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Established 2003
vikki moran
Ironically, 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 featuring 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 diagnostic 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 outdoor 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 skiing in a specific howto, whereto, whento basis and start this month with races. With the summer months passing quickly now and school on the horizon, 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 shorter. 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.
In memorial Jill Stewart Narrow
Dear friend, mentor, and Capital Region Living Magazine’s writer covering her beloved Berkshires
Gratefully yours, Vikki Moran
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.
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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
SCOTT BRADLEY GROUDINE
Albany Medical Center Department of Anesthesiology
43 New Scotland Ave Albany, NY 12208
Phone: 518-262-4300
Cardiovascular Disease
LINDA J. CUOMO
Crystal Run Healthcare Division of Cardiology 1200 Rte 300 Newburgh, NY 12550
Phone: 845-725-0100
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
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
MARC ANDREW JUDSON
Albany Medical Center Division of Pulmonary & Critical Care Medicine
16 New Scotland Ave, 2nd Fl Albany, NY 12208
Phone: 518-262-5196
Endocrinology and Metabolism
ROBERT S. BUSCH
Albany Med Faculty Physicians
The Endocrine Group 1365 Washington Ave, Ste 300 Albany, NY 12206
Phone: 518-489-4704
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
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
Internal Medicine
JILL BRAVERMAN-PANZA
St. Peter's Health Partners
Medical Associates
Braverman-Panza Internal Medicine 1375 Washington Ave, Ste 202 Albany, NY 12206
Phone: 518-482-0007
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
CARMEN GIULIANO
1 Pinnacle Pl, Ste 100 Albany, NY 12203 Phone: 518-489-1109
JEAN M. MCMAHON
Occupational and Environmental Health Center of Eastern New York 1873 Western Ave, Ste 100 Albany, NY 12203 Phone: 518-690-4420
JOHN D. ROSENBERGER
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
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
ROBERT DROPKIN 6 Executive Park Dr Albany, NY 12203 Phone: 518-489-7439
BRUCE A. MORRIS
Albany Medical Center Division of Maternal & Fetal Medicine 391 Myrtle Ave, 2nd Fl Albany, NY 12208 Phone: 518-262-4942
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
Glaucoma Consultants of the Capital Region
1240 New Scotland Rd, Ste 201 Slingerlands, NY 12159
Phone: 518-475-7300
GEORGE O. STASIOR
Albany Eye Physicians & Surgeons
930 Albany Shaker Rd, Ste 102 Latham, NY 12110
Phone: 518-220-1400
Orthopaedic Surgery
ALLEN LAURENCE CARL
Albany Medical Center
Comprehensive Spine Center 391 Myrtle Ave Albany, NY 12208
Phone: 518-262-5226
JOHN A. DIPRETA
Capital Region Orthopaedics 1367 Washington Ave, Ste 200 Albany, NY 12206
Phone: 518-489-2666
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
JEFFREY LOZMAN
Capital Region Orthopaedics
1367 Washington Ave, Ste 200 Albany, NY 12206
Phone: 518-489-2666
RICHARD UHL
Capital Region Orthopaedics 1367 Washington Ave, Ste 200 Albany, NY 12206
Phone: 518-489-2666
Otolaryngology
STEVEN M. PARNES
Albany Medical Center
Division of Otolaryngology
Surgeons Pavilion, 4th Fl
50 New Scotland Ave
Albany, NY 12208
Phone: 518-262-5575
STANLEY M. SHAPSHAY
Albany Medical Center
Division of Otolaryngology
Surgeons Pavilion, 4th Fl 50 New Scotland Ave Albany, NY 12208
Phone: 518-262-5575
Pathology
TIMOTHY JENNINGS
Albany Medical Center
Department of Pathology
43 New Scotland Ave Albany, NY 12208
Phone: 518-262-5454
JEFFREY S. ROSS
Albany Medical Center
Department of Pathology
43 New Scotland Ave
Albany, NY 12208
Phone: 518-262-5471
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
STEVEN A. KAMENIR
Capital District Pediatric Cardiology Associates
319 S Manning Blvd, Ste 203 Albany, NY 12208
Phone: 518-489-3292
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
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
JITKA LUDMILA ZOBAL-RATNER
Lions Eye Institute
Children's Medical Eye Consultants
1220 New Scotland Rd, Ste 202 Slingerlands, NY 12159
Phone: 518-533-6502
Pediatric Orthopaedic Surgery
RICHARD UHL
Capital Region Orthopaedics
1367 Washington Ave, Ste 200 Albany, NY 12206
Phone: 518-489-2666
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
RUBIA KHALAK
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
UPENDER K. MUNSHI
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
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
ANGEL RIOS
