Health & Fitness May by Sullivan County Democrat/Catskill-Delaware Publications

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May 2020 A Special Supplement to

Sullivan County Democrat

View this section online @ www.scdemocratonline.com/COVID19SurvivalGuide

HEALTH & FITNESS

SULLIVAN COUNTY DEMOCRAT

MAY, 2020

rom The ront Li s Thanks for supporting us!

AAt Catskill Regional Medical M Center,r, we’re working tirelessly too care for our a pandemic. We want to extendd our sincere ccommunity during thee coronavirus tthanks to those sendiing donations and meessages of support. Noot only does iit hhelp l us dduring i this hi crisis, i i but b iti also l inspires i i andd strengthhhens us. mergency, Please help us ﬂattten the curve. Stay hoome unless it’s an em and practice social distancing. d

We still need yyoour help! p Learn moore at crmcny.orrg/COVIDsuppliees

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MAY, 2020

HEALTH & FITNESS

COVID-19 survivor gets round of applause!

CONTRIBUTED PHOTOS

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Melissa Riefler, husband Chris Riefler are congratulated by Wayne Memorial Covid Unit Medical Director Dr. Sean McVeigh, pulmonologist (right in lab coat) and staff.

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Melissa Riefler is flanked by applauding Wayne Memorial Hospital doctors, nurses, respiratory therapists and aides as she leaves the hospital after a five-day battle against COVID-19.

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fter five days in Wayne Memorial Hospital’s COVID-19 containment unit, 46-year-old Melissa Riefler of Honesdale, PA was discharged to a round of applause from hospital staff. Nurses say her children played her Elton John’s song, ‘I’m Still Standing,’ every day to help her fight the disease. On April 28, as she was wheeled out, Wayne Memorial announced her departure and played the song over the public announcement system. Staffers elsewhere said it thrilled them to be even a little part of Melissa’s survival story. Her husband Chris met her outside and gave her a kiss. While everyone was masked, eyes were smiling — and some even crying. For the video, visit Wayne Memorial Hospital on Facebook. For more on COVID-19, visit cdc.gov/coronavirus.

HEALTH & FITNESS

SULLIVAN COUNTY DEMOCRAT

MAY, 2020

Ahava continues to offer COVID-19 testing

hile New York State began to reopen on May 15, health officials warn that the COVID-19 pandemic is not over. They say there will continue to be new cases while the race continues to develop a vaccine. Health officials warn that the best way to contain COVID-19 is by increasing the number and quality of tests available to the general public. Ahava Medical & Rehabilitation Center in Liberty is one of a handful of testing sites in Sullivan County trying to do just that. Anyone interested in more information is encouraged to call Ahava at (845) 281-7200. â&#x20AC;&#x153;I donâ&#x20AC;&#x2122;t believe COVID testing will be history anytime soon, unfortunately,â&#x20AC;? said Administrative Coordinator Faigi Ehrenhaus. â&#x20AC;&#x153;We realized that there was a void. There was nowhere for people to get access to a test. We researched the information to find the best testing available.

CONTRIBUTED PHOTO

Ahava Medical & Rehabilitation Center in Liberty has been offering COVID-19 Swab tests as well as antibody testing toe ensure the safety of their patients and their community. Swab testing is easy and fast and can be done while sitting in your car.

In order to keep the social distancing requirements and sanitized areas, we have set up a tent in our parking area and we have drive-through testing for that.â&#x20AC;? Itâ&#x20AC;&#x2122;s a swab test for COVID-19 that Ehrenhaus says can be done fairly quickly while sitting in your car. Ahava has also offered antibody testing in a separate unit inside the facility. â&#x20AC;&#x153;We donâ&#x20AC;&#x2122;t overcrowd and we keep it as comfortable for everybody as possible,â&#x20AC;? Ehrenhaus said. Everything is covered through insurance and there is no out-ofpocket expense to get a test. According to Ehrenhaus, Ahava does anywhere between 40-50 tests a day, five days a week. â&#x20AC;&#x153;Weâ&#x20AC;&#x2122;re set up to do more. Even if people canâ&#x20AC;&#x2122;t come in during our regular hours, we try to accommodate, even if itâ&#x20AC;&#x2122;s beyond our scheduled hours,â&#x20AC;? she said. Ahava Medical & Rehabilitation

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HEALTH & FITNESS

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MAY, 2020

Local

Doctors and medical specialists at Ahava Medical Center offer a wide range of medical services including urgent care, pediatric care, family care, OBGYN, pain management, and physical therapy

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Public Health Services, there are several other locations in Sullivan County to get COVID-19 testing. Please contact your local healthcare provider for further information. Testing locations are available at: • Hudson River Healthcare, call 1-844-HRH-Care (1-844-4742273) or text “telemed” to 21000. 19-23 Lakewood Avenue, Monticello • Middletown Medical, drivethru COVID-19 swabs only. Call (845) 342-4774. 653 Harris Road, Ferndale • Crystal Run Healthcare, call 845-643-3909. 1987 State Route 52, Liberty. 61 Emerald Place, Rock Hill

