Health and Wellness Summer 2019

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PRICELESS

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

A Special Section of the

Sullivan County Democrat,

July 2019

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HEALTH

SULLIVAN COUNTY DEMOCRAT

MAKE SENSE S OF MEEASLES P vention Program Pre m MEASL

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Overwhelmed and d unsure of news s and warnings? Trying r to make sense of measles can leave you unsurre about ho ow to protect yourself and your family. Ca atskill Regional Medical Group and Orange Regiona al Medical Grroup p understand your concern,, and created a Measlles Prrevention Program for peo ople just like you.

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Ou ur team is here to give you u the straight facts about measl m es. We will explore your medical a history – including vaccination records – to see if a previous MMR vaccination is still effective. If needed, we will administer e vaccinations or boosters. Please no ote, a co-pay or fee may ap pply. So o, for anyone who is “well, but worried” our Measless Prevention Pr ti Pr P ogram provide ides you with ith th the k knowlledge d e needed d d to protect yourself and yourr loved ones.

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Something to ‘sleep’ on STORY AND PHOTO BY JOSEPH ABRAHAM

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n an effort to improve Sullivan County’s second to last state health ranking, one must first identify the varying causes of the area’s poor health. Many are quick to point to obesity, lack of exercise, the opioid crisis, but the answer to bettering our health might be a lot simpler than we thought‌ improving how we sleep. This was the main topic of discussion when NBC Sleep Expert and NYU School of Medicine’s Dr. Azizi Seixas was recently welcomed to SUNY Sullivan’s Seelig Theatre by Sullivan 180 for the latest of their Take Charge of Your Health seminars. Sleep is essential for restoration, energy conservation and memory consolidation. Statistics presented by Dr. Seixas included that 30 percent of our country is not getting enough sleep. Also, New York is at the higher end of the spectrum when it comes to

CONTRIBUTED PHOTO

Sleep is very important to our health. Not getting enough, or getting too much sleep could cause major health problems.

states not getting enough sleep, with 38-44.1 percent of our state’s resi-

dents needing to sleep more. Also at the wrong side of the stat sheet is Sul-

livan County, with approximately 3642 percent of our residents not sleeping enough. So it seems we should pay a lot more attention to how much shut-eye we receive. “We treat sleep like an afterthough‌ like a nuisance,â€? Dr. Seixas said. “We have to change our thinking about sleep.â€? Dr. Seixas stressed the importance of treating it like an investment and striving for “the sweet spotâ€? which means getting between 7-9 hours of sleep. Getting too little, they’ve found, can increase one’s chances of Dementia, and getting too much can increase one’s chance of a stroke. Both examples of course are also due to a number of other factors. Other problems caused by sleeping issues include stress, irritability and lack of concentration. Statistics also show that as poor sleep goes up, so CONTINUED ON PAGE 5H

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HEALTH

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JULY 16, 2019

Don’t Get Tick’d by Myth-Information

MYTH: Ticks will jump off of trees. FACT: Ticks cannot fly, jump, or fall out of trees. Ticks live 18-24 inches off the ground on tall grass, bushes, or leaf litter. They will attach to their host and crawl upwards until they find a feeding spot. MYTH: All ticks cause Lyme Disease. FACT: Only the black-legged, or deer tick, transmit the bacteria that can cause Lyme Disease. And, not all deer ticks are infected with Lyme bacteria. However, other types of ticks can carry bacteria that cause infections such as Anaplasmosis and Babesiosis. MYTH: There are many effective ways to remove an attached tick including petroleum jelly, tape, matches, nail polish, insect repellant, or olive oil. FACT: All of these methods can actually irritate the tick, causing increased salivation and an increased risk of disease transmission. The easiest, and most consistent, way to remove a tick is with a pair of fine-tipped tweezers. Grasp the tick as close to the skin as possible and gently pull the tick straight out, without twisting or jerking. MYTH: We only need to worry about ticks in the summer. FACT: Adult deer ticks begin their feeding activity in October and will latch onto a larger host (like humans) any day the temperature is above freezing.

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

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JOSEPH ABRAHAM | DEMOCRAT

Dr. Seixas discussing the importance of sleep on our health at SUNY Sullivan.

does obesity –– one of the biggest issues our country faces. Poor sleep is also linked to cancer. According to data collected by Dr. Seixas, the 10 most common sleep mistakes are falling asleep at different times; exercising too close to bed; “sleeping in” on weekends; drinking alcohol too close to bed; napping for inappropriate times; having caffeine too close to bed; going to bed stressed or angry; using bed for things other than sleep; a bedroom that is too hot, and working right up until bedtime. Better sleep leads to decreased 24hour blood pressure, improved insulin sensitivity, decreased overall appetite for unhealthy foods, improved sustained attention and decreased sleep pressure, as well as improved cognitive function. Dr. Seixas’ entire presentation and more info about the next ‘Take Charge of Your Health’ talk in August is coming soon to sullivan180.org/. “Sullivan 180 was delighted to welcome Dr. Seixas to Sullivan County,” Sullivan 180 Executive Director Sandi

Marie K. Devore, D.M.D.

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Rowland said. “Through the Take Charge of Your Health series,we hope to offer useful information and actionable health tips which everyone can use to improve their health. Adequate sleep is essential for good health for all age groups and yet it is often overlooked when thinking of health improvement.”

