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April 12, 2016

Allegany County Stampede 4H Club Members Donate to the Ann and Carl Myers Cancer Center

The Nicholas H. Noyes Memorial Hospital lobby was a buzz Friday, April 8th, with 4-Hers from Allegany County making an important delivery. They were here to donate 15 Caring Totes that they had raised funds for and filled, through contributions, with items that will help cancer patients feel a little more comfortable while receiving treatment when the Ann and Carl Myers Cancer Center opens at the end of 2016 or early 2017 in Dansville. The colorful totes were accepted by Noyes Health President and CEO, Amy Pollard and Foundation Chairman, Jon Shay. As Amy Pollard chatted with the 4-Hers she mentioned how thankful she was for 4-Her’s generosity and invited the club to be present for the grand opening. Jon Shay told the young people how important it was to begin giving back to your community at a young age. The 4Hers brought along a binder of thank-you notes they had received from organizations that had been the recipients of the club’s many community service projects. The club’s main purpose if working with and riding horses, but the leaders know the importance of giving back and have instilled this mission into the program. The club is open to all ages and meets monthly to carry out their goal of; horsemanship, a general respect for animals, and promotion of community pride. Many of the club’s members have gone on for state completion each year. The Stampede 4H Club is not new to giving back. Beside competing at the Allegany County Fair each year with their animals and exhibits, organizations that have benefitted from their volunteerism and fundraising have been, St. Judes “Saddle Up” Ride, Pony Rides for the children of Whitsville, Annual Fishing Derby, Angelica Ambulance, Hurricane Katrina Relief Fund, and Finger Lakes SPCA. Club members are; John Cox, Collin Cox, Tyler Cox, Regina Dougherty, Steven Dougherty, Randy Wilson, Paris Billings, Gina Billings, Jarrett Billings, Colten Billings, Paige Stebbins, Grady Fleming, Jolene Lucas, Ali Wojtkowiak, Ryan Wojtkowiak, Zoe Wojtkowiak and Gabby Stevens. Leaders are; Peggie Blamine, Marie Dougherty and Heather Cox. For more information or a tour of the Ann and Carl Myers Cancer Center project visit, Noyes Health Facebook Page or contact Cynthia Oswald, Director of PR/Foundation or 585-335-4323. ... Read More

April 12, 2016

Noyes Health Celebrates Physical Therapy New Space at Hospital in Dansville

Please join Noyes Health in congratulating our Physical Therapy Department on their new Physical Therapy space at the hospital in Dansville! The new space for Physical Therapy is part of the Ann and Carl Myers Cancer Center project, as the previous Physical Therapy department will be renovated and used for Medical Oncology. A Ribbon-Cutting event and a Community Open House were held on April 8th and 9th. The new area provides a larger waiting area, offices, a large exercise space, and several private treatment rooms. At Noyes Health Physical Therapy we treat a wide array of orthopedic and neuromuscular conditions with exercise, manual therapy, patient education, and modalities, such as electrical stimulation, traction, and ultrasound. In many cases, we help individuals avoid surgery, decrease or abolish long term medication use, return to work or sport, recover from surgery, and generally live a healthier life with less pain! Noyes Health Physical Therapy staff in both Dansville and Geneseo locations includes; Glenn Baughman, OT; Timothy Bressler, COTA; Giles Churchman, PTA; Michael Donegan, MHA, PT, DPT; Nicole Fink, OT, CHT; Sheila Greer, SLP; Dawn Johnston, PTA; Jessica Kershner, MSPT; Paul Kreher, MSPT; Zachary Mix, PT, DPT; Andrea Pearson, PT; Paula Rocha, PT; Dianne Trickey-Rokenbrod, OTD; Shelly Trim, PTA; and Marsha Wallace, PT. And, the friendly support staff includes: Linda Naples in Geneseo and Hayley Kruchten in Dansville. Physical Therapy started as a profession in the early part of the last century. The polio epidemic brought about the need for formalized muscle strength testing and re-education in 1916. In 1917, as the U.S. entered WWI, the army recognized the need to rehabilitate wounded soldiers. The Division of Special Hospitals and Physical Reconstruction developed 15 "reconstruction aide" training programs, and this later developed into the profession of Physical Therapy. Today, there are over 204,000 licensed Physical Therapists in the U.S. We are proud to say we have some of the best and brightest here at Noyes Health! Thank you to our Physical Therapy Team for your dedication to the profession and the community you serve. For more information or a tour of Noyes Health Physical Therapy, visit, Noyes Health’s Facebook Page, or contact Michael Donegan, Director of Diagnostic and Rehab Services, at or 585-335-4561. ... Read More

