in good Cancer Research Director of the Wilmot Cancer Institute, Dr. Jonathan Friedberg, explains how local research has helped fight cancer
n Related: No. of Cancer Survivors Will Reach 19 Million
U.S. Dogs, Too, Are Overweight
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Rochester–Genesee Valley Healthcare Newspaper
July 2014 • Issue 107
Fertility:
EGG Freezing
Recent advances in cryogenics have improved success rates to the point where egg freezing has become more commonplace, say fertility experts
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Just over half of dogs in the United States are overweight or obese, according to a survey
High Season for Food Poisoning Chicken is the top offender
St. Ann’s to Emphasize Wellness, Fitness
Problems with early menopause
Mike McRae, the new CEO St. Ann’s Community, wants more emphasis on wellness and fitness programs (gardening for example). “Ninety percent of people who respond say wellness is a critical factor in selecting a senior community,” he said. Page 14 July 2014 •
FAT WORLD
In the past three decades the number of overweight and obese people worldwide climbed from 857 million in 1980 to 2.1 billion in 2013, according to a major study. Most of these people are based in 10 countries: the United States, China, India, Russia, Brazil, Mexico, Egypt, Germany, Pakistan and Indonesia. Page 3
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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Introducing the Wilmot Cancer Institute.
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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CALENDAR of
HEALTH EVENTS
All Month
Canandaigua VA Medical hosts farmers market With the goal to promote healthier eating choices within the Finger Lakes community, the Canandaigua VA Medical Center will host a weekly farmers market every Tuesday through Oct. 14. Local vendors will sell fresh fruits and produce in the Andrew Jackson parking lot located in front of building No. 1. The hours of the farmers market will be 1:30 – 5 p.m. and it’s open to the public. For more information, contact Debbie Brahm, at 585-393-7803. The Canandaigua VA Medical Center is located at 400 Fort Hill Ave., Canandaigua.
July 7
Golf tournament to help hospice program UR Medicine’s home care agency, Visiting Nurse Service of Rochester (VNS), will hold its 23rd Annual Golf for Hospice Tournament to benefit the Visiting Nurse Hospice program. This tournament and dinner reception will be held at Penfield’s exclusive Midvale County Club, home of the first fairways ever designed by famed golf course architect Robert Trent Jones. Golfers without a Midvale membership will enjoy a unique opportunity to play the award-winning course during this event. Proceeds from the tournament will benefit Visiting Nurse Hospice, which provides end-of-life care for patients and their families in homes, comfort care homes and inpatient settings.
The bereavement program at Visiting Nurse Hospice offers care to families to help address feelings of loss, grief and sorrow before and after a loved one has died, at no cost to them. These services include support groups, individual counseling, an evening of remembrance, and volunteer services such as companionship and supportive phone calls. Since bereavement services are not covered under Medicare, this important program is dependent upon donor generosity. Golf for Hospice sponsorship includes Upstate Home Care, Mission Health Concepts and UR Medicine. Memorial gifts in honor of loved ones are also welcomed. For more information, call Kate Whitman at 585-787-8714 or visit http://www.vnsnet.com/support-vns/golf-for-hospice.
July 14, 18
YMCA golf tournaments to benefit children Two golf tournaments sponsored by the YMCA will take place in July in the Rochester area. The YMCA of Greater Rochester’s Westside District YMCA will hold its golf tournament July 14 starting at 11 a.m. It will be hosted by the Northwest and Westside Family YMCAs. The Eastside District YMCA will host its own tournament July 18. The event, hosted by the Eastside, Bay View, Southeast and Victor Family YMCAs, has raised more than $330,000 for the Eastside communities since its inception. Proceeds will benefit the Y’s annual campaign, providing finan-
July 15: Deadline to Apply for Community Health Grants
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reater Rochester Health Foundation announced new funding for health-benefitting activities in its nine-county service area. Community health grants range between $5,000 and $50,000 and are an opportunity for organizations to apply for short-term funding. Proposals could include a variety of activities such as start-up costs for a new program, shortterm or pilot programs, or even program-related facility repair. Eligible organizations are (501(c) (3) small, nonprofit organizations, such as health, religious or educational organizations and government departments that provide health services or health-benefitting activities in Genesee, Livingston, Monroe, Ontario, Orleans, Seneca, Wayne, Wyoming and Yates counties. Page 4
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“We are excited to open up new funding for smaller organizations. Community health grants acknowledge that there are many organizations doing good work who might not qualify for our larger, longer-term, outcome-focused opportunity grants,” said Health Foundation board chairwoman Essie Calhoun-McDavid. Community health grants will be available in 2014 for use over a 12-month period. Applications for the first cycle will be accepted until July 15, and for the second cycle until September 15. Applications will be reviewed by a committee of the Health Foundation. More information and applications are available on the Health Foundation’s website, www.thegrhf.org
cial assistance for children to attend YMCA summer camps and for families to afford YMCA child care, as well as life-changing programs and services. Community members may register as an individual golfer, twosome, foursome or as a dinner guest. Individual golfers will be placed with other single golfers into a foursome. Guests also have the option of attending only the dinner portion of the event for $40. To learn more information on the Westside District YMCA’s tournament, contact Tammie Messineo at 585-3413286 or tammie@rochesterymca.org. For complete information, visit rochesterymca.org/wsdgolf. To learn more information about the Eastside golf tournament, contact Jeff Cogan at 585-341-4022 or jeffc@ rochesterymca.org. For complete information, visit rochesterymca.org/ eastsidegolf. .
Sept. 7
Bike MS is coming to Rochester in September This September, get ready for the inaugural Bike MS: ROC the Ride! This Rochester-centric ride features several different kinds of routes that will please avid cyclists and novices alike. The event will take place Sept. 7 and all routes begin at Genesee Valley Park.
Route options include a unique 15-mile stop-and-go tour of historic sites and scenic views throughout the city; a 30-mile cruise along the Rochester waterway paths; a 45-mile trail ride through the Genesee River Trail, Lehigh Valley Trail, Auburn Trail and more; and metric century and full century rides along the beautiful lakeshore. In the evening, there will be a huge celebration, with massage tents and fun games. According to organizers, the city tour allows cyclists to see Rochester from a completely different perspective. Participants will ride to 15 beautiful and historic sites including Mt. Hope Cemetery, Highland Park, Cobbs Hill, the George Eastman House, Neighborhood of the Arts, High Falls, the Susan B. Anthony House, and more. Fundraising through Bike MS will fund local programs and services for more than 12,800 people with multiple sclerosis and their families across Upstate New York, as well as research to find a cause, new treatments, and a cure for MS. In the Greater Rochester Area, there are more than 2,800 people living with MS, with more than 2.3 million individuals affected worldwide. For more information and registration, go to bikeMSupstateny.org or call 1-800-344-4867 (press 2). For more information, contact Alyssa Shoup, senior campaign manager at Bike MS, 585-271-0805 (x70332), Alyssa.Shoup@ nmss.org.
Summer Evening Carillon Concerts at the U of R Feature World Performers
T
he Hopeman Memorial Carillon Summer Recital Series is set to begin on Monday, July 7, on the University of Rochester’s river campus. The free outdoor concerts on the Eastman Quadrangle are open to the public and continue each Monday in July. The program will begin at 7 p.m., rain or shine, and last about an hour. Concert-goers are encouraged to bring folding chairs, blankets, snacks or picnics, and relax on the lawn on the west side of Rush Rhees Library. The annual event features carillonneurs who travel throughout the world to perform music specifically written for the instrument of bells. This summer’s programs include Mediterranean folk songs and classical arrangements by Johann Sebastian Bach as well as the familiar medleys of “The Sound of Music” and Disney’s “Cinderella.” Following the concerts, attendees are invited to meet the performer on the library steps. Housed in the upper-most chamber at the top of Rush Rhees tower, the Hopeman Memorial Carillon consists of 50 bells that were cast in bronze by Royal Eijsbouts Bellfoundry of Asten in the Netherlands. Throughout the year, the sounds of the carillon can be heard on campus as the traditional melody known as “Westminster Quarters” marks every quarter hour. One of only seven carillons in New York, the more than three-ton instrument is regularly played by students of the University’s Carillon Society, who perform classic and modern musical compositions for campus events, holidays, and special impromptu concerts. The ringing of the carillon bells also marks special com-
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • July 2014
munity, state, and national events. Performer schedule: • Monday, July 7 Vera Wünsche Brink, a native of Berlin, Germany, graduated from Yale University in 2012 with a degree in biology. At Yale, she studied the carillon and became an active member of the Yale Guild of Carillonneurs. Brink currently works in the department of obstetrics and gynecology at the University of Utah School of Medicine and is a member of the Guild of Carillonneurs in North America. • Monday, July 14 Tin-Shi Tam, professor of music and chairman of the keyboard division at Iowa State University, has traveled the globe performing at festivals and competitions in Asia, Austria, Canada, Europe, and the United States. Tam released her carillon compact disk, The Bells of Iowa State, in 2004 and represented the Guild of Carillonneurs in North America in performance at the World Carillon Federation Congress in the Netherlands. • Monday, July 21 Laura Ellis, an associate professor of music at the University of Florida, has performed solo carillon recitals in the Netherlands and throughout the United States. Ellis is on the board of directors for the Guild of Carillonneurs in North America and serves as director of the organization’s music and publications committee. • Monday, July 28 Klaas de Haan, composer and award-winning carillonneur, regularly performs in towns and cities throughout the Netherlands, including Bolsward, Amsterdam, and Heerenveen. Haan is also the canto-organist of the Morgenster-Church in the city of Hilversum in the Netherlands.
