Health and Wellness Winter 2015

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H E A L T H&W E L L N E S S Coming out on top during cold and flu season A Special Section of the

Sullivan County Democrat,

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HEALTH

SULLIVAN COUNTY DEMOCRAT

JANUARY 23, 2015

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JANUARY 23, 2015

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Dr. Tashman is a ‘Favorite Doc’

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MIDDLETOWN — my of Pediatrics. He’s Middletown Medical also top-rated as one of announced that Dr. the best doctors in Stuart Tashman, a pediNew York State on atrician and director of www.ratemds.com. its Pediatric Express Also available in the Center in Chester, has Wurtsboro office, Dr. been selected by readTashman has been ers of Hudson Valley serving the needs of Parent magazine as a children in Orange and “Favorite Doc� for 2014. Sullivan counties for Dr. Tashman, FAAP, over a decade. Fluent has previously won this in Spanish, as well, he’s award several times, previously been on including last year. staff at Orange Region“We’ve always felt al Medical Center in CONTRIBUTED PHOTO Middletown, where he incredibly fortunate to have Dr. Tashman on Dr. Stuart Tashman has been served as chairman of our staff, and so do treating children in Orange the Pediatric DepartHudson Valley area par- and Sullivan counties for over ment. ents, as reflected by this a decade. He maintains an Middletown Medical’s Pediatric award,� said Lori Marl, office in Wurtsboro. Express, located in Chester operations director. “It’s (ShopRite Plaza), is the only service of its kind in Orange County, offering walk-in a well-deserved honor for Dr. TashUrgent Care services for children 18 and under, with man.� a member of Middletown Medical’s renowned PediDr. Tashman is Board Certified by atric Team on site until 9 p.m. on weeknights. Pediatric Express provides treatment for illnesses, such the American Board of Pediatrics, as fever, ear infections, strep throat, asthma proband has prestigious Fellowship stalems, and injuries, including those requiring splints tus granted by the American Acadeand sutures. For more information, call 469-2692.

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HEALTH

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JANUARY 23, 2015

Catskill Regional Medical Group

Showing cold and flu season who’s the boss

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he winter months don’t only signify snow and cold temperatures, but also the coming of influenza season. Half of the country has already reported experiencing increased levels of flu activity, and the virus will most likely continue to spread in the coming weeks. Be sure to protect yourself, and your family’s health, by practicing a few cautionary tips!

Germs are not for sharing One of the biggest battles during flu season is fighting against the spread of the virus. The easiest way to prevent yourself and your family from getting sick is to wash your hands. A common way to catch a cold or the flu is by rubbing your nose or eyes, so to protect against infection wash your hands frequently. Use warm water, soap and wash for several minutes for best results. Germs are shared through both

human touch, and by coming into contact with contaminated surfaces. Be mindful to not share cups or silverware, and be persistent with cleaning high-contact areas in the home, such as doorknobs, faucets and telephones with disinfectant products.

Give your immune system a boost! Even when your hands are clean, staying healthy means more than simply avoiding germs. Healthy bodies have an easier time fighting off infection. To stay healthy and boost your immune system: Get plenty of rest Eat a well-balanced diet Exercise regularly Decrease/minimize stress CONTRIBUTED PHOTO

It is not too late to get a flu shot for the season.

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Having a baby is a special event in your life. Having your baby with us is worth the trip.

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Hudson Valley Hospital Center is committed to helping expectant parents have their babies their way. Call 914-734-3258 to schedule a tour or visit hvhc.org

Fight off winter woes with our survival kits

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HEALTH

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Catskill Regional Medical Group

Prriimararryy Caarre

New Extended Hours: Harris

Monday - Thursday 8:00 a.m. - 6:00 p.m. Friday 8:00 a.m. - 4:00 p.m. Saturday hours available. Please call

Callicoon

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

Tuesday 7:30 a.m. - 3:30 p.m. Thursday 10:00 a.m. - 6:00 p.m.

Livingston Manor

A member of the Greater Hudson Valley Health System

Please call for hours.

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Cut back on unhealthy habits, such as smoking and over consuming alcohol

Get the shot, not the flu!

