IGH MV May Issue #135 by In Good Health: MV's Healthcare Newspaper

in good MVhealthnews.com

May 2017 • Issue 135

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Mohawk Valley’s Healthcare Newspaper

How do you want to die?

Are You OCD? Are your ‘quirks’ getting out of hand? Page 10

Nip and tuck

Designating health proxy vital for peace of mind Fountain of Youth:

Page 5

Golden Years Special Edition

Meet Your Doctor

Drowning in grief

Slocum-Dickson welcomes Najam ud Din

Americans spending billions on cosmetic surgery Page 3

‘Pauline’s Pieces’: Here’s suggestions that will boost your metabolism! Page 19

Distraught over the loss of a loved one? There are coping techniques to see you through. Page 6

Buckwheat

Why eat buckwheat? It’s tasty, easy to prepare, inexpensive and a nutritional powerhouse. It is gluten-free and safe for those with celiac disease and gluten sensitivities.

Page 4

Work is new retirement

Forget those travel plans! It’s time to clock in and get to work! Page 7

Read more in SmartBites May 2017 •

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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The courage and determination of cancer survivors is an inspiration to all!

NATIONAL CANCER SURVIVORS DAY

On National Cancer Survivors Day® .

Sunday, June 4, 2017 Hematology Oncology Associates of CNY will honor those in our community who are living with and beyond cancer, and those who have supported them along the way.

Come celebrate life at Longbranch Park, Liverpool, NY on June 4, 2017 from 10:30 am until 1:30 pm.

HOPE GROWS HERE Our celebration will include: •Speakers • Fun Activities • Entertainment •Door Prizes • Picnic Lunch The event is free for survivors, family and guests. *RSVP email must include "RSVP" in the subject line.

Please include location you will be attending (Liverpool or Auburn) and survivor's t-shirt size.

Please RSVP to: rsvp@hoacny.com or (315) 472-7504 ext 1312

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

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

Tuesdays

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

Wednesdays/Thursdays

Overeaters Anonymous plans meetings

OFFERING MEDICARE PLANS In addition to our full service offerings, AmeriCU Services, LLC* is now offering Medicare Plans! If you are 65 or will turn 65 soon, visit one of AmeriCU’s Financial Centers or contact Paul Holgate at 315.356.3312 or paulh@americu.org to set up an appointment with a representative.

AmeriCU Services, LLC is designed to meet your insurance needs! *AmeriCU Services is a wholly owned subsidiary of AmeriCU Credit Union

Advertise with the pros! Call 749-7070 Page 2

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • May 2017

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.

May 4

Parents bond to battle addiction A support group — Parents of Addicted Loved Ones — meets from 7-8:30 p.m. on the first and third Thursdays of every month at the Canajoharie Fire House, 75 Erie Boulevard, Canajoharie. The next meetings are May 4 and May 18. The support group is for parents with a son or daughter who is addicted to drugs and/or alcohol. PAL is a nonprofit organization run by a volunteer board of parents. For more information, visit www. palgroup.org or call PAL at 480-3004712.

May 8

Continued on Page 18

Community Information Seminar:

Bariatric Surgery May 10, 2017 • 6:00 p.m. 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

Americans spending billions nipping, tucking

New report details costs of most popular plastic surgery procedures

re Americans actually trying to keep up with the Kardashians — the celebrity family focused on looking good? Maybe, because people are spending more than ever before in the quest to look younger and more attractive. A new report from the American Society of Plastic Surgeons (ASPS) found that Americans spent $16 billion on cosmetic plastic surgery and minimally invasive procedures in 2016. The most popular surgical procedures and their national average costs were: • Breast augmentation — more than 290,000 procedures at a cost of about $3,700 each; • Liposuction — about 235,000 procedures at $3,200; • Nose reshaping — 223,000 procedures at $5,000; • Tummy tuck — almost 128,000 procedures at around $5,800; • Buttock augmentation — nearly 19,000 procedures at about $4,400. But what if you’re lacking that Kardashian cash? Are there ways you can boost your looks without empty-

ing your wallet? The most popular minimally invasive cosmetic procedures and their national average costs were: • Wrinkle treatment injections (botulinum toxin type-A, or Botox) — 7 million procedures at a cost of $385 each, • Hyaluronic acid fillers — 2 million procedures at $644 each; • Chemical peel — 1.3 million procedures at $673 each; • Microdermabrasion — 775,000 procedures at $138 each; • Laser treatments — more than 650,000 procedures at $433 each. The cost of most procedures went up from 2015 to 2016. The only exception was the national average cost of breast augmentation surgery. This surgery was nearly 3 percent cheaper, the report found. Liposuction costs went up 6 percent, and nose reshaping surgery costs increased by nearly the same percentage. Botox injection costs went up less than 1 percent. Hyaluronic acid and chemical peel costs went up around 5 percent or more, the report said.

Now approved for chronic pain

Medical Marijuana now approved for chronic pain

Senior Citizens:

Can’t see or reach to cut your toenails?

May 2017 •

GIFT CERTIFICATES AVAILABLE In home manicures & pedicures $25

Call Sharon at 315-735-4521

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Meet

Your Doctor

By Barbara Pierce

Najam ud Din

Najam ud Din recently joined the Slocum-Dickson Medical Group in New Hartford with a specialty in hematology-oncology. Din is boardcertified in medical oncology and internal medicine, and board-eligible in hematology. Din has privileges at Faxton St. Luke’s Healthcare and St. Elizabeth Medical Center, affiliates of the Mohawk Valley Health System. Q.: Why did you choose to become a physician? A.: I have always wanted to help people around me. Medicine allows one to help people using scientific knowledge while never letting go of the human and emotional perspective on life. Q.: How would you describe the way you work with your patients? A.: My goal is to treat my patients with compassion and to be an advocate for them as they navigate the increasingly complex health care environment to get the best care possible. My philosophy is cautious optimism. I treat my patients with compassion as well as evidence-based medicine. My hope is they are able to deal with their condition knowing they have a strong partner on their side. Q.: We are hearing more about evidence-based medicine. What does that mean? A.: The science of health care changes very rapidly. There is a constant need to evaluate which of the many treatments available would work best for a patient — that is the crux of evidence-based medicine. This requires constant research into treatment of conditions that we see very frequently. Q.: You specialize in cancer, including lung cancer, breast cancer, brain tumors, and gastrointestinal tumors, as well as blood disorders such as lymphoma and leukemia. Why did you choose this specialty area? A.: My interest in hematology and oncology developed even before I entered medical school. I often heard people talk about cancer as the most-scary experience in their lives. As I looked into it further, there seemed to be a lot of opportunity to improve in the care of patients who have cancer, as well as care for their families. I like challenges, and hematology and oncology allow me to use my abilities in a manner that helps people and is very satisfying for me. The field of hematology and oncology is rapidly changing. We are on the verge of finding treatments that make a meaningful improvement in people’s lives. Choosing this specialty has been the result of a gradual and continued self-realization throughout medical school and training that this is what I can do best. Q.: Your role in helping patients and families at the end of life is espePage 4

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cially challenging. Would you like to share anything about your role in this important part of medical care? A.: It never is easy to give news regarding a serious diagnosis that has life-threatening and life-altering implications. My goal is to treat patients and their families with compassion. I want to be a strong partner on their side helping them through a serious illness. In considering how to ease the pain and suffering at the end of life, my goal is to come up with treatments that are acceptable to the patient and their families. Q.: What other preparations helped you in this career? A.: After earning my medical degree at the Aga Khan University in Karachi, Pakistan, I completed an internship and residency in internal medicine and an internship at SUNY Upstate Medical University in Syracuse. Also, I completed a fellowship in hematology and oncology at SUNY Upstate Medical University. In this fellowship, I learned to

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • May 2017

diagnose and treat various oncologic conditions and gained expertise in chemotherapy, chemo-immunotherapy and other non-surgical treatments for cancer. I became skilled in ordering and interpreting diagnostic studies including blood work, imaging, bone marrow aspiration and biopsy. I was lucky to have a great mentor during medical school, residency and fellowship that equipped me with the tools to take care of both patients and their families well. Q.: What else should we know about you? A.: I have co-authored several publications on cancer that have appeared in national medical journals, including prevention of cervical cancer and management of lung cancer in the elderly. Some of the many presentations I have made include management of ovarian cancer; fever of an unknown origin, and gastrointestinal tumors.

Lifelines

Birth year: 1987 Birthplace: Pakistan Current residence: Marcy Education: Bachelor of Medicine, Bachelor of Surgery, Aga Khan University, Karachi, Pakistan; medical degree, Aga Khan University Affiliations: American Society of Hematology; American Society of Clinical Oncology Personal: Din’s wife is training to be a doctor. Hobbies: Community service; learning about new technological advancements

Most remaining U.S. smokers are poor, less educated Behavioral health doc: New interventions needed to encourage smokers to quit

moking rates in the United States have been falling for decades. Yet, about 15 percent of adults — more than 36 million — continue to smoke cigarettes. And of those smokers, half to three-quarters have at least one of the following disadvantages: low income, no college education, no health insurance or a disability. The findings come from a national survey done in 2012. The data show that smoking is concentrated among the least advantaged Americans, according to the researchers. “In the last half-century, public health efforts helped cut the smoking rate by more than half, but we probably need to change our strategies for helping smokers quit. The methods that worked for the upper half of society don’t seem to be working well for the other half,” said study author Arnold Levinson. He’s an associate professor of community and behavioral health with the University of Colorado Anschutz. “Americans with lower socioeconomic status today are suffering from epidemic smoking rates, and they make up nearly three-fourths of all our remaining smokers,” Levinson said in a university news release. “Now the nation’s public health system has a dual moral obligation toward smokers of low socioeconomic class. We must eliminate the disparity in smoking rates, and we must provide cessation-supporting services to the new majority of smokers,” he concluded. The study was published recently in the Journal of Health Care for the Poor and Underserved.

Golden Years

Health care proxy

Take steps now to eliminate confusion, stress later should have a health care proxy.” Forms to appoint a health care proxy are available online. Mathews recommends the one found under medical orders for life-sustaining treatment on the New York State Department of Health website.