Study: Obesity rates climbing worldwide
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orldwide, there has been a startling increase in rates of obesity and overweight in both adults (28 percent increase) and children (up by 47 percent) in the past 33 years, with the number of overweight and obese people rising from 857 million in 1980 to 2.1 billion in 2013, according to a major new analysis from the Global Burden of Disease Study 2013, published in The Lancet. However, the rates vary widely throughout the world with more than half of the world’s 671 million obese individuals living in just 10 countries — the United States, China and India, Russia, Brazil, Mexico, Egypt, Germany , Pakistan, and Indonesia. Over the past three decades, the highest rises in obesity levels among women have been in Egypt, Saudi Arabia, Oman, Honduras and Bahrain, and among men in New Zealand, Bahrain, Kuwait, Saudi Arabia, and the United States. In high-income countries, some of the highest increases in adult obesity prevalence have been in the USA (where roughly a third of the adult population are obese), Australia (where 28 percent of men and 30 percent of women are obese), and the UK (where around a quarter of the adult population are obese). The authors warn that the study presents a worrying picture of substantial rises in obesity rates across the world and say that concerted action is urgently needed to reverse this trend. Led by professor Emmanuela Gakidou from the Institute for Health Metrics and Evaluation at the University of Washington in the United States, a team of international researchers performed a comprehensive search of the available data from surveys, reports, and the scientific literature to track trends in the prevalence of overweight (body mass index of 25kg/m² or higher) and obesity (BMI of 30kg/ m² or higher) in 188 countries in all 21 regions of the world from 1980 to 2013. Key findings include: • In the developed world, men have higher rates of obesity than women, while the opposite is true in developing countries. Currently, 62 percent of the world’s obese people live in developing countries. • The greatest gain in overweight and obesity occurred globally between 1992 and 2002, mainly among people aged between 20 and 40. • Especially high rates of over-
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weight and obesity have already been reached in Tonga where levels of obesity in men and women exceed 50 percent, and in Kuwait, Libya, Qatar, and the Pacific Islands of Kiribati, Federated States of Micronesia, and Samoa where most (more than 50 percent) of women are obese. • The prevalence of overweight and obesity in childhood has increased remarkably in developed countries, from 17 percent in 1980 to 24 percent in 2013 in boys and from 16 percent to 23 percent in girls. Similarly, in developing countries, rates have risen from roughly 8 percent to 13 percent in both boys and girls over the three decades. • In 2013, the proportion of obesity in girls reached 23 percent in Kuwait, and 30 percent or more in Samoa, Micronesia and Kiribati, the highest levels calculated. Similar trends in obesity were found in boys, with the Pacific Islands of Samoa and Kiribati showing the greatest obesity prevalence. • Within Western Europe, levels of obesity in boys ranged from 14 percent in Israel and 13 percent in Malta, to 4 percent in The Netherlands and Sweden. Levels of obesity in girls were highest in Luxembourg (13 percent) and Israel (11 percent), and lowest in the Netherlands Norway, and Sweden (4 percent).
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In Good Health is published 12 times a year by Local News, Inc. © 2014 by Local News, Inc. All rights reserved. 106 Cobblestone Court Dr., Suite 121 – P.O. Box 525, Victor NY 14564. • Phone: 585-421-8109 • Email: Editor@GVhealthnews.com
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Editor & Publisher: Wagner Dotto • Associate Editor: Lou Sorendo • Writers: Jim Miller, Deborah J. Sergeant, Gwenn Voelckers, Anne Palumbo, Ernst Lamothe Jr. Chris Motola, Chris Syracuse • Advertising: Donna Kimbrell, Marsha Preston Layout & Design: Chris Crocker Officer Manager: Laura Beckwith 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.
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Meet
ways that we may be able to inhibit it. Q: The mole rat brings up an interesting question. Does cancer — or at least the genetic propensity for cancer — serve an evolutionary purpose in humans and other animals? A: I’m not an expert on that subject myself, but many have speculated. The way that question is often answered is: cancer is mistakes or mutations that occur in normal cells. The question isn’t so much “is there an advantage to getting cancer” as “given the number of cells turning over in the body so often, why is cancer so uncommon relative to the number of cells turning over.” My particular area of interest is a blood cancer called lymphoma. The blood system is very complicated because it’s designed to fight infection. When you get an infection, you get a massive stimulation of blood cells to fight it. It’s drug, and it exemplifies our role as leaders in bringing these new drugs to remarkable, that within that massive expansion, we don’t see these mistakes patients. In the area of cancer biology, more often. Obviously the machinery there’ve been a number of interesting isn’t perfect, and it’s possible that if the insights that have come out of our lab machinery were too perfect, we’d be at work with an animal called the naked risk for other problems for other infecmole rat. It’s a rodent that can live up to 20 years, which is disproportionately tions and auto-immune problems. long. Initial research was interested in Q: On the resource end of things, why the animal could live so long, but can you talk about your plans to init was also discovered that it doesn’t vest in Wilmot’s research operations? get cancer. They’re identifying comA: Given the fiscal environment, pounds within naked mole rats that may have anti-cancer properties, which we feel research is the most important hold great promise in possibly prevent- area to invest in. We just launched a ing cancers in people. A third area that $30 million campaign, all of the prois exciting is a collaboration between a ceeds of which will fund the research I basic laboratory and our clinical group mentioned. The lead gift has been a $4 million contribution from the Wilmot regarding the development of pancrefamily, and we plan to use that money atic cancer to help recruit a senior scientist genomand ics researcher, who will fit in well with our solid tumor and hallmarks of cancer programs and help bring those programs together using the study of genes and cancer cells to develop new treatments.
Your Doctor
By Chris Motola
Jonathan W. Friedberg
Director of the Wilmot Cancer Institute explains how local research has helped fight cancer Q: What is the role of the Wilmot Cancer Institute at the University of Rochester Medical Center? A: The concept of the Wilmot Cancer Institute is that it’s an umbrella under which all things that have to do with cancer at the university fit. It involves all aspects of our mission, including clinical care, research and community engagement. My role as director is to pull all of that together in conjunction with our strategic goals. Q: What are some of those strategic goals? A: For research, over the last 18 months we’ve gotten a large group together and formed a strategy that focuses on four main programmatic areas. Something that’s important to understand is that cancer research has become far more complex than it’s ever been. To be successful in cancer research requires a team approach; it’s really hard for a single researcher in a single laboratory to make a discovery anymore. Additionally, research is much more competitive now because funding at both federal and private levels is very low right now. So to be involved, we needed to put together the strongest teams possible. Our plan highlights four areas where we’ve been successful in research. Q: What are those areas? A: One we call “hallmarks of cancer,” which is a basic cancer biology program focused on how genes in cancer cells make the cell behave in a malignant way. Our second program is “blood cancers.” We’ve historically been strong in what we call translational research, taking discoveries from the lab and bringing them to patients. The third area is solid tumors, particularly prostate, breast, brain and gastrointestinal cancers. Our fourth area is cancer survivorship. This is a new area that focuses on trying to improve symptoms of cancer therapy during and after treatment. Q: What research has come out of the program that you think the public would be most interested in? A: I’ll give you a couple highlights. In blood cancers, we participated in major clinical trials that led to the approval of a drug called Ibrutinib for the treatment of chronic lymphocytic leukemia. This drug is a game-changer for that disease. We were one of the first centers in the country to use this Page 6
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • July 2014
Q: Can you discuss the clinical side of the institute’s operations? A: We have a responsibility to provide unique clinical services of a national level of quality to the region. As the only academic medical center in the region, there are certain types of services that only we can provide: bone marrow transplants, complex cancer surgeries, hightech radiation treatments, organ transplantation. So we’re looking at how to manage care for a larger and larger population. The clinical side has become more complex. The old stereotype of the patient going to
“The old stereotype of the patient going to their oncologist’s office, getting a treatment and then dying of cancer is over. Now most patients with cancer have between five to 10 physicians involved in their care.” their oncologist’s office, getting a treatment and then dying of cancer is over. Now most patients with cancer have between five to 10 physicians involved in their care. The coordination of that has become nearly impossible without a large center like Wilmot. We have a number of care centers throughout the region. We have care centers in Brockport, Canandaigua, Geneva and several in the Rochester area. We’ll be opening a new one in Batavia. The goal of these centers is to provide a place to get chemo or radiation therapy locally, but still have it coordinated within our larger program and allowing the care to be seamless and to bring clinical trials to the patients. Q: Do you still maintain your own practice? A: Yes, I do both research and clinical care beyond my administrative role. I treat patients with a blood cancer called lymphoma. It’s a cancer that’s become more commonly diagnosed over the last 30 years for reasons that are unclear. We’re curing more patients with both Hodgkins and non-Hodgkins lymphoma, but it’s a complex disease in that there are many different types of it. Treatments can vary from chemotherapy, to pills, to bone marrow transplants. On the other hand, sometimes no treatment is needed. So there are a lot of different approaches to the disease. I’m involved in research and clinical trials. I currently chair one of the three national groups that coordinate research through the National Cancer Institute concerning lymphoma.