April 6, 2016

Alcohol Awareness

When I speak to a room full of college students, I often say, “Raise your hand if you have never been affected by excessive alcohol use – never by you, a family member, a friend, or an acquaintance.” I’ve been posing that scenario since the 1990s and have yet to have anyone raise a hand. Alcohol is the most commonly abused substance in America. It affects the economy, society, and family. According to the CDC, excessive alcohol use is responsible for approximately 88,000 deaths annually in the U.S. and $249 billion in economic costs including healthcare, workplace productivity, vehicle collision, and criminal justice costs. Approximately, 2,200 Americans died last year from alcohol poisoning; that is six deaths per day. Out of those 2,200, 75% were adults ages 35-64 and 75% were men. April is Alcohol Awareness Month and a perfect time to reflect on the definition of alcohol abuse, the staggering health consequences, and preventive measures. An alcoholic drink is measured in quantity and alcohol percentage. Because distilled spirits such as vodka or whiskey contain a higher percentage of alcohol, their serving sizes are smaller. So a 12 ounce beer, an 8 ounce malt liquor, a 5 ounce wine and a 1.5 ounce distilled spirit are all considered one serving. Contrary to popular opinion, most people who drink excessively are not alcoholics or alcohol dependent. Most U.S. adults, who drink, do not drink every day. It is therefore, more important, to look at the amount a person drinks on the days he or she drinks. Excessive use can be the result of binge or heavy drinking by people who cannot drink in moderation. Moderate drinking is defined as one drink per day for a woman or two per day for a man; however, excessive alcohol use includes the following: Binge drinking – 4 or more alcoholic beverages per occasion for a female or 5 or more drinks per occasion for a male Heavy drinking – consuming 8 or more alcoholic beverages per week for a female or 15 or more week for a male Any drinking by a pregnant woman Any drinking by a person under the age of 21 Whether an individual occasionally drinks excessively or drinks heavily every day, there are short and long-term health risks. The CDC lists the following short-term risks that are most often the result of binge drinking: Injuries, such as motor vehicle crashes, falls, drownings, and burns. Violence, including homicide, suicide, sexual assault, and intimate partner violence. Alcohol poisoning, a medical emergency that results from high blood alcohol levels. Risky sexual behaviors, including unprotected sex or sex with multiple partners. These behaviors can result in unintended pregnancy or sexually transmitted diseases, including HIV. Miscarriage and stillbirth or fetal alcohol spectrum disorders (FASDs) among pregnant women. Heavy drinking, on the other hand, can lead to development of long-term chronic diseases and other serious problems including: High blood pressure, heart disease, stroke, liver disease, and digestive problems. Cancer of the breast, mouth, throat, esophagus, liver, and colon. Learning and memory problems, including dementia and poor school performance. Mental health problems, including depression and anxiety. Social problems, including lost productivity, family problems, and unemployment. Alcohol dependence, or alcoholism While the health risks are clear, confusion abounds in the popular press regarding the potential health benefits of alcohol consumption. Not so many years ago, it was reported that alcohol is healthy for you, most notably red wine for the heart. Subsequent studies have called that wisdom into question. Between the years of 2009 and 2015, several researchers looked at the methodology and data from those original studies. The conclusion according to the CDC is that “Although past studies have indicated that moderate alcohol consumption has protective health benefits (e.g., reducing risk of heart disease), recent studies show this may not be true. While some studies have found improved health outcomes among moderate drinkers, it’s impossible to conclude whether these improved outcomes are due to moderate alcohol consumption or other differences in behaviors or genetics between people who drink moderately and people who don’t.” The current recommendation, therefore, is that no one should be drinking for potential health benefits; and if one drinks, it should be limited to one drink per day for women and two per day for men. In addition, some people should not drink at all including: pregnant women, anyone under the age of 21, those who have medical conditions that would worsen with alcohol, drivers or those participating in activities that require alertness and coordination, or anyone taking an over-the-counter medication or prescription that interacts adversely with alcohol. For more information about recommended guidelines and risks, go to: To learn more about alcohol, its effects, and resources for you or a loved one, contact the Council on Alcohol and Substance Abuse of Livingston County at: or call the CASA Geneseo office at 585-991-5012 or the Dansville office at 585-335-5052. ... Read More

