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in good June 2016 • Issue 130

GVhealthnews.com

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Rochester’s Healthcare Newspaper

Sunbathing

Weight Lifting Mistakes Guys Make

( ( ( (

Men’s Health Inside

) Good for you ) Really good for you ) Bad for you ) Really bad for you Local experts comment on the latest about sunbathing

Page 12

Finger Lakes Hospitals Still Standing

Pet Therapy Is this therapy helpful? Just ask patient Kristin Williamson of Canandaigua

Oral Health & Overall Health

Understanding the connection

Smaller hospitals, such as the ones in Geneva and Auburn, cling to their independence. Find out why.

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Geneva General Hospital in Geneva. “We have a great community that spoke to us and said they wanted their health care locally and are not looking to travel far for quality service,” says Frank Korich, senior vice president of operations for Finger Lakes Health.

The Nutritious Perks of WholeGrain Pasta SmartBite columnist has ditched regular pasta in favor of wholegrain pasta. Find out why June 2016 •

Q&A with Joshua R. Olsen, M.D. Canandaigua orthopedic surgeon discusses why knees and shoulders are the joints most affected by injuries Page 6 IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Not a hotel.

(But you’ll feel like you’re in one.)

Recovering from surgery or a stroke is no vacation. But the Wegman Transitional Care Center offers advanced rehabilitative care in an environment that’s remarkably comfortable.

Rochester’s only freestanding transitional care center.

• Separate from St. Ann’s skilled nursing building.

• Singularly focused on helping you gain the independence you need to return home.

Hotel-like amenities.

• Spacious private rooms with shower, complimentary Wi-Fi, and flat-screen TV. • Country kitchen for use 24/7 and on-site bistro.

You’re the boss.

Where you go for rehab is strictly up to you. If you have a surgery scheduled, you can preplan your stay with us and eliminate last-minute decisions—and disappointments.

Call 585-697-6311.

Or visit www.StAnnsCommunity.com Wegman Transitional Care Center

Specialized care to help you get better and get home fast.

• The latest technology and training to accelerate your recovery.

• Experienced, certified staff skilled in state-of-the-art rehab care.

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2016

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Page 3

CALENDAR of June 7

HEALTH EVENTS

Meeting to focus on bluetooth, hearing aids Anyone interested in hearing loss is welcome at any or all of Hearing Loss Association of America Rochester Chapter's presentations set for Tuesday, June 7, at St. Paul’s Episcopal Church, East Avenue at Westminster Road, across from the George Eastman Museum.

From 10:30 to 11 a.m., at "Hearing Other People's Experiences — HOPE," retired audiologist Joe Kozelsky, a long time hearing aid user, will moderate an informal sharing discussion in the vestry room.

Following social time, refreshments, and the HLAA business meeting from 11 a.m. to noon in the parish hall, Kristen Nolan explores connecting Bluetooth devices to hearing aids.

Nolan is an audiologist with Sounds for Life in Pittsford.

At 8 p.m. Donald Bataille, owner of Hearing Loops Unlimited, will explain and demonstrate the most current loop systems for personal and large venue use.

Hearing Loss Association of America is a nationwide organization dedicated to advocacy, education and support for people with hearing loss.

For more information visit www. hlaa-rochester-ny.org or telephone 585 266 7890.

June 9

Prostate cancer seminars offered in Rochester June is National Men’s Health Month and Thursday, June 9, begins the first in a series of monthly seminars provided by Us TOO Rochester.

The series is dubbed “Attend & Learn” with seminars scheduled for the second Thursday evenings of each month throughout the summer.

Topics will focus on treatment options for prostate cancer. Seminars are facilitated by medical providers and subject matter experts from across the region. The first topic is “Demystifying External Beam Radiation as Treatment for Prostate Cancer” by physician Kevin Bylund, a radiation oncologist at UR Medicine Wilmot Cancer Institute.

No advance registration is required. Park in the ramp garage for Strong Memorial Hospital, 601 Elmwood Ave. Check-in begins at 6:30 p.m. at the main information desk in the lobby on ground floor of the Wilmot Cancer Institute. Parking passes will be provided to the first 30 persons who arrive by 6:45 p.m. The seminar will start promptly at 7 p.m.

For more information about the seminar series, contact Us Too through email ustoorochesterny@ gmail.com or by phone at 585-7874011 — or search the Internet for “Us TOO Rochester”.

June 14

Fibromyalgia group to hold meeting The Fibromyalgia Association of Rochester New York will hold s support group meeting from 7 to 8:30 p.m. June 14 at Greece Town Hall meeting center, 1 Vince Tofany Blvd., Rochester.

It’s free and open to the public.

During the meeting, several topics related to fibromyalgia will be addressed and participants will have a chance to ask questions.

The Fibromyalgia Association of

Rochester New York was formed in spring 1993 to educate and inform others about fibromyalgia syndrome (FMS), as well as to serve as a support system.

For more information, visit www. farny.org, email info@farny.org or call 585-225-7515 or 585-356-1399.

B

lue is to prostate cancer as pink is to breast cancer. Just as men’s sports teams make headlines wearing pink gloves, pink shirts and pink shoelaces in a show of support for breast cancer, local prostate cancer survivors want a sea of blue at the Second Annual S.E.A. Blue Ribbon Walk for Prostate Cancer, on Saturday, Aug. 20, at Riverbend Shelter in Genesee Valley Park.

“Building on last year’s successful event that welcomed participants with blue balloons, blue bracelets and blue ribbons, this year blue Page 4

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surgical gloves and blue facemasks will also be available for even greater impact,” says Patrick Fisher, chapter leader for Us TOO Rochester and event organizer.

This two-mile walk provides friends and families with an opportunity to rally around a shared cause or honor someone they know who’s been affected by the disease. There will be exhibits, raffles and games for the kids throughout the event. Since dogs are often referred to as man’s best friend, Pups for Prostate Cancer are invited and there will be a prize

July

June 15, July 13, Aug. 15 Summer camp for kids

The Labyrinth Society holds event The Labyrinth Society of Rochester is sponsoring its Community Labyrinth Walk from 7 to 9 p.m., June 15, July 13 and Aug. 15 at the First Unitarian Church of Rochester, 220 S. Winton Rd., Rochester. The events are free but organizers will accept donations. Organizers say the event will provide free energy work, chair massage and music. A 15-minute orientation from 7 to 7:15 p.m. will be available. Further details, contact Kay Whipple at 585-392-3601 or through email kwhipple@rochester.rr.com.

June 19

Vegan group to hold meeting The public is invited to attend the June meeting of the Rochester Area Vegan Society to hear Joel Helfrich give a presentation on the Rochester River School. Helfrich is a sustainability educator who along with Jericsson Pichardo founded the Rochester River School, a hands-on maritime school on the model of the Harbor School in New York City, which will also be the first vegan public school in the United States.

The Rochester River School is scheduled to open for the 2018-19 school year.

The event will tale place at 5:30 p.m. June 19 at Brighton Town Park Lodge, 777 Westfall Road followed by a potluck dinner at 7 p.m. Participants are encouraged to bring a dish with enough to serve a crowd and a serving utensil and place setting.

Help to non-vegetarians or others un-

Free T-shirt or Early Registration

Annual Prostate Cancer Walk Scheduled for August

certain about how to make or bring a vegan dish can is available by calling 585-234-8750. Cost is free to RAVS members and $3 for non-members.

For more information, visit www. rochesterriverschool.org.

Registration for the Second Annual S.E.A. Blue Ribbon Walk for Prostate Cancer is $30. It’s free for children 13 and younger. Save $10 and get a free event T-shirt by registering online at www.seabluerochester.org by 6 p.m., July 14. for the leash that best represents the ‘blue’ theme. However, due to potential summer heat, dog costumes and fur coloring are discouraged and only their decorated leash will be considered for prizes.

Registration at the event is $30 (children 13 and under are free). Save $10 and get a free event T-shirt by registering online at www.seabluerochester.org by 6 p.m., July 14.

Registration packets and T-shirts can be picked up in the piano room of Joey B’s Restaurant, located inside St. John’s at Brickstone, 1325 Elmwood in Rochester. Detection and the standard of care for prostate cancer has changed considerably in recent years.

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2016

with diabetes

Sitting around a campfire, swimming, boating, climbing a rock wall, zip lining — all aspects of a great summer camp. However, each year the American Diabetes Association holds a camp that’s much more than a typical camp. It’s a place where kids with diabetes meet other kids just like them and feel “normal.”

And it all happens under the supervision of a medical staff dedicated to making sure that everyone stays safe both day and night.

The American Diabetes Association holds Camp ASPIRE at the Rochester Rotary Sunshine Campus in Rush during the month of July.

The camp runs for two one-week sessions. Children aged 13-17 will attend from July 3-8 and children aged 8-14 will attend from July 10-15.

Registration is now open.

Camp ASPIRE is an acronym for “Always Sharing Priceless, Inspirational, Rewarding Experiences.” The goal of Camp ASPIRE is to allow the campers to feel accepted in a community where having diabetes is the rule, not the exception. The campers learn to understand diabetes and the process of self-management under continuous medical supervision.

According to organizers, the children go home feeling more self-confident and self-reliant, having gained the knowledge they need to live successful, full lives with diabetes.

Camp ASPIRE employs more than 30 staff members, including a camp director, assistant director, medical director, camp dietician, 24 counselors and six cabin heads. Most staff members have diabetes themselves or they have a connection to diabetes. For more information, visit www.diabetes.org/adacampaspire.

However, patient education regarding the risk vs. benefit of all treatment options, including active surveillance, lags behind. Unlike walks that raise funds for much-needed research, proceeds from the S.E.A. Blue Ribbon Walk go to support, education and awareness programs provided by Us TOO Rochester. Us TOO Rochester is the regional chapter of Us TOO International, a 501c3 nonprofit organization providing educational resources and support services to the prostate cancer community at no charge. The chapter’s educational seminars are led by subject matter experts. Topics cover a variety of treatment options and the seminars enable men to make informed treatment decisions for their cancer no matter where they receive urology or oncology care.

On average each year, 617 Monroe County men are newly diagnosed with prostate cancer and another 64 die from it. A cure may be possible, but only if detected early.

This event is made possible, in part, by AbbVie, Astellas, Batavia Legal Publishing, Center for Urology, EDCure.org at Boston Scientific, UR Medicine (Imaging, Labs, Radiation Oncology & Urology), Us TOO International, Wegmans and Wilmot Cancer Institute.

June 2016 •

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Got Unused Meds?

Here’s What to Do

Check for local take-back events, or contact the DEA for collection locations

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hile doing your spring-summer cleaning, don’t just toss out expired or unused prescription medications.

Unwanted drugs need to be properly disposed of to reduce the risk of abuse or accidental use, the U.S. Food and Drug Administration says.

Follow disposal instructions on the drug label or patient information that came with the medicine. Don’t put medicines down the sink or flush them down the toilet unless this information specifically says to do so.

Call local law enforcement agencies to find out if your community has a medication take-back program or event. Or, ask your local trash or recycling services about medication disposal services and guidelines, the FDA suggests.

Another option is to deliver unused medicines to collectors registered with the U.S. Drug Enforcement Administration (DEA). These authorized sites may be retail, clinic or hospital pharmacies, and law enforcement offices. Some have mail-back programs or drop boxes.

To find an authorized site in your community, go to the DEA website or call 800-882-9539.

If the drug labeling has no disposal instructions and there is no take-back program in your area, you can throw the medicines in the garbage if you take certain precautions, the FDA said.

For starters, remove the medicines from their original containers and mix them with unpleasant materials -- such as used coffee grounds, dirt or kitty litter -- to make the drugs less appealing to children and pets and unrecognizable to people who may go through your trash looking for drugs.

