Inside:

Healthy Living: UMMC

program aims to prevent
diabetes - Page 13
WCCHS adding family practices
– Page 2

High heat, humidity increase

health risks – Page 4

Wyoming County approves $13 July 2019

million hospital upgrade project Special Supplement to
– Page 6

Community Health Report Day an

eye-opener for LG class – Page 9
and much more!
2 • July 2019
WCCHS adding family practices
‘MAJOR EXPANSION’: New staff and services aimed at addressing shortage as area doctors retire
By MATT SURTEL
msurtel@batavianews.com
WARSAW — A major ex-
pansion of services by the
Wyoming County Commu-
nity Health System aims
to help alleviate a looming
health care need.
The WCCHS has an-
nounced the upcoming ad-
dition of a new family prac-
tice in Warsaw, along with
the acquisition of two such
practices in Arcade.
They’ll be operating as the
Family Practice group, an af-
filiate of WCCHS.
“There has become a se-
rious family/primary care
shortage in our county with
many family/primary care
physicians retiring in recent
years,” said Chief Executive
Officer Donald Eichenauer
of WCCHS. “We felt we need-
ed to respond to this com-
The Wyoming County Community Health System has announced
what it describes as a major expansion. It will open a family practice
in Warsaw, while acquiring two additional practices in Arcade.
munity need.”
Details of the expansion
include:
n Warsaw — The Family
Practice Group will be locat-
Health & Wellness Summer 2019
quiring the practice of Dr. WNY Medical, PC. is Dr.
Dale L. Dehan at 401 Main Gordon Comstock’s fami-
St. along with WNY Medical, ly practice. He’s been see-
P.C. at 263 Liberty St. ing patients for 38 years and
Dehan been operating a WCCHS officials said he’s
successful physician prac- very glad it will still be serv-
tice in the village since 1985. ing people at his site.
He will continue to provide It’s expected the acquisi-
patient services, while also tions will be complete by the
serving as the Family Prac- end of July, with the change-
over to occur at that point.
tice Group’s medical direc-
tor. See PRACTICES T3
MARK GUTMAN/DAILY NEWS
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n Arcade — WCCHS is ac-
 Health & Wellness Summer 2019 July 2019 • 3

Let’s get physical: The benefits of staying active

It can be difficult to fit physical activ-
ity into a busy lifestyle. But it is import-
ant to make that activity a priority.
Physical activity allows us to main-
tain a healthy lifestyle and reduce the
risk of many preventable diseases
such as heart disease, diabetes, high
blood pressure, high cholesterol,
obesity, osteoporosis in women, and
some types of cancer such as colon,
prostate and breast cancer.
People who are in good physical
condition tend to live longer, healthi-
er lives than those who are not active.
The Centers for Disease Control
and Prevention (CDC) recommends
that adults get at least 2 hours and
30 minutes (150 minutes) of moder-
ate-intensity aerobic physical activi-
ty a week, as well as muscle strength-
ening activities on 2 or more days a
week. It is best to spread your activi-
ty out during the week, this way you
can break it up into smaller sections
of time, making it easier to fit into
your schedule.
Some ideas to increase physical
actitivity include:
•Wake up 30 minutes earlier than
you normally do and use the extra time
to walk on a treadmill or take a brisk
walk around your neighborhood.
•Make your household chores
count by working fast enough to get
your heart pumping when mopping
floors, scrubbing the shower or vac-
uuming.
•Outdoor lawn work such as push
mowing the lawn, raking and gar-
dening can also be physical activity.
•Be active while watching TV. Use
hand weights, walk on a treadmill,
use a stationary bike or do a stretch-
ing routine.
•Get the whole family involved. Take
family walks or hikes together. Play
catch or go for a bike ride together.
•Take the dog for a walk.
•Join a club or team. Hiking, danc-
ing or sports teams and clubs are
great way to get physically active.
•Join your local fitness club and
sign up for exercise classes.
•Take the stairs whenever possible.
•Start a lunchtime walking group
with your co-workers.
•Schedule your workout or phys-
ical activities just like any other ap-
pointments that you might have and
stick to it.

Practices at both sites.

The WCCHS plans to have
many of its other specialists,
matters, Chairman Douglas
Berwanger of the Wyoming
County Board of Supervisors
vice would need to be worked
out, but such services aren’t
currently available in the
sors meeting.
“We have conducted a
feasibility study and budget
From A5 including surgery, orthopae- said July 9 that the WCCHS is county, and Berwanger read
forecast and are currently
dics, and OB/GYN provide looking into the possibility a letter from a local resident
Current patients of the two services at the Arcade loca- of providing kidney dialysis expressing interest if dialysis reviewing all of that infor-
practices will continue to see tions, Eichenauer said. services. could be provided, during mation with our board,”
their existing providers and In other hospital-related The details of any such ser- the July 9 Board of Supervi- Eichanauer said.
will experience little change,
WCCHS officials said.
WCCHS is likewise plan-
ning more than $150,000 of
renovations and equipment
upgrades over the approach-
ing months.
n Three new doctors are
also being added.
Doctors Sydney Doma-
nowski and Tracy Fabian are
each completing their resi-
dencies at Sisters of Charity
Hospital in Buffalo.
They will join the practice
in August and are passion-
ate to provide primary care
services including routine
checkups, health risk as-
sessments, immunizations,
screening tests, and person-
alized healthy lifestyle coun-
seling.
Domanowski will also pro-
vide obstetric services and
will spend the majority of her
time in Arcade.
The third doctor has yet to
be announced.
All three locations are
expected to be open full
time, five days per week,
Eichenauer said.
The 33 providers and staff
currently working at the
two Arcade locations are ex-
pected to remain with the
WCCHS, along with about
10 new staff — including the
three doctors — to be added
4 • July 2019
4 tips to
improve
heart
health
Heart disease is the leading
cause of death in this
country. Taking steps to
prevent and control heart
disease can greatly reduce
your risk. To prevent heart
disease, there are four
simple things you can do:
1. Eat healthy. Eat foods
that are high in fiber, but
low in trans fat, saturated
fat, and sodium. Eat at least
five fruits and vegetables
every day.
2. Exercise regularly. Try
to stay active for at least 30
to 60 minutes a day. Stay-
ing active does not mean
you have to have an intense
workout every day; it just
means to keep moving.
3. See your doctor reg-
ularly. Regular doctor’s
visits can help recognize
warning signs.
4. Don’t smoke. If you
do smoke, quit. Cigarette
smoking greatly increases
your risk for heart disease.
Talk with your healthcare
provider or visit the NYS
Smokers Quitline at www.
nysmokefree.com.
For more information
regarding heart health
contact:
• Genesee County Public
Health Department at (585)
344-2580 or www.co.gen-
esee.ny.us/departments/
health/index.php.
• Livingston Coun-
ty Department of Health
at (585) 243-7299 or its
website www.livingston-
county.us/172/Depart-
ment-of-Health.
• Orleans County Depart-
ment of Public Health at
(585) 589-3278 or its website
www.orleanscountyny.gov/
publichealth.
• Wyoming County
Health Department at (585)
786-8890 or www.wyoming-
co.net/203/Health-Depart-
ment.
High heat, humidity increase health risks
By BEN BEAGLE
ben@livingstonnews.com
When the heat index –— a
measure of what the tem-
perature feels like — reaches
95 degrees or more, the Na-
tional Weather Service issues
a heat advisory.
The advisory, which offi-
cially means that a period of
high temperatures is expect-
ed, also helps alert area res-
idents that the combination
of high temperatures and
high humidity will combine
to create a situation in which
heat illnesses are possible.
Hot and humid conditions
bring an increased risk of
heat-related illness and de-
hydration.
Take extra precautions
if you work or spend time
outside. When possible, re-
schedule strenuous activities
to early morning or evening.
Precautions including
wearing lightweight and
loose-fitting clothing when
possible, drinking plenty of
fluids, staying in an air-con-
ditioned room, staying out of
Health & Wellness Summer 2019
the sun and checking on rela- and shaded location. fainting and fast and shallow
breathing. Victims of this ill-
tives and neighbors. Know the signs and symp-
ness should be moved to a
The elderly, very young, toms of heat exhaustion and
pregnant, and those with heat stroke. cool place, be cooled using
any method available such
heart and respiratory condi- Muscle cramping is usual-
tions that don’t have access ly the first sign of heat-relat- as ice packs; cool, wet cloths,
or by applying water to the
to air conditioning are espe- ed illnesses (heat exhaustion
cially at risk. Prolonged out- or heat stroke). body, and sip on water. If a
victim is continuously vom-
door exposure or strenuous Symptoms of heat exhaus-
activity may result in heat ex- tion include nausea, vom- iting or loses consciousness,
call 911 or your local emer-
haustion. iting, cold/pale/clammy
gency number immediately.
Anyone overcome by heat skin, heavy sweating, fast
should be moved to a cool and weak pulse, weakness or See HEAT T5
E - Cigarettes
Also Known As:
e-cigs, e-hookahs, hookah pens, vapes, vape pens, mods
• Battery-operated devices that people use to inhale an aerosol,
which contains nicotine, flavorings, and other chemicals.
• They can resemble traditional tobacco cigarettes, cigars, or
pipes, or even everyday items like pens or USB memory sticks.
Partners for Prevention
Phone: (585) 786-8970
Website: www.wycop4p.com
• Popular among teens and are now the most commonly used
form of tobacco among youth.
• Studies suggest that e-cigarettes encourage cigarette
smoking in teens.