National Healthcare Decisions Day in April encouraged conversations about advance planning. As alking about dying doesn’t lead these conversations can be difficult to death. Yet most of us don’t to begin, suggestions can be found want to talk about it. on its website (www.nhdd.org/) by Though most of us agree that clicking “Conversation starter kit.” talking with our loved ones about Having a conversation with your how we want to die is important, few Make it easy on proxy primary physician is most important of us do. The next step is to let your health also, added Mathews. “You need This concerns care proxy know your wishes. “If you honest information about your condiKevin B. Mathews, haven’t spelled out what you want, tion as your illness gets more complia physician with to make these decisions for another cated and you get older,” he said. the Mohawk Valperson puts one under a great deal of These discussions are critical— ley Health System stress,” added Mathews. so much so that Medicare now reimwho is board-cerIf your time is short, how much burses physicians for advance care tified in family medical treatment do you want to enplanning conversations with patients. practice and hosdure if it means you might be unconThe next step is to put it in writpice and palliative scious or on a breathing machine?” ing in a living will, which is technimedicine. asks Mathews. “These answers will cally not a will but a legal document. “If you knew change, depending on your age and Also called a directive to physicians you had a serious Matthews what you have already gone through. or advance directive, it lets you state illness and your For example, there comes time for a your wishes for end-of-life meditime is short, what of bed rails and soft restraints, fed patient with cancer where more treatcal care. Your living will should be matters to you? Would you want Ensure through a tube into her stomment doesn’t improve the quality of placed together with your health care more medical treatment? Or would ach and kept alive ... ” his life or lengthen his life.” proxy. you want to be with your family at If this doesn’t sound like the way Honest communication with To begin thinking about end of home or in hospice care? It’s importyou would like to spend your last your family and health care proxy life decisions, there are good resourcant to begin to think about this,” said days, thinking ahead is the answer. will help them avoid the stress of es online Mathews recommends: Mathews, who is part of the MVHS So make sure the people who are guessing what you would want. MP Order Propo — www.compassionandsupport. palliative care and integrative medilikely to be making treatment deciMuster up the courage This ad will appear at the classification of: to bring up org/ is pertinent to New York state. cine program. sions for you at the end of your life, the subject before accidents, illness — The National Institute on “Look into it, then discuss it with including doctors and family memor infirmity make decision-making Rome NY Aging has several good publications. your family and your physician. bers, know your wishes. more difficult. Go to: nia.nih.gov/, click on publicaDon’t wait until you’re in the ICU or with “Advance planning is the general in Home Date 05/2014 If you make these decisions in tions, then end of life. Also, Google a nursing home,” he said. term for this,” said Mathews. “Havadvance, the stress on your family is “Caring conversations — Center forAd Id: A Yet that is likely to be our fate. 17,is2014 Sales Rep: GRIMALDI, JENNIFER L Size: HCN6 ing Date: a healthMarch care proxy the firstAcct# A1ZGFE considerably less. One study found Practical Bioethics.” Though most of us say we wish to step. that when a family member died in By accepting that we know we die at home, the reality is that most “If you can’t make decisions the ICU, the family suffered serious will die someday, we can then make die in a hospital or nursing home. about your medical care for yourself, emotional consequences after the the decisions that pave the way for “Surrounded by teams of doctors your health care proxy makes them death, symptoms like PTSD, added the peaceful death most of us want. and nurses, respiratory therapists for you. They make decisions for Mathews. and countless other health care you, provided two physicians concur providers pounding on their chests, that you are unable to make decisions breaking their ribs, burrowing IV for yourself. Your proxy is legally lines into burned-out veins and bound to follow your wishes.” plunging tubes into bleeding airThis person should be someone Diabetes? ways,” is how emergency physician you trust; it doesn’t have to be your Louis Profeta describes this experiFlat Feet? spouse or a close relative,” he noted. ence online in “I Know You Love Me “If you don’t have a proxy, a Plantar Fasciitis? — Now Let Me Die.” third person makes the decisions. “Now we can breathe for her (a You may be eligible for shoes at little or no cost! That person is not legally responsiterminally ill old woman), eat for ble to make the decisions you have her and even pee for her,” continues identified but makes decisions they Profeta. “Then she can be placed in a believe are in your best interests,” nursing home and penned in a cage Mathews said. “Everyone over 18 By Barbara Pierce

Oneida, Herkimer in good

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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.

May 2017 •

AMZHMDNLM 14-Mar-2014 07:57 IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Golden Years

Inconsolable

Grief stricken: Surviving the death of a loved one By Barbara Pierce

“

Darkness and despair were my constant companions. I couldn’t comprehend how I could live in a world without the physical presence of my daughter.” This is how Dave Roberts describes the time after his 18-yearold daughter died of cancer. “I thought my life was over when she died. My world was Roberts shattered beyond recognition,” said the adjunct professor of psychology at Utica College. He is also a licensed master social worker as well as a writer specializing in grief and loss. “I was wracked with guilt and anger that I did not prevent her death.” We fear our death, but we fear even more that death will take a

loved one from us. “For the greatest fear of death is always that it will pass us by, and leave us there alone,” says author Fredrick Bachman. “You learn to live day by day,”

What if you could choose?

5 Days or 45 Days

Roberts said. “You learn to manage your grief. There’s finally a time when your grief becomes softer and more manageable. I had to wallow in the muck of grief before I could wallow through it. “For two years after her death, the daily pain I experienced was identical to the pain that occurs when a scab gets violently and repeatedly ripped off of an arm. Trying to figure out why my daughter pre-deceased me further intensified my emotional pain. It is unnatural for any parent to bury their child.” Each of us must find our own way in our journey through grief. “You will get through it because you have no choice really,” says David Kushner in his book, “Alligator Candy,” about the death of his brother. “No matter what you may feel now, there’s something built-in that enables most human beings to get through this. “The death cannot be undone. You will continue to live and you will return, a different person, to the life others define as normal.” “Perhaps the most important thing I have discovered is the need to be gentle with ourselves,” Roberts said. Accept your pain; pain is a partner to healing. In time it will lessen. “There’s no getting over loss,” Roberts commented. “We can, however, learn to live with meaning in a world that is different after loss.” Roberts shared how he got through the muck of grief: “Transformation after loss begins with simple intent and the courage to move forward,” he suggests.

Anger toward God

hoacny.com

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • May 2017

With intent to move forward, Roberts attended a bereaved parents’ support group. A transition came when he expressed to the facilitator, Sister Rose, the anger he felt toward God for taking his daughter away. “At that moment, my eyes filled

with tears. It was a relief to unload a burden that I’d been carrying with a trusted person. Sister Rose simply said: ‘What if God is just as sad as you are?’” Find your passion for service, Roberts recommended. As chapter leader for the Compassionate Friends of the Mohawk Valley, a support group that offers friendship, understanding, and hope to bereaved parents, grandparents and siblings, Roberts says, “We provide support to those who have lost a child of any age, and we provide tools to get through grief.” Grief groups help many. They provide a place where you can show your pain and suffering to others who genuinely understand. It’s a place where you can begin to heal. “Surrender to the need not to know,” suggested Roberts. For a long period of time after my daughter’s death, I asked a lot of ‘what if?’ and ‘why?’ questions. I never got an answer that satisfied me or changed the fact that she died. Once I stopped asking the questions, I got the clarity that I needed.” “One of the best ways I’ve discovered to turn sadness into joy is by demonstrating your love for an animal,” adds Roberts. “I have two beautiful cats who willingly let me shower them with affection and who give me unconditional love in return. “Spending time in nature, such as taking walks or sitting outside in the quiet, has helped to give me joy.” Roberts said not to wait for signs of your loved ones’ presence to experience moments of peace. “Create your own peace by inviting them into your world,” Roberts advised. “We need not walk alone,” says The Compassionate Friends website. “We reach out to each other with love, with understanding, and with hope. Your pain becomes my pain, just as your hope becomes my hope.” The Compassionate Friends of the Mohawk Valley has no religious affiliation and no membership fees. There are two meetings each month — at 7 p.m. on the second Tuesday at Stittville United Methodist Church, and at 6 p.m. on the fourth Tuesday at The Good News Center in Utica. The next meeting dates are May 9 and May 23. “We try to make everyone feel welcome,” Roberts said. “It’s a discussion format. People share to the extent they feel comfortable. It’s normal to feel drained after the first meeting, because you hear so much sadness in other’s stories.” For more information, see the website Tcfmohawkvalley.org. To contact the Compassionate Friends, email tcfmohawkvalley@gmail.com or call 315-736-8684.

Golden Years

The new retirement: work Seniors opting to stay active in workforce By Barbara Pierce

n the new movie “Going in Style,” the pension fund of three lifelong friends ran out of money. Desperate to pay their bills, they come up with a daring plan to rob the bank that absconded with their pension fund. The idea of robbing a bank to support yourself in retirement makes a great plot for a movie, but it’s not the best way to make sure your money lasts as long as you do. People are living longer; that means your money will have to last longer than you might expect — even two or three decades. Someone who is 65 can expect to live another 19 years, according to the National Center for Health Statistics. Google “planning for retirement” and you’ll find a long list of websites offering financial advice. Yes, having enough money to support your self in retirement is critically important. However, happiness correlates strongly with direction and meaning in life and is probably more important than money. Happy retirees have at least 3.5 “core pursuits.” A core pursuit is an activity and interest you love to pursue. Core pursuits are fulfilling and gratifying: volunteering, traveling, a part-time job, teaching, sports — things that make you feel good about yourself and your life. “I’m scared,” wrote Diane Rehm in her book, “On My Own.” She was scared as she began planning for retirement. The former public radio talk show host continued: “The prospect of retirement brings grief. How will I fill the void? Who will I be? “I know I’ll find new ways to enjoy life and new things to achieve. I know there is another chapter ahead, one that will allow me to work in ways that will not only satisfy me but also be of help to others. I believe I will find ways to do whatever I need to do to feed my soul, to keep me go-

ing, to stay involved with the world, to find a new place in it for myself.” That’s what we all need to find in retirement: doing what we need to do to feed our souls, stay involved, and find a meaningful new place in the world. “Phase into it by gradually reducing full-time hours,” Rehm suggests. “Or quit your job and find part-time work. It keeps your mind sharp and keeps you from getting isolated and lonely.” In a poll, 75 percent of U.S. workers said they believe “work is the new retirement.” In another survey, 72 percent of pre-retirees said they plan on working in retirement. Many change occupations as they prepare

to retire. When older workers change occupations later in life, many do not earn as much as they did in their primary career.

Follow your passion

But, even though your income may be less, there are many advantages to continuing to work part time. You may be able find a job that fulfills your passions as well as helping your pocketbook. You can still contribute to retirement plans and refrain from dipping into existing ones. You can delay claiming Social Security and get bigger checks each year you don’t take benefits. Continuing to work will help

Change Two Lives... Yours and a Child’s

you feel more relevant, needed and less isolated. To plan ahead for a pay cut if you hope to change occupations, start shaving debts and downsizing three or so years ahead of time. Then, you can accept a job that pays less than your previous position, but one that makes you happy, brings meaning to your life and perhaps helps others along the way. Several organizations in the Mohawk Valley help seniors seeking to change careers. “We help anyone looking for a job,” said Christine Weaver, director of the Oswego County Workforce New York One Stop Career Center. “Come in, use our computers, get help with your resume, or come to a workshop to sharpen your job-seeking skills.” The office in Fulton is open from 8:30 a.m. to 4:30 p.m. weekdays. It can be reached at 315-591-9000 or see www.yourcareerconnection.org. Working Solutions is a community service employment opportunity for senior citizens, according to Karin Piseck, Herkimer Working Solutions Career Center manager. “We offer part-time work at minimum wage to assist people while they prepare themselves for returning to the labor market. It also provides a sense of self-esteem to the individual, as well as helping them brush up on skills.” “Anyone can come in and utilize the services of our office,” added Piseck. “We do an orientation at 1 p.m. on Mondays to explain what we offer. We are not a placement agency in that we do not find jobs and place people in them. However, we can show you all the ways to find a job; we can work on a resume for you.” Call 315-867-1400 to register for an orientation session. Working Solutions has offices in Herkimer, Utica, Wampsville, and Rome. Its website is www.working-solutions.org.

