Healthy Hudson Valley OCTOBER 26, 2017 • ULSTER PUBLISHING • HUDSONVALLEYONE.COM
Healthy Body & Mind
Elsie's longevity Community ties are a key to continued wellness
26, 2017 2 | October Healthy Body & Mind
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October 26, 2017 Healthy Body & Mind
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Retirement for the rest of us It takes a community to grow old By Fawn Potash
M
y mom hated retirement. She tried it. She didn’t have enough hobbies to keep busy. She found volunteer work boring. She begged her previous employers to re-hire her part-time. After we moved mom from the big house where we grew up to a reasonably-sized apartment, she dug her heels in, determined to avoid further downsizing. No old-folks home for her. Mom would not even discuss plans for “someday” moving to independent living, assisted living or a continuum-of-care facility or a nursing home. Though bridling at the concept that they are aging, older folks in general appreciate the security, services and companionship provided by the increasing range of opportunities being offered to seniors. The rise of the senior-care industry is having a big impact on the development of our nation’s economy. For a variety of reasons, aging in place can work for some seniors but not for all. Other arrangements are wonderful for some elderly people but not for all. Fortunately, there are an increasing number of choices. It turns out my mom was ahead of the curve. The trend for baby boomers in 2004 was aging in place — think wheelchair ramps and visiting nurses. By 2007 the objective had changed to aging in community, a more holistic concept of a socially active and connected lifestyle. Now the term is more complex: thriving in an age-friendly community, with the support and services we need coming to us. In 2006 there were 37 million Americans over 65. In 2030 there will be 71.5 million of us. There are not enough senior living quarters for all of us. My husband and I thought maybe there would
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One of the keys to aging in good health is staying active and in communication with others, including the very young. be niche-marketed options in the future. Some would be for people who like Dylan, the Beatles and Jerry Garcia’s trippy guitar solos. Some would be for people who don’t. It turns out that there are specialized residences for seniors like NoHo Senior Artists Colony (North Hollywood writers and actors), Lasell Village (integrated living on a college campus), housing for Chinese Americans, Indian Americans
and co-housing communities like Serenbe outside Atlanta (planned community with mixed ages and caretaker cottages). These options are pricey, though, requiring a serious buy-in that doesn’t fit the modest budgets of renters and those without pensions or income-producing investments.
A community structure for aging The rest of us might consider the Village Move-
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26, 2017 4 | October Healthy Body & Mind ment, a retirement model that will sound familiar to small-town denizens who have depended on each other for carpooling, driving a neighbor to a doctor’s appointment, dropping off dinner for a sick friend, or pitching in on a community garden. Apply the proverb “It takes a village to raise a child” to seniors and you’ve got the idea of communal responsibility among people. Start with a geographic area and a group of seniors who want a self-governed, grassroots community structure as they age. Most feature an annual membership payment, volunteer commitment, concierge services, social get-togethers, shared resources and discounts for member services. Sounds a little like joining your local arts council (which you should also do). Villages report that shared transportation for medical and shopping trips, gatherings for book club, lunch, field trips to museums and gardens, plus other cultural excursions are the most popular services. Also important is tech support for everything from cell phones to computers and tablets to TV remotes, from navigating the Internet to getting the new Fitbit to work. According to the Village to Village Network, there are over 200 Villages operating now and more than 150 in development in 42 states and
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The late Mescal Hornbeck of Woodstock, for whom her town’s community center is now named, was one of our region’s earliest and most vocal proponents of aging in place. She realized the benefits of growing old in the community one loves. five countries. They are serving more than 40,000 people. The network’s map shows Villages in Honolulu, Hawaii; Fairbanks, Alaska; Rhinebeck, New York (Rhinebeck at Home) and Glens Falls, NY (Aging in Place). Most are clustered on the east and west coasts of the nation.
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How the movement grew The Village Movement started in 2004 with a group of neighbors in Boston’s Beacon Hill. In the course of a few years, they formed a core group of organizers, created a non-profit, and designed an organizational structure. Ages range from 56 to 98 years old, with an average age of 78. Of the 277 member Villages, 44 percent are household memberships paying $975 per year. The others are individual memberships paying $675 per year. Thirty-two percent are men, 68 percent women (98 percent of whom live alone). Seventeen percent of memberships are reserved for low-to-moderateincome members at $110 to $160 per year. The Village in Glens Falls serves a loosely defined region of the lower Adirondacks. Growing from a church group to the larger community, the
aging in place Village started out charging a dollar a month. It’s an all-volunteer structure using a utopian time-bank model. Members offer volunteer hours and receive the same number of hours of volunteer services. For example, an older participant might provide friendly check-in calls for homebound members in exchange for rides to the grocery store. Since it costs less to keep people in their homes than to pay for services within institutions, it comes as no surprise that New York State’s Department for the Aging is supportive of the Village movement. The American Geriatric Society estimated that a quarter of Americans over 65 are physically or socially isolated, leading to physical and cognitive decline as well as shorter life spans. Some 69 percent of Americans will need long-term care, though only 37% of us think we will. The trick is to start thinking about our options way before we need them. And maybe even try to convince our parents to consider their preferences before they experience a debilitating medical crisis.
Track pets, kids and luggage
A
new digital device is hitting the U.S. market soon that allows the tracking of one’s pet or child for up to one week. Called the Connect Tag, it’s being promoted by Samsung as the first use of a new narrowband network technology that optimizes data and battery usage for a week-long lifespan before recharge, and uses a combination of GPS, Wi-Fi-based positioning and Cell ID to track location. The Connect Tag represents a step beyond other similar tracking items, including a luggage tracker being developed by the start-up Tile, the Apple Watch Series 2 Wi-Fi, tracking ability, the GPS-based Bluesmart luggage tracking device, and the Whistle 3 canine-companion tech. Plus it’s promising to be cheaper, especially when it moves beyond initial Android-only compatibility.