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The Center for Discovery featured on Good Morning America children in the study… Food is medicine,” Dr. Hamlin told ABC Correspondent, Paula Faris. This gut-microbiome study – with final results due to be released this coming fall - is just one of the bodies of research that will be a part of the new Children’s Assessment Hospital and Research Institute for Bio-Behavioral and Environmental Health at TCFD. Some of the world’s leading scientists, medical professionals, and educators are already studying stress responses, medical marijuana in the treatment of drug-resistant epilepsy, and coexisting conditions in Autism, Alzheimer’s, Dementia and PTSD, which affect brain wellness. TCFD is also working on innovative new tools like indieGo – a universal power wheelchair device that received a Google.org award. For more information about The Center for Discovery, please contact Michael Rosen, Executive VP of Marketing and Strategic Communications, at Mrosen@tcfd.org.

CONTRIBUTED PHOTO

ABC’s Good Morning America devoted a segment on July 4th to the work being done at The Center for Discovery, and in particular the achievements of a group of young men and women who performed in a stage production of “Beauty and the Beast.”

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n Thursday, July 4, The Center for Discovery (The Center) and its students and residents were the focus of an in-depth and uplifting segment on ABC’s Good Morning America. The moving story highlights the incredible achievements of a group of young men and women with autism and other complex medical conditions who conquer their fears and the stage – and steal the spotlight in a production of Beauty and the Beast. Their success is the culmination of all the work done at The Center, says TCFD Associate Executive Director, Dr. Terry Hamlin. And, that work is about to change the way complex conditions like autism are treated around the world. In groundbreaking, ongoing research, students and residents who eat organic, whole food, plant-based diets grown right at TCFD were compared to others. “What we have found is the gut-microbiome of our children here at The Center for Discovery is stunningly different than the other

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JULY 16, 2019

A Pediatrician’s Guide to Children’s Nutrition BY FLORENCE LAZAROFF MD, FAAP CRYSTAL RUN HEALTHCARE

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t’s important that children get the right amount of nutrients to help aid their growth and development processes. Parents are tasked with providing a healthy diet for their children in the hopes that healthy eating will continue to be a habit into adulthood. When it comes to childhood nutrition, the American Academy of Pediatrics recommends monitoring your child’s diet and following these guidelines from the U.S. Department of Agriculture and the U.S. Department of Health and Human Services. Five major food groups It’s important that your child consumes servings in the five major food groups –– vegetables, fruits, grains, protein, and dairy –– on a daily basis.

CONTRIBUTED PHOTO

Florence Lazaroff MD, FAAP is clinically interested in promoting healthy nutrition from infancy to adulthood and is currently seeing patients in Rock Hill.

The recommended minimum servings are: 1. Vegetables – 3-5 servings; A serv-

ing can either consist of 1 cup of raw leafy vegetables or ½ cup of other vegetables raw or cooked. If your child won’t eat raw or cooked vegetables, try vegetable juice. 3/4 cup of juice is equal to 1 serving. 2. Fruits – 2-4 servings; A serving of fruit can either be one medium sized whole fruit (apple, banana, pear, etc.) or ½ cup of sliced fruit. Like with vegetables, 3/4 cup of fruit juice counts as a serving. 3. Bread, cereal, or pasta (also known as the grains) – 6-11 servings; A serving can consist of 1 slice of bread, 1/2 cup of rice or pasta, or 1 ounce of cereal. Choose whole grains over refined. 4. Protein – 2-3 servings; anything with protein including lean meat, poultry, fish, beans, egg, or even peanut butter can be eaten. A serving consists of 2-3 ounces of cooked lean meat, poultry, or fish, 1 egg, 1/2 cup

of cooked dry beans, or 2 TBSPs of peanut butter. 5. Dairy – 2-3 servings; A serving consists of 1 ½ ounces of natural cheese of 1 cup of low-fat milk or yogurt. Outside of the five major food groups, it’s important your child’s diet is enriched with fiber to help keep things moving and build a healthy digestive system for the future!

Consume in moderation As children are developing, it’s important to limit your child’s intake of fat, salt, and sugar. 1. Fats should make up less than 30 percent of calories consumed by your child. Keeping fat intake low will help children avoid weight gain and help keep their cholesterol low. Both are CONTINUED ON PAGE 9H

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Food Bank of the Hudson Valley to participate in USDA Summer Food Service Program major factors in heart health! 2. Sugar is considered empty calories. Substituting healthy snacks for sugary ones will form healthy habits as your child gets older. 3. Salt contributes to high blood pressure, so even though it may enhance the taste of foods, it should be used in moderation. Minimizing the amount of added salt and checking the salt content of processed foods can make all the difference in keeping salt consumption to a minimum. Focus on a nutritious and healthy diet for your child to help them reach all of their growth milestones. Starting healthy eating habits at a young age will more likely result in your child continuing these habits as they age. The pediatricians at Crystal Run Healthcare will be with you through each step of your child’s development from infancy to teenager and all the stages in-between! If you have any questions or concerns about your child’s nutrition, make an appointment with a Crystal Run pediatrician today. Florence Lazaroff MD, FAAP, earned her Medical Degree from Saint Petersburg State Pediatric Medical Academy and completed her Residency in Pediatrics at Edward W. Sparrow Hospital in Lansing, MI. She is clinically interested in promoting healthy nutrition from infancy to adulthood and is currently seeing patients in Rock Hill.

