In Good Health by In Good Health: Rochester's Healthcare Newspaper

in good After Years of Dialysis, a Happy Ending Couple found a unique organ donor program in Ohio. She got a new kidney; later, he donated his

Tips For Cold Symptom Relief In Young Patients

All You Need to Know About NUTS Including how caloric they are

Rochester–Genesee Valley Healthcare Newspaper

December 2012 • Issue 88

Our Holiday Issue Controlling Your Diet Giving Healthy Gifts Spending Holidays Alone Winter Care

A Day at a Local Spa

Meet Your Doctor Audiologist Stephen Hart explains why we have hearing problems and why an epidemic of early hearing loss may be on the horizon

Under new guidelines, you may not need so much of vitman D

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Service and Therapy Dogs The great escape may be closer than you think. Destination? Spas—where relaxation and restoration are quickly becoming a popular local getaway. Story on page 12 December 2012 •

More dogs are helping those who are in need

An increasing number of trained dogs bring comfort and services to people with different physical, emotional and psychological needs. Story on page 24

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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

Nearly 80 Million Americans Won’t Need Vitamin D Supplements New guidelines show many won’t need extra vitamin D

early 80 million Americans would no longer need to take vitamin D supplements under new Institute of Medicine guidelines, according to a study by Loyola University Chicago Stritch School of Medicine researchers. Results were published Oct. 24 in the journal PLOS ONE. The new guidelines advise that almost all people get sufficient vitamin D when their blood levels are at or above 20 nanograms per milliliter (ng/ml). Older guidelines said people needed vitamin D levels above 30 ng/ml. Physician Holly Kramer and colleagues examined data from 15,099 non-institutionalized adults who participated in the Third National Health and Nutrition Examination Study (NHANES III). The sample included 1,097 adults who had chronic kidney disease, which has been linked to low vitamin D levels. In the survey population, 70.5 percent of adults with healthy kidneys had vitamin D blood levels that would be considered insufficient under the older guidelines. But under the newer Institute of Medicine guidelines, only 30.3 percent of these adults had insufficient vitamin D levels. Among adults with chronic kidney disease, 76.5 percent had insufficient vitamin D under the older guidelines, while only 35.4 percent had insufficient

levels under the Institute of Medicine guidelines. Because NHANES III is a representative sample, researchers were able to extrapolate results to the general population. Kramer and colleagues estimate that a total of 78.7 million adults considered to have insufficient vitamin D levels under the older guidelines would now have sufficient levels under the Institute of Medicine guidelines. “The new guidelines have an impact on a large proportion of the population,” Kramer said. The Institute of Medicine guidelines are based on nearly 1,000 published studies and testimony from scientists and other experts. The Institute of Medicine committee found that vitamin D is essential to avoid poor bone health, such as rickets. But there have been conflicting and mixed results in studies on whether vitamin D can also protect against cancer, heart disease, autoimmune diseases and diabetes, the Institute of Medicine committee found. Moreover, excessive vitamin D can damage the kidneys and heart, the committee reported. However, the Institute of Medicine guidelines are controversial. For example, the Endocrine Society continues to endorse the older guidelines. Kramer said that people who are confused about how much vitamin D they need should consult with their doctors.

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Internet Searches Reveal Time of Peak Allergy Suffering

tion on the symptoms of nasal allergies, eye allergies, and hay fever. He compared the number of searches with pollen counts. Searches for nasal allergies peaked between March and May, followed by searchers for eye allergies in May. Eye allergy searches were associated with the pollen counts of certain trees in the second week of May. There was also a second peak in searchers for allergy symptoms in September that was linked with an increase in weed pollen and grass pollen season, Bielory said.

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nternet searches may reveal when allergy suffering in the United States is at its worst, a new study suggests. The results show searches for allergy symptoms such as “sneezing” and “itchy nose,” peak during the second week in May. This may be because allergy sufferers are experiencing both spring and summer allergy symptoms during this time, said study researcher Leonard Bielory, an allergist in New Jersey. Bielory analyzed information from Google between 2004 and 2011, looking at the number of searches for informa-

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.

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 Jr., Deborah Blackwell, Melissa Stefanec, Harold Miller 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.

December 2012 •

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Nov. 29

Seminar to focus on osteoporosis issues Rochester General Hospital is sponsoring a seminar that will discuss how to prevent and treat osteoporosis. One out of every two women over age 50, and one in four men will have an osteoporosis-related fracture in their remaining lifetime, according to the hospital. The condition can progress silently for decades with no symptoms until fractures occur. If left untreated, osteoporosis can lead to a lifetime of pain. Worse yet, 20 percent of seniors who break a hip die within one year from problems related to the broken bone itself or the surgery to repair it. The free seminar will take place from 7 – 8 p.m., Nov. 29 at Rochester General’s Linden Oaks Medical Campus located at 20 Hagen Drive, suite 100, in Rochester. Seating is limited. Sign up by calling 585-922-6637.

Dec. 4–5

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guidance and more than 30 services that help older adults and caregivers live better, will offer a training program to people who want to become volunteer coaches in its “A Matter of Balance” program. The two-part coach training class combines video, group discussion, exercise activities, use of workbook, and practice teaching activities. All materials are supplied. Coaches also need to be able to do low to moderate level exercise. Coaches over the age of 55 are particularly sought for peer-led classes. The training will take place place from 1 – 4 p.m. Dec. 4 and 5 at Lifespan, 1900 S. Clinton Ave. For more information, call Katherine Murphy at 287-6406 or email kmurphy@lifespan-roch.org.

Dec 4

Hearing Loss Association to hold seminars The Rochester chapter of Hearing Loss Association of America (HLAA) will sponsor two seminars Dec. 4. They are both held at St. Paul’s Church, East Avenue and Westminster Road. The daytime seminar is titled “Give yourself the gift of learning through Osher” and will be presented by Ed Salem, a retired professor of electrical engineering at RIT. Rochester is one of only two places in New York and the only one Upstate to host a location of Osher Lifelong Learning Institute. Salem, the chairman of the Osher Council, will explain this campus-based network of more than 120 centers for older learners. It will take place at 11 a.m. The evening seminar is titled “Getting Looped for the Holidays” and will be presented by Tony Strong, a Williams Sound LLC representative, Don Bataille and Tim Whitcher. Strong is the national sales manager for William Sound LLC. His presentation will focus on the ins and outs of new technology for loop systems, common misconceptions about loops, and some strategies for audio coupling with hearing aids. It will take place at 7 p.m. For more information visit www. hlaa-rochester-ny.org or telephone 266-7890.

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

Visit our Facebook page

Dec. 13

The Labyrinth Society holds event The Labyrinth Society of Rochester is sponsoring its Community Labyrinth Walk from 7–9 p.m., Thursday, Dec. 13, at the First Unitarian Church of Rochester, 220 South Winton Road in Rochester. The event is free but organizers will accept donations. Organizers say the event will provide free energy work, chair massage and music. They say participants will experience the transformational power of the labyrinth combined with the restorative energies of reiki and chair massage. The event is free, however, donations are appreciated to help cover expenses. A 15-minute orientation from 7-7:15 p.m. will be available. For more details, contact Kay Whipple at 585-392-3601.

Dec. 13

Mended Hearts organizes meeting in Canandaigua Mended Hearts Rochester, in its 46th year of giving support to people with heart disease and their families, is sponsoring a seminar that will focus on “The Importance of Balance, Strength, & Flexibility as We Age.” Jeremy J. Herniman, a member of Thompson Health’s Sports Medicine Center for over two years, will present the seminar. The meeting will take place from 7 – 9 p.m. Dec. 13 at the RG&E Family Room, in the M.M. Ewing Continuing Care Center, Thompson Health, 350 Parrish St, Canandaigua. For more information, visit www.mendedheartsrochester.org .

Jan. 22

Fibromyalgia group schedules meeting The New Fibromyalgia Support Group has scheduled a meeting for those who suffer from fibromyalgia from 6:15 – 8:30 p.m. at the Westside YMCA 920 Elmgrove Road in Rochester. Friends and family are also invited to the meeting. The group will discuss topics related to the condition. Class size is limited. For more information, contact Brenda Lind at brendal@rochesterymca.org 585-3413290.

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

Buffalo-Area Pharmacists Say No to Tobacco Sales in Pharmacies

ore than 75 percent of Western New York pharmacists say tobacco sales in pharmacies should be legally banned, according to research conducted by Roswell Park Cancer Institute (RPCI) and the University at Buffalo (UB), published in “BMC Research Notes.” The study found that more than 86 percent of pharmacists surveyed would prefer to work in a pharmacy that does not sell tobacco products. The research, led by James Marshall, senior vce president for cancer prevention and population sciences at RPCI, evaluated the opinions of Western New York pharmacists about the sale of tobacco products in pharmacies and about their role in helping their patients to stop smoking. “The sale of tobacco products in pharmacies in any locality sends conflicting messages to consumers who visit pharmacies for medication or health products,” said Marshall. “Pharmacists, dedicated to protecting the health of their customers, recognize tobacco sales as contrary to their professional ethics. They would, in overwhelming numbers, prefer not to be selling cigarettes. This research will inform policymakers and elected officials as they consider regulations of tobacco sales in pharmacies.” The 2010 survey evaluated opinions of 148 pharmacy mentors from the UB School of Pharmacy and Pharmaceutical Sciences (UBSoPPS) and 345 local supervising pharmacists. Participants were contacted by mail and email. The combined response rate for both surveys was 31 percent. The pharmacist’s role in assisting patients to stop smoking also was

evaluated. The survey found that more than 75 percent of pharmacists say they “sometimes” or “rarely/never” ask about tobacco use. The majority of pharmacists also indicate that they are not required to document tobacco use among patients or to enter such information into patient records. A striking finding is that pharmacy mentors were more likely than supervising pharmacists to be familiar with patients’ tobacco use and take steps to offer advice and information about how to quit smoking,” said Peter Brody Jr., director of experiential education at UBSoPPS. “It was also surprising that area pharmacists seemed not to take full advantage of the opportunity to educate and counsel patients regarding tobacco use. We need to better understand why and do what we can to help correct this issue.” “This research presents several interesting findings, including that the overwhelming majority of pharmacists would support legislation banning the sale of tobacco in pharmacies,” added Edward Bednarczyk, chairman of the department of pharmacy practice at UB. “Importantly, this study also shows a considerable gap between theory and practice, with a substantial majority of pharmacists finding the sale of tobacco in pharmacies inappropriate, but doing little to prevent the sale or engage patients regarding tobacco use and smoking cessation.” The study, “Tobacco Sales in Pharmacies: A Survey of Attitudes, Knowledge and Beliefs of Pharmacists Employed in Student Experiential and Other Worksites in Western New York,” can be accessed at www.biomedcentral. com/1756-0500/5/413/abstract.

Heart-related deaths increase in winter regardless of climate

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Study: You’re more likely to die of heart-related issues in the winter

o matter what climate you live in, you’re more likely to die of heart-related issues in the winter, according to research presented at the American Heart Association’s Scientific Sessions 2012. “This was surprising because climate was thought to be the primary determinant of seasonal variation in death rates,” said physician Bryan Schwartz, lead author of the study. Researchers at Good Samaritan Hospital in Los Angeles analyzed 200508 death certificate data from seven U.S. locations with different climates: Los Angeles County, Calif.; Texas; Arizona; Georgia; Washington; Pennsylvania and Massachusetts. In all areas, total and “circulatory” deaths rose an average 26 percent to 36 percent from the summer low to the winter peak over four years. Circulatory deaths include fatal heart attack, heart failure, cardiovascular disease and stroke. Seasonal patterns of total and cardiac deaths were very similar in the seven different climate patterns. Death rates at all sites clustered closely together and no one site was statistically

different from any other site. Researchers didn’t design the analysis to determine specific causes that might drive heart-related deaths up in winter. Schwartz hypothesized that colder weather might increase vessel constriction and raise blood pressure. “In addition, people generally don’t live as healthy in winter as they do in summer,” said Schwartz, now a cardiology fellow at the University of New Mexico in Albuquerque. “They don’t eat as well and don’t exercise as much.” However, “people should be extra aware that maintaining healthy behaviors is important in winter,” he said. Schwartz and Robert Kloner, senior author of the study, used statistical techniques to account for the normal year-to-year temperature differences over the four years. Then, they averaged the resulting four-year data into U-shaped curves for each site and compared them. The graphs showed significant similarities. For more information about cold weather and cardiovascular disease, visit heart.org/coldweather . December 2012 •

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Meet

Your Doctor

By Chris Motola

Dr. Stephen Hart Audiologist explains why we have hearing problems and why an epidemic of early hearing loss may be on the horizon Q: Can you talk a bit about the Hart Hearing Center and what you do there? A: We’re an audiology practice. We’ve been in existence since 1983. There are currently five audiologists in the practice and we have five offices located throughout Monroe County. Primarily what we do is hearing testing. We do testing for adults and children. We do some pre-employment testing for people who want their hearing checked before they start working in noise. We do a lot of counseling on hearing loss and a big part of our practice is hearing aid dispensing. For people who have hearing loss that can’t be helped by a medical intervention, hearing aids are really the only option. We do that at all of our offices. We also do testing for people with ringing in their ears—tinnitus—we evaluate for that. One of our offices does balance testing for people with dizziness problems. Q: What’s the relationship between balance and the ear? A: There are two components to the ear, one is the hearing mechanism and one is the balancing mechanism. They’re both part of the inner ear. The balance mechanism has semi-circular canals that have fluid in them. If that fluid is disrupted or blocked, it can cause a person to have vertigo or severe dizziness. Other causes could be vascular problems, vision, but a lot of it is inner ear based. So what an audiologist does to evaluate that is do testing where patients go into a room, we hook them up to an EKG-like machine that measures brain waves as well as measuring eye movement based on certain stimuli we give them. Those stimuli may be like warm or cold air in their ears. We do visual tests. By doing this, we’re able to get an idea of where the balance problem is centered. If it’s a blockage in the semi-circular canal, that’s easy to correct. Sometimes it’s a more complicated problem.

a combination of factors: a person in their 60s with years of exposure to loud noises in the workplace or the military. It’s progressive and slowly gets worse over time. Another thing that we do is community education about how to preserve your hearing. We talk about not having your iPhone blasting in your ears, proper ear protection for hunters. There’s actually ear protection that can help them hear better in the woods. Marching band members are exposed to really high levels of noise for hours at a time. It’s documented that young kids in bands develop hearing loss from that exposure. But if you know you’re going to be exposed, there are things you can do to mitigate that. Q: Why do loud noises lead to hearing loss? A: What’s going on is these hair cells in the cochlea [the auditory section of the inner ear], if you get exposed to a lot of noise for a long period of time, they are damaged or destroyed by the vibrations. If they’re damaged, they usually recover, but if you do it enough, they won’t recover. It’s typically the higher frequencies that are most exposed. You see a lot of people in the military with hearing loss. A lot of World War II veterans were exposed to 12-inch guns without any hearing protection. The military’s a lot better with that now, but there’s a direct correlation with that. In my generation, we were exposed to concerts with 120 decibels of sound. It doesn’t take very long for that to cause hearing loss. Noise is very detrimental.