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
Medicare’s alphabet soup
C
onfused by the Medicare Plan alphabet soup? Eleanor Minsky, Ulster County Office for the Aging outreach coordinator and retired attorney, will present about the complex choices available in the Medicare system in a free presentation on Thursday, November 2, from 5:30 p.m. to 6:15 p.m. at Cornell Cooperative Extension of Ulster County (CCEUC) in Kingston Plaza. Topics will include ways to save money when purchasing prescription drugs, and a little-known federal program that refunds Medicare premiums to financially eligible seniors. The event is being hosted by CCEUC’s Relatives as Parents Program (RAPP), which supports caregivers and children when parents are unavailable to parent. Respond to program outreach coordinator Maria Cecilia Deferrari at mcd242@ cornell.edu or 340-3990, x347.
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October 26, 2017 Healthy Body & Mind Where to ďŹ nd out more At a recent forum hosted by the Albany Guardian Society, Greg Olsen, acting director of the New York State Office for the Aging, laid out a cross-sector plan for making New York an agefriendly state. Olsen incorporated an argument for economic development tied to the considerable wealth controlled by the over-55 crowd. New York wants us to stay here, not head for the cheap real estate in North Carolina or Estonia. A Powerpoint incorporated AARP’s “Eight Domains of Livability.â€? I recognized these categories from those lists of best places to retire on a budget: 1) Outdoor Space and Buildings 2) Transportation 3) Communication and Information 4) Housing 5) Respect and Social Inclusion 6) Social Participation 7) Civic Participation and Employment 8) Community Support and Health Services. You can check out details of the state plan at prevention@health.ny.gov. Villages both fit into this puzzle and address each goal in their organizations. One village might have a full-time employee to staff the one-stop-shopping number for household help, rides and activities. Another might have a rotating volunteer schedule for the hotline. Yet another might employ an independent contractor to give rides in a shared van. Other villages might share a cab ride to the grocery store. Most have volunteer insurance to cover the unexpected. They carefully vet any recommended plumbers, carpenters, auto mechanics and other service people. Village groups represent buying power and the ability to negotiate discounts for everything from chiropractic care to movie tickets and IT support. Mission statements have many common aims, from creating social networks and supports to redefining aging’s value to the community. Some new Villages have partnered with their local Department for the Aging, a visiting nurse association, a social-services agency or a continuum-ofcare facility to share office space, activities or meals. At the Albany Guardian forum, Villagers’ presentations were a testament to our deep need to design and control our lives. The Village-to-Village Network (vtvnetwork. org) is a great starting point for groups interested in developing new Villages. Membership includes the Village 101 Tool Kit which can also be previewed at the Albany Guardian Society’s library at no cost. One of Albany’s oldest charities, the foundation was originally a temperance union. Now focused on quality of life for an aging population, it is sponsoring forums. There’s one on December
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Longer ACA signup period
W
e’re all hearing disturbing things about the future of our health care. Federal enrollment for the Affordable Care Act marketplace is to run from November 1 through December 15, half the time that was allowed last year. The website will go down Sundays for maintenance, and maybe at other times, according to the nonpartisan Kaiser Families Foundation. It’s uncertain whether applications in the pipeline will be accepted able if they get caught by the deadline. You may get saddled with a new insurance company if the one you were with via the marketplace has folded, or changed its rates drastically. You’ll only find out if you ask. Where do things stand in New York State? On October 5, the state Department of Health announced that NY State of Health, the state’s official health plan marketplace, would be extending its open enrollment period from November 1 to January 31, 2018. “Consumers in all counties of the state have a robust selection of health plans to choose from. New York expects to both renew coverage for more than 400,000 households during the open enrollment period and enroll new consumers. Most marketplace consumers qualify for financial assistance to pay for coverage,� the Department of Health noted on its website. Premium costs for the most popular silver plan will be about the same or lower compared to last year, the state said. Some counties are very good at hooking one up with a navigator quickly, and with actual phone and in-person help. Others aren’t so good. The best thing to do is get on the New York State of Health website immediately, or even better call the program at 855-355-5777, where a fully-staffed customer service center will work to hook up callers and navigators. Paul Smart
Time to get your u shots
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PHOTO COURTESY DUTCHESS COUNTY
Dutchess County executive Mark Molinaro, like many government leaders, is eager to demonstrate the ease of getting u shots at this time of year.
5 at thre Carondolet Center in Latham. You can contact Ken Harris, executive director of the Albany Guardian Society, at 518-434-2140 or email him at ken.harris@albanyguardiansoci-
lu season has begun with a bit of betterthan-usual news. Doctors are saying that this year’s vaccine is a good match for strains going around, although the dominant strain seen so far is particularly dangerous to seniors. The end result is that the medical community is stressing flu shots more than ever. The strain showing up so far is H3N2. The earlier one gets shots, the better. Try the website vaccinefinder.org to find the nearest location for getting shots, or check with your local paper on localized clinics.
ety.org for details. For those wishing to jumping in with both feet, join the Village-to -Village annual conference on November 6 to 8 in Baltimore, Maryland. Register at vtvnetwork.org.
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PUBLIC DOMAIN PHOTO
After years of treating student hyperactivity with various medications, a new movement has started toward changing the way we educate kids, working more thoughtfully with their natural behavior.
Big decisions Medicating kids for mental-health issues by Jennifer Brizzi
I
’m like any other parent who has faced the possibility or reality of medicating their pre-teen for behavioral issues — and any mental illnesses severe enough to need medicine because of behavior problems, whether depression, withdrawal, hyperactivity, defiance or more. These disorders are tough on the pre-teen, the family and the community at large. They require tough decision-making by the parents, with the input of teachers and health professionals. This is a hard piece for me to write. Neither a professional nor an expert, I have gone up against this issue with one of my children. As demanding and difficult as the job of parenting can be, the decision to medicate or not is exponentially more painful. Sometimes it seems that researching the
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issue at length does little to help with the decision-making. Online experts and parents have such wildly differing views. I’ve been left with the conclusion that there is no perfect solution for any family. Each situation is different. Going through this experience has been truly awful. I know firsthand the guilt of feeling that it’s my fault and that I am inadequate in my parenting, plus the pain of feeling my kid’s pain at having trouble with school and authority figures. There is in addition the dip in self-esteem to deal with: in oneself, one’s co-parent, and one’s child. When your kid is constantly getting written up for defiant behavior in school, for cursing, for not putting away the ear buds when ordered to, for getting in little scuffles with other boys, for not sitting still as a statue during a long day of classes, and paradoxically being deprived of gym or recess or extracurricular sports as punishment for that behavior. He’s a good kid and a sweet kid except when he’s having an age-appropriate tantrum. Lord knows I had plenty when I was his age. It only makes it worse when there are any kind of learning difficulties. We finally stopped bringing our son to parent-teacher conferences because the team would always gang up on him with criticisms. It seemed counterproductive to have him there. When life is seriously rough for your kid, and teachers and doctors advise medication, you dig in your heels and protest. You do not want to put your kid on drugs. It’s a last resort. You have heard horror stories about serious life-threatening side effects. You don’t want to turn your kid into a zombie. You don’t want to risk extreme symptoms, like depression, turning to suicidal behavior and other bad stuff we’ve all heard about.
