Mv igh #94 dec13 by In Good Health: MV's Healthcare Newspaper

in good Have a happy holiday season!

L O L

December 2013 • Issue 94

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Mohawk Valley’s Healthcare Newspaper

Laughter is the best medicine See Page 3

Winter tough on skin See Page 13

Special Food & Nutrition Edition

Add cruciferous vegetables to diet Page 8

Medications attack teeth See Page 15 Get ‘In Good Health’ at home. See coupon inside

The health benefits of coffee Page 6

Are kids overdosing on screen time? Page 5

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Dec. 3

Tobacco cessation classes get under way The Tri-County Quits Tobacco Cessation Program is offering a three-part Fresh Start class to help participants stop smoking. The Fresh Start Program is a group-based tobacco cessation support program offered by the American Cancer Society. The classes will be held at 6:30 p.m. on Dec. 3, 10 and 17 at The Regional Cancer Center at Faxton St. Luke’s Healthcare, 1676 Sunset Ave., Utica. For more information or to register, call the Tri-County Quits Tobacco Cessation Program at 315-624-5639.

Dec. 4

Lights of Love Remembrance Service set The St. Elizabeth Medical Center Foundation will hold its 13th annual

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • December 2013

Lights of Love Candle Lighting and Remembrance Service at 4:30 p.m. Dec. 4 at Our Lady of Lourdes Church. Co-chairs Bunny Gottuso and Christine Abbass invite the public to share in this special event where people remember loved ones, honor individuals, say “thank you” to someone who has brightened a life through special care or service, or give a donation as a holiday gift. Proceeds from the event will benefit the purchase of endobronchial ultrasound equipment for the medical center, replacement beds for CT/ICU, new furniture for the central admitting waiting area and the renovation and upgrade to the Mohawk Valley Sleep Disorders Center. For more information, call the foundation office at 315- 734-4287, email bfilletti@stemc.org or contribute online by visiting www.stemc.org/ foundation. All contributions are tax deductible.

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Cover Story Between You and Me

By Barbara Pierce

Put ‘Ho-Ho’ in your holiday cheer

A hardy chuckle can do a world of good

he holidays are here finally and we’re all so excited and happy. But the stress threatens to put us over the edge. The stress of whatever can I get my mother-in-law? And my boss? What do I serve for dinner? When to have dinner? Will my sister get drunk? Will the kids fight? Will the cat pull over the tree? And on and on. The holidays should be a happy time, but the stress threatens to overwhelm us. How to not lose it? How to enjoy the wonderfulness that should be the holidays without going over the edge and letting stress take over? Pierce Here’s how: Laugh! Laugh several times each day. The solution is to find humor wherever and whenever we can. To focus on the happy spirit of the holidays, to keep our spirits alive, calm, and on an even keel, give yourself the gift of laughter. Laugh well, laugh hysterically, laugh enthusiastically. Laugh till the tea runs out through your nose! Till you pee in your pants! Give myself and your family the best gift of all — the gift of laughter. Every time we laugh, or even smile, we release a dose of endorphins into our system. Endorphins are those chemicals in our brain that make us feel good. Even a fake laugh or a fake smile puts endorphins into our brain. That’s pretty amazing! Laughter is a primitive emotion. Babies laugh long before they can speak. Apes laugh. So do dogs and rats. No one teaches you how to laugh. You just know how. And you laugh involuntarily. When we laugh, not only do endorphins flood our brain and make us feel good, but our bodies get many, many positive benefits. Disease-fighting white blood cells shoot up, stress hormones decrease,

depression decreases and anxiety is reduced. Laughing boosts our immune system, reduces pain, and eases fear. “If we took what we now know about laughter and bottled it, it would require FDA approval,” said one scientist who is studying laughter. We tend to get more serious as we age. This is not good. Laughing connects us with others. No matter what language you speak, you understand laughter. Persons of all language groups laugh in basically the same way. “To laugh is to see your life from the outside,” said Rev. Matthew Johnson-Doyle, Unitarian Universalist minister. This explains why laughing helps us get through tough times. The more stress we are under, the more essential that we find something, anything, to laugh about. “There is something liberating and humbling about knowing that this day shall pass,” he continues. “In knowing that we are not alone, that even if it is a sick joke, something is funny about all this, and maybe we can’t see it now, but there is something hilarious about thinking we know the answers, there is something liberating and humbling, even graceful, about laughing.”

Laugh a bit

• Start with a smile. Even pretend smiles work magic, and when you smile at others, they generally smile back. • Spend time with friends who have a good sense of humor rather than the grumpy complainers. • Think of something funny. Remember something really funny that has happened in the past, a time when you laughed uncontrollably. • Watch funny movies rather than heavy dramas or news. Remember your favorite movies or TV shows. For me, “Frasier” reruns make me laugh. • Buy a laughing toy; I have a pig that chugs around robotically, laugh-

ing. It is stupid, but makes me laugh. • Find the humor in everyday events. Instead of complaining about the frustrations of the season, look at them from a different perspective. Realize that you can look back on this moment and laugh. Think of how this will sound as a story you can tell your friends. • Perceive things in a funny way. Picture pink underpants on your football hero, or a large wart growing off the front of a pompous politician’s nose. Whatever gets you laughing, imagine. • Put funny sayings and photos up on your refrigerator, mirror, and computer desktop to help you chuckle when needed. • If you are having trouble finding things to laugh about, go to www. Youtube.com, search for “laughter” and you will find a large choice. For me, watching others laugh is infectious: When CNN’s Anderson Cooper cracks up about Dyngus Day in Buffalo, I laugh with him. “Medieval Help Desk” is another one of my favorites. You can even watch rats laugh as researchers tickle them. • When you start to get upset, ask yourself whether this issue is as serious as you think. Is it worth ruining your day or hour over? Is there anything you can do about it anyway? • Finally, given that everything is not going to get done anyway, stop

rushing. Take time to play with your children, enjoy the moment and laugh. • Barbara Pierce is a retired licensed clinical social worker with many years’ experience in helping people. If you would like to purchase a copy of her book “If I’m so Fantastic, Why am I Still Single?” contact her at BarbaraPierce06@yahoo.com, or contact her if you have any concerns you would like her to address.

Dr. Graber is pleased to welcome Gregory Dalencourt, MD to the practice Dr. Dalencourt is now seeing new patients for surgical consultation for those considering weight loss surgery Our program has successfully met the highest standards set forth by the American Society for Metabolic and Bariatric Surgery and is recognized as an ASMBS Center of Excellence. Surgeries are performed at Faxton-St. Luke’s Healthcare in Utica, and at St. Joseph’s Hospital in Syracuse. Dr. Graber is the Director of Bariatric Surgery at both hospitals.

To ﬁnd out more, visit DrGraberMD.com or call 877-269-0355 to discuss how we might help you in your search to ﬁnd a healthier you!

December 2013 •

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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RMH, Bassett combine forces

Rome Memorial Hospital, Bassett Medical Center collaborating

ome Memorial Hospital and Bassett Medical Center based in Cooperstown have signed a non-binding letter of intent to develop a collaborative relationship that strengthens the continuum of care for the community and positions both organizations for the changing healthcare industry. With the signing of the letter of intent, the organizations will begin the due diligence process to finalize an agreement that would enable RMH to become a corporate affiliate of Bassett while remaining an operationally distinct hospital with local autonomy, explained RMH President/Chief Executive Officer Basil J. Ariglio. The due diligence process is expected to take a minimum of six months. As part of the final agreement, RMH’s senior management and board would retain decision-making autonomy over employment matters. “Two years ago, our board of trustees made the decision to explore opportunities to collaborate with other organizations to prepare for the changing healthcare environment,” Ariglio said. “We developed specific community objectives based upon feedback from a cross-section of community constituencies and initiated discussions with several organizations.” “Our board unanimously decided to pursue a collaborative relationship with Bassett because we share a common vision of what’s necessary to improve the delivery of healthcare services in our region,” Ariglio said. “Establishing a relationship with Bassett will also help Rome expand primary care access and address physician shortages.” “The partnership Rome and Bassett are exploring can help both systems address the needs of patients in the changing healthcare environment,” agreed Bassett President and Chief Executive Officer William F. Streck. “Further, an affiliation would help prepare both organizations for new reimbursement models that focus on managing the population’s health more cost-effectively.” “The model requires a network of coordinated services, built upon a strong foundation of primary and preventative care,” Ariglio explained. “This is the kind of collaboration that is being encouraged to reduce the fragmentation in patient care.” Collaboration also provides opportunities to exchange best practices that reduce costs and provide better outcomes for patients. Bassett is nationally recognized for leading the way in creating integrated systems that include school-based health care centers and medical homes. Page 4

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Meet

Your Doctor

By Lou Sorendo

Dr. Regina Farrell Regina Farrell recently joined St. Elizabeth Medical Group’s obstetrics/ gynecology staff at the Women’s Health Center, 2212 Genesee St., Utica. Recently, Mohawk Valley In Good Health Associate Editor Lou Sorendo interviewed Farrell regarding her career and outlook on healthcare. Q.: Why did you choose obstetrics/ gynecology as your specialty within the field of medicine? A.: OB-GYN was the only field that fulfilled my expectations of what it means to be a doctor. I was amazed during my training how many patients were confused about who their doctor was at some point in their care, but I did not feel that way about OB-GYN. An OB-GYN is a point person who can care for a woman no matter what her concerns are and partner with her to reach her health goals. It is a discipline with very little overlap with other fields in that you are responsible for all care of pregnant women and you are uniquely able to treat your patients both medically and surgically for any and all gynecologic concerns. Q.: What were your primary influences to explore the specialty of OBGYN? A.: As a medical student, some of my first interactions with patients were with a family practice mentor, Cheryl Flynn. She formed the most amazing special relationships with her patients and introduced me to the whole world of obstetrics. From there, I knew it was a field I would like to make my life profession. As a medical student, the most intellectually fascinating discussions about patient care and medical decisions came from my OB-GYN clerkship director, Raja Karim. Q.: What do you enjoy most about the specialty? What is the most gratifying aspect of it? A.: The best part about my specialty is the diversity of my days. I love that I treat patients of all ages at all stages in their lives. I get to see patients in the office, perform surgery and deliver babies sometimes all in the same day. The most gratifying aspect is when a patient feels comfortable enough with me to say, “This is a silly question …” Q.: What are some of the more challenging aspects of your specialty? A.: OB-GYNs definitely have some difficult hours. Labor can be so unpredictable and unfortunately lead to some long nights followed by long days. All the calls translate to time away from my own family, which is the reason it was important to me to find a place where I would have a strong passion for the patients I care for and the work I do. Q.: What medical or technological breakthroughs have occurred in the recent past that have improved OB-GYN care? Human papillomavirus vaccination and testing. HPV is the cause of cervical dysplasia (precancer) and cancer. With vaccination, we can decrease the rates of cancer and dysplasia and all the compli-

cations that come with the treatment of them. In obstetrics, it is probably cell-free DNA testing, which means we now have the ability to test a mother’s blood for her baby’s DNA to look for chromosome problems where just a few years ago the only way to test the baby was with invasive procedures that were riskier to the pregnancy. Q.: What are some of the more common illnesses and issues you diagnose and treat?

