in good New Boss in Town Physician Eric Bieber is the new CEO at Rochester Regional Health System
Crunch Time for PTs
Physicial therapists’ double trouble: higher co-pays for patients, lower reimbursement for PTs
Teresa Green
November 2014 • Issue 111
priceless
Rochester–Genesee Valley Healthcare Newspaper
‘How I lost 40 pounds’ Local newspaper reporter shares his experience trying to lose weight
Gary Band
A Senior Advocate Champion URMC physician Jennifer H. Anolik is working to find new treatments for rheumatoid arthritis, lupus
Teen Driving
Number of Adults with Disabilities Grows, Creates New Challenges
Vehicle crashes still the leading cause of death among teenagers
In 1970 only 11 percent of adults with intellectual disabilities were over age 55. That figure is expected climb Page 14
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Bill to cover equipment and supplies for ostomies signed into law. It takes effect Jan. 1
Humble rutabaga rocks with nutrition Find out why rutabaga is the the star of this month’s SmartBites column
Page 9 November 2014 •
Non-GMO, natual, all natural, organic. Confused with all food labels? You’re not alone Page 12
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Page 1
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ore than 2.5 million people went to the emergency department (ED) — and nearly 200,000 of them were hospitalized — because of motor vehicle crash injuries in 2012, according to the latest Vital Signs report by the Centers for Disease Control and Prevention. Lifetime medical costs for these crash injuries totaled $18 billion. This includes approximately $8 billion for those who were treated in the ED and released and $10 billion for those who were hospitalized. Lifetime work lost because of 2012 crash injuries cost an estimated $33 billion. “In 2012, nearly 7,000 people went to the emergency department every day due to car crash injuries,” said CDC Principal Deputy Director Ileana Arias. “Motor vehicle crash injuries occur all too frequently and have health and economic costs for individuals, the health care system, and society. We need to do more to keep people safe and reduce crash injuries and medical costs.” Key findings include:
• On average, each crash-related ED visit costs about $3,300 and each hospitalization costs about $57,000 over a person’s lifetime. • More than 75 percent of costs occur during the first 18 months following the crash injury. • Teens and young adults (15-29 years old) are at especially high risk for motor vehicle crash injuries, accounting for nearly 1 million crash injuries in 2012 (38 percent of all crash injuries that year). • One-third of adults older than 80 years old who were injured in car crashes were hospitalized — the highest of any age group. • There were almost 400,000 fewer ED visits and 5,700 fewer hospitalizations from motor vehicle crash injuries in 2012 compared to 2002. This equals $1.7 billion in avoided lifetime medical costs and $2.3 billion in avoided work loss costs.
See related story in Kids Corner, page 8.
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Page 3
CALENDAR of
HEALTH EVENTS
Nov. 15
Nov. 6
A day all about hearing at Lifespan in Brighton The Hearing Loss Association of America Rochester Chapter and Lifespan are co-hosting A Day of Hearing Thursday, Nov. 6. Activities will be held at Lifespan, 1900 S. Clinton Ave. in the Tops Brighton Plaza. The day will feature free hearing screenings from 9 a.m. – 4 p.m. along with information about assistive devices and informational presentations. Workshops include: • 9:15 – 10 a.m.: John McNamara, Preventing Hearing Loss • 10:15 – 11 a.m.: Sarah Klimasewski, How we Hear, From Earbud to Brain • 11:15 – Noon: Joe Kozelsky, Getting a Hearing Aid - What a Savvy Consumer Needs to Know • 1 - 1:45 p.m.: Ramona Pompea, “Buying a Hearing Aid Online” • 2 - 2:45 pm: HL2: Steven Barnett, Don Bataille & Mary Chizuk, “Health Priorities of People with Hearing Loss” • 3:00 - 3:45 p.m.: Matt MacDonald, Elements of a Good Hearing Aid Evaluation The event is free and reservations are not required. Participants are Dazells Hearing Centers, Hart Hearing Center, Healthy Living with Hearing Loss (HL2), Ontario Hearing Centers,Rochester Hearing and Speech Center and Webster Hearing
Nov. 8
‘Steppin’ Out’ event has different twist This year’s 14th annual Steppin’ Out for Friends with Cancer features some changes. Instead of walking for friends with cancer, organizers are inviting guests to join them at Joey and Maria’s Comedy Italian Wedding. The wedding will take place Nov. 8. The ceremony will begin at 5:30 p.m. at King’s Catering and Party House, 4031 Routes 5 & 20, Canandaigua. Admission for the show is $40, which includes pasta dinner and entertainment. Proceeds from the event are designated for the Clifton Springs Hospital Foundation’s patient assistance fund. This fund benefits income-eligible cancer patients with their care and hospital expenses. Call Clifton Springs Hospital Foundation at 315-462-0120 for more information or to purchase tickets. Tickets can also be purchased online by going to www.CliftonSpringsHospital.org.
Share your event with our readers editor@GVhealthnews.com Page 4
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Continuing Care Center, Thompson Health, 350 Parrish St., Canandaigua. Titled “Successfully Coping with Heart Disease,” the panel will be facilitated by Jim Fralick, Canandaigua Mended Hearts. In addition, the event will hold a hall of honor inductees celebration. For more information, visit www. mendedheartsrochester.org or contact Mary Allhusen at 585-396-6253.
Nov. 10
‘Meet Me at the Museum’ program on tap The Alzheimer’s Association Rochester & Finger Lakes Region will partner with the Corning Museum of Glass and the Rockwell Museum to present “Meet Me at the Museum,” a program for individuals who have Alzheimer’s disease or another form of dementia. “Meet Me at the Museum” is a free social program for individuals with dementia and their caregivers. It features exclusive tours of the Corning Museum of Glass and the Rockwell Museum of Western Art in Corning on the second Monday of each month through May. The upcoming fall-winter “Meet Me at the Museum” tour schedule is as follows: • November 10 and Jan. 12, 1:30-3 p.m., Corning Museum of Glass, One Museum Way, Corning • Dec. 8 and Feb. 9, 1:30-3 p.m., Rockwell Museum of Western Art, 111 Cedar St., Corning The Alzheimer’s Association offers a similar program in partnership with the Memorial Art Gallery in Rochester for individuals with dementia and their loved ones. “Meet Me at the MAG” is offered from 2:30-4 p.m. at the Memorial Art Gallery, 500 University Ave., on the first Tuesday of each month. Registration for both programs is required. To register or to learn more about the many outings, tours and social activities offered by the Alzheimer’s Association, call 800-272-3900 or visit www.alz.org/rochesterny.
Nov. 11
Fibromyalgia Association hosts support meeting The Fibromyalgia Association of Rochester New York support group meeting will be held from 7-8:30 p.m. Nov. 11 at Pieters Family Life Center, 1025 Commons Way, Rochester. The speaker will be Barb Cacia, health and wellness educator and certified personal trainer at Pieters Family Life Center. The event is free and open to the public. No registration is needed. For more information, visit www. farny.org, email publicity@farny.org or call 585-225-7515.
Nov. 13
Heart issues to be discussed in Canandaigua Mended Hearts Rochester, a nonprofit organization in its 48th year of giving support to people with heart disease and their families, will hold a panel discussion focusing on heart issues from 7 – 9 p.m., Nov. 13 at RG&E Family Room, in the M.M. Ewing
Pancreatic Association schedules indoor 5K walk The fifth annual Step It Up! Cure Pancreatic Cancer Indoor 5K Walk will take place from noon to 4 p.m. at the Rochester Institute of Technology Gordon Field House. The event, presented by the Pancreatic Cancer Association of Western New York, is a family fun day with a variety of entertainment. A portion of the walk proceeds benefits Wilmot Cancer Center. Michael Donnelly, an 11-year pancreatic cancer survivor and a board member at Wilmot Cancer Institute, is the 2014 honorary chair of the event. Registration fees are $25 for adults ($30 at the door), $15 for youth aged 13-21, $5 for children aged 4-12, and free for children under 3. Those interested can register online at www.pcawny.org.
Nov. 16
New Horizons Band fall concert slated The New Horizons Band fall concert is set for 2 p.m. Nov. 16 at the University of Rochester Advancement Center (formerly St. Agnes High School), 300 E. River Road, Henrietta. The event is free and handicapped accessible. For more information, visit www. rocnewhorizons.org.
Nov. 16
Vegan Society slates dinner, presentation The Rochester Area Vegan Society will meet at 5:30 p.m. Nov. 16 at the Brighton Town Park Lodge, 777 Westfall Road, Rochester. A vegan dinner will be enjoyed at 5:30, followed by Dr. Milton Mills speaking on “The Courage of Our Convictions: Parallels between the Vegan Movement and the Civil Rights Movement” at 7 p.m. Mills practices urgent care medicine in the Washington, D.C. area, and is associate director of preventive medicine at the Physicians Committee for Responsible Medicine. Participants are asked to bring a dish to pass, a serving utensil and a place setting. The cost is free to members and $3 for guests. For more information, call 2348750.
Nov. 18
Sleep disorder on the agenda Physician Robert H. Israel will speak about “Sleep Disorders and the Heart” in a meeting sponsored by Mended Hearts Rochester. The event
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • November 2014
will take place at 7:15 p.m., Tuesday, Nov. 18 at the Jewish Community Center, senior adult lounge, 1200 Edgewood Ave., Rochester. Israel received his medical degree from SUNY, Downstate Medical Center and his medical residency and pulmonary fellowship at New York City Medical College. He is medical director of the Unity Sleep Disorders Center. For more information, go to www. mendedheartsrochester.org or call Sharon Feldman at 585-544-1565.
Nov. 20
Free T-shirt if you go for a free mammograms UR Medicine Breast Imaging and Cancer Services Program of Monroe County are offering free mammograms to eligible, uninsured women at the Anthony L. Jordan Health Center from 2 – 7 p.m., Thursday, Nov. 20. Additionally, every mammography patient seen at the Jordan Health Center from Oct. 30 through Nov. 30 will receive a free T-shirt when they get their mammogram. UR Medicine Breast Imaging and Cancer Services Program of Monroe County have been offering free mammograms for the past nine years and have served hundreds of women who may not have been screened otherwise. Lack of transportation is often a barrier for uninsured patients, so offering free mammograms to them in a central Rochester location aims to increase the number of area women who get this potentially life-saving screening this year. Mammography can detect breast cancer that is too small for women to find with a self-exam and early diagnosis is the best weapon in the fight against breast cancer. Parking is free. Women who cannot make the screening are encouraged to schedule an appointment for a different day. The Anthony L. Jordan Health Center at 82 Holland St. Rochester. Appointments are required. To get your mammogram call 585-487-3303.
Nov 22
Holistic wellness day at Assisi Institute The Assisi Institute is hosting a special day of wellness — offering consultations, presentations and demonstrations regarding a wide range of holistic wellness practices. The wellness day is from 9 a.m. – 5 p.m. and admission is free. Progressive holistic practices are complimentary to conventional medicine and therapy, and those open to them have benefited greatly. Many practitioners will be on hand to share their approaches to holistic living. This event is a fundraiser for The Assisi Institute, and the featured practitioners are providing raffle prizes for you to bid on! Exhibitors and presenters include: massage therapy, chiropractic care, reiki, yoga, ayurveda , art therapy, mindfulness training, floatation therapy, onnetsuki, naturopathy, essential oils, nutrition, acupuncture, sound therapy, reflexology, health coaching, memory and the aging process and more. The event will be held at the Assisi Institute, 1400 N. Winton Road. For more information, please visit www.assisi-institute.org/Wellness-Day or www.facebook.com/Assisi.Institute.
Live in Upstate? You’re More Likely to Get the Flu: Study Finger Lakes residents, however, are among the least likely to develop the flu in the region
U
pstate New York residents are more likely to contract the flu and other vaccine-preventable illnesses compared to other state residents, according to a new Excellus BlueCross BlueShield report. Overall, the report revealed a mix of good and bad news for the six-county Finger Lakes region: • Upstate New Yorkers are more likely to contract the flu compared to other state residents. But within Upstate New York, Finger Lakes region residents are among the least likely to develop the disease. • Finger Lakes adults of all ages were more likely to receive their flu shot compared to adults in other Upstate New York regions. About three in four Finger Lakes adults aged 65 or older receive their Bartels flu shot, but only about one in three adults aged 18 to 64 do so. • The vaccination rate among Finger Lakes children aged 19 months to 35 months (52 percent) is among the lowest in Upstate New York and lower than the state rate (65 percent) and national rate (69 percent). This includes the recommended doses of DTaP, polio, MMR, Hib, hepatitis B, varicella and pneumococcal conjugate vaccines. “We hope these findings will prompt people to pay more attention to keeping their vaccinations current,” said Matthew Bartels, a physician who server as Excellus BCBS’ medical director for clinical quality. The Excellus BCBS fact sheet, “The Facts About Vaccine-Preventable Diseases in Upstate New York,” highlights Upstate-wide and region-specific vaccination rates for influenza, pertussis, pneumonia and childhood diseases and provides the facts regarding common vaccine misconceptions. “It’s difficult to understand why some adults avoid or ignore recommended vaccinations, when clinical research clearly shows that vaccinations for diseases such as influenza, pertussis and pneumonia save lives,” said Bartels, who also is a pediatrician. “When adults choose to skip vaccinating their
children, it’s equivalent to forgoing the obvious protection that’s offered by a bicycle helmet or a child car seat.” According to Bartels, the true burden of vaccine-preventable diseases is undercounted, because many cases go undiagnosed, and some diseases, such as chicken pox, are not reported in New York state. “Another important takeaway from the fact sheet is that some people do not know their immunization status,” said Bartels. “They may not remember if or when they were vaccinated for pertussis or pneumonia. For example, they may have been current with their vaccinations while still in school, but lost track of their vaccinations as they moved into adulthood. If otherwise healthy, they may not have seen a doctor for years.” Bartels’ message to all adults is to talk to your doctor and your children’s doctor about vaccinations so that you and those around you can remain healthy. “People who are not vaccinated put themselves and others at risk for sickness, hospitalization, decreased quality of life and even death,” he said. View “The Facts About Vaccine-Preventable Diseases in Upstate New York” and an entire library of fact sheets on health, wellness, health care cost and access issues at ExcellusBCBS. com/factsheets.
