In Good Health

June 2013 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • Page 1

in good priceless

June 2013 • Issue 94 Rochester–Genesee Valley Healthcare Newspaper

Page8

Page 11

A Great Life After a

TransplantFrom the agony of waiting for a donor, to the relief of a fully functional new organ,

transplant recipients, such as Geoff Foley of Perinton, share their stories

Page 9

Stop the Press! Juneberries Are Coming

Locally grown fruit — new to New York state — hits the market

in June-July for the first timePage 13

More Than 4,000 U.S. Kids Hurt Each Year on Amusement Rides Page 3

Tips to Help Reduce the Risk of a Lawn Mower Injury Among Kids

Are Dads Healthier

Than Non-Dads?

Surprising Wonders of

Watermelon

Meet Your Doctor Louis Eichel is RGH chief of urology. He talks about career, prostate cancer prevention and robotic surgery

As weather warms, more tattoos come to light.

Experts say to be cautious if you want one applied to

your body

How to Use Herbal

Supplements Safely

40% of Parents Give Young Kids Cough/Cold Medicine That

They Shouldn’t

Page 2 • IN GOOD HEALTH – Rochester / Genesee Valley Healthcare Newspaper • June 2013

For more information visit our

website at

Prom and graduation

are important events in the

lives of youngpeople.

Hosting parties for teens where alcohol is available can be costly for everyone involved. It is illegal, unsafe, and unhealthy for anyone under age 21 to drink alcohol. “Parents Who Host, Lose the Most: Don’t be a party to teenage drinking.”

National Council on Alcoholism and Drug Dependence –Rochester Area

DEPAUL

Underage Drinking – is not a minor problem

www.ncadd-ra.org/parents who host

or call (585) 719-3489

Visit our Facebook page

Finger Lakes Radiation Oncology Center is proud to support the Main Streets Go Blue campaign for colorectal cancer. Colorectal cancer is the second leading cause of cancer death in this country, but it doesn’t have to be.

Screening can find it early, when treatment is the most effective.

So, don’t lie around. Get screened today..

• Comfortably close to home• Board-certified radiation oncologists and radiation therapists• Encouraging and supportive environment• Take charge and make us your choice for treatments

7 Ambulance Drive, Clifton Springs, NY 14432(315) 462-5711 • www.flrocenter.com

Sponsored by the Monroe County Medical Society, Finger Lakes Health Systems Agency, and Excellus BlueCross BlueShield.

A nonprofit independent licensee of the BlueCross BlueShield Association

A recent study found that each year there are hundreds of thousands of emergency room visits in upstate New York that could be avoided. Minor conditions like cold and flu symptoms,

congestion, back pain, earaches and sports injuries are best treated by your doctor. If your doctor isn’t available, consider visiting an urgent care

facility. And do your part to relieve ER crowding.

HELP REDUCEER CROWDING.

FOR COLD AND FLU SYMPTOMS, SEE YOUR DOCTOR.


A monthly newspaper published by Local News, Inc. Distribution: 30,000 copies. To request home delivery ($15 per year), call 585-421-8109.

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HealthRochester–GV Healthcare Newspaper

in goodSERVING MONROE, ONTARIO AND WAYNE COUNTIES

Editor & Publisher: Wagner Dotto Associate Editor: Lou Sorendo Writers and Contributing Writers: Jim Miller, Deborah J. Sergeant, Gwenn Voelckers, Anne Palumbo, Ernst Lamothe Jr. Advertising: Jennifer Wise, Donna

Kimbrell Layout & Design: Chris Crocker Officer Manager: Laura Beckwith

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.

More than 4,000 American children are injured on amuse-ment rides each year, accord-

ing to a new study that calls for stan-dardized safety regulations.

Between 1990 and 2010, nearly 93,000 children under the age of 18 were treated in U.S. emergency rooms for amusement-ride-related injuries, an average of nearly 4,500 injuries per year.

More than 70 percent of the injuries occurred from May through September, which means that more than 20 injuries a day occurred during these warm-weather months, said researchers at the Center for Injury Research and Policy at the Research Institute at Nationwide Children’s Hospital in Columbus, Ohio.

The head and neck region was the most frequently injured (28 percent), followed by the arms (24 percent), face (18 percent) and legs (17 percent). The most common types of injuries were soft tissue (29 percent), strains and sprains (21 percent), cuts (20 percent) and broken bones (10 percent).

The percentage of injuries that required hospitalization or observation was low, suggesting that serious inju-

ries are rare. From May through Sep-tember, however, an amusement-ride-related injury serious enough to require hospitalization occurs an average of once every three days, according to the study, which was published online May 1 and in the May print issue of the journal Clinical Pediatrics.

Youngsters were most likely to suf-fer injuries as a result of a fall (32 per-cent) or by either hitting a part of their body on a ride or being hit by some-thing while riding (18 percent). Thirty-three percent of injuries occurred on amusement park rides, 29 percent on mobile rides at fairs and festivals, and 12 percent on rides at malls, stores, restaurants and arcades.

“Although the U.S. Consumer Product Safety Commission has juris-diction over mobile rides, regulation of fixed-site rides is currently left to state or local governments, leading to a frag-mented system,” study senior author Gary Smith, director of the Center for Injury Research and Policy, said in a news release. “A coordinated national system would help us prevent amuse-ment-ride-related injuries through better injury surveillance and more consistent enforcement of standards.”

More Than 4,000 U.S. Kids Hurt Each Year on Amusement Rides

Researchers call for standardized safety regulations to reduce injuries

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585-424-2928www.disabilityrep.com

Mary Perry, ADR

Are Your Facing a Social Security Disability/SSI Claim?

Let Me Represent You.“That’s All I Do.”

Twenty years experience.


CALENDARHEALTH EVENTS

of June 2Memorial lacrosse tournament benefits Kids

The Sixth Annual Jeff Milano-John-son Memorial Lacrosse Tournament will be held from 8:30 a.m. – 3 p.m., June 2, at Unity Health System Total Sports Experience, 880 Elmgrove Road, Rochester. The event is a fundraiser for Rochester Kids, the memorial fund established in memory of Jeff Milano-Johnson, the 14-year-old lacrosse player who died of a ruptured brain aneurysm in 2007 while warming up for a Pitts-ford varsity lacrosse game. The fund provides scholarships for Rochester city youth, funding for ROCE6. which sponsors three inner city lacrosse teams, support to evidence-based-local nonprofits targeting Rochester fami-lies, and bereavement support services for families whose children have died before their time. For more informa-tion, call 585-721-1078 or visit www.rochesterkids.org.

June 10Seminar to help those who recently lost their jobs

Have you been affected by a layoff or downsizing? Tracey Aiello, a finan-cial consultant with Angelo Planning Group, LLC, will sponsor a seminar that will discuss issues affecting people who recently lost their job. The seminar will help attendants understand several issues, including options for health care and Cobra; differences between group vs. individual life insurance; what to do with 401k and 403b plans; taxation of withdrawals from a 401k / 403b and

IRA if you have one; and how to design a portfolio to minimize the downside risk. The seminar will take place from 11:30 a.m. – 1 p.m. June 10 at Medaille College, 1880 Winton Road S., suite 1, Rochester. Registration is required and seats are limited. Call 585-402-5284 to make a reservation or email [email protected]

June 17Fibromyalgia group discusses role of foods

A seminar titled “Choose My Plate” organized by the New Fibromy-algia Support Group will discuss the role fruits and vegetable in people’s health. It will teach healthy choices on fresh, frozen, and canned fruits and vegetables. It will also teach how to use fruits and vegetables as quick snacks, juices, and easy-to-cook reci-pes. Recipes and demonstrations will be performed. The seminar will be led by Rose Sweeney, community educa-tor with Cornell Extension of Monroe County. It will take place from 12:30 –1:30 p.m., June 17, at Westside YMCA, 920 Elmgrove Road, Gates. To register or for more information, contact Julie Montgomery at [email protected] or call 585-752-1562.

June 27, 28, 29Event to bring NYT’s best selling authors

The Lightheart Institute is present-ing a multi-day conference featuring lo-cal experts and world-renowned speak-ers and New York Time’s best-selling authors designed to equip all of Roch-

ester, and beyond, with self-empow-erment, self-awareness and self-care tools. Titled “Touch The Sky . . . from Tragedy to Triumph; Tapping into the Power of the Human Spirit,” the event is in response to the tragedy that struck the West Webster Fire Department last December and other tragic events such as the Newtown, Conn., shooting. “The LightHeart Institute feels a compelling need to provide an opportunity that focuses on hope, health, healing and vitality that will equip all of Rochester, and beyond, with tools of self-empow-erment, self-awareness and self-care,” reads a press release. The event will take place at June 27, 28, 29 at Nazareth College Arts Center. For more informa-tion, call 585-288-6160 or visit www.lightheart.com.

July 8Golf tournament at Midvale Country Club benefits VNH

Visiting Nurse Service of Roch-ester (VNS) will hold July 8 its 22nd Annual Golf for Hospice Tournament to benefit the Visiting Nurse Hospice program. This tournament and din-ner reception will be held at Penfield’s exclusive Midvale Country Club. Golfers without a Midvale member-ship have the opportunity to play the award-winning course during this event. Proceeds from the tournament will benefit Visiting Nurse Hospice, which provides end-of-life care for pa-tients and their families in their homes, comfort care homes, and inpatient settings. The bereavement program at Visiting Nurse Hospice offers care to families to help address feelings of loss, grief, and sorrow before and after a loved one has died, at no cost to them. These services include support groups, individual counseling, an evening of remembrance, and volunteer services such as companionship and supportive phone calls. Since bereavement services are not covered under Medicare, this important program is dependent on donor generosity. For more informa-tion, call Kate Whitman at 585-787-8714 or visit www.vnsnet.com//golf-for-hospice.

The Outreach Department of the Central Library of Rochester & Monroe County is issuing new book discus-sion kits with books in large print and on CD. The new kits each contain four large print books, four books on CD and eight large print discussion guides. In addition, if the book has been made into a movie the DVD is included in the kit.

“The popularity of book discussion groups has greatly increased over the

last couple of years,” says Elizabeth Barry of the Monroe County Library System’s Outreach Department. “There are literally hundreds of book discus-sion kits in the library system, but none for the visually impaired members of the community. We saw a real need to provide this service so that everyone can join in book discussions.”

The library system approached local Lions Club chapters for donations to start this project. Their generosity

was matched by the New York and Bermuda Lions Foundation, and that combination provided enough money to begin purchasing the kits.

Initially there are 13 kits, and more will be added as the collection grows. Although these kits are targeting people with low vision, they are avail-able to anyone with a valid Monroe County Library System card by calling the Outreach Department at 428-8312.

The Canandaigua VA Medical Center announced the availability of E-Donate, an online donation option at www.canandaigua.va.gov that will provide community members who wish to give back to veterans at the medical center a simple and safe way to pledge their support to the fund of their choice.

“We’ve known for years that our citizens want to show their support to the service members who defended their freedoms,” said Medical Center Director Craig Howard. “While not everyone will have the time to volun-

teer, now anyone can take five minutes online to thank Veterans in any number of ways.”

The E-Donate option allows donors to select from a number of funds at the medical center they wish to donate to. Additionally, the Department of Veter-ans Affairs (VA) administrative costs are appropriated, so donors can be sure 100 percent of their donations go to the funds they select and the Veteran patients they are choosing to support.

“Donated money at our medical center supports recreational activities, our hospice program, homeless veter-

ans program, purchases birthday and holiday gifts as well as an assortment of other veteran needs,” said Voluntary Service Chief Robin Johnson. “People would be amazed if they could see how far their dollar goes toward making a difference in the lives of the people who dedicated themselves to us first.”

Donors can find the E-Donate button at www.canandaigua.va.gov. The actual donation is made through a secure site at the Department of Treasury’s www.pay.gov. A minimum of $5 is required for online donation.

Library Announces Large Print Book Discussion Kits For People with Low Vision

Canandaigua VA Medical Center Offers E-Donate to Support Local Veterans

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Forty-three percent of American high school students admit to texting while driving, according to

a new study.The findings show that too many

teens are ignoring warnings about the risks of this dangerous habit. Research has demonstrated that texting while driving increases the risk of a crash by 23 times, and many experts say texting while driving is more dangerous than driving while intoxicated.

