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911 TAKE ONE FREE

A look inside the emergency services & urgent care offerings in our region A special section of the

March 2019 Section E • Callicoon, NY


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Narcan saving hundreds of lives BY ISABEL BRAVERMAN

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s the opioid epidemic hits Sullivan County, countless organizations and community members are rallying together to try and stop it. Unfortunately, it is the sad truth that it has taken a toll on our community; there are two to four deaths per month from drug overdoses. Organizations such as the Department of Public Health, law enforcement, Catholic Charities, and many more are working together to lead initiatives. One of those is the Access to Care, in which an addict can approach any law enforcement or go into a police station and receive help. The county coroner’s office and EMS are starting a database to track overdoses in the county. In addition to these initiatives, many people, from law enforcement to regular citizens, are being trained to use the medication Naloxone, also known by the brand name Narcan. Naloxone is a medication designed to rapidly reverse opioid overdose. It is an opioid antago-

nist—meaning that it binds to opioid receptors and can reverse and block the effects of other opioids. It can very quickly restore normal respiration to a person whose breathing has slowed or stopped as a result of overdosing with heroin or prescription opioid pain medications. Narcan Nasal Spray is the first and only FDA-approved nasal form of Naloxone for the emergency treatment of a known or suspected opioid overdose. Narcan Nasal Spray counteracts the life-threatening effects of an opioid overdose. Since most accidental overdoses occur in a home setting, it was developed for first responders, as well as family, friends, and caregivers—with no medical training required. According to Public Health Director Nancy McGraw, hundreds of community members have been trained and provided with Narcan kits, including firefighters, nurses, social services workers, probation officers and mental health professionals. “Having the Narcan training pro-

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Naloxone kits are available over the counter at most pharmacies.

gram at Public Health since 2014 has greatly expanded the availability of this life-saving opioid reversal medication. Our staff in collaboration with our law enforcement and EMS partners has potentially saved hundreds of lives,” McGraw said. Narcan was designed to be easy to use without medical training, is available from your pharmacist without a prescription from your doctor, and is covered by most major insurance plans.

The medication is available in 2,000 pharmacies in the state, and the New York State Department of Health has a pharmacy benefit for all New Yorkers who have prescription coverage through their health insurance plans: the Naloxone Co-payment Assistance Program (N-CAP), which can offset the cost of a copay. For more information contact the Sullivan County Department of Public Health or visit www.health.ny.gov/statistics/opioid.

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CRMC continues Emergency Care Institute

Thank You

STORY AND PHOTOS BY MATT SHORTALL

Sullivan County Fire Fighters & Emergency Services

Registered Nurse and Instructor Charles Lee Miller said that in situations where ALS and EMS are first on the scene of a life threatening situation, their training can make a big difference.

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n their continued effort to work alongside local communities, Catskill Regional Medical Center (CRMC) has brought back its Emergency Care Institute, a series of free courses aimed at assisting and training local first responders and emergency personnel throughout the county. Classes run from 7 p.m. to 10 p.m. on the third Thursday of the month. They take place in CRMC’s second floor board room in the Ambulatory Surgery Building. “Our hope is to keep the Sullivan County EMS providers certified,” said Chip Dunham, administrator of Emergency Services at CRMC. “It’s very difficult to obtain those certifications without traveling a great distance, so we’re trying to bring that closer to home.” On Thursday, March 21, more than a dozen members of local ambulance companies, the American Legion and

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Anthony Laruffa (left) and Cody Buchanan participate in an emergency medical call training drill with a volunteer patient during CRMC’s Emergency Care Institute.

Advanced Life Support (ALS) responders attended a class on a wide range of topics including pharmacology, emergency medications, immunology, toxicology, endocrine and neuro-

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logical health. Attendees performed training scenarios where they rushed to a volunteer outside of the classroom having an emergency medical event. They tried to assess the problem and stabilize the patient until more help could arrive or until they could get the volunteer to a hospital. “Trained responders being there early makes a difference,” said Charles Lee Miller, a registered Nurse in the CRMC Emergency Department and one of the ECI instructors. These classes are an important resource for those seeking their New York State required Continuing Medical Education Core Content. For more information or to register, contact Barbara Horton at 845-7943300 ext. 2250.

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National Canoe Safety Patrol has long legacy of volunteer heroes STORY BY MATT SHORTALL

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very summer, The National Park Service estimates a quarter of a million people visit the Upper Delaware River. Stretching more than 70 miles between Hancock and Port Jervis, these waters attract canoe and kayak paddlers, rafters, fishermen, hikers and swimmers of every skill level. For the past 40 years, the National Canoe Safety Patrol (NCSP) has kept vigilant watch over those enjoying the Upper Delaware. They offer advice to paddlers and training for their volunteers who have saved someone’s life on more than one occasion. After four decades, the NCSP is stronger than ever and looking forward to an eventful anniversary year. An entirely volunteer organization with more than 80 members, the

NCSP has been sustained by the passion and dedication of those involved.

A Look Back The NCSP was founded in 1979 by a group of individuals who were drawn together by their common love of being on the water. “They met on the river,” said Commodore Marc Magnus-Sharpe, who started paddling with NCSP around 2005 and has been involved in an official capacity since 2007. “Folks were coming from all over and they began to see each other on a regular basis.” Sharpe said this original group of paddling enthusiasts stepped up to fill a need they saw as lacking - safety. Founding member Chris Nielsen was already well-connected within the American Canoe Association and

the American Red Cross. He was also a member of the Mohawk Canoe Club and the Garden State Canoe Club in New Jersey. In response to the horrific reports of drownings along the Upper Delaware, Nielsen drew volunteers from his friends in several other Canoe and Kayak clubs across New York and New Jersey to form a unified patrol. So it came to be that 1979 was the first season of the National Canoe Safety Patrol. The following year, in 1980, the National Park Service established a greater presence in the area.

A 39-year partnership Ingrid Peterec, chief of interpretation for the UPDE S&RR National Park Service, says they work hand-inhand with the NCSP. Peterec works with all the visitors services for the National Parks

CONTRIBUTED PHOTO

The NCSP celebrates 40 years of service

Service, including education programs, social media outreach and interacting with visitors. Peterec has acted as a liaison between the National Parks Service and the NCSP since she started some 25 years ago. “The NCSP is really an integral part of our summer operations,” Peterec said. For the Parks Service, their busiest season runs from Memorial Day through Labor Day. “It’s very busy during that time, and most of our visitors are coming up from the metro-

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politan areas of New York City and New Jersey.” Her division is pretty small, including 5 seasonal employees and 8 interns. That gives them little more than a dozen people to staff river access points and patrol the parks. “That’s where the NCSP comes in,” Peterec said. “They’re really taking on that workload that the Park Service just can’t do because we don’t have the staffing.”