Study’s Other Key Findings
The Excellus BCBS fact sheet, “The Facts About Vaccine-Preventable Diseases in Upstate New York,” also highlights other trends in the reiong. Among them: • The rate of influenza in the Finger Lakes Region (208.0 per 100,000) was above the statewide rate (113.2 per 100,000), but was the lowest rate among Upstate New York regions, except for Western New York (71.5 per 100,000). • In the Finger Lakes region, about 72 percent of adults aged 65 and older and 36 percent of adults aged 18 to 64 receive their flu shot. In Upstate New York, 62 percent of adults aged 65 and older and 33 percent of adults aged 18 to 64 do so.
Serving Monroe and Ontario Counties in good A monthly newspaper published by
Health Rochester–GV Healthcare Newspaper
Local News, Inc. Distribution: 30,000 copies. To request home delivery ($15 per year), call 585-421-8109.
In Good Health is published 12 times a year by Local News, Inc. © 2014 by Local News, Inc. All rights reserved. 106 Cobblestone Court Dr., Suite 121 – P.O. Box 525, Victor NY 14564. • Phone: 585-421-8109 • Email: Editor@GVhealthnews.com
Editor & Publisher: Wagner Dotto • Associate Editor: Lou Sorendo • Writers: Jim Miller, Deborah J. Sergeant, Gwenn Voelckers, Anne Palumbo, Ernst Lamothe Jr., Chris Motola, George W. Chapman, Gary Band, Deborah Blackwell, Zoe Fackelman, Debbie Waltzer • Advertising: Donna Kimbrell, Marsha Preston • Layout & Design: Chris Crocker • Officer Manager: Laura Beckwith 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.
November 2014 •
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Relief Counselor-Per Diem Full Time Counselor Recreation Specialist Pathways, Inc. is currently recruiting for our Lake Breeze Community Residence in Canandaigua, NY. Lake Breeze CR serves adolescents ages 13-17 with serious emotional disturbance (SED). We currently have openings for full time and Relief Counselors. Full Time and Relief Counselors are responsible for direct care and supervision of our youth. Qualifications: Associate’s Degree preferred, but High School Diploma and Experience with SED children accepted. Also in need of a Full Time Recreation Specialist. This position is responsible for the day-to-day implementation of the program youth’s recreational programs. Qualifications: Bachelor’s degree in a human service field and experience working with children and/ or adolescents with emotional disturbances. An individual with Therapeutic Recreation and National Council Therapeutic Recreation Certification eligibility is preferred. To Apply: Send cover letter, resume & employment application (Must submit all to be considered) to: Pathways, Inc. Attn: HR, 33 Denison Parkway West, Corning, NY 14830. Phone (607) 937-3200 Fax (607) 937-3205. *Please see our website for more information on these, and other positions. * www.pathwaysforyou.org. EOE
Waiver Service Provider (WSP) and Senior Waiver Service Provider Pathways, Inc. is currently recruiting for the positions of Waiver Service Provider (WSP) and Senior Waiver Service Provider for our Bridges to Health (B2H) Program in Rochester, NY. Both positions provide a variety of services assisting the youth/family in developing functional skills and supports needed to function more successfully in community environments. The Senior position provides services of a higher level including prevocational services, immediate crisis response services and intensive in home supports and services. Qualifications: Preferably, applicants for the senior WSP will possess a Master’s in Social Work, Psychology, Human Services or related plus one year of applicable experience. Minimum qualifications include: Bachelor’s Degree in Social Work, Psychology, Human Services or related with two years experience. High School Diploma/GED and experience working with children/youth a requirement for WSP. To Apply: Send employment application (available online) and resume: Pathways, Inc., Attn: HR, 33 Denison Parkway West, Corning, NY 14830; Call 9373200; Web: www.pathwaysforyou.org IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Page 5
SAVE THE DATES
New Horizons Band CONCERTS
Fall Concert Sun., Nov. 16 at 2 pm
Holiday Concert Sun., Dec 14 at 2 pm
U of R Advancement Center (Formerly St. Agnes High School)
300 East River Road, Henrietta
Free Admission and Handicap Accessible
Visit our Website: www.rocnewhorizons.org
“Successfully helping the disabled obtain their Social Security Disability/SSI benefits for 23 years.”
Mary Perry, ADR 585-385-6855
www.disabilityrep.com 57 Monroe Avenue - Suite C Pittsford, NY 14534
Clarification
Meet
Your Doctor
By Chris Motola
Jennifer H. Anolik, M.D. Working to find new treatments for rheumatoid arthritis, lupus Editor’s Note: The University of Rochester Medical Center is one of 11 research groups across the country chosen by the National Institutes of Health to join the NIH Accelerating Medicines Partnership in Rheumatoid Arthritis and Lupus Network. The new program is a partnership between the NIH, biopharmaceutical companies, advocacy organizations and academic scientists to more rapidly identify promising drug targets and develop much-needed new treatments for patients with these conditions. Physician Jennifer H. Anolik leads the URMC’s research team. Q: What conditions do you typically see in your practice? A: As a rheumatologist, a lot of the patients that I see have arthritis as a major feature, but we also see other inflammatory diseases like lupus. Q: I think I speak for everyone who’s ever watched the TV show “House:” what the heck is lupus? A: Lupus is one of the more common autoimmune diseases, which means the body is making an autoimmune response against itself. Normally our immune symptoms should be fighting viral and bacterial infection, but in some individuals, usually for genetic reasons, it can attack cells. They can take a variety of forms that people are more familiar with like Type 1 diabetes, autoimmune thyroid diseases, but those are more targeted. Type 1 diabetes is an autoimmune response directed against the pancreas. In lupus, there’s a systemic autoimmune response. You can get inflammation in mul-
tiple parts of the body: kidney, joints, skin, sometimes the heart and lungs. It’s a disease that is confusing because it can look so different in different individuals. Q: I’ve heard it’s a disease that tends to be diagnosed by process of elimination. Is that true? A: Yes. The diagnosis can be challenging. There isn’t a single blood test that’s absolutely indicative of lupus so its clinical criteria involve eliminating diseases that can mimic lupus. Usually for the experienced rheumatologist, there are accepted criteria for making the diagnosis and lab tests that are helpful for confirming the diagnosis. There are groups more commonly affected, particularly younger women. In nine out of every 10 cases, the patient is female. Typically they’re between the ages of 20 and 40. Q: What can generally be done for autoimmune diseases? A: It depends on the disease. Most of the drugs are classified as anti-inflammatory. For more serious organ involvement — like the kidneys in lupus — we use stronger immuno-suppressant therapies. Sometimes that’s chemotherapy, sometimes that’s drugs typically used to prevent the rejection of transplanted organs, sometimes it’s steroids. One of the movements in the field is to be more targeted with our therapies.
The name of the neurologist we featured in our Meet Your Doctor column last month had an error. Her name is Mary Dombovy, not Maria Dombovy as it appeared in the paper. Also, we stated that her position was vice president, neuroscience service line, Rochester Regional Health System. Her position is vice president of Neurosciences for the Golisano Restorative Neurology and Rehabilitation Center. We regret the error. Page 6
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • November 2014
Q: Any success with those? A: Traditionally, drugs that broadly suppress the immune system can make patients more susceptible to infection. So we want to suppress the autoimmune response but leave the rest of
the immune system working normally. Where we’ve been increasingly successful is with drugs called biologics that are very targeted. In rheumatoid arthritis, there are inflammatory molecule that can be blocked by biologics. It’s a bit more complicated with lupus, which is more challenging to treat. There’s only one approved biologic therapy for lupus. It’s had some efficacy, but not in all patients and it’s not a very dramatic response. Q: Can you talk about some of the research you’ve been involved in? A: We have research programs going on in my lab in both rheumatoid arthritis and in lupus. With lupus, there’s such a high need because there are so few FDA-approved drugs for the disease. We study the immune system of lupus patients and some of the cells we think are important in the disease. For example, we’ve had a big interest in B cells, a type of lymphocyte that produces antibodies. So we’re trying to find out why auto-antibodies develop and how they contribute to the disease process. For rheumatoid arthritis, even though the situation is much better, not all patients respond to therapies. We don’t necessarily have a good way to pick which drug is the best for which patient. So there’s a need for new drug targets and developing more personalized health care. So we’re trying to come up with better bio markers to tell which patients will respond best to which medicines. We were one of 11 sites awarded an NIH grant called the Accelerating Medicines Partnership (AMP), so we’re in an elite group of investigators. The grant is a partnership with several large pharmaceutical companies with the goal of developing new treatment targets. Q: Do you end up dealing with non-rheumatoid arthritis? A: There are a lot of different kinds of arthritis and a lot of patients get referred to us for joint pain. The most common kind is actually osteoarthritis, which tends to occur with age. So we’ll often evaluate those patients, but we focus on the inflammatory auto-immune diseases. Q: What got you interested in your specialty? A: Well, I’m an M.D., but I’m also a scientist with a Ph.D. I knew early in my career that I was going to not only want to see patients, but also play a role in advancing the field of medicine. I was also interested in caring patients over a long period of time, so management of chronic diseases appealed to me. Since these diseases can affect many parts of the body, I enjoy the complexity of studying them and looking at the whole of the person. There’s also a lot room in the specialty for research to improve care.
Lifelines Name: Jennifer H. Anolik, M.D., Ph.D. Hometown: North Miami Beach, Fla. Education: University of Rochester School of Medicine, Swarthmore College (BA, chemistry) Affiliations: University of Rochester, Strong Memorial Hospital, Highland Hospital Organizations: American Medical Association, American College of Rheumatology Family: Two daughters, agd 22 and 24 Hobbies: Tennis (competitively), reading, traveling
My Take
Chiropractic/Acupuncture practice on Rochester’s east side has space available for a massage therapist. Large patient base in new medical complex, rent is $ 500 and includes all. Inquires to drsbones@earthlink.net
By George W. Chapman
Do Hospital Mergers Drive Up Costs? They are happening all around us. But we are faced with a conundrum. On one hand, in order to survive, many hospitals are merging. Smaller hospitals have little purchasing power, cannot justify providing certain expensive services, and face an increasingly difficult time recruiting, retaining and paying physicians. Larger multi-hospital systems should be able to reduce costs, provide more services and retain physicians. On the other hand, mergers reduce or outright eliminate competition. Since hospitals are still in a predominately fee for service/ volume environment, several studies show mergers have resulted in price increases, (not to be confused with cost increases), as any merged hospitals take advantage of their new found market dominance and raise prices. For this reason the FTC must approve and then monitor mergers. It remains to be seen what will happen to hospital prices once providers are paid based on outcome/performance versus volume.
Healthcare Costs to Escalate Again
The non-partisan Office of the Actuary at Center for Medicaid and Medicare Services (CMS) is predicting healthcare spending will once again begin to escalate this year. Healthcare spending will account for 19-20 percent of our economy by 2023. It was 17.2 percent in 2012. The dire prediction comes after a few years of relatively modest increases of 4 percent. The report, published in Health Affairs, predicts an average annual increase of 6 percent a year from 2015 through 2023. Contributing factors are increased coverage under the Affordable Care Act, an aging population and overall economic growth. The “good” news is the experts are not calling for a return to the double-digit increases of the 80’s and 90’s. Much of the growth in spending will come from CMS, which now covers 100 million people.
Nurses Needed According to the American Nurses Association, we will need another 1.1 million nurses by 2022 as 20 percent of existing nurses are eligible/set to retire soon. Several other countries are predicting nurse shortages as well.