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • December 2013

A.: Pregnancy of course is a big part of our practice. I treat all aspects of a woman but get a lot of referred patients for menstrual concerns, sexual concerns, menopause, adolescent health, fibroids, pelvic pain, endometriosis, ovarian cysts, and sexually transmitted disease. Q.: Has the incidence of cesarean section procedures increased, stayed stable or decreased over the last several years? A.: For several years, the number of C-sections had increased on a yearly basis but in the last few years the numbers have been stable. Q.: When is a C-section necessary? A.: A C-section is necessary when a vaginal delivery puts a mother or baby in danger. Labor is a very stressful time for both mother and baby and for a variety of reasons a baby may not tolerate the stress. In that case, your obstetrician will recommend a C-section. Q.: Some experts claim fear of malpractice is the reason C-section numbers have risen over the past 10-15 years. What is your perspective on that claim? A.: I would like to believe that is not true. I actually do not think people are any more likely to sue today than

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Lifelines Birth date: April 26,1980 Birthplace: Dunkirk Current residence: Utica Education: Fredonia Central School, Cornell University, SUNY Upstate Medical University, University of Oklahoma Affiliations: St Elizabeth’s Medical Center; Faxton St Luke’s Healthcare Personal: Husband of six years, Jake; daughter Alexandra; parents John and Mary Lou Lauchert; brother Luke (sophomore at Holy Cross) and sister Adrienne (senior at Cornell) of Clinton Hobbies: Travel, reading, biking, golf, Utica Comets hockey fan

Kids/Teen Health

Stuck to the screen

Too much screen time for youths presents array of problems

By Mary Christopher

yes down and locked, pounding fingers and silence — all part of a growing problem known as too much screen time. As more and more children and young adults become attached to their computers, phones and video games, the concern over excessive time spent quietly engaging with others through technology is becoming bigger. Being constantly plugged in, chatting with friends or playing a game that has young people zoned into a small screen has many negative side effects, experts say. “This is a huge problem that exacerbates other problems,” said Matthew Mittiga, a pediatric physician at St. Elizabeth Medical Center in Utica. “Screen time needs to be strictly limited.” According to the American Mittiga Academy of Pediatrics (www.aap.org), children today spend about seven hours per day on entertainment media. This includes TV, computers, phones and other electronic devices. The AAP recommends less than two hours per day of screen time. Children under age 2 should avoid using television and other entertainment media altogether. A child’s brain develops rapidly during these early years and overall young children learn best by interacting with people, not screens. Mittiga, who is the father of four young children, considers this to be

such a serious issue that he allows his children no screen time, even going as far as removing TVs from his home.

Online quandary

He said there are four serious problems associated with excessive media/ technology use. They include: • Increased instances of childhood obesity • Negative effects on brain development in young children • Exposure to inappropriate imagery including violence and sexually explicit content • On-line bullying and drama among teenagers “Teenagers do not have a safety escape at the end of the day,” he said. “They are exposed 24/7 and this is not what childhood is about.” Maria Horan, a licensed cliniHoran cal social worker practicing in Utica, said children are not being naturally stimulated, getting enough exercise or interacting in ways that are healthy for their growing and developing bodies. “Everything about it is too solitary,” Horan said. “The natural thing that comes to mind is they are not getting outside and exercising enough. There is no natural stimulation.” Isolated communication is another habit associated with excessive technology use that parents should be wary of, she said. Young people are not getting feedback such as visual and social cues “that are so crucial to development,” Horan said. Parents need to tell their kids “no”

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and set boundaries. If that means parents must set a timer to automatically shut the device off or collect phones at a certain time of day, then those precautions should be taken, she said.

‘Screen-free’ zones

The AAP recommends that parents establish “screen-free” zones at home by making sure there are no TVs, computers or video games in children’s bedrooms, and by turning off the TV during dinner. Children and teens should engage with entertainment media for no more than one or two hours per day, and that should be high-quality content. It is important for kids to spend time on outdoor play, reading, hobbies, and using their imaginations in free play. Horan said children who do not have the outlets or opportunities to play outside and enjoy the outdoors or explore learning and play in nonelectronic formats are losing out on fundamental joys of childhood. “I worry about the people who do not have these opportunities,” she said. “It is not healthy.” By limiting screen time and offer-

ing educational media and non-electronic formats such as books, newspapers and board games, and watching TV with their children, parents can help guide their children’s media experience. Putting questionable content into context and teaching kids about advertising contributes to their media literacy, according to www.aap.org. Marcy resident Diane Shepherd said she tries to limit how much screen time her children accumulate after school, but so much of their homework revolves around using the Internet that it is difficult to “police.” “Not only is all of their communication with friends online or over the phone, but they also need [to retrieve information from] the Internet and it’s hard to control,” Shepherd said. It is a rule that her two sons shut off phones and TV while doing homework and she tries to have quiet family time in the evenings and during the weekends. “This is such a tough issue because it involves the majority of young people,” Shepherd said. “If parents can get a hold of it now, hopefully a good balance will become established.”

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December 2013 •

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Food & Nutrition

Coffee Connection Experts: Benefits of caffeine far outweigh downside By Barbara Pierce

offee has a bad reputation. Is it deserved? No, say the experts. “Drink more coffee,” advises Karen Ansel, registered dietitian, in Real Simple. “It’s very effective at boosting energy and concentration.” And drinking coffee cuts the risk of Alzheimers. “Coffee is an amazingly potent collection of biologically active compounds,” Walter Willett of the Harvard School of Public Health. Roger Doyle, owner of Roger’s Coffee Shop in Utica, agrees. “I drink six cups of coffee a day — and I’m 78 years old. Guess it’s been good for me.” “The good news is that people who drink up to three cups of java each day have lower rates of depression, diabetes, and certain cancers,” said Elizabeth Somer, registered dietitian, in Family Circle. “The bad news is that knocking back more than four cups each day may be the reason for your insomnia, nervousness or upset stomach,” added Somer. Caffeine stays in our system for six hours, so that afternoon jolt may make it harder for you to sleep later on. Recent research has shown that coffee may help prevent strokes, lower our risk for certain cancers, and lower our risk of Parkinson’s. Its benefits come because coffee beans are seeds, the National Institutes of Health says. Like all seeds, they’re loaded with protective compounds.

Fact or fiction?

Moderate coffee drinking, about two to three cups a day, enhances your mood and improves your alertness, says Lifescript.com. Lifescript addressed some common myths about coffee: • Myth or fact? Caffeine is addictive. Both myth and fact. Though caffeine is a mild stimulant, it’s not addictive. There is rarely a strong compulsion to use caffeine. But caffeine can be habit-forming. That’s why you may feel mild withdrawal symptoms if you skip your morning cup of coffee or afternoon pick me up soda. Anyone who has tried to go cold turkey probably has a

headache and is experiencing restlessness, irritability, fatigue, or mental fuzziness. Doyle confirms coffee is habitforming as there are many regulars who come in for their daily cup of his coffee. He’s been in business 38 years. • Myth or fact? Caffeine causes dehydration. Fact: Caffeine is a mild diuretic, and diuretics make you urinate. The more often you go, the more fluids you lose. And you’ll feel more dehydrated because you’re losing more fluids than you’re taking in. • Myth or fact? Caffeine can make heart disease worse and increases blood pressure. Myth: Doctors often tell cardiac patients, especially those with high blood pressure, to avoid caffeine. But there’s little proof that it raises the risk of heart attack, sudden death or abnormal heart

rhythms, said Lifescript. In fact, coffee drinking may reduce risk of heart disease — one of the benefits of caffeine. Caffeine does cause a small, shortterm boost in blood pressure, but it’s nothing serious and has no lingering health effect. A Harvard University Medical School study of 155,000 female nurses found no link between a decade of coffee drinking and an increased risk of hypertension. Caffeinated colas did increase the risk, but that could be due to the sugar and other ingredients in sodas, not the caffeine. Drinking tea — black and green — may also have heart-healthy benefits. • Myth or fact? Caffeine causes hyperactivity in children. Myth: A kid on a Coke rush will practically bounce off walls. But stud-

Delay Alzheimer’s: Learn a new language

n the largest study on the topic to date, research shows that speaking a second language may delay the onset of three types of dementias. The research was published in the recent online issue of Neurology, the medical journal of the American Academy of Neurology. The study found that people who spoke two languages developed dementia four and a half years later than people who only spoke one language. Page 6

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“Our study is the first to report an advantage of speaking two languages in people who are unable to read, suggesting that a person’s level of education is not a sufficient explanation for this difference,” said study author Suvarna Alladi, with Nizam’s Institute of Medical Sciences in Hyderabad, India. “Speaking more than one language is thought to lead to better development of the areas of the brain that handle executive functions and attention tasks,

which may help protect from the onset of dementia.” For the study, 648 people from India with an average age of 66 who were diagnosed with dementia were evaluated. Of those, 391 spoke two or more languages. A total of 240 had Alzheimer’s disease, 189 had vascular dementia and 116 had frontotemporal dementia, with the remainder having dementia with Lewy bodies and mixed dementia. Fourteen percent were illiterate.

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • December 2013

ies show that a moderate amount of caffeine (40 mg to 200 mg) doesn’t make them hyperactive. (That 12-ounce can of Coke has 35 mg.) Like adults, kids will get an energy boost from caffeine. But one serving a day wouldn’t be considered harmful overall for children. In fact, small amounts of caffeine may help children diagnosed with attention-deficit hyperactivity disorder by sharpening their focus. • Myth or fact? Caffeine is linked to fibrocystic breast disease. Myth: Caffeine intake isn’t related to the benign condition of lumpy breasts, reports the American Medical Association. It can cause breast pain. Breast pain is hormonal and caffeine causes blood vessels to dilate, adding to normal monthly breast tenderness. If a woman experiences breast pain, Lifescript advises that she cut down on her caffeine intake. • Myth or fact? Caffeine is unhealthy for pregnant women. This is a fact. So if you’re pregnant, you’ll have to watch how much you drink. Once a woman is carrying, the American College of Obstetricians and Gynecologists advises no more than one or two cups of coffee a day. Too much caffeine may cause an irregular fetal heartbeat. • Myth or fact? Caffeine comes with calories galore. Myth: On their own, coffee and tea have no calories or fat. It’s the flavored syrups and cream that turn innocent caffeinated drinks into calorie bombs. Those tasty blended drinks can contain 200-600 calories. And the creamers found in many offices? Two tablespoons can add 80 calories and four grams of fat. • Myth or fact? Caffeine can mess with your stomach. Fact: Coffee can mess with your stomach. If you have problems with acid reflux or heartburn, then coffee and even tea might not be right for you. Coffee is highly acidic and irritates the gastrointestinal tract. Switching to decaf won’t help; decaf increases stomach acid even more. Neither will switching methods of brewing. Avoiding coffee is the only solution. So, sit back and enjoy that cup of coffee without guilt.

People who spoke two languages had a later onset of Alzheimer’s disease, frontotemporal dementia and vascular dementia than people who spoke only one language. The difference was also found in those who could not read. There was no additional benefit in speaking more than two languages. The two-language effect on age of dementia onset was shown separately of other factors such as education, gender, occupation and whether participants lived in the city or country.

Food & Nutrition

FARM TO FRIDGE By Victoria Treadwell

Are you a late-night cheater? You have those late-night munchies. Should you succumb? By Kristen Raab

s you curl up on the couch to watch a late night movie, a craving begins to develop. Potato chips or chocolate cake are calling your name from the kitchen. Should you give in to the craving, or will having a late night snack be detrimental to your health? Many people find themselves reaching for food well after dinnertime. There are a variety of reasons why people want to eat at night, according to Pat Salzer, health and wellness consultant at Excellus BlueCross BlueShield. She suggests that it is the time of day that seems like “we can finally sit and relax after such a busy structured day.” While there are many ways to relax, “We often think about relaxing with food.” Portion control is extremely important. “Enjoy it,” Salzer recommends. Set the environment for eating by putting the food on a dish and putting the rest away. Another suggestion is to satisfy your sweet tooth while including essential nutrients. Salzer suggests having a “half-cup of ice cream, but load the bowl with fruit.” Other options include pudding or a small piece of dark chocolate. While you’re indulging, you are also getting in “nutrition that you didn’t get in during the day.”