Volunteers make a difference Donna Ford started paddling with the group in 1988 when she became inspired by the mission behind the organization. Like the majority of the NCSP’s more than 80 volunteers, when not on the river, Ford hangs up her paddles and goes back to her day job, which is as a cosmetic chemist. Volunteers come from a variety of professional backgrounds, including IT specialists, teachers, construction workers and corporate executives. Ford has many stories and memoPLEASE SEE CANOE, 8E

CONTRIBUTED PHOTO

More than 80 volunteers help the National Park Service make Upper Delaware River a safer place for the more than 250,000 people who visit the area each year.

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Covering many miles According to Sharpe, the NCSP has volunteers out on the river every weekend from the beginning of May until early October. Volunteers meet up early in the morning at the Zane Grey Museum located near the confluence of the Lackawaxen and Delaware Rivers. They then sign in and assign volunteers to the areas that have the greatest need. Sharpe says a core group always travels up to Skinners Falls, a popular

spot for rafters and swimmers alike. They also patrol the calmer waters around 10-mile-river and then Cedar Rapids beyond that. According to Sharpe, Shohola rapids near Barryville can be a dangerous spot where they see a lot of capsizing. If 15 volunteers show up for the weekend, they’re divided among different parts of the river where they stay for a while. As the day proceeds, they paddle down to the next set of rapids, shifting downriver until they eventually get to Matamoras. “By the

CONTRIBUTED PHOTO

NCSP Volunteers attend a spring training weekend every year to refresh themselves on skills and techniques as they get ready for the busy season ahead

CANOE continued from 7E ries from her more than 30 years volunteering with the NCSP. Ford and two other volunteers once pulled a father and son from the 40-degree water south of Skinner’s Falls after they swamped and capsized their canoe. The 11-year-old boy went into full hypothermia and had to be kept warm until the Parks Service could reach them with a vehicle. “We were very fortunate that there were no seri-

ous injuries from that,” Ford said. “Those are the stories that we’re always happiest about.” Ford recalled a less fortunate incident when a search and rescue operation became a recovery mission. “You try to put those out of your mind and focus on the times that we got everyone out.” Sharpe emphasizes the most important thing anyone can do on the river is wear your life jacket.

CONTRIBUTED PHOTO

Volunteers do their best to patrol much of the 70 miles of river between Hancock and Port Jervis.

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In the interest of maintaining their ranks of dedicated volunteers and sparking a lifetime of service and satisfaction among younger generations, the NCSP has founded the Richard Rhodes Scholarship Fund. Rhodes was not only one of the founding members of the NCSP, but also the longest tenured commodore the organization has had. In his later years Rhodes ran the mentorship program for NCSP. The fund named in his honor is to collect well-used gear and clothing that members donate at spring training for younger recruits. By granting these materials a “second life,” it’s easier for those people who want to get involved but may have limited resources to do so. The group seeks more local participation from the many communities along the river. “We invite anyone to come join our volunteer organization. You’ll learn valuable skills, provide an important service, and have a great time on the river while you’re at it. Our members range in age from teens to paddlers in their 80’s. There’s room for high schoolers to retirees and everyone in between,” says Sharpe. For more information on the NCSP or to get involved, visit www.nationalcanoesafetypatrol.wordpress.com

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Since technology and methods are constantly evolving, the NCSP’s annual spring training events are more important than ever before. The 2019 Spring training event will take place May 3 - 5 at Luke’s Landing, Cedar Rapids and Shohola Rapids in Barryville. Those participating in training exercises practice strainer drills, river first aid and river rescue scenarios. Each NCSP member must maintain certification in CPR/AED and First Aid. Those interested in attending the spring weekend training will have the opportunity to earn their certification cards and patrol with other volunteers throughout the season. “No matter how long you’ve been in the organization, we encourage everyone to come to spring training so they can refresh their skills and get warmed up for the season,” Ford said. “We can’t promote safety or help someone if we’re not safe ourselves.”


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Crystal Run Healthcare:

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or over two decades, Crystal Run Healthcare has been a pillar in the Hudson Valley and Lower Catskill region – providing first-class care to all patients whenever and wherever they need it. Our unique model of care seamlessly integrates Primary Care, Urgent Care, and dozens of specialties in a multitude of locations throughout the area. Our practice serves over 350,000 distinct patients – reinforcing Crystal Run’s position as a vital gateway to health services for individuals and families living here. We care about our patients and the community we call home. We are one of the largest employers in the region, with 22 locations and 2,700 employees. We’ve reinforced this commitment to caring by partnering with local organizations and donating hundreds of thousands of dollars annually to local and national charities that support health-related causes, medical research, and youth education. As leaders, we are focused on improving the health of our population and turning the tides to make Sullivan County a healthier county. Our innovative approach has created a strong culture of health and wellness that will serve our community now and in the future. That is why we are committed to addressing the critical needs of our population regardless of their ability to pay for medical treatment. Sullivan County deserves better health outcomes, and that's what Crystal Run offers at our world-class facilities, and through our top-rated physicians and medical professionals.

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Convenient Access to Care That You Can Trust Why choose Crystal Run? We offer our patients a seamlessly coordinated and convenient approach to health care, bringing together more than 50 medical and surgical specialties. In addition, our offices have advanced diagnostic imaging services and lab testing available under one roof. Crystal Run’s doctors are consistently the top-rated providers in the region – nearly 60 Crystal Run physicians were selected as 2018 Top Doctors in the Hudson Valley by Castle Connolly in over 25 medical and surgical special-

