January 2016 spree's special advertising section

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RESOLVE TO GET FIT, AND HAVE FUN DOING IT

Serious symptoms you shouldn’t ignore

What’s Bre in’

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RESOLVE TO GET FIT, AND HAVE FUN DOING IT

By Rebecca Cuthbert

I

t’s that time of year again: the tree is dropping its finding motivation can be tough. needles, the used gift wrap is bagged and at the Experts at the American Heart Association (AHA) say curb, and you’re awash in guilt over all the broyou’re more likely to stick to an exercise regimen that you ken and imperfectly frostactually enjoy, and its website, heart. ed cookies you, ahem, had to org, advises that it’s best “to choose eat because they were unfit to activities that are fun, not exhausting We all know fitness is share with company. It might [and to] add variety. Develop a repertoire of several activities that you can be tempting to make a twenimportant—two and a half enjoy. That way, exercise will never ty-page list of all the things about seem boring or routine.” yourself you’re going to “fix” in the hours per week of aerobic Jackie Mangione, regional comnew year, but before you start writing, munications director for the AHA, make sure your health and wellness activity, plus musclesays that a common misperception goals are realistic, attainable, and fun is that exercise takes away from your to achieve. Exercising, eating smart, strengthening exercises, life, rather than adds to it. “Exercise and taking time for yourself needn’t impacts every area of your life,” she feel like chores. is recommended by explains, “and can help you face even mundane activities with a sunnier disGET MOVING We all know fitness is important— position. Get up and start your mornthe Centers for Disease two and a half hours per week of aeroing with a purpose, and carry that bic activity, plus muscle-strengthening energy and pride with you throughControl and Prevention exercises, is recommended by the Cenout the day.” ters for Disease Control and PreTo combat time issues and make it vention—and, in fact, one of Americans’ top New Year’s less lonely, “Make exercise a family affair,” she suggests. resolutions is to get more exercise. But after a long day at the “When you take the kids to the mall, do an extra lap after office, tending to the kids, housework, and running errands, you’re done shopping. Walk for thirty minutes together

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after dinner, and talk about your day and your plans for programs work because they create a fun atmosphere,” tomorrow. You’ll be bonding with those you love and care Ladoue continues. “The camaraderie and competition about while working to have a longer, healthier life.” push employees to try a little harder and go a little further.

Pull pals into your new healthier lifestyle, too, especially For example, if the person at the desk next to yours has if they’ve made similar resolutions. Combine social outings 30,000 steps in for the week so far, of course you’re going with exercise, like meeting for laps at to try to get even more in before Frithe community pool, training with a day’s tallies.” sibling for a springtime 5K, or getting These at-work challenges create If you reach your monthly your favorite four-legged buddies out a reward culture that’s easy to get for a morning spin around the block. caught up in and motivate people to goals, treat yourself.

Jesse Ladoue, director of AHA’s stick with healthy resolutions, Ladoue Heart Walk, says that many employsays, adding that it’s better to set a Download a new album ers offer incentives and create envicourse of small goals instead of setronments to help employees keep ting one big goal that seems hard to New Year’s resolutions. Encouragreach. to listen to while you ing staff to participate in Heart Walk “Smaller goals are catalysts for sucevery year is one way managers and cess,” she notes. “When you can actuwalk, go for smoothies administrators celebrate year-round ally see those goals being met, you’re workplace wellness. inspired to keep going. Instead of with friends, or buy a “What we’re seeing is a lot of comsaying ‘I’m going to lose fifty pounds panies that are forming wellness comthis year,’ say ‘I’m going to lose five new article of clothing mittees and integrating fun ways to pounds this month.’ It’s more sustainget their employees active—things able over a long period of time when like paid time off and insurance preyou build in those smaller checkmium decreases for employees who are getting healthy and points.” staying healthy. Many companies in the area have walking If you reach your monthly goals, treat yourself. Downclubs or other wellness groups to help encourage and supload a new album to listen to while you walk, go for port their employees’ wellness goals,” she says. smoothies with friends, or buy a new article of clothing And a little friendly competition never hurts. “These (something that makes you feel amazing, of course). When

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you give yourself credit for the hard work you’ve put in, are most likely to stick with a walking routine when it you’ll be motivated to get started on the next month’s goal. comes to exercise,” says Mangione. “It’s very low impact, Along with exercising more, many people resolve to try you can go at your own pace, and you don’t need any sort new things, so why not combine the of specialized equipment or gear, just two? Get friends to check out a PiYo a comfortable pair of shoes.” (Or, in or Zumba class with you, and linger January in Buffalo, boots. But, trudgThe idea of eating a over frozen yogurt afterwards. Or ing through the snow burns extra callearn a new skill that contributes to ories!) few celery sticks alone your fitness goals, like swimming or ballroom dance.

