In Good Health: Rochester #202 - June 2022 by In Good Health: Rochester's Healthcare Newspaper

GVHEALTHNEWS.COM

JUNE 2022 • ISSUE 202

10,000 STEPS

INSIDE: WELLNESS SPECIAL ISSUE

Is 10,000 daily steps really the magic number for staying in great shape? Or have we all fallen for a marketing campaign? We discuss with local sources. P. 11

MEET THE PRESIDENT-ELECT The president-elect of Monroe County Medical Society, Hemant Kalia, is an interventional pain medicine doctor. Find out what he has to say about pain medicine and his plans for the medical society. P. 4

WHY AM I BURPING SO MUCH?

ALZHEIMER’S ASSOCIATION CELEBRATES FOUR DECADES OF SERVICE, SUPPORT Working for a World Without Alzheimer’s. P. 21

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Sleep Disorder Symptoms

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Page 2 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2022

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June 2022 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • Page 3

Meet

Your Doctor

By Chris Motola

High Rates of COVID-19 Vaccination Among Adults With Autism

dults with autism have high rates of COVID-19 vaccine acceptance and shots, a new study shows. That’s good news, because autistic adults have multiple risk factors for COVID-19 infection and for more severe illness if they contract the disease, the researchers said. “Reaching this group effectively in public health messaging about vaccination is critical,” said study co-author Kaitlin Koffer Miller, from Drexel University in Philadelphia. To find out if public health messages about the importance of getting vaccinated have reached adults with autism, the authors sent online surveys to 431 autistic adults in Pennsylvania who had participated in previous research. The responses were collected between March and August 2021. They showed that about 78% of survey respondents said they had received or intended to get a COVID-19 vaccine, and more than 55% said that they had received at least one dose. In comparison, 42% of the overall adult population in Pennsylvania had received at least one dose of a COVID-19 vaccine as of the median response date for the survey (April 2, 2021), according to the study. The findings were published in the journal Vaccine. Among adults with autism, vaccine accepters “were more likely to report increased loneliness during COVID-19, live in more populated counties and in counties won by President Biden in the 2020 U.S. presidential election,” said Koffer Miller. She’s director of policy impact with the Drexel Autism Institute Policy and Analytics Center. “Positive relationships were found between wanting to protect others from COVID-19, concern about getting COVID-19 and trusting the safety of the vaccines,” Koffer Miller said in a university news release. Concern about vaccine safety was common among those who were vaccine hesitant. The findings can help guide efforts to increase vaccination rates among people with autism, according to the researchers.

Hemant Kalia, MD MPH

President-elect of Monroe County Medical Society, an interventional pain medicine doctor, discusses managing pain using a holistic approach, and some of his plans as the head of the local medical society Q: What is interventional pain medicine? A: Interventional pain medicine is a discipline that primarily includes diagnosis and treatment of pain disorders. It principally involves the application of interventional techniques in managing acute and chronic pain. We use evidence-based, minimally invasive approaches to identify individualized pain generators so that we can tailor our therapies towards those pain generators so we can improve the patient’s pain and quality of life. Q: Pain management got something of a bad name in recent years and is often cited as one of the main causes of the ongoing opioid epidemic. How has the contemporary approach changed and how it is addressing these issues? A: We take a comprehensive approach towards underlying disease processes, which are contributing to the development of chronic pain. It’s a holistic approach where we not only utilize medications, but also highly advanced, precise, image-guided interventions to target those potential pain generators. In addition, an individualized functional rehabilitation plan is the key in developing comprehensive pain management plans for patients. Q: Can you give me an example of what these interventions might look like from a patient’s perspective? A: So let’s take a common complaint: lower back and leg pain. Let’s say a patient has a disc herniation that is compressing one of the nerve roots. So a patient might present with lower back and leg pain, after a thorough patient history and a physical examination, we will determine the acuity of the problem and start with conservative options like NSAID medications, maybe some nerve pain medicines and a

physical therapy program. About 75% of disc herniation cases will improve with these conservative options. A certain percentage will require additional interventions. We’ll proceed with advanced imaging to precisely identify pain generators and then target the specific pain generators we’ve identified. Most of the cases will respond. The ones that don’t will usually require surgery. A small percentage of those may experience chronic pain even after surgery. For those patients, we can use some advanced treatment options. For example, a spinal cord stimulator, peripheral nerve stimulator which you can think of as a pain pacemakers. The goal is to block the pain signals, which are coming from damaged nerves. The success rate of that ranges from 70% to 80% in the long run. Q: You’re also a cancer rehabilitation specialist. How does that overlap with pain management? A: Cancer pain management is a dying art. Over the years oncologic treatments of cancer have evolved, so the survival rate of cancer has improved significantly. We have a lot more cancer survivors now. But they may be struggling either with cancer-related or cancer treatment-related functional impairments.. We develop comprehensive plans for these patients to not only manage their pain, but improve their functioning and quality of life. In addition to helping cancer survivors, there’s also a significant role for cancer rehabilitation in the early stages of cancer. It’s the concept of prehabilitation. Based on the specific type of cancer a prehabilitation plan can be developed to minimize long term functional impairments.

Page 4 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2022

Q: How can both of these disciplines help address the opioid crisis? A: This is a very good question. We are still in the middle of an opioid epidemic. It’s recently been overshadowed by the pandemic, but as the COVID-19 numbers are coming down; it’s starting to become more visible again. Our approach is comprehensive and holistic. We try to focus on the pain generators and use of safer, non-opioid pain medications as well as advanced opioid-sparing treatment options like implanted devices.. Q: You’re also president-elect of the Monroe County Medical Society. What duties will you be taking on? A: Monroe County Medical Society is a 200-year-old nonprofit organization in our community which advocates for physicians and patients and the improvement of health in the community. The job of the president is to be the face of the medical society, and interact with the state society, Medical Society of the State of New York, and to be the voice of our local physicians at the state level. We also work very closely with our peers in the region, as well as regional health systems. We have a lot of educational initiatives and also provide one of the oldest medical scholarships funds in the county. Advancing these issues is the key role of the president. Q: Do you have any projects in particular that you’re looking to advance? A: Quite a few projects, actually. The main one is to develop and maintain the value proposition of the medical society for its members. Making sure that we’re not only retaining, but are increasing our membership. Secondly, we’re working on quality improvement projects within the community. It’s focus is on adolescent mental health with a grant through Excellus BlueCross BlueShield. We’re also working on a physician wellness program and continuing our advocacy efforts at the state level, primarily focusing on reducing physician burnout rates.

Lifelines

Name: Hemant Kalia, MD, MPH, FIPP, FAAPMR Specialty: Interventional pain management and cancer rehabilitation Position: Program director, interventional spine and pain fellowship; president-elect of the Monroe County Medical Society; clinical assistant professor, physical medicine and rehabilitation/neurology/pain medicine, Lake Erie College of Osteopathic Medicine (LECOM); secretary, NY Society of Interventional Pain Physicians; editor-in-chief, Advances in Clinical Medical Research & Healthcare Delivery Hometown: Chandigarh, India Education: MGM Medical College, India Afﬁliations: Rochester Regional Health System Organizations: Monroe County Medical Society; New York Society of Interventional Pain Physicians; American Society of Pain and Neuroscience, North American Neuromodulation Society Family: Wife, daughter Hobbies: Traveling, music

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June 2022 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • Page 5

The Importance of Taking Medications as Directed

he World Health Orillness, but also long-term ganization says that medications to manage getting more patients chronic conditions such as to take their medications as diabetes, high blood pressure directed, known as medicaand high cholesterol,” says tion adherence, may have a pharmacist Mona Chitre, greater impact on the health chief pharmacy officer and of the population than any vice president clinical opimprovement in specific erations and health innovamedical treatments. tion at Excellus BlueCross However, according BlueShield. “When patients to the Centers for Disease with chronic conditions stop Mona Chitre Control and Prevention, at taking their maintenance any given time, 50% of patients are medications as directed, the consenot taking their medications as prequences can be severe.” Unregulated scribed: They are nonadherent. high blood pressure, for example, can Nonadherence includes not lead to kidney failure, heart disease filling a prescription, taking less than and stroke. the prescribed dose, skipping doses The National Institutes of Health or discontinuing medications sooner calculates that nonadherence may than advised. result in 100,000 preventable deaths “We’re not only talking about each year in the United States and prescriptions to treat a short-term $100 billion a year in preventable

medical costs. The American Heart Association puts the impact of nonadherence on health care spending at nearly $300 billion a year in additional doctor visits, emergency department visits and hospitalizations. Research into medication adherence by Excellus BCBS found that reasons for nonadherence fall into one of three categories: They are patient related, medication-specific or are health care system-related. Patients may forget to take their meds, misunderstand instructions or decide they don’t need them any longer, especially if they have no overt symptoms. A specific medication may be too expensive, have undesirable side effects or the dosing instructions may be complex. A lack of follow-through or support from a physician or pharmacist may also result in patients not taking their medications as prescribed. The CDC estimates that for every 100 prescriptions written, 50 to 70 are filled by a pharmacy, 48 to 66 are picked up by the patient, 25 to 30

are taken properly, and just 15 to 20 of those prescriptions are refilled as prescribed. Something as simple as arranging for prescription home delivery, offered by many pharmacies, may increase medication adherence. Other tips include establishing a routine for taking medications, using pill box organizers, downloading phone app reminders, or asking the pharmacy to organize medications in blister packaging and labeling them with instructions on what to take and when. “Patients who have issues with their prescriptions should reach out to their physician, pharmacy, or insurer with their questions or concerns, since those are the best sources for answers and assistance,” says Chitre. “When medications are taken as prescribed, health outcomes are improved, chronic conditions are managed, health care dollars are used efficiently, and lives are saved.”

Fraud

physicians and ancillary professionals and in many cases can be credited with saving smaller rural hospitals near closure. Hospital systems, covering large geographic areas with hundreds of physicians in virtually all specialties, are better positioned to form comprehensive all-inclusive health systems capable of accepting capitation and or value-based payments from insurers.

Submitted by Excellus BlueCross BlueShield.

Healthcare in a Minute

By George W. Chapman

ACA Has Record Enrollment: 35 Million People Insured

he Affordable Care Act of 2010 has survived more than 60 attempts to repeal it. Twelve years later, a record 35 million people (one in 10 of us) will receive health insurance via discounted commercial insurance on an exchange or expanded Medicaid eligibility. The uninsured rate is 8.8% or about 29 million. Most of the uninsured are younger adults electing not to be

covered, lower income people living in states that did not accept Medicaid expansion and people who lost employer-based coverage. The increase from last year’s 31 million to a record 35 million covered this year is due partly to increased income eligibility for discounted insurance on the exchange and additional states (Oklahoma and Missouri) opting for expanded Medicaid.

Employers Focused on Healthcare

providers and patients that Medicare Advantage plans are requiring prior authorization for services normally covered by traditional Medicare. More than half of seniors are covered by a Medicare Advantage plans that are operated by commercial carriers like the Blues, United, Aetna, Humana, Cigna, etc. There is a push for electronic prior authorization which would standardize what services require prior authorization, reduce human error, speed up the approval and make it easier for medical practices.

Not surprisingly, the experience of running a business during the pandemic has sharply focused employers on healthcare. A recent survey found nine of 10 employers cite healthcare as their No. 1 priority this year. Healthcare premiums are rising again after a pandemic lull due to care being postponed or even canceled. But cost isn’t their sole focus. Employers have felt the impact of the pandemic on employee morale and mental health. Consequently, there is a concerted effort to expand mental health benefits, improve access to virtual care and lower employee out-of-pocket costs. Most employers surveyed believe virtual care will increase access and lower costs.

Medicare Prior Authorization

Critics view prior authorization for medical services as an unnecessary barrier to timely care and a way for insurers to reduce claims. Prior authorization has been an administrative nightmare for busy medical practices trying to provide appropriate care for their patients. Proponents of prior authorizations, namely the insurance industry, argue that prior authorizations ensure their members will receive the right care, at the right time, in the right setting. Recently, the Office of Inspector General is investigating complaints from

Deadly Milestone

According to health officials, we have transitioned from a COVID-19 pandemic to a COVID-19 epidemic, despite continuing related deaths and seemingly a new variant every week. On May 5, we surpassed a grim milestone: more than one million Americans have now died from COVID-19. There have been, reportedly, 15 million deaths worldwide, but experts are skeptical of numbers from autocracies like Russia, China, North Korea, etc. Early on, several epidemiologists and public health officials were scoffed at for their dire predictions of a million deaths if COVID-19 was not taken seriously and managed effectively. Another wave of infections is predicted for this summer, so we are urged to exercise caution.