ties. Crystal Run has also been voted the Best Family Practice by the Times Herald Record’s Readers’ Choice Awards for 6 years in a row, and provides the highest-rated care in all categories. Our Urgent Care centers offer convenient, walk-in care without the need for an appointment. And, for non-life-threatening issues, our Urgent Care centers are an affordable alternative to the Emergency Room. We offer fully-accredited state-ofthe-art diagnostic imaging services right onsite– including CT, MRI, Xray, and Ultrasound – in addition to IV hydration, sutures, wound care, and injections. In 2014, our Urgent Care center in Sullivan County became the first in the county to be recognized as an Accredited Urgent Care Center by the UCAOA, and the only private practice Urgent Care in the region to be accredited by The Joint Commission and an Accredited Urgent Care Center. But we are just getting started. Thanks to our new partnership with Montefiore Health System, Crystal Run is leading the way in revolutionizing healthcare in our region. Whether it’s specialized cardiac specialists or cancer care – you now have even more access to the best that the health care system has to offer – all with the goal of living longer and healthier lives. This partnership offers our patients access to world-class services and highlytrained experts that are conveniently accessible without having to leave the community. High-Quality Care, Close to Home When families in the region need high-quality and compassionate care close to home, they turn to the toprated doctors at Crystal Run. For over 20 years, we have provided the care that you trust and the services you need. Crystal Run has the experience, expertise, and world-class, integrated care you can rely on to ensure better care, better health, and lower cost. We will always work to serve you and your families for years to come, paving the way for a healthier Sullivan County. For more information about Crystal Run, visit our website at www.CrystalRunHealthcare.com.


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STABILITY AND STRENGTH

We thank our First Responders and Emergency Medical Personnel for all that they do for our communities.

You rely on strength and stability when youâ&#x20AC;&#x2122;re in harmâ&#x20AC;&#x2122;s way. Stability and strength are also important when it comes to protecting your assets and personnel.

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SULLIVAN COUNTY DEMOCRAT

Congratulations to the Cochecton Volunteer Ambulance Corps. on 50 years!

MARCH, 2019

Cochecton Volunteer Ambulance celebrates 50 years of â&#x20AC;&#x153;peace, love and ambulance callsâ&#x20AC;?

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CONTRIBUTED PHOTO

Cochecton Ambulance in front of shared station with Lake Huntington Fire Company. BY APRIL BUNNY WHITE

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We thank you all for your dedication & service to our local communities!

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â&#x20AC;&#x153;The Cochecton Volunteer Ambulance Corps was incorporated on December 8th 1969, according to our records from 25 year historian Mary Martin. The first ambulance

WHAT DOES CVAC DO? â&#x20AC;&#x153;Weâ&#x20AC;&#x2122;re dispatched by approximately 150-180 911 calls per year throughout the Town of Cochecton. We proudly standby for the Sullivan West football games, and we very much enjoy training for unique situations that may arise to keep our skills and knowledge fresh and up to date. Last

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ecember 1969 would be forever remembered by all those present to witness the momentous eventâ&#x20AC;Ś when â&#x20AC;&#x153;Aliceâ&#x20AC;&#x2122;s Restaurantâ&#x20AC;? was released by Arlo Guthrie. It was also coincidently, the same time that the Cochecton Volunteer Ambulance Corps (CVAC) was founded to serve the residents of the Town of Cochecton. Interviewing Captain April White, Lieutenant Michael Bruce, and volunteers, they had plenty to share about the history and legacy of Cochecton Volunteer Ambulance.

they used was donated from Civil Defense, and they had it repaired and painted at BOCES in Liberty. Equipment to stock the ambulance came from the Ott Tegler funeral home in Damascus, and our first call was on February 6th 1970. Our first station was purchased in May of 1970 along the shore of Lake Huntington, and we remained there until 2010, when we bought the current building on County Road 116 with the Lake Huntington Fire Company.â&#x20AC;?

CONTRIBUTED PHOTO

The â&#x20AC;&#x153;Originalâ&#x20AC;? Cochecton Ambulance squad circa 1970.


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SULLIVAN COUNTY DEMOCRAT

MARCH, 2019

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CONTRIBUTED PHOTO

WHAT TO KNOW ABOUT CVAC

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Thank you to all our dedicated First Responders!

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“We can’t help but stress the importance of people of all ages, interests, and abilities to come see how they can help in giving back to our community.” EMT William Blush added “It’s a rewarding feeling knowing that I am part of something that volunteers have been doing for fifty years before me.

“Aside from volunteering, the best thing we can ask of people in the community is to please, please, please number your houses with large, bright, preferably reflective numbers that can be easily seen from the roadway in both directions. Countless seconds can be lost trying to search for a house in the dark when someone inside desperately needs help and we can’t find them.” To volunteer with CVAC, they can be reached at (845) 932-8138, cochectonambulanceems@yahoo.co m, and can be found on Facebook. Monthly meetings are held at 7pm on the third Thursday of every month at the Lake Huntington Fire Hall, 70 County Road 116 in Lake Huntington.

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July we held a water awareness training along the Delaware river, inviting our neighboring departments and the National Park Service to learn how we can all function together as a team if we were to ever have an incident there. We are also proud to be one of the few remaining 100% volunteer departments in the county.”

We thank all our emergency services for their time & dedication!

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Members from area agencies gather at Water awareness training hosted by Cochecton Ambulance in July 2018.

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SULLIVAN COUNTY DEMOCRAT

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A Very Big â&#x20AC;&#x153;Thank Youâ&#x20AC;? to the Mamakating First Aid Squad & the Wurtsboro Fire Co.

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The Sullivan County Democrat would like to thank all of Sullivan Countyâ&#x20AC;&#x2122;s volunteer and paid First Responders for all they do!

â&#x20AC;&#x2DC;Hometown Newspaper of Sullivan County since 1891 Call 845-887-5200 to advertise or subscribe today!


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SULLIVAN COUNTY DEMOCRAT

MARCH, 2019

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SULLIVAN COUNTY DEMOCRAT

MARCH, 2019

Upper Delaware EMS “stands the test of time” Celebrating 50 years W hen the Times Square ball dropped to ring in a happy 1969, so too began an era now commemorated in the history books as the birth of the Upper Delaware Volunteer Ambulance Corps (UDVAC). Interviewing current Captain Connor Duffy and Lieutenant Diana Duffy, they had plenty to share about the rich history in how UDVAC came to be.

History of UDVAC

ONTRIBUTED PHOTO

UDVAC Station and ambulances at the Kellams Bridge station in Hankins

When seconds count, count on our award-winning Emergency Department

When it’s an emergency, the clock is ticking and your mind is racing. “How long will we have to wait for answers?” When it’s an emergency, the clock is ticking and your mind is racing.

