Brooks Memorial Hospital - The Observer

Brooks Memorial Hospital529 Central Ave., Dunkirk, NY 14048(716) 366-1111 • Fax: (716) 363-7239Lake Shore Health Care Center845 Routes 5 & 20, Irving, NY 14081(716) 951-7000 • Fax: (716) 951-7001Gowanda Urgent Care &Gowanda Medical Center34 Commercial St., Gowanda, NY 14070(716) 532-8100

WESTFIELDMEMORIAL HOSPITALEMERGENCY DEPARTMENT 24/7 prompt, full service emergency care staffed byexperienced Physician’s, Physician’s Assistants and Nurses. Ground and air transportation for trauma and healthconditions requiring advanced, tertiary care.SURGERY Endoscopy/colonoscopy General surgery Gynecology Ophthalmology Orthopedics OtolaryngologyRADIOLOGY SERVICES Board Certified Radiologists All major insurances accepted Xray, CT scan, Dexa scan, mammography, ultrasound,fluoroscopy Nuclear Scanning Prompt scheduling and convenient hoursWorld Class Caregivers.LOCAL COMMITTMENTCARDIAC STRESS TESTING & REHABILITATION Exercise and nuclear stress testing Echocardiography Vascular Studies Cardiac RehabilitationPHYSICAL THERAPY & SPORTS MEDICINE PostOperative Rehabilitation General Rehabilitation Pain Management Back CareMcKenzie Method Health Fitness ProgramSLEEP LAB Studies performed 3 nights a week Newly remodeled private rooms, queen sized bedsCOMMUNITY PROGRAMSDiabetes Management/SupportContact: Kim Greiner at 7932222Occupational HealthContact: Susan Davis at 7932270Parkinson’s Support Group/Referral Center1st & 3rd Thursday of the month, 6:30 p.m.Contact: Jim Fischer at 7932112Yoga, Relaxation, MeditationContact: Dariel Woltz at 3263993FREE BLOOD PRESSURE SCREENINGYWCAWestfield2nd Tuesday of each month,11 a.m.12 p.m.Soup Kitchen, Elm Street, WestfieldSt. Peter’s Episcopal Church3rd Thursday of each month11:15 a.m.12:15 p.m.Westfield Memorial Hospital1st and 3rd Wednesday of each month2 p.m. 4 p.m. Hospital Front LobbyCLINICS Ear, Nose and Throat ClinicTuesdays/Thursdays Wound ClinicMonday Sports Medicine ClinicTuesday Orthopedic ClinicWednesday Chautauqua ClinicSeasonal189 E. Main Street Westfield, NY 14787 716/3264921

Medical Directory 2011Page 3Buffalo Hearing &Speech Centera private non-profit agency that offers innovative services tochildren and adults with communication and educational needs...Enjoy working for oneof the employee votedBest Places to work inWNY 2007, 2008,2009 & 2010.Buffalo Hearing and Speech Center at Fredonia is proud tooffer unique classroom and community programs forpreschool children with special needs.• We service all preschool children (birth to age 5) who experience delays in speechand language, cognitive skills, social skills, fine and gross motor development, aswell as behavioral issues including autism, Ausperger’s Syndrome, and PervasiveDevelopmental Disorder• BHSC provides a full-spectrum of services including evaluations, special education,speech-language therapy, occupational therapy, physical therapy & social work.• All professional staff are appropriately certified and licensed by New York State.The staff at BHSC believe that children learn best in a positive environment, nurturing& natural.• Children are taught according to their individual learning abilities and strengths andwe work closely with the child’s family members, who are an integral part of the team.• BHSC also acts as a resource to help parents learn what to expect regarding theirchild’s development, which includes monthly parent training sessions presented byour social worker and classroom managers.For More Information Please Call 672-2731

Page 4 Medical Directory 2011Top 10 tips to save your visionMore than 20 millionAmericans suffer from severevision loss. While not all eyediseases can be prevented,there are simple steps thateveryone can take to helptheir eyes remain healthynow and reduce theirchances of vision loss in thefuture.Here are the top 10 tips tosafeguard your vision:¯ Don’t smoke – Tobaccosmoking is directly linked tomany adverse health effects,including age-related maculardegeneration (AMD).Studies show that currentsmokers and ex-smokers aremore likely to develop AMDthan people who have neversmoked. Smokers are also atincreased risk for developingcataracts.¯ Eat right — Vitamin deficiencycan impair retinalEMSYour complete provider ofemergency medical servicesand transportation• Urgent AmbulanceService• NonUrgent AmbulanceService• Rapid Response FlyCarAssistance• Starflight MedevacMedical TeamDUNKIRKAREA366-8177JAMESTOWNAREA484-2121134284function. The belief that eatingcarrots improves visionhas some truth, but a varietyof vegetables, especially leafygreen ones, should be animportant part of your diet.Researchers have found peopleon diets with higher levelsof vitamins C and E, zinc,lutein, zeaxanthin and theomega-3 fatty acids DHA andEPA are less likely to developearly and advanced AMD.¯ Baseline eye exam —Adults with no signs or riskfactors for eye disease shouldget a baseline eye diseasescreening at age 40 — thetime when early signs of diseaseand changes in visionmay start to occur. Based onthe results of the initialscreening, an ophthalmologistwill prescribe the necessaryintervals for follow-upexams. Anyone with symptomsor a family history ofeye disease, diabetes or highblood pressure should see anophthalmologist to determinehow frequently your eyesshould be examined.¯ Eye protection — Anestimated 2.5 million eyeinjuries occur in the UniteStates each year, so it is criticalto wear proper eye protectionto avoid eye injuriesduring sports such as hockeyand baseball and projectssuch as home repairs, gardeningand cleaning. Formost repair projects andactivities around the home,standard ANSI-approvedprotective eyewear will besufficient. Sports eye protectionshould meet the specificrequirements of that sport;these requirements are usuallyestablished and certified bythe sport’s governing bodyand/or the American Societyfor Testing and Materials(ASTM).¯ Know your family history— Many eye diseases clusterin families, so you shouldknow your family’s history ofeye disease; it may put you atincreased risk. Age-relatedeye diseases, includingcataracts, diabetic retinopathy,glaucoma and age-relatedmacular degeneration areexpected to dramaticallyincrease over the next decade— from 28 million today to43 million by the year 2020.¯ Early intervention —Most serious eye conditions,such as glaucoma and AMD,are more easily and successfullytreated if diagnosed andtreated early. Left untreated,these diseases can cause seriousvision loss and blindness.Early intervention now willprevent vision loss later.¯ Contact lens care —Follow your eye careprovider’s instructionsregarding the care and use ofcontact lenses. Abuse, suchas sleeping in contacts thatare not approved forovernight wear, using salivaor water as a wetting solution,using expired solutions,and using disposable contactlenses beyond their wear canresult in corneal ulcers,severe pain and even visionloss.¯ Wear sunglasses — UVblockingsunglasses delay thedevelopment of cataracts,since direct sunlight hastenstheir formation. Sunglassesprevent retinal damage; theyalso protect the eyelid skin toprevent both wrinkles andskin cancer around the eye,and both cancerous and noncancerousgrowths on theeye. The U.S. standard statesthat the lenses should have aUVB (280 to 315nm) transmittanceof no more than 1percent and a UVA (315 to380nm) transmittance of nomore than 0.5 times the visuallight transmittance.¯ Be aware of eye fatigue— If your eyes are tired fromworking at a computer ordoing close work, you canfollow the 20-20-20 rule:Look up from your workevery 20 minutes at an object20 feet away for twenty seconds.If eye fatigue persists,it can be a sign of several differentconditions, such as dryeye, presbyopia or glasseswith lenses that are not properlycentered. See an eye doctorto determine why you arehaving eye fatigue and toreceive proper treatment.¯ Know your eye careprovider —O p h t h a l m o l o g i s t s ,optometrists, opticians allplay an important role in providingeye care.For more information visitwww.GetEyeSmart.org.

Medical Directory 2011Page 5Brooks receives recognitionBrooks Memorial Hospitalwas recently recognized inthe HANYS Profiles inQuality Improvement andPatient Safety publication.This Honorable MentionPinnacle Award is for a BMHperformance improvementproject “Building a Culture ofPatient Safety: The Reductionof Order Entry Discrepancyin the RadiologyDepartment.” This initiativewas also be shared with theAmerican HospitalAssociation (AHA) and theInstitute for HealthcareImprovement (IHI).This project was spearheadedby the Director ofRadiology Sharon Muntz,MS, RT, RDMS and QualityImprovement CoordinatorNancy Morey, RN, and resultedin improved communicationbetween the radiologytechnologists, nursing, medicalrecords and the physicians.Consistent accountabilityand ownership of theprocess ensures positive outcomesand sustainability.When Your Doctor Orders Laboratory Tests....Associated Clinical Laboratoriesa Quest Diagnostics affiliateDunkirk Patient Service Center312 Central AvenueDunkirk, NY 14048Phone: 716-363-7417Fax: 716-363-7419Hours:Mon.-Fri. 7:00 a.m. - 3:30 p.m.Sat & Sun ClosedWestfield Patient Service Center193 East Main StreetWestfield, NY 14787Phone: 716-326-7300Fax: 716-326-7308Hours:Mon.-Fri. 7:00 a.m. - 4:30 p.m.Sat. 7:00 a.m.- 12:00 p.m.Sun. ClosedJamestown Patient Service Center505 Foote Ave.Jamestown, NY 14701Phone: 716-484-7147Fax: 716-484-1232Hours:Mon.-Fri. 6:30 a.m. - 5:00 p.m.Sat. 7:30 a.m.-11:30 a.m.Sun. ClosedAppointment Scheduling Now Availableby visiting our website athttp:www.associatedclinicallabs.com/by calling 1-888-277-8772(Walk-ins welcome)

Page 6 Medical Directory 2011Pediatricians: Sports in heat OK with precautionsLINDSEY TANNERAP Medical WriterCHICAGO — Playingsports in hot, steamy weatheris safe for healthy childrenand teen athletes, so long asprecautions are taken and thedrive to win doesn’t trumpcommon sense, the nation’slargest pediatricians groupsays.New guidelines from theAmerican Academy ofPediatrics arrive just asschool sports ramp up in sultryAugust temperatures. Theadvice, released Monday,comes a week after twoGeorgia high school footballplayers died following practicesin 90-plus degree heat.Authorities were investigatingif the weather contributed.The guidelines replace amore restrictive policy basedon old thinking that kids weremore vulnerable to heat stressthan adults. New researchshows that’s not true, theacademy says. With adequatetraining, water intake, timeoutsand emergency treatmentavailable on the sidelines,healthy young athletes canplay even in high heat andhumidity — within reason,the guidelines say.“The more educated parents,athletes and staff areabout risks associated withheat illness, the more likelythey will think twice beforeallowing a competitive cultureto overtake sound sensibilities,”said Dr. CynthiaDevore, co-author of the policyand a physician for schoolsin the Rochester, NY area..Government data releasedlast week showed that morethan 3,000 U.S. children andteens younger than 20received emergency-roomtreatment for nonfatal heat illnessfrom sports or exercisebetween 2001 and 2009.A few young athletes dieannually from heat-related illness.Over a 13-year period,AP PhotoIn this photo, a member of the Salina South High Schoolsoccer team works out for conditioning training inSalina, Kansas. Playing sports in hot, steamy weather issafe for healthy children and teen athletes, so long asprecautions are taken and the drive to win doesn’ttrump common sense, the nation’s largest pediatriciansgroup said.29 high school football playersdied from heat stroke,data from the AmericanFootball Coaches Associationand others show. Football is aspecial concern, because playersoften begin intense practiceduring late-summer heat,wearing uniforms andpadding that can be stifling.Dr. Michael Bergeron, aUniversity of South Dakotasports medicine specialist,said the academy’s old policywas often ignored because itrecommended limiting oravoiding sports even in commonhot weather conditions.The new policy is moredetailed and nuanced, recommendingthat athletes be evaluatedindividually for play inhot weather.Still, Bergeron warned thatoverzealousness can be dangerouseven for healthy kids,and even in relatively tamesummer weather.“You can take somebody in80-degree heat and you cankill them if you work themhard enough,” he said.The guidelines don’t listtemperature or humidity cutoffs,but say safety should bethe top priority.Other academy adviceincludes:¯ Teams should have emergencyplans with trained personneland treatment availableand policies for avoidingheat illness.¯ Give kids about twoweeks to adapt to preseasonsessions, gradually increasingintensity and duration.Closely monitor more vulnerablekids, including those whoare overweight or have diabetes.¯ Make sure athletes arewell-hydrated before practiceor games. During activity,kids aged 9-12 should drinkabout half a cup to a cup ofwater every 20 minutes; forteens, 5 or 6 cups an hour.Sports drinks containing electrolytesand sodium should beoffered during extra strenuousactivity.¯ Educate everyone aboutsigns of heat stress, includingdizziness, muscle cramps,headaches and nausea. Kidswith symptoms should besidelined and treated immediately;athletes should beencouraged to report if teammatesseem to be struggling.