Q: What happens to the ear that causes it to lose hearing or to not have it in the first place? A: The most common one is aging. Next down the line is noise exposure. Certain diseases can cause hearing loss, or a person can have a vascular interruption that can cause sudden hearing loss, usually only in one ear. You don’t usually see it nowadays, but back in the ‘60s a lot of kids were born with rubella and the kids had hearing loss from that. But what it is now is usually

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

proved? A: The primary difference is that hearing aids aren’t just amplifiers, they’re mini-computers. They’re not just amplifying sound, but they’re measuring it. So you go into a noisy restaurant, the hearing aids will measure whether it’s speech or noise and make a decision about what noises to amplify and which to suppress. So they’re very sophisticated processors. Usually they work quite well automatically, without the user having to manually adjust them. That said, they’re no substitute for natural hearing, but they can help people who are withdrawing from social situations because they can’t understand people and improve their quality of life. Q: With the increase in usage of hand held electronic devices and earbuds, do you think we’re going to be seeing an epidemic of early hearing loss, or is that just sensationalism? A: What we see in our practice is teenagers who exhibit hearing loss that they shouldn’t have until their 50s or 60s. If people aren’t careful with these listening devices, it will be a major issue. When you lose that hearing, you never get it back. So when aging kicks in for them, they’re going to see even more hearing problems. The kids seem to be open to listening to these problems, though. The companies are starting to respond, too. There are headphones that don’t allow harmful sounds to get through but still allows them to hear the sounds fully and richly. Q: Do people have a good sense of how loud is too loud? What’s a good guideline? A: If your child is wearing earbuds—they’re especially bad because they’re go in closer to the ear canal— and you can hear their music, it’s too loud. Q: Your son recently joined your practice. How has it been working with him? A: It’s great. Peter just finished his graduate work this past summer and just got licensed this past month. He’s fulltime with me now. He’s very good with technology, so he’s a really big help with assessing and using newer technology. He’s got a great personality for dealing with our patients, many of whom are older. You’ve got to be able to relate to them and empathize with them. There’s a bit of psychology in what we do as well. The training programs we do out of college now are very comprehensive. He’s going to be a great audiologist.

Lifelines Q: How has hearing aid technology im-

Name: Stephen T. Hart, Au.D. (doctor of audiology) Hometown: Rochester Works at: Hart Hearing Centers, which has several locations in the Rochester area Education: SUNY Geneseo (master’s degree), University of Florida (doctorate) Career: Has been practicing audiology and addressing the hearing needs of his patients for over 30 years. Accolades: Was awarded the Distinguished Clinical Achievement Award from the New York State Speech-LanguageHearing Association. His professional activities include serving two terms as a member of the New York State Licensure Board as well as past leadership positions in regional and state associations. Organizations: National Academy of Audiology Family: Married, three sons Hobbies: Fishing, hunting, boating

The Growing Number of Service and Therapy Dogs More dogs are helping those in need By Deborah Jeanne Sergeant

ost people have encountered guide dogs aiding persons with visual impairment; however, many different organizations are training dogs to do much, much more, assisting people with physical, developmental and emotional difficulties of all sorts. These service dogs — typically Labrador retrievers and golden Labradors — do more than guide people with visual impairment. East Coast Assistance Dogs, a business based in Torrington, Conn., for example, has placed 230 dogs working with about

25 different disabilities. Some of these help with “invisible disabilities,” such as people with severe back injuries, by picking up objects for people who cannot stoop or crouch. The business serves New York and other states in the Northeast. Other dogs help veterans who have returned from war with post-traumatic stress syndrome. If a crowd in a public place triggers a post-traumatic stress reaction, a service dog selected for size and temperament, helps create space that reduces the veteran’s anxiety. The dog also can help the veteran remain

If you should meet a service dog, typically identiﬁed with a bandanna or vest indicating it is “on the job,” leave the dog alone. Distracting it with petting, teasing or games may endanger the person the dog is helping. But feel free to chat with the person the dog accompanies. Most people enjoy a friendly conversation.

calm in a stressful situation to avoid conflict. More people are becoming aware of therapy dogs in public places. Carol Giottio volunteer and director of Therapy Dog International No. 216 in Rochester, said that she and her dogs “visit with all different types of people.” These include people living in nursing homes, homebound elderly, children with developmental disabilities, stressed-out college students during finals week and in-patient youth struggling with eating disorders. Therapy dogs can provide stress relief through their companionship or maybe stir happy memories of past dog ownership. Numerous studies have shown that stroking a pet’s fur lowers the heart rate. “We also visit a number of libraries where the children read to the dogs to help build self-confidence and reading skills,” Giottio said. “These things are known as animal-assisted activities, where there is not always a specific outcome being measured.” Organizations that train therapy and service dogs make sure all the animals have the right temperament for the job, keep the dogs updated on their shots and vaccinations, and train them in both the tasks they perform and just being a well-behaved dog. Before visits, Giottio’s dogs are groomed and have their toenails trimmed. “We’re covered by liability insurance should anything go wrong,” said Giottio of her visiting dogs. “There’s

This golden retriever, trained by East Coast Assistance Dogs, picks up a bottle to help his owner. Photo courtesy of East Coast Assistance Dogs. no guarantee but there’s criteria set down.” According to East Coast Assistance Executive Director Dale Picard, the service dog industry is fairly new. He said people still don’t seem to know that the service dogs should be permitted in public places. But Picard has observed some progress. “Back then, every store, library, and school kicked us out,” he said. “We had to educate the public as we went along to prevent our clients from getting kicked out of public places.” In addition to gaining access to stores, people with service dogs have experienced trouble with public transportation. “Cabs in New York City don’t stop for people if they have a service dog, unlike a guide dog,” Picard said. “The subway has kicked off several of our dogs.”

Teens: Safer Snowboarding It’s fun, inexpensive but local doctors warn it can pose serious risks By Deborah Jeanne Sergeant

nowboarding can offer teens a fun way to enjoy winter and get a great workout. Kids love the adventure and thrill of zooming down the slopes, too. But snowboarding also presents a great deal of safety hazards. Even if your child is an accomplished skier, snowboarding is different. Because snowboarding moves the body differently, the sport stresses the body unlike skiing. “The feet are locked together on the board, not separate as with skis,” said Mike Maloney, orthopedic surgeon and chief of URMC Sports Medicine. “We see a lot of knee injuries in skiing. In snowboarding, most of the injuries are upper extremities, rotator cuff/shoulder injuries, and shoulder/ clavicle fractures.” Snowboarders also tend to fall backwards more than skiers when Gill they wipe out. Though upper body injuries are more common in snowboarding than head injuries, the latter can be more serious and cause lifelong disabilities. David Gill, neurologist with Unity Health System, said that even minor

concussions can lead to progressive memory problems later. “We don’t know if repeated head trauma accelerates the Alzheimer’s process,” he said. “For some people, after severe trauma, they have trouble learning well the rest of their life.” “I see several skiers and snowboarders who were devastated later after an injury,” Gill said. “They often adapt and recover to weakness and limitation later but almost always, it’s difficult focusing their attention. Sometimes, it’s memory problems.” The Unity neurologist also sees patients with frontal lobe injury, which can lead Cecilia to impulsiveness and personality change. Getting the right gear can make a huge difference in the occurrence or severity of injury. Wearing a helmet helps decrease the chance of severe head injuries. Should a teen have even a mild head injury, he should be checked by a physician. The symptoms of concussion can include headache, dizziness confusion, and lack of concentration. More severe

signs are lack of consciousness, inability to follow instructions and breathing problems, which require immediate medical attention. Helmets should be specific to alpine sports, not for bicycling, horseback riding or motorcycling, to provide sufficient protection. “The padding is different,” said Cecilia Ransom, a physician with physical medicine and rehabilitation at Unity Health System. “Check with a ski shop or where you’re renting snowboarding equipment. Ask for the features you should look for.” Also get wrist guards, since the natural instinct when falling is to throw out the hands, which places much of the weight and stress of the fall on the wrists. The guards prevent the wrists from bending, and thus helps protect them. Don’t let your teen’s enthusiasm overcome your better judgment. “If it’s something they’ve never done, it would make sense to start on easier slopes and take a lesson or two,” Maloney, the URMC orthopedic surgeon, said. “It’s a different motion than skiing. They need to learn how to manage the board. The level of their ski trail should be appropriate for their level of expertise.”

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Don’t count on your teens using the safety gear once they’re able to snowboard independently. Just as with the topic of wearing seatbelts while driving, you need to discuss with them the importance of safety gear and why it must be worn properly each time.

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Live Alone & Thrive

By Gwenn Voelckers

Practical tips, advice and hope for those who live alone

‘Treat Yourself Special’ This Holiday

just have to share this! I received the following email from a reader in response to my last column about spending Thanksgiving alone. Her message beautifully reinforces what I “preach” in my columns and workshop: Treat yourself special, especially this time of year. The author kindly gave me permission to share her email, but asked that I not use her name. I hope you find her words as inspirational, as I did:

mas carols were not a good idea. Everything was exactly what I wanted and there were no returns. I’d forgotten so many and it was fun! Single people have to take better care of themselves. Don’t spend the entire weekend in sweats while you crash on the couch. And don’t think because people are married that they’re not alone. Not everything is as it looks.”

“Dear Gwenn, I just finished reading your article about facing Thanksgiving alone. It was very good. I was single for 52 years. I had to work on not being lonely or alone. I always set a pretty place setting, played upbeat music and cooked dinner. I treated myself as if I were a guest. Even when I bought something for myself and the clerk asked if I’d like it gift-wrapped, I always say yes. I’d take it home, put it on the counter and open it later. Treat yourself special. One Christmas my sister-in-law announced that the family planned on spending the following Christmas at Disney World. I knew then I had a year to prepare for my Christmas alone. It was a choice. Starting in January, I bought myself one gift a month (sometimes two little gifts) wrapped them in holiday wrapping and put them in a clothes basket in the back of my closet. I put all the receipts in an envelope. In late December, I put everything under my tree. On Christmas Day, I brewed a pot of coffee and lit candles. I thought Christ-

What more can I say? This reader has mastered the art of living alone. She is taking good care of herself and has accepted responsibility for her happiness. She has adopted a positive attitude and displays a healthy perspective. Not feeling the spirit this year? Maybe it’s time to trade in the sweats for some new holiday attire and take charge. Below are some tips to help you enjoy this holiday season: Slow down. Better yet, stop what you’re doing altogether. Ask yourself what the holidays really mean to you. Rebirth? Hope? Family time? Gratitude and goodwill? Revisit your most deeply held beliefs about the season and make a conscious decision to participate in the holiday rituals that align with your values and spiritual underpinnings.

