IGH - Rochester, #192 AUGUST 2021 by In Good Health: Rochester's Healthcare Newspaper

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AUGUST 2021 • ISSUE 192

BACK TO SCHOOL SPECIAL ISSUE ✓ REMOTE LEARNING is hurting students academically and emotionally ✓ BULLYING IS BACK as in-person school returns; we discuss what to do about it ✓ BACK-TO-SCHOOL ANXIETY has skyrocketed. What can parents do to help their kids? ✓ AUTISM: Back to school for kids on the autism spectrum brings challenges

Starts on p. 15

EYE SURGEON Holly B. Hindman, MD, talks about evolution in corneal transplantation, cataract surgeries, and laser vision correction. p. 4

DENTAL CARE Millions of American adults haven’t seen a dentist in at least a year. p.5

5 Cool Fitness Adventures

Region has several activity options to keep you going including alpaca yoga at Ladue Alpacas in Brockport. p. 8

Living to Age 130: New Study Projects It Could Happen H ow long can a human live? New research predicts there’s a chance that someone in the world will celebrate a 130th birthday in this century. There’s been a steady rise in the number of people living beyond 100

years in recent decades, with up to nearly half a million worldwide, researchers noted. The world’s oldest known person was Jeanne Calment of France, who was 122 when she died in 1997. Currently, the world’s oldest person is

NOT JUST COVERAGE.

118-year-old Kane Tanaka of Japan. Some experts believe that disease and basic cell deterioration limit human life span, but others believe there is no ceiling. University of Washington researchers used statistical modeling

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to determine potential maximum life spans this century. “People are fascinated by the extremes of humanity, whether it’s going to the moon, how fast someone can run in the Olympics, or even how long someone can live,” said study author Michael Pearce, a doctoral student in statistics. “With this work, we quantify how likely we believe it is that some individual will reach various extreme ages this century,” he said in a university news release. Pearce and his colleagues concluded that by 2100, it’s nearly 100% likely that the current known record of 122 years will be broken. There’s a 99% probability that someone will live to 124, a 68% chance of someone making it to 127, and a 13% likelihood that a person will reach 130. It’s extremely unlikely that a person will live to 135 this century, according to the study published June 30 in the journal Demographic Research. While there are increasing numbers of long-lived people, the authors noted that the death rate ﬂattens after a certain age, which means that a 110-year-old and a 114-year-old have about the same chances of living another year. “It doesn’t matter how old they are, once they reach 110, they still die at the same rate,” said study co-author Adrian Raftery, a professor of sociology and of statistics. “They’ve gotten past all the various things life throws at you, such as disease. They die for reasons that are somewhat independent of what affects younger people,” he explained in the release. “This is a very select group of very robust people.”

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • August 2021

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Meet

Your Doctor

By Chris Motola

Holly B. Hindman, MD

Eye surgeon from The Eye Care Center talks about evolution in corneal transplantation, cataract surgeries, laser vision correction

U.S. COVID Vaccine Rollout Saved 279,000 Lives: Study

OVID-19 vaccines have prevented at least 279,000 deaths and 1.25 million hospitalizations in the United States, but the Delta variant poses a signiﬁcant threat to that progress, researchers say. “The vaccines have been strikingly successful in reducing the spread of the virus and saving hundreds of thousands of lives in the United States alone,» said study author Alison Galvani, director of the Center for Infectious Disease Modeling and Analysis at the Yale School of Public Health. “Yet until a greater majority of Americans are vaccinated, many more people could still die from this virus,” she said in a Yale news release. “The danger is not over. Now is not the time to let down our guard.” Galvani and her team analyzed data from Oct. 1, 2020 through July 1 and found that more than 328 million COVID-19 vaccine doses were given during that time, and that 67% of adults received at least one dose. If only half as many shots had been administered there would have been more than 120,000 additional deaths and 450,000 additional hospitalizations, according to the researchers. It also found that the number of COVID-19 cases plummeted from more than 300,000 a day at the pandemic›s peak in January to less than 20,000 a day in mid-June. However, the progress made with the national vaccination program could be quickly reversed by the highly transmissible Delta variant if it triggers a spike of new cases among the millions of people who haven’t been vaccinated, the researchers warned. The study was published July 7 by the Commonwealth Fund, a nonproﬁt organization that focuses on health care issues.

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Q. What kind of patients do you see? A. Primarily, I see patients who have trouble with blurry vision that is attributable to the parts of the eye that deal with focusing of the light — the cornea and the lens. It is my goal to personally connect with patients to learn about the challenges they are experiencing, and then to apply solutions based on understanding of biology and optics to enhance their focus and optimize their vision. I often see patients who are having trouble with their vision and need cornea or cataract surgery. I also see those who are interested in improving their vision through laser vision correction surgery. Q. What specialty areas do you focus your practice on? A. A large portion of my work is taking care of patients who have blurry vision from cataracts. In this surgery, we remove the cloudy native lens — cataract — and place an intraocular lens in the eye. Cataract surgery is very gratifying to perform because most patients experience vast improvement in their vision and they are often surprised at how easy the process is to get through. As our technology and knowledge have evolved, we have more sophisticated ways to perform cataract surgery, such as laser-assisted cataract surgery. Plus, we have better ways to address refractive errors such as astigmatism and presbyopia

with special intraocular lenses that are allowing us to continuously improve patient outcomes and satisfaction. I also am trained in corneal transplantation surgeries. In recent years, there has been tremendous evolution in the surgical approach to corneal transplantation, which has made this a particularly exciting time to be a corneal surgeon. In the past, during the first 100 years of corneal transplantation, full thickness corneal transplantation was the only option. We are now doing targeted transplantation of only the diseased areas of the cornea. Sometimes, I only need to transplant one specific type of cell in order to make a cloudy cornea clear again and restore completely normal vision. For me, it is exciting to play a role in these mini-miracles that have such impact to transform lives. A third component to my practice is laser vision correction, also known as LASIK. With laser vision correction, we reshape the cornea to better focus light and minimize need for glasses. I myself am a beneficiary of prior laser vision correction surgery and truly appreciate the freedom of independence from my glasses.

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • August 2021

Q. Where do you do your procedures and surgeries? A. Where we do a procedure largely depends on which procedure it is. Smaller procedures and many of our laser treatments are performed right in our ofﬁce. We also perform the laser portion of laser

assisted cataract surgery in our office. Other steps of cataract surgery and corneal transplantation surgery are performed in the operating room, but on an outpatient basis — meaning you go home the same day. Our office partners with several hospital operating rooms as well as ambulatory surgery centers in our area. If you need surgery, we will talk about what option might be best for you. Q. What role does technology play in your work? A. Technological developments allow us to better understand and measure the optical properties of each person’s eye. They also have helped us to understand the interactions between biological responses, such as how someone heals, and the impact of those changes on the focusing properties. This has allowed us to customize treatments for our patients to improve their outcomes. This focus on technology has been an integral part of The Eye Care Center’s approach to providing the best care possible to our patients. Q. What research have you done and who funds it? A. I have conducted National Institutes of Health (NIH) funded research. The focus was on how corneas heal and the impact of that healing on the focusing characteristics of the eye following new types of corneal transplantation. In addition, I have researched similar questions following laser vision correction. I have also collaborated with scientists to develop imaging technology to better understand corneal diseases and the tear film. I have participated in NIH sponsored multicenter clinical trials on dry eye (DREAM – dry eye assessment and management study) and shingles in the eye (ZEDS – zoster eye disease Study). Q. What do you like to do when you’re not working? A. I like to spend time with my husband, son and daughter. We are all avid downhill skiers so this is something we really love doing together. I also do ski patrol and enjoy the camaraderie of my fellow patrollers. In the summer, we can be outside — hiking, biking, swimming and exploring what life has to offer in this beautiful area. At home, we have a tuxedo kitty we all adore who rules our household with a gentle kindness and inspires us to be our best selves.

Lifelines

Name: Holly Hindman, MD, MPH Office: The Eye Care Center with offices in Canandaigua, Geneva and Newark Hometown: Rochester Education and Training: Stanford University, bachelor’s degree in biology (1998); Harvard Medical School, MD (2003); Johns Hopkins University, residency in ophthalmology; University of Rochester School of Medicine and Dentistry, cornea fellowship training and a Master of Public Health (MPH) degree Specialization: Cornea, cataract, laser vision correction surgery Academic: Clinical associate professor, School of Medicine and Dentistry, University of Rochester Certification: American Board of Ophthalmology Licensed: New York state Hobbies: Avid downhill skiing, hiking, biking, swimming, reading. She is member of the National Ski Patrol

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Even Before Pandemic, OneThird of U.S. Adults Went Without Dental Care

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Millions of American adults haven’t seen a dentist in at least a year, a new U.S. government health survey reveals

n 2019, before the coronavirus pandemic made dental visits difﬁcult, a third of adults under 65 hadn’t had a dental exam or cleaning in the past 12 months, according to the report from the U.S. Centers for Disease Control and Prevention. And the problem was worse in rural America, the National Health Interview Survey showed. The authors suspect the reason is easy to explain. “It was beyond the scope of study, but we kind of assumed there are fewer health care providers in the rural areas, compared to urban areas, so there’s less access to dental care in rural areas,” said study co-author Robin Cohen, a statistician at CDC’s National Center for Health Statistics. Income and race also underpin the results, Cohen said. The survey found: • In 2019, 65.5% of U.S. adults saw a dentist in the past 12 months. • More adults in urban areas than rural areas saw a dentist (67% versus 58%). • In both cities and rural areas, women were more likely than men to have visited a dentist in the past 12 months. • In urban areas, white adults (70%) were more likely than Hispanic

adults (59%) or Black adults (62%) to have seen a dentist. • In rural areas, white adults (59%) were more likely than Hispanic adults (46%) to have had a dental visit. As income increased, so did the odds of seeing a dentist. And that was true in both rural and urban areas. Jane Grover is director of the Council on Advocacy for Access and Prevention at the American Dental Association in Chicago. She said stafﬁng shortages are a key contributor to access issues in rural America. “They may not have the stafﬁng that many urban areas have — I’m talking about the number of dental assistants and dental hygienists,” Grover said. Cost is another barrier to care, Grover said. Low-cost clinics can help in urban settings, and some clinics charge on a sliding scale based on patients’ ability to pay. In rural areas, these clinics can be few and far between. Grover said more needs to be done to make dental care available to folks who can’t afford it, no matter where they live. This includes involving dental students who can help provide services at little or no cost.

SERVING MONROE AND ONTARIO COUNTIES A monthly newspaper published by Local News, Inc. Distribution: 33,500 copies throughout more than 1,500 high-trafﬁc locations. In Good Health is published 12 times a year by Local News, Inc. © 2021 by Local News, Inc. All rights reserved. P.O. Box 525, Victor NY 14564. Phone: 585-421-8109 • Email: Editor@GVhealthnews.com

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Editor & Publisher: Wagner Dotto Writers: Chris Motola, George Chapman, Kyra Mancine, Rekha Shrivastava, Mike Costanza, Brian Burger, Lynette Loomis • Advertising: Anne Westcott, Linda Covington Layout & Design: Joey Sweener • Office Manager: Nancy Nitz No material may be reproduced in whole or in part from this publication without the express written permission of the publisher. The information in this publication is intended to complement—not to take the place of—the recommendations of your health provider. Consult your physician before making major changes in your lifestyle or health care regimen.

