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Rochester–Genesee Valley Healthcare Newspaper

October 2012 • Issue 86 Ever heard of juneberries? The deep, blue-colored fruit has been making inroads in Michigan and is slated to appear at New York farm markets as soon as July 2013.

U.S. Cutting Down

on Cigarettes

FREE

Can the Experts Make Up Their Minds? One week you read a study highlighting the healthfulness of eating eggs and then the next experts conclude that eggs, espcially egg yolk, are really bad for your health. For the bottom line on the issue, we spoke with two local experts.

Cardiologist Fred Ling explains the new heart valve replacement procedure being used at URMC, an alternative for those who can’t have open heart surgery

Kathy Costello:

Making a Difference in the Lives of People with Disabilities

A freak accident, then two cancer diagnoses Webster woman (on the left with a cane) went to the doctor to check a bruise on her breast caused by a minor incident. She found out she had breast cancer; as she recovered from it, she found out she had another cancer — on her colon. She shares her story with In Good Health. See inside. October 2012 •

More Older First-time Moms Than in Decades

Experts warn that delaying pregnancy brings increased risks for both mother and baby. Special Women’s Issue Inside

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • October 2012

Smokers in U.S. Cutting Down on Cigarettes

mokers in the United States are generally smoking less than they used to, according to a new Gallup

poll. Results show that a record low percentage (1 percent) said they smoke more than one pack of cigarettes daily, and a record high percentage (68 percent) said they smoke less than one pack a day, according to the poll, based on data collected since 1944. The percentage of smokers who reported smoking more than a pack a day has declined in recent decades — it peaked at 30 percent in 1978 before falling below 20 percent in the late 1980s, and below 10 percent in the late 1990s, according to Gallup. The number of pack-a-day smokers is now at 31 percent — a percentage that has remained relatively constant, Gallup found. The results come from Gallup’s annual consumption poll, conducted in July. It is possible that the decline

is partly due to people giving more “socially desirable” answers when asked about their smoking, and therefore actually smoking more than they reported when interviewed, the researchers said. The vast majority said they regret ever starting to smoke. If they could do it over again, they would not have started, 88 percent of smokers said. However, a smaller percentage (78 percent) said they would like to quit. This percentage has remained relatively steady since the late 1990s, according to Gallup. Poll results released in August showed that the percentage of people in the U.S. who smoke — about 20 percent — is tied for its all-time low. The new poll results are based on telephone interviews conducted July 9–12, 2012, with a random sample of 1,014 adults living in all 50 states and the District of Columbia. The sample is weighted by respondents’ genders, ages, races and other factors so that the results are nationally representative.

Michael Klotz, M.D., Medical Director and Debbie Wellington, R.N., Orthopaedic Program Director, Joint Replacement Center

Digital Mammography with MammoPad© A Softer Experience We now provide every woman that comes to us for a mammogram with a digital mammography exam. What does this mean for our patients?

Our joint center is really hip. (Get it? Really hip.) All kidding aside, we’re serious about joint care. In fact, we’re the area’s leader in joint replacement surgery. Our expert surgeons perform more joint replacements than any other area program. And our dedicated nurses stay with you from pre-op through rehab and recovery – along with an entire support team of joint patients, all going through the same thing you are. All in one friendly place. Now that’s hip. And that’s how health care should be.

��Higher-resolution images that can be manipulated for a better view of areas of concern ��A softer, warmer cushion resulting in a more comfortable exam experience ��A shorter time spent in the suite and a reduction in repeat exams ��Easier, quicker storage and transfer of images Take advantage of the latest in digital imaging and call us today for your annual appointment at (585) 396-6910. No referral necessary.

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How health care should be Go to unityhipsandknees.org or call 585.368.4545 for more information.

Use the QR Reader on your phone for access to more information.

350 Parrish Street, Canandaigua, NY ThompsonHealth.com October 2012 •

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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HEALTH EVENTS

Carol Gagnon, M.D. Gretchen Volk, M.D. Molly Hughes, M.D. Colette Barczys, M.D.

Sept. 29

RGH’s child health fair to offer ﬂu shots The pediatric emergency department at Rochester General Hospital is sponsoring its 7th Annual Child Health and Safety Fair from 11 a.m. – 2 p.m., Saturday, Sept. 29, at School 20 in Rochester. School 20 is located at 54 Oakman St. Volunteers from the RGH pediatric ED as well as various community agencies will provide a variety of services and educational information. The health fair is free and open to the public. Among other services, it will offer free bike helmets and bike safety information; demonstration on CPR for infants/toddlers; poison prevention information; dental hygiene information with free toothbrushes, toothpaste and floss, and flu shots by the Monroe County Health Department.

Oct. 2

Walk in Clifton Springs to beneﬁt cancer patients The 12th Annual Steppin’ Out for Friends with Cancer will be held at 6 p.m., Tuesday, Oct. 2, at Clifton Springs Hospital, 2 Coulter Road, Clifton Springs. Proceeds from the event will benefit cancer patients of Finger Lakes Hematology & Oncology, Finger Lakes Radiation Oncology Center, and Clifton Springs Hospital & Clinic. The 2-mile walk travels through the picturesque Victorian village of Clifton Springs. Registration is at 5:30 p.m. in the Clifton Springs Hospital Main Lobby. There are several ways to participate: enter the walk (a minimum $25 donation is requested); get sponsors to boost your walk donation; or become a corporate sponsor of the event. Registration forms may be picked up at Finger Lakes Hematology & Oncology, Finger Lakes Radiation Oncology Center, the main lobby information desk of Clifton Springs Hospital, or on the Web at CliftonSpringsHospital. org. For more information, or to find out how to be a sponsor, contact the Clifton Springs Hospital foundation office at foundation@cshosp.com or 315-462-0120.

Oct. 4, 5 and 6

Group presents ‘Winds of Change’ conference The Healing Rooms of Greater Rochester, a local chapter of a religious organization with more than 2,000 locations worldwide, will sponsor “Winds of Change” conference that will highlight the power of praying in the healing process. The event will take place Oct. 4 through Oct. 6 at New Covenant Fellowship, 1350 Five Mile Line Road in Penfield. During the

event organizers will introduce Rev. Cal Pierce, global director for Healing Rooms, who will be the keynote conference teacher. According to the group, Rochester has been historically known for its revival rire through Charles Finney and many salvations, miracles, signs and wonders that occurred over a period of many years. Registration costs vary from $35 for a single person to $65 for married couple. For more information, call Bill and Betty O’Marra at 585-4106574 or 585-787-0244 or visit www. rochesterhealingrooms.com.

Oct. 6

Festival to help unit of Children’s Hospital Team Jacob’s Joyful Angels is organizing it fourth annual Family Fall Festival to Benefit Golisano Children’s Hospital, which will take place from 10 a.m. – 4 p.m., Saturday, Oct. 6 at Ely Fagan American Legion Post 260 on Middle Road, Henrietta. All proceeds go directly to Golisano Children’s Hospital 4-3600 unit. Vendors, crafters, food, raffles, free blood pressure checks, chair massages, kids activities, live entertainment and a bounce house will be part of the entertainment. Admission is free.

Oct. 6

RGHS to launch major fundraising campaign One of the largest charity galas in Rochester will also be the setting for one of Rochester General Health System’s (RGHS) largest announcements in recent memory. At the Founders Society Gala in October, RGHS will announce the launch of its comprehensive fundraising campaign. The campaign will address a broad range of community needs by supporting the construction and renovation of key facilities, the acquisition and incorporation of new technology and the funding of community-focused programs. On the evening of the announcement, RGHS will share details, stories and goals related to the campaign. The Founders Society Gala will take place at the Rochester Riverside Convention Center starting at 6 p.m. on Saturday, Oct. 6. Tickets to the gala are available for purchase at www. giveRGH.org. For information about sponsorship opportunities, contact Matt Piede at 585-922-5948 or matt. piede@rochestergeneral.org.

Oct. 20

Pinehurst Senior Living hosts autumn quilt show Suzie Soltzfus, famous quilter, and Naomi Lapp, owner of the Quilt Room in Penn Yan, will exhibit some of their finest Mennonite quilts, wall hangings,

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • October 2012

wooden crafts and other fine crafted pieces from 10 a.m.– 4 p.m. Saturday, Oct. 20, at Pinehurst Senior Living community, 1000 Pine Trail, Honeyoye Falls. Admission is free. For more information, call 624-5970.

Oct. 21

Vegan group sponsors presentation in Brighton Members of the Rochester Area Vegetarian Society are inviting the public to attend the October meeting of the organization to hear a presentation on feeding children healthy food at school. It will take place starting at 5:30 p.m., Oct. 21, at Brighton Town Park Lodge, 777 Westfall Road. Amie Hamlin, director of the New York Coalition for Healthy School Food, will speak on “School Food in New York State: What We’ve Accomplished, What Remains to be Done.” A vegan potluck dinner will precede the presentation. Please bring a dish (with enough to serve a crowd) and a serving utensil; also bring a place setting for your own dinner. Help to non-vegetarians or others uncertain about how to make or bring, is available by calling 234-8750. Fee: $3 fee for non-members, free for members.

Oct. 23

Fibromyalgia group discusses aging issue The New Fibromyalgia Support Group is organizing a meeting to discuss memory and how it works. Titled “Total Recall” the meeting, headed by Cheryl Minchella of MVP Healthcare, will help participants to better understand the normal changes people go through as they age. It will take place at 6: 15 p.m. Oct. 23, at Westside YMCA, 920 Elmgrove Road Gates Branch in Gates. Class size is limited. Registration is necessary. Call Brenda Lind at 585-341-3290 or email her at brendal@rochesterymca.org.

Oct. 27

Volunteer training offered at Susan B. Anthony museum The National Susan B. Anthony Museum & House announced its fall training sessions for people interested in becoming docents, shop cashiers or receptionists at the National Historic Landmark on Madison Street in Rochester. The training sessions will take place from 9 a.m. – 11 a.m. on Oct. 27, Nov. 3 and Nov. 10 at the Susan B. Anthony House. Registration is required. Please call 585-235-6124, ext. 16 for more information. The National Susan B. Anthony Museum & House preserves the national historic landmark where the great reformer lived for 40 of her most politically active years, collects and exhibits artifacts related to her life and work, and offers programs through its learning center that challenge individuals to make a positive difference in their lives and communities.

Reach the right public. Advertise your event with In Good Health. Ads start at $80. Call 585-421-8109

People of Normal Weight With Belly Fat at Highest Death Risk

eople who are of normal weight but have fat concentrated in their bellies have a higher death risk than those who are obese, according to Mayo Clinic research presented at the European Society of Cardiology Congress in Munich recently. Those studied who had a normal body mass index but central obesity — a high waist-to-hip ratio — had the highest cardiovascular death risk and the highest death risk from all causes, the analysis found. “We knew from previous research that central obesity is bad, but what is new in this research is that the distribution of the fat is very important even in people with a normal weight,” says senior author Francisco LopezJimenez, a cardiologist at Mayo Clinic in Rochester. “This group has the highest death rate, even higher than those who are considered obese based on body mass index. From a public health perspective, this is a significant finding.” The study included 12,785 people 18 and older from the Third National Health and Nutrition Examination Survey, a representative sample of the U.S. population. The survey recorded body measurements such as height, weight, waist circumference and hip circumference, as well as socioeconomic status,

and physiological and laboratory measurements. Baseline data were matched to the National Death Index to assess deaths at follow-up. The risk of cardiovascular death was 2.75 times higher, and the risk of death from all causes was 2.08 times higher, in people of normal weight with central obesity, compared with those with a normal body mass index and waist-to-hip ratio. “The high risk of death may be related to a higher visceral fat accumulation in this group, which is associated with insulin resistance and other risk factors, the limited amount of fat located on the hips and legs, which is fat with presumed protective effects, and to the relatively limited amount of muscle mass,” says Karine Sahakyan, a cardiovascular research fellow at Mayo Clinic in Rochester. Many people know their body mass index these days; it’s also important for them to know that a normal one doesn’t mean their heart disease risk is low, adds LopezJimenez. Where their fat is distributed on their body can mean a lot, and that can be determined easily by getting a waist-to-hip measurement, even if their body weight is within normal limits, he says.

Finger Lakes Radiation Oncology Center invites you to support the 12th Annual Steppin’ Out for Friends with Cancer event. Join us on October 2nd — as a sponsor, walker, volunteer or donor — for this 2-mile walk through beautiful Clifton Springs. With your help, we can assist even more neighbors by raising funds and awareness of the Patient Assistance Fund. All proceeds from the event will be used to help low-income patients obtain funding for the treatments they so desperately need. So, come on, step out with us to help our friends with cancer.

Call 315-462-5711 or visit www.ﬂrocenter.com

Almost Half of U.S. Adults Have Gum Disease

um disease affects nearly half of American adults aged 30 and older, a new study finds. The study was published Aug. 30 in the Journal of Dental Research. Periodontitis is an infection of the gums and a major cause of tooth loss in adults, according to the American Dental Association. For the new study, researchers analyzed data from a nationally representative study on more than 3,700 adults aged 30 and older and found that about 47 percent had periodontitis — about 9 percent with mild gum disease, 30 percent with moderate disease and 8.5 percent with severe disease. The 47 percent rate would mean that nearly 65 million adults in the

United States have gum disease, according to a journal news release. The researchers also found that 64 percent of adults 65 and older in the study had either moderate or severe periodontitis. This rate is far higher than previous national estimates, according to study lead author Paul Eke, of the U.S. Centers for Disease Control and Prevention, and colleagues. Gum disease rates were highest in males, Mexican Americans, adults with less than a high school education, adults below the poverty line and current smokers. Although it’s usually painless, warning signs include gums that bleed easily or are red, swollen and tender, according to the ADA website.

SERVING MONROE, ONTARIO AND WAYNE COUNTIES in good A monthly newspaper published by

Health Rochester–GV Healthcare Newspaper

Local News, Inc. Distribution: 30,000 copies. To request home delivery ($15 per year), call 585-421-8109.