Medical Directory 2011Page 726 Cass Street, Westfield, NY 14787“Specializing In Short-Term RehabilitationTo Home & Long-Term Care”With a healthcare team of over 150dedicated healthcare professionalscommitted to the highest possiblequality of care, its no surprise whyAbsolut Care of Westfield is theleader in quality short-termrehabilitation & long-term care inChautauqua County.www.absolutcare.com

Page 8 Medical Directory 2011Untreated sleep apnea tied to serious health risksThe Yale Center for SleepMedicine found that obstructivesleep apnea significantlyincreased the risk of stroke ordeath through an observationof more than 1,000 patientsover the age of 50. None ofthe participants had a historyof heart attack or stroke atthe start of the study and theywere studied for just under3.5 years.[http://www.nih.gov/news/health/apr2010/nhlbi-08.htm]Obstructive sleep apnea isassociated with an increasedrisk of stroke in middle-agedand older adults, especiallymen, according to new resultsfrom a landmark study supportedby the National Heart,Lung, and Blood Institute(NHLBI) of the NationalInstitutes of Health. Overall,sleep apnea more than doublesthe risk of stroke in men.Obstructive sleep apnea isa common disorder in whichthe upper airway is intermittentlynarrowed or blocked,disrupting sleep and breathingduring sleep. There arethree distinct forms of sleepapnea: central, obstructive,and complex constituting 0.4percent, 84 percent and 15percent of cases respectively.Breathing is interrupted bythe lack of respiratory effortin central sleep apnea; inobstructive sleep apnea,breathing is interrupted by aphysical block to airflowdespite respiratory effort. Incomplex (or “mixed”) sleepapnea, there is a transitionfrom central to obstructivefeatures during the eventst h e m s e l v e s .[http://en.wikipedia.org/]New results support earlierfindings that have linkedsleep apnea to stroke risk.Sleep Heart Health Studyresearchers have also reportedthat untreated sleep apneais associated with anincreased risk of high bloodpressure, heart attack, irregularheartbeats, heart failure,and death from any cause.Other studies have alsolinked untreated sleep apneawith overweight and obesityand diabetes. It is also linkedto excessive daytime sleepiness,which lowers performancein the workplace andat school, and increases therisk of injuries and deathWE CARE ABOUT YOUR EVENTS!Send your news to us atwww.observertoday.comJamestown: 665-6466Dunkirk: 366-4500or 1-800-388-6534from drowsy driving andother accidents.More than 12 millionAmerican adults are believedto have sleep apnea, and mostare not diagnosed or treated.Treatments to restore regularbreathing during sleepinclude mouthpieces, surgery,and breathing devices, suchas continuous positive airwaypressure, or CPAP. In peoplewho are overweight or obese,weight loss can also help.These treatments can helpimprove breathing and reducethe severity of symptomssuch as loud snoring andexcessive daytime sleepiness,thereby improving sleep-relatedquality of life and performanceat work or in school.Additional randomized clinicaltrials by the NationalInstitute of Health (NIH) totest whether treating sleepapnea lowers the risk ofstroke, other cardiovasculardiseases, or death are needed.Vantage, through their partnershipwith WestfieldMemorial Hospital, managesthe daily operations of theopen referral, sleep lab withinthe constraints of the hospital.The Vantage team combinedhas over 50 years ofexperience with sleep disordersmanagement.Polysommography, the goldstandard for confirming thediagnosis of obstructive sleepapnea, is the method utilizedin all seven Vantage sleep laboratories.Westfield MemorialHospital offers the lateststate-of-the-art offering of thenewly remodeled two-queensized bed, sleep lab under themedical direction of Dr.Alexander B. Gelfer, FACP,FCCP, FAASM. For moreinformation about sleep disordersand treatment options,please speak with your physician.To schedule an appointment,call (877) 256-4904.SAME DAY SERVICEALL INSURANCES ACCEPTEDFlexible Appointments934-900112653 Seneca Rd., IrvingNext to Lakeshore Hospital.Monday - Friday 7:30am-6:30pm

Medical Directory 2011Page 9402 North Main Street, Dunkirk366-6111Hours: Mon, Tue & Fri 9-5; Wed Noon-5; Thurs 9-7New PatientsWelcome!Submitted PhotoBrooks Obstetrics Manager Roselle Atzrott with newmom Alexis Grates Sciarrino and baby Mikela.Brooks Memorial Hospital offersBreastfeeding EducationProgram for expectant mothersIn an effort to promote thebenefits of breastfeeding, theBrooks Memorial HospitalObstetrics Unit now offersquarterly Breastfeeding classes.This program is open toexpectant mothers and willprovide information on howand why breastfeeding works,positioning, latching, dietaryrecommendations for breastfeedingmothers, and muchmore. The program is intendedto increase awareness and providesupport and encouragementprior to and after deliveryto promote healthy children.The class will be taughtby Certified LactationCounselor and BMH OBClinical Nurse ManagerRoselle Atzrott RN, BSN,CLC, CCE.There is no charge for theseclasses, and the next sessionwill be held at BrooksMemorial Hospital onWednesday, Oct. 26 from 11a.m. to 12:30 p.m. Classes willbe held in the hospital’s FirstFloor Medical Library and arelimited to the first 20 registrants.Lunch will be provided.Moms to be are encouragedto learn everything they needto know about breastfeedingand Brooks MemorialHospital is committed to helpingevery child get a greatstart, right from the beginning.For additional information, orto register for the Oct. 26class, contact Ms. Atzrott at363-3081.Dr. John MulawkaKids should havea Doctor thatspecializes in them.Phone coverage24/7 by a Doctor notnurses or ananswering service.Sammantha Jenkins, RPA-CSilver Creek194 Central Ave.716-934-3333Our Other LocationsBetsy Strack, RPA-CPatients Ages 0-21welcomeKids have their ownspecialist & their ownconcernsDerby6763 Erie Rd.716-947-2222Most Insurances Accepted

Page 10 Medical Directory 2011Over 65 and not worried about heat? You should beLINDSEY TANNERAP Medical WriterCHICAGO — This summer’sheat waves may beuncomfortable, but you’rehealthy, active and feel justfine. So what if you’re over65? Think again. Feelinggood doesn’t mean you’resafe.There are changes in anolder person that raise therisk for heat stroke and otherproblems. An older body containsfar less water than ayounger one. Older brainscan’t sense temperaturechanges as well, and theydon’t recognize thirst as easily.Blistering summer heat isan underappreciated killer,claiming by some estimatesas many as 1,000 U.S. liveseach year — more than anyother type of weather.One federal study found 40percent of heat-relateddeaths were in people 65 andolder. Those numbers couldbe lower if more heeded heatwarnings aimed at seniors.Yet research has shown manypeople over 65 don’t thinkthe warnings apply to them— because they don’t thinkthey’re “old.”Don Worden is 79 and anavid tennis buff who prefersplaying doubles on outdoorcourts along Chicago’s lakefront— even in oppressive90-degree temperatures likethose hitting the Midwestthis week.“I don’t pay too muchattention to those” warnings,Worden said. “I stay in prettygood shape, and I don’t feelthey apply to me.”Worden said he drinks alot of water and would stop amatch if he started feelingeffects from the heat, “butthat hasn’t happened.”Scott Sheridan, who studiesthe effects of heat and climateon health at Kent StateUniversity, researched howAP PhotoDon Worden, 79, poseswith his tennis racket outsidehis home in Chicago.Healthy, active seniorsenduring this summer’sheat wave without anytrouble are reminded thatthey need more water tokeep the blood flowingand are far more at risk ofdehydration and heatstroke.people over 65 view heatwarnings. In his 2006 studyof more than 900 people, hefound about 70 percent knewabout advice to drink plentyof water on very hot days,avoid outdoor activities andstay inside with air conditioning.But only about halfsaid they followed the advice.“People well into their 70swould say old people shouldwatch out but not them,” hesaid. “People just didn’t wantto be thought of in that samecategory.”Dr. David Zich, an emergencymedicine specialist atNorthwestern MemorialHospital, said he has colleaguesin medicine that agewho shun being thought of as“elderly.” But those heatwarnings apply to them, too.As Dr. William Dale, geriatricschief at the Universityof Chicago Medical Centerexplains it, “Any older adulthas less reserve and is morelikely to become dehydratedthan others, just becausetheir overall body water goesdown with age no matterhow healthy you are.”The amount of water in thebody declines with aging,from about 80 percent inyoung adulthood to about 55to 60 percent for people intheir 80s, Dale said.Temperature sensors inthe brain become less sensitiveas people age, so thebody doesn’t get the samesignals to drink water in hotweather, and older peopleoften don’t feel thirsty evenwhen they need to replenish,Dale said.They also may not feel thetypical symptoms of dehydration,such as headache ordizziness. Some complain ofjust feeling “bad” and thinkthey’re getting sick, he said.Dehydration can lead toheat exhaustion and potentiallydeadly heat stroke.During a heat wave, that canhappen in a matter of hoursin older people if they overexertthemselves, don’t drinkenough water or are frail anddon’t get out of uncooledhomes, said Dr. ChrisCarpenter, an emergencymedicine physician atWashington UniversitySchool of Medicine in St.Louis.Heat exhaustion can causemuscle cramps, low bloodpressure, rapid pulse andnausea. It can be treated athome, by drinking water, gettinginto an air-conditionedroom or sitting in front of afan and misting the bodywith cool water.But affected people shouldbe monitored for mentalDID YOU KNOW ?AccidentLifeSee SENIORS Page A17HealthNo Matter What Your Personal Need,We Have You Covered.Don’t Wait Until It’s Too Late...Call Our Experts Today!HOME TOWNI N S U R A N C E200 Lake Shore Drive West, Dunkirk366-5033AUTO • HOME • LIFE • BUSINESS

Medical Directory 2011Page 11The journey for cancer patientsshould be to greater health,not far-away treatment.Fighting cancer is tough enough. Gaining access to care shouldn’t be.Radiation Oncology Group has always believed that modern cancer treatment should be easily accessibl eto all patients, and not just to those living in larger metro areas. Rural patients deserve the same level ofcare that’s available to urban patients, and that’s why we have worked diligently to offer leading r adiationtherapies in The Cancer Center at Brooks Memorial Hospital.I was glad to know that you were there.That’s what we often hear from our Dunkirk/Fredonia area patients. And many times, we also hear that “Iwish that I had known that you were there.” Radiation therapy can often require a treatment regiment that’sas long as 8 to 13 weeks, five days a week. Rather than require patients to travel long, tiring dist ances fortreatment, we’ve brought the care out into the communities where patients live and work.Is it really the same quality of care as urban areas?That’s an emphatic yes. Radiation Oncology Group has established the same high standard of care at all ofour facilities, regardless off location. All facilities are fully accredited by the American College of RadiationOncology. Our physicians, medical physicists and therapists are board-certified, and have been caref ullyselected for their expertise, experience and strong compassion for others.For more information, Call 363-3940Visit our website, www.radoncgroup.comWilliamsville • Hamburg • Niagara Falls • DunkirkExternal Beam • IMRT • 3 Conformal • HDR Brachytherapy • MammoSite