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HEALTH & FITNESS

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MAY, 2020

Allergies? Flu? Something else? Our new Telehealth service is a convenient way to find out BY CHRISTOPHER JOHNSON, FNP-BC CATSKILL REGIONAL MEDICAL GROUP

ou’re sneezing. You’re coughing. A sore throat is slowing you down. Maybe you’re having aches and pains. What do you have? Should you see a doctor? This time of year, these symptoms are all too common – and a Catskill Regional Medical Group healthcare provider can properly diagnose and treat them. One important step in understanding the difference between seasonal allergies and the flu – or a condition more serious. Allergies are the reaction of our immune system to an environ-

mental component or substance, whether it's pollen, pet hair, mold or something else. Seasonal allergies tend to be cyclical, and allergy sufferers will tend to recognize symptoms they've had in the past. These could include a stuffy or runny nose, headache, sneezing and coughing. The flu is a virus, and it also has symptoms such as congestion, a runny nose, sneezing or a sore throat. The main difference between allergies and the flu? Fever and body aches. If you have those symptoms – which tend to be hallmark signs of infection – then contact a Catskill Regional Medical Group doctor

CONTRIBUTED PHOTO

Christopher Johnson, FNP-BC Catskill Regional Medical Group

or medical professional. Do so even if you believe you know what your illness may be and you’re seeking to confirm it. Your provider will provide a definitive diagnosis, prescribe treatment, patiently answer your questions and provide reassurance. Don’t want to leave home? Now, Catskill Regional Medical Group has a new way for you to seek care while complying with coronavirus safeguards such as staying home, social distancing and isolation. Telehealth – talking to your healthcare provider via phone or video from the comfort and safety of your home or anywhere. It is available to new and estab-

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HEALTH & FITNESS

SULLIVAN COUNTY DEMOCRAT

lished patients for primary care, specialty care and urgent care. Telehealth offers comfort and treatment when an in-person doctorâ&#x20AC;&#x2122;s visit isnâ&#x20AC;&#x2122;t possible. Most insurance programs cover Telehealth visits. To make a Telehealth appointment, call (845) 333-7575 or visit www.crmcny. org/telehealth. To learn more about primary care provided by the Catskill Regional Medical Group, visit catskillregionalmedicalgroup.org or call our Bethel office at (845) 583-5620, the Callicoon location at (845) 887-5693, our Livingston Manor practice at (845) 439-3579 or the Monticello office at (845) 333-6500.

Thank You For Your Support; Donations Welcome The Catskill Regional Medical Group deeply appreciates the numerous generous donations of personal protection equipment, other supplies and financial sup-

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â&#x20AC;&#x2DC;Telehealth â&#x20AC;&#x201C; talking to your healthcare provider via phone or video from the comfort and safety of your home or anywhere.â&#x20AC;&#x2122;

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port from our community. Our doctors, nurses and dedicated staff are here for you around the clock, and your thoughtfulness is so inspirational. To donate, visit ormc.org/ COVIDsupplies. Thank you!

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HEALTH & FITNESS

SULLIVAN COUNTY DEMOCRAT

MAY, 2020

History lesson of Coronavirus vs. Poliovirus BY PROF. MICHAEL KOSSOVE PROFESSOR EMERITUS AND ADJUNCT PROFESSOR OF MICROBIOLOGY TOURO COLLEGE SCHOOL OF HEALTH SCIENCES (POLIO SURVIVOR)

hose of you reading this, born after 1955, have little or no recollection of polio, or you do because a family member was affected. Poliovirus was the most dreaded disease of the 20th Century, Coronavirus becomes the most dreaded disease of the 21st Century. Both diseases were pandemic (worldwide), and epidemic in the United States. Both were caused by viruses, although very different viruses. Poliovirus has been around since ancient times as seen in hieroglyphic tablets showing a man with an atrophied leg, and walking with a stick.

Coronavirus has been around for years. In fact, many of you reading this had coronavirus. It is responsible for about 7 percent of the common cold, and you would not have known that you had it. This coronavirus is called a “novel” coronavirus because it was mutated (genetically changed), on purpose, in China. Eventually, the “why?” will come out in the future. Both viruses appeared at different times. Poliovirus appeared from approximately June through October, (the warm weather), and this Coronavirus, like influenza virus, in the colder weather. Since it’s new, that remains to be seen. A virus is not alive. They use the term “live virus” to mean an active virus. Bacteria are alive. They are called “cells.” A cell is the basic unit of life. Viruses are called virons or virus particles. A single bacteria, or any other cell can do everything your body can

