IGH - CNY-249 September

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CNYHEALTH.COM

SEPTEMBER 2020 • ISSUE 249

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Women Alzheimer’s Numerous studies show women have twice the risk of Alzheimer’s disease than men. What is behind that?

Story on page 16

Michael C. Backus takes over as Oswego Health’s executive vice president and chief operating officer. Page 25

Profits for Major Insurers Double This Year.

Does it Mean We Will Get a Premium Rebate?

Early Intervention Challenged During Pandemic

Rice Noodles Why a beloved Thai noodle dish has skyrocketed in popularity P.15

Compliance Study: Women more likely to skip meds than men P. 6

Brandon Anderson, personal trainer with Blink Fitness in Syracuse (right) working with a client, Michael Ostrander. “Working out in the morning creates endorphins that help you feel better all day,” Anderson says.

Which is Better, Working Out Early or Later in the Day?

By Deborah Jeanne Sergeant

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arly workout proponents say that exercise before breakfast tricks the body into burning stored fat. Others say that working out later allows the body to fuel up for an optimal performance.

“There’s a difference between performance and health benefits,” said Carol Sames, Ph.D., director of Upstate Medical University’s vitality fitness program and associate professor at its College of Health Professions.

She said if weight loss is the goal, “strong evidence suggests those who work out in the morning have more weight loss than those who work out

in the evening. It seems to be tied to a reduction of energy intake.”

People who stop eating after 6 p.m. and engage in high intensity exercise first thing in the morning tend to burn more fat.

“When you exercise you increase metabolic rate, heart rate and breathing,” Sames said.

The metabolic effects carry on for longer in the day, according to her.

If greater strength is your goal, more warm-up time and pre-workout nutrition may be needed for a morning resistance training session.

Morning alertness is quite different among individuals, which

matters for people who run outdoors.

Not everyone feels limber first thing in the morning, either. That is why Sames believes that for some activities, later in the day could be better.

Getting up to work out takes a lot of discipline. At different stages of life, such as when working a second or third shift job, or when caring for an infant or elder, getting up at 5 a.m. to go for a run is likely not going to happen.

Kevin Webb, owner and certified personal trainer at KW Fitness in Fayetteville, said he would rather see people exercise regardless of when compared to not exercising at all. But he does see some merit in the early morning workout.

“It really is dependent on what time of day works better for someone,” he said. “Some people think morning is better as it kickstarts their day. Others prefer it in the evening as it’s a way to de-stress from the long day they’ve had. It’s relative to the individual.”

He said that working out first thing in the morning “doesn’t make a huge difference.”

For workout timing, personal preference and fitness goals make a difference to Brandon Anderson, personal trainer with Blink Fitness in Syracuse. The gym also has locations in Liverpool and Rochester.

He said that working out earlier in the morning boosts the metabolism, which can help with weight loss.

“Working out in the morning creates endorphins that help you feel better all day,” he added, “but your body might not be warmed up as much. You can be more prone to injury. Some people might lose sleep as they get up early.”

Evening workouts may provide stress relief for those who need to unwind after work, which is certain-

ly beneficial.

“A lot of people feel they have greater strength and endurance since they’re warmed up from moving around all day,” Anderson said.

Evening workouts have a few caveats, however. If they are too close to bedtime, they can interfere with sleep.

“You don’t have the metabolism boost you’d have if you worked out in the morning,” Anderson added.

“There’s no right answer because every person has their own biological clock in every tissue of the brain and body. They’re built in our genes. It really doesn’t matter. It’s specific to what works for that person.”

Anderson is also a big advocate of working out informally at home between planned workouts, such as a 15-minute walk or a small activity to keep the body moving. To encourage more movement, Blink offers Blink Fitness, an app free to members and on a 30-day free trial basis to nonmembers. It includes workouts, wellness tips, recipes and videos.

“I talked to multiple trainers and the best workout time is when you’ll be committed to it,” said J.J. Potrikus, manager of the Upstate Blink locations. “If you say you’ll work out at 5 a.m. before work every day but you quit a week later, that won’t be the best time for you.”

The Centers for Disease Control and Prevention recommends engaging in 150 minutes of aerobic physical activity per week, such as walking, biking or swimming and performing muscle-strengthening activity twice per week, such as lifting free weights, using exercise bands, performing body weight exercises or using a weight machine. The activity doesn’t need to take place all at once but consistency is vital for promoting good health, according to experts.

Here for CNY. As always.

Faster Treatment = Better Outcomes People have been avoiding emergency rooms fearing they will be exposed to the COVID-19 virus.

Getting to the hospital quickly is critical for patients suffering heart attacks or strokes, when heart and brain cells can die by the minute. Other serious conditions — such as severe headache or stomach ache — can also cause long-lasting damage if treatment is delayed.

Our regionally recognized emergency services, cardiac care and Comprehensive Stroke Center teams are here 24/7 to provide you and your family with rapid intervention and treatment for all medical emergencies.

Your Safety = Top Priority To keep you safe, we have put in place stringent safety and infection control measures in our Pomeroy Emergency Services Department and across our entire hospital and outpatient sites to prevent the spread of infection, including:

Screening patients, visitors and staff at entry points Requiring all patients, visitors and staff to wear a mask Isolating suspected COVID-19 patients in private rooms Rigorous deep cleaning/disinfecting of all surface areas

Don’t wait to go to the Emergency Department – Call 911 #TakeMeToCrouse Page 2

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IN GOOD HEALTH – CNY’s Healthcare Newspaper September 2020

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IN GOOD HEALTH – CNY’s Healthcare Newspaper

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8/25/20 11:22 AM

Meet

Your Doctor

By Chris Motola

Anthony Michael Orio, M.D. Joint replacement surgeon with SOS, a former quarterback in college, talks about hip, knee replacement, says he sees more young people having the procedure done

Survey: A Majority of U.S. Adults Lose Sleep Due to Reading

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new survey from the American Academy of Sleep Medicine (AASM) shows a majority (66%) of U.S. adults report losing sleep due to staying up past their bedtime to finish a book.

The survey also found that women (71%) are more likely to lose sleep due to reading a book than men (61%).

If you find yourself losing track of time while reading, it may be time to change up your nighttime routine, according to AASM. Sleep experts recommend setting a bedtime alarm to remind yourself that it’s time to put the book down for the night.

“It can be tempting to try and squeeze in one more chapter of a great book, but everyone should make it a priority to get enough sleep to wake feeling refreshed and alert,” said AASM President Kannan Ramar. “Consistently waking up feeling unrefreshed, or struggling to stay awake throughout the day, is a warning sign that either you are not getting enough sleep, or you may have an untreated sleep disorder.”

If you are unsure about how many hours of sleep you should be getting, the AASM’s website — SleepEducation.org. — can help identify the appropriate bedtime based on your schedule and age.

The personalized calculation can help you keep a routine that will provide adequate, healthy sleep, so you can finish your next novel without nodding off.

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Q: What kinds of joint replacements do you perform at Syracuse Orthopedic Specialists?

A: Routinely, I’m doing hip and knee replacements. Traditionally, 20 to 25 years ago these procedures were mostly done on elderly, individuals over 65. And obviously we continue to do those, but as people have become more active throughout their lives, we’re starting to do them on patients who are much younger who have significant disease in their hips and knees. In a knee replacement we’re basically replacing the ends of the bones. You sort of develop arthritis on the ends of your bones. We trim off the ends of the bones and replace them with metal caps that are cemented into place.

The reason we perform these procedures are pretty much so we can get back to the activities of daily living and do it pain free. A lot of these patients have severe pain, discomfort, disability, trouble doing even basic things around the house. Our goal is to restore function, eliminate pain, and get them back to doing the things they like to do.

Q: You mentioned seeing a lot more young patients. What’s that usually from?

A: So obviously there’s always the risk of individuals developing post-traumatic arthritis as the result of an accident or injury, which can

IN GOOD HEALTH – CNY’s Healthcare Newspaper September 2020

happen at a much earlier age. There are other issues like inflammatory arthropathies, some diseases in the hip like avascular necrosis of the hip.

Essentially the blood flow to the ball joint of the hip jointed is blocked and the head of the ball essentially dies of necrosis. So we see some patients in their 40s come in who develop it for reasons we don’t fully understand.

So the predictable operation there is typically to replace their hip.

Q: A lot of these procedures are done minimally invasively now. How complex a joint replacement can be done that way now?

A: I think the words “minimally invasive” are in the eye of the beholder. There are people who will say it, others who will practice it. What I tell patients about surgery and the size of the incision, I say I’ll do the smallest incision possible to do the surgery effectively. Obviously the more complex the pathology, the less likely minimally invasive comes into it. You need to be able to see more to perform it effectively. So I would say the word “minimally invasive” and “complexity” within the total joint world doesn’t really exist.

Q: What’s the longevity of joint replacements now, and have you ever had to replace the same joint twice on the same patient?

A: Yes. So, the number 100%, in my opinion, does not exist in the surgery world. There’s always a risk of things happening inter operatively, after surgery, years after. Some of the things that may occur may require revision surgery. Some prostheses placed in the mid-’90s may be wearing out. At that point, depending on how functional the patient is, what their goals are, revising the implants that are already in there becomes an option. But the possibility of operating on the same joint more than once always exists. If you’re replacing a young male or female’s hip in their 40s, even if they get 20 years out of it, they’ll only be in their 60s. Obviously, the younger patients are when they get something done, the more likely it is that they’ll need a revision at some point.

Q: When you say “revision surgery,” what are we talking about?

A: It’s a broad term. So that could mean, in a knee replacement for example, that the metal on the femur and tibia are fine, but the piece of plastic between them has worn down and needs to be swapped out. Other times you may need to take everything completely out and put all new stuff back in. You treat it accordingly.

Q: You were a quarterback in college. Do you think that gave you more of an appreciation for orthopedics?

A: Yeah. I think within all the subspecialties of medicine, a lot of former college athletes find their way into orthopedics. As kids, teenagers, college athletes, you tend to develop relationships with orthopedic specialists. So, then, if you end up going into medicine, you lean on life experiences and relationships. I also think it’s second to none in terms of your ability to see a problem, fix it and then watch the patient recover over the course of weeks or month.

Q: What kinds of interventions do you perform prior to replacements?

A: Most of our practice is non operative. Patients are usually sent to physical therapy, and we try to see if physical therapy, along with anti-inflammatories, can alleviate, improve or even strengthen someone’s status.

For the patients who haven’t improved, the next rung on the ladder would be some kind of injection therapy. In the knee sometimes we use gel injections. Some people, for the rest of their lives, get by with just injections every few months or years. And then when all that fails, the pain’s terrible, life is bad, we talk about surgery. All of these procedures are completely elective.

Lifelines

Name: Anthony Michael Orio, M.D. Position: Joint replacement surgeon with Syracuse Orthopedic Specialists (since August 2019) Education: Northeastern University; Robert Wood Johnson Medical School Noteworthy: Four-year starting quarterback at Northeastern University Hometown: Berlin, New Jersey Affiliations: Crouse; Upstate; St. Joseph’s Organizations: Academy of Orthopedic Surgeons; American Academy of Hip and Knee Surgeons Family: Wife; two sons (Anthony Jr., Colton) Hobbies: Spending time with family, college football, and country music

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Healthcare in a Minute

By George W. Chapman

Profits for Major Insurers Double This Year. Does it Mean We Will Get a Premium Rebate?

T

he short answer is: don’t hold your breath. A recent article in the New York Times by Reed Abelson explained. The Affordable Care Act (ACA) caps what commercial insurers can retain as profits. For small businesses and individuals, insurers must rebate “profits” over 20% of premiums. Profits include operating costs as well. For large businesses, insurers must rebate profits over 15% of premiums. Second quarter profits for major national insurers this year are almost double the second quarter profits of last year. Reported second quarter 2020 profits are $3 billion for CVS/Aetna, $2.3 billion for Anthem and $6.7 billion for United. COVID-19 claims, (most are Medicare), are easily offset by the dearth of claims from elective surgeries, emergency rooms and office visits.

The Trump administration is well aware of these excess profits which by any measure are expected to continue throughout 2020. Washington has “encouraged” the insurance giants to rebate anticipated excess profits or reduce premiums during this fiscal year instead of waiting to calculate year-end results. Industry observers predict: OK, good luck with that.

Before issuing any rebates, insurers are granted a three-year grace period following any fiscal year to be sure they have calculated all claims. In the meantime, individuals and businesses are struggling to pay their premiums and healthcare providers are struggling with the devastating negative impact of the virus on their bottom lines and staff.

Unrestricted Profits

As discussed above, the ACA caps profits on insurance lines of business. Written 10 years ago, the ACA does not restrict profits on other lines of healthcare business now owned and operated by the largest commercial insurers. Carriers have

purchased or started up their own clinics and have merged with major drug retailers. Retailers like Walmart have even jumped into the insurance and clinic fray. To date, the current administration and a lot of politicians have provided mostly lip service to effectively controlling drug costs. A

Onondaga, Oswego, Cayuga and Madison Counties

CNY’s Healthcare Newspaper

A monthly newspaper published by Local News, Inc. 35,000 copies distributed throughout more than 1,000 high traffic locations, including all Wegmans stores.

In Good Health is published 12 times a year by Local News, Inc. © 2020 by Local News, Inc. All rights reserved. Mailing Address: P.O. Box 276, Oswego, NY 13126. • Phone: 315-342-1182 • Fax: 315-342-7776.

Editor & Publisher: Wagner Dotto • Associate Editor: Lou Sorendo Contributing Writers: Deborah Sergeant, Jim Miller, Gwenn Voelckers, Deborah Banikowski, George W. Chapman, Anne Palumbo, Melissa Stefanec, Chris Motola, Eva Briggs (M.D.), Mary Beth Roach, Debra J. Groom, Mary Koenig Advertising: Amy Gagliano, Cassandra Lawson Layout & Design: Dylon Clew-Thomas • Office Manager: Nancy Nitz No material may be reproduced in whole or in part from this publication without the express written permission of the publisher. The information in this publication is intended to complement—not to take the place of—the recommendations of your health provider.

