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Optimum Optical & More A Special Section of the Sullivan County Democrat, October 2018




OCTOBER 19, 2018


#AskForCryst o a alRun at your o local a hospital! a

Taapti Pandaa, MD, FACOG Obstetr e iics & GGynec y olo o gy Appointments t available in Rock Hill and Liberty

WE AR RE leaders inn women’s womens’s health health. At Crystal Run Healthcare, we are committed to providing women with a full spectrum of care, from obstetrics & gynecology to state-off--the-art women’’s imaging services. Our highly-skilled, caring, and compassionate team of OB/GYN providers have been leading the way in women’s’s health fo for decades and remain dedicated to providing women of Sullivan County with access to exceptional health care.

Call 845.796.5557 #WeAreCrystalRun

More than 22 years ago we set out to build the model ffoor better healthcare. We made a commitment to provide our patients with access to the best physicians, with the best technology in a convenient, patient-centered environment. To Today, our commitment remains strong, our dedication unwavering and our patients are stilll our #1 priority.


h yyoou need us in the office or in the hospitall,, just ask #AskForCrystalRun - Whether for us and we’l’ll be there. Women’s’s Health Offices located in: Rock Hill | Liberty | Middletown | Goshen | Monroe | Newburgh | Warwick | West Nyack | Suffffeern Mediccaid a Managed CCare are & most ccoommerrcciial insurraanccee plans acccceptedd.. Se habla Españoll.. Ea Easy s accccess e via public trraansportation.



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SYNERGY SERVES SULLIVAN From an afternoon rental in 2003, with a staff of 2 to a state of the art medical facility with a staff of 15. We have always tried to meet and even exceed the mental health and substance abuse needs of Sullivan County.

TO MEET THESE CHALLENGES: We are actually engaged with State, County, and Local agencies and providers forging a comprehensive plan to vigorously address these problems. Toward that goal we are happy to announce the following: 1. Participation in Opioid Task Force

BUT NOW WE ALL HAVE NEW CHALLENGES 1. The opioid crisis and other addictive disorders are growing at an alarming rate, too often with fatal consequences, too often to our young people. 2. Many of the Mentally Ill living in community residences are under served, and especially in need of long acting injectable medications. 3. There is a large and growing population of patients with treatment resistant depression where continued untreated depression often leads to dire consequences including suicide and substance abuse.

2. Full staff training and onsite capability for Narcan Administration. 3. The Bridge to Health Program with Catskill Regional Medical Center and Grover Hermann ERS. When patients who present for opioid detox, treatment, and overdoses they will, after ER Treatment and Stabilization be immediately transferred for follow-up treatments to the Synergy on call Medical Provider. 4. By January 2019 we will be doubling our clinical space by taking the vacant office next door to ours. 5. We will also be adding a full time, Nurse Practitioner, another Part Time License Clinical Social Worker, and additional clinical hours for our medical providers. 6. We will be expanding our substance abuse treatment capabilities with new groups, and two new Suboxone qualified clinicians. 7. We will be increasing our community outreach to the home bound mentally ill for –care, including injectable medication. 8. We have established and are expanding our Transcranial Magnetic Stimulation (TMS) Program; the greatest hope for our treatment resistant chronically ill depressed patients.

We are hopeful that these changes along with working with many others in the community will help to elevate the mental health of our county as never before. That is our goal and that is our mission.

SYNERGY OF MONTICELLO, INC. 64 JEFFERSON ST., MONTICELLO, NY 12701 • 845-791-8800 • FAX 845-791-7051


OCTOBER 19, 2018




‘Healthy and Dr. Spina teaches Happy’ the way of life STORY AND PHOTO BY PATRICIO ROBAYO


