Healthcare Guide

Spring 2009

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The Evening

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Marketing Departments
Page 2 • Spring 2009 Southern Tier Healthcare Guide

Swine Flu
H1N1 Flu, commonly
known as swine flu, is an illness
that is causing people to become
sick primarily across the United
States, Canada and Mexico.
Discovered in April 2009, the virus
is spread through person-to-
person contact much in the way
traditional influenza is transmitted.
As of May 3, 2009, there were
226 reported cases of swine flu in
the United States, one death, and
30 states affected.
Why the name Swine Flu?
H1N1 was originally called "swine
flu" because testing showed that
many of the genes in this new
virus were very similar to flu
viruses that can occur normally in
North American pigs. However,
further study unearthed that the
virus is very different from pig flu.
It has a combination of genes
from flu viruses found in pigs,
some avian genes, and some
human genes, according the
Centers for Disease Control and
Prevention (CDC).
Signs and Symptoms
H1N1 flu produces symptoms
similar to regular flu. These
include fever, cough, sore throat,
body aches, headache, chills, and
fatigue. There have also been
reports of diarrhea and vomiting
with this strain of flu.
Swine Flu Q&A
1. How is H1N1 spread?
This flu is thought to be spread
the same as the regular
seasonal flu; mainly through
coughing or sneezing by
people already infected. In
some cases, you can be
affected by touching
something with the flu virus
on it and then touching your
mouth or nose.
2. Can swine flu be passed
through pork
products?
Eating properly
handled and prepared
pork products is
completely safe. H1N1
flu is not spread through pork food
products.
3. Is swine flu dangerous?
Just like any flu, H1N1 has the
potential to be a more serious risk
for certain individuals, including
young children, pregnant women,
Spring 2009 Southern Tier Healthcare Guide • Page 3
those over age 65, and people
with chronic medical conditions,
says the CDC. However, generally
H1N1 is well tolerated and passes
in a few days as with seasonal flu.
If you experience greater-than-
normal symptoms of flu or if you
experience great discomfort, a
visit to the doctor is recommended
to determine a course of
treatment.
4. Where am I
most at risk for
infection?
Person-to-person contact
in close quarters yields a
higher rate of infection with
H1N1, which is why many
schools have temporarily
closed to disinfect items
shared and used by
students. The virus is
unlikely to spread
through public water
supplies and
even in water
parks,
fountains,
pools, and
spas because
that water is treated with
disinfectants, such as chlorine.
5. What are the best ways to
prevent swine flu infection?
Frequent hand-washing with
warm water and soap is key to
preventing transmission of many
viruses and bacteria. Children
should be encouraged to wash
their hands thoroughly and
frequently as well. Hand sanitizers
that contain at least 60 percent
alcohol are also effective when
hand-washing is not possible.
Avoid touching your nose and
mouth after touching public
surfaces. Steer clear of people
who are sick or those you suspect
may have the flu virus. You may
also want to limit time in close
quarters, such as on public
transportation, if possible. Refrain
from sharing personal items, such
as eating and drinking utensils
and personal hygiene products. If
you are sick, stay home from work
or school to prevent the virus from
spreading. The flu may take at
least a week to run its course.
6. What can I do to disinfect my
house or work areas?
Keep surfaces clean by wiping
them down with a household
disinfectant according to the
directions on the product. Areas of
focus should include kitchen
counters, bathroom counters, sink
knobs, bedside tables, doorknobs,
telephones, remote controls,
computer keyboards, or any other
surface frequently used. Studies
have shown that an influenza
virus can survive on
environmental surfaces and can
infect a person for up to 2 to 8
hours after being deposited on the
surface.

Varus Orthopaedics
John Halpenny, MD
20 Elm St., Suite 6
Hornell
(607)324-3295
Birth Control Services *
Pregnancy Testing
Emergency Contraception
46 Martin Street
STD Diagnosis & Treatment
HIV Testing
Wellsville
HPV Vaccine (585)593-1766

Diplomat of the American Board

of Orthopaedic Surgery
Page 4 • Spring 2009 Southern Tier Healthcare Guide

Did You Know... The Right Shoes

Music therapy has coordination in the children
You recently took up pattern of motion.
been shown to help in the after exposure to the running, and lo and behold,
healing process of a variety therapy. Music therapy has the first thing you discovered You might want to
of ailments or conditions, be also proven effective in was your shoes don't quite fit consider where you run as
they physical or mental. treating depression in older the way they should. You well. Do you run on all kinds of
Researchers at the Institute patients. A study by stumble often and almost surfaces or just pavement,
for Music Therapy in researchers at the Stanford always return home with tired, gravel or the treadmill? Do you
achy feet as a result of not compete in marathons or
Germany, for instance, University School of having enough support. New cross-country races? You will
studied the effects of Medicine concluded that running shoes, it is. Here are want shoes that are designed
music therapy when music therapy showed some tips to ensure you for the surfaces you run on
used to treat children great potential as a purchase the right ones. most and any competitions
with developmental beneficial intervention for that you may participate
Start by examining in.
delay. homebound elderly people your feet. Do you have high
Researchers who have limited access to arches, normal arches or low There are
studied a healthcare professional arches? Don't know? many other factors
group of Get your feet wet that may affect your
12 children and step on some choice of shoes
between 4 and carpet. If you leave from your weight
behind a narrow to any foot
6.5 years of age band or none at problems you
with developmental all, you have may have. For
ages between 1 to high arches. If the best
3.5 years. They you leave results, consult
were able to note behind a a sports shop
somewhat arched or some other
the effects of footwear
cutaway, you have
musical therapy on the normal arches. If specialty
childrens' development, you leave behind a store. The staff
which showed significant full imprint, you there will have
improvements, including have low arches, extensive
better hearing and speech or flat feet. High- knowledge of
arched feet shoes and will be able to
and improved hand-eye require cushioned answer your questions
shoes, normal and provide sound advice.
feet, stability
Start your recovery as soon as possible with shoes, and flat When shopping, try to
feet, motion go late in the afternoon after
Lattimore Physical Therapy. control shoes. your feet have swelled and
have your feet measured.
Consider One of your feet may be
Dansville Physical Therapy
your running slightly larger than the other,
40 Village Plaza • Dansville, NY • (585) 335-2456
technique next. and this is the one you should
When you run, use to try on shoes.
We provide quality therapy and
do you wear
rehabilitation for the Monroe and
more of the Try on a variety of
tread inside or shoe styles with the socks you
Livingston County area of NewYork.

outside? Look at the wear would wear normally and look

Our licensed physical therapists and

pattern on your old shoes. This for a pair that fits well. The
physical therapy assistants are
will show whether you width of the shoe should
trained to assist you in restoring or
overpronate and produce match the width of your larger
more wear on the inside front, foot, the length should allow
attaining optimal movement, as well

underpronate and produce for a thumb to be pressed

as relieving pain and educating

more wear on the outside between the toe and top of the
patients on how to enhance their
front, or have a neutral stride shoe, and the heel should fit
ability to perform the tasks necessary
and produce even wear. comfortably. You should slip on
the shoes and run around in
in activities in daily living.