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
Pediatric Urology
BARRY ALLAN KOGAN
Urological Institute of Northeastern New York South Clinical Campus 23 Hackett Blvd Albany, NY 12208
Phone: 518-262-3341
Pediatrics/General
WILLIAM J. FEENEY
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
PAUL E. GAFFURI
Slingerlands Pediatrics 1240 New Scotland Rd, Ste 203 Slingerlands, NY 12159
Phone: 518-478-9423
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
HARRY S. MILLER
Four Seasons Pediatrics 532 Moe Rd Clifton Park, NY 12065
Phone: 518-383-2425
MICHAEL P. MORIN
CapitalCare Pediatrics Albany
6 Executive Park Dr
Albany, NY 12203
Phone: 518-641-6319
HENRY M. NEILLEY
Shaker Pediatrics 10 Century Hill Dr, Ste 5 Latham, NY 12110
Phone: 518-783-5563
MICHAEL P. SONNEKALB
CapitalCare Pediatrics Guilderland 3732 Carman Rd Guilderland, NY 12303
Phone: 518-356-4132
KAREN SPINELLI
CapitalCare Pediatrics Schenectady 700 McClellan St Schenectady, NY 12304
Phone: 518-372-5637
Pulmonary Medicine
MARC ANDREW JUDSON
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
Albany Stratton VA Medical Center Department Radiation Oncology 113 Holland Ave Albany, NY 12211
Phone: 518-626-6650
Rheumatology
JOEL M. KREMER
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
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
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
Thoracic Surgery
LEWIS W. BRITTON III
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
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
“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*
You make an appointment to see your primary care physician (PCP) for a feeling of mild pressure in your chest that you have noticed recently. Your doctor performs an electrocardiogram (ECG) which you are told is normal, 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 disease. 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 medical provider’s number one priority is to make sure the symptom is not a signal of underlying heart disease—more specifically, of plaque (composed of cholesterol and inflammatory cells) clogging the blood vessels that carry oxygenated blood to the heart muscle. Heart related symptoms 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 evaluation 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 procedure, 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 standard”) 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
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 minutes, and evidence of lack of blood flow (presumably from a blocked artery) is suspected based on changes in the ECG during exercise or development of symptoms during exercise. The benefit of this type of test is that it is fairly simple to perform; 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 perform 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 misconception made by patients is that the “stress medication” 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 information to stress tests and also that it is easy to perform in patients who cannot exercise. The drawbacks are that it does involve a small dose of radiation and it takes several hours of time to complete 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 camera 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 radioactive 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 blockage. 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 injected 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 different 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 perspective, the nuances of the tests can be confusing 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 question: “Do I need to be worried?”
*Dr. Sullenberger is a physician with Capital Cardiology Associates, capitalcardiology.com.
Advances in oncology focus on person-centered treatment
By Beth Krueger
Each 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 improvements in the years ahead to aid in the care and treatment of patients with cancer.
Radiation and oncology
Justin Juliano, MD, boardcertified in radiation oncology, notes that cancer patients receive a multimodal approach to treatment that may include such measures as surveillance, medicine, and radiation – all complementary 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 software 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 alignment. 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 important,” 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 exciting 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” treatment, 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 reengineering 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.