COOK UP SOME FUN at your kitchen table “Think outside of the box,” advisThe idea of eating a few celery es Ladoue. “Exercise can be anything sticks alone at your kitchen table probably doesn’t thrill you. that increases your heart rate. Get probably doesn’t thrill you. But what out of the house! Go ice skating with about inviting friends over to try out But what about inviting your family, go skiing, try a new class. a new, healthy recipe? Or getting a Many gyms and fitness centers have buddy to sign up for a cooking class friends over to try out a introductory classes for low or no with you? Even a group shopping cost, when you can try out the faciltrip for local produce at a neighborities before you make a commitment. hood farmers’ market can be a fun new, healthy recipe?

Break out of the same old, same old. and social way to introduce healthy Keep things spicy and exciting by options to your diet. experimenting with different activities.”

Planning ahead makes all the difference when it comes If you think you need to build your way up to someto nutrition, says Cindy Chan Phillips, MS, MBA, RD, thing like kickboxing or hot yoga, start by walking. “People director of nutrition education for the New York Beef

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Council, registered dietician, health communicator, and minute to plate your dinner with a pleasing presentation, AHA blogger who shares her tips and tricks for eating which can be as simple as garnishing with a sprinkle of more healthfully and making smarter food choices; when green parsley,” Chan Phillips suggests. “Get easy plating we make hurried choices, we’re more likely to turn to fast ideas from Pinterest. Show off on your Instagram or Facefood, vending machines, and high-calorie snacks. book. Serve colorful vegetables for a variety of antioxi“Planning ahead makes eating healthy so much easier,” dants. Experiment with an ethnic recipe. Try to master a Chan Phillips maintains. “A diet rich in fruits and vegetahealthy cooking method, such as stir frying or stewing, bles, whole grains, lean protein, and both of which are perfect for incorlow sodium supports heart health. porating more heart healthy vegetaStudies from Cornell University reveal It’s important not to bles and lean cuts of meat. Use herbs that our environment influences what instead of salt in seasoning for excitand how much we eat.” ing new flavors and to help lower get into a deprivation/ To find out how your own enviblood pressure. Remember, there are ronment affects your eating habno cooking ‘failures,’ they are practicreward relationship with its, “take a look at three key spots in es for success.” your home: the kitchen counter, the It’s important not to get into a food: starving yourself front of the refrigerator, and the pandeprivation/reward relationship with try,” she advises. “Does your kitchfood: starving yourself for five days for five days just to eat en counter have a bowl of beautiful just to eat cake all weekend will not fruits for a quick snack before a workhelp you reach wellness. In fact, it will cake all weekend will not out? Does your fridge have a variety do the opposite by damaging your of vegetables and nutritious natural metabolism, making your body want help you reach wellness lean proteins such as fish or ninetyto hold onto calories, and depleting three percent lean ground beef ? How energy. Make eating healthy, delicious about some whole grain pita chips, food a part of a full and happy life nuts, and beans in the pantry? It is easier to build healthy that includes accepting dinner invitations from friends, eating routines when healthy options are accessible.” experimenting with recipes, and enjoying the occasional Take some time on Sunday afternoon to get ready for decadent treat. the week. Buy healthy snacks to bring to work, options for As Chan Phillips explains, it’s about balance, not denial. quick but nutritious breakfasts (no skipping this meal), and Even at a restaurant, you can make healthier choices. “We ingredients for tempting, colorful dinners. Pretty equals consume approximately thirty percent of our daily caloappetizing! ries eating out,” she says. “Research shows restaurant food “Serve your creations on pretty plates. Take a short is higher in fat and sodium, especially in sauces and fried

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food. Ask for the salad dressing or sauce to be served on the side. I even ask for less butter or less salt to be used in the cooking. Generally, ‘broil’ or ‘saute’ cooking methods have fewer calories than deep-fry.

“If the portions are large, take half home for lunch the next day,” she continues. “One simple tip to avoid over-consumption of refined carbohydrates: eat the protein and vegetables first, before moving on to pasta and bread.”

At social gatherings, avoid the heavy feeling that comes with overindulging by eating slowly, nibbling here and there between engaging in great conversation. “Pace yourself,” advises Chan Phillips. “Enjoy the savory hors d’oeuvres or veggie appetizers first.

It would help to avoid consuming excessive calories from sugary treats and alcohol. Go ahead, have a good time with friends; it is the everyday diet that counts.”

What can you change in your everyday diet that will contribute to a healthier lifestyle? Is there something you can cut out that makes you feel sluggish, or a snack you can eat in the afternoons to give you energy?

As Mangione puts it, “Making smart choices will benefit heart health and overall health. Incorporating even simple, small changes can make a big difference in living a healthier life.”

