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CONTENTS august 2018

20

12

COVER STORY

COLUMNS

12 Medical section featuring Best Doctors

46 Financial

FEATURES 20 Medical profiles

Market volatility continues

47 Parenting Teaching a child to be compassionate to a sick family member

32 Pet health 34 Insiders’ guide to Saratoga Race Course 36 A trip to Utica Zoo

48 Horoscopes Sun sign forecast for August

36

IN EVERY ISSUE 08

Publisher’s letter

51

Arts & Entertainment

58

Last page with John Gray

SPECIAL SECTIONS 41 Back to school 42 Senior living 49 Fitness guide

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PUBLISHER & PRESIDENT VIKKI MORAN ART DIRECTOR STEVE TEABOUT EDITOR BETH KRUEGER OFFICE MANAGER/BOOKKEEPER TINA GALANTE SALES MANAGER TERESA FRAZER MEDICAL & SALES ASSOCIATE CAROLE KILPATRICK SALES ASSOCIATE TARA BUFFA SALES ASSISTANT TRACY MOMROW SPECIAL PROJECTS COORDINATOR DANI TESTA-SGUEGLIA CONTRIBUTING WRITERS RANDY CALE ARLENE DEANGELUS DENNIS AND CHRISTOPHER FAGAN FRANKIE GEREMSKI JOHN GRAY BETH KRUEGER LANCE SULLENBURGER, MD DANI TESTA-SGUEGLIA

HOME OFFICE 12 AVIS DRIVE #20 LATHAM, NEW YORK 12110 PHONE: 518.294.4390 FIND US ONLINE AT WWW.CRLMAG.COM SERVING THE GREATER CAPITAL REGION AND BEYOND Reproduction without permission is prohibited. Many of the ads in this issue were created by Capital Region Living Magazineâ„¢ and cannot be reproduced without permission from the publisher. Established 2003

CAPITAL REGION LIVING MAGAZINE | AUGUST 2018 |

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I

ronically, August is Medical Alert Awareness Month, and we at Capital Region Living Magazine are publishing our annual medical issue. For many years now, we have been fea­ turing Best Doctors which is a Gallup­audited and certified Best Doctors in America list. We know and appreciate that this important issue is kept as a reference tool throughout the year. While we certainly hope our readers stay well and happy at all times, we are pleased to provide you with this issue, just in case. Cancer and heart disease is not a topic that is pleasant but tackling the topic from a diag­ nostic and preventative position can make a world of difference. Improvements and earlier detection methods happen almost weekly now, and we need to be grateful for those great minds and practitioners devoting their time and energies to advance the odds. Outdoor enthusiast Frankie Germski is writing this month about Saratoga Race Course. He is sharing some ideas on prime spots and inside hints to the great racing scene. Frankie has compiled a group of local experts to help you and your family enjoy and maximize our vast out­ door and wilderness jewels. Though Frankie and friends are all expert fishermen, they will cover topics like Saratoga horse racing, biking, Adirondack hiking and adventuring, and X­country ski­ ing in a specific how­to, where­to, when­to basis and start this month with races. With the summer months passing quickly now and school on the hori­ zon, Back to School is a topic we tackle for our Capital Region families with kids. School breaks are short, but the planning can make it seem even short­ er. Sit back and enjoy your remaining summer and let us help in your planning. Saratoga, the Berkshires, Lake George and the Adirondacks are famous throughout our country and even beyond our borders. They are all “The August Places To Be.” Sip cocktails trackside, lounge on our pool decks and at our lakes, run through a sprinkler like you are four, and enjoy a good book on a porch during a thunderstorm. Life doesn’t get better than this. Gratefully yours, Vikki Moran

PUBLISHER’S LETTER vikki moran

In memorial Jill Stewart Narrow Dear friend, mentor, and Capital Region Living Magazine’s writer covering her beloved Berkshires

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Gallup® has audited and certified Best Doctors, Inc.’s database of physicians, and its companion The Best Doctors in America® List, as using the highest industry standards survey methodology and processes. These lists are excerpted from The Best Doctors in America‚ 2017-2018 database, which includes close to 40,000 U.S. doctors in more than 40 medical specialties and 450 subspecialties. The Best Doctors in America‚ database is compiled and maintained by Best Doctors, Inc. For more information, visit www.bestdoctors.com or contact Best Doctors by telephone at 800-675-1199 or by e-mail at research@bestdoctors.com. Please note that lists of doctors are not available on the Best Doctors Web site. Best Doctors, Inc., has used its best efforts in assembling material for this list, but does not warrant that the information contained herein is complete or accurate, and does not assume, and hereby disclaims, any liability to any person or other party for any loss or damage caused by errors or omissions herein, whether such errors or omissions result from negligence, accident, or any other cause. “Copyright 2018, Best Doctors, Inc. Used under license, all rights reserved. This list, or any parts thereof, must not be reproduced in any form without written permission from Best Doctors, Inc. No commercial use of the information in this list may be made without the permission of Best Doctors, Inc. No fees may be charged, directly or indirectly, for the use of the information in this list without permission. Best Doctors, Inc. is the only authorized source of the official Best Doctors in America® plaque and other recognition items. Best Doctors does not authorize, contract with or license any organization to sell recognition items for Best Doctors, Inc. Please contact Best Doctors at plaques@bestdoctors.com with any questions. For more information or to order visit usplaques.bestdoctors..com or call 617-963-1167.””

Anesthesiology

Founded in 1989 by Harvard Medical School physicians, Best Doctors is a global benefits provider and medical information services company that connects individuals facing difficult medical treatment decisions with the best doctors, selected by impartial peer review in over 450 subspecialties of medicine, to review their diagnosis and treatment plans. Best Doctors seamlessly integrates its services with employers’ other health-related benefits to serve more than 40 million members in every major region of the world. More than a traditional second opinion, Best Doctors delivers a comprehensive evaluation of a patient’s medical condition – providing value to both patients and treating physicians. By utilizing Best Doctors, members have access to the brightest minds in medicine to ensure the right diagnosis and treatment plan. Best Doctors’ team of researchers conducts a biennial poll using the methodology that mimics the informal peer-to-peer process doctors themselves use to identify the right specialists for their patients. Using a polling method and balloting software, that Gallup® has audited and certified, they gather the insight and experience of tens of thousands of leading specialists all over the country, while confirming their credentials and specific areas of expertise. The result is the Best Doctors in America® List, which includes the nation’s most respected specialists and outstanding primary care physicians in the nation. These are the doctors that other doctors recognize as the best in their fields. They cannot pay a fee and are not paid to be listed and cannot nominate or vote for themselves. It is a list which is truly unbiased and respected by the medical profession and patients alike as the source of top quality medical information. Best Doctors’ innovative services include access to an unrivaled database of physicians who have been selected as the best in their field by other leading physicians, analytics and technology. With every service offered, the goal remains the same: to help people in need get the right diagnosis and treatment, significantly improving health outcomes while reducing costs.

Critical Care Medicine

Internal Medicine

SCOTT BRADLEY GROUDINE

MARC ANDREW JUDSON

JILL BRAVERMAN-PANZA

Albany Medical Center Department of Anesthesiology 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-4300

Albany Medical Center Division of Pulmonary & Critical Care Medicine 16 New Scotland Ave, 2nd Fl Albany, NY 12208 Phone: 518-262-5196

St. Peter's Health Partners Medical Associates Braverman-Panza Internal Medicine 1375 Washington Ave, Ste 202 Albany, NY 12206 Phone: 518-482-0007

Cardiovascular Disease LINDA J. CUOMO

Endocrinology and Metabolism

Crystal Run Healthcare Division of Cardiology 1200 Rte 300 Newburgh, NY 12550 Phone: 845-725-0100

ROBERT S. BUSCH Albany Med Faculty Physicians The Endocrine Group 1365 Washington Ave, Ste 300 Albany, NY 12206 Phone: 518-489-4704

STEVEN ARTHUR FEIN Albany Medical Center Division of Cardiology Physicians Pavilion, 2nd Fl 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5076

JEFFREY A. LEPPO Berkshire Medical Center Division of Cardiology Medical Arts Complex, 4th Fl 777 North St Pittsfield, MA 01201 Phone: 413-395-7580

JOSEPH D. SACCO Albany Medical Center Division of Cardiology Physicians Pavilion, 2nd Fl 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5076

Colon and Rectal Surgery EDWARD LEE Albany Medical Center Section of Colorectal Surgery Surgeons Pavilion, 5th Fl 50 New Scotland Ave Albany, NY 12208 Phone: 518-262-0940

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MATTHEW C. LEINUNG Albany Medical Center Division of Endocrinology, Diabetes & Metabolism South Clinical Campus 25 Hackett Blvd, 3rd Fl Albany, NY 12208 Phone: 518-262-5185

Family Medicine NEIL C. MITNICK Community Care Physicians Albany Family Medicine 391 Myrtle Ave, Ste 4A Albany, NY 12208 Phone: 518-207-2273

WILLIAM J. CARAMORE Albany Medical Center The Internal Medicine Group 178 Washington Ave Ext Albany, NY 12203 Phone: 518-262-5735

MARY ELLEN DRISLANE St. Peter's Health Partners Medical Associates 4 Palisades Dr, Ste 100 Albany, NY 12205 Phone: 518-446-9545

Neurology CHARLES EVAN ARGOFF Albany Medical Center Neurosciences Institute Physicians Pavilion, 1st Fl 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5226

RICHARD B. BROOKS Ellis Hospital The Neurosciences Center 1101 Nott St, Ste B6 Schenectady, NY 12308 Phone: 518-243-3387

MICHAEL GRUENTHAL Albany Medical Center Neurosciences Institute Physicians Pavilion, 1st Fl 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5226

ANTHONY RITACCIO Albany Medical Center Neurosciences Institute Physicians Pavilion, 1st Fl 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5226

Nuclear Medicine JEFFREY A. LEPPO Berkshire Medical Center Division of Cardiology Medical Arts Complex, 4th Fl 777 North St Pittsfield, MA 01201 Phone: 413-395-7580

Obstetrics and Gynecology CHERYL BURACK 62 Hackett Blvd Albany, NY 12209 Phone: 518-465-3318

WILLIAM BRUCE CLARK 585 New Loudon Rd Latham, NY 12110 Phone: 518-783-1472

CARMEN GIULIANO 1 Pinnacle Pl, Ste 100 Albany, NY 12203 Phone: 518-489-1109

ROBERT DROPKIN 6 Executive Park Dr Albany, NY 12203 Phone: 518-489-7439

JEAN M. MCMAHON Occupational and Environmental Health Center of Eastern New York 1873 Western Ave, Ste 100 Albany, NY 12203 Phone: 518-690-4420

BRUCE A. MORRIS Albany Medical Center Division of Maternal & Fetal Medicine 391 Myrtle Ave, 2nd Fl Albany, NY 12208 Phone: 518-262-4942

JOHN D. ROSENBERGER

Gastroenterology SETH RICHTER Albany Medical Center Digestive Disease Center Physicians Pavilion, 4th Fl 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5276

Hand Surgery RICHARD UHL Capital Region Orthopaedics 1367 Washington Ave, Ste 200 Albany, NY 12206 Phone: 518-489-2666

Albany Medical Center The Internal Medicine Group 178 Washington Ave Ext Albany, NY 12203 Phone: 518-262-5735

STEFAN A. SWICKER St. Peter's Internal Medicine & Pediatrics 400 Patroon Creek Blvd, Ste 100 Albany, NY 12206 Phone: 518-618-1100

Ophthalmology DALE R. MEYER Lions Eye Institute Ophthalmic Plastic Surgery 1220 New Scotland Rd, Ste 302 Slingerlands, NY 12159 Phone: 518-533-6540

ROBERT A. SCHUMER Hudson Valley Glaucoma Care 150 Aaron Ct Kingston, NY 12401 Phone: 845-331-6670


STEVEN SIMMONS

JEFFREY LOZMAN

JEFFREY S. ROSS

Glaucoma Consultants of the Capital Region 1240 New Scotland Rd, Ste 201 Slingerlands, NY 12159 Phone: 518-475-7300

Capital Region Orthopaedics 1367 Washington Ave, Ste 200 Albany, NY 12206 Phone: 518-489-2666

Albany Medical Center Department of Pathology 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5471

RICHARD UHL GEORGE O. STASIOR Albany Eye Physicians & Surgeons 930 Albany Shaker Rd, Ste 102 Latham, NY 12110 Phone: 518-220-1400

Capital Region Orthopaedics 1367 Washington Ave, Ste 200 Albany, NY 12206 Phone: 518-489-2666

Otolaryngology Orthopaedic Surgery ALLEN LAURENCE CARL

STEVEN M. PARNES

Albany Medical Center Comprehensive Spine Center 391 Myrtle Ave Albany, NY 12208 Phone: 518-262-5226

Albany Medical Center Division of Otolaryngology Surgeons Pavilion, 4th Fl 50 New Scotland Ave Albany, NY 12208 Phone: 518-262-5575

JOHN A. DIPRETA

STANLEY M. SHAPSHAY

Capital Region Orthopaedics 1367 Washington Ave, Ste 200 Albany, NY 12206 Phone: 518-489-2666

Albany Medical Center Division of Otolaryngology Surgeons Pavilion, 4th Fl 50 New Scotland Ave Albany, NY 12208 Phone: 518-262-5575

PAUL P. HOSPODAR Capital Region Orthopaedics 1367 Washington Ave, Ste 200 Albany, NY 12206 Phone: 518-489-2666

JOHN HERBERT KAVANAUGH OrthoNY 121 Everett Rd Albany, NY 12205 Phone: 518-489-2663

Pediatric Anesthesiology MELISSA ANNE EHLERS Albany Medical Center Department of Anesthesiology 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-4300

Pediatric Cardiac Surgery MELISSA ANNE EHLERS Albany Medical Center Department of Anesthesiology 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-4300

Pediatric Cardiology Pathology TIMOTHY JENNINGS Albany Medical Center Department of Pathology 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5454

Pediatric Critical Care JAVIER L. SANCHEZ Children's Hospital at Albany Medical Center Division of Pediatric Critical Care Medicine Bldg E, 7th Fl 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5127

Pediatric Endocrinology LINDA M. RIDDICK Children's Hospital at Albany Medical Center Division of Pediatric Endocrinology 22 New Scotland Ave, 4th Fl Albany, NY 12208 Phone: 518-262-5723

Pediatric Gastroenterology CARY QUALIA Children’s Hospital at Albany Medical Center Division of Pediatric Gastroenterology 22 New Scotland Ave, 4th Fl Albany, NY 12208 Phone: 518-262-8831

STEVEN A. KAMENIR Capital District Pediatric Cardiology Associates 319 S Manning Blvd, Ste 203 Albany, NY 12208 Phone: 518-489-3292

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Pediatric Hematology– Oncology JENNIFER M. PEARCE Children's Hospital at Albany Medical Center Melodies Center for Childhood Cancer and Blood Disorders 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5513

JOANNE PORTER Children's Hospital at Albany Medical Cetner Melodies Center for Childhood Cancer and Blood Disorders 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5513

Pediatric Infectious Disease DEBRA A. TRISTRAM Children's Hospital at Albany Medical Center Division of Pediatric Infectious Diseases 22 New Scotland Ave, 3rd Fl Albany, NY 12208 Phone: 518-262-5332

