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January 27, 2017

Know Your Numbers in 2017

Tax season is right around the corner. Pretty soon, we will all be looking at last year’s earnings, taxes, deductions, and hopefully, refunds! It is critical for businesses and households to know and understand their finances in order to plan for the future. Likewise, individuals should know their health numbers; yet, few people put this on their yearly to-do list. Many people either don’t know their health numbers or understand them. In fact, according to the U.S. Department of Health and Human Services, only 12% of Americans are proficient in health literacy; meaning they can look at health tables, charts, and numbers and interpret them correctly. Yet, those numbers are important for good health and well-being. Critical health numbers include: blood glucose (sugar), blood pressure, blood cholesterol, and body weight. The Centers for Disease Control state “Keep track of your numbers for blood pressure, blood sugar, cholesterol, body mass index (BMI), and others. These numbers can provide a glimpse of your health status and risk for certain diseases and conditions, including heart disease, diabetes, obesity, and more.” Visiting your physician and getting a blood draw is the first step in knowing your numbers. Once that is accomplished, a thorough discussion of the results along with a game plan for either maintaining or improving your numbers is next. Before you analyze your results, look at the following guidelines for healthy numbers: Blood glucose – There are two basic measurements. One is the amount of glucose (sugar) in your blood after fasting. This is measured in milligrams per deciliter or mg/dL. A normal reading would be under 99 mg/dL. Blood sugar is also measured by the amount of glycosylated hemoglobin (HbA1c) in your blood. An HbA1c test gives you a picture of your average blood sugar control for the past 2 to 3 months. This is commonly known as your A1c and is measured as a percentage. A normal reading would be 4.0%-5.6%. 5.7%-6.4% indicates an increased risk for diabetes and a reading above 6.5% indicates diabetes. Blood pressure – Blood pressure is measured in millimeters of mercury or mmHg. This refers to the height to which the pressure in the blood vessels pushes a column of mercury. There are two numbers. The top number is the maximum pressure your heart exerts while beating (systolic pressure), and the bottom number is the amount of pressure in your arteries between beats (diastolic pressure). Normal blood pressure is less than 120/80. Prehypertension is 120/80-139/89 and hypertension (high blood pressure) is 140/90 or higher. Cholesterol – A blood draw for cholesterol will reveal four numbers: total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides. Cholesterol levels are measured in milligrams (mg) per deciliter (dL) of blood or mg/dL. A desirable total cholesterol level is less than 200 mg/dL. HDL or the “good” cholesterol is best at 40mg/dL or higher and LDL or “bad” cholesterol optimally should be less than 100 mg/dL. Triglycerides are best at 150 mg/dL or lower. Body weight – To determine optimal weight, doctors refer to the Body Mass Index (BMI). The BMI is a formula developed to test how much body fat we have in relation to our weight. In the USA, we use the following formula: BMI= 703 x weight/height2. A normal BMI reading is 18.5-24.9. Overweight is 25-29.9 and obese is 30 or greater. Doctors will also take into consideration your build, muscle mass, and age when analyzing the BMI. As you plan for 2017, consider putting a visit to the doctor on your calendar. Ask for a blood draw and a BMI reading so you can know your numbers and start off the year on the right track. Lorraine Wichtowski is a community health educator at Noyes Health in Dansville. If you have questions or suggestions for future articles she can be reached at lwichtowski@noyeshealth.org or 585-335-4327. ... Read More