Y
ears ago a former co-worker had a nine-year-old daughter who was popular, bright and cheerful. She was prescribed Paxil for a sudden bout of hyperactivity and behavior changes. I don’t know the details. There
was an online article written about the family. Because the girl had lost a lot of weight apparently from hyperactivity, her parents took her to an eating disorder specialist in a nearby city who put her on the Paxil. After more manic behavior her parents hospitalized her, where they increased her meds. When she came home she began to kick, bite, scratch and punch her parents. She tried to jump out of her second-floor window, and later tried to cut herself with a knife from the kitchen. She would hit her own legs until they bruised. Her parents would have to hold her down to keep her from hurting herself. They decided to stop the medications and with the help of a pharmacologist started the withdrawal process, slowly over a few months. Although she continued to have some behavior problems, the violence to herself and others subsided. She eventually went on to graduate from college and have a successful career. The parents blamed the meds for everything. Another friend, my editor’s son, had problems with school that exacerbated his issues. A journey of changing schools and visiting various professionals ensued. In third grade the boy began to suffer regular detentions and balked at going to school. He even told his parents he wanted to kill himself, something beyond distressing for any parent to hear. A difficult teacher or school can make a bad situation much worse. Because of alleged behavior issues that led to detentions, an IEP (Independent Education Plan) was put in place for the boy, allowing him to move around a bit during the day instead of sitting for hours. He was given some slack about his handwriting. He was placed in a remedial reading class whose instructor found that he was reading at a sixth-grade level rather than the third grade he was in. School social services tested the boy and sent him to a neurologist, who found super-mild ADHD consistent with many boys his age and prescribed a med for
October 26, 2017 Healthy Body & Mind his tics which made him sleepy and headachy. The parents started looking into alternative schools. After a semester at a new private school, all his meds were stopped, and tics or restless behavior such as twitchy fingers were left for him to handle. Other parents at the school reported that a lot of the kids at his school had similar experiences after going off the medication they had been pushed into in public schools. Many parents, of course, have reported that problems stemming from major fidgeting, bad grades, fighting, insubordination or repeated suspensions have led them to seek help and to subsequently medicate their kids. My own kid’s dad and I considered putting him in a new school. The connections with new situations have not been satisfactory for him or for us. He is rather resistant to leaving his friends behind.
| 7
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he medication issue is polarizing. Some parents feel medication has been a godsend that transformed their difficult children into calm, subdued, high-grade-earners. Many teachers and even physicians push parents in this direction after a diagnosis based on a questionnaire about the child’s behavior. The opposite camp feels that it is normal for pre-teens to be emotionally and behaviorally out of whack for a while. They say ADHD is way overdiagnosed. Fidgety, hyperactive behavior is a normal reaction to several hours of forced sitting still, they say. They contend that parents who choose to medicate their kids are only doing it for their own convenience. Or they purport that the meds introduce harmful toxins into little bodies that can cause violent behavior, seizures, heart problems or stunted growth, as well as suicidal intent. Some prefer other routes. They favor interventions like a drastic change in diet (such as eliminating sugar, dyes, gluten, dairy, yellow foods (!) or toxins), or just upping their children’s exercise time or adding omega-3s and probiotics to their diet. Some try alternative healthcare like biofeedback. Then there are those of us who are sort of in the middle. We feel that every kid and every family is a unique situation, and there is no right or wrong solution. Every affected parent has to wrestle with their situation individually. We feel that it’s important for struggling parents to seek help to supplement the opinions of school staff. The input of an experienced physician, a pharmacologist, a child neurologist, therapist or psychiatrist may be indicated when making this most crucial of decisions. Mental disorders in children are very com-
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Healthy Body & Mind October 2017 An Ulster Publishing publication
DR. BRUCE KUREK AND STAFF WELCOME DR. SANDRO EVANGELISTA
Editorial WRITERS: Jennifer Brizzi, Elisabeth Henry, Ann Hutton, Fawn Potash, Carrie Jones Ross, Chris Rowley, Paul Smart EDITOR: Paul Smart LAYOUT: Joe Morgan Cover: Elsie Leininger, who has been living at Mountain Valley Manor, an assisted living facility on Wilbur Avenue in Kingston, was 103 years old when this photo was taken in October 2013. She lived in place until she was 100. She’s now 106. (Photograph by Peter Demuth)
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Ulster Publishing PUBLISHER: Geddy Sveikauskas ADVERTISING DIRECTOR: Genia Wickwire DISPLAY ADS: Lynn Coraza, Pam Courselle,
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mon, as is the prescription of medications to ease them. About five million kids in this country have been diagnosed with serious mental illnesses, per WebMD. ADHD is the most common, ahead of depression and anxiety (which may accompany it). Counseling or the support of friends, and other stress-relieving activities may also be useful for the frazzled parents.
M
y own child was on medication for ADHD for a couple of time periods when he was younger. The first time was at the urging of school staff. We had not told them that he had begun taking the meds. It came up at a special ed meeting a few months later. It appeared they hadn’t noticed any change in his behavior until after we told them he was taking the meds. One of the staff then said, “Oh. yeah, I guess he has been doing better.” We administered the meds only on school days. He never took them willingly, saying they made him feel “weird.” Eventually we let him stop taking them. After a rough few years in school he is doing better now. He’s in tenth grade. There are fewer calls from the principal. His report cards now tell us that he’s a pleasure to have in class. I don’t know what prompted the change, Did he make more of an effort to control his defiant behavior, or did he simply grow out of it? This issue is a difficult one. I cannot claim to be anti-med or pro-med. I can just tell you to follow your heart and know that you are not alone.