Then put the mixture in a sealable bag, empty can or other container to prevent the medicine from leaking or spilling out of the garbage bag.

It’s also a good idea to scratch out all identifying information on the drug label to make it unreadable. This will help protect your identity and personal health information, explained the FDA’s Ilisa Bernstein.

If you have any questions about proper disposal, ask your pharmacist.

Bernstein added that the same steps can be taken for getting rid of over-the-counter drugs.

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Meet

Your Doctor

By Chris Motola

Joshua R. Olsen, M.D. Canandaigua orthopedic surgeon explains why knees and shoulders are the joints most affected by injuries Q: Give us an overview of your practice and the types of patients you see.

A: I practice in Canandaigua and see kids from 1 year up to people 100 years old. I see a lot of weekend warriors, a lot of sports injuries. I’m a sports training surgeon. So I treat tears of all kinds, dislocations, shoulder replacements, total knee replacements and a lot of trauma.

Q: What makes joints so vulnerable to injury?

A: The weak links in our body are the moving links. The most common injuries are to the shoulder and knee — other joints get injured as well — but those take the most stress from overhead motions and pivoting.

The shoulder is the most mobile joint in the whole body. It’s held together with some bony elements but also a lot of soft tissue. Those soft tissues are vulnerable to injury, particularly if you’re an athlete who, say, gets hit from the side while throwing a football, or if you’re throwing pitches 100 times a game. With the knees, they’re load-bearing joints that take a lot of stress from cutting and pivoting.

The ligaments do a pretty good job of keeping the knee in a good spot, but they’re still a weak link. We see a lot more ACL tears in the younger population these days.

Q: What’s the difference between putting good, productive strain on a joint versus damaging it?

A: Let’s say you go running on a treadmill.

So for about 30 minutes or so, it’s beneficial.

It strengthens your cartilage, your muscles, your flexibility, your nerves, your balance. It’s also helps your cardiovascular health. So that’s

actually good for your joints. Some people can tolerate more, some less.

So pain becomes a good indicator that you’re putting too much force on the joint. If it hurts when you’re doing it, you’re either doing something wrong, or something is wrong.

Q: What can be done to restore joint functionality?

A: Most of what I see in the office are actually non-surgical issues.

They’re mostly overuse or things that can be rehabbed without surgery.

You can change their shoe, change the way they run. If it’s an ACL tear, that’s a different matter. If you’re under 60, then you’re probably looking at surgery. But most sports injuries can be treated with rest, rehabilitation and anti-inflammatories. You can usually be playing again within a few weeks to a month or two.

Q: This is of particular interest to me since I’ve had some trouble with it, but what’s up with the rotator cuff?

A: So typically with anyone under the age of 40, the rotator cuff is probably either partially torn or strained. It’s very rare that it would be a full-thickness tear. So those can usually be rehabbed without surgery.

With patients like you, I’d look at your posture, look at your range of motion, and try to help improve the overall function of your shoulder.

With kids who seem to be having rotator cuff symptoms, it’s often something else. As far as rotator cuff injuries go, there are two theories: one is poor vascularity to the rotator cuff, which gets worse as you age. So you might look at a bunch of 55-year-olds and see that they have rotator cuff injuries, but they don’t have any pain due to vascularity issues. The second theory is that you develop bone spurs over time that dig into rotator cuff and cause damage. So in your case, it’s probably not a full-thickness tear.

For full-thickness tears, I usually recommend surgery.

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2016

Q: Can partial tears heal, or are they permanent?

A: Rotator tears never heal by themselves, but partial thickness tears can still be very functional.

If you’re still having symptoms over time despite therapy, injections and anti-inflammatories, then those tears might need to be repaired.

Q: What kinds of injuries do you see on the non-sports side of things?

A: Everyone thinks they’re an athlete, so that’s a hard question. So let’s say for people in their upper 60s, 70s, you’re looking more at arthritis and total knee and shoulder replacements. I have a particular interest in shoulder replacements, so I prefer to do those over knee replacements.

Q: Why is that?

A: I just enjoy doing them.

They’re challenging but rewarding cases, and the technology has gotten better, particularly when it comes to patients with arthritis in their shoulder. Knee replacements are pretty rewarding too, I just like seeing the differences in people’s anatomy. So I’m seeing mostly shoulder and knee arthritis, along with back pain and flat-foot dysfunction. For the kids who are really young, under 12, I’m seeing broken forearms, ankles. For children under 3, I’m evaluating their growth and development. So if they’re walking funny, I have to determine whether there’s something wrong or if it’s within the normal bounds of development. But sports medicine is my specialty, so those are the most common patients I see.

Q: How do you treat a younger athlete who is experiencing some form of arthritis due to usage?

A: Fortunately, it’s pretty rare until you get into your 30s and 40s.

For ankles, one of the most common injuries is a sprain. It’s rare that they’ll have pain for longer than six months, but if they do, a lot of times there’s a cartilage issue. For the aging athletes, ACL injuries that may be asymptomatic when they’re younger can start causing pain. Most of these patients are too young for a knee replacement. They might need a bone cut to realign the joint. For a really young person with good alignment but who had a meniscal tear, we can do a meniscal transplant.

Q: Where do you think the science of joint replacement is headed?

A: I don’t really see a huge shift in the treatment of bone-on-bone arthritis. The gold standard is the shoulder replacement. I don’t see that changing in the next 15 years.

I’m only 33, so it’s a shame to be saying that, but from what I’ve seen, we’re talking really expensive treatments that don’t have enough data to support putting a patient through them. There’s been people looking at meniscal implants. All that stuff is very experimental.

Lifelines Name: Joshua R. Olsen, M.D. Position: Surgeon at Canandaigua Orthopaedic Associates Hometown: Seneca Falls, NY Education: SUNY Stony Brook School of Medicine Affiliations: F.F. Thompson Hospital Organizations: Arthroscopy Association of North America, American Academy of Sports Medicine, American Academy of Orthopedic Surgeons Family: Married, three children Hobbies: Hiking, home improvement, spending time with family

A New Way of Thinking About Back Pain

By Brian Justice

M

ore than 80 percent of adults will experience low back pain at some point in their lives. Medical professionals typically focus on treating the pain, rather than addressing quality of life or ability to function. That’s why back pain often is treated with prescription painkillers, such as opiates. Unfortunately, this form of treatment rarely hastens recovery.

Back pain is not a germ you can kill with a pill or a condition you can permanently fix with a procedure.

Back pain is a part of life and needs to be managed with self-care or with a qualified provider. It’s often a mechanical disorder, and should be treated with a mechanical approach — movement. Movement has been shown to speed recovery and lessen or relieve the pain. The best advice for most patients with back pain is to: • Stay active, but limit activities that trigger sharp pain.

• Use heat, ice or over-the-counter pain relievers.

If self-care isn’t enough, considering visiting with a chiropractor, physical therapist or your primary care physician.

A new report on back pain by Excellus BlueCross BlueShield identified the following worrisome trends:

• More Upstate New Yorkers with back pain are undergoing surgery and taking prescription medication, including opiates.

• Many patients undergo needless MRIs and other imaging tests.

• The direct cost of treating spine-related disorders in Upstate New York — not counting disability and lost productivity costs — is nearly $1 billion a year.

Excellus BCBS’s spine health program has trained hundreds of local practitioners on spine care pathways that are based on the best medical evidence, including information from Choosing Wisely, an initiative of the American Board of Internal Medicine Foundation. Choosing Wisely is a collection of care recommendations from physician-led medical specialty societies. It includes the following related to back pain: • The North American Spine Society does not recommend magnetic resonance imaging in the first six weeks of care for patients with nonspecific acute low back pain, nor does it recommend bed rest for more than 48 hours when treating low back pain.

• The American Academy of Physical Medicine and Rehabilitation recommends that health care pro-

viders only prescribe opiates for acute disabling low back pain after an evaluation and when other alternatives have been tried. Prescribing opiates early for acute disabling low back pain is associated with longer disability, higher surgical rates and a greater risk of later opioid use.

Getting the wrong care can lead to worse outcomes, so it’s critical that patients experiencing back pain are armed with the right information so they can work with their providers on the right treatments.

To learn more about back pain, view our infographic at brand.excellusbcbs.com. infographics/backpain.php or fact sheet at http://tinyurl.com/ huf6c23.

Brian Justice is a chiropractor and medical director at Excellus BlueCross BlueShield.

Healthcare in a Minute

By George W. Chapman

Drug spending continues to soar

Total spending on drugs was $425 billion last year up a staggering 12 percent from 2014. According to the AARP’s Public Policy Institute report, the average retail cost of a year’s supply of typically used prescription drugs by seniors is over $11,000. The average annual cost for specialty drugs, like those treating cancer and hepatitis, was $53,384 three years ago. Overall Medicare spending was up only 1 percent last year to put the 12 percent drug increase into perspective. Drugs now account for 25 percent of overall spending. (Thirty years ago, drugs accounted for less than 5 percent of all healthcare costs.) Currently, hospitals account for about 32 percent and physicians account for about 20 percent of overall spending.

The balance of expenses goes toward skilled nursing facilities, substance abuse and addiction, mental health, durable medical equipment and implants, chiropractic, podiatry, nutrition, etc. Congress establishes Medicare payments to physicians and hospitals but cannot set drug prices.

Reduce your exposure

Seven typical household items rank as most hazardous to your health if not used or maintained properly. They are: step ladders (falls), dryers (fires), lawn mowers (injuries), bed rails (injuries due to poor installation), humidifiers (mold), blenders (lacerations, scalding), toasters (fires).

Insurance mergers

The pending mergers of insurance giants Aetna-Humana and Aetna-Cigna are undergoing increased scrutiny by the Department of Justice and are facing uphill battles. The DOJ is wary of all “super mergers” that may hurt consumers through less competition on service and price. Hospital mergers are in the same boat. This increased scrutiny by the DOJ has been happening despite the O’bama administration being relatively passive when it comes to blocking mergers.

ObamaCare premium subsidies The House Ways and Means committee is questioning the Administration’s method of funding premium subsidies for the indigent who are purchasing insurance through ACA exchanges. Anyone with income between 133 percent and 400 percent of federal poverty guidelines qualifies for the subsidy.

(Those under 133 percent qualify for Medicaid.) Subsidies are expected to total $170 billion over the next 10 years. Without taxpayer support, insurers on the exchange could face the prospect of having to cover the subsidies themselves.

Calculating premiums

Determining competitive/fairly priced premiums for new enrollees with uncertain health statuses has been a challenge for commercial carriers. United Health has already announced it is pulling out of most state exchanges next year. As more data becomes available each year, insurers will have more experience that allows them to better assess risk and determine premiums. The June 2016 •

fear, however, is that if premiums are too high, it might drive away the relatively healthy. The only way to combat that potential exodus of the “healthy” is to make penalties for not participating much higher than they are now.

Medical errors

According to researchers at Johns Hopkins University School of Medicine, medical errors in hospitals and other healthcare facilities are the third leading cause of death in the U.S., claiming over 250,000 lives annually — or 700 a day.

Head researcher Martin Makary, a physician, summarized: “It boils down to people dying from the care they receive rather than the disease or injury for which they are seeking care.” Only hospital-acquired infections have shown improvement over the years. Many experts believe healthcare has too much tolerance for variability in practice versus other industries. Lack of standardization makes it harder to identify and fix problems.

Oneonta physician creates center for transgender patients

Family physician Carolyn Wolf-Gould offers hormone therapy, counseling, and coordination with other physicians for patients seeking surgery. Wolf-Gould said transgender patients come from as far away as six hours due to short supply of providers offering services.