HUDSON VALLEY - The Regional Food Bank of NENY (doing business as the Food Bank of the Hudson Valley) announces its participation in the Summer Food Service Program (SFSP). Meals will be provided to all children 18 years and under without charge. In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency

(State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a program complaint of discrimination, complete the

USDA Program Discrimination Complaint Form, (AD-3027) found online at: h t t p : / / w w w. a s c r. u s d a . g o v / complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992.

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A happy & healthy summer for all

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ummer has finally arrived in the Sullivan County Catskills! Sunny skies, warm weather, picnics, pool days, and more… it is no wonder summer is the favorite season of many. But longer days filled with sunshine and outdoor fun can also bring additional risks to you and your family’s health. Middletown Medical’s Dr. Sheldon D. Leidner and Dr. Jonathan Weiss, primary care providers at the Monticello Center, offer the following tips on how to keep your family healthy and happy this summer season!

Staying healthy during BBQ season The savory foods found at many BBQs and picnics may be great for your taste buds, but can wreak havoc on the digestive system. “You can still

fruits, veggies, and lean proteins. This way you don’t have to miss out on fun, but won’t suffer for your food choices later.”

CONTRIBUTED PHOTO

CONTRIBUTED PHOTO

Dr. Sheldon D. Leidner

Dr. Jonathan Weiss

have fun at summer parties, while also being mindful of your stomach’s health,” says Dr. Leidner, who spe-

cializes in gastroenterology. “Pay attention to portions, and reach for healthy options first; consider fresh

Keeping cool and hydrated The sunshine and warm weather inspires both kids and adults to get more active outside. “While being active is great for your health, it is important to take the proper precautions to keep your body safe in the higher temperatures,” says Dr. Weiss, who specializes in pulmonology. “Be sure to stay hydrated, and wear breathable clothing to keep your body cool. Listen to your body, and head indoors when you feel tired. This is especially important if you suffer from seasonal allergies and are showing symptoms of rapid breathCONTINUED ON PAGE 11H

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ing, wheezing, or shortness of breath.� Protecting your skin Cover up as much skin as possible, including your scalp. Use a broadspectrum sunscreen with an SPF of at least 30 and be sure to reapply at least every two hours, as well as after swimming or sweating. Take breaks from the sun’s rays by seeking shade in intervals, and try to avoid being under direct sunlight between the peak hours of noon and 3 p.m. Middletown Medical is here to help Even with the best precautions, ill-

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ness, bumps, bruises, and burns can still occur. Middletown Medical’s Monticello Center, located at 32 Thompson Square within the ShopRite Plaza, stands ready to serve you and your family for your immediate care needs for non-life-threatening illnesses and injuries. In addition to an Urgent Care Center, the Monticello location also offers cardiology, gastroenterology, orthopedics, pulmonology, endocrinology, neurology, and pediatric services. Schedule an appointment for you or your family through chat by visiting mm.care/chat or by calling 845.342.4774.

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Pain Control Center Husseiiin Omarr, M.D., M D D.A.B.A DABA A., D D.A.A.P A A P..M M Mahmoud Abu-Ghanam, M.D., D.A.B.A. Board Certified in Pain Management Vincent iincen LaSalle, P.A. . *Accrredit e ted by the Joint o Commission

Middletown Medical expands Monticello Center with addition of new doctor

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MONTICELLO - Middletown Med- Medicine at the University of Alaical, the Hudson Valley’s premier bama in Birmingham, Ala. He comprovider of healthcare services, is pleted both his residency in internal proud to announce the addition of medicine and his gastroenterology board-certified gastroenterologist Dr. fellowship at the University of South Brijesh B. Patel to its team of health- Florida in Tampa, Fla. He went on to care professionals. Dr. Patel is joining pursue a subspecialty within gasthe team at the Monticello Center troenterology and completed his located at 32 Thompson Square in advanced endoscopy fellowship at Monticello and is currently accepting the Vanderbilt University Medical new patients. Center in Nashville, Tenn. Dr. Patel specializes in upper and Dr. Patel holds an extensive backlower gastrointestinal ground in research, endoscopy, a proceand has been pubdure to diagnose and, lished in numerous sometimes, treat conbooks and journals. In ditions that affect the addition, he has dediesophagus, stomach, cated his time and small intestine, colon, expertise to a number and rectum. He also of volunteer efforts specializes in pancreas throughout his profesand biliary diseases. sional career, includ“We are thrilled to ing tornado relief have Dr. Patel joining efforts, community our team at the Monticlinics, and participaCONTRIBUTED PHOTO tion in international cello Center,� said Dr. Brijesh B. Patel Middletown Medical medical relief efforts at Chief Communicamedical clinics in tions Officer Dan Depew. “He brings India and Panama. with him an incredible level of proDr. Patel is a member of the Amerifessionalism, knowledge, and experi- can College of Gastroenterology, the ence. He is a wonderful addition for American Society of Gastrointestinal our patients of Middletown Medical.� Endoscopy, the Florida GastroenDr. Patel earned his Doctor of Med- terology Association, the American icine at the University of Alabama College of Physicians, and the Florida School of Medicine in Birmingham, Medical Association. Ala. He earned his Bachelor of SciTo learn more about Middletown ence in Biology, his Master of Science Medical, or to make an appointment, in Pharmacology and Toxicology, and visit www.MiddletownMedical.com his Master of Science in Community or call 845-342-4774.