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May 2017 •

Stephanie Rauscher Owner/Founder Independence Empowers People

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Page 7

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MVHS awarded $300 million health care facility transformation grant

ov. Andrew M. Cuomo recently announced the passage of the fiscal year 2018 state budget extender, which funds all government operations through May 31 and advances key priority infrastructure, economic development and environmental projects across New York. In the budget extender, it was announced that the Mohawk Valley Health System has been awarded the $300 million health care facility transformation grant to create an integrated health care delivery system in Oneida County. “This is the announcement that we’ve been waiting for,” said Scott H. Perra, president and CEO of MVHS. Page 8

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“It has been quite the journey from the time Governor Cuomo specifically cited our project in the 2015 State of the State address as part of his proposed $700 million to support Upstate New York hospitals. “Once the governor and legislators adopt the final version of the 2018 New York state budget, we will work with the New York State Department of Health on the contract agreement for the $300 million grant.” For more information or to leave feedback on the project, visit www. mvhealthsystem.org/about/new-beginning/.

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • May 2017

Honoring Our Heroes On Memorial Day

Service members can also receive Social Security in addition to military retirement benefits

n Memorial Day, we honor the soldiers and service members who have given their lives for our nation. Social Security respects the heroism and courage of our military service members, and we remember those who have given their lives in defense of freedom. Part of how we honor service members is the way we provide Social Security benefits. The unexpected loss of a family member is a difficult experience for anyone. Social Security helps by providing benefits to protect service members’ dependents. Widows, widowers and their dependent children may be eligible for Social Security survivors benefits. You can learn more about Social Security survivors benefits at www.socialsecurity.gov/ survivors. It’s also important to recognize those service members who are still with us, especially those who have been wounded. Just as they served us, we have the obligation to serve them. Social Security has benefits to assist veterans when an injury prevents them from returning to active duty. Wounded military service members can also receive expedited processing of their Social Security disability claims. For example, Social Security will provide expedited processing of disability claims filed by veterans who have a U.S. Department of Veterans Affairs (VA) compensation rating of 100 percent permanent and total (P&T). Depending on the situation, some family members of military personnel, including dependent children and, in some cases, spouses, may be eligible

to receive benefits. You can get answers to commonly asked questions and find useful information about the application process at www.socialsecurity.gov/woundedwarriors. Service members can also receive Social Security in addition to military retirement benefits. The good news is that your military retirement benefit does not reduce your Social Security retirement benefit. Learn more about Social Security retirement benefits at www.socialsecurity.gov/retirement. You may also want to visit the Military Service page of our Retirement Planner, available at www.socialsecurity.gov/planners/retire/veterans. html. Service members are also eligible for Medicare at age 65. If you have health insurance from the VA or under the TRICARE or CHAMPVA programs, your health benefits may change, or end, when you become eligible for Medicare.

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Golden Years

‘It’s a good feeling!’ Parkway Center volunteer, 85, gives it her all By Barbara Pierce

rop by the Parkway Center in Utica any Monday afternoon and you’ll see a huge number of happy people in the fitness room, participating in the “Stay Young Strong Bones” class. “Most of them are there because of Joan,” said Mary Ann Schloop, Retired & Senior Volunteer Program coordinator. Joan Panella is the RSVP volunteer who leads the class. “They love her. They love coming to her Panella class. Almost 40 participants come to her class each week,” Schloop said. “Stay Young Strong Bones” is a strength training exercise class, explained Panella. “It’s a great help to build stronger muscles. And it helps balance and decreases other health issues,” she said.

Created by Tufts University, the program is designed to help seniors increase their strength, energy, balance and flexibility. Panella got involved in the program years ago when she was a participant in the class. She received two days of training from Tufts University staff to become a certified instructor. “It’s a good feeling — I love it!” she says about leading the class. “We’ve all become friends.” “I do it because I have osteoporosis,” explained the 85-year-old from West Utica. “I was on medication for my osteoporosis. I started doing exercises so I could get off the medication, and I did succeed in getting off the medication.” Some of the class exercises involve hand and leg weights, while other exercises use slow movements. “We exercise every joint,” she said. The class runs for 90 minutes. Strength training as done in this class has been shown to reduce the signs and symptoms of many diseases and chronic conditions. It reduces the pain from arthritis, decreases stiffness and increases strength and

flexibility that can be lost because of the disease. It improves blood sugar control for diabetics. For those with osteoporosis, it builds bone density, improves balance and reduces risk of falls.

Being heart healthy

For those with heart disease, it reduces cardiovascular risk by improving lipid profile and overall fitness. For obesity, it increases metabolism that helps burn more calories and helps long-term weight control. For back pain, it strengthens back and abdominal muscles to reduce stress on the spine. People who exercise regularly sleep better and more deeply, and awaken less often. Strength training exercises reduce depression, boost self-confidence and self-esteem, and improve the overall sense of well-being. “I feel really great!” added an enthusiastic Panella. “The program is a great help to the people who come,” she said. “Some couldn’t get out of a chair unassisted when they started the class. Now they can get out of a chair; not only without assistance, but with holding a weight.

“You have to have faith and go slowly,” she said with a laugh. “Parkway is a fantastic place,” Panella said. “There are so many wonderful programs, so many fun ways to stay fit, like tai chi, zumba, pickle ball, aerobics, yoga, and indoor walking.” Sometimes all the members of the Parkway Center have lunch, and Panella joins them when she can. Parkway also has a lending library for members. Panella is retired. Prior to retirement, she worked for the city tax department. “Most of my life, I’ve tried to stay active,” she said. Panella is a volunteer through RSVP, which is sponsored by the Parkway Center. RSVP invites adults who are aged 55 and over to use their life experience and skills to solve problems close to home. “We have lots of volunteer opportunities,” Schloop said. “We try to match the volunteer’s interests and skills with the volunteer situation. We especially need drivers to provide transportation to medical appointments. Also, the Oneida County Historical Society needs a facilities assistant and a research assistant. Hospitals and nursing homes are always in need of volunteers.” To learn more about the fitness center and other programs at the Parkway Center, visit at 220 Memorial Parkway, Utica, from 8:30 a.m. to 4 p.m. weekdays or call 315-223-3973. Its website is www.theparkwaycenter.org. To learn about volunteer opportunities through RSVP, contact Schloop at 315-223-3973.

World-Class Orthopedic Care at the Mohawk Valley Health System From feet and ankles to partial and total joint replacements, spinal problems and sports medicine for kids and adults, our surgeons work with talented teams at both our St. Luke’s and St. Elizabeth campuses. We are with you from diagnosis through surgery, going home and physical therapy. Great care, talented teams and state-of-the-art technology are close to your home and family right here in the Mohawk Valley. For more information, please call 315-801-3388. Experience world-class orthopedic care with the Mohawk Valley Health System.

Orthopedic Physicians at MVHS Margaret Albanese, MD

John Sullivan, MD

Leroy Cooley, MD

Madana Vallem, MD

James Dennison, MD

Andrew Wickline, MD

Kenneth Kim, MD

Jonathon Wigderson, DO

Kenneth Ortega, DO

Meira Yeger-McKeever, MD

David Patalino, MD Faxton St. Luke’s Healthcare | St. Elizabeth Medical Center

www.mvhealthsystem.org/ortho May 2017 •

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Between You and Me

By Barbara Pierce

Could you have OCD? Obsessive-compulsive disorder can paralyze one’s life

re you hooked on hand sanitizer? Is your closet beautifully organized? Or maybe you go back in the house three or four times to make sure you turned off the stove? When she stands up in front of the congregation on Sunday morning, my friend Rev. Sara becomes extremely anxious if the chairs aren’t lined up like perfect little soldiers marching along in perfectly even Pierce rows. If any chairs are straggly, she can’t concentrate on what she wants to say, and stutters and stammers because she gets so anxious. When are quirks like these just harmless quirks and when do they mean you have something more serious going on? Could you have obsessive-compulsive disorder? OCD occurs when a person gets caught in a cycle of obsessions and compulsions. Obsessions are unwanted, intrusive thoughts or urges that trigger intensely distressing feelings. Compulsions are behaviors designed to rid oneself of obsessions and distress. These symptoms can interfere with all aspects of life, such as work, school, and personal relationships. Here’s how the International OCD Foundation describes it, online: “Imagine that your mind got stuck on a certain thought or image … Then this thought or image got replayed in your mind over and over again no matter what you did … “You don’t want these thoughts … Along with the thoughts come intense feelings of anxiety … It feels like you are in danger. Anxiety tells you to respond, react, and protect yourself — DO SOMETHING! “Those tortured with OCD are desperately trying to get away from paralyzing, unending anxiety.” OCD responds to both medica-

tion and psychotherapy. When do OCD tendencies require professional help? It’s a matter of degree, how much your symptoms impact your daily life, how much they interfere with your functioning on the job and in relationships.

Watch for warning signs

Signs you may have OCD: — Hand washing: Compulsive hand-washing or hand sanitizer use is common in OCD. It stems from a fear of germs, but can be fear of making others sick or of being impure. When to seek help: If you think about germs often, worry that you’re not scrubbing well enough, or have fears about disease, your hand washing could be compulsive. — Overzealous cleaning: People with OCD tend to clean compulsively, to ease germ phobia or feelings of impurity. Although cleaning can chase these thoughts away, relief does not last. When to seek help: If you spend

hours a day cleaning, it’s probably related to OCD. It’s really the consequence of stopping, say experts. If you don’t clean, you get anxious and fearful. — Checking behavior: Returning three, four, or even 20 times to make sure the oven is off or the front door is locked are common. Like other compulsive behaviors, checking can be driven by a variety of obsessions, ranging from a fear of getting hurt to feelings of irresponsibility. When to seek help: It’s normal to double-check something once in a while. But if checking interferes with your daily life, or becomes a ritual that you can’t do without, it could be a sign of OCD. — Counting: Some people with OCD perform tasks according to a certain numeric pattern or count to themselves as they do everyday things. When to seek help: When you can’t get numbers out of your head.

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • May 2017

— Organization: People with OCD take organizing to the level of perfectionism. It has to feel just right, look just right, be symmetrical, or be the right number of items. When to seek help: OCD enters in when “want to” becomes “have to”: People with OCD may not necessarily want to organize their desk but feel they must, to relieve their anxiety. — Fear of violence: Everybody has fleeting thoughts about the possibility of violence or other misfortunes. The more we try to avoid thoughts like this, the more they pop into our heads, and this appears to be especially true for people with OCD. When to seek help: It could be a sign of OCD if thoughts of getting mugged make you avoid the park, for example, or if concern for your mother’s safety spurs you to call her several times a day. — Unwanted sexual thoughts: Like violent thoughts, recurring unwanted thoughts about inappropriate or taboo sexual behavior frequently occur in OCD, i.e. imagining one is going to grope a coworker or molest a child, or wonder if one is gay. When to seek help: Changing your behavior as a result of these thoughts — avoiding gay friends or a coworker you’ve thought about sexually, for instance — is a red flag. — Seeking reassurance: People with OCD try to soothe their anxiety by asking for the opinion of their friends and family. When to seek help: If you catch yourself repeating the same question over and over — it could signal OCD. If you think you may have OCD, talk to your doctor. If untreated, it can interfere in all aspects of life. Most symptoms respond well to treatment. • 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.