Researchers analyzed data from about 7,800 U.S. high school students who had their driver’s license and took part in the 2011 survey on youth behaviors conducted yearly by the U.S. Centers for Disease Control and Pre-vention. The teens were asked if they had texted while driving in the past 30 days, and 43 percent said they had.

Males were more likely to text while driving than females — 46

percent vs. 40 percent, respectively. The likelihood of texting while driving increased with age: 52 percent of those over age 18, 46 percent of 17-year-olds, 33 percent of 16-year-olds and 26 per-cent of 15-year-olds.

The study also found that teens who texted while driving were more likely to engage in other risky behav-iors, such as drinking and driving, hav-ing unprotected sex, and using indoor tanning devices.

“Although teens may be develop-mentally predisposed to engage in risk-taking behavior, reducing the preva-lence of texting while driving is an obvious and important way to ensure the health and safety of teen drivers, their passengers and the surrounding public,” said principal investigator Alexandra Bailin, a research assistant at Cohen Children’s Medical Center of New York.

It goes against popular belief, but a recent study from the University of Alabama at Birmingham (UAB)

shows that the southern region of the United States is not the fattest part of the country.

“The obesity epidemic is over-whelming the U.S., and there’s this strong perception that Mississippi and Alabama are number one and num-ber two in obesity — fighting for last place,” said George Howard, professor in the department of biostatistics in the University of Alabama at Birmingham School of Public Health.

Howard said that according to data from the long-running REGARDS (Rea-sons for Geographic and Racial Differ-ences in Stroke) study, the West North Central part of the country, which includes North and South Dakota, Min-nesota, Nebraska, Iowa, Kansas and Missouri, is the fattest area — with a 41 percent obese population. These find-ings were recently published online by the journal Obesity.

“We were thinking since people

living in the South are generally more hypertensive and have higher rates of diabetes and stroke, it would be the fat-test region,” Howard explained. “But when we looked at our data, people in the South were really not the fattest.”

The study grouped states into re-gions used by the U.S. Census Bureau in order to compare data to the Na-tional Health and Nutrition Examina-tion Survey (NHANES) to confirm the findings from REGARDS. Mississippi and Alabama are part of the East South Central region of the U.S., which also includes Tennessee and Kentucky. REGARDS ranked the region fifth out of nine regions with 34 percent obese, and the NHANES showed that it was seventh out of eight regions with only 31 percent obese (NHANES ranks fewer regions than REGARDS because NHANES has fewer measurements collected for reporting the New Eng-land states of Maine, New Hampshire, Vermont, Massachusetts, Rhode Island and Connecticut).

South Not the Fattest Part of U.S. After AllResearcher says West North Central part of the country is the country’s fattest area

Survey: More Than 4 in 10 U.S. Teens Text While Driving

State laws banning behavior don’t seem to help much, researchers find


Meet Your Doctor

By Lou Sorendo

Q.: What motivated you to choose urology as a specialty?

A.: In some surgical specialties, you refer a patient, you do the surgery, and once things are over with, they leave you and you have performed your function. I enjoy relationships with patients and I wanted people to think of me as their doctor. Urology is somewhat unique in that there are some conditions that we treat where it’s a quick thing, but there are lots of conditions where we form long-term relationships with patients.

Q.: What most challenges you in regards to the practice of urology?

A.: One of the biggest challenges in almost any area of medicine these days is just being able to spend enough time with each individual person to main-tain a relationship. That’s important to me, but at the same time I am very busy. Balancing that is always a chal-lenge and I think I’ve been pretty good at doing it.

Q.: How much of your working day is spent attending to administrative tasks and how much do you spend on the “front lines” of healthcare?

A.: I am in private practice in a six-man urology group called the Center for Urology and also chief of the divi-sion of urology at Rochester General Hospital. I spend probably an hour to two hours a day on administrative things for the department. The bulk of my day is practicing clinical medi-cine and not administrative. I operate almost every day and I do surgery five days a week. I see patients in my office three days a week. Early mornings and late nights are spent doing administra-tive work and the bulk of my day is clinical.

Q.: How prevalent is prostate cancer?

A.: It is one of the more common men’s health issues. There is a lot of controversy regarding screening for prostate cancer. I have been going out of my way doing television interviews recently talking about prostate can-cer screening. The controversy arises because the U.S. Preventive Services Task Force has recommended against prostate cancer screening, citing that historically there are men who had low-grade or low-risk prostate cancer that may not have needed aggressive treatment and with that a lot of side-ef-fects.

Prostate cancer is unlike most other cancers in that it’s not just one disease entity that is always really bad. It’s more of a spectrum type of disease. There are approximately 40 percent of men who develop what we call low-risk prostate cancer that can often just be observed and don’t need aggressive treatment for it. About 25 percent are

diagnosed with very high-risk prostate cancer which can be deadly and be much more aggressive, causing people a lot of morbidity or death.

The controversy exists because historically, men were treated aggres-sively and a lot probably didn’t need that treatment.

Nowadays I think the argument is more about knowing your risk. We know now that it is important to stratify people with prostate cancer in terms of their risk [by looking at] certain features of the disease.

If they have in more advanced stages or have more aggressive-looking cancer when samples are looked at un-der a microscope, those patients need more aggressive treatment. But some people can be watched.

Prostate cancer has no actual symp-toms in the early stages. Once a patient develops symptoms of prostate cancer, it is always too late to cure.

In my opinion, screening for pros-tate cancer is about just knowing your risk.

Screening for prostate cancer in-cludes a PSA [prostate-specific antigen] or blood test and a rectal exam. If you are have a PSA that’s elevated or a nodule on your prostate, that leads to a biopsy.

If it actually shows cancer, we can look at the blood test level and look at rectal exam findings to see if there is a nodule or not. We can see what the tumor sample looks like under a microscope in terms of how aggressive it.

You can then stratify people to determine whether they can be observed or whether they need to be treated.

Q.: What types of preventive mea-sures can a man take to help thwart prostate cancer and improve his prostate health?

A.: The kind of measures to main-tain

good prostate health are the same to maintain good health in general, and that is to eat a healthier diet high in anti-oxidants with lots of vegetables and non-meat-based protein. Also, ex-ercise and generally staying healthy so that your body is in a less inflammato-ry state helps. It also helps to decrease your risk of other major health risks, like obesity.

A prostate-healthy diet is a healthy diet for anything.

Honestly, most of the studies look-ing at dietary supplementation for prostate health haven’t been found to make large gains in that area.

If you’re preventing prostate can-cer, you’re preventing other types of cancer.

Q.: How has laparoscopy/robotic surgery revolutionized the manner in which prostate cancer is treated? What are its benefits to both surgeon and patient?

A.: Right now, there is a lot of con-troversy about the benefits of robotic surgery. The main point is the robot is a surgical instrument and doesn’t actually have any artificial intelligence. It doesn’t make any kind of motions or does anything that a surgeon is not making it do. It basically translates the surgeon’s hand motion into motions inside the patient.

The benefit of robotic or any kind of laparoscopic surgery is that it is done through much smaller incisions so that the patient’s recovery is faster.

Particularly with robotic instru-mentation, there is a very bright, mag-nified 3-D view of the surgical field, which I believe gives some degree of precision. With that said, that doesn’t have anything to do with the surgeon’s skill.

Basically, the robot is a surgical instrument or surgical tool, just like a scissors, retractor or pair of forceps would be. In terms of having success-ful surgery, that really comes to the surgeon’s experience and their exper-tise with the equipment they use.

If you have an experienced surgeon who is an expert in using surgical ro-

botics and is an expert at doing that type of surgery, then the out-

come is likely to be good.If someone is not

very skilled regardless of what type of equip-ment they are using, there is a likelihood of a problem or the chance of a poor out-

come is going to be higher.

There are lots of surgeons who are very good at open prostate surgery, where the incision is bigger and the recovery time might be lon-

ger. In terms of

the long-term outcome, such as wheth-er the patient is cured of cancer or has any side effects from the surgery, there haven’t been any major differences between the two techniques.

There is no doubt that the patient’s recovery time is better, the patient feels better faster and they leave the hospital faster. There are some studies showing the rate of blood transfusion is lower.

There are benefits to it, but in the end, it comes down to the surgeon be-ing responsible for making sure he is a master of his craft.

Q.: Do you see laparoscopy/robotic surgery growing in prevalence in the near future? Is technology going to be playing a larger role in terms of diag-nosis and treatment?

A.: There is no doubt. Believe it or not, robotic surgery has been around for over 10 years. I started doing robotic surgery in 2002 and I’ve been doing robotic surgery from fairly early on when it was developing and have continued to do it.

Robotic surgery in and of itself sounds high tech, but it is not a brand new process. It is an established type of surgery and has been around for a long time and has a fairly good long-term track record. With that said, I believe medicine and surgery is a lifelong learning process and there are constant developments being made like in any area of technology. Surgery technology started to advance at an ever- increas-ing pace.

Laparoscopic surgery has been around since the 1980s.

I believe we are just seeing the beginning now of the types of devel-opments that are going to be made. One involves the number of incisions necessary to do surgery. There is LESS surgery (laparo-endoscopic single-site surgery) where a surgeon operates ex-clusively through a single entry point.

Another major area of develop-ment is NOTES (natural orifice trans-lumenal endoscopic surgery) where endoscopes are placed through natural orifices such as the anus or esophagus. It is an experimental surgical tech-nique where “scar-less” abdominal operations can be performed with an endoscope passed through a natural orifice then through an internal inci-sion in the stomach, vagina, bladder or colon, avoiding any external incisions or scars.

Other areas of development include intra-operative imaging. It pro-vides real-time imaging of a patient’s anatomy with high-quality images and a large field-of-view in several dimen-sions.

Lifelines:Louis Eichel is the director of minimally in-vasive surgery, Center of Urology, Roches-ter, and the chief of the division of urology at Rochester General Hospital.

Birthdate: 43Birthplace: New York CityCurrent residence: PittsfordEducation: Bachelor of Arts, environ-mental science, University of Rochester; medical degree, University of Rochester; residency, urology, University of Rochester; fellowship, laparoscopy/robotic surgery/en-dourology, University of California, Irvine, Orange, Calif.Affiliations: American Urological As-sociation; Society of Endourology; Society of Laparoscopic Surgeons; Minimally Invasive Robotics AssociationPersonal: Wife Dianne, with children Sam and AvaHobbies: Cycling (mostly mountain bik-ing); skiing; running; spending time with family

Dr. Louis EichelRGH chief of urology talks about career, prostate cancer prevention and robotic surgery


With summer come trips to Charlotte and Durand East-man beaches, long lines for

custard at Abbott’s, barbecues and family camping trips. Each of those activities brings pleasure and pain for allergy suffers.

Most people think allergy problems affect individuals during the spring when everything starts to bloom. But once the bloom stops, issues still per-sist. Summer allergens include mold, insect stings, poison ivy, sunscreen and even seasonal fruits.

“Allergies can be a problem all year around, and in Rochester, it’s definitely not unusual for them to occur during the summer,” said physician Anitha Shrikhande, who works at Westside Al-lergy Care, which has several facilities in the area. “Around the summer, you have grass and a lot of pollen blow-ing in the air in June and July that can cause havoc.”

Allergies are when a person’s im-mune system reacts to something that is usually harmless. A person who is predisposed to allergy will react to pol-lens or mold spores, animal dander and dust mites.

Shrikhande, who is board-certi-fied in allergy and immunology, said during the summer you could typi-cally find a mold called alternaria that commonly causes allergic reaction. If you’re allergic to mold and you breathe in alternaria spores, chances are your immune system will go haywire, which could include similar symptoms to hay fever like sneezing, itchy and watery eyes, runny nose and congestion.

“You can find alternaria on hot, breezy days inside the soil. So when it is blown around the area, that is when people who are allergic are likely to have more symptoms,” said

Summer, No Relief for Allergy Sufferers By Ernst Lamothe Jr.

Deane

How to deal with summer allergies• Try to stay indoors whenever the pollen count is high.• Keep your doors and windows closed when-ever possible to keep allergens out. Use an air purifier.• Clean air filters in your home often. Clean bookshelves, vents, and other places where pol-len can collect.• Wash bedding and rugs in hot water to elimi-nate dust mites and other allergens.• Wash your hair, shower, and change clothing after going outside to wash away pollen.• Vacuum often. Wear a mask, because vacuuming can kick up pollen, mold, and dust trapped in your carpet. • Keep the humidity in your house between 30 and 50 percent to prevent the growth of dust mites.