Opioid addiction

The unfortunate death of pop superstar Prince Nelson

has brought more attention to the opioid painkillers addiction epidemic in the US. Someone dies from an opioid overdose every 20 minutes. Many addiction experts question the rationale of turning to the pharmaceutical industry for more drugs to combat addiction to drugs. Treatment for the underlying psychological symptoms that can lead to substance abuse should also be part of a provider’s arsenal.

The FDA is considering making it mandatory (currently voluntary) for physicians who prescribe opioids to undergo safety training courses paid for by opioid manufacturers.

Short-term policy

It is a cheaper alternative to policies offered on the exchanges. It is meant to fill gaps in coverage, but for only a few months. However, short-term policies do not meet minimum ACA requirements for coverage and benefits, so buyers will face significant tax penalties.

Thought for the month

“Discussion is an exchange of knowledge. An argument is an exchange of ignorance.” Attributed to American journalist and humorist Robert Quillen.

George W. Chapman is a health consultant who operates GW Chapman Consulting in Upstate New York.

To reach him, email gwc@gwchapmanconsulting.com.

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

Keep it Simple and Do Right by the Earth

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t warms my soul. I just love the sight of laundry on a clothesline, gently fluttering in the breeze on a sunny summer day. It reminds me of times gone by: my happy childhood in Ohio, my mom folding laundry, my dad tending his garden, and all things old-fashioned and wholesome.

On a recent road trip through the Finger Lakes, I was so taken by the colorful clothes decorating the countryside that I returned home with a mission: to install my own backyard clothesline.

For less than $30 I purchased the essentials: rope, pulley, hooks, and cleat. For a few dollars more, I equipped myself with wooden clothespins and a canvas drawstring bag. The installation between two mature oaks took less than an hour.

I couldn’t wait to do a load of laundry! I eagerly anticipated the simple bliss of hanging my pillowcases, towels, and T-shirts on the line and watching them sway in the sunlight.

Beyond the nostalgia, I could also appreciate that air-drying my laundry was good for the earth.

In a small way, I would be reducing my household carbon footprint and that idea sat well with me and my conscience.

The experience reminded me of the value of simple living and how easy it is to get back to the basics — something that’s even easier for those of us who live alone and can make all our own decisions.

I’m committed to leading a simpler life, a more natural existence. Would you like to join me?

Below are a few things we can all do: Accumulate less stuff. If I don’t absolutely need it or love it, I don’t buy it. That’s my new M.O. I live in a small home and I’ve discovered that “stuff” needs to be stored, sorted, dusted and otherwise dealt with.

Some of it needs to be insured. Other stuff needs to be repaired. Almost all of it requires some investment of time and money, both of which I want to use more wisely.

KIDS Corner Nearly 1 Million More Kids Have Health Coverage After Obamacare Study shows 91 percent of Medicaid-eligible children are now enrolled

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early 1 million U.S. children gained health insurance the first year after the Affordable Care Act — also called Obamacare — was fully implemented, a new report shows.

The number of uninsured children fell from 5.4 million in 2013 to 4.5 million one year later, according to the study funded by the Robert Wood Johnson Foundation.

“The importance of coverage for all kids is perhaps the single most widely accepted position in the Page 8

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Let go of more stuff. VOA, Goodwill, Savers and the Vietnam Veterans of America are my new “best friends.” I’m clearing out the clutter and sharing my gently used clothing and household goods with people in need or who enjoy a bargain. I’ve come to learn that these organizations are so much more than their storefronts. They use their profits for so much good: for housing, for humanitarian causes, for disaster relief and to help people all over the globe become more self-sufficient. Every donation made has the potential to make a positive difference in someone’s life.

Repair, re-use, and make do. My old toothbrushes have become cleaning tools, shoeboxes are now storage containers for photos, and old picture frames have become “shabby chic” mirrors. These are just a few examples. I love making something new and beautiful out of something old or discarded.

I have been guilty of wasteful ways, and I’m now very focused on using up what’s “on the shelf” or “in the tube.” I am also very determined to make do with what I already own.

I feel proud when I act responsibly and make good decisions that lead to fewer purchases.

Enjoy the real thing: I grow my own tomatoes, onions, garlic, peppers, beans and herbs. My dad was my gardening guru. Following in the footsteps of his own father, my dad taught me what to plant, when to plant and how to maintain a garden.

Beyond the cost-saving benefits of gardening, I feel healthier and more alive when I’m tending plants.

the Medicaid/Children’s Health Insurance Program (CHIP), the study found.

Across the country, 91 percent of kids eligible for Medicaid/CHIP were enrolled as of 2014. In 2013, 88.7 percent of eligible youngsters were enrolled. In 2008, enrollment was at 81.7 percent, the report showed.

Today, more than half of states have Medicaid/CHIP participation rates of more than 90 percent. States that expanded Medicaid for adults had the largest gains in Medicaid/CHIP participation, the researchers noted.

The researchers suggested that parents who received new coverage under Medicaid may have learned more about the

highly politicized world of health reform,” said Kathy Hempstead, who directs work on coverage issues at the foundation.

“We should be proud of the progress that we have made in recent years, and redouble our efforts to extend these protections to the several million children who are still without them,” Hempstead said in a news release from the nonprofit organization.

Health care reform increased the percentage of kids eligible for

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2016

There is something incredibly therapeutic about kneeling next to my raised garden beds and cultivating the soil at day’s end when the sun is setting.

Away from my computer, I enjoy the peace and quiet of gardening and find deep satisfaction working with my hands.

Be clear about what matters. My “keep it simple” goal has inspired me to look inward and really think about what I value and what I want my life to be about. I want to simplify things because by doing so, I’ll open up time and resources for spending quality time with my family, my friends, and myself.

When life is simpler, I can keep these priorities front and center.

Instead of shopping or trouble-shooting or worrying about my “stuff,” I can embrace what matters and live a life that reflects what I care about most: being with those I love.

Keeping it simple can bring us more joy, more harmony and more peace of mind.

And that can lead to deeper contentment and happiness. It’s as simple as that.

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 upcoming workshops or to invite Gwenn to speak, call her at 585624-7887, email her at gvoelckers@ rochester.rr.com.

options available to their children.

Of the remaining 4.5 million uninsured children in the United States, more than 60 percent were eligible for Medicaid/CHIP in 2014, the researchers said.

In states that expanded Medicaid, about 5 percent of eligible children were uninsured in 2014. In states that didn’t expand coverage, about 8 percent of children were uninsured.

Dog Therapy: A Man’s Best Friend Helps Heal the Sick

By Jessica Gaspar

A

wag of a tail, a brush of the fur. Pets have been known to perk us up when we’re feeling blue, but who knew the positive effects they could have on the healing process.

Just ask the patients at Strong Memorial Hospital.

Pet therapist Ann Lacey started the pet therapy program in the hospital’s rehabilitation unit in 1994.

In those early days, it was just a team of two: Lacey and her dog.

At the time, her therapy dog wasn’t allowed in the main hospital, but the hospital code changed in 1999 allowing the program to expand. Two decades later, there are nine people and 13 dogs who volunteer through Strong’s pet therapy program, which is run through the Friends of Strong organization.

Two more dogs are being trained and will be added to the roster this fall. Lacey eventually asked fellow volunteer Kathy Richards to be cosupervisor of the program.

There are now 15 or 16 wards within the hospital where the therapy dogs are allowed. In some special cases, exceptions are made for patients who might request a visit from one of the dogs even though they are staying in a ward not usually approved for pet therapy.

For those who’ve had a visit from one of the pups, they can attest pet therapy offers an unconventional method of healing.

Kristin Williamson, 34, of Canandaigua, was recently a patient at Strong Memorial Hospital for about eight weeks while she was waiting for her twin girls to be born.

She enjoyed the visits from the dogs.

“It just kind of normalizes things a little bit. It feels nice to pet them,” she said.

The visits are proven to be beneficial. According to a study released by the National Institute of Health, patients who encountered pet therapy animals showed significant decreases in pain levels and had

Kristin Williamson of Canandaigua was recently a patient at Strong Memorial Hospital. She enjoyed the visits from the dogs. “It just kind of normalizes things a little bit. It feels nice to pet them,” she says. Strong Memorial Hospital started a pet therapy program in 1994.

There are now nine people and 13 dogs involved in the program. better responses to treatment than those who did not have any pet therapy.

“In reality, there’s very little negative,” Lacey said. “Sometimes people will cry, but it’s because they miss their dog.”

Sometimes, the pet therapy volunteers will receive requests to visit patients who are dying. Lacey recalled a particular instance where she was called in by the family of a young girl who was terminally ill.

Lacey and her two dogs visited her just two days before she died.

“Our dogs have been the first dogs that someone has touched, and they’ve been the last dogs too,” she said.

The ladies who administer Strong’s pet therapy program also travel around the county with their dogs, which range from golden retrievers to shelties and others. They travel to nursing homes, libraries, and other doctor’s offices.

Lollypop Farm: Volunteers Visit 100 Locations There is also a Pet Assisted Therapy program that has been offered through Lollypop Farm for more than 20 years.

While most of the volunteers have dogs, there are also some who have cats, guinea pigs and rabbits. The volunteers through this particular program visit about 100 locations a year, including schools, group homes and other area hospitals.

In order to be a therapy dog, an extensive eight-week training program is available through. Kathy Richards, the co-supervisor of the program at Strong, teaches one of the programs, but the training can also be done at home by the animal’s owner.

At the end of the eight weeks,

the dogs must pass all facets of the Therapy Dog International test.

Since the pets will come in contact with many people of different ages and backgrounds, a list of criteria must be met. The criteria include not pulling when being walked, not eating things from the floors that could be someone’s lost medication, and not showing signs of aggression or emotion.

“You also have to demonstrate that you could walk through a group of people without the dog pulling. There has to be a child in your test,” Kathy said.

Part of the test includes checking the dog’s teeth, tail, and toenails because “Kids like teeth, tails, and toenails,” Richards added.

June 2016 •

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For a complete list of locations and services, visit www.borgandideimaging.com IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

•

Page 9

SmartBites

The skinny on healthy eating

The Nutritious Perks of Whole-Grain Pasta

L

ast month, my husband and I took the plunge and went cold turkey on refined pasta.

For about a year, we’d been making half-and-half portions of refined and unrefined pasta to “ease” into the taste and texture of whole-grain pasta. But, finally, we both agreed: no more. Pasta made from unrefined whole grains is simply too nutritious to water down with regular pasta.

What makes whole-grain pasta better for you?

In a word, whole-grain pasta is made from grains that have the bran, germ and endosperm all intact, whereas regular pasta is made from refined grains that have been stripped of their bran and germ. While processors do add back some vitamins and minerals to enrich refined grains — so, indeed, these grains still contribute valuable nutrients — whole grains remain the healthier choice, providing more fiber, more disease-busting phytonutrients, and many important vitamins and minerals.

The bran portion of the grain provides good doses of fiber and phytonutrients, neither of which processors add back to refined pasta. Fiber keeps us regular, helps with weight control by promoting a full feeling, stabilizes blood sugars and ferries cholesterol-containing

bile out of bodies. All good things that may contribute to a longer life!

Antioxidant-rich phytonutrients, whose consumption, according to the USDA, seems to be an “effective strategy” for reducing cancer and heart disease, promote good health by slowing or preventing free-radical cell damage and by quelling inflammation.

Many B vitamins, some protein, minerals and healthy fats are found in the grain’s germ portion. Wholegrain pasta is particularly high in both manganese and selenium.

Sometimes called the “brain mineral,” manganese is important for mental function, energy production, bone growth and collagen formation.

A powerhouse antioxidant, selenium helps make special proteins that play a role in preventing cell damage.