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Schizophrenia – know fact from fiction; dispel myths and stigma BY M. LORI SCHNEIDER, MS

T

here tends to be a shroud of myth and misunderstanding when people hear “mental illness” and of the different diagnoses, perhaps the least understood and the one that carries the most stigma is Schizophrenia. A thought disorder striking one in one hundred people, generally young adults at the threshold of promising lives, Schizophrenia is characterized by common groups of symptoms that affect the way people think and process information. “Positive symptoms” include hallucinations (seeing, hearing, even smelling, tasting or feeling) things that are not real. Auditory hallucinations or “hearing voices” is one of the most common. These voices are very real to the person experiencing them. It’s not a running commentary we all have playing in our heads of, “What am I going to make for dinner tonight?” or “I have to stop at the

CONTRIBUTED PHOTO

There are some long standing myths about mental illness in general and Schizophrenia.

supermarket on my way home from work” – these are distinct voices – other people’s voices – and they can be cruel and denigrating in their content. Delusions (firmly held mistaken beliefs) are another “positive symptom” – people may believe things that have no basis in reality and lack any logic. They may believe that the radio or television has encrypted messages just for them or that they are being

poisoned by the rays that emit from the television. They may have religious delusions, believing themselves to be G-d or Jesus Christ. These delusions cannot be reasoned away. They are as real to the person experiencing them as your own inner reality of who you are and what you’ve done in your lifetime is real to you. Paranoia (increased suspiciousness) makes people with Schizophrenia fearful that someone is out to get them. There may be very convoluted paranoid thoughts that involve the CIA or the KGB. “Negative Symptoms” detract from a normal level of functioning. They include withdrawal, “flat affect” or a lack of expression, anhedonia or a lack of joy – people who were once avid sports fans lack interest if their team has made the World Series. The ability to plan and carry a plan through is diminished. Poverty of speech, or having to pull teeth to get someone to hold up a conversation

‘Having a diagnosis of a mental illness in and of itself does not predispose one toward violence.’ can be common. There are some long standing myths about mental illness in general and Schizophrenia in particular. One such myth is that “people with mental illness are violent” – people with a history of violence will become violent, regardless of whether they have Diabetes, Epilepsy or Schizophrenia. Having a diagnosis of a mental illness in and of itself does not predispose one toward violence. Another common misperception is CONTINUED ON PAGE 13H

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Catskill Regional Medical Center appoints Chief Medical Officer CONTINUED FROM PAGE 12H

the misuse of the word “psychotic” – imagine the headline, “Psychotic killer slays five” – there is a distinction between someone who is psychotic vs. a psychopath or sociopath (someone who expresses no remorse). Psychotic simply refers to experiencing the positive symptoms of schizophrenia – hallucinations, delusions, paranoia. Someone who is psychotic is not a Hannibal Lecter who can plan and carry out a heinous crime. While there is no cure for Schizophrenia, there are treatments which help many live satisfying lives in their communities. Anti-psychotic medication can help reduce many of the debilitating symptoms. A common frustration for many families is that a percentage of people who’ve been diagnosed with Schizophrenia lack insight into the illness; the portion of the brain that affects insight is

impaired and they don’t believe anything is “wrong with them.” These people may balk at the idea of taking the very medications that can help their symptoms. I could easily fill two articles just on Schizophrenia and still only scratch the surface. If you or someone you love is living with Schizophrenia, you are not alone. NAMI Sullivan County, NY is the local affiliate of the National Alliance on Mental Illness. While NAMI Sullivan County doesn’t provide clinical services, we can put you in touch with local resources and arm you with knowledge and support with Family Support and Education and Peer Support groups. Together, we can make the difference. For information, phone (845) 7941029. M. Lori Schneider is the Executive Director of NAMI of Sullivan County, which is located at 20 Crystal Street in Monticello.

HARRIS – Catskill Regional Medical the CRMC Medical Staff, Dr. Roman Center (CRMC) is pleased to served in the United States Army for announce that Catskill Regional 10 years in Active Duty as a Staff Medical Group Physician, Physician, Team PhysiChristopher Roman, DO cian, Flight Surgeon, has been appointed as Brigade Surgeon and Chief Medical Officer. Senior Flight Surgeon. “Dr. Roman’s commitDuring this service, he ment to his profession is a received 16 medals and testament to our mission awards, including two of improving the healthBronze Star Medals, a care of our community by Meritorious Service providing exceptional Medal and Combat patient care,” said Chief Medic Badge. Executive Officer, Dr. Roman is a graduJonathan Schiller. “We are ate of the Virginia MiliCONTRIBUTED PHOTO tary Institute and the thrilled that he has taken on this significant role Christopher Roman, DO Lake Erie College of within our organization.” has been appointed as Osteopathic Medicine Dr. Christopher Roman Chief Medical Officer at and he completed an has been a member of the Catskill Regional Medical Emergency Medicine Medical Staff at Catskill Center. Residency at the Carl R. Regional for four years, Darnall Army Medical serving as an attending physician in Center in Fort Hood, Texas. both the Harris and Callicoon EmerTo learn more about CRMC, visit gency Departments. Prior to joining www.crmcny.org.

