Health and Wellness Fall 2014

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

Ta k i n g C a r e o f B o d y, M i n d , a n d S p i r i t A S p e c i a l S e c t i o n o f t h e S u l l i v a n C o u n t y D e m o c r a t , O c t o b e r, 2 0 1 4

HEALTH

SULLIVAN COUNTY DEMOCRAT

OCTOBER 24, 2014

NEED MEDICAL CARE? Visit V isit i one o of our local offi offices! cess!

DR. CLIFFORD TEICH

36 North Road, Bloomingburg, NY 12721

(845) 733-4515

112 Shoprite Plaza, Shop Rite Boulevard, Ellenville, NY 12428

111 Sullivan Avenue, Ferndale, NY 12754

(845) 647-6700

(845) 292-6630

• Primary Care • Cardiology • Gastroenterology • Gynecology • Pulmonology

• Primary Care

Dr. Douglas Fletcher Dr. Jagruti Gohel Dr. Martin Palmer Dr. John Podeszwa Dr. Bonnie Seecharran Carol Waxman, P.A.

• Primary Care • Cardiology • Gastroenterology • Pulmonology

Dr. Donald Roth Dr. David Schwalb Dennis Waxman, P.A. Dr. Douglas Fletcher Dr. David Lowenkron

Established in 1971

Quality Healthcare For The Entire Family

Sullivan Internal Medicine Group

Catskill Adult & Pediatric Medicine 518 Broadway, Monticello, NY 12701 64 Jefferson Street, Suite 2, Monticello, NY 12701

(845) 791-6400 • Pediatrics • Primary Care

Dr. Jeffrey Weinstein

(845) 794-1600 • Primary Care • Cardiology • Gastroenterology • Pulmonology • Orthopedics

Dr. Gary Garfield Dr. Sheldon Leidner Dr. Jonathan Weiss Cynthia Gilmour, F.N.P.

2930 State Route 209, Wurtsboro, NY 12790

(845) 888-2200 • Pediatrics • Primary Care

Dr. Dhirajlal Shah Dr. Stuart Tashman

Dr. Charles Peralo Dr. Bonnie Seecharran

MiddletownMedical.com MiddletownMedical.com

CALL C ALL A (845) (845 342-4774 13534

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HEALTH

SULLIVAN COUNTY DEMOCRAT

OCTOBER 24, 2014

A land of peace awaits in Parksville he moment you ascend Somewhere in Time Lane, you sense the peace that surrounds you. A gentle breeze softly streams across the rippling grass and pond, rustling the leaves and creaking the branches of the trees all around the Parksville home of Justine and Jon Sutherland. But you can’t resist looking skyward, where a Great Plains-worthy view stretches endlessly, the blue sky and white clouds somehow feeling more vibrant here. Thus, you’ll be more than ready to respond to Justine when she introduces herself with her characteristic, lilting query, “How are you Being?” And if you’re looking for inner peace, Justine will guide you in a healthy direction – to learn how to “Just Breathe.” That is, in fact, one of two names for

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COVER PHOTO BY DAN HUST

T

The lovely porch of Justine and Jon Sutherland’s home – and the new ‘Somewhere Inn Time B & Be’ – gazes upon an even lovelier natural scene of field, forest and pond.

DON’T LET YOUR PAIN GET WORSE!

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Dr. Maureen Whipple Providing Quality Dentistry for the entire family, including cosmetic dentistry, crowns, bridges, implants, dentures, and we are a preferred provider of INVISALIGN Office hours by appointment

Dr. Dr. Linda F. F. Borrelli

FAMILY CHIROPRACTOR FAMILY CHIROPRACTOR Specializing in restoring your health fees. Specializing in restoring your health at affordable

10259 BORR-092494

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

25 LOWER MAIN ST. • CALLICOON, NY

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

Health & Wellness Published by Catskill-Delaware Publications, Inc. Publishers of the

www.drwhippledentistry.com Offices at

Proud Member of:

Serving the weekly community newspapers of New York State since 1853.

National Newspaper Association

(845) 887-5200 Callicoon, NY 12723 October 24, 2014 • Vol. CXXIV, No. 37

206 N. Gregory Street Callicoon, 12723 20 GregoryNY Street, Cal (845) 887-6423

One Fairchild Pl. Monticello, NY 12701 (845) 794-6423

Publisher: Senior Editor: Editor: Sports Editor: Editorial Assistants: Advertising Director: Advertising Coordinator: Advertising Representatives: Special Sections Coordinator: Business Manager: Business Department: Telemarketing Coordinator: Classified Manager: Production Associates:

Distribution:

Fred W. Stabbert III Dan Hust Frank Rizzo Ken Cohen Kathy Daley, Jeanne Sager, Eli Ruiz, Kaitlin Carney, Guy Harriton Liz Tucker Sandy Schrader Barbara Matos, Cecilia Lamy Teri Luty Susan Owens Patricia Biedinger, Joanna Blanchard Michelle Reynolds Janet Will Ruth Huggler, Rosalie Mycka, Tracy Swendsen, Nyssa Calkin Elizabeth Finnegan, Petra Duffy Bill Holmes

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AVOID COMPLICATIONS — GET THE HELP YOU NEED NOW!

845-887-4485

Justine is a certified teacher of classic Hatha Yoga Sivananda style, holding classes inside her airy, light-filled studio.

HEALTH

SULLIVAN COUNTY DEMOCRAT

OCTOBER 24, 2014

Early Detection Can Save YOUR Life October isn’t the only time to be aware of breast cancer. Annual primary care visits are an important step in the early detection of cancer. Catskill Regional Medical Group’s Primary Care doctors are devoted to providing you with exceptional healthcare. During annual checkups patients receive a comprehensive breast cancer screening exam and referrals for follow up treatment if necessary.