US Hospitals Lead In Administrative Costs
This goes right along with our world leading highest per capita spending on healthcare ($8,000-plus). According to a study published in Health Affairs, 25 percent of hospital costs are for administration, more than twice that of in Canada and other countries. However, in defense of US hospitals, many of the other countries in the study, like Canada, have a single payer system, which makes running a hospital far easier when you have to deal with only one set of benefits, one fee schedule and one set of rules and
regulations. US hospitals must deal with myriads of payers, which results in dealing with myriads of benefits, fee schedules and rules.
US Leads in Obesity
In addition to leading the world in costs, we claim the No. 1 position in obesity. In 1980, no state had an obesity rate over 15 percent. Today, Mississippi and West Virginia lead the way with 35 percent, closely followed by Arkansas, Tennessee, Kentucky, Louisiana and Oklahoma. On average, we are 24 pounds heavier than our counterparts in 1960. The least obese state was Colorado at 21 percent. When considering high costs of healthcare, we all need to take a good look in the mirror.
Reference Pricing As deductibles and coinsurances increase, consumers want to know “how much.” Reference pricing is an idea to make prices more competitive. Insurers would establish payment for elective services (office visit, knee replacement, colonoscopy, etc.) and require the consumer to pay the difference between the reference price or payment and the provider’s charge. Theoretically, people will seek the cheapest (and hopefully qualified) provider. The FTC argues this won’t work in a market dominated by one hospital (see mergers above). The counter to that is these are elective procedures and most people have access to transportation and would be willing to drive 50 miles to a qualified provider if they would save hundreds if not thousands of dollars.
New York Healthcare Forum The healthcare industry is confusing and constantly in flux. You need to advocate for yourself and understand how things work in order to make your experience more satisfying and productive. An informed and engaged patient will always have a much better relationship with their providers and insurers. I am constantly asked for advice when it comes to navigating the healthcare system. Consequently, a group of us with decades of experience in the industry created a website to assist consumers — free. Check it out at www.newyorkhealthcareforum.com.
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GEORGE W. CHAPMAN is a health consultant who operates GW Chapman Consulting in Syracuse. To reach him, email gwc@gwchapmanconsulting. com. November 2014 •
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Page 7
Live Alone & Thrive
By Gwenn Voelckers
Practical tips, advice and hope for those who live alone
Make the Most of Living Alone by ‘Letting Go’
A
re you convinced you’ll never be good at relationships? Or, do you regret the way you behaved in your marriage? Still angry at your ex? Or yourself? Holding on to past hurts, slights, negative thinking or lost opportunities can compromise your sense of well-being and ability to live alone with contentment. Whether it’s emotional baggage or tangible reminders that keep you anchored in the past, I encourage you to give them up and start fresh. “Letting go” is a beautiful thing. And not just for those who live alone. Letting go of old ways of thinking, of a negative self-image, of anger, of regret or destructive thoughts or behaviors can free you up to embrace life’s blessings and the possibility of feeling whole and complete on your own. When I purchased my home in the country 15 years ago, one of the first things I did was to carve out a fire pit in my backyard. I love everything about a bonfire: the warm glow it casts on the faces of those gathered around it, the earthy scent of burning branches, the flames that invite inspection . . . and introspection. Little did I know that when I built my fire pit that it would also become the ceremonial dumping ground for my “old baggage” — those
useless beliefs and feelings that were holding me back and keeping my life small. I remember one evening in particular. I’d been holding on to old Day-Timers — large, leather-bound calendar/ planners that I used in the ‘90s before everything went pocket-size. In these Day-Timers, I made calendar entries that captured “the good, the bad, and the ugly” over the course of what turned out to be a bumpy, transforming decade. Why I hung onto these Day-Timers I’ll never know. Maybe out of misplaced sentimentality. But this I do know: Whenever I looked at the neat stack of volumes stashed away in my closet, I would wince inside. And so one night, I decided to hold a private Letting Go ceremony. I started the bonfire, grabbed my Day-Timers, and made my way to the fire pit. And there I sat with my memories (and my wine!), and slowly, deliberately leafed through each bound year of my life, before tossing it on the hot embers. It was a moving experience. Sad at times.
KIDS Corner Teen Driving Vehicle crashes still the leading cause of death among teenagers
M
otor vehicle crashes are the leading cause of death among teenagers. In 2011, about 2,650 teens in the United States aged 16 to 19 were killed and almost 292,000 were treated in emergency departments for injuries suffered in motor-vehicle crashes. This means that seven teens aged 16 to 19 died every day from motor vehicle injuries that year. Per mile driven, teen drivers aged 16 to 19 are three times more likely than drivers aged 20 and older to be in a fatal crash.
Who’s at Risk?
Among teen drivers, those at especially high risk for motor vehicle crashes are: • Males: In 2011, the motor vehicle death rate for male drivers and passengers aged 16 to 19 was almost two Page 8
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times that of their female counterparts. • Teens driving with teen passengers: The presence of teen passengers increases the crash risk of unsupervised teen drivers. This risk increases with the number of teen passengers. • Newly licensed teens: Crash risk is particularly high during the first months of licensure.
But, mostly, I began to feel lighter, freer. And I felt something I didn’t expect: a sense of peace and self-satisfaction for having taken control and done something good for myself. That evening set the stage for many Letting Go ceremonies to come. I look forward to them and the release of the pent-up, negative energy they promise. Interested in giving it a try? Here are some tips: Step One: Identity what is holding you back or keeping you stuck. Be honest. Ask yourself what negative beliefs or thoughts are getting in the way of your ability to feel hopeful and enthusiastic about yourself and your life. What do you need to let go of to feel freer and to move forward? Anger toward something or someone? Regret over a past mistake? Guilt? A negative self-image? A bad habit? A feeling of inferiority? A deep sadness? Step Two: Write down this negative belief or thought in a “Letter to Self.” Put it down on paper and get it out of your system. Or, identify
the risk of involvement in a motor vehicle crash is greater for teens than for older drivers. • In 2012, 23 percent of drivers aged 15 to 20 involved in fatal motor vehicle crashes were drinking. • In a national survey conducted in 2011, 24 percent of teens reported that, within the previous month, they had ridden with a driver who had been drinking alcohol and 8 percent reported having driven after drinking alcohol within the same one-month period. • In 2012, 71 percent of drivers aged 15 to 20 who were killed in motor vehicle crashes after drinking were not wearing a seat belt.
How crashes involving teen drivers can be prevented?
There are proven methods to helping teens become safer drivers. • Seat Belts —Research
Other factors that put teens at increased risk:
• Low seat belt use: Compared with other age groups, teens have the lowest rate of seat belt use. In 2013, only 54 percent of high school students reported they always wear seat belts when riding with someone else. • Drinking and driving: At all levels of blood alcohol concentration,
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • November 2014
something tangible (as I did with my Day-Timers) that conjures up painful or disappointing memories. This negative “something” — a photograph, gift, letter or other reminder — can be powerful. Even if it’s out of sight, perhaps tucked into a closet, you know it’s there and just having it in your possession may keep you tethered to a past disappointment or regret. Step Three: Hold your own Letting Go ceremony in whatever style or fashion suits you. I like the bonfire approach, but you may prefer another method. Tying your Letter to Self to a stone and throwing it into a lake may be more fitting and symbolic. Or burying your anger in your backyard. You decide. But, on your own or in the company of friends and family, let go of what’s holding you back and keeping you stuck. Doing so may help liberate the hope, passion and power residing deep inside you. It can be a very meaningful step toward independence. Needless to say, Letting Go ceremonies aren’t the cure-all. Believe me, my long-held feelings about my difficult decade didn’t magically dissipate with the burning of my Day-Timers. But letting go can help open the path to personal growth and fulfillment. It’s part of a healthy process, and I encourage you to give it a try. For now, however, I hope you’ll excuse me. I have a bonfire to build and some baggage to burn. Gwenn Voelckers is the founder and facilitator of Live Alone and Thrive, empowerment workshops for women held throughout the year in Mendon, New York. For information about her fall workshop or to invite Gwenn to speak, call 585-624-7887, or email her at gvoelckers@rochester.rr.com
shows that seat belts reduce serious crash-related injuries and deaths by about half. • Not Drinking & Driving — Enforcing minimum legal drinking age laws and zero blood-alcohol tolerance laws for drivers under age 21 are recommended. • Graduated Licensing Systems (GDL) — Driving is a complex skill, one that must be practiced to be learned well. Teenagers’ lack of driving experience, together with risk-taking behavior, puts them at heightened risk for crashes. The need for skill-building and driving supervision for new drivers is the basis for graduated driver licensing systems, which exist in all US states and Washington, DC. Graduated driver licensing puts restrictions on new drivers; these are systematically lifted as the driver gains experience. Research suggests that the most comprehensive graduated drivers licensing (GDL) programs are associated with reductions of 38 percent and 40 percent in fatal and injury crashes, respectively, among 16-year-old drivers. When parents know their state’s GDL laws, they can help enforce the laws and, in effect, help keep their teen drivers safe. Source: Centers for Disease Control and Prevention (CDC).
FOR LEASE
Bad News Crunch Time for Physical Therapists Recent changes mean higher co-pays for patients, lower reimbursement for PTs By Deborah Jeanne Sergeant
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eed physical therapy? It’s going to cost you more. A lot more. And in the near future, physical therapy offices may become scarce. Recent changes in insurance copays have increased patient co-pays as much as three times what they were before and decreased the payment received by physical therapists by up to 15 percent. For example, a patient paying a $15 co-pay may now pay $45. Already receiving among the lowest reimbursements in the nation, Upstate New York’s independent physical therapy offices struggle to absorb the difference of lower insurance reimbursement. “We have not received an increase in our payment for no-fault or workers compensation in 17 years,” said Susan Hoover, physical therapist with West Irondequoit Physical Therapy in Rochester. “We may not be able to absorb that loss,” Hoover said. “People can’t afford the amount of physical therapy they need. It’s a very serious issue.” Hoover said that physical therapists have addressed legislators in
Albany about insurance companies classifying physical therapists as specialists instead of treating providers. The different designation has made a necessary medical treatment into a privilege even for insured people. Delaying treatment may make patients’ outcomes less successful. “When they try to go a long time without it, it makes it harder to treat and their condition gets worse,” said Susan Callan-Harris, owner of Callan-Harris Physical Therapy in Rochester. “They have swelling, stiffness and atrophy.” Adding to the challenge, independent practices must bill insurance companies by 15-minute increments, but with a cap on the amount of time for which they receive payment. Once they exceed that time maximum, they will receive no more payment, even if the patient truly needs the extra time in therapy. STAR Physical Therapy in Fairport and other independent physical therapy offices are coming up with creative ways to generate additional revenue streams. One of these is prevention and
Good News Bill to cover equipment and supplies for ostomies signed into law
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ov. Cuomo in September signed into law legislation sponsored by Sen. David J. Valesky (D-Oneida) that requires every insurance policy to include equipment and supplies necessary for the treatment of ostomies. An ostomy is a surgically created opening connecting an internal organ to the abdomen, caused by many different conditions, including cancer, bowel disease, birth defects and injury. Different kinds of ostomies are named for the organ involved, such as a colostomy, ileostomy or urostomy. Ostomies can be a lifelong health condition and require necessary and costly equipment and supplies, including pouches, seals, belts, tubes and wafers. Previously, the law did not require full coverage of ostomy supplies — as it does with other conditions like diabetes — causing those living with ostomies a great cost burden. The new law sponsored by Sen. Valesky changes that. In addition to greatly improving the quality of life for those dealing with an ostomy, full coverage of equipment can ultimately result in savings to the healthcare system caused by repeat and extended hospital visits due to lack of or insufficient equipment.
“This law makes sense, and makes the coverage of necessary ostomy supplies consistent with coverage for other conditions like diabetes,” Sen. Valesky said. “I thank Gov. Cuomo for recognizing the importance of this issue.” “Not having proper ostomy supplies can be devastating to patients, and this bill will make a huge difference in the lives of ostomy patients throughout New York state. We are very grateful to Sen. Valesky for helping us with this issue,” Heidi H. Cross, ostomy nurse practitioner and a member of the United Ostomy Associations of America, said. Legislation will take effect Jan. 1.
wellness programs. “We’re looking at those who’ve been identified as pre-diabetics,” said Marcia Spoto, physical therapist and chiropractor at STAR. “There’ so much that can be done for exercise intervention, particularly.” She believes that proactive physical therapy can help lessen the effect of arthritis, saving or delaying the cost of knee replacement. “Many controlled research studies have shown cost savings with conservative management,” Spoto said. “High co-pay structures don’t align incentives on current evidence but they’re encouraging people to wait and move to more expensive medical procedures.” Competition from hospital-affiliated offices represents another hurdle for independent PT offices. After surgery, patients may receive physical therapy from a PT office affiliated with the hospital or an independent office. Few patients realize they have the right to choose. “A lot of these doctors are in a hospital system, so they’re incentivized or pressured to keep people in the system,” said Dan Geen, physical therapist at Genesee Valley Physical Therapy in Rochester, which he co-founded in 1987. “The hospital-affiliated PTs don’t have to do a good job to get patients. I’m not saying they aren’t doing a good job, but they don’t have to in order to receive patients.” Hospitals also aren’t under the same daily caps for coverage, meaning that for the same amount of treatment, a hospital-affiliated PT could be paid for an entire 90-minute session instead of just 45 minutes. Geen said that instead of the $45 he receives for a treatment, a hospital-affiliated PT may receive “two to three times that amount for the same encounter.” To help offset losses so he can provide quality care, Geen partners with four YMCA branches in the area so that one of his PTs can eventually transition patients from in-house physical therapy to the YMCA for their “home” exercises. Subsequent exercise sessions at the YMCA are generally supervised by YMCA staff, but aren’t billable. Patients access the pool and other equipment their homes lack, and once they’re done with physical therapy, may feel inclined to pay for membership and continue working out at the Y. Geen also offers lectures, health fair presentations, workshops and weight loss programs to encourage proactive care. Healthier patients may need a 45-minute visit, which would be completely covered, compared with a patient who has suffered a more devastating injury who needs a 90-minute visit of which only 45 minutes is covered. By catching problems early, Geen’s office can offer treatment that’s both cost-effective and physically effective as well as see more patients.