In many cases, foot them to make sure they feel

We offer a variety of services, including:
type determines pronation. right.
• Sports Therapy
People with high arches tend
to underpronate, while people Quality running shoes
• Electrical Stimulation

with normal arches tend to will not only improve your gait
• HOMEX Program
have a neutral stride and but reduce your risk of injury.
• Work Related Injuries
people with low arches tend to Make sure you find the right
overpronate. Whatever you pair for you. Ask questions and
• Iontophoresis

discover, you should look for look for flexible, durable

• Therapeutic/Functional Exercises
shoes that will compensate for running shoes that will absorb
• Extended Strengthening Program
Visit www.lattimorephysicaltherapy.com for more info & other locations both your foot type and your shock.
Spring 2009 Southern Tier Healthcare Guide • Page 5
Page 6 • Spring 2009 Southern Tier Healthcare Guide
How To Easily and Effectively
The work week can
truly be exhausting. By the
time Friday arrives, the taxing
nature of work can really take
its toll. Oftentimes, that toll
manifests itself in a number of
ways. Whether you grow
easily aggravated or simply
struggle to maintain your
energy as the week wears on,
chances are you feel
somewhat deflated by the end
of the work week.
While it might seem as
though you need to make
some drastic changes in order
to recoup your once vibrant
energy, for most people that's
not the case at all. In fact,
several easy to instill lifestyle
changes can help you regain
your energy levels and head
into the weekend rejuvenated
instead of put through the
ringer.
* Turn the lights and television
off when you sleep. Keeping
the lights on or falling asleep
to the television interrupts
quality sleep, whether you
know it or not. Lights on while
sleeping hinders melatonin
secretion, essentially throwing
your body off track and forcing
We Deliver
Call in your prescription one day before needed, and we will deliver it to your
home the next day free of charge between the hours of 1pm to 5pm
• Delivery to Hornell, Almond, Arkport, and Canisteo (Monday through Friday)
• Delivery to Alfred, Greenwood, and Canaseraga (Tuesday and Friday)
it to reset. This can negatively
impact your energy levels
when it comes time to get out
of bed. In addition to turning
the lights and television off, try
and make your bedroom as
dark as possible when you go
to sleep. This will encourage a
sounder sleep and could help
increase energy levels as a
result.
* Don't eat big meals at night.
The digestive system is most
active during the daytime,
which enables the body to use
food for energy much more
effectively. If you're going to be
eating a large meal, it's best to
do so during the daytime.
When you eat a big meal at
night, the digestive system is
slowing down at that point and
it is much more difficult to
digest food and convert it to
energy.
* Stretch regularly. Even if
you're not an exercise
enthusiast, stretching can be
beneficial to your energy
levels. That's because
stretching helps to maintain
blood flow by reducing
clogging of the arteries. The
Hornell
pharmacy
1000 Highway 36 North
607-324-3600
more freely blood flows, the
more energy you're likely to
have.
How To
* Emphasize cardiovascular
activities and exercise. Many
Increase
people aren't fond of going to
the gym. However, achieving
Energy
optimal fitness doesn't have to
involve a gym membership.
Naturally
Cardiovascular exercise,
which can include walking,
jogging, using the treadmill,
• Drink Water
• Sleep and
etc., helps to lower blood
pressure, decrease body fat
and reduce cholesterol among Sleep well
• Increase the
other benefits. Each of those
number of
things can do wonders for your
energy levels. While you might
initially struggle to muster up meals you
eat per day
the energy to include regular
cardiovascular exercise in
your daily routine, once you
begin you'll find it gets easier • Get your body
moving -- exercise
as you go. That's because it's
• Do less
working, increasing your
energy levels.
• Limit your
caffeine and
In addition, spending
some time away from home or
work while you walk, jog or
even use the treadmill can
sugar intake
prove a valuable source of
relieving stress.