To feel your best, the AHA recommends daily portions of four and a half cups of fruits and vegetables and three one-ounce servings of fiber-rich whole grains. Avoid more than two servings a week of processed meats, and limit sugary beverages and foods high in sodium and saturated fats.

Work at least four servings of nuts, legumes, and seeds into your weekly diet, as well as two servings of oily fish. But if that seems overwhelming, and you start just by swapping your daily candy bar for a low-sugar granola bar, put your left hand up, bring your right hand around, and give yourself a high-five.

“Celebrate small changes,” says Chan Phillips, “whether it is eating one more serving of fruit a day, or choosing low-sodium bread or snacks. Learn more about healthy eating tips on heart.org.”

TAKE CARE OF YOU Often, we prioritize everything but ourselves: we want to be more involved parents, more interested partners, more attentive friends. We want to please our bosses and run errands and remember to send birthday cards to great aunts. But how can we be everything to everyone

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MEDICAL SPECIALTIES

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Some people can live with heart valve defects with no problems, while others can develop symptoms that slowly worsen. If left untreated, heart valve disease can lead to heart failure, stroke, blood clots, or sudden cardiac arrest.

Catholic Health’s Valve Center incorporates a multidisciplinary team approach to evaluate and treat all forms of heart valve disease. Led by a skilled and experienced team of interventional cardiologists and cardiothoracic surgeons, the Valve Center offers a full-spectrum of minimally invasive treatment options, surgical valve replacements or repairs, and other advanced procedures like Transcatheter Aortic Valve Replacement or TAVR. TAVR, the latest advancement in non-surgical valve replacement, is used to treat patients with severe aortic stenosis (a narrowing of the heart’s aortic valve), who are too sick for traditional heart surgery. During the procedure, a small catheter is used to place a new aortic valve within the damaged valve to more effectively regulate blood flow in the heart. For many patients, TAVR provides a new, less invasive treatment option to restore normal heart function, where no hope for improvement previously existed.

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Left to right, Stephen Downing, MD, associate chairman, Cardiothoracic Surgery Department, Catholic Health Heart Center; Joseph Gelormini, MD, interventional cardiologist and Catholic Health Cardiac Service Line medical director; and Nadeem Haq, MD, interventional cardiologist, in one of Mercy Hospital’s state-of-the-art interventional labs where specialized valve procedures are performed.

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when we’re running on empty?

“We have to put ourselves first, and focus our energy internally,” says Mangione. “We can’t take care of others if we’re not taking care of ourselves.”

Back in 2011, Connie Waczkowski, yoga enthusiast, Northern Chautauqua Canine Rescue (NCCR) volunteer, and retired RN, knew she had to make some big changes. After thirty years of high-pressure service as a nurse in Buffalo-area medical offices, she was tired, stressed, and burned out. And with the demands of parenthood, household chores, and daily obligations on top of the job, no one was getting the best of her.

“I had no energy at all. I was incredibly unhappy; I felt like a puppet on a string. I wasn’t in control of my own life,” says Waczkowski, who decided to renew her yoga practice.

“The only time I truly felt unencumbered was when I was doing yoga.

For that hour and twenty minutes, or however long a class was, I could put everything else aside.”

And she did, achieving a clarity that led to major life changes.

“Yoga helped me make the decision to finally retire. I told myself, ‘You can do this. You can leave the money and the job behind. They’re not doing that much for you,’” says Waczkowski, who then discovered something surprising. “I could be a better mother, wife, friend, and daughter. I let go of that resentment that I had been carrying around. I’m more mindful. Now, I have my yoga and my dogs. I have my new grandbaby, Molly. And I’m loving it. I love my life.”

Giving up the negative forces weighing her down and taking time for her own health and wellness exposed Waczkowski to a new world of people and experiences. “I have compassion and forgiveness and

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peace in my life now,” she says. “I’m surrounded by excellent communities of like-minded people in my yoga classes and at the dog shelter.

My friends there support my beliefs, and being with them just makes me feel good. I never walk into a yoga class without someone saying hello; I never leave without someone telling me to have a good night or to drive safely. I’ve tried poses and fallen on my head and we just laugh; there’s no judgment. At the shelter, we have a lot of fun; we celebrate everyone’s birthday.”

Aside from their emotional and mental benefits, Waczkowski’s hobbies keep her active. She is both a yoga teacher and student, leading and participating in a variety of classes at several studios in Chautauqua and Erie counties. When she isn’t babysitting little Molly, she’s walking dogs at NCCR in Westfield.

“Boy, do I stay active. I can’t tell you how many dogs I walked [at the last adoption event]. Rex, one of the shelter dogs, pulled me all over the place; it was a good workout!” says Waczkowski, who realizes that just as she couldn’t control Rex, she can’t control the world or other people, only herself. “My own little four-foot-eleven-inch space where I exist. By focusing on your insides, taking a step back, it puts the whole outside world into perspective— what’s important and what’s not, what can wait another day, and what we should be doing in the present moment.”