Page 12 Medical Directory 2011Study: Healthy living can help prevent Alzheimer’sMARILYNN MARCHIONEAP Medical WriterPARIS — Taking care ofyour body just might saveyour mind. Millions of casesof Alzheimer’s diseaseworldwide could be preventedby curbing risk factorssuch as high blood pressure,smoking, obesity and lack ofexercise, new research suggests.The study offers morethan the usual pep talk abouthealthy living. Seven conditionsor behaviors accountfor up to half of the 35 millioncases of Alzheimer’saround the world, it found.With no cure or treatment toreverse the mind-robbingdisease, preventing newcases is crucial.The study was presentedat the Alzheimer’sAssociation InternationalConference in France, wheresessions on prevention havebeen drawing standingroom-onlycrowds for severaldays.“Prevention is a particularlyattractive option giventhe state of therapy. That’swhy there’s so much interestin it,” said William Thies, theassociation’s chief scientificofficer.The study was led byDeborah Barnes, associateprofessor of psychiatry at theUniversity of California, SanFrancisco. Results also werepublished online by theBritish journal LancetNeurology. The researchershave grants from theAlzheimer’s Association andthe U.S. National Instituteson Aging.The study used a mathematicalmodel to estimatethe impact of top modifiablerisk factors for Alzheimer’sdisease: smoking, depression,low education, diabetes,too little exercise, andobesity and high blood pressurein mid-life.How much of an impacteach one has on totalAlzheimer’s cases dependson how common it is andhow strongly it affectsdementia risk. Researcherscalculated the impact globallyand just for the UnitedStates.Worldwide, the biggestimpact on Alzheimer’s casesis low education, becauseilliteracy is so common, theyfound. Low education can bea sign of many factors thatharm minds, such as poornutrition. But it also is harmfulby itself, because there isless opportunity to develop“brain power” that can carryyou into old age.“Education, even at ayoung age, starts to buildProviding long-term skilled nursing & shortterm subacute rehabilitation featuringphysical, occupational & speech therapy.For information regarding admissions,call Jennine Sauriol at 716-713-1911or Terra Sturtz at 716-870-0180In the United States, inactivity is theleading problem because a third of thepopulation is sedentary.your neural networks,” sobeing deprived of it meansless brain development,Barnes explained.Smoking had the secondbiggest impact on casesworldwide, followed by toolittle exercise.In the United States, however,inactivity is the leadingproblem because a third ofthe population is sedentary,Barnes said.Depression made the nextbiggest impact onAlzheimer’s cases in theU.S., followed by smokingand high blood pressure inmid-life. Untreated or inadequatelytreated depressionhas long been known to raisethe risk of developingAlzheimer’s disease.•Arthroscopic Surgery•Joint Replacement366-7150322 Park AvenueDunkirk, NY 14048Reducing these seven riskfactors by 25 percent couldmean 3 million fewer casesof Alzheimer’s worldwide,including half a million inthe U.S., researchers estimated.Reducing risk factorsby 10 percent would translateto 1.1 million fewercases.“It gives us a little bit ofhope about things we coulddo now about the epidemicthat is coming our way,”Barnes said.Alzheimer’s cases areexpected to triple by 2050, toaround 106 million worldwide.“We can do somethingabout this,” said Dr. RonaldPetersen, a Mayo Clinicdementia specialist who hadno role in the study. A commonmisconception is thatyou’re “dealt a deck of cardsat birth,” he said, but “peopleneed not just sit back andwatch this unfold.”BOARD CERTIFIEDORTHOPEDIC SURGEONS• JAMES P. FITZGERALD, MD •• KEVIN M. OUWELEEN, MD ••Hand Surgery•Fracture Management934-3493849 Routes 5 & 20Irving, NY 14081134858

Medical Directory 2011Page 13YoungermanCenterChildren Speech Services• Preschool Program• Speech & LanguageEvaluation• Speech & Language Therapy• Central Auditory ProcessingTherapy• Stuttering TherapyAcceptingNew ClientsThe Center participates with many ofthe private health insurance plans. Noninsurance clients pay a minimal fee on asliding scale based on income.To make anappointment orfor information call673-3203Adult Speech Services• Accent Reduction• Head Injury/Tramatic BrainInjury• Voice Evaluation & Therapy• Stroke Support Group• Swallowing Problems/Dysphagia• Aphasia/StrokeHearing Services• Audiological Evaluation• Impendance Testing• Otoacoustic Testing• Assistive Listening Devices• Central Auditory Testing• Balance Testing

Page 14 Medical Directory 2011Autism risks for siblings are higher than thoughtLINDSEY TANNERAP Medical WriterCHICAGO — A new studysuggests nearly one in fivechildren with an autisticolder sibling will develop thedisorder too — a rate muchhigher than previouslythought.Researchers followed 664infants who had at least oneolder brother or sister withautism. Overall, 132 infantsor about 19 percent ended upwith an autism diagnosis, too,by their third birthdays.Previous smaller or lessdiverse studies reported aprevalence of between 3 percentand 14 percent.“We were all a bit surprisedand taken aback about howhigh it is,” said lead authorSally Ozonoff, a psychiatryand behavioral sciences professorwith the Mind Instituteat the University of Californiaat Davis.The highest rates were ininfants who had at least twoolder siblings with autism —32 percent of them also developedautism. Also, amongboys with autistic siblings —26 percent developed autismversus 9 percent of girls.Autism is already known tobe more common in boys.The study involved 12 U.S.and Canadian sites and waspublished online Monday inPediatrics. Earlier studieswere more local or involvedfewer sites.Ozonoff said parents ofautistic children often askher, “How likely am I to haveanother child” with autism?She said her study provides amore up-to-date answer.However, Ozonoff notedthat 80 percent of siblingsstudied did not developautism, and that the prevalencerate was an average. Itmay be different for each family,depending on other riskfactors they may face.Autism has no knowncause but experts believe thatgenetics and external influ-AP PhotoKathleen Lanese of Kings Park, N.Y., poses with her twoautistic sons Brendan, 14, right and Kevin, 10 at her sister-in-law’shome in Oyster Bay, N.Y. Lanese says havingone son with autism didn’t make her think twiceabout trying to have another child, even though sheknew there was a chance the second would be affected,too.ences are involved. Researchis examining whether thesecould include infections, pollutionand other non-inheritedproblems. Ozonoff notedthat siblings often areexposed to similar outsideinfluences, which could partlyexplain the study results.Infants in the study wereenrolled before they showedany signs of autism, such aspoor eye contact and littlesocial interaction.The study is an importantaddition to autism researchand “has critical implicationsfor families who are decidingwhether they’ll have anotherchild,” said Catherine Lord,director of the Institute forBrain Development at NewYork-Presbyterian/WeillCornell Medical Center. Lordwas not involved in the study.Kathleen Lanese of KingsPark, N.Y., says having oneson with autism didn’t makeher think twice about tryingto have another child, eventhough she knew there was achance the second would beaffected, too.“We wanted another childand we were going to takewhoever we got,” saidLanese, who was notinvolved in the study. Still,when her younger son was ababy, she says she “watchedhim like a hawk” for autismsigns. He was diagnosed withautism at 16 months, earlierthan her older boy.Ozonoff said the studyshould prompt families andtheir children’s doctors to bevigilant with infants whoseolder siblings have autism.Early diagnosis is importantbecause experts say behavioraltreatment has the bestchance of working if startedearly.“Pediatricians need to listenand make a very focusedplan for how to monitor thosethings, rather than taking await-and-see attitude” towardchildren with autistic siblings,Ozonoff said.

Eye safety includespreventing slips and tripsHome is where most eyeinjuries occur, and slips andfalls are among the most commontype of home injuries.Slippery stairs, loose railingsor sharp edges on furniturecan lead to painful falls anddevastating eye injuries forseniors, as well as childrenand other household members.October is “Eye InjuryPrevention Month” but preventingeye injuries is somethingthat all people should beaware of every day. Seniorsand their caregivers shouldremember to be especiallyaware of their home environmentand take preventivesteps to lessen their risk ofeye injury. Family membersare often concerned abouttheir elderly relatives falling,and the most unexpected fallscan cause the worst injuries.For the sake of your lovedones, you should take theproper precautions to helpprevent dangerous and potentiallyblinding accidents in thehome.Consider taking these safetysteps around the home todiminish the risks of injuringyour eyes:¯ Make sure that rugs andshower/bath/tub mats areslip-proof.¯ Secure railings so thatthey are not loose.¯ Cushion sharp cornersand edges of furnishings andhome fixtures.In the event you do sufferan eye injury, have an ophthalmologistexamine theinjury as soon as possible,even if the injury seems minorat first. Eye injuries can leadto long-term eye health problems,including the developmentof glaucoma andcataracts. Additional informationregarding eye injury preventionand treatment can befoundatwww.geteyesmart.org.Brooks blood drives setfor September & OctoberThe Community BloodBank of WNY will be holdingblood drives at BrooksMemorial Hospital onThursday, Sept. 1 andTuesday, Oct. 4. The driveswill be held in the EmployeeLounge on the Ground Floorand will run from 10 a.m.until 4 p.m.The Community BloodBank of WNY is the onlyblood supplier for BrooksMemorial Hospital and allother hospitals inChautauqua County. By supportingthe CBB, area residentscan support their localhealth care facilities andtheir friends and neighbors.Call the Brooks MemorialHospital Lab at 363-3911 tomake your appointment todonate blood. Walk-ins arealso welcome.Medical Directory 2011Brooks MemorialHospital is located at529 Central Ave.,Dunkirk.Page 15

Page 16 Medical Directory 2011AP PhotoIn this file photo Thai-Chinese men and women takemorning exercise by practicing Chinese martial arts at apark in Bangkok, Thailand. New research concludes thateven 15 minutes of moderate exercise like brisk walkingcan add years to your life.Studies show 15 minutesof daily exercise can helpALICIA CHANGAP Science WriterLOS ANGELES — Don’tdespair if you can’t fit in therecommended 30 minutes ofdaily exercise. Growing evidencesuggests that even halfthat much can help.It’s still no excuse to slackoff. Regular exercise strengthensmuscles, reduces the riskof some diseases and promotesmental well-being. Themore exercise, the better.But not everyone has thetime or willpower. Soresearchers set out to find theminimum amount of physicalactivity needed to reap healthbenefits. The findings by astudy in Taiwan suggest just15 minutes of moderate exercisea day can lead to a longerlife.This “may convince manyindividuals that they are ableto incorporate physical activityinto their busy lives,” Dr.Anil Nigam of the Universityof Montreal said in an email.Nigam had no role in theresearch but wrote an editorialaccompanying the Taiwanstudy published onlineMonday in The Lancet.Fitness guidelines by theWorld Health Organization,the U.S. and other countriesrecommend that adults get atleast a half-hour of moderateworkout most days of theweek. This can include briskwalking, bike riding andwater aerobics.Realizing that it might bedifficult for some to break asweat, health groups havesuggested breaking it downinto smaller, more manageablechunks of time such asthree 10-minute spurts a dayon weekdays.The latest study, a largeone led by researchers at theNational Health ResearchInstitutes in Taiwan, soughtto determine if exercising lessthan the recommended halfhourwas still helpful.The researchers noted thateast Asians — includingChina, Japan and Taiwan —are generally less physicallyactive than their WesternSee EXERCISE, Page 17Could it be a hernia?Millions of Americans sufferfrom hernias each year.Everyone knows someonewho’s had a hernia. But whatexactly are they, who getsthem and how do you fixthem?Some people are born withhernias. Others develop themover time due to health relatedissues, previous surgeries orchronic conditions.Hernias occur when thestomach, intestines, or otherorgans in your abdomen pokethrough a tear or weak spot inthe muscle. A hernia might feellike a lump in your groin orbelly. The bulge often hurts orgets bigger when you cough,lift something heavy, or strainto go to the bathroom.Doctors diagnose hernias byreviewing the patient’s medicalhistory and performing a thoroughphysical examination.Talk with your doctor if youthink you have a hernia. Somehernias, including groin herniasin men, don’t need to betreated until they begin causingpain. Other hernias needsurgery to relieve the symptomsand return to a normalquality of life.Today’s technology makessolutions easier than they oncewere. Laparoscopic hernia proceduresare safe and complicationsare rare. If you have anyof the symptoms of this commoncondition, see a healthcare provider. A hernia will notheal by itself.Dr. Bedwell and Dr. Asadare now providing laparoscopichernia repair at WestfieldMemorial Hospital. A laparoscopicprocedure means thatthe procedure is minimallyinvasive, and provides patientswith a faster recovery, lesspostoperative pain, and aquicker return to work andnormal activities. If you have ahernia and are interested inlearning more about the surgicaloptions available, call 814-454-1142 to schedule anappointment