The OIG is constantly on the alert for fraud. Most of their investigations originate from tips from consumers or honest medical professionals. Every month, millions of Medicare dollars are recovered from fraudsters. OIG has issued a warning concerning COVID-19 scams whereby individuals offer free testing sites, free at home tests, free supplies etc. through telemarketing calls, texts, social media platforms and door-to-door visits. The scammers are trolling for your personal information and Medicare information. In the continuing saga of opioid fraud, in April the OIG convicted 14 defendants from Alabama, Florida, Kentucky, Ohio, Tennessee, New Jersey and West Virginia of illegally prescribing more than seven million pills resulting in more than $7 million in losses to Medicare. Not to be outdone, a physician in California was recently convicted of defrauding Medicare of $12 million. The physician recruited Medicare patients and then performed medically unnecessary vein ablation procedures. He then upcoded (over charged) Medicare. To cap it off, he repackaged and reused single use disposable catheters.

Hospital Mergers

Last month’s (now prescient) column addressed the justification for hospital mergers. I did not anticipate the recently announced potential merger of SUNY Upstate Medical University Hospital with Crouse Health in Syracuse. If approved by the NYS Department of Health, it will be a merger of public and private organizations. Upstate acquired the former Community General hospital in 2011. Both Crouse and Community General were under financial duress. The Upstate/Community/ Crouse hospital and health system will be the dominant provider in Central New York with approximately 1,200 beds. This matches multi-hospital systems in Buffalo (Catholic), Rochester (Strong and Rochester Regional), Utica (Mohawk Valley Network) and Albany (Albany Medical). Multi-hospital systems are more successful at attracting and retaining quality

Page 6 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2022

PBMs Face Scrutiny

Pharmacy Benefit Managers purportedly negotiate drug prices on behalf of insurance plans and self-insured businesses. Their effectiveness is questionable. The Senate Commerce Committee has conducted hearings on their role in the pharmaceutical marketplace and rapidly rising drug prices. Based on complaints from insurers, consumers and providers: PBMs lack transparency; there is very little competition; and there are potential conflicts of interest or collusion. Are they working for the drug manufacturer or the client? Prior to negotiating, a drug manufacturer could mark up the price then agree to a “discount” to the PBM. The client is then presented with a list of “savings” from which the PBM generates its fee. Retail pharmacies have complained about direct and indirect remuneration (DIR) fees paid to the PBM whenever the pharmacy fills a prescription for a PBM negotiated drug. The PBM industry has aggressively fought reform. If PBMs can negotiate drug prices, why isn’t Medicare? George W. Chapman is a healthcare business consultant who works exclusively with physicians, hospitals and healthcare organizations. He operates GW Chapman Consulting based in Syracuse. Email him at gwc@gwchapmanconsulting.com.

1 in 4 Hospital Physicians ‘Mistreated’ by Patients, Visitors

Female doctors are nearly two times more likely than male doctors to face this abuse

early 1 in 4 hospital doctors are mistreated at work by patients, visitors and other doctors, and female doctors are nearly two times more likely than male doctors to face this abuse, a new study reveals. “All members of the health care team share the responsibility to mitigate mistreatment,” said senior study author, physician Mickey Trockel, a clinical professor of psychiatry and behavioral sciences at the Stanford University School of Medicine and director of evidence based innovation for the Stanford WellMD/WellPhD Center. “Those wielding leadership influence hold particular responsibility to establish policies and expectations of civility and respect from all members of the healthcare community — including patients and visitors,” Trockel added. In the study, researchers surveyed just over 1,500 doctors on the clinical faculty at Stanford University School of Medicine in September/ October 2020 and found that 23.4% reported mistreatment at work during the past year. Patients and visitors were the main culprits — reported by about 17% of physicians and accounting for more than 70% of all events — followed by other physicians. The most frequent forms of mistreatment were: verbal, reported by 21.5% of respondents: sexual harassment (5.4%); and physical intimida-

tion or abuse (5.2%). Women were two times more likely (31%) to report mistreatment than men (15%), and were more likely to encounter sexual harassment and verbal mistreatment. Mistreatment also varied by race but the number of respondents wasn’t large enough to conduct a detailed analysis by race or ethnicity, according to the authors of the study. The findings were published May 6 in the journal JAMA Network Open. The researchers noted that workplace mistreatment has been associated with increased burnout, lower job performance and depression, and that studies of U.S. physicians over the last decade have found job burnout rates of 40% to 60%. “To address the issue of physician mistreatment, organizations must first recognize its prevalence and then know where to look,” said study first author, Susannah Rowe, an ophthalmologist at Boston Medical Center and chairwoman of the Wellness and Professional Vitality Council at Boston University Medical Group. “With the strong association of mistreatment to workplace dissatisfaction and physician burnout, it is imperative that health care organizations take steps to address these issues as quickly as possible for the well-being of their staff, as well as their patients,” Rowe said in a medical center news release.

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SERVING MONROE AND ONTARIO COUNTIES A monthly newspaper published by Local News, Inc. Distribution: 33,500 copies throughout more than 1,500 high-trafﬁc locations. In Good Health is published 12 times a year by Local News, Inc. © 2022 by Local News, Inc. All rights reserved. P.O. Box 525, Victor NY 14564. Phone: 585-421-8109 • Email: Editor@GVhealthnews.com

Editor & Publisher: Wagner Dotto Writers: Deborah J. Sergeant, Chris Motola, George Chapman, Gwenn Voelcker, Anne Palumbo, Ernst Lamothe Jr., Kimberly Blaker, Melody Burri, Lisa Giles, Amy Barkley Advertising: Anne Westcott (585-421-8109) • Linda Covington (585-750-7051) Layout & Design: Joey Sweener • Ofﬁce Manager: Kate Honebein

D E PAUL

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.

June 2022 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • Page 7

Live Alone & Thrive

By Gwenn Voelckers

Practical tips, advice and hope for those who live alone

On Your Own: Finding Your ‘Happily Ever After’

recently heard from an “In Good Health” reader. Divorced and on her own for several years now, she shared by email how much she appreciated my advice and encouraging words over the years. I was touched by her kindness and also curious. I wanted to learn more about her journey in search of contentment after her marriage ended. And so began an email exchange in which she shared her early struggles, as well as her efforts to make ends meet, stay connected with others and, ultimately, find joy. With her permission (and using her first name only), I’ve included portions of Kathy’s email correspondence below, in hopes her story might offer some insights and inspiration for other readers. KATHY: I opted to end my unhappy marriage and initiate a divorce about five years ago. Since then, I’ve been on my own. It wasn’t easy at the beginning. I was surprised to discover that many of my married friends no longer included me in things, maybe fearing I was some kind of threat. But, I also dropped the ball. I made my daughter the singular focus in my life, and lost contact with family and friends alike. Over time, I developed the attitude that I had nothing to offer and slid into a mild depression, during which my world became very small.

Finances were another issue. I was a stay-at-home mom and enjoyed caring for my daughter but, after my split, found it necessary to get a job to make ends meet. Kathy, like many divorced women (including myself), found herself bewildered and fearful of the future when her marriage collapsed. For many, the experience of having a marriage of many years unravel is not unlike becoming the victim of an unwelcome catastrophe. No matter what, and even though more Americans are waiting longer to walk down the aisle, most of us still hold onto the dream of “happily ever after.” That dream is powerful. Letting go of it can seem next to impossible. While getting and being divorced can feel overwhelming, most women (and men, too) press on and, lo and behold, experience a change in attitude and perspective that ultimately enriches their lives and opens up possibilities — possibilities they couldn’t have imagined when they were in pain and the throes of loss. KATHY: It’s taken me time to get it together. I went back to college and graduated with a degree in nursing. Nursing keeps me busy, but now my only child is preparing to leave for college. Life will be very different (and a lot quieter) without her here, so I am being proactive. I like to be physically active, so I joined a walking group and became

When Is the Right Time to Tell a Child They Have Autism?

ella Kofner, a 24-year-old graduate student in special education at the College of Staten Island in New York, was 10 when her parents first told her she had autism. Developmental psychologist Steven Kapp, now 35, was 13 when he was told the same. So, is there a best time to tell children they have the developmental disorder? New research suggests that younger is better. Kofner, Kapp and their col-

leagues answered that question by asking 78 university students about how and when they found out they had autism. For the most part, the investigators found that telling kids when they are younger helped them feel better about their lives as they grew up. “Talking openly with autistic people about being autistic when they are young may help them grow into adults who feel happier and more comfortable with who they are

a member of the YMCA. I also recently joined Meetup, which was reactivated after a hiatus during COVID. It’s social, it’s fun, and I’ve met some great people on my Meetup excursions. Note: Meetup is an online social networking program that gives members a chance to find and join others who share common interests — things such as hiking, reading, food, movies, pets, photography, hobbies ...well, you get the idea. KATHY: I also make a point of getting out more with my colleagues at work. And, I’m no longer waiting for an invitation; I’m initiating the get-togethers. That feels good! Reading your columns — always so positive and full of great tips — inspired me to take better care of myself, to get up off the couch, and to make healthy decisions. I often clip them out and hang [them] on the fridge. I’ve learned that even small changes can make a big difference in my day. I now create a nice place setting for dinner, stock my cupboards with healthy food, and try to keep my kitchen counter clear of clutter. I put a sweet “Welcome Home!” wreath on my front door, replaced some threadbare towels in my bathroom, and purchased a pretty comforter for my bed. These small changes and others turned my house into a home — my home. While few women and men consciously decide to live singly, more and more are finding themselves alone and on their own in midlife. The good news? Like Kathy, they are making healthy choices and learning to enjoy their newfound freedom and independence.

choose to live alone does not mean that I am alone: I have many people around me and I am very content. I am no longer frantically seeking the next relationship or the next big thing that will cause excitement in my life. I am happy to spend time at home alone, or to go out with friends. I even date from time to time. As I’ve embraced my singlehood, I have also realized that I am responsible for the positive changes in my life. That realization is empowering. I’m active, and I’m having fun for the first time in many years. On her own, Kathy has fashioned a life that works well for her. You can, too. Being single can give you the time you need to sustain a diverse and interesting network of friends, to date, to pursue your professional or personal aspirations, and to experience adventures yet to be imagined. Below are some final words from Kathy, in answer to my question: What advice do you have for others? KATHY: My advice? Don’t close yourself off from people. It’s so easy to stay home, dig a rut and wallow in it — but that’s a big mistake. Grab the Weekend section of the newspaper, check out Meetup, or look at an online “What’s Doing” calendar. Find something interesting and fun to do. Go ... even if you have to go alone. Who knows what you might discover?! Kathy has found her “happily ever after.”

KATHY: After my divorce, I had this dreaded thought that I would be alone for the rest of my life. I identified with Whistler’s Mother, in a dowdy dress and rocker. I now realize that just because I

Gwenn Voelckers is the founder and facilitator of Alone and Content, empowerment workshops for women and author of “Alone and Content,” a collection of inspiring essays for those who live alone. For information about her workshops, to purchase her book, or invite her to speak, visit www. aloneandcontent.com

than they might become if they don’t learn this key information about who they are until later in life,” said lead study author Kristen Gillespie-Lynch, an assistant professor of psychology at the College of Staten Island. “Learning that one is autistic at a younger age can aid better self-understanding as well as access to support, which in turn lays a foundation for well-being as an adult,” added study author Tomisin Oredipe, a graduate student at the College of Staten Island. The new study, which was published recently in the journal Autism, is based on Oredipe’s thesis paper. It’s not just age that matters though, Oredipe said. Other factors include your child’s developmental level, curiosity, support needs and personality. “Almost more important than when an autism diagnosis is disclosed is how it is disclosed,” said Kapp, a lecturer in psychology at the University of Portsmouth in Hampshire, England. Make sure to talk about your child’s strengths as well

as their challenges in a language they can understand, he said. “My mother said my brain worked differently, and I thought that was a good explanation,” recalled Kapp. It doesn’t have to be a one-and-done conversation either. “Do it in pieces over time,” Kapp added. Sharing a child’s diagnosis with them is a very personal decision, said Lindsay Naeder, vice president of services and support and community impact for Autism Speaks. “Your child may or may not seek more information and ask you questions after your initial discussion,” said Naeder. “All children, especially those with autism, need to hear certain information multiple times.” Help them understand how you, their teachers and therapists all want to help them. “Don’t forget to remind them that everyone needs help sometimes,” she said. It may comfort your child to hear that autism is common and that there are many children like them, Naeder added.

Page 8 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2022

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WELLNESS

Things You Should DO For Healthy Joints By Deborah Jeanne Sergeant

toms, we may refer to physical therapy to focus on a strong, stable healthy joints and reducing future injury by improving stability of a joint,” Obourn said.