Lifelines Name: Jonathan W. Friedberg, M.D. Hometown: Milwaukee, Wis. Education: William’s College (undergraduate), Harvard (medical) Affiliations: Director of the Wilmot Cancer Institute at University of Rochester Medical Center, Strong Memorial Hospital, Highland Hospital Organizations: American Society of Hematology, American Society of Clinical Oncology, SWOG lymphoma group. Family: Married, two children Hobbies: Cooking, travel, reading
Erasing the Stigma Major strides have been made in mental health treatment and the stigma surrounding mental illness, but there’s still more ground to cover
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By Chris Syracuse
M
y mother still recalls the time in the mid-1950s when her parents had to call the police on her 18-year-old sister. She remembers the feeling of helplessness as she watched the police handcuff her partially-clothed sister and place her in the police car while the neighbors observed. Over the last 27 years of working in the mental health field, I have talked to hundreds of family members whose loved ones have been afflicted with mental illness. In the overwhelming number of cases, their stories are eerily similar to my Aunt Elinore’s story and usually go something like this. “My son (or daughter) had a pretty normal childhood. They were attractive, social; they did well in school and had many friends until all of a sudden we saw a change.” Their loved one would start to show this change in their late teens. They would begin to shy away from people, become suspicious of others, stay in their bedroom and in some cases, begin using drugs and/or alcohol. Parents will often tell me they would make attempts to intervene, but their child would become argumentative or isolate even more. The inevitability of most of these situations resulted in the person being psychiatrically hospitalized for the first time. Mental illness, family members tell me, is a horrible thing. It strips the person of their personality. The delusions going on in their head or their disorganized thought patterns can dilute their identity. You can’t necessarily “see” mental illness the way you can see cancer or multiple sclerosis, yet the disease can be just as disabling. Many people with a mental illness use alcohol and drugs to self-medicate, further complicating matters. Initially, this is a frightening and bleak reality. However, there is some good news and hope. Like many other diseases, doctors believe that early intervention and treatment provides the best opportunity for a positive outcome for individuals living with mental illness. Early intervention means recognizing the symptoms of the disease and getting your child to the doctor as soon as possible. This is not to say that pressing the panic button is the answer. The teenage years are challenging enough but if the person’s unusual behaviors continue over a period of time and they appear to be increasingly isolating, the child should be seen by their doctor. A positive outcome means the lessening or ceasing of symptoms to the extent that the person can lead a normal and productive life. Not too long ago, being diagnosed with schizophrenia, bipolar disorder, or major depression meant spending many years in a state psychiatric hospital. Thanks to the advancement in anti-psychotic medications, mood stabilizers, anti-depressants and anti-anxiety medications, many or most people can go on to live fulfilling and productive lives. Since there is no cure for mental
illness, using medications will most likely continue for the duration of the person’s life. Although medications are critical to the solution, there are other pieces of the equation that can make the person whole again. These include family supports, peer supports and a good psychiatrist and/or therapist willing to work with the individual and his/her family. The final component is structure which could mean work, school, volunteer work, attending a social club, or any other activity that is meaningful to Syracuse that person. All of these elements are critical to a person’s recovery. Recovery, like any other illness, occurs at a different pace for everyone. Unfortunately, my Aunt Elinore never had the opportunity to “recover” from her mental illness. She ended up dying of lung cancer in the state hospital. Major strides have been made in mental health treatment and the issues surrounding stigma since those days. As we celebrate May as Mental Health Month, we take this opportunity to tell the world that hope and recovery are possible for all those who are afflicted with mental illness. We also work to erase the stigma sometimes associated with the disease. Unfortunately, people still believe schizophrenia means split personality or that all mentally ill people are violent. Ironically, some of these same people who once held ill-conceived beliefs approach me years later seeking help for themselves or their loved one. One in four adults in the United States will experience mental illness in a given year. One just never knows.
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From Our Hearts To Yours. Introducing the HeartMatters Cardiac Rehab Program St. Ann’s Community is proud to introduce HeartMatters, a new evidence based program that was developed in collaboration with Cardiologists and Cardiothoracic surgeons including Rochester General Hospital Chief of Cardiology, Gerald Gacioch, M.D. and St. Ann’s Chief Medical Officer, Diane Kane, M.D. HeartMatters provides the region’s best program for patients with cardiac conditions such as heart failure, myocardial infarction and post cardiac surgery (i.e., CABG, valve replacement). We recognize the uniqueness of each individual and will work with you to develop a plan of care that will improve your quality of life and reduce the likelihood of readmission back to the hospital. You and your family will receive the knowledge necessary to better manage your condition after returning home. For more information or to learn how to preplan a rehab stay, please call 585.697.6311 or visit stannscommunity.com. The HeartMatters cardiac rehab program is available at: St. Ann’s Community, Irondequoit and St. Ann’s Care Center, Cherry Ridge Campus in Webster.
Caring for the Most Important People on Earth HeartMatters Cardiac Medical Director, Gerald Gacioch, M.D. and St. Ann’s Chief Medical Officer, Diane Kane, M.D.
Supported by a grant from Greater Rochester Health Foundation
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Live Alone & Thrive
By Gwenn Voelckers
Practical tips, advice and hope for those who live alone
On Your Own? Do the ‘Happy’ Dance! “Can’t nothing bring me down. My level’s too high.” Pharrell Williams
Y
ou’ve no doubt heard it: the beloved “Happy” song from the movie Despicable Me 2, written and performed by Pharrell Williams. I downloaded a copy on my iPhone. Whenever I’m feeling a little blue, I play it. My mood changes almost immediately. Early on, it was hard for me to get comfortable with the idea of living alone, especially in a world that glorifies “couplehood.” I clung to an old belief: that I could only be happy if I were married or had a significant other on my arm. Is that same “tune” playing in your head? If so, you’re not alone. It takes discipline of thought, determination, and sometimes an inspirational song to challenge preconceived notions about what contributes to happiness. These days, I’ve thrown away negative, outdated beliefs about being single, and have instead adopted a philosophy of living that enhances my well-being. I choose to be happy. You can, too. Here are some tips: 1 — Take stock. Be on the lookout for negativity. When you start spiraling down about living alone, don’t go there. Stop the old tape and replace it with something more positive and reinforcing. Try this: “I’m doing this. I’m making this work. I’m reinventing my life and myself and I’m okay. I’m becoming more independent and resourceful and — at the end of the day — I’m a survivor and proud of myself.” 2 — Don’t fake it. If you are having a tough day, admit it. Share it. We’re all human. Sharing your challenges with close friends and family will only bring you closer together. Feeling connected and loved . . . isn’t that what makes our lives and relationships worthwhile? And real? It happens best with honest communication and mature and mutual sharing. 3 — Give yourself a break. Getting good at and ultimately enjoying life on my own didn’t happen overnight. It took practice. Years of practice. Give yourself time to adjust to the single life. After all, this is foreign territory if you’re coming out of a long marriage. 4 — Cherish your newfound independence. This can be a time of self-discovery, no matter what your age. Striking out on your own will expand your horizons and build self-confidence, whether you’re 34 or 84. Don’t be afraid to travel, relocate, or try something new. Identifying those things that bring meaning and joy into your life can turn living alone into an adventure of the spirit. 5 — Find (or deliver) something
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • July 2014
joyful every day. Be purposeful about this. Bright spots are everywhere and can be found every day. Notice and appreciate them. Share them. Be the one who creates a joyful moment for others. 6 — Don’t wait for happiness to find you. I’ve made this mistake. It’s a big one: waiting for the phone to ring, waiting for the invitation, waiting for some wonderful thing to happen to lift me out of my doldrums. Instead, make your own happiness. And make someone else happy along the way. 7 — Stay current. No excuses, now. We live in a technologically sophisticated world. It’s how we communicate these days. It’s how we entertain. And when you live alone, it can be a godsend. If you’re technologically challenged, know this: It’s not that hard! Resolve to be an open-minded student, and invite a friend or family member to show you the basics: texting, email, Facebook, Instagram, or Twitter. Stay connected; it’s a key to happiness. 8 — Give it up. The stereotyped image of single men and women as desperate and miserable is exaggerated and just plain untrue. Recent studies on the subject bear this out. Loneliness is not a “state of being” reserved for people who live alone. Were you ever lonely while you were married? 9 — Choose to treat yourself well. It builds esteem. Prepare and eat decent meals at home. Get enough sleep. Exercise. Indulge in “guilty pleasures:” a nap, a piece of chocolate, a good book (Have you read The Year of Pleasures by Elizabeth Berg?). 10 — Avoid isolation. Isolating on holidays, birthdays, Sundays, etc. is no good. Solitary confinement is punishment for criminals, not for people who live alone. Make plans. Pick up the phone! 11 — Expand your definition of love beyond “romantic love.” This will stand you in good stead, if you are not ready to find another mate. Embrace “passionate friendships” — those relationships in which you can be yourself and feel completely comfortable. I’ve said it before and I’ll say it again: living alone doesn’t mean being alone. 12 — Embrace happiness. Living alone can be wonderful, meaningful, and — dare I say it — for some people, preferable to being married. Embrace your singlehood. Being on your own just might prompt a “Happy” dance! Gwenn Voelckers is the founder and facilitator of Live Alone and Thrive, empowerment workshops for women held throughout the year in Mendon, New York. For information about her workshops or to invite Gwenn to speak, call 585-0624-7887 or email her at gvoelckers@rochester.rr.com.
Meet Your Provider Steven Kazley, Orthodontist Q.: How did you get interested in becoming an orthodontist? A.: I decided to become a dentist because I envisioned a career that would let me enjoy the mechanics and mechanical things, working with my hands, being independent in business, and providing an important public service. The idea to specialize in orthodontics came later once I learned to appreciate the transforming changes and happy smiles that come about through orthodontic treatment. Q.: You started your own practice in 1985, how have things changed since then? A.: There has been a constant evolution in orthodontics. We have realized changes that allow our patients to experience treatment more comfortably and more efficiently than ever before. Some of the more dramatic developments have involved use of Invisalign, self-ligating braces, and thermally activated NiTi archwires. Invisalign allows us to treat adults and some teenagers with the convenience of having no visible or attached braces to the teeth. The development of this concept has brought many more adults into our office. The rapidly developing techniques are allowing us to treat a wider variety of cases with better results.