NYS Prevention Heat
Agenda measures
health progress in
Livingston
Adults in Livingston Coun-
ty are spending less time in
the hospital and access to a
supermarket or large grocery
store has improved among
the county’s low-income
population has improved.
These are just a few findings
from the New York State De-
partment of Health’s Pre-
vention Agenda Dashboard,
which measures progress on
96 health outcome indica-
tors, including reductions in
health disparities.
While Livingston County
scores well in many areas,
there are several areas which
are considered areas for im-
provement. For example, the
ratio of Black non-Hispan-
ics to White non-Hispanics
regarding premature deaths
worsened according to the
New York State Department
of Health’s Prevention Agen-
da Dashboard.
The New York State Pre-
vention Agenda is the blue-
print for state and local ac-
tion to improve the health
of New Yorkers in five prior-
ity areas: preventing chronic
diseases; promoting a safe
and healthy environment;
promoting healthy wom-
en, infants and children;
promoting mental health
and preventing substance
abuse; and preventing sex-
ually-transmitted diseases,
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Office: 585.409.2115 • Fax: 585.343.8502
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Health & Wellness Summer 2019 July 2019 • 5
be immediately called, as
heat stroke is a medical
emergency.
Never leave children or
rays.
• Avoid extreme tempera-
ture changes.
• Slow down, stay indoors.
From T4
pets in your vehicle. The in- Avoid strenuous exercise
If heat exhaustion is not side temperature of the car during the hottest part of
treated it may progress to can quickly reach 120 de- the day. Postpone outdoor
heat stroke.
Symptoms of heat stroke
include hot body tempera-
grees.
Here are some more heat
safety tips from the Ameri-
games and activities.
• Use a buddy system
when working in excessive
ture, hot/red/dry/moist can Red Cross: heat. Take frequent breaks if
skin, rapid and strong pulse • Stay hydrated, drink working outdoors.
and possible unconscious- plenty of fluids. Avoid • Check on family, friends
ness. Victims of this illness drinks with caffeine or al- and neighbors who do not
health care associated infec- should be treated in the cohol. Wear loose-fitting, have air conditioning, who
tions and vaccine-prevent- same ways as those with lightweight, light-colored spend much of their time
able diseases. heat exhaustion but do not clothing. Avoid dark col- alone or who are more likely
give fluids. Also, 911 should ors as they absorb the sun’s to be affected by the heat.
The agenda also strives to
improve the poorer health
outcomes based on racial,
ethnic, disability, socioeco-
nomic and other factors,
known as health disparities.
The Livingston County
Department of Health, UR
MedicineNoyes Health and
other community agencies
and organizations utilize the
Prevention Agenda to identi-
fy health priorities, and de-
velop and implement health
improvement plans to ad-
dress them.
“The Livingston County
Department of Health col-
laborates with many com-
munity partners to improve
the health of the county
through initiatives such as
Be Well in Livingston and
the Mobile Crisis Response
Program,” said county Pub-
lic Health Director Jennifer
Rodriguez.
For more information
on the Prevention Agenda
Dashboard and the commu-
nity health improvement
plan, visit www.livingston-
county.us/doh.htm.
For more information on
local initiatives and/or join-
ing a committee, visit the
Genesee Valley Health Part-
nership at www.gvhp.org.
D HA
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6 • July 2019
Wyoming County approves $13 million
hospital upgrade project
WARSAW — A $13 million
upgrade project for Wyoming
County Community Hospi-
tal’s operating suites and lab-
oratory has received formal
approval.
The project — along with
$10 million in bonding — was
among several hospital-relat-
ed resolutions approved by
the county’s Board of Super-
visors. The project is among
a series of major moderniza-
tions and renovations over
the past decade at the hospital
and adjacent Skilled Nursing
Facility.
The $10 million will cover
the operating rooms, while
$3 million — covered through
a state grant — will cover the
laboratory.
The laboratory is described
as one of the few areas in the
hospital which hasn’t seen sig-
nificant renovations since the
facility opened in the 1950s.
Although the lab’s equipment
is new, the overall layout isn’t
especially efficient for modern
needs.
The laboratory encompass-
es about 3,000 feet on the hos-
pital’s first floor. It provides a
full range of around-the-clock
testing for inpatients and
Emergency Department pa-
tients, along with patients of
local clinics and physicians.
The project calls for the lab
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Health & Wellness Summer 2019
to be rebuilt completely, ei- ing and related services for
ther within the existing build- an average of 115 hours per
ing or a new building adjacent month.
to facility. It’s expected the He will then be available for
work will take one year to 18 and consulting for an average
months to complete. of 77 hours monthly from Jan.
Supervisor James Brick of 1 to June 30, 2021.
Perry said before voting that Eichenauer said after the
the bonding is being secured meeting his official departure
in a manner similar to the date hasn’t been determined.
county’s Better Pavement Pro- As of January’s state of the
gram from a few years ago - se- county address, he had agreed ROCCO LAURIENZO/DAILY NEWS
curing the funding now and to remain in his existing role Wyoming County Community Hospital will get $13 million worth
then using it as needed. of upgrades, including a rebuilt laboratory.
“This is a more-efficient See PROJECT T9
way of doing it,” he said.
Chairman Douglas Ber- Doctors - Dentists - Specialty Health Care & Urgent Care Facilities
wanger of the Board of Super-
visors added the bonding will
be repaid using revenues from
new services offered through
the hospital’s expanded infra-
structure.
The project was also award-
ed $3.08 million in state health
grant funding in February.
In related matters:
■ The Board of Supervisors
amended a resolution prepar-
ing for the eventual departure
of Donald Eichenauer, the
Wyoming County Health Care
System’s chief executive offi-
cer.
As the amendment reads,
upon the date of Jan. 1, 2020,
when Eichenauer is no lon-
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UMMC wound care
nationally recognized
for third year
BATAVIA — For the third
year in a row, the United
Memorial Medical Center
(UMMC) Wound Care team
earned the Robert A. Warri-
ner III, M.D. Center of Excel-
lence Award by Healogics,
Protect yourself and
your pets from rabies
Rabies is a viral disease pres-
ent in saliva and nerve tissue of
an infected animal that attacks
the central nervous system of
humans, which includes the
brain and spinal cord.
People can contract rabies by
coming in contact with a rabid
animal through a bite. Exposure
may also occur if saliva from a
rabid animal enters an open cut
or mucous membrane, which
includes your eyes, nose or
mouth. It is almost always fatal
once symptoms appear.
Livingston County has in the
past confirmed rabies in rac-
coons, bats, cats, foxes, skunks,
woodchucks and even cows.
The Livingston County De-
partment of Health urges resi-
dents to be aware of the danger
of rabies and follow these guide-
lines to protect themselves
against rabies:
n If you are bitten by an an-
imal, immediately wash the
wound with soap and water,
seek medical attention and
report the incident to the Liv-
ingston County Department of
Health.
n Avoid contact with any
Stephen M. Kelley, Esq. Attorney-At-Law
VA BENEFITS • PROBATE
WILLS & TRUSTS
www.stevekelleylaw.com
131 Main Street, Suite 7
Geneseo, NY 14454
the nation’s largest provider
of advanced wound care ser-
vices.
The award recognized
UMMC, for its clinical excel-
lence, high healing rate and
high level of patient satisfac-
stray or wild animal. Be suspi-
cious of wild animals that are
unusually tame or aggressive,
especially those that attack your
pets.
n Do not attract raccoons,
stray dogs, stray cats or other
wild animals to your yard by
feeding them.
n Call the Livingston County
Health Department regarding
any contact with an animal that
may be rabid.
n Teach children not to touch
any animal they do not know
and to tell an adult immediately
if they are bitten by an animal.
n By law, all dogs, cats and
ferrets must be vaccinated
against rabies. Make sure horses
and valuable livestock are also
up-to-date on rabies vaccina-
tions.
n Keep family pets indoors at
night. Don’t leave them outside
unattended or let them roam
free.
n Wear gloves when handling
pets after any involvement with
suspected rabid wild animals.
Pet owners should keep a pair of
See RABIES T12
P.O. Box 278
585.519.4387
Health & Wellness Summer 2019 July 2019 • 7
PHOTO PROVIDED
The United Memorial Medical Center (UMMC) Wound Care team earned the Robert A. Warriner III,
M.D. Center of Excellence Award by Healogics, the nation’Äôs largest provider of advanced wound
care services, for the third consecutive year.
tion.
UMMC’s Wound Care
highly specialized wound
care and hyperbaric med-
of the leading-edge treat-
ments offered at the Wound
Center achieved patient sat- icine to patients suffering Care Center include negative
isfaction rates higher than from diabetic ulcers, pres- pressure wound therapy, de-
92 percent, a healing rate of sure ulcers, infections and bridement, application of
at least 91 percent and an other chronic wounds that cellular-based tissue or skin
average of less than 30 days have not healed in a reason-
See UMMC T10
to heal. The center offers able amount of time. Some
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8 • July 2019
The truth
behind
that
rolling
sensation
Summertime means time
spent on the water — wheth-
er on a cruise or sailboat, on
the lake, at the waterpark
or swimming in the pool or
ocean. But do you ever have
the sensation that you’re still
rocking or swaying back and
forth after you get out of the
water and on to dry land?
Baylor College of Medicine
sensorimotor physiologist
and occupational therapist
Dr. Helen Cohen explains
the sensation, formally
called mal de debarque-
ment.
Translated literally, mal
de debarquement (MdD)
means sickness of disem-
barking. It is the sensation
that people feel after they get
off a boat or after they have
flown in turbulence, not the
nausea and other symptoms
that they have during the
event.
“If you’ve ever had a slight
rocking sensation when you
go to sleep at night after be-
ing out on a boat, that’s an
example of mild MdD,” said
Cohen, professor of oto-
laryngology and associate
director of the Center for
Balance Disorders at Baylor.
“We don’t know why some
people get it and not others,
but we do know that, while
men do experience it, it has
generally been more com-
mon in women.”
Cohen explains that MdD
usually occurs after an in-
tense motion experience,
which typically includes roll-
ing, or the side-to-side tilt, of
the head. Most of the time it
fades away quickly, after a
few minutes or a few hours.
“The underlying cause of
MdD is a bit complicated,”
Cohen said. “The vestibular
labyrinth, a sensory system
See MDD T10
Health & Wellness Summer 2019
Geneseo food pantry encourages
gardeners to donate produce
By Johanna Mohrs The food pantry is part of
Special to The LCN
The Geneseo-Groveland
Emergency Food Pantry is
Foodlink, a Rochester-based
nonprofit organization deal-
ing with food insecurity in
encouraging local home gar-
deners to donate some of
more than 10 regional coun-
ties. The food pantry works
their yield to help the food from nutritional guidelines
pantry offer fresh produce to provided by Foodlink. Each
its patrons. client the food pantry sup-
“It’s wonderful to have plies may select certain
fresh produce to give our numbers of products from
clients,” Judith Hunter, vol- different food group catego-
unteer co-coordinator of the ries based on the size of their
food pantry, said. “The more household.
fresh food we can give, the “Foodlink recommends
happier we are. It’s just so that about half a person’s
much more healthful than The Geneseo-Groveland Emergency Food Pantry is encouraging plate be fruits and vegeta-
canned.” local home gardeners to donate some of their yield to help the bles,” Hunter said. “Most of
Hunter and Betsy Mat- food pantry offer fresh produce to its patrons. those donations we get from
thews, the other volunteer home gardeners.”
co-coordinator, have been ated by 36 volunteers, runs time leadership position. The food pantry is appre-
entirely on donations and “We are very lucky to have
doing their best to adjust to ciative of any donations.
the increasing numbers the grants. To adapt to the surge secured the grant money,” “Last week somebody
pantry is feeding. Hunter de- in clientele, a grant has re- Hunter said. “We’re accept- brought in two huge bags
scribed the heavy traffic she cently been acquired to be ing applications for a pantry
See PANTRY T18
observes in a typical day at used for the salary of a part- manager.”
the food pantry.
“We fed 17 households, 55
people altogether, just to-
day — and the middle of the
month is usually our quiet
time,” she said. “Last month
we had 13 new households
and today alone we’ve had
five new families.”
As the desire for produce
has been rising, the food
pantry is asking that local
home gardeners join the ef-
forts of the Community Gar-
den Coalition to help meet
the nutritional needs of the
hungry.
The Community Garden
Coalition is a partnership of
several local church gardens,
including St. Timothy Lu-
theran Church and Central
Presbytarian Church, aiming
to nourish families by giving
most or all of their harvest to
the food pantry. In addition
to member churches starting
gardens to help supply food
pantry clients, the coalition
is extending to the commu-
nity, asking that area resi-
dents consider committing
parts of their home gardens
to growing fruits and vegeta-
bles for the food pantry.
The food pantry, oper-
 Health & Wellness Summer 2019 July 2019 • 9

Community Health Report Day an

eye-opener for Leadership Genesee class
By PEGGY MARONE
LG CLASS OF 2002, DIRECTOR
Who knew there were so many or-
ganizations ready to serve the health
and human service needs of our com-
munity? A majority of the members or
the Leadership Genesee Class of 2019
were surprised with the number of is-
sues and the number of agencies and
services ready to help those in need
when they participated in Leadership
Genesee Community Health Report
Day in April.
Leaders in the 21st century must
understand what it takes to help a
community work and be healthy,
but what does that mean? This year’s
Leadership Genesee class looked at
the health of Genesee County from
numerous perspectives, focusing on
the importance of collaboration and
bringing diverse perspectives togeth-
er. When social problems seem to
overwhelm a society, being the leader
that sees the common good, has the
will to develop others, brings clarity
to an issue and is a public innovator,
helps to forge the way to a shared vi-
sion where solutions to address the
community’s needs will be found.
The day began with a LG version of
the Jeopardy as the Class of 2019 Pre-
Work Team created a fun and interac-
tive way to test the current knowledge
of their classmates about the many
resources available to Genesee Coun-
ty residents.
Rochester Regional Health/United
Memorial Medical President Dan Ire-
land LG ‘06, updated the group about
the current status of services offered
through our local hospital, as well as
the major investments and remodels
planned in the future. Current health-
care trends, nationally and locally,
are seeing more urgent care centers
opening, electronic charting as a
way to integrate patient information,
centralized administrative serves, in-
creased cancer services, fewer private
practices and access to more special-
ists. When UMMC merged with Roch- PHOTO PROVIDED
ester Regional Healthcare System, it John Dempske, retired nursing home administrator, Jill Yasses, LG ‘17, specialist,
helped the local hospital have access Aging Services, Genesee County Office for the Aging, Jean Waite, retired, and
Carrie Herrmann, LG ‘16, were featured speakers during the Caregiving for the
See REPORT T18
Older Adult panel discussion.