s you walk into Dr. Mark Spina’s office for Advanced Physical Therapy and Chiropractic services, you are greeted by a wall full of positive messages that are meant to inspire and encourage a positive mental attitude. For 34 years, Dr. Spina has been helping those with pain not only in Liberty, but throughout Sullivan County. A native of Liberty and Neversink, Dr. Spina’s family has strong roots in the county. “My dad was also a chiropractor and he was a wonderful influence on me,” said Dr. Spina. “He also practiced here in Sullivan County.” Spina, now married with one son, attended grammar school in Liberty and went to high school at Tri-Valley and earned a degree at Life University’s Chiropractic Program in Georgia. His office can see anywhere from 10 to 30 patients a day who come for a variety of pain and ailments. Not only does Spina treat the immediate pain but also tries to get to the root of the problem by working to ensure that the body is in complete and total balance. “One of the primary things we do is the balance of the nervous system and make sure there's good communication throughout the body,” said Spina. “We talk about the importance of diet and rest and managing your stress.” Dr. Spina also talks to many of his patients about the importance of exercise and one’s mental attitude towards health and life. “If one can really balance those things properly, one should be healthy and the body should be able to function quite nicely,” he explained. The origin of the chiropractor pro-

fession started on September 18, 1895, where Daniel David Palmer gave someone an adjustment and according to Spina, that person was able to have their hearing returned to them. “As long as there is good communication from the brain—through the nerves and all the other parts of the body—we should be relatively happy and healthy,” said Spina. “Our proven strategies work to promote your overall health.” “We find that where interferences or subluxations occur because a bone is out of position, the nerve system can not commute with the rest of the body and will result in a dysfunction. That dysfunction can result in pain, numbness, spasms, tissue or organ comprises which will lead to symptoms,” added Spina. The medical definition of Subluxation is incomplete or partial dislocation, a condition—visible on x-ray films—in which the bony surfaces of a joint no longer face each other exactly but remain partially aligned. Spina is not only about fixing out of place bones or nerves but promotes a healthy lifestyle overall and to make a visit to a chiropractor a habit for a healthy life. “We set goals and what they want to achieve,” said Spina. “Seeing a CONTINUED ON PAGE 6H

Dr. Mark Spina not only looks to treat pains and ailments but works with you to get to the root of the problem., “We make sure there’s good communication throughout the body.”




OCTOBER 19, 2018


chiropractor is one of the habits that reduce the stress on the body. Sometimes stress is a good thing but there has to be balance in the body.” “When you go to the gym, you have a tendency to eat better or look to get the proper rest, [which is] the same as what happens when you visit here on a regular basis. Not everyone wants that and that is ok. We give people what they want but we also give information that they might not have.” Spina said removing that interference of the nerves should help the body regain its health. “We believe that the body is self-healing, self-

Top left and right: At Dr. Spina’s office in Liberty is full of positive and uplifting messages. Bottom left: A group rehabilitation room that Dr. Spina calls, PMAA, Positive Mental Attitude Area.

regulating and as long as it has some key elements in them, it [the body] should be healthy and happy,” added Spina. Health and Stress Management Workshop will be held on Thursday, October 25 at 5:45 p.m. at Dr. Spina’s office. Dr. Spina’s office of Advanced

A look at how Sullivan County is getting healthier Published by

Catskill-Delaware Publications, Inc. Publishers of the

(845) 887-5200 Callicoon, NY 12723 October 19, 2018 • Vol. CXXVIII, No. 37

Publisher: Co- Editors: Editorial Assistants: Design: Advertising Director: Assistant Advertising Director: Special Sections Coordinator: Advertising Representative: Advertising Coordinator: Business Manager: Assistant Business Manager: Telemarketing Coordinator: Monticello Office Manager: Classified Manager: Production Associates: Circulation & Distribution:

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Physical Therapy and Chiropractic is located at 21 Mill Street in Liberty. He can be reached at (845) 292-8810. The hours for an appointment are Monday, Wednesday and Friday from 9 a.m. to 1 p.m. and 3-7 p.m, and Tuesday and Thursday between 2-6 p.m. and on Saturday between 9 a.m. and noon.


OCTOBER 19, 2018

Ellen Memorial Health Care & Rehabilitation Center

Honesdale, Pennsylvania



At Ellen Memorial, our highest priority is to provide individualized

resident-centered care. Our 128 bed family-owned, one-story facility is located in Honesdale, less than one mile from the local hospital. Ellen Memorial has been serving the community since 1976 and has been dedicated to providing our residents with a home-like atmosphere. We are seeking high school students for entry level positions as well as student volunteers.

We specialize in providing both short-term and long term care focused in the following areas: • Skilled Nursing Care • Rehabilitation Services • Alzheimer’s/Dementia Memory Care • Hospice Care • Respite Stays



Honesdale High School senior, Hannah Burlein is an active volunteer who provides pet therapy to the residents with her rabbit.

