Inside Healthcare Spring Edition by Oswego Health

INSIDE Healthcare a guide to your healthcare services

Amanda Neill, RN Lorrie Galletta, RN I. Michael Vella, MD SOS Orthopedic Surgeon

SOS Partnership p. 3 — Collaboration p. 5 — Allergy Season p. 8 — Urinary Incontinence p. 11 — New CTs

Jerod Hines, MD Oswego Health Orthopedic Surgeon

John Ayres, MD Oswego Health Orthopedic Surgeon

Oswego Health SPRING 2016

INSIDE HEALTHCARE

Welcome to our Spring edition of Inside Healthcare. We are very pleased to feature our new partnership with Syracuse Orthopedic Specialists (SOS) in this publication. By late summer, SOS orthopedic surgeons will be providing care alongside our own orthopedic team. They will care for patients in our emergency room, conduct surgery in our state-of-the-art surgery center, and will also be available for office consults in suite 280 of the Oswego Health Services Center, adjacent to Oswego Hospital.

A Publication of Oswego Health 110 W. Sixth St., NY 13126 315-349-5511 Chuck Gijanto President and CEO of Oswego Health Jeff Coakley VP for Communications & Government Affairs Jennifer Martin Director of Marketing

This partnership will benefit our community. Oswego County residents who previously traveled elsewhere will be able to receive their orthopedic care close to home, from office visits and surgical procedures to physical therapy services at convenient locations throughout Oswego County.

Marion Ciciarelli Director of Public Relations Anne Raham Communications Coordinator Maureen Miceli Administrative Assistant Correspondence: Oswego Health Development and Community Relations 110 W. Sixth St. Oswego, NY 13126 dearoh@oswegohealth.org

Elsewhere in this publication, you can read how to identify and treat several summertime health ailments, including allergies and Lyme disease. We also highlight our growing urology services that are anchored by three excellent surgeons: Dr. Felix Oben, Dr. Elizabeth W. Bozeman and Dr. Gary Bozeman. Happy reading and I hope you have a safe and healthy summer. Chuck Gijanto

Oswego Health President and CEO

facebook.com/oswegohealthcare for Oswego Health community news, events and medical information twitter.com/oswegohealth

oswegohealth.org for newsletters, medical information, provider listings and more Information in this issue comes from a range of medical experts. If you have any questions or concerns about specific content that may affect your health please contact your health care provider.

The mission of Oswego Health is to provide accessible, quality care and improve the health of residents in our community.

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Comprehensive Orthopedic Services in Oswego County

Allergy Season: ENT Doctors Groch and Pence Female Urinary Incontinence: Dr. Elizabeth W. Bozeman Lyme Disease: Dr. Rajeev Saini

Collaboration Offering Quality Care in Orthopedics Oswego Health and Syracuse Orthopedic Specialists The physicians and staff of Oswego Health and Syracuse Orthopedic Specialists (SOS) are excited to announce a collaboration, which will bring SOS orthopedic surgeons to Oswego County to provide care. The SOS staff will work alongside Oswego Health’s orthopedic team to provide office visits at the Oswego Health Services Center and perform surgeries in Oswego Hospital’s surgery center.

“This collaboration will complement the excellent skills of our orthopedic team here at Oswego Health,” said President and CEO Chuck Gijanto. “We look forward to adopting the protocols that have enabled SOS to become one of the best-known groups for orthopedic care in the region.” Mike Humphrey, SOS CEO said, “This is a great opportunity for us to offer high-quality efficient care in Oswego County. Healthcare keeps changing and I think the future is all about collaboration and looking at the best way to provide effective care.” Humphrey added that the collaboration will improve access to care. “Most importantly, I think this new relationship will assist in coordinating care with an individual’s primary care physician, as well as with any physical therapy services that may be needed.”

offering orthopedic care, we need to continue growing our services,” Gijanto said. “Gone are the days of a single orthopedic provider or a small practice. Specialization has become the norm and it’s what the patient expects. So this collaboration brings that level of care conveniently to Oswego.” While the details on the implementation of SOS care locally are being coordinated, it is anticipated that by late summer the Syracuse orthopedic group will be utilizing Oswego Health facilities.

Physician Partners

Oswego Health welcomes I. Michael Vella, a boardcertified, fellowship-trained orthopedic surgeon, to the health system. He will help coordinate the collaboration of services at Oswego Health.

