October 2017 spree's special advertising section

SPREE SPECIAL ADVERTISING SECTIONS, OCTOBER 2017

Wedding quandary: tech or tradition?

Tips to Prevent Slips, Trips, and Falls

Encouraging Seniors to Move More

Is it worth sending your child to college?

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Wedding quandary: tech or tradition?

BY REBECCA CUTHBERT

When it comes to wedding planning, dress, color scheme, and menu decisions are the same as ever, but when it comes to music, invitations, and registries, brides and grooms now have techier alternatives to consider.

And the choices aren’t always easy, given that both traditional and tech options have advantages.

Band or DJ?

Great music can keep a party moving, while humdrum tunes can have guests stifling yawns by 9p.m.

While bands and DJs remain popular

choices, creating a wedding playlist and streaming from a device is now a viable alternative. In choosing, couples should factor in budget, personal taste, and ambiance, as making the right decision means prioritizing these items.

Consider what you want and how much your budget can afford, knowing that the higher you go, the less you’ll have for other wedding needs.

Borrowed & Blue’s (borrowedandblue.com) Audra Jones, in “Bands v.

DJs: Which Is Right for Your Wedding?” notes that “wedding bands are,

on average, significantly more expensive, typically running from $3,000 [to] $10,000.” Check local and new bands, too; their costs may be significantly less.

“Few things can energize a crowd quite like live music,” says Jones.

“There’s just something about the beat of the drum and the energy of the musicians that puts everyone in a good mood and gets feet tapping!” Live musicians are also great when you’re going for an overall wedding theme or mood. Roaring Twenties wedding? Island luau? Cinderella’s ball? No problem. Most musicians will even dress the part to add flair to the evening. And, Jones notes, even folks who don’t dance enjoy a live show.

For more varied sound, or to hear songs as recorded by your favorite artists, a DJ fits the bill. You can provide playlists, as well as specific instructions: e.g., do not play the “Chicken Dance” no matter how many times www.buffalospree.com

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your second cousin requests it. If your venue is small, consider that a DJ’s equipment likely takes less space than a band. DJs are more affordable than bands, and can take breaks without leaving the party sans music.

Band or DJ, do your homework.

Don’t sign a contract until you’ve checked out a performance or event.

Pay attention to how they read a crowd; they should know when it’s time to pick up the tempo and when to pull back for a cozy slow dance.

Also make sure you get along; whoever provides your music should understand the vibe you want for your special day.

Hooking up your own device and streaming music for the reception is by far the most affordable route, but preplanning is critical. Do you need WiFi? Are the speakers at the venue adequate, or do you need to bring or rent your own? Is someone capable in charge of setting it up? Remember that a dead battery, glitchy reception, or a forgotten cable could mean no music at all. Do a test run—do two— and have backup to avoid mishaps.

Paper invitations or e-vites?

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When considering paper vs. electronic invitations, it again comes down to budget and preference. E-vites are much less expensive—often pennies on the dollar, in comparison—and there’s no additional cost for postage. When you hit “send,” off they go, and replies come back just as fast.

Some wedding apps will even keep track of responses for you, which makes planning a snap.

But, as Eliana Dockterman highlights in Time’s (time.com) “With This App, I Thee Wed,” “Going high-tech sometimes means sacrificing formality.

Even the most beautiful online invitations can send a more casual message.”

She then quotes Jacqueline Whitmore, an etiquette expert who says invitations set the tone for the wedding: “If you get a beautifully engraved invitation in the mail where someone took the time and money to hire a calligrapher, that notes the wedding is much more formal. If you send out an e-vite, that sends another message. Maybe the wedding is less formal.”

If you or a friend have some skills, a cost-saving in-between option is designing your own invitations, and printing them at home. Also consider how you want to save mementos of your big day. E-vites can be added to a wedding website or online album, whereas paper invitations can be framed or pasted into a wedding scrapbook.

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“Stuff” or money?

The old gift registry debate—is it impersonal to provide a preselected list of “gifts”?—has been replaced by a new one: does the couple ask for gifts from the registry or contributions toward a honeymoon, house, or (gulp) paying down student loan debt.

Registering for “wrappable” gifts can be a lot of fun—browsing through your favorite store with a scanning gun that makes you feel like a superhero, or sitting with a laptop, clicking all the kitchen gadgets and throw pillows—but if your apartment is a studio, your cooking skills max out at pouring cereal, you can’t imagine ever needing a linen napkin (monogrammed or otherwise), and you’d really like to go to Hawaii, money might seem a lot more practical.

Linda Marx, for the New York Times, claims in “Passing on Wedding Gifts, Millennials Prefer Cash,” while it was once considered tacky to ask for money, younger generations are changing the etiquette. “When it comes to registering for gifts, a generational sea change has developed, with more and more millennial couples asking their guests to consider holding the gravy ladles and shelving the dishes in favor of gifts of a very different sort,” says Marx, who says they prefer “cash, home-repair gift cards, and lavish honeymoon experiences.”

But it’s not just twentysomethings who don’t want crystal and china.