Project Eichenauer said after the

meeting that the space will
house WCCH clinic providing
We're more than
From T6

for at least another year to

groom a successor, while
working on setting up new
clinics and addressing other
projects.
■ The Board of Supervisors
approved a contract with the
A.J. O’Dell Foundation of Ar-
cade for about 3,130 square
feet of space at the A.J. O’Dell
Foundation Medical Center
on 7846 Route 98.
general health and some spe-
cialty services. just generics
The contract is effective
May 1, 2019 through April 30,
2022 with three additional
three-year options to extend
the lease at the discretion of We carry the brands you trust
the WCCHS.
Cost is not to exceed $15,000 and generics priced to save
annually with increases equal
to the inflation index, plus
you money.
utilities and services for a total
amount not to exceed $75,000.

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10 • July 2019
Protect your
skin from sun
As the summer months
are upon us, don’t forget
to protect your skin from
sun exposure, which can
increase your risk for skin
cancer.
Remember to limit sun
exposure, wear protective
clothing and wear water-
proof sunscreen with an
SPF of 15 or higher. Sun-
screen is one of the best
ways to avoid skin cancer
and should be applied 30
minutes before sun expo-
sure and reapplied every
two hours, or after swim-
ming, for best results. If
you are planning to be
in the sun for extended
periods of time, wear a
wide-brimmed hat and
sunglasses or seek shade
UMMC
From T7
substitutes to the wound,
offloading or total contact
casts and hyperbaric oxy-
gen therapy.
“It never gets old receiv-
ing this award, especially
knowing how hard every-
one on this team works to
provide the best possible
wound care in Western New
York,” said Joseph Can-
zoneri, DPM, medical di-
rector for the Wound Care
Center. “We continue to be
the only wound care cen-
ter in the state west of Syr-
acuse, and one of only 30
percent of the facilities in
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570 East Main Street • Batavia, NY 14020
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HowardHanna.com
Health & Wellness Summer 2019
MdD
From T8
throughout the day.
essential to movement and
equilibrium, collects informa-
tion about acceleration of the
head. It then converts those
For more information, signals to velocity. Within the
contact: brain pathways that receive
• Genesee County Public and process information from
Health Department at (585) the vestibular labyrinth, there
344-2580 or www.co.gen- is a mathematical mechanism
esee.ny.us/departments/ that converts the velocity sig-
health/index.php. nal to a positional signal while
• Livingston County De- also storing the velocity signal
partment of Health at (585) momentarily for use in spatial
243-7299 or its website www. orientation. That mechanism is
livingstoncounty.us/172/ supposed to dump out its mem-
Department-of-Health. ory store as soon as the contents Translated literally, mal de debarquement (MdD) means sickness
• Orleans County Depart- are no longer needed. of disembarking. It is the sensation that people feel after they get
ment of Public Health at “One theory about MdD is off a boat or after they have flown in turbulence, not the nausea
(585) 589-3278 or its website that it represents a failure of the and other symptoms that they have during the event.
www.orleanscountyny.gov/ velocity storage integrator to
publichealth. dump out those signals, or to If you experience a rolling or that involves moving the head,
• Wyoming County Health forget about them, so the signals rocking sensation that does not such as running or jogging, yo-
Department at (585) 786- reverberate.” subside within a few days, Co- ga, dancing or head shaking ex-
8890 or www.wyomingco. Those who have MdD can hen says there are certain things ercises for vertigo, until the sen-
net/203/Health-Depart- have symptoms lasting any- you should avoid: sation fades.
ment. • Do not repeat the intense • Avoid long car rides or air-
where from five minutes to
years. If it does not fade away motion experience. For exam- plane flights until the sensation
within a week or two, the indi- ple, if someone gets MdD after subsides.
the nation, to share this dis-
tinction.”
Patients joined the award
vidual should seek medical care,
Cohen said.
a cruise, avoid going out on an-
other boat or cruise hoping to
MdD has not been widely
studied in the past and Cohen
get rid of it. is not aware of any medication
celebration and shared What to avoid • Do not do vigorous exercise that will help it.
stories of the life-changing
care they received.
“I really expected them
(my legs) to be amputated
when I came in,” said Low-
ell Melvin, a patient of the
Wound Care Center. “Dr.
Joe (Joseph Canzoneri,
DPM) made the same
promise probably 20 other
doctors had made, but the
big and different thing was,
he kept it. When he said he
could heal them, he did.”
To learn more about UM-
MC’s Wound Care Center
visit RochesterRegional.org
or call 585.344.5372.
D HA
AR
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NA
HO
TEE
100
AN
%
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ON A
R
EY B CK GU
A
 Health & Wellness Summer 2019 July 2019 • 11

Who will speak for you when you can’t

make health care decisions for yourself?
ROCHESTER — Nearly nine out of 10
upstate New York adults are aware of the
term, “health care proxy,” according to a
survey commissioned by Excellus Blue-
Cross BlueShield. Among respondents
who had heard the term, 89 percent
know that it is a way to legally designate
someone as your health care agent to
represent you during a medical crisis if
you can’t speak for yourself.
Despite high awareness and knowl-
edge of the health care proxy term, the
survey also revealed that only about four
out of 10 upstate New York adults have
completed a health care proxy form
to designate a spokesperson who will
represent them if they can’t represent
themselves.
“That’s disappointing because so
many people have had the experience
of making gut-wrenching medical de-
cisions for loved ones who were unable
to communicate,” said Patricia Bomba,
M.D., vice president of geriatrics at Ex-
cellus BCBS.
According to Bomba, advance care
planning can make those decisions
easier. “Conversations change lives.
It always seems too early, until it’s too
late,” she said. ”Advance care planning
lets you authorize someone you trust
to make your health care decisions if or
when you can’t make them yourself.”
Excellus BCBS encourages all adults
ages 18 and older to start conversations
with their health care providers and
then extend them to family members
and trusted friends.
The goal is for all adults to have con-
versations and complete a health care
proxy to choose and formally name a
health care agent who is aware of their
values, beliefs and goals for care and
treatment and is willing to speak on
their behalf.
“It’s not just for older adults or for
people with a serious illness,” said
Bomba. “Anyone can suddenly lose the
ability to make his/her own medical de-
cisions about the treatment they wish
to receive, and what they would like to
avoid.”
Bomba breaks advance care planning
down into five easy steps:
1. Learn about advance directives
(New York State health care proxy and
living will).
2. Remove barriers to completing ad-
vance directives.
3. Motivate yourself by watching tes-
timonial videos at CompassionAndSup-
port.org.
4. Complete your health care proxy
and living will. Talk to your family and
physician or nurse practitioner about
what matters to you.
5. Periodically review and update
your advance directives.
Excellus BCBS led the development
of a free community website, Compas-
sionAndSupport.org, that includes in-
formation on advance care planning,
free downloadable forms and instruc-
tional videos.
To start your own conversations,
download the infographic, Who Will
Speak for You? at https://bit.ly/2XRpeni.
Additional advance care planning re-
sources include www.CompassionAnd-
Support.org and www.nhdd.org

Medical Reserve Corps seeks new members

GENESEO — Livingston structure to guide them, ingston County to consider ty Medical Reserve Corps; health and business com-
County Administrator Ian their presence at an emer- joining the Livingston Coun- people in our medical,
M. Coyle and Public Health gency scene can be unsafe See RESERVE T19

Dr. Deborah L. Schafer

Director Jennifer Rodriguez
recently announced a major
recruitment drive for the Liv-
ingston County Medical Re-
serve Corps.
The Medical Reserve
Corps is a program that al-
lows residents to help Liv-
ingston County prepare for
and assist with disasters and
other public health-related
events.
Following many disasters,
large numbers of people of-
ten come forward to help.
Many of those well-meaning
volunteers are turned away
because without special
training, or a management
for volunteers and for public
health and safety personnel
responding to the incident.
The Livingston County
Medical Reserve Corps, a
program coordinated by the
Orthodontics for Children & Adults
Livingston County Depart- 400 Washington Street, Wayland, NY | 585.728.3830 | www.dlsortho.com
ment of Health, is designed
to leverage the goodwill and Looking for a professional, gentle orthodontist in Wayland?
desire to help that many peo-
ple display in the wake of a You’ll find that and more at Deborah L. Schafer – Orthodontics.
disaster. It offers both med-
ical and non-medical volun- Both children and adults can benefit from a straighter, more
teers a chance to be part of beautiful smile, and orthodontic treatment allows you to achieve it.
a network of people who are
trained and ready to respond
to various incidents in Liv- CLEAR ALIGNERS
ingston County. FOR ADULTS & TEENS
“I want everyone in Liv-

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445 Ellicott St., Batavia, NY 344-5660 Monday/Tuesday/Thursday
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Closed
Donations and bequests gratefully accepted Friday 8AM - 1PM
12 • July 2019
How to manage
frequent nosebleeds
HOUSTON, TEXAS –
Bloody noses, while com-
mon, are inconvenient and
can often be alarming to
whoever experiences one.
While everyone has their
own idea of how to remedy
the occasional bloody nose,
Baylor College of Medi-
cine’s Dr. Eddie Liou breaks
down what is really happen-
ing to cause the bleed and
how to manage it.
“People of all ages ex-
perience nose bleeds, and
most are caused by simple
dryness due to weather or
air conditioning, picking
the nose or a trauma event,
such as a fall or sports inju-
ry, or by predisposed con-
ditions like septal deviation
or inflammation due to al-
lergies,” said Liou, assistant
professor of otolaryngolo-
gy-head and neck surgery at
Baylor. “Though very rare,
more serious causes can in-
clude growths, tumors or el-
evated blood pressure. Ad-
ditionally, older individuals
who are on blood thinners
may experience more fre-
Rabies
From T7
thick gloves handy for just such
situations. Bathe pets after wild-
life encounters using rubber
gloves.
n If a bat is found in your
home or cabin, do not let it go.
167 North Main Street
Perry, NY 14530
suzannescch@yahoo.com
suzannescch.com
585.237.5881
We are always looking for dedicated individuals
to join our broad team of Volunteers.
Opened: May 8th, 2017
quent nose bleeds.”
Liou explained that most
bleeds happen in the ante-
rior area of the nose, or the
cartilaginous portion at the
front of the septum.
“The interior lining of
the nose can dry out and
become brittle and break,
much like a chapped lip
can split, causing a bleed.
Because the blood supply
to the nose is so rich, it can
take a little longer to sub-
side,” Liou said.
When experiencing a
nose bleed, Liou said the
best thing to do is to pinch
the nostrils together and
apply pressure to the flex-
ible, cartilaginous area of
the septum, as opposed to
the bony bridge of the nose,
for about five minutes.
“A common misconcep-
tion is to pinch the bridge
of the nose, but that is not
where most bleeds are orig-
inating from. People also
often ask if they should tilt
their head forward or back,
which is another miscon-
ception. The angle of the
Isolate it in a single room and
contact the Livingston County
Department of Health to dis-
cuss the potential for exposure.
In some cases the bat can be
tested for rabies. Immediately
report any possible contact with
bats, especially contact with
sleeping persons, unattended
children, or individuals with im-
pairments.
Health & Wellness Summer 2019
head does not have an im-
pact on stopping the bleed,
and, conversely, swallowing
blood can actually cause
nausea,” Liou said.
After applying pressure
to stop the bleed, Liou rec-
ommends using an over-
the-counter decongestant LIVINGSTON COUNTY NEWS FILE PHOTOGRAPH
spray, which causes the
blood vessels in the lining of
the nose to constrict. Mois-
turize the lining by applying
Livingston County
nasal saline followed by pe-
troleum jelly, which can be
applied twice a day with a
EMS continues
cotton swab.
“If you have a nose bleed
lasting longer than an hour,
paramedicine effort
or experience regular nose
bleeds over the course of By BEN BEAGLE particularly among seniors.
ben@livingstonnews.com The program began three
a couple of weeks, it is im-
portant to consult your phy- Livingston County Emer- years ago with a $600,000 grant
gency Medical Services is tran- from the Greater Rochester
sician, as there might be a
sitioning this year into its own Health Foundation. That grant
bleed in the posterior area
paramedicine program aimed expired in October.
of the nose, near the throat,
at helping reduce emergency The program provides re-
that needs to be cauterized
department readmission rates,
by a doctor,” Liou said. See EMS T19
 Health & Wellness Summer 2019 July 2019 • 13

Healthy living: UMMC program

aims to prevent diabetes
then two months bi-week-
ly and for the remaining six
months. The first local group
was in 2017 with UMMC staff
and family members partic-
ipating to get a feel for the
program, and in 2018 multi-
ple classes took place at the
same time.
Medicare is now reim-
bursing for diabetes preven-
tion programs and Healthy
Living is working to set up
everything in order to offer
the reimbursement.
Type 2 diabetes, unlike
Type 1 diabetes, can be pre-
vented. An epidemic of obe-
sity, Miller said, is leading to
an epidemic of Type 2 diabe-
tes, with warning signs in-
cluding sedentary behavior,
being overweight, family his-
tory and age.
See DIABETES T14

ROCCO LAURIENZO/DAILY NEWS

Rochester Regional Health Educators Amy Miller, Jadriene Balduf and Rachel Cosimeno are part
of the prediabetes prevention program at UMMC. An epidemic of obesity has led to a resulting
epidemic of Type 2 diabetes.

