2017 2017
W
Health Health & & ellness Wellness
MAGAZINE
Magazine
by COURIER Warsaw’s Country Courier PUBLISHED Published BY WARSAW’S COUNTRY
Directory AA directory of ofCounty Local Wyoming Health and health and wellness Wellness services and resources.
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INDEX Services & Resources ................................................ 4 Fitness & Leisure: Racquetball returns to YMCA ........ 6 Dietary Health: The Truth to ‘An Apple a Day’ ........... 9 A positive note: East Side hits four stars .................. 10 New Faces: Oak Orchard welcomes new pediatrician .... 12 Medical Upgrades: Hospital unveils new mammography machine ................................................................. 13 Focus: Addiction Treatment ............................... 15-16 Local health and wellness events ............................ 18
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HEALTH & WELLNESS SERVICES & RESOURCES • ADULT CARE • The Cloisters 171 North Maple St.,Warsaw (585) 786-8727 thecloistersseniorliving.com
• PEDIATRICS • Springville Pediatrics 375 West Main St., Arcade (716) 592-2832 springvillepeds.com
East Side Nursing and Rehabilitation Center 62 Prospect St.,Warsaw (585) 786-8151 eastsidenursing.com
• PHARMACY • Sinclair Pharmacy 75 North Main St.,Warsaw (585) 786-2330
• COMFORT CARE • HomeCare & Hospice 450 North Main St., No. 3 (585) 786-7879 homecare-hospice.org
• PRIMARY CARE • Oak Orchard Health 81 South Main St.,Warsaw (585) 228-1195 oakorchardhealth.org
• DENTAL & ORTHODONTICS • Keith W. Koch, DDS, PC 4376 Lakeville Rd., Geneseo (585) 243-3174 dentistgeneseony.com
• PHYSICAL THERAPY • Rehabilitation Today 378 Route 39 West, Arcade (585) 492-1260 rehabilitationtoday.net
Salmon Orthodontics Perry: 116 North Center St. • (585) 2372410 Attica: 3325 East Main and Maplewood • (585) 250-0092 triftshauserandsalmon.com
Step By Step Physical Therapy Warsaw: 2333 North Main St. • (585) 786-8700 Perry: 3 Handley St. • (585) 237-3050 Attica: 120 Prospect St. • (585) 591-3082 stepbystepphysicaltherapy.net
Summit Family Dental 34 Duncan St.,Warsaw (585) 228-9551 summitfamilydentalcare.com Wyoming Family Dentistry 3 Handley St., Perry (585) 237-3314 • FITNESS • Wyoming County YMCA 115 Linwood Ave.,Warsaw (585) 786-2880 geneseeymca.org • MASSAGE • Healing Hands Massage & Spa 46 West Buffalo St.,Warsaw (585) 786-3590 hhmassageandspa.com
• SERVICES & SUPPORT • The Arc of Livingston-Wyoming 18 Main St., Mt. Morris (585) 658-2828 lwarc.org Genesee/Orleans Council on Alcoholism and Substance Abuse 430 East Main St., Batavia (585) 343-1124 gcasa.net Health & Wellness Referral Services 212 Main St., Leicester (585) 382-3260 healthandwellnessny.org Partners for Prevention 460 North Main St.,Warsaw (585) 786-8970 wycop4p.com
Proc Air 2407 Route 19,Warsaw (585) 786-3198 RTS Wyoming 18 West Buffalo St.,Warsaw (585) 786-6050 myRTS.com Spectrum Human Services 34 North Main St.,Warsaw (585) 786-0220 shswny.com Wyoming County Community Health System 400 North Main St.,Warsaw (585) 786-2233 wcchs.net/ Wyoming County Health Department 5362 Mungers Mill Rd., Silver Springs (585) 786-8890 • UROLOGY • Western New York Urology Associates 408 North Main St.,Warsaw (716) 677-2273 wnyurology.com • WALK IN • Dr. Dale L. Deahn 401 Main St., Arcade (585) 492-5088 daledeahnmdfamilypractice.com • HELP LINES • Mental Health Clinic: (585) 786-0190 National Suicide Prevention Lifeline: 1 (800) 273-8255 Wyoming County Crisis Outreach: (585) 786-2233 Ext. 4750 Wyoming County Mental Health 24Hour Crisis Hotline: 1 (800) 724-8583 Wyoming County Chemical Abuse: (585) 786-8133 National Drug Helpline: 1 (800) 559-9503 RESTORE: 1 (800) 527-1757
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FITNESS & LEISURE
Racquetball returns to YMCA CARLY VAIR/Staff Reporter
Before reopening, the YMCA racquetball court needed $10,000 in repair work, but is now ready to welcome a league.