August 2021 •

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Live Alone & Thrive

By Gwenn Voelckers

Practical tips, advice and hope for those who live alone

Create an inviting ‘Table for One’ this Summer

ith the worse of the pandemic behind us and with summer in full swing, restaurant trafﬁc is booming. And it’s no wonder. After being cooped up for so long, people are ready to hang up their aprons, get out of the house and enjoy dining out – like ol’ times. I know I am! It’s great to spend time with friends in a new place, soaking up the atmosphere, and trying new foods. But a steady diet of eating out is not possible for me, nor would it be my preference. Among other things, it would gobble up my budget! I enjoy preparing simple, healthy meals at home and taking myself “out" to eat at my kitchen counter, dining room table, or back patio. But this hasn’t always been the case. After my divorce, I found dining alone at home to be one of my biggest challenges. While living alone gives you the freedom to dine as you please (one of its many beneﬁts!), I don’t recommend eating breakfast for dinner or munching through a bag of Cheetos as a substitute for a healthy, well-bal-

anced meal. When it comes to eating alone at home, treat yourself as you would treat a good friend you are having over for dinner. Why? Because you are worth it. When you prepare and enjoy a good meal on your own, you’ll be sending yourself a valuable message: It’s important to take good care of myself and to treat myself with respect. I matter enough to nurture—and feed—myself with care. Eating well and right has all kinds of beneﬁts. And what better way to start enjoying those beneﬁts than by creating an inviting table for one in your own home. Below are a few tips to help you get started: • Stock your kitchen with healthy food. It’s so much easier to put a healthy meal on the table when the good stuff is plentiful and the junk food is in short supply. I’m fully aware of my own downfalls (ice cream, nuts, cookies, chips) and don’t regularly stock these items in my kitchen. Instead, I have on hand a good supply of frozen and fresh vegeta-

bles, prepackaged salad greens, fruits in season, and single-serve portions of frozen meat and fish. You’ll also find plenty of grab-and-go power bars in my pantry for when I’m on the run. • Indulge your senses. Stimulate your appetite by preparing something that produces a wonderful, delicious aroma. My go-to appetite stimulant? I love the scent of sautéed garlic and jump-start many a solo dining experience with a little butter and garlic in my stove-top skillet. The aroma invites me into the cooking process and in no time, I’m focused on cutting and chopping instead of the worries and stresses of my day. To keep things interesting, I also try to incorporate colorful fruits and vegetables into each meal, which is recommended by nutrition experts. The colors often correspond with important nutrients that may provide health benefits. • Select the best seat in the house. While eating in front of the TV may be the perfect choice on some occasions, I encourage you to find dining spaces inside or outside your home that may offer more inspiration. Chances are, you’ll appreciate the change of scenery. Consider that special nook where the sun filters in or that table by the window with the great view. Mix it up, experiment with different settings, and discover what feels best in the moment. • Set the stage. Create a

pleasing table setting and mood that feels comfortable for you. I like to put down a placemat, use a cloth napkin, turn on some enjoyable music and position a good book, magazine, or iPad within reach. You might even light a candle. I do, especially in the evening. Its warm glow gives me a good, comfy feeling. If you’ve never set the stage like this before, it can feel contrived at first, but stay with it. Over time, I’m confident you’ll find it as enjoyable and relaxing as I have. • Enjoy your own company. When you eat alone, you’re in the company of someone special − yourself! You are with someone who approves of your meal choices and cooking techniques, appreciates the candle you lit and knows that life and good food are to be savored and enjoyed. Creating a pleasant “table for one” is a great opportunity to focus on yourself and to nourish your body and spirit at the same time. So, pull up a chair, say a few words of gratitude and enjoy your meal. Bon appétit! Gwenn Voelckers is the founder and facilitator of Alone and Content, empowerment workshops for women and author of “Alone and Content,” a collection of inspiring essays for those who live alone. For information about her workshops, to purchase her book, or invite Voelckers to speak, visit www.aloneandcontent.com

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • August 2021

Free Cancer Prevention Class Offered by UR Medicine Conducted through Zoom once a week for eight weeks, it will raise awareness for early screening By Deborah Jeanne Sergeant

he number of New Yorkers diagnosed with cancer annually has increased steadily since the 1970s, while the number of individuals who die as of result of cancer has decreased, according to the New York State Cancer Registry. UR Medicine believes that these trends indicate cancer screenings, early detection and healthful lifestyle all contribute to fewer cancer deaths. “Screening rates for colon, breast, and cervical cancers are all low due

to the pandemic,” said Hannah Farley, program facilitator for UR Medicine’s Promote Health Prevent Cancer program and community liaison for Cancer Services Program at FF Thompson Hospital. “We really want to raise awareness that these screenings can be life-saving and to encourage individuals to call their physicians and get their screenings scheduled, especially if they put it off last year.” Participants in the program

join in eight free, weekly classes via Zoom, including 40 minutes of nutrition education and 20 minutes of exercise. In addition to education, the classes provide motivation to improve health long-term. “There are lifestyle recommendations, including maintaining healthy weight, staying physically active, limiting consumption of red and processed meats—as they’re related to increased risk of certain cancers— limiting alcohol and breastfeeding if you can,” Farley said. In addition to the classes, participants receive a wellness “toolkit” including an exercise band, food diary, exercise journal and physical portion plate. Farley said certiﬁed experts lead the classes and the classes are suitable for all ages, including active, older adults. The next session is Mondays 5 – 6 p.m. Aug. 9 to Oct. 4. Highspeed

internet access is required to participate. Anyone interested should contact Farley at 315-401-1945 or phpc@ urmc.rochester.edu. Anyone underinsured and struggling with the cost of screenings and cancer care may receive assistance from Cancer Services Program of the Finger Lakes Region. Call 877-8038070 or csp@urmc.rochester.edu. “We know that certain cancer screenings can prevent some cancers and find some early before there are more potential complications with the treatment,” Farley said. “We want to find cancers early or potentially before they begin such as cervical or colon cancer. With breast cancer, we want to find it early on when it’s easier to treat. More women have been diagnosed, but fewer women have passed away because of early screenings. We know these screenings can save lives and they’re effective in preventing death.”

able efﬁcacy. It may help one to two million people diagnosed with Alzheimer’s. Not to cast aspersions on the drug, is that prudent spending, mostly by Medicare, when looking at bang for the buck for seniors? Graham queried several physicians asking where they would invest $56 billion to improve care for our seniors and to get the best bang for the buck. The priorities in no particular order are: 1. Make Medicare more affordable. In 2017, the average senior spent $5,800 out of pocket or a staggering 36% of the average Social Security check. 2. Pay for vision, hearing aids and dental. (It should be noted several Advantage plans do offer some coverage here. 3. Support family care givers. 4. Strengthen long-term care. 5. Help people age in place. 6. ASK seniors what they need. 7. Focus on prevention, no matter how old someone is. 8. Study and invest in social determinants of health.

decline post pandemic. That coupled with an increase in suppliers of services from industry upstarts like Amazon, Walmart and various drug chains means that an industry that has avoided the inevitability of supply and demand, is in for a rude awakening. Does this mean there will actually be real price competition? Trillant is basing their predictions on 70 billion claims for 309 million visits. Telehealth is already down 37% from pandemic highs. Annual surgical services growth, hospital bread and butter, is now projected to be in the 1% to 2% range versus historical 3% range. Overall, demand will be down. Population shifts to states with lower taxes like Texas, Florida and Idaho will cause demand to increase there but be offset by demand decreases in states losing population like New York, California and Pennsylvania.

Healthcare in a Minute

By George W. Chapman

Hospital Pricing: Uninsured Charged a Lot More for Same Services

he recent requirement for hospitals to post their prices for 300 “shoppable” services, discussed here in earlier columns, has revealed uninsured consumers are charged far more than insured consumers. (They always have been). A recent survey of 1,550 hospitals by the Wall Street Journal revealed that uninsured patients were billed 3.6 times the negotiated rate with Medicare Advantage plans. Using their purchasing power, insurance companies typically negotiate volume based discounted prices with hospitals. In the past, the largest carriers in a market would often insert “favored nation” claus-

es in their contracts, which meant should the hospital offer a deeper discount to a competitor; the favored carriers would automatically get the same discount. Clearly an individual cannot negotiate a volume-based discount like carriers do, but it doesn’t necessarily mean they have to be charged the highest price. In the past, hospitals feared that if they offered a deep discount to an uninsured indigent patient, it would trigger the favored nation clause. That no longer being an issue. Hospitals today are far more willing to discuss and negotiate fees in advance.

Impact of Vaccines: 279,000 Lives Saved

to negotiate prices with drug manufacturers. The ubiquitous drug lobby has long argued or threatened that lower prices will negatively impact research and development. A recent report from the House Oversight committee reveals 14 of the largest manufacturers spent an outrageous $577 billion on stock buybacks and dividends from 2016 to 2020. That is $56 billion more than they spent on research and development those years. The argument that lower prices curtail R&D is totally debunked. There is no valid reason preventing Medicare from negotiating drug prices, especially considering Medicare sets prices for physicians and hospitals. This is one of the most obvious tools available to Medicare to ﬁnally lower drug prices.

A study by the Commonwealth Fund and the Yale Center for Infectious Disease Modeling and Analysis estimates the vaccine rollout has prevented around 1.25 million hospitalizations and 279,000 deaths. The study looked at what would have happened without the 328 million doses being delivered. An Aetna Foundation study found healthier communities tend to have far less vaccine hesitancy among residents. Traditionally less healthy states, clustered in the southeast part of the country, also have the lowest vaccination rates and highest hesitancy rates. In June, unvaccinated people accounted for 99% of deaths due to the virus. The CDC wants to get more vaccines to family medicine practices as they are highly trusted by the vaccine hesitant.

Drug Prices Once again, congress is pushing a bill that would allow Medicare to use its enormous purchasing power

Where Should We Invest? An article by Judith Graham in Kaiser Health News questioned our healthcare spending versus beneﬁts. The recent approval of the Alzheimer’s drug Aduhelm by the FDA inspired the article. $56 billion was invested in the drug with questionAugust 2021 •

Ban on Surprise ED bills Part of the Affordable Care Act is a “no surprise” provision. It prohibits insurers from retroactively denying emergency department claims for services considered not emergent. These denials virtually stick an ED with unexpected collection issues and the consumer with unexpected out of pocket bills. Insurers claim retroactive denials serve as incentives for their members to receive, what they deem to be primary or urgent care, in less costly settings like a physician ofﬁce, health center or urgent care facility. Most EDs do triage non-emergent patients to their “fast tracks,” but the bills are still much higher than they would be if care was delivered at a physician’s ofﬁce or urgent care facility. The rapid expansion of urgent care facilities with their extended hours of operation has drastically reduced unnecessary ED use. However, in many rural areas, the hospital ED is often the ONLY alternative for non-emergent care after 5 o’clock, on weekends and holidays.

Demand to Decrease Healthcare analytics ﬁrm Trillant is predicting demand for healthcare services will ﬂatten out or even

Push for Home Dialysis Reform Thirty-seven million Americans suffer from kidney disease; 550,000 of them require dialysis. Having to travel to a kidney dialysis center three times a week is a tremendous emotional, logistical, time, transportation, access and quality of life burden, especially is rural areas. Several industry players including home dialysis machine manufacturers, the National Kidney Foundation and the American Society for Nephrology are lobbying congress to remove antiquated or outmoded federal regulations that make it hard for patients to get home dialysis. The coalition’s goals are to modernize conditions for coverage, empower patients and provide a better quality of life. George W. Chapman is a healthcare business consultant who works exclusively with physicians, hospitals and healthcare organizations. He operates GW Chapman Consulting based in Syracuse. Email him at gwc@gwchapmanconsulting.com.

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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FDA Approves First Lymphoma Drug for Dogs

he first full approval of a drug to treat lymphoma in dogs has been granted by the U.S. Food and Drug Administration. “While canine lymphoma affects fewer than 70,000 dogs in the U.S. annually, it accounts for up to 24% of all cancers in dogs, making it one of the most significant canine cancers,” Steven Solomon, director of the FDA's Center for Veterinary Medicine, said in an agency news release. “For the first time, dog owners have the assurance of a treatment that has fully met the FDA’s standards for effectiveness in dogs.” Tanovea had previously received conditional approval under the FDA’s Minor Use and Minor Species program. At the time, the agency concluded that the drug was safe and had a “reasonable expectation of effectiveness” for treating rare cases of lymphoma in dogs. Conditional approval allowed drug maker VetDC Inc. to market Tanovea while collecting additional study data for full approval. The study included 158 dogs with lymphoma who received either Tanovea (120) or a placebo (38). Their ages ranged from 1 to 15 years in the Tanovea group and from 3 to 16 years in the placebo group. Overall, the drug extended median survival by 61 days. For dogs with a complete response to the drug, median progression-free survival was extended to 168 days, the findings showed. The approval of Tanovea “shows that drugs to treat rare animal diseases, like canine lymphoma, can go through the FDA's conditional approval pathway to reach full approval. This gives veterinarians another important tool to help extend the quality of life for dogs with lymphoma, and potentially give them and their owners more time together,” Solomon noted. The most common side effects in dogs treated with Tanovea included diarrhea, decreased appetite, vomiting, lethargy, weight loss and neutropenia (a decrease in a type of white blood cell), the FDA said. The most serious adverse events included pulmonary fibrosis and skin problems such as infection, ulceration and skin peeling. Veterinarians should warn pet owners about the possible adverse events and side effects before giving the drug to dogs, and provide owners with the client information sheet for the product, the FDA said

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Alpaca yoga at Ladue Alpacas, 1186 Ladue Road, Brockport.