Developments in dentistry
Technology and patient experience
By Beth Krueger
Film in a camera. Now, there’s a blast from the past! Remember the anticipation of getting the photos back from processing to see what you’d captured?
As you may have experienced, dental professionals have moved on from the film era, too. Digitized Xrays have become a familiar process in many dental offices. Here, an electronic 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 comparing what’s going on in your mouth with Xrays in the past or future. The process takes less time than the film processing method and considerably less radiation is used since the sensor is more sensitive. Digitized Xrays result in more enhanced images all the better to spot problems 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 tissues, nerve pathways and bone. This collection of pictures comes together into a threedimensional image. The rotation is done in less than a minute. It’s a big leap forward in technology, providing valuable and more extensive information for the dentist/oral surgeon in treatment planning for certain orthodontic concerns 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 handpiece, 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 computer 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 computerized 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 perform 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 thousand 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 opportunity 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 promote prevention as much as possible and to enhance effectiveness and efficiency of procedures and the patient’s experience.
MEDICAL PROFILES
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
Lance Sullenberger,
MD, FACC, FACP, FSCCT • Jeffrey Uzzilia, MD, FACC, FASE
Capital Cardiology Associates • Enhanced Cardiac Access
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.
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:
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.
Photo by Fred Neudoerffer. NeuStudios, LLC
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
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
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
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
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.
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.”
CONTACT INFORMATION:
7 Wells Street, Suite 303 Saratoga Springs 518.583.4019 yarinsky.com
Aldridge Photography
Thomas H. Abele, DMD, FAGD
Delmar Dental Medicine
SPECIALTY: Dental implants, oral surgery and restorative & cosmetic dentistry
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.”
“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
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 everywhere 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 support, 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
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 individual 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 prefabricated 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 comprehensive 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.
Advances in the treatments of pet cancers
By Vikki Moran
We went out to some of our area’s “Bestie” veterinarians for two questions about the detection and latest developments in treatments to bring our many petloving readers the answers to these sobering 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 medicine uses. Routine blood work, urine analysis, radiographs, ultrasound, fine needle aspirations 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
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 continuous 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 neoplasm or growth on tissue, of the dog’s eye.
All cases of oral melanoma should be considered malignant and potentially fatal, regardless 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 suspicious (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 lymphoma 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 product 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 identification is for our pets. “When cancer is suspected, diagnostic imaging including Xray, ultrasound, CT, and MRI needs to be completed promptly,” Dr. Mike notes.
Once the diagnosis is made, treatments include surgery, stereotactic radiosurgery, conventional 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.
Insiders’ guide to Saratoga Race Course
By Frankie Geremski
Just imagine being able to go in the huddle 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 worldclass. Make no mistake, the epicenter of summer 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 “insider” 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 traveled 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 parading 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 neighboring 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 similar reasons. Many of them spend most of the summer here on a working vacation. Some have decided to live here, and that’s the ultimate compliment to our community. This is an integral reason as to why we have such quality
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 throughout our 40 racing days. Graded Stakes are valued 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 dashing 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 generated 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 clubhouse and grandstand to the Jockey Room following 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
Photos by Michael Zappala
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 scenic 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 handicapper 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 courtyard, 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 colorful 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 outfit? 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 certain 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; museum 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!
Lions, camels and birds–oh my
Exploring the Utica Zoo
By Dani Testa-Sgueglia
by
Photo
Mark Simon
Who doesn’t love a good zoo? As a mom of three small boys, I am constantly 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 wonder 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 difficult to do.
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 currently developed and there are major plans to continue to grow and improve the zoo.
On the day we went, there were a few exhibits that were closed because of construction and improvements that are being made. We could not see the primates due to their getting 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 accreditation 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
Photo by Dani Testa-Sgueglia
The wild bunch
Giggles wth excitement was the soundtrack 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 highlight 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.