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26, 2017 10 | October Healthy Body & Mind
Numbing ourselves forward Alcoholism and mental disorders are on the rise by Ann Hutton
A
ddiction and mental illness were once considered aberrant defects, and people suffering from them were often locked in asylums. Treatments changed as prescribed pharmaceuticals relieved symptoms and altered behavior. But now alcoholism and mental disorders are again on the rise. The number of incarcerated Americans has soared, and federal statistics show that half of the nation’s prisoners have diagnosable mental disorders. Consider statistics gathered from research organizations such as the National Institute on Alcohol and Alcoholism, the New York State Psychiatric Institute and Columbia University, the National Alliance on Mental Health, the Anxiety and Depression Association of America, the American Psychological Association, the Centers for Disease Control and Prevention, and the National Institute for Mental Health. They say nearly one of every 20 adults worldwide is addicted to alcohol. One out of every eight Americans now struggles with an alcohol-use disorder. Such disorders have risen by almost 50 percent since 2002, and now affect nearly 30 million Americans. Alcoholuse disorders have doubled among the AfricanAmerican population, and have increased nearly 84 percent among women. The highest increase in alcohol-use disorders has occurred in the senior population, with individuals 65 and older seeing a staggering 106.7 percent increase from 2003 to 2013. For 45-to65-year-olds, that increase was 81.5 percent. Globally, more than 300 million people suffer from depression, and 260 million suffer from anxiety disorders. In America, one in five adults experience mental illness in a given year — that’s 43.8 million of us. And approximately 10.2 million adults have co-occurring mental-health and addiction disorders. Denise Ranaghan of the Mental Health Association of Ulster County has looked at the connection between alcoholism and mental illness for a growing number of people in our society. “Trauma,” she says. “I think we’re talking about the wrong subject. The subject is not mental illness. It’s not addiction. It’s trauma.” She counsels in Adult Wellness Services and ACT (Assertive Community Treatment).
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For years Americans have talked about how much more attention we need to pay to mental health. Yet insurance and state funding for studies, education and therapies have remained stagnant. “People don’t even know they’re traumatized, that they’ve experienced violence and pain,” explained Ranaghan. “We live in a violent culture right now. I don’t know anyone who gets through childhood without some form of trauma, even if you have the best parents in the world. You are going to be traumatized, even if it’s watching other people being traumatized. To be in touch with that, I think we should be teaching emotional intelligence from kindergarten up.” Nineteen of every 20 people in the mentalhealth system have experienced trauma,” she said. “We are completely traumatized every day, so we numb out to it. And what is alcohol addiction? Something that numbs you out a little bit more. The question of what came first — the addiction or the mental illness — has always been around. I really believe environment plays a huge role in people’s subsequent mental illness or subsequent addiction. So much depends on your personality and your family and your school.” Once you pick up the drink or the drug, you stop growing emotionally, she said. The alcohol pushes your trauma down deeper, and it numbs you out to violence, because who wants to feel pain? People are wounded, and they can’t heal because they continue to numb out. “We focus on the addiction, because that’s what is obvious and visible,” she said. “What’s not visible is everything that came
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before the addiction — all the trauma and suppression and pushed down thoughts and feelings.” Alcoholism is typically defined by looking at self-reported drinking habits. Among the criteria for diagnosis are whether the drinking interferes with home, family, or job responsibilities, whether the subject experiences withdrawal symptoms when coming down from intoxication, and the inability to stop drinking. Studies also track other patterns like high-risk drinking (four or more drinks a day for women and five for men, plus a day that exceeds those limits at least once a week). Scientific research into brain functioning has begun to uncover how addiction occurs on the neurological level. We are chemically hard-wired, it seems, to seek pleasure. Synaptic pathways in the brain actually reward the body and reinforce desire when our circuits are bathed in substances like heroin or gin. And we now have a detailed picture of how overuse disrupts other processes, such as learning, emotional regulation, and cognition. Antonello Bonci, a neurologist at the National Institute on Drug Abuse, calls addiction “a pathological form of learning.” Two addiction treatment camps of thought have emerged. One addresses the faulty chemistry or wiring of the addicted brain through medication or other techniques, with psychosocial support as an adjunct. The other sees medication as the adjunct, a way to reduce craving and the agony of withdrawal, while allowing people to do the psychological work essential to recovery. Both camps agree that current treatment often falls short — perhaps because both modes of implementing a fix are not recognized as being equally important. A comprehensive course of treatment is most likely to help people in need. According to Ranaghan, trauma is stored in a certain part of the brain that is basically unreachable through talk therapy alone. She pointed to the difficulties adolescents face on a good day, simply going through puberty and looking for answers to their problems, typically through their peers. “I’ve been working in trauma-informed care,” she said. “There’s a new model in New York City
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October 26, 2017 Healthy Body & Mind for kids who experience their first psychotic break, called On Track. Instead of immediately drugging them, other peers who have also had psychotic breaks work with them to help them get through it. The message is not, You’re gonna be sick for the rest of your life and you need these medications. The message is, Medication is one tool. Maybe you need it for awhile.”