At times, late night snack desires occur, but we don’t want something sweet. For a crunchy fix, make popcorn on the stove with a bit of oil. Popcorn is a satisfying snack that also counts as a whole grain. A whole grain pretzel, pumpkin seeds, or vegetables with a healthy dip full of herbs are also satisfying and nutritious.

KIDS Corner Teens with late bedtimes clock in with lower grades

eens with late bedtimes during the school year and schooldays that start early have lower academic performance and are at risk for later emotional distress. A new study in the Journal of Adolescent Health provides further evidence for a growing body of research that supports a movement to delay school start times for adolescents. “Going to bed after 11:30 p.m., particularly in younger adolescents, predicted worse cumulative grade point average (GPA) at high school graduation and more emotional distress in the college years and beyond,” said the

study’s lead author Lauren D. Asarnow, a doctoral student in the department of psychology at the University of California, Berkeley. The study gathered data on sleep and the number of hours slept from 2,700 teens aged 13 to 18 participating in the National Longitudinal Study of Adolescent Health in two cohorts, one in 1995, the second in 1996. In 2001-2002, as respondents aged, data on academic performance and self-reported emotional health were collected for longitudinal comparison. The overall goal of the study was to examine the relationship between the

Substitutions can also make a big difference in calorie consumption. For example, instead of using whipped cream, put plain Greek yogurt on desserts. When choosing a sweet, pick something that has nutrients and not just empty calories. Salzer says apple crisp can be a good option because of the fruit and oats, but add nuts to up the nutritional value. However, portion control is essential to keeping calories within a reasonable limit. “Don’t feel deprived, but keep your health in mind,” Salzer recommends. There are ways to control late night snacking. Salzer recommends: • Relaxing with a cup of herbal tea • Fill your time with enjoyable activities such as reading, walking, or working on a home project. • Do not eat while watching television. • Make sure enough calories are consumed throughout the day. Sometimes we are driven to eat something simply because it is tasty. Remember, we can “have it all, just not today,” Salzer says. Portion control can make the biggest difference in our waistline and overall health. “What’s important is not the hands on the clock, but your hands that are connected to your arms,” Salzer notes. Mindful eating can decrease the amount of calories consumed at the end of a long day.

sleep/circadian patterns of high school adolescents in a nationally representative sample, their overall academic performance in high school and rates of emotional distress reported post graduation. For both high school cohorts, 23 percent of participants reported going to bed at 11:15 p.m. or later. By the time these teens reached graduation and college age, late school year bedtimes in high school predicted both lower cumulative GPA at graduation and more emotional distress between age 18 and 26. The researchers noted previous research found that adolescents who prefer late activities and bedtimes (a pattern of behavior often referred to as an evening circadian preference) were tested in the morning; they performed worse on cognitive tasks. Asarnow urged parents to help youngsters get to bed earlier and added that a teen’s sleep behavior is highly modifiable with proper support. However, shifting a teen’s bedtime from a late to an earlier hour can be hard, she added, in part because for 30 percent to 40 percent of teens, delayed bedtimes have a biological basis tied to the onset and progress of puberty. Furthermore, academic pressure, habits around technology use and the bedtimes of friends also influence a teen’s choice to turn in or stay up late.

December 2013 •

Choose milk, dairy products to fuel you for holidays By Victoria Treadwell

inter is arriving and the holiday season is in full stride. I reside in Mohawk on my family’s 290-acre dairy farm and am proudly serving Herkimer County’s dairy farmers as alternate dairy princess. My farm is small compared to some, but regardless of size, there’s always work to stay busy caring for the animals and land. Milking, feeding and bedding the cows keep them comfortable and healthy and fill every day of my life. My favorite responsibilities are keeping the barn tidy and giving the calves, the animals that are less than six Treadwell months old, the milk, water, hay and grain they need while observing their hair coat, eyes, faces and behavior for their daily “health check.” Due to the flood in June, a portion of our pasture was inaccessible during the summer. The road to the pasture was washed out and consequently the water took out the pasture fencing. Now that the road crew has finished the road this fall, we have rebuilt the fence and our dry cows and heifers are now enjoying the pasture once again. Revving engines from tractors and trucks and the buzz of swirling chopper knives are sounds filling my neighborhood now that corn is being chopped. Scrambling against the clock makes fall a busy time of year. Farmers never know when Mother Nature is going to decide to change the weather from fair to agonizing. I keep myself fueled for my farm chores, schoolwork at Owen D. Young, sports and music activities by enjoying cold classes of milk with each meal. It is important to have your three servings of dairy every day. Milk, cheese and yogurt deliver protein for your muscles, calcium for your bone health and nutrients for brainpower. As a significant source of Vitamin D, milk is your liquid sunshine. Morning servings of yogurt, afternoon cheese snacks and drinking milk with dinner makes getting your “3 Every Day” easy. Find a flavor that suits your taste buds to transform white milk into your beverage of choice. Maple syrup, chocolate, strawberry, cappuccino, mint and vanilla are a few flavor suggestions I would like you to consider. • Victoria Treadwell is the 20132014 alternate dairy princess for Herkimer County. She can be reached at hcdairyprincess@hotmail.com.

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Page 7

Food & Nutrition The Balanced Body

By Deb Dittner

Super Foods These selections not only offer tastiness, but are packed with disease-fighting qualities

uper foods are those certain edibles that are meant to fight against heart disease, elevated cholesterol, cancer and a number of other diseases. Everyone seems to have his or her own list of super foods, but I like to look at this with a seasonal approach. These super foods that both you and I can get right here and now while it’s fresh and in season are simply the best of the best. • Sweet potatoes and pumpkin: I like to start Dittner with these brightly colored orange beauties. The dark or-

ange family is high in vitamin A, packed full of antioxidants, vitamin C, potassium and calcium. Other veggies in this category include carrots and butternut squash. • Alliums: The sulfur compounds in garlic, onions, scallions, leeks and shallots may help protect against heart disease and some cancers, high blood pressure, arthritis, immune disorders and improving the cholesterol panal. Alliums can also help the liver to eliminate toxins and carcinogens. • Cruciferous vegetables: Crucifers contain indole alkaloids that may help to prevent cancer. Crucifers consist of broccoli, Brussels sprouts, cauliflower, turnips, collards, kale and cabbage. They are high in fiber, vitamins and minerals, and antioxidants. The flavor is exquisite and easy to prepare. An added bonus is they may boost your memory as you age. Women who eat these foods may also be less likely to become forgetful, according to a Harvard medical research study. • Beets: Numerous studies show these are powerful in fighting cancer as exhibited from the bright and beautiful fuchsia pigment, betacyanin. Potentially effective against colon cancer, beets are also rich in the B vitamin folate. • Olive oil: Studies suggest that olive oil, the mono-saturated fat, is good for the heart lowering LDL (bad) cholesterol levels and increasing HDL (good) cholesterol.

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • December 2013

A highlight of the Mediterranean diet, olive oil is high in antioxidants and has increased the survival rate of heart-attack victims versus ordinary low-fat diets. • Beans: Numerous varieties of beans create flavorful and nutritionally dense dishes. The versatility and inexpensive factors are excellent sources of protein, antioxidants, potassium, folic acid, dietary fiber and complex carbohydrates. • Tea: To round things out, tea is a rich source of catechins, an antioxidant. Catechins have been shown to protect the walls of arteries against damage-causing heart disease and prevent the formation of blood clots. Tea can be used to increase mood, stimulate the senses and arouse alertness due to the caffeine content. Also, tea is a nice addition on a cool fall day. • Ginger: Keep this on hand throughout fall and winter to aid in cold and flu symptoms and detoxification. It decreases inflammation and helps to relieve headaches and migraines.

Ginger is high in magnesium. • Lemons: Aids in detoxification and digestion, helps burn fat, accelerates weight loss, relieves constipation and is high in vitamin C. • Avocado: A great way to get good, healthy fats that aid in weight loss and burn fat. Avocados are high in vitamins A, C, K, and B6, and high in fiber, potassium and folic acid. This tasty, creamy super food also helps to prevent arthritis. • Coconut: Coconut oil, coconut meat, coconut milk — I love them all. It lowers cholesterol, aids in digestion and is a natural skin moisturizer. It also helps in the acceleration of weight loss. Enjoy these seasonal and nutritional super foods that provide the family with healthy, powerful antioxidants, taste, variety and overall satisfaction. • Deborah Dittner is a family nurse practitioner specializing in reiki and holistic nutrition. Check out her website at www.The-Balanced-Body. com.

Santa available for autistic children

hildren with autism spectrum disorders and their families are welcome to sit with Santa and have their pictures taken in the center court of Sangertown Square Mall in New Hartford from 8-9 a.m. Dec. 7-8. This special Santa opportunity before the mall opens allows children with autism to see Santa up close and personal in a sensory friendly environment, including quieter surroundings, no standing

in line and interaction with a Santa experienced in working with children with autism. Pictures are for purchase and this is a first-come first-served event. Upstate Cerebral Palsy, the Kelberman Center and the Central Early Childhood Direction Center at Madison-Oneida BOCES in Verona are sponsoring the event. Contact Leslie at 797-6241 ext. 372 with questions and to add your child’s name to Santa’s list.

Navigators Health navigators help insurance enrollments in the Mohawk Valley go smoothly By Patricia J. Malin

t’s not often that New York state bucks the national trend on issues in a good way, but when it comes to offering health insurance, the Empire State appears to be a leader. Initial enrollment in health insurance plans through mid-November has been successful for many New York state residents. The federal government has mandated that all individuals, aged 19 and older, must enroll in health insurance under the Affordable Care Act by Dec. 15 if they want their insurance coverage to begin on Jan. 1. The good news is New Yorkers can sign up through the New York State Health Department exchange — nystateofhealth.ny.gov — through March 31 unless they are covered by their employers. However, anyone who does not have health insurance after that date will face tax penalties. Elsewhere in the United States, implementation of the ACA on Oct. 1 was marred by breakdowns of its computer network (HealthCare.gov), which consumers needed to access for information prior to the enrollment deadline. Nationwide, thousands of patients complained that their insurance providers dropped them like a hot potato when companies learned their plans would not conform to more stringent ACA requirements. President Barack Obama and U.S. Department of Health and Human Services Secretary Kathleen Sibelius were forced to apologize to the American people for the error-plagued plan. The government rolled back deadlines and then promised to have the system up and running by Nov. 30. However, under pressure from Congress, Obamacare has relented and will allow clients to keep their current health care insurance plan for another 12 months if they can’t register through the federal website or obtain healthcare coverage in-state. Few New Yorkers have been negatively affected.

Proactive New York

During the summer, the state set up its own health care insurance exchange online at New York State of

Health and started accepting enrollees on Oct. 1. Despite some shutdowns and overwhelming demand at times, the state seemingly managed to avoid the problems and controversy plaguing the federal system. New Yorkers can register through nystateofhealth.ny.gov or go to a number of local agencies instead of bothering with the federal website. ACR Health (Access Care and Resources), which is based in Syracuse and has nine satellite offices in Central New York, was one of the many nonprofit agencies that applied to the state and won a sub-contract to provide health navigators. The job of these navigators is to educate and guide consumers through the maze of insurance options based on family size, age, income and medical need. ACR Utica’s office on Columbia Street held a press conference recently to tout its work and assure the community that assistance is freely available without the hassles Americans have faced elsewhere. “We are not having problems in New York state because it was one of 17 states that created its own exchange,” said Steve Wood, community health coordinator for ACR Health in Syracuse, although “the first Wood week (of enrollments) was ‘iffy.’” As of Nov. 20, ACR’s 12 navigators had enrolled approximately 400 people in nine counties in new health insurance plans. “Since Oct. 1, we have been getting about 150 phone calls a day,” Wood said. “There’s a high demand for information, even from people who have been able to access the website. They all want to know if it’s going to be affordable.”