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By Jim Miller

What to do with cremated ashes?

Dear Savvy Senior, When my father passed away a few months ago we had him cremated, but are now wondering what to do with his ashes. My sister and I would like to do something celebratory for his life, but aren’t sure what to do. Any suggestions? No Instructions Left Dear No,

If your dad didn’t leave any final instructions on what to do with his cremated remains (ashes), you have a wide array of choices. They can be kept, buried or scattered in a variety of ways and in many locations. Here are some different options to help you decide.

Keep Close By For many people, keeping the ashes of their deceased love one close by provides a feeling of comfort. If you fit into this category, you could keep his ashes in an urn on the mantel or in a cabinet, or you could also scatter some of them into your lawn or garden, shake them into a backyard pond or dig a hole and bury them. Another possible option is eco-friendly urns (like UrnaBios. com or EterniTrees.com) that contain a seed that grows into a tree or plant after being buried.

Cemetery Options If you want your dad’s final resting place to be at a cemetery, you have several choices depending on how much you’re willing to spend. With most cemeteries, you can either bury his ashes in a plot, or place them in cremation monument, a mausoleum or a cemetery building called a columbarium.

Scatter Them If you want to scatter his ashes, to help you chose an appropriate location, think about what your dad would have liked. For example, did he have a favorite fishing spot, camping area, golf course, beach or park

that held a special meaning? These are all possibilities, but be aware to that if you choose to scatter his ashes in a public location or on private land, you’ll need to get permission from the management, local government or the land owner. National parks, for example, require you to have a permit before you scatter ashes. If you wish to dispose of them at sea, the Environmental Protection Agency asks you be at least three miles from shore. Beach scatterings are also illegal in some states, including California, but are rarely enforced. And many public areas, like Central Park and Disneyland prohibit scattering ashes too, as do most professional and college sports stadiums.

Untraditional Methods If you want to do something truly unique with his ashes, you have many choices here too, but they can get pricy ranging from a few hundred to several thousand dollars. Here are several to consider. Scattering by air: This free-spirited option lets you spread your dad’s ashes into the sky so the particles can be taken by the wind. To do this, you could hire a private plane, helicopter or hot air balloon service, or use a balloon scattering service like EternalAscent.com or Mesoloft.com. Or, you could even send his ashes into outer space with ElysiumSpace.com. Scattering by sea: If your dad loved the water, there are many businesses that offer ash scattering services at sea, especially close to coastal areas, or you could rent a boat and do it yourself. There are also companies like EternalReefs.com that offer reef memorials so your dad’s ashes can rest on the ocean floor. Ashes to keepsakes: If you want a keepsake of your dad, you can also turn some of his ashes into a wide variety of memorabilia, such as: diamonds (see LifeGem.com or DNA2Diamonds.com); jewelry or other handcrafted glass items (ArtFromAshes.com and Memorials.com); vinyl records (Andvinyly.com); gun ammunition (MyHolySmoke.com); or an hourglass urn (InTheLightUrns. com). 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.

From left, Assemblyman Anthony Brindisi (D-Utica); Upstate Family Health Center board president Kathleen Dyman; Utica Mayor Robert Palmieri, and UFHC executive director R. Barry White participate in the grand opening at the new Upstate Family Health Center on Noyes Street in Utica.

Primary care expands in Mohawk Valley New health center stabilizes primary care resources in Utica area By Patricia J. Malin

ot long ago, R. Barry White was at a crossroads in his life. That’s when he took a phone call from a friend that led to a new opportunity. “I was retired from Utica College, and my father had passed away,” he said, describing how he felt rudderless. “Then I had a phone call from Laura Eannace asking me if I could help her out at Upstate Cerebral Palsy.” Eannace is executive vice president of the Family Health Services team at UCP, a nonprofit service agency for developmentally disabled adults and children located in Utica. UCP operates a number of community specialty and behavioral health clinics, including the mental health clinic at the veteran’s outreach center in downtown Utica, the Root Farm in Sauquoit and four school-based health clinics. UCP was exploring a way to deliver primary health care to all local residents, not just those with special needs. UCP had been operating a small health care facility with four outpatient rooms on Genesee Street next to Obliston Apartments, White explained. But the patient load continued to grow and the time seemed right to expand. “This new facility grew out of a need for additional primary care,” said White. “They could take anybody, but at first only UCP patients were seen there. We had a full-blown diagnostic and treatment center and three doctors, one fulltime. But then we realized more people wanted care. We grew and then separated from UCP.” Although UCP was instrumental

May 2017 •

in getting the health center established, the two organizations will remain separate entities. “UCP has a long history as an article 28 (a public law in New York state which governs hospitals and health care facilities),” he explained. “We are a 501(c)-3 nonprofit and formed our own board of directors. Upstate Family Health operates as an article 28, but our goal is to become a federally qualified health center.” Eannace tapped White’s help because of his background in education and finances. White served as treasurer and vice president of financial affairs at Utica College for 27 years. Although he thought he was retired, White jumped at the chance to return to work in a new capacity. Now he’s executive director at the new Upstate Family Health Center, located at 1001 Noyes St., Utica, just west of the north-south arterial. The health center has been up and running for about a month now and offers primary care services to people of all ages, including these who had formerly received primary care services through Upstate Cerebral Palsy Community Health and Behavioral Services.

New era of health care

White discussed the role of the new health center during a recent ribbon-cutting ceremony. “Now we have 12 rooms, 2 1/2 fulltime doctors and two part-time doctors, and we plan on bringing in three nurse practitioners by the end of May,” White said. UFHC is built on the site of the former Bossert Manufacturing plant in west Utica. After the plant closed, the building was torn down in hopes

Continued on Page 16

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Get the lead out!

Mohawk Valley vigilant concerning lead poisoning in children By Patricia J. Malin

s a family practice physician and one of the few doctors who make house calls, Mark Warfel admitted he is appalled by the number of victims of lead poisoning he has counted in the Mohawk Valley. “In the past, I viewed lead poisoning and lead testing as a much simpler problem than it is,” he explained during a gathering of the Lead-Free Mohawk Valley Coalition recently. “I had failed Warfel to recognize many of the obstacles that exist to hinder the elimination of lead poisoning for our children,” he added. “I was shocked to learn of the high lead poisoning rates in our counties and the very poor rates of lead testing for the children that live here.” Warfel made his remarks at the Community Foundation of Oneida and Herkimer Counties. The foundation celebrated the one-year anniversary of its commitment to address the hazards of lead poisoning in children. Warfel, who is affiliated with the Mohawk Valley Health System, is co-

chair of the Lead-Free MV Coalition. The coalition came into existence in January 2016 when it received a $1 million grant — good for three years — aimed at eliminating childhood lead poisoning in Herkimer and Oneida counties by 2030. The Community Foundation will lead and coordinate “Lead-Free MV” with its partners, the Oneida County Health Department, Herkimer County Public Health and Herkimer County HealthNet. According to the New York State Department of Health, Oneida County has one of the highest levels of childhood lead poisoning in the state. The DOH data was started in 2003 and is updated regularly. It contains the number and rate of children that reside in each zip code in the state, excluding New York City, who were tested for lead and identified for the first time to have elevated concentrations of lead in their blood. In 2003, the DOH identified 165 children under the age of 18 in Oneida County as having elevated levels of lead in their blood (10-15 micrograms per deciliter or more than 15 mcg/dl). That number of endangered children appears to be declining. In 2012, the latest year of statistics, 4,794 tests were conducted and 114 children in the county showed elevated levels of lead poisoning. The Centers For Disease Control has consistently lowered the level at

which lead poisoning becomes a concern. Its minimum is now 5 mcg/dl, although current scientific evidence has established that there is no safe level of lead in a child’s body. Experts have said children can be exposed to lead through a variety of sources, including contaminated soil or water; imported toys, pottery or cosmetics, and old paint (lead was banned from paint in 1978). Children who are exposed to lead poisoning might show such a range of symptoms, ranging from minor (loss of appetite, weight loss, fatigue and abdominal discomfort) to severe (developmental delays, learning difficulties and long-term behavioral issues.)

Working with landlords, tenants

New York is among a number of states that have imposed regulations, mostly affecting landlords, on lead testing and elimination. The coalition notes, however, that despite laws requiring testing for lead exposure in 1- and 2-year-old children, one-third of pre-school children in Herkimer and Oneida counties have not had the required blood test. In the past, the coalition has offered lectures and conferences to make the public aware of such regulations and to encourage them to get their children tested. Coalition members represent public health, local government, legal, insurance, health care, education, childcare, construction and support-services

KIDS Corner Study: 1 in 3 teens with autism licensed to drive Pediatricians suggest discussing teenager’s capabilities with doctor first

any teens with autism want to hit the open road on their own, and new research shows that about one-third are following through on those dreams and getting a driver’s license. “We know that driving can increase mobility and independence for adolescents with ASD [autism spectrum disorder], but little was known about their rates of licensure,” said study principal investigator Allison Curry. She’s a senior scientist at the Children’s Hospital of Philadelphia’s Center for Injury Research and PrePage 12

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vention. “Our results indicate that a substantial proportion of adolescents with ASD do get licensed, and support is needed to help families make the decision whether or not to drive before these adolescents become eligible for a learner’s permit,” she added in a hospital news release. For the study, researchers reviewed data on New Jersey teens. The investigators found that one in three teens with autism but no intellectual disability obtained an intermediate driver’s license. Most did so when they were 17 years old.

constituencies. Cornell Cooperative Extension of Oneida County and the LeadFree MV Coalition recently offered a forum on lead law compliance with Andy McLellan, who is president of Environmental Education Associates of Buffalo and an appointed representative to the NYS Governor’s Advisory Council on Lead Poisoning Prevention. The coalition said it offered the event in response to requests from area landlords for more guidance on lead laws. Since 2010, state laws require individuals and firms involved in repairing pre-1978 residences and child-care facilities to be certified in renovation, repair and painting. In November 2016, members of the Lead-Free MV Coalition invited representatives from the Environmental Protection Agency, Department of Housing and Urban Development and the U.S. Attorney’s Office to Utica to discuss childhood lead poisoning prevention strategies. The federal agencies shared insight and advice on this national issue. Select West Utica property owners are eligible to participate in a pilot program aimed at reducing lead hazards and improving weatherization and energy efficiency. Anyone interested in working with the lead-free coalition can contact John Monaghan at 315-731-3722 or jmonaghan@foundationhoc.org.

Photo -- teen driving ThinkstockPhotos-AA010760

Nearly 82 percent of teens with autism who obtained a learner’s permit received their intermediate license within one year. For teens without autism, the rate was 94 percent. Within 24 months of getting a permit, the rates were nearly 90 percent for kids with autism and 98 percent for those without the disorder. An intermediate license permits drivers to travel with restrictions. These rules vary by state, but usually include driving curfews and regulations on the age and number of passengers. “For teens on the autism spectrum, the decision to pursue a driver’s license is one of several milestones that other families might take for granted,” study co-author Benjamin Yerys said. He’s a scientist at the hospital’s Center for Autism Research. “Independent means of transpor-

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • May 2017

tation contributes to other long-term opportunities, such as post-high school education or employment, and being socially involved and connected within their community,” he said. But Yerys pointed out that “ASD can affect decision-making, information processing and attention to varying degrees.” Yerys said experts need to understand what resources, specialized instruction, and other support might help teens with ASD who want to drive. Study co-author Dr. Patty Huang suggested that parents of teens with autism spectrum disorders should talk to their child’s doctor about any concerns, such as attention issues, that might interfere with driving ability. She’s a developmental and behavioral pediatrician at the Philadelphia hopsital.