Although children, pregnant women, and the elderly are those considered at an especially high risk for the flu, even healthy children and adults can get very sick and spread the flu to family and friends. “Vaccination is the single best way to protect against influenza,� said Dr. Bruce Ellsweig, medical director for Primary Care at Catskill Regional Medical Group. “As flu viruses are notoriously highly contagious, the Centers for Disease Control and

SULLIVAN COUNTY DEMOCRAT

Prevention (CDC) recommends the flu vaccine as the first and most important step in preventing the spread of the flu each year. Recent medical guidelines recommend that everyone over the age of 6 months receive the vaccine annually. Even though the current vaccine may not prevent this year’s outbreak, it is still strongly recommended.�

Feel better, faster! Sometimes, despite our best efforts, we still find ourselves feeling under the weather. If you do catch the flu, be sure to take care of yourself to ensure you are able to heal faster. To feel better while you are sick: Drink lots of fluids and get plenty of rest

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Use a humidifier – to moisten mucus membranes Add immune-boosting foods to your shopping list this flu season. To learn more about recommended health practices during flu season, please visit the Center for Disease Control’s website at www.cdc.gov/flu. For more information on improving your health this year, visit the Catskill Regional Medical Group website at catskillregionalmedicalgroup.org where you can sign up for the Health Tips Newsletter. You can schedule an appointment with a Primary Care physician, multiple locations and new extended hours provide appointment convenience for the entire family!

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Food to help the fight Make a habit of including as many nutritious, immune supportive foods in your diet as possible. They can go a long way in making you feel your best and will help protect you from whatever infections are circulating in your environment. Some powerful food allies include: garlic, sweet potatoes or yams, blueberries, ginger, kale and rolled oats.

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HEALTH

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Health & Fitness

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Published by

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Serving the weekly community newspapers of New York State since 1853

Publishers of the

(845) 887-5200 Callicoon, NY 12723 January 23, 2015 • Vol. CXXIV, No. 63

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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.

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

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HEALTH

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JANUARY 23, 2015

Courting people away from drug lifestyle MONTICELLO — Last month, the Sullivan County Alternative Drug Court and VetTrak Court graduated their successful participants in the 18-month Court-supervised program. Congressman Chris Gibson (R–19th) along with Drug Court Judge Frank J. LaBuda, District Attorney Jim Farrell and members of the Drug Court Team presented Diplomas of Graduation to graduates.

CONTRIBUTED PHOTO

Participants at the Alternative Drug Court and VetTrak Court were, front row from left: Assistant District Attorney Meagan Galligan with graduates Courtney, Jennifer and Zakary. Middle row: Timothy Havas, Esq, Director of Sullivan Co. Legal Aid; District Attorney James Farrell; Hon. Frank LaBuda; Congressman Chris Gibson; and graduates Bazely and Jennifer. Back row: Wilbert Powell, director, Recovery Center Day Rehab and Drug Court team member

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SULLIVAN COUNTY DEMOCRAT

JANUARY 23, 2015

Congressman Gibson, a United States Army veteran of the Iraq War, along with Judge LaBuda, a veteran of the Desert Storm War, complimented the graduates on their willingness and determination to participate in and successfully complete such a rigorous 18-month program. Congressman Gibson was particularly pleased with the efforts that the State of New York and our courts are taking to help returning veterans adjust to civilian life. It was noted that Nikaiya, a graduate of VetTrak Court had served “under fire” in Iraq, before returning home to Sullivan County. After the graduation ceremonies, Judge LaBuda was presented with a “birthday gift” of a sketch portrait by the participants. Judge LaBuda remarked that in addition to the portrait, the greatest gift that the participants can give to him is to change their lives and return to family and friends as productive members of our community. In the past 10 years the two alternative courts have successfully graduated over 109 participants. The program is all about saving lives and

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CONTRIBUTED PHOTO

Nikaiya, a veteran of the Iraq War, accepts her certificate from Judge LaBuda.

building futures for those in need. The purposes of Drug Court are rehabilitation and putting a stop to substance abuse recidivism. “The Drug Court also saves tax dollars, but the life it saves is priceless,” said Judge LaBuda.

CONTRIBUTED PHOTO

Judge LaBuda is presented a sketch from program participants Anna, left, and Kellie. They have not yet completed the 18-month program.