Yoga with reindeer at Shortsville Reindeer Farm, 4285 Shortsville Road, Shortsville.

Want to ride the rails? A new excursion in the Finger Lakes lets you pedal as a pair.

5 Cool Fitness Adventures for Fall Region has several activity options to keep you going: from yoga with reindeer to rail rides By Kyra Mancine

ooking for new ways to stay in shape as we head toward autumn? No need to go inside just yet. We’ve found some unique outdoor activities that will get your heart rate up and take your workouts to a whole new level at the same time. From free to a small fee per session, these healthy experiences are perfect for the whole family, from newbie to experienced exerciser.

Reindeer Yoga Grab a friend or family member and relax as you strike a pose surrounded by alpacas or reindeer. Animal selfie opportunities abound as these cute, curious animals graze, rest and wander in the field around you. Shortsville Reindeer Farm (4285 Shortsville Road, Shortsville) has a small herd of docile, friendly reindeer. Its one-hour class is for all levels and concludes with 20 minutes of interacting with the reindeer. According to class instructor Dianne Murphey of Light and Life Yoga, “Yoga holds many benefits for the mind and body. It brings peace and stillness to your heart and soul. Combine that with the beauty of nature and the curiosity and charm of the reindeer, and it’s nothing short of pure bliss!“ • Sign up online via Facebook

www.facebook.com/ShortsvilleReindeerFarm.

Alpaca Yoga Prefer to experience yoga next to a fluffy alpaca? No problem! Check out Ladue Alpacas (1186 Ladue Road, Brockport) for morning alpaca yoga (every other Saturday at 8:30 a.m.) or ‘happy hour alpaca yoga’ (every other Friday at 6 p.m. with 10% off at Five Sons Winery & RG Brewery just around the corner afterwards). Bring a mat or blanket and be prepared for peaceful alpacas to graze around you and eat out of your hand. Classes are one hour (45 minutes of gentle yoga with15 minutes of meeting alpacas and fun facts). Each session is taught by a certified yoga instructor from local Holley studio, The Whole Approach, and is appropriate for all fitness levels and ages. • Visit www.laduealpacas.com/ alpaca-yoga for more details.

Roller Skating & Skateboarding These two sports are making a comeback, and retro old-school style skates are now all the rage. A new custom skate shop, Bruised Brigade, (83-85 Howell St., Rochester) offers a free roller-skating class on Monday nights at 6 p.m.

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • August 2021

Learn correct form, techniques and tricks as well as how to fall properly. Safety gear is strongly encouraged for beginners and certain exercises and drills require kneepads. The store has a variety of safety gear available for people to borrow if they don’t have their own yet. Owned by Bettie Pain, a NYC native and former roller derby member, the shop is meant to be a haven for skating enthusiasts. Delilah Mehallow, the shop’s social media manager, says that “skating is incredibly helpful for both mental and physical health, and tons of fun. It can be challenging or intimidating at ﬁrst, especially if you’re new or if you’re doing it alone and don’t know where to go. We want to make skating more accessible by providing a welcoming time and place to show people how to skate, where to skate and introduce them to other people who share their interest.” Want to try skate boarding instead? Check out its Beginner Skateboard Class on Saturdays at 3 pm. You can also participate in “Community Rollouts” on Fridays or Saturdays (weather dependent). It’s open to all wheels, from roller skates and boards to bikes and scooters. Don’t own skates? Visit their shop and they’ll make you some from your favorite pair of shoes! • Visit https://bruisedbrigade. com or on social media to learn more.

Rail Rides Want to ride the rails? A new excursion in the Finger Lakes lets you pedal as a pair! Take a relaxing, almost two-hour, five-mile round trip ride on a two-seat recumbent-style bike. A guide from Finger Lakes Rail Riders (2019 Havens Corners, Penn Yan) accompanies riders for safety. Need to rest on the ride? Each bike has a freewheel so you can coast for a bit as you let your partner do the work. There’s even a history lesson along the way as you listen to the history of rail roads and transportation in Yates County. Views range from cows and cornfields to a one-room Mennonite schoolhouse. Previously, the closest rail tour was in the Adirondacks and sessions sold out months in advance. We’re fortunate to now have a local option. Schedule your trip as the foliage peaks for added color and adventure. This exercise outing is ideal for all ages and abilities. • Visit www.flrailriders.com/ about to learn more and make a reservation.

Medication Drop Box Locations BRISTOL

Town Hall (585.229.4523)

Only YOU can secure your meds.

Monitor

Count your medications regularly.

Secure

Lock up any medications you don’t want anyone to access.

Dispose

Dispose of medications you are no longer using.

CANANDAIGUA

DMV Office (585.396.4210) FLCC, near gym (585.785.1000) Police Department (585.394.3311) The Medicine Shoppe (585.337-4300) Thompson Hospital, lobby (585.396.6000)

GENEVA

Police Department (315.828.6771) North Street Pharmacy (315.787.5388)

HOPEWELL

Ontario County Mental Health Clinic (585.396.4363)

NAPLES

Village Hall (585.374.2111)

PHELPS

Community Center (315.548.8484)

CLIFTON SPRINGS

RICHMOND

EAST BLOOMFIELD

RUSHVILLE

Hospital & Clinic, lobby (315.462.9561) Town Hall (585.657.6515)

FARMINGTON

State Trooper Barracks (585.398.4100)

Town Hall (585.229.5757) CVS Pharmacy (585.229.2285) Village Hall (585.554.3415)

SHORTSVILLE

Red Jacket Pharmacy (585.289.3002)

VICTOR

Mead Square Pharmacy (585.924.7970)

Questions?

Call us at (585)

396-4554

Health Career

Medical Scheduler: Helping Patients to Schedule Visits The job can offer a means of getting into the administrative side of healthcare. Median salary in Rochester is $34,730 By Deborah Jeanne Sergeant

he medical scheduler is a non-clinical role that includes direct contact with both patients and providers, forming a vital

link between those giving and receiving healthcare. While not requiring any education beyond a high school diploma, August 2021 •

this job can offer a means of getting into the administrative side of healthcare. “Medical schedulers play an integral role to keep patient flow on track and the practice running efficiently,” said Maureen Bisaccio, director of Adecco Medical & Science for Upstate New York. “By relieving doctors and nursing staff from certain responsibilities, it allows them to focus on providing more hands-on patient care.” Medical schedulers help patients get on a provider’s schedule for a visit. They may also schedule home visits from some types of providers and schedule transportation to visits. This happens over the phone and sometimes in person, so a good candidate for a medical scheduler position should have good people skills and phone skills. Since medical offices use technology to keep all their visits organized, a medical scheduler should also possess proficiency in Microsoft Office and be capable of learning any practice-specific software. “Medical schedulers often work in a fast-paced environment,” Bisaccio said. “An ideal candidate will be detail-oriented, organized and have the ability to multi-task in a busy practice. Other soft skills include someone who has excellent communication skills and is professional and personable. As in any medical environment, there’s also an element of compassion and patience necessary to provide best in class service to patients.” A medical facility can be a stressful and busy environment. For this reason, Farah Roman, director of staffing services for RBA Staffing in Rochester, said that a good medical scheduler should have organizational skills. “It should be someone who can take ownership, has the ambition to troubleshoot and prioritize and reprioritize as the day goes on,” she said. “You have to work under pressure as you make changes to the schedule and meet the needs of the patient, provider and other staff.” Medical schedulers also help

incoming patients know what preparation they will need to undertake before arriving for their visit, such as whether to eat, what to wear, and COVID precautions. Roman said that previous work as a medical receptionist can be helpful. “It is so much more than making appointments,” she added. Smaller practices may require a medical scheduler to perform more secretarial duties, such as filing, reception, and managing the office. Larger facilities may use the worker as only a scheduler. A successful medical scheduler may have a number of opportunities for advancement in a few different environments. “The world is your oyster if you’re a clerical support person in the medical world,” said Colleen Ester medical team lead for TES Staffing in Rochester. “Be very open-minded to the environment and the challenges you’re facing. It could include working as a practice manger, office manager, or in compliance.” Working as a medical scheduler can offer exposure to many facets of the medical office. While some medical offices have added online scheduling, Ester does not see medical scheduling as an endangered career choice. Some people prefer making their medical appointments with a person rather than an online calendar. Some people have questions that require a phone conversation. Many medical offices believe that the customer service offered by a medical scheduler cannot be replicated through a website. “These offices depend on the medical scheduler to give a full level of care from the person on the phone until the physician,” Roman said. “They are a part of that whole service delivery. “The procedure for checking in an office has changed. Having someone walk you through that and ask you those screening questions--I don’t see going away anytime soon.” The Bureau of Labor Statistics states that the annual mean wage for a medical scheduler in the Rochester area is $34,730.

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Hypnosis: How it Can Help Eliminate Phobias and Anxiety By Rekha Shrivastava

hobias are deﬁned as an overwhelming, irrational and persistent fear, and may lead to avoidant behaviors, anxiety and sometimes severe panic attacks. According to the National Institute of Mental Health, an estimated 12.5% of U.S. adults experience speciﬁc phobias at some point in their lives. For those who experience moderate to severe symptoms, living a normal life can be challenging. Phobias can become irrational and debilitating, and sometimes even simple day-to-day activities can become problematic. For the millions of Americans who suffer daily from the negative impact of single or multiple phobias, knowing where to turn can be a challenge. There are many reasons why patients aren’t able to get the help they need. Beyond common issues such as embarrassment, denial and the social stigma associated with mental health, often the phobia itself may make reaching out to others feel impossible. Fortunately, with improved recognition of the negative impact of phobias and anxiety, more people are seeking the help they so desperately need. Hypnosis and cognitive behavioral therapy (CBT) are some of the most effective therapies in treating people with these debilitating conditions. The choice of hypnotherapist and treatment strategy can have a major impact on both short- and long-term success. The majority of our clients have already failed with both traditional and nontraditional approaches. Many are referred from their primary care providers, who recognize that their patients are best managed when the mind and body are treated

together. At Blossom Hypnosis, we specialize in treating patients holistically. Phobias and anxieties can be deep-rooted, developed over a lifetime by a conditioning process. The only way to ensure long term results is to understand the true source of the problem. Hypnosis provides the tools to unlearn these associations, resulting in a healthier behavioral response. A skilled hypnotist unearths the underlying issues and conflicts, and offers subconscious suggestions that allow for a healthy response to anxiety provoking triggers. Using tools such as visualization and gradual exposure, fears are faced in a safe, supportive environment. Retraining the subconscious mind allows sufferers to tackle everyday problems with confidence that can last a lifetime. We recognize that every phobia is unique in origin, requiring a methodical and multifaceted approach. Our clients’ testimonials highlight the range of pathologies that we have successfully treated utilizing our unique approach. From complex addictions and depression, to every day fears and emotional disorders, almost any challenge can be overcome. Not all hypnotists have the decades of experience, higher education, and certifications that are offered at Blossom. With a free detailed analysis, there is no risk to taking the first step towards a better and more functional life. Rekha Shrivastava, MS, is a certified hypnotist and certified rehabilitation counselor. She operates Blossom Hypnosis, 700 W. Metro Park, Rochester. Contact her at 585-2812988 or visit blossomhypnosis.org.