Souce: WebMD

Shrikhande.Physician Peter Deane of Allergy

Asthma Immunology of Rochester said medical officials used to start evaluat-ing pollen counts in mid-March. But with weather nationwide being warmer than expected, they now target February as the beginning. Warmer months means thaw-ing starts earlier and trees begin blooming

sooner. In his 18-years of experience, he sees this as one of the biggest factors in why allergy suffers had significant increases in problems even before the spring hit. And summer doesn’t make it any easier.

“You have to deal with ragweed and grass taking off when tempera-tures are hot and humid, which also tends to lead to mold appearing. And mold can also be a year-round prob-lem,” said Deane, who sees adults and children over 5 years of age for aller-gies and asthma, and adults for rheu-matologic problems. “Plus the hot air itself bothers people just because of its heaviness.”

He suggest allergy suffers wear surgical masks when doing outdoor tasks such as gardening and mowing their lawns. In addition, keeping the windows closed while driving will prevent pollen and other irritants from traveling into the vehicle.

“Unfortunately some of the best relief comes from staying inside and running the air conditioning,” added Deane, who also suggests having a dehumidifier in your basement during the warm, summer months. “I know that is hard for people who like to be

outdoors.”Shrikhande

believes those who suffer intense aller-gies in two or more seasons of the year may want to consider allergy shots, which can change the way the im-mune system responds to the things that causes aller-gies. Medications such as antihistamines and nasal steroid sprays also work to relieve symptoms, but sometimes they may not be enough. Starting allergy shots is a long-term commit-ment.

Typically, the shots start out once a week, and then as the body adjusts, it goes from once every two weeks to monthly shots.

“We tell people it could take four months before you start noticing im-provements and you should be ready to take shots three to six years,” said Shrikhande. “It’s long term therapy that can really alter your immune system response, but you can’t give up too early or you won’t see the improve-ments you seek.”

Allergy suffers also may want to see an allergist, who is the only physi-cian specifically trained to evaluate, diagnose and manage food allergies. Allergists can also perform special tests to evaluate for allergic skin conditions and are experts in drug allergy.

New York State Podiatric Medical Association (NYSPMA), which represents more than 1,200 foot

specialists across the Empire State, is urging New Yorkers to pay special attention to the skin on both the top and bottom of their feet. While harm-ful sunrays may be the primary cause of skin cancers on parts of the body that receive sun exposure, skin cancers of the feet are more often related to viruses. Doctors of Podiatric Medicine (DPMs) are foot specialists, trained to recognize and treat conditions that present on the skin of the foot.

Skin on the feet, especially on the bottom, is often overlooked during routine medical exams. According to Gary Stones, NYSPMA’s president and a practicing podiatrist, skin cancers of the feet have several features in com-mon. “Most are painless, but often there’s a history of recurrent cracking, itching, bleeding or ulceration,” he cau-

Skin Cancers of the Feet Are Often PainlessPodiatrist: Signs of foot cancer include non-healing sores, bumps that crack and bleed

tions. “These cancers often go undiag-nosed until another issue presents itself near the affected site,” added Stones.

Checking for warning signs is something anyone can do, paying particular attention to changes such as non-healing sores, bumps that crack and bleed, nodules with rolled edges or scaly areas. Examining the bottom of the foot is critical.

Basal cell cancers may appear as pearly white bumps or oozy patches that can get crusty like other open sores. On the foot, basal cell cancers often look like non-cancerous skin tumors or benign ulcers.

Squamous cell carcinoma is the most common type of skin cancer of the foot. They usually are confined to the skin and do not spread. However, when advanced, some can become more aggressive and spread through-out the body. This form of cancer can begin as a small scaly bump, which

may appear inflamed. There can be cracking or bleeding. Sometimes it begins as a hard projecting, callous-like lesion. While painless, this type of skin cancer may be itchy. It can resemble a plantar wart, a fungal infection, eczema, an ulcer or other common dermatological conditions.

Skin cancers on the lower extremity may have a different appearance that those arising on the rest of the body. So to test, the podiatrist will perform a skin biopsy. This is a simple procedure in which a small sample of the skin is obtained and sent to a lab where a skin pathologist examines the tissue in greater detail. If it turns out the lesion is skin cancer, the podiatrist will recom-mend the best course of treatment.

Each year, approximately 2 million Americans are diagnosed with non-melanoma skin cancers.


Practical tips, advice and hope for those who live alone

Live Alone & Thrive By Gwenn Voelckers

Life doesn’t always go according to plan. For many women and men, midlife has brought unexpected

changes, some by choice, others by chance. Whether divorced or widowed, they find themselves struggling to make sense of their losses and life circum-stances.

I talk a lot about attitude in my “Live Alone and Thrive” workshops. Experience has taught me that our at-titudes (thoughts and beliefs) determine the life we have. If you believe you will be lonely, penniless and miserable on your own, chances are good you will be.

On the other hand, if you adopt the attitude that living alone could present opportunities for personal growth and new relationships, you will likely re-discover meaning and joy in your new, independent life.

Research suggests that people who count their blessings and see the “silver lining” are happier, healthier, and more optimistic

It was Norman Vincent Peale who said, “Change your thoughts and you change your world.” I’m a believer in that quote — and work hard to live by it. I’m convinced that if you don’t like the results you are getting in your life, you need to take a look at changing the attitudes that are producing those results.

You have a choice. Choose to focus

hole that the depth of our negativity can almost become comical. It’s not be-cause our feelings aren’t legitimate, it’s because we’ve allowed them to spiral completely out of control and absurdly out of proportion. When this happens, realize you’ve gone off the proverbial deep end and try to laugh at yourself a little.

It helps if you share your misery with someone who will help you “keep it real.” That person for me is my sister. She’ll tolerate my tragic tales of woe for just so long and then she’ll give me that “look.” Inevitably, we end up dissolv-ing in tears of laughter and — poof! — my cloud of negativity is lifted.

Avoid hanging out with negative people. Complainers, whiners, moaners — these people will bring you down, reinforce your fears, and undermine your confidence. Avoid these people. Instead, reach out and nurture relation-ships with people who love life and who want to live fully, regardless of their marital status. Enthusiasm is con-tagious. Put yourself with people who make you feel good about yourself and about life.

Healthy change and personal growth is next to impossible when one is immersed in negative thinking. Want to feel better about being on your own? Change or shift your thinking. Living without a spouse or significant other need not be a period of diminishing opportunity. With the right attitude, it can be a time of expanding possibili-ties. Embrace it. And look for the silver lining.

Gwenn Voelckers is the founder and facilitator of Live Alone and Thrive, empowerment workshops for women held throughout the year in Mendon, New York. For information about her workshops or to invite Gwenn to speak, call 585-624-7887, e-mail: [email protected].

on your strengths and your gifts. Use this time on your own to define and create a life that is consistent with your dreams and desires.

To get there — to feel the way you want to feel — embrace an attitude that will inspire and guide you. And banish negative thinking. Negative thinking will only get in the way of your goal to feel better and to have the life you want. Below are a few tips to help you steer clear of pessimistic think-ing:

Turn it off. When that internal dialog in your head turns negative, turn it off! Catch yourself and redirect your thinking. Here’s an example of a negative thought that can be redirected: “I’ve lost my chance at happiness. All my friends are married, and here I am alone. I don’t think I can do this.”

This can be reframed into some-thing much more positive: “I may not feel on top of the world today, but I can do this. I am resourceful and con-fident I can create a life that is reward-ing and full of people and experiences that bring me joy.”

While redirecting your thoughts

might feel contrived at first, actively choosing to alter your thinking will make an important difference in your life.

Indulge and then move on. If you can’t just turn off that negative thinking — if it keeps seep-ing back in — give yourself a good five minutes to bask in your negative thoughts, then stop it, and redirect your thinking. Set a timer, if you need to. When the alarm sounds, it’s time to move on and refocus. I’ve done this myself and it works.

Be your own best friend. When the negative think-ing and self-doubt emerge, talk to yourself as if you were your own best friend and give yourself some

good advice. What would your best friend tell you? He or she would prob-ably acknowledge your feelings, but go on to say, “Come on now; that kind of thinking will get you nowhere,” and then remind you of how wonderful you are and how many people adore and count on you. Do this for yourself. Be your own best friend.

Try to find some humor in your down-ward spiral. Sometimes we can dig ourselves into such a deep emotional

KIDSCorner

Children can get five to 10 colds each year, so it’s not surprising that adults often turn to over-

the-counter cough and cold medicines to relieve their little ones’ symptoms. But a new University of Michigan poll shows that many are giving young kids medicines that they should not use.

More than 40 percent of parents re-ported giving their children under age 4 cough medicine or multi-symptom cough and cold medicine, according to the latest University of Michigan C.S. Mott Children’s Hospital National Poll on Children’s Health. Twenty-five per-cent gave those children decongestants.

In 2008, the federal Food and Drug Administration issued an advisory that these over-the-counter medicines not be used in infants and children under age 2. They have not been proven effective

for young children and may cause seri-ous side effects, says Matthew M. Da-vis, director of the C.S. Mott Children’s Hospital National Poll on Children’s Health.

In response to the FDA, manufac-turers of over-the-counter cough and cold products changed their labels back in 2008, to state that the medi-cines should not be used for children under 4 years old.

“These products don’t reduce the time the infection will lasts and misuse could lead to serious harm,” says Davis. “What can be confusing, however, is that often these products are labeled prominently as ‘children’s’ medications. The details are often on the back of the box, in small print. That’s where parents and caregivers can find instructions that they should

not be used in children under 4 years old,” Davis says.

The side effects from use of cough and cold medicines in young children may include allergic reactions, in-creased or uneven heart rate, drowsi-ness or sleeplessness, slow and shallow breathing, confusion or hallucinations, convulsions, nausea and constipation.

Tips to help reduce the risk of a lawn mower injury among kids:

• Children should not ride on lawn mowers as passengers. They can fall and be caught under the mower.

• Clear the mowing area of objects including twigs, stones and toys that can be picked up and thrown by the lawn mower blades.

• Wear closed-toed shoes with slip-proof soles while mowing.

• Consider hearing protection for louder mowers.

• Use a mower with a control that stops it from moving forward if the handle is let go.

• Do not pull the mower backward or mow in reverse unless absolutely necessary, and carefully look for chil-dren behind you when you do.

• Make sure that all children are indoors or at a safe distance away from the area that you are mowing before you turn on the mower.

A ‘Silver Linings Playbook’ for Living Alone

40 Percent of Parents Give Young Kids Cough/Cold Medicine That They Shouldn’t

The poll found that use of the cough and cold medicines in children age 4 and under did not differ by par-ent gender, race/ethnicity or by house-hold income.

“Products like these may work for adults, and parents think it could help their children as well. But what’s good for adults is not always good for children,” says Davis.

Kids & Lawn Mowers• Make sure your child is old

enough to handle the responsibilities that are associated with using a lawn mower. Children younger than 16 should not be allowed to operate riding mowers, and those younger than 12 should not be allowed to use walk-be-hind mowers.

• Before you allow your child to mow the lawn alone, spend time show-ing him or her how to do the job safely. Supervise your child’s work until you are sure that he or she can manage the task alone.

• Store the fuel for the mower out of reach of children. Start and refuel mowers outdoors, not in a garage or a shed. Mowers should be refueled with the motor turned off and cool. Never let children refuel the engine.

Source: Monroe Carell Jr. Children’s Hospital at Vanderbilt.


Each person remembers the day that changed their life. One Per-inton man was simply walking in

his home when something didn’t feel right, while the other could barely walk a step without taking an uncomfortable breath. Another needed new lungs in hopes of even taking another breath.

They all needed a different organ transplant to save their life and none of them had a long time to wait. Eventu-ally their wishes were answered to varying degrees and they joined the Transplant Awareness Organization of Greater Rochester. The nonprofit orga-nization is dedicated to improving the quality of life of transplant candidates, recipients and their families. The for-mer patients share their personal expe-riences and complement the counseling provided by physicians, social workers and other health care professionals.

These are stories of people who have persevered through the agony of waiting for a donor, the jubilation of re-ceiving one, the fear of surgery and the relief of a fully functional new organ.

Liver TransplantBlood seemed to be the problem for

Michael Yendrzeski. The life-sustaining liquid was betraying him, either spill-ing into organs that didn’t need it or not flowing into the intended places in his body. First, he started bleeding into his stomach in 1999 due to veracious veins problems that sent him to High-land Hospital emergency department.