Seminar

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This seminar will: • Introduce the pivotal changes about the conversion from ICD-9 to ICD-10

Limited Class Size • Explain how this change affects providers, Call payers, information technology department Now

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• Assist you to learn about GEMS and mapping between the coding systems

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In Good Health is published 12 times a year by Local News, Inc. © 2012 by Local News, Inc. All rights reserved. 106 Cobblestone Court Dr., Suite 121 – P.O. Box 525, Victor NY 14564. • Phone: 585-421-8109 • Email: Editor@GVhealthnews.com Editor & Publisher: Wagner Dotto Associate Editor: Lou Sorendo Writers and Contributing Writers: Eva Briggs (M.D.), Jim Miller, Deborah J. Sergeant, Gwenn Voelckers, Anne Palumbo, Chris Motola, Ernst Lamothe, Jennifer Wider, Kathe Healy Advertising: Marsha K. Preston, Donna Kimbrell Layout & Design: Chris Crocker Ofﬁcer Manager: Laura Beckwith No material may be reproduced in whole or in part from this publication without the express written permission of the publisher. The information in this publication is intended to complement—not to take the place of—the recommendations of your health provider. Consult your physician before making major changes in your lifestyle or health care regimen.

October 2012 •

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Meet

Your Doctor

By Chris Motola

Dr. Frederick Ling Doctor explains new heart valve replacement procedure being used at URMC, an alternative for those who can’t have open heart surgery Q: What was the appeal of cardiology for you? A: I was fascinated during my training by techniques that were being developed to treat people. In the old days it was just medications and you had to watch patients suffer through a lot of conditions we can now treat. If someone comes in with a heart attack, we immediately activate a team and restore normal blood flow. If someone came in right now with a hole in their heart from a genetic abnormality, we could plug that right up. Q: Can you talk about the new heart valve replacement procedure being used at the University of Rochester Medical Center? Who is this procedure for? A: The disease process itself is called aortic valve stenosis. It is a disease where the aortic valve narrows severely. When it narrows, the heart has to work very hard to pump blood out and blood pressures will back up proximal to the valve such that most people will develop shortness of breath because the blood can’t exit the heart easily. When it does that, people have what we call congestive heart failure. About half of people diagnosed with congestive heart failure will be dead within two years. It’s essentially a terminal diagnosis if left uncorrected. But open heart surgery to replace that heart valve is being done throughout the world. People usually don’t die of aortic stenosis, with the caveat that they can survive the surgery. Surgery itself carries with it a lot of stresses to the body and all its systems. The aortic stenosis we generally see is the heart valve, because of wear and tear, is very inflexible. It’s a disease primarily of elderly folks. Unfortunately, as you age, not only does the valve have issues, but other body parts have issues like kidney disease, strokes and diabetes. By the time the aortic stenosis is bad enough that you have to do something, the risk of death from surgery due to other conditions is just too high. Q: How do you determine who is a good candidate for surgery? A: There was no therapy for that population until this valve was released. This new valve, the Sapien valve, was approved by the FDA late last year and went into broader use this year. We started screening for patients because patients that need this procedure, we had to make sure they were disqualified from surgery. We have a valve clinic composed of heart surgeons, interventional cardiologists, heart failure cardiologists, imaging cardiologists, radiologists and vascular surgeons all at the disposal of the team

balloon, the valve is left in position there. A good resource is edwards. com. They’re the only company that currently manufactures this valve for use in the U.S. Q: Is this new procedure something that could be used on the general populace, or does it have disadvantages relative to open heart surgery? A: In Europe, it’s been done for at least two years or so. In this country, the FDA was very careful. Just because you can do it, doesn’t mean it’s better than traditional surgery. The approval was based on a study where half the study group got traditional medications, which really didn’t work, and half got the Sapien valve. There was an amazing reduction in the death rate of the population that received the valve, who were able to go back to highly functional levels. Now, in terms of the lower risk population, there was another study that showed this valve was as good as heart surgery for high risk patients—that’s patients who aren’t disqualified from traditional surgery, but are at a higher risk of complications—that showed this valve was as good as traditional open heart surgery. We don’t have approval from the FDA to use it on that population. We think that, as the technology improves, we’ll be able to offer it to more and more patients. But right now it’s reserved for people who can’t have an open heart operation. Q: How did you personally come across this technique? A: I’m the director of the cardiac cathatarization laboratory, so that’s the laboratory that opens up all the heart artery blockages. We try to do things by less invasive techniques. Because we’re at the university, we have a strong collaboration with our surgeons who are experts in their field. We knew that this was coming and I knew it was something Rochester needed once the technology was approved. It’s a huge effort to organize the team. The hospital has to be involved in this as well because the valves are not cheap; they’re about $30,000 a piece. Insurance will pay for it, however it’s a big infrastructural cost.

that sees the patient so that everybody has a good chance to evaluate the patient. Our oldest patient so far is 93 years old. He had previously had a heart attack with bypass surgery, his kidneys didn’t work so well, he had lung complications from emphysema. He probably couldn’t have withstood surgeons sawing through his chest and then wiring it shut. If the patient can’t have surgery, this new valve technique is a potential alternative. Q: Walk us through the process in layman’s terms. A: The key thing is that we evaluate all patients with our multidisciplinary team. If they are suitable for heart surgery, they get heart surgery. Sometimes patients the physician didn’t think could have heart surgery can actually have it. If they can’t have heart surgery, we evaluate them for this less invasive technique. They way we do it is via the leg arteries and insert a stent to push away the diseased valve, but within the stent is actually a new valve—a cow valve. So we thread it up through the leg artery, go across the diseased heart valve. We first do a balloon inflation to prepare the passage for the stent valve. Then we pass the stent valve across it and inflate the stent. Once we deflate the

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • October 2012

Q: How many procedures have you done so far? A: We started organizing ourselves in the spring and did our first five patients just this last August. Q: How were the outcomes? A: So far, so good. It’s almost miraculous how good the patients look after their surgery. You don’t usually look so good after open heart surgery because you’re recovering from the trauma of the surgery. I’m glad to be a part of the early stages of this procedure. I wouldn’t be surprised if, within five years, the number of patients who have this by the traditional technique is very low. Name: Frederick Ling, M.D. Hometown: Queens, New York Education: Columbia; New York University School of Medicine; Yale Afﬁliations: University of Rochester Medical Center, Strong Memorial Hospital, Highland Hospital Organizations: American Heart Association, American College of Cardiology, The Society of Cardiac Angiography and Intervention Family: Married; two children Hobbies: Cooking, attending his children’s extracurricular activities

Women’s issues More Older First-time Moms Than in Decades By Deborah Jeanne Sergeant

he age at which women bear their first children has increased in recent decades. The Pew Research Center reported in 2010 that since 1990, birth rates have risen for all women ages 30 and older. According to the center, the rate increases have been sharpest for women in the oldest age groups — 47 percent for women aged 35 to 39 and 80 percent for women aged 40 to 44. The center credits this to the fact that many women are marrying later in life and are attaining higher levels of education. The more education a woman has, the later she tends to marry and have Lichtmacher children, according to the center. In most recent years, the uncertainty of the economy may also play a role. But whatever the reason, delaying pregnancy brings increased risks for both mother and baby. In general, the older a woman is, the greater chance she will have health problems unrelated to pregnancy. “Almost anything you can think of, the chances increase when you get older,” said Abraham Lichtmacher, chief of OB-GYN at Rochester General Health System. “We’re seeing more problems with blood pressure control in the general population, and diabetes complicating pregnancy. The types of things we think of like bleeding during pregnancy gradually increase as a woman gets older.” The older a woman is, the older are her remaining eggs and thus, the greater chance she has for abnormalities in these eggs. These can include a higher risk of Downs syndrome, abnormal development and miscarriage. “When a woman starts to go through puberty, she may have half a million eggs,” Lichtmacher said. “Through her childbearing years, she’s gradually using up her eggs. Perhaps those that are the residual ones are not as healthy or as good. Perhaps the good ones are used up first. It’s one of those theories that is difficult to prove.” Unfortunately, many 40-plus women assume that since they’re still menstruating, they’re still as fertile and health as always; however at 35, both fertility and the chances of a healthy

Experts warn that delaying pregnancy brings increased risks for both mother and baby

child start to decrease. “People understand fertility declines with age, but mid-40s is the end of the window,” said Wendy Vitek, OB/GYN and an infertility specialist at Strong Fertility Center. “At 35, the quality of the egg declines.” To improve the chances of a healthy mom and baby during and after pregnancy, mom needs to take precautions. Prepare even before you conceive. Quit smoking, drinking alcohol and stay in shape. Don’t use nonprescribed drugs and talk to your doctor about whether or not your prescriptions or anything else in your life will negatively impact your pregnancy. “If you are obese, you should have a diabetes screening,” said Paula ZozzaroSmith, OB-GYN at the University of Rochester Medical Center. “Optimal blood glucose control is ideal to have Zozzaro-Smith before pregnancy. If you have good weight, diet, blood pressure and diet, you increase your chances. The more optimized your care beforehand the better your pregnancy will be.” Begin taking prenatal vitamins, which contain folates. These B vitamins have been proven to reduce birth defects. Ideally, they should be taken before pregnancy to prevent birth defects, so start now. “Take a prenatal vitamin that has the correct amount of folic acid, 400 mg.,” said Zozzaro-Smith. Don’t forget the “sunshine vitamin” also: vitamin D, “important during pregnancy for fetal skeletal development,” Zozzaro-Smith said. “She can have it checked prior to pregnancy, especially if she has little exposure to sunlight.” Ask your doctor how much sun exposure is right. Supplements may also help. Most women trying to conceive find out they’re pregnant long before a doctor confirms it, thanks to early and accurate home pregnancy tests. If you even think you could be pregnant, act as though you are. Once you become pregnant, continue all your new healthful habits, and make sure you get enough rest. It’s surprising how even in early

pregnancy, women become very tired. Reduce your caffeine intake. A cup of coffee or tea or a caffeinated soda per day is usually okay. But no more than that. Although morning sickness (which can happen at any point of the day) usually prevents women from eating foods that could sicken them, such as four-day-old potato salad, some seemingly innocuous foods can endanger baby. These include sushi or other meats or eggs served raw, inadequately washed produce, non-pasteurized milk or juice, deli lunchmeat (unless cooked),and soft cheese (aged, firm cheese are fine). Stay faithful Kiltz to your doctor visits. It may seem silly when baby is so small, but it’s important to measure baby’s progress to help ensure you both will be healthy. You’ll probably hear the term “advanced maternal age” if you’re 35 or older, even if you can run circles around the unfit 20-yearolds in the waiting room. but keep in mind that the 35-year-old cutoff between “normal” and “advanced maternal age” was identified because statistically, more people have unrelated health conditions starting at this age and women having babies at this age or older have a greater chance of conception and pregnancy problems. Stay within your doctor’s recommended weight gain range. Gaining too little can result in low birth weight and deficiency-related diseases for you and baby. Gaining too much can result in gestational diabetes, and other complications. And the more

October 2012 •

you gain above your target weight range, the more you have to shed postpartum. Above all, stay upbeat. “Most of the time, if they’re older, their pregnancies turn out perfectly fine,” said Zozzaro-Smith. “It’s really impossible to give the exact risk. Most of the time, pregnancies turn out fine.” Rob Kiltz, fertility specialist and owner of CNY Fertility in Rochester, encourages women who are 35-plus to stay positive, too. “One of the problems in Western medicine is we work to identify problems and disease,” Kiltz said. “We label ‘advanced maternal age’ and ‘high risk,’ but health and wellness is within them. The possibility of achieving their dream is, well, possible.” Instead of focusing on his clients’ age, Kiltz encourages them to reduce stress, stay healthy, and remember that “the likelihood of healthy child is 90 percent for everyone. Certainly, if you have a better diet, and you exercise some, and you have a good disposition, you’re likely to have a better outcome, but not as significant as people think.” In some respects, age is in the mind. “If you think you’re old, you’re old,” Kiltz said. “If you think you’re young, you’re young. I’ve seen plenty of younger women not conceive and plenty of older women get what they desire. It’s true that it may be more challenging at more mature ages, but it’s still possible to build a family.”

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Live Alone & Thrive

By Gwenn Voelckers

Practical tips, advice and hope for those who live alone

Shake Things Up This Fall!

hhh…beautiful fall. It feels good to enjoy it again. The colors, aromas, and industriousness that come with the change of season really appeal to me. But this hasn’t always been the case. After my divorce, this time of year and all its romantic charm would leave me feeling rather melancholy. The darker days, cooler temperatures and falling leaves conspired against me. Nostalgia and wistfulness would creep in, and I just wanted to curl up in a ball and stay in bed. After years of feeling the blues this time of year, I knew I needed to shake things up. I was determined to rekindle my appreciation of this special season and decided to develop some strategies to “fall back in love with fall.” What better time than now to mix things up, get busy and take some risks?! Below are elements of my “Annual Fall Game Plan.” Take a look and see if one or more of these suggestions might not add a little color to your life pallet this fall: • Get off the couch. Staying active when the days grow shorter and the nights get colder can be a real challenge. I can remember many a day and weekend when all I wanted to do was stay put and veg out in the

front of the TV. While being a “couch potato” can be just the ticket from time to time, I don’t recommend it for the long haul. So, make some plans. Whether it’s meeting a friend for coffee or shopping for groceries, getting up and off the couch is important to your sense of well-being. • Seek sunshine. Getting outside is invigorating, especially if you’ve been cooped up all day. I’m grateful for where I live — out in the country, surrounded by beautiful vistas and friendly neighbors — because it inspires me to walk every morning. Does the chilly air sometimes deter me? Sure it does. But I persevere: I pull on a warm jacket, lace up my walking shoes, and head out the door. Without exception, I feel better after I’ve made the effort. No matter where you live, I encourage you to spend some time outdoors every day. It’s good for the soul and... who knows? You just might meet a new neighbor. • Take a class. More than any

other season, fall inspires me to learn something new. (I guess old school habits die hard.) After perusing the many continuing education catalogs that arrive in my mailbox and checking out workshop listings in the local newspaper, I like to find something that piques my interest. Last year, I learned how to do the Lindy Hop; this year, I’m curious about French cooking. Whatever your interest or passion, I encourage you to expand your horizons by taking a class or workshop. • Get a boost from indoor projects. Fall is a great time to start or finish that indoor project you’ve been meaning to get to. Not only can it make you feel productive, it can provide a real sense of accomplishment. Last fall, I finally cleared out and organized my basement; and, funny as this sounds, I couldn’t stop talking about it and showing it off to friends and family. I was so proud! Completing indoor projects gives me a real boost during cooler months, and provides me

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Dr. George Kornfeld uses miniaturized binoculars or telescopes to help those with vision loss keep reading, writing, driving and maintaining independence.