Lastly, the two of us have said “pasta la vista” to refined white pasta because of the nature of its carbs: they’re simple (just like those in processed breads, cookies, cakes, etc.), which means they get digested lickety-split — an assault that can send blood sugar soaring and increase risk for developing Type 2 diabetes. The complex carbs that make up wholegrain pasta, on the other hand, take longer to digest, which keeps blood sugars and energy levels on a more even keel. According to the Harvard

T.H. Chan School of Public Health, there is convincing evidence that diets rich in whole grains protect against diabetes. Go, whole grains!

Helpful tips

Most supermarkets stock wholegrain pasta options — just be sure to take a close look at the nutrition labels. True whole-grain pasta will list the whole grain as the first ingredient, whether it’s whole-grain durum wheat flour, whole-grain oat flour or another whole grain. Also check the front of the package for “100 percent whole grain” or the orange “Whole Grain” stamp.

Whole-Wheat Pasta Salad with Spinach and Artichokes

Adapted from Rachel Ray

¾-1 box whole-wheat pasta of choice ½ pound fresh baby spinach 1 (15-ounce) can artichoke hearts in water, drained and chopped 1 red bell pepper, chopped or cut into thin strips ½ small red onion, chopped 1-2 cloves garlic, minced 1 lemon, zested 2 tablespoons lemon juice 2 tablespoons red wine vinegar

¼ cup extra-virgin olive oil ¼ teaspoon red pepper flakes 1 teaspoon dried thyme or basil salt and coarse black pepper to taste 1 cup cherry tomatoes, halved ½ cup crumbled feta cheese ¼ cup kalamata olives, sliced (optional) Prepare pasta according to box directions; drain and let cool.

Coarsely chop baby spinach. In large bowl, combine spinach with artichoke pieces, red pepper and red onion.

In small bowl, whisk together dressing ingredients: garlic, lemon zest, lemon juice, vinegar, olive oil and spices. Add pasta, cherry tomatoes, feta cheese and olives (if using) to the salad in large bowl. Add dressing and gently toss. Serve or refrigerate.

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.

IT’S ONLY SUPER IF YOU TAKE IT. According to the National Institutes of Health, up to 20 percent of patients fail to fill new prescriptions, and 50 percent of people with chronic health conditions discontinue their medication within six months. If you have a chronic condition like high blood pressure, diabetes or high cholesterol, taking your prescriptions as directed is essential to healthy living. So remember: If you’re not taking your prescriptions as directed, you’re taking a chance. To learn more, visit ExcellusBCBS.com/ TakeAsDirected.

#TakeAsDirected A nonprofit independent licensee of the Blue Cross Blue Shield Association

Page 10

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2016

GOOD NEWS Excellus BC BS May Owe You Money 1,600 individuals have not claimed a total of $680,000. Is your name on the list?

M

ore than 10,800 individuals and companies in New York state have not cashed more than $2.36 million in checks issued

by Excellus Health Plan, including by its d.b.a., Excellus BlueCross BlueShield (BCBS). This isn’t money left in their pockets, but is in the form of unclaimed checks issued in 2012 to members and providers.

In the six-county Finger Lakes region, more than 1,600 individuals are owed about $680,000. The region includes Livingston, Monroe, Ontario, Seneca, Wayne and Yates counties.

If the funds aren’t claimed by the end of August, Excellus BCBS is required to turn the money over to New York state.

A complete list of names of people and companies with checks to claim is available on the company’s website at excellusbcbs.com/unclaimedfunds

“This is money that was paid for claims or refunded premiums. If the money remains unclaimed it will go to the state,” said Christopher C. Booth, president and chief executive officer. “It rightfully belongs to our members or providers and we want to make sure they have one more chance to claim it before it goes to the state.”

Most of the funds that have yet to be redeemed were allocated to Excellus BCBS members and providers.

Checks may not have been cashed for a number of reasons. The member may have moved and not left a forwarding address, a member may have died, or the member simply forgot about the money.

To claim a check prior to Aug. 31, call Excellus BCBS at 1-877-757-3850.

Please note that checks will not be mailed to claimants until after Aug. 31.

Parenting

By Jessica Gaspar

A

Finding Joy in All of Timmy’s Milestones

s month 4 of Timmy’s life begins, it’s been a real treat watching his personality grow. He loves to babble, make noise and talk. He’s also at a point where he will laugh and laugh for periods at a time. The fun part is trying to see what will make him laugh.

One night, he laughed every time I slapped my knee. He will also smile at whomever will talk to him.

One day, he rolled over three times from his tummy to his back but then he didn’t do it again for three weeks! I’ve been trying to get a video on my phone of him doing it, but it always catches me by surprise.

He’s been hitting other milestones also — reaching for objects, grasping them, and then they magically end up in his mouth!

He loves to stand (with support, of course) so the times I can’t hold him up, I have a Baby Einstein jumper that he stands and bounces in. It’s got some little toy stations in it that play music and noise, so that keeps him occupied for parts of the day.

Right now, one of my most favorite things is when he wakes up in the morning. I’ll say, “Good morning, baby!” and he will give this bright, happy smile. I’ll take him downstairs to eat. He will snuggle while he drinks his bottle. If I’m off from work, I’ll snuggle him after his bottle, and he usually falls asleep in my arms. I’ll hold him as long as I can. One time, it was two hours!

He saw his pediatrician, Mary Porter at Elmwood Pediatrics, for his 4-month check, which included

a round of immunizations. Though I am writing this prior to his May 19 appointment, I’m also certain they will have me start him on cereal as well.

I celebrated my first-ever Mother’s Day last month. My family and I went to brunch at Eagle Vale Country Club in Fairport, then some of us went to the Lilac Festival afterward.

Timmy wore a T-shirt that read: Happy First Mother’s Day! The next day was Monday, May 9. Timmy and I spent the day at the Buffalo Zoo with my brother, my sister-in-law and my nephew, Carson, to celebrate Carson’s first birthday.

If you’ve been reading my columns since the beginning, you will remember my very first column this time last year when Carson was born.

He was nearly eight weeks early, weighed only 3 lbs., and spent three weeks in the neonatal intensive care unit at Strong Memorial Hospital. (I found out I was pregnant with Timmy the day before Carson was born.)

The weather was beautiful and it was a great way to celebrate both of our little miracles. I am glad Timmy will have cousins close in age that he will be able to grow up with. My sister has two girls, my nieces Camryn and Emma, both of whom adore Timmy.

This summer, my family and I will be traveling to the Outer Banks, N.C., for the first time with all the kids. I am curious to see how well Timmy holds up in the car for that length of time. Wish me luck!

June 2016 •

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

•

Page 11

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Sunbathing For Longer Life? Experts Say No

New research says sunbathing increases life expectancy; local experts disputes findings and talks about skin cancer epidemic

By Deborah Jeanne Sergeant

A

recently released study of nearly 30,000 women claims sunbathing increases life expectancy.

The observational study, published in the Journal of Internal Medicine, followed Swedish women for 20 years and researchers speculated that subjects’ exposure to sunlight helped raise their vitamin D levels. Sun exposure causes the body to generate vitamin D, a pre-hormone that supports many functions of the body.

The study contradicts the sun shunning promoted by dermatologists, but as an observational study, it cannot account for the numerous other factors involved. These include the participants’ genetic profile, environment, diet, activity level, tobacco and alcohol use, and stress levels, all of which can influence longevity.

Bret Shulman, dermatologist with Rochester Regional Health, said that since the study wasn’t controlled for other factors, “there’s not a lot of evidence to support the conclusion,”

he said. “They don’t give you a basis for it. It’s a broad, sweeping comment that draws conclusions that can be based on other factors.”

He wants more people to focus on the 3.2 million projected cases of skin cancer for 2016, part of what he calls “an epidemic of skin cancer.”

The overwhelming majority are as a result of exposure to UV light.”

He added that one person per minute dies of melanoma in the US, making the study’s implied recommendation to sunbathe “hard to accept.”

“The responsible advice is people should protect themselves from the sun,” Shulman said.

This includes applying sunscreen every two to three hours and after swimming. Shulman recommends products containing titanium and zinc oxide as their active ingredients since they block out all UVA and UV rays. Sunscreen with nanoparticles last longer and don’t appear as chalky on the skin. Use plenty Shulman said most people don’t use nearly enough and choose a high SPF. Are you unable to work because of a severe impairment or illness? I have over 20 years experience successfully obtaining

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•

“The data shows that the average person misses 40 percent of their body,” Shulman said. “These are people who know they were being measured and were told to take all the time they want in applying sunscreen.”

He recommends obtaining vitamin D through fortified food and supplementation, not sun. Supplementing 600 to 800 international units (IU) daily offers what most people need; however, a blood test can determine one’s vitamin D level.

Mark Goldgeier, dermatologist at Clinton Crossings Dermatology in Rochester, acknowledged that vitamin D is “essential for life” and that the safest way to obtain it is supplementation.

He recommends 1,000 to 2,000 IU of vitamin D daily.

“The initial FDA

recommendations were for preventing disease, but now we think of it in terms of restoring health and wellbeing,” Goldgeier said. “But there are many exceptions to this recommendation.”

He, too, likes mineral-based sunscreen instead of chemical, along with wearing protective clothing and avoiding midday and excessive sun exposure.

Shaded areas provide about 70 percent protection, unless it’s near a reflective area such as a poolside umbrella. The water can actually magnify the sun’s effects.

Nancy McCullough Stabins, a registered nurse and owner of Natural Alternatives, Inc. in Webster, agrees that too much exposure isn’t safe. She views sunscreen as toxic, shunning all but zinc oxide, and prefers physically blocking the sun with clothing and avoiding the sun between 10 a.m. and 3 p.m.

She takes 10,000 IUs of vitamin D and exposes her skin to sunlight occasionally. But since it’s hard to measure sun exposure’s effectiveness because of an individual’s skin tone, vitamin D needs, and the sun’s seasonal fluctuations, supplementing makes sense.

McCullough Stabins advises clients to have their vitamin D level checked July (when it’s likely at its highest level) and February (when it’s likely at its lowest level) to help them regulate their supplementation.

“It’s all about moderation in all we do,” McCullough Stabins said.

“It’s all about good judgment and being smart.”

See related story on page 17

SERVING MONROE AND ONTARIO COUNTIES in good A monthly newspaper published

Health Rochester–GV Healthcare Newspaper

by Local News, Inc. Distribution: 33,500 copies throughout more than 1,500 high traffic locations.

In Good Health is published 12 times a year by Local News, Inc. © 2016 by Local News, Inc. All rights reserved.

154 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, Chris Motola, George W. Chapman, Jessica Gaspar, Ernst Lamothe, Jr., Brian Justice (DC), Deborah Blackwell, Dustin Maracle (PT), Diane Kane (MD) • Advertising: Donna Kimbrell, Anne Westcott • Layout & Design: Eric J. Stevens • Office Manager: Alice Davis 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.

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2016

Got a Minute?

Get a Good Workout Study found 60 seconds of intense exercise as effective as 45 minutes of moderate exertion

C

ouch potatoes, there are no more excuses.

New research from Canada contends that just one minute of high-intensity exercise can boost your health as much as 45 minutes of a moderate workout. That means you can’t claim that you don’t have enough time to get in shape.

“Most people cite ‘lack of time’ as the main reason for not being active,” said study author Martin Gibala, a professor of kinesiology at McMaster University in Hamilton, Ontario.

“Our study shows that an interval-

based [intense] approach can be more efficient — you can get health and fitness benefits comparable to the traditional approach, in less time.”

The study included 27 inactive men who were randomly assigned to do either intense or moderate workouts three times a week for 12 weeks, or to a control group that did not exercise.