do. It can, eat, breathe, drink, rid itself of waste, divide, and even communicate with other cells. They have protein factories that make proteins for various jobs inside the cell. A cell works 24 hours a day, 7 days a week, without compensation, and it can’t strike. Some cells have a long life, and others are produced for a short time, like your blood cells. A virus is something like a rubber ball. It’s made of a protein coat, some have an envelope around it, with spikes containing enzymes. These enzymes allow the viruses to enter and leave the cell it infects. Inside the virus, there is nothing but genetic material (nucleic acid), DNA or RNA, containing the recipe for that specific virus. Once a virus gains entrance into a cell, it uncoats, releasing the recipe. The recipe goes to the cells protein factories and the cell begins to manu-

facture the virus. A cell can make hundreds of virus particles. The viruses can then bud out of the cell, or it can destroy the cell, releasing those viruses to attack other cells. This is called “replication.” A cell reproduces. There were three types of polio viruses. You could have caught Type 1, 2, 3, any combination, or all 3. Poliovirus entered the body through close contact (like coronavirus), or through contaminated food and water (unlike coronavirus). Once poliovirus gets into the body, it has to find a cell to attack, and that means that the cell must have a receptor site for that virus. The receptor sites for polio were at the axons (extensions) of the nerve cell that run from the brain down the spinal cord. Once the axon is destroyed, the electrical current stops. If that nerve stimulated a muscle,

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tthat muscle becomes inactive, and the person is paralyzed. As the virus attacks axons, many muscles are damaged. If the virus gets to the base of the brain controlling respiration and heart rate, people die, or must be placed in respirators to breathe. Coronavirus takes a different route. It enters the respiratory system. The damage to the lungs is not caused by the virus persae, but from the immune response to the virus in the lungs. Fluid leaks into the lungs, thus causing the pneumonia and respiratory problems. These people must also be on a respirator. If a person affected with coronavirus is a senior, or has underlining conditions, the immune response is not as strong. People die. In 1954 and 1955, the polio epidemics were the strongest. 15,000 – 20,000 or more people who contracted the virus were paralyzed. This effect remained lifelong. However, not everyone was paralyzed. Only 5/10 of 1% who contracted the virus were paralyzed. If a child or adult was in a swimming pool with others, and only got sick, why didn’t the others. They all had to have come into contact with the virus. Probably because the one affected had the receptors for the virus, and the others did not. However, the others still came in contact with the virus. Polio is an Enterovirus (gut) and it might have caused diarrhea and other mild gastrointestinal problems. There were no testing kits for poliovirus. We have no idea, unlike coronavirus, how many had the polio antibodies, and did not get sick. During the polio epidemics people were as shaken as we are now with coronavirus. Common areas like movie theaters, swimming pools, restaurants, and where people congregated were closed. Spacing, they didn’t call it that then, was important. Cluster areas were shut down, like now, and people were told to stay in. Sound familiar. At the end of the summer, each town or neighbor had one or more polio survivors. It wasn’t uncommon to see people walking with legbraces and crutches, or in wheelchairs. Although polio

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SULLIVAN COUNTY DEMOCRAT

affected mostly children, it also affected, young adults, parents, and grandparents. It took 30 years to break down the codes for the 3 poliovirus nucleic acids, and prepare a vaccine. We didn’t have the biotechnology then to do it in the very short time it did for coronavirus. When the polio vaccine was developed, the decline became very apparent. There was no Food and Drug Administration to require long trials. Once the vaccine showed promise, it was administered everywhere. Soon, it appeared that a small amount of children were getting “vaccine-related polio.” It seemed that the laboratories making it, could not adhere to Dr. Salk’s standards. That was soon changed, and the vaccine administration continued. What about the coronavirus vaccine? The Salk polio vaccine was made from the actual virus. It was treated so that the nucleic acid was destroyed. It could not cause polio. But, like I said, in a small number of cases, it did. The companies that made it did not properly kill the nucleic acid. Dr. Sabin’s liquid vaccine was a weekend poliovirus. It wasn’t supposed to cause polio. However, as it went through the digestive system causing a gut immunity to polio, was eliminated in the feces. Sometimes it got its strength back. Mothers, fathers, sister, brothers, and grandparents, changing a child’s diaper could have come in contact with the viruses and gotten sick, and many did. Now we need a coronavirus vaccine. I was very happy to see that the vaccines in trials are made from parts of the virus, not the entire virus. This eliminates vaccinerelated coronavirus. We don’t know what the aftereffect of coronavirus will have on those who were on respirators. Only time will tell. Polio had a lifelong effect, and after effect. Approximately 20 – 40 years after recovering from polio, and possibly recovering some muscle use, polio survivors began going backwards. New paralysis, pain, fatigue, atrophy, and more, we call “Post-Polio Syndrome.” Many are worse than

