Healthy Hudson Valley Magazine 2013 e_sub

Ulster Publishing’s

Healthy Hudson Valley Magazine

2013-14

The integrative approach Naturopathy’s alternative solutions

When it gets serious, can you stay local?

Health for the unemployed

Help the environment, help yourself Staying safe while swimming the river

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• May 2, 2013

Healthy Hudson Valley

Home is where the health is Local providers contend they’re getting even, quality-wise, with big-city competitors Crispin Kott ou’ve heard it for years. You may have even said it yourself: If you’re faced with a major medical issue, head south to New York City or north to Albany for treatment, the implication being that local hospitals lag behind their big-city counterparts in quality.

For decades, Hudson Valley residents seeking special care in fields like cardiology, oncology and orthopedics felt they had travel to New York City or Albany for treatment. But in recent years that trend has begun to diminish, with patients sticking closer to home. That’s no accident.

HealthAlliance of the Hudson Valley is an integrated healthcare system with campus locations in Kingston, Margaretville and New Paltz.

Josh Ratner, chief strategy officer for HealthAlliance, said that one of the first goals when consolidation came in 2009 was determining why patients left the area for treatment and what might be done to prevent that from happening.

“We heard about the out-migration to other areas, both north and south,” Ratner said. “It was a priority to understand the environment we were serving so that we could better serve the community. Not only did we look at the data from the state, but also we undertook a community perception survey to go out and quantitatively speak to what the public’s perceptions were at that time so we could better understand how to make some of those changes. It helped us solidify factually why some folks were going outside the community.

That became one of the pillars of our strategic plan.”

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That plan resulted in a concept that was also pursued by Health Quest, formed through the affiliation of hospitals in Rhinebeck, Poughkeepsie and Carmel.

According to Health Quest senior vice-president for strategic planning and business development David Ping, a first step was working with respected physicians in a concerted effort to address the perception of healthcare in the Hudson Valley.

“It started with one program, really,” Ping said. “It started with the desire to make Vassar be a regional referral center for cardiac services. We were able to attract Dr. [Mohan] Sarabu and his team here, and we made sure they had the tools that they needed, the equipment they needed to enable them to practice medicine the way they wanted to practice medicine. Once Dr. Sarabu was established, we moved on to the next thing we wanted to work on, which were oncology services. That was our approach, to take it one program at a time, recruit the best people we could recruit for those programs, have them build the team and then once that’s done start attracting the patients. It was a commitment on the part of Health Quest and Vassar Brothers medical board and the vision of the administrative team to make that happen.”

Bringing in the best doctors, Ping added — according to Health Quest, Sarabu was recognized in New York magazine as one of its Top Doctors for 2004 because he had some of the best outcomes in the state for the past 14 years — was an important step in giving the region a reputation as a medical leader in the state.

“The overall quality of medical care has improved

‘It’s a hassle to go two or three hours down to New York City or an hour and a half up to Albany .… If you have a good local option, that’s a much better approach.’

— David Ping, Health Quest

Healthy Hudson Valley

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• May 2, 2013

Healthy Hudson Valley

tremendously,” Ping said. “The quality results that we show on open-heart surgery with Dr. Mohan Sarabu and his team, they have the best outcomes in the state .…We’re doing difficult cases at Vassar just like they are at New York Presbyterian. Mohan Sarabu and his team have the best outcomes for cardiac surgery in the state, the lowest level of mortality — more people survive and survive longer than anyplace else you go in the state. We’re able to promote that and let people in the community know that we have this world-class service right here in the Hudson Valley. Why would you need to go anyplace else?”

Docs love it here The same is also true at Saint Francis Hospital in Poughkeepsie, where public relations coordinator Larry Hughes credited the Hudson Valley itself for a significant role in attracting medical professionals to the area.

“The professionals in the field, the highly-skilled surgeons, they picked this area because they like the lifestyle, like so many of us,” Hughes said. “So then it became incumbent on the medical community to provide them with the kind of equipment they needed to themselves stay local so their patients could stay local.”

At Saint Francis, providing state-of-the-art equipment led to the formation of the Center for Robotic Surgery, which uses the da Vinci Surgical System primarily for abdominal surgery.

“This blew my mind the first time I heard it,” Hughes said. “They removed a woman’s gall bladder through her navel. And she was home the next day: minimum

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• May 2, 2013

Healthy Hudson Valley Physicians of The Heart Center from left to right: Lawrence Solomon, MD, FACC, Simon Gorwara, MD, FACC, Daniel O’Dea, MD, FACC, Sankar Varanasi, MD, FACC, David Weinreich, MD, FACC

We’ve been recognized by our peers.

More importantly we’ve been recognized by our patients.

The Hear Center was honored with five of the “Top Docs” of the Hudson Valley in a recent issue of Hudson Valley Magazine. We are proud of this accomplishment. But what really makes our day is how well we’re regarded by our many patients. Since 1977, we’ve brought world class medicine, technology, and a lot of superstar doctors to the Hudson Valley region. Today, the Heart Center provides cardiovascular services that equal or surpass those found in metropolitan areas anywhere in the world. We will never stop working to make sure the people of the Hudson Valley have the finest heart care possible. That’s what a great team does to stay on top of the game.

loss of blood, minimum scarring. It’s a robotic platform, and there are four arms on the device, and one of them is a high-powered camera. The doctor sits across the O.R. at a console and it looks like some sort of a game he’s playing. He’s moving his arms and legs to control the robotic arms. At that console, he gets a better view of the area he’s operating on than he would if he were standing over the patient. It’s high-tech future now.”

Word spread quickly at Saint Francis thanks to a deliberately public introduction of the new technology in the lobby of the hospital’s atrium last June. “I was standing behind some people, and this couple got off the elevator and the guy says to me, You have one of these now?” Hughes said. “And I said, Yeah, and he turned to his wife and said, Well, we won’t have to go to Albany after all.”

Ping described a non-invasive, single-incision surgery performed by Dr. James Nitzkorski in an oncological procedure.

“He went right into the person’s belly button and was able to remove a tumor through the person’s belly button,” Ping said. “He showed the before-and-after pictures, and you don’t even realize the person had surgery. It’s very cool. Those are things people would have had to have left the community for to get those services.

And now we’re attracting a high caliber of physician to this area, and people are staying in the area.”

We have the technology Ratner explained the thinking behind the technological advances in the Hudson Valley. “We want to make

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Healthy Hudson Valley

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sure we have the technology to keep physicians as current as possible to allow them to do their job well, and we want to make patients comfortable with what we can do here locally,” Ratner said, noting that the creation and dissemination of medical records is much easier now than in years past. “The accessibility of being able to share data between different departments within the hospital and outside the hospital among physician groups will be a pillar for us moving forward. We’ve also worked out arrangements to share imaging with a tertiary medical provider. If someone needs to go north, we can make it easier on the patient and physicians to share some of those images if the patient consents.”

That’s one innovation in the field of customer service.

Hughes pointed out another.

“Here at Saint Francis, in the cancer center we have a family liaison in the emergency department,” he said.

“That’s one person who is dedicated to connecting the dots for patients. If it’s cancer care, you come in and they’re going to explain the way it works. If you’re going to need surgery or treatment, they’ll walk you over to those departments and introduce you to some of the people. If you have a question about your care or medication, you call your nurse navigator and she’ll get the answer for you. You don’t have to run around blindly trying to figure out the answers for yourself. And we have the same thing in the robotics. We have one person who is dedicated to answering questions and keeping in touch with patients afterwards.”

Ratner agreed on the necessity for communication among all parties, which he said was increasing. “One

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of the biggest trends we see in the industry is much closer physician-hospital alignment,” Ratner said.

“Whether it be clinical integration or other models, part of keeping your patients local is really being able to effectively communicate with your patients, physicians and hospitals so everyone is aware of what’s going on with that patient’s care.”

