in good Aging & Sex
August 2015 • Issue 10
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CYBERBULLYING Is Your Child a Perpetrator?
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Domestic Violence
Young women in Buffalo are have been found to experience the highest rate of intimate partner violence
Slow Roll
Never Too Old All About the SilverSneakers Page 11
Sweet News About Sweet Corn
At age 55, Phil Zickl, a Lackawanna resident, still plays for the Buffalo Gladiators. He says fitness is a year-round concern
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The Buffalo Slow Roll is one of the opportunities people have to bike. Hundreds get together every Monday evening to bike around Buffalo streets. There is also the MidnightRide, where riders sometimes bike until 4 or 5 in the morning Page 9
Meet Your Doctor Jamie L. Szczepanski, a Buffalo-based OB/GYN, urges women to use preventive health services. “There are a lot of things that can be caught.” Page 6 August 2015 •
It’s been just over a year since New York state passed its strict medical marijuana law, but for hundreds of patients with debilitating or lifethreatening illnesses across the state, the wait is far from over.
IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper
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Cyberbullying: Is Your Child a Perpetrator? By Deborah Jeanne Sergeant
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orse than knowing another student is bullying your child is learning that your child is the bully. Bullying online can be harder for some parents to detect and understand, since today’s children have been brought up in the digital age, saturated with smart devices. Bullying of any sort is different from garden-variety teasing. Children and teens who are “just joking” stop when it goes too far. If they continue, and especially if the attack escalates, that’s bullying. Many bullies enjoy the thrill of hurting someone else who cannot defend himself and the anonymity of the Internet makes it easier. It also permeates every area of the victim’s life. “It’s on the Internet forever and
there’s no escape,” said Jennifer Carroll, licensed clinical social worker in private practice in Buffalo. “Kids could go to school and get picked on horribly but go home to a safe place.” That’s not true with cyber bullying, where checking text messages or getting online dredges up the hurtful words or images. In addition, it’s easy for others to jump on the bandwagon, whether from the victim’s own school or from the other side of the Carroll globe.
The dynamics of bullying have also changed as far as who can perpetrate it. It’s no longer about who’s biggest on the playground but who can best mask his footprints online. That is where parental monitoring comes in. Carroll encourWNY’S HEALTHCARE NEWSPAPER ages parents to stay Baum up-to-speed with technology. To tap into what kids do on their phones, Carroll shows curiosity in their activity. Talking openly works much better than a heavy-handed approach. “As those younger children learn about technology, they have to be Advertise your health-related services or products and reach taught boundaries and appropriate language, what to think before they your potential customers throughout Western New York post,” Carroll said. “Do those things together. If you’re really concerned, for as little as $90 a month. Call 332-0640 for more info. ask for passwords. Ask to be their friend [on Facebook]. But if it looks like they’re not really using it, there might be another alias.” This is especially true if the child spends lots of time on social media with seemingly few posts to show for it. Should you suspect your child engages in cyber bullying, “don’t be threatening,” Carroll said. “If a kid confides in you, they don’t want their device taken away.” It’s important to educate him as to the seriousness of cyber bullying. Some Consider placing your HELP victims become depressed and attempt WANTED ad with In Good suicide, for example. Involving the school authorities Health —Buffalo’s Healthcare may be helpful, depending upon the Newspaper. district’s policies. “Take away the phone and computGET THE QUALIFIED er until the child demonstrates empa-
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thy,” said Wendy Baum, licensed clinical social worker in private practice in Buffalo. If he comes clean and appears sorry, the child should help decide how to make amends. This could include apologizing to the victim and family and researching and Ostrov writing a report on cyber bullying. Shaming the child for bullying behavior only demonstrates that bullying grants power: the wrong message you want to send. “You need to treat the underlying issue,” Baum said. “Is the child insecure and unhappy? Are others bullying the child?” To prevent bullying from happening again, “figure out what else is going on with that child’s life,” said Jamie Ostrov, associate professor of psychology at UB, faculty affiliate of Alberti Center for Bullying Abuse Prevention. Children who are bullied or feel like misfits often turn to bullying others to gain control. “Know what your child is being exposed to,” Ostrov said. “Often, younger children tend to model what they’re seeing and hearing. Talk to them when they see depictions of aggression. Staying quiet gives tacit approval. They also model your behavior.” Bullying children with deeply rooted issues may need professional counseling. Helping children find positive means of gaining respect, such as excelling in a hobby, can go a long way towards preventing bullying.
IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • August 2015
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Domestic Violence Advocates Alarmed by Incidents Involving Teens in Buffalo Area Young women have been found to experience the highest rate of intimate partner violence By Daniel Meyer
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oncentrated efforts to teach children what constitutes a healthy relationship are being made throughout Western New York, with experts pointing out how vulnerable teenagers who are just beginning romantic relationships can be. The facts about teen dating violence is quite shocking, with an estimated 1.5 million high school students nationwide experiencing some form of physical abuse from a dating partner. In addition, it is believed that one in every three adolescents in the country is a victim of physical, sexual, emotional or verbal abuse from a dating partner, a stunning figure that far exceeds rates of any other type of youth violence. As one of the region’s leading advocates for women who are in abusive relationships, Mary Travers Murphy sees a troubling trend emerging among teens who are the victims of significant others displaying controlling behaviors that often result in domestic violence.
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“Teens do not recognize unhealthy relationships, meaning they do not comprehend when they themselves are involved with someone who is using some form of violence and outright intimidation,” says Murphy, executive director of the Family Justice Center. “What it all comes down to is power and control. If we can teach young women and young men early on what is unacceptable, we can make a difference.” The focus on teens, specifically teenage girls, is done by design. Young women between the ages of 16 and 20 have been found to experience the highest rate of intimate partner violence, with females who are victims of intimate partner violence often becoming repeat victims in future relationships. New programs, presentations and seminars have recently been developed that focus on teaching teens how they can avoid abusive relationships. Government agencies at various levels
are sending employees to local schools to have open and honest discussions about domestic violence. “We openly talk about what is a normal relationship and explain how abusive relationships can do serious damage if they are allowed to continue,” said Joseph Chudoba, a domestic violence victim advocate for the Erie County Sheriff’s Department. “We tell them what some of the early warning signs might be and we have gotten some really good feedback from our presentation, with some students immediately approaching us because they want help.” Educating teenagers about relationships can be a challenge but it is something domestic violence advocates believe is needed to avoid abusive relationships.
“We talk with students about the basics of domestic violence and abusive relationships and what signs to look for,” said Brian Mohr, coordinator of the domestic violence unit for the Erie County Sheriff’s Department. “We also work with all of the domestic violence advocates based in Western New York and we do lots of outreach.” What may be the most shocking but also the most telling statistic of all is that an estimated 80 percent of parents believe teen dating violence is not an issue, with many of those same parents saying while they feel confident they could recognize warning signs if their child was experiencing some form of domestic violence abuse, Continued on page 16
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Roswell Scientists Excited with $3.15 Million Grant to Study Ovarian Cancer By Ernst Lamothe Jr.
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bout two years ago, Brahm Segal and Kirsten Moysich, scientists and researchers at Roswell Park Cancer Institute, started talking intently about their independent research efforts to understand and reduce the toll of ovarian cancer. They focused on this cancer because this is one of the most deadly cancers among women worldwide. After discussing ways to enhance their scientific efforts, they decided that combining forces would be the most effective way to make progress in treating ovarian cancer. Their initial hard work has been rewarded. The researchers recently received a five-year grant of $3.15 million from the National Cancer Institute to study immune responses in women with ovarian cancer. “We are ready to do some really exciting work that could have a very high clinical impact for women diagnosed with the worst kind of ovarian cancer,” said Moysich, professor of oncology in the departments of canMoysich cer prevention and control and immunology at Roswell Park. The American Cancer Society estimates that in 2015, about 21,000 women will be newly diagnosed with ovarian cancer. Frequently, the cancer has spread at the time of diagnosis. “Our hope is that these new data will ultimately help us to identify patients who are less likely to benefit from traditional ovarian cancer treatment, but might be candidates for new immunotherapies that Roswell Park scientists are developing,” said Moysich. “This work has the potential to have very high impact because it directly targets patients with the worst type of ovarian cancer which is already one of the deadliest cancers.” The pair wrote the application for their initial grant to the National Cancer Institute almost a year and a half ago. Although well-received, the review panel advised a number of changes. But they remained convinced of the value of this project and resubmitted a second time, successfully. Typically, only about 10 percent of the applications submitted to the NCI are approved for funding in a given review cycle. “It is a real challenge right now getting grants, and without grant funding, essential research will not happen,” said Segal. “These kinds of research projects help foster new therapies for diseases such as cancer and they are necessary in every sense.” Segal, chief of infectious diseases and member of the department of immunology at Roswell Park, said the imPage 4
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mune responses observed in a patient’s tumor environment with advanced ovarian cancer can mimic conditions similar to a person infected with the disease. In cancer, these conditions may increase the spread of the disease. The researchers will evaluate what happens
when certain white cells are activated and platelets on ovarian cancer diagnosis. Segal hopes to identify distinct biomarkers, which could distinguish ovarian cancer patients with poor prognosis from those who have better odds of treatment success. Another major goal of this project is to identify new therapeutic ways to attack ovarian cancer. “With this grant, we will be able to study the ovarian cancer tumors samples to help find new ways to prevent, diagnose and treat the disease,” said Segal. “The Roswell Park biorepositories provide specimens to scientists that are, with patient’s consent, rigorously collected and carefully stored, allowing scientists to answer research questions more quickly.” About 70 percent of women diagnosed with ovarian cancer have a response to initial surgery and chemotherapy. “Some paSega tients do well with chemotherapy for about 18 months to a year and then they relapse. Another 30 percent of the patients don’t respond to any chemotherapy. We need to change those statistics and help more patients,” added Moysich. The doctors were awarded several smaller grants to support their initial research. These grants include funding from the Roswell Park Alliance Foundation, University at Buffalo, and the NCI Specialized Programs for Research Excellence grant for an aggressive, multi-pronged program to search for ways to prevent and cure late-stage ovarian cancer. “These grants are all essential to our work,” said Segal. “Grants like these identify promising scientific work at early stages of development, and that is how scientific breakthroughs can begin.” Both researchers will be using the expertise, resources and infrastructure provided at Roswell Park. “We are thankful to Roswell because we have the luxury of being well funded and that is a big challenge right now,” added Moysich.
IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • August 2015
CALENDAR of
HEALTH EVENTS
Asbury Pointe announces fall open house Asbury Pointe Retirement Community will hold several open houses in the fall. Guests will be able to tour available apartments — many of which have newly-upgraded amenities such as granite countertops, stainless steel appliances and custom cupboards — as well as see the grounds, speak to current residents, get answers to the many questions they have and enjoy delicious refreshments. The open houses will be held from 1 – 4 p.m. on the following days: Aug. 15 and 22, Sept. 12 and 19 and Oct. 17. Asbury Pointe is located at 50 Stahl Road, Getzville. For more information, call 716-810-7500.
