health & wellness autumn 2015

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A S p e c i a l S e c t i o n o f t h e O c t o b e r, 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

He lp ingK ids F i nd

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page 14

2H HEALTH SULLIVAN COUNTY DEMOCRAT OCTOBER, 2015

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OCTOBER, 2015 SULLIVAN COUNTY DEMOCRAT HEALTH 3H

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Where is your hearing loss?If your hearing isn’t what it used to be we may beable to help. We have the latest digital assistive

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MIDDLETOWN — MiddletownMedical has announced the officialrelease of its all new Android app,which is available FREE through theGoogle Play Store. This is the secondapp of its kind released by Middle-town Medical. The healthcareprovider released an Apple iPhoneapp previously, which is still availablefor free through the iTunes Store.

Both apps provide an intuitive,user-friendly interface for both exist-ing and potential patients to learnmore about Middletown Medical’sever-growing list of physicians andservice offerings.

Middletown Medical's apps alsoprovide fingertip access to:

• Requesting appointments withthe secure appointment requestform;

• Directions, mapping, and phonenumbers for Middletown Medical's17 locations throughout Orange,

Ulster, and Sullivan counties; and• The latest news, new services, and

more.“We’re very proud to provide our

patients with mobile apps that makehighly sought-after information easi-ly accessible,” said Lori Marl, Middle-town Medical’s Operations Director.“It is another demonstration of ourongoing effort to provide qualityhealthcare services to the region inthe most convenient manner possi-ble.”

According to a recent Forbes article,the Android platform is utilized onnearly 80 percent of smartphones,including devices by high-profilemanufacturers like Samsung andMotorola.

To download the app on yoursmartphone, visit the midm.co/mmandroidapp on your Androiddevice or the midm.co/mmi-phoneapp on your iOS device.


Mother-daughterteam is a

natural – and so is their store

Jo Avery and daughter RobinNolan opened their health foodstore off Honesdale’s Texas

Palmyra Highway six years ago withtwo focuses: introducing the com-munity to natural, organic food; andeducating others on the importanceof eating healthy.

“We’d always been interested ingrowing our own pro-duce,” Avery said, “Ihad a health prob-lem and had gone tosee a naturopath,and after that, Ibecame a little moreeducated on the natural way to healthe body.”

Avery and Nolan then took classesand eventually became CertifiedNatural Health Practitioners (CNHPs)before opening Jo Rob’s NaturalsFood Market.

Instead of hopping on the currentnatural and organic food bandwag-

on, Avery and Nolan’s focus on natu-ral and organic food started becauseof the need they saw among the com-munity.

“We gained a vast amount of knowl-edge through the CNHP classes,”Avery explained, “And we’re trying togear people towards organic food, asmuch as they can financially do.Sometimes it’s a step-by-step

process.”Jo Rob’s Naturals

offers variousorganic flours,sugar, candy, cere-als, lip balm,

household clean-ers and even baby supplies, as well aslocal produce. The store also offers avariety of gluten-free products, bulkitems, seeds, and homemade soupsand salads for lunch. The store iseven offering products made by USAartists including teapots, plates, dec-orative glass-blown bulbs, and mugs.

“There was a need for this type ofbusiness in the area,” Avery said,making a point that most stores likeJo Rob’s are distant. “And we thinkshopping local is better to keep yourtax dollars in the community,because that’s where it’s going backto. If you’re shopping out of town,then that money is gone, and it’s notcoming back.”

Their focus on the customer is whatmakes them different from many tra-ditional supermarkets and grocerystores.

“We offer a friendly smile,” Nolanexplained, “I would have to say morecustomers are more impressed byjust being treated nicely. A lot of reg-ular grocery stores are jumping onboard now trying to offer a healthfood section when they really don’t

care if people are healthy or not.People are more impressed with cus-tomer service, and friendly, helpfulstaff.”

Avery and Nolan also offer productsfrom their own farm including 100percent grass-fed beef and raw milk,non-GMO pork, and organic, non-GMO, free-range eggs.

“We try to stock some of the localproduce as much as we can,” Averyexplained.

Jo Rob’s Naturals is located at 1130Texas Palmyra Highway, Suite 105,Honesdale, PA and can be reached at(570) 352-3300. The market is openMondays through Fridays from 9 a.m.until 6 p.m. and Saturdays from 9a.m. until 5 p.m.

For more information check outtheir website at www.jorobs.com.

STORY AND PHOTOS BY MARGARET BRUETSCH

JoRob’s also offers pottery and glass-blown bulbs created by USA artisans.Organic spices and herbs can be bought in bulk, alongside items like organic baby care prod-ucts and organic cleaning products.

Jo Avery(left) anddaughterRobin Nolanare bothHonesdale-born andraised. Thetwo openedJoRob’sNaturals tohelp fill agap in thecommunityand educateothers onhow tomaintain ahealthybody.


91⁄2 Dolson Ave.,MiddletownAcross from

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Fighting Cancer Together

Together, we're committed to a healthier community.

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Health & Fitness Published by

Catskill-Delaware Publications, Inc.Publishers of the

(845) 887-5200 Callicoon, NY 12723

October 23, 2015 • Vol. CXXV, No. 37

Publisher: Fred W. Stabbert III Senior Editor: Dan Hust Sports Editor: Ken Cohen Editorial Assistants: Willow Baum, Kaitlin Carney, Kathy Daley, Alex Rau, Richard Ross, Allison Ruef, Jeanne Sager Advertising Director: Liz Tucker Advertising Coordinator: Sandy Schrader Advertising Representatives: Cecilia Lamy, Barbara Matos, Susan Panella Business Manager: Susan Owens Business Department: Patricia Biedinger, Joanna Blanchard Telemarketing Coordinator: Michelle Reynolds Classified Manager: Janet Will Production Associates: Nyssa Calkin, Petra Duffy, Elizabeth Finnegan, Ruth Huggler, Rosalie Mycka, Tracy Swendsen Distribution: Bill Holmes

ellenvilleregional.org | 10 Healthy Way | Ellenville NY 12428 | (845) 647-6400

At Ellenville Regional Hospital our Digital Diagnostic Imaging Department employs the latest equipment and procedures, expert technologists, and reassuring personal care. Digital imaging creates a new standard of diagnostic accuracy, and we offer all these services on site:

It’s good to know that a highly experienced Digital Diagnostic Imaging Department is located comfortably close to home. When you need answers fast, call (845) 647-6400 ext. 271.