January 20, 2017

January is National Glaucoma Awareness Month

January is National Glaucoma Awareness Month, an important time to spread the word about this sight-stealing disease. According to the Glaucoma Research Foundation, more than 3 million people in the United States have glaucoma. The National Eye Institute projects this number will reach 4.2 million by 2030, a 58 percent increase. Glaucoma is the leading cause of preventable blindness. It is called “the sneak thief of sight” since there are no symptoms and once vision is lost, it is permanent. As much as 40% of vision can be lost without a person noticing. Glaucoma is a group of eye diseases that gradually steal sight without warning. Although the most common forms affect middle-aged and the elderly, glaucoma can affect people of all ages. The eye is similar to a water balloon with a string attached. It consists of an outer covering that is full of fluid that gives it a round shape. The string is the optic nerve which leaves the back of the eye, carrying information to the brain. The brain decodes that information into images that we understand as sight. There are tiny openings called angles in this balloon that allow fluid to leave the eye as more is produced. If these openings are blocked for any reason, the fluid in the eye builds up and exerts pressure on the optic nerve, causing irreversible damage resulting in vision loss or even blindness. This condition is called glaucoma. There are several different kinds of glaucoma. By far the most common is open angle glaucoma. In this disorder, the fluid can still leave the eye but the drainage canals are slowly clogging over time causing increased pressure inside the eye and on the optic nerve. It is this pressure on the optic nerve that causes irreversible loss of vision. Glaucoma can also be present without an increase in eye pressure. This is called normal or low tension glaucoma. In normal-tension glaucoma, the optic nerve is damaged even though the eye pressure is not very high. Experts still do not know some people’s optic nerves are damaged even though they have almost normal pressure levels. One other type of glaucoma is acute glaucoma also known as angle closure glaucoma. Angle closure glaucoma is caused by blocked drainage canals, resulting in a sudden rise in intraocular (within the eye) pressure. This usually happens quickly, and the symptoms are dramatic, including severe eye pain, nausea and vomiting, and rapid vision loss. This is a medical emergency and demands immediate medical attention by an eye specialist. The Glaucoma Research Foundation indicates the following groups of people are at risk for glaucoma: Those of African, Asian, or Hispanic descent People over 60 Family members of those already diagnosed Diabetics People who are severely nearsighted Early detection, through regular and complete eye exams, is the key to protecting your vision from damage caused by glaucoma. A complete eye exam includes five common tests to detect glaucoma. Those tests looks at inner eye pressure, the shape and color of the optic nerve, the complete field of vision, the angle in the eye where the iris meets the cornea, and the thickness of the cornea. It is important to have your eyes examined regularly. Your eyes should be tested: Before age 40, every two to four years From age 40 to 54, every one to three years From age 55 to 64, every one to two years After age 65, every six to twelve months Note: Anyone with high risk factors should be tested every year or two after age 35. Check with your eye specialist to determine the best timing for you. Glaucoma can be treated with eye drops, pills, laser surgery, traditional surgery or a combination of these methods. The goal of any treatment is to prevent loss of vision, as vision loss from glaucoma is irreversible. The good news is that glaucoma can be managed if detected early, and that with medical and/or surgical treatment, most people with glaucoma will not lose their sight. If you would like to learn more about glaucoma, go to: The Glaucoma Foundation - https://www.glaucomafoundation.org The National Eye Institute - https://nei.nih.gov/ Lorraine Wichtowski is a community health educator at Noyes Health in Dansville. If you have questions or suggestions for future articles she can be reached at lwichtowski@noyeshealth.org or 585-335-4327. ... Read More

January 20, 2017

UR Medicine | Noyes Health opens new Mental Health and Wellness Building

UR Medicine | Noyes Health opens new Mental Health and Wellness Building Organization Completes Renovation of Former GCC Building in Dansville UR Medicine | Noyes Health announces the opening of a new home for Mental Health and Wellness Services at 9221 Robert Hart Drive in Dansville. The move to the new building consolidates services formerly available at 1 South Main Street and a second off-site location. The phone number for information and appointments remains the same: (585)335-4316. The 7000 square foot building on 3 acres, a former GCC site, is at the corner of Main Street and Zerfass Road, and has renovated offices and consultation rooms for a full-time psychiatrist, 18 therapists and 2 prescribing nurse practitioners, as well as 2 art therapy studios, a conference room, and an observation room for training purposes. With the new building comes a new name: Noyes Mental Health Services is becoming Noyes Mental Health and Wellness, encompassing a broadened focus to include preventive and holistic health initiatives. What hasn’t changed is the mission of making a profound and positive difference in the lives of those struggling with life's everyday challenges, as well as those with mental illness. “The new Mental Health and Wellness facility demonstrates our continued commitment to the well-being of the communities we serve,” says Amy Pollard, UR Medicine | Noyes Health CEO. “Patient volume has almost doubled in the last 6 years. As the demand for mental health services in the region has grown, our staff has grown and we outgrew our old space. The new building is bright and spacious, and will allow us to continue to expand, if needed.” The building renovation was in part funded by Noyes Health employees through “Dress Down Day” fundraisers, and the renovation work completed by Noyes Health engineering staff. “Our new, airy building will help us continue to bring mental health issues out of the shadows,” comments Dr. Robert Whelpley, Mental Health and Wellness Services medical director. “We hope that our investment in the new facility demonstrates how much we value our patients and clients, and that we will treat them with the dignity and respect they deserve. “ Noyes has provided mental health services to the tri-county region for 35 years. The organization’s multidisciplinary mental health professionals offer individual, group and family therapy for adults and children, and collaborate with patients, their families, and the community to support wellness and recovery. We address issues including: Attention Deficit Hyperactive Disorder, behavioral problems, stress management, anger management, grief and loss, trauma, life transitions, depression and anxiety, mood disorders, marital and family problems, chronic pain and health issues. Noyes offers many approaches to treatment from marriage and family therapy, co-occuring disorder groups, play therapy, art therapy, cognitive behavioral therapy, and medication management for those involved in therapy. ... Read More