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By Elana Lombardi Freelance Writer

Just because you have macular degeneration or other eye diseases like diabetic retinopathy doesn’t mean you must give up driving. “People don’t know that there are doctors who are very experienced in low vision care.”Dr.George Kornfeld, a low vision optometrist. Bonnie was helped with two pairs of glasses: Special $475 prismatic glasses let her read the newspaper and bioptic telescopes helped her distance vision.

Low vision patient, Bonnie Demuth, with Bioptic Telescope

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“My new telescopic glasses make it much easier to read signs at a distance.” Says Bonnie, “Definitely worth the $1950 cost. I don’t know why I waited to do this. I should have come sooner.” Low vision devices are not always expensive. Some reading glasses cost as little as $450 and some magnifiers under $100. Every case is different because people have different levels of vision and different desires. “Our job is to figure out everything and anything possible to keep a person functioning visually.” Says Dr. Kornfeld. Dr. Kornfeld sees patients in his five offices throughout upstate New York including Buffalo. For more information and a FREE telephone consultation call:

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • October 2012

with incentive to take on more. Need a little lift this fall? Tackle that bathroom that needs remodeling. • Shake up your social life. During the summer, I tend to socialize more. The good weather makes it easier. But I think it’s important to socialize year-round, which is why, over the years, I’ve developed some simple ways to bring people into my world and into my home during the cooler months. My favorite way is to organize a get-together around a TV show. Yes, a TV show. Last fall, I invited my single friends over to watch Modern Family on Wednesday nights. I provided the soup and salad; they provided the good company and an uplifting, mid-week change of pace. We’d laugh our heads off, then call it a night. Whether it’s a football game, your favorite weekly sitcom, or Downton Abbey — watching TV with friends can turn a cold, lonely night into a warm, wonderful evening. The benefits? You’ll hone your cooking skills (boy, do I now have some great soup recipes!) and you’ll connect with people. What better way to enjoy a nice fall evening? If you’re feeling sluggish, lonely, or isolated this time of year, why not shake it up? The strategies above have stood me in good stead and have reinvigorated my love for the fall season. With a little “elbow grease,” as my father would say, they might work for you, too. 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, you can call her at (585) 624-7887, email her at gvoelckers@rochester.rr.com.

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Women’s issues It’s Complicated: Facts about Contraception

HEARING CENTERS

By Jennifer Wider

oughly two in five women in the United States do not use any form of birth control and many underestimate their risk for pregnancy, according to a recent survey about contraceptive practices in the United States. The survey, “Contraception in America: A National Landmark Survey of Women of Reproductive Age and Physicians Treating Women,” included 1,000 women aged 18–49 and a parallel survey of physicians (100 OB-GYN physicians and 101 primary care physicians). The survey was designed to reveal the current state of contraception use and preferences from the perspective of women and the physicians treating them. “While contraception is widely available, women don’t access clinics or health care providers,” said Rebecca Brightman, a clinical instructor of obstetrics, gynecology and reproductive science at the Mount Sinai School of Medicine in New York City. “Women who are uninsured frequently don’t seek the attention of a health care provider until it is too late.” Aside from not seeking proper health care, there were several other findings in the survey of note. With regard to accidental pregnancies and the role of birth control failure: • Almost half of the women surveyed (43 percent) who had ever been pregnant report that they had one or more accidental or unintended pregnancies. Roughly 50 percent of those women report that at least one of these pregnancies may have been caused by birth control failure, such as a broken condom or missing a scheduled birth control pill. • One in 10 women on birth control reported a perceived failure in the past year. • There is confusion on how long an intrauterine device (IUD) lasts even among women who use them. One in three women say an IUD lasts less than five years (in fact it lasts 5–10 years depending on the device). The use of IUDs has increased significantly over the past few years. “Several recent articles in wellrespected medical literature have confirmed the safety and efficacy of IUDs even in women who have not yet had children,” said Brightman. As a result, more IUDs are being placed in younger women who as a group have the highest risk of accidental/ unintended pregnancy. Depending on the type, an IUD can be inserted by a health care provider and used for five to 10 years on average. It is important “for patients to understand that while IUDs are extremely effective in terms of pregnancy prevention, they will not prevent STDs.” In addition to IUDs, there are many other options available to women. Women should first determine their stage of life and understand their purpose for using contraception in order to make more informed decisions on which methods will be most beneficial and appropriate. For

example, women who plan on having children can choose from a variety of birth control pills, the shot, the patch, diaphragms, caps, shields, and rings. Women who want to fully prevent pregnancy in the short-term but not permanently may choose to use an IUD. If a woman wants to permanently prevent pregnancy, her options include, tubal ligation, and a newer procedure in which tiny metal coils are inserted into the fallopian tubes, which scar over, and leave the passage blocked, making it impossible for sperm to enter. Finally, men have the option of a vasectomy, which prevents sperm from leaving the man’s body. In addition to confusion over contraception, the survey also revealed that women underestimate their risk of pregnancy. Among the sexually active women surveyed, many reported they are not trying to get pregnant, and a majority perceive that they are at “low or no risk” for accidental pregnancy. Incidentally, more than two in five women aged 18–49 report that they have used no method of birth control in the past 30 days. The survey showed that women may not fully understand their options or how certain contraception methods work. One in five women did not know which methods would be considered hormonal (hormonal contraception contains forms of the hormones estrogen and/or progesterone, examples include: birth control pills, patch, a shot, implant, or ring). A parallel survey revealed that the vast majority of OB-GYN and family practitioners who were questioned say that they routinely discuss contraception with women of reproductive age. However, the women report that they initiate the conversation much more frequently than their doctors. “Many health care providers are under tremendous time constraints with their patients and it is difficult to sometimes convey all of the information necessary regarding contraception options during the course of an office visit,” said Brightman. According to this survey, there are large gaps in information and understanding among women of reproductive age when it comes to contraception. Women should begin the contraception conversation with their health care providers at their wellness visits to see what is right for them. An open dialogue between the patient and doctor is a great way to ensure the exchange of information necessary to empower women to make the best decisions.

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Jennifer Wider is a physician who hosts a radio show every Wednesday from 9:30-10 a.m. on “Wake up! with Cosmo,” channel 111 on Sirius Satellite Radio and channel 162 on XM. Each week, she explores topics affecting women and their health including: sexually transmitted diseases, fertility, binge-drinking, birth control and contraception. October 2012 •

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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What They Want You to Know:

Fertility Specialist By Deborah Jeanne Sergeant

In general, fertility specialists are typically obstetrician-gynecologists or other types of medical doctors who are additionally trained in how to treat fertility problems and reproductive and sexual health. They aid patients in discovering what family-building option is right for them. • “There is a lot of tabloid joy over pregnancy for women between 44 and 50. There may be a misconception that these women conceived with their own egg. They either used a donor or they used an egg they froze when younger. We see a lot of women in their late 40s who want to get pregnant. Spontaneous pregnancy for women over 44 is rare and the risk of a miscarriage or chromosomal problem is high.

• “I think that it seems like [patients] hear all the time, ‘You need to relax, you need to go on vacation, you need to adopt’ because of anecdotal stories about people who do these things and then conceive. Saying this discounts the struggle these families face. Using an adopted baby as a means to the end of having your own seems wrong. You can offer support, but offering advice should be left to experts. • “We often get asked about the role of stress in fertility and it’s hard to quantify. The clearest link is that individuals who manage stress in positive manners stay in IVF [in-vitro fertilization] longer and there’s a higher success rate if they stay in it. Does being stressed out reduce the chances of success? It’s hard to say. But

if someone wants to do acupuncture, I’m a proponent of it because if they feel they have more control, it can help them feel less burdened. • “Often we’re asked intimate questions about position, orgasm or the position of the couple to help conceive. There are no studies that show it improves conception. Data says that ejaculated sperm meets the fallopian tubes within seconds or minutes. Being in an uncomfortable position for half an hour won’t improve their chances of pregnancy. Wendy Vitek, obstetrician/ gynecologist, infertility specialist and physician at Strong Fertility Center in Rochester • “One of the biggest impediments to getting pregnant for some people is they contracted at STD in the past. When a 30-year-old can’t understand why she can’t get pregnant and she had chlamydia when she was 19, it’s often very sad what happened at a young age causes grief later on. Prevention of STDs is important from onset of sexual activity. The specific problem is damage to fallopian tube and scar tissue in the pelvis. • “Cigarette smoking may seem innocuous on the surface but causes significant fertility problems in men and women. In men, it causes impairment of sperm function. It doesn’t always show up as low numbers but the sperm don’t work well. In women, cigarette smoking can cause early loss of eggs, so women lose the quality and quantity at a younger age. Smoking during pregnancy causes harm to the fetus and placenta. People have to understand smoking impairs many people’s ability to get pregnant and cuts in half the success of fertility treatments we use. It’s shooting yourself in the foot. It’s best to never start smoking. • “Alcohol consumption — it certainly is a danger for causing fetal alcohol syndrome, but excess drinking can impair a man’s health and the quality and function of his sperm as well. People don’t need to be teetotalers, but one serving per day for a woman and two for a man is the medically recommended max. Of course, after she becomes pregnant, she

should not drink. • “People can, when they want to, choose a pregnancy and whether to smoke or not, or drink or not, or using protection from STDs. A lot of people don’t understand the implication of these choices and have regrets of choices they’ve made in the past.” Rosalind Hayes, fertility specialist with Rochester Fertility • “My passion in life is to help people reach their dreams of building a family. I love what I do. Maybe a misconception is I’m here to get people pregnant. I’m here to help them on the journey of building a family. It may be with their eggs, donor eggs, donor sperm, donor embryos, or adoption. Or find a comfort zone of where they are and be comfortable. • “I’ve learned about Western medicine and how little we really know. The journey is often a struggle and often hard. By adding a little of the Eastern approach along with the Western approach, I think we can improve the process. • “I’m there to help them understand the process better. I’ve been doing this for 20 years. My job is to help them understand it the best they can and help them through the process. I’m helping people gain their dreams but I can’t answer the ‘whys.’ We in Western medicine are not as good at the ‘why’s as we’d like to be. We’re better at helping them through the process.” Rob Kiltz, fertility specialist and owner of CNY Fertility Center in Rochester, Syracuse and Albany Deborah Jeanne Sergeant is a writer with In Good Health. “What Your Doctor Wants You to Know” is an ongoing column that appears monthly to give our area’s healthcare professionals an opportunity to share how patients can improve their care by helping their providers and by helping themselves.

Westside Podiatry Group DOCTORS FREELING, CAIOLA, AND TELLEM ARE PLEASED TO WELCOME OUR NEW DOCTOR

DR. KATRINA HALLAHAN Dr. Katrina Hallahan graduated from Syracuse University in 2006 with a B.S. In Biology. She attended medical school at the Ohio College of Podiatric Medicine and graduated in 2009 with her Doctor of Podiatric Medicine degree. Dr. Hallahan then completed a three year podiatric surgical residency at Beth Israel Deaconess Medical Center affiliated with Harvard Medical School in Boston, Massachusetts. She has recently joined the Westside Podiatry Group as an associate. Dr. Hallahan is board qualified in forefoot and rearfoot surgery by the American Board of Podiatric Surgery and is a member of the American College of Foot and Ankle Surgery and is also an active member of the American Katrina J. Hallahan, D.P.M Podiatric Medical Association. Podiatric interests of Dr. Hallahan include but are not limited to: forefoot surgery, complex reconstruction for post-traumatic and degenerative conditions of the forefoot and rearfoot, flatfoot deformities, diabetic limb salvage, foreign bodies in the foot, heel pain, and tendon and ligament reconstruction.

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • October 2012

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TIES participants practicing in the indoor Pittsford Rowing Center for Outrigger Canoeing.

Participants and volunteers involved in a TIES cooking class

Making a Difference in the Lives of People with Disabilities Kathy Costello started a project in Webster to help students with disabilities. This project has spread over to more than 30 school districts By Ernst Lamothe

ometimes a mother’s anguish and frustration can take her places she never envisioned. Kathy Costello didn’t want her son, Kevin, who was born with developmental disabilities, to miss out on anything during his high school years in the late ‘90s. But she knew some things would be out of her control and that made her feel even more helpless. How was she suppose to set up a system where her son could feel included and interact with his peers without feeling that his mother always needed to be by his side? More than 12 years later, she’s still amazed at what sprung from her frustration. Since 1999, Costello, of Webster, has been the lead liaison of the Together Including Every Student (TIES) program, which connects people with disabilities to volunteers of their same age range. Today, 30 school districts have similar programs, each having their own coordinator. “I was tired of there not being something where my son could have a truly genuine high school experience despite his disabilities,” said Costello. “He could do so much but he just needed some help. I realized there was a void that needed to be filled to help him and others like him.” Together Including Every Student, which is a program of the Advocacy Center in Rochester, gives students with developmental disabilities an avenue to participate in extracurricular and community activities with the aid of trained student volunteers. The benefits for students with disabilities include increase social interaction within the school and community, providing more chances for friendship and inclusion. In addition, it allows students to pursue a specific interest and hobby. Working with a larger organization like the Advocacy Center, which empowers individuals with disabilities and their families to

advocate for themselves, has helped TIES grow within the community. It gives people with disabilities a platform to interact in a multicultural environment and not have their disability be the lead story in their lives. But it didn’t all come together just because Costello dreamed it. Having an idea is one thing; however executing it is another. She worked with several agencies including the New York State Developmental Disabilities Planning Council in Albany. Along with working with Webster Central School District, the group puts together a plan to create a low cost initiative with huge investments that would help an underserved group. They then started recruiting student volunteers to take on the mission of working with people who had severe challenges. Soon there were chess, computer and service clubs as well as other extracurricular after school activities in Webster that pair students with disabilities with volunteers. “I found the whole process daunting at first,” said Costello. “It would have been very difficult without the support I received from so many groups. They were willing to help with grants and lead me in the right direction. TIES has helped families get their children to participate in arts classes run by the Webster Parks and Recreation Department, go to camp, synchronized swimming class or floor hockey at the YMCA or simply a laser tag trip in Fairport, all while being accompanied by volunteers. It didn’t take long for her to realize the asset of the program, but she is still floored when she hears from former volunteers. Just in December, she received an email from a woman who was a Webster High School student volunteer in 1998. She was part of the TIES program and actually worked