When you need an accurate diagnosis,our digital imaging leads the way

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A Senior Living Community“For Peace of Mind And Quality of Life”

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Our patients are very important to us.

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Prepare for winter by having heatingsystems serviced, installing carbonmonoxide detectors, managing energyuse with efficiency measures, andinvestigate energy supply options.

Service heating systems:“Cooler temperatures mean heating

systems may be turning on for the firsttime since early spring,” said James P.Laurito, President of Central Hudson.“Residents should ensure their sys-tems will operate efficiently and safelyby having them professionally serv-iced now, before winter weatherarrives.”

Chimneys and exhaust flues shouldalso be cleared to avoid blockages thatcould prevent flue gases from ventingproperly and causing a build-up ofdeadly carbon monoxide gas in thehome.

Install Carbon Monoxide detectors,and be aware of gas odors:

Carbon monoxide, or CO, is an odor-less, colorless gas produced by burn-ing any fuel, including oil, propane,wood, natural gas and kerosene. Expo-sure can cause symptoms includingsleepiness, dizziness, nausea, loss ofconsciousness, and even death.“Homes should be equipped with acarbon monoxide detector as a safetyprecaution to warn of its presence, andthose currently using detectors shouldreplace the battery regularly,” saidLaurito. If carbon monoxide is sus-pected, the building should be evacu-ated, and the cause addressed by aservice technician. Occupants shouldseek medical attention as necessary.

Laurito also advised customers to beaware of natural gas odors, and toheed the advice of Central Hudson’snatural gas odor safety slogan, Stop.Go. Let Us Know. “Central Hudsontakes great precautions in keeping thenatural gas system safe, however gasodors could be a sign of a leak,” hesaid. Customers who think they smellnatural gas should Stop: don't light oruse a match, turn lights on or off, use aflashlight, cell phone, telephone, flushor run water, or turn on or off anyother appliance or electric/electronicdevice; Go: leave the home or buildingimmediately; and Let Us Know: fromanother location, call (800) 942-8274,or emergency responders at 911.

Investigate energy supply andbilling options:

“At Central Hudson, we’ve takenadditional steps to help manage theunpredictability of electricity and gassupply prices during winter months

when weather and other factors maysignificantly impact wholesale marketprices,” said Laurito.

“But if you prefer greater price cer-tainty for electricity or natural gas sup-ply, customers may find a list of allsuch ESCOs by visiting www.Central-Hudson.com, or the New York StatePower to Choose websiteatwww.newyorkpowertochoose.com.He noted that while fixed price optionsmay not necessarily result in the low-est given supply price during any sea-son, they can provide the peace ofmind that helps customers to bettermanage their household budgets.

To avoid seasonal variations in ener-gy bills, Central Hudson customerscan also enroll in the utility’s monthlybilling program. “Monthly billingdivides a household’s average annualenergy bill into 11 even monthly pay-ments, with the 12th month’s paymentadjusted up or down to reflect actualusage and market prices,” said Laurito.“Under this program, utility bills aremore predictable, and it may be easierto budget for energy costs.”

Take steps to be energy efficient:“This time of year is also ideal for

implementing energy efficiency meas-ures,” he said. “Central Hudson offersenergy efficiency incentives for homesand businesses, including rebates of$140 to $700 on new, high-efficiencynatural gas home heating systems, upto $500 on electric heat pump systems,$210 on indirect natural gas waterheaters and $400 on high efficiencyheat pump water heaters.” A completedescription of Central Hudson’srebates and programs is available atwww.SavingsCentral.com.

Other efficiency measures home-owners may take include:

Insulating ducts and hot water pipeswhere they run through uninsulatedareas, such as crawl spaces, andrepairing leaks in the duct system;

Adding insulation to the attic;Turning down thermostats (each

degree saves up to three percent onenergy use);

Keeping radiators and heating ductsclear of furniture to allow heat to circu-late freely; and/or

Sealing air leaks with weather strip-ping and caulk, which can save up to10 percent on the use of heating fuels.

Visit www.CentralHudson.com formore information on winter safety,efficiency incentives and energy sav-ing tips and energy supply options.

Prepare now for cold weather

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Drug Court changes life of man and family

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Evening Appointments Available• We Welcome New Patients •

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MONTICELLO — Drug Court partic-ipant Fabian C. is now a new dad toZander Michael, born August 29, 2015.

According to Fabian, his whole worldchanged when he began to deal withhis substance dependency throughDrug Court and when he met hisfiance. Now with their newborn childand his own family, he sees his world inan entirely different perspective –through sober eyes.

“My family is my joy, and I am doingwhat needs to be done so I will be thebest father and husband,” he said. “Iam working with Community Servicesto comply with my Drug Court con-tract, and I attend weekly meetings. Iam working on getting my CDL [Com-mercial Driver’s License] so I can beginworking for a union construction com-pany where I get paid on the books andwith benefits. I am ecstatic!”

Fabian and Amanda thanked JudgeFrank LaBuda and the Sullivan CountyDrug Court Team for all the helpextended to him so he could turn hislife around.

“Drug Court gave me the opportuni-ty to do a 360-degree turn in my lifeand do things right!”

Judge LaBuda told Fabian andAmanda that their new lives togetherare a testament to why we need DrugCourts in our society as an efficientalternative to traditional criminalcourts.

“We can all make a difference in thisworld if we help those in need, whodeserve a second chance and are will-ing to accept our help,” the judgerelayed.

CONTRIBUTED PHOTO

The proud father and mother, of ZanderMichael – Fabian and Amanda – share a happymoment with Drug Court Judge Frank J. LaBu-da as they introduce their bundle of joy.