Medical Directory 2011Page 17SeniorsContinued from Page 10changes and to make suretheir temperature does notrise above 102 because thecondition can quickly lead toheat stroke. A medical emergency,heat stroke involvestemperatures of 104 or higherand can cause seizures,loss of consciousness anddeath.Medicines many older peopletake also may make themmore vulnerable to the heat.These include diuretics forhigh blood pressure, whichincrease urination — andmake it more important todrink plenty of water, Dalesaid.Some types of drugs caninterfere with sweating andraise body temperature,including some medicines forinsomnia, nausea, prostateconditions, Parkinson’s diseaseand even Benadryl.Many list “dry mouth” as aside effect — a tip-off todrink more water, Zich said.There aren’t specific guidelineson how much waterolder people should drink ina heat wave.Dale said he generally tellshis older patients to drink aquart of water throughoutthe day, and to drink even ifthey don’t feel thirsty.Doctors also advise olderpatients to avoid alcohol andcoffee during extreme heatbecause they can cause thebody to lose fluid and contributeto dehydration.ExerciseContinued from Page 16counterparts and their workoutstend to be less intense.About 416,000 Taiwaneseadults were asked how muchexercise they did the previousmonth. Based on theiranswers, they were put intofive groups of varying activitylevels from inactive to highlyactive. Researchers kepttrack of their progress foreight years on average andcalculated projected lifeexpectancy.The study found those whoexercised just 15 minutes aday — or 90 minutes a week— cut their risk of death by14 percent and extendedtheir life expectancy by threeyears compared with thosewho did no exercise. Bothmen and women benefitedequally from the minimumactivity.Each additional 15 minutesof exercise reduced therisk of death by another 4percent compared with theinactive group. Researchersdid not report how additionalexercise affected lifeexpectancy.There were some limitations.Answers were selfreported.The study, thoughlarge, was observational,which means the health benefitsmay not be entirely dueto exercise. But researcherssaid they took into accountother factors that mightaffect health such as smokingand drinking. And outsidescientists said the findingsare in line with other studies.For the sedentary, the keyis this: Some exercise is betterthan none.“Get off the couch andstart moving,” said I-Min Leeof the Harvard School ofPublic Health.In a study published inCirculation earlier thismonth, Lee and colleaguesfound that people whoengaged in 15 minutes a dayof moderate physical activityhad a 14 percent lower risk ofheart disease compared withinactive people.That research, combiningthe results of nearly threedozen studies of people fromNorth America and Europe,also found that the benefitincreased with more activityand may provide more motivationto the physically fit.People should strive to dothe recommended level ofexercise, but should not bediscouraged if they can’tachieve it right away. Startslow and gradually build up.“As inactive persons startmoving, they may very wellfind that they become morefit” and reaching their exercisegoal becomes easier, Leesaid.Until a year ago,Bernadette O’Brien, a retiredprincipal who lives in northernNew Jersey, did not maketime for exercise. She wouldoccasionally walk around herneighborhood and swim inthe pool at her local gym, butshe did little else.After the 80-year-old wasdiagnosed with diabetes, shedecided to change her habits.Now O’Brien exercisesbetween 15 and 45 minutes aday, five days a week. Shemixes up her routine withwater aerobics and strengthtraining so she won’t getbored.“I feel healthy and energetic.And my balance is prettygood,” she said.LAKE SHORE ORTHODONTICS& ORAL SURGERY , P. C.Irene D. Strychalski D.D.S., M.S. • 366-0600Board Certified OrthodontistJames T. Strychalski D.D.S. • 366-8330Oral SurgeryAdolescent and Adult Treatment OptionsTraditional BracesMetal brackets are the most familiar, but clear and tooth-color ceramic and plastic brackets are nowavailable. Their clean or natural color makes them less noticeable. Also available are gold brackets and awide choice of colors.Invisalign ®If your looking for an even less noticeable way to straighten your teeth Invisalign ® might be an option. Invisalign ® is anew treatment involving series of clear, removable aligners that gradually move your teeth without w ires or brackets.Free Consultation • Payment Plans Available415 Main Street • Dunkirk NY 14048www.lakeshoreorthodonticsandoralsurgerypc.com134599

Page 18 Medical Directory 2011Medical Directory 2011Page 19Quality care close to homeAcute CareSurgical CareEmergency CareLong Term Care- Rehabilitation- Skilled NursingBehavioral HealthDialysisDiagnostic Imaging- Women’s ImagingObstetricsSleep LabLong Term HomeHealth CareGastroenterologyPrimary Care ClinicsTLC Health atBrooks Memorial Hospital529 Central Ave., Dunkirk, NY 14048(716) 366-1111 • Fax: (716) 363-7239Lake Shore Health Care Center845 Routes 5 & 20, Irving, NY 14081(716) 951-7000 • Fax: (716) 951-7001Gowanda Urgent Care &Gowanda Medical Center34 Commercial St., Gowanda, NY 14070(716) 532-8100

Page 20 Medical Directory 2011For some, hypnosis eases pain, recovery of surgeryMARIA CHENGAP Medical WriterLONDON — As the surgeonscut into her neck,Marianne Marquis was thinkingof the beach.As she heard the doctors’voices, she was imagining hertoes in the sand, the waterlapping.Marquis had been hypnotizedbefore surgery to haveher thyroid removed. She’samong a growing number ofsurgical patients at theBelgian hospital, CliniquesUniversitaires St. Luc inBrussels, who choose hypnosisand a local anesthetic toavoid the groggy knockouteffect of general anesthesia.These patients are sedatedbut aware, and doctors saytheir recovery time is fasterand their need for painkillersreduced. This method is feasiblefor only certain types ofoperations.In her case, Marquis, 53,imagined herself in a fieldnear a beach — which heranesthetist began describingby whispering into her earabout 10 minutes beforesurgery. She remembers hearingthe doctors talk to her, butsaid it was as if they were faraway.“I was imagining squishingmy toes in the sand and feelingwater come up overthem,” Marquis said. She felta little pressure on her neckwith the first incision but saidit wasn’t painful.Since doctors began offeringhypnosis at the hospital in2003, hundreds of patientshave chosen it. At anotherBelgian hospital, more than8,000 surgeries have beendone this way since 1992.Doctors say nearly anysurgery usually done with alocal anesthetic could workwith hypnosis and less painmedicine. Proponents sayhypnosis can dull patients’sense of pain and that it alsoAP PhotoIn this photo anesthesiologist Dr Fabienne Roelants, right, monitors hypnotizedpatient Christel Place as doctor Michel Mourad, center, performs thyroid surgery inthe operating theater of the Cliniques Universitaires St. Luc Hospital in Brussels. Atthe hospital, one third of all surgeries to remove thyroids and one quarter of all breastcancer surgeries are performed using hypnosis and local anesthetic.cuts down on the need foranesthetic.That means patients recoverfaster and hospitals savemoney, according to somestudies. But it may requiredoctors to spend more timewith patients beforehand todo the hypnosis and they mayneed more careful monitoringduring surgery.The technique has becomespecial hypnosis branch intheir organization last year.There are no figures onhow widely hypnosis is usedacross Europe. In several ofthe nearly dozen French hospitalsin Rennes, a northwestcity of about 200,000 people,it’s used in about half of alloperations, says Claude Virot,a psychiatrist and director ofthe Institute of Research andMarquis’increasingly popular in Training in TherapeuticFrance and Belgium in recent Communication there. Virotyears. Some plastic and facialsurgeons in Germany also usehypnosis, as well as someBritish dental surgeons.The French Society ofAnesthesiologists describeshypnosis as a valid way tosupplement anesthesia toreduce stress, anxiety andpain but neither the Belgiannor British anesthesiologygroups offer specific hypnosisadvice. Because of demand,the French Society ofAnesthesiologists created ahelps organize hypnosis trainingand said about 500 healthprofessionals get it every yearin France.Dr. Fabienne Roelants,anesthetist,described hypnosis as a modifiedstate of consciousness.“The patient’s mind goes to apleasant place, but the bodystays in the operating room.”See HYPNOSIS,Page 22Dr. John R. TallettGynecologistCall For An Appointment672-4040Accepting New Patients268 W. Main St., Fredonia

MIKE STOBBEAP Medical WriterATLANTA — Chickenpoxvaccine has dramatically cutdeaths from the disease,especially in children, says anew government study proclaimingan important publichealth victory.Researchers from theCenters for Disease Controland Prevention found thatchickenpox deaths fell froman average of 105 per year to14 after the vaccine hadbeen available for a dozenyears.Deaths declined in all agegroups, but the drop wasmost significant among children.Medical Directory 2011“To see the near eliminationof chickenpox deaths inthis country is very exciting,”said Jane Seward, aCDC official who coauthoredthe paper. She hasbeen involved in theagency’s chickenpox vaccineprogram for 15 years.The report was releasedonline by the journalPediatrics.Chickenpox is caused by avirus and is highly contagious.Symptoms include anitchy skin rash and fever.Most kids suffer no morethan that, but some suffercomplications like skininfections, swelling of thebrain and pneumonia.Severe cases are more commonamong adolescents andadults who get it for the firsttime. Also, the virus —called varicella — can reactivatein people later in lifeand cause a painful illnesscalled shingles.While rarely fatal, chickenpoxwas very commonbefore the vaccine — nearlyone in 10 pre-adolescentchildren would get it in ayear, said Dr. EugeneShapiro, a Yale Universityexpert in infectious disease.In 1995, the governmentfirst recommended that allchildren get a dose of chickenpoxvaccine. One doseturned out to be about 86Page 21CDC: Chickenpox deaths plummeted since vaccinepercent effective. A seconddose is now recommended.The new CDC studylooked at national recordsfor deaths attributed tochickenpox. In the five yearsbefore the vaccine, an averageof 105 Americans died ofthe virus annually. By 2007— 12 years after the vaccine— the annual death toll haddropped to 14, and almostall were adults.The vaccine deserves creditfor the decline in children’sdeaths, Seward said.It’s also likely cut adultdeaths because there arefewer infected childrenaround to spread it to adults,she added.Improvements made in Brooks Memorial Hospital Outpatient ServicesBrooks Memorial Hospital recentlyupdated the Outpatient Services area tooffer two blood collection stations. The renovationwill also provide increased privacy,improved patient flow and faster service.Staff of 11professionalscontinually trainedin veterinarymedicine and clientservicesModern surgical suiteRadiology services onsiteIn-house lab andsame day blood testresultsEmergency ServiceavailableBoarding availableWe accep t casecreditAccess to the hospital’s fourth floorLab is now limited to hospital employeesonly. All patient reports and records willbe available in the ground floor MedicalRecords Department. These changesPROVIDING PET HEALTH CAREFredonia Animal Hospital10049 Route 60 Fredoniawww.fredoniaanimalhospital.comCaring for Pets...Caring forFamilies679-1561Dr. Jon Redfieldwere prompted by safety and regulatoryguidelines.For additional information, contactthe Brooks Memorial HospitalLaboratory at 363-3900.Dr. Josef PowellDr. Katie BallAccredited MemberAmerican AnimalHospital AssociationMon.-Fri. 8am - 6pmSat. 8am - 12 noon