A
t Family of Woodstock, Salvador Altamirano-Segura works in adult case management for individuals struggling with substance abuse or mental-health issues. How does the organization deal with someone whose challenges also involve the criminal-justice system, homelessness, or being a victim of domestic violence? “We try to bring some awareness to how the client’s addiction might be affecting or disaffecting their life. It depends on where the person is at,” Altamirano-Segura responded. “Some people are tired of their addiction and want to make changes. Or they’re not there yet. They cannot see how it’s a problem or are not willing or open to suggestion. It also depends on what substance they’ve been using, whether we refer them to the emergency room for detox or to outpatient treatment.” People who have a mental disorder feel that they are not normal. “There’s a lot of stigma, a lot of difficulties to accept the fact. They just feel weird about not fitting in with their family and friends or society. It’s not uncommon that they would self-medicate, using alcohol to take them out of those feelings and not think about things. Soon enough that becomes a crutch, but in a way they’re trying to medicate the illness or disorder. Next thing they’re fully addicted and it’s all enmeshed — what do you treat first, the mental health or the substance abuse?” Altamirano-Segura described Family’s use of an interactive tool for developing criminal-justice and mental-health partnerships. “You have law enforcement and human-services agencies, with probation involved, individuals from the jail, police officers, the department of mental health from HealthAlliance, and other agencies,” he said. “We’re very aware that many times individuals who are acting out end up in jail because of mental disorders or substance abuse.” The team looks for how to de-escalate situations. Many police officers have taken training in reference to mental health. The police officer comes, and the individual becomes violent. “We’re looking at ways to intervene and provide services instead of punishment, in all aspects of an action,” he said. “Even up to jail and when the person comes out of jail, what can we do to prevent them from going back? We have monthly meetings to discuss progress, and we work with other groups also — a housing group, a transition group. At the shelters, there has been a tremendous increase in heads of households having a mental- health diagnosis like severe depression, bipolarity, schizophrenia or adjustment disorder. It’s increased a lot in the past decade, with a lot of factors involved: diet, medication, loss of community, people have to work, kids are not as supported as they used to be. “Less push for community and more push for individuality,” Altamirano-Segura said. “A lot of things play into it.”
R
anaghan trusts the World Health Organization’s statistics that indicate 50 to 80 percent of individuals diagnosed with mental illness have a history of early trauma prior to the onset of the illness. Most addicts have a history of trauma prior to the onset of the addiction: genetics, predisposition, environment, the role mod-
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Just use another sponge
A
study published in the journal SCIENTIFIC Reports this past summer builds off a German study that undertook DNA analysis of kitchen sponges and found 362 kinds of bacteria. Researchers university analyzed 14 different kitchen sponges and found that they harbor even more bacteria than a toilet. Because sponges are mostly moist and designed for absorption, they PUBLIC DOMAIN PHOTO have the potential to pick up bacteria like salmonella, Don’t try washing the sponge, especially in E. coli, and staphylococcus. your dishwasher. They carry more germs than In order to conduct the study, researchers used a you think. Just use a new one. They’re not so method called DNA pyrosequencing to study the DNA big an investment of 28 samples of bacteria collected from 14 different kitchen sponges taken from private households. They discovered 118 genera of bacteria, most of which were not harmful. However, some were pathogens that could cause infections among humans. Sponges were also deemed capable of spreading bacteria in places where it was not previously present. The study further found that cleaning a used sponge results in almost an equal amount of bacteria as the unclean ones had. Their recommended solution is to replace sponges weekly.
Changing antibiotics protocols
F
or years, the small print on antibiotics packaging was adamant. Take the full recommended dose, whether feeling better or not. Now that old standby is eroding. A recent British study suggests that there isn’t evidence to support the need to complete an entire course of antibiotics. Further, the study reminds us that antibiotic use in general needs to be cut. The problem of antibiotic resistance is growing to epidemic proportions. The recommendation is to stick with what your doctor says, but to feel free to ask whether what’s being prescribed is specifically for you.
els you have in your life, the school systems, peer pressure. “You have to look at the whole person, at everything in that person’s life,” she said. “You can take the chemical away, and you might still have the addictive behavior — which is a block, a barrier to you becoming the person you were born to be.” The current epidemic of opioid addiction, with its tragic increase in deaths by overdose, is also calling attention to the need for intervention and treatment rather than immediate incarceration for people caught in the snare of drug possession and abuse. But possession of alcohol is not illegal. On the contrary, it’s socially accepted, promoted and encouraged. People who drink excessively don’t get confronted in the same ways that illicit substance users do, unless their abuse of alcohol threatens immediate harm to others, such as when they drive intoxicated.
It has taken that research in neuroscience to lessen debilitating self-assessments — the humiliation and dishonor attached to alcoholism that prevents people from seeking treatment. As alcoholism continues to be reframed as an illness rather than a moral defect, people suffering from alcohol disorders are more readily able to work on it. The basic answer is always the same, asserted Ranaghan: “You need to start with safety. People need to feel safe. In groups at the Mental Health Association, we try to establish safety. How do you get people to the place where they can even handle it? The work can’t happen in a hierarchical model. It has to happen in a circle. It’s about shared power between professionals and the people in treatment. And you have to deal with the heart, the mind, and the body.”
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26, 2017 12 | October Healthy Body & Mind
Giggle juice Annalee Orsulich homebrews Mojo tonic to combat brain-tumor effects with a sweet buzz By Carrie Jones Ross
L
ate in 2016 Annalee Orsulich of Saugerties was diagnosed with a benign brain tumor the size of a golf ball — a dangerous condition that literally knocks her off her feet at times. A single parent with responsibility for a toddler, Orsulich felt particularly vulnerable. She was unable physically to return to her previous life in the restaurant industry. Orsulich’s condition, diagnosed in 2016, quickly led to unsteady footing, dizziness and eventual strokes. Having studied herbal medicine while living in Bahia, Brazil, Orsulich thought to revisit a root
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Annalee Orsulich faced down her health challenges by searching out and concocting her own Mojo tonic. Talk about the old adage about turning lemons into lemonade! herb, muriapuama, a nervous system stimulant used by natives for those recovering from paralysis. Orsulich decided to recreate a potion she drank one day in Brazil when she was exhausted, and in need of energy. The root herb was combined with catuaba, a mood elevator and a known aphrodisiac (an assertion not backed by the Food and Drug Administration, Orsulich added), also used for depression. The concoction included guarana seed, a stimulant with more than twice as much natural kick as caffeine. “I ended up going for this run, and walked around stores,” she said. “I was intrigued by the product. I ran home, changed my clothes, took a dance class, and marveled what this stuff was.” The concoction is consumed as a tea in many regions of Brazil, she explained. “The native populations would consume it when they went to war, while on hunts, and at other times they needed endurance.” The buzz lasts about four to eight hours. The potion, Orsulich found, offered her more sustainable energy than coffee, which she characterized as “a straight up-and-down.” Orsulich brewed it. Each herb was given its own distillation process before the ingredients were
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combined. Mojo & Co Roots Tonic was born. She experimented with the brew. “People have very different tastes,” she explained. “It tastes like a sweet tea. Some people think it’s delish, and some people think it’s too intense. I started making different batches with the sweetness dialed down.” Citric acid derived from raw cane sugar is the sweetener. She recommended adding seltzer, or using the tonic as a cocktail mixer. Some people prefer the buzz straight-up. In Brazil, she said, it is consumed as a shot. “The tonic helped me kick my addiction to coffee, and I noticed it elevated my mood because every time I drank it I had the giggles,” said Orsulich’s sister, Mona Orsulich of Beacon, the tonic’s first customer. “I had this dream and vision,” said Annalee Orsulich, “and part of me was even like, Can I do this? But my sister Mona had a great feeling about it. Having one person believe in it made it possible.” Mona had other ideas, too. “I foresee an expansion of the product line and getting the product into boutique markets, while gearing up for statewide and eventually national sales,” she said.