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Increasingly, healthcare professionals, like other businesspeople, are sensing a need to focus more and more on the customer.

“There was a time there where the attitude in the medical profession was, We’re professionals, and you sit there and tell you when you come in and what to do.” Hughes said. “I remember asking a surgeon what happens if you can’t communicate with your doctor, and he said you find another doctor. It’s what you would do with a car salesman, or a grocery store. Why not do it with something as vital as your health? The medical profession has realized that these are customers, and if you don’t give them good customer service they’re going to take their business elsewhere.”

The hospitals say that their data shows that local patients are increasingly keeping their business right here in the Hudson Valley. While much of that is down to bridging the gap between what’s offered elsewhere and what patients can find in their own back yard, it can also be less stressful to stay close to home.

“It’s a hassle to go two or three hours down to New York City or an hour and a half up to Albany,” said Ping.

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“For cardiac and cancer services, it’s stressful on your family, it’s stressful on you as the patient. If you have a good local option, that’s a much better approach.

I’ll use an example from the orthopedic side: We had a patient recently who happens to be an employee of mine who has had a couple different surgeries that he had down at the Hospital for Special Surgery, and he recently had his hips replaced. And he chose to go to Northern Dutchess Hospital for that. And he said if he would have known that the capabilities that we had at Northern Dutchess were that good when he had his other surgeries done, he would have stayed local. There would have been no reason for him not to.”

Hughes agreed.

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Healthy Hudson Valley

in the city and you’re hospitalized, that adds a degree of difficulty to your surgical experience, because if nothing else your friends and family have to commute three hours to visit you,� he said. “And if you’re going to have treatment or follow-up, you’re going to have to travel three hours down to the city. And it just adds to the stress and strain and aggravation. By being able to offer top-quality healthcare here in the Hudson Valley it’s just taking a lot of the stress out of it.�

How will these trends evolve in the future? Well, to begin with, said Hughes, local hospitals like Saint Francis are going to first have to figure out how to stay in business. “We don’t know still the impact of affordable healthcare,� Hughes said. “Our two biggest customers as a hospital are Medicare and Medicaid, and reimbursements from same. Especially from Medicare. In recent

years, those reimbursements have reduced, and there’s nothing going on in Washington that leads us to believe it’s going to be anything but a continuation of that in the future to the point where our annual budget includes anticipated reductions in reimbursements from Washington.�

Fostering more evolved local partnerships is one promising direction that might have advantages beyond the potential for savings. “The next two areas we want to build on and grow further are vascular surgery and neurosurgery and neurosciences,� Ping said. “That’s two areas where we still see a lot of patients leaving the area today and going north or south, and one of the things that we’ve done on the vascular surgery area is we’ve been working with the Vascular Group. They’re based in Albany, and they’re working with us on developing a vascular surgery program at Vassar to develop it as a

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regional referral program. We are trying to bring more neurosurgeons to the community. We’ve been in discussions with HealthAlliance in trying to jointly recruit. If both of us together were to recruit surgeons, we may attract an even higher quality of surgeon.”

Strength through partnership Hughes spoke of a partnership scenario that could bring specialists to the area on a visit akin to the traditional village doctor making house calls.

“Let’s say there’s a specialist that works in New York City, but it’s difficult to get him up here because there’s not enough patients,” Hughes said. “Well, three hospital services can bring him up to do three times as many patients. It suddenly becomes worth his trip to come up and visit those hospitals.”

Making local healthcare a more attractive option for

May 2, 2013 •

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patients has positive consequences for the region as a whole. “Our community in Ulster County is very much a tight-knit group,” Ratner said. “Any time we can keep it local we try to do that because it helps the economic climate of the county. That’s obviously very much on the minds of many of our patients as well. And they want to make sure they’re receiving the best care possible.”

Ratner would like people who have homes in the Hudson Valley and New York City to make the choice to receive care outside the hustle and bustle. “Oftentimes what we see is folks from the city with second homes in the area,” Ratner said. “If it is an elective surgery, they might be interested in coming north and recuperating in their second home before heading back into the city.

Interestingly enough, in certain cases if you’re offering a good quality product, we’re seeing more and more people staying local.”

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Healthy Hudson Valley

Lean and green Some ideas to help the planet, and your own health Jennifer Brizzi

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t’s a good thing when you can do an activity that works toward two worthy goals at once. Eco-fitness is one of these. You can work out while helping save the planet, improving your own physical health and the environment simultaneously. We may be more ecologically aware on or around Earth Day than at other times of year, so springtime, when there’s a thrill to getting back outdoors in the warmth and sun, may be the best time to consider the many ways to merge helping your body and helping the planet.

Combining a good brisk spring stroll with the stretchand-limber exercise of picking up trash is a no-brainer.

We know housework is good exercise; just extend it outdoors and make your aesthetic experiences more pleasant.

Why people toss beer cans and fast-food wrappers out of their cars into the woods or on my lawn bewilders me. At the very least such behavior messes up the scenery, just the tip of the iceberg of what it does to the earth at large.

It was instilled in our little minds when I was a child in Vermont in the 1970s not to trash nature — the famous TV spot with the saddened Native American tearful at the sight of littering attempted to bring that message nationwide. We’d spend every Earth Day out picking up roadside garbage and wouldn’t dream of throwing trash on the ground. Cleaning the neighborhood seemed something as normal and necessary as brushing our teeth.

“An average two-mile stretch of highway can contain roughly 32,000 pieces of litter,” says the state Department of Transportation. It is estimated that it takes 70 years for a plastic jug to decompose, 200 to 500 years for an aluminum can, and a million years for a glass bottle. That’s wickedly long karma. Not only is that stuff ugly but harmful to plants and wildlife, and picking it up well worthwhile for physical and planetary fitness both. The DOT adopt-a-highway and sponsor-ahighway programs provide collection bags and gear to volunteers who collect trash from community byways.

See www.nysdot.gov for ways to sign up.

You can get off the main road and into parks and trails for a good workout while helping our spinning globe in many ways. Not only can you help maintain and clear trails for the enjoyment of happy hikers, but you also can help the ecology at large with activities like clearing invasive plant species. At I Love My Park Day on Saturday, May 4 you can help the park system at informal events all over the Hudson Valley, sponsored

by Parks & Trails New York, the state office of parks and (naturally) Gov. Andrew Cuomo.

Registration is already full for some of the more popular spots like Bannerman Island, but there are 70 participating parks statewide that include our local Fahnestock state park, the Harlem Valley rail-trail, Hudson Highlands state park, the Staatsburgh (Mills Mansion) state historic site, the Walkway Over the Hudson and more. To sign up for “I Love My Park” Day in any of the participating parks, go to http://ptny.org/ilovemypark/ register.shtml.

The Mid-Hudson Adirondack Mountain Club (see midhudsonadk. org/) is participating in Minnewaska state park’s event, with a range of activities from removing invasive plants to helping transport materials to re-build a bridge planned. The MH-ADK club welcomes newbies participate in a couple of hikes and activities before membership is recommended.

For truly environmentally correct fitness, just take it back outside.

Fix a trail, swap a bike On Saturday, June 1, the American Hiking Society’s annual National Trails Day will hold activities that include trail maintenance projects. The Adirondack Mountain Club always hosts an event to celebrate it, this year at Adirondak Loj near Lake Placid.

If your favorite form of fitness includes more biking and less hiking, look to the sixth annual New Paltz Bike Swap, a fundraiser for the Fats in the Cats Bicycle Club, a nonprofit which helps build and maintain multi-use trails, plus other community-service activities from refurbishing bikes for needy kids to working with local governments and policymakers to make roads and trails safer. Find out more by attending the bike swap on Saturday, May 18

Healthy Hudson Valley

May 2, 2013 •

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Elenie Loizou, Emma Maloney, 8, and Sefie Loizou, 9, help out during April 20’s Kingston Clean Sweep Day.