23 Ellen Memorial Lane, Honesdale, Pennsylvania



(570) 253-5690




OCTOBER 19, 2018

Sullivan 180 community health champions BY CAROL RYAN, RN, MPH,M SULLIVAN 180 DEVELOPMENT DIRECTOR

At left, Wellness Circle member Rattana Yang enjoying a healthy walk with Sullivan 180 Community Health Champion Shanita Artson.

The Community Health Champions support and guide the participants to reach their personal goals and to continue to sustain healthier habits. Within the Circle, other members often share the same goals and can work together to achieve health gains. A Community Health Champion recently reported that one of her Wellness Circle members has lost 20 pounds as a result of

CONTRIBUTED PHOTO joining her group. In addition to improving health, learning together and helping one another as participants, the Wellness Circles also provide opportunities for social connection. Years of research have confirmed that loneliness or social isolation is common, especially in rural areas, and can negatively



er model, Sullivan 180’s volunteer peer health champions act as coaches leading Wellness Circles in their communities. These volunteers, from all walks of life in Sullivan County, have stepped forward and committed themselves to become certified Community Health Champions with Sullivan 180’s guidance and support. They complete training from the nationally recognized Talance online curriculum, and in-person orientation. There are several Community Health Champions who have already started Wellness Circles with their friends, peers, or coworkers. Each Wellness Circle participant chooses an area or areas of focus for improving his or her health. This could include losing weight, increasing physical activity, or reducing stress. Improving personal health behaviors can significantly improve one’s health and help in the management of or prevention of common chronic conditions such as diabetes or high blood pressure.



any of us in Sullivan County know that our county is ranked next to last in health outcomes in New York State, according to the Robert Wood Johnson Foundation (RWJF) county health rankings. Sullivan 180 was born out of a grassroots desire to do something as a community to improve the county’s ranking. Sullivan 180’s mission is to build a healthy, vibrant Sullivan County where everyone has a sense of purpose, connection to family and community and access to fresh foods and an active lifestyle. In an effort to support our residents in adopting healthier lifestyles, one of Sullivan 180’s first initiatives is to train and deploy volunteer Community Health Champions throughout the county. The Sullivan 180 Community Health Champions program is a new way that people within the community can get involved and improve their own health and that of their friends, co-workers and neighbors. Based on a community health work-



OCTOBER 19, 2018


Gastroe enterolog gy Services


Catskill Region nal Medical Group is prou ud to offer gastroenterolo ogy services ceived his medical degree with Kasim Kazbay, MD. Dr. Kazbay rec e from Ege University y Medical School in Izmir, r, Turkey and completed hiss Internal Medicine Resid dency at New Yo York Univerrsity. He is Board-certified d in Gastroenterology and Hepatology. Led by Dr. Kaz zbay, the Gastroenterolog gy Department at Catskill Regional Medical Group has physicians and healthcare providers who are e trained to

Our specialists are able to treat: · Acid Reflux · Colon Cancer · Crohn’s Disease · Esophageal Disease and Cancer

· Hemorrhoids · Liver Disease · Pancreatic Disease e and Cancer · Ulcerative Colitis

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ders. evaluate the digestive system and diagnose any potential disord

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impact physical and mental health, leading to stress, reduced sleep, increased risk for heart attack, cancer and stroke, mental health disorders, cognitive decline and earlier death. On the other hand, feeling a part of a community leads to improved physical and mental health and longevity. Some studies have shown a significant boost in the immune system. The Wellness Circles allow members to experience all these health benefits by belonging to a close knit group. Sullivan 180 provides the Community Health Champions with continuing support and with the opportunity to meet regularly for training and social activities. Community Health Champions who have completed their training and received their certificates to date are: Shanita Artson, SueAnn Boyd, Christina Haff, Trevonne Gilliard, Lori Karadontes, Brenda Parks, Dawn D’Auria, Debbie Burke, Susan Rogers and Septemberr Totten. Three additional volunteers are currently training to become