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Risk factors for children’s vision problems

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he National Eye Institute notes that age is a risk factor for various eye and vision problems. But age alone does not make people vulnerable to such problems, as even young children can develop problems with their eyesight. According to the American Optometric Association, certain factors can increase the extent to which a child is at risk of developing eye and vision problems. The presence of any of the following factors may determine the frequency with which children’s eyes need to be examined. • Prematurity, low birth weight, prolonged supplemental oxygen at birth • Family history of myopia, amblyopia, strabismus, retinoblastoma, congenital cataracts, or metabolic or genetic disease • Infection of mother during pregnancy (e.g., rubella, toxoplasmosis, venereal disease, herpes, cytomegalovirus, or human immunodeficiency virus) • Maternal smoking, use of alcohol or illicit drug use during pregnancy • Cortical visual impairment: Boston Children’s Hospital notes that cortical

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Age is considered a risk factor for various eye and vision problems.

visual impairment, or CVI, is the most common cause of permanent visual impairment in children. Children who do not show normal visual responses to things like people’s faces or toward objects may be tested for CVI. • Difficult or assisted labor, which may be associated with fetal distress

• High or progressive refractive error: Refractive error involves a problem focusing light accurately onto the retina due to the shape of the eye. • Strabismus: The American Academy of Ophthalmology defines strabismus as improper alignment of the eyes in which the eyes point in dif-

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ferent directions. • Anisometropia: Australia’s Vision Eye Institute notes that a person’s eyes rarely have identical optical power, but the difference is typically negligible and compensated for by the brain. However, when a person has anisometropia, the difference in vision between the two eyes is so significant as to interfere with normal binocular vision. • Academic performance problems • Known or suspected neurodevelopmental disorders • Systemic health conditions with potential ocular manifestations • Wearing contact lenses • Having functional vision in only one eye • Eye surgery or previous eye injury • Taking prescription or nonprescription drugs (e.g., over the counter medications, supplements, herbal remedies) with potential ocular side effects More information about issues that can affect children’s vision is available at www.aoa.org.

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Why kids should start playing sports today

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hildren can benefit in various ways by participating in sports. These benefits, both physical and mental, can help kids in all aspects of life, and even lay the groundwork for a successful transition into adulthood. The fitness organization PhitAmerica says that playing sports goes beyond just being physically active. Important lessons are learned on the court, field and pitch. Kids who participate in sports can learn about discipline, how to handle winning and losing with grace, and the importance of setting and achieving goals. University of Missouri Health Care encourages all children to participate in sports. These activities are good for the mind and spirit. They help teach children accountability, dedication, leadership, and many other skills. These are all traits that can be used throughout life, helping people cope with the demands of life that seemingly have little to do with sports.

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Participation in sports has many benefits for children.

Sports also can help students in the classroom. Sports requires learning and remembering the rules of the game. These are skills that are relevant to class work or even on the job when children become adults in the workforce.

Of course, a discussion of the benefits of sports play would not be complete without addressing the enormous physical benefits of participating in sports. According to the Journal of the Public Library of Science, the health benefits

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of playing sports include an increase in lean body mass, an increase in basal metabolic rate and an increase in bone density, which promotes healthy body composition. Physical activity by way of sports participation may help the body strengthen over time, increase endurance, help control cholesterol levels, improve blood circulation, and even lower stress levels. Scholastic sports also are a great catalyst for making friends and encouraging positive behavior. Sports give kids an outlet for energy and a gathering place after school. Children can find like-minded individuals who have the same interests, which may help solidify years-long relationships. Parents, educators and coaches can encourage children to become involved with sports. The benefits of doing so are numerous and can lay the foundation for them to be successful in life.

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Six reasons to vaccinate ARTICLE PROVIDED BY SULLIVAN COUNTY PUBLIC HEALTH SERVICES

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ost parents vaccinate their children according to CDC’s recommended immunization schedule, protecting them from 14 potentially serious diseases before their second birthday. For parents who have questions about the schedule or wonder why it’s so important to follow, here are six reasons why you should vaccinate your child on time.

1. The immunization schedule is carefully designed to provide protection at just the right time. Like all good baby-proofing plans, CDC’s recommended immunization schedule is safe and effective at protecting your baby. It’s based on how your child’s immune system responds to vaccines at various ages, and how likely your baby is to be exposed to a particular disease. This ensures your little one is protected from 14 potentially serious diseases at exactly the right time. On the other hand, there is no data to support that spacing out vaccines offers safe or effective protection from these diseases.

2. Delaying vaccines could leave your child vulnerable to disease when they are most likely to have serious complications. Think of vaccines like a helmet for your baby. Just like safety equipment protects her from serious injury, vaccinating on schedule protects her from potentially serious diseases. While babies are born with some immunity, they have not yet built up the necessary defenses against the diseases that vaccines prevent. Young babies are at highest risk of serious disease complications. If you delay vaccinations, your baby could be exposed to diseases like whooping cough when she is most likely to have serious complications.