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old and flu season seems to arrive earlier and earlier each year. As more people begin to sniffle and sneeze and feel lousy, they may look for ways to shorten the time

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they spend battling the flu. Myths about the flu are nearly as plentiful as the myriad home remedies to banish it. Separating flu facts from fiction can help people more effectively deal with their next bout of influenza. The following are a few of the more widely spread myths with regard to the flu.

•

Cold weather causes the flu. Going out in the cold weather with your hair wet is probably not a good idea if you want to keep your immune system healthy. However, the weather is not a direct cause of cold or flu. Rather, contact with the virus through contaminated surfaces or by saliva or mucous transmission is how many people catch the flu.

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Mathew J. Downey, MD Gastroenterologist Board Certified

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•

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The flu shot injects the body with the flu virus. Some people vehemently oppose getting the flu shot because they believe the immunization itself will cause them to get sick. Actually, the virus in the flu shot is inactive and cannot make a person ill. The virus used in the vaccine is grown in chicken eggs and killed off before it would cause illness. Minor reactions, such as muscle soreness, can occur at the injection site. Nasal flu immunizations do contain the live virus, but even with nasal applications, it is very rare to get sick from the immunization.

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SULLIVAN COUNTY DEMOCRAT

JANUARY 23, 2015

• Zinc and vitamin C can kick the flu to the curb. Evidence that taking zinc and high doses of vitamin C will help make the cold or flu go away faster is somewhat mixed. Some indications point to throat lozenges with zinc as helping the body fight the flu. Although some people stand by mega-dosing with vitamin C, the body most likely won't absorb that much of the extra vitamin C for it to have any benefit. Getting vitamin C through fresh fruits and vegetables

can help boost the immune system, however.

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If you received the flu shot last year, then you should be fine this year. Some people believe if they received the flu vaccine last year that they do not need to get vaccinated this year. But experts warn there are hundreds of different strains of flu viruses and vaccines are made from three of the most common types currently circulating. Therefore, a vaccine from last year may not protect a person this year. Even if a person had the flu in December, he or she may catch another strain in January. Vaccinations help individuals be safe rather than sorry.

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Antibiotics banish the flu. Running to the doctor for an antibiotic prescription will not make the flu go away more rapidly. Antibiotics cannot treat viral infections, even though they may be used to treat certain side effects or bacterial infections that result from the flu, such as an ear infection.

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You can starve a fever. Chills, fever and nausea are potential flu symptoms. The notion that you should "feed a cold and starve a fever" has prevailed through the years, but this treatment method really isn't beneficial. Although a person with the flu may not feel like eating much, he or she should try to remain hydrated and eat as healthy as possible. Salt and potassium are important electrolytes, so consuming crackers, bananas, vegetable soup, and fruit juices can help the body fight the illness.

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SULLIVAN COUNTY DEMOCRAT

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Monticello’s Jackson planning a medical career

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MONTICELLO — Shaun Jackson, a junior at Monticello High School, has been nominated to attend the Congress of Future Medical Leaders in Boston on June 24-26, 2015. He is the son of Steven and Reneé Jackson. The Congress is an honors-only program for high school students who want to become physicians or go into medical research fields. Jackson was nominated by Dr. Connie Mariano, the Medical Director of the National Academy of Future Physicians and Medical Scientists based on his academic achievement, leadership potential and determination to serve humanity in the field of medicine. Jackson currently maintains a weighted GPA of 3.7 and is a member

of the National Honor Society, Interact Club and played varsity football (where he started as running back/defensive back), basketball and baseball (starting at both second base and shortstop). During the three-day Congress, Jackson will join students from across the country and hear Nobel Laureates and National Medal of Science Winners talk about leading medical research; be given advice from Ivy League and top medical school deans on what to expect in medical school; witness stories told by patients who are living medical miracles; be inspired by fellow teen medical science prodigies; and learn about cutting-edge advances and the future in medicine and medical technology.

Contributed Photo

Shaun Jackson The Academy offers free services and programs to students who want to be physicians or go into medical science. For more information visit www.FutureDocs.com or call 617307-7425.