Dr. Robert J. Haray, D.D.S.Family Dentistry

at theDamascus Dental Center

1731 Cochecton Tpke (RT 371), Damascus, Pa 18415

570-224-6700New patients are always welcome

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Over $60,000 raisedThe 5th Annual Thunder 102 Country Cares for St. Jude Kids Radiothon raises over $60,000 to fight child-hood cancer and other catastrophic diseases. Thunder 102 held the 5th annual Thunder 102 CountryCares for St. Jude Kids Radiothon on September 17th and 18th. The two day event raised over $60,000to fight childhood cancer and other catastrophic diseases. This brings the total amount raised for St. JudeChildren’s Research Hospital to over $200,000 over the five years Thunder 102 has held the event. Thun-der 102 General Manager and Market Manager Paul Ciliberto stated "The incredible amount raised isnot only another example of the generosity of our ThunderHeads but also shows the understanding ofthe positive impact St. Jude Children's Research Hospital has in the fight against cancer locally. Countlesslives have been saved because of the protocols developed as a result of the research of St. Jude Children'sResearch Hospital". Thunder 102 serves the Sullivan County Catskills and can be heard in Sullivan Countyand parts of Orange, Ulster and Delaware County, NY plus Wayne and Pike County, PA on 102.1 FM. Thun-der 102 is also available worldwide on the FREE RadioBOLD app. Thunder 102, a Bold Gold Media Groupstation, is a Music Row reporting station and is celebrating ten years of Community service in 2015.

14H HEALTH SULLIVAN COUNTY DEMOCRAT OCTOBER, 2015 OCTOBER, 2015 SULLIVAN COUNTY DEMOCRAT HEALTH 15H

Those schools aren’t owned or operated by Doreenand company – they’re public and private facilities,camps and community centers where The Children’sSchool of Yoga curriculum is taught.

In addition, there are eight franchised locations,catering to children as young as 18 months right up toage 21.

While private classes for special-needs students(ADHD, autism, developmental and physical disabil-ities, etc.) are available, most classes involve groups ofstudents in similar age ranges, with a curriculum tai-

lored to those ages – often themed to a topic, likeautumn or the alphabet.

“We find that is a great way to teach children,”says Doreen, who has used her education and yogacertification to expertly craft the popular classes. “Itrain my teachers that you want to paint a picture,you want to tell a story ... to really help the childvisualize.”

The benefits are as varied as the kids: some becomemore relaxed, others more focused, still others morephysically flexible – even those with handicaps.

“It doesn’t matter what shape you are or how fastor slow you are,” says Doreen. “You can do yoga!”

And for every participant, better health results.“Studies show it helps improve all of the systems

in your body,” notes Doreen. “Yoga is a 5,000-year-old science, and they knew what they were doing.There is a purpose for many of the breathing exer-cises you do.”

Doreen was attracted to yoga because she was adancer. She was attracted to Sullivan County becauseof its proximity to the Hudson Valley, where she grewup. She’s been able to meld it all through TheChildren’s School of Yoga.

Today, she’s a proud mother of two grown childrenand an even prouder grandmom, and that long-agodream has become an unmitigated business success,winning her national entrepreneurial awards andaccolades.

“I was always that go-getter,” she laughs. “I alwayshad that entrepreneurial spirit. I much prefer to bemy own boss.”

But it’s not about making money or beating thecompetition – it’s about changing her corner of theworld.

“I can’t tell you how rewarding it is that somethingfrom a dream is affecting children in such a positiveway!” Doreen says.

To find out more – including Sullivan County offer-ings – visit www.thechildrensschoolofyoga.com orcall 845-782-YOGA (9642).

T o impact one life is special enough. Toimpact thousands is nothing short ofincredible.

And it is one Rock Hill woman’s dream whichhas since transformed thousands of children’shealth and well-being.

“I literally did wake up in the middle of thenight,” Doreen Foxwell relates of her 12-year-oldepiphany.

Already a devoted yoga practitioner by thatsleepless night in 2003, Doreen suddenly real-ized the absence of local children’s yoga les-sons.

She woke up her husband to share the reve-lation.

He told her to go back to sleep.“So I got up and started to Google ‘children’s

yoga,’” she recalls.Her research led her to some of the top profes-

sionals in that admittedly narrow field, and withtheir guidance and Doreen’s own ambitiousspirit, in January 2004 she opened her business,The Children’s School of Yoga.

“After four months,” she says, “I had to starthiring teachers, because it had grown.”

Today, eight teachers work for Doreen.“We teach thousands of children each week in

a little over 50 schools,” she affirms.

STORY BY DAN HUST,PHOTOS COURTESY OF THE CHILDREN’S SCHOOL OF YOGA

Above: At Camp Timberlake, campers demonstrate the SidePlank/Rainbow Pose (great for strength and balance).

At right: Monticello Central School students practice the Dredyl/TreeHouse Pose (great for balance).

Monticello Central School students and The Children’s School of Yoga founder Doreen Foxwell (right) hold the Tree Pose (great forfocus, concentration).

During the first of Bethel Woods’ Live Well Be Well yoga festivals, The Children’sSchool of Yoga founder Doreen Foxwell engages kids in synchronized yoga(emphasizing group dynamics and cooperation).

Below: The Ridge preschoolers try out the Dolphin Pose (prep for doing head-stands, builds strength).

During EPIC’s (Every Parent Influences Children) Monticello School OpenHouse, kids enjoy squatting and breathing, with their hands in the Namasté Pose (greatfor balance and concentration). “Namasté” means “the light in me sees the light in you.”

Meet the womanMeet the woman who’s changing young lives across the Hudson and Delaware valleys


N E W S & N O T E S I N H E A L T H C A R E

MIDDLETOWN — Orange RegionalMedical Group is proud to announceits new division of pulmonary, criticalcare and sleep medicine (PCCSM)which features highly trained, experi-enced and compassionate physiciansand physician assistants.