Ouch, That Hurts!
We've all done it, picked at
a scab or sore until it bled and
became raw. We know we should
have left it alone and let it heal, but for
one reason or another, we didn't and
we paid for it later with severe pain.
Most of us learn our lesson and leave
the area alone after that; a few of us
continue to pick at the area,
compromising healing and making
scarring a real possibility.
Occasionally picking at the
skin generally causes no long-term
problems. Compulsive picking at the
skin can lead to long-term problems,
including recurrent infections and
major scarring. Compulsive skin
picking goes by many names,
including dermatillomania, neurotic or
psychogenic excoriation,
psychodermotosis and self-injurious
skin picking. Whatever the term used,
estimates suggest that thousands of
people suffer from the affliction.
The main difference
between occasional and compulsive
skin pickers lies in the time spent in
the behavior. Compulsive skin pickers
spend an enormous amount of time
engaged in the behavior and covering
up the results, often showing up late
for work and other events. Common
targets include mosquito bites,
pimples, scabs, scars and sores on
the scalp, face, ears, neck, chest,
back, arms, cuticles and legs. Along
with their fingers, compulsive skin
pickers may use pins, tweezers and
other tools to get at the skin.
There are a variety of
reasons behind the behavior from
hormonal changes to simple pleasure.
Most compulsive skin pickers take
great pleasure in removing what
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appears to be damaged skin and
making the area smooth, with many
believing they are speeding up the
healing process when, in fact, just the
reverse is true. They may have made
the skin smooth but have damaged
the underlying tissues, which could
result in scarring.
Whatever the reason behind
their behavior, compulsive skin pickers
can become so obsessed with picking
that they lose interest in social
activities and avoid them altogether.
Fortunately, treatment is available.
Methods vary from therapy to
medication. Common therapies
include habit reversal training and
stimulus control training. In the former,
the reasons behind the behavior are
identified and solutions are sought. In
the latter, triggers are identified and
avoided, and rubber fingertips, gloves
and other items are used to help
patients resist the urge to pick at their
skin.
Of course, treatment is only
effective if the patient acknowledges
that they suffer from the condition and
truly wants to change. They have to
admit they are a compulsive skin
picker, and one of the easiest ways to
do this is to tell loved ones and friends
about their behavior. They also have
to want to take the steps necessary to
change their behavior. Recovery will
not be easy, and if they are not ready,
all treatment will be for nought.
Compulsive skin picking is a
Family Medicine in Alfred, Greenwood, Hornell and Troupsburg
genuine condition that can lead to
extensive damage of the skin. Just
imagine what kind of damage years
and years of picking at the same spots
on the lips, cheeks and cuticles might
cause. Not a pretty picture, is it?
ELMIRA
200 S. Main St.
www.stjamesmercy.org
Spring 2009 Southern Tier Healthcare Guide • Page 7
MEETING ALL OF YOUR
HEALTHCARE NEEDS…
Comprehensive Hospital Services
24-Hour Emergency Department
24-hour Anesthesia
Ambulatory Surgery
Cardiac Rehab
Intensive Care
Laboratory/Phlebotomy
Maternity & Obstetrics
Medical/Surgical
MOMS/PCAP (Medicaid, Obstetrical & Maternal Services/
Prenatal Care Program)
MRI/CT Scan
Nutritional Counseling
Pastoral Care
Respiratory Therapy
Social Work
Ultra Sound
X-Ray
Primary Care Services
Internal Medicine in Hornell
Pediatrics in Hornell and Wayland
Express Care Center
Long Term & Chronic Care
Adult Day Health Care/The Gathering Place
Caregivers Support Group
Dialysis Services
Lifeline - Personal Emergency Response System
McAuley Manor at Mercycare
Ventilator Unit
Physical Health & Rehabilitation Services
Occupational Therapy
Physical Therapy
Mental Health & Addiction Services
Adolescent & Adult Psychiatric Care Units
Aquinas Psychiatric Day Treatment
CAPP (Chemical Abuse Prevention Program)
Drug Testing and Screening
MATCH (Mercycare Addiction Treatment Center of Hornell)
Education & Support Services
Almond House (Residential services for mothers/children)
Cancer Services Program of Steuben County
Community Education Programs
Community Support Group Meeting
CPR & EMT Training
Occupational Health
St. James Mercy School of Radiology
Specialty Services
Cardiology, Oncology, Dental Care
Opthalmology, Gait & Balance
General/Vascular Surgery, Pulmonology
Ear, Nose & Throat, Podiatry, Neurology
Psychiatry, OB/GYN, Sleep Disorders Studies, Urology
411 Canisteo Street
Hornell, NY 14843
(607) 324-8000
When Quality Matter, You Can Count on Us…
Page 8 • Spring 2009 Southern Tier Healthcare Guide
Fact or Fiction
Allergies will last forever
DR. ZAID JABBAR, INTERNAL MEDICINE PRACTITIONER WITH
EDWARD MEDICAL GROUP, EXPLAINS BY EMILIE ARKIN
You can
develop
allergies late in life
FACT (SORT OF)
There are two theories
surrounding the late onset of
allergies. The immune system
can be crazy, Jabbar said.
“One day it wonʼt react to an
irritant, and then the next day
it will.” Theorists also think that
people whose allergies
develop later in life actually
have had them all along but
just werenʼt aware of them,
Jabbar said. “A lot of people
think it may be more about
peopleʼs perception.”
You can grow
out of
allergies
Similarly, there are two
theories to support the
concept that people can grow
out of their childhood allergies,
Did You Know...
If you were
considering taking a stimulates blood circulation,
prescription or herbal remedy
for erectile dysfunction, you
may want to consider a plan
with potentially fewer risks of
side effects, such as exercise.
A German study from Cologne
Private Pediatric Practice of University Medical Center
found that physical exercise
Tejinder Virdee, MD can be as effective as Viagra
in dealing with common
Dawn Sterner, FNP
Glenn Hann, PNP
181 Seneca St.
Suite 2, Hornell
(607)324-0660
7492 State Rte. 54, Bath
(607)776-6188
Jabbar said. “In the first, the
theory is that your immune
system weakens as you age,
which is why older patients get
infections more easily. This is
actually an advantage for
allergy sufferers because
allergies are the result of an
overzealous immune system,”
he said. In the second theory,
Jabbar said, allergy sufferers
build up a tolerance of sorts
over a long period of time
when their immune systems
are challenged by small
amounts of the irritant until the
immune systems simply donʼt
react to it anymore. “The
irritant is always in the
environment, so itʼs like getting
allergy shots of the irritant,” he
said. Jabbar says under both
theories, typically only
those who suffer nuisance
allergies, not life-threatening
allergies, will “outgrow” the
condition.
erectile problems. Exercise
which is essential for
reproductive health. It also
strengthens the heart and
promotes stamina. Talk to your
doctor before beginning a
physical fitness regimen to
ensure that exercise is a safe
avenue.