BY CARLY VAIR • S taff R eporter
Several years after the Wyoming County YMCA
racquetball court was repurposed for group classes, the sport is making a return with a local league. Branch Director Matt Hilton said the project to enclose the outdoor play space, which will be used for a variety of group classes and other activities, allowed him to reclaim the court for racquetball. “I had talked to the membership director at the time … about how much use the court was getting for the other types of classes, and essentially, it was not a lot,” Hilton said. “It was three or four hours during the week, certainly not enough time to close down that space … I said ‘Let’s do it now, let’s get the court going now.’” The court needed about $10,000 in repairs before it could be reopened. It was completed in the spring, when most people were headed outside for golf or tennis, but with cold weather arriving, the YMCA is anticipating more interest.
“It was certainly an investment, not only in terms of doing what we said we were going to do back then, which was put it back in play, but it put some good will out there,” he said. The league is open to both YMCA members and nonmembers. Hilton said he’s hoping the YMCA’s former racquetball par ticipants come back to revitalize the league, and there’s always the possibility of competition with other groups. “If we have 30 or 40 folks, that’s awesome,” Hilton said. “If we get 10 or 12, that’s fine too; it’s been gone a long time.” To register, participants should visit the YMCA at 115 Linwood Ave. in the Village of Warsaw. For more information about the Wyoming County YMCA, visit its Facebook page (facebook.com/WyomingCountyYmca/) or glowymca.org. The facility can also be reached at (585) 786-2880.
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DIETARY HEALTH
The truth to
‘an apple a day …’ Courtesy of Univera Healthcare
Y
ou’ve heard it said since you were a kid, about an apple a day keeping the doctor away. According to Patricia Salzer, registered dietitian and workplace wellness consultant at Univera Healthcare, there’s really something to it. “Apples are high in nutrients, antioxidants and fiber, which aid brain function and memory, and help lower the risk of cancer, hypertension, diabetes, heart disease, Alzheimer’s and meta-
bolic syndrome,” Salzer said. “In addition, apple picking is a fun, fresh air activity.” According to Salzer: • A medium apple is considered one serving. Many apples are larger than that, so keep moderation and portion control in mind. • Don’t make apples the only fruit you eat. Even though they are a nutritional powerhouse, apples don’t meet all nutritional needs. Variety in the diet helps give us the variety of nutrients that are important for good health.
• Limit apple juice or cider. You are better off eating whole fruit and letting your body turn it into juice. Enjoy apples at meals and as snacks. Apples are great with breakfast on oatmeal or pancakes. Add apples to a tossed salad or coleslaw. Use apples in winter squash soup or to add some crunch to a grilled turkey and cheese sandwich. Roasted apples go great
with chicken or pork. And, an apple crisp made with whole wheat flour, oats and walnuts is a delicious dessert. As for that bit about keeping the doctor away, it’s important to have a primary care physician for regular visits to get recommended preventive health screenings based on your age and gender. “Prevention is the key to good health, so you really don’t want to keep the doctor away,” Salzer said.