Couples who get married later in life may already have all they need— hutches and silverware drawers are full, houses are furnished, and walls are decorated. So, gifting an experience may be more appreciated. Many registry websites have buttons guests can click to fund honeymoon trips: e.g., they can buy the newlyweds a whale watch tour, a salsa dancing lesson, or tickets to a show.

As Marx says, “The wedding-gift concept has morphed into doing what makes the couple happy.” That may mean a new blender, or not.

Whatever you choose, remember your manners. Give guests different price options, so those with less disposable income can still contribute.

And, if Aunt Gert gives you a slow cooker you didn’t ask for, tell her it’s just what you needed, and try making some chili cheese dip in it. You’ll never be sorry you did.

Rebecca Cuthbert lives, writes, and cares for shelter dogs in Dunkirk. She is a frequent contributor to Buffalo Spree and Forever Young. www.buffalospree.com

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Honey moon planning made simple

BY RONALD LUCZAK

Just like the wedding, a couple wants their honeymoon to be perfect. And, just like the wedding, that means proper planning. Here are a few tips to ensure that first week as newlyweds is fun and stress-free: Interview travel consultants: It is important to establish a relationship with a travel industry professional who understands your needs, and whom you both like—that could take more than one try. If you’ve already chosen a destination, verify that the travel consultant has been there recently.

If you haven’t decided yet, it’s even more important that you connect with the travel advisor, so that you’ll trust their recommendations.

Establish a budget: Don’t make the honeymoon an expense you’ll regret, or, worse, go into debt over.

Start a honeymoon fund early, and plan within that budget. While many travel companies will create a honeymoon registry that allows wedding guests to contribute honeymoon expenses, that’s not something to rely on, and you also don’t want to be broke as you start your life together.

Planning process: It’s never too early to start dreaming. Start honeymoon talk as soon as you get engaged; you don’t have to wait until a date is set. Once you have a date, decide if

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you want to honeymoon immediately after; many couples today are taking a mini post-wedding honeymoon, and planning a major trip once they’ve recovered from the excitement. If possible, avoid mid-April, when higher spring break pricing will prevail and airline availability is limited. Also avoid Thanksgiving week and government holidays.

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Get on the same page: Do you want to visit a new place or return to a favorite? How do you anticipate spending this time—relaxing on the beach or sightseeing? Read travel magazines, and ask friends where they’ve gone. Make individual wish lists of what your ideal honeymoon will include, then see where you have matches, and start investigating.

Here are some ideas to get you started: Hawaii: If you have a minimium of ten days and an ample budget, the islands of Hawaii are filled with romance and adventure. Hotel and restaurant options are available in all price ranges, and the many “insider access activities” will make a memorable trip.

Cruises: Many honeymooners select cruising because of ease and cost control. All meals and accommodations are included, and some cruise lines include wine at dinner or alcoholic beverage packages. Higher end cruises also include shore excursions. Some top recommendations are Holland America, Crystal Cruises, Celebrity Cruises, Silversea Cruises, and Oceania Cruises.

River Cruises: European river cruises offer great deals with interesting itineraries. AMA River Cruises, Viking River Cruises, and Uniworld

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River Cruises are favorites.

All- Inclusive: For a luxury honeymoon with no hidden costs, Sandals Resorts or AMResorts/Secrets are your go-to. If you go elsewhere, and aren’t interested in a property that caters to families, be sure to select one that is adults-only.

Caribbean Islands or Mexico Bermuda: A perfect island to visit if you’re honeymooning during summer or fall. Bermuda exudes British charm and sophisticated formality. The Princess Hotels, The Reefs, and Elbow Beach are favorites.

St Lucia: This island is famous for lush, green mountains and serene beaches. Try the new Royalton Resort or St. James Club Morgan Bay, both highly rated.

Cancun Riviera Maya: Cancun has it all. Excellence Resorts or Secrets Maroma are top choices.

Big Cities: New York, Charleston, Savannah, Las Vegas, Toronto, Paris, France, and Reykjavik, Iceland, etc. all can provide excitement. Icelandiair now offers a fare that allows you to visit Reykjavik, then continue to European locales serviced by the airline.

Tahiti & Fiji: For an exotic honeymoon, Tahiti and Fiji offer over-thewater bungalows and the ability to visit more than one island.

Bora Bora: One of the more luxurious and expensive honeymoon destinations, Bora Bora epitomizes romance. Most activities are waterrelated with breathtaking sunset cruises along the lagoon.

This is a special trip, so savor every moment of the anticipation!

Ronald Luczak is vice president of The Travel Team, Inc.

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Tips to Prevent Slips, Trips, and Falls (StatePoint) Slips, trips, and falls that cause injury and death are all too common, and they disproportionately affect older people. Indeed, one-third of older US adults suffer falls each year, according to the Centers for Disease Control and Prevention. What’s more, a fear of falling can alter habits, negatively impacting one’s quality of life.

Fortunately, many such falls are highly preventable. Changes in vision, balance, and muscle strength that can occur as one ages can be addressed, and other external risk factors can be prevented.

Staying Vital Regular exercise is important for maintaining the physical strength and mobility needed to reduce the risk of

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falls. Taking classes to improve balance, such as tai chi, has also been shown to reduce the risk of falls.

