in good Meet Your Doctor
GVhealthnews.com
May 2017 • Issue 141
priceless
Rochester’s Healthcare Newspaper
Internist Gina A. Cuyler, who heads the Black Physicians Network of Greater Rochester, explains the challenges of delivering care in Rochester and why she decided to get personal trainer certification
Cremated Ashes
You’ll be surpised by the number of ways you may scatter the cremated remains (ashes) of a loved one — including sending them into space
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Seniors’ Major Enemy: Falls
They are the leading cause of injury among older adults in NYS — one in five seniors in the region fell at least once last year, according to a survey. Find out the main causes and how to prevent falls. Page 19
Saltiest Foods May Surprise You
Local Periodontists Stay Abreast with New Developments
Why I Work as a Nurse National Nurses Week, May 6–12
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Americans Are Spending Billions Nipping and Tucking
ounded in 2005 by periodontist Suresh Goel, Progressive Implantology & Periodontics stays current with the latest in oral health technology and techniques to ensure patients receive optimal care. See 2017 Dental Guide inside.
Buckwheat
Why eat buckwheat? Well, it’s tasty, easy to prepare, inexpensive and — above all — a nutritional powerhouse. It is gluten-free and safe for those with celiac disease and gluten sensitivities.
Find out what’s in, out and how much people spend on cosmetic surgery. And what’s the most popular procedure? You’ll be surprised. See page 2
Pedestrian Deaths Surged to Record Levels Partial blame: Widespread smartphone use by walkers, drivers
Americans Are Spending Billions Nipping and Tucking New report details costs of most popular plastic surgery procedures
A
re Americans actually trying to keep up with the Kardashians — the celebrity family focused on looking good? Maybe, because people are spending more than ever before in the quest to look younger and more attractive. A new report from the American Society of Plastic Surgeons (ASPS) found that Americans spent $16 billion on cosmetic plastic surgery and minimally invasive procedures in 2016. The most popular surgical procedures and their national average costs were: • Breast augmentation — more than 290,000 procedures at a cost of about $3,700 each; • Liposuction — about 235,000 procedures at $3,200; • Nose reshaping — 223,000 procedures at $5,000; • Tummy tuck — almost 128,000 procedures at around $5,800; • Buttock augmentation — nearly 19,000 procedures at about $4,400. But what if you’re lacking that Kardashian cash? Are there ways you can boost your looks without
emptying your wallet? The most popular minimally invasive cosmetic procedures and their national average costs were: • Wrinkle treatment injections (botulinum toxin type-A, or Botox) — 7 million procedures at a cost of $385 each, • Hyaluronic acid fillers — 2 million procedures at $644 each; • Chemical peel — 1.3 million procedures at $673 each; • Microdermabrasion — 775,000 procedures at $138 each; • Laser treatments — more than 650,000 procedures at $433 each. The cost of most procedures went up from 2015 to 2016. The only exception was the national average cost of breast augmentation surgery. This surgery was nearly 3 percent cheaper, the report found. Liposuction costs went up 6 percent, and nose reshaping surgery costs increased by nearly the same percentage. Botox injection costs went up less than 1 percent. Hyaluronic acid and chemical peel costs went up around 5 percent or more, the report said.
More than 290,000 procedures involving breast augmentation took place in 2016, according to the American Society of Plastic Surgeons. Some of the other most common procedures: liposuction, nose reshaping and buttock augmentation.
Caring for the Most Important People on Earth
Tell me, what are you waiting for? St. Ann’s Community provides retirement living at its best for seniors who want to live comfortably, safely and independently. With options from spacious one or two bedroom apartments to beautifully appointed cottage
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homes you’ll find what you’re looking for. The only thing you’ll wonder is why you didn’t do it sooner.
stannscommunity.com | 585-697-6702
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • May 2017
DINNER HOSTED AT VIA MINA (formerly Pomodoro)
Dr. Nathan Riddle, DC, Psc.D is one of Rochester’s leading experts in family welllness, weight loss and metabolic nutrition. Each year, he donates numerous hours educating community organizations such as local support groups, churches, athletic clubs, independent living facilities, and businesses on how to experience true health naturally. Over the past 7 years he has added a revolutionary wellness and weight loss program to his practice, which has radically transformed the lives of thousands of people in the Rochester community. As acknowledged by the Center ofr Disease Control, obesity contributes to various weight related diseases such as heart disease, high blood pressure, and diabetes. Not only has this technology-based system helped individuals lose many pounds of stubborn weight, but the program also has assisted to eliminate the symptoms of these obesity related issues that people have suffered with for years. The program is personalized to assist each individual’s body to heal itself naturally without dangerous drugs or surgery. Dr. Riddle’s ultimate goal is that each individual and family he assists is able to use his expert acumen to live a happy and healthier life. Dr. Nathan Riddle, DC, Psc.D
BEFORE
AFTER
CHOOSE HEALTH & SIGN UP TODAY! CALL OR VISIT OUR WEBSITE TO RSVP: (585) 348-9838 RiddleWellness.com
Via Mina Italian Restaurant Wine. Dine. Celebrate. 3400 MONROE AVE. ROCHESTER, NY 14618
Pomodoro is now Via Mina, a new restaurant and celebration concept from long-term owner, Sami Mina. “Our menus show our love for Italian American food with a Napa twist. Our Wine list reflects this as well, offering Italian and American wines.” May 2017 •
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Page 3
CALENDAR of
HEALTH EVENTS
May 4, June 8
Classes for caregivers in Victor, Geneva The Ontario County for the Aging is offering two free classes designed to provide caregivers with self-care tools. Participants will learn how to reduce stress, Improve self-confidence, communicate feelings, balance their lives and locate helpful resources. Classes meet one
time per week for six weeks. The first class will take place from 1 to 1:30 on Thursdays from May 4 to June 8 at Victor Library; the second class will take place from 1 to 11:30 p.m., every Thursday from June 8 to July 13 at Geneva Library Participants will benefit from a class, whether you are helping a parent, spouse, friend or someone who lives at home, in a nursing home or across the country. Call Ontario County for the Aging at 585-396-4047 to register.
Missing a beat?
Come and greet HLAA at the 2017 Featured Speaker Program presented by the Hearing Loss Association of America Rochester Chapter
Reframing Advocacy for Treatment of Hearing Loss in Adults: A Public Health Approach Debara L. Tucci, M.D. Professor of Otolaryngology Head and Neck Surgery Duke University
Tuesday, May 16, 2017 Doors open at 5:30 pm Program to begin at 6:30 pm
• Free admission/parking • Accessible • Light refreshments will be provided An induction hearing loop and open captions will be available. An ASL interpreter will also be provided.
First Unitarian Church
220 Winton Road South, Rochester, NY 14610 http://rochesterunitarian.org/ The Hearing Loss Association of America opens the world of communication to people with hearing loss through information, education, support and advocacy.
May 4
iPad classes offered at Cherry Ridge Older adults who want to gain confidence using their iPads can learn the basics and more at a free class at St. Ann’s Community at Cherry Ridge, 900 Cherry Ridge Blvd. in Webster. Titled “Meet the iPad,” the class will be taught by Daniel Jones, an independent instructor who specializes in helping older adults learn technology. The class is free and will take place from 1:30 to 3 p.m., Thursday, May 4.
May 11
Event on overcoming physical limitations John Ahern, clinical coordinator of outpatient orthopedic therapy and sports medicine for Thompson Health, will share ideas for “Adapting Exercise to Overcome Physical Limitations and Maintain Fitness Across the Lifespan.” The presentation is part of the Mended Hearts Education Support Group, sponsored by Thompson Health’s cardiac rehabilitation department and the American College of Cardiology’s CardioSmart initiative. Ahern is a licensed physical therapist and a board-certified orthopedic clinical specialist through the American Board of Physical Therapy Specialties. The event will take place 4 to 5:30 p.m., Thursday, May 11, at Thompson Conference Center, Thompson Hospital, 350 Parrish St., Canandaigua. It’s free of charge. For more
information, visit http://mendedheartsrochester.org.
May 13
Mammogram screenings for Mother’s Day — free Breast cancer is the most common cancer found in women. But mammogram screenings can save lives since they can find breast cancer in the earliest stages when it is most treatable. That’s why for Mother’s Day, the Cancer Services Program of Monroe County and Elizabeth Wende Breast Care have teamed up to offer a free breast cancer screening event that makes it easy for you to get your annual mammogram. If you are 40 years or older, have a family history or have concerns about your risk, you should take advantage of this free screening event. The event will take place on from 7:30-11:30 a.m., May 13, at Elizabeth Wende Breast Care, 170 Sawgrass Drive, Rochester. Call 585-224-3070 to schedule your mammogram. For more information, visit www.GetScreenedRochester.org.
May 23
Fibromyalgia group holds event at at Westside Y The New Fibromyalgia Support Group will meet from 6 to 8:30 p.m., May 23, at Westside YMCA, 920 Elmgrove Road in Gates. It will explore how to best to manage the symptoms and lead the most productive life possible.
BAYER presents
A Community Conversation: Prostate Cancer and You! with Join us for an overview on prostate cancer and informed decision making for testing, active surveillance, treatment options for all phases of prostate cancer from newly diagnosed to advanced, and management of side effects. This FREE event is open to the public and presented by Us TOO International (www.ustoo.org), a nonprofit that provides educational resources and support services to the prostate cancer community at no charge. Guest Speakers to Include: • Chunkit Fung, MD - Assistant Professor, Department of Medicine, Public Health Sciences, Wilmot Cancer Institute, University of Rochester Medical Center • Jean Joseph, MD, MBA, FACS - Professor of Urology and Oncology, University of Rochester Medical Center • Eric Weinberg, MD - Associate Professor, School of Medicine and Dentistry, Department of Imaging Sciences, University of Rochester Medical Center
Sponsors
FREE prostate-healthy/heart-healthy lunch. FREE parking. Affected by prostate cancer? Us TOO. Visit www.ustoo.org.
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • May 2017
SATURDAY JUNE 17, 2017 Locust Hill Country Club 2000 Jefferson Road Pittsford, NY 14534 (Rochester Suburb) ON SITE REGISTRATION: Begins at 9:00 am PROGRAM: 10:00 am – 3:00 pm Please note that space is limited. For early registration and to RSVP for FREE lunch, contact Terri Likowski at terril@ustoo.org or (877) 978-7866, or Patrick Fisher at (585) 787-4011.
