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Healthy Hudson Valley AUGUST 10, 2017 • ULSTER PUBLISHING • HUDSONVALLEYONE.COM

Healthy Communities

This is how we feel better

Real stories from local towns and cities, plus ways to incorporate our pets, live cleaner, and figure out what's best for our lives

10, 2017 2 | August Healthy Communities

Ulster Publishing Co.

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What makes for a healthy community? common illne illnesses, we’ve looked in this issue to actual lives in Hudson Valley communities. What feels hea healthiest around us? Least healthy? How does one community’s uniqueness d seep into another’s? These questions come to the forefront T when wh we move, as our family soon will. From our Healthy Communities stories, we begin to shape a fresh definition of what community health adds up to, as well as what healthy communities here in the Hudson Valley look like. Yes, we’ll continue to pay attention to national and international discussions about healthcare policies. A number of items about some key health developments have caught our eye in recent months. Beyond stepping back from rowdy national discussions about what an American health policy should look like, however, we need to see how what we h already have here is unique, and somealr thing thin we might share with others. A surprisingly high proportion of what s we wan want and need is here when we look for it. It’s wha what keeps us in our homes, even when we move community to community within the com larger Hudso Hudson Valley.

Paul Smart believes that the key is a willingness to stay subjective

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e’re moving our fam-ily in the coming months. Our plans to leave a home we’ve inhabited for a decade (and a town we’ve been in for nearly a quartercentury) won’t be a massive disruption. We’re moving northward a distance of only 30-some miles. Many of us travel as many miles each working day. Most of us have made such geographic shifts, and much longer ones. I understand the range of emotions our impending move has drawn to thee surface. Beyond all demographic statistics, s, shifts in community are a subjectively-dedefined phenomenon. Moving upends our unspoken beliefs about the subtle elementss that go toward making our lives whole and healthy. ealthy. The process of shifting homes, from bids, ids, closings, mortgages and “sales staging� to the he actual loading of boxes and furniture into a moving van and resettling all we own (including g pets), is stressful. It’s been playing havoc with our medid cal conditions, sleep patterns, eating and exercise habits. My wife, son and I all go to the same family doctor, whose office is about a half-hour’s drive away. We used to be closer before they moved, and later we moved, too. We may still drive to her from our next home; we’ll play that one by ear. Other specialists will be further or nearer; we’ll see what sticks. Pharmacies will shift. We’ll find new walking trails and health stores. It’s nice to know our insurers, one employerpicked and the other two navigator-directed, don’t really care where we live. Our extended family all live some distance from us. We’ve been spending more and more of our time with aging parents, or dealing with the aftermath of their deaths. There have been strokes, open-heart surgeries, differing levels of blindness

Sometimes a community has to do with a special place like this swimming hole, captured in paint here by Kim Do. and accompanying anxieties and depression, and wounding arguments triggered by politics and differing parenting styles. Most people become more curmudgeonly as they grow older. We’ve faced high travel expenses and the frustrations of trying from afar to help the ones we love, who raised us and have helped shepherd our lives. Unsurprisingly, I’ve been thinking anew about what community means. It may be time to step away from the policy- and economics-oriented discourse about healthcare that’s consumed us in recent months. Instead of focusing on hospital conglomerates swallowing physician practices or listing the newest theories about how we might avoid certain diseases or

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10, 2017 4 | August Healthy Communities

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WIKICOMMONS PHOTO OF U.S. 9 NORTH OF RED HOOK

Hudson Valley life involves much driving. Even in a scenic landscape, the result is lots of unhealthy sitting.

Wellness, by the people, for the people Jennifer Brizzi believes that small-town healthiness is a communal affair

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ost of us believe that good healthcare should be about the well-being of the community, the individual members and the world at large, not for fattening the pockets of the few rich and powerful. At a time when national priorities seem to be shifting, dealing with frightening and threatening political turmoil as a community, in solidarity with like-minded people, sharing our feelings of stress and fear with others, diminishes the threat. Maintaining our health and well-being should be the work of our community, not just ourselves as individuals. On a smaller scale, in my own small-town rural area, the help of those in my social circle or locals whom I may not know other than online optimiz-

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es my family’s health in many ways. For example, through moves and being disgruntled with a practitioner’s apparent wisdom or lack thereof, or his or her rude staff, or sometimes with an involuntary change in insurance coverage not accepted by a medical office, I have sought new healthcare practitioners on a regular basis. It seems I’m often looking for a primary-care physician for myself and my children, for specialists, for mental, dental, feet and eyes, as well as various alternative healthcare practitioners. I of course prefer those who are experts, who inspire confidence, who are caring and treat us like human beings, and who offer healthcare advice in a supportive and non-judgmental way. It helps if there is a sense of humor, but this is not essential. Stemming perhaps from unsavory events with my childhood pediatrician, for me most doctor visits are rather anxiety-producing. A practitioner with a pleasant “bedside manner” goes a long way towards inspiring me to go as often as I should. And a respectful and pleasant staff doesn’t hurt, either. How to find these folks? Well, in the olden days, you could just ask around, ask your friends, family or the postal clerk for recommendations. But finding people in your social circles who had the exact same healthcare needs as you could be tricky. But then along came the Internet, with its reviews of absolutely everything, from sex toys to gas stations, and a way to chat anonymously with the people who live in your geographical area. You can check if that doctor conveniently located in the strip mall where you work has had good reviews, if he or she keeps patients waiting for hours, has a surly staff and some oddball ideas about self-care.

