In Good Health: WNY #109 - November 2023

Ad Misl van ead Lo tag ing ok e A M Ou ds edi t F : W ca r or. ha e P 1 t to 7

FREE

FREE

BFOHEALTH.COM

NOVEMBER 2023 • ISSUE 109

10LONGEVITY

FOODS TO EAT FOR HEALTHY

Meet Your Doctor

BENJAMIN GUTSIN, OD Cataracts, floaters, macular degeneration, dry eyes: Optometrist at Ross Eye Institute talks about issues that can affect your vision P.4

ALSO INSIDE

5 THINGS YOU SHOULD KNOW ABOUT CATARACTS P. 15

SOLACE IN THE INCESSANT BUZZ A novel way to treat PTSD

HEALTHCARE WORKERS ON STRIKE P.6

Passengers in Wheelchairs Can't Use Most Airplane Washrooms. That Could Change

W

ith airplane bathrooms inaccessible to most people with disabilities, those who use wheelchairs have a necessary preflight routine: Dehydrate and hope for the best.

Now, relief is on the way.

Among a series of actions aimed at making air travel easier for people with disabilities, the U.S. Department of Transportation (DOT) finalized a rule late in September that will require new single-aisle airplanes to be designed with handicapped-accessible bathrooms. Some overseas airlines flying to and from the United States already have these bathrooms.

“They'll have grab bars,” said Claire Stanley, a public policy analyst with the National Disability Rights Network. “They'll have a turning radius where someone can get in and actually turn and transfer to the commode.”

Problems with airplane bathrooms are only one travel hassle for folks with disabilities. Some arrive at

their destination to find their costly, custom wheelchair broken due to improper storage in an airplane's hold.

That's not just an inconvenience, but a serious health hazard, Stanley said.

“If your chair isn't designed right, you can develop pressure sores and that can lead to some pretty awful health problems,” she said.

“We hear countless stories of chairs broken in the cargo hold of a plan, where all the luggage is kept.”

With this in mind, the DOT also announced an agreement with United Airlines under which the airline will take industry-leading actions to help people locate flights where their wheelchairs can be safely stored and transported.

A new digital feature on United's website will help passengers determine if an aircraft can accommodate their wheelchair. United will refund the fare difference if a costlier flight is needed to accommodate a specific wheelchair size.

The United agreement was prompted by an incident in which a passenger died after her custom wheelchair was damaged during a cross-country flight.

"By offering customers an easy way to know if their personal wheelchair fits on a particular airplane, we can give them the peace of mind they deserve when they fly with us," Linda Jojo, executive vice president and chief customer officer for United, said in a statement. "Plus, collecting this information ahead of time ensures our team can handle these special items with proper care and attention."

United expects to launch its new wheelchair-friendly policies early next year.

But Stanley warned that handicapped-accessible bathrooms on planes are likely still a decade or more away, since the rule applies only to new planes that replace the existing fleet.

“It's not like it's going to happen

tomorrow,” she said. “It's not something where you can retrofit. You have to wait for the rollout of the newly designed planes, which is a very long process.”

The DOT's agreement with United resulted from a complaint

by Engracia Figueroa, 51, who died months after her $30,000 specialized wheelchair broke in the cargo hold during a flight home to Los Angeles from Washington, D.C. Figueroa had to sit in a broken manual wheelchair for nearly five hours at the L.A. airport while United sorted out what had happened, according to Hand in Hand, the domestic employers' advocacy group she represented.

Figueroa developed a pressure sore while she waited at the airport, and the sore was made worse by the loaner chair she had to use while she fought with United to replace her broken chair, Hand in Hand says.

“The sore became infected and the infection eventually reached her hip bone, requiring emergency surgery to remove the infected bone and tissue,” a Hand in Hand statement says.

Figueroa died Oct. 31, 2021, three months after the July flight in which her wheelchair was broken.

United also agreed to launch a trial program to explore whether medical wheelchairs or other types of chairs can be used to safely accommodate passengers whose personal wheelchairs break during a flight.

“This will include what type of specialized seating equipment should be tested, how and where it will be utilized within the airport, and how best to collect user feedback,” the DOT announcement said.

Stanley said she hopes other airlines will follow United's example.

“It's just basic supply-and-demand economics,” she said. “Passengers will want to go to what is most accessible. Passengers with disabilities, which is a huge percentage in the market, are going to start flocking to one airline, so you'd think the others would follow suit.”

ASSISTED STRETCH STUDIO

50-MINUTE

INTRO-STRETCH

49

$

1-on-1

Assisted Stretch Studio IMPROVED SPORTS PERFORMANCE

INCREASED RANGE OF MOTION & FLEXIBILITY

REDUCE MUSCLE & JOINT PAIN

REDUCE STRESS

IMPROVE POSTURE

CALL TO BOOK YOUR STRETCH! StretchLab Southtowns 3860 McKinley Parkway, Suite 230 (716) 303-0518 | southtowns@stretchlab.com

Page 2 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • November 2023

StretchLab Northtowns 8214 Transit Road (716) 559-7653 | northtowns@stretchlab.com

ARE YOU SUFFERING FROM Numbness, Burning or Tingling in Your Legs or Feet?

Heaviness, Weakness, or Balance Issues?

Radiating Pain from your Back and Neck to your Arms/Hands or Legs/Feet?

Visit the only nationally certified decompression clinic in the WNY region Experience the most recent researched and evidence-based innovative technologies: DRX-9000 GOLD STANDARD EVIDENCE-BASED TREATMENT Spinal Decompression • Neuropathy Disc Bulges and Herniations • Arthritis Stenosis Sciatica

OUR TESTIMONIALS What was a constant pain stopping me from being active is effectively gone, and I can continue with an active lifestyle.

Peter Proulx I just finished my treatments.

They literally gave me my life back.

Walter Baumgart I cannot say enough good things about the care and results I receive here.

DJ Rick

ELECTROANALGESIC THERAPY EVIDENCE-BASED TREATMENT Immediate Pain Relief for Damaged Nerves & Muscles Reduces the Need for Injections, Pain Medications and Surgical Interventions

CLASS IV MEDICAL LASERS FOR NEUROPATHY AND POST-SURGERY PATIENTS Heals Damaged Nerves and Scar Tissue Improves Circulation • Cellular Regeneration

BALANCE AND REHAB TRAINING & MORE!

ATTEND OUR FREE LUNCH & LEARN SEMINAR

HELD EVERY THIRD WEDNESDAY OF THE MONTH AT 1PM

CALL 716-650-PAIN (7246)

NOW TO RESERVE YOUR SPOT! www.buffalopainrelief.com

November 2023 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • Page 3

Americans Who Are Deaf Can Now Use 988 Suicide Helpline The U.S. government's 988 Suicide and Crisis Lifeline is expanding its reach to help more people.

The crisis line has now launched services in American Sign Language (ASL) to help callers who are deaf or hard of hearing.

The ASL services were launched in September, according to the U.S. Department of Health and Human Services.

“Individuals across America who use ASL as their primary language can now readily access the support they need during a mental health crisis,” Health and Human Services Secretary Xavier Becerra said in an agency news release.

“With the introduction of 988 ASL services, we are taking a significant stride forward in providing inclusive and accessible support for the deaf and hard-of-hearing community."

The services use a videophone device that transmits video and audio. It can be reached by clicking “ASL Now” on 988lifeline.org. Callers can alternatively call 1-800273-TALK (8255) but will soon also be able to directly dial to 988 by videophone.

"After years of advocacy to ensure that 988 is available to everyone not only through voice calls, but also texting and video for sign language users, the National Association of the Deaf (NAD) is thrilled that the 988 Suicide & Crisis Lifeline is now available to use through video calls in sign language,” said NAD CEO Howard A. Rosenblum. “We encourage anyone going through a crisis or thinking about suicide to contact 988 in any way preferred -- voice, text, or sign language."

The new move is part of an ongoing effort by the HHS's Substance Abuse and Mental Health Services Administration (SAMHSA) to add accessibility to behavioral healthcare.

An earlier update added Spanish-speaking services by text and chat.

“We're talking about mental health in a way that we have not historically talked about it,” said Monica Johnson, director of the 988 & Behavioral Health Crisis Coordinating office at SAMHSA. The 988 Suicide and Crisis Lifeline was launched last year for anyone who is experiencing a mental health crisis, emotional distress or contemplating suicide. It is an evolution from the former National Suicide Prevention Lifeline.

Making it possible to reach help by dialing only three digits was meant to make it easier to remember.

Meet

Your Doctor

By Chris Motola

Benjamin Gutsin, OD

Cataracts, floaters, macular degeneration, dry eyes: Optometrist at Ross Eye Institute talks about issues that can affect your vision Q: What kinds of problems do people tend to run into with their eyes as they age?

A: I’ll start with dry eyes, which is very common and tends to increase with age. Dry eyes can cause a gritty sensation, irritation, pain. Counterintuitively it can also cause increased tearing, which has to do with the eye’s inability to retain moisture on the front surface. It’s a natural response to increase tear production. It can also cause mucus and discharge in the morning. We have many treatments for dry eyes, including topical drops, medication, plugs to prevent tear drainage and even a new FDA-approved high-pulse light therapy, which also has the added benefit of reducing wrinkles around the eyes.

Q: How does the eye lose its ability to retain moisture?

A: It’s a multifactorial condition related to age. In some patients they’re not able to produce enough tears. In other cases the tears they’re producing aren’t of a good quality. In other cases, the tear may be evaporating too quickly due to the oil glands around the eye not working as effectively, which leads to faster evaporation.

Q: What other conditions do you see with age?

A: Another common one is presbyopia, which is the eye’s inability to compensate for near work.

This can occur at different stages, but it’s exacerbated by our digital devices.

You may see friends or family members who wish their arms were longer because they can’t quite see their phones up close, but holding it back makes it a little bit clearer. It’s the muscles in the eyes not

being able to compensate for a near target. This can usually be easily diagnosed during a comprehensive eye exam and is treated with things like bifocals, contact lens or even prescription eye drops. Surgery is generally not a treatment, which I’m mentioning because some patients ask about Lasik.

Q: This might be a stupid question, but since it’s a muscle issue, is it something you can train?

A: That’s a great question. Saying it’s a muscle issue is somewhat simplifying it. It’s both your eye’s inability to stimulate your accommodative system, but it’s also decreased flexibility in the lens of the eye itself.

So unfortunately, no, it’s not something we can attempt to train, with some rare exceptions.

Q: Why is Lasik not useful here?

A: Lasik tends to be suggested for younger patients between 20 to 40 with a certain type of stable glasses prescription. It’s generally just to correct your distance vision.

Q: Cataracts are a well-known eye aging issue. What’s going on with those?

A: Cataracts are actually an aging process, not a disease. It’s the progressive cloudiness of the lens inside your eye. They cause blurs and distortions, especially at night and at all distances regardless of whether you’re wearing your glasses or not.

The treatment is ultimately cataract surgery, where they replace your cloudy lens with an implant.

There are several different lens

Page 4 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • November 2023

options depending on your vision demands. Your eye doctor should be checking for cataracts every time you visit them and give you an idea of when the best time to consider surgery might be.

Q: How long do these replacements lens usually last?

A: They should last a lifetime unless there are complications. Once they change the window in your eye, if you want to think of it that way, that should be it.

Q: Any other conditions you want to touch on?

A: Two, actually. One is floaters. Some patients may notice them.

They’re the coagulation of the jelly-like substance in the eye. As the substance changes, it can lead to temporary visual phenomena, almost like seeing bugs moving around that aren’t there. We tend to become less sensitive to the changes over time; the brain tunes most of it out. If you do notice major changes though, you should call your eye doctor as soon as possible. That, along with sudden flashes, can be a symptom of a detached retina. A retinal detachment is an injury, essentially, to the wallpaper of your eye. It captures the light and turns it into signals that can be interpreted by the brain as images. If that wallpaper gets damaged, we’re not able to capture light in a meaningful way, so making sure it’s healthy is an important part of eye exams. And the last thing I wanted to touch on is macular degeneration.

Q: What is macular degeneration?

A: This is a disease that tends to be found in the older population that reduces the clarity of your central vision. The best treatment is prevention: avoid smoking and wear sunglasses. But some macular degeneration may require interventions and increased monitoring. It’s another condition we screen for with annual eye exams, so make sure you’re being seen annually, especially over age 60.

Q: Do you have any general advice for eye health?

A: The biggest thing is not to worry too much. Let your doctor manage most of the concern. Your glasses should only help your vision.