Consult your physician before making major changes in your lifestyle or health care regimen.

bipartisan bill written up in Congress last year, allowing Medicare/ Medicaid to negotiate a couple dozen drug prices for starters, has yet to be presented to the Senate for a vote.

Telemedicine’s Future

COVID-19 is already considered a “black swan event” similar to other significant life changing occurrences — like both world wars, 9/11 and the launching of the personal computer.

Up until the virus, telemedicine was ever so slowly being incorporated into the delivery of healthcare. Since the virus, telemedicine use has skyrocketed. Consumers are happy with the convenience and no copay. While some providers may still prefer office visits to virtual visits, all are happy with the enhanced reimbursement for telemedicine visits which, so far, are equal to an office visit. The billion-dollar question is: will enhanced reimbursement continue? The key is, what will Medicare do? (Commercial carriers tend to follow suit.) Right now, the enhanced reimbursement is authorized in 90-day segments. The current temporary 90-day authorization ends Oct. 31. I’m sure all provider group lobbyists (AMA, AHA, etc.) are pushing for permanency.

Their efforts must be working. CMS chief Seema Verma recently commented, “Reversing course would be a mistake.” While it remains to be seen what ultimately happens, the signs are good for permanency.

Verma noted that 9 million Medicare members have used telemedicine since the pandemic. Medicare paid providers $9 billion for telemedicine services in March and April this year versus only $60 million in March and April 2019. The virus has exposed and compounded our embarrassing lack of a national health policy.

It’s been every state for themselves.

Consequently, due to the lack of a national health policy providing some consistency across state lines, the governors from four western states: Washington, Colorado, Oregon and Nevada, are collaborating to improve, standardize and coordinate telemedicine access and coverage for their collective populations.

Veterinarians Are Flourishing As we postpone or even cancel healthcare due to the ongoing pandemic, physicians and hospitals will continue to endure the financial strain. Quite ironically, veterinarians September 2020 •

are flourishing. Unlike human care, trips to the vet are way up. A recent Associated Press story describes this phenomenon. Vet offices and animal hospitals are scrambling to increase staff, phone lines and office hours to accommodate the average 18% surge in pet care. According to pet health insurer “Trupanion,” July business was up 28% over last July. Industry observers and vets themselves attribute the increase in business to more people working from home, pets as emotional support, increased pet adoptions from shelters and price.

Pet care is still primarily cash on the barrel head, so veterinary offices and hospitals are much more transparent with pricing as a third-party insurer is rarely involved, which normally introduces price confusion.

Private Practice Success

About half of all physicians are still in private practice. Despite the negative financial ramifications due to the pandemic, social media consulting firm PatientPop got enough physicians in private practice to respond to its survey. One of the survey questions asked for their non-financial indicators of success.

Sixty-seven percent answered success meant a positive patient experience; 35% said effective patient communication; 30% thought strong or positive online reviews; 27% considered a high ranking in online searches to be an indicator of success; while 23% said their high performing website was an indication of success. When asked what frustrates them the most, 49% said dealing with the myriad of insurers with their different fees, regulations and coverages; 33% said collecting what is owed them; 31% are frustrated with patient no shows and cancellations (exacerbate by the pandemic); and 31% said dealing with compliance and related expenses.

George W. Chapman is a healthcare business consultant who works exclusively with physicians, hospitals and healthcare organizations. He operates GW Chapman Consulting based in Syracuse. Email him at gwc@gwchapmanconsulting.com.

IN GOOD HEALTH – CNY’s Healthcare Newspaper

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U.S. Women More Likely to Skip Meds Than Men

I

n the United States, many women with chronic medical conditions aren’t filling prescriptions or are trying to make their medications last longer due to the cost, a new study finds.

Not filling prescriptions, skipping doses, delaying refills or splitting pills may put their health at risk, the study authors noted.

For the study, researchers collected data on patients in 11 high-income countries, including the United States, Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland and the United Kingdom.

Among U.S. patients, one in four younger women (aged 18 to 64) reported cost-related non adherence to their prescriptions compared with one in seven younger men.

The researchers found that the largest disparities between men and women occurred in the United States

– 54%, compared to 33% in Canada and 17% in Australia.

“Prescription drug coverage systems — like those in the U.S. and Canada — that rely on employment-based insurance or require high patient contributions may disproportionally affect women, who are less likely to have full-time employment and more likely to be lower income,” said lead researcher Jamie Daw. She’s an assistant professor of health policy and management at Columbia University Mailman School of Public Health, in New York City.

“The disparities we found in access to medicines may produce health disparities between men and women that should be further explored,” Daw added in a university news release.

The findings were published online Aug. 3 in the journal Health Affairs.

New Trend: Zoom Meetings Driving Surge in Face-Lifts

P

eoples whose only contact with the outside world is Zoom are taking a close look at themselves and flocking to plastic surgeons for face- and eye-lifts, the New York Times reported in August.

“I have never done so many face-lifts in a summer as I’ve done this year,” Diane Alexander, a plastic surgeon in Atlanta, told the Times.

She had done more than 250 procedures from May 18 through the end of July. “Pretty much every face-lift patient that comes in says: ‘I’ve been doing these Zoom calls and I don’t know what happened but I look terrible.’”

“This is the weirdest world I live in,” Alexander added. “The world is shut down, we’re all worried about global crisis, the economy is completely crashing and people come in and still want to feel good about

Regain Your Active Lifestyle.

Trust the joint replacement specialists at SOS to provide you with a range of care options for your joint conditions.

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315.251.3100 SOSJOINTREPLACEMENT.COM Page 6

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IN GOOD HEALTH – CNY’s Healthcare Newspaper September 2020

themselves.”

The trend is surprising in a bad economy, because cosmetic surgery isn’t covered by insurance and procedures can cost up to $25,000 for a full body makeover, $3,300 for eyelid surgery and $10,000 for breast lift and enhancement, the Times reported.

Patients report they’re using money they would have spent on travel, concerts, sports tickets and the like.

Physician Lynn Jeffers, president of the American Society of Plastic Surgeons, told the Times that the nationwide “demand is definitely busier than what we had expected,” though she added: “What we don›t know is if the pent-up demand is transitory, and will go back to normal, or will even dip.”

Another COVID Hazard: False Information

B

e careful that the COVID-19 information you›re getting is accurate and not opinion masquerading as the real McCoy, says the American College of Emergency Physicians.

Watch out for bold claims and instant cures touted on social media or by friends. Get health and medical information from experts like the ACEP and the U.S. Centers for Disease Control and Prevention, the physicians’ group says.

“A troubling number of purported experts are sharing false and dangerous information that runs counter to the public health and safety guidelines endorsed by ACEP and the nation’s leading medical and public health entities,” said physician William Jaquis, president of the college.

“This kind of misinformation can not only be harmful to individuals, but it hinders our nation’s efforts to

get the pandemic under control,” he added in a college news release.

You should know that there is no cure or vaccine for COVID-19.

Scientists keep learning more about the virus and how to treat it. COVID-19 can be spread by anyone even people who don’t think they’re infected.

About 40% of those infected don’t have symptoms, but can spread the virus. The virus isn’t harmless, and its long-term effects are still being studied.

Without a cure, the best defense is making smart choices and safe behaviors, the college says.

“There are still many questions about COVID-19, but we know these three simple steps offer the best protection that we have until a vaccine is developed: cover your face, wash your hands frequently and practice social distancing,” Jaquis said.

It’s no wonder, then, that Dr. Victoria Meguid – who has been a powerful force for pediatric care at Upstate Medical University since 1992 – has made the Upstate Foundation a beneficiary of her retirement plan.

A retired pediatrician, Dr. Meguid continues to instruct medical students and informally mentor women faculty members. “I am grateful to have worked with so many wonderful doctors, nurses, clinicians and other staff here at Upstate. I know firsthand the care and compassion they bring to our work with children and families in the community.

“I want to invest in the lives and health of children.”

“This gift allows me to build on my legacy at Upstate of positively impacting the lives of children and families in Central New York,” she said. “There’s so much more to do!”

Creating a legacy like Dr. Meguid’s is easier than you think! Contact our planned giving professionals at 315-464-4416 or Fdn@upstate.edu.

Where your gift impacts the health of the entire region.

You can also learn more about Dr. Meguid at www.upstatefoundation.org/legacy.

Our mission: Impacting patient care, education, research, and community health and well-being through charitable giving.

September 2020 •

IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Live Alone & Thrive

By Gwenn Voelckers

Practical tips, advice and hope for those who live alone

An Antidote for Hard Times: Build a Home in Your Heart “Build thy home in thy heart and be forever sheltered.”

– Anonymous This is one of my favorite quotes. It captures so beautifully what I practice every day — especially these days — and it’s what I emphasize in my Live Alone and Thrive workshops: that the relationship with ourselves is the most worthwhile and enduring of all.

Most of the women and men whom have made peace with living alone are busy leading interesting lives even during these uncertain and changing times.

They have challenged, as have I, the age-old belief that marriage, as it has been traditionally defined, is the only state in which we can be happy, fulfilled, secure and successful.

Many are finding that time alone has proven to be a gift, not a burden.

Whether divorced, separated, single or widowed, we are not spending this precious time bemoaning our fate. We have experienced hardship, fear and loss and are the stronger for it.

We have taken our lives into our own hands and have embraced the choices and possibilities that living alone has to offer.

This is what we know . . .

• Living alone doesn’t mean living in isolation. Even with physical distancing, we can be together heart-to-heart.

Those of us who live alone know

how vital it is to stay connected when times are good. We also don’t hesitate to pick up the phone, text, email or Facetime with friends and family when loneliness and sadness show up.

• Accepting a virtual or in-person safe party invitation is worth doing.

I attended an open-air graduation ceremony recently and enjoyed the camaraderie of masked friends for the first time in a long time.

• Solo travel can still be enjoyed. We can still explore the world through virtual online tours of museums, national parks, landmarks and popular cities, from San Francisco to Paris. One of my favorite sites is GLOBOTREKS. • Figuring out how to join a Zoom meeting, make home repairs (thank you YouTube!), or grow your own vegetables can be very rewarding.

I fixed my own water spigot the other day, and gave myself a highfive with my own Purell-coated hands.

We have learned that . . .

• Rediscovering your “true self” and identifying those things that bring meaning and happiness into your life can turn living alone into an adventure of the spirit.

When rehearsals for my community band were suspended due to COVID-19, I decided to learn how to play a drum set. Awkward at first, I’m finally getting the hang of it. My neighbors may not agree. Ha!

s d i K Corner

Help Your Kids Navigate School Amid a Pandemic

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his school year comes with special challenges for kids as the United States grapples with a coronavirus pandemic, but experts say parents can help their children navigate the tough emotional terrain.

Whether returning to a school building, continuing online learning or adjusting to a hybrid school environment, it is normal for children and adolescents to have some stress or anxiety about going

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back to school, said Samanta Boddapati, a child clinical psychologist and prevention coordinator at Big Lots Behavioral Health Services at Nationwide Children’s Hospital in Columbus, Ohio.

Fears of getting sick or following school safety protocols for COVID-19 may make the transition even more difficult.

In a survey of parents by Nation-

IN GOOD HEALTH – CNY’s Healthcare Newspaper September 2020

• Doing a “random act of kindness” is a great antidote when you’re feeling sorry for yourself.

• Friends matter, especially now.

Reach out. Nurture your friendships.

And honor your commitments.

If I make a plan to walk with a friend, I show up, even if I’m not quite in the mood. Without exception, I always feel better afterwards.

• Caring for and serving others is empowering and helps us feel connected to a greater good. It can feed your soul. Even a simple gesture, such as sharing a word of encouragement, can turn someone’s day around.

A larger gesture, such as shopping, dog walking, or lawn care for a neighbor who cannot safely leave home can give you a sense of belonging and purpose.

We will never forget that . . .

• Letting go of the idea that you need to be married or “coupled” to have any chance of being happy and secure is essential. This supposed idea will only keep you from finding a brighter and more fulfilling future.

• Treating yourself well builds esteem. Prepare and enjoy decent meals at home. Get enough sleep. Exercise. You’re worth it. Tell yourself so by taking good care of yourself.

• Continuing to celebrate holidays, birthdays, graduations, anniversaries and other important occasions is important. Be creative and find safe ways to recreate the special rituals that have enriched your life.

• Our spiritual underpinnings and faith traditions, however defined, can be a real source of strength, hope, and inspiration. Believing that we are all connected to each other, even to those long gone, enable us to carry their vitality and energy in our hearts.

And we will always remember that . . .

• Expanding your definition of love beyond “romantic love” will stand you in good stead. Embrace

wide Children’s, two out of five said they had concerns about their kid’s social and emotional well-being.

Very young children can suffer from separation anxiety about being away from family and in new environments. For these children, experts recommend making a special goodbye part of your routine and reminding your child when you will see each other again.

Some kids like a transitional object — an item that reminds them of mom or dad while at school.

Older children being in a classroom might be uncomfortable.

“Maintaining a routine is important, especially for families who are continuing to do online learning fulltime. Create a part of your child’s day that is structured and a part of their day that has some flexibility,” said Parker Huston, a Nationwide Children’s pediatric psychologist.

The hospital’s experts offer these tips for parents and caregivers: n Tell your child there are a lot of unknowns, but that you and oth-

“passionate friendships” — those relationships in which you can be yourself and feel completely comfortable . . . in your sweatpants.

• Hanging out with negative people is a real downer.

I enjoy spending time with friends who are finding silver linings amid the hardships we are experiencing. Imposed downtime has provided a needed rest and break from relentless striving and doing. We are feeling less stress, greater peace and healthier as a result.

• We all have tools — inner resources — and now is the time to recall your best qualities and to draw upon them. It could be patience, generosity, creativity, kindness or a sense of humor. These qualities have helped you survive hard times in the past and they can serve you now.

• Feeling and expressing gratitude starts a ripple of goodness that reaches further than you can imagine. Every note you write, every kindness you extend and every word of thanks will make a positive difference. It begins with you and ends with a joyful connection.