they were when they were first affected. Back in braces and crutches, or wheelchairs. Those who were in the iron lungs (respirators) are now experiencing respiratory and swallowing problems. It seems that polio was the only disease known where non-effected nerve s (if there were any left) grew sprouts (extensions) into the affected muscles, restoring electricity. Survivors re-gained partial or all movement in the affected muscles. Many people got sick, and had no affects. That was called “Non-paralytic polio.” These sprouts begin to disappear, leaving the survivor paralyzed again, many times worse than they were originally. Possibly due to overuse, and/or an autoimmune problem. Those with non-paralytic polio all of these years are now experiencing the real affects of the disease. They are now using assistive devices to walk . For those of you who recall the polio epidemic, perhaps now you can make the similarities between what we went through then with the polio epidemics, and what you are going through now with coronavirus. If you are a polio survivor, and never received the polio vaccine because you thought that you were immune. Think again. There were 3 types. Which one or combination did you have? If you didn’t have all three, you could get polio again if there was another outbreak. That could easily be determined by a simple blood test called a “polio titer.” If you don’t have antibodies to all 3, get immunized. It will not exacerbate post-polio syndrome. Remember, as a survivor, you were in the tiny percentage

that got sick. You are susceptible. For parents that think polio is a thing of the past, think again. I said in the beginning that virus is not alive. It is still endemic in third world countries, and people travel. The vaccine cannot give your child, or children polio. That’s a thing of the past. The vaccine is safe. Think of your child in a wheelchair and legbrace, and asking you: “Why am I like this? Don’t even think about playing the odds with your children’s health, and future. Get them immunized. If you are experiencing difficulty coping in these troubling times... Telephone as well as telehealth options throughout NYS are available in the tri state area. We specialize in Trauma, Violence and Addiction

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HEALTH & FITNESS

SULLIVAN COUNTY DEMOCRAT

MAY 2020

Dealing with fear and anxiety during COVID-19 BY PATRICIO ROBAYO

hese unusual times can cause a great deal of stress in the lives of some people. That’s true even as more news of the COVID-19 pandemic spreads as we learn more and more about the virus. Couple that with staying at home if you are a non-essential worker. If you are an essential worker, dealing with working during these tumultuous times can be stressful as well. Many workers across the nation are finding out they might have lost their job or will lose their job in the near further as revenues continue a downward trend. All these things can be overwhelming and can cause fear and anxiety. You fear and worry not only about your health but the health of your loved ones. You might find changes in your sleep or eating patterns or have difficulty concentrating. During these times, there could be a worsening of chronic health problems or a worsening of mental health conditions, according to The Center for Disease Control and Prevention (CDC). The CDC recommends that you take breaks from watching, reading, or listening to news stories, which includes things you find on social media. Also, its good to take care of your body by taking deep breathes, stretching, and meditating. It is a good idea to eat healthy, well-balanced meals. Another way to help deal with stress is to exercise regularly and get plenty of sleep.

You should also avoid alcohol and drugs. New York State is providing mental health resources during this time. The Office of Mental Health has a support line that you can call. It provides free and confidential support to those who are experiencing increased anxiety due to the coronavirus emergency. The number is 1-844-863-9314. Or you can text the Crisis Text Line at 741741 and text GOT5 to start a conversation. Kathleen A. Christie is a Licensed Clinical Social Worker who has her own practice in Liberty and says this is a shared experience for everyone. The thought that you are not the only person feeling anxiety and fear during this pandemic can help manage feelings of loneliness and “apartness.” “The impacts certainly vary from one to the next, but this is a social experience that affects everyone,” said Christie. She also says that self-care is critical during these times. “I, myself have really increased my attention to self care, being even more conscious and inclusive than normal of adequate sleep, hydrating, well-balanced eating,” said Christie. “Taking the time to evaluate your own needs and develop a plan that addresses them is really vital. Without ensuring you are ok, you won’t have anything to offer others in your life, your work, etc.,” Christie added. She also suggests that you change your perspective, while it might not change the reality of the ongoing situation, but choosing to focus on what one has that is good, rather then what is missing or causing pain, can shape your experience. “You can practice this individually, as a family or couple, you can use it as an activity in your next social zoom gathering… but it is most impactful if you make it a daily practice and allow it to become a way of seeing in each moment. This one could transform the Working from home during COVID-19 can add additional stress during these unsettling times.

SULLIVAN COUNTY DEMOCRAT

MAY 2020

During the crisis, many fear not only for their health but for the health of their loved ones.