The division of PCCSM providespatient services in critical care medi-cine, pulmonary inpatient consulta-tion, pulmonary outpatient practiceand sleep medicine. Murali G.Krishna, M.D., FCCP, Aamir Gilani,M.D. and Samer El Zarif, M.D areBoard-certified physicians within thedivision. Additionally, the PCCSMdivision has four physician assis-tants: Brian Chartier, RokhsarehEyvazkhany, Kirsten Hammar andJonathan Weiss.

The PCCSM division’s physiciansand physician assistants provide crit-ical care at the state-of-the-artIntensive Care Unit of OrangeRegional Medical Center (ORMC),which encompasses a focus on point

of care ultrasound and echocardiog-raphy. They also form the core of thehospital’s medical emergencyresponse (code blue/rapid response)team. The critical care M.D.s areavailable in the hospital from 7 a.m.to 7 p.m., and the critical care physi-cian assistants are available 24 hoursa day, 7 days a week.

The division’s clinicians also pro-vide consultative pulmonary servicesto inpatients at ORMC. Pneumonia,acute exacerbations of chronicobstructive pulmonary disease(COPD), asthma exacerbation, lungnodules/masses, sleep disorders andpleural effusions are some of themost commonly treated diseases atORMC.

At the pulmonary outpatient prac-tice of the division, located at 75Crystal Run Road, Suite 135, thePCCSM clinician team treats patientswith common diseases, includingasthma, COPD, lung nodules, lungcancer, smoking cessation, sleep dis-

orders, interstitial lung disease andpulmonary hypertension. The prac-tice is enrolling patients in the newlung cancer-screening program,approved by the Center for Medicareand Medicaid services (CMS).Individual smoking cessation help isavailable and provided at the office,as well.

Dr. Krishna, Board-certified ininternal medicine, pulmonary medi-cine and critical care medicine, alsoserves as an Assistant Professor ofPulmonary and Critical CareMedicine at Touro College ofOsteopathic Medicine inMiddletown. Furthermore, Dr.Krishna is a fellow of the AmericanCollege of Chest Physicians (FCCP)and a member of American ThoracicSociety (ATS) and Society of CriticalCare Medicine (SCCM). An author ofmultiple publications and two books,Dr. Krishna received his medicaldegree from Madras Medical Collegein Chennai, India and graduated

from the Internal MedicineResidency program at the Universityof Texas Medical Branch inGalveston, Texas. Additionally, heearned a Fellowship in Pulmonaryand Critical Care from Albert EinsteinCollege of Medicine, MontefioreMedical Center, Jacobi MedicalCenter and Jack D. Weiler Hospital inthe Bronx, N.Y.

Dr. Gilani is Board-certified ininternal and pulmonary medicineand is Board-eligible in critical careand preventive medicine. He is amember of the American College ofChest Physicians (ACCP), AmericanThoracic Society (ATS), Society ofCritical Care Medicine (SCCM) andAmerican Association of PhysicianLeadership. He also serves as anadjunct assistant professor at TouroCollege of Osteopathic Medicine inMiddletown.

Dr. Gilani received his medicaldegree from the National Universityof Science and Technology in

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Rawalpindi, Pakistan. He worked as afamily physician in rural communi-ties in the beautiful valley of Kashmirbefore moving to the United Stateswhere he worked in the Pulmonaryand Critical Care Department atPenn State Milton S. Hershey MedicalCenter as part of a “virtual navigationstudy” for patients with lung nodules.He then completed his residencywith Pinnacle Health System inHarrisburg, Pa., followed by fellow-ship training in pulmonary and criti-cal care medicine, as well as residen-

cy training in leadership preventativemedicine at Dartmouth HitchcockMedical Center in Lebanon, N.H. Heholds a master’s degree in publichealth from The Dartmouth Institute.

Dr. El Zarif is Board-certified ininternal, pulmonary, and critical caremedicine, and is Board-eligible insleep medicine. Experienced in treat-ing patients with sleep disorders, Dr.El Zarif interprets sleep studies per-formed at the ORMC Center for SleepMedicine. He also treats patients withobstructive sleep apnea (OSA), as

well as patients with insomnia. He isa member of the American College ofChest Physicians (ACCP), AmericanThoracic Society (ATS), AmericanAcademy of Sleep Medicine (AASM)and the Sleep Research Society (SRC).Additionally, he serves as an adjunctassistant professor at Touro Collegeof Osteopathic Medicine inMiddletown.

Dr. El Zarif earned a Bachelor ofScience in biology at the AmericanUniversity of Beirut before receivinghis medical degree from theUniversity of Balamand in Koura,Lebanon. He completed his internalmedicine residency at Staten IslandUniversity Hospital, where he wasnominated for the Intern of the Yearaward. After moving to Mobile, Ala.,Dr. El Zarif completed a fellowship inpulmonary and critical care medi-cine at the University of SouthAlabama, where he also served as aChief Fellow during the last year ofhis training.

After completing his fellowship, Dr.El Zarif was accepted for a sleep med-icine fellowship at the prestigiousCleveland Clinic in Ohio, a globalreferral center. During his training,he treated both adults and pediatricpatients with complex sleep relatedmedical disorders. His special inter-est is in the post-operative complica-tions of sleep apnea, and recentlypresented the results of his researchorally at the SLEEP 2015 annualmeeting of the AssociatedProfessional Sleep Societies.

Orange Regional Medical Group (ORMG) and CatskillRegional Medical Group (CRMG) are part of theGreater Hudson Valley Health System, comprised ofthe well-established and highly regarded OrangeRegional Medical Center and Catskill RegionalMedical Center. ORMG and CRMG are new andgrowing multi-specialty, hospital-supported groupmedical practices with Board-certified Doctors,Board-certified Nurse Practitioners and Board-certi-fied Advanced Practice Professionals providing out-patient and inpatient care servicing Orange, Sullivan,Ulster Counties and beyond.

