Health & Fitness Spring 2015

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

Focus on Healing

A Special Section of the

Sullivan County Democrat,

March, 2015

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Tooth Fairy pays a visit, talks good habits Preschool students at Bethany Children’s House in Honesdale, Pa., were given a pop quiz on oral hygiene during a surprise visit by staff from the Together for Health Dental Center (TFHDC), part of Wayne Memorial Community Health Centers (WMCHC), in observance of National Children’s Dental Health Month. TFHDC’s Community Dental Health Coordinator Lori Wood, who is also a Registered Dental Hygienist (RDH) and Public Health Dental Hygiene Practitioner (PHDHP), sat down with groups of 3- to 5-year-olds at the school to discuss the importance of a healthy smile. According to Wood approximately one year of age is the ideal time for a child’s first dental visit. The Dental Center accepts most private insurance, managed care plans and medical assistance are accepted. Additionally, a sliding fee scale is offered for those who qualify. Call 570-251-6534 to make an appointment. Pictured, 3-year-old Bozena is shown helping the Tooth Fairy, Angie Cain, brush the teeth of Dudley the Dinosaur during the visit.

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L E T T E R S They saved my life To the editor:

The WSUL/WVOS Heart-A-Thon and the great Catskill Regional Medical Center Cardiopulmonary Department helped to save my life last June 2014. Nurse Practitioner Kelly L. Edwards in Dr. Paul Salzberg’s office suggested I go for a complete check-up after I complained of breathing problems along with my asthma. I had no previous heart problems. My wife Doris and I visited CRMC for an echocardiogram and Maria Zavodsky, the lead cardiac sonographer, did not like the results and I immediately stopped our shopping plans and decided on “no more cheeseburgers!” Maria helped find me a great cardiologist, Syed Jafri, helped me enter the hospital and checked up on me several times while giving me support.

I wound up having a triple bypass at the Westchester Medical center the following Tuesday, June 10. I’m now participating in the CRMC Cardiac rehabilitation program with Laurie Brockner, RN, and many other heart patients. Thanks to the Heart-A-Thon and fund drives for helping the great people and machines at CRMC save my life. Each donation to the Heart-A-Thon is so important. Jack Costello Jeffersonville

Great experience at CRMC To the editor:

Our father, Paul Newham, was recently admitted to CRMC for surgery. We would like to take this opportunity to thank the operating room staff for their outstanding service pre-op, during and post-op.

Thank you to all the nurses on the second floor and to nurses Michelle Mootz and Kathy Yanacek for your pre-op care and making our father as comfortable as possible. Thank you to the OR nurses, Tammy and Tina for your great job during the surgery. A huge thank you to the anesthesiologist on duty and to Dr. Shahzad for the difficult task of keeping our father alive during a routine, but high-risk surgery. We would also like to thank nurse Sue, on the 5th floor in CCU for your kindness, great sense of humor and huge smile, which was essential to our father’s recovery. It was nice to know how much all of you cared, and made it easier on all of us, during our stressful and emotional time. Paul Newham, Lisa Janowski, Pamela Newham, Kim Gaebel, Mike Newham, Narrowsburg

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appointments available in Rock Hill. At Crystal Run Healthcare, we believe that having the best in life means having ng ACCESS TO THE BEST DOCTORS 4HAT S WHY WE HAVE SOME OF THE BEST PRIMARY CARE PROVIDERS THAT COORDINATE YOUR CARE AND OFFER SAME DAY PRIMARY CARE APPOINTMENTS EXTENDED HOURS ON EVENINGS AND WEEKENDS AS WELL AS ON SITE LABS AND DIAGNOSTIC IMAGING ALL UNDER ONE ROOF "ECAUSE AT #RYSTAL 2UN WE RE RE COMMITTED TO DELIVERING BETTER CARE AND BETTER RESULTS IN A COMPASSIONATE PATIENT FOCUSED AND CONVENIENT SETTING

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Dr. Gurvinder Sethi looks at cancer’s ‘big picture’ Q&A with Dr. Sethi

and purported links: sun exposure, processed foods, cell phones (and cell phone towers), antiperspirants, acrylamide, aspartame – the list goes on and on. But Dr. Sethi downplays the fears that our modern lives are leading to higher cancer rates. Some cancers have fairly straightforward causes. Ever since the Surgeon General’s report in 1964, it’s been accepted that smoking can lead to lung cancer. But what about those who contract the disease and never smoked – or even been exposed to second hand smoke? Dr. Sethi believes he has one answer: “Radon, in my experience, is the number one cause of non-tobacco-related lung cancer,” he said. “Cancer cells already exist in everyone’s body,” said Dr. Sethi, “but our own body’s immune system is able to

Q. What made you want to become a health care provider or what is your earliest memory of wanting to be one? A. I became interested in medicine… while in high school. I was in an emergency room and saw through the curtain a doctor jumping on the chest of a patient and manually massaging his heart. I thought this was "so cool.” Then while taking the usual classes in college, I become further intrigued by the human body and cellular makeup, which prompted me to become pre-med and pursue a career in medicine. Q. What do you love most about and why did you choose your specialty? A. I love the whole idea of treatment of cancer in general. There are so many breakthroughs in the management of this disease which allows me to make a difference in the life and ultimate happiness of my patients. Most of all, though, I love the social interaction with my patients and developing the bond with them that helps me comfort them in their time of need. It's this bond that is needed when one is dealing with the diagnosis of cancer and it is very same bond that is humbling when a patient tells you that he/she appreciates all that you do for them. I chose hematology and

oncology as my specialty primarily because I have the chance to make a difference. I was initially scared of the whole notion of treating cancer patients and during my training, I was almost turned away from becoming an oncologist. It was not until another senior oncologist at my training institution brought me to his clinic and showed me what Oncology is really like and what we, as Oncologists strive for – LIFE. Q. How do you connect with your patients? A. I connect with my patients by making jokes with them as soon as I walk through that door the first time. They are very scared when they come in to see a physician in my specialty, and I feel that it helps to break the ice right off the bat. I think that it makes the patient and their family more receptive to me as their physician and makes them open up to me about their fears and understanding of what is happening, opening the door for discussion about their disease. Q. What advice do you give most to your patients? A. Glass half full and not half empty. That is half the battle and once you lose your hope, there is no turning back. – From Crystal Run Healthcare website