Schedule your annual visit and breast exam today.

A member of the Greater Hudson Valley Health System

www.CatskillRegionalMedicalGroup.org

Livingston Manor Family Health Center 36 Pearl Street Livingston Manor, NY 12758 845.439.3579

Catskill Regional Medical Center 1st Floor Ambulatory Service Bldg 68 Harris Bushville Road Harris, NY 12742 845.791.7828

Callicoon Family Health Center 8881 State Route 97 Callicoon, NY 12723 845.887.5693

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HEALTH

SULLIVAN COUNTY DEMOCRAT

OCTOBER 24, 2014

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this beautiful place: Justine’s Just Breathe Yoga. Housed in a bright, airy barn overlooking the foothills of the Catskills, the yoga studio offers classes in classic Hatha Yoga Sivananda style; a “Gentle Boot Camp� for all ages and fitness levels; and a one-mile obstacle course for birthday parties, camps and team-building.

Justine is as quick to sing as she is to speak, as eager to learn as she is to teach. Her welcoming spirit is both boundlessly euphoric and quietly joyful, often simultaneously. The land upon which she and husband Jon, a Liberty dentist, live echoes that spirit. “From Route 17 to here,� says Jon, sweeping his hand from the valley to CONTINUED ON PAGE 7H

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Jon and Justine Sutherland’s home sits atop a hill above Parksville, and guests are welcome to share their beautiful property via the Somewhere Inn Time B & Be.

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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.

Call MISN today at 1-800-453-4666 to see if you qualify for Managed Care, Child Health Plus or a Special Enrollment Period. THIS IS A FREE SERVICE.

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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.

HEALTH

SULLIVAN COUNTY DEMOCRAT

OCTOBER 24, 2014

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HEALTH

SULLIVAN COUNTY DEMOCRAT

OCTOBER 24, 2014

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CARING, QUALITY CHIROPRACTIC CARE Backed By 24 Years of Experience Effective, Natural Relief For: • Headaches, Dizziness • Neck Pain, Tight Muscles • Shoulder & Arm Pain • Low Back, Hip & Leg Pain

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(845) 292-3455 • Most Insurance & HMOs Accepted • Old Fashioned Doctor Patient Relationship in a warm comfortable atmosphere.

10 Hanofee Dr.

Liberty, N.Y.

Dr. Jorge R. Delgado Board Certified Chiropractic Neurologist

Marie K. Devore, D.M.D. The universal peace sign graces the upper deck of Justine’s Just Breathe Yoga studio, overlooking the gently-maintained meadows which serve as the wide front lawn.

the hilltop, “was my grandfather’s farm in the 1800s.” The return to his family’s roots, and Jon and Justine’s shared love of the 1980 time-travel romance movie

“Somewhere in Time,” inspired not only the name of their driveway but the name of their brand new bedand-breakfast, Somewhere Inn Time. The “B & Be” (as Justine calls it – a reference to her trademark “how are

Evening Appointments Available

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

(845) 557-8500

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Joseph N. Garlick Funeral Home Inc. Exclusively Serving the Jewish Community Jewish Owned & Independently Operated

647-7747

388 Broadway Monticello

186 Canal St. Ellenville

www.josephngarlickfuneralhome.com

13312

794-7474

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GENERAL DENTISTRY

HEALTH

SULLIVAN COUNTY DEMOCRAT

OCTOBER 24, 2014

WE WE’LL ’LL H HELP ELP Y YOU OU G GET ET

READY READ DY FOR FOR THE THE UPCOMING UPCOM

FLU FL U SEASON SEA ASO

Refuah Health Center will be offering Flu Shots at no cost to all residents of Sullivan County from the ages of 3 years old and up.

W E A L S O P R OV I D E M A N Y O T H E R S E RV I C E S :

Pediatric Ý Pharmacy In-House Ý Case Management Assistance with Obtaining Health Care Coverage Ý Sliding Scale Fee for Uninsured Patients Ý We Accept Many Insurances Including Medicaid

Refuah Health Center

36 Laur Laurel el A Avenue venue | SSouth outh FFallsburg, allsburg, N NY Y WWW.REFUAHHEALTHCENTER.COM WWW.REFUAHHEALTHCENTER.COM

Please call for hours and avva ailabiliitty

845.482.9394

We accept most major jor insurra ance and have a sliding fee scale avva ailable fo for uninsured patients.

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HEALTH

SULLIVAN COUNTY DEMOCRAT

OCTOBER 24, 2014

CONTINUED FROM PAGE 7H

you Being”) features three bedrooms: a master suite with a king bed and private bath, and two rooms with queen beds and a shared bath. Breakfast is available whenever guests want, as Justine simply lays out an organic repast of fruit, vegetables, eggs and breads when she rises early in the morning. They, too, are welcome to partake in the yoga studio’s offerings right

next door. “The dedication to their practice brings a transformation which is an adventure in exploring their mind, body and soul,” promises Justine. A memorable day for Jon was when a guest said, with his hands raised in the sky, “Now I know where God is.” To discover it all yourself, contact Justine at 845-807-8704 or justinesjustbreatheyoga@gmail.com. A schedule of offerings is available at www.parksvilleny.org/yoga.html.

Initially conceived as a storage barn, this handsome hilltop structure now also serves as the home of Justine’s Just Breathe Yoga studio in Parksville.