Last month, I found a wounded robin in my yard. I took it to Wildlife Rescue, where I met with a young staff member named Jamie. She tenderly took possession of the robin and promised me they would do everything possible to restore the robin to good health.

As I got ready to leave, I said thank you, but then it didn’t feel like enough. I turned back and said, “Jamie, if you were my daughter, I would be so proud of you.”

Her eyes crinkled with a smile.

Gwenn Voelckers is the founder and facilitator of Alone and Content, empowerment workshops for women, and author of “Alone and Content,” a collection of inspiring essays for those who live alone. For information about her workshops, to purchase her book, or invite her to speak, visit www. aloneandcontent.com ers are there to help them. n Discuss fears and talk through options and alternatives. n Model coping skills to your children, so they know how to respond to unknowns and build resilience. n Help them understand special procedures in schools such as wearing a mask and undergoing temperature checks. n Find out what resources are available at school for your child, such as social-emotional support or counseling.

“A certain amount of stress is normal, but parents, caregivers and educators should look out for drastic changes in functioning or behavior,” Huston said in a hospital news release. “Sleep changes, mood changes, inability to engage with social environments or friends, increased anxiety about things that they maybe weren›t nervous about in the past are changes you want to talk to your child’s pediatrician about.”

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IN GOOD HEALTH – CNY’s Healthcare Newspaper

•

Page 9

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My Turn

By Eva Briggs

What to Do With Your Pets If You’re Recovering from Surgery

I

recently had surgery, and that meant figuring out how to deal with pets while recovering.

Since two thirds of U.S. households own pets, I thought I’d share some tips.

If you are having elective surgery, you will be able to prepare in advance. I’m gearing this article toward dogs, since that’s what I own, but the principles really apply to any companion animal.

First, who will be able to help when you are not yet able to perform all pet care duties? This might be the same person who will help with your care. But not every caregiver wants to deal with animals, so ask. Don’t assume. You may need to enlist a friend, neighbor or professional pet sitter.

If you have been training your pet to behave, polish those skills. If not, at least start training as much as your able. Enlist the help of a professional if needed. The following skills are especially helpful: 1 – Go to your place (crate, mat, dog bed, whatever). That will keep your pet out of the way if you are unsteady, in pain or just don’t want your dog underfoot.

2 – Sit and wait before feeding

or going through doors. This is safer for your assistant and safer for you when you resume pet care duties.

3 – Walk nicely on a loose leash.

Will you be taking new or different medicines after surgery?

If yes, fill prescriptions and buy needed over-the-counter medicines beforehand. Invest in a pill organizer so that you can count out a week’s medicine in advance. And if your pet takes medication, be sure to fill the prescriptions and place the medicines in a separate pill organizer. Your pet helper will appreciate that.

If your dog prefers to take pills embedded in a tasty treat such as peanut butter or squeeze cheese, stock up on that. Be sure to obtain a supply of pet food and treats so that you won’t run out before you are up to shopping.

Write down all pet care instructions before your surgery. This includes when and how much to feed, medication schedule, emergency contacts, veterinarian name and contact information, and copies of your pet’s immunizations in case of any unanticipated emergency.

Will you be using adaptive equipment — cane, crutches, walker,

wheelchair? Expose your pet to the equipment before the surgery, so that he can become accustomed to new or scary items.

Take care of any pet grooming needs, such as baths, haircuts, and nail trimming before your surgery so that you won’t need to worry about them for a while.

If your dog is used to more physical activity than he will get while you recover, you may need to tire him out with mental activities.

There are lots of things that you can teach your dog that don’t involve strenuous activity on your part. Two or three short sessions — as brief as five minutes — will go a long way to tiring your dog out. Some activities include: teach your dog to touch or target your hand or an object. You can teach nose touch and paw touch.

Leave it — with a treat in your hand, on the floor in front of your dog, even balanced on his head. If you want to go for an advanced version, teach your dog to hold a hot dog in his mouth until you give the OK to eat it! (Tip: start with a frozen hot dog wrapped in plastic wrap). You can teach head down shake, wave, sit pretty, scent identification while you are sitting.

Eva Briggs is a medical doctor who works at two urgent care centers in the Syracuse region.

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Page 10

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IN GOOD HEALTH – CNY’s Healthcare Newspaper September 2020

Q A &

with Lori Schakow

Parents may have problems finding child care this semester, says executive director of Child Care Solutions, Inc.

A

By Mary Beth Roach

s families throughout the area grapple with their various school districts’ reopening plans this fall, child care is a major concern.

The statistics, provided by Child Care Solutions Inc., help to illustrate the challenge. There are 70,700 children in Onondaga County. The registered day care programs in the county currently have the capacity to serve 8,000 children. But there are only about 1,400 slots — or 17% of that total — left that are vacant. .

In Good Health recently interviewed Lori Schakow, the organization’s executive director.

Q: Child care is critical right now.

How is your agency handling this? What can your agency do to help parents and providers through all this uncertainty?

A. I’ll start with providers. We have been trying to push out information in easily-digestible format.

We’re gathering all of the information that’s coming in. Sometimes it changes minute by minute from [Onondaga County] Department of Health, the Centers for Disease Control, [the State] Office of Children and Family Services. We’re trying to consolidate that and push it out to providers with recommendations. We

put together an entire guide of how to either revamp those programs that remained open throughout the entire pandemic, or how to reopen safely for those programs that temporarily closed. That guide is available on our website — www.childcaresolutionscny.org.

as a child care resource and referral agency, so again connecting parents to child care resources in their community. We expanded in 2009 to also serving Cayuga County. We started as a resource and referral agency, but since 1975 our services continue to grow exponentially.

Q. What are the suggestions for parents?

A. We have been continuing to provide the information and referrals that we have always done. The difference now is that in the past, it was virtually impossible, with all of the programs open, for us to continue an open capacity list because it changes day by day. But we have made what I would say Herculean efforts to do that during COVID-19. We’ve been trying to call providers every day to say ‘How many openings do you have?’ Then we only refer to the parents to those programs that have told us they have openings. In the past, we would just send them the providers in their neighborhood that meet the specific family’s needs.

Now we’re only saying these are the smaller number of programs in your area that meet your family’s needs that have openings.

Q: How big is your service area?

A: We serve all of Onondaga and Cayuga counties. We’re also the lead agency for an infant-toddler regional program. We serve the entire Central New York region, all the way from St. Lawrence County, on the Canadian border, to Broome County, on the Pennsylvania border. Fourteen counties in between.

Q. Does it mean it may be hard for families to find child care for their kids?

A. The challenge lately has been that the numbers of openings are shrinking and shrinking and shrinking. Parents that wait until the last minute are probably not going to have a lot of options available to them.

Q: What are some other suggestions you might offer parents?

A: Call early to get referrals; put their name on waiting lists in as many places as possible. Child care, even if they’re full today, that could change tomorrow. In terms of calling the providers, remember that they’re caring for children, predominantly during the day. So, if they’re calling during the day, they probably are not going to get a response. Leave a message. It’s better if you call early evening.

Q: Give us some background on the Child Care Solutions — when was it founded and what was the premise behind it?

A: It started in 1973 as a grassroots effort between local child care center directors in an effort to connect parents that were looking for care to the child care centers who were looking for children to enroll in their programs. They incorporated in 1975 serving Onondaga County

Q: Describe some of the services that Child Care Solutions offers.

A: Information and referrals to parents who are looking for child care. As part of that information and referral, we talk to them about what high-quality care looks like, what kinds of questions they should be asking in interviews and also connecting them with financial resources to help them pay for care. Our second biggest program is our registration program. We assist individuals interested in opening a daycare business in their home to meet the New York state child care regulations and also individuals that are looking to open a school-aged program. Typically, the school-aged programs need to be in a setting other a residence.

Q: Anything else?

A. We also provide professional development to the child care providers, everything from the child development associates program to health and safety training, first aid, CPR, all of the required training topics that child care providers need.

We also sponsor the child and adult care food program, which is basically for child care providers, designed to ensure children are getting healthy snacks and meals while they’re in day care.

Q: How many employees do you have?

A: We currently have 37, but we have two open positions that we’re probably not going to fill right now during the pandemic.

Editor’s note: For those parents facing child care problems, visit www. childcaresolutionscny.org or call 315446-1220 ext. 303.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper

•

Page 11

Meet Your Provider

Oswego Health Cardiology

Q&A with David Bass, Cardiologist Who Recently Joined Oswego Health

Q. What makes you different from other cardiologists?

A. There are a lot of amazing cardiologists throughout the world.

I have been fortunate to have had amazing mentors and I’m constantly striving to learn from the greatest thinkers in my field. I pride myself in constantly staying on top of my field, one that has seen a great deal of change and innovation since I initially began my training.

Q. What does your job entail?

A. My job is to share my knowledge with my patients and their families so that they have the latest and greatest treatment options available to them. I want my patients to always feel welcome when they come to see me in the office.

One-size-fits-all does not apply in cardiology. Everyone should be given the knowledge and the options available and then be given the chance to pick what’s best for them.

Q. Why did you become a cardiologist? What’s your passion?

A. I really felt that my calling to cardiology was to address

the incredibly high burden that cardiovascular disease has on society.

By helping improve access to care, I can help people live longer, healthier lives.

This truly is where my passion lays.

When heart disease is left untreated, it can lead to a shorter life with debilitating symptoms. In the modernday era, very complex and severe diseases can be treated in a way that in many instances allows folks to go back to their normal day-to-day lives, back to doing what they love and are most passionate about. I am passionate about being a life-long learner, which is really an essential thing in my profession today.

impact on a community. Prevention and treatment of cardiovascular disease can prolong life, alleviate symptoms of heart disease, and can improve functionality, and help folks live a longer and happier life.

Q. What are you looking forward to most as far as being a part of Oswego Health and helping patients in this community?

A. I’m really pleased and excited to work with a wonderful team that serves an amazing community. I know Oswego Health takes a lot of pride and puts a huge emphasis on patient safety and wellbeing of the Oswego community, and that’s extremely important to me. Cardiovascular disease can have a very negative

Before joining Oswego Health Cardiology, physician David Bass received his medical degree in 2011 from the New York College of Osteopathic Medicine and graduated with honors in internal medicine and obstetrics and gynecology. Most recently he was a full time non-invasive cardiologist at St. Lawrence Health System/Canton Potsdam Hospital. He is also a clinical instructor of department of medicine at SUNY Upstate Medical University.

Q. What’s a personal thing you’d like to share about you to let the community know a bit more about you?

A. My amazing wife and I have three lovely kids. I love to hike, crosscountry ski, and just admire the beautiful natural landscape of New York state! I also enjoy art exhibits and concerts.

Oswego Health Cardiology • Health Services Center 110 W. Sixth St., Suite 280 • Oswego, NY 13126 315-349-5752 • www.oswegohealth.org

Page 12

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IN GOOD HEALTH – CNY’s Healthcare Newspaper September 2020

Parenting

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By Melissa Stefanec

MelissaStefanec@yahoo.com

Sophie’s Choice: The Back-to-School Edition

I

t’s back-to-school season, but September 2020 has parents weighing more complicated things than school-supply budgets and first-day outfits. We parents are faced with a proverbial Sophie’s choice.

Dictionary.com defines a Sophie’s choice scenario as one, “where no outcome is preferable over the other. This can be either because both outcomes are equally desirable, or both are equally undesirable.” I think we know which camp 2020 falls into.

• Set down your stones — School districts faced tough choices and formulated plans they hoped would meet their students’ educational and safety needs. None of the in-school, virtual and hybrid learning plans are particularly appealing, because, how could they be?

No one could be truly happy with any of these terrible options.

So, many parents have joined the moan-and-complain brigade. Instead of asking pointed and helpful questions, many parents have resorted to insults and pettiness.

Before we start casting the proverbial stones through classroom windows, we have to be honest with ourselves. School districts assembled reopening plans from a hodge-podge of terrible options. Did we expect them to shine the brown stuff for us?

• What’s all the rukus about?

— Everyone is stressed out, and rightfully so. Parents are navigating unknown seas without so much as starlight. We are facing some tough decisions. There is no shortage of complications. For example, can we keep our jobs and facilitate our children’s virtual educations? Can we make hybrid learning work from a logistics standpoint?

Can we afford to work outside the home at the expense of our children’s education? Can we afford to lose income? Can we trust our children to be home alone and navigate virtual learning? Can we work remotely while children attend school remotely?

Will our children go hungry without school meals? Will we be able to pick up the free meals offered by our school? Can we afford the internet needed for virtual learning? Can our children get the vital academic services they need while remote? Can we replace the jobs we lost during the recession if we have to drop off our kids at 8:30 and pick them up again at 1:30?

And, most importantly, is it safe for our children to go back? Should they ride the bus? Should they go to daycare? How do we know the schools can enforce the sorts of policies that keep people safe? Are we endangering our children to stay afloat on our mortgages? Are we endangering the vulnerable people in our lives by sending children back?

The worries are seemingly

endless and the variables many. So, in the face of all this chaos, we try to find the right answer. However, “the right” thing is extraordinarily relative right now. Most people don’t have the resources to “choose” low-risk options.

• The under-resourcing of the American family — Without deep financial means, navigating the upcoming school year is going to be a cluster. Depending on your family’s resources and circumstances, this year will be varying degrees of challenging. American families are finding themselves where much of corporate America has been since the great recession — too much to do and not enough bodies to do it.

Most families will settle on a plan that makes them uncomfortable at best. We will watch families around us do the same. Making these choices will likely lead to many parents’ favorite pastime—casting judgment on each other.

• Taking the judge out of judgment call ­— Although Disney+ made a big impression this year, 2020’s actual plotline looks more like something penned by the Brothers Grimm. This year, parents are deciding how large of a club Little Red Riding Hood should carry (or if we should even be sending her to Grandma’s house in the first place).

So, in a year full of judgment calls and potentially serious repercussions, can we do each other a favor? Can we extend compassion to one another? In a world so heavily lacking in respect and empathy, can we not look down our noses?