with Costello’s son and helped him with Christmas crafts in a class held at the Webster Community Center. After she graduated, she attended Canisius College in Kathy Costello, of Webster, co-founder of Together Including Buffalo with Every Student. The project she started is now available in more a dual degree than 30 school districts. in elementary and special year after year. education because of the experience. “Kathy is a tireless worker,” said She now works for the Rochester City Bayer. “She goes out of her way to find School District as a special education the right volunteers to help her and teacher in a fifth grade inclusion class the quality of the volunteers willing to and she mentors new teachers. work with the program is what makes “This impact goes way beyond what we ever imagined,” said Costello. things happen successfully.” Costello said working with Irene Bayer wanted her 14-year-old volunteers reinforced the idea that daughter, Lyndsy, who was born with students want to be involved, give disabilities, to have everything in life. of themselves and share their talents But most of all she wanted to have her and interests. Officials believe they full independence as a Webster school have succeeded in creating a program student. She received that with the offering people opportunities for TIES program. “She needed an opportunity to take personal and social growth, which is essential to the development of advantages of things and be a teenager healthy individuals. without her mother always having to “Many people don’t know how tag along with her to every program. it feels to be excluded,” said Costello. This program allowed her to interact with volunteers her own age and enjoy “A lot of people with developmental disabilities need to feel independent herself with the kind of freedom that a and they sometimes don’t understand young girl needs to have,” said Bayer, and won’t accept that they can’t always of Webster, who is part of a support do everything. But with a volunteers group for parents with children of help they can do many things and they disabilities. want to feel comfortable into social Bayer said her daughter, who is situations.” now 20, has participated in swimming “It’s a simple program that add so and music classes and helping as a much to a person’s life,” she added. library aid through the program. There “I didn’t want to be one of those was a volunteer working with her programs that start strong and then every step of the way. And she credits disappear. I’m proud that we are still Costello for her constant diligence to going after all these years.” keep everything running smoothly

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The Price of Financial Stress? Emotional Illnesses By Kathe Healy

The Future of Breast Cancer Diagnosis is “Wide Open”

inancial stress has become a reality for the majority of Americans. The cost of living has risen as the loss of jobs has increased. Fear of economic insecurity has taken hold and when fear becomes chronic, the consequences are felt throughout the society. The increased stress can lead to: • Anxiety and panic disorders • Depression • Family dysfunction • Physical illnesses • Substance abuse • Suicide Most of us learn to repress our emotions and pride ourselves on being strong and able to handle anything that comes our way. The current financial crisis has brought with it a sense of powerlessness. The American ideal of hard work is not solving the problem and feelings of futility, anger and fear are permeating our society. On Sept. 11, 2001, television sets across the country broadcast live the destructionn of the World Trade Centers. Commercial jetliners were flown directly into the towers at top speed by those who hate America. Thousands of human beings were working in the offices and we watched hundreds of terrorized people jumping to their deaths to escape the flames. The pictures were shown repeatedly over the days to follow and became etched in our minds. Terror entered our world and, as Americans, we can never be the same. Since that awful day, we have entered a war that nobody understands and endured a political race that has divided the country. Companies have continued to reduce workforces as outsourcing continues, and we are facing a financial crisis that threatens our ability to take care of ourselves. In the midst of our community stress, individual problems continue to happen. Life doesn’t stop because

financial crises occur. People still have to emotionally cope with illnesses, raise their children, face the death of loved ones, survive divorce, and deal with the lack of money to afford clothing, food and shelter. If the physical body can become ill due to stress, mental and emotional health are also vulnerable to sickness. The American ideal of strength under pressure is giving way and we need to rethink this philosophy. The opportunity to become compassionate and caring to one another can be the blessing within the chaos. The need for mental and emotional fitness is as important as physical fitness, and we cannot continue to neglect the human need for connectedness and support. Most of us were taught to repress our emotions and avoid pain. As a result, we have become escape artists and our fear of loss of control keeps us numbed to ourselves and others. Since the chaos and fear are continuing to increase and don’t show signs of letting up, spiritual resurgence of some of the values and ideals of the America we remember could set the stage toward evolution into authentic human beings with a full range of emotional and mental capabilities. Learning to become interdependent and emotionally supportive to one another requires patience, practice and the development of trust. Our physical health can suffer if our mental, emotional and spiritual health are in danger. The consequences will effect our strength as individuals, family and community members. The time has come for healing. Kathe Healy is a licensed mental health counselor. She operates Healy Counseling Services in Fairport. For more information, call 388-3330 or visit www.kathehealy.com.

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SmartBites

By Anne Palumbo

The skinny on healthy eating

Why Red Kidney Beans

Rock

iron intake, you’ll want to reach for the bean, as a cup of kidneys provides about 20 percent of your daily needs. Lastly, kidney beans are an excellent source of the trace mineral, molybdenum, which helps to detoxify sulfites (preservatives found in prepared foods and wine). Translation: If wine gives you a headache, you might want to forgo the pretzels for a fistful of beans!

Helpful tips

’m a big believer in “power foods” — foods to help you live a longer, healthier life — and devour top 10 Super Foods lists the way some people devour top 10 gadget lists. Compiled by respected institutions and professionals, the lists tend to feature a core of recognized superstars (salmon, nuts, whole grains), along with an ever-changing mix of seasonal fruits and vegetables. A powerhouse food that never seems to lose its top 10 status? Beans. Nutrient-dense, recipe-friendly, affordable beans. I’m not surprised. Super low in saturated fat, cholesterol and sodium, these tasty treasures are impressively high in protein. Although I’m a big fan of all beans, I consume more red kidney beans than any other bean for this key reason: they’re loaded with antioxidants — disease-fighting compounds that gobble up damaging free radicals. In fact, according to the Journal of Agricultural and Food Chemistry, red kidney beans hover near the top of the antioxidant-rich foods list. We’re talking right below blueberries, the

antioxidant leaders. I also lean toward this bean because it has a tad more protein and fiber than some of the other beans. One cup of red kidney beans takes care of about a third of your daily protein needs and about half of your daily fiber needs. Not bad for 220 calories and scant fat. More beans to spill: Red kidney beans teem with heart-protective nutrients like folate, magnesium, and the aforementioned fiber. Folate lowers levels of an amino acid associated with greater risk of heart disease and stroke; magnesium promotes normal blood pressure by relaxing blood vessels; and fiber helps the heart by ferrying cholesterol out of the body. Also, if you’re looking to boost your

If you prefer the convenience of canned over dried beans, look for canned beans labeled “Low Salt” or “Low Sodium.” Before using in any recipe, drain and rinse the beans thoroughly to remove excess sodium. Draining and rinsing beans also rids the beans of complex sugars that sometimes cause stomach gas. Nutrition-wise, canned beans and dried beans are about equal.

Yummy Red-Bean-andVegetable Soup Adapted from Moosewood Restaurant Low-Fat Favorites Cookbook 1 ½ cups chopped onions 1 tablespoon minced garlic 1 tablespoon olive oil 1 cup chopped carrots 1 cup chopped celery 1 ½ cups chopped bell peppers (red, green, yellow, or orange, or a combo) 1 dried teaspoon each: oregano,

basil, thyme, cumin pinch of cayenne, or more to taste 1 28-ounce can chopped tomatoes or 3 cups chopped fresh tomatoes 1 15-ounce can red kidney beans, drained and rinsed 1 tablespoon Dijon mustard 1 tablespoon brown sugar salt and coarse black pepper to taste topping: chopped fresh parsley, minced scallions or shredded cheese Combine the onions, garlic, and olive oil in a soup pot. Cover and sauté on medium heat for about 8 minutes, stirring occasionally, until the onions are softened. If onions start to stick, stir in a little water. Add the carrots, celery, bell peppers, and spices. Cover and cook for another 8 minutes, stirring to prevent sticking. Stir in the tomatoes, kidney beans, mustard, and brown sugar. If you prefer a thinner soup, add a cup of water now. Simmer gently for 5 to 10 minutes. Add salt and pepper to taste and serve topped with parsley, scallions or shredded cheese. Variation: Serve over rice and top with feta. 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.

HELP REDUCE ER CROWDING. FOR COLD AND FLU SYMPTOMS, SEE YOUR DOCTOR. A recent study found that each year there are hundreds of thousands of emergency room visits in upstate New York that could be avoided. Minor conditions like cold and ﬂu symptoms, congestion, back pain, earaches and sports injuries are best treated by your doctor. If your doctor isn’t available, consider visiting an urgent care facility. And do your part to relieve ER crowding.

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October 2012 •

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Juneberries are expected to be a popular fruit when it they are available in New York starting next week. Cornell experts say the fruit’s nutrition rivals, and in some cases exceeds, that of blueberries. Photo provided by Jim Ochterski, Cornell Cooperative Extension.

New Super Food

Juneberries

Fruit slated to appear at New York farm markets in July 2013 By Deborah Jeanne Sergeant

ver heard of juneberries? Also known as Saskatoons, the deep, blue-colored fruit is a native in Canada, but has been making inroads in Michigan and is slated to appear at New York farm markets as soon as July 2013. “We’re very excited about them,” said Pat Stewart, registered dietitian and bio-nutrition manager at the clinical nutrition center of University of Rochester Medical Center. “Our colleague who’s Canadian said that his grandma used to make pie and jam with them.” Of course, dietitians always encourage people to eat more fruits and vegetables, so a “new” fruit is good news. “We can get stuck in a rut,” Stewart said. “It’s nice to introduce new foods to broaden the horizon of our nutrient qualities. Balance and variety are the keys because different foods have different nutrients an phyto-chemicals and you want to balance that out.” Nellie Wixom, also a registered dietitian at URMC and with the clinical research center, is equally excited about the novelty of juneberries. “Variety is something important when you’re trying to eat a healthful diet, especially with fruits and vegetables,” Wixom said. Cornell University’s juneberry site — www.junberries.org — states that the small fruit’s nutrition rivals and in some cases exceeds that of blueberries, all in a fruit that tastes somewhat like black cherries and stands up well to handling (unlike raspberries). Cornell states that a serving of juneberries provides 23 percent of the RDA for iron (twice as much as blueberries). They also contain twice as much potassium as blueberries and offer large amounts of minerals magnesium and phosphorus. They match blueberries in riboflavin,

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • October 2012

pantothenic acid, folate and vitamins B-6, A, E, and C. It is thought that Native Americans used juneberries medicinally. Though juneberries’ nutritional profile sounds fantastic, keep in mind that different people need different amounts of nutrients. “In the Cornell article, it said that juneberries provide 23 percent of RDA in iron, but that’s gender-specific.” URMC dietitian Stewart said. “These are good reasons to eat junberries but there are plenty of other good reasons to eat these, too.” Wixom also noted with caution, “It was introduced by Cornell to increase the variety, but once things get out there, they get hyped up and we have to wait for research to support it.” Jim Ochterski, Cornell Cooperative Extension of Ontario County in Canandaigua started a project two years ago that will help increase juneberries’ popularity in New York. “We want to introduce juneberries to producers,” Ochterski said. He added that area consumers and chefs have been asking about juneberries at stores and farm markets because of juneberries’ superlative nutrition, but since the berries have not been previously grown in New York, Cornell is working with fruit farms in Ontario, Wayne, Seneca, Cayuga, Oswego, Broome, Orleans, Monroe and a few other counties to establish juneberries. Since it takes about three years from planting to a viable harvest, the ongoing project has tested the patience of area chefs and consumers who want the nutritious berries. In addition to their excellent nutrition, juneberries also play an important role in bridging the gap between June strawberries and midJuly raspberry crops, so more people will keep eating fresh fruit all summer.

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How Antioxidants Are Believed to Help Prevent Cancer By Deborah Jeanne Sergeant

n varying amounts, plant-based foods offer antioxidants, which are healthful, cancer-fighting compounds. They are thought to neutralize free radicals that damage the body and thus reduce the risk of cancer and other diseases. “If you increase fruit and vegetable intake, you can decrease incidences of cancer by 25 percent,” said Nellie Wixom, a registered dietitian with the School of Nursing and research dietitian at the Clinical Research Center at the University of Rochester Medical Center. “Our diet alone can have an impact on reducing incidences of cancer.” “More is better” seems a common American line of thought. But it’s not always so. Many people read studies stating that consuming more antioxidant-rich foods can help prevent cancer and assume that downing a fistful of antioxidant supplements will all but guarantee they can avoid cancer, but it doesn’t work this way. “The literature is controversial,” said Alok A. Khorana, a physician who serves as vice-chief of the division of hematology/oncology at the James P. Wilmot Cancer Center. “Where they’ve done trials, they have not been successful, but that doesn’t say a healthy diet eaten with moderation isn’t helpful. Higher doses haven’t been preventive. Some studies have shown mega-doses make things worse, not better.” He recommends that people who do take supplements should only take at levels that are appropriate, not at Wixom hundreds of times the USRDA recommended level. Obtaining antioxidants through a healthful diet is much better than supplements, which can vary in purity, safety and efficacy. The Food and Drug Administration does not regulate supplements. Obtaining antioxidants through food also offers a wider variety of the compounds, whereas some supplements may have only one or two types. “People want a shortcut, like taking a supplement,” said Pat Stewart, registered dietitian and bio-nutrition manager at the clinical nutrition center University of Rochester Medical Center. “But foods have many other things that help our bodies be healthy and they’re predominately in whole foods. They are so critical. “It does make a difference. We

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don’t eat enough fruits and vegetables and whole grains. We need to make them the focal point of the meal. Fruits and vegetables need to be the focus of our diet.” Typically, Americans build a meal around a meat source and add plantbased foods as an after-thought. Wixom added that in addition to eating a healthful diet rich in fruits and vegetables, “physical exercise, and healthy weight are important too. Diet we can work on, change and modify. We don’t have to do anything really complex.” Eat a variety of colorful fruits: blueberries, blackberries, raspberries, strawberries, cranberries, avocados, cherries, pears, plums, pineapple, red delicious apples, Granny Smith apples, gala apples and kiwi are tops when it comes to antioxidants, but all fruits and vegetables provide many nutrients with few calories. While you’re in the produce section, stock up on artichokes, squash, pumpkin, tomatoes, spinach, red cabbage, potatoes, sweet potatoes and broccoli, which are top vegetables containing antioxidants. Protein sources can also provide antioxidants. The ones the most include kidney, pinto and black beans, walnuts, pistachios, pecans, hazelnuts and almonds. Whole grains such as oatmeal can also offer a healthful dose of antioxidants. Raid the spice rack for potent free radical-fighters, including cloves, cinnamon, ginger, garlic, onion, chili powder, coriander, oregano, turmeric and many more. Even your beverage choices can make a difference. Skip sugary sodas and energy drinks and reach for unsweetened green tea, coffee, grape juice, dark cherry juice and pomegranate juice. It’s better to use 100 percent juice instead of “cocktail” or “juice drinks” which are sweetened and contain empty calories. Indulge your sweet tooth with an occasional square of dark chocolate. It’s rich in antioxidants, too. October 2012 •

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neighbors helping neighbors. Join us

Tuesday, October 2 a 2-mile walk in Clifton Springs beneﬁtting the

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for Friends with Cancer Clifton Springs Hospital Foundation, supporting eligible patients of Finger Lakes Hematology & Oncology, Finger Lakes Radiation Oncology Center, and Clifton Springs Hospital & Clinic. 12th Annual To make a donation or to learn more, visit CliftonSpringsHospital.org or the Foundation at 315.462.0120. The journey is easier when we walk together.