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U.S. Deaths From Cancer Continue to Decline

mericans’ overall death rate from cancer continues to fall — but rising rates of certain cancers and ongoing racial disparities linger. Those are among the ﬁndings of an annual report to the nation from several major cancer organizations. The good news includes an accelerating decline in the overall cancer death rate, among both women and men, and across racial and ethnic groups. In particular, deaths from lung cancer and melanoma are dropping more rapidly. The progress against lung cancer can be credited to both a decline in smoking and to treatment advances, said report author Farhad Islami, a physician with the American Cancer Society. Similarly, he said, doctors now have better treatments for advanced melanoma, the deadliest form of skin cancer. They include drugs that help the immune system battle the disease. The trends with some other common cancers were somewhat less positive: For both colon and breast cancers, where deaths have long been falling, the decrease has slowed down in recent years. Those cancers can be caught early through routine screening, and treatments for both have improved over the years. But trends in screening may help explain why colon cancer deaths are dipping more slowly now: Between 2000 and 2010, Islami said, there was a substantial increase in the number of Americans getting recommended screening tests. But since 2010, he said, there have been only small improvements. At the same time, colon can-

from local, national, & international clients

700 West Metro Park, Rochester, NY 14623 Page 10

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • August 2021

cer incidence has risen among Americans younger than 50 — a trend that may be largely related to obesity, Islami said. As for the slowed decline in breast cancer deaths, the reasons are not clear. But the incidence of the cancer is climbing — which, Islami said, may also be related to obesity, as well as factors like sedentary lifestyle and delayed childbirth. The report — published July 8 in the Journal of the National Cancer Institute — draws on federal cancer surveillance data and vital statistics for 2001 through 2018. On the broad level, cancer deaths fell at increasing clip over those years: Among women, the death rate declined 1.4% per year from 2001 to 2015, then sped up to 2.1% per year from 2015 to 2018. For men, those ﬁgures were 1.8% and 2.3%, respectively. Rapid declines in lung cancer deaths were one reason: Among men, for example, that rate was decreasing by 2% per year in the early 2000s, then accelerated to 5.7% per year between 2015 and 2018. The report identiﬁed another big area where the U.S. can do better: bridging the racial gap in cancer deaths. While deaths generally declined across racial and ethnic groups, disparities remained. Black women, for instance, have a similar incidence of breast cancer as white women — but are still 40% more likely to die. Islami said that ongoing efforts to boost cancer screenings among underserved Americans are vital, but not enough on their own. “People also need access to timely treatment, and to quality treatment,” he said.

Things You Need to Know to Protect Your Skin

of vitamin C 3.Importance serum.

By Ernst Lamothe Jr.

ow with the summer in full swing and people outside for longer periods of time, there is a risk that you could be enjoying yourself while damaging your skin. “One in ﬁve Americans will develop skin cancer in their lifetime. Skin cancer is preventable with strict sun protection and optimal skin care,” said physician Mara Weinstein, assistant professor of dermatologist at the University of Rochester Medical Center. “The skin is the largest organ on the body and maintaining a healthy skin barrier with adequate moisture will help prevent infection and improve skin conditions like eczema.” Weinstein, who sees patients at UR Medicine Dermatology’s College Town location in Rochester, discusses ﬁve facts about proper skin care.

abound around 1.Myths skin care

Everyone has their own personal view about skin care, whether that is the kind of sunscreen you should put on, while others believe the natural rays of the sun should glisten your skin without sunscreen, especially on cloudy days. “In fact, we know 80% of ultraviolet rays will penetrate through cloud cover,” said Weinstein. “Another myth is that darker skin individuals don’t have to wear sunscreen, but

old, sunscreens with mineral blockers are safe to use. They should be applied at least 15 minutes before going outside and reapplied every two hours with consistent sun exposure,” said Weinstein.

the truth is sun exposure in the form of UV rays can lead to premature aging, damage DNA cells, contribute to the formation of sun brown spots and worsen hyperpigmentation. Darker skinned patients can also develop skin cancer, although the risk is less.” Ultraviolet rays can also penetrate through window glass, so sunscreen is essential if you work close to a window throughout the day or if you are driving. Many times people forget to apply sunscreen to the backs of their hands. “I see many patients with brown spots and precancerous lesions on the backs of their hands,” said Weinstein. She also recommendations opting for sunscreen with active compounds such as titanium dioxide and zinc oxide. These are natural compounds that sit on the surface of the skin and deﬂect sunlight so that UV radiation doesn’t penetrate the skin.

2.Sunscreen for babies

The American Academy of Dermatology recommends that babies younger than 6 months old not to wear sunscreen. Instead, they should wear sun protective clothing with a UPF of 50 or higher, avoid the peak hours of sunlight exposure between 10 a.m.-2 p.m. and also seek shade when outside. “For babies older than 6 months

Vitamin C is an antioxidant and protects your skin from free radical damage and oxidative stress caused by UV exposure and pollution. This can lead to skin aging and wrinkling in addition to the development of solar lentigines or sun spots. The antioxidant properties of vitamin C help ﬁght free radicals and damage caused by UV radiation. “It is an essential part of a daily skin care routine and should be applied in the morning after cleansing and before sunscreen,” she said.

or higher) and a retinoid or retinol cream at night, which helps promote cell turnover leading to increased collagen production and clear pores. In your 20s, Weinstein recommends washing at least once daily with a gentle cleanse and applying an antioxidant serum to prevent free radical damage from sun and pollution. In your 30s, add a cleanser with Alpha hydroxy acid (AHA) like glycolic acid to gently exfoliate two to three times weekly and continue a daily antioxidant serum. In your 40s, use a rich moisture cream at all times containing lipids and ceramides to restore moisture barriers, which is lost with age and choose an eye cream with peptides and growth factors. In your 50s, cleanser or cream with an AHA like glycolic acid once or twice a week, antioxidant serum and eye and neck cream.

4.Wear hats

Hats are an essential part of protecting your skin from the sun. A wide-brimmed hat is preferable because oftentimes we will see skin cancers develop on the top of ears, tip of nose and back of the neck where a regular baseball cap would not cover. “Wide brimmed hats will protect your skin in these often forgotten areas. Let’s not forget the importance of protecting the scalp as well,” said Weinstein.

5.Daily skin care

Skin care regimen recommendations will vary based on skin type, age and speciﬁc concerns such as acne, dry skin, aging skin. In general, a skin regimen will consist of a vitamin C serum in the morning paired with sunscreen (SPF 30

Physician Mara Weinstein practices at UR Medicine Dermatology’s College Town location. She is assistant professor of dermatologist at the University of Rochester Medical Center.

Caring for the Moﬆ Important People on Earth.

August 2021 •

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Page 11

category. Q. They don’t have to satisfy income requirements? A. We do an income assessment and we apply a sliding scale. That’s $0 to $50. For the most part the copays fall within the $0 to $20 range. Geography also plays no part in what we do. We have people that come as far away as Buffalo, Binghamton, Syracuse because they can’t ﬁnd the services that they need where they live.

Q A &

with Sister Christine Wagner Neighborhood Center executive director (and cofounder) talks about the groups’ mission, challenges. By Mike Costanza

t. Joseph’s Neighborhood Center provides medical care, mental health counseling, social services and many other forms of assistance for a huge number of people each year. No one is turned away due to lack of insurance, an inability to pay for a service or the place in which they live. The nonprofit, which is located on South Avenue in Rochester, has only 20 people on its payroll, and a budget of just less than $1.7 million. In Good Health spoke to Sister Christine Wagner, the Neighborhood Center’s executive director, about its role in local health care and the challenges it faces. Wagner was one of the five nuns of the Sisters of St. Joseph of Rochester, a Catholic order, who founded the nonprofit in 1993. Q. What’s the mission of St. Joseph’s Neighborhood Center? A. The mission of the center is to provide high quality comprehensive

integrated care to those who don’t have access to adequate insurance coverage in an equitable manner and environment. Q. Are you part of the Sisters of St. Joseph of Rochester? A. We’re really rooted in the service traditions of the Sisters of St. Joseph, but we’re separately incorporated and have been since 2012. We are unafﬁliated with the diocese. Q. The Neighborhood Center has about 1,400 patients or clients on its roster. What kind of people does it serve? A. We have the capacity to serve from birth to senior, but most of our patients are 30 to 65 years old. They are uninsured for the most part. I would say 75% are working, but either make too much to be eligible for a public insurance product on the New York state marketplace or Medicaid, or can’t afford to buy their own product. So they fall in an uninsured

Q. Would you tell the readers what types of care or other assistance the Neighborhood Center provides? A. We have full primary (medical) care. Patients see their own physicians consistently. We have dental services, both restorative and preventive and have full mental health services, including psychiatry. We also have sub-specialty care right on site, specialists who come in to see patients. Q. Your nonprofit’s budget is quite small. How can it afford to offer specialized care? A. We’ve been very successful in getting volunteers—professionals—who come in on a periodic basis and see the folks that need consults. Cardiology, pulmonology, neurology, dermatology, orthopedics, if it can’t be rendered onsite at the Neighborhood Center, we’ll find a place. It might be like the ortho clinic at Strong (Memorial Hospital) or a dermatology office that’s offsite. Q. How many volunteers give their time to the Neighborhood Center? A. Between 400 and 500. If I were to break that down, it would be about 100 licensed professionals who volunteer their time. We also have a lot of students we number in our volunteers. Q. You mentioned that St. Joseph’s provides social services. Can you tell us the kinds of assistance you offer? A. We have a full range of social services which attend to the social determinants of health for our patients and clients. If we see they’re eligible for medical insurance, we help them apply. We can certify people for SNAP (Supplemental Nutrition Assistance Program) benefits through the county. We can also give referrals for food, clothing, housing and legal services. Whatever is a burden or troublesome for people, we’re able to either give them a service or give them a trusted referral to another agency.

Q. In addition to taking care of its regular patients, the Neighborhood Center provides minimal services to as many as 2,600 more each year. What does it do for them? A. We make a lot of exceptions beyond who our regular enrolled patients are. We do a lot of work physicals, school physicals, certifications, that kind of thing. Somebody might visit the area, and need to be seen. Q. The Neighborhood Center doesn’t receive reimbursements from insurance companies. How do you finance your services? A. A full 80% to 90% of our income is from community donations. It could be from individuals, from grants, and we have one or two fundraisers a year. Q. The Neighborhood Center remained open for all but a few days during the pandemic lockdown. How did you take care of patients who couldn’t visit in person? A. We made several rounds of calls to all our patients. At first, it was to assure people that we were there. That we couldn’t open yet, but they should just call us with whatever they needed. At that point, the biggest need was for food, and we were able to direct people to emergency food sources. As time went by, people were running out of their medications, so we got them their medications. Then we started seeing people on site, but with very strict protocols for the safety of the staff and the patients. Now, were seeing patients regularly in every department. Q. What challenges does the Neighborhood Center face in the coming years? A. We, for 20-some years now, have relied on hand-to-mouth. During the pandemic, we were given many times the largest donation that we have ever had from a longtime benefactor. That’s going to be the basis or foundation of building some cushion that we can invest. Our board is in a position right now to take a more substantive look at sustainable financing. We’re also quite frustrated with the number of people that are still uninsured or without appropriate care who don’t know about us. We are just finishing a strategic plan that has three themes. One of them is greater outreach into the community. It’s going to be a multifaceted approach. For more information on St. Joseph’s Neighborhood Center, or to make a donation to the nonprofit, go to: https://www. sjncenter.org

Canandaigua • Geneva • Newark TheEyeCareCenter.com

Need Great Glasses? Absolutely! Simply order your glasses & frames at The Eye Care Center (next to Newark-Wayne Community Hospital). Enjoy a $25 gift card to Wegmans as a thank you!* Call for your appointment: 585-394-2020.

Page 12

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • August 2021

*Some restrictions apply. Offer only available at Newark location.