January 13, 2017

The Potential of Plants

Recently, I was chatting it up with a colleague about the virtues of chocolate. Much of the conversation was tongue and cheek as we sought to justify our ingestion of the most incredible substance on earth. At some point, my co-worker said, "and doesn't chocolate have flavonoids? - those are supposed to be good for us, right?" This exchange reminded me of similar dialogues with folks about the benefits of red wine. "It has that resveratrol stuff - that's good, right?" Yes, but what exactly are flavonoids, resveratrol, caretenoids, and isoflavones? They are phytonutrients, naturally occurring chemicals in plants. The word phyto is Greek for plant. So the word phytonutrient simply means plant nutrition. The phrases phytonutrient or phytochemical mean the same thing - natural compounds that come from fruits, vegetables, beans, grains, seeds, nuts or other plant matter. Some researchers estimate there are 10,000 or more phytonutrients. These chemical compounds protect plants from disease and the environment. . Basically, they help keep plants healthy. They are also the chemicals that give fruits and veggies their color, odor, and strong flavors. Traditionally, medicinal plants have been used all over the world. The ancient Chinese used herbs for healing as far back as 2800 BC. Hippocrates and Aristotle (460-322 BC) introduced herbal medicine from India and Egypt to Europe and the gold standard for over 1,500 years was the Greek physicians Dioscorides' book De Materia Medica. This book, written sometime between 50 and 70 AD, was basically a pharmacy book of herbs and plants. Fast forward to the 19th and 20th centuries and scientists discovered specific medicinal and pesticidal properties in plants - for example, morphine for pain and pyrethriods for pesticides. It was not until the 1980s, however, that laboratories started identifying phytochemicals that might be used as medicines. What they have discovered is that the same chemicals that keep plants healthy in the great outdoors seem to prevent and fight disease in humans as well. According to a 2013 article in the journal, Today's Dietitian, research strongly suggests that consuming foods rich in phytochemicals provides health benefits. Numerous studies indicate an association between consuming higher levels of phytochemicals through the ingestion of more fruits and vegetables . Bottom line, folks who eat a largely plant-based diet tend to have lower cardiovascular disease, lower blood pressure, lower incidence of type 2 diabetes, and fewer age related declines in mental and physical abilities. The American Institute for Cancer Research (AICR) laboratory studies have shown that phytochemicals have the potential to: Stimulate the immune system Block substances we eat, drink, and breathe from becoming carcinogens Reduce the kind of inflammation that makes cancer growth more likely Prevents DNA damage and help with DNA repair Reduce the kind of oxidative damage to cells that can spark cancer Slow the growth rate of cancer cells Trigger damaged cells to commit suicide before they can reproduce Help to regulate hormones. What does this mean for your next trip to the grocery store? Overall, it means load up with vegetables, fruits, seeds, nuts, and beans. To give you an idea of specific foods and their possible benefits, the CDC compiled a list of the top phytonutrients, their food source, and proposed benefits. Beta-carotene - found in pumpkin, sweet potatoes, carrots, winter squash, cantaloupe, apricots and all dark leafy greens like spinach or broccoli. Potential benefits include: improved immune system, vision, skin and bone health. Lycopene - found in tomatoes, pink grapefruit, red peppers, and watermelon. This is beneficial for prostate cancer prevention and heart health. Lutein - found in all greens as well as Brussels sprouts and artichokes. Believed to be good for eye health, cancer, and heart health. Resveratrol - found in red wine, peanuts, and grapes. Studies indicate this is particularly good for heart health, cancer, lung health, and in the reducing inflammation. Anthocyanidins - found in blueberries, blackberries, cranberries, raspberries, strawberries, red onions, red potatoes, and red radishes. These red and purple foods have the potential to improve blood vessel health. Isoflavones - found in soybeans and soy products. Studies show that this phytonutrient alleviates menopausal symptoms, may reduce breast cancer risk, lowers cholesterol, and improves joint health and inflammation. While it is too early to "prescribe" an exact dose of one type of food as medicine for any given illness, the research is now perfectly clear that the consumption of fruits and vegetables is crucial for human health. The vitamins, minerals, phytochemicals, and fiber in a varied diet rich in everything from berries to broccoli is going to be beneficial in the prevention of cardiovascular disease, type 2 diabetes, high blood pressure, obesity, and other chronic diseases. And yes, chocolate lovers, cocoa is rich in phytonutrients but keep in mind dark chocolate is richer in these miracle chemicals than milk chocolate! For more information about phytonutrients, visit: American Institute for Cancer Research - www.aicr.org/reduce-your-cancer-risk/diet/elements_phytochemicals.html CDC - http://www.fruitsandveggiesmorematters.org/what-are-phytochemicals Lorraine Wichtowski is a community health educator at Noyes Health in Dansville. If you have questions or suggestions for future articles she can be reached at lwichtowski@noyeshealth.org or 585-335-4327. ... Read More