The core of Made the Same Inc., an organization formed two years ago with the goal to raise awareness of ovarian and cervilcal cancer. From left are Sarah Bryant, Holly Pumputis, Andrea Stanley and Michelle Townsfolk.

Organization’s Goal to Raise Awareness of Ovarian Cancer By Ernst Lamothe Jr.

A 2 Coulter Road, Clifton Springs, NY | CliftonSpringsHospital.org | 315.462.0120

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ndrea Stanley was simply stunned. When her mother, Sandra, was diagnosed with ovarian cancer in 2004, she didn’t know the full impact it would have on her life. She struggled to handle the news that rocked her family, but she didn’t stay simply stunned for long. She founded Made the Same Inc. two years ago. Stanley was inspired to start the organization after a friend asked her if she truly wanted to share her mother’s desire to tell others about the dangers of late detection of ovarian cancer. “Some people are willing to speak openly about their stories knowing that they want to educate others so they don’t go down the same road. But because this is a personal subject, we have others who shy away talking about their bodies,” said Stanley, president of Made the Same Inc. “My mom didn’t always listen to the signs her body was telling her.” The American Cancer Society estimates that 22,280 new cases of ovarian cancer will be diagnosed each year and 15,500 women will die from it in the United States. Along with ovarian, cervical cancer continues to plague women. It is a condition where a cancerous growth, also referred to as a malignancy, rises around the lower portion of the uterus. Both cervical and ovarian cancer can occur without any signs or warnings, but symptoms may include abnormal bleeding between menstrual periods. Stanley said her mother had constant pain and bloating, but never sought medical attention. However, soon the pain became too much and her doctors discovered that her ovaries had tumors. After doctors removed her reproductive system through a hysterectomy, they found her ovaries were cancerous and that it could spread to other organs. Even after years of chemotherapy treatments and going through remission three times, her mother lost her battle with cancer in 2008. “She was privileged to have many amazing medical personnel help her live with dignity for almost five

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • October 2012

years with ovarian cancer. She fought tirelessly to survive as long as she could while enduring treatment and the debilitating side effects of cancer,” said Stanley. “With that push, I took the steps to get Made the Same started, and here we are today.” Sarah Bryant was invited by Stanley to form the organization. She said her friend’s inspiration led the way. “Her drive and strength through the illness of her mother and the time after her passing gave me the courage to step up to the challenge of being a part of this organization,” said Bryant, who is now vice president of Made the Same. “I now have one of those passions — to let every woman have the knowledge to lead a long, fulfilling life.” Stanley and Bryant also brought in friend Holly Pumputis to help them create more awareness about the diseases. Pumputis inspiration for joining the organization came from seeing how cancer has affected the lives of those around her. Jamie Romeo was friends with Stanley and Bryant when they graduated from Irondequoit High School almost a decade ago. She has been a constant cheerleader for the work that they have done. “To see their passion and drive to help educate about ovarian and cervical cancer awareness, given everything they have been through, just demonstrates the true strength and character of these women,” said Romeo, of Irondequoit. “They are really good role model to young professionals in our community, showing that we all have that potential to be that change in the world we wish to see by speaking up for all to hear. These women are sharing an incredible message of empowerment with the community.” Stanley said the biggest demographic they are starting to target is young women. They are a large population that is sexually active but don’t always see their OB-GYN for regular checkups. The organization is now going into schools, talking to female students for the first time.

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A freak accident, then two cancer diagnoses Webster woman went to the doctor to check a bruise on her breast caused by a minor incident. She found out she had breast cancer; as she recovered from it, she found out she had another cancer — on her colon By Ernst Lamothe Jr.

atricia Goodnough’s life was saved by a fluke incident. Two years ago, she was carrying furniture with her son when suddenly the heft of the object caused it to hit her breast, producing a bruise on her body. Soon after, she went for a mammogram so her doctor could see and diagnose the bruise. Goodnough didn’t see the need for a mammogram, thinking that at age 60-year, she was too old to require it. At first, the doctors saw nothing and told her to come back in a month just as a routine follow up. A month later, her life changed. “I thought women in their 40s and 50s needed to get mammograms. I just thought that was something that I didn’t have to worry about anymore at my age,” said Goodnough, 62, of Webster. “But I can’t complain because my story is a miracle.” Diagnosed with breast cancer as a senior citizen shook her world. Only skin cancer affects more women in the United States than breast cancer. It is second only to lung cancer as a cause of cancer death in women, according to the National Breast Cancer Foundation. She questioned herself about not making regular checkups to her physician. She scolded herself for not recognizing a disease that four out of her six sisters already were diagnosed with. And then there were nights of disbelief. However after the weeks it took to gain composure, one thought resonated. Each year, nearly 200,000 women will be diagnosed with breast cancer and more than 40,000 will die. “It just dawned on me that a stroke of luck was the only reason why I had a chance to fight this,” said Goodnough. “Had it not been for a freak accident, I would have never gone to the doctor, gotten the biopsy and it all could have been too late.” Going through the chemotherapy involved intestinal fortitude that she never thought she had. The eight weeks of daily radiation not only killed her hair follicles, but at times, her spirit. “I couldn’t eat for days sometimes after chemotherapy,” said Goodnough. “I was so tired and I felt awful that I would start crying in the morning and

didn’t stop until after I came back from my daily treatment. It was a kind of horribleness that is hard to describe.” Then right before Thanksgiving last year, her life changed again. Goodnough had survived the grueling chemotherapy. Then her physician said they wanted to run another routine test; a colonoscopy, which has been known to go hand-in-hand with breast cancer because of its ability to travel throughout the body. The goal of the colonoscopy prep is to eliminate all fecal matter from the colon so that the physician conducting the colonoscopy will have a clear view of the intestinal wall. The preparation requires a prescription from the doctor that consists of a gallon jug with a powder mix inside. She would have to drink an 8 ounce glass of the mixture consistently until the entire gallon was finished, and drinking that much liquid was always a deterrent. But with the doctor forcing her hand, she went through the procedure. When she arrived at the doctor’s office for the test results, she was diagnosed with colon cancer. “When the doctor told me the news, I just blacked out. I couldn’t remember a word he said or what happened from the time he told me to the time I got back into my car,” said Goodnough. “I couldn’t believe it. I had just had breast cancer and then to find out I had colon cancer right after that.” She had the surgery to remove a tumor on her colon in early December, which required a five-day stay at the hospital. The tumor might have penetrated her colon if not for the surgery. There was more than a month of recovery. “I still can’t believe that I almost lost my life because I didn’t want to drink the liquid it took for the colonoscopy,” said Goodnough. Kathy McCarthy, Goodnough’s daughter, said her mother was very private early on about her diagnosis. She didn’t want anyone in the family to struggle or suffer because of her ailment. “But once she really started to go through the process, she shared more of her feelings and allowed me to go to some of her appointments,”

Patricia Goodnough, left holding a cane, and her family at Disney World in Florida this summer. Thanks to a minor incident she was able to discover she had breast cancer and, later, colon cancer. “We called the trip [to Disney] a celebration of life. Years ago, we never thought we would be able to do a family trip ever again.”

said McCarthy, who regularly gets a mammogram. “She let herself open up to the people who loved her.” McCarthy admits there were some bad days that were tough watching her mother endure. Everyone encouraged her and she did the same for the family. “We kept telling her that she was an amazingly strong person,” said McCarthy. “I just think women who go through breast cancer are so incredibly strong and they make us all strong and united as women.” Goodnough doesn’t know how she could have done it without the support of her family. As a birthday gift this year, they even brought her all her favorite foods that she couldn’t have before because of the chemotherapy and the colonoscopy. After going through both ordeals, it’s easy to gain a new perspective in life. If two years ago she died, she

October 2012 •

would have missed playing with her seven grandchildren and attending some of their biggest adolescent events. She would have missed a family trip they took this summer with family friends, her three children, and the grandchildren to Disney World. “I want to tell everyone who wants to hear about my story,” said Goodnough. “You have to get early detection because this was all my fault for not taking care of what I needed to do. When I tell people I am a two-time cancer survivor, they can’t believe it and neither can I.” Her family sometimes can’t believe it themselves. That is why they so enjoyed the Disney World trip. “We definitely learned that you can’t take a day for granted,” she said. “We called the trip a celebration of life. Years ago, we never thought we would be able to do a family trip ever again.”

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Cancer Websites to Trust By Deborah Jeanne Sergeant

f you or a loved one receive a cancer diagnosis, you’ll likely go online to research the disease further, seek support from others and perhaps see what alternative treatments or clinical trials may be available. As with any other subject online, the value of cancer websites varies greatly, ranging from helpful resources to sincere but useless information to outright scams. “It’s difficult to give blanket endorsement to any site to be sure all the information out there is valid,” said Prad Phatak, oncologist with Rochester General Hospital. “Go to sites of reputable agencies. Any information you see is not necessarily up-to-date or endorsed by us. If you have questions or concerns, you should discuss it with us. There is very good information on the Internet and

Cancer.net

some not so good. Just going out there and Google searching items can pull up both categories. You have to be careful with that.” Knowing what to believe can be difficult. Keep these guidelines in mind if you’re online to learn more and connect with others. Don’t rely upon the appearance of the website. It’s very easy to build and maintain a website that looks professional and has a convincing name. Scam artists can build a site full of plagiarized or generated by a copy mill, writers paid mere pennies an hour, to look like a legitimate site. “There are treatments that aren’t proven and haven’t been proven yet,” said Alok Khorana, vice-chief, division of hematology-oncology at the James P. Wilmot Cancer Center. “They use buzzwords like ‘stem cells’ and ‘alternative treatments.’ Be cautious. Make sure the site is a reliable resource.” With some good visual effects and an impressive-sounding name, a website can fool people into believing the information and products or Page 18

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services sold on it are legitimate. Sites selling something are the most likely to contain misleading information, although not always. The owners of fraudulent sites may offer a little truth, such as actual research, but apply this information incorrectly or out of context to sell a product or service. Some websites may be run by people who earnestly want to cure cancer, but do not have the science to back up their claims. Regard with suspicion cancer sites that use sweeping generalities, such as “all traditional therapies are harmful” or “all oncologists perform useless tests.” Watch out for sites that try to blame different groups for a particular type of cancer. Trusted sites have the patients’ best interests in mind and are not pushing an agenda. Some sites are mere fronts for shysters. “You get led from one site to the next and you’re being led away from the source you’re looking for,” Phatak said. Sometimes the “rabbit trails” have nothing to do with cancer at all. Other times, a site may lead you to subsequent sites with less and less scientific credibility. “If they’re asking for personal information, money or want you to go to their place, it could be something to avoid,” Khorana said. “It may not be, but use common sense. Other patients that gave up chemotherapy that was working to fly to the Mexican border end up $30,000 poorer and the cancer has gotten worse since they’ve been missing treatment while the cancer is growing. They do it with the best of intentions. They just want their cancer cured.” Beware of sites that guarantee a cure, say their product or therapy cures numerous maladies or claim that they have unlocked a secret for curing cancer that no one else believes. Many times, these miracle cures are found by an obscure person tinkering in his kitchen or a novice rediscovering an ancient therapy, not a highly-trained expert who has spent a lifetime studying cancer. It’s tempting to believe that an obscure researcher has made the discovery of modern times and has found a surefire cure for cancer; however, such a discovery would

quickly become tested, approved and widely used. It is ethically and economically sensible for this to happen. No one would hide or block this type of a discovery. It’s also easy to believe numerous anecdotes of a cure; however, these may be completely fabricated. How can you know? And even if they are all true, how can you know that their experience is like yours? Every person’s physiology is different. Unless there is peer-reviewed, scientific evidence backing a statement, don’t put much weight in it. “Sometimes my patients read things online and ask,” Phatak said. “We are open to people asking us a question, but we want them to discuss it with us. If we have a good relationship with the patient we can discuss it. I think the key is not believing every word you read and taking the information in the right context.” For further information on cancer, trust sites that offer the results of scientific studies in plain English. The American Cancer Society (www.cancer.org) Cancer.net, American

Society of Clinical Oncology (www. asco.org) are three examples. To find clinical trials in your area, peruse the websites of major educational hospitals in the area such as University of Rochester Medical Center’s James P. Wilmot Cancer Center (www.urmc.rochester.edu/ clinical-trials), Roswell Park Cancer Institute in Buffalo (www.roswellpark. org/clinical-trials/list), or SUNY Upstate Cancer Center in Syracuse (www.upstate.edu/cancer). If you seek emotional support, monitored forums can help you connect with others experiencing what you’re going through. General forums that don’t use monitors to screen content can become a sounding board for trolls (people who post inflammatory comments solely to bother others), people hawking cancer products, services and organizations, or others selling unrelated things, such as dating sites, get-rich-quick schemes, and beauty products. Above all, talk with your oncologist before deviating from the treatment plan you have developed together.