What changes do you need to make in 2016 in order to put yourself first? How can you make time for self-care? If every day is packed from sunup to midnight, it may be time to reexamine your priorities, especially if you’ve been putting off making medical appointments because you “don’t have time.”

When one appointment or precautionary screening could save your life, excuses about time seem flimsy.

According to the Centers for Disease Control, “Regular health exams and tests can help find problems before they start. They also can help find problems early, when your chances for treatment and cure are better. By getting the right health services, screenings, and treatments, you are taking steps that help your chances for living a longer, healthier life” (cdc.gov/family/checkup/).

Whether you need to set up a wellness visit with your primary doctor, an annual exam with your OB/ GYN, an evaluative session with a mental health counselor, or testing

with a specialist, make January the month you finally make that phone call. Your future self—that active, sassy, excellent you—will be grateful for it.

Make 2016 the year of resolutions kept and goals reached. Try fun new activities with friends or family members. Challenge yourself to eat a more balanced diet, and to plan ahead so you’re always ready with healthy snacks and meal options. Reserve a few hours a week to recharge your batteries. Schedule overdue doctor’s appointments.

And, in bold marker, write “be awesome” at the top of your resolutions list.

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Serious symptoms you shouldn’t ignore

By Rebecca Cuthbert

My work schedule is too hectic. I don’t have health insurance, or not enough. My co-pays are too high. My symptoms didn’t seem like a big deal. I didn’t want to worry others. I didn’t want to worry myself.

I didn’t know it was so serious…

When it comes to excuses for ignoring health, doctors and other medical professionals have heard them all— often too late. When threatening health issues strike, time counts: sometimes even mere minutes can mean the difference between a positive and a negative outcome for you or someone you love. And while most of the excuses above are just that, excuses, the last one is something we can all do something about by learning the signs of heart attack, cardiac arrest, stroke, as well as slower moving diseases.

CARDIAC ARREST VS. HEART ATTACK “Cardiac arrest occurs when the heart malfunctions and stops beating unexpectedly. [It] is an ‘electrical problem’…triggered by an electrical malfunction in the heart that causes an irregular heartbeat (arrhythmia),” documents Jackie Mangione, regional communications director for the American Heart Association. “With its pumping action disrupted, the heart cannot pump blood to the brain, lungs, or other organs.”

According to American Heart Association statistics, cardiac arrest is the leading cause of death, with nearly 36,000 out-of-hospital cardiac arrests occurring in the United States each year. The AHA document provides more details: What it looks and feels like: Only seconds after the electrical malfunction, the victim cannot breathe or can

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only gasp. He or she will become unresponsive, and if he or she does not receive treatment, death can occur in minutes. If you see someone exhibit these signs, treat it as an emergency.

What to do: Call 911 and start CPR immediately. If an automatic external defibrillator (AED, the thing you see on walls in airports and other public spaces) is available, use it as soon as possible. If two people are available to administer first aid, one should be doing CPR while the other calls for help and locates an AED. Rather than an electrical problem, a heart attack is a circulation problem that occurs when blood flow to the heart is blocked. “A blocked artery prevents oxygen-rich blood from reaching a section of the heart. If the blocked artery is not reopened quickly, the part of the heart normally nourished by that artery begins to die,” states Mangione in the AHA document.

What it looks and feels like: Symptoms of a heart attack may be immediate, like pain or discomfort in the chest and upper body, shortness of breath, cold sweats, nausea, or vomiting. However, sometimes symptoms begin slowly and increase in intensity over days or weeks. Unlike cardiac arrest, the heart does not usually stop during a heart attack—but the longer a heart attack victim goes without treatment, the more severe the damage will be.

Mangione is careful to note that “heart attack symptoms can vary between men and women,” and while women do experience shortness of breath, light-headedness, and nausea/vomiting, they can also feel lower back and/ or jaw pain. More, studies show that women are more apt

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MEDICAL SPECIALTIES

Is Knee or Hip Pain Preventing You from Enjoying Life’s Little Victories?

If you suffer from knee or hip pain, or other joint problems that prevent you from doing basic activities or the things that you love, look no further than Catholic Health. From diagnosis, to treatment and recovery, we continue to set the standard for advanced orthopedic care in Western New York.

Kenmore Mercy Hospital, Mercy Hospital of Buffalo and Sisters of Charity Hospital are the only hospitals in the region to receive five-star ratings – the highest possible – in total knee and total hip replacement surgery from Healthgrades®, the nation’s leading independent quality rating agency. Kenmore Mercy and Mercy Hospital were also the only Buffalo area hospitals named among America’s 100 Best Hospitals for Orthopedic Surgery by Healthgrades®.