Self-ligating braces are far and away superior to the standard braces used since the late 1970s and still in use today. Speed System braces and Damon braces are the best of this self-ligating category. We started our first cases in 1985 with the Speed System and have never looked back. The Speed System allows us to have smaller, neater and more comfortable braces in place that are subsequently easier to keep clean. In my opinion, Speed System braces have some features that allow for more graduated force systems and more precise positional control than I feel we can get with the Damon system. NiTi archwires allow for an approach that uses only a fraction of the amount of force needed to move teeth than was previously necessary. They also allow us longer intervals between adjustments, so visits to our office can be spaced out more. Q.: How do you see the future of orthodontics in this area? A.: There will always be a demand for orthodontic services because heredity mostly determines how teeth erupt and how bite positions develop. Our job is to improve what nature has created. Most of our patients are driven by smile esthetics that never go out of style. Many studies have shown the benefits of a confident, healthy smile contribut-
ing to a successful life. Q.: What your continuing goals as an orthodontist? A.: I am at the stage in my career where I am thankful for being able to serve the community. Our office locations in Brighton and Fairport have provided a nice standard of living for me and allowed my wife and I to raise five children. The last of those five recently graduated from college. I can now look at giving back more to my patients by keeping treatment fees in check, accepting more direct insurance participation and taking advantage of our great systems in place. Our on-time scheduling and efficient treatment planning have helped our patients finish their treatment more predictably and to a continued high standard. We strive to keep our patients happy and provide a high level of customer service. I hope to make orthodontic treatment and great smiles more accessible for everyone.
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Page 9
SmartBites
By Anne Palumbo
The skinny on healthy eating
Boost Your Health with Bananas
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hen it comes to healthy snacks, I don’t monkey around. They need to be convenient, tasty and nutritious. They need to fill me up and give me energy. They need to withstand being tossed into my purse. For me, bananas fit that bill, beautifully. Nutritionally, bananas have a lot going for them. Super rich in potassium, an essential mineral for maintaining normal blood pressure and heart function, bananas help keep the hardest working muscle in our body beating strong. In fact, the American Heart Association has certified bananas as a heart-healthy food when eaten as part of a low-fat balanced diet. What’s more, according to a fouryear study, men who ate diets higher in potassium-rich foods, as well as foods high in magnesium and cereal fiber, had a substantially reduced risk of stroke. Bananas are also good sources of other nutrients that promote heart health: fiber and vitamin B-6. Fiber does a heart good by helping people
about 14 grams per banana — gives a sustained and substantial boost of energy. It’s why athletes often reach for bananas. And because it comes with fiber, which slows digestion, it gives the body time to use it as fuel instead of storing it as fat. At only 105 calories a pop, with no sodium or cholesterol and next to no fat, it’s no wonder bananas are the world’s most popular fruit!
Helpful tips
maintain a healthy weight (crucial to heart health); while B vitamins help break down homocysteine—an amino acid that at high levels is related to a higher risk of cardiovascular disease. Feeling blue? Reach for a banana. Bananas contain tryptophan, an amino acid that helps our body produce serotonin, a natural substance that can improve our mood and make us relax. The healthy dose of vitamin B-6 in bananas, which regulates blood glucose levels, can also put a bounce in our step. The natural sugar in bananas —
Don’t put unripe bananas in the fridge: it will halt the ripening process. If you need to hasten the ripening process, place bananas in a brown paper bag, adding an apple to accelerate the process. Ripe bananas that will not be eaten may be placed in the fridge. Although the peels will darken, the bananas themselves will not be affected. Bananas can also be frozen (peel first) and will keep for about two months.
Rochester’s Magazine for Active Adults
Place ingredients in a blender and puree until smooth. If smoothie seems too thick, add more milk.
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.
Healthy BananaStrawberry Yogurt Smoothie (Serves 2)
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • July 2014
Egg Freezing More Commonplace Most fertility centers no longer consider egg freezing experimental and classify it as elective. Cost of banking eggs ranges from $5,000 to $6,000, plus medication and storage fees By Deborah Jeanne Sergeant
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newer technology enables fertility ancer patients used to be the priexperts to quickly freeze eggs, which mary patients seeking egg freezminimizes the formation of ice crysing to preserve fertility before undergoing radiation, chemotherapy or tals, which can damage them. Kiltz believes greater awareness removal of the ovaries. Recent advances has driven interest in egg freezing. in cryogenics have improved success “We’re helping them understand rates to the point where egg freezing the potential,” he said. “People are has become more commonplace. talking about it and it’s something Physician Rob Kiltz, founder of people can do. CNY Fertility in Rochester, said that “I think it is going to grow and the the primary candidate for egg freezing success will improve the technology,” remains young women under 30 added Kiltz. “Costs will go down and more and more women will pursue at risk for losing ovarian function. this. If we can make it affordable in their early 20s, when women are just “Secondary finishing college and starting careers clients, which and they don’t have the money, most I think we’re of those women beginning to see will rather use more, are young this than lose women who their fertility. If want to bank you can create their eggs bea system where cause they’re not they can provide currently interthose eggs for ested in having themselves and/ children but want Kiltz or to donate for to increase their future use, you odds of having children later,” Kiltz can spread the said. cost out.” Once women reach their late 30s, In other arthe probability of conceiving decreases eas in the state, because of the quantity and quality of the demand for their eggs. Frozen eggs have a 60 to 85 Elguero egg freezing percent survival rate of eggs and 40 to among non-cancer patients is growing. 50 percent pregnancy rate. These rates Sonia Elguero, board certified OBnearly rival that of embryo freezing. GYN at CWR Partners in Albany, said “Embryo freezing is the best for women who have a partner,” Kiltz said. that she has seen increased interest in the procedure. “Egg freezing is here for those who Elguero is completing training in don’t.” endocrinology and reproduction. She One reason for the improved thinks that the improved technology success rate of egg preservation is that
has helped. “The technique is important to minimize damage to the egg,” she said. “We’re doing ultra rapid cooling to minimize ice crystals. There’s no time for them to form. That increases the survival to comparable to buying fertilized eggs if we compare them head-on.” Another factor is using a method of injecting a single sperm into the egg, which has resulted in “significant improvement in pregnancy rates,” Elguero said. Because of the procedure’s previously dismal success rates, harvesting eggs used to mean more sessions for the woman seeking to preserve eggs. “They guarantee that of six eggs, two to three will make decent embryos,” said Jamil Mroueh, OBGYN with Rochester Fertility Care, specialized in reproduction endocrinology and infertility. “We used to get 100 and get five that would [succeed]. The technology has improved tremendously.” Because the success rate has become so high, most fertility centers no longer consider egg freezing experimental and classify it as elective. Vitek Wendy Vitek, OB-GYN University of Rochester Medical Center, said the center sees about one to two women monthly
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who preserve eggs electively, and up to three a year who are cancer patients. “I would say the minority of them go through with it,” Vitek said. “Most choose not to. A lot of women are banking [their eggs] and may not come back because they choose to be child-free or get pregnant on their own.” The cost of banking ranges from $5,000 to $6,000, plus medication and storage fees. Donor eggs are $15,000 to $20,000. But the cost of long-term storage can equalize the cost. The best changes for success rely more heavily upon the age of the eggs used than on the mother’s age. Although healthier women make healthier moms and healthier pregnancies, fertility isn’t as effected by her health. “They think their body is the factor but it’s really their eggs,” Vitek said. “Once you freeze an egg, it’s frozen in time relation to its health.” Leftover eggs may be donated for research or possibly donated if the donor passed tests proving her health at the time of donation. Donors’ medical history is recorded for any future children. Fertility centers anonymously label the source of donated sperm and eggs so the children resulting from donations don’t end up getting married, for example. “The recipient knows the donor identification number, so they don’t know the identity of the donor, but women who use donor sperm know the number from the cryopreservation bank,” Vitek said. “Offspring of donors can get together through that donor number.”
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Women’s issues Post-partum Incontinence Usually Treatable By Deborah Jeanne Sergeant
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bout half of women experience post-partum urinary incontinence, and between 10 and 25 percent of women experience some symptoms of anal incontinence for three to six months after delivery. About 10 percent of women experience both. The strain of pregnancy and delivery — even cesarian births — often stretches the pelvic floor muscles and connective tissues so that holding urine or bowel movements proves difficult. If incontinence doesn’t resolve Fallon on its own, women should seek help. “A lot of women, after they have children think it’s normal to lose urine when they laugh, cough or sneeze, but that’s not normal,” said Erika Fallon, women’s health physical therapist with Unity Health System. “A lot of times, women accept that because they’ve had children, [incontinence] happens,
but it’s not something to be accepted as normal.” After an exam, women seeking help from Fallon receive an exercise program that can help them strengthen the pelvic muscles. Compliant patients usually see improvement within five to six weeks with weekly visits to the office. Fallon estimates that 70 to 80 percent of women who need pelvic muscle strengthening no longer need pads after completing the program. The muscles that control urinary incontinence are the same group that addresses fecal incontinence. “Those muscles act like a hammock in the base of the pelvis,” Fallon said. “Fecal incontinence isn’t as common.” She estimated that about one in 20 incontinence patient experiences fecal incontinence. “The sooner it’s addressed the better,” Fallon said. “A lot of times, if the muscles are stretched out over a long period of time, it can be harder to address. If women seek treatment as soon as they notice symptoms, they nearly always recover.” Wendy Featherstone, physical therapist and doctor of physical therapy for Specialty Physical Therapy in Rochester, said that in addition to
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kegel exercises, she recommends core strengthening. “The core is weakened from the over-stretched abdominal muscles,” she said. At-home exercises such as using an exercise ball and performing plank yoga poses are “usually respond quite well if they’re compliant.” Of course, prevention is ideal. As part of childbirth classes, some women learn that kegel exercises can help prevent or lessen incontinence, both before and after delivery. Some women don’t learn the correct method, however. Hilary Cholhan, board-certified urogynecologist with the Women’s Continence Center of Greater Rochester, said that once a patient identifies the correct muscles, she can easily perform kegel exercises anytime. “What we teach patients is there’s a little doughnut-shaped muscle, the external anal sphincter,” Cholhan said. “It is similar to trying to prevent gas from escaping. You end up tightening all the muscles in the pelvic floor, since only one nerve controls all those muscles.” Cholhan recommends performing three sets of kegel exercises daily. Each set typically consists of one minute of squeezing and relaxing the muscle alternately for five seconds. A small subset of patients may have trouble locating the muscle, so biofeedback can help them. Beyond the strain of pregnancy, the type of delivery makes a difference in whether or not a woman experiences incontinence. Deliveries that tear the sphincter muscles cause anal incontinence, for example. Operative deliveries, those that use a vacuum or forceps to help move the baby, represent a major risk factor for anal sphincter laceration. Erin Duecy, OB-GYN and associate professor in the departments of Obstetrics and Gynecology and of Urology at University of Rochester Medical Center, said although unnecessary operative methods should be avoided, a vacuum may cause less pelvic floor damage than forceps and that an episiotomy may increase the risk that the enlarged opening may tear into the
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • July 2014
anal sphincter. “Routine episiotomy is not recommended by the American Congress of Obstetricians and Gynecologists,” Duecy said. As with other aspects of delivery, it’s important to discuss all the options beforehand and go with what keeps moms and babies safest. Duecy Methods such as perineal massage before and during labor may help prevent vaginal tears during a routine delivery. For those requiring surgery, recovery time is usually a few days to a week. But surgery isn’t the only option. A quarter-sized device that surgeon Claudia Hriesik jokingly calls a “butt pacemaker” can help patients control bowel movements through an implanted stimulator of the sphincter muscles via a remote control. “It’s a small incision and a one- to two-week recovery, but people can be very active during that period,” Hriesik said. She has a PhD and additional medical training in colo-rectal surgery with a focus on fecal incontinence. She practices at Rochester Colon-Rectal Surgeons, PC in Rochester and Brighton. The device operates for three to five years before needing its battery replaced. Hriesik said a patient has never requested a reversal of the procedure. Especially popular among younger women who have experienced birth trauma, the device has become more widely used. Discussing all the options with one’s primary care physician or OBGYN represents the first step toward regaining continence.