Many community centers and fitness clubs offer classes designed for older individuals, so be sure to consult your healthcare provider for an exercise routine that is appropriate for you.

“Set a reminder to get regular health screenings for bone density, vision, and other fall risk factors. Staying aware of these physical changes and adapting to them can help you remain healthy and independent,” says Carrie Nie, director, Safe Communities America, National Safety Council.

Home Modifications “Most falls happen at home, so it’s important for individuals, caregivers,

and loved ones to focus on keeping the home free of safety hazards that increase the likelihood of falls,” says Nie. Installing grab bars, additional handrails, and extra lighting can make it easier to maintain balance, improve vision, and avoid tripping hazards.

You should also free walking areas of tripping hazards, such as electrical and phone cords and open drawers and cabinets. To avoid slips, use nonskid rugs, clean up spills immediately, and wear proper footwear.

Community Engagement Individuals and loved ones should look into local resources available that can help prevent falls and maintain older adults’ independence, as well as get involved in efforts to make their

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community more accessible.

Many communities are already engaged in such efforts. For example, counties, cities, towns, and universities accredited by the National Safety Council Safe Communities America program put initiatives into place to raise awareness of the risk of falls and increase older adult independence and safety at the local level.

The program also works with volunteer groups to make the homes of older adults safer. For example, one such volunteer group, “Team Handyman,” installs grab bars, hand rails, and other safety features in the homes of older adults in Midland, Michigan.

To learn more about fall prevention, as well as community safety efforts, visit nsc.org.

While aging itself is not the cause of falls, older people are at greater risk of taking a spill. To reduce your risk of falling, keep your home safe, your body strong, and your community engaged.

Encouraging Seniors to Move More

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When Jill Bronsky began planning exercise programs and wellness workshops for older adults twenty-five years ago, she found that very few personal trainers or fitness instructors would work with elderly people.

Everyone was afraid that old people were “too fragile” and could fall or have a heart attack if they moved more than necessary.

Over the decades that followed, Bronsky, who holds a master’s degree in physical education, and other experts in the growing fields of aging and eldercare have proven that regular physical activity is not only safe for seniors, but it can actually help prevent the medical emergencies everyone had feared before. As the owner of Forward Fitness in Williamsville and a group fitness instructor, Bronsky specializes in helping elders reduce the likelihood of falls, improve their strength and balance, and hang on to their independence longer simply by encouraging them to move more.

In her new book, Keeping Your Parents Active & Independent: Simple Ways

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to Encourage Physical Activity and Exercise, Bronsky explains some of reasons why many older people are hesitant to start an exercise program, and what children and caregivers can do to provide encouragement and support. The easy-reading book also includes ideas for adding a little more activity to everyday tasks, and outlines simple exercise routines that can done while seated in a chair or holding on to the back of one for stability.

One of the most common obstacles Bronsky sees with starting a fitness program is simply that older people don’t realize they need to make an effort to move more. When many of her clients were young, exercising on purpose wasn’t really part of the culture, especially for women who didn’t grow up with girls’ sports in school. Instead of gym memberships and workout videos, physical activity included walking everywhere because the family probably had one car, gardening and cooking, hanging laundry, cutting the lawn with a reel mower—all things that gradually are removed the to-do list as people age, get help from children and

neighbors, and enter assisted living facilities. And, because the transition away from physical tasks happens slowly, it’s hard to realize how little movement older adults really get in a given day.

In her book, Bronsky explores some of the common hesitations she hears about starting an exercise program—“I’m afraid of falling,” “I’m too old,” and, “I don’t know how” —and suggests ways to talk through these valid concerns with elderly parents and their doctors to find ways to safely introduce activity.

From there, she provides stepby-step suggestions to ease into the habit of moving more. Ideas include “sneaky” tactics like parking a space or two farther from the front door and walking that extra twelve feet or not automatically doing every little thing for parents (fetching this, reaching that) who may truthfully be able to do it themselves, to more scheduled and purposeful exercises like leg and arm raises or balance drills.

Bronsky employs some of these exercises during a series of strength and balance classes she teaches at area

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assisted living facilities. At a recent session held at Elderwood Village Assisted Living Facility in Williamsville, about a dozen residents in their seventies to nineties filed into a recreation room with the help of walkers or on their own and took seats in two crescent-shaped rows of chairs facing Bronsky at the front of the room.

Once everyone was settled, the warmup began to the tune of “Runaround Sue.” Arm raises, shoulder taps, and ankle wiggles to the beat of the music got everyone smiling and moving, progressing next to some overhead waves with red, two-pound rubber balls, and then onto some standing movements (toe taps to the side, knee raises) for those who were able, with seated modifications for participants who wished to remain in their chairs, and little breathers in between.

Fun and variety are key elements to Bronsky’s classes and the routines she recommends for clients at home. She incorporates anything she can think of to add color and movement like silk scarves, resistance bands, hand weights, and even pool noodles. And, always, music. Disco is a hit for cardio

portions, while softer ballads from the ’50s are great for warm-ups and stretching.

“I’ve been doing this so long, I started with a boom box and tapes, then moved up to CDs,” Bronsky quips. “Now, I have wireless speakers and Pandora!”