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Healthy Hudson Valley

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Healthy Hudson Valley

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consumer recycled material or merino wool, and hydrate with reusable bottles instead of plastic water bottles.

Users of fitness centers and spas can seek out green approaches as well. ReRev is a technology that turns the kinetic energy of the gym rat on the treadmill, elliptical or spinning bike into electric current that powers the machine. The trend started some years ago at a few university health centers and then expanded to the military.

Now many regular fitness facilities use them. Some have machines that just use less energy than the conventional ones. Fitness centers in California like AC4 fitness in Goleta and the Greenasium in Encinitas use green paints and building materials like post-consumer recycled HDPE, recycled tires or hemp, along with no-to-low plastics policies, refurbished equipment, low-flow plumbing, green cleaning products and lots of natural light.

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A quiet low-emissions geothermal system heats and cools spa-goers. Local natural botanicals are used in spa treatments and locally-mined quartz which exfoliates the skin was used in building construction as well. The adjoining resort that houses spa-goers uses energy-efficient light bulbs, composting and recycling programs, and green cleaning supplies. The golf course has received an award from the International Audubon Society for environmentally friendly practices. For additional information on Mohonk’s Spa, call 1-877-8772664 or see www.mohonk.com/Spa-Fitness.

Healthy Hudson Valley

For truly environmentally correct fitness, just take it back outside. Besides the fresh air’s benefits to your lungs and the stimulation of varied vistas and terrains, the carbon-bearing burden of driving to the gym and the electricity of exercise machines and climate control are much reduced. The less electricity used, the better.

You can still work out every muscle group by varying your outdoor activities. Besides the hiking, biking and running mentioned here, you can swim or roller-blade in milder weather, ski or snowshoe when there’s snow. Carry groceries or other shopping for strength training. Don’t drive when you can walk or bike somewhere, even if it takes a little longer; look at it as beneficial fitness time.

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Healthy Hudson Valley

The integrative approach Naturopaths offer a different, customized way to get healthy Susan Barnett leana Tecchio said it was an “Aha!” moment in high school that led to her career as a naturopathic physician. “I was at a field hockey game and a girl complained of a headache,” she remembered. “She took some kind of painkiller and all I could think was, But the pain is still there!”

The native of Italy grew up in Ulster County. She said she’d noticed a huge difference between the doctors she’d known in Italy and the ones she met here.

“We had more of a relationship with our doctor in Italy,” she said. “He came to our house. He saw our families, how we lived. It was a very different experience here in the States.”

Tecchio, who was planning to become an MD, wanted to learn about alternative healing modalities and Eastern medicine on her own. When she heard about NCNM — the National College of Natural Medicine in Portland, Oregon, though, “Everything clicked for me,” she said. “This just made sense.”

At NCNM she met Glenn Finley, who had already begun his prerequisites for medical school but then decided to study naturopathy. About ten years later, they’re married. They have a medical practice they call New Leaf on lower Broadway in Kingston and another office in Vermont.

But in New York they are not considered doctors.

As they were in their first practice in California, Tecchio and Finley are primary-care physicians in Vermont. A total of 17 states, by law, include naturopaths as primarycare physicians. In New York, the law considers them simply healthcare consultants. The pair did four years of post-grad study and a residency. Tecchio went on to

I

add a master’s degree in Oriental medicine.

She is a licensed acupuncturist, as is another local naturopath, Tammi Price, who has offices in Kerhonkson and in Hudson.

Individualized approaches What Price said she likes best about naturopathic medicine is the opportunity to create an individualized treatment plan. “I’ve had patients who come to me and say, The doctors say there’s nothing they can do.

First, my mind blows up. And then I think to myself, Good. Then they’re not going to put you on ten more medicines.”

Even children are over-prescribed in our society, Price contended. “I will suggest a palliative medicine for someone who’s in extreme discomfort — like skin rashes and eczema,” she explained. “But those are homeopathic remedies and the goal is never suppression of symptoms. What I love about Chinese medicine is they don’t ask what’s wrong with you — they ask how you are out of balance. So it’s not about treating a disease, it’s about restoring balance, which restores health.”

“Naturopathy, in short, is natural healing,” said Janet Draves, who has practiced naturopathy for 20 years and has a business on the corner of Montgomery and Livingston streets in Rhinebeck. “We do not prescribe pharmaceuticals, we work with the body’s innate wisdom to heal itself. We are not cookie-cutter versions of each other. Each has his or her own style and focus. I am into vibrational or energy medicine and getting a person back in balance using a biofeedback machine and short-term supplements to get your body to work for you and not against you.”

We do not prescribe pharmaceuticals, we work with the body ís innate wisdom to heal itself — Janet Draves

Healthy Hudson Valley

May 2, 2013 •

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alen fetahi

Ileana Tecchio and Glenn Finley of Kingston’s New Leaf.

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• May 2, 2013

Healthy Hudson Valley

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Draves said different practitioners have different strengths. “Other naturopaths may do homeopathy, acupuncture, hands-on healing, or other modalities.

As the saying goes, there are many roads that lead to Rome. There are several terms used to describe what we do — alternative medicine, functional medicine, complementary medicine, and evidence-based medicine.�

She added that naturopathy can work well with other approaches. “And yes, you can blend naturopathy and allopathic medicine. When choosing a naturopath, ask what it is they do to see if it’s the route you want to take.�

Tecchio and Finley said they’ve worked hard to build relationships with medical doctors in the area and now coordinate treatments of some patients. “I feel bad for doctors, in a way,� Finley said. “Their medical bag has two things in it — pharmaceuticals and

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• May 2, 2013

Healthy Hudson Valley

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discuss surgery when it’s needed. But we have so many other options — lifestyle changes, nutritional support.

And for so, so many things, those changes are incredibly effective.”

“It’s about functional medicine,” Tecchio added. “How can we help you to function better?” A patient with fibroids, she said, would be told that surgery to remove them is the answer. And, she says, that is a good answer.

“But it removes the language, the message the body is trying to give you,” she said. “Fibroids are the result of something out of balance — often a hormonal overload.

And your liver function determines how well you break down hormones. So I would suggest treating with diet and supplements to support the liver, then reassess.”

“Allopathic medicine is great at turning off the fire alarm,” Finley added. “We look for the fire.”

Healthy Hudson Valley

May 2, 2013 •

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Simple changes The two say they now get referrals from local medical doctors, and draw patients from as far away as Rockland County. Finley said diseases like gout, diabetes, issues like acid reflux, even arthritis, depression and anxiety, all respond well to simple changes like anti-inflammatory diets, botanical and probiotic supplements, acupuncture and a variety of other healing modalities.

While your doctor may rush from patient to patient, trying to see as many people as possible in a day, a visit to New Leaf is downright leisurely. Tecchio and Finley try to give each patient an hour, getting to know them, listening to their symptoms, finding out about their lives.

“They told us in school, if you give a patient enough time, he will tell you what he needs, even if he doesn’t understand it himself,” Tecchio said. “But it takes time to get patients to open up.”

Whereas they say other doctors see an average of 30 patients a day, they average about five apiece. During that consultation, they’ll find out about a client’s life, sleep patterns, overall stress level and eating habits as well as their medical history. Then they’ll look for the changes that could shift the patient back into healthy balance.

“If the medical paradigm could see how well we could work together,” Tecchio said, “it would be better for everyone.”

New Leaf is sponsoring a spring “supported” wholebody cleanse, May 13 through May 26 and July 7 to July 21 in association with Mudita Yoga Center. To find out more, call 331-2235 or 750-6605.

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• May 2, 2013

Healthy Hudson Valley

Think before you swim Streams may look inviting, but are they healthy?