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MIDDLETOWN — Crystal RunHealthcare announces the addition ofthree new providers to the practice.Joining Crystal Run Healthcare arethe following:

HeatherCarpenter-Sarmiento,Psy.D, earnedher MedicalDegree fromLong IslandUniversity, C.W.Post Campus inBrookville, andcompleted her

residency fromNassau University Medical Center inEast Meadow. Dr. Carpenter-Sarmiento is seeing patients inMiddletown.

Hao Lam, DO, FAAP, earned hisMedical Degree from the ChicagoCollege of Osteopathic Medicine inDowners Grove, IL and completed his

residency atLutheranMedical Centerin Brooklyn. Dr.Lam is BoardCertified inFamily Medicineand is seeingpatients inMiddletown andMonroe.

Kate Oldfield, PA-C, earned herMaster ofScience inPhysicianAssistant studiesfrom Le MoyneCollege inSyracuse. She isa Board CertifiedPhysicianAssistant in

Urgent Care andis seeing patients in Rock Hill.

For more information about CrystalRun Healthcare visit www.crystalrun-healthcare.com, and follow us onTwitter, LinkedIn andFacebook or call703-6999.

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MIDDLETOWN — The NationalCommittee for Quality Assurance(NCQA) has announced thatCrystal Run Healthcare has againachieved Level 2 accreditation asan Accountable Care Organi-zation (ACO). Level Two Accred-itation demonstrates organiza-tions with a broad range of ACOcapabilities, as well as those withthe best chance of achieving the“Triple Aim” of better care, betterhealth, and lower cost. In 2012,Crystal Run Healthcare was thefirst ACO to earn accreditation inNew York State and was amongthe first four ACOs to be accred-ited on a national level. Thelength of accreditation standingis three years.

This most recent recognition isboth a reflection and the result ofCrystal Run Healthcare’s leader-ship in health care transformationand reform as well as the prac-

tice’s commitment tomedical excellence.Crystal Run Healthcarehas been a leader invalue-based care for thepast 10 years, being one ofthe first 27 AccountableCare Organizations toparticipate in theMedicare Shared SavingsProgram (MSSP) begin-ning in 2012.

“Being one of only nineACOs in the countryaccredited by NCQA reaf-firms Crystal RunHealthcare’s commitmentto providing high quality,patient centered, coordinatedcare to the population we serve. Iam so proud of our providers andstaff for all of the time and effortthey devote to meeting the prac-tice’s mission, vision, and valuesevery single day,” said Scott

Hines, MD, Chief Quality Officer,Medical Director at Crystal RunHealthcare.

The NCQA is an independent,not-for-profit organization dedi-cated to improving the quality ofhealthcare. The NCQA ACO

Accreditation evaluates ahealthcare organization’sability to coordinatepatient-centered careand enhance the patientexperience by improvingclinical quality throughevidence-based clinicalpractices that therebyreduce the cost ofhealthcare. The evalua-tion for the ACOAccreditation by NCQAincludes a close exami-nation of the followingareas: ACO structure andOperations, Access toNeeded Providers,

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Middletown Medical, the HudsonValley's premier provider of healthcareservices, continues to expand itsgroup of healthcare professionals andannounces its new affiliation withNurse Practitioner Linda Thompson.Thompson will provide services fromher office located at 653 Harris Roadoffice in Ferndale.

Thompson has been in private prac-tice since 2007, providing services thatinclude the treatment of adult patientswith all types of acute and chronic ill-nesses, and specializing in the man-agement of Type I and Type II dia-betes.

“Linda comes to our team with astrong reputation as a caring profes-sional and astute educator,” saidMelissa Wolff, the medical group’sMarketing Director and PhysicianRecruiter. “She fits perfectly into ourmodel of compassionate, patient-cen-

tered care.”Prior to work-

ing privately,Thompsonplayed an inte-gral part in thepractices of Drs.Gary Garfieldand EricShapiro formore than 20years. Linda

also served as the Employee HealthManager and Nurse Practitioner forTampa General Hospital, where shewas the primary care provider for3,000 employees. She has also workedas a Critical Care Nurse, an EmergencyRoom Nurse, and Medical SurgicalNurse.

Thompson, also a Certified DiabetesEducator, graduated with an Associateof Applied Science degree from SUNYOrange, earned a Bachelor of Sciencein Nursing from SUNY Utica, andearned a Master of Science in Nursingfrom the University of South Florida.

Visit www.MiddletownMedical. comfor more information, or call 342-4774.

HARRIS — Catskill RegionalMedical Center recently announcedthe promotion of Jennifer Johnston,RN from Clinical Manager toProgram Director of the WoundHealing Center.

In her new role, Ms. Johnston willbe responsible for department lead-ership, staff management, teambuilding, budgeting, clinical opera-tions, physician management andcommunity referral development forthe Wound Healing Center. Ms.Johnston joined Catskill Regional in2002 as an outpatient services nurse.Prior to joining the Wound HealingCenter, Johnston served numerousdepartments within Catskill Regionalincluding surgery, pediatrics,women’s health, endocrinology andorthopedics. Johnston holds an asso-ciate degree from Sullivan CountyCommunity College and is alsoHyperbaric Oxygen (HBO) certifiedby the Undersea and HyperbaricMedical Society (UHMS).

The Catskill Regional WoundHealing Center provides a team of

specialists whoutilize provenwound caremethods thatare specific tothe needs ofpatients withchronic, non-h e a l i n gwounds. Ledby MedicalDirector, Dr.C l e v e l a n dLewis and Co-

Medical Director, Dr. Gregg Atlas, theWound Healing Center providesadvanced wound healing therapies,used by wound care centers acrossthe country. The Center uses only themost advanced dressings and alsooffers hyperbaric oxygen therapy,graft applications and compressiontherapy to treat chronic and hard toheal wounds.

To learn more about the therapiesand programs offered at the WoundHealing Center, visit www.crmcny.org/woundhealingcenter.


MiddletownMedical welcomes

Thompson

CONTRIBUTED PHOTOLinda Thompson, NP

Johnston named Program Director

CONTRIBUTED PHOTOJennifer Johnston

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HARRIS — Catskill Regional MedicalCenter has implemented the VoceraVoice and Communication Systemamong its clinical staff to increaseworkflow and to enhance the quality ofcare patients receive.