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he best resource I’ve found is an email listserv-turned-Facebook page called Red Hook Moms (there are other such groups in many communities). It’s grown to include dads and non-parents as well, and now covers a much bigger area than Red Hook. It’s a great way to find a healthcare practitioner (as well as a plumber or used car). You can either do a search, because someone has probably already asked the same question, or if not, you can pose your own. I found

Healthy Communities August 2017 An Ulster Publishing publication Editorial WRITERS: Jennifer Brizzi, Lisa Childers, Carrie Jones-Ross, Paul Smart, Violet Snow, Terence P. Ward, Melanie Zerah EDITOR: Paul Smart COVER: images by Ulster Publishing photographers Alan Carey, Phyllis McCabe, Dion Ogust and Lauren Thomas. LAYOUT BY Joe Morgan Ulster Publishing PUBLISHER:

Geddy Sveikauskas Genia Wickwire DISPLAY ADS: Lynn Coraza, Pam Courselle, Pamela Geskie, Elizabeth Jackson, Ralph Longendyke, Sue Rogers, Linda Saccoman PRODUCTION MANAGER: Joe Morgan PRODUCTION: Diane Congello-Brandes, Josh Gilligan, Rick Holland CLASSIFIED ADS: Amy Murphy, Tobi Watson CIRCULATION: Dominic Labate ADVERTISING DIRECTOR:

Healthy Communities is one of four Healthy Hudson Valley supplements Ulster Publishing puts out each year. It is distributed in the company’s four weekly newspapers and separately at select locations, reaching an estimated readership of over 50,000. Its website is www.hudsonvalleyone. com. For more info on upcoming special sections, including how to place an ad, call 845-334-8200, fax 845-334-8202 or email: info@ulsterpublishing.com.

August 10, 2017 Healthy Communities

Ulster Publishing Co. my wonderful acupuncturist that way, one who is conveniently located and charged me a sliding scale when I was without insurance. I found my current primary care the same way, a guy who’s great for all the reasons I mentioned before that I look for in a doc. When I first became a mom, a fellow adoptive parent told me (verbally, the old-fashioned way) about a local pediatrician who had lots of experience with adopted children. He was fantastic, down-to-earth, great with my babies and very knowledgeable. He even reviewed a video for me of a potential adoptive child, gratis. Though unfortunately he relocated to another office, his colleagues were great, too. But then a very unpleasant staff member sent us looking elsewhere. Thanks to recommendations on Red Hook Moms, I found another practice with lovely staff and doctors. We went there happily for several years until our insurance changed to one they didn’t take. We had to switch again to a practice that recently and ironically merged with the original practice I took my first baby to. But the rude staff member was gone, thankfully.

I

’ve been known to change hairdressers because the stylist said my hair was dry, or change dentists because the hygienist was too rough on my tender mouth. But choosing the doctors who see my children is much, much more important. Thanks to the community resource of online parents’ networks, I’ve been able to find good ones. The community is a rich motherlode of goodness for maintaining health in countless other ways as well, from yoga class recs on Red Hook Moms to meetup groups for hiking or swing dancing. When I was a kid, my elementary school in Vermont threw regular and super-popular square and contra dances, a very social and vigorous exercise. For some reason, interest waned over the years, and the events were discontinued. I was happy to hear they were recently reinstituted, to great success. They say that what you do today affects your health far in the future, so perhaps my current health and vigor is due not to eating from my father’s organic vegetable garden as a child or my miles of bike riding but to the physical and social contact of all those square dances. Doing things to promote your health is maximized a hundredfold when you do them with other people. There are expectations to help motivate you. It’s not just because when you schedule and pay for a class or make a date with someone.

I

t’s common knowledge that the most important key to health and longevity is our social life. Being isolated is worse for you than cigarettes or obesity, report several studies. As much

as I may meditate or go on solo hikes, doing things with friends or family is so much better. On the down side, it can be hard to find someone to take the time to hike with you, or to spare a few hours to accompany you to a much-needed diagnostic medical procedure. If you are introverted, have low self-esteem and/or depression, you hesitate to inflict yourself on others. You face a constant struggle to keep from isolating yourself, and sometimes it’s easier to just eat those healthy meals alone, and dance to an instructional DVD when your downstairs neighbor isn’t home to hear the thudding on his ceiling. Sometimes as we grow older our social circle diminishes. It becomes harder to make new friends. Those ever-present other parents, some of whom you got close to, some who remained acquaintances, may have moved or moved on. You just don’t run into them any more. Sorry, but Facebook doesn’t count. Later on, as we age, our mobility can be affected. We may not be able to get out and about like we used to. “In humans, deficits in social relationships such as social isolation or low social support,” reports a 2016 study from the National Institutes of Health, “can similarly lead to chronic activation of immune, neuroendocrine, and metabolic systems that lie in the pathways, leading to cardiovascular, neoplastic,

and other common aging-related diseases.” No matter what else you do for yourself, the community is key. Any social activity, whether or not it involves exercise, is beneficial at warding off ills. Extensive studies have shown significantly lower rates of major health problems in those who are actively social and invested in community life. If you are lucky you have good friends who make a point to get together on a regular basis and lift you out of yourself, or insist on taking a long walk with you, who bring you groceries when you’re laid up for a few weeks with a debilitating illness, or drive you to doctor’s appointments when you can’t drive yourself. These things (which I count myself very fortunate to have experienced) do much for improving your health and the quality of your life.

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Better than Youngstown pends on how you want to live your life.” Our community is small and rural, meaning those of us with more serious illnesses are referred to specialist health practitioners. Those requiring specialized surgery or specialized treatment must go to Albany, Poughkeepsie or New York City. HealthAlliance, with two hospital facilities in Kingston and a smaller one in Margaretville, can boast of considerable expertise in some specialties, and its recent affiliation with Westchester Medical Center will provide patients with access to several centers of excellence.