March 31, 2016

Benefits of Outdoor Play

My fondest childhood memories are of playing outside. I was fortunate to grow up in the Honeoye valley where creek beds, woods, and the lake were my playground. Hours were spent pretending, hiking, climbing, and getting dirty. My mom made my sisters and I go outside pretty much every day, year round to “get the stink blown off us.” Translation - go outside, get your energy out, explore, and when you’re tired and hungry, come back! Turns out, my mom instinctively knew what science now confirms – that is, outdoor play is essential to a child’s physical, emotional, and cognitive well-being. According to Dr. Kenneth Ginsburg of the American Academy of Pediatrics (AAP), “Play in nature provides children with opportunities for self-directed physical activity that can help promote physical health and reduce obesity. Unlike team sports, individual play in nature allows the child to tailor exercise to his or her own interests and abilities, often in conjunction with creative efforts. The great outdoors can move children away from the passive entertainment of computers and TV and into an interactive forum that engages both mind and body.” That is, playing outside by oneself or with a few friends is good for the body and imagination. The CDC, the AAP, and numerous other health and educational institutions now recommend increased outdoor play for all children. This push is based on alarming statistics and trends; the most sobering of these being obesity and ADHD statistics. According to the CDC, the overall childhood obesity rate is almost 18%. The most recent CDC numbers indicate that 8.4% of 2- to 5-year-olds are obese compared with 17.7% of 6- to11-year-olds and 20.5% of 12- to 19-year-olds. In addition, many children struggle with behavioral and school issues as a result of ADHD. 11% of American children, ages 4-17, have been diagnosed with ADHD, a 42% increase over the past 8 years. At the same time these numbers were increasing, the level of outdoor play was decreasing. AUniversity of Michigan Institute for Social Research study compared data from 1981-1982 with numbers from 2002-2003. What they found is that the average boy or girl spent about 15 minutes per day playing outside in the early 80s and by 2002-03, that time was down to 4-7 minutes per day. In fact, a Children and Nature Network report, noted that by 2008, only 6% of children, ages 9-13, played outside independently. By looking at all these trends, researchers are now seeing significant connections between the increase in obesity and ADHD and the limited time in good old-fashioned outdoor play free of adult intervention. Childhood obesity is on the rise. While processed, calorie-laden, nutrient poor diets are one reason for this increase, lack of activity is the other major cause. Children spend on average 7 hours per day on media including TV, computers, phones, and other electronic devices. Studies have proven that excessive use of electronic devices leads to a myriad of issues including attention probllay may be an exceptional way to increase physical activity levels in children, which is one important strategy in the resolution of the obesity epidemic.” While the connection between outdoor play and weight management is common sense, the link to ADHD was not obvious until the past few years. A number of studies have now shown the correlation between outdoor, green space activity and a lessening of ADHD and hyperactivity symptoms. One of the most notable was a 2011 University of Illinois study published in the journal Applied Psychology: Health and Well-Being. Researchers found that ADHD diagnosed children who regularly played in outdoor settings with lots of green (grass and trees, for example) had milder ADHD symptoms than those who played indoors or on built outdoor environments (playgrounds). The study’s authors noted that the findings are correlational. This means that the findings alone do not prove that routine playtime in green space reduces symptom severity. The University of Illinois publication noted, however, that “in light of all the previous studies showing a cause-and-effect relationship between exposure to nature and improved concentration and impulse control, it is reasonably safe to guess that that’s true here as well.” Playing outside is not the panacea to all ills but it is definitely part of the solution. Children who play outside are less stressed, enjoy enhanced friendships, and even perform better on critical thinking tests. Keeping these benefits in mind, the American Academy of Pediatricians now recommends 60 minutes daily of unstructured free play (in or outdoors without media). To top it off, playing outside is just good old-fashioned fun! blogger, Margarita Tartakovsky recommends the following outdoor activities for kids with ADHD (or any kid for that matter): Structured and simple activities – tag, yoga, kickball, or frisbee Team sports – if your child likes team sports, consider: soccer, baseball, basketball, volleyball, football, or tennis. Individual activities – if your child likes individual sports, try running, swimming, biking, or rock climbing. Natural activities – children are curious, engage them in bird watching, hunting for bugs, a nature scavenger hunt (find an acorn, find a small white rock, etc.), or take them hiking Yard work – make chores a family fun event – children can help with fence painting, raking leaves and grass, pulling weeds, hauling mulch, and planting seeds Nature as a classroom – for some kiddos, reading or doing math might be easier out in the yard free of a desk or indoor “rules” – experiment and see what works for your child. For more information on the benefits of outdoor play, visit the National Wildlife Federation at: . For a list of fun outdoor kid activities, check out: If all else fails, talk with a Grandma or Grandpa and ask them what they did as kids for fun outside! 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 or 585-335-4327. ... Read More