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hough it comes in many forms, cancer, at its simplest, is a condition where the body’s own cells go “haywire” and start reproducing at an unrestrained rate. That’s according to Dr. Gurvinder Sethi, an oncologist/hematologist at Crystal Run Healthcare. Dr. Sethi, who practices at both the Middletown and Rock Hill locations, noted that cancer has three main causes – lifestyle, genetics and environmental factors. According to the National Cancer Institute, the rate of new cancer diagnoses has steadily increased in the last 50 years. But there could be a simple explanation: “There’s more access to healthcare,” said Dr. Sethi. “People are being diagnosed with cancer when in the past, because of the lack of access, people weren’t being diagnosed.” There’s so much fear and even misinformation surrounding cancer, and a simple search yields many suspects

STORY AND PHOTO BY MATT SHORTALL

Call or walk-in

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13358

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get rid of them.� But as we get older and our immune systems begin to slow down, cancer cells are more likely grow beyond control. Treatment has benefitted from technological advances. For example, in the past doctors would perform extensive lymph node dissection on patients with breast cancer. Today, surgeons can inject a dye and then analyze a CT scan. This process allows doctors to assess the degree to which the cancer has spread. “That way we can limit the negative aspects of surgical intervention,� said Dr. Sethi. The techniques for treating cancer have generally stayed the same.

Dr. Gurvinder Sethi can see patients at Crystal Run Healthcare’s Middletown and Rock Hill locations.

Depending on each individual patient and the type of their cancer, doctors use a combination of radiation therapy, chemotherapy, and surgery. While the strategy has stayed the same, techniques have been improved in order to minimize the amount of collateral damage to non-affected areas. There are critics of the conventional medical approach who argue that the accepted methods have had low success rates. They put forth different treatment models. Dr. Sethi had this to say: “I tend to think of alternative treatments more as complimentary treatments. There’s very scant data out there to support the use of alternative sub-

MARCH, 2015

The Dr. Sethi Profile Year Joined Crystal Run Healthcare: 2011 Languages: English, Hindi, Punjabi Medical School: MD, Ross University School of Medicine, Edison NJ Hospital Affiliations: Orange Regional Medical Center, Catskill Regional Medical Center Prior Experience: Blood and Cancer Center, Ocala, Fla.; Medical Oncology Associates of Long Island, Westbury Residency: Internal Medicine, Stony Brook University Hospital, Stony Brook Fellowship: Stony Brook University Hospital, Stony Brook, NY Clinical Interests: Malignant hematology, colon cancer and breast cancer, benign blood diseases.

stances over conventional medicine and chemotherapy and radiation. I think if you use some of these complimentary ‘treatments’ in addition to the conventional medicine it can improve some of the side effect pro-

files we see affecting the patient’s psychological outlook.� Reach Dr. Sethi at either the Middletown (155 Crystal Run Rd.) or Rock Hill (61 Emerald Place) location, www.crystalrunhealthcare.com

Cancer Services Program of Sullivan County

MONTICELLO — The Cancer Services Program of Sullivan County offers free breast, cervical and colorectal cancer screening to uninsured and underinsured men and

women in Sullivan County. The services are offered through the Catskill Regional Medical Center, but patients can seek more information from their primary care practitioner.

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AVAILABLE SCREENING TESTS • Clinical breast exam every year for uninsured women over 40 (women under the age of 40 who are at high risk for breast or cervical cancer may also be eligible for screening.) • Pelvic exam with Pap test every three years for uninsured women over 40 • Screening mammogram every year for uninsured women over 40 • Colon cancer screening kit provided every year for uninsured women and men over 50 • Screening colonoscopy for uninsured women and men at elevated or high risk for developing colon cancer • Diagnostic tests (mammogram, sonogram, colonoscopy, breast or cervical biopsy, surgical consults) for clients whose screening exams suggest that further testing is required

ASSURANCE OF FOLLOW-UP BASED ON TEST RESULTS: • Recommendations about further diagnostic testing • Counseling on medical care that

may be required • Help in making appointments and arranging transportation to and from doctor visits • Appropriate referrals to health and human service agencies as necessary • Assistance with enrollment in the Medicaid cancer treatment program for financially eligible clients who are diagnosed with breast, cervical or colorectal cancer

SCREENING LOCATIONS Cancer Services Program of Sullivan County contracts with many local physicians and nurse practitioners to provide services to our clients. The New York State Department of Health (NYSDOH) has credentialed each of these health care providers to perform breast exams, Pap tests and pelvic exams. Call to see if your primary care physician works with the program: 794-3300, ext. 2794.

Get tested, enter raffle March is National Colorectal Cancer Awareness Month. Anyone who comes into CRMC to receive a colonoscopy or turn in their fecal occult blood test kits will be entered into a raffle to win a barbecue gas grill.