SmartBites

The skinny on healthy eating

While humming, add stock, about 4 oz. at a time, and simmer over medium heat, stirring constantly until liquid is absorbed between each addition. Continue until buckwheat groats are creamy but al dente, about 15 to 20 minutes. You may not need all the stock. Remove from heat and stir in cheese, edamame, and toasted nuts. Top with additional shredded cheese and serve.

Health Secrets of Buckwheat

ention buckwheat and many of us zero in on pancakes and waffles, perhaps soba noodles. In this neck of the woods, we might also think about Penn Yan, one of the world’s largest manufacturers of buckwheat products. Before I became hooked on buckwheat, I, too, only considered buckwheat in those terms. Fact is, I also thought it was a class of wheat. But buckwheat is neither a wheat nor a grain: it’s the seed from a plant related to rhubarb. And when it’s hulled, it’s known as a groat. While buckwheat is not a “true grain” — it’s often referred to as a whole grain — it is used like one in cooking, and boasts similar health benefits. A key difference, however, between buckwheat and some whole grains, is that buckwheat is gluten-free and safe for those with celiac disease and gluten sensitivities. Why eat buckwheat? Well, it’s tasty, easy to prepare, inexpensive and — above all — a nutritional powerhouse. One cup of cooked buckwheat provides a healthy dose of both soluble and insoluble fiber — nearly 5 grams. Insoluble fiber promotes regularity, while soluble fiber helps

keep our tickers in tip-top shape by ferrying cholesterol out. What’s more, numerous studies have shown that fiber helps slow down the rate of glucose absorption after a meal, an effect that might lower the risk of developing Type 2 diabetes. Buckwheat is also a mineral superstar, with notable amounts of manganese, copper and magnesium. Manganese is important for bone health, collagen production and blood sugar control; copper helps the body form red blood cells and maintain and repair connective tissues; and magnesium promotes a healthy cardiovascular system by helping to control blood pressure. And similar to other plant-based foods, buckwheat is loaded with phytonutrients — those remarkable compounds that work to ward off a host of maladies, from heart disease to diabetes to cancer. Phytonutrients do a body good by helping to reduce inflammation, lower blood pressure, and fight free radical damage. Lastly, one cooked cup of low-fat buckwheat has only 150 calories and about 6 grams of complete protein, a vital nutrient we need to have energy, build and repair muscle, and boost immunity.

The Balanced Body

Becoming, staying fit exercise in commitment

Adapted from Wolff’s Buckwheat Risotto (serves 4-5) 1 ½ tablespoons olive oil 1 small onion, chopped 8 oz. fresh mushrooms, sliced, hard stems removed 2 cloves garlic, minced ½ cup dry white wine (optional) 1 cup buckwheat groats 2½ cups chicken or vegetable stock ½ cup freshly shredded Parmesan cheese 1 cup frozen edamame, thawed ½ cup slivered almonds, toasted (or nut of choice) Turn on some music, light a candle, get your groove on: risotto takes time. In a heavy skillet, heat olive oil over medium heat. Add onions and mushrooms and sauté until both are soft and lightly browned, about 10 minutes. Stir in garlic and buckwheat groats and cook for two minutes. Add wine (if using) and simmer until liquid is completely absorbed.

Helpful tips Buckwheat comes in many forms: hulled raw groats, hulled roasted groats (referred to as kasha), flour and soba noodles. All can be found packaged; and raw groats can often be found in bulk bins. Place whole buckwheat in an airtight container and store in a cool dry place for up to a year. Always store buckwheat flour in the refrigerator. Rinse raw groats before using.

Anne Palumbo is a lifestyle colum-

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

By Deb Dittner

Get After It! etting fit is often what I hear from clients as a New Year’s resolution. But how often do you start out with good intentions in the beginning of the year to just not doing anything at all come spring? Getting fit and staying fit is not impossible but it does require a little hard work and dedication to oneself. Initially, Dittner you may feel more tired but with time and persistence you should have more energy, improved sleep, and feel encouraged to keep going. So, what does it take to get and stay fit? To get the best results out of your body, you first need to look at what you’re putting into your body. That bowl of ice cream every night is not helping your cause but is feeding

Buckwheat Risotto with Mushrooms and Edamame

that crave for sugar and creating inflammation. Preparation, which I recommend to occur on the weekend when schedules are a bit less hectic, is important for the week ahead to run more smoothly. Preparation takes planning of meals and snacks ahead of time and then following through with commitment. Plan your meals, go grocery shopping for the ingredients, and then prep ingredients so that each meal becomes easier to produce when you and your family are hungry. Find activities that you enjoy and then stick with it. You may need to try a variety of different activities before you come upon what really clicks for you and that’s OK. Once you find your activities of choice, decide which one you will do on a daily basis and when to fit it into your schedule. Write it in your planner or use your iPhone/droid calendar to keep you on track. This makes it “real” and holds you to your commitment. And yes — life does happen. You can be flexible when something

comes up but this will also help to hold you accountable. Speaking of accountability, work out or go to classes with a partner. You can push each other to being the best that you can be. If you take classes at a gym, schedule them into your system a week in advance. No excuses. Getting fit also has a mental component. Find a time every day to focus on just you — whether that is first thing in the morning when no one in the household is awake or last thing at night before heading off to sleep. Make this a time of reflection of the day ahead or the day that has just completed. Focus as to where you are mentally and breathe. Finding that peace and quiet inside of you will tone down the chatter of the day. You can use this time to meditate or incorporate calming yoga poses into your daily routine. Being mindful of yourself is as important as being mindful in what you nourish your body with on the inside (whole nutrient dense foods) and outside (physical activity). So where do you now fall along in your fitness plan? You’re planning and prepping your meals. You’re scheduling your classes and activities so it becomes routine. You’re being mindful of your foods, activities and you.

May 2017 •

Now, look at how far you have come. If you’ve kept a journal — and I encourage everyone to do so — you can see the journey you have taken. Write down your meals, your activity, and your emotions that happen every day. It takes time to create that routine, and then feel and see the changes that occur. Be happy with the milestones and celebrate your achievements. Use these moments to motivate you to continue and do even better the next month. Preparation and dedication is what getting and staying fit is all about. Start at the beginning and work hard up the ladder. In time, you will see the improvement and results that make life healthy and enjoyable. • 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 her website at 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 her at 518-596-8565.

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Older women drinking more

ore older American women than ever are drinking — and drinking hard, a new study shows. Most troubling was the finding that the prevalence of binge drinking among older women is increasing dramatically, far faster than it is among older men, the researchers noted. The difference was striking: Among men, the average prevalence of binge drinking remained stable from 1997 to 2014, while it increased an average of nearly 4 percent per year among women, the researchers found. Increased drinking and binge drinking can be a serious health problem for women, said study author Rosalind Breslow, an epidemiologist at the U.S. National Institute on Alcohol Abuse and Alcoholism. Women don’t tolerate alcohol as well as men, and they start to have alcohol-related problems at lower drinking levels than men, Breslow explained. She pointed out that on average, women weigh less than men, and have less water in their bodies than men do. (Alcohol dissolves in water). “So, after a man and woman of the same weight drink the same amount of alcohol, the woman’s blood alcohol concentration will tend to be higher, putting her at greater risk for harm,” Breslow said.

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.

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Health Briefs

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • May 2017

Health News MVHS names SVP/chief nursing officer

MVHS names nurse manager for neuro-peds

Linda McCormack-Miller has been named senior vice president-chief nursing officer for the Mohawk Valley Health System. In this position, McCormack-Miller is responsible for nursing practice, policy and procedures across the system. McCormack-Miller has more than 25 years of progresMcCormack-Miller sive health care experience. After earning her Bachelor of Science degree in nursing from Seton Hall University in South Orange, N.J., she was commissioned as a nurse in the United States Navy. She served at Portsmouth Naval Hospital in Portsmouth, Va.; Camp Lejeune Naval Hospital in Jacksonville, N.C.; and Oakland Naval Hospital in Oakland, Calif. She completed her Master of Science degree in nursing from Old Dominion University in Norfolk, Va., and her Doctorate in Nursing from Rush University in Chicago, Ill. In 1993, McCormack-Miller began her post-naval career at Our Lady of Lourdes Memorial Hospital in Binghamton and held a variety of positions, most recently serving as the senior vice president of operations-chief nursing officer. She is certified by the American Nurses Credentialing Center as a nurse executive, advanced.

Amanda Sweezey has been named nurse manager for neuro-peds at the St. Elizabeth campus of the Mohawk Valley Health System. In this position, Sweezey is responsible for nursing operations, including clinical and administrative responsibilities for neuro-peds, an adult inpatient Sweezey medical and pediatric ambulatory surgical unit. Sweezey earned an associate degree in applied science from St. Elizabeth College of Nursing in Utica and is pursuing a Bachelor of Science degree in nursing from Chamberlain College of Nursing. She has held multiple nursing and charge nurse positions since 2009 at SEMC, including in the intensive care unit and orthopedics.

MVHS names assistant VP of quality Derrick J. Suehs has been named assistant vice president of quality for the Mohawk Valley Health System. Prior to joining MVHS, Suehs served as chief quality (and administrative operations) officer and as director of outcomes management for Crouse Hospital in Syracuse. Suehs He also served as quality adviser and director of quality management at St. Joseph Medical Center in Houston, Texas, and has held teaching positions at Utica College in Utica, Le Moyne College and Syracuse University in Syracuse, and at St. John Fisher College in Rochester. Suehs served in the United States Navy as lieutenant, USN and course director of leadership, management education, and training and as ensign and lieutenant junior grade, USS Fresno. Suehs earned his Bachelor of Science in education curriculum and instruction at Texas A&M University in College Station, Texas, his Master of Arts in business at National University in San Diego, Calif., and his Doctor of Education in executive leadership at St. John Fisher College in Rochester.

SECON holds ‘active shooter drill’ St. Elizabeth College of Nursing, in conjunction with the Utica Police Department Metro SWAT Team, recently conducted an “active shooter drill” for its college staff and students. The drill is part of the college’s campus safety and security program and is designed to provide students, faculty and staff with a scenario that mimics an actual situation involving an active shooter on campus. The SECON administration, UPD and key personnel from the Mohawk Valley Health System have all taken a proactive stance in keeping the SECON community on alert and practicing for a situation that hopefully will never occur. A debriefing followed at the conclusion of the drill.

Physician receives Gaffney Memorial Award

Richard M. Cherpak, M.D. Richard M. Cherpak, M.D. Richard M. Cherpak, M.D. Garth J. Garramone, D.O., F.A.C.P. 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. 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.