KIDS Corner Buffalo Study: Obese Teen Boys Have Up to 50% Less Testosterone Than Lean Boys Doctor: “These boys are potentially impotent and infertile”

study by the University at Buffalo shows for the first time that obese males aged 14 to 20 have up to 50 percent less total testosterone than do normal males of the same age, significantly increasing their potential to be impotent and infertile as adults. The paper (at www.ncbi.nlm.nih. gov/pubmed/22970699) was published online as an accepted article in Clinical Endocrinology. The authors are the same researchers in the University at Buffalo’s School of Medicine and Biomedical Sciences who first reported in 2004 the presence of low testosterone levels, known as hyPage 8

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pogonadism, in obese, type 2 diabetic adult males and confirmed it in 2010 in more than 2,000 obese men, both diabetic and nondiabetic. “We were surprised to observe a 50 percent reduction in testosterone in this pediatric study because these obese males were young and were not diabetic,” says physician Paresh Dandona, SUNY distinguished professor in the department of medicine, chief of the division of endocrinology, diabetes and metabolism in the UB medical school and first author on the study. “The implications of our findings are, frankly, horrendous because

Be realistic and give yourself a break. For those who live alone, some degree of loneliness can be considered normal during the holidays. It’s a good time to remember that feelings of loneliness aren’t terminal, nor are they a “state of being” reserved for single people. Take time to remind yourself that your happiness is in your hands, and that there are positive, healthy steps you can take to avoid loneliness. Create new holiday traditions. This is especially important if you’re bemoaning the loss of irretrievable traditions of a “past life.” Consider instituting your very own “signature” traditions. Give or do for others. Consider baking some holiday goodies for your colleagues at work. Or leave a little something on a neighbor’s doorstep. When you are thinking about and doing for others, you “get outside” yourself and feel less lonely — more a part of the world and of this season of giving. Be the instigator. Identify a holiday concert or event you’d like to attend and invite family or friends to join you. Take on the role of “social secretary” and you’ll gradually feel your holidays, social life and social circle becoming

these boys are potentially impotent and infertile,” says Dandona. “The message is a grim one with massive epidemiological implications.” The small study included 25 obese and 25 lean males and was controlled for age and level of sexual maturity. Concentrations of total and free testosterone and estradiol, an estrogen hormone, were measured in morning fasting blood samples. The results need to be confirmed with a larger number of subjects, Dandona says. “These findings demonstrate that the effect of obesity is powerful, even in the young, and that lifestyle and nutritional intake starting in childhood have major repercussions throughout all stages of Dandona life,” he says. In addition to the reproductive consequences, the absence or low levels of testosterone that were found also will increase the tendency toward abdominal fat and reduced muscle, Dandona says, leading to insulin resistance, which contributes to diabetes. “The good news is that we know that testosterone levels do return to normal in obese adult males who undergo gastric bypass surgery,” says Dandona. “It’s possible that levels also will return to normal through weight loss as a result of lifestyle change, although this needs to be confirmed by larger studies.”

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

more active and interesting. Decorate your home or apartment. Do it for you. It will help put you in the spirit of the season. Hang a wreath on your door. Accent your mantel. Bring the holidays inside your home and feel its essence inside your heart. Invite people over. It might give you an incentive to decorate, if you don’t feel motivated to do it for yourself. No need to do anything elaborate or large. Inviting just one person over for brunch or to watch a holiday special on TV can lift your spirits. Send out holiday cards. Take this occasion to say “hello” and make connections. I love getting an unexpected card from a long-lost friend, and I delight in tracking down and sending out season’s greetings to those who might be surprised to hear from me. Let go. This is key. Let go of the notion that you need to be married or in a romantic relationship to enjoy the holidays. Life is all about personal connections, and there are plenty to be found in friends, family, neighbors, colleagues, even people you meet in passing. Reach out. My warmest wishes to all of you this season. Have yourself a merry little Christmas, a happy Hanukkah, or a joyous Kwanzaa. Enjoy the season to the fullest. You have a choice. Choose to be with people rather than isolate. Choose to appreciate what you have rather than focus on what you’re missing. Treat yourself special and, chances are, you’ll find more meaning and merriment this season. Enjoy! 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 workshops or to invite Gwenn to speak to your group, call 585-624-7887 or email: gvoelckers@rochester.rr.com.

The UB researchers now intend to study whether or not weight loss accomplished either through lifestyle changes or through pharmacological intervention will restore testosterone levels in obese teen males.

Health Tip: Is Your Child Ready for a Tricycle? Riding a tricycle is a milestone for little ones, but parents should make sure their kids are ready to peddle. The American Academy of Pediatrics offers these suggestions: • Make sure your child is ready to ride, usually about age 3. • Opt for a tricycle that’s low to the ground and has big wheels, so it’s less likely to tip. • Make sure your child has a helmet that fits properly, and that the child wears it whenever riding the bike. • Never allow your child to ride near swimming pools, parked or moving cars, or in driveways. Most children aren’t ready for a two-wheeled bike, even with training wheels, until age 6.

Happy Holidays Food-of-the-Month Can Give Healthful Foods All Year By Deborah Jeanne Sergeant

ood-of-the-month gifts can offer recipients a fun way to receive an edible surprise all year long. For new moms, elders on a fixed income, and busy families, these gifts can be especially welcomed. But many monthly food gifts can be unhealthful. “In my research of food of the month clubs, I was a little disappointed as many of the clubs are for higher fat, higher calorie, higher sodium foods or for alcoholic beverages,” said Amy L. Stacy, registered dietitian for Lakeside wellness program at Lakeside Health System. Of course, one could eat only a modest portion at a time as part Stacy of an overall healthful diet, but it can be difficult to partake sparingly of a special treat. Fortunately, healthful options abound, too. Fruit- or vegetable-of-themonth clubs can help recipients avoid the pitfalls of many unhealthful food gifts, and provide antioxidants, fiber, vitamins and minerals, too. “Fruit and vegetable gifts can be a great way to encourage a loved one to try new produce and it would be encouraging them to increase their intake of fruits and vegetables,” Stacy said. “For most of us that is a common goal for our diet.” Joy Valvano, registered dietitian with Unity Diabetes Center, agreed that fruit or vegetable club membership is a “fun” gift. “I think that over the winter

months, the variety of fruits in the store may be at a minimum.” Just the novelty of receiving an edible gift may entice recipients to try something different. Most people would feel wasteful to not at least give a new fruit or veggie a taste. Valvano also recommends clubs that deliver salsa monthly. A low-fat and low-sodium condiment, salsa can do more than accompany chips and top Mexican fare. “It can be a nice sub for dips and a topping on potatoes, vegetables,” Valvano said. “It’s a healthier condiment choice because it contains a variety of vegetables.” Coffee or tea-of-themonth clubs can keep your recipient sipping healthfully. In addiValvano tion to containing no calories (unless sweetened), coffee and tea offer healthful properties, too. “I think it might get them to try something new,” Valvano said. “There’s lots of benefits in terms of antioxidants in tea and coffee. In moderation, they have Sexton lots of benefits. There are herbal teas that promote digestion or relaxation, too.” Clubs that ship olive oil and

Chips and salsa is just one example of dishes that can be purchased through food-ofthe-month clubs. Food can range from soups, pickles, desserts and olives. Prices start at around $200 and go up depending on what you order. balsamic vinegar can help recipients switch from dressings and toppings made with saturated fat to ones that are made with more healthful, monosaturated fat. “You know exactly what’s on your salad as opposed to packaged dressing,” Valvano said. “It gives another flavor for a salad. I often put balsamic vinegar on vegetables. It’s another fun way to season your food. Oil is high in calories, so use in moderation.” If your recipient has dietary restrictions, don’t worry. “They are now creating these gifts that cater to certain diets, such as www. rosesbakery.com has a gluten free cookie of the month club,” said Caitlin

Sexton, registered dietitian and clinical nutrition manager at Clifton Springs Hospital. “Another is www.happybellybags.com has gluten free, vegan or organic products of the month club.”

Where to Find a Food-of-the-Month Club To shop for more food clubs, visit www.club-offers.com/food/list, www.harryanddavid.com, and www.monthclubstore.com.

The Diet-Proof Holiday Meal: Seven Ways to Stay on Track this Holiday Season

oliday dinners are filled with heaping dishes of comfort foods, fattening favorites and savory treats. It is no wonder these meals often leave us feeling stuffed with guilt and holiday remorse. Patricia Nicholas, a dietitian at NewYork-Presbyterian Hospital/ Columbia University Medical Center, says you can avoid this psychological turmoil by adding “new favorites” to the traditional dishes. “Healthy meals can be festive as well and, hopefully, you have been making healthy changes to your diet all year.” Michelle Morgan, another dietitian at NewYork-Presbyterian Hospital/ Weill Cornell Medical Center, says, “Stay in tune with your hunger during holiday meals. If you feel satiated and

comfortable — stop eating!” The following is the holiday feast survival guide — a road map of sorts to keep you and your diet from straying too far this year. • Re-think your appetizers. Incorporate healthier pre-meal snack options. Swap the bread bowl for whole-wheat pita with a low-fat bean dip! • Add some color to your holiday dinner spread with a bowl of fruit or a vegetable salad. • Choose smaller portions. You can still taste all the foods in your holiday spread without overeating. Remember, an occasional indulgence will not destroy your weight-loss attempts, and if you don’t love something don’t eat it. • The only thing that should be

stuffed during the holidays is the turkey! Just because there is more food sitting around, does not mean you need to eat more. A forkful of pie will do less damage than a whole piece. • No need for second helpings; have a calorie-free chat instead. The holidays are a great time to engage in conversation with your loved ones — and this will not add inches to your waistline. Just be sure to move the conversation away from the food! • Don’t skip meals prior to a holiday party or dinner. You are less likely to overeat if you have eaten well throughout the day. • Don’t allow holiday activity to slow down your exercise program. Bundle up and take a walk after your holiday meal – this not only

December 2012 •

can prevent you from overeating and picking at leftovers, but is also a great way to burn off some of the extra calories you may have consumed.

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Happy Holidays Magazine Subscriptions Give Healthful Reading All Year By Deborah Jeanne Sergeant

f you have a fit friend or relative, or one who’s working towards it, why not give a gift that will encourage him on his journey: a health and fitness magazine subscription. Many publishers have been slashing rates to encourage new subscriptions, so it’s a great time to purchase

one for someone you care about. Here are what the experts say: • Robert Bovee, regional director of education and certification for Rochester and Buffalo Athletic Club, likes fitness magazines that “are informational and not just packed with photos,” he said. “They should have articles related to how to stay healthy and laid out in a layman fashion. Some PhDs forget who they’re writing to. It should be categorized, because time is valuable, and laid out in such a fashion that they can read the exercise section, the equipment section and a medical section, and so on.” If you choose a reputable magazine, you won’t have to worry about your recipient reading unreliable information. • Michael Knapp, certified personal trainer and owner of At your Home Personal Training in Rochester, has found that many of the leading consumer health periodicals use research and studies published in medical journals as part of their more user-friendly articles. Knapp likes Men’s Fitness (www. mensfitness.com, $15 for 10 issues) and Women’s Health (www.wom-

enshealthmag.com, $15.98 for 10 issues) for young to middle-aged adults, and Prevention (www. prevention.com, $15.85 for 12 issues, plus you receive a free pedometer) for retirees and older. • Chris Sutton, personal trainer and owner of Wergo, Inc., a personal training business in Rochester, said that many of his female clients like Shape (www.shape.com, $17.97 for 12 issues) and many of the men read Men’s Health (www.menshealth.com, $24.87 for 10 issues) “If they’re into body building, Muscle & Fitness (www.musleandfitness.com, $39.97 for 12 issues) is the number one magazine,” Sutton said. “If you’re getting the magazine every month, it’s a good reminder to stick with the routine. The magazine should inspire them to keep going.” He also thinks that the variety of workouts and movements can help your recipient stay in shape, too. “What works for someone might not work with another, so the magazine could help them find something that works,” he said. Healthful living periodicals for specific sports and interests about, too.

Golf Digest (www.golfdigest.com, $15 for 12 issues), Yoga Journal (www.yogajournal.com, $13.95 for nine issues), Runner’s World (www.runnersworld. com, $19.99 for 12 issues) represent just a few examples. Search online or peruse a newsstand or bookstore to find just the right niche publication. If your recipient already receives that magazine, you’ll likely be able to extend his subscription through your gift. • Joy Valvano, registered dietitian with Unity Diabetes Center, recommends Cooking Light (www.cookinglight.com/magazine, $18 for 12 issues). “I has some good recipes that are lower in fat,” she said. “You have to watch the sodium sometimes, though.” She also likes Nutrition Action Healthletter from Center for Science in the Public Interest (www.cspinet.org/ nah, $10 for 12 issues), Natural Health Magazine (www.naturalhealthmag. com, $19.97 for six issues) and Vegetarian Times (www.vegetariantimes.com, $14.95 for 11 issues).

The Scoop on Nuts The good news: nuts are good us; the bad? They are very caloric By Deborah Jeanne Sergeant

“

The Christmas Song” had it right. Chestnuts roasting on an open fire are pretty good for us, not just for conjuring holiday memories, as Torme and Wells intended in the 1946 ballad, but also for our health. Joy Valvano, registered dietitian with Unity Health System, said that chestnuts are pretty low in saturated fat, and “a good source of fiber and exceptionally rich in vitamin C and, like most nuts, folates and mono- and unsaturated fatty acids. They also have iron, calcium, zinc, and potassium and B-complex vitamins.” About five to six chestnuts are 200 calories and, compared with other nuts, they’re high in carbohydrates, so stick with a modest portion. “Serving size and salt are huge issues with nuts,” Valvano said. “You have to pay attention to those. Nuts are pretty caloric.” Chestnuts aren’t the only healthful nuts around. Fill the candy bowl with some of these crunchy snacks for holiday gatherings. “For heart health, walnuts are high in omega-3 and anti-inflammatory properties,” Valvano said. “It’s a healthful fat that’s high in protein, Page 10

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so it’s a snack that promotes satiety, as long as you stop with a handful. They’re low in carbs, which is good for people watching their carbs such as diabetics.” She also likes almonds for their fiber and calcium content. “They may help with insulin resistance, which can help diabetics,” Valvano said. Cashews are high in zinc and magnesium, Brazil nuts offer 100 percent of the daily value of selenium, which may help prevent certain cancers. Pistachios can help with portion control, since 50 contain only 160 calories. “That’s usually the number of calories in five to 10 of other nuts,” Valvano said. “As we shell them, we slow down as we eat. Those are nice to have on the table.” Kimberly M. Povec, registered dietitian at the Healthy Living Center, a program of the University of Rochester Medical Center’s Center for Community Health, said that one ounce of walnuts, pecans, or almonds “helps lower LDL, the bad cholesterol and lower trigylcerides because of the omega-3 fatty acids in those nuts. “All nuts have vitamin E, which is

a fat-soluble vitamin. They contain antioxidants that reduce the risk of many chronic diseases and cancer and reduce inflammation.” Povec pointed out that although the peanut is actually a legume, not a tree nut, it is high in poly- and monounsaturated fats. “They have antioxidants and fatsoluable vitamins which are good for our bodies,” she said. Natural nut butters can provide a healthful snack, especially if you pair it up with certain other foods. Amy Stacy, registered dietitian and head of Lakeside Health System’s Wellness Program, said that adding a nut butter to a piece of wholegrain bread or a baked, wholegrain cracker, is particularly healthful. “The monounsaturated fats in nuts make them good for our cholesterol-lipid levels--and that protects our heart from blockage of the arteries,” she said. “The protein in nuts, when combined with any grain, makes it a complete protein. Nuts are also a decent source of fiber which not only helps our intestinal health but it can also help

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

to decrease the amount of cholesterol absorbed in your small intestine.” Since each nut offers greater amounts of certain nutrients, snacking on mixed nuts makes sense. And remember, although nuts are high in fat, “it is the ‘good’ monosaturated fat that won’t raise your blood cholesterol,” said Caitlin Sexton, registered dietitian and clinical nutrition manager for Clifton Springs Hospital. “Just make sure you are aware of the recommended portion size.” She said that one-quarter cup of nuts is about right for most, which is approximately 200 calories. Choose plain, dry roasted nuts sans salt. While some boast sea salt or kosher salt as a healthful alternative to standard salt, they offer a lower-sodium snack only because the grains are larger and, by volume, you’re eating only slightly less sodium. “One may be more chemically based and the other is more natural, but they have the same effect on our bodies,” Povec said.