JOIN OUR TEAM Become part of a dynamic group of professionals ĂƚƚŚĞŶĂƟŽŶ͛ƐƉƌĞŵŝĞƌƐƉĞĐŝĂůƚLJĐĞŶƚĞƌĨŽƌ children and adults with complex and chronic ĚŝƐĂďŝůŝƟĞƐ͕ŵĞĚŝĐĂůĨƌĂŝůƟĞƐĂŶĚĂƵƟƐŵ͘ ^ƵůůŝǀĂŶŽƵŶƚLJ͛ƐůĂƌŐĞƐƚĞŵƉůŽLJĞƌǁŝƚŚϭ͕ϱϬϬ ĚĞĚŝĐĂƚĞĚƐƚĂīĂĐƌŽƐƐĂǁŝĚĞƐƉĞĐƚƌƵŵŽĨƐŬŝůů ůĞǀĞůƐ͘

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Community Health Champions: Karen Ellsweig, Wendy Notice, and Jessi-Ann Rosenbaum. As Jessica Toscano, Program and Outreach Coordinator of the Community Health Champions at Sullivan180 stated, “I love being a part of this program because I believe that if we can provide support to people who are committed to improving their health, they will be more successful in changing health behaviors. I’m getting to build a connection with people from all over the community with whom I may never have been able to connect. Talking with everyone individually and at meetings keeps me motivated to work on keeping myself healthy too.” If you are interested in becoming a Community Health Champion or joining an existing Wellness Circle, please contact Jessica at, or by phone at (845) 295-2685. As Lori Karadontes, one of our Community Health Champions, said recently: “There's nothing like being a part of something this big to help our county! Be the change you want to see!”

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OCTOBER 19, 2018


he human eye works a lot like a camera, allowing us to focus on the larger picture of our surroundings or a smaller detail right in front of us. And having two eyes grants us incredible depth perception and protects us from perceived dangers.

Dr. Maegan Sauer-Erlwein sits with her dog Winnie on one of the comfy waiting area chairs for her new office in Jeffersonville.

It’s safe to say eyes are a pretty important aspect of a person’s life, and Dr. Maegan Sauer-Erlwein learned this pretty early on. “When I was younger I never really had my eyes checked. I of course did the school screenings, but that was it. When I was 16, I went to get my permit test and when they asked me to read the chart on the wall, I was squinting and I just couldn’t really see it,” stated Sauer-Erlwein. “My mom thought I was joking and said ‘Maegan cut it out, if you don’t read it you aren’t going to get your permit.’ I was eventually able to squint it out and pass but afterwards my mom felt so bad she took me to Walmart in Honesdale. That’s where I had my first eye exam.” Sauer-Erlwein admitted that she had always thought the blurriness was kind of normal. That not seeing what the teacher was writing on the board in her high school classroom wasn’t a big deal. She just couldn’t

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see that far. “I sat next to a friend of mine and would often copy her notes from the board because I couldn’t see them,” she said laughing. After her eye exam, the doctor put a pair of trial glasses on her. SauerErlwein said that when she walked out in the store she was astonished by what she could see. “All I could think was wow, you can see all the department signs and things hanging from the ceiling,” she stated. “The most amazing thing was when I walked outside and looked at the trees. I could see every individual leaf.” That was the turning point for Sauer-Erlwein and the moment she realized that just by giving a person a pair of glasses, you could change their life. You could change the way they see the world. And that’s just what she aims to do now that she opened up her very own Optometry office on Main Street in Jeffersonville, Eyes on Main St. Optometry.



845-701-6001 Bethel, New York




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Eyes on Main St. Optometry opens in Jeffersonville



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Rt. 209, Westfall, Pa (beside Milford Landing)

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If you've been seeing things a bit blurry lately, or are having problems with your eyes, look for this convenient storefront on Main St. in Jeffersonville where Dr. SauerErlwein has installed some of the best quality equipment and machines to test and treat eyes. Below, the front entrance of Eyes on Main St. is welcoming and warm.

Care is because the one thing that I’ve always been really passionate about is rural health care and accessibility to health care,� Sauer-Erlwein explained. “Studies show health care outcomes are poor in more rural areas because income is lower, sometimes education levels are lower. So people don’t go to the doctor because they can’t afford to, or they can’t take a day off of work and not get paid for the day so they just choose to deal with their issue rather than go to the doctor.� While doing her residency, SauerErlwein for her thesis, polled thousands of Optometrists across the country for rural eye care and health CONTINUED ON 14H

Biology. Four years later in 2015, she received her Doctor of Optometry Degree from the SUNY College of Optometry in Manhattan. Shortly following her graduation, Sauer-Erlwein completed an intensive residency training program specializing in Primary Eye Care as well as worked as an Assistant Clinical Instructor at the College of Optometry, at Woodhull Medical Center and at TLC Laser Eye Centers in New York City. But her heart was telling her, her time in New York City was coming to an end. “The reason why I chose to do the training program in Primary Eye

We have a healthy outlook for 2018!