Mark E. Warfel has received the Edward Gaffney Memorial Award for 2016. Warfel is a family medicine UT-000595577 physician who practiced for many years in New Hartford, is program director of the St. Elizabeth Family Medicine Residency, and director of medical education for the Mohawk Valley Health System. The medical staff of St. Elizabeth Medical Center, an MVHS affiliate, presents the award annually. “Dr. Warfel’s service and commitment to the area cover a broad PROOF O.K. BY:___________________________ range of activities over a long, distinPLEASE READ CAREFULLY • SUBMIT guished and continuing career,” said CORRECTIONS ONLINE Michael Trevisani, senior vice president-chiefUT-000595577 medical officer of MVHS. (100%) “His compassionate, quality care for

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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Health News Continued from Page 15 patients has long been appreciated and has not gone unnoticed by his colleagues and those family medicine residents who have gone through the St. Elizabeth Family Medicine Residency Program under his development and leadership.” In 2012, the SEMC medical staff established the award in memory of Edward Gaffney. Dr. Gaffney passed away in 2011 after many years of dedicated service to SEMC and its patients. The award is given to an active member of the SEMC medical staff that represents Gaffney’s ideals and practice of upholding old-fashioned, professional values, which include dedication to quality patient care and attention to detail. The award includes a $1,000 donation in the name of the recipient to a cause to be chosen by the recipient from five choices determined by the medical executive committee, plus a plaque to the individual.

New nurse manager for St. Luke’s Campus Taylor Webster has been named nurse manager for AC 2 at the St. Luke’s Campus. In this position, Webster is responsible for nursing operations including clinical and administrative responsibilities for AC 2 — a medical/surgical telemetry unit. Webster earned her assoWebster ciate’s degree in nursing from the St. Elizabeth College of Nursing in Utica and is working toward her bachelor’s degree in health professions from Utica College, with an anticipated graduation date of May 2018. Webster has worked for the Mohawk Valley Health System since 2012 as a staff-relief charge nurse on AC 2 and as a clinical nurse educator.

Nurse manager named for special care unit Sandra Whittemore has been named nurse manager of the special care unit at the St. Luke’s Campus in Utica. She is currently the nurse manager of the progressive care unit at the St. Luke’s Campus, and will continue in this role in addition to managing the SCU. Whittemore Whittemore is now responsible for nursing operations including clinical and administrative responsibilities for the PCU and SCU. Whittemore has been employed by Faxton St. Luke’s Healthcare since Page 16

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1993, serving as a staff nurse in the cardiac cath lab, intensive care unit, interventional radiology and progressive care unit. Whittemore earned an associate degree in nursing from the College of the Desert in Palm Desert, Calif., and a Bachelor of Science degree from Utica College. She has certifications in coronary and stroke care.

Insight House adds staff members Andrea O’Brien recently joined Insight House as an occupational therapist. She is responsible for providing a range of vocational education sessions for individuals and groups, covering such topics as career exploration, motivating skills and behaviors, and life management skills. O’Brien, of O’Brien New Hartford, has a degree in occupational therapy from Utica College. Stefanie Gleba and Jacklyn Entwistle have recently joined the nursing staff at Insight House. They are responsible for a variety of duties related to serving the medical and health needs of Gleba patients requiring chemical dependency treatment. Gleba, of Deansboro, has an Associate of Applied Science degree in nursing from the St. Elizabeth College of Nursing. Entwistle, of Schuyler, has an Associate of Applied Science degree from Herkimer County Community ColEntwistle lege and is a graduate of the Herkimer County BOCES practical nursing program.

Community health focus of ‘Go Red’ chairwoman Kristen Martin, chief operating officer for Utica National Insurance Company, is serving as chairwoman for The American Heart Association-American Stroke Association’s 2017 Utica Go Red For Women Luncheon. Martin is leading the fundraisMartin ing efforts for the

luncheon in the Greater Utica-Mohawk Valley area to help achieve the AHA’s 2020 impact goal. The luncheon will be held May 3 at Daniele’s Banquet Specialists, New Hartford. The goal is to improve the cardiovascular health of all Americans by 20 percent while reducing deaths from cardiovascular disease and stroke by 20 percent. Funds raised at events like the Go Red For Women Luncheon go toward lifesaving research, advocacy, and education programs. The Go Red For Women movement focuses on raising awareness among women that heart disease is their greatest health threat. Cardiovascular diseases and stroke kill one in three women each year. “I was honored to be asked to chair the campaign as both my parents suffer or suffered from heart disease,” said Martin. “My dad, who worked very hard, did not get to fully enjoy his retirement as he suffered two strokes which limited his ability

to travel and, later even his ability to drive or go to the market. Living a healthy lifestyle while I’m young so that I can retire, travel and enjoy time with my family is my dream and I hope that this campaign can help make it a reality for all those who hear our message.”

Fundraising total past $1 million The tradition of being America’s greatest is alive and well. The American Heart Association/American Stroke Association recently announced a new fundraising total for the 2017 America’s Greatest Heart Run & Walk. The event has now raised $1,068,372. The new total is a $92,000 increase over the total announced during Heart Weekend in early March. America’s Greatest Heart Run & Walk has raised $1 million or more each year since 2000. During the 2017

Continued on Page 17

Family Health Services enhances primary care Continued from Page 11 of attracting a new business. Since it was also deemed an environmental hazard, it deterred investors. Utica Mayor Robert Palmieri, an ardent supporter of the state-of-theart facility, talked about the health center breathing new life into the community. “This was a brownfield for five years,” Palmieri said. “There’s an overwhelming need for this and it’s in an area that’s very accessible. This is in the heart of west Utica, the crossroads of Utica.” As for the need, Oneida County has a population of 232,000 (U.S. Census 2015), of which some 62,000 live in the city of Utica. The median income is $48,000 and the poverty rate is 18 percent. White said the center already has 3,000 patients and “we hope to grow to 10,000 a year from now. And our vision is to provide pharmaceutical care within a year and a half, perhaps on site or a combination of working with Parkway Drugs or Garro Drugs. There are no pharmacies around here now. We hope to eventually make this one-stop shopping for patients.” UFHC is offering well-child care and immunizations, treatment of chronic medical conditions including diabetes, heart disease and hypertension, physical exams, gynecological care, preventive services, laboratory and X-rays. It is open from 8 a.m.-5 p.m. Mondays, Tuesdays and Fridays and from 8 a.m. to 8 p.m. on Wednesdays and Thursdays. “Our offices are a tremendous asset for this community, providing access to quality primary health care services for families regardless of

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • May 2017

their ability to pay,” noted Kathleen Dyman, UFHC board president and executive director of the Medical Society of Oneida, Herkimer, Otsego, Oswego, Montgomery, Cayuga, and St. Lawrence counties. “No one should go without basic health care and we know that our services will make a difference for hundreds of children and adults,” she added. “We needed something like this in west Utica. This is stateof-the-art. We can provide X-rays and laboratory services, and hopefully a pharmacy. “ Although the center is located two blocks from the arterial, the major four-lane highway through the city, White still sees transportation lacking for many members of the community who don’t drive or have cars. “Transportation is a major issue,” he said. “A Centro bus runs on Lenox Avenue, at the intersection with Noyes Street behind the clinic, so we still have some planning to do.” If Mohawk Valley Health Services, which operates Faxton St. Luke’s Healthcare and St. Elizabeth Medical Center in Utica, follows through with its plan to build a new hospital near downtown Utica in the future, White doesn’t anticipate any problem. “We will complement them,” he said. “I don’t see them as competition. Even if a patient goes to the hospital for surgery, he or she needs follow-up care and we can keep people out of the emergency room.” UFHC is also planning on opening a clinic at 205 W. Dominick St. in Rome in May. For more information on UFHC, contact 315-624-9470.

Health News Continued from Page 16 event, cold temperatures kept many walkers and runners home, putting the $1 million goal in jeopardy. “We put the call out to this community that we needed you,” said Dan Jones of Northwestern Mutual, event chairman. “We asked you to help us reach this lofty but important goal. In the final hours of Heart Weekend, and in the weeks following the event, I’m proud to say you answered the call.” The new fundraising total reflects money raised before, during and after Heart Weekend. Money raised at events like America’s Greatest Heart Run & Walk help fund lifesaving research, education, and advocacy programs. For more information on America’s Greatest Heart Run & Walk, visit www.UticaHeartRunWalk.org.

provement payments from Excellus BlueCross BlueShield as part of its performance incentive program. Since 2005, Excellus BCBS’s program has paid out more than $232 million. Nine hospitals in the Utica/ Rome/North Country region participated in the program in 2016, sharing $904,750 in quality improvement incentive payments. Participating hospitals included Adirondack Medical Center, Aurelia Osborn Fox Memorial Hospital, Mary Imogene Bassett Hospital, Champlain Valley Physicians Hospital Medical Center, Community Memorial Hospital, Faxton St. Luke’s Healthcare, Oneida Healthcare, Rome Memorial Hospital and St. Elizabeth Medical Center. Areas targeted for 2016 improvement included clinical processes of care, patient safety and satisfaction.

Summer internships Excellus awards hospitals offered at Excellus BCBS for improvements Excellus BlueCross BlueShield Forty Upstate New York hospitals and health centers last year earned $22.9 million in quality im-

has about 50 summer internship positions available for college students at its locations in Upstate New York.

Summer internship positions include jobs in finance, sales, marketing, information technology and corporate communications. Internships are available at health plan locations in Rochester, Buffalo, Syracuse and Utica. “Our goal is to attract an internship class of students from a wide range of cultures, backgrounds and life experiences, which will help drive the innovation needed to best serve our customers,” said Joseph Searles, corporate director, diversity and workforce inclusion, Excellus BCBS. The 10-week paid internships will generally run from June through August. To qualify for an internship, students must be actively enrolled in a college degree program at the time of the internship. Those wishing to check out student experiences can at YouTube. com/ExcellusBCBS. Students are encouraged to apply for internships as soon as possible. Positions will close as candidates are selected for the internships. To apply for the internships, go to excellusbcbs.com/careers.

Valley Health Services to offer scholarship Herkimer County high school students scheduled to graduate in June are eligible to apply for the Valley Health Services scholarship. Applicants must be planning to pursue higher education in a field employable by a nursing home, such as nursing, accounting, health care administration, social work, dietetic and rehabilitation. In order to be eligible for selection, the student must submit an official school transcript showing a GPA of at least 85 and a typed essay of 500 words or less addressing: — Specific educational plans and goals — The reason for career choice — Pertinent experiences in a nursing home — Volunteer time or employment in a nursing home The essays must be submitted by May 5 to Connie M. Castellano, director of community relations and fund development at Valley Health Services, 690 W. German St., Herkimer, N.Y. 13350.

Healthcare in a Minute By George W. Chapman

Trumpcare —“Take 2”

There were 60 attempts to repeal the Affordable Care Act (ObamaCare) while its namesake was president. The first attempt to repeal and replace the politically charged ACA under President Trump has failed. The Freedom Caucus of the Republican Party refused to cooperate with the president and replace the ACA with the American Health Care Act — call it TrumpCare — because it felt there were too many components of ObamaCare leftover in TrumpCare. So, a second attempt (take 2) to repeal ObamaCare and roll out TrumpCare is forthcoming. If the Freedom Caucus gets its way, states would be allowed to opt out of the ACA’s most important features. The first being requiring insurers to cover 10 essential benefits including drugs, mental health, hospitalization and maternity care. The second being the prohibition of charging higher premiums to those at higher risk of getting sick. If insurers can charge the sick and injured more, then the guarantee of covering pre-existing conditions (which Trump favors) is moot because the sick and injured won’t be able to afford the probably exorbitant premiums. Moderate Republicans will most likely be opposed to removing these important features of the ACA from TrumpCare: take 2.

