make up half of each meal, with protein and grains making up the other half. Good nutrition comes from incorporating the proper foods into Salzer our diets. Patricia Salzer, registered dietitian and health and wellness consultant for Excellus Blue Cross Blue Shield, says nutritionists “emphasize moderation, variety, portion control, and balance” because “some foods have more nutrients than others.” Both fruits and vegetables are cholesterol free, and they are often full of fiber. Whole, unprocessed fruits and vegetables are obviously the healthiest. Fruit juices tend to have added sugar, and frozen broccoli in cheddar sauce may taste good, but is has a lot of added calories and sodium. Including a green salad with dinner or making vegetable stir-fry as a main course can help you incorporate a variety of colors and nutrients into each meal.
Some fruits and vegetables have developed poor reputations. Salzer sets the record straight on a few of these foods. —Corn has more calories than many vegetables. One small ear contains 85 calories. Also, it does not feature any calcium. “Corn on the cob is a sure sign of summer. It’s delicious on the grill,” she said. — Celery lacks a substantial amount of many of the nutrients in green vegetables. Also, the United States Department of Agriculture ranks it in the top five of the “dirtiest” produce. Salzer suggests opting for organic produce when it comes to celery and others on the “dirty dozen” list. She also says, “Celery offers a lot of crunch and is good in salads and soups.”
Look for options
— Iceberg lettuce: It doesn’t have the vitamins that other “real” greens do. “Choose romaine, spinach, kale, or arugula more frequently than iceberg, but go ahead and have iceberg sometimes if you like it,” Salzer said. — Potatoes: One medium potato has 160 calories, and sweet potatoes aren’t as healthy as butternut squash. It is wise to recognize that buttery gravy-laden potatoes are unhealthy. However, the skin of potatoes offers lots of nutrition. If you have a French fry craving, bake wedges. Sweet potatoes can be added to hummus or made into a healthier pie. — Bananas: They spike blood sugar. For people who have not been told to actively monitor their blood
sugar, having a banana is a healthy choice. “Bananas offer nutrition too besides energy. I like to have peanut butter with my banana on whole grain toast or in oatmeal,” Salzer said. The potassium in bananas is essential for heart health, muscle contraction and control, electrolyte balance, and so much more, she added. — Cherries: A single cup of cherries contains 18 grams of sugar. Again, moderation is key. It takes time to eat around the pit of a cherry, which can help with portion control. It’s also important to remember sug-
Relay for Life stands up to cancer Continued from Page 3 “As a team captain, I motivate my team with reasons why we help raise money and awareness for this horrible disease. And as a member of the planning committee, I work with a great bunch of people who help organize the entire event from start to finish,” said Wahl.
Dollars help local fight
Wahl started participating in Relay for Life when she lived in Rochester, but became much more involved when she moved to the Utica area with her husband. “Relay for Life is important to our community because many of the dollars we raise are used right here,” she said. “I am always amazed each year by the amount of money we generate in our own region.” The theme for this year’s Relay for Life is “Colors of Courage.” Page 10
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Different colored ribbons are used to identify certain cancers, such as pink for breast cancer, yellow for childhood cancer and blue signifying prostate cancer, to name a few. People who want to become involved in Relay for Life register on teams through the American Cancer Society. Teams set fundraising goals and try to reach their goals in various ways. Team members can camp out at their registered locations for 24 hours and walk around the local track, with at least one member from each team walking at all times. Relay for Life starts with a lap honoring survivors, followed by a lap for caregivers and then anyone from each team can walk. In the evening, candles are set out for the luminaria walk to remember those who have lost their battle with cancer. Twenty-two teams have already registered for the Utica event, and
more than $19,000 has been raised. That’s 16 percent of the overall fundraising goal of $125,000. Thirteen survivors have registered to walk the survivor lap. “I am always honored to be a part of this great event and have al-
ar from fruit is not the same as sugar from cherry-flavored candy, Salzer said. Munching on celery sticks is always going to be healthier than choosing cookies for that same crunch. The Nuval scoring system at www.nuval.com/scores is helpful in determining which fruits and vegetables are the most nutritious. The score is based on factors such as vitamin content, antioxidants, fiber, protein, fat, carbohydrates and calories combined with standard research that shows how these nutrients impact our bodies.
ways felt that everyone has a responsibility to give back to our community,” added Wahl. “This would be an opportune time.” For more information on how you can help, visit http://main. acsevents.org or call 315-724-8126.
Relay for Life places, dates • Relay for Life of SUNY Polytechnic Institute — March 31-April 1 • Relay for Life of Utica College — April 7 • Relay for Life of the North Country — May 20 • Relay for Life of Madison County — May 20 • Relay for Life of Camden — June 3
IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • March 2017
• Relay for Life of Rome — June 3-4 • Relay for Life of Sauquoit — June 10 • Relay for Life of Herkimer County — June 10-11 • Relay for Life of Utica — June 10-11 • Relay for Life of Dolgeville — June 17
Richard M. Cherpak, M.D. Richard M. Cherpak, M.D. Richard M. Cherpak, M.D. Garth J. Garramone, D.O., F.A.C.P. The Eyes Have it Garth J. Garramone, D.O., F.A.C.P. GarthBrett J. Garramone, Brett Gandhi,D.O., M.D. R.R. Gandhi, M.D.F.A.C.P Norman R. Neslin, M.D. A Brett R. Gandhi, M.D. Norman Neslin, M.D. Robert R.R.Pavelock, M.D. Norman Neslin,M.D. M.D. BradleyR.F. Sklar, Robert R. Pavelock, M.D. Stanley P. Weiselberg, M.D. Robert R. Pavelock, M.D. 116 Business Park Drive, Bradley F. Sklar, M.D. Utica,F.NYSklar, 13502M.D. Bradley p. 315 -624-7070 | f. 315-316-0367 Stanley P. Weiselberg, M.D. info@mveccny.com Stanley P. Weiselberg, M.D. Dr. John Costello of Costello Eye Physicians and Surgeons employs the latest in technology in his profession.