Pediatric Ophthalmology JOHN W. SIMON Lions Eye Institute Children's Medical Eye Consultants 1220 New Scotland Rd, Ste 202 Slingerlands, NY 12159 Phone: 518-533-6502

UPENDER K. MUNSHI

MICHAEL P. MORIN

Children's Hospital at Albany Medical Center Division of Neonatology Bldg B, 4th Fl 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5421

CapitalCare Pediatrics Albany 6 Executive Park Dr Albany, NY 12203 Phone: 518-641-6319

JOAQUIM M. B. PINHEIRO Children's Hospital at Albany Medical Center Division of Neonatology Bldg B, 4th Fl 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5421

Lions Eye Institute Children's Medical Eye Consultants 1220 New Scotland Rd, Ste 202 Slingerlands, NY 12159 Phone: 518-533-6502

Pediatric Orthopaedic Surgery

Pediatric Specialist/ Neonatal-Perinatal Medicine DAVID ALBERT CLARK Children's Hospital at Albany Medical Center Division of Neonatology Bldg B, 4th Fl 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5421

JAMES J. CUMMINGS Children's Hospital at Albany Medical Center Division of Neonatology Bldg B, 4th Fl 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5421

Children's Hospital at Albany Medical Center Division of Neonatology Bldg B, 4th Fl 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5421

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CapitalCare Pediatrics Guilderland 3732 Carman Rd Guilderland, NY 12303 Phone: 518-356-4132

Children's Hospital at Albany Medical Center Division of Neonatology Bldg B, 4th Fl 43 New Scotland Ave Albany, NY 12208 Phone: 518-262-5421

CapitalCare Pediatrics Schenectady 700 McClellan St Schenectady, NY 12304 Phone: 518-372-5637

Pulmonary Medicine MARC ANDREW JUDSON

Pediatric Urology BARRY ALLAN KOGAN Urological Institute of Northeastern New York South Clinical Campus 23 Hackett Blvd Albany, NY 12208 Phone: 518-262-3341

Albany Medical Center Division of Pulmonary & Critical Care Medicine 16 New Scotland Ave, 2nd Fl Albany, NY 12208 Phone: 518-262-5196

Radiation Oncology SUDERSHAN BHATIA

Pediatrics/General 582 New Loudon Rd Latham, NY 12110 Phone: 518-782-7133

BRADLEY A. FORD CapitalCare Pediatrics Guilderland 3732 Carman Rd Guilderland, NY 12303 Phone: 518-356-4132

Albany Stratton VA Medical Center Department Radiation Oncology 113 Holland Ave Albany, NY 12211 Phone: 518-626-6650

Rheumatology

Slingerlands Pediatrics 1240 New Scotland Rd, Ste 203 Slingerlands, NY 12159 Phone: 518-478-9423

The Center for Rheumatology 4 Tower Pl, 8th Fl Albany, NY 12203 Phone: 518-489-4471

LEE S. SHAPIRO The Center for Rheumatology 6 Care Ln, Ste 101 Saratoga Springs, NY 12866 Phone: 518-584-4953

CONSTANCE L. GLASGOW CapitalCare Pediatrics Clifton Park 942A Rte 146 Clifton Park, NY 12065 Phone: 518-371-8000

DOUGLAS P. LARSEN Albany Med Faculty Physicians Community Pediatrics 103 Great Oaks Blvd, Ste 103 Albany, NY 12203 Phone: 518-464-1392

LORRAINE LEMONS CapitalCare Pediatrics Albany 6 Executive Park Dr Albany, NY 12203 Phone: 518-641-6319

Four Seasons Pediatrics 532 Moe Rd Clifton Park, NY 12065 Phone: 518-383-2425

Albany Medical Center Division of Cardiothoracic Surgery Surgeons Pavilion, 3rd Fl 50 New Scotland Ave Albany, NY 12208 Phone: 518-262-9777

NILOO M. EDWARDS Albany Cardiothoracic Surgeons 319 S Manning Blvd, Ste 110 Albany, NY 12208 Phone: 518-525-2525

THOMAS FABIAN Albany Medical Center Division of Cardiothoracic Surgery Surgeons Pavilion, 3rd Fl 50 New Scotland Ave Albany, NY 12208 Phone: 518-262-5864

JAVID SAIFI Albany Cardiothoracic Surgeons 319 S Manning Blvd, Ste 110 Albany, NY 12208 Phone: 518-525-2525

CHRISTOPHER M. TERRIEN III Albany Cardiothoracic Surgeons 319 S Manning Blvd, Ste 110 Albany, NY 12208 Phone: 518-525-2525

Urology HUGH A. G. FISHER Urological Institute of Northeastern New York South Clinical Campus 23 Hackett Blvd Albany, NY 12208 Phone: 518-262-3341

JOEL M. KREMER

PAUL E. GAFFURI

HARRY S. MILLER RUBIA KHALAK

MICHAEL P. SONNEKALB

KAREN SPINELLI

RICHARD UHL Capital Region Orthopaedics 1367 Washington Ave, Ste 200 Albany, NY 12206 Phone: 518-489-2666

Shaker Pediatrics 10 Century Hill Dr, Ste 5 Latham, NY 12110 Phone: 518-783-5563

ANGEL RIOS

WILLIAM J. FEENEY JITKA LUDMILA ZOBAL-RATNER

HENRY M. NEILLEY

Thoracic Surgery LEWIS W. BRITTON III

LEONARD H. SIGAL Berkshire Medical Center Division of Rheumatology Medical Arts Complex, Ste 201 777 North St Pittsfield, MA 01201 Phone: 413-499-8551

Sleep Medicine MARY B. O'MALLEY Berkshire Medical Center Department of Psychiatry & Behavioral Health 725 North St Pittsfield, MA 01201 Phone: 413-447-2000

RONALD P. KAUFMAN, JR. Urological Institute of Northeastern New York South Clinical Campus 23 Hackett Blvd Albany, NY 12208 Phone: 518-262-3341

Vascular Surgery BENJAMIN CHANG Albany Medical Center The Vascular Group Park South Medical Office Bldg, Ste 5 391 Myrtle Ave Albany, NY 12208 Phone: 518-262-5640

RALPH CLEMENT DARLING III Albany Medical Center The Vascular Group Park South Medical Office Bldg, Ste 5 391 Myrtle Ave Albany, NY 12208 Phone: 518-262-5640

Surgery DAVID J. CONTI Albany Medical Center Section of Transplant Surgery Surgeons Pavilion, 5th Fl 50 New Scotland Ave Albany, NY 12208 Phone: 518-262-5614

“BEST DOCTORS, THE BEST DOCTORS IN AMERICA, and the Star-in-Cross Logo are trademarks of Best Doctors, Inc., registered in the U.S. and other countries, and are used under license.”


The confusing potpourri of cardiac testing By Lance E. Sullenberger, MD*

Y

ou make an appointment to see your pri­ mary care physician (PCP) for a feeling of mild pressure in your chest that you have noticed recently. Your doctor performs an elec­ trocardiogram (ECG) which you are told is nor­ mal, but she still wants you to have more testing. Your question is: “Do I need to be worried?”

Testing for patients with symptoms When it comes to testing for heart disease, there seems to be an endless array of tests to which a patient with symptoms can be subjected. Last year in this publication, we focused on how physicians assess patients WITHOUT symptoms to determine if they harbor coronary artery dis­ ease. In this article, we will address testing for patients WITH symptoms and how these tests differ from one another. Primary care physicians, primary care providers, and cardiologists frequently encounter patients with symptoms that may be related to their heart. These symptoms include chest pain, chest pressure, shortness of breath, left arm pain or numbness, jaw pain, and upper back pain. When confronted with such symptoms, the med­ ical provider’s number one priority is to make sure the symptom is not a signal of underlying heart disease—more specifically, of plaque (com­ posed of cholesterol and inflammatory cells) clogging the blood vessels that carry oxygenated blood to the heart muscle. Heart related symp­ toms usually occur only when such a blood vessel is more than 60­70% “clogged.” ECG first step: The first step your doctor usually performs is an ECG, which is a simple eval­ uation of the heart structure and function based on the electrical activity of the heart picked up by 12 sticker “leads” placed on the skin. It is indeed a rather “crude” screening test: an ECG that is abnormal does not necessarily signify a problem with the heart, nor does a normal ECG eliminate the possibility of a heart problem. Nevertheless, it is simple to perform and a “first­step” tool to help your doctor increase or decrease his/her suspicion that your symptom is or is not related to your heart. Cardiac catheterization: At the other end of the spectrum, the most definitive test for clogged arteries is a cardiac catheterization. In this proce­ dure, dye is injected into the arteries of the heart via a small tube inserted through an artery in the groin or wrist. This is the definitive (or “gold stan­ dard”) procedure for determining if a patient’s symptom is indeed caused by a blockage in a heart artery. However, this test is invasive and therefore carries the risk associated with invasive 16 | AUGUST 2018 | WWW.CRLMAG.COM

procedure and the dye used in the test can cause kidney problems for patients who are at risk for kidney disease. Moreover, in New York State, it must be performed in the hospital, and thus it is inconvenient and expensive. For these reasons, cardiac catheterization is reserved for patients whose symptoms and medical history make it highly likely that they have a blocked artery.

Other tests That brings us to the array of tests which fall between the simple ECG and the invasive cardiac catheterization. As a cardiologist, I divide the remaining tests into two major categories: tests designed to give information on the presence of abnormal blood flow to the heart muscle and tests designed to display the arteries of the heart themselves to reveal the presence or absence of “clogging.” Exercise stress: Testing used to examine for abnormal blood flow to the heart muscle involves some form of stress testing. The most basic of these tests is a “regular” exercise stress test in which a patient is placed on a treadmill while attached to an ECG machine. The treadmill increases in speed and incline every three min­ utes, and evidence of lack of blood flow (presum­ ably from a blocked artery) is suspected based on changes in the ECG during exercise or develop­ ment of symptoms during exercise. The benefit of this type of test is that it is fairly simple to per­ form; however, it does require that a patient be able to exercise and that his/her ECG is normal prior to the test. Stress echocardiogram: A more sensitive

and specific way to perform stress testing is to combine the stress test with pictures of the heart. One way to obtain these pictures is to use ultrasound immediately after the stress test to assess the movement of the heart (abnormal movement is indicative of a blockage in an artery). This type of testing is known as a “Stress Echocardiogram”; its benefits are that it is easy to perform, adds important information to a stress test, and does not involve any radiation. The drawback, however, is that it still requires that a patient be able to exercise. It also does not per­ form well with heavier patients where the extra weight interferes with the ability to obtain good images of the heart using ultrasound. Nuclear stress: The second type of stress testing in which pictures are taken to assess for blood flow is nuclear stress testing. In a nuclear stress test, a patient performs an exercise stress test, but at the peak of the exercise, the patient is injected with a tiny amount of radioactive “dye.” This dye then flows to the heart muscle through the arteries supplying the heart with blood. Pictures of the heart are then obtained showing where and how much of the dye has made it to the heart muscle. Areas where there is little or no radioactivity can be assumed to be supplied by a blood vessel which is clogged. Nuclear stress tests can also be performed WITHOUT exercise by using a medication to “stress” the patient. (An important misconcep­ tion made by patients is that the “stress medica­ tion” is actually stressing the body in the way that exercise does with increased heart rate and blood pressure. In reality, these medications just cause dilatation of the blood vessels of the heart


and are not truly a “stress” on the body, yet the accuracy of the test is the same as if the patient had exercised.) The benefits of nuclear stress testing are both that it adds important informa­ tion to stress tests and also that it is easy to per­ form in patients who cannot exercise. The draw­ backs are that it does involve a small dose of radi­ ation and it takes several hours of time to com­ plete the test. PET scan: A more advanced form of nuclear stress testing is called a Positron Emission Test (PET) scan. In a PET scan, the patient is given a medication to “stress” them and a different type of radioactive “dye” is used to assess blood flow. PET scans use LESS radiation than traditional nuclear stress tests but create better images because of the type of radioactive dye and cam­ era utilized. A PET scan is rather fast and the test usually takes less than one hour to complete. The PET scan performs particularly well with obese patients because of the quality of the images from the advanced camera and type of radioac­ tive dye. The drawback of a PET scan is that it is more expensive than a traditional nuclear stress test and does involve radiation (though less than traditional nuclear stress testing). Coronary CTA: The other type of evaluation for blockage is a test that looks at the arteries themselves to directly assess the degree of block­ age. The “gold standard” cardiac catheterization does this, but so does a non­invasive, advanced CT scan known as a Coronary CT Angiogram

(coronary CTA). In this type of test, dye is inject­ ed through an IV during a CT scan to display the arteries and degree of blockage. This type of test is best suited for a patient who has symptoms that could potentially be cardiac in origin, but the suspicion for actual coronary disease as a cause of the symptoms is still low. The benefits of the CT angiogram are that it is fast, easy to perform, does not involve any exercise, and displays if there is ANY coronary artery disease (not just if there are “clogged” arteries as stress tests do). The drawbacks are that it does involve use of CT scan dye (which can injure the kidneys in patients with abnormal kidney function) and it also involves a small dose of radiation.

Right choice for right patient In the end, there are a multitude of differ­ ent tests that can be ordered by your doctor to determine if your symptoms are truly due to a blocked artery in the heart. From a patient per­ spective, the nuances of the tests can be confus­ ing and each type of test has both positive and negative aspects. The role of your doctor is to choose the “right test for the right patient,” which is the test which helps answer the ques­ tion: “Do I need to be worried?” *Dr. Sullenberger is a physician with Capital Cardiology Associates, capitalcardiology.com.

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Advances in oncology focus on person-centered treatment By Beth Krueger

E

ach day in labs across the country and globally, researchers are working to advance treatment for cancer. And every day in health care offices and hospitals, patients receive care from the implementation of research. We talked with two physicians from New York Oncology/Hematology about improvements in devices and therapies, and they’re looking forward to continued improve­ ments in the years ahead to aid in the care and treatment of patients with cancer.

Radiation and oncology Justin Juliano, MD, board­certified in radi­ ation oncology, notes that cancer patients receive a multi­modal approach to treatment that may include such measures as surveil­ lance, medicine, and radiation – all comple­ mentary roles.

Since beginning practice in the field, Dr. Juliano has found that “advances have been revolutionary” with the transformation of equipment. The fundamental tenet, he explains, is to maximize the dose of radiation to the affected area while minimizing the impact on the surrounding structures in the body. With the steady advances in equipment, a physicians’ ability to provide an escalated dose to localized areas with more exacting control is improved. Three­dimensional planning soft­ ware also has been introduced, allowing for a diagnostic mapping to address problem areas, with sophisticated delivery techniques. There’s also opportunity, before turning on the beam, for the physician to do a CAT scan to visualize the area and then make any needed subtle changes in the treatment for precise align­ ment. The image is monitored during the

process and can be adjusted along the way. For example, a patient with a lung tumor may not be a candidate for surgery but the tumor could be eradicated with a targeted blade of radiation. As we age, the risk of developing cancer is greater and other illnesses may be present. In some cases, surgery may not be an option, but radiation treatment might be possible, with few side effects. Dr. Juliano explains to patients how the role of radiation is used at different facets and, with the advances in equipment, has become increasingly important. “It is equally impor­ tant,” he says, to describe the dramatic improvements designed for patients’ safety and effectiveness.