“I almost kissed the world good-bye. That was how bad I was feeling,” said Yendrzeski, 72, of Fairport. “I never had those symptoms before and my body felt so weak.”

Doctors had to band the veins in his esophagus to chock up the blood supply so he wouldn’t continuously bleed out. His body continued to deteriorate and he was soon diagnosed with cirrhosis of the liver. The disease is often associated with alcoholism. However, Yendrzeski didn’t drink. He was placed on a regional donors’ list for his damaged liver.

With his abdomen ballooning with fluid that was not running through the liver and pancreas or being filtered out through the kidney, his problems worsened.

“Every month, I had to go to the hospital and have fluid sucked out of my body a couple liters at a time. I felt like I was walking around like a preg-nant woman and I couldn’t eat because any food put pressure on my stomach and made me feel horrible,” added Yendrzeski.

The ordeal caused him to go from a robust 215-pound man to 145 pounds of self-described skin and bones.

“He was looking so sick and I could see him dying in front of my eyes,” said Deb Yendrzeski, his wife. “My father had died six months before and my husband was looking like a skeleton.”

Then on May 25, 2002, after several false alarms about the possibility of a life-saving donation, he received the good news. The surgery took half the usual time and he went home after a week. He got a haircut to celebrate his new lease on life. Three days later, he was back in the hospital.

“I got a staph infection and there was a blood clot in the artery leading to my liver and that liver couldn’t sustain enough blood to survive. I would need another one to live,” said Yendrzeski.

In true miracle form, hospital officials expanded the donor search nationwide and found one in Washing-ton state less than two weeks later. The second surgery occurred and it was a perfect match for his A-negative blood type. “When they told me he needed the second surgery I almost collapsed,” said his wife. “It was just devastating but he has survived and is still with me.” And he eventually gained back the weight and color in his skin.

“I was 60 years old when I was starting to have the problem but felt like I was 10 years older. Now I am 72 and feel so much better,” said Yendrz-eski.

Lung TransplantGeoff Foley started

walking up the stairs of his Perinton home in the summer of 2002 when all of a sudden breathing became difficult. It was a strange feeling for a man who exercised and en-joyed playing tennis and golf. His life suddenly changed after his primary care physician told him to get a chest X-rays.

“When the radiolo-gist saw me, he told me my lungs looked like hell. I knew it couldn’t be a good sign,” said Foley, 66. “But what he told me next is what really shocked me.”

Foley was diagnosed with idiopathic pulmo-nary fibrosis or a very rare case of lung disease. Not only was the shortness of breath an odd feeling for him, but hearing that he had lung cancer when he didn’t smoke really took him aback, along with the fact that there was no known cure. Strong Hospital doctors explained it was degenerative and he would have 18 months to two years to live. His only hope was a double lung transplant, made even more difficult because he was 6 foot, 6 inches.

He waited three years until April 2005 before he found a donor because of the waiting list and also because he was dealing with rheumatoid arthritis. The surgery was successful

“You are never the same after hav-ing a surgery like that. They say the average survival time is five years with a donated lung and so far I am on year eight so I am doing well,” said Foley. “The reality is there are some people who don’t get off the operating table so even though my retirement hasn’t gone the way I envisioned, I am so thankful that I am still alive.”

He spends his time volunteering at Christ Church of Pittsford and enjoying his wife, Lois, his three children and two grandchildren. Foley has spent the past few years collecting pictures and other items from his life in England and in the states to give to his grand-children.

“You never know how long you are going to last so I wanted them to have a book where they could turn to anytime and learn more about their grandfa-ther,” said Foley. “After you go through something like this, you realize how important relation-ships are.”

Heart Transplant Norman Bean was having

trouble even walking 10 feet without feeling an intense short-ness of breathe in 1998. After tests at Strong Hospital, he was diagnosed with congenital heart failure. He tried to joke with the doctors, but inside he was a wreck.

“Frankly I broke down and cried. It was all too much of a shock,” said Bean, 68. “Doctors

Geoff Foley of Perinton with his wife Lois and two of their grandchildren, Andrew Smolowyk (rught) and Ryan Smolowyk. He had a double lung transplant in 2005.

Michael Yendrzeski, a 72-year-old Fairport resident, has liver transplant in 2002. “He was looking so sick and I could see him dying in front of my eyes,” said his wife, Deb Yendrzeski, about his appearance before the transplant.

Norm Bean who had heart surgery. Here is a picture of him and his wife, Phyllis.

Life After a TransplantRecipients share their personal experiences, their fear, their feeling of reliefBy Ernst Lamothe Jr.

told me if I made it through the night I would need a transplant.”

For a decade, he had procedures such as bypass valve replacement. He was connected to an IV, which pumped medicine into his body that was sup-posed to be “jet fuel for the heart.” But problems persisted.

“There were times where I figured I should get my affairs in order because I might not live long,” said Bean, of Fairport. “Those 10 years were miser-able.”

He decided to retire early from Xerox Corp. because he couldn’t keep his energy level up. “I used to be the guy who was at work before the guards came in and the last person to leave. Then I became the guy who could barely drag myself in at 8:30 a.m., and nine out of 10 times I would fall asleep in my office.”

He received a donor heart at age 61 and soon his vitals increased, his energy rose and he was able to see his daughter receive her doctorate in crimi-nal justice from Temple University. Above all, he was able to spend many more years with his biggest support system, his wife, Phyllis.

“It was a slower recovery but I made it,” said Bean. “ But without my wife, I simply wouldn’t be here.”


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Think your kids won’t smoke?

smokefreemonroe.comA Community Partnership of the New York State Tobacco Control Program.

What do you think?

The Surgeon General’s Report warns that tobacco marketing is a known cause of youth smoking. And studies show, the more tobacco marketing kids see, the more likely they are to smoke.

More than 135,000 New York teens are regular smokers.

1/3 of them will die prematurely from diseases caused by smoking.

Posters, displays and rows of tobacco products behind the counter are all forms of tobacco marketing.12

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The tobacco companies think there’s nothing wrong with this kind of marketing.

They see more tobacco marketing than you realize.

Think again.

The Smoking & Health Action Coalition of Monroe County works in Monroe County, NY, to eliminate exposure to secondhand smoke, to educate youth about tobacco marketing and to promote living tobacco-free.

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TF26_21784 | Right-Hand Page | 10.25” w x 14” h | full color - no bleed

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It’s a fact:Research shows that kids who shop at stores with tobacco marketing two or more times a week are 64% more likely to start smoking than their peers who don’t.

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Anne Palumbo is a lifestyle columnist, food guru, and seasoned cook, who has perfected the art of preparing nutritious, calorie-conscious dishes. She is hungry for your questions and comments about SmartBites, so be in touch with Anne at [email protected].

By Anne Palumbo SmartBitesThe skinny on healthy eating

I love a good surprise, especially when it comes to food. I’m

happy to report that watermelon, bless its sweet soul, is full of them.

Long perceived as a nutritional lightweight, watermelon has become the go-to hot-weather snack among nutrition ex-perts and here’s why: its good-for-you benefits are too good to ignore. Let’s take a look.

• Thirst-quencher. Feeling parched? Reach for a succulent slice of watermelon. This refreshing fruit is 92 percent water, so it helps you stay hydrated in the heat.

• Immune-booster. Each one-cup serving of watermelon delivers 20 percent of your daily vitamin C and 17 percent of your vitamin A, two nutri-ents needed for strong immunity.

• Weight-watcher. Clocking in at just 46 calories per cup, watermelon won’t pack on the pounds. Hello, a couple of slices at one sitting; good-bye, tight waistbands. It’s filling, too,

thanks to its high water content.• Disease-fighter. Watermelon

is loaded with lycopene, a powerful antioxidant and anti-inflammatory that may help reduce the risk of certain cancers and other diseases. In fact, wa-termelon is the lycopene leader among fresh produce.

• Blood pressure-maintainer. Watermelon also provides potassium, an essential mineral that helps control blood pressure. While it’s no banana in the potassium arena, it does have

enough to give it a shout-out.

• Energy-booster. Watermelon has about 2 ½ teaspoons of sugar per cup (as a comparison: one cup of cherries has 4 ½ tea-spoons; one medium ba-nana has 3 ½ teaspoons). But it’s fruit sugar, the kind that provides a steadier stream of energy because it takes longer to digest.

Helpful tips

When shopping for a whole watermelon, look for symmetrical water-melons with a yellow spot. The spot means the fruit was allowed to fully ripen before being picked (translation: sweeter and higher in lycopene). Also, the heavier the fruit, the juicier the slices — so pick ones with some heft. Wash and slice within days of pur-chase; refrigerate leftovers.

Watermelon Mojito Salad

Serves 4

3 cups seedless watermelon, cubed2 cucumbers, peeled, seeded and

cubed2 tablespoons mint leaves, sliced

thin½ cup crumbled feta cheese¼ cup fresh lime juice (2-3 limes)zest from 2 limes1 ½ tablespoons virgin olive oilsalt and pepper, to taste

Surprising Wonders of Watermelon

pinch of cayenne pepper (optional)

Combine watermelon, cucumber, feta and mint in a large bowl. Gently toss, being careful not to crush water-melon.

Whisk together the lime juice, zest, and olive oil. Add salt and pepper to taste, along with cayenne (if using). Gently toss again. Serve immediately, garnished with fresh mint sprigs.

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What’s there not to like about juneberries? Also known as saskatoons, the cherry-and-al-

mond flavored fruit compares nutri-tionally to blueberries and stands up to handling better than most other berry varieties. Juneberries, originating in Canada, are new to New York, thanks to a program initiated by Cornell Coop-erative Extension.

About two dozen farms in Ontario, Wayne, Seneca, Cayuga, Oswego, Broome, Orleans, and Monroe counties have planted juneberries over the past few years and the three-year wait for fruit is over this June, making 2013 the first year of a marketable crop for most of the participating farms.

At Robb Farms in Spencerport, co-owner Margie Robb is optimistic about a good harvest this year.

“They’re all in blossom now so we’re hoping for our first crop this year,” she said. “Hopefully, the blos-soms will weather the heat and we’ll have some juneberries. We don’t know how much we’ll get. We have a CSA [community supported agriculture pro-gram] so we’re thinking of selling some juneberry jam through it.”

Robb Farms boasts 600 mature juneberry plants. To check availability, call 585-352-0814 or visit www.face-book.com/RobbFarms.

G and S Orchards in Walworth is the only farm in the Rochester area that is selling juneberries. Owner Stephanie Craft anticipates a good season.

“Based on the bloom and weather, we’ll have a good crop,” Craft said.

Last season, bad weather destroyed the harvest. This has been the third year since the farm planted a quarter-acre of juneberries as part of Cornell’s program to introduce the berries to New York. The farm plans to plant more juneberries this year.

To check on availability, visit G and S’s site, www.gandsorchards.com or call 315-524-3823. The farm also updates customers via Facebook and Twitter.

Jim Ochterski, agriculture and natural resources issues leader and agriculture economic development spe-cialist for Cornell, heads the juneberry introduction program.

“By all accounts, it’s been a great season for juneberries,” he said. “The weather has been good to allow steady growth of the flowers and leaves.”

Bright, dry weather bodes well for good pollination and thus a bountiful harvest, too.

“We haven’t had severe fluctua-tions in weather and that promotes good growth,” Ochterski said.

Though the local farms grow-ing juneberries should receive good harvests, Ochterski fears they will not meet the demand of local consumers once they discover juneberries.

“Each year there will be more and more available, so it will be a lucky few that can get them,” he said. “They’re new and in short supply, but this is the first year we’ll have a supply in New York.”

Stop the Press! Juneberries Are ComingLocally grown fruit — new to New York state — hits the market in June-July for the first timeBy Deborah Jeanne Sergeant

What’s In a JuneberryCornell’s juneberry site, www.junberries.org, states that the juneberries’ nutritional profile rivals compares with that of blueber-ries, providing 23 percent of the RDA for iron (twice as much as blueberries). Juneberries also offer two times potassium as blueberries and offer large amounts of minerals magnesium and phosphorus. They match blueberries in their content of riboflavin, pantothenic acid, folate and vitamins B-6, A, E, and C. It’s easy to see juneberries becoming a new “super fruit” for healthful eaters.