Can Fans Help Prevent SIDS?
of Pediatrics & Adolescent
Sudden Infant Death Medicine.
“This is another
Syndrome kills more than
measure parents need to
2,000 babies annually, but a
recent study give parents take to protect their babies,”
new hope. Babies who said Laura Reno, vice
sleep in rooms with fans president of public affairs
were 72 percent less likely for First Candle, a national
to die from SIDS than organization that has been
infants who had rooms with recommending the practice
no fans, according to a to parents for years.
study in Octoberʼs Archives Though the study
doesnʼt explain what role
fans play in preventing
SIDS, Reno said she
believes it helps circulate
fresh air, dispersing the
carbon dioxide blamed for
many SIDS fatalities.
Carbon dioxide is believed
to suffocate a baby when
the gas builds up around
his face and the infant
breathes it in, what doctors
call rebreathing.
Though Dr. Neil Herendeen,
a general pediatrician and
associate professor of
pediatrics at the University
of Rochester (N.Y.) Medical
Center, said about one-third
“A United Way Agency”
Home Health Aides
Perform skilled personal care services
for those recuperating from acute illness
or with long term disabilities.
Dishwashing • Grocery Shopping • Meal Preparation / Nutritional Support
Employment & Training Opportunities
Available For Qualified Individuals
Call us or apply online @ www.homeandhealthcare.org
RELIABLE TRANSPORTATION A MUST • BENEFIT PACKAGE • FLEXIBLE WORK SCHEDULES AVAILABLE
TRAVEL + MILEAGE PAID IN ADDITION TO YOUR HOURLY WAGE
Each case is overseen by a Registered Nurse.
Each case is tailored to meet the individual needs of each client.
One hour to twenty-four hour care available.
Please call to set up an assessment so we may
address your individual needs.
Spring 2009 Southern Tier Healthcare Guide • Page 9
The ideal
environment
of parents in his practice
use the vibrations or noise
A safe sleep zone
from fans to help babies
will provide your baby
sleep, heʼd never heard
the best possible
recommendations of using
chance to survive
them to prevent SIDS
and thrive.
fatalities. Still, as a Hereʼs how:
proponent of the • Use a firm mattress
rebreathing theory, he said covered
he sees how fans could with only tight-fitting crib
help. “Researchers were sheets.
looking for an initial • Use a wearable blanket
association that the use of or
fans is good, but I think we other type of sleeper —
need better information,” not blankets
Herendeen said. — to keep your baby
And before parents focus warm.
on this • Never use soft or pillow-
promising report, both like
Herendeen and Reno urge bumpers, wedges and
them to first focus on positioners
creating an ideal sleep in your babyʼs sleep
environment for infants. area.
“Placing babies on their • Always place
back to sleep is by far more your baby on his
important than a fan,” or her back for
Herendeen said. “There is sleep.
much more evidence to • Do not sleep with
support its significance.” your baby in an
adult bed or on the
couch.
Home Health Care Services
Provides individualized in-home care in the
client’s home or place of residence,
promoting independence and
enriching quality of life.
Household Care–Homemakers
Assist in performing daily household tasks
such as household care and meal preparations:
Household Care • Light Cleaning • Dusting • Vacuum
Mopping • Sweeping • Pick up client area • Change Linen
82 Main Street, 3rd Floor, Hornell NY
(607) 324-4142 (800) 542-2460
Page 10 • Spring 2009 Southern Tier Healthcare Guide

Fighting Prostate Cancer

According to experienced cookbook author
the Prostate who also happens to be a
Cancer prostate cancer survivor. In his
"Eat to Beat Prostate Cancer 1/2 pound Italian-style soy cook pasta
Foundation according to
Cookbook" (Stewart, Tabori & sausage links, sliced
(PCF), more than package
Chang), Ricketts presents 1/2 cup pitted black olives,
186,000 men will directions. Drain,
more than 200 healthy coarsely chopped
be diagnosed with prostate reserving 1/4 cup
recipes, including foods 1 tablespoon balsamic
cancer this year. When cooking water.
thought to fight prostate vinegar
diagnosed, men must make
cancer and recipes eliminating 1/4 teaspoon salt
several difficult decisions, 3. Return pasta to the pot,
those believed to contribute to 1/4 teaspoon black
including some pertaining to along with the reserved
the disease. The following pepper
personal diet and lifestyle. cooking water and sausage
recipe for "Rotelle with 1 pound whole wheat
But diagnosis isn't the mixture, and toss to combine.
Sausage and Red Bell rotelle or farfalle
only time men concerned Serve with grated Parmesan
Pepper" will not only please Grated Parmesan-
about prostate cancer should cheese on the side.
the palate, but might help fight style soy cheese, for serving
begin making decisions Serving suggestion: In a large
regarding diet and lifestyle. In prostate cancer in the process.
1. In a large nonstick skillet, salad bowl, toss together a
fact, the PCF notes that recent variety of greens, or try one of
heat oil over medium-high
research has shown that diet the prepackaged organic
heat. Add onions and cook,
modification might decrease
Rotelle with Sausage
stirring frequently, until greens combos, drizzled with
the chances of developing a little vinegar and oil and
and Red Bell Pepper

Serves 8 softened and lightly golden,

prostate cancer. For men who topped with toasted sliced
about 5 minutes. Add bell
have already been diagnosed, almonds or toasted chopped
1 tablespoon olive oil peppers, garlic and basil, and
diet modification has also Brazil nuts.
2 medium-size onions, cook, stirring occasionally for 5
proven effective in reducing Make-ahead tip: Pepper and
thinly sliced minutes. Add sausage and
the likelihood of a recurrence sausage sauce can be
3 large red bell peppers, cook, stirring, until peppers are
or to help slow the progression prepared a day ahead and
cored, seeded, and thinly very tender, about 10 minutes.
of the disease. refrigerated.
sliced Remove the skillet from heat.
Making more Gently reheat in a
2 cloves garlic, finely Stir in olives, vinegar, salt, and
men aware of saucepan, adding
chopped pepper.
diet changes was a little water if
the goal of David 1 teaspoon dried basil,
2. Meanwhile, in a large pot of mixture seems
Ricketts, an crumbled
lightly salted boiling water, too dry.

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 Spring 2009 Southern Tier Healthcare Guide • Page 11
Some people have inherited
genes that cause their bodies to
overproduce cholesterol.

4. What foods cause

high cholesterol?

Bad Blood
By now, most adults
know they have to control
cholesterol levels to stay in
good health. But thereʼs more to
know about cholesterol. There
are good types and bad types,
for instance. Too much of this
Cholesterol is a waxy,
fat-like substance found in the
blood and in the bodyʼs cells.
The body uses cholesterol to
produce cell membranes and
certain hormones. The problem
comes when thereʼs too much of
it in the blood. The medical term
blood and
oxygen to the heart and brain.
When it comes in contact with
other substances, it can form a
thick, hard deposit of plaque
that narrows the arteries and
can form clots that can cause a
heart attack or stroke.
Doctors recommend a
diet high in fruits, vegetables,
grains and legumes to keep
levels low. The American Heart
Association recommends that
people keep their intake of total
fat to between 25 percent and
35 percent of their daily calories.
They also recommend that
saturated fat consumption be
kept to less than 7 percent of
total daily calories, and the
intake of trans fat to less than 1
percent.
5. Does exercise help?