March 25, 2016

Colorectal Screening

True confessions time – I am over 50 and have not had colorectal screening yet. Like many, I have a lengthy list of excuses…”I feel fine,” “I don’t have time,” “You are going to put that thing where?!,” and “Oh, but that prep” were rationalizations that came out my mouth. I finally made my appointment this month after the sobering news that the president of my alma mater passed away from colon cancer at the age of 52. While some of you are screaming TMI (too much information), others of you realize the validity and benefits of colorectal screening. Indeed, colorectal screening is critical and should start at age 50 and continue until age 75 for most men and women. The single biggest risk factor for colorectal cancer is age and there is no escaping that! According to the National Center for Chronic Disease Prevention and Health Promotion, colorectal cancer is the number two cause of cancer deaths in the U.S. In the same breath, the five-year survival rate is 90% if cancer is found at the local (early) stage. But sadly, only 39% of colorectal cancers are diagnosed at an early stage, partly due to low testing rates. Screening is important because it can find polyps (abnormal growths). Those growths can then be removed before turning into cancer. Currently, 28 million Americans are not up-to-date on screening. In New York alone, an estimated 1.2 million have never been tested. Approximately, 51,000 people in the U.S. die from colorectal cancer each year and recommended screening could prevent at least 60% of these deaths! Understanding the screening options and leading a healthy lifestyle can substantially lower your risk. There are several colorectal cancer screening choices for average-risk men and women ages 50-75: High-sensitivity fecal occult blood test (FOBT) – This at-home test should be done once a year. The patient sends a stool sample to a doctor’s office or lab. It looks for hidden blood in stool. Positive results should be followed up by a colonoscopy. OR Flexible sigmoidoscopy – The doctor looks for polyps or cancer in the rectum and lower third of the colon. This should be done every 5 years with a high-sensitivity FOBT or every 3 years by itself. OR Colonoscopy – The doctor looks for polyps or cancer in the rectum and the entire colon and removes polyps during the same procedure. This should be done every 10 years. Which screening is best for you? Robert Smith, MD with the American Cancer Society recently commented, “We have a saying, the best test for colorectal cancer screening is the one that gets done.” Discuss the options with your physician to determine what makes the most sense for you. If you or a close relative have: inflammatory bowel disease, Crohn’s disease, or ulcerative colitis; a personal or family history of colorectal cancer or colorectal polyps; a genetic syndrome such as familial adenomatous polyposis (FAP) or hereditary non-polyposis colorectal cancer (Lynch syndrome), contact your physician. You may need to start screening before age 50 and be tested more often than other people. In addition to screening, a healthy lifestyle lowers your risk not only for colorectal cancer but for other cancers and chronic diseases as well. The American Cancer Society suggests the following management strategies. DO: Eat a diet rich in whole grains, fruits, veggies, dairy, and lean proteins. Manage your weight. A healthy Body Mass Index (weight to height proportion) is 18-25. (to calculate your BMI, go to: Stay active. Walk, exercise, and play on a daily basis. Stop smoking. LIMIT: Processed foods, junk foods, fatty meats, and refined sugar products like cookies, candy, and cake. Screen and couch time. According to a new Nielsen report, Americans spend almost 8 hours per day with some kind of screen device. Limiting screen time may improve physical and psychological health. Alcohol and soda. Colorectal screening is now on my calendar. The benefits far outweigh any time issues, embarrassment, or mild discomfort. If you would like more information about screening, go to: New York State’s Department of Health website at or locally, call the Cancer Services Program of Livingston and Wyoming Counties at 800-588-8670. If you are uninsured, the Cancer Services Program can also assist you with free screenings as well as insurance information. 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 or 585-335-4327. ... Read More