Juneberries mature by mid-June to early July. If you want to try grow-ing your own, Schlabach’s Nursery in Medina (585-798-6198) is the nearest nursery to Rochester selling juneberry plants.

“Established plants are carefree,” said Gracia Schlabach, a partner in the business. “Once you get them going, they are easy to grow. They’re easier than blueberries, and more adaptable, since blueberries require acidic soil. They also mature faster. It doesn’t pro-duce as quickly, but it’s in full produc-tion in about three years, compared with eight years for blueberries.”

The juneberry plants have been so popular that Schlabach’s stock has been selling quickly; call before visiting. The next nearest nursery stocking them is Sollecito Nursery and Landscaping in Syracuse (315-468-1142).

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When Killy Moe decided to open his tattoo shop, there were several things that were

essential to him. He took great pride in making sure the overall studio shop looked pristine and clean. He believed any tattoo place that didn’t make ster-ilization and the neatness of its facility a top priority wasn’t serving its clients well.

“As a customer, you have to walk into a place and feel comfortable,” said Moe, owner of True Blue Tattoo, 28 Water St in Fredonia. “One of the ways you feel comfortable is when a place looks good and they are proud of their sterilization methods. There are some places, especially in rural communities, that can be very sketchy, rinky-dink suspect places where you wouldn’t want a tattoo. You shouldn’t trust those places.”

The summer brings warm weather producing tank tops, shorts and other light clothing, which reveal tattoos that were hibernating under layers of winter clothing.

It is often the time when people decide to add to their tattoo collection

Lea Rizzo, of Rochester, a tattoo artist at Lady Luck Tattoo in Canandaigua, applying a tattoo on a customer. She says a talented and responsible tattoo artist ideally has hand sanitation, gloves, disposable materials and sterilization products to maintain a safe environment for the clients and themselves.

Some of Lea Rizzo’s artwork.

As Weather Warms, More Tattoos Come to LightBy Ernst Lamothe Jr.

Safety is Key• To eliminate the possibility of contamination, most tattoo materials, including inks, ink cups, gloves and needles, are single use. • Unsterilized tools such as the needles or gun, or contaminated ink, can lead to infection.• In rare cases, people can have an allergic reaction to ink so make sure to tell your tattoo artist about any allergies and ask if the ink contains nickel or mercury. • There will be an obvious scabbing and peeling occurring in the first few days after receiving the tattoo, which is normal. Continue to put lotion on the tattoo during that process. • With the summer also comes the sun. You want to continue putting a minimum of 30 SPF sun block to keep your tattoo fresh for years to come.

and continue to turn their body into walking museums of art. But whether it’s a person’s first or 15th tattoo, safety and steriliza-tion remains paramount in the process.

At True Blue Tattoo, every needle is single-use only and then disposed of in a medical sharps container. Any non-dis-posable items such as pierc-ing clamps get autoclaved. An autoclave, which is also used in hospitals, is a pressurized device designed to maintain a tempera-ture of at least 245 degrees for 35 minutes in order to fully sterilize tattoo equipment. The autoclave sterilizer at True Blue is behind a glass door for the customer to view and is spore tested weekly, which exceeds New York state requirement of quarterly testing.

“We are proud that we focus on sterilization,” said Moe, who specializes in Americana tradi-tion tattoos, the kind of images associated with World War I like anchors, battleships and pin-up girls. “And we tell the customer to ask us anything because if you are doing everything right you have no problems answering questions.”

Because tattoo needles inject drops of ink into the top layer of the skin, the possibility of infection or disease transmission is always possible if the needles are not sterilized properly. Those receiving the tattoo should see the new sterile needles removed from the autoclave bag in front of them.

“Everything starts and ends with having a solid autoclave and making sure you have done everything to make things clean and safe,” said Lea Rizzo, of Rochester, a tattoo artist at Lady Luck Tattoo in Canandaigua. The tattoo shop opened in 1997 in a small 650-foot storefront. Then three years later, they were so successful they moved into a

2,000-square foot in the Finger Lakes area

Rizzo said a talented and respon-sible tattoo artist ideally has hand sanitation, gloves, disposable materials and sterilization products to maintain a safe environment for the clients and themselves. She believes that the tattoo artists should make the client feel wel-comed and relaxed. In doing so, they should be comfortable asking them any questions such as what training their tattoo artist has and what certificates have they accumulated.

“You shouldn’t be intimated by the tattoo artist,” said Rizzo. “You should be able to see the autoclave in the shop and ask a bunch of questions. Trust me, it won’t take too long to know if your tattoo place is doing things right.”

Dusten Robson, of Rochester, has several tattoos from a small grenade that he got when he was a teenager to a zombie from Half Life video game. He said he isn’t shy about asking questions because the tattoo artist is there for them.

“You’re paying your own money so you should leave satisfied,” said Robson. “Plus you should always do your research. Don’t rush the process and just get one because you want it because you have to be happy at the end of the day with permanent ink.”

Once it’s all over, the tattoo artist either covers the new work of art with bandages or saran wrap. Covering it

enables airborne bacteria from invad-ing the wound because open flesh can become a breeding ground for bacteria. At home, experts suggest lightly wash-ing your tattoo with lukewarm water and antibacterial soap once the ban-dages are removed.

“You want to pat the tattoo dry af-ter washing it. One of the worst things you can do is being too rough with your skin right after,” said Moe.


Men’sHealth

For years, it seemed like men either didn’t care much about their health or weren’t as interested in

preventive medical education. Doctors would often counsel their male patients — if and when they would ever come into the office for a check up — about

ways to maintain their health or how to become proactive.

But recently, doc-tors have seen a slight change in men opening up about health issues and trying to stay ahead of the curve.

That prompted phy-sician Ralph Madeb last

Since 2001, more than two mil-lion service members have been deployed in Iraq and Afghanistan,

and studies indicate nearly a third of them have suffered traumatic brain injury (TBI), post-traumatic stress disorder (PTSD), or both. The Univer-sity of Rochester Medical Center is part of an investigation into whether these injuries put the soldiers at greater risk for a future battle — against Alzheim-er’s disease. As they begin the study, researchers are turning to veterans of the Vietnam War for help.

“In order to predict what might happen, we wanted to look at a cohort that is about 40 years older to see what the brains of those individuals look like,” says physician Anton P. Por-steinsson, who is overseeing the study at URMC. “Nobody paid much atten-tion to this back in the Vietnam era, but do TBI and PTSD impact your risk of memory disease? Could this point to-ward additional studies into treatment and prevention of the long-term effects of these injuries?”

The University of California at San

Francisco is contacting Vietnam War Veterans who were diagnosed with duty-related TBI, PTSD, or concus-sions. Healthy volunteers aged 50 to 90 are also needed. Selected veterans from this region will come to URMC to receive a medical exam and undergo blood and cognitive testing, neuro-imaging of the brain, and a lumbar puncture. After a year, participants will be given a followup exam and some repeat testing.

URMC was chosen as a clinical site for the study because of its advanced

neuroimaging capabilities, robust Alzheimer’s disease research program, and the sizeable concentration of Viet-nam War veterans living within a 150-mile radius. Yale University, Columbia University, and Mayo Clinic are among 18 other data collection sites. The $6.5 million Study of Brain Aging in Viet-nam War Veterans is funded by the U.S. Department of Defense. For informa-tion on participating in the study, call 1-800-773-4883.

Physician Ralph Madeb, center, and staff members Jason Donovan, right, and Javier Betancourt.

Madeb

Vitalize Medical Center Focuses on Men’s HealthClinic in Brighton focuses on men’s health, from low T and erectile dysfunction to weight loss and aging preventionBy Ernst Lamothe Jr.

Vietnam Veterans Could Hold Clue to Future for Today’s SoldiersURMC participating in a study on connection between injuries and Alzheimer’s

fall to open Vitalize Medical Center, 980 Westfall Road, in Brighton, which focuses on men’s weight loss, lower testosterone, and erectile dysfunction. The practice includes Javier Betancourt, a certified personal trainer, whose expertise is male wellness, hormonal balance and body sculpting, and James Donovan, a physician assistant with more than five years experience in male erectile and sexual dysfunction.

“Women have always been about preventive measures, but we have noticed that men are starting to get interested in their health,” said Madeb, a medical director of the Finger Lakes Urology Institute and chief of sur-gery at Newark-Wayne Community

Hospital. “For a long time, men relied on their bravado and neglected their health until something serious would happen. Now we have men coming to talk to us about gaining or losing weight and other medical issues before it is too late.”

Vitalize provides a comprehensive arsenal of treatments and therapies including state-of-the-art medical services, preventive treatments, and naturopathic therapies. Madeb and his colleagues spent a full year planning and creating a vision for the center.

“The care and services we offer at Vitalize are crucial because the current medical model doesn’t allow for thor-ough evaluation and treatment of these prominent issues that are inevitably going to occur in all of us as we age,” said Donovan, who specializes in urol-ogy, sexual dysfunction, and hormone replacement therapy. “Our philosophy is based more on an anti-aging model, which focuses on disease prevention rather than symptom treatment.”

Donovan said in the current health care environment, the profession is lim-ited and bound by a significant amount of bureaucracy. Vitalize allows medical professionals to think outside of that box and return the attention to where it ultimately belongs, the patient.

“We are then able to spend the ap-propriate time and energy required to care for each person as unique indi-viduals,” he added. “Our bodies and health are all encompassing, so medi-cal care must be delivered with this in mind. One specific disease process or medical problem can’t be assessed and treated without affecting many other areas of the body.”

Officials believed it made sense to have a physical fitness expert on staff because obesity is increasing nation-wide from children to senior citizens. In Western New York, the obesity problem might be worse considering the climate where half the year remains cold or snowy.

They also knew they would need a setting where men could feel com-fortable talking about uncomfortable matters like male menopause. While the term male menopause is new and doctors are still split over its exact sig-nificance in the medical world, there is one thing where most physicians agree. By the time men hit their mid-30s, they see their testosterone levels start to take a noticeable dip. Testosterone levels gradually declines 1 percent a year af-ter age 30 on average. By the time men hit their 40s and 50s, there is a signifi-cant drop that could lead to depression, fatigue, mood changes, memory lapses and loss of muscle tone. By age 70, the decrease in a man’s testosterone level can be as much as 50 percent.

“We have seen men go through those changes and they want to start feeling better with themselves,” said Madeb. “They know they have a lack of energy sometimes that comes out of nowhere.”

Even though the center does oc-casionally treat women, officials make it a point to try to schedule each gender on different days and times so they never see each other. Vitalize schedules nights, off hours and Sunday appoint-ments to make it private. “It’s hard enough to get men to want to come to the doctor let alone trying to get them to come during the middle of the day. We wanted to give men flexibility so there would be no excuses,” added Madeb.

Madeb said his mission at Vital-ize Medical is to offer advance care to get people feeling like their old selves again, both physically and mentally.

“I think men also realized that, in general, people are living longer than they used to. So it’s not enough to say you want a Ferrari during your mid life and that’s all. You realize that health is the most important aspect because without your health life can be diffi-cult,” he said.


Men’sHealth

It’s hard to measure whether men are healthier as dads or not; however, a few factors that kids bring into their

dad’s life can help them maintain a healthier lifestyle.

Exercise may be a component of healthful living that’s severely neglect-ed when a new baby joins the house-hold; however, once the youngsters are able to participate in activities, they often cajole their parents to become more active.

Tiffany Sculli, wellness director at Geneva YMCA, has seen this scenario play out again and again.

“It’s motivating for the parents,” she said. “We have swimming and par-ents go in the pool with the children. It gets them more motivated to be active with their child. There are some fami-lies who haven’t worked out before but start doing it as a family and start doing things that they didn’t normally do.”

Seeking an activity for his son, Dustin, is how Matt Jewell of Webster, a general sales manager at Bob Johnson Chevrolet in Rochester, transformed from a sedentary adult into a first-de-gree black belt instructor.

He reviewed local activities and then selected Kuk Sool Won Korean

Of course, many women like pizza, burgers, chili, steak and other hearty fare. And many

men eat healthful, light meals. But in general, the aforementioned foods and others are “man foods” that many guys like. If you’re one of them, you don’t have to sacrifice your favorites to eat healthfully. A few smart substitu-tions and strategies can help you enjoy all the flavor with less fat and more nutrients.