Navigating the system

He said navigators “have the ability to show consumers what’s available to them. People can go on the New York state website themselves and (enroll), but we help a lot of people who don’t have access to computers or don’t know how to use them.”

By the numbers

Uninsured New Yorkers who are eligible for coverage through the New York Department of Health marketplace: • 1,915,217 (12 percent) are uninsured and eligible • 1,411,168 (74 percent) have a full-time worker in the family • 829,321 (43 percent) are 19-to-34-years-old • 791,310 (41 percent) are white • 354,470 (19 percent) are African American • 539,260 (28 percent) are Latino/Hispanic • 177,499 (9 percent) are Asian American or Pacific Islander • 1,098,959 (57 percent) are male • 1,685,915 (88 percent) of New York’s uninsured and eligible population may qualify for lower costs on coverage in the marketplace, including through Medicaid.

ACR hired 13 health navigators to staff its offices in nine counties to help enroll New Yorkers in the new federal health insurance plan. Shown from left are Sarah Sipley of the Utica office and Nicole Foltz of the Cayuga office. All health plans offered at New York State of Health will provide broad-based coverage in 10 categories, including prescription drugs, emergency services and treatment for chronic illnesses. Among the provisions of the ACA are guidelines to encourage more preventive care and to provide insurance to people who were once uninsured or denied coverage either because of low income, unemployment or previously existing illnesses and conditions. The new health plans come in multiple price ranges and with a variety of deductibles. New York state has what it calls a “starter plan” for young adults under age 30 that provides limited benefits at low cost. Michael Crinnin, executive director of ACR in Utica, said, “(ACA) is all about wellness, despite what the data says. Many more young people will be brought into the system. We’ve already experienced this, bringing people into the healthcare system who didn’t have insurance.” Insurance providers will now welcome low-income individuals and families. “The Medicaid guidelines will change dramatically on Jan. 1,” Wood noted. “It will save money and it will save lives,” Wood added. “It is one of the biggest benefits to the middle class in history.” Specifically, the annual income eligibility has been raised to $15,856 per person from $9,000 (or $26,951 for a family of three). ACR has estimated that about 15 to 20 percent of the 400 enrollees now qualify for Medicaid, according to Melissa Swald Camman, Mohawk Valley Development associate. Camman said the ACR navigators “have seen a huge cross section of people, from high income to no income. There is no age or income range since everyone from every walk of life is eligible.” Navigators will be available all year long, even after the initial Dec. 15 deadline. “People can enroll in Medicaid and Child Health Plus (plans) all year. People can enroll in qualified health plans if they have a change in status [marriage, divorce, birth of

December 2013 •

child, death in family, loss of job or insurance],” said Camman.

Affordable premiums

One of ACR’s success stories involved a young woman who had an annual salary of $24,000. “She never had health insurance before because she thought it cost too much money,” said Wood. “Her policy now will cost her generally $50 to $150 a month (in premiums).” Another individual who went to ACR for assistance was also uninsured, although her husband, a retiree, received Medicare coverage. A health navigator managed to find the individual an insurance plan with premiums of $70 a month. “They’re thrilled,” said Crinnin. Other benefits include greater coverage for hospital stays, maternity services, birth control and even vasectomies. Some individuals have complained that the ACA is so inclusive that they fear they are paying for excess coverage they don’t personally use. However, Wood said the insurance plan is comparable to buying a cable TV contract. “Yes, it will cover you for a number of things they don’t necessarily need, but everyone is stuck with it.” As a result of the implementation of federal health care legislation, ACR, formerly known as AIDS Community Resources, is expanding its services. In addition to HIV/AIDS, ACR announced it will provide case management services for Medicaid-eligible individuals with chronic diseases like diabetes, obesity, hypertension, mental health, substance use and asthma. ACR is also helping previously uninsured individuals find coverage. For more information, consumers can visit or call ACR offices in Cayuga, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswego and St. Lawrence counties to set up an appointment, to speak with a navigator, apply for coverage, compare plans, and enroll. The Department of Social Services in most counties throughout New York state is also a source of information about health insurance coverage, along with some Planned Parenthood offices and community colleges.

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Page 9

Food & Nutrition Cornucopia of Wellness

Peter’s Cornucopia serves up variety of health specialties and natural products

By Mary Christopher

n any given day, there is a bustle of activity happening at Peter’s Cornucopia in New Hartford Shopping Center -- and for good reason. Pleasant aromas waft out of the café and through the store. Interesting little boxes and bins of organic candies, cookies, lip balms and more scatter the checkout counter and an A to Z variety of vitamins and supplements line shelves. “We cover all the bases just like a grocery store,” owner Peter Corn said. “But we are unique in the sense that we offer specialties and varieties.” Different health fads may come and go, but as people become more proactive with their health and conscious about their nutrition, the need

for natural and health food stores remains a mainstay. Despite stiff competition from Internet retailers, small town stores maintain a loyal customer following, according to health experts. Peter’s Cornucopia has established a steady customer base since Corn opened his original store on Genesee Street 28 years ago. The business then moved a few doors away and eventually came to the New Hartford Shopping Center in a space that is more than 10,000 square feet and features a unique Café-Ucopia within the store. Corn joked recalling when he first opened saying it was “health nuts” which steadily came to the store. Today, people are more health conscious overall, care more about what they are putting into their bodies and how it was made. Corn said natural food trends that are currently popular include: Peter’s Cornucopia staff member Phyllis Angelo, right, assists a customer purchasing vitamins. • Maintaining a gluten-free diet • Eating organic and antioxidant foods • Using vitamins and supplements • Drinking smoothies rich in super foods (foods such as spirulina, chlorella, barley grass and wheat grass that are highly concentrated with rich nutrients)

Going the natural route

According to the American Botanical Council (www.herbalgram.org), the market for herbs continues to grow even during difficult economic times. “Sales data demonstrate that consumers of all types are interested in safe, natural, low-cost options to maintain their health and increase wellness,” executive director Mark Blumenthal said. Offering healthy (and non-healthy) food products in the store and meal choices in the café that reflect what customers are looking for is what makes Peter’s Cornucopia a favorite spot. In addition to the full grocery store that features free-range chicken and meats, produce and countless natural products, Café-Ucopia is a haven for any type of food lover. Vegetarian or vegan, organic or not, there is something for everyone. Choices range from homemade salads and wrap sandwiches to soups and smoothies. Breads from Heidelberg Bakery in Herkimer and hummus and tabouli from Karam’s in New York Mills are local products also featured in the café. Corn said he and the staff often come up with new recipes to incorporate different dishes and offer change in the café. A favorite Peter’s Cornucopia specialty is the blueberry cookies packed with nutrients such as flax, Page 10

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • December 2013

granola and zucchini. About 24 dozen are made daily and just about sell out each day. Besides offering a full palette of health and natural foods and supplements, Corn and his staff are known for treating the customer well.

Family atmosphere

They take the time to address their needs personally by offering explanations, walking them through the store or putting together trays and gift baskets of specialties tailored to them. Specialty gift baskets and trays are also put together based on a customer’s specific request. “One thing we pride ourselves on is customer service,” he said “This is a family-type atmosphere.” Utica resident Dolores Putrello said she is one of the original Peter’s Cornucopia customers and became a “regular” when he first opened on Genesee Street. “Customer service and satisfaction are a priority for Peter,” she said. One of the best features of the store is the way he and the staff go out of their way to answer a question for a customer and “if they do not know it right away, they will find out for you,” Putrello said. Putrello maintains a healthy diet by trying to eat organic foods as much as possible. She knows produce at Peter’s is fresh and organically grown and can count on fun and flavorful dishes in the café. “It is my favorite store,” she said. “You become very attached to the staff and the atmosphere. They work very hard.” For more information on Peter’s Cornucopia, visit www.peterscornucopia.net.

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The Faxton St. Luke’s Healthcare Foundation’s annual wine tasting and auction beneﬁting St. Luke’s Home was held recently at the Sadaquada Golf Club in Whitesboro. The event raised more than $58,000 for St. Luke’s Home. Celebrating the occasion are, from left, William Gaetano, Bonnie Woods and Sam F. Berardino III, members of the FSLH Foundation’s wine tasting and auction committee. St. Luke’s Home is a 202-bed facility with a 40-bed sub-acute rehabilitation unit. Proceeds from the event will be used to purchase a computer software program that will help engage the residents in computer activities.

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Page 11

FSLH stroke program Ready earns achievement award to be insured? F Tips for choosing health insurance

f you or your loved ones do not have health insurance, you have new options available through New York State of Health: The Official Health Plan Marketplace. Created as part of the federal Affordable Care Act, the goal of the state’s marketplace is to make sure all New Yorkers have health insurance. With open enrollment under way, Fidelis Care wants consumers to know that choosing coverage does not have to be overwhelming. Chief marketing officer Pamela Hassen offers these tips: • Research your options: All health plans participating in New York State of Health offer standardized products, making them easy to compare. “The products are organized by metal levels, so when you’re comparing silver products between plans, the biggest difference is the price,” she says. Hassen also recommends looking at a plan’s provider directory to see if your doctor participates. If you take medication, you should also check a plan’s formulary to see if the medication is covered. All health plan options are listed at nystateofhealth.ny.gov. • Determine the cost: “The Fidelis Affordable Care Advisor can give you an estimate of the price you will pay, including subsidies and tax credits, and it only takes about two minutes,” says Hassen. Found on Fidelis Care’s website, fideliscare.org, the Affordable Care Advisor only needs the names and birthdates of family members who would be covered, zip code, and yearly income to calculate an estimated monthly cost. It can also let you know if you may be eligible for other government-sponsored health insurance coverage, including Medicaid. • Get help from an expert: All participating health insurance plans and many community health organizations have employees who have been trained by the state to help New Yorkers enroll. Hassen suggests contacting these experts because they understand the process. • Have important information ready: In order to enroll, you need to provide information about yourself and any family members who need coverage. The state requires you to provide your Social Security number or document number for legal immigrants, birth date, and employer and income information. If you have health insurance, you will also need your policy number. Hassen wants everyone to know that health insurance is important, even for people who are healthy. The government is requiring most Americans to have health insurance in 2014 or pay a tax penalty. Open enrollment for New York State of Health runs through March 31. Consumers must be enrolled by Dec.15 for coverage to take effect on Jan. 1. Page 12

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axton St. Luke’s Healthcare, the Mohawk Valley’s only designated primary stroke center, received the American Heart Association/American Stroke Association’s Get With The Guidelines® Stroke Gold Plus Achievement Award for the third year in a row. The award recognizes FSLH’s commitment and success in implementing excellent care for stroke patients, according to evidence-based guidelines. To receive the award, FSLH achieved 85 percent or higher adherence to all Get With The Guidelines Stroke Achievement indicators for two

or more consecutive 12-month intervals and achieved 75 percent or higher compliance with six of 10 Get With The Guidelines Stroke Quality Measures, which are reporting initiatives to measure quality of care. In addition to the award, FSLH has also been recognized as a recipient of the association’s Target: Stroke Honor Roll for improving stroke care. Receiving this honor means that more than 50 percent of eligible ischemic stroke patients received IV rt-PA within 60 minutes of arriving at the hospital (known as “door-to-needle”

time). This is considered the “gold standard” for t-PA administration. The two honors make FSLH one of the top stroke centers in the United States. “With a stroke, time lost is brain lost, and receiving the Stroke Gold Plus Achievement Award for the third year in a row demonstrates FSLH’s commitment to being one of the top hospitals in the country for providing aggressive, proven stroke care,” said Angelina M. Roche, stroke program clinical coordinator at FSLH.

