Health and Wellness Winter 2019

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PRICELESS

H E A L T H&W E L L N E S S

Winter care for you and your furry friends

A Special Section of the Sullivan County Democrat, January 2019


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HEALTH

SULLIVAN COUNTY DEMOCRAT

JANUARY 19, 2019

More Hearrt Than Ever Cardiovascul arr Care For You

He ar t di s e a s e i s t h e l e a din g c au s e o f de a t h in t h e Uni t e d S t a t e s f o r b o t h men and women. T he hear t c are ex per t s at C at sk il l Regional Medic al Center and C at sk il l Regional Medic al Gr oup off er ex per t and c omp a s sionate t r e a t m e n t , di a gn o s i s a n d m a n a g e m e n t o f h e a r t di s e a s e. O u r c a r di o l o gi s t s ar e B o ar d-cer ti fied and highly sk il l ed in multipl e sub-spec ialtie s pr ov iding t he c ar e t h a t i s r igh t f or y ou. We d i a g n o s e , t r e a t a n d m a n a g e a v a r i e t y o f c o n d i t i o n s , i n c l u d i n g: • C o r o n ar y ar t er y di s e a s e • P al pit ation s and atr ial fibr il l ation • High bl ood pr e s sur e • C he s t p ain • High c hol e s ter ol • S hor t ne s s of br e at h • He ar t v alv e di s e a s e s • P o or l e g c ir c ul a t ion and • Conge s ti ve hear t f ail ure cl audic ation

L o o k in g f o r a d o c t o r ? C a t s k il l Re g i o n al M e d i c al G r o up C a r di o l o gi s t s a r e h e r e f o r y o u .

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For more infor mation about how we c are for your hear t, visit w w w.cr mcny.org A member of the Greater Hudson Valley Health System

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SULLIVAN COUNTY DEMOCRAT

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Mental Illness-BY M. LORI SCHNEIDER, MS EXECUTIVE DIRECTOR OF NAMI SULLIVAN COUNTY, NY

organ of the body, susceptible to illness the same way the heart, lungs, kidneys, pancreas are susceptible to illness. Mental illness affects more people than heart disease, lung dis-

flaws in chemistry, not character I

f you or someone you love has been diagnosed with a mental illness, you are not alone. NAMI Sullivan County, NY can help. The term “mental illness” is almost a misnomer, because it seems to imply that the illness is “all in your mind,” when in fact, it’s in the brain –– an

ease and cancer combined. They affect the way people think, feel and relate to others. Yet, while public awareness has come a long way in the past couple of decades, even in this day and age, there remains a terrible stigma associated with having a mental illness.

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Stigma keeps people from seeking treatment, from talking about and getting support and education, and blankets individuals and their families with unwarranted blame and shame, that we don’t normally see associated with other illnesses. One in four families has a loved one diagnosed with a psychiatric illness. Depression, Bipolar Disorder, Schizophrenia, Anxiety Disorders, PTSD are neurobiological brain disorders as real as any other physical illness. Mental illnesses are flaws in chemistry, not character. NAMI is the National Alliance on Mental Illness. The Sullivan County affiliate has been providing advocacy and education in our area since 1983. Primarily a family support and advocacy organization, NAMI Sullivan CONTINUED ON PAGE 4H

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offers Sharing and Caring Family Support Groups twice monthly – in Monticello at 20 Crystal Street on the third Tuesday evening of each month from 6:30 – 8:00 pm and in Port Jervis at Bon Secours Community Hospital on the fourth Tuesday evening of each month from 6:30 – 8:00 pm. NAMI Connection Peer Support Groups twice monthly – in Monticello at 20 Crystal Street on the first and third Monday of each month from 2:00 – 3:30 pm. The Suicide Bereavement Group meets the first Wednesday evening of each month in Monticello at 20 Crystal Street from 6:30 – 8:00 pm and the NAMI Family-to-Family twelve-week educational course is offered each Spring. All programs are free of charge, confidential and a safe place to share. NAMI Sullivan also offers social and recreational and advocacy programs for people living with mental illness in

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our area. The Compeer (companion/peer) program matches community volunteers with adults living with mental illness in one-to-one friendships. Through each other, they both become better people. Caring men and women are always needed and hours are flexible to suit your availability. A few hours each month of your friendship can really make a difference in someone’s life. Over the next few months in the Sullivan County Democrat’s Health and Wellness special publications, there will be articles featuring more information about individual diagnoses and how to get help if you or someone you love is living with a psychiatric diagnosis. Mental Illness is not curable – neither is Diabetes or Epilepsy – but it is treatable. Treatment works. Medication, talk therapy and a host of other resources are available. While NAMI Sullivan County doesn’t provide any clinical services, we can put you in touch with local resources and arm you with knowledge and support. Together, we can make the difference. For information, phone (845) 794-1029. CONTRIBUTED PHOTO

The brain is an organ of the body, susceptible to illness like any other.