SmartBites

By Anne Palumbo

The skinny on healthy eating

Cauliflower Is No Wallflower

Helpful Tips

Select firm, heavy cauliflower heads with compact, cream-colored florets and no brown spots (a sign that the head is getting old). Unwashed cauliflower, stored stem side down in an open plastic bag, lasts about a week in the refrigerator. Precut cauliflower florets should be consumed within one to two days. No takers in Kiddie Korner? Try serving it raw, dipped in creamy salad dressing or hummus.

ale on the outside, bland on the inside, cauliflower often gets overlooked. Compared to its colorful stepsister, broccoli — who seems to garner all the superfood accolades — cauliflower remains a culinary conundrum. Many wonder: Does it have any nutrients? How do I cook it? Why won’t my kids get near it? Good questions, all. Nutritionally, this humble vegetable packs a powerful punch. Like other cruciferous vegetables (broccoli, Brussels sprouts, cabbage), cauliflower contains several cancer-fighting compounds. According to physician Mitchell Gaynor, professor of medicine at Weill Cornell Medical College, cruciferous vegetables have been shown to lower cancer risk by activating the body’s production of detoxifying enzymes. With respect to breast cancer, he asserts that this kind of vegetable may change estrogens in a women’s body from the type that promotes breast cancer to the type that actually protects against it. More cauliflower, please! Cauliflower is also surprisingly

scream for daily K. On the roughage front, cauliflower provides about 3 grams of fiber per cup. And as for calories, we’re talking just 25 per average serving. Not bad for a shy powerhouse that also boasts no fat, no cholesterol and scant sodium.

Roasted Mashed Cauliflower high in vitamin C, with one cup providing nearly 80 percent of our daily needs. Although best known for its immune-boosting properties, vitamin C works hard to keep our blood vessels and connective tissue in tip-top shape. In fact, recent studies have shown that women in their 70s with the highest levels of vitamin C in their blood scored higher on tests that measured physical strength and stamina. Cauliflower also shines in the vitamin K arena. Vitamin K, which helps blood clot properly, is a key ingredient in maintaining strong, healthy bones. I don’t know about other baby boomers, but each creak and crack makes me

A tasty, low-carb alternative to mashed potatoes 1 large head of cauliflower, broken into florets 2 teaspoons olive oil ½ teaspoon kosher salt ¼ teaspoon coarse black pepper ¼ to ½ teaspoon garlic powder ¼ cup buttermilk, warmed in microwave 1 tablespoon light sour cream Fresh chives, shredded cheese (optional)

tribute ingredients. Place florets on a large baking sheet, using 2 sheets if the florets seem crowded. Roast for about 25 to 30 minutes, testing doneness with fork (should easily pierce floret). Return cauliflower to large bowl and mash with potato masher. Add warmed buttermilk and sour cream and mash about a minute more. Season to taste with more salt and pepper. Garnish with freshly cut chives and/ or shredded cheese (optional). If you prefer a creamier texture, use a food processor for this step. Suggestion: Transfer mashed cauliflower to microwaveable bowl and heat up just before serving (and before adding garnish). Cauliflower loses its heat very quickly.

Preheat oven to 425 degrees. Place cauliflower florets in a large bowl and add olive oil, salt, pepper and garlic powder. Mix well, using hands to dis-

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.

“Our mission is to give back to those who have spent their lives caring for us and our children.” At Strong Home we provide our residents with personalized care and assistance with on call LPN’S, Therapists, Dieticians, and Beauticians; Wellness Options such as Yoga and/or AromaTherapy; Homemade Meals with fresh, natural organic ingredients; Daily Activities and Social Outings; Plus much more. Give us a Call today to schedule a tour and let us help you. 966 Strong Road, Victor • 585-412-8560 Email: jguevara7681@gmail.com • www.stronghome.org

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A Day at a Spa Local spas surge with soothing and affordable options By Deborah Blackwell

he great escape may be closer than you think. Destination? Spas—where relaxation and restoration are quickly becoming a popular local getaway. Visits to day spas are increasing, making them the fastest-growing trend in the spa industry, according to the International Spa Association. From personal services such as massage, to health and well being classes, delectable cuisine, and pampering accommodations, spas are an accessible and affordable retreat from the busyness of everyday life. “So often are we dedicating our time to serving others, tending to our jobs and families, that we neglect caring for ourselves,” says Katie Zynda, wellness coordinator, CNY Healing Arts, Rochester. “With minimal planning, spas allow us to replenish ourselves physically and mentally. We are refreshed, re-energized, and ready to take on our lives again.” Zynda emphasizes recognizing the importance of our own health. She says we seek to be taken care of and nurtured, and local area spas do that, while offering the luxury of both acces-

sibility and affordability.

CNY Healing Arts CNY Healing Arts is an integrative wellness center and spa with locations in Rochester, Syracuse and Albany. Zynda refers to CNY as a “local hidden gem,” where guests can unwind and let go. The warm, rustic setting, earth tones, and soft lighting set the ambiance for the five-star service guests experience, leaving a lasting impression and making it an ideal retreat, she says. CNY Healing Arts’ well-rounded menu of spa services includes custom massage tailored to individual preferences and needs; esthetics; Chinese medicine, including acupuncture to balance and heal the body; nutritional support; yoga, and more. Spa products made of all natural ingredients help refresh and revitalize guests in body and spirit. In addition to providing the services, the staff at CNY works to build personal relationships with each guest. “Our staff is committed to helping

people achieve physical and mental wellness,” says Zynda. “We are passionate about nurturing our clients and making sure their experience is nothing but the best, every time.”

www.cnyhealingarts.com

Mirbeau Inn & Spa Situated on 10 acres amidst flourishing gardens and rolling hills, Mirbeau Inn & Spa in Skaneateles is a Finger Lakes area indulgence. This spa’s intimate and elegant setting, along with distinguished spa treatments and award-winning cuisine, draws guests for a daily retreat or an overnight escape. Mirbeau has received several awards of excellence, and was recently honored for the sixth consecutive year as the “Best for Romance,” by the 2012 Spafinder Wellness Reader’s Choice Awards. “Mirbeau is all about luxury, relaxation, and pampering,” says Matthew Dower, general manager, Mirbeau Inn & Spa. “It’s designed unlike anything else in the area, it’s countryside, old-world style. You can be down the street and feel like you are very far away without having travelled a great distance.” Mirbeau’s average length of stay is one night, and is designed to be a regional destination for people who live in the area, says Dower. The concept of being near your home may help eliminate the stress that can come with travel. “Spas are becoming a social gathering place where people can rekindle relationships,” says Dower. “You can unplug from daily life and focus on the relationship with yourself, with a friend, or a loved one.” The romance packages are some of Mirbeau’s most popular offerings. Dower calls it “the new date night.” They include a spa treatment for couples such as dual massages, followed by a three-course dinner, or a romantic bath in an oversized soaking tub, and a treat of strawberries and champagne. There is no time limit on day-spa offerings, so guests can stay the entire day and enjoy the full facility at Mirbeau, whether it be a work out in the gym, a sauna, a treatment, enjoying the grounds, or a delicious meal. “Mirbeau is designed to be a short travel, quick destination for leisure,” says Dower. “It’s a little resort. Have a couples treatment, a great dinner, sit by the fire and unwind.”

www.mirbeau.com Page 12

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

Woodcliff Hotel and Spa For a spa retreat with salon services and a social flare, Spa Elan at Woodcliff offers the benefits of health and wellness along with resort accommodations, including a fitness center, swimming pool, 9-hole golf course, and premiere restaurant. Woodcliff Hotel and Spa in Fairport attracts national and international guests, and the extensive staff offers full-service amenities that cater to individuals, small parties, couples, corporate groups and weddings. “Spa Elan’s staff takes pride in exceeding its guests’ expectations of their spa experience. Their education and training in current trends and the product lines assists them in achieving these goals,” says Andrea Dutcher, manager, Spa Elan. According to Dutcher, Spa Elan’s primary guests are women who gather socially while enjoying spa and salon services. But she says the male clientele is rapidly growing as they become more aware of the health benefits of spas. The most common services for men are massages and pedicures. She says couples’ pedicures are a recent trend, where guests can indulge in a glass of wine while socializing together and being pampered. “Woodcliff Hotel and Spa has a large range of facilities, amenities and packages available to its guests,” says Dutcher. “Our affiliation with Woodcliff Hotel and Horizons restaurant has allowed us to become an affordable day getaway with health benefits.”

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trü salon Nestled between chic shops and ambrosial dining overlooking the Erie Canal in scenic Pittsford village, trü salon offers an exceptional line of products and services for spa-like indulgence. “Trü salon has that spa-feel because of our natural comforting atmosphere, calming colors and aroma,” says Julie Judge, owner. “Guests can experience a full range of services from hair to nails, waxing, facials, makeup, and body treatments.” An Aveda concept salon, trü salon uses and carries only the Aveda line—all botanically-based, high performance products by a company

committed to the environment. Judge says guests enjoy the contemporary and serene setting, the soft music, and most importantly the naturally soothing treatments that lend themselves to beauty both inside and out.

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The Springs Integrative Medicine Center and Spa East meets West at The Springs Integrative Medicine Center and Spa, for those who seek therapeutic restoration and healing. The Springs at Clifton Springs Hospital is an integrative medicine clinic, where a combination of therapies, including Ayurvedic spa services, can help promote health and well being. Spa services at The Springs stretch

well beyond contemporary practices, and offer traditional modalities from the 5000-year-old science of Ayurveda. This form of Indian and Tibetan medicine utilizes bodywork treatments along with other natural and alternative therapies to help reduce stress, heal, and experience renewal. Some of the soothing techniques at The Springs include foot renewal, eye rejuvenation, mineral baths, bodywork and massage, acupuncture, exfoliation, neck, back and facial treatments, aromatic oils to help revitalize and also release tension, powders to encourage feeling light, energetic, and refreshed, and more. “Ayurvedic therapies have been around for a long time, says Krista Ingerick, spa operations manager. “Balance of body, mind, and spirit can be achieved.”

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Nothing like the one we had last year, says Almanac’s editor. Expect tons of snow and really cold weather By Melissa Stefanec

When should I call the doctor?

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Farmers’ Almanac: A Tough Winter Ahead The Farmers’ Almanac is a reference book that past generations of people turned to for advice, weather predictions and tidbits of knowledge regarding daily life. Besides weather forecasts, the book offers hints on how to do less with more and simplify. In late fall we sat down with Peter Geiger, the Almanac’s editor, and got some dreaded weather predictions and fun ideas to help pass time when snowed in. Unlike last year’s winter, the Almanac predicts the winter of 2013 will pack a punch. Last year, Upstate New Yorkers were pampered and coddled by a relatively warm and mild winter, but the winter of 2013 will be of the exemplary good oldfashioned kind. The Almanac’s editor throws around words like accumulation, snowy, cold, unsettled, blustery, gusty, stormy and cold when predicting the winter ahead. Geiger warned Central New Yorkers to be ready. “The worst of winter will be in the Northeast, Great Lakes and Wisconsin areas. That’s where it will be the snowiest and the coldest,” he said. The Almanac predicts snow for pretty much all of December. It then predicts winter-like weather for the rest of the year, including plenty of snow and cold in the months ahead followed by warmer and drier than normal summer. The Almanac is able to predict so far out by using a formula to predict weather patterns. The writers at the almanac use astronomy, moon phases and other natural variables to predict the weather over the coming year. Besides offering this year’s foreboding weather predictions, the Almanac offers advice for daily life. It also offers some ideas on how to

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

save money and live simpler. One of people’s favorites is the “calendar of best days.” Farmers used to consult the Almanac on the best days to do things like animal castration and fish. The best days for those things are still there, but for those living slightly more on the grid there are best day predictions for car buying, potty training, beer brewing and party throwing. Geiger also shared some ideas of how to simplify around the house using natural products like vinegar and baking soda. The Almanac shares how to proportion and mix natural products to clean your home. “You don’t have to buy harsh chemicals and the same items have multiple uses,” said Geiger. Two of his favorite simple cleaning tips were for bumper stickers and toilets. “Spray vinegar over a bumper sticker and let it set for a few minutes. The bumper sticker will peel right off,” said Geiger. He also recommended using cola to clean the toilet. Apparently the chemical make-up of cola is great at removing stains and residue from toilets. The Almanac re-threads the idea that many people are looking to push things a bit farther and live more naturally. Reading the Almanac and visiting its website are great ways to get pointers on how to do useful things around the house. The Almanac offers a weekly newsletter of pointers, how-to videos and other advice. You may visit www.farmersalmanac.com to view videos, articles or sign up for the newsletter. “Our theme is to grow your life and make it easier,” said Geiger.