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October 26, 2017 Healthy Body & Mind
Chocolate is good for you
I
talian researchers have completed the largest analysis ever done on how eating chocolate affects the human brain. They examined both long- and short-terms effects, looking at what happens to your brain in the minutes after eating chocolate as well as what happens when you consume chocolate every day for years. The result? Experts at the University of L’Aquila recommend eating dark chocolate on a daily basis. Why? In the study, participants who ate dark chocolate had a better working memory within hours of consumption, quickly improving their scores on memory tests and being able to follow verbal instructions more accurately. They were also able to compensate for lost sleep faster, and older participants found they were able to slow mild cognitive impairment, especially in regards to memory. Researchers also discovered that dark chocolate lessened inflammation, reduced stress, and helped prevent heart disease. According to another study of nearly 5000 Scottish people, those who ate dark chocolate more than five times per week had 42 percent lower risk of heart disease. When buying chocolate, you need to watch out for additives! Some chocolate varieties contain cadmium or lead, which are known neurotoxins. You may consider these two dark-chocolate brands: ‘Lindt Excellence A Touch of Salt’ and ‘Ghirardelli Midnight Reverie.’ Both are free of heavy metals. Also, make sure to take a look at the complete list of the best and worst chocolates so you can ensure eating only the healthiest ones.
Mojo & Co Roots just had its grand opening a few weeks ago. Orsulich said she recently met with a local small-business expert who advised her to expand the product line to include several herbal blends, and to sell herbal tea sachets. Orsulich hopes to do exactly that. The bottle advises three servings per twelveounce bottle — about a half-cup — daily. “Sip a little bit, see how you feel. But maybe
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her facial paralysis. The tonic has also helped “lift her spirits” and given her hope. “My biggest dilemma was how to preserve this without alcohol,” Orsulich went on. “I do a ‘hotfill’ process: I fill the bottles at 180 to 190 degrees, and it seals like it is being canned.” The product is shelf-stable, but the label says it must be refrigerated. She has not gone through the rigors of a governmental certification process. The price point of the product is still being worked out, but it will retail between seven and nine dollars. Tonic is now available at Duo Pantry in Kingston. For information, visit mojoroots.com.
don’t drink it at 4 p.m., and drink it like you would drink coffee,” she said. “My husband didn’t believe me about the effects this drink has. He drank it. Then he cleaned out my car, cleaned out my engine, and then swept the side of the house.” Orsulich spoke about how she can feel the nerve “zapping” back in her face from the tonic, like “shooting pain in my teeth after I drank the leftover tea.” She thinks it’s helped considerably with Family Practice
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26, 2017 14 | October Healthy Body & Mind
Different strokes Exercise at different times of life by Chris Rowley
T
o live well and enjoy life, we need to exercise. We evolved on the plains of East Africa two million years ago as “the running ape.” Before civilization, we spent part of every day in the search for food and water, roaming over a territory that we sometimes also defended from other human groups. We took care of children, built and maintained shelters, made clothing, and fashioned stone tools. Obesity was a very rare condition in those days, but going by the fossils, our ancestors were strong people who lived active lives. To be healthy we have to be active. Modern lifestyles are often inactive, filled with too many of the wrong kinds of calories. We needn’t go to the point of running marathons or climbing mountains, but we should working up a sweat and breathe hard. To do this we can swim, run, bike, hike up mountains. An aggressive approach to housework, PUBLIC DOMAIN PHOTO vacuuming, scrubbing the tub, can do the trick, As we age, exercise is often best handled in group settings, where we can attain the benefits of too. Yardwork is great as well, especially if it’s vigsocializing along with physical activity. orous enough to make you sweat. Walk the dog, is part of your exercise regimen, keeping you in life spent providing and hey, get the dog shape as the years roll on. for our children and moving quickly, too. Folks over 40 definitely need weekly sessions for early man, alas, Jog. Better for both with weights. Nothing extreme, never overdo it. an early death. Very of you. Don’t hurt yourself. Try to work all the muscles few of us out there Our exercise in your arms, shoulders, thighs, butt and core. in the wild reached needs should be What is key with workouts in middle age is learnthe age of 60. Totailored to our age. ing not to push too far too fast. Avoid injuries. If day’s 60 is the new We aren’t the same you haven’t exercised in a while, take it easy. Work 40, and if you take critters at 60 that with a trainer at the gym. Stay within your limits action it can really we were at six. We as slowly increase them. If you injure yourself, you feel like that. change with the won’t be able to run or work out. The kind of exyears. It’s worth ercise regime you taking a look at need doesn’t change ow to your sixties and beyond. If you’ve the guidelines and much from 18 to been keeping it going, getting out on your recommendations late middle age. bike and swimming or skiing, then you’ve given today for inAbout five hours a earned some protection from heart disease or diateresting advice and week of aerobic or betes. If you’re in good enough shape, continue to suggestions. cardio exercise is run, to do pushups, to swim laps, and to take your Today, scientists the bedrock. You bike up and down some hills. It is more imporagree broadly that can run, swim, bike, tant than ever to keep up the aerobic exercise. Get children should be play basketball or in two or three sessions every week with musclerunning and jumptennis, attend aerostrengthening exercises. ing around for at bics classes at a As we age, the bones become more fragile. least 60 minutes a gym, or do some of Take the right kind of calcium supplements and day. Muscles other each. You can even eat your greens. Tendons and ligaments are also than those in their count yardwork or less supple and therefore more vulnerable, so be thumbs and their housework if you protective of them. At this point, going over obmouths should be do it hard and fast stacle courses is probably not the best idea. Perin use. What they enough. Getting haps shorten the distance you run regularly. Take do during those 60 your heart rate up it down a