SOS has 28 orthopedic surgeons on staff. Most specialize and offer care for knees, hips, hands and upper extremities, feet/ankle and the spine. They are also well-versed in treating sports injuries, including those experienced by high school and college athletes, along with weekend warriors. Oswego Health currently has one independent orthopedic surgeon and two employed orthopedic surgeons on the medical staff. “We realize that in order to continue to be successful in

Sugery Center http://www.oswegohealth.org/services/orthopedics

Education: Dr. Vella earned his medical degree from SUNY Upstate Medical Center. He fulfilled his orthopedic residency training at Rhode Island Hospital, where he served as Assistant Resident and then Chief Resident . Dr. Vella completed his Fellowship at Harvard Medical School, in adult reconstructive surgery and returned to upstate New York to practice and raise a family.

Inside Healthcare SPRING 2016 — 3

Comprehensive Orthopedic Services in Oswego County Convenient local care from the emergency room to a full recovery The Oswego Health partnership with Syracuse Orthopedic Specialists (SOS) will bring comprehensive orthopedic services to Oswego County. Later this summer, community members will be able to conveniently accesses high-quality orthopedic services beginning in Oswego Hospital’s emergency room right through to rehabilitation services and a full recovery.

“This is a partnership like none other and we are so thrilled to bring a complete line of orthopedic services to our community.” said Oswego Health President and CEO Chuck Gijanto.

Following surgery, orthopedic patients will recover in the hospital’s medical/surgical unit, receiving exceptional nursing care by a team of specially trained nurses. Completing this care will be rehabilitation services staff that will provide physical, occupational and speech therapy.

24-Hour Orthopedic Care Available

Services Provided in Oswego by SOS:

This partnership allows the emergency room to provide 24-hour orthopedic care, so residents can receive care quickly and close to their homes “Our entire emergency room team is very excited to meet the orthopedic needs of the community, regardless of when they occur ,” said Oswego Hospital’s Emergency Services Director Wajeeh Sana, MD.

• Joint Replacement • Sports Medicine • Foot and Ankle Care • Hand, Wrist and Shoulder Care

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If surgery results from an emergency room visit, Oswego Health physicians and SOS surgeons will collaborate to determine the appropriateness of managing that surgery in Oswego Hospital’s Surgery Center.

This is a great opportunity for us to offer high-quality efficient care in Oswego County.

Top Facility and Exceptional Care

Of course, community members will be able to make some of their appointments with SOS physicians locally in suite 280 of the Oswego Health Services Center, adjacent to Oswego Hospital. Others may be asked to continue to visit SOS offices in the Syracuse area when medically necessary, as they do today.

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—Mike Humphrey, Syracuse Orthopedic Services CEO

5. Shower and change your clothes. After being outside, toss your clothes in the hamper and rinse pollen from your skin and hair.

6. Dry laundry indoors. As nice as the fresh-air smell may be, pollen can cling to your clothes, sheets and towels.

It’s Allergy Season It’s not the best news for those who suffer from allergies. Neighboring Syracuse was named the worst city in the Northeast and third worst in the nation for anticipated pollen count this spring, reports the Asthma and Allergy Foundation of America (AAFA). The rankings are based on average daily pollen counts, allergy medication usage, and the availability of board-certified allergists in each city. Last year, Syracuse ranked 20th, but this year the city received an 87.97 “pollen score,” which is more than 25 points higher than the national average. Causing the higher pollen count is the mild winter that we experienced this year. Oswego Health’s two board-certified otolaryngologists, who provide ear, nose and throat care, offer tips for this allergy season.

7. Use high-efficiency filters. They can trap pollen and other allergens if you use forced airconditioning or heating systems.

8. Try a neti pot. Rinsing your sinuses is a quick, natural and effective way to flush out mucus and allergens so you can breathe

9. Run OTCs by your doctor. Some over-the-counter oral decongestants can cause side effects, including increased blood pressure and insomnia; certain nasal sprays should be used for only a few days. Your doctor or allergist can help determine the best medication for you.

10. Treat early. Most medications work best if taken before pollen hits the air. Ask your doctor when you should start treatment.

11. Keep the bathroom free of mold.

1. Check pollen counts. Visit the American Academy of Allergy, Asthma, and Immunology’s National Allergy Bureau (aaaai.org/nab) for up-to-date readings. If pollen levels are high, limit your time outside and take allergy medications.