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Tips for staying healthy and fit during quarantine BY ISABEL BRAVERMAN

t’s been almost two months since a mandatory quarantine began and we all deal with it in different ways. While some are essential workers, others are working from home or are unemployed. It can be easy during this time to binge Netflix shows or sit on the couch. However, it’s more important than ever to maintain some sort of exercise regimen. This could mean anything from intense HIIT workouts, to yoga, to going for a walk. Chose something that you actually enjoy doing and it makes the whole process a little easier. CONTRIBUTED PHOTOS

At right: Fitness equipment isn't needed for an athome workout, but a yoga mat and dumbbells are good additions.

world for good,” said Christie. She said you can ask for help and can also offer and provide help. Helping or being there for someone else, she says, is one of the most effective ways to feel good about yourself. Christie suggests you utilize the local resources that are available in this county. One is to take part in Cornell Cooperative Extension of Sullivan County’s Nutrition and Healthy Families Virtual Office Hours, which happens every Friday between 11 a.m. to noon. Learn how to eat healthy on a limited budget and learn about the Core Four Practices for food safety. Visit www.sullivancce.org/events for more information. You can get creative; the Delaware Valley Arts Alliance is providing weekly creative art challenges that you can get involved in. Visit www.delawarevalleyartsalliance.org. “Awesome way to feel connected, try something new, and have creative fun,” said Christie. Furthermore, Christie says, Accept that life throws us curveballs. Acknowledge this as a curveball. Know that you are capable of hitting the curveball – you just need to keep swinging– the world will keep pitching. May you have time to care for yourself in the midst of your work that is so helpful to so many.” For more information on Christie, visit her website, www.kathleenachristielcsw.com.

HEALTH & FITNESS

Here are some tips to help you incorporate exercise from home during this time:

CREATE A SCHEDULE This is the first step to building a home workout regimen. Think about how your day normally flows and if you prefer working out in the morning or the evening. From there, carve out a window of time that you think would be optimal. For some this could be getting up half an hour earlier for a 7 a.m. workout, or perhaps right after 5 p.m. when you’re off the clock. Whatever time it is, try to maintain that schedule and it will soon become habit. The first step is the hardest It can be very hard to find the motivation to work out. But sometimes it’s as simple as getting ready. You might not be in the right mindset, but just putting on your workout clothes holds you accountable. And the best part is once you start you begin to release endorphins and you already feel better.

TRY AN ONLINE CLASS Since we can’t go to the gym right now the next best thing is following workout videos. There are thousands to choose from online, simply search Google or YouTube. You can find very specific videos that target what you want to do. Keep in mind that many local businesses are offering their classes online right now, so try and support them too.

GO FOR A WALK Going for a walk is one of the easiest ways to get some exercise in. And, the benefits of walking are many. The list includes better heart and lung health, burn calories, lower blood pressure, stronger bones and then the mental health benefits of improving your mood and getting some fresh air. Experts recommend walking a minimum of 30 minutes for five days per week.

Below: Yoga and meditation can be incorporated into your workout routine and helps you lower stress and stay calm.

DO SOME LIGHT STRETCHING You might be new to exercise or just not in the mood, and that’s totally ok. Research shows that just moving your body on a daily basis has multiple health benefits. A great way to do that is to stretch. Look up some simple stretches online and start from there. The benefits include increasing flexibility, improving posture, preventing back pain and is also great for stress relief (I think we all could use some of that).

CREATE A DESIGNATED SPACE Many of us probably don’t have a home gym, but that doesn’t mean you can’t create your own little space to workout. It should ideally be somewhere with some privacy and a place that brings you joy or peace. Try somewhere near a window or a room with a lot of space.

SET GOALS

Below: Working out from home is a great way to stay in shape and stay healthy during the quarantine.

As with any type of workout regimen it’s important to set goals. This can help you stay on track and achieve what you want to achieve. Of course our goals right now might look a little different. You might want to set a goal of two weeks, or just take it day by day.

TRACK YOUR PROGRESS Once you have your goals in mind write them down in a notebook or journal. You can even plan out your weekly workout schedule (there are many templates you can find online). And don’t forget to cross it off once you complete a workout, the satisfaction will be enough to want to keep going.

ONLY BUY NECESSARY EQUIPMENT

The Democrat at-home workout challenge!

Many have fear and worry over the COVID-19 pandemic.

- Warm up - 50 jumping jacks - 15 squats - jog in place 30 seconds - 25 crunches - 10 sit ups - hold plank 30 second - cool down/stretch - See if you can repeat three times!

It can be easy to fall into the trap of wanting to purchase new and exciting fitness equipment, especially now when our Amazon carts are probably already full. But all you need are a few key pieces to optimize your routine. Experts recommend dumbbells (5, 10, or 15 pounds) and a yoga or pilates mat, and if you’re feeling fancy a jump rope and resistance bands.

JUST HAVE FUN Most importantly, don’t put too much pressure on yourself. These are very trying and stressful times and sometimes we just want to make it through the day without crying (just kidding, sort of). If you don’t get a workout in, turn on some of your favorite music and just dance around the house like an idiot. You’re still moving your body and getting blood flowing.

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HEALTH & FITNESS

SULLIVAN COUNTY DEMOCRAT

MAY 2020

Dealing with fear and anxiety during COVID-19 BY PATRICIO ROBAYO

SULLIVAN COUNTY DEMOCRAT

MAY 2020

During the crisis, many fear not only for their health but for the health of their loved ones.

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Tips for staying healthy and fit during quarantine BY ISABEL BRAVERMAN

At right: Fitness equipment isn't needed for an athome workout, but a yoga mat and dumbbells are good additions.

