Health and Wellness Winter 2015

H E A L T H W E L L N E S S&C o m i n g

o u t o n t o p d u r i n g

c o l d a n df l u s e a s o n

A S p e c i a l S e c t i o n o f t h e J a n u a r y , 2 0 1 5S u l l i v a n C o u n t y D e m o c r a t ,

2H HEALTH SULLIVAN COUNTY DEMOCRAT JANUARY 23, 2015

MIDDLETOWN —Middletown Medicalannounced that Dr.Stuart Tashman, a pedi-atrician and director ofits Pediatric ExpressCenter in Chester, hasbeen selected by read-ers of Hudson ValleyParent magazine as a“Favorite Doc” for 2014.

Dr. Tashman, FAAP,has previously won thisaward several times,including last year.

“We’ve always feltincredibly fortunate tohave Dr. Tashman onour staff, and so doHudson Valley area par-ents, as reflected by thisaward,” said Lori Marl,operations director. “It’sa well-deserved honor for Dr. Tash-man.”

Dr. Tashman is Board Certified bythe American Board of Pediatrics,and has prestigious Fellowship sta-tus granted by the American Acade-

my of Pediatrics. He’salso top-rated as one ofthe best doctors inNew York State onwww.ratemds.com.

Also available in theWurtsboro office, Dr.Tashman has beenserving the needs ofchildren in Orange andSullivan counties forover a decade. Fluentin Spanish, as well, he’spreviously been onstaff at Orange Region-al Medical Center inMiddletown, where heserved as chairman ofthe Pediatric Depart-ment.

Middletown Medical’s PediatricExpress, located in Chester(ShopRite Plaza), is the only serv-

ice of its kind in Orange County, offering walk-inUrgent Care services for children 18 and under, witha member of Middletown Medical’s renowned Pedi-atric Team on site until 9 p.m. on weeknights. Pedi-atric Express provides treatment for illnesses, suchas fever, ear infections, strep throat, asthma prob-lems, and injuries, including those requiring splintsand sutures. For more information, call 469-2692.

CONTRIBUTED PHOTO

Dr. Stuart Tashman has beentreating children in Orangeand Sullivan counties for overa decade. He maintains anoffice in Wurtsboro.

Dr. Tashman is a ‘Favorite Doc’JANUARY 23, 2015 SULLIVAN COUNTY DEMOCRAT HEALTH 3H

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Fight off winter woes with our survival kits

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The winter months don’t onlysignify snow and cold tempera-tures, but also the coming of

influenza season. Half of the countryhas already reported experiencingincreased levels of flu activity, and thevirus will most likely continue tospread in the coming weeks. Be sureto protect yourself, and your family’shealth, by practicing a few cautionarytips!

Germs are not for sharingOne of the biggest battles during flu

season is fighting against the spreadof the virus. The easiest way to pre-vent yourself and your family fromgetting sick is to wash your hands. Acommon way to catch a cold or theflu is by rubbing your nose or eyes, soto protect against infection washyour hands frequently. Use warmwater, soap and wash for several min-utes for best results.

Germs are shared through both

human touch, and by coming intocontact with contaminated surfaces.Be mindful to not share cups or sil-verware, and be persistent withcleaning high-contact areas in thehome, such as doorknobs, faucetsand telephones with disinfectantproducts.

Give your immune system a boost!

Even when your hands are clean,staying healthy means morethan simply avoiding germs. Healthybodies have an easier timefighting off infection.

To stay healthy and boost yourimmune system:

Get plenty of restEat a well-balanced dietExercise regularlyDecrease/minimize stress

CONTRIBUTED PHOTO

It is not too late to get a flu shot for the season.CONTINUED ON 6H

Catskill Regional Medical Group

Showing cold and flu season who’s the boss

JANUARY 23, 2015 SULLIVAN COUNTY DEMOCRAT HEALTH 5H

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Cut back on unhealthy habits, suchas smoking and over consumingalcohol

Get the shot, not the flu!Although children, pregnant

women, and the elderly are thoseconsidered at an especially high riskfor the flu, even healthy children andadults can get very sick and spreadthe flu to family and friends.