• Admit what you don’t know — When we feel like we want to judge another family, which we inevitably will, we have to practice maturity and restraint. We know so little about the inner workings of others lives and our school districts’ operations.

We owe it to ourselves and our children to preach compassion from our parental pulpits. Everyone is doing the best they can with what they have.

• Help others — make a better 2021 — Mr. Rogers told a generation of young children to “look for the helpers.” In 2020, and beyond, adults have to muster the courage to be the helpers. That way, our children don’t have to look very far. Whether that’s helping inside our homes, within our families, within our communities or beyond, us parents can gain a lot from not focusing on ourselves. We can find a new purpose and become gamechangers in a difficult time.

For most of us, things aren’t so bad that we can’t do small things to make a world a better place. If we want to escape the narratives of the Brothers Grimm and turn our world into a storyline worthy of a Disney film, we have to help each other out of the wolf’s mouth.

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Page 13

Trainer Specializing in Parkinson’s Disease Writes Book Baldwinsville trainer travels the world helping people with Parkinson’s and other neuro-muscular diseases. He just published his first book

By Debra J. Groom

K

arl Sterling had no idea how much his life would change by simply having coffee with his economics professor.

He and Jerry Evensky, a professor at Syracuse University, shared a beverage one day and Evensky — who had been diagnosed with Parkinson’s disease — told Sterling he was looking for a personal trainer to help with some physical issues.

Sterling happened to be a trainer and began working with Evensky.

Today, Sterling, 59, has expanded on his work with Evensky to become a neuro-rehabilitation specialist, traveling the world to help people with Parkinson’s disease and other neuro muscular diseases (such as multiple sclerosis and Guillain-Barre) live better and longer lives.

He recently published his first book, titled “Parkinson’s Regeneration Training.” The book goes through the process of how he developed his work, what the training entails and how it helps people throughout the world.

This is a stretch from his earlier adulthood, spending about 20 years as a drummer in a band. “I was at OCC [Onondaga Community College] for two years studying music, but then I stopped college,” he said.

“Then I got a lot of work for a long time as a drummer.”

He performed gigs throughout the United States, opened for Spyro Gyra and Dizzy Gillespie and worked with The Drifters. Sterling said after a while he tried teaching drumming, but wasn’t very good at it.

First career change During his years of late-night gigs, he watched a lot of early morning TV and saw an infomercial about real estate investing. The infomercial said people could buy houses with no money down, fix them and sell them for a profit.

From there, he got his real estate license and worked with a large real estate company in Syracuse. “I did quite well for a few years,” he writes in his book. “However, it didn’t take long to realize that people were generally not too happy in any real estate transaction. It was a lot of work for what seemed to be very little gratification for anyone.”

Second career change He also wasn’t at all gratified with what happened to his body during these years. He found himself terribly out of shape and overweight.

“I went to the doctor and I had high blood pressure and was close to having COPD [chronic obstructive pulmonary disease],” Sterling said. “I was scared. I called a trainer from the parking lot and next year, I was 70 pounds lighter.”

So that health scare brought about his second career change. After Page 14

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Karl Sterling demonstrates a piece of equipment he uses at his Camillus office. A person can bounce on the small circular trampolines with one foot or two and bounce between them to improve balance. (Photo by Debra J. Groom) working with the trainer and getting in shape, he decided he wanted to study nutrition and become a trainer too.

“I had always wanted to help people,” he said.

Sterling got his personal training certification from the National Academy of Sports Medicine. He was working primarily with people who had weight management issues when he decided to expand his reach.

“I was bored. I needed to widen my scope of practice,” he said.

So, he enrolled at Syracuse University in the nutrition program. And during an economics class, he met Jerry Evensky.

“After Jerry came to me, I started researching,” Sterling said. “I talked to neurologists, physical therapists. I always found I was the least knowledgeable person in the room.”

Through his research, he found that difficulties often suffered by people with Parkinson’s and similar diseases could be helped through exercise. But not just exercising leg or arm or core muscles.

Sterling’s work deals with exercising the brain.

“I deal with waking up the brain through the nervous system,” he said.

Third career change Sterling, who lives in Baldwinsville and grew up in Marcellus, today has offices in Baldwinsville and Camillus and travels the world with his workshops on Parkinson’s disease regeneration training.

In the new book, he touches on a number of aspects of Parkinson’s and his work. And he admits early on in his writing that new research and clues about Parkinson’s are being discovered every day, but he had to

IN GOOD HEALTH – CNY’s Healthcare Newspaper September 2020

draw a line and end the book at its 482 pages or the book never would have been completed (he worked on it for two years).

Here are some of the items touched on in the book: n Sterling said one of the primary difficulties in Parkinson’s patients is balance. He works on various multitasking exercises that stimulate the brain while the patient is walking or standing to improve their balance.

For instance, Evensky – 71, of DeWitt and now retired from SU — does exercises that involve walking and going up and down curbs while also catching and tossing a ball.

“I have to use my brain — it’s multi-stimulation,” Evensky said.

The key, he said, is repetition. “If you start to fall, your muscle memory kicks in and keeps you from falling,” Evensky said. “We do various exercises to work on that.”

“We train to do dual tasking to prevent falls,” Sterling said.

Balance is key to keep people from falling, which Sterling said is one of the top causes in leading to death in Parkinson’s patients. n Exercising the brain. In chapter five, he talks about “The Amazing Brain” and how exercise can help it function.

“When we think of exercising, we generally think about building muscle, improving balance and cardiovascular health and maybe adding in some flexibility,” he writes.

“But what if I tell you that targeting the brain is at the very top of the list when it comes to helping to slow disease progression and more effectively manage disease symptoms?”

Parkinson’s disease has no cure, but Sterling teaches that exercising the brain can help people live a better quality of life by slowing the disease and managing the symptoms.

Balance, rolling over, akinesia (not being able to move because it feels like your feet are glued to the floor) and tremors are all addressed in Sterling’s book. Throughout the book, Sterling has included first-person writings from Parkinson’s sufferers, who discuss how the disease appeared in them, how it was diagnosed and how exercise is helping.

For example, Claire McManus of Ireland was just 19 when she began noticing symptoms. She developed toe tremors, fatigue and stiffening legs affecting her walk. Then more parts of her body developed tremors, her walk became nothing but a shuffle and she actually had to think hard when it came to taking steps or stopping.

She wrote that working with Sterling helped her learn “great tips and so much more on how to keep fresh on my feet.”

Evensky also writes about his Parkinson’s experience in the book. n Cognitive exercises. Sterling also writes about exercises for just the brain, without any physical component. These include learning various word lists and memory tests.

“Exercise causes the creation of a multitude of chemicals and hormones that benefit our brain and help to slow disease progression …” he writes. “Cognitive training without movement can help to create neural pathways in the brain and help to improve cognition. And cognitive training during focused movement and paired with visual system activation and hand-eye coordination will activate the deeper brain and create additional neural firing pathways.”

Sterling has a second book coming out in November that will include inspirational stories of people with Parkinson’s, doctors who treat them and caregivers who take care of them.

“We have to treat the body as a whole,” Sterling said. “That takes learning about all the systems in the body.

Where to Find For more information on Karl Sterling’s book “Parkinson’s Regeneration Training” and workshops, go to: • www.thepdbook.org for video lectures and demonstrations that go with the book • Find a workshop at www. parkinsonsregenerationtraining. com • Order the book at www. thepdbook.com • Order a CD and sign up for live streaming workshops at www.dreamcd.org

SmartBites

The skinny on healthy eating

The Nutritious Perks of Whole-Grain Rice Noodles

By Anne Palumbo

A

popular takeout during normal times, pad Thai — a beloved Thai noodle dish — has skyrocketed in popularity, according to recent surveys. In our house, we certainly love its bold, savory flavors and variety of textures!

Rice noodles play a key role in this tasty dish, and while there are many varieties available, most restaurants use white rice noodles.

Much like regular pasta that is made from refined flour that’s been stripped of its nutrient-dense bran and germ, white rice noodles are made from rice flour that has undergone a similar process.

A stickler for whole grains when-

ever possible, I now make my own pad Thai with whole-grain brown rice noodles.

The good news is, these healthier noodles are easily found at the local grocery store. The even better news is, they rock with some valuable nutrients that their refined cousins have left behind.

Fiber is one of those important nutrients. Well known for its ability to keep us regular, fiber helps us in other ways that truly deserve a shout-out. From stabilizing blood sugars to lowering cholesterol, from keeping us satiated to reducing the risk of dying from certain diseases, this workhorse nutrient should be

Pizza Study Shows Body’s Resilience to Pigging Out

E

ver felt guilty for that occasional binge on high-calorie, fatty foods?

Relax: A new study of folks overindulging on pizza finds that if you’re healthy and you don’t ‘pig out’ regularly, your body deals with it just fine.

British researchers looked at the effects of eating until not just full, but so full that the participants could not take another bite. Then, they tested the blood of the 14 healthy young men who participated in the study to determine whether there were any changes in blood sugar, blood fats, insulin and other hormones.

The team discovered that even when the men had eaten double the amount of pizza that it would take to make them comfortably full, their blood tests showed no negative consequences.

“I think that’s the really remarkable thing here, that we have a huge capacity to overeat and, despite that huge capacity, the body does really quite well at controlling blood sugars

and blood fat after that meal,” said study author James Betts, a professor of metabolic physiology at the University of Bath’s Centre for Nutrition, Exercise and Metabolism.

Betts said it was notable both that the body’s response kept blood sugar and lipids under control after such a big meal, and that it was possible for participants to consume so much excess food.

When eating until full, they averaged the equivalent of a large pizza. When eating until maximally full, they ate about two large pizzas, Betts said.

“We expected people to eat more when they were asked to go beyond full, but we expected that to be slightly more,” Betts said. “We were really amazed that it was almost exactly 100% more.”

The study was published online recently in the British Journal of Nutrition.

Betts and one of his co-authors stumbled upon the idea for the study while traveling to a conference. The only open airport restaurant was a

consumed daily. An average serving of brown rice noodles dishes up an impressive 3 to 4 grams.

Phytonutrients and antioxidants, whose consumption, according to the USDA, promote good health by slowing or preventing free-radical cell damage that may lead to cancer and certain diseases, abound in whole grains like brown rice noodles. The intact whole-grain kernel also teems with a variety of other beneficial nutrients: B vitamins, several minerals, healthy fats and even some protein.

The complex carbohydrates found in brown rice noodles are the “good” ones (versus the “bad” ones found in refined foods that zip through us). These good carbs take longer to digest, which keeps blood sugars and energy levels on a more even keel. A growing body of research shows that diets rich in whole grains and other less-processed carbohydrates may decrease the risk for developing Type 2 diabetes.

Low in cholesterol, sodium and fat, brown rice noodles deliver about 200 calories per average serving.

They are also gluten-free.

Healthy Pad Thai with Whole-Grain Rice Noodles 8 oz. whole-grain pad Thai rice noodles 1 ½ tablespoons brown sugar (or agave syrup) 3 tablespoons lower-sodium soy sauce 1 ½ tablespoons fresh lime juice 1 ½ tablespoons rice vinegar 1-2 teaspoons Sriracha sauce 2 teaspoons fish sauce (optional) 1 ½ tablespoons vegetable oil 1 lb. boneless, skinless chicken breasts or thighs, cut into 1-inch chunks (or, protein of choice) 1 red or yellow bell pepper, sliced into thin strips and strips halved 2 cups snow peas 1 cup matchstick carrots 2 cloves garlic, minced 5 green onions, whites minced,

McDonald’s, so they each got a McMuffin breakfast sandwich.

“We ate those and enjoyed them and said, ‘Oh, I could eat another one,’” Betts said. “That prompted a discussion of ‘How many do you think you could eat?’ and ‘What would be the physiological responses to eating more and more?’”

While researching during the long flight, they discovered there had been no previous studies about eating beyond full, Betts said.

They chose pizza because it tastes good, so people would keep eating. Its high fat and carbohydrate content offered a big challenge to the body, Betts said.

Typically, blood sugar and blood lipids increase in response to how much a person eats, Betts said.

A small meal will result in fewer changes than a medium meal, for example.

Yet, after overeating, blood sugar was no higher than after a normal meal. Blood lipids such as triSeptember 2020 •

Helpful tips

Look in the Asian/International aisle of your local grocery store for whole-grain rice noodles.

Cooked rice noodles, stored in an airtight container or plastic bag, last about five days in the fridge.

Add a variety of colorful vegetables to make your pad Thai even more nutritious! greens sliced into 1-inch pieces 1 cup fresh bean sprouts (optional) 2 eggs (optional) ¼ cup unsalted peanuts, chopped Cook noodles according to package directions, drain. In a small mixing bowl, whisk together brown sugar, soy sauce, lime juice, rice vinegar, Sriracha sauce, and fish sauce; set aside.

Heat oil in a wok or large sauté pan over medium-high heat. Add chicken and sauté until cooked through, about 8 minutes, stirring throughout. Transfer to a plate, leaving oil in pan.

Add bell pepper, snow peas, and carrots and sauté 5-6 minutes; then add garlic, green onions, and bean sprouts and sauté 1 minute more.

Push veggies to edges of pan and crack eggs in center. Cook and scramble until eggs have cooked through.

Return chicken, add noodles and sauce, and toss everything together; cook 1-2 minutes.

Serve warm, topped with chopped nuts.

Anne Palumbo is a lifestyle colum-

nist, food guru, and seasoned cook, who has perfected the art of preparing nutritious, calorie-conscious dishes. She is hungry for your questions and comments about SmartBites, so be in touch with Anne at avpalumbo@aol.com.

glycerides were slightly higher, even though fat consumption was double. Insulin, which is released to control blood sugar, was 50% higher than normal. Hormones that increase feelings of fullness changed the most.

Connie Diekman, a food nutrition consultant in St. Louis, said the study documents what scientists already understand about the body and its ability to process food. Sometimes people get confused when wondering whether they are eating right, should consume fewer carbs, eat fewer fats or should try something like a keto diet or intermittent fasting, Diekman said.