Hematology Oncology treatment is experiencing growth and change, comments Karen Tedesco, MD. who is board­certified in hematology, the study of the cause, prognosis, treatment, and prevention of diseases related to blood. Advances in this field, she observes, “are excit­ ing for the patient” and provide another point of light in treatment. In early testing, advances now allow review of several genes at one time. The whole person is at risk, Dr. Tedesco notes, and this genetic testing facilitates a treatment plan and monitoring. Targeted drug therapy is another area where treatment has advanced. Abnormality of certain cells can be targeted for treatment; in some cases, this may avoid chemotherapy and side effects. She says that advances include immunotherapy, specifically, “T cell” treat­ ment, in which a patient’s own white blood cells (T cells) are reprogrammed to attack tumors. It’s a custom­made targeted therapy. This new approach of stimulating the patient’s own immune system with genetic re­engineer­ ing and re­infusing the patient’s blood to fight off cancer is very personalized, Dr. Tedesco notes. Among uses, this therapy has been used in certain cases of leukemia, lymphoma and multiple myeloma. The American Society of Clinical Oncology has named immunotherapy as a 2018 advance of the year.

18 | AUGUST 2018 | WWW.CRLMAG.COM


Developments in dentistry Technology and patient experience

By Beth Krueger

F

ilm in a camera. Now, there’s a blast from the past! Remember the anticipa­ tion of getting the photos back from processing to see what you’d captured? As you may have experienced, dental pro­ fessionals have moved on from the film era, too. Digitized X­rays have become a familiar process in many dental offices. Here, an elec­ tronic sensor or phosphor plate is placed in the mouth and the image is relayed to a computer where the images can be seen. This method is better suited to saving the pictures and com­ paring what’s going on in your mouth with X­ rays in the past or future. The process takes less time than the film processing method and con­ siderably less radiation is used since the sensor is more sensitive. Digitized X­rays result in more enhanced images ­ all the better to spot prob­ lems earlier or see placement situations. For those with more complex situations, advances in technology have produced the dental cone beam computed tomography (CT). The arm of this non­invasive large piece of equipment rotates around the head, and in this single scan captures multiple images from different angles of a patient’s teeth, soft tis­ sues, nerve pathways and bone. This collection of pictures comes together into a three­dimen­ sional image. The rotation is done in less than a minute. It’s a big leap forward in technology, providing valuable and more extensive infor­ mation for the dentist/oral surgeon in treat­ ment planning for certain orthodontic con­ cerns such as those involving bone loss or bone structure, reconstructive surgery or implant placements.

What’s that blue light? Now sit back in the dental chair for your periodic exam. It’s time for your checkup for oral cancer or other abnormalities of the mouth. There’s something new here, too. In conjunction with the usual head and neck exam, your dentist may use a VELscope hand­ piece, which emits a special blue light to detect problems. That light excites the oral tissue, enabling the dentist to see fluorescence response and look for abnormal response and unhealthy tissue that may not be as visible to the naked eye. Other developments used in some dental

practices include CAD/CAM technology. That’s short for computer assisted design and com­ puter assisted manufacture and it is used when making crowns or bridges. Rather than making a mold that is given to a dental lab, a picture is taken with a computer of the tooth that has been drilled to prepare for the new devices that will be fixed in place in the patient’s mouth. The machine then uses that computer­ ized image to make the crown or bridge.

So this is how it will look Patient understanding of procedures and objectives is, of course, key to work with the dental professional. Some dentists who per­ form restorative and esthetic dentistry are using intraoral mockup techniques. Perhaps some teeth need to be lengthened, shortened or moved to reconstruct the look and fit of the teeth. Going beyond a picture is worth a thou­ sand words, the mockup shows the patient how the planned results will look on him or her. A temporary composite resin is applied, without bonding material, to demonstrate what is planned. It provides a great opportuni­ ty for discussion in this pre­procedure point. This is just a sampling of the technological developments now in the hands of the dental professional to use in appropriate cases to pro­ mote prevention as much as possible and to enhance effectiveness and efficiency of proce­ dures and the patient’s experience.

CAPITAL REGION LIVING MAGAZINE | AUGUST 2018 |

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MEDICAL PROFILES

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Empire Neurology P.C. Lore Garten, MD, PhD • Keith Edwards, MD

Memory Center and Multiple Sclerosis Center of Northeastern NY SPECIALTIES: Alzheimer’s prevention and treatment • Multiple Sclerosis Empire Neurology P.C. Multiple Sclerosis and Memory Center of NENY offers over 20 years of expertise. Directed by Keith Edwards, MD, specializes in the diagnosis and treatment of Alzheimer’s Disease and Multiple Sclerosis. The clinic has participated in clinical research trials with the treatment and prevention of Alzheimer’s Disease as part of the Alzheimer’s Prevention Initiative and MS clinical trials as well. Our clinic has contributed to many publications with Multiple Sclerosis and Alzheimer’s dealing with treatment and prevention. So, whether it is a new diagnosis or a long, hard­fought battle, the practice provides the most current treatments and all­around neurological care for individuals. The team of friendly, knowledgeable and dedicated physicians, nurses, and staff provide the best care and support for every patient who comes through the door. Empire Neurology offers superior neurological care in the heart of the Capital Region.

CONTACT INFORMATION: 1182 Troy Schenectady Road Suite 203 Latham 518.785.1000 Empireneuro.org


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Lance Sullenberger, MD, FACC, FACP, FSCCT • Jeffrey Uzzilia, MD, FACC, FASE

Capital Cardiology Associates • Enhanced Cardiac Access SPECIALTY: Clinical Cardiology, Echocardiography, CT Coronary Four years ago, Capital Cardiology Associates (CCA) launched its Enhanced Cardiac Access (ECA) program. "We started the ECA after noticing how many patients we were seeing in the local hospitals' Emergency Departments who could have been evaluated more rapidly had they been in our office," says Dr. Lance Sullenberger, a cardiologist with Capital Cardiology Associates. The ECA provides same­day evaluations of patients with potential cardiac symptoms such as chest pain, shortness of breath, or palpitations. Patients are typically referred by their primary care physicians, they walk­in, or they call the CCA office. Patients being evaluated in the ECA are initially triaged by a cardiac nurse, then see a Board­certified cardiologist. Patient evaluations may include various testing or scanning of the heart, all performed within the CCA office. Enhanced Cardiac Access has been a huge success for the medical community as well as Capital Cardiology Associates. "We have expanded twice and recently added an on­site pharmacist for consultations. In our 4th year, we counted over 3800 patient visits." According to Dr. Sullenberger, patients like the ECA because the care is more rapid than the ER and the cost is an office co­pay, versus the more expensive ER or hospital bill. “95% of the patients evaluated within the ECA go home within a few hours. Only about 5% need to be admitted to the hospital, and when they do, it’s directly to the cardiac floor rather than the ER," says Dr. Sullenberger.

CONTACT INFORMATION: 7 Southwoods Boulevard, 4th Floor Albany ECA contact number: 518.292.6000 capitalcardiology.com


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Robin Lozman, DMD, MS Ed Lozman Orthodontics SPECIALTY: Orthodontics Dr. Robin Lozman, is a specialist in Orthodontics with an exclusive Orthodontic practice in Latham. Dr. Lozman was drawn to the specialty of Orthodontics because it gives her the ability to change people’s lives for the better. She believes a beautiful smile gives confidence that lasts a lifetime. Dr. Lozman provides a full range of advanced Orthodontic treatment for both children and adults. She understands that some patients prefer to be discreet while straightening their teeth so she offers Invisalign and clear braces. She also uses very small metal brackets for those patients who prefer this option. Dr. Lozman has a special interest in early interceptive treatment to help improve facial development while a child is still growing. Treating children early many times helps to avoid later problems. Staying at the forefront of new technology, Dr. Lozman’s practice is fully computerized and is equipped with digital radiography. This streamlines efficiency and helps to maintain accurate records. Our advanced technology includes an iTero Element Intraoral Scanner which provides the most detailed evaluation for our patients' treatment needs. Dr. Lozman and her caring staff pride themselves on spending time to educate patients about all of their available options in order to meet their individualized needs. Her specialized – trained team includes two orthodontists as well as only New York State Licensed Certified Dental Assistants. Dr. Lozman maintains a practice where she spends personalized time with each patient and their families, because she is concerned not only with excellent function of teeth but with the health and well­being of each of her patients. She wants every patient to look and feel their best. Outside of her office, Dr. Lozman believes in giving back to her community. She is involved with Girls Inc. of the Greater Capital Region and as an avid animal lover, she is on the Board of Directors of the Mohawk Hudson Humane Society in Menands. New patients welcomed. Please call for a complimentary exam.

CONTACT INFORMATION: 17 Johnson Road Latham 518.785.9441 capitaldistrictortho.com

Photo by Fred Neudoerffer. NeuStudios, LLC


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Photo by Fred Neudoerffer. NeuStudios, LLC

Mary Joyce McGinnis, MD, FACOG McGinnis Women’s Medical Care SPECIALTY: Obstetrics and Gynecology Why would anyone care about Pap smears in the Republic of Ireland? 209 women there were diagnosed with cervical cancer after inaccurate Pap and HPV testing and 17 have died. Why does that concern us in the USA? There are miserably incompetent labs. Recommendations for cervical screening done every 3 or 5 years is assuming laboratory reports are 100% reliable. Why would anyone care about women diagnosed with breast cancer in England? A computer glitch in 2009 caused 450,000 women over 68 years old to miss their mammogram. Up to 270 have already died as a result. Even with a national database reminding women to get a mammogram every 3 years, the system failed. If the US goes to mammograms every 2 or 3 years, we have no system to remind women. Women of color have a poorer outcome with breast cancer and a higher risk of diagnosis under age 50. Twenty percent of breast cancer cases are in women ages 40 to 49. Eighty­five percent of women with breast cancer have no family history. Many women will be harmed if mammograms are done only on women over 50. Major changes are coming in preventive services for women and powerful groups in our country want to diminish cancer screening. The experience in Ireland demonstrates the fatal consequences of trusting lab results to be 100% reliable. Try to ignore the lab's attempted cover up. England has a national registry of women and when their mammograms are due but failed 450,000. In our mobile society where women change insurance plans regularly who will keep track of those 3 yearly mammograms? My staff and I think about issues of cancer screening constantly and how to advise our patients. We work with them to reach decisions on rational testing. It's our job.

CONTACT INFORMATION: 24 Computer Drive West Albany 518.689.7548 mcginniswomensmedicalcare.com


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Gerald C. Benjamin, D.D.S The Benjamin Smile SPECIALTY: Cosmetic and General Dentistry Dr. Gerald C. Benjamin has been a dentist for 40 years and has concentrated on cosmetic dentistry for more than half of his career. He is one of only 30 dentists in the world that has attained a Certificate of Proficiency in Esthetic Dentistry, a general dentist with an emphasis on Esthetic Dentistry. Dr. Benjamin is nationally recognized in the field of cosmetic dentistry and his crown, bridge and veneer cases frequently appear on the Academy of Comprehensive Esthetics forum to much acclaim. He has also won the American Academy of Cosmetic Dentistry’s prestigious Smile Contest. He was instrumental in the founding of the first Esthetic Center within a Dental School at SUNY/Buffalo School of Dental Medicine where he has been on the Faculty teaching Esthetic Dentistry. The cases on Dr. Benjamin’s website have attracted patients from Syracuse, Oneonta, Lake Placid, Westchester, Long Island, as well as the Capital District. He has studied with many of the world’s finest dentists to master his craft and has taken more hours of education in cosmetic dentistry than any dentist from the region. “You are a great dentist with concern for your patients and a drive for excellence,” Dr. Fred McIntyre, Professor Restorative Dentistry, SUNY/Buffalo School of Dental Medicine (Ret.) commented.

CONTACT INFORMATION: The Lofts at 18 Division Street, Suite 205 Saratoga Springs 518.583.1116 www.benjaminsmile.com


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J. Craig Alexander, D.M.D. General Dentistry Enjoy eating again! Smile with confidence! Dr. Alexander is one of only a few dentists in the Capital District who both places and restores dental implants so your treatment can all be done in our office. • Over 30 years of providing comprehensive quality dental care • Dartmouth College graduate: Summa Cum Laude and Phi Beta Kappa • University of Pennsylvania School of Dental Medicine. 1982 graduate first in his class • Harvard School of Dental Medicine and the Brigham and Women’s Hospital in Boston: two years of medical and surgical training • Master of the Academy of General Dentistry • Fellow of the International Academy of Mini Dental Implants • Diplomat of the International Dental Implant Association We treat all of our patients like friends and neighbors. Watch the Doctor on Spectrum Channel 7 8am Sunday & Monday.

CONTACT INFORMATION: 739 Columbia Turnpike East Greenbush 518.477.1008 jcraigalexanderdmd.com

Tejas R. Pandya, DPM, FACFAS Capital District Podiatry, PLLC SPECIALTY: Podiatry On a daily basis, Dr. Tejas R. Pandya sees patients suffering from foot pain. This, he says, is something no one should live with. His practice has simple solutions to help address your foot problems. A board­certified podiatrist specializing in the treatment of simple and complex foot conditions, he sees patients of all ages from infants to the elderly for types of conditions, such as ingrown toenails, fungal toenails, heel pain, bone spurs, diabetic foot care, bunions, hammer toes, foot tumors, fractures and neuromas. Dr. Pandya graduated from Siena College in Loudonville and went on to study Podiatry Medicine and Surgery at the New York College of Podiatric Medicine in Manhattan. He then completed a surgical residency in foot surgery at Little Falls Hospital in Little Falls NY. He has served as Vice President and currently serves as President of New York State Podiatry Association Northeast chapter and is a Diplomate of the American Board of Podiatry Surgery and American Board of Multiple Specialties in Podiatric Medicine and Surgery, Hyperbaric Medicine Certified. He serves as vice chairman for department of Podiatry for Samaritan Hospital.

CONTACT INFORMATION: 763 Hoosick Road, Troy 855 Route 146 Bldg. B, Clifton Park 518.273.0053 capitaldistrictpodiatry.com 26 | AUGUST 2018 | WWW.CRLMAG.COM


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Randy Cale, PhD Terrific Parenting SPECIALTY: Licensed Psychologist (families and children) “How do you approach getting real help, finding a path to real change? Everyone understands: If life hasn’t become challenging, it’s only because you haven’t lived long enough. With career demands, managing family routines, divorce, illnesses, aging parents, difficult kids, workplace pressures, as well as personal tendencies to be worrisome or fearful, there will be challenges. We get overwhelmed, stressed­out, saddened and confused. Unfortunately, most people think that coping with these challenges is the very best they can do. Coping then is simply ‘code’ for getting by, nothing more. As a Psychologist, Dr. Cale is fascinated by the human mind and its infinite potential for growth, as well as our (often) untapped capacity to have fulfilling happiness and deeply satisfying love in our lives. The key is motivation to change and as long as a patient is willing to approach this transformation process with courage and sincerity, a better life experience is available. Dr. Cale’s coaching and private practice are built upon a unique drive for understanding how we work as humans and how to offer these skills to his clients. He describes his treatment model as decidedly short term and admittedly a bit obsessed with real change. While many therapists still work with clients for years, Dr. Cale winces at the idea of a dependent relationship with his clients. “Given the brain­change technology of today, it is inconceivable that clients would fail to get outcomes within weeks, not years. My clients expect to get results and they do!” While many parents know Dr. Cale for his work in helping parents and children with behavioral and emotional issues, this represents only a portion of his practice. He also works directly with adolescents and adults in changing a wide range of negative habits and thinking patterns. In the months ahead, Dr. Cale will also be opening a neurofeedback clinic, with state­of­the­art technology that is proving to transform the brains (and lives) of those with ADHD, depression, anxiety, performance issues, and even autism. This is an exciting and life­changing process, that does not require talking, insight or years of effort. If you have a question about whether Dr. Cale would be a good fit for you or your family, call him directly at his Clifton Park office and he will be happy to help you sort it out. You can reach him at 518.383.0600 or visit DrRandyCale.com.