May 2017 •
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Page 5
Meet
Your Doctor
By Chris Motola
Gina A. Cuyler, M.D. Internist, who heads the Black Physicians Network of Greater Rochester, explains the challenges of delivering care in Rochester and why she decided to become certified as a personal trainer Q: Give us an overview of your specialty. A: I’m an internist. We see the full gamut. We take care of patients age 18 and up. We have people who are young and healthy as well as people with complex medical histories. You name it, we see it. We’re usually the first people who see the diseases that get referred to surgeons or specialists if they’re beyond what we can do. Q: What are the challenges to delivering care in the Rochester area? A: There are several. One of the biggest challenges we face is insurance coverage or lack thereof. We have an
emphasis on prevention, but now a lot of people have high-deductible plans. After the days of no insurance, we had the days of low co-pays. Now people have high deductibles and ask themselves if they’re really sick enough to go to the doctor, if they really need to have this done. Unfortunately, these financial barriers get in the way of accessing care to maintain wellness. People also have limited time with work, parenting, sometimes taking care of their own parents. Traditionally that’s been the women’s job, but I see it happening with men too, particularly when they’re the sole earner for the family, which isn’t so much tradition but the cost of childcare being so high it can end up not being
cost-effective for both parents to go to work. Q: How does getting your personal trainer certification work into the mix? A: Another challenge that really drove me to get my certification is education. That might sound strange coming from a physician — considering the amount of education we get — but I think there are some areas we really need to revisit when it comes to primary care. Fitness is one of those. Two-thirds of Americans are in the overweight or obese category. We’ll tell patients that they need to work on diet and exercise, but we’re not properly trained to do fitness assessments other than making sure you won’t die when they’re exercising. We’ll ask about chest pain and shortness of breath, but we don’t write exercise prescriptions or give useful information about how to begin an exercise program. We don’t incorporate body fat measurements and use BMI [bodymass index], which as you may know isn’t the most accurate way of assessing athletic people with higher muscle mass. We don’t use a lot of the tools that the fitness industry has developed because it’s not part of our training. Q: What kinds of help are you able to provide? A: Right now, we have a system where only fairly affluent people are able to get high-level fitness training. If you need a personal trainer, it’s about $200 per month. We should be giving patients information about how they should be exercising and what things they should be doing. That is an area where we can be involved. Not necessarily replacing personal trainers, but in the sense that there’s a lot more we can do on the front end and leave them to the higher-level, more intensive training. We don’t treat any other disease that way, by just telling them to just go off and do something. We don’t do that for obesity. We leave people to be preyed upon by people with less credentials than we have. So there’s room for improvement there. That’s why I got my personal training certification — to be able to incorporate that skill set into my primary practice. Q: That’s an interesting perspective. I’m kind of surprised it’s not more common. A: We’re losing the war because we’re not even participating in it. We’re not involved. We talk a little bit about nutrition, but helping patients implement self-care based on solid evidence-based literature is very important. I’m not sure how we got to the point where we took ourselves out of the equation when it’s such a huge part of the rising costs of healthcare. So many diseases are linked to obesity. How can we not be involved in fitness? Q: I also wanted to touch on your work with the Black Physicians Network of Great Rochester, of which you’re currently president. What does the picture look like for black physicians both locally and nationally? A: As you know, black physicians are an underrepresented group in medicine historically and currently. There are fewer African American males going into medicine now than there were in 1975. We’re a very small percentage physicians nationally. Locally, the problem is intensified by many factors. The big one is broader: Rochester’s usually not where people think of when they think of places they want to spend their lives, weather-wise. But Roches-
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • May 2017
ter also tends to be more segregated than places like New York City. If you look at Rochester, if you have high poverty without those children having contact with role models, people who can help them navigate the requirements to put them on the path toward medicine, they’re probably not going to get that information. The doctors and lawyers don’t live next door to them. So we have initiatives to bring that information and those role models to them. [While] the university has done a lot of work trying to attract minority students, there aren’t many minority faculty members. The students leave and then don’t come back. And without that diversity, they’re more likely to face discrimination and isolation. So we really wanted to find a way to tap into all the resources of our community to identify which physicians were in the area and be able to use those resources to support medical, college and high school students. We also wanted a network for the community; health disparities are most pronounced in the African American community. We wanted to be a resource for the community to help provide information about how to overcome some of those disparities. So we’re doing better with the number of minority physicians in the area. The hope is to raise up more people from here who will want to come back and practice here. Q: You mentioned that there were more black men pursuing medicine in the 70s. What changed? A: I’m not quite sure, but we have speculations. I think the African American community used to be more cohesive. If you were black, you probably lived in a certain area. Now, a lot of that came with segregation. As segregation ended, you have more mobility. People disperse. Black professionals are interwoven into the fabric of American life. Sprawl has had a lot to do with that. We’re starting to see some gentrification here, but you don’t tend to see the minority professionals living next door. I think segregation is horrible, but you do have to account for how things have changed since then and be strategic about how you bring role models into contact with students. One thing the Rochester mayor [Lovely Warren] has done, and the second year I’ll be involved, is where students are invited to come meet minority professionals in a kind of speed networking event. I think kids need to see and hear that their dreams can be fulfilled, because a lot of the people that they talk to may discourage them.
Lifelines Name: Gina A. Cuyler, M.D. Position: Internist and clinical assistant professor of medicine at University of Rochester School of Medicine and Dentistry; president of the Black Physicians Network of Greater Rochester. Recently joined Rochester Regional Health Hometown: Brooklyn, NY Education: University of Rochester School of Medicine and Dentistry; New York University Affiliations: Rochester Regional Health Organizations: Monroe Medical Society; American Medical Association; American College of Physician Executives Family: Married Hobbies: Travel, Bible studies, spending time with family
U.S. Pedestrian Deaths Surged to Record Levels in 2016 Experts point to widespread smartphone use as deadly distraction for drivers and walkers alike
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or the second straight year, U.S. pedestrian deaths are setting alarming new records. The number of pedestrians killed on U.S. roads rose a projected 11 percent between 2015 and 2016, the largest year-to-year increase on record, according to a new Governors Highway Safety Association (GHSA) report. During the first six months of 2016, preliminary data show 2,660 pedestrian deaths nationwide, compared to 2,486 for the same period during 2015. The year-long projection is based on those numbers. The report also projects a 22 percent rise in pedestrian deaths from 2014. Both estimates are sharply higher than the 9 percent increase in pedestrian deaths between 2014 and 2015. “This is the second year in a row that we have seen unprecedented increases in pedestrian fatalities, which is both sad and alarming,” said report author Richard Retting, who’s with Sam Schwartz Transportation Consultants. Pedestrians account for about 15 percent of U.S. road deaths. The report cited several possible reasons for the spike. They include Americans driving more due to lower gas prices; more people choosing to walk for health, transportation, economic or environmental reasons; and widespread use of smartphones,
a distraction for walkers and drivers alike. “Everyone walks, and we want to encourage that, but at the same time we want to make sure that we all get to our destinations safely,” GHSA Executive Director Jonathan Adkins said. “Unfortunately, this latest data shows that the U.S. is not meeting the mark on keeping pedestrians safe on our roadways. Every one of these lives represents a loved Early Morning and Late Evening Hours for Your Convenience one not LIVINGSTON COUNTY, ONTARIO COUNTY AND YATES COUN IN MONROE COUNTY, coming LATTIMORE PHYSICAL THERAPY NETWORK home LATTIMORE PHYSICAL THERAPY AND AVON PHYSICAL THERAPY to490 Collins Street SPORTS REHABILITATION night, nAvon, NY 14414 1655 Elmwood Ave Suite 130 Early and Late Evening Hours for Your Convenience which is ab- Morning Phone: 226-2480 Fax: 226-2494 n Rochester, NY 14620 Co-Clinical director: Jon Gerenski, DPT solutely unacceptPhone: 442-9110 Fax: 442-9049 Co-Clinical director: Leslie Summers, PTA able,” he said. Clinical Director: Erin Schall, PT, DPT CANANDAIGUA One doctors’ group added that ROCHESTER CANANDAIGUA GENESEO LATTIMORE PHYSICAL THERAPY Lattimore of Canandaigua PT’ prevention — Therapy keeping and Lattimore Physical andyour Sportseyes Rehabilitation Lattimore of Canandaigua PT of Geneseo PT (Land and/or poolLattimore based therapy) 229 Parrish Street Suite 220 earsElmwood on yourAve surroundings — is key. 1655 Suite 130 229 Parrish Street Suite 220 383 White Spruce4577 Blvd Morgan View Road n Canandaigua, NY 14424 Rochester, NY 14620 Canandaigua, NY 14424 Geneseo, NY 14454 “Today’s projected pedestrian n Rochester, NY 14623 Phone: 394-3920 Fax: 394-3997 Phone: 442-9110 Fax: 442-9049 Phone: 394 3920 Phone: 243-9150 Fax: 243-4814 Phone: 442-6067 Fax: 442-6073 fatalities — the highest ever recorded Clinical Director: Nicole Farnand, PT, DPT Clinical Erinwake-up Tobin, PT, DPT Fax: 394 3997 Johanna Clinical Director /Clinical Owner: Director: Andrew Chatt, DPT,Kaufman, DPT — are Director: an urgent call that we DANSVILLE PHYSICAL THERAPY Clinical Director: Nicole Farnand, PT, DPT OCS need to work harder at consistently HENRIETTA DANSVILLE 40 Village Plaza Owner: Cynthia Shuman, MS, PT, ATC HILTON focusingPhysical on where Lattimore Therapyand how we are Dansville Physical Therapy n Dansville, NY 14437 NORTH GREECE Hilton Physical Therapy (Land and/or pool therapy)Alan Hiliwalking,” saidbased physician 40 PHYSICAL Village PlazaTHERAPY Phone: 335-2456 Fax: 335-3494 515 Long Pond Road 383 WhiteaSpruce Blvd 1026Matt Hilton Parma Rd. Dansville, NY 14437 brand. spokesman for the American Owner: Marino, MS,Corners PT SuiteDirector: 1, PO Box 131Atwater, PT, DPT Rochester, NYof 14623 n Rochester, NY 14612 Phone: 335-2456 Fax: 335-3494 Academy Orthopaedic Surgeons. Clinical Aaron Phone:“Pedestrians 442-6067 Fax: 442-6073 Hilton, NY 14468 Phone: 227-2310 Fax: 227-2312 Clinical Director: Aaron Atwater, PT, DPT need to be mindful LATTIMORE OFLandon, FAIRPORT Owner: Matt DPTPT Clinical Director / Owner: Andrew Chatt, DPT, OCS Owner: Tim Anne, MS, PT, MLD-CDT of their surroundings,” while 59 Perinton Hills Shopping Ctr Owner: Cynthia Shuman, MS, PT, ATC walkClinical Director: FAIRPORT Brian Kinsman, PT, DPT NORTH GREECE ing,Henrietta Hilibrand said. “Walking while of Fairport n Fairport, NY 14450 Clinical Director: Lattimore Justin McEvoy, PT, DPTPT Rush Physical Therapy North Greece Physical Therapy looking at Suite yourC phone or an electron59 Perinton Hills Shopping Ctr Phone: 385-0444 Fax: 385-0442 60 Finn Road PENN YAN 515 Long PondMatthew Road Stoutenburg, MS, Fairport, NY 14450 Clinical Director: ic deviceNY can result in sprains, broken Henrietta, 14467 Lattimore of PennPhone: Yan PT385-0444 Fax: 385-0442 NY 14612 PT, Rochester, CSCS bones,444-0040 and other serious, even fatal, Phone: Fax: 444-0052 Phone: 227-2310 Fax: 227-2312 207 1/2 Lake Street Clinical Director: Matthew Stoutenburg, MS injuries.” Clinical Director: Karen Shufelt, DPT, CHT LATTIMORE OF GATES-CHILI PT Penn Yan, NY 14527
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www.lattimorept.com IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Page 7
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met Lauren several years ago, when she attended one of my “Live Alone and Thrive” workshops. Below, she plaintively recalls the raw feelings she experienced following her divorce: “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 back then. I was surprised to discover that many married friends no longer wanted me around, fearing I might be interested in their husbands. Plus, I made my daughter the singular focus in my life, and lost contact with people. Over time, I developed the attitude that I had nothing to offer and slid into a very deep rut. Finances were another issue. I had stayed home to take care of my daughter but, after my split, found it necessary to get a job to make ends meet.” - Lauren Lauren, like many divorced men and women, found herself bewildered and fearful of the future after her marriage ended. 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 on to 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 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 imagine when they were in pain and the throes of loss. Lauren continued: “It’s taken me a long time to get it together. I went back to college and graduated with an advanced degree in nursing. It 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’m running, I joined a rowing club, and I’m an active member of Meetup, the 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. 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! Attending Gwenn’s Living Alone workshop was the jump-start I needed to get moving. Listening to others made me realize that we were all struggling with
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • May 2017
the same issues. I no longer felt so alone and benefited from hearing how others dealt with similar problems. When the workshop was over, I made several small, but meaningful changes at home. I now create a nice place setting for dinner, indulged my long-standing desire for flat screen TV, and put fresh flowers in my foyer to welcome me home. I cleaned up my ever-present junk pile on the kitchen counter and made myself a quiet reading corner in my bedroom. These small changes made the house much more of a home, rather than simply a house.” While few women and men consciously decide to live singly, more and more are finding themselves on their own in midlife. The good news? Like Lauren, they are making healthy choices and learning to like it. While she acknowledges that there are trade-offs to being single, she has created a life that meets her needs and supports her new dreams. “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 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 discovered my contentedness, 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, Lauren 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. Some final words from Lauren: “My advice? Don’t close yourself off from people. It’s so easy to stay home, dig a rut and furnish it — but that’s a big mistake. Grab the weekend section of the newspaper and pick out something to do. Go ... even if you have to go alone. Who knows what you might discover?!” Gwenn Voelckers is the founder and facilitator of “Live Alone and Thrive,” empowerment workshops for women held throughout the year in Mendon, NY. For information or to contact Voelckers, call 585-6247887 or email: gvoelckers@rochester. rr.com.