“I think it does demonstrate very nicely that our body knows what to do with the food we eat. It knows how to fuel us well,” Diekman said.

IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Page 15

Alzheimers

Women at Higher Alzheimer’s Risk Compared to Men Older age not the only culprit for more incidence of Alzheimer’s among women, researchers say

By Deborah Jeanne Sergeant

N

umerous studies have established that women have twice the risk of Alzheimer’s disease than men.

Researchers assumed that it’s because women tend to outlive men on average and older age is one of the risk factors for developing Alzheimer’s.

However, a recent study published in Neurology, “Sex-Driven Modifiers of Alzheimer Risk,” indicates there’s more to it than longevity.

Researchers found that hormones appear to make a difference in risk.

Though the study used a small sample — 85 women and 36 men — the results point to a higher number of vital biomarkers for Alzheimer’s disease among women who have experienced menopause, whether natural or bilateral hysterectomy menopause.

This factor was identified as associated with Alzheimer’s biomarkers more than age, health history and comorbidities that increase risk such as diabetes, high cholesterol, smoking, poor diet and lack of exercise.

Women using estradiol hormone therapy exhibited fewer factors that indicate development of Alzheimer’s.

It’s still not clear why most women who transition through menopause will not develop Alzheimer’s and some will, nor is it clear if estrogen is a direct or indirect factor.

“One concept emerging is that a woman’s reproductive history has been correlated with Alzheimer’s risk,” said physician Anafidelia Tavares, senior director of program for the Alzheimer’s Association and statewide research liaison.

Women with multiple live births seem to have lower their risk of Alzheimer’s as do women with early onset menses and later menopause.

Though this points to correlation with hormonal influences, Tavares said that more research is necessary to draw conclusions.

In addition, Tavares said that known factors such as more years of formal education and more challenging mental stimulation place women currently in their older years at a disadvantage. The traditional pattern for this generation of women was to get married out of high school, stay home to rear children and not engage in employment or much social interaction. Though currently, more women than men are enrolled in college, that was not the case 50 years ago.

Today’s young women may find in their older years that their higher education and opportunities for employment and mental engagement are protective. But other factors, such as delaying childbearing and limiting the number of children may mitigate the benefits of more intellectual stimulation. Tavares said that it’s hard to tell how these correlative factors will affect women.

“That’s why it’s important we have this research to understand the drivers and the increased risk in women,” Tavares said. “We need to look at the modifiable risk factors.”

Age isn’t one of them. Alzheimer’s is present in one in nine people over 65; one in six of those over 75; and one in three over 85. Longevity is the greatest risk factor, but genetics also influences risk.

Foggy brain Mary Koenig, administrator at Heritage Memory Life Community, affiliated with Loretto, said that the APOE4 gene variation is a risk factor for late-onset Alzheimer’s disease.

But the risk for women bearing the gene is different than men.

“Women who have the Alzheimer’s risk gene are two times as likely to develop Alzheimer’s,” Koenig said.

She added that if men have the same risk gene, they bear only slightly at a higher risk compared with men who don’t have the gene.

Research has not shown why women with the gene have greater risk than men with the gene.

Physician Sharon Brangman, professor of medicine and head of the geriatric department at SUNY Upstate Medical University, thinks that the differences between why women have Alzheimer’s at a higher rate than men needs greater research.

“It’s not just because women live longer,” she said. “Some research is looking at the role estrogen may play. When estrogen levels go down, women say they get ‘foggy brain.’ Estrogen receptors in the brain and may play a role in preventing amyloid protein from developing. Some research suggests when amyloid starts forming in the brain, it happens more rapidly than with men.”

More research is needed to confirm these associations. Brangman said that research on Alzheimer’s and women lags because “we use men, especially white men, as the standard as to what we’re going to care about.”

She said that’s why research on women and heart disease also lagged. Brangman added that few clinical trials for drugs treating Alzheimer’s include people of color, even though they’re affected two to three times as often.

“If you have a variety of voices at the table, you’ll have more perspectives on the disease,” she said. “It’s not about limiting our knowledge but expanding it and make sure we

have a full understanding of the disease process in the people we’re taking care of.”

Mitigating factors While nothing can change the genes you received, trying to mitigate the effects of their influence can help. Healthful choices may help reduce risk. Because of the brain-body connection, physical activity helps maintain brain health. In general, what is good for the heart is good for the brain.

“Lifestyle is another big point of research now,” said Katrina VanFleet, licensed master social worker and chief program officer for the Alzheimer’s Association, Central New York Chapter.

Women tend to be primary caregivers for both children and their elderly parents, in-laws and other relatives. VanFleet said that three in five unpaid Alzheimer’s caregivers are women. This adds additional stress and isolation to their lives.

“Socialization is very important and continuing to stay active and well,” VanFleet said. “It’s all very new to see the long-term impacts of this.”

Tavares encourages lifestyle changes to reduce risk of Alzheimer’s and improve overall health, including a healthful diet, tobacco cessation, prevention of brain injury (such as avoiding risky behaviors and wearing seatbelts and bike helmets), and engaging in regular physical activity.

“Staying socially engaged, treat depression, and get a good night’s sleep,” Tavares said. “These are brain protective.”

Alzheimer’s Association to Continue Support Groups Via Phone, Online into Fall M

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ased on the guidance from local public health agencies, the Alzheimer’s Association Central New York chapter has transitioned its support groups from in-person meetings to gatherings that take place remotely. Staff- and peer-led groups will meet at their regularly scheduled times, but using telephone and online meeting services.

“The health and safety of our constituents, volunteers and staff remain our driver as we address the COVID-19 outbreak and as we

Page 16

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continue to pursue our mission, today and in the longer term,” said Catherine James, the CEO of Alzheimer’s Association, Central New York chapter. “Alzheimer’s Association operations will continue, and we will re-evaluate these measures on an ongoing basis and resume in person engagements as soon as we are able, based on public health guidelines.”

Support groups are open to all caregivers of individuals living with Alzheimer’s disease or other dementia. Some groups have special-

IN GOOD HEALTH – CNY’s Healthcare Newspaper September 2020

ized audiences, including spousal caregivers and individuals living with early-stage dementia. To obtain instructions on how to join a group by phone or online, call 315.472.4201 and dial extension 228 at the prompt.

Moving groups to a virtual environment means that peer support is available on a more frequent basis.

“Our groups had previously been organized geographically and resources local to that area will still inform each group,” James said. “But the nature of how we are operating

right now allows us to offer a group to whomever needs one, whenever they need it.

Support groups bring together people who are going through or have gone through similar experiences. Alzheimer’s Association support groups provide an opportunity for people to share personal experiences and feelings, and coping strategies.

For more information, visit www. alz.org and select “Your Chapter” on the top bar.

Alzheimers

COVID-19 and Dementia Isolation has had negative impact on people living with cognitive impairment

By Deborah Jeanne Sergeant

S

ocial isolation during the pandemic has brought a myriad of changes, from the inconsequential to the life changing. For people with Alzheimer’s disease or another form of dementia, isolation can have lasting negative effects.

“There’s a concern when people are isolated,” said physician Sharon Brangman, professor of medicine and head of the geriatric department at SUNY Upstate Medical University.

“There’s a difference between being lonely and isolated. If isolated, you don’t have social connections to meet your needs. Isolation protects them from the virus but causes collateral damage.”

Although most healthy people can go places even during quarantine, most people with Alzheimer’s or another form of dementia are at higher risk because they are likely elderly or have other health issues.

Many have both age and comorbidities against them. They often rely upon others to meet their needs at certain levels.

“Those who are homebound have relied on the outside world to maintain them in their home. They

have to decide if they want a home health aide to come into their home,” Brangman said. “Some patients weren’t getting food and were losing weight. They don’t know how to go online and order groceries.”

Brangman said she has had some patients terrified to leave their homes, which can lead to lack of exercise, medical care and socialization.

This leads to further physical and mental deterioration.

“My patients can’t wait a year or two years,” Brangman. “We have to figure out ways now to help maintain cognitive and physical functioning.

We all know quality of life has more components than that eat, sleep and watch TV.” If the person with dementia would have normally gone to a day program but has been at home with a caregiver trying to work from home full time, the caregiver is in a position of trying to juggle both responsibilities.

“Accessibility to respite has likely decreased during this time due to their personal feelings and also the availability to access care,” said Katrina VanFleet, licensed master social

worker and chief program officer for the Alzheimer’s Association, Central New York Chapter. “That becomes a lot of the caregivers to manage. It’s a lot for someone to try to manage without those breaks and that assistance.”

Even as some respite opportunities have begun to open, such as caregivers going into homes, families worried about coronavirus haven’t returned to that routine.

Mary Koenig, administrator at Heritage Memory Life Community, affiliated with Loretto, encourages caregivers at home to establish a new routine during the pandemic to help create a safe sense of normalcy for their loved one.

“All of the things we’re all experiencing during the pandemic — the frustration, confusion and anxiety — is exacerbated for anyone with cognitive decline,” she said “People with Alzheimer’s have a routine. All these things are taken away.”

She said that people who are moderately confused may not understand exactly what’s happening but know that something’s different.

That can cause distress. It’s also challenging for those with hearing impairment to understand caregivers who are wearing masks as their voices sound muffled and their lips and expressions are concealed.

For those who live in a nursing home or assisted living, their family cannot visit, they’re entirely dependent upon staff for socialization.

Some individuals may feel confused about why no one visits anymore.

If using technology is already frustrating, it won’t make this situation any easier. But those who already use technology may find some comfort in connecting through

September 2020 •

a screen.

“They worry about their kids,” Koenig said. “They’re still parents. I hear them on Zoom calls that they’re worried about their kids and grandkids. Reassure your loved one that you’re OK because there is that sense of not knowing. I find it interesting that even in the most confused, they worry about others.”

Reaching out to the Alzheimer’s Association can help individuals and families obtain information on the condition.

Physician Anafidelia Tavares, the state-wide research liaison for the Alzheimer’s Association, said that discussing neurological issues over the phone with physicians is difficult.

In addition to its regular assistance, the organization’s 24-hour helpline (800-272-3900) has been offering families support in navigating telehealth, such as ideas on what to ask doctors over the phone and ways to discuss their own or their loved one’s mental health.

Tavares said that the organization has been working with families on how they can reduce their loved one’s risk of COVID infection.

The association is also helping people who have never used telehealth with tasks like logging onto Zoom or engaging in conference calls.

“For the caregivers who are struggling in the pandemic, we are here for them,” Tavarez said. “Alzheimer’s disease doesn’t have to be a lonely journey. We have all these free, virtual services. Our helpline is available with well-trained staff and social workers to respond to whatever your needs are. We have emotional support groups and they share strategies that work for them.”

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Page 17

Disabilities

Special Needs: Early Intervention Challenging During Pandemic

By Deborah Jeanne Sergeant

W

hen schools faced mandatory shut-downs last spring because of the pandemic, education shifted to virtual modes.

For children 3 years of age and younger who needed early intervention for their special needs, meeting therapists through Zoom or Facetime has provided an alternative once it was approved for reimbursement.

“It has been a learning experience for everyone; we couldn’t go to our playbook for the last time we had a global pandemic,” said Betsy Primo, program coordinator of early intervention and preschool children with special needs with the Office of Healthy Families Early Intervention Program in Syracuse.

When teaching over Zoom, therapists can’t use their own equipment.

It’s also tougher to relate to small children through a screen.

It’s also challenging to ensure families have access. Some families lack high-speed internet access. Others must juggle all their newfound computing needs among several family members, such as parents working at home and trying to educate older children at home.

Primo said her agency has worked with families to acquire the equipment and internet connection they need. Some refused at first, thinking that the virus would quickly pass.

Not receiving needed early intervention can negatively affect children, according to Primo and other experts.

“The negative impact is hard to put a number on or a figure on because we don’t know,” Primo said “Ages birth through 3 are the most important years in a child’s development. With early intervention, they’re more ready for kindergarten and more likely to be reading at grade level by grade 3, which increases graduation rates and decreases in-

carceration rates. Every second they produce more than a million neural connections and those connections are the strong foundation for them to grow up and be healthy, successful adults.”

In addition to hampering the children’s short-term and possibly long-term development, delaying therapy costs more. It has been estimated that $7 to $12 is saved per $1 spent on early intervention done by age 3. Waiting costs the education system more money. In addition, early intervention sets up children who need it to be better learners.

Like many others, Little Lukes Preschool & Childcare Center planned in August to soon begin hybrid sessions — some in-person and some remote — but the regulations allow services to be delivered in a site with safeguards in places.

Normally, they would meet with a family in the child’s home.

“The response from our families and our therapists have been amazingly positive with what the children are able to accomplish,” said Abby Weaver, director of operations and marketing at Little Lukes, Preschool & Childcare Center, which has various locations in Central and Northern New York.

Since early intervention is family-oriented, telehealth has aided in generating more family involvement.

“We can spend an hour a week with that child, but the family is with the child all the time,” Weaver said.

“The goals allow us to help the child and give strategies for every day.”

Little Lukes therapists have helped deliver therapy by using whatever the parents have at home, such as having children walk on couch cushions on the floor as part of physical therapy. They try to develop activities and exercises that use common household items.

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Page 18

“The ones that dropped out, it’s due to scheduling issues,” Pritchard said.

Overall, she’s been surprised as to how well it’s gone.

“I’m hoping we can keep telehealth around because I’ve thought of times it would be useful,” Pritchard said. “I was out of work for six weeks from ankle surgery once and could have done telehealth. So many things have symptoms similar so if we have any symptoms, we can do a session via telehealth.

“We’ve had times where the family can’t have us in the home because a sibling is ill, but we could do a session via telehealth. Some service is better than no service.”

Except for an occasional child who can’t offer the usual hug, the children seem to accept telehealth.

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It may seem like it’s OK to simply put off intervention services; however, Weaver said that’s not a good idea.

“When there’s a delay in development, the earliest you can start with a child’s development, the better the outcome long-term,” she said.

Bridget Pritchard, speech pathologist with Little Lukes, said that some families did not think that telehealth was serving their children as well as in-person services; however, with some coaching, they’ve seen improvement.