Lisa Childers enjoys growing old in Woodstock

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y community keeps me healthy as I age. It’s my home. Healthcare in Woodstock offers diverse options and alternatives as healthy ways to live. We’ve got massage therapists, acupuncture practitioners, chiropractics, nutritionists, yoga teachers and studios, sound therapists, energy healers and holistic medicine aplenty. Woodstockers are forealth Quest includes four tunate to live surrounded by beauty, clean hospitals on the eastern side of water and air. Many of our local schools the Hudson River and a network have gardens for teaching children. Our of medical practices. It includes among restaurants tout healthy local organic proother facilities Vassar Brothers Hospital duce. We aren’t into fast-food restaurants. in Poughkeepsie and Northern Dutchess Many say these assets are among the reaHospital in Rhinebeck, where many sons people enjoy visiting here. They’re part in the community go to have babies. of what gives Woodstock its uniqueness. It also owns various specialty and priBut are we a healthy community? It demary-care practices, including Maverick pends on how you look at it. Health, which has locations in Zena and You have to separate wellness from Boiceville. This medical facility offers a healthcare. People flock to this little niche wide span of services for adults and chilin the mountains for wellness, where takdren, including students who need coming care of ourselves in order to live long, pleted school health forms completed hopefully pain- and stress-free lives is part and immunizations. East of Woodstock of who we are. Woodstock is not the kind are several Saugerties medical practices, of community where we just go to a doctor, including the Saugerties Wellness Centtake a pill, believe everything will all get beter, a one-stop shop of traditional and hoter, and then park ourselves on the couch in listic care. front of a television. We go out and walk, exSeveral of our local smaller doctor ercise, think, talk, make art and music, and groups — including pediatricians, gyneuse alternative wellness practices. cologists, family and internal medicine DION OGUST The healthcare part involves visits to the — have become affiliated with CareMount doctor, maybe just for an annual physical. Sometimes a local physician’s smile can come to characterize Medical Associates in Lake Katrine, As elsewhere, who we see is mostly dictated community health, as it did with Dr. Randy Rissman over a long across from Adams Market. Saugerties by our health insurance these days. Wood- career that ended with his retirement last year. and Kingston also have walk-in clinics for stock has fine general practitioners who immediate care that provide alternatives also offer alternative healthcare. General prackind of insurance we have does business with our to a hospital emergency room. Another entity, titioners are scattered throughout the area. One local doctors. Those of us who have no health inUrgentcare of Greene County, is working toward small medical practice remains in the center of surance may be denied services. Or we face steep opening an office in Woodstock, right next to CVS town. charges accompanied by a lecture on why we need Pharmacy on Mill Hill Road. Woodstock had, for a while, its own patron insurance. Again as elsewhere, a person without Although care at some of our top-notch altersaint of the uninsured, Dr. Wayne Longmore and insurance will pay more out-of-pocket than what native healers can get quite pricey, taking care of his Woodstock Walk-In Doctor’s Clinic. He had to an insurance company negotiates for. your body and mind for a healthy future is not close several years ago after his license was susDebb Reuss, a licensed medical massage theraonly for the wealthy. Kingston’s popular O+ fespended, and he was later arrested for handing out pist located in Kingston, finds local folks want tival each October started off catering to artists too many prescriptions involving controlled subalternatives to just taking a pill. She appreciates needing healthcare on a barter basis. Their big stances. The building where his clinic was is now the way Woodstock is dense with options for howeekend is now open to all, with exchanges or a pub. listic healing and alternative care. “It’s everywhere low-cost deals available. Who we go to often depends on whether the you turn,” said Reuss. “We have choices, and it deFamily of Woodstock hosts Healthcare is a Hu-

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INTERNAL MEDICINE AND GERIATRIC Debra Karnasiewicz, MD, MPH INTERNAL MEDICINE SPECIALIZING Craig Moss, MD IN THE PRIMARY CARE OF WOMEN INTERNAL MEDICINE AND GERIATRIC DO Elizabeth Minei-Costley, F AMILY M EDICINE Debra Karnasiewicz, MD, MPH MichaelSSheran, MD INTERNAL MEDICINE PECIALIZING INTERNAL MEDICINE AND GERIATRIC IN THE PRIMARY CARE OF WOMEN Debra Karnasiewicz, Paul Bushkuhl, MD MD, MPH Elizabeth Minei-Costley, DO INTERNAL MEDICINE SPECIALIZING IN THE PRIMARY CARE OF WOMEN FAMILY MEDICINE Beth Sauberman, MSN, ANP, BC Elizabeth Minei-Costley, DO INTERNAL MMD EDICINE Michael Sheran, FAMILY MEDICINE INTERNAL MEDICINE Michael Sheran, MD Paul Bushkuhl, INTERNALMD MEDICINE INTERNAL MEDICINE Paul Bushkuhl, MD INTERNAL MEDICINE Beth Sauberman, MSN, ANP, BC Beth Sauberman, MSN, ANP, BC INTERNAL MEDICINE INTERNAL MEDICINE

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Charles Kutler, MD INTERNAL MEDICINE INFECTIOUS DISEASE AND WOMEN’S HEALTH Jeffery Arliss, MD Arthur DiNapoli, MD, PhD HAND SURGREY M. INTERNAL Danielle Forbear, RPA-C Charles Kutler, MD MEDICINE Noah Reiss, MD INTERNAL M EDICINE INFECTIOUS DISEASE Beth Saubermann, MSN,ANP, BC ALLERGY /IMMUNOLOGY WOMENM’SEDICINE HEALTH ANDINTERNAL AND GERIATRICS Jeffery Arliss, MD Barbara Chatr-Aryamontri, John DiNapoli, Froude, MD MD, PhD MD, FCCP. Arthur HAND SURGREY INTERNAL IPNFECTIOUS ISEASE NFECTIOUS DEDICINE ISEASE ULMONARYDAND SLEEP MEDICINE INTERNAL MMEDICINE AND WOMEN’S HEALTH Noah Reiss, Jeffery MD MD Tanya Lopez, MS RD CDN Steven Arliss, Ritter, MD Beth Saubermann, MSN,ANP, BC A LLERGY /I Arthur DiNapoli, MD, PhD H AND S URGREY DIETITIAN/NUTRITIONIST SLEEP MEDICINE MMUNOLOGY INTERNALMMEDICINE EDICINE AND GERIATRICS INTERNAL Noah Reiss,MD MDChatr-Aryamontri, Marc A. Tack, DO Zeev Barbara Weitz, Beth Saubermann, /IMMUNOLOGY INFECTIOUS DISEASE HEUMATOLOGY John Froude, MD MSN,ANP, BC ARLLERGY MD, FCCP. INTERNAL MEDICINE AND GERIATRICS Barbara Chatr-Aryamontri, Andrew D Yanofsky, INFECTIOUS ISEASE MD PULMONARY AND SLEEP MEDICINE Froude, MD MD, FCCP. IJohn NFECTIOUS DISEASE Tanya Lopez, MS RD CDN Steven Ritter, MD INFECTIOUS DISEASE PULMONARY AND S LEEP MEDICINE DIETITIAN UTRITIONIST SLEEP EDICINE Tanya/N Lopez, MS RD CDN Steven Ritter,MMD DIETITIAN/NUTRITIONIST SLEEP MEDICINE Marc A. Tack, DO Zeev Weitz, MD Marc A. Tack, DO Zeev RWeitz, MD INFECTIOUS DISEASE HEUMATOLOGY INFECTIOUS DISEASE RHEUMATOLOGY Andrew MD AndrewYanofsky, Yanofsky, MD INFECTIOUS INFECTIOUSDDISEASE ISEASE

O U R B O A R D C E RT I F I E D P H Y S I C I A N S

10, 2017 8 | August Healthy Communities

Ulster Publishing Co.