Lynn Woods

M

any of us head to our favorite swimming holes, those clear stretches of creek water gliding between sylvan woods that we assume are perfectly safe, certainly cleaner than a brick-littered public beach or some semi-stagnant inland pond or lake. But it turns out swimming in the Rondout and Wallkill creeks can be a serious health risk, according to the results of water quality tests for sewage-related bacteria conducted by Riverkeeper and citizen volunteers last summer and fall.

All but two of the 21 sites tested on the Wallkill from May through October had levels of bacteria exceeding U.S. Environmental Protection Agency standards for safe water. Of the 18 sites tested on the Rondout, 61 percent were unacceptable. The Esopus Creek is safer, with only two of its seven sites failing EPA safe water-quality standards.

The volunteers on the Rondout and Wallkill were “uniformly shocked by the results,” said Dan Shapley, membership and events manager at Riverkeeper who organized the citizen science program. “They felt not only sickened but also empowered. They want to see this water cleaned up.”

As part of the environmental organization’s six-year water quality testing program for the Hudson River estuary, the volunteers brought samples monthly for testing to Riverkeeper’s patrol boat. Riverkeeper tested for enterococcus, bacteria associated with untreated human sewage. (While the state Department of Conservation and many municipalities in the state test for E. coli, Riverkeeper tests for the related enterococcus because it is recommended by the EPA and because unlike the test for E. coli it can be done both in fresh

and salt water.)

The bacteria cause gastrointestinal infections, resulting in a stomach ache and/or diarrhea. Fever, chills, headache, skin infections and even pneumonia are other illnesses linked to exposure to germs from sewage, which might also be infected with viruses that can cause eye infections, meningitis, encephalitis and liver infections. Young children, the elderly, pregnant women, and people with compromised immune systems are at the highest risk of contracting a chronic illness from sewage-contaminated water. In 2005-06, the federal Centers for Disease Control reported that its survey reported over 4000 documented illnesses from recreational waters in the U.S. Since people may not associate their ailments with exposure to contact with the water, according to Riverkeeper, the number is likely much higher.

In the enterococcus test, which John Lipscomb, patrol boat captain at Riverkeeper, initially developed with the help of two scientists from Queens College and Columbia University, a reagent is added to the water sample, which is placed in an incubator to encourage the growth of microbes. The sample is then exposed to UV light, which illuminates the tiny wells of the sample water if they contain the bacteria. The safe EPA threshold for the bacteria is a count of 61 per 100 milliliters of water.

(It’s higher for salt water.)

When the public is not made aware of a sewer break, it ís very much at risk.

— John Lipscomb

M

any of the sites tested on the Wallkill and Rondout exceeded that threshold by the hundreds and even thousands. For example, samples taken from Springtown Road Landing, near New Paltz, and Shawangunk Kill at Route 9W on the Wallkill had counts of 10,462 and 9804 respectively — as-

Healthy Hudson Valley

May 2, 2013 •

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alan carey

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• May 2, 2013

Healthy Hudson Valley

Lynn Woods

Riverkeeper patrol boat captain John Lipscomb.

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On the Rondout, the Creek Locks Road site tested at 2420 in June; on the same day, High Falls swimming hole tested at 361, while Kingston Point Beach, located on the Hudson, tested at 219 — its highest bacteria count

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for 2012. In July Creek Locks Road tested at 157, while High Falls swimming hole was at 42 — a possible risk.

Kingston Point tested at two.

Contrary to perception, Kingston Point Beach, which is one of 80 sites on the Hudson and the tidal portion of its tributaries that has been tested by Riverkeeper since 2008, is usually, thanks to the Hudson River’s huge volumes of water, a safer place to swim than anywhere on the two creeks. Almost a quarter of the water-quality tests at that brick-littered beach over that four-year period were at unacceptable levels, especially after heavy rains. That’s the same overall percentage for the entire Hudson River from 2006 to 2012. (Riverkeeper didn’t start testing the upper river sites until 2008.) During the same six-year period, the unsafe EPA swimming standards for U.S beaches overall was seven percent.

The county health department (UCDOH) tests the county’s four official bathing beaches at Kingston Point and Ulster Landing on the Hudson and the Saugerties village beach and Tongore Park on the Esopus. The two Hudson River beaches were tested for E. coli once a month from June through August, according to information the UCDOH supplied to Riverkeeper in March 2012. The frequency with which it tests the other two beaches is not known. Also unknown is whether tests are done after a rain event and if so, whether these beaches are temporarily closed. (The department did not return phone calls to confirm.)

O

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Landewe has been coordinating a volunteer sampling program in conjunction with Riverkeeper since 2010, unacceptable bacteria counts at the seven testing sites are closely correlated with heavy rain.

(Heavy rainfall causes animal wastes from farms and sewage-tainted stormwater runoff from aging sewage treatment systems to pour into the waterways.) “For the most part it’s a clean creek,� Landewe said. “Since the county focuses exclusively on bathing beaches, we’re more concerned about the water quality of the stream for recreation,� he added. “Marbletown and Hurley are generally good. Along the more developed areas in Kingston and Ulster, there’s more human waste.

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• May 2, 2013

Healthy Hudson Valley

and Saugerties Beach, the numbers have improved due to the diluting effect of the Plattekill and Sawkill, which enter upstream.”

Landewe noted that after storms Irene and Lee “the creek was red-hot top to bottom and was contaminated for sometime after that. But under normal events, it’s conceivable we could have a safe stream. Ideally we would like better public notification for the sampling data to be made available on a timely basis.”

Two factors, the frequency of the tests with unacceptable levels and the amount of bacteria in each test, affect the overall safety of a particular site, according to Lipscomb. “A place could fail less and be more dangerous, if there are higher counts and no predictability,” he said.

What’s particularly worrisome about the unsafe levels in the Wallkill and Rondout is that they occur in dry weather — hot sunny summer days when people are most likely to take a dip or get out in their fishing boats or kayaks. “When the public is not made aware of a sewer break, it’s very much at risk,” Lipscomb continued. “It could be a beautiful morning in June, when you want to spend the day on the water. Meanwhile, a sewer main breaks and sewage is pouring into the storm drain and into the river where you swim.”

F

ortunately, starting this summer the public should finally get some protection, thanks to passage of a new “sewage right-to-know” state law. The legislation, advocated by Riverkeeper and signed into law by governor Andrew Cuomo last August, is now

in effect. Municipalities will be required to notify the public whenever sewage is released into a waterway from malfunctioning public sewage infrastructure, such as a broken pipe or water main. The law will cover discharges from publicly owned wastewater treatment plants as well as the systems that feed into them, including pipes, mains and pump stations.

Such a law is particularly needed in the Hudson Valley, given the frequent instances of infrastructure failures, said Tracy Brown, water quality advocate at Riverkeeper.

“The DEC has acknowledged we’re billions of dollars behind where we should be in terms of investing in sewer system repairs and upgrades.” One of the more egregious breakdowns occurred in the summer of 2010, when underground leaks and mains breaking in Tarrytown “resulted in more sewage volume coming into the river than escapes along the entire coast of California,” according to Brown.

Riverkeeper hopes “reports for water quality safety will become habitual, like weather, traffic and ozonelevel reports,” especially during the recreation season, said Brown. Under the new law, impacts to the sewage infrastructure from new development will also have to be monitored. The need to comply could result in communities passing a “no hook-up law” — no new building permits without fixes to aging municipal treatment plants and delivery systems.

The DEC is currently writing regulations to define how notification takes place. The agency would be responsible for enforcing the law, possibly by utilizing the Office of Emergency Management’s alert system.

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• May 2, 2013

Healthy Hudson Valley

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mechanism designed to send sewage-tainted rainwater into the creek from an outfall pipe in rainy weather now stays open in dry weather as well.