ObamaCare 2017

Until it is repealed, the ACA remains law of the land and Americans are changing their tune about the ACA. A recent Gallop poll shows 55 percent of us approve of the ACA. That is up 13 points from a survey

taken before the election. A recent survey by the Kaiser Family Foundation finds 75 percent of us prefer we keep the ACA but continue to make it better. The biggest criticism of the ACA is insurers are exiting, leaving only one insurer in some markets. Congress can easily stabilize the insurance markets and draw insurers back in by continuing to subsidize the premiums and waive some of the deductibles and co-payments of those who qualify based on income. Under section 1402 of the ACA, the government is required to reimburse insurers for the cost of these subsidies. This impacts the 7 million of us who purchase insurance on the exchanges. However, last year a district court enjoined Health and Human Services from continuing to reimburse the insurers. So, fearing they will be left holding the bag, insurers naturally fled the markets. Congress can also support and fix the ACA by negotiating the process for drugs. Other countries pay 40 percent less than we do for the same drugs. If Congress could lower drug prices 40 percent, that would cut premiums about 8 percent.

Psychiatrist Shortage

Two thirds of primary care physicians report having trouble arranging for psychiatric services for their patients. It often takes three to six months to get in and it is far worse in rural America versus urban. There are about 40,000 practicing psychiatrists in the United States or one per 8,000 people. Fifty percent of psychiatrists are over 50.

Other than revamping how they are paid — typically 45-60 minute increments — there needs to be much better integration of services into developing hospital systems. Oftentimes, the health care industry treats “stepchild” psychiatric and mental health services as a second priority. Twenty percent of Americans have some sort of mental health disorder.

Healthcare Spending

The office of the actuary for Medicare projects total health care spending in the U.S. will average 5.6 percent growth per year between now and 2025. The total gross domestic product for the U.S. is expected to grow at 4.4 percent a year. By 2025, health care will account for a staggering 20 percent of the nation’s total GDP. The projection is based on current health care law and does not speculate on growth should the ACA be amended or repealed and replaced altogether.

Urgent Care Facts

More and more consumers are ignoring and avoiding their primary care physician in favor of free standing urgent care centers. There are about 7,400 urgent care centers in the U.S. and that number continues to grow. That’s up from 6,700 centers in 2015. According to their trade association, 92 percent of the centers had an average waiting time of 30 minutes or less. Twenty-seven percent of us visited an urgent care center in the last two years. The most common diagnoses were acute upper respiratory infec-

May 2017 •

tion, acute sinusitis, acute pharyngitis and cough/acute bronchitis. All could have been taken care of by their primary care provider. Most users of urgent care centers claim they could not get a timely appointment from their regular provider.

Overall MD shortage

There have been numerous predictions of a worsening physician shortage. Recently, the Association of American Medical Colleges projected the shortage to be anywhere between 40,000 and 103,000 by 2030. Most predictions do not account for the impact of physician assistants, nurse practitioners, advanced technology and miracle drugs, telemedicine, and significantly reduced times for major operations, consumerism, etc. Physicians are not fighting the battle alone. The dire predictions are also based on past and present fee for service reimbursement which rewards pure volume of services resulting in unnecessary utilization. Demand for services tends to decrease as insurance deductibles and co-pays increase. George W. Chapman is a healthcare business consultant who works exclusively with physicians, hospitals and healthcare organizations. He operates GW Chapman Consulting based in Syracuse. Email him at gwc@gwchapmanconsulting.com.

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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CALENDAR of

HEALTH EVENTS

lounge on the main floor of the Faxton Campus, 1676 Sunset Ave., Utica. The cancer support forum meets at 6 p.m. on the second Monday of every month. The forum, led by the cancer center’s social worker, offers support to anyone who has received a cancer diagnosis. Light refreshments will be served. For more information or to RSVP, call 315-624-5241.

May 8

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. May 8. The cancer support forum meets at 6 p.m. on the second Monday of every month in the Cancer Center’s fireplace lounge on the main floor of Faxton Campus, 1676 Sunset Ave., Utica. The forum, led by the Cancer Center’s social worker, offers support to anyone who has received a cancer diagnosis. Light refreshments will be served. For more information or to RSVP, call 315-624-5241.

May 8

Support group to meet at Rome Memorial Hospital The brain aneurysm, AVM (arteriovenous malformation) and stroke support group will meet from 5:30-7 May 8 at Rome Memorial Hospital’s second-floor classroom. The group meets on the second Monday of every month. RMH is located at 1500 N. James St., Rome. For more information, call Deb Dunn at 315-533-6467 or email RomeNY@JoeNiekroFoundation.org.

May 9

Dialysis Center offers disease program The Dialysis Center at the Mohawk Valley Health System offers an educational program for those who have been diagnosed with chronic kidney disease. The program will take place from noon to 2:30 p.m. May 9 in Weaver Lounge at the Faxton Campus, 1676 Sunset Ave., Utica. Registration is required as seating is limited. Contact Cindy Christian, CKD program coordinator, at 315-624-5635 or cchristi@ mvhealthsystem.org. Page 18

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Valley Health Services accepts syringes

According to the National Kidney Foundation, 26 million Americans have CKD and millions of others are at risk for developing the disease. Early detection and intervention help to prevent the progression of kidney disease to kidney failure, known as end stage renal disease.

Valley Health Services is accepting the community’s medical waste of needles, syringes and lancets from noon until 2 p.m. on May 17. The service is available on the third Wednesday of every month. The waste must be in approved puncture-resistant containers available at local pharmacies and properly marked “biohazard.” The containers may be brought to the outpatient receptionist on the ground floor at VHS, who will contact the personnel responsible for medical waste disposal. VHS is located at 690 W. German St., Herkimer. Questions may be directed to Tammi King, infection control nurse, at 866-3330, ext. 2308.

May 11

May 19

Laryngectomy support group to meet

Lake George on Parkway Center agenda

Got a health-related activity or event that you would like publicized? Call Lou Sorendo at 315-749-7070 or email lou@cnymail.com. Continued from Page 2

May 17

The Laryngectomy Support Group will hold its monthly meeting at noon May 11 in the Sister Regina Conference Room on the first floor of the St. Elizabeth Medical Center hospital building, 2209 Genesee St., Utica. The support group is sponsored by SEMC. Laryngectomy support group meetings are held at noon on the second Thursday of each month. A laryngectomy is the procedure to remove a person’s larynx and separates the airway from the mouth, nose and esophagus. The laryngectomee breathes through an opening in the neck, called a stoma. The public is welcome to attend. Those with questions can call the speech therapy department at 315801-4475.

May 15

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. May 15 in the second floor classroom at Rome Memorial Hospital. The group meets the third Monday of each month and is free and open to everyone. Offered by the hospital’s Community Recovery Center, the support group provides an opportunity to discuss issues with others who are in the same situation. Certified by the New York State Office of Alcoholism and Substance Abuse Services, the Community Recovery Center, 264 W. Dominick St., Rome, offers alcohol and substance abuse treatment for adolescents and adults. Open from 8 a.m. to 4 p.m. Monday and Friday and from 8 a.m. to 9 p.m. Tuesday-Thursday, the center participates with most major insurance programs, including Medicare and Medicaid. A sliding scale fee is available for self-pay clients. For more information about the support group or the Community Recovery Center, call 334-4701.

The Parkway Center will be taking a trip to Lake George for a boat cruise on July 14. The cost for the trip is $84 per person and includes transportation, boat cruise, and lunch buffet. The deadline to register is May 19. Those interested may call the Parkway Center at 315-223-3973 ext. 108 for more information or to signup.

May 20

Cancer survivors to be honored at breakfast Rome Memorial Hospital, Mohawk Valley Radiation Medicine and Dr. Linda Schicker invite cancer survivors to the annual Survivors’ Breakfast on May 20 in Rome Memorial Hospital’s cafeteria, 1500 N. James St. Each survivor is encouraged to bring one guest. Breakfast will be served from 8-11 a.m. The morning will include a breakfast buffet and a gift, compliments of Mohawk Valley Radiation Medicine. Guests may also bring a favorite book that helped give them strength and encouragement to share with others at a book exchange table. Seating is limited and advance reservations are required. Contact Amy Weakley, Mohawk Valley Radiation Medicine, 315-338-0897, before 4 p.m. May 9. A personal invitation is not required. Guests are encouraged to park in the Bartlett Wing lot, with easy access from East Oak Street. There will be signs directing guests to the cafeteria. This annual breakfast is an opportunity for area cancer survivors to gather before the American Cancer Society’s annual Relay for Life that will be held in Rome, Boonville and Camden. The schedule is as follows: — Rome: June 3-4, NYS School for the Deaf, survivors’ lap, noon on June 3 — Boonville: May 20-21, Boonville Fairgrounds, survivors’ lap, 2 p.m. on May 20 — Camden: June 3-4, Manley

Field, survivors’ lap, 9 a.m., June 3 Survivors are encouraged to pre-register for the Relay for Life opening survivors’ lap by going online to www.main.acsevents.org, by calling 1-800-227-2345 or in person at the relay in the survivors’ tent. Rome Memorial Hospital is a sponsor of the American Cancer Society’s Relay for Life, bringing hope to families and communities.

June 2

Annual trauma symposium on agenda The St. Elizabeth Trauma Center of the Mohawk Valley Health System and Midstate EMS will host the 31st annual Trauma Symposium on June 2 at Vernon Downs Resort and Casino in Vernon. Presentations begin at 8:30 a.m. and continue until 4 p.m. Continental breakfast and lunch are included. For more information, costs, or to register for this year’s event, visit www.mvhealthsystem.org/trauma or call 315-801-8127.

June 4

Cancer survivors’ day observed National Cancer Survivors Day will be celebrated locally from 10:30 a.m. to 1:30 p.m. June 4 at Longbranch Park, Liverpool. Hematology-Oncology Associates of CNY is honoring those in the community who are living with and beyond cancer, and those who have supported them along the way. The event is free to survivors, families and guests. The celebration will feature speakers, fun activities, entertainment, door prizes and a picnic lunch. Those interested in attending should RSVP to rsvp@hoacny.com or call 315-472-7504 ext. 1312.

June 19

Rome Hospital Foundation sets dates Rome Hospital Foundation will hold three fundraising events this year as part of its continued effort to support the mission of Rome Memorial Hospital. — Kicking off the 2017 event series on June 19 at Teugega Country Club is Rome Hospital Foundation’s Annual Golf Classic. Registration and lunch begin at 10:30 a.m. A day of 18 holes of golf will begin with a shotgun start at noon. — In the fall, the seventh annual Brew Ha Ha craft beer tasting will take place at Woods Valley Ski Area in Rome. The event will be held from 4-8 p.m. Sept. 23. The Brew Ha Ha features more than 50 types of craft beer and wine for attendees to sample. — The annual gala is Rome Hospital Foundation’s cornerstone fundraising event and will be held from 6-11 p.m. Nov. 11 at Turning Stone Resort & Casino in Verona. For more information, contact Rome Hospital Foundation at 315-338-7181 or email foundation@ romehospital.org.