After the lions, we started on the North Trek Nature Trail. This interactive, natural trail experience is great. There are animal enclosures along the path featuring Mexican Wolves, Arctic Fox and Canadian Lynx. The best parts are the little experiences for children 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 turnarounds 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 centrally 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 improvements, 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 children 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.
Photo by Mark Simon
The busy parent's guide to weekday meals
It'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 providing 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
way through a homecooked recipe. You can order take out from most any restaurant these days, but Applebee's adds an extra layer of convenience 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 making delicious and nutritious meals that match your skill set and tastes. If you want to wow your family with culinary masterpieces, consider some quick and easy takeout options.
5. Embrace leftovers. If you're already in the kitchen cooking, why not add more ingredients to the pot so you can have extra meals to eat through the week? Or, instead of ordering 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.
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.
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 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.
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!
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.
Market volatility continues
As 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 driveway in the winter or water your lawn during the summer?” More specifically, 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 experience 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 outcome 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 negative 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
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 investment 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 investment 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 committing 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.
Teaching a child to be compassionate to a sick family member
There 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 character 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 obstacles 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 parents, 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 parents 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 struggling 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 teaches 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 bedtime 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.
Sun Sign Forecast
Best days in August 2018: 20th, 25th and 31st. Begin a diet on August 26th.
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 problems 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 personal 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 without selfcriticism.
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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 reconsider new studies that will help further your career or the equivalent.
Sagittarius: (November 22 to December 21)
Philosophy on life, intuitive guidance and mental aspirations 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)
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Attention to health, solving problems and functioning 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.
CAPITAL REGION FITNESS GUIDE
ALBANY
Albany Complementary Health 2021 Western Avenue, Suite 103, Albany 518.333.0506 • albanycomplementaryhealth.com
HEALTHY TEQUILA RECIPES ;-) courtesy of Viva XXXII Tequila
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.
I Don’t Carrot All
Ingredients
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!
Shake to the Beet
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.
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.
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
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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.
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.
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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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
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!
AUGUST ENTERTAINMENT
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 14Get 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. castleton-on-hudson.org/community/repair-café.html.
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 10Phantom Thread; August 17 - Coco; August 24 - Three Billboards; August 31 - Dunkirk.
August 6 • 10am
Start & Grow Your Business with ReferenceUSA: Interactive marketing
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 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
August 24 • 3-5 pm
Libraries Rock! Summer Wind Down: Various performances throughout the library. Stop-in program for all ages.
August 30 • 7pm
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.
SCHENECTADY COUNTY
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
Attentive Care Services ........................42
Ávila Independent Retirement Community 44
Bella Napoli Bakery 55
Best Doctors, Inc. 10-11
Bethlehem Terrace 52
Buttermilk Falls Inn & Spa ....................53
CapCom Federal Credit Union ....inside front
Capital Cardiology Associates ..............22
Schenectady County
Historical Society
schenectadyhistorical.org/tours
August 7 • 8pm
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.
August 8 • 10am
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 11 • 10am, 12pm, 2pm
August 15 • 6pm
Kayak Through History: See Schenectady from a different vantage point: the Mohawk River.
Capital District Podiatry ........................26
Capital District YMCA FG
Capital Roots 38
Cheryl Burack, MD 28
Ciccotti Family Recreation Center ........FG
Delmar Dental Medicine ........................29
Dr. Gerald C. Benjamin ......................9, 25
Good Karma Studio ................................FG
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.
August 17 • 6pm
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
Arts & Crafts Festival: At Mabee Farm, Rotterdam Junction. 60 artists and crafters fill Mabee Farm with handcrafted items. $5/person.
Guilderland Animal Hospital ..................32
Guilderland Family Dentristy 19
Heartspace Yoga FG
Houseportraits (tm 1980) 35
Howard Hanna Realty/David M Walraed ..52
J. Craig Alexander, DMD ........................26
John Keal Music ....................................41
Not 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 something?" 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 important. 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 wandering 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.
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.