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Catskill Regional Medical Group

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Monday, Wednesday, Friday 8:30 a.m. - 4:30 p.m. Catskill Regional Medical Group is devoted to improving the health of our community by providing you and your entire family with exceptional healthcare. We have Board-certified doctors and Board-certified nurse practitioners who provide care for all ages, from diagnosis and treatment of chronic illness to annual physicals and flu shots with everything in between.

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ORMC is on cutting edge of ‘defib’ system

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range Regional Medical Center is among the first of hospitals in the Hudson Valley to implant the entirely subcutaneous ICD system. This device, manufactured by Boston Scientific (Natick, MA), represents the first commercially available subcutaneous implantable defibrillator system (S-ICD) for the treatment of patients at risk for sudden cardiac arrest. Sudden cardiac arrest involves the abrupt onset of a lethal heart rhythm. Most episodes are caused by the rapid and/or chaotic activity of the heart’s muscle and are known as ventricular tachycardia or ventricular fibrillation. “The subcutaneous ICD system represents a significant advancement in therapy for patients at risk of sudden cardiac arrest. The ability to provide effective defibrillation without the need to access the vascular system offers particular advantages in certain selected patients,� said Orange Regional Medical Center Cardiologist, Paul Eugenio, MD. The S-ICD System is designed to provide the same protection from sudden cardiac arrest as the traditional transvenous implantable cardioverterdefibrillator (ICD). The advantage of this entirely subcutaneous system involves its ability to be implanted just below the skin without the need for thin, insulated wires – known as leads – to be placed into the heart itself (as is necessary with the standard transvenous ICD system). This leaves the heart and blood vessels untouched while still providing protections against lethal cardiac arrhythmias. The S-ICD System has two main

components: (1) the pulse generator, which powers the system, monitors heart activity, and delivers a shock if needed, and (2) the electrode, which enables the device to sense the cardiac rhythm and serves as a pathway for shock delivery when necessary. Both

CONTRIBUTED PHOTOS

The S-ICD System is the world's first and only subcutaneous implantable defibrillator that provides protection from sudden cardiac arrest (SCA) while leaving the heart and vasculature untouched. Cardiologist Dr. Paul Eugenio (left) said the new system is a significant advancement in therapy.

components are implanted just under the skin – the generator at the side of the chest, and the electrode beside the breastbone. Implantation of the S-ICD system is generally straightforward and can be done using only anatomical landmarks which removes the need for fluoroscopy (an X-ray procedure that is required for standard leads to be placed in the heart). The Orange Regional Medical Center Cardiac Catheterization Laboratory, affiliated with Westchester Medical Center, offers three highly equipped, state-of-the-art cath labs where implantation of the S-ICD system is performed by a team of cardiac electrophysiologists. For more information on the Peter Frommer, M.D. Heart Center at Orange Regional Medical Center or the S-ICD System, visit www.ormcheartcare.org.

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Senator John J. Bonacic attended a ribbon cutting ceremony and delivered remarks at Catskill Regional Medical Center in Harris last month. The event was held in recognition of the hospital’s latest phase of renovations. Catskill Regional Medical Center is the sole community health provider in Sullivan County. Senator Bonacic was joined by nurses and staff as well as members of the executive leadership team at CRMC and the Greater Hudson Valley Health System (GHVHS), of which CRMC and Orange Regional Medical Center (ORMC) are the two components. Pictured, front, from left: Marcia Traore, Debbie Davis, Suzanne Lange-Ahmed (with scissors), Maleka Jackson, Sarah Cordero and Helen Brophy All are all nursing assistants expect for Helen, who is a unit clerk. Back row from left: CRMC CEO and Chief Medical Officer Dr. Gerard Galarneau; GHVHS Board Chair Rolland Peacock III; Senator Bonacic; GHVHS Board Vice Chair Darrell Supak; GHVHS Board Secretary Joseph Loughlin; GHVHS Board Member Jacqueline Ricciani; GHVHS President & CEO Scott Batulis; and CRMC Vice President of Patient Care Services and Chief Nursing Officer Rolland “Boomer” Bojo.

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STORY AND PHOTO BY MATT SHORTALL

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he future of cancer treatment is looking brighter, according to Dr. Katherine Seibert of Hudson River Healthcare in Monticello. Though no longer practicing as an oncologist, Dr. Seibert still keeps up with the research, and attends the occasional conference. After earning a PhD in microbiology from Notre Dame University, where she studied the immunology of tumors, Dr. Seibert, who is also a nun, decided to go into medicine. She got her MD at Creighton University in Nebraska and also

SULLIVAN COUNTY DEMOCRAT

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Dr. Seibert reflects on her ‘cancer journey’ trained at the National Institute of Health’s National Cancer Institute in Bethesda, Maryland. Dr. Seibert was practicing in New York City when she was recruited by Community General Hospital (now Catskill Regional Medical Center). There had not been an oncologist in the county in about 10 years when she came here in 1991. “Being the only oncologist, you had to diagnose and care for the patient with hope and compassion,� said Seibert. “I think what happened up here,�

she added, “is that many did not know how far cancer treatment had advanced.� Dr. Seibert developed a first class cancer program which was certified “with commendation� by the Commission on Cancer. She noted that survival rates have increased for both men and women and cancer survivors are living longer. “Survival rates across the board are getting better,� said Seibert. “That’s most dramatic in pediatric cancer. When I first went into oncology, 95

percent of children with leukemia would die, and now it’s the exact opposite, 95 percent are living.� Only a decade ago 60 percent of those diagnosed with cancer would die as a result of the disease. Today, 60 percent of those diagnosed enter long term remission or are cured. “There’s been a lot done in the last few years to increase the effectiveness of treatments and to make them less harmful to the person they’re meant to treat,� said Seibert. Seibert calls this principle “sur-