Study: Exercise Can Help Cancer Patients, but Few Oncologists Suggest It

umerous studies have shown the powerful effect that exercise can have on cancer care and recovery. For patients who have gone through breast or colon cancer treatment, regular exercise has been found to reduce recurrence of the disease by up to 50 percent. But many cancer patients are reluctant to exercise, and few discuss it with their oncologists, according to a Mayo Clinic study published in the Journal of Pain and Symptom Management. “As doctors, we often tell patients that exercise is important, but to this point, nobody had studied what patients know about exercise, how they feel about it and what tends to get in the way,” says lead author Andrea Cheville, a physician with Mayo Clinic’s department of physical medicine and rehabilitation. The study is part of a series of investigations looking at exercise habits among cancer patients. Researchers found that patients who exercised regularly before their diagnosis were more likely to exercise than those who had not. Many patients considered daily activities, such as gardening, sufficient exercise.

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • October 2012

“There was a real sense of ‘What I do every day, that’s my exercise,’” says Cheville, noting that most patients didn’t realize daily activities tend to require minimal effort. “Most were not aware that inactivity can contribute to weakening of the body and greater vulnerability to problems, including symptoms of cancer.” In addition, researchers found that patients took exercise advice most seriously when it came directly from their oncologists, but none of those studied had discussed it with them. “Generally, patients are not being given concrete advice about exercise to help them maintain functionality and to improve their outcomes,” Cheville says. Exercise can improve patients’ mobility, enable them to enjoy activities and keep them from becoming isolated in their homes. It can contribute to overall feelings of strength and physical safety, ease cancer-related fatigue and improve sleep. The researchers plan to investigate how to make the message about exercise meaningful to patients to optimize symptom relief and enhance recovery.

48 ‘Doctors Across New York’ grants awarded to help retain physicians in NYS

n an effort to help recruit and retain physicians in under-served areas throughout New York state, the Department of Health (DOH) awarded 48 grants through the Doctors Across New York (DANY) initiative. A majority of the DANY recipients are members of the Healthcare Association of New York State (HANYS). DANY applicants can apply for a loan repayment award of up to $150,000 in exchange for a five-year commitment to their community, or a practice support award of up to $100,000 for a two-year commitment. Of the 16 loan repayment grants, 12 were awarded to HANYS’ member hospitals, and more than half of the practice support awards went to HANYS’ members. “Doctors Across New York is an innovative program that brings and keeps doctors in the communities that need them the most,” said HANYS President Daniel Sisto. “We thank the Department of Health for their work implementing this successful program, and congratulate our members on their awards.” Loan repayment awards were granted to physicians affiliated with Bassett Medical Center, Edward John Noble Hospital of Gouverneur, Elizabethtown Community Hospital,

Erie County Medical Center, Jones Memorial Hospital, Schuyler Hospital, Upstate University Hospital, United Health Services Hospitals, and Westchester Medical Center. Practice support grants were awarded to: Adirondack Medical Center, Arnot Ogden Medical Center, Auburn Community Hospital, Champlain Valley Physicians Hospital Medical Center, Claxton-Hepburn Medical Center, Delaware Valley Hospital, Ellis Hospital, Geneva General Hospital, Nathan Littauer Hospital, Nicholas Noyes Memorial Hospital, Oneida Healthcare, Oswego Health, Samaritan Medical Center, St. Barnabas Hospital, and WCA Hospital. This is the second year of DANY awards, and while more are anticipated in the coming year, HANYS will continue to push for the increased funding needed to attract even more physicians to areas of the state experiencing a physician shortage. The Healthcare Association of New York State (HANYS) is the only statewide hospital and continuing care association in New York State, representing 500 non profit and public hospitals, nursing homes, home care agencies, and other health care organizations.

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Egg Yolks: Good or Not? By Deborah Jeanne Sergeant

f it seems that the healthfulness of egg yolks is confirmed by some news stories and denied by others, you’re right. Some people shun eggs altogether, fearing high cholesterol; others say the whole egg — both yolk and white — are good together. Still others pitch the “evil” yolks and stick with the virtuous, protein-packed whites. Conflicting stories can make eating healthful confusing. But area experts cleared the air with some dietary common sense. Beth Smythe, registered dietitian with the New York State Dietetic Association in Rochester and Syracuse, said that eggs aren’t a dietary bomb. “Despite all the myths out there, eggs are a food that is not as high in cholesterol as once people thought,” she said. “Most adults can have up to one egg per day. If someone has high cholesterol, they can Smythe have no more than four yolks in a week.” Most people should consume no more than 300 mg. of cholesterol per day. Since one egg has 185 mg., it can fit into a healthful diet, providing the diet is not overloaded with cholesterol from others sources.

Smythe pointed out that eggs are high in protein and contain choline, an anti-oxidant linked to proper brain function and proper brain development in fetuses. These properties make eggs a nutritious part of one’s diet for only 70 calories per one-egg serving. Since they cost mere pennies apiece, eggs are pretty cheap, too. “Eggs are a big bang for your buck protein source,” Smythe said. “In this economy, we need to teach people how to eat nutritiously and well.” Scott Cameron, cardiologist with University of Rochester Medical Center, advises patients to eat eggs in moderation, like any Scott other food. “We’re made up of protein, carbohydrates and fat so it stands to reason we need some of each,” he said. Like Smythe, he caps egg yolk consumption at less than two per day. “At two or more a day, you’ll see changes in cholesterol metabolism,” he said. “Most of the papers I’ve read say three to four eggs per day shows a change in plaque burden. In subjects who ate six or so a week didn’t have an increased risk of cardiovascular disease or stroke from a pretty decent study.”

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Some studies show that eating eggs can help increase HDL, the “good” cholesterol. But don’t overdo it. “We know that good cholesterol, HDL, if you increase it by one point, you can reduce the risk of coronary vascular disease by one to 2 percent,” Cameron said. “Many people think that if one is good, 10 times that amount must be better. It’s the American way, like how some people obsess over vitamin supplements.” If you enjoy a daily egg, continue to do so, providing your overall cholesterol intake doesn’t prohibit it. If you’d like more than one or if you need to control cholesterol, use only one yolk in the omelet or scrambled eggs but use two whites, for example. Eggs’ shell color makes no

At RGH It Should Be Quiet at Night

ochester General Hospital is making ‘quiet time’ a top priority. “Numerous studies show that patients have better outcomes in a quieter hospital environment: better sleep, fewer medications, reduced stress/anxiety, and fewer complications,” said Cheryl Sheridan, senior vice president and chief nursing officer at Rochester General Hospital. “When patients and their family

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members are educated regarding the benefit of sleep, their overall health is enhanced and their future risk reduced.” To promote a quieter and more restful environment at Rochester General, nurses and fellow caregivers are learning strategies to minimize noise. By the end of this September, in fact, all caregivers completed a specially designed course, called “Quiet at Night.”

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difference in their nutritional value. It only indicates the variety of chicken that laid it. As for the nutrition of free-range, pesticide-free eggs vs. the chicken farm eggs typically found in stores, consumers should weigh the safety risks inherent to free-range eggs compared with the possibility of diminished nutritional value because of the limited and sometimes artificial diet of caged chickens.

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individuals and families.

Where can seniors turn to find affordable dental care? I had dental insurance through my work for many years but lost it when I retired. What can you tell me? Flossing Frank

Another way to get dental care at a lower price is at a dental school clinic. Almost every dental school in the U.S. offers affordable care provided by dental students who are overseen by experienced, qualified teachers. You can expect to pay as little as a third of what a traditional dentist would charge and still receive excellent, wellsupervised care. And for low-cost teeth cleanings, check with local colleges that offer dental hygiene programs. For training purposes, many programs provide teeth cleanings by their students for a fraction of what you’d pay at a dentists office. To locate dental schools or dental hygiene programs in your area visit www.ada.org/267.aspx.

Dear Frank, Very few U.S. retirees have dental insurance today. Without coverage from traditional Medicare, and with private dental insurance typically costing too much to be feasible, most seniors are stuck paying full out-ofpocket prices every time they visit a dentist. While there’s no one simple solution to affordable dental care there are a variety of options that can help cut your costs. Here’s what you should know. Dental Discounts

One way you may be able to trim your dental care cost is by simply asking your dentist for a senior discount, especially if you’re paying up front. Out-of-pocket payers save the dentist office the cost and hassle of filing an insurance claim, so asking for a small 10 percent discount is not unreasonable. Another cost-effective way to reduce your dental expenses is to join a dental discount network. How this works is you pay an annual membership fee — roughly $80 to $200 a year — in exchange for 15 to 50 percent discounts on service and treatments from participating dentists. To find a network, go to dentalplans. com (or call 888-632-5353) where you can search for plans and participating dentists by zip code, as well as get a breakdown of the discounts offered. Brighter (866-893-1694), which launched in May in all states except Florida, Montana and Vermont, is another discounted dental service to check out. It gives subscribers access to a network of 25,000 dentists offering 20 to 60 percent discounts on cleanings, crowns, implants, root canals and other procedures. You can sign up for a free one-month plan or opt for the premium plan, which costs $79 per year for

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If you’re strapped for cash there are other resources that provide dental care to seniors at a reduced rate or for free. Here’s where to look: • Health centers: Federally-funded by the Health Resources and Services Administration (HRSA), there are thousands of health centers around the U.S., many of which provide discounted or free dental care to people based on financial need. To find a center near you visit findahealthcenter. hrsa.gov or call 877-464-4772. • Local services: There are a few states, as well as some local programs or clinics that offer discounted dental care to those with limited means. To find out what may be available in your area, check with your state dental director (see astdd.org for contact information), or your state or local dental society (see ada.org/ statelocalorg.aspx). • Dental Life Network: Offers several programs that provide free dental care for elderly and disabled people who can’t afford to pay. To learn more or to apply for care in your state, visit nfdh.org or call 888-471-6334.

Savvy Tip

The best way to keep your dental costs down is through prevention and good oral hygiene. So remember to brush your teeth at least twice a day using fluoride toothpaste, floss daily and get routine checkups every six months or at least once a year.

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. October 2012 •

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The Social Ask Security Ofﬁce

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f your disabling condition makes it hard for you to drive or arrange transportation to your local Social Security office, we have some good news. You can complete and submit your application for Social Security disability benefits from your own home computer. Get started at www.socialsecurity.gov/disability. The application process involves determining 1) whether you have sufficient work to be eligible for Social Security; 2) the severity of your medical condition; and 3) your ability to work. Because we carefully review so many cases — more than 3 million each year — it can take us three to five months to determine whether you are eligible to receive benefits. The amount of time it takes to make a decision on your application can vary depending on a number of factors, such as: • the nature of your disability; • how quickly we obtain medical evidence from your doctors, hospitals or other medical sources; and • whether we need to send you for a medical examination in order to obtain evidence to support your claim. We do a number of things to speed up the process when we can. For example, our Compassionate Allowances initiative allows us to fast-track certain cases of individuals with very severe disabilities such as Amyotrophic Lateral Sclerosis (ALS). There are 165 different types of disabilities that qualify for this expedited decision, and that list continues to expand. Learn more about Compassionate Allowances at www. socialsecurity.gov/compassionateallo wances.

Q&A Get in. Get better. Get home. Dr. Erik P. Peterson Medical Director of Emergency Medicine

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Q: I’m doing more things online, including shopping and paying bills. What are some things I can do at www.socialsecurity.gov? A: Perhaps the most important thing you can do is to take a look at your Social Security Statement, which allows you to check your earnings record and get an estimate of your future benefits. Revisit your statement annually, around your birthday for example. If you’re ready to apply for benefits, you can do that online as well. Applying for Social Security retirement benefits online can take as little as 15 minutes. Once you’ve submitted your electronic applications, in most cases, you’re done! Also online, you can find more than 100 publications with information about Social Security and its programs. Most of these publications are in Spanish, and some

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • October 2012

Another way we speed up decisions is with our Quick Disability Determinations initiative, which uses technology to identify applicants who have the most severe disabilities and allows us to expedite our decisions on those cases. Read more about Quick Disability Determinations at www. socialsecurity.gov/disabilityresearch/ qdd.htm. There are things you can do to help speed up the decision process, too. The more information you provide up front, the less time it will take us to obtain the evidence we need — and the faster we can process your application. The types of information we need include: • medical records or documentation you have; we can make copies of your records and return your originals; • the names, addresses, and phone numbers for any doctors, hospitals, medical facilities, treatment centers, or providers related to your disabling condition; and • the names, addresses, and phone numbers for recent employers and the dates worked for each employer. We also ask you to sign release forms that give us permission to obtain the information needed from third parties to make a decision on your claim. The best place to start is online at www.socialsecurity.gov/disability. Select “Disability Starter Kits” in the left column. There, you’ll find important information to help you with your application. If you’re not able to work due to a disability, apply online for Social Security disability benefits at www. socialsecurity.gov/disability.

of the most popular are available in 14 other languages. You also can estimate your future retirement benefit using our Retirement Estimator, which allows you to get personalized estimates based on different retirement ages and scenarios. The possibilities are endless at www.socialsecurity.gov Q: I’ve decided I want to retire. Now what do I do? A: The fastest and easiest way to apply for retirement benefits is to go to www.socialsecurity.gov/onlineservices. Use our online application to apply for Social Security retirement or spouses benefits. To do so, you must: • Be at least 61 years and 9 months old; • Want to start your benefits in the next four months; and • Live in the United States or one of its commonwealths or territories.

H ealth News Barbara-Ann Mattle appointed to state council Gov. Andrew M. Cuomo has appointed Child Care Council CEO Barbara-Ann Mattle to his Early Childhood Advisory Council (ECAC). Established in April 2009, the ECAC advises the governor and his commissioners on the development of a comprehensive, sustainable system of supports and services for young children and their families. The ECAC is composed of individuals with early childhood expertise who represent agencies and organizations providing early learning and development, health Mattle care, child welfare and mental health services, as well as state agencies, advocacy organizations, foundations, higher education, unions and others working to meet the needs of young children and their families. The ECAC is currently implementing several initiatives designed to improve the quality of early care and education programs, including establishing a quality rating and improvement system and developing resources to improve the knowledge and skills of staff who work in those programs. As part of her work on the ECAC, Mattle has been assigned to the workforce development workgroup subcommittee, which focuses on educational program requirements for trainer certification as well as the design and implementation of the child care registry of all people employed in child care. Mattle has served as the Child Care Council’s CEO since 1983. She resides in Webster.