“The biggest thing to remember is we are so lucky that we can have a way to provide services to family at this time,” Pritchard said.

Some families have chosen to opt out and the organization still follows up to see if they would like to try again.

IN GOOD HEALTH – CNY’s Healthcare Newspaper September 2020

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Disabilities Kayla, far right, with her parents, Mark and Patti McKeon.

Kayla Mckeon: Beating All the Odds

North Syracuse woman with Down syndrome — who holds silver medal from Special Olympics World Games in Athens — helps the fight to change the public’s view of those who are differently abled

By Mary Beth Roach

P

ersevere and don’t give up on yourself. This is one of Kayla McKeon’s favorite phrases, and one that has guided her life and her work.

The 32-year-old North Syracuse resident has Down syndrome, yet through her spirit of perseverance, she is doing her part, in no small way, to change the public’s view of those who are differently abled.

Currently, she works part-time as a lobbyist and the manager of Grassroots Advocacy with the National Down Syndrome Society (NDSS), while taking an online class at Onondaga Community College, and keeping up an aggressive public speaking schedule. Prior to the pandemic, she

was scheduled to travel to to Nairobi, Kenya and the United Nations.

“Kayla is one of the most incredible advocates I have ever witnessed,” said Ashley Helsing, director of government Relations for the NDSS.

Her Perseverance McKeon learned to read by age 4, she’s gotten a driver’s license, she graduated from Cicero-North Syracuse High School in 2006 and was inducted into its Wall of Distinction in 2017. She has been selected as Law Enforcement Athlete of the Year and named the 40 Under 40 Leaders in CNY. Beginning as a teen, McKeon has

been doing public speaking engagements, sharing her story and creating awareness. After earning silver and bronze medals at the Special Olympics World Games in Athens, Greece, she began receiving invitations for speaking engagements from all over the world.

She’s earned more than half the credits needed toward her associate’s degree at Onondaga Community College, taking a course a semester either online or on campus; and has become a self-advocate, which, she explained, means that she stands up for her own rights as well as those of others.

Her advocacy work got an unexpected enormous boost in October of 2017, when she became the nation’s first registered lobbyist in Washington with Down syndrome.

It’s a job that brings her face-to-face with representatives and senators at the U.S. Capitol. Her appointment brought her national media attention, including interviews with The Washington Post, CBS and NBC’s “Today” program.

McKeon has been effective in helping to push for legislation on several key issues that impact the lives of the differently abled, including employment opportunities and equal pay; organ transplant discrimination, savings plans and Marriage Access for People with Special Abilities Act (MAPSA), which would protect the Social Security benefits if a couple with Down syndrome get married.

“Her tenacity and genuine passion for these issues is part of what really inspires legislators to commit to our priorities to improve the lives of people with Down syndrome. We, as the leading human rights organization for all individuals with Down syndrome, are so grateful to have her as part of our team,” Helsing said.

During a recent conversation with McKeon and her parents, Mark and Patti McKeon, she and Patti further explained the details on some aspects of the legislation. With regards to organ donations, those who are differently abled often aren’t given equal consideration when it comes to receiving an organ.

According to a fact sheet by the Massachusetts Down Syndrome Congress, there are several misconceptions that cause this discrimination, such as that people with disabilities especially those with intellectual, developmental or psychiatric disabilities are unable to manage complicated post-operative treatment plans and medications, and are therefore, less likely to benefit from the transplant. Another is that people with disabilities have a lower quality of life and therefore, would not benefit as much from life-saving transplants.

Kayla McKeon has been successful in helping to get an amended ABLE Act passed. The Achieving a Better Life Experience (ABLE) Act allows those with disabilities to save without jeopardizing their healthcare benefits. Although the ABLE accounts were authorized by Congress several years ago, this recent legislation allows for more money to be put into the accounts and enables a tax credit to be earned.

MAPSA was introduced in Congress in 2019. According to Title XVI of the Social Security Act, if two people are husband and wife, only one of them may be eligible for SSI September 2020 •

Kayla McKeon, an advocate for the National Down Syndrome Society, has an aggressive public speaking schedule, which in the near future includes trips to Nairobi, Kenya, and the United Nations. benefits. In an article McKeon cowrote for The Washington Examiner in 2019, this cuts an eligible individual’s income by 25%, and requires the couple’s income be combined when determining the eligible individual’s benefits. Her article also pointed out that this is devastating to those who are differently abled, whose conditions can sometimes cost more than $2 million over a lifetime.

Her Start in Politics Kayla McKeon’s interest in politics was piqued, in part, by her involvement with the National Down Syndrome Society’s (NDSS) Buddy Walk on Washington Advocacy Conferences, according to her mother. The annual event brings the Down syndrome community together to push for legislation that impacts those with Down syndrome and their loved ones.

Then in 2014, she met U.S. Representative John Katko when he was first running for office. He gave her his business card, and was surprised when McKeon offered him hers, which she had for her work as a freelance motivational speaker.

Katko said that if he got elected, he wanted McKeon to come work for him. Katko did win, and after taking office, McKeon began interning in his Syracuse office and attending some meetings with him.

“He introduced me to the world of lobbying when I did a roundtable event with him. It was employment in the workplace with others that are differently abled,” she said. In attendance at this GOP Conference-led event was Sara Hart Weir, then-president and CEO of NDSS. Hiring a lobbyist with Down syndrome had been something that Weir had been considering. Although she had known McKeon for several years through the NDSS, it was during this event in 2017 that led Weir to pursue McKeon for a job.

“One of my proudest accomplishments during my tenure at NDSS was recruiting Kayla,” Weir said in an email. “She brought her A-game that day. She demonstrated a unique ability to share her personal story in the context of policy change.

After hearing her speak, I leaned over to my co-moderator during the roundtable, Congresswoman Cathy McMorris Rodgers, and said, ‘I need to hire this woman to be the face of disability advocacy on Capitol Hill.’”

continured on the next page

IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Page 19

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IN GOOD HEALTH – CNY’s Healthcare Newspaper September 2020

McKeon’s biggest challenge in meeting with these lawmakers is not what one might expect. It’s not a case of being nervous or anxious. Her biggest challenge, she said, is getting on their calendars. Sometimes, they might only have five minutes to talk, she added.

“Kayla’s position is so much more than the hard work she does day in and day out to change laws and outdated stereotypes,” Hart Weir added. “Kayla is paving the way so future generations of individuals with disabilities have the opportunity to pursue their own American dream and help us end the vicious cycle of poverty we force people with disabilities to be born into because of archaic, discriminatory laws.”

As A Motivational Speaker Long before she was addressing members of Congress, she was — and continues to be — a motivational speaker.

“She had said she wanted to help others, so she started doing these speeches. She’d go to schools and speak to assemblies about her abilities, not her disabilities,” McKeon’s mother said.

One exchange that comes to mind often, McKeon said, was during a talk with some middle schoolers. She said one of the students asked her if she was ever ashamed of being a retard. She detests the use of the “R” word, yet she remained unflappable. She responded, Whoa. A. Excuse me. Did you hear my speech? And B. I am never ashamed of being differently abled because it’s who I am. She said that a teacher apologized for the student’s remarks, but it was that encounter that proved to her that her talks were needed.

One of her favorite audiences are nursing students, McKeon said.

She tells them that when they help to deliver a baby with Down syndrome, they should tell the parents “Congratulations.”

“That’s the first thing you want

to tell them. It’s not a sad diagnosis, and I’m living proof,” she said.

She has become quite adept at social media, having her own website, blog and podcast, to further promote awareness of Down syndrome. While her blogs are more about what’s going on in her own life, her podcasts feature interviews with various guests, including CEOs of companies, like Tim Shriver, chairman of Special Olympics; members of the NDSS board of directors; other self-advocates; and parents of children with Down syndrome.

“I want to talk to some of the parents about how they raise their children, how they perceive their child,” she said.

Her own parents remain her role models and inspiration. “They give me something to look up to,” McKeon said.

Following an interview that McKeon did after being hired as a lobbyist, Patti McKeon said she received a call from a mother who asked her how she got McKeon to read so young. As Patti recalled she said that it was Kayla who discovered for herself that she enjoyed reading.

“You have to find something that means something to them,” she said.

Mark and Patti McKeon would often read to Kayla as a child, and they assumed that she had been memorizing the books over time, but when someone gave her a book for her fourth birthday, she read it by herself! Years later, she announced that she wanted to get her driver’s license. Patti told her to do the DMV practice tests online, and when she scored 100, they’d start the process of getting her a license. Of course, Kayla aced the practice test, only missed two questions on the actual test, and after several road tests, got her license.

Mark commented that people often say that they’re phenomenal.

But “it’s all Kayla,” he said.

“I always strive for my best,” Kayla McKeon said. “No matter what, I never give up.”

Disabilities Disability: Group Home Residents at Higher Risk for COVID

By Deborah Jeanne Sergeant

A

new study of 20,000 New Yorkers published in Disability and Health Journal indicates that people who have developmental disabilities and are living in group homes have more than double the rate of death than the general population.

Among those whom the Centers for Disease Control and Prevention states are at higher risk include: • People who have limited mobility or who cannot avoid coming into close contact with others who may be infected, such as direct support providers and family members • People who have trouble understanding information or practicing preventive measures, such as hand washing and social distancing • People who may not be able to communicate symptoms of illness These are true of many individuals who live in group homes for persons with developmental disabilities. The congregant nature of living in a group home, along with the continual circulation of employees who bring in outside exposure, also contribute to higher risk. Not all residents can wear masks because of health issues.

This population also tends to experience higher rates of co-morbidities that have been associated with worse COVID-19 cases, including hypertension, heart disease, respiratory disease and diabetes.

Jennifer O’Sullivan is the director of communications with New York State Office for People with Developmental Disabilities (OPWDD) in Albany.

“OPWDD has taken the threat of COVID-19 to the people we support and the broader community very seriously and all staff are fully trained on infection control practices, PPE use and quarantine protocols,” O’Sullivan said. “The agency activated our emergency response team at the onset of this public health emergency to closely monitor all reports of possible contact within our system and created a 24-hour emergency services number for providers and staff to call with any issues. We continue to monitor the needs of our providers and

•

staff to ensure the continued health and safety of the people we support as we return to a new normal.”

Like nursing homes, group homes have many factors that increase risk, yet little attention has been given to group home residents’ risk compared with nursing home residents.

In congregant settings like group homes, residents do not have the opportunity to practice social distancing in the same way that the rest of the population can. Some may not understand the importance of hand washing and may not be capable of washing their own hands or wearing a mask.

Helio Health in Syracuse primarily serves people with substance abuse and mental health disorders.

Some also have developmental disabilities.

“It’s a challenge because one of the things we’ve taught folks is that community and the sense of togetherness with others is part of your healthy supports,” said Jeremy Klemanski, president and CEO of Helio Health. “Being able to talk with a peer and being with people experiencing what you’re experiencing is part of what we teach.”

To help reduce the risk, the organization redesigned spaces by removing and rearranging furniture to promote social distancing, along with ramping up emphasis on hand washing and requiring masks.

“In our residential facility, you may take your mask off if you’re in your room alone but in a hallway or congregant setting, you have to wear it,” Klemanski said. “It’s challenging for some people but with positive reinforcement, we’ve been pretty successful. We’ve not yet had COVID spread in any of our facilities.”

Anyone coming inside must be screened. Helio Health has reduced visitation and vendors coming into the buildings. The organization operates 14 congregant treatment facilities in Central New York.

Marisa Geitner, president and CEO at Heritage Christian Services, which operates 63 group homes from Rochester to Buffalo, believes that the factor of co-morbidities is why group

Latefia Armstrong and Andrew Rainess are an employee of and a resident of Community Options New York, Inc., respectively. home residents face such a higher risk than the general population.

“Early on, we limited the amount of staff in and out of the program,” Geitner said. “The first two and a half months, we relied on a lean staff to keep the transition in and out of the program to a minimum.”

When the pandemic first started, Heritage also started a 24/7 hotline to answer questions posed by employees and residents’ family members. Heritage also developed an inventory-based system to stock and distribute essential items and signed up each group home with an Instacart account to limit exposure.

Like other such organizations, to help reduce the risk, she said that Heritage follows social distancing, masking, sanitation, and hygiene protocols as well as employee screening.

Kalet Lenart is program manager in the Day Hab Without Walls program at Community Options New York, Inc. in East Syracuse. It has been tough on individuals in the program to not do some of their regular activities and to stay home more.

“It’s challenging coming up with outdoor and at-home activities that don’t involve big crowds,” Lenart said.

For now, crafts, hiking and cooking have helped build skills and pass the time. It’s not just that participants feel bored.

“They’re used to a routine,” Lenart said. “It’s been challenging sometimes to motivate them or find an activity they can get interested in.”

Lenart credits her staff for carrying out the organization’s safety plans, which include screening, decreasing car capacity for outings, increased cleaning and wearing masks when social distancing isn’t possible.

Community Options also keeps the same staff working at a house to minimize the chances of exposure.

“We have been trying to educate them,” she said of the individuals Community Options serves. “It’s constant reminders of explaining what COVID-19 is and how it can affect our lives. It’s also to be there to let them vent because it’s frustrating to them. We’re there for support.”

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Page 21

Men’s Health

Breakthrough Discovery to Transform Prostate Cancer Treatment

A

novel formulation of the prostate cancer drug abiraterone acetate — currently marketed as Zytiga — will dramatically improve the quality of life for people suffering from prostate cancer, as pre-clinical trials by the University of South Australia show the new formulation improves the drug’s effectiveness by 40%.

Developed by Professor Clive Prestidge’s Nanostructure and Drug Delivery research group at UniSA’s Cancer Research Institute, the breakthrough discovery uses an oilbased oral formulation that not only enables a smaller dose of the drug to be effective, but also has the potential to dramatically reduce possible side effects, such as joint swelling and

diarrhea.

Despite Zytiga being the leading formulation to treat prostate cancer, lead researcher, physician Hayley Schultz, says the new formulation will ultimately provide a better treatment for patients with prostate cancer.