“Vaccination is the single best wayto protect against influenza,” said Dr.Bruce Ellsweig, medical director forPrimary Care at Catskill RegionalMedical Group. “As flu viruses arenotoriously highly contagious, theCenters for Disease Control and

Prevention (CDC) recommends theflu vaccine as the first and mostimportant step in preventing thespread of the flu each year. Recentmedical guidelines recommend thateveryone over the age of 6 monthsreceive the vaccine annually. Eventhough the current vaccine may notprevent this year’s outbreak, it is stillstrongly recommended.”

Feel better, faster!Sometimes, despite our best efforts,

we still find ourselves feeling underthe weather. If you do catch the flu,be sure to take care of yourself toensure you are able to heal faster.

To feel better while you are sick:Drink lots of fluids and get plenty of

rest

Use a humidifier – to moistenmucus membranes

Add immune-boosting foods toyour shopping list this flu season.

To learn more about recommendedhealth practices during flu season,please visit the Center for DiseaseControl’s website at www.cdc.gov/flu.

For more information on improvingyour health this year, visit the CatskillRegional Medical Group website atcatskillregionalmedicalgroup.orgwhere you can sign up for the HealthTips Newsletter. You can schedule anappointment with a Primary Carephysician, multiple locations andnew extended hours provideappointment convenience for theentire family!

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Make a habit of including asmany nutritious, immune supportive foods in your diet as possible.

They can go a long way inmaking you feel your best andwill help protect you fromwhatever infections are circulating in your environment.

Some powerful food alliesinclude:

garlic, sweet potatoes oryams, blueberries, ginger, kaleand rolled oats.

Food to help the fightCONTINUED FROM 4H


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Published byCatskill-Delaware Publications, Inc.

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(845) 887-5200 Callicoon, NY 12723

January 23, 2015 • Vol. CXXIV, No. 63

Health & Fitness Publisher: Fred W. Stabbert III Senior Editor: Dan Hust Editor: Frank Rizzo Sports Editor: Ken Cohen Editorial Assistants: Jeanne Sager, Kaitlin Carney, Kathy Daley, Eli Ruiz, Guy Harriton, Allison Ruef, Alex Rau Advertising Director: Liz Tucker Advertising Coordinator: Sandy Schrader Advertising Representatives: Cecilia Lamy, Barbara Matos Marketing Director: Tera Luty Business Manager: Susan Owens Business Department: Patricia Biedinger, Joanna Blanchard Telemarketing Coordinator: Michelle Reynolds Classified Manager: Janet Will Production Associates: Ruth Huggler, Tracy Swendsen, Rosalie Mycka, Elizabeth Finnegan, Petra Duffy, Nyssa Calkin Distribution: Bill Holmes, Thomas Duffy

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MONTICELLO — Last month, theSullivan County Alternative DrugCourt and VetTrak Court graduatedtheir successful participants in the18-month Court-supervised pro-gram.

Congressman Chris Gibson(R–19th) along with Drug Court JudgeFrank J. LaBuda, District Attorney JimFarrell and members of the DrugCourt Team presented Diplomas ofGraduation to graduates.

Courting people awayfrom drug

lifestyle

CONTRIBUTED PHOTO

Participants at the Alternative Drug Court and VetTrak Court were, front row from left: Assistant District Attorney Meagan Galligan withgraduates Courtney, Jennifer and Zakary. Middle row: Timothy Havas, Esq, Director of Sullivan Co. Legal Aid; District Attorney James Farrell;Hon. Frank LaBuda; Congressman Chris Gibson; and graduates Bazely and Jennifer. Back row: Wilbert Powell, director, Recovery Center DayRehab and Drug Court team member

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Congressman Gibson, a UnitedStates Army veteran of the Iraq War,along with Judge LaBuda, a veteran ofthe Desert Storm War, complimentedthe graduates on their willingnessand determination to participate inand successfully complete such a rig-orous 18-month program.

Congressman Gibson was particu-larly pleased with the efforts that theState of New York and our courts aretaking to help returning veteransadjust to civilian life. It was notedthat Nikaiya, a graduate of VetTrakCourt had served “under fire” in Iraq,before returning home to SullivanCounty.

After the graduation ceremonies,Judge LaBuda was presented with a“birthday gift” of a sketch portrait bythe participants. Judge LaBudaremarked that in addition to the por-trait, the greatest gift that the partici-pants can give to him is to changetheir lives and return to family andfriends as productive members of ourcommunity.