March 21, 2016

Safety in the Spring

The temperatures are warming and the spring yard work season is now upon us. The chore list is never ending - gutters to clean, lawn mowers to power up, windows to wash, remnants of fall leaves to rake, and weeds to pull. With all those tasks, you can count on sore muscles for sure and in some cases, injury. According to the U.S. Consumer Product Safety Commission, more than 35,000 people injured themselves using a step ladder in 2010 and more than 127,000 were injured while operating a lawn mower. And those numbers do not reflect the strained backs, twisted ankles, sunburns, and other common injuries incurred while tending to the lawn, house, and garden beds. The American Academy of Orthopaedic Surgeons, the Centers for Disease Control and Prevention, and the Outdoor Power Equipment Institute offer the following tips to keep you healthy and fit as you gear up for the yard work season: Warm Up After hibernating through the winter, make sure you are limber before you tackle the yard. Some gentle stretches include trunk rotations for the back, bringing your knee up to your chest to stretch your lower back and legs, and reaching above your head with hands locked to stretch arms and shoulders. Take a short walk around the yard to loosen up the muscles and to survey what needs to be done. Dress to Protect Use insect repellant and sunscreen with sun protective factor of 15 or higher. Remember hazardous UV exposure is still possible on a cloudy or hazy day. Wear gloves and safety glasses to prevent exposure to harmful chemicals such as weed or insect killer. Wear a hat with a wide rim to shade the face, head, ears, and neck. Always check your clothes and body for ticks after working outdoors. Lift with Care – Think Before You Lift Heavy Objects To avoid back injuries, separate your feet, shoulder-width apart and keep your back upright and bend at the knees while tightening the stomach muscles. Lift with your leg muscles as you stand up. Know your limitations. Get help with items that are too big, heavy, or oddly shaped. Consider using a cart or wheelbarrow to move items, dirt, or debris. Ladder Use When washing windows, painting, cleaning gutters, and trimming trees, always place your ladder on a firm level surface. In addition: Never place a ladder on ground or flooring that is uneven, soft, or wet. Over-reaching or leaning too far to one side can make you lose balance and fall. Be aware of where you are on the ladder. Your bellybutton should not go beyond the sides of the ladder. Have someone spot you when you are on a ladder. Go slowly to make sure you touch each step solidly as you ascend or descend the ladder. Inside, be sure to use a sturdy step stool instead of the counter or furniture to reach high areas. Mowing the Lawn You can severely injure or kill a child with a lawn mower - in forward or reverse - with the blades engaged, or when objects are hit and thrown by the spinning blades. Be sure to wear proper footwear and eyewear as well as ear protection. Never give rides. A child may fall off the mower and into the spinning blades. Giving rides may also cause the child to be attracted to the mower, and the child may later approach without being seen. Use extreme caution in reverse. Keep alert for anyone who may enter the mowing area. Always look down and behind before and while backing up. Know where your kids are. Keep kids away from the mowing area. Have adult supervision to prevent them from approaching the mower before you have finished. Stop mowing if a child approaches the mowing area. Read safety instructions and remember to keep the keys to your mower away from children. Use the Right Tools and Take Breaks There will be less strain on your arms and back if you choose tools with larger, padded, or curved handles. Wear nonslip work gloves to prevent blisters and to add protection from sticks and thorns. When using tools with cords, be sure they are properly grounded and keep them from walkways to avoid tripping. Pace yourself. Take frequent breaks and drink plenty of water. Change positions often to avoid repetitive motions that can cause injuries. For example, if you are pulling weeds – pull for 10 minutes, stand, stretch, and change position. For more information about safety and healthy gardening, go to the Outdoor Power Equipment Institute site at or click on the CDC’s site at 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 or 585-335-4327. ... Read More