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SULLIVAN COUNTY DEMOCRAT

JANUARY 19, 2019

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JANUARY 19, 2019

SULLIVAN COUNTY DEMOCRAT

Service dogs answer the call STORY AND PHOTO BY MATT SHORTALL

Veteran Nick Leslie and service dog Juliet were brought together through ATI’s program to help restore independence in people’s lives.

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hey say that a dog is man’s best friend. There are few better examples than the service dogs that work to assist their human friends. For the past three years, Action Toward Independence (ATI) has been working in conjunction with other veteran’s organizations to connect men and women who have served their country with the exceptional canines who will work to serve them. As Executive Director Deborah Worden explained, ATI applied for a grant through the Wounded Warrior program with the goal of connecting service dogs to veterans struggling with Post-Traumatic Stress Injury (PTSI). “They’re trying to get away from the ‘disorder’ part because it’s not a disorder, it’s actually an injury

to your brain,” Worden said. “It’s not fair, especially for veterans to have to pay thousands of dollars for a service dog in order for them to function better in life.” It all started when former Program Manager Dennis Simmons was looking to get a service dog to help his son who had autism. They learned that trained service dogs can help people struggling from all kinds of disabilities or illnesses achieve a greater degree of independence in their own lives. In ATI’s first year participating in the program they placed almost 20 dogs with veterans. Going into their third year now, ATI has placed over 45 dogs alongside veterans. One of those veterans is Nick Leslie, who first deployed to Iraq in

2007 and went back for a second deployment in 2010. He received his honorable discharge from the army in the final weeks of 2012. “I tried a few different things, not all of them healthy or successful, before I got to the point where I decided to pursue standard, therapeutic methods of treatment through the VA,” Leslie said. “When I found out about the ATI service dog program, I was absolutely willing to put in the work to benefit from that.” Today, Leslie works for a power company inspecting meters and making sure they function properly. He’s had two-year-old Juliet for a little over a year. “She’s worked with me the whole time, we started training right away,” Leslie said. Worden explained how veterans who get service dogs through the program work closely with Jeffrey Whitlock, ATI’s Veterans’ Advocate and a Gulf War veteran himself. Leslie said they started out doing simple obedience training for about eight weeks before moving on to more advanced situations, like going out in public and getting the dog accustomed to busy places such as elevators, escalators or office buildings. “Jeff takes the veterans into places like Walmart or the mall. We have relationships with these places so that they know we’re coming,” said Worden. She said it’s helpful for these businesses to learn what a real service animal looks like.

The difference between a service animal and a therapy or emotional support animal is that, in this case, Juliet provides a specific medical purpose. The difference between a service animal and a therapy or emotional support animal, Leslie explained, is that Juliet provides a specific medical purpose. “For me, that is mitigating the panic attacks and severe anxiety attacks that come along with posttraumatic stress,” Leslie said. He explained how a number of seemingly innocuous situations could trigger his stress, such as a tipped over

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garbage can or a dead animal on the side of the road. “Whatever it might be triggers bad memories and brings me back to events that happened in Iraq ten years ago. But in that moment it feels like it’s happening again. When I can’t function, she [Juliet] busts me out of that.” Leslie says that Juliet will come over and gently nudge him, get his attention and help break him out of that frame of mind. The best way Leslie can explain PTSI is when you have a rational fear that’s been hardwired into you. Roadside bombs and snipers are very much rational fears in a war zone. Once you return to civilian life, however, that rational fear has become something completely irrational. At first his employer had some trepidation, he said, because he spends most of his day driving around in a truck. He had to keep the engine idling, because he couldn’t let Juliet get too cold or too hot. “It’s a new thing for a lot of people and something that a lot of businesses aren’t accustomed to,” said Leslie. In the end, his employer more than understood, even issuing Juliet her own company ID card. Nick carries a full packet of information on Juliet, including shot records. “Paper always seems to make people happy,” Nick joked. “It comforts my management and people who I run into.” The level of support he received through ATI was another advantage to trying to go it alone. If there are any questions, he knows he can call Whitlock and get the kind of personalized, veteran-toveteran attention that has made the program such a success. “A big component is having someone who has been through that and can help you navigate the VA,” said Worden. “Having a veteran is the cornerstone of the program.” But Leslie is quick to point out that the program only works if you stay dedicated to it and are willing to put in the work. “All these things are tools. If you’re not willing to use your tools correctly, they’re not going to do you any good. If you neglect them they’re not going to work for you,” Leslie explained while Juliet calmly sniffed around Worden’s office. “One of the best parts of working here now is that we have dogs who visit all the time,” Worden joked.