SYMPTOMS TO BE AWARE OF

• Fatigue • Lump or area of thickening that can be felt under the skin • Weight changes, including unintended loss or gain • Skin changes, such as yellowing, darkening or redness of the skin,

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sores that won't heal, or changes to existing moles • Changes in bowel or bladder habits • Persistent cough • Difficulty swallowing • Hoarseness • Persistent indigestion or discomfort after eating • Persistent, unexplained muscle or joint pain • Persistent, unexplained fevers or night sweats

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WHEN TO SEE A DOCTOR Make an appointment with your doctor if you have any persistent signs or symptoms that concern you. If you don't have any signs or symptoms, but are worried about your risk of cancer, discuss your concerns with your doctor. Ask about which cancer screening tests and procedures are appropriate for you. – The Mayo Clinic

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Signs and symptoms caused by cancer will vary depending on what part of the body is affected. Some general signs and symptoms associated with, but not specific to, cancer include:

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Dr. Katherine Seibert no longer practices oncology. She sees patients at Hudson River Healthcare in Monticello.

vivorship” – minimizing and treating the side effects and unintended consequences that arise from the cancer treatment itself. There are four main treatments for cancer: surgery, radiation, chemotherapy and immunotherapy. Surgical treatments have been greatly improved in many ways, and

now include the use of robots. A surgeon can sit at a computer and manipulate a robotic arm to extract a tumor from a patient. All kinds of complicated procedures such as prostate, gynecological or even heart surgery can be done robotically. “With today’s surgery we’re learning to save more tissue in the process, with faster recovery,” said Seibert. A “cyberknife” stereotactic radiotherapy is one of the newer developments in radiation. This highly precise system helps reduce collateral damage to healthy tissue. “It’s so precise and better targeted so that peripheral tissue is unharmed or receives less radiation, which is

very important in brain surgery, for example,” she said. When radiation is intense, such as in the use of proton beam therapy, it can be given in higher doses, which means fewer treatment sessions. Chemotherapy, she noted, is very helpful in treating leukemia and lymphoma and is often used after surgery in breast, colon and other tumors to prevent the cancer from coming back. “In certain tumors such as melanoma, kidney, lymphoma and some breast cancers, vaccines and other forms of immunotherapy improve survival rates and are less toxic than chemotherapy,” said Dr. Seibert. That viruses can cause cancer is a relatively new discovery. The human papilloma virus (HPV) is the most common sexually transmitted virus in the United States. It has been definitely linked to cervical and other urogenital cancers and calls for a dif-

ferent treatment course. “Prevention is the key,” said Dr. Seibert. “Stopping smoking, avoiding excessive exposure to sunlight, and getting regular screenings.” Dr. Seibert had to deal with many terminal patients in her time. “I never told them how long they had to live,” she related. “They might live longer, or not. Sometimes they died from the treatments or side effects like pneumonia. “It is a privilege to journey with people with cancer,” she added. “They know what is important and life became more meaningful. They cherish the days they have left.” Looking back, she does not regret the decision that brought her to Sullivan County. After all, there were so many good oncologists in NYC. “How could I say no?” she reflected. “This is my vocation. This is what I should do with my life.” “At heart,” she concluded, “I’m still an oncologist.”

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An holistic approach to drug abuse treatment Dynamite Youth Center educates Fallsburg CS

STORY AND PHOTO BY LARRY SCHAFMAN

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hen the Fallsburg High School Superintendent’s Community Advisory Council was organizing a Community Forum on December 6, 2014, the council invited Jennifer Reinhardt, a Program Director from Fallsburg’s Dynamite Youth Center (DYC), to attend. She offered to bring some of the young people that are in Dynamite’s rehab program. During the Forum, Ms. Reinhardt and eleven members of DYC met with Assistant Junior/Senior HS Principal Frank Godlewski in a supervised session. These young adults shared some of their addiction issues, life consequences and suggestions for how to overcome some of the obstacles presented by drug abuse. Mr. Godlewski was very moved by the experiences and the maturity of the

In the photo left to right are Dynamite Youth Center members Charles Rollo, Colin Hicks, Pitrina Dazzo, Kayleigh Arza, Zoe Mosby, and Nicole Yehezkel.

young people. One suggestion that day was to allow that group to share their stories with the student body.

On February 17 and 18, Mr. Godlewski and Ms. Reinhardt brought that suggestion to fruition.

Six members of the Dynamite Community presented a seminar in separate assemblies to each of the grade levels at the high school. These young men and women, not much older than the students they were addressing, shared their stories and warned the student body about how it really can happen. They spoke about the dangers of addiction, the consequences of poor choices, their regrets and how important it is to be aware of your surroundings and the negative pressures of the people you hang out with. One after another, the DYC members spoke of lost opportunities, undermining the trust of those who loved them the most in their families, and diminishing their sense of self-worth. Finding Dynamite Youth Center has

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changed their lives dramatically after the failure of previous rehab programs and interventions by wellmeaning parents and teachers. DYC takes a holistic approach to the person – members live together in a supportive home environment, get individual and group counseling, and feel a deep sense of belonging and ownership as part of the larger community. One young woman shared that she has realized through hard effort that she is “capable” as a person and does not have to get high with drugs to feel this way about herself. This experience at Fallsburg High School for the DYC young adults was the first time that they spoke with students as a group or as individuals. They all shared how much they received by talking with the assemblies, seeing the responsive faces in the audience, and meeting the interested students who came up to them and thanked them afterwards. These youngsters, who have struggled with their addictions, knew at the end of the day that they have to “give back” and that relating their