In the past 10 years the two alterna-tive courts have successfully graduat-ed over 109 participants. The pro-gram is all about saving lives and

building futures for those in need.The purposes of Drug Court are reha-bilitation and putting a stop to sub-stance abuse recidivism.

“The Drug Court also saves tax dol-lars, but the life it saves is priceless,”said Judge LaBuda.

CONTRIBUTED PHOTO

Judge LaBuda is presented a sketch from program participants Anna, left, and Kellie. Theyhave not yet completed the 18-month program.

CONTRIBUTED PHOTO

Nikaiya, a veteran of the Iraq War, acceptsher certificate from Judge LaBuda.

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C old and flu season seems toarrive earlier and earlier eachyear. As more people begin to

sniffle and sneeze and feel lousy, theymay look for ways to shorten the time

they spend battling the flu.Myths about the flu are nearly as

plentiful as the myriad home reme-dies to banish it. Separating flu factsfrom fiction can help people moreeffectively deal with their next boutof influenza. The following are a fewof the more widely spread mythswith regard to the flu.

• Cold weather causes the flu.Going out in the cold weather withyour hair wet is probably not a goodidea if you want to keep yourimmune system healthy. However,the weather is not a direct cause ofcold or flu. Rather, contact with thevirus through contaminated surfacesor by saliva or mucous transmissionis how many people catch the flu.

• The flu shot injects the body withthe flu virus. Some people vehe-mently oppose getting the flu shotbecause they believe the immuniza-tion itself will cause them to get sick.Actually, the virus in the flu shot isinactive and cannot make a personill. The virus used in the vaccine isgrown in chicken eggs and killed offbefore it would cause illness. Minorreactions, such as muscle soreness,can occur at the injection site. Nasalflu immunizations do contain thelive virus, but even with nasal appli-cations, it is very rare to get sick fromthe immunization.

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•You can starve a fever. Chills, feverand nausea are potential flu symp-toms. The notion that you should"feed a cold and starve a fever" hasprevailed through the years, but thistreatment method really isn't benefi-cial. Although a person with the flumay not feel like eating much, he orshe should try to remain hydratedand eat as healthy as possible. Saltand potassium are important elec-trolytes, so consuming crackers,bananas, vegetable soup, and fruitjuices can help the body fight the ill-ness.

• Zinc and vitamin C can kick theflu to the curb. Evidence that takingzinc and high doses of vitamin C willhelp make the cold or flu go awayfaster is somewhat mixed. Some indi-cations point to throat lozenges withzinc as helping the body fight the flu.Although some people stand bymega-dosing with vitamin C, thebody most likely won't absorb thatmuch of the extra vitamin C for it tohave any benefit. Getting vitamin Cthrough fresh fruits and vegetables

can help boost the immune system,however.

• If you received the flu shot lastyear, then you should be fine thisyear. Some people believe if theyreceived the flu vaccine last year thatthey do not need to get vaccinatedthis year. But experts warn there arehundreds of different strains of fluviruses and vaccines are made fromthree of the most common types cur-rently circulating. Therefore, a vac-cine from last year may not protect aperson this year. Even if a person hadthe flu in December, he or she maycatch another strain in January. Vac-cinations help individuals be saferather than sorry.

• Antibiotics banish the flu. Run-ning to the doctor for an antibioticprescription will not make the flu goaway more rapidly. Antibiotics can-not treat viral infections, even thoughthey may be used to treat certain sideeffects or bacterial infections thatresult from the flu, such as an earinfection.

Monticello’s Jackson planning a medical career


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MONTICELLO — Shaun Jackson, ajunior at Monticello High School, hasbeen nominated to attend theCongress of Future Medical Leadersin Boston on June 24-26, 2015. He isthe son of Steven and Reneé Jackson.

The Congress is an honors-onlyprogram for high school studentswho want to become physicians orgo into medical research fields.

Jackson was nominated by Dr.Connie Mariano, the MedicalDirector of the National Academy ofFuture Physicians and MedicalScientists based on his academicachievement, leadership potentialand determination to serve humani-ty in the field of medicine.

Jackson currently maintains aweighted GPA of 3.7 and is a member

of the National Honor Society,Interact Club and played varsity foot-ball (where he started as runningback/defensive back), basketball andbaseball (starting at both secondbase and shortstop).