By MALLORY DIEFENBACH grams in New York state and disease.

MDIEFENBACH@BATAVIANEWS.COM
BATAVIA — More than 84
million adults have predia-
betes and 90 percent of those
don’t know they have it.
Thankfully, the United
Memorial Medical Center
Healthy Living team’s Dia-
betes Prevention Program
recently earned preliminary
recognition from the Centers
for Disease Control and Pre-
vention, officials said.
“We’re one of the only pro-
I think we are the only pro- Jadriene Balduf, certi-
gram in Western New York,” fied childbirth educator
said Amy Miller, registered for Healthy Living, said the The Horizon Group
dietitian and certified dia- program’s goal is 5 percent 202 Main Street | Dansville | 585-335-5190
betes educator for Healthy weight loss as a group.
Living. The program is 26 ses- muchlerclientsolutions@ssnrep.com
The diabetes prevention sions long — participants www.muchlerfinancial.com
program offered by the CDC attend four months weekly,
is a year-long commitment
for individuals who sign up.
It’s meant to prevent or de-
lay the onset of Type 2 dia-
betes, so it’s not meant for
those who already have the

Connecting You To Wellness Visit us on

Herbs Essential Oils

Body Energy Work Wellness Classes
Scan the QR Code for information on a 585-786-3511
FREE Wellness Self-Assessment!
(716) 560-6162 342 Rt. 39, Arcade
14 • July 2019
Diabetes
From T13
“And then when it’s not
prevented and you develop
it, there are so many prob-
lems it has on your body be-
sides your insulin network,”
Miller said.
Those who want to check
on whether they have pre-
diabetes may visit DoI-
HavePrediabetes.org to take
the screen to see if they qual-
ify.
Those who do have diabe-
tes can also attend Healthy
Living’s living healthy with
diabetes class.
For more information, call
(585) 344-5331.
In addition to the diabetes
support, Healthy Living also
provides:
• CPR classes where peo-
ple can learn more about
basic life support, early CPR
and defibrillation;
• Nutrition, in which a reg-
istered dietitian evaluates
your specific needs and daily
routine, and offers practical
suggestions on meal plan-
ning, dining out;
• Health Rx, a safe, encour-
aging introduction to exer-
cise for those ready for the
physical, mental and social
benefits of a healthier life-
style;
• MOMS (Medicaid Ob-
stetrical and Maternal Ser-
vices) program where early
prenatal care is essential to
your health and that of your
baby;
• Childbirth classes for
expectant mothers, during
True Wellness of WNY, Inc.
Jo Coburn
Certified Functional Medicine Coach
“Guiding You to
True Wellness”
585-813-4658
Health & Wellness Summer 2019
ROCCO LAURIENZO/DAILY NEWS
ROCCO LAURIENZO/DAILY NEWS Rochester Regional Health Educator Rachel Cosimeno is part of
Rochester Regional Health Educator Jadriene Balduf is part of the prediabetes prevention program at UMMC.
the prediabetes prevention program at UMMC. She said the
program’s goal is 5 percent weight loss as a group.
which coaches prepare them • Cancer support group,
for pregnancy, childbirth, which is open to all people
postpartum, newborn care
with any type of cancer;
and parenting; • Cancer screening pro-
• Infant feeding class, in
gram, an education and
which parents can learn
outreach service which con-
about the benefits of breast-
nects you to your physician
feeding, the importance of
to discuss options for breast
support, infant feeding cues
and/or prostate cancer
and breastfeeding logistics;
screenings, while proving
• Baby cafe, a weekly sup-
port group for breastfeeding additional support to ensure
mothers and pregnant wom- your needs are met;
en who plan to breastfeed; • Peer education program
• Family and friends CPR reaches out into Genesee,
and safety where parents, Wyoming, Monroe and Orle-
grandparents and caregivers ans counties to provide peer
will discover safety issues to ROCCO LAURIENZO/DAILY NEWS
focused education and assis- Rochester Regional Health Educator Amy Miller is part of the
address, such as poison con-
trol and first aid; tance regarding breast and prediabetes prevention program at UMMC. She said Type 2
• Cancer services program prostate cancer screenings. diabetes can be prevented.
where they provide breast,
cervical and colorectal can-
cer screenings at no cost to
women over 40 and men over
50 who do not have health
insurance;
Free 5 Minute
Phone Consultation.
www.jocoburn.com
 Health & Wellness Summer 2019 July 2019 • 15

E-cigarette use exploding among youth

By Rachel Pena
Special to The LCN

T
he use of electronic nic-
otine delivery systems,
or electronic cigarettes,
is exploding among young
people.
Current statistics show that
nationally one in five high
school students use e-ciga-
rettes, as do one in 20 middle
school students. In Livingston
County, 21 percent of youth
reported using them and 17
percent reported using them
in the past 30 days in a 2018
survey.
Young people are attract-
ed to e-cigarettes by online
videos and ads showing their
peers having “cloud chasing”
or smoke-ring contests, and
showing off the techniques WIKIMEDIA COMMONS
they use to get the biggest nic-
Mill Creek Optical
Popular pick. A JUUL e-cigarette is shown in a hand. Teens love
otine rush. the JUUL because it is easily concealed. It looks like a flash drive,
Most young people errone- and can be recharged by plugging it in to a computer.
in Dansville has
SUNGLASSES!
ously believe that their “va-
pes” only produce vapor — fla- don’t know is that even pro- manufacture of plastics, adhe-
vored water vapor. This could pylene glycol — which is used sives, and synthetic rubber, it
not be further from the truth. as an antifreeze and food addi- is highly poisonous and flam-
In fact only 11 percent of youth tive — when heated produces mable. Combined with oxygen
in Livingston County think formaldehyde, a dangerous, it forms formylcyanide and We have a huge selection of
there is no risk in using e-cigs. lung-damaging carcinogen. formaldehyde. Repeated ex- Oakley, Ray Ban, Bollé & Fossil.
Cancer causing chemicals Tests of the urine and saliva posure may cause central ner-
What a better way to enjoy
of teens who use e-cigarettes vous system and liver damage,
E-cigarettes produce an
aerosol, that includes chem-
or vaping liquids, particularly leukemia and cancer of nasal your summer than in a nice
the fruity flavorings favored by passages, the pharynx and the
icals, heavy metals and other youth, confirmed that they are lungs. pair of SUNGLASSES!
micro-particles. The people exposing themselves to some Acrolein: An herbicide that
who use and sell e-cigarettes
will tell you that they only con-
of the same cancer-causing is toxic to humans when in- 205 Main Street, Dansville
chemicals and particulate Call 335.9490 for hours
tain propylene glycol or vege- matter found in tobacco ciga- See E-CIGARETTE T21
table glycerin, and flavorings. rettes.
There is no requirement that Among these:
actual ingredients need to be ■ Acrylonitrile: Used in the
on the packaging. What they

Food, Music, Activities

throughout the day.
Luminaries available
for purchase.
(585) 345-0417
127 North St., Batavia, NY

Walk of Hope $
10
Start: August 3, Noon Registration
Per Person
End: August 4, Midnight
LeRoy High School | 9300 South Street Road
Register Online:
geneseecancerassistance.org/event/walk-of-hope/
geneseecancerassistance.com
16 • July 2019 Health & Wellness Summer 2019

4152 West Main St.

(in the Valu Plaza)
Batavia • 344-0080
Monday-Friday 10am-8pm,
Saturday 10am-5pm,
Sunday Noon-5pm

George Costello, President

 Health & Wellness Summer 2019 July 2019 • 17

The Cloisters
"Your Home Away From Home"

• Trained staff on Duty

24 Hours a Day
• Supervised medications
• Planned Activities and
social programs
• Assistance with
personal care
• Laundry of linens and
personal clothing
• Housekeeping
• Three meals daily
• Beauty and barber shop
• Cable TV and private phone access
• Comfortable, spacious resident dining room and lounge
• Individually controlled room temperatures
• Garden Walkway - 500 foot sidewalk provides outdoor
exercise, fresh air and a beautiful view of nature and
perennial gardens
• Use of workout facility at Step by Step
• Registered Nurse on staff

An Adult Residential Care Facility

171 North Maple Street, Warsaw • 585-786-8727
www.thecloistersseniorliving.com • cloister@frontier.net
18 • July 2019
Report
From T9
to $1.5 million they wouldn’t
have had.
No merger happens with-
out challenges and our local
healthcare system has seen
its share. Bringing togeth-
er different cultures who
have different ways of doing
things is probably the big-
gest challenge UMMC has
experienced. However, the
vision for local healthcare re-
mains a priority as they work
to keep focused and aligned
on serving Genesee County.
The Healthy Living project
with RRH UMMC and the
YMCA has been in the plan-
ning stages for a few years
and should see movement
early in 2020.
Another perspective for
the class to investigate was
Caregiving for the Older
Adult. Jill Yasses, LG ’17,
specialist, Aging Services,
Genesee County Office for
the Aging, John Demske, re-
tired nursing home admin-
istrator, Jean Waite, Person-
al Perspective, and Carrie
Herrmann, LG ’16, Adult
Protective Services, Genesee
County Department of Social
Services, participated in a
panel discussion around this
topic.
The issues are numerous,
from health care aids be-
ing one of the most difficult
positions to find and retain
qualified personnel, to old-
er adults who do not want
to live in a nursing home or
who are lonely, as all of their
loved ones are gone. The
challenge is providing ways
for older adults to socialize,
Pantry
From T8
of spinach, and that went
fast,” Hunter said. “We have
a chicken farmer who has
brought fresh eggs. It all
helps.”
About every six weeks, the
pantry places orders with
Foodlink to cover gaps in do-
nations as well as certain sta-
ples that many donors do not
Health & Wellness Summer 2019
remain independent and
safe and continue to make
their own decisions for as
long as they can.
The group took tours with
Shelley Falitico, LG ‘06, of
Arc of Genesee Orleans; Paul
Ohlson, founder of Care-
A-Van ministries; and Lisa
Schutt, STR counselor, GCA-
SA Mobile Unit. Arc of Gen-
esee Orleans Self-Advocate,
Colleen, an individual served
by Arc of Genesee Orleans for
many years, shared her jour-
ney. With her family present
and the Class of 2019 listen-
ing intently, she presented
her story beautifully, por-
traying the importance and
mutual benefit of programs
and agencies such as Arc of
Genesee Orleans.
Afternoon tours included
the Salvation Army, YMCA,
United Memorial Medical
Center, Crossroads House,
VA Hospital and Gene-
see-Orleans Council on Al- PHOTO PROVIDED
coholism and Substance Members of the Class of 2019 talk with local human service agency representatives during the
Abuse (GCASA). The group health fair on Leadership Genesee Community Health Report Day.
returned from its tours to
visit with the more than 20 esee Orleans Community Facebook at www.facebook. County, an employer and ed-
agencies present for the LG Center with breakfast spon- com/LeadershipGenesee or ucator recognized for valu-
Health Fair. sored by the Arc and lunch contact Director Peggy Ma- ing AA/EEO, Protected Vet-
Leadership Genesee Com- sponsored by RRH United rone at (585) 343-3040, ext. erans, and individuals with
munity Health Report is only Memorial Medical Center. 118 or mem77@cornell.edu. Disabilities and provides
the beginning to a lengthier With a mission of “Explor- Leadership Genesee is a equal program and employ-
conversation. It serves as a ing the Community & En- program of CCE Genesee ment opportunities.
peek into the needs and con-
couraging the Leader With-
cerns we have in our com-
in,” Leadership Genesee is a
munity and to the services
that are currently in place year-long program designed
or missing to address these to raise awareness of the
needs. The experiences of needs and challenges that af- Real Estate Services
the day also create internal fect Genesee County and to Ask me about the 100% Money Back Guarantee!
conversations about ways we enhance individual leader- AR
D HA
MICHELLE DILLS
N
ship skills with a focus on giv-
NA
HO
can improve our own health Licensed Associate RE Broker
TEE
100
AN
ing back to the community.
%
M
ON
and become a resource to
A
R
EY B CK GU
A
570 East Main Street • Batavia, NY 14020
serve others. For more information, vis-
Cell: 585.314.7269
Leadership Genesee’s it LG’s website at www.gen- Office: 585.409.2141 • Fax: 585.343.8502
Community Health Report esee.cce.cornell.edu/lead- michelledills@howardhanna.com
HowardHanna.com
was hosted at the Arc of Gen- ership-genesee; “like” LG on
realize food pantries distrib-
ute. Matthews said that toi- If you are looking for one
place to meet all of your eye
letries, basic hygiene items
and paper goods, which are
not covered by food stamps,
are household necessities.
“You can go without tis- care needs, look to our
professional & friendly staff!
sues, without paper towels,
but you shouldn’t have to
go without toilet paper,” she
said. “Another popular thing We accept most insurance including
is dish detergent and laundry EYEMED, NYS Vision Plan, Univera, Community Blue,
detergent. People are real- (585) 344-1345 Spectera, Aetha, Cigna, Excellus, MVP, Fidelis,
ly happy when they can get 113 E. Main St., Batavia, NY Davis and Independent Health
their hands on that.”