“This one outfall accounts for a huge amount of the combined sewer outflow discharge in Kingston,” said Lipscomb. The City of Kingston has devised a long-term control plan that addresses the issue, and the recent approval by the city’s Common Council of a $345,000 bond to make improvements so that more stormwater runoff is diverted to the wastewater treatment plant instead of into the creek hopefully means that the money to fix the regulatory mechanism will be available.

Riverkeeper has been posting its water-quality tests on its website, and starting this summer it plans to post the results for the tributaries as well. (Visit www. riverkeeper.org; you can sign up for e-mail alerts.) The organization hopes to continue the testing come May 1,

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although it is short of staff and funds, so at press time there was some uncertainty about the tributary testing program especially.

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• May 2, 2013

Healthy Hudson Valley

Riverkeeper has been footing the expense, with each test tube sample costing approximately $15. “If people feel passionately they want this work done, I urge them to make a donation,” said Shapley.

“We’re deeply appreciative of what Riverkeeper has been doing to help us get a handle on this,” said Landewe.

He said more testing is needed to allow for “predictive modelings, so that we could say after so much rain the water would be unacceptable.”

T

he data collection is just the first step of the process. A second phase, said Lipscomb, would

be to identify the sources of the pollution — a task requiring working with residents of the affected areas.

There’s been some success on the Catskill Creek in Greene County, where volunteers taking water samples discovered a spike in unsafe bacteria levels at Leeds.

The problem was traced to a multifamily dwelling owned by an absentee landlord, who, instead of fixing a broken septic system had instead piped the sewage from the tank into the storm drain, where it entered the creek. The detective work by Riverkeeper and the citizen scientists caused the DEC to shut the offender down. Catskill then voted in favor of hooking up Leeds

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This is your community.

These are your times.

Ulster Publishing’s newspapers are 100% local, serving up everything you need to know about your community each week

lster Publishing is an independent, locally owned newspaper company. It began in 1972 with the Woodstock Times, and now publishes the New Paltz Times, Kingston Times and Saugerties Times, plus Almanac Weekly, an arts & entertainment guide that covers Ulster and Dutchess counties. In recent years we’ve added websites for these publications, plus special sites dedicated to tourism, health, business and dining. Check them out at hudsonvalleytimes.com.

Ulster Publishing has a mission: to reflect and enrich our communities. Our content is 100-percent local - locally written, photographed, edited, printed and distributed.

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We have offices in Kingston and New Paltz. Call 845-334-8200, check out our website or contact subscribe@ulsterpublishing.com.

Ulster Publishing’s five weekly newspapers

Healthy Hudson Valley

to its municipal system.

“The public knows where the problem is in many cases,” Lipscomb said. “Someone knows where there’s a leaking septic field. We want that person to make the authorities aware of the problem and hopefully they will deal with it. Or the community goes to the county or township and says, We need to raise money for infrastructure investment.”

Not all the news is negative, Lipscomb said. Gathering the data has a positive goal, which is to let people know where it’s safe to swim. In Westchester, the Tarrytown Marina has unsafe levels in 40 percent of the tests, while nearby Irvington has only an eight percent failure rate. “There’s a beautiful three-mile stretch of water between the towns that’s clean and a great place to swim,” Lipscomb said.

“The last thing we want is for people to say, Yuck,’” he added. “The waterways cannot advocate for themselves,

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and if we don’t have a concerned public they’re doomed.

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• May 2, 2013

Healthy Hudson Valley

Joblessness and your health Lack of routine, money, insurance big threats to the unemployed Carrie Jones Ross or so many, losing a job can mean losing everything: family, finances, health, home and sanity.

According to Andrew O’Grady, executive director of Mental Health America of Dutchess County, there are, in the event of job loss, factors which predict worsening mental health and factors that predict the opposite.

“If someone defines their lives by their job, and then you lose that job, then you lose who are you when you lose that job and that’s a predictor of worsening mental health,” said O’Grady. “If family members criticize … for being jobless, or insinuate that your performance was an impacting reason for your unemployment, would also make it negative.”

O’Grady said that it’s common that when money gets tight, relationships begin to deteriorate and that causes more stress and depression. Therefore, the family structure, and how well supported the person is within it, is also an important predictor.

But, O’Grady said that not everyone who loses their job goes to Hades in a hand basket. He said it’s about what and how we spend our time, such as having routines and enjoyable activities to replace the job. O’Grady also pointed out that sometimes untreated mental health issues may have been an underlying cause for losing the job.

“There are physical symptoms for depression: headaches, back pain, difficulty sleeping, weight loss or gain, sleeping too much, physical pain,” said O’Grady.

“That all happens.”

F

Poughkeepsie-based oncology Nurse Practitioner Chris Egan said she notices that when someone loses their job a cancer diagnosis is quick to follow. Why? Egan’s personal opinion was that it’s about defenses; when a person takes a blow, such as sudden unemployment, their immune system begins to unravel with them.

William Bell of Middlehope has Crohn’s Disease, a chronic autoimmune condition in which the body’s immune system attacks the digestive system creating painful bouts of stomach pains, exhaustion, malnutrition and bleeding. In early May, Bell was told his job would be terminated as part of a corporate reorganization. “Initially I was devastated, I loved the job and the people I worked with, but eventually I started to think perhaps a new job, higher salary, closer commute could be a good thing — I was wrong,” said Bell.

As the summer progressed, Bell’s headhunters and recruiters at all the major agencies were turning up nothing, some explaining the job market was on hold until after Labor Day, not to worry, it would pick up. “As I began to worry about money, my health started deteriorating … My symptoms worsened as I began to get depressed about the unfortunate turn of events in my life. The symptoms became regular, daily, and more severe.”

Stomach pain, bleeding as a result of the inflammation and persistent nausea soon became a regular part of Bell’s day. Plus, he couldn’t afford the regular chiropractic care which helped keep his symptoms at bay. As the holidays passed and the reality of a long, cold winter without a job and with little positive response from recruiters, Bell’s flare-ups worsened, particularly his iron levels as he lost blood, and required intravenous iron infusions. While Bell was doing that, he scored two interviews, both of which ended very promisingly, but

‘As I began to worry about money, my health started deteriorating.’

— William Bell

No money, fading health For many, losing a job is a fast track to faltering health.

Healthy Hudson Valley

May 2, 2013 •

39

illustration by rick holland.

40

• May 2, 2013

Healthy Hudson Valley

didn’t result in work. Bell said that having his hopes soar, peak and then ultimately dashed by those two interviews caused his symptoms to rage even further out of control.

A phone call offering freelance work offered, at long last, some relief of symptoms. “The first day of work I felt better than I had in months,” said Bell. “My symptoms have improved drastically since the first day back, with most of them having subsided completely. I can state with 100 percent certainty that the decline in my health was directly related to my period of unemployment and the financial uncertainty and stress that comes with it.”

Frankly speaking

than driving. “Not to mention, depression,” he added.

Vondras said his new lifestyle of hustling around for college and being completely broke lead to not taking very good care of himself. If something came up that needed medical attention, there was no insurance or money to take care of it. “I got kidney stones in the middle of my final semester … But not from ‘sitting around’, like some people accused me and others of.

You go from sitting behind a desk, to running all over the place, jumping through all kinds of hoops to find another job.

I worked more hours looking for work than I did actually working.”

Marilyn Fino of Milton said that sometime after she lost her job of 14 years, she took her aggressions out on the weeds in the garden, resulting in a lovely garden and crushing pain. “The next day I could barely move, and spent at least six weeks with serious back issues, which flare up to this day,” she said. “After that, I developed heart rhythm problems. I’m sure it was related to my job loss because when I started working again, they went away.

I’m sure I experienced some unacknowledged depression as well. There were medical expenses to go with it — co-payments for doctor visits, physical therapy, medical tests, and gas and bridge tolls. Thankfully, I had medical insurance and a husband with a pension because unemployment didn’t pay much.”