Thompson welcomes new board members Thompson Health recently welcomed new members to its health system board of directors. These include Daniel P. Fuller, president and general manager of Bristol Mountain; Roger Friedlander, consultant; Steven Goldstein, URMC vice president for administration; Frank H. Hamlin III, president of Canandaigua National Bank & Trust; Robert Latella, attorney with Hiscock & Barclay; Raymond Mayewski, URMC chief medical officer of Strong Memorial Hospital and Highland Hospital; Michael F. Stapleton, Jr., president/CEO of Thompson Health; and Bradford Berk, CEO, University of Rochester Medical Center. Thompson also recently welcomed new members to its foundation board: Paul H. Griswold, president and CEO of Finger Lakes Technologies Group, Inc.; Frank Interlichia, senior associate vice president for URMC Advancement; and Thomas Tortora, partner/COO of ClickSpark LLC. In addition, James B. Curley, Jr.

and Betty Dudman recently joined the FFTH Properties & Services board. Curley is CFO at Nixon Peabody LLP. Dudman is the director of real estate services for the University of Rochester. The system board currently includes David Baum; James H. Barr; Dianne Cooney Miner; Richard Cutri; Randall Farnsworth; Ellie Fralick; George W. Hamlin IV; Richard H. Hawks, Jr.; Paul Hudson; William Kenyon, Esq. (chairman); Ronald Knight (vice chairman/chairman elect); Thomas Kubiak; Brian Meath, (secretary); the Rev. Thomas Mull; Deborah Price; Carl Sahler and Robert Sands (treasurer). Current members of the foundation board include David Case; Lauren Dixon (secretary); Lewis Gould; Dale Hunt (vice chairman and treasurer); Srinivas Kaza; Kubiak (chairman); Christopher Mahan; Mark Prunoske; Wanda Polisseni; Marilyn Sands; Wade Sarkis; Jeffrey Siewert; and Stapleton. The FFTH Properties & Services board currently includes Mahan; Richard McGavern (vice chairman); Stapleton and Steven Swartout, Esq. (chairman).

The new Unity Dialysis Center recently opened in Chili. It can accommodate up to 96 dialysis patients.

Unity Opens Dialysis Center in Chile, New Practice in Brockport

Hart Hearing now has new Watertown location Hart Hearing Centers is opening Nov. 1 its newest practice in Watertown. The office will be staffed by audiologists Stephen T. Hart and Dr. Peter W. Hart. Hart Hearing was founded by Stephen T. Hart more than 35 years ago in Rochester. It has grown to five locations in the greater Rochester area. The Watertown office marks the practice’s sixth location and will specialize in the diagnostic evaluation and rehabilitation of persons with hearing loss, tinnitus, as well as pediatric audiology. Some of the services it will offer include diagnostic audiologic evaluations (hearing tests), preemployment hearing evaluations and OSHA hearing conservation testing, fitting and follow-up of hearing instruments (hearing aids), tinnitus evaluation (ringing in the ears) and treatment, and other specialized testing.

The Friendly Home wins ‘Excellence in Action’ award The Friendly Home recently received the My InnerView Excellence in Action award from National Research Corporation. According to a news released issued by the organization, this honor recognizes skilled nursing homes that achieve the highest levels of satisfaction excellence, as demonstrated by overall resident satisfaction scores that fall within the top 10 percent of the My InnerView product database, which includes customer satisfaction surveys. The Friendly Home was the only nursing home in Monroe County to receive this recognition, and one of just three winners out of 191 eligible

Unity Health System opened a new dialysis center in Chili in August. Unity Dialysis at Chili has the capacity to accommodate up to 96 dialysis patients with choice treatment times still available. The center is open Monday through Saturday from 6 a.m. to 10:30 p.m. Unity at Chili is also home to Unity Family Medicine at Chili Center and an ACM Medical Laboratory Patient Service Center. The state-of-the-art 20,000 square foot facility provides comfortable and modern setting. The building also received the Chili Civic Beautification Award from the Gates Chili Chamber of Commerce. Unity Dialysis provides more than 48,000 dialysis treatments each year in four state-of-the-art facilities. Unity also announced the opening of its newest primary care

facilities in New York state, according to the news release. “We are very honored to be a recipient of this award. The Friendly Home has a longstanding dedication to serving those in need in our community, and it is gratifying to know that our emphasis on delivering outstanding care and services has been validated by our residents and their families,” said John Gagnon, The Friendly Home’s administrator. “The most important takeaway regarding the Excellence in Action awards is that the skilled nursing award recipients were first recognized by their own residents through excellent satisfaction survey scores,” said Susan L. Henricks, president and COO of National Research Corporation. “This also underscores the importance for long term care providers to understand the value of measuring quality over time. This is not only true because of increasing

October 2012 •

office — the Unity at Brockport, which is located at routes 31 and 19 in the Wegmans Plaza. Unity Family Medicine at Brockport is the first new primary care practice that has opened since Unity formed through the merger of Park Ridge Hospital and St. Mary’s Hospital in 1997. “This opening is noteworthy for many reasons. This practice is a key element in our presence in the Brockport area and meeting the needs of the community,” said Michael Nazar, a physician who serves as senior vice president of clinical affairs for Unity Medical Group. Matthew Wiza, transitioned from Unity Family Medicine at Spencerport to practice in this Brockport office. In November, he will be joined by Anne Huber, a new physician to Unity.

regulatory scrutiny that may impact reimbursement rates in the future, plus the favorable perceptions that hospitals will look for in post-acute partnerships, but the differences that skilled nursing homes are making in the lives of their residents every day. We salute our clients for taking the initiative to measure quality.” The Excellence in Action awards are presented exclusively to National Research clients who use My InnerView products. Qualifying nursing homes (over 5,000 nationally) must have completed a customer satisfaction survey in 2011. Winners must have also achieved a minimum of 10 responses with a minimum 30 percent response rate and scored in the top 10 percent of qualifying facilities on the question: “What is your recommendation of this facility to others?” in terms of the percentage of respondents rating the facility as “excellent.”

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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H ealth News Lakeside Foundation receives $100,000 gift

Daniel Nowak named at U of R nursing school’s CNE

The Lakeside Foundation received $100,000 from an anonymous donor. This gift will be used to build the new Kevin C. Nacy Orthopedic Center of Excellence located in Lakeside Memorial Hospital. Nacy served as the health system’s president and CEO from March 2006 until his unexpected death in December 2008. The majority of Nacy’s career was dedicated to Lakeside, dating back to his appointment as director of finance in 1981. Nacy’s tenure at Lakeside was marked by significant progress in quality improvement, patient safety, and patient satisfaction. “The highly trained, board certified orthopedic doctors at Lakeside are leaders in their field who work closely with patients and their families on a wide range of orthopedic conditions to ensure the best possible patient outcomes,” said Lakeside CEO, Hugh Collins. “The new Kevin C. Nacy Orthopedic Center of Excellence will provide a facility that matches the high-level, patient-centered care provided by Dr. Harris Silver and Dr. Jonathan Gabel and their experienced team.” The renovation project is underway and slated for completion in October 2012.

Daniel Nowak was recently named clinical director of the University of Rochester School of Nursing Center for Nursing Entrepreneurship (CNE), a nursing group practice that provides health care and related consultative services. Nowak, who is associate director of nursing for geriatrics at Strong, will also serve as an assistant professor at the school, where he will teach graduate students enrolled in Nowak the leadership in health care systems program. Nowak brings more than 15 years of experience in nursing leadership positions at Strong to his new role. “I’ve had the privilege of working with Dan for many years and am thrilled that he is joining the School in this way,” said Lisa Norsen, PhD, RN, ACNP-BC, school of nursing associate dean for innovation and community outreach. “His exemplary leadership, combined with his vision, great energy, and team-building skills, will strengthen the services the CNE offers, help us develop new service lines, and expand its presence in the community.” Nowak will retain his role with nursing practice, lean implementation, and crucial conversations at Strong, and will devote about two-thirds of his time to the school and to leading the CNE. A significant practice arm and revenue stream for the school, the CNE currently includes an employee health program, a travel health program (Passport Health), contract services, and nurse practitioner clinics.

Newark hospital earns stroke center designation Newark-Wayne Community Hospital (NWCH), an affiliate of Rochester General Health System, has met the criteria required and is now a New York State Department of Health designated stroke center. The hospital has demonstrated that it has implemented all of the required protocols to improve outcomes for suspected stroke patients. Wayne County Emergency Medical Service (EMS) providers can now transport suspected stroke patients to NewarkWayne to provide even faster care than was previously available. “Our goal is to provide the best care possible for every patient,” said Mark Klyczek, president, NewarkWayne Community Hospital. “We are proud to receive this designation, and to be able to provide this advanced stroke-treatment service for the people of Wayne County.” “The time from the onset of stroke symptoms to the treatment is vitally important; medications or other protocols must be given as quickly as possible to minimize damage after the onset of stroke symptoms,” said Cynthia Martinez-Capolino, medical director for the NWCH stroke program and an attending emergency department physician. “As a designated stroke center, we can treat patients in Wayne County faster, which will result in better outcomes for patients.”

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Lisa Norsen to direct Sovie Institute Lisa Norsen was recently named to lead the Sovie Institute for Advanced Practice, Scholarship and Innovation, which is a partnership between Strong Memorial Hospital Nursing Practice and the University of Rochester School of Nursing. The institute is dedicated to supporting and encouraging nurse practitioners toward their professional goals in all areas of practice, education and research. Norsen, who is also associate dean for innovation and community outreach at the school of nursing, will devote her time equally between the school and Strong Norsen Nursing Practice, and will work to lead the Sovie Institute into a new era of collaboration. “With this transformation, the Sovie Institute fulfills a longstanding vision of nursing practice and education working together to capitalize on our strengths and resources, and move advanced practice nursing forward on all fronts of

Kathy H. Rideout Named Dean of School of Nursing Kathy H. Rideout, a pediatric nurse practitioner at Golisano Children’s Hospital at Strong, has recently been appointed as dean of the University of Rochester School of Nursing. Rideout has served as associate professor of clinical nursing and in administrative roles at the school over the last 26 years. She was named interim dean in September 2011. Previously she served as the school’s senior associate dean for academic affairs. “Kathy leads with a dynamic, engaging, and inspiring demeanor that brings out the best in others, fosters interdisciplinary collaboration, and builds cohesive, purposeful partnerships across Rideout the Medical Center and within our community,” said URMC CEO Bradford C. Berk. “Driven by her deep commitment to nursing’s central role in improving health care, and dedicated to the successful progression of students, faculty, and staff, she has had a defining impact on the school and its direction.” University of Rochester President Joel Seligman stated that Rideout has shown her ability to build strong and diverse educational programs at both

education, practice and research,” said Patricia Anne Witzel. Strong Memorial Hospital chief nursing officer and medical center associate vice president. Norsen—who began her career in 1980 as one of the first nurse practitioners to work in acute care at Strong before progressing to administrative roles in nursing practice and to teaching and leadership positions within the School of Nursing—has worked closely over the last several months with Sovie Institute assistant director Anne Swantz and others across the medical center to develop a new blueprint for the institute. Swantz, who has worked as a pediatric nurse practitioner at Strong for more than two decades, will continue as assistant director and lead the institute’s day-to-day operations.

Unity’s OB-GYN chairman receives award Unity Health System’s Albert Jones, a physician who serves as chairman of the OB-GYN department,

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • October 2012

the undergraduate and graduate levels, is highly regarded for supporting the development of clinical and research faculty, and is a strong proponent of interprofessional education. Programs such as the School’s Accelerated Programs for NonNurses (APNN) and Doctor of Nursing Practice (DNP) have flourished under her leadership, drawing students from across the country and around the world. In addition, she has nurtured the development of innovative learning strategies such as hybrid online course programming.” Rideout, a native of Pittsburgh, earned her bachelor’s degree in nursing from Indiana University of Pennsylvania and her master’s from the University of Pittsburgh in 1983. In 1986, she began work as an advanced pediatric nurse at Strong and joined the school of nursing faculty, earning her doctorate from the Warner School of Education in 1995. She completed her ostomy nurse specialty training program in 2000. Rideout lives in Gates with her husband Jeff, a pediatric social worker at Golisano Children’s Hospital at Strong, and her three children, Sarah, Jeff, and Jared.

is the recipient of the 2012 Patients’ Choice award. The Patients’ Choice honor is given as a reflection of patients’ continued appreciation and praise for the quality of care and service from their provider. Every month, more Jones than 200,000 patients across the U.S. provide online feedback about their doctor experiences. They rate various components of the care they receive, such as bedside manner, doctor-patient time, follow-up care, ease of appointment setting and courtesy of office staff. They also share their overall opinions. Over the course of 2012, hundreds of thousands of patient reviews were written and shared. While physicians generally receive positive feedback from their patients, only a select few consistently receive rave reviews. Of those with high praise, only physicians like Jones — with near perfect scores — are voted by their patients for this honor. Of the nation’s 870,000

H ealth News active physicians, only 5 percent were accorded this honor by their patients in 2012. Jones’ distinction will be prominently displayed on a broad collection of websites, including Patients’ Choice, Vitals, Google, a variety of managed care sites and top health insurance sites.

RGHS dentist honored by ophthalmology academy Gwen K. Sterns, a physician who serves as chief of ophthalmology for the Rochester General Health System, has been honored with two awards from the American Academy of Ophthalmology (AA0). Sterns has received the 2012 Lifetime Achievement Honor Award recognizing her “outstanding and valuable contributions to the academy, its scientific and Sterns educational programs and to ophthalmology.” In addition, she was honored with the prestigious 2012 Secretariat Award, for special contributions, above and beyond, to the academy and to ophthalmology. Sterns has been an active member of AAO serving, over the past decade, as both a member and as chairwoman of the committee on aging. She has also served on the vision rehabilitation committee. Sterns has been a member of the Rochester General Hospital medical and dental staff since 1978. Sterns lives with her husband, Richard Sterns, chief of medicine at Rochester General Health System, in Pittsford.