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Ronen Bar-El joins Dr. Salzberg

CALLICOON — Ronen Bar-El is a Licensed Nurse Practitioner now working with Dr. Paul Salzberg in his family practice office in Callicoon. Ronen was born in Haifa, Israel and moved to Brooklyn at age 7, where he attended public schools and graduated from Edward R. Murrow High School. A graduate of SUNY Stony Brook with a business degree, Ronen worked at Merrill Lynch for eight years before pursuing his career aspirations in medicine. He graduated from Binghamton University where he earned both his Bachelor's (BSRN) and Master's degrees in Nursing. He has worked in the ER at Mount Sinai Queens Hospital and at Our Lady of Lourdes in Binghamton. He is also an adjunct assistant professor at Long Island University Hospital teaching nursing students.

Write/read about cancer at January 26 workshop

ELI RUIZ | DEMOCRAT

Ronen Bar-El switched from a career in business to follow his medical aspirations.

Among his many hobbies, he enjoys kite-surfing, travel, hiking, brewing beer, cars, running and cooking with friends and family. Dr. Salzberg heartily welcomes Ronen to his medical practice, to Callicoon and to Sullivan County.

MIDDLETOWN — Orange Regional Medical Center is hosting a free reading and writing workshop for anyone whose life has been touched by cancer. The session will be held on Monday, January 26, from 5:30–7:30 p.m. at Orange Regional Medical Center’s Outpatient Conference Room, Room 7, 707 East Main Street, in Middletown. This workshop brings healing through writing and sharing of stories in a safe and supportive environment and will also include reading a wide variety of prose and poetry. No previous writing experience is required and all materials will be supplied. A light meal will also be provided. Registration is required by January 25. For more information and to register, call 1-888-321-ORMC or visit www. ormc.org/CommunityOut reach.

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HEALTH

SULLIVAN COUNTY DEMOCRAT

JANUARY 23, 2015

UHS Primary Care in Roscoe welcomes YO OU! Wh herre and when h you need us! Yoour good dh health lth and d well being starts with UHS Primary +IZM .ZWU _PMV aW] Ă…Z[\ [MM aW]Z LWK\WZ \PZW]OP \ZMI\UMV\ IVL ZMKW^MZa _M KWWZLQVI\M M^MZa [\MX

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H E A LT H C A R E CONTRIBUTED PHOTO

From left: Orange Regional Medical Center Chief Operating Officer, Jonathan Schiller; Director of Medical Education, Dr. John Dermigny, DO; medical student Christianna Anderson; Administrative Director of Medical Education Jenny Vosganian-Clancy; and Dr. Ronald H. Israelski, MD.

ORMC honors physicians and med students

MIDDLETOWN — Orange Regional Medical Center recently celebrated its First Annual Ronald H. Israelski, MD Excellence in Education Awards Ceremony. The award recognizes a distinguished group of physicians, resident physicians and medical students who have demonstrated educational

innovation and excellence. Director of Medical Education, Dr. John Dermigny, DO and Medical Student Christianna Anderson were this year’s honorees. Dr. Ronald Israelski was honored this year for his vision and leadership in Medical Education in Orange County.

As Director of Academic Affairs, Dr. Israelski has been invaluable in the creation of excellence in medical education for the Hudson Valley. He was extremely instrumental in developing a partnership with Touro College of Osteopathic Medicine which led to the purchase of the old Horton Hospital

which was refurbished to create their Middletown Campus. Touro College opened the new medical college in July. With medical students now learning at Orange Regional, it was a natural progression to create residency programs. In July of 2014, Orange Regional began its first residency program in Family Medicine, which is led by Dr. John Dermigny, DO. For more information on Orange Regional Medical Center’s Graduate Medical Education Program, contact Administrative Director of Medical Education, Jenny Vosganian-Clancy, at jclancy@ormc.org or 845-333-1138, or visit www.ormc.org/GraduateMedicalEducation.

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SULLIVAN COUNTY DEMOCRAT

JANUARY 23, 2015

N E W S Learn to manage diabetes HONESDALE, PA — Free Diabetes Self Management Programs (DSMP) consisting of three consecutive classes will be offered in Wayne County within the next few weeks. Full sessions will be held in both Lake Como and Honesdale. Lake Como classes will be held January 28, February 4 and February 11 from 1 pm to 3 pm at the Northern Wayne Family Health Center, 412 Lake Como Road. The Honesdale series runs February 3, 10 and 17 from 5 pm to 7 pm at Wayne Memorial Hospital, 601 Park Street. This comprehensive program instructed by Wayne Memorial’s Certified Diabetes Educator Carol Kneier, MS, RD, LDN, CDE, covers medications, meal planning, glucose monitoring and exercise benefits. Classes, based on the National Standards of the American Diabetes Association, are ideal for individuals newly diagnosed with diabetes, pre-diabetes or pre-existing diabetes in need of tighter control. All classes are free and open to the public. Patients are encouraged to bring a support person. Pre-registration is required by calling 570-253-8149 or emailing kneier@wmh.org.