At Ellenville Regional Hospital’s Emergency Department, we “How long will we have to wait for answers?” understand how hard it is to wait – so we reduced wait times and At Ellenville our Regional Hospital’s Emergency streamlined life-saving patient care. Department, we understand how hard it is to wait – so we reduced wait times and

Our efforts have won national awards streamlined our life-saving patient care.and the average length of stay (from arrival to discharge) is now under 100 minutes. Our efforts have won national awards and the average length of stay

(from arrival to discharge) is nowproviders under 100are minutes. Our quick-thinking emergency trained experts who are absolutely committed to our patients. We want you to have Our quick-thinking emergency providers arenever trained experts who are to face an emergency, but can count us ifwant you you do. to have to absolutely committed to you our patients. Weon never

“We were founded on January 1st 1969,” explained Connor. “Prior to this, funeral homes would be the ones responding and transporting the sick and injured. Henry Hermann is one of the last surviving founders who has stood the test of time by serving as our historian. We were originally based out of the Callicoon fire house until 1971, when we then responded from the old Callicoon Hospital on Hospital Hill. Then, in 1991, we constructed the HankinsKellams Bridge station entirely from donations and have served there ever since.”

“Our 911 response area envelops the former Delaware Valley School District, which is roughly the size of Staten Island, covering a twenty mile stretch of Route 97,” said Diana. “We are dispatched to approximately 200 emergency calls per year, and perform standby coverage for Red Dog peewee football, the Callicoon Tractor Parade, and other events taking place in the district. Not many agencies can say that they are 100% volunteer staffed anymore, but we still are!”

What would you like people to know about you? “We’d like to stress the importance of volunteerism in our community, particularly as an agency that is entirely reliant upon volunteers to get a truck out the door, or send help to a neighbor’s side,” Connor said. “Our volunteers don’t live at the station, so it takes some time for an

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SULLIVAN COUNTY DEMOCRAT

MARCH, 2019

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CONTRIBUTED PHOTO

Founding member Henry Hermann honored by UDVAC membership for his years of service.

ambulance to respond. We have several members that are equipped to respond to the scene to provide care during the critical minutes until the transporting ambulance can arrive, and that has led to many terrific outcomes. All agencies in the area need the help, or one day our volunteer ambulances won’t be here to answer the call. If people could step up and give just one day a week to be available, it would make all the difference.” With great pride, Conor concluded “I couldn’t ask for a better crew

CONTRIBUTED PHOTO

Upper Delaware EMS volunteers march in Fremont Memorial Day Parade.

around me going into the 50th year.” To volunteer with UDVAC, they can be reached at (845) 887-6070,

updel63@yahoo.com, and can be found on Facebook. Monthly meetings are held at 7pm on the second

Monday of every month at the UDVAC Hankins station, 26 Kellams Bridge Rd in Hankins.

We thank all of you for your time and dedication to our communities.

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o parent wants to think about their child getting hurt, but the reality is that one of a parent’s many responsibilities is serving as his or her child’s first responder. In the blink of an eye, an emergency situation can happen and it is important to be prepared for these moments. Middletown Medical’s Dr. Jeffrey Weinstein, a pediatrician at the Monticello Center, offers the follow-

SULLIVAN COUNTY DEMOCRAT

MARCH, 2019

Bumps, Bugs, & Pollen: preparing for springtime health ing tips for a few common springtime health emergencies: BUMPS & BOO-BOOS Springtime is a happy time, as kids are finally able to again enjoy time outdoors. This includes running on playgrounds, learning how to ride a bike, and playing with their friends. For parents, this also means cuts, bruises, and falls. “For most cuts, a simple wash and dressing treatment is sufficient,” says Dr. Weinstein. “However, if bleeding won’t stop after five to ten minutes of applying pressure, or if the wound is deep, it is best to get treatment from an emergency healthcare professional.”

ALLERGIES ARE IN THE AIR The buzz of spring also comes with the side effect of allergens, from pollen to bee stings. “The first step of being prepared is knowing the signs and severities of an allergic reaction,” says Dr. Weinstein. “Pollen allergies can cause a runny nose, sneezing, and itchy eyes. Bee stings, however, can cause severe allergic reactions and are potentially life-threatening. If your child is having difficulty breathing, it is imperative to get emergency care immediately.”

gets nicer, insect bites will be a common complaint of children. “Most bug bites cause a mild reaction, and will include pain, itching, and swelling,” says Dr. Weinstein. “Initial care should include washing the area with soap and water, applying a cool compress to relieve the swelling, and using a hydrocortisone cream, if necessary. However, if a bite causes immediate swelling, or becomes infected, take immediate action for emergency care.”

INSECT BITES Bugs love the warm weather just as much as humans do! As the weather

BE PREPARED These are just a few common injuries that can occur with children,

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SULLIVAN COUNTY DEMOCRAT

Sue Bodenstein Proprietor 4887 Main St., Jeffersonville, NY Open Tuesday thru Saturday 10am-5pm

Thank you to our Sullivan County fire departments, ambulance corps, doctors and nurses for your hard work, dedication and commitment to our communities!

Assemblywoman Aileen Gunther 18 Anawana Lake Road, Monticello, NY 12701 845-794-5807 gunthera@nyassembly.gov

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Walter Garigliano Barbara A. Garigliano A special thank you to all our first responders, emergency and urgent care providers for your service to our communities.

For the cour couraage to to fface, ace, wha whatt mos mostt fearâ&#x20AC;Ś fearâ&#x20AC;Ś

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Thank you to our Emergency Medical Services for your dedication to our communities.

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and the best plan is to be prepared for anything. Make sure your medicine cabinet always has a basic firstaid kit on hand with the essentials; including bandages, gauze, cloth tape, thermometer, tweezers, antibiotic ointment, ibuprofen, and an antihistamine. â&#x20AC;&#x153;It can also help to keep important phone numbers handy, such as your pediatrician and the closest emergency room/urgent care,â&#x20AC;? says Dr. Weinstein.

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THA ANK YO OU to all our ďŹ rst responde ers!

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MARCH, 2019


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SULLIVAN COUNTY DEMOCRAT

MARCH, 2019

â&#x20AC;&#x153;We appreciate what you do for the community every day.â&#x20AC;?

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Volunteer Firefighter Chris Ramirez, pictured here, speaks to the Rock Hill Fire Department about deploying their DJI Phantom 4 Pro drone during recent training. Using Ramirez's years of experience as a photographer and videographer, the department has been able to upgrade its arsenal of tools to further help the fire department during ememergey rescues.