EMS
From T12
cent emergency room dis-
charges with follow-up advice
and instruction designed to
make sure they don’t need to be
hospitalized again. It is a trend
that is becoming a model for all
counties in New York State as
EMS agencies increasingly pro-
vide more than an ambulance
service.
“We’re focused on EMS en-
counters to the ER and home.
Did the patient get everything
they need? Have they connect-
ed with their personal physi-
cian? What challenges might
they have in the home?” said
County EMS Director Karen
Dewar. “By making these con-
nections we are assuring the
care continues.”
Typically, a paramedic’s in-
teraction with the patients be-
gins with a 911 call followed by
a trip to an emergency room.
“They call for EMS thinking
the hospital is the only option,
but it may not be the only op-
tion,” Dewar said. “Sometimes
the paramedic can see a solu-
Reserve
From T11
munities, our residents, our
college students, retirees –
anyone who wants to help,”
said Coyle in announcing the
recruitment drive. “We’re
looking for everyday heroes
to help make Livingston
County safer and more pre-
pared.”
The Livingston County
Medical Reserve Corps is
part of a national program
developed to help local com-
munities organize for an
emergency. Large-scale nat-
ural or man-made disasters
have the potential to over-
whelm a community. These
emergencies are often too
large for local government
agencies to handle alone,
and often require assistance
from state and federal agen-
cies — assistance which can
be delayed in the first hours
of a disaster.
Through the Livingston
County Medical Reserve
tion and can help with the ini-
tial call.”
For example, a person who
has fallen may have loose rugs
or other tripping hazards in
their residence. The paramedic
may see this and have ways the
problem can be addressed to
prevent repeated falls and hos-
pital trips. Similarly, an illness
may not require an ER visit.
“This can help a lot in the
county,” Dewar said. “It’s an
opportunity to make sure
needs are met, and also pro-
vides the patient opportunities
to be able to stay in their home.”
Livingston County EMS is
responding to nearly 5,000 calls
annually, a number that has
been increasing in recent years.
The mission of the Living-
ston County EMS is to promote
and provide excellence in the
delivery of emergency medical
services to Livingston County,
while maintaining an EMS sys-
tem that integrates all levels of
EMS resources to deliver qual-
ity patient care. County EMS
provides the backbone for inte-
grating 12 transporting ambu-
lance services, five fire depart-
ment first responder agencies,
five Advanced Life Support
Corps, volunteer doctors,
nurses, pharmacists, den-
tist and EMTs, learn how
to assist in the response to
a disaster affecting Living-
ston County. People without
medical training are also en-
couraged to join the Living-
ston County Medical Reserve
Corps, as their non-medical
skills are also critical during
a response. Volunteers are
Health & Wellness Summer 2019 July 2019 • 19
services and the SUNY Geneseo
First Response agency.
Livingston County EMS pro-
EMS personnel have led
more than 800 classes in CPR,
first aid and other specialties,
said.
Through its partnership with
the Office for the Aging, County
vides emergency response sup- some that can lead to certified EMS offers geriatric screening
port services to other fire and first responder status. “There’s to see if there are ways to help
EMS services, and also mental a lot of hands-on, practical a patient with medications or
health. They may also provide
skills being taught,” Dewar daily care.
medical support to law en-
forcement - County EMS med-
ics are certified trauma special-
ists - for high-risk operations
such as serving a warrant to a
dangerous suspect.
“These men and women face
challenging circumstances, es-
pecially when it’s an emergen-
cy involving a child. Our goal
is to keep them healthy, both
physically and mentally,” Dew-
ar said.
EMS paramedics and EMTs
are also trained for hazardous
material situations and rope
rescue. The latter also a para-
medic or EMTs to get to a pa-
tient faster and provide treat-
ment during what could be a
time-consuming rescue opera-
tion, Dewar said.
EMS also partners with the
Department of Health, Office
for the Aging and the Office
of Emergency Management.
These partnerships assist both
first responders and patients.
provided valuable train-
ing free of charge, and learn
how to prepare themselves
and their families during an
emergency.
Joining the program is
quick and easy, and volun-
teers receive free training —
including an on-line course
developed in partnership
with the Harvard’s Center for
Public Health Preparedness.
20 • July 2019 Health & Wellness Summer 2019

Noyes surgery team takes

‘time out’ to promote safety
GENESEO — The perioperative nursing
team at UR Medicine | Noyes Health’s Ambula-
tory Surgery Center in Geneseo took an official
“time out” on June 12, as part of a national ini-
tiative to increase patient safety in the operat-
ing room.
The staff marked the Association for periop-
erative Registered Nurses “National Time Out
Day” with cake and, more importantly, with a
recommitment to a culture of safety.
“We work hard every day to take care of our
patients as best we can,” says Jessica Porter,
RN, nurse manager at the center. “Celebrating
‘Time Out Day’ is just a way of reminding us to
take a ‘time out’ before each surgery to prevent
wrong-site, wrong-procedure or wrong-pa-
tient surgeries.”
UR Medicine | Noyes Health’s Ambulatory
Surgery Center at 50 East South St. is a conve-
nient location for patients of Noyes’ orthopedic
and general surgeons, as well as for patients of
UR Medicine and private practice specialists in
the region. Patients can choose to have the fol-
lowing procedures at this location: arthroscop- UR Medicine Noyes Health Photograph
ic procedures such as knee exams or repairs; Perioperative team at Noyes Health’s Ambulatory Surgery
biopsies; ear, nose and throat surgery such as Services in Geneseo mark “Time Out Day.” Pictured are, from
tonsillectomy or adenoidectomy; eye surgery; left, Jessica Porter, Barbara Sanford, Anne Heiman, Melody
foot or hand surgery; OB/GYN or urogenital Forester, Renee Gilbert, Kelly Thompson, Renee Hoffman, Denise
procedures; upper or lower endoscopies; and MacNaughton and Stacy Schumacher.
other routine procedures.

Do you have HEEL pain

How to know when you or ARCH pain?

are magnesium deficient HEEL SPUR SYNDROME/PLANTAR FASCIITIS

Jo Coburn
True Wellness of WNY, Inc., President
Did you know that magne-
sium is responsible for over 300
enzyme reactions in your body?
It is estimated that half of Amer-
icans are suffering from a mag-
nesium deficiency and do not
even know it. This mineral often
referred to by the saying, the re-
laxation mineral. Most people
are familiar with Epsom salts
and taking Magnesium for con-
stipation but this mineral does
so much more for your health.
So, let’s talk a bit about what it
does, how you can get more,
and how to tell if you need it.
First, what does magnesium
do? We already mentioned it
is involved in enzymes in your
body. Enzymes are special
proteins which help your body
efficiently do all the biochemi-
cal jobs it needs to do. It is like
having the right key for the lock
or the right tool for the job.
Sometimes you can do the job
without it. But over time when
the body doesn’t have the right
amount of magnesium, we can
get all sorts of dysfunction.
Things like: muscle cramps,
insomnia, irritability, anxiety,
sensitivity to loud noises, au-
tism, headaches, angina, con-
stipation, migraines, chronic
fatigue, asthma, kidney stones,
diabetes, obesity, osteoporo-
sis, PMS, high blood pressure,
the list goes on and on. In fact,
there are over 3,500 medical
references for magnesium de-
ficiency.
One of the main reasons we
are so deficient in this mineral
is because of our diets. Many of
us base our daily meals around
white flour, meat and dairy.
All those foods contain little to
no magnesium. Foods like sea
vegetables, nuts, greens and
beans are great sources of mag-
nesium. And then magnesium
is depleted when we consume
alcohol, coffee, cola and med-
ALDEN
FAMILY
DENTISTRY
Frank Soltiz, DDS
Joseph F. Soltiz, DDS
716-937-7812
13367 Broadway, Alden, NY 14004
www.aldenfamilydentistry.com
ications like diuretics, antibiot-
ics and other drugs. Add to this
that magnesium is often poorly
absorbed but easily lost from
our bodies and we have the
perfect setup for magnesium
deficiency.
Don’t rush out and start
popping magnesium supple-
ments, because not everyone
needs extra magnesium. On
the other hand, many people
will benefit from adding a sup-
plement to their daily routine.
There are a couple of blood
tests that are used to measure
See MAGNESIUM T25
is a common problem among people who are active. It starts as
a dull intermittent pain in the heel which may progress to a sharp
persistent pain. Classically, it is worse in the morning with the first
few steps, after sitting, after standing, or after walking.
• Plantar fasciitis often begins with irritation and tearing of the
fibrous band of tissue on the bottom of the foot, which may
eventually result in the formation of a heel spur.
• Contributing factors: flat pronated feet, high arched feet, poor
shoe support, increased age, sudden weight increase,
increased activity level, family tendency.
• Approximately 2-3 times your body weight of force is exerted
on each foot with walking. Flexible, non-custom molded arch
supports found at those advertised shoe stores cannot support
these forces and usually do not provide long-lasting relief, do not
come with a lifetime warranty, and are typically more expensive
than custom-molded ones made by our office.
• 95% of our patients’ symptoms are resolved with conservative
treatment, avoiding surgical intervention.
• We also offer surgical procedures with the best post op success
rates using Endoscopic Plantar Fasciotomy techniques, EPF
resulting in minimal incisions and scarring, immediate ambulation
and often back in a shoe in 1 week.
• If you can’t remember when your feet didn’t hurt, now is the
time to give us a call.
Advanced Podiatry Associates
Dr. Joseph Canzoneri
2 STATE STREET, BATAVIA
585-343-8150
NEW PATIENTS WELCOME
MINIMAL WAIT TIME
Mon., Thurs., Fri. 8AM-5PM; Tues. 11-8PM
EVENING HOURS AVAILABLE
In Office Flouroscan • Handicap Accessible
 Health & Wellness Summer 2019 July 2019 • 21