January 9, 2017

National Blood Donor Month

Clara Barton founded the first Chapter of the American Red Cross in Dansville, NY in 1881. Today, her legacy is honored through a beautiful home on Elizabeth Street, donated by the Noyes family. Perhaps the greatest way we can honor Clara, however, is through the gift of life – blood donation. January is National Blood Donor Month. It is a time when blood organizations like the American Red Cross pay tribute to the nearly 11 million people who give blood each year, and encourage others to start off the New Year right by donating blood. According to James Love, executive director of the Greater Rochester American Red Cross chapter, “the need for blood is especially high around the time of the holidays.” Traditionally, January has been a challenging time for blood donation because of cold and snowy weather and busy post-holiday schedules. Regardless of the weather or convenience, hospital patients nationwide need about 44,000 blood donations daily for cancer care, surgeries, and the treatment of serious diseases and trauma. To break down that number down further, every two seconds someone in the U.S. needs blood. Unfortunately, that blood cannot be manufactured. It must be donated. Although an estimated 38 percent of the U.S. population is eligible to donate blood at any given time, less than 10% of eligible individuals actually donate each year. Why don’t people donate? The most common reasons cited include: “Never thought about it” and “I don’t like needles.” The number one reason people do donate – they “want to help others.” Indeed, donating blood helps every hospital in the U.S. The American Red Cross alone provides blood for approximately 2,600 hospitals. Donors play a vital role in keeping our communities healthy and donating is easy. According to redcrossblood.org, getting blood from donors to the hospitals is a 5-step process. Step 1 – The Donation The actual blood donation takes about 10-12 minutes. The entire process, from the time you arrive to the time you leave, takes about an hour and 15 minutes. Donor registers Health history and mini physical (temperature, blood pressure, pulse, and hemoglobin level) are completed. About 1 pint of blood and several small test tubes are collected from each donor. (The average adult has about 10 pints of blood in his or her body.) The bag, test tubes and the donor record are labeled with an identical bar code label to keep track of the donation The donation is stored in iced coolers until it is transported to a Red Cross center Step 2 – Processing Donated blood is scanned into a computer database Most blood is spun in centrifuges to separate the transfusable components – red cells, platelets, and plasma The primary components like plasma, can be further manufactured into components such as cryoprecipitate also known as cyro (a frozen blood product prepared from plasma.) Red cells are then leuko-reduced (white blood cells removed in order to use the blood for transfusion) Single donor platelets are leuko-reduced and bacterially tested. Test tubes are sent for testing. Step 3 – Testing Steps 2 and 3 take place at the same time The test tubes are received in one of three Red Cross National Testing Laboratories A dozen tests are performed on each unit of donated blood – to establish the blood type and test for infectious diseases such as HIV, hepatitis B and C, and syphilis. Test results are transferred electronically to the manufacturing facility within 24 hours If a test result is positive, the unit is discarded and the donor is notified. Test results are confidential and are only shared with the donor, except as may be required by law Step 4 – Storage When test results are received, units suitable for transfusion are labeled and stored Red Cells are stored in refrigerators at 6ºC for up to 42 days Platelets are stored at room temperature in agitators for up to five days Plasma and cryo are frozen and stored in freezers for up to one year Step 5 – Distribution Blood is available to be shipped to hospitals 24 hours a day, 7 days a week. A healthy donor may donate red blood cells every 56 days or about 6 times per year and can donate platelets as few as 7days apart, but a maximum of 24 times per year. For about 8 hours of time per year, you can give the gift of life by donating blood. It is a great way to volunteer and help your community. To find a local blood drive or American Red Cross donation center, contact the Greater Rochester Chapter of the American Red Cross at 50 Prince Street, Rochester, NY 14607, Phone: (585) 241-4400 or the Clara Barton Chapter #1, 57 Elizabeth Street, Dansville, NY 14437, Phone: (585) 335-3500. Lorraine Wichtowski is a community health educator at Noyes Health in Dansville. If you have questions or suggestions for future articles she can be reached at lwichtowski@noyeshealth.org or 585-335-4327. ... Read More