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SULLIVAN COUNTY DEMOCRAT

MARCH, 2019

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911

SULLIVAN COUNTY DEMOCRAT

MARCH, 2019

Pioneering “Hybrid” EMS: BY APRIL BUNNY WHITE

T

he summer of ’69 was a season of tremendous growth throughout Sullivan County. While hundreds of thousands gathered for the festival of music, a few concerned citizens of Tusten gathered to plan a more transcendent venture: the founding of Tusten Volunteer Ambulance Service (TVAS). Captain Jason Welton and Acting President Craig Burkle described the historic and modern Tusten as a “uniquely hybrid EMS system” as they recounted its founding and operations.

History of TVAS “We were officially incorporated on October 22nd 1969, which up until this point Rassmussen’s Funeral home had done most patient transports,” said Burkle. “Mr. and Mrs. Art Peck were a major force in our founding, along with the Lions club and a few others from the area.” Burkle chuckled, adding “we were originally dispatched via telephone,

meaning that on-duty volunteers would be working around the house, and if the lady of the house would answer the phone, she would shout out to her husband ‘hey, you have a call!’”

50 years for Tusten Volunteer Ambulance Service

TVAS and LifeNet 75 collaborate to provide critical care and aeromedical transport for severely injured patients.

What does TVAS do? “I’d like to say we’re the first of a hybrid EMS system” said Captain Welton. “We’re dispatched to approximately 550 911 calls between our New York and Pennsylvania coverage areas, and we also supplement with interfacility transports from Wayne Memorial. We’re also unique in that we staff with a combination of paid crews, volunteers, and paid-on-call EMTs and Drivers to meet our call demands. Many volunteers find it difficult to balance being able to afford giving up at least two hours to every call, so this gives them a little extra incentive to help out when they can.”

What to know about TVAS Burkle remarked that “with many new people moving into the area, we definite-

Many thanks to those who come to our rescue when we need them most.

ly stress the need to have visible house numbers that can be easily seen from the road. Since the time that I started, many people have since moved on, and it is now difficult to identify homes by who lives, or used to live there.” Welton added “It goes without saying that we’re always looking for more volunteers. Members have come and gone over the years, but I think we’re moving into a great modern age with excellent equipment and terrific people

who are looking to volunteer again. In my ten years here, I have seen plenty of changes, and I’m proud of our corps and our people for the tremendous job that they do in such an essential service.” To volunteer with TVAS, they can be reached at (845) 252-3336, and can be found on Facebook. Monthly meetings are held at 7pm on the second Tuesday of every month at the TVAS station, 6509 State Route 97 in Narrowsburg.

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26E

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Specializing in Cosmetic Services: Chemical Peels, Fillers, Botox, Vampire Facials, Laser Treatment and Laser Resurfacing

www.catskilldermatology.com


911

SULLIVAN COUNTY DEMOCRAT

MARCH, 2019

27E

E M S D E PA R T M E N T S A N D T H E I R C A P TA I N S

Info was current as of Mar. 20, 2019. The phone numbers are direct lines to the EMS agencies. In case of emergency, please dial 911.

Town of Cochecton Vol Ambulance Corps, Inc. PO Box 4 Lake Huntington, NY 12752 558-7100, 932-8138 Grahamsville First Aid Squad, Inc. PO Box 152 Grahamsville, NY 12740 Captain Sean Lewis • 985-2839 Jeffersonville Volunteer First Aid Corps, Inc. PO Box 396

Lumberland Fire Department, Inc. PO Box 91 Glen Spey, NY 12737 Captain Terry Knibbs • 856-7515 Mamakating First Aid Squad, Inc. PO Box 525 Wurtsboro, NY 12790 Captain Peter Goodman • 8882544 Mountaindale Fire Department First Aid Squad PO Box 203 Mountaindale, NY 12763 Captain Brett Dillon • 434-3425 Neversink Fire Department, Inc. PO Box 468 Neversink, NY 12765 Captain Ann Bivins • 985-7198

Roscoe & Rockland Volunteer Ambulance Corp PO Box 321 Roscoe, NY 12776 Captain Karrie Jara • (607)4984600

Tusten Volunteer Ambulance Service, Inc. PO Box 34 Narrowsburg, NY 12764 252-3336

Rock Hill Volunteer Ambulance Corps, Inc PO Box 1 Rock Hill, NY 12775 Captain Neil Meddaugh • 794-6985

Upper Delaware Ambulance Corps, Inc. PO Box 258 Hankins, NY 12741 Captain Connor Duffy • 558-7100, 887-6070

Sullivan Paramedicine, Inc. (MobileMedic) PO Box 1 Hurleyville, NY 12747 543-9111, 436-9111

Volunteer Ambulance Corps of Livingston Manor Inc. PO Box 1 Livingston Manor, NY 12758 Captain Joel Sherwood • 439-4150

Sylvan Liebla American Legion Post #1363 PO Box 63 Eldred, NY 12732 Captain Pat Friedrich • 557-8915

Woodbourne Fire Company No. 1, Inc. P.O. Box 583 Woodbourne, NY 12788 Captain Nancy McLain • 558-7180, 434-6763

JEFFERSONVILLE

WAYNE MEMORIAL HOSPITAL

ANIMAL HOSPITAL

An Affiliate of Wayne Memorial Health System, Inc.

Office Hours by Appointment Mon-Fri 8:30-5pm Sat 9am-12pm

Thank You

89 Schoolhouse Road Jeffersonville, NY 12748 845-482-5500

LEVEL IV TRAUMA CENTER Wayne Memorial Hospital thanks all the ambulance corps and other first-responders who help us in emergency situations CERTIFIED PRIMARY STROKE CENTER HEART & VASCULAR CENTER and life-threatening crises. We especially thank those who

volunteer their services to help keep us well and safe.

Dr. Richard L. Schwalb Dr. Moria L. Norris Dr. Allen Wachter

A CARDIAC CATHETERIZATION LAB

Visit www.wmh.org for more information.

WAYNE MEMORIAL HOSPITAL 0ARK3TREET (ONESDALE0!s  

Thanks to all the volunteers!

American Red Cross

Home Fire Preparedness Campaign

71105 65184

71117

We are a group of dedicated professionals who strive to provide our patients with the most up-to-date medical, diagnostic, and surgical procedures. Our goal is to provide this care compassionately in a friendly and personal setting. Come take a tour of the most state-of-the-art veterinary hospital in our area.