“When you’ve been unemployed, against your will, it becomes very emotionally draining,” said Beverly, whose name has been changed. “I was used to being on a schedule — getting up at a certain time, having lunch at a specific time, getting home roughly around the same time, etc. ... after a few months or years you see no reason to follow a schedule and but since everyone else is on one, you feel left behind. All day you have

‘I would go in the bathroom and cry, because I had no other place to escape.’

— Marissa Engel

Matthew Vondras of Clinton Corners described his ordeal. “It sucked,” said Vondras, who was laid off from his job as an architect with several others due to industry’s decline and his company’s lack of work.

Though he knew there was not much work out there for architects, the decision began to undermine and question his own self-worth. “Out of all these people, why me? Am I that bad at what I do?”

Lack of sleep, eating poorly, increased running around and the stress of not being able to pay for basic needs, like food … it all started to ebb at Vondras’ health and esteem. Vondras said he was experiencing stomach ailments, as well as back and foot pain from walking rather

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nothing to do because everyone is at work. Because you have no schedule your life becomes ‘whatever’ which is very, very, very de-motivating. Lack of motivation snowballs to almost a depressive state — why bother?”

Beverly said the worst part for her is that she sees many jobs available; however she views the sharp pay reduction she’d have to take as another de-motivating force. “Also, if I were to take those minimum-wage jobs, I can’t get sick because I have no insurance because I got no job.” she said.

Fleeing the toxic But not everybody considers unemployment a curse — there are those whose health was being hurt by their jobs and feel better after they leave a toxic environment.

Marissa Engel of Gardiner said she had a nightmare

41

job. Though she said her bosses were not awful, she referred to her office as a “shark tank” and herself as “chum.” Engel said a well-liked coworker was reduced to part time in order for the company to hire her, and not a day went by when her co-workers didn’t punish her for it. Engel said they gossiped loudly about her, made up complaints to her boss that she was not doing her job, omitted necessary information so that she looked incompetent and called her names loud enough so she could hear.

“I would go in the bathroom and cry, because I had no other place to escape,” said Engel. “Only it was a communal bathroom with more than one stall. One day, they came in laughing over some inside joke about me being fat. I was a lot older than these girls, they were young in their 20s. I choked back my breath

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• May 2, 2013

Healthy Hudson Valley

and my tears till they walked out. I was so upset, I threw up in the toilet once they left. I felt better. And it was like a light went on in my head. After that, I went into the bathroom to puke a few times a day when I was upset. It made me feel better and more in control every time.”

Engel began to jam her desk with junk food and candy bars, which they would sometimes steal, and walk by her desk eating and smirking. Engel said her health eroded from the emotional distress and from the puking. Soon her coworkers figured out what she was doing in the

bathroom, and her paranoia peaked listening to them laugh about the discoloration of her teeth and the smell of vomit on her. Engel developed ulcers and ultimately a stubborn case of chronic pneumonia from aspirating the vomit which led to her leaving the job.

Engel found redemption in the garden, and wound up changing fields to landscape design, musing that flowers never mock her. Her health is stellar now, she added. Engel says that it is all now bad memories and lessons learned, and the last day she ever vomited was her last day in the office.

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This is your community.

These are your times.

Ulster Publishing’s newspapers are 100% local, serving up everything you need to know about your community each week

lster Publishing is an independent, locally owned newspaper company. It began in 1972 with Woodstock Times, and now publishes New Paltz Times, Kingston Times and Saugerties Times, plus Almanac Weekly, an arts & entertainment guide that covers Ulster and Dutchess counties. In recent years we’ve added websites for these publications, plus special sites dedicated to tourism, health, business and dining. Check them out at hudsonvalleytimes.com.

Ulster Publishing has a mission: to reflect and enrich our communities. Our content is 100-percent local - locally written, photographed, edited, printed and distributed.

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We have offices in Kingston and New Paltz. Call 845-334-8200, check out our website or contact subscribe@ulsterpublishing.com.

Ulster Publishing’s five weekly newspapers

May 2, 2013 •

Healthy Hudson Valley

A vicious cycle Sasha Gaer, a physician’s assistant in private practice in Poughkeepsie, explained his belief that unemployed people have a high rate of depression, anxiety, lower back pain, as well as narcotic and benzodiazepine addictions. He said they also have chronic various orthopedic complaints as well. “It is a vicious cycle I witness with my patients all the time,” said Gaer. “The more difficulty they have finding work, the more depressed they become, and the more complacent they became about their health. It needs to be broken. Lower back pain, in my estimation, is likely the number one reason people become unemployed and seek disability. Lower back pain can come from an injury, a car accident, sports injury, poor posture or obesity. “It’s a center of gravity thing,” Gaer explained. “Obesity and poor posturing change that natural lordotic curve of the spine and make it more kyphotic which stresses the lumbar musculature.” They lose their jobs of chronic back pain, excessive sick calls, decreased work performance and

43

that is where they cycle starts.”

Gaer said it is not exclusive to desk jockeys either.

However, in regards to unemployment, many folks are not likely to have health care and have not yet become Medicaid-eligible, quickly exacerbating matters from bad to worse. Gaer said they don’t take care of themselves simply because they cannot afford to, and reminded, “bad food is cheap,” Factor in depression, lack of self-worth and being unable to contribute to society, he said, a person may eventually develop feelings of entitlement. “Meaning someone else other than yourself has an obligation to take care of you — a.k.a. state and federal benefits,” he said.

Gaer said one of the best ways to chip away at the cause is to deal with the back pain; the best way to cure chronic lower back pain is through weight loss and abdominal toning. “Stay focused on the reason that they are unemployed and put it into perspective,” he suggested. Don’t lose self-worth, learn from your mistakes and become stronger and gain confidence.

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Healthy Hudson Valley

Briefly noted Give blood for Bostonians Health Quest and the American Red Cross will hold a series of blood drives to support the Boston area hospitals after the Boston Marathon attack. Three blood drives are scheduled to help replenish and maintain

the supply of blood products. Appointments are recommended by calling the numbers listed but walk-ins are always welcome.

On Wednesday, May 1, from 8 a.m.-1 p.m., blood will be taken at the Health Quest Corporate Office,1351 Route 55, LaGrangeville. Call (845) 483-6405 to make an appointment.

Unplugged

Isn’t it nice?

You love the web. So do we. But sometimes it’s great to step away from the constant distractions of the screen and curl up with a good newspaper. We believe that’s the best reading experience you can have. That’s why we put only a portion of our content on our website, along with special features befitting the medium. The web does a lot of things well. But comprehensive, in-depth community journalism isn’t one of them. Take a computer break and pick up a Woodstock Times, New Paltz Times, Saugerties Times or Kingston Times and you’ll see what we mean.

Subscribe today at subscribe@ulsterpublishing.com or www.hudsonvalleytimes.com or by calling 334-8200

May 2, 2013 •

Healthy Hudson Valley

On Friday, May 3, from 8 a.m.-4 p.m., blood will be taken at Vassar Brothers Medical Center, Joseph Tower Building, Auditorium, 45 Reade Place, in the City of Poughkeepsie. Call (845) 483-6405 to make an appointment.

On Friday, June 7, from 10:30 a.m.-5 p.m., blood will be taken at Northern Dutchess Hospital, 6511 Springbrook Ave., Rhinebeck. Call (845) 871-3471 to make an appointment.

Need ostomy support?