The intense exercise was socalled sprint interval training, which involved three 20-second “all out” sprints on exercise bikes. It also included a two-minute warmup, a

June 2016 •

three-minute cool-down, and two minutes of easy cycling for recovery between the intense sprints. Total time: 10 minutes per workout.

The men in the moderate workout group did 45 minutes of continuous cycling at a moderate pace, plus the same warmup and cool-down as those in the sprint interval group.

After 12 weeks, both exercise groups had similar measures of heart/lung fitness and insulin sensitivity, a measure of how the body regulates blood sugar.

Interval-based training “is a very time-efficient workout strategy.

Brief bursts of intense exercise are remarkably effective,” Gibala said in a university news release.

“The basic principles apply to many forms of exercise. Climbing a few flights of stairs on your lunch hour can provide a quick and effective workout. The health benefits are significant,” he added.

The study findings were published online April 27 in the journal PLoS One

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Page 13

Joint Pain? some orthopaedic conditions require immediate attention.

Dentist Sam Guarnieri, owner of Pittsford Dental Excellence Center, and dental assistant Karen Phelix, work on patient Marilyn Guarnieri, to ensure that her oral health is cared for. Marilyn, wife of Guarnieri, recently lost her brother due to complications from the inflammation of periodontal (gum) disease that began in his mouth. Sam Guarnieri wants patients and dentists to understand the important correlation between oral and overall health.

Oral Health & Overall Health

BOARD CERTIFIED ORTHOPAEDIC SURGEONS Dr. Raymond Stefanich, M.D. Dr. John Klibanoff, M.D. Dr. Robert Little, M.D. Dr. Michael Colucci, M.D. Dr. Steven Posnick, M.D. We welcome Sam Bean, N.P. who comes with over 17 years of orthopaedic experience to Orthopaedic Associates of Rochester, P.C.

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Understanding the connection

By Deborah Blackwell

W

hen Sam Guarnieri lost his brother-in-law recently from complications of endocarditis linked to a specific periodontal disease, he paid attention.

The Pittsford dentist changed everything about the way he practiced, and he now helps patients understand the connection between oral health and overall health.

It’s behind the smile that matters, according to Guarnieri, owner of Pittsford Dental Excellence Center, who said evidence now points to the connection between our mouths and the rest of our bodies.

“We understand the connections.

As time has gone on, research shows that inflammatory diseases in the body are modified by periodontal disease,” said Guarnieri. “We have gone from a reparative model of dentistry to a wellness model, looking at the root causes and the effects down the road.”

Periodontal disease is a chronic inflammatory disease that ranges in severity from gum inflammation, damage to the soft tissue and bone in the mouth, to serious disease.

The National Institutes of Health shows an association between periodontal disease and conditions including cardiovascular disease, Type 2 diabetes, adverse pregnancy outcomes and osteoporosis. The Centers for Disease Control and Prevention reports periodontal disease is not specific to a single disease, but associated with various chronic conditions consistent with inflammation. There is even a potential connection to some cancers and pneumonia.

Page 14

•

“The biggest issue is that inflammation in the mouth can create a cascade event causing complications elsewhere in the body,” said Guarnieri. “There is a need for cooperation between the dental and medical professions.”

Guarnieri completes an overall health assessment with each patient and makes the appropriate referrals for other physicians when necessary.

“We’re not just looking for the risk factors of periodontal disease,” said Guarnieri, “We are looking at the risk factors for chronic inflammation.

If a patient has other risk factors, I refer them to a physician.

Understanding is important since these things coalesce.”

He said by controlling bacteria in the mouth, there is less likelihood of infecting other parts of our body, like when infectious disease specialists isolated the same disease in his brother-in-law’s heart that was found in his oral cavity. His mild case of periodontal diseases was left untreated and progressed. He also developed a tooth abscess. Guarnieri said that his brother-in-law’s death may have been prevented by appropriate treatment early on.

“As a practitioner you don’t usually see both sides of the story,” said Guarnieri. “You see from the practitioner perspective, the research, the data, and you know of people who have had complications, but it struck home when it was actually part of my family.”

It helped him talk differently to his patients, and work with each patient using a personalized approach based on their unique needs. Each person’s treatment

protocol is different he said.

Guarnieri does not want people to be more afraid after learning about the connection between oral and overall health. Instead, he wants patients to be informed.

“A little bit of bleeding is not OK. It has to be recognized and discussed,” said Guarnieri.

Les Moore, a naturopathic doctor and director of the Center for Special Medicine in Pittsford, often collaborates with Guarnieri, applying his knowledge in naturopathic, Chinese and environmental medicine to help patients with their oral health.

“Oral health is a microcosm of your overall health,” said Moore.

“The oral cavity is a window for disease to enter the body.”

Moore uses homeopathy and acupuncture to improve dental health, as well as evaluates nutritional deficiencies and the use of probiotics for oral and overall health.

“It’s an integrative approach that we share with the patient,” said Moore. “People really want the best of both worlds, dental care and overall healthcare. We have separated it so much in society, but in reality it’s all a part of who we are.”

Guarnieri’s mission is to help his patients realize optimal health and encourages paying attention to signs and symptoms as they exhibit, not waiting until things worsen.

“It’s all about quality of life. We really need to take care of ourselves in a way that will enhance our quality of life,” said Guarnieri.

“There’s nothing more important than that and how it affects families.

That is really the key.”

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2016

Selecting a Dentist You may wish to consider several dentists before choosing the dentist that’s right for you.

When calling or visiting dentists, consider the following questions: • How much does the dentist charge for dental checkups, X-rays, cavity fillings and other procedures?

• If you have a health insurance plan, does the dentist participate in it?

• When and how are you expected to pay? Make sure you understand the fees, method and schedule of payment before you agree to any treatment.

• What types of dental procedures can the dentist perform?

Are dental specialists, like orthodontists and periodontists, available at the dentist’s office? If not, will the dentist refer out to the appropriate dental specialists?

• Are special arrangements made for handling emergencies outside of office hours? Most dentists make arrangements with a colleague or emergency referral service if they are unable to tend to emergencies.

• What are their office hours and is the appointment schedule convenient for you?

• What is the office location—is it conveniently located for you? Can you get there using public transportation if you need to?

Source: Partnership for Healthy Mouths Healthy Lives.

Men’sHealth

10

Weight Lifting Mistakes Guys Make

By Deborah Jeanne Sergeant

M

4 5

any men lift weights to get toned and strong, not get hurt. Yet many become injured by making some of these top mistakes that can cause injury or prove ineffective.

Imbalanced training "Men, in general, should spend more time training their lower body.

They have big chests and arms, but little stick legs."

Poor form "When looking at form, the wrist should be in a neutral position, back straight, not rounded, and the shoulders should not be rounded. Some sacrifice form to lift more weight.

Form is everything."

Blindly supplementing "A lot of people rely far too heavily on supplements without analyzing the whole foods they're eating. They take supplements without knowing what's in them."

1

2

Letting weights drop "Some go too fast or they just don't know how to properly lower a weight. They move the weight instead of contracting the muscles and engaging the abdominals."

3

Using the wrong information "A lot of people take a training program out of a body building magazine and train certain groups on certain days.

You should train every area with a rest day in between. Splitting into different body parts makes sense for advanced lifters, but not beginners and novices."

6 7 8

Abbreviating movements "I see people not using a full range of motion."

Thoughtlessly training "Make sure you're aware of what muscle you're working so you can feel it contract and create a muscle/ mind connection."

Working out cold "The No. 1 thing I see is skipping the warm-ups, just going in and putting the weight on the bar with no range of motion or warming up the muscles and cardiovascular system."

9 10

Working out lopsided "Many neglect opposing muscle groups. If you work muscles in the front, work muscles in the back of the body, too."

Working out using the wrong routine "Their routine needs to match their goals. Let's say their goal is to lose weight and tone up. They may come in not doing enough cardio or too much cardio. Doing three sets and taking a break won't get them toned. Search for the training that will help you tone up and lose weight. Always switch it up and change the routine.”

If you need more help, follow this tip by Chris Sutton, a personal trainer in Rochester: "What you do at the gym needs to translate to what you do at home, work and play. I always advise people to ask for a free session with a trainer if they're at a gym. Good instruction translates to a better experience."

Always consult a health care professional before undertaking a change in your health routines.

Sources: • Chris Sutton, certified personal trainer with Wergo, Inc. Personal Training, Rochester (1, 2) • Michael McIntyre, personal trainer with Knockout Fitness, Rochester (3, 4, 5, 6) • Garrett Bacher, certified personal trainer, master's-trained in exercise science and nutrition, owner of ATR Fitness, Webster (7) • Denise Mitchell, certified fitness personal trainer with Chili Fitness Center, Chili (8,9) • Steve Wheeler, certified personal trainer with Anytime Fitness, Macedon (10)

Male Sexual Enhancement Supplements.

Do They Work?

Serving Men, Women and Children

Study show supplements are often ineffective, possibly harmful

T

here's no proof that over-thecounter sexual enhancement supplements for men work, and some are potentially dangerous, a new study reports.

Many men seeking medical help for sexual health issues report using dietary supplements. But with little regulation of dosage or ingredients, the health effects of these products are unknown, the researchers said in background notes.

And many of these products contain traces of an ingredient used in drugs like Viagra that can be dangerous to men with certain health problems, the researchers added.

The researchers identified top-selling male sexual-help supplements and analyzed the ingredients, including those in products marketed to enhance erections, desire and sexual performance.

"While certain natural supplements we reviewed show promise for improving mild sexual dysfunction, they lack robust human evidence,"

study senior author Ryan Terlecki, an associate professor of urology at Wake Forest Baptist Medical Center in Winston, Salem, N.C., said in a center news release.

"In addition, because of concerns that some products are impure or weak, we do not routinely recommend these products to our patients," he added.

Some of the most commonly used products include horny goat weed, ginseng, DHEA, Ginkgo biloba, fenugreek and maca, the researchers found.

For many of the products, there's no scientific evidence to support claims they can improve libido, erectile dysfunction or sexual performance, the researchers said.

They also found that some of the supposedly "natural" products have traces of phosphodiesterase-5-inhibitors (PDE5Is), the medication found in prescription drugs — such as Viagra — used to treat impotence.

June 2016 •

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GVHealthnews.com IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Page 15

Men’sHealth

Curtis Donalies, president of Dan's Crafts and Things in Rochester. "Each brand has its own idiosyncrasies in how it operates, turns on, charges and shuts down," Donalies says of the drones he sells.

Drone for Dad or Grad? Fly it Safely

By Deborah Jeanne Sergeant

I

n recent years, hobbyists have embraced unmanned aerial vehicles (UAVs), commonly called drones.

If you receive a UAV as a gift (or purchase one for yourself), realize that the fun comes paired with responsibility. UAVs may look like toys, but they're not.

Consider the injuries you could sustain from a few pounds' worth of UAV crashing on your head. Those

props may not feel sharp when stationary, but in motion can cause severe lacerations.

Just ask Elson Shields, professor of entomology with Cornell University, who has flown UAVs as part of his research since 1996. Despite his countless hours piloting UAVs and offering talks statewide on the topic, he suffered cuts to his hand five years ago from a moving UAV

propeller. The lacerations required a hand surgeon to repair.

"Sometimes accidents happen because people are distracted," Shields said. "Whirling props are a risk. I stuck my hand in a prop five years ago, and I had a number of stitches on the backside of my right hand. They had to bring in a hand surgeon."

Before your UAV takes flight, the law requires registration with the Federal Aviation Administration (FAA), which costs $5. Every UAV you own may bear the same number.

The law exempts small aircraft flown only inside.