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Page 9
My Journey to Lose Weight A newspaper reporter shares his experience trying to lose weight By Gary Band
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leven years ago at the age of 33 it hit me: I was overweight. And it didn’t take long to figure out how it happened. Over the previous four years, my physical activity decreased while my intake of calories increased. Until I was 29, with the exception of the occasional run or walk, I’d always been in decent shape and looked good enough without trying too hard. I played sports as a kid and a teenager, served in the Navy, walked up and down the stairs of my aircraft carrier and all over the countries I visited. In college, other than walking all over campus in Boston and up and down the hills of Brookline to and from the train, I wasn’t doing much of anything else but still I was in great shape. But when I started a full-time job as a newspaper reporter in 1999, it never
... and before
occurred to me that I needed to engage in any kind of regular activity to keep looking the same as I always had. Day after day I sat at my desk, at my meals, and celebrated the completion of the paper every two weeks with a couple of beers and some bad bar food, blissfully unaware of what was happening to my body. It wasn’t until I went to a pool party in Swampscott, Mass., one summer day in 2003 that I saw myself for the first time in an unflattering light. Resolving then and there to remedy my condition, I left the party and drove to the nearby Gold’s Gym. I met with a trainer and prepared myself to step on the scale for the first time I could remember in recent years. Incredibly, it read 217, compelling me to sign up for a membership and start working out on a regular basis. But the weight wasn’t coming off. Six years later in 2009, after a variety of regimens, including walking, running and hiking, and trying to eat better, I left Massachusetts for a job in Vermont weighing around 210. Over the next three years working as a newspaper editor in Woodstock and then Chester, Vt., eating at every community supper and area restaurant, I gained back the small amount of weight I had lost and then some. When at last I stepped into the studio of a personal trainer in Chester in November 2012, I weighed 243 pounds. Over the next six months I worked out with this trainer three times a week
for over an hour each session and lost over 20 pounds. It was a start, but I had many miles and pounds to go. I moved to Brighton in November 2013 to be with my wife, and worried about how to continue dropping weight in the absence of a strict training regimen and the steep hills of Vermont on which I supplemented my workouts with long walks. On Dec. 1, at a starting weight of 222, I joined the nearby Jewish Community Center, worked out three to five times a week, and walked a few miles along the Canal Trail whenever the weather allowed. After a long winter, complete with two bad colds in February and March that set me back a bit, by the time our wedding day came around on April 1, I weighed 217. Following the food-filled honeymoon, and a larger wedding party over Memorial Day Weekend, I was at 213. By June, with all the relative gluttony of those days behind me, I really began to focus. I cut back on going to the JCC in favor of being out in nicer weather, doing regular seven- to ninemile walks and five- to seven-mile jogs on the Canal Trail, along with a few 30plus mile cycling trips to Spencerport. Instead of brewing coffee or black tea like I’ve done for years, I started making green tea in the coffee pot every morning. I stopped getting food from the hot bar at Wegmans and snacking after 9 p.m. And due to my wife’s dietary restrictions, which requires her
Gary Band now... and our house to be vegetarian and gluten free, I’ve been eating accordingly at home over these past 10 months. Lo and behold, one day in mid-August the scale showed 203, down 40 pounds from my heaviest weight in November 2012. I still want to lose another 10-20, and believe it can be done by walking, jogging, working out and eating right all year long. Like my former trainer said, it’s not a sprint, but a marathon. Making small changes to your life style makes a big difference. The sooner you start, the healthier you’ll be and the better you’ll look. Gary Band has worked as a reporter and editor at newspapers and magazines in Massachusetts, Vermont and New York. He lives with his wife in Brighton.
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • November 2014
Meet Your Provider
By Robert W. Hurlbut, President & CEO, Hurlbut Care Communities
Hurlbut Care Communities
How to select the right long-term care facility by asking the right questions As our parents and loved ones age, and we start to see them struggle with managing the responsibilities of everyday life, there is an increasing concern for their safety, well being, and comfort. This concern often leads to consideration of long-term care. We understand, first hand, that selecting a long-term care facility for yourself or a family member is a big decision. At Hurlbut Care Communities, we speak with concerned, caring family members about this topic everyday. And we pride ourselves on providing straight talk and honest answers, and being a trusted, compassionate resource that can help families make the right decision. The right decision starts with asking the right questions of the facility that you will be entrusting the care of your loved one too. Questions concerning staffing and clinical support, comfort and safety, activities and amenities, diet and exercise, are critical to understanding the approach each facility takes to delivering the highest quality of care. For your benefit, here are several of the most important questions to ask during your review of long-term care facilities: 1. Are there licensed nurses on staff
24/7, and an RN on duty at least eight hours per day? It is important to know that medical support professionals specially trained in geriatric care are available around the clock to address any medical needs of the residents. 2. Is the clinical and support staff temporary or contract, or are they employees of the facility? Do not hesitate to ask if the caregivers and support staff work directly for the facility or if they are temporary or contracted agency personnel. Direct employees provide a level of accountability and continuity that is critical when managing the residents’ needs. 3. Do residents and family members have input into the care plan? Individualized care plans should be standard for each resident/patient at a facility, and families and the resident need to be able to interact with a multi-disciplinary team (nursing, activities, social work, therapy, dietary and other specialty services departments) to have input into, and review of, the care plan. 4. Are specialized services available for residents requiring a higher level of care, i.e. dementia, diabetes? Many skilled nursing facilities provide medical teams trained to manage the specialized needs of residents with
acute or chronic diseases, such as dementia, diabetes, Parkinson’s, COPD or others. 5. Can the residents have personal belongings and furniture in their rooms? Photographs, special mementos, books and other personal items can help create a feeling of home. Inquire whether personal belongings are accepted and will be safe within a facility. 6. Are there regularly scheduled recreational and social activities held inside and outside of the facility? Recreational activities can enhance a resident’s emotional, physical and spiritual wellbeing. There are few things more rewarding than watching residents experience the delight of new friendships as they participate in social activities. 7. Are rehabilitation services, such as speech, physical, and occupational therapy, available at the facility? Ask the facility if they will conduct a thorough physical and occupational therapy evaluation to determine the specific rehabilitative needs of the resident. You may also inquire if they can provide a speech therapy evaluation to determine if speech, swallowing, and language rehabilitation is necessary. 8. Is there a dietitian on staff to support special nutritional and dietary needs
of patients? A key part of the clinical team is a registered dietitian specially trained in geriatric care to monitor and manage the nutritional wellbeing of each resident. We’re here to help. If you have questions concerning the selection of a long-term care facility, or simply have general questions regarding long-term care, consider Hurlbut Care Communities a trusted resource and contact us at 585.222. CARE or visit HurlbutCare.com. Robert W. Hurlbut is president and chief executive officer of ROHM Services Corporation, which owns and operates 12 different Hurlbut Care Communities located across the Greater Rochester region, with an additional facility in Boca Raton, Fla. Hurlbut Care Communities offer the highest-quality long-term nursing and short-term rehabilitation care.
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Page 11
All Natural, Organic, Certified Organic, Non-GMO Confused with all the food labels in the grocery store?You’re not alone By Deborah Jeanne Sergeant
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ood labels use terms that confuse many consumers, such as organic, USDA Certified Organic, nonGMO, all natural, natural, sustainable growing practices and more. What’s a consumer to do? Read on to become more label savvy. Cindy Fiege, natural health consultant owner of Harmony Health Store, LLC in Spencerport, believes that the most misleading term commonly used on products is “all natural” which is “very loosely defined,” she said. “The U.S. Food and Drug Administration even admits on its official website that the word ‘natural’ is ‘difficult to define,’ which is supposedly why the agency has not yet developed an official legal definition for its use. Most folks believe that all natural and organic are the same term.” They’re not. Natural refers to the amount of processing an ingredient receives; organic refers to how the product’s ingredients are grown. Melinda Wade, manager of Mother Earth Natural Foods in Geneva, said that consumers often confuse the two. “Some people want organic and some feel natural is organic,” she said. “We tell them that natural isn’t necessarily organic.” In general, companies make natural products using mostly or all ingredients that aren’t highly processed. “Non-GMO” has become a popular marketing ploy on packages. Genetically modified organisms (GMOs) include produce engineered to resist drought and pesticides and promote yield and nutrition. Opponents of GMOs view them as unhealthful because they’re
often generated by combining genes in unnatural ways, such as across species, a practice which they believe has been associated with health problems and damage to the environment. The FDA has approved certain GMOs for 20 years. “Using a science-based approach, the Food and Drug Administration regulates foods and ingredients made from genetically engineered (GE) plants to help ensure that they are safe to eat,” the FDA states on its website. “While FDA regulates foods and ingredients, including foods made from genetically engineered plants, the agency neither supports GE plants based on their perceived benefits nor opposes them based on their perceived risks. FDA’s priority is to ensure that all foods, including those derived from GE plants, are safe and otherwise in compliance with the FD&C Act and applicable regulations.” GMO labeling is voluntary; however, many companies promote their brands with “non-GMO” as a means of assuring concerned consumers that their products don’t contain genetically engineered or modified components. Organic foods are grown without use of chemical fertilizer, pest control or weed control. Advocates of organic growing methods wish to avoid the chemicals used with traditionally grown produce and livestock, believing that the chemicals leave behind harmful residue. The U.S. Department of Agriculture (USDA)’s organic certification program set standards to regulate how organic foods are grown, harvested and
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processed. No food may be labeled as “organic” or “USDA Certified Organic” unless it complies with USDA certified organic standards. Products that contain multiple ingredients must contain at least 95 percent organic ingredients to use the USDA Organic label, but must be all organic to say “100% Organic” on the package. The term “made with organic ingredients” may be used if 70 percent of the product is organic ingredients. If any amount of the item is organic, it may be listed only among its ingredients. “If a consumer wants to avoid chemical residues, certified organic is the best choice,” said Liz Henderson, co-chairwoman of the Northeast Organic Farming Association-NY, Inc. policy committee. “Certified organic also means that the farmers has not knowingly used GMOs.”
It’s also important to note that GMO-free, organic, or natural doesn’t guarantee that a product is healthful. These foods could be chock full of sugar, fat, and calories and contain few vitamins and minerals. Instead of processed snacks, “eat whole produce and grains that are local and organic,” Henderson said. “It’s the healthy way to fix up your diet.” A new label gaining prominence in New York, “Food Justice Certified,” refers to good labor relations between farm owners and laborers and fair prices for suppliers. Issued by Quality Certification Services in Seattle, the label also ensures safe food handling practices, Henderson feels. “When farm workers are properly trained and treated with respect, they’re likely to do a good job with food safety,” she said.
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • November 2014
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SmartBites
By Anne Palumbo
The skinny on healthy eating
Humble Rutabaga Rocks with Nutrition
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rown beneath the earth, stored in dark basements for weeks on end, a tad gnarly on the outside: root vegetables can be a scary bunch! It’s no wonder we give some of these veggies the bum’s rush at the market. Many look like they’re from another planet. But hold the phone. Roots are loaded with nutrients, versatile in the kitchen, and last longer than most vegetables when properly stored. Rutabaga, the star of today’s column, shines in the vitamin C department — yes, vitamin C! — with one cup serving up about 50 percent of our daily needs. A powerful antioxidant with immune-boosting capabilities, vitamin C helps the body maintain healthy tissues and is essential for healing wounds. Although no studies confirm that vitamin C prevents colds, it may shorten the length of a cold. This tasty root also packs a decent fiber punch, with one cup providing about 3 grams of primarily insoluble fiber, a type of fiber that does not break down within the digestive tract. Consuming insoluble fiber promotes regularity and, according to the American Heart Association, can lessen your chance of cardiovascular disease. Concerned about blood pressure?
sible for the bitter taste and pungent aroma of these kinds of vegetables. According to research conducted at the Linus Pauling Institute, glucosinolates may help eliminate carcinogens before they damage DNA, thus thwarting the transformation of normal cells into cancerous ones. Lastly, this sweet yet savory vegetable has no fat or cholesterol, scant sodium, a bit of calcium, and is only 60 calories per cup. Helpful Tips Choose firm, medium-sized rutabagas (about two inches across) that feel heavy: extra large ones tend to be tough and not as sweet; lighter ones may be woody. Because they are often waxed, they should be peeled. To peel: trim ends, cut in half, place flat side down on cutting board, and then remove peel with a paring knife. Rutabagas are good keepers and will last up to two weeks (or more) in the refrigerator. To store in fridge: first rinse rutabagas under cool water, cut off tops and small roots, dry well, and then place in a plastic bag.