Dr. Jonathan Sumber,

Where do Hudson Valley families turn when touched by autism?

Podiatrist We make your feet feel young again!

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ULSTER GASTROENTEROLOGY Dr. El-Shaer was just voted one of the top doctors in NY!!!

Dr. Reham El-Shaer is happy to announce she is once again D in the Kingston area for all your Gastroenterology needs at 301 Hurley Ave., Kingston, NY 12401. Dr. El-Shaer is a highly respected Board Certified Gatsroenterologist for the D prevention, diagnosis, treatment and management of digestive diseases. We W offer the cutting edge and coordinated top quality care of patient needs.

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Small towns like Woodstock concentrate services into a w comfort. man Right, a free holistic health clinic held in Kingston, Woodstock and Phoenicia (the most recent was on August 5). On offer are nutritional counseling, reiki, energy healing, homeopathy, aromatherapy, acupuncture, massage, chiropractics, and energy psychology. Kingston holds its clinic every second Thursday, and Phoenicia’s next such clinic is on September 6. Woodstock’s senior center on Rock City Road offers many wellness activities at little or no cost. A person who joins a gym, spa or fitness center can get some financial relief through a little-known Affordable Care Act (Obamacare) mandate that will reimburse some of your cost. Since the retention of this perk faces political opposition, so use it while it lasts. You just need to call your insurance company and ask for the paperwork.

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August 10, 2017 Healthy Communities

Ulster Publishing Co.

| 9

Hope

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Foster As a KidsPeace foster father, you can make all the difference in the life of a child.

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fostercare.com 845-331-1815 200 Aaron Court Kingston, NY 12401

For Information & Appointment Call:

845-430-4239

© 2017 KidsPeace. We respect our clients’ privacy. The model(s) represented in this publication is (are) for illustrative purposes only and in no way represent or endorse KidsPeace.

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View of the cottages overlooking the Shawangunk Ridge.

If you visited Woodland Pond and decided to wait... Your wait has already turned into a wait list.

We don’t know if it’s the breathtaking views, the engaging social programs, the delicious meals, the valuable life care benefits, or the interesting residents, but only a handful of these charming residences are currently available... And, there’s a growing wait list! For a fortunate few, we still do have a couple two bedroom apartments. These are perfect for couples or singles who desire a study or want the perfect bedroom for guests and grandchildren. Residents tell us that they’re sorry they waited so long to enjoy life at this one-of-a-kind community. Guarantee your place.

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10, 2017 10 | August Healthy Communities

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s my town of Woodstock healthier than most other communities? I would like to think so. I’m from Youngstown, Ohio, and the difference is profound. Doctors and fast-food palaces are everywhere there, with very few places to walk or assemble with other people. It’s a place where I regret to say that diversity is frowned upon and talking to a stranger is met with suspicion. I was once walking my dog by a local stream here in Woodstock, near my home, and met a woman visiting from New Jersey. Her dog was so happy to play in the water. She asked me if the water was safe for her dog to swim in. At first I didn’t know what she was asking, and came to realize that she was worried about the level of pollution. As we were talking, others joined us and we walked together in the beautiful sunshine alongside the sparkling water. This happened several years ago. I remember it because I grew up in an area where the river caught fire. I’m on the tail end of the baby-boom generation. My aches and pains are becoming more frequent. I am convinced that my life in Woodstock offers the blend of alternative and medical therapies that’s right for me. I enjoy our social outlets, our clean air and water, and the many safe places I can walk, run and enjoy. My community keeps me healthy as I age. It’s my home.

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August 10, 2017 Healthy Communities

Ulster Publishing Co.

| 11

I want to live in Kingston Carrie Jones-Ross finds her healthcare community

I

am a fan of integrative medicine. My health tribulations have lead me to abide by the ancient Taoist philosophy of the Wu Wei — essentially, following the path of least resistance, breaking around the rocks and barriers to simply flow over and around them. I get that I am not going to cure anything with ginger tea, but you better believe I am going to drink it. Though I typically visit Poughkeepsie doctors and hospitals, I find no established alternatehealth care corps there like what seems to exist in Kingston. Kingston has a solid vein of wraparound healthcare specialists and services that I often tap into, many of whom have relationships with one another. One can walk down a street in uptown or downtown Kingston, and see a line of chiropractors, acupuncturists, dance studios, massage therapists, nutritionists, yoga studios, energy workers, vegetarian and organic cafes with a selection of kombucha on tap, cross-training studios, bicycle shops, psychotherapists, social workers and more. These are the practices I employ to fight the good fight. Kingston has several lively bicycle communities — both street and mountain biking — and even bike shards on its streets. There are spirited races and running clubs. Kingston has a bumper crop of chef-owned restaurants that offer healthy cuisine. Cornell Cooperative has a foothold in the area food pantries and soup kitchens to make sure that those in need have access to healthier offerings. Mac Fitness has really fun and challenging classes for every physical level, and a smoothie bar. Breast Cancer Options offers discounted supplements that would otherwise be entirely out of reach because of cost. There are nearby organic farms, such as Seed Song, offering reasonably priced farm shares. Mother’s Earth’s Kingstonarea presence, a quick jaunt into Ulster, has an expansive selection, knowledgeable staff, a new eat-in deli with a full menu and a pizza oven. Kingston uniquely devotes far more diligence and attention to health and recreation than many other small cities like it. The mayor is a runner. There is even a midtown shop called “Happy Spot” open to the public, where people may visit and sit in bright yellow painted rocking chairs and talk about what makes them happy.