Need Help Enrolling in Affordable Health Care? Call your Wyoming County Navigator at
(800) 466-1191 or 786-8890 Small Business and Individual Assistance Providing information and enrollment assistance for affordable health insurance options offered through the New York State Health Exchange or “Marketplace” Small Businesses may qualify for up to a 50% tax credit (only available in the Marketplace), there are no broker fees, and an unbiased selection process for Qualified Health Plans including options from MVP, Univera and Independent Health Individuals may be eligible for tax credits and subsidies. There are several Qualified Health Plans to choose from.
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FOCUS: NURSING HOME ON THE UPSWING
A positive note:
East Side hits four stars BY CARLY VAIR • Staff Reporter When Jerry Krull took over as administrator at East Side Nursing and Rehabilitation Center in 2015, the facility had a two-star rating from Medicare’s Nursing Home Compare, a score mostly in-line with other area nursing homes. A year later, the facility has a score of four out of five stars, with a full five stars for the quality measures category. “For us, that’s a big deal,” Krull said.“I think probably everybody would like to have a five-star rating, but for us, it’s a big deal because we’re on the way to doing things better.” Along with almost 40 years of experience in the nursing home industry, Krull brought with him a slew of changes that included remodeling and updating the facility.The building saw new heating and air conditioning systems, modern flooring in the place of old, dark carpet, as well as fresh paint and new nursing stations. Physical improvements continue to be a priority, Krull said. “Right now, we’re kind of institutional,” he said. “It’s clean, it’s nice, but I want it to be nicer. We’re making it more home-like. I think home-like is probably the key word I would like to put in everything when I’m talking about the physical environment. On any day, less institutional, more home-like.” However, changes weren’t only
CARLY VAIR/Staff Reporter
A little “pawsitivity:’ East Side Nursing and Rehabilitation Administrator Jerry Krull (right) and puppy Alice visit with resident Alberta Messecar.
physical. East Side has also added more activities for its residents, bringing the community to them through grandparent programs with local Girl Scouts, art shows with Warsaw students and a variety of visiting animals. “Activities are always the heart of the facility,” Krull said.“Bringing children from the community, bringing animals from the community — not just dogs, we had a
pig here last week — having more outings. Getting out and about, doing things that you would do or I would do, as opposed to just being in a nursing home all the time. We started picnics in the summer where everyWednesday we have a picnic outside. “Just adding some thoughts and ideas that maybe weren’t there before and trying to make daily life more interesting and fun.” In order to provide highquality care to residents, Krull said it was important to take just as good of care of the staff. He’s focused on staff development, sending the licensed practical nurses to St. John Fisher for leadership courses and the aides to BOCES for certification opportunities. “I’m one guy; I can’t take care of 80 people,” he said.“I need 100 people to take care of them.The
staff have to feel like they have a good, safe job, that they’re really accomplishing something. “I work with very nice, very decent people. I work with people who are really, on a daily basis, trying to do a good job, and that’s not always true out in the world. Sometimes you’re battling your staff to do a good job. “Here, people want to do a good job, so I’m more of a facilitator. I get them what they need to do a good job.You need enough people, you need training, you need supplies, you need resources, and to me, that’s what I do here. I try to set a tone for how it’s going to be … and the tone is, ‘Let’s be positive.’” That positivity and quality of care come a little more easily when staff have a personal connection with residents, Krull said. In turn, that personal connection comes easy thanks to the facility’s family atmosphere. “We have a lot of staff who are related to each other, sometimes we have three generations of family who work here, and then they also bring their relatives here,” he said. “That means a lot to me too, because those folks have enough faith and trust in East Side that they’re going to bring somebody they really love here. “You really want to have a personal attachment to people; you see the same people every single day, and you want your staff to have that personal attachment, because it’s a heck of a motivator to do a good job.You’re going to take better care of people who are close to you than people you compartmentalize and say ‘that’s just a face, another body.’ “We’re people working in the residents’ home. This is their home and we’re just giving them daily service.” For more information on East Side, visit the facility’s Facebook page or eastsidenursing.com.