Reach for a rutabaga: one cup has as much potassium as your average banana. While research has shown for some time that potassium can lower blood pressure, a new study shows that aging women whose diets are rich in potassium are less likely to suffer strokes and die than women who have less of this mineral in their diet. Eating more potassium is essential not only for heart health, but for the skeletal and muscle systems as well. Rutabagas, like all cruciferous vegetables, are top sources of cancer-fighting glucosinolates, which are sulfur-containing compounds respon-
Mashed Rutabaga with Fresh Chives Serves 4
2 medium rutabagas, peeled and cut into 1-inch chunks 2 teaspoons butter (optional) 1/3 cup milk (regular or reduced-fat) 2 tablespoons sour cream (regular or light) salt and black pepper (to taste) 2 to 3 tablespoons chopped fresh chives
November 2014 •
Cover the chopped rutabaga with about two inches of cold water and bring to a boil. Add a generous pinch of salt, cover pan, and boil until tender, about 40 minutes. A fork should easily penetrate the chunks. Drain and return to the pot. Mash with a potato masher for a few minutes. Then, add butter (if using), milk, sour cream and salt and pepper; mash until fairly smooth. They will be chunkier than your traditional mashed potatoes. Add more milk or sour cream if you desire a creamier consistency. Mix in the chives, and enjoy! (Not a chives fan? Try dill.)
Anne Palumbo is a lifestyle columnist, food guru, and seasoned cook, who has perfected the art of preparing nutritious, calorie-conscious dishes. She is hungry for your questions and comments about SmartBites, so be in touch with Anne at avpalumbo@aol.com.
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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GoldenYears Number of Adults with Developmental Disabilities Grows, Creates New Challenges In 1970 only 11 percent of adults with intellectual disabilities were over age 55. That figure is expected to be 22 percent by 2040 By Deborah Blackwell
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early 19 percent of adults over the age of 55 are diagnosed with a developmental disability, requiring them to need support services. Now more than ever, those needs are growing, according to the U.S. Census Bureau. In 1970 only 11 percent of adults with intellectual disabilities were over age 55. Due to improvements in healthcare, the percentage is expected to be 22 percent by 2040, according to a report from The President’s Committee for People with Intellectual Disabilities (PCPID.) As well, the life expectancy of developmentally disabled adults is now nearing that of the general population. “People are living longer, and not only are they living longer, they are productive, they are contributing to their community,” says Amy Mitchell, the director of Day Services, Lifetime Assistance Inc., Rochester. That is true of the varying levels of disability, according to Mitchell, who oversees several programs serving a broad community. The types of disorders accommodated include intellectual and cognitive disabilities, neurological impairments, cerebral palsy, epilepsy and autism. But maintaining comprehensive care can be a challenging task. In a nation of ongoing healthcare crises, case
management, service coordination, and proper advocacy for adults with developmental disabilities is critical. Some of the challenges include safe and affordable housing, transportation services, vocational training, employment services and proper medical care. “It takes an expert medical caregiver to understand the effects of different types of disorders and how they impact human nature and the human body,” says Barb Wale, president, The Arc of Monroe County. “For people with Down syndrome, their bodies are often 10 to 20 years older than their chronological age. The question is, do physicians understand the impact of the disability as well as the impact of the person being an adult.” Many people with developmental disabilities live with physical challenges that may increase as they age. Not only is this often frustrating for them — just as it is for those without disabilities — but it is important to have access to quality medical care and support services. That is why individualized supports and services are the key focus of agencies like Lifetime Assistance and Arc of Monroe County, who try to tailor a plan for each person they serve throughout that person’s life and with his or her changing needs. “What is good for one person may not be good for another at any age,”
Gerry Dean, 81, a longtime resident with Lifetime Assistance Inc., enjoys lunch at a local restaurant once a month with Nancy Balleron, associate director, residential services, Lifetime Assistance, Inc. Ballaron says she enjoys their lunches and it reminds her why she loves her job so much. says Wale. “You need to find what is best for your loved family member when structuring the right care.” Sixty-three percent of Arc of Mon-
Noel Boccaccio, 74, enjoys his breakfast with Residence Manager Marie Avery at Lifetime Assistance, Inc. North Avenue home, Greece. Each day, Noel enjoys having a good hearty breakfast, and a salad with dinner, and likes to practice healthy eating habits. Sometimes he will have a second helping of salad to ensure he gets all of his vegetables for the day. Page 14
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • November 2014
roe County’s residents are over the age of 50, and 38 percent require significant care due to medical conditions either related or not related to their disability. Fifty-nine percent need moderate oversight, including help with daily needs such medication monitoring, as well as medical appointments. There are programs available specifically for those over age 50, each structured for different needs. It is critical to maintain support options ranging from day programs to activity centers, workshops, supported employment, residential facilities, and stay-at-home alternatives. This is not a new challenge for agencies that support adults with developmental disabilities. Lifetime Assistance originated in 1978 by just a few founding families whose special needs children were graduating from high school and had no programs available to meet their needs. They started a day program in Brockport, eventually opening group homes. Now with more than 1,500 employees helping 1,200, program participants utilize residential services, day services offering both large and small group settings, vocational, employment, and community habilitation programs, they are the largest comprehensive agency in the greater Rochester area. Joan House, 70, of Hamlin, has been a client of Lifetime Assistance for nearly three decades. Not only is she involved in program activities, she is active in her community building relationships with people through her
We can embrace “ life and strive for
happiness despite whatever challenges we may face in our lifetimes.
”
Joan House, 70, Hamlin, is a very active member of the Sweden Senior Center in Brockport, and in her community. She volunteers at the local food shelf and cleans at Brockport Exempts. Friends say she is loved for her friendly and outgoing attitude, and is well-known for always smiling.
Bill Conrad, 65, Webster, attends the Golden Opportunities program in Greece, and writes a monthly newsletter about the program there. Conrad is a strong self advocate and has visited many offices of elected officials including three senators: George Maziarz, Joseph Robach, and Ted O’Brien.
Norman Duger, 79, Rochester, attends both Golden Opportunities in Greece and a program in Gates, where he spends his day out in the local community. Duger is an energetic and active volunteer, and also is a woodworker. Duger makes wine racks and Adirondack chairs among many other items, that are donated to local non-profit organizations.
Amy Mitchell, Lifetime Assistance Inc., Rochester local volunteer work, her creative endeavors including making spice rubs, and sharing frequent lunches with the members of the Sweden Senior Center in Brockport. But with the population of adults with disabilities on an incline, and the national shift in healthcare resources and funding, the ability for agencies like Lifetime Assistance to continue to successfully help their clients requires dedicated community support. Bill Conrad, 65, Webster, is part of Lifetime Assistance, attending a program in Greece. He actively participates in local volunteer work, writes a monthly newsletter for his program, and also attends self-advocacy meetings where he and others in the program discuss what they can do to improve their lives. Conrad has even gone to politician’s offices representing those with intellectual disabilities, advocating for funds for their services and care to be returned to the budget. Mitchell says in spite of the intricacies of regulations, policies, and procedures, Lifetime Assistance has been fortunate to have an excellent system that provides outstanding care for their clients. The bottom line, she says, is that they provide the opportunity for adults with developmental disabilities to live their lives and reach their full potential. “People with developmental disabilities are like you and me. They want to be able to have relationships, they want to be able to have friends,” says Wale. “People with developmental disabilities also have talents, skills, and abilities. They live, work, and play in the community, and they are good neighbors. All of that enhances their quality of life. It not only allows them to live longer, but live better lives.” Norman Duger, 79, Rochester, attends programs in both Greece and Gates. He enjoys working as a volunteer in his programs, but also is a woodworker. Duger not only repairs, but also makes different pieces of furniture, such as Adirondack chairs, that are donated to local nonprofit groups. Lifetime Assistance works with more than 50 non-profit organizations, offering volunteer services including cooking, cleaning, and landscaping, as well as products such as furniture and other goods. Duger says he really enjoys the life he is living and cannot wait to see what the future has in store for him. “There should be that dignity and respect given to people, adult to adult,” says Mitchell. “There is a responsibility and commitment for everyone to be a productive citizen in their community. Just because someone has a developmental disability they should not be treated differently. We are an evolving society, where dignity and respect can change everything.” November 2014 •
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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GoldenYears Can Human Growth Hormone Reverse Aging? Experts: HGH not the fountain of youth By Deborah Jeanne Sergeant
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ou’ve likely seen ads online about human growth hormone (HGH), popularly touted to reverse the aging process. While HGH is FDA approved for certain uses, turning back the clock for middle-aged and older adults isn’t one of them. Manuel Enecilla, Jr., who practices internal and geriatric medicine at Geneva General Hospital, said it’s not wise to take HGH improperly. “It won’t work to stop aging and it can have some terrible side effects,” he said. The pituitary gland produces HGH naturally to spur children’s and teens’ growth. It also controls functions involvEnecilla ing metabolism. Synthetic HGH can help spur growth in children and adolescents whose growth has unnaturally stopped because of certain medical conditions. Doctors also prescribe HGH for conditions such as short bowel syndrome, HGH deficiency or muscle-wasting
disease. No evidence has shown that HGH can recapture youthful appearance and muscle mass; however, side effects of using HGH for non-prescribed purposes includes joint pain, swelling, carpal tunnel syndrome, increased cholesterol and increased risk of diabetes. “It has an insulin-like factor attached to it, so if you use it, you get to get hyperglycemia,” Enecilla said. “You can’t use growth hormone to look younger. For patients with low testosterone, replacing testosterone is the better approach.” Smythe He added that many middle-aged and older adults lack sufficient sleep to feel their best. Most adults generally need eight hours’ sleep per night. Beth Smythe, registered dietitian and representative of the New York State Dietetic Association, said that eating right is vital for feeling and looking
HEALTHCARE CAREERS
one’s best at any age. “Foods deliver physiological benefits such as protein for muscle repair, carbohydrates for energy and vitamins and minerals for cell function,” she said. For optimal benefit, she advises eating less processed foods and more whole foods. Many foods boast fortification; however, these don’t offer equal nutritional value as foods which naturally contain the same nutrients. “For instance, omega-3 fatty acids: many foods are fortified with omega-3s, but one of the best sources is cold water fish such as salmon which is naturally Evarts high in omega-3s,” Smythe said. “They can lower your risk of heart disease. You would have to eat a lot more of fortified foods with omega-3 fatty acids to get the same physiologic response you would get from eating salmon.” Filling the diet with whole fruits
By Deborah Jeanne Sergeant
Phlebotomy: A Vital Career An average phlebotomist earns $25,177 to $30,470
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f you’re interested in working in a medical environment, consider a career in phlebotomy. After only a few weeks of classes, the average phlebotomist earns $25,177 to $30,470 annually, according to Explore Health Careers. Phlebotomists work in a variety of medical settings, for home health companies and at blood banks performing blood draws and to different degrees, handling and processing samples, depending upon the situation. New York does not require certification for phlebotomists to work; however, it does give applicants a distinct advantage over those without certification. Historically, phlebotomists learned through on-the-job training; however, applicants can obtain a phlebotomy certificate through a vocational program such as at Monroe County BOCES or Bryant & Stratton College. BOCES’ program ($2,460 tuition) includes 75 hours of classroom training and 80 hours of hands-on clinical work. Bryant & Stratton’s program (tuition not listed online) includes 85 hours of classroom and lab instruction and a 40hour internship. The job also offers the prestige of a Page 16
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and vegetables, whole grains, nuts, beans, low-fat dairy, and lean sources of proteins helps the body stay healthy. The “My Plate” diagram illustrates a balanced meal comprised of one-half fruits and vegetables, one-quarter lean protein and one-quarter whole grain carbohydrates. A positive outlook and regular exercise provides more keys to good health, according to Gary Evarts, seventh degree black belt, head instructor and owner at Kuk Sool Won of Greater Rochester. “Being vibrant is just as much how one is in their mental mindset,” Evarts said. “You don’t get that natural rush of happiness and energy from the success you just acquired [if you are] taking things like HGH. This natural reward from hard work is what makes us feel so vibrant and energized to be able to accomplish any goal we set our self out to accomplish.” Evarts likes the fact that practicing martial arts offers not only regular, ongoing exercise but mental and physical challenges and goals to keep motivated. While martial arts may not be the activity for you, seek something you enjoy doing and engage in 30 to 60 minutes of exercise most days of the week to get—and stay—physically fit.