March 14, 2016

Diabetes Alert 2016

March 22nd is the American Diabetes Association’s (ADA) Alert day. The theme once again is “Take it”, the ADA diabetes risk test; “Share it”, share this test with those you care about; “Step out” start learning and start a healthy and active lifestyle and join one of the walks for Diabetes in your area. According to the CDC, an estimated 29.1 million Americans have diabetes. Of this number, Type 1 diabetes affects 5% of the diabetic population and those with this type have no insulin production left in the pancreas. The remaining 95% have type 2 diabetes where either insufficient insulin is produced by the beta cells or the body’s cells have become resistant to the insulin and don’t use the insulin efficiently or both. In Livingston County, 10.2% of the population is diabetic, up from last years’9.5%! In addition, 86 million Americans haver pre-diabetes, up from last years’ 79 million! For those with pre-diabetes, your challenge is to take advantage of every opportunity to learn more about what can be done to either put off the progression to diabetes or not become diabetic at all. For those with diabetes, your challenge is to meet the condition head on and take charge, do not let it take charge of you. The Centers for Disease Control (CDC) estimates that only 40.6% of those with diabetes ever take advantage of the education which would help them self-manage the condition. Yet, insurance companies know that their participants with diabetes education have medical costs 2.3 times lower than the person who has not taken a diabetes course. Livingston County has the resources you need close to home. The Noyes Hospital Diabetes Education Program is available in Dansville, Hornell, Geneseo and in four area physician offices. The program is recognized by the American Association of Diabetes Educators and staffed with two RN, Certified Diabetes Educators. There are individual appointments to begin and thanks to a rural health grant, 5 hours of free diabetes education classes which includes a free meal to help participants make better food choices It is estimated that 8.1 million individuals have no idea they are diabetic. Find out if you are one of these individuals or at risk for diabetes. Take the test in this issue and find out. Be alert to your risk factors and discuss them with your physician. Nancy M. Johnsen RN, CDE is a Certified Diabetes Educator and Community Health Education Coordinator at Noyes Memorial Hospital. Call 585-335-4355 today and start to take charge! Diabetes increases the risk for some significant health problems which include; heart disease, amputations, stroke, kidney damage, blindness, gum disease, nerve damage, and possibly dementia. Don’t be one of the statistics! The Risk Test can also be found on the hospital website; Read More

March 6, 2016

Breakfast - The Most Important Meal of the Day

Every day, approximately 31 million Americans skip breakfast – that’s about 10% of the population. Another percentage may grab a little something but not enough to fill their tummies. Study after study confirms that breakfast really is the most important meal of the day. People who eat a good breakfast are healthier physically, mentally, and socially. Front loading our calories early in our day helps manage weight, decreases the risk of cardiovascular disease, stroke, and type 2 diabetes, reduces cravings for sweets, and improves cognitive abilities such as math problem solving and word use. Consuming most of our food before noon is especially critical to losing weight or maintaining a healthy weight. A Tel Aviv University study found that those who eat their largest daily meal at breakfast are far more likely to lose weight and waistline circumference than those who eat a large dinner. The 2013 study established that dieters on a 1400 calorie diet who ate a big breakfast and a modest dinner lost 240% more weight than others in the study who had a big dinner and a modest breakfast. Breakfast also feeds the brain. A 2015 study by Cardiff University showed that children are twice as likely to score higher than average grades if they start the day with a healthy breakfast. According to a study from the nonprofit organization, Share Our Strength, kids who eat breakfast score 17.5% higher on math tests than kids who skip breakfast. And a University of Pennsylvania School of Nursing study showed that children who regularly eat breakfast tally up significantly higher scores in verbal and performance IQ tests. Finally, it turns out eating breakfast is good for your social life. In 2015, the International Journal of Dental Hygiene published a study that showed teens who skip breakfast are significantly more likely to suffer from bad breath than teens who eat breakfast. Further studies indicate that women who skip breakfast are often “cranky.” Bad breath plus cranky equals a not so wonderful way to start the day socially! So what is a good breakfast? The simple answer is one that includes protein, complex carbohydrates, and a bit of healthy fat to fill you up. Equally important, it is one you will eat! Keri Gans, author of The Small Change Diet, suggests these simple breakfast ideas: One cup low-fat or non-fat plain Greek yogurt and one cup berries (frozen or fresh) topped with chopped walnuts or high-fiber cereal Whole wheat English muffin with 2 tablespoons natural peanut butter and banana slices Half cup oats cooked with either low-fat milk or water with bananas, apples, or berries One cup whole grain cereal such as shredded wheat with one cup low-fat or non-fat milk and sliced bananas or berries An egg cooked any way you like it with whole wheat toast and a favorite fruit or for a savory option, top the egg with salsa. Not super hungry in the morning or always pressed for time, try one of these options: One granola bar – pick one that has whole grains and low sugar One hard-boiled egg and a banana One cup plain or vanilla yogurt with fresh or frozen fruit One cup low-fat or non-fat milk or chocolate milk One good size piece of cheese and an apple Not fond of breakfast foods, think outside the cereal box: Beans and corn tortillas Leftovers from last night’s dinner Turkey or tuna sandwich on whole wheat bread Soup Stir fried veggies and brown rice Stewed chicken with sweet potatoes Hummus and veggies The key take away regarding breakfast is this – Just Eat It! Consume most of your calories for the day in the morning hours, aim for a mix of protein, complex carbs, and healthy fat, and find something that works for you. 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 or 585-335-4327. ... Read More