Amherst Senior Center holds art exhibit The Amherst Center for Senior Services is hosting an art exhibit featuring the works of local artist Melinda K. Schneider. It opened in July and will continue through Aug. 28 from 8:30 a.m. – 4:30 p.m., Monday through Friday. Schneider has been an artist since she was a small child and majored in art in both high school and college. She has studied privately with artists from Buffalo and San Francisco. She worked as an artist and craftsperson while in San Francisco, painting murals, designing / creating costume clothing for North Beach Leather, and creating masks and costumes for The Renaissance Faires in California. She has exhibited and sold custom jewelry, oil paintings and pastel paintings in Ellicottville, Partners in Art Gallery, Riverwalk and the Lewiston Art Festival. Many of her paintings on exhibit at the center are for sale. The Amherst Center for Senior Services is located at 370 John James Audubon Parkway in Amherst, behind the Audubon Library.
Every Wednesday
‘Everyone Can Dance’ at Canalside Renowned teaching artist Cynthia Pegado has been invited to bring her PDdance classes to Canalside in Buffalo in a program titled “Everyone Can Dance.” It’s sponsored by the National Parkinson Foundation of Western New York (NPFWNY). NPFWNY has sponsored Pegado’s PDdance program for the Parkinson’s community through the summer months, but thanks to an arrangement with the City of Buffalo the program will be extended until the first week of September. “Everyone Can Dance” will be offered from 10:30 – 11:30 a.m. every Wednesday at Canalside, right next to Shark Girl. The sessions are free and open to anyone who is living with a motion limiting condition. The classes are not just for Parkinson patients. Caregivers are welcome, too. More information about the summer PDdance sessions can be found at www.npfwny.org or by calling 716-449-3795.
Correction A story which appeared on page 11 in the July edition of Buffalo/Western New York In Good Health newspaper contained an editing error. A quote by Michael A. Rauh of UBMD Orthopaedic & Sports Medicine should have read, “If someone has a broken arm or a high pain level, they should go to urgent care or a hospital emergency room that are staffed by primary care or emergency medical physicians Rauh who are well-versed in general musculoskeletal care.” The newspaper apologizes for the error.
Serving Western New York in good A monthly newspaper published by
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In Good Health is published 12 times a year by Local News, Inc. © 2015 by Local News, Inc. All rights reserved. 3380 Sheridan Dr., # 251 – P.O. Box 550, Amherst NY 14226 Phone: 716-332-0640 • Fax: 716-332-0779 • Email: editor@bfohealth.com Editor & Publisher: Wagner Dotto • Associate Publisher: Jamie Sandidge (585-317-1671) Associate Editor: Lou Sorendo • Writers: Deborah J. Sergeant, Jim Miller, Gwenn Voelckers, Anne Palumbo, Chris Motola, George W. Chapman, Patrick Broadwater, Tim Fenster, Ernst Lamothe, Michael J. Billoni, Angie R. Lucarini • Advertising: Donna Kimbrell, Marsha Preston Layout & Design: Chris Crocker • Officer Manager: Alice Davis No material may be reproduced in whole or in part from this publication without the express written permission of the publisher. The information in this publication is intended to complement—not to take the place of—the recommendations of your health provider. Consult your physician before making major changes in your lifestyle or health care regimen.
In Good Health is Printed Locally at Buffalo NewsPress
Wellness Institute Takes Holistic Approach to Community Health By Patrick Broadwater
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any health-based nonprofits are tightly focused on a certain facet of good health, such as nutrition or exercise. When it comes to creating a healthy community, the Wellness Institute of Greater Buffalo takes a wider view, examining issues from multiple perspectives and advocating for long-term public policy and cultural changes. “When we talk about a healthy community, most people think of the biological health of people, but we look at the environmental health, civic health and economic health, as well,” said executive director Phil Haberstro, who co-founded the institute in 1989 with John Giardino. “We manage a portfolio of interdisciplinary initiatives that are intended to improve people’s quality of life.” That holistic approach has allowed the Wellness Institute to be involved in a variety of projects affecting community health — from bike sharing, school and workplace wellness programs, to anti-tobacco and clean air measures. It works closely with members of the public and private sectors, community members and other nonprofits to identify problems, propose solutions and create frameworks to effectively
facilitate lasting changes. The Wellness Institute has had a hand in some major public health changes, perhaps none as successful as co-founding the Tobacco Free Erie County Coalition, which led to county- and state-wide clean indoor air legislation. In 1964, Haberstro said, one in two county adults were reported tobacco users. According to 2013-14 data from the state Health Department, the number of adults reported smoking every day in Erie County had dropped to just 18.8 percent. It has also been active in the fight against benzene emissions from the Tonawanda Coke plant, helped to improve the City of Buffalo’s bike-friendliness rating, and played a key role in helping Buffalo earn All-America city honors in 1996 and 2002. Buffalo has been a finalist eight times for the designation, which recognizes communities whose citizens work together on key issues and show outstanding results. The Wellness Institute has a number of other initiatives in place. It has been a strong advocate in securing school and workplace wellness programs, including helping the Buffalo Public Schools bring in more physical education teachers. It is also work-
ing with the city on a fall prevention program and plans to launch a healthy assembly district program somewhere in southern Erie County as well as a social capital measurement tool. The biggest challenge for the Wellness Institute — and other healthbased nonprofits throughout the U.S. — remains figuring out a way to flip the health paradigm in the community so that the focus shifts from treatment and cure to prevention and promotion of healthy lifestyles. The Wellness Institute has been at the forefront of that movement, and Haberstro is optimistic that more change is on the way. “A healthy democracy is the best tool we have of improving health,” Haberstro said. “People want to be involved in the decisions that impact their lives. Once we learn and understand that we can create change, it becomes a sustainable epidemic of healthy democracy. And that will keep positive change moving forward. It’s inherent in our DNA as a nation. “In 25 years, maybe the biggest thing we’ve learned is how to address change, create sustainable change and bring a sense of hope.”
Phil Haberstro (photo) co-founded the Wellness Institute in 1989 with John Giardino. “When we talk about a healthy community, most people think of the biological health of people, but we look at the environmental health, civic health and economic health, as well,” he says. He is shown at Bidwell Farmers Market where the Wellness Institute hosts the Wellness Lane in July and August each summer.
Healthcare in a Minute By George W. Chapman “Government” healthcare Like it or not, almost half (47 percent) of us receive care paid for or provided by Uncle Sam. The number of people/enrollees in millions are: Medicaid, 70; Medicare, 53; Tricare, 13; Veteran’s Administration, 9; Bureau of Indian Affairs, 5. That’s a total of 150 million out of 320 million Americans receiving their healthcare through a government program. The vast majority of the 150 million receive their care from a private physician. Majority of enrollees happy with ObamaCare According to a survey by the politically neutral think tank the Commonwealth Fund, 86 percent of people insured through healthcare exchanges report they are either “somewhat” or “very” satisfied with their coverage. Other figures: • 68 percent of exchange enrollees have a “silver” plan, which is typically what employers offer. • 77 percent reported that finding a primary care physician to care for them was either “somewhat” or “very” easy. • 60 percent reported they got an appointment within two weeks. The number of people without health insurance is at an all-time low of 12 percent. SCOTUS upholds ACA As most predicted, the Supreme Court upheld the Affordable Care Act 6 – 3. The overall intention of the law, to provide affordable care to all Americans, regardless in what state they reside, was tantamount to some poorly
worded phrases in the law. Sixteen million Americans still have access to healthcare and most of them are insured by private insurance companies. The ruling has had a positive impact on both commercial insurer and for-profit hospital stocks, which saw a mini surge upon the ruling that prevented what many called a “death spiral” for insurance companies. NYS offers the most insurers through its exchange (16) than any other state. Baby boomers impact Medicare Those born between 1946 and 1964 are creating a double whammy as they enroll in Medicare. Boomers tend to have more chronic conditions and live longer than their predecessors. Roughly two thirds of seniors now have multiple chronic conditions and about 15 percent have more than six chronic conditions. The 15 percent accounts for 40 percent of all Medicare spending. Annual Medicare spending could exceed $1 trillion by 2023, according to the Congressional Budget Office. The average senior with five or more chronic conditions fills 50 prescriptions and has 13 physicians visits a year. All the more reason for the development of comprehensive, coordinated and integrated care systems like Accountable Care Organizations. Physicians split on ACA While the AMA has been fairly silent, according to a poll of primary care physicians by the Kaiser Family Foundation, physicians are pretty much split right down the middle 50/50 when it
comes to like/dislike the ACA. Not surprisingly, 87 percent of Democratic physicians favor the law and 87 percent of Republican physicians don’t. In any event, despite their opinion of the ACA, 83 percent of the primary care physicians said they were still accepting the newly insured patients. Systems slowly evolving to value based care About 12 percent of payments to physicians and hospitals are now value- or outcome-based. This percentage will increase considerably every year as pure volume-based fee for service payments are phased out. The timing couldn’t be better considering the influx of seniors with multiple chronic conditions as discussed above. Unfortunately, about 40 percent of the healthcare systems out there report they are ill prepared for the dramatic paradigm shift in how care will be provided and paid for. Value-based care requires huge cultural, philosophical and operational adjustments among providers. The keys are interoperability of electronic medical record systems, strategic business intelligence, seamless and effective physician-to-physician communication, the ability to data mine, inspired leadership, excellent transition management, and real time date access. New coding requirements As if your physician doesn’t have enough to worry about with all the rapid changes in healthcare, effective Oct. 1 they will be required to adopt August 2015 •
a new coding system (ICD-10) when submitting bills to Medicare and commercial insurers for payment. Staff must be trained and billing systems modified, which is very expensive. Critics of the new system say the data required for payment is far too detailed and picayune. It should be noted that most other countries have been using the ICD-10 coding system for years. Here are some examples: w55.21— cow bite; w61.33 — chicken peck; v00.01— collision with a roller skater; (I am not making this up.) y92.146 — injured in a prison pool; z63.1 — problem with in-law; w56.22 — struck by orca; y93.01 —injured while knitting. Healthcare question? Check out “Ask the Oracle” at www.newyorkhealthcareforum.com. The site is designed to help consumers navigate the often confusing and frustrating healthcare system. It’s free and anonymous. A volunteer panel of industry experts is at your disposal to answer your question and educate.
GEORGE W. CHAPMAN is a health consultant who operates GW Chapman Consulting in Upstate New York. To reach him, email gwc@gwchapmanconsulting.com.
IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper
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Meet
Your Doctor
By Chris Motola
Many New Teen Drivers ‘Crash’ in Simulated Driving Task Study suggests despite getting licenses, adolescents lacked key skills to stay safe
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round four in 10 newly licensed teen drivers “crashed” in a simulated driving test, suggesting that many adolescents lack the skills they need to stay safe on the road, according to a new study. The simulated driving assessment (SDA) included a 35-minute “drive” replicating 22 variations of the most common scenarios that often cause teens to crash. “During the SDA, 42.9 percent of teens within three months of licensure, and 29.4 percent of experienced adult drivers had at least one simulated collision,” said Catherine McDonald, the study’s lead author, and a postdoctoral fellow at the University of Pennsylvania School of Nursing in Philadelphia. “For every additional error in the SDA, the risk for crashing or running off the road in the simulator increased 8 percent,” she added. Findings from the study were published online in the journal Injury Prevention. Motor vehicle crashes remain the No. 1 cause of death among teens, according to the U.S. Centers for Disease Control and Prevention. Nearly seven teens between 16 and 19 die every day in the United States from motor vehicle accidents, the CDC says. “Our study results show that these newly licensed teens showed mastery of basic skills, such as using turn signals,” McDonald said. “But more advanced driving behaviors, such as braking in hazardous situations and anticipating and responding to hazards, proved challenging,” she added. “It is worrisome that the participants in our study were all licensed drivers yet many had inadequate driving skills, even without common distractions like texting and peer passengers,” she explained.
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Jamie L. Szczepanski, M.D. Buffalo OB-GYN urges women to use preventive health services Q: Your specialty seems to be one of the big success stories in medicine with regard to preventive care. What kind of effect has it had on your patients’ health? A: We definitely recommend following up with preventive care. There are a lot of things that can be caught that can be prevented in the future. It’s especially important with preconception care for pregnancy so we can anticipate any factors that might make the pregnancy more risky. Q: How much of your practice is obstetrics? A: I’d say a little more than half is GYN and a little less than half is obstetrics. Q: Are there any emerging trends in baby delivering? Are C-sections still popular? A: We do C-sections for women who need them. They’ll usually deliver at Women’s and Children’s Hospital or Suburban. I’m not really aware of any new trends. Q: How do you go about building strong physician-patient relationships in your practice? A: We give each new patient the chance to share their medical history with us, ask any questions they might have. We also have patient portal access online where patients can access their lab work and results so they can find that information if needed. Q: How did you become interested in the specialty? A: I’ve been interested in obstetrics since I was very young. I’m a lifelong Buffalonian, so staying here was an obvious
IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • August 2015
choice for me after I finished my training. I have always been fascinated with pregnancy and birth. My main areas of interest are in prenatal care and highrisk obstetrics. Another interest is in adolescent gynecology, including birth control, anticipatory guidance and general GYN care. Q: How do you help prepare a woman for pregnancy? A: We definitely recommend women who are thinking about becoming pregnant, especially women who have health issues that might make the pregnancy more risky, make sure they are receiving regular GYN care so their doctor can help them decrease the risk factors or at least provide information about what complications they might encounter during your pregnancy. Q: Are there any particular local challenges you’ve encountered in providing care to Buffalo-area women? A: I think some of them will be addressed when Women & Children’s Hospital moves to its new site and
Physician Jamie L. Szczepanski works for General Physicians, PC., which has six practice sites in the region. She works in three of those office, downtown Buffalo, East Aurora and Elma. building, which will help patients more easily access those services. For both inpatients and outpatients. It’s not so much that new services will be offered, but we’ll have a brand new hospital for labor, delivery, surgery and post-partum care. Q: Is it difficult to stay organized working out of several offices? A: I actually like going to all the different offices. It provides a good amount of variety throughout the week. And since General Physicians runs all the sites, there’s not a huge amount of variation between how things are run at each site. So from site to site, it’s pretty smooth. Q: At what age do you think girls should start seeing a gynecologist? A: We do recommend an anticipatory gynecology visit around the age of 13. At this point we can discuss issues the girl is likely to encounter within the next few years, as well as answer any questions they might have. Q: What illnesses do you typically treat? A: Heavy periods, painful periods. We provide access to mammograms, pap smears, all that stuff. Q: If you could pass on one piece of advice to the women of Buffalo, what would it be? A: I’d recommend taking advantage of preventive health services. It’s better to treat it earlier if possible, and many health problems become worse with age. Taken advantage of those services when you’re young and healthy can help you avoid problems later in life. Q: What do you think Buffalo has to offer new medical graduates? A: I think Buffalo is a great place to live affordablty. You can get many of the benefits of living in a larger city at a much lower cost of living. I think the people of Buffalo are very friendly. There are a lot of opportunities here professional and recreational activities.
Lifelines Name: Jamie L. Szczepanski, M.D. Position: OB-GYN physician Area of Specialization: Adolescent gynecology; high risk/ complicated pregnancies Hometown: Buffalo, NY Education: University of Buffalo (medical and residency) Affiliations: Kaleida Health Organizations: American College of Obstetrics and Gynecology Awards: 2013 - Excellence in Management of High Risk Pregnancy Family: Single
Breast Cancer Blood Test Though still in the experimental stage, the possibility of predicting breast cancer through blood test could add yet another weapon in the fight against breast cancer By Deborah Jeanne Sergeant
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iagnosing and treating breast cancer early bodes for the best chances of beating it. A new test developed by researchers at the University of Copenhagen may be able to predict a woman’s likelihood of developing breast cancer, before it’s even present. Though still in the experimental stage, the possibility of predicting breast cancer through metabolic blood profile could add yet another weapon in the fight against breast cancer. Mammography is about 75 percent accurate, but can only detect cancer already Bauer present. “The blood test could help target resources,” said Andrea Bauer, nurse practitioner at Breast Care of WNY in Williamsville. “Those women could be put on a prevention drug, high risk surveillance, and followed them more closely to make sure they’re getting
their tests.” Bauer and her husband, surgeon Ron Bauer, operate the facility. The blood test will show an increased risk with 80 percent accuracy. That can arm women and their physicians with the knowledge they need to mitigate the patients’ risk with the other screening tools available. Though 80 percent accuracy seems impressive, 20 percent of women could receive a false negative. “Women tend to not go [for regular exams] if they have a negative test,” Bauer said. “Women who test negative for BRCA mutation, for example, doesn’t mean they can’t have breast cancer in their lives.” Especially women with additional risk factors, such as family health history, should continue to remain vigilant with the screening regimen their doctors recommend. Since 87 percent of breast cancer occurs in women with no family health history, every woman should stick with the screening her physician recommends. At present, most medical professionals agree that annual, baseline mammograms should begin at age 40,
unless factors such as family medical history of breast cancer, which sets the baseline at 10 years younger than when the relative received a breast cancer diagnosis.
“We’ve been doing this 20 years and anything coming along that can help is worthwhile,” Bauer said. “Things can be missed with traditional mammography.”
Breast Cancer by the Numbers Compiled by the Breast Cancer Coalition of Rochester • Over 2.5 million women in our country are now living in the aftermath of a breast cancer diagnosis. According to the National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) Program, on January 1, 2009, in the United States there were approximately 2,747,459 women alive who had a history of cancer of the breast. • Excluding skin cancer, breast cancer is the most commonly diagnosed cancer among women in the United States. • The biggest risk factors for breast cancer are being a woman and growing older. The average age of diagnosis is 61. • A woman in the United States has a 1 in 8 chance of developing invasive breast cancer during her lifetime. It is estimated that a woman age 20 has about a 5 in 10,000 risk of developing breast cancer in the next 10 years; for a woman age 40, it is about 1 in 100, and for a woman age 60, it is about 1 in 28. For more information, visit www.bccr.org.
Abuzz With Hope One year after medical marijuana bill passes in NY — what now? By Tim Fenster
I
t’s been just over a year since New York state passed its strict medical marijuana law, but for hundreds of patients with debilitating or life-threatening illnesses across the state, the wait is far from over. In that time, four severely epileptic children in the Western New York area have died. Their conditions, including Dravet and Lennox Gastaut syndromes, do not respond well to traditional pharmaceuticals but have been treated very effectively by specific strains of lowTHC marijuana. In other words, their lives might depend on pot. That’s one of the reasons why advocates are pushing Albany to expedite the medical marijuana program, which is set to be in place by January. But so far, the state has done nothing to provide emergency marijuana access for those whose lives might depend on it. “We’re left in a situation where almost a year after the bill passed, we’ve had several deaths and no action on the part of the state,” said Julie Netherland, deputy state director of the Drug Policy Alliance’s New York office. This situation is perhaps hardest on parents like Mark and Patrice Williams, whose son Tommy, 10, suffers from Lennox Gastaut Syndrome. The
Lockport family struggles with raising a son who seizes every single day, and is regularly hospitalized for more serious grand mal seizures and related illnesses. Tommy Williams could die any day as the family waits for a potentially life-saving treatment. Medical marijuana has proven roughly 85 percent effective in drastically reducing the number and severity of seizures in children with disorders like his, Mark said. The drug is produced with low quantities of THC, pot’s psychoactive ingredient, and would be administered via a pill, spray or oil. “It’s very frustrating. All us parents are frustrated,” Mark said. “There’s really not a good answer from anybody about why we can’t get emergency access.” The state is reviewing hundreds of groups applying for licenses to produce medical marijuana. Only five licenses will be granted, and each group will only be allowed to operate four dispensaries. That’s a number advocates find insufficient given the state’s physical size and population. State officials say they are on target to begin dispensing the drug by their January deadline.
Advocating for the ill
But advocates are pursuing a
number of avenues to provide emergency access sooner than that. Options include starting a clinical trial for those with life-threatening illnesses, issuing temporary marijuana licenses to qualified groups or shipping marijuana in from states where it’s legal, something Netherland believes that the U.S. Justice Department would not interfere with. Each of these options could be achieved through legislative approval, Netherland said, but would really only require action from Gov. Andrew Cuomo or state Health Commissioner Howard Zucker. The legal and political wrangling is also frustrating for neurologists like Laszlo Mechtler of the Dent Neurologic Institute, which is treating Tommy. Like physicians across the country, Laszlo is excited about the medical benefits of the non-psychoactive components of cannabis. But he feels more research is needed to truly understand how the drug works. “It’s a complicated issue because marijuana is not a pure drug,” he said. “What part is THC, what part is (cannabidiol), what part is the other drugs in the plant?” Laszlo pointed out that seven of the 10 conditions included in New York’s marijuana law are neurological disorders, such as cancer, Parkinson’s August 2015 •
disease, Lou Gehrig’s disease, Huntington’s disease and epilepsy. In each of these instances, it’s a non-psychoactive component called cannabidiol, or CBD, that would be beneficial. Being an oncologist, Laszlo is strictly against smoking the drug; he favors administering the drug via vapor, pill or oil form. He hopes the federal government will re-classify marijuana from a schedule I to a schedule II controlled substance, which will allow for more clinical testing of the drug. But he worries that some patients with life-threatening or debilitating conditions, such as Tommy, cannot wait years for the results of clinical trials. “What would you do with that subset of people that might need it now?” Laszlo said. “I would not wait until the research is over.” For more information on New York’s medical marijuana law, visit www.compassionatecareny.org.
IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper
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Live Alone & Thrive
By Gwenn Voelckers collected together. And guess what? This simple step helped me feel in more control. Almost immediately, my fears began to lessen. Get help, if you need it. Once I had my “stuff” together, I was in a much better position to make sense of my financial situation. I continued to work through Bach’s book, but I found I needed more — I needed a real, live person to help me take the next step and make more progress. That’s when I engaged the help of a financial representative who helped me align my spending, saving and investing with my needs and priorities. He’s been an invaluable coach and motivator. If you’re like me, you may benefit from engaging a professional. If you’re more self-directed and inclined to educate yourself on money matters, there are excellent resources out there in books, magazines and on the Web. Peace of mind and a sense of empowerment are the rewards for women who get their financial house in order. Solid information, personal discipline, and good help from a trusted advisor can turn financial uncertainty into financial security. With increased self-confidence and awareness, you can better protect your future and more fully embrace the pleasures of living alone . . . with a little left over to splurge on something special just for you!
Practical tips, advice and hope for those who live alone
Dollars and Sense: Becoming Your Own Sole Supporter
“
I’ll end up alone and penniless.” That pretty much sums up one of the biggest fears divorced and widowed women have when they find themselves living alone — by choice or by chance — in mid-life. I discovered this seemingly universal fear around money management when I interviewed more than 50 women in preparation for my threepart workshop, “Living Alone: How to Survive and Thrive on Your Own.” I wanted the workshop curriculum to be relevant, so I conducted these interviews to identify the key concerns of women on their own. I learned that managing finances was near the top of the list. While shared responsibility for financial matters is becoming more common these days, it is still the case that many women continue to hand over the purse strings and financial decision-making to their husbands. It’s the “way it was” for many traditional couples, when the man was the primary bread winner, but it’s also the “way it is” for more progressive couples who simply want to divide and conquer when it comes to managing household responsibilities. Problem is, once a woman is out of
the financial loop, she often remains uninvolved forever, which can put her at a real disadvantage. Her knowledge of and self-confidence around money matters becomes very diminished. Simply put, when one spouse — man or woman — controls the finances, the other can be left in a vulnerable position when the marriage ends. This vulnerability was expressed over and over again in the interviews I conducted, which is why I devote a portion of each workshop to getting one’s financial house in order. I consulted with my financial adviser and together we identified a few essential steps to help women gain control of their money and make progress toward financial autonomy: Come out from under the covers. Ignorance is not bliss when it comes to financial management. Women, and men alike, need to find the courage to get “up close and personal” with their financial circumstances. I avoided looking into my financial mirror for years until the fear
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of not doing anything was greater than the fear of facing reality. Fear, in my case, turned out to be a blessing in disguise — a real motivator. It prompted me to get my act together and seek help. There’s no time like the present to take charge of your money and your destiny. Find your stuff. David Bach, renowned financial expert and author of “Smart Women Finish Rich” says it best: “Getting organized is one of the keys to financial security. It begins with finding your stuff.” Before you can plan your financial future, you need to figure out where you stand financially in the present. It starts with gathering together all your financial documents in one place. I cleared out a file drawer in my desk, purchased new hanging file folders, and started labeling the files according to the instructions in David Bach’s book. It didn’t take as long as I thought it would and I felt a great sense of accomplishment once I had everything
Gwenn Voelckers is the founder and facilitator of Live Alone and Thrive, empowerment workshops for women held throughout the year in Mendon, N.Y. For information about her upcoming workshop or to invite Voelckers to speak, call 585624-7887 or email gvoelckers@rochester. rr.com.
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Weekly Bike Rides: It’s More About Sense of Community Hundreds get together every Monday and every Sunday to bike around Buffalo streets — some until 4 or 5 in the morning By Tim Fenster
B
iking in big groups — that’s the philosophy driving the Buffalo Slow Roll, one of several largegroup bike rides that takes over the streets of Buffalo one evening per week during the region’s warmer months. “We try to have an organized ride where people can be safe, have a good time, be a little bit healthy and have fun,” said Tony Caferro, a founder of Slow Roll Buffalo. “And it becomes less about riding bikes as it is about community.” The Slow Roll concept was started in 2010 by co-founders Jason Hall and Mike MacKool who created Detroit Bike City in Detroit. That ride began with only a handful of riders, but quickly grew to include thousands of participants. There, too, riders hit the streets every Monday evening, keep the pace slow and easy, and draw in people from across the region and all socio-economic backgrounds. The concept surged last summer when Apple featured the Detroit Slow Roll in an iPad commercial. “So instantly hundreds of cities worldwide wanted a slow roll,” Caferro said. “The Slow Roll brand is taking over the world.” That summer, Caferro also brought the Slow Roll to Buffalo, launching three “pilot rides” that were attended by hundreds of riders. This year, organizers began holding the ride weekly, every Monday at 6 p.m. from May 11 to Oct. 21. The ride staggers its starting locations throughout the city, choosing poor and neglected neighborhoods as often as popular
Slow Roll
destinations, such as, say, downtown or the Elmwood Village. “The whole point of the ride is to bring people into parts of the city they don’t normally see,” Caferro said. The ride always ends where it starts, and is usually followed with food and drinks. “So you can bring your bike A recent bike ride sponsored by the Buffalo Slow Roll has been in place since last summer. The concept on a car, do a loop, be is to gather a large group of people every Monday evening and bike for several hours through different at the same place, have some food and beer after neighborhoods. “The whole point of the ride is to bring people into parts of the city they don’t normally see,” says Tony Caferro, the event’s coordinator. work,” Caferro said. With good weather, organizers might bring in 500 or more riders. The leisurely ride comes with these group rides. But that ride is less organized and only runs about eight to 10 miles, and “There’s almost no more empowmore rebellious than the slow roll. Midwelcomes riders of all ages and skill night riders often go places you are not ering feeling than going out on the levels. road with 100 to 150 people,” said rider exactly allowed at night (parks, indusNovice riders can get all the help Lloyd Hunt. “There’s no greater sense trial areas), and many bring backpacks they need from the so-called squad, of freedom than riding a bike.” full of beer to drink at their stops. the volunteer group that runs the ride. But riders know their limits and do Squad members do everything from all they can to ensure everyone has a pass out water to fix flat or under-insafe and enjoyable experience. flated tires to halt traffic at intersec“There are people that stay back at tions. stops, help pick up litter. They all come together as a group. We want a very reMidnight bike riding To learn more about the spectful ride,” said Chris Sluce, a rider Buffalo Slow Roll, visit www. This sort of camaraderie and from West Seneca. SlowRollBuffalo.org or “like” friendliness is also evident at another The midnight ride can run as late the group Slow Roll Buffalo on large group ride, the midnight bike as 4 or 5 in the morning and covers Facebook. To learn more about ride, which meets every Sunday night roughly 20 to 30 miles. Like the Slow the MidnightRide, “like” the at the corner of College and Allen Roll, the ride brings in residents of all group Midnight Ride in Buffalo streets. ages and backgrounds. on Facebook. With good weather and a holiday Many midnight riders say they For information about other weekend, more than 500 riders will enjoy the quiet and emptiness of city weekly group rides, visit www. take to the streets in the wee hours of streets at those times, as well as the BuffaloByBicycle.com. Monday morning. sense of freedom and camaraderie that
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IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper
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Page 9
Road Warrior Helene Neville, a nurse who is on crusade to run more than 3,700 miles from New Brunswick, Canada, to Ocean Shores, Wash., makes a stop in Buffalo By Tim Fenster
T
here’s just no slowing Helene Neville down. The former nurse, published author and health activist has competed in bodybuilding, climbed Mount Whitney, ran marathons across the world and undergoes rigorous, cutting-edge muscle training. Now she is on the road, quite literally, toward her most impressive accomplishment yet — running the perimeter of the continental United States. So far, she has run three of four legs, totaling more than 7,000 miles. Her current trek — the last of the four leg-journey — began May 1 at St. Stephen, New Brunswick, Canada and is expected to end Sept. 5 in Ocean Shores, Wash. That’s an approximately 3,700 mile run. Along the way, Neville plans to visit her granddaughter in North Dakota. She will also celebrate her 55th birthday on the road. “I’m a pretty strong 54,” she said with a laugh, speaking over the phone from a remote area of Maine. But it’s more to her than just a very long run. At almost every city she passes, she visits hospitals, schools, cancer centers, police and fire stations and more to spread her message of good health and perseverance. With more than 30 years’ experience in nursing, she calls on nurses to become “ambassadors” of health and wellness. “You can’t inspire others if you’re not healthy yourself,” Neville said.
“You don’t have to be a size 2; it’s about being your healthiest you.” Though a lifelong fitness aficionado, Neville credits her fight with Hodgkin’s lymphoma with pushing her to test the limits of what the human body and mind can accomplish. That battle included three brain surgeries, chemotherapy and radiation, and helped remind her what a precious, delicate gift life is. “I was strong before I was sick, but maybe cancer gave me the opportunity to display my strength,” she said. In 2010, at the age of 49, Neville set out on her Run Across America, which began in Ocean Beach, Calif. and ended in Atlantic Beach, Fla. She completed the 2,520-mile run in 93 days. While she may not have been the first to cover that distance — she was the 15th female and the 236th person overall — she was the first to tackle the southern route in the heat of summer. “It was hot as hell,” she said. The next year, 2011, Neville was diagnosed with T-Cell lymphoma and once more underwent treatment. Upon her recovery, she decided to continue her journey, and in 2013 she ran from Vancouver to Tijuana — a 1,500 mile run that she finished in 45 days. The next year saw Neville tackle the eastern seaboard. She departed from Marathon, Fla. on May 1, 2014, and ran into Portland, Maine, on July 6. That was about 2,000 miles.
Helene Neville, a former nurse, published author, cancer survivor and health activist, is on a journey to run 3,700 miles from New Brunswick, Canada. She recently made a stop in Buffalo. She is shown on Route 20 (Broadway) in eastern Lancaster.