Overall, how you eat any food can make a whole meal more healthful. Kacie Cook, dietitian at the University of Rochester Medical Center Healthy Living Center, advises her patients to fill half their plates with fruits and veg-etables. For example, enjoy your slice of pizza, your chicken wings or your nachos, but have a salad along with the main dish to help fill you up and get more nutrients into your meal.

“Sometimes men [patients] fear

they’ll never eat red meat again,” Cook said. “Any food can be in a healthful diet, as long as you’re conscious of por-tion and are willing to try a healthier version.

“When you do have a pizza, I suggest veggie toppings instead of processed meats like pepperoni and sausage which are high in saturated fat and sodium.”

Canadian bacon is among the lean-est meat you can order, but ask for just half the amount. You likely won’t miss it. Many pizza places will also gladly reduce the amount of cheese for you. Avoid or limit deep dish or pan styles since they contain more fat and calo-ries. Thin crust pizza is the best choice for delivery.

If you make it at home, try a whole wheat crust and lean meat. You can also ramp up the spicy flavor pep-peroni would bring by using jalapenos or red pepper flakes.

Cook advises men to grill their own burgers at home using leaner meat, keeping the size at four ounces, and topping it better than at the typical burger joint.

“Maybe on your burger, put let-tuce, tomato and avocado instead of mayonnaise and other condiments that are hiding sodium, sugar and fat,” she said. “You can make it healthier.”

The same is true for steaks. Select a loin cut, which is thinner than New York strip or t-bone, where the fat is marbleized.

Anne Marie Egan, dietitian with Rochester General Hospital, offered a few more tips. For chili, she suggests lean ground turkey or lean ground beef. You won’t miss the extra fat with all the moisture the chili’s other ingre-dients offer.

“To make it a little healthier, put diced carrots, zucchini, yellow squash, green peppers and even frozen corn in

it,” Egan said. “Increase the amount of beans and you won’t be eating as much meat.”

When grilling lean ground beef burgers, Egan adds a little olive oil to boost the juiciness. Olive oil adds more fat and calories, but it’s unsaturated fat, which is better for the heart than the fat naturally occurring in 80-percent lean beef.

“If you’re going to put cheese on a burger, there are some nice 2-percent provolone, Swiss or cheddar cheese,” Egan said. “Grilled onions, mushrooms and peppers go well, too.”

Egan suggests side dishes like salad, roasted sweet corn, whole fruit or French fries baked in canola oil “to make it a balanced meal.”

Eating well does not have to mean giving up the foods you love if you tweak how they’re prepared and you eat balanced meals most of the time.

‘Man Food’ Can Be Healthful Food, TooPizza, burgers, chili, steak, wings: how to make them better

Are Dads Healthier Than Non-Dads?By Deborah Jeanne Sergeant

martial arts in Ontario. After Dustin practiced a few years, Jewell joined so he could participate with him. When his daughter, Tori, was 5, she joined and soon after, Jewell’s wife, Barb, joined in as well.

“I’m a former Marine, but I didn’t have any activity for fitness and health until then,” Jewell said. “It’s been positive in that it gives up a common structure.”

Jewell and Dustin, now 12, are first-degree black belts. Barb is a black belt candidate and Tori, 6, is a white belt.

“I’d encourage families to find something to get involved in together,” Jewell said. “It’s not do as I say, but do as I do. Kids will do what they see.”

The dinner table provides another example of how kids follow their dad’s lead. Most families try to provide the children with balanced meals and it’s tough getting Junior to eat his vegeta-bles if Dad eschews them.

“I tell parents it’s their responsibil-ity to expose their children to healthier foods and to prepare and serve them,” said Kacie Cook, dietitian with the University of Rochester Medical Cen-ter. “When I work with families, the parents are role-modeling healthier

behavior like eating fruits and vegetables.”

Initially after a child is born, the parent’s eating and exercising habits can get off a healthful track; however, it’s important to re-turn to healthful habits once you gain a routine as a family again.

“It can be hard to balance personal care and family life,” Cook said. “Self care is something we don’t al-ways take an interest in. I do see common, across the board once men be-come fathers their healthy lifestyle gets put on hold a little bit.”

Many new dads become a lot more conscious of how they drive once they have a baby on board, both for the child’s safety and for their own least they leave their child fatherless.

But that’s not always the case. Cin-dy L. St. George, driving instructor for Empire Safety Council in Clyde, and licensed insurance broker for Christo-pher Williams Agency, Inc. in Pittsford, said, “It is an individual thing. Some men will change, those that are more responsible.”

She encourages all drivers to “try to slow down, keep their distance from other vehicles, mind the rules of the road more and stop paying more attention to their phone than they do the roadway. Regardless of who is in your car as a passenger — new babies, spouses, boy- or girlfriends, parents, pets, co-workers, etc. — we need to take care of those people or pets and drive more carefully.”

By Deborah Jeanne Sergeant


By Deborah Jeanne Sergeant

What They Want You to Know:Hand Surgeons

Deborah Jeanne Sergeant is a writer with In Good Health. “What Your Doctor Wants You to Know” is an ongoing column that appears monthly to give our area’s healthcare profes-sionals an opportunity to

share how patients can improve their care by helping their providers and by helping themselves.

The American Academy of Ortho-paedic Surgeons states, “Hand sur-gery is the field of medicine that deals with problems of the hand, wrist, and forearm. Hand surgeons care for these problems with and without surgery. They are specially trained to operate when necessary. Many hand surgeons are also experts in diagnosing and car-ing for shoulder and elbow problems.

“Hand surgeons are orthopedic, plastic, or general surgeons who have additional training in surgery of the hand.”

• “As for kitchen safety, a sharp knife is a safe knife. If your knives are dull, they are more likely to slip off the item you are cutting and you must exert more force to get it to cut. Be mindful loading the dishwasher that knife tips are pointed down so you are less likely to stab yourself when unloading. Don’t put

a knife to soak in a soapy sink. You will less likely cut yourself fishing it out later.

• “When using any type of power tool, resist the temptation to remove any installed safety guards. Most woodworking injuries happen to people with years of experience and admitted that they removed any guards so they could work faster. Don’t operate power tools under the influ-ence of drugs or alcohol.

• “Never reach under a running lawnmower. It sounds obvious, but people still do it. Don’t hold a branch with one hand and use power hedge clippers to trim it. It can easily slip off and trim your fingers instead.

• “Although fireworks are illegal in New York, do not hold them in your hand in order to throw it after it is lit. The fuses can be unpredictable. Spar-klers and very young children do not go together. They burn incredibly hot and cause severe burns.

• “In-line skating is a fun form of exercise but can be a very easy way to break your wrist. Wrist guards can help prevent them.”

Karl Michalko, Hand Surgery Associates, hand surgeon at Unity

Hospital.

• “Hand surgery is a specialty started shortly after WWII after all these soldiers were injured. We take care of patients who have soft tissue

problem, vascular injuries, and or-thopedic surgeries. It’s not just bones, tendons or ligaments.

• “Although we’re surgeons, we take care of all sorts of conditions in the hand such as tendinitis, that may be taken care of without surgery. People often think everything needs surgery. We can treat many things without surgery.

• “We treat all ages, from infants who have congenital hand conditions to elderly adults who have traumatic conditions who have broken bones from falls and non-traumatic condi-tions like carpal tunnel.

• “A lot of patients with arthritis fear that if they participate in certain activities, They’ll make things worse. If they hurt, it doesn’t necessarily make it worse. It’s a condition like gray hair. We try to minimize their limitations, help them understand the process. Cracking knuckles or knitting are not related to arthritis.

• “Visits go better when [patients] are as well educated as possible. We are doing some clinical research where patients are given certain information sheets about their condition and see if they can ask better questions and make more informed decisions. Many times, patients don’t know what the problem is when they come. Other times, they’re told they have carpal tunnel. If they have some education about their condi-tion before they come, it’s helpful.

•”Some websites are accurate, like that of the American Society for Surgery of the Hand, (www.handcare.org). If patients are living here in the summer and in the winter for the summer, that site can help them find a hand surgeon in other places. We also give educational brochures which can be helpful for conditions they were not aware of.”

Warren Hammert, orthopedic hand surgeon at University of Rochester

Medical Center.

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After practicing medicine for 60 years, physician Paul Griner made a discovery about the

special moments he experienced with patients throughout his long and dis-tinguished career.

It was not the accolades he re-ceived, the positions he held or the countless lives he benefited or saved over the years that struck him as an important thread of his life, it was the lessons and wisdom he took from his patients.

And to Griner, 80, those lessons were so important he decided to cap-ture the experiences in a book to pass on to medical students and their future patients.

“I was reminded three or four years ago of a patient whose story resulted in an extraordinary learning experience for me and as I preceded to put that story down on paper, I began to think of these stories, of so many other patients that gave me an educa-tion,” he said. “Before too long I ended up with about 50 of those stories, and they had to do with ethics, profes-sionalism and the importance of good bedside skills.”

The name of the book is “The Power of Patient Stories: Learning

Moments in Medicine.” And in a time when more and more of everyday health care is becoming about new advances in medicine, technology and possibly more distance between doctor and patient, the book concentrates on the importance of the human relation-ships and communication.

To each of the 50 personal stories in the book, there is a lesson to be found. What do you do when a patient asks to keep her leukemia diagnosis from her grown daughter? What do you do as a doctor when a pa-tient begs you to let him die in peace?

Not easy ques-tions to face or an-swer, but Griner said those are the kinds of ethical dilemmas doctors and other medical profession-als face many times through their careers. In his book, he not only serves up the discussion, but also shares how he dealt with each situation.

“I thought I would put the book together as a work-

Lessons Learned From PatientsDr. Paul Griner writes a book recounting most memorable lessons he learned from patients he treated over the course of 60 yearsBy Jay Scott

Griner signing copies of his new book The Power of Patient Stories: Learning Moments in Medicine for students and colleagues at the University of Rochester School of Medicine following recent reading and discussion.

book for medical students to help them take what might be abstract concepts and put them in an operational setting so they can understand what the con-cepts are all about,” said Griner. “It is to help them realize that all in medicine is not all black and white.”

Physician Donald R. Bordley, asso-ciate chair of education at the Univer-sity of Rochester Medical School, was one of Griner’s resident students at the university in 1976.

“My thinking is that we will prob-ably use this book in our residents program,” said Bordley, who now su-pervises and instructs residents at the medical school. “He was my mentor and he has been one the most influen-tial people in my career.”

It was the influence of a country doctor that set Griner’s career and life in motion. He grew up in a rural area near the Adirondack Mountains where he was allowed to make the house calls and rounds with the local doctor.

“I was able to spend a lot of time making the rounds with the doctor and gained many experiences during that time,” Griner said. “I knew from then on that I wanted to be a doctor.”

The decision turned out to be a good choice for the country boy from Upstate New York. Griner is a profes-sor of medicine emeritus at the Uni-versity of Rochester and was Strong Memorial Hospital’s general director and chief executive officer from 1984 to 1995.

He also served as a consultant for Massachusetts General Hospital from 2005 to 2011 and a senior lecturer at Harvard Medical School. He is current-ly a consultant with Western Connecti-cut Health Network.

Griner has homes in both Roches-ter and Connecticut.

A doctor who sees thousands of people — many at their worst when they are scared, sick and many times on their back in a hospital gown — experi-ences a great deal of life every day. In Griner’s book is also an account of the change and progression in the medical field. He practiced in a time before CT scans, ultrasound, arthroscopic surgery and the mass proliferation of drugs and vaccines available on the market today.

But Griner said that doctor-to-pa-tient communication is still a basic criti-cal skill in medical care. In one of the stories included in his book he remem-bers when he was an intern he saw a patient who was having shivers and chills from a familial Mediterranean fever, a hereditary disorder.

It was a good early lesson on the value of really looking at a patient with purpose and not just a glance.

“When I saw the patient I was in-tent on determining if he had true rigor or just chilliness and I asked him if his teeth chattered,” Griner read from his book. “He looked at me, developed a silly grin and said ‘well let’s look in the drawer and find out.’ He opened the drawer and took out his false teeth.”


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

By Jim Miller

Dear Savvy SeniorAre herbal

supplements safe for seniors who are taking other prescription medications? I have a friend who swears by them, but I want to be sure before I take anything new.

Cautious Carol

Dear Carol,Herbal supplements have become

increasingly popular in recent years as millions of Americans are looking for natural and more affordable ways to improve their health. But it’s important to know that many herbs can also cause side effects and can interact with pre-scription medications, especially if you have hypertension, diabetes, kidney disease or liver problems.