If you’re noticing they’re not helping or not helping as much, discuss it with your eye doctor. Aside from that the best thing you can do for your eyes is just take care of your overall health. Avoid smoking. If you have diabetes, or high blood pressure, getting them under control will probably help your eyes.

Lifelines

Name: Benjamin Gutsin, OD Position: Optometrist at Ross Eye Institute and clinical instructor of ophthalmology Hometown: Orchard Park Education: Pennsylvania College of Optometry, doctor of optometry; specialty in contact lenses, The Eye Institute, Salus University, internship; Ophthalmology Physicians & Surgeons in Collegeville, Pennsylvania, U.S. Department of veteran Affairs, Wilmington, Delaware, internship Family: Wife Hobbies: Traveling, cooking, outdoor activities

TOP 100 for Orthopedics in the Nation

ECMC...honored to be named as one of the top 100 best hospitals in the U.S. for orthopedic surgery by Healthgrades.

ECMC was also recognized with the 2023 Orthopedic Surgery Excellence Award™, with the highest rating possible – five out of five stars for both Hip Fracture Treatment and Total Knee Replacement.

From the Buffalo Bills to our Western New York family, ECMC’s national class Orthopedic program has treated thousands of patients in the comfort of the Russell Salvatore Orthopedic Unit, getting them back on their feet to do the things they love.

For the best nationally recognized orthopedic care delivered by skilled and compassionate caregivers choose ECMC.

If you or your loved one need orthopedic care, call 716-898-3414 or go to ecmc.edu today.

The difference between healthcare and true care™ ecmc.edu

November 2023 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • Page 5

Healthcare in a Minute

By George W. Chapman

only get another prescription which they do not want; 67% fear being referred to multiple providers and still no definitive diagnosis; and 71% would leave their current position for better health insurance. The survey results are intended to educate and alert employers to the significant healthcare travails facing their female employees.

Health education vital

ON STRIKE

A

ON STRIKE

ON STRIKE

Healthcare Workers on Strike

s of this writing in mid-October, more than 70,000 Kaiser Permanente are on strike. This past summer, RUNAP, the Rochester Union of Nurses and Allied Professionals negotiated with Rochester Regional Health. The issues are the same for most hospitals throughout the country. Since COVID-19, thousands of healthcare workers have left their profession, leaving hospitals short staffed. Consequently, active staff are overworked and exhausted.

While pay is always an issue, it hasn’t been THE issue. Strikers are mostly

concerned with burnout, turnover and patient safety. The dilemma facing just about every private and public hospital is they are operating at razor thin, if not negative, margins.

Unlike most businesses, hospitals cannot simply raise prices to increase cash. (Well, they technically can raise prices, but virtually no one will pay them.) Hospital revenues are determined and controlled by Medicare, Medicaid and commercial insurers.

I’m sure most hospital executives are sympathetic to union demands. They can see what’s happening as they

work there, too. Adding to hospital financial woes are the extravagant fees charged by traveling nurse businesses. If hospitals can’t fill positions locally, they are forced to rely on contract staffing. This just exacerbates the situation as higher paid contract nurses are working side by side with the lower paid local nurses. It’s an HR nightmare. Third party payers are going to have to step up their payments if hospitals are to survive and provide care under safe and competent conditions.

34 million, are enrolled in commercially administered Advantage Plans.

The projected rate increase is 4%, but it won’t impact you if your stick with your current plan. Medicare Advantage Plans have been very profitable for commercial carriers.

and consumers, a federal court has struck down a Trump-era policy that allowed insurers not to count any drug manufacturer’s co-pay assistance toward the insured’s out-ofpocket obligation. The now outlawed policy permitted insurers and PBMs to counter the co-pay assistance by raising member annual out-of-pocket obligations. For example, if your copay on your diabetic drug was $100 and the manufacturer offered $50 co-pay assistance, the insurer would still consider your co-pay obligation as $100, not $50. The co-pay accumulator is a running tally that tracks what you still owe before reaching your total out of pocket obligation for the year.

Insurers faring well Meanwhile, as cash-strapped hospitals fight the battle, commercial insurers (far from the battlefield) are enjoying, in some cases, record profits. Notable profits for the first half of the year were $11 billion for United and $4 billion for CVS healthcare.

Centene, Cigna, Elevance (BCBS) and Humana have all made healthy profits so far this year. Locally, WellNow urgent care is threatening to disenroll from Excellus BlueCross BlueShield effective January 2024 unless they are paid fairly. Excellus has averaged around $130 million profit annually over the last five years. Their rate increases have been around 8% annually over the last five years.

Medicare enrollment Open enrollment started Oct. 15 and ends Dec. 7. More than half of seniors eligible for Medicare, about

Costco too?

Not to be outdone by the likes of Amazon, Walgreens, CVS and Walmart, the giant discounter has partnered with startup Sesame to offer virtual healthcare to its members.

The cash-only plan (they don’t accept insurance) will offer virtual primary care at $29 a visit and mental health therapy at $79 a visit via 10,000 participating providers. They are marketing primarily to under insured consumers. Amazon has purchased One Medical for $3.9 billion. CVS bought Oak Street Health for $10.6 billion while Walgreens grabbed Summit Health for $9 billion. While all this money is being invested in primary care, hospitals continue to struggle financially.

Drug co-pay accumulators In a major victory for patients

Women’s health Women comprise 60% of the workforce and face $15 billion more than men in out-of-pocket expenses annually. A survey of 1,200 working women commissioned by Parsley Health revealed why women delay seeking care. 44% delay care due to time constraints; 37% delay care due to disappointment with previous visits; 33% delay care because of co-pays; 24% are worried they will

Page 6 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • November 2023

In yet another survey seeking to determine patient confidence in their healthcare, OnePoll found that 48% of respondents were anxious about their next appointment, up from 39% in 2022. Insufficient education and information about their condition and symptoms were cited as the major cause of their anxiety. 43% were anxious about being referred to providers they knew nothing about. 32% admitted to Googling their symptoms prior to their visit and 28% worried about their diagnosis. Overall, patient confidence was down due to feeling unempowered.

55% of respondents suggested more education from their provider prior to and during their visit would reduce their anxiety and increase their confidence. 53% said knowing that there is effective treatment would also lower their anxiety and increase their confidence. There is certainly plenty of time spent in waiting rooms that could be better spent on education and patient empowerment.

Nice try In yet another victory for consumers, a federal judge has denied a brazen request by the US Chamber of Commerce to delay the deadline requiring drug companies to negotiate drug prices with Medicare. (The deadline was Oct. 1 and negotiations have finally commenced.) The plaintiff tried to argue that the price negotiations authorized by the Inflation Reduction Act were unconstitutional giving the government “illegal and arbitrary price control.” “Control?”

Apparently, the clueless chamber (no doubt a straw man put up to challenge the government by the drug manufacturers) couldn’t understand the difference between “negotiating” prices as required by the IRA and “setting–controlling” prices. The plaintiffs also purported negotiations (or “control” as they claim) would result in less access to drugs and less investment in innovation, both of which are hollow and unfounded threats. We are talking about negotiating 10 drugs. Drug manufacturers have long negotiated prices with other countries with national health insurance.

George W. Chapman is a healthcare business consultant who works exclusively with physicians, hospitals and healthcare organizations. He operates GW Chapman Consulting based in Syracuse. Email him at gwc@gwchapmanconsulting.com.

WESTERN NEW YORK CHAPTER

We are here for you. Visit alz.org/wny or call our 24/7 Helpline at 800.272.3900.

Helping individuals of all abilities reach their fullest potential

Flu Shot Season Is Here: Why You (and Your Kids) Need One

I

t's time to get the flu shot.

They're important not just for adults, but also for children, and keeping the whole family safe, according to an expert in pediatrics.

“You never know how bad a flu season will be,” said Mona Patel, attending physician in the department of general pediatrics at Children's Hospital Los Angeles. “We like to think of flu shots as preventive care; getting one lessens the chances of more severe symptoms that may cause children to be hospitalized.”

Several major health groups — the U.S. Centers for Disease Control and Prevention, the American Academy of Pediatrics, and the Infectious Diseases Society of America — recommend that everyone aged 6 months and older get a flu shot.

Even if this doesn't keep you from getting the flu, it can prevent severe and secondary illness related to it.

Children who have conditions that put them at increased risk of illness are among those who especially need a flu vaccine, Patel said.

Vaccines are designed to stimulate the production of antibodies in the body. These can then attach to the outer structures on the protein coat of the virus, disabling it.

Epidemiologists and immu-

nologists at the CDC look at global patterns for flu to predict which formulation the current year's flu shots should have.

“If you got a flu shot last spring — basically, if you got it during the last flu season — it may not be effective against the flu that is circulating this season,” Patel said. “You never know which variant will be passing through, which is why the vaccine needs to be reformulated for every new flu season. That's why we say it's important for people to get their flu shots every single year.”

Typically, flu season starts around October and lasts through April.

Getting a flu shot at the beginning of flu season can maximize the benefits, Patel said, but it's still better to get it late than to not get it at all.

“You want to get it early enough that it has maximal effect a few weeks later,” she advised. “At the same time, I don't want folks to say, 'I missed it back in September and October, so I shouldn't get it.' If it's flu season, you should get the shot.

It's better to have some protection than none.”

Editor’s Note: See Savvy Senior column in this issue showing what vaccines seniors should get this year.

SERVING WESTERN NEW YORK A monthly newspaper published

by Local News, Inc. Distribution: 25,500 copies throughout more than 1,500 high-traffic locations.

In Good Health is published 12 times a year by Local News, Inc. © 2023 by Local News, Inc. All rights reserved.

P.O. Box 550, Amherst, NY 14226 Phone: 716-332-0640 • Fax: 716-332-0779 • Email: editor@bfohealth.com Editor & Publisher: Wagner Dotto

Writers: Deborah J. Sergeant, Chris Motola, Jim Miller, Gwenn Voelckers, Anne Palumbo, Brenda Alesii, Ernst Lamothe Jr., Jane Schmitt, Julie Halm Advertising: Anne Westcott, Amy Gagliano, Pam Roe Layout & Design: Angel Campos-Toro Office Secretary: Allison Lockwood

180 Oak Street, Buffalo NY 14203 | 716.883.8888 | csevery1.com

Clayton L. Del Prince, MD

Sports Medicine, Knee & Shoulder Arthroscopy, General Orthopaedics

Erik Freeland, DO

Megan A. Ziske, MD

Foot & Ankle Surgery

Physical Medicine and Rehabilitation

Expertise is Everything Leaders in Orthopaedic Care UBMD Orthopaedic & Sports Medicine is the largest orthopaedic group in Western New York, and we are still growing. With the addition of 3 new physicians we’re even more committed to the community and your health.

Injuries from foot and ankle, hand and wrist to spinal conditions, joint, hip and back pain, knee, elbow, shoulder, concussion and sports medicine, our team of doctors, physical therapists, athletic trainers and other healthcare providers can help with any orthopaedic injury. We’re dedicated to being the best at making you better.

Schedule an appointment today and get expert care from the largest medical group in Western New York.

Call or visit

716.204.3200 ubortho.com

Team Doctors For: TM

No material may be reproduced in whole or in part from this publication without the express written permission of the publisher. The information in this publication is intended to complement—not to take the place of—the recommendations of your health provider. Consult your physician before making major changes in your lifestyle or health care regimen.

Trusted Orthopaedic Care for Bones. Joint. Muscles. Concussions.

Buffalo | Depew | Niagara Falls | Orchard Park | Williamsville

November 2023 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • Page 7

Live Alone & Thrive

By Gwenn Voelckers

Practical tips, advice and hope for those who live alone

restlessness and lack of control over one’s thoughts.

The idea for this column on solitude was illuminated for me during one of my morning meditations. In that secluded moment, with my cat on my lap and no interruptions, I reflected on the topic and composed the words I am sharing with you now.

Embracing Solitude: A Journey Toward Contentment Gratitude and Contemplation

I

n a world that constantly moves at a breakneck pace, solitude can feel like an elusive luxury.

Yet I’ve come to cherish and celebrate those moments when I find a quiet moment to reflect, contemplate and rediscover the simple joys of life.

I’ve learned that solitude is not about isolation; it’s a chance to reconnect with oneself and everything around us.

It was a gorgeous fall day when I took a walk in Mendon Ponds Park and was filled with the joys and benefits of solitude. On that crisp, cool afternoon, I heard the leaves crunching beneath my feet and listened to the wind rustling through the trees.

I was surround by the colors of fall, and was reminded that solitude isn’t an empty space, but rather an active state of being present with myself and the world around me.

It felt like a breath of fresh air for my soul.

Personal Reflection One of the greatest joys of solitude is the opportunity for personal reflection. In the midst of our daily chores and chaos, it’s so easy to lose sight of ourselves.