February 29, 2016

Noyes Health Designated Blue Distinction® Center for Maternity Care

2/29/2016 Dansville, NY – In an effort to help prospective parents find hospitals that deliver quality maternity care, Excellus BlueCross BlueShield announced that Noyes Health has been designated as one of the first hospitals to receive the Blue Distinction Center for Maternity Care designation, a new designation under the Blue Distinction Specialty Care program. Nearly four million babies are born in the U.S. annually, making childbirth the most common cause of hospitalization. This new Blue Distinction Centers for Maternity Care program evaluates hospitals on several quality measures, including the percentage of newborns that fall into the category of early elective delivery, an ongoing concern in the medical community. Compared with babies born 39 weeks or later, early term infants face higher risks of infant death and respiratory ailments such as respiratory distress syndrome, pneumonia, and respiratory failure, among other conditions. These babies also have a higher rate of admission to Neonatal Intensive Care Units. In addition, hospitals that receive a Blue Distinction Center for Maternity Care designation agreed to meet requirements that align with principles that support evidence-based practices of care, as well as having initiated programs to promote successful breastfeeding, as described in the Baby-Friendly Hospital Initiative by Baby-Friendly USA or the Mother-Friendly Hospital program by the Coalition for Improving Maternity Services (CIMS) through its “Ten Steps of Mother-Friendly Care.” The program also evaluates hospitals on overall patient satisfaction, including a willingness to recommend the hospital to others. Blue Distinction Centers for Maternity Care, an expansion of the national Blue Distinction® Specialty Care program, are hospitals recognized for delivering quality specialty care safely and effectively, based on objective measures developed with input from the medical community. “The healthcare team here at the Noyes Health Birthing Center strives to provide quality care, the quality of care our new parents will never forget!” said Birthing Center Nurse Manager, DeNae Gibson, RN, MSN, CLC. “We want each family’s experience with us to be filled with excellence and enthusiasm. So, for Noyes Health, achieving Blue Designation tells the story of our commitment to a history of excellence for delivering quality maternity care to our community.” Blue Cross and Blue Shield (BCBS) companies across the nation have recognized more than 280 hospitals as Blue Distinction Centers for Maternity Care. Hospitals recognized for these designations were assessed using a combination of publicly available quality information and cost measures derived from BCBS companies’ medical claims. Since 2006, the Blue Distinction Specialty Care program has helped patients find quality providers for their specialty care needs in the areas of bariatric surgery, cardiac care, complex and rare cancers, knee and hip replacements, spine surgery and transplants. Research shows that compared to other facilities, those designated as Blue Distinction Centers demonstrate better quality and improved outcomes for patients. For more information about the Noyes Health Birthing Center or to request a tour call Birthing Center Nurse Manager, DeNae Gibson, RN, MSN, CLC at 585-335-4293. For more information on Noyes Health visit, Noyes Health Facebook Page, or contact Cynthia Oswald, PR/Marketing Director, at or 585-335-4323. For more information about the program, visit Excellus BlueCross BlueShield, a nonprofit independent licensee of the Blue Cross Blue Shield Association, is part of a family of companies that finances and delivers vital health care services to about 1.5 million people across upstate New York. Excellus BlueCross BlueShield provides access to high-quality, affordable health coverage, including valuable health-related resources that our members use every day, such as cost-saving prescription drug discounts and wellness tracking tools. To learn more, visit About Blue Cross Blue Shield Association The Blue Cross Blue Shield Association is a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for nearly 105 million members – one in three Americans. For more information on the Blue Cross Blue Shield Association and its member companies, please visit We encourage you to connect with us on Facebook, check out our videos on YouTube, follow us on Twitter and check out The BCBS Blog, for up-to-date information about BCBSA. About Blue Distinction Centers Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for facilities located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable health care. Each facility’s cost of care is evaluated using data from its Local Blue Plan. Facilities in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on Individual outcomes may vary. For details on a provider’s in-network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non-covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. ... Read More