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“I went to Siena College. I was lucky that I knew I wanted to do Optometry early from the experience I had when I was 16. The reason I found Siena College was because they had a program with the SUNY College of Optometry in Manhattan, where I knew I wanted to study, so Siena was a stepping stone to get there.� Sauer-Erlwein, also knowing that she wanted to study abroad, studied at Siena for four years so she could complete a Medical Practice and Policy Program for one semester in Copenhagen, Denmark. She later graduated from Siena in 2011 with a Bachelor of Science Degree in




Let us help you look your best for your big day

OCTOBER 19, 2018

Dr. Sauer-Erlwein points out some of the things to look for when considering if a patient has Glaucoma or not.

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care in general. She completed all the data and analysis on what it means to be a rural Optometrist versus an urban Optometrist. She found that as an Optometrist working in a rural area, you need to be a specialist in nearly everything: Glaucoma, emaculate degeneration, dry eyes, lazy eyes, allergies, emergencies, and more. “As a rural Optometrist you need to be able to treat whatever walks through your door, because you’re the only one,� stated Sauer-Erlwein. “The next doctor or specialist might be an hour or more away, whereas when you’re in an urban setting you don’t treat as much because you have more specialists in a closer area that you can refer the patient to. I kind of knew that coming from a rural area but I wanted to actually document that.� So Sauer-Erlwein got the training

in Primary Eye Care so she could study and treat all of those areas. Walking around the Eyes on Main St. office, it’s clear Sauer-Erlwein takes what she does seriously and is knowledgeable and passionate in all aspects of her work. With top quality equipment and eye exam machines, she looks forward to being open fulltime. Her father, who is a contractor by trade, is also in school to become a NYS licensed Optician and works with Erlwein in the office cutting custom frames right there on the spot for patients. “I think it’s important for our local kids to go out, get educated, learn special services and skills and then bring that back to your hometown,� Sauer-Erlwein smiled. “I think it really makes a big difference. And it makes you feel good to help and serve the people that were there to watch you grow.� For more information or to book an appointment, you can visit or call 845-482-2425.

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at the Villa Roma Friendly • Spacious • Clean

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OCTOBER 19, 2018

Influenza (Flu) Vaccine: What you need to know Information provided by the U.S. Department of Health and Human Services Centers for Disease Control and Prevention. Many Vaccine Information Statements are available in Spanish and other languages. See

Each year thousands of people in the United States die from flu, and many more are hospitalized. Flu vaccine can: • keep you from getting flu, • make flu less severe if you do get it, and • keep you from spreading flu to your family and other people.

1. Why get vaccinated? Influenza (“flu”) is a contagious disease that spreads around the United States every year, usually between October and May. Flu is caused by influenza viruses, and is spread mainly by coughing, sneezing, and close contact. Anyone can get flu. Flu strikes suddenly and can last several days. Symptoms vary by age, but can include: • fever/chills • sore throat • muscle aches • fatigue • cough • headache • runny or stuffy nose Flu can also lead to pneumonia and blood infections, and cause diarrhea and seizures in children. If you have a medical condition, such as heart or lung disease, flu can make it worse. Flu is more dangerous for some people. Infants and young children, people 65 years of age and older, pregnant women, and people with certain health conditions or a weakened immune system are at greatest risk.

2. Inactivated and recombinant flu vaccines A dose of flu vaccine is recommended every flu season. Children 6 months through 8 years of age may need two doses during the same flu season. Everyone else needs only one dose each flu season. Some inactivated flu vaccines contain a very small amount of a mercury-based preservative called thimerosal. Studies have not shown thimerosal in vaccines to be harmful, but flu vaccines that do not contain thimerosal are available. There is no live flu virus in flu shots. They cannot cause the flu. There are many flu viruses, and they are always changing. Each year a new flu vaccine is made to protect against three or four viruses that are likely to cause disease in the upcoming flu season. But even when the vaccine doesn’t exactly match these viruses, it may still provide some protection. Flu vaccine cannot prevent: • flu that is caused by a virus not covered by the vaccine, or • illnesses that look like flu but are not.