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NEW FACES
Oak Orchard welcomes new pediatrician Oak Orchard Health welcomes Dr. Maria Adams to its medical center at 81 South Main St., Warsaw. Adams comes to Oak Orchard from the University of Illinois College of Medicine and Children’s Hospital. She is board certified with the American Board of Pediatrics and a member of the American Academy of Pediatrics. Dr. Maria “We are excited to bring a pediatrician of Dr. Adams’ caliber on board,” said Jim Cummings, Adams CEO of the health center. “Dr. Adams is a great fit with our clinical team, and will be a strong health resource for the community.” Adams is accepting patients from birth to age 18. Appointments can be made by calling the Oak Orchard Warsaw practice at (585) 228-1195.
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MEDICAL UPGRADES
Hospital unveils new mammography machine • New machine is 21 percent more effective in detecing breast cancer BY BILL BARK • Freelance Reporter The Wyoming County Community Health System held a ribbon cutting Wednesday, Oct. 26 for its new digital mammography equipment in the radiology department’s renovated mammography room. Compared to earlier equipment, the new machine uses computer-aided detection to put a mammogram into digital form. It then uses specialized software to find suspicious areas by detecting abnormal tissue densities or calcifications, which are interpreted by a radiologist. This system greatly enhances the ability to detect possible cancer in breast tissue. The new equipment provides full-field digital mammography,
opposed to the older “computed radiography.” Statistics show that CR is 21 percent less effective than FFDM at detecting cancer. Full-field digital mammography also provides greater imaging detail besides increasing a patient’s chance of being diagnosed with cancer early enough to begin early effective treatment. According to Department Supervisor Margaret Morgan-Hise, a benefit of the new equipment to WCCHS patients is state-of-the-art cancer detection being offered locally by well-trained staff and physicians without those patients having to travel to get a similar service at o t h e r facilities. The new equipment was made possible by donations from WCCHS volunteers.
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FOCUS: ADDICTION TREATMENT
The long road back from addiction Pathways, obstacles and options for effective treatment of heroin addiction BY CARLY VAIR • Staff Reporter Heroin is being called an epidemic across the country, state and county. Part and parcel of an epidemic is the speed at which it spreads, and with heroin ranked as the No. 1 most addictive drug on multiple scales, it’s spreading fast. On the opposite end of the spectrum but just as devastating, recovering from addiction is a long road. There are multiple options for treatment, from intensely supportive inpatient care to outpatient therapy, and although no route is easy or quick, the options in Wyoming County are particularly limited. “Warsaw’s Country Courier” spoke with health and court officials to find the pathways and roadblocks to effective treatment. Kinds of treatment According to Wyoming County Mental Health Community Services Director Nancy Balbick, treatment can take multiple forms. Detox: “Detox is when you need to be in a setting and your body needs to be free of the chemical,” Balbick said. “You need to be medically monitored … in a controlled setting. “The heroin detox … you go through a series of really intense symptoms. An OASAS (Office of Alcoholism and Substance Abuse Services) detox program would have perhaps some counseling available to give you the information you need about your disorder so you would be open to accessing treatment.” Inpatient rehab: “You’re tak-
en out of your element — because people, places and things with addictions, [you’ve] got to get away from the people [you] do drugs with, and the places [you] go to and things [you] do — so you’re taken away from that environment and put in another controlled environment where you’re with a lot of other people with the same problems,” she said. “They’re doing a lot of group counseling, group education … now you’re really getting a jumpstart on your drug problem. You stay there, generally, for a month, and that’s residential.” Outpatient care: In an outpatient setting, clients meet with an individual therapist to determine whether they need treatment for a mental health disorder as well as their chemical dependency. They also meet in group settings to learn about their disease, the variety of its effects, coping skills and ways to repair relationships damaged by their addiction. While a typical patient might first go through a detox program, then complete inpatient rehab and continue treatment with outpatient therapy, Balbick stressed that a treatment plan should be created and adjusted with the individual’s needs in mind. Options in a rural county Rural areas may be no less affected by the heroin epidemic, but they’re less equipped to deal with it. Wyoming County has one chemical dependency clinic, Spectrum Human Services in Warsaw, and also has a mental health clinic in partnership with Allegany Rehabilita-