Effective training system
For this year’s trans-continental run, Neville is averaging about 24 miles per day. She attributes her super-human stamina to Evo Ultrafit, a training system that teaches maximum body efficiency. The system taught her to keep the weight and impact of running on her muscles, rather than joints, allowing her to run marathons without shin splints or joint pain. “For the most part, it’s about re-
Photo of Helene Neville taken in Maine in May at the beginning of a 3,700 run. She’s expected to complete her run in Ocean Shores, Wash., on Sept. 5. Page 10
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IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • August 2015
wiring your brain to keep your body in position,” Neville said. “It’s science, it’s about what works for your body.” So far it seems to be working. She was in good spirits when she ran into Lancaster on May 29, having followed Route 20 from Richfield to eastern Iowa. She didn’t even seem particularly tired. Neville stayed near Buffalo for two nights, snagging a ride early May 30 to return to the exact spot where she stopped running the afternoon before. While in the area, she stopped at Rochester’s Highland Hospital to meet with nurses and drop off copies of her inspirational books. She also tried to visit Sisters of Charity Hospital and the Erie County Medical Center. Unfortunately, the hospitals had strict policies on photo releases for their nurses and she wasn’t allowed entry, she says. “I’ve gone 7,000 miles and I’ve never been turned away,” she said. Still, Buffalo’s reputation as a City of Good Neighbors was not entirely lost on her. Security guards outside the hospital snapped pictures with her. Everyone she met was extremely cordial. And one area resident, Susan Freiss from East Aurora, took her in for two nights and showed her around the village. “[Western New York is] beautiful. I loved it. Everywhere I went everybody was super nice,” she said. When the great run is finished, Neville will continue to tour hospitals across the nation, urging nurses and non-nurses alike to “rethink impossible.” She hopes to return and speak at ECMC and Sisters of Charity, noting that she left her business card at both. “Maybe they’ll call me back,” she said. “Who knows?” To learn more about Neville’s story, visit www.oneontherun.com.
SmartBites
Plus, corn is super low in both fat and cholesterol.
By Anne Palumbo
Helpful tips
Look for husks that have good green coloring and golden, supple silks. Kernels should be tightly packed, plump, and come to the tip of the cob. Store corn, still in its husk, in the refrigerator for no more than two days (the sweetness declines as it ages). Purchase organically grown corn for 100 percent assurance that it is not GMO. Curious about GMO? Wegmans’ website (wegmans.com) is full of good information.
The skinny on healthy eating
Sweet News About Sweet Corn
D
o you suffer from corn-a-phobia? It’s a worrisome condition brought on by corn’s high carb content and its potential for genetic modification (GMO). Yes? Pull up a chair; we need to talk. I, too, once shunned corn because I thought it was bad for me. But not anymore. Once I got savvy to the “good carbs” in corn and learned more about GMO, I can’t get enough of this nutritious vegetable — especially now. First, the carbs. It’s true: Corn is high in carbs, with a medium ear posting about 30 grams. But unlike the simple carbs in, say, a glazed doughnut, that zip through your system lickety-split, the carbs in corn are complex and take longer to digest. According to a study published in the “Archives of Internal Medicine,” foods that are absorbed more slowly into the bloodstream and have a more gradual effect on blood sugar levels may help lower the risk of Type 2 diabetes. Go, corn! A belief that corn is high in both sugar and calories also triggers corn-aphobia. Guess what? Corn is surprisingly low in both, clocking in at around 3 grams of sugar
and 100 calories per medium cob. As a comparison — a medium banana has about the same number of calories and nearly 15 grams of sugar; a medium apple: 95 calories and 19 grams of sugar. Now, the genetic engineering of corn. While 90 percent of “field corn”— the virtually inedible commodity crop used to make everything from livestock feed to ethanol to corn syrup — is genetically modified, most sweet corn is not. Recent tests conducted on sweet corn samples by several grassroots environmental organizations found that less than 4 percent of the sweet corn grown in the U.S. was GMO. When asked, major grocery store and farmers markets representatives in our area said that their corn was not GMO. More reasons to get sweet on corn: One medium ear boasts about 3 grams of fiber (good for bowel health), 4 grams of protein (a workhorse nutrient), decent doses of B vitamins (brain and nerve boosters), and especially high concentrations of two antioxidants that may promote healthy vision.
Charred Corn Salad with Basil and Tomatoes Adapted from Bon Appetit 4-6 servings 2 ears corn, husked 3 tablespoons olive oil, divided ¼ cup thinly sliced red onion 1 clove garlic, minced 1 cup cherry tomatoes, halved or quartered 1 cup black beans, rinsed ½ cup fresh basil leaves, slivered juice from 1 lime 1 small red jalapeno pepper, diced (optional) ½ teaspoon salt ¼ teaspoon coarse black pepper
LEARN HOW TO CHANGE THE WAY YOU LOOK, FEEL AND LIVE THROUGH HEALTHY EATING Special Guest Speaker: Robbie Raugh, RN; Board Certified Integrative Health and Nutrition Practitioner, Radio Host on WDCX, Fitness Expert WKBW TV 7
“The doctor of the future will no longer treat the human frame with drugs, but rather will cure and prevent disease with nutrition”
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7/23/15 9:37 AM
Anne Palumbo is a lifestyle columnist, food guru, and seasoned cook, who has perfected the art of preparing nutritious, calorie-conscious dishes. She is hungry for your questions and comments about SmartBites, so be in touch with Anne at avpalumbo@aol.com.
Finally.
EATING HEALTHY
LIFE
AHEAD: Salad can be assembled 1 hour ahead. Let stand at room temperature.
Heat a gas grill to high. Rub corn with 1 tablespoon oil. Grill, turning frequently, until corn is charred and heated through, 10-12 minutes. Remove from grill; when cool enough to handle, cut kernels from cobs and transfer to a large bowl. Stovetop method: Cut the kernels from the cobs and place in a small bowl. In a large skillet, heat 1 table-
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spoon oil over medium-high heat and add corn. Cook, stirring frequently, until corn looks slightly charred and is heated through—about 5 minutes. Reduce heat to medium if corn starts to burn. Transfer to a large bowl and let cool. DO AHEAD: Corn can be made 3 hours ahead. Let stand at room temperature. Place onion in a strainer and rinse with cold water to mellow its flavor. Drain well. Mix remaining 2 tablespoons oil, onion, garlic, cherry tomatoes, black beans, basil, fresh lime juice, and diced pepper into corn. Season to taste with salt, pepper, and more lime juice or oil, if desired.
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IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper
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Page 11
Golden Years
Aging & Sex Do They Go Together? Are seniors, retired and with their kids gone, having a time of their lives when it comes to sexual life? By Angie R. Lucarini
H
ere’s a shocker: Did you know that more elderly people are having sex than ever before? Even more shocking: Widows are admitting to continuing to have sex, after their spouses are gone, even through self-gratification. We’re talking about grandparents! Many in our youth-infatuated society become uncomfortable at the mention of seniors who are sexually active. Well, I say it’s time for everybody to deal with it, because it is happening. We hear about it all the time. It’s on TV, the Internet, digital billboard screens, and let’s not forget the ever-faithful magazines near the grocery checkout waiting to sell us the latest gossip about who in Hollywood is or isn’t having it. Yet, as it refers to those who are 50 or older and, no offense, but for purposes of this article, that also means you are now old enough to be considered somewhat elderly, older, a senior and a grandparent. OK, I’ll stop there. I think you get the picture. Sex is usually spoken of in terms of reproducing, youthful allure and power as presented in the way it is used to sell products. Just don’t use the word “sex” in the same sentence when speaking about grandma and grandpa, because you’ll hear a resounding “eww!” as Jimmy Page 12
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Fallon likes to say. Young people rarely want to speak of or even consider the idea of getting older, let alone conjure up the thought of their parents or grandparents getting together with each other, let alone another partner for sexual relations. It just grosses them out and interferes with the notion in their egocentric minds of invincibility. Still, with current research showing sexually transmitted disease cases are on the rise among those who are over the age of 50, and HIV cases seeing a 10 percent increase for men in the same age category, we have to begin the discussion somewhere.
The awkward factor
Hey, we all get it. Talking about sex with someone who looks like grandma or grandpa brings some level of discomfort for young people. News flash: Research shows that, for the most part, those who are old enough to be experience that same awkwardness when discussing their active sex lives with those young enough to be their grandchildren. Regardless, with people living longer, and new products being developed everyday, these talks need to occur. I spoke with nurse practitioner Maureen Westgarth from physician Todd M. Orszulak’s office in Niagara
IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • August 2015
Falls, where she treats elderly patients everyday and is required to do health screenings on them during each visit. Westgarth confirmed the statistics I found in my research, stating the biggest areas where she sees elderly patients being sexually active are in their 50s, 60s and then 80s. She sees a significant drop off in the 70s and 90s categories. Westgarth also said she has seen an increase in the amount of STD cases among senior citizens. We discussed why the rise of activity at the age of 80. One reason we found was that women are living longer than men, thus becoming widowed and either re-entering the dating field or remarrying. I introduced Westgarth to a related phrase I found in reference to this subject of sexual activity in late adulthood. It is “use it or lose it.” It means research and studies have shown it is better to continue having an active, healthy sex life while you are young, middle-aged and into your elderly years (hence, “use it”). They prefer to “use it” for fear they may not be in good enough health to be sexually active later on down the road (thus, the term “lose it”). While she hadn’t heard the term yet, she couldn’t help but smile, adding that, it made sense and she’d have to remember that for her own marriage,
as she’s still young. In fact, now that their kids are gone and many are retired, a good proportion of the middle-aged and seniors are actually enjoying a more active sex life than they did when they were younger. The idea behind this is they don’t have to worry about using birth control after menopause. They also have much more time to themselves to go on adventures, rediscovering each other, not being concerned about timelines and who might walk in. Sex becomes brand new to them. Unfortunately, Father Time leaves no one unscathed. Aging will have its downside, even for sex. For men, biology is their biggest impediment to sex later in life. A large portion of men deals with being impotent first while women are outliving them. Believe it or not, masturbation is found to be the most common sexual practice in late adulthood. I read that one survey had men at 43 percent and women 33 percent for those who were over the age of 70, and this is at a rate of once a week. The reason is obvious: They are alone and want to have sex still. The desire for sex does not go away simply because someone gets older. For women, the problem becomes more about opportunity and availabil-
ity at that age. Because they are outliving men, they are often ending up widowed and single again. Even so, all is not grim by far.