“Eating an anti-inflammatory diet and maintaining healthy weight are the best ways to manage joint health,” said Mary Jo Parker, registered dietitian and nutrition therapist in practice at Nutrition Services in Williamsville. She encourages patients to eat a diet rich in vibrantly colored vegetables, including salad greens, as these are rich in antioxidants. Vitamin C builds collagen and phytochemicals inherent to produce protect joints. Parker suggested foods like cherries, peppers, greens, tomatoes, and citrus. “Eat foods that are rich in omega 3 fatty acids, fatty fish like salmon, mackerel, tuna, sardines, walnuts and flax seeds,” Parker said. Spices like turmeric, curcumin, and herbs like rosemary and oregano are also beneficial. While little research has proven their benefit, some people report anecdotally that they find relief taking supplements containing glucosamine, chondroitin, hyaluronic acid or methylsulfonylmethane (MSM), a chemical inherent in plants and animals. Parker also said that adequate hydration is also important for joint health, as well as keeping bones strong through consuming sufficient calcium, magnesium, and vitamin D-rich foods or supplements. “Avoid pro-inflammatory foods like sugars, excess alcohol, saturated and trans fats, non-whole grains,” she added. White bread, crackers, and rice, pastries, cookies, and white pasta are a few examples of foods to skip.

2.Keep moving

It may seem sensible to stop exercising if you experience joint pain, but Obourn said that becoming sedentary will only make chronic joint pain worse. “It increases stiffness and disease and contribute to further morbidity like increasing weight,” he added. Of course, acute pain from an injury should be treated and the care provider will likely recommend rest. However, providers tell most people with chronic joint pain from arthritis to continue exercising in a safe fashion.

3.Don’t smoke

“Smoking increases inflammation and makes your pain worse,” Obourn said.

f your joints hurt, it can be challenging to meet your fitness goals: cardiovascular health, flexibility, balance and strength. To minimize and even prevent pain, try these strategies:

1.Vary your cardio routine

Always engaging in high impact activities and excessively practicing a sport or physical activity can mean joints will wear out too soon. “Limit high-impact activities

and overuse,” said Peter Obourn, an osteopathic physician specializing in sports medicine at URMC Orthopedics. For example, instead of running five days a week, try water-based exercise, using an elliptical machine or biking. Obourn said that activities like yoga, pilates and tai chi “offer high resistance, but not a lot of impact.” When running, wear proper footwear and try to walk on soft surfaces. “For those with active symp-

4.Lose weight

“Putting extra weight on joints stresses them and increases inflammation,” Obourn said. He encourages patients to lose pounds for overall health and to make life easier for their joints.

5.Eat right

While improving your diet will not reverse the effects of arthritis overnight, it certainly supports the effect of reducing inflammation and improving the chances of losing weight.

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WELLNESS

Walking: Your Best Step to a Healthier Heart

W The 10,000 Steps Myth

Do you really need to take that many steps every day to stay in good shape? By Deborah Jeanne Sergeant

o you really need to take 10,000 steps a day to stay in great shape? And where did that magic number come from, anyway? According to a Harvard professor of epidemiology, I-Min Lee, the notion of walking 10,000 daily steps finds its roots in a branding campaign for a Japanese pedometer. The Japanese writing for 10,000 looks like a person walking. Manufacturers of tracking products and sneaker companies have adopted the number as a catchy way to market their products. While a clever marketing campaign, many people cannot find the time or muster the endurance to walk 10,000 steps a day. In her research published in the Journal of the American Medical Association, Lee related that women in the study averaging 4,400 daily steps experienced lower mortality rates during the study than those who logged only 2,700 steps. But the positive effect plateaued at 7,500 steps. Going for the 10,000 steps did not seem to bring additional benefit. The study included 16,000 American women. “I’m not aware of hard evidence that 10,000 is the ideal,” said Peter Obourn, osteopathic physician specializing in sports medicine at URMC Orthopedics. “Movement and exercise are what it’s about. Some will be able to tolerate walking and some won’t.” For people with arthritic knees and hips, for example, swimming or water aerobics may be activities that they can perform longer and more regularly than walking. Obourn prefers to take a more generalized approach to increasing activity for fitness than rigidly adhering to a specified number of steps.

Cameron Apt is an athletic trainer and exercise specialist with URMC. “The [10,000] number doesn’t have anything behind it,” he says. “The number doesn’t have anything behind it,” said Cameron Apt, athletic trainer and exercise specialist with URMC. “It’s a good number, but it doesn’t have anything behind it. What’s important is if you’re moving. That’s the biggest thing, whether a walk of 10,000 steps or if you go to the gym and work out.” He said that for those keeping track, the number of miles walked can prove a more accurate indicator of activity than steps. People taking smaller steps would register more activity than those with longer strides, for example. Pedometers also do not register the briskness of the walking. Leisurely strolls have a different effect than brisk walking, with the arms pumping and swift striding. To maintain

a healthy level of activity, most people need 30 minutes or more of moderate to vigorous physical activity every day. This can include designated periods of activity, such as time spent engaging in a sport or other movement, or short, frequent spurts of activity, such as lifting free weights before breakfast, and going for a 15-minute walk after lunch and dinner. For people who need to increase their level of fitness and/or lose weight, additional exercise at an increased level of vigor will be necessary, along with proper nutrition. If tracking steps on a device helps provide motivation, there’s no harm in using it. Some fitness apps build in a social facet where walkers can compete with others’ logged steps. Most allow users to compare their own number of steps per day over time. But missing the 10,000 steps goal should not kindle discouragement. Any amount of physical activity is healthful and better than none. Choosing a physical activity or sport that is enjoyable helps ensure sufficient activity each day.

hen the world gets you down, go for a walk and make your heart happy. Physical activity is one of the best ways to manage stress and boost your mood, while reducing your risk for heart disease and stroke, according to the American Heart Association (AHA). The AHA recommends at least 150 minutes of moderate-intensity aerobic activity each week — or about 30 minutes a day, five days a week. And the minutes don’t have to be consecutive to bring benefits. “Walking is a great way to improve your health and your mental outlook, and it doesn’t take a lot of expensive sporting equipment to do it. Put on a good pair of shoes and grab a water bottle and you’re ready to go,” said Donna Arnett, a past president of the AHA and a dean at the University of Kentucky College of Public Health, in Lexington. “It doesn’t matter how fast or how far you walk, the important thing is to get moving,” Arnett said in an AHA news release. “Counting steps doesn’t have to be part of a structured exercise program. Increasing your everyday activity, like parking slightly further from your destination, doing some extra housework or yardwork and even walking your dog can all add up to more steps and better health.” The association pointed to research presented at a 2021 AHA conference and published online in JAMA Network Open. The researchers found that people who took more steps in short spurts lived longer — even if they weren’t doing long, uninterrupted workouts. Benefits leveled off at about 4,500 steps a day in short spurts. Compared to no daily steps, each day that someone increased steps by 1,000 was associated with a 28% decrease in death during the study period. Those who took more than 2,000 uninterrupted steps a day had a 32% decrease in death during that time.

June 2022 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • Page 11

Causes of depression in dogs

Yes, Dogs Do Get Depressed – Here’s Why and What You Can Do By Kimberly Blaker

s most dog owners will attest, dogs do feel a range of emotions. They may not experience sadness quite the same as humans because dogs lack self-consciousness. But they can experience anxiety and depression, says veterinary Carlo Siracusa at the University of Pennsylvania School of Veterinary Medicine, in “Do Dogs Feel Sadness?” by Kate Hughes. The development of dogs’ emotions is equivalent to that of a 2

or 2 1/2-year-old child, according to researchers. So the sadness they experience is less complex than that in human adults. For example, human adults can feel sad or depressed as a result of ruminating about their failures, imperfections or something they did or didn’t do. Since dogs, like very young children, lack self-consciousness, they don’t experience this type of sadness. Nonetheless, dogs can experience sadness or get depressed for a variety of other reasons.

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Because dogs are social animals, receiving a lack of attention, or being left alone for long periods can affect their mental health. When dogs are confined to a crate or bathroom for extended hours, it can lead to depression. So allow your dog to spend as much time with family as possible. Similarly, a lack of exercise can also cause depression. This can be particularly problematic for pets that are crated or confined to small areas for many hours at a time. While crate training for puppies is beneficial for housebreaking, they should never be crated for more than four hours at a time without an extended break. Once your puppy is housebroken, a crate can provide a cozy spot for your dog with the crate left open. But dogs need companionship, exercise and stimulation, which they cannot experience in a crate. So as your dog grows, limit confinement and when it is necessary, preferably to a larger room. Also, find out how much and what types of exercise are appropriate for your dog’s breed and age, and make sure your dog regularly gets the exercise it needs. Another cause of depression in dogs is when a family member is depressed. Recent studies have found dogs recognize human emotions. In May 2012, a study was published in the Animal Cognition journal. The study found dogs responded more strongly when people were crying as opposed to talking or humming. In this case, the best remedy may be to get treatment for yourself or the depressed family member, which should alleviate your dog›s sadness. Dogs also experience depression when they lose a family member, whether it’s another pet or human companion. Sometimes dogs improve if a new pet is introduced, but not always. When a dog loses its owner, this can be particularly devastating. An interesting 2013 study was reported by CBS News online, in “Study: Dogs bond with owners similar to babies with parents.” Researchers observed that the “secure

base effect” phenomenon that’s experienced by babies also occurs in dogs. Like babies, dogs are more likely to interact with things and other people when they feel the secure presence of their caregivers. If your dog has lost a beloved family member or caregiver, those closest to your dog should intervene and give it extra love and attention. Another cause of depression in dogs is punishment. Animal behaviorists say when dogs are repeatedly punished with shock collars or other physical means, dogs come to feel helpless. Not only can it cause aggression in dogs, but it can also cause dogs to withdraw. The best method for training dogs is with rewards for positive behavior. This is not only better for their emotional health, but it’s also more effective. Finally, certain medical conditions, such as thyroid problems can cause depression. If your dog is depressed, and especially if there’s no apparent reason for it, have your dog checked out by your veterinarian.

Signs your dog is depressed The most common symptoms of dog depression are similar to those in humans. They include: • sleeping more than usual • withdrawal or hiding • loss of interest in food • loss of interest in things it previously enjoyed, or inactivity • excessive licking, particularly of their paws • self-mutilation (in more severe cases, often related to separation) anxiety

What to do if your dog is depressed First, if you suspect any of the reasons above is causing your dog’s depression, try to remedy the situation that’s causing it. This will often resolve your dog’s sadness. But if your dog doesn’t improve, an antidepressant can help, particularly in anxious dogs. Dogs are prescribed many of the same antidepressants as humans. But always talk with your veterinarian before giving one to your dog.

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Snoring: Not Necessarily Sleep Apnea Constant snoring doesn’t mean sleep apnea, say experts By Deborah Jeanne Sergeant

he ear-splitting, chainsaw-like sounds coming from the other side of your bed does not necessarily mean that your beloved has sleep apnea. “The majority who have apnea snore, but the majority of those snoring do not have sleep apnea,” said Jonathan A. Marcus medical director of the UR Medicine Sleep Center and associate professor of clinical neurology and Medicine at University of Rochester. About half the population snores sometimes. The phenomenon occurs during sleep when the muscles relax and the base of the tongue vibrates. With sleep apnea, the person’s airway becomes blocked and for 10 to 20 seconds, they do not get enough air. The individual may gasp and choke. “The brain notes this and wakes the body up,” Marcus said. “You can get to the morning and feel exhausted.” During deep sleep, apnea is worse, as the muscles relax even more. With snoring, it is usually just the non-snorer whose sleep is disrupted. Sleep apnea fragments sleep—making the person feel lest rested. Quality of life is typically why patients seek treatment for sleep apnea. But sleep apnea can contribute to an increased risk for many health conditions. Soda Kuczkowski, sleep health

Soda Kuczkowski is a sleep health educator and owner of Start with Sleep in Buffalo.

educator and owner of Start with Sleep in Buffalo, listed weight gain, memory loss, and tied to a greater risk of high blood pressure, heart attack, stroke, congestive heart failure, atrial fibrillation, diabetes and certain cancers among the increased risks associated with untreated sleep apnea. Risk factors for developing sleep apnea include being overweight or obese, large neck size, age, male or menopausal, having high blood pressure, a family history of sleep apnea, diabetes, being a member of minority, or being a veteran. “Veterans are four times more likely than other Americans to suffer from sleep apnea,” Kuczkowski said. The disruption in breathing deprives the brain and the rest of

the body of sufficient oxygen. The condition has four types: obstructive, central, complex and positional. Obstructive “involves a decrease or complete stop in airflow despite an ongoing effort to breathe,” Kuczkowski said. “It occurs when the muscles relax during sleep, causing soft tissue in the back of the throat to collapse and block the upper airway.” Central sleep apnea involves the brain not sending signals to the muscles that control breathing. Kuczkowski said that this breathing disorder involves problems in the brain or heart, not a blockage. Complex sleep apnea is a mixture of obstructive and central apnea. Positional sleep apnea is as its name

denotes: sleep apnea involving body position during sleep. Easy, home remedy interventions for snoring include a nose dilator, eucalyptus essential oils, side sleeping, using a humidifier, proper hydration, limiting alcohol and maintaining proper weight. Sleep apnea requires professional treatment. Typically, insurance coverage permits patients to self-refer to a sleep specialist. Most people can have a sleep study performed at home. However, some do need to stay overnight at a sleep center. “There’s often hesitation from the community about the idea of doing sleep testing,” Marcus said. “They’re familiar with sleep testing done in a facility, but not at home.” Many patients also assume that treatment with a cumbersome CPAP, or continuous positive airway pressure device, but Marcus said that newer therapies like dental devices and Inspire, an implantable device, can make treatment easier.