tion Associates. “Both clinics, Allegany Resource Associates and Spectrum, are either moving toward or are doing integrated treatment, which means you have a mental health disorder and a substance abuse disorder, and so you’re going to one place to have [those] treated,” Balbick said. “They’re finding now that most people who have substance abuse disorders, especially long-term ones, they have a mental health disorder.” Part of that integrated care includes treatment of withdrawal symptoms. “The biggest piece of that is something called medicallyassisted therapy, where you’re taking either a medication called Vivitrol, which is an injectable month-to-month medication, or suboxone, which is a daily oral medication, which helps prevent cravings and prevent withdrawal,” Public Health Commissioner Dr. Gregory Collins said.” For somebody who’s motivated get better, it allows them to live a more normal life without having to seek out illegal substances. Those programs are just starting to get into place in this county.” Although these programs are getting off the ground, the county has no inpatient facility and no licensed detox program. There are inpatient and detox programs in the Western New York area, but with heroin use on the rise statewide, beds are full. Treatment court For users who have been arrested, treatment court is one way to access services.
Treatment court includes Judge Michael Mohun, the district attorney’s office and representatives from Spectrum, ARA, probation, Literacy West, the mental health department and more, and for those with a felony drug or alcohol charge, they provide an alternative to prison. “A lot of them are looking at two to four [years] in state prison, that’s the stick,” treatment court probation officer Gene Traxler said. “The carrot is, if they successfully complete treatment court, they get their charges reduced to criminal possession seventh … and they get three years probation.” For the first three months of treatment court, clients come every Wednesday and are tested for drugs. Treatment court officials also get updates regarding the client’s treatment, probation and work. The frequency of attendance at court decreases as clients progress through the program, and they also receive education, job training and support, which Traxler said has been effective; more than half of current treatment court clients are working. Assuming they stay clean and follow the terms of their contract, they are graduated and their sentence is reduced or charges dismissed. “Any time during that year — it could be the first week in, it could be the week or the day before graduation, which we’ve actually had a few of them — if they test positive for something … they go back and they start all over again with level one and they do a jail sanction,” Traxler said. Continued on next page
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FOCUS: ADDICTION TREATMENT ... From page 15 “We’ve had a fair amount of people graduate in that 364 days, but we’ve had a fair amount of people that don’t make it.” For clients who go to inpatient rehab, appearances at treatment court aren’t required, but the court’s team members keep in contact with their rehab counselors to stay updated on their progress. After completing rehab, some clients may require supportive housing. “Rehab is hard for heroin addicts because they chase the high so much,” Traxler said. “That’s why long-term treatment is the key. The other thing that is the key, and people say this is sometimes crude, but the longer we can keep them in jail in the beginning and get them to withdraw from the drugs, get them thinking clearly, get their
mind all unclogged, the better the success rate we have. “We have tracked this, so we know this.” Roadblocks “The problem is money,” Traxler said. “A lot of it is private insurance. A lot of your private insurance providers say they’re only going to do 14 days of inpatient. “Well, 14 days of inpatient doesn’t get to the problem. They need a full 28 days, and they need to be evaluated at that time, while they’re in inpatient, with information from us and people that have a good history of this person … to find out what their needs are for a success story. A lot of times it’s a referral to a longerterm facility.” However, access to programs and facilities is another major issue. There is some supportive housing, but Balbick said slots
are limited. Treatment facilities are even more limited. “We don’t have any of these facilities in the county,” Traxler said. “The county is lacking on treatment facilities, there’s no doubt about that. We wish we had more. “There’s not enough treatment agencies, there’s not enough inpatient, there’s not enough halfway houses, there’s not enough residential treatment programs.” Balbick added a licensed detox program to that list, saying supportive counseling while users are being medically monitored was key in getting them engaged in treatment. The bottom line The road back from heroin addiction will always be long and difficult, but with the lack of local resources, many struggling with addiction may find it hard just to get on that road.