Prostate cancer is the most commonly diagnosed cancer in men, with one in six at risk of diagnosis before the age of 85.

In 2019, more than 19,500 cases of prostate cancer were diagnosed in Australia. Globally, prostate cancer cases reached 1.28 million in 2018.

“Many drugs are poorly water soluble, so when they’re ingested, they enter the gut but don’t dissolve, which means that their therapeutic

effect is limited,” Schultz says.

“This is the case for Zytiga. Here, only 10% of the dose is absorbed, leaving the other 90% undissolved, where it simply passes through the body as waste.

“On top of this, patients taking Zytiga must fast for two hours prior to taking the drug, and another hour after taking the drug to achieve predictable absorption. And as you can imagine, this can be painstakingly inconvenient.

“Our new formulation changes this. By using oils to mimic pharmaceutical food effects, we’re able to significantly increase the drug’s solubilization and absorption, making it more effective and a far less invasive treatment for patients.”

The new formulation uses very high levels of abiraterone acetate dissolved within a specific oil and encapsulated within porous silica microparticles to form a powder that can be made into tablets or filled into capsules. Applied to human treatment, it could reduce the dose from 1000mg to 700mg per day, without the need for fasting.

Professor Prestidge says if the team can secure funding, clinical trials in humans could be just two years away.

“Based on our knowledge of this drug’s pharmaceutical food effect, we hypothesize its absorption in humans will be extensively improved using this technology”, Prestidge says.

“Anything we can do to contribute to the development of a commercialised product to improve the lives of patients, is invaluable.

“This novel formulation is flexible enough to be adopted by thousands of different medicines; its potential to help patients of all kinds is exponential.”

COVID-19: To Shave or Not To Shave Do men need to shave their beards to comply with the CDC’s recommendations?

By Deborah Jeanne Sergeant

A

2017 infograph by the Centers for Disease Control and Prevention (CDC) about beard styles began circulating on social media in February, incorrectly labeled as COVID-19 protocols.

The infograph depicts most facial hair styles except for the smallest mustaches and goatees as incompatible with wearing a mask.

The CDC has since labeled the infograph as meant for workplace respirators, not face coverings to be worn by the general population during the pandemic.

“The wrong information developed out of a CNN wire story that was repackaged by San Francisco-based news station Kron4.com,” according to Politifact’s website. “We saw it shared on plenty of other news websites. The story was flagged as part of Facebook’s efforts to combat false news and misinformation on its News Feed.”

Despite the misapplication of the infograph, the information spread quickly from beard-haters to beard-wearers to “prove” their beards are unhygienic.

While hirsute men don’t need to shave their beards to comply with the CDC’s recommendations, it does make sense to keep beards groomed, especially since wearing a mask tends to trap sweat on the beard and flatten out the hair into a weird shape — like “hat hair” for the beard.

The quarantine seems to have encouraged many men to grow out their beards since they could get through the awkward, part-way phase in their homes.

To keep beards clean, Michael De Salvo, owner of Hairanoia in Syracuse, recommends using beard soap or shampoo, as these help the hair stay clean and soft without unduly

Page 22

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drying out the skin.

Cloth masks should be washed and disposable masks replaced daily for hygiene. Washing cloth masks with detergent in hot water should do it.

Masks tend to mash down beards which proper grooming can help combat. Beard wearers can use a regular comb or a beard comb, which is ideally sized and shaped for beard care.

De Salvo’s normal beard routine includes curling up the ends of his mustache; however, since his mask covers it, he hasn’t done that lately.

“I typically use waxes and balms to style and put a little shine in it,” he said. “Coconut oil works well. Make sure you wash it and use shampoo at the end of the day.”

Shaving stray hairs on the neck and overall shaping will help a beard look more intentional and groomed, along with keeping the mustache trimmed to the lip line.

As press time, barbershops were still not permitted to do anything but cheek lines and cleaning up the neck since masks cover the rest of a beard.

Trimming the line along the cheek does require the right tools and a fair amount of precision. If the patron wears a mask that doesn’t cover this area, such as one suspended from the ears, barbers can help clean up this area. Balaclava or bandana masks cover more of the face.

In addition to recommending beard shampoo and oil — “critical to keeping it clean and smelling fresh and conditioned” — Anthony Nappa, owner of Saving Face Barbershop in Syracuse, Manlius and Saratoga Springs, said that trims can help keep beards groomed. Though his shops aren’t allowed to provide much beard trimming yet, a few tweaks at

IN GOOD HEALTH – CNY’s Healthcare Newspaper September 2020

Taylor Horsman, a barber at Saving Face in Manlius. cutting the hair of one of his clients. home may help for now.

“Try to keep it off the lip,” he said. “Use regular edgers, something you’d normally use to groom facial hair: ideally with a T-blade. Comb it down on to the lip and trim it off at the lip. Comb it out thoroughly so the snarls are out and use some good

shears to shape it into a shape that mimics your jawline that’s inverted towards the bottom.

“Use a quality pair of hair cutting shears, not your kitchen shears.

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An Executor’s Guide to Settling A Loved One’s Estate My aunt recently asked me to be the executor of her will when she dies. I’m flattered that she asked, but I’m not sure what exactly the job entails. What can you tell me about this?

Dear Inquiring, Serving as the executor of your aunt’s estate may seem like an honor, but it can also be a lot of work. Here’s what you should know to help you prepare for this job.

As the executor of your aunt’s will, you’re essentially responsible for winding up her affairs after she dies. While this may sound simple enough, you need to be aware that the job can be time consuming and difficult, depending on the complexity of her financial and family situation. Some of the duties required include: • Filing court papers to start the probate process (this is generally required by law to determine the will’s validity).

• Taking an inventory of everything in her estate.

• Using her estate’s funds to pay bills, including taxes, funeral costs, etc.

• Handling details like terminating her credit cards and notifying banks and government agencies like Social Security and the post office of her death.

• Preparing and filing her final income tax returns.

• Distributing assets to the beneficiaries named in her will.

Be aware that each state has specific laws and timetables on an executor’s responsibilities. Your state or local bar association may have an online law library that details the rules and requirements. The American Bar Association website also offers guidance on how to settle an estate. Go to AmericanBar.org and type in “guidelines for individual executors and trustees” in the search bar to find it.

Get Organized

If you agree to take on the responsibility as executor of your aunt’s estate, your first step is to make sure she has an updated will and find out where all her important documents and financial information is located. Being able to quickly put your hands on deeds, brokerage

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Avoid Conflicts

Find out if there are any conflicts between the beneficiaries of your aunt’s estate. If there are some potential problems, you can make your job as executor much easier if everyone knows in advance who’s getting what, and why. So, ask your aunt to tell her beneficiaries what they can expect. This includes the personal items too, because wills often leave it up to the executor to dole out heirlooms. If there’s no distribution plan for personal property, suggest she make one and put it in writing.

Executor Fees

As the executor, you’re entitled to a fee paid by the estate. In most states, executors are entitled to take a percentage of the estate’s value, which often ranges anywhere from 1% to 5% depending on the size of the estate. But if you’re a beneficiary, it may make sense for you to forgo the fee. That’s because fees are taxable, but Uncle Sam in most states doesn’t tax inheritances.

For more information on the duties of an executor, get a copy of the book “The Executor’s Guide: Settling A Loved One’s Estate or Trust” at Nolo.com.

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IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Page 23

Health News See Your Lifetime Earnings with My Social Security Did you know you can see your work history online all the way back to your first job? Your earnings history is a record of your progress toward your Social Security benefits.

We keep track of your earnings so we can pay you the benefits you’ve earned over your lifetime. This is why reviewing your Social Security earnings record is so important.

If an employer didn’t properly report just one year of your earnings to us, your future benefit payments could be less than they should be.

Over the course of a lifetime, that could cost you tens of thousands of dollars in retirement or other benefits to which you are entitled. It’s important to identify reporting problems as soon as possible. As time passes, you may no longer have easy access to past tax documents, and some employers may no longer exist or be able to provide past payroll information.

While it’s your employer’s

Q&A Q: I’m trying to figure out how much I need to save for my retirement. Does the government offer any help with financial education?

A: Yes. For starters, you may want to find out what you can expect from Social Security with a visit to Social Security’s retirement estimator at www.socialsecurity.gov/ estimator. The Financial Literacy and Education Commission has a website that can help you with the basics of financial education: www.mymoney. gov. Finally, you’ll want to check out the Consumer Financial Protection Bureau, which offers educational information on a number of financial matters, including mortgages, credit cards, retirement, and other big decisions. Visit the Consumer Financial Protection Bureau at www.consumerfinance.gov.

Q: My grandmother receives Supplemental Security Income (SSI) benefits.

She may have to enter a nursing home to get the long-term care she needs.

How does this affect her SSI benefits?

A: Moving to a nursing home could affect your grandmother’s SSI benefits, depending on the type of facility. In many cases, we have to reduce or stop SSI payments to nursing home residents, including when Medicaid covers the cost of the nursing home care. When your grandmother enters or leaves a nursing home, assisted living facility, hospital, skilled nursing facility, or any other kind of institution, you Page 24

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responsibility to provide accurate earnings information to us, you should still review and inform us of any errors or omissions so you get credit for the contributions you’ve made through payroll taxes. You’re the only person who can look at your lifetime earnings record and verify that it’s complete and correct.

The easiest way to verify your earnings record is to visit www.ssa. gov/myaccount and set up or sign in to your personal my Social Security account. You should review each year of listed earnings carefully and confirm them using your own records, such as W-2s and tax returns. Keep in mind that earnings from this year and last year may not be listed yet.

You can find detailed instructions on how to correct your Social Security earnings record at www.ssa.gov/ pubs/EN-05-10081.pdf.

Let your friends and family know they can access important information like this any time at www. ssa.gov and do much of their business with us online.

must notify Social Security right away. Learn more about SSI reporting responsibilities at www.socialsecurity.gov/ssi. Call Social Security at 1-800-772-1213 (TTY 1-800-325-0778) to report a change.

Q: Are Supplemental Security Income (SSI) payments paid only to disabled or blind people?

A: No. In addition to people with disabilities or blindness, SSI payments can be made to people who are age 65 or older and have limited income and financial resources. For more information, read Supplemental Security Income (SSI) at www.socialsecurity.gov/pubs/11000. html.

Q: I pay my monthly premium directly to my Medicare prescription drug plan provider. Why can’t I also pay my income-related monthly adjustment amount directly to my Medicare prescription drug plan provider?

A: By law, we must deduct your income-related monthly adjustment amount from your Social Security payments. If the amount you owe is more than the amount of your payment, or you don’t get monthly payments, you will get a separate bill from another federal agency, such as the Centers for Medicare & Medicaid Services or the Railroad Retirement Board. Read Medicare Premiums: Rules for Higher-Income Beneficiaries for an idea of what you can expect to pay at www.socialsecurity. gov/pubs.

IN GOOD HEALTH – CNY’s Healthcare Newspaper September 2020

Crouse earns national stroke, heart failure achievement awards Crouse Health has earned the American Heart Association/American Stroke Association’s Get With The Guidelines–Stroke ‘Gold Plus’ Quality Achievement Award and the American Heart Association’s Get With The Guidelines Heart Failure ‘Gold Plus’ Quality Achievement Award.

The awards recognize success in meeting or exceeding standards established by the American Heart Association and the American Stroke Association through their “Get with the Guidelines” (GWTG) program.

This includes consistent application of best-practice, research-based standards of care, which reduce recovery time, disability, and mortality rates for stroke patients, and reduction in hospital readmissions for heart failure patients.

To earn Gold Plus recognition in stroke care, the standards include aggressive use of medications such as clot-busting and anti-clotting drugs, blood thinners, and cholesterol-reducing drugs; preventive action for deep vein thrombosis; and smoking cessation counseling.

To earn the Gold Plus award for excellence in heart failure care, standards include the proper use of medications and aggressive risk-reduction therapies; provision of educational materials to patients on managing heart failure and overall health; and scheduling of follow-up visits.

“Crouse Health is known regionally for excellence in both stroke and cardiac care,” says Crouse Chief Operating Officer/Chief Medical Officer Seth Kronenberg, MD. “This recognition reflects the talent and experience of our clinical teams and their dedicated focus on providing the very best treatment and outcomes for our stroke and heart failure patients.”

Dr. Leann Lesperance named associate dean at Upstate Physician Leann Lesperance, Ph.D., clinical assistant professor of pediatrics, has been named associate dean for undergraduate medical education in the College of Medicine at SUNY Upstate.

The appointment, effective immediately, was announced

by College of Medicine Dean Lawrence Chin. Lesperance has served as interim associate dean since August 2019.

As associate dean for undergraduate medical education, Lesperance provides guidance and oversight for all matters relating to medical stu-

dent educational programs, including the development and monitoring of outcome measures for educational quality, compliance with Middle States and LCME accreditation standards, curriculum design, and support for course and clerkship directors, among other responsibilities.

Lesperance joined Upstate in 2004. During her career at Upstate, she has held numerous posts, including site director for the Binghamton pediatric clerkship (2012-2018) and associate dean for academic affairs at the Binghamton Clinical Campus.

She helped to reorganize the Binghamton pediatrics clerkship to align the curriculum with that in Syracuse.

She has played an active role in curriculum planning, faculty development, and student recruitment and advising, and has assisted with preparation for Middle States and LCME accreditation processes.

Lesperance holds a doctorate in medical engineering from MIT and a medical degree from Harvard Medical School. She completed her residency in pediatrics at Boston Children’s Hospital.

After relocating from Boston to Binghamton, Lesperance practiced general pediatrics with UHS through 2007 and adolescent medicine at Binghamton University’s Decker Student Health Services Center from 2008 to 2018.

Lesperance is board certified and a fellow of the American Academy of Pediatrics. She received the President’s Award for Excellence in Teaching at the Binghamton Clinical Campus in 2012.

St. Joe’s earns “Best Regional Hospital” honor St. Joseph’s Health Hospital has been recognized as a Best Regional Hospital in Syracuse and Central New York for 2020-2021 by U.S. News & World Report, and ranked #16 in New York state.