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Shoulder/Arm

No Charge Introductory Visit:

Massage

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PAUL D. SALZBERG, M.D. Board Certified in Family Practice Pediatric through Geriatric Medicine Certified in Geriatrics

DO YOU HAVE DIABETES?

ARE YOU ON MEDICARE?

Services also offered by

If you answered yes to both questions - the cost of the shoes may be covered!

Kelly Edwards, Nurse Practitioner

• We do all the paperwork Custom fit inserts Comfortable & lightweight

A hometown doctor where you’re more like family than a patient

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Serving the local community and beyond for over 30 years

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Come visit our showroom.

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845-887-6112 9741 State Route 97, Callicoon, NY 12723 MEDICARE & MOST MAJOR INSURANCES ACCEPTED

Our patients are very important to us.

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Stourbridge Mall • Honesdale

Directions: SR 97 north, 1.5 mi. from blinking light in Callicoon. Brick Building, second from Holy Cross Church

FREE Delivery 15675

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HEALTH

SULLIVAN COUNTY DEMOCRAT

OCTOBER 24, 2014

91⁄2 Dolson Ave., Middletown Across from the Colonial Diner

RN Supervisor FT - in the Middletown Branch 1 to 2 years Home Care experience Required. Must be familiar with NYS Waiver Programs. Travel necessary. Forward resume and salary requirement: ywindsor@anytimehomecare.com

Is Now Accepting Applications For

PCA’s HHA’s CNA’s RN’s & LPN’s Starting at $12 per hour Sullivan & Orange County NHTD and TBI waiver HCSS Workers needed

We Offer Medical Benefits Call or walk-in

(845) 344-4222

9 1/2 Dolson Ave., Middletown, across from Colonial Diner

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Seeking motivated employees that will travel outside city limits. Bi-lingual encouraged to apply. Must have transportation & phone.

Providers Trained in Pediatric Care

A Senior Living Community “For Peace of Mind And Quality of Life”

Extended Hours Honesdale Office located at 1837 Fair Avenue, Honesdale, PA 18431 Tues. - Thurs. open 7:30a (appointments are available)

150 Noble Lane, Bethany, Pa. 18431 (570) 251-3463 www.bethanyseniorliving.com Call for more information or Stop in for a tour anytime.

Evening Walk Ins 6p-7:30p Weekend Walk Ins Sat & Sun 9a-12

Some Ammenities & Services Include:

located at 396 Route 6 & 209, Milford, PA 18337 1st & 3rd Tues of the month 6p-7:30p

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& Semi-Private Rooms • Private Bath • Medications Management • Nutritious Meals & Desserts • Housekeeping Service • Daily Laundry Service • WheelchairAccessible • Bus Planned • Social Outings & Events.

Walk In Hours Milford Office

OCTOBER 24, 2014

SULLIVAN COUNTY DEMOCRAT

Marty Ryan celebrates his 35th anniversary in the shoe business with his lymphedema care providers from Wayne Memorial Hospital. Left to right: Sean Phillips, OT; Ryan; Amy Krempasky, RN; Christine Carlozzi, OT; Terri Henderson, OT/manager Rehabilitation Services.

Celebrating sales and survival

arty Ryan, the former owner of M Marty’s Sneaker World in Honesdale, is grateful he has both his legs and

that he’s still in the shoe business after 35 years. Wayne Memorial Hospital staff recently surprised Ryan with a cake at his current shoe store in Waymart to congratulate him on his anniversary and his success at battling a debilitating disease – lymphedema. Ryan, 67, was quick to thank them for much more than the cake. “I wouldn’t have my leg here,” he said, pointing to his right leg, which was wrapped in compression bandages, “and maybe both of them if it hadn’t been for these folks. I owe the doctors and nurses who worked so hard to heal my many wounds and these therapists a lot!” The praise was reciprocated by Amy Krempasky, RN and clinical coordinator of the hospital’s Advanced Wound Care & Hyperbaric Center and Occupational Therapists Christine Carlozzi and Sean Phillips. “Marty would not be where he is today if he hadn’t shown up for his appointments and done the work,” said Krempasky. “He was vigilant and diligent and that’s why he still has his leg.” Ryan, a US. Army veteran who served in Korea during the Vietnam War period, admitted he was not an easy patient when he was first diagnosed in 2007.

“When the Wound Care Clinic staff wanted me to start therapy, I was definitely not interested,” he said, “I didn’t like change and I fought it all the way. But finally the nurses convinced me I had no other choice if I wanted my legs to get better. I had to give in, and now, I’m glad I did! Ryan undergoes treatment in the Wound Care Center with Edward (“Ted”) Murray, DPM, the Wound Care team and Carlozzi and Phillips. The two therapists underwent training supported by Wayne Memorial Hospital to become certified in Compete Decongestive Therapy (CDT) for lymphedema. A chronic condition in which excess protein-rich fluid collects in the tissues, lymphedema causes extreme swelling and possible skin changes in the body that don’t go away and may even get worse over time. Carlozzi and Phillips use the Vodder Technique which moves the lymph fluid through and out of the body through very gentle skin stretches along the normal pathways of the lymphatic system. This technique is combined with skin care, compression bandaging and specific exercises. .” “I’m really happy to share my own story if it can help even one other person out there who has lymphedema to seek help from these folks,” said Ryan. Wayne Memorial Rehabilitation Services, with two locations in Honesdale, offers physical, occupational and speech therapy, as well as specialty therapies for patients with lymphedema, Parkinson’s Disease and cancer. For more information, visit www. wmh.org.