Learn about advances in cataract surgery at Rome Hospital’s Health Night presentation re you finding it increasingly difficult to see at night? If so, now is the time to venture out to learn about the latest in cataract surgery at Rome Memorial Hospital’s Health Night presentation on March. 8. Eye physician and surgeon John Costello, Jr. will present “Advances in Cataract Surgery” at the Beeches Inn and Conference Center, 7900 Turin Road, state Route 26 N., Rome. The program begins at 5:30 p.m. “When normal proteins in the eye’s lens begin to break down, the lens becomes cloudy,” explained Costello. “Cataracts are the leading causes of vision loss among adults aged 60 or older. They impair vision and make everyday activities increasingly difficult.” Today’s advances in cataract treatment provide added benefits to patients, including improved vision and faster recoveries, Costello noted. Results are permanent, and once removed, cataracts will not recur, he said. In his presentation, Costello will talk about the symptoms of cataracts, how they are diagnosed, and the advances in cataract surgery, including the ORA™ (Optiwave Refractive Analysis) system, technology that allows the surgeon to precisely predict the most accurate lens for each individual patient. “Traditionally, measurements for the patient’s replacement lens are calculated preoperatively,” Costello said. “With the ORA™ technology, verification of the proper lens im-
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plant happens during your surgery for the greatest degree of accuracy.” Rome’s Griffiss Surgery Center is the only cataract surgery site in Central New York that provides this advanced lens implant measurement technology. There will be a question-and-answer session following the presentation. “One symptom of cataracts is often compromised night vision,” Costello continued. “Cataracts distort the light that comes into your eyes and you may see halos around lights.” Costello said that, of all the senses, vision is the most important. Costello is board-certified by the American Osteopathic Board of Ophthalmology and Otolaryngology, and a fellow of the American Osteopathic College of Ophthalmology and American Academy of Ophthalmology. He is also a member of the American Society of Cataract and Refractive Surgery. Costello received specialized training from Harvard University’s Massachusetts Eye & UT-000595577 Ear Infirmary and Ohio State University where he served as a clinical instructor. He works in the same capacity on the faculty at the SUNY Upstate Medical University and SUNY Health Science Center. A member of Rome Memorial Hospital’s medical staff, Costello, of Costello Eye Physicians and Surgeons, performs his surgeries at the Griffiss Surgery Center, 105 Dart Circle, Rome. In addition to cataract surgeries, other procedures are performed at the same-day surgery center including eye, plastic and cosmetic, and gynecological surgeries. AdvancePROOF reservations for Health O.K. BY:___________________________ O.K. WITH CORRECTIONS BY:________________________ Night are requested for planning READ CAREFULLY • SUBMIT purposes,PLEASE but not required. Call 315- CORRECTIONS ONLINE 337-5309 to make your reservation or for more information. Attendees UT-000595577 (100%) will be entered into a drawing for a ADVERTISER: MOHAWK VALLEY ENDOSCOPY PROOF CREATED AT: 2/22/2017 9:24:00 AM door prize, and refreshments will be UT-000595577 served. SALES PERSON: UT6021 NEXT RUN DATE: 02/26/17
mveccny.com
116 Business Park Drive, Utica, NY 13502 Phone Fax p.315-624-7070 315 -624-7070 | f.315-316-0367 315-316-0367 info@mveccny.com mveccny.com
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PROOF DUE: 02/24/17 12:59:55 IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper
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Get up and move!
Activity essential for not just elderly or injured, but for everybody
By Jim Miller
Do you need to file tax return in 2017? T
By Barbara Pierce
Dear Savvy Senior,
What are the IRS income tax filing requirements for retirees this tax season? My income dropped way down when I retired last year in 2016, so I’m wondering if I need to even file a tax return this year. New Retiree Dear New, There are several factors that affect whether or not you need to file a federal income tax return this year, including how much you earned last year (in 2016), and the source of that income, as well as your age and filing status. Here’s a rundown of this tax season’s (2016) IRS tax filing requirement thresholds. For most people, this is pretty straightforward. If your 2016 gross income — which includes all taxable income, not counting your Social Security benefits, unless you are married and filing separately — was below the threshold for your filing status and age, you probably won’t have to file. But if it’s over, you will. • Single: $10,350 ($11,900 if you’re 65 or older by Jan. 1, 2017). • Married filing jointly: $20,700 ($21,950 if you or your spouse is 65 or older; or $23,200 if you’re both over 65). • Married filing separately: $4,050 at any age. • Head of household: $13,350 ($14,900 if age 65 or older). • Qualifying widow(er) with dependent child: $16,650 ($17,900 if age 65 or older). To get a detailed breakdown on federal filing requirements, along with information on taxable and nontaxable income, call the IRS at 800-829-3676 and ask them to mail you a free copy of the “Tax Guide for Seniors” (publication 554), or see IRS. gov/pub/irs-pdf/p554.pdf.
Special Circumstances
There are, however, some other financial situations that will require you to file a tax return, even if your Page 12
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gross income falls below the IRS filing requirement. For example, if you had earnings from self-employment in 2016 of $400 or more, or if you owe any special taxes to the IRS such as alternative minimum tax or IRA tax penalties, you’ll probably need to file. To figure this out, the IRS offers an interactive tax assistant tool on their website that asks a series of questions that will help you determine if you’re required to file, or if you should file because you’re due a refund. It takes about 15 minutes to complete. You can access this tool at IRS. gov/filing — click on “Do you need to file a return?” under the Get Ready tab. Or, you can get assistance over the phone by calling the IRS helpline at 800-829-1040. You can also get face-to-face help at a Taxpayer Assistance Center. See IRS.gov/localcontacts or call 800-829-1040 to locate a center near you.
Check Your State
Even if you’re not required to file a federal tax return this year, don’t assume that you’re also excused from filing state income taxes. The rules for your state might be very different. Check with your state tax agency before concluding that you’re entirely in the clear. For links to state tax agencies see Taxadmin.org/state-taxagencies.
Tax Preparation Help
If you find that you do need to file a tax return this year, you can get help through the Tax Counseling for the Elderly (or TCE) program. Sponsored by the IRS, TEC provides free tax preparation and counseling to middle and low-income taxpayers, age 60 and older. Call 800-906-9887 or visit IRS.treasury.gov/freetaxprep to locate a service near you. Also check with AARP, a participant in the TCE program that provides free tax preparation at more than 5,000 sites nationwide. To locate an AARP Tax-Aide site call 888-2277669 or visit AARP.org/findtaxhelp. You don’t have to be an AARP member to use this service. Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit www.savvysenior. org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.
he Amazon River held a lifelong fascination for Dirk Green of Ithaca. A few years after he retired, he scheduled a cruise and a dream came true as he and his girlfriend left for their seven-day cruise. The second day out, he began to feel ill. By the third day, he was so ill he couldn’t leave the cabin. His girlfriend brought food, and he lay around with a rare South American virus as the Monaco amazing jungle passed outside his window. His girlfriend wheeled him off the boat; he was too weak to walk. Ten days passed before he got home and began to recover. Ten days of lying around. Three months later, he’s still walking with a cane. He lifts weights at a fitness center most days because he’s trying to regain all the strength he lost — not only in his legs, but his arms. In only 10 days, the 67-year-old man, who was fit when he left on his dream cruise, became a decrepit, old man — a fragile weakling. “Yes, that’s what happens when you’re inactive,” confirmed Ryan Monaco, doctor of physical therapy, athletic trainer, certified strength and conditioning specialist and co-owner of the Sports Performance Institute in New Hartford. “It happens to people of any age.” It even happens to guys in their 30s who are “weekend warriors,” said Monaco. They sit at their desk all week, then play sports or do something very active on the weekend. They can rupture their Achilles tendon, sprain their ankle or other muscle, injure their knee, or suffer similar setbacks. “It’s dangerous to be inactive,” he stressed. SPI offers the latest cutting-edge forms of assessment and treatment while featuring injury rehabilitation and prevention, post-operative rehabilitation, and performance therapy. “You’ve got to stay active; you’ve got to keep moving — for so many reasons,” he emphasized. The physical therapist that is working with Green to regain his lost strength told him a person loses 7 percent of his or her functioning level every day they are inactive. Monaco says his research indicates you lose up to 25 percent each week you are inactive. If you are inactive for three weeks, you could have a 50 percent decrease in your muscle strength. This is true for persons of any age.
IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • March 2017
The aging body
However, as you age, your muscular strength decreases, resulting in a loss of muscle mass, he explained. The direct result is a loss of strength and power. So when you start from a diminished position, you can end up like Green. This is why doctors get you up and moving soon after surgery. At SPI, Monaco has recently found an interesting outcome. Some clients have come in for “pre-hab’— an emerging proactive therapy program started at least six weeks before joint replacement surgery. Getting in shape before surgery makes recovery easier. People who came to see him for pre-hab before knee replacement surgery had much better outcomes than those who came in for rehab after their surgery. He says the research on this is still not conclusive. “If we compare two persons who had knee replacements, the one who had pre-hab had a significantly better outcome,” he concluded. “It’s a no-brainer,” he said. “Come for physical therapy before your surgery.” However, most insurance policies do not cover pre-hab at this time. We hear much lately about the harmful effects of a desk job, the harmful effects of sitting all day. “Sitting in general weakens you,” stressed Monaco. The many health hazards of sitting for long stretches are significant even for people who are active when they’re not sitting down. To begin to avoid these hazards, take frequent breaks — 10 minutes per hour is recommended. “The mission of SPI is to help both individuals and groups reach their goals regarding performance, rehabilitation from injury, and to attain higher levels of fitness through scientifically proven techniques,” says SPI’s website. For more information on Monaco and SPI, visit www.spiutica.com, call 315-765-6187 or email ryan@spiutica. com.
Improve your bottom line! Call 749-7070
Merciful effort
The Social Ask Security Office
From the Social Security District Office
Sands Family/Constellation Brands supports Mercy Flight Central
Contributions make our nation stronger
By Patricia J. Malin
W
hat’s the value of a life saved by medical professionals? Priceless. Just ask Ginny Clark and Rob Sands. Clark’s daughter, Shaunna, and Sands’ son, Mackenzie, were both successfully rescued by Mercy Flight Central, the air medical service based in Canandaigua. “Shaunna was the first (accident) patient ever transported by Mercy Flight,” Clark said while recalling a horrific traffic accident that occurred when her daughter was just 9 years old. “They had started (the service) only six Clark months earlier.” That was 25 years ago. Clark’s gratitude has resulted in direct dividends for Mercy Flight. Ever since that fateful day, she and Sands, who is now her boss, have been enthusiastic and highly successful fundraisers for the nonprofit service. Mercy Flight Central also operates from a base in Marcellus. It opened its newest base at Oneida County Airport in Rome last spring. Since its inception in 1992, the critical care air medical service has transported nearly 14,000 patients. Clark, senior vice president, public affairs for Constellation Brands, and Chris Ramsey, owner, Ramsey Constructors, both of western New York near Rochester, co-chaired a fundraiser for Mercy Flight dubbed “The Looking Up! Capital Campaign for Mercy Flight.” Constellation Brands, led by president and CEO Sands, raised $500,000 for Mercy Flight Central, with Clark personally contributing $50,000. More than $720,000 was donated at the event in September. Thanks to the Sands Family/ Constellation Brands gift, the capital campaign reached $4.2 million toward its $4.5 million goal, prompting Mercy Flight Central to name one of its medical helicopters after the Sands Family and Constellation Brands. Mercy Flight Central Chief Executive Officer Jeff Bartkoski said the investment supports the region’s medical care infrastructure, including equipment, medical technology and staff training to ensure patients receive the most advanced treatment possible. Constellation Brands, Inc. of Victor is the largest wine producer in the world with 40 production facilities and more than 7,000 employees. Its brands include Robert Mondavi, Manischewitz and Arbor Mist wines.
A A Mercy Flight Central helicopter sits atop a hospital heliport. In addition, it owns Corona beer. Constellation Brands’ support of Mercy Flight Central goes back decades. Sands’ father, Marvin, was one of the air service’s first major benefactors and participated as a director on MFC’s board in the mid-1990s. “Marvin was very supportive,” said Bartkoski. “He was chairman of one of our very first campaigns.” “It’s a pleasure to continue the family tradition with this gift,” Rob said. “My personal experience came a few years ago when my son, Mackenzie, was transported after an accident. This first-hand experience drove home the tremendous value of the service.”
‘Phone call from hell’
Clark said she will never forget the day she received “the phone call from hell.” On Aug. 23, 1992, Shaunna was a passenger in a car with her father when it became involved in a head-on crash on state Route 21 in Tompkins County. Her daughter was ejected from the car, suffering massive head injuries, with almost no vital signs. Mercy Flight airlifted her from the crash scene to Strong Memorial Hospital in Rochester. She suffered from brain swelling and lay in a coma for three days. The advantage of the air service was that it was able to provide life-saving hospital-level care inflight and in less time than it took for a conventional ambulance to reach the site. “I didn’t even know they were in existence,” Clark said. “There’s no doubt in my mind that she’s alive today because of them. From all accounts, there’s no reason she could have lived through the accident, except there was a level 3 paramedic on board — the highest certification — and they got her to the hospital within the miracle hour.” Her daughter eventually recovered and suffered little lasting effects from her injuries. Now 34, Shaunna Bailey-Stith is a successful attorney living in Virginia.
t first, seeing taxes taken out of your paycheck can be a little disappointing. However, you can take pride in knowing you’re making an important impact each week when you contribute to Social Security. Understanding how important your contribution is takes some of the sting away because your taxes are helping millions of Americans — and protecting you and your family for life — as well as wounded warriors, the chronically ill and disabled. By law, employers must withhold Social Security taxes from a worker’s paycheck. While usually referred to as “Social Security taxes” on an employee’s pay statement, sometimes the deduction is labeled as “FICA” which stands for Federal Insurance Contributions Act, a reference to the original Social Security Act. In some cases, you will see “OASDI” which stands for Old Age Survivors Disability Insurance. The taxes you pay now translate to a lifetime of protection — for retirement in old age or in the event of disability. And when you die, your family (or future family) may be able to receive survivors benefits based on your work as well. Because you may be a long way from retirement, you might have a tough time seeing the value of benefit payments that could be many
Q&A Q: I recently retired and am approaching the age when I can start receiving Medicare. What is the monthly premium for Medicare Part B? A: The standard Medicare Part B premium for medical insurance is currently $134 per month. Since 2007, some people with higher incomes must pay a higher monthly premium for their Medicare coverage. You can get details at www.medicare.gov or by calling 1-800-MEDICARE (1-800633-4227) (TTY 1-877-486-2048). Q: I recently applied for a replacement Social Security card, but I might be moving before it arrives in the mail. What should I do if I move before I get it? A: Once we have verified all your documents and processed your application, it takes approximately 10 to 14 days to receive your replacement Social Security card. If you move after applying for your new card, notify the post office of your
March 2017 •
decades in the future. But keep in mind that the Social Security taxes you’re paying can provide valuable disability or survivors benefits now in the event the unexpected happens. Studies show that of today’s 20-yearolds, about one in four will become disabled, and about one in eight will die before reaching retirement. Be warned: if an employer offers to pay you “under the table,” you should refuse. It’s against the law. They may try to sell it as a benefit to you since you get a few extra dollars in your pay. But you’re really only allowing the employer to cheat you out of your Social Security credits. If you’d like to learn a little more about Social Security and exactly what you’re building up for yourself by paying Social Security taxes, take a look at our online booklet, How You Earn Credits, at www.socialsecurity.gov/pubs/10072.html. If you have a friend who lost a parent when they were a child, they probably got Social Security survivors benefits. Social Security helps by providing income for the families of workers who die. In fact, 98 of every 100 children could get benefits if a working parent dies. And Social Security pays more benefits to children than any other federal program. You can learn more at www.socialsecurity.gov/survivors. You can also learn more at www. socialsecurity.gov.
change of address and the post office will forward your card to your new address. If you do not receive your card, please contact your local Social Security office. To get a replacement, you will have to resubmit your evidence of identity and United States citizenship, or your lawful immigration status and authority to work. You can learn more at www.socialsecurity.gov. Q: Why is there a five-month waiting period for Social Security disability benefits? A: The law states Social Security disability benefits can be paid only after you have been disabled continuously throughout a period of five full calendar months. Social Security disability benefits begin with the sixth full month after the date your disability began. You are not able to receive benefits for any month during the waiting period. Learn more at our website: www.socialsecurity.gov/ disability.
IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper
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KIDS Corner 8 Ways to Boost Your Child’s Immune System
N
o magic elixir can prevent children from developing occasional colds and viruses, but takings steps to boost their immune system can minimize their chances of catching every bug that winds its way through the daycare center or school. “The immune system helps us fight infections,” says family medicine specialist, physician Palak Shroff, University Hospitals Family Medicine in Painesville, Ohio. “Immunity develops over time, so the more someone gets exposed, the more the immune system develops. Kids’ whole environment is new, but over time, their immunity will develop and get better.” According to Shroff, parents can take eight steps to boost their child’s immunity, including: Breastfeed. Boosting a child’s immunity should begin on day one with the first feeding. Breastfed babies benefit from several days of carbohydrate-, protein- and antibody-rich colostrum followed by a year or so of regular breastmilk. “During breastfeeding, the mother’s immunity transfers to the child,” Shroff says. Vaccinate. Making sure kids receive all recommended vaccines is one of the best ways to prevent them from catching potentially dangerous illnesses, such as pertussis (whooping cough), measles, mumps, hepatitis, chicken pox and others. “All children over 6 months of age should get a flu shot,” she says. “Sometimes small kids get the flu and that develops into pneumonia, then they struggle to get better for a long time.” Nourish them well. Feed kids a balanced diet filled with fruits and vegetables. The antioxidants, vitamins and minerals abundant in produce are essential to boosting the immune system. Promote good sleep habits. When kids (and parents, too) aren’t well-rested, their bodies lose their natural defense mechanisms and don’t fight off illness effectively. Exercise. Encourage kids to run around the back yard or participate in team sports. Physical activity promotes better blood circulation and helps the lungs and heart work better, which in turn, boosts immunity.
IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • March 2017
1.
2.
3. 4. 5.
Practice good hygiene. 6. Staying clean lessens the threat of contracting an infection.
Encourage kids to wash their hands after using the bathroom or before eating, cover their mouth when they cough and never share their toothbrush. Make sure to replace their toothbrush following a bout of strep throat. Shield them from secondhand smoke. Any allergen will worsen a child’s immunity, and secondhand smoke is no exception. Kids who are exposed to cigarette smoke on a regular basis tend to develop respiratory infections. Don’t rely on antibiotics. All upper respiratory illnesses, including most coughs and colds, are viral. That means they won’t respond to antibiotics, so don’t pressure your doctor to prescribe them. When antibiotics are overused, bacteria develop resistance to them. So, if your little one catches a bacterial illness that would normally be treated with an antibiotic, the drug may not work. Your best bet is to let most viral illnesses run their course your child will get better and further develop immunity. It’s important to remember that garden-variety colds, strep throats and occasional viruses are a normal part of childhood — and a necessary means of building your child’s immunity. But if you think your youngster is falling ill more often than other kids, it’s time to check in with the pediatrician.
7. 8.
SmartBites
sure and also enables your heart to beat in a healthy way. An average serving of cantaloupe has about as much potassium as a banana. Nutritious cantaloupes are low in fat, cholesterol, sodium and calories (about 50 per cubed cup), and offer a modest amount of fiber: 6 percent of our daily needs. As for sugar, it has less than a banana, more than strawberries and about the same as a peach.
The skinny on healthy eating
Go Crazy for
Cantaloupes S
Helpful tips
ome fruits are so fragrant and tamin A. luscious and yummy that we Vitamin C seekers will be thrilled don’t think twice about their nu- to know that a cup of cantaloupe boasts tritional value. For many, including nearly 100 percent of our daily needs. me, a cantaloupe is just that sort of Vitamin C, which contributes to collafruit. Oh, to sink your teeth into that gen synthesis and development, plays sweet juiciness: Who can blame us for an important role in wound healing forgetting that it’s a nutritional pow- and in maintaining healthy, resilient erhouse? skin. (Wrinkles, watch out!) And alOrange-fleshed cantaloupes are ex- though this immune-boosting vitacellent sources of beta-carotene, which min can’t prevent colds, research has the body then converts into vitamin revealed that loading up A. Essential for growth and healthy on this nutrient may vision, vitamin A helps mainhelp shorten the time tain the immune sysyou’re sick and retem and also acts as duce the severity of an antioxidant, proyour symptoms. tecting our cells from Potassium-rich free radical damage. cantaloupes are great A study by the Nationfor hearts. A mustal Eye Institute showed have mineral, potassium that certain antioxihelps trigger your heart dant vitamins to squeeze (A,C, E) and Some fruits are so fragrant and luscious and yummy b l o o d zinc helped that we don’t think twice about their nutritional through to slow the value. For many, a cantaloupe is just that sort of your body. p r o g r e s s i o n fruit. It also helps of advanced your musmacular degeneration by about 25 per- cles to move, your nerves to work, and cent over a six-year period. An average your kidneys to filter blood. While poserving of cantaloupe (one cubed cup) tassium doesn’t treat or prevent heart more than meets our daily needs for vi- disease, it does help control blood pres-
2.1%
Select a cantaloupe that feels full and heavy. Ripe cantaloupes sound dull (not hollow) when you tap the rind with your finger. Smell the end opposite from the stem end: it should smell fragrant, but not overpowering. Store your ripe cantaloupe in the refrigerator for three to four days; cut cantaloupe should be eaten within three days. Unripe cantaloupe can be left out at room temperature for a couple of days to soften. Cantaloupe needs to be washed before slicing because the skin can harbor harmful bacteria; but wait to wash it until just prior to cutting.
Savory Cantaloupe Salad with Feta and Basil ½ cantaloupe, seeded and cut into bite-size cubes 1 cup cherry tomatoes, halved 1 garlic clove, minced ¼ cup minced shallots 1 small jalapeno or Fresno chile pepper, seeded and finely chopped (optional) ½ cup fresh basil, chopped or cut into slivers
Zest from 1 lime 1/3 cup crumbled feta or goat cheese 2 tablespoons lime juice 1 tablespoon olive oil ½ teaspoon kosher salt ¼ teaspoon coarse black pepper ½ cup slivered almonds, toasted In a large bowl, combine the cantaloupe, cherry tomatoes, garlic, shallots, jalapeno or Fresno pepper (if using), basil, lime zest, and crumbled cheese. Gently mix. In a small bowl, whisk together the lime juice, olive oil, salt and pepper. Pour over the cantaloupe mixture and toss lightly. Garnish with toasted almonds and serve immediately. To toast almonds: Preheat oven to 350 degrees. Place almonds on a baking sheet and bake for 7 minutes.
Anne Palumbo is a lifestyle columnist, food guru, and seasoned cook, who has perfected the art of preparing nutritious, calorie-conscious dishes. She is hungry for your questions and comments about SmartBites, so be in touch with Anne at avpalumbo@aol.com.
OUR LOW AVERAGE EARNINGS MEAN YOU CAN SAVE FOR OTHER IMPORTANT THINGS.