The goal of all of this, Bronsky says, isn’t for seniors to all of a sudden be able to run around the block or lift a ton of weight. Instead, the primary goal is always the comfort and quality of life that comes from staying self-sufficient and safely

enjoying the activities and places that bring people joy.

“You can really see the difference when older people start to be more active,” Bronsky says. “Small changes can make a huge difference in their daily life—getting out of the car more easily, bending safely, standing to cook. People think falling, losing balance, and getting weaker are part of getting older. That it’s inevitable. But, it’s simply not true.”

Devon Dams-O’Connor is a freelance writer who lives and works out in Buffalo.

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Resources The Amberleigh - Capital Senior Living 2330 Maple Road Williamsville, NY 14221 716-689-4555 amberleigh.net Canopy of Neighbors 805 Delaware Avenue Buffalo, NY 14209 716-235-8133 canopyofneighbors.org Canterbury Woods 705 Renaissance Drive Williamsville, NY 14221 716-929-5817 canterburywoods.org

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Elderwood 888-826-9663 elderwood.com/rehab

MJ Peterson / Susan Lenahan 716-864-6757 susanlenahan.com

Forestview Senior Village 3959 Forest Parkway Wheatfield, NY 716-692-8439 calamar.com

Symphony Circle Active Living 291 North Street Buffalo, NY 14201 716-913-3145 symphonycircleactiveliving.com

Home Solutions of WNY 716-984-4841 homesolutionswny.com

Vinecroft Retirement Community 5945 Vinecroft Drive Clarence Center, NY 14032 716-741-7741 vinecroft.org

The McGuire Rehabilitation Centers 716-826-2010 mcguiregroup.com

Canterbury Woods Gates Circle 50 Gates Circle Buffalo, NY 14209 716-929-5817 cwgatescircle.org

Middleport Family Health Center 81 Rochester Road Middleport, NY 14105 716-735-3261 middleportfamilyhealthcenter.com

Eagle Crest Senior Village 100 Weiss Avenue West Seneca, NY 14224 716-771-1439 calamar.com

MJ Peterson – The Olear Team/ Anne Kader 716-830-6366 olear.com

October 2017

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Woodlands Senior Village 3979 Forest Parkway Wheatfield, NY 716-692-9663 calamar.com

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Your Retirement. Your Time. Your Choice.

For Independent Seniors

Experience Country Living Only Minutes from City Convenience

V

inecroft’s apartments and patio homes are located in historic Clarence Center just minutes from Transit Road shopping, area restaurants, medical clinics, and hospitals.

The apartment building includes forty four units, consisting of spacious one bedroom, one bedroom with a den, and two bedroom apartments designated to simplify day-to-day living. The residence features a variety of common areas; including a multi-purpose activity room, four season garden room, exercise room, laundry rooms and guest rooms.

Visit Vinecroft...Our Happiness is Contagious The patio homes offer residents a neighborhood feel within the community without the daily chores of home maintenance. The private property, in a natural country setting, features beautifully landscaped grounds of trees, shrubs, flower beds, and is fully handicap accessible!

Our intimate community is full of fun and friendship. Just what retirement should be about!!

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TRANSIT HILL PHARMACY (716) 683-9444 6344 Transit Rd., Depew

WURLITZER FAMILY PHARMACY (716) 260-1131 521 Division St., North Tonawanda

ROSENKRANS PHARMACY (585) 798-1650 526 Main St., Medina

SUMMIT PARK PHARMACY (716) 731-3500 2758 Niagara Falls Blvd., Niagara Falls

OAKFIELD FAMILY PHARMACY (585) 948-5823 40 Main St., Oakfield

H ME LOCKPORT HOME MEDICAL HOME MEDICAL EQUIPMENT

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Is it worth sending your child to college?

BY STEVEN J. HARVEY

Your oldest is in high school, it’s time to start thinking about college, and the first thoughts are often, is it really worth it?” and “Where do I begin?”

Most parents, even those working in higher education, get overwhelmed by the notion of finding the “right” college. And that’s without even considering practicalities like the admission process, the FAFSA (Free Application for Federal Student Aid), knowing what’s affordable within one’s means, and trying to get the student invested.

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“Is college worth it?”; a million dollars is about how much more a college graduate will earn, over a lifetime, compared to a high school graduate.

For a two-year degree, it’s about $500,000.

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Let’s tackle the literal million-dollar question—“Is college worth it?”; a million dollars is about how much more a college graduate will earn, over a lifetime, compared to a high school graduate. For a two-year degree, it’s about $500,000. Therefore, incomewise, college is worth the investment, but the benefits of a college degree go beyond financial return. According to College Board, a college-educated person reports greater job and life satisfaction. The higher the degree, the lower chance of unemployment (Bureau of Labor Statistics). A wealth of research shows that college graduates are more effective communicators, have fewer health issues, have healthier relationships, live longer, report higher quality of life, and report stronger educational, life, and professional outcomes for their children. Essentially, the argument that the value of a college degree has diminished is weak, and misrepresents these extensive benefits.