CONTACT INFORMATION: Clifton Park 518.383.0600 drrandycale.com terrificparenting.com


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Steven Yarinsky, MD, FACS Saratoga Springs Plastic Surgery, PC SPECIALTY: Cosmetic Plastic Surgery Board­certified plastic surgeon Steven Yarinsky, MD founded Saratoga’s first plastic surgery practice and full­service medical spa 29 years ago, which provides in­house cosmetic surgery for comfort, convenience, privacy and the highest quality of care. It’s the only Capital District area office­based surgery facility accredited by the Joint Commission, the “Gold Standard” for safety and quality in healthcare. Dr. Yarinsky’s extensive education in his specialty of plastic surgery is reflected in the unparalleled experience his patients receive at Saratoga Springs Plastic Surgery. “I stay top in my field with continuing education from world experts to provide patients beautiful natural­appearing results,” he says. Dr. Yarinsky is our region’s only New Beauty magazine­certified “Expert Injector” for facial rejuvenation. You can see from his Google reviews and website testimonials his happy patients agree he is the Capital District’s “go­to” doctor for enhancing your body, breasts and face. Cosmetic medicine and surgery is Dr. Yarinsky’s passion: “Combining my artistic ability and technical expertise with the science of medicine to help people look and feel special is my calling.” Aldridge Photography

CONTACT INFORMATION: 7 Wells Street, Suite 303 Saratoga Springs 518.583.4019 yarinsky.com

Cheryl Burack, MD SPECIALTY: Obstetrics and Gynecology Dr. Cheryl Burack is very honored to have been named to the Best Doctors of the Capital Region for a sixth year. With offices in both Albany and Troy, Dr. Burack is proud to provide comprehensive obstetric and gynecologic care to her patients throughout their lives, including adolescent medicine, family planning, prenatal care, infertility, and menopausal medicine. She is board­certified and a Fellow of the American Congress of Obstetrics and Gynecology. Originally from the Boston area, Dr. Burack received her bachelor’s degree from Tufts University and graduated from the Albany Medical College. She completed her OB/GYN residency at Albany Medical Center and has been caring for patients in her private practice offices for over 20 years. “Caring for women, to me, is very rewarding,” says Dr. Burack. “Being able to take care of a patient as a teen, and later deliver her children as an adult, is an exceptional honor. I am so pleased to be able to share long­standing relationships with my patients and their families.” Offices are located in Albany at 62 Hackett Blvd (518.465.3318) and in Troy at 258 Hoosick St, Ste. 204 (518.272.4231). Dedicated and caring professional and office staff complete the patient experience. New patients and most insurances are accepted.

CONTACT INFORMATION: 62 Hackett Boulevard, Albany | 518.465.3318 258 Hoosick Street, Troy | 518.272.4231 leeandburackmd.com 28 | AUGUST 2018 | WWW.CRLMAG.COM


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Thomas H. Abele, DMD, FAGD Delmar Dental Medicine SPECIALTY: Dental implants, oral surgery and restorative & cosmetic dentistry “Building an oral health home for families where comprehensive, top­of­the­line dental services were easily accessible was my goal,” says Dr. Thomas Abele, who, since 1969, has been a pioneer and leader in the dental sciences in the Capital District. “With the support of a talented and dedicated staff, I hope I have achieved that.” By offering a total spectrum of care for all ages, Dr. Abele eliminates the need for patients to move from doctor to doctor to achieve optimal oral health, comfort, and beauty. Early on, he spent the additional hours of training to become qualified in dental implant technology and root canal therapy. His consistent reinvestment in his practice ensures that patients are offered the latest in minimally invasive approaches, digital imaging, laser power, and sedation dentistry. Skill Plus Eye “Dental medicine, most pointedly when encompassing cosmetic dentistry, is definitely an art,” says Dr. Abele. “Every aesthetic aspect of a patient’s face must be taken into consideration when addressing

reconstructive procedures, whether in the application of veneers and crowns or restorations with implants.” Because Dr. Abele works closely with the technicians of his on­site dental lab, issues such as tooth color and shape are seamlessly addressed. His deep experience in placing dental implants, including the latest in genetically coated bone grafting, when required, and beautifully designed tooth restorations is renowned. Options Fully Explained Citing the importance of patient education, Dr. Abele says, “Although I personally feel responsible for my patients’ oral health, they have to ‘buy in.’ That requires helping them understand why compliance with good oral health habits, including attention to their gums, can make them healthier and happier. I enjoy taking the time needed to answer questions and provide ongoing support. As much as I have always enjoyed the research and ongoing education that dental medicine requires in order to stay at the top of the game, I most enjoy the results I see in my much valued patients. They are the ones who make me look good.”

CONTACT INFORMATION: 344 Delaware Avenue Delmar 518.439.4228 delmardental.com


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Mark Friedman, DPM Albany Podiatry SPECIALTY: Podiatric Medicine For nearly 20 years, Dr. Mark Friedman has provided comprehensive podiatric care for patients of all ages. Albany Podiatry prides itself on offering the latest in technological advancements and state­of­the­art treatment options. Dr. Friedman has a special interest in treating patients with diabetes. He works directly with the medical teams of diabetic patients to offer preventive care, wound care, and surgery when necessary. Dr. Friedman takes a proactive approach, performing a simple screening test for peripheral neuropathy that can ultimately save limbs. Educational and professional highlights: • Bachelor of Arts, State University of New York at Buffalo • Doctor of Podiatric Medicine, Temple University School of Podiatric Medicine • Residency at the Veterans Affairs Medical Center in Kansas City, Missouri • Former president of the NYS Podiatric Medical Association, Northeast Division • Board­certified Fellow of the American College of Foot and Ankle Surgeons • Surgical privileges at Albany Memorial Hospital • Continued medical education through frequent conferences and tradeshows

CONTACT INFORMATION: 6 Executive Drive Albany 518.482.4321 albanypodiatry.com

Custom foot orthotics vs store­bought arch supports Are all created equal? Store­bought arch supports (also known as prefabricated shoe inserts or insoles) are every­ where lately: retail stores, pharmacies, the mall. Manufacturers advertise “custom­made” foot supports, which are often pre­packaged and sold according to shoe size. Unless the device has been prescribed by a doctor and crafted for your specific foot, it's a prefabricated arch support, not a custom orthotic device— despite what radio, television and newspaper ads might say. Although store­bought arch supports aren’t covered by insurance, they can prove valuable for patients with minor foot or arch pain. Podiatry practices also utilize such supports to provide temporary relief while patients’ custom orthotics are being made.

What are custom foot orthotics? Much like eyeglasses or dentures, custom foot orthotics are crafted just for you. They match the contours of your feet precisely and are designed for the way you move. They give you optimal sup­ port, provide shock absorption, and help eliminate pain.

How are custom foot orthotics made? At Albany Podiatry, we create a digital impression of the foot using a 3­D podiatric scanner. To display your natural arch, the scan must be done without bearing weight on the foot. The doctor places

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your foot in a neutral position while a laser captures the contours of the foot in ultra­precise 1mm increments. After discussing your lifestyle, conditions, and footwear, the podiatrist designs an individ­ ual prescription, specifically for you. The data is then sent to a lab where a 3­dimensional model of your foot is created. The materials are heat molded and vacuum pressed to the model of your foot. A few weeks later, your orthotics are ready and you are evaluated by the doctor to ensure proper fit. This is custom. If you received an insert from a store that didn’t take the time to build a model of your foot, then you did not receive a custom orthotic. You received a pre­ fabricated arch support.

Who would benefit from custom foot orthotics? Insurance companies often recognize the value of custom foot orthotics because they effectively treat many medical conditions, including plantar fasciitis, ankle pain, arthritis, bunions, swelling, limb length discrepancy, and heel pain. They are also frequently used to help prevent diabetic patients from developing calluses or sores. Before making a purchase, see your podiatrist for a thorough evaluation. We’ll help determine which type of support is best to keep you active, moving, and on your feet! Albany Podiatry is located at 6 Executive Park Drive, just behind Stuyvesant Plaza. Drs. Friedman, Mason, and Hardy specialize in com­ prehensive podiatric care, including diabetic foot care, foot surgery, sports medicine, and custom orthotics. For more information visit www.albanypodiatry.com or call Albany Podiatry at 518.482.4321.


CAPITAL REGION LIVING MAGAZINE | AUGUST 2018 |

31


Advances in the treatments of pet cancers By Vikki Moran

W

e went out to some of our area’s “Bestie” veterinarians for two ques­ tions about the detection and latest developments in treatments to bring our many pet­loving readers the answers to these sober­ ing inquiries. Dr. Lexi Becker of The Animal Hospital at 2 Rocking Horse Lane in Slingerlands explains, “Concerning cancer detection, we use most of the same diagnostic tools that human medi­ cine uses. Routine blood work, urine analysis, radiographs, ultrasound, fine needle aspira­ tions with cytology, biopsies, CT scans and MRI are the most common.”

Screening tests She notes that there is not the same genetic marker testing that is available in human medicine to determine risk. “We do, however, know which breeds are predisposed to certain cancers, and can use screening tests to detect the early presence of cancer. We fre­

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quently use ultrasound to aid in the diagnosis of many conditions and will often stumble upon other abnormalities to monitor.” Dr. Becker observed that there are con­ tinuous developments in cancer treatments, and veterinary oncologists are available for referral of patients. “They use all of the same chemotherapy treatments used in human medicine, as well as radiation therapy.”

Melanoma in dogs One such treatment for melanoma in dogs can be read at petcancervaccine.com/vaccine. As a melanoma survivor, I was stunned to hear what prevailing cancer this is in dogs. Merial, a leading animal health company and producer of many vaccines used today, indicates that canine melanoma is the most common malignant tumor found in the mouth. It also is seen on the skin and in the nail bed and footpad and is the most common neo­ plasm or growth on tissue, of the dog’s eye.


All cases of oral melanoma should be con­ sidered malignant and potentially fatal, regard­ less of the lab results. Melanoma tumors of the mouth can grow rapidly and quickly spread to lymph nodes, liver, lungs, and kidneys.

Annual exams vital Dr. Mike Casler from the Guilderland Animal Hospital at 4963 Western Turnpike in Altamont says annual exams for your pet are very important and the front line of defense. “These exams need to have a blood profile as well as a urinalysis. If you find something sus­ picious (lumps or bumps) that appear, a fine needle aspiration needs to be performed.” Dr. Casler mentions that, as with Merial, Royal Canin Genetic Health Analysis identifies breed predisposition through the use of DNA. Using the latest science, this test scans your dog's DNA, both for ancestry information and specific genetic markers. Your veterinarian can use this information to create a custom health and wellness plan based on your dog's genetic code. Certain cancers such as lym­ phoma and hemangiosarcoma are suspected in breeds like Golden Retrievers and Labs. DNA testing can provide clues to whether or not your dog includes these breeds in their DNA, thus helping to identify the cancer risks. Casler believes that a breakthrough prod­ uct like Sentinel Biomedical Cadet Urine tests for bladder cancer in predisposition breeds like Westies and Scotties also is very effective. Like humans, dogs and cats have DNA markers and the more we learn through recent advancements, the better the identifi­ cation is for our pets. “When cancer is sus­ pected, diagnostic imaging including X­ray, ultrasound, CT, and MRI needs to be complet­ ed promptly,” Dr. Mike notes. Once the diagnosis is made, treatments include surgery, stereotactic radiosurgery, con­ ventional radiation therapy, chemotherapy, and palliative care. There are times when pet owners opt for no treatment when, like adults, there just isn’t a cure in sight and being home and comfortable with their loving families is the kindest way to end our furry loved one’s life.

CAPITAL REGION LIVING MAGAZINE | AUGUST 2018 |

33


Insiders’ guide to Saratoga Race Course By Frankie Geremski

J

ust imagine being able to go in the hud­ dle with Tom Brady during the fourth quarter of a big game or having a beer with Derek Jeter after he just blasted a shot out of Yankee Stadium. The everyday fan has that type of access at Saratoga Race Course, and the athletes competing here are world­ class. Make no mistake, the epicenter of sum­ mer thoroughbred racing resides right here in Saratoga Springs. Though we could get into all the historical facts of how this magnificent venue has kept its significance in American folklore since 1863, our goal here is to help you feel like an “insid­ er” while informing you how to maximize your day at the track. Raised in Syracuse, my first trip to Saratoga Race Course came on the last day of a family vacation meandering around New England when I was 7. My only memories of that day at the track were that I digested my first clam and that my father scored on a BIG trifecta on the Travers Stakes. That trifecta funded and extended our trip for three days in Lake George and I have loved Saratoga (and clams for that matter) since. As an adult, most of my time off during the mid­summer was spent driving east on the Thruway to wager at Saratoga. We often trav­ eled with groups of Syracusans, stopping in Rome and Utica to pick up some other fans who shared the love. We called ourselves the “Saratoga Knights” while we occupied the track. One of the Knights was learning to become a horse trainer and taught me how to physically handicap just by viewing the horse’s actions in the paddock while they were parad­ ing pre­race. His knowledge added to my relentless studies and betting savvy, leading to some big pay­offs one summer. We were having so much fun that the only bad portion of our Saratoga weekends and day­trips was the leaving part. By the start of the next track season, we had both transferred our jobs to Saratoga County and moved here. He now is a prominent trainer at the neighbor­ ing Saratoga Harness Track.

Magnet for major horse ties Leading jockeys, trainers, owners and those with major horse connections from all over America fall in love with Saratoga for sim­ ilar reasons. Many of them spend most of the summer here on a working vacation. Some have decided to live here, and that’s the ulti­ mate compliment to our community. This is an integral reason as to why we have such quality 34 | AUGUST 2018 | WWW.CRLMAG.COM

Photos by Michael Zappala

racing at Saratoga. What also intensifies the competition of our mid to late summer racing meet is that many trainers from California, Florida, and the Midwest ship their best stock here. They are vying for unprecedented concentrations of Graded Stakes that are stretched out through­ out our 40 racing days. Graded Stakes are val­ ued both for their higher purses (earnings) for their owners, the horses also then become more coveted for breeding. Quality showings often result in nominations to The Breeders’ Cup, which this year will be held at Churchill Downs on November 2­3. Often these invaders leave beaten by the likes of hometown favorite Chad Brown, NY dynamo Linda Rice and powerhouse Todd Pletcher. Two­time Triple Crown winner Bob Baffert has reversed that trend with dominance by winning the last two Travers Stakes with Arrogate in 2016 and West Coast last year. As we went to print on this issue, news broke that 2018 Triple Crown winner, Justify, officially retired; putting to rest rumors and speculation and dash­ ing the hopes of fans who were hoping to see another superstar in this years' Travers Stakes.