Foodlink Adapting to Meet Public Needs Post-COVID-19

Group has restarted Curbside Market as way to make nutritious food available to people who need it By Deborah Jeanne Sergeant

s the pandemic subsides, Foodlink has been adapting to continue to provide low-cost food to the community. In April, Foodlink phased out its drivethrough distribution in favor of reviving its Curbside Market program. Florence Clemmons in Foodlink’s community engagement said customers asked Foodlink to restart

Curbside Market. COVID-19 had previously paused that outreach until the organization received clearance to resume and had developed a safety plan. “Curbside market staff go through the health checks every day, so they’re on the truck ﬁlling orders,” Clemmons said. “We’re wearing masks and social distancing. People

appreciate we’re back in the community.” Before COVID-19, Foodlink distributed food at more than 100 sites. However, the pandemic reduced that to just a few. Now that restrictions are lifting, Foodlink is back up to more than 30 sites of distribution. Restarting Curbside Market, a program begun in 2013, has helped with the reopening, bringing affordable food to income-based housing areas and senior communities, where for some, transportation is as much of an issue as affordability. By bringing fresh produce and perishable items to areas considered “food deserts,” Foodlink fills a vital role in promoting access to healthful foods. The comeback of Curbside Market has been gradual. Clemmons said that some sites have not requested their return. However, Foodlink would like to add more refrigerated trucks to its fleet to serve as Curbside Market vehicles. Each is outfitted with shelves to mimic a store interior. “They’re like mobile markets,” Clemmons said. She added that disruptions in the supply chain have led to shortages of this type of truck. A multi-year government grant has enabled Foodlink to provide WIC-eligible foods. Foodlink is piloting the program at a few community partner sites. Clemmons said that part of the reason for this expansion is to help meet needs in communities that have seen a decline in WIC-eligible vendors in the area and to make it easier to use WIC benefits. “One of the barriers to using WIC is if you select the wrong product and you are at the counter when you discover it, you have to go back,” Clemmons said. “It can be

embarrassing.” Even if a person picks up the correct brand, it could be the wrong sized container or the wrong product sold by that brand. Foodlink’s strategy to eliminate this issue is to carry only WIC-eligible items so that customers know that their beneﬁts will work. “We will learn more from our WIC users to help us build out a good WIC plan,” Clemmons said. Foodlink sources its food from local farmers, food vendors and its own Lexington Avenue Farm in Rochester. Volunteers on the farm grow produce and harvest honey from its hives. By purchasing in bulk, Foodlink can provide food at reduced cost to customers. Foodlink does not accept donated goods. In addition to WIC, Foodlink also accepts cash, debit, and SNAP (formerly food stamps). Foodlink matches SNAP beneﬁts up to $20 to help customers better afford healthful food. “We also accept the farmer market nutrition program coupon issued by Ag & Markets,” Clemmons added. “They’re able to use them on local, fresh fruits and vegetables. Many people think that Curbside Market is open only to those who live at the sites it visits, but anyone can shop there.” Curbside Market sells more than $300,000 worth of food annually. In 2019, it received more than 40,000 visits. Among those surveyed, 75% of its customers shop there weekly and 90% said that they would recommend it to others. Curbside Market’s schedule is at https://foodlinkny.org — then type Curbside Market schedule.

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Page 13

SmartBites By Anne Palumbo

The skinny on healthy eating

4 Reasons to Eat More Blueberries

hen it comes to superfoods—foods that abound with compounds considered especially beneﬁcial to a person’s health—blueberries always make the top 10 list. What gives blueberries this nutritional edge? And why should we eat more of this powerhouse fruit? Let’s take a look at four good reasons.

1. Longevity Promoters Research shows that blueberries may have one of the highest antioxidant levels of all common fruits and vegetables. Antioxidants protect your body by neutralizing free radicals, which are unstable molecules that can damage cells and contribute to aging and diseases, such as Alzheimer’s, cancer, and diabetes. Although free radicals are naturally produced by the body, lifestyle factors—such as smoking, alcohol, fried foods—can accelerate their production, resulting in an unhealthy balance.

2. Brain Boosters Blueberries, which teem with ﬂavonoids, a particular plant compound with powerful antioxidant and anti-inﬂammatory properties,

appear to reduce cognitive decline in the elderly, according to research published in Annals of Neurology. The study suggests that cognitive aging could be delayed by up to 2.5 years in older adults who consumed greater amounts of this nutrient-dense berry. Studies have also found that blueberries may improve a person’s short-term memory and motor coordination.

3. Blood Pressure Reducers Concerned about high blood pressure? Eating just one cup of blueberries a week may cut your risk of developing hypertension, a major risk factor for heart disease. Anthocyanins—the pigments that give red, purple and blue fruits and vegetables their rich coloring—seem to protect against high blood pressure, says a recent study published in the American Journal of Clinical Nutrition. While there is no cure for hypertension, making lifestyle changes—such as eating more berries—may lower your risk of heart disease, stroke, kidney disease and more.

4. Bone Builders Blueberries contain a unique mix

of minerals and vitamins that contribute to bone health, most notably vitamins C and K and the mineral manganese. While vitamin C is essential to the formation of collagen (the foundation that bone mineralization relies on), vitamin K helps to make various proteins that are needed for the building of bones. Manganese may help promote strong, dense bones when combined with calcium and vitamin D.

Healthy Blueberry Parfait with Granola 1 cup blueberries, washed and dried 1 cup plain Greek yogurt (or yogurt of choice) ½ cup granola Spoon ½ cup yogurt in the bottom of a glass and smooth the top. Add ¼ cup granola and ½ cup blueberries. Repeat the layers and eat right away, or chill in fridge until ready to eat.

Helpful tips Shake the blueberry container before purchase, noticing whether the berries move freely: if they do not, this may indicate that they are old, soft, or spoiled. Before storing, remove any crushed or moldy berries to prevent the rest from spoiling. Place in covered container and store in refrigerator for ﬁve to seven days. Don’t wash blueberries until right before eating as washing removes the bloom that protects the berries’ skin from degradation.

Anne Palumbo is a lifestyle colum-

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

Whole Grains Every Day: Key to Your Health and Waistline

W You don’t have to face hearing loss alone. The Rochester Chapter of the Hearing Loss Association of America (HLAA) invites everyone in Upstate and Western New York to use its resources in support of people affected by hearing loss.

Youprograms don’t have to Our areto virtual You don’t have face hearing loss alone. and open to all! face hearing loss alone.

The other Rochester Chapter of the Meet people with hearing Theand Rochester Chapter of the Hearing Loss Association of loss learn from professionals Hearing Loss Association of that treat it. America (HLAA) unites people America (HLAA) unites people with all degrees of hearing loss. with all degrees of hearing loss. Programs are Come to one of ourcaptioned monthly Come to one of our monthly chapter meetingson to meet and archived YouTube chapter meetings to meet others with hearing loss and others with hearing loss and learn from the professionals For details, and links learn fromschedules, the professionals towho our treat resources, please visit: who treat it. it.

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hole grains can help older adults maintain a thinner waist, lower blood pressure and lower blood sugar, new research suggests. Just three servings a day may do the trick, the authors said. One serving is a slice of wholegrain bread, a half-cup of rolled oat cereal, or a half-cup of brown rice. Researchers noted that their study — partially funded by the General Mills Bell Institute of Health and Nutrition — doesn’t prove that whole grains are protective, only that there appears to be a link between them and waist size, blood pressure and blood sugar. “These are all risk factors that can contribute to the development of heart disease if not maintained at healthy levels,” said study co-author Nicola McKeown of the nutritional epidemiology team at Tufts University’s Jean Mayer USDA Human Nutrition Research Center on Aging in Boston. The researchers used data from a health study of residents in Framingham, Massachusetts, which started in 1948. They looked at health outcomes linked to whole and reﬁned grains in the diets of more than 3,100 participants. Data was collected every four years over a median follow-up of 18 years. (Median means half were followed longer, half for less time.) The new study compared chang-

es in five heart disease risk factors — blood pressure, blood sugar, cholesterol, triglycerides and waist size — with reported intake of whole grains. Researchers examined effects of eating less than a half-serving to three or more a day. The upshot: People who ate few whole gains gained an inch around the waist every four years — compared to a half-inch among those who ate the most whole grains. Participants who ate fewer whole grains also saw bigger increases in blood pressure and blood sugar than those who ate the most whole grains. While whole grain intake was also associated with improvements in blood levels of HDL, or good, cholesterol, as well as triglycerides, the findings were not significant, researchers added. For waist size, blood pressure and blood sugar, the greatest benefit came from having three to four servings of whole grains a day. Most whole grains came from whole wheat breads and ready-to-eat cereals. Refined grains were mostly pasta and white bread. McKeon said whole grains probably

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • August 2021

help prevent adverse changes in risk factors studied in several ways, but the mechanisms aren’t yet known. “For instance, in terms of helping prevent gain in body fat, the beneﬁts may be related to the ﬁber in whole grains, which can help to prevent post-meal blood sugar spikes, help us to feel full so that we might eat a little less, or even feed our healthy gut microbes," she said. Other nutrients found in whole grains, such as magnesium, may help with maintaining healthy blood sugar levels and blood pressure. “And then we have the many phytochemicals found in whole grains that may act alone or in synergy with other nutrients to help maintain our health as we age,” McKeon said. “This is still a very active area of research.”

BACK TO SCHOOL

Remote Learning Hurt High School Students Academically, Emotionally

here were academic, social and emotional consequences for U.S. high school students who attended classes remotely during

the COVID-19 pandemic, new research shows. The study included more than 6,500 students in Orange County

Public Schools in Florida, who were surveyed in October 2020, when twothirds were attending school remotely and one-third were attending in person. On a 100-point scale, in-person students scored higher than remote students on social well-being (77.2 vs 74.8), emotional well-being (57.4 vs 55.7) and academic well-being (78.4 vs 77.3). This “thriving gap” was consistent across gender, race/ethnicity and socioeconomic status, according to the study published online July 13 in the journal Educational Researcher. “Notably, the thriving gap was larger among students in 10th through 12th grades than it was among ninth graders,” study co-author Laurence Steinberg, a professor at Temple University in Philadelphia, said in a journal news release. While the differences between the two groups of students aren’t large, even small effects are significant when they impact millions of people, the researchers explained. “Many news stories have reported on individual stories of teenagers who have suffered from anxiety, depression and other mental health challenges during the pandemic,” said study author Angela Duckworth, a professor at the

University of Pennsylvania and the founder and CEO of Character Lab. “This study gives some of the first empirical evidence of how learning remotely has affected adolescent well-being,” Duckworth added. Social well-being was assessed by asking the students about fitting in at school, whether there was an adult in their school who could offer support or advice, and whether there was an adult in their school who always wanted them to do their best. For emotional well-being, the teens were asked how often they felt happy, relaxed and sad, and how they felt overall about their life. For academic well-being, the students were asked how interesting they found their classes, how important they felt it was for them to do well in their classes, and how confident they were that they could succeed in their classes if they tried. “As policymakers gear up for national tutoring and remediation programs — which we agree are urgent priorities — we must recognize that our nation’s students are not just lagging as performers, they are suffering as people,” Duckworth said. “Meeting their intrinsic psychological needs — for social connection, for positive emotion, and authentic intellectual engagement — is a challenge that cannot wait,” she added.

sion. If a child’s anxiety has been going on for a while, interfering with everyday life or preventing the child from getting on the school bus, it may be a sign the child needs help, according to Jessica Mitchell, Ph.D., director of Ontario County Mental Health. “It may not be something they should go to a mental health provider, but services at the school may help,” Mitchell said. “Try to engage with the school counselor to help with that transition.” The school may help the child identify someone who can help during the day if a problem arises, for example. A school counselor is likely a good contact. Mitchell said that returning to school after the pandemic is likely going to cause additional anxiety for children since last school year was so different. “For certain, we’ve seen in the community in general more mental health needs and deﬁnitely for children,” she said. “We often see struggle after the summer. Some of

that is expected because they’ve been out of school so long. The limited social interactions for safety reasons are having an impact on people in general.” She advises parents to talk with their children about the upcoming school year occasionally to gradually expose them to what they should expect with going back to school. This can also help parents know how their children feel about school starting again. She also wants children to tour the school if possible so they can learn what to anticipate once they go back to school. “They can tour the classroom, meet teachers and see where their locker is,” Mitchell said. “That exposure can help reduce anxiety about getting lost. For the elementary kids, they’ll even offer a meet-andgreet. The more you can make it less ambiguous that’s better. The same is true for the bus garage. We’ve seen kids for whom the bus is the biggest thing they stress about. Buses can be pretty chaotic. That also may be something they could anticipate.”

Dealing with Back-toSchool Anxiety: What Can Parents Do?

Start preparing a couple weeks beforehand to make heading back to school stress-free By Deborah Jeanne Sergeant

ost children feel excitement and perhaps nervousness about their ﬁrst day back at school after summer break. For the 2021-22 school year, COVID-19 may bring more changes—and, for some, concerns. But what indicates garden-variety jitters compared with anxiety that warrants help? Area experts weighed in. “Any time kids go through changes, they experience stress,” said Melissa Heatly, Ph.D., a clinical psychologist who directs the expanded School Mental Health Initiatives at URMC and works as assistant professor in URMC department of psychiatry. She added that although children are resilient, “we’ve had a year where kids are quite stressed. Kids may come back to school with more anxiety than usual.” Summertime often represents for children a period of greater freedom, relaxed schedules and more time to play. While this much-needed break can help them recharge for learning in September, it also means that they are out of synch for the schooltime schedule. To combat this effect, Heatly recommends getting back to a regular bedtime and mealtime at least two weeks before school begins.