Once the decision is made, parents and students start grappling with where to go, what to major in, and how to pay for it. It’s helpful to know that most employers report that what is studied is more important than where. In other words, paying for a “name” isn’t as critical to a student’s future as the right major. The chosen college should offer not just a major in your child’s desired field of study, but also a wealth of opportunities, beyond coursework, that expand skills and contribute to a competitive resume.

So, how to choose a major? I like to joke with my kids, “Pick the major that will allow you to buy me that summer house on the coast.” As you might imagine, I find that funnier than they do; in fact, my daughter was concerned that I would influence her decision, but I told her, “No one should tell you what to major in.

It’s your life, and you will be working for most of it. Pick a major you love, and don’t just work hard, but work smart.” That last part is key. No matter the major your child chooses, there will be thousands of jobs to choose from upon graduation. As a coach, I always told my players, “It’s not just what you do during practice that makes you successful, it’s what you do outside of practice.” The same is true of college.

Every college student takes courses, but not every college student, for example, attends academic conferences, pitches or launches a business, authors a published paper with a professor, or is part of a professional

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Grades matter, and your child’s coursework and professors play a major role in their development, but there is just as much value in experiences that develop the professional skill set.

association since freshman year.

Regardless of major, every college student can do internships, volunteer, join clubs, join professional associations, subscribe to professional journals, seek out mentors, fundraise for non-profits, see speakers, attend professional events, and, most importantly, visit the career services office, which will assist them in doing all of the above. These outside activities help fine tune the job search, develop a strong resume, build a network, and prepare for the knowledge economy. This is more important than ever, as employers are looking for self-directed leaders with demonstrated experiences outside of the classroom. Grades matter, and your child’s coursework and professors play a major role in their development, but there is just as much value in experiences that develop the professional skill set.

So, what’s all that going to set you back? Is the cost of a particular college is worth it? For most college graduates, debt is a given. In New York State, the average student debt is just over $29,000 or $333/month debt maintenance (US Department of Education Student Loan Repayment Calculator). This is roughly the cost of a car payment for approximately $700,000 to $1,000,000 return on investment. That’s not a bad return, but debt is debt, so remember what I said above about the major being more important than the college. Also know that most private colleges discount tuitions to levels competitive with public colleges, so don’t rule them out, particularly if your child would thrive at a smaller school. Finally, remember that many fields—teaching, counseling, psychology, or medicine, e.g.—require a master’s degree. If your child’s undergraduate debt is high, there won’t be much wiggle room for grad school, which is arguably the more important investment. Finally, as a parent, you are also transitioning, getting used to “coaching” from a distance, and your child’s success will be aided by acceptance of your new role.

I wish you luck and please do the same for me as I currently face this process with my high school senior!

Steven J. Harvey is executive director of the WNY Consortium of Higher Education.

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SPECIAL ADVERTISING SECTION

Resources Daemen College 716-839-8225 daemen.edu/fallopenhouse Morgan Stanley/Michael P. Monin 716-631-4623 morganstanleyfa.com/michael.monin Niagara County Community College 716-614-6222 niagaracc.suny.edu Niagara Falls Culinary Institute 716-210-2525 nfculinary.org Niagara University 800-462-2111 niagara.edu/graduate St. Joseph’s Collegiate Institute 716-874-4953 sjci.com/admissions

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fall in love with

CLARENCE Celebrate fall in Clarence!

the rides and the events, attractions,

The Great Pumpkin Farm’s Fall Festival

and shows. Enjoy a delicious warm

is all about family fun, great food, and

donut along with a glass of fresh ci-

enjoying everything the season has to

der, or a specialty Halloween drink at

offer. Running through October 31, visit

the Witches Brew Bar & Café or de-

The Great Pumpkin Farm daily from 10

licious BBQ at OINKtoberfest. It’s a

a.m. to dusk for pumpkins, mums, and

great place to take photos of the little

cornstalks, and to experience the thrill of

ones or find that special Halloween decoration in our Pumpkin Palace. For

Carol A.Esposito

more information, visit greatpumpkin-

A Trusted Realtor with Proven Results

The 41st Annual Holiday Arts & Crafts

Lic. Real Estate Salesperson

“Carol really delivered

and Crafts Society, will take place

process of selling our

Saturday, November 4 and Sunday,

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November 5 at the Town Park

her strategy, effort and

Club House, 10405 Main Street in

integrity. Her knowledge

Clarence. Admission is free. More

and customer service is unsurpassed.”

Ken & Cindy Slomovitz

Top Producer 2012, 2013, 2014, 2015 & 2016 Who’s Who in Residential Real Estate 2012, 2013, 2014 & 2015

716-864-0478

5462 Sheridan Drive • Williamsville • carolesposito.howardhanna.com

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show, hosted by the Clarence Arts

for us. She made the

We were impressed with

cell

farm.com.

information can be found on the Society’s page on Facebook.

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Licensed Associate Broker #1 Agent Howard Hanna Buffalo region & Top 3 in WNY

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5bdrms, 4 full & 3 half baths

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2 GREAT PLACES LOCATED ON MAIN STREET IN CLARENCE

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Asa Ransom House

A 10 room Historic Village Inn Outdoor Dining — Dinner, Lunch and Tea

10529 Main St. (Rt. 5) Clarence, NY 1-800-841-2340 • (716)759-2315 www.asaransom.com

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HealthTrends

SPONSORED BY

Minding women’s health

By James “Bo” Catanese, Pharm.D.