Venue enhancements It is obvious the impact this sport has on our local culture. This effect has certainly increased in the last several years. Since 2013 NYRA has invested $30 million at the historic

venue in efforts to enhance guest experience and provide amenities consistent with those available at first­class stadiums and arenas. This year’s showcase enhancement is The Stretch, which is a modern yet casual all­new private hospitality area with a breathtaking view of the thoroughbreds rounding the final turn entering the dramatic stretch run. We may well be in the best of times with the momentum that horse racing has generat­ ed in sports legends with Justify and American Pharoah. These are the Tom Bradys and Michael Jordans of the sport and they are all on showcase in our backyard for the cost of a $5 admission, easily the best bargain in sports. The Saratoga Race Course’s status should easily share the same as the Yankees or Patriots. I have heard many pundits say that horse racing needed a Triple Crown winner to really take off. Maybe that time is now, as we have had two!

Jockeying to see jockeys The jockeys are always a big hit with all fans, especially the kids. They return after each race from the winner’s circle through the club­ house and grandstand to the Jockey Room fol­ lowing a painted Jockey Lane. They are very cordial to everyone, but please allow them their space. It’s easy to cheer for these guys after you have seen them act with such class just minutes after dismounting. Insiders pay attention to what horses Jose


Ortiz, Irad Ortiz Jr. and John Velasquez ride, especially in the maiden races with numerous first­ time starters. The Jockey Room corridor has many displays and is very fan­oriented. It is very exciting for newcomers to see these superstars stroll out of the Jockey Room with fresh, bright silks. The most recent member of the Knights is much more of a race fan than a gambler, and he comes to the track to accumulate pictures and get autographs. In the paddock area and Jockey Lane he’s like a kid in a candy shop, yet will surprise you with a juicy nugget of betting info he picked up in his travels.

Make your own picnic Saratoga has the most glorious paddock picnic area in all of racing and there is plenty of room for thousands to enjoy. You can tote portable lawn chairs and coolers (no bottles allowed) and make your own picnic, creating a day of affordable family fun. Viewing these magnificent animals often turns first­timers into lifelong fans. This unique access gives you an advantage over other horseplayers. Since only a fraction of the wagering occurs at the racetrack, most of the betting is pouring in on smartphones and computers from all over the country. They can’t see the horses parade; they can’t physically handicap like you can. This is huge. NYRA’s “Saratoga Live” broadcast is centered on a sce­ nic stage in the paddock and their team of experts, Andy Serling, Paul LoDuca, Gabbie Gaudet and trainer Tom Amoss, provide enough knowledge to follow each race like an expert. The broadcast is augmented by Maggie Wolfendale, who is an expert physical handi­ capper who roams the paddock and grounds revealing her professional perceptions. Your physical handicapping coupled with the broadcast’s insight and your hunches will certainly produce some winners.

Best spot for paddock players I think the Post Bar is the best spot for paddock players. I always grab a table there well before the first race. It’s going to be a long day and enjoying a Shake Shack burger early is vital. The Post Bar opened the same year that the Knights came into fruition and it has always been our “Clubhouse.” The bartender PJ is somewhat of the unofficial mayor of the court­ yard, and the service truly is top notch. This courtyard is also my favorite spot in the track to people watch. As the day lingers, it seems the who’s who of horse racing and every color­ ful character at the track gets here somehow. As late afternoon transitions, new arrivals dressed in their finest fashions, both male and female, turn this courtyard into an impromptu fashion show. The atmosphere shifts to more of a social scene and this becomes the busiest spot on the track. Live music is offered on Friday and Saturday, and the Post Bar becomes

the first spoke of the post­track Nelson Avenue gate night life. Both Siro’s and The Horseshoe are walking distance from the Post Bar/paddock and offer live music. Siro’s is casual dress outside where the bands perform and has food service. Inside Siro’s is dressier, offering gourmet dining with a swanky décor that truly fits the environment and extends your day in the Clubhouse. The Horseshoe is casual, younger and the music and crowd stay somewhat later. It, too, has a great atmosphere and reminds me of speakeasys around Churchill Downs. The Knights certainly have had some good times at both and they provide the racing fan the chance to rub elbows with the racing professionals.

Don’t let the weather ruin your day Another reason we chose the Post Bar is the huge canopy. An original Knight always wears a hat to the track and mildly coerced me to do the same. For once, I blindly listened. It’s been 10 years and I haven’t been hatless to the track since. When it’s raining, I’m not wet. When it’s hot, I’m not burning. Either way it’s a great Saratoga tradition and a nice look. And ladies, where else can you go these days that you can show off an old classic or pick out something brand new to match your track out­ fit? I have had many of my best days at the track when it was raining simply betting the MTO (main track only) horses. To explain, if it rains too much, for the safety of the athletes they move the grass races to the dirt and cer­ tain horses are now eligible. These horses are “mudders” and I eliminate the other entrants in my selections.

Family fun There is plenty to do for everyone here. If your mindset is flip flops and shorts, that’s cool. I recommend coming early if you want to grab one of the 950 first­come picnic tables. The gates open at 8am. The Oklahoma training track is open daily to the public from 8am­10am at the Union Avenue gate across the street and 200 yards down East Avenue. Also, at 191 Union Avenue is the National Museum of Racing and Hall of Fame, open from 9am­5pm daily; muse­ um events for kids are held on Thursdays.

Travers Day The Travers Stakes field hasn't won't be announced until closer to the race, but make sure to check out our Facebook page on the eve of the Travers to get the Knights’ picks. Currently, I’m leaning heavily on Good Magic. Not only am I rooting for local hero Chad Brown to win his first Travers, but I also respect the effort Good Magic made as runner­up in the Kentucky Derby. Good Magic peaked late last year and should do the same on Travers Day.. See you at the track! CAPITAL REGION LIVING MAGAZINE | AUGUST 2018 |

35


Lions, camels and birds–oh my Exploring the Utica Zoo By Dani Testa-Sgueglia

Photo by Mark Simon


W

ho doesn’t love a good zoo? As a mom of three small boys, I am con­ stantly having the talk about what can be a good pet and what really should be left outside in the wild of our backyard. That’s why having the Utica Zoo to fuel their sense of won­ der and educate their wild side just an hour and fifteen minutes away is so great.

Getting there Depending on where you are coming from in the Capital Region, you can expect the trip to take anywhere from an hour to two hours or so. The stretch of the Thruway, west of Schenectady is pretty as it winds parallel to the Mohawk River. You pass by some of Leatherstocking’s great cities and towns made famous by the Erie Canal. The Mohawk Valley Welcome Center, between exits 28 and 29, offers a lovely place to use the restroom and for the kids to run around for a bit before finishing off the last half hour of the drive. I love this stop since there are no fast food distractions and there is a play area that is safe and fenced in. Exit 31 brings you to Route 5S, which winds along Genesee Street south through downtown Utica. Make sure to follow the signs and follow the online directions. Expect to be on the road for about 15 minutes once you get off the Thruway but as soon as you enter Roscoe­Conkling Park, you will see the large sign welcoming you to the Zoo. Reading the sign sent my five­year­old hooting and squealing with excitement. There are two large lots offering ample free parking that are steps from the gate of the zoo. Of course, getting your children to stay put while you organize your things will be diffi­ cult to do.

Photo by Dani Testa-Sgueglia

Living, breathing and growing The Utica Zoo was founded in 1914 and is situated on 80 acres of the Roscoe­Conkling Park. Only half of the allocated land is current­ ly developed and there are major plans to con­ tinue to grow and improve the zoo. On the day we went, there were a few exhibits that were closed because of construc­ tion and improvements that are being made. We could not see the primates due to their get­ ting a new home (anticipated opening Fall 2018). The boys loved seeing the Burmese Pythons in their temporary home while their permanent home was getting a facelift and the Sea Lion tank was being cleaned as it is every Tuesday. The zoo is currently in the process going through a voluntary accreditation with the Association of Zoos and Aquariums. This accred­ itation will provide new opportunities for donors, visitors and members through access to new programs, member benefits and, of course, new acquisitions and developments. Continued on page 38

Photo by Mark Simon CAPITAL REGION LIVING MAGAZINE | AUGUST 2018 |

37


Photo by Mark Simon

The wild bunch Giggles wth excitement was the sound­ track for our day at the Zoo. My boys loved seeing the turtles munching on their breakfast of lettuce and fruit while we got our bearings before heading out. We started by heading through the Asian Realm. The boys loved the Chinese Alligators and the Urial, but the high­ light was definitely the pair of camels that lazed in the sun on this very warm day. The calls of the Bald Eagles were awesome and a nice reminder of why these birds are our National Bird. We followed the path up a slope and were greeted by two pair of lions in a huge enclosure. We spent a bit of time visiting with these large cats and meandered around their enclosure, getting different views.

38 | AUGUST 2018 | WWW.CRLMAG.COM

After the lions, we started on the North Trek Nature Trail. This interactive, natural trail experience is great. There are animal enclo­ sures along the path featuring Mexican Wolves, Arctic Fox and Canadian Lynx. The best parts are the little experiences for chil­ dren in the Nature Play Area. There is a large brush pile and display that teaches visitors what critters can be found there. There are perches, large nests and shelters so we could get the full critter experience. Benches are in most of these alcoves so parents can watch kids play and explore. Coming back down the hill, the boys saw Hyenas, Lemurs, Zebras and Ostriches. Food is available from Voss’ and we made sure to visit, eating our meal in the adjacent pavilion. Voss’, a seasonal eatery offers staples like burgers, hot dogs, fries and ice cream for a reasonable price. My family of five ate lunch for under $30. There are many well­appointed and landscaped picnic areas throughout the zoo. Feel free to bring in your own picnic lunch and enjoy – just beware that the roaming peacocks will probably stop by to join you and your family. After lunch we played on the playground for a bit before heading over to the Children’s Zoo. This eclectic collection of barnyard, Australian and wild North American animals was a nice way to end our visit.

Highlights and tips This highly walkable park is great for little legs. It isn’t too big, capping at just under 2 miles and most is navigable by a stroller. I would suggest that visitors who have trouble with hills or in wheelchairs use the turn­ arounds before heading into the North Trek Nature Trail. Voss’ is seasonal and is cash only. There is an ATM on site, but a homemade picnic lunch is always a great option, too. There are plenty of beverage vending machines located throughout the park. There is one set of Restrooms that is cen­ trally located between the cranes and the Asian Realm. They are clean and well maintained. Make sure to visit before heading up to the Nature Trail or down into the Children’s Zoo. As the Zoo undergoes a lot of improve­ ments, you should call ahead to see what exhibits will be closed or unavailable for your visit. Expect to see construction vehicles and hear the sounds of work being done. My chil­ dren weren’t at all phased by this, but it was a bit of an eyesore for me. Plan your trip on a cooler day. We went in the middle of a heatwave and most animals were snoozing the day away in the shade and a bit hard to see.


The busy parent's guide to weekday meals

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t's amazing what parents do in a day. You help your kids with homework, drive them to and from practice, whip up a meal everyone will like, make sure they brush their teeth—the list goes on. Not to mention you have a job to go to. It's a wonder parents can ever find a few minutes to relax. While hectic can be an understatement when it comes to describing a day in the life of a parent, there are some simple and savvy ways you can save time and energy when preparing meals. Here are five tips for provid­ ing delicious weekday meals for the entire family. 1. Get in the habit of meal planning. Most people don't realize how much time they spend stressing out about what to make for dinner each night. Something as simple as planning a weekly menu in advance can make things infinitely easier. Try sitting down on Sunday, writing down what you want to eat on each day that week and shopping accordingly. This is a simple and effective way to streamline the whole process. 2. Embrace convenience. There are far more convenient ways of getting a delicious weekday meal than chopping and sweating your

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40 | AUGUST 2018 | WWW.CRLMAG.COM

way through a home­cooked recipe. You can order take out from most any restaurant these days, but Applebee's adds an extra layer of con­ venience for time­crunched parents—Carside To Go(R) pickup. You simply place an order online, through the Applebee's app, or by phone and schedule a pickup time that works for you. Then, on your way home from work, the gym or soccer practice, just pull into a designated Carside To Go parking spot outside your neighborhood Applebee's and a team member will bring your food out to you. Deliciously simple. 3. Make food prep a family activity. Parents are always looking for a fun activity everyone will enjoy or a way to constructively engage their kids. You can achieve this by encouraging your kids to become more involved with preparing family meals. For

instance, you can assign them a simple side dish (it can be as easy as defrosting peas or peeling carrots) or have each kid pick a meal they want to help make each week. Whatever your approach, this is an educational and enjoyable way to spend time with your kids. 4. Don't try to imitate the chefs on TV. We would all love to cook like those celebrity chefs on TV who don't miss a beat and sauté, grill, bake and broil any and all ingredients into a perfect dish. Don't hold yourself to such impossible standards. Instead, focus on mak­ ing delicious and nutritious meals that match your skill set and tastes. If you want to wow your family with culinary masterpieces, consid­ er some quick and easy take­out options. 5. Embrace leftovers. If you're already in the kitchen cooking, why not add more ingre­ dients to the pot so you can have extra meals to eat through the week? Or, instead of order­ ing just enough food for one night, order a couple of extra sides or entrees that you can heat up for lunch or dinner the next day. No one said life as a parent would be a breeze, but with a few easy tweaks to how you plan, order and cook, you can make mealtime into a fun and easy part of your day.


BACK TO SCHOOL | ADVERTISING SECTION

KJ’S GYMNASTICS 3143 Route 9, Valatie 518.758.2554; kjsgymnastics.com Looking for a fun, safe and enjoyable hobby for your children? Bring them to KJ's Gymnastics, where they’ll have fun, make new friends and learn new skills! We’re dedicated to developing what we call the “ABCs” of your child’s athletic and mental ability. Through the sport of gymnastics, we teach agility and awareness, balance and brain development and coordination to build your child’s confidence in a fun, safe environment. KJ's Gymnastics offers a broad variety of fun activities and gymnastics classes for all ages. From preschool and adolescents to high school and adult movement, there’s something for everyone at our facility. Call or email us to check out our class schedules today

JOHN KEAL MUSIC 819 Livingston Avenue, Albany Parkwood Plaza, Clifton Park 518.482.0344 Hermies Music Store Proctors Arcade 518.374.7433 johnkealmusic.com John Keal Music (JKM), founded in 1930, has been known for generations as the local source for band and orchestra instrument rentals, sales, repairs, books and accessories. Old-fashioned customer service is still the standard at JKM. Our family-friendly, expert staff is ready to get you started on your musical journey. Three area locations serve the Capital District and a team of school service representatives provides free delivery to over 100 schools a week. To put a JKM representative to work for you during this busy back to school season, contact John Keal Music at 518.482.4405 or online at johnkealmusic.com.

CAPITAL REGION LIVING MAGAZINE | AUGUST 2018 |

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SENIOR LIVING | ADVERTISING SECTION

THE FURNITURE HOUSE 1254 Highway 9P, Saratoga Springs 1060 Route 9, Queensbury thefurniturehouseny.com The Furniture House has two great locations to serve you: our flagship store at 1254 Highway 9P on Saratoga Lake, 1060 Route 9, Queensbury. As we get older, our family structure changes. We downsize our homes. We want comfort and convenience in a tiny package. We look for other ways to be space efficient. The Furniture House specializes in American-made, hard to find pieces to fill these needs. We have Murphy beds, coffee tables that turn to dining tables, lift recliners, Krypton fabrics and multi-purpose home furnishings offering additional storage. Our design staff can assist you in this process and our delivery team is here for you! If you haven’t been to the Furniture House, where have you been? The Furniture House—the unusual as usual.