We’re often too preoccupied with our roles and responsibilities, constantly reacting to the world around us. I know I am.

But when I slow down, I can

pause, take a step back and contemplate who I am, what I value, and where I’m headed. It’s a chance to reconnect with my “true north” and ensure I’m on the right path.

An anecdote that beautifully illustrates this occurred during a solo retreat I took last fall around this time. With no one to talk to but myself, I began a conversation with my own thoughts. It was during those moments that I realized I had been neglecting some of my passions and dreams.

This solitude provided me with clarity. It inspired me to make positive changes in my life. On returning home, I rededicated myself to my music and my writing.

Creativity Unleashed Another remarkable gift of solitude is its power to foster creativity.

In the peace and quiet, our minds are free from external distractions, allowing our thoughts to meander and merge in unique ways. Surrounded by silence, I find myself lost in thought, daydreaming about stories to share or problems to solve.

Solitude is a space where ideas are born and nurtured, unfettered by a “monkey mind,” which can overtake our thinking.

For readers who are not familiar with monkey mind, it is a Buddhist concept that describes a state of

Want Your Child to Have Empathy? Stay Close

Y

oung children who are close to their parents are more likely to grow up to be kind, caring and considerate. These kids may also have fewer mental health problems during early childhood and adolescence, a new study finds.

By contrast, children whose early relationships with their parents are emotionally strained or abusive are less likely to become thoughtful and generous.

“Taking time to build warm, close, comforting and understanding relationships between parents and children in early childhood tends to predict children's resilience against mental health difficulties, and increases their levels of prosociality throughout childhood and adolescence,” said study co-author Ioannis Katsantonis, a researcher at the Uni-

versity of Cambridge in the United Kingdom. Prosociality is an umbrella term that encompasses kindness, empathy, helpfulness, generosity and volunteering.

The findings make intuitive sense. “Children imitate their parents and so they learn social skills in the course of this that they later find helpful,” he said.

For the study, researchers analyzed data on more than 10,700 children born between 2000 and 2002. They interviewed parents and the kids at ages 5, 7, 11, 14, and 17, using standardized questionnaires that measure mental health symptoms such as depression, anxiety and aggression; socially desirable behaviors; relationships; and discipline practices.

Here's what the investigators

Solitude also teaches us the profound art of gratitude and contemplation.

In the tranquility of time alone, we’re better able to reflect on the blessings that surround us. Whether it’s the taste of a warm cup of tea, the scent of a distant bonfire, the wonderous look in a child’s eyes or a friend’s warm hug, solitude amplifies our capacity for gratitude.

It makes us aware of life’s simple pleasures.

At the end of the day, before drifting off to sleep, I often take time for calm contemplation, considering life’s many intricacies and, sadly these days, life’s atrocities.

This restful lull before dozing off helps me count my blessings and appreciate the beauty that resides in and around each of us.

Thanksgiving is just around the corner, as are the holidays in December. Social gatherings and obligations can be overwhelming. And exhausting.

I’ve learned that stepping away for a brief period can help me regain my balance and perspective. I can then truly enjoy and appreciate the time I’m spending with the people I love.

Wrapping up ...

It bears repeating: Solitude is not an escape from the world, but rather a gateway to rediscovering its profound wonder and beauty.

It allows us to tap into our creativity, embrace gratitude, and recharge our spirits.

While it’s crucial to nurture meaningful connections with others, we should also remember the joys of solitude, especially during hectic and challenging times.

In closing, know this: In the stillness of your own company, you just might find the inner contentment you’ve been seeking all along.

For me, one of the most valuable aspects of solitude is its role in reenergizing my soul. Life demands so much attention and energy. As my own sole provider, I’m pulled in many directions, as are all those who live alone.

Tranquil introspection allows me to slow down and recharge my batteries. It’s a sanctuary where I can step away from the hustle and bustle, relax and reconnect with what matters.

Gwenn Voelckers is the founder and facilitator of Alone and Content empowerment workshops for women (now on hiatus) and the author of "Alone and Content: Inspiring, empowering essays to help divorced and widowed women feel whole and complete on their own" To contact Voelckers or purchase her book, visit www.aloneandcontent.com

found: The closer kids were to their parents at age 3, the more kindness, empathy, helpfulness, generosity and volunteering they expressed as they grew up. Conversely, kids whose early parental relationships were emotionally strained or abusive were less likely to develop positive social habits over time.

The study also found that mental health remains stable throughout childhood and adolescence. “After a certain age, we tend to be mentally well, or mentally unwell, and have a reasonably fixed level of resilience,” Katsantonis said.

Socially desirable behaviors, on the other hand, vary more and for longer periods of time, suggesting a larger window of opportunity to intervene and set kids on a new path.

“Closeness only develops with time, and for parents who are living or working in stressful and constrained circumstances, there often isn't enough,” Katsantonis said.

Some parents may also need help forming a secure, caring bond.

“Policies which address that, at any level, will have many benefits, including enhancing children's mental resilience and their capacity to act positively towards others later in life,” he added.

Schools can also help. But the researchers said educational efforts to develop positive social habits should be ingrained in the curriculum, and not just presented as one-offs, like

anti-bullying weeks.

The findings were published online Oct. 7 in the International Journal of Behavioral Development.

Experts who were not involved with the study agree that kids don't take after strangers.

This study “breaks new ground in understanding how parenting contributes to children's mental health and positive social behavior,” said Jessica Stern. She is a research psychologist at the University of Virginia.

The analysis "gives some of the strongest evidence that parenting really matters for healthy development in the long term, especially when it comes to preventing behavioral problems,” Stern said.

Recharging the Soul

Page 8 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • November 2023

closely associated with the agency, The Salvation Army offers an array of services available to everyone in the region regardless of one’s race, gender, familial or economic status.

In Good Health recently spoke with the director of operations of the nonprofit in Erie County. Major Annette Lock, a native of Freeport, Maine, along with her husband, Major John Lock, leads the Buffalo Salvation Army. The couple, now living in Amherst, was assigned here nearly five years ago.

Q A

Q. When someone donates in November and December to a Red Kettle volunteer, where does that money go?

A. Every coin or bill stays in the Buffalo area, helping to keep our shelters open, replenish our food supplies in addition to providing food and toys for the holidays. The Red Kettle contributions are part of our overall budget. We have countless bell ringers who volunteer either as individuals or in groups for a few hours. It’s important that we’re visible in the community and that people know we’re still here serving the community, helping our neighbors.

We even have a method of making safe, efficient donations by using Tip Tap, which makes cashless donations an easy tap away. Donations can also be made by texting “redkettle” to 31333. For other volunteer opportunities, we ask that “TSAVolunteer” be texted to that same number, 31333.

Q. What is the mission of The Salvation Army?

A. We are here to preach the gospel of Jesus Christ and meet the needs of humans without discrimination. I think most people would be surprised with the scope of our work, which includes 25 different services, including shelter, providing nutritious meals and stable housing, and hosting three food pantries throughout the city. We help with re-unifying children with their families, aid children with special needs, provide conflict management program and after school youth programs, among many others.

with Major Annette Lock Red kettle volunteers from the Salvation Army will be all over but director of operations says organization is much more than that: It offers 25 programs in WNY, including shelter, meals and stable housing

Q. What are your other funding sources?

A. It’s a wide variety — government contracts, foundation grants, mail appeal, and fundraising events.

Q. Does the Salvation Army serve all demographics?

A. Yes. Nearly all of our programs are offered at no cost or subsidized to make them available to all.

Q. You’re also in the middle of a large strategic plan project, right?

A. “Hope on Main” is a $100 million three-phase project. This capital campaign will be used to overhaul our facilities, replace our outdated family shelter, and build a housing complex of 160 apartments and townhomes. We also plan to move the community center from Main Street to an East Side location.

Q. Did you notice that more people sought your services post-COVID? A. The need has been more prevalent after COVID, meaning that we are serving individuals who never required assistance before with food, homelessness, and other types of help. One event can lead to a crisis

By Brenda Alesii

N

Q. How many locations are there in WNY? A. We have 10 Salvation Army’s in the area, which all provide charitable and religious social services.

Three are in the city: Grant Street, Westminster and on Main Street, but an individual can come to any location throughout the area.

Q. As part of the Salvation Army’s leadership, you are an ordained minister and a commissioned officer. You’ve lived in other areas and came to Buffalo a few years ago. What was the transition like?

A. We had no connection to the community before coming here, and had heard all the stereotypes about snow and chicken wings. We love Buffalo, it feels like home, and we enjoy working with our dedicated staff and board members.

&

ow that the holiday season is upon us, we can expect to see certain symbols of the

being brought to your front door.

Our staff of 50 people in Buffalo has a lot of experience, including the case managers, who understand the challenges that so many people face – lack of income, medical issues, lack of housing, etc.

season, including those ubiquitous red kettles staffed by volunteers from the Salvation Army. While they are

BFO HEA

LTH

.COM

Erie Has County a Prob n STI lem AUG

US T

ALSO

INSID U.S. Ho E Finally spitals Are Gettin , Just 8% Lower Dr ug Pr g Safer Lack Health ices. But for Patient Wait… s P. 5 Insura nce, a Reco P. 6 rd Lo w P. 5

Make In Good Health newspaper your advertising choice in 2024

BFO HEA

E

SEPT

EMBE

R 20

22 •

BAC

K TO

choo

SCH

OOL

SPEC

IAL

ls Sa

Nine te in a en chil Uva shooti dren a n lde, Tex ng at R d two loca as. As k obb Ele teache rs l sch id m ools s gear entary were k , how up to Scho illed o safe re Pag are thturn to l in e 13 our ey?

PED

IATR Phys ICS interim ician Fr ed Pedi division D. Archer at ch stab rics, disc ief of UB III, le cont routin usses ho MD e at ribut wa ho scho ol, st e to kids me can ress ’ succ redu ction ess in — P. 4

STRO

KE

Phys ic direct ian Robe at th or of th rt Sawye e Ga e St r, talks tes Va roke Ce coknow about fivscular In nter stitu to kn e ow ab things yo te, u out it — P. 9

fe?

INSIDE

: WEL

E

OKIN

ERECTI

LE DY

BFOH EA LT

THE C AREG IVER

MAY

2022

• IS

SUE

FRE

L ISSU

Inte gra com pl

SFUN

HOW TO

SLEEP BETTE R

Rese Com archers patie prehensi at the U nive nts ge ve Ca rsity nc t lists a better er Center at Buffa seve ni lo Sc are co n type ght’s sl nduc hool of ee s of Nur tin food p. PLUS: Writ g an inso sing an that er An d can m help ne Pa nia stud Roswel l you sleep lumbo, au y to help Park bett er. PA thor of Sm cancer GES 19 artB ites, AND 20

E

WEIG H JOUR T GAIN NEY GOIN

GO NA

TREM

ORS, PA DISEA RKINSON D ’S SE neur aniel Siric ol a

is an Park ogist. H UB e in deep son’s di discusse MD seas impr brain st e — s tremor im ove , an som ulation d how e mot ca or sy n help mpt P. 4 oms.

MENTA

L HEA LTH

■ Si gn men s you ne ta help l health ed ■ body Poor affect image s te ens’ men ta How l health poor ■ heal th ca mental n de crea se lo ngev

CTION

22 •

MEE JAZZ D T THE OCTO R P. 19

ISSU

E 90

Fro Find 1 m reflexo 3 hea lo lth m gy to odalit ies

BFOH EA

LTH.

COM

MAR CH 20 22 •

WHAT ALSO IT MEA -TER M NU INSI RSES NS TO BE DE LEAD A A NU WITH NURSE, RSE P. 13 EMPA AND HIS HO THY, P. 14 BBIE S, P. 12

ity

FRE E

Mos t losing diets ar e hear weigh geared t. to gain about in Less ofte ward di millio weight. An viduals n do we unde n adults estim trying to at rw w or ei Jow ldwid ed 462 ght. se her jo y of TonaWriter Am e are urne w anda y to and ta lk gain weighs about t. P. 10

ISSU

E 89

Child con ren hav st e cove ant stre been th ss roug rage; h an ever from fa m aw -s bee n har hifting ily finan ful lo t in d to C ces, go b OVID-1 work the pas 9 ack to th protoco and sc t two ye ar e co ls; an hool nve chan s: onlin d fe ntio e ges ar nal ; ple classe way of the s; so nty vi of d ci oing rus itse of neg ativ al lf. F thin e o gs STO r kids an new RY ON d te P. 1 4

November 2023 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • Page 9 LONG

IN M

M

L 20

91

Nati tim onal N e to urse th s ded ank nu Week is icate rs d an es for in May ;a th d co ntin eir inc great re ued work dible, .