H

ot flashes, night sweats, mood swings, insomnia: these are some symptoms hormones—or lack of them—can wreak on women’s bodies during the premenstrual period, pregnancy, and menopause.

But these aren’t the only ways women’s bodies differ from men’s; even in health conditions that affect both sexes, women often have different outcomes from men. While preventative health for all conditions is paramount, there are steps women can take to minimize risk and symptoms of common conditions specific to them.

Scheduling an annual gynecologist appointment, having Pap smears and mammograms as advised, exercising, and maintaining a healthy, well-balanced diet are always recommended. But, I’d like to address some complaints I hear as a practicing pharmacist.

Far and away, the most troubling condition I hear about from women in my practice is menopause and perimenopause, the period preceding menopause when hormone levels are declining. Reduced hormone production by the ovaries can cause not only the aforementioned hot flashes, insomnia, and mood swings, but also weight gain, decreased libido, vaginal dryness, and memory loss.

To combat this, there are a few tools at our disposal, beginning with over-the-counter supplements. For instance, rhubarb root extract, sold under the trade name of Estrovera®, can reduce hot flashes, one of the biggest complaints of perimenopause. This non-hormonal herbal extract has been used in Europe for more than twenty years, and has been shown in clinical studies to have results comparable to low dose hormone therapy. Other over-the-counter options include evening primrose oil and black cohosh. Additionally, cortisol, the hormone our body creates to manage stress, is often disrupted by hormonal changes, which can lead to weight gain, fatigue, and hot flashes. Adaptogenic herbs such as eleuthero, ashwaganda, and rhodiola rosea, commonly sold in combinations products like Adrenotone®, help normalize cortisol levels, and can relieve these symptoms.

Hormone replacement therapy (HRT) is a prescription option to combat the symptoms of perimenopause. This therapy is individualized, as each woman’s hormone deficiencies and imbalances are different. While one woman may need estrogen, another may have too much, and need progesterone to balance the excess. Customized properly,

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HRT can make drastic improvements to quality of life. You may have heard of risks associated with HRT such as breast cancer and cardiovascular events; these can be minimized when dosages are customized by a physician and pharmacist experienced in the field of HRT. A distinction in hormone replacement therapy is non-bio-identical hormones, such as medroxyprogesterone and conjugated equine estrogens, versus bio-identical hormones like progesterone and estrogens, such as estriol and estradiol. A bio-identical hormone’s chemical structure matches the hormones already circulating in your blood; in other words, giving your body a bio-identical hormone is giving it something it expects to have.

Conversely, non-bio-identical hormones vary in structure and function from natural hormones, and the body does not have receptors designed to receive them. As you might expect, medical literature and data has demonstrated that bio-identical hormones tend to be more effective and have a better safety profile than nonbio-identical hormones.

While perimenopausal and menopausal issues are significant as women age, younger women experience trouble with premenstrual syndrome (PMS). While prescription drugs, such as birth control, can help, overthe-counter supplements containing herbs like chaste tree berry, wild yam root, and passionflower serve to combat PMS naturally.

Pregnant women often have concerns about what constitutes a good prenatal vitamin. Look for one that is comprehensive and provides an adequate amount of folate, preferably as methlyfolate, a readily active and utilized form in the body, as compared to folic acid, which must be converted to the active form in the body, and is done so poorly in some women who have certain genetic mutations. Additionally, a good amount of DHA, an omega-3 that supports healthy brain development in your baby, is a good feature. Shoot for at least 400 to 500mg of DHA per day while pregnant or nursing.

Finding the right healthcare professional is essential, particularly for issues that affect your quality of life.

Compounding pharmacies such as Pine Pharmacy in Williamsville are great resources for both hormone replacement and vitamin supplementation to support women’s health from youth through the golden years.

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Obstetric, Gynecology, and Aesthetic BOTOX JUVEDERM CO2RE LASER LASER HAIR REMOVAL & MORE! Renee T. Baughman MD FACOG

Donna A. Feldman MD FACOG

Kristen J. Kloosterman WHNP

Julie Gestwick RDMS

Our skilled practitioners provide a full spectrum of health care for women’s specific health concerns. We offer services that range from yearly routine examinations to maintenance and care of gynecological issues.

In addition to standard care we have unique medical services like nutraceutical consultations and acupuncture to compliment proven gynecological treatment protocols. This way we truly offer a full spectrum of medical care for women from puberty to menopause.