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Josh Santiago, Jay Pusey and Jamal Saad feel like family at New Hope Community in Loch Sheldrake.

What it’s like to live at New Hope Community STORY AND PHOTO BY ISABEL BRAVERMAN

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he people who live at New Hope Community in Loch Sheldrake spend their days working outside on a farm, hanging out with other residents, participating in daily activities and going to board meetings. They are people living with intellectual and developmental disabilities; many of them require a wheelchair or other physical aids. But life at New Hope gives them the independence to live their lives fully, with friends, jobs and responsibilities. The people who live there live in residences with support staff. Other people live at home or elsewhere and come to New Hope for day programs. For over 40 years, New Hope Community has been enhancing the lives of those with intellectual and developmental disabilities. It’s a place to learn, where life skills can be immersed with support professionals

that create environments of innovation. The people receiving support services work closely with the staff and form special relationships. “It’s like a second family,” Josh Santiago said. “All of us have our own little friends, our little place in the world.” Santiago is 24 years old and has lived at New Hope for four years. He, along with Jamal Saad and Jay Pusey, sat down recently to talk about their experience and day-to-day life at New Hope. “I advocate for myself to get stuff done when it needs to be done,” remarked Saad, who is 38 years old and came to New Hope 15 years ago. “There are times when it can be difficult, but then it can be easy as long as you ask for help they can assist you on your daily living.” Self-advocacy is a big part of New Hope’s ethos. Through teaching, coaching, encouragement and role

modeling, they advocate for people to integrate and participate in the wider community. One way to do so is through Hope Farm located at the SUNY Sullivan campus. Santiago and Pusey both work at the farm. “We become a little farming family kind of, right Jay?” Santiago said. Jay, who is 41 and came to New Hope 15 years ago, agreed. The idea of family is something that all three of the men feel with their peers at New Hope. They have many friends and enjoy spending time together. They said when they first got there it can be challenging because you don’t know anyone and they don’t have that level of comfort. But soon they all made friends and got to know the support staff. One member of the staff, Michael Noren, is the Assistant House Manager/Self-Advocacy Leader who joined ten years ago. Working at New

Hope Community, Noren said that, “I never really thought about the ‘rewarding part’ of doing this job. To me just knowing that I helped make someone’s day a little better is good enough.” He leads the Self-Advocacy Group and assists with things such as conferences and moderating meetings. As a non-profit, New Hope has a board of directors that meets regularly. There’s usually a person that New Hope supports that is invited to join the board as a representative and Jay was recently asked. Jay is also in the band and plays guitar. All in all, the three men agreed they love living and working at New Hope. “I’m very happy here sometimes, but there’s ups and downs,” Saad said. Santiago joined in: “It’s like any place,” he said. “But for the most part all three of us have each other and all of the people here. So I have no complaints.”


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JANUARY 19, 2019

Cold weather tips for pet owners BY JOSEPH A. D’ABBRACCIO, DVM CATSKILL VETERINARY SERVICES, PLLC ROCK HILL, NY

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ith winter upon us, we want to make sure our fourlegged friends are safe from the elements. Unlike people they cannot just add extra layers or turn up the heat. During the winter a change of sun exposure and sunlight will affect your pet’s hair growth, and stimulate a thicker coat. This adds some protection during the cold seasons, but for dog breeds with thin or short hair, cold weather poses a threat (e.g., greyhounds, Italian greyhounds, whippets, pitbulls, and boxer dogs). Keep in mind that underlying medical problems (like an underactive thyroid or “hypothyroidism,” skin disease, cancer, immune-related diseases) or certain medications (e.g., heart medication, diuretics, and steroids) prevent your pet from having a normal metabolism and being able to thermoregulate appropriately. It is important to consider more than just the temperature but rather wind chill as well. Wind chill, which is always lower than air temperature, is the perceived decrease in temperature felt due to the effects of wind and airflow. Keep in mind that the temperature alone shouldn’t guide you on cold weather threats, but rather, the overall temperature after accounting for wind chill should be what guides you. So if it’s 30°F out and you want to go walk your dog, go for it. Just keep

in mind that it may feel colder than that and your pet may need some extra protection (e.g., booties or dog sweater/jacket). The weather in the Catskills can be unpredictable at times and often brutal so being educated and prepared will help decreased injuries to pets. Here are some cold weather tips to keep your pet safe: Bundle Up If your dog doesn’t have a thick, plush, hair coat consider a winter jacket when temperatures drop below 20°F. Make sure the jacket is snug and that your male dog doesn’t urinate on the bottom belly strap (which can then worsen frostbite or cold injury). Careful where you apply salt While ice salt is only mildly poisonous to dogs, it can cause irritation to the skin, paws, and gastrointestinal tract when directly ingested. Make sure to use pet-friendly ice melters (do not contain salt). Since you do not know what your neighbors may use to treat the sidewalk make sure to use a damp cloth to wipe off your pet’s paws after coming into the house. Shelter If your dog lives outside, make sure he/she has appropriate shelter. Appropriate shelter should be out of the wind and off the ground. Direct contact with the ground, snow or ice results in conductive cooling, and isn’t