“Structure and routine help create dependability but they need time for exploration,” Heatly said. “Sleep is a huge, huge factor.” Children may manifest their worries about school by verbally expressing concern, saying they do not want to go back or excessively planning their return. Striking a good balance between planning and obsessing can help children feel prepared, yet ﬂexible if things go differently than they anticipated. “Look at the school website to see their teachers’ pictures,” Heatly suggested. “Predict good things about the upcoming year, like the good times and what their school day will look like. Especially if kids are changing buildings, they should tour the building before school.” She added that parents should identify who their children should ask for help if they need help, like the school counselors or principals. For most children, a few steps like these can dial down their apprehenJessica Mitchell August 2021 •

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Back to School for Kids on the Autism Spectrum Be patient and realistic. It could get overwhelming for the parents and the child By Deborah Jeanne Sergeant

any children feel excited about going back to school — but for some children on the autism spectrum, the thought of returning to school feels overwhelming. Routine helps many children with autism thrive. The tumultuous 2020-2021 school year was anything but predictable. In addition to typical ﬁrst-day jitters, children on the autism spectrum may feel particularly uncertain as they begin the new school year. Melissa Heatly, Ph.D., is a clinical psychologist and assistant professor in psychiatry who directs the School Mental Health Initiatives at URMC.

She advises parents to develop a social story to help their children on the spectrum create some predictability. “It can be like drawing pictures of what the ﬁrst day will be like, such as getting on the bus, riding the bus, walking in the building,” she said. “You can talk about, ‘My teacher will be smiling for me. I will say hello.’ It helps kids visualize what their day will be like.” She also recommends having children take a comfort item to school. However, school personnel should know about the importance of this item in advance. Whether on or off the spectrum, children feed into their parents’ emo-

tional state. For this reason, Heatly cautions parents to remain calm and reassuring. “They should let their children know that they wouldn’t leave them if they weren’t safe,” Heatly said. When it’s time to drop children off, goodbyes should be brief. Teachers know how to distract children and draw them away from focusing on their nervousness. It is better to leave instead of linger. “Children should know that they can do difﬁcult things,” Heatly said. “We can learn how to overcome them. We need to help a child believe in their own abilities.” By helping children move out of their comfort zone, parents can help children grow emotionally. While Mary Brzustowicz likes using visual supports, as a family navigator with AutismUp in Rochester, she realizes that some children who are very rigid thinkers may balk if they arrive at their classroom to ﬁnd a blue desk and the photos showed a green desk. “That’s where a cartoon desk is helpful,” she said. Going from lax summer bedtimes to school night bedtimes should not happen overnight. Brzustowicz said that beginning the transition three weeks in advance of school’s start can help ensure children are well-rested for school. Parents are experts in their own children, so Brzustowicz encourages them to stay in contact with the school to share learning strategies that work. “We always recommend for parents to print out a page about your child,” she said. “What are their preferred things, strengths and weaknesses? Preferred topics? When perhaps the classroom teacher sees your child is getting the wiggles, maybe incorporate a Thomas the Train illustration into the math lesson. It can deescalate them. If the parent doesn’t share that, the teacher won’t know

that.” Parents should also remain open to the school’s feedback and try to share regularly through a folder, emails or whatever means is easiest for both the parent and Lawana Jones school personnel. By keeping a dated log of communication, parents can better track trends and know who said what and when they said it. “The boat goes much better if we’re rowing in the same direction,” Brzustowicz said. “We need to be willing to work as a team. Keep all your communication respectful. Sometimes, the parent, yours truly included, needs to be open to what the school is saying, too.” A child’s special needs adds challenges to the already enormous undertaking of being a parent. Lawana Jones, president and CEO of The Autism Council of Rochester, reminds parents to care for themselves. “Focus on what’s going right day by day,” she said. “Find an activity you can do that’s calming. Parents need to remember they’re doing the best they can do.” Staying in touch with how the child feels also helps parents know they’re doing. Jones suggested using a communication board to convey feelings and concerns. By showing “I feel sad” or “I feel afraid” on the board, children who struggle verbally can still express how their school experience is going. “Be patient and realistic,” Jones said. “It could get overwhelming for the parents and the child. We need a level of grace, including for the teachers and administration. It really needs to be a partnership.”

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Experts warn that energy drinks aren’t healthful pick-me-up beverages By Deborah Jeanne Sergeant

hugging energy drinks seems like an easy way for children and teens to get a quick burst of zip to power through a busy school day and perform well in their activities. Area experts warn that energy drinks are not healthful pick-me-up beverages. While they boast vitamin and mineral content—derived from supplements—energy drinks also contain unhealthful ingredients. Supplements are not regulated by the Food and Drug Administration. The various supplements in energy drinks may not be helpful at all or could be so high as to cause harm, especially when consumed by children. Since energy drinks are sold as “supplements” and not as beverages, the label claims can remain unveriﬁed. “Essentially, all of the research around sports and energy drinks have been done by the industry that makes money off of the sales of these drinks,” said physician Holly Ann Russell, medical director of clinical and community-based programs at the Center for Community Health & Prevention at the University of Rochester Medical Center and Family Medicine Physician at Highland Family Medicine. “Thus, there are huge conﬂicts of interest.” Like sports drinks, energy drinks contain excessive sugar and, Russell added, “don’t provide any nutritional value.” One 16-ounce energy drink can contain as much as 62 grams of sugar, far beyond the maximum allowance for a day. The empty calories in energy drinks replace calories from nutritious foods and the sugar content contributes to tooth decay. Energy drinks’ boost also comes from a high concentration of caffeine. “Caffeine is not great for kids,” said Heather Carrera, doctor of clinical nutrition and adjunct professor at Monroe Community College. “It’s a stimulant. It can cause heart complications and insomnia.”

Children should not drink any caffeinated beverages. Because most children ﬁnd coffee too bitter, energy drinks seem a more appealing stimulant alternative. Unlike coffee, which does contain some naturally occurring antioxidants, energy drinks provide nothing proven beneﬁcial. Carrera said that their added supplements, herbs and amino acids have not been well-studied with children. “There’s potential for health issues when it comes to unregulated things,” she said. “Energy drinks are not good for anyone, but especially for young kids who are growing.” Children tend to overdo things they believe are helpful. If one drink is good, two or three must be even better! This line of thought can lead them to consume many times the intended amount for their size. Some energy drinks, known as “shots,” are already much smaller than a 12-ounce can of soda. Others are sold in containers similar to soda. Drinking several energy shots in a sitting would not challenge most children. The stimulants and supplements in high amounts can cause erratic heartrate and have been linked to death in children with previously undiagnosed heart problems. The FDA does not require energy drink labels to bear any warnings as energy drinks are categorized as “generally recognized as safe.” The National Center for Complementary and Integrative Health states on its website that “large amounts of caffeine may cause serious heart and blood vessel problems such as heart rhythm disturbances and increases in heart rate and blood pressure. Caffeine also may harm children’s still-developing cardiovascular and nervous systems.” Teens who consume alcohol and energy drinks together place themselves at higher risk for alcohol poisoning. Because the energy drinks can keep them awake longer, teens are not as prone to pass out from drinking. This denies their bodies the August 2021 •

opportunity to get rid of the excess alcohol. Since the energy drinks keep teens awake, they can drink to the point of alcohol poisoning, all while not realizing how intoxicated they have Heather Carrera become. Names like Red Bull, Monster and 5-hour Energy makes them appealing for children and teens. Many are placed near the gum, candy and snacks at store registers—exactly where children look for a treat while shopping with their parents or where teens want to grab a snack after practice. Energy drinks’ ubiquity at convenience stores makes it easy for children to find, buy and consume them. Carrera also wonders why children even reach for energy drinks in the first place. “What’s going on that they don’t have the energy to get through their day?” she asked. “If they’re dependent on an energy drink, why do they lack energy? Are they eating enough, sleeping enough?” Children who lack energy may not receive enough exercise or exposure to sunlight. For the latter, Carrera encourages parents to make sure children spend enough time outdoors to help set a proper the circadian rhythm: the wake/sleep cycle. Russell encourages children to hydrate with water and eat a healthful diet with the goal of five servings of fruits and vegetables a day. “Most children in the US do not get enough fruits and vegetables,” Russell said. “Additionally, children benefit from whole grains that are high in fiber which will keep their blood sugars steady and lean protein. It does not have to be meat; many kids love nuts as a healthy snack.” IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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BACK TO SCHOOL

School Is Back, and So Is Bullying Responding like a bully only makes two bullies By Deborah Jeanne Sergeant

he National Education Association estimates that 160,000 children miss school each day because they fear bullying from other students. Beginning in 2012, the New York State Education Department has required all public schools to file reports on incidents of bullying, harassment, intimidation or menacing. The state defines bullying and harassment as creating “hostile environments through threats, intimidation or abuse, including cyberbullying.” Some children fear reprisal at school if they tell their parents about a bullying situation at school. But the effects of bullying may manifest as signs parents can spot at home. “Sometimes it’s a stomachache first thing in the morning and they’re fine on weekends,” said physician Kathleen Grisanti, president and medical director of Pediatric and Adolescent Urgent Care of WNY in Rochester, Williamsville, Orchard Park and Fairport. “We suggest parents keep an eye on the timing. It could be something or someone at school they want to avoid.” Children may also try to explain

injuries, lack of interest in activities or missing or damaged possessions as bullying progresses. Bullying behavior commonly stems from issues the bully experiences at home because of parental neglect, abuse or mistreatment. Children often bully as a means of acting out to get attention or as a misguided attempt at building their ego. “The story is usually more complex than this person is good and this person is bad,” said Jessica Mitchell, Ph.D., director of community services for Ontario County Mental Health. She added that some children make easy targets for if they are shy, lack conﬁdence in themselves or rely too heavily upon the approval of others. When bullying starts with words, they easily play into the bully’s plans to victimize. “Oftentimes, kids have a hard time not reacting to bullying,” Mitchell said. She encourages parents to teach their children to not feed into bullying and to use words to express that they do not like what the bully is saying or doing. Responding like the bully only makes two bullies.

Asking bullies why they are acting this way, responding with humor or walking away can represent ways to respond to bullies. Bullies need to learn to solve problems in a way that is not aggressive. Social skills like taking turns, losing a game or making friends may be lacking. While other children cannot be expected to ﬁll in these gaps, becoming aware of why the bully may act out can be helpful in responding in more constructive ways. Some children bully because they are anxious about social settings. It is easier to assure a dominant social status by force than to risk it by playing nice. Extending friendship to these children may cause their tough kid facade to crumble. “In general, we’ve got to work on building resilience, teaching them how to cope with situations that might cause frustration and hurt feelings, learning how to express feelings in a way that’s appropriate and problem solving,” Mitchell said. When strategies like these do not work, or if a situation is immediately violent, children need to know that they should let a teacher, coach or school counselor know right away and tell their parents at home. “Engaging the teachers and other staff can offer help when other responses don’t work,” Mitchell said. “It’s not the children’s responsibility to make sure the environment is safe at school. It’s always the responsibility of the school and parents working together to address that problem.”

Many children feel uncomfortable sharing about bullying outside their home. However, telling a school ofﬁcial about the bullying is usually necessary to resolve it. If this does not help the situation and it continues for a long time, children may need mental health treatment because of the stress and anxiety it causes.

Coping with Bullying Stopbullying.gov offers a few tips to help bystanders deescalate a bullying situation: • Question the bullying behavior. Simple things like changing the subject or questioning the behavior can shift the focus. • Use humor to say something funny and redirect the conversation. • There is strength in numbers, too! Bystanders can intervene as a group to show there are several people who don’t agree with the bullying. • Walk with the person who is the target of bullying to help diffuse potential bullying interactions. • Reach out privately to check in with the person who was bullied to let them know you do not agree with it and that you care. It makes a difference.

Talk to Your Children About the Risks of Underage Drinking By Jennifer Faringer

s summer winds down and a new school year approaches, consider providing clear, consistent rules and expectations for your children and setting the stage for ongoing open communication. This is by far the single most effective way to keep your children safe from the risks of underage drinking. Sharing a no-use message is crucial, as parents are the single most important inﬂuence in a child’s life. When is the best time to talk to your children about the risks of alcohol? There are messages you can share at every age. Even as early as preschool, your child has very likely already been exposed to alcohol whether online, on television or maybe in real life. During these early years, children are anxious to know the rules. They are forming attitudes as they watch family members interact around them. Consider the unspoken messages that you may be sending. During the elementary school years, children are becoming more interested in the world around them, often outside family and home. This is an especially important time to share with your children the risks and consequences of drinking. During their middle school years, children are beginning to test the

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • August 2021

waters, explore their independence, and starting to question authority ﬁgures. Yet at the same time, they understand the importance of rules and do appreciate limits. This is another opportunity to share not only the rules, but also the consequences if rules are broken. During high school, your children may know other young people who use alcohol or other drugs. This is an especially critical time to keep the lines of conversation open, giving your children the time and space to express their concerns and thoughts about alcohol use. Continue to talk to them about the risks associated with alcohol and other drug use. Share how these risks are connected to their safety and well-being whether that be through associated violence, driving under the inﬂuence, or unwanted sex. The wrong message is sent if we talk about underage use as an expected “rite of passage.” Beyond high school, stay connected and remind your now young adult about the inherent dangers of binge drinking, alcohol poisoning, and driving while intoxicated or high. It’s never too early or too late to have the conversation! Jennifer Faringer is the director of DePaul’s National Council on Alcoholism and Drug DependenceRochester Area.