HEALTH & FITNESS

Here are some tips to help you incorporate exercise from home during this time:

Below: Yoga and meditation can be incorporated into your workout routine and helps you lower stress and stay calm.

SET GOALS

Below: Working out from home is a great way to stay in shape and stay healthy during the quarantine.

ONLY BUY NECESSARY EQUIPMENT

The Democrat at-home workout challenge!

Many have fear and worry over the COVID-19 pandemic.

- Warm up - 50 jumping jacks - 15 squats - jog in place 30 seconds - 25 crunches - 10 sit ups - hold plank 30 second - cool down/stretch - See if you can repeat three times!

12H

HEALTH & FITNESS

SULLIVAN COUNTY DEMOCRAT

MAY, 2020

Telemedicine options available for Community Health Center patients

ayne Memorial Com munity Health Center (WMCHC) patients who need to visit a healthcare provider for a chronic or acute issue now have a telehealth option, a visit via phone or video. “It’s our responsibility not only to treat individuals with COVID19, but also to help maintain the overall health and wellbeing of all patients under our care,” stated Frederick Jackson, executive director. “While our medical offices remain open, we are pleased to be able to offer a telehealth visit for applicable situations.” WMCHC operates primary care offices in Honesdale, Waymart,

Carbondale, Hamlin, Tafton, Lake Como, Forest City and Lords Valley, PA. It also has pediatric offices in Sterling, as well as Honesdale and Waymart, PA, and women’s health services in Honesdale, Carbondale and Lords Valley. All offices offer telehealth services. Patients are asked to call ahead to discuss telemedicine alternatives for their particular case. WMCHC’s Behavioral Health office in Honesdale also offers telehealth but on a limited basis. James Cruse, MD, medical director, WMCHC explained “there are a variety of connectivity options for patients. During the crisis, phone-only visits,

CONTRIBUTED PHOTO

James Cruse, MD, a family physician at Honesdale Family Health Center, is shown conducting a video telehealth visit. All WMCHC offices are offering some form of telehealth as an option during the COVID-19 pandemic.

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

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In-office visits are still being routinely scheduled, although patients are now screened for possible COVID-19 exposure. Patients who do come to the office in person will be required to wear a mask upon arrival. Only the patient will be allowed in the office with some exceptions made for individuals who need special assistance such as the elderly, children or those with a mobility issue. Reiterating that all WMCHC medical offices are open for business—WMCHC dental services in Honesdale and Lords Valley are open only for emergencies– Jackson commended the staff. “They really are front-liners and are to be appreciated. In some cases, they are risking their own health to take care of others.” WMCHC is a federally qualified health center clinically affiliated with Wayne Memorial Health System, Inc. For more information and office locations, visit wmchc.net or call (570) 253-8390.

Nature’s Grace

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without video, are allowable based on a patient’s insurance. Medicare visits require videoconferencing. However, the majority of private insurances and Medicaid do not." Patient issues appropriate for telemedicine include follow ups for chronic problems, such as reviewing lab reports for diabetes or high cholesterol, and even blood pressure follow ups if the patient can check their blood pressure at home. “Many new complaints such as colds and coughs, rashes, headaches and joint pain can also be done via video,” said Dr. Cruse, “but if the provider feels the patient needs to be seen in-person after a teleappointment, he or she will be asked to come in—sometimes as quickly as the same day.” Dr. Cruse said health concerns requiring a physical exam such as ear pain, acute abdominal pain, shortness of breath, chest pain, and joint sprains or injuries will be seen at the office.

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14H

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SULLIVAN COUNTY DEMOCRAT

MAY, 2020

You’re going to like what you see!

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CONTRIBUTED PHOTOS

4-H member Zoey M. pictured with her fun, creative mask designs.

The many hands of CCE Joseph N. Garlick Sullivan Mask Makers Funeral Home W (845) 794-7474 388 Broadway, Monticello (845) 647-7747 186 Canal St., Ellenville

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hen many hands make light work, Cornell Cooperative Extension Sullivan County (CCE) unites with its network of committed individuals to make a difference. In light of New York State guidance for wearing masks in public to safeguard against Covid-19, CCE staff, volunteers, community groups, and 4-H families continue to sew and distribute cloth face coverings to people in need. “As soon as it became clear that masks were being recommended, our staff and volunteers quickly got to work designing beautiful masks for both friends and strangers,” said Cornell Cooperative Extension Sullivan County

Executive Director Colleen Monaghan. “We are pleased to see the County’s Mask Brigade, the state-wide 4-H Mask Task initiative (#nys4hmasktask), and others joining the effort so that farm workers, essential employees, families, and folks across the county have what they need to remain safe.” Among CCE staff involved in the effort, 4-H Program Coordinator Marylin Jones has led the Intergenerational Textile Project for many years, collaborating with volunteer Bev Hesse at the Extension Education Center to provide monthly instruction and camaPlease see MASKS, page 16H