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JOIN OUR TEAM

CONTRIBUTED PHOTO

Thanks to Wayne Memorial’s Advanced Wound Care & Hyperbaric Center

HEALTH

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HEALTH

SULLIVAN COUNTY DEMOCRAT

OCTOBER 24, 2014

Something did this‌ but what? Insect bite of unknown STORY AND PHOTO BY DAN HUST

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hannon Bruning felt the bite, swatting away the tiny dark insect from her lower right leg. She’d been standing amongst the tall grass of her Kauneonga Lake back yard, watching husband Butch test a new weedwhacker. But within seconds of the bite, “I had a blister bigger than a silver dollar,� she recalled. “And the itch was unbelievable.� Ice, peroxide, anti-itch cream – nothing salved it, and Shannon couldn’t resist scratching. That burst the blister, and suddenly she was confronted with a nasty open wound straight out of a horror movie. “The black and yellow are poison,� Shannon pointed out during a visit last week. She was changing the dressing on a painful, two-inch-long gash in her leg – four months after the initial bite. Doctors at Hudson Valley Hospital Center’s Institute for Wound Care and Hyperbaric Medicine in Peekskill tell

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845-561-6111 6111 Hospiceoffora o nge.com 13360

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Shannon Bruning of Kauneonga Lake sustained an insect bite of some kind back in June that has since turned into this gaping wound on her leg, requiring months of careful, painful treatment.

origin causes hell for Kauneonga Lake woman

her it could take another eight months for the wound to heal. And she will likely never know exactly what bit her. Shannon thinks it could be a brown recluse spider, but their range doesn’t extend this far north. “They’re not common here,� affirmed Sullivan County Public Health Director Nancy McGraw. “So we really can’t say whether it was a brown recluse spider or not.� Allergic reactions, immune system problems and cardiovascular issues can all aggravate insect bites, she added, meaning a person’s particular reaction to a bite may be very different from another’s – whether it was a spider or something else. McGraw sympathized with the alarming nature of Shannon’s wound but said brown recluse spider bites are not a local problem. “From a public health perspective, it’s not something the average person should be concerned about,� she assured. Indeed, “if I were to caution anyone to be more vigilant about bugs,� said McGraw, “it would be ticks.� A bite from a tick may or may not be noticeable, but they can transmit Lyme Disease, which, left untreated, can have long-term health effects. Regardless, if you’re wearing clothing that exposes arms, legs or other parts of the body to vegetation, be ready for insect bites in Sullivan County – and to react swiftly. Shannon initially visited her doctor, who gave her antibiotics to stave off further complications. The team at Hudson Valley Hospital Center helped her recover from an infection in the wound, but she’s still got a long road to travel. “This is $274 a tube,� she remarked, holding up a container of Santyl,

SULLIVAN COUNTY DEMOCRAT

OCTOBER 24, 2014

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Catskill Dermatology, P.C. Steven J. Fishman, M.D. Professor at Mount Sinai Hospital-NYC

Board Certified Dermatology & Dermatological Surgery Zecharia Lind, P.A. Loree Ann Stanton, RN, CDN, HT BOTOXÂŽ, DYSPORTÂŽ, RESTYLANEÂŽ, JUVEDERMÂŽ, RADIESSEÂŽ, PERLANEÂŽ, PEELS, SCULPTRA BLU-LIGHTÂŽ/PHOTO FACIAL IPL FOR VEIN/HAIR REMOVAL/ PIGMENTED LESIONS SKIN CANCER/MOLES/ GENITAL WARTS ALL DISORDERS OF SKIN, HAIR AND NAILS

110 Bridgeville Rd., Monticello, NY 845-794-3030 1997 Rt. 17M, Goshen, NY 845-294-6123

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which helps her clean out the dead tissue three times a day. “I’m going to go broke!� And Butch still has to take her down to Peekskill weekly for further cleaning and inspection of the bite area. Some of that’s covered by Medicare and private insurance, some not. The itch, thankfully, is gone, but so is Shannon’s independence. “I haven’t driven, but I can walk. Sometimes it’s very painful,� Shannon related – made more painful by the fact she broke her toe after stubbing it on furniture in her home. The grandmother of eight misses visits with family, though Butch and their dog Sam have been constant companions. Her pets, in fact, are what brought her from Westchester County to Sullivan County 14 years ago. “I wanted a place where I could have my animals,� she said with a smile. She didn’t count on the kind of critters that might feast on – or be irritated by – her presence, however. So she’s spreading the word to be careful. “I want people to be aware of this,� she affirmed, “that there’s something here that bites you and eats your flesh away.�

HEALTH

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HEALTH

SULLIVAN COUNTY DEMOCRAT

OCTOBER 24, 2014

Middletown Medical celebrates 30th anniversary

B

ack in the Fall of 1984, Dr. Rajan Gulati was the wellrespected Director of the Emergency Department at the nowclosed Horton Memorial Hospital in Middletown. After a decade in this position, he decided to branch out on his own and open “Immediate Medical Care,� walk-in Urgent Care services and the first of its kind in the region, at a small location on Ridge Street in Middletown, just down the road from Horton, and with just three employees. Fast forward 30 years later to 2014, and “Immediate Medical Care� is now “Middletown Medical,� a multispecialty physicians’ group with 15 locations throughout Orange, Sullivan and Ulster counties, and considered to be one of the Hudson Valley’s premier healthcare services provider known for its compassionate and comprehensive services. And those three employees have

CONTRIBUTED PHOTO

Dr. Rajan Gulati left his position as Director of the Emergency Department at the nowclosed Horton Memorial Hospital to found what became Middletown Medical.

now blossomed into 350, making Middletown Medical a leading employer in the area, as well. “We simply wanted to make urgent care services accessible to people, as the local emergency rooms were overwhelmed,� notes Dr. Gulati, who continues to see patients while also serving as President & CEO of Middletown Medical. “We were in the right place at the right time.� But it’s more than that. The always-modest Dr. Gulati’s initial mission of providing top quality care in a warm and caring environment continues to this day, as Middletown Medical’s various awards and positive patient testimonials through the years confirm this mission is still very much top of mind throughout the organization.