We can help you with a myriad of gynecological health issues including: > > > > > > >

Acute and chronic medical conditions Adolescent gynecology Birth control and family planning Routine screenings (PAP smear) Endometriosis Fibroids Cancer screening and management

> > > > > > >

Uncomfortable periods Heavy, lack of, or too frequent periods Infertility Menopause management Operative gynecology Preventative health Urinary tract disorder

716.297.9379 • WMNIAGARA.COM • 5927 MILITARY RD. • LEWISTON, NEW YORK www.buffalospree.com

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Resources Beechwood Continuing Care Wesley Rehabilitation Center 2235 Millersport Highway Getzville, NY 14068 716-810-7000 beechwoodcare.org Braymiller Market 6936 Gowanda State Road Hamburg, NY 14075 716-649-2356 braymillermarket.com Breast Screening Center of WNY 2828 Main Street Buffalo, NY 14214 716-838-1300 diagnosticxray.com Buffalo Barre 5843 Transit Road East Amherst, NY 14051 716-880-7049 buffalobarre.com

Buffalo Doula Collective 313 Elmwood Avenue Buffalo, NY 14222 716-238-0708 buffalodoulacollective.com Pine Pharmacy Walker Center 5110 Main Street Williamsville, NY 14221 716-332-2288 City Market 1806 Pine Avenue Niagara Falls, NY 14301 716-282-1112 pinepharmacy.com UBMD UROLOGY 4233 Maple Road Amherst, NY 14226 716-725-6277 2816 Pleasant Avenue Lakeview, NY 14085 716-646-5500 5959 Big Tree Road, Suite 107

Orchard Park, NY 14127 716-260-1593 1020 Youngs Road, Suite 110 Williamsville, NY 14221 716-961-9900 C-3 Outpatient Surgical Suite 100 High Street, Buffalo, NY 14203 716-242-8520 462 Grider Street, Suite 119 Buffalo, NY 14215 716-898-5008 535 Main Street, Olean, NY 14760 716-376-2276 ubmdurology.com Windsong Radiology 3950 East Robinson Road West Amherst, NY 14228 4855 Camp Road, Suite 500 Hamburg, NY 14075 4893 Transit Road, Depew, NY 14043 1026 Union Road West Seneca, NY 14224 55 Spindrift Drive Williamsville, NY 14221 899 Main Street Buffalo, NY 14203 716-631-2500 windsongradiology.com Women’s Medicine of Niagara 5927 Military Road Lewiston, NY 14092 716-297-9379 wmniagara.com

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ADVERTISEMENT SPECIAL ADVERTISING SECTION

ASK THE EXPERT

ESCAPE THE PAIN OF VARICOSE VEINS -by Dr. Dana Dunleavy

WHY ARE VARICOSE VEINS A CAUSE FOR CONCERN?

ABOUT WINDSONG VEIN CARE Dr. Dana Dunleavy leads the Interventional and Vascular Services team as a fellowship trained Interventional Radiologist from Johns Hopkins. In addition, he has achieved a Certificate of Added Qualification in Interventional Radiology. Windsong Radiology Group maintains accreditation with the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) to provide minimally invasive procedures in its outpatient setting in Williamsville.

Windsong Vein Care is situated in the headquarters of Windsong Radiology Group, PC at 55 Spindrift Drive in Williamsville, NY. This AAAASF accredited facility meets high quality standards, uses the latest technology and provides patients an alternative to more costly hospital based procedures.

All consultations, procedures and follow up appointments take place in the same convenient location, making vein care simple, safe and convenient.

Windsong Radiology Group, P.C. 55 Spindriff Drive Williamsville, NY 14221 716.631.2500 www.windsongradiology.com

Windsong Vein Care 716.929.9484 Windsongveincare.com

WHAT ARE THE BENEFITS OF VEIN TREATMENTS?

Healthy veins contain valves that open and close to assist the return of blood to the heart. Veins can become varicose when the valves that control blood flow are damaged or diseased, causing blood to pool in the legs. This causes varicose veins which result in inefficient blood flow back to the heart.

Those individuals that seek treatment for their varicose veins find the treatment very worthwhile. Benefits of treatment include: • Relief of throbbing legs • Relief of heaviness • Ability to walk without struggle • Assisted healing of venous stasis ulcers Varicose veins are often raised above • Confidence to show off legs the skin on legs and can resemble twisted, bulging cords. Left untreated, they WHAT TREATMENTS can progress to a more serious form of venous disease called chronic venous ARE AVAILABLE? insufficiency (CVI). Increased pressure Windsong Vein Care allows you to seleads to further damage of additional lect a vein treatment plan designed to veins. CVI can cause swelling and achi- suit your individual goals. Windsong’s ness even without varicose veins. comprehensive approach and minimally invasive techniques, coupled with the shortest recovery times possible, give WHAT ARE THE COMMON patients the best results with minimal SIGNS AND SYMPTOMS OF risk. Patients can choose from Radiofrequency Ablation (RFA), a treatment covVARICOSE VEINS? ered by most insurance or the VenaSeal™ • Heaviness, swelling, fatigue Closure System. Although not currently • Aching, cramping, or leg pain covered by insurance, Windsong is the • Varicose veins or spider veins most experienced facility in the region • Skin changes or rashes with the VenaSeal™ Closure System, • Ulcers, open wounds, or sores a procedure which has advantages that certain individuals prefer. This new FDA approved venous closure treatment uses WHO IS AT RISK? adhesive to close the diseased vein. CMS Chronic venous insufficiency can af- has just announced a code for VenaSfect anyone and gender and age fac- eal™, and insurance coverage for these tors may increase your risk - women treatments is expected in January 2018. older than 50 are more likely to develop Walking is encouraged immediately folvenous disease which can lead to CVI. lowing both treatments.