bad cholesterol will increase for this condition is It might. For some people,
your risk of heart disease, heart hypercholesterolemia. regular exercise increases the
attack or stroke, according to level of HDL cholesterol.
3. How much control

the American Heart Association. Doctors have connected a

do people have over their

Here are some fast higher HDL level with a lower

2. What is bad and good cholesterol levels?

facts about cholesterol, where it People can generally risk of heart disease. Of course,
cholesterol?

comes from, the difference
between bad and good, and
ways to reduce the levels of the
bad kind in your blood.
1. What is cholesterol,
anyway?
Not all cholesterol is
bad. High-density lipoprotein,
commonly known as HDL, is the
good version. Lowdensity
lipoprotein, LDL, is the bad. LDL
cholesterol causes a problem
when it builds up in the inner
walls of the arteries that send
exert only so much control over
the amount of cholesterol in
their blood, because the liver
and cells in the human body
make up about 75 percent of a
personʼs cholesterol levels. Itʼs
the other 25 percent that comes
from the foods people eat.
diet and exercise might not be
enough for some people to
control their cholesterol. For
some, medication might be
needed. These people should
check with their doctors before
drafting any plan to lower
cholesterol levels.

BEAVER’S Steuben County Department

of Special Children’s Services
PHARMACY
ANDREW R. ALLEN Proprietor
Early Intervention - “Birth to 3 years old” Early
intervention provides early identification,
screening, evaluation, special services, and service
coordination to assist children with developmental
delays reach their full potential. No cost to families.

All Cards 99¢ All the Time Physically Handicapped Children’s Program - “Birth
to 21 years old.” Financial assistance is available
for medical and orthodontic care for children who
have a disabling condition or serious chronic
illness. Financial eligibility requirements.

Prescriptions - Russell Stover Candy - Sugar
Free Candy - Medicaid - Senior Citizens Discount
- Insurance Prescription Programs Accepted
Free Delivery Service To Hornell & Canisteo
7 Main St., Canisteo, NY 14823
Mon.-Fri. 9-8PM; Sat. 9-4PM, Closed Sunday
(607) 698-4641 or TOLL FREE 800-794-4753 in NYS
Preschool Special Education - “Three to five years old.”
Children having or suspected of having a disability
are eligible for referral to school districts’
committee on preschool special education.
Evaluations are arranged and an individual
education plan isdeveloped. No cost to families.
For more information, please call or write our office at:
3 East Pulteney Square, Bath, NY 14810-1562
(607) 664-2146 • Email: scs@co.steuben.ny.us
Page 12 • Spring 2009 Southern Tier Healthcare Guide
HORNELL GARDENS
WE OFFER COMPREHENSIVE SERVICES:
• 24-hour skilled nursing care
• Staff specially trained in geriatric care
• Affiliation agreements with area hospitals
• Social services available
• Dietitian services
• Speech, physical and occupational therapies
• Consulting dentist
• Podiatry services available
• A variety of social and activity programs
• Beauty shop and barber services
• Religious services available with area clergy
• Medicaid and Medicare approved
Located in a quiet, residential neighborhood, Hornell
Gardens is an exceptional nursing facility offering a
gracious lifestyle.
Offering restorative physical, occupational, and speech
therapies enabling our residents to achieve their maximum
level of function. Many of our residents have returned to
their homes.
We are dedicated to providing our residents with 24-hour
skilled nursing care.
Our certified staff works with each personal physician to
achieve the maximum benefit based on prescribed
direction for each resident.
We offer our residents well-established security measures
and programs that ensure the safety of their well-being.
Our facility owned bus accommodates 14 passengers
including 5 wheelchairs. All of our residents enjoy
frequent outings to area restaurants, shopping centers,
community events and other area attractions.
Our dietary team, which includes a registered dietitian,
prepares appetizing and nutritionally based meals while
recognizing the needs of special diets.
A Tradition
of Caring
ENJOY SECURITY WITH ALL THE COMFORTS
OF HOME:
• Private and semi-private rooms
• Fully fire-resistant building
• Nurse call system in all bedrooms and bathrooms
• Security signals on outside doors
• Spacious living and dining rooms
• Telephone service available in each room
• Cable television available in each room
• Physical therapy room with exercise equipment
• Complete laundry and housekeeping services
• Adequate free parking for visitors
• State of the art lifting & transfer equipment
• 14 Passenger facility owned bus
Spacious living, dining and day areas invite visits with
family and friends while encouraging social exposure for
our residents. The grounds of Hornell Gardens feature
lovely flower gardens for our residents to enjoy.
Hornell Gardens’ multi-level design offers maximum
access and mobility to our residents.
Our staff is involved in continuous training programs to
learn new treatments and techniques in their respective
fields.
Hornell Gardens is an outstanding member in the
healthcare community because we are well recognized for
our quality care. It would be a privilege to offer our
services for the benefit of your loved one.
HORNELL GARDENS 607-324-7740
434 Monroe Ave., Hornell