When Only The Finest Will Do.

experiences can make a difference in the lives of other young people that are coping to make good decisions in their lives. One Fallsburg student, junior Vincent Garcia, said that the stories he heard got him thinking about what can happen to any young person today. “They were believable,” said Garcia. He related that after the assembly, a lively discussion continued in the English class about the meaning of the assembly. Mr. Godlewski and Superintendent Dr. Ivan Katz were very impressed with the candor and courage displayed by the DYC young adults. Dr. Katz said, “I suspect the fact that they are getting their lives back together will resonate in the memories of the FCSD students who came to see these important assemblies.” Dr. Katz held a follow-up meeting with Godlewski and the rest of the Advisory Council to continue the discussion on positive actions to keep the community informed and involved in drug awareness and related issues.

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What’s on your plate this spring? Catskill Regional Medical Group has suggestions

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hile it may not feel like it just yet, March 20 marks the first day of spring! As nature enters the season of new beginnings, it is the perfect opportunity for a fresh start for your health – March is National Nutrition Month! Small changes in your diet, such as healthier snack choices, can make a huge difference for your body and mind. Warmer weather on the horizon also presents opportunities for being active outdoors – even as simple as taking a short walk every single day. “Nutrition is the fundamental building block for a healthy body and mind. An active lifestyle paired

with a balanced diet is essential for helping to reduce the risk of chronic diseases and illnesses,” says Lori Sidorski-Nutt, RN, MSN, FNP-BC at Catskill Regional Medical Group. “At CRMG, we understand the importance of nutrition, and work with our patients to ensure a healthy, happy life.”

Put some spring in your step! With busy schedules and late working hours, it can be difficult to find the time for exercise. Finding the recommended 30 minutes a day can seem intimidating, but just 15 minutes out of your morning and evening routine can help get you there!

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Hospice makes meaningful moments possible

Take advantage of the upcoming sunshine by arranging group walks with friends – or get out of your winter cabin fever by joining a few group aerobics classes. Keeping variety helps to ensure you don't get bored - and increases your odds of sticking with it!

Hydrate your health As the weeks pass and the temperature warms – hydration will become more important than ever. Especially when being active, drinking plenty of water is a great way to maintain good health. “Water not only hydrates, but also promotes proper circulation, digestion

MARCH, 2015

and can even help beat fatigue,” says Sidorski-Nutt.

Spring into action!

If you’re thinking of starting a diet and/or exercise regimen this spring, schedule a visit with a primary care provider. An initial complete exam with blood test can help to determine key indicators such as cholesterol, sugar and glucose. Your healthcare provider can also include a body mass index exam to help determine your current health state. For more information on improving your health this season, visit the Catskill Regional Medical Group website at catskillregionalmedicalgroup.org. Sign up for the Health Tips Newsletter or schedule an appointment with a Primary Care physician, multiple locations and new extended hours provide appointment convenience for the entire family!

When you need an accurate diagnosis, our digital imaging leads the way

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At Ellenville Regional Hospital our Digital Diagnostic Imaging Department employs the latest equipment and procedures, expert technologists, and reassuring personal care. Digital imaging creates a new standard of diagnostic accuracy, and we offer all these services on site: • MRI and CT scan • Cardiac stress tests and • Nuclear medicine echocardiograms • Digital mammograms with CAD • Ultrasound and bone density screening • General diagnostic imaging It’s good to know that a highly experienced Digital Diagnostic Imaging Department is located comfortably close to home. When you need answers fast, call (845) 647-6400 ext. 271. ellenvilleregional.org | 10 Healthy Way | Ellenville NY 12428 | (845) 647-6400

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The potentially harmful effects of mold in your home

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he presence of mold in a home is a sight few homeowners want to see. In addition to being unsightly, mold found in a home can be unhealthy. While certain cleaners may prove effective at removing mold, homeowners who want to remove existing mold growths and prevent future growths may benefit from gaining a greater understanding of mold and why it grows inside homes.

What is mold? Mold is a blanket term used to describe fungi that can be found both indoors and outdoors. Many species of mold exist, and the Centers for Disease Control and Prevention notes that some estimates suggest there may be more than three hundred thousand different species of mold. Common indoor molds include cladosporium, penicillium, alternaria, and aspergillus.

Which conditions promote mold growth?

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Joseph A. D’Abbraccio, D.V.M Veterinarian jdabbracciodvm@lcloud.com Poorly ventilated bathrooms are particularly susceptible to mold growth. basements, make ideal breeding grounds for mold.

How can exposure to mold be decreased at home?

What are the effects of mold exposure?

Adequate ventilation is arguably homeowners' best friend with regard to reducing mold exposure at home. Control humidity levels in areas of the home that tend to be warm and humid, such as the kitchen and bathroom. Install an exhaust fan in the kitchen and bathroom and a window in the bathroom if yours does not already have one. The CDC recommends that humidity levels be no higher than 50 percent throughout the day, and an air conditioner and dehumidifier can help you keep indoor humidity levels in check, especially during the summer when humidity levels tend to be their highest of any time during the year. When renovating your home, remove any existing carpeting from bathrooms and basements and toss out soaked carpets or upholstery as well. If painting will be part of your home renovation projects, add mold inhibitors to paints prior to application. Mold that grows inside a home is unsightly and potentially unhealthy. But concerned homeowners can take several reactive and proactive steps to reduce existing mold growths and prevent them from returning in the future.