Is ‘Desktop Medicine’ Chipping Away at Patient Care? Half of doctors’ work day is spent on a computer, study finds
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hysicians spend roughly as many hours on computer work as they do meeting with patients, a new study reveals. The findings are based on the daily habits of nearly 500 U.S. doctors. On average, they clocked about three hours with patients and around three hours on so-called desktop medicine, the researchers found. One doctor said the study provides grist for those who believe the American health system burdens physicians with too much red tape. “Unnecessary and redundant paperwork steals time from listening to our patients, examining them and teaching them,” said physician Stephanie Woolhandler, a professor of public health at the City University of New York at Hunter College. “It consumes resources and erodes physician morale,” added
Woolhandler, who wasn’t involved in the study. The American Medical Association, the American College of Physicians and other organizations have complained about the administrative burden physicians face. One reason for concern is that doctors get reimbursed for time spent on patient visits, not hours devoted to virtual medicine. The discrepancy between the two could fuel a rise in physician burnout, the study authors suggested. “There is growing evidence that excessive use of electronic health records [EHR] is negatively affecting physician well-being,” said study lead author Ming Tai-Seale. “Physicians with burnout symptoms are more likely to reduce their clinic time or even leave practice,” added Tai-Seale, associate director
of the Palo Alto Medical Foundation Research Institute in California. Tai-Seale and her colleagues focused on time stamps from computerized health records used by 471 primary care physicians — including pediatricians — at a community health care system between 2011 and 2014. These records “do a reasonable job at capturing the way physicians spend their time,” Tai-Seale said. The doctors saw nearly 638,000 patients face-to-face at least once during the four-year study period. Time spent on computer medicine rose during that time, while total
minutes seeing patients declined, the investigators found. Overall, the researchers estimated that physicians devoted 3.08 hours a day to face-to-face office visits (average 15 minutes each) and 3.17 hours to desktop medicine. Much of the desktop medicine was patient-related, however. It included prescription refills, medical orders, sending messages to patients, and writing notes about patients in their files. These progress notes alone accounted for an average of two hours a day. The study was published in the April issue of Health Affairs.
Healthcare in a Minute By George W. Chapman
Trumpcare —“Take 2”
There were 60 attempts to repeal the Affordable Care Act (ObamaCare) while its namesake was president. The first attempt to repeal and replace the politically charged ACA under President Trump has failed. The Freedom Caucus of the Republican Party refused to cooperate with the president and replace the ACA with the American Health Care Act — call it TrumpCare — because they felt there were too many components of ObamaCare leftover in TrumpCare. So, a second attempt (take 2) to repeal ObamaCare and roll out TrumpCare is forthcoming. If the Freedom Caucus gets its way, states would be allowed to opt out of the ACA’s most important features. The first being requiring insurers to cover 10 essential benefits including: drugs, mental health, hospitalization and maternity care. The second being the prohibition of charging higher premiums to those at higher risk of getting sick. If insurers can charge the sick and injured more, then the guarantee of covering pre-existing conditions (which Trump favors) is moot because the sick and injured won’t be able to afford the probably exorbitant premiums. Moderate Republicans will most likely be opposed to removing these important features of the ACA from TrumpCare: take 2.
ObamaCare 2017
Until it is repealed, the ACA remains law of the land and Americans are changing their tune about the ACA. A recent Gallop poll shows 55 percent of us approve of the ACA. That is up 13 points from survey taken before the election. A recent survey by the Kaiser Family Foundation finds 75 percent of us prefer we keep the ACA but continue to make it better. The biggest criticism of the ACA is insurers are exiting, leaving only one insurer
in some markets. Congress can easily stabilize the insurance markets and draw insurers back in by continuing to subsidize the premiums and waive some of the deductibles and co-payments of those who qualify based on income. Under section 1402 of the ACA, the government is required to reimburse insurers for the cost of these subsidies. This impacts the 7 million of us who purchase insurance on the exchanges. However, last year a district court enjoined HHS from continuing to reimburse the insurers. So, fearing they will be left holding the bag, insurers naturally fled the markets. Congress can also support/ fix the ACA by negotiating process for drugs. Other countries pay 40 percent less than we do for the same drugs. If Congress could lower drug prices 40 percent, that would cut premiums about 8 percent.
Psychiatrist Shortage
Two thirds of primary care physicians report having trouble arranging for psychiatric services for their patients. It often takes three to six months to get in and it is far worse in rural America vs. urban. There are about 40,000 practicing psychiatrists in the US or one per 8,000 people. Fifty percent of psychiatrists are over 50. Other than revamping how they are paid, (typically 45-60 minute increments) there needs to be much better integration of “step child” psychiatric and mental health services into developing hospital systems. Twenty percent of Americans have some sort of mental health disorder.
Healthcare Spending
The office of the actuary for Medicare projects total healthcare spending in the US will average 5.6 percent growth per year between now and 2025. The total gross domesticproduct for the US is expected to grow at 4.4 May 2017 •
percent a year. By 2025, healthcare will account for a staggering 20 percent of the nation’s total GDP. The projection is based on current healthcare law and does not speculate on growth should the ACA be amended or repealed and replaced altogether.
Urgent Care Facts
More and more consumers are ignoring/avoiding their primary care physician in favor of free standing urgent care centers. There are about 7,400 urgent care centers in the US and that number continues to grow. That’s up from 6,700 centers in 2015. According to their trade association, 92 percent of the centers had an average waiting time of 30 minutes or less. Twenty-seven percent of us visited an urgent care center in the last two years. The most common diagnoses were: acute upper respiratory infection, acute sinusitis, acute pharyngitis and cough/acute bronchitis. All could have been taken care of by their primary care provider. Most users of urgent care centers claim they could not get a timely appointment from their regular provider.
Daily Hospital Cost
Based on information from the 2015 American Hospital Association survey, the Kaiser Family Foundation has compiled a list of daily inpatient costs for nonprofit hospitals by state. The national daily average is $2,413. The five states with the lowest costs per day are: Alabama, $1,664; Arkansas, $1,649; Iowa, $1,481; Mississippi, $1,391; and Montana, $1,280. The five states with the highest costs are: Idaho, $3,241; Massachusetts, $2,965; Oregon, $3,397; Washington, $3,592; and Colorado, $2,922. New York is just above the national average at $2,456. The US spent $3.4 trillion on health care in 2016: $1.1 trillion or 32 percent inpatient; $638 billion or 5 percent on
physician services and $348 billion on drugs.
Pomco Sold
The East Syracuse based third party administrator (pays and manages claims for self-insured employers) was sold to United Healthcare. Pomco employs approximately 400. While Pomco is not an insurance company per se, the acquisition by United further reduces competition/choice in the market.
Overall MD shortage
There have been numerous predictions of a worsening physician shortage. Recently, the Association of American Medical Colleges projected the shortage to be anywhere between 40,000 and 103,000 by 2030. Most predictions do not account for the impact of physician assistants, nurse practitioners, advanced technology and miracle drugs, telemedicine, and significantly reduced times for major operations, consumerism, etc. Physicians are not fighting the battle alone. The dire predictions are also based on past and present fee for service reimbursement which rewards pure volume of services resulting in unnecessary utilization. Demand for services tends to decrease as insurance deductibles and co-pays increase. 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.
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Healthi Kids, one of Common Ground Health’s population health initiatives, advocates for healthy policies. In 2016, the collaborative effort helped organize a post card campaign calling for more areas to play in the city of Rochester
New Name, Same Mission Common Ground Health’s goal it to bring together leaders from several sectors to develop strategies for meeting the region’s health needs By Ernst Lamothe Jr.
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name change in any organization can mean a paramount shift in philosophy or re-branding. The Finger Lakes Health Systems Agency, one of the oldest Rochester healthcare organizations, has changed its name to Common Ground Health. The nonprofit, which has been a staple in the area since 1974, is rebranding to better reflect its mission to help the region find common ground and bring together organizations on healthcare issues. However, officials want the community to know it’s a name change for practical and common sense reasons and does not affect the overall services the organization has offered for decades. In fact, they are looking to expand services in the future. “Our mission remains unchanged. The reason for the name change is to better match the name to the overall work we do at this time,” said physician Thomas Mahoney, chief medical officer for Common Ground. “We have more than 40 years that we have focused on bringing people and organizations in health care together. Our new name fits that model. And to be honest the Finger Lakes Health Systems Agency isn’t a name that people often easily remember.” Today, Common Ground Health brings together leaders from health care, education, business, government and other sectors to develop strategies for meeting the region’s health needs. From caring for our aging populations to preventing lifestyle diseases like high blood pressure and obesity, the organization works with key decision-makers to meet a growing list of fundamental needs for the Rochester region and beyond. “Many of our health problems are too large and complex for any one organization to solve alone,” said Trilby de Jung, CEO of Common Ground Health. “We provide the community table and data analysis that allow decision-makers to tackle Page 10
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health challenges together. That collaboration has led to improved care, costs, and outcomes for residents in our nine-county region.” The agency, which employs 41 people, has been lauded by Gov. Andrew Cuomo as the hub of a reviving regional health planning infrastructure. In 2012, Common Ground Health, with the support of partners from across the community, was awarded the nation’s largest Centers for Medicare and Medicaid Innovation grant. Some of the initiatives that Common Ground has already accomplished include improving nutritious school lunch choices and physical activity for students, collaborating with barbershops and churches for blood pressure awareness and working with neighborhood groups to have safe playgrounds around the city. “Common Ground has an amazing ability to bring together partners from diverse areas of work and find common ground to find what is necessary to transform health in ways that will best serve our community,” said Martin Teller, executive director of Finger Lakes Addiction Counseling and Referral Agency. In addition, just in April, Common Ground held a Food, Farm and Health symposium where they brought representatives from nine counties to discuss access to better food and nutrition for kids. “Healthcare is changing rapidly so we always have to work on transforming and adapting in as many ways as possible,” said Teller. “And when it comes to food disparity that exist in our regions that is one of the most paramount issues that exist.” Among the agency’s goals this year are continuing with its efforts related to healthy weight initiatives, and assisting primary health care facilities in the region connect with other service providers, expanding their networks. Officials hope the name will resonate with the community. So far they have found some positive reaction.