February 26, 2016

Living Healthy Workshops

One out of every two adults in the U.S. has at least one chronic disease. A chronic disease, as defined by the U.S. National Center for Health Statistics, is one lasting 3 months or more. Chronic diseases generally cannot be prevented by vaccines or cured by medication, nor do they just disappear. Chronic diseases and conditions—such as heart disease, stroke, cancer, diabetes, obesity, and arthritis—are among the most common and costly of all health problems. According to the CDC, chronic diseases are responsible for 7 of 10 deaths each year, and treating people with chronic diseases accounts for 86% of our nation’s health care costs. There are, however, other costs to consider besides dollars and cents. Chronic diseases can take a toll on people’s lives – the pain, the limitation, and the poor emotional health all compromise the quality of daily life. In addition, caregivers of those with chronic disease struggle with burnout and poor health. Over the last 20 years, several programs have been developed to meet the needs of both populations, the patients and those who care for them. These educational workshops are evidence-based meaning they incorporate: (1) the best available research evidence (2) clinical expertise, and (3) client preferences and values. Furthermore, they are designed to address the everyday issues of those dealing with chronic disease and offer tools and techniques for self-management. These self-management education programs have been proven to significantly help people with chronic diseases. For example, the Stanford Chronic Disease Self-Management Program (Living Healthy program) helps participants learn self-management skills needed to help deal with the symptoms of their chronic condition and the life role changes and emotions experienced when living with a chronic condition. The emphasis of the workshop’s curriculum is to help people: manage common problems such as fatigue; communicate with friends, family, and providers; deal with anger and depression; and design and maintain a healthy eating and exercise plan. In addition, participants learn disease related decision-making and problem solving skills. As a result, these tools help participants reduce pain, depression, fear, and frustration; improve mobility and exercise; increase energy; and boost confidence in their ability to manage their condition. The most important outcome is that people become more confident and are able to maintain more active lives. Powerful Tools for Caregivers is another evidence based six-week program which focuses on the needs of caregivers. It is for family and friends who are caring for older adults suffering with long-term conditions. The class provides caregivers the skills and confidence needed to take better care of themselves, while caring for others. Caregivers develop a wealth of self-care tools to: reduce personal stress, change negative self-talk, communicate their needs to family members and healthcare providers, communicate more effectively in challenging situations, deal with difficult emotions, and make tough caregiving decisions. UR Noyes Health will be offering both of these workshops free of charge to the public. Workshops are taught by trained, certified instructors. Classes are 2 ½ hours long, once a week, for six weeks. Class size is limited. Spring workshops will be held at the York Town Hall, Wayland Library, and Geneseo Goodwill starting in April. If you would like more information or want to register: call 585-335-4358 or email To learn more about Living Healthy programs, go to: This article was a collaborative effort of Christa Barrows, Caregiver Resources Coordinator, and Lorraine Wichtowski, Community Health Educator at Noyes Health. If you have questions or suggestions for future articles Lorraine can be reached at or 585-335-4327. ... Read More