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Wayne Memorial names employee of the year

A standing ovation greeted Mary Carlile, RN, when her name was announced as Wayne Memorial Hospital’s Employee of the Year 2014 at the hospital’s annual holiday party on December 13, 2014. More than 200 hospital employees, spouses, friends and board members joined in the applause, and when it died down, Carlile humbly thanked everyone for helping her through her 27 years on the staff. Carlile was nominated by several of her coworkers for Employee of the Month, which she was honored with for last November. Nurse Aide Amy Rieman wrote of Mary, “When I come in to work and see she is my nurse, I am thankful because she is not afraid to help out anybody even if it’s not her patient.” Fellow nurse aide Alyssa Williams echoed the compliments, “Her dedication to her job and kindness to her patients is truly exceptional. Mary is absolutely a team player.” Carlile, who “willingly floats to all departCONTRIBUTED PHOTO ments,” worked as a pediatric nurse for many years. She received a big hug at the party at the Pictured, from left: Kristy Tirney, RN; CEO David Hoff; Mary Carlile; and Barbara Gregory, BSN, RN. Scranton Hilton from CEO David Hoff.

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HEALTH

SULLIVAN COUNTY DEMOCRAT

SullivanArc recognizes achievers

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

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Tyrone Finn, brother of the late Derrick Finn, presented the annual Derrick Finn Memorial Award to Gene Palmer, a SullivanArc service recipient.

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PAUL D. SALZBERG, M.D.

JANUARY 23, 2015

he SullivanArc Foundation recently held its 23rd annual Community Recognition Dinner at the Eagle’s Nest in Bloomingburg. One hundred and eighty people attended to see Marc Brandt honored with the Ruth Bennett Humanitarian Award, named after SullivanArc’s founder. Brandt was Executive Director at SullivanArc from 1971 to 1982. He then went on to become NYSARC’s Executive Director for 32 years, and from which he is retiring at the end of this year. When Brandt was at SullivanArc, the entire field of Developmental Disabilities went through historic changes and it was the beginning of removing people from harsh institutions and placing them in homes in the counties where they were born. Brandt’s leadership was instrumental in the tremendous growth seen at both SullivanArc and the statewide organization of NYSARC. Also honored with the President’s

Award was Bob Landau, a Neversink resident, who formed the Sullivan County Faith Inclusion Consortium, educating people with disabilities about the benefits of spiritual growth and community connections. Gene Palmer, who receives support from SullivanArc, received the annual Derrick Finn Memorial Award, named after an inspirational man who received services from SullivanArc, and who passed away several years ago. The award was presented by Tyrone Finn, the late Derrick Finn’s younger brother. The annual NYSID Outstanding Worker Award was awarded to Rosemary Russo, who is employed through SullivanArc’s vocational program. Rosemary, who is deaf, was accompanied by two sign language interpreters for the evening. The event’s theme was Classic Catskills Hotels. Egg creams were served during cocktail hour and the Times Herald Record’s Barry Lewis was a guest speaker, recounting stories and reminiscing about the Catskills hotels of the past. This year’s dinner pulled in its biggest crowd ever and grossed over $34,000 from the event. The net proceeds will help supplement programs at SullivanArc for people with developmental disabilities.

From left: Bob Landau, recipient of SullivanArc’s President’s Award, Ric Schwartz, Executive Director of SullivanArc and Marc Brandt, Executive Director of NYSARC and recipient of SullivanArc’s Ruth Bennett Humanitarian Award.

HEALTH

SULLIVAN COUNTY DEMOCRAT

The following was supplied by Toronto Rehab, one of four components in the University Health Network (UHN) in Toronto, Canada.