H.CO

APRI

Dau Percy ghter M yz , 90 , and ette How el Lore tta, 8 l, 53, of 8. Th B ey w uffalo (l ere bo eft), th re is in ch ce P. 14 ntly diag arge of nose the ca re d wit h Alz of her heim parent er’s dise s, ase.

NURSEATING S

ID

SPECIA

John UBM Rutkow sk D dysfu Urolog i, urolog y, disc ist w nc ith us of ba tion. ‘It ’s ofte ses erec d thin tile n a ha gs rbinge the co to come,’ r he nditi on. P. says of 4

BFO HEAL TH.C OM

MULT

LNESS

ALSO INSID � 5 Is E sues Kids Fa � Fa ce To m day P. � Ca ily Meals: 15 mp Cr Why They adle ’re so Beac Impo h: Un iting rt Child ant P. 14 ren P. 16

TOO MAY LITTLE H SL KIDSARM YO EEP ’ BRA UNG INS

Call 716-332-0640 or email editor@bfohealth.com to request a mediaCEkit.

LEBR

Are S

95

FRE

& SM

m hi canc gh er mor , men w er risk of G e impo prone ho smok lung to de te velo e are and nce, low p ea gr er rly canc eater ris sperm co er an k of pros unt dise d ca ases ta , say rdiovasc te expe ul rts. P. ar 16

Reach over 80,000 health conscious readers in WNY (based on 25,000 copies distributed)

ISSU E

r’s

2

P. 8

FRE E

Gon case orrhea ca s peo double ses are ple w d — pro up 56 h and o live in blem %, syph is 142 11. ZIP cod worse ilis Stor fo es 1 y on 421 r page 4 7

FRE

eime

e fro

94

OM

Be Alzh tter trea eime tm r’s are ents fo Q&A on th r those with e ho rizon diagnose Alzh Amanda , say d eime loca with r’s AssNobrega Citic l exp , in ocia oline erts. ti : A po on W terim dir ssible e NY C haptector at Alzh See e r im Alzhe er’s tr imer e s: Pa atm ges ent 6, 10 -1

Asid

• IS SUE

LTH.C

Alzh

MEN

2022

SmartBites

By Anne Palumbo

Helpful Tips Look for plump turkeys with a well-rounded breast. Beware of flat spots, which suggest the bird has been thawed and refrozen. If you’re looking for the cleanest option, go with an organic, free-range turkey that has been raised without antibiotics and fed an organic diet. And if you’re looking for the leanest cut, go with skinless, white meat. By the way, no hormones are ever used in the production of any US turkey.

The skinny on healthy eating

Turkey’s Many Nutrients Worth Gobbling Up

I

don’t eat much meat these days.

But when I do, I turn to the star of 46 million tables each Thanksgiving: turkey.

Not only does my beloved butterball deliver an impressive cornucopia of nutrients, but it serves them up without much fat or calories.

Let’s start with turkey’s most salient nutrient: protein. Often referred to as the “building block of life,” protein plays a key role in the growth, development and maintenance of cells. Not getting enough of this workhorse nutrient can lead to weakness, muscle wasting, dry hair and skin, fatigue and much more. An average serving of turkey provides about half of our daily needs, perhaps twice that on Thanksgiving!

What’s more, this tasty bird trots out impressive amounts of B vitamins, especially niacin, B6 and B12.

All together, these essential vitamins aid in red blood cell production, help convert food to energy and promote healthy nervous and digestive systems. Since B12 deficiency is common as we age—whether through diet or poor absorption—it’s good to know that turkey is an excellent source of this important vitamin.

Consuming turkey also boosts your intake of selenium, phosphorous, zinc and choline. These important minerals each provide a valuable function: selenium helps your body produce thyroid hormones, phosphorous keeps bones and teeth strong, zinc fortifies the immune system, and

can raise your “bad” cholesterol and put you at higher risk for heart disease.

An average serving of skinless breast meat has 140 calories and just 2 grams of total fat (with scant saturated fat), while the same size serving of roast beef has 300 calories and about 20 grams of fat (with 8 grams saturated fat).

If you’re wondering what makes us so sleepy after our Thanksgiving meal, well, not everyone agrees on the cause. While some point to turkey’s tryptophan, a natural sleep narcotic, others blame it on the large amounts of carbohydrates we consume.

choline supports brain development and function. New research links low levels of choline to Alzheimer’s disease progression.

What this white meat doesn’t deliver is fat, particularly saturated fat. It’s why experts recommend its consumption over red meat, which

CREAM OF TURKEY AND WILD RICE SOUP Serves 4 Serves 4 • Adapted from eatingwell.com

1 tablespoon olive oil 2 ½ cups sliced mushrooms, (about 8 ounces) 1 cup chopped celery 1 cup chopped carrots ½ cup chopped onions ¼ cup all-purpose flour ½ teaspoon salt ¼ teaspoon freshly ground pepper 4-5 cups reduced-sodium chicken broth 1 cup quick-cooking or instant wild rice 3 cups shredded or diced cooked turkey ½ cup reduced-fat sour cream 1 teaspoon thyme (or spice of choice)

1. Heat oil in a large saucepan over medium heat. Add mushrooms, celery, carrots and onions; cook, stirring, until softened, about 5 minutes. Add flour, salt and pepper; cook, stirring, for 2 minutes more.

2. Add broth and bring to a boil, scraping up any browned bits.

Add rice and reduce heat to a simmer. Cover and cook until the rice is tender, 5 to 7 minutes. Stir in turkey, sour cream, and thyme; cook until heated through, about 2 minutes more.

Add more broth, if needed.

BFO HEA

AUG

US T

INSID U.S. Ho E Finally spitals Are Gettin , Just 8% Lower Dr ug Pr g Safer Lack Health ices. But for Patient Wait… s P. 5 Insura nce, a Reco P. 6 rd Lo w P. 5

Make In Good Health newspaper your advertising choice in 2024 MEN

Call 716-332-0640 or email editor@bfohealth.com to request a media CE kit.

• IS SUE

94

FRE

E

Gon case orrhea ca s peo double ses are ple w d — pro up 56 h and o live in blem %, syph is 142 11. ZIP cod worse ilis Stor fo es 1 y on 421 r page 4 7

FRE

E

OM

Alzh

SEPT

EMBE

R 20

eime

22 •

2

Are S

BAC

K TO

choo

ISSU

E 95

r’s

Be Alzh tter trea eime tm r’s are ents fo Q&A on th r those with e ho rizon diagnose Alzh Amanda , say d eime loca with r’s AssNobrega Citic l exp , in ocia oline erts. tion terim d : A po WNY irect ssible C hapte or at Alzh See eime r Alzhe r’s tr imer e s: Pa a tmen ges 6, 10 t -1

SCH

OOL

SPEC

IAL

ls Sa

Nine te in a en chil Uva shooti dren a n lde, Tex ng at R d two loca as. As k obb Ele teache rs l sch id m ools s gear entary were k , how up to Scho illed o safe re Pag are thturn to l in e 13 our ey?

PED

IATR Phys ICS interim ician Fr ed Pedi division D. Archer at ch stab rics, disc ief of UB III, le ro usse MD cont ut ribut ine at s how a ho scho e ol, st to kids me can ress ’ redu success in ction — P. 4

STRO

KE

Phys ic direct ian Robe at th or of th rt Sawye e Ga e St r, talks tes Va roke Ce coknow about fivscular In nter stitu to kn e ow ab things yo te, u out it — P. 9

fe?

INSIDE

: WEL

LNESS

ALSO

SPECIA

INSID � 5 Is E sues Kids Fa � Fa ce To m day P. � Ca ily Meals: 15 mp Cr Why They adle ’re so Beac Impo h: Un iting rt Child ant P. 14 ren

L ISSU

E

P. 16

FRE

&

TOO MAY LITTLE H SL KIDSARM YO EEP ’ BRA UNG INS P. 8

2022

LTH.C

Asid SMO e fro m hi canc KIN gh er mor , men w er risk of G e impo prone ho smok lung to de te velo e are and nce, low p ea gr er rly canc eater ris sperm coun er an k of pr t dise ases d cardio ostate , say va expe scular rts. P. 16

Reach over 80,000 health conscious readers in WNY (based on 25,000 copies distributed)

M

Erie Has County a Prob n STI lem

ALSO

BFO HEA

LTH .CO

E

ERECTI

LE DY

Inte gra com tive hea plem lt enta h s ry ap

SFUN

John UBM Rutkow sk D dysfu Urolog i, urolog y, disc ist w nc ith us of ba tion. ‘It ’s ofte ses erec d thin tile n a ha gs rbinge the co to come,’ r he nditi on. P. says of 4

BFOH EA

THE C AREG IVER

LEBRA NURSE TING S

2022

FRE

• IS

SUE 91

E

ORS, PA DISEA RKINSON D ’S SE neur aniel Siric ol a

Park ogist. He is an UB in deep son’s di discusse MD seas impr brain st e — s tremor im ove , an som ulation d how e mot ca or sy n help mpt P. 4 oms.

MENTA

Page 10 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • November 2023 LONG

L HEA

WHAT ALSO IT MEA -TER M NU INSI RSES NS TO BE DE LEAD A A NU WITH NURSE, RSE P. 13 EMPA AND HIS HO THY, P. 14 BBIE S, P. 12

■ Si gn men s you ne ta help l health ed ■ body Poor affect image men s teens’ ta How l health poor ■ heal th ca mental n de crea se lo ngev

ity

F

WEIG H JOUR T GAIN NEY GOIN

TREM

Nati tim onal N e to urse th s ded ank nu Week is icate rs d an es for in May ;a th d co ntin eir inc great re ued work dible, .

SLEEP BETTE R

Rese Com archers patie prehensi at the U nive nts ge ve Ca rsity nc t lists a better er Center at Buffa seve ni lo Sc are co n type ght’s sl nduc hool of ee s of Nur tin food p. PLUS: Writ g an inso sing an that er An d can m help ne Pa nia stud Roswel l you sleep lumbo, au y to help Park bett er. PA thor of Sm cancer GES 19 artB ites, AND 20

BFO HEAL TH.C OM

MAY

COM

L 20

HOW TO

LTH Mos t losing diets ar e hear weigh geared t. to gain about in Less ofte ward di millio weight. An viduals n do we tr n ad unde ults estimat ying to Jow rweight. worldw ed 462 se id her jo y of TonaWriter Am e are urne w anda y to and ta lk gain weighs about t. P. 10

GO

NA

IN T E MED

LTH.

APRI

Dau Percy ghter M yz , 90 , and ette How el Lore tta, 8 l, 53, of 8. Th B ey w uffalo (l ere bo eft), th re is in ch ce P. 14 ntly diag arge of nose the ca re d wit h Alz of her heim parent er’s dise s, ase.

CTION

22 •

MEE JAZZ D T THE OCTO R P. 19

ISSU

E 90

Fro Find 1 m reflexo 3 hea lo lth m gy to life odalit ies th style m at may h

BFOH EA

LTH.

COM

MAR CH 20

22 •

ISSU

E 89

K HE S pe

c

Child con ren hav st e cove ant stre been th ss roug rage; h an ever from fa m aw -s bee n har hifting ily finan ful lo t in d to C ces, go b OVID-1 work the pas 9 ack to th protoco and sc t two ye ar e co ls; an hool nve chan s: onlin d fe ntio e ges ar nal ; ple classe way of the s; so nty vi of d ci oing rus itse of neg ativ al isola lf. F thin e tio o gs STO r kids an news m n; ed RY ON d teens, ia P. 1 it’s 4.

10

FOODS TO EAT FOR HEALTHY

LONGEVITY

By Deborah Jeanne Sergeant

E

ating right represents one of the pillars of good health and longevity. As part of an overall healthful diet, every older adult

Beans “Beans, peas, lentils, black beans, fava beans and kidney beans have parts of the vegetable and protein groups along with fiber,” said Logan Walker, physician at UBMD Family Medicine.

“Fiber is important as most people — more than 90% of women and 97% of men — don’t get their daily intake of fiber. Fiber reduces risk of constipation and of coronary heart disease. We also see reduced risk of diabetes.”

He cautioned checking the nutrition labels, as canned beans typically contain added sodium.

Rinsing the beans in a colander can reduce the sodium level.

Beans are also versatile, widely available and affordable.

should consider including these foods (assuming they’re not contraindicated for any medication or health issues they’re experiencing).

WHOLE GRAINS Eating a few servings of whole grains daily “can help support the pro and prebiotics in the gut,” Verdi said. “The fiber helps keep you regular.”