Page 22 Medical Directory 2011HypnosisContinued from Page 1At Roelants’ hospital, onethirdof all surgeries toremove thyroids and onequarterof all breast cancersurgeries, including biopsiesand mastectomies, use hypnosisand local anesthetic. Sheand colleagues hope toexpand the technique to procedureslike hernias, kneearthroscopies and plasticsurgeries.Roelants said if patientsfeel any pain during the procedure,anesthetists immediatelygive them a painkillershot.During a recent procedurein Brussels where ChristelPlace, 43, had her thyroidremoved, she furrowed herbrow a couple of times to signalto Roelants she neededmore drugs. In a green-litroom that helps relax thepatients, Place pictured herselfhiking in the French Alpswhile surgeons sliced herneck open.The thyroid is a small glandat the bottom of the neck andmakes hormones to controlthe body’s metabolism. It issometimes removed when itbecomes enlarged, overactiveor cancerous. The surgery canbe done either with local orgeneral anesthesia and is consideredlow-risk.Place said waking up fromthe surgery was more abruptthan she’d expected. “It waslike I was really in the mountainsand then ‘poof,’ it wasover,” Place said, laughing.Other experts caution thathypnosis would be impossiblein major operations involvingthe heart or other internalorgans because the painwould be unbearable.“If hypnosis doesn’t workand you’ve got somebody’sabdomen or chest open, thenyou’re in big trouble,” saidGeorge Lewith, a professor ofhealth research atSouthampton University.“You need to be able toswitch to another optionimmediately,” he said.Consistency is also anissue. “It’s not used routinelybecause it’s not effective ineveryone and it takes awhile,” said Dr. Mark Warner,president of the AmericanSociety of Anesthesiologists.He said doctors would needextra time to conduct hypnosisand would need to workmore closely with surgeons.Warner said there are noguidelines on its surgical usein the U.S. He often usesmusic therapy or asks patientsto picture a soothing scene todistract them from any discomfort.“If we could getmore research on the rightpatient groups that wouldbenefit from (hypnosis), thatwould be wonderful,” he said.Some experts said hypnosisis a hard sell because no onereally profits from it.“The problem is the moneydoesn’t really go into anyone’shands, and the only personwho really benefits from it isthe patient,” said GuyMontgomery, an associateprofessor at the Mount SinaiMedical Center in New York,who led a study published inthe Journal of the NationalCancer Institute in 2007.In that research,Montgomery and colleaguesamestownadiologistsrandomly assigned 200patients in the U.S. having abreast biopsy or lumpectomyto either get hypnosis or abrief session with a psychologistbeforehand. They foundhypnotized patients neededfewer painkillers and sedativesand required less time insurgery. On average, eachhypnotized patient cost thehospital about $770 less thanthose who weren’t hypnotized.Marquis recommends hypnosisto patients who want toavoid anesthesia, but warnedit isn’t for everyone.“You have to be in the rightmental frame of mind for this,be properly prepared andtrust the medical staff to takecare of you,” she said. “Ifyou’re very skeptical of hypnosisand freaked out aboutwhether it’s going to work, itprobably won’t.”P.O. BOX 788 JAMESTOWN, NY 14702-0788jrpc@windstream.netService Locations:31 Sherman Street • 207 Foote Avenue15 South Main StreetBusiness Office:333 East Fifth StreetPhone: 716-664-9731 • Fax: 716-664-9160Board Certified Radiologists• Ronald D. Klizek, MD• Lyndon S. Gritters, MD• James G. Dahlie, MD• Brian D. Meagher, MD• Bruce H. Rockwell, MD• Dallen B. Ashby, MD

Page 24 Medical Directory 2011Addiction a brain disorder, not just bad behaviorLAURAN NEERGAARDAP Medical WriterWASHINGTON —Addiction isn’t just aboutwillpower. It’s a chronicbrain disease, says a newdefinition aimed at helpingfamilies and their doctorsbetter understand the challengesof treating it.“Addiction is about a lotmore than people behavingbadly,” says Dr. Michael M.Miller of the AmericanSociety for AddictionMedicine.That’s true whether itinvolves drugs and alcoholor gambling and compulsiveeating, the doctors groupsaid Monday. And like otherchronic conditions such asheart disease or diabetes,treating addiction and preventingrelapse is a longtermendeavor, the specialistsconcluded.Addiction generally isdescribed by its behavioralsymptoms — the highs, thecravings, and the things peoplewill do to achieve oneand avoid the other. The newdefinition doesn’t disagreewith the standard guide fordiagnosis based on thosesymptoms.But two decades of neurosciencehave uncovered howaddiction hijacks differentparts of the brain, to explainwhat prompts those behaviorsand why they can be sohard to overcome. The society’spolicy statement, publishedon its Web site, isn’t anew direction as much aspart of an effort to translatethose findings to primarycare doctors and the generalpublic.“The behavioral problemis a result of brain dysfunction,”agrees Dr. NoraVolkow, director of theNational Institute on DrugAbuse.She welcomed the statementas a way to help herown agency’s work to spurmore primary care physiciansto screen their patientsfor signs of addiction. NIDAestimates that 23 millionAmericans need treatmentfor substance abuse but onlyabout 2 million get that help.Trying to add compassion tothe brain findings, NIDAeven has made readings fromEugene O’Neill’s “LongDay’s Journey into Night” apart of meetings where primarycare doctors learnabout addiction.Then there’s the frustrationof relapses, which doctorsand families alike needto know are common for achronic disease, Volkowsays.“You have family membersthat say, ‘OK, you’ve been toa detox program, how comeyou’re taking drugs?’” shesays. “The pathology in thebrain persists for years afteryou’ve stopped taking thedrug.”Just what does happen inthe brain? It’s a complexinterplay of emotional, cognitiveand behavioral networks.Genetics plays a role,meaning some people aremore vulnerable to an addictionif they, say, experimentwith drugs as a teenager orwind up on potent prescriptionpainkillers after aninjury.Age does, too. The frontalcortex helps put the brakeson unhealthy behaviors,Volkow explains. It’s wherethe brain’s reasoning sideconnects to emotion-relatedareas. It’s among the lastneural regions to mature,one reason that it’s harderfor a teenager to withstandpeer pressure to experimentwith drugs.Even if you’re not biologicallyvulnerable to beginwith, perhaps you try alcoholor drugs to cope with astressful or painful environment,Volkow says.Whatever the reason, thebrain’s reward system canchange as a chemical nameddopamine conditions it torituals and routines that arelinked to getting somethingyou’ve found pleasurable,whether it’s a pack of cigarettesor a few drinks or evenovereating. When someone’struly addicted, that warpedsystem keeps them goingback even after the braingets so used to the high thatit’s no longer pleasurable.Make no mistake: Patientsstill must choose to fightback and treat an addiction,stresses Miller, medicaldirector of the HerringtonRecovery Center at RogersMemorial Hospital inOconomowoc, Wis.But understanding someof the brain reactions at theroot of the problem will“hopefully reduce some ofthe shame about some ofthese issues, hopefullyreduce stigma,” he says.And while most of theneuroscience centers ondrug and alcohol addiction,the society notes that it’spossible to become addictedto gambling, sex or foodalthough there’s no gooddata on how often that happens.It’s time for betterstudy to find out, Millersays.Meanwhile, Volkow saysintriguing research is underway to use those brain findingsto develop better treatments— not just to temporarilyblock an addict’shigh but to strengthen theunderlying brain circuitry tofend off relapse.Topping Miller’s wish list:Learning why some peoplefind recovery easier andfaster than others, and“what does brain healinglook like.”J&E MEDICALSPECIALTIES, PC50 BRIGHAM ROADFREDONIA, NY 14063FELIXBERTO COSICO, MD, FCCPINTERNAL MEDICINE ANDPULMONOLOGY672-6673EMILY DIZON-COSICO, MD, FAAPKATHLEEN COURTNEY, CFNPPEDIATRICS673-1761 / 672-7272MOST INSURANCES ACCEPTED

LAURAN NEERGAARDAP Medical WriterWASHINGTON — Cancerand memory loss are babyboomers’ biggest healthfears. Given their weight,maybe heart disease and diabetesshould be.Boomers are more obesethan other generations, anew poll finds, setting themup for unhealthy senioryears.And for all the talk of “60is the new 50” and activeaging, even those who aren’tobese need to do more to stayfit, according to theAssociated Press-LifeGoesStrong.com poll.Most baby boomers saythey get some aerobic exercise,the kind that revs upyour heart rate, at least oncea week. But most adults aresupposed to get 2¢ hours aweek of moderate-intensityaerobic activity — things likea brisk walk, a dance class,pushing a lawn mower. Onlyabout a quarter of boomerspolled report working up asweat four or five times aweek, what the average personneeds to reach that goal.Worse, 37 percent neverdo any of the strength trainingso crucial to fighting themuscle loss that comes withaging.Walking is their most frequentform of exercise. Thegood news: Walk enough andthe benefits add up.“I have more energy, andmy knees don’t hurt anymore,”says Maggie Sanders,61, of Abbeville, S.C. She haslost 15 pounds by walking 4miles, three times a week,over the past few months,and eating better.More boomers need toheed that feel-good benefit.Based on calculation of bodymass index from self-reportedheight and weight, roughlya third of the baby boomerspolled are obese, comparedMedical Directory 2011with about a quarter of botholder and younger responders.Only half of the obeseboomers say they are regularlyexercising.An additional 36 percentof boomers are overweight,though not obese.The nation has been bracingfor a surge in Medicarecosts as the 77 million babyboomers, the post-war generationborn from 1946 to1964, begin turning 65.Obesity — with its extra riskof heart disease, diabetes,high blood pressure andarthritis — will further fuelthose bills.“They’re going to beexpensive if they don’t gettheir act together,” says JeffLevi of the nonprofit Trustfor America’s Health. Hepoints to a study that foundMedicare pays 34 percentmore on an obese senior thanone who’s a healthy weight.About 60 percent ofboomers polled say they’redieting to lose weight, andslightly more are eating morefruits and vegetables or cuttingcholesterol and salt.But it takes physical activity,not just dieting, to shedpounds. That’s especiallyimportant as people start toage and dieting alone couldcost them precious muscle inaddition to fat, says JackRejeski of Wake ForestUniversity, a specialist inexercise and aging.Whether you’re overweightor just the right size, physicalactivity can help stave off themobility problems that toooften sneak up on the sedentaryas they age. Musclesgradually become flabbieruntil people can find themselveson the verge of disabilityand loss of independence,like a canoe that floats peacefullyuntil it gets too near awaterfall to pull back, Rejeskisays.He led a study that found amodest weight loss pluswalking 2 1/2 hours a weekhelped people 60 and oldersignificantly improve theirmobility. Even those whodidn’t walk that much gotsome benefit. Try walking 10minutes at a time two orthree times a day, he suggests,and don’t wait to start.“I don’t think there’s anyquestion the earlier you getstarted, the better,” saysRejeski, who at 63 has givenup running in favor of walking,and gets in 30 miles aweek. “If you allow yourmobility to decline, you payfor it in terms of the qualityof your own life.”When it comes to diseases,nearly half of boomers polledworry most about cancer.The second-leading killer,cancer does become morecommon with aging.“It’s the unknown nature,Page 25Obesity hits more boomers than others in U.S.that it can come up withoutwarning,” says Harry Forsha,64, of Clearwater, Fla., andMill Spring, N.C.Heart disease is thenation’s No. 1 killer, but it’sthird in line on the boomers’worry list. Memory loss is abigger concern.“On a scale of one to 10,seven or eight,” is how BarryHarding, 61, of Glen Burnie,Md., puts it. “It’s more talkedabout now, Alzheimer’s anddementia.”In fact, more than half ofboomers polled say they regularlydo mental exercisessuch as crossword puzzles.After Harding retires, heplans to take classes to keepmentally active. For now,he’s doing the physical exercisethat’s important forbrain health, too. He alsotakes fish oil, a type of fattySee OBESITY, Page 27