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t 11 a.m. for the last four months, Andrew Lypko and Melissa Chin have rolled aside their desk chairs and raised the computer screens and keyboards on their standing workstations. It takes only seconds to transform the station and then it’s back to work as usual – except they will be standing for the next four hours. Andrew, an analyst in UHN’s Corporate Planning, and Melissa, a Senior Corporate Planner, stand each day from 11 a.m. until 3 p.m. “It started when Andrew and I read an article online that equated sitting for long periods of time with smoking,” says Melissa. “We started thinking that it would be good to incorporate standing into our day because we work at computers and it’s very easy to spend the majority of the day sitting.” Andrew has noticed positive differences since reducing the amount of

Taking a stand on too much sitting time he sits during the day, including having more energy. Andrew and Melissa say they have noticed a positive difference since reducing the amount of time they spend sitting. A new study out of Toronto Rehab is solidifying Melissa and Andrew’s decision. Dr. David Alter, Senior Scientist, Toronto Rehab, UHN, is the senior author on a study published in the Annals of Internal Medicine which explores the negative health effects of prolonged sitting. The study found the amount of time a person sits during the day is associated with a higher risk of heart disease, diabetes, cancer, and death, regardless of regular exercise. “More than one half of an average person’s day is spent being seden-

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tary – sitting, watching television, or working at a computer,” said Dr. Alter. “Our study finds that despite the health-enhancing benefits of physical activity, this alone may not be enough to reduce the risk for disease.”

REDUCING SEDENTARY BEHAVIOR The meta-analysis study reviewed studies focused on sedentary behavior. The lead author is Avi Biswas, PhD candidate, Toronto Rehab, UHN and the Institute of Health Policy, Management and Evaluation, University of Toronto, and the senior author is Dr. Alter, who is also Associate Professor of Medicine, University of Toronto. The researchers also found that the negative health effects of prolonged sitting are more obvious among those

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who do little or no exercise than those who do more exercise. Future research will help determine what people can do, in addition to physical activity, to combat the health risks of sedentary time. “Avoiding sedentary time and getting regular exercise are both important for improving your health and survival,” said Dr. Alter. “It is not good enough to exercise for 30 minutes a day and be sedentary for 23 and half hours.” Dr. Alter says people should aim to decrease sedentary time by two to three hours in a 12-hour day.

HOW TO GET STARTED

Dr. Alter has a few steps people can take to reduce sitting time: Monitor sitting times – once we start counting, we’re more likely to change our behavior. Set achievable goals – find opportunities to incorporate greater physical activity – and less time sitting – into your daily life. For example, at work, stand up or move for one to three minutes every half hour. When watching television, stand or exercise during commercials.

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HEALTH

SULLIVAN COUNTY DEMOCRAT

JANUARY 23, 2015

How to improve the air quality in your home F

or those of us who live in a four season locale with potentially harsh winters we must prepare our homes for a season spent largely indoors. Unlike the other seasons of the year, when homeowners can comfortably air out their homes by opening windows, winter offers no such opportunities to let nature improve indoor air quality. Such a reality can make a home uncomfortable as winter drags on. But that discomfort pales in comparison to the health risks presented by poor indoor air quality. Radon, volatile chemicals from fragrances used in conventional cleaners and lead from house dust are just a few of the many sources of indoor air pollution commonly found in homes, and these pollutants can be especially harmful in winter, when many people spend more time indoors. But while you might not be able to change the weather so you can open windows in the wintertime, you can take steps to improve indoor air quality in your home.

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Clean the floors regularly. Dirty floors take their toll on a home's indoor air quality. Dust that's allowed to settle on floors may contain harmful chemicals and allergens that can lead to respiratory problems and additional uncomfortable health conditions. Clean your floors at least once per week during the winter months, ideally with a vacuum that's equipped with a HEPA filter. The HEPA filter is important because it can prevent dust and dirt from being blown back out of the vacuum in the exhaust. After you have vacuumed, mop the floors as well, as even the most effective vacuums leave potentially harmful dust particles behind. A once-over with a mop and some hot water can remove any lingering dust left behind by the vacuum.

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Place a floor mat near every entrance. Winter is a messy season, and it's easy to bring in the great outdoors when you enter your home during cold weather seasons. Dirt that sticks to your shoes may contain

Routinely vacuuming floors can improve indoor air quality in a home by preventing the buildup of dust mites and other harmful allergens.