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • December 2013

Winter Care Face to face with Old Man Winter

There are ways to protect your skin during merciless winter conditions

this oil in place of cologne. Skin care products from moisturizers to body wash, shampoo and conditioner can also create skin issues mostly due to the ingredients they contain. When looking for quality skin care products, be cautious and read the labels well.

By Deb Dittner

inter is very tough on skin. The exposure to the cold temperatures outdoors, heating indoors, all combined with the low humidity can leave skin feeling parched, flaky and cracked with an increase in fine lines. The face and hands seem to suffer the most damage since the rest of the body is covered up. Now is the time to add protection for healthier skin, so let’s start from the inside out. • Antioxidants: Foods rich in antioxidants help to protect and moisturize the skin. A diet rich in antioxidant fruits and vegetables can help neutralize skin damage, help in the production of collagen, affect oil production and protect against cell damage. Berries, pomegranates, broccoli, spinach and romaine lettuce are high in vitamins A, C and E, improving the health of the skin. • Omega-3s: Omega-3 fatty acids help to keep moisture in and irritants out of your skin. Foods rich in Omega3 include flaxseed and flaxseed oil, fortified eggs, salmon, cod and raw pumpkin seeds. • Coenzyme Q10: The prevention of skin cancer has been studied and found that oily fish such as sardines and mackerel are beneficial. • Vitamin D: The ultraviolet light from the sun is necessary in the body’s production of vitamin D. Good sources include dark green leafy veggies, fortified eggs and milk. Supplementation may be necessary for us Northerners, so ask your health care provider for additional information. • Glucosamine: This compound not only keeps joints lubricated, but will also keep your skin elastic and helps to hold on to moisture. • Water intake: Drinking eight

Wintertime no-nos

8-ounce glasses of filtered water daily will help to keep skin soft and supple plus flush toxins out of the body. • Regular exercise: Sweat is an excellent form of detoxification for the body, specifically the skin. Exercise improves the delivery of oxygen and blood to the skin, increasing circulation and elasticity.

Bring on the oils

Common skin conditions can greatly benefit from therapeutic grade essential oils. Not only do they smell wonderful but when applied topically they can

Lungs for Life

Screening program helps detect early-stage cancer

new lung cancer-screening program is available at Rome Memorial Hospital for current or former smokers at high risk of developing lung cancer. The hospital’s Lungs for Life lung cancer screening program can help detect the disease earlier when there are more treatment options. If you or someone you know is 50-74 years old and has a history as a heavy smoker, you may be eligible. “The five-year survival rate for lung cancer is only 15.9 percent because lung cancer is typically detected in the later stages of the disease,” said Stephanie Foxwell, Lungs for Life clinical coordinator at Rome Surgical Specialists. “Screening for lung cancer before

symptoms appear increases the chance of being diagnosed at early stages when cancer can be more successfully treated and even cured,” she said. The program is available for eligible high-risk smokers and former smokers who meet guidelines as recommended by The National Comprehensive Cancer Foxwell Network. According to the NCCN guidelines, screening is recommended if you are: • Age 55-74 and have a 30-pack-

help repair skin ailments. • Lavender: The mother of all essential oils, lavender gently soothes the skin, deceases redness and skin irritation and counters acne. • Frankincense: The father of all essential oils improves fine lines and wrinkles and stimulates cell re-growth. • Rose: Dehydration can often be the cause of oily or red skin (rosacea) greatly improved by the hydrating qualities of rose oil. • Sandalwood: Dry and flaky skin responds well to this oil due to its emollient qualities. Men also like to use

Ingredients to avoid are: • Sodium laurel or lauryl sulfate also known as sodium laureth sulfate: A suspected cancer-causing agent breaks down the skin’s moisture barrier that can lead to dry skin and premature aging. • Parabens: Found in many cosmetic and skin care products as a synthetic preservative and potential endocrine disrupter. • Petrolatum, mineral oil and paraffin: These byproducts of crude oil can clog pores and are suspected to disrupt hormonal activity. • Propylene glycol: Commonly used in cosmetic moisturizer and a carrier for fragrance, these petroleumderived synthetics may draw other chemicals into the bloodstream. Skin, our largest organ, opens its pores during warm/hot showers as we try to warm up during the chill of winter weather. Test your water and, if needed, add water purifiers/filters to the showerhead, tub faucet, and kitchen sink to provide you and your family the cleanest and safest water. An easy to make and natural facial scrub consists of 1 part rolled oats (processed to almost flour), 1 part almonds (same as above) and ½ part raw honey. Combine well and refrigerate in between uses in a jar. Leaves skin soft and supple! So look out Old Man Winter! Your howling winds and frigid temperatures won’t damage my skin this year!

year history of smoking (example: one pack a day for 30 years or two packs a day for 15 years) and have smoked within the last 15 years • Age 50 and older and have a 20pack-year history of smoking (example: one pack a day for 20 years or two packs a day for 10 years) • Have an additional risk factor, such as COPD or a family history of lung cancer The NCCN recommends low-dose CT screening only for those at highest risk of developing lung cancer to ensure that the benefit of the exam outweighs the risks. The hospital utilizes specialized software to lower the radiation dose during CT scans. “At Rome Memorial Hospital, we are doing everything we can to help lower lung cancer deaths,” Foxwell said. The screening program supports findings from a national lung screening trial conducted by the National Cancer Institute. The trial showed participants

screened with low-dose CT had a 20 percent lower chance of dying from lung cancer than those who were screened with chest X-rays. Currently the exam is not covered by insurance. “To make it affordable, we’re offering the test for only $99, about the cost of two cartons of cigarettes,” Foxwell said. In her role as the Lungs for Life clinical coordinator, Foxwell will ask you a few questions on the telephone to determine if you are eligible for the program. If you are eligible, she will contact your primary care physician, who will order the low-dose CT scan. “The healthcare system can be confusing,” Foxwell noted. “I am here to help you through the process. Once you are screened, your results will be sent to both your physician and me. I will call you with the results and recommendations for follow-up appointments.” For more information, Foxwell can be reached at 338-7253.

December 2013 •

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Page 13

Meet

Your Doctor

By Lou Sorendo

By Jim Miller

How to put together your family’s health history Dear Savvy Senior, What can you tell me about creating a family health history? My doctor recently suggested that I make one as a way to predict potential health problems as I get older, but I could use some help. Getting Old Dear Getting, It’s a smart idea! Even with all the high-tech medical tests and procedures that are available today, an accurate family health history remains one of the most important tools in keeping yourself healthy as you age. Here’s what you should know, along with some tips and tools to help get you started. Inheritable diseases Just as you can inherit your father’s height or your mother’s eye color, you can also inherit their genetic risk for diseases like cancer, diabetes, heart disease and more. If one generation of a family has high blood pressure, for example, it is not unusual for the next generation to have it too. Therefore, tracing the illnesses suffered by your relatives can help you and your doctor predict the disorders you may be at risk for, so you can take action to keep yourself healthy.

Family tracking To create a family health history, you’ll need to start by collecting some basic medical information on your first-degree relatives including your parents, siblings and children. Then move on to your grandparents, aunts, uncles and first cousins. You need to get the specific ages of when they developed health problems like heart disease, cancer, diabetes, arthritis, dementia, depression, etc. If family members are deceased, you need to know when and how they died. If possible, include lifestyle information as well, such as diet, exercise, smoking and alcohol use. Some relatives may not want to share their medical histories or they Page 14

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may not know their family history, but whatever information you discover will be helpful. To get information on diseased relatives, get a copy of their death certificate. This will list their cause of death and the age he or she died. To get a death certificate, contact the vital records office in the state where your relative died, or go to vitalchek.com.

Helpful resources To get help putting together your family health history, the U.S. Surgeon General offers a free Web-based tool called “My Family Health Portrait” (see familyhistory.hhs.gov) that can help you collect, organize and understand your genetic risks and even share the information with your family members and doctors. Another great resource that provides similar assistance is the Genetic Alliance’s online tool called “Does It Run In the Family.” At familyhealthhistory.org you can create a customized guide on your family health history for free. Or, if you don’t have Internet access, call 202-966-5557 and ask them to send you a free hardcopy of these booklets in the mail. And, if you’re adopted, the National Foster Care & Adoption Directory Search may be able to help you locate your birth parents to get their medical history. See childwelfare.gov/nfcad or call 800-394-3366.

Managing your results If you discover some serious health problems that run in your family, don’t despair. While you can’t change your genes, you can change your habits to increase your chances of a healthy future. By eating a healthy diet, exercising and not smoking, you can offset and sometimes even neutralize your genetic vulnerabilities. This is especially true for heart disease, stroke, Type-2 diabetes and osteoporosis. A family medical history can also alert you to get early and frequent screening tests, which can help detect other problems (high blood pressure, high cholesterol, and cancers like breast, ovarian, prostrate and colon cancer) in their early stages when they’re most treatable.

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.

Listening, communication skills essential for OB-GYN Continued from Page 4 they were 10-15 years ago. In the past, doctors were more likely to use forceps or a vacuum to assist a vaginal delivery that we now know can create pelvic floor problems for the mother and injury to the baby. Now most labor and delivery suites are able to safely and quickly do C-sections, which avoids some of the worst complications of assisting a vaginal delivery. Q.: What skill sets do you believe are necessary to be an effective and successful OB-GYN? A.: Excellent listener and commu-

nicator. Need to be good at time management and able to prioritize several difficult situations because someone always needs your attention. Medicine is such a dynamic field; therefore, any doctor has to commit to a lifetime of learning and it always helps to be humble because you never know where or who will provide your next lesson. Q.: Which do you enjoy the most in medicine: the clinical end, or the research and educational aspects of the profession? A.: I love that my job is to educate the residents at St Elizabeth’s by taking excellent care of my patients using the newest research.

Study: Female doctors better than male doctors But men are more productive than their counterparts

he quality of care provided by female doctors is higher than that of their male counterparts while the productivity of males is greater, according to a University of Montreal research team. The research team reached this conclusion by studying the billing information of over 870 Quebec practitioners (half of whom were women) relating to their procedures with elderly diabetic patients. “Women had significantly higher scores in terms of compliance with practice guidelines. They were more likely than men to prescribe recommended medications and to plan required examinations,” said lead study author Valérie Martel, who devoted her master’s thesis on the subject. Roxane Borges Da Silva, professor at the faculty of nursing, and Régis Blais, professor at the department of health administration, co-supervised the study. To assess quality of care, the researchers relied on the recommendations of the Canadian Diabetes Association, which provides clear guidelines for clinical treatment of the disease. All patients aged 65 and over with diabetes must undergo an eye exam by an ophthalmologist or optometrist every two years. They must also receive three prescriptions for specific drugs, including statins, and it is recommended they undergo a complete medical examination annually. Since the Quebec public health insurance board (Régie de l’assurance maladie du Québec) medi-

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • December 2013

cal-administrative data bank includes comprehensive information on every medical procedure, the researchers were able to measure these variables. In each case, statistical tests confirm a significant difference between men and women. Among middle-aged doctors, three out of four women, for example, required their patients to undergo an eye examination vs. 70 percent of their male counterparts; 71 percent prescribed recommended medications compared to 67 percent of male doctors, and a similar proportion prescribed statins (68 percent vs. 64 percent); 39 percent of female doctors specifically asked their patients to undergo a complete examination (vs. 33 percent of male doctors). In terms of productivity, there is a reversal. On average, male doctors reported nearly 1,000 more procedures per year compared to their female counterparts. “My hypothesis was that the differences between male and female practices have diminished over time. It seemed to me that more and more men are taking time with their patients at the expense of productivity, and more and more women tend to increase their number of procedures. This aspect was shown: the younger the doctors, the less significant the differences,” she said. “People assume that women doctors spend more time with their patients, but it is difficult to observe in a scientific study. This study does just that,” Blais added.