However, although Wyoming County may not be able to provide a full spectrum of services, there are resources available and people who will help. Spectrum Human Services 34 North Main St., Warsaw (585) 786-0220 Wyoming County Mental Health Department 338 North Main St., Warsaw (585) 786-8871 Wyoming County Mental Health Clinic 39 Duncan St., Warsaw – or– 1 Liberty St., Arcade (585) 786-0190 (800) 724-8583 (24-hour crisis hotline) Hope Haven The Jerome Center 16 Bank St., Batavia (585) 344-7276
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LOCAL HEALTH & WELLNESS EVENTS Skip stretching pre-workout Adult coloring and coffee bar night Held the fourth Wednesday of each month at the Castile United Church of Christ, 4 Washington St., Castile. Reduce stress with adult coloring pages;markers,pens, colored pencils are provided at this free event. Caring Hands and Hearts 1 to 4 p.m. Thursdays at Valley Chapel, 3415 Route 19 South, Warsaw. Caregivers are invited to have a break for a few hours while their loved ones are entertained and taken care of by volunteers at no cost. All caregivers may drop off their loved ones at the church for games, reading, exercise and other activities, while the caregivers leave to enjoy some time to themselves. For more information, call 558-4224. Community coffee hour 9:30 to 10:30 a.m. the first Wednesday of each month at the Trinity Church, 62West Buffalo St., Warsaw. Free coffee hour; stop by
for coffee,snacks and conversation. Family support group 6 to 7:30 p.m. the first and third Monday of the month at Hillside Children’s Center, 96 West Buffalo St.,Warsaw. Parents and caregivers of children ages 5 through 18 who have social,emotional or behavioral challenges are welcome to join. Veterans AA meetings 6 p.m.Thursdays at the First Baptist Church, 306 East Main St., Batavia. The Genesee Veterans Support Network supports a veteransfocused Alcoholics Anonymous group. Meetings also open to nonveterans. For more information, call 302-0825. Warsaw Food Pantry Open to any county resident in need of food. Hours are 9 to 11 a.m. Mondays, the last Thursday of each month and Fridays;and 11 a.m. to 1 p.m.Tuesdays.Pantry is housed at the United Church of Warsaw, 10-22 South Main St.,Warsaw.
Many athletes have been told to stretch before starting a workout, as such a routine prepares the body for physical exertion.But new evidence suggests that stretching before a workout may do more harm than good. Several studies now indicate that static stretching, or slowly moving muscles until they start to hurt and then holding the position, may impair strength and speed. One study rectly published in the “Journal of Strength and Conditioning Research” concluded that METRO CREATIVE those who stretch before lifting Stretching before a workweights could find themselves out may not be as beneficial feeling wobblier and weaker than as people once thought. expected. Another study at the Reserve stretching for your University of Zagreb in Croatia post-workout routine. reviewed 104 studies of people who practiced static stretching as a warm-up. Muscle strength was reduced by more than 5 percent in those who stretched. Another study examined men who did basic squats while lifting barbells. Men who stretched and those who didn't were examined. Those who stretched lifted 8.3 percent less weight than those who skipped stretching. Many personal trainers now discourage extensive stretching before a workout,feeling that stretching post-workout provides the most benefit. A number of people have long confused stretching with warming up muscles, but static stretching is a different activity from actual muscle warmup, which generally involves low-impact movement of the body. There is no evidence that stretching before a workout makes muscles more limber or reduces the risk of injury during a workout. Some experts liken stretching muscles prior to working out to overstretching a rubber band. The muscles may get limp and overworked prematurely and then not be able to perform to peak when power intensity is needed. Others argue that when people engage in stretching, the muscles are actually tightening, rather than relaxing, which may make athletes more prone to injury. Stretching improves flexibility and range of movement. But some fitness experts suggest stretching be reserved for times when exercise will not immediately follow,such as after a workout has been completed.
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