It takes about 2 weeks for protection to develop after vaccination, and protection lasts through the flu season. 3. Some people should not get this vaccine Tell the person who is giving you the vaccine: • If you have any severe, lifethreatening allergies. If you ever had a life-threatening allergic reaction after a dose of flu vaccine, or have a severe allergy to any part of this vaccine, you may be advised not to get vaccinated. Most, but not all, types of flu vaccine contain a small amount of egg protein. • If you ever had Guillain-Barré Syndrome (also called GBS). Some people with a history of GBS should not get this vaccine. This should be discussed with your doctor. • If you are not feeling well. It is usually okay to get flu vaccine when you have a mild illness, but you might be asked to come back when you feel better. 4. Risks of a vaccine reaction With any medicine, including vaccines, there is a chance of reactions. These are usually mild and go away on their own, but serious reactions are also possible. Most people who get a flu shot do not have any problems with it. Minor problems following a flu shot include: • soreness, redness, or swelling

where the shot was given • hoarseness • sore, red or itchy eyes • cough • fever • aches • headache • itching • fatigue If these problems occur, they usually begin soon after the shot and last 1 or 2 days. More serious problems following a flu shot can include the following: • There may be a small increased risk of Guillain-Barré Syndrome (GBS) after inactivated flu vaccine. This risk has been estimated at 1 or 2 additional cases per million people vaccinated. This is much lower than the risk of severe complications from flu, which can be prevented by flu vaccine. • Young children who get the flu shot along with pneumococcal vaccine (PCV13) and/or DTaP vaccine at the same time might be slightly more likely to have a seizure caused by fever. Ask your doctor for more information. Tell your doctor if a child who is getting flu vaccine has ever had a seizure. Problems that could happen after any injected vaccine: • People sometimes faint after a medical procedure, including vaccination. Sitting or lying down for about 15 minutes can help prevent fainting, and injuries caused by a fall. Tell your doctor if you feel dizzy, or

5. What if there is a serious reaction? What should I look for? • Look for anything that concerns you, such as signs of a severe allergic reaction, very high fever, or unusual behavior. Signs of a severe allergic reaction can include hives, swelling of the face and throat, difficulty breathing, a fast heartbeat, dizziness, and weakness. These would start a few minutes to a few hours after the vaccination. What should I do? • If you think it is a severe allergic reaction or other emergency that can’t wait, call 9-1-1 and get the person to the nearest hospital. Otherwise, call your doctor. • Reactions should be reported to the Vaccine Adverse Event Reporting System (VAERS). Your doctor should file this report, or you can do it yourself through the VAERS web site at

17H, or by calling 1-800-822-7967. VAERS does not give medical advice. 6. The National Vaccine Injury Compensation Program The National Vaccine Injury Compensation Program (VICP) is a federal program that was created to compensate people who may have been injured by certain vaccines. Persons who believe they may have been injured by a vaccine can learn about the program and about filing a claim by calling 1-800-338-2382 or visiting the VICP website at There is a time limit to file a claim for compensation. 7. How can I learn more? • Ask your healthcare provider. He or she can give you the vaccine package insert or suggest other sources of information. • Call your local or state health department. • Contact the Centers for Disease Control and Prevention (CDC): - Call 1-800-232-4636 (1-800CDC-INFO) or - Visit CDC’s website at

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have vision changes or ringing in the ears. • Some people get severe pain in the shoulder and have difficulty moving the arm where a shot was given. This happens very rarely. • Any medication can cause a severe allergic reaction. Such reactions from a vaccine are very rare, estimated at about 1 in a million doses, and would happen within a few minutes to a few hours after the vaccination. As with any medicine, there is a very remote chance of a vaccine causing a serious injury or death. The safety of vaccines is always being monitored. For more information, visit:



If you haavve qu uestions or need morree inffoormation, ccall (607) 865-2159.