57205

Catskills Hatzalah 1070 McDonald Ave Ambulance Brooklyn, NY 11230 Independent EMT-P (718) 838-1750, (718) 998-9000

Jeffersonville, NY 12748 Captain Ruth Ackerman • 4823110

Call the Home Fire Preparedness Hotline at (845) 673-1198

60829

Bethel Volunteer Ambulance Corps, Inc. PO Box 31 White Lake, NY 12786 Captain Mat Goldsmith • 583-5004


28E

911

SULLIVAN COUNTY DEMOCRAT

MARCH, 2019

F I R E D E PA R T M E N T S A N D T H E I R F I R E C H I E F S Info was current as of Mar. 20, 2019. The phone numbers are direct lines to the firehouses. In case of emergency, please dial 911. Beaverkill Valley FD 1524 Beaverkill Rd. Lew Beach, NY 12758 Doug Cummings • 439-4199 Bloomingburg Fire Company 117 Godfrey Rd. PO Box 1039 Bloomingburg, NY 12721 Brian Hultslander • 733-1000

Fallsburg FD 10 Railroad Plaza, PO Box 1075 South Fallsburg, NY 12779 Ricky Shaddock • 434-2008 Forestburgh Fire Company No. 1 2539 State Route 42, Forestburgh, NY 12777 Todd Petrowsky • 794-7899

Callicoon FD 9305 Route 97 PO Box 806 Callicoon, NY 12723 Willie Maxwell • 887-4233

Grahamsville FD 205 Main St., PO Box 331 Grahamsville, NY 12740 Ed McCarthy • 985-2260

Callicoon Center FD 1669 Gulf Rd. PO Box 144 Callicoon Center, NY 12724 Austin Ihlefeldt • 482-3020

Hankins-Fremont Center FD 20 Newman Hill Rd., PO Box 164 Hankins, NY 12741 David Hirsch • 887-2028

Claryville Fire Dept. 1500 Denning Rd., PO Box 146 Claryville, NY 12725 Glenn VanDenberg • 985-7270

Highland Lake FD 144 Highland Rd., PO Box 65 Highland Lake, NY 12743 Warren Wagner • 557-8788

Hortonville FD 100 Main St., PO Box 71 Hortonville, NY 12745 Henry McGrath Jr • 887-5177

Lake Huntington Fire Company 70 County Rd 116, PO Box 352 Lake Huntington, NY 12752 Jason Kraack • 932-8444

Hurleyville FD 166 Main St., PO Box 357 Hurleyville, NY 12747 Alan Price • 434-4161 Jeffersonville FD 4903 State Route 52, PO Box 10 Jeffersonville, NY 12748 Craig Gorton • 482-4202

Lava Volunteer FD 7898 Route 52, PO Box 456 Narrowsburg, NY 12764 Clarence Reeves • 252-3375

Kauneonga Lake E&H/FD 3574 State Route 55, PO Box 411 Kauneonga Lake, NY 12749 Tim Blais • 583-4700 Kenoza Lake FD 485 Old Taylor Rd., PO Box 51 Kenoza Lake, NY 12750 George Slater • 482-5676

Liberty FD 256 Sprague Ave. Liberty, NY 12754 Rick Sauer • 295-0236 Livingston Manor FD 43 Main St., PO Box 867 Livingston Manor, NY 12758 Dan Walcott • 439-4490 Loch Sheldrake FD 1280 State Route 52, PO Box 1005 Loch Sheldrake, NY 12759 Mike Ward • 434-2710

We thank all of our emergency services for their time, dedication and commitment to our communities! 26737

70950

70828

oon Caffe a n Callic i z n e B Breakfast Served ALL DAY arket - Daily Breakfast & Lunch Specials M & - Delicious food, fast & friendly service & great prices. - Serving beer & wine

845-434-6690 Fax 845-434-6691 PICK UP OR DELIVERY 5858 STATE RT. 42, WOODBOURNE, NY

www.woodbournelandscapesupply.com

38227

887-6800 Mon-Sat 7am-3pm Sun 7am-2pm

Fresh Deli Sandwiches Hot Coffee Delicious Baked Goods 887-4212 Sun-Thurs 5:30am-9pm Fri & Sat 5:30am-10pm

70780

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911

SULLIVAN COUNTY DEMOCRAT

MARCH, 2019

29E

F I R E D E PA R T M E N T S A N D T H E I R F I R E C H I E F S Long Eddy FD 4 Church St., PO Box 73 Long Eddy, NY 12760 James Eaton • 887-5926 Lumberland FD 1088 County Route 31, PO Box 91 Glen Spey, NY 12737 Eric Robles • 856-2041

Neversink FD 7486 State Route 55, PO Box 627 Neversink, NY 12765 Mike Congelosi • 985-7198 North Branch FD 20 North Branch-Callicoon Center Hwy., PO Box 28 North Branch, NY 12766 Alan Welton • 482-5134

Monticello FD 23 Richardson Avenue Monticello, NY 12701 Vacant • 794-6330

Rock Hill FD 61 Glen Wild Rd., PO Box 116 Rock Hill, NY 12775 Brian Soller • 794-8961

Mountaindale Fire Company 132 Main St., PO Box 49 Mountaindale, NY 12763 Andy Millman • 434-3425

Roscoe/Rockland FD 1964 Old Route 17, PO Box 401 Roscoe, NY 12776 Keith Travers • 607-498-4292

Narrowsburg Fire Company 203 Bridge St., PO Box 184 Narrowsburg, NY 12764 David Casey • 252-3328

Smallwood/Mongaup Valley FD 181 Ballard Rd., PO Box 28 Smallwood, NY 12778 Wayne VanderMeulen Jr • 5835487

Summitville Fire Company 3978 Route 209 Summitville, NY 12781 Robert Hufcut • 888-5531 Swan Lake FD 52 Stanton Corners Rd., PO Box 177 Swan Lake, NY 12783 Tim Eronimous • 292-6918

Woodbourne FD 355 Firehouse Rd., PO Box 45 Woodbourne, NY 12788 Keith Unger • 434-6763

Westbrookville FD 39 Pine Kill Rd., PO Box 263 Westbrookville, NY 12785 Bo Tunno • 754-8848

Wurtsboro FD 91 Sullivan St., PO Box 457 Wurtsboro, NY 12790 Richard Dunn • 888-4611

White Lake Fire Company 1596 State Route 17B, PO Box 51 White Lake, NY 12786 Josh Cunningham • 583-5170