Success leads to expansion After just a few years on Ridge Street, “Immediate Medical Care�

was growing out of its space, prompting Dr. Gulati to build a 5,000 square foot building at 2 Edgewater Drive in Middletown. With this move came expanded services – primary and family care, specialty medicines such as cardiology, laboratory services and more – and the name “Middletown Medicalâ€? was born. Then in 1993, it was time to expand again – to a new and considerably larger 30,000 square foot building at 111 Maltese Drive (just next door to 2 Edgewater). This building underwent significant expansion in 1999, and is still the main “hubâ€? of Middletown Medical’s operation. Today, Middletown Medical includes: • 15 locations throughout Orange, Sullivan and Ulster counties, stretching from Warwick in the south to Monticello in the north – and everything in between.

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• Those 350 employees include a physician roster of more than 50, and encompassing more than 20 different specialties. • Immediate Medical Care services in Middletown, Ellenville and Chester – the latter located in a beautiful, new state-of-the-art facility. • Home to “Pediatric Express” in Chester, walk-in Urgent Care services for children with a pediatrician on site until 9 p.m. on weeknights, and the first of its kind in Orange County. • A prestigious “Recognized Practice” as a Patient-Centered Medical Home by the National Committee for Quality Assurance (NCQA). • Unique specialty services such as The Sleep Center, The Headache Center, Occupational Medicine, and more. As well, growth is always on the horizon, as Middletown Medical is constantly expanding through affiliations with local and regional physicians and providers, collaborations with new specialists, and acquisitions of new properties in new markets.

What’s so special about Middletown Medical? Some of Middletown Medical’s most senior employees are quick to praise Dr. Gulati and his compassionate approach to the success of the healthcare services provider. “We are a state of the art healthcare practice focused on the patient,” says Billing Supervisor Marge Ingrassia, who joined Middletown Medical in 1990. “We can provide all services at any location, and our staff is caring and most concerned about the patient’s total well-being.” “The focus is to go above and beyond, and to treat our patients as family,” echoes Amanda Hansen, a Physician Assistant who began her career in 2001 under Dr. Gulati’s tutelage. “Dr. Gulati has always stressed quality over quantity, and that shows in the patients that keep returning to us.” “The thing I love about Middletown Medical is that Dr. Gulati believes in his employees and never discourages new ideas,” says Lori Marl, Middletown Medical’s Opera-

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tions Director who began with the company in 1992 as a night receptionist. “This is what keeps us on the forefront of giving our patients the best and most comprehensive care anywhere. “Plus my entire family has been coming to Middletown Medical for years. That alone says it all about the quality of service we provide.” Middletown Medical is a multispecialty physicians' group dedicated to providing patients with top quality, comprehensive care in a warm and caring environment. Opened in 1984, Middletown Medical now includes 10 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.

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H E A LT H C A R E Mt. St. Vincent in New York. She completed a Surgical Residency with St. Mary Hospital in Hoboken, N.J. Dr. Valencia is affiliated with Orange Regional Medical Center, and is also a tennis instructor, as well as a member of the National Athletic Trainer’s Association (NATA).

Middletown Medical welcomes Dr. Valencia

MIDDLETOWN — Middletown Medical announced the addition of Dr. Sharon Valencia, Podiatrist. Podiatry will be Middletown Medical’s newest Specialty Medicine, and Dr. Valencia brings more than 20 years of compassionate experience in diagnosing and treating medical and surgical conditions of the lower extremity, including those resulting from bone and joint disorders, infectious diseases, muscular pathologies, as well as neurological, metabolic, and circulatory diseases. Since 1996, Dr. Valencia has run a successful private practice in Goshen, performing examinations, diagnoses, and treatments, as well as office and outpatient surgical procedures on the lower extremity. In addition, she’s been a Consulting

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Dr. Sharon Valencia will bring two decades of podiatry experience to Middletown Medical.

Podiatrist with Elant Inc. in Goshen (also since 1996), providing palliative care for several senior facilities, including nursing homes, adult homes and senior day care programs. A graduate of New York College of Podiatric Medicine in New York, Dr. Valencia earned her undergraduate degree in Biology from The College of

Primary Care, Family Practice,f Pediatrics, Emergency andM Preventive Medicine, among others.s She’s a wonderful asset to ourM Ellenville patients.� s Carol comes to Middletown MedicalS

Carol Waxman, PA-C joins Middletown Medical MIDDLETOWN — Middletown Medical announced the addition of Certified Physician Assistant Carol Waxman, P.A.-C, to its Ellenville location. “Carol offers more than 35 years of compassionate experience to our patients,� said Lori Marl, Operations Director. “And during the time, she’s worked in most every area, such as

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Carol Waxman has spent a career in the medical field in Sullivan County, and will be now serving patients in Ellenville for Middletown Medical.

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Fellowship, and brings with her years of varied experience. Dr. Saribekyan previously spent several years with Lutheran Medical Center in Brooklyn, where she completed both her Family Medicine Residency and Internship, and was also a House Physician in the Department of OB/GYN. Beginning her medical career in her native Armenia, Dr. Saribekyan graduated from Yerevan State Medical University, then went on to complete a Critical Care and Pain Management Residency, followed by several years as a Critical Care Physician and Anesthesiologist. Well published on a variety of quality of life topics, Dr. Saribekyan is also a member of the American Academy of Hospice and Palliative Medicine.