Advertise with the pros! Call 749-7070 today!

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • May 2017

Pauline’s Pieces

By Pauline DiGiorgio

Feel-Good Foods

MV’S HEALTHCARE NEWSPAPER

EMPLOYMENT

Six foods that ramp up your metabolism

“

Change your lunch, change your life.” It’s a bold statement for sure. But that is the motto and statement Core Life Eatery stands behind while choosing the powerhouse ingredients for its “insta-worthy” bowl creations. I know I’m not alone. With all the hard work we put in at the gym — whether it’s training for a race, slimming down for summer or just being focused on improving overall health — I want meals to fuel, recover and help my metabolism DiGiorgio burn food into energy, not fat. Basically, I need and crave “feel good food” that fills me up, keeps my body looking fit, tastes great and has powerful health benefits to boot. When compiling this list, I made sure to find out what they do for your body and how to make the extra effort to incorporate them into your meals. Changing your lunch may very well change your life. These foods reduce the risk of chronic disease and prolong life. People who eat more of them are healthier and thinner than those who don’t. So what are you waiting for? Feel the difference with the following “feel good foods”: • Beetroot — Beetroot is full of minerals, and has anti-cancer and immune-boosting properties. A must for a flat tummy, beets are an anti- inflammatory, which means any digestion puffiness that you may carry is melted away with its detoxifying powers. Beets are also known to lower high-blood pressure. • Lean meats — Yes, we all know adding protein such as grilled chicken is beneficial in many ways, but did you know that lean meats are full of iron? If your body has a deficiency in this mineral, it can slow down your metabolism. Try to get at least three to four doses of natural iron daily. If you’re having trouble, find a quality supplement. The last thing you want is to bust your butt with a great training plan but have it offset with a slowpoke metabolism growing you a belly you don’t want. • Kale — Kale is among the dark leafy greens such as spinach, spring mix and arugula. With a salad-sized portion, you are gaining some serious fat-burning players. These, my friends, are the

Health in good

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Our most valuable asset is our people. Now hiring Advanced Practice Clinicians! Nurse Practitioners and Physician Assistants wanted. Emphasis on family planning, primary care, + reproductive health. Full time. Excellent benefits. Diverse candidates encouraged to apply!

Fitness sensation Pauline DiGiorgio enjoys her own special creation: a spinach chicken ginger Cobb salad, complete with beets and broccoli. Her drink of choice is an apple cider green tea.

Send resume: h.applicants@ppmhchoices.org

top dogs in supercharging the body. They are full of fiber and enough magic nutrients to detoxify your liver pathway for up to 48 hours. A clearer body lowers your cravings for sugar and fried foods, which are your fat cells’ biggest allies. • Eggs — A lack of Vitamin D can slow down your metabolism, create depression, and add on the pounds. I have incorporated a quality Vitamin D supplement every morning since the lovely Central New York weather notoriously steals our sunlight. But we should also grab our Vitamin D in natural food sources such as eggs, tofu and mushrooms. • Nuts — Nuts such as almonds, walnuts and pistachios have a thermic effect by increasing the body’s metabolic rate. They require more fats to actually digest. Your body has to put in work to get them through the system, making you feel fuller for longer. A serving — which is about a palm full, has a good amount of protein as well. • Broccoli — Fiber is POWER! A five-gram serving of broccoli can contribute to fat loss. This super food absorbs water and expands like a balloon, so it makes you feel full and slows down digestion. The fiber from these little trees also delays the “hunger hormone” known as ghrelin. You will not get that blood sugar spike after lunch by slowing down the absorption of glucose. Tossing in a few of the green stems will help prevent excess sugar from being stored as fat. • Pauline DiGiorgio is a fitness ambassador and Group X instructor at Retro Fitness gyms. Questions? Email her at ptlifts@gmail.com.

O P E N I N G J U LY 2 0 1 7

Pomeroy Emergency Services Department! New state-of-the-art, 50,000 square-foot facility will include: • 45 private treatment rooms • Designated orthopedic and chest pain rooms • Designated bariatric and stroke suites • 12-week comprehensive orientation • Evidence-based patient care delivery system Crouse has an excellent wage and benefits package that includes: • Increased RN wage scales • $1.00/hr. more for BSN • $.75/hr. certification pay for national certifications • Excellent benefits package including medical/dental/vision after 30 days or less

Share your passion – be part of our patient and family-centered culture. Apply online today at crouse.org/careers.

Funding to LFH provides mobile technology

ittle Falls Hospital, a subsidiary of Bassett Healthcare Network, recently received $12,500 in funding from Avangrid Renewables, LLC to purchase 26 Microsoft Surface Pro tablets for staff to enhance patient care and reduce costs. The tablets will improve patient satisfaction with real-time rounding and feedback and create better bottom line results to reduce hospital costs for paper products and supplies, according to Michael Ogden, hospital president. “Utilizing these tablets will in-

May 2017 •

directly benefit our patient population by reducing costs for Little Falls Hospital, thereby freeing operating revenue to be used for clinical programs and other patient-focused projects,” he noted. Avangrid Renewables owns and operates the Hardscrabble Wind Farm in Herkimer County.Avangrid Renewables is headquartered in Portland, Ore., and has more than $10 billion of operating assets totaling more than 6,000 megawatts of owned and controlled wind and solar generation in 20 U.S. states.

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Page 19

Free Hernia Screening

Crouse Institute for Robotic Surgery Presents

Presented by three of the region’s leading robotic surgeons:

hile hernias are more common in men, women can also develop them. Patients can experience groin pain, nausea or a bulge in the affected area. However, some patients have no symptoms, which is why screening is so important. Join our surgical experts to learn about this common but poorly understood condition, the importance of early detection and the latest minimally invasive procedure for repair available at Crouse.

Brian Anderson, MD

The Chris J. and Marshia K.

crouse.org/hernia | RSVP May 17

Witting Surgical Center at Crouse Hospital

Crouse Hospital – Conference Room A 736 Irving Ave. | Free parking in Crouse garage | Continental breakfast available

Free! :

By Aaron Gifford

n the Oneida Valley, a somewhat rural area about halfway between Utica and Syracuse, a group of medical professionals is not waiting around to see what comes out of the ongoing national health care debate. Well before the Affordable Health Care Act’s inception, let alone its overhaul and proposed replacement program, volunteers affiliated with the Gorman Foundation opened up the Mary Rose Clinic, Oneida Free Medical Health for the Uninsured and Underinsured, in the Northside Shopping Center in Oneida, Madison County. As the name indicates, the clinic mainly serves people living in or near Madison County who are uninsured or underinsured. Services are completely free to those 16 years or older. The clinic is open two days a week — from 4-7 p.m. Wednesdays and from 10 a.m. to 2 p.m. Thursdays. The entire staff, including doctors, nurses and clerical workers, is unpaid. From 2010 through 2016, a total of 5,506 patients were treated at the clinic. For this year, from January through the first week of March, 113 patients were treated there, said Alison Zeller, clinic manager. “We get patients coming from as far away as Boonville or Utica,” Zeller said. “We do get a lot of people.” On a typical day, more than 18 patients will be treated. Physicians Riphika Martyn, Jennifer Cesana, Jennifer Quinn and John George III staff the clinic. George retired as a physician but continues to practice on a volunteer basis. The staff also includes nurse practitioners Sharon Jasek and Deborah Hayes, and physician assistant Kaitlyn Huysman. Martyn proposed the clinic in 2009. She approached Amanda Larson, president of the Gorman Foundation, about volunteering her services. Martyn had previously opened a clinic in Sri Lanka after the 2004 tsunami. The Gorman Foundation was happy to help, providing facility space that was available in the shopping plaza. For guidance, Martyn and Larson visited free medical clinics across the region and joined the National AssoPage 20

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Ben Sadowitz, MD

This screening is free, but pre-registration is required. Call 315-470-7701 or visit

• Watch a demonstration of our robotic-assisted technology • Free screening available following the presentation

Saturday, May 20 | 9-11 a.m.

Jeffrey DeSimone, MD

Presented in partnership with CNY Surgical Physicians

Mary Rose Clinic services include basic primary care, referrals to specialists

ciation of Free and Charitable Clinics. The Gorman Foundation is based in Oneida and was established in 2003. Its mission is to improve the quality of life for present and future generations, and serves as a living legacy to Owen and Alice Gorman. Owen was a successful attorney and financial investor who lived and practiced in New York City. He vacationed in Saranac Lake. He was married to Catherine Cummings, of Waterville, until she died in 1977. After she died, her younger sister Alice, also of Waterville, moved to New York City to work as his law clerk and later managed his vast wealth. They were married in 1997. He died in 1999 at the age of 93. Alice died in 2002 of breast cancer. Naturally, the foundation has been generous toward cancer-related functions of Oneida Healthcare Center. Grants are only awarded to nonprofit, tax-exempt organizations that are within the Gorman Foundation’s geographic focus and areas of interest. In 2015, the foundation awarded more than $1 million total; $99,919 of that went to the Mary Rose Clinic. The clinic is named after Mary Rose Durfee, the sister of Alice Gorman and the daughter of a hops farmer. Durfee ran a small diner in Oneida in the 1950s and 1960s. She worked about 14 hours a day and, even though she owned the business, she still didn’t make enough money for her own medical or dental care, according to the clinic’s website.

Filling in gaps

One of the purposes of the clinic is to help people like Durfee who are working their hardest to get by but still need a hand with medical care. Durfee lives in Sherrill, just outside of Oneida, and continues to support and promote Central New York’s hops history. Clinic services include basic primary care and referrals to specialists. The clinic will also pay bills charged by specialists. The clinic cannot treat patients who have disability claims, workers compensation claims, no fault injury claims, or other legal issues. In additional to medical care, the clinic provides patient education, disease prevention and screening, physical exams, and guidance for finding medical insurance.

Nurse practitioner Deb Hayes and Dr. John George III confer over a patient chart at the Mary Rose Clinic in Oneida. Patients with medical emergencies should not go to the clinic. Rather, they should call 911 or go to a hospital emergency room. Also, they do not write prescriptions or give prescription refills without a physical examination by one of the clinic doctors. In addition, as a matter of policy, they do not treat patients who qualify for Medicaid or Medicare, but will allow a one-time exception in urgent situations. Zeller said the underinsured, those who have some type of insurance plan but still can’t afford to pay for services, make up a significant chunk of the clinics patient load. The clinic also sees a fair number of patients from local Amish and Mennonite communities. “We’re here to serve as long as we’re needed,” she said. According to the National Asso-

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • May 2017

ciation of Free and Charitable Clinics, there are about 1,200 facilities like the Mary Rose Clinic across the United States. The Mary Rose clinic is listed on its website, along with Amaus Health Services in Syracuse and the Ithaca Free Clinic in Tompkins County. All told, the free clinics affiliated with the national organization report seeing about 1.7 million people annually for nearly 6 million patient visits. More than 160,000 volunteers are involved. The national agency estimates there about 29 million people who have been unable to access health insurance or care. About 83 percent of the patients who access free medical clinics come from working households, and about 75 percent of the patients have health care insurance but go to the free clinics instead because they still can’t afford to pay for services.