MAY, 2020

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MASKS: Cornell Cooperative Extension answers the call CONTINUED FROM PAGE 14H

raderie to a group of crochet and knitting enthusiasts. Equipped with the lessons learned through those sessions, they are churning out masks for the good of the cause. Marylin invites CCE’s corps of 4H families to participate, like 4-H youth member Zoey and her mother Darlene McGee, who contribute their own take on creative mask designs. Another CCE staff member at work on her sewing machine, Dependent Care Educator Bonnie Lewis was joined by volunteer Jane Susswein, who together crafted over 100 masks. The Calico Geese Quilting Guild, a long-time CCE community group, has generously donated more than 324 masks to locations far and wide including Sullivan BOCES, Sullivan County Government, local food pantries and grocery stores, medical doctors, town halls, and other vulner-

CCE Dependent Care Educator Bonnie Lewis, RN sews over 35 masks and counting.

able neighbors. Individuals or families who wish to donate masks, or are in need of masks, food, or other resources can contact sullivan@cornell.edu or call (845) 292-6180. Monetary donations can be made at www.sullivancce.org/donate.

*Please note these are face coverings donated by Cornell Cooperative Extension Sullivan County staff and volunteers and should not be used as personal protective equipment (PPE) designated for frontline personnel. We recommend washing face coverings prior to wearing and following Center for Disease Control & Prevention (CDC) guidelines on proper mask use. For urgent help, contact the Sullivan County Emergency Community Assistance Center at 845-807-0925. Callers with health questions or concerns should call the Sullivan County Public Health Services’ hotline at 845-292-5910. CCE prioritizes the health, safety, and well-being of the communities it serves. Given the uncertainty surrounding COVID-19, and due to an abundance of caution, the Extension Education Center is closed to the public and in-person gatherings have been postponed until further notice.

CCE phone and email lines are OPEN, and staff continue to provide support remotely at this time. For the latest CCESC resources on public health and Covid-19, visit www.sullivancce.org.

Volunteer Jane Susswein sews over 70 masks.

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SULLIVAN COUNTY DEMOCRAT

MAY, 2020

HEALTH & FITNESS

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Life After COVID-19: A Survivor’s Story exposed to anyone with the virus or to someone who had been to an affected area. That Friday, he didn’t feel good but kept working. By Saturday, he could barely move. “I was pinned to the wall with a crushing sensation in my chest.” Walck stayed put in his home (his wife was away) until Monday, when his flu-like symptoms, including sweating and a fever, prompted him to visit Highland Family Physicians in Honesdale, a Wayne Memorial Community Health Center. He tested negative for influenza and the doctor gave him Zofran, a drug for nausea and vomiting. “I couldn’t really eat. I lost 13 pounds,” says Walck, recalling the early days. On March 20, his wife insisted he go to the Emergency Department, where he tested positive for COVID-19. He was admitted to Wayne Memorial Hospital’s containment unit constructed specif-

ically for novel coronavirus patients. “At one point they wanted to put me on a ventilator, but I resisted,” says Walck, “and they said ‘well you don’t have a lot of time,’ meaning I needed more oxygen right then and there.” Walck knew a ventilator required intubation, an invasive procedure which he would prefer not to go through. So, instead of the ventilator, Walck was put on an optiflow machine, a non-invasive device which delivers warm, humidified air/oxygen through a patient’s nose. Walck survived his pneumonia, and on March 29 he was discharged with “17 different medications.” He hoped for the best but he felt “still shaky.” His only underlying issue was high blood pressure, and within a few days he had that “sledgehammer” feeling again and his blood pressure spiked to 188/117 (according to the American Heart Association, blood pressure should be under 140/90). He was re-admitted to Wayne Memorial Hospital. “The team at Wayne Memorial— Dr. McVeigh, the hospitalists and the nurses—they were phenomenal,” says Walck, “they helped me recover from this with all they had.” Walck adds that his wife and 17year-old son both also tested positive for COVID-19, but neither had serious symptoms. Did he ever think maybe this was it? “Oh, yeah,” says Walck, “I

CONTRIBUTED PHOTO

Scott Walck was hospitalized twice at Wayne Memorial for COVID-19, nine days the first time and briefly the second time, but viral pneumonia has left its mark.

definitely cut some deals with the ‘Big Guy’ while I was in the hospital, and now it’s pay-back time.” Sean McVeigh, MD, pulmonologist, says, “Scott Walck is one of the many survivors of this virus. While we certainly cannot discount the many people who have lost their lives, by far we have seen more survivors at Wayne Memorial Hospital, and his outlook is good.” “It was really a life-changing event for me,” says Walck, “and maybe with my plasma donation, I can help someone else.”