professional career without the burden of an expensive and lengthy education. “Phlebotomists understand the importance of their job,” said Mary Jo Radell, ACM Medical Laboratory’s patient services training coordinator. “They’re the front line from the initiation of the doctor’s order. They have to perform with great detail and accuracy. Everything down the line is dependent upon their ability to be 100 percent accurate. “They are very proud of what they do and at the end of the day, they feel they’ve done a wonderful service to our patients.” Paula Trabold, manager at ACM Medical Laboratory, said that the patients who interact with phlebotomists “hold them in high regard and look at them as a professional part of the community.” “Most programs involve class work with anatomy and circulation, and a lot about lab operations and compliance,” said Beth Schroeder, senior manager of Ambulatory Laboratory Services at Rochester Regional Health System. “Healthcare is a very regulated industry with standard precautions and safe-
ty. From there, once you have that, it’s experience and developing your skill.” In addition to drawing blood, phlebotomists may also perform other job functions that may help them transfer into another, more advanced health-related position. “It’s a great way to get into the healthcare setting. Once they’re here, many realize they want to be a nurse or a radiology technician,” Schroeder said. Though Schroeder described 75 of her department’s phlebotomists as “career phlebotomists” and “the rest are doing it as a stepping stone while in school or want to go on to be a medical technologist,” she said. “It gives real world experience.” Within the department, phlebotomists can advance from the entry-level position to more advanced levels. Many phlebotomists stick with it because they enjoy the work and helping their patients. “You can really be a hero to those people, especially if they’re afraid or have small veins,” said Mary Billings, director of Laboratory Services for Finger Lakes Health. “If they have the
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • November 2014
confidence to come to you time after time, you’re a hero.” She added that many phlebotomists enjoy the constant interaction with patients. Phlebotomists also enjoy excellent job security. “It’s a career where you can easily find a job,” Billings said. “Anybody going into this or medical technology will be guaranteed a job for a long, long time.” In Billings’ department, which includes phlebotomists and other related jobs, nearly one in four of the employees is over 50 and few younger people seem interested in the field. In addition to certification, good “people skills” help people succeed in phlebotomy. “We can train someone on technical skills, but if people don’t come to us with that warm, embracing type of personality, that’s not something we can teach,” Billings said. “With every single blood draw, you’re interacting with that person sitting in front of you.” Norma Hoag, phlebotomy supervisor at UR Medicine Labs, thinks that customer service skills help new phlebotomists succeed. She looks for those abilities in applicants, along with a can-do attitude. “I think that someone who really has a desire to do well and it’s something they really love,” Hoag said. “We do our own interviews. We look at their personalities and you can tell if someone’s a people-person. It’s a skill and an art.”
Study Shows Senior Stroke Rates Declining
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eniors in the United States are suffering fewer strokes, regardless of their race or sex, a new long-term study reveals. “We found that stroke incidence [among those 65 and older] has been declining for the last 20 years,” said senior study author, physician Josef Coresh, a professor of epidemiology at the Johns Hopkins Bloomberg School of Public Health, in Baltimore. “Our study found that the decrease is happening in whites and blacks, which is very important because blacks are at an elevated risk of stroke,” he added. However, people younger than 65 continued to suffer strokes at about the same rate, although the researchers found that more of these younger patients survived their stroke. The stroke death rate for people aged 65 and older held steady. One expert found some of the study results troubling. “The more concerning news is the lack of decline [in stroke rates] among those under 65,” said Ralph Sacco, a physician who serves as chairman of neurology at the University of Miami
Miller School of Medicine. “When you look at that statistic in relationship to recent warnings that diabetes, obesity and lack of physical activity are still major problems that have not been reduced in the last decade, this raises some red flags.” As for the reduced death rate among younger stroke victims, “that may mean our ability to treat and improve survival after stroke is better in younger people,” Sacco said. On the other hand, stroke rates likely are declining in older people due to improved treatment of risk factors for stroke, Coresh said. For example, use of cholesterol-lowering medications increased from just under 4 percent to nearly 13 percent over time in these patients, with an accompanying decline in “bad” LDL cholesterol levels. At the same time, use of blood pressure medications increased from about 29 percent to 43 percent in that same period, an increase seen predominantly among people older than 65. The number of current smokers also declined during the course of the study, the researchers noted.
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Don’t Slip, It’s Fall! By Zoe Fackelman
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et leaves and that occasional sneaky black ice can catch you falling without a moment’s notice. We commonly hear, “I am so afraid of falling.” Many ask what can be done to help reduce the risk of falling. The first and most important step is to begin a regular exercise program. If you have a history of pelvic, back, sacroiliac, sciatica, hip, knee, ankle or foot pain, then it is very important to undergo a physical therapy evaluation and develop a treatment plan before beginning exercises. Seeing a physical therapist to identify risk factors to exercise is critical to your success. Perhaps pain is preventing you from exercise. As your pain is managed with treatment, then movement is more tolerable allowing you to participate in a fall prevention program. Fall risk is prevalent for people who have challenges with balance, tight legs and weak muscles. Your physical therapist can design a program to reduce your risk of falling. The specific and customized routine will involve stretching your calves and strengthening your hips, back and belly. Special attention and exercise is required for those with osteoporosis. Ten million Americans are estimated to have osteoporosis. Twenty percent affected by osteoporosis are men. This bone condition places you at greater risk for a broken bone (fracture) and falls are the most common reason for a fracture. In addition to exercise, it is crucial to make your home safer. Seventy five percent of falls occur in the home. To make your home safer: • Remove all things you could trip over from stairs and places where you walk. • Remove small throw rugs or use
double sided tape to keep the rugs from slipping. • Beware of pets under foot. • Keep items you use often in cabinets you can reach easily without using a step stool. • Have grab bars put in next to your toilet and in the tub or shower. • Use non-slip mats in the bathtub and on shower floors. • Improve lighting in your home. As you get older, you need brighter lights to see well. Lamp shades or frosted bulbs can reduce glare. • Have handrails and lights put in on all staircases. • Wear shoes that give good support and have thin non-slip soles. Avoid wearing slippers. • Before getting out of bed in the morning or at night to use the bathroom, sit on the side of the bed for a few minutes before standing up. This will allow your blood pressure some time to adjust when you sit or stand up. If you move too quickly, your blood pressure may not be able to “keep up”. This can make you dizzy, and you might lose your balance and fall. We also strongly suggest seeing your health care provider for a review of your medications. Some medicines, or combination of medications, can make you drowsy or light headed which can lead to a fall. A vision check is encouraged since compromised vision increases your chances of falling. Zoe Fackelman is a physical therapist and the owner of Lake Country Physical Therapy and Sportscare, PC in Canandaigua. For more information, visit www. lakecountrypt.com or send her an email at zoe@lakecountrypt.com. November 2014 •
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GoldenYears A Senior Advocate Champion Teresa Green is part of a program that aids the elderly remain in their own homes by providing appropriate and cost-effective, non-medical support services By Ernst Lamothe
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eresa Green always wanted to work in the community. She was raised by the idea that helping others is its own reward. Also, when it came to helping the elderly, she had a special place in her heart for those who had given so much of their lives to others. Green wanted seniors to be able to have their own independence even as they grow older and she works to make that a reality in her job. “I came from the south where people have reverence for the elderly,” said Green, who recently won an award from the Urban League of Rochester for her work. “We respect our elders and we take care of them whenever we can.
Green
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That’s the motto I grew up with and continue to live by.” Green is part of the expanded inhome services for the elderly program, which aids the elderly to remain in their own homes by providing appropriate and cost-effective, non-medical support services. The Catholic Family Center and the Urban League of Rochester support the program. Through this collaboration, the Urban League provides case management to individuals over the age of 60 living in Monroe County who have functional limitations and are not eligible for a similar type of service through another funding source such as Medicaid. Through the program, individuals receive subsidized in-home services that enable them to live independently and safely in their homes for as long as possible. “We all want to live our lives independently. Just because you are getting older doesn’t mean you don’t want that,” said Green. “No one wants to leave their home if they have a choice and we give people a chance to live at home in a safe environment by giving them a little help along the way as they need it. Getting a chance to help the most vulnerable members of society is something we should all try to do if possible.” The organization also runs
a monthly senior minority support group for people who are 55 years old and older who live in the city. Each meeting includes lunch, group discussion and presentations from guest speakers. In addition, program staff assesses participants’ needs for community services and link them to appropriate services. “You have someone like Teresa Green who is working tirelessly to make sure people can stay in their homes for as long as they can. She really is someone special,” said William Clark, president of the Urban League. “You just have to meet her once to see how much she truly cares about the cause. She has this tremendous passion for helping others while not wanting any attention for herself.” When Green is talking to the seniors, she preaches staying active. Stressing exercising is essential because keeping joints moving can help prevent arthritis. More than 50 million people in the United States have arthritis, according to the National Institute of Health. “I tell them that whether they are in a wheelchair or walker, they have to move around,” said Green. When Green looks at the work she does, there is a sense that she is at the right place in life. She often gets to make life better for the elderly and give people the independence they want throughout their lives. “I feel like I get out of it more than I give,” added Green. “I get so many positives interacting with them and hearing stories of what they have done over their lives. I know that it is so much of a disruption to their lives when they have to leave their homes so anything I can do to enrich their lives by working with them makes me happy.” The program also matches each client with a case manager who helps determine what help is needed and provides on-going guidance to the client family. Housekeeping services may include light housekeeping, laundry or meal preparation. Personal care may include bathing or dressing. Seniors pay a fee for home care, depending on their monthly income. “We need people like Teresa in this world,” said Clark. “I know she doesn’t like attention and is doing the work out of the goodness of her heart. But too often, we don’t recognize the people who don’t want attention. She is doing a valuable service for the community.” To find out more information about the program, call 585-262-7060.
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • November 2014
Testosterone Promotes Prostate Cancer in Rats Animal findings could signal public health risks for men using testosterone therapy
A
researcher who found that testosterone raised the risk of prostate tumors and exacerbated the effects of carcinogenic chemical exposure in rats is urging caution in prescribing testosterone therapy to men who have not been diagnosed with hypogonadism, according to a new study published in the Endocrine Society’s journal Endocrinology. Testosterone use has soared in the last decade among older men seeking to boost energy and feel younger. One study published in The Journal of Clinical Endocrinology & Metabolism found that the number of American men who started testosterone therapy has nearly quadrupled since 2000, despite concerns about potential cardiovascular risks. The Endocrine Society’s Clinical Practice Guidelines on testosterone therapy in adult men recommend prescribing testosterone only to men who have unequivocally low levels of the hormone and decreased libido, erectile dysfunction or other symptoms of hypogonadism, a condition that results from low testosterone. “This research demonstrates that testosterone on its own is a weak carcinogen in male rats,” said the study’s author, Maarten C. Bosland, PhD, of the University of Illinois at Chicago. “When it is combined with cancer-causing chemicals, testosterone creates a hospitable environment for tumors to develop. If these same findings hold true in humans, there is
serious cause for public health concern.”
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Vaccination Options Available to Seniors this Flu Season
Flu Shots Options
Just as they do every year, the Centers for Disease Control and Prevention (CDC) recommends a seasonal flu shot to almost everyone, but it’s especially important for seniors who are at higher risk of developing serious flu-related complications. The flu puts more than 200,000 people in the hospital each year and kills around 24,000 — 90 percent of whom are seniors. Here’s the rundown of the different options: Standard (trivalent) flu shot: This tried-and-true shot that’s been around for more than 30 years protects against three strains of influenza. This year’s version protects against the two common A strains (H1N1 and H3N2), and one influenza B virus. Quadrivalent flu shot: This vaccine, which was introduced last year, protects against four types of influenza — the same three strains as the standard flu shot, plus an additional B-strain virus. High-dose flu shot: Designed specifically for seniors, age 65 and older, this vaccine, called the Fluzone HighDose, has four times the amount of antigen as a regular flu shot does, which creates a stronger immune response for better protection. But be aware that
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Dear Cautious, Depending on your health, age and personal preference, there’s a buffet of flu shots available to seniors this flu season, along with two vaccinations for pneumonia that you should consider getting too.
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Dear Savvy Senior, I understand that there are several types of flu vaccines being offered to seniors this flu season. What can you tell me about them? Cautious Senior
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the high-dose option may also be more likely to cause side effects, including headache, muscle aches and fever. Intradermal flu shot: If you don’t like needles, the intradermal shot is a nice option because it uses a tiny 1/16inch long micro-needle to inject the vaccine just under the skin, rather than deeper in the muscle like standard flu shots. This trivalent vaccine is recommended only to those ages 18 to 64. To locate a vaccination site that offers these flu shots, visit vaccines. gov and type in your ZIP code. You’ll also be happy to know that if you’re a Medicare beneficiary, Part B will cover 100 percent of the costs of any flu shot, as long as your doctor, health clinic or pharmacy agrees not to charge you more than Medicare pays. Private health insurers are also required to cover standard flu shots, however, you’ll need to check with your provider to see if they cover the other vaccination options.