From 2011 – 2015, Excellus BlueCross BlueShield’s annual earnings before interest and taxes averaged 2.1 percent of premium, considerably less than the 7.4 percent earnings of large national insurers. Because we are a business, not a charity, we need to earn a margin, but we do not need to pay dividends to shareholders. That works in your favor. We’re a nonprofit health plan, so we deliberately budget for low margins to keep coverage more affordable. We know you have other important things that matter. We’re neighbors helping neighbors build healthier communities. A nonprofit independent licensee of the Blue Cross Blue Shield Association.
March 2017 •
IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper
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H ealth News Waterville office names physician assistant Karly Woodrick has joined the Mohawk Valley Health System Medical Group at its Waterville Office– Madison Street as a physician assistant. In this position, Woodrick provides diagnostic, therapeutic, preventive and health maintenance services to patients throughWoodrick out all stages of their lives. Woodrick earned a Master of Science degree in physician assistant studies from Le Moyne College in Syracuse and a Bachelor of Science degree in biology from Siena College in Loudonville. She is a certified physician assistant and is a member of the American Association of Physician Assistants and the New York State Society of Physician Assistants.
MVHS names cancer center clinical director Brij Sood, a board-certified radiation oncologist with 21st Century Oncology, has been named clinical director at the Mohawk Valley Health System Cancer Center. His focus is on patient-centered care, and his interests include stereotactic radiosurgery, image-guided radiotherapy and brachytherapy for brain, spine, breast, lung, prostate, gynecological and head and neck cancers. Sood Prior to joining MVHS, Sood served as director of the cancer program and director of the department of radiation oncology at PinnacleHealth Cancer Center in Harrisburg, Pa. He has also been affiliated with Fox Chase Regional Cancer Center in Philadelphia, Pa., Weill Cornell Medical Center in New York City, Albert Einstein College of Medicine in the Bronx and Strong Memorial Hospital in Rochester. Sood earned his Bachelor of Medicine and Bachelor of Surgery degrees at Patliputra Medical College of Ranchi University in Dhanbad, India, and completed an internship at the medical college hospitals there. He completed a fellowship in pediatric surgical oncology at Memorial Sloan Kettering Cancer Center in New York City and a residency in radiation oncology at Beth Israel Medical Center, also in New York City. He is board-certified in radiation oncology. Sood is practicing with Gilbert Lawrence at the MVHS Cancer CenPage 16
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Little Falls Hospital recognizes outstanding employees Little Falls Hospital, an affiliate of Bassett Healthcare Network, has awarded Rosemary Boardman, food service worker, and Kim Chapman, maintenance mechanic III, its 2016 third and fourth quarter “Going the Extra Mile” award. The GEM award recognizes staff for going above and beyond their typical job duties and making a significant difference by improving the quality of health for those served while exceeding customer service standards with patients, clients, guests and coworkers. Celebrating the occasion are, from left, John Dobrovolc, director of facilities; Chapman; Boardman, and James Marino, director/executive chef. Boardman lives in Mohawk with her husband, Francis of 53 years. They have three daughters, 11 grandchildren and five great grandchildren. Prior to working at LFH, Boardman worked with the LFH Guild for three years. She and Chapman have both been employed at LFH for 22 years. Chapman lives in St. Johnsville with his wife, Donna of 42 years, and the couple has two daughters and three grandchildren. ter at the Faxton Campus.
Physicist, radiation safety officer on board at MVHS Michael Goodwill has joined the Mohawk Valley Health System radiation oncology staff as chief of medical physics and radiation safety officer. Goodwill has 16 years of clinical experience that includes treatment planning, delivery and quality assurance systems in radiation clinics. Goodwill earned his BachGoodwill elor of Science degree in physics, magna cum laude, at Mesa State College in Grand Junction, Colo., and his Master of Science degree in radiological health sciences at Colorado State University in Fort Collins, Colo. He is a diplomate of the American Board of Radiology in therapeutic radiological physics and licensed by New York state as a professional therapeutic radiological medical physicist. Prior to joining MVHS, Goodwill
was employed at Landauer Medical Physics at St. Mary’s Hospital in Amsterdam and at Saint Joseph Hospital in Eureka, Calif., where he served as chief medical physicist and radiation safety officer. He is a member of the American Association of Physicists in Medicine, the American Society for Therapeutic Radiology and Oncology and two academic societies: the National Mathematics Honor Society and National Physics Honor Society.
Pair elected to LFH Board of Trustees Phyllis Spinner and Kathleen Fischer Sellers have been elected to the board of trustees of Little Falls Hospital, an affiliate of Bassett Healthcare Network. Spinner most recently served as the executive director of Herkimer County Spinner HealthNet, overseeing numerous state and local grants. Sellers is an
IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • March 2017
associate professor and coordinator of research in the College of Health Sciences and Management at the SUNY Polytechnic Institute in Utica. “The addition of these new board members ensures the hospital will continue to benefit from a diversity of knowledge, experience and opinions,” said John Bullis, board chairman. “Each Sellers individual was invited to join our board because of their strong leadership skills, extensive management experience and proven track records — especially in creating results for their organizations.” LFH is an inpatient 25-bed acute care hospital. It is Herkimer County’s only provider of acute inpatient medical care, emergency care, short-term inpatient rehabilitation, and many other diagnostic and therapeutic services.
LFH sonographer makes the grade Little Falls Hospital, an affiliate of Bassett Healthcare Network, recently recognized John Valenta for passing the sonography principles and instruments examination. The SPI exam is the newest physics exam given by American Registry of Diagnostic Medical Sonographer that demonstrates a sonographer’s competency in the physical and instrumental principles of ultrasound. Cardiac ultraValenta sound (echocardiography) is the use of ultrasound to evaluate the heart’s structures and to see how well the heart is working. “Being registered as a diagnostic cardiac sonographer clearly shows our patients, fellow health care professionals and the medical facilities we work with that we have on staff a dedicated professional in the field of sonography,” says Joseph Serrano, director of medical imaging. In addition to being certified as a diagnostic cardiac sonographer, Valenta earned a Bachelor of Science degree in ultrasound medicine from Rochester Institute of Technology and is registered as a vascular sonographer by the American Registry of Diagnostic Medical Sonographer in the fields of abdominal ultrasound and obstetrical/gynecological specialties. Valenta has 20 years experience in the ultrasound field. Valenta lives in VanHornesville with his wife, Sara, and their two children, Gavin, age 12, and Bella, age 11.
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H ealth News Continued from Page 16
Excellus BCBS names new VP Misty Postol is the new vice president of provider relations and health system performance communications for Excellus BlueCross BlueShield. In her new role, Postol will take leadership of the organization’s provider relations and health care network management communications teams. Prior to her current position, Postol Postol, of Westmoreland, served as director of Excellus BCBS’s customer care department in Utica for three years, where she focused on operational excellence and enhanced service delivery for the organization’s provider partners. She began her tenure at the company in 1998. Postol is a member of the Central New York Chapter of the Healthcare Financial Management Association and a volunteer with the Juvenile Diabetes Research Foundation. She holds an associate’s degree in community and human services from SUNY Empire State College and is pursuing a bachelor’s degree, also in community and human services, from the college.