Dental Health The Ragin’ Cajun

By Malissa Stinger

Bite of Reality Medications can cause severe damage to one’s dental health

everal weeks back, I went to a dentist here in Camden, Virinder Modgil, to repair a tooth. A filling came loose and fell out. There is nothing like the pain of a toothache. After having a really horrible experience with a dentist in Louisiana, I am terrified of dentists. Actually, I think the first dentist was more or less drilling for oil than repairing my teeth. After Modgill and his staff settled my nerves, we got into a discussion about the most important part of a dentist visit — and what usually ends up making a person feel terrible when they leave — dental hygiene. Nobody makes us feel dirty quiet like a dentist can, Stinger right? I pointed out some concerns on places at the top of my teeth along the gum line that are beginning to decay that I want fixed. I was told a few years back this was caused from a severe B12 and iron deficiency and was put on B12 injections as well as iron transfusions. What I was about to learn about dental health care and our standard health care was really much more than I expected. I knew all the usual brushing, flossing, and rinsing with mouthwash techniques, and I practice dental hygiene regularly, so I didn’t understand why my teeth were dying. I was clueless to what everyday medications can and do to our teeth. I was taken totally by surprise when he asked me, “Have you had any illness which would lead to having to take strong medications or chemotherapy, or antibiotics?” I replied, “Well, yes I had a really bad infection in my leg after a knee replacement and was placed in isolation

where I received the extremely strong antibiotic, Vancomycin, intravenously three times daily for six weeks.” This was the first of three major knee surgeries on my left leg and two on my right. Each surgery required removing the artificial knee prosthesis and replacing it with a new one due to the infection doing damage to the bone. With each surgery, bone was lost, tissue was damaged and high-powered medications were pumped into my blood stream as well as two blood transfusions. He pushed his chair back and asked, “I am guessing a series of pain medications followed for years, correct? How many years ago was this, and when was the last surgery”? My last replacement was two years ago. His response shocked me, angered me and led me to do a lot of research. According to the website, www. betterhealth.vic.gov.au, there are numerous medications we are prescribed as well as over-the-counter meds that do lasting devastation to our teeth and gums. Many drugs, both legal and illegal, reduce the flow of saliva and cause a condition called dry mouth. Dry mouth significantly increases the risk of tooth decay. This is because saliva reduces the population of bacteria in the mouth. It reduces decay-causing mouth acids and contains substances crucial to the ongoing process of re-mineralization, which is the repair of tooth enamel (the hard surface layer that protects the tooth) that has been damaged by acids.

Holidays can be diet busters

he following is the holiday feast survival guide — a roadmap to keep you and your diet from straying too far this year. • Re-think your appetizers. Incorporate healthier pre-meal snack options. Include a platter of beautiful berries, pineapple, and apples. • Choose smaller portions. You can still taste all the foods in your holiday spread without overeating. Remember, an occasional indulgence will not destroy your weight-loss attempts, and if you don’t love something, don’t eat it. • The only thing that should be stuffed during the holidays is the turkey! Just because there is more food sitting around, does not mean you need to eat more. A forkful of pie will

do less damage than a whole piece. • Have a calorie-free chat instead of second helpings. The holidays are a great time to engage in conversation with your loved ones, and this will not add inches to your waistline. • Make sure you eat prior to a holiday party or dinner. You are less likely to overeat if you have eaten well throughout the day. • Include your exercise program as one of your holiday activities. Bundle up and take a walk after your holiday meal – this not only can prevent you from overeating and picking at leftovers, but is also a great way to burn off some of the extra calories you may have consumed.

Many drugs, both prescription and illegal, can cause tooth damage. Estimates suggest about 40 percent of people take at least one type of medicine that could damage their teeth. Excessive fluoride can damage children’s teeth. Antihistamines, aspirin, asthma medications and syrups may cause tooth damage. Illegal drugs including cocaine, crack, ecstasy, heroin and methamphetamines can damage teeth. The antibiotic Tetracycline can give permanent teeth a yellowish or brownish color. Fluoride strengthens teeth and is commonly added to water supplies and toothpaste. However, excessive amounts of fluoride can cause white or discolored spots to form on developing permanent teeth. This is called fluorosis. Young children who routinely swallow fluoridated toothpaste are at increased risk. Some medications, including prescription drugs and over-the-counter preparations, can damage your teeth. Medications can cause gum problems such as inflammation, bleeding or ulceration. Diseased gums can lead to other dental problems, including tooth loss. Some of these medications include: • Antihistamines: These can cause dry mouth and an increased risk of gum problems. • Anti-hypertensives: These can lead to an increased risk of gum problems. • Aspirin: Chewing aspirin can directly damage the tooth enamel, as aspirin is acidic. Always take aspirin strictly as directed. Tablets should be swallowed whole with water, not placed beside a tooth. • Asthma medications: Some asthma drugs are highly acidic and can dissolve tooth enamel if used regularly

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over a long period of time. • Chemotherapy drugs: These can cause dry mouth and lead to an increased risk of gum problems. • Immunosuppressive drugs: These can lead to an increased risk of gum problems. • Oral contraceptives: Known to lead to an increased risk of gum problems • Syrups: Medicated syrups that contain sugar can increase the risk of tooth decay if teeth are not brushed after these syrups are taken. Some medications can cause the gum tissue to thicken and grow over the teeth. This condition is called gingival hyperplasia. Medications linked to an increased risk of gingival hyperplasia include epilepsy medications, cyclosporin (organ transplant rejection drug), some blood pressure medications and calcium channel blockers. After learning this, I found that three medications I have been taking for seven years all are known for causing tooth decay. My advice is to make a list of your medications, take the list to your dentist as well as your pharmacist and have them show you which ones could be causing your dental problems. I had no idea the problems from my infected bone from a knee replacement would cause me to have my teeth replaced as well. That tiny little fine print that nobody ever reads when given a prescription doesn’t always tell us that the drug we are taking for one problem could in return be destroying other valuable parts of our body. These things we have to find out the hard way.

• Malissa Stinger is a gluten-free chef and cooking instructor based in Camden.

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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The Social Ask CALENDAR of Security Ofﬁce

HEALTH EVENTS

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Dec. 6

Faxton St. Luke’s to host blood drives Faxton St. Luke’s Healthcare in Utica will host a blood drive from 8 a.m. to 1 p.m. Dec. 6 in the community room at the Center for Rehabilitation and Continuing Care Services on the St. Luke’s Campus, 1656 Champlin Ave. Another blood drive will be held from 2-7 p.m. Dec. 23 at the St. Luke’s Campus. The traveling donor center will be located outside of Allen-Calder Entrance 7 at the back of the campus. More than 38,000 blood donations are needed each day in the United States, but only 38 percent of the population is eligible to donate. Just one donor can help save or sustain up to three lives. For more information or to make an appointment, call Karen Paige at 315624-4903 or Jerry Plows at 315-624-6035. You can also register online at www. redcrossblood.org.

Dec. 10

It may be time to share your grief Grief Survivors—formerly GriefShare—will meet from 6-7:30 p.m. Dec. 10 at The Good News Center, 10475 Cosby Manor Road, Utica. The group meets every other Tuesday. Drop-ins are welcome. This is a faith-based support group for those suffering the loss of a loved one. For more information, contact Tanya at 315-735-6210, tanya@thegoodnewscenter.org or visit www.thegoodnewscenter.org.

Dec. 14

Are you ready to cope with holidays? Surviving the Holidays—Grief Survivors will meet from 10 a.m. to noon Dec. 14 while Surviving the Holidays— DivorceCare will meet from 1-3 p.m. Dec. 14 at The Good News Center, 10475 Cosby Manor Road, Utica. For details, call 315-735-6210 or visit TheGoodNewsCenter.org—Events Calendar.

Dec. 15

Separated or divorced? Help is available The Separated & Divorced Support Group will meet from 5-6:30 p.m. Dec. 15 at The Good News Center, 10475 Cosby Manor Road, Utica. The group meets every other Sunday. For more information, contact Judy at 315-735-6210, judy@thegoodnewscenter.org, or visit us at www.thegoodnewscenter.org. Page 16

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Column provided by the local Social Security Office

Disabilities

Separated & Divorced — Surviving the Holidays will meet from 1-3 p.m. Dec. 14.

Dec. 31

Are you ready to join the Women at the Well? Women at the Well will meet from 6:30–8 p.m. on the last Tuesday of each month at The Good News Center, 10475 Cosby Manor Road, Utica. The next meeting will be Dec. 31. Sister Mary Ellen Schopfer, spiritual director, facilitates the faith-based meeting. For details, call Tanya at 315-7356210 or visit TheGoodNewsCenter. org—Events Calendar.

Jan. 9

Free lecture series offered on Alzheimer’s A free educational lecture series, presented by Rome Memorial Hospital and the Alzheimer’s Association, will offer helpful information for those living with or caring for someone with Alzheimer’s disease. Attendees to the educational series of lectures will learn about memory loss, dementia and Alzheimer’s disease. The dates and topics of the sessions are: • Thursdays, Jan. 9, 16 and 23: “Living with Alzheimer’s — Early Stage for Individuals Diagnosed with Alzheimer’s” • Thursdays, Feb. 13, 20 and 27: “Living with Alzheimer’s — Middle Stage for the Caregiver” • Thursdays, March 20 and 27: “Living with Alzheimer’s — Late Stage for the Caregiver” All sessions will be held from 5:307 p.m. in the hospital’s second floor classroom. To reserve a seat for one or more of the lecture series, call the Alzheimer’s Association at 315-472-4201 ext. 108.

Social Security Announces 1.5 Percent Beneﬁt Increase

onthly Social Security and Supplemental Security Income (SSI) benefits for nearly 63 million Americans will increase 1.5 percent in 2014, according to Social Security Administration. The 1.5 percent cost-of-living adjustment (COLA) will begin with benefits that more than 57 million Social Security beneficiaries receive in January 2014. Increased payments to more than 8 million SSI beneficiaries will begin on Dec. 31. Some other changes that take effect in January of each year are based on the increase in average wages. Based on that increase, the maximum amount of earnings subject to the Social Security tax (taxable maximum) will increase to $117,000 from $113,700.

Special day focuses on helping people with disabilities

he United Nations’ International Day of Persons with Disabilities is annually held on Dec. 3 to focus on issues that affect people with disabilities worldwide. This year marks the 21st observance and provides an opportunity to re-commit to helping persons with disabilities break down barriers. In the United States, Social Security often is the primary source of income for people with disabilities. More than nine of 10 American workers are covered by Social Security disability insurance, and Social Security provides benefits to young workers and their families if the worker should become disabled. Social Security has a very strict definition of disability — a person must be unable to engage in any substantial gainful activity due to a physical or mental impairment that has lasted or is expected to last at least one year, or to result in death. We do not provide benefits for partial or temporary disabilities, so Social Security beneficiaries are most in need of support services if contemplating a

Q&A Q: How can I get proof of my benefits to apply for a loan? A: If you need proof you get Social Security benefits, Supplemental Security Income (SSI) and/or Medicare, you can request a benefit verification letter online through your “my Social Security” account at www. socialsecurity.gov/myaccount. This letter is sometimes called a “budget letter,” a “benefits letter,” a “proof of income letter” or a “proof of award letter.” You even can select the information you want included in your online benefit verification letter. Q: I’m getting married soon. How can I get my name changed on my Social Security card? A: After the wedding, gather your marriage document and other papers proving your: 1.) identity; and 2.) United States (if you have not yet established your citizenship with us) or immigration status (including Department of Homeland Security permission to work in the United States). Then, complete an application for a Social Security card, which you can find at www.socialsecurity.gov. Finally, mail your completed application and documents or take this information to your local Social Security office. You can find your nearest Social Security office at www.socialsecurity.