Sources of whole grains include barley, brown rice, wild rice, whole wheat pasta, oatmeal and whole grain bread, but watch out for “wheat bread” that’s low in fiber.

OMEGA-3

Protein It’s easy to slip into the habit of fixing snacks instead of meals when living alone. But many times, these lack nutrients, including protein.

“Sardines are a good source of protein and protein needs increase with age,” said Ashley Carpenter, registered dietitian nutritionist and integrative and functional nutrition certified practitioner at Buffalo Nutrition & Dietetics, PLLC in Buffalo. “They also have calcium and omega-3, which, which can help with reducing inflammation and support cardiovascular health.

Sardines have a little vitamin D which conversion decreases with age.”

She added that liver is also a source of protein, along with vitamin B12, iron, and vitamin D. Melissa Verdi, registered dietitian nutritionist and certified diabetes care and education specialist at Lifestyle Nutrition WNY, PLLC in Amherst, Clarence and Orchard Park, said that lean sources of protein include “fish, chicken, beans/ legumes, nuts and seeds.”

These help promote the health of the brain and joints. Verdi said that chia seeds, salmon seaweed, walnuts, and ground flax seeds are great sources of omega-3s.

“Omega-3 fatty acids are important for heart health and has been linked to help support memory,” Verdi said.

PRODUCE “Blueberries are the quintessential berry,” Logan said.

Whether frozen or fresh, berries such as raspberries, blackberries or strawberries also offer many benefits, including high levels of vitamins and fiber. Beyond berries and greens, eating a variety of colorful fruits and vegetables helps ensure sufficient nutrients along with decreasing caloric intake, which is important for those struggling to keep weight off.

“In general, eating multiple colors of vegetables ensures diverse nutrient intake,” Logan said.

“But look out for mixed dishes like pizza and pasta that can include salt, saturated fat and oils that can reduce the beneficial nature of those dishes.”

herbs & SPICES

YOGURT “Yogurt is a great choice to support bone health and it has probiotics which help with bowel regularity,” said Justine Hays, registered dietitian and senior SnapEd nutritionist at Cornell Cooperative Extension Niagara County.

“It’s easy to eat and it doesn’t take a lot of effort if you don’t want to make a big meal.”

They make food more flavorful, which can help reduce salt intake. But many herbs and spices also provide intrinsic benefits.

“As we age, we may lose a little sense of smell and taste,” Hays said. “Rather than seasoning with salt to make it taste more robust, use fresh or dried herbs and spices like basil, rosemary, parsley and oregano and a squeeze of lemon juice to add flavor instead of salt.”

Check seasoning blends for sodium and additives. Mixing your own skips the salt and additives and is less costly.

greens Specifically, kale, spinach, Swiss chard, arugula, beet greens, bok choy, collard greens, mustard greens, turnip greens, Brussels sprouts, broccoli, cauliflower, cilantro, parsley and asparagus are all examples of greens. Although green in color, iceberg lettuce isn’t as packed with nutrients as the darker greens.

“Dark, green leafy vegetables contain numerous vitamins and minerals, such as vitamin K,” Logan said. “They’re associated with reducing cardiovascular risk and improved mood. Whether fresh, frozen or canned: it’s OK to have these in any form.”

Water NUTS “Tree nuts, almond, pecan, pine nuts, cashews and other nuts offer fiber, magnesium and other minerals,” Logan said. “Nuts reduce risk of cardiovascular disease. They’re best eaten raw and unsalted. Mix them with other dishes.”

Nuts in the baking aisle are plain and unsalted.

Older adults need to ensure they receive sufficient hydration.

While not technically a nutrient, water is vital for good health.

“As we get older, we tend to lose the sense of thirst and forget to hydrate,” Hays said. “Drink water, even if you don’t feel thirsty.

Lower fat dairy, soy milk, and 100% juice can help meet hydration goals.

“Having enough water helps with bowel irregularities. Anytime you can add fiber-rich foods in your diet, it’s a good choice.”

Justine Hays

Ashley Carpenter

November 2023 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • Page 11

Kate Flannery, the new executive director of Alzheimer’s Association in Upstate New York: “The mission of the Alzheimer’s Association really spoke to my heart,” she says.

New Alzheimer’s Association Director Optimistic About New Treatments

Based in Syracuse, new director will lead three Upstate New York chapters of Alzheimer’s Association, following a new leadership restructuring, which previously had individual directors for each chapter

By Norah Machia

T

he new executive director for the Upstate New York Chapters of the Alzheimer’s Association is quite optimistic about the current research being done to improve treatment options for patients and their families struggling with the disease.

“I’m incredibly hopeful the treatments for Alzheimer’s and dementia will change,” said Kathleen “Kate” Flannery of Syracuse.

The Alzheimer’s Association has been working to get information about the current research to patients and their families so they may have hope as well, she added.

Alzheimer’s disease is a degenerative brain disease and the most common form of dementia, according to the Alzheimer’s Association.

Dementia is not a specific disease, but it’s an overall term that describes a group of symptoms. It’s estimated that 55 million people worldwide are living with Alzheimer’s and other dementias.

There are currently medications available that temporarily improve symptoms of memory loss and problems with thinking and reasoning. Although these treatments may help to improve symptoms in some patients, they don’t stop the progression of the disease.

New research is focused on potential Alzheimer’s treatments that could actually slow down or stop the disease process, Flannery explained.

The Alzheimer’s Association is the largest nonprofit funder of Alzheimer’s research and is committed to the development of new treatments, prevention and ultimately, a cure for

the disease.

One of the major roles of the nonprofit organization is to share the latest advances in Alzheimer’s treatment with the public. “We need to raise the level of information out there,” Flannery said. “We’ve become better educated about diagnosis and treatment options.”

The organization offers numerous resources to help families and caregivers, including information about arranging for home care services or finding a memory-care-certified nursing home or assisted living community.

“There is more awareness of the needs of family members and caregivers for those with Alzheimer’s disease,” said Flannery. “It’s one of the biggest issues we’re facing.”

The agency provides information on what to expect in the different stages of the disease and a variety of support programs. It also operates a free 24/7 helpline (1-800-272-3900) that is staffed by specialists and master’s-level clinicians who offer confidential support.

“It’s incredibly difficult to watch someone you love navigate these symptoms,” she said. “We’re hoping that will change in the near future.”

In the meantime, there are many resources available to help both patients and their families, and “it’s important that caregivers take care of themselves as well,” she said.

The organization is also working to respond to the diverse needs of communities and reach out to underserved populations to provide information about resources in their areas,

she said. “We’re also working to help debunk any myths out there” about Alzheimer’s disease and dementia, she added.

Some of the latest research in Alzheimer’s disease prevention includes taking a more holistic and integrative approach to the disease, Flannery said. This includes actively engaging the brain in new tasks and finding meaning and purpose in life.

In her new role, Flannery will lead the Western New York, Rochester/Finger Lakes region and Central New York chapters. She is responsible for the overall strategic and operational functions, including programming, fundraising, community engagement, government and private grant funding, media relations and the growth and delivery of the association’s mission.

Her position as executive director for Upstate New York chapters is part of a new leadership structure for the three chapters, which previously had individual directors. The new structure also includes the promotion of Amanda Nobrega to vice president of programs for Upstate New York and Cathy Wilde to director of marketing and public relations for the Western New York, Rochester/Finger Lakes Region and Central New York Chapter.

“This new position was a great opportunity for me,” said Flannery.

“The mission of the Alzheimer’s Association really spoke to my heart.”

The changes in leadership will have a very positive impact on the communities, she added. “We’re streamlining operational components

Page 12 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • November 2023

and coordination and being smart stewards of resources,” she said.

Prior to the new position with the Alzheimer’s Association, Flannery had served as executive director for the Office of Community Engagement Planning at Syracuse University and director of mission outreach and education for Francis House, a community care home in Syracuse for People facing terminal illness.

She has also worked as an executive director of the Susan G. Komen organization, overseeing six affiliates encompassing 49 New York counties, and was responsible for growing “Race for the Cure” from $250,000 to $1 million.

The three Upstate New York Alzheimer’s Association offices “will be staying open in the communities and no services will be minimized” with the leadership structure changes, said Flannery. “We’re actually hoping to be more impactful by sharing the professional skill sets of different staff.”

For more information about the Alzheimer’s Association, visit www. alz.org (the site can navigate users to individual chapters).

The website has a wealth of information, including safety tips to remain independent for as long as possible in a safe environment as the disease progresses.

Those safety issues include driving, accommodations in the home, taking medications and wandering.

The Alzheimer’s Association provides information about enrolling in a wandering response service to help locate someone who unexpectedly leaves the home.

Golden Years Rita Giordano turned 100 in July.

Giordano with two of her grandkids, Alexis and Bobby, during her 100th year celebration.

‘I Have Had a Really Good Life’

Centenarian Rita Giordano of Williamsville reflects on her long life

S

By Jane Schmitt

omething special happened to Rita Giordano over the summer: She became a centenarian.

That’s right — she turned 100 years old on July 9 and joined a rare group of people who have achieved exceptional longevity.

How rare? Less than 1% of the U.S. population, according to discovertheodds.com.

“Thanks to a number of factors, including advances in our understanding of health, wellness and longevity, people are living longer than ever. Nonetheless, living to the age of 100 remains a remarkable and somewhat rare feat,” the website said.

Giordano’s family and friends celebrated the occasion in style, with not one but three parties, including some fun at the independent senior living community where she resides in Williamsville. She was treated to a ride in a fire truck and pulled the siren while cruising the neighborhood as part of the festivities.

For the other parties, held at two area restaurants, relatives came from all over the country to honor a matriarch who they say is beautiful

A blanket given to Rita Giordano as she celebrated 100 years of age.

inside and out, with a warm, loving nature and a positive attitude that carried her far in life and inspires those around her.

“She had a marathon birthday,” laughed her youngest daughter, Valerie White.

And although Giordano laments that her days of dancing the jitterbug with her late husband are behind her — “Oh, I just loved it!” — she still enjoys a full life with her three children, six grandchildren and seven great-grandkids.

“I have had a really good life; that’s all I can say. I’m very healthy.

I thank God for that every day,” she said.

Some hearing loss and a bum knee are irritations, Giordano said, but not really anything to complain about. She does some chair exercises with a group in her building and still walks when and where she can, relying on a wheelchair for longer distances.

“She worked at Western Electric for years on the assembly line soldering wires,” her daughter said.

“She also has survived five bouts of

cancer, so she’s a tough cookie.”

Family-focused One of three children and born in 1923 to Rose and Michael Guagenti, Giordano graduated from Buffalo Public School 76 and Hutchinson Central Technical High School. She married Anthony “Tippy” Giordano in Holy Cross Church on the Lower West Side and they raised three children: a son, Ross, and two daughters, Shirley and Valerie.

Tippy, who worked for the U.S. Postal Service, “was fun and always joking” and wrote her countless poems over the years to express his love, Giordano said. “He was a wonderful husband.”

They were married 64 years when he died in 2005.

Among her many happy memories are these: Sunday family dinners when her mother would routinely cook for 20 people who crowded into the house; boarding the SS Canadiana to cross the river to Crystal Beach Ballroom; and traveling with Tippy

to Greece and Italy, where he bought her a gold bracelet that she treasures to this day.

“We went on 13 cruises, too,” Giordano recalled. “We had so many great times.”

Asked to reflect on her best decade, she said with a smile, “I think they all were damn good.”

These days, she enjoys watching TV shows such as “Family Feud” and “Jeopardy,” which she said “keeps my mind open.” Another favorite activity: catching up on the daily news.

Giordano attributes her longevity not to winning the genetic lottery but, rather, to a commitment to living well, loving deeply and maintaining strong connections through thick and thin. Indeed, family and friends are the support system that never fails, she said.

“I’m 100 years old,” she said. “I had wonderful parents and in-laws.

I had a husband who was so good to me. We were happy with our children. I can’t complain about anything. Life is good.”

November 2023 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • Page 13

Golden Years

Vision Supplements: Do They Really Work?

By Deborah Jeanne Sergeant

P

erhaps you notice a vision supplement at your local drugstore or in a commercial on TV. Will this product really help preserve your vision?

That depends.

Eye health is not as simple as popping a pill.

Brian Madow, physician and Ph.D., offered his expertise on the topic. Madow directs Retina Service at UBMD Ophthalmology at the Ross Eye Institute and is a clinical professor at the Ira G. Ross Eye Institute, Department of Ophthalmology, Jacobs School of Medicine and Biomedical Sciences at UB. Madow said there’s a difference between someone who’s healthy and

without significant eye problems and one who has eye problems where a nutrient deficiency contributed to the problems.