Shields encourages UAV pilots to join the Academy of Model Aeronautics (AMA). The $75 annual membership provides $2,500,000 personal liability insurance coverage, $25,000 medical coverage and more.

"It's a great deal," he said.

Once you've taken care of these basics, you need to learn the rules.

Shields likes the Academy of Model Aeronautics site (www.modelaircraft.org), and also the FAA website (www.faa.gov) for its listing of where you may fly and the safety guidelines.

The AMA lists clubs on its site, which Shields advocates for helping newbies learn the hobby.

Curtis Donalies, president of Dan's Crafts and Things in Rochester, agrees that clubs and sites can help, along with simply reading the instruction booklet and viewing online videos on flying.

"Each brand has its own idiosyncrasies in how it operates, turns on, charges and shuts down," Donalies said. "If purchased from overseas, the instructions can be very brief."

The craft's propellers and propensity for crashing aren't the only hazards. Donalies said that if pilots don't properly use batteries, they can cause fires if improperly charged or short circuited. Always use the charger that came with the equipment and don't alter it. Carefully follow

the UAV's directions for charging.

Only fly in a wide-open space that's permitted by the FAA. Area clubs listed on the AMA site host regular flying events, for example.

As you learn how to fly a UAV, keep the craft close to the ground and at a distance so the inevitable crashes stay safe for both you and your UAV. Because of their lightweight components, their parts snap fairly easily.

Keep pets away, as animals may view the UAV as prey or may inadvertently collide with it.

Since UAVs look very much like toys, keep yours away from children.

A small child can become maimed or blinded by attempting to fly a UAV. "Make sure children are not it the flight path," said Anne Breyer, with Strong Memorial Hospital's emergency medicine team. "Make sure it's off and can't restart when you reach for it. Make sure everyone in the area knows what you're doing."

By taking a few precautions, you can prevent a serious injury to yourself and loved ones.

Elson Shields, professor of entomology with Cornell University, has flown droness as part of his research since 1996. He warns people about possible accidents involving drones.

Tough Men Avoid Needed Health Care Gender stereotypes can have dangerous consequences, research suggests

M

acho men are less likely than women to visit a doctor, and more likely to request male physicians when they do make an appointment, researchers say.

But these "tough guys" tend to downplay their symptoms in front of male doctors because of a perceived need to keep up a strong front when interacting with men, according to three recent studies.

The results can be dangerous.

"These studies highlight one theory about why masculinity is, generally, linked to poor health outcomes for men," said Mary Himmelstein.

She is co-author of three recent studies on gender and medicine and a doctoral candidate in the department of psychology at Rutgers University in Piscataway, N.J. "Men who really buy into this cultural script that they need to be Page 16

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tough and brave — that if they don't act in a certain way they could lose their masculinity 'man-card' status — are less likely to seek preventative care, and delay care in the face of illness and injury," Himmelstein added.

According to the U.S. Centers for Disease Control and Prevention, men born in 2009 will live five years less than women born the same year, a spread not fully explained by physical differences, the researchers noted.

To see whether the male psyche drives some men to undermine their own health, Himmelstein and co-author Diana Sanchez asked roughly 250 men to complete an online survey on gender perceptions and doctor preferences. The answers revealed that those with more masculine leanings were more likely to choose a male doctor. Another 250 men — all undergraduate students

— participated in a staged medical exam conducted by male and female pre-med and nursing students. The upshot: The more macho the patients, the less honest they were with their male caregiver.

Those two trials were reported recently in the journal Preventive Medicine. A prior study conducted

by Himmelstein and Sanchez — published in the Journal of Health Psychology — involved gender-role interviews with nearly 500 males and females. It found that guys with traditional masculine ideals were less likely to seek health care, more likely to downplay symptoms, and had worse overall health compared with women and less masculine men.

The research team also found that women who viewed themselves as "brave" or "self-reliant" were also less likely to seek care or be honest

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2016

about their health status with doctors than women who didn't strongly embrace such characteristics.

But Himmelstein said she wouldn't expect women to behave exactly the same as tough men across the board because "women don't lose status or respect by displaying vulnerability or weakness."

Timothy Smith, a professor of psychology at Brigham Young University in Provo, Utah, said these findings reflect long-standing social forces.

"Cultural beliefs, such as toughness, develop for a reason," he said.

"Decades ago, when our economy depended predominantly on manual labor, the ability to continue working despite (problematic) physical conditions benefited families dependent on that labor."

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By Jim Miller

Protect Yourself from Melanoma Skin Cancer Dear Savvy Senior,

Does skin cancer run in families? My 63-year-old brother died of melanoma last year, and I’m wondering about my risks of getting this. What can you tell me?

Younger Sibling

Dear Sibling, While long-term sun exposure and sunburns are the biggest risk factors for melanoma — the deadliest form of skin cancer — having a sibling or parent with melanoma does indeed increase your risk of getting it two to three times.

Each year, about 75,000 Americans are diagnosed with melanoma, and around 10,000 people will die from it. While anyone can get it, those most often diagnosed are Caucasians, age 50 and older. And those with the highest risk are people with red or blond hair, blue or green eyes, fair skin, freckles, moles, a family history of skin cancer and those who had blistering sunburns in their youth.

Skin Exams

The best way you can guard against melanoma and other skin cancers (basal and squamous cell carcinomas) is to protect yourself from the sun, and if you’re over age 50, get a full-body skin exam done by a dermatologist every year, especially if you’re high risk.

Self-examinations done every month or so is also a smart way to detect early problems. Using mirrors, check the front and backside of your entire body, including the tops and undersides of your arms and hands, between your toes and the soles of your feet, your neck, scalp and buttocks. Be on the lookout for new growths, moles that have changed, or sores that don’t heal. Follow the ABCDE rule when examining suspicious moles.

• Asymmetry: One half of a mole doesn’t match the other.

• Border: The border is blurred or ragged.

• Color: The mole has uneven colors, often shades of brown, tan or black, with patches of pink, red, white or blue.

• Diameter: The lesion is new or at least a quarter-inch in diameter.

• Evolving: The mole is changing in size, shape or color.

For more self-examination tips and actual pictures of what to look

for, see SkinCancer.org or Melanoma. org.

In the spring and summer, there are a variety of places that offer free skin cancer screenings. Check with the American Academy of Dermatology (888-462-3376, aad.org/ public/spot-skin-cancer), which offers screenings done by hundreds of volunteer dermatologists across the U.S., and the American Society for Dermatologic Surgery (asds.net/ skincancerscreening.aspx).

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Sun Protection

Even though you can’t change your skin or family history, there are some proven strategies that can help you protect yourself.

For starters, avoid tanning beds, and when you go outside, slather on broad-spectrum SPF 30, water-resistant sunscreen on both sunny and cloudy days. If you don’t like the rub-on lotions, try the continuous spray-on sunscreens which are easier to apply and re-apply and less messy.

Also, seek the shade when rays are most intense — between 10 a.m. and 2 p.m.

You can also protect your skin by wearing a wide-brimmed hat, and long sleeves and pants when possible. The best clothing options are tightly-woven fabric that help prevent the sun’s rays from reaching your skin, or you can wash-in an invisible shield sun protection into your cloths with SunGuard laundry additive (see sunguardsunprotection. com). You can even buy a variety of lightweight clothing and hats that offer maximum UV protection in their fabric. Coolibar.com and SunPrecautions.com are two sites that offer these products.

Treatments

If melanoma is caught and treated early, it’s nearly 100 percent curable. But if it’s not, the cancer can advance and spread to other parts of the body, where it becomes hard to treat and can be fatal. Standard treatment for melanoma is surgical removal. In advanced cases however, chemotherapy or radiation may also be used, along with a variety of new drug treatments.

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.

June 2016 •

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Page 17

Ask St. Ann’s

The Social Ask Security Office

Should You Consider a Geriatric Specialist?

From the Social Security District Office

By Diane Kane, MD As you get older, your healthcare needs will change; they could become more complicated. A geriatric specialist has the expertise to help you stay as healthy as possible so you can maintain a high quality of life.

If you’re a senior, staying healthy and active should be a priority, even if you have no significant health concerns. Seeing a geriatrician can help you manage age-related health issues.

What is a geriatrician?

A geriatrician is a physician who specializes in diagnosing and treating (as well as preventing) disabilities and disease in older people. Geriatricians have special qualifications that are different from other primary care doctors.

Board certified in family medicine or internal medicine, they have also obtained the certificate of added qualifications in geriatric medicine.

When should I see a geriatrician?

There is no hard and fast rule, because everyone goes through the aging process differently. However, anyone over the age of 65 should consider seeing a geriatrician, whether you are in good health or have changing or challenging health issues.

Taking a team approach.

Geriatricians often work as part of a team of healthcare providers.

A geriatric healthcare team takes a holistic approach, considering your past illnesses and your current health condition to come up with a personalized healthy-aging plan.

This specialized plan can best address your individual concerns.

Working with other specialists, your geriatrician can evaluate your overall health and take steps to ensure that you’re getting the best care possible and staying on the road to good health.

Physician Diane Kane is chief medical officer at St. Ann’s Community.

She is board certified in internal medicine, geriatrics, and hospice and palliative medicine and has been involved in senior care for 29 years. Contact her at dkane@ stannscommunity.com or visit www. stannscommunity.com.

Yoga and Aquatic Exercise Can Help Combat MS Symptoms

E

xercise can have a positive influence on certain symptoms of multiple sclerosis: Patients who do yoga and aquatic exercise suffer less from fatigue, depression and paresthesia, as reported by researchers from the University of Basel and the Psychiatric University Clinics Basel in a joint study with colleagues in Iran.

Multiple sclerosis (MS) is a chronic progressive auto-immune disease in which the body's own immune system attacks the nervous tissue, potentially resulting in movement disorders. Other typical symptoms of MS include physical and mental fatigue as well as faintness, depression and paresthesia such as pins and needles, itchiness and numbness.

Increased risk of depression

In a random trial, researchers from Basel and Kermanshah (Iran) have now shown that these symptoms significantly improved after an eight-week program of yoga and aquatic exercise. In comparison to the control group, fatigue, depression and paresthesia were significantly Page 18

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Social Security Supports Cancer Survivors

I

n 2016, more than a million people will be diagnosed with cancer around the world. This alarming statistic affects people and families everywhere. On June 5 we observe National Cancer Survivors Day in the United States. In support of this day, Social Security encourages getting checkups to provide early detection, raise awareness through education and recognize the survivors who have gone through this battle or are still living with the disease.

Social Security stands strong in our support of the fight against cancer. We offer services to patients dealing with this disease through our disability program and our compassionate allowances program. compassionate allowances are cases with medical conditions so severe they obviously meet Social Security’s disability standards, allowing us to process the cases quickly with minimal medical information. Many cancers are on our compassionate allowance list.

There’s no special application

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reduced in patients who took part in a three-times weekly training program. In the non-exercising group, the likelihood of moderate to severe depression was 35-fold higher than in the groups who had done yoga or aquatic exercise.

Fifty-four women with MS and an average age of 34 were assigned to one of three groups: yoga, aquatic exercise or no exercise. Before and after the trial, patients were asked to complete a questionnaire about their symptoms. All patients continued with their existing treatment, including any medication taken to regulate the immune system.

Exercise as a complementary therapy

"Exercise training programs should be considered in the future as possible complements to standard MS treatments," write the researchers.

Researchers from the Kermanshah University of Medical Sciences in Iran, the Psychiatric University Clinics (UPK Basel, Center for Affective, Stress and Sleep Disorders) and the University of Basel's Department of Sport, Exercise and Health took part in the study.

or form you need to submit for compassionate allowances. Simply apply for disability benefits using the standard Social Security or Supplemental Security Income (SSI) application. Once we identify you as having a compassionate allowances condition, we’ll expedite your disability application.