January 7, 2017

Dansville Cancer Center Means Shorter Trips for Thousands of Patients

DANSVILLE, N.Y. -- The Myers Cancer Center at Noyes Memorial Hospital in Dansville, Livingston County, is a 4,500 square foot, two-story facility more than a year in the making. A fundraising campaign helped pay for the $5.8 million treatment center, with a large donation coming from Ann and Carl Myers. "Ann and Carl stepped up to the plate and just said, 'We want to do everything we can to offer cancer services to the people who live around us.' Their gift of $2 million to help us get this project started was absolutely wonderful," said Amy Pollard, Noyes Health president and CEO. To read the full article and watch the video from Time Warner News about The Myers Center Center, please use the link below. http://www.twcnews.com/nys/rochester/news/2017/01/5/myers-cancer-center-noyes-memorial-hospital-dansville-livingston-county.html... Read More

January 2, 2017

Let’s Run Around Like Kids Again!

I was the awkward, uncoordinated, gawky girl in gym class. I vividly recall standing against the gymnasium wall. The teacher would almost always ask the two most athletic girls to be captains and pick teams. Well, no surprise, I was inevitably chosen second to last. Apparently, there was one other girl who had more issues with eye hand coordination than moi. Gym class was all about throwing a ball, catching a ball, hitting a ball, understanding where to throw the ball…just a tad challenging for this girl. Every year, however, there was a bright shining moment – square dancing. As the other kids moaned and groaned about the dance unit, I was in my glory. For two magnificent weeks, there was music, movement, and rhythm. I am thankful for those few weeks every year because it taught me that being active can look a lot of different ways. As an adult, I have come to appreciate free weights, stability balls, Pilates, and aerobics. But most of all, I just love walking. Simply putting one foot in front of the other keeps me fit and happy. As an adult, I have pondered the disconnect between traditional organized sports versus a healthy and active lifestyle. Lessons of perseverance, diligence, commitment, and teamwork are incredible by- products of team sports. Unfortunately, the message of life long health is often lost in the structured world of training to win. When organized sport ends, you are supposed to magically hit the gym, embrace a healthy lifestyle, and stay fit. Statistics indicate this is not the case. Even elite college athletes are becoming couch potatoes after their competitive years are done. Many indicate they lack the internal motivation to keep moving without a training schedule. And so the obesity epidemic with its ensuing chronic diseases continues to plague the western world. 35% of American adults and nearly 17% of teens are overweight. Almost a quarter of us do not engage in any leisure time physical activity and only 20% meet the U.S. aerobic and muscle strengthening guidelines. What if we got back to basics and made running, playing, and walking outside part of our daily routine starting at a young age? What if every kid and adult simply moved each day? What if we made it fun and social? That is what one teacher in Scotland asked. The result is a program taking off throughout the UK and parts of Europe called the Daily Mile. Elaine Wyllie, head teacher (now retired) of St. Ninians school in Scotland, started the program four years ago. As the story goes, a volunteer commented to Wyllie that the children were unfit. Wyllie asked a group of 11-year-olds to run a mile. She was aghast as students struggled to finish. The idea for a daily walk, jog, or run was born. She designed a program that was non-competitive, social, and fun. The basic premise is this – once a day at whatever time the teacher chooses, the class goes outside and runs, jogs, or walks for 15 minutes. All children are included and do it in their school clothes. Kiddos are encouraged to talk and socialize along the way. It happens outside in almost all weather. Schools map out a path or track; the students and teacher then do 5-10 laps depending on its length. There is no equipment, no set-up, and no need to warm up or cool down. Every child no matter their weight, fitness level, or ability is included. So how far can kiddos go in 15 minutes? In the 4-7 year old group, 50% run 1 mile, 25% more than a mile, and 25% less than a mile. In the 8-11 age group, 50% run a mile, 40% more than a mile, and 10% less than a mile. The obesity epidemic is complicated and multi-faceted. Nutrition, technology use, stress, and genetics all play a role. The simplicity of the Daily Mile, however, is already showing promising results in the UK. Early scientific studies show that the level of obesity at St Ninian’s School is around 45% less than the national average. In addition, anecdotal evidence from parents and teachers suggests that the fresh air activity results in renewed energy and better concentration in the class room. To sort out all the variables and determine the validity of the program, Colin Moran, an academic from the University of Stirling, is leading a study. His research team is comparing schools in the Stirling area to see if the reported benefits can be linked to the daily mile. Running, jogging, or walking 15 minutes per day may not be the complete answer to the obesity epidemic but it may very well be a big piece of the wellness pie. I, for one, plan on including it my New Year routine although I may throw in a little dancing too! To learn more about everyday exercise, try these websites: The Daily Mile - www.thedailymile.co.uk CDC - www.cdc.gov/physicalactivity National Institute on Aging - https://www.nia.nih.gov/health/publication/exercise-physical-activity/introduction Lorraine Wichtowski is a community health educator at Noyes Health in Dansville. If you have questions or suggestions for future articles she can be reached at lwichtowski@noyeshealth.org or 585-335-4327. ... Read More