I

think it is safe to say that I have suffered from poor health my entire life, starting as a fullterm but underweight baby who went straight from the birthing canal to the hospital incubator. My past 15 years have included a particularly difficult struggle with an impaired immune system. I have had a slew of subsequent decimating bacterial diseases, and worse, an ugly, progressive breakdown of my biliary system at the juncture of my stomach, pancreas and liver, creating havoc in all three. Being a patient is actually a lifestyle. I face ceaseless doctor appointments, surprise hospital stays, fights with insurance companies and emergency surgeries. I pull over the car to puke on the side of the road. I wait in pharmacy lines and doctors’ offices, endure humiliating and dehumanizing medical tests, and struggle with medications with side effects that feel worse than what is being treated. I have experienced frequent radiation exposure, IV ports, and thermometers on the nightstand. I deal with condescending doctors with conflicting information and opinions that lead to more doctor appointments and tests , blocked surgical drains, and home-health nurse visits. I could go on and on. My strongest defense has been a strong offense. Fight, fight, fight.

PHOTOS BY PHYLLIS McCABE

Above, one of the healthier attributes of the region has been its growing number of marathons and other road races; top, local gyms can become meeting places as well as centers for keeping one’s health in gear. IV, oral antibiotics and a surgical accident I suffered. She advised me to stay on industrial antibiotics for the rest of my life. My gastroenterologist, on the other hand, does not believe leaky gut even exists and opposes medical marijuana. Kingston has a medical marijuana dispensary for the patients of doctors who don’t oppose it. Don’t get me wrong. Neither the medical or althealth lifestyle is cheap. I have a short supply of cash. The costs of my co-pays, high deductibles, medications, supplements and alternate healthcare have ensured I will never own my own home, never take vacations, never pay for my kids’ college tuition, and far, far worse that I am unwilling to admit in print. I missed six months of work from one surgery alone. For me, job-seeking really means a search for health benefits. Dating involves disclosing a life-threatening health condition, on top of a new underlying digestive condition with bizarre dietary requirements. How would you like to go out to dinner with me? Kinda sucks. “Waiter, are the vegetables well-cooked?” Guys don’t find the prospect of taking care of someone with profound health issues to be very sexy. And I sound like a nutcase. All the more reason that for me finding a com-

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ome of my doctors are on board with my non-mainstream approaches. Others are not. My immunologist advised me that she believes I have “leaky gut syndrome” from years of

christian@trtbicycles.com 1066 RT 32/ PO BOX 228 ROSENDALE NY 12472

munity is critical. I can eat out in Kingston with little to no problem. I don’t live in Kingston yet, but I plan to move there the hour that my youngest son graduates from high school. I have a deep love for and connection with the community for a plethora of reasons. Won’t you be my neighbor?

relax under pressure

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10, 2017 12 | August Healthy Communities

Ulster Publishing Co.

PHOTO COURTESY SUNY NEW PALTZ

Health insurance for young adults Melanie Zerah found that students benefit from various safeguards

T

rumped by thoughts of school work, dorm life and a lack of curfew as they are, matters of health insurance may not be of the utmost importance to college freshmen. Thanks to the 2010 Affordable Healthcare Act (ACA), young adults under the age of 26 can remain on their parents’ health care plan even if they are married or have other options such

as student health care or employee health care. Most colleges require that all full-time students must have health insurance. Although president Donald Trump’s proposed ACA replacement, American Healthcare Act (AHA), allows for people under the age of 26 to stay on their parents’ plan, the Republican Party’s turbulent execution of the plan has caused many young adults to pay closer attention to the politics of health in America. Recently the GOP’s seven-year crusade to destroy the ACA shattered through the one-vote defeat of the “skinny repeal” of the ACA. The Washington Post remarked that senator John McCain’s opposition had caused the “most dramatic night in the United States Senate’s recent history.”

Hudson Valley Your best friend wants you to stay at home just as much as you do. Living longer may increase the likelihood of needing some kind of long term care along the way - 8 out of 10 people say they’d prefer to receive that care in the comfort of their home. To give you the most choice in where you receive care, it’s best to plan ahead. Nothing is better than the comfort of home. Except the comfort of knowing you have a plan that could help you stay there. To learn more about long term care planning, contact... Louis Werbalowsky LTCP/CLTC Certified NYS Partnership Long Term Care Insurance Specialist 12 Park Drive, Woodstock, NY 12498 845.679.2017 lwerbalowskyltc@aol.com www.ltcga.com/lwerbalowsky

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We have CMS’s Top Rating of 5 Stars • Remodeled Sub Acute & Long-Term Care Facility • Designated Rehabilitation Unit • Comfortable Homelike Environment • Caring & Dedicated Staff

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tudent loans can assist in the affordability of healthcare plans, and depending on the college can be grouped together with other expenses such as room and board. The college I am attending, SUNY New Paltz, offers a healthcare plan beginning at $2292 annually. This insurance is extremely inclusive, with copayment deductions for services such as outpatient and inpatient mental health, chemical abuse and dependency, and diabetic care. Their healthcare services for females are also impressive: annual gynecological exams costs are covered in full. The SUNY New Paltz Health Center also provides condoms and pregnancy tests for free, as well as a price-reduced “plan B” pill. The college’s psychological and counseling center, another feature at the Health Center, took on a new level of importance in my life in my sophomore year of college. The events which unfolded during my spring 2016 semester changed the course of my college career. I am entering my last year come this fall. I had finally landed a stable group. All the girls in my circle of friends, including me, lived in the same dorm suite, and all the boys in another. Sophomore year was a pleasant in-between — not the same social pressures as a freshman might have, and the thought of adulthood still far off. There had been a fair share of drama that year, break-

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The Mental Health Association in Ulster County, Inc. Is offering these Open Drop-In Groups for Adults Free of charge. — 300 Aaron Court in Kingston —

It’s hard to predict what will happen next.