“Everyone is trying to do something to help with their health,” Madow said. “They want to prevent cataracts and glaucoma.”

In general, an active lifestyle, eschewing tobacco use and following a healthful diet support the body’s good health, including vision.

A healthful diet is not only about avoiding fried, sugary and processed foods. It is also about focusing on the nutritious foods that support bodily health.

“The accepted standards are from clinical trials that prove or dis-

prove what vitamins can do and not do,” Madow said.

Many people see the AREDS2 supplement and assume that this will support general eye health. However, Madow explained that the nutraceutical was proven beneficial for only one population of patients: those with intermediate stage age-related macular degeneration. Taking AREDS2 as directed can slow the progression to advanced stage for these patients.

The research indicates that those diagnosed with intermediate stage macular degeneration who take the supplement under the direction of an ophthalmologist or optometrist experienced about a 25% reduction in rates of advanced vision loss over five years.

Madow said that the original AREDS formula included high levels of beta carotene, which proved to raise the risk of death among former or present smokers. AREDS2 leaves out the beta carotene and uses lutein and zeaxanthin. It also includes vitamins C and E, and zinc and copper.

“When they go to the pharmacy for other reasons, they see eye vitamins on the shelf and think they should take it for their eye health,” Madow said. “But they’re only prepared and aimed and designated for patients with age-related macular degeneration. This is the only time where I’ll say you need eye vitamins.

“The vitamins are not preventing glaucoma, cataracts or any other reason. The vitamins are formulated in a special formula in a higher quantity than over-the-counter multiples.”

He is not aware of any other nutraceuticals proven helpful for supporting vision health.

“What we usually say to the patient is to go to the pharmacy for

Brian Madow an over-the-counter AREDS2 supplement,” Madow said. “The brand isn’t important. You want AREDS 2.

Added ingredients, no one knows if they’re any additional benefit. We say to use the original AREDS 2 formula.”

Many patients also ask if they should stop taking their multivitamin while taking AREDS2. Madow said that’s fine, but in general, most people who eat a healthful diet should have all the nutrients they need from food sources.

“There are anecdotal reports that some things are good for treating glaucoma or treating cataracts,” Madow said. “We don’t have that much benefit. If it’s 10 or 50 patients, the firm evidence is lacking there. Good evidence on how certain substances are come from large clinical trials.”

Some evidence exists that omega-3 fatty acids can help with dry eye symptoms, but anyone considering taking a supplement should discuss it with their primary care provider.

University Express Program Helps Seniors Exercise Their Minds

By Julie Halm

A

s we age, it is important to keep our bodies moving, but it is important to keep our minds in motion as well.

Erie County Senior Services offers older adults the opportunity to do just that and at no cost.

According to Katie Earl, community recreation coordinator for the aging for the Erie County Department of Senior Services, the University Express program for seniors through the county has been in place for more than 10 years, offering learning opportunities across a range of topics for free.

A look through the program’s catalogue will show that there is truly a class for every interest, from table tennis, to classes on literature to self defense specifically for seniors.

The diversity of the classes is no accident, according to Earl.

“We’re very proud to offer something for everybody — current events, history, natural sciences, gardening — we run the gamut and the good thing about our classes is

they’re just an hour long. You go, you learn something new, you chat with people with similar interests,” she said. “A lot of our instructors came from the RSVP program because they were retired educators or professionals or someone with a passion, so it kind of grew out of that and then we continue to get feedback from our participants.”

The classes offer more than just knowledge, however. Earl said that participants do not have to be a member of the senior center where the classes are taking place. This offers individuals the opportunity to branch out and socialize while getting their mental boost. Additionally, for those who are members of a senior center or interested in becoming one, the program director said that going to the centers for the classes can be an opportunity to getting involved with other programming.

“We kind of look at this programming as a gateway to everything else that’s available and to increase support networks as well as

a sense of connection,” she said.

That sense of connection is even available for those who are not able to get to the classes in person, as some classes are now being livestreamed so individuals can participate from home. In addition, there is an extensive catalogue of classes that are available for viewing to anybody, regardless of their age.

Earl took over the program in 2019 and was quickly faced with the reality of the COVID-19 pandemic, which prompted the greater range of virtual learning options.

“We are really excited to be streaming more of our in-person classes this time around,” she said.

For those who do plan on attending classes in person, Earl said that some may feel a sense of apprehen-

Page 14 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • November 2023

sion about attending by themselves, but those nerves are unwarranted.

“If you have a purpose and you’re all sitting around for the same thing, than you’re naturally going to be able to chat with those people,” she said, adding that the classes are excellent opportunities to foster new friendships as well.

While the classes at both the libraries and seniors centers are open to individuals regardless of their membership status at those locations, it is requested that individuals interested in attending call ahead to reserve their spot, which can be done by calling the hosting facility directly.

A full list of upcoming classes can be found at www4.erie.gov/universityexpress.

5

Golden Years

Things You Need to Know About Cataracts

cataract and when they become visually bothersome. Some people think that cataracts are hereditary, but the truth is that all people develop cataracts eventually.

“Some people feel they won’t be able to undergo cataract surgery and that they are likely to lose their vision in surgery,” said Weiner. “They also sometimes believe they can do fine without cataract surgery forever, which is not the case.”

3.Cataract surgery

By Ernst Lamothe Jr.

A

s you get older your eyes age as well.

The most common eye ailment is cataracts, a vision-related issue which is the clouding of the eye’s lens.

In an eye without cataracts, the lens of the eye is clear, allowing light to pass through to reach the retina, facilitating clear vision. However, with age and various other factors, the lens becomes cloudy and opaque.

The World Health Organization estimated 95 million people worldwide were affected by cataracts.

“All people if they live long enough will eventually develop cataracts which will interfere with all their daily functions, including reading, driving and other activities.

It could lead to issues such as occludable angles and secondary glaucoma, and even blindness,” said Asher Weiner, physician and glaucoma and cataract specialist and surgeon at the University at Buffalo Medical Department Ophthalmology at the Ross Eye Institute.

“There are various comorbidities that tend to accompany any vision loss such as dependency on others, depression, falls and fractures and dementia acceleration.”

While symptoms of cataracts can vary, they often include blurry or cloudy vision, light sensitivity, difficulty seeing in dim or low-light conditions, seeing halos around lights, and changes in one’s perception of color. It is important to remember that symptoms of cataracts can occur gradually.

Weiner discusses five things you need to know about cataracts.

1.Causes

Age is a primary factor in

the development of cataracts. As individuals age, the proteins in the lens of the eye clump together, causing cloudiness. In many cases, this cloudiness starts small and gradually increases over time, significantly impacting visual quality.

Other factors that contribute to the development of cataracts include prolonged exposure to ultraviolet radiation from the sun, certain medical conditions such as diabetes, medication usage, smoking and excessive alcohol consumption.

Treatment for cataracts typically involves surgical removal of the cloudy lens, replacing it with an artificial lens. Cataract surgery is a very common and successful surgical procedure that is performed worldwide. In fact, advancements in cataract surgery techniques have greatly improved outcomes and recovery times.

“For many people, especially those who are very near-sighted or far-sighted, cataract surgery can be a life-changing procedure,” said Weiner, a clinical associate professor of ophthalmology at the Jacobs School of Medicine & Biomedical Sciences.

“As a cataract surgeon, I’m always impressed and rewarded to hear my patients describe how their surgery changed their life and made them much happier, independent, safer and healthier.”

2.Misconceptions

Patients are often surprised to hear they have early signs of cataract when they are in their 50s, but this is usually when cataracts begin.

Cataracts progress over time but this change occurs slowly. It takes years, sometimes even decades, between when we first identify early signs of

The process of cataract surgery begins with a pre-operative visit done in the office a few weeks prior to surgery in order to take measurements, review cataract surgery instructions and finalize the surgical plan with your surgeon. The surgery itself is performed as an outpatient at an ambulatory surgery center. When surgery is needed for both eyes, we always operate on the two eyes on separate days for safety purposes and these two surgeries are usually spaced apart by about two to four weeks. The surgery itself is a painless procedure done under mild IV sedation. Except in rare cases, general anesthesia is not needed.

“Cataract surgery is usually performed as an outpatient procedure not requiring general anesthesia or any injections, takes about 15-20 minutes if uncomplicated, and requires several post-op visits,” said Weiner. “Pre-op and post-op eye drop installation is the current standard of care to prevent infection and other complications.”

4.Recovery

Fortunately, the recovery period after surgery is usually a very comfortable one and the vision often improves rapidly. While there are some exceptions, most patients notice within one or two days of surgery that the vision is already a little bit better than before surgery. The vision tends to improve each day from there until it reaches its final clarity.

“Immediately after surgery, people can experience possible blurry vision, some discomfort and need for activity restrictions for a short time,” he added. “Later they will experience much improved vision and freedom from glasses for at least some of their daily tasks.”

In addition, there are a series of post op visits performed in the office

Asher Weiner is a physician and glaucoma and cataract specialist and surgeon at the University at Buffalo Medical Department Ophthalmology at the Ross Eye Institute. “All people if they live long enough will eventually develop cataracts,” he says. after surgery, including one day after surgery for each eye. If a new prescription for glasses is needed after surgery, this will be provided about one month after surgery.

5.Surgery side effects

Possible side effects immediately after surgery include blurred vision, halos in the vision, light sensitivity, eye redness and mild eye irritation or foreign body sensation.

Some patients experience none of these and others experience multiple of them. In most cases these side effects are mild and improve over the course of the first few days after surgery.

The most common complication after surgery is development of an “after cataract” which is a cloudiness occurring on a natural structure called the capsule which remains in the eye after surgery. When this occurs, it may cause a return of blurred vision months or years after your surgery.

“Fairly rare side effects and risks include loss of vision, infection and need for a second surgery,” he said.

“Uncommon side effects and risks include retinal detachment, secondary glaucoma and corneal failure.”

Goodbye COVID Vaccination Cards

W

allet-friendly cards showing proof of COVID-19 vaccinations served a purpose early in the pandemic, but they’re on their way out.

The U.S. Centers for Disease Control and Prevention has stopped printing the cards, likely

changing how people track their shots in the future.

The cards people have at home can still be used as proof of vaccination, and in many cases you can request your immunization history from the pharmacy or clinic where you received your vaccines.

November 2023 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • Page 15

Golden Years BOO-BOO

Golden Ears Program Offers Companionship at No Cost SPCA program waives fees for residents ages 55 and older who adopt a cat age 7 and older

By Julie Halm

A

CATS AVAILABLE FOR ADOPTION IN MID-OCTOBER AT SPCA SERVING ERIE COUNTY IN WEST SENECA. THEY ARE BOO BOO AND PRINCESS.

PRINCESS

dopting a pet can be an incredibly rewarding experience and for those in their golden years, the SPCA Serving Erie County is now offering a special program to make that process much easier.

The Golden Ears program was launched in Erie County in early October and waives fees for residents aged 55 and older who adopt a cat aged 7 and older.

According to Jillian LeBlanc, social media coordinator for the SPCA Serving Erie County, the benefits to

both pets and adoptees are wideranging and profound.

“This is according to the CDC; by adopting a pet and interacting with them, it can decrease blood pressure, cholesterol and triglyceride levels and it also helps to manage loneliness and depression,” said LeBlanc.

She said that when one thinks about it, these benefits make perfect sense, as pets can increase a person’s physical activity as they play with them or even go out to get supplies for them.

Jillian LeBlanc “Another thing that I found really interesting is it decreases anxiety and symptoms of PTSD,” she said.

“It makes sense because there’s nothing better than when you come home from a long day at work and you sit down with your animal and they give you their full attention.”

For seniors living on their own, LeBlanc said that having an animal in the house can bring a sense of vibrancy and liveliness to the home.

While the cats eligible for this program are all 7 years and older, they all come with their own personalities, many of which are still very spry, according to LeBlanc. She said that there are added benefits to choosing an older animal as well.

“They might not be as rambunctious but with older cats, you don’t have to lay as much groundwork as you do with a kitten,” she said. “Older cats can be very adaptable and it can be helpful to have an animal that is already established and set in its ways.”

Those at the SPCA know that

bringing home an animal can be a significant physical, emotional and financial commitment, which is why the Golden Ears program waives the adoption fees in these instances.

The process is also a very simple one. Those interested can stop by the SPCA Serving Erie County at 300 Harlem Road, West Seneca, from 11 a.m. to 5 p.m. Monday through Saturday to check out who is up for adoption. The adoption pre-approval services end at 4 p.m. each day, so those wishing to complete the process in its entirety should come earlier in the day. Once a person has found the pet they think they would like to take home, they need only show their identification to qualify for the program and get the process in motion.