3. It’s best to vaccinate before your child is exposed to dangerous diseases. You wouldn’t wait until you’re already driving down the road to put

your baby in a car seat. You buckle him in every time, long before there is any chance he could be in a crash. Vaccines work the same way—your baby needs them long before he is exposed to a disease. It can take weeks for a vaccine to help your baby make protective disease-fighting antibodies, and some vaccines require multiple doses to provide best protection. If you wait until you think your child could be exposed to a serious illness – like when he starts daycare or during a disease outbreak – there may not be enough time for the vaccine to work. That’s why the experts who set the schedule pay such careful attention to timing. They have designed it to provide immunity before children are likely to be exposed to lifethreatening diseases. 4. Your baby won’t have the best protection from 14 serious diseases until she gets all the recommended doses of each vaccine. Each vaccine is carefully developed to protect against a specific illness. Some require more than one dose to build strong enough immunity to protect your baby, or to boost

immunity that decreases over time. Others need additional doses to ensure your baby is protected in case the first dose didn’t produce enough antibodies. Your child needs the flu vaccine each year because the disease changes over time. Simply put, every recommended dose of each vaccine on the schedule is important. 5. Maternal antibodies and breastfeeding don’t provide enough protection. Just as you help your child learn to walk, the protection (antibodies) you passed to your baby before birth will help protect your little one from diseases during the first months of life. And just as your child needs to eventually walk on his own, his immune system eventually needs to fight diseases on its own. Vaccines help protect your child when your maternal antibodies wear off. For example, when you get whooping cough and flu vaccines while you’re pregnant, you can pass some protection to your baby before birth. However, you can only pass on protection from diseases that you have immunity to, and this can only pro-

tect your child in the first few months. Breastfeeding provides important protection from some infections as your baby’s immune system is developing. However, breast milk does not protect children against all diseases. Even for breastfed infants, vaccines are the most effective way to prevent many diseases. That’s why it’s so important to follow the immunization schedule. It ensures your baby’s immune system gets the help it needs to protect your child longterm from preventable diseases.

6. Not vaccinating your child on time can make someone else sick. Children who are not vaccinated on schedule are not only at risk of getting sick themselves, but they can also spread illness to others who aren’t protected, like newborns who are too young for vaccines and people with weakened immune systems. By getting your child’s vaccines on time you’re not only protecting your baby — you’re helping to protect your friends, family, and community, too.

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Greater Hudson Valley Health System Medical Group Earns Accreditation MIDDLETOWN – Greater Hudson Valley Health System Medical Group Urgent Care, part of the Greater Hudson Valley Health System (GHVHS), with locations in Middletown and Monticello, has received the highest level of distinction for urgent care centers – accreditation through the Urgent Care Association (UCA). Both Orange Regional and Catskill Regional Urgent Care facilities have met all of the Urgent Care Association’s established standards and criteria for quality of patient care, safety and scope of services. “Our commitment to providing the best quality healthcare to every patient means being prepared to treat their needs in a timely and appropriate manner,” said Dr. Gerard Galarneau, President of the Greater

CONTRIBUTED PHOTO

With this certification, the Catskill Regional Medical Group and Orange Regional Medical Group Urgent Care staff demonstrate their commitment to providing patients with access to appropriate levels of care.

Hudson Valley Health System Medical Group. “Our Urgent Care facilities

deliver on that commitment by offering expert assessment and treatment every day of the week, morning until night. And, in both Orange and Sullivan Counties, our Urgent Care facilities give patients the peace of mind of knowing their walk-in visits can be backed by the full continuum of care afforded by our Medical Groups and Medical Centers.” Urgent Care fills a gap between Primary Care and the Hospitals’ Emergency Departments, offering increased convenience and cost savings. With these accreditations, Catskill Regional and Orange Regional Urgent Care facilities, along with the UCA, demonstrate their shared commitment toward providing patients with access to quality care of the highest level.

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Greater Hudson Valley Health System Medical Group Launches Measles Prevention Program MIDDLETOWN – The Greater Hudson Valley Health System Medical Group, comprised of Catskill Regional Medical Group and Orange Regional Medical Group, has launched a Measles Prevention Program to educate and help protect the community. Both Medical Group teams now offer consultations, providing the straight facts about measles in an effort to ease concerns from community members who are ‘well, but worried’ and not sure whether they are immune. During the consultation, they explore medical history – including vaccination records – to see if a previous MMR vaccination is still effective. If needed, vaccinations or boosters will be administered. Please note, a co-pay or fee may apply. This program is for adults, age 18+. For a consultation, please call 845-3337575.

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Crystal Run Healthcare Cardiologist, Dr. Jonathan S. Katz (right) with JoAnn Parker Regional Director of the American Heart Association (center), and Barbara Cassano Sr. Specialist, RN, Certified OHN & CM of Orange & Rockland Utilities (left), before presenting ‘Life’s Simple 7’ as part of Brown Bag Goes Red series.

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MIDDLETOWN – On June 20, Crystal Run Healthcare Cardiologist, Jonathan S. Katz MD, FACC, presented ‘Life’s Simple 7’, a lunch and learn session broadcasted to five Orange & Rockland Utilities (O&R) locations for their employees. The presentation, following guidelines from the American Heart Association, outlines seven ways to improve heart health and enhance quality of life and focuses on the importance of managing blood pressure, cholesterol and blood sugar. Cardiologists, Maria Sobolev, MD, FACC, Balaji Pratap, MD, FACC, Electrophysiology Cardiologist, Eric D. Manheimer MD, and Interventional Cardiologist, Neel Khanna, MD, MPH were onsite at four other O&R locations to provide commentary throughout the presentation, and answer questions by

attendees. The program is part of Crystal Run Healthcare’s sponsorship of the American Heart Association’s educational series – Brown Bag Goes Red. More than 100 employees were in attendance to learn about heart health and receive onsite blood pressure screenings from Crystal Run. Brown Bag Goes Red is a health and wellness program that works to educate community members and employee organizations on the importance of heart health and provide tips to living a healthier lifestyle. As part of Crystal Run Healthcare’s sponsorship of the American Heart Association and the Tri-County Heart Walk, Cardiologists have the opportunity to present on a variety of heart health topics at locations throughout the Hudson Valley area.