Stear Clear Of
As summer gets set to hit
full swing, scores of people across
the country are readying
themselves for backyard
barbecues, trips to the beach or
casual afternoons spent soaking
up some sun.
While spending as much
time as possible outdoors is a
summertime tradition, soaking up
too much sun can be dangerous. In
addition to painful sunburns and
dehydration, overexposure to the
sun can also result in skin cancer.
In fact, according to the
SkinCancer Foundation, 90
percent of non-melanoma skin
cancers are associated with
overexposure to ultraviolet (UV)
radiation from the sun.
Those planning on taking
advantage of the warmer weather
and catching as many rays as
possible also must work to prevent
other heat-related illnesses. To do
so, consider the following tips from
the American Red Cross.
Lightweight, light-colored clothing
• Dress accordingly.
reflects some of the sun's energy
away. Also consider wearing a hat
whenever possible, or at least
during the midday hours when the
sun's rays are at their strongest.
When sitting out in the sun, be it at
the beach or in the backyard, it's
also wise to use an umbrella.
• Drink plenty of water.
Spring 2009 Southern Tier Healthcare Guide • Page 13
SERVING OUR AREA
Caffeinated or alcoholic beverages
dehydrate the body. When Ranjit S. Shaliwal, MD, FACRO
spending time in the sun, drink
plenty of water to stay hydrated,
even if you don't feel thirsty. Board Certified in Radiation Oncology
• Don't overdo your
Diets high in protein increase
diet with protein.
metabolic heat, thereby raising
your risk for a heat-related illness.
When it comes to diet in the hotter
months, it's best to eat smaller
meals and eat more often.
If you're going outside to mow the
• Take a break.
lawn or work on the garden, be
sure to take plenty of breaks and
do so either indoors or under
ample shade.
Joggers are often especially
• Jog early.
devoted to their daily runs.
However, joggers, no matter how
experienced and devoted, are still
susceptible to heat-related
illnesses. If possible, run during the
coolest period of the day, which is
typically early morning between the
hours of 4 a.m. and 7 a.m.
While summer is a
favorite season for many people
across the country, it can also be a
dangerous time for those who
aren't careful. To learn more about
staying safe in the sun, visit the
American Red Cross Web site at
www.redcross.org.
STATE OF THE ART
RADIATION TREATMENTS
RIGHT HERE IN HORNELL
• IMRT • PROSTATE SEED IMPLANTS
• IMAGE-GUIDED RADIATION TREATMENTS
21 ORCHARD ST., HORNELL, NY 14843
PH: (607) 324-0061 • FAX (607) 324-7547
Page 14 • Spring 2009 Southern Tier Healthcare Guide
Balanced meal, balanced budget
Eating on a tight budget
isnʼt easy; eating healthy on a
tight budget can seem almost
impossible. But experts agree it
can be done with a little planning
and extra effort.
“You can manage your
weight and your budget if you plan
ahead and are willing to do some
work,” said Bethany Thayer, a
registered dietitian with the
American Dietetic Association
based in Detroit. “Youʼre not just
going to walk into the grocery
store and see cheap, healthy
food,” agreed Christine Amato,
registered dietician and licensed
nutritionist with Central DuPage
Hospital in Winfield, Ill. “Go
through the ads. Cut coupons.
Buy whatʼs on sale in bulk, and
freeze proteins. Buy fruit in
season.”
Both experts offered a
list of healthy foods that are less
than $1 per serving size and good
for you.
Affordable, one-bedroom
Apartments for Seniors
62 or older and
handicapped/disabled
Saint Saint
Joseph’s Patrick’s
Apartments Apartments
550 E. Church St.
Elmira,
New York
(607) 732-1223 (607) 732-0050
DAIRY- A 6-ounce cup of yogurt
packing 6 grams of protein can be
bought on sale for two for about
$1. Very versatile, yogurt can be
eaten plain as a snack, or in dips,
dressings, recipes and parfaits.
FRUIT- An extra-large apple,
about a half pound for 99 cents,
comes with 5 grams of fiber in the
skin. Kids love them; theyʼre
portable, crunchy, filling and come
in a variety of flavors. Bananas
are another cheap, healthy fruit.
VEGETABLE- At 25 cents a
serving, carrots are superstars on
any menu, with 200 percent of
your daily allowance of vitamin A,
plus 2 grams of fiber. Use them as
a snack, side dish or in soups.
Canned tomatoes are great to
have on hand for recipes. A
serving size of half an ounce
contains vitamin A, the antioxidant
betacarotene and lycopene, which
prevents heart disease and
cancer. Look for low-sodium
varieties.
517 Park Place
Elmira,
New York
WHOLE GRAIN- At about $1 a
pound, popcorn is a fantastic
snack thatʼs filling and full of fiber.
Pop it yourself and watch the salt
and butter, but itʼs still a treat.
Another option is brown rice.
LEGUME- Lentils, which cost
about 14 cents a pound for a 2-
ounce serving and boast 14
grams of protein and 6 grams of
fiber, can be prepared in soups,
casseroles and cold bean salads.
PROTEIN- Eggs need to shake
off that heart-unhealthy
reputation. Up to three egg yolks
a week are permitted in a healthy
diet, Amato said. One large egg
costs about 12 cents, and that
egg white is 6 grams of pure
protein. MEAT 90 percent lean
ground beef can go a long way to
feed a budgetconscious family. It
is high in cholesterol and contains
trans fat, but ground beef is also a
good source of protein, vitamin
B12 and zinc.
POULTRY- Why pay more than
Dr. Joseph
McCormick
20 Elm St., Hornell
(607) 324-7240
$4 a pound for boneless, skinless
chicken breasts when you can
bargain shop a whole fryer for as
little as 69 cents a pound? Cutting
up a chicken is not difficult with a
little practice and a pair of sharp
kitchen shears.
SOY- Tofu added to stir-fries or in
place of meat is one option. But
for health, budget and taste, opt
for edamame — a fancy name for
boiled soybeans. A half-cup
serving is about 120 calories with
11 grams of protein and 9 grams
of fiber, plus 10 percent of the
recommended daily allowance of
iron and vitamin C.
FISH- Imitation crab is a seafood
product made of surimi and sold
in chunks and sticks to be used in
salads, stir-fries, casseroles, dips
and appetizers. And while it tastes
like a yummy imitation of crab, itʼs
cheaper, has about the same
nutritional value and less
cholesterol.
 Spring 2009 Southern Tier Healthcare Guide • Page 15

threatened.
Bee Stings Some people are
caught off-guard that a
seemingly
innocuous
When the warm other insects. Wasps (which spider
weather arrives, so do the include the yellowjacket) can
insects that share our and bumblebees can sting
outdoor living spaces. While repeatedly because their bite.
in most cases humans and stinger is not left behind. Case
insects can peacefully co- A honeybee's in
exist, sometimes stinger is barbed, so it is left point is
encounters end with people behind in its victim, the
suffering bites or stings. resulting in the bee's death. common
Wasps and bees are Unless a person is severely jumping
common flying insects that allergic to bee or wasp spider. This
can be very beneficial. stings, mild irritation will pint-sized
Bees pollinate flowers and occur at the sting site and jumping
wasps generally feed on itching, swelling, nausea, wonder that
and other minor effects many encounter
may crop up. in and around
their home is
Spiders are also entertaining and
common in backyards and bold. It will follow
around homes in the your movements with For those concerned
warmer weather. Pets, its large eyes and about a bee sting or spider
children and adults may many people are surprised bite, it always pays to be
come across several at how high and fast it can cautious and promptly visit
different varieties of jump. Jumping spiders pack a doctor or hospital,
spiders. Many spiders a painful bite that has been especially if reactions to the
have the ability to bite but described as a burning bee bite get worse or if a person
will not do so unless sting -- though most will not is having difficulty
provoked or feeling bite just for the heck of it. breathing.