SDMG names employee of quarter Kayla Flint-Smith was recently named employee of the first quarter of 2017 at Slocum-Dickson Medical Group PLLC in New Hartford. Flint-Smith earned her licensed practical nurse degree at Otsego Area School of Practical Nursing in OneoFlint-Smith nta. She began her career with SDMG in 2014 in the office of Dr. Marino Selvarajah. Since that time she has been an exemplary employee, an SDMG spokesperson noted. Selvarajah describes her as professional, caring, punctual and reliable. “She has developed an excellent rapport with both patients and colleagues,” he said.
Lutheran Home awarded $500,000 grant The Lutheran Home of Central New York, an affiliate of Community Wellness Partners, has been awarded $500,000 from the New York State Department of Health to expand its caregiver support programs over the
next five years for rural communities with limited access to services. Caregivers of individuals with Alzheimer’s disease or other memory impairments throughout rural areas of northern Oneida, Herkimer, Lewis and Madison counties may qualify to participate in the caregiver support program. This program is a training intervention/support group designed to enhance the quality of life for both the caregiver and the individual with Alzheimer’s or dementia. Caregivers who participate in this program will be offered free companion service for their loved one through the existing Helping Hands: Home Companion Service and ActiveDay adult day program while they attend the support group. For more information, call 315801-5200 or visit www.communitywellnesspartners.org.
SDMG names top doctor of 2016 Slocum-Dickson Medical Group in New Hartford has named Daniel Goodman outstanding physician of the year for 2016. Each year, SDMG acknowledges the efforts of a particular physician on behalf of the group and its patients. The outstanding physician is chosen based on Goodman his or her substantial contribution to the group, the patients it serves, the quality of care it provides and to the community in general. Goodman joined the internal medicine department of SDMG in 1987. He is board certified by the American Board of Internal Medicine. He completed his internal medicine internship and residency at St. Vincent Hospital in Worchester, Mass. He earned his medical degree from SUNY Downstate Medical College in Brooklyn. He continues to serve the medical community in his current roles as a member of the medical executive committee at Mohawk Valley Health System, the SDMG peer review and quality improvement committees. In 2016, he was named medical director of SDMG where he serves as a key support for new physicians as they build their clinical practice and become acclimated to the group and the community.
Veteran health care provider retires Robert DeCarlo recently retired from Slocum-Dickson Medical Group in New Hartford after many years of service. DeCarlo began his career with SDMG in 1980.
Utica mayor’s luncheon raises funds for Breast Care Center at the MVHS Utica Mayor Robert Palmieri and his wife, Susan, recently gifted $10,758 to the Mohawk Valley Health System’s Breast Care Center. The money was raised at their annual Breast Cancer Awareness Luncheon held recently at Daniele’s at Valley View. Celebrating the occasion are, from left, city of Utica employee Patti DeCarr, Mohawk Valley Health System Cancer Center Executive Director Nancy Butcher, and the mayor and his wife. “We chose to give to the Breast Care Center because we know the donation will help patients who live right here in our community,” Palmieri said. “We are already planning next year’s event in hopes of raising even more funds to support local breast care patients and their families.”
Beyond his work as a podiatrist, DeCarlo contributed to the group in many ways. He served as the group’s corporate compliance officer and chairman of the corporate compliance committee for 17 years as well as chairman of the risk management committee. He is a memDeCarlo ber of the Society of Corporate Compliance Ethics, a past member of the Association of Certified Fraud Examiners, and a Healthcare Compliance Association-certified compliance officer. In his role as Slocum-Dickson’s corporate compliance officer, he helped to establish an effective compliance program rooted in ethics, legal principles and high-quality standards that are evident in the care received by patients, an SDMG spokesperson said.
Board of directors adds to its ranks Louis Viviani has joined the board of directors of Rome Hospital Foundation. Viviani is an attorney who opened the Viviani Law Firm on North James Street in Rome in 2014.
March 2017 •
Prior to the establishment of the Viviani firm, he worked as an attorney at Costello Cooney & Fearon in Syracuse and for 18 years, was a partner in the firm’s litigation department. During his tenure working in Syracuse, Viviani served as an attorney for St. Joseph’s Hospital. In addition to serving on Rome Hospital Foundation’s Board of Directors, Viviani is a member of the board of directors of Teugega Country Club and Front of the Class, a nonprofit organization that supports educational causes both locally and at the national level. Viviani will work with 11 board members already serving Rome Hospital Foundation.
Oneida County employee recognized Krista Drake, Oneida County public health educator, was selected as a 2016 New York State Public Health Works! honor roll awardee. Drake was selected for the award based on her dedication to the field of public health and her exceptional contributions to public health, community health assessment and improvement planning in Oneida county and New York state. The honor roll was established to highlight the key role public health workers play in protecting and promoting the health of all New Yorkers. Phyllis Ellis, director of health, said Drake is an asset to the Oneida County Health Department.
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CALENDAR
HEALTH EVENTS
Continued from Page 2 to anyone who has received a cancer diagnosis. Light refreshments will be served. For more information or to RSVP, call 315-624-5241.
March 13
Support group to meet at Rome Memorial Hospital The brain aneurysm, AVM (arteriovenous malformation) and stroke support group meets from 5:30-7:30 p.m. on the second Monday of every month at Rome Memorial Hospital’s second-floor classroom. The next session will be held March 13. RMH is located at 1500 N. James St., Rome. For more information, call Deb Dunn at 315-533-6467 or email RomeNY@JoeNiekroFoundation.org.
March 20
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. March 20 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
‘Knock Your Socks Off’ foot clinic offered
T
he Mohawk Valley Health System’s Central New York Diabetes Education Program — CNY Diabetes — is offering a free “Knock Your Socks Off!” foot (podiatry) clinic for people with diabetes at noon March 10. The clinic will take place at the CNY Diabetes education program office located on the fourth floor of the Faxton St Luke’s Campus, 1676 Sunset Ave., Utica. An area podiatrist will conduct a brief educational seminar followed by a personal foot exam. For more information or to register, call CNY Diabetes at 315-624-5620.
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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.
Meet
Your Doctor
By Patricia J. Malin
Physician focuses on diseases of GI tract Continued from Page 4
March 23
Seminar on successful aging offered In 2015, Presbyterian Homes & Services set out to become a partner in health. To support this effort, the organization teamed up with nationally recognized Masterpiece Living to become one of only two organizations in New York state to offer a successful aging lifestyle to their residents and team members. In two years, Presbyterian Homes & Services, now an affiliate of Community Wellness Partners, has seen measurable results from this initiative. Residents are more engaged in activities and are making healthier decisions. Community Wellness Partners invites the public to learn more about this approach with a free public seminar on successful aging at 2 p.m. March 23 in the main dining room of the Presbyterian Home for Central New York, 4290 Middle Settlement Road, New Hartford. Dr. Roger Landry, president of Masterpiece Living, will present “Does Where You Live Matter?” A book signing with Landry will follow the presentation. For more information about Masterpiece Living, contact wellness coordinator MaryJo Timpano at 315853-5515, or visit www.communitywellnesspartners.org.
April 28
Prohibition party to support St. E’s The Mohawk Valley Health System Foundations and F.X. Matt Brewery will hold the ninth annual Prohibition Party from 6-9 p.m. April 28 at the historic F.X. Matt Brewing Co, 830 Varick St., Utica. Tickets cost $45 per person if purchased by April 14, and $50 per person if purchased after April 14. Proceeds from this year’s event will be used to purchase cardiac equipment for MVHS Cardiac Services located on the St. Elizabeth campus. A limited number of tickets are available and the foundations anticipate selling out early for the event. For more information or to purchase tickets, visit www.mvhealthsystem. org/foundation, call 315-624-5718 or email jbecker2@mvhealthsystem.org. Tickets may also be purchased at the MVHS Foundations Office at 1676 Sunset Ave., Utica, or the F.X. Matt Brewing Co. Gift Shop/Tour Center, 830 Varick St., Utica.