June 2022 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • Page 13

SmartBites By Anne Palumbo

The skinny on healthy eating

you’ve already reached more than one-quarter of the recommended daily limit (nearly one-half if you’re watching your salt intake). While our bodies need salt for many essential body functions, too much can lead to high blood pressure, heart disease, and stroke.

Homemade Dill Pickles 1 cup fresh dill sprigs 3-4 garlic cloves, chopped 1 tablespoon red pepper flakes (optional) ¼ cup chopped onion (optional) 1-2 English cucumbers (shrinkwrapped in plastic) 1 cup water 1 cup white vinegar 1 tablespoon Kosher salt 1 tablespoon sugar

Are Pickles Good for You?

e eat a lot of pickles here in the Palumbo household, and we are not alone. Americans eat about 20 billion pickles a year. Thatzalotta pickles! But, are pickles healthy? They can be for many, but pickles and their high salt content are definitely not for everyone. So let’s take a look at the pros and cons of this crispy, crunchy, salty snack. Since pickles start as cucumbers, their nutritional profile is quite similar to this non-starchy veggie’s. One dill pickle spear is high in water, low in calories and boasts a decent amount of vitamin K: nearly 20% of our daily needs. Vitamin K helps maintain strong bones, ensures proper blood clotting and may offer protective health benefits in older age. New research, published in “The American Journal of Clinical Nutrition,” has found

that low levels of vitamin K among older adults may increase their risk of early death. While the exact reason for the link is unclear, scientists know that vitamin K helps prevent calcium buildup in arteries, which is associated with decreased blood flow throughout the body. Whether you’re watching your weight or are looking to lose some, pickles are a dieter’s dream food.

Helpful tips Read pickle labels carefully, as salt contents vary. When buying refrigerated pickles full of good bacteria, look for the words “probiotic” or “fermented” on the label (not all say it, though!).

Adding These Foods to Your Diet Could Keep Dementia Away

diet rich in the antioxidants that leafy, green vegetables and colorful fruit deliver is good for your body, and now new research shows it also protects your brain. In the study, people whose blood contained the highest amounts of three key antioxidants were less likely to develop all-cause dementia than those whose blood had lower levels of these nutrients. “The takeaway is that a healthy diet rich in antioxidants from dark leafy greens and orange-pigmented fruits with or without antioxidant supplements may reduce the risk of developing dementia,” said physician Luigi Ferrucci, scientific director for the U.S. National Institute on Aging (NIA), which funded the study. “But the only way to prove the connection between antioxidants and brain health is with a long-term, randomized clinical trial to see whether fewer people who take a carefully controlled amount of antioxidant supplements develop de-

mentia over time,” Ferrucci added. For this new research, study author May Beydoun of the NIA, in Baltimore, and colleagues studied nearly 7,300 people, aged 45 to 90, who had a physical exam, an interview and a blood test for antioxidant levels. The individuals were divided into three groups, depending on the level of antioxidants in their blood, and followed for an average of 16 years and as many as 26 years. The researchers found that those who had the highest amount of the antioxidants lutein and zeaxanthin in their blood were less likely to de-

They’re fat free, low in calories (only 4-5 calories per spear) and have scant carbs and sugar. What’s more, all the water and all the vinegar in these tangy babies may help you feel full longer. Pickles made by fermentation have probiotics, which are beneficial bacteria linked to better digestion, enhanced nutrient absorption and improved immune function. Fermented pickles, found in the refrigerated section of grocery stores, are made when bacteria break down the natural sugars found in the flesh and turn them into lactic acid. Most pickles you’ll find on grocery-store shelves, however, are unfermented vinegar pickles that don’t offer the same probiotic benefits that fermented pickles do. Pickles brim with salt, with an average spear delivering about 300 mg. Consume just two spears and velop dementia than those who had lower levels. Lutein and zeaxanthin are found in green leafy foods like kale, spinach, broccoli and peas. Every increase in standard deviation (a measure of how dispersed the data is in relation to the average) of those antioxidant levels in the study was associated with a 7% decrease in dementia. For those who had high levels of another antioxidant called beta-cryptoxanthin, every standard deviation increase was associated with a 14% reduced risk of dementia. Beta-cryptoxanthin is found in orange-pigmented fruits, including oranges, papaya, tangerines and persimmons. “Experts believe that consuming antioxidants may help protect cells of the body — including brain cells — from damage,” Ferrucci said. The impact of antioxidants on de-

Page 14 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2022

Place dill, garlic, red pepper flakes, and onion in a quart-size mason jar. Fill jar to the top with cucumbers that have been sliced horizontally for chips or quartered lengthwise into 4-5” spears. Heat the water, vinegar, salt, and sugar in a small saucepan over medium heat. Stir until the sugar and salt dissolve, about 1 minute. Let cool slightly and pour over the cucumbers. Cool to room temperature, place top on jar, and refrigerate. Homemade pickles will be lightly pickled in 1 day, and will become more flavorful every day after that. Store in fridge for several weeks.

Anne Palumbo is a lifestyle colum-

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

mentia risk was reduced somewhat when researchers also accounted for education, income and physical activity. Those factors may help explain the relationship between antioxidant levels and dementia, the study authors said. The study also only measured blood at one time and may not reflect participants’ antioxidants levels over their lifetimes. “It is important to keep in mind that experts do not yet know how much antioxidants we need to consume each day through our diet and supplements for a healthy brain,” Ferrucci said. Determining ways to prevent the development of dementia is an important public health challenge, he added, but the results of previous studies have been mixed. The researchers said that antioxidants may help protect the brain from oxidative stress, which can cause cell damage. “Population studies that follow healthy people over many years for the development of dementia enable us to look for potential risk factors and also protective factors, such as dietary and lifestyle choices,” Ferrucci noted. The findings were published online May 4 in the journal Neurology.

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5 I

Things You Should Know About IBS person to person. Like other chronic pain disorders, IBS is very burdensome when symptoms are more severe. Yet the mental strain of having a disorder no one fully understands and wants to talk about can be just as difficult as the physical effect. “It can be hard to discuss since it is a relatively new entity and we are still in the nascent phases of learning about it. At this point, we do not have a cure for IBS and there is no magic pill for it. Treatment requires a bit of experimentation with the different therapies that are available. That can sometimes make IBS frustrating to treat and to discuss,” said Moza.

worsening of symptoms with stress and lack of nocturnal symptoms, said Moza. Symptoms which may indicate other diagnoses include recurrent vomiting, bloody diarrhea, weight loss and fevers to mention a few and should be investigated appropriately. The exact cause of IBS is unknown. Possible causes include problems with bowel muscle contraction and movement of food through the digestive tract, overly sensitive colon or issues with the immune system of the nerves in the digestive tract which deregulates communications between nerves in the brain and gut. Several studies have assessed the prevalence of mental health problems among treatment seeking IBS patients. About 40% to 60% of people with IBS had met formal diagnosis for mental problems particularly anxiety and depression. But that also means a large percentage do not have a mental health problem, meaning it cannot be dismissed as a psychiatric problem.

2.Stigma

4.Hope without a cure

By Ernst Lamothe Jr.

t’s a condition that often is difficult to both talk about and experience. However, both aspects are the reasons why it is too often in the shadows and why people need to understand its impact. Irritable bowel syndrome (IBS) is a common gastrointestinal disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating along with diarrhea and constipation. While the cause of IBS is not clear, symptoms arise from a variety of factors including a sensitive digestive tract and changes in muscle contractions in the gut. IBS may also be known by other names such as irritable bowel, irritable colon or also a nervous stomach, because strong emotions can aggravate its symptoms although they do not cause them. In the United States, approximately 10% - 15% of the adult population suffers from IBS symptoms, according to the American College of Gastroenterology. “IBS is quite prevalent in the population especially in young females. Understanding the symptoms, treatment and prognosis of IBS can help the patients and physicians optimize therapy and avoid over investigation,” said physician Dasha Moza, an internal medicine specialist with Rochester Regional Health. Moza discusses five aspects of IBS that people should understand.

Difficult to talk about

Irritable bowel syndrome can have many symptoms; the cardinal symptom is abdominal pain felt in the lower abdomen. Pain and bowel problems vary in severity from

Those who battle the condition also must overcome stigma and stereotypes along the way of getting the help they need. Everything from people saying it is 100% mental and “all you need to do is deal with it” to making light of the condition in real life or movies and television. “One misconception amongst patients and some healthcare professionals is that having IBS means that your symptoms are not real. That is not true,” said Moza. “The symptoms that IBS causes are 100% real, we are just not able to explain them completely with the knowledge and understanding that we have at this time.”

3.Symptoms

Symptoms of IBS usually include abdominal pain associated with bowel movements, chronic diarrhea or constipation, alternating between constipation and diarrhea associated with abdominal pain,

Despite all the scientific developments, there is still no cure for the disease. Doctors recommend a change in the lifestyle and eating habits. Home remedies or lifestyle changes include dietary changes such as avoiding food triggers like spicy or fatty foods and a specific psychological treatment called cognitive behavior therapy. Doctors may suggest gut-directed medications if the symptoms do not improve through simple lifestyle change and cognitive behavior therapy treatment if symptoms remain refractory to first-line medications. “Treatment depends on the predominant symptoms. For constipation predominant IBS, we use fiber supplementation, PEG 3350 laxatives and other prescription laxatives such as Linaclotide or Lubiprostone,” said Moza. “For diarrhea-predominant IBS, treatment includes fiber supplementation to bulk up the stool, as needed. Diet changes, dairy

Physician Dasha Moza, an internal medicine specialist with Rochester Regional Health. avoidance and keeping a food and symptoms journal have also been found to be helpful in teasing out any specific triggers for the symptoms and providing relief. Learning better methods of coping with stress through psychotherapy has also been shown to help with the global IBS symptoms.”

5.Family history

Often occurrence of this condition is seen in people in their late teens to early 40s. It is also said that it may affect multiple people in a family. Women can be twice as likely than men to suffer IBS. “IBS is not a typically inherited condition that we think of, but genes can certainly play a role as well as the environment in a family including diet and stress,” said Moza. “Gut bacteria vary between people and we know that certain bacteria are associated with more symptoms of IBS. Our diet and lifestyle affects the type of bacteria in our gut which can be a factor of our family or the people we cohabit with.”

Health Career

Speech Language Pathologist

Helping those in need is ‘very fulfilling.’ Annual mean wage of speech language pathologists in Rochester is $76,400 By Deborah Jeanne Sergeant

peech language pathologists do far more than teach preschoolers how to say the letter “r.” They assist with all sorts of health issues and work in many different settings with patients across the lifespan. Regardless of where and with whom they work, speech language pathologists help patients. That is what drew Suzanne Johnston to the profession. Now working at Speech and Communication Services in Rochester, Johnston felt as a high school student that helping others would be part of her career. At first, she thought it would be working with people who are deaf and hard of hearing. However, the more she learned about speech language pathology, the more she realized that

was the role she desired. After completing her master’s degree at UB, she finished a year of fellowship under a certified speech language pathologist before receiving her own certification and licensure in 1984. “You have to be a good communicator, have a good command of the language they’re practicing in, and to like working with people,” Johnston said. “I’ve met some people who midway decided they didn’t like working with people. “I think they need to have questioning minds and be good diagnosticians and resourceful.” Oftentimes, speech language pathologists may be the only one in their profession in their community, or only one of a handful of practitioners in their hospital. Staying in

touch with others in the want to get into.” profession can help reduce As with any health or risk of isolation. helping profession, burnout As she works in private presents a big challenge. practice—not a healthcare, Talking with colleagues, long-term care or school joining a professional orsetting—Johnston sees a ganization and taking time variety of patients from for self-care helps. toddlers to adults. She foWhile the profession cuses on speech issues such has little room for adas articulation, fluency, vancement, some larger stuttering disorders, cognihealthcare facilities may tive disorders or progreshave a senior or managerial Suzanne Johnston sive neurological issues, role for a speech language motor speech challenges and, as her pathologist. Johnston considers her specialty, aphasia. In the medical solo practice as the ultimate advancesetting, speech language pathologists ment. may help patients with swallowing “In private practice, I do what I disorders, hearing disorders and want,” she said. “That’s hard to do voice therapy. right out of school. You need a broad Anyone interested in becoming a range of experiences and expertise. speech language pathologist should This is another way you can move try shadowing one in the desired up.” setting such as a school, nursing She finds her role as a speech home or hospital or perhaps auditlanguage pathologist very fulfilling. ing a class to learn more about the “I feel like one of the very improfession. portant things I offer people is hope,” “One of the things I did when I Johnston said. “People who come to was figuring out what I wanted to me are in need of something. If I can do is I volunteered my time,” Johnoffer them the means to do that and ston said. “This day and age it’s not hope for the future; that to me is a as possible, but if you can volunteer really valuable role.” in clinics or in settings where you The annual mean wage of speech can work with people, that’s great. language pathologists in Rochester is You can figure out if this is what you $76,400.