Local prescription drug plan earns top marks from Medicare

he prescription drug plan BlueCross BlueShield Rx PDP is one of four standalone Medicare Part D plans in the nation and the only such plan in New York state with the highest quality star rating from the federal government for 2013. The number of standalone Medicare Part D plans in the state and nation was based upon a report issued on Oct. 12, 2012, by the Centers for Medicare and Medicaid Services titled “Fact Sheet – 2013 Part C and D Plan Ratings” BlueCross BlueShield Rx PDP is offered locally and throughout the state by New York’s independent Blue Cross Blue Shield plans. The prescription drug plan is administered by Excellus BlueCross BlueShield in cooperation with Empire BlueCross BlueShield, Empire BlueCross, BlueCross BlueShield of Western New York and BlueShield of Northeastern New York. The federal Centers for Medicare and Medicaid Services (CMS) rate the quality of standalone Medicare Part D plans on a scale of one to five, with five

stars representing the highest quality. BlueCross BlueShield Rx PDP will provide drug coverage for Medicareeligible individuals in New York state who are eligible for Medicare Part A (hospital coverage) and/or enrolled in Medicare Part B (physician and medical coverage). Medicare Part D plans have emerged as a popular option for adults aged 65 and older, with nine out of 10 seniors satisfied with these plans, according to a Medicare Today survey conducted from Aug. 31, 2012, through Sept. 10, 2012, by KRC Research. The survey is available at MedicareToday. org. CMS rates standalone Part D plans on a variety of measures, including customer service, member complaints, responsiveness and medication adherence. The ratings were posted to the Medicare website to help beneficiaries select the best drug plan. Beneficiaries will see the star ratings when using Medicare’s Plan Finder at Medicare. gov.

Group looking for MS activists to honor at annual luncheon

he National MS Society Upstate New York Chapter is seeking nominations to honor individuals in the community who are working to create a world free of multiple sclerosis through their philanthropy, volunteerism or activism. Do you know someone who is on the move in our community making a mark against MS? Do you know someone who deserves to be recognized for everything they do while living with the challenges of MS? Individuals will be recognized in the following categories: Young Person on the Move (age 40 and under), Professional On the Move, Volunteer On the Move, Inspirational Person On the Move, and Group On the Move. Individuals do not need to have multiple sclerosis to be considered for an award, but they do need to be making an impact in the MS movement. A volunteer committee will review nominations and select individuals or

groups to be honored at the chapter’s On the Move Luncheon during MS Awareness Week on March 15. To nominate someone to be recognized by the National MS Society, download the nomination form at www.MSupstateny.org (click on the ‘On the Move’ button) or email your nomination to Valerie.Hoak@nmss.org. Be sure to include your nominee’s name, address, phone number and email, and explain in 250 words or less how the nominee is making a difference for people with MS, or is a person with MS making a difference in the community. The deadline for nominations is Dec. 31. “On the Move” is a nationwide educational and fundraising event that helps to increase public awareness of MS and the National MS Society while acknowledging and encouraging the advancement of philanthropists, community leaders and volunteers.

Tips For Cold Symptom Relief In Young Patients Children affected by cold and flu don’t have many options when it comes to over-the-counter drugs, pharmacist says

old and flu have already made their presence felt in the Rochester area, leaving many adults scrambling to stock up on over-thecounter (OTC) symptom relievers. For children affected by these illnesses, however, the choices are not as abundant. Tiffany Pepe, a supervising pharmacist in Lifetime Health Medical Group’s Wilson Health Center, explains this is because medicines may not provide relief of symptoms in children as well as adults. “Children are not just little adults and their systems don’t behave the same way with medication as adults’ systems do,” said Pepe. “The FDA does not recommend cough and cold medicines to children under 4 unless directed by a physician, mainly because they have not been studied in children and they have never been proven effective.” She adds children are at risk of potential side effects from cold medicines, such as hyperactivity, as well as possible overdoses when combining medicines that may have the same active ingredients. Most products do not include dosing directions for children under the age of 6 years old. That doesn’t mean parents are completely without options when it comes to providing relief for their little ones’ symptoms. Pepe recommends the following: • Simple saline drops and sprays (which are non-medicated) can help relieve nasal congestion. • Use a cool mist humidifier in their bedrooms at night to help thin mucous. Pepe urges parents not to use a steam humidifier. “We don’t recommend them because the hot, moist environment encourages bacterial growth, and these can be dangerous since they rely on extreme heat to produce the steam.” • Use pillows to elevate the heads of older children as they sleep and elevate the head of the bed for very young children for whom pillows still cause a risk of suffocation. • Use acetaminophen to reduce

December 2012 •

fevers in children under the age of six months. For children over six months, ibuprofen can help reduce the fever and help with achiness they may have from inflammation in sinuses, throat, headaches, etc. • In the case of persistent coughs in children over the age of 6, Pepe recommends a cough and cold medicine that contains a decongestant, antihistamine and cough suppressant. • Never give a child more medication than is recommended for his or her weight and, if available, follow dosing directions by weight rather than age for better accuracy. • In the case of severe vomiting or diarrhea, Pepe advises parents use a probiotic and an electrolytic solution to replace the nutrients the child is losing, and always keep children well hydrated during any stomach illness. She notes parents should not try to give children anti-diarrheal medication because the symptoms are the body’s way of getting rid of the virus or bacteria causing the illness. Additionally, according to the Mayo Clinic, parents should consult the child’s physician in the case of a fever above the following guidelines: • Less than 3 months of age: a rectal temperature of 100.4 F or higher. • More than 3 months old: if the child has a fever up to 102 F and is irritable, uncomfortable or lethargic. Or, if the child has a fever higher than 102 F that does not respond to OTC medications or lasts longer than a day. Pepe also cautions parents against using herbal remedies. “These have not been tested by the Food and Drug Administration. Therefore, we don’t know where it’s coming from, what percentage of what herbs are in it and how the ingredients may vary between products. This can potentially cause interactions with medications and create complications in children because of their unique, developing systems.”

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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Lifespan of Greater Rochester is Key Partner in NYS Elder Abuse Prevention Grant Three-year federal grant will support a pilot project to prevent financial exploitation and elder abuse in Monroe and six Finger Lakes counties

nn Marie Cook, president and CEO of Lifespan of Greater Rochester Inc., announced that Lifespan is a key partner in a threeyear, $1 million elder abuse prevention interventions grant from the U.S. Administration for Community Living (ACL). The grant, which will be coordinated by the New York State Office for the Aging (NYSOFA), was awarded to initiate and test a program to combat financial exploitation and elder abuse in New York state. Elder abuse includes financial exploitation, physical abuse, sexual abuse, psychological abuse and neglect. Financial exploitation, the fastest growing form of elder abuse, accounts for over $2.9 billion a year nationally in losses to people aged 60 and older. The results of a groundbreaking study of elder abuse in New York state conducted by Lifespan and research partners Weill Cornell Medical Center and New York City Department for the Aging between 2007–2010 revealed that financial exploitation was the most prevalent form of elder abuse reported by older adults in New York state. The award will support a pilot program in the Finger Lakes region and in Manhattan. The pilot developed by NYSOFA and its project partners, NYS Office of Children and Family Services (OCFS), Lifespan and Weill Cornell Medical Center’s New York City Elder Abuse Center (NYCEAC), will focus on preventing and swiftly intervening in financial exploitation of adults aged 60 and older through the use of an enhanced multi-disciplinary team (E-MDT). It will also test new technologies for offering this model in more geographically dispersed rural areas. The Finger Lakes E-MDT will serve Cayuga, Livingston, Monroe, Ontario, Seneca, Wayne and Yates counties. The partners will provide the E-MDT with the unique feature of a forensic accountant to investigate and intervene in cases of financial exploitation of older adults. The E-MDTs will incorporate a forensic accountant in

each pilot site to work with other professionals and specialists, such as Adult Protective Services (APS), area agencies on aging (AAA), mental health professionals, and local legal and law enforcement, to address complex cases of elder financial exploitation. Another main focus will be prevention, education and increased collaboration with financial institutions, which often are the front line in detecting financial exploitation. Lack of communication and collaboration as well as competing priorities can often act as barriers to the effective prosecution of elder abuse cases. In a recent case of financial exploitation investigated by Lifespan’s Elder Abuse Prevention program in a Finger Lakes county, it took nearly three years to collect evidence and coordinate legal and law enforcement activities to obtain an arrest, conviction and incarceration of the exploiter. During the three years, however, the perpetrator continued to exploit other older adults. The E-MDT pilot project is designed to bring multiple disciplines to the table to streamline communication, conduct timely, in-depth investigations, commence criminal prosecution when warranted and thus protect older adults from further harm. “We know from the NYS Elder Abuse Prevalence Study that financial exploitation is the most prevalent form of abuse. Based on this information, we developed a statewide response to this serious issue. The grant provides us a tremendous opportunity to prevent and to respond rapidly to allegations of financial exploitation and abuse,” said Cook, Lifespan’s president and CEO of Lifespan and co-chairwoman of the NYS Coalition on Elder Abuse. For more information, Further information about the New York State Coalition on Elder Abuse including information on becoming a member is available at www.nyselderabuse.org. For further information about the E-MDT pilot project, contact Paul Caccamise, Lifespan’s vice president at pcaccamise@lifespan-roch.org or at 585-287-6415.

Syracuse plans conference focusing on elder abuse “Elder Abuse: You Can Make a Difference” is the name of the 15th annual elder abuse conference organized by nonprofit Vera House, Inc. in Syracuse that will bring a series of workshops focusing on the issue. This year’s featured keynote speaker is John Balloni, chief and administrative chief at Onondaga County Sheriff’s Office. He will speak on “Forging a New Collaborative Path: Elder Abuse and The Justice System”. NYS Senator David Valesky, who chairs the NYS Senate Committee Page 16

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on Aging, will also be attending and sharing a few words. In addition, there are four scheduled breakout sessions featuring nine different workshop options and 20 resource table vendors will share information. Fee is $40 and includes breakfast, lunch and snack. It will take place at from 8 – 4 p.m,., Dec. 6, at DoubleTree Hotelm 6301 State Route 298, East Syracuse. More information, call 425-0818 or email jhicks@verahouse.org

What They Want You to Know: Neurologist By Deborah Jeanne Sergeant

he American Academy of Neurology states that neurologists are “physicians concerned with diseases and conditions of the nervous system.” • “I’m a general neurologist, so I see pretty much everything. • “Neurology is a specialty where we rely heavily on the history of patients and the findings on examinations. People are shocked and dismayed that we don’t always order MRIs or that imaging studies don’t always provide the answers. Telling patients to rely on clinical expertise of the person they’re seeing is hard. For whatever reason, people become more expectant of imaging studies. • “I encourage people that if they don’t feel their provider is listening or understands their story or took their time in evaluating, instead of seeking more testing from that provider, they should seek the opinion of another neurologist. • “In that vein, sometimes with neurology, time is a very helpful diagnostic intervention as things improve, get worse or stay the same over time. Good neurologists are comfortable in saying they don’t know what’s going on when they don’t know. A lot of neurological disorders change over times sometimes in predictable ways. Early on, it may not be clear based upon what’s going on, what the underlying problem is. • “If people have forms or paperwork they need completed, give us as much lead time as possible before a deadline and expect it will take up to a week to have it done. • “If people are coming to see us for a pain complaint, it’s okay to take their pain medication the day of the visit. Some people don’t take it so they can have me see them in pain but it doesn’t help me to see them suffer. • “If people have concerns or specific questions, they should write them down and bring them to their visit. Often people feel frustrated after a visit that their concerns weren’t addressed but it’s hard for the provider to address these complaints if the patients don’t bring them up. • “Bring a complete and accurate list of medications, including over the counter medication, and vitamins and herbal supplements. Or bring the bottles. There could be interactions with things. A lot of women forget to mention birth control pills. They don’t think of them as medication. • “Be as honest and open and

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

forthcoming as you can about your symptoms and your medical history. Trust that the person you’re speaking with is concerned about your wellbeing and isn’t going to share your information with other people. Try not to be embarrassed to discuss things.” Anthony Maroldo, neurologist with University of Rochester Medical Center • “As a sub-specialty, I do dementia work. Neurologists have sub specialties like this. Many times, people assume neurologists can’t do anything to cure people but there are things we can do to help. • “People sometimes come in for a visit without the records they need. As a dementia specialist, they’re often unconcerned about their memory, so coming with someone who knows them well and bringing copies of any brain imaging they have had done is very helpful. Having all that, I can do so much more and their first visit won’t feel like a waste. • “It also saves money. We all want to have productive visits so when people come, we can make a difference. • “We and many dementia clinics work as an interdisciplinary team. I try hard to make them understand that when they come, they work with a comprehensive team, as opposed to seeing just one person and being referred to someone else. I think our goal is to provide the best care we can. We’ve found in neurology that many people with neurological disease have it impact their mental health. We try to address all those things and that is why we have this interdisciplinary team.” David Gill, neurologist with Unity Health System

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.