ATTENTIVE CARE OF ALBANY 5 Computer Drive West, Albany 518.438.6271; attentivecareservices.com Attentive Care is a highly trusted, locally owned and operated licensed home care agency, with over 30 years of experience. Services are provided at home, hospitals, health facilities and senior housing, hourly, daily, on a visit, or live-in basis. Our caregivers meet our high quality standards. We employ nurses and certified home health and personal care aides. Our service gives relief for those family members responsible for important care-giving duties. Call us now to find out how we can help.

UPTOWN OPTOMETRY 2 Middlesex Road, East Greenbush 518.486.8989; uptownoptometryny.com For over 20 years, Dr. Edward Berger has provided optometry exam services in Rensselaer County. The office has stateof-the-art equipment for your annual eye exam. We offer distinctive eyewear, sport and sun glasses, motorcycle goggles and contact lenses and feature frames by Swarovski, BMW, Vera Bradley, Marciano by Guess, Harley Davidson, Liberty Sport, Ducks Unlimited, Ted Baker and many other brands. Our office is accepting new patients at our newly renovated Dutch Colonial building and offers appointments for homebound patients using our portable equipment. Call us today.

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SENIOR LIVING | ADVERTISING SECTION

THE SPINNEY AT VAN DYKE 6 Parker Mathusa Place, Delmar 518.689.0162; thespinneyatvandyke.com Enjoy Our New Clubhouse: The Spinney at Van Dyke’s newest amenity for “55 and better” residents is a 5,000-square foot clubhouse! This clubhouse space is ready for events of all shapes and sizes from exercise to entertainment. With this new facility, it will be fun this year to see all the opportunities for residents to participate. The clubhouse is equipped with a fitness center, media room with big screen TV and ample seating, welcoming Great Room with a gas fireplace, and full kitchen with double ovens. For enjoyment in better weather, the space also features a spacious outdoor patio and two pools, plus community gardens.

ÁVILA INDEPENDENT RETIREMENT COMMUNITY 100 White Pine Drive, Albany avilaretirementcommunity.com Ávila is the Capital Region’s premier retirement community for seniors seeking an active, independent lifestyle. Surrounded by the beauty of the Pine Bush, Ávila provides a safe and unique place to call home. Ávila’s aquatic center, spa, and state-of-the-art fitness facilities cater to health-conscious seniors. Our beautiful community gardens, hobby studios, and entertainment rooms offer residents opportunities to socialize and pursue their passions. Avila’s world-class dining program, provided by Mazzone Hospitality, is the perfect way to start or end the day. Our all-inclusive monthly fee program, combined with an amenity-rich lifestyle approach to residential living, create a stress–and maintenance-free environment. We truly understand and attend to our residents’ individual needs so they can enjoy the things that matter most!

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SENIOR LIVING | ADVERTISING SECTION

GREENE MEADOWS NURSING AND REHABILITATION CENTER 161 Jefferson Heights, Catskill 518.943.9380; greenemeadows.com Greene Meadows is a nursing and rehabilitation center that has served our community since 1975. Located in scenic Catskill, Greene Meadows is within close proximity to all local hospitals. Not only has Greene Meadows long been acknowledged as a leading senior care provider, our beautifully renovated facility offers the comforts of home in a healthcare setting. Through the years, Greene Meadows has continued to grow and evolve to meet community needs, and today offers a full continuum of care from shortterm rehabilitation to long-term skilled nursing care, specialty programs such as on-campus dialysis, in house diagnostics, Wound Care Center of Excellence, farm to table healthy eating, and more!

PINE HAVEN NURSING & REHABILITATION CENTER 201 Main Street- Philmont 518.672.7408; pinehavencarecenter.com Please make plans to attend the Open House and Ribbon Cutting event at Pine Haven Nursing & Rehabilitation Center on Tuesday, August 7 from 2-4pm. Tour the newly renovated facility and enjoy light refreshments in the new dining room. Ribbon Cutting Ceremony will be held promptly at 2:30pm in the new Rehabilitation Suite. Please RSVP: Elizabeth.groat@pinehavencarecenter.com Pine Haven is a 120-bed sub-acute facility located in Philmont, offering a full continuum of care, from short-term rehabilitation, to long-term nursing care, and a broad array of specialty programs. All therapies are tailored to meet the needs of each individual resident. Recent renovations showcase a beautiful new interior, including a new expansive rehabilitation suite. Services include: physical, occupational, and speech therapy, music therapy, skilled nursing, IV antibiotics, IV hydration, PICC management, wound care, and more. For additional information visit pinehavencarecenter.com.

CAPITAL REGION LIVING MAGAZINE | AUGUST 2018 |

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FINANCIAL dennis & christopher fagan

Market volatility continues

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s we prepare to enter the second quarter earnings season, we have assembled some strategies for dealing with the volatility that is sure to accompany these corporate reports. You either have faith in the benefits of investing or you do not. Over the past 65 years, given a 5­year rolling period, a 50/50 weighting between equity and fixed income indices would never have produced a negative rate of return. Changes in the value of your portfolio should not alter that faith. It is not ironic that market downturns challenge this assumption. The news media jumps on stories of lost wealth and investors tend to get emotionally caught up in those stories. However, keep in mind that despite the horrific bear market experienced during 2008, the stock market as represented by the S&P 500 just set an all­time high this past week. You either believe in the fairness and longer­term opportunities of investing or you do not. If you think the playing field is stacked against you, get out now as stocks have tripled over the past 7 years rather than wait until a period of crisis ensues.

When to review account Going about our daily business of financial planning and managing money, we are quite often asked, “How often should I review my account?” To that we respond, “How often should you shovel your drive­ way in the winter or water your lawn during the summer?” More specif­ ically, the answer is whenever it needs it. When you have a change in your life, be it marriage, a new baby, a change in jobs, or the death of a spouse, review your financial situation. When the stock market is volatile, has lost more than 10% or for that matter has gained more than 10%, review your financial situation. As you approach retirement or another objective, review your financial situation. Investing is not a static environment. You shouldn’t review your portfolio merely on a quarterly basis. The stock market does not experi­ ence volatility merely because it is the end of a quarter. Review your portfolio as the values change or as noted above, as you experience changes in your life.

Have a plan Have a plan to deal with the potential for a negative short­term out­ come in a specific investment you have made or perhaps for a downdraft in the overall stock market. By nature, people are optimistic. We like to think good things will happen to all of our investments. However, as you know, that is not always the case. So have a plan for dealing with a neg­ ative outcome. Panic is not a strategy. Assess your situation and develop a sell discipline. Don’t fight the last battle or the ghosts of 2008. Investors have a tendency to miss opportunities because they remain afraid of a similar

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bear market like the one a few years ago. Allocate your investments according to your objectives and then, as noted above, closely monitor that allocation. That is your best chance of success. Otherwise, you’ll be getting 0% to 1% in the bank, which also puts your retirement plan and/or retirement income at risk. There is no problem holding some cash. If you are a bit skittish, a bit conservative or need a level of comfort, keep 10% to 25% of your invest­ ment portfolio (this excludes your vacation, rainy day, short­term money) in cash. You’ll sleep better at night and, who knows, you might be able to put this cash to work at lower market levels. THE BOTTOM LINE: Establish a well­designed financial and invest­ ment plan. Then, monitor, evaluate and, as necessary, make changes to that plan along the way. This seems logical and simple. However, when fear of monetary loss and emotions get in the way, watch out. That is a certain recipe for buying high and selling low! Avoid this by sticking to your plan and being disciplined. Please note that all data is for general information purposes only and not meant as specific recommendations. The opinions of the authors are not a recommendation to buy or sell the stock, bond market or any security contained therein. Securities contain risks, and fluctuations in principal will occur. Research any investment thoroughly prior to com­ mitting money or consult with your financial advisor. Note that Fagan Associates, Inc., or related persons buy or sell for itself securities that it also recommends to clients. Consult with your financial advisor prior to making any changes to your portfolio. To contact Fagan Associates, please call 518.279.1044.


PARENTING randy cale, ph.d

Teaching a child to be compassionate to a sick family member

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here will be times when a parent, a sibling or a grandparent falls ill. This is inevitable. And too often, it seems, I hear of children and teens behaving with purely selfish motives and an absence of compassion for the sick or failing family member. This may include complaints about how their life is affected or getting angry because an event is missed. At other times, this can take the form of mean­spirited comments about the sick or injured family member. Regardless, this is often frustrating for parents who want to see more compassion and understanding, rather than self­centered reaction.

Compassion is a learned process At times, we find compassion and empathy in children, which seems to be a genetic attribute. These children have always been that way toward others and often toward animals and insects as well. However, this is not typically the case. More often, compassion is a learned attribute, as are many charac­ ter traits. And at times, that learning is a slow process, depending upon the experiences a child has encountered. When a child has been bullied, raised in an atmosphere of anger or aggression, or has experienced pain themselves without adult compassion, these experiences create obsta­ cles to compassion. Yet, the research suggests that we can overcome these obstacles. Let’s examine ways to teach children compassion in the face of family or friends who are sick or disabled.

Teaching compassion for the sick or suffering 1. Be compassionate. If children habitually see compassion in par­ ents, this modeling process has a profound impact upon a child’s view of the world. In fact, this is most important. Here’s the rub: I find many par­ ents who talk compassionately in one moment, yet judge harshly in the next moment. This doesn’t work. In almost every moment of judgment, we are turning away from compassion, and you can’t have it both ways. If you want your children to be compassionate, commit to a life where you seek first to understand and empathize, before commenting in a judgmental way. 2. Include acts of compassion. The literature is clear: We must not just talk compassion, we must actually show this in our actions. What makes the difference is when your children see you giving extra, taking the time to help or stopping your day to lend a hand. Action, not words, is what really matters. This is particularly true in relation to the sick or suffering. Make sure you bring the children along to spend time at the nursing home or to help as you assist someone who is sick. This “being an active part of” is key to a child’s integration of empathy.

3. Make sure your child gets compassion. When your child is strug­ gling or hurt, make sure they receive compassion. Express your sorrow at their pain, but also assert that “you will get through this.” Don’t try to fix it. And do be clear about the difference between real pain or struggle, and drama. Too many children get attention for drama­based reactions, which should not get compassion. These should be ignored! 4. Watch or read about compassionate action. Engage the children in movies and stories that support compassion. This is the opposite of a video game focused on aggression and winning. Every experience teach­ es your child a lesson, be it large or small. Thus, if compassion for the sick or suffering is important to you, make sure that you include lessons on compassion. 5. Teach mini­meditations on compassion. Given the research on teaching compassion, it makes sense to spend a few moments daily meditating on compassion directed toward the sick or on a loved one of most concern. One simple daily exercise would be to pause before bed­ time and, with eyes closed, hold that person in mind. Then, with your child, repeat the following simple statement: “May you feel better and be free from suffering. May you have joy and ease.” When you do this for a few minutes, there is a natural easefulness and calm that unfolds, and the consistent use of this meditation has proven to alter the brain. It is powerful. I encourage you to take advantage of each of these simple steps in your home. There are always those who are struggling or sick who can use our extra care and compassion. Inevitably, this will surely come around to serve you and your children. Dr. Randy Cale offers practical guidance for a host of parenting concerns. For more information visit TerrificParenting.com.

CAPITAL REGION LIVING MAGAZINE | AUGUST 2018 |

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HOROSCOPES arlene deangelus

Sun Sign Forecast Best days in August 2018: 20th, 25th and 31st. Begin a diet on August 26th.

 _ ` a b c

Aries: (March 21 to April 20) Hidden talents, expressing yourself and the joys of life are favored for this month. Following the 7th, rethink any changes in your financial and material situations. Over the next year, your enjoyment, creativity, romance and children are activated. After the 19th, it is a time to have some fun and to express yourself to others without being insensitive. Taurus: (April 21 to May 20) Domestic interests, identifying with the past and home­front activity are the focus for this month. After the 7th, you seek ways to change your self­image and express yourself to others. For the next year, your home, family and personal areas are important. Following the 19th, you examine your domestic and personal life to see if it fulfills your needs. Gemini: (May 21 to June 20) Communicating with others, mental pursuits and everyday environment are important for this month. Following the 7th, you may be able to clear up old prob­ lems and put them in the past. Over the next year, your activities will center around your friends and surroundings. After the 19th, you interest turns to intellectual pursuits and possibly new studies. Cancer: (June 21 to July 22) Expanding assets, sense of values and increasing finances are explored for this month. After the 7th, you meet new friends and groups who may challenge your old ways. For the next year, you will pay more attention to your finances, assets and possessions. Following the 19th, you rethink your values in life and have a desire to settle old commitments. Leo: (July 23 to August 22) Importance of appearance, approach to life and per­ sonal matters are analyzed for this month. Following the 7th, you may be offered new opportunities in your career area or the equivalent. Over the next year, your attention turns to your appearance and self­expression. After the 19th, your mind is more active as you examine yourself with objectivity. Virgo: (August 23 to September 22) Discovering yourself, universal laws and fulfilling your potential are favored for this month. After the 7th, you expand your knowledge in different areas including your beliefs and religion. For the next year, your spiritual beliefs also become more important to you. Following the 19th, you acknowledge your virtues but also faults with­ out self­criticism.

d e f g h i

Libra: (September 23 to October 22) Group associations, developing friendships and humanitarian contributions are the focus for this month. Following the 7th, take the time to examine your joint finances and assets. Over the next year, you will spend more time with friends and group activities. After the 19th, you rethink your recent achievements and may set new goals or directions. Scorpio: (October 23 to November 21) Setting priorities, your social status and the career world are important for this month. After the 7th, this can be the time to make changes in your relationships if they are needed. For the next year, you will examine your career and aims in life. Following the 19th, you may recon­ sider new studies that will help further your career or the equivalent. Sagittarius: (November 22 to December 21) Philosophy on life, intuitive guidance and mental aspi­ rations are highlighted for this month. Following the 7th, you want efficiency in both your health and work and will make any changes. Over the next year, you explore your beliefs and search for your life’s purpose. After the 19th, you will explore such subjects as philosophy and spirituality. Capricorn: (December 22 to January 19) Spiritual appreciation, a partner’s property and changing values are examined for this month. After the 7th, you want more enjoyment in your life and will seek new experiences. For the next year, your attention turns to finances and settling old debts. Following the 19th, you may be able to negotiate important matters relating to shared resources. Aquarius: (January 20 to February 18) A cooperative approach, being with others and forming relationships are favored for this month. Following the 7th, unexpected upsets in your life show you where changes are needed. Over the next year, you examine your relationships, whether a spouse, business partner or friend. After the 19th, explain issues and discuss difficulties in your relationships. Pisces: (February 19 to March 20) Attention to health, solving problems and function­ ing on the job are highlighted for this month. After the 7th, your habits may begin to change and your interest turns to intellectual pursuits. For the next year, you take better care of your health and expand your work skills. Following the 19th, you will want mental efficiency as well as the physical.

Arlene is an author, astrologer and para­consultant and has studied and worked with astrology for more than 35 years.