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Dr. Luna has presented at several national meetings and has authored articles on her specialty, endocrinology.

Dr. Luna joins Middletown Medical MIDDLETOWN — Middletown Medical announced the addition of Dr. Jennie Luna, a Board Certified Physician specializing in Endo-

Middletown Medical welcomes Dr. Seribekyan

MIDDLETOWN — Middletown Medical announced the addition of Dr. Arpine Saribekyan, who will practice Family Medicine and Palliative Care. Dr. Saribekyan is a Board Certified Family Medicine physician also specializing in Palliative Care. She comes to Middletown Medical from the Lehigh Valley Health Network in Allentown, Pa., where she completed a Hospice and Palliative Care

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crinology. Dr. Luna comes to Middletown Medical from the East Carolina University Brody School of Medicine in Greenville, N.C., where she recently completed an Endocrinology Fellowship. Previously, Dr. Luna was an Internal Medicine Resident with Saint Joseph’s Regional Medical Center in Paterson, N.J., and is a graduate of Universidad Iberoamericana in Santo Domingo, D.R., earning a Doctor in Medicine with Magna Cum Laude honors. Board Certified in Internal Medicine, Dr. Luna is also a member of the American Association of Clinical Endocrinologist (AACE), and has presented at several national meetings. Additionally, her article “Postmortem Diagnosis of Diabetic Ketoacidosis Presenting as the “Deadin-Bed Syndrome”“ was the cover selection for a recent issue of Endocrine Practice, while her article “Sagging Brain Masquerading as a Pituitary Adenoma” will appear in an upcoming issue of Journal of Clinical Endocrinology and Metabolism.

Celebrating 65 years!

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Dr. Arpine Saribekyan will practice Family Medicine and Palliative Care fro Middletown Medical.

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from Catskill Adult & Pediatric Medicine in Monticello (which has since become part of the Middletown Medical family), and previously spent several years with Daytop Village in Swan Lake , where she cared for both acute and chronic ill patients. She’s also been with Liberty Pediatrics, Harris Family Health Center, the Sullivan County Public Health Department, and several other private practices, and began her career at Scranton (Pa.) State General Hospital as a Registered Nurse. Carol has been a Sullivan County resident for 30 years, and her husband Dennis is a Physician Assistant in Middletown Medical’s Liberty office. She is a graduate of Scranton State Hospital of Nursing, and earned her certification from the Milton S. Hershey Medical Center Pennsylvania State University in Hershey, Pa.

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OCTOBER 24, 2014

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CRMC named designated Stroke Center

HARRIS — In recognition of its expertise in treating stroke patients, Catskill Regional Medical Center’s Harris Campus has been named a designated Stroke Center by the New York State Department of Health. According to New York State protocol, emergency responders should always transport stroke patients to the nearest designated stroke center when they present symptoms and signs of a stroke. As a designated Stroke Center, Catskill Regional has an expert Stroke Team comprised of highly trained physicians, nurses and technicians that can treat stroke quickly and effectively, using the latest medicines and techniques, to minimize brain damage. Having quick access to these types of services within the first three hours of showing symptoms of a stroke is essential to preventing long-term neurological

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damage. “This designation signifies our ability to rapidly assess our patients and get them the treatment they need, states Chief Medical Officer and Chief Executive Officer, Gerard Galarneau, MD. “Now, people who show signs of a stroke can be cared for right in their own community, receiving quality stroke care and minimizing the affects that a stroke can cause. ” A stroke, or brain attack, occurs when a blood clot blocks a blood vessel or artery, or when a blood vessel breaks, interrupting blood flow to an area of the brain. When a brain attack occurs, it kills brain cells in the immediate area. Doctors call this area of dead cells an infarct. These cells usually die within minutes to a few hours after the stroke starts. “We want to remind area residents to call 911 immediately if they begin

to experience symptoms of a stroke — sudden numbness or weakness of the face, arm or leg, especially on one side of the body; sudden confusion; trouble speaking or understanding; sudden trouble seeing in one or both eyes; sudden trouble walking, dizziness, loss of balance or coordination; and/or sudden, severe headache with no known cause,” said Medical Director of the Stroke Center Dr. Carlos Holden. “In the case of a stroke, every minute counts.” Additionally, Catskill Regional’s Harris and Callicoon Campuses have constant contact with qualified specialists, regardless of the time of day or weather, through the use of “Doctor Polly” or a “Doc on Wheels.” Doctor Polly is state-of-the-art technology used to help diagnose stroke and other illnesses by remote consultation. This technology was fund-

‘In the case of a stroke, every minute counts.’ Dr. Carlos Holden Stroke Center Medical Director | ed with a New York State HEAL 125 grant and was specifically allocated for enhancing services to Catskill Regional’s Emergency Department. Doctor Polly is manufactured by Polycom and is a mobile cart used for bedside consultations between patients and off-site specialists that can also be used to facilitate rapid diagnosis of stroke. For information about Stroke Services at Catskill Regional Medical Center, call 794-3300 or visit www.crmcny.org/strokecenter.