During the three-day Congress,Jackson will join students from acrossthe country and hear Nobel Laureatesand National Medal of ScienceWinners talk about leading medicalresearch; be given advice from IvyLeague and top medical school deanson what to expect in medical school;witness stories told by patients whoare living medical miracles; beinspired by fellow teen medical sci-ence prodigies; and learn about cut-ting-edge advances and the future inmedicine and medical technology.

The Academy offers free servicesand programs to students who wantto be physicians or go into medicalscience.

For more information visitwww.FutureDocs.com or call 617-307-7425.

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CALLICOON — Ronen Bar-El is aLicensed Nurse Practitioner nowworking with Dr. Paul Salzberg in hisfamily practice office in Callicoon.

Ronen was born in Haifa, Israel andmoved to Brooklyn at age 7, where heattended public schools and graduat-ed from Edward R. Murrow HighSchool. A graduate of SUNY StonyBrook with a business degree, Ronenworked at Merrill Lynch for eightyears before pursuing his career aspi-rations in medicine. He graduatedfrom Binghamton University wherehe earned both his Bachelor's (BSRN)and Master's degrees in Nursing.

He has worked in the ER at MountSinai Queens Hospital and at OurLady of Lourdes in Binghamton. He isalso an adjunct assistant professor atLong Island University Hospitalteaching nursing students.

Among his many hobbies, he enjoyskite-surfing, travel, hiking, brewingbeer, cars, running and cooking withfriends and family.

Dr. Salzberg heartily welcomesRonen to his medical practice, to Cal-licoon and to Sullivan County.

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Ronen Bar-El switched from a career in busi-ness to follow his medical aspirations.

Write/read about cancer at January 26 workshop

MIDDLETOWN — Orange Region-al Medical Center is hosting a freereading and writing workshop foranyone whose life has been touchedby cancer. The session will be heldon Monday, January 26, from5:30–7:30 p.m. at Orange RegionalMedical Center’s Outpatient Confer-ence Room, Room 7, 707 East MainStreet, in Middletown.

This workshop brings healingthrough writing and sharing of sto-ries in a safe and supportive environ-ment and will also include reading awide variety of prose and poetry. Noprevious writing experience isrequired and all materials will besupplied. A light meal will also beprovided.

Registration is required by January25. For more information and to reg-ister, call 1-888-321-ORMC or visitwww. ormc.org/CommunityOutreach.


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MIDDLETOWN — Orange RegionalMedical Center recently celebrated itsFirst Annual Ronald H. Israelski, MDExcellence in Education AwardsCeremony. The award recognizes a dis-tinguished group of physicians, resi-dent physicians and medical studentswho have demonstrated educational

innovation and excellence. Director of Medical Education, Dr.

John Dermigny, DO and MedicalStudent Christianna Anderson werethis year’s honorees.

Dr. Ronald Israelski was honored thisyear for his vision and leadership inMedical Education in Orange County.

As Director of Academic Affairs, Dr.Israelski has been invaluable in thecreation of excellence in medical edu-cation for the Hudson Valley. He wasextremely instrumental in developinga partnership with Touro College ofOsteopathic Medicine which led to thepurchase of the old Horton Hospital

which was refurbished to create theirMiddletown Campus.

Touro College opened the new med-ical college in July. With medical stu-dents now learning at OrangeRegional, it was a natural progressionto create residency programs. In July of2014, Orange Regional began its firstresidency program in FamilyMedicine, which is led by Dr. JohnDermigny, DO.

For more information on OrangeRegional Medical Center’s GraduateMedical Education Program, contactAdministrative Director of MedicalEducation, Jenny Vosganian-Clancy,at [email protected] or 845-333-1138,or visit www.ormc.org/Graduate-MedicalEducation.

CONTRIBUTED PHOTO

From left: Orange Regional Medical CenterChief Operating Officer, Jonathan Schiller;Director of Medical Education, Dr. JohnDermigny, DO; medical student ChristiannaAnderson; Administrative Director ofMedical Education Jenny Vosganian-Clancy;and Dr. Ronald H. Israelski, MD.

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Wayne Memorial names employee of the yearA standing ovation greeted Mary Carlile, RN,

when her name was announced as WayneMemorial Hospital’s Employee of the Year 2014at the hospital’s annual holiday party onDecember 13, 2014.