Women’s issues Early Menopause Affects More Than Fertility
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Some women more prone to low bone mineral density, which may lead to osteoporosis.
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ost women experience the onset of “The Change” at some point in their mid-40s. But when that happens before 40, that’s early menopause. The classic menopausal symptoms are the same: disruption of the cycle and hot flashes, night sweats and vaginal dryness, except they happen at a younger age. “Some spontaneous early menopause is familial, but in most cases the cause is unclear,” said Adrienne D. Bonham, OBGYN and associate professor at the University of Rochester. “There is little to do to prevent spontaneous early menopause, but because smoking is associated with earlier menoBonham pause, and because it is also associated with low bone density, quitting smoking is advised.” Medical procedures can also cause early menopause, such as removal of the ovaries, hysterectomy, chemotherapy, radiation or uterine artery embolization. The last of these may decrease the blood supply to the ovaries. “Women who have had a hysterectomy and have kept their ovaries will go through menopause one to two years earlier, on average, than women who have not had this surgery,” Bonham said. Younger women treated with chemotherapy or radiation may not experience menopause. Some women believe that they experience early menopause when they cease taking oral contraceptives; however, that’s not the case. “Pills do not cause early menopause, but rather, the hormones in the pills were likely masking the symptoms of the condition,” Bonham said. Oral contraceptives tend to minimize menstrual flow and other symptoms, along with preventing conception. Premature ovarian insufficiency (POI) mimics premature menopause in many ways, making it difficult to diagnose. POI occurs in about one in 250 women under 35 and one in 100 younger than 40, so it’s not uncommon. “The diagnosis is usually made retrospectively, so the diagnosis of premature ovarian insufficiency should be considered in all women with interruption of their normal menstrual cycles,” Bonham said. Women with POI experience a disruption in menstrual cycles for at least four months and the presence of certain changes in hormone levels. Both POI and women with early menopause
have higher levels of FSH, a hormone that reflects ovarian function, and low levels of estradiol, the estrogen produced by the ovary. But ovarian function returns intermittently to five to 25 percent of women with POI, unlike those with early menopause. “Because of the possibility of intermittent ovulation, there is the possibility of pregnancy,” Bonham said. “Five to 10 percent of women with condition not using birth control will become pregnant and can carry a pregnancy successfully. Because of this, if a woman with POI does not wish to become pregnant, she should use some form of birth control.” Beyond the bothersome symptoms of menopause all women experience, early menopause has been identified as associated with an increased risk of low bone mineral density, which may lead to osteoporosis. “There is also a great deal of evidence that suggests that early menopause is associated with an increased risk of heart disease and may be related to impaired cognitive function with aging,” Bonham said. “Unless contraindicated, women with early menopause should receive hormone replacement therapy until they are at least 50 years old, roughly the average age of normal menopause.” She added that the risks of hormone replacement therapy don’t apply to women under the age of 50. In addition to discussing with their doctors the pro’s and con’s of hormone replacement, women experiencing early menopause should commit themselves to a healthful lifestyle to mitigate the other effects of early menopause. Maintaining a healthful weight and diet, along with seven to eight hours of sleep per night can help, along with avoiding tobacco. “Weight bearing exercise may help avoid bone density loss,” Bonham said. Simply put, weight bearing exercise is any movement where the body functions upright, such as walking, jogging, gardening or dancing. Swimming, using an elliptical machine, or canoeing represent a few non-weight bearing exercises. Women experiencing early menopause should also remain vigilant about their physicals. Jamil Mroueh, an OB-GYN with a specialty in reproduction endocrinology and infertility with Rochester Fertility Care, said that if the early menopause were caused by damage to the ovaries, “it could damage other glands like the thyroid and adrenal glands. We check all the other hormones to make sure this is an isolated event and other hormones are not affected. We want to make sure everything is fine.” If the damage was caused by an autoimmune disease, the patient may be more susceptible to other autoimmune diseases such as lupus. July 2014 •
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New CEO Wants More Emphasis on Wellness Programs at St. Ann’s He sees it as a new trend — aging boomers want to see dimensions of physical, spiritual, intellectual and social environment in any place they are going to live By Ernst Lamothe Jr.
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hen people visit his facility, they often want to know about fitness centers, pools and other health-related classes that are available, said Mike McRae, the new CEO of St. Ann’s Community in Rochester. “One of the things I see with boomers is they really care about wellness programs. You talk to them and they want to see dimensions of physical, spiritual, intellectual and social environment in any place they are going to live,” said McRae, 48, of Webster. “We have to take account the needs of our seniors because they want multi-levels of services.” The focus on wellness and fitness is even more important for St. Ann’s as it strives to attract more clients and offer a high quality of services at a time that a growing number of baby boomers is aging. According to the AARP, in the next 15 years, baby boomers will be turning 65 years old at a rate of about 8,000 people a day. “Ninety percent of people who respond say wellness is a critical factor in selecting a senior community,” said McRae. “As an organization, we have to be responsive to what people want.” Early on McRae understood what being responsive looked like. As a young boy in elementary school, McRae watched as his grandmother on his father side dealt with a stroke. Those were the days when he saw firsthand a hospital bed in his house as both sides of the family cared for her. That memory not only stuck with him but fundamentally ingrained his compassion for the older generation. “I saw the great care my family did for my grandmother and it had such a profound affect on me. It made me want to get into an area that I could help people, especially seniors,” said McRae. “Plus, I had so many relatives that were in healthcare, including my mom and dad.”
St. Ann’s at a Glance St. Ann’s Community is one of Rochester’s largest private employers with more than 1,200 employees. St. Ann’s offers a variety of living options for seniors. The main home, located on the northeast campus of Rochester, is a 24-hour skilled nursing care to residents who enjoy private rooms. In addition, it has Chapel Oaks, which is a rental retirement community for people who like an active lifestyle with complete residence. The facility will have a new pool and fitness center by the fall. There is also Cherry Ridge, a 41-acre facility in Webster offering apartment or cottage homes along with on-site skilled nursing, transitional care and memory care. Page 14
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McRae went on to get his master’s degree in human services administration from Buffalo State College and before that a bachelor’s degree in gerontology from University at Buffalo. He is only the third CEO in the last 50 years of St. Ann’s and he took over the position in April after the retirement of Betty Mullin-DiProsa, who led the organization for 17 years. “Mike’s thoughtfulness, openness and honesty are key ingredients for a CEO in healthcare for the elderly,” said Marie Castagnaro, treasurer of St. Ann’s board of directors. “Mike’s grasp of finances and his ability to vision for the future will be critical in assisting St. Ann’s organization and the board to stretch the boundaries of what can be accomplished to meet the needs of the elderly in the community.” McRae came to St. Ann’s in 2010 as senior vice president and administrator. Prior to that he had spent nine years as an administrator at Catholic Health in Buffalo and six years before that as quality improvement director at Niagara Falls Memorial Medical Center. “Having worked in healthcare for 27 years, this is an incredible privilege, and I’m honored to step into this role and lead an organization with such an exceptional history and passion for care and service,” McRae said. Knowing that wellness also extends to more than
St. Ann’s residents Aden Chaffer (left) and Thelma “Timi” Bauman spending time on gardening, one of the activities offered at the senior community. physical, he said one of St. Ann’s focuses will continue to be its educational-related programs. There are guest lecturers that talk about key issues that affect seniors to keep them ahead of the curve. “It can be something like learning woodworking or even a class on Facebook. You have older people saying they want to keep contact with their grandkids and that is one way that they can,” said McRae. The organization also provides medical and social adult day programs, independent retirement housing, Rochester’s only freestanding transitional care center, assisted living, enhanced living, specialized dementia care, geriatric outpatient primary care practice and hospice care. McRae believes serving the full needs of the individuals requires good
“Ninety percent of people who respond say wellness is a critical factor in selecting a senior community.” Mike McRae, CEO of St. Ann’s Community.