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Seasonal Affective Disorder is a serious concern BY ISABEL BRAVERMAN


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hile many patterns and appetite of us can have changed, you feel the turn to alcohol for wintertime blues, comfort or relaxsometimes it can be a ation, or you feel more serious condihopeless or think tion known as Seaabout suicide. sonal Affective DisorYou can see your der (SAD). The aptly general physician named acronym is a who may refer you to mood disorder chara psychiatrist, or you acterized by deprescan make an sion that occurs at the appointment with a same time every year. psychiatric doctor As the amount of who will do a full daylight grows shortcomprehensive psyer and shorter during chological evaluathe fall and winter tion. There may be months, people can other types of depression or other become affected by mental health condithat change. This is the cause of SAD, Dr. Peter Panzarino gives important tions that can cause according to Dr. Peter information about Season Affective similar symptoms. The two most comPanzarino, who has a Disorder. mon forms of treatpsychiatry office in ment are medications and light therMonticello. “Seasonal Affective Disorder is a apy. If you have bipolar disorder, tell recurring depression that has mainly your doctor — this is critical to know to do with the decreasing light that when prescribing light therapy or an antidepressant. Both treatments can comes in the fall,” Panzarino said. Symptoms of SAD are similar to potentially trigger a manic episode. In light therapy, also called phodepression and can include having low energy, changing patterns in totherapy, you sit a few feet from a sleep, changes in appetite or weight, special light box so that you're losing interest in activities you once exposed to bright light within the first enjoyed, feeling sluggish or agitated, hour of waking up each day. Light having difficulty concentrating, feel- therapy mimics natural outdoor light ing hopeless, and in serious cases, and appears to cause a change in brain chemicals linked to mood. thoughts of death or suicide. There are also some home remedies Panzarino says these symptoms should not be ignored, and if one is and lifestyle changes that can help experiencing these symptoms they cope with SAD. Some of these include should seek medical attention. “Peo- yoga or tai chi, meditation, music or ple think it’s just the blues coming art therapy, and you can also make on,” he said, “but you need to be your environment sunnier and brighter, get outside and soak up the checked out.” It's normal to have some days when sun, and exercise regularly. However, Dr. Panzarino warns that you feel down. But if you feel down for days at a time and you can't get SAD might not go away on its own, motivated to do activities you nor- and treatment is necessary. “It’s not mally enjoy, see your doctor. This is benign,” he said. “It can be as dangerespecially important if your sleep ous as any depression.”



OCTOBER 19, 2018

CRMC receives National Accreditation from DNV GL


atskill Regional Medical Center is pleased to announce it was issued full accreditation by DNV Healthcare Inc. / NIAHO® under deeming authority from CMS. By earning accreditation, Catskill Regional has demonstrated it meets or exceeds patient safety standards (Conditions of Participation) set forth by the U.S. Centers for Medicare and

Medicaid Services. DNV GL’s accreditation program is the only one to integrate the ISO 9001 Quality Management System with the Medicare Conditions of Participation. “The DNV GL program is consistent with our long-term commitment to quality and patient safety,” said CEO Jonathan Schiller. “The ability to integrate ISO 9001 quality standards with our clinical and financial processes is a major step forward. ISO 9001 is the international standard that specifies requirements for a quality management system (QMS). Organizations use the standard to demonstrate the ability to consistently provide products and services that meet customer and regulatory requirements.By adopting and applying ISO 9001 standards, organizations can achieve consistent results by focusing on continually improving processes. “Having the right accreditation partner is vital to achieving our mission and vision,” said Rolland



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“Boomer” Bojo, VP, Patient Care Services & CNO, Catskill Regional Medical Center and Administrator, Grover M. Hermann Hospital. “We believe the DNV’s focus on ISO 9001 standards will take us to the next level of clinical excellence.” “We have taken an entirely different approach to accreditation and hospitals are really responding,” says DNV GL - Healthcare CEO Patrick Horine. “Since accreditation is a must-have credential for just about every hospital in this country, why not make it more valuable, and get more out of it? That’s where ISO 9001 comes into play, and turns the typical get-yourticket-punched accreditation exercise into a quality transformation.” DNV GL’s accreditation program, called NIAHO® (National Integrated Accreditation of Healthcare Organizations), involves annual hospital surveys – instead of every three years as some other accrediting agencies survey – and encourages hospitals to openly share information across departments and to discover improvements in clinical workflows and safety protocols. For more information, visit

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Dr. Gary Berson, DDS, FICOI is proud to welcome two new associates to his practice in Monticello, NY:

Dr. Halie Aronson, DMD

Dr. David Schwartz, DMD

Dr. Aronson could not be more excited to be joining her father, Dr. Berson at his dental practice. As a graduate of Monticello High School, she is looking forward to returning and continuing to provide quality dental care to her community.