These accolades highlight our comprehensive approach to orthopedic care that is second to none. With more than 40 orthopedic specialists in Catholic Health and Catholic Medical Partners’ physician network, as well as an extensive array of rehabilitation and home care services to get you back on your feet, we’re there where and when you need us most.

So for today’s weekend sports warriors, baby boomers and active seniors on the go, don’t let knee, hip, or other joint pain prevent you from enjoying life’s little victories. Turn to Catholic Health. It will be one of the best moves you ever make.

To find an orthopedic specialist near you, log on to BestKneeAndHip.org or call (716) 447-6205.

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to ignore or misinterpret the symptoms, a mistake doctors bleeding in the brain also can cause a stroke if it damages make as well, according to the Go Red for Women 2015 brain cells.” Symptoms then occur in the parts of the body Fact Sheet, which contends that “fewer women than men that these damaged brain cells control. Strokes can lead to survive their first heart attack” and symptoms in women permanent brain damage, long-term disability, and death. “are often misunderstood—even by some physicians.”

What it looks and feels like: The American Heart What to do: Call 911 or emergenAssociation says to remember the letcy services right away, even if you’re ters in FAST to recognize the signs of not sure if it’s a heart attack. First stroke and the need for action: When threatening responders can start treatment right Facial drooping: The facial musaway, up to an hour sooner than if cles in a stroke victim will slacken health issues strike, time someone drives to the hospital. Peoand droop, often on one side of the ple with chest pain who arrive at the face; this may result in numbness as counts: sometimes even hospital via ambulance often get fastwell. Observers can check this by asker treatment, too. ing the person to smile, and noting mere minutes can mean People often use the terms “carwhether the smile is even. diac arrest” and “heart attack” interArm weakness: To test for this, changeably; that’s incorrect, though ask the person to lift both arms, and the difference between there is a connection between the see if one hangs limp or drifts downtwo. “Most heart attacks do not lead ward. a positive and a negative to cardiac arrest (but) when cardiac Slurred speech: Ask the person to arrest occurs, heart attack is a comrepeat a simple sentence. Can he or outcome for you or mon cause,” says the AHA docushe repeat it back to you? ment. “Other conditions may also Time to get help: If the above someone you love disrupt the heart’s rhythm and lead to symptoms are present in you or somecardiac arrest.” one else, or if there is weakness down one side of the body, sudden confuSTROKE sion, loss of vision in one or both eyes, loss of balance, As defined by the National Heart, Lung, and Blood severe headache with no known cause, or dizziness, they Institute, a stroke occurs when “the flow of oxygen-rich are red flags. Get help immediately. blood to a portion of the brain is blocked. Without oxyWhat to do: Call 911. As with other emergency situagen, brain cells start to die after a few minutes. Sudden tions, it’s better to call for an ambulance than to drive to

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MEDICAL SPECIALTIES

photo by Sean Dowdell

MICHAEL T. GRANT M.D., P.C. BOARD CERTIFIED ORTHOPAEDIC SURGEON Michael T. Grant, MD, is a board-certified orthopaedic surgeon, specializing in the care and treatment of Workers’ Compensation injuries.

No matter the severity of your injury, Dr. Grant will make sure you’re aware of all your possible treatment options, as well as which course of action might best suit your precise scenario.

With the assistance of Michael T. Grant, patients are never left out in the dark. Dr. Grant will help you take the first step on the path toward a full recovery. Patients return to the practice time and time again thanks to the patient-first approach upheld by the doctor.

• Specializing in arthroscopic surgery of the knee and shoulder, and rotator cuff surgery, as well as hip and knee replacements.

• In-house x-ray, at his office, which is conveniently located at the Western New York Medical Park, just off the New York State Thruway and Route 400.

• Affiliated with the Center for Ambulatory Surgery on the Western New York Medical Park campus, the largest freestanding physician-owned and operated surgery center in New York State.

• Dr. Grant is authorized by the New York State Workers’ Compensation Board to treat Workers’ Compensation patients and is recognized as a board certified orthopaedic specialist.

• As a patient advocate, Dr. Grant will fully participate to obtain prior approval for diagnostic and/or therapeutic intervention, as well as to testify in Workers’ Compensation court on the patient’s behalf, and perform scheduled loss of use disability evaluations at the Workers’ Compensation Board’s request.

MICHAEL T. GRANT 550 Orchard Park Road, Building B Suite 105 • West Seneca, NY 14224 716-677-6404 www.buffalospree.com

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the hospital. Emergency medical technicians or paramedics can start performing life-saving treatment as soon as they get to a victim—and every second counts. Prompt treatment can even prevent subsequent strokes from happening.

SKIN CANCER People, especially teens and young adults, often think they aren’t at risk for skin cancer, but they’re wrong: like many deadly illnesses, skin cancer does not spare youth.