More than 200 hospital employees, spouses,friends and board members joined in theapplause, and when it died down, Carlilehumbly thanked everyone for helping herthrough her 27 years on the staff.

Carlile was nominated by several of her co-workers for Employee of the Month, which shewas honored with for last November.

Nurse Aide Amy Rieman wrote of Mary,“When I come in to work and see she is mynurse, I am thankful because she is not afraidto help out anybody even if it’s not her patient.”

Fellow nurse aide Alyssa Williams echoed thecompliments, “Her dedication to her job andkindness to her patients is truly exceptional.Mary is absolutely a team player.”

Carlile, who “willingly floats to all depart-ments,” worked as a pediatric nurse for manyyears. She received a big hug at the party at theScranton Hilton from CEO David Hoff.

CONTRIBUTED PHOTO

Pictured, from left: Kristy Tirney, RN; CEO David Hoff; MaryCarlile; and Barbara Gregory, BSN, RN.


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Management Programs (DSMP) consisting of threeconsecutive classes will be offered in WayneCounty within the next few weeks. Full sessionswill be held in both Lake Como and Honesdale.

Lake Como classes will be held January 28,February 4 and February 11 from 1 pm to 3 pm atthe Northern Wayne Family Health Center, 412Lake Como Road. The Honesdale series runsFebruary 3, 10 and 17 from 5 pm to 7 pm at WayneMemorial Hospital, 601 Park Street.

This comprehensive program instructed byWayne Memorial’s Certified Diabetes EducatorCarol Kneier, MS, RD, LDN, CDE, covers medica-tions, meal planning, glucose monitoring andexercise benefits. Classes, based on the NationalStandards of the American Diabetes Association,are ideal for individuals newly diagnosed with dia-betes, pre-diabetes or pre-existing diabetes inneed of tighter control.

All classes are free and open to the public.Patients are encouraged to bring a support person.Pre-registration is required by calling 570-253-8149or emailing [email protected].


SullivanArc recognizes achievers

The SullivanArc Foundationrecently held its 23rd annualCommunity Recognition

Dinner at the Eagle’s Nest inBloomingburg. One hundred andeighty people attended to see MarcBrandt honored with the RuthBennett Humanitarian Award,named after SullivanArc’s founder.

Brandt was Executive Director atSullivanArc from 1971 to 1982. He thenwent on to become NYSARC’sExecutive Directorfor 32 years, andfrom which he isretiring at the end ofthis year. WhenBrandt was atSullivanArc, theentire field ofD e v e l o p m e n t a lDisabilities wentthrough historicchanges and it wasthe beginning ofremoving peoplefrom harsh institu-tions and placingthem in homes in the counties wherethey were born. Brandt’s leadershipwas instrumental in the tremendousgrowth seen at both SullivanArc andthe statewide organization of NYSARC.

Also honored with the President’s

Award was Bob Landau, a Neversinkresident, who formed the SullivanCounty Faith Inclusion Consortium,educating people with disabilitiesabout the benefits of spiritual growthand community connections.

Gene Palmer, who receives supportfrom SullivanArc, received the annu-al Derrick Finn Memorial Award,named after an inspirational manwho received services fromSullivanArc, and who passed awayseveral years ago. The award was pre-sented by Tyrone Finn, the lateDerrick Finn’s younger brother.

The annual NYSID OutstandingWorker Award was awarded toRosemary Russo, who is employedthrough SullivanArc’s vocational pro-gram. Rosemary, who is deaf, wasaccompanied by two sign languageinterpreters for the evening.

The event’s theme was ClassicCatskills Hotels. Egg creams wereserved during cocktail hour and theTimes Herald Record’s Barry Lewiswas a guest speaker, recounting sto-ries and reminiscing about theCatskills hotels of the past.

This year’s dinner pulled in itsbiggest crowd ever and grossed over$34,000 from the event. The net pro-ceeds will help supplement programsat SullivanArc for people with devel-opmental disabilities.

Tyrone Finn, brother of the late Derrick Finn,presented the annual Derrick Finn MemorialAward to Gene Palmer, a SullivanArc servicerecipient.

From left: Bob Landau, recipient ofSullivanArc’s President’s Award, RicSchwartz, Executive Director of SullivanArcand Marc Brandt, Executive Director ofNYSARC and recipient of SullivanArc’s RuthBennett Humanitarian Award.