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Welcome Dr. Debra Levine - Acupuncturist by appointment

CRHC Earns ACR Lung Cancer Screening Center Designation any current and former smoker to speak with their doctor about whether or not they qualify for this important test,” said Scott Hines, MD, Chief Quality Officer at Crystal Run Healthcare. Lung cancer screening with low-dose computed tomography scans, and appropriate follow-up care, significantly reduces lung cancer deaths. In December 2013, the United States Preventive Services Task Force recommended screening of adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Lung cancer is the nation’s leading cancer killer – taking the lives of more people each year than breast, colon and prostate cancers combined. The ACR, founded in 1924, is one of the largest and most influential medical associations in the United States. The ACR devotes its resources to making imaging and radiation therapy safe, effective and accessible to those who need it. Its 36,000 members include radiologists, radiation oncologists, medical physicists, interventional radiologists and nuclear medicine physicians. For more information about the Lung Cancer Screening Center designation, visit: acr.org/QualitySafety/Lung-Cancer-Screening-Center.

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MIDDLETOWN – Crystal Run Healthcare announced today that it has earned the American College of Radiology (ACR) Lung Cancer Screening Center designation. The designation is a voluntary program that recognizes facilities that have committed to practicing safe, effective diagnostic care for individuals at the highest risk for lung cancer. Crystal Run is the only facility in Sullivan and Rockland Counties and one of two facilities in Orange County to earn this accreditation. In order to receive this elite distinction, facilities must be accredited by the ACR in computed tomography (CT) in the chest module, as well as undergo a rigorous assessment of its lung cancer screening protocol and infrastructure. Additionally, Crystal Run has demonstrated it has the required procedures in place for follow-up patient care, such as counseling and smoking cessation programs. “Crystal Run is proud to offer our patients the only ACR-Designated Lung Cancer Screening Center in Sullivan County and Rockland County and one of only two in Orange County. Lung cancer screening is recommended for certain active and former smokers by the United States Preventative Services Task Force (USPSTF) because early detection has been shown to improve outcomes. I would encourage

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CONTRIBUTED PHOTO

Members of Crystal Run Healthcare’s Diagnostic Imaging Leadership team from left: Joshua Burkholder, Radiology Manager/RIS PACS Specialist; Heather Prisco, Clerical Supervisor, Diagnostic Imaging; Holly Frank, Associate Director of Women's Imaging; Raymond Farquharson, Director of Diagnostic Imaging; and (not pictured) Scott T. Hines, MD, Chief Quality Officer.

HEALTH

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Bringing nature to life in Fallsburg FALLSBURG - Many Sullivan County hands have worked diligently to complete the hiking trail surrounding Fallsburg’s Benjamin Cosor Elementary School for the past three years. As the summer of 2019 approaches, work is focused on the Trail Head, the actual beginning section of the path. On Saturday, June 15, a large group of workers were busy. Kiwanis of Woodridge, New York Foundation, Inc. has adopted this section. With a donation of funding, people power, other grant funding, and gifts of materials from various sources, the work is well underway. The goal is to have this section and the remaining items done by next September for the opening of school. Woodridge Kiwanis has been devoted to FCSD for many years. K-Kids have been active in the Elementary School, Builders Club in the Junior High, and Key Club in the High School. Now Kiwanis International

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Kiwanis of Woodridge Foundation of NY, Aktion Club, Dynamite Youth Center residents and Fallsburg students and Board of Education members.

has a local Aktion Club composed of individuals with special abilities from The Center for Discovery, Sullivan ARC and New Hope Community. Ms. Kim Loucks, Program Director at ARC, is the Coordinator for the Aktion Club. It is the only community-service club for adults living with

disabilities. It allows members to develop initiative and leadership skills in serving their communities while enabling their integration into society. Kim’s husband Maurice and two sons worked alongside ten members of the Club with support staff. Also

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lending a hand were Kiwanians Sue Kasofsky, Diane Garritt, and Sean Wall-Carty. Sean is President this year and serves on the FCSD Board of Education. He brought his daughter Jordyn, who is graduating sixth grade at BCES and his son Avery, a third grader. BOE Member Jennifer Reinhardt brought four strong young men from her work at Fallsburg’s Dynamite Youth Center (DYC). BOE Member Mike Weiner was there helping do some of the work on behalf of his wife and Kiwanian Jill, who was unable to attend. Overseeing the entire project and grant writer extraordinaire is Ms. Leah Exner, first grade teacher at BCES. She was very grateful for Kiwanis and DYC support. It’s wonderful to see people facing challenging life situations offering selfless service to create a place in nature for students and the community. The smiles on their faces were their great reward.