The notion that tanned skin is attractive means that doctors see many skin cancer patients under the age of thirty; hours of lying on the beach and in tanning beds have caught up with them.

The good news is that melanoma, a particularly deadly form of skin cancer, can often be treated or removed if caught soon enough. In fact, early detection is why many have survived this disease.

What it looks like: The American Cancer Society recommends the ABCDE method for self-examination of moles and birthmarks: Asymmetry, Border, Color, Diameter, Evolving. If moles or birthmarks are asymmetrical, have blurry or irregular borders, patchy coloring, and are six millimeters across or larger, it’s time to be concerned.

Also, pay attention if birthmarks or moles are “evolving” or changing, or if any new spots or marks appear on your skin.

What to do: Call your dermatologist immediately, and let the person who answers the phone know why you are concerned. Make an appointment to have the area in

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question examined by the doctor, and have him or her check any areas of your body that you can’t see yourself.

The most common form of skin cancer is basal cell carcinoma. The Skin Cancer Foundation describes basal cell carcinomas as “abnormal, uncontrolled growths or lesions that arise in the skin’s basal cells, which line the deepest layer of the epidermis (the outermost layer of the skin).”

What it looks and feels like: Basal cell carcinomas look like “open sores, red patches, pink growths, shiny bumps, or scars and are usually caused by a combination of cumulative and intense, occasional sun exposure” (skincancer. org). These are often noticed on the face, chest, neck, and arms. They may hurt or itch, feel tight, or crust over and go away, only to return.

Basal cell carcinomas are often mistaken for other, less serious conditions, like acne, psoriasis, or eczema. If left untreated, they can be disfiguring and require plastic surgery and skin grafts. Occasionally, they can spread beyond their original sites to other parts of the body. Like melanoma, the highest rate of successful treatment is determined by early detection.

What to do: As with suspected melanoma, call your dermatologist, report your concerns, and get in for a checkup as soon as possible. Act when the affected area is small; don’t “wait and see” if it will go away on its own.

These are not the only forms of skin cancer. To be proactive, conduct self-exams often, protect yourself from sun exposure, and call your doctor if you notice any skin irregularities.

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APPENDICITIS Appendicitis is infection or inflammation of the appendix. If the infected appendix ruptures, the US National Library of Medicine warns that the condition can quickly become life-threatening.

What it feels like: Symptoms of appendicitis include pain around the belly button, which may be mild at first but become severe. The pain may then move to the lower abdomen on the right side and intensify there. This can be accompanied by diarrhea, constipation, nausea, vomiting, and a low-grade fever, with decreased appetite. Appendicitis may be hard to diagnose in women of child-bearing age, as these symptoms are often mistaken for premenstrual syndrome. Others confuse the symptoms for flu or food poisoning.

What to do: Because it’s so easy to mistake appendicitis for more common and less serious ailments, get to a doctor and have tests done. Although there is no exact test to identify appendicitis, doctors will perform blood tests, including a white blood cell count, and may order a CT scan or ultrasound to make sure the appendix is the problem. If the appendix is removed, most patients recover quickly and have no lasting complications.

TYPE II DIABETES (ADULT ONSET DIABETES) This is the most common form of diabetes. The American Diabetes Association says that patients with Type II Diabetes do not use insulin properly, and, therefore, cannot maintain normal blood sugar levels.

Inactive or overweight people are at a higher risk for developing Type II Diabetes, as are those with a family history of the disease. A doctor can help assess your personal risk.

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What it looks & feels like: Symptoms of Type II Diabetes include frequent urination, thirst and hunger despite drinking and eating enough, extreme fatigue, blurred vision, cuts and bruises that are slow to heal, and tingling or numbness in the hands and feet.

What to do: Call your doctor if you are experiencing any of these symptoms, and request diabetes testing as soon as possible. It’s also important to watch elderly relatives for these signs. With early detection, diet and lifestyle changes, and proper treatment, you may be able to avoid the complications of this disease, including neuropathy and problems with skin and vision.

LUPUS The American College of Rheumatology says that lupus (systemic lupus erythematosus or SLE) “is a chronic (longterm) disease that causes inflammation—pain and swelling.

It is sometimes called the ‘great imitator,’ because people often confuse lupus with other health problems due to its wide range of symptoms.” It is an auto-immune disorder, in which the body attacks its own tissues.

Lupus affects the skin and joints, and sometimes other organs in the body such as the kidneys and the tissue that lines the lungs, heart, and brain. The frequency and severity of flare-ups range from person to person. Lupus patients are at risk of high blood pressure and kidney disease, as well as heart attack due to clogged arteries. Lupus occurs ten times more often in women than in men.