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • July 2014
managers and staff from all levels. Whether it is volunteer board members and front line staff to cooks or upper management, they have to be working together as a team. “We are not in the business of making widgets,” he said. “Your mother and grandmother could be here and you want a highly skilled and committed workforce.” McRae said he is hoping to lead an already award-winning organization to new heights in an effort to continue to care for seniors in a better way. “We have provided care to this area for over 140 years,” said McRae. “One could not be more honored about being in this organization and having the opportunity to serve the greatest people on Earth.”
St. Ann’s names new VP
St. Ann’s Community recently appointed David M. Sones of Webster as the new vice president and administrator. He will provide executive leadership to St. Ann’s Community skilled nursing facility and adult day services as administrator of record. Sones has more than 18 years of health care experience and most recently worked as the administrator and regional director of operations for Athena Health Care Systems, a multi-level provider of skilled nursing facilities in Connecticut, Massachusetts and Rhode Island. Sones was also the vice president of operations for iCare Management, one of Connecticut’s largest skilled nursing providers. Sones has his certification in healthcare Administration from the University of Connecticut and holds his Bachelor of Arts from Hartwick College in Albany. He was elected and served on the board of directors for the American College of Health Care Administrators (ACHCA) and was a ACHCA Award Recipient in 2010, 2011 and 2012.
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How to Make an Online Memorial for a Departed Loved One Dear Savvy Senior, What can you tell me about online memorials? My uncle recently passed away, and some of the family thought it would be neat to create an online memorial to pay tribute to him, and accommodate the many family and friends who are scattered around the country who couldn’t attend his funeral. Grieving Niece Dear Grieving, It’s a great idea! Online memorials have become increasingly popular over the past decade, as millions of people have created them for their departed loved ones as a way to recognize and remember them. Online Memorials? An online memorial is a website created for a deceased person that provides a central location where family and friends can visit to share stories, fond memories, photographs, comfort one another and grieve. The memorial can remain online for life (or a specific period of time) allowing people to visit and contribute any time in the privacy of their own space. Online memorials started popping up on the Internet in the late 1990s, but were created primarily for people who were well known. But now, these sites are for anyone who wants to pay tribute to their departed family member or friend, and ensure they will be remembered. Content typically posted on an online memorial includes a biography, pictures, stories from family and friends, timelines of key events in their life, along with favorite music and even videos. Another common feature is the acceptance of thoughts or candles offered by visitors to the site who want to send their condolences and support to the
grieving party. An online memorial can also direct visitors to the departed person’s favorite charity or cause to make a donation, as an alternative to sending funeral flowers.
How to Make One To make an online memorial, you can either create an independent website, or use an established memorial site, which is what most people choose to do. Memorial websites are very easy to create and personalize, and can be done in less than 30 minutes. There are literally dozens of these types of sites on the Internet today. To locate them, do an online search for “online memorial websites.” In the meantime, here are a few good sites to check into. The biggest and most established site in the industry is Legacy.com, which also publishes about 75 percent of the obituaries in North America each year through its newspaper affiliations. Creating an online memorial through this site (see memorialwebsites.legacy. com) will run you $49 for the first year, plus an annual $19 sponsorship fee to keep it visible. Some other popular sites to check out are ForeverMissed.com, which offers a free barebones option, along with a premium plan that runs $35 per year or $75 for life; and iLasting.com, which runs $49 per year or $99 for permanent display. If you’re on a tight budget consider LifeStory.com, which is completely free to use, but requires you to log in through Facebook to get to it. And iMorial.com, which is free if you allow ads to be posted on your uncle’s page, or it costs $50 without ads. Or, if your uncle used Facebook, you can also turn his profile into a memorial for free when you show proof of death. Once his page is memorialized, his sensitive information will be removed and his birthday notifications will stop, but (depending on his privacy settings) it still enables family and friends to post memories and condolences. In addition, you can also request a Look Back video, which is a short video created by Facebook highlighting your uncle’s pictures and most liked status messages. 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. July 2014 •
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Study: Many Pets Are Too Fat
The Social Ask Security Office
Measure food portions and provide daily exercise to keep your furry companions in shape, vet advises
M
uch like their human companions, many of America’s pets are overweight. Just over half of dogs in the United States are overweight or obese, and 58 percent of cats are carrying too many pounds, according to a survey from the Association for Pet Obesity Prevention. And, like people, animals can face health consequences from excess weight. “Overweight animals also have certain health issues,” said Susan Nelson, clinical associate professor in the department of clinical sciences and veterinarian at the Kansas State University Veterinary Health Center, in a university news release. Excess weight “can aggravate joint disease. It can lead to Type 2 diabetes. It can aggravate heart conditions, and it can lead to skin diseases as folds in the pet’s skin get bigger. It can even shorten their life span,” noted Nelson. How can you know if your pet is overweight? You may not be able to tell by appearance alone, since pets can appear to be in good shape even when they aren’t. At the appropriate weight, Nelson said, pets should only have a thin layer of fat over their ribs and show an hourglass shape from above. If you have a long-haired pet, it may be best to look when your dog is wet. Nelson also recommends using a measuring cup to figure out how many
M calories your pet is eating each day. It’s also important to re-check that information every time you switch brands or types of food since calories may vary as much as 200 to 300 per cup between different brands or types of food, she said. Calorie information should be available via the bag or can of pet food. If you can’t find calorie details on the packaging, contact the manufacturer. Be cautious about the suggested amount of food for your pet, Nelson said. “In the testing facilities, these animals are typically mandated to have a certain amount of exercise per day because they are research animals,” she said. “In reality, a lot of the pets that we own don’t get as much exercise as those dogs and cats in the research facilities.” Nelson suggests cutting back on treats too, keeping them to no more than 10 percent of your pet’s diet. And exercise your pet 20 to 30 minutes per day, if possible.
Study suggests they may be three times more likely to develop brain disease than more trusting folks
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Medicare Is Here To Stay By Deborah Banikowski
Cynics at Higher Risk for Dementia? Yeah, Right
ynical, distrustful people may be more prone to dementia, a new Finnish study contends. Those traits have been linked with other health problems, such as heart disease, the researchers noted. “Our personality may have an impact on our brain health,” said study author Anna-Maija Tolppanen, from the University of Eastern Finland in Kuopio. Tolppanen cautioned that this study finding only shows an association between cynicism and dementia, not necessarily a cause-and-effect link. “This is the first study showing the link, so it is not possible to say yet whether this is causal or if the association is explained by something else,” she said. One explanation could be that people who are more wary of others may be less socially active, which in turn may increase their dementia risk, she said.
Column provided by the local Social Security Office
There are many ways personality may affect brain health, Tolppanen said. People with different personality traits may be more or less likely to engage in activities that are beneficial for mental health, such as a healthy diet, mental or social activities, and exercise. Another suggestion is that personality may cause physical changes in the brain, she said. “These findings suggest that in addition to established lifestyle-related risk factors, such as exercise or diet, our attitude or personality may be a modifiable risk factor,” Tolppanen said. The report was published online May 28 in Neurology. Sam Gandy, director of the Center for Cognitive Health at Mount Sinai Hospital in New York City, said the new study “addresses the issue of whether dementia underlies the development of an outlook characterized by negative, cynical, sometimes paranoid mistrust that can develop in the elderly.”
edicare went into effect 48 years ago on July 1, 1966. Earlier that same year, Medicare workers went door to door trying to get seniors to sign up. Medicare was not the cornerstone then that it is today and people did not know whether it was going to work for the long haul. Now, nearly half a century later, Medicare remains one of the most popular government programs in the nation. We can’t see the future, but one thing’s for sure: Medicare is here to stay. Medicare provides health insurance to more than 50 million Americans. Forty-two million are people age 65 and older and the other 8 million are younger and have disabilities. Most people first become eligible for Medicare at age 65. The four parts of Medicare are parts A, B, C, and D. • Part A (Hospital Insurance) helps cover inpatient hospital care, skilled nursing care, hospice care and home health care. Most people get Medicare Part A premium-free since it is earned by working and paying Social Security taxes. • Part B (Medical Insurance) helps cover services from doctors and other outpatient health care providers, outpatient care, home health care, durable medical equipment and some preventive services. Most people pay a monthly premium for Part B. In 2014, the premium for most people is $104.90, the same as it was in 2013. Some high-income individuals pay more than the
Q&A
Q: I can’t find my Social Security card. How can I get a new one? A: First, consider whether you really need a new card. You only need to apply for a replacement Social Security card if you don’t know your Social Security number or if you need to show your card to a new employer or other entity. If you decide that you do need a card, follow these three easy steps. • Step 1: Complete an Application For a Social Security Card (Form SS-5). • Step 2: Show us documents proving your: – Identity; and – U.S. citizenship or immigration status. • Step 3: Take your completed application and original documents to your local Social Security office or your local Social Security Card Center. Q: How can I calculate my own retirement benefit estimate? A: We suggest you use our Retirement Estimator at www.socialsecurity. gov/estimator. Our Retirement Estimator produces estimates based on your
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • July 2014
standard premium. Your Medicare Part B premium also can be higher if you do not enroll when you are first eligible, also known as your initial enrollment period. There also is a Medicare Part B deductible of $147 in 2014. • Part C (Medicare Advantage) allows you to choose to receive all of your health care services through a provider organization. This plan includes all benefits and services covered under Part A and Part B, usually includes Medicare prescription drug coverage, and may include extra benefits and services at an extra cost. You must have Part A and Part B to enroll in Part C. Monthly premiums vary depending on your state, private insurer, and whether you select a health maintenance organization or a preferred provider organization. • Part D (Medicare prescription drug coverage) helps cover the cost of prescription drugs. Many people pay a premium for Part D. However, people with low income and resources may qualify for extra help from Social Security to pay the premium and deductible. To see if you qualify for extra help visit www.socialsecurity.gov/prescriptionhelp. Will you be age 65 soon? Even if you decide not to retire, you should consider applying for Medicare. You can apply in less than 10 minutes using our online Medicare application. Do it today at www.socialsecurity.gov/medicareonly. To learn more about applying for Medicare when you plan to delay retirement, read our publication “Applying For Medicare Only—Before You Decide,” available at www.socialsecurity.gov/pubs.
actual Social Security earnings record, so it’s a personalized, instant picture of your future estimated benefit. Also, you can use it to test different retirement scenarios based on what age you decide to start benefits. For example, you can find out your estimated monthly payments if you retire at age 62, 70, or anytime in between. Visit www.socialsecurity.gov/estimator. Q: How do I earn Social Security credits? A: “Social Security credit” (sometimes referred to as a “quarter of coverage”) is the measure of your work under the Social Security program. We use your total covered yearly earnings from both wages and/or net earnings from self-employment to compute Social Security credits. The amount needed for a credit increases automatically each year as average wages increase. For example, in 2014, you earn one credit for each $1,160 of wages or self-employment income. You can receive a maximum of four credits for any year. Generally, you need 40 credits to be eligible for retirement benefits. Leran more at www.socialsecurity.gov/ pubs.