Find it here HealthAlliance of the Hudson Valley’s free Ostomy Support Group will hold its monthly meeting on Tuesday, May 14 from 4 to 5 p.m. at its Mary’s Avenue Campus (Benedictine Hospital) in Kingston, in the 3

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A miscellany of Hudson Valley art, entertainment and adventure | Cal e ndar & C l assi f i e ds | I s s u e 48 | No v. 2 9 — D e c . 6

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Page 9

Lloyd voters to decide on term limit extensions for town supervisor, clerk & highway superintendent

by Lisa Childers

T

by Erin Quinn

O Robert Angeloch drawing in Monhegan, in this John Kleinhans photo.

n Friday, March 18, 2011, on the morning of the full Super Moon, legendary artist and co-

Continued on Page 9

art gallery and art school, and the fervent admiration of generations of devoted art students. To his personal credit, he leaves a lasting legacy of art, beauty and a sustaining example, having led a life of purpose with unwavering determination and accomplishment.

Born on April 8, 1922 in Richmond Hill, New York, Angeloch served in the US Air Corps and Army during World War II where he was a pilot,

studied to be an engineer and ended up in medical school. He studied at The Art Students League of New York from 1946-1951, where he first began painting with Yasuo Kuniyoshi and printmaking with Martin Lewis. He spent the summer of 1947 learning the craft of making woodcuts with Fiske Boyd and it was that summer that Angeloch first studied nature working out of doors. For this reason he recently Continued on Page 13

he Phoenicia Library was gutted by fire in the early morning hours of Saturday, March 19.

Within three days, plans were already in place to open a temporary library on Saturday, March 26, in the building recently vacated by Maverick Family Health, across from the Phoenicia post office.

“It’ll be a bare-bones operation,” cautioned library director Tracy Priest. “We’re restoring minimal services, but we want to open our doors. People can return library books and pick up books they’ve ordered from interlibrary loan. From the Mid-Hudson Library System, we’re borrowing a computer and components we need to check books in and out. We’ll open at 10 a.m., and Letter Friends, the early literacy program, will happen at its normal time, 11 a.m. We’re looking eventually to have a small lending library, which may be on the honor system, since all our bar codes were destroyed in the fire.”

Writing classes and other programs scheduled for later in the spring will be held as planned. It looks like at least a couple of computers will be donated for use by patrons.

The blaze was reported to have come from an electri-

cal fire, which started in the back of the building. “We don’t have a full report on the extent of the damage,” said Priest, who visited the building after the fire with the insurance adjuster and Town of Shandaken supervisor Rob Stanley.

“The adjuster said there has to be a second claims adjustment because it’s considered a major loss. We don’t think any books or materials will be salvageable. But because of the location of the fishing collection, we may be able to clean some of that and save it.”

The Jerry Bartlett Memorial Angling Collection includes more than 500 fishing and nature books, plus an exhibit of fishing rods, lures, fly tying gear, and photographs.

“The books are a mess,” said Priest.

“Everything is fused together and melted.

What’s in the front of the building has been damaged by smoke and water, but everything there is like we left it. Then you cross a line towards the back, and everything is black. There’s a hole of the ceiling of the children’s room, and you can look right up into my office upstairs.

Everything from my desk is on the floor Continued on Page 7

LAUREN THOMAS

Pictured is the cast of 90 Miles off Broadway's upcoming production of "I Remember Mama". Top row, left to right: Dushka Ramic as Aunt Jenny, Wendy Rudder as Aunt Sigrid, Zane Sullivan as Nils, Joel Feldstein as Papa, Wayne Kreuscher as Uncle Chris, Julia Cohen as Katrin, Ken Thompson as Mr. Thorkelson and Sherry Kitay as Aunt Trina. Bottom row left to right: Chloe Gold as Dagmar, Kim Lupinacci as Mama and Carly Feldstein as Christina.

N VIOLET SNOW

Blaze of pages Phoenicia Library goes up in smoke

by Violet Snow

T

ALMANAC WEEKLY

Healthy Body & Mind

Warm core

Soapstone-aided massage technique relieves the pain

NEWS OF NEW PALTZ, GARDINER, HIGHLAND & BEYOND

ULSTER PUBLISHING

Super’s proposal Onteora board hears of cuts, tax rates, layoffs

he latest Onteora Central School District 2011-2012 budget proposal does not include massive layoffs as might be seen in other districts, but does feature the elimination of six teacher positions and reductions to part-time of another five, among job cuts in many sectors. The cuts are seen as a reaction to declining enrollment, but also contribute to a total plan that increases spending by only 0.87 percent, that would translate, based on revenue figures, to a 3.9 percent levy increase.

At the Tuesday, March 22 board of education meeting at Woodstock Elementary, school officials presented The Superintendent’s Recommended Budget to trustees that includes an increase in spending to a total of $50,477,497. If the board adopts the budget at its April 5 session, voters will be asked to vote on the budget on May 17. If voters reject the budget proposal, a contingency (or austerity) budget could be put in place that would eliminate $121,785 from the equipment budget line, as mandated by the

INETY MILES OFF Broadway will present “I Remember Mama” at the New Paltz Reformed Church on Nov. 2, Nov. 3, Nov. 9 and Nov. 10 at 7:30 p.m. and Nov. 11 at 2 p.m. The play will also be performed at the First United Methodist Church in Highland on Nov. 17 at 7:30 p.m. The story shows how Mama,

with the help of her husband and her Uncle Chris, brings up the children in a modest San Francisco home during the early years of the century. Mama, with sweetness and capability, sees her children through childhood, managing to educate them and to see one of her daughters begin a career as a writer.

Mama’s sisters and uncle furnish a rich

background for a great deal of comedy and a little incidental tragedy. Tickets are $15 for general admission, $8 for students on opening night only, $12 for seniors/students and advanced sales and $10 for members/groups.

For additional information, e-mail email@ninetymilesoffbroadway.com or call 256-9657.

N TUESDAY, NOV. 6, not only will residents vote on numerous contended races -- most notably being who shall become the president of the US -- but there will also be a plethora of local votes cast for federal, state, county and municipal political leaders.

In the Town of Lloyd, the only local referendum on the ballot is for voters to decide whether or not the town clerk, town highway superintendent and town supervisor should have their two-year terms extended to four years. These are all separate referenda, as suggested by Lloyd supervisor Paul Hansut, who said that he wants to give “voters a chance to weigh in on each and every position, and not lump them all together, as many towns have done in the past.”

The idea behind the four-year term, according to Hansut, is to give those elected to office “enough time to get familiar with the nuts and bolts of the job, Continued on page 12

The big read One Book/One New Paltz to read & discuss The Submission

by Erin Quinn

W

Pictured are some of the members of the One Book/One New Paltz committee (left to right): Jacqueline Andrews, Linda Welles, Maryann Fallek, John Giralico, Shelley Sherman and Myra Sorin.

Phoenicia Library after the fire.

HAT WOULD HAPPEN if the selected architect for a 9/11 memorial at Ground Zero turned out to be a Muslim-American? How would people react to the news, particularly those families who lost loved ones in the terrorist attack? There are no easy answers to the questions raised by award-winning author Amy Waldman in her debut novel The Submission, chosen as this

PANCAKE HOLLOW SHOOTING PAG E 9

year’s One Book/One New Paltz readers’ selection.

In Library Journal, Sally Bissell remarks that this book is an “insightful, courageous, heartbreaking work that should be read, discussed, then read again.” This is exactly what One Book/ One New Paltz will attempt to do as it embarks on its seventh year of a communitywide reading program filled with events, reading groups, panels and featured authors and actors. One Book is a Continued on page 12

45

A cut above

Esopus papercutting artist extraordinaire Jenny Lee Fowler

W

hen Jenny Lee Fowler moved from Oregon in 1997, she decided to mark each snowfall that first winter in the East by cutting a snowflake out of paper. Being a person who makes things by hand, it seemed like a fun thing to do. Then, like the icy flakes that drift lazily on the wind before becoming a full-fledged storm, the act of cutting paper snowflakes took on a momentum of its own as Fowler became fascinated with the folk tradition of papercutting.

One day, her father-in-law asked her if she’d ever done a portrait, like the silhouettes created by folk artists. Her interest piqued, Fowler dared herself to cut 100 portraits of people.