What it looks and feels like: Symptoms include a symmetrical “butterfly” rash across the face that covers the cheeks, joint pain and stiffness, gastrointestinal issues, depression and/or anxiety, thyroid issues, edema (swelling in the area between the muscles and skin, especially

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MEET DR. ROBERT PERRY Dr. Robert J. Perry prefers to be known as a clinician. Although he holds the academic appointment of Clinical Associate Professor of Surgery (Plastic) at SUNY at Buffalo, and has lectured extensively, including a presentation before the National Research Centre of Surgery in Moscow, Dr. Perry believes his best and most creative work is in the operating room.

There he learned principals of Plastic Surgery, Pediatric Plastic Surgery, and Aesthetic Surgery.

Dr. Perry returned to Buffalo in 1983 to practice with Dr. Jean Haar, a noted Head & Neck Surgeon, who became a mentor and colleague.

While working with him at Delaware Medical Group, he became Board-Certified in Plastic Surgery and was accepted as a Fellow of the

After receiving his B.A. from Vanderbilt University, Dr. Perry returned home to the University of Texas Southwestern Medical School in Dallas, taking a Plastic Surgery fellowship with Dr. Ken Salyer, Craniofacial Surgeon, who is still a close colleague. Following two years of General Surgery at the Medical College of Virginia in Richmond, he went to SUNY at Buffalo to train with Dr. John Loré, noted educator in Otolaryngology and became Board-Certified in that field. In 1980, he was one of three applicants selected out of 2000 to study with world-renowned plastic surgeon, Dr. D. Ralph Millard, and craniofacial surgeon, Dr. Tony Wolfe, at the University of Miami.

CREDENTIALS EDUCATIONAL BACKGROUND Vanderbilt University, BA degree • 1971 University of Texas Southwestern Medical School at Dallas, MD degree • 1975 Medical College of Virginia, Richmond, General Surgery • 1976-77 SUNY at Buffalo, Otolaryngology/Head & Neck Surgery • 1978-80 University of Miami, Plastic Surgery • 1980-81 “The principals and art of Plastic Surgery cannot be communicated by books alone. I had the opportunity to study under a great teacher, and I feel obligated to pass on that knowledge to the students of the next generation.” ~ RJP

American College of Surgeons. He then became a member of the American Society for Aesthetic Plastic Surgery.

In 1989, Dr. Perry became Chief of Plastic Surgery at Women & Children’s Hospital and was one of the founders of the Craniofacial Center of Western New York. After a period as Chief of the Division of Plastic Surgery at SUNY at Buffalo, he returned to private practice in 1992, joining Dr. Joel Paull, noted Plastic Surgeon, colleague and close friend. In October, 2014, he was elected Director of the Craniofacial Center.

Dr. Perry is frequently an invited lecturer on multiple topics, including Head & Neck Reconstruction, Pediatric Plastic Surgery, Wound Care, and Rhinoplasty. He participated in surgical missions to Peru and the Dominican Republic and most recently engaged in lobbying efforts in Washington, DC, for the CARES Act (Children’s Access to Reconstructive Evaluation and Surgery). Dr. Perry has been listed as one of America’s Top Doctors® since 2008 and Best Doctors of America® since 2005.

BOARD CERTIFICATION National Board of Medical Examiners • 1976 American Board of Otolaryngology • 1980 American Board of Plastic Surgery • 1984 “Certification from a Board approved by the American Board of Medical Specialties assures patients that their physician has reached the highest level of academic competency.” ~ RJP COLLEGE FELLOWSHIP American College of Surgeons • elected 1990 “To be elected into the American College of Surgeons, the candidate must undergo intensive peer review of both surgical ability and ethics.” ~ RJP PROFESSIONAL SOCIETIES SURGERY SOCIETIES: American College of Surgeons, elected Fellow 1990

PLASTIC SURGERY SOCIETIES: American Society of Plastic & Reconstructive Surgeons American Society for Aesthetic Plastic Surgery Millard Society • President 1999, VicePresident 1998, Secretary 1997 Buffalo Plastic Surgery Society • President 1991, 1992, 1998; Vice-President 1997 American Cleft Palate-Craniofacial Association New York State Confederation of Cleft Palate/ Craniofacial Centers • President 1992 OTOLARYNGOLOGY SOCIETIES: American Academy of Otolaryngology/Head & Neck Surgery, elected Fellow 1981 Buffalo Otolaryngology Society MEDICAL SOCIETIES: Medical Society of the State of New York Erie County Medical Society

Buffalo Niagara Plastic Surgery • (716) 297-7040 • buffaloniagaraplasticsurgery.com

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in the arms, legs, hands, and face), unexplained weight loss, fever, anemia, and chest pain.

What to do: If you are experiencing these symptoms, contact your primary doctor for a consultation. It’s likely that you will be referred to a rheumatologist for further testing.

With proper treatment and careful management, those with lupus can still lead long, full lives. As with every other serious and life-threatening disease and condition, though, early detection makes all the difference.