The Vocera Badge is a lightweight,wearable voice-controlled device thatenables instant two-way, or group,conversations using intuitive and sim-ple commands. The Vocera Badge iswidely used by mobile workers whowant the convenience and expedienceof being able to communicate hands-free in an effort to enhance the deliv-ery of patient care.

The communication system makes iteasy to connect with employeesthrough the Harris Campus. UsingVocera, employees can speak thename of the person they are trying toreach for easy and immediate two-waycommunication. This provides staffthe ability to easily locate a sharedpiece of equipment, request patientcare assistance, request and or providepatient status updates while reducingthe number of overhead pages that

can disrupt a patient’s ability to restand recover and increase workflow.Hospital employees assigned andlogged onto the Vocera System canalso be located quickly in the instanceof an emergency, potentially savinglives.

“Communication is instantaneousbetween clinicians, admissions staff,clinical charge nurses, anesthesiolo-gists, lab and radiology techs,endoscopy techs, surgeons, Post-Anesthesia Care Unit nurses, andphlebotomists,” said Chief ExecutiveOfficer and Chief Medical Officer, Dr.Gerard Galarneau. “This type of com-munication is crucial not only forpatient care, but also for efficiency ofhospital operations.”

The ability to quickly and easily com-municate can also improve workflow.Using the Vocera badge, employeescan cut out two or three minutes froma workflow, such as making a phonecall to a particular care provider and

being put on hold.“It’s better for nurses and staff, it’s

better for the hospital’s productivityand it’s ultimately better for thepatient,” said Chief Nursing OfficerRolland Bojo. “Vocera helps us keepour patients at the center of care,because we can focus on being fullypresent with patients and still know wecan get immediate help if it’s needed.”


Communication devices toenhance care

CONTRIBUTED PHOTO

Emergency Department RegisteredNurse Allison Swendsen wears a VoceraVoice Badge.


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MIDDLETOWN — MiddletownMedical’s own Dr. Apurva Motivala, MD,FACC, FSCAI, was an OrganizingCommittee Faculty member and pre-senter at the TCT India Next 2015 con-ference, held from Aug. 14 through Aug.16 in Bengaluru, India.

Dr. Motivala, a well-respected inter-ventional cardiologist, joined colleaguesfrom around the world for what is con-sidered India’s Premier InterventionalExperience.

Dr. Motivala addressed the conferenceon the use of stents and heart attack. Hispresentation posed the question: Howmany arteries should be fixed usingstents during a massive heart attack?The ensuing discussion amongst multi-ple international experts in the fieldcentered on the various strategies in applicationtoday, and attempted to reach an answer that hasyet to be clearly defined.

Dr. Motivala is Assistant Clinical Professor ofMedicine at Columbia University, and a co-investi-gator in several of Columbia’s ongoing clinical tri-als. Dr. Motivala specializes in interventional cardi-ology and endovascular treatment for peripheral

vascular disease, and is BoardCertified in Internal Medicine,Cardiology, InterventionalCardiology, Echocardiography, andNuclear Cardiology. He completedhis Fellowship in ClinicalCardiology at Montefiore MedicalCenter/Albert Einstein College ofMedicine, and his InterventionalCardiology Fellowship at New YorkPresbyterian Hospital/Weill-Cornell University Medical College.

Dr. Motivala sees patients atMiddletown Medical for generalcardiology needs, as well as forcoronary and peripheral vascularinterventional procedures.

About Middletown Medical:Founded in 1984 and based in New

York's beautiful Hudson Valley, MiddletownMedical is an award-winning multi-specialtyphysicians' group dedicated to providing patientswith top quality, comprehensive care in a warmand caring environment. Urgent care is availableseven days a week with no appointment necessary.Visit www.MiddletownMedical. com for moreinformation, or call 342-4774.

CONTRIBUTED PHOTODr. Apurva Motivala

Physician addresses international conferenceChildren spend a substantial part of their

lives asleep. In fact, in early childhood, thedeveloping brain seems to need more timeasleep than awake. This underscores theimportance of sleep to the overall well-beingof a child. Teenagers need between 8.50 and9.25 hours of sleep each night – much morethan commonly believed.

Adolescents and older children may sufferfrom lack of sleep simply by not sleeping anadequate number of hours, or they may lackgood-quality sleep.

With the typical school and after-schoolactivities, homework and evening activities(e.g., TV watching and Internet involvement), alot goes on in the older child’s life. Add week-end social obligations and, perhaps, a job, andyou have a recipe for sleep deprivation.

Late bedtime hours are not, however, duesolely to these activities. With the onset ofpuberty, adolescents begin to experience adelay in the “phase” of their biological clock.As a result, they fall asleep later in theevening, which makes it more difficult for

Back to school, back to sleep

CONTINUED ON NEXT PAGE

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them to wake upin time for school.In fact, the timingof the release ofthe sleep hor-mone, melatonin,is delayed. Nowonder then,despite being sleepdeprived, adoles-cents cannot seemto fall asleep earli-er in the evening,

even if forced to their bedrooms. Although the scientific literature on child-

hood sleep disorders is advancing rapidly,gaps remain in the delivery of this knowledgeto the end user: the child. For instance, onlyabout half the physicians who care for chil-dren address sleep-related issues in their clin-ics, and well-trained pediatric sleep specialistsare still a rarity.

Dr. El Zarif is a physician with OrangeRegional Medical Group and is a member ofthe American College of Chest Physicians(ACCP), American Thoracic Society (ATS),American Academy of Sleep Medicine (AASM)and the Sleep Research Society (SRC). He canbe reached at 333-7575. For more informationvisit www.orangeregionalmedicalgroup. org.


MIDDLETOWN — MiddletownMedical, the Hudson Valley's pre-mier provider of healthcare serv-ices, has expanded both its physi-cal therapy team and its hours ofavailability.