Did You Know

Keuka Family Practice Associates
Provides a wide variety of medical services
to all age groups ?
We provide:
Women’s health, well and sick child care, immunizations
Minor surgery, cancer checks, acne and skin disorder treatment
Arthritis care and treatment, diagnosis, treat and monitor heart disease
Various in-office laboratory procedures to monitor diabetes
Medications and also osteoporosis screening
We also offer programs for:
Smoking cessation, diabetes education and monitoring, and weight reduction
Donald Weidner, MD Open Monday through Friday Dennis O’Connor, MD
Curtis Cranmer, MD 7573 State Route 54, Bath, NY Werner Brammer MD
Diane Hayes, RPA-C (On the grounds of Ira Davenport Hospital) Cynthia Ripple, FNP
(607) 776-2247
Page 16 • Spring 2009 Southern Tier Healthcare Guide
 Spring 2009 Southern Tier Healthcare Guide • Page 17

Illinois mom spreads awareness

Five-year-old Kaleb
Troneʼs allergies are so strong a
small, accidental sip of milk nearly
killed him about a year and a half
ago.
His 2-year-old sister
Casey also has severe allergies
that could cause fatal reactions.
Itʼs enough to scare any
parent. “I had nightmares
afterward,” said Kalebʼs mother,
Kristine, about his incident. “I
thought he was going to die.”
But Kalebʼs parents,
Kristine and Charly Trone, have
moved forward and become
advocates for his condition.
During this yearʼs allergy
awareness week, Kristine spoke
on the radio and did a
presentation at Bright Futures
preschool about allergies. The
incident and her children have led
to a new lifestyle for her.
At home, she has
become very detail-oriented,
cleaning up and vacuuming
frequently.
She travels with an
EpiPen, which is an emergency
shot of epinephrine designed to
deal with allergic reactions. She
also meets regularly with families
in the area whose children also
have food allergies of varying
severities. In the past year, she
and the group have attended
several festivals trying to spread
the word about their childrenʼs
condition. She said some people
and some kids might be
uninformed when it comes to
allergies, especially the more
severe cases.
Kaleb is anaphylactic
toward peanut and milk products,
which means any exposure could
potentially kill him. Casey is
anaphylactic toward eggs and
peanuts.
According to “Eat, Learn,
Live,” they are among the 2.2
million school-age children in the
country who have food allergies.
The group is developing a
consultant network that would
help schools throughout the
country develop programs that
take into account children with
food allergies. Kristine hopes to
become a consultant with the
group. “(Right now) I have no
credentials except for knowing
what I know and keeping my kids
alive,” she said.
For now, she has settled
on informing her sonʼs future
school, Nielson Elementary
School.
She has met multiple times with
people at Nielson Elementary
School to prepare them for his
arrival in the fall. “She has been
very proactive,” said principal to speak throughout the area.
Matthew LeClere. “Sheʼs very She said things might
knowledgeable. It really gives us have been easier had she had
time to prepare and prepare the someone speak to her about
incoming teacher.” LeClere and handling severe food allergies. “I
Trone are joined in the meetings want to be a resource,” she said.
with the school nurse and head “I want to be a mediator between
cook, as well as Kalebʼs the schools and the families. I
kindergarten teacher for the fall. wish I would have had that person
Although the school or group when we were looking
doesnʼt have a list of food items around.”
not to be brought into the school, And the more awareness
LeClere said they do address she can spread, the better off she
children with food allergies on a said Kaleb and her classmates
case-by-case basis, usually will be. “Schoolʼs so hard,” she
notifying parents if a class said. “Thereʼs so many reasons
member has certain requirements. why school is hard that they
LeClere said the things shouldnʼt have to worry about this,
Kristine hopes to teach fit the too.”
schoolʼs nutrition
curriculum and
they offer value for
the students.
“Itʼs important that
the kids wonʼt look
at Kaleb as frail or
fragile,” he said.
“Just recognize
that they have
certain issues they
have to deal with,
like all kids.”
Kristine
said she hopes to
be given a chance

PRO ACTION SENIOR

Rehabilitation Services at the
Steuben County Health Care Facility
Is Now Offering Outpatient Physical,

DINNER CLUB Occupational and Speech Therapy Services

AND HOME DELIVERED MEALS PROGRAM*

Come visit one of the 7 Senior Dinner Clubs
throughout Steuben County for a balanced &
nutritious meal for only $2.50 (Suggested Donation)
Addison: Addison Place Apartments
Bath: Lakeview Apartments
Corning: Dayspring II Apartments
Corning Senior Center
Hornell: Church Street Court
Broadway Mall
Wayland: Little House, 3rd Ave. Ext. We provide the newest therapy modalities for
* A voluntary donation of $2.50 is a very important factor
patients of all sizes and ages in our state-of-the-art
in maintaining the program. facility. Our treatment approaches are evidence-
* Food stamps, cash, and checks accepted. based and outcome-supported. Most commercial
* Meals are provided to residents 60 or over, insurances including Medicare are accepted. .

there is a $5.00 fee for those under 60.