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How to Save Money by Donating Your Body to Science What can you tell me about body donations? With little money to spare, I’m looking for a cheap way to die and have heard that donating my body to science is free, not to mention it benefits medical research. Old and Poor Dear Old: If you’re looking to eliminate your final farewell expense and help advance medical research, donating your body to science is a great option to consider. Here’s what you should know. Body Donations

Each year, an estimated 10,000 to 15,000 Americans donate their whole body, after death, to medical facilities throughout the country to be used in medical research projects, anatomy lessons and surgical practice. After using your body, these facilities will then provide free cremation — which typically costs $600 to $3,000 — and will either bury or scatter your ashes in a local cemetery or return them to your family, usually within a year or two. Here are a few other tidbits you need to know to help you decide on whether whole-body donation is right for you. • Organ donors excluded: Most programs require that you donate your whole body in its entirety. So if you want to be an organ donor, you won’t qualify to be a whole body donor too. You’ll have to choose. • Not all bodies are accepted: If, for example, your body has been badly damaged in a care accident or if you’re morbidly obese, you many not qualify. • Body transporting is covered: Most programs will pay to transport your body to their facility unless your body must be moved from out of state. • No special requests: Most programs won’t allow you to donate your body for a specific purpose — you give them the body and they decide how to use it. • Funeral services are not covered: Most programs will allow your family to conduct any final services they wish before taking custody of your body, but they won’t pay for it.

• Your family won’t be paid: Federal law prohibits buying bodies.

What To Do

If you do decide you want to donate your body, it’s best to make arrangements in advance with a body donation program in your area. Most programs are offered by university-affiliated medical schools. In Upstate New York, two facilities will accept bodies: SUNY Upstate Medical Center, department of anatomy, in Syracuse, phone 315-464-5120 and 315-464-5047; and University of Rochester School of Medicine, department of anatomy, in Rochester, phone 585275-2592. 585-275-2272. (To find other facilities in the U. S. visit www.med.ufl. edu/anatbd/usprograms.html). In addition to the medical schools, there are also a number of private organizations like Anatomy Gifts Registry (anatomicgift.com), BioGift (biogift.org) and Science Care (sciencecare.com) that accept whole body donations too. If you don’t have Internet access, you can get help over the phone by calling the National Family Services Desk, which operates a free body donation referral service during business hours at 800-727-0700. Once you locate a program in your area, call and ask them to mail you an information/registration packet that will explain exactly how their program works. To sign up, you’ll simply need to fill out a couple of forms. But, you can always change your mind by revoking your authorization in writing. After you have made arrangements, you then need to tell your family members so they will know what to do and who to contact after your death. It’s also a good idea to tell your doctor and put your wishes in writing in your advance directives. These are legal documents that include a medical power of attorney and living will that spell out your wishes regarding your end-of-life medical treatment when you can no longer make decisions for yourself. If you don’t have an advance directive, go to caringinfo.org or call 800-658-8898 where you can get free state-specific forms with instructions to help you make one. 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. December 2012 •

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Page 17

When a Winter Wonderland Becomes a Nightmare Best ways older adults can avoid the hazards of winter

inter is a special time for celebration. It should also be a time for added caution if you or someone in your family is an older adult. It is the season for falls, slips on icy streets and other dangers that can be especially harmful for older adults. “Something as simple as a fall can be devastating for older men and women,” says physician Evelyn Granieri, director of the Division of Geriatrics at NewYork-Presbyterian Hospital/The Allen Hospital. “Before the cold weather arrives, it is important to prepare.” Granieri addresses some of the most pressing concerns mature adults have about their health and safety during the winter: • The flu. Influenza is a serious illness that can be fatal in older adults, who often have chronic medical conditions. The vaccine offers some, if not complete, protection against the flu and can be administered as early as September. The flu season begins in midOctober and runs through March. • Hypothermia. Keep your thermostat set to at least 65 degrees to prevent hypothermia. Hypothermia kills about 600 Americans every year, half of whom are 65 or older, according to the Centers for Disease Control and Prevention. Also, keeping the temperature at 65, even when you are not at home, will help prevent pipes from freezing by maintaining a high enough temperature within your walls. • Icy streets. Navigating through icy streets can be intimidating. Wear comfortable shoes with anti-slip soles. If you use a cane, replace the rubber tip before it is worn smooth and becomes slippery on the wet ice. • House fires. Make sure your smoke alarms are working. You should also have working carbon monoxide alarms. • Falling in the home. Winter means fewer hours of daylight. Older people often have the need for a higher level of illumination in the home. You may also have difficulty adjusting to changes in light, and different levels of lighting may increase the risk of slip and falls. Make sure there are no great lighting contrasts from one room to another. Also, use night lights, and don’t have loose extension cords lying around — tape them to the floor. Make sure rugs are not wrinkled or torn in a way that can trip you up as you walk. • Strenuous activities. Try to avoid strenuous activities like shoveling snow. You should ask your doctor if this level of activity is advisable. If you must use a shovel this winter, warm up your body with a few stretching exercises before you begin and be sure to take frequent breaks throughout. • Dehydration. Drink at least four or five glasses of fluid every day. This should not change just because it is winter. You may not feel as thirsty as you do in the summer months, but as you get older your body can dehydrate more quickly, putting you at greater risk for complications from a number of illnesses; and also changing the way Page 18

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in which your body responds to some medications. • Winter itch. This usually occurs because of dry skin. Wear more protective creams and lotions to prevent the dry and itchy skin commonly experienced in the colder months when humidity levels are lower. • Home emergencies. For older persons living alone, it is a good idea to have a way to communicate quickly with other persons or medical personnel. If you have a cell phone, keep it handy. Another option is a personal emergency response system — a device worn around the neck or on a bracelet that can summon help if needed.

Surviving Heart Attack Season

hile we may be accustomed to battling frigid temperatures and the inevitable snow storms that arrive every winter, many of us are unaware of the dangers these pose to our hearts. “When the temperature outside drops, our blood vessels narrow to prevent our bodies from losing heat. This is a natural response that can also put people with heart conditions and those involved in strenuous exercise at greater risk of having a heart attack,” says physician Holly Andersen, director of education and outreach at the Ronald O. Perelman Heart Institute of NewYork-Presbyterian Hospital/Weill Cornell Medical Center. Andersen offers the following tips for safe shoveling and maintaining a healthy heart this winter: • Warm up. Warm up with stretching and light activity before shoveling, exercising or beginning more strenuous physical activities. • Bundle up. When going out to shovel, always wear a scarf over your mouth and nose to warm the air before you breathe in, and dress in layers. Layering clothes underneath a windproof and waterproof outer shell helps maintain body heat. • Push the shovel. It is less strenuous to push the snow rather than lifting it, and this reduces the risk of overexerting yourself. • Take breaks. You should take frequent breaks while shoveling to give your muscles, especially your heart muscle, a chance to relax. You may also consider sharing the work with a friend to make the workload lighter and ensure that you are not alone in the event of an emergency. • Consult a doctor. If you are over the age of 50, overweight, out of shape or have suffered a heart attack, you should consult a doctor before shoveling snow or starting any exercise routine.

The Social Ask Security Ofﬁce Column provided by the local Social Security Office

How “Ticket To Work” Helped Terry Anderson Build a Better Life

he summer of 2007 felt like a bad dream for Terry Anderson. Reeling from a recent cancer diagnosis, she was downsized from the company where she’d worked for 11 years. “There was no severance. I had no insurance,” she said. “I was terrified.” Anderson began receiving Social Security disability benefits and took an extended period of time away from work. Later, she learned about ‘onestop career centers’ that provide free employment-related support services through Social Security’s Ticket to Work program to people receiving Social Security benefits. She decided to see what the Iowa Workforce Development Center, her local one-stop, had to offer. There are more than a thousand one-stop career centers across the nation and several of them in Upstate New York. The one-stop staff explained that the Ticket to Work program is designed for people who receive Social Security disability benefits and are committed to achieving self-sufficiency through eventual full-time employment. Through the program, Iowa Workforce helped Anderson coordinate her career preparation and job hunt. She updated her computer skills and built confidence in her prospects for long-term success. “They offered workshops on interview skills,” she said. “I had my resume refurbished. I learned fresh strategies. At first, I was too proud to ask for help. I’m glad that I did.” While Anderson was eager to move on, she was apprehensive about finding work and losing her benefits. She learned about special Social Security rules called “work incentives,” that help people who receive disability benefits transition to the workforce and become financially self-sufficient. For example, people receiving dis-

Q&A

Q: What can I do if I think someone has stolen my identity? A: You should do several things, including: • File a report with the local police or the police department where the identity theft took place, and keep a copy of the police report as proof of the crime; • Notify the Federal Trade Commission (1-877-ID-THEFT or 1-877-4384338); • File a complaint with the Internet Crime Complaint Center at www.ic3. gov; and contact the fraud units of the three major credit reporting bureaus: Equifax (800-525-6285); Trans Union: (800-680-7289); and Experian: (888-3973742). Learn more by reading our publi-

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

ability benefits can keep their Medicare coverage and their cash benefits while gaining work experience during the trial work period. Anderson was relieved to learn about another work incentive called ‘expedited reinstatement,’ allowing her Social Security cash benefits to restart without a new application if she has to stop work within five years because of her disability. Another helpful work incentive, known as a Plan to Achieve Self-Support (PASS), allows Social Security disability recipients who meet the income rules for Supplemental Security Income (SSI) to set aside money to pay for items or services they need to reach a specific work goal. These can include educational expenses, training, job-related transportation, business startup costs, tools and equipment, child-care costs and even the cost of job interview clothes. By approving a PASS, Social Security agrees to exclude certain income that would normally lower an SSI payment amount. At the same time, the person agrees to go to work, with the goal of eventually leaving disability benefits behind and becoming financially self-sufficient. In 2009, Anderson found work as a loan servicing specialist and a second job in retail where she trains cashiers and enjoys interacting with customers. She was grateful that Social Security helped her “get through the storm.” She built a better life through work. She no longer receives Social Security disability benefits. “Now I’m healthy. I have two jobs. I love both of them. Life is good.” With support from Ticket to Work and Iowa Workforce Development Center, Anderson found her path to self-sufficiency. To learn more about the Ticket to Work program, call the Ticket to Work help line at 1-866-9687842 (TTY/TTD, 1-866-833-2967) or visit www.socialsecurity.gov/work.

cation, Identity Theft And Your Social Security Number, at www.socialsecurity.gov/pubs/10064.html. Q: I’m reaching my full retirement age and thinking about retiring in early 2013. When is the best time of year to apply for Social Security benefits? A: If you are planning to retire in early 2013, you can apply now. You can apply as early as four months prior to when you want your monthly benefits to begin. To apply, just go to www. socialsecurity.gov/applytoretire. Applying online for retirement benefits from the convenience of your home or office is secure and can take as little as 15 minutes. It’s so easy!

After Years of Dialysis, a Happy Ending Couple found a unique organ donor program in Ohio. She got a new kidney; later, he donated his By Ernst Lamothe Jr.

ever has watching the evening news been so mind blowing. Linda Cone was sitting in her home, flipping through the channel and learning about the news of the day. There was a story about this little known organ donation program, based in Ohio. Called the Alliance for Paired Donation, the initiative matches healthy compatible donors nationwide who are in the same situation of looking for a kidney for their loved ones. The only caveat is that someone in the family also had to be willing to donate one of their kidneys to a stranger in the donation network. It was an uplifting story considering more than 88,000 Americans are waiting for a kidney transplant and about a dozen of these patients die every day because there aren’t enough donors. Health experts say many kidney patients have someone willing to donate, but because of the donors’ immune system, their age or blood type incompatibility, they aren’t able to give a family member or friend their kidney. However, the evening news story wasn’t simply heartwarming for Linda and her husband, Glen. It was a revelation because of what they were going through. Diagnosed with polycystic kidneys, Linda, 59, started going in for dialysis around four years ago. Four times every week, the couple would drive 50 miles roundtrip to Strong Hospital for a treatment they hoped would lengthen her life. “It isn’t easy seeing your wife go through this struggle,” said Glen, 56, of Ontario. “You see her suffer through dialysis which doesn’t 100 percent fix the problem and you wonder what can be done to truly make her feel better.” They even converted a room in their house into a mini clinic where nurses came to give treatments. Things failed to get better with Linda encountering several trips to the emergency room. After it looked like they had no options, Linda felt she was lucky by being home watching the evening news. “When Glen came home I asked him ‘how much do you love me?’” remembered Linda. “He said ‘very much.’ Then, I asked him ‘are you willing to give up a kidney for me’ and he said, ‘yes’ immediately and that’s how everything started moving. I don’t even want to think about what would have happened if I wasn’t watching the news.” None of their doctors, nurses, social workers and technicians ever told them the Alliance for Paired Donations existed. They hung all their hopes on strict dialysis without knowing a better solution could be someplace within their reach. “I know it was probably more complicated than it seemed, but it was discouraging that nobody ever told us this existed and that there was another solution,” said Glen. “We’ve always gotten wonderful service from every medical official we dealt with in Roch-

ester, but because nobody brought this to our attention we thought that maybe the paired donation program was too good to be true.” They flew to an orientation program at the University of Toledo Medical Center to learn more about the process and what to expect in the coming months. Glen had to go through preliminary tests to see if he would be a viable donor. And as a prerequisite, Linda also had to give up her place on the long kidney waiting list in Rochester, which had yielded no results for two years. “We definitely knew that this was something we wanted to be a part of,” said Linda. “I believed this was going to work because you have to believe in something or you lose hope.” She placed her hope on the Ohio transplant program and the advice of her doctor, Michael Rees. Glen knew that in order to save his wife, he had to pay the generosity forward. But the uniqueness of the program is that it was very much on the honor system.