December 26, 2016

Relief from Holiday Heartburn

Cookies and lattes and dips oh my….my upset tummy that is. This time of year brings on bouts of heartburn and acid indigestion. But it is hard to say no when Grandma’s famous lasagna or Aunt Susie’s triple chocolate peppermint cake is staring you down from the buffet table. The uncomfortable truth, however, is that fatty roasts, casseroles, gravies, spicy dips, and sugar-laden desserts, can cause our systems to revolt and say, “Too much!” And to top it off, anxiety and stress can worsen heartburn symptoms. If this happens to you, you are not alone. According to the American College of Gastroenterology, more than 60 million American experience heartburn at least once a month. Heartburn is mild to severe pain in the chest that brings on a burning or tightening sensation. It usually occurs after eating a meal and can be worse when you bend over or lie down. Heartburn can often be treated with medications like antacids but you can take charge of your health and possibly ward off heartburn all together. As you go through this holiday season and the New Year, there are a number of things you can do to alleviate your symptoms and perhaps prevent bigger problems in the future. Harvard Medical Publications and the Mayo Clinic offer the following advice: Eat smaller meals, but more often. A full stomach puts pressure on the lower esophageal sphincter (LES), a valve-like muscle that keeps stomach acid from backing up into the esophagus. Eat in a slow, relaxed manner. Wolfing down your food fills your stomach faster, putting more pressure on the LES. Remain upright after meals. Lying down increases pressure on the LES, which makes acid reflux more likely. Avoid late-night eating. Eating a meal or snack within three hours of lying down to sleep can worsen reflux and heartburn symptoms. Leave enough time for the stomach to clear out. Don't exercise immediately after meals. Give your stomach time to empty; wait a couple of hours after eating before exercising. Tilt your torso with a bed wedge. Raising your torso up a bit with a wedge-shaped cushion reduces the pressure on the LES and may ease nighttime heartburn. Wedges are available from medical supply companies. Don't just prop your head and shoulders up with pillows, which can actually worsen reflux. Stay away from carbonated beverages. They cause belching, which promotes reflux of stomach acid. Find the foods that trigger your symptoms and avoid them. Some foods and drinks increase acid secretion, delay stomach emptying, or loosen the LES — conditions that set the stage for heartburn. Common offenders include fatty or fried foods, spicy foods, citrus, tomatoes, garlic, milk, coffee, tea, cola, peppermint, chocolate and alcohol. Chew sugarless gum after a meal. Chewing gum promotes salivation, which neutralizes acid, soothes the esophagus, and washes acid back down to the stomach. Avoid peppermint flavors, which may trigger heartburn. Check your medications. Ask your doctor or pharmacist if any of the medications you take could worsen acid reflux or inflame the esophagus. For example, tricyclic antidepressants such as amitriptyline loosen the LES and tetracyclines such as doxycycline can cause esophageal inflammation. Lose weight if you need to. Excess pounds put pressure on your abdomen, pushing your stomach, and causing acid to back up into your esophagus. Avoid tightfitting clothing. Tight clothes put pressure on your abdomen and the LES. Avoid smoking. Smoking decreases the lower esophageal sphincter’s ability to function properly. Heartburn is a common digestive condition, however, if you have symptoms twice a week or more, it may be gastroesophagel reflux disease (GERD). Acid reflux occurs when the muscle in charge of closing your esophagus after food passes to the stomach becomes weak or does not close properly. As a result, stomach acid can move backward into you esophagus. GERD is chronic form of acid reflux, meaning it occurs more than twice a week and causes swelling in the esophagus. Symptoms of GERD include: heartburn, sour or bitter taste in the mouth, feeling like the contents of the stomach have come back up the throat or mouth, chest pain, dry cough, asthma, trouble swallowing, hoarseness or laryngitis, especially in the morning, sore throat or the need to clear the throat, dental erosions, and feeling that there is a "lump in the throat." If left untreated, GERD can cause: bleeding, ulcers, and scarring. One final note regarding heartburn – it is often mistaken for a heart attack. If your heartburn changes or gets worse and is accompanied by difficulty breathing or pain in your arm or jaw, call 911 immediately. These may be signs of a heart attack. The following websites offer more information about heartburn, acid reflux, and GERD: Mayo Clinic - http://www.mayoclinic.org/diseases-conditions/gerd/basics/definition/con-20025201 Harvard Medical Publications - http://www.health.harvard.edu/staying-healthy/gerd-heartburn-and-more Lorraine Wichtowski is a community health educator at Noyes Health in Dansville. If you have questions or suggestions for future articles she can be reached at lwichtowski@noyeshealth.org or 585-335-4327. ... Read More