This recognition comes just shortly after St. Joseph’s was named the only hospital in Central New York to earn the highest “A” rating for patient safety by Leapfrog Hospital Safety Grades for the third consecutive year, Best Maternity Hospital by Newsweek, and one of America’s 50 Best Hospitals for Cardiac Surgery, according to Healthgrades.

The annual Best Hospitals rankings and ratings, now in their 31st year, are designed to assist patients and their doctors in making informed decisions about where to receive care for challenging health conditions or for common elective procedures.

St. Joseph’s Health Hospital was recognized as high-performing in the following procedures and conditions: abdominal aortic aneurysm repair, aortic valve surgery, heart bypass surgery, heart failure, colon cancer surgery, chronic obstructive pulmonary disease (COPD), hip replacement and knee replacement “Receiving this recognition in the midst of a global pandemic is a testament to the expertise and devotion of

H ealth News all our colleagues. St. Joseph’s Health is committed to providing superior, safe and compassionate care to our community,” said Les Luke, president and CEO at St. Joseph’s Health.

“To achieve this honor for six consecutive years reflects our dedication to a patient-centric model of care, and the community’s confidence in our pledge to protect them during these most uncertain times.”

For the 2020-21 rankings and ratings, U.S. News evaluated more than 4,500 medical centers nationwide in 16 specialties, 10 procedures and conditions. In the 16 specialty areas, 134 hospitals were ranked in at least one specialty. In rankings by state and metro area, U.S. News recognized best regional hospitals based on high performing rankings across multiple areas of care.

Cathy Palm reelected to NAATP board Cathy L. Palm, executive director of Tully Hill Treatment & Recovery, has been reelected to the board of directors of the National Association of Addiction Treatment Providers (NAATP) for a three-year term.

NAATP is an association of substance use disorder treatment organizations in the USA as well as outside the United States. Palm has served the organization since 2000 and is a past board chairwoman. She also serves on the finance committee and was appointed to the NAATP Enhanced Ethics Compliance and Consumer Protection Initiative.

Palm is also a trustee of the NAATP PAC committee.

Cardiologist Hana Smith joins St. Joseph’s St. Joseph’s Health recently welcomed cardiologist Hana Smith to St. Joseph’s Health Cardiovascular Institute. She joins a diverse team that includes cardiologists, surgeons, technologists and nurses.

Smith is a board-certified physician. Prior to joining St. Joseph’s Health, she served as a staff cardiologist at the Guthrie Cortland Medical Center in Cortland.

Smith earned her medical degree from Charles University in Prague, Czech Republic, and completed her medical training with several fellowships in the United States, including the most recent one in cardiovascular disease from the Upstate University of New York in Syracuse.

Smith is board-certified by the American Board of Internal Medicine in internal medicine and cardiovascular diseases and holds board certifications in echocardiography and nuclear cardiology.

St. Joseph’s Health is one of only eight hospitals in the nation recognized as an American Heart Association Center of Excellence. It is one of America’s 50 Best Hospitals for Cardiac Surgery according to Healthgrades, and received the highest performance rating for Heart Bypass from U.S. News & World Report.

Smith assumed her role in June 2020. She is practicing at St. Joseph’s

Oswego Health welcomes bariatric surgeon Bariatric surgeon Taewan Kim has recently joined the Center for Weight Loss & Surgery at Oswego Health.

Board certified by the American Board of Surgery, Kim earned his medical degree from SUNY Upstate in Syracuse, a place where he also completed his general surgery residency and his fellowship of minimally invasive surgery.

Kim has extensive surgical experience throughout Central New York, including being an attending surgeon as well as an assistant professor of surgery at SUNY Upstate Medical University. In addition, he was an attending surgeon at Veteran’s Administration Hospital and Crouse Hospital.

Kim has performed over 2,000 weight loss procedures. He has special expertise in foregut surgery, procedures done at the level of the stomach.

Kim will provide physician care at The Center for Weight Loss and Surgery at Oswego Health alongside physicians Kenneth Cooper and Jeffrey DeSimone, both of which are his colleagues at Central New York Surgical Physicians, PC.

Oswego Health orthopedic team expands Oswego Health recently announced the addition of two health professionals to its orthopedic team, led by surgeons John Ayres, Michael Diaz and Kamaljeet Banga. They are: • Brandon Weaver has been an orthopedic physician assistant for the past seven years with 18 years’ experience as a physician assistant. Prior to joining Oswego Health, he worked at Syracuse

Oswego Health Announces New Chief Operating Officer Oswego Health has recently hired Michael C. Backus as its new executive vice president and chief operating officer. He replaces Jeff Coakley, a longtime Oswego Health employee, who resigned from that position.

A lifelong resident of Oswego County, Backus has served on the Oswego Health board of directors since 2016 and is currently the chairman of the board of directors of ConnextCare, based in Pulaski.

In addition, Backus serves on the credentials and legislative committees for the National Association of Community Health Centers. Until recently, Backus served as Oswego County clerk.

In his leadership role at Oswego Health, Backus will manage the organization’s growth and connectivity to the community as a health system. He will lead the strategic planning and development of the overall organization on a day-today basis, along with promoting Oswego Health as a premier regional healthcare provider. Additionally, Backus is responsible for business development, including overseeing physician recruitment, community relations and capital project planning.

“At Oswego Health there are many challenges awaiting me as COVID-19 has affected every part of our community,” said Backus.

“Thankfully, Oswego Health is strategically positioned to meet those challenges with patient-centered, state-of-the-art, quality care. With a newly renovated hospital, a soonto-open behavioral health complex, new orthopedic specialties, two of the best run long-term care facilities in the region and, most importantOrthopedic Specialists (SOS). He earned his Bachelor of Science degree from the physician assistant program at the Rochester Institute of Technology in 2002. When he’s not in the office seeing patients or assisting in surgery, you can find Weaver on the lacrosse field as he currently is the assistant varsity coach in Fulton.

• Shannon Zinn brings an exentsive skill set to Oswego Health. She began her medical career in 1998 as a registered nurse in the operating room and on the medical/ surgical unit at Robert Packer Hospital, based in Sayre, Pennsylvania. After several per diem positions in various CNY health systems, Zinn made her way into orthopedics in 2008. Her most recent position was an nurse practitioner at Syracuse Orthopedic Specialists where she was responsible September 2020 •

ly, a dedicated local workforce, I believe the best days of Oswego Health are ahead.”

Before joining Oswego Health, Backus served in elected office as clerk of Oswego County where he led the legislative committee for the New York State Association of County Clerks. He also has served on the legislative staff of state and federal officials, including former US Representative John McHugh.

Backus holds a master’s degree in public administration, along with a Bachelor of Arts degree from Le Moyne College, where he is also a member of the board of regents.

Leadership Greater Syracuse recognized Backus in 2012 as a Certified Community Leader. He also has been recognized by several regional and statewide publications as the 40-Under-40 “rising star” including by the Central New York Business Journal and the Albany-based City and State magazine.

In 2018, Backus was awarded the inaugural Friend of the First award

by The Palladium-Times.

Backus started in the new position Sept. 8. for evaluating, treating and implementing plans of care for clinic patients. Zinn earned her master’s degree from Binghamton University in 2008 and her RNFA certification in 2013 from the National Institute of First Assisting.

Reach nearly

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health-conscious people in Central New York.

Advertise with In Good Health, CNY’s Healthcare Newspaper

editor@cnyhealth.com

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Memory Loss and COVID-19: Staying in Touch with Loved Ones

By Mary Koenig

T

he COVID -19 pandemic has us all feeling unsettled. If you have a loved one living in a memory care facility or a loved one in an assisted living facility who has memory issues, you might be particularly concerned with their well-being during this difficult time.

Since assisted living facilities are currently restricting visitors, you may be feeling disconnected from your loved one, especially if you visited often or even assisted with their care.

One of the most important things you can do for your loved one is take care of yourself. Pay attention to social distancing guidelines, wash your hands often, avoid touching your face, and limit your errands as much as possible. You need to stay healthy so that when this is behind us, you

can reconnect with your loved one and celebrate together.

Here are some suggestions to help you through this time: • The facility should be keeping you notified of the steps they are taking to keep your loved one safe. If you are not hearing from them, reach out to the case manager or administrator.

• If your loved one has a phone, schedule calls for a time when your loved one is usually in their room and call regularly.

• If the facility has not offered to arrange Facetime or Zoom calls with you and your loved one, feel free to request these calls and schedule them routinely.

• Mail cards or letters that staff can read with your loved one — residents just love getting mail!

• If the facility is allowing packages to be delivered, drop off your

DRIVERS WANTED To distribute copies of In Good Health, CNY’s Healthcare Newspaper, in offices and other high traffic locations in Onondaga and Cayuga counties. Great for active retirees or at-home moms in need of some extra cash. Not a regular job. Work only one or two days a month during office hours (9 to 5). $11.80/h plus 30 cents per mile. It amounts to about $150 - $200 per month. The paper is usually distributed at the beginning of the month on Mondays.

Drivers pick up the papers (in bundles of 100 or 50) at our storage on Morgan Road and leave copies at various locations.

No heavy lifting. Drivers are required to have a dependable vehicle, be courteous and reliable. We audit all areas of distribution.

Call 315-342-1182 and ask for Nancy for more information.

loved one’s favorite treats.

• Mail or drop off word search books, puzzles, coloring books, magazines or any other activities that your loved one might enjoy.

• If you have time, put together a photo album or collage of pictures for your loved one — residents can revisit photo albums day after day!

• Consider setting something outside your loved one’s window (with permission of course!) — one of our family members planted a pinwheel garden for her mother to enjoy from her apartment window.

Keep in mind that your loved one may or may not understand what is happening in the community.

Sharing too much info with them via phone calls or video chats can increase their anxiety level. Trust that

staff are keeping them informed as much as is necessary.

Most important, know that you are missed! Residents and staff are anxious to see you again as soon as possible. Stay safe and stay connected!

Home Care by Seniors for Seniors There’s a huge difference in the kind of home care you can receive from someone who really understands what your life is like as a senior. The concerns you have. The need for independence. Someone who, like you, has a little living under his or her belt. Our loving, caring, compassionate seniors are there to help. We offer all the services you need to stay in your own home, living independently.

• Transportation • Shopping • Doctor Appointments • Companion Care • Housekeeping services • Meal preparation/cooking • 24-Hour Care • and more Call us today. Like getting a little help from your friends.

Onondaga, Madison, and Cortland counties

Call 315-280-0739

Oneida, Oswego, Cayuga, and Seneca counties

Call 315-720-4441 ©2009. Each office is independently owned and operated. All trademarks are registered trademarks of Corporate Mutual Resources Incorporated.

THE NOTTINGHAM—PREMIER CONTINUUM OF CARE Living Options: • NOW OPEN: THE GLENS—LUXURY RETIREMENT LIVING • COTTAGES • INDEPENDENT LIVING APARTMENTS • ASSISTED LIVING APARTMENTS • AND COMING SOON: THE BORER MEMORY LIFE COMMUNITY

Mary Koenig, Administrator at The Heritage

www.seniorshelpingseniors.com

Thriving During This Pandemic at

The Nottingham At Central New York’s premier continuum of care we continue to actively engage our residents during this pandemic through creative indoor and outdoor programming. Additionally, our restaurant-style dining room and The Bistro are open daily, helping offer our residents an exquisite dining experience.

Find out why The Nottingham is the place to be in Central New York. To schedule a tour contact Marcy Cole at 315.413.3104

thenottingham.org Page 26

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IN GOOD HEALTH – CNY’s Healthcare Newspaper September 2020

Nottingham Continuum Ad_In Good Health 9.75x6.69_R2.indd 1

8/26/20 4:07 PM

Fairmount Family Medicine Welcomes Dr. Kristine Faulknham Dr.’s LaClair, Lawless, Miller, Page and Procopio, are happy to announce the addition of Dr. Kristine Faulknham to our practice starting on September 15th of this year. Dr. Faulknham is a graduate of SUNY Upstate, and is finishing her Residency at the University of Connecticut. Her interests within Family medicine include pediatrics and women’s health. Dr. Faulknham grew up in the 1000 Islands and looks forward to returning to Syracuse to start her career as a Family Physician in our office.

Fairmount Family Medicine 436 Hinsdale Road Camillus, NY 13031 (315) 488-0996

WE’VE DOUBLED OUR HEART TEAM Upstate is pleased to announce the addition of new physicians and office locations.

Our united expertise brings you advanced technology and streamlined care.

THE CARDIOVASCULAR GROUP OF SYRACUSE HAS JOINED UPSTATE CARDIOLOGY FACULTY.

NEW PHYSICIANS FROM TOP LEFT:

Dana C. Aiello, MD Larry S. Charlamb, MD Mark J. Charlamb, MD Christopher A. Nardone, MD Matthew S. O’Hern, MD Charles Perla, MD Theresa Waters, DO Andrew M. Weinberg, DO

OUR TWO NEWEST OFFICE LOCATIONS 5112 WEST TAFT ROAD Suite J Liverpool • 315-701-2170 510 TOWNE DRIVE Fayetteville • 315-663-0500 90 PRESIDENTIAL PLAZA Syracuse • 315-464-9335 208 TOWNSHIP BLVD Camillus • 315-488-2372 102 WEST SENECA STREET Manlius • 315-464-9335 138 EAST GENESEE STREET Baldwinsville • 315-720-1305

As part of the Upstate Heart Institute, we

UPSTATE PHYSICIANS FROM LEFT:

provide connections to research and surgical care.

Timothy D. Ford, MD Luna Bhatta, MD Robert L. Carhart, Jr., MD Debanik Chaudhuri, MD Hani Kozman, MD Sakti Pada Mookherjee, MD Avneet Singh, MD Tama Szombathy, MD Amy Tucker, MD Daniel Villarreal, MD September 2020 •

IN GOOD HEALTH – CNY’s Healthcare Newspaper

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Page 27

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IN GOOD HEALTH – CNY’s Healthcare Newspaper September 2020