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Avoid Space Heaters Avoid the use of space heaters, and other sources of external heat, due to the potential for carbon monoxide poisoning, accidental fire, or thermal injury to your pet.

result in the development of frost bite but if you take your dog for a long run, or hike in the woods this may be more problematic. Prolonged cold exposure causes ice crystals to form in the peripheral tissues. Such tissues as ear tips, tail tip, penis, vulva, and toes. Keep a close eye out for the following: • Redness • Cool to touch areas (like the ear tips) • Swelling • Discolored peripheral body parts (indication of tissue death/damage) If you do notice any signs of frostnip (the stage immediately before frostbite) or frostbite, make sure to bring your pet into a sheltered, warm area immediately. Most importantly, avoid touching or actively heating the area aggressively; rather, slow re-warming of the tissue with lukewarm water is best. This will prevent further injury with rapid thawing of the ice crystals in the tissue. Seek immediate attention from your veterinarian to make sure pain medication, salves, or antibiotics aren’t necessary. Keep in mind that once tissue has undergone frostbite, that tissue is more susceptible in the future. Winter doesn’t mean that you have to hide with your pet indoors – you should still enjoy the beautiful, cold outdoors. It provides stimulation, exercise, and fresh air. Just make sure you’re keeping your pet safe from these cold weather dangers. If you have any questions or concerns, you should always visit or call your veterinarian –– they are your best resource to ensure the health and well-being of your pets. Winter may be long and cold, however, try to appreciate the beauty within the season. If not thrilled by that, spring is less than 100 days away.

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appropriate in cold weather. Dry bedding, such as a thick bed of straw or other insulating protection should be used within the shelter. Make sure to provide a heated water source, as these can easily freeze. You can use thermal heaters specifically designed to keep water bowls from freezing. Have an indoor/outdoor cat? Make sure to provide a safe, warm shelter. More importantly, make sure to “bang” on your car hood before starting the car (this is particularly important if you see paw prints on your hood). Cats often hide under a vehicle’s hood when it’s warm and can develop severe fan belt injuries (including broken jaw bones, severe lacerations, etc.) when the car is started.

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How to get enough protein on a vegetarian diet

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ne of the first questions vegetarians are asked when acknowledging their dietary preferences is, “Are you getting enough protein?” Many people assume it’s impossible to consume sufficient protein on a diet that consists largely of fruits and vegetables. But most vegetarians get the protein their bodies need. Many people are overly concerned with protein intake, eating more than they really need to meet health requirements. The Recommended Daily Allowance of protein in the United States is .36 grams of protein for every pound a person weighs. Many people need less protein than they think, which is likely one reason many nonvegetarians eat roughly one-third more protein than vege-

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tarians. The Vegetarian Resource Group says there are no distinct health advantages to consuming a diet high in protein. How protein works The body digests protein into amino acids to fuel its activity and aid in tissue repair. There are 20 different amino acids in food, but the human body can only make 11 of them. Your body cannot synthesize essential amino acids, which must come from your diet. The nine essential amino acids, which cannot be produced by the body, must be obtained strictly from food. Foods that contain all of the amino acids necessary are called “complete protein sources.” Many animal products are great sources of complete pro-

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ats and vegetarian diets may not make an ideal match. Cats have a greater need for animal protein than their canine counterparts, and while protein can be found in a vegetarian diet, different proteins contain different levels of amino acids cats need to survive. Taurine is an amino acid found in meat and fish that cats cannot synthesize, meaning they must get it through their diets. If cats’ diets don’t include sufficient taurine, the resulting deficiency can lead to heart disease and other potentially serious health problems. Cats also need more protein than dogs, making vegetarian diets for felines an especially risky proposition and one many veterinarians advise against.


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tein, but complete protein also can be found in plant-based foods. One food that is a complete protein

source is the soybean. Other plant-based foods may not be complete proteins by themselves, but when eaten together, can complement one another to provide all the necessary amino acids. For example, combining beans and legumes with certain grains, seeds and nuts is a way to get the protein one needs. The Physicians Committee for Responsible Medicine says that intentionally combining foods at strict ratios is not necessary. As long as your diet contains a variety of foods, many protein needs are easily met.