Page 16 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2022

KIDS & TEENS

D E PAUL Kids Need Summer Break

Expert: It’s a chance for children to step away … learn and practice their soft skills By Deborah Jeanne Sergeant

hile no school districts in New York schedule school year-round, numerous districts do nationwide. They cite reasons such as decreasing remediation, reducing need for daycare and using school resources throughout the year. The districts typically sprinkle their time off throughout the rest of the year, with week-long breaks during each quarter. While parents of children who have a typical summer break may feel that scheduling academic camps and reading lists will keep them ahead scholastically, enjoying summer as a break from rigorous mental activity offers benefits, too. “Learning through play is a huge part of life,” said Terrence McElduff, executive director of the Before and After School Program at the Y of Greater Rochester. McElduff has also worked in other Y youth programming. “At the Y, we focus on core values,” he added. “Those are all a huge part of life and learning and help us in our education. At our summer camps, that’s what we’re doing: building relationships and creating a better sense of community. Because of these past few years, kids are still coming out of the mode of being stuck inside and summer gives an opportunity to have a release from it all.” He views summer break as a chance for children to step away from the busy grind of school and learn and practice their soft skills. The Y provides 27 daily programs, plus six kinds of day camps

during the summer. Campers may come for up to 10 weeks with the Y’s rolling enrollment. Free time for play helps children learn how to entertain themselves. However, they need the right tools for play. Assess their playthings. Are their toys outgrown, broken or missing parts? Provide some age-appropriate outdoor play equipment, such as sporting goods, bikes and skates, sidewalk chalk, water squirting toys and swing set and slide. Plan for rainy days with some new coloring books and markers or crayons; craft supplies and kits; modeling clay; Legos and other building kits; dolls, action figures and puppets; and pleasure reading material. While summer should represent a time of relaxation, it is important to for parents to not leave summertime as a completely blank slate. “Though we need to disconnect and have that freedom in the summer, some structure and focusing on those core values like sharing, being honest, team building helps kids learn,” McElduff said. “Giving them new experiences like a STEM project, shooting archery, climbing rock walls, hiking, learning to swim: all those things happen at our camps.” While it is tempting to let all the rules drop during summer, that isn’t a good idea, according to physician Alberto Monegro, with the Pediatric & Adult Sleep Medicine and UBMD Pediatrics & UBMD Internal Medicine. He is an assistant professor in the department of medicine of Jacobs School of Medicine and Biomedical Sciences at UB. “For most Americans, we have the idea that when we are on vacation or when summer starts that the most restful thing to do is to stay up late and have inconsistent bedtime schedules, as we try to maximize every hour of our day,” Monegro said. The “non-schedule” is stressful on the body and especially for children, who crave routine for when they sleep, eat and exercise. “When that routine is thrown into disarray, their health is affected,” Monegro said. “It’s very difficult for a child with poor sleep habits in the summer to get back into the rhythm of going back to school.” Summertime sleep is hard enough with the longer daylight hours throwing the body’s circadian rhythm out of whack. Sticking with a consistent bedtime and a cool, dark bedroom can improve children’s rest.

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KIDS & TEENS

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Does Social Media Harm Kids? It Depends on Their Age

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our child’s risk of harm from social media is higher at certain ages and it’s different for girls and boys, researchers report. To figure out how social media use affected “life satisfaction” among 10- to 21-year-olds, the investigators analyzed long-term data on 17,400 young people in the United Kingdom. The new study found key periods when heavy social media use was associated with lower life satisfaction calculated a year later. For girls, that period was between 11 and 13 years of age. For boys, it was 14 and 15. “With our findings, rather than debating whether or not the link exists, we can now focus on the periods of our adolescence where we now know we might be most at risk and use this as a springboard to explore some of the really interesting questions,” said lead author Amy Orben of the MRC Cognition and Brain Sciences Unit at the University of Cambridge. The study authors said the gender differences suggest sensitivity to social media might be linked to developmental changes, such as those in brain structure or puberty, which occurs later in boys than in girls. Higher amounts of social media use at age 19 predicted lower life satisfaction a year later for both young men and women, the findings showed. The researchers suspect this may be because major changes at that age — such as leaving home or starting work — may make people more vulnerable. At other ages, the link between social media use and life satisfaction was not statistically significant, according to the report published

Page 18 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2022

online March 28 in the journal Nature Communications. But another link was noteworthy: Declines in life satisfaction predicted increases in social media use, regardless of age or gender. “The link between social media use and mental well-being is clearly very complex,” Orben said in a university news release. “Changes within our bodies, such as brain development and puberty, and in our social circumstances appear to make us vulnerable at particular times of our lives.” Study co-author Sarah-Jayne Blakemore, a professor of psychology and cognitive neuroscience at the University of Cambridge, said that it’s not possible to pinpoint the processes that underlie this vulnerability because the mental, biological and social changes of adolescence are intertwined. As a result, it is difficult to disentangle one from another. “For example, it is not yet clear what might be due to developmental changes in hormones or the brain and what might be due to how an individual interacts with their peers,” Blakemore said. The new study follows pledges from prosecutors and lawmakers to hold social media companies responsible for harming children, The New York Times reported. The issue is a significant one. The Times noted that nine out of 10 American teenagers have a smartphone, and surveys show they spend many hours a day using it to communicate through social media, play games and watch videos. Another recent study found that kids who use the video-sharing app TikTok are developing tics and having tic-like attacks.

increase belching. A side effect of some medications is burping as well.

Why Am I Burping So Much? Causes and remedies for excessive belching By Kimberly Blaker

elching, or burping, is a bodily process that helps expel a buildup of gas from the digestive system. Some people view it as rude or embarrassing, while others find it amusing. Some even consider it a show of appreciation for good food or drink. Regardless of your personal take on burping, it’s a normal, healthy function, that all of us do an average of three to six times after each meal. Still, if you find yourself burping excessively, it may cause you concern. A variety of causes of gas buildup can lead to the need to belch. Even though excessive burping may be frustrating, it’s most often a result of lifestyle factors that can easily be remedied. 1. Swallowing extra air One of the most common causes of excessive burping is taking too much air into your digestive system. The excess air must then be expelled. There are several possible causes of swallowing more air than your stom-

ach can handle. These include loose dentures, hiccups, eating or drinking too quickly, using a straw, smoking, chewing gum, sucking on hard candies, and talking while eating. Remedy: Pay attention to what you were doing before the burping started. Take notes to look for a pattern, and see if decreasing the behavior resolves it. Also, take your time when eating and drinking at meals, and consider going for a short walk afterward to help move the gas through your system. 2. Eating gassy foods or drinks Some foods are harder for your body to digest because of their high levels of starch, sugar, or fiber. Consuming these can cause a buildup of gas in your digestive system. Some of the most common gas-inducing foods include: beans, broccoli, cabbage, lentils, onions, dairy, peas, bananas, raisins and whole wheat bread. Carbonated drinks, like soda and beer, release carbon dioxide bubbles into your system. So these also can

Help Stop Avian Flu: Take Down Your Bird Feeders By Amy Barkley

ighly pathogenic avian influenza (HPAI) is a serious, fatal disease of poultry that is at top of mind for many.

Since the beginning of the year, it’s been identified in over 350 wild birds in 20 states, including New York. New York has also had three cases of HPAI to date in backyard

Remedy: Keep a food diary to track everything you eat, along with the frequency and timing of your burps. This way, you can see any patterns between the foods you’re eating and the need to release trapped gas. Then reduce or eliminate your consumption of gas-producing foods and drinks. 3. Digestive issues Because burping is the release of gas out of your mouth from your digestive system, digestive issues are often the cause. Some of the most common associated problems are: • Acid reflux or GERD: Stomach acid rises back toward the esophagus and causes heartburn. This leads to an increase in swallowing and the potential for air to be taken in. Overthe-counter medications are available to treat it, though some of these also cause burping. • Hiatal hernia: This type of hernia involves part of the upper stomach pushing through an opening in the diaphragm. Hiatal hernias are relatively common after the age of 50, most often causing no symptoms. Hence, people are unaware of the hernia. When the hernia causes burping, lifestyle changes, and medication usually resolve the symptom. Only rarely is surgery required for a hiatal hernia. • Lactose intolerance: This is an inability of the body to digest lactose in milk that results in bloating, diarrhea, and abdominal cramps, which lead to burping. Avoidance of dairy products is the easiest way to prevent symptoms. • Peptic ulcers: These are sores on the lining of the stomach, esophagus, and intestines caused by H. pylori poultry flocks, which resulted in the death of 268 birds. It is up to us as to help protect domestic poultry flocks. One of the ways that we can do this is to take down our wild bird feeders for a little while. While this disease is mostly carried by wild waterfowl, research has shown that other wild bird populations can carry it too, especially if they share nesting and feeding grounds with wild waterfowl. These populations include perching birds and songbirds. For this reason, we recommend that folks that feed wild birds who also have poultry at home or who work with poultry take down their bird feeders until the threat of the disease has passed. It is uncertain as to when it will be safe to put feeders back out, but scientists believe that caseloads should decrease over the summer months. The highest risk of spreading the disease is now, during the spring migration. That said, this is a disease of the colder months, and we may see cases spike again during the fall migration. For those who have poultry at home, taking down bird feeders is

bacteria (Helicobacter pylori) or irritation from pain relievers. The increase in acid that eats away at the lining can cause excess gas and belching. Ulcers may heal on their own with lifestyle changes like avoiding alcohol, controlling stress, eating a healthy diet, avoiding milk, and reducing the use of pain relievers. Some medications can treat ulcers or reduce stomach acid irritation. • Irritable bowel syndrome: Also known as IBS, this is a disorder affecting the large intestine resulting in digestive issues including gas and bloating that can lead to burping. IBS is a chronic condition and requires long-term management of diet, lifestyle, stress, and possibly the use of medication. • Fructose malabsorption: This is when the body is unable to process foods or drinks containing fructose, leading to increased gas production or bloating. To resolve it, read labels and eliminate anything containing fructose from your diet. Remedy: In these cases, burping is a symptom of a more significant problem. By addressing the underlying cause with medication or altering your diet under the guidance of a medical professional, you should experience a reduction in gas production. When dealing with excessive belching, remember that generally, it’s temporary, harmless, and can quickly be dealt with by making minor changes in your lifestyle. But if an increase in belching continues for more than a couple of weeks, is accompanied by other symptoms like severe abdominal pain, or affects your quality of life, contact your doctor. It’s best to make sure nothing more serious is going on with your body that’s causing your burping. especially important. Additional ways to protect flocks include keeping your flock away from wild birds, especially wild waterfowl, keeping people who aren’t responsible for poultry care away from your flock and, if you must visit other poultry or areas that wild birds frequent, change into clean clothing and footwear before entering poultry housing. This disease can cause unusual deaths and illness in both wild and domestic birds. Concerns about dead or sick wild birds can be directed to your local Department of Environmental Conservation (DEC) office. Unusual whole-flock illnesses or deaths in poultry can be directed to NYS Department of Agriculture & Markets (518-457-3502); the USDA (866-5367593); or your local Cornell Cooperative Extension Office. Amy Barkley is a livestock and beginning farm specialist with the Cornell Cooperative Extension Southwest New York Dairy, Livestock & Field Crops Program.

June 2022 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • Page 19

men with a lighter body weight and smaller frame have a higher risk for lower bone density.