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The Hidden Dangers of Sleep Apnea Dear Savvy Senior, How can you know when someone has sleep apnea? My husband has become such a terrible snorer that he wakes himself up at night, and he keeps me up too. Tired Teri

Dear Teri, If your husband is a loud snorer who wakes himself up during sleep, he probably needs to be tested for sleep apnea, a dangerous disorder that affects more than 22 million Americans, but often goes undiagnosed. Sleep apnea is a disorder that causes a person to stop breathing during sleep, hundreds of times during the night, for 10 seconds or more at a time. Left untreated, it can cause extreme daytime sleepiness, as well as a host of serious health conditions like high blood pressure, heart attack, stroke, diabetes and dementia. In fact, it’s estimated that every year, around 38,000 Americans die in their sleep from a heart attack or stroke because of sleep apnea. But the good new s is that sleep apnea is very treatable and most insurance companies, including Medicare, cover it.

Who Has It? There are three types of sleep apnea: obstructive, central and mixed. Of the three, obstructive sleep apnea (or OSA) is by far the most common and occurs when the throat muscles relax during sleep, blocking the airway. While anyone can have it, sleep apnea is most common in people who are overweight, male, middle-aged and older. For women, the risk increases after menopause. The symptoms include loud snoring (however not everyone who snores has apnea), long pauses of breathing, gasping or choking during sleep and daytime drowsiness. But because most of these symptoms happen during sleep, most people don’t recognize them. It’s usually the person they’re sleeping with who notices it.

Diagnosing Sleep Apnea To help you get a handle on your husband’s problem, the American Sleep Apnea Association has

several diagnostic tests he can take at SleepApnea.org/treat — click on “Test Yourself.” If the screening indicates that he may have sleep apnea, make an appointment with his doctor or a sleep specialist who will probably recommend an overnight diagnostic sleep test called polysomnography, which can take place at a sleep center lab (see SleepEducation.com), or at home using a portable device.

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Treatment Options Your husband is at greater risk for sleep apnea if he’s overweight, smokes or consumes excessive amounts of alcohol. Excess weight, especially around the neck, puts pressure on the airway, which can cause it to collapse. Smoking can increase the amount of inflammation and fluid retention in the upper airway. And alcohol and sleeping pills can relax the muscles in the back of his throat, interfering with breathing. Addressing these issues, if necessary, is usually the first line of treatment. If that doesn’t do the trick, mild cases of sleep apnea may respond to oral devices that fit into the mouth like a removable mouth guard or retainer. These devices work by positioning the lower jaw slightly forward to keep the airway open during sleep. Another noninvasive treatment option to consider is the new FDA approved eXciteOSA device (eXciteOSA.com). This treats sleep apnea and snoring by improving tongue muscle function by delivering electrical stimulation to the tongue through a mouthpiece that’s worn for just 20 minutes during the day. If none of these options work, the most effective and commonly prescribed treatment for OBA is a continuous positive airway pressure (CPAP) device. This involves sleeping with a snorkel-like mask that’s hooked up to a machine that gently blows air up the nose to keep the passages open.

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Page 19

Ask St. Annʼs

Ask The Social

By Brian Burger

Why Should Retirees Consider Selling Their Homes This Year?

ur homes are our cocoons, safe havens, retreats and cozy nests. Nothing feels better than home, especially during challenging times. However, mixed in with the struggles of the past 15 months is a silver lining — an opportunity for retirees to cash in on their homes and move to a trusted, maintenance-free senior living community. Now that the nation is opening up again, many people are looking to make the move. This has exacerbated an already tight marketplace, making this season an optimal time to sell. At St. Ann’s Community, we’re meeting more and more seniors who are taking advantage of this opportunity to receive the most money possible.

What are my first steps? If you’re considering a senior living community, the best ﬁrst step that you can take is to start making phone calls. Talk through the movein process, the amenities and the community. Then, schedule a time to tour the space and see it for yourself. It’s important to make sure that the community you move to is the right ﬁt for you. Don’t rush it. Additionally, at each place you visit, don’t be afraid to ask what happens if you start to need health care services. Can you receive them in your apartment or cottage, or do you have to move? Will you be given priority access to care options over individuals who don’t live there yet? If your healthcare needs ever change, a guaranteed continuum of care can be very comforting and convenient.

Making the move stress-free Despite the fact that retirement communities are seeing an increased demand that rivals that of the housing market, someone seeking residency at a retirement community should expect a completely different

“buying” experience. At St. Ann’s, we don’t create competition for people wanting to live here. Our goal is to take the stress away from moving, not add to it. Bring a list of questions with you when you tour—it’s easy to get distracted looking at the beautiful spaces and amenities, having a list ensures important questions are answered.

Finding the right balance The search for retirement living is often a balancing act of ﬁnding the right location and ﬁnding a community with a good reputation. These criteria are becoming easier to satisfy as many of the well-reputed senior living communities in Rochester are actively expanding to meet demand. St. Ann’s Community, for example, acquired The Greens of LeRoy in 2019, and in 2020, entered into a partnership with Quail Summit in Canandaigua.

Your next chapter We know this is one of the most important decisions of a person’s life, and by adding our offerings, we can really increase the chance that we can help ﬁnd someone the perfect place to call home. Interested in chatting with a member of the St. Ann’s team about selling your home and transitioning to senior living? Don’t hesitate to reach out – we’re happy to help, even if that means recommending another senior living community. Brian Burger is a marketing representative at St Ann’s Community at Cherry Ridge. Contact him at 585-697-6702 or visit www. stannscommunity.com.

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Security Ofﬁce

From the Social Security District Office

What Did You Earn at Your First Job?

ver wonder what you earned the year you worked your first job? Or perhaps any other year you worked? We can tell you. Your earnings history is a record of your progress toward your future Social Security benefits. We keep track of your earnings so we can pay you the benefits you’ve earned over your lifetime. This is why reviewing your Social Security earnings record is so important. While it’s your employer’s responsibility to provide accurate earnings information to us, you should still review your earnings history and inform us of any errors or omissions. This is so you get credit for the contributions you’ve made through payroll taxes. You’re the only person who can look at your lifetime earnings record and verify that it’s complete and correct. If an employer didn’t properly report even just one year of your earnings to us, your future benefit payments could

Q&A

Q: My same-sex partner and I recently married. Will we qualify for Social Security benefits? A: You may be eligible to apply for Social Security beneﬁts. Many factors affect your eligibility for beneﬁts, including how long you worked and your age. Social Security is now processing more claims in which en-

Area Nursing Homes Align with Lifespan to Protect Victims of Elder Abuse A group of nursing homes is partnering with Lifespan of Greater Rochester, Inc. to provide short-term housing options for victims of elder abuse. The homes include Episcopal Senior Living, Friendly Senior Living, Jewish Senior Life, St. Ann’s Community and St. John’s Living (members of the Alliance for Senior Care) and local Hurlbut homes. “Sometimes the fastest way to ensure safety for an older adult in an abusive situation is offering a respite stay,” said Kelly Zunner-Daniels, director of the Upstate Elder Abuse Center at Lifespan. “Our area nonproﬁt and for-proﬁt nursing homes are providing a safe housing option for elder abuse survivors. This allows

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • August 2021

be less than they should be. Over the course of a lifetime, that could cost you tens of thousands of dollars in retirement or other benefits to which you are entitled. It’s important to identify and report errors as soon as possible. As time passes, you may no longer have easy access to past tax documents. Also, some employers may no longer exist or be able to provide past payroll information. The easiest way to verify your earnings record is to visit www.ssa. gov/myaccount and set up or sign in to your personal my Social Security account. You should review each year of listed earnings carefully and confirm them using your own records, such as W-2s and tax returns. You can find out how to correct your Social Security earnings record by reading our publication How to Correct Your Social Security Earnings Record at www.ssa.gov/pubs/EN05-10081.pdf. Let your friends and family know they can access important information like this any time at www. ssa.gov and do much of their business with us online.

titlement or eligibility is affected by a same-sex relationship. We encourage you to apply for beneﬁts right away, even if you aren’t sure you’re eligible. Applying now will protect you against the loss of any potential beneﬁts. You can apply safely and securely at www.ssa.gov/applyonline. Learn more about Social Security for same-sex couples by visiting www. ssa.gov/same-sexcouples.

access to a sheltered environment, away from an alleged perpetrator, for those with skilled nursing needs,” Zunner-Daniels says. “Our Alliance for Senior Care organizations provide a safe haven for victims of elder abuse,” said Glenn Cooper, president and CEO of the Alliance. “These older adults deserve our protection.” Data from the Upstate Elder Abuse Center at Lifespan shows that the perpetrators of elder abuse too often are relatives or friends. A prevalence study found nearly 300,000 older NYS residents are victims each year. Only one in 24 instances of abuse is reported to authorities. Lifespan intervenes in cases of physical and emotional abuse, neglect and ﬁnancial exploitation in Monroe and area Finger Lakes counties. The center also provides public education about abuse and scams.

Health News Teerlinck joins Canandaigua Family Practice

Physician Cynthia Teerlinck has joined UR Medicine Thompson Health’s Canandaigua Family Practice. Board certiﬁed in family medicine, Teerlinck has been in private Cynthia Teerlinck practice with Naples Valley Family Practice for more than 20 years. She is a graduate of the Pennsylvania State University College of Medicine and did her residency in family medicine at St. Joseph’s Hospital Health Center in Syracuse. Although she is newly employed by Thompson Health, Teerlinck serves on the health system’s board of directors as well as its quality committee and population health management committee. She was instrumental in upgrading Thompson’s electronic health records (EHR) platform and serves as the secretary treasurer of the medical staff as well as chief of the department of medicine. In 2019, she received Thompson’s Shining Star Award, in recognition of her work with the EHR upgrade.

Batavia hospital receives largest donation in its history United Memorial Medical Center (UMMC) in Batavia has been gifted the largest donation in its history of more than 100 years. Marian Ransom, who lived in LeRoy, left her entire estate of more than $1.2 million to the hospital upon her death last Marian Ransom

year. In her honor and her generous contribution, the second floor medical wing at UMMC has been renamed the “Marian Ransom Medical Unit”. “It’s contributions like Marian’s that make such a profound impact on the community,” said Dan Ireland, president of United Memorial Medical Center. “We are beyond grateful for Marian’s contributions and what it will mean for the hospital, our patients and the community. With the support of her donation, we’ll be renovating the intensive care unit (ICU), which will also have a significant impact on the newly named Marian Ransom Medical Unit.” The ICU project is still in the early stages of development, but when complete will improve patient, visitor access and flow to both the ICU and the Marian Ransom Medical Unit. The ICU will get a new waiting area and greeting area and also clinical support spaces for both units. “Marian desired to make a difference at the end of her life and so bequeathed her entire estate of more than $1.2 million to United Memorial Medical Center,” said Michael T. Welsh, Marian’s attorney. “This humble and philosophical woman has left a legacy which will benefit so many of our citizens for years to come.” UMMC is part of the Rochester Regional Health, based in Rochester.

Excellus named to the Best Places to Work for Disability Inclusion Excellus BlueCross BlueShield has been named to the Best Places to Work for Disability Inclusion after receiving a top score of 100% on the 2021 Disability Equality Index (DEI), a national benchmarking survey by Sady Fischer Disability:IN and the American Association of People with Disabilities.