2. Shut the windows. Good advice for at home and in the car to help keep pollen out. Cool with the air conditioner instead.

Scrub the tiles regularly. Don’t forget the shower curtain, too.

12. Wash sheets weekly in hot water. Make sure it’s at least 130 F. That’s hot enough to kill dust mites. If your child has allergies, do the same with any washable stuffed animals.

Website Info

3. Move outdoor activities to the afternoon. Pollen counts are usually highest from 5 to 10 a.m.

www.oswegohealth.org/services/ear-nose-throat/

4. Head out on rainy days. Moisture helps clear pollen from the air. Dry, windy days are more likely to have a lot of pollen.

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There are new allergy treatment options available. Community members may not realize that it’s not just antihistamines anymore —Melanie Pence, DO

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Nicholas Groch, DO

Melanie Pence, DO

Inside Healthcare SPRING 2016 — 5

In addition, both Dr. Duggan and Dr. Holman provide care to women who discover they need to undergo a mastectomy or lumpectomy. Last year, more than 70 of these procedures were successfully performed at Oswego Hospital. “We both provide care from the time an abnormal mammogram or ultrasound is obtained, through all the services a patient may need including definitive surgery. I will continue to follow the patient for years,” Dr. Duggan explained. “By offering this single point of care, we get to know our patients and their bodies quite well, developing a wonderful relationship along the way.” Dr. Holman reiterated that fact saying, “We offer advanced personal care so that residents don’t need to travel elsewhere.” To meet the continuing changes in technology, the surgery center has consistently installed the latest equipment. The department updates its high definition camera system used mainly for laparoscopic surgeries routinely, providing the surgeons with clear, real time images. For patients undergoing colonoscopies and esophagoscopies, the instruments used continue to become smaller, while image quality improves.

The Surgery Center of Oswego Health Comprehensive care with clinical expertise, close to home Meeting the general surgery needs of the community with a range of procedures that can be scheduled or provided urgently with excellent outcomes is Oswego Health’s Surgery Center team. Leading that team are the health system’s four general surgeons, Allison Duggan, MD, Dawn Holman, MD, Jai Singh, MD, and Alek Sokolovsky, DO. Among the procedures provided at nearly a moment’s notice using the latest laparoscopic techniques are appendectomies; cholecystectomies, colon resections, the treatment of gastroesphageal reflux disease, small and large bowel procedures, and a full range of hernia operations, from repair to removal. Colonoscopies and esophagoscopies are also performed in a technologically advanced four-suite area of the surgery center. “Residents can be assured that highly skilled care is provided by the general surgery team and that they are able to safely undergo these comprehensive general surgical services, which further include the removal of skin lesions and thyroid diseases,” said Jai Singh, MD.

In addition, the hospital has been recognized for its low rate of hospital-acquired conditions when compared to the three Syracuse hospitals. A Medicare study, released last December, stated that Oswego Hospital’s HAC score was the best in the region, with two Syracuse hospitals noted as worse, having scores at least double or triple OH’s score.

“Patient safety at Oswego Hospital is paramount and our entire staff needs to be commended as this has been very much a team effort,” said Chief Medical Officer Renato Mandanas, MD, who oversees the hospital’s quality of care. “It’s comprehensive care with clinical excellence, close to home,” said Dr. Duggan, who also serves as Oswego Hospital’s Executive Vice President and Chief Operating Officer. Surgeon Holman reiterated that fact saying, “We offer advanced care so that residents don’t need to travel elsewhere.” Complementing the surgeons, low HAC score and technology, is the new team of skilled and experienced anesthesiologists, who are committed to excellent patient care. Just as key are the welltrained and experienced registered nurses. Members of the surgical team are available 24 hours a day, 365 days a year. Along with performing scheduled operations, team members are on call to meet any urgent surgery needs from local physicians or the hospital’s emergency room. Many laparoscopic patients go home within 24 hours of their surgeries.

Excellent Surgery Care Alex Peck arrived in Oswego Hospital’s emergency room with severe stomach pain. After testing, it was determined that he would undergo surgery to remove his appendix. “I had never stayed in a hospital before and the care throughout my experience was excellent,” Peck said. “Everyone was so nice and kind to me, my girlfriend and my parents, who drove up from Long Island.” The afternoon after his surgery he was able to return to his SUNY Oswego dorm room and attend a couple days of classes before traveling home for a school break. — Alex Peck is pictured at the Marano Campus Center, where he covers college hockey games for station WTOP.