48 | AUGUST 2018 | WWW.CRLMAG.COM


CAPITAL REGION

FITNESS

GUIDE ALBANY Albany Complementary Health 2021 Western Avenue, Suite 103, Albany 518.333.0506 • albanycomplementaryhealth.com

Albany Dance & Fitness 1197 Central Avenue, Albany 518.573.3631 • albanydancefitness.com

Albany’s Indoor Rockgym 4c Vatrano Road, Albany 518.459.7625 • airrockgym.com

Capital District YMCA — Albany 616 North Pearl Street, Albany 518.463.9622 • cdymca.org

Ciccotti Family Recreation Center 30 Aviation Road, Albany 518.867.8920 • ciccotticenter.org

Good Karma Studio 12 Walker Way, 1A, Albany 518.512.9929 • TheGoodKarmaStudio.com

Heartspace Yoga Albany Studio 747 Madison Avenue, Albany 518.512.3390 • heartspacealbany.com

The Revolution  1210 Western Avenue, Albany myrevnow.com

CLIFTON PARK Capital District YMCA — Southern Saratoga 1 Wall Street, Clifton Park 518.371.2139 • cdymca.org

Orangetheory Fitness 54 Crossing Boulevard, Clifton Park 518.644.4757 clifton-park.orangetheoryfitness.com

The Revolution  1726 Route 9, Suite 3, Clifton Park myrevnow.com

Top Form Personal Training 1536 Crescent Road, Clifton Park 518.371.1620 • topformcliftonpark.com

DELMAR Capital District YMCA — Bethlehem 900 Delaware Avenue, Delmar 518.439.4394 • cdymca.org

Free Movement Pilates 518.275.2644 FreeMovementPilates.com Mobility. Stability. Flexibility. Strength.

Top Form Personal Training 333 Delaware Avenue, Delmar 518.451.9283 • topformdelmar.com

LATHAM Orangetheory Fitness – COMING SOON 800 Loudon Road, Latham 518.621.0553 latham.orangetheoryfitness.com

The Pilates Principle Pilates and Gyrotonic® exercise 518.783.1678 • lathampilates.com

The Revolution 639 New Loudon Road, Loudonville myrevnow.com

NISKAYUNA Orangetheory Fitness 3333 Consaul Road, Niskayuna 518.930.0283 niskayuna.orangetheoryfitness.com

SCHENECTADY Capital District YMCA — Schenectady 433 State Street, Schenectady 518.881.0117 • cdymca.org

365Fit 10 Hallwood Road, Delmar 518.727.7815 • 365fit.info

TROY Capital District YMCA — Troy

GUILDERLAND

2500 21st Street, Troy 518.272.5900 • cdymca.org

Capital District YMCA — Guilderland

Focusmaster Fitness

250 Winding Brook Drive, Guilderland 518.456.3634 cdymca.org

828 Hoosick Road, Troy 518.326.4758 • Focusmaster.com

Orangetheory Fitness

Heartspace Yoga - Troy Studio

1704 Western Avenue, Guilderland 518.992.4910 albany.orangetheoryfitness.com

10 2nd Street, Troy 518.512.3390 • heartspacealbany.com

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HEALTHY TEQUILA RECIPES ;-) courtesy of Viva XXXII Tequila Bonus: Each of the bottles is so beautiful, it makes for a great gift that you won’t have to bother wrapping or looks great on any bar!

Here some great tasting, budget friendly tequilas to keep on your radar. The distinct agave-based liquor can err on the side of pricey; however, Viva XXXII Tequila offers tequila lovers the best and affordable tequila you can find. Whether you’re a margarita addict, tequila sunrise-lover, or prefer it straight or on the rocks, VIVA XXXII Tequila will be sure to satisfy your taste buds and your wallet.

Shake to the Beet Ingredients 1 1/2 oz of VIVA XXXII Joven 1 oz Fresh Squeezed Beet juice 3/4 oz Ginger Syrup 1/2 oz Lime Juice 1/4 Simple Syrup

Directions • Combine all ingredients into a cocktail shaker and shake • Strain into Nick & Nora Glass • Garnish with Sprig of Thyme

Tequila is already one of the healthier spirits being made from the agave plant. VIVA XXX pairs perfectly with beet juice because of its health qualities, such as lowering blood pressure, being a good source of potassium, liver support, improvement in exercise stamina, etc. The ginger ingredient aids digestion, removes excess gas, improves bone health, and more. This cocktail can also double down as a Mexican Mule over ice topped off with ginger beer.

I Don’t Carrot All Ingredients 2 oz VIVA XXXII Reposado Tequila 1 oz Carrot Juice 3/4 oz Turmeric Simple Syrup (1 cup sugar, 1 cup water, 1 teaspoon turmeric powder) 3/4 oz Lemon Juice

Directions • • • • •

Combine ingredients into a cocktail shaker and shake Pour into a Collins glass Top with Soda Water Top with Crushed Ice Garnish with Basil Leaf

The idea behind this cocktail is a healthy Carrot Tequila Collins spiced up with turmeric powder. A great brunch cocktail with plenty of health benefits, the turmeric powder in “I Don’t Carrot All” helps fight inflammation, acts as an antioxidant, improves liver function, and aids digestion. The benefits of a carrot juice are vitamins C, D E and K, and minerals like magnesium, potassium, and calcium. For more recipes visit our website crlmag.com 50 | AUGUST 2018 | WWW.CRLMAG.COM


ARTS AND entertainment

ALBANY COUNTY August 2, 9, 23 • 7:30pm Guilderland Concert Series: Tawasentha Park, 188 State Route 146, Guilderland. August 2 – Guilderland Town Band; August 9 – Hair of the Dog, Celtic and folk rock; August 23 – The Kyle Bourgault Band, country and original songs. Donations appreciated. Bring a blanket or chair. 518.456.3150.

Albany Institute of History and Art 125 Washington Avenue, Albany Albanyinstitute.org

August 3, 17, 24, 31 • 10-11:30am Tute for Tots: Children, ages 3-5 and parents discover the Albany Institute and the world of art together, exploring the galleries, reading stories, in sensory play exploration, and creating art projects. Each week will build upon the last; however, individual class registration is available. Check schedule for topics. $10 members and $12 others/per class.

August 9 • 6-7pm Book Talk and Signing: Author and Hudson Valley resident Nancy Castaldo discusses her book. Back From the Brink: Saving Animals From Extinction. Free admission.

University at Albany Art Museum 1400 Washington Avenue, Albany albany.edu/museum

August 1 • 12-1pm Curator’s Talk with Corinna Ripps Schaming

August 1-September 15 Summer 2018 exhibitions: Younger Than Today: Photographs of Children (and sometimes their mothers) by Andy Warhol; Mickey Mouse Has Grown Up a Cow; Triple: Alex Bradley Cohen, Louis Fratino, and Tschabalala Self. Check museum hours.

August 11 • 12-1pm Yoga in the Museum with Yoga Care

August 25 • 1-3pm Art Lab with Christine Snyder – Masters in Fine Arts

FULTON COUNTY August 2 • 5-9pm St. Joseph’s Church Annual Summer Festival: 7 North Street, Broadalbin. Music, food, games, and Italian pastries. stjosephschurch@yahoo.com

August 2 • 7-9pm Caroga Museum Gallery Opening Reception: Caroga Historical Association and Museum, 145 London Bridge Road, Caroga Lake. No admission; donations welcomed. Mary Jean Cleland CAPITAL REGION LIVING MAGAZINE | AUGUST 2018 |

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A&E and Maria Simone (grandmother and granddaughter) present their first-ever show together, “Organic Convergence,” which will run through August 26. The museum is open Thursday through Sunday from 1-4 pm. For more information, contact the museum at 518.835.4400.

August 2, 9 • 7-9pm Johnstown MidSummer Concert Series: August 2 - Sam Whedon & the Unbelievers, funky rock ensemble; August 9 - Annie & The Hedonists, swingin’ folk rock and blues. Charles Jenner Bandshell at West Main Street, Johnstown. In case of rain, shows will take place inside St. John’s Episcopal Church. billackerbauer@gmail.com.

August 3 • 7-8:30pm Caroga Chapel Concerts: Caroga Chapel, 106 Chapel Road, Caroga Lake. Free. info@carogaarts.org.

August 4 • 7pm Sherman’s Revival Series: Sherman’s, Caroga Lake. Featuring Matthew Whitaker Trio and the CLMF Orchestra. info@carogaarts.org.

August 9 • 7-10pm HEATHERS; THE MUSICAL, a rock musical, based on the 1988 cult film Heathers, presented by Colonial Little Theatre, 110-112 North Main Street, Gloversville. $15 with all proceeds from this performance benefit the United Way of Fulton County and its community campaign. Advance tickets available from United Way by calling 518.725.9817, or reserve tickets by calling the CLT box office at 518.762.4325.

August 10-12 Glove City Arts Festival: Downtown Gloversville. Celebration of art including visual art, live performances and spoken word. Venues throughout downtown; map will be available. Open 10am-5pm Friday and Saturday and 10am-3pm Sunday. jenniferj@fccrg.org.

August 14 • 7-8pm Caroga Chapel Concert – Durey Creek Bluegrass Band: Chapel Road, Caroga Lake. No admission; free-will offering to support local church missions. dureycreekbluegrass@gmail.com.

August 17 • 7-8pm Springer’s Farm Exhibition: Springer’s Stables, 128 Lakeview Road, Broadalbin. Drill team and drama on horseback - annual Exhibition which showcases horseback riding students. Free, samsfarm@juno.com.

August 18 • 9am-4pm 32nd Annual Charity Model Airplane Air Show: Behind Rogers Family Orchards, 144 Knoblauch Road, Johnstown. Lazy Eight Radio Control Club annual charity with all gate proceeds to benefit the “Warm The Children” program which provides new warm winter clothing for children of needy local families. Refreshments available. Bring your lawn chairs and cameras. $5per person; under 12 free at gate. rgchizek@yahoo.com. 52 | AUGUST 2018 | WWW.CRLMAG.COM


A&E August 18 • 2-8pm Sherman’s Revival Series - Saunders Fest: Sherman’s Amusement Park, West Caroga Lake Shore Road Caroga Lake. Free. Saunders family, bluegrass musicians and Canada Lake residents, will perform an all-day bluegrass festival featuring Grammy-Award winning bassist Geoff Saunders from The Mark O’Connor Band and banjo player Rob Saunders, joined by several local bluegrass bands. info@carogaarts.org.

MONTGOMERY COUNTY August 4 • 1-10pm City of Amsterdam RiverFest: Celebrate summer at the Riverlink Park, 1 Front Street, Amsterdam, and Mohawk Valley Gateway Overlook Bridge.

August 4 • 4pm Pirate Paddle: Down by the River Kayak Rentals, Erie Terrace, Amsterdam. Coinciding with Amsterdam’s annual River Fest. downbytheriverkayakrentals.com/book-online/pirate-paddle.

August 4, 11, 18, 25 Riverlink Concerts: At Riverlink Park, Amsterdam. Free. August 4 from 8-10pm: Laurie Lewis and the Right Hands, folk and bluegrass; August 11 from 7-9pm: Robbie Fulks, singer and instrumentalist; August 18 from 79pm: Keith Pray Big Soul Ensemble. August 25 from 7-9pm: The Sweetback Sisters, country. riverlinkconcerts.com.

August 7 • 9am-3pm Young Pioneers Program: Fort Klock, 7203 State Highway 5, St. Johnsville. For ages 9-13. Kids will experience frontier life and colonial lifestyles while having fun learning about colonial America trades and skills. Registration required. Space limited. Applications available at the Fort Tuesday-Sunday, 9am-5pm. fortklockrestoration.org.

August 7 • 4-9pm City of Amsterdam National Night Out: Veterans Memorial Field, Locust Avenue, Amsterdam. Annual nationwide community building event to help make the city a safer, better place to live. Vendors,free kids’ activities, free pool entry, police/fire demos, free movie and more.

August 9 • 7pm Summer Music in the Park Series: Haslett Park, Fort Plain. Free. Featuring Spike Brown Band, classic rock and country.

August 11 • 6:30-8:30am Monthly MVGO Morning Bird Exploration and Walk: Amsterdam Southside Boat Launch, Amsterdam Join environmental educator George Steele. Starting at the boat launch on the South Side of Amsterdam and traveling over the Mohawk Valley Gateway Overlook to the Riverlink Park. No experience needed. Binoculars supplied if you don’t have any.

August 12 • 6-7:30pm Not Just for Kids Storytelling: Schoharie Crossing State Historic Site, 129 Schoharie Street, Fort Hunter. Free. Find us on Facebook.

August 17 • 5-9pm Craft Beer Tasting: Bridge Street, Amsterdam. Live music, food, giveaways, and more.

August 17 • 7-10pm Full Moon Music Series: The John Scarpulla Band. Landis Arboretum Meeting House, 174 Lape Road, Esperance. $10; kids 12 and under free. landisarboretum.org.

August 18 • 11am-3pm Classic Car Show, Anniversary Celebration: Fundraiser for Rural Grove Fire Department. At Hummingbird Hills Winery, 1442 Burtonville Road, Burtonville.

August 23 • 2-3pm Northern Forest Exploration with the Utica Zoo: Arkell Museum, 2 Erie

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A&E Boulevard, Canajoharie. Free. Learn about the plants and animals that live in and around the great Northern Forest, the largest intact forest ecosystem east of the Mississippi, and our impact on their environment. Space is limited. RSVP one week in advance is required. Arkellmuseum.org.

August 24 • 5-9pm Sunset Celebrations: Bridge Street and MVGO, Southside Amsterdam. Street shut down; live music outside.

August 25-26 Writing the Watershed: A Literary Arts Festival: Schoharie River Center, 2025 Burtonville Road, Esperance. Family-friendly event. $10 individuals; $25 families Showcasing area storytellers, poets, and nature writers; hands-on workshops for kids; memoir writing workshop; and poetry workshop. Registration for the workshops is $25 per person; registration in advance. schoharierivercenter.org and humanitiesny.org/organizer/schoharie-river-center.

RENSSELAER COUNTY August 1, 8, 15 • 5-8:30pm Rockin' on the River: August 1 - Rubblebucket with special guest And The Kids & Onlyness; August 8 - The Mallett Brothers Band with special guest The North & South Dakota; August 15 - Skeeter Creek with special guest Sydney Worthley. Riverfront Park, Troy. downtowntroy.org.

August 1, 8, 15, 22, 29 • 4-7pm Hoosick Falls Summer Concert Series: Wood Park, Hoosick Falls. Find us on Facebook.

August 1, 8 • 6-8pm Rensselaer Kiwanis Family Summer Concert Series: Behind North End Firehouse, Rensselaer. rensselaerny.gov.

August 1, 8, 15, 22, 29 • 4-7pm East Greenbush Farmers Market: East Greenbush Library/YMCA, East Greenbush, Wednesdays. eastgreenbushlibrary.org.

August 2, 9, 16, 23 • 6:30-8:30pm Schaghticoke Summer Eve's Concerts: August 2 - Skeeter Creek; August 9 - Kyle Bourgault; August 16 - String Theory; August 23 with fireworks - Back 40 Band. Schaghticoke Town Hall, Schaghticoke. Find us on Facebook.

August 3, 10, 17, 24, 31 • 3-6pm Brunswick Community Library's Farmer's Market: Brunswick Community Library, Troy. Fridays through October 12. Find us on Facebook.