He never had to sign a legal agreement to give up his kidney. Soon the University of Toledo found a match for Linda. Since her donor lived in North Carolina, the kidney was transported to Toledo for her operation. They finally found a solution and the surgery went well. “No more dialysis, no more asking friends to sit for three to four hours during treatment, and a quality of life back that had been slipping away for three and a half years,” said Glen. Nine months later, Dr. Rees called the Cone family. The call was not only to check up on Linda, but he had found a recipient who needed Glen’s kidney. “You could tell the doctor was smiling on the other end and he said ‘Glen, I told you I would be calling you,’” he said. There was a 29-year-old man from Michigan that Glen never met before until the day of the surgery. During the emotional encounter, Glen talked with the family and there were plenty of hugs and kisses exchanged by all.

December 2012 •

For more in fo about the A rmation llia Paired Don nce for a www.paired tion, visit donation.o rg Both Linda and Glen are fully recovered and the dialysis machine that used to encompass their home is only a distant memory. “I don’t feel any restrictions since the surgery,” said Glen. “There are no drugs I have to take or diet I had to change. I am a happy guy and so is my wife. This is a happy ending story no question about it.”

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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H ealth News Three practices in a new medical building in Geneva Physician Gregory G. Carnevale recently opened a Medical Arts Building in Geneva, located at 64 Elizabeth Blackwell St. The building will have three suites. The practices located at the facility are Ear, Nose, Throat, Allergy and Sleep Medicine, operated by Carnevale; the Eave’s Family Dental Group, a fullservice dental and cosmetic dentistry office; and The Finger Lakes Hearing Center, owned by audiologists Megan Glaspie and Todd Harry. Carnevale expects the downtown city location to be more convenient and accessible to area residents and bring customers and patient traffic to city retailers. Carnevale has been in practice in Geneva since 2001. He graduated cum laude from the University of Notre Dame and Upstate Medical University at Syracuse, and completed a five-year residency in surgery and otolaryngology. Carnevale is board certified and fellowship trained in ear, nose, throat, allergy, and sleep medicine and is licensed to practice in several states.

Health. Cannariato and Driesch will continue to see their patients. According to the physicians, the merger will provide additional medical and support services to patients and the community. “We are extremely excited for the merger of our family medicine practice and Penn Yan Community Health. This merger will free us of the daily administrative tasks of running the office and allow us to focus on providing quality medical care to our patients,” said Driesch. “Now that doctors Cannariato and Driesch are joining our team, we are able to expand and provide a more modern facility for our patients and the Penn Yan community, in addition to a broader range of services,” said Mary Zelazny, CEO Finger Lakes Community Health. Cannariato & Driesch Family Medicine has been providing continuous care to children and adults of all ages for the last 12 years in the Penn Yan community. Cannariato and Driesch will continue to see their current patients at their present location until the expansion at 112 Kimball Ave. is complete. The office staff of each practice will remain unchanged.

New director of Chapel Oaks appointed

Thompson dedicates James W. Doran Drive

St. Ann’s Community recently appointed Jay W. Brooks of Greece as director of Chapel Oaks, an independent living community in Irondequoit. Brooks will provide leadership and oversee the strategic direction and operations of all departments within the 120apartment retirement community, ensuring the highest quality of customer service to residents. Brooks has 25 years of senior living experience and most recently worked as the chief executive offiBrooks cer for Brethren Care Village, a multi-level continuing care retirement community in Ohio. Originally from Rochester, Brooks received his Bachelor of Science in music therapy from SUNY Fredonia and began his career as a music therapist for seniors. After working as an activities director, Brooks obtained his master’s in health services administration from The University of Kansas. He worked as a nursing home administrator for two different facilities in Kansas before becoming chief executive officer at Brethren Care Village.

Thompson Health employees, donors and board members recently gathered with family and friends of the late James W. Doran for a dedication in his memory. With speakers including New York state Sen. Michael F. Nozzolio and state Assemblyman Brian M. Kolb, the dedication ceremony unveiled the James W. Doran Drive — the newly-renamed entrance to the hospital campus from Parrish Street. Doran, who passed away in January, retired from Thompson Health in 2006 after 35 years of service as a board member and associate. He wore many “hats” over the years, including chairDoran man of the board for F.F. Thompson Hospital, president and CEO of FFTH Properties, leader of the Thompson Foundation and chief financial officer of the health system. “Jim’s dedication and drive were instrumental in Thompson Health’s growth,” said said Thompson Health President/CEO Michael F. Stapleton, Jr. “He oversaw expansion of the M.M. Ewing Continuing Care Center, the creation of Ferris Hills at West Lake, construction of the Sands Cancer Center/physicians’ office building, and expansion of the Hawks Emergency Department and Polisseni Family Diagnostic Imaging Center. As a health system, we are truly indebted to him and we welcome the opportunity to celebrate his contributions with something that will become a daily reminder of his legacy,”

Penn Yan medical practices announce merger Physicians Cathy Cannariato and Mary Driesch recently announced the merger of Cannariato & Driesch Family Medicine P.C. and Penn Yan Community Health, a part of Finger Lakes Community Health. The new practice will be known as Penn Yan Community Page 20

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Wilmot Scientist to Lead Survivorship Study of Platinum-Based Chemotherapy A new, multi-center study of cancer survivors spearheaded by researchers at the University of Rochester Medical Center could lead to ways in which to identify patients who are more susceptible to experiencing long term and debilitating side effects from a common and effective chemotherapeutic agent. The study, led by physician Lois B. Travis, director of the Rubin Center for Cancer Survivorship, department of radiation oncology at the James P. Wilmot Cancer Center, is being funded by a $5.8 million grant recently awarded by the National Cancer Institute (NCI). Cancer survivorship is an urgent topic that is relevant to millions of patients who are successfully treated for cancer but face uncertain health risks later due to the late effects of treatment. The award places URMC at the forefront of an understudied side of cancer care. Gains in survivorship have steadily increased during the past 30 years, and as this population continues to grow so does the need for information about how to manage post-cancer care, determine genetic vulnerabilities to therapy, and pose alternatives to the standard treatments. Travis and her study collaborators at other U.S. cancer centers (Dana Farber Cancer Institute, Mayo

Hillside Family of Agencies receives award Hillside Family of Agencies received the prestigious Agency of the Year award presented by Alliance for Children and Families, a national membership association dedicated to achieving a vision of a healthy society and strong communities for children, adults and families. According to a news release, Hillside Family of Agencies was chosen to receive the award because of its demonstrated excellence in innovative programming, impact through advocacy efforts on local, state or national levels and board participation and support. The Agency of the Year award is given in four categories based on budget, and Hillside Family of Agencies received the award in the $19-million and above category. Dennis Richardson, Hillside Family of Agencies president and CEO, accepted the award at the Alliance National Conference in Orlando. “Today, Hillside Family of Agencies strives to be the leader in translating leading-edge research into practical solutions that are replicable, not only

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

Clinic, MD Anderson, Memorial Sloan-Kettering, Pacific Northwest Consortium, University of Chicago, University of Indiana, University of Pennsylvania), and Princess Margaret Hospital (Toronto, Canada), will spend the next five years studying nearly 4,000 testicular cancer survivors who were treated with cisplatinbased chemotherapy. The objective of the researchers is to evaluate genetic susceptibility to long-term platinum toxicity. This study population is composed of testicular cancer survivors, most of them cured of cancer, and is considered ideal for examining the genetic underpinnings of long-term platinum toxicity given their typically young age at diagnosis, high cure rate, and possible lifelong risk of treatment side effects. Travis is known internationally for her many transdisciplinary, global research studies of cancer survivors that have provided important new information with regard to the late toxicities of cancer and its treatment. For two decades, Travis conducted survivorship research as a principal investigator at the NCI, National Institutes of Health in Bethesda, Maryland. “Our goal is to lessen the cost of the cure,” Travis stated. “This research grant is a major victory for cancer survivors everywhere.”

within our services and organizational operations, but throughout our industry,” Richardson said. “Our accomplishments, particularly over the past year, exemplify our commitment to providing effective services for youth and families that has inspired and guided Hillside for the past 175 years.”

Newark-Wayne adds second gastroenterologist Newark-Wayne Community Hospital, an affiliate of Rochester General Health System, announced that Jeffrey Goldstein, a gastroenterologist, has joined its medical staff and is now providing diagnostic and treatment services for intestinal/colorectal conditions in Wayne County. Goldstein is the director of gastroenterology outreach for Rochester General Health System. He will perform procedures in the endoscopy suite at Newark-Wayne Community Hospital. Goldstein is a graduate of the University of Rochester School of Medicine and Dentistry and completed his residency training at Strong Memorial Hospital. In addition, he completed fel-

H ealth News lowship training at Jackson Memorial Hospital on Miami. He is currently on the faculty and serves as an attending physician at Rochester General Hospital.

Group to work on child sexual abuse prevention Bivona Child Advocacy Center in partnership with the YMCA of Greater Rochester announced their official collaboration with local nonprofit and government organizations to address what they call it the epidemic of child sexual abuse. Forming the Darkness to Light Collaborative, this new group aims to empower all adults in the greater Rochester area to fully understand and recognize the signs and symptoms of child sexual abuse in order to take the necessary steps protect children suspected of being abused across our community. It is the group’s goal to have 5 percent of greater Rochester adults trained in

child sexual abuse prevention within the next five years. Bivona Child Advocacy Center recently hired a prevention and education outreach specialist who will offer training to employees and members of organizations, schools, community groups, businesses, parents, caretakers, and concerned and responsible individuals throughout the community who are interested in becoming Stewards of Children through the Darkness to Light curriculum. Darkness to Light is a nationally recognized program emphasizing the seven steps an individual can take to recognize abuse and take action to assist a child Any business, group, community organization or individual interested in learning more about the Stewards of Children program, or scheduling a training session should contact Stefanie Szwejbka, Prevention Education & Outreach Specialist at Bivona Child Advocacy Center at 585-935-7822 or sszwejbka@BivonaCAC.org.

Hill Haven Completes Renovation of Patient Rehab Unit Hill Haven Rehabilitation and Transitional Care Center, an affiliate of Rochester General Health System, has completed the first stage of renovations that are transforming the facility into a warmer and more modern patient environment, while also reflecting the health system’s new approach to long-term care for patients of all ages. The first stage of the renovations concluded in late September with the unveiling of a new shortterm rehabilitation unit. This area provides rehab services for patients who require assistance for several days to several weeks, following complex medical events including stroke and joint replacement surgery. The rehab unit now features all single-occupancy patient rooms with new flooring, windows, fix-

tures and furnishings. Deluxe bathing suites within the unit feature advanced step-in tubs. And common areas have been redesigned to provide a more comfortable atmosphere while also giving clinical staff more room to perform their duties. These changes, scheduled for completion by the end of 2013, accompany Hill Haven’s shift from a residential-style nursing home to a broad-based complex care facility. In addition to post-acute rehab services, Hill Haven also provides transitional care that may last from several weeks to a few months, while helping patients adjust to the shift from hospital to home; and complex long-term care for patients with ongoing medical needs for which round-the-clock support is required.