At Oswego Hospital, patient safety is paramount and the surgery center takes numerous steps with each patient, ensuring their safety throughout any surgical procedure. To help patients prepare for surgery, we’ve included some tips below.

• Leave your jewelry, money and valuables at home.

Preparing for Surgery —

Read it carefully. It lists:

Ask your doctor • Are there any prescription or over-the-counter medicines that you should not take before your surgery? • Can you eat or drink before your surgery? • Ask your doctor if labs, X-rays or consults are necessary and be sure a form is available to you. Ask someone you trust to

• Remove all piercings. At the surgery facility The staff will ask you to sign an informed consent form. • Your name and the kind of surgery you will have. • That you have talked to your doctor about the surgery and asked questions. • Your agreement to have the surgery. Make sure everything on the form is correct. Make sure all of your questions have been answered. If you do not understand something on the form — speak up.

• Take you to and from the surgery facility.

For your safety, the staff may ask you the same question many times.

• Be with you at the hospital.

• Who you are?

• Stay with you at home for the first 24 hours after surgery.

• What kind of surgery you are having?

Before you leave home

• The part of your body to be operated on?

• Shower, wash your hair, and remove any nail polish on your fingers and toes. Do not wear make-up or use hairspray. Your caregivers need to see your skin and nails to check your blood circulation.

• They will also double-check the records in your chart.

Inside Healthcare SPRING 2016 — 7

1 out of every 4 women experience urinary incontinence. www.oswegohealth.org

Female Incontinence Service Elizabeth W. Bozeman, MD It can be embarrassing if you laugh or cough and it triggers an involuntary loss of urine.

Urinary incontinence affects one in four women. It can also impact men. Providing relief from incontinence are Oswego Health Urologists Elizabeth W. Bozeman, MD, and her husband, Gary Bozeman, MD. The urologists discuss the triggers, risks and how they can help community members return to laughing without worry.

What You Can Do Now: Pelvic Floor Muscle Exercises — These exercises called Kegels are designed to strengthen your pelvic floor muscles. Learning to contract and relax these muscles help support the bladder and other organs. By exercising your pelvic floor muscles and making them stronger, you can reduce or eliminate Stress Urinary Incontinence (SUI)related urine loss.

Common Triggers:

Treatments Are Available

It’s often caused by vigorous activity such as: • Exercise • Sneezing • Laughing • Coughing • Lifting

Offering relief are Oswego Health’s urologists.

You are at Risk If You Are: • Female • Older • Of Caucasian or Hispanic ethnicity • Overweight or obese • A smoker • Constipated or have a chronic cough

Questions to ask, signaling you need treatment: • Is Stress Urinary Incontinence (SUI) limiting my daily activities? • Have I stopped participating in activities because I am afraid I will leak? • Have I become uncomfortable with my body because of the leaking? • Am I avoiding sex because I am afraid I will leak? • Have I stopped exercising because of leakage?

“If your daily activities are impacted by incontinence, it is time to talk about the issue with a physician,” said Dr. Elizabeth W. Bozeman. “We have improved the quality of life for many women and men with incontinence issues.” The Bozemans offer several surgical options for their patients. These procedures are done conveniently in Oswego Hospital’s advanced surgery center. Urethral bulking is when a material is injected into the layers of the urethra (the tube where urine leaves the bladder) to ‘bulk’ it up and help tighten the opening of the bladder. A pubovaginal sling is a non-mesh solution using a biologic material to elevate the bladder neck. This is done through a vaginal incision. If you’d like to learn more on how you can overcome this most embarrassing problem, please call the offices of Drs. Elizabeth and Gary Bozeman at 297-4700.

Urinary Incontinence Service oswegohealth.org/services/female-incontinence-services

Delivering Heathy Babies One Family’s Story When Cassie Nelson, of Hannibal, learned she was pregnant with her first child, she was initially hesitant about delivering at Oswego Hospital, where her husband, John, works in the medical imaging department. But when the couple’s daughter, Paisley, was born last October, she found that their every need was addressed with care. “My whole experience at Oswego Hospital from labor and delivery to my stay was over and beyond what I thought it would have even been,” Cassie said. She also had high praise for Raj Mahajan, MD, of Oswego County OB-GYN who delivered her baby.

Cassie and John Nelson, of Hannibal, with daughter Paisley.