“What we have learned so far is that there are some organization that either didn’t know about us or thought we were only a healthcare related organization. So we now have non healthcare organizations contacting us since we changed our name,” added Mahoney. “Because we are involved in so much in the community, we wanted a name that not only best represented the work we do but also have a name that works for us. It seems like it has connected with the community.” Common Ground Health also holds a collection of community-wide health data, allowing its analysts to identify trends, document disparities and test assumptions. This population health expertise grounds community conversations in facts and establishes a basis for shared understanding of the region’s health challenges. “Data is very important and that is one of the areas that Common Ground excels to show the incident of various chronic conditions as they impact different groups,” James Norman, president and CEO of Action for a Better Community. “They have been able to collect and analyze that kind of data to address some of the disparities that exist.” Regardless of the name change, the organization believes nothing can be done properly around healthcare without consistent collaboration with area partners. “During this time of disruptive change in health care, coming together as a region to set priorities, embrace cross-sector innovation and speak in a unified voice is critical to attracting additional resources and ensuring the most effective use of health care dollars,” said de Jung. “Though competition helps to create more efficient markets in many area of the economy, in health care, our community’s leaders get it — lasting improvement calls for finding common ground and moving in the same direction,” said de Jung.
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • May 2017
Anne Ruflin, chief planning officer for Common Ground Health, facilitates discussion during Common Ground Health’s Food, Farm and Health symposium on April 11, 2017. Photo courtesy of Matt Kelly, boonieadjacent. com.
Wade Norwood, chief strategy officer for Common Ground Health, participates in Common Ground Health’s Food, Farm and Health symposium on April 11, 2017. Photo courtesy of Matt Kelly, boonieadjacent.com.
SmartBites
The skinny on healthy eating
While humming, add stock, about 4 oz. at a time, and simmer over medium heat, stirring constantly until liquid is absorbed between each addition. Continue until buckwheat groats are creamy but al dente, about 15 to 20 minutes. You may not need all the stock. Remove from heat and stir in cheese, edamame, and toasted nuts. Top with additional shredded cheese and serve.
Health Secrets of Buckwheat
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ention buckwheat and many of us zero in on pancakes and waffles, perhaps soba noodles. In this neck of the woods, we might also think about Penn Yan, one of the world’s largest manufacturers of buckwheat products. Before I became hooked on buckwheat, I, too, only considered buckwheat in those terms. Fact is, I also thought it was a class of wheat. But buckwheat is neither a wheat nor a grain: it’s the seed from a plant related to rhubarb. And when it’s hulled, it’s known as a groat. While buckwheat is not a “true grain” — it’s often referred to as a whole grain — it is used like one in cooking, and boasts similar health benefits. A key difference, however, between buckwheat and some whole grains, is that buckwheat is gluten-free and safe for those with celiac disease and gluten sensitivities. Why eat buckwheat? Well, it’s tasty, easy to prepare, inexpensive and — above all — a nutritional powerhouse. One cup of cooked buckwheat provides a healthy dose of both soluble and insoluble fiber — nearly 5 grams. Insoluble fiber promotes regularity, while soluble fiber helps
keep our tickers in tip-top shape by ferrying cholesterol out. What’s more, numerous studies have shown that fiber helps slow down the rate of glucose absorption after a meal, an effect that might lower the risk of developing Type 2 diabetes. Buckwheat is also a mineral superstar, with notable amounts of manganese, copper and magnesium. Manganese is important for bone health, collagen production and blood sugar control; copper helps the body form red blood cells and maintain and repair connective tissues; and magnesium promotes a healthy cardiovascular system by helping to control blood pressure. And similar to other plant-based foods, buckwheat is loaded with phytonutrients — those remarkable compounds that work to ward off a host of maladies, from heart disease to diabetes to cancer. Phytonutrients do a body good by helping to reduce inflammation, lower blood pressure, and fight free radical damage. Lastly, one cooked cup of low-fat buckwheat has only 150 calories and about 6 grams of complete protein, a vital nutrient we need to have energy, build and repair muscle, and boost immunity.
5 Y
Bread is one of the top five types of food loaded with salt, according to a new government report.
Buckwheat Risotto with Mushrooms and Edamame Adapted from Wolff’s Buckwheat Risotto (serves 4-5) 1 ½ tablespoons olive oil 1 small onion, chopped 8 oz. fresh mushrooms, sliced, hard stems removed 2 cloves garlic, minced ½ cup dry white wine (optional) 1 cup buckwheat groats 2½ cups chicken or vegetable stock ½ cup freshly shredded Parmesan cheese 1 cup frozen edamame, thawed ½ cup slivered almonds, toasted (or nut of choice) Turn on some music, light a candle, get your groove on: risotto takes time. In a heavy skillet, heat olive oil over medium heat. Add onions and mushrooms and sauté until both are soft and lightly browned, about 10 minutes. Stir in garlic and buckwheat groats and cook for two minutes. Add wine (if using) and simmer until liquid is completely absorbed.
Helpful tips Buckwheat comes in many forms: hulled raw groats, hulled roasted groats (referred to as kasha), flour and soba noodles. All can be found packaged; and raw groats can often be found in bulk bins. Place whole buckwheat in an airtight container and store in a cool dry place for up to a year. Always store buckwheat flour in the refrigerator. Rinse raw groats before using.
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.
Saltiest Foods May Surprise You U.S. report names major and unexpected sources of sodium in the American diet
ou probably know that Americans consume way too much salt, but a new U.S. government report points the finger at some surprising sources of salt in the diet. The report said the top five culprits were: • Bread • Pizza • Sandwiches • Cold cuts and cured meats • Soup Surprisingly, potato chips, pretzels and other obviously salty snacks didn’t make it into the top five, though they did ring in at No. 7. “Most Americans are consuming too much salt and it’s coming from a lot of commonly consumed foods — about 25 foods contribute the majority of salt,” said lead researcher Zerleen May 2017 •
Quader. She’s an analyst from the U.S. Centers for Disease Control and Prevention. Knowing which foods contribute the most salt is important for reducing your salt intake, she said. Sodium is an essential mineral that helps the body maintain fluid balance, according to the American Heart Association. But, too much in the diet increases the risk for high blood pressure, which in turn boosts the risk for heart attack and stroke. Table salt contains about 40 percent sodium. One teaspoon of table salt has 2,300 milligrams (mg) of sodium, which is the maximum amount recommended by health experts. The new CDC report found that in 2013-2014, Americans consumed about 3,400 mg of salt daily. That far exceeds the recommended amount, and is more than double the American Heart Association’s “ideal” intake of 1,500 mg daily. And, clearly, all that salt doesn’t
come from the salt shaker. Most comes from packaged, processed and restaurant foods, the report said. Many of these foods contain moderate amounts of salt, but are eaten all day long, Quader said. It’s not necessarily that foods such as bread are high in salt, but eating several slices a day quickly adds to the total amount of salt you consume. One way to reduce salt is to pay attention to food labels when shopping and choose the lowest salt option, Quader suggested. “When cooking at home, use fresh herbs and other substitutes for salt. When eating out, you can ask for meals with lower salt,” she added. Quader said the food industry can help by lowering the amount of salt it adds to its products. Gradually reducing salt in foods can help prevent high blood pressure (“hypertension”) and reduce the risk of cardiovascular disease and won’t even be noticed by consumers, she said.
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Not Your Mother’s Birth Control Method By Rick Bartell
W
hen we talk about birth control there is a little T-shaped piece of plastic that is getting a rebirth of sorts. Years ago the IUD (intrauterine device) got a bad name for itself, and rightly so, because of a flawed design. Since then the IUD has gone through a renaissance of sorts and is now growing in popularity. First, let’s start with the basics. The IUD is a T-shaped piece of plastic that gets inserted into the uterus and messes with the way sperm can move and prevents them from fertilizing an egg. There are five brands of IUDs in the United States and of those there are two main types, the hormonal and non-hormonal. There are four types of hormonal IUDs available and all are made of plastic and all release a small amount of the synthetic hormone, progestin. This hormone thickens the cervical mucus to keep sperm from reaching the uterus. Depending on the brand, these methods can effectively prevent pregnancy from between three and six years and possibly make your periods lighter. There is only one IUD without hormones, Paragard. Paragard doesn’t affect your periods, since no hormones are released, and can work effectively for up to 12 years. There are many advantages to the IUD as a birth control meth-
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Editor & Publisher: Wagner Dotto • Associate Editor: Lou Sorendo Writers: Jim Miller, Deborah J. Sergeant, Gwenn Voelckers, Anne Palumbo, Chris Motola, George W. Chapman, Ernst Lamothe Jr., Rick Bartell • Advertising: Anne Westcott, Debra Kells, Denise Ruf • Layout & Design: Dylon Clew-Thomas • Office Assistant: Kimberley Tyler 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.
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • May 2017
od. If you are a busy person you don’t have to worry about taking a pill every day. It is a very private method, no one can tell you have an IUD. There isn’t anything to do just before having sex, and you can return to fertility very fast after it is removed. Also, unlike older IUDs, most doctors agree that if you are healthy and have a uterus you are a likely candidate for one. One down side is the cost. Yet, if you have health insurance chances are good that you’ll be covered. If you don’t have insurance it still is very cost effective when looking at over the timeframe you are protected. So, if you are shopping around for an effective (99 percent effective) birth control method, take a second look at the IUD. It really isn’t your mother’s IUD any longer. Rick Bartell has worked for over 23 years in the area of sexual health education. He currently acts a consult to a number of area nonprofits. You may contact him at bartellrick@ gmail.com with any questions or ideas for future columns.
Men’s Health Don’t miss the next issue of In Good Health. To advertise in this special issue, please call 585-421-8109
INSIDE Local Periodontists Stay Abreast with New Developments Cavities: One of the Most Common Chronic Conditions in the United States
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Special Advertising Insert
Cavities: One of the Most Common Chronic Conditions in the United States Oral health affects our ability to speak, smile, eat and show emotions. It also affects selfesteem, school performance, and attendance at work and school. Oral diseases — which range from cavities to gum disease to oral cancer —cause pain and disability for millions of Americans. They also cost taxpayers billions of dollars each year. Cavities (also called tooth decay) are one of the most
common chronic conditions in the United States. By age 34, more than 80 percent of people have had at least one cavity. More than 40 percent of adults have felt pain in their mouth in the last year. On average, the nation spends more than $113 billion a year on costs related to dental care. More than $6 billion of productivity is lost each year because people miss work to get dental care. Oral health has been linked
with other chronic diseases, like diabetes and heart disease. It is also linked with risk behaviors like using tobacco and eating and drinking foods and beverages high in sugar. Public health strategies such as community water fluoridation and school dental sealant programs have been proven to save money and prevent cavities.