Products enhance virility
Today more than ever, new medicines and products — for example, K-Y Jelly and other water-based lubricants available on the market — make it possible for women in late adulthood who face hormonal issues to once again look forward to the pleasures found in sexual intimacy. Thanks to the development of current medications, such as Viagra, Levitra, and Cialis just to name a few, elderly couples dealing with the unpleasant reality of physiological changes that occur as we age now more than ever have plenty of options for dealing with them. Hence, if elderly men are struggling with impotence, it doesn’t have to mean the demise of their sex lives. Unfortunately, studies have shown that only a fraction of men that struggle with impotence will end up going to their physician or seeking out any type of help. Intrigued with this subject, I dove a little deeper and picked the brain of another professional that specializes in this area — Dave Stornelli of Alexander Medical Group in downtown Rochester. Stornelli said more time should be spent talking to the elderly about sex. However, he said, “The extensive amount of material that must be covered in one visit precludes the sexual history due to insurance regulations, necessary scripts, updating medications and addressing new health concerns,” Stornelli said. “In an ideal world, health care officials would have more time to adequately cover sexual history with seniors.” Another study by the Centers for Disease Control and Prevention shows that 20-to-25 percent of HIV positive people don’t even know they are infected with the virus. The study done at Indiana University and published in the Journal of Sexual Medicine studied sexual habits of more than 5,000 people aged 14-94. It revealed that 91 percent of men over 50 aren’t using condoms when having sex with a casual acquaintance and 70
percent didn’t report using a condom with a partner they just met. Women prove to be just a bit more cautious. A survey at the University of Chicago found 60 percent of women who were both single and between the ages of 58-93 hadn’t used a condom the most recent time they had sex. Women of that age group tended to have a carefree false sense of security, operating in a “post-menopausal state of mind,” the study said. Nevertheless, STDs are still a very real and present danger, as both Stornelli and Westgarth reaffirmed. One thing is for sure if you have elderly people in your life: There’s a good chance they’re having sex. If you are advocating for them, begin speaking to them about this topic. Ask their physician to speak to them about STD testing and using contraceptives. If your loved one is in an assisted living facility or a nursing home, speak to a health care worker there about it. Don’t assume it’s not happening there, because studies show sex is also taking place there too. Perhaps you can volunteer to begin discussions at your loved one’s facility. However, I wouldn’t try to act as the police and stifle all relationships. Remember, you are dealing with full-grown adults here, not children.
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Do you have irritable bowel syndrome (IBS)? Currently, there is no satisfactory medical treatment for IBS (abdominal pain with diarrhea and/or constipation), but research scientists at the University at Buffalo are hard at work to try and change that. Volunteers are needed to participate in an NIH funded research study to evaluate a scientifically backed, not drug treatment for IBS. Qualified participants must be between 18-70 years of age and will receive all study related care including doctor visits, assessment and study treatment at no cost. Eligible participants will be paid $250 for your time and travel expenses.
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For Information and application, call 716-871-0219 August 2015 •
IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper
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Page 13
Golden Years Healthful Dining for Seniors Where you go to dine makes a big difference, say experts By Deborah Jeanne Sergeant
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or many seniors, eating out fills both social and nutritional needs. But it’s important to choose wisely to support good health. Where you go to dine makes a big difference. Fast food restaurants offer fewer nutritious choices than many sitdown restaurants, for example. Most of their offerings contain too many calories, too much sodium and too much fat. Since each of these areas can contribute to health problems for many seniors, it pays to select a restaurant carefully. Planning ahead can make ordering easier. Look up the nutrition information from your favorite restaurants before going out so you have a few ideas of what healthful options you could order. “Choose restaurants that are starting to put healthy choices on the menu,” said Kenneth Garbarino, geriatrician with Kaleida Health. Even at restaurants with few
healthful options, how you order can help you stay within a healthful diet. Especially if you go out often, you can forgo the “extras” that tack on unneeded calories and fat. Ordering a broth-based soup and a salad (dressing on the side) as a meal can help you eat better, for example. Most restaurants serve enormous portions. To aid in portion control, share an entree with a friend. Most restaurants will bring a second plate. Or box half of your entree to take home before you even begin eating. You can also “spoil” your appetite by eating a nutritious snack such as a piece of fruit 30 minutes before going out. That way, you won’t select a tempting but less-than-healthful entree or overeat with an appetizer plus an entree. Prevent overeating by pacing yourself with the table’s slowest eater. Or take one bite for every three bites of your dining companions. It’s easy to at-
tack the bread basket if you’ve finished your entree and others are still eating. Sheila Flavin, registered dietitian practicing in Amherst, recommends not eating the entire entree. “Portion sizes are so large at restaurants that even eating only half of what is served is usually way too much,” she said. “Try to order half portions or order off of the appetizer menu as your main course.” The children’s menu may offer smaller options, as well as good beverage choices. Ask for low-fat milk instead of soda. Unsweetened tea or coffee or water are also good choices. “Limit alcoholic drinks,” said Frank Giardina, registered dietitian and owner of Smart Nutrition by Frank in Williamsville. “Two alcohol portions for men and one for women.” Alcohol contains a wallop of calories and impairs judgment as well. To maximize your meal’s nutrition, Giardina suggested skipping the
mostly empty calories in white bread rolls, saltines and chips offered free at the table. Order items that contain whole grains, such as brown rice, a side salad, steamed vegetables and a lean cut of meat that’s broiled, baked, roasted or grilled. You can also request no-salt preparation so you can minimize the sodium content. “Inquire with the server about what is in things,” Giardina said. “Don’t feel embarrassed to ask for them to cook or serve you differently. They want your business and will do all they can to accommodate you.”
SilverSneakers Motivates, Educates
Program for active seniors is available at several locations in the region By Deborah Jeanne Sergeant
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veryone needs exercise to age well. Exercise aids in weight loss, reducing blood pressure, controlling blood sugar, maintaining good balance and keeping bones and muscles strong. It takes some effort, and most people could use a little more motivation to get out and get moving. That’s what SilverSneakers Fitness is all about. Offered at numerous gyms and community organizations, the program provides seniors with discounted memberships and programs well-suited to seniors’ needs. About 13,000 facilities nationwide offer the SilverSneakers Fitness program (www.silversneakers.com), which is handy for snowbirds or those who enjoy traveling during retirement. Members may use as many different facilities as they would like and any of the equipment or classes they wish (with some exceptions). About one-fifth of people 65 and older qualify, according to the organization’s website. Many insurers and Medicare plans include SilverSneakers Fitness. Joining is easy. “I can type into the computer their insurance information, their name and contact information and it will tell me whether they’re eligible or not,” said Jamie Schlierf, assistant manager and teacher at Catalyst Express in West Seneca. “We have them sign a contract saying they’re using their insurance for Page 14
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their membership and that’s it.” By working through SilverSneakers, gym owners don’t have to worry about seniors’ budgets prohibiting their gym patronage, unlike a scenario where they pay the membership out of pocket. Community centers can also benefit from attracting new members who may be interested in other, paid programs or volunteering. Typically, a gym offering SilverSneakers receives reimbursement each time the member visits the gym up to a certain maximum number of visits, equivalent to most gym’s membership fees. Additional visits won’t be covered; however, most gyms offer members unlimited use anyway. It makes business sense for the facility owner to make his gym as welcoming an environment as possible to seniors by offering senior-oriented programming, classes and equipment. SilverSneakers programs typically include walking, light weights, chairbased exercise and other ways to keep seniors moving, all led by personnel trained by SilverSneakers. These meet the fitness requirements of seniors needing lower-intensity exercise. “Everything is optional to sit in a chair for SilverSneakers classes,” Schlierf said. “It’s lower impact.” She said that about 20 to 30 members of the gym have signed up through SilverSneakers. Insurance companies typically cover SilverSneakers and gym mem-
IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • August 2015
berships since staying fit can reduce the severity and prevalence of health issues. A planned monthly expense—the gym membership—can help prevent a large expense, such as surgery and recovery from a broken hip. Seniors can’t beat the deal. As part of the insurance coverage they already receive, they get unlimited access, and, in many locations, programs that are easy on the joints. “They really appreciate the free
gym membership,” said Maria Kreher, manager at BCPA Fitness in Williamsville, which has about 60 SilverSneakers members. “I think it helps them stay fitter.” Kreher thinks the name helps people new to exercise feel more comfortable trying SilverSneakers. “It sounds more doable than ‘Total Body Sculpt’ or a boot camp class,” she said.
In a typical SilverSneakers class, seniors do a number of exercises, including stretching. Offered at numerous gyms and community organizations, the program provides seniors with discounted memberships and programs well-suited to their needs.
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How to Protect Your Eyes from Macular Degeneration Dear Savvy Senior, Is macular degeneration hereditary? My mother lost her vision from it before she died a few years ago, and now at age 65, I’m worried I may get it. What can you tell me? Nearsighted Susan Dear Susan, Having a parent or sibling with macular degeneration does indeed increase your risk three to four times. But the good news is there are things you can do to protect your eyesight, and a number of treatments that are available if you do happen to get it. Here’s what you should know. What is AMD?
Macular degeneration, also known as age-related macular degeneration (or AMD), is the most common cause of vision loss in people over age 50, affecting about 10 million Americans. AMD is a progressive eye disease that damages the macula, the part of the eye that allows us to see objects clearly, causing vision loss in the center of your vision. This affects the ability to read, drive, watch television and do routine daily tasks, but it does not cause total blindness. There are two types of AMD — wet and dry. Dry AMD, which affects about 90 percent of all people that have it, progresses slowly and painlessly over a period of years. While wet AMD is much more aggressive and can cause severe vision loss in a matter of weeks or months. Factors that can increase your risk of getting AMD include age (60 and older); smoking; excessive exposure to sunlight especially if you have light-colored eyes; certain genetic components; a family history of AMD; high blood pressure; obesity; and being Caucasian. For anyone over the age of 60, it’s
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Preventing AMD
While there’s currently no cure for AMD there are some things you can do if you’re high risk. One option is to talk to your doctor about taking a daily dose of antioxidant vitamins and minerals known as AREDS — vitamins C and E, plus copper, lutein, zeaxanthin, and zinc. Studies by the National Eye Institute have shown that AREDS can reduce the risk by about 25 percent that dry AMD will progress. Most drug stores sell these eye supplements in tablet or soft gel form over-the-counter for around $20 to $30, but be aware that not all eye supplements contain the proper formulation. Choose either the PreserVision Eye Vitamin AREDS Formula, PreserVision Eye Vitamin Lutein Formula, PreserVision AREDS2 Formula, or ICAPS AREDS. These four options contain the right formula mix. Other lifestyle adjustments that may help prevent or delay AMD include eating antioxidant-rich foods such as dark green, leafy vegetables and cold-water fish for their omega-3 fatty acids; protecting your eyes from the sun by wearing UV protective sunglasses; controlling high blood pressure; exercising regularly; and if you smoke, quit.
Wet AMD Treatments
For wet AMD, there are several effective medications (Lucentis, Avastin and Eylea) available that can stop vision loss and may even restore it. These medications are given by injection into the eye, and repeated every month or two, perhaps indefinitely. Note that each of these three drugs works equally in treating wet AMD, but there’s a big cost difference. Avastin costs just $50 per month, compared with $2,000 for the other two. So experts recommend Avastin as the first choice for most people with wet AMD, especially if you don’t have supplemental Medicare coverage. Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit www.savvysenior. org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.