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JANUARY 19, 2019

Compassionate home care BY PATRICIO ROBAYO

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PATRICIO ROBAYO PHOTO

Judy Balaban, the President of Wellness Home Care, who herself is a Registered Nurse and holds a Bachelor of Science in Nursing, started Wellness Home Care 35 years ago to provide compassionate home care for your loved one.

hirty-five years ago, Judy Balaban was working as a registered nurse for a health care agency and was faced with uncertainty when the company shut down. She thought to herself while sitting at her kitchen table what to do; next, she said: “I can do this myself.” After she borrowed $1,000, she was on her way to establishing her own business as Wellness Home Care. “I felt really passionate in the fact that people wanted to age at home. When you are home surrounded by familiar objects, personal belongings, friends, family, and pets, you heal much quicker,” said Balaban, now the President of Wellness Home Care. “We lose our ability to do certain things as we age. We lose our friends, and we become isolated, and when we send in an aide or a nurse, suddenly there is an addition in your life, and that is a great thing,” said Balaban. When you or a family member are recuperating from an illness or suffering from a chronic illness or medical condition, you may need the care of a certified aide or a skilled registered nurse. Once you are admitted into Wellness Home Care, a nurse will come out and develop a care plan with input from the client and their family, thus assuring peace of mind.

All the caregivers provided by Wellness Home Care are screened, insured and bonded. “There are things that set us apart from other agencies. Yes, it's a business, but it's more than a business, it’s a service. We take that very seriously. We have a nurse and an oncall coordinator available 24/7,” said Balaban. “We have very supportive supervision. Care plans are reviewed with every aide on every case. That's really important for our aides to know. They work independently at the client’s home, but they always have the support of a supervisor available to them,” said Balaban. Services are not only for the seniors or elderly patients, but for individuals who need care at any age, from infancy to end of life care. “We have cases where we have been with the child since birth and continue caring for them as they go through their school day,” said Balaban. Aides can be provided from four hours up to 24 hours, seven days a week and will help with bathing, dressing, hygiene, light housekeeping, home safety, meal preparation and companionship. One of the newest additions to Wellness Home Care is “Just a Bath” services for those living at home who might need some extra help getting into the bath or shower, or for a bed bath. A registered nurse will see what the client needs and will assess the home environment to assure serv-


JANUARY 19, 2019

SULLIVAN COUNTY DEMOCRAT

When things you took for granted become a challenge, or when helping hands are more important than they used to be, home care may be just what’s needed.

ices can be provided safely. Then a trained and certified aide is assigned for the one to two hours that the service takes to meet the client's needs safely. Skilled nurses provide medication management, including injections, teaching, and pre-pouring of medication; post-surgical care; ostomy and colostomy care; wound care and dressing changes. Nurses can administer infusion therapy which includes chemotherapy, hydration, IV antibiotics, hydration, and other specialty therapies. “We have been providing this service for many years in this area - at least 25 years,” said Balaban. “Receiving infusion therapy at home allows for you to go to work and instead of losing time on your job, you can have the infusion at home after work at your convenience.” “It’s really a wide array of services offered,” said Balaban. “The idea is to keep you at home and out of the hospital.” Balaban said they have an excellent staff that goes above and beyond for their clients. “There is a connection to our shared mission statement; it’s like a family.” Equally important, Wellness Home Care itself has a need and that is aides. “There is a lack of aides out there, and this is a national crisis,” said Balaban. “You have to be a special person for this job because you don't make a lot of money, and we need good aides.” According to Balaban, much of

the money for care comes from Medicaid which keeps the salaries low. “It's a big problem. You have to be the type of person who gets fed by doing good for somebody else. It’s also a great starting position if you are interested in entering the health care field. You’ve got to have good references and good skills. All of our aides are vetted.” We offer periodic training programs through our NYS certified Personal Care Aide training program. If you are interested in care for you or your family or would like to be a personal care aide, visit www.wellnesshomecarecom or call (845) 292-2127.

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& N O T E S I N H E A LT H C A R E

TRI-COUNTY EAR, NOSE & THROAT P.C.

PHILIP G. LIU, M.D. AMERICAN BOARD OF OTOLARYNGOLOGY HEAD & NECK SURGERY

10207

570-253-0202

570-491-5255

650-2 Park St., Honesdale, PA 18431

Rt. 209, Westfall, Pa (beside Milford Landing)

www.tricountyent.org

Marie K. Devore, D.M.D. GENERAL DENTISTRY 10265

Evening Appointments Available

• We Welcome New Patients • 3411 SR 97 Barryville, NY 12719

(845) 557-8500

CONTRIBUTED PHOTO

The Boys and Girls Club stopped by Crystal Run to pick up presents employees donated for children in the area.