Page 26 Medical Directory 2011Alzheimer’s debate: Test if you can’t treat it?MARILYNN MARCHIONEAP Medical WriterPARIS — Picture yourselfin Barbara Lesher’s shoes: 54years old and fearing you aredeveloping Alzheimer’s disease.“I don’t remember if I had abath,” said Lesher, who livesnorth of Harrisburg, Pa. “Ittook me two hours to follow arecipe. I drove to my childhoodhomestead the otherweek instead of my ownhome. It’s really scary.”Doctors are arguing aboutwhether to test patients forsigns of the incurable diseaseand tell them the results.The debate raged this pastweek at the Alzheimer’sAssociation InternationalConference in France, whereresearch on new methods —easier brain scans, an eye test,a blood test — made it clearthere soon may be more suchtools available.Here’s why it’s an issue:Many people have brainplaques, suggesting theymight be developingAlzheimer’s even if they don’thave any symptoms. Thisplaque can be seen decadesbeforehand and does notensure someone will get thedisease. Many also won’t livelong enough to develop symptoms.For those who do haveAlzheimer’s, there are nogood treatments. Currentdrugs ease symptoms — theywork for half who try themand for less than a year onaverage. Most experts thinktreatment starts too late, butthere’s no evidence that startingsooner or learning youhave brain plaque will help.Experts are divided.“We have to look forpatients or signatures of thedisease at earlier stages,”urged Dr. Harald Hampel ofthe University of Frankfurt,Germany.But Dr. KennethRockwood of DalhousieUniversity in Halifax, NovaScotia, Canada, says there isno data “to show that knowingmakes any difference inoutcomes. Until we do, this isgoing to be a tough sell.”More than 35 million peopleworldwide haveAlzheimer’s, the most commonform of dementia. In theU.S., more than 5 million do— 13 percent of those 65 andover, and 43 percent of those85 and up, a rapidly growinggroup.Still, half of people whomeet medical criteria fordementia have not been diagnosedwith it, the Alzheimer’sAssociation estimates. Andmany who are told they haveAlzheimer’s or are assumed tohave it really don’t.Even when researchers usethe best cognitive tests toenroll people in clinical trials,about 10 percent ultimatelyare discovered not to have thedisease, said William Thies,the Alzheimer’s Association’sscientific director.“The Alzheimer’s drugsdon’t work in these folks, sothere’s no reason to exposethem to those risks,” saidThies, long an advocate ofearly diagnosis.Misdiagnosis is a lostopportunity to help. A newmedication or combination ofmedications may suddenlymake someone appeardemented. Brain fog canoccur after surgery and abateover time. Sleep problems arecommon in older people andcan cause profound confusionthat can be misinterpreted asdementia, according toresearch presented at the conferenceby Dr. Kristine Yaffeof the University ofCalifornia, San Francisco.“Some of these are treatable”by avoiding naps duringthe day or treating sleepapnea, in which brief interruptionsof breathing causepeople to wake during thenight, Yaffe said. Snoring is abig sign. Older people withsleep problems are more likelyto be put in nursing homes,she said.Dr. R. Scott Turner, directorof the memory disordersprogram at GeorgetownUniversity Medical Center,has seen that all too often.“I’m certainly in the campthat screening should bedone,” he said. Many patientsare simply declared to havedementia without testing tosee if they have another condition.“Sometimes it’s thyroiddisease, or depression, or vitaminB-12 deficiency — somethingthat’s very treatable,” hesaid.Testing someone withsymptoms is far less controversialthan testing peoplewith no symptoms but a lot offear. Doctors worry that theseSilver Creek113 Main St.934-4518newer methods, such as aneasier type of brain scan that’sexpected to be available withinmonths, will be directlymarketed to the public,prompting expensive andexcessive testing based onfear.“The phrase you often hearis that the ‘Big A’(Alzheimer’s) has replacedthe ‘Big C’ (cancer)” as amajor source of fear, said Dr.Jason Karlawish, a Universityof Pennsylvania ethicist specializingin dementia issues.Recent guidelines by theU.S. National Institute onAging and the Alzheimer’sAssociation say these testsshould be used only inresearch until they have beenstandardized and validated asuseful and accurate tools.A researcher using one ofthese tests, such as a spinalfluid check for a substanceBarnes Primary CareAssociatesSee ALZHEIMERS, Page 27Specializing in Internal MedicineAngola826 Lake St.549-7777In the Medical Arts BuildingAccepting New PatientsAll Doctors are Board Certifiedin Internal MedicineAccepting All Insurances

Medical Directory 2011Page 27acid that some studies suggestmight help prevent mentaldecline.In Warren, Pa., ColleenWitmer says she works hardto maintain her weight andher health: The 52-year-oldwalks or rides her bike daily,plus does a more formal exerciseprogram three or fourtimes a week.“I maintain my annual visitsto the doctor’s office andfollow his advice whether Ilike it or not,” she says. “AndI refuse to admit I am myage, and keep going as if Iweren’t.”TheAP-LifeGoesStrong.com pollthat may predict Alzheimer’srisk, has no obligation to disclosethe results to a patientuntil there is a meaningfultreatment for the disease,Karlawish argued at the conference.The more symptoms apatient has, the more justifiedit is to help understand whatis known about possible reasons,he said.Lynda Hogg of Edinburgh,Scotland, is very glad her doctorsdiagnosed herAlzheimer’s in 2006. She isdoing exceptionally well onone of the existing drugs andis in a clinical trial for anexperimental one she hopeswill help her and helpadvance knowledge in thefield.At a discussion connectedwith the conference, she saidthe early diagnosis helped herget financial and legal mattersin order and serve on theScottish Dementia WorkingGroup and the board ofAlzheimer’s DiseaseInternational.ObesityContinued from Page 25AlzheimersContinued from Page 26was conducted from June 3-12 by Knowledge Networksof Menlo Park, Calif., andinvolved online interviewswith 1,416 adults, including1,078 baby boomers bornbetween 1946 and 1964. Themargin of sampling error forresults from the full sample isplus or minus 4.4 percentagepoints; for the boomers, it isplus or minus 3.3 percentagepoints.Knowledge Networks usedtraditional telephone andmail sampling methods torandomly recruit respondents.People selected whohad no Internet access weregiven it free.“I am certain involvementkeeps me focused andinvolved in society,” shesaid.The Alzheimer’sAssociation says early diagnosisand evaluation can bringthe following benefits:¯ Treatment of reversiblecauses of impairment.¯ Access to drugs that helptreat symptoms.¯ Inclusion in clinical trialsthat give expert care.¯ Avoiding drugs that canworsen cognition.¯ Letting others know of aneed for help managing medicinesand daily life.¯ Easing anxiety about thecause of symptoms.¯ Access to education,training and support services.¯ The ability to plan for thefuture.Lesher, the woman fromPennsylvania, wishes she hada clearer picture of what liesahead for her.“Not being able to get diagnosedis the must frustratingthing in the world,” she said.Keeping a leash on allergieswhile living with a pet(ARA) — Allergies nolonger have to prevent petownership. By taking a fewsimple precautionary steps, itis possible to comfortably livewith both pets and allergies.Here are a few helpful tips:¯ Shut the door.Keep cats or dogs fromyour bedroom - and not justwhen you are sleeping. If youkeep the door closed, it willprevent cat or dog hair fromdrifting in during the day.This also applies to a guestroom if you are hosting aguest with allergies.¯ Keep pets off the furniture.You can do this by placinga plastic cover on the furnitureor by placing pieces ofaluminum foil on areas wherepets settle. They find thenoise disturbing. Or you cantry orange peel; cats dislikethe smell.¯ Ditch the carpets.Pet hair tends to stick tocarpets, especially soft, shaggycarpet. Try area rugs ontile or wood floors. They areconvenient because they areportable and usually machinewashable.¯ Bathe pets.Use an allergen-reducingshampoo and clean dogs atleast twice a week.¯ Clean the air.Remove irritants with anair cleaner that has a filter.¯ Vacuum and dust frequently.Use a vacuum designedespecially for pet owners.These include features suchas an odor-absorbing filterand powerful suction for pethair, while still retaining thedust and dirt that can triggerallergies and asthma.

Page 28 Medical Directory 2011Most Americans unaware of gout risk factors(ARA) - Most Americansneed to know more about therisk factors for gout, accordingto the findings of a new consumersurvey. Gout, sometimescalled gouty arthritis, ischronic and painful. If leftuntreated, it can become disabling.It now affects an estimated8.3 million Americans.While 59 percent ofAmericans know that gout is alife-long disease, most adultsdon’t know what can put them— or their family members —at risk, according to a nationalsurvey conducted by the Gout& Uric Acid EducationSociety (GUAES). Gout ispart of the arthritis family andin fact is the most commonform of inflammatory arthritis.The telltale sign of a goutattack is usually sudden andoften debilitating pain, mostfrequently felt in the largejoint of the big toe. A flare upcan hurt so much that it mayrequire a trip to the emergencyroom for relief. The culprit is abuild-up of uric acid crystalsin the joints caused by toomuch uric acid in the body.Everyone has uric acid in theirbody. It’s naturally present insmall amounts, but whensomeone has an abnormallyhigh level, it can trigger a goutattack.Americans don’t have agood picture of other healthconditions that can increasetheir risk, according to thesurvey. Here’s how Americansfared when their knowledge ofrisk factors for gout was put tothe test:¯ Only 1 in 10 Americanscorrectly cited cardiovasculardisease as a risk factor forgout.¯ Just 1 in 3 Americans correctlyreported that obesity isa risk factor.¯ One in 5 Americansknows that diabetes and kidneydisease are also risk factors.Gout is chronic and painful. If left untreated, it canbecome disabling. It now affects an estimated 8.3million Americans.¯ A mere 1 in 5 Americansmade the connection that familyhistory can put you at risk.“It’s important to know ifyou may be at risk,” says Dr.Brian Mandell, chairman ofmedicine and a senior staff inRheumatology andImmunologic Diseases in theCenter for Vasculitis Care andResearch at the ClevelandClinic, and GUAES boardmember. “The survey findingsconcern me because gout isassociated with all of theseother serious health conditionsthat are also on the rise.Knowledge is power, and likemany other diseases, earlydiagnosis and treatment iskey.”Other risk factors for goutWith certain exceptions,gout develops in people age 45or older. It affects men morethan women. Once a womanis post menopausal, though,her risk is nearly the same as itis for men of her age.Here are some of the otherrisk factors to be aware of:¯ Untreated high bloodpressure¯ High cholesterol¯ Obesity — someone obeseis four times more likely todevelop gout¯ Crash diets which canincrease the amount of uricacid in the body¯ A high-fructose diet,including sweetened softdrinks¯ Excessive consumption ofalcohol, especially beer¯ Joint injury¯ Kidney disease, whichcan come from high bloodpressure or diabetes¯ Use of certain medicines,especially diuretics or waterpills¯ Some anti-rejection medicationsused in transplantpatientsWhile there’s no cure forgout, a combination of medicationand lifestyle modificationsmay help those diagnosedmanage the disease,helping them to maintain theiractive lifestyle.For more information aboutrisk factors for gout, talk toyour doctor and visitwww.GoutEducation.org. Thewebsite was developed byGUAES, a nonprofit group ofhealth care professionals whoeducate the public and thehealth care community aboutgout and the related healthcare consequences of hyperuricemia.It offers free educationalresources for patientsand family members who maybe at risk.DAVID P. VONA, D.P.M.Medical & SurgicalSpecialist of the FootProviding FootCare Serviceto the surroundingcommunitiesfor the past19+ years.WE MAKE HOUSE CALLS!Call For Appointment 345-6690

Medical Directory 2011(ARA) - Americans are alltoo familiar with theheadaches caused by dailylife, but nearly 30 millionAmericans experience morethan “just a bad headache.”Migraines are different fromthe everyday headache andare characterized by throbbinghead pain, usually locatedon one side of the head,often accompanied by nauseaor vomiting and sensitivity tolight or sound.Typically, migraine suffererswork with a doctor totreat their condition, and discussionsduring these officevisits play an important rolein developing a patient’smigraine management plan.Findings from a new nationalsurvey released by theNational HeadacheFoundationandGlaxoSmithKline suggestthat migraine patients couldbe doing more to make themost out of their medical visits.The survey of 1,218migraine patients and 533doctors found that patientssaw their doctor an averageof six times in the past year,but 70 percent of these visitswere related to other healthconditions. Despite this,nearly two-thirds (63 percent)of patients reportedmigraines were discussedduring visits where migrainewas not the primary reasonfor the visit.“The survey results showpatients and doctors are havingimportant conversationsabout migraine management;however, these conversationsare not always robust or theprimary purpose of apatient’s visit, making discussionpoints unclear,” saysRobert Dalton, executivedirector of the NationalHeadache Foundation. “Bygiving patients and doctorstools to guide conversations,we can help patients and doc-you must talk to your doctor.tors make the most of thelimited time they have to talkabout migraines.”Here are some stepspatients can take to helphave better conversationswith their doctor aboutmigraines:¯ Prepare for a conversationwith your doctor so youget everything out of it thatyou want. Keep a migrainediary. Be organized, specific,direct and ready to talkdetails. Be prepared to provideinformation on yourmigraine history and generalmedical history. Track yourattacks and how you treatthem. Note the date, lengthof each migraine, severity,symptoms, triggers andimpact on your life. Trackmedication taken, when, forhow long and how effective itwas in relieving pain andsymptoms.According to the survey,almost all doctors (96 percent)agreed that tools suchas a migraine diary, medicationusage tracker, painseverity scale or symptomschecklist would help themPage 29Talk to your doctor about migraine managementSubmitted PhotoThere are options to deal with migraines, but firsthave more meaningful conversationswith their patientsabout migraines. Likewise,70 percent of patients saidthey would find such toolshelpful when talking withtheir healthcare providerabout migraines.¯ If you are taking medicationto treat your migraineattacks and are still experiencingmigraine pain, youowe it to yourself to let yourdoctor know. Sometimessolving the problem startswith asking the right questions:Do you want morerelief from your migrainemedicine? Do you ever takemore than one medicine totreat a single migraineattack? Do you ever needmore than one dose of yourprescription migraine medicineto treat a single migraineattack? If you answered yesto any of these questions, tellyour doctor.Absolut Care of Dunkirk447 Lake Shore Drive West, Dunkirk, New York 14048Serving Chautauqua County with special focusfor the residents of Dunkirk and Fredonia.Returning the favor...Rehabilitation back tohome or skilled long term nursing care, ifneeded, in a small personal facility.• Full Time Physical Therapy• Full Time OccupationalTherapy• Full Time CertifiedOccupational TherapyAssistant• Full Time RecreationPrograms• Speech Therapy• Nutritional Therapy• 24-hour Skilled NursingCare• Short-term Vacation Stay• Medical Directo rDr. Amy SeversonCall 366-6710 to schedule a private tour.