News from

Unity Announces Appointments, New Roles — Unity Health System has announced new roles and appointments for several of its longtime leaders. All of them are medical doctors. They are: • Philip Bonanni has been appointed chairman of the department of medicine for Unity Hospital. Since 2004, Bonanni has served in many roles at Unity, including associate chairman for clinical affairs for the department of medicine, preceptor of medical residents in Unity Faculty Partners, and director of physician assistant education Bonanni for the department of medicine. He lives in Pittsford. • James Haley has been appointed senior vice president and chief medical officer. He has served as the chairman of the department of medicine for the last 11 years. As part of his new responsibilities, Haley’s leadership in clinical care redesign and HCAHPS requirements will help to ensure Unity’s continued Haley success through this time of unprecedented change in health care. He lives in Fairport. • Gregory Lewish has been appointed chairman of the department of surgery at Unity Hospital. Lewish started at St. Mary’s in 1983 and has held several leadership positions within Unity, including chief of orthopaedics in the department of surgery for the last four years. He is a member of the medical executive committee, chairLewish man of the utilization management committee, and chairman of the credentials-bylaws committee. In 2009, Lewish received the physician recognition award from his colleagues. In addition to his new role, he will also continue to see patients in his private orthopaedic practice at Westside Orthopaedics in Gates. He lives in Brighton. • Pasquale Iannoli has been selected to be chief of the division of general surgery and associate chairman of the department of surgery. Iannoli is a board-certified general surgeon at Westside Surgical Associates, LLP, clinical assistant professor of surgery at University of Rochester, and is an instructor in advanced trauma life support Iannoli (ATLS). He joined

December 2012 •

Unity Health System in 2000 and is a panel physician at Unity Wound Care Center. Iannoli earned his doctor of medicine at the University of Rochester School of Medicine and Dentistry, where he also completed his residency. He is a fellow of the American College of Surgeons and affiliate member of the Upstate New York Chapter. He lives in Greece. • Luke Loveys has been elected as chief of the division of orthopedics at Unity Hospital. Loveys joined Unity Hospital in 2001 and has been a member of the surgical services committee at Unity Hospital since 2004. He is board certified by the American Board of Orthopaedic Surgery in general orthopedics with a subspecialty in Loveys foot and ankle. Loveys participates every year in the Hearts to Soles campaign, a national nonprofit organization that provides the less fortunate people across the country free shoes and foot examinations. He lives in Pittsford. Unity Welcomes New Providers — Unity Health System announced that several health providers have joined the organization. They are: • Dentist Frank Massaro, who will practice with Unity Dental Group. He earned his doctor of dental surgery degree from the SUNY Buffalo School of Dental Medicine. He went on to complete his residency at The Buffalo General Hospital. Massaro completed advanced education in general dentistry at the SUNY Buffalo School Massaro of Dental Medicine. Massaro has been practicing dentistry since 1992. He is a member of the American Dental Association and he services on the Monroe County Dental Society Board of Directors. He resides in Penfield. • Physician Jennifer Stalica, who will join Unity Pulmonary Medicine. She earned her doctor of medicine at the University of Buffalo of Medicine and Dentistry. She completed her residency in internal medicine, served as chief resident and completed a fellowship in critical care and pulmonary medicine at the University of Stalica Rochester School of Medicine and Dentistry. Stalica is board certified in internal medicine and pulmonary disease and is a member of American College of Chest Physicians and the American Thoracic Society. She resides in Brighton. • Chrystal Jenkins, who will join Unity’s Health Care for the Homeless, specializing in family medicine and geriatrics. She earned her Doctor of Medicine degree from Washington University in Saint Louis, Mo. She completed

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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H ealth News her residency in family medicine and fellowship in geriatrics at the University of Rochester School of Medicine and Dentistry. Jenkins is a member of the American Academy of Family Physicians, the American Medical Directors Association and the American Society Jenkins of Geriatrics. Jenkins will care for patients through Unity’s HealthReach program which provides comprehensive health care services for the homeless or those at-risk for homelessness. Services are provided at shelters and other locations in Rochester for men, women and children. She resides in Rochester. • Nithyanandini Namassivaya, who will join the Unity neurosciences, acute rehabilitation and brain injury program and will also see patients at Unity at Ridgeway. Namassivaya earned her doctor of medicine from Bangalore University in Karnataka, India. She is an assistant professor in the department Namassivaya of physical medicine and rehabilitation at the University of Rochester. She is board certified in physical medicine and rehabilitation and has a sub-specialty in spinal cord injury medicine. She lives in Brighton. Senior Director of Nursing Receives Award — Colleen Klix, senior director of nursing at Unity Health System’s Edna Tina Wilson Living Center, has been selected by LeadingAge New York to receive the employee of distinction award. Nominated by Cindy Lovetro, vice president of Edna Tina Wilson Living Center and Unity Living Center, Klix was chosen Klix because of her dedication, and her ability to push herself and others to new heights within Unity Health System, according to a new release. Founded in 1961, LeadingAge New York, formerly the New York Association of Homes & Services for the Aging (NYAHSA), represents nonprofit, mission-driven and public continuing care providers, including nursing homes, senior housing, adult care facilities, continuing care retirement communities, assisted living and community service providers. A ceremony to honor Colleen was held Nov. 1 at Edna Tina Wilson Living Center, 700 Island Cottage Road. Colleen resides in Greece.

STORY IDEAS?

Email them to Editor@GVhealthnews.com Page 22

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The location is scheduled to be the home of Victory Campus. The anchor of the development will be a 61,000 sq. ft. medical, health and wellness, and research facility that will house physicians, practitioners, trainers and researchers. An indoor recreational, athletic training and rehabilitation center of approximately 170, 000 sq. ft. will be built adjacent to the core building and will house a ﬁtness/ athletic performance training center, and multi-use basketball/volleyball courts with a raised walking/running track.

Orthopedic surgeon planning a large health facility in Skaneateles Victory Campus will combine healthcare, sports and wellness in a 100-acre suburban site By Harold Miller

arc Pietropaoli, an orthopedic surgeon and founder of Victory Sports Medicine in Skaneateles, has a dream. He envisions a world-class health care treatment, education and research facility that will serve as a blueprint for the future of healthcare. Pietropaoli is one of a new breed of doctor and surgeon that hopes to change the way the healthcare system functions in America. Doctor ‘P’ (as he is affectionately known) employs a conservative approach to medicine, which includes doctor, therapist and patient. “Until the medical community changes the way it operates [pun intended] and until people develop a healthier lifestyle we will never be able to control health care costs,” he said. “Furthermore, if we wish to reduce the cost of health care, first we must reform the system to include preventive medicine, healthier lifestyles and therapy. As it stands now — doctors are not adequately compensated on preventive medicine, healthy diet, exercise, or therapy programs.” Victory Campus is designed from the ground up to facilitate this muchneeded goal of promoting health and wellness for all ages. The center or anchor of the entire

campus is a state-of-the-art medical/ health and wellness facility that will include top physicians, practitioners and researchers. The campus will also include various types of sports and recreational areas and activities for community members, students, athletes, coaches and family members. An urgent care facility will also be housed in the medical building — managed by a local hospital. VSM Enterprises currently owns approximately 100 acres along state Route 20 less than a mile east of East Lake Road in the Village of Skaneateles. The location is scheduled to be the home of Victory Campus. The anchor of the development will be a 61,000 sq. ft. medical, health and wellness, and research facility that will house physicians, practitioners, trainers and researchers. An indoor recreational, athletic training and rehabilitation center of approximately 170, 000 sq. ft. will be built adjacent to the core building and will house a fitness/athletic performance training center, and multiuse basketball/volleyball courts with a raised walking/running track. The expansive grounds of Victory Campus will encompass approximately 76 acres of open managed space and 14 acres which are designated for wet-

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

land preservation. This portion of the site will include four multi-use artificial turf fields, two multi-use natural grass fields, and five baseball/softball fields — all laced with nature trails for hiking, walking, running and biking. Much care has been taken to preserve the natural countryside landscape that surrounds this beautiful site in order to buffer the campus from its surroundings. All-in-all Victory Campus is an entirely unique development that blends healthcare, sports and wellness into a beautifully designed facility that will change the way medicine is practiced — and hopefully establish a blueprint for the future of healthcare. I have been a patient of Pietropaoli for many years and he has saved me from painful joint surgery on more than one occasion. He combines his conservative training, caring practice of medicine, and continual research in the field of orthopedics into a vision of a healthier America. If anybody can accomplish this dream it is he. Harold Miller, an Auburn businessman and longtime patient of Dr. Pietropaoli, is the director of publicity for the Victory Campus project.

DIABETES: Dark Chocolate Can be Healthful Treat By Deborah Jeanne Sergeant

ark chocolate has been long lauded for its beneficial antioxidant properties. Antioxidants are cancer-preventing compounds inherent to plant-based foods. But dark chocolate can also offer diabetics a treat that, in moderation, they can enjoy guilt free. Gregory Seeger, a physician with Rochester General Hospital, listed cocoa, from which dark chocolate is derived, among foods that have a low glycemic index, along with “various beans, nuts, seeds, fruits and vegetables. Cocoa is actually a seed, not a bean.” The good news doesn’t stop there, both for diabetics and those without diabetes. “Cocoa has a high level of polyphenols,” Seeger said. “If you consume a decent amount of these food groups, it has a cardio-protective effect and lowers the risk of diabetes as well. The study with the Kuna Indians, the native Indians in Panama, was interesting. Researchers at Harvard were excited because these Indians had very low rates of death from heart diseases and diabetes. It dropped by 90 percent vs. mainland Kuna Indians and of diabetes rates were 75 percent lower. Their research showed that the native Indians consumed a great deal of natural cocoa on their island and it seems to reduce the risk of diabetes.” While most people don’t need much persuasion to convince them to eat chocolate, the type of chocolate makes a big difference. Milk chocolate, the type typically used for candy and chocolate bars, contains the least cocoa, which is the beneficial ingredient. “A chocolate product that’s highly processed is not as good as one that’s natural.” Seeger said. “The Dutch processing moderates the bitter taste of the cocoa bean, which makes it more palatable but takes away from the antioxidant effect.” Many chocolate products include a lot of other ingredients, like gooey

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fillings, candy coatings, and a wallop of sugar. While any food can be part of a healthful diet, eating too many chocolate treats quickly ramps up the calorie count. And as a diabetic, too many simple carbs at once can spell disaster for the blood sugar level. A serving of dark chocolate, in its simplest form, doesn’t make the blood sugar level spike. “While many do realize that the health benefit is from the dark chocolate, some choose not to pay attention to that part,” said Amanda Tourtellotte, registered dietitian with the diabetes education program at Finger Lakes Health. “Many do not realize that there are ingredient differences between the two types.” Since dark chocolate’s antioxidant properties were discovered in recent years, dark chocolate’s popularity has surged. Now it’s easy to find dark chocolate. “Look for the packages that specify that it is dark chocolate or that it contains a high percentage of cocoa, ideally 70 percent or higher,” said Amy L. Stacy, a registered dietitian and certified diabetes educator for Lakeside Health System. How much chocolate you eat is also important. Among the experts interviewed, the range was from 1.5 to five Hershey’s Dark Kisses per day. Talk with your diabetes educator or doctor about what’s an appropriate maximum for you. “Remember a little dark chocolate goes a long way in helping to lower blood pressure and improve insulin sensitivity,” Stacy said. “Extra dark chocolate only serves to add calories to your daily food intake which could cause you to gain weight and that is not healthy.” Check package labels not only for the percent of cocoa in the product, but also the number of calories and the amount of chocolate that comprises a serving to help keep the calories and fat in check. December 2012 •

P.O. Box 525, Victor, NY 14564

Only $ a Year

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

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.

Find us on Facebook

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.

IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper

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YOU ARE OUR FUTURE Why are healthcare professionals attracted to Visiting Nurse Service of Rochester & Monroe County, Inc.? Competitive compensation and beneﬁts programs, cutting-edge technology, on-going training and development, and a wealth of competent professionals working together as a team to provide the best care possible — these are just a few of the things that set us a part. Learn more about why we’re a vibrant and exciting place to work.

HOSPICE AND PALLIATIVE CARE TEAM OPPORTUNITIES

RN Certiﬁed Diabetes Educator**

Hospice Nurse Practitioner

Perform duties and responsibilities of a community health nurse functioning in an expanded role by combining direct nursing service with leadership responsibilities designed to assist the PHV Clinical Manager in the development, operation and evaluation of the Diabetes Program. Qualiﬁcations: • Completion of an accredited Registered Nursing Program. • NYS licensed RN req. • Possession of a current American Association Diabetes Education Certiﬁcation. • Minimum of two years experience in Diabetes teaching and community health nursing preferred.

RN Wound and Ostomy Care Nurse**

The WOCN will be responsible for Wound, Ostomy and Continence Program development, including ensuring ﬁscal, quality & customer service outcomes for the WOC patient population. VNS has an advanced electronic wound care management system that enables the WOCN to monitor and consult on all wounds more easily. Qualiﬁcations: • NYS licensed RN, Masters Degree preferred and WOCN required. • Community or home health care experience preferred. • Expert in interviewing, assessment, communication, and case management skills, with current and comprehensive knowledge of community health nursing experience preferred. • Ability to mentor professional staff in case management of a patient caseload, including complex and high-risk populations.

Work collaboratively with an outstanding interdisciplinary care team to provide compassionate care to patients and families. Responsibilities include Hospice and Palliative Care consultation, assistance in case conferencing, clinical supervision, assisting the medical director and associate medical director in conducting patient visits including face to face encounters, provision of patient care and clinical oversight for the Leo Center for Caring (LCC), our brand new state of the art inpatient hospice setting. Qualifications: • NYS license and certification as an Adult or Family Nurse Practitioner required • National certification required and authorized provider to bill Medicare and Medicaid. • Inpatient Hospice or Palliative Care nursing experience preferred.

Nursing Clinical Team Manager Palliative Care / Hospice**

This exciting fast paced position could be just what you are looking for to advance your leadership opportunities. Responsibilities include the clinical, fiscal and administrative management of the provision of service to palliative care patients as well as providing program development and leadership in conjunction with the hospice leadership team. Qualifications: • NYS licensed RN req. • BS in Nursing or Health/Human Services field and 2 yrs. exp. in home care - OR The following combination education, exp. and/or training: (a) 4 yrs. exp. in home care; and (b) 6 credit hours, or the equivalent, of education/training in public health & principles of management. • 3 yrs. demonstrated effective leadership; organizational, team building & teaching skills.

Additional Clinical Opportunities in the Following Areas: • RN Weekend Team (Every Other Weekend) • RN Evening/Night Triage (7:00 pm – 7:00 am Monday – Thursday) • RN 2nd Shift (3:00 pm to 11:00 pm) •RN Hospice Night On-Call • Nurse Family Partnership Public Health Nurse RN BSN

Qualiﬁcations: NYS Licensed RN with minimum of one-year experience as a clinical nurse in a hospital or home care environment. OR BSN and a minimum of 6 months experience in hospital or homecare.

Apply today at www.vnsnet.com and join a team dedicated to patient and family centered care at home.

Qualiﬁed candidates please send resume to:

S. Pugsley, Human Resources 2180 Empire Blvd., Webster, NY 14580 Fax: 585-787-8369 / spugsley@vnsnet.com VNS values diversity and encourages minorities to apply. E.O.E.

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

“We would like to thank our dedicated Employees for their commitment to quality and for choosing to work at VNS.”