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • December 2013

return to work. In fact, 40 percent of Social Security Disability Insurance beneficiaries express interest in working and Social Security has a number of programs to help in those return-to-work efforts. Our work incentive programs feature: • continued cash benefits for a period of time while a beneficiary works; • continued Medicare or Medicaid coverage; and • help with education, training, and rehabilitation to start a new line of work. In addition to these incentives, many beneficiaries are interested in the Ticket to Work program, which can help people with disabilities receive vocational rehabilitation, training, job referrals, and other employment support services free of charge. Just visit www.socialsecurity.gov/ work to learn more. Or read our publications for SSI and Social Security Disability Insurance recipients, “Working While Disabled—How We Can Help” and “Your Ticket To Work.”These and many other helpful publications are available at www.socialsecurity.gov/ pubs.

gov/locator. Remember: Your documents must be either originals or copies certified by the issuing agency. We cannot accept photocopies or notarized copies of documents. Any documents you mail to us will be returned to you along with a receipt. Q: Is it true that 10,000 people are retiring each day? What is the best way for me to apply and avoid long lines in my Social Security office? A: Yes. The best way is to use our online retirement application at www. socialsecurity.gov. You can complete it in as little as 15 minutes. It’s so easy. You can apply from the comfort of your home or office at a time most convenient for you. Once you’ve electronically submitted your application, you’re done. In most cases, there’s no need to submit any documents. There’s also no need to drive to a local Social Security office or wait for an appointment with a Social Security representative. Q: Does Social Security offer tools for retirement planning? A: Yes. Social Security offers several retirement planning tools to help you better understand your Social Security protection as you plan for your financial future. Go to www.socialsecurity.gov/planners to get started. Then choose a benefit calculator to estimate your monthly benefit amounts.

H ealth News SEMC annual community service report available St. Elizabeth Medical Center, in accordance with Section 2803-1 of the Public Health Law, has submitted its 22nd annual community service plan to the New York State Department of Health. It includes information on community health priorities identified by medical center staff, in collaboration with other area hospitals, community partners and local public health agencies. To receive a free copy of the community service plan, send your request to St. Elizabeth Medical Center, marketing and public relations department, 2209 Genesee St., Utica, NY 13501. All requests should be submitted in writing. The plan is also posted on the medical center website at www.stem. org/about-us/community-serviceplan/.

St. E’s CON operations continue With Utica hospital affiliation discussions ongoing, St. Elizabeth Medical Center’s commitment to maintain St. Elizabeth College of Nursing continues. The college maintains a strong tie with its parent institution, SEMC, as well as other agencies to provide superior clinical experiences for students in all areas. It is actively recruiting students and offers an evening-weekend nursing program in addition to the weekday program. “St. Elizabeth College of Nursing students progress to be graduate nurses who are valued for their compassionate care and clinical knowledge,” said Varinya Sheppard, vice president of nursing at SEMC. “We are fortunate to have a strong academic and clinical nursing program in our community.” SECON was established in 1904 and enrolls 163 students. For more information, call 315-7988347.

Cedarbrook resident celebrates milestone Virginia Sherwood was in the spotlight recently as she celebrated her 100th birthday at the Cedarbrook Retirement & Assisted Living Facility on Sitrin Lane, New Hartford. A birthday party in her honor was held and included cake, ice cream, and her favorite — root beer floats. Sherwood was born Nov. 24, 1913 and says she has a good life with her family and enjoyed traveling with her husband. Though Sherwood she never made it to Alaska or visited national parks, she was able to travel abroad. Sherwood enjoys playing cards, mainly bridge. “She not only encour-

ages resident participation, but teaches them all how to play, and they play for hours,” a spokesperson said. “Virginia also enjoys making trips to the library as she loves to read. When she’s not participating in programs or socializing with her friends, you can almost always find her reading a book or on a walk around the building.” When asked about her secret to longevity, she said, “I don’t have a secret; it’s all about your attitude.” As for interesting facts, Sherwood added she has never dyed her hair and has all of her own teeth, with the exception of a few missing.

FSLH makes staff announcements Faxton St. Luke’s Healthcare in Utica recently made the following staff announcements. • Marianne Baker has been named director of regulatory affairs for FSLH. In this position, Baker is responsible for the oversight and coordination of medical staff credentialing profiles, Department of Health surveys and response, specialty surveys, coordination of the DNV survey and response, as well as direct oversight of Baker the stroke program, the clinical documentation improvement program and the quality programs for FSLH affiliates. She also oversees and coordinates the grievance process and dissemination of policies and procedures that support the ISO certification program. Baker has more than 30 years of healthcare experience beginning as a critical care nurse at Faxton Hospital. She is also a certified emergency medical technician. Baker received her associate’s degree in nursing from Mohawk Valley Community College in Utica and her bachelor’s degree in human services and her master’s degree in health services administration from SUNYIT Utica/Rome in Marcy. • Rebecca Delahunt has been named manager of case management for FSLH. In this position, Delahunt is responsible for the day-to-day functioning of case management services for FSLH with direct oversight of acute care registered nurse case managers, social workers and care coordination assistants. Delahunt has been an employee of FSLH for more than 23 years. Prior to her current position, Delahunt held various nursing and case manager positions throughout the organization. Delahunt received her degree in nursing from St. Elizabeth College of Nursing in Utica and her bachelor’s degree in nursing from SUNYIT Utica/

Rome.

APTA names FSLH PT emerging leader Richard White, an outpatient physical therapist at Faxton St. Luke’s Healthcare’s Regional Rehabilitation Center, earned the American Physical Therapy Association’s Emerging Leader Award recently. White was one of 25 in the nation to earn the award, which honors physical therapists and physical therapy assistants who have demonstrated extraordinary service early in their career, defined as within 10 years of graduation. “Rich is an energetic member White of the FSLH team, always striving to enhance his clinical skills and improve the quality of care we provide,” said Diane Jackson, director of rehabilitation services for FSLH. “We are proud to have a team of dedicated, caring professionals, like Rich, who are committed to providing patient-centered, evidence-based treatment worthy of national recognition.” White received his bachelor’s degree from Le Moyne College in Syracuse and his doctoral degree from Utica College. He has worked at FSLH since 2009.

FSLH opens new urgent care location Faxton St. Luke’s Healthcare recently opened Genesee Urgent Care, previously known as Independent Physicians Urgent Care, PLLC, at 1904 Genesee St., Utica. FSLH acquired Independent Physicians from the three principal physician owners, Domenic Aiello, Venkata Mannava and Anthony DeIorio. FSLH also owns and operates an urgent care center at its Faxton Campus, 1676 Sunset Ave., Utica. The Faxton and Genesee urgent care centers each has nearly 20,000 patient visits annually. Both urgent care locations are open daily from 8 a.m. to 8 p.m. and accept most major insurances. More people are being referred to urgent care centers if they suffer from minor medical problems like seasonal allergies, coughs/colds, flu, pink eye, sprains, minor burns and lacerations, urinary tract infections, minor back pain, rashes and nausea. Patients with multiple medical problems and severe chronic conditions should be seen in an emergency department. Faxton Urgent Care can be reached at 315-624-5226 and the Genesee Urgent Care can be reached at 315-7938856.

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December 2013 •

FSLH makes medical staff announcement Yannick Grenier has joined Faxton St. Luke’s Healthcare’s Adirondack Community Physicians neurosciences group. Grenier earned her bachelor’s and master’s degrees in neurobiology from McGill University in Montreal, Quebec, Canada, and her medical degree from Pritzker School of Medicine Grenier in Chicago, Ill. She completed a residency at Northwestern Hospital, also in Chicago, and completed a fellowship in pain and movement disorders at Stanford University in Stanford, Calif. Grenier is board certified in neurological surgery.

MVCAA to assist in HEAP applications Mohawk Valley Community Action Agency will be assisting with the application process for the Home Energy Assistance Program at its Rome office, 1721 Black River Boulevard. MVCAA staff set up computer stations so applicants can log in to www. mybenefits.ny.gov website, complete and submit their application. Outreach sessions at other locations in Oneida County will be announced at a later date. To schedule an appointment, call MVCAA at 315-624-9930 from 8:30 a.m. to 4 p.m. weekdays. HEAP assists eligible households with heating and heat-related utility costs. The HEAP program ends March 17. On Jan. 2, the emergency component of the program will open. Regular benefits range from $1 to $600 and emergency benefits range from $160 to $600. Eligibility for regular benefits is based on gross income and household size. 2013-14 HEAP income guidelines 1 (household size) — $0-$2,175 (gross monthly income) 2 — $0-$2,844 3 — $0-$3,513 4 — $0-$4,182 5 — $0-$4,852 6 — $0-$5,521 7 — $0-$5,646 8 — $0-$5,772 9 — $0-$5,897 10 — $0-$6,023 11 — $0-$6,461 For more information, contact Amy Turner at 315-624-9930 or email aturner@mvcaa.com.

Early bird drawing winner announced The 10 of Hearts Drive Away Drawing had its first early bird drawing recently on WKTV.

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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H ealth News Continued from Page 17 The early bird prize was a car starter donated by Big Apple. The winner of the 10 of Hearts Drive Away Drawing Early Bird was Donald Mix of Utica. The second mini-telethon will be held from 11 a.m. to 8 p.m. Dec. 5 on WKTV. Anyone who purchases a ticket by noon Dec. 11 will be entered into the second early bird drawing. The winning ticket will be drawn Dec. 12 on WKTV. The grand-prize winner of the 10 of Hearts Drive Away Drawing will get to choose one of 10 vehicles. One first-prize winner will receive a $500 Fastrac Markets gas card. One second-prize winner will receive a $250 Fastrac Markets gas card. Tickets will be available until the drawing on March 1 or until they sell out. They are available at www.uticaheartrunwalk.org or www.wktv.com. Individual tickets are $30 each or two or more tickets for $25 each. Proceeds will benefit the American Heart Association in the fight against heart disease and stroke. The winning ticket will be drawn on March 1. The drawing will be live on the WKTV Heart Telethon at America’s Greatest Heart Run and Walk between noon and 12:30 p.m. To learn more, call 1-800-AHAUSA1 or visit www.heart.org.

Employees submit nominations and the winner is entitled to a designated parking spot for three months, a gift certificate, recognition in local papers and the facility newsletter and becomes eligible to participate in the employee of the year program.

The Arc honors valued employees The Arc, Oneida-Lewis Chapter, NYSARC held its annual employee recognition dinner recently at Valentino’s Banquet Hall in New Hartford. Over 250 employees from Oneida and Lewis counties attended the event. Employees were recognized for five to 35 years of dedicated service to the agency. Three special awards were also presented. The 2013 President’s Cup was awarded to Jeff Gilbert, who is a senior program director at Arnold Avenue day services program. The 2013 employee of the year was awarded to Kathy Zammiello. She is a project coordinator in day services. The 2013 team award was awarded to Medicaid service coordination. For more information about The Arc, visit www.thearcolc.org. The Arc, Oneida-Lewis Chapter, NYSARC is a nonprofit human services agency which provides advocacy and services for individuals with intellectual and developmental disabilities in Oneida and Lewis counties.