Pneumonia Vaccines The other important vaccinations the CDC recommends to seniors, especially this time of year, are the pneumococcal vaccines for pneumonia. An estimated 900,000 people in the U.S. get pneumococcal pneumonia each year, and it kills around 5,000. This year, the CDC is recommending that all seniors 65 or older get two separate vaccines, which is a change of decades-old advice. The vaccines are Prevnar 13 and Pneumovax 23. Previously, only Pneumovax 23 was recommended for seniors. Both vaccines, which are administered just once, work in different ways to provide maximum protection. If you haven’t yet received any pneumococcal vaccine you should get the Prevnar 13 first, followed by Pneumovax 23 six to 12 months later. But, if you’ve already been vaccinated with Pneumovax 23 you should get Prevnar 13 at least one year later. Medicare currently covers only one pneumococcal vaccine per older adult. If you’re paying out of pocket, you can expect to pay around $50 to $85 for Pneumovax 23, and around $120 to $150 for the Prevnar 13. Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit www.savvysenior. org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book. November 2014 •
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November 3, 5:30 – 7 pm Lifespan, 1900 S. Clinton Ave. Learn about the vast services available for caregivers and older adults through Lifespan.
Medicare 101
October 31, 10:00 am – noon OR 2:00 – 4:00 pm at Lifespan, 1900 S. Clinton Ave. November 20, 1:30 – 3:30 pm at the Summit at Brighton, 2000 Summit Circle Dr. An easy-to-follow explanation of Medicare.
How to Choose a Person-Centered Nursing Home
November 4, 5:30 – 7 pm Lifespan, 1900 S. Clinton Ave. A short or long-term stay in a nursing home may be needed unexpectedly, at any age. How do you find a home that truly practices person-centered care? Learn what to look for and what questions to ask.
A Day of Hearing
November 6, 9 am – 4 pm Lifespan, 1900 S. Clinton Ave. Free hearing screens & presentations about hearing loss and adaptive equipment. No reservations necessary.
Housing Options for Older Adults
November 6, 5:30 – 7 pm Lifespan, 1900 S. Clinton Ave. Housing options are numerous, confusing and sometimes expensive. In this session we will review what is available in our community.
Medicaid & Financing Long Term Care
November 12, 10:30 am – Noon Lifespan, 1900 S. Clinton Ave. Learn more about how to prepare financially for the possibility of nursing home care.
Leaving a Legacy
November 13, 1:30 – 3 pm MVP Wellness Center, 220 Alexander Street Have you ever wondered what people will know about you in 100 years? Do you long to somehow pass on the wisdom you have gained throughout your life? This session will focus on ways to capture the joys, sorrows and lessons of your life for future generations.
Stress Busters
November 17, 5:30 pm – 7:00 pm Lifespan, 1900 S. Clinton Ave. What creates stress for you? Learn ways to incorporate stress reduction into your busy day. This class will discuss stretching and breathing exercises, a simple meditation, and ways to make some time to de-stress throughout your day.
Beating the Winter Blahs
November 18, 1:30 – 3:00 pm The MVP Health Care Living Well Center at the Westside YMCA, 920 Elmgrove Rd. Do you dread the long, dark days of winter? Identify ways to cope and enjoy the season. Learn what foods brighten your moods and boost your immune system, how to reduce your risk for colds/flu, fun tips to make the winter fly by and simple exercises that you can do to keep fit while watching TV.
Medicaid Managed Long-term Care
When Every Day is a Saturday
November 18, 5:30 – 7 pm Lifespan, 1900 S. Clinton Ave. New York State is changing the way Medicaid recipients will receive long-term care services. Some individuals in NYS will have to choose a Medicaid Managed Long-term Care (MMLTC) plan in order to receive these vital services. Learn about MMLTC and if these changes may affect you or your loved one.
Future Care Planning for Persons with Intellectual & Developmental Disabilities
November 20, 1:30 – 3 pm Lifespan, 1900 S. Clinton Ave. Having help at home is often the key to maintaining longer term independence. We will talk about types of home care, how to access services and how the services are paid.
November 10, 10:30 am – Noon Lifespan, 1900 S. Clinton Ave. What would you like to do when every day is Saturday? This presentation highlights the opportunities and benefits of volunteering including how to discover volunteer opportunities that not only benefit your community, but match your interests, talents and availability.
November 10, 5:30 –7 pm Lifespan, 1900 S. Clinton Ave. This session will focus on how caregivers of persons with intellectual and developmental disabilities can break down some barriers and stressors of caregiving. We will provide an overview of our Future Care Planning 4-step process with added emphasis on the legal and financial aspects of planning, Article 17a guardianship and supplemental needs trusts.
The G-forces of Caregiving (Guilt, Grief and Grace)
November 11, 5:30 – 7 pm at Lifespan, 1900 S. Clinton Ave. November 17, 1:30 – 3 pm at MVP Wellness Center, 220 Alexander St. The emotions and challenges of caregiving can be difficult. This session will focus on how communication skills can alleviate some of the challenges of caregiving. Learn about the normal emotions associated with caregiving.
Home Care Options & How to Pay for Them
Housing Options for Older Adults
November 25, 3 – 4:30 pm Penfield Parks & Recreation Center, 1958 Baird Rd. Housing options are numerous, confusing and sometimes expensive. In this session we will review what is available in our community. SPONSORED BY
Presented by Lifespan with generous support from MVP Health Care and our sponsors.
PRE-REGISTRATION IS REQUIRED. Call 585-244-8400 ext. 401 IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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HCR Home Care named a leader in LGBT healthcare equality HCR Home Care has been recognized as a leader in lesbian, gay, bisexual and tranXsgender (LGBT) healthcare equality by the Human Rights Campaign (HRC) Foundation. The HRC Foundation — the educational arm of the country’s largest LGBT civil rights organization — recognized HCR in its healthcare equality index 2014, an annual survey that encourages equal care for LGBT Americans and recognizes healthcare institutions doing the best work. HCR Home Care earned top marks in meeting non-discrimination and training criteria that demonstrate its
commitment to equitable, inclusive care for LGBT patients and their families, who can face significant challenges in securing the quality health care and respect they deserve. “HCR is proud to be named as a leader in LGBT healthcare equality,” said HCR Home Care President Elizabeth Zicari. “The Human Rights Campaign Foundation’s recognition is a testament to our company’s commitment to the LGBT community and to the outstanding work of our staff to care for all patients equally.” HCR Home Care met key criteria, including patient and employee non-discrimination policies that specifically mention sexual orientation and gender identity, a guarantee of equal visitation for same-sex partners and parents, and LGBT health education for key staff members.
The Social Ask Security Office Column provided by the local Social Security Office
Holiday Season: Being Aware of Fraud Is Your First Step to Avoiding It
W
ith all of the holiday shopping going on this time of year, both in stores and online, there is no better time to remind you to beware of fraud — you never know where it is lurking. When it comes to doing business with Social Security online, there is little to worry about — all of our online services are protected by strong Internet security protocols and you should have confidence that they are safe and secure. But there are other ways identity thieves and criminals can obtain your personal information and cause you significant harm. Here are some tips to help keep that from happening. If someone contacts you claiming to be from Social Security and asks for your Social Security number, date of birth or other identifying information, beware. Don’t provide your personal information without first contacting Social Security to verify if Social Security is really trying to contact you. It could be an identity thief phishing for your personal information. Call Social Security’s toll-free number at 1-800-772-1213 (TTY 1-800-325-0778). If you receive a suspicious call, report it by going to http://oig.ssa.gov/ report. Or call 1-800-269-0271 from 10 a.m. – 4 p.m. You should provide as much of the following information as you know: • The alleged suspect(s) and victim(s) names, address(es), phone number(s), date(s) of birth, and Social Security number(s); • Description of the fraud and the location where the fraud took place; • When and how the fraud was committed; • Why the person committed the fraud (if known); and • Who else has knowledge of the potential violation.
The Arc of Monroe County serves people with intellectual and/or other developmental disabilities.
Our person centered approach provides support and choices. To learn more, go to www.arcmonroe.org. 2060 Brighton Henrietta Townline Road, Rochester, NY 14623
585-271-0660
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Q&A
Q: What is Supplemental Security Income (SSI)? A: SSI provides monthly income to people with limited income and financial resources. People who never worked at a job that withdrew Social Security tax won’t qualify for Social Security, but may still be eligible for SSI. To be eligible, an individual must be a citizen and resident of the United States or be a noncitizen lawfully admitted for permanent residence. There are, however, some noncitizens granted a special immigration status that are also eligible. To get SSI, an individual’s financial resources (savings and assets)
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • November 2014
Identity theft is one of the fastest-growing crimes in the United States. If you or anyone you know has been the victim of an identity thief, contact the Federal Trade Commission at www.idtheft.gov, or 1-877-IDTHEFT (1-877-438-4338); TTY 1-866-653-4261. Another form of fraud that people fall victim to: businesses using misleading advertisements that make it look as though they are from Social Security. These businesses often offer Social Security services for a fee, even though the same services are available directly from Social Security free of charge. By law, such an advertisement must indicate that the company is not affiliated with Social Security. If you receive what you believe is misleading advertising for Social Security services, send the complete mailing, including the envelope, to: Office of the Inspector General, Fraud Hotline, Social Security Administration, P.O. Box 17768, Baltimore, MD 21235. Also, advise your state’s attorney general or consumer affairs office and the Better Business Bureau. If you see or hear what you believe is misleading advertising related to Social Security, you can report it at the address above, by calling 1-800-269-0271 from 10:00 a.m. to 4:00 p.m. Eastern Time, or by visiting http://oig.ssa.gov/report. Protect your investment in Social Security and do your part to report potential fraud. We rely on you to let us know when you suspect someone is committing fraud against Social Security. Reporting fraud is a smart thing to do—and the right thing to do. Visit Social Security’s Office of the Inspector General at http://oig.ssa.gov. Learn more about identity theft and misleading advertising by reading our publications on the subjects at www.socialsecurity.gov/pubs.
cannot be more than $2,000 ($3,000, if married). Recipients must be age 65 or older, or blind or disabled. For more information, please read SSI or What You Need To Know When You Receive Supplemental Security Income (SSI). Both are available at www.socialsecurity.gov/pubs. Q: Are Supplemental Security Income (SSI) benefits subject to federal income tax? A: No. SSI payments are not subject to federal taxes. If you get SSI, you will not receive an annual form SSA1099. However, your Social Security benefits may be subject to income tax. Learn more at www.socialsecurity.gov.
H ealth News Nurse practitioner joins Clifton Springs practice Kimberly Wesley has joined the Clifton Springs Hospital medical staff as a nurse practitioner in the Ontario Gastroenterology Associates practice. Wesley received a Bachelor of Science degree from Keuka College and completed a Master of Science degree in adult nursing at the University of Rochester. Prior to joining Ontario Gastroenterology Associates, Wesley provided care to Wesley rehabilitation and long-term care patients at F. F. Thompson Hospital in Canandaigua. She serves as clinical faculty at the Nazareth School of Nursing and is a member of the New York State Nurse Practitioners Association and the American Association of Nurse Practitioners. The practice of Ontario Gastroenterology Associates is located on the campus of Clifton Springs Hospital.
Hear New York opens in Rochester Hear New York has opened in Rochester and will serve Upstate, Northern and Western New York. Hear New York is a provider of Premium hearing aids at discounted prices. The discount hearing aid program matches patients with audiologists to provide hearing services and recommend solutions that may include the use of hearing devices. Hear New York works with leading hearing aids manufactures to provide the latest technology at discounted prices. Patients receive personalized hearing solutions by doctors of audiology. For more information visit www. hearnewyork.com
Rochester PT gets national certification Physical therapist James Byers has become certified by the Lymphology Association of North America (LANA). Byers, who is on staff at Callan-Harris Physical Therapy (CHPT), is one of only two certified lymphedema therapists (CLT) in the Rochester area to be LANA certified, and only 48 in the state of New York. Byers comByers pleted his CLT
training through the University of Wisconsin-Milwaukee and holds a master of physical therapy from the University of North Carolina-Chapel Hill. Locally, Byers presented on skin care for lymphedema for LANROC, the Lymphedema Awareness Network of Rochester. He joined the staff of CHPT in 2008. Certified lymphedema therapists are medical professionals including physical therapists/physical therapist assistants, occupational therapists/certified occupational therapist assistants, registered nurses and licensed massage therapists, who have had at least 135 hours of specialized training through an accredited program. They must pass a national certification exam, meeting the highest standards of care for lymphedema treatment. A LANA-certified CLT demonstrates the highest level of knowledge and patient care for lymphedema. Callan-Harris Physical Therapy, P.C. is a regional leader in the care and treatment of patients with lymphedema. CHPT employs four full-time certified lymphedema therapists and presents workshops and in-services to community organizations on lymphedema management.