Genetics also matters

Men: Beware of Osteoporosis That’s a common condition affecting women but about 25% of men will experience a bone break associated with osteoporosis By Deborah Jeanne Sergeant

steoporosis is an often-overlooked health concern for men. About 25% of men older than 50 will experience a bone break associated with osteoporosis. About 20% of osteoporosis cases are men, but their hip fractures account for almost 30% of hip fractures. Overall, men’s long-term osteoporosis outcomes are worse. One of the reasons that men — and their care providers — do not think about osteoporosis is that its effects are not as apparent as with women. “Men start out with bigger bones,” said Susan Brown, Ph.D., owner and operator of Center for Better Bones in East Syracuse. “You don’t see the bone loss as quickly.” Brown is a medical anthropologist, certified nutritionist and author of “Better Bones, Better Body.” She also said that men are not necessarily seeking bone density

testing because their risk is perceived as small because of their heavier frames. This does not account for higher male risk factors, such as greater prevalence of smoking — 17.5% of men vs. 13.5% of women, according to the American Lung Association, drinking alcohol in excess (men are twice as likely to binge drink, states the Centers for Disease Control and Prevention) and use of certain bone-weakening medication such as proton pump inhibitors and prednisone (although both genders take these medications at the same rates, women usually take lower doses sooner compared with men, according to the National Institutes of Health). Men typically learn about their osteoporosis as a secondary diagnosis, usually after a fracture or because of low testosterone testing and not as part of a routine work-up. While most men have a larger frame than most women — a protective factor for guys — those

“Look at your family history,” Brown said. “If you have a history where a man’s father had fractures, what prescriptions did they use? What was their diet like? You could have genetic quirks like vitamin D metabolizing.” For those with higher risk factors, mitigating those risks is essential for preventing osteoporosis and debilitating bone breaks. Brown looks at the overall diet — and not just about consuming three daily dairy products for their calcium. Foods rich in minerals such as magnesium, found in nuts and seeds, and vitamin C, inherent to citrus fruits, tomatoes and many other fruits and vegetables, help keep bones strong, along with other nutrients. Vitamin D, the “sunshine vitamin” also makes a difference. It takes moderate weekly sun exposure or supplementation to get D as few foods contain D naturally. To ensure the body absorbs nutrients, Brown promotes an alkaline diet, which emphasizes eating eight to 10 cups (pre-cooking) of vegetables daily and eschewing processed, empty-calorie foods. “One-third of people in New York don’t eat one fruit or vegetable daily,” Brown said. “They have the calories in their diet but not the nutrients.” For a “meat-and-potatoes” man, making dietary changes can be tough. Incorporating more veggie-based meals in the week can help improve the diet, such as chicken taco salad. Maintaining muscle mass can also help protect bones. As people age, they tend to lose muscle and bone. Diminishing fitness can also include reduced sense of balance and less flexibility, which can contribute to falls. To prevent this cascade towards de-conditioning, Brown stressed the importance of strength training and weight-bearing exercise. She also encourages people to manage their stress.

“Surprisingly, stress damages bone,” she said. “It’s very important to recognize you’re stressed and worried and take time to have silent walks in the woods and meditate. You can nourish the nervous symptom in quiet.” Brown offers a library of bone health information and screening tools at www.betterbones.com. While dairy products are one of the diet’s richest sources of calcium (and fluid milk is typically fortified with vitamin D), many people find that consuming milk causes stomach upset. Turning to aged cheese, yogurt and lactose-free milk may help. Andréa Evans encourages her clients who want to drink milk but have stomach upset to try raw milk. Evans is a clinical nutritionist, certified holistic health counselor and owner of Gateway Nutrition in Rochester. Milk purchased in grocery stores and even most farm stores has been pasteurized. “This involves heating the milk to high temps to kill off ‘harmful bacteria’ and other pathogens,” Evans said. While this makes milk safe to drink and extends its shelf life, Evans said that pasteurization has a downside. “It kills all of the necessary enzymes needed for digestion, impairs the availability of calcium and protein, and removes almost all the health benefits,” she said. “Raw milk is more nutritionally dense. Unlike pasteurized milk, raw milk retains the key nutrients that are otherwise destroyed in the pasteurization process. This includes essential digestive enzymes, vitamins, minerals, probiotics, fat and protein.” Because it is expensive and difficult to maintain a license to sell raw milk to the public, most dairies do not sell milk raw and cannot legally give it away. Short of buying your own dairy cow, you can obtain raw milk by buying from any of the handful of New York farms that are licensed to sell it. Expect the prices to be considerably higher than at the grocery store. You may also pay a container deposit. Visit www.realmilk.com/rawmilk-finder and https://getrawmilk. com to find local raw milk dairies.

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Get involved

ecause the Alzheimer’s Association offers its programs free to people with the disease and their family caregivers, fundraising is an essential part of the equation. Senior director of development Bonnie Webster said the Rochester and Finger Region Chapter, holds three main fundraising events annually: Walk to End Alzheimer’s, Affair to Remember Gala and The Longest Day.

Volunteers line up to thank each of 325 participants as they finish the Walk to End Alzheimer’s at the Granger Homestead in 2018. Melody Burri

Working for a World Without Alzheimer’s By Melody Burri

lzheimer’s disease is the only public health issue in the top 10 in the U.S. today that has no cure, prevention or treatment. The Rochester and Finger Lakes Chapter of the Alzheimer’s Association has been working hard to change that for the last four decades, serving area families dealing with the impacts of this deadly disease. “Forty years ago, our chapter was founded to support the caregiver,” said executive director Teresa Galbier. “A small group of families with nowhere to turn came together to support each other. They ran a small ad in the paper that said ‘we’re getting together and if you are a caregiver, you’re invited.’” “That Thursday night,” she said, “80 people showed up.” The Rochester and Finger Lakes Chapter now serves nine counties. Over the last two years, since March 2020, they’ve fielded 11,513 phone calls, offered 1,012 programs serving 6,100, and had 17,600 engagements with family caregivers, people living with Alzheimer’s and members of the professional community. “Most people living with Alzheimer’s will be cared for by a family caregiver,” said Galbier. “We are here to walk the journey with the families. We don’t want them to walk alone. We want them to have the tools they need to be informed and educated caregivers. The resources we offer include caregiver support groups, education and our 24/7 help line so they know we’re just a phone call away when they need us.” The Alzheimer’s Association also offers engagement opportunities for those in the early stages of the disease. “After people receive a diagnosis, they tend to isolate, which makes the journey even more difficult,” said Galbier. “So we offer outings, boat rides, art gallery tours — opportunities to meet new friends and neighbors who will become their new network of support, because they’re

all walking similar journeys.” The Alzheimer’s Association offers support groups for families and all programs are free to people with the disease and their family caregivers. “That’s why we fundraise,” said Galbier, “so there will be no cost to families.” According to Alzheimer’s Disease facts and figures (alz.org/facts), more than six million Americans are currently living with Alzheimer’s. The cost of their care was an estimated $355 billion in 2021, and is on track to increase to more than $1.1 trillion (in today’s dollars) by mid-century. “I’m here because I have to fight the fight every single day until I can be part of the team that announces the first survivor and we can celebrate a world without Alzheimer’s and other dementias,” said Galbier.

One family’s story Denise’s husband was diagnosed with Alzheimer’s in February 2020, just weeks before COVID-19 was declared a pandemic. At the time, she was running her own business — something she’d been doing for the last 30 years. “My husband declined greatly after the diagnosis,” said Denise. “So I not only had to deal with the surprise of his condition, but everything that was going on with COVID.” By October 2021, it had become too difficult to work full-time, provide sole care for her husband and keep up with essential demands like laundry, grocery shopping and household chores. Denise made the tough decision to shutter her business. Since the couple had been planning to retire eventually, she bumped the date forward, packed up the house and moved cross country. She describes it as being “probably the most difficult time in my life.” “The one thing people should know about the disease is that it strips the essence of the individual away very slowly at first,” she said. “You don’t notice that anything is

• Walk to End Alzheimer’s — This popular event will be held on three dates at three locations this year: Saturday, Oct. 1, at the Granger Homestead in Canandaigua, Saturday, Oct. 8, at Frontier Field in Rochester and Saturday, Oct. 15, at Watkins Glen International. “We’d love to have people join us with their family teams or volunteer the day of the event, or help plan,” said Webster. “We want to reach as many people as possible.” • Affair to Remember — This year’s gala, held on May 19 at the Hyatt Regency Rochester, celebrated 40 years of care and support and community. The black tie optional event featured a cocktail reception, dinner, entertainment and silent auction. • The Longest Day — This year-round, do-it-yourself event that culminates on June 21, the summer solstice and the day with the most light. People from across the world fight the darkness of Alzheimer’s through

a fundraising activity of their choice. “One woman threw herself a gala,” said Webster. “Another man rides roller coasters and does an event where he takes pledges and rides a rollercoaster all day long in honor of his brother. Others play bridge or golf or hold bake-offs.” Galbier said people host tap dancing or zumba marathons, host walkathons or comedy shows, give chef lessons, bake and sell their grandma’s banana bread, go parachuting or skiing, build snowmen, play snowball softball, bike the Erie Canal. “Do what you love to raise awareness and funding to support the Alzheimer’s Association,” said Galbier. “You can get pretty clever and have fun doing it.” Volunteers can also host fundraisers centered around exercise like hiking, cycling, running, swimming, walking, workout or yoga/pilates. Or they can focus on sports like bowling, golf, kickball, pickleball, soccer or tennis. Some may host a gaming event that features video games, live streaming, board games, bridge, cards, chess or mah jongg. Cookouts, galas, lemonade stands are popular, along with gatherings for crafting, dancing, music or singing. A hobby-centric event like car and motorsports, baking, gardening, fishing, knitting/ crocheting, reading/book club or water sports are also options. Whether participating at home, online or in-person, learn about ways to engage family and friends in The Longest Day at https://act.alz.org.

“Most people living with Alzheimer’s will be cared for by a family caregiver. We are here to walk the journey with the families. We don’t want them to walk alone.” Teresa Galbier, director of the Rochester and Finger Lakes Chapter of the Alzheimer’s Association. happening. You think to yourself, ‘maybe this behavior is aging, maybe he’s just in a bad mood, why is he making that decision?’ All the while your life is changing, again very slowly.” Once a diagnosis is made, fear, sadness and loss set in, she said. “I think this happens in all cases, but especially when a spouse or partner becomes the caregiver,” said Denise. “You have lost your partner in life — someone that you shared everything with — and now the body is still there, but the person as you have known them is fading away day by day.” The Alzheimer’s Association’s wives and partners support group has been instrumental in helping her work her way through some of the feelings, Denise said. Listening to others who are dealing with the same emotions is very helpful. “Alzheimer’s patients all experience the disease in a different way,” she said. “We as caregivers don’t

have a play book to follow, but by listening to others going through the same thing, it gives us a little more knowledge to be able to continue on.” More than two years later, Denise still says she’s glad that she has the opportunity to care for her husband, and she knows that he would do his best for her if the situation was reversed. “Life is ever changing — you have good days and bad,” she said. “You just need to remember that it is a disease, and the way that you approach it makes a huge difference in the outcome of each day. There are many people out there to help. You just need to reach out.”

More information To learn more about the Alzheimer’s Association, visit www.alz.org. To learn more about hosting a fundraiser, call or write Webster at 585-257-4472 or bowebster@alz.org

June 2022 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • Page 21

Agencies Partner to Raise Awareness About Hearing Health Monroe Country Department of Public Health and Rochester Hearing & Speech Center kick off yearlong collaboration

he Monroe Country Department of Public Health and Rochester Hearing & Speech Center (RHSC) recently announced a year-long partnership to educate residents about hearing protection, loss, and treatment. Common risk factors that may lead to hearing damage include loud workplaces, concerts, motorsports, and online gaming. Recognizing these environments and understanding ways to protect yourself and family members is part of HearingToday.org, which the organizations co-developed. The site also includes a five-minute online hearing screener, hearing aid information, frequently asked questions and curated links to other resources. Public service announcements related to the program started airing across the region in May, which is Better Hearing & Speech Month and marks the start of RHSC’s 100th anniversary. The short, captioned video segments are being distributed with the support of WHAM-TV 13, WHEC-TV 10, and WROC-TV 8, and Spectrum Cable. “For a century, we have been privileged to help countless area residents lead better lives through speech, language, and hearing services. During that time, our approach to hearing loss and deafness has continuously evolved,” said Bob Russell, president & CEO, Rochester Hearing & Speech Center. “Good hearing contributes directly to building and maintaining interpersonal relationships and the ability for people to fully engage in the world around them. Thankfully, hearing health is now a community conversation.” “Hearing loss is not just a medical concern. It is a public health concern that can be addressed by promoting positive attitudes and behaviors, conducting research, and implementing policies and regulations that prevent hearing loss”, said Dr. Michael Mendoza, Commissioner of the Monroe County Department of Public Health. “We are pleased to partner with Rochester Hearing & Speech Center and the local media on this PSA campaign. We hope it will inspire local residents to learn more about this chronic – and all too common – health condition, which negatively impacts our quality of life in so many ways.” RHSC is the longest standing provider of speech, language and hearing services in the Finger Lakes region, with locations in Rochester/Brighton, Greece, and Webster. It is a member of the Al Sigl Community of Agencies.