H ealth News Sarah Miner receives honor from HCA of NYS The Home Care Association of New York State (HCA) has recognized Sarah Miner of HCR Home Care with one of its highest honors for caregivers. Miner, a registered nurse, recently received the 2014 Caring Award at its annual conference. This award recognizes individuals for exhibiting compassion, skills and service that set their contribution apart, and whose actions over a period of time exemplify outstanding compassion in caring. Miner was honored for her tireless work to help Rochester’s refugee population access health care services. Specifically, she identified health disparities and lack of access to community resources among refugee adults with chronic health conditions, and she proposed and successfully implemented a sustainable refugee program within HCR Home Care. “All of us at HCR Home Care are very proud of Sarah for receiving this prestigious honor,” said Elizabeth Zicari, president, HCR Home Care. “Sarah’s compassion and her commitment to serving the refugee population were instrumental in creating our refugee program, and she has contributed tremendously to the successful outcomes this program has achieved.” A Ph.D. candidate in nursing, Miner resides in Rochester. She is the sister of Syracuse Mayor Stephanie Miner.
Nationally respected geriatrician receives honor Physician Patricia A. Bomba has been presented the 2014 Carol Selinske Founder’s Award by the Hospice & Palliative Care Association of New York State for her outstanding work on behalf of hospice and palliative care and the needs of the terminally ill in New York state. Bomba is an Excellus BlueCross BlueShield vice president and medical director for geriatrics and is a nationally recognized expert on advance care planning and end-oflife issues. She also served on the Institute of Medicine’s Committee on Transforming End-of-Life Care. The award recognizes Bomba’s pioneering work in the creation of New York Bomba state’s Medical Orders For Life-Sustaining Treatment, also known as the MOLST Form, and the first in the nation eMOLST that’s housed in a patient’s electronic medical records. MOLST is a document that patients with advanced chronic illness and frailty complete with their doctor. It’s generally for patients with serious health conditions who want
to avoid all life-sustaining treatment, those who reside in a long-term care facility or who require long-term care services. It also is appropriate for those patients whose health status indicates they may die within the year. The hard copy MOLST Form, and the electronic eMOLST stay with the patient so endof-life preferences will be followed as he or she moves through the health care system — facility to facility, physician to physician. Bomba’s efforts helped MOLST become a legally recognized medical order form for seriously ill persons in New York state, joining the health care proxy and New York State Living Will as legally binding tools for end-of-life care planning. Information on advance care planning is available free online at CompassionAndSupport.org. The Carol Selinske Founder’s Award is named after the first director of the New York State Hospice Association who retired in 1993. The HPCANYS award publicly recognizes an individual or group of individuals for their outstanding efforts on behalf of hospice and palliative care and the needs of the terminally ill in New York state.
Hurlbut Care gets quality award designation Upstate New York and Florida nursing and rehabilitation facilities recognized by national program for commitment to quality care Four Hurlbut Care Communities in Upstate New York — Wedgewood Nursing & Rehabilitation in Spencerport, Woodside Manor Nursing & Rehabilitation in Brighton, Conesus Lake Nursing & Rehabilitation, Seneca Nursing & Rehabilitation in Waterloo — and one in Florida, The Fountains in Boca Raton, have been recognized as 2014 recipients of the Bronze – Commitment to Quality Award for dedication to improving the lives of residents through quality care. The award is the first of three distinctions possible through the national quality award program, presented by the American Health Care Association and National Center for Assisted Living (AHCA/ NCAL). The program honors centers across the nation that have demonstrated their commitment to improving quality care for seniors and individuals with disabilities. “This award demonstrates how all of our facilities are committed to striving for quality and even greater improvement,” said Robert W. Hurlbut, president and CEO of Hurlbut Care Communities.
ACM Medical Lab has new HR director ACM Medical Laboratory, Inc., a division of Unity Health System, announced that Terri J. Snider has joined ACM as executive director of human resources. Snider will be responsible for the development of and successful implementation of the company’s human resources strategy, and will serve as a business partner to the senior leadership team of ACM. Snider comes to ACM following a very successful Snider career spanning more than two decades with Bausch + Lomb, Inc., in Rochester. Most recently, she was director of human resources and global quality and operations at B+L. She also held positions managing employee relations and diversity initiatives, global talent management, human resources operations, recruitment and training efforts. A Rochester resident, Snider graduated from the University of Buffalo with a bachelor’s degree in communications. She later earned a master’s degree in human resources development from the Rochester Institute of Technology. “We are delighted to have Terri join the senior management team of ACM. She brings tremendous knowledge and experience in developing HR solutions that support highly effective business teams, ” said Angela J. Panzarella, president of ACM. “She has hit the ground running and I’m excited to
watch her contribute to the continued growth of ACM.”
Unity Health announces appointment Physicians Hemant Kalia recently joined the Unity Neurosciences medical staff, which is part of Unity Health System. Kalia provides services ranging from interventional spine care, specialized cancer pain rehabilitation, and treatment for complex pain syndromes like CRPS/RSD. He will be an attending physician at the Unity Spine Center at Ridgeway. The Rochester resident earned his medical degree from Mahatma Gandhi Memorial Medical College in Indore, India. He completed residencies in preventive medicine and public health, physical medicine and rehabilitation and a fellowship in pain medicine from University of Rochester.
Mill Landing now part of Village at Unity Unity Health System announced the affiliation between its senior living community, The Village at Unity, and Mill Landing, a 55-plus ranch-style
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Said Mark Parkinson, president and CEO of AHCA/ NCAL: “Each nursing facility has created a strong foundation for continuing on to the silver and gold levels. I applaud these Hurlbut Care Communities for their commitment to delivering quality care. This award represents the dedication that each bronze recipient has given to improve quality in the long term and post-acute care profession.” Implemented by AHCA/NCAL in 1996, the national quality award program is centered on the core values and criteria of the Baldridge Performance Excellence Program. The program assists providers of long- term and post-acute care services in achieving their performance excellence goals. There are 13 Hurlbut Care Communities — 12 in the greater Rochester region and one in Florida — all designed and operated to go beyond the nursing home standard by offering outstanding amenities and all the comforts of home. These communities are family owned and operated by the Hurlbut Family.
community owned and operated by Wegman Companies, Inc. Mill Landing will be re-branded as The Village at Mill Landing. The Village at Unity — located on the Park Ridge Health Care campus in Greece with independent, assisted and memory care neighborhoods — will provide management and administration of marketing and leasing of the community. Residents who live at The Village at Mill Landing will have access to the many amenities the residents at The Village at Unity have come to enjoy, including transportation and house keeping services, three dining venues, life-enrichment activities and access to medical services through Unity Health System. All services and amenities will be available to Mill Landing residents on an a la cart basis. “This year, the youngest baby boomers turn 50 and according to the U.S. Census Bureau, people 65 and over are expected to represent 20 percent of the population by 2030—each of them will have their own unique needs as they age,” said Don Felter, president of Unity Senior Housing. “Mill Landing has provided beautiful ranch-style homes for the 55-plus community for 11 years. This affiliation will help both communities deliver a more complete offering to current and prospective residents in Rochester for years to come.”
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H ealth News In addition, residents at The Village at Mill Landing will be able to easily transition between The Village’s independent living community, assisted living apartments and memory care community—as well as Unity’s skilled nursing homes—when additional care is needed.
New site helps deaf and hard-of-hearing students A website is now available detailing the partnership between Rochester Institute of Technology and the University of Rochester that helps deaf and hard-of-hearing students pursue graduate degrees in science programs. The Rochester bridges to the doctorate program, established this year with a grant from the National Institute for General Medical Sciences, part of the National Institutes of Health, helps eligible students in a master’s program at RIT to prepare and apply for a doctorate level program in behavioral or biomedical science. The website — deafscientists.com — has been created to help prospective students learn more about the program, mentors, and potential careers in science. Three students will be selected each year to be Bridges Scholars, with most of their tuitions paid. They will earn a master’s degree from RIT while being paid to work in laboratories at RIT and UR. They will also meet regularly with mentors who will prepare them for their Ph.D. program, attend at least two professional conferences and complete a 10-week research assistantship at a UR laboratory.