December 19, 2016

The Gift of Hugs

My mom is a hugger. Through the years, countless people have told me, “Your mom gives the best hugs.” You see when mom hugs, it isn’t one of those delicate, just touch the shoulders and lean in hugs; it is a full-blown, wrap you up in my arms and hold on tight hug. It is an “I am not letting you go until you relax in my arms” hug. When you get done with a Grandma Margo hug, you can’t help but feel better. Something about those arms encircling you and not letting go communicates love, support, and kindness. Not only do you feel loved, you actually feel better physically after you’ve been held tight by this 83 year old woman. Her hugs are therapeutic to her family, friends, and strangers. I have never seen my mom be introduced to someone new and just shake hands. She always says, “Come here, I’m a hugger,” as she holds her arms out and steps forward to embrace what will now be one more friend. Humans were made to hug, love, and live in community. Research long ago confirmed that social ties were crucial for everything from doing well in school to living longer. Now we have evidence that hugs in particular are good for our emotional and physical well-being. In the United States, we tend to be a bit stand-offish. We tend to save our hugs for family and close friends; and even then, due to hectic schedules or living alone, we may not receive an honest to goodness hug for days. Handshakes with an occasional pat on the back are the norm in the work world. In other cultures, however, touch and hugs are much more common. Back in the 1960s, psychologist Sidney Jourard studied the conversations of two friends in different parts of the world as they sat at café together. Each group of friends was studied for the same amount of time in each of the different countries. In England, the two friends touched each other zero times. In the U.S., they touched each other two times. But in France, the number went up to 110 times per hour and in Puerto Rico, the number reached an astounding 180 touches per hour! What we now know, is that this disparity in touching is not just a curious cultural difference. It is actually part of a bigger health picture. Here are just some of the latest findings regarding hugs: Hugs Protect Against Stress and Infection Researchers at Carnegie Mellon University tested whether hugs act as a form of social support, protecting stressed people from getting sick. The team tracked how many hugs 404 individuals received each day for 14 days. At the end of that time, the participants were intentionally exposed to a common cold virus and monitored in quarantine to assess infection and signs of illness. They found that those people with greater perceived social support and increased number of hugs were less likely to become ill and if they did, the symptoms were less severe. Hugging Reduces Anxiety and Stress Tiffany Field, psychologist at the Touch Research Institute at the University of Miami, School of Medicine theorizes that hugging triggers the release of oxytocin, a hormone that helps us bond with one another, relaxes us, and lowers blood pressure. She explains that hugging or cuddling with someone stimulates pressure receptors under your skin. This triggers the vagus nerve (the longest cranial nerve in our body reaching from deep within our trunk to the brain). This nerve then signals the release the hormone oxytocin also known as the love or bonding hormone. Oxytocin is known to increase levels of feel-good hormones such as serotonin and dopamine, which according to Field may be why it has calming effects. All that to say, hugging triggers a series of events in our body that lead to the release of several hormones all associated with calmness and better mood regulation. Hugging Can Lower Your Heart Rate and Blood Pressure Stress increases our heart rates and blood pressure; and stress over a long period of time can lead to chronic disease. A University of North Carolina at Chapel Hill study suggests that hugging your partner could actually reduce heart rate and blood pressure. The study found that couples who enjoy more cuddling may have lower physiological stress responses, reducing their risk of heart and other diseases. The study looked at warm-contact groups (those who hugged and cuddled) and no-contact groups. The warm-contact group heart rates and blood pressure were lower even when they were in conflict. On behalf of the Noyes Health team, I wish you a wonderful holiday season filled with hugs, laughter, joy, and good health. Lorraine Wichtowski is a community health educator at Noyes Health in Dansville. If you have questions or suggestions for future articles she can be reached at lwichtowski@noyeshealth.org or 585-335-4327. ... Read More