Source: Centers for Disease Control and Prevention
Local Periodontists Stay Abreast with New Developments It’s not just about oral health at the offices of Progressive Implantology & Periodontics (www.rochesterperio.com). It’s about good overall health. Founded in 2005 by Suresh Goel, a periodontist, the offices stay current with the latest in oral health technology and techniques to ensure their patients receive optimal care. One of Progressive’s first advances was to involve lasers in the treatment of periodontal disease. Preservation of teeth and the return to oral health have been cornerstones of the practice philosophy that has helped Progressive grow. Introducing laser treatment to the region helped Progressive grow to its five current locations in Brighton, Greece, Webster, Pittsford, and Geneseo. Progressive was among the first in the area to adopt laser technology as a treatment for gum disease. From the beginning, Progressive has offered dental 3-D digital imaging, allowing for a greater understanding of the structure available for dental implant care. This makes procedures less invasive and more personalized. Since then, Goel has continually reinvested into the technology to take advantage of new advances in both the software and hardware capabilities. Goel believes using cuttingedge technology and a team approach enhances the level of Page 14
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service Progressive offers. He thinks that staying abreast of new procedures also enables them to deliver effective care. Instead of suffering through invasive treatments for receding gums, patients can receive treatment through two tiny “pinhole” access points, which patients often find more comfortable, according to Goel. He believes that fear and finances represent patients’ main obstacles to oral health care. While providing sensitive care helps with the former, affordability sometimes proves a greater challenge. “We go over all the financial options with patients,” Goel said. That could include staging treatment over time or obtaining outside financing. “We want to help people move forward,” Goel said, “and we work with patients to help them be able to achieve health.” And he does mean overall health, not just oral health. Since oral health relates to systemic health, Goel believes it’s vital to help patients realize their best level of oral health. For example, people with untreated oral infections may be at increased risk for cardiovascular conditions because bacteria can enter the blood stream through the gums. By focusing on the latest research on increasing oral health, Goel and his team hope to positively affect patients’ overall health.
“The great thing about periodontics is you don’t stop learning,” Goel said. “We are asking different questions, and we are looking at different ways to achieve health.” Since dental professionals now have a greater array of tools--including advanced equipment and research-based treatments--their capacity to provide effective care has vastly expanded. “We understand today that the stakes are high, and that preserving teeth if possible can be a tremendous value and asset for the future,” Goel said. For example, years ago, dentists counseled patients on proper brushing and flossing and limiting acidic beverages and sugary snacks. Now, dental professionals realize that saliva acidity also affects patients’ oral health.
month to learn about new advances in technique and technology, as well as reading professional literature. But working as a periodontist is more than applying the latest research at the office. “It’s very emotional when I see a patient for the first time after periodontal care,” Goel said. “A successful procedure means this patient now has hope that he will keep his teeth, his smile, his function for hopefully years to come. That’s important, because teeth are important and incredibly personal. “People come in initially, thinking that all hope is lost. But when they instead find hope itself, it’s magical. This office is where hope lives. “At Progressive, we don’t just treat teeth; we care for patients.”
“Now we have tools to help manage that saliva acidity,” Goel said. “That’s how we can help patients who seem to have a lot of cavities but seem to do everything right. We can create solutions that leave them in a position of needing less dentistry in the future.” The rapidity of newly emerging research is both exciting and, at times, challenging to assimilate. “I live, eat and breathe this stuff,” Goel said. He attends classes several times per
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • May 2017
Periodontist Suresh Goel
smile.
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A Healthy Body Starts With A Healthy Mouth
Five locations throughout Rochester Brighton • Geneseo • Greece • Pittsford • Webster
May 2017 •
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Special Advertising Insert
RESTORE YOUR SMILE Progressive Implantology & Periodontics A smile is a powerful gesture. In fact, there is science behind a smile. In short, our brain feels good when we smile. But what if you are reluctant to smile because you have missing teeth, receding gums, or you have been told you have gum disease? Give yourself a reason to smile with healthier teeth and gums at Progressive Implantology & Periodontics. The dental professionals at Progressive are committed to excellence in treating gum disease and gum recession, and restoring missing teeth. With five locations throughout Rochester, they offer comfortable and minimally invasive care that is safe and effective with excellent and long-lasting results. “You’ll experience specialty dental care beyond compare. We are skilled in modern, patient-friendly dental techniques such as using laser surgery to treat gum disease. The first in the area to offer the Pinhole Surgical Technique™, we can treat gum recession with the latest treatment available. Additionally, we offer dental implants to replace missing teeth or secure dentures and bridges, along with sedation options to restore your smile safely and comfortably,” adds Dr. Suresh Goel, Periodontist, Progressive Implantology & Periodontics. For more information, visit www.RochesterPerio.com
INVISALIGN®
Bateman Orthodontics Have you ever looked in the mirror and wished for straighter teeth? There’s never been a better time to get the smile you’ve always wanted and there’s never been a better way to do it—even as an adult. Invisalign® is the most advanced orthodontic system with innovations no other clear aligner can claim. Dr. Jeremy Bateman of
Bateman Orthodontics is a top Invisalign provider in Western New York. Invisalign clear aligners are ideal for adults with minimal impact on your everyday life. The clear aligners are virtually invisible and removable making them easy to conceal treatment. You can eat the foods you enjoy and you can brush and floss normally. Invisalign is also perfect for busy schedules, with appointments about every twelve weeks. Best yet, you get a straight smile in as little as a year. It’s never too late to straighten your teeth. Dr. Bateman adds, “I have patients in every decade of life up to age 83 wearing Invisalign. To speed up the treatment timeline, we also offer AcceleDent in combination with your Invisalign treatment. This orthodontic device is the real deal and takes adult treatment to the next level. It helps to increase comfort—many adults have told me they have no soreness—and reduces treatment time by up to 50 percent.” For more information, visit www.BatemanOrthodontics.com
ONE-VISIT DENTAL CARE
Howard Silver, DDS
Making dental care convenient and comfortable is always a priority. One of the most impressive dental technologies today is single-visit restorations. CEREC 3D Technology has dramatically changed the way Pittsford dentist, Dr. Howard Silver restores teeth. With CEREC, long gone are the days that patients have to wait weeks for a restoration to be made. Now, CEREC technology allows us to make and place a dental crown the same day. CEREC crowns not only speed up of the treatment timeline—an attractive benefit to most patients—but they have other advantages, too. Made out of porcelain, CEREC crowns are remarkably natural-looking and tailored to match the natural shade of your teeth. Furthermore, CEREC crowns are metal-free and long-lasting.
UNBRACE THE TRUTH before making a decision about braces. Talk to Dr. Jeremy Bateman about the benefits of choosing Invisalign® clear aligners and how to cut your treatment time in half.
Jeremy P. Bateman, DMD Call Today 585.637.4474 www.BatemanOrthodontics.com Office Locations | Brockport | Irondequoit Page 16
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • May 2017
A top Invisalign® provider in Western NY
Special Advertising Insert
“Dental crowns are a great option to preserve a natural tooth. With CEREC, our patients appreciate the convenience that comes from not having to wait weeks for a dental crown to come from a lab and having to wear a temporary crown in the meantime. Plus, within a one to two-hour appointment, patients can usually go home that same day with their smile restored. With my 16 years of experience using CEREC, I’ve seen firsthand how CEREC benefits the patient.” explains Dr. Silver. For more information, visit howardsilverdds.com
NEW OFFICE. MODERN AMENITIES. OUR CARE IS SO GENTLE, SO ADVANCED AND SO PERSONALIZED, WE WANT EVERYONE TO EXPERIENCE
MODERN OFFICE AMENITIES
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IT.
WE OFFER A FRIENDLY,
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Creating an inviting environment is just as important as offering excellence in dental care. A warm, inviting and comfortable office contributes to the overall patient experience. Recently relocating and renovating a brand new location, Dr. Ruchlin kept this in mind when designing his office. He thought of even the smallest of details to create a soothing experience, such as artwork, lighting and creature comforts. On the larger scale to ensure even better patient care, Dr. Ruchlin updated his dental technology by installing quiet dental drills in his state-of-the-art treatment rooms.
AMENITIES WHILE DELIVERING THE HIGHEST STANDARDS OF DENTAL EXCELLENCE.
At Stephen Ruchlin, DDS, the intimate facility boasts of three treatment rooms, top-of-the-line dental chairs, the latest digital technology and more. All of these things work together to ensure that patients have a positive dental care experience. “We want to make the process of going to the dentist easier, more comfortable for patients and make our office feel like an extension of home,” Dr. Ruchlin explains. “Our treatment rooms feature allnew workstations with new equipment, such as digital technology for cavity detection and treatment planning. With these updates, our patients get care that is more personalized to their needs and goals.”
STEPHEN L. RUCHLIN, D.D.S. GENERAL & COSMETIC DENTISTRY
NEW PATIENTS WELCOME 377 WHITE SPRUCE BLVD. | ROCHESTER, NY 14623 WWW.RUCHLINDENTAL.COM
For more information, visit ruchlindental.com
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New Patients Welcome
585.381.1940 “Again and always, Dr. Silver and his staff are professional and friendly to me and my wife every time we visit his office and most important he is this way to all his patients. They always present you with a greeting, smile and a professional approach. I would highly recommend Dr. Silver to all of my neighbors, friends and relatives.”
~Mark S. Howard Silver, DDS
170 Office Park Way #1, Pittsford, NY 14534 May 2017 •
www.HowardSilverDDS.com
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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As we celebrate National Nurses Week, HCR Home Care thanks its dedicated nurses for their exceptional patient care!
National Nurses Week, May 6–12
Why Work as a Nurse? By Deborah Jeanne Sergeant
“HCR Home Care has been an excellent journey for me with opportunities to ensure my
professional growth. Home Care allows me the flexibility to achieve a good work/life balance. HCR stays up-to-date on current treatments and technology so I know I am always giving my patients the most current, best practice treatment. The therapists and nurses I work with are fantastic team players that I can depend on.” Laura Jarvie, RN, HCR Home Care Case Manager, Monroe County
HCR Home Care is always looking for amazing nurses to join our team.
800-270-4904 | HCRhealth.com |
REWARDING CAREERS START HERE
Join the Rochester Regional Home Health team If you’re an experienced Registered Nurse, Physical Therapist or Certified Home Health Aide it’s time to make your rewarding career even more rewarding — by becoming part of our growing home care team! We’re looking for people who are passionate about caring for our community and looking for: • Comprehensive benefits plans, including Paid Time Off, gym memberships and more • Consistent, flexible schedules • Opportunities for growth • Sign on bonus available for select positions
Apply Today Online at RochesterRegional.org/careers/home-care
Men’s Health Don’t miss the next issue of In Good Health. To advertise in this special issue, please call 585-421-8109 Page 18
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ursing is field brimming with opportunities and challenges. Though to many outside, it may seem more of the latter, many of those called to nursing find it personally rewarding. Elizabeth Sheen, a registered nurse with further certification in holistic nursing, works for UR Medicine Home Care. She felt drawn to the industry to serve other people and felt nursing was the best way she could give back. She began nursing in 2005. She said that the biggest change since then has been the change in how medical providers deliver services. “It’s getting away from the art of nursing and it becomes more task-oriented because of the documentation and the different requirements,” Sheen said. “As nurses, we need to make a more concerted effort to be with the patient.” Prioritizing presents her biggest day-to-day challenge. Unlike in hospital settings, she treats patients in their homes. She must also complete paperwork and assessments like other nurses. On tough days, she contemplates knowing that she makes a difference in her patients’ lives.
“That makes it all worth it,” Sheen said. Heide Parreno is a nurse practitioner who has worked in private practice since for about 50 years. She emigrated from the Philippines in the 1970s to obtain more education. Eventually, Parreno earned her nursing degree and received further training in holistic nursing. Parreno said that she must advocate for patients on a daily basis and had to “deal with insurance companies” to obtain coverage for them.” Operating her own practice has enabled her to treat patients holistically. She copes with the stressors of her profession by “keeping myself in balance and harmony, with others and with nature,” she said. Echoing Sheen’s sentiments, Parreno said that she enjoys nursing because of the positive difference she can make in people’s lives. “I can help people obtain the good health that they want,” she added. “The way I define health is the ability to function in a manner acceptable to yourself and the community of which you are a part. That means that you have the right relationship with yourself, God and nature and the people you’re with. It’s not just the absence of disease.”