While the Food and Drug Admin-istration does regulate herbal supple-ments, they don’t get the same scientif-ic scrutiny that medications do. Herbal supplement manufacturers do not have to get FDA approval, and they don’t have to prove a product’s safety and effectiveness before it’s marketed.

So, before you start taking any new supplement, no matter how natural or harmless it may seem, you need to talk to your doctor or pharmacist to make sure it’s safe for you.

In the meantime, here are a few popular herbs you should know about that can cause problems when taken with certain medications.

Aloe Vera: Used on your skin, aloe vera is perfectly safe. But taken orally as a laxative, it may interact with blood sugar-lowering medicines used to treat diabetes.

Ginger: A gram or so of powdered ginger can help ease nausea, but it can also interfere with anticoagulant (blood thinning) medications like warfarin and even aspirin. And, if taken in large quantities could interfere with cardiac, diabetes and blood pressure meds.

Garlic: Marketed as a pill, capsule or powder to lower blood pressure and cholesterol, garlic acts as a blood thin-ner. So, if you’re taking an anticoagu-lant, use with caution because garlic can make your blood too thin increas-ing the risk of excessive bleeding.

Ginkgo: Taken to help boost mem-ory and prevent dementia, as well as treat a variety of other ailments, this popular supplement can also raise your

How to Use Herbal Supplements Safely

risk of bleeding when combined with blood thinning medications. It can also counteract the blood pressure lowering effect of thiazide diuretic drugs and can interfere with anti-seizure medications and insulin used to treat diabetes.

Ginseng: Taken primarily to im-prove overall health and boost the immune system, this herb can reduce concentrations of the anticoagulant drug warfarin and can interact with some antidepressant medications too. People with diabetes should also use extra caution with ginseng if they are taking medicine to lower blood sugar.

Kava: Promoted as a treatment to curb anxiety and stress, kava has been reported to cause liver damage, includ-ing hepatitis and liver failure. It can also interfere with antipsychotic and Parkinson’s medications, can thin the blood and should not be taken with an-ticoagulants, and can cause drowsiness so it should not be taken in combina-tion with any sedatives.

Licorice Root: Taken for ulcers, bron-chitis and sore throat, licorice root can cause high blood pressure and salt and water retention, raising the risk of heart problems. It can also thin the blood and should not be used with blood thinning drugs.

St. John’s wort: Marketed as an aid to treat depression, Saint John’s wort can reduce the effectiveness of a number of prescription medications, including anticoagulants, antidepres-sants, seizure-control drugs and certain cancer drugs.

Zinc: Taken as a defense against colds, excess zinc can cause nausea, vomiting, loss of appetite, stomach cramps, diarrhea and headaches. It can also interact with a variety of prescrip-tion drugs, including antibiotics and hypertension meds.

To get more information on the safety, side effects and effectiveness of these and many other herbal remedies, visit the Memorial Sloan-Kettering Cancer Center site on herbs, botani-cals and supplements at mskcc-herbs.org, and see the National Center for Complementary and Alternative Medi-cine “Herbs at a Glance” Web page at nccam.nih.gov/health/herbsataglance.htm.

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The Social Security Offi ce

Ask Column provided by the local Social Security Office

Q&A

The Right Kind of Fishing (And How Not To Be The Catch Of The Day)

This Father’s Day, you may be inclined to spend some quality time with Dad, maybe take him

out camping or fishing. But try to make sure that nobody else tries to “phish” with you or your father.

These days, all people (including fathers and sons) need to be cautious of scams — Internet, mail, and even phone scams — which can damage your credit score and wallet. Scam artists have become shrewd. Any time someone asks for your personal infor-mation, you should be wary. Particular-ly cruel are swindlers who target Social Security beneficiaries.

As a rule of thumb, Social Security will not call or email you for your per-sonal information such as your Social Security number or banking informa-tion. If someone contacts you and asks for this kind of information and claims to be from Social Security, do not give out your personal information without first contacting Social Security to verify the validity of the person contacting you. It could be an identity thief on the other end phishing for your personal information. Just call the local Social Security office, or Social Security’s toll-free number at 1-800-772-1213 (TTY 1-800-325-0778).

If you receive a suspicious call, please report it to the fraud hotline. Reports may be made online at www.socialsecurity.gov/fraudreport/oig/public_fraud_reporting/form.htm or by telephone at 1-800-269-0271 from 10 a.m. to 4 p.m. Eastern Standard Time. Please include the following details:

• The alleged suspect(s) and victim(s) names, addresses, phone numbers, dates of birth, and Social Security numbers;

• Description of the fraud and the location where the fraud took place;

• When and how the fraud was committed;

• Why the person committed the fraud (if known); and

• Who else has knowledge of the potential violation.

Identity theft is one of the fast-est-growing crimes in America. If you,

your father, or anyone you know has been the victim of an identity thief, the place to contact is the Federal Trade Commission (FTC) at www.idtheft.gov. Or call 1-877-IDTHEFT (1-877-438-4338); TTY 1-866-653-4261.

Some people who receive Social Security and Supplemental Security Income (SSI) benefits are victimized by misleading advertisers. Such compa-nies offer Social Security services for a fee, even though the same services are available directly from Social Security free of charge. Especially upsetting are such ads that make it appear as though the ad has come directly from Social Security. By law, such advertisements must indicate that the company is not affiliated with Social Security.

If you or your dad see what you believe is misleading advertising for Social Security services from a com-pany that does not admit it is not affiliated with Social Security, send the complete mailing, including the envelope, to: Office of the Inspector General, Fraud Hotline, Social Secu-rity Administration, P.O. Box 17768, Baltimore, MD 21235. Also, advise your state’s attorney general or consumer affairs office and the Better Business Bureau. You can visit the Office of the Inspector General online at oig.ssa.gov and select the “Fraud, Waste, or Abuse” link. Learn more about iden-tity theft at www.socialsecurity.gov/pubs/10064.html. Read about mislead-ing advertising at www.socialsecurity.gov/pubs/10005.html.

And finally, while you’re enjoy-ing the right kind of fishing with Dad this Father’s day, you may want to tell him about Extra Help with Medicare prescription drug costs. If your father is covered by Medicare and has lim-ited income and resources, he may be eligible for Extra Help — available through Social Security — to pay part of his monthly premiums, annual deductibles, and prescription co-pay-ments. We estimate that the Extra Help is worth about $4,000 per year. That kind of savings buys a lot of bait and tackle. Learn more at www.socialsecu-rity.gov/prescriptionhelp.

Q: How do I change my citizen-ship status on Social Security’s records?

A: To change your citizenship sta-tus shown in Social Security records:

• Complete an application for a Social Security card (Form SS-5), which you can find online at www.socialsecu-rity.gov/online/ss-5.html; and

• Provide documents prov-ing your:

• New or revised citizenship status (We can only accept certain documents as proof of citizenship. These include your U.S. passport, a Certificate of

Naturalization, or a Certificate of Citi-zenship. If you are not a U.S. citizen, Social Security will ask to see your current immigration documents);

• Age; and • Identity. • Next, Take (or mail) your com-

pleted application and documents to your local Social Security office.

All documents must be either origi-nals or copies certified by the issuing agency. We cannot accept photocopies or notarized copies of documents.

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Artemis Health doctor inducted as fellow of ACP

Board-certified internist Valerie Newman was recently elected as a fellow of the American College of Physicians (ACP) for achievements in internal medicine, the specialty of adult medical care. Newman is part of the team of women physicians provid-ing health care for women at Artemis Health, a Lifetime Health Medical Group practice. She was recognized in an awards ceremony during ACP’s annual scientific meeting, which took place in San Francisco in April.

Fellows are elected upon the rec-ommendation of their peers and the re-view of ACP’s credentials subcommit-tee. They often use “FACP,” for “Fellow of the American College of Physicians” after their names in recognition of this honor. According to the American College of Physicians, “Being an FACP is a mark of esteem from colleagues who recognize accomplishments and achievements over and above the prac-tice of medicine.”

“I’ve had the pleasure to work with Dr. Newman since 1999. Her recent election as a fellow of the American College of Physicians is well-deserved,” says Robert Cole, fam-ily medicine physician and medical director with Lifetime Health Medical Group. “Dr. Newman exemplifies the best of academic rigor combined with genuine caring for her patients. She has been and continues to be a regional leader in delivery of medical care and medical education. My colleagues and I applaud her continuing efforts.”

Newman earned her bachelor’s

degree in biology from Swarthmore, where she was also inducted into Phi Beta Kappa. She earned her medical degree from the University of Roches-ter School of Medicine and Dentistry and completed her residency at Strong Memorial Hospital, in Rochester. She has previously served as a senior instructor in medicine and an assistant professor of medicine in the general medicine unit at the University of Rochester. She has been practicing at Artemis Health since 1999.

Thompson Hospital gets award for stroke care

Thompson Hospital has received the American Heart Association/Amer-ican Stroke Association’s Get With The Guidelines-Stroke Silver Plus Quality Achievement Award.

The award recognizes Thompson’s commitment and success in imple-menting a higher standard of stroke care by ensuring that stroke patients receive treatment according to nation-ally accepted standards and recom-mendations.

To receive the Get With The Guidelines-Stroke Silver Plus Qual-ity Achievement Award, Thompson achieved at least 12 consecutive months of 85 percent or higher adherence to all Get With The Guidelines-Stroke Quality Achievement indicators and achieved at least 75 percent or higher compliance with six of 10 Get With The Guidelines-Stroke Quality Measures during that same period of time, which are reporting initiatives to measure quality of care.

These measures include aggressive

use of medications, such as antithrom-botics, anticoagulation therapy, DVT prophylaxis, cholesterol reducing drugs and smoking cessation, all aimed at reducing death and disability and improving the lives of stroke patients.In addition to the Get With The Guide-line-Stroke award, Thompson has also been recognized as a recipient of the association’s Target: Stroke Honor Roll, for improving stroke care. Over the past quarter, at least 50 percent of the hospital’s eligible ischemic stroke patients have received tissue plasmino-gen activator, or tPA, within 60 minutes of arriving at the hospital (known as ‘door-to-needle’ time).

“With a stroke, time lost is brain lost, and the Get With The Guidelines-Stroke Silver Plus Quality Achievement Award demonstrates that our staff is committed to providing care that has been shown in the scientific literature to quickly and efficiently treat stroke patients with evidence-based proto-cols,” said Thompson Health senior vice president of medical services, physician Carlos R. Ortiz.

Untity’s Robert Israel receives recognition award

Unity Health System announced that physician Robert H. Israel, medical director of the Unity Sleep Disorders Center, is the recipient of Unity’s 2013 Physician Recognition Award.

Given by Unity Hospital medical staff, the annual award honors a physician who demonstrates commit-ment to the goals and values of Unity Health System, active partici-pation in the commu-nity and the hospital through service and ex-cellence in patient care. Israel, who was nomi-nated by his colleagues at Unity, was chosen by

a selection committee made up of ad-ministrators, clinical leaders, employee representatives and medical staff.

“For many decades, Dr. Israel has devoted himself to providing ex-ceptional patient care,” said Joseph Salipante, chief quality officer at Unity Health System. “He always makes the time to interact with others when he is needed by colleagues or patients. He has always treated everyone with compassion and respect, while being a patient listener. There is no finer or more worth recipient of this award.”

Israel, a Brighton resident, started working in the pulmonary department at St. Mary’s Hospital in 1974. He has held several leadership positions. He is certified by the American Board of In-ternal Medicine, the American Board of Sleep Medicine, and holds a certificate in Pulmonary Disease.

Gary Mervis receives Ellis Island Medal of Honor

Gary Mervis, chairman and found-er of Camp Good Days and Special

Times, has been selected as one of the recipients of the prestigious Ellis Island Medals of Honor for 2013.

Sponsored by the National Ethnic Coali-tion of Organizations (NECO), the Ellis Island Medals of Honor are presented annually to American citizens who have distinguished

themselves within their own ethnic groups while exemplifying the values of the American way of life. Past med-alists include six U.S. presidents, one foreign president, Nobel Prize winners and leaders of industry, education, the arts, sports and government, as well as everyday Americans who have made freedom, liberty and compassion a part of their life’s work.

Mervis was presented with the Ellis Island Medal of Honor, along with the other 2013 recipients, at a gala dinner this May 11 held in the restored Great Hall on Ellis Island.