Beginning with friends and family, she later moved on to cutting portraits of strangers, who would sit for her at the campus center at Bard, where Fowler worked.

“I practiced a lot and found that I totally loved it,” says Fowler. “It kind of surprised me because I’d thought of silhouette portraits as these kind of ‘stuffy’ things, and then I realized that they were really cross-sections of people at a moment in time. I started to see them as more dynamic.”

Fowler came across a passage in which one of the early papercutters called silhouette portraits “a moment’s monument,” a description that she finds particularly apt. “They really do capture a little moment, and even the same person can have a different portrait the next day,” Fowler explains.

Artful papercutting is now Fowler’s niche, and the Continued on page 13

Beauty of the beat PHOTOS BY PHYLLIS MCCABE

K

INGSTON’S CORNELL PARK HOSTED THE ANNUAL DRUM BOOGIE FESTIVAL LAST SATURDAY,

where dozens gathered to get their drum on. At left, Hethe Brenhill of the Mandara ensemble, dances in the sun. At right, a member of the Percussion Orchestra of Kingston (POOK) gets in the rhythm. For more pics, see page 10.

THEATER ON A TRAIN ‘Dutchman’ uses Trolley Museum’s subway car as unusual stage for play exploring sensitive topic of interracial relations.

Page 16

TEEN SCENE “The Den” to open in Midtown, giving youths a place to dance, gather and do something positive.

Page 8

FIGHTING FOR MIDTOWN Challengers in Ward 4 Common Council race say incumbent isn’t doing enough to help Kingston’s poorest neighborhoods get their fair share. Page 2

fall home improvement special section

BIG ‘O’ Organizers say second annual O-Positive fest will more art, tunes, awareness and health care to Kingston’s creative community.

Page 14

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• May 2, 2013

Healthy Hudson Valley

Spellman Day Room.

For more information, call (845) 334-3125.

Free exams, screenings HealthAlliance of the Hudson Valley’s Breast Education and Breast Outreach Program, for the medically underserved, provides free mammograms and clinical breast exams to women 40 and over without health insurance or with insurance that doesn’t cover screenings through the Cancer Services Program (CSP). CSP also offers screenings for colorectal and cervical cancer.

The program’s kickoff event will take place on Monday, April 29 from 4:30-6 p.m. at the Kingston Library, 55 Franklin St., Kingston.

Barbara Sarah, founder of the Oncology Support Program, will speak about living fully as a 21-year cancer survivor. Light refreshments will be served, and there

will be a door prize.

For more information, contact Rosie McLaughlin at (845) 339-2071 ext. 104.

Free lecture series Health Quest will this spring offer a free community lecture series at Northern Dutchess Hospital, the NDH Center for Healthy Aging and Vassar Brothers Medical Center. A variety of topics will be covered, from stroke and stress reduction to knee replacements and vascular disease. The lectures are conducted by physicians and staff of Health Quest, and include both a talk and time for Q&A. Reservations are required and can be made by calling 1-877-729-2444. They will be held at Northern Dutchess Hospital (NDH) in the conference room at 6511 Springbrook Avenue, Rhinebeck and the Center for Healthy Aging (CHA) at 6529 Springbrook

What is Ulster Publishing?

U

lster Publishing is an independent, locally owned newspaper company.

It began in 1972 with the Woodstock Times, and now publishes the New Paltz Times, Kingston Times and Saugerties Times, plus the Almanac, an arts & entertainment guide that covers Ulster and Dutchess counties. In recent years we’ve added websites for these publications, plus special sites dedicated to tourism, health, business and dining. Check them out at hudsonvalleytimes.com.

Ulster Publishing has a mission: to reflect and enrich our communities. Our content is 100-percent local - locally written, photographed, edited, printed and distributed. We publicize local businesses and encourage our readers to shop local. We publicize local events because we want our communities to be vibrant places where people come together. We don’t just write about the controversy, but the good news too, because we love these communities and we want readers to know about the great people who live here. We don’t just write about our communities: we’re part of them.

We have offices in Kingston and New Paltz. Drop us a line at 845-334-8200, check out our website or contact subscribe@ulsterpublishing.com.

Healthy Hudson Valley

May 2, 2013 •

47

On Wednesday, May 15, the Hudson Valley Center for Neurofeedback offers a workshop entitled “What Can Biofeedback Do for You?” Here, a subject’s responses to a TV commercial is measured using a specially modified version of the Mind Mirror, the first non-medical EEG device originally developed for neurofeedback.

Avenue, Rhinebeck.

On Thursday, May 2 at 6:30 p.m. in the NDH Conference Room will be “What You Need to Know About Stroke: Signs, Symptoms and Treatment” by Gerald Kufner, MD, Kingston Neurological Associates, Medical Director, NDH Stroke Center.

On Monday, May 6 at 2 p.m. at the Center for Healthy Aging (CHA) will be “Techniques for Stress Reduction”

by Allison Gould, Social Worker.

On Thursday, May 9 at 6:30 p.m. in the NDH Conference Room will be “Let’s Discuss PSA Screening and BPH” by Scott A. Kahn, MD, Premier Medical Group of the Hudson Valley. It will be a discussion about the need for a PSA screening and what it means to have BPH, also known as an enlarged prostate.

On Wednesday, May 15 at 6:30 p.m. in the NDH Conference Room will be “What’s a Man to Think?” Paul K. Pietrow, MD, Premier Medical Group of the Hudson Valley will speak on current controversies regarding prostate cancer screening and testing.

On Tuesday, May 21 at 6:30 p.m. in the NDH Conference Room will be “Hip and Knee Replacements” by Russell Tigges, MD, Orthopedic Associates of Dutchess County, NDH Bone & Joint Center.

On Wednesday, May 22 at 6:30 p.m. in the NDH Conference Room will be “Diabetes: A 360-degree view,” a roundtable discussion with John Sabia, MD, Vice President, Medical Affairs at NDH; Sharagim Kemp, MD, HQMP Division of Primary Care Rhinebeck; and Roufia Payman, Supervisor, Outpatient Nutritional

Counseling. Topics include warning signs, latest treatments and the best ways to manage the disease.

Psoriasis, neurofeedback talks The Poughkeepsie Public Library District is offering two health-related workshops in May. They are free and open to the public.

On Thursday, May 9 at 7 p.m., The Patient Advocate Program educates participants about psoriasis in “Refusing to Hide: Simple Strategies for Living with Psoriasis.” The session provides resources to help psoriasis patients have a more productive conversation with their doctor. This workshop is scheduled for the Greenspan Board Room at Adriance Memorial Library, 93 Market St., Poughkeepsie.

On Wednesday, May 15 at 7 p.m., the Hudson Valley Center for Neurofeedback offers “What Can Biofeedback Do for You?” The center provides a non-invasive approach to assessment and treatment of a variety of conditions including, but not limited to: ADHD, other learning challenges, Traumatic Brain Injury, mild anxiety and depression, headaches and insomnia. Guest presenter is Dan Meyer, PhD, BCB-N. This workshop is scheduled for the Charwat Meeting Room at Adriance.

Please pre-register by calling (845) 485-3445 x3702.

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Healthy Hudson Valley

THE PROBLEM WITH NEXT-DAY FOLLOW-UP APPOINTMENTS IS THAT THEY DON’T HAPPEN UNTIL THE NEXT DAY.

At Health Quest, same-day follow-up appointments mean fewer sleepless nights waiting for results. It’s one example of how we work to put you at ease while offering the most advanced cancer care. Visit www.health-quest.org/cancer to learn more about how we treat cancer differently.

/MyHealthQuest NORTHERN DUTCHESS HOSPITAL

PUTNAM HOSPITAL CENTER

VASSAR BROTHERS MEDICAL CENTER

HEALTH QUEST MEDICAL PRACTICE