ERH earns ‘Gold Seal’ for mammography ELLENVILLE — Ellenville Regional Hospital has been awarded a three-year term of accreditation in mammography as the result of a recent review by the American College of Radiology (ACR). Mammography is a specific type of imaging test that uses a low-dose x-ray system to examine breasts. A mammography exam, called a mammogram, is used to aid in the early detection and diagnosis of breast diseases in women. The ACR gold seal of accreditation represents the highest level of image quality and patient safety. It is awarded only to facilities meeting ACR Practice Guidelines and Technical Standards after a peerreview evaluation by board-certified physicians and medical physicists who are experts in the field. Image quality, personnel qualifications, adequacy of facility equipment, quality control procedures, 18817

and quality assurance programs are assessed. The findings are reported to the ACR Committee on Accreditation, which subsequently provides the practice with a comprehensive report they can use for continuous practice improvement. The ACR is a national professional organization serving more than 36,000 diagnostic/interventional radiologists, radiation oncologists, nuclear medicine physicians, and medical physicists with programs focusing on the practice of medical imaging and radiation oncology and the delivery of comprehensive health care services. For more information on medical imaging services available at Ellenville Regional Hospital, call 647-6400 ext. 271.

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Middletown Medical acquires physical therapy practice

MIDDLETOWN — Middletown Medical announced the acquisition of George Giovannone Physical Therapy of Middletown, one of the region’s most successful such practices since 1992. Located at 1219 Dolsontown Road in Middletown, Middletown Medical’s physical therapy services will now be based at this location. “George and his practice are this area’s premier provider of physical therapy services, and we couldn’t be more excited to have them now be part of the Middletown Medical family,” said Operations Director Lori Marl. “This will be a phenomenal resource for so many of our patients.” Along with his veteran staff, George has assisted thousands of patients through the years. Beyond the extensive array of equipment,

George’s focus has always been on creating a truly personalized experience, and firmly believes this contributes to the outstanding success rate of his patients. George has been practicing physical therapy since 1981, and worked in New Jersey and Massachusetts at various hospitals and rehabilitation centers before coming to Orange County in 1984. Beginning as a Staff Physical Therapist with Horton Memorial Hospital in Middletown, he then spent several years as Director of Outpatient Physical Therapy Services for Orange County Sport Medicine Services in Goshen. During this time, he also was Proprietor of Home Care Physical Therapy Services. Outside of his practice, George has served as a Clinical Instructor with SUNY Orange since 1985, lecturing

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The firm of George Giovannone, PT, has been acquired by Middletown Medical. “This will be a phenomenal resource for so many of our patients,” said Middletown Medical Operations Manager Lori Marl.

on such topics as “Manual Therapeutic Techniques for the Lumbar Spine” and “Isokinetic Testing and Exercise.” In addition, he’s been an Instructor with The American Back School since 1985, and involved in the assessment of injuries with Little League Baseball since 1991. Through the years, he’s also helped many local athletes return to the playing field. George is a 1981 honors graduate of Northeastern University in Boston, earning a Bachelor of Science in Physical Therapy, and was also a member of the varsity swimming & diving team. He and his wife Kathy (who is also his Office Coordinator) have three children and four grandchildren. To schedule an appointment, call 344-1899.

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ORMC offers cutting edge cataract surgery technology

A roll in the hay! I thought she’d never ask…

focused femtosecond laser pulses to create incisions in the lens capsule, crystalline lens and the cornea. This results in treatments that are tailored to a surgeon’s specifications and deliver a remarkable degree of accuracy. Capsulotomy, lens fragmentation and all corneal incisions are created with the image-guided surgeon control. “The LenSx femtosecond laser procedure is the wave of the future for cataract surgery, We believe our patients will have faster recoveries and more accurate outcomes, resulting in sharper vision and less need for glasses than with the current technology,” said ORMC’s Director of Opthalmological Surgery Dr. Mandes Kates. The surgical benefit of this new technology enables surgeons to deliver a truly premium surgical

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Orange Regional Medical Center Certified Surgical Technician, Dawn Cholewka, and Ophthalmologists Dr. Leslie Green and Dr. Mandes Kates display how they use the LenSx® Laser to perform cataract surgery in the Orange Regional Medical PavilionSurgery and Procedure.

experience for lens replacement. The blade-free laser technology is an advanced alternative to manual cataract surgery and automates

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MIDDLETOWN — Orange Regional’s Outpatient Surgery and Procedure Center, located at the Orange Regional Medical Pavilion, 75 Crystal Run Road, Middletown, now offers the LenSx® Laser from Alcon. This is the first femtosecond laser cleared for use in cataract surgery – thus creating the category of laser refractive cataract surgery. This innovation allows eye surgeons at Orange Regional to perform some of the most challenging steps in cataract surgery with the precision of advanced laser technology. The laser provides the surgeon with well-known benefits of femtosecond technology – micron level precision, accuracy and predictability. It is designed to perform many of the challenges of traditional, manually executed cataract surgery with computer precision. The laser uses

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Outpatient Surgery at the Medical Pavilion

Ellenville Regional doctor earns state health award

The Surgery and Procedure Center at Orange Regional Medical Pavilion is located on the second floor and contains four state-of-the-art operating rooms, two special procedure rooms (for minor procedures that do not require anesthesia), patient pre- and post-operative recovery, and a waiting/reception area. The Surgery and Procedure Center may be accessed via the elevator bank adjacent to the Patient Drop-Off entrance. Hours for Pre-Surgical Testing are Monday–Friday from 7:30 a.m. to 4:30 p.m. Hours for Same Day Surgery are rotating days, from 6:30 a.m.–3 p.m. For more information on the Outpatient Surgery and Procedure Center at the Orange Regional Medical Pavilion, visit http www.ormc.org/ hospital_services/ambulatorysurgerycenter or call 1-888-321-ORMC (6762).