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Dehumidify your home. Mold and dust mites thrive on moisture, so homeowners concerned about the moisture in their homes during the winter months can purchase a dehumidifier to control allergens and reduce moisture in the air. In addition to using a dehumidifier, you can control humidity in your home by using an exhaust fan when cooking, addressing leaky plumbing fixtures to prevent mold growth and making sure your clothes dryer is vented to the outside of your home. potentially harmful chemicals, so place a floor mat near any door where people routinely enter your home and politely ask that all who enter wipe off and remove their shoes before moving about the house.

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Choose naturally scented laundry products. Everyone wants their freshly cleaned clothes to smell good, but the price you pay when using laundry products that employ synthetic fragrances may be far more steep than you realize. Such synthetic fragrances

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HEALTH

SULLIVAN COUNTY DEMOCRAT

JANUARY 23, 2015

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Avoid plug-in air fresheners. Unless otherwise noted on the packaging, plug-in air fresheners likely contain volatile organic compounds, or VOCs, which contain a variety of chemicals that can negatively impact both short- and long-term health. Instead of plugging in an air freshener to improve a home's interior aroma, slice fresh lemons and leave them out in the kitchen and keep fresh indoor plants in living areas. Studies from NASA have shown that indoor plants naturally purify indoor air by absorbing materials released by synthetic materials.

Some plants can improve indoor air quality Once the temperatures begin to dip and windows start to close, indoor air quality can suffer. Musty air is not only uncomfortable, it's also unhealthy. Volatile organic compounds, or VOCs, can build up inside a home, especially when windows are kept shut for long stretches of time, which is often the case in winter. Indoor plants can counter such stale air, in some cases filtering out VOCs to make the air inside a home more breathable and healthy. The following are a handful of houseplants that can improve indoor air quality. Aloe: Many of us know aloe for its restorative properties with regard to treating burns and cuts, but aloe also improves indoor air quality by helping to clear a home of the byproducts, including formaldehyde, of chemical-based household cleaners. Aloe loves the sun, so if you hope to keep an aloe plant healthy through the winter, be sure to place the plant in a window that gets lots of sun exposure throughout the day. Golden pothos: The golden pothos can survive a winter, but homeowners should be careful not to let the plant dry out, which can happen if they are directly exposed to sunlight. A

golden pothos vine will grow quickly, so a hanging basket is a great way to keep one inside a home, where the plant can help fight formaldehyde. Ficus benjamina: Also known as a weeping fig, the ficus benjamina can be difficult over winter. But that does not mean your ficus benjamina, which can filter pollutants such as benzene, formaldehyde and trichloroethylene from a home, won't make it through the winter. You just need to figure out the right watering and light conditions for the plant. Such conditions can be discussed with a gardening professional. Warneck dracaena: The warneck dracaena, or dracaena deremensis, fights pollutants created by varnishes and oils. The warneck dracaena is a sturdy houseplant that is difficult to kill, but it still thrives in temperatures that are between 70 F and 80 F.

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emit dozens of chemicals into the air, so choose naturally scented detergents, fabric softeners and dryer sheets when possible. Recently chemically dry-cleaned items can emit vapors into your environment which can cause respiratory problems for some. When possible, remove plastic or other coverings from the items and air them outside for an hour to dissipate these vapors.

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HEALTH

SULLIVAN COUNTY DEMOCRAT

JANUARY 23, 2015

If you think it’s an emergency, go to the ER BY MICHAEL GERARDI, MD

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Many insurances accepted. See choicemhc.com for details.

op quiz: if you’re having chest pains, should you go to an urgent care center or the emergency room? The answer should be obvious. Yet according to a new poll, patients suffering from real medical emergencies like this one are not heading to the ER. Seven in 10 emergency physicians treat patients who end up in the ER only after first going to urgent care centers – and learning that their medical problems were too serious to be treated there. As urgent care centers explode in popularity, it’s critical that Americans understand the difference between urgent care and emergency care. Choosing an urgent care center over an ER during a medical emergency could cost a patient his life. There are currently some 9,000 urgent care centers nationwide. These facilities fill an important gap in the health care system for patients who need time-sensitive care but can’t wait to see a primary care physician or don’t have one. Urgent care centers are often open on weekends and evenings, in addition to normal business hours. Most don’t require appointments. They’re

