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12 Adirondack Sports & Fitness FROM THE EDITOR 2011 Happy New Year! So what am I looking to accomplish in 2011? As athletes we are used to working toward goals, but often we’ll set a race goal, and then just stop training once the race is over. The point of a resolution is not just to accomplish one thing and then quit, but to make long-lasting changes for the better. So I’m going to take a stab at one single thing I can do from now on that will make a great difference in my life this year and for years to come. Sleep. I’m going to go to bed earlier because I think that it will positively impact my life in so many ways. Some nights will be more difficult than others, but I will always try. No more zoning out in front of the TV when there’s nothing on and no more reading until the wee hours. By going to bed earlier, I will start getting up earlier. I’ll workout in the morning and expect to be more productive and creative in my job. More sleep will also improve my long-term health and wellness. Going forward as a business, we will resolve to back up our data daily – again! While on vacation, Darryl’s hard drive crashed resulting in a very extensive recovery process. Luckily, we’ve got a great consultant (thanks Mike, of Integrated Technology Resources!) and good insurance. However, thus the delayed January issue. The good news is we are up and running again with all of our data restored! Thanks for your patience and enjoy the issue! Best, FINE OUTDOOR CLOTHING & GEAR SINCE 1987 4886 Historic Main St. Manchester Center, VT 05255 802-362-5159 Hours: Mon-Sat 10-6; Sun 10-5 Shop Online Anytime: mountaingoat.com We’re there and actively building a community of people who enjoy the same things we do. Please visit AdkSports.com to reach us on Facebook. Feel free to post your comments, upcoming events, photos, questions and we’ll do the same. AROUND THE REGION News Briefs Adirondack Ice: A Cultural and Natural History SARANAC LAKE – Ice has determined the course of Adirondack history in many surprising ways. Adirondack Ice: a Cultural and Natural History by Caperton Tissot of Saranac Lake traces the evolution of that influence, touching on everything from ice industries, and transportation to recreation and accidents. In 360 pages of personal stories, observations and over 200 historic and contemporary photos, the Caperton pays tribute to a fast disappearing era. Reviews: “This book, providing a relatively unknown history of ice in the region, is very thought provoking. It describes the cultural relationships over the years and ends with a discussion of climate change and how this will reshape ice and associated activities in the future.” –Elizabeth Lowe, Region 5 Director of NYS DEC, and founder of The Wild Center. “My favorite moment each year is when winter takes control and friction loses its grip – when all of a sudden even the ungainly among us acquire a kind of grace as we skim across the world. This captures every element of that moment. I hope only that those who read it will rise to the defense of winter, so that we can keep the great warming at bay.” – Bill McKibben, author, activist, and resident scholar at Middlebury College. “Adirondack Ice illuminates the history of our relationship with a defining element of winter. Valued and reviled, ice is an unavoidable fact of life in the Adirondacks. As Caperton points out, it has ‘substantially determined the natural, economic, and cultural history of the North Country, yet it is an often overlooked and underappreciated influence.” –Laura Rice, chief curator, The Adirondack Museum. • RUNNING • HIKING • WHITEWATER RAFTING • TSIXTH H I R D ANNUAL A N N L CLIMBING • HEALTH • FITNESS • TRAIL RUNNING • MOUNTAINEERING • WALKING • CAMPING Best Backcountry Skiing in the Northeast BOSTON, MA – Appalachian Mountain Club Books has released Best Backcountry Skiing in the Northeast, by David Goodman. It’s a guide to 50 classic backcountry ski tours in New Hampshire, Vermont, Maine, New York and Massachusetts, which range from day trips to hut-to-hut ski adventures. Learn about what to bring, the essential backcountry skills that you will need, and fascinating ski history. Whether you are a seasoned cross-country or Telemark skier looking for a new challenge, or a downhill skier or snowboarder ready to explore the backcountry, this book will lead you to the best powder in the Northeast. Special features include description, distance, elevation, difficulty rating, and topographic map for each tour. It’s the only comprehensive guide to skiing and snowboarding in Tuckerman Ravine, and legendary classic trails such as the Teardrop, Thunderbolt, Catamount and Wildcat Valley. Plus, hut-based ski tours throughout the Northeast, information on avalanche awareness, gear, safety and first aid. Reviews: David Goodman has rewritten the bible. Readers benefit from the author’s meticulous nose for powder and first tracks. Goodman’s guide delivers the goods.” –Powder Magazine. David Goodman is an award-winning writer, skier, mountaineer, and bestselling author. He has written for numerous national publications, including Outside, National Geographic Adventure, SKI and Backcountry. SUMMER EXPO Saratoga Springs City Center April 18, 1619 & 20 17 Friday Saturday 5-9, Saturday 10-6 & 10-6, Sunday Sunday 10-5 10-4 The KICK-OFF Region’s THE Outdoor SUMMER Sports, Health/Fitness Great deals & expertise & Travel on the latest Expo! products, Running services, • Hiking destinations, • Biking events! Paddling • Triathlon • More 125 Exhibitors & 100 Exhibitors • Sales 5,000 Enthusiasts Demos • Activities SALES • DEMOS • CLINICS • PRIZES Seminars • Prizes FREE ADMISSION! Adults & Teens: $5 Children 12 & Under: Free AdkSportsFitness.com AdkSports.com (518) 877-8788 CANOEING • SCUBA DIVING • SWIMMING • BICYCLING • KAYAKING • MOUNTAIN BIKING • ROWING • TRIATHLON • WEIGHT TRAINING •