Nursing at a Glance • “Nursing is the nation’s largest health care profession, with more than 3.1 million registered nurses nationwide. Of all licensed RNs, 2.6 million or 84.8 percent are employed in nursing. • “Registered nurses comprise one of the largest segments of the US workforce as a whole and are among the highest paying large occupations. Nearly 58 percent of RNs worked in general medical and surgical hospitals, where RN salaries averaged $66,700 per year. RNs comprised the largest segment of professionals working in the healthcare industry. • “Nurses comprise the largest single component of hospital staff, are the primary providers of hospital patient care, and deliver most of the nation’s long-term care. • “Most healthcare services involve some form of care by nurses. In 1980, 66 percent of all employed RNs worked in hospitals. By 2008, that number had declined slightly to 62.2 percent, as more health care moved to sites beyond the hospital and nurses increased their ranks in a wide range of other settings, including private practices, health maintenance organizations, public health agencies, primary care clinics, home health care, nursing homes, outpatient surgi-centers, nursing-school-operated nursing centers, insurance and managed care companies, schools, mental health agencies, hospices, the military, industry, nursing education, and health care research. • “Though often working collaboratively, nursing does not “assist” medicine or other fields. Nursing operates independent of, not auxiliary to, medicine and other disciplines. Nurses’ roles range from direct patient care and case management to establishing nursing practice standards, developing quality assurance procedures, and directing complex nursing care systems.” Source: American Association of Colleges of Nursing (www.aacn.nche.edu):
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • May 2017
Golden Years Seniors’ Major Enemy:
Head of Upstate
Falls
New Yorkers age 65 to 69: • 24 percent fell in the last 12 months; • 32 percent were injured from a fall.
They are the leading cause of injury among older adults in NYS — one in four seniors in the region fell at least once last year
O
ne in five Upstate New York adults older than age 65 fell at least once in the last year, according to research by Excellus BlueCross BlueShield. Forty percent, or two in five of those who fell, experienced an injury. Using two years of self-reported survey data from government health agencies, Excellus BlueCross BlueShield found that falls are common among Upstate New York adults ages 65 and older. The risk for falling and the severity of an injury increase with age. “One finding of concern — but we frankly have no explanation for it — is the regional variation in the rate of falls per 1,000 population ages 65 and older,” said physician Patricia Bomba, vice president of geriatrics at Excellus BlueCross BlueShield. The data show that adults ages 65 and
older in the Utica-Rome-North Country region reported falls at more than twice the rate of adults 65+ in the Finger Lakes region, where the rate of reported falls was lower than state and upstate New York averages. “Falling is not an accepted part of the aging process in any region,” said Bomba. “There are simple things that everyone can do right now for themselves and their loved ones to help reduce the incidence of falls and promote independent and active lifestyles.” Lower body weakness and difficulty with balance are risk factors for falling. Bomba advises staying active and maintaining a fitness routine. Simple activities, such as exercising in a chair or stretching in bed, can greatly improve strength and balance. Finding a fitness partner can add the motivation to go for walks,
Head of Upstate New Yorkers age 80+: • 31 percent fell in the last 12 months; • 44 percent were injured from a fall. take a dip in a local pool or even learn tai chi. Certain medications can affect balance. People also are more likely to fall if they have vision problems or inadequate nutrition. According to Bomba, proper vision care (including up-to-date eyeglass prescriptions), proper nutrition and a thorough medication review can help cut down on falls. Nationally, one in five falls causes serious harm, such as a broken bone or a head injury. Among older New York state residents who are hospitalized because of a fall, 60 percent go to a nursing home or rehab facility, 27 percent experience a hip fracture, and 11 percent suffer a traumatic brain injury. The estimated annual impact that
falls have on health care spending in Upstate New York is substantial, according to a report issued by Excellus BlueCross BlueShield in 2012. That report shows $30.6 million in emergency room costs and $321.0 million in hospital costs directly related to falls. Home hazards contribute to the incidence of falls. “We all take great care to childproof our homes when there are toddlers running about,” said Bomba. “We need to give the same attention to eliminating tripping hazards for older adults, or anyone who has difficulty with walking or balance.” View Excellus BlueCross BlueShield’s findings in more detail, online at http://tinyurl.com/jsbls4x.
Most Common Tripping Hazards • Throw rugs that bunch or slide. • Clutter. • Steps that are uneven, too steep or too long, and that have inadequate railings. • Lighting that’s either too dim, or so bright that it causes glare. • Pets that follow too closely or lie in prime walking areas. • Unstable chairs or tables that can’t support a person’s weight. • Extension cords across walkways. • Bathrooms that lack grab bars, or that have low toilet seats. • Sloping yards and driveways. • Cracks in sidewalks, or uneven transitions between bare floors and carpeted rooms.
National Nurses Week, May 6–12
Beyond the RN: Furthering Nurse’s Education By Deborah Jeanne Sergeant
S
ome registered nurses view furthering their education as a means of opening doors of opportunity, such as working in an area of particular interest, commanding a higher salary and increasing their skill set. For Jennifer Voorhees, a registered nurse at UR Medicine Home Care, completing her bachelor’s degree was only the beginning. She went on to become board-certified in wound ostomy and continence. She’s also trained as a critical care nurse. After obtaining some handson experience as a new nurse, she realized that she enjoyed the one-onone time with patients in the burn intensive care unit.
“That was the worst moment of someone’s life and you’re sharing a very intimate time where they’re vulnerable and trusting you,” Voorhees said. “It’s special.” It wasn’t hard for her to continue expanding her education. “University of Rochester promotes a culture of education and growth,” Voorhees said. “It was never something I had to aggressively pursue to obtain. It just kept unfolding.” She said that she felt surprised at how much experience she had gained and also at how much she had learned being in graduate school. It can take some time to discover what nursing specialty fits. May 2017 •
“We can and should encourage people to stay active as they age, keep their doctors informed about any issues with balance or vision, and eliminate easy tripping hazards around the house and yard to reduce fall-related injuries, emergency room visits and hospital stays,” said Bomba. For more information on fall prevention, a downloadable Excellus BlueCross BlueShield infographic is online at http://tinyurl.com/z3eyl6g.
Voorhees earned 18 credits toward a nurse practitioner degree, but realized that wasn’t for her. She tells others who aren’t sure how to build on their RN education to think about the best patient situations they’ve experienced and what piques their interest and passion. “Experience with families and different cultures and demographics can help you decide,” Voorhees said. “All those components helped me know how much I knew and how much I didn’t know. That’s a great thing about further education. It’s about learning from one another.” She’s not stopping, either. Voorhees is currently enrolled online to earn a master’s in public health. For Elizabeth Sheen, also a registered nurse with University Rochester Medicine Home Care, obtaining board certification in holistic nursing and wellness coaching has given her additional tools to help patients. “I can offer complementary tools that I’m trained in, whether breathing exercises, aromatherapy or meditation that can help them,” she said. She has enjoyed learning about
Bomba
holistic nursing, which she said looks at the whole patient — body, mind, spirit and emotions — instead of tending to look only at treating disease processes. She feels confident that she could take these skills to any nursing setting, and provide any employer with more reason to hire her. “Education can open doors in nursing,” said Mary Mahler, bachelor-trained nurse and emergency services quality coordinator for Rochester General Emergency Department. “Our current hospital president was an ED trauma nurse.” She added that other nurses she has known have pursued careers in education, quality, leadership, research, data analysis and finance, “both internally and corporately throughout the health system,” Mahler said. She believes that every nursing position offers advancement opportunities with the right education. “Education is the fuel that feeds the fire to follow our dreams and get us to the place we want to be,” Mahler said.
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Golden Years
5
Things You Need to Know About Protecting Your Hearing By Ernst Lemothe Jr.
H
earing loss can be so gradual that some people don’t notice the effects until it is too late. Hearing is one of the five senses. It is a complex process of picking up sound and attaching meaning to it. The ability to hear is critical to understanding the world around us. Kristin Geissler, an audiologist at UR Medicine Audiology, gives us five tips to protecting and improving our hearing.
1.
Use hearing protection Loud noises and sounds are known to cause hearing loss. The American Speech-Language Association says noises are considered too loud and may be damaging to your hearing if you must raise your voice to be heard or you cannot hear someone who is about three feet away. “When you are around loud noises at work or recreationally, always use hearing protection like ear plugs or earmuffs. If you do not have access to these, turn down the level of the noise if possible or remove yourself from loud environments if able to do so,” said Geissler. “Sounds are also considered too loud if you have pain or ringing in your ears after being around the noise.” She said some examples of sounds that can damage your hearing are power tools, lawnmowers, certain kitchen appliances or hairdryers.
2.
Monitor your ear health It is important to know the status of your overall ear health. Have your primary care
physician check your ears periodically for build-up of wax or any signs of infection, especially if you notice symptoms of ear pain, pressure, ringing in the ears or muffled/decreased hearing. If you notice decreased hearing, it may be the result of excessive ear wax, infection or hearing loss, so it is important to make sure that your ears stay clean and healthy. “Q-tips are not recommended to clean the ear canals, as this tends to push wax down into the canal further rather than clearing the wax,” said Geissler.
3.
Schedule an audiologic evaluation if you have concerns about your hearing About 20 percent of Americans, 48 million, report some degree of hearing loss, according to the Hearing Loss Association of America. That number increases to one out of every three people when you hit 65. Audiologists are healthcare professionals who provide patient-centered care in the prevention, identification, diagnosis, and evidence-based treatment of hearing, balance, and other auditory disorders for people of all ages. If you are feeling as though speech sounds muffled, not clear or soft, it may be time to have a hearing evaluation with an audiologist. “During your appointment, an audiologist will be able to provide information about your hearing status, determine if a medical evaluation by an otolaryngologist is necessary or provide you with strategies and options for better hearing,” said
Geissler.
4.
Determine if you may be a candidate for hearing aids Based on your audiologic evaluation results, you may be a candidate for amplification. An audiologist can recommend hearing-aid options to provide you with maximum benefit for your specific hearing loss and your hearing and communication needs. “Many hearing-aid technologies are very sophisticated and provide excellent, natural sound quality,” said Geissler. “Some hearing aids have the ability to stream sound from a smartphone or tablet directly to your hearing aids. Several hearing-aid manufacturers are also improving ease of use by introducing rechargeable hearing aid options.” Consultation with an audiologist is recommended to determine the best style, technology level, and hearing solution for each individual with hearing loss.
5.
Develop good communication skills We were always thought to look someone in the eye when you talk with them. That simple good communication skills can also help with hearing. While having conversations, do your best to look at the person you are speaking with, reduce background noises when possible, and try not to speak to others from a distance. These strategies will give you the best chance to hear clearly what is spoken.
Kristin Geissler is an audiologist at UR Medicine Audiology.