We invite you to call 607-664-2562 to schedule
FOR MORE INFORMATION, an appointment, Monday-Friday 7:00-5:30 PM.
CONTACT US AT: 607-776-2125 7009 Rumsey St. Ext., Bath, NY 14810
607-776-7651 ~ www.schcf.org
Page 18 • Spring 2009 Southern Tier Healthcare Guide
How Safe Is Fluoride for My Child?
Fluoride is found in
everything from drinking
water to toothpaste. The
public has long been told that
fluoride is instrumental in
preventing dental decay, but
there are detractors who
believe that fluoride is an
unsafe substance that should
not be used — especially for
childrenʼs dental health.
Fluoride has been studied
extensively for more than 50
years, from when the U.S.
decided its use should be
part of a greater public health
measure. It is one of the
most extensively studied
health supplements in the
history of science. Major
health organizations around
the world have endorsed it as
safe, including the American
Smiles are our Specialty
Drs. Triftshauser/Salmon/deSa & Staff
ORTHODONTISTS
We do Invisalign and Conventional Braces
HORNELL: 607-324-3784
Amie K. Nicola, DMD, PPLC
General Dentistry
240 Main Street
Hornell, NY 14843
Phone: 607-324-1175
Fax: 607-281-1930
1-800-961-1175
Dental Association, the
American Medical
Association, the
Environmental Protection
Agency, the World Health
Organization, the National
Research Council, and many
others. So why the doubts?
I’ve heard fluoride is
toxic.
Just like many other
chemicals and substances,
fluoride gets a bad name
because it can be toxic in
high doses. In fact, fluoride
has been used in rat poisons
and insecticides because it is
dangerous at extremely high
levels, none of which are
ever present in dental health
products. Many other
WELLSVILLE: 585-593-3300
seemingly mundane
substances may also be
unhealthy if consumed in
large amounts, such as salt,
over-the-counter
medications, and even types
of vitamins and minerals.
Experts feel that there is no
reason to condemn the use
of something because it can
be dangerous in high doses.
Properly regulating use is
more practical.
If fluoride is so safe,
why shouldn’t my
young child use
toothpaste containing
fluoride?
Fluoride occurs
naturally or is supplemented
in public water supplies in
many areas. Typically, the
amount of fluoride present is
1 part per million. The
sodium fluoride that is added
to drinking water is exactly
the same level as what
occurs naturally — the ideal
level for optimum health.
Young children who are
unable or do not know how to
spit out excessive toothpaste
from brushing may end up
consuming more than is
healthy, especially for their
small size. As such, unless a
child is able to spit out
toothpaste while brushing, he
or she should not use a
product that contains
fluoride. There are many
fluoride-free toothpastes on
the market that can teach
toddlers how to brush to get
them ready for regular
toothpaste.
Why can too much
fluoride be bad?
Excessive
consumption of fluoride can
actually be detrimental to the
very objects it is supposed to
protect — the teeth. Enamel
fluorosis is the name of the
condition caused by
ingesting too much fluoride.
In very minor cases it can
result in white specs or
imperfections on the surface
of the teeth. In serious cases
the tooth enamel may be
rough, pitted, and hard to
clean. Plus, defects can carry
over to a childʼs permanent
teeth. Sometimes when a
water supply has a high level
of fluoride naturally, children
suffer from fluorosis. The
safest way to consume the
right amount of fluoride is
through carefully monitored
fluoridated water supplies or
by drinking bottled fluoridated
water.
When my child starts
using fluoride
toothpaste,
how much is
recommended?
A pea-sized amount
or even smaller will provide
enough cavity prevention and
be safe, even if the child
swallows a little toothpaste in
the brushing process. Focus
more on technique when
teaching a child to brush
rather than excessively
coating brush bristles with
toothpaste.
What else can I
do to safeguard my
child’s dental health?
As soon as your
childʼs first baby (or milk)
teeth arrive, you should start
practicing oral health. To limit
the amount of dental caries
or decay, do not send a child
to bed with a bottle or sippy
cup full of milk or juice.
Additionally, do not dip
pacifiers in honey or other
sweet substances before
administering to a child. This
can cause damaging
substances to remain close
to your childʼs teeth for a long
time. For very young
children, wipe the gums and
teeth with a wet rag or use a
special rubber finger brush
that is sold to clean off any
bacteria and food that may
be on babyʼs teeth. As
children grow, explore the
variety of soft-bristled
toothbrushes and pastes that
are available to clean teeth.
Make sure you help toddlers
who arenʼt very dexterous to
brush properly. Most dentists
and pediatricians also
recommended that habits
such as thumb sucking or
pacifier use be discouraged
after age 2 (many children
give up this behavior
naturally around this time
anyway). These habits may
cause permanent teeth to
later grow in improperly.
 Spring 2009 Southern Tier Healthcare Guide • Page 19

Is Ear Candling The

Practitioners Tout Benefits:
Physicians Spread Word Of Caution
During a time when Timeless, an anti-aging spa. eardrum.
people turn to specialists for According to some Besides the
everything from detoxing practitioners and clients, the potential for
their feet to washing their techniqueʼs benefits include ear damage,
hair, it appears that the age- relief from sinusitis, Celmer says,
old QTip solution to ear wax headaches and thereʼs no
just isnʼt cutting it anymore. inhalant allergies. Others evidence that
Enter ear candling, the even say it can help with the productʼs
controversial 15-minute ear hearing. But doctors caution claims are
cleansing solution done in against the procedure, valid. While
doctorsʼ offices and spas which isnʼt approved by the ear candling
throughout the country. Food and Drug has been
Ear candles are Administration. around for a
hollow stalks typically made Andrew Celmer, a least a
of muslin dipped in paraffin. member of the DuPage century, itʼs
Rolled, the muslin creates a Medical Groupʼs becoming
slight cone shape with a department of more popular
spiral pattern. The tip of the otolaryngology, cites because of its
candle is inserted about a several risks, including the easy
quarter- inch into the ear, potential for severe burns of accessibility
just the ear and ear canal as now that most
enough to seal the entrance well as possible temporary local spas and
and create a vacuum, says or permanent hearing loss even gyms are
Jody Buckle, owner of caused by damage to the offering the
service.

MAY IS BETTER HEARING MONTH! EVERYTHING MEDICAL

Re-Chargeable Hearing Aid Batteries Are Available
Providing Medical Equipment
With a Loving Touch

Hospital Beds Uniforms

The sun is shining, Manual & Power Wheelchairs EMT Supplies
the flowers are ready to bloom, Scooters Elevator & Platform Lifts
the birds are chirping.... Seatlift Chairs Stair Lifts
Can you hear them? Oxygen Patient Lifts
Orthopedics Vehicle Lifts & Ramps
Ambulatory Aids Mastectomy Products
Hear all the wonderful
SOUNDS OF SPRING!!! 109 Chemung St. 7108 E. Washington St.
Corning, NY Bath, NY
SOUTHERN TIER 936-2044 776-8000
HEARING SERVICES 7 Day/24 Hour Emergency Services
47 W. Steuben St., Bath, NY Insurance Billing • Delivery Available
(607) 776-1200 Mon.-Fri. 9 a.m.-5:00 p.m.; Sat. 10 a.m.-2 p.m.
Website: www.drnarby.com • E-mail: Dr.Narby@live.com
Mon. & Wed. 9 a.m.-5 p.m.; Tues. 9 a.m.-1 p.m.; Fri. 9 a.m.-4 p.m. www.everything-medical.com