Crystal Run Healthcare donates over 550 toys to children

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his holiday season, Crystal Run Healthcare helped spread joy to many local children. For the 16th consecutive year, the staff at Crystal Run purchased toys and other gifts that were then donated to children and families in need throughout Orange, Sullivan, and Rockland Counties. Gifts included items such as books, clothing, dolls, games, puzzles, bikes, and more. In total, gifts for 562 children were donated via holiday drives organized by local charities including the United Way, Salvation Army, and the Boys and Girls Club. Beginning in 2002, employees at Crystal Run Healthcare started purchasing holiday gifts for donation to local charities and have continued to do so since then. Along with

numerous other philanthropic programs that employees participate in and support throughout the year, the holiday toy drive is an especially important initiative – one that really makes an impact on every child who receives a gift. “For many families in the Hudson Valley, the holidays are filled with uncertainty and worry. That’s why at Crystal Run, we continue to partner with Boys and Girls Club, Orange County Salvation Army, Rockland Salvation Army, and United Way of Sullivan County during their holiday toy drives. We try to help make the holidays a little brighter for families in need throughout our communities any way that we can,” said Mary DeFreitas, Chief Human Resources Officer at Crystal Run.


HEALTH

SULLIVAN COUNTY DEMOCRAT

JANUARY 19, 2019

17H

DON’T LET YOUR PAIN GET WORSE!

AVOID COMPLICATIONS — GET THE HELP YOU NEED NOW!

Dr. Linda F Dr. F.. Borrelli

34366

FAMILY CHIROPRACTOR CHIROPRACTOR FAMILY Specializing in restoring your health Specializing in restoring your health at affordable fees. 24767 BORR-092494

at affordable Most Insurance Accepted. Participatingfees. in AETNA, EMPIRE BLUE Most Insurance Accepted. Participating in AETNA-US HEALTH CROSS/BLUE SHIELD, EMPIRE, NY SHIP, GHI, GHI, and and most most HMOs HMOs and and PPOs PPOs CARE, BLUE CHOICE,

845-887-4485 25 LOWER LOWER MAIN MAIN ST. ST. •• CALLICOON, 23 CALLICOON, NY NY

Convenient Hours Mon., Fri., 9-1 • 3-6 Tues. 9-12 • Wed. 9-1 • 3-7 Sat. by appt.

DOWLING FAMILY EYE CARE LISA DOWLING, O.D. We Are The Regional Proven Leaders In Podiatry Let Doctors with over 100 years of combined experience help you. Virtually All of our Services are covered by insurance 6 doctors & 6 offices with Saturday & Evening hours Foot Surgery - Diabetic Shoes - All Foot & Ankle Conditions Foot Supports (Orthotics)

MAEGAN SAUER, O.D.

Most insurance accepted Flexible hours

44014

Monroe Port Jervis Middletown Monticello & Callicoon Liberty 692-3668 794-7741 292-5200 492-8637 856-7700

160 GRANDVIEW AVENUE HONESDALE, PA 18431 TELEPHONE: (570) 251-9100 FAX: (570) 251-9926 57422

New Hope Community is proud to be a resource for the health of Sullivan County

48671

68803

www.newhopecommunity.org


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JANUARY 19, 2019

H E A LT H C A R E

Wayne Memorial Trauma Center re-accreditation

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nother successful milestone for Wayne Memorial Hospital’s Trauma Team: The Pennsylvania Trauma Systems Foundation re-accredited the hospital as a Level IV Trauma Center for the next two years, the highest number of years that can be achieved for re-accreditation. The hospital first successfully received the designation in 2017 and was required to apply for re-certification in one year. Level IV trauma centers are able to provide initial care and stabilization of traumatic injury - serious or critical bodily injury - while arranging transfer to a higher level of trauma care. Some of the most common traumatic injuries are caused by falls, motor vehicle crashes, burns and assaults. Since it was first accredited, Wayne Memorial Hospital’s Emergency Department and Trauma Response Team, which includes Laboratory and Radiology staff, have treated approximately 18 trauma cases a month or more than 200 since November of last year. Studies show that trauma protocols such

CONTRIBUTED PHOTO

as those set up at Wayne Memorial dramatically reduce the likelihood of death or permanent disability to trauma patients. “This re-accreditation not only validates our work to date,” said James Pettinato, RN, director

Patient Care Services, “it means we will continue to be in a position to save lives when a trauma occurs in our service area. It’s a win-win for us and the community we serve.”

Left to right: James Pettinato, RN, director Patient Care Services; Amanda Arthur, RN; Debra Bertsche, PA; Patrick Pugliese, MD, medical director Trauma Program and medical director, Emergency Department (ED); Karen Novobilski, RN, Performance Improvement; Danielle Davis, RN, Performance Improvement; Lucille Young, RN, Trauma Program manager (holding certificate); Joanne Falcone, LPN; Denise DiGiampaolo, LPN; Megan Behan, LPN; Dana Gallik, RN; Heather Hughes, RN; Chandra Roberts, RN, Staff Development; Michele Churney, RN, nurse-manager, ED.