Physical therapy services atMiddletown Medical’s PhysicalTherapy Center (GeorgeGiovannone Physical Therapy) inMiddletown are now availableMonday through Friday; from 8a.m. until 6 p.m. The expandedavailability is due, in part, to theaddition of Elya M. Spolar, DPT,who joins the MiddletownMedical team from SusquehannaNursing and RehabilitationCenter.

“The expansion of our physicaltherapy services is part of ourlong-held commitment to thecommunities we serve,” saidMelissa Wolff, the medical group’sMarketing Director and PhysicianRecruiter. “Our goal is to providethe best care possible in the most

convenient manner possible.”While with Susquehanna

Nursing and RehabilitationCenter, Spolar focused on screen-ing, evaluation, treatment,reporting, and planning forpatients living with the effects ofa number of orthopedic/neuro-logic disorders, includingParkinson’s disease, multiplesclerosis, congestive heart failure,

total knee and hip replacements,cerebral vascular accidents, andheadache. Spolar has conductedspecialized LSVT BIG® exerciseprograms for patients withParkinson's disease and otherneurological disorders. Her expe-rience also includes work withpediatric patients and withamputees.

Spolar, who earned herBachelor of Arts, Bachelor ofScience, and her Doctorate fromWidener University, has conduct-ed research at the Children’sHospital of Philadelphia andQuest Therapy Services of WestChester, Pa.

“Elya brings with her so muchinvaluable experience toMiddletown Medical, and we’repleased that our patients, bothexisting and new, will benefitfrom her dedication to goodhealth,” Wolff said.

To schedule an appointment forphysical therapy, call 344-1899.

Middletown Medical welcomes new Physical Therapist

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MIDDLETOWN — Crystal RunHealthcare announced the additionof Susan Gillies as Vice President ofRevenue Cycle Management. In herrole as VP of Revenue CycleManagement at Crystal Run, Gillieswill oversee all processes related torevenue cycle and will provide strate-gic direction and support to sustainCrystal Run’s successful revenuecycle practices.

Gillies rejoins Crystal RunHealthcare with over twelve years ofexperience in patient accounts andmedical billing. Gillies previouslyworked at Crystal Run Healthcare forten years from 2003-2013. She heldthe title of Assistant Director ofPatient Accounts from 2003-2007 andwas promoted to Director of PatientAccounts in 2007. In 2013, Gillies

joined ENTand AllergyAssociates,LLP, whereshe was theDirector ofBilling Operations and was responsi-ble for supporting the financial oper-ations of the group medical practice.In 2015, Gillies accepted the HFMAMAP award for Highest Performer inRevenue Cycle.

“It is wonderful to have Sue rejointhe Crystal Run Finance team in theimportant role of Vice President ofRevenue Cycle. Sue is a talented andhard-working leader, and a greataddition at a time when Crystal RunHealthcare continues to grow,” saidDonna McGregor, Chief FinancialOfficer at Crystal Run Healthcare.

New Vice Presidentof Revenue at

CRHC

CONTRIBUTED PHOTO

Sue Gillies

When Wayne Memorial Hospitalinitiates a new cardiac catheteriza-tion program in early 2016,Raymond Resnick, MD, FACC,FSCAI, is expected to be at the helm.Dr. Resnick, who is board certifiedin both interventional cardiologyand cardiovascular diseases, joinedthe staff this past summer after 10years in practice with Great ValleyCardiology in Scranton. He seesgeneral cardiology patients begin-ning, while helping WayneMemorial pave the way for cardiaccatheterization.

“This is an exciting period forWayne Memorial, and I am pleasedto take a leadership role in their newcardiac catheterization program,”said Dr. Resnick. “Over the years, Ihave treated dozens of patients inthe Wayne Memorial service areaand can truly say having a cardiaccath lab closer to home will be not

only a welcome addition to localservices but potentially life-savingfor many people with cardiovascu-lar disease.”

Dr. Resnick has been practicinginterventional cardiology for morethan two decades. He earned hismedical degree from the StateUniversity of New York DownstateMedical Center and his Bachelor ofSciences degree from the StateUniversity of New York atStonybrook. After medical school,Dr. Resnick completed his intern-ship and residency at Beth IsraelMedical Center in New York City. Afellowship followed in Invasive andNon-Invasive Cardiology at LongIsland College Hospital. Dr. Resnickcontinued his training in interven-tional cardiology at West VirginiaUniversity Hospital in Morgantown,

WMH to open cath lab, welcomesinterventional cardiologist

CONTINUED NEXT PAGE

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West Virginia.Cardiac catheterization

is used primarily to treatblocked or narrowedarteries. A long thin tubecalled a catheter isinserted into a blood ves-sel and threaded to theheart. A patient mayneed balloon angioplastyor a stent to open up theblood pathways. Inrecent years, cardiaccatheterization proce-dures in community hospitals with-out open-heart surgery backuphave proven successful for low-riskpatients, and the labs are nowapproved by most states, includingPennsylvania.

“Wayne Memorial will take everystep, including accreditation byCorazon, an established accredita-tion agency recognized by the Stateof Pennsylvania, to make sure thatour cardiac catheterization proce-dures are safe,” said WayneMemorial CEO David Hoff, adding,“Dr. Resnick’s experience and skilllevel are further assurance of our

commitment to qualityand safety..”

Hoff said the cardiaccatheterization lab will belocated on the third floorof the hospital, adjacent toan outside entrance andparking area, and relatedservices such as cardiac

rehabilitation and pulmonary reha-bilitation will be re-located nearby.

“We anticipate opening early nextyear,” he said, “we have a lot of workto do between now and then!”

Appointments with Dr. Resnickmay be made by calling HonesdaleCardiology at (570) 253-8185. Hisoffice is located with the Surgeryspecialty suite at the StourbridgeProfessional Complex, 600 MapleAvenue, Suite #1, Honesdale, Pa18431.

For more information aboutWayne Memorial Hospital andHealth System, visit www.wmh.org

CONTRIBUTED PHOTORaymond Resnick, MD, FACC,FSCAI, to head up WayneMemorial’s CardiacCatheterization Laboratory.