Long-term care group has new marketing staff Kathi Gunio of Fairport has recently been hired as a marketing assistant at the Academy for Leadership in Long-Term Care. In this role, Gunio provides support for customer communications including public relations, develops professional relationships throughout the long-term care community, supports the organization’s marketing plan, provides oversight for marketing materials, and manages and maintains the academy’s website and database. Gunio is a graduate of St. John Fisher College, with a Bachelor of Arts degree in communications / journalism, and a minor in English. She is a graduate of the Rochester School of Practical Nursing as well. Gunio is certified as a HIPAA Gunio trainer, and is also certified in adult education for Monroe BOCES in creative writing, and Page 18
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certified in CSR management. She was most recently a marketing and training coordinator for Modular Comfort Systems in Rochester. Gunio also previously held the position of staff education and marketing coordinator at Fairport Baptist Homes for over six years. The scademy provides leadership training for nurses in long-term care; the development of networking opportunities to share leadership best practices; and the creation of programs to support clinical experiences and summer internships for undergraduate nursing students in geriatrics and longterm care. The academy is the result of two consecutive grants awarded by The Robert Wood Johnson Foundation, Northwest Health Foundation and the Daisy Marquis Jones Foundation. Based at the Wegmans School of Nursing at St. John Fisher College, the academy provides on-going involvement and improvement through input of faculty experts in clinical education, geriatrics, leadership, and management.
Dermatologist elected to American Academy Board UR Medicine dermatologist Marc Brown, professor of dermatology and oncology at the University of Rochester Medical Center, was elected to the board of directors of the American Academy of Dermatology. Brown joined the department of dermatology faculty in 1989, developing its division of dermatologic surgery and cutaneous oncology. An expert in the Mohs technique to treat various forms of skin cancer, he performs about 2,000 cases annually and has completed more than 30,000 in his career. He also coordinates the Wilmot Cancer Institute melanoma group practice. After earning his medical degree at Georgetown University, Brown completed an internal medicine residency at the University of Rochester. He served two years in the public health service followed by a dermatology Brown residency at the University of Michigan. Board-certified in dermatology, he completed a twoyear fellowship in Mohs surgery and cutaneous oncology at the University of Michigan. Brown also serves on the board of directors of the American Society of Dermatologic Surgery. He is immediate past president of the American College of Mohs Surgery and a past president of the International Transplant Skin Cancer Collaborative, Association of Academic Dermatologic Surgeons, and New York State Dermatologic Society. A frequent national lecturer, Brown has published two books and 50 scientific articles, primarily relating to skin cancer.
Bradford C. Berk, University of Rochester Medical Center and UR Medicine CEO and senior vice president for health services, and his family are giving $1.5 million to the University of Rochester
Brad Berk gives $1.5 M to University of Rochester Bradford C. Berk, University of Rochester Medical Center and UR Medicine CEO and senior vice president for health services, and his family are giving $1.5 million to the University of Rochester. In combination with a $500,000 gift from URMC’s department of medicine, the Berk contribution establishes a distinguished professorship in support of the university’s cardiovascular care, research, and educational efforts. “This is an extraordinary gift, reflecting Brad’s loyalty and commitment to the university where his career reached its pinnacle,” said University of Rochester President Joel Seligman. “Brad, who has already devoted so much of his talent to the University, is now making a gift that will support cutting-edge cardiovascular research for decades to come.” The gift establishes the Bradford C. Berk, MD, PhD, distinguished professorship in cardiovascular research, and will be used to recruit high caliber scientists to the School of Medicine and Dentistry or retain exemplary faculty already working within the cardiology division. Physician Arthur J. Moss will be the first to hold the endowed professorship. “It is very important that the first person set the standard, and Dr. Moss is establishing a very high bar,” said Berk. “He is the kind of individual I would always like to have in this position.” Moss, who has been with URMC for more than 50 years, is a world-renowned expert on electrical disturbances of the heart. He has made some of the most important and long-lasting discoveries in the treatment and prevention of cardiac arrhythmias, particularly a heart rhythm disorder known as long QT syndrome, and sudden cardiac death. Recently, Moss’s research team discovered a simple program-
IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • July 2014
ming change that makes defibrillators — devices designed to detect and correct dangerous heart rhythms — safer and more effective. Within a week, physicians across the country were resetting the devices, which are implanted in about 200,000 U.S. patients every year. “Dr. Moss has made a difference in the lives of so many people,” said Berk. “I admire him enormously, and I am so glad his significant contributions are being recognized.” Berk received his M.D. and Ph.D. from the School of Medicine and Dentistry in 1981, and went on to serve on the faculties of Harvard Medical School, Emory University, and the University of Washington. In 1998, he was recruited back to his alma mater, where he became chief of cardiology and chairman of medicine. In addition, he has served as director of URMC’s Aab Cardiovascular Research Institute (CVRI). First appointed CEO in 2006, Berk continues to run his own CVRI lab, focusing on how blood vessels respond to biomechanical forces such as blood flow and hormones, and how these mechanisms contribute to atherosclerosis, hypertension, and stroke. He is a member of the Association of Academic Physicians, serves on the Empire State Stem Cell Board Funding Committee, and is a fellow of the American Heart Association and the American College of Cardiology. He has published 300 articles, chapters, and books, and has served as a mentor to more than 80 young scientists from five continents. “It has been a pleasure watching Dr. Berk’s outstanding career unfold. I’m honored to be the first to hold this professorship,” said Moss. “His gift ensures the University will continue groundbreaking research in its cardiovascular labs, offer the most advanced treatments for patients, and help develop future generations of leading heart specialists.”
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High Season for Food Poisoning One out of six Americans gets sick every year from some sort of foodborne illness By Deborah Jeanne Sergeant
“S
ummer complaint” is an antiquated term for severe bouts of diarrhea common during the warmer months of the year. In the very young, elderly and sick, the illness could be fatal. Though our grandparents and great-grandparents didn’t fully understand what caused the illness, linking it to warm weather was apropos. “People need to be aware summer’s a time for fun and being outdoors, but one out of six Americans gets sick every year from some sort of foodborne illness, usually from poor food handling,” said Beth Smythe, registered dietitian with the New York State Dietetic Association. Food should remain within the window of 40 degrees to 140 degrees for only two hours and, in 90-degree temperatures, one hour. The number of bacteria in food that temperaSmythe ture doubles every 20 minutes. Nesting bowls of cold foods in bowls of ice may help improve its safety a little as can keeping food out of direct sunlight. Hot foods that are covered and in insulated containers such as slow cooker crocks may also be warmer than those transferred to non-heated containers. If in doubt, “stick with things that are non-perishable like rolls, chips, and peanuts,” Smythe said. “Fruit salad would take longer to spoil than a potato salad.” Sarah Guilbert, clinical dietitian with University of Rochester Medical Center, said that the 40 to 140 degree range is important to note because “bacteria love to grow at that temperature range” and that’s how food becomes contaminated to the point where it can cause illness. If you’re the host, “keep the hot food in the oven above 140 degrees until it’s ready to be served,” she said. “Keep cold salads below 40 and only take it out [of the refrigerator] once you’re ready to eat.” Smythe added, “Hopefully, most of what you cook right away you eat right away. They do have hot packs you can microwave before you leave and you
Hurlbut™ Care Communities are owned and operated by the Hurlbut family – a family passionately committed to caring for the elderly and well respected for their service and dedication to the Rochester region. can help keep food at a warmer temperature. But if you can’t keep it warm enough, err on the side of caution and get rid of it.” You can also help guests to curtail illness by using smart food handling strategies. Bring raw and cooked foods in separate coolers. Don’t serve cooked foods in the same containers that held them while they were raw. Don’t reuse ice in the cooler to cool drinks since it could be contaminated with bacteria. Thoroughly clean the picnic table and benches with hot, soapy water ahead of time or use a tablecloth. Offer hand sanitizer if soap and water aren’t readily available. Use different cooking utensils and plates for handling raw and cooked meat at the grill. Use a meat thermometer to check for doneness. Relying upon color or cooking time isn’t as accurate. It may seem like a lot of fuss for a picnic, but “small children, elderly or people with a compromised immune system or allergies can be more susceptible to foodborne illness,” Smythe said. “And healthy people get sick, too.”
For over 50 years, our communities have provided the highest level of care, comfort and compassion that has helped to establish us as a leader in long-term skilled nursing and short-term rehabilitative care.
For more information, to arrange a personal tour or for immediate admissions assistance, call the Hurlbut Care Community near you or visit HurlbutCare.com. AVON
Avon Nursing Facility 585-226-2225
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The Fountains
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The Brightonian Woodside Manor
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561-395-7510
585-271-8700 585-461-0370
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NEWARK
Newark Manor
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585-394-3883
585-346-3001 585-424-4770
607-324-7740 315-331-4690 585-586-7433 585-663-0930
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Conesus Lake Nursing Facility
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Hornell Gardens
585-352-4810
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Seneca Nursing & Rehabilitation Facility 315-539-9202
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper
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REMEMBER WHY YOU CHOSE NURSING? Remember the feeling of making a difference in your patients’ lives? Get that feeling back at Visiting Nurse Service of Rochester and Monroe County, Inc. Nursing where it matters…IN THE HOME…one patient at a time! As a Nurse with VNS, you are responsible for providing high-quality multidisciplinary health services for patients by implementing a care plan and providing ongoing assessment, planning, coordination, counseling, teaching and supervision. At VNS, you will have high-quality relationships with patients and colleagues, be highly respected as a clinician, be supported, and have the opportunity to learn, develop, and grow as a professional. We empower you and provide you with control over your work life. Please visit out website at www.vnsnet.com for current openings as a Community Health Nurse. VNS offers competitive compensation and a comprehensive benefits package. For more information please contact S. Pugsley, Professional Recruiter P: 585-787-2233 ext. 8242 F: 585-787-8369 Employment@vnsnet.com VNS values diversity and encourages minorities to apply. E.O.E.
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I CARE : I n te g r i ty, C o mp as s i o n, A c c o untab i l i ty, R es pect , Ex cellence Page 20
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IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • July 2014