Surgeons Perform First daVinci Robotic Surgery at Newark-Wayne Hospital Urologists Ralph Madeb, chief of Surgery at Newark-Wayne Community Hospital, and John Valvo, medical director of robotics, Rochester General Health System, performed the first robotic surgery using Newark-Wayne’s daVinci Surgical System Sept. 7. The first patient, John Boden, is from Sodus. “Offering daVinci robotic surgery is another example of Newark-Wayne offering the latest technology to the patients and physicians in Wayne County and the Finger Lakes,” said Mark Klyczek, president of NewarkWayne Community Hospital. “Being integrated with Rochester General means Newark-Wayne is able to utilize world class physicians who have performed hundreds of robotic surgeries, while allowing patients to remain close to home.” The daVinci Robotic System is a highly precise, minimally invasive surgical option that usually results in fewer side effects than traditional surgery for a better patient experience option for surgical patients. By integrating computer-enhanced technology with the surgeon’s skill, the daVinci Robotic System enables surgeons to perform high-quality minimally invasive surgery (MIS) with smaller incisions that promote faster healing. Newark-Wayne will first provide this option for urology and gynecological procedures. Rochester General Surgical Associates, as well as surgeons from Clifton Springs Hospital will be scheduling procedures using the daVinci at Newark in the near future.

Urologist John Valvo, medical director robotics at Rochester General Health System; John Boden, the ﬁrst patient using daVinci robotic surgery at Newark-Wayne Community Hospital; urologist Ralph Madeb, chief of Surgery, Newark-Wayne Community Hospital. “We are committed to providing the highest quality care at all of our Rochester General Health System facilities,” said Valvo, the medical director of robotics at Rochester General Health System. “The daVinci

offers the latest in surgical technology to these patients in the hospital where they receive most of their care. We pleased to be able to offer them this option.”

St. Ann’s Community Responds to Nursing Shortage As many local health care facilities are hit hard by the shortage of nurses, St. Ann’s Community is proactively responding to that shortage. The organization recently awarded $30,500 in scholarships to 16 employees. The scholarships were given to individuals who are interested in pursuing or advancing a nursing career. “This remarkable opportunity would not be possible without the generous support of our many donors: our own employees, grateful families, patients, board members, business partners and the community at large,” said Betty Mullin-DiProsa, president and CEO of St. Ann’s Community. “No one is more dedicated to seniors than those who work with them on a daily basis. Helping fund the educational growth of our employees improves the care

of those we serve. The extra financial assistance these scholarships offer makes a tremendous difference— especially during these challenging times.” The nursing scholarship program has grown significantly since its initiation in 2008 when $13,000 was awarded to 10 employees. In total, 78 scholarships and $125,500 has been awarded to 52 St. Ann’s staff members St. Ann’s nursing scholarship recipients. through this initiative. Recipients of the 2012 Rochester; Nancy Martin; Leanne scholarships are: Monique Amman Mathis of Greece; Natasha McFadden, of Penfield; Roxanne Carey of Sr. of Irondequoit; Anthony Pennie Rochester; Yolanda Concepcion of Rochester; Chynna Ramos of of Irondequoit; Makita Davey Irondequoit; Priscilla Salgado of of Greece; Kristina Indovina of Rochester; Morisha Saunders of Webster; Shannon Kullmann of October 2012 •

Rochester; Kennetha Short Sr. of Irondequoit; Linda Vanderstyne Rochester; and Annell West of Greece.

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Healthy Families Ontario helps area families with emphasis on children

ealthy Families Ontario is a free and voluntary program offering two different home-based services to families living within Ontario County who are expecting a baby or have a newborn. Healthy Families Ontario program focuses on the health and development of children while supporting the whole family. Health experts can work with families until their child enters head start or kindergarten. Healthy Families Ontario is part of Healthy Families New York (HFNY), which is a collaboration of state, local, private, and publicly funded home

visiting programs affiliated with each other and accredited with Healthy Families America. This program was developed as a partnership between New York State Office of Children and Family Services, Prevent Child Abuse New York, and the Center for Human Services Research at SUNY Albany.

What are the Key Elements of Healthy Families Ontario? • Services are tailored to fit each family’s expressed needs and wants.

• Promotes optimal child health, connecting families with medical providers for prenatal care, well-baby visits, and immunizations. • Helps parents develop strong, positive relationships with their children and encourage children’s development. • Assesses children for developmental delays and makes referrals to early intervention program if a delay is suspected • Works with parents to achieve self-reliance, find solutions to everyday problems, and establish connections with needed community resources

Does Healthy Families Ontario Work?

HEALTHY FAMILIES ONTARIO at

CHILD & FAMILY RESOURCES, INC.

When you are having a baby there are many questions…

HFNY promotes positive parenting practices: • Mothers in the HFNY group reported higher rates of using positive discipline techniques (100 percent vs. 98.6 percent).

What do the families in Healthy Families Ontario have to say? • Thanks to [Healthy Families Ontario] I’ve become a more patient, understanding, and fun mom! • [Healthy Families Ontario] gives parents an opportunity to make healthy decisions and provide the best for their kids. • They help our family learn to trust and communicate effectively so that we can raise our children to be honest, productive members of society. • [Healthy Families Ontario] helps me with all my questions and concerns, do activities, and make sure my kids are developing on time.

How can I get more information?

You can get more information on Healthy Families Ontario by calling our office at 315-781-1491 or 1-800881-5786. Or visit our website at www. cfresources.org. Submitted by Healthy Families Ontario.

Lost in Translation: Language Barriers Trouble Patients

What should I do when my baby won’t stop crying? How do I care for a newborn with everything else I have to do?

Starting a family can be very challenging. The day to day stresses can be overwhelming. Feeling this way is normal. There are ways we can help you “lighten the load.”

Call 1-800–881-5786 For more information

A Home Visiting Program that Works!

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HFNY promotes success at school: • Children in HFNY were less likely to receive special education services or report skipping school than were children in the control group. • HFNY children were significantly more likely to participate in a gifted

When should I call the doctor?

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Here are just a few of the research findings from the past seven years’ randomized control trial: • HFNY has been shown to decrease number of low-birth-weight babies by 50 percent; low-birth-weight babies face long-term difficulties including problems with learning and memory

program, less likely to repeat a grade, and less likely to score below average on a standardized vocabulary test. • Educational advantages were striking among children of first-time mothers under age 19 who were offered HFNY early in pregnancy (the high prevention opportunity, or HPO subgroup).

eing proficient in the English language can mean the difference between being healthy and unhealthy, according to a new study. This can be alarming for the more than 11 million people living in the United States with limited to no understanding of the language. The study, published in the September issue of Annals of Allergy, Asthma & Immunology, the scientific journal of the American College of Allergy, Asthma and Immunology (ACAAI), found asthmatic patients aged 60 years and older with limited English proficiency had poor selfmanagement and control of their condition. These patients also had decreased quality of life, compared to those that understand English very well. “Effective asthma treatment requires appropriate selfmanagement,” said Juan Wisnivesky, lead study author. “Patients must be able to identify symptoms and administer both as-need and controller

medications properly. Language barriers can compromise patientprovider communication and obstruct asthma education efforts about these important topics, making it difficult for both patients and allergists to ensure optimal outcomes.” Researchers found aging Hispanics with limited English proficiency have the poorest asthma control, and were less likely to use inhaled medications, such as corticosteroids, which can prevent symptoms. When asthma is not properly controlled, sufferers are at risk for worsening symptoms and asthma-related death. “Asthma is a serious disease that is often misdiagnosed and undertreated, especially within the aging population,” said allergist Stanley Fineman, president of the American College of Allergy, Asthma and Immunology (ACAAI). “It is important that all patients receive the same level of care and learn how to effectively manage their condition so they can lead active, healthy lives.”

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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • October 2012

African American babies in the region dying at twice the rate of white babies

n 2011, 54 babies in Monroe County never celebrated their first birthday. The majority of those babies were African American. Monroe County is not alone in experiencing such a disparity in infant mortality, but the death rate here continues to be higher for African Americans and Hispanics and lower for whites than the national average. On Sept. 4, the Perinatal Network (home of

and accessible, especially for the underserved. The Perinatal Network is

supported by grants from Monroe County Department of Public Health, New York State Department of

Health, the University of Rochester Medical Center, and the federal Health Resources and Services Administration and by individual contributions. For more information, go to www. PerinatalNetwork.net. Submitted by Perinatal Network of Monroe County—Healthy Start Rochester.

the local Healthy Start project) kicked off a month-long campaign to increase awareness of the high rate of infant mortality and low birth weight in Rochester. The community was invited to a special event at which participants were provided materials to customize a “onesie” — the one-piece T-shirt worn by babies. The onesies were being hung on clotheslines that were displayed throughout the community during September. The displays honor the babies who did not live to their first birthdays and identify what the community can do to prevent future infant mortality. “Most infant deaths occur within the first month of life, and the most frequent cause is extreme prematurity and associated low birth weight,” said Patricia Brantingham, executive director of the Perinatal Network. “Medical science does not have all the answers to prematurity, but we know that smoking is a leading cause along with any kind of infection or inflammation, hypertension, either too much or too little weight gain, and chronically elevated stress. Preventing these conditions requires the involvement of schools, neighborhoods, medical providers, and families, not just the pregnant woman. Half of the deaths that occur after that first month involve unsafe sleep practices and can be prevented by putting every baby to sleep alone in an empty crib on her back.” The Perinatal Network of Monroe County provides community leadership to achieve optimal health for babies and their mothers. The agency serves as a catalyst to promote medical care, health education, and human services that are high quality, comprehensive, October 2012 •

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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1st Row left to right: Melody Hood – Customer Service 1st Row left to right: Manager/Subaru Melody Hood – Customer Service Cathy Piersons – Senior Title Clerk/ Manager/Subaru Subaru Cathy Piersons – Senior Title Clerk/ Debra Cleary – Ofﬁce Manager/Ford Subaru Fran Butera Manager/Ford Debra Cleary –– General Ofﬁce Manager/Ford Ann Butera Weigert– –General Accounting/Subaru Fran Manager/Ford Monica Smith – Accounting/Ford Ann Weigert – Accounting/Subaru Kitty Van Bortel – President Monica Smith – Accounting/Ford Kitty Van left Bortel – President 2nd Row to right: Ruth Perrin to the President 2nd Row left to– Assistant right: Rebecca Fillmore - Assistant Title Ruth Perrin – Assistant to the President Clerk/Subaru Rebecca Fillmore - Assistant Title Maureen Nunn – Customer Service Clerk/Subaru Manager/Ford Maureen Nunn – Customer Service Amberle MacDonald – Receptionist/ Manager/Ford Subaru Amberle MacDonald – Receptionist/ Mary Jo Bernardi – Cashier/ Subaru Receptionist/Subaru Mary Jo Bernardi – Cashier/ Receptionist/Subaru

Meagan Ripley – Title Clerk/Ford RhondaRipley Antinarella Chief Financial Meagan – Title–Clerk/Ford Officer/Subaru Rhonda Antinarella – Chief Financial Jennifer Klaeysen – Cashier/Receptionist/Ford Officer/Subaru Peg Walsh – Sales–Consultant/Subaru Jennifer Klaeysen Cashier/Receptionist/Ford Karen Lattanzio – Office Manager/Used Car Peg Walsh – Sales Consultant/Subaru Center Karen Lattanzio – Office Manager/Used Car Kimmy CenterKrebbeks – Cashier/Receptionist/Ford JenniferKrebbeks Fletcher –– Cashier/Receptionist/Ford Sales Consultant/Ford Kimmy Bonnie Malzewski – FleetConsultant/Ford Office Manager/Ford Jennifer Fletcher – Sales ChristinMalzewski Lanzalaco– –Fleet Sales Manager/ Bonnie Office Manager/Ford Used Car Center Christin Lanzalaco – Sales Manager/ Bonnie Brisbane Used Car Center– Senior Title Clerk/Ford Bonnie – Senior Title Clerk/Ford 3rd RowBrisbane left to right: Nancy 3rd RowWhitcombe left to right: – Parts & Service Manager/Used Center Nancy WhitcombeCar – Parts & Service Laura Schneider – Service Manager/Used Car CenterAppointment Coordinator/Subaru Laura Schneider – Service Appointment Donna Davis – Senior Receptionist/Subaru Coordinator/Subaru MarnieDavis Race –– Senior Senior Receptionist/Subaru Service Advisor/Subaru Donna Marnie Race – Senior Service Advisor/Subaru

Tammi Standen – Assistant Finance Manager/Subaru Tammi Standen – Assistant Finance Theresa All – Sales Consultant/Subaru Manager/Subaru BarbaraAll Dodson Fleet Theresa – Sales– Commercial Consultant/Subaru SalesDodson Consultant/Ford Barbara – Commercial Fleet Jennifer Dalton – Technology Sync Sales Consultant/Ford Specialist/Ford Jennifer Dalton – Technology Sync NotSpecialist/Ford Pictured: Patricia Bennett - Senior Warranty Not Pictured: Administrator/Subaru Patricia Bennett - Senior Warranty Karen Farruggia - Receptionist/Ford Administrator/Subaru Sharon Helbig - Warranty Karen Farruggia - Receptionist/Ford Administrator/Subaru Sharon Helbig - Warranty Nancy Luce - Service Appointment Administrator/Subaru Coordinator/Subaru Nancy Luce - Service Appointment Suzanne McFarland - Ofﬁce Coordinator/Subaru Manager/Subaru Suzanne McFarland - Ofﬁce Enid Vielhaber - Counter Parts Manager/Subaru EnidSalesperson/Ford Vielhaber - Counter Parts Lanessa Yager - Receptionist/Ford Salesperson/Ford Lanessa Yager - Receptionist/Ford

Van Bortel Automotive Group. We changed all the rules. Van Bortel Automotive Group. We changed all the rules. Page 28

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Van BortelHEALTH Ford 585-586-4415 | Van Bortel 585-924-5230 Van Bortel IN GOOD – Rochester / Genesee ValleySubaru Healthcare Newspaper •| October 2012Used Car Center 585-924-3850 | www.vanbortelcars.com Van Bortel Ford 585-586-4415 | Van Bortel Subaru 585-924-5230 | Van Bortel Used Car Center 585-924-3850 | www.vanbortelcars.com