How can I tell if I have a hearing loss? If you answer yes to some of the following questions, you may have a hearing loss • Often ask people to repeat what they say? • Have trouble hearing in groups? • Think others mumble? • Fail to hear someone talking from behind you? • Turn up the volume on the TV or car radio? • Have difficulty on the phone? • Have trouble hearing your alarm clock? • Have difficulty hearing at the movies • Dread going to noisy parties and restaurants? Source: Hearing Loss Association of America
Despite Awareness, Most Have Not Filled Proxy Form Expert: That leaves loved ones guessing about your end-of-life wishes
N
early nine out of 10 Upstate New York adults are aware of the term, “health care proxy,” according to a new survey commissioned by Excellus BlueCross BlueShield. Among survey respondents who had heard the term, 89 percent know that it is a way to legally designate someone as your health care agent to represent you during a medical crisis if you can’t speak for yourself. “Despite high awareness and knowledge of the health care proxy term, Bomba our survey also revealed that only about four out of 10 Upstate New York adults have completed a health care proxy form,” said physician Patricia Bomba, Excellus BCBS vice president and medical director of geriatrics. “That’s disappointing, because so many people have had the Page 20
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experience of making gut-wrenching health care decisions for loved ones who were unable to communicate.” Excellus BCBS’s online survey regarding end-of-life care was administered by the polling firm One Research. Two-thousand participants completed the survey. A county-level quota sampling method was used to ensure that it would be a representative sample of the region’s U.S. Census Bureau demographic profile. According to Bomba, a health care proxy can make those decisions easier, and can help people avoid being faced with a situation like the Terri Schiavo case. In 2005, the nation was transfixed by the family drama surrounding Terri Schiavo, a Florida woman at the center of a legal battle over the right to die. Schiavo was in an irreversible persistent vegetative state as a result
of a cardiac arrest. Members of her family had differing views on what she would have wanted with regard to life-sustaining medical interventions. The various factions waged a highly publicized and prolonged series of legal challenges over who had the right to make health care decisions on Schiavo’s behalf. “When you select a health care agent, ideally it’s a person who knows your values, beliefs and goals for medical care,” said Bomba. “Your health care agent should be able to step into your shoes and choose interventions based on what matters most to you,
and not what they would want for themselves.” About a third of survey respondents see the need to fill out a healthy care proxy, but have not successfully completed a form. “Being aware, and understanding the value, of a health care proxy is important,” said Bomba, “but unless you take the time to fill out the form, your wishes may not be carried out.” Excellus BCBS found that knowledge of the health care proxy is lower in Central New York’s Southern Tier region (Binghamton and Elmira) than in other parts of Upstate New York.
Knowledge of Health Care Proxy, by region Central New York
94 percent
Western New York
91 percent
Finger Lakes
89 percent
Utica/Rome/North Country
84 percent
Central New York’s Southern Tier
79 percent
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • May 2017
No one knows if there is life after death, but we do know there is life before death. Hospice matters.
Call us today at 1-800-253-4439.
May 2017 •
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Golden Years Food Shortage Among Older Adults By Deborah Jeanne Sergeant
S
tereotypically, food shortages among older adults afflict elders who cannot afford enough food. While certainly finances represent a large factor in food shortages, Jeffrey Nieznanski, supervising attorney with the Monroe County Legal Assistance Center in Rochester, said that
the issue is multi-faceted. Lack of transportation can create a problem in accessing good food. Some older adults may have relied on their late spouse to cook and now face learning to prepare meals. Others may have physical and cognitive challenges that make cooking
Are You or a Loved One Bothered by Vision Loss that can’t be corrected? Over age 60?
2.1%
difficult, which forces them to rely on prepackaged foods. The negative effects of eating poorly can take a bigger toll on frail elders struggling with health problems than on younger, healthier people. By cutting back on what they perceive as the most flexible parts of their budget — food and medication — they further endanger their health. If an older adult on a fixed income suffers a setback from inflation or another type of loss, it’s harder to recover than for people who are still working. “Our office has been recently swamped with people who lost food as a result of the power outage from the wind storm,” Nieznanski said. “We had over 400 people inquiring about emergency SNAP [Supplemental Nutrition Assistance Program] passes for food lost.” Unfortunately, many older adults don’t want to accept help. Nieznanski said that food shortage is a problem laden with stigma, which can prevent people who need help from receiving it. “A lot of seniors have a problem with being on what they perceive as a welfare benefit, though it’s not technically such,” he said. “There are a lot of misconceptions that it’s not worth getting benefits because the paperwork takes too much time. Some have mental health or language barriers. Mark Dwyer, communications
OUR LOW AVERAGE EARNINGS MEAN YOU CAN SAVE FOR OTHER IMPORTANT THINGS.
From 2011 – 2015, Excellus BlueCross BlueShield’s annual earnings before interest and taxes averaged 2.1 percent of premium, considerably less than the 7.4 percent earnings of large national insurers. Because we are a business, not a charity, we need to earn a margin, but we do not need to pay dividends to shareholders. That works in your favor. We’re a nonprofit health plan, so we deliberately budget for low margins to keep coverage more affordable. We know you have other important things that matter. We’re neighbors helping neighbors build healthier communities. A nonprofit independent licensee of the Blue Cross Blue Shield Association.
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manager with Food Link in Rochester, said that only about 10 percent of the organization’s 200,000 participants are over 60 years old. “Seniors are a high risk population and definitely use our services,” he said. Food Link serves as a hub for the food pantries in a 10-county area. More eligible elders could receive benefits. Dwyer said that only 41 percent of eligible elders apply for SNAP, formerly known as food stamps, compared with 83 percent of those eligible in other age groups. “Help is out there, but for some reason, not all of them are able to take advantage of it,” Dwyer said. Among its many services and programs, Food Link provides Curbside Market, a food truck that regularly sells fresh produce purchased from farmers to neighborhoods where fresh produce isn’t readily available. “It’s great for people with mobility and transportation issues,” Dwyer said. About 62 percent of customers of Curbside are older than 50 and 23 percent are over 65. People facing hunger can call 211 to learn about health and human services agencies available to help. To apply for SNAP, visit www. mybenefits.ny.gov. A caregiver of a person 60 or an individual 21 and over with disabilities may call 585325-2800 for application assistance.
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • May 2017
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n Memorial Day, we honor the soldiers and service members who have given their lives for our nation. Social Security respects the heroism and courage of our military service members, and we remember those who have given their lives in defense of freedom. Part of how we honor service members is the way we provide Social Security benefits. The unexpected loss of a family member is a difficult experience for anyone. Social Security helps by providing benefits to protect service members’ dependents. Widows, widowers and their dependent children may be eligible for Social Security survivors benefits. You can learn more about Social Security survivors benefits at www.socialsecurity.gov/ survivors. It’s also important to recognize those service members who are still with us, especially those who have been wounded. Just as they served us, we have the obligation to serve them. Social Security has benefits to assist veterans when an injury prevents them from returning to active duty. Wounded military service members can also receive expedited processing of their Social Security disability claims. For example, Social Security will provide expedited processing of disability claims filed by veterans who have a U.S. Department of Veterans Affairs (VA) compensation
rating of 100 percent permanent and total (P&T). Depending on the situation, some family members of military personnel, including dependent children and, in some cases, spouses, may be eligible to receive benefits. You can get answers to commonly asked questions and find useful information about the application process at www. socialsecurity.gov/woundedwarriors. Service members can also receive Social Security in addition to military retirement benefits. The good news is that your military retirement benefit does not reduce your Social Security retirement benefit. Learn more about Social Security retirement benefits at www.socialsecurity.gov/retirement. You may also want to visit the Military Service page of our Retirement Planner, available at www.socialsecurity.gov/planners/retire/veterans. html. Service members are also eligible for Medicare at age 65. If you have health insurance from the VA or under the TRICARE or CHAMPVA programs, your health benefits may change, or end, when you become eligible for Medicare. Learn more about Medicare benefits at www.socialsecurity.gov/medicare. In acknowledgment of those who died for our country, those who served, and those who serve today, we at Social Security honor and thank you.
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • May 2017
What if you could choose?
5 Days or 45 Days
By Jim Miller
What to Do with Cremated Ashes? Dear Savvy Senior, When my father passed away a few months ago we had him cremated, but are now wondering what to do with his ashes. My sister and I would like to do something celebratory for his life, but aren’t sure what to do. Any suggestions?
that held a special meaning? These are all possibilities, but be aware to that if you choose to scatter his ashes in a public location or on private land, you’ll need to get permission from the management, local government or the land owner. National parks, for example, require you to have a permit before you scatter ashes. If you wish to dispose of them at sea, the Environmental Protection Agency asks you be at least three miles from shore. Beach scatterings are also illegal in some states, including California, but are rarely enforced. And many public areas, like Central Park and Disneyland prohibit scattering ashes too, as do most professional and college sports stadiums.
No Instructions Left
If you want to do something truly unique with his ashes, you have many choices here too, but they can get pricy ranging from a few hundred to several thousand dollars. Here are several to consider. Scattering by air: This free-spirited option lets you spread your dad’s ashes into the sky so the particles can be taken by the wind. To do this, you could hire a private plane, helicopter or hot air balloon service, or use a balloon scattering service like EternalAscent.com or Mesoloft.com. Or, you could even send his ashes into outer space with ElysiumSpace.com. Scattering by sea: If your dad loved the water, there are many businesses that offer ash scattering services at sea, especially close to coastal areas, or you could rent a boat and do it yourself. There are also companies like EternalReefs.com that offer reef memorials so your dad’s ashes can rest on the ocean floor. Ashes to keepsakes: If you want a keepsake of your dad, you can also turn some of his ashes into a wide variety of memorabilia, such as: diamonds (see LifeGem.com or DNA2Diamonds.com); jewelry or other handcrafted glass items (ArtFromAshes.com and Memorials.com); vinyl records (Andvinyly.com); gun ammunition (MyHolySmoke.com); or an hourglass urn (InTheLightUrns. com).
Dear No,
If your dad didn’t leave any final instructions on what to do with his cremated remains (ashes), you have a wide array of choices. They can be kept, buried or scattered in a variety of ways and in many locations. Here are some different options to help you decide.
Keep Close By For many people, keeping the ashes of their deceased love one close by provides a feeling of comfort. If you fit into this category, you could keep his ashes in an urn on the mantel or in a cabinet, or you could also scatter some of them into your lawn or garden, shake them into a backyard pond or dig a hole and bury them. Another possible option is eco-friendly urns (like UrnaBios. com or EterniTrees.com) that contain a seed that grows into a tree or plant after being buried.
Cemetery Options If you want your dad’s final resting place to be at a cemetery, you have several choices depending on how much you’re willing to spend. With most cemeteries, you can either bury his ashes in a plot, or place them in cremation monument, a mausoleum or a cemetery building called a columbarium.
Scatter Them If you want to scatter his ashes, to help you chose an appropriate location, think about what your dad would have liked. For example, did he have a favorite fishing spot, camping area, golf course, beach or park
Untraditional Methods
Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit www.savvysenior. org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book. May 2017 •
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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H ealth News Local hearing center opens in Brighton Clear Choice Hearing & Balance, a premier audiology practice specializing in tinnitus and other disorders of hearing and imbalance, has opened a new office in the Westfall Surgery Center, 1065 Senator Keating Blvd, suite 210, in Brighton.. Since opening its first office in Greece in 2008, the need for diagnosis and treatment for hearing loss, vertigo, poor equilibrium, and tinnitus continues to grow, due to an aging population and environmental issues that put ears at risk, according to Christine Tirk, founder and owner of Clear Choice Hearing and Balance. “We see the growing need to provide quality healthcare for hearing loss and other disorders of hearing and balance. We are excited to be expanding our practice to the Westfall Surgery Center, where we can better serve even more patients who suffer from tinnitus, vertigo, and other debilitating disorders that affect quality of life,” says Tirk. “Our state-of-the art diagnostic tools enable us to precisely diagnose and address hearing loss better than before, by guiding options or treatment of a variety of disorders of the ears. Often the clinical signs we discover result in referrals for appropriate medical care,” says Ron D’Angelo, audiologist.