Other factors that may increase your The Vein Care team works collaborarisk include family history, pregnancy, a tively with patients and insurance to enstanding profession, obesity, sedentary sure the most appropriate treatments for lifestyle and smoking. each patient. Patients interested in learning more can request a consult with Dr. Dana Dunleavy by calling 716.929.9484 or visit windsongveincare.com.

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2828 Main Street Buffalo, NY 14214 To schedule an appointment

716.838.1300

What we Offer: • Screening Mammography • Ultrasound • Diagnostic Mammography - Abdomen • Vascular Studies - OB/GYN - Upper and Lower Venous - Breast - Carotid Doppler - Pelvic/TV - Arterial Dopplers with ABI - Testicular • Bone Density Exams • On-site results with our Fellowship trained Radiologist • Highly specialized certified Mammography Technologists • Easy and accessible appointment times • Walk-ins welcome • Free ample parking

Call for additional information about our services

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Mobile X-Ray, Ultrasounds and Cardiology Services to: • Stand alone Medical Centers • Nursing Homes • Private Homes

Windsong Vein Care o�fers a variety of non- and minimally-invasive outpatient treatments that will ease your pain and let you get back to life.

windsongveincare.com

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Living

475 Delaware Ave, Buffalo

The elaborately adorned Strootman Mansion. 9,000 sq. ft. Renaissance Revival home w/exquisite craftsmanship. Currently law offices, could be restored to a private residence. 1st floor: Multiple pocket doors, oak hardwood floors, oak paneled walls, 2-ornate fireplaces, carved oak Corinthian columns, stunning spindled staircase rising 4 floors to a large skylight.

ROBERT MEREDITH VICE PRES, LIC. REAL ESTATE BROKER GURNEY BECKER & BOURNE 716.603.0200 BOBMEREDITH.COM

1115 Delaware Ave / Luxury Rentals

12560 Kern Road $594,900 MLS#B1047539

Nature at it’s finest in this roomy 3+ bedroom, 2-1/2 bath hobby farm on 38 open & wooded acres. The slate patio covered by wisteria lined pergola.

Take a dip in the inground pool. A second garage offers a 1 bedroom,1 bath apartment. 6 Stall barn and fenced pasture.

TINA DILLON CELL: 716.474.5646 THEDILLONTEAM@GMAIL.COM WWW.TINADILLON.COM

305 Renaissance Dr. Williamsville $499,900

Come home to elegance in our newest residence. 2,500+sq ft of gracious one flr living. A true entertainers dream! 3 bed+Den / 2 full baths incl a stunning master en-suite. Beautifully designed and appointed for the most discriminating renter. Rents from $1,895-$2,850

Stunning 4 bed, 2 1/2 bath center entrance Colonial in demand location on a wonderful private lot. Grand 2 story open foyer that leads to large kitchen with cherry cabinets, Corian counters, center island, SS appls & breakfast bar. Wonderful morning room adjoins kitchen for added kitchen space or sitting area. Master suite w/gas fireplace along with glamour bath with jetted tub. Williamsville Schools

MICHAEL HARTKE LICENSED REAL ESTATE SALES PERSON TOP 1% OF WNY REALTORS, COMMITTED REPRESENTATION FOR BUYERS & SELLERS 5462 SHERIDAN DRIVE WILLIAMSVILLE, NY 14221 CELL: 716.713.5045 MICHAELHARTKE@HOWARDHANNA.COM

CAROL A. ESPOSITO, LIC. REAL ESTATE SALESPERSON TOP PRODUCER IN WNY FOR 2012, 2013, 2014, 2015 & 2016 RANKED IN THE TOP 1% OF REALTORS IN WNY HOWARD HANNA REAL ESTATE SERVICES C:716.864.0478 • TEXT: H055567 TO: VIDEOS

118 Harbridge Manor 899,900

Lewiston Village Riverfront

Exclusive Gated, “Greythorne” patio home community! This magnificent 3800 sqft stone, 1st floor master suite home is situated on the most fabulous, deep, private wooded lots, overlooking Country Club of Buffalo!!! Elegantly designed with upscale architectural details, Brazilian hardwoods, surround sound, first floor library w/built-ins, fabulous gourmet cherry kitchen, w/large granite bar area, 2 story foyer and so much more!

“Rare opportunity for this premier location! 90’ of Niagara River Front includes your private dock. Majestic panoramic views of Niagara On the Lake, Walking distance to all that the Village of Lewiston has to offer.

Completely updated featuring Hi-End kitchen, master bath and mahogany accents. ML# B1068912” $1,325,000

BONNIE CLEMENT LICENSED ASSOCIATE REAL ESTATE BROKER #1 AT HUNT REAL ESTATE 2016 5570 MAIN STREET WILLIAMSVILLE, NY 14221 CELL: 716.553.8384 BSCLEMENT@AOL.COM • BONNIECLEMENT.COM

SCOTT CARPENTER LICENSED SALESPESRON HOWARD HANNA REAL ESTATE SERVICES 6505 E QUAKER, ORCHARD PARK, NY 14127 716.512.3702 SCOTTCARPENTER@HOWARDHANNA.COM www.buffalospree.com

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