Youngsville FD 1822 Shandelee Rd., PO Box 78 Youngsville, NY 12791 Jonathan McGibbons • 4823600

White Sulphur Springs FD 3352 State Route 52, PO Box 86 White Sulphur Springs, NY 12787 Tim Fink • 292-5468

AMERICAN SPORTSMAN FIREARMS, LLC

Jim’s Automotive

#LICENSED FIREARMS DEALER# # #

BUY # SELL # TRADE

20177

Tires - New & Used • Brakes • Towing Exhaust • New York State Inspection

Patrick Rotondo Sole Member 845-798-0365

James J. Sheerer

70984

74 Jefferson Street, Monticello, NY

845.794.3466

Now lli ng hunting se & fish licenses ing

141 Fairweather Rd., Swan Lake, NY 12783

americansportsmanfirearmsllc@gmail.com

Sullivan County’s Own . . . 15166

70961

In loving memory of Roscoe Rockland Fireman Robert J Will

A “Big Thanks” to all the Emergency Personnel!!!

800-770-6347 • 845-434-5051

Yulan FD 216 Airport Rd., PO Box 127 Yulan, NY 12792 Adam Norris • 557-8483

With appreciation to our hard working and dedicated emergency personnel.

Thanks to all the volunteers for being on call, and for their hard work and dedication to their communities througout the year!

Service Center

Woodridge FD 2 Green St., PO Box 683 Woodridge, NY 12789 Eric Akerley • 434-6893

From your family, Donna, David & Janet, Michael & Denise


30E

911

SULLIVAN COUNTY DEMOCRAT

MARCH, 2019

CALENDAR OF EVENTS

Sat., May 4 - Neversink FD Annual Inspection Dinner;

St. Francis Church Penny Social, Youngsville Firehouse, 5:30 p.m. Call 7 p.m. Sun., May 5 - SCVFA Memorial Service, Government Center, 2 p.m. Sat., May 11 - Highland Lake FD Mother’s Day Flower/Plant Sale; Woodbourne FD May Dinner Sun., May 12 - Woodridge FD Pancake Breakfast; Hortonville FD Pancake Breakfast; Claryville FD Pancake Breakfast Tues., May 14 - SCVFA Executive Board Meeting Thurs., May 16 - Sullivan Co. Fire Police Meeting, Summitville Sun., May 19 - St. Paul’s Lutheran Church, Chicken BBQ, Takeout Wed., May 22 - Sullivan County Fire Dist., Fallsburg Sun., May 26 - Beaverkill Valley FD Annual Chicken BBQ, 2 p.m., Takeout Available

June

Sat., June 1 - Callicoon Center FD Sportsmens Raffle;

Loch Sheldrake FD Gun Raffle Sun., June 2 - Fallsburg FD Pancake Breakfast;

Thanks to our Congrats Neversink Fire Dept! volunteers!

Sheeley Oil & Excavating, Inc.

PO Box 255, Claryville,  NY 12725 suesheeley@gmail.com

July Thurs., July 4 - Narrowsburg FD Parade/Chicken BBQ, takeout

Tues., July 9 - SCVFA Executive Board Meeting Sun., July 14 - Claryville FD, Pancake Breakfast; Woodbourne FD, Annual Car Show Thurs., July 18 - Sullivan Co. Fire Police Meeting, Woodbourne (Firemens Park) Fri., July 19 - St. Francis Church Bazaar, Church Parking Lot, 6-10 p.m. (Rain Date July 21) Sat., July 20 - St. Francis Church Bazaar, Church Parking Lot, 6-10 p.m. (Rain Date July 21); Hortonville FD Golf Tournament; Swan Lake FD Golf Outing Sun., July 21 - Rock Hill FD Waffle/ French Toast/ Pancake Breakfast Wed., July 24 - Sullivan County Fire Dist. Swan Lake Sat., July 27 - Kenoza Lake FD Chicken BBQ; Kauneonga Lake FD Chicken BBQ; Livingston Manor FD Chicken BBQ

August Fri., August 2 - Catholic Daughters Court Mary Anthony Penny Social, Liberty Firehouse, 5:30 p.m., calling 7 p.m. Sat., August 3 - Fallsburg FD Chicken BBQ Sun., August 4 - Callicoon Center FD, Pancake Breakfast; Callicoon Car Show, Town Park, Callicoon Ctr., Register 9 a.m., ends 3 p.m.

Barriger & Company, Inc. Thank you to Thank you to all our dedicated responders!

Pancake Breakfast; Neversink FD Pancake Breakfast

Thurs., Oct. 31 - Hurleyville FD Halloween Parade

November Sun., Nov. 3 - Swan Lake FD French Toast Breakfast; Hurleyville FD Pancake Breakfast

North Branch

Meeting

Sat., September 14 - SCVFA 91st Annual Parade,

Sat., Nov. 16 - Rock Hill FD Ladies Auxiliary Penny Social

Rock Hill; Yulan FD Von Steuben Day Festival

Sun., September 15 - Claryville FD Pancake Breakfast; Neversink FD Horseshoe Tournament; Rock Hill FD Jim Cavello Memorial Golf Outing Thurs., September 19 - Sullivan Co. Fire Police Meeting, Monticello Sat., September 21 - St. Paul’s Lutheran Church, Bratwurst Dinner 4:30 - 7 p.m. Wed., September 25 - Sullivan County Fire Dist. Lake Huntington Sun., September 29 - SCVFA Past President’s Brunch/Awards/Installation; North Branch FD Pancake Breakfast

October

Sun., Nov. 17 - Claryville FD Pancake Breakfast Sat., Nov. 30 - Claryville FD Spaghetti Dinner

December Sat., Dec. 7 - Highland Lake FD Xmas Tree Sale; United Reform Church Women’s Group Bazaar/ Bake Sale 10 a.m. - 3 p.m. Sun., Dec. 8 - Highland Lake FD Xmas Tree Sale Wed., Dec. 11 - SCVFA Meeting, Hortonville Sat., Dec. 14 - Highland Lake FD Xmas Tree Sale Sun., Dec. 15 - Highland Lake FD Xmas Tree Sale Sat., Dec. 21 - Highland Lake FD Xmas Tree Sale Sun., Dec. 22 - Highland Lake FD Xmas Tree Sale

Sat., Oct. 5 - St. Francis Church Penny Social,

Complete Auto Repair Fred Franke & John Hynes, owners 36 State Rt 52, Woodbourne, NY 845-436-8689 Check Out our LOW Tire PRICES! Discover, Mastercard & VISA Accepted

MEL’S GARAGE Mel Olsen, Jr., Owner • Farm Machinery • Tractors • Cars • Trucks

NICK’S BODY & FABRICATION Nick Olsen, Owner

County Rt. 121, North Branch, NY Mel’s Nick’s (845) 482-4963 (845) 701-5180

Thank you to all our Emergency Responders!