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August 2015 •
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IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper
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Page 15
Domestic Violence Advocates Alarmed by Incidents Involving Teens
The Social Ask Security Office
Continued from page 3 less than half of them could not correctly identify all of the warning signs of abuse taking place. In addition to speaking directly to students, talking to educate parents, teachers, guidance counselors and board of education members about teenage domestic violence is something that Jessica Fitzgerald is passionate about. “Some schools are more willing and aware to address it, while other schools are less willing and not totally aware of how significant a problem this is,” said Fitzgerald, a social worker at the Family Justice Center. “Making the parents aware is crucial. In many cases, the parents are completely unaware that their child is in an abusive relationship.”
Violence around corner
The ability of abusers to bully, intimidate and control their victims is how unhealthy teenage relationships can develop into nightmarish incidents of domestic violence. “Abusers are tremendously talented and can cause their victims to think that these controlling behaviors are normal,” said Murphy. “Children and family members being used as pawns is a growing trend, even in relationships involving two teenagers. Children involved in these types of situations often become depressed and that could lead to various other mental health issues that could plague them for years.” The use of technology by abusers, specifically social media and cellular telephones, is another component that appears to be playing a significant role in the rise of domestic violence reports involving teens.
“I’ve been in close to 60 different schools throughout Western New York and for kids who have their own cell phones this is a real concern and a growing problem,” said Chudoba. “From inappropriate photos to explicit text messages to some of the horror stories I’ve heard from teachers and school bus drivers about how kids are inappropriately using cell phones, it is a real problem. Some parents have a blind eye to the usage of cell phones by their children.” “Education is important when it comes to cell phones and the ‘porn revenge’ things that happen with sexual images that were exchanged and later used in a negative fashion,” said Mohr. “We try to stress to students how photos and images can go viral and really be out there forever, meaning something they thought was private that later becomes public can have a negative impact on their lives for a very long time.” In addition to educating students, domestic violence advocates have advice for parents who may have suspicions that their child is in an abusive relationship. “Do not be afraid to have a conversation with them,” said Murphy. “I also caution parents to not immediately use the term ‘domestic violence’ but instead express how they are concerned about their child’s safety. If they hear directly from mom or dad or both of their parents that they are worried about them, the chances are there is a very good chance they will open up and share and that will help address any immediate concerns and allow for that child’s parents to get help before it is too late.”
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IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • August 2015
80 Years Of Social Security
S
ocial Security has provided critical financial help to people of all ages for the last 80 years and, despite its age, it’s not retiring any time soon. As the Social Security program celebrates its historic birthday this August, we’re reflecting on our diverse history, our current strengths, and ways we can continue to improve our services to you. On Aug. 14, 1935, President Franklin D. Roosevelt signed the Social Security Act into law. In doing so, he promised the law would protect “the average citizen and his family against the loss of a job and against poverty-ridden old age.” Today, we continue to provide financial security for our country’s most vulnerable citizens. In fact, Social Security provides worldclass service to millions of people every day — online, on the phone and in our network of field offices across the country. As we celebrate 80 years, we’re proud to present our “Celebrating the Past and Building the Future” anniversary website. There, you can read 80 interesting facts about an agency that touches everyone’s life at some point or another. For example, did you know the original name of the Social Security
Q&A
Q: I lost my Medicare card. How can I get replacement? A: The easiest and newest way to get a replacement Medicare card is by using your my Social Security account. Go to www.socialsecurity.gov/myaccount for more information on how to create an account. You also can get a replacement Medicare card by calling us toll-free at 1-800-772-1213 (for the deaf or hard of hearing, call our TTY number, 1-800-325-0778). Keep your card in a safe place. You don’t want anyone getting hold of your Social Security number. They could steal your identity. Q: Why is there a five-month waiting period for Social Security disability benefits? A: The law states Social Security disability benefits can be paid only after you have been disabled continuously throughout a period of five full calendar months. Social Security disability benefits begin with the sixth full month after the date your disability began. You are not able to receive benefits for any month during the waiting period. Learn more at our website: www.socialsecurity.gov/disability. Q: Do I have to give my Social Security number whenever I’m asked? A: Giving your Social Security number is voluntary. If requested, you should ask why the person asking
Act was the Economic Security Act? The anniversary website also includes a timeline of our history. It begins with the signing of the act in 1935 and ends with this year’s announcement of Vision 2025, our bold vision that will guide the agency as we work to meet the future customer service needs of the public. A memorable spot on the timeline is Nov. 2, 2000, the date when we started taking retirement claims online. Since our agency’s beginning, we’ve relied on our passionate and hard-working employees to face challenges and provide exceptional service. Throughout the 80 days leading up to our anniversary, we’ve been posting employee testimonials that answer the question, “Why do you serve?” We also invited you to share your story with us. You can tell us how Social Security has made a difference in your life or the lives of your family and friends. We would love to hear from you, the people we serve every day. When the Social Security program started 80 years ago, our goal was to provide an economic lifeline for people in need. Today, Social Security continues to protect millions of people. Join us in commemorating this significant milestone! Visit www.socialsecurity. gov/80thanniversary.
needs your Social Security number, how it will be used, what law requires you to give your number and what the consequences are if you refuse. The answers to these questions can help you decide whether to give your Social Security number. However, the decision is yours. Keep in mind that requestors might not provide you their services if you refuse to provide your Social Security number. For more information, visit www.socialsecurity.gov/pubs to read or print our publication. Q: My neighbor said he applied for Social Security retirement benefits online. Can you really apply for retirement without traveling to an office? A: Yes, you can. And, what’s more exciting, it’s the easiest, fastest and most convenient way to apply for retirement benefits. Our secure website makes it simple, allowing you to apply for retirement benefits in as little as 15 minutes. You can get started now at www.socialsecurity.gov/applyonline. Q: What is the earliest age I can begin receiving Social Security retirement benefits? A: The earliest age you can begin receiving Social Security retirement benefits is age 62. If you decide to receive benefits before your full retirement age, which for most people is age 66 or 67, you will receive a reduced benefit. Keep in mind you will not be able to receive Medicare coverage until age 65.
H ealth News Kaleida acquires two large medical practices
Daniel Buscaglia, Lisa Esler-Brauer and Bethany Lema, are considered the most innovative practitioners in WNY.
Kaleida Health recently acquired Western New York Urology Associates, LLC (WNYUA) as well as Cancer Care of WNY (CCWNY). “Over the years our organizations have enjoyed a very meaningful partnership, and together we have cared for thousands of patients,” said Jody Lomeo, president and CEO of Kaleida Health. “The combination of Western New York and Kaleida Health is a win for both organizations, but most importantly, it is a great win for the patients we serve across Western New York.” By acquiring Western New York Urology and Cancer Care of WNY and aligning them with a broader network, Kaleida Health will be better able to manage anticipated demand, control costs, as well as ensure quality of care in urology and oncology for the community. “This partnership will help us to further develop the leading position our group has established in both urologic and oncologic care,” said Kent Chevli, a urologist and managing member of Western New York Urology Associates and Cancer Care of WNY. “Kaleida Health is an organization that has a track record of clinical excellence that puts the patient first and truly leads with care. That’s the kind of partner we need in today’s changing environment.” Chevli, who will now serve as president of Western New York Urology Associates and Cancer Care of WNY, added that he and the combined group of 30 physicians will continue to serve patients and referring physicians throughout all eight counties of Western New York within the same office and hospital locations at which they have historically practiced. The acquisition strengthens Kaleida Health’s market position in urology as well as oncology, especially on an outpatient basis. Approximately 100,000 unique patients are seen annually with over 250,000 group visits covering both specialties.
Buffalo group names radiation medicine director
CVLC now offering innovative skin tightening The Cosmetic Vein & Laser Center (CVLC) is now offering state-of-the-art Infini treatment, a Lutronic product that provides results without surgical downtime. According to CVLC, Infini creates unparalleled outcomes as a result of its patented high intensity focused RF (radio frequency) system. It works on all skin types in any season to tighten skin and reduce fine lines and wrinkles, providing patients with results they can see immediately following the procedure. According to the business, this facial rejuvenation technology is the non-surgical answer to sagging facial contours and wrinkled, lax skin. CVLC is the first and only practice in over 500 miles to offer the skin tightening device. The center’s board-certified dermatologists and vein care specialists,
Radiologist Muhammad Z. Iqbal has been named director of the department of radiation medicine at Buffalo Medical Group. Prior to joining BMG, the physician served as the longtime medical director of Radiotherapy Associates of Upstate New York based in Syracuse. He is board-certified in radiation oncology from the American Board of Iqbal Radiology. Iqbal holds bachelor of medicine and bachelor of surgery degrees from Nishtar Medical College, University of Punjab, Lashore, Pakistan. He served as chief resident in therapeutic radiology from Edward Hines V.A. Hospital, Hines, Ill., and completed a four-year residency program in therapeutic radiology from the combined program at Mount Sinai Medical Center, Chicago, and Edward Hines V.A. Hospital. He is a member of the American Society for Therapeutic Radiology and Oncology, the Upstate New York Society of Therapeutic Radiology and Oncology and is the past president of the Cayuga County Medical Society.
Rutkoski joins bariatric team at Sisters of Charity John D. Rutkoski, a surgeon with Buffalo Minimally Invasive Weight Loss Surgical Solutions, has joined the surgical staff at Sisters of Charity Hospital’s metabolic and bariatric services unit. Rutkoski is a native of Western Pennsylvania and attended Duquesne University in Pittsburgh, where he earned his undergraduate, graduate, and post-graduate degrees. He is also a graduate of the Temple University School of Medicine in Philadelphia, and completed his resiRutkoski dency at the Allegheny General Hospital in Pittsburgh. Additional training included a fellowship in minimally invasive surgery at The Valley Hospital in Ridgewood, NJ. Prior to coming to western New York, Rutkoski was part of the general surgery practice of Burke, Boyle, Incorvati, & Rutkoski at the Heritage Valley Health System in Beaver, Pa. His professional affiliations include the American Society for Metabolic and Bariatric Surgery, as well as the International Federation for the Surgery of
Former ECMC Lifeline Foundation now ECMC Foundation ECMC Foundation, Inc., is now the legal name of the 501(c) 3 organization supporting the Erie County Medical Center, Western New York’s Level 1 Trauma Center. The change to ECMC Foundation from ECMC Lifeline Foundation was recently completed. The rebranding is designed to more directly align the foundation to the Grider Street Health Campus. The foundation was formed in 1994 to support the lifesaving medical mission of ECMC. As the hospital has evolved, so has the importance of the foundation, which today plays a pivotal role both in hospital support and development as well as community initiatives. ECMC Foundation was instrumental in the creation of the newly opened Russell J. Salvatore Ortho-
Obesity & Metabolic Disorders. As one of the leading metabolic and bariatric surgical programs in the region, Sisters of Charity Hospital and Sisters of Charity Hospital-St. Joseph Campus see more than 275 bariatric surgical procedures each year.