E-cigarette bacco cessation method, it is

From T15
haled, eaten or touched. It is
associated with lung cancer.
AcryDiacetyl: A chemical
which gives microwave pop-
corn that buttery smell. It is
blamed for causing “Pop-
corn Lung” in workers at mi-
crowave popcorn packaging
plants. “Popcorn Lung” caus-
es permanent damage to lung
tissue. AcryDiacetyl is found in
many e-liquids.
■ Heavy metals: Such as lead,
tin, chromium, and nickel.
And that’s not all. When
University of Rochester toxi-
cologist Irfan Rahman talked
to young vapers, some com-
plained of bleeding mouths
and throats. And these bloody
sores seemed slow to heal. He
decided to investigate what
the vapors inhaled from elec-
tronic cigarettes might be do-
ing to mouth cells.
His team showed that these
vapors inflame mouth cells
in ways that could potential-
ly promote gum disease. That
gum damage can destroy the
tissues that hold teeth in place.
But that’s hardly the end of
it.
Vapers inhale those same
gases and particles into their
lungs. Rahman wondered
what effects those vapors
might have on cells there. One
gauge would be to test how
long any lung-cell damage
took to heal. And his data con-
firm that e-cigarette vapors al-
serving to enslave a whole new
generation of young people to
nicotine – one of the most ad-
dictive substances known.
Further, more than 30 per-
cent of young e-cigarette us-
ers will go on to smoke tobac-
co within six months. Among
adult smokers, many who try
e-cigarettes continue to smoke
tobacco as well.
Public health nightmare
From a public health per-
spective, this is a nightmare.
For Big Tobacco, which is in-
vesting in e-cigarette compa-
nies, it’s a goldmine.
We succeeded in teaching
our kids that cigarettes are
dangerous. The tobacco com-
panies had to find another way
to cultivate new customers,
and this is it.
Making the situation even
more difficult is how widely
available these devices are. Fif-
ty percent of Livingston Coun-
ty youth report that e-ciga-
rettes are easy or very easy to
get.
The most popular nicotine
delivery device is the JUUL.
JUUL Labs, its creator, a $16
billion corporation, is a spinoff
Ask me about the 100% Money Back Guarantee!
DEBORAH GILLEN
Licensed Real Estate Salesperson
570 East Main Street • Batavia, NY 14020
of a Canadian company, PAX,
that makes cannabis vaping
devices using the same basic
technology.
JUUL currently controls
almost three-quarters of the
e-cigarette market in the
United States. Altria, former-
ly known as Philip Morris,
bought a 35 percent share of
JUUL Labs. Not only are they
interested in e-cigarettes Altria
intends to cash in on the mas-
sive legal marijuana market.
With legalization in Canada
and possibly New York, expect
to see JUUL-like cannabis vap-
ing devices on sale at your lo-
cal vape shop along with those
already for sale there.
Teens love the JUUL be-
cause it is easily concealed. It
looks like a flash drive, and can
be recharged by plugging it in
to a computer.
Most JUUL users don’t re-
alize that all JUULs contain
nicotine, and JUUL’s patented
nicotine salt formula is stron-
ger and therefore more addic-
tive than other e-cigarettes.
Young people get addicted
to nicotine easily. Particular-
ly around puberty, which is
where many young people
start experimenting, the brain
is growing at a greater rate
than any time since infancy.
Unfortunately, the frontal
lobes, which put a brake on
impulsive behavior, are the
last to develop. Once the re-
ward-craving cycle is activated
by nicotine, the brain is more
likely to become addicted to
other substances.
Early intervention is key
What we need to do is ed-
ucate young people, starting
in middle school at the lat-
est. ‘We need to encourage
them to find a “natural high”
through exercise, sports, the
arts, or other means of getting
the “rush” they crave. Find
something you love, and prac-
tice it, and you have a healthy
habit for life. Try drugs, and
your brain adapts to that.
Feel Good About Yourself...
CASA-Trinity’s prevention
specialists are busy through-
out the county educating
young people about the dan-
gers of e-cigarettes, and how
youth are being targeted by
e-cigarette marketing and so-
cial media. As with tobacco,
corporations know that the
teen brain is easily addicted,
and they promote their prod-
ucts to young teens, who will
be their friends for life.
As a response to the epidem-
ic of e-cigarette use and vap-
ing among middle and high
school students, CASA-Trinity
is also offering a free program:
“e-Cigs & Vaping: A Brief Inter-
vention,” for students who are
using these electronic nicotine
delivery devices.
In three one-hour sessions,
See E-CIGARETTE T22

Cell: 585.749.8951
Help The Elderly
so make it hard for lung cells to Office: 585.409.2133 • Fax: 585.343.8502

repair damage.
deborahgillen@howardhanna.com
HowardHanna.com We Are Looking For Special
A little history
People Like You!
As the story goes, electronic
nicotine delivery systems, or Simplify your life!
e-cigarettes, were invented in
China by a young man whose
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22 • July 2019 Health & Wellness Summer 2019

Lattimore therapy expands in Geneseo

LIVINGSTON COUNTY AREA CHAMBER OF COMMERCE PHOTOGRAPH

Johanna Kaufmann, center, director of physical therapy for Lattimore Physical Therapy of Geneseo
prepares to cut the ribbon during an opening celebration of Lattimore’s new facility at 4 East South St. BEN BEAGLE/LIVINGSTON COUNTY NEWS
Lattimore Physical Therapy of Geneseo has moved in to a newly-
New facility brings many upgrades, new equipment renovated facility at 4 East South St., Geneseo. The location has
allowed Lattimore to add new equipment such as the chest press
By BEN BEAGLE facility at 4 East South Street has been com- shown here.
ben@livingstonnews.com pletely renovated with an open floor plan and
GENESEO — The once austere, 1940s-era six large, tinted windows replacing garage bay
cement block building at the top of East South doors – with tiny windows – on the front of the
Street has an airy new look and a new purpose: building.
Fixing broken bodies instead of broken buses. Inside, treadmills for running or walking
Lattimore Physical Therapy of Geneseo have replaced tool boxes, and equipment such
moved into the building — commonly known as a chest press machine or a leg extension ma-
for its former purpose as the old Geneseo Cen- chine for leg curls and other exercises used in
tral School bus garage — earlier this year. The See LATTIMORE T23

E-cigarette director of CASA-Trinity. She Free Communities Coalition in

From T21 oversees the prevention programs Livingston County (Healthy Com-
in Livingston, Chemung and munities that Care). She has more
students will explore their
Tioga counties. She also serves as than 15 years of experience in the
motivations for using e-ciga-
rettes, gain knowledge about the project director for the Drug prevention field.
the risks of vaping nicotine or
other substances, set goals and
find support for quitting. The
program uses motivational in-
Thomas Wenhold PT PC
terviewing, an evidence-based “Physical Therapy with a Personal Touch”
approach to help young peo-
ple consider their options and
make their own decisions to
reduce or eliminate risky be-
haviors.
CASA-Trinity’s trained pre-
vention specialists are avail-
able to provide training and
the program “e-Cigs & Vaping:
Featuring Aquatic Therapy
A Brief Intervention” to stu- In Addition to Land Based Therapies
dents throughout Livingston,
Chemung and Tioga counties. (585) 765-2562
(585) 765-2198-Fax
Rachel Pena, a credentialed pre-
25 LAKE AVE., LYNDONVILLE, NY 14098
vention professional, is prevention
 Health & Wellness Summer 2019 July 2019 • 23

Indoor tanning isn’t always

a “safe alternative”
To get ready for the summer
months, some people will be
going to use tanning beds and
booths.
Once thought of as a “safe al-
ternative” to natural sunlight,
indoor tanning booths are just
as dangerous to skin health as
the sun, according to the Liv-
ingston County Department of
Health.
Tanning beds release high
amounts of UV radiation,
causing damage to the skin.
Although this damage may not
be seen immediately, it may re-
sult in skin cancer in the future.
Dartmouth Medical School
found that using a tanning bed
makes a person 2.5 times more
likely to develop skin cancer.
This research was based on
the use of a tanning bed once
during a person’s lifetime, not
regular or prolonged use.
Indoor tanning can also
cause immune system sup-
pression and complications
with vision and eye health, in-
cluding cataract development
and eye cancer.
According to the Skin Can-
cer Foundation, one in five
Americans are estimated to
be diagnosed with skin can-
cer in the course of a lifetime.
Although preventable, thou-
sands of people die from skin
cancer each year.
There are two forms of skin
cancer. Non-melanoma skin
cancers are those that are local-
ized to one area of the body and
do not spread to other systems
or organs in the body. They are
usually found on areas of the
skin that are most exposed to
ultraviolet radiation, such as
the face, hands and neck. In
the United States, more than
5.4 million cases of non-mel-
anoma skin cancer are treated
each year.
Melanoma skin cancer is
more dangerous, and results
from repeated overexposure to
UV rays. Melanoma can spread
to other parts of the body, mak-
ing it more dangerous and
deadly if left untreated.
Both forms of cancer are
highly treatable when detected
in their early stages, however
avoiding indoor tanning beds
all together is the safest and
easiest way to avoid skin can-
cer.
Talk to your doctor about a Tanning beds release high amounts of UV radiation, which can
skin cancer screening. cause damage to the skin.

Lattimore Physical therapy can help

From T22
strength training and muscle
toning have replaced lifts or
wells for working on buses.
“It’s a brand new, fresh
space,” says Johanna
Kaufmann, director of physi-
cal therapy for Lattimore.
The 5,000 square foot build-
ing also gives Lattimore staff
about 1,000 square feet more
than it had at its former loca-
tion, 4577 Morgan View Rd.,
Geneseo.
The additional space has
allowed Lattimore to add ma-
ny upgrades, such as new gym
equipment, new cardio equip-
ment, free weights and weight
machines; dedicate more
space for physical therapy
programs, and offer a separate
exercise room that is used for
classes such as the senior-ori-
ented Silver Fit and Silver
Sneakers exercise programs.
Lattimore, which moved
into the new location on April
1, celebrated the new location
with a ribbon cutting on June
21.
Lattimore has been serving
Geneseo for 25 years.
some patients avoid surgery,
Kaufmann, who has been with
Lattimore since 2010 and has Family-Type Home
for Adults
decrease or abolish long term been clinical director of the
medication use, return to work Geneseo location since 2012.
or sport, recover from surgery, Patients don’t need a refer-
and generally live a healthier ral and they can do physical
life with less pain. therapy without a prescrip-
At Latitmore, staff takes a tion.
hands-on approach with pa- Lattimore staff includes a
tients to learn about injuries
and their recovery goals, said See LATTIMORE T24
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24 • July 2019 Health & Wellness Summer 2019

Top places you forget to apply sunscreen

HOUSTON, TEXAS — You may always
wear sunscreen while spending time in
the sun, but when it comes to protecting
every part of your skin there are certain
places that people commonly forget
about.
Baylor College of Medicine’s Dr. Cari-
na Wasko, associate professor of derma-
tology, shares the top places people miss
when putting on sunscreen and ways to
prevent skin cancer and aging.
Tops of ears
When applying sunscreen to the face,
people often overlook adding it to their
ears as well. This is a common area on
which to find precancerous abrasions
and skin cancers during routine skin can-
cer screenings, Wasko said.
“As far as places where people miss
their sunscreen on a daily basis, the tops
of the ears really come to mind,” Wasko
said. “Women who have longer hair and
cover them are a little less worrisome, but
it is more worrisome for individuals with
shorter hair who often forget the tops of
their ears.”
when going out for a run, but on a daily
basis it’s hard because people aren’t go-
ing to be spraying sunscreen in their hair
and also don’t want to necessarily wear
a hat,” she said. “You can get a lot of sun
damage on the top of your head so that
can be a little tricky.”
Hands
It is important to remember your
hands when applying sunscreen to your
arms or face. Wasko addresses that you
should not only apply it while outside,
but also when driving because the car
windows do not fully block out the sun’s
ultraviolet rays. She adds that this is one
of the first places people begin to notice
Wear a hat. The scalp is one of the most frequently missed places to apply sunscreen. signs of aging.
While putting sunscreen on your scalp may not always be an option, wearing a wide- “It’s important to apply it for skin can-
cer risks but also for photo aging and
brimmed hat whenever you plan on being outside for an extended period of time or
keeping your scalp away from direct sunlight can help prevent skin cancer and aging. photo damage,” Wasko said. “A lot of
people later on look at their hands and
Scalp Wasko recommends wearing a wide are very disappointed about how much
brimmed hat whenever you plan on freckling and wrinkling they have – much
The scalp is another one of the most
being outside for an extended period of of that has to do with time spent driving
frequently missed places to apply sun- time or keeping your scalp away from di- in your car. The top of your hands are get-
screen. While putting sunscreen on rect sunlight.
your scalp may not always be an option, “Maybe people will wear sunscreen See SUNSCREEN T27