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Wayne Memorial Recognizes Staff for Years of Service

HONESDALE, PA - Her name was the last to be called during a long night of honoring employees, but everyone got to their feet to give Emmy Maierle a standing ovation. The dietary aide was marking 40 years at Wayne Memorial Hospital. She was one of 88 employees honored at the hospital’s 45th Annual Service Awards Dinner at Lukan’s Farm Resort in Hawley on June 20. The evening is a time set aside for the administration, medical staff and board to recognize employees who have reached milestones observed in five-year increments. Altogether, they represented 1,135 years of providing quality healthcare. Maierle attributed her longevity to the fact that Wayne Memorial is, in her opinion, still a small community hospital – thankfully, that has not changed in her four decades of CONTRIBUTED PHOTO employment. “My favorite thing about working here,” she said, “is trying to do good Emmy Maierle, (center) recognized for 40 years of service at things for the patients and to get along with Wayne Memorial Hospital is shown with David Hoff, chief execuall the different personalities of other staff.” tive officer and Bethany Fine, director of Human Resources.

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Wayne Memorial Welcomes New Interventional Cardiologist HONESDALE, PA - Wayne Memorial Hospital is proud to announce that Interventional and Nuclear Cardiologist Sabu J. George, MD, FACC, has been appointed CONTRIBUTED PHOTO Medical Director of the Heart & Vascular Center. Since opening in June of 2016, the Interventional and Center has provided comprehensive, life- Nuclear Cardiolosaving heart procedures—including car- gist Sabu J. George, diac catheterizations with angioplasty MD, FACC and stenting to more than 1,000 patients. “We are extremely happy to welcome Dr. George as a member of our medical staff, especially to serve in this vital role with the Heart and Vascular Center,” stated David Hoff, chief executive officer, Wayne Memorial Hospital. Sabu George, MD, has been practicing interventional cardiology for more than a decade. He completed his residency as well as several fellowships at Hahnemann University Hospital in Philadelphia including Interventional Cardiology and General Cardiology. For more info. on the Heart and Vascular Center at Wayne Memorial Hospital, visit wmh.org. Dr. George holds office hours at Honesdale Cardiology. To make an appointment, call 570-253-8185.

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General Cardiologist Joins Medical Staff at Wayne Memorial HONESDALE, PA - Wayne Memorial Hospital welcomes Board-certified Cardiologist Nicholas Brodyn, DO, FACC, FCCP, FACP, FSCCT as the newest member of CONTRIBUTED PHOTO its medical staff. Dr. Brodyn provides general Nicholas Brodyn, cardiology services including electrocardiog- DO, FACC, FCCP, raphy, Holter monitoring, stress tests, FACP, FSCCT. Transesophageal echocardiography (TEE), and nuclear cardiac scanning exclusively at Wayne Memorial. He holds office hours at Honesdale Cardiology located at 507 High Street. “Dr. Brodyn brings experience, empathy and availability to new and existing patients of Honesdale Cardiology,” stated Frederick Jackson, executive director, Wayne Memorial Community Health Centers. “Since these qualities are vital to exemplary cardiac care and furthermore the physician/patient relationship, we are grateful to have him as part of our team as a full-time Cardiologist.” Dr. Brodyn earned his Medical Degree from the Kansas City University of Medicine and Biosciences, Kansas City, MO. To make an appointment with Dr. Brodyn, call Honesdale Cardiology at 570-253-8185. For more information about the services Wayne Memorial Hospital and Wayne Memorial Community Health Centers offer, visit www.wmh.org or call 570-253-8390.

Official Ribbon Cutting at Forest City Family Health Center HONESDALE, PA – Board and staff members of Wayne Memorial Community Health Centers (WMCHC) and Wayne Memorial Hospital (WMH) gathered with local government and civic organization officials in front of the newly constructed Forest City Family Health Center (FCFHC) for a ribbon cutting ceremony on June 7. The Center, which offers primary care and laboratory services, has been open to patients since early April.

Front row, left to right, Michael Clifford, WMCHC board; Robert Fortuner, finance director, WMCHC; Joann Hudak, WMH board; John Romano, pathology laboratory manager, WMH; Betsy Arnold, Susquehanna County commissioner; Jo-Ann Sames, RN, supervisor, FCFHC; Patricia Dunsinger, chief financial officer, WMH/ WMCHC Board; Krista Hollis, CRNP, FCFHC; David Tomazic, DO, FCFHC; Frederick Jackson, executive director, WMCHC; Peter Rodgers, chair, WMCHC Board; David Hoff, CEO, WMH/ WMCHC Board; Mayor Christopher Glinton, Forest City; Lori Wood, Together For Health Dental Center; RickiLynn Derrick, medical secretary, FCFHC; Joann Matarese, Forest City Borough Council. Back row, Chris DeGonzague, Forest City Borough Council; Jeff Swegel, American Legion Commander; JoAnne Sterchak, RN, FCFHC; Greg Capitolo, WMCHC board; Peggy Tomazic, RN, FCFHC; John Conte, director Facility Services & Real Estate WMH; PA State Representative Jonathan Fritz (R); Bill Schweighofer, WMCHC Board; Steve Tourje, WMCHC Board; Dirk Mumford, chair, WMH Board; Lisa Bentler, medical secretary; Stacey Cirba, medical secretary and Tracy Johnson, LPN, FCFHC.

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