“I believe Dr. Mahajan and the entire Maternity Center staff went over and beyond what they had to,” she said. “People say they think we got special treatment because John works at the hospital, but I don’t think that was the case at all. I believe all the nurses and staff truly care for you and enjoy what they are doing. It is not just a “job” to them. I know when it comes to me delivering again, I will have no reservations about delivering and I will feel 100 percent confident in the staff and hospital.”

Ken Can Walk Again Thanks To The Manor’s Rehab Program When Volney Resident Ken Bartlett needed physical and occupational therapy after a bad car accident last summer, he chose The Manor at Seneca Hill. “The Manor was the foundation of my getting better, ” Bartlett said. “It’s been a long road, but I am in a good position because of the care I received at The Manor.” In the August car accident, Bartlett suffered seven broken ribs, two cracked vertebrate, and both his feet were crushed. When he arrived at The Manor, Bartlett couldn’t walk, get out of bed or move his left arm, which he seriously injured in the accident. Walking with a cane, Bartlett was able to return to his Mt. Pleasant Road home on Veteran’s Day. To continue his progress, he undergoes physical therapy three days a week at Oswego Health’s Fulton Medical Center. Throughout his recovery, Bartlett said his care was excellent. He offered high praise for the entire staff, which treated him like a member of their own family. “They opened the whole facility to my family,” he said. “I owe my new abilities to the whole team.” The Manor not only offers physical, occupational and speech therapy to those who have been in an accident, suffered a stroke or had surgery, but also provides skilled nursing care and an Adult Day Health Services Program. For more information, please call 349-5300.

From left, Occupational Therapist Assistant Vilma Digilio, Ken Bartlett, and Rehab Manager and Physical Therapist Shweta Singh.

Inside Healthcare SPRING 2016 — 9

Third stage This stage is called late (or chronic) Lyme disease. It can occur weeks, months or even years after infection in people who never received treatment for early Lyme disease, or in people whose treatment did not kill all of the bacteria that cause the disease.

Problems can include: Chronic Lyme arthritis—short bouts of joint pain and swelling, usually in one or more of the large joints (especially the knees). Chronic pain in the muscles. Fitful sleep. Nervous system problems, such as memory loss and difficulty concentrating (these problems are rare). Fulton physician, Rajeev Saini, MD provides information on Lyme disease.

Taking action If you feel sick after a tick bite or develop a rash at the site of a tick bite, contact your physician right away. Also call your physician if you develop other symptoms of Lyme disease.

Lyme disease is an infection caused by a type of bacteria that is carried by deer ticks and western black-legged ticks. The infection Early Lyme disease responds very well to antibiotic treatment. can last weeks, months or even years unless it is effectively Usually, 14 to 30 days of antibiotic treatment is enough to kill the treated. bacteria that cause Lyme disease.

Signs to watch for:

If a tick bites you and you remove it within 48 hours, your chances of developing Lyme disease are greatly reduced. That’s because a Lyme disease has three stages, each with its own set of symptoms. tick usually needs at least 36 to 48 hours to transmit the bacteria that cause the illness. First stage Known as early Lyme disease, this stage occurs days to weeks after If you have symptoms of Lyme disease, seek medical attention right away. infection. Symptoms include: • Fatigue

• Chills and fever

• Pain in muscles and joints

• Headache

Sources: American Academy of Family Physicians, American College of Physicians

How to remove a tick

• Swollen lymph nodes

Ticks can carry Lyme disease, but studies indicate they must A skin rash. The rash usually starts at the site of the tick bite. It may be attached for at least 36 hours to transmit the virus. If a tick gets attached to your skin, it should be removed promptly and begin as a small red spot and grow larger. The center may fade, properly. creating the appearance of a bull’s-eye or ring. Sometimes the rash includes many red patches that develop in different shapes Here’s how to properly remove a tick: and sizes around the body. The rash may burn, hurt or itch. Or you Using fine-tipped tweezers, grasp the tick as close to the skin as may not feel it at all. possible. Be careful not to squeeze or twist the body of the tick.

Second stage

With a steady, upward motion, pull gently but firmly until the tick This stage is called early disseminated Lyme disease, meaning comes out. If any tick parts remain in the skin, you can either leave that the infection is spreading and affecting bodily functions. them alone or carefully remove them the same way you would Symptoms, which can occur weeks to months after a tick bite, can remove a splinter. include: Cleanse the bite area, your hands and the tweezers with an Numbness and pain in the arms or legs. antiseptic or disinfectant. Paralysis of facial muscles, usually on one side of the face. Meningitis—a fever, stiff neck and severe headaches. A slow or irregular heartbeat (rare).