As a junior at SUNY Stony Brook, I did a one-year study abroad in what was then communist Poland to do research on certain Carpathian communities. It was an eye-opening experience, meeting so many wonderful people with a different world view, enabling me to see my life as an American and the United States in a positive light as perceived through those living under a communist regime. I generally became enamored with Poland — part of my background — and Europe in general. I wanted to prolong my time there. As it turned out, Stony Brook had a medical exchange program in English with the Jagiellonian University in Krakow. I decided to return to the U.S., completed all the necessary pre-medical requisites and was accepted to the program in Krakow. I completed my studies during a historical period of the Solidarity movement (Lech Walesa), martial law, and John Paul II becoming Pope and returning to Poland as the first pontiff to visit a communist country. This was a momentous occasion that generally led to the beginning of the downfall of communism in Eastern Europe. Given my interest in different cultures and people in general, the transition from anthropology to medicine was easy. I then returned to SUNY Stony Brook to do my internal medicine residency and gastroenterology fellowship. I was influenced by numerous individuals both in Poland and at Stony Brook to attain a career in medicine. I found gastroenterology to be a particularly fascinating field in medicine as one could use diagnostic and intellectual skills to evaluate a patient and then have the ability to confirm through endoscopic evaluation. The combination of physical and mental skills in the practice of gastroenterology makes it very appealing. In addition, although a sub-specialty, gastroenterologists treat diseases
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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • March 2017
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of a variety of organs in addition to the intestines such as the liver and pancreas, keeping it varied and interesting. Q.: You have been practicing here ever since you began your career in 1991. What prompted you to come to the Mohawk Valley? A.: I grew up on Long Island, loved the ocean and always assumed I would stay there. Unfortunately, there were no good jobs at the time. I knew a drug rep that told me I should check out a practice in Utica that was started by our founding partner in 1979 after leaving academia in Manhattan. My family and I immediately loved the area, its geography and most of all, the people who are truly appreciative of the care they receive. I raised my family here and feel at home. I am very proud to say my daughter is a second-year gastroenterology fellow. As our practice, Digestive Disease Medicine of Central New York, recruits new physicians to the area, I extol the area’s virtues, not the least of which is the lack of traffic jams. The Mohawk Valley is an unknown gem that is just starting to realize its full potential. Q.: What recent advances in the field of endoscopy should the public be aware of? A.: There have been many exciting advances in endoscopy. The quality of the images we get through our scopes has enhanced the detail being seen. Using different wavelengths of light for example, we can highlight abnormal areas in the intestine that may require extra evaluation. Ablation of abnormal tissue in the esophagus can prevent esophageal cancer without surgery. Endoscopic ultrasound has greatly enhanced the treatment and diagnosis of various conditions of the pancreas and gastro-intestinal tract. Q.: What changes do you anticipate with health care in the future? For example, do you think you or your patients will be affected by the repeal of the Affordable Care Act? A.: The future of health care is uncertain. It is clear that there is a move to quality over quantity, which is good. The ACA has enabled many to obtain coverage that they could not before. I truly hope this does not reverse. I believe we are going to move slowly toward a universal single-payer system. Whether this is Medicare for all or some other creation is unclear. The situation is evolving, but I believe the best aspects of the ACA will be maintained.
Pauline’s Pieces
By Pauline DiGiorgio
Find Your Fitness Fancy Explore the top-trending physical fitness activities By Pauline DiGiorgio Editor’s note: This is the third and final segment in a series exploring several of America’s top fitness trends. Today, we explore TRX and Pilates.
TRX
— What is it: TRX, or total body resistance, uses your own body weight and gravity to build strength, balance, coordination and flexibility with a strong focus on your core. This is done by suspension training ropes attached to the ceiling. The ends of the suspensions have padded foot cradles and handles. — Who it’s for: People who want a workout using body DiGiorgio weight. It’s great for those who already have started their fitness journey, have a cardio plan but are looking for something new to sculpt smaller muscles such as the smalls of the back and abs. — Benefits: It engages your entire body. The instability from the movements means your whole body is constantly activated. It is also low impact by nature and easier on one’s joints. It also improves flexibility. Your core is challenged by body stability and balance. Everything you do connects with the core, whether you bend down to pick up a paper or help a friend with a move. — Where: Fitness Mill, New York Mills — Perks: You’ll see abs peeking through in no time. You strengthen and use parts of your stomach that fellow gym goers don’t regularly touch. Plus, you don’t need to worry about wearing the right type of sneaker; you’re usually advised to kick them off anyways. Also, if you like small classes, they are kept
TRX, or total body resistance, uses suspension training ropes. between 10-12 people. — Cons: For some, The “V shape” makes a lot of the pressing movements uncomfortable. However, you get used to it if you continue and become stronger.
Pilates
— What is it: It’s a conditioning program designed to improve muscle control, flexibility and body tone while producing long, lean muscles. It is a series of constant exercises and stretching completed on a mat with instructor guidance. — Benefits: It improves posture and prevents slouching. This will make you feel slimmer. It also eases back pain by stabilizing the core’s lumbar pelvic (lower back) region. Pilates erases the stress on the area and ups mobility. Pilates also boosts brainpower. Researchers have found an increase in the brain’s alpha peak power during shift of positions that is related to enhanced neural network activity and memory performance. — Where: Body By Design, New Hartford — Perks: Slow down and be in tune with your body movement and breathing. Feel stress melt away as you stretch your way to a toned
tummy. — Cons: Pilates is an anaerobic exercise, so you will not burn as many calories as with other exercises. You must add cardio to your training if weight loss is your end goal. With so many options to get you into a studio, what do you have to lose other than a couple of pounds and possible insecurities of sweating in front of strangers? Joining in will be motivating and challenging, making you a “regular” in no time. Thank you for joining me on the “Find Your Fitness Fancy” series. I hope this helped you learn more ways to discover a fun way to stay active, meet new friends and work up a sweat.
After the workout
So let’s fast forward to after your great group exercise experience. You want to make sure you give your body the vital nutrition it craves. During your workout, your body is releasing glucose that is stored as energy to fuel muscles in order to keep you going strong. After an exercise, your main goal is to restore the glycogen to continue lean muscle building. You want to promote it, help your body with its fat-burning power long after your last rep.