little, slow the pace. Swim more, run minutes is relatively PUBLIC DOMAIN PHOTO is what counts. If less. As long as you push your heart to work hard, unimportant. It just Exercise habits need to be instilled while we are young. you can work in a you’re still getting the benefits. should be active We all know how tempting the couch and channel couple of sessions a In our senior years past 70, keep up your strength. play. changer can be. week with weights, You need flexibility more than ever, and your sense Sports, can, of do your situps and so on, even better. You will reof balance is vital. If you’ve been following a strong course, provide fun and all the aerobics needed. tain more muscle mass and not gain so much flab. regimen, you will be enjoying the benefits now. Basketball and soccer are great outdoor or indoor At age 40 men start to lose testosterone, and But this is also the time to start switching over games for kids of almost any age. Indoor soccer? with it goes five to eight percent of their muscle to more protective forms of aerobic exercise. Use the Futsal ball and unleash your child’s inner mass, decade by decade. Women, also begin to Aquasize classes in a pool are something to look Ronaldo. lose muscle in their forties. And about this point, for. And now is when yoga pays off even more, beExercise goes beyond games, of course, to runmany people stop exercising. Life is hectic, it’s cause flexibility in these years boosts your ability ning, dancing, riding a bike, martial-arts practice, hard to find the time. Some experts recommend to keep up your aerobic program. and the basics like situps, pushups and simple taking up a new sport at this point, like say pickMake exercise a regular part of your life. Treat it gymnastics. And, of course, children should play leball. Some of those determined to stay young do as essential as food, and you can remain physically tag, climb trees, use the swings and slides and evendurance running on obstacle courses, the world active and probably healthy well into your later erything else at the playground. They should also of Tough Mudders and Spartan races. The idea is years. Just look at Supreme Court justice, Ruth learn to swim. to give yourself a challenge, learn something new. Bader Ginsburg doing pushups in her 80s. In later adolescence, some teens may move on Cross-country skiing is another excellent outlet Unfortunately, most people do not see exercise to sport-appropriate exercises, including lifting for those confronted with months when the outthat way. A recent study by the National Institutes weights, kettleball and other core builders, and doors is less inviting for other activities. of Health showed that only a quarter of Americans competitive running, jumping and throwing. This Stretching and yoga are very important as well, between 65 and 75 exercise regularly. Only eleven is best done under supervision to prevent injury. keeping those muscles flexible and free of strains percent of those 85 and more said they did. Sadly, Even if teens do not take up a sport, they should and pains. Indeed, a gym session on Monday the quality of life for those who don’t exercise derun, swim and continue the basic exercises. and a yoga session on Tuesday, with running on teriorates steadily to the point where they can do Wednesday and more yoga on Thursday is the way e peak in our twenties when we little more than sit in a chair all day. Your golden to go. Swim on Friday and run again on Saturday, reach maturity, and begin gradually to years don’t have to be that way, but to avoid that and then go to the gym and lift weights for a halfdecline physically. Nature has loaded us fate you have to make the effort. It’s best to do it hour. Every day should have some activity that for the reproductive role, and following that, a all life long.
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October 26, 2017 Healthy Body & Mind
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Winter is coming The best health tip is to prepare thyself
stone-cold killers that call my place home, Boo Radley and Cheddar the Cheese. So expert on these two, often working in tandem, that my mind is freed up for other things. By Elisabeth Henry Get the woolens out of storage. Buy ice crampons. Put away your damned clogs. he harvest moon I love ‘em, but they are deadly on ice. My wanes over fields friend Sally lost teeth when she trotted to reveal goldenon to her frozen driveway when wearing orange orbs amid them. I foolishly ran down to my barn the blackened wearing mine one frigid afternoon, and wraiths of withsuffered a brutally bruised coccyx for ered pumpkin vines in the soft weeks. mist of autumn mornings. Buy lip balm and hand cream. Stand out Monarch butterflies cling to the in the sun, especially important if you have late blooms of Echinacea, New blonde or red hair. Oh, sure, brag about York aster and sneezeweed. your Neanderthal heritage, but just know Deer are wary. Likewise, turthe purpose of the pigment is to allow you key. The woolly bear could say to absorb Vitamin D through your scalp. the coming season will be mild, You may want to pick up one of those but she might as easily say “Bemood-enhancing light bulbs for when the PUBLIC DOMAIN PHOTO ware!” No matter what she says, A fine suggestion: Hold on to the harvest season’s last roses, the better to days, and your attitude, get really dark. the smart money is on the sure remind oneself that our Upstate winters, and all their health challenges, are not Pick up candles and water. Smarmy rathing, which is that winter is eternal. dio hosts make fun of people dashing to coming. Get ready. the store to stock up on supplies ahead of a The popular thought is that this is the time of blizzard, but for us, keepers of wells, it’s necessary. No I suppose a panoramic view justifies putting on plenty: the yield. But it is with unease we reckon power. No water. And we will need hot chocolate then, sweaters in lieu of stodgy, insulated curtains, but we the peaches are gone, the frying peppers are gone, more than ever! can all live with those stuffed rolls of fabric that lie, the arugula and the asparagus, gone. Been gone. Keep an empty bucket handy. You can still use serpent-like, against door sills. They work. Well, okay. We’ll make do with the apples and pears your toilet when the power goes off and the well Kindling isn’t the only thing to gather up. Be sure and potatoes and carrots, all sorts of squash and beets stop running. Fill the bucket with snow. Let it melt. to pick up and put away all the accoutrements of and other root crops. Kale and garlic keep. summer before the first snowfall. If you use rain barVoila! You can flush! Just don’t touch the toilet hanThat’s the operative word. We must think about rels, empty them now before they freeze and crack. dle until the well pump is working again. what keeps, what saves us from want, because winClear everything away from beneath