Caution: Never use a hot match, petroleum jelly, gasoline, kerosene, nail polish or other products to remove ticks. These methods do not work and may actually increase your chance of infection by causing the tick to excrete bacteria. Additional sources: American Academy of Family Physicians;

U.S. Food and Drug Administration

New CTs Installed in Three Locations As part of its continuing goal to provide the safest and best patient experience, Oswego Health has installed new, lowdose computed tomography (CT) scanners at three convenient locations throughout Oswego County.

The new CTs were installed at the Oswego Hospital, the Central Square Medical Center and the Fulton Medical Center. “We perform more than 12,000 CT scans each year and felt it was important to provide this new technology at all our locations,” said Oswego Health Director of Medical Imaging David Ruel.

The new Siemens CTs offer high-quality images for Oswego Health physician radiologists to read, but with a significant reduction in radiation dose. Siemens is a leader in the production Pictured at the CT open house held at the Central Square Medical Center are Oswego Hospital Chief Financial Officer Eric Campbell, of medical imaging equipment. Oswego Health VP for Communications and Government Affairs “CT scans are used to diagnose a wide range of illnesses and Jeff Coakley; Oswego Health Interim VP for Human Resources injuries, so our patients are benefiting from this improved James Marco; Oswego Health President and CEO Chuck Gijanto; technology that offers a significant reduction in radiation dose, Oswego Health VP and Chief Operating Officer of The Manor while producing high quality images,” said Oswego Health Jason Santiago; Oswego Health Board Member Ellen Holst; Medical Imaging Chief James Sherwood, MD. Medical Imaging Director David Ruel; Central Square MultiThe reduction in radiation dose is at least 30 percent, depending Modality Technician Mark Heitmann; Assistant VP for Clinical upon the study being conducted. Support Services Margaret Glass; and Oswego Health Chief of Radiology James Sherwood, MD. A CT scan is one of the fastest and most accurate tools for examining the chest, abdomen and pelvis because it provides detailed, cross-sectional views of all types of tissue. It is used to examine patients with injuries from trauma, such as a motor vehicle accident, as well as patients with acute symptoms such as chest pain, abdominal pain or difficulty breathing. It’s also often the best method for detecting and monitoring many different cancers.

Medical Imaging www.oswegohealth.org/services/medical-imaging/

Inside Healthcare SPRING 2016 — 11

Oswego Health 110 West Sixth St. Oswego, NY 13126

Oswego Health Fulton Primecare Location Opens Meeting the need for primary care physicians To meet the need in Fulton for an additional primary care physician, Oswego Health’s Primecare Medical Practice has expanded its primary care services and has opened an office at the Fulton Medical Office Building at 522 S. Fourth St., in Fulton. Primecare Physician Kamal Gautam, MD, is providing care in suite 1700 and community members can call 592-3930 for an appointment. Later this summer he will be joined by family practice physician, Joselito Ouano, MD. The practice is dedicated to providing exceptional medical care, including the treatment of upper respiratory issues, sick visits, injuries, infections, rashes and sprains or strains. The medical team can also provide physicals and smoking cessation counseling.

Springside in the summer As the warmer weather arrives, it’s hot dogs and strawberry time at Springside at Seneca Hill. Members of the community are invited to stop by Oswego Health’s premier retirement living facility for active adults, to enjoy these summertime favorites. Along with enjoying the treats of summer, community members can see first hand this attractive facility that offers both one- and two-bedroom apartments in a congregate living environment, as well as one-story, duplex-style homes and cottages. The duplex-style homes and cottages are adjacent to the main building and offer maintenance services, privacy without the chores, a patio and many more amenities. These feature two bedrooms, two baths and a garage. The center of the congregate apartment building is the hub of daily life, where residents enjoy restaurant-style dining and recreational and educational opportunities in the activity area. Free wireless Internet is available in this building. For a tour, please call 315-343-5658.

Two hot dog buffets are planned, June 7th and August 9th, both Tuesdays, from 11:30 a.m. to 1:30 p.m. The annual strawberry festival will be held Tuesday, June 28th from 6:30 to 8:30p.m. There is a small charge for the food.