WE OFFER YOU THESE SERVICES AND MORE AT GREAT RATES! Auto & Truck Repair • 24-Hour Towing • Recovery Service Now with 3 Locations

DENMAN AGENCY, INC.

OLD STATE RTE 17 OFF RT. 17 EXIT 102 MONTICELLO, N.Y. 12701

845-794-8522

Sun., September 8 - Woodbourne FD Chicken BBQ Tues., September 10 - SCVFA Executive Board

Claryville FD Pancake Breakfast

Sun., Oct. 27 - Livingston Manor FD Halloween

East End Auto Repair

all our dedicated responders! Security and Advisory services offered through Prospera Financial Services, Inc. Members FINRA/SIPC

September

Sat., Nov. 9 - Woodbourne FD Veteran’s Day Parade Sun., Nov. 10 - Hortonville FD Pancake Breakfast Tues., Nov. 12 - SCVFA Executive Board Meeting Wed., Nov. 13 - Sullivan County Fire Dist., TBA Thurs., Nov. 14 - Sullivan Co. Fire Police Meeting,

Firehouse 10 a.m. to 3 p.m.

Sun., Oct. 20 - Loch Sheldrake FD Pancake Breakfast;

Thank You for Your Dedication!

Grahamsville, NY 12740 • 845-985-2284 69235

70731 59483

Phone: (845) 985-2231 Fax: (845) 985-0186

out only); Hurleyville/Loch Sheldrake FD Fishing Contest, Morningside Sun., June 16 - Claryville FD Pancake Breakfast Thurs., June 20 - Sullivan Co. Fire Police Meeting, Claryville

Smallwood

Sat., Oct. 19 - Youngsville Firecrackers Craft Fair at

MGAR-125742

Fuel Oil • Kerosene Driveways Built • Oil & Chip Septic Systems • Drainage Roads Built, Driveway Plowing & Sanding

Grahamsville

Sat., June 15 - North Branch FD Chicken BBQ (take-

Callicoon Center FD Chicken BBQ

Thurs., Oct. 17 - Sullivan Co. Fire Police Meeting,

15153

May

Callicoon, Tractor Parade, 12 noon

Tues., June 11 - SCVFA Annual Meeting/Elections,

Sun., Oct. 6 - Liberty FD #3 Pancake Breakfast Tues., Oct. 8 - SCVFA Poster Contest, Highland Lake Sat., Oct. 12 - Kenoza Lake FD Roast Beef Dinner;

70109

Lake FD Spaghetti Dinner; Woodbourne FD French Toast Breakfast Tues., April 9 - SCVFA Meeting, Forestburgh Sun., April 14 - Claryville FD Pancake Breakfast Thurs., April 18 - Sullivan Co. Fire Police Meeting, Lava Sat., April 20 - Loch Sheldrake FD Annual Dinner Sat., April 27 - North Branch FD Roast Beef Dinner Sun., April 28 - Livingston Manor FD Pancake Breakfast; Lava FD Pancake Breakfast; Hortonville FD Chicken BBQ Takeout; Rock Hill FD “Ride the Rock” Bike Ride

Softball Tournament Sat., August 10 - White Sulphur Springs FD Annual Softball Tournament; Neversink FD Chicken BBQ Sun., August 11 - White Sulphur Springs FD Chicken BBQ and Softball Tournament; Claryville FD Pancake Breakfast Tues., August 13 - SCVFA Hankins Thurs., August 15 - Sullivan Co. Fire Police Meeting, Youngsville Sat., August 17 - Hurleyville FD Bill Carlson Golf Tournament 1 p.m. Shot Gun Sun., August 18 - Lava FD Pancake Breakfast Fri., August 23 - Neversink FD Co-ed Softball Tournament Sat., August 24 - Hortonville FD Field Day/ Parade; Claryville FD, Open House & Craft/Yard Sale; Neversink FD Co-ed Softball Tournament Sun., August 25 - Neversink FD Co-ed Softball Tournament

37451

Sun., April 7 - Liberty FD #3 Pancake Breakfast; Swan

Chicken BBQ, 4 p.m. til sold out

Sun., June 9 - Callicoon FD, Pancake Breakfast;

70558 26873

April

Youngsville Firehouse, 5:30 p.m., calling 7 p.m.

Fri., August 9 - White Sulphur Springs FD Annual

Neversink FD Annual Spring Horseshoe

Sat., June 8 - United Reformed Church Drive-Thru


SULLIVAN COUNTY DEMOCRAT

MARCH, 2019

911

31E

If You Can Dream It, We Can Build It

MODULAR!

FACTORY OPEN HOUSE Factory located at 30 Reagans Mill Road in Wingdale, NY. Must be 18 to tour factory.

71153

SAT., APRIL 6 & MAY 4 â&#x20AC;¢ 10 am - 2 pm


911

SULLIVAN COUNTY DEMOCRAT

MARCH, 2019

WHEN EMERGENCIES HAPPEN, WE STA TAND READY DY At Catskill Regional Medical Centerr,, we understand that emergencies can happen any time. The Emergency Departments at Catskill Regional Medical Centerr in Harris and Groverr M. Hermann Hospital in Callicoon provide you and your family y access to resources that can help handle emergency y situations when they y arise. Available 24 hours a day, seven days a week, ourr Board-certified emergency y physicians and staff deliverr efficient emergency y care when you need it most. Ourr Harris location is a NYS Department off Health designated Stroke Center. Emergencies can happen any time. Catskill Regional Medical Center is here for you all of the time. To learn more, visit crmcny.org

crmcny.org

A member of the Greater Hudson Valley Health System, one of the 2019 World’s Most Ethical Companies. “World’s Most Ethical Companies” and “Ethisphere” names and marks are registered trademarks of Ethisphere LLC. 71149

32E

911 2019  

Honoring our first responders is the least we can do for all the sacrifices they make to keep us safe!

911 2019  

Honoring our first responders is the least we can do for all the sacrifices they make to keep us safe!

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