Lattimore Cindy Shuman in 1992. Since

then, Lattimore has grown to
more than 20 locations in four
are Lattimore offices in Avon,
490 Collins St., (585) 226-2480;
and Dansville, 40 Village Pla-
From T23 different counties. za, (585) 335-2456. To reach
There are three Lattimore the Geneseo facility, call (585)
full-time personal trainer in facilities in Livingston County, 243-9150. For more informa-
the gym, three physical thera- and also locations in Monroe, tion on the Lattimore Physical
pists and two physical therapy Ontario and Yates counties. Therapy Network, go to www.
assistants. In addition to Geneseo, there lattimorept.com.
The physical therapists at
Lattimore serve all ages, from
6 months old to 100 years old
and can handle all different
kinds of injuries. Common
injuries include back or knee
pain, and shoulders strained
by snow shoveling, or – now
that summer is hear – garden-
ing.
Kaufmann said Lattimore
can provide a full post-opera-
tive rehab program.
One area in which Latti-
more specializes is in vestibu-
lar rehab, for conditions such
as vertigo and TMJ.
Lattimore also offer some
different technique such as
cupping, a type of massage.
“The biggest change for us is
the amount of space and visi-
bility,” Kaufmann said.
The Lattimore Physical
Therapy & Sports Rehabilita-
tion Network was founded by
physical therapists John and
 Health & Wellness Summer 2019 July 2019 • 25

Hospital is recognized for stroke care efforts

DANSVILLE — UR Medicine | Noy-
es Health has been recognized by the
American Heart Association with an
award for the hospital’s stroke care.
UR Medicine | Noyes Health
has received the Association’s Get
With The Guidelines Target: Stroke
Honor Roll Elite Silver Plus Quality
Achievement Award. The award rec-
ognizes the hospital’s commitment
to ensuring stroke patients receive
the most appropriate treatment ac-
cording to nationally recognized,
research-based guidelines based on
the latest scientific evidence.
UR Medicine | Noyes Health
earned the award by meeting spe-
cific quality achievement measures
for the diagnosis and treatment of
stroke patients at a set level for a
designated period. The measures in-
clude evaluation of the proper use of
medications and other stroke treat-
ments aligned with the most up-to-
date, evidence-based guidelines
with the goal of speeding recovery
and reducing death and disability
for stroke patients. Before discharge,
patients should also receive educa-
tion on managing their health, get a
follow-up visit scheduled, and other
care transition interventions.
“UR Medicine | Noyes Health” is
dedicated to improving the quali-
ty of care for our stroke patients by
implementing the American Heart
Association’s Get With The Guide-
lines-Stroke initiative,” said Tammy
West, Noyes vice president of patient
services and chief nursing officer.
“The tools and resources provided
help us track and measure our suc-
cess in meeting evidenced-based
clinical guidelines developed to im-
prove patient outcomes.”
Noyes additionally received the as-
sociation’s Target: Stroke Honor Roll
Elite award. To qualify for this recog-
nition, hospitals must meet quality
measures developed to reduce the
time between the patient’s arrival at
the hospital and treatment with the
clot-buster tissue plasminogen acti-
vator, or tPA, the only drug approved
by the U.S. Food and Drug Adminis-
tration to treat ischemic stroke.
“We are pleased to recognize UR
Medicine | Noyes Health for their
commitment to stroke care,” said Dr.
Lee H. Schwamm, national chairper-
son of the Quality Oversight Com-
mittee and executive vice chair of
neurology, director of acute stroke
services, at Massachusetts General
Hospital, Boston, Mass. “Research
has shown that hospitals adhering
to clinical measures through the
Get With The Guidelines quality im-
provement initiative can often see
fewer readmissions and lower mor-
tality rates.”
According to the American Heart
Association/American Stroke Asso-
ciation, stroke is the No. 5 cause of
death and a leading cause of adult
disability in the United States. On
average, someone in the U.S. suffers
a stroke every 40 seconds and nearly
795,000 people suffer a new or recur-
rent stroke each year.

Magnesium cations but are suffering from

some symptoms of deficiency,
you can safely add some mag-
of magnesium you will want
to avoid are carbonate, sulfate
and oxide. They are not easily
joy some relaxing magnesium.

Jo Coburn is the President of True

From T20
magnesium.
Serum Mg levels check what
is dissolved in your blood and
is a good indication of what
your dietary magnesium con-
sumption is like, but you can
tell that by seeing how many
of these foods you are eating:
kelp, wheat bran, wheat germ,
almonds, cashews, buckwheat,
brazil nuts, dulse, filberts, mil-
let, pecans, walnuts, rye, tofu,
soy beans, brown rice, figs,
dates, collard greens, shrimp,
avocado, parsley, beans, barley,
dandelion greens, and garlic.
A much better marker is red
blood cell magnesium or RBC
Mg for short. This will show
you how much magnesium
your body is absorbing for use
inside its cells, where the real
action is happening. This is a
simple blood test most doctors
will order.
If you are taking medica-
tion, it is best to check with
your doctor or pharmacist be-
fore adding a magnesium sup-
plement, especially if you are
taking: diuretics, antibiotics,
antacids, bisphosphates, di-
goxin, gabapentin, high blood
pressure or diabetes meds like
Sulfonylureas, anti-clotting
meds, or muscle relaxants or if
you have kidney disease.
If you aren’t on any medi-
attended the University of Roches-
ter where she studied Biology, the
Institute for Integrative Nutrition
nesium to your routine. Be ad- absorbed and are a waste of Wellness of WNY, Inc. As a Func- and The School of Applied Func-
vised that even though magne- your money. The most absorb- tional Medicine Health Coach, she tional Medicine. True Wellness is
sium is relatively inexpensive able forms are magnesium believes in the power of the human based in Batavia and works with
there are a lot of cheap supple- citrate, glycinate, taurate or a body to heal and has dedicated clients locally as well as remotely
ment out there that will land chelated form such as malate. her life to helping people choose via phone and video conferencing.
you in the bathroom before Each form is helpful in a dif- wellness and thrive in their unique You can find True Wellness online
they help relieve you of your ferent way in the body and can
body. A lifelong student, she has at www.truewellnesswny.com or
discomfort. help with different symptoms.
Magnesium Citrate is great A simple and relaxing way to
if you need relief from consti- get magnesium is by taking
pation because it likes your co- an Epsom salt bath because
lon and goes there and relaxes magnesium is easily absorbed
it but not so good if that is not through your skin. So, draw
your problem. Cheaper forms yourself a nice hot bath and en-
Durable Medical Equipment PREGNANCY GINGIVITIS
Among the many changes that women go through during pregnancy
Ostomy Supplies is the development of swollen gums that may be sore and vulnerable
to bleeding. This form of gum inflammation, known as “pregnancy
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• Trained Pharmacist mind, pregnant women should schedule regular visits to the dentist to
J. Rutowski, R PH preclude potential gum problems.
It is our mission at BATAVIA FAMILY DENTAL to create and maintain
healthy and beautiful smiles for our patients in a nurturing and peaceful
environment. We feel it is advantageous to educate our patients on the
importance of preventive, quality dental care. Change your life with just
a smile here at 6 Batavia City Centre, where we provide the optimum
dental solution for each patient in our care. Call 585.343.4246 for an
75 North Main St., Warsaw, NY 14569
appointment. We accept most insurances.
Phone: 786-2330 / Fax: 786-2767 P.S. The severity of pregnancy gingivitis usually increases during the
Mon.-Fri. 9am-9pm; Sat. 9am-4:30pm; Sun. 9am-1pm
second trimester of pregnancy.
Your friendly neighborhood pharmacy, gift shop & more!
26 • July 2019 Health & Wellness Summer 2019

Keep children safe during summertime fun

When summer weather
comes, it means more out-
door activity for children.
For parents and guardians
this means being extra care-
ful to make sure your chil-
dren stay safe.
Keep your children safe
this summer by following
these simple tips:
Water safety
Never let your child play
in or near water without an
adult present. Even if children
know how to swim, they can
still find themselves at risk.
Also remember that in-
fants, toddlers and young
children can drown in as lit-
tle as 2 inches of water.
Make sure that children
wear life jackets in and
around natural bodies of wa-
ter, even if they know how to
swim.
Pools should have a
four-sided fence, separat-
ing the pool from the house,
keeping children away from
the area when they are not
supposed to be swimming.
Also, teach kids to swim to
prevent drowning and learn
CPR to be ready in case of an
emergency.
Insect Repellant
There are many insect re-
pellants that are safe to use
for children. Be sure you pick
repellants with DEET, picar-
idin (KBR 3023), IR 3535, or
citronella oil.
If you use a repellant with
DEET, be sure the prod-
uct has less than 30 percent
DEET, and do not spray near
the mouth or eyes and follow
manufacturer’s directions.
Do not use insect repel-
lants with DEET on infants;
instead cover them with net-
ting to avoid bites.
15 or higher is the best de-
fense. Sunscreen should be
applied 30 to 45 minutes be-
fore exposure to the sun, and
should be reapplied every
two hours or sooner if your
child has been swimming or
sweating.
Stay in the shade whenever
possible, and wear clothing
that protects you from the
sun, such as a hat and sun-
glasses.
Schedule outdoor activi-
ties for morning and evening
hours when the sun is not as
strong.
Bicycle Safety
All children ages 14 and
younger are required by law
to wear their bicycle helmets.
Wearing a bicycle helmet
can protect a child of any age
– including adults – from se-
rious injury. Make sure your
bicycle has reflectors if you
are biking at night.
For questions on summer Wearing a bicycle helmet can protect a child of any age from serious injury.
safety, contact:
• Genesee County Public livingstoncounty.us/172/ Department at (585) 786- net/203/Health-Depart-
Health Department at (585) Department-of-Health. 8890 or www.wyomingco. ment.
344-2580 or www.co.gen- • Orleans County Depart-
esee.ny.us/departments/ ment of Public Health at
health/index.php. (585) 589-3278 or its website
• Livingston County De- www.orleanscountyny.gov/
partment of Health at (585) publichealth.
243-7299 or its website www. • Wyoming County Health

Sun Safety
Overexposure to sun and
ultraviolet light increases
your child’s risk of skin can-
cer. Regular use of sunscreen
can lower children’s risk of
skin cancer by almost 78 per-
cent, accoridng to the web-
site keepkidshealthy.com.
Sunscreen with an SPF of
 Health & Wellness Summer 2019 July 2019 • 27

Free vaccine available for food service workers

BATAVIA — The Genesee County
Health Department has recently been
awarded a grant to provide the Hepatitis
A vaccine to food service workers at no
cost to them or the employer.
In Western New York and across the
United States, foodborne outbreaks of
Hepatitis A have occurred as a result of
infected food service workers. Brenden
Bedard, director of community health
services for Genesee and Orleans coun-
ties, said he understands the severity of
Hepatitis A and the effect it can have on a
business and community.
“Hepatitis A is a serious issue because
most food service workers will spread
the infection before even knowing they
have the disease,” he said. “A food ser-
vice worker can spread the virus to cus-
tomers or other staff by contaminating
surfaces, utensils and/or food, which
can make unvaccinated individuals very
sick. By offering the vaccine to food ser-
vices workers, we can prevent unneces-
sary illness from spreading in the com-
munity.”
Hepatitis A is a contagious (spread-
able) liver infection that is caused by
the Hepatitis A Virus (HAV). It is typi-
cally spread through the feces (poop)
of infected individuals. Someone can
become infected by consuming food or
drink that has been contaminated by
feces as well as having close personal
contact with a person who is infected, or
use of injection and non-injection drugs.
The symptoms of HAV may include sud-
den onset of fever, loss of appetite, nau-
sea/vomiting, stomach pain, dark-col-
ored urine and jaundice (a yellowing
of the skin and whites of the eyes). HAV
usually does not have signs or symptoms
until the second week of infection and is
the most infectious during this time.
The good news, the Health Depart-
ment says, is that Hepatitis A can be pre-
vented through vaccination. According
to the Centers for Disease Control and
Prevention (CDC), the vaccine has a 94–
100% efficacy rate. The Hepatitis A vac-
cine is a two-dose series that is adminis-
tered six months apart. As the vaccine is
not required to attend school or daycare,
many people have not received it.
Currently three local restaurants have
taken advantage of this opportunity for
themselves and their employees who
chose to receive the vaccine. The restau-
rants who have participated thus far
have all expressed gratitude knowing
their employees can protect themselves
and their customers from the Hepatitis A
virus.
Any food service worker employed
in Genesee County can receive the vac-
cine. By receiving the vaccine, you are
also protecting yourself from getting the
virus if you come in contact with dishes
and/or utensils that may have been con-
taminated by a customer or co-worker.
Restaurants who participate in this op-
portunity will receive a certificate honor-
ing their commitment to protecting the
health and safety of their workers and
customers.
Limited vaccine is available through
the funding, so the supply will be on a
first-come, first-served basis.
For more information, please call the
Genesee County Health Department
at (585) 344-2580 ext. 5555. The depart-
ment is open Monday through Friday
from 8:30 a.m. to 5 p.m.