UBMD Internal Medicine has new Amherst location UBMD Internal Medicine has moved its largest private practice office to 1020 Youngs Road, suite 110 in Amherst, from the former Dent Tower location. “The new space is bright and airy, located on the ground level and has plenty of parking,” according to President and CEO Anne B. Curtis. The address has changed but the same UBMD doctors will continue to treat existing patients and welcome new patients. Quality primary and specialty care from UBMD Internal Medicine is provided by a team of primary care providers as well as specialists in cardiology, endocrinology, gastroenterology, pulmonology, rheumatology and, new with this move, nephrology. In the fall, allergy will be joining the specialty providers. At this site, UBMD Internal Medicine providers will share the new space with providers from sister practices in the UBMD Group, UBMD Urology and UBMD Surgery.
August 2015 •
paedic Unit; owns and operates the region’s only Mobile Mammography Coach; created and operates the Farmers’ Market at Grider; and supports staff training and conferences as well as numerous programs to enhance patient care and comfort. “The name change serves to more clearly define the role of the foundation and its importance to the community,” explained Jonathan A. Dandes, president of Rich Baseball Operations and chairman of the board of the ECMC Foundation. “The foundation serves as the catalyst for the hospital as it continues to provide the critical and exceptional care Western New Yorkers depend on, while constantly growing to meet the changing health care demands of the community.”
Buffalo Orthopedics opens new location in Hamburg Buffalo Orthopedics, a Williamsville-based practice with several offices in the region, early August opened a new location at the Omni Health and Wellness Center, 4901 Camp Road in Hamburg. The new location is right next door from the old office, which was closed. Physicians at the practice specialize in a variety of orthopedic services, including minimally-invasive surgery and sports medicine, utilizing state-ofthe-art equipment and the latest techniques to provide the gold standard in patient care. Practicing physicians at Buffalo Orthopedics at the Hamburg locations are John Karpie, Michael Ostempowski, Robert Brown and Ted Szarzanowicz. Physician assistants at the locations are Vincent Lorinz, Kathryn Knisely, Jim O’May and Brian LaPlante. Hours for appointments are 8 a.m. _ 4 p.m. Monday through Friday. Orthopedic Urgent Care, Sports and other injury care and walk-In appointments available from 4 – 9 p.m. Monday through Friday and 9 a.m. – 1 p.m. on Saturdays.
Health news items? Email them to editor@bfohealth.com
IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper
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Page 17
Race Director is at Heart of Tops Run/Walk Kathleen Graim has become a community leader in the fight for a cure for cancer By Michael J. Billoni
E
ight years ago when Tops Friendly Markets decided to create and host a 5K Run and Family Walk to benefit the Roswell Park Cancer Institute, Kathleen Graim was the perfect choice to serve as race director. Following in the footsteps of her father, Joe Graim, a competitive runner while attending the State University of New York at Buffalo, Graim began running at age 6 and has never stopped. She was a New York state high school cross-country champion at Williamsville North, she ran competitively for Fredonia State College and UB, where she earned two bachelor’s degrees. The 5 and 10 K USAT & F-certified runs and family walks begin and end at the Tops and National Fuel Corporate headquarters complex at 6363 Main St. in Williamsville. This year’s event will start at 9:30 a.m. on Saturday, Aug. 29. Registration may be made online at www.Tops5k.com. After organizing a successful first
When Tops Friendly Markets decided to create and host a 5K Run and Family Walk to benefit the Roswell Park Cancer Institute, Kathleen Graim, then a Tops’ employee, was the perfect choice to serve as race director.
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run in 2008, Graim was out running the following year and began feeling rather sluggish. One morning she noticed she had a bump on her right chest and immediately went for a checkup. That’s when she heard the three words we all dread the most — “You have cancer.” “I was diagnosed with breast cancer and became a patient at Roswell Park,” says the effervescent Graim, who began at Tops in 1988 as a bakery department clerk and became bakery manager and a bakery field specialist before moving into community relations. She now works out of the distribution center. One of her hobbies is creating and baking cakes. “From day one, Roswell has been my place of hope, faith and courage,” she says. “I have undergone numerous surgeries, chemo and radiation treatments. My medical team is the best! Dr. Kumar and Dr. Levin continue to provide excellent care and they are truly compassionate to me and all of the patients at Roswell.” Graim, who has become a community leader in the fight for a cure for cancer, serves on the Alliance Board at Roswell. “I continue to fight with my own journey, but I also fight to find a cure,” she says. The Tops Run/Walk is hoping to attract a record 2,000 participants this year. The event has raised over $800,000 for cancer research and has become a marquee event for the com-
munity-minded locally owned No. 1 grocery chain in Western New York. “This race is now very near and dear to not only myself and my family but to the entire Tops family as well,” she says. “Frank Curci [president and CEO of Tops] is a true believer and supporter and all 170 plus stores raise money for the event.” “Each year, the Tops 5K/10K Run and Walk provides our local community with the opportunity to unite in the fight against cancer,” Curci says. “Tops is proud to team up with Roswell Park Cancer Institute as we work to becoming one step closer to a world without cancer.” Each year the event honors someone and this year it’s Mary Rose McDermott, a three-time cancer patient/ survivor and a Roswell associate. In addition, a new award, the first Trish Hartmayer Volunteer Award will be presented to an individual who has gone above and beyond, just like Trish, who lost her battle with cancer in January. Her husband is C. Douglas Hartmayer, a member of the Cardinal O’Hara High School’s first graduating class, a former public relations director at Tops and now the long-time director of public affairs at NFTA. The theme for this year’s Run/ Walk is “Keep The Faith,” a perfect theme for Graim who has seen two close friends, Eileen Hapman and Trish Hartmayer, lose their battles to this dreaded disease.
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IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • August 2015
Renee Walters, Property Manager
Lancaster Commons Senior Apartments 18 Pavement Road (at Broadway) Lancaster, NY 14086 716-685-4871
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Buffalo’s Healthcare Newspaper 716-332-0640 • bfohealth.com
Never Too Old 55-year-old Lackawanna man still playing football
By Tim Fenster
P
hil Zickl is far from your typical semi-pro football player. A Lackawanna resident and player for the Buffalo Gladiators, Zickl weighs in at just about 175 pounds, yet he excels as a linebacker and defensive end for the team. He’s lean and spry, sporting a six pack and well-defined arms. But if you saw him heading in to practice, you might mistake him for a coach, or even the father of another player. That’s because Zickl is 55 years old. Having played football for most of his life, Zickl initially retired from the sport in 2001, at age 40, to spend more time with his then-young daughter, Daneale. But by 2011, Daneale was entering high school, and Zickl wanted to get involved again with his favorite pastime. So he reached out to John Augustine, an old acquaintance who plays quarterback for the Gladiators, and offered his services as an assistant coach. “So I called Augustine and said, ‘I’m looking to get back involved in football. Do you need an assistant coach or somebody to keep stats at home games? How can I help?’” But Augustine had different plans. “He had known me for years. He was like, ‘Phil, you’re not going to come on the team and sit on the sidelines. You’re in better shape than half the guys on the team. I want you to play.’” Zickl was initially wary of the idea, but agreed to attend a training camp on the condition he would be offered a coaching position if he couldn’t “keep up with the young bucks.” “I was in better shape than probably at least half the guys if not more,” Zickl said. “For years, I’ve understood that fitness is a year-round [and] not just a seasonal thing. I’ve been fit yearround for a couple decades.” Zickl began playing football in youth leagues at 8 years old, being drawn to the sport, in part, by his excellent coordination and strong interest in physical fitness. But this wasn’t always the case for Zickl. Due to birth complications resulting from a pinched-off umbilical cord, severed between his shoulder and his mother’s hip, Zickl was born prematurely and very nearly died. For years, he grappled with dyslexia and poor coordination, prompting his mother to begin administering what Zickl calls “coordination classes.” Her strategy worked exceedingly well. By the time he reached middle school, he was an excellent football player and dancer, skills he attributes to his on-point coordination.
All about technique
He continued his football career at Batavia High School and later at the University of Buffalo, where he played as a defensive end and offensive guard, despite weighing in at just about 210 pounds. “At a young age I realized I was probably going to be blocking some-
body bigger than me,” Zickl said. “So I had to use good technique.” After graduating from UB, Zickl took a year off football. He was working toward receiving his teaching certification, first from SUNY Geneseo and later from Canisius College. The next year, he tried to join the semi-pro Buffalo Geminis, but the team soon folded. In 1984, Zickl returned to football with the Syracuse Express. During the six years he played there, Zickl helped the squad win two national championships, one in 1985 and the other in ’87. Then, in 1991, the Syracuse Express went on a one-year hiatus to reorganize. The next year, Zickl, still living in Batavia, decided to form a team there, closer to home. They called themselves the Batavia Bandits. During its first season, the team finished 1-4 and the one win was a forfeit. “We were not very good,” Zickl admits. “We were small in numbers, small in size. That was the worst semi-pro team I ever played for.” But the team improved slowly and steadily, both in numbers and performance. By 1998, the team — now called the Genesee Titans to better reflect the geographical makeup of its players — won a regional league championship. After that season, Zickl took time off to focus on his master’s degree in educational administration through the College at Brockport. Over the ensuing years, Zickl found work at a Catholic elementary school, at the athletic department for Genesee Community College and at the Batavia Youth Bureau, to name just a few. In 2010, after funding for his position at the youth bureau ran dry, Zickl moved to Erie County to find better employment opportunities. Eventually, after landing and leaving a few positions, he decided to work as a fitness speaker and social worker under his own companies, Phyzical Phitness (a portmanteau on his name) and Peace On Earth Counseling, respectively. His goal is to eventually have enough funds to offer athletic scholarships to youth aged 1-21, to give them opportunities to be more active. He cites Father Nelson Baker as his inspiration behind this. “I knew I wanted to help kids — that 2-year-old who couldn’t afford swimming lessons, the 7- or 8-year-old who couldn’t afford to be in a YMCA league,” Zickl said. “That’s the goal. I’m certainly still working toward it.” In the meantime, Zickl will continue his rigorous fitness regimen that involves the gym five days a week as well as continue to play the sport he loves. When asked if he has any plans to retire, he said he will keep playing football as long as his body holds up and he continues to enjoy the game. “I take it one year at a time,” he said.
A Lackawanna resident and still a player for the Buffalo Gladiators at age 55, Phil Zickl says that fitness is a year-round concern. “For years, I’ve understood that fitness is a year-round [and] not just a seasonal thing. I’ve been fit year-round for a couple decades.”
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IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • August 2015