New York State Lieutenant Gov. Robert Duffy, an 2012 recipient of the Ellis Island Medal of Honor, nominated Mervis, noting in his nomination that Mervis “epitomizes the adage that one person can make a difference in the lives of others and in our world.”

Ward named director of Ferris Hills/Clark Meadows

Aimee Ward of Canandaigua was recently named the director of sales and marketing for Thompson Health’s independent living community of Fer-ris Hills at West Lake and the adjacent enriched living community of Clark Meadows.

Located on 57 acres off West Lake Road in Canandaigua, Ferris Hills has 84 one- and two-bedroom apartment homes. Clark Meadows has 48 apart-ments and is for seniors who need some assis-tance with daily tasks.

In addition to having co-owned a successful downtown business from 2003 through 2013, Ward is

executive director of the Canandaigua Lake Music Festival, marketing com-mittee chairwoman of the Finger Lakes Plein Air Competition and Festival and former president of the Canandaigua Downtown Merchants Association. She was a 2012 finalist for the Canandaigua Chamber of Commerce’s ATHENA Award.

A native of Canastota in Madi-son County, Ward holds a bachelor’s degree in social sciences from SUNY Geneseo. In addition to her entrepre-neurial background, she has extensive experience in sales.

“We are thrilled to welcome Aimee to our senior communities,” said Thompson Health Senior Vice Presi-dent of Senior Living Services Dona Rickard. “Her background and her extensive involvement throughout the

The Daniel Alexander, M.D. Emergency Department opened to patients at 6:30 a.m. April 24. Named in honor of the Dr. Daniel Alexander Family Foundation, the new emergency department is the fi rst major expansion to the hospital in nearly 20 years. The new ED is the centerpiece of a $13.1 million major modernization project at NWCH. The project is a direct response to a critical community need. Designed and built in 1971, the hospital’s previous ED, designed for 11,000 patient visits per year, actually provided care for more than 23,000 patient visits in 2012.

Health News

New Emergency Department at Newark-Wayne Community Hospital Opens

Israel

Mervis

Ward


Health Newsgreater Canandaigua area make her the perfect fit for the role of director of sales and marketing.”

Park Ridge at home director receives award

Debra Lyda, director of Park Ridge at Home, Unity’s long-term home health care program, has been awarded the Employee of Distinction award by

LeadingAge New York. She lives in Fairport.

Nominated by Barb Gray, vice president of home and commu-nity based services at Unity, Lyda has been described as a vision-ary leader who initiates creative ideas to sustain quality of care, patient satisfaction and excel-lence in delivery of

health care. Founded in 1961, LeadingAge New

York, formerly the New York Associa-tion of Homes & Services for the Aging, represents nonprofit, mission-driven and public continuing care providers, including nursing homes, senior hous-ing, adult care facilities, continuing care retirement communities, assisted living and community service provid-ers. LeadingAge New York’s members employ 150,000 professionals serving more than 500,000 New Yorkers annu-ally.

Bethany Rague promoted at Visiting Nurse Service

Bethany Rague of Geneseo has been promoted to associate director, service coordination at Visiting Nurse Service of Rochester and Monroe County (VNS). Rague most recently

served as home care coordinator manager and has been with VNS since 1986. In her new role, Rague will be responsible for the patient service coordi-nation department and will continue to lead the home care coordination and intake teams. Con-solidating these roles will improve VNS’s

ability to coordinate care from referral to service delivery.

VNS originally hired Rague ap-proximately 27 years ago as a regis-tered nurse. She served as a home care coordinator from 2001 until 2008 when she was promoted to senior home care coordinator. Later that year, she was named manager. According to VNS, her promotion to associate director is in recognition of her reputation for strong management skills and her ability to work well with staff from many differ-ent departments.

“In her more than 20 years here, Bethany has demonstrated outstand-ing managerial skills and dedication to VNS patients,” said Vicky Hines, VNS

President and CEO.

Lifetime Health welcomes internist to Irondequoit

Physician Zhong Guo has joined Lifetime Health Medical Group’s pri-mary care practice in Irondequoit, cur-rently located within the Wilson Health Center at 800 Carter St.

An internal medi-cine physician, Guo has been working at urgent care by Lifetime Health since January. He received his medical degree from Shandong Medical University in Jinan, China, and completed his internal medicine residency at Rochester General Hos-pital. He has worked

as a clinical study coordinator in the department of investigational cancer therapeutics at MD Anderson Cancer Center in Houston, Texas, and as a research assistant at the Center for Cell and Gene Therapy at Baylor College of Medicine, also in Houston.

Guo has dual Master of Science de-grees in cellular and molecular biology and computer science, both from Kent State University in Ohio. He has co-authored several medical studies that have been published in various medi-cal journals, including Clinical Cancer Research.

UofR associated dean for diversity selected as fellow

Physician Linda H. Chaudron, professor of psychiatry and senior as-sociate dean for diversity at the Uni-versity of Rochester School of Medicine and Dentistry, has been chosen for the 2013 Hedwig van Ameringen Execu-tive Leadership in Academic Medicine program (ELAM).

In becoming an ELAM fellow, Chaudron joins a venerable list of women administrators in academic medical centers across the nation, including the University of Rochester Medical Center.

“We are committed to advancing women into senior leadership and, year after year, we put forth strong nomi-nees for ELAM,” says Mark B. Taub-man, dean of the School of Medicine and Dentistry. “As our eighth fellow and senior associate dean for diversity, Linda Chaudron will add even greater depth to the decisions we make during these challenging times.”

ELAM is the only program in North America dedicated to preparing women for senior leadership roles in academic health science institutions. Fellows receive training in strategic finance and resource management, personal and professional leadership, organizational dynamics, and commu-nity building. The curriculum centers around the development of an insti-tutional action project designed to ad-dress a strategic institutional priority.

“The fellows’ projects not only help them understand the challenges facing academic health centers and the skills a leader must possess to address these challenges, but also often result in concrete, positive changes at their insti-tutions,” says Diane Magrane, director of ELAM.

“We’re doing a lot of strategic plan-ning around diversity, so this training will help move that process to an even higher level,” says Chaudron, who begins her fellowship in May.

Eastman Institute for Oral Health has new director

Eli Eliav has been named director of the Eastman Institute for Oral Health at the University of Rochester Medical Center and vice dean for oral health

within the school of medicine and dentistry. A widely published expert in oral medicine and orofacial pain, Eliav has been serving as the chairman of the de-partment of diagnostic sciences, director of the Center for Temporo-mandibular Disorders and Orofacial Pain, and is the Carmel Endowed chairman in algesiology

at the New Jersey Dental School, part of University of Medicine and Den-tistry at New Jersey.

“Dr. Eliav’s demonstrated leader-ship abilities, combined with his exten-sive academic, clinical and research ex-perience make him a perfect fit to lead the entire oral health enterprise within the medical center,” said Bradford C. Berk, chief executive officer of the Uni-versity of Rochester Medical Center.

Among many career highlights, Eliav has a longstanding history for gaining support from National Insti-tutes of Health, as well as funding for industry research and service grants. He has served on the editorial and scientific boards for several major journals, presently serving as editor-in-chief of “Quintessence International,” which provides vital information and special reports on clinical and research advances related to all dentistry disci-plines.

“When I was a resident in Jeru-salem in the early ‘90’s, I heard great things about Eastman and its excellence in postgraduate education, research and clinical care,” said Eliav. “I would have never believed it if someone told me then that one day I would be direc-tor of this fine institution. I’m excited about what the future holds for East-man Institute and the Medical Center.”

Eliav earned his dental and post graduate degrees and completed his residency training in oral medicine at Hebrew University in his native Israel. He then completed a research fellow-ship at the National Institute of Dental and Craniofacial Research related to pain and neurosensory mechanisms. He joined the New Jersey Dental School as an associate professor in 2004.

Lyda

Rague

Guo

Eliav

Get more sleep. Have another cup of coffee before you drive to school or work. It

could save your life.A 100-car naturalistic driving

study conducted by the Virginia Tech Transportation Institute has shown that fatigue is a cause of 20 percent of crashes, rather than the 2 or 3 percent previously estimated based on surveys, simulator stud-ies, and test tracks.

And 18- to 20-year-olds account for significantly more fatigue-related crashes than any other age group. Adolescents’ sleep patterns shift to later hours; however, the school day still tends to start early, resulting in daytime sleepiness. Older drivers can face similar issues with late nights and early work times, but have more experience coping with moderate fatigue — although, not always.

“One of the most important results from the 100-car naturalis-tic driving study was the degree to which fatigue is a cause of acci-dents,” said Charlie Klauer, group leader for teen risk and injury prevention at the transportation institute’s Center for Vulnerable Road User Safety.

“A finding that surprised people is the prevalence of fatigue during the day. We found signifi-cantly more crashes/near crashes due to fatigue during the day than at night,” she said.

“The study allowed us, for the first time, to observe driver behavior just prior to a crash. In 20 percent of all crashes and 16 per-cent of all near crashes, the driver was showing fatigue. We saw eye-lid closure, head bobbing, severe loss of facial musculature, micro-sleep — which is when your eyes drift shut and then pop up,” said Klauer. “This was not just yawn-ing. The drivers were asleep.”

One-hundred drivers who commuted into or out of the Northern Virginia/Washington, D.C., metropolitan area were initially recruited as primary driv-ers to have their vehicles instru-mented or receive a leased vehicle instrumented for the study. Since other family members and friends would occasionally drive the instrumented vehicles, data were collected on 132 additional drivers.

Researchers selected a larger sample of drivers below the age of 25, compared with the total popu-lation of drivers, and a sample that drove more than the average number of miles.

Researchers Sound Alarm on the Role Fatigue Plays in Crashes


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Health News

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Two decades ago, few people could imagine having surgery without general anesthesia.

But within the past five to 10 years, nerve blocks serving as pain manage-ment during and after surgery have become a popular option. Instead of “going to sleep” with general anesthe-sia, patients can remain comfortable and aware during and after surgery without all the side effects common to general anesthesia.

Warren Hammert, an orthopedic hand surgeon with University of Roch-ester Medical Center, said that many of his patients opt for a nerve block and with good reasons.

“They don’t have to worry about being nauseated,” he said of one of the common side effect of general anesthe-sia. “They need fewer pre-op tests. It’s like being numbed at the dentist.”

Local anesthetic blocks for hand surgery requires about 15 minutes for preparation, instead of the normal four to five hours in pre-op and post-op care with general anesthesia. Many patients recover from the anesthesia just an hour after surgery with nerve blocks.

For some types of surgery, it’s required to the surgeon to receive mid-surgery feedback from patients, so nerve blocks can help deliver a better outcome for these cases. Patients with risk factors associated with bad reac-tion with general anesthesia usually respond well to local anesthesia.

Anesthesiologist Sonia Pyne, direc-tor of anesthesiology at the University of Rochester Medical Center, said that nerve blocks may be combined with sedation or general anesthesia, but that overall, less medication is required, even though two kinds of anesthesia are used. Some patients choose com-bining sedation or general anesthesia because they do not want to have awareness of the surgery, but they want the post-surgery numbness that nerve blocks offer.

“It can offer superior pain control after surgery and let doctors treat pain with a nerve block instead of narcotic pain medication, which can have nau-sea, grogginess and other side effects,” Pyne said.

Narcotic pain medication can also lead to dependence, unlike nerve blocks.

The two branches of re-gional anesthesia are ones that target the central nervous system, such as a spinal or epidural, which allows larger areas of the body to be numbed, and peripheral nerve blocks, such as what hand or foot surgeons often use.

Deciding what type of anesthesia is used depends upon many factors, such as the kind of surgery, the patient’s medical background, the patient’s level of pain tolerance and his preference.

A recent innovation is using ultrasound to guide the placement of regional anesthesia, instead of relying upon nerve anatomy alone.

“We can watch in real time where the nerves are,” Pyne said. “It’s made the procedure quicker. It’s also less painful for the patient and more accu-rate in getting a block. We have up-

wards of 20 to 30 nerve blocks on any given day.”

A few types of medications can contraindicate nerve blocks. Rare aller-gies to local anesthetics can also rule them out; however, most people toler-ate nerve blocks well. Nerve blocks are also used for managing pain unrelated to surgery, such as childbirth (epidu-ral), cancer, arthritis, low back pain, migraines and chronic pain problems.

Nerve Blocks Offer Another Anesthesia OptionBy Deborah Jeanne Sergeant


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