Life Expectancy After Alzheimer’s Diagnosis: What Factors Matter Most

fter a diagnosis of Alzheimer’s disease, families have much to worry about. They wonder what’s next and how long their loved one has left to live. A new study from UT Southwestern Medical Center in Dallas addresses those questions, finding that mental (cognitive) decline, age and other factors affect life expectancy after an Alzheimer’s diagnosis. The study authors say the findings could help improve planning for patients and their families. “Life expectancy for patients with Alzheimer’s disease typically ranges from three to 12 years but can be longer in some cases. Families are anxious to know what to expect and how to best plan for the time ahead in terms of finances, family caregiving, and how they want to live out their lives,” said study co-author C. Munro Cullum, a professor of psychiatry, neurology, and neurological surgery. “We found that beyond global cognitive function, patients who were older, non-Hispanic, male, and who had more motor and psychiatric symptoms had a significantly shorter

life expectancy,” said study co-author Jeffrey Schaffert, a postdoctoral fellow in clinical neuropsychology. The study was published recently in the Journal of Alzheimer’s Disease. Prediction of life expectancy in Alzheimer’s patients is complex and affected by many factors, the researchers noted. They plan to further

CALENDAR of HEALTH EVENTS

June 7, 16, 28

Hearing Loss Association presents June programs Hearing Loss Association of America (HLAA) Rochester Chapter offers several free live and virtual programs in June benefitting anyone interested in hearing loss. Live programs, open to all, take place at St. Paul’s Episcopal Church, 25 Westminster Road, Rochester (across from George Eastman Museum) or Lilfespan, 1900 S. Clinton Ave., Rochester. Virtual programs are shown in real time on the Zoom platform. Preregistration for them is required by visiting the HLAA website at: http://hearinglossrochester.org Programs for June are: • Tuesday, June 7, 10 a.m. Live in St. Paul’s Vestry Room. Audiologist Joseph Kozelsky will host “Hearing Other People’s Experiences” (HOPE), where prospective, new or experienced hearing aid users are invited to share their experiences, questions and hearing loss journeys in an informal round table discussion. • Tuesday, June 7, Noon. Live in St. Paul’s Parish Hall and virtual on Zoom. Registered nurse Mary Chizuk will discuss “Accessible Healthcare for People with Hearing Loss, A Call to Action.” Chizuk has a severe hearing loss. As an HLAA member for many years, she serves on the boards of directors for both the Rochester Chapter and NY State

Association. She helped found and is current co-chairwoman of HL2 (Healthy Living with Hearing Loss) at the University of Rochester. • Thursday, June 16, 10 a.m. to 2 p.m. Live at Lifespan, 1900 S. Clinton Ave. at Tops plaza. Assistive Listening Device Demo Center. HLAA/ Rochester Technology Team. Consumers are invited to view and try out a selection of assistive listening devices before actually buying them. • Tuesday, June 28, 8 p.m. Virtual via Zoom. “Hear Together. This virtual support group is designed as a safe community supporting and connecting parents and caregivers of deaf/hard of hearing children. Facilitators are speech-language pathologist Kristin Bergholtz and audiologist Carly Alicea. To register, contact kristinbslp@gmail.com.

June 9

Free medical education program focusing on breast health The 6th Annual Breast Cancer Update for medical providers is set for Thursday, June 9, at the Embassy Suites in Destiny USA, Syracuse. The three-hour training begins with registration and dinner at 5 p.m. and will conclude at 8:30 p.m. The program is sponsored by Breast Care Partners, a fully accredited Breast Center; and by the National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of

Page 22 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2022

investigate the link between cognitive decline and life expectancy, and also hope to study a more diverse group of patients. “This dataset was largely derived from well-educated white patients who donated their brains to research. We would like to extend this work to better reflect our more diverse patient population,” Cullum said.

Surgeons. Topics of discussion include advances in radiation therapy for early stage breast cancer, new information about genetics testing for breast cancer and a breast cancer tumor board review. Crouse Hospital designates this program for a maximum of three AMA PRA category 1 credits. Crouse Hospital is accredited by the Medical Society of the State of New York to provide continuing medical education for physicians. Anyone wishing to register for the event should text or call 315-5596803 or email breastcarepartners@ gmail.com.

June 18

Free tickets to Auburn Doubledays baseball game, fireworks Hematology-Oncology Associates of CNY (HOA) invites the Central New York community to a Cancer Care Celebration with the Auburn Doubledays on Saturday, June 18, as a thank you to its patients and the city of Auburn for their long-standing support. Free tickets to the event are available while supplies last. To get a free ticket scan the QR code in the HOA ad in this newspaper. In addition to the baseball game against Utica, the event will begin with a recognition ceremony for cancer survivors and end with a fireworks display. The celebration also includes: A gift for each cancer survivor in attendance; a gift for the first 1,000 guests; an opportunity to meet the HOA staff; experts to help you understand cancer genetics screening Located at 130 Division St. in Auburn, the Doubledays stadium can seat 4,000 spectators, and offers concessions. Gates open at 6 p.m. and the game begins at 7:05 p.m.

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How Medicare Covers Alzheimer’s Disease Dear Savvy Senior, What exactly does Medicare cover when it comes to Alzheimer’s disease? My husband was recently diagnosed with early-stage Alzheimer’s, and we would like to find out what’s covered and what isn’t. — Planning Ahead

Dear Planning, I’m very sorry to hear about your husband’s diagnosis, but you’ll be happy to know that most medical costs to treat beneficiaries with Alzheimer’s disease are covered by Medicare. Unfortunately, long-term custodial care costs that most patients eventually need are not. Here’s a breakdown of what Medicare does and doesn’t cover when it comes to Alzheimer’s disease, along with some tips that can help you plan ahead. • Medical care: For the most part, ongoing medical care to diagnose and treat Alzheimer’s disease is covered by Medicare Part B, including visits to primary care doctors and specialists, lab tests, speech and occupational therapy, home health care and outpatient counseling services. Medicare pays 80% of these costs, and you will be responsible for the remaining 20% after you’ve met your annual $233 Part B deductible. Sixty days of inpatient hospital care is also covered under Medicare Part A after you pay a $1,556 deductible. Beyond 60 days, a daily coinsurance fee is added. • Medications: Most Alzheimer’s medications are covered under Medicare’s Part D prescription drug plans, but coverage varies so check his plan’s formulary. The only exception is Aduhelm, the controversial new drug that is estimated to cost $28,200 per year. Medicare Part B will only cover this drug if your husband is enrolled in a clinical trial. • Long-term custodial care: It’s important to understand that original Medicare does not cover long-term custodial care. This includes nursing home care, the costs of assisted living facilities and adult day care. Medicare does, however, pay for some shorter-term nursing home care, but only up to 100 days following a three-day inpatient hospital stay.

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Hiring home help for bathing, toileting and dressing (this is known as custodial care) is not covered by Medicare either unless your husband is also receiving skilled-nursing care or physical or occupational therapy. To help with these costs, you may want to look into getting a longterm care insurance policy or shortterm care plan (see aaltci.org/stc) if possible, or if your income and assets are very limited, you may qualify for Medicaid. To investigate your financial options for long-term care, go to PayingForSeniorCare.com. • Hospice: In the final stages of the disease, Medicare Part A covers nearly all aspects of hospice care, including doctor services, nursing care, drugs, medical equipment and supplies, physical and occupational therapy, homemaker services, counseling and respite care. To qualify, a doctor must certify that a patient has six months or less to live. • Other Insurance and Assistance: If your husband is enrolled in original Medicare and he doesn’t have a supplemental insurance (Medigap) policy, you should consider getting him one. A Medigap plan will help pay for things that aren’t covered by Medicare like copayments, coinsurance and deductibles. To search for plans in your area, go to Medicare.gov/plan-compare and click on “Medigap policy only.” Or, if you’re enrolled in a Medicare Advantage plan (like an HMO or PPO), his plan must provide him at least the same coverage as original Medicare does. Some advantage plans may also offer additional coverage for home care services. If you can’t afford your Medicare out-of-pocket costs or need help with medication expenses, there are Medicare Savings Programs and the Extra Help program that provide financial assistance for medications. To learn more, see Medicare.gov/your-medicare-costs/get-help-paying-costs. You can also get help through your State Health Insurance Assistance Program (see ShipHelp.org or call 877-839-2675), which provides free Medicare and long-term care counseling.

Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior. org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

“TALKING TALKING “TALKING TALKING ABOUT ABOUT MONEY IS MONEY IS IN POOR IN POOR TASTE.” TASTE.” Learn save for foryour your Learnhow how to to save retirement retirement at at WeSaySaveIt.org. WeSaySaveIt.org. National Security,2016. 2016. NationalInstitute Instituteon on Retirement Retirement Security,

June 2022 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • Page 23 National Institute on Retirement Security, 2016.

Ask St. Annʼs

Ask The Social

By Lisa Giles

Security Ofﬁce

From the Social Security District Office

Y JUNE 16-23

The CNA: Providing Care, Friendship, Advocacy for Elders

hey’re the first person you see in the morning and the last before you go to sleep at night. If you live in a skilled nursing community, you know who I’m talking about: the CNAs, or certified nursing assistants. These special people spend more time taking care of our loved ones in skilled nursing than anyone else. And since National Nursing Assistants Week is this month (June 16-23), we thought we’d shine a light on these important individuals. In my 33 years as a CNA at St. Ann’s Community, I cared for and became friends with thousands of elders and formed close ties to their families. I’m blessed to have had that opportunity and proud to say it made me the person I am today. (In my current role, I am a CNA recruiter for St. Ann’s.) The CNA’s day begins when the elders on their floor wake up — although some work evening or night shifts according to their preference. The CNA helps get them going: morning routines, helping them dress, putting on their hearing aids, tidying up their rooms. Working with other staff, CNAs assist with breakfast and prepare the elders for morning activities. They do the same at lunchtime, then bring our elders back to their rooms for some rest and relaxation. It’s then that the CNA can spend time socializing with them if the elders so choose—playing games, painting their nails, helping with personal tasks, and simply sharing conversation. As you can imagine, a close bond forms between the CNA and the elders they care for. It’s one of the most rewarding things about the job. The CNA is a caregiver but also a friend, a protector and an advocate who is there for the elder when their family can’t be. Their value to our residents is so significant! I will be honest: it’s not an easy job. First, it’s very physical. CNAs are on their feet all day and our elders rely on them to help them get from place to place. Second, patience and empathy are crucial; you have to put yourself in the elder’s shoes,

Got a question for the experts at St. Ann’s Community? Send it to info@mystanns.com. something most of us have to work at. I tell new CNAs to think of how they’ll want to be treated one day or the kind of care they’d want for an older relative. It’s about doing your best every day for the people you’re caring for. If your heart isn’t in it, it’s not the job for you. If it is the job for you (more about that in a moment), it’s a great career starter. Many CNAs go on to become licensed practical nurses, registered nurses, nurse educators or nurse managers. Working as a CNA helps you develop the compassion necessary for those jobs and gives you an understanding of older adults and their needs. Many skilled nursing communities like St. Ann’s offer training and scholarships to help with career advancement. Speaking of training: At St. Ann’s we offer a pre-CNA program for those interested in entering the field. It’s the position of resident service technician (RST), a paid position working alongside a CNA to get a feel for the job and how the community operates. RST training lasts 4-6 weeks, after which a 4-6 week CNA training period begins under the guidance of a mentor. A written exam is the last step in attaining CNA certification and the start of a career in senior care. If this sounds interesting to you or someone you know, contact the skilled nursing community of your choice. We welcome your interest and are always looking for talented, compassionate new caregivers!

Lisa Giles is CNA talent acquisition and onboarding assistant at St. Ann’s Community. She can be reached at 585-697-6397or Lgiles@ mystanns.com.

Fact Sheets Added to Your Social Security Statement

our Social Security Statement (statement) tells you how much you or your family can expect to receive in disability, survivors and retirement benefits. It also provides a record of your most recent earnings history and other valuable information. We also give you fact sheets with your online statement. The fact sheets provide clear and useful information, based on your age group and earnings situation. They can help you better understand Social Security programs and benefits. The statement fact sheets cover the following topics: • Retirement readiness for workers in four age groups. • Workers with non-covered earnings who may be subject to the Windfall Elimination Provision and Government Pension Offset. • Social Security basics for new workers. • How people become eligible for benefits (for people who have not earned enough work credits). • How additional work can increase your future benefits.