August 3, 10, 17, 24, 31 • 4:30-7:30pm

VOTED #1 CHICKEN WINGS Finalist for Pub, Ribs, W. Sand Lake/Averill Park Restaurant

We invite you to come enjoy our award-winning food in the comfort of our renovated 1800s blacksmith shop creek-side in Averill Park. If you are stopping in for drink with friends or a family dinner, we have it all. Try our many barbeque entrees slow-cooked on premises, our award-winning pizza or one of our many home-style entrees. A small private room in our upstairs dining room for that perfect party!

GOOD FOOD ~ GOOD TIMES ~ GOOD FRIENDS

AUGUST ENTERTAINMENT Friday 3 ~ Lucia Levi Saturday 4 ~ Failure To Adjust Friday . 10 ~ DJ Sal Saturday 11 ~ Tapestry Thursday 16 ~ Trivial Trivia Friday 17 ~ 3 Wheel Drive

Saturday 18 ~ Katie Louise Friday 24 ~ Duo + 1 Saturday 25 ~ Hit & Run Thursday 30 ~ Trivial Trivia Friday 31 ~ Laurie Travis

2850 NY 43 • Averill Park • 518.674.3040 • thetownetavern.com 54 | AUGUST 2018 | WWW.CRLMAG.COM

Castleton-on-Hudson Farmers and Artisans Market: Riverfront Park, Castleton-on-Hudson. Fridays through September 28. castleton-on-hudson.org/community/farmers-artisians-market.html.

August 4, 11, 18, 25 • 9am-12pm Poestenkill Farmers Market & Craft Fair: Poestenkill Town Hall, Poestenkill. Saturdays. Find us on Facebook.

August 4, 11, 18, 25 • 9am-2pm Troy Waterfront Farmers Market: Monument Square/River Street, Troy. Saturdays through October 27. troymarket.org.

August 4, 11, 18, 25 • 8:15-10:15pm Outdoor Summer Movie Night: Schodack Island State Park. Saturdays. nysparks.com.

August 4, 11, 18, 25 • 6-8:30pm Powers Park Concert Series: August 4 - Matt Mirabile Band; August 11 - Big Sky Country; August 18 - River Junction; August 25 - Emerald City. Powers Park, Lansingburgh. Find us on Facebook.


A&E August 5, 12, 19 • 6-8pm Summer Concert Series: August 5 - The Tichy Boys; August 12 - Minor Chord; August 19 - Grit-N-Whiskey. Town Hall, North Greenbush. townofng.com.

August 5, 12, 19, 26 • 9-10am Fitness in the Park: Riverfront Park, Troy, Sunday. downtowntroy.org.

August 7, 14, 21 • 6pm Brunswick Summer Concert Series: August 7 - Stray Dogs; August 14 Get Up Jack; August 21 - The Lustre Kings. Brunswick Family Community Center, Brunswick. townofbrunswick.org.

August 11 • 11am-3pm Repair Café: Village Hall, Castleton-on-Hudson. c a s t l e t o n - o n - h u d son.org/community/repair-café.html.

August 11 • 1-2:30pm Wonder Walk: Dyken Pond, Cropseyville. dykenpond.org.

August 11 • 5pm Music Under the Trees: The Hill Hollow Band, Dyken Pond, Cropseyville. dykenpond.org.

August 12 • 8am-2pm 24th Annual Poestenkill Fire Co. Car Show: Poestenkill Fire Dept. 182 Main Street, Poestenkill. poestenkillfire.org.

August 12 • 8am Annual Run for the Roses: Grafton Lakes State Park, Grafton. graftoncommunitylibrary.org.

August 17-19 Celebrate Stephentown: Various locations in Stephentown. A grassroots festival celebrating the rural community of Stephentown. celebratestephentown.com.

August 18 • 4-7pm Summer Gathering of Friends: West Side Drive Dance Band, Wood Park, Hoosick Falls. villageofhoosickfalls.com.

August 29 – September 3 Schaghticoke Fair: Schaghticoke. Opens August 29 at 12pm. Special acts daily. schaghticokefair.com.

August 31 • 5-9pm Troy Night Out - Student Welcome Fest: Downtown Troy. downtowntroy.org.

SARATOGA COUNTY August 11-12 Three Markets – Two Days – One Eclectic Village: Presented by The Woman’s Round Lake Improvement Society and the Markets at Round Lake to benefit the Round Lake Library. Featuring makers, crafters, and artisanal edibles. On the Village Green, 49 Burlington Avenue, Round Lake on August 11 from 9am-5pm and August 12 from 10am-4pm. Wrlis.org.

Clifton Park-Halfmoon Public Library 475 Moe Road, Clifton Park 518.371.8622; cphlibrary.org

August 3, 10, 17, 24, 31 • 10am Academy Award Film Series: August 3 - Darkest Hour; August 10 Phantom Thread; August 17 - Coco; August 24 - Three Billboards; August 31 - Dunkirk.

August 6 • 10am Start & Grow Your Business with ReferenceUSA: Interactive marketing CAPITAL REGION LIVING MAGAZINE | AUGUST 2018 |

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A&E seminar with demonstration of these online resources available to library card holders.

August 8 • 1pm Connecting Threads: Informal quilting group. Open to all.

August 9 • 6:30pm Foreign Film Series: Screening of Akira Kurosawa’s Dreams (1990). In Japanese, French, English.

August 13 • 6:30pm Game-a-thon: Board Games for Adults: Registration required.

August 14 • 7pm Tuesday Evening Book Discussion Group: Discussion of The Rules of Magic by Alice Hoffman.

August 15 • 6:30pm Journaling Workshop (for adults): Registration required.

August 18 • 10am Crafty Adults: Rock Art! Registration required.

August 21 • 6:30pm Pen & Ink Illustration: Manga: Discussion and hands-on demonstration. Open to adults and teens in grades 9 and up; registration required.

August 23 • 2pm Daytime Book Discussion Group: Discussion of Love Anthony by Lisa Genova.

August 23 • 7pm Guided Meditation

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August 24 • 3-5 pm Libraries Rock! Summer Wind Down: Various performances throughout the library. Stop-in program for all ages.

Schenectady County Historical Society schenectadyhistorical.org/tours

August 30 • 7pm

August 7 • 8pm

Concert on the Lawn: Darling Valley: BYO lawn chair or blanket for a concert on the library’s back lawn. If rain, concert will be held inside. Registration requested.

Ghost Stories at Mabee Farm: The campfire will be kindled, s’mores roasted, plus an afterdark tour of the Mabee Farm, Rotterdam Junction, while sharing local ghost stories and tall tales. $8 for each child and adult. Pre-registration requested.

SCHENECTADY COUNTY

August 8 • 10am

August 5, 12, 19, 26 • 10am-2pm Greenmarket: Around City Hall. Check our calendar for special features. schenectadygreenmarket.org

August 2, 9, 16, 23, 30 • 12-1:30pm Jazz on Jay: Jay Street: Free concerts at Jay Street pedestrian area; rain location – Robb Alley in Proctors. August 2 - Art D'echo Trio Featuring Josh Nelson; August 9 - The International Jazz Quartet; August 16 - Rob Aronstein Trio; August 23 - Ben O'Shea New Quintet; August 30 - The Ragtime Windjammers. Free

Audrey Egleston of Amsterdam's Down by the River Tours will be the guide for this kayak tour through Schenectady's history. $20 for rentals, or $10 to BYOB (bring your own boat). Launch site to be announced.

August 16 • 10am The Apprentice at the Mabee Farm: Kids will learn colonial trades. Carpenter and blacksmith shops open for interactive demos. Apprentice kids will then build an authentic model of a Dutch Barn. $15 for each child. Pre-registration requested.

Secret Stockade: Guided walking tour from the museum through the Stockade, and inside two Stockade homes, each with their own legends and lore. Refreshments inside the Stockade’s oldest home, the historic Brouwer House. This tour lasts approximately three hours, and meets at 32 Washington Avenue, Schenectady. $20 registration.

August 17 • 6pm

August 11 • 10am, 12pm, 2pm August 15 • 6pm

Arts & Crafts Festival: At Mabee Farm, Rotterdam Junction. 60 artists and crafters fill Mabee Farm with handcrafted items. $5/person.

Kayak Through History: See Schenectady from a different vantage point: the Mohawk River.

Discover Downtown Schenectady Tour: At Proctors. Explore the history and heritage of Schenectady's downtown streets, down State and Jay Streets, focusing on downtown's salacious stories and impressive architecture. $10, free for members.

August 25 • 10am-3pm

ADVERTISERS DIRECTORY *FG—Fitness Guide ..............................49*

Capital District Podiatry ........................26

Guilderland Animal Hospital ..................32

Orange Theory Fitness ..........................FG

365 Fit ....................................................FG

Capital District YMCA ............................FG

Guilderland Family Dentristy ................19

Adirondack Orthodontics ........back cover

Capital Roots ..........................................38

Heartspace Yoga ....................................FG

Pine Haven/Greene Meadows Nursing & Rehabilitation Centers ..........................43

Albany Complementary Health..............FG

Cheryl Burack, MD ................................28

Houseportraits (tm 1980) ......................35

Albany Dance & Fitness ........................FG

Ciccotti Family Recreation Center ........FG

Howard Hanna Realty/David M Walraed ..52

Albany ENT & Allergy Services..............31

Delmar Dental Medicine ........................29

J. Craig Alexander, DMD ........................26

Albany Indoor Rock Gym ......................FG

Dr. Gerald C. Benjamin ......................9, 25

John Keal Music ....................................41

Albany Medical Center ......................3, 15

Ellis Medicine ........................................18

Joyelles Jewelers ....................................7

Albany Podiatry ......................................30

Empire Neurology ............................17, 21

Jumpin' Jack’s Drive-In ........................57

Animal Protective Foundation ..............32

Enchanted Garden..................................52

Kinderhook Bank....................................33

Arsenal City Kids....................................40

Exit 9 Wine & Liquor ..............................51

KJ's Gymnastics ....................................41

Astrological Concepts............................41

Fagan & Associates ..............................56

Laberge Massage Therapy ....................17

Attentive Care Services ........................42

Focusmaster Fitness..............................FG

Lap of Love ............................................33

Ávila Independent Retirement Community ..44

Free Movement Pilates ..........................FG

Lozman Orthodontics ............................23

Bella Napoli Bakery................................55

Fulton County Tourism ..........................53

MacHyden Theatre, Inc. ........................35

Best Doctors, Inc. ............................10-11

Gershon's Deli ........................................58

McGinnis Women's Medical Care..........24

Bethlehem Terrace ................................52

Ghent Wood Products ............................54

Mohawk Hudson Humane Society ........33

Buttermilk Falls Inn & Spa ....................53

Glens Falls Hospital................................31

Munson William Proctor Art Institute ..39

CapCom Federal Credit Union ....inside front

Good Choice Dog Training ....................32

Neu Studios, LLC ....................................13

Capital Cardiology Associates ..............22

Good Karma Studio ................................FG

Old Daley Catering ..................................5

Randy Cale, PhD ..............................27, 41 Rensselaer County Tourism ..............4, 56 Saratoga PLAN ......................................45 Saratoga Springs Plastic Surgery PC ..7, 28 Schenectady Dog Training Club ............33 Season's Supply Co. ................................8 South End Powder Coating ....................52 SriSiam Thai Restaurant........................55 St. Peters Health Partners ......inside back The Barnsider ........................................51 The Furniture House ..............................42 The Pilates Principle ............................FG The Spinney Group ................................44 Top Form Fitness....................................FG Towne Tavern ........................................54 Uptown Optometry ................................42

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LAST PAGE john gray

The August place to be

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ot so long ago, I found myself at the horse racing track in Saratoga waiting in line for the bathroom. The men's room was adjacent to the paddock area where the horses are walked around before they race. Like everyone else, I leaned on the white fence, rested my chin on the top rail and watched the horses walk in circles. A man to my right had his program clutched in his fist and let out an unmistakable, "YES" right before taking a tiny pencil and jotting down the horse's number. Seeing he was so excited, I asked, "Did I miss some­ thing?" He then pointed at the grass, lowered his voice and said, "See that, right there? Number five just pooped." OK, I thought to myself, I'm standing next to a crazy man who rejoices when animals defecate. Sensing I was ready to call security to come capture him with a net, he added, "They run faster right after they go. It's a proven fact. I'd bet him cause he's gonna fly." For the record I did bet the horse and he came in third; perhaps the other horses made poopy as well. Why in God's name am I sharing such a vulgar story with you? Because this is the August issue of the magazine and around these parts August means a trip to Saratoga and the race track. In fairness, watching horses run in a circle is not for everyone so if you despise the sport, this is the part where you should hop off the train. If you are still reading, I thought I might share some wisdom I've picked up over the last 40 years of going to the track, things that might save you time, embarrassment and money. Crowds: If you enjoy bumping into sweaty guys named Rocko then you should definitely go to the track on Friday, Saturday or Sunday. The days with the big feature races or track giveaways are always the busiest and that usually means the weekend. The more money you are willing to spend, the less likely you'll be squished in with everyone. The grandstand is always the craziest, the club house less so but if you enjoy comfort, I highly recommend saving your pennies and sitting in a restaurant at the track like the Turf Terrace. No, it's not cheap but you can feel like a big shot for a couple of hours. Parking: Two things I have to tell you about this and both are impor­ tant. The first is pay attention to where you put the car, especially if you are going out afterwards. I'll never forget one of the first times I went to the track. I found myself looking for parking when a nice man with a flag waved me into his back yard. As you know, many homeowners use their property to park cars and make a small fortune. So I parked and went to enjoy the day. After the track closed, my friends and I went to Siro's restaurant nearby and around 9pm, after dark, I went to find my car. What street was I on 12 hours earlier? Hmm, not so sure. Once I found the right street, which house was I behind? No clue. I found myself wan­ dering in strangers’ backyards hoping to trip over my car in the dark. So pay attention where you park. I like to take a photo the house before I go into the track in case I forget.

58 | AUGUST 2018 | WWW.CRLMAG.COM

Photo by Mike Brown - Imagenation

Second piece of advice on parking: Just pay more. Don't park a mile away hoping to save 10 bucks, especially if you are about to blow 100 bucks gambling. Just park close, pay more and thank me later. Gambling: As the sign says, "Bet with your head not over it." If you treat the day as entertainment, then losing 20 bucks on a race or paying $8 for an adult beverage won't bother you so much. If you find yourself yelling expletives at the jockey after the race as he tries to make his way back to the silks room, you probably should find a different way to spend your Wednesday afternoon. As for betting, my advice is simple. Pick a horse that should win and put him with one that probably shouldn't and bet that. It's called an exacta wager and when they come in they pay a nice little purse. Just always remember to tell the person taking the wager to "box it." If you don't know what that means, ask Rocko. People watching: Oh, this is the best part of the track. I could sit for hours just watching people stroll by and, trust me, you see everything. A horse track is one of the few places on the planet where you'll literally see a millionaire next to a guy who doesn't have cab fare home. Just remember three rules in Saratoga: No hat that’s too big, no sports coat too loud, and if you see a man with a woman half is age she’s probably not his daughter. Yikes, it's time to go. Now where did I park my car? John Gray is weekly columnist for the Troy Record and the Saratogian newspapers and news anchor at ABC 10 and FOX 23. He can be reached at johngray@fox23news.com.


CRL August 2018  
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