Molds are a natural and resilient part of the environment, but mold growth indoors should be addressed and avoided. Mold spores are tiny and invisible to the naked eye, and when these spores attach to wet surfaces, they begin to grow. Once these spores begin to grow, they can then affect people in various ways. Roughly a decade ago, the Institute of Medicine found sufficient evidence to support a link between exposure to indoor mold and respiratory tract issues, such as coughing and wheezing in people who were otherwise healthy. The same report found that mold may trigger asthma symptoms among people with asthma and hypersensitivity pneumonitis, a disease in which the lungs are inflamed when a person breathes in certain dusts he or she is allergic to, in people susceptible to that condition. Some people who do not have a preexisting condition can still be sensitive to molds. When exposed to mold, such people may experience symptoms like nasal stuffiness, eye irritation, wheezing, or skin irritation.

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Homeowners may notice that mold tends to grow in specific areas of their homes but not in others, and that's because molds grow best in certain conditions. Warm, damp and humid conditions, such as those found in poorly ventilated bathrooms and

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CONTRIBUTED PHOTO

Rocking chair for Birthing Unit Lee Oakes, chair of the Wayne Memorial Hospital/Health System Board of Trustees from 2009-2014 donated her board retirement gift, a rocking chair, to the hospital’s New Beginnings maternity unit. New mom Ellen Kavalkovich of Waymart put the chair to the test with baby Maxima in her lap and a room full of Wayne Memorial folks. And it worked – not a peep was heard! Little Maxima was born to Ellen and dad Chris Kavalkovich on February 5. Photo, standing left to right: Lee Oakes, holding her thank-you from the New Beginnings staff; William Dewar III, MD, Wayne Memorial Hospital (WMH) Chief of Staff; Janice Pettinato, RN, New Beginnings Clinical Coordinator; David Hoff, WMH CEO; Dirk Mumford, the current board chair; Donna Cortright, RN; Heather Holmes-Komar, unit coordinator; and Jim Pettinato, RN, director of Patient Care Services.

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Middletown Medical unveils Patient Portal

Middletown Medical.” Enrollment is simple. Just visit w w w. Mi d d l e t ow n Me d i c a l . c o m / PortalSignup.

MIDDLETOWN — Middletown Medical is once again improving the ease of convenience of its services with the introduction of an online Patient Portal. This service benefits patients by allowing 24/7 access to a host of services, including: • Sending a private and secure message to your provider. • Requesting appointments. • Reviewing lab results and/or medical records. • Requesting prescription refills. • Updating your health information, including allergies, medications and conditions. • And more . . . “Our online Patient Portal is a service we’re very thrilled to now provide our patients,” said Operations Director Lori Marl. “It’s of no cost to patients, and will give them round the clock, fingertip access to

Wayne Memorial appoints finance director

HONESDALE, PA — Wayne Memorial Community Health Centers (WMCHC), announces the appointment of Robert J. Fortuner II to the position of Finance Director. Fortuner will be responsible for accounting practices, maintenance of fiscal records, budgetary controls and cash flow of the federally qualified health center which encompasses 14 medical, dental and specialty healthcare offices throughout Wayne, Pike and Lackawanna Counties. Fortuner earned a Bachelor’s Degree in Management/Accounting from Bloomsburg University. He has over 14 years experience in healthcare fiscal management while serving CONTINUED ON PAGE 22H

Are you a small business owner? Have you recently lost your health insurance? Have you gotten married? Did you have a baby? You may be eligible to apply for insurance in the NY State of Health Marketplace.

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People who are eligible for Managed Care, children who are eligible for Child Health Plus, pregnant women, and small businesses can continue to enroll in the NY State of Health Marketplace throughout the year. People who have lost their jobs or insurance may be eligible to enroll during a Special Enrollment Period.

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healthcare.” WMCHC is a network of physician offices providing primary care, women’s health, pediatric, behavioral health and dental services as well as general surgery, pulmonology and sleep medicine. WMCHC is a federally qualified health center clinically affiliated with Wayne Memorial Health System, Inc. For more information on all services, visit www.wmh.org/WMCHC or call 570251-6676.

coordination of performance improvement initiatives across all WMCHC offices located in Wayne, Pike and Lackawanna Counties. “I’m looking forward to continuing my career with WMCHC,” stated Nocilla. This position will give me an opportunity to work in another area of healthcare.” Nocilla received a Bachelor of Science Degree in Healthcare Administration from Kennedy

CONTRIBUTED PHOTO

Robert J. Fortuner II CONTINUED FROM PAGE 21H

as Director of Finance for Osprey Ridge Healthcare, Inc., Carbondale. He was most recently employed by Quality Perforating, Inc, Carbondale, as the organization’s Chief Financial Officer. Although he enjoyed working in the manufacturing industry for the past two years, Fortuner says he sees the position at WMCHC as “an opportunity to get back into working in

Nocilla named director of Quality Assurance for WMHC HONESDALE, PA — Wayne Memorial Community Health Centers (WMCHC) welcomes Norma Nocilla, BSHA, LPN, CPHQ, who has been appointed Director of Quality Assurance for the federally qualified health center. Nocilla will be responsible for planning, supervision and

CONTRIBUTED PHOTO

Norma Nocilla

Western University, Cheyenne, Wyoming. She attained distinctions as a Certified Professional in Healthcare Quality as well as National Managed Care Certification Level I and II. Over the past 20 years, Nocilla held various leadership positions in healthcare quality and performance improvement at local health system. “Providing our patients with the highest quality of care has always been a priority,” stated WMCHC Executive Director Frederick Jackson. “Norma’s experience will not only help maintain current initiatives, but also move us forward.” WMCHC is a network of physician offices providing primary care, women’s health, pediatric, behavioral health and dental services as well as general surgery, pulmonology and sleep medicine. WMCHC is clinically affiliated with Wayne Memorial Health System, Inc. For more information on all services, visit www.wmh.org/WMCHC, call 570251-6676 or follow on Facebook.