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The following was supplied byToronto Rehab, one of four components in the UniversityHealth Network (UHN) inToronto, Canada.

At 11 a.m. for the last fourmonths, Andrew Lypko andMelissa Chin have rolled aside

their desk chairs and raised the com-puter screens and keyboards on theirstanding workstations. It takes onlyseconds to transform the station andthen it’s back to work as usual –except they will be standing for thenext four hours.

Andrew, an analyst in UHN’sCorporate Planning, and Melissa, aSenior Corporate Planner, stand eachday from 11 a.m. until 3 p.m.

“It started when Andrew and I readan article online that equated sittingfor long periods of time with smok-ing,” says Melissa. “We started think-ing that it would be good to incorpo-rate standing into our day becausewe work at computers and it’s veryeasy to spend the majority of the daysitting.”

Andrew has noticed positive differ-ences since reducing the amount of

time he sits during the day, includinghaving more energy.

Andrew and Melissa say they havenoticed a positive difference sincereducing the amount of time theyspend sitting.

A new study out of Toronto Rehab issolidifying Melissa and Andrew’sdecision.

Dr. David Alter, Senior Scientist,Toronto Rehab, UHN, is the seniorauthor on a study published in theAnnals of Internal Medicine whichexplores the negative health effects ofprolonged sitting.

The study found the amount oftime a person sits during the day isassociated with a higher risk of heartdisease, diabetes, cancer, and death,regardless of regular exercise.

“More than one half of an averageperson’s day is spent being seden-

tary – sitting, watching television, orworking at a computer,” said Dr.Alter. “Our study finds that despitethe health-enhancing benefits ofphysical activity, this alone may notbe enough to reduce the risk for dis-ease.”

REDUCING SEDENTARY BEHAVIORThe meta-analysis study reviewed

studies focused on sedentary behav-ior. The lead author is Avi Biswas,PhD candidate, Toronto Rehab, UHNand the Institute of Health Policy,Management and Evaluation,University of Toronto, and the seniorauthor is Dr. Alter, who is alsoAssociate Professor of Medicine,University of Toronto.

The researchers also found that thenegative health effects of prolongedsitting are more obvious among those

who do little or no exercise thanthose who do more exercise.

Future research will help determinewhat people can do, in addition tophysical activity, to combat thehealth risks of sedentary time.

“Avoiding sedentary time and get-ting regular exercise are both impor-tant for improving your health andsurvival,” said Dr. Alter. “It is not goodenough to exercise for 30 minutes aday and be sedentary for 23 and halfhours.”

Dr. Alter says people should aim todecrease sedentary time by two tothree hours in a 12-hour day.

HOW TO GET STARTEDDr. Alter has a few steps people can

take to reduce sitting time:Monitor sitting times – once we

start counting, we’re more likely tochange our behavior.

Set achievable goals – find opportu-nities to incorporate greater physicalactivity – and less time sitting – intoyour daily life.

For example, at work, stand up ormove for one to three minutes everyhalf hour.

When watching television, stand orexercise during commercials.


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Taking a stand on too much sitting


For those of us who live in a fourseason locale with potentiallyharsh winters we must prepare

our homes for a season spent largelyindoors. Unlike the other seasons ofthe year, when homeowners cancomfortably air out their homes byopening windows, winter offers nosuch opportunities to let natureimprove indoor air quality.

Such a reality can make a homeuncomfortable as winter drags on.But that discomfort pales in compar-ison to the health risks presented bypoor indoor air quality. Radon,volatile chemicals from fragrancesused in conventional cleaners andlead from house dust are just a few ofthe many sources of indoor air pollu-tion commonly found in homes, andthese pollutants can be especiallyharmful in winter, when many peoplespend more time indoors. But whileyou might not be able to change theweather so you can open windows inthe wintertime, you can take steps toimprove indoor air quality in yourhome.

• Clean the floors regularly. Dirtyfloors take their toll on a home'sindoor air quality. Dust that's allowedto settle on floors may contain harm-ful chemicals and allergens that canlead to respiratory problems andadditional uncomfortable healthconditions. Clean your floors at leastonce per week during the wintermonths, ideally with a vacuum that'sequipped with a HEPA filter. TheHEPA filter is important because itcan prevent dust and dirt from beingblown back out of the vacuum in theexhaust. After you have vacuumed,mop the floors as well, as even themost effective vacuums leave poten-tially harmful dust particles behind. Aonce-over with a mop and some hotwater can remove any lingering dustleft behind by the vacuum.