Dr. Schwartz is looking forward to continuing his passion for dentistry in Sullivan County. He takes pride in treating children of all ages, and helping even the most anxious of patients get the dental care they need.

Dr. Aronson and Dr. Schwartz are currently ACCEPTING NEW PATIENTS. Call today for an appointment and to check availability:

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Both Dr. Schwartz and Dr. Aronson are graduates of Rutgers School of Dental Medicine. They each completed year-long General Practice Residencies in New Jersey; Dr. Aronson at St. Josephâ&#x20AC;&#x2122;s Regional Medical Center in Paterson, NJ, and Dr. Schwartz at Hackensack Meridian Health Mountainside Medical Center in Montclair, NJ.




OCTOBER 19, 2018

You can't miss the Middletown Medical office located in the ShopRite plaza in Monticello.

Within easy reach, under one roof STORY AND PHOTOS BY AUTUMN SCHANIL


n July 16, Sullivan Internal Medicine Group and Catskill Adult & Pediatric Medicine, together as Middletown Medical, merged their Monticello offices under one roof in the Thompson Square Mall, better known as the ShopRite Plaza, now offering Urgent Care. “Sullivan Internal Medicine Group and Catskill Adult & Pediatric Medicine are both high standing brands with a high patient loyalty,” stated Media Solstice Marketing & Communications Manager Caitlin Huebner, “but it was very disjointed. All the offices were in separate locations in Monticello although they were all Middletown Medical, so this brought everyone under the same roof." Having the offices of Middletown Medical in the same space allows easier accessibility for patients. There is a brand new CT scan as well as a laboratory on site so patients don’t have to be referred to another office or hospital, getting results much faster, and being located in the ShopRite Plaza allows patients that rely on trans-

portation to get grocery shopping done either before or after their doctors appointment. “Middletown Medical is also very unique in that, you can reserve your spot online or call ahead for Urgent Care,” said Huebner. “That way when you come in, wait time is minimal." Other specialties besides Urgent Care that are offered in the new location include: Pediatrics, Cardiology, Gastroenterology, Orthopedics, Pulmonary Medicine, and Endocrinology. If you need it, they can treat you, and it’s close to home. Plus, they now have afternoon and evening hours that are more convenient for the average nine to five worker or children who are in school, as well as hours on Saturdays. For more information, you can visit or for Urgent Care, call (845) 794-1600.

From the top down: Middletown Medical created a children's waiting area; You're sure to be greeted and welcomed by the amazing staff that is there for you both morning and evening; Check in desks are to the right as soon as you walk into the office; A cheerful exam room has been decorated to put children at ease; One installation the medical center has made are these tags next to each patient room to make it easier to know what the person is there for, or what they are waiting for.


OCTOBER 19, 2018



What Do Lyme Disease and Rabies Have in Common?

They are preventable! Rabies Prevention 1. 2. 3. 4. 5. 6. 7.

Vaccinate your pets. Donâ&#x20AC;&#x2122;t touch, feed or adopt wild animals, stray dogs or cats. Keep family pets indoors at night. Teach children not to touch any animal they do not know. Never touch a bat. If you see a bat indoors, do not release it. If you are bitten by an animal, clean the wound immediately and contact your health care provider. Report all animal bites to Sullivan County Public Health. If possible, do not let the animal escape.

Lyme Disease Prevention 1. 2. 3. 4. 5.

Wear repellent. Check for ticks daily. Properly remove ticks. Shower soon after being outdoors. Call your doctor if you get a fever or rash.

For more information about Rabies or Lyme Disease prevention, please call Sullivan County Public Health Services at: 845.292.5910, Ext. 0

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OCTOBER 19, 2018



Health and Wellness Fall 2018  

Check out our latest health and wellness special section which features Dr. Spina teaches the way of life; Sullivan 180 , Eyes in Main featu...

Health and Wellness Fall 2018  

Check out our latest health and wellness special section which features Dr. Spina teaches the way of life; Sullivan 180 , Eyes in Main featu...