Take Back Your Health

HOLISTIC NATURAL MEDICINE • • • •

CoEd Yoga Class Women’s Yoga Class Peace Work Coping with Anxiety & Depression • N.A.M.I. Family Support Group • Wellness for Women

These Open Drop-In Groups for Adults Do Not Require Pre-Registration. Join Us At MHA’s Clifford Beers Center, 300 Aaron Court in Kingston. All of these Open Drop-In Groups are Free, Ongoing, Confidential & Open to the Adult Public. Groups do not meet on Federal Holidays. This information was updated on August 3rd 2017. Please call (845) 339-9090 Ext. 2202 to confirm this schedule or view MHA’s Calendar of Events at www.MHAinUlster.com.

INTEGRATIVE HEALING ARTS www.holisticnaturalmedicine.com holistic.scheduling@gmail.com

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• Acupuncture • Functional Meridian Analysis • Foods/Allergy Testing • Homeopathy • Detoxification • Whole Health Nutrition • Eastern/Western Herbal Medicine

August 10, 2017 Healthy Communities

Ulster Publishing Co. ups, makeups, fights — the kind of stuff you would see in the movies. I had seen a psychologist since I was about 15. My introduction into mental-health consciousness began with a stereotypical case of anorexia for the aspiring ballerina that I was in high school. Although I was a physically healthy individual by the time I went off to college, I still had lingering thoughts and worries over my body image. The diagnosis on my patient sheet switched from EDONS (eating disorder otherwise not specified) to chronic depression and anxiety. I was on medication and had been seeing a therapist outside of school throughout my sophomore year. I remember thinking about the friends in that close-knit group — I knew many of them had issues that could not be solved by a gratitude journal. I wondered why they won’t just go seek some help. Some people are more inclined to ask for help, I learned. Others stay in the shadows, praying for the bad thoughts to dissipate. You can worry for your friends. You can ask them how they are doing and encourage them to open up. The New Paltz SeaHawks' 10-under girls swimmers. Yet you cannot pry everything from their minds. They may open up to you, and you will have a long converroom on the phone with my dad. A call from my sation with them, leaving you both feeling better. boyfriend came in. I took it. He said he had just These are justifiably selfish years. We tend to go found his roommate’s body hanging from a bedon with our our days and worry about our own frame by the neck. stuff before anyone else’s. We can miss very real The following weeks the stable group I had been warnings right in front of our eyes from people we so grounded with erupted into chaos. With our see every day. friend gone, the boys no longer could stay in that n April 3, 2016 my boyfriend at the time and I had the typical lingering hangover headaches that a Sunday morning can provide. We woke up in my dorm room, went to get breakfast, and around eleven in the morning parted ways for the day. Perhaps ten minutes later I was in my dorm

O

RICH COROZINE

suite. They became nomadic, mostly staying in the girls’ suite. The stress, depression and PTSD that gripped my boyfriend and the others who found our friend weighed heavy. I can say earnestly and honestly that the psychological and counseling center facilitated our recoveries. We were provided group therapy and personal sessions. We were offered the ability to opt out of classes for the semester. All of the friends in the group about whom I had concerns began seeing a therapist regularly. We were moving along slowly, but we were moving. I still think about my boyfriend’s roommate every single day. What signs had we all missed? I’ve learned that a comprehensive counseling center with psychological emergency services is an extremely important service on a college campus. Not all young people feel independent and invulnerable. Many young adults are being faced with mental-health issues, like feelings of hopelessness. Health insurance allows young people to have access to these services in an affordable manner. Perhaps health insurance should be higher on the list of worries for a college student.

Healthy pets

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OurPets PetsareareEverything Friends Our We can’t imagine life without them. But when they’re sick, need emergency care, routine exams, vaccinations, clean and safe boarding, or attention for any reason at all, we’re here for them — and you — with all the warmth and compassion they deserve. Our skilled doctors and staff provide the latest, safest diagnostics and treatment for dogs, cats, birds and exotic pets. Plus a full range of discounted wellness care packages and post-operative rehabilitation to help keep your pet happy and healthy through every stage of their lives. of their lives. Newburgh Veterinary Hospital is

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10, 2017 14 | August Healthy Communities

Ulster Publishing Co.

Hair health

Violet Snow goes back to basics, pre-Lustre-Creme PUBLIC DOMAIN PHOTO

W

hen my mother went shopping in the 1960s, she had a handful of shampoos from which to choose. She’d buy Prell or Lustre-Creme, plus Head and Shoulders for my dad’s dandruff. I remember the silky feel of LustreCreme against my fingertips as I dipped into the little jar. We didn’t know the word “conditioner.” The angel of mercy for little girls was Tame, labeled a “creme rinse” or, more importantly, a “detangler” which diminished the suffering when combing out hair after a wash. We never gave a thought to the chemicals in these marvels of modern science. Today most of us still don’t think about the ingredients involved in the staggering proliferation of products that drive the hair-care industry. We have shampoos, conditioners, gels, mousses, hairsprays, heat protectants, straighteners, volumizers, texturizers, moisturizers, fortifiers and more. All promise hair that is stronger, healthier, shinier, more wavy, curly or straight, and above all more beautiful.

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But look at what’s required to make hair perform these feats of glamor. One popular shampoo includes such ingredients as Dimethicone, Ammonium Xylenesulfonate, Panthenyl Ethyl Ether, Polyquaternium-10, Disodium EDTA, and Sodium Benzoate. As we know from products such as hormone creams that are applied externally, the skin absorbs substances into the bloodstream. We are taking traces of these unpronounceable chemicals into our bodies. There’s debate about how toxic they are, but I find myself reluctant to soak them up if it’s not necessary. Even the shampoos you buy in the health-food store contain Ethylhexylglycerine and Dehydroacetic Acid. Lustre-Creme may have been even worse, with its blend of lanolin and “secret ingredients.” Meanwhile, we’re supporting industries that manufacture these chemicals, with all the associated waste, pollution, plastic packaging, and consumption of natural resources.