Frank Nicchi to be NYCC’s president emeritus Frank J. Nicchi, who has worked for the New York Chiropractic College for 37 years, will become the college’s president emeritus, following his scheduled retirement as president on Aug. 31. According to chiropractor Thomas R. De Vita, chairman of the board trustees, this status recognizes Nicchi’s outstanding and distinguished service to the college, not only during his 17 years as president, but Nicchi throughout his entire tenure. “Dr. Nicchi’s extraordinary commitment and contributions to the college exemplify the highest standards of personal and professional integrity, civic responsibility, vision, and leadership,” said De Vita. This designation recognizes Nicchi’s continuing value as a member of the college community, according to a college news release. As president emeritus, Nicchi may be asked to provide counsel, or serve in various capacities for the enhancement of the New York Chiropractic College. “I am humbled by this recognition and hope that the future may bring new opportunities to provide service to the college,” Nicchi said. Page 26
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Youngrin Kim Chosen as Highland Hospital Distinguished Physician Award Physician Youngrin Kim is the recipient of Highland Hospital’s Distinguished Physician Award. Kim, an instructor of clinical medicine at University of Rochester School of Medicine, serves as a nocturnist, the physician leader at Highland during the night. The Henrietta resident was nominated for the award by administrators and colleagues for healthcare excellence. “I truly love Highland,” said Kim. “I have practiced at Highland for all of my professional life and am so proud of how our
Canandaigua VA has new associate director Lisa Lehning recently joined the management team at the Canandaigua VA Medical Center. As the senior nurse executive she will provide management and leadership to patient and nursing services to the Canandaigua VA Medical Center and the Rochester VA Outpatient Clinic. She has more than 25 years of experience in leading diverse workforces, developing collaborative high performing teams, Lehning performance improvement and change management. She also brings a wealth of experience in construction management, complex arbitration and resolving workplace conflict. Lehning is a retired colonel in the Army Nurse Corps. In her 25 years of service, she served in a variety of senior leadership positions in the Army Medical Department, including consultant to the surgeon general of the Army for emergency nursing and the deputy commander for patient and nursing services (CNO) of a large, academic Level II trauma center. She has multiple tours overseas and two deployments to Afghanistan. Lehning is the recipient of numerous military medals, including the Bronze Star and Legion of Merit. She has earned the Air Assault and Expert Field Medical Badge. She is also the recipient of the Order of Military Medical Merit from the Army Medical Department. Lehning received her Bachelor of Science in Nursing (BSN) from Georgetown University, Washington D.C., in 1990 and her Master of Science in Nursing (MSN) from University of Washington, Seattle, Wash., in 2005. She is a board-certified clinical nurse specialist (CNS) with a focus in trauma and critical care.
hospital continues to grow and serve our community.” Kim was recognized for this achievement at the 2017 Highland Gala by Robert McCann, chief of medicine at Highland. “Dr. Kim is one of the most highly regarded clinicians on our staff. He is known for his compassion, integrity, and work ethic,” Kim said McCann. Kim received his Doctor of Medicine degree from the University of Rochester School of Medicine and Dentistry,
completed his residency at the University of Rochester/Strong Memorial Hospital, and has worked at Highland since 2006. This summer he will assume the post of chief of hospitalists at Highland. He and his wife, Tien Kim, a former Highland ICU nurse, are the parents of two sons, Justin and Jason. The honor, also known as the Highland Hospital Physician of the Year Award, is presented annually to a physician whose work is exemplary and extraordinary. To be eligible for the award recipients must be a member of Highland’s medical staff for at least one year. A selection committee of physicians, nurses and hospital administrators choose the honoree.
in adult reconstruction and joint replacement at the Hospital for Special Surgery in New York City where he also served as a research fellow in the The Breast Cancer Coalition of mineralized tissue laboratory. Rochester recently awarded two A graduate of Weill Cornell breast cancer research grants. The Medical College, Ricciardi received awardees were selected via a compet- his Bachelor of Arts degree from itive application and review process Colby College. that included requests for proposals “We are pleased sent to researchers in Rochester and to welcome Dr. the Western, Central and Finger Ricciardi to our Lakes regions. Orthopedic The winner are: Center of • Elizabeth A. Repasky, PhD, Excellence at professor of oncology at Roswell Highland,” said Park Cancer Institute, department physician Bilal of immunology, received $50,000 to Ahmed, study chronic stress in the promotion associate chief of tumor progression in breast cancer. of medicine for • Michael J. Lukey, PhD., Highland post-doctoral trainee in the deHospital. “Our Ricciardi partment of molecular medicine at community Cornell University received $25,000 relies on Highland for high quality to identify the impact of specific encare in orthopedics, and Dr. Ricciardi zymes in the improvement of triple will be a key member of our team.” negative outcomes in breast cancer. The Hospital for Special Surgery, The Coalition’s Research Initiawhere Ricciardi received his training, tive has awarded more than $700,000 is the world’s largest academic medto area researchers since 2003. These ical center dedicated to orthopedics, grants are unusual for a nonprofit rheumatology, and related specialties. grassroots organization and focus “We are delighted that this incredibly on breast cancer cause, prevention, talented surgeon is joining our faculprevention of metastasis and cure. ty,” said Paul Rubery, physician and Research grants are an integral part chairman of URMC’s department of of the coalition’s mission and conorthopedics and rehabilitation. “UR tinuing efforts to eradicate breast Medicine continues to attract giftcancer. Its research advisory board is ed surgeons who are committed to comprised of breast cancer survivors, clinical excellence and innovation in scientists, researchers and clinicians. health care.”
Breast Cancer Coalition awards $75,000 in grants
Orthopedic surgeon joins Highland Hospital UR Medicine/Highland Hospital welcomes physician Benjamin F. Ricciardi as assistant professor in the department of orthopedics and rehabilitation. Ricciardi, an orthopaedic surgeon, specializes in total knee replacements and total hip replacements. He will see patients and perform surgery at Highland Hospital. Ricciardi recently completed a European fellowship in hip reconstruction with the ME Müller Foundation. He completed a residency in orthopedic surgery and a fellowship
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • May 2017
Thompson recognized by LGBTQ group The Human Rights Campaign Foundation (HRC), the educational arm of the nation’s largest lesbian, gay, bisexual, transgender, and queer (LGBTQ) civil rights organization, recently released its 10th edition of the healthcare equality index (HEI), reflecting a decade of progress in LGBTQ-inclusive healthcare. A record 590 healthcare facilities actively participated in the 2017 HEI survey, committing to LGBTQ-inclusive policies and practices. In addi-
H ealth News tion, the HRC Foundation proactively researched the key policies at more than 900 additional non-participating hospitals. Of facilities surveyed for the HEI, 303 earned HRC’s “Leader in LGBTQ Healthcare Equality” designation and 144 — including UR Medicine’s Thompson Health — were deemed a “Top Performer in LGBTQ Healthcare Equality.” This year marks the first time the HEI has awarded numerical scores for their implementation of LGBTQ-inclusive policies and practices in four areas: LGBTQ patient-centered care; LGBTQ patient services and support; fully-inclusive employee benefits and policies; and LGBTQ patient and community engagement. Three quarters of the healthcare facilities actively participating in the survey scored 80 points or above. Thompson scored 85 points, with “Top Performer” status going to those in the 80- to 95-point range. “A commitment to serving our LGBTQ community has been a focus of Thompson Health for many years and will continue to be,” said Vice President of Associate Services and Wellness Jennifer DeVault. “We want to make sure we’re doing everything we can to make our associates, patients and visitors feel welcome, and we are grateful to the HRC for its guidance.” For a full list of hospitals scored by the HRC, visit www.hrc.org/hei.
Jewish Senior Life recognized for workplace Jewish Senior Life has been named a 2017 Top Workplace by The Rochester Democrat and Chronicle.
The Top Workplaces lists are based solely on the results of a confidential employee feedback survey administered by WorkplaceDynamics, LLC, a leading research firm that specializes in organizational health and workplace improvement. Several aspects of workplace culture were measured, including alignment, execution and connection, just to name a few. The organization was also recognized with the “Doers Award,” having received standout ratings by its employees for “doing things efficiently and well.” “The Top Workplaces award is not a popularity contest. And oftentimes, people assume it’s all about fancy perks and benefits.” says Doug Claffey, CEO of WorkplaceDynamics. “But to be a Top Workplace, organizations must meet our strict standards for organizational health. And who better to ask about work life than the people who live the culture every day — the employees. Time and time again, our research has proven that what’s most important to them is a strong belief in where the organization is headed, how it’s going to get there, and the feeling that everyone is in it together. Claffey adds, “Without this sense of connection, an organization doesn’t have a shot at being named a Top Workplace.” “We’re honored to receive the Top Workplaces award, especially because the judges were our own employees,” said Mike King, president and CEO of Jewish Senior Life. “Older adults are able to live even more meaningful lives with choice and dignity when they’re supported like a team that feels like family. More than just caring for people, we care about them.”
Jewish Senior Life is one of the largest non profit employers in Rochester, with more than 1,000 employees.
Lifetime docs recognized for diabetes care Lifetime Health Medical Group announced 13 of the group’s physicians have been accepted into the National Committee for Quality Assurance (NCQA) diabetes recognition program. Physicians receiving this recognition are considered among an elite group nationwide, providing highest-level quality evidence-based diabetes care. “This recognition from NCQA is a testament to our doctors’ efforts to help patients with diabetes reduce their risks of complications and live their lives to the fullest,” says physician Stephen H. Cohen, Lifetime Health’s president. NCQA recognized the following Rochester-area Lifetime Health physicians: Valerie Newman, Josephine Ellis and Diane Ahlman of Artemis Health; Brenda Davis and Rosario Soriano-Turque, whose practices are in the Folsom Health Center; and Diana Thangathurai, whose practice is in the Wilson Health Center. To receive recognition, which is valid for three years, these providers had to meet rigorous diabetes care measures, including standards for eye exams, blood pressure tests, nutrition therapy and patient satisfaction. The Centers for Disease Control and Prevention (CDC) defines diabetes as the condition in which the body does not properly process food for use as energy. It can cause serious health complications including heart
disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the seventh leading cause of death in the United States.
HCR: Top performer in LGBTQ survey HCR Home Care once again has been recognized as a top performer in lesbian, gay, bisexual, transgender and queer (LGBTQ) healthcare equality. The Human Rights Campaign Foundation, the educational arm of the country’s largest LGBTQ civil rights organization, cited HCR as a top performer in its 2017 healthcare equality index. This annual survey recognizes healthcare institutions doing the best work and encourages equal care for LGBTQ Americans. To achieve this honor, HCR Home Care met key criteria in LGBTQ-inclusive policies and practices in four areas: patient-centered care, patient services and support, fully inclusive employee benefits and policies, and patient and community engagement. “HCR is deeply committed to inclusive and equitable care for all of the people we serve, including the LGBTQ community,” said HCR Home Care President Elizabeth Zicari. “We are delighted that our LGBTQ policies and services have again been recognized by the Human Rights Campaign Foundation.” “This recognition is a testament to the work our team does each and every day to treat our LGBTQ employees and patients equally and inclusively,” said Leslie Alvarado, HCR’s LGBTQ program team leader and senior medical social worker.
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • May 2017