Joseph N. Garlick Funeral Home

845-887-6112

2019

Medicare & Most Major Insurance Accepted A Hometown doctor where you’re more like family than a patient. Our patients are very important to us!

69119

1949

9741 State Route 97, 1.5 mi. from Blinking Light in Callicoon. Brick building second from the Holy Cross Church.

(845) 647-7747 186 Canal St., Ellenville

www.josephngarlickfuneralhome.com

68645

(845) 794-7474 388 Broadway, Monticello

Dr. Robert Haray, D.D.S. Damascus Dental Center 1731 Cochecton Turnpike Damascus, PA 570.224.6700

47213

Family Dentistry


HEALTH

SULLIVAN COUNTY DEMOCRAT

JANUARY 19, 2019

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“Tick Talk”: Winter Wisdom on Jan. 19

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n Saturday, Jan. 19th at 11:00am the public is invited to “Tick Talk: Winter Wisdom” with Public Health Educator Jill Hubert-Simon at Morgan Outdoors in Livingston Manor. Many people don’t realize that ticks, especially black-legged deer ticks, are still active in the winter. Join us for this free presentation to learn how ticks survive the cold weather and review prevention tips to keep outdoor winter activities tick free! There will be refreshments and helpful take-home information. Register at (845) 439 5507

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Long Term Care Council Meeting Jan. 16

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Introduction to essential oils Jan. 24

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Engorged deer tick in winter from the Tick Encounter Resource Center Website www.tickencounter.org.

to reserve a seat for this informative Sullivan County Public Health Services program. Morgan Outdoors is located at 46 Main Street, Livingston Manor, NY, (845) 439 5507. www.morgan-outdoors.com.

he Long Term Care Council is the advisory board for Sullivan NY Connects, the No Wrong Door/Single Entry Point for information on long term services and supports in Sullivan County. The next meeting of the Long Term Care Council will be Wednesday, January 16, from 3:00 p.m. to 4:30 p.m. in the Legislative Committee Room (2nd floor) in the Sullivan County Government Center in Monticello. Meetings of the Long Term Care Council are open to the public and all are welcome to attend. For further information about the Long Term Care Council, please contact Martha Scoppa, Point of Entry Coordinator, Sullivan NY Connects, Office for the Aging, 100 North Street, P.O. Box 5012, Monticello, New York 12701 or call (845) 807-0257.

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he Mamakating Library presents Introduction to Essential Oils on Thursday, January 24 from 6:30 to 7:30 p.m. All are welcome for this opportunity to learn about essential oils, their uses in aromatherapy and how to create custom blends. Each participant will take home a 5 ml bottle to enjoy. It is “essential” that you register for this class! Call the library to save your space in the class: 845-888-8004. There is a $5 per bottle materials fee, payable upon arrival.

SullivanArc and The Arc of Orange County are proud to announce our new name: 1 2 1 B ro adway, Mo n ti c e l l o, NY 8 4 5 -4 7 3 -6 9 0 0

31095

Life’s brighter, together

We are making wellness a priority for our staff and the people we support with developmental disabilities. www.arcsullivanorange.org 845-796-1350 68644


HEALTH

SULLIVAN COUNTY DEMOCRAT

JANUARY 19, 2019

The nights are getting cooler and the days are getting shorter.

WINTER’S HERE! Get Ready for the Snow & Cold!

The NEW YEAR is Here! HEALTH ! t u & FITNESS O d Sol You k n a Th

PRICELES S

H E A LT H&W E Fe el Good Fo o d

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‘Stay healthy this winter’

Time to think... HOME HEATING

Ad Deadline: January 4 Publication Date: January 15

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NEW YEAR’S

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SCHOOL SCENE

A Spe cial S upple ment to the Sulliv an Co unty Demo crat

A look at ac tivities in the Eldr ed Cent School Dist ral rict

ELDRED SCHOOL SCENE ‘A Look at Activities in the Eldred Central School District’ Ad Deadline: January 25 Publication Date: February 5

SEC TION

January Bill Flyer 2019

20H

E • FEB RUA RY,

201 8 • CAL LICO ON,

NY

Call 845-887-5200 to Advertise or Subscribe TODAY! ‘Sullivan County’s Hometown Newspaper, Since 1891’


HEALTH

SULLIVAN COUNTY DEMOCRAT

JANUARY 19, 2019

Fats Facts

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Fats have a bad reputation, but certain fats are part of a healthy diet.

• Trans fats: Trans fats are synthetically manufactured by adding hydrogen to liquid vegetable oils to make them more solid. They are not good for a person’s health, but they have been widely used in the past because they tend to be stable and inexpensive and can improve shelf life of processed products. It is important to distinguish between helpful and harmful fats so a body gets the healthy fuel it needs.