The SPCA’s website is updated in real time. To see what cats are still available for adoption, go to YourSPCA.org. Those who have a question about a specific animal can feel free to call the SPCA’s Adoptions Department at 716-875-7360 ext. 207.

one source for

the life you lead Our strength is your strength.

Over 600 physicians strong, UBMD offers multidisciplinary care, leveraging our combined expertise to provide comprehensive primary, specialty and surgical care for you and your loved ones.

As the health care providers of critical programs throughout Western New York, UBMD Physicians’ Group is your source for care in the office and at the institutions you know and trust.

Page 16 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • November 2023

Specializing in: • • • • •

primary care internal medicine neurology neurosurgery obstetricsgynecology • ophthalmology

• orthopaedics & sports medicine • otolaryngology • pediatrics • psychiatry • surgery • urology

Find a Doctor Additional Information

UBMD.COM

By Jim Miller

Misleading Medicare Advantage Ads: What to Look Out For Dear Savvy Senior, I’m currently enrolled in original Medicare but have been thinking about switching to a Medicare Advantage plan during the open enrollment period. Many of the Medicare Advantage ads I’ve seen offer lots of extra benefits beyond what traditional Medicare offers and no monthly premiums.

What are your thoughts?

Considering a Switch

Dear Considering, Be very leery of the Medicare Advantage ads on TV, radio, social media and that come in the mail.

While many of these ads may tout free vision, hearing, dental and other benefits with zero monthly premiums, they aren’t always what they claim to be.

Advantage Basics Medicare Advantage or MA plans (also known as Medicare Part C) are government approved health plans sold by private insurance companies that you can choose in place of original Medicare.

The vast majority of Advantage plans are managed-care policies such as HMOs or PPOs that require you to get your care within a network of doctors in a geographic area. You can sign up for one of them during open-enrollment season from Oct. 15 through Dec. 7.

MA plans have exploded in popularity in recent years as insurers have flooded the airways with advertisements, often by celebrity pitchmen, that promote low-cost options with lots of extra benefits.

But be aware that the federal government has deemed many claims in MA ads fraudulent and misleading.

Some ads imply that the Centers for Medicare and Medicaid Services endorses or prefers a specific plan.

Others promise more cost savings than you really get. And if you choose the wrong plan, your doctor may not be a member of that plan’s network or you may end up paying out-of-pocket for medically necessary care.

This past September, the U.S. Department of Health and Human Services began cracking down on these ads, but you still need to prac-

tice self-defense. Here are some tips to help you make a good decision.

• Cover your needs: When evaluating MA plans, make sure the one’s you’re considering cover the doctors you like and the health care facilities you normally go to. Also, make sure all of the prescription medications you take are on the drug plan’s formulary.

To help you compare plans, a good first step is to call the office managers of the doctors you use and find out which Advantage plans they accept, and which ones they recommend. Then go to the Medicare Plan Finder tool at Medicare.gov/ plan-compare to compare plans in your area.

• Understand the details: Some MA plans promote no monthly premiums, but the reality is that you are still responsible for your original Medicare costs including your Part B premium and deductibles and copays for covered services. Moreover, you may have to pay more out-ofpocket if you see a doctor outside the network. Also, if the plan is an HMO, it generally doesn’t cover non-emergency care out of network, so an individual may be responsible for full costs. A PPO on the other hand, allows people to go out of network, but they generally have to pay more to do so.

• Do some digging: Many MA plans tout free vision, hearing and dental benefits that are not covered by traditional Medicare, but these benefits are often limited. For example, a plan that offers free dental coverage may cover only cleanings and X-rays.

Extensive procedures such as root canals or caps may not be covered, or the plan may limit the dollar amount it pays. Find out the coverage details so you’re not surprised later.

• Get help: Reach out to your local State Health Insurance Assistance Program (SHIP) at ShipHelp.org or call 877-839-2775. These are nonprofit programs that provide unbiased one-on-one Medicare counseling and assistance.

You can also report any misleading MA claims to the Senior Medicare Patrol Resource Center at SMPResource.org or by calling 800-447-8477.

Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior. org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

Long COVID Center team: Physicians Sanjay Sethi and Jennifer Abeles and nurse practitioner Trudy Stern. Photo courtesy of Douglas Levere, University at Buffalo.

UBMD Internal Medicine Launches WNY’s First Long Covid Center

L

ocated in the Conventus medical office building on the Buffalo Niagara Medical Campus, the center accepts all patients regardless of insurance status UBMD Internal Medicine has opened Western New York’s first Long COVID Center. Funded by a grant from the Mother Cabrini Health Foundation with support from the University at Buffalo, the center is accepting all patients, whether they have insurance or not.

Staffed by providers and physicians at UBMD Internal Medicine who are faculty members at the Jacobs School of Medicine and Biomedical Sciences at UB, the UBMD Long COVID Center is open and seeing patients.

“The acute phase of the COVID-19 pandemic may have, thankfully, passed, but there are countless stories of Western New Yorkers who are still experiencing a collection of symptoms from COVID,” said physician Allison Brashear, vice president for health sciences at UB, dean of the Jacobs School and president of UBMD Physicians’ Group. “The long COVID Center will put these individuals at the forefront and make the resources needed more accessible.”

The center serves everyone “Our center welcomes everyone,” said Sanjay Sethi, MD, center co-director and professor and chief of the division of pulmonary, critical care and sleep medicine at UBMD Internal Medicine and the Jacobs School.

The center’s ability to serve

all patients, whether they have insurance or not, was made possible by funding from the Mother Cabrini Health Foundation, whose mission is to improve the health and well-being of the most vulnerable New Yorkers.

Sethi added that a partnership between the center and the Buffalo Urban League is promoting outreach to Buffalo’s underserved communities, which have been hard hit by COVID-19 and by long COVID as well.

To help reduce barriers to care, costs of care including parking will be reimbursed for individuals with economic hardship.

“We are focused on providing a comprehensive assessment of patients who may have long COVID, many of whom feel they have been forgotten,” said Sethi.

“Because of that, the initial visit will take significantly longer than a typical office visit so that we can take a full medical history and collect all relevant information from medical records.”

Each patient will then be discussed by a multidisciplinary team of UBMD Internal Medicine providers, occupational and physical therapists, and a social worker and community health worker from the Buffalo Urban League. Based on the review of all of the material, the team will use the information to determine which tests and management plans will be best to recommend to each patient.

Subsequent appointments will be scheduled based on the needs of each patient.

To schedule an appointment, contact nurse practitioner Trudy Stern at 716.323.0674.

November 2023 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • Page 17

Golden Years of the more robust benefits,” James said. “It’s always been a pain point for clients as Advantage Plans haven’t offered much coverage. Now they’re offering for 2024 at least preventative care and many offer additional comprehensive coverage at no additional rider cost. We’re really excited about that.”

More over-the-counter “That allows you to buy things medically related like Band-Aids, aspirin or cough and flu medication,” said Lee Kern, licensed insurance agent and owner of NY Medicare Specialists in Buffalo and Rochester.

This can lower costs for everyday items that help support good health.

What’s New for Medicare in 2024

By Deborah Jeanne Sergeant

I

f you receive Medicare, look for these changes coming in 2024:

• No more stage four-catastrophic stage for prescription drug plans and Advantage plans “One fairly big change includes those plans that include Part D prescription coverage,” said Sally Stier, licensed representative and president of Clarity Group in Buffalo, Depew, Blasdell, Amherst and Batavia. “The level of coverage before you hit catastrophic is going up to $8,000. If you hit that, you currently pay 5% coinsurance or a small copay but starting in 2024, you pay $0 if you hit that stage. That can help people who have a lot of very expensive medications. They’ll be capped at $8,000 for true out-of-pocket expenses.”

Higher rates for drug plans “The insurance companies are preparing for the additional costs they’ll have to pay,” said Vicki James,

AHIP-certified CEO of Clear Benefits Advisors, formerly MEDICARE EASY! in Rochester. “Prescription coverage plans and stand-alone prescription plans premiums are increasing. They can’t go up more than 6%.

The maximum out of pocket for the doughnut hole will be $2,000 by 2025, which is going to be a huge savings for people with expensive prescription drugs.”

Supplement plan (aka MediGap plans) premium hike “These premiums are anticipated to go up,” James said. “That will probably be announced toward the end of the year.”

Better dental coverage Medicare recipients trying to maintain their oral health have struggled to get coverage for care. But that will become less costly in 2024.

“Dental has finally become one

Want a Healthy Old Age? Get Your Finances in Order Now

P

lanning for your long-term financial future doesn't just make good economic sense — it could also save your life.

People in both the United States and the United Kingdom have a higher risk of dying prematurely if they aren't engaged in long-term financial planning, according to a report published online Sept. 27 in PLOS One. In fact, the researchers found that the shorter a person's financial planning horizon, the greater their risk of dying.

“The people who live the longest are the ones who are looking years into the future,” lead researcher Joe Gladstone, an assistant professor of marketing at the University of Colorado Boulder, said in a university Q&A.

“It's very scary how many people are living week to week, month to month, paycheck to paycheck,” Gladstone added. “The majority of people are only looking financially out no more than a month ahead.”

The study further revealed that long-term financial planning is most important to the health of those with the fewest means.

Increases in financial planning were significantly associated with better health among households making less than $80,000 a year and with overall wealth lower than $450,000, the results showed.

“Planning benefits health for financially disadvantaged people more than the advantaged, because those with greater wealth and income have a financial buffer to income or expenditure shocks, insulating them from

More lifestyle inclusions “Some plans have allowed that for healthy foods, pet food and utilities,” Kern said. “It’s a lifestyle benefit. Some of the lower income supporting plans have transportation for beneficiaries.”

Transportation benefits can help recipients stay current with visits to healthcare providers and seek preventative health.

He added that some new plans provide gift cards for recipients who schedule a check-up in their homes.

Another offers rewards to enrollees who track their steps with an app and record sufficient steps. Lifestyle inclusions are all about promoting healthy living.

More plan counseling “They require us to go over plan benefits with clients and make sure their doctors are within their plans and to go over the formulary and explain benefits,” Kern said.

Although that’s how he’s always operated his office, the review service is now a requirement for agents.

“I don’t see how you could provide good service without doing this,” he added, “because it changes each calendar year. People have to look at their annual notice of change.

“It’s about finding a plan that

experiencing financial hardship,” the authors explained in their paper.

“These results are consistent with the idea that planning ahead represents an important resource for those with few financial resources, possibly as they do not have the buffer to cope with shocks,” the researchers concluded.

For the study, the investigators tapped into two large pools of data, one in the United States and the other in the United Kingdom.

The U.S. data tracked nearly 11,500 people over a 22-year period, between 1992 and 2014, while the U.K. data covered about 11,300 people for a decade spanning 2002 to 2012.

Short-term planners in the U.S. study had about a 20% higher relative risk of early death compared to long-term planners, the results showed.

The results were even more stark in the United Kingdom, with shortterm financial planning associated with an almost 50% higher relative risk of early death compared to long-

Page 18 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • November 2023

Lee Kern is licensed insurance agent and owner of NY Medicare Specialists in Rochester and Buffalo. will provide the right coverage if you’re planning on traveling. Understand the cost of a surgical procedure. If you’re using a network facility, usually, that is covered. I have a license in Florida and it seems they have a lot of fragmentation within the system.”

It can be tough to know the new Medicare benefits in your plan or another plan that may better suit your needs.

Mike Merrill, physician and internist and chief medical officer of Brook Health, encourages patients to talk with a broker about what’s new.

“People at your insurance company can help you navigate,” he said.

“It can be helpful to find out what your benefits are. The office on the aging is great at helping you shop around, too.”

To avoid possible fraud, he encourages patients seeking Medicare advice to talk with a local agent rather than responding to a cold caller. Advertisements on TV or the radio can also lead a beneficiary to the wrong plan, since sometimes they may be calling from a national call center operated by people who are not related to their local area.

“The people calling may be brokers only offering a health plan from a certain insurance, not everything on the market,” he added. term planning.

“I think this really shows the importance of what we like to say — your health is your wealth and your wealth is your health,” said Genevieve Waterman, director of economic and financial security with the National Council on Aging.

The stress caused by financial uncertainty is probably the main culprit behind this increased risk of premature death, said David John, a senior policy adviser with the AARP's Public Policy Institute.

“We know that stress hurts health and stress can kill, and having a longer-term financial plan is one way that people can reduce that stress,” John said.