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hen you think about it, we survived a long time without shampoo. Here’s what Victorian women used to clean their usually voluminous hair, according to women’s magazines of the period: castile soap, vinegar, rosemary tea, egg yolks, or rum. (Brandy was considered too drying.) Herbs or shaved soap in water were used in India and in Europe until the introduction of commercial shampoos in the early 1900s. A product called “Drene” was the first shampoo in the 1930s to use surfactants, which “lower the surface tension of water, in essence making the molecules slipperier, so they are less likely to stick to themselves and more likely to interact with oil and grease,” states the website chemicalsafetyfacts.org. The authors assure us that these substances, “although used in very high volume and widely

released to the aquatic environment, have no adverse impact on the aquatic or sediment environments at current levels of use.” Nevertheless, I like the idea of limiting the amount of surfactants in my rivers and streams. Some years ago, I tried making shampoo from castile soap, quassia bark, and an assortment of green plants, a labor-intensive process that did not yield satisfactory results. However, I also made a lavender-infused vinegar hair rinse, producing a euphoric fragrance experience when I used it in place of conditioner. Then I read about the No Poo movement, and I immediately decided to join, despite the ridiculous name. I have to admit, if I were 17 and on the prowl for a boyfriend, I probably wouldn’t have tried it. If I were a model or an actress, dependent on the state of my hair for my income, I definitely wouldn’t have tried it. But I’m in my sixties, thoroughly married and a journalist. What the hell? For the past two years, I’ve been going without shampoo or conditioner. I feel liberated, and my hair looks great.

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he replacement for shampoo? Water. And occasionally baking soda, followed by a vinegar rinse. Before you start scoffing, consider the contention I have heard many times over the years, that shampoo strips our hair of its natural oils, stimulating the scalp to constantly overproduce oil, which in turn makes us wash more frequently (and funnels more money to the shampoo manufacturers). Withdrawal from shampoo allows the scalp, after a period of adjustment, to return to its normal rate of oil production, resulting in healthier hair. The period of adjustment is the tricky part. Google “No Poo,” and you’ll find plenty of advice on how to make the transition, which can take weeks or months, depending on your type of hair, the hardness of your water, and what products you’ve been using. Some of the suggestions sound strenuous, from making special transition formulas of diluted shampoo, baking soda, and argan oil to joining the No Poo / Low Poo Facebook group. I suspect those measures are for the young and oily. Not that my hair is dry, but it’s certainly less greasy than it once was. For me, the transition was instant, and now I wash my hair about half as often as I used to. Every day I brush with the recommended boarbristle brush to distribute the oils. When I bathe or shower, I rub water into my hair to rinse off excess oil. About every ten days, when my head starts to feel grimy, I make a one to two mixture of baking soda and water, which I massage into my hair and rinse out. Then I pour on an ounce or two of apple cider vinegar mixed one to three with water, and I rinse again. (See below for how to make herbal vinegar, in case you don’t like the smell of plain vinegar.) I do like how my hair looks on this regimen. But my main reason for following it is the attendant sense of independence and power. In a small, personal way, I’m fighting the tyranny of the multibillion-dollar beauty industry. Want to join me?

How to make herbal vinegar www.cornellstreetstudios.com/renee_fit

It’s easy. Put fresh aromatic herbs (consider lavender, rosemary, mint, or lemon balm, from either the garden or the market) into a jar, filling it nearly to the top, compressing the plant matter slightly. Then fill the jar completely with apple cider vinegar and screw on the lid. If the lid’s underside is metallic, place plastic wrap between the lid and the contents.

Let the mixture steep, checking it the first few days to make sure the plant matter is covered and topping off with vinegar if necessary, to prevent mold. Put a saucer underneath the jar in case the vinegar reacts with the herbs and seeps out. After three weeks or more, you can pour off the vinegar and compost the herbs.

of Ulster County

MAAYANA MARION HOWARD, LCSW

“Dental Care with Pride”

Our annual Caregivers and Healthy Aging Conference

Heart Centered Psychotherapy

JEWISH FAMILY SERVICES

is going to be Friday, November 3rd this year at the Best Western, 8:30 to 3:30

SAVE THE DATE!

Speakers, workshops, experts, community, tips, breakfast and lunch. Come and enjoy getting together again and bring your friends!

We are always in relationship to something, whether it is to ourselves, to another, or to what we do. This connection can be nourishing or depleting. For couples and individuals who want a better life.

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JFS has proudly served Seniors of all faiths since 2000

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New Patients Welcome

Visit us at drderosa.com 845-246-9566 Route 9W • Barclay Heights

August 10, 2017 Healthy Communities

Ulster Publishing Co.

| 15

Is your cat wanting to kill you? Terence Ward explores the community of feline pets

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here is little question that cats are popular pets, in America at 85 million and counting. Only freshwater fish are more numerous in American homes. Unlike dogs, cats haven’t been changed much by domestication. Their air of aloof mystery, celebrated in Greek and Egyptian mythology in the image of the sphinx, which had a human head and a lion’s body, can be either alluring or off-putting. For those who love and those who loathe cats alike, it is good practice to demystify some cat behaviors from time to time. Early Dutch explorers gave the Catskills the name “cat creek” (in Dutch).There are various theories why the area is named Catskills, a name that only become popular in the mid-nineteenth century. Some of the theories have to do with bobcats and mountain lions. Other speculative derivations name a Dutch real-estate speculator named Cats, lacrosse rackets, ship names and a Mohican chieftain named Cat. In recent years, Woodstock and New York City graphic designer Milton Glaser’s series of iconic I Love New York posters did much to reinforce the image of the domesticated animal with the region. His playful series of posters of giant cats lurking among the familiar mountains has strengthened the connection in the recent popular imagination. Contemporary Catskill artist Kiki Smith is participating in the openings of two shows this coming Saturday, August 12, in Catskill, including one called “From the Creek” from 5 to 7 p.m. at the Thomas Cole national historic site. Smith likes to wander near the same landscape haunts that Thomas Cole favored, in particular the intersection of two waterways located about a mile from Cole’s house on Spring Street, the Catskill Creek and the Kaaterskill Creek. Both names may derive from the same feline root.