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oday, as Scott Walck recovers from COVID-19 at his home in Lake Ariel, he’s thinking of donating his blood plasma to other victims. Researchers say the antibodies in his plasma may benefit other patients. But first, Walck, age 52, has to get himself back to normal; he’s not there yet. Walck was hospitalized twice at Wayne Memorial for COVID-19, nine days the first time and briefly the second time, but viral pneumonia has left its mark. He has pleurisy, an inflammation of the lining of the lungs which causes chest pain particularly when breathing. The good news is that it usually resolves on its own without treatment. Meanwhile, he is still coughing and can walk only short distances. It began at work on Friday, March 13. Walck would prefer not to publicize his work place but says it employs many people who travel. Still he doesn’t recall being

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HEALTH & FITNESS

SULLIVAN COUNTY DEMOCRAT

NEWS

MAY, 2020

NOTES

H E A LT H C A R E

Woodbourne Correctional Facility donates food ed over 1,000 lbs of food to the Hurleyville Methodist Church. The Hurleyville Methodist Church provides food for over 127 families weekly, and has recently

From left are Correctional Lieutenant John Frunzi, Correctional Sergeant Jeff Hoxie, Corrections Officer Antoinette Soriano, Deputy Superintendent for Administration Denisha Goodman, Deputy Superintendent for Security Francis Exner, EAP Coordinator Marie Frunzi, Corrections Officer Taylor Gill, Catholic Chaplain Father Ndulaka, Corrections Officer Kenneth Carter, nd Supt.’s Secretary Annette Mrozek;

had an increased need for food due to the Covid-19 crisis. We would like to thank and commend the Woodbourne Correctional Facility Staff and EAP for

their contributions to families in need in Sullivan County. Their kindness and generosity is truly appreciated, and is an example of their dedication.

From Left are EAP Coordinator Marie Frunzi, Correctional Sergeant Jeff Hoxie, Corrections Officer Austin Labagh, Correctional Lieutenant John Frunzi, Food Pantry Co-Coordinator Lonnie Lindsey, Food Pantry Coordinator Katrina Jaycox, and Paston Jorge Lopez.

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n Thursday, May 7, the staff at Woodbourne Correctional Facility; coordinated by Woodbourne CF’s Employee Assistance Program (EAP) donat-

HEALTH & FITNESS

SULLIVAN COUNTY DEMOCRAT

MAY, 2020

NEWS

NOTES

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H E A LT H C A R E

Greater Hudson Valley Health System announces leadership promotions

Gene Bernieri has been promoted to Vice President of Ancillary Systems with increased oversight of the Orange Regional Medical Center Pharmacy and system-wide Laboratory departments. Mr. Bernieri is also responsible for Environmental Services and Security systemwide, and Nutrition and Food Services at Orange Regional. Debora Snyder has been promoted to Vice President of Nursing. Ms. Snyder is responsible for Behavioral Health Services system-wide, and at Orange Regional Medical Center, OB/Pediatrics, Clinical Decision Areas (Observation Care) and the Emergency Department. Debra Beakes has been promoted to Senior Administrator of Nursing at Orange Regional Medical Center. She is responsible for nursing organizational structure and leadership, both clinically and operationally. Sam Paglianite has joined the system as Senior Administrator of Major Design & Construction. His responsibilities include Facilities system-wide, Healing Environment and Real Estate.

WBAOSC hosts luncheon with Hon. Steven Milligram

Debra Beakes

Sam Paglianite

GOSHEN – The Women’s Bar Assn. of Orange and Sullivan Counties (“WBAOSC”) hosted a luncheon for the Honorable Steven I. Milligram at Delancey’s in Goshen, New York. Judge Milligram was recently elected as a Justice to the Orange County Supreme Court. Previously, Judge Milligram was a partner in the law firm of Catania, Mahon, Milligram & Rider, PLLC, in Newburgh.

Debora Snyder

CONTRIBUTED PHOTO

Pictured in photograph from left to right: Michele Babcock, Esq., Corresponding Secretary; Jacqueline Ricciani, Esq., President; Bill Podszus, Esq., Assistant Law Clerk; Honorable Steven I. Milligram; Rebecca Baldwin Mantello, Esq., Principal Law Clerk; Rebecca Johnson, Esq., Treasurer; Eve Lincoln, Esq., Recording Secretary.

Gene Bernieri

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he Greater Hudson Valley Health System (GHVHS), comprised of Orange Regional Medical Center, Catskill Regional Medical Center, Orange Regional Medical Group, Catskill Regional Medical Group, and Orange Regional Medical Center Foundation and Catskill Regional Medical Center Foundation, is pleased to announce the following leadership promotions.

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SYNERGY SERVES SULLIVAN Although the world is full of suffering, it is also full of the overcoming of it. Our mission at Synergy of Monticello Inc is to foster, promote, support, and improve the mental health of friends, families and love ones. Psychotherapy, or talk therapy, is a way to help people with a broad variety of mental illnesses and emotional difficulties by helping to eliminate or control troubling symptoms to function better and can increase wellbeing and coping with daily life.

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