Local doc first in nation to earn hospice certification Physician Thomas Caprio, medical director at Visiting Nurse Service of Rochester, UR Medicine’s home care agency, was among the first cohort in the nation to earn the hospice medical director certified credential (HMDC) from the Hospice Medical Director Certification Board. Caprio was the only physician in Western New York to receive the distinction, and one of only 300 physicians nationally to be recognized for their commitment to improving quality of life by displaying professional competency in the field of hospice care. “We’re very proud of Dr. Caprio,” said Denise Caprio Burgen, Visiting Nurse Service’s interim president and CEO. “He is a brilliant physician who thoroughly understands end-of-life care, and is also a kindhearted, compassionate man who helps patients and families feel at ease. His experience and knowledge make him very deserving of this certification, and we feel very fortunate to have him on our team.” Physicians seeking Hospice Medical Director Certification must meet experiential and training requirements and pass a certification exam. The designation is granted for six years and is renewed through continued validation of knowledge and re-examination. Caprio graduated from the SUNY at Buffalo School of Medicine and completed his residency training and geriatric medicine fellowship at the University of Rochester. November 2014 •
New Rochester Regional Health System CEO Already on the Job Physician Eric Bieber has just begun his tenure as president and chief executive officer for the Rochester Regional Health System, the newly combined organization that resulted from the merger between Rochester General Health System and Unity Health System. Bieber comes to Rochester Regional Health System from University Hospitals (UH) in Cleveland, where he served in a dual role as both the president of the system’s Community Hospitals West Region and the president of its Accountable Care Organizations (ACOs). UH is a $3.3 billion integrated delivery system and the second largest employer in Northeast Ohio, Bieber with more than 25,000 employees. Bieber received his Doctor of Medicine degree at Loyola University’s Stritch School of Medicine. He served his residency in obstetrics and gynecology at Rush St. Luke’s Presbyterian Hospital in Chicago, followed by a fellowship in reproductive endocrinology at University of Chicago. He went on to earn his MS degree in healthcare management from Harvard University. Bieber is married with two sons. His wife, Edie, is also an obstetrician/ gynecologist. Bieber was selected through a rigorous and inclusive process facilitated by the external national recruiting firm, Quick Leonard Kieffer, in partnership with an internal selection committee consisting of Rochester Regional Health System board members and physicians. After screening more than 100 candidates, Bieber emerged as the first choice, and was unanimously approved by the board in late September. “Dr. Bieber’s extensive clinical and operational executive experience make him uniquely qualified to successfully lead Rochester Regional Health System on our journey to improve patient health, improve the care experience and reduce health care costs throughout the region,” said Bob Dobies, board chairman at Rochester Regional Health System. “Dr. Bieber is nationally recognized for his ability to consistently cultivate high quality patient care, while achieving sound financial performance at large, highly-complex, integrated health systems.”
Bieber’s responsibilities at UH included creation and leadership of six ACOs — one of the largest and most complex ACO networks in the nation, collectively accountable for more than 200,000 lives and $1 billion in associated revenue. Additionally, he was responsible for UH’s Western Region Hospitals, consisting of multiple, large and complex acute care facilities, including two recently acquired hospitals. Bieber also oversaw UH’s graduate medical education program (approximately 1000-plus full-time equivalent residents). He led UH’s model of care initiatives driving care delivery innovation resulting in millions of dollars in sustainable savings. At varying points in his UH career, he was responsible for system quality, clinical research and case management, and also served as System CMO. Prior to joining UH, Bieber was executive vice president of Strategic Network Development and, before that, was a regional hospital chief medical officer for Geisinger Health System in Pennsylvania. “I am both energized and excited about the opportunity to lead Rochester Regional Health System and its more than 14,000 team members during this essential time of foundational development and growth. Both legacy organizations that make up Rochester Regional share proud, patient-centered cultures and rich histories of compassionate, community-focused care,” said Bieber. “It will be extremely rewarding to unite and enrich these cultures through our shared commitment to enhance lives and preserve health throughout the region.” He added, “On a personal note, as a lifelong musician and someone who loves all kinds of music, I am really enthused about the Rochester community and cultural scene, and look forward to becoming an active part of it with my family.” The current co-CEOs of Rochester Regional Health System, Mark Clement and Warren Hern, will continue with the system until Nov. 30, when Bieber is expected to be fully transitioned in his new role. As planned and previously announced, both Clement and Hern will leave the system following this transition date.
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He began his career at Visiting Nurse Service in 2007 as the hospice associate medical director and was appointed the agency medical director in 2012. In addition to his role as the hospice medical director for Visiting Nurse Service, he is also an associate professor of medicine/geriatrics, clinical nursing, and public health sciences at the University of Rochester Medical Center. Caprio is active in research and teaching in geriatrics and palliative care. He is board-certified in internal medicine, geriatric medicine, hospice and palliative medicine, and is a fellow of the American College of Physicians.
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Cloverwood Senior Living in Pittsford received the Excellence in Action award from My InnerView by National Research Corporation. This honor recognizes senior living organizations that achieve the highest levels of satisfaction excellence, as demonstrated by overall resident scores that fall within the top 10 percent of more than 8,500 qualified facilities nationwide. Cloverwood Senior Living Goldstein was one of only two independent living communities in Monroe County to receive this distinction, and one of just six winners in the state of New York. The Excellence in Action award is presented to My InnerView clients that completed a customer satisfaction survey during 2013; achieved a 30 percent response rate; and scored in the top 10 percent on the question “What is your recommendation of this facility to others?” in terms of percentage of respondents rating the facility as excellent. “We are very honored to be a recipient of this prestigious award,” said Daniel Goldstein, Cloverwood’s execu-
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • November 2014
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tive director. “Cloverwood is dedicated to providing our residents with an exceptional lifestyle that is rich with the amenities and services that allow an engaging, carefree and vibrant way of life. It is gratifying to know that we are successful in delivering this kind of experience, as has been validated by our residents through the satisfaction survey results.”
Enhanced ASL Dictionary app available An enhanced version of the ASL Video Dictionary and Inflection Guide, created by Rochester Institute of Technology’s National Technical Institute for the Deaf, now is available for iPhones and Android phones. The ASL Video Dictionary and Inflection Guide has been a popular educational tool used worldwide, with examples of 2,700 signs and 650 sentences. It is used by those learning American Sign Language as well as deaf students learning English. “It fills a critical need in that it presents signs in sentence-level context to allow viewers to see how signs change to convey different meanings,” said Geoff Poor, project director. The iOS app is available in the Apple App store for $1.99, and the Android app is available in the Google Play store for $1.99. The Web app is free for members of the RIT community at rit.edu/dictionary. And the ALS Video Dictionary and Inflection Guide CD remains for sale for $49.95, with discounts for educational purposes. Visit “site licenses” at www.rit.edu/dictionary, and available by subscription to others for $39.99 per year.
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Granite countertops and stainless steel appliances in the kitchen. Fresh paint, carpeting and plenty of storage. A beautifully renovated dining room and library with a fireplace, just steps away. Plus 24-hour security, full maintenance and convenient amenities ranging from housekeeping to a fully equipped fitness center. More reasons to consider a Chapel Oaks apartment as your new retirement residence, where there’s no entrance fee and you have priority access to multiple lifestyle and care options. Call us today at 585.697.6606 to schedule a complimentary lunch and personal tour. We’d love to show you around!
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November 2014 •
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Not Your Grandparents Senior Facilities Many of the region’s senior facilities offer a variety of activities to their residents — from going to ethnic restaurants to hosting massage therapists and health experts By Debbie Waltzer
S
eniors in the Greater Rochester area needn’t worry about being bored, thanks to the plethora of activities available at local residential communities designed specifically for older adults. From hands-on art projects and opportunities to serve others, as well as performances by entertainers and visits by renowned educators, seniors can at times feel overwhelmed by the vast number of choices offered during any given day. For those who thrive on fun and intellectual stimulation, that’s a good problem to have. Here’s a look at some of the engaging activities happening around town:
Parkwood Heights: Visits from cartoonist to a dog named Gus Learning about various international cultures is an ongoing endeavor, says Kandy Liguori, life enrichment director at Parkwood Heights, a senior living community with roughly 160 residents, located in Macedon. Every month, Ligouri leads a group on adventures to new restaurants that feature various ethnic cuisines, such as Ethiopian, Ukranian and Italian food. These excursions are supplemented by travelogues, on-site food tastings and lectures by individuals from diverse global backgrounds. Residents also routinely take off for canal boat tours, the Dryden Theater for movie matinees, local casinos and more. At the Parkwood property itself, which consists of patio homes, villa homes and apartments, residents are treated to visits from a cartoonist, health experts, a massage therapist and a golden retriever therapy dog named Gus that “everybody adores,” Liguori notes. Those interested can participate in a chorus as well as a bell choir, card-making classes, woodworking classes, euchre tournaments, religious
services and more. Liguori and her co-workers pay special attention to new residents who, understandably, are adjusting to their new environment and neighbors. Still, she notes, it doesn’t take long for newcomers to feel happy in their new home. “We’re incredibly busy here — and we’re having a lot of fun,” she says.
Legacy Senior Living Communities: Focus on fitness Legacy Senior Living Communities offers nine different locations in Monroe and Ontario counties. As lifestyle coordinator for Legacy at Willow Pond in Penfield, Darcy Dobbertin says that her community offers something for everyone. A focus on fitness is an important part of the Legacy culture. Classes range from t’ai chi — either standing or seated, whichever is more comfortable for the individual — to sessions that use rubber balls to strengthen biceps and triceps. Other classes feature body movements to music, balancing and stretching exercises and Wii bowling. On-site visitors include a ventriloquist, massage therapist, reiki treatment expert and podiatrist. Every month, community-wide birthday parties are held, along with a dinner dance featuring cocktails, appetizers, dinner and live entertainment from local bands. In addition, residents take excursions to casinos, local museums, outof-town malls, Finger Lakes wineries, restaurants and theatres. Art classes abound at Legacy; in one, participants create paper flower bouquets that are donated to area hospitals. There, they are presented to patients in intensive care units that do not allow fresh flowers. “The atmosphere here is very similar to that of an elegant hotel,” Dobbertin notes. “All of our activities are focused on living a purposeful life.”
Residents at Parkwood Heights in different activites that include boat trips and a Super Bowl party.
Chapel Oaks residents take an aquatic class in the facility’s new fitness center. In addition, the facility offers a wide variety of activities, including trips to summer camps, theaters and other places.
St. John’s Meadows and Brickstone: Sociology, psychology classes Life is also hopping at St. John’s Meadows and Brickstone in Brighton, says Debbie Hammond, director of social recreation. In fact, one peppy 95-year-old male resident recently went out and purchased a new Chevy Volt to drive and enjoy. “This is my favorite age group,” says Hammond, a 15-year veteran with the organization. “The elders become my friends and I learn so much from them every day.” Residents enjoy myriad activities, including joint sociology and psychology classes with undergraduates from St. John Fisher College, Nazareth College and SUNY at Brockport. Trips are routinely scheduled to cultural destinations such as the Memorial Art Gallery, Cobblestone Museum, the RPO, Geva and Hochstein. On-fitness activities include aquatic aerobics, qi gong, chair exercises and more. Cocktail parties are popular, as are art classes, current event discussion groups and a life bio program, which enables participants to record their life experiences. “We go all over,” Hammond notes. “This is a very busy campus.”
Chapel Oaks: Excursions are a norm Mr. Howard, a resident at Legacy Senior Living sharing a laugh with staff members. Page 24
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Recently, a busload of female resident from Chapel Oaks — an indepen-
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • November 2014
dent living campus that is part of St. Ann’s Community — took a trip down memory lane. They drove to the now-abandoned Beechwood Girl Scout Camp in Sodus, where many of the residents had attended summer camp as young girls. “It was a ball,” says Rebecca Ahrns-Walker, resident services and facilities manager for Chapel Oaks. “Everybody reminisced about their earlier camping days.” Excursions are a norm at Chapel Oaks, with frequent outings to movie theaters, the Dryden Theatre, Geva, Oktoberfest and shopping malls. Every April, an on-site dog show is held, with staff and residents’ family members bringing in and showing off their adorable canines. Valentine’s Day features a variety show with performances of dance, music and poetry readings by willing staff members and residents. Several fitness classes are held weekly, with focus on therapeutic movements for those with arthritis. tai chi, yoga and a new pool also round out the physical activity program. Other offerings include a wood shop, painting classes with visiting artists, a bell choir and musical entertainment provided by area big bands and smaller ensembles. “There’s something for everyone here, and the decision to participate or not is completely left up to the elders,” says Ahrns-Walker, who has worked at St. Ann’s for 17 years. “Our job is to brighten our residents’ days.”