• Place a floor mat near everyentrance. Winter is a messy season,and it's easy to bring in the great out-doors when you enter your homeduring cold weather seasons. Dirtthat sticks to your shoes may contain

potentially harmful chemicals, soplace a floor mat near any door wherepeople routinely enter your homeand politely ask that all who enterwipe off and remove their shoesbefore moving about the house.

• Dehumidify your home. Moldand dust mites thrive on moisture, sohomeowners concerned about themoisture in their homes during thewinter months can purchase a dehu-midifier to control allergens andreduce moisture in the air. In addi-tion to using a dehumidifier, you cancontrol humidity in your home byusing an exhaust fan when cooking,addressing leaky plumbing fixtures toprevent mold growth and makingsure your clothes dryer is vented tothe outside of your home.

• Choose naturally scented laundryproducts. Everyone wants their fresh-ly cleaned clothes to smell good, butthe price you pay when using laundryproducts that employ synthetic fra-grances may be far more steep thanyou realize. Such synthetic fragrances

Routinely vacuuming floors can improveindoor air quality in a home by prevent-ing the buildup of dust mites and otherharmful allergens.

How to improve the air quality in your home

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emit dozens of chemicals into the air,so choose naturally scented deter-gents, fabric softeners and dryersheets when possible.

Recently chemically dry-cleaneditems can emit vapors into your envi-ronment which can cause respiratoryproblems for some. When possible,remove plastic or other coveringsfrom the items and air them outsidefor an hour to dissipate these vapors.

• Avoid plug-in air fresheners.Unless otherwise noted on the pack-aging, plug-in air fresheners likelycontain volatile organic compounds,or VOCs, which contain a variety ofchemicals that can negativelyimpact both short- andlong-term health. Insteadof plugging in an air fresh-ener to improve a home'sinterior aroma, slice freshlemons and leave them out inthe kitchen and keep freshindoor plants in living areas.Studies from NASA haveshown that indoor plants nat-urally purify indoor air byabsorbing materials released bysynthetic materials.

Once the temperatures begin to dip and windowsstart to close, indoor air quality can suffer. Musty air isnot only uncomfortable, it's also unhealthy. Volatileorganic compounds, or VOCs, can build up inside ahome, especially when windows are kept shut for longstretches of time, which is often the case in winter.Indoor plants can counter such stale air, in some casesfiltering out VOCs to make the air inside a home morebreathable and healthy. The following are a handful ofhouseplants that can improve indoor air quality.

Aloe: Many of us know aloe for its restorative proper-ties with regard to treating burns and cuts, but aloe also

improves indoor air quality by helping to cleara home of the byproducts, including formalde-

hyde, of chemical-based householdcleaners. Aloe loves the sun, so if you

hope to keep an aloe plant healthythrough the winter, be sure to

place the plant in a window thatgets lots of sun exposure throughout

the day.

Golden pothos: The golden pothos can sur-vive a winter, but homeowners should be

careful not to let the plant dry out, which canhappen if they are directly exposed to sunlight. A

golden pothos vine will grow quickly, so a hanging bas-ket is a great way to keep one inside a home, where theplant can help fight formaldehyde.

Ficus benjamina: Also known as a weeping fig, theficus benjamina can be difficult over winter. But thatdoes not mean your ficus benjamina, which can filterpollutants such as benzene, formaldehyde andtrichloroethylene from a home, won't make it throughthe winter. You just need to figure out the right water-ing and light conditions for the plant. Such conditionscan be discussed with a gardening professional.

Warneck dracaena: Thewarneck dracaena, ordracaena deremensis,fights pollutantscreated byvarnishes andoils. The war-neck dracaena isa sturdy house-plant that is dif-ficult to kill, butit still thrives intemperatures that are between 70 F and 80 F.

Some plants can improve indoor air quality


If you think it’s an emergency,go to the ER

BY MICHAEL GERARDI, MD

Pop quiz: if you’re having chestpains, should you go to anurgent care center or the emer-

gency room?The answer should be obvious. Yet

according to a new poll, patients suf-fering from real medical emergencieslike this one are not heading to theER.