Page 30 Medical Directory 2011There are more benefits to calcium than women might think(ARA) — Eighty percentof women don’t get enoughcalcium from food alone,according to a recent studyconducted by the NationalHealth and NutritionExamination Survey. Thatmeans women’s bodies arestealing calcium from theirbones.Many foods like milk andother dairy products are wellknown to be prime sources ofcalcium. Calcium is a crucialnutrient that helps build andmaintain bones, muscles andteeth. It also keeps us movingby helping to maintain musclehealth and strength. Buttaking a calcium supplementalone isn’t enough. The NIHreports that vitamin D intakeis also important because itimproves calcium absorption.But many women arefalling short of meeting theirrecommended daily calciumallowance - between 1,000mg and 1,200 mg. In fact,many assume that a drop ofmilk in their morning cup ofcoffee will provide all the calciumthey need for the day.Ladies may be surprised tolearn that an eight ounceglass of skim milk onlymakes up 30 percent of thecalcium they need each day.If you are not gettingenough calcium or enoughexercise, your body is morelikely to steal the calcium itneeds from your bones.Risks of not enough calciumOne of the most commonrisks of not getting enoughcalcium is osteoporosis, adisease characterized by lowbone mass and deteriorationof bone tissue. Osteoporosiscan lead to bone fragility.Without bone-density testing,you may not know you’resuffering from osteoporosisuntil you suffer a fracture —which happens to half of allwomen older than 50.Starting youngIf you think calcium isimportant only when you’reolder, think again. NHANESalso found that 90 percent ofteenage girls aren’t gettingenough calcium through dietalone. Since boys and girlsbetween the ages of 9 and 18years old need 1,300 mg ofcalcium per day, getting ahead start on healthy habitscan prove vital in providing astrong nutritional foundationas they get older.Finding the right supplementIf you don’t get enough calciumthrough your diet, thensupplements, like Caltrate,are a good compliment to givingyour body the nutrients itneeds to help keep your bonesstrong and your body moving.These days, calcium supplements,like Caltrate, are availablein tablets, soft chews andgummy forms and most canbe taken with or without food.However, calcium alone isn’tenough. Calcium should betaken in conjunction with vitaminD because it helps thebody absorb calcium for thedevelopment and maintenanceof bones. It also supportsmobility as it may helpimprove muscle health andstrength.Caltrate helps replenish thecalcium and vitamin D3women need each day. Tohighlight that commitment,Caltrate is partnering withSusan G. Komen for the Cureas a national sponsor ofSusan G. Komen Race for theCure series.To learn more about theimportance of calcium andvitamin D in your diet, forspecial offers and productinformation, and to shareyour story about who, orwhat, moves you, visitFacebook.com/Caltrate.G&P GYNECARE, P.C.Women’s Health Care Center • Gyn ecology & Obstetrics306 Central Ave., Dunkirk(716) 366-4210Andre A. Persaud, M.D.Kathleen Piede, N.PRebecca Salerno, P.A.DUNKIRK OFFICE:Personally Answered 24 Hrs. a Day, 7 Days a Week♦NEW PATIENTS WELCOME ♦Celebrating Over 25 YearsOf Excellent Patient Care!340 E. 4th St., Jamestown(716) 487-2536

Medical Directory 2011Page 31SERVICE DIRECTORY & INDEX OF ADVERTISERSATHLETIC REHABILITATIONBrooks Memorial Hospital ........18 & 19529 Central Ave., Dunkirk, NY 14048716-363-3092BEHAVIORAL HEALTHTLC Health - Mark G. CooperMental Health Unit ....................18 & 19845 Routes 5 & 20, Irving, NY 14081716-951-7238TLC Health Women’s IntensiveResidential Rehab ........................18 & 19845 Rts. 5 & 20, Irving, NY 14081716-951-7033TLC Health AssertiveCommunity Treatment (ACT) ...18 & 19314 Central Ave., Suite 208,Dunkirk, NY 14048716-366-4081TLC HealthCassadaga CD Clinic ..................18 & 1933 North Main Street,Cassadaga, NY 14718716-595-3355TLC HealthCannon CD Clinic ......................18 & 197020 Erie Road, Derby, NY 14047716-947-0316CANCERCancer Care of WNY .........................36117 Foote Avenue, Suite 100,Jamestown, NY 14701716-338-9500cancercarewny.comChautauqua CountyCancer Services Program ....................51-800-506-9185Brooks MemorialCancer Center ...........................18 & 19529 Central Ave., Dunkirk, NY 14048716-363-3950CARDIOLOGYBrooks Cardiac Rehabilitation ....18 & 19529 Central Ave., Dunkirk, NY 14048716-363-3039Lakeshore HealthCare Centers .............................18 & 19Cardiac Rehab845 Routes 5 & 20, Irving, NY 14081716-951-7000Warren General Hospital ...................232 Crescent Park West, Warren, PA 16365(814) 723-4973 ext 1745Westfield Memorial Hospital ...............2189 East Main St., Westfield, NY 14787716-793-2218COUNSELING & PSYCHIATRICSERVICESThe Resource Center .........................16Dr. Caileen McMahon-Tronetti D.O.186 Lakeshore Drive West,Dunkirk, NY 14048716-366-6858DENTAL SERVICESThe Resource Center .........................27Dr. John Vona, D.D.SDr. Jill Smolarek, D.D.S.314 Central Avenue, Dunkirk, NY 14048716-366-1661DIAGNOSTIC TESTINGBrooks Memorial Hospital ........18 & 19529 Central Ave., Dunkirk, NY 14048716-366-1111TLC Health ................................18 & 19845 Routes 5 & 20, Irving, NY 14081716-951-7000DIABETIC EDUCATIONWestfield Memorial Hospital ...............2189 East Main St., Westfield, NY 14787716-793-2222DIALYSISBrooks Memorial Hospital ........18 & 19529 Central Ave., Dunkirk, NY 14048716-363-3979EMERGENCYBrooks Memorial Hospital ........18 & 19529 Central Ave., Dunkirk, NY 14048716-366-1111Lake Shore Health Care Centerof TLC Health Network ............18 & 19845 Rt. 5 & 20, Irving, NY 14081716-951-7000Westfield Memorial Hospital ...............2189 East Main St., Westfield, NY 14787716-793-2203EMERGENCYWarren General Hospital ...................232 Crescent Park West, Warren, PA 16365(814) 723-3300EAR , NOSE & THROAT CLINICWestfield Memorial Hospital ...............2189 East Main St., Westfield, NY 14787716-326-2098FAMILY PRACTICETri-County Medical Office .........18 & 194 Hanover St., Forestville, NY 14062716-965-9738GYNECOLOGYG & P Gynecare, PC ...........................30Andre A. Persaud, MDWael Bitar, MD306 Central Ave., Dunkirk, NY 14048716-366-4210John R. Tallett, MD .............................20268 West Main St., Fredonia, NY 14063716-672-4040HEALTH CAREAbsolut Care of Dunkirk ....................29447 Lake Shore Drive WestDunkirk, NY 14048716-366-6710Absolut Care of Westfield ....................726 Cass St., Westfield, NY 14787716-326-4646Brooks Memorial Hospital ........18 & 19529 Central Ave., Dunkirk, NY 14048716-366-1111Chautauqua IntegratedDelivery System IPA, LLC ..................34TLC Health ................................18 & 19845 Routes 5 & 20, Irving, NY 14081716-951-7000HOME HEALTH CAREAmedisys Home Health Care ............151170 Central Ave., Suite 9,Dunkirk, NY 14048716-679-7777www.amedisys.comLake Shore Long TermHome Health Care ....................18 & 19845 Routes 5 & 20, Irving, NY 14081716-951-7167Visiting NursingAssociation of WNY. ..........................25560 West Third St.,Jamestown, NY 14701716-483-1940 or 1-800-743-1940

Page 32 Medical Directory 2011SERVICE DIRECTORY & INDEX OF ADVERTISERSHOSPITALSBrooks Memorial Hospital .........18 & 19529 Central Ave., Dunkirk, NY 14048716-366-1111Lake Shore Health Care Center ofTLC Health Network .................18 & 19845 Rt. 5 & 20, Irving, NY 14081716-951-7000Gowanda Urgent Care &Gowanda Medical Center ..........18 & 1934 Commercial St., Gowanda, NY 14070716-532-8100Westfield Memorial Hospital ................2189 East Main St., Westfield, NY 14787716-326-4921Warren General Hospital ...................232 Crescent Park West,Warren, PA 16365(814) 723-3300INSURANCEHometown Insurance .........................10200 Lakeshore Drive W.,Dunkirk, NY 14048716-366-5033INTERNAL MEDICINEJ&E Medical Specialties, PC ...............24Felixberto Cosico, MD, FCCP50 Brigham Rd. West Suite,Fredonia, NY 14063716-672-6673LABORATORYAssociated Clinical Labs.......................5312 Central Ave, Dunkirk, NY 14048716-366-7417193 E. Main St., Westfield, NY 14787716-326-7300505 Foote Ave., Jamestown, NY 14701716-484-7147Brooks Memorial Hospital .........18 & 19Patient Service Center (Draw Site)12 Center St., Fredonia, NY 14063716-679-5025Gowanda Urgent Care &Gowanda Medical Center ..........18 & 1934 Commercial St.,Gowanda, NY 14070716-532-8100TLC Health Lake ShoreHealth Care Center ...................18 & 19845 Routes 5 & 20, Irving, NY 14081TLC HealthDerby Collection Lab .................18 & 197020 Erie Road, Derby, NY 14047716-947-4236Westfield Memorial Hospital ................2189 East Main St., Westfield, NY 14787716-793-2286LASER EYE SURGERYWestfield Memorial Hospital ................2Erie, PA814-455-7591MRI/CT SERVICESBrooks Memorial Hospital .........18 & 19529 Central Ave, Dunkirk, NY 14048716-363-3933Chautauqua MRI ...................................812653 Seneca Rd., Irving, NY 14081716-934-9001Lake Shore Hospital ..................18 & 19845 Routes 5 & 20, Irving, NY 14081716-951-7000 / 716-951-7277NURSING HOMESLakeshore Nursing Home ..........18 & 19845 Routes 5 & 20, Irving, NY 14081716-951-7200OBSTETRICSBrooks Memorial Hospital .........18 & 19529 Central Ave, Dunkirk, NY 14048716-363-3081OCCUPATIONAL THERAPYLake Shore Hospital ..................18 & 19845 Routes 5 & 20, Irving, NY 14081716-951-7000The Resource Center .........................27Heather Becker, OTR186 Lakeshore Drive West,Dunkirk, NY 14048716-366-6125The Resource Center .........................27Michelle Merwin, COTA186 Lakeshore Drive West,Dunkirk, NY 14048716-366-6125The Resource Center .........................27Julia McFarland, COTA186 Lakeshore Drive West,Dunkirk, NY 14048716-366-6125OPTHALMOLOGYNorthern Chatauqua Eye Clinic .........35Dr. M. LahoodDr. E. Fitzgerald Farkas749 Central Ave., Dunkirk, NY 14048716-366-6300ORAL SURGERYLakeshore Orthodontics andOral Surgery, P.C .................................17James Strychalski, D.D.S.415 Main St., Dunkirk, NY 14048716-366-8330ORTHODONTICSLakeshore Orthodontics andOral Surgery, P.C. ................................17Irene D. Strychalski, D.D.S., M.S.415 Main St., Dunkirk, NY 14048716-366-0600ORTHOPEDIC SURGEONSLakeshore Orthopedic Group, PC .....12322 Park Ave., Dunkirk 14048716-366-7150Westfield Memorial Hospital ................2189 East Main St., Westfield, NY 14787716-366-7150OUTPATIENT SURGERYWestfield Memorial Hospital ................2189 East Main St., Westfield, NY 14787716-793-2226PARKINSON ’S DISEASEREFERRAL CENTERWestfield Memorial Hospital ................2189 East Main St., Westfield, NY 14787716-793-2112PEDIATRICSDerby Pediatrics ...................................96763 Erie Rd., Derby, NY 14047716-934-2222Dunkirk Pediatrics ................................9402 North Main St., Dunkirk, NY 14048716-366-6111J&E Medical Specialties, PC ...............20Emily Dizon-Cosico, MD, FAAP50 Brigham Rd., Fredonia, NY 14063716-673-1761 / 716-679-7272Silver Creek Pediatrics .........................9194 Central Ave.,Silver Creek, NY 14136716-934-3333PET HEALTHFredonia Animal Hospital ...................2110049 Route 60, Fredonia, NY 14063Dr. Jon Redfield 716-679-1561Dr. Josef Powell 716-679-1561Dr. Katie Ball 716-679-1561PHYSICAL THERAPYBrooks Memorial Hospital .........18 & 19529 Central Ave., Dunkirk, NY 14048716-363-3092Lakeshore Health Care Centerof TLC Health Network .............18 & 19845 Routes 5 & 20, Irving, NY 14081716-951-7000The Resource Center .........................27Juanita Sawyer186 Lakeshore Drive W., Dunkirk, NY 14048716-366-6125