the eaves, or Make sure your plow is working and chains are on ter brings want. you may find your pretty lawn chairs flattened when the tires of your pick-up. You should have already I don’t know about you, but when winter brings the snow melts in spring. Put your sand or ice melt hired someone to plow for you, if you can’t do it yourwant I want cookies. I don’t know whether it’s the near doors or walk ways. Likewise, snow shovels. self. Don’t wait until last minute for that. You’ll be maabsence of color, the grey skies, the bare earth, the rooned and very cash-poor if you put it off. cold metal of door knobs and steering wheels. I just just cut my last rose of summer. Every year know I suffer from Seasonal Whinging Disorder, this particular plant produces a final, single, tenhere is a hell of a lot to do, so get crackwith its attending digestive symptoms. der, pink bloom. Melancholy, I know. But it’s also ing. Once the momentum builds, you will feel All through July and August I reach for the Queen a pretty signal to remove all the old plant debris energized (young!), as though you are taking of Fruit, watermelon. Bring on the solstice and evfrom the garden beds. I bag it up and take it to the on a fierce foe and winning. Winter can seem that erything switches. Deer are like that. They can’t dump. I compost other things, but I’m not sure the way. Like a foe. digest grasses in cold weather. One winter, a govheat levels in my compost get high enough to kill Most of these suggestions seem to come out of an ernment agency dropped liberal quantities of hay any leftover spores or disease. urgency to take steps to work against winter, but ulthroughout the wild regions to stave off starvation Now is the best time to apply compost and lime. timately they allow us to survive in order to open up in the deer population. The deer died anyway, and It’s also a good idea to put down some grass seed. to it, to how it helps us feel our aliveness. necropsy revealed their stomachs packed firm with The warm days of this autumn, coupled with cool undigested hay. nights, create a good growing environment for The snow So extreme begins my yen for little, buttery baked grass. Have your soil tested. Your local cooperative began here concoctions of oats, chocolate chips and walnuts extension will do this for you. this morning and all day on All Hallow’s Eve that if I were assigned to a senDon’t discard fallen leaves. Make piles to decomcontinued, its white sory deprivation tank for years at a time I could yet pose into leaf litter, or use the shredder application rhetoric everywhere remain spot-on in getting out my greeting cards in your leaf blower to chop the leaves and put that calling us back to why, how, (assuming someone was willing to stop off at the directly in your garden. Fallen leaves are packed whence such beauty and what post office for me.) No matter how heavenly it may with nutrients. Divide spring-blooming and latethe meaning; such seem, eating only crispy, chewy, luscious cookies is blooming plants. an oracular fever! flowing not healthy. Not even if they are free of the trendLet purple coneflower, black-eyed Susans, sunpast windows, an energy it seemed of-the-moment. Like gluten. Not even if they are flowers, and other plants with seeds and berries would never ebb, never settle chock-full of that ancient Mayan secret to a long stand. Birds feed from them in winter. Especially less than lovely! and only now, life and sound mind, chocolate. But that knowledge leave any local, native plants standing for local deep into night, does not stop me from wanting to exist on cookies wildlife. Leave hiding spots for beneficial insects it has finally ended. from solstice to solstice. like spiders, solitary bees, ladybugs and beetles. The silence They rely on logs, brush piles or dead groundcover is immense, This biological imperative must be managed, esto overwinter in. Leaving arugulas or brassica vegeand the heavens still hold pecially now. At my age. You see, the genesis for this tables in the ground, including cabbages, kale, broca million candles, nowhere piece was a question from my much-younger editor coli, Brussels sprouts, cauliflower, and radishes can the familiar things: person who asked if I’d like to do a piece on “preparattract and then kill off harmful pests. For example, stars, the moon, ing oneself for winter, which,” he said, “is like preparthe plants attract nuisance wireworms, but as the the darkness we expect ing oneself for aging.” Winter. Want. Aging. plants decompose in the spring they release cyanide and nightly turn from. Trees Are you reaching for wine or Prozac yet? How compounds that will kill off the worms. glitter like castles about a cookie? If frost hasn’t hit yet, consider cover crops. Cover of ribbons, the broad fields crops, a.k.a. green manure, build healthy soil, beat smolder with light, a passing nough about that. There is much to do back weeds, and serve as aids in pest and disease creekbed lies and the time is now. See to your chimneys! control. You should plant fall cover crops at least heaped with shining hills; Make sure your stacks are free of creosote, etc. four weeks before the frost. You can plant cereal rye and though the questions Did you get your wood in? It’s a good idea to mix cover crops up until a frost. that have assailed us all day up the menu. Pine burns fast and hot, but leaves remain — not a single no coals. Oak and cherry are good for overnight. answer has been found — Gather kindling. Doing that insures quick fires in ou will begin to hear rustling and nestwalking out now the morning chill, and cleans up the property. Try, ling in your walls. Most likely it is mice. Or it into the silence and the light in the future, to remember to order fuel in the sumcould be squirrels. Very rarely, if your house under the trees, mer when prices are cheap. There may still be time is built on a slab, or your porch has a crawl space, it and through the fields, for that, but earlier is better. could be porcupines, woodchucks, or yes, skunks. feels like one. Make sure all heating systems are in good workWhat you do about it is your business. In these – by Mary Oliver, ing order. Trust that, come January, you will notice PETA-fever times, I dare not call upon recollections excerpted from “American Primitive” drafts coming beneath doors and through windows. of past cures here. However, I rely heavily on the two
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26, 2017 16 | October Healthy Body & Mind
BACK IN NETWORK. FOR YOU. We’re proud of the investment we’re making in Ulster and Delaware Counties, including our new contract with Empire Blue Cross Blue Shield. As of September 1, HealthAlliance welcomes you back for the high-quality care you expect, from the local doctors you know and trust. For questions about coverage, care or services, please call: 1-800-613-6617
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