Social Security establishes new compassionate allowances conditions using information received at public outreach hearings, from the Social Security and disability determination services communities, from medical and scientific experts, and from data based on our research.

For more information about compassionate allowances, including the list of eligible conditions, visit www.socialsecurity.gov/ compassionateallowances.

If you think you qualify for disability benefits based on a compassionate allowances condition, please visit www.socialsecurity.gov to apply for benefits.

James W. Albright, CAPS, GMB, CGR, CGP 5205 Johnson Hill Drive, Canandaigua, NY 14424 Cell (5850 230-4280; Fax(585) 396- 5879 albright1.j.s@gmail.com www.AlbrightBuild.com

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2016

Skin prick testing: A brochure created by Rochester Regional Health system addresses the benefits of skin testing.

Allergic to Penicillin?

Skin test determines whether patient is sensitive to antibiotic

By Ernst Lamothe Jr.

A

pproximately 10 percent of patients in the United States report having an allergic reaction to a penicillin-class antibiotic.

However, less than 1 percent of the population is truly allergic to penicillin.

“Penicillin is the most commonly reported drug allergy and has significant clinical and economic implications,” said Allison Ramsey, allergy and clinical immunologist at Rochester Regional Health. “About 80 to 90 percent of patients with a penicillin allergy lose their sensitivity after 10 years.”

Two years ago, Ramsey started working with Mary Staicu, infectious diseases pharmacist for Rochester General Hospital, after an increase in the use of second-line antibiotics in penicillin-allergic patients.

Second line treatment is given when Ramsey initial treatment (first line) doesn’t work or stop working.

“Our goal is to optimize and preserve the use of second-line antibiotics because oftentimes they may be less effective, more expensive and associated with more side effects compared to penicillin antibiotics,” added Staicu. “In addition, having a ‘penicillin-allergy’ label has recently been linked to higher healthcare costs and an increased risk of infections with antibiotic-resistant Staicu bacteria.”

Penicillin allergy is an abnormal reaction by your immune system to the antibiotic drug penicillin, which is prescribed for treating various bacterial infections. Common allergy

Rochester Regional Health providers have developed an educational brochure on penicillin allergy and skin testing that is featured on the CDC website symptoms to penicillin include hives, rash, itching and, in severe reactions, life-threatening conditions.

Although there are many studies showing that most people labeled with a penicillin allergy are not truly allergic, this label is often not revisited by patients or their health care provider. Research has shown that penicillin allergies may be over-reported. Therefore, an accurate diagnosis is needed when penicillin allergy is suspected to ensure the best treatment. Enter the penicillin skin test.

Penicillin skin testing is a readily available test for patients, offered by an allergy-immunology physician, and is a reliable and useful method for evaluating.

Skin test available

The skin test begins with the application of a small amount of penicillin to the skin followed by an injection.

“It is similar to allergy tests that people take for pollen, mold, dust, animals and food,” said Ramsey.

A positive reaction occurs within 15 minutes, and involves an itchy, red spot on the skin where the penicillin was placed and indicates a high likelihood of a penicillin allergy. A negative result usually means the patient is no longer allergic to penicillin.

“Given the significant impact ‘de-labeling’ a penicillin-allergic patient can have, we were excited to start multiple projects surrounding this,” said Ramsey. “This is an important public health issue.”

Mislabeling people with an allerJune 2016 •

gy to penicillin begins early in life.

“A lot of people carry this from childhood, where they were on an antibiotic because they were sick,” said Ramsey. “You know children get a rash just from their viral illness and so that’s misattributed to the penicillin. Or the other thing is there truly was an allergy to penicillin when they were young and growing up, but the immune system forgets and we know 10 years later a lot of those people aren’t allergic anymore.”

Both experts expressed the necessity to educate the medical community and the general public about penicillin allergy. A thorough history and physical examination are important when evaluating both penicillin allergy and other drug allergies.

Important information includes all medications taken at the time of a reaction, symptoms that occurred, how long ago a reaction occurred, and whether or not medical attention was needed for the reaction. Based on this history, an outpatient referral to an allergist may be appropriate.

Ramsey and Staicu have also developed an educational brochure on penicillin allergy and skin testing, available on the Centers for Disease Control and Prevention website — www.cdc.gov.

For those who actually have penicillin allergies, it occurs when the immune system reacts to the drug as harmful. It treats it as if it were a bacterial infection. The allergy develops when your immune system has become sensitive to penicillin. This means that the first time you take the drug your immune system detects it as a harmful substance and develops an antibody to the type of penicillin you took. That is why taking the skin test is so critical because it clarifies the situation as an adult. They hope more physicians give patients the test.

“It is not standard for primary care physicians to do tests on adults for penicillin allergy so we are hoping that with this new education changes the trend,” said Ramsey.

“People don’t often know about this skin test and we want people to be proactive, especially taking it when they are healthy and not on four or five other antibiotics.”

New Website Highlights DIY Tools for People with Disabilities Expert: site is a source for teachers and students to get ideas on new ways to think about technology and innovation in relation to disability

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wo Olin College professors have launched a website focused on making DIY tools accessible to help people with disabilities perform daily tasks and, along the way, offer a more expansive view of the maker movement.

The site can be found at http://engineeringathome.org/.

Since its launch the site has touched a chord among educators and the adaptive technology community, resulting in more than 7,000 visitors — and many more thousands of page views — in just the first few weeks.

Inspired by Cindy, a Massachusetts woman who lost both of her legs and varying amounts of each of her fingers following a catastrophic heart attack, the site is a resource created by Assistant Professor of Design Sara Hendren and Professor of Anthropology Caitrin Lynch, together with help from Olin College students William Lu, Mary Martin and Toni Saylor.

“We hope Engineering at Home will be a source for teachers and students to get ideas on new ways to think about technology and innovation in relation to disability, and it can also help people with disabilities to feel empowered to solve their own daily challenges,” says Lynch.

In order to perform everyday tasks, Cindy “Macgyvered” workarounds to common problems she encountered every day: opening a jar, selecting medication from a pill bottle, eating a sandwich. There are dozens of adaptations on the site, gathered under action-word headings such as hold, grasp, and squeeze. The just-a-click-away solutions range from adhesive wall hooks to help opening jars, a carabiner handle to carry a purse, to a small soft grip tube that helps Cindy apply make-up. Visitors to Engineering at Home are encouraged to create and adapt their own workarounds as they see fit.

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Page 19

Health News

Pamela Heiple chosen as ‘Provider of the Year’

Nurse Pamela Heiple has recently been honored as Advanced Practice Provider of the Year at Highland Hospital, a new award presented by the Highland Medical staff for outstanding service of a Highland nurse practitioner or physician assistant.

Heiple has served Highland since 1986 as psychiatric nurse practitioner, coordinator of psychiatric consultation liaison service.

The Fairport resident received her Bachelor of Science in nursing from the SUNY Brockport and her Master of Science degree in gerontological nursing from the University of Heiple Rochester. She received certification from the American Nurses Association as a Clinical Specialist in Adult Psychiatric and Mental Health Nursing.

In addition to her position at Highland, Heiple also serves as a psychiatric nurse practitioner at the Highlands at Brighton and the Highland Living Center.

“I am so very honored to receive the APP of the year award,” said Heiple. “The best part of my job is collaborating with my wonderful colleagues who continue to challenge and teach me.”

Medical Motor Service has new director Medical Motor Service (MMS), a nonprofit organization providing transportation services to children, adults, and senior citizens with specialized needs in Monroe County, named Damon Mustaca as its new executive director. Mustaca succeeds former executive director Bill McDonald who retired March 31, after 33 years.

Mustaca has served as director of operations for the organization since 2004.

“We are very pleased with this appointment,” said board president Christopher Trageser.

“Damon played an integral role in growing this agency over the past decade, taking the lead in implementing Mustaca new technology that streamlined our operations and helped us expand to where we are today. His knowledge of the specialized transportation industry and our operations is invaluable.”

One of the leading specialized transportation organizations, Medical Motor Service provides nearly 50,000 rides per month to more than 15,000 clients annually across Monroe County, including services for Al Page 20

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Sigl Community partner agencies, United Way, Wegmans, Rochester Regional Health, Monroe County Department of Human Services.

Mustaca joined Medical Motor Service in 2002 as manager of special operations, and became director of operations in 2004. Mustaca received a degree from the SUNY Brockport.

He currently serves on the Community Transportation Association of America (CTAA) as the New York state delegate.

“I’m humbled and excited by the opportunity to lead Medical Motor Service into the future,” said Mustaca. “I look forward to continuing to serve and partner with area organizations in this new capacity, always placing the independence and quality of life of the people we serve at the core of our endeavors.”

NYCC creates school of health sciences New York Chiropractic College recently unveiled its School of Health Sciences and Education. To improve upon its academic structure of having schools within the overarching New York Chiropractic College domain, this newest entity will encompass the existing Master of Science in applied clinical nutrition, Master of Science in human anatomy and physiology instruction and Bachelor of Professional Studies programs.

“The creation of this school and its inclusive name will bring the diverse master’s and bachelor’s degree programs we currently offer under the identity of one school while facilitating potential growth of new online programs in the future,” says Michael Mestan, the college’s executive vice president and provost.

NYCC’s Dean of Academic Programs and Services Nicolas Poirier will become dean of the school of health sciences and education and director of academic services. With more than 200 students now enrolled in the online programs, “the school will offer new opportunities for interprofessional collaboration in the education of future health sciences and academic professionals,” said Poirier.

For more information on NYCC and its graduate programs, please visit www.nycc.edu.

Clark earns degree in executive leadership James W. Clark of Victor in May received a Doctor of Education degree from the Ralph C. Wilson School of Education at St. John Fisher College. Clark is currently chief financial officer of HCR Home Care in Rochester.

Clark fulfilled all of the required course work for the Doctor of Education degree in executive leadership, includClark

ing an original research study and dissertation, “Financial Narratives of U.S. Biotechnology Companies Before, During, and After the Great Recession.”

His plans for the future include continued research and the advancement of innovative care delivery in the local healthcare community.

Autism: Lawana Jones to represent U.S. in event Lawana Jones, founder and chief executive officer of The Autism Council of Rochester, has been nominated for the 2016 International Autism Community Leadership Award

by The Lenora & Charlie Collura Foundation.

Annually the Collura Foundation, founders of the AWAF and the International INAP Awards, recognizes delegates from around the world for their special contribution to the autism community in their respective countries which spans the globe.

Jones will represent the United States at the event, World Autism

Festival, which will take placed Sept.

30 in Vancouver, Canada. The event hosts delegates from over 28 countries spanning across the globe. Last year it was held in Istanbul, Turkey.

As the mother of an autistic daughter, Jones found that the Rochester community severely lacked the support services and programs her daughter and other ASD chilJones dren needed to make the transition from high school to the adult community. In 2007 she and other volunteers established The Autism Council of Rochester.

In 2015 The Autism Council held the first specialized job and career fair for Individuals with autism in Rochester. The event was attended by more than 100 individual job seekers and it was supported by Wegmans Food Markets, and several of the other major employers in Rochester.

Stahl Family Receives Philanthropy Award From Fairport Baptist Homes

The Stahl family has been honored for the work its members have provided to Fairport Baptist Homes. From left are Carol, Fred and Glenn Stahl. On the right is Paul A Vick, Baptist minister, local attorney, and long-time chairman of the board of directors of the Fairport Baptist Homes Foundation.

Fairport Baptist Homes and Paul A. Vick announced the Stahl family was honored with the organization’s most prestigious philanthropy award at the annual corporation meeting at Fairport Baptist Homes.