Q&A

• Medicare readiness for workers aged 62 and up. We recently released a new fact sheet specifically for people with limited earnings. The new fact sheet covers how they and their family members may qualify for benefits, including: • Supplemental Security Income • Social Security retirement benefits. • Children’s benefits. • Supplemental Nutrition Assistance Program. • Help with health care costs, including Medicare, Medicare Savings Programs, Extra Help with Medicare prescription drug costs, and Medicaid. The best way to get access to your statement and the new fact sheets is by using your personal “my Social Security” account. If you don’t have a personal “my Social Security” account, be sure to create one at www.ssa.gov/myaccount. You can even view your full earnings history there. To learn more, visit our Social Security statement webpage at www. ssa.gov/myaccount/statement.html. Please share these resources with your friends and family.

that allow you to work temporarily without losing your disability benefits. For more information about Q: What is substantial gainful activity disability benefits, read our pub(SGA)? lications “Disability Benefits” and A: We use the term “substan“Working While Disabled — How We tial gainful activity,” or “SGA,” to Can Help.” Both are available online describe a level of work activity and at www.ssa.gov/pubs. earnings. Work is “substantial” if it involves doing significant physical or Q: Often, I need assistance with day-tomental activities or a combination of day tasks. My daughter offered to help both. If you earn more than a certain me with my Social Security claim and amount and are doing productive wants to represent me. Is that OK? work, we generally consider that you A: You can choose to have a are engaging in SGA. For example, representative help you when you do the monthly SGA amount for 2022 is business with Social Security. We’ll $1,350. For statutorily blind individwork with your representative in the uals, that amount is $2,190. In these same way we would work with you. cases, you would not be eligible for Select a qualified person, because disability benefits if you made over this person will act for you in most those amounts. You can read more Social Security matters. First, you about substantial gainful activity and will need to fill out the Appoint a if your earnings qualify as SGA at Representative form at www.ssa.gov/ www.ssa.gov/oact/cola/sga.html. forms/ssa-1696.pdf. Keep in mind that an attorney or other individual who wants to collect a fee for proQ: Will my Social Security disability viding services in connection with a benefit increase if my condition gets claim must generally obtain our prior worse or I develop additional health authorization. problems? A: No. We do not base your Q: Are Supplemental Security Income Social Security benefit amount (SSI) benefits subject to federal income on the severity of your disability. tax? The amount you are paid is based A: No. SSI payments are not on your average lifetime earnings subject to federal taxes. If you get SSI, before your disability began. If you you will not receive an annual Form go back to work after getting disabilSSA-1099. However, your Social ity benefits, you may be able to get a Security benefits may be subject to higher benefit based on those earnincome tax. Learn more at www.ssa. ings. In addition, we have incentives gov.

Page 24 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2022

Health News Highland Hospital honors physician, nurse practitioner

CVS Health to sponsor Tour de Cure: Upstate New York

Highland Hospital has honored Keely Dwyer-Matzky as physician of the year and nurse practitioner Vehid Basic as advanced practice provider (APP) of the year. Dwyer-Matzky is medical director for patient flow and capacity management at Highland Hospital and assistant chief medical officer for patient flow and capacity management for URMC. She is also an associate professor at the department of pediatrics and Dwyer-Matzsky medicine, UofR, and an attending physician at Highland Hospital and Golisano Children’s Hospital. “I am honored to receive this award,” said Dwyer-Matzky. “I share this recognition with all of my colleagues who have shown such dedication and resilience during the pandemic. I also want to recognize that I have received this award due to the amazing collaboration of the interdisciplinary teams I work with at Highland Hospital. I look forward to many more years serving our Highland community.” Dwyer-Matzky received nominations from several colleagues. “Dr. Dwyer-Matzky is an outstanding physician,” said one nominator. “She provides thorough and compassionate care with outstanding team interaction and communication.” Another colleague Vehid Basic noted, “Highland Hospital is really lucky to have someone like her during these tough times.” Vehid Basic serves as an adult gerontology acute care nurse practitioner (AGACNP) at Highland where he has worked since 2006. “I’m extremely happy to receive the advanced practice provider of the year award,” said Basic, who is originally from Bosnia. “It is nothing else but an absolute honor. Brains, like hearts, go where they are appreciated, and I intend to live up to the level of success this award demands.” Basic was also nominated by several colleagues for the award. “Vehid is an epitome of what someone can achieve when given the chance,” said one nominator. “He has a sharp and inquisitive mind and is always looking to broaden his medical knowledge base and he has an extremely empathetic and compassionate bedside mannerism that embodies all the characteristics that one would like to see in a caregiver.” They will be recognized during a reception in June and at a Highland board of directors meeting.

The American Diabetes Association (ADA) recently announced support from CVS Health as signature sponsor for its Tour de Cure: Upstate New York. The annual cycling event unites the Rochester, Buffalo, Syracuse and Albany regions in raising much needed funds for diabetes research, education, and advocacy. “Each year, Tour de Cure invites families, friends, and community members to join in our mission to prevent and cure diabetes and to improve the lives of all people affected by this disease,” said Jeff Collins, executive director. “We’re incredibly grateful for the role our corporate partners such as CVS Health play in this valued community engagement and fundraising.” CVS Health’s Tour de Cure sponsorship comes as part of a national partnership announced last fall. The company has committed $10 million over three years to support families in helping to prevent and manage diabetes, as well as fund research on the devastating health disparities that fuel the diabetes epidemic. “Through our partnership with the American Diabetes Association, we’ll help increase access to health care for high risk and vulnerable populations and provide them with the educational resources they need to stay healthy,” said Eileen Howard Boone, senior vice president of corporate social responsibility and philanthropy for CVS Health, and president of the CVS Health Foundation. “As part of this effort, we’re excited to sponsor the Upstate New York Tour de Cure and further our support for the 37 million Americans living with diabetes.” The 2022 ADA Upstate New York Tour de Cure returns as an in-person event this year on Saturday, June 11, at Xerox Campus in Webster. To register, go to diabetes.org/ upstatetour. For more information, please contact Jessica Joanis at 315546-5430 or jjoanis@diabetes.org.

Thompson Hospital. The board thanked its two outgoing members, Canandaigua National Bank & Trust President/CEO Frank Hamlin III and Deborah Price, a retired Constellation Brands vice Krista Jackson president. Also during the annual meeting, board members and Thompson leadership recognized five physicians who retired in 2021: M. James Doling, Margaret Hollister, William Kingston, David Ragonesi and Thomas Wormer. Among the five, there was a total of 173 years of service to the community. Founded in 1904, Thompson Health is a nonprofit health system based in Canandaigua. It includes a 113Justin Weis bed hospital, a 178-bed skilled nursing facility, 12 primary care locations, three outpatient Rehabilitation Services locations, three urgent care locations, two lab draw stations, a breast imaging center, a sleep disorders center and an occupational health program. This summer, Thompson will mark the 10th anniversary of its affiliation with UR Medicine.

Former UR Medicine Home Care CEO recognized The Home Care Association of New York (HCA-NY) has awarded retired UR Medicine Home Care President and CEO Jane Shukitis the Ruth F. Wilson Award. The Ruth F. Wilson Award goes to an individual who has demonstrated exceptional dedication and made a significant contribution to home care. HCA recognizes Shukitis as someone whose work has dramatically Jane Shukitis affected home care, reaching beyond a single agency, according to a news release. On Dec. 15, 2021, after seven years at UR Medicine Home Care, Shukitis stepped down as president and CEO to enjoy retirement with her husband. Shukitis achieved significant accomplishments as CEO. She focused her efforts on three main areas — enhancing patient care and quality outcomes, strengthening the alignment with the University of Rochester Medical Center system, and improving financial performance. According to the news release, Shukitis’ transformative role at the helm of the organization will impact UR Medicine Home Care and the home care and hospice industry for (continued on p. 27)

Thompson Health board welcomes new members The UR Medicine Thompson Health board of directors welcomed three new members at its annual meeting, on April 29, at F.F. Thompson Hospital in Canandaigua. Joining the board are Akua Asante, a pediatrician who joined Thompson in 2019; Krista Jackson, an account executive with Novo Nordisk A/S and the new chairwoman of the board for the F.F. Thompson Foundation; Akua Asante and physician Justin M. Weis, director of pulmonary and critical care for Thompson as well as medical staff president of F.F.

Physician Michael Apostolakos, chief medical officer for Highland Hospital, and Cindy Becker, chief operating officer for Highland Hospital.

The 2022 Highland Gala was cochaired by, from left, Mark Eidlin, Salley Thornton and Joe and Shelly Comfort.

Highland Hospital Gala Raises More Than $650,000 for New Patient Tower

hanks to generous donors, community members, physicians and staff, more than $650,000 gross net income was raised at this year’s Highland Hospital Gala. This is the second highest amount Highland has ever raised at a gala. Traditionally the hospital’s largest annual fundraising event, proceeds from this year’s gala will benefit the hospital’s patient tower project, which is currently under construction. The project will add

four levels plus a mechanical penthouse to the hospital’s southeast wing and will be one of the largest additions in the hospital’s history. Three of the floors will include 58 new patient rooms and one floor will house other clinical programs. The new tower will allow the hospital to provide private rooms for nearly all of its patients. The event was co-chaired by Mark Eidlin, Salley Thornton and Joe and Shelly Comfort.

June 2022 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • Page 25

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Health News (continued from p. 25) many years to come. In addition, HCA has also awarded UR Medicine Home Care (URMHC) with the Quality and Innovation awards in recognition of the collaborative participation in both the Statewide Hospital and Home Care Collaborative Initiative; and the development of the HCA pediatric sepsis tool. The HCA Quality and Innovation award recognizes a home and community-based organization that has implemented a program or initiative with demonstrated outcomes in terms of client satisfaction, population health improvement, and cost reduction or avoidance. The Statewide Hospital and Home Care Collaborative Initiative was awarded due to UR Medicine Home Care’s work with URMC to implement the critical illness recovery program (CIRP). The purpose is to accelerate recovery in COVID-19 patients at risk for long-term physical, psychological, and neurocognitive sequelae of critical illness. The CIRP program is designed to help patients understand what happened during their hospital stay and guide them through their recovery at home. URMHC’s team of physicians, nurses, therapists, and pharmacists identify needs early to provide patients with the support they need. HCA recognized UR Medicine Home Care for its participation in piloting the use of the first-of-akind pediatric sepsis screening and intervention tool. Sepsis is one of the

leading causes of death for critically ill children in the United States.

Physician joins Canandaigua Medical Group Physician Jean Mandat recently joined UR Medicine Thompson Health’s Canandaigua Medical Group, where he is seeing patients in both pediatrics and internal medicine. With a bachelor’s in psychology and biomedical sciences from the University at Jean Mandat Buffalo, Mandat became a doctor of osteopathy at the New York College of Osteopathic Medicine in Old Westbury, New York, in 2015. He was then chief resident at Community Health of South Florida in Miami. Mandat, who resides in Brighton, is board-certified in family medicine and first joined Thompson in December 2021, working at its Canandaigua Urgent Care. Just prior to joining Thompson, he was with the Geisinger Health System in Dansville, Pennsylvania.

An affiliate of F.F. Thompson Hospital, Canandaigua Medical Group is located at 335 Parrish St. in Canandaigua.

JSL celebrates adult care program reopening Jewish Senior Life celebrated in May one year since its adult day health care program reopened with a day of food, magic and fun. The medical model program was forced to shut its doors March 16, 2020 due to the pandemic –– leaving many members and their caregivers without necessary supportive services for nearly fifteen months. They reopened on May 21 of last year. “COVID-19 changed everything for New York state adult day health providers two years ago, leaving many of our members and families without resources. We were so happy to welcome our members back last year. Since then, we have overcome a few more hurdles from the pandemic and remain open. That calls for a celebration,” says Amanda Bement, adult day health care program director. The all-day event included carnival games a barbecue lunch followed by ice cream, and a magic performance from Mike Seege. Jewish Senior Life’s adult day health care program is one of the largest in the Greater Rochester area.

Thompson on ‘150 Top Places to Work in Healthcare’ List For the fifth time, UR Medicine Thompson Health is on the “150 Top Places to Work in Healthcare” list released by Becker’s Hospital Review. According to the publication featuring business and legal information for healthcare industry leaders, the 2022 list “highlights hospitals, health systems and healthcare companies that promote diversity within the workforce, employee engagement and professional growth.” This year, there are a total of eight New York hospitals, health systems and medical groups included. Five are downstate, with the other two Upstate New York hospitals being the University of Rochester Medical Center and Highland Hospital in Rochester, also an affiliate of UR Medicine. The list includes organizations both big and small, with some of the better-known hospitals including the Cleveland Clinic, the Mayo Clinic and St. Jude Children’s Research Hospital. “Especially in this highly competitive job market, inclusion on this list is very exciting to Thompson Health because it lets people in our region know we work hard to empower our associates, helping them thrive both professionally and personally,” said Thompson Health Vice President of Associate Services and Wellness Jennifer DeVault.

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