A Primary Care Physician’s View on COVID-19

If you have symptoms, err on the side of caution, says physician Judith Allen of URMC By Lynette Loomis

here continue to be many questions about safety measures for COVID-19. Judith Allen of University of Rochester Medical Center is a primary care physician who responds to our latest questions. Q. Are vaccinated people safe? While there is good evidence that the vaccine reduces the chance of people having an infection with no symptoms, it is not a guarantee. To

be fully effective, it takes two weeks after your second dose to build up some immunity to the virus. If your vaccine only required one dose, it still takes two weeks. COVID-19 is still so new, although we are all weary of thinking about it, aren’t we? There is still much we do not know. For example, how long does the vaccine protect us? How effective will the vaccine be against new strains? August 2021 •

The Disability Equality Index (DEI) is a comprehensive benchmarking tool that helps companies build a roadmap of measurable, tangible actions that they can take to achieve disability inclusion and equality. Each company receives a score, on a scale of zero (0) to 100, with those earning 80 and above recognized as a “Best Place to Work for Disability Inclusion.” “We are excited about this significant ‘first’ for our company as a Best Place to Work for Disability Inclusion. This top score is a testament to the culture of inclusion we are building collectively. We also recognize that that our effort towards advancing inclusion for people with disabilities is not finished. We have been taking intentional actions toward inclusion for years and this is simply another step toward improving as a company. When it comes to DEI, our work is never done,” said Sady Fischer, corporate director of Diversity, Equity & Inclusion for Excellus BlueCross BlueShield.

Jewish Senior Life has second neurologic music therapist The music therapy program at Jewish Senior Life now has two certiﬁed neurologic music therapists (NMTs) on staff. The NMTs, Melody Boyd and Kristina Jewell, use an evidence-based treatment model consisting of 20 researched and standardized techniques for sensorimotor training, speech, language and cognitive training, and focus on the neuroscience of music to treat the brain and brain connectors in those with injury or disease of the nervous system. “The NMTs provide groups on the neurobehavioral unit and memory care unit as well as one of them providing individual visits throughout campus,” said Meghan Bevins, director of recreation therapy at Jewish Senior Life. “For example, one might partner with a physical therapist to decrease freezing episodes of a resident with Parkinson’s in order to optimize his safety and independence. In a group setting, both NMTs Q. If we have had the vaccine but feel like we have symptoms, do we need to get tested? Absolutely! The Centers for Disease Control state that the following are some of the possible symptoms: • Fever or chills • Cough • Shortness of breath or difﬁculty breathing • Fatigue • Muscle or body aches • Headache • New loss of taste or smell • Sore throat • Congestion or runny nose • Nausea or vomiting • Diarrhea If you have these symptoms, get checked and stay away from children and adults who have not received both of their shots. Q. What about being around children too young for the vaccine?

address individual and group needs through structured music exercises that stimulate cognitive function, access of memory, and movement, while allowing for socialization at each patient’s level of engagement.” According to Bevins, there are only 7,000 board certiﬁed music therapists in the United States. “We are happy to have this service available to our residents.” Populations served by NMTs include stroke and traumatic brain injury survivors, and those dealing with Alzheimer’s, Parkinson’s, Huntington’s, and other neurological conditions that affect communication, movement and cognition. The special designation requires a four-year degree combined with extensive training, continuing education, and an exam that must be taken every three years to ensure they are up-to-date on current research and intervention changes.

Friendly Senior Living to adopt $15/hr minimum wage Friendly Senior Living announced that the organization is raising its minimum wage to $15/ hour effective Sept. 5. This applies to both new and current employees. “Every day, workers in senior living and health care do the most important work of providing excellent and compassionate care and services for older adults. Whether it is handson care or behind the scenes support, they are essential to enhancing the lives of all Friendly Senior Living residents. This hourly wage increase is very well-earned and deserved,” said Glen Cooper, president and CEO. “Further, as industries locally and throughout the country face stafﬁng challenges, we hope that this will be an effective tool in attracting and retaining top-notch employees to join Team Friendly.” With roots dating back to 1849, Friendly Senior Living is a continuum of caring communities, including Cloverwood, an active independent senior living community in Pittsford; Glenmere at Cloverwood, which of-

Continued on pg. 23 Be careful with the lip kissing and nose kisses with the youngsters in your life. If you have symptoms of COVID-19, even if you have been fully vaccinated, stay apart from the Judith Allen, MD kids until you have been tested or for two weeks after your exposure to someone with COVID-19. “I think people can get back to an almost pre-COVID life. But I tell my patients to err on the side of caution. If you have symptoms, call your primary care physician. Get tested. Protect the ones you love by setting an example.”

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • August 2021

Health News continued from pg. 21 fers assisted living, enhanced assisted living, and memory care; Linden Knoll, an independent senior living apartment community in Brighton; and the Friendly Home, which offers 24-hour skilled nursing care, memory care and hospice care, as well as short-term rehabilitative care.

Roberts Wesleyan College to offer FNP program Roberts Wesleyan College announced a new graduate degree offering that will address a growing need for nurse practitioners in the health ﬁeld. The Master of Science degree in family nurse practitioner program is designed for working registered nurses who hold a bachelor’s degree in nursing and are seeking licensure and certiﬁcation to provide primary care as a family nurse practitioner for infants through older adulthood. All coursework will be delivered exclusively online with the exception of a one-week on-site diagnostics and skills laboratory course. The 54-credit-hour program registered by New York state and accredited by the Commission on Collegiate Nursing Education, will be available to prospective students starting in January 2022 and can be completed on a part-time basis within three years. “For many years, people have asked if we had a nurse practitioner program,” said Cheryl Crotser, dean and graduate program director of the school of nursing at Roberts Wesleyan College. “We made every effort to meet that growing demand through the development of this new offering to help address the need for nurse practitioners and to meet the health care needs of our community and beyond.” Grounded in nursing science, the research and evidence-based curriculum will develop the knowledge and skills needed to manage the health care of individuals and their families

by providing preventive and primary care, promoting health and managing chronic conditions. The program is designed to build knowledge and skill in nursing science, leadership, quality, technology, policy, health delivery systems and independent clinical practice. Assistant Professor Amy Rama will lead the program. Rama specializes as a family nurse practitioner and has held positions in older adult care and home health settings. “Nurse practitioners are established nurses ﬁrst,” Rama said. “This program will build on those nursing skills to prepare students to comprehensively treat, diagnose, prescribe and educate a wide range of patients.”

Foundation awards nearly $20,000 in community grants The F.F. Thompson Foundation is awarding 16 area nonproﬁt organizations with Mary Clark Thompson Grants ranging from $300 to $2,500. The foundation is the philanthropic arm of UR Medicine Thompson Health. Each year, its grants committee reviews applications from not-for-proﬁt organizations offering programs that improve the health and wellness of the community within the Thompson service area. This year, the grants totaled almost $20,000 in funding. This year’s recipients are as follows: • Arthritis Foundation of New York, for its Western New York Juvenile Arthritis Family Day; • Benincasa, for general operations at the two-bed home for the terminally ill; • Bridges for Brain Injury, for kitchen sanitation equipment • Canandaigua Emergency Squad, for its community safety and education program; • Canandaigua Kiwanis Foundation, for its Inclusion in Motion

Rochester Regional Health Becomes Largest Clinical Training Site for Lake Erie College of Osteopathic Medicine Lake Erie College of Osteopathic Medicine is the largest medical school in the nation Rochester Regional Health is expanding its partnership with Lake Erie College of Osteopathic Medicine (LECOM), the nation’s largest medical school. Rochester Regional Health will become the medical school’s largest clinical campus. This partnership will enable Rochester Regional to dramatically increase clinical rotations and feature locations in addition to United Memorial Medical Center where its program began. Now, as part of this 10-year agreement between Rochester Regional Health and LECOM, approximately 100 third and fourth year

students will be on clinical rotation across the health system each month. “This partnership will offer remarkable opportunities for LECOM students to gain exceptional, handson training in a variety of settings with a nationally recognized leader in integrated health care,” said physician John Ferretti, LECOM President and CEO. “Further, with such a large number of our students entering Rochester Regional Health’s clinical rotation program at facilities across western New York, LECOM will be furthering its goal of improving healthcare for residents and communities in underserved areas.” August 2021 •

playground; • Child & Family Resources, Inc. for its Healthy Families Healthy Eating Project; • Clifton Springs Library, for its Community Garden • Community Reading Partnership, for its Healthy Families Start with Books initiative; • Family Promise of Ontario County, Inc., for its Bridges for Hope program; • Geneseo Parish Outreach Center, for diabetic medication and dental services support; Happiness House, for an outpatient clinic sit-to-stand aid • Ontario ARC, to purchase clear masks for hearing-impaired individuals; • Partnership for Ontario County, for prevention education ﬂiers; • Pathway Home of the Finger Lakes, to purchase a motorized Hoyer lift; • Serenity House of Victor, Inc., for facility repairs on the home for people receiving end-of-life care and their families; • Sonnenberg Gardens, Inc., for utility garden supplies. Local philanthropist Mary Clark Thompson founded F.F. Thompson Hospital in 1904, in memory of her husband, Frederick Ferris Thompson. Her spirit of community-minded philanthropy was the motivation behind the creation of the community health grants. To review the guidelines for applications – which are due each spring – visit www.ThompsonHealth.com/Foundation.

Thompson VP receives award for diversity, inclusion UR Medicine Thompson Health Vice President of Long-Term Care Amy Daly recently received the Sister Joan Cassidy Award for Diversity and Inclusion from the American College of Health Care Administra-

“LECOM is a great partner and we are honored to expand our partnership,” said physician Eric Bieber, president and CEO of Rochester Regional Health. “As an integrated health care delivery system, these students will gain invaluable experience from Rochester Regional Health’s clinical teams, as they move through different areas of medicine. This collaboration will strengthen our network of care and help Rochester Regional solidify its position as a leader in healthcare locally, regionally, and nationally.” Medical school graduates often continue their post-graduate training and establish residency in the geographic area they trained. Rochester Regional Health currently offers 23 residency and fellowship programs for medical students post-graduation. The health system is continuing to expand on those programs with multiple new residencies and fellowships under development. “There is a shortage of primary care physicians throughout the country and LECOM produces more pri-

tors (ACHCA). A Spencerport resident, Daly heads the M.M. Ewing Continuing Care Center, Thompson’s skilled-nursing facility in Canandaigua. She accepted the award on Amy Daly June 8 at an ACHCA conference in the Catskills town of Monticello, where she was recognized for pulling together several departments within the health system to make it possible for an associate with physical limitations to reach their full potential in their role. In accepting the award, Daly said some of the most important traits to consider when hiring in long-term care are compassion, empathy, respect, composure, and reliability. “These traits are not directly linked to physical ability. They are intrinsic. They support Thompson Health’s values and guide us in hiring the right people for the right roles,” Daly said. “It is always wonderful to be recognized by our peers. But truly, the reward came when we stepped outside of our boxes, brought cross-functional teams together, working for the greater good to hire the right person who would go on to change lives for the better. That is the essence of success in long-term care,” she added. At the award ceremony, the ACHCA also cited Thompson’s repeated designations from the Human Rights Campaign Foundation as a “LGBTQ Health Care Equality Leader,” its Safe Space training program in support LGBTQ associates and customers, and its participation in the United Way of Greater Rochester’s 21-day Racial Equity Challenge in 2020, to foster discussions about racial equality at work.

mary care physicians than any other medical school in the country,” said physician Richard Alweis, associate chief medical ofﬁcer of education for Rochester Regional Health. “By expanding this partnership, we are investing in our community and its healthcare needs.” “We are thrilled to partner with Rochester Regional Health to offer critical clinical education for our medical students,” said physician Richard Terry, associate dean of academic affairs, LECOM at Elmira. “This collaborative agreement offers a unique opportunity for students from the Rochester area, the Southern Tier and Western New York to pursue their collegiate pre-medical training with local colleges and universities afﬁliated with LECOM, and then complete their clinical training with the Rochester Regional Health system. This agreement will also secure a steady, locally trained supply of future physicians for the greater Rochester region, as well as all of Upstate New York.”

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Nothing to do but enjoy your life. You’re one of the most important people on earth. You deserve a care-free retirement at St. Ann’s Community at Cherry Ridge. Instead of home maintenance, you can focus on today’s exciting group activity, outing or dining option. Maybe you’ll just enjoy quiet time for yourself in spacious, beautifully maintained surroundings with 24-hour security. Choosing Cherry Ridge means you can live the lifestyle you’ve always wanted and having priority access to on-site assisted living, memory care, and skilled nursing if you ever need it. • Luxury 1- and 2- Bedroom Apartments • Charming 2- Bedroom Cottage Homes • 41 Wooded Acres

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • August 2021