The best medicine is always prevention, but education and quick reaction can save lives, or at least ensure a head start on testing and treatment, which can prolong life and lessen complications. Don’t run the risk of compromising your quality of life or leaving your loved ones too soon because you’re too busy or too stubborn to see your doctor.

You might not think you’re worth the time and effort, but would your best friend, spouse, partner, grandchild, or even pet say the same?

Learn the warning signs. Know the risks. Save lives.

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VA WESTERN NEW YORK HEALTHCARE SYSTEM

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VA WESTERN NEW YORK HEALTHCARE SYSTEM

VA NIAGARA FALLS CLINIC

VA Western New York Healthcare System (VAWNYHS), part of VA Health Care Upstate New York (VISN 2), consists of two health care facilities in Buffalo and Batavia, as well as community based outpatient clinics in Dunkirk, Jamestown, Lackawanna, Lockport, Niagara Falls, Olean and Springville.

The Buffalo facility opened in 1950 and provides medical, surgical, mental health and long term care services through a range of inpatient and outpatient programs. It is the main referral center for cardiac surgery, cardiology and comprehensive cancer care for central and western New York and northern Pennsylvania.

The Batavia medical center opened its doors in 1933. It provides geriatric and rehabilitation services, separate residential Post Traumatic Stress Disorder (PTSD) units for men and women, and outpatient services. In 1995, a New York State Veterans Home was built on the Batavia VA grounds providing additional long term care resources.

VAWNYHS is academically affiliated with the State University of New York (SUNY) at Buffalo along with 77 additional universities and professional schools in biomedical sciences, audiology, dentistry, dietetics, health care administration, medicine, nursing, nurse anesthesia, occupational and physical therapy, pharmacy, psychology, speech pathology and social work.

VA LOCKPORT CLINIC

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VA LACKAWANNA CLINIC

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VA DUNKIRK CLINIC

166 East 4th Street, Dunkirk, NY 14048 P: 716.203.6474

VA JAMESTOWN CLINIC

608 West 3rd Street, Jamestown, NY 14701 P: 716.338.1511

VA SPRINGVILLE CLINIC

15 Commerce Drive, Springville, NY 14141 P: 716.592.2409

VA OLEAN CLINIC

465 No. Union Street, Olean, NY 14760 P: 716.373.7709 www.buffalo.va.gov www.buffalospree.com

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2016 HONOREES

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Celebrating the craft brew culture in WNY

News & Events Bubbling up this Month Flying Bison Brewery Tours

Friday, January 1, 2016 Saturday, January 2, 2016 Thursday, January 7, 2016 Friday, January 8, 2016 Saturday, January 9, 2016 Thursday at 5pm, Friday at 6pm, and Saturday at Noon & 2pm. Reservations for tours at these times are not required and there is no charge. Samples are available for free, while larger 3oz cups are also available for a nominal charge.

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Monday, January 18, 2016 Monday, February 15, 2016 @ Schnitzel and Co.

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News & Events Bubbling up this Month Buffalo on Tap

January 15, 2016 from 6pm-9pm January 16, 2016 from 1pm-4pm/6pm-9pm @ Buffalo Niagara Convention Center We’re bringing Buffalo’s largest Craft Beer Festival back to the Buffalo Niagara Convention Center! The 4th Annual Buffalo on Tap begins on Friday, January 15th from 6pm to 9pm and continues on Saturday, January 16th with Session 1 from 1pm-4pm and Session 2 from 6pm-9pm (VIP starting at 12pm) Sample over 150 releases from some of America’s best craft breweries.

Plus hang out in an atmosphere filled with live music, delicious food available for purchase, and great vendors.

Empire Brewing Company

Rochester Homegrown Fest @ Lovin’ Cup – Saturday, January 9, 2016 12pm Empire Mini Takeover @ Brennan’s Bowery Bar (Clarence, NY) – Wednesday, January 20, 2016 at 6pm & 9pm

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Niagara Wine & Beer Tasting Fest in Lockport, NY – January 30, 2016 5-9pm Central New York Brew Fest in Syracuse, NY – February 6, 2016

Brew Crew- Learn about the beer making process and some fun facts about the craft brews featured that night! Kick back and relax and enjoy each of the 6 different beers and Swiss-German menu items served.

Niagara Culinary ExperiencesBeer On Ice

Friday, February 5, 2016 @ Niagara Brewing Company Niagara’s world-famous Icewine tradition is expanding beyond its viticultural roots with delectable Icewine and chocolate beers created exclusively by Brewmaster Gord Slater for Niagara Brewing Company.

Luscious Icewine beer put a twist on the process of fermenting frozen grapes, while the smooth chocolate beer utilizes the delightful flavours of Hershey’s chocolate. This special evening will also feature remarkable culinary creations.

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