ELLENVILLE — Dr. Walter Sperling was recently awarded the Dr. Gary Ogden Rural Health Practitioner of the Year Award by the New York State Association for Rural Health (NYSARH). The award was presented to Dr. Sperling at the NYSARH Annual Conference in Fayetteville. Dr. Sperling serves as the Medical Director of Ellenville Regional Hospital and as an instructor and mentor to the medical students and residents at The Institute for Family Health since retiring from his clinical practice in the community. This Award was named in honor of Dr. Gary Ogden, who passed away early in January of 2007. Candidates for this award must exhibit the same qualities as witnessed in Dr. Ogden; a passion for life, selfless dedication to their community, organization, and especially, their patients; a

accuracy, predictability, reliability and reproducibility compared to traditional refractive cataract surgery.

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Catskill Veterinary Services “We Make House Calls”

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Joseph A. D’Abbraccio, D.V.M Veterinarian jdabbracciodvm@lcloud.com

Dr. Walter Sperling accepts the Dr. Gary Ogden Rural Health Practitioner of the Year Award from Ellenville Regional Hospital Vice President and Chief Quality Officer Ashima Butler, a NYSARH Board Treasurer.

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OCTOBER 24, 2014

T Stay fit when temperatures drop . . . winter is no time to stop exercise routines

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any animals hibernate throughout the winter. Humans are afforded no such luxury. In fact, living a sedentary lifestyle during the colder months of the year can actually prove detrimental to human health. Exercise is beneficial any time of the year, but it can be especially so during the winter months when colder temperatures force many people inside, where they live more sedentary lifestyles than they do during the rest of the year. Adapting your exercise habits in the winter can help you make it through the colder months in great shape. There is no reason to stop exercising when the temperature drops. The American Heart Association says working out in the cold weather has distinct advantages over working out in hot and humid conditions. When the weather is cold, you may be able to work out longer and harder because the heat won't zap your energy levels, and exercising outdoors in the winter is a great way to get small doses of sunlight that can improve mood and help your body produce more vitamin D.

The Centers for Disease Control and Prevention says exercise can help boost your immune system, which can help you fight colds and flu symptoms. Just a few minutes of exercise each day can help prevent simple viral and bacterial infections as well. Working out in the winter may help you burn more calories than in warmer seasons. Research published in Medicine & Science in Sports & Exercise found that race times are faster in cold weather than in warmer temperatures. Quicker runs or walks can burn more calories. If exercising outdoors is too uncomfortable, break up your routine into smaller, more manageable sessions. Aim for 10 minute sessions several times per day. This quickly can add up to the 30 minutes of daily recommended exercise. Dress in layers so you can feel comfortable, adjusting your clothing as necessary. You don't want to be freezing, but you don't want to wear so many clothes that you start sweating and risk hypothermia. Consider less traditional exercises when winter sets in. These include shoveling snow, sledding, skating, skiing, and snowshoeing.

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EREHWON HEALTH RETREAT Rosa Lee Wholistic Practitioner 417 Rock Hill Drive, Rock Hill, NY 12775 845.794.3972

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OCTOBER 24, 2014

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The relationship between obesity and type 2 diabetes ways and can put more pressure on the body's ability to properly control blood sugar and use insulin. Carbohydrate-rich diets full of simple sugars and refined foods can cause unhealthy spikes in blood-glucose readings. Individuals who overeat and lead sedentary lifestyles may not burn enough energy, and excess calories are then stored as fat, compounding the problem. The Obesity Society says type 2 diabetes is largely preventable, and research shows that lifestyle changes that include small amounts of weight loss (between 5 and 10 percent of body weight) can prevent or delay the onset of type 2 diabetes. In fact, managing weight is the best thing a person can do to reduce their risk for

diabetes. Losing as few as 10 pounds can markedly improve insulin resistance and make it much easier to manage blood sugar levels. In addition to losing weight, eating a healthy diet and exercising regularly can reduce a person's risk of developing diabetes. Lean proteins, leafy green vegetables and complex carbohydrates will not spike blood sugar levels. Exercise helps burn calories and boost metabolism, and may even help the body use insulin more effectively. Type 2 diabetes can be a chronic, debilitating condition that leads to other illnesses. But type 2 diabetes is largely preventable, and losing weight and maintaining a healthy weight are great ways to lower your risk of diabetes.

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Julie Starner, FNP Open Mondays 9am - 8pm, Tuesday - Friday 9am - 5pm Saturday appointments available!! Most Insurance Plans Accepted!!

1522 State Rt. 17B, White Lake, NY 12786 Just 7 Miles from Exit 104!! 845-583-5620 13886

Working Hands Occupational Therapy Jen Wisniewski, OTR/L Certified Hand Therapist

232 Sunrise Avenue, Honesdale, PA • 570-251-8003

15465

We provide highly skilled professional services for the hand, wrist, elbow and shoulder injuries. Knowledge and compassion focused on you. 15934

D

iabetes is a disease that makes it difficult for the body to manage its blood-glucose levels. Diabetes is broken down into two types: type 1 diabetes, which occurs when the pancreas cannot adequately produce enough insulin to regulate blood sugar; and type 2 diabetes, which occurs when the body either resists the effects of insulin or does not produce enough to maintain a normal blood sugar level. The Centers for Disease Control and Prevention reports type 2 diabetes has been occurring with increasing frequency among American children and adolescents over the past 20 years. The Mayo Clinic says 90 percent of diabetes cases are type 2, and 80 percent of these people are overweight. Being overweight or obese is a significant risk factor for type 2 diabetes, but many people do not know why. There is some evidence that fat cells are more resistant to insulin than muscle cells. In addition, being overweight taxes the body in other

HEALTH

SULLIVAN COUNTY DEMOCRAT

OCTOBER 24, 2014

18677

24H

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