generally able to provide routine treatment for simple health problems, such as ear infections, strep throat, or sprains, on a first-come, first-served basis. And they often have on-site X-ray machines to diagnose simple fractures. Emergency departments, on the other hand, are always open and ready for whatever comes through the door. The sickest patients in an ER generally go to the head of the line. Some emergency conditions are more obvious than others. Most people would not hesitate to go to the ER for a gunshot wound, for instance. But something like slurred speech also requires a trip to the emergency room. It’s a symptom of stroke, which can kill 2 million brain cells a minute. Delaying treatment by even minutes can be the difference between a full recovery and death. Patients may not think that their condition screams “emergency.” But even fairly benign symptoms can be warning signs of a life-threatening condition. Consider abdominal pain. Perhaps it’s just an intestinal virus. But it could be a ruptured bowel, which requires emergency, life-saving surgery. It’s an emergency physician’s job – not a patient’s – to know the difference. And these emergencies can only be managed at one place – the emergency department. Patients can’t be expected to diagnose themselves. Those with the symptoms of a medical emergency should go to the emergency department. Delaying critical care by going to the wrong medical facility might make the difference between life and death. Michael Gerardi, MD, is president of the American College of Emergency Physicians.

HEALTH

SULLIVAN COUNTY DEMOCRAT

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

Is it an Emergency?

PHILIP G. LIU, M.D.

Warning Signs and Symptoms

AMERICAN BOARD OF OTOLARYNGOLOGY HEAD & NECK SURGERY

10207

• Any significant change from normal behavior • Confusion or delirium • Decreasing responsiveness or alertness • Excessive sleepiness • Irritability • Seizure • Strange or withdrawn behavior • Severe headache or vomiting, especially following a head injury • Uncontrolled bleeding • Inability to stand up or unsteady walking • Unconsciousness • Abnormal or difficult breathing • Skin or lips that look blue or purple (gray for darker-skinned children) • Feeding or eating difficulties • Increasing or severe, persistent pain • Fever accompanied by change in behavior (especially with a severe, sudden headache accompanied by mental changes, neck/back stiffness, or rashes) •Severe or persistent vomiting or diarrhea These symptoms are not intended to represent every kind of childhood medical emergency. You also can learn to recognize childhood emergency warning signs – and act on them – by taking a first aid class and learning CPR (cardiopulmonary resuscitation). Your local hospital, American Red Cross or American Heart Association may conduct courses in your area or can guide you to organizations that do. — American College of Emergency Physicians

650-2 Park St., Honesdale, PA 18431

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

Dr. Joseph Lazaro, PT

DOCTORS 21686

Because their bodies are not finished growing and developing, children's medical problems often differ from those of adults. In addition, they may display different signs and symptoms from adults when they become injured or sick, and their treatments may differ too. An infant or child may not be able to communicate what's wrong, which means the parent must try to interpret the symptom or medical problem. Seek immediate medical help if your child exhibits any of the following warning signs of a medical emergency:

570-491-5255

www.tricountyent.org

You also can learn to recognize - and act on – emergency warning signs by taking a first aid class and learning CPR (cardiopulmonary resuscitation). Your local hospital, American Red Cross or American Heart Association may conduct first aid courses in your area or can guide you to organizations that do so.

Childhood Emergencies

570-253-0202

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Dr. Jessica Lazaro, PT

PHYSICAL THERAPY

Rehabilitation for: Sports • Orthopedic • Post Surgical • Vestibular Functional Capacity Evaluator

Medicare, NYSHIP, Workers Comp., No Fault & Most Insurances Accepted

111 Sullivan Ave., Ferndale, NY 845-292-0890 www.excelphysicaltherapy.org

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• Difficulty breathing, shortness of breath • Chest or upper abdominal pain or pressure lasting two minutes or more • Fainting, sudden dizziness, weakness • Changes in vision • Difficulty speaking • Confusion or changes in mental status, unusual behavior, difficulty waking • Any sudden or severe pain • Uncontrolled bleeding • Severe or persistent vomiting or diarrhea • Coughing or vomiting blood • Suicidal or homicidal feelings • Unusual abdominal pain

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Dr. Robert J. Haray, D.D.S. Family Dentistry at the Damascus Dental Center

1731 Cochecton Tpke (RT 371), Damascus, Pa 18415

570-224-6700 New patients are always welcome

25399

JANUARY 23, 2015

HEALTH

SULLIVAN COUNTY DEMOCRAT

JANUARY 23, 2015

18677

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