Comprehensive continuum of programs to help establish and support recovery from addiction. ~ Detox Services, Residential Services, Day Rehab, Outpatient Services. Group, Individual, and Family Counseling. Medication-Assisted Treatment. ~ Utilizing a trauma-informed care model and evidence-based practices. ~ Providing help. Creating Hope.

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at has a bad reputation. Many people hear the words “fatâ€? or “fatsâ€? and immediately think the worst. Fats go by many names, including lipids, fatty acids, vegetable fats, animal fats, and oils. While some fats can be harmful when consumed in excess, many fats are actually helpful to the body. Educating oneself about the different types of fats can make for a more well-rounded diet. • Saturated fats: These are solid at room temperature and tend to come from animal products and processed foods. A large intake of saturated fats can increase a person’s risk for cardiovascular disease and stroke. • Monounsaturated fats: This “healthyâ€? fat may lower LDL cholesterol and keep HDL cholesterol at higher levels when saturated fats are held in check. • Polyunsaturated fats: These fats also are considered good for cardiovascular health and are commonly known as the omega-3 and omega-6 fatty acids that are found in certain seeds, fatty fish and nuts.

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HEALTH

22H

SULLIVAN COUNTY DEMOCRAT

Roscoe care facility sees substantial upgrades

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he Roscoe Nursing and Rehabilitation Center was purchased by VestraCare on August 30, 2018. This transition has allowed the care facility to make necessary changes and upgrades, particularly new medical supplies and increased medical staff coverage. VestraCare is a consortium of skilled nursing and rehabilitation facilities committed to promoting and delivering unparalleled levels of quality care and customer service to their residents. The care center had been previously unable to assist residents on BIPAP (breathing machines), but with the upgraded equipment folA comfortable common room at the Roscoe Nursing and Rehabilitation Center. lowing the VestraCare purchase, they by Fall of 2019. have been able to expand on resiOther improvements include dential care. major repairs to transportation vehiCosmetic changes to resident cles and the HVAC, as well as softrooms and common areas, which ware enhancements and upgraded will benefit all residents and potenWiFi. tial residents, should be completed

JANUARY 19, 2019

STORY AND PHOTOS BY ANTHONY MORGANO

purchase has been the expansion of the therapy department, including speech therapy and extra assistants for physical therapy and occupational therapy. VestraCare has also sought to create a stronger bond within the community, with the first step being the FallFest that occurred on Halloween. These events are designed to tied their residents’ daily lives more closely to those in the community. VestraCare chose the Roscoe Nursing and Rehabilitation Center for its community oriented facility, and that provides quality care with stable leadership in place. The purchase will allow the center to improve on the quality care it is able

An inside look at a vacant room at the Roscoe Nursing and Rehabilitation Center.

New flooring is being added to certain residential common areas, including this “green room” where residents can look out at the scenery.

Following the purchase, one of the new activities that some residents have been able to participate in is leaving the center’s campus to eat. This new feature gives residents a change of scenery, rather than being cooped up. Another result of the VestraCare

to supply the residents with. Edward Farbenblum, the CEO of Vestracare said, “We are thrilled with the acquisition of Roscoe. It is a true gem with exponential potential. We look forward to enhancing the facilities services as well as adding to its overall aesthetic.”


SULLIVAN COUNTY DEMOCRAT

JANUARY 19, 2019

HEALTH

23H

What Do Lyme Disease and Rabies Have in Common?

They are preventable! Rabies Prevention 1. 2. 3. 4. 5. 6. 7.

Vaccinate your pets. Don’t touch, feed or adopt wild animals, stray dogs or cats. Keep family pets indoors at night. Teach children not to touch any animal they do not know. Never touch a bat. If you see a bat indoors, do not release it. If you are bitten by an animal, clean the wound immediately and contact your health care provider. Report all animal bites to Sullivan County Public Health. If possible, do not let the animal escape.

Lyme Disease Prevention 1. 2. 3. 4. 5.

Wear repellent. Check for ticks daily. Properly remove ticks. Shower soon after being outdoors. Call your doctor if you get a fever or rash.

For more information about Rabies or Lyme Disease prevention, please call Sullivan County Public Health Services at: 845.292.5910, Ext. 0

ADDICTION? There is Always Hope...

LOCAL 24/7 INFO & REFERRAL:

866-832-5575 NATIONAL:

TEXT #HOPENY

59480 59481

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HEALTH

SULLIVAN COUNTY DEMOCRAT

JANUARY 19, 2019

68722

24H

hrhcare.org

Goshen (Alamo) 888 Pulaski Highway (845) 378-1160

New Paltz 1 Paradies Lane (845) 255-1760

Monticello 23 Lakewood Avenue (845) 794-2010

Walden (Wallkill Valley) 75 Orange Avenue (845) 778-2700


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