The award was created to honor individuals, families or corporations whose long-term philanthropic support to Fairport Baptist Homes exemplifies their commitment and dedication toward furthering its mission and goals.

Glenn Stahl, his wife Carol, Fred Stahl and the late Harriet Stahl are long-time supporters of Fairport Baptist Homes. Fred’s uncle, Alvah Stahl operated Rochester Lumber, a well- known local business founded in 1909; Fred joined him after WWII. Fred was an important early member of the Fairport Homes board and head of the building committee in the mid’60’s.

Glenn finished his third, threeyear term on the foundation board in 2015 and dedicated countless hours to grow the Fairport Baptist

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2016

Home’s foundation.

Among his accomplishments, he chaired the allocations committee, which has awarded $500,000 in grants for many worthwhile programs to date.

These awards included a social worker lending library, new scales, specialized bathtubs and upgrades to the SOFI program to upgrade software to better manage their growing senior transportation programs. Glenn’s wife Carol in turn, generously gave her own time on the operating board and to the Womens Service Board working hard to raise money for resident focused efforts; hosting resident cocktail hours, special luncheons, birthday celebrations and operating our resident gift shop.

“We count on the support of generous people like the Stahls, who as a family give so much of their time and heart to keep our services strong,” said Fairport Baptist Homes President/CEO, Thomas Poelma.

Appointments at the Joint Chiropractic in Fairport aren’t necessary, the clinic offers extended hours and the need for insurance is eliminated as The Joint’s membership plans and packages are typically less costly than most insurance copays.

The Joint Chiropractic Opens in Fairport Company’s president is the brother of former Mayor of Rochester Thomas S. Richards. Practice offers innovative, patient-friendly model that allows guests access to affordable quality chiropractic care The Joint Chiropractic, a national chiropractic brand, has recently opened its first New York location at 6687 Pittsford Palmyra Road, suite 42, in Fairport.

“We are proud to expand our unique concept by providing the Rochester community with convenient, approachable access to outstanding chiropractic care,” said The Joint CEO John B. Richards. “Hailing from Brighton, this community holds a special place in my heart.”

Richards, the former president of North American operations for the Starbucks Coffee Co., is a graduate of Brighton High School and the brother of former Mayor of Rochester

www.YesPa.org

• One out of four kids is bullied • 85% of the time, there is no intervention • Those in the lower grades reported being in twice as many fights as those in higher grades

U.S. Bureau of Justice Statistics

Thomas S. Richards.

The Joint offers an innovative, patient-friendly model that allows guests access to affordable, quality chiropractic care on their terms.

Appointments aren’t necessary, the clinic offers extended hours that include evenings and weekends and the need for insurance is eliminated as The Joint’s membership plans and packages are typically less costly than most insurance copays.

“We don’t want the cost of great treatment to hold you back,” said chiropractor Troy Tann. “Regular chiropractic adjustments can help treat and prevent the aches and pains which result from repetitive activities of everyday life. Guests who take just 15 minutes out of their week for a regular adjustment are able to more fully participate in the The Joint Chiropractic is open six days a week: Monday through Friday from 10 a.m. to 7 p.m. and Saturday from 9 a.m. to 4 p.m.

For more information, please call 585-296-0229 or visit www.thejoint. com.

Today's media brings this issue to the attention of viewers and readers, but fails to communicate how the one who is bullied can turn this negative experience into a positive one. Turning this experience around can lead to the happiness and success in one's life...as I did with my life.

In retirement, I have worked with regional and national character education teachers who assisted and encouraged me to change my autobiography Prisoner of the Truck into a workbook that connects parents, teacher and child in each chapter. My work reflects what I did with my bullying experience.

Go to www.YesPa.org on the internet for the FREE Yes Pa book, teacher resource guide, testimonial videos, fun rap songs and talks to inner city and suburban school children. Over 1,700 schools have downloaded this program. (Yes Pa Foundation is a not for profit corporation seeking no contributions).

Fred W. Sarkis

Founder of Bristol Mountain, Bristol Harbor Village and YesPa.org June 2016 •

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Page 21

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Physical Therapy ‘Hands-On Effect’ Helps People Stay Active

By Dustin Maracle, PT

O

utpatient orthopedic-based physical therapy as a profession has grown significantly over the past several decades. That growth has been largely in part due to the baby boomer population. As boomers age, they want to keep the same healthy and active lifestyle they had before — and rightly so.

Our job as physical therapists is to help our patients achieve the goals they strive for —these can vary from simple transfers and activities of daily living to being able to play tennis, skiing, golfing or being involved with babysitting grandchildren.

Whatever the goals may be, one thing we have grown to appreciate is the importance of manual therapy in achieving these milestones.

Physical therapy in the outpatient setting, based on piles of current research, should be delivered in the form of a combination of therapeutic exercises and skilled manual therapy.

This treatment approach has been shown to speed the rate of recovery, increase patient compliance and deliver overall better outcomes.

The "hands-on effect" speaks to the interaction therapists have with their patients, the ability to help them through evidence-based manual therapy techniques such as joint movements and mobilizations, soft tissue massage, instrument-assisted

soft tissue mobilization and functional assisted movements to name just a few.

Through hands-on treatment, therapists have the unique ability to assess the progress of their patients and, at the same time, equally important is the interaction and trust that is developed between therapist and patient.

As the population continues to be active, physical therapists will be there to help meet individual goals through the use of a hands-on, interactive treatment approach we call the "hands on effect.”

Dustin Maracle graduated from the University at Buffalo with a doctorate in physical therapy.

He works at Lattimore Physical Therapy & Sports Rehabilitation Network in Rochester. He specializes in hands-on treatment of orthopedic conditions, especially joint mobilizations on the cervical, thoracic and lumbar spine. He is one of two certified orthopedic manual therapists (COMT) at the practice.

Avon Physical Therapy Phone: 585-226-2480

Lattimore PT - Elmwood Phone: 585-442-9110

Dansville Physical Therapy Phone: 585-335-2456

Lattimore PT - White Spruce Phone: 585-442-6067

Lattimore of Geneseo PT Phone: 585-243-9150

Lattimore of Greater Pittsford PT Phone: 585-387-7180

Lattimore of Webster PT Phone: 585-347-4990

Hilton Physical Therapy Phone: 585-392-8001

Lattimore of Greater Rochester PT Phone: 585-671-1030

Pianoworks Physical Therapy Phone: 585-264-0370

Pittsford Mendon Physical Therapy Phone: 585-582-1330

Lattimore of Gates Chili PT Phone: 585-247-0270

Lattimore of Rush Henrietta PT Phone: 585-444-0040

North Greece Physical Therapy Phone: 585-227-2310

Honeoye Falls-Lima PT Phone: 585-582-0034

Irondequoit Physical Therapy Phone: 585-286-9200

Lattimore of Fairport PT

Lattimore of Spencerport PT Phone: 585-­‐388-­‐0444

Phone: 585-­‐349-­‐2860

18 Clinics across Monroe and Livingston Counties LattimorePT.com

2360 Route 89 • Seneca Falls, NY 13148

18 clinics across Monroe and Livingston counties LattimorePT.com

Page 22

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2016

Geneva General Hospital in Geneva. “We have a great community that spoke to us and said they wanted their health care locally and are not looking to travel far for quality service,” says Frank Korich, senior vice president of operations for Finger Lakes Health.

Finger Lakes Hospitals Still Standing Smaller hospitals, such as the ones in Geneva and Auburn, cling to their independence

By Ernst Lamothe Jr.

S

ometimes going it alone works out just fine.

In the past few years, hospital mergers created large health systems such as Rochester Regional and UR Medicine in Rochester and Upstate University Hospital in Central New York.

The Patient Protection and Affordable Care Act has caused many health organizations to tighten their expenses and bottom lines. With tougher regulations, most hospitals are receiving less Medicaid reimbursement and are being judged by a higher standard of readmission.

The trickle-down effect caused hospitals to merge with large entities

Frank Korich, senior vice president of operations for Finger Lakes Health, which operates Geneva General Hospital.

in an attempt to provide higher-quality services while lowering costs.

However, a few hospitals have decided to remain independent and are still surviving strong.

One example is Geneva General Hospital, 196 N. State St., Geneva.

“We have a great community that spoke to us and said they wanted their health care locally and are not looking to travel far for quality service,” said Frank Korich, senior vice president of operations for Finger Lakes Health. “Geographically, we are right between Rochester and Syracuse and they valued our health system. We wanted to do everything we could do to produce high-quality, safe care and have it all in our region.”

Geneva General Hospital is part of Finger Lakes Health, a multi-institutional health system. It provides a full range of acute and long-term care health services to residents of the Finger Lakes region in Upstate New York.

Acute and long-term care services are provided on three campuses located in Ontario, Seneca and Yates counties. Primary care services are provided in Seneca, Wayne and Yates counties.

The 660-bed health system consists of stand-alone hospitals such as Geneva General as well as long-term care facilities.

Korich said the older population in the area wanted orthopedic and cardiac services; a pharmacy; dermatology services; access to the best medical technology and other types of necessary care in their community.

Knowing that information, officials started charting a path to remain independent.

“We knew we had to focus on the future to be viable, and one of the initiatives was making sure we recruitJune 2016 •

ed excellent physicians,” said Korich.

“There are physicians who realize certain areas need quality doctors and they want to serve smaller communities. Our physician recruitment success is one of the reasons we are still standing strong because it would be very difficult to remain independent if not for that. If you don’t have the resources and key specialists, you can’t keep your hospital running on its own.”

Cost-conscious environment

Still, he understands that independent hospitals have to be fluid and flexible in order to stay viable.

And that means watching their bottom lines and being creative. The organization has its own college of nursing, which allows them to grow their own and have nurses already integrated into knowing the community.

In addition, they have to be financially prudent.

When Finger Lakes Health was building a $55 million addition to the hospital several years ago, it involved staff and physicians in the design plan to make sure the facility was appropriate for the type of care they were going to deliver to the community.

“You can’t afford to waste money in any industry, but especially when you have a smaller margin for error,” said Korich. “Our plan worked with the benefit of involving all the necessary stakeholders and it helped us double our size of the emergency room, created more operating room suites and expanded surgical services. We created private patient rooms to help avoid infections.”

The Auburn case

Auburn Community Hospital, 17

Lansing St., Auburn, has also remained independent. A hospital that has been in the community for almost 140 years had an up-and-down history in recent years. Its predecessor — Auburn Memorial Hospital — entered Chapter 11 bankruptcy after reaching $25 million in unsecured debt in 2007. Three years after declaring bankruptcy, the hospital made $9.9 million in profits, which included a record $4.2 million in profits in 2009. The hospital was able to repay all its unsecured debt under the bankruptcy plan. Eventually in 2011, Auburn Memorial continued to grow and renovated its maternity unit.

One of the ways the hospital has stayed viable is by adding more professionals. The health care organization has added to its radiology, orthopedic and primary care staffs.

In addition, Auburn Community recently welcomed Ryan Sidebottom to its medical staff. Sidebottom opened his practice, Upstate Urology of Auburn, last year.

As many as 30 percent of Americans are affected by urinary symptoms, ranging from overactive bladder and incontinence, kidney stones and even urologic cancer, according to Auburn Community Hospital officials.

That was why there was a need to bring high-quality urology treatment options to Auburn for anything from recurrent infections and kidney stones to erectile difficulties.

“By having Upstate Urology of Auburn, our community has access to urologic care in a practice that feels more like a family, which can sometimes be lost in big institutions,” said Sidebottom. “And through our local practice, patients still have immediate access to additional resources and care.”

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Page 23

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2016