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Middletown Medical offers Palliative Care

CONTRIBUTED PHOTO

Dr. Arpine Saribekyan directs the palliative care program at Miidletown Medical.

are familiar with, because the patient is not terminally ill with only months to live. Middletown Medical’s Palliative Care program is a team approach, involving the person who is ill, their family, and specialists from many disciplines. It can be used at any

DOWLING FAMILY EYE CARE LISA DOWLING, O.D. Most insurance accepted Flexible hours

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stage of illness – and not just the advanced stages. It can help address many issues, including: • Physical – Common physical symptoms such as pain, fatigue, loss of appetite, nausea, vomiting, shortness of breath, insomnia, and others. Many of these can be relieved with medicines, or by using other methods, such as nutrition therapy, physical therapy, or deep breathing techniques. • Emotional & Coping – Palliative Care specialists can provide resources to help patients and families deal with the emotions that come with a serious, chronic illness. Depression, anxiety, and fear are just a few of the concerns that can be addressed. Additionally, most insurance plans cover all or part of this program, and this is true with Medicare and Medicaid, as well. For more information visit www.middletownmedical.com/services/specialty-medicine/palliativecare, or call 342-4774.

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GHVHS appoints Kearney

MIDDLETOWN — The Greater Hudson Valley Health System (GHVHS), comprised of Catskill Regional Medical Center and Orange Regional Medical Center, announced

CONTRIBUTED PHOTO

Daniel Kearney CONTINUED ON PAGE 24H

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MIDDLETOWN — Middletown Medical has expanded its service offerings yet again with the recent addition of a Palliative Care program. The program is under the direction of Dr. Arpine Saribekyan, a Board Certified Family Medicine physician who has been Fellowship trained in Palliative Care, and who brings the utmost in compassion to caring for chronically ill patients. She and her team partner with a patient’s Primary Care physician to create the right program based on individual needs. The goals of Palliative Care are to improve the quality of a chronically ill person’s life, and to support that person and their family during and after treatment. Palliative Care focuses on improving a person’s quality of life by relieving symptoms that are related to chronic illnesses. This differs from Hospice care, which many

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the appointment of Daniel Kearney to GHVHS Director of Employee and Labor Relations. Mr. Kearney comes with over 17 years experience in labor relations, conflict resolution, change management, training, compensation, benefits administration, recruitment and retention. Mr. Kearney’s scope of responsibility is ensuring adherence to Human Resource policies and union contracts, as well as adjudication of employee disputes and oversight of employee litigation. Mr. Kearney earned his Bachelor of Arts degree in Labor Studies from Queens College and his Master of Science degree in Industrial and Labor Relations from Baruch College. For more information visit www.crmcny.org or www.ormc.org.

Remember: March is Colorectal Cancer Awareness Month See item on next page

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Catskill Regional names two to leadership positions HARRIS — Catskill Regional Medical Center announced additions to its leadership. Gretchen Hartman has been promoted to Clinical Nutrition Manager. Ms. Hartman will lead clinical nutrition and patient services programs that provide nutritional counseling and advice to patients and medical staff. Ms. Hartman joined Catskill Regional in 2013 as a Clinical Dietitian, where she was responsible for utilizing the Nutrition Care Process to thoroughly assess, diagnose and implement nutrition intervention, and monitor and evaluate patients' progress to assure their individualized nutritional needs were being met. She brings with her a wealth of knowledge in medical therapy, regulations, conducting nutrition assessments and evaluating lifestyle factors. Since 2013, Ms. Hartman has been serving as the treasurer of the Mid-

CONTRIBUTED PHOTOS

Gretchen Hartman, left, and Vladimir Paulovici recently joined Catskill Regional Medical Center in leadership roles.

Hudson Dietetic association. She recently won the Quality and Patient Safety Award (30-day Medicaid Reduction in Readmissions) Top Achieving Team with the Greater Hudson Valley Health System and also graduated from the Diabetes Champion course, earlier this year. Ms. Hartman received her Bachelor of Science degree in Nutrition and Dietetics from Marywood University and completed her dietetic internship at University of Delaware. Vladimir Paulovici has been appointed Security Manager for Catskill Regional. Mr. Paulovici has over 20 years of experience in law

enforcement and security. He was a member of the New York Police Department where he retired as a sergeant. Mr. Paulovici’s scope of responsibility in the New York Police Department included ensuring compliance with department policies and overseeing special operations units. Mr. Paulovici was also responsible for the computer system and communications at Madison Square Garden, often partnering with the Secret Service and FBI on safeguarding these systems. To learn more about career opportunities at Catskill Regional, visit http://crmcny.org/careers. Catskill Regional Medical Center is a member of the Greater Hudson Valley Health System.

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Many insurances accepted. See choicemhc.com for details.