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ats are more independent than dogs. Cats are solitary hunters. In the wild, they will congregate in groups mostly run by the mothers. Dogs hunt and survive due to living in packs. Cats do show affection. How much depends in large part on whether they were socialized to humans when they were young. Kittens can develop strong lifelong preferences for food, kittylitter types, and coexistence with other mammals. When handled extensively from around two to seven weeks of age, kittens are more likely to seek out human affection and to show aggression less frequently. Skeptics may express suspicion that cat affection is ever anything but self-serving. Certainly a cold shoulder given by a cat seems chilly indeed. That said, there is no reputable study supporting suggestions that cats deliberately seek out people with phobias and allergies, selectively shed on expensive garments with high contrast, or vomit precisely where they expect a human foot to land in the dark. The unerring aim cats appear to have with that bodily function might be related to their keen sense of sight. They only require one-sixth the light a human does to see with ease, which is why they probably don’t understand why the humans are much clumsier without the lights on.

Elizabeth Lunceford, LMFT Psychotherapy for Adults, Children, Couples, & Families

“With growth and change comes challenges and with challenges often comes growth and change. Therapy is a tool that can help with this...” 845-242-7228 54 Elizabeth Street, Suite #11 Red Hook, NY 12571 www.ElizabethLuncefordLMFT.com eluncefordlmft@gmail.com

PUBLIC DOMAIN PHOTO

You know what they say about herding cats... They may not easily tell red from green, but seeing the top of the staircase is easy. It’s true that a cat encountered in the dark at the top of the stairs might wrap itself around a person’s ankles, but experts believe it’s affection, not murder, that motivates the act. (They might also simply not understand how useful walking on all fours is for balance.) Cats gather scent information as they butt with heads and rub against others. Rubbing also leaves a scent, signaling who is part of the in crowd. This kind of scent marking is one way feral cats identify strangers in their midst that they must run off. urder of their human companions might not be on their minds, but cats are built to kill. Obligate carnivores, they risk severe malnutrition if they do not consume meat, because they require a high level of protein and their bodies manufacture neither arginine nor taurine. Skills learned in kittenish play spell certain doom for birds and small mammals. If Fluffy doesn’t care for food pulled from the refrigerator, that’s because her instincts tell her that cold food is bad food, while they think warm food is probably still fresh, and therefore safe to eat. There has been no comprehensive study of cat hunting, but research shows that cats have a complex relationship with their ecosystems. For example, cats preying on rats has saved many a young bird. Cats may hunt for recreation even if well fed, which is one reason some animal advocates argue they should be kept inside. Cats were originally desert dwellers, and can survive on the moisture they get from their prey. Cats don’t have a good sense of thirst because drinking isn’t their most common way to hydrate. A cat drinking frequently might be a signal to cut back on the dry food. Despite their night vision, cats aren’t strictly nocturnal animals. If anything, house cats tend to be most active when the people are around, in the morning and evening. A typical cat sleeps 13 to 14 hours a day, and it’s probably not difficult for them to pick and choose when to be alert.

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When they are, they use more than just their sight to observe. Those ears can pick up the ultrasonic cries some rodents make, and their noses are sensitive enough to pick up the active ingredient in catnip at only one part per billion. (Before slathering toys with the stuff, which may mimic pheromone signals, be aware that not all cats are even interested.) Detection of catnip might be aided by the Jacobson’s organ located in a cat’s mouth. This sensory organ, unlike anything a human uses to perceive the world, is important for taste and smell. Purring is a sound which is nearly always interpreted as one of contentment. Exactly how cats do it isn’t entirely clear — there’s no “purr box” involved. Cats can do it while inhaling and exhaling alike. Cats use a number of other vocalizations, but not usually in the wild, where they are silent. One might imagine that they developed noises to communicate with humans, who have difficulty interpreting the head bumps and tail flicks with which cats often express themselves. If a house cat starts acting out, be it with aggression or inappropriate elimination or yowling in the night, the first step is always to eliminate any medical causes. Cats express pain and discomfort differently than humans. Barring a physical problem, changes in behavior could be the result of a territorial conflict, such as one cat not feeling safe visiting the litter pan because that adorable kitten used it as an ambush point one time, or even because a loud noise scared it. Moving the pan to a different location might be enough to resolve that particular problem, but inter-cat relations can be challenging to suss out. For those to whom cats are completely alien, however, there are a few simple rules of engagement. Purring is good. Growls, hisses and a lashing tail are warning signs. An upright tail indicates a good mood, and rubbing is generally affectionate, even if it at times feels murderous instead.

ABEND ACUPUNCTURE Phyllis H. Abend, LMT, PTP, CH, LAc Acupuncture, Massage, Polarity Therapy, Hypnosis

646-228-6463 • New Paltz, NY PhyllisAbend@earthlink.net Saturday, 12 Aug 2017, from 1-2:30pm, Living Wellness with Essential Oils with Joe Monkman, www.smore.com/f7j4v Saturday, 26 Aug 2017, from 1-2:30pm, Managing the Stress of Going Back to School, for Students, Parents and Teachers, with Phyllis H. Abend, LMT, PTP, CH, LAc

www.AbendAcupuncture.com

10, 2017 16 | August Healthy Communities

Ulster Publishing Co.

IN EMERGENCY CARE, IT’S ABOUT EXPERIENCE. OURS AND YOURS. Another way we’re investing in you. At HealthAlliance Hospital: Broadway Campus, a member of the Westchester Medical Center Health Network (WMCHealth), it’s all about experience. We’re board-certified in emergency medicine, nationally recognized for our stroke care and we use the latest in telemedicine to give our patients access to the region’s leading specialists. Our patients tell us we make their experience exceptional by treating them with the utmost respect and clearly communicating about every step of their care. The Emergency Department at HealthAlliance Hospital: Broadway Campus. Another way we’re Advancing Care. Here. hahv.org

Westchester Medical Center Health Network includes: WESTCHESTER MEDICAL CENTER I MARIA FARERI CHILDREN’S HOSPITAL I BEHAVIORAL HEALTH CENTER MIDHUDSON REGIONAL HOSPITAL I GOOD SAMARITAN HOSPITAL I BON SECOURS COMMUNITY HOSPITAL I ST. ANTHONY COMMUNITY HOSPITAL HEALTHALLIANCE HOSPITAL: BROADWAY CAMPUS I HEALTHALLIANCE HOSPITAL: MARY’S AVENUE CAMPUS I MARGARETVILLE HOSPITAL

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