Let’s look over a few tips so you’ll be prepared for prime post workout time. • Fluids — You most likely did work up a sweat, which means you depleted water from your system. Keep a bottle of water blended with 100 percent fresh juice in the car for the ride home. Why the juice-water cocktail? You’ll get the hydration you need, plus a bit of carbohydrates from the natural sugar in the fruit to start the “refueling,” plus you are putting something in your stomach so you’re not eating hitting the fridge hard when you get home. Beet or cherry juice works great because they are both packed with antioxidants and help lower muscle inflammation. • Protein — You have a “window of opportunity” to really reap the benefits of repairing those muscles. Aim for 1-2 hours after your class. You will ideally require at least 20 grams of protein, so blending up a “Pro-yo” shake with easy wholesome ingredients like yogurt, a whey protein powder, almond milk, ice, frozen banana and peanut butter would make a great quick option. Would you rather have it be more of a lunch or dinner option? How does a chicken burrito bowl sound? Just make sure to have the ingredients ready and cooked for easy assembly. Toss brown rice, layer beans, salsa and chicken, and microwave for two minutes. Have your last topping layer be shredded lettuce, light sour cream and a tablespoon of guacamole. • Complex carbohydrates — It will aid in leveling out your cortisol and stress hormones to raise your rate in recovery. Fruits are a great goto. What is my special post-workout treat? A baked sweet potato, filled with a spoon full of marshmallow fluff sprinkled with cinnamon and a bit stevia, and a side of vanilla Greek yogurt to include some protein. Don’t knock it until you try it! Happy sweat sessions my friends! • Pauline DiGiorgio is a fitness ambassador and Group X instructor at Retro Fitness gyms. Questions? Email her at ptlifts@gmail.com.
Repeal all of Obamacare? Primary care docs weigh in
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esults of a random sample survey of 426 primary care physicians by a team of researchers found that the majority does not support repealing the Patient Protection and Affordable Care Act in its entirety, and the percentage of those who support complete repeal is lower than that of the general public. In a summary of the survey results, published in the New England Journal of Medicine on Jan. 25, the research team says 15 percent of responding physicians supported complete repeal of the act. Of those who self-reported voting for Presi-
dent Donald Trump, 38 percent did so. “Primary care physicians are on the front lines of health care — they are physicians that patients know best and turn to first when they are sick. With primary care physicians often helping patients navigate challenges with their insurance, it is critical to understand their perspectives on the repeal of the act,” says physician Craig Pollack, associate professor of medicine at the Johns Hopkins University School of Medicine and the paper’s lead author. Pollack and his colleagues con-
ducted the mail and phone survey from December 2016 to January 2017 with a random sample of internal medicine physicians, pediatricians, geriatricians and family practitioners. The participants were drawn from the American Medical Association’s Physician masterfile, a database of more than 1.4 million physicians, residents and medical students in the United States. Physicians received two mailings and a phone call, with an option to complete the survey online. A $2 incentive was included in the first mailing.
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In response to the question “What would you like to see the federal policymakers do with the Affordable Care Act?” 15 percent of respondents wanted it repealed in its entirety. This is lower than the 26 percent of the general public that wanted the act repealed, according to a recent Kaiser Family Foundation poll. According to self-reported political party affiliations, no Democrats wanted complete repeal, while 32.4 percent of Republicans said they did. Of those who reported voting for President Trump, only 37.9 percent wanted complete repeal.
IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper
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Battle with bipolar disorder Mohawk Valley teen raises awareness about mental illness By Amylynn Pastorella
A
recent diagnosis of bipolar disorder left Abby Rose Thrasher frightened and bewildered. The New Hartford teen, however, has learned to embrace it. She has not only gone public, but she is shining a spotlight on the often-misunderstood mental illness. With her love of art and her willingness to help others, Abby and her parents, Rob and Sharon Thrasher, have developed a nonprofit project called Healing-With-ART, in collaboration with the Literacy Coalition of Herkimer and Oneida Counties. Bipolar disorder, which can start between ages 15 and 30, is characterized by dramatic mood swings between major depression and extreme elation, or mania. The mood swings can be mild or intense and can come on slowly or quickly, from hours to days. Prior to the diagnosis, she displayed confusing and misleading symptoms and was misdiagnosed with depression in 2015. Like others with the disorder, her moods were up and down. At times, she would appear to be a happy, upbeat teenager. Then she would turn angry because she wasn’t feeling better. When she was officially diagnosed with bipolar disorder in January 2016, Abby’s acceptance didn’t come easily. “My mom is an RN and has been more exposed to cases like this and my dad wasn’t sure what to do,” she said. “But both were concerned with how I was feeling and wanted me to get better.” Doctors do not know what causes bipolar disorder, but factors such
Abby Rose Thrasher is putting a face on bipolar disorder in her own special way. as hereditary or brain structure of an individual may contribute to the illness. Abby chose to stand up to her diagnosis rather than hide it. Her artistic capabilities led her to start her own tattoo business, Henna by ART, with her initials reflected in her logo. She uses art to express herself and to design items that she sells to the public. Henna is a tattoo-like form of body art in which the skin, specifically the palms and soles, are painted in exquisite lines and designs derived from the Middle East. “My parents and art teachers tell me I am a very talented artist. I think they are right,” said Abby.
forward.” Bipolar disorder is a mental illness that can generate fear and cause instability. Abby hopes to teach, and better yet, show that people with bipolar disorder can fight it. “My henna tattoos are traditional henna and traditional design work,”
she said. “Everything I do is organic, vegan and generally ‘green’ in nature. I want people to understand my goals and ambitions to educate others.” Communication is key. Once Abby started openly discussing her disorder, her family found many more people, co-workers, friends and family with bipolar disorder. Unfortunately, many people with bipolar disorder suffer in silence. “Hiding is deadly,” she said. “Talk, tell, ask for help, and don’t live in fear. People want to help you and you deserve help. You deserve to live.” “We take Abby’s diagnosis one hour at a time, one day at a time,” said Rob. “We want to keep communication open 24-7, 365 days.” Not only does Abby sell her henna designs, magnetic jewelry, facial illustrations, business logos and garden stones through her project, she offers a lifeline of support through forums and social media. In addition, Healing-With-ART could be a way for parents of children with bipolar disorder to get answers. “Bipolar disorder and mental health disorders in children can create a type of post-traumatic stress disorder,” Rob added. “Parents may need medication and treatment also. Many times, parents also have anxiety. Having lived it with my daughter, there is a fear that something could happen to her. Every morning seeing her alive and seeing her beautiful face is inspiring.” For more information about Abby’s works of art and mission, visit www.Healing-With-ART.org.
Source of fear, instability
With the popularity of farmer’s markets in the Mohawk Valley, Rob inquired about how to establish a booth at the Whitesboro Farmer’s Market. Fate stepped in when the deputy mayor was looking for a new face after another vendor fell through. “Fate is a very strange thing sometimes,” said Rob. “Abby is an amazing artist. Her mother, Sharon, and I had not considered when she was born that her initials would play an incredible role in her life going
Abby Rose Thrasher is an advocate of Henna body art, which is derived from the Middle East. Shown is her tattoo that reflects Henna art.
Skull Base Surgery. At Crouse. C
rouse is home to the region’s leading skull base surgery experts — specialists using innovative, minimally invasive techniques to treat complex cases, including tumors in hard-to-reach places near the brain.
Skull base tumors present significant challenges due to their close proximity to key neurovascular structures, including within neural and sinus cavities and the optic nerve. If you need any type of delicate, precise skull base surgery, say, ‘Take me to Crouse.’
Learn more about skull base surgery at: crouse.org/skullbase
Trust your care to the regional experts Eric Deshaies, MD, FAANS, FACS
Board-certified neuroendovascular surgeon; only dual fellowship-trained skull base tumor neurosurgeon in upstate New York
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David Padalino, MD
Fellowship-trained neuroendovascular surgeon
IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • March 2017
Gregory Canute, MD, FAANS Board-certified neurosurgeon with skull base and tumor surgical specialty
Parul Goyal, MD
Only fellowship-trained nasal and sinus surgeon in Central New York