Sunscreen the importance of remember-

ing to wear sunscreen every day
and thinking about the areas
From T24 that could be missed.
the bottom of their feet, but skin
cancers can occur anywhere,
even in the areas that don’t get
sun.” Ask me about the 100% Money Back Guarantee!

ting sun exposure even if you’re
not spending a lot of time out-
side.”
Forearms
It may be common knowl-
edge to wear sunscreen on
your forearms while at the pool
or beach, but Wasko explains
that this is an area where skin
cancers often are found. Like
the top of the hands, your fore-
arms are also exposed to the sun
while driving or during day-to-
day activities. She recommends
wearing sunscreen on your
hands and forearms whenever
you spend anytime outside or
even simply driving to work.
She adds that it is also pos-
sible for melanomas and skin
cancers to grow on areas of the
skin that are not as exposed to
the sun.
“Generally, skin cancer
screening is from the top of your
head to the bottom of your feet,”
Wasko said. “People will often
think if they don’t get sun expo-
sure they can’t get skin cancer in
that area, such as a part of their
leg that’s usually covered up or
Wasko recommends wear- CHARLES FLYNN
ing a SPF 30 or above sunscreen Licensed Associate Real Estate Broker
even during cloudy or rainy days 570 East Main Street • Batavia, NY 14020
to prevent skin cancer and ag- Cell: 716.860.2222
Office: 585.409.2130 • Fax: 585.343.8502
ing. If you are outside on a sun-
ny day, it is essential to reapply
charlesflynn@howardhanna.com
HowardHanna.com
about every two hours or when
you towel off after swimming.
For skin cancer screenings,
she recommends the average
adult visit their dermatologist
at least once a year for a routine
check.

Upper chest
Although it is relatively com-
mon to apply sunscreen to the
upper chest, Wasko explains
how people tend to forget it on
a daily basis. She said it is a fre-
quent area where dermatolo-
gists find all types of skin can-
cers, including melanomas.
“We try to really emphasize
the importance of wearing sun- Specializing in Pediatric Dentistry
screen every day for exposed
areas even if you’re just going
413 East Main St., Batavia
to work, but if you’re going to 585.343.1900
be out it’s a different story – you
must reapply,” Wasko said. Now Accepting New Patients
Since dermatologists check Many Insurances Accepted
the entire body during skin can- bradleyeckerdds.com
cer screenings, Wasko stresses
28 • July 2019 Health & Wellness Summer 2019

Did you know?

People looking for a good
cardiovascular or aerobic
exercise may not need to in-
vest in a gym membership
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HEALTH CARE SERVICES

• Skilled Nursing
• Rehab Therapies/Care
• Medical Social Work
• Infusion Therapies
• Home Health Aides
• Daily Home Monitoring
• Palliative Care
• Cardiopulmonary Care • Lifetime Care Office
• Diabetes Education/Care * Hospice available in Monroe, Seneca,
and Wayne County locations
• Cancer Care
• Parkinson’s Disease Care To inquire about Lifetime Care services or
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Rochester Office Newark Office Auburn Office Dundee Office Lakeville Office
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 Health & Wellness Summer 2019 July 2019 • 29

University of Central Florida researchers find

link between processed foods and autism
By Naseem S. Miller that the disorder results feld, a professor at Univer- brains with PPA led to autis- ral changes occur.
Orlando Sentinel (TNS) from culmination of sever- sity of Missouri at the Bond tic-like behavior. Other stud- UCF researchers say
A preservative in pro- al factors, including genetic Life Science Center, who ies have suggested that the they’re the first to discover
cessed foods can hold one of predisposition, maternal im- was not involved in Naser’s type of neural cells in autis- the molecular effect of ele-
the clues to the rising rates of mune system abnormalities study. “We’ve changed how vated levels of PPA on neural
tic brains are different from
autism in the United States, in early pregnancy and envi- we store our food and we eat stem cell development and
according to a laborato- normal brains.
ronmental triggers. much more processed food. the potential link to autism.
ry-based study by University “There’s a strong link that Let’s go back to the way we But it hasn’t been clear
of Central Florida research- how, when and why the neu- See AUTISM T30
the environment can have had home-cooked meals”
ers. an influence on autism, be- and use glass containers in-
Scientists exposed human
neural stem cells to high lev-
cause one of the things we
know is that the rate of au-
stead of plastic, she said.
Naser and his team de-
A NICE SMILE IS
els of the food preservative
Propionic Acid or PPA and
tism has increased greatly
in the past decades, and it’s
cided to focus on PPA to
fill in the gaps left by previ-
ALWAYS IN STYLE!
found that it reduced the not explained by genetic fac- ous studies. One study has
development of neurons.
The preservative is found
tors,” said Dr. Cheryl Rosen- shown that injecting rats’ OFFERING:
in packaged and processed Traditional Braces
foods, such as baked goods
and cheese.
Clear Ceramic Braces
The findings could mean Invisalign
that consuming too ma- Palatal Expansion
ny foods that contain PPA
during pregnancy can affect
the development of the brain Call for a FREE consultation to discuss how you
of the fetus or newborn and
increase the risk of autism,
can get the smile you’ve always dreamed of!
researchers said.
The study doesn’t draw Specialist in Orthodontics For Children & Adults
a cause-and-effect conclu-
4376 Lakeville Road,
sion about PPA and autism.
And because it was done in Route 20A, Geneseo
the lab, it’s too soon to tell 585-243-3174
what the findings mean for www.drkochortho.com
humans. But researchers say Feel Good About Yourself...
it’s another reminder about
the importance of eating
home-made, healthy foods
during pregnancy.
Help The Elderly
“The ultimate goal of this
study is really to prevent
autism from happening,”
We Are Looking For Special
said Dr. Saleh Naser, lead
researcher and professor of
People Like You!
medicine at the UCF College
of Medicine. “What we are References & Background Checks Required
saying is that pregnant wom-
Flexible Hours ~ at the Gardener’s Cottage
en should be careful about
5132 Route 63
what they eat. Food con-
taining PPA should avoided Doctor Appointments Shannon B. Chanler, MA. L.Ac
during pregnancy.”
Nearly one in 59 children
Companionship • Errands • Meals Nationally Board Certified
in the United States is diag- GeneseoAcupuncture.com
nosed with autism spectrum
disorder, according to the
Health & Wellness Referral
latest report from Centers for
Disease Control and Preven-
Services Sports Injury, Oncology Support, Pain, Fertility,
tion. Two decades earlier, 212 Main St., Leicester Food Therapy, Herbal Support, Meditation, Quigong.
the odds of diagnosis were 585-382-3260 Experience the good side effects!
one in 150.
It’s still not clear what P.O. Box 353 Geneseo, NY 14454
causes autism. It’s thought
30 • July 2019 Health & Wellness Summer 2019

Exercise can effectively push the heart and lungs

From T28
daily routine, walking can
be an effective cardio exer-
to work hard without adversely affect-
ing the joints in the way that other aer-
obic exercises might. Harvard Health
says that walking of any kind can help
people maintain healthy weights, low-
er their risk for various diseases, keep
strengthen bones. A number of studies
also show that walking can help people
improve memory and avoid age-relat-
blood pressure in check, lift mood, and ed memory loss.
Specializing In Individual Personalized Care

ALPINE MANOR
cise if one goes at a brisk pace
of at least three miles per
hour. Walking at this pace

Assisted Living Facility

Autism Est. 1971
An adult living facility
• NY SDOH Licensed Facility
• No Tier Pricing
From T29 SPECIALIZING IN WOMEN’S HEALTH CARE dedicated to providing •
each resident with high • Health & Medication
The 18-month study, Offering Progressive quality, personalized
funded by UCF, was pub- Management
care. With only 36 resi-
lished in the Scientific Re-
ports, a Nature journal.
Health Care Across a dents we are able to give • Daily Recreation / Activities
Naser’s research showed every person the indi- •
that when human neural Woman’s Life Span vidual, personal care •
stem cells were exposed to they deserve. veterans
excessive levels of PPA, they
ACCEPTING NEW PATIENTS
shifted to overproduction of
glial cells and a reduction of Krysten Schmidt FNP 585.346.5880
108 Bank Street, Batavia
the number of neurons.
Glial cells don’t partici- 343-6600 • fax 343-6601 • ladiesfirst@verizon.net www.alpinemanor.com
pate in electrical signaling in Hours: Mon. 8-4, Tues. 7-3, Wed. Closed, Thur. 8-4, Fri. 7-Noon 2714 POPLAR HILL ROAD • LIMA, NEW YORK 14485
the brain. Their role is sup-
portive. But too many glial
cells can disrupt the connec-
tivity between neurons. They
can also cause inflammation
in the brain.
Moreoever, when re-
searchers looked at the neu-
rons, they found that most of
them were unhealthy.
Reduced neurons and
damaged pathways can
hamper the brain’s ability
communicate and result in
repetitive behavior, mobility
issues and the inability to in-
teract with others, which are
some of the hallmarks of au-
tism, researchers said.
“The study warrants fol-
low-ups but in and of itself,
to me, it’s just a tiny piece
of a potential puzzle,” said
Rosenfeld of the University
of Missouri. “It’s not some-
thing that readers should be
alarmed on.”
She also said it’s not clear
whether real-life doses of
PPA can be as high as what
was used in the lab.
Naser and his team are
planning to next run the ex-
periment in mice.
“My message has been
firm to all women during
pregnancy: eating healthy is
a must and not an option.”
he said.
 Health & Wellness Summer 2019 July 2019 • 31

LIVONIA-L AKEVILLE PHARMACY

Your Hometown, Independent Full Service Pharmacy 346-5615
5975 Big Tree Road • Lakeville

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• Diabetic • Flu, Shingles, Pheumonia
Vaccines
• Over-the-counter self care products
• Easy online refill ordering
• Bandages/Wraps
• Splints • Personalized care and attention
your family deserves
• Braces
• Crutches, Wheelchairs, Walkers, Canes Unique Gifts, Gift Wraps, and Cards
Rentals are available and if we don’t have what
you need in stock, we offer next day ordering

Check Out our Website: Livonia-LakevillePharmacy.com

State-of-the-Art
Security System
Cybex Circuit
Cardio Equipment

Locker Rooms with Showers

Personal training • Gift Certificates • Free WiFi
24 hour access 7 days a week

5 Megan Drive, Geneseo

585-880-2533
fitclub247.com/Geneseo
32 • July 2019 Health & Wellness Summer 2019

Move the way you

were meant to.
Determined. Dynamic. Strong.
Whether you’re an athlete, a weekend warrior, or life threw
a curve ball on the job or in the yard—the road back to your
best isn’t always easy. At Genesee Orthopaedics
and Sports Medicine, we can bring you a
greater ease in knowing that with our
individualized diagnostic, treatment
and rehabilitation plans, you can get
back to your life stronger than ever.

Find out how. Call 585.343.9676.

GeneseeOrthopaedics.com

BATAVIA MEDINA PERRY

33 Chandler Ave. 11225 Maple Ridge Rd. 3 Handley St.
Batavia, NY 14020 Medina, NY 14103 Perry, NY 14530