Seven in 10 emergency physicianstreat patients who end up in the ERonly after first going to urgent carecenters – and learning that theirmedical problems were too serious tobe treated there.

As urgent care centers explode inpopularity, it’s critical that Americansunderstand the difference betweenurgent care and emergency care.Choosing an urgent care center overan ER during a medical emergencycould cost a patient his life.

There are currently some 9,000urgent care centers nationwide.These facilities fill an important gapin the health care system for patientswho need time-sensitive care butcan’t wait to see a primary care physi-cian or don’t have one.

Urgent care centers are often openon weekends and evenings, in addi-tion to normal business hours. Mostdon’t require appointments. They’re

generally able to provide routinetreatment for simple health prob-lems, such as ear infections, strepthroat, or sprains, on a first-come,first-served basis. And they oftenhave on-site X-ray machines to diag-nose simple fractures.

Emergency departments, on theother hand, are always open andready for whatever comes throughthe door. The sickest patients in anER generally go to the head of theline.

Some emergency conditions aremore obvious than others. Most peo-ple would not hesitate to go to the ERfor a gunshot wound, for instance.

But something like slurred speechalso requires a trip to the emergencyroom. It’s a symptom of stroke, whichcan kill 2 million brain cells a minute.Delaying treatment by even minutescan be the difference between a fullrecovery and death.

Patients may not think that theircondition screams “emergency.” Buteven fairly benign symptoms can bewarning signs of a life-threateningcondition.

Consider abdominal pain. Perhapsit’s just an intestinal virus. But itcould be a ruptured bowel, whichrequires emergency, life-saving sur-gery. It’s an emergency physician’sjob – not a patient’s – to know the dif-ference. And these emergencies canonly be managed at one place – theemergency department.

Patients can’t be expected to diag-nose themselves. Those with the

symptoms of a medical emer-gency should go to the emer-

gency department. Delayingcritical care by going to

the wrong medicalfacility might makethe differencebetween life anddeath.Michael Gerardi, MD, is presi-dent of the American College ofEmergency Physicians.

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Childhood Emergencies

Because their bodies are not finished growing and developing, children's medicalproblems often differ from those of adults. In addition, they may display different signsand symptoms from adults when they become injured or sick, and their treatments maydiffer too. An infant or child may not be able to communicate what's wrong, whichmeans the parent must try to interpret the symptom or medical problem.

Seek immediate medical help if your child exhibits any of the following warning signsof a medical emergency:

• Any significant change from normal behavior• Confusion or delirium• Decreasing responsiveness or alertness• Excessive sleepiness• Irritability• Seizure• Strange or withdrawn behavior• Severe headache or vomiting, especially following a head injury• Uncontrolled bleeding• Inability to stand up or unsteady walking• Unconsciousness• Abnormal or difficult breathing• Skin or lips that look blue or purple (gray for darker-skinned children)• Feeding or eating difficulties• Increasing or severe, persistent pain• Fever accompanied by change in behavior (especially with a severe, sudden

headache accompanied by mental changes, neck/back stiffness, or rashes)•Severe or persistent vomiting or diarrheaThese symptoms are not intended to represent every kind of childhood medical emer-

gency. You also can learn to recognize childhood emergency warning signs – and act onthem – by taking a first aid class and learning CPR (cardiopulmonary resuscitation). Yourlocal hospital, American Red Cross or American Heart Association may conduct coursesin your area or can guide you to organizations that do.

— American College of Emergency Physicians

Is it an Emergency?Warning Signs and Symptoms

• Difficulty breathing, shortness of breath• Chest or upper abdominal pain or pressure lasting two minutes or more• Fainting, sudden dizziness, weakness• Changes in vision• Difficulty speaking• Confusion or changes in mental status, unusual behavior, difficulty waking• Any sudden or severe pain• Uncontrolled bleeding• Severe or persistent vomiting or diarrhea• Coughing or vomiting blood• Suicidal or homicidal feelings• Unusual abdominal painYou also can learn to recognize - and act on – emergency warning signs by taking a

first aid class and learning CPR (cardiopulmonary resuscitation). Your local hospital,American Red Cross or American Heart Association may conduct first aid courses inyour area or can guide you to organizations that do so.


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Health and Wellness Winter 2015

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