VHS selects its employee of quarter Physical therapist joins Chris Congdon, LPN charge nurse staff at Little Falls at Valley Health Services in Herkimer,

was selected as the VHS employee of the third quarter. Congdon joined the staff at VHS in July of 1999. The co-worker nominating Chris said, “Everyday I observe Chris going above and beyond her duties as a nurse. When residents near end of life, Chris tends Congdon to their comfort and personal needs with kindness and compassion.” The VHS employee of the quarter program recognizes the outstanding performance of VHS employees.

Marcia Lynch recently joined the rehabilitation and wellness staff at Little Falls Hospital. Lynch is a graduate of Russell Sage College with a bachelor’s and master’s degree in physical therapy. She brings with her 14 years of physical therapy experience. Lynch resides in Ilion with her husband and two children. For more information about Lynch physical therapy at Little Falls Rehabilitation and Wellness, call 823-5360.

Abraham House announces Festival of Wreaths winners

braham House recently announced the 2013 winners for wreaths designers from The Festival of Wreaths, which was held at Valentino’s in New Hartford. There were 101 wreaths submitted by local businesses and individuals that the public voted on as their favorites in four categories. • Most original: “Drink & Be Merry” by BBG’s in Yorkville by Donna Vivero • Tied for best of theme: “Peacock Paradise “ by Jeannine Grossman Page 18

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• Tied for best of theme: “Christmas in the Adirondacks — in memory of Dick Harrington” by Sharon Gibbons • Best of show: “Let It Snow” by Coriale Flowers in Utica • Children’s choice: “Disney” by ABG Sorority Whitesboro High School Fundraisers like the Festival of Wreaths ensure the mission of Abraham House continues in caring for the terminally ill without charge. For more information, contact Abraham House at 733.8210.

The Gift of self

Get into volunteer spirit this holiday season

By Amylynn Pastorella

he gift of giving is an action that speaks high volumes for personal character. Imagine a place that was available for good or a program that offers essential items for daily living to those who cannot afford them. When times get tough, the tough get going and the Mohawk Valley steps up to the plate in many ways to offer the above incentives and so much more. Especially during this time of year, organizations and individuals alike work diligently to provide care to those less fortunate or to those who cannot care for themselves. Many local good deed-doers are prominent in the community in the way they serve others because they want to. Hearing the jolly sound of the bellringers who volunteer for the Salvation Army to the various food and clothing drives are inspirational movements that encourage one another to better and to be better. With tremendous care, the community flocks together to give and spread a positive message during this holiday season. Economic hardship, financial instability, homelessness, hunger and illness may be defeating reasons why people are suffering. However, local assistance is readily available for those who need it. Need a place to stay? Need a meal or two? Need clothing to stay warm? Need protection? Find it through community givers. Mother Marianne’s West Side Kitchen in Utica is a shining example of generosity to those who need it. Located next to St. Joseph’s and St. Patrick’s Parish in Utica, it opened in March 2008 serving over 500 meals during the holiday season. Following the belief that Mother Marianne stood for those without a voice, the kitchen passes on the same in its mission. “The kitchen offers a safe place to receive a free meal and have contact with caring people,” said Vicki Montalbano, director. The kitchen is open for Christmas dinner served on a day close to the holiday or on Christmas day itself. Guests are allowed as much pie as they want along with nut cups and cider.

Party with Santa

Children also get the opportunity to attend a “soup kitchen Santa” party. In relation to Mother Marianne’s mission, there are no requirements to attend the kitchen because of the many reasons people seek service. Without worry or fear, Mother Marianne’s West Side Kitchen is a place of comfort and joy during a time when people should focus themselves on those same qualities. “In August of this year, the kitchen served 5,538 meals to those in need. I consider that to be 5,538 blessings as all of our guests are not on our guest’s list, but God’s,” said Montalbano. Along with the service the kitchen offers, senior citizens throughout the

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • December 2013

Mohawk Valley receive special care and attention through the Santa for Seniors program sponsored by Big Frog 104 radio station at Townsquare Media in Marcy and the Oneida County Office for the Aging. For more than 10 years, holiday cheer is given to seniors who may sometimes be forgotten during the holidays. Due to the program’s strong response by individual givers, the list of seniors who participate continues to grow each year. There are 500 names on record this year. “There are plenty of holiday programs out there centered on helping during the holiday season but this is the first and only program of its kind that focuses on our senior citizens,” said Stacey McAdams, radio disc jockey. In addition to individual community givers, offices also contribute to the program instead of doing their own Secret Santa. All seniors are on a gift list provided from the Oneida County Office for the Aging. McAdams and her station receive biographies on each senior and what he or she wants for the holiday. The only requirement is that each gift given must be marked with a provided code to ensure the gift gets to the proper senior. “Every year our listeners amaze us by making sure everyone has a Santa and a little something to open during the holidays. This program proves it truly is better to give than to receive. Our listeners and staff look forward to this every year,” said McAdams. To be a community giver is a heartwarming feeling of what the holiday season is all about. It does not matter who you are, where you live, or what your profession is. The act of giving is something everyone can do and be proud of.

Health in good

MV’S HEALTHCARE NEWSPAPER

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Sales Professional Wanted In Good Health is a growing newspaper serving the needs of the Mohawk Valley. We are now looking for an individual to help sell print and online advertising on a part-time basis. If you are dynamic, articulate and more importantly, have previous experience selling advertising, we’re interested in talking to you. Call Lou Sorendo at 315-749-7070 or send an email to lou@cnymail.com.

Help Wanted! In Good Health is a growing newspaper serving the needs of the Mohawk Valley. We are now looking for an individual to help deliver our newspapers on a parttime basis. If you are dependable, have a vehicle and can handle a 40-pound bundle, this job is for you. The route is in the city of Utica. Pay is $9 per hour plus 30 cents a mile. Interested? Call Lou Sorendo at 315-749-7070 or send an email to lou@cnymail.com.

Avery Walters struts down the catwalk during the American Girl Fashion Show.

Well-attended fashion show supports UCP

pstate Cerebral Palsy held its American Girl Fashion Show recently at The Turning Stone Resort & Casino in Verona. The 16th annual event raised over $60,000 to benefit children’s programs at Upstate Cerebral Palsy. Both shows were sold out with more than 1,250 in

Spread your wings and become a holiday angel

IDS Community Reources’ longstanding holiday angel program spreads comfort and joy to individuals and families who otherwise would do without at holiday time. The program pairs members of the community (angels) with a designated ACR client and his or her family. The “angels” are supplied with a client’s first name and a list of “needs” rather than the typical Christmas “wish” list. Because of a growth in the agency, ACR Health has been overwhelmed with requests for assistance. ACR Development Director Carrie Portzline-Large said, “Our clients and their families struggle financially yearround. They often have nothing left for ‘something special’ at holiday time.” Clients’ lists of “needs” usually contain requests for basic needs like clothing, bathroom items such as tow-

els, kitchen supplies, or personal items like shoes or a coat. Participating angels can buy as many or as few of the items on the list as they wish. Many community groups, churches, or extended families pool their resources every year to sponsor an ACR client and members of their family. Several hundred people rely on ACR holiday angels for whatever holiday gifts come their way. ACR serves Cayuga, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswego and St. Lawrence counties in New York state. Holiday angels are needed across the nine-county service area. Gifts must be wrapped and labeled. Financial donations are appreciated. If you would like to be a holiday angel, call 800-475-2430, or email events@ACRHealth.org. December 2013 •

attendance. The American Girl Fashion Show is an opportunity for families to enjoy a day of fun while making a difference in the lives of children with differing abilities. Lenora Murad served as event chairperson.

& Palliative Care Oneida, Herkimer and Eastern Madison Counties

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IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper

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Grow your soul Get in touch with your inner being information for themselves or a friend, said Diana Smollen of the YWCA. “They don’t even need to tell us their name; it’s completely confidential. And they should call, not just in a crisis, but for information about leaving an abusive relationship.”

By Barbara Pierce

f you’re like most of us, you haven’t given much thought to your soul. In fact, you may have ignored it, denied it, even lied to it, starved it, shut it up, medicated it or neglected it. Most of us have become very skillful at ignoring and neglecting our souls. What is our soul? Our soul is our spirit, our inner wisdom, that inner voice that knows what is best for us. Our soul is the highest aspect of who we are. It is what makes us who we are; it makes us our greatest and best self. Our soul is our deepest and most honest beliefs; our philosophy about life; our sincerest thoughts, feelings, emotions, and sense of what is right and wrong. Our soul is who we are when no one is looking; it is where no one else can see. Here’s how some celebrities describe the importance of their soul, online: • “I have to work, for my soul,” from Jennifer Lopez. • “I have to get inspired by something that rocks my soul,” said Steven Tyler, lead singer of Aerosmith. • “If I didn’t write, my soul would dry up and die,” said bestselling author Isabelle Allende. When we don’t listen to our soul, we lead frazzled, stressed-out, dissatisfied and disappointed lives. When we listen to our soul, we flourish. We are happiest when what is on the inside matches what is on the outside. To help match what is on the inside with what is on the outside, Phylameana lila Desy on About.com shares ways to “Grow Your Spirit.”

Embrace your talents

Recognize and develop your intelligence and special gifts. Our talents lead us toward our unique paths. Follow your passion and you will soon discover where you fit in this world. “Each of us has a gift; we need each other to spur us on to use it,” said 58year-old Debbie Schwartz, a member of a support group that helps women grow their souls. “I feel my happiest when I’m helping someone do some-

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De-clutter your environment

If an item or a belief no longer serves a purpose in your life, it is clutter. Clutter will block your path. Holding on to things that don’t feed you will eat up your energy. Get rid of unwanted gifts, useless items, self-defeating mental images, and emotional baggage.

Be responsible in your relationships

thing he or she thinks they can’t do.”

Tie up loose ends

Unresolved issues eat away at us emotionally. Tackle troubling things that need dealt with and put them to rest. Learn not to allow future problems to be ignored. Our wounds fester when they are not attended to in a timely manner. Realize that buried problems always surface eventually. Dealing with difficulties as they arise rather than hiding from them is the best route. We all make mistakes and make decisions that we later regret. See these as “experiments,” learn from them, rather than beat yourself up over them.

Love sometimes means saying goodbye

Not all relationships are meant to last forever. We sometimes outgrow our partners, or our partner goes off

in a direction that we cannot accept. Sometimes the most responsible thing you can do is to offer love and compassion to the person as you release the relationship. If you are in a relationship where you are emotionally or physically abused, or if your partner abuses alcohol or drugs, you may need to leave this relationship to reclaim your soul. Consider seeing a therapist to help you decide if you need to end a relationship. If you are in an abusive relationship, the YWCA of the Mohawk Valley provides counseling, support and advocacy. Its 24-hour confidential hotlines: 315-797-7740 in Oneida County and 315-866-4120 for Herkimer County. For other counties, this hotline will refer you to your local number. “We encourage women to call for

IN GOOD HEALTH – Mohawk Valley’s Healthcare Newspaper • December 2013

When it comes to addressing problems in your relationships, turn away from the “blame game.” Be honest about the things that you have said or done that harmed the relationship. Own up to your own failures. Focus on changing your defeating patterns rather than expecting changes from the other person. “We all have problems with other people — at work, in our families,” Schwartz said. “We tend to blame the other person for the problem. Another way to look at it is that we, somehow, on some level, may have created the situation with that person.”

Love thyself

Your physical body is the vehicle that has been loaned to you to live out your life in. Pamper your body, tend to your illnesses, exercise and give it the proper nutrients.

Dealing with death and illness

Life is a gift that comes with a variety of experiences. Suffering and illness come with that package of experiences. Choose to look at illness and death in positive ways rather than negatively to give your life deeper meaning.