Teaching clinic seeking new patientsMIDDLETOWN — Community

members are invited to take advan-tage of the Dental Hygiene Clinic atSUNY Orange. The clinic, whichaccommodates approximately 1,700patient visits per year, is operated bythe College as a learning/trainingfacility for students in the College’sDental Hygiene degree program andprovides a low-cost dental hygieneoption for cleanings and x-rays.

Patients can visit the clinic, locatedin the Bio-Tech Building on theCollege’s Middletown campus, tolearn about good oral health prac-tices, have their teeth cleaned or den-tal x-rays taken for a nominal fee. Inaddition to cleanings and x-rays, theclinic provides polishing restorations,sealants, custom fluoride trays, cus-tom athletic mouth guards, nutrition-al counseling, and health historyscreenings. Dental treatment such asfillings, extractions, and dentures arenot part of the services offered at theclinic.

Hours of operation during the Fall

semester (September through mid-December) are: Tuesdays from 9 a.m.to Noon and 1 to 4 p.m.; as well asfrom 1 to 4 p.m. only on Wednesday,Thursday and Friday. Spring semes-ter (January to May) hours are differ-ent and can be accessed via theCollege web site at www.sunyorange.edu. The clinic is closed when theCollege is not in full session, as wellas during the summer and semesterbreaks.

Patients should remember that theclinic is operated for teaching pur-poses, and only individuals who areconsidered suitable cases for teach-ing may be accepted. Treatment willbe performed by a student and super-vised by a faculty member. It usuallyrequires more time than if a similartask were to be performed in a privateoffice. The patient must plan onremaining for the entire appointmenttime and be prepared for severalreturn visits.

For more information or to sched-ule an appointment, call 341-4315.

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Today we welcome NewYork-Presbyterian/HudsonValley Hospital into theworld. A new name,bringing a new world of possibilities. Because theaward-winning hospital you know is now a part ofthe #1-ranked hospital inNew York. Now you’ll haveexpanded clinical servicespreviously not available in the Hudson Valley, plus easy access to expertiseof New York-Presbyterian in Manhattan.

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CONTRIBUTED PHOTO

Senator meets with Center for Discovery team

Senator John J. Bonacic (R/C/I-Mt. Hope), right, and Chairman ofthe Senate Committee on Health Senator Kemp Hannon, secondfrom left, met recently with members of the leadership team fromthe Center for Discovery at their office in Sullivan County. TheCenter for Discovery provides educational and health services tochildren and adults with severe disabilities, medical frailties andautism spectrum disorders. The Center for Discovery is seeking tobe a participant in the Young Adult Demonstration Project for indi-viduals (ages 21-35). The program was created and funded in theamount of $1 million in the 2015-16 budget. The program wouldserve severely disabled young adults who are very medical fragile;individuals who have very significant health care needs resultingfrom complex and co-occurring medical conditions and develop-mental disabilities. Chairman Hannon was on hand to receive afirsthand look at how the Center for Discovery operates, and hearfrom President Patrick Dollard and Assistant Executive Director Dr.Terry Hamlin on the Center’s innovative approach to treating indi-viduals with autism, and developmental disabilities. Pictured fromL-R, Claude D’Alessandro, Chief Financial Officer at the Center forDiscovery, Chairman of the Senate Committee on Health SenatorKemp Hannon, Dr. Terry Hamlin, Assistant Executive Director at theCenter for Discovery, Patrick Dollard, President and ChiefExecutive Officer at the Center for Discovery, and Senator Bonacic.


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HONESDALE, PA — September isFall Prevention Month, and in hospi-tals across the country medical staffare reminding patients and visitorsto be aware of fall hazards.

One in three older adults – about12 million – fall every year in the U.S.Falling is not a “normal” part ofaging, however. There are actionsyou can take to help prevent falling,and this month “Steady Eddie” wasat Wayne Memorial Hospital to offertips for patients in the hospital andat home. Here are a few from theNational Institutes of Health:

• Have your vision checked annu-ally—people with poor vision aretwice as likely to fall as thosewithout vision impairment!• Be aware of medications thatmay cause dizziness or sleepiness• Wear rubber-soled shoes so youdon’t slip• Walk on grass when sidewalksare slick• Put salt or kitty litter on icy side-walks• Keep rooms free of clutter• Be sure rugs have skid-proofbacks or are tacked to the floor• Be sure stairs are well lit andhave rails on both sides• Add more lights in rooms• Put grab bars on bathroom wallsnear tub, shower, and toilet

• Use a nonskid bath mat in theshower or tub• Keep a flashlight next to yourbed• Use a sturdy stepstool with ahandrail and wide steps• Buy a cordless phone so youdon’t have to rush to the phonewhen it rings and so that you cancall for help if you fall.• Keep moving/exercise toimprove flexibility and balance!Yes, it’s possible!• Use a cane or a walker if youneed it

“There are a lot of myths aboutfalling,” says Judy Eisenhauer, RN,Fall Prevention Committee chair-person. “For example, people thinkif they stay at home they can avoidfalling. But over half of all falls takeplace at home— unsteadiness in thebathroom, slipping on a curledthrow rug, missing a grab-hold dueto poor lighting. Being aware of whatcould happen can help assure theydon’t happen.”

In the hospital itself, to promotepatient safety, “Steady Eddie” hand-ed out stickers that said “Call beforeyou fall!” to remind patients to usethe call bell before they fall.

For more information about fallprevention, visit www.nih.gov orwww.cdc. gov/Features/OlderAmer-icans.

Fall prevention at WMH

CONTRIBUTED PHOTO

Judy Eisenhauer,RN, chair of the Fall PreventionCommittee at

Wayne MemorialHospital and

“Steady Eddie”promote Fall Pre-vention Day Sep-tember 23 with a

display that includ-ed a commode to

demonstrate aplace where manyfalls happen – and

shouldn’t!


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health & wellness autumn 2015

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