December 19, 2016

Cancer Center Sneak Peek

COMMUNITY INVITED TO A “SNEAK PEEK” OF WILMOT CANCER INSTITUTE’S ANN AND CARL MYERS CANCER CENTER UR Medicine’s Noyes Health, Jones Memorial Hospital and Wilmot Cancer Institute are hosting an informal “sneak peek” of the new Ann and Carl Myers Cancer Center. Tours of the nearly completed facility, located at on the Noyes Health campus at 111 Clara Barton Street in Dansville, will be offered on in two sessions on Thursday, January 5: from 11:30 a.m. to 1:30 p.m. and 4:30 p.m. to 6:30 p.m. The “sneak peek” of the new facility is an opportunity to ask questions and learn about the services that will be available to cancer patients and their caregivers. Attendees should park in the north lot of Noyes Memorial Hospital and enter the building through hospital outpatient registration, then follow posted signs to the Cancer Center entrance. The Ann and Carl Myers Cancer Center is collaboration among Wilmot Cancer Institute, Jones Memorial Hospital, and Noyes Health. It will serve as a hub for oncology services, and it includes medical oncology services at Jones Memorial Hospital in Wellsville and a radiation oncology clinic in Hornell. The Myers Cancer Center will provide patients in Livingston, Steuben and Allegany Counties more convenient access to comprehensive state-of-the art cancer care. “This community has been so supportive of the cancer center project from the beginning,” says Noyes Health CEO Amy Pollard. “We wanted to make sure people have an opportunity to see the results of their efforts. “ “The Ann and Carl Myers Cancer Center brings the best in cancer care closer to where our patients live and work,” adds Eva Benedict, CEO of Jones Memorial Hospital. “It will allow cancer patients in this region to focus on getting well rather than on the stress of traveling to and from treatment.” “The opening of the Ann and Carl Myers Cancer Center reflects the community’s investment not just in the construction of this building, but also in transforming cancer care across the region,” says Jonathan W. Friedberg, M.D., MMSc, director of Wilmot Cancer Institute. “We are excited to provide a sneak peek at this new facility and what it will offer.” Established with a $2 million gift from Ann and Carl Myers, the project features a 4,500-square-foot lower level addition housing a radiation oncology clinic, and a 2,300-square-foot medical oncology clinic featuring three exam rooms and five chemotherapy/infusion chairs on the first floor. The regional cancer center will also provide patients with access to services including advanced diagnostic testing, clinical trials, outpatient palliative care, and Wilmot Cancer Institute’s Judy DiMarzo Cancer Survivorship Program. For more information, please call 585-335-4323. ... Read More

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