“When people are asked what are some of the great stressors in life — and AARP does research in some of this — one that always comes up is having enough money in retirement or having enough money so that I can pay my bills,” John added. “It just makes sense that having longer-term financial planning as part of your life is going to reduce the risk.”

Health News Neighborhood Health Center gets $5M from philanthropist Philanthropist MacKenzie Scott has awarded Neighborhood Health Center of WNY a $5 million gift through her charitable foundation, Yield Giving.

Scott’s unrestricted gift will help the organization advance its mission of impactful healthcare, provided by kind people, so Western New Yorkers can achieve their dreams and goals.

This is the largest single gift the nonprofit receives in its history.

“This was a completely unexpected, and wonderful, surprise,” said Neighborhood Health Center President and CEO Joanne Haefner.

“I am incredibly grateful to Ms. Scott and her team for recognizing the important work we’re doing and the need for each person in the community to be able to access high quality healthcare. This grant speaks volumes about her belief in our work and desire to invest in our long term impact.”

Neighborhood has begun the process of determining how best to use the gift to achieve the most benefit in the community.

“It’s not every day you find out someone wants to give your organization $5 million and trusts you to make decisions on how to use it.

We will carefully consider our options,” said Haefner. Neighborhood has served as the region’s leading primary care safety-net provider for 36 years and provides access to high quality, comprehensive healthcare services for Western New Yorkers, regardless of ability to pay. Neighborhood has six locations, plus a mobile unit. It is the largest and longest-serving Federally Qualified Health Center in the region and currently the primary care home to more than 28,000 Western New Yorkers. Neighborhood has the highest quality scores of all health centers in Western New York. To learn more about Neighborhood and its work toward health equity, please visit nhcwny.org.

BPPN announces new board members Buffalo Prenatal Perinatal Network (BPPN) has announced three community leaders have joined its board of directors.

They are: • Kennedy George is a program manager at Jericho Road Community Health Center and her focus is health equity through health education, community engagement, health promotion, and addressing health Kennedy George barriers. George’s work involves nutrition and movement to maintain health. She collaborates with a variety of individuals, including Medicaid recipients, non-English

speakers, and perinatal patients.

• Jessica Lafalce serves as a com munity outreach director for NYS Sen. Timothy Kennedy’s office.

In her past years she has worked in human services and not-forprofit fields for over 10 years.

Lafalce is a Jamestown native. Her Jessica Laflace background in fundraising, event planning, community engagement, grant writing, and the passion of motherhood and children inspired her to join the board at BPPN. • Randi Nees serves as the health equity manager at Kaleida Health. Originally from Tulsa, Oklahoma, Nees moved to Buffalo in late summer of 2022 from her last position at Arkansas Children’s Hospital.

Nees is passionate about emRandi Nees powering marginalized communities, fostering cultural empathy and building inclusive communities.

BPPN empowers women, fathers and families to take charge of bettering their family health and well -being by providing education, support, advocacy, and connection to resources and services in WNY.

Independent Health among highest rated health plan Independent Health is one of only two health plans in the entire nation to achieve the highest possible rating for clinical quality and member satisfaction, according to the National Committee for Quality Assurance’s (NCQA) Commercial Health Plan Ratings 2023. NCQA is a private, nonprofit organization dedicated to improving health care quality.

As part of this year’s NCQA commercial health plan ratings, 585 health plans from across the country were reviewed and rated based on their combined healthcare effectiveness data and information set (HEDIS), consumer assessment of healthcare providers and systems (CAHPS) and NCQA Accreditation scores. Each health plan was rated on a 5-star scale for customer satisfaction, prevention and treatment.

Overall, Independent Health’s HMO/POS (commercial) plan and Kaiser Foundation Health Plan of the Mid-Atlantic States’ HMO (commercial) plan were the only plans to earn 5 stars for 2023. This marks the first time a Western New York health plan has achieved this prestigious recognition from NCQA. Previously, Independent Health was a 4.5-star rated commercial plan from 2015-2022.

“After coming so close over the

past eight years, Independent Health is tremendously proud to make it to the top of the NCQA commercial health plan ratings. In terms of quality coverage and member satisfaction, it’s like winning the Super Bowl,” said physician Michael W. Cropp, president and CEO of Independent Health. “Our 5-star status is the latest testament to our unwavering commitment to ensure our members receive the high-quality care they need and the exceptional service they deserve. This year’s ratings reflect the fact that not only are our members pleased with the care and service they are receiving, but they are also benefitting from our many efforts to educate them about the importance of preventive care and improve their overall experience as a patient. It’s just another example of what sets Independent Health apart from other health plans both here in Western New York and nationally.”

In addition to its overall NCQA 5-star rating, Independent Health was one of only two plans nationally to earn 5 stars in the category of member satisfaction and one of three plans to receive 5 stars for preventive care. The complete NCQA 2023 health plan aatings are available at www.ncqa.org.

This year’s 5-star rating from NCQA culminates an impressive year of national recognition that has been bestowed upon Independent Health for all its lines of business.

The Brothers of Mercy appoints new board member The Brothers of Mercy Well ness Campus Board of Directors announced the appointment of new board member, Roopa Chakkappan.

Chakkappan, a partner at Hodgson Russ, LLP, is a member of the New York State Bar Roopa Chakkappan and specializes in public and private health care law. She advises health care entities on managed care contracts and provider agreements while serving as the firm’s expert on the New York state public health statute and federal and state Medicaid and Medicare statutes and implementing regulations.

Chakkappan, a resident of E. Amherst, is a member of the American Public Health Association and the American Health Lawyers Association. She is also involved with advocacy for domestic violence survivors and is an active volunteer with the Women’s Health Initiative and a volunteer advocate for SAKHI for South Asian women.

A graduate of the University at Buffalo Law School, Chakkappan earned a Bachelor of Arts in anthropology from the University of Illinois and a Master of Public Health from Boston University.

Terrace View Long-Term Care Facility recognized as one of best in the nation

E

rie County Medical Center (ECMC) Corporation recently announced that Terrace View Long-Term Care Facility has again been recognized on Newsweek’s Best Nursing Homes 2024 list.

This prestigious award, which Terrace View has received in four consecutive years, is presented

by Newsweek and Statista Inc., the world-leading statistics portal and industry ranking provider.

The awards list was announced Sept. 27 and can currently be viewed on Newsweek’s website:www.newsweek.com/rankings/americas-bestnursing-homes-2024-150-beds.

The Best Nursing Homes of 2024 ranking lists the best nursing homes in the 25 states with the highest number of facilities according to The United States Census Bureau.

This year there were 500 hospitals across the Nation that were chosen and ECMCs’ Terrace View LongTerm Care Facility ranked 38th in New York state for nursing homes with 150 beds or more. There are over 600 nursing homes in NYS. Thomas J. Quatroche Jr., Ph.D., ECMC president and CEO, said, “On behalf of the dedicated caregivers and administrators at Terrace View, we are very proud to again be recognized as one of Newsweek’s Best Nursing Homes in 2024. This prestigious, national third-party assessment reinforces the high-quality care that distinguishes Terrace View and underscores the professionalism and commitment of our Terrace View caregivers. With very medically complex patients averaging 68 years of age, this recognition of Terrace View is yet another example of the ECMC Family’s dedication and passion for the residents we serve.”

The evaluation is based on five data sources: • CMS Data: Used to determine the performance of nursing homes.

• Accreditation: Data on nursing homes provided by The Joint Commission (TJC) and Commission on Accreditation of Rehabilitation Facilities (CARF).

• Resident Satisfaction Data: National Patient Safety Goals from the Joint Commission and Google reviews were included.

• National Online Survey: Thousands of medical professionals (registered nurses, nursing home managers and administrators, licensed practical nurses / licensed vocational nurses, nursing assistants, therapists, and physicians) were surveyed.

• Management of the Covid-19 situation: A Covid-19 score for each facility was calculated, with the objective to award nursing homes which have had the best possible response and protocols during the pandemic.

Terrace View was opened Feb. 8, 2013. It has three floors of 96 skilled nursing beds each; one floor containing 66 sub-acute rehab beds; a 20-bed ventilator unit and 16-bed behavioral intervention unit — for a total of 390 beds.

November 2023 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • Page 19

Solace In the Incessant Buzz

A novel way to treat PTSD: East Amherst facility offers a program to veterans and nonveterans where they learn to maintain and tend to honeybees

By Patrick Sawers

W

hen it comes to treating post-traumatic stress disorder, veteran groups across the country are beginning to recognize the therapeutic advantages of suiting up and getting into beekeeping.

It may seem counterintuitive at first, but the intense focus and concentration required to wade into a field of laboring honeybees — a controlled but nonetheless chaotic and potentially dangerous situation — can often help quell some of the stress and anxiety associated with PTSD, also helping to block out distressing memories of the past.

And, based largely on that strategy, an East Amherst facility is offering a program, now open to veterans as well non-veterans, where students learn to maintain and tend to bees, whether part-time as a hobby or even as a small-scale business opportunity.

It’s called “Helmets To Hives,” and next season will mark its seventh year in operation.

“The original intent was to work with veterans in beekeeping, primarily those who suffered from PTSD and other things,” said Steve Krumm, the program’s founder. “And it’s been shown within the beekeeping community to lower stress levels and so forth. So for veterans, that’s

extremely important as they make the transition back into society.”

Krumm, who served as an artilleryman in Vietnam and then worked as a horticulturist with Portland’s public parks system, conceived of the idea in 2017 after retiring and relocating to Buffalo, where he developed an interest in beekeeping.

Seeking to put that knowledge to good use, Krumm said, he eventually connected with someone from Buffalo Niagara Heritage Village and the region’s first beekeeping program for veterans was born.

Buffalo Niagara Heritage Village, established by the town of Amherst to showcase the town’s numerous contributions to the region’s history, sits on 35 acres of land off of Tonawanda Creek Road, featuring numerous historical buildings and structures preserved from the 19th century. A quarter-acre portion of the property was cordoned off for development of the project and a functioning apiary was constructed to get the program up and running.

“When this was brought to me, I knew absolutely nothing about beekeeping,” said Sara Miller, BNHV’s director of education and programs, who was charged with shaping the program and developing the coursework. “I was terrified of bees and

I said, ‘Why me?’ But I have come to actually love it and have found the calming and health benefits that come out of it, because it is an extremely rewarding experience.”

Around that time a local veterans’ peer support group, the Veterans One-Stop Center of Western New York, wanted to become involved with beekeeping and it dispatched a handful of members to take the “Helmets To Hives” course. One of them was Bill Arnold, who proved instrumental in bringing that organization onboard and into the fold.

“They were very interested in actually starting a program,” Arnold said, referring to the Veterans OneStop Center. “They wanted to do this on a regular basis, and it really made much more sense for them to collaborate here and to work here, instead of trying to start a whole new program.

So after I’d taken the classes Veterans One-Stop approached me, knowing that I did beekeeping, wanting to know if I actually wanted to jump in and team up with Steve here. And I was like, ‘Yeah, definitely. That would be great.’”

After its first year the program was opened up to include non-veterans as well, Krumm said, something that has shown to be mutually beneficial for everyone involved.

“We decided we really wanted to involve veterans and what we call the civilian population together, so they could interact in a teaching setting, a learning setting,” he said.

“And it provides for a much better climate of readjustment, because people can talk back and forth about their various experiences. We’ve tried to equalize the program with both men and women, because women veterans are suffering probably worse than male veterans at this

Page 20 • IN GOOD HEALTH – Buffalo & WNY’s Healthcare Newspaper • November 2023

point, only because of the added component of sexual abuse that goes on in the military. And that has worked very well. They’ve felt comfortable and safe, which is the kind of environment we want to provide for.”

“That community-veteran combination, we wanted to expand that,” Arnold agreed, pointing to the success of similar programs around the country. “And one of the best peer support efforts is to have the community involved, because if you get the veterans acclimated back into the community better and have the community accept them better, things just progress so much better that way.”

The program begins with an introductory class, followed by several months of actual hands-on beekeeping experience, with students tending to the five active, honey-producing hives toward the back of the property.

“Our introduction class is usually quite well-attended,” said Miller, although she added that space in the hands-on part of the program is limited. “Not everyone who goes to that will actually go on to take the hands-on portion. For the classroom part we usually have about 50 or so people. For the actual outdoor part, since we try to keep it to two people per hive, we usually cut off at 10 to 12. We usually have a waiting list.”

“We’re looking forward to starting up again next year,” Miller said.

“I’m working on my calendar now, so I’m anticipating we’ll hold the class in February and March. That way, if someone comes and they’re starting their own hives they still have time to purchase bees. We try to do it early enough in the year that there’s still time to get the equipment before the actual season starts.”