Medical Directory 2011Page 33SERVICE DIRECTORY & INDEX OF ADVERTISERSPHYSICAL THERAPYThe Resource Center .........................27Anthony Scarpino186 Lakeshore Drive West,Dunkirk, NY 14048716-366-6125The Resource Center .........................27Larry Feeney PTA186 Lakeshore Drive West,Dunkirk, NY 14048716-366-6125Westfield Memorial Hospital ................2189 East Main St., Westfield, NY 14787716-793-2231PHYSICIANSBarnes PrimaryCare Associates, PC ............................26Steven E. Barnes, DOCarl Roth, DOThomas McTernan, MD113 Main St. Silver Creek, NY 14136716-934-4518826 Lake St. Angola, NY 14052716-549-7777Westfield Family Physicians, PC.........14138 East Main Street,Westfield, NY 14787326-4678115 East Main Street,Sherman, NY 14781716-761-6144PODIATRYThe Resource Center ...........................6Dr. Michael Pietrusik D.P.M186 Lakeshore Drive West,Dunkirk, NY 14048716-366-6125Medical & SurgicalSpecialist Of The Foot..........................28David P. Vona D.P.M.12655 Seneca Rd., Irving, NY 14081716-345-6690PRIMARY CARE CLINICSGowanda Urgent Care &Gowanda Medical Center ..........18 & 1934 Commercial St.,Gowanda, NY 14070716-532-8100TLC HealthConewango ValleyMedical Center ...........................18 & 195719 Route 62,Conewango Valley, NY 14726716-287-2731RADIOLOGYJamestown Radiologists ......................2231 Sherman St., Jamestown207 Foote Ave., Jamestown15 South Main St., Jamestown716-664-9731Radiation OncologyBrooks Memorial Cancer Center .......11529 Central Ave., Dunkirk, NY 14048716-363-3940Westfield Memorial Hospital ................2189 East Main St., Westfield, NY 14787Women’s Imaging, Mammography,CTScan, Ultrasound, Nuclear Medicine716-793-2234REHABILITATIONGowanda Rehabilitation& Nursing Center.................................12100 Miller St., Gowanda, NY 14070716-713-1911TLC Health Lake ShoreTransitional Care Unit ................18 & 19845 Routes 5 & 20, Irving, NY 14081716-951-7194SLEEP STUDIESBrooks Memorial Hospital .........18 & 19529 Central Ave., Dunkirk, NY 14048716-363-3933Westfield Memorial Hospital ................2189 East Main St., Westfield, NY 14787877-256-4904SPORTS MEDICINEWestfield Memorial Hospital ................2189 East Main St., Westfield, NY 14787716-793-2231SPEECH PATHOLOGY &AUDIOLOGYBuffalo Hearing And Speech Center . . .350 East North Main St.,Buffalo, NY 14203716-885-8871Lake Shore Hospital ..................18 & 19845 Routes 5 & 20, Irving, NY 14081716-951-7000The Resource Center ...........................6Anne HadinDena Trembath, SLPMary Jane Gilbride, SLP186 Lakeshore Drive West,Dunkirk, NY 14048716-366-6125SPEECH PATHOLOGY &AUDIOLOGYYoungerman Center forCommunication Disorders .................13Thompson Hall, SUNY Fredonia,Fredonia, NY 14063716-673-3203SURGEONS - GENERALSURGERYWestfield Memorial Hospital ................2189 East Main St., Westfield, NY 14787Dr Scott Bedwell814-454-1142Dr. Muhammad Asad814-454-1142TRANSPORTATIONAlstar EMS ............................................4Dunkirk – 716-366-8177Jamestown – 716-484-2121CARTS ..................................................8Dunkirk - 716-366-4500Jamestown - 716-665-6466Toll Free - 1-800-388-6534UROLOGISTSWestern New YorkUrology Associates, LLC.....................36117 Foote Avenue, Suite 100,Jamestown, NY 14701716-338-9200www.wnyurology.comWOMEN ’S IMAGING SERVICESBrooks Memorial HospitalWomen’s Imaging Center ..........18 & 19529 Central Avenue,Dunkirk, NY 14048716-363-3933www.wnyurology.comWOUND CLINICWestfield Memorial Hospital ................2189 East Main St., Westfield, NY 14787716-793-2221Tri-County Medical Office ..........18 & 194 Hanover Street, Forestville, NY 14062716-965-9738

Page 34 Medical Directory 2011CardiologyJames Cirbus, MD Jeffery Dakas, MDCharles Furr, MD Matthew Gutierrez, MDRichard Petrella, MD Antonia Roman, MDGeorge So, MD David Strasser, MDDermatologyRobert Scott, MDEmergency MedicineJoseph Blum, MD James Capmbell, MDLeonard Franco, MD Gil Marzinek, MDPeter Reden, MD David Reino, MDPragna Sutaria, MD Dara Tanvir, MDFamily MedicineRobert Berke, MD Alexander Selioutski, MDPatrick Collins, MD Diane Mueller, MDWolf-Dieter Krahn, MD Adnan Munir, MDMichael Mitchell, MD Albert Persia, MDTat Sum Lee, MD Catherine Powers, MDAndrea Johnson, MD Thomas Putnam, MDHelen Carreras-Suchanick, DOGastroenterologyJames Campion, MDHospitalistLeia Sykes, MDJohn Fitzpatrick, MDGil Farkash, MDBhagwandas Sutaria, MDMichael Winnicki, MDMario Gentile,MDWilliam Fritz, MDRichard Fogle, MDJames Glenn, MDKeith Kulju, MDRobert, Cotie, MDChristo Koulisis, MDMandeep Brar, MDDavid Nichols, MDKurt Ehlert, MDMartin Gagliardi, MDDavid Kavjian, MDAndrew Hass, MDKevin Cunningham, MDInternal MedicineHyder Alam, MD Christina Brown, MDErik Baker, MD Thomas McTernan, MDG. Jay Bishop, MD Rudoplh Mueller, MDNilo Ayuyao, MD Carl Roth, DOJeffrey Facer, MD UmamahaswaraMumtaz Karimi, MD Vejendla, MDAndrew Landis, MD Richard Milazzo, Jr., MDKathleen Fanos, MD Tomasz Woloszyn, MDAnthony Bartholomew, MD Evadne Ong, MDSawaran Bambrah, MD Najmi Khan, MDSteven Barnes, DO Ronald Merino, MDJonathon Blasius, MDJohn LaMancuso, MDMedical OncologyJairus Ibabao, MDNephrologyRamon Sood,MDDominick Cannone, MD Chao-Yu Hsu, MDObstetrics & GynecologyBlesilda So, MDAndre Persaud, MDJohn Tallett, MDSawarngwongWirojratana, MDOpthalmologyMichael Lahood, MDRobert Weiss, MDTimothy O’Brien, MDOrthopedic SurgeryJoseph Cardamone, MD James Fitzgerald, MDKevin Ouweleen, MD Peter Robinson, MDOtolaryngologyJeffrey Morgan, MDSarojini Laha, MDCailean McMahon-Tronetti, MDPsychiartyRobert Gibbon, MDAngela Gibbon, MDPulmonary MedicineFrank Arnal, MDFelixberto Cosico, MDRadiation OncologyStanley Byun, MD Jeon Lee, MDRadiologyJames Dahlie, MDLyndon Gritters, MDBrian Meagher, MDBruce Rockwell, MDThomas Greer, MDRonald Klizek, MDJon Muntz, MDDallen Ashby, MDRehabilitation MedicineJoe Askar, MDMatthew Chang, MDDaniel Glotzer, MDJohn Keyes, MDIchabod Jung, MDRyan White, MDBrooke Kelly, DOSurgeryGeorge Conner, MDTimothy Brown, MDDavid DiMarco, MDRaja Gopalan, MDRussell Lee, MDUrologyPete Walter, MDPathologyWilliam Geary, MD John Schrecongost, MDJohn Orosz, MD

DR. MICHAEL LAHOOD, MD, PCand the staff ofNorthern ChautauquaEye Clinicare pleased to welcomeDr. Ellen C. Fitzgerald Farkas, MDDr. Fitzgerald Farkas will beginseeing patients in our office inAugust, 2011Specializing in Ophthalmology• Small Incision Cataract Surgerywith State of the Art Lens Implants• Glaucoma Treatment• Diabetic Eye Care• Evaluation and Treatment of RetinalDisorders• Eye Injuries, Lesions and InfectionsDr. Fitzgerald Farkas was born and raised in the Dunkirk-FredoniaArea. She is a graduate of SUNY at Buffalo School of Medicine. Herspecialty training in Comprehensive Ophthalmology was completed atHenry Ford Hospital in Michigan, where she served as Chief Resident.Accepting New PatientsMost Insurances Accepted749 Central Ave., Dunkirk(716) 366-6300

personalized carethat t t works rforyou..dedicatedtocuring ci cancer ccer today.d.wnyurology.comcancercarewny.comJamestown| 716-338-9200 0 |117 Foote Avenue, Suite 100Dunkirk| 716-338-9200 |3898 VineyardDriveWarren, PA | 814-757-8003 8003 |2 Farm Colony DriveJamestown| 716-338-9500 |117 Foote Avenue, Suite 100Cheektowaga| 716-844-5500 4-5500 |3085 Harlem Road, Suite 200Cambria| 716-898-2850 850 |3850 SaundersSettlementRoadProvidersPeter J. Walter, M.D.IchabodJung,M.D.Ryan G. White, M.D.Lisa A. Raymond, FNP-BCPatricia L. Brown, ANP-BCDavid B. Smalling, RPA-CProvidersMichaelDuff,M.D.DhirenK.Shah,M.D.LioYu,M.D.Christina Campolo, MS, RPA-CCheektowaga |Cambria | OrchardPark |JamestownJamestown n| Cheektowaga | CambriaPembroke|Hamburg|Derby|Springville |Dunkirk|NorthernPA