HEALTH

SULLIVAN COUNTY DEMOCRAT

MARCH, 2015

N E W S

Middletown Medical offers colonoscopies in Monticello

d a MIDDLETOWN — Middletown wMedical wants you to remember that eMarch is National Colorectal Cancer eAwareness month, a most important sannual initiative to raise awareness to wthe second leading cause of cancerdrelated deaths in the U.S. Since being introduced in 2000, lNational Colorectal Cancer sAwareness Month has grown to be a rrallying point for the colon cancer tcommunity where thousands of patients, survivors, caregivers and dadvocates throughout the country join together to spread colon cancer awareness by wearing blue, holding tfundraising and education events, ltalking to friends and family about rscreening and so much more. h More can be learned on how to get involved and raise awareness by visit-

ing www.coloncancermonth.org. And with this, Middletown Medical urges the importance of a colonoscopy, and offers a convenient procedure suite at its main location at 111 Maltese Drive in Middletown, thus saving a patient a trip to a hospital for the same procedure. At this location are two gastroenterologists, Dr. Dhiren Patel and Dr. John Podeszwa, while Dr. Sheldon Leidner is available in Monticello (Middletown Medical’s Sullivan Internal Medicine Group at 518 Broadway). All are Board Certified, and all are readily available to perform this potentially life-saving procedure. Additionally, Middletown Medical is the only provider in the region offering comprehensive hereditary cancer risk assessment and genetic testing – either Hereditary Breast and Ovarian Cancer syndrome or Lynch syndrome, the latter gene which can lead to colon cancer. And since people with a first-degree relative (parent, sibling or offspring) have 2-3

Yvonne Newland - Pagan, M.D. Board Certified Otolaryngologist

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times the risk of developing the disease, this simple screening can also be a potential life-saver. To learn more about this program, and to take a short quiz to learn more about your potential risk, visit www.middletownmedical.com/here ditary-cancer-risk-testing. “Early detection is key, as there are currently more than one million colon cancer survivors in the U.S.,” said Lori Marl, Middletown Medical’s Operations Director. To schedule a colonoscopy or a hereditary cancer risk assessment test, call 342-4774.

H E A LT H C A R E

Carroll earns certification

MIDDLETOWN — DeborahAnn Carroll, MHA, BS, LNMT, CRA, Director of Outpatient Diagnostic Imaging at Orange Regional Medical Center, has obtained her certification

Founded in 1984, Middletown Medical is an awardwinning multi-specialty physicians' group dedicated to providing patients with top quality, comprehensive care in a warm and caring environment. Middletown Medical now includes 14 locations throughout Orange, Sullivan and Ulster counties – Middletown (5 locations), Bloomingburg, Chester, Ellenville, Liberty, Monticello (two locations), Port Jervis, Warwick and Wurtsboro – as well as Immediate Medical Care (Urgent Care walk-in services) at the Middletown, Chester and Ellenville locations. Open seven days a week with no appointment necessary, visit www.MiddletownMedical.com for more information, or call 342-4774.

CONTINUED ON PAGE 26H

CONTRIBUTED PHOTO

DeborahAnn Carroll

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26H

HEALTH

N E W S

SULLIVAN COUNTY DEMOCRAT

&

N O T E S

CONTINUED FROM PAGE 25H

from the Radiology Administration Certification Commission (RACC) and the Association for Medical Imaging Management (AHRA) as a Certified Radiology Administrator (CRA). The CRA certification is recognized by the industry as the gold standard for diagnostic imaging leadership credentialing. The CRA program is managed by the RACC and the AHRA. The CRA exam tests in five areas: Human Resource Management, Asset Resource Management, Fiscal Management, Operations Management and Communications and Information Management. This level of testing shows dedication in providing the very best service and quality care to Orange Regional’s patients. Ms. Carroll joined the leadership ranks at Orange Regional in 2008 and has been instrumental in the development of numerous major projects in diagnostic imaging including development of Orange Regional’s

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H E A LT H C A R E

PET/CT service line and most recently the diagnostic imaging outpatient service excellence program. Ms. Carroll has a Bachelor’s of Science Degree in Nuclear Medicine from SUNY Buffalo and a Master’s Degree in Health Administration from the University of Phoenix. For information on Orange Regional’s Diagnostic Imaging services or the locations and services of its outpatient locations, visit ormc.org/OutpatientServices.

GHVHS promotes Budakowski MIDDLETOWN — The Greater Hudson Valley Health System (GHVHS), comprised of Catskill Regional Medical Center and Orange Regional Medical Center, announced the promotion of Jacqui Budakowski, RN, BSN to the position of Meaningful Use Coordinator and Information Security Officer. In her new position, Ms.

CONTRIBUTED PHOTO

Jacqui Budakowski

Budakowski will continue to leverage her extensive clinical and systems knowledge to navigate GHVHS through the Meaningful Use process and leading the Meaningful Use efforts for GHVHS and eligible providers at Orange Regional Medical Group and Catskill Regional Medical Group. Meaningful Use is using certified electronic health record (EHR) technology to improve quality, safety, efficiency, and reduce health dispari-

25272

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MARCH, 2015

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ties. It also engages patients and family, and improves care coordination and public health. In her new role as Information Security Officer, Ms. Budakowski is responsible for enhancing GHVHS’s efforts to ensure all electronic medical records and other information assets are sufficiently protected. She is responsible for making sure the HIPPA security standards for information systems that manage health information are always met and ensures that policies and procedures are in place to protect privacy. Ms. Budakowski has been with Orange Regional since 2004 when she began working as a critical care float nurse. She became patient flow coordinator in 2005 and transitioned into the Information Technology department to work on the Epic implementation as a clinical analyst in 2011. Ms. Budakowski earned her Bachelor of Science degree in Nursing from Binghamton University. For more information visit www.crmcny.org or www.ormc.org.

HEALTH

SULLIVAN COUNTY DEMOCRAT

MARCH, 2015

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HEALTH

SULLIVAN COUNTY DEMOCRAT

MARCH, 2015

18681

28H

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