www.AdkSports.com JANUARY 2011 13 THE NON-MEDICATED LIFE Treating Sleep Apnea by Paul E. Lemanski, MD, MS, FACP edicines are a mainstay of American Mlife and the healthcare system not only because they are perceived to work by the individual taking them, but also because their benefit may be shown by the objective assessment of scientific study. Clinical research trials have shown that some of the medicines of Western science may reduce the risk of heart attacks, strokes and cardiovascular death. In the first 39 installments of The Non- Medicated Life, informed diet and lifestyle have been shown to accomplish naturally for the majority of individuals, many, if not most of the benefits of medications. Interestingly this also extends to the benefits of medical devices and surgery in the case of sleep apnea. Obstructive sleep apnea (OSA) is a condition in which an individual stops breathing for short periods during sleep. The bed partner of the individual is usually the first to recognize something is awry. The abnormal breathing pattern is made obvious because most individuals with sleep apnea snore, sometimes loudly. Periodically this rhythmic snoring is interrupted by a prolonged period of no breathing and hence silence. It is during this silence that serious damage is done leading to high blood pressure, heart arrhythmias, heart failure, and a predisposition to daytime sleepiness that may cause serious injury if an individual falls asleep while driving or operating machinery. This is the 40th in a series on optimal diet and lifestyle to help prevent and treat heart disease. Any planned change in diet, exercise or treatment should be discussed with and approved by your personal physician before implementation. The help of a registered dietitian in the implementation of dietary changes is strongly recommended. The mechanism of obstructive sleep apnea seems fairly straightforward. As an individual falls asleep the muscles in the neck and throat relax. In normal individuals without this condition, there is sufficient resiliency of throat tissues to resist the loss of muscle tone, which partially holds structures in position as we assume a supine posture. But in individuals predisposed to OSA, such relaxation may actually cause the airway to collapse. The first signs of collapse is snoring which is actually an initial partial collapse resulting in the typical staccato sound as air under the increased pressure of inspiration forces its way past obstructing structures including tonsils, adenoids and soft palate. As one enters the deeper stages of sleep the muscular relaxation becomes more pronounced thereby increasing the obstruction. Ultimately, there is complete collapse and a period of apnea or no breathing. During the period of apnea, oxygen levels in the blood drop and carbon dioxide levels rise. Low oxygen levels can cause blood vessels in the lungs to constrict and make it harder for the right heart to pump blood through the lungs to the left side of the heart. Over time such a condition can cause the right side of the heart to fail. Low oxygen levels can also cause the heart muscle cells to become irritable and such irritability may predispose to abnormal rhythms of the heart some of which may be life threatening. These same conditions may result in high blood pressure which may increase the risk of heart attack and stroke. The period of apnea will last until the need for oxygen takes precedence over the need to spend time in the deeper stages of sleep. Survival programs will activate and the individual will arouse from sleep, muscle tone in throat structures will increase, and the individual will take a breath or a gasp ending the period of apnea. This process may be repeated many times during a night with the total time spent in the deeper stages of sleep severely reduced thereby ensuring another hallmark of OSA, excess sleepiness during waking hours. Individuals who have snoring, excess daytime sleepiness, and witnessed apneas during sleep should discuss with their physician possible screening for obstructive sleep apnea. Screening may be achieved with a sleep study or polysomnogram completed at a sleep lab. Those with diagnosed sleep apnea may consult further with an Otolaryngologist (ENT) or Pulmonologist. Treatment for obstructive sleep apnea may involve a device, surgery, or behavior/lifestyle changes. Devices include an oral appliance which repositions the jaw to improve air flow and C-PAP device consisting of mask and air compressor that is used to force air under pressure into the upper airway to counteract the tendency for collapse. Surgery may involve removal of the tonsils and adenoids and a removal of portions of the soft palate to make the opening for air flow bigger and less prone to collapse. The oral appliance is used generally for those with less severe OSA. C-PAP is effective in those who tolerate the device, unfortunately many patients have problems adjusting to the mask or increased air flow. Surgery is reserved for severe OSA or for those not amenable to the less invasive approaches. For individuals with obstructive sleep apnea who are overweight or obese, behavior and lifestyle changes that promote weight loss may cure OSA simply with the shedding of pounds. While not easy, weight loss is much less expensive than the other approaches, may work as well or better than other approaches, and carries with it the additional benefits of improvements in blood pressure, cholesterol and blood sugar. All diets which reduce caloric intake and total calories should work equally well. A daily modest exercise such as walking may help as well by burning calories. In summary, obstructive sleep apnea is a serious medical problem characterized by excessive snoring, witnessed periods of apnea, and excessive daytime sleepiness. OSA increases the risk of heart failure, high blood pressure, irregular, and possibly life threatening heart rhythms, as well as heart attacks and strokes. Treatment for OSA exists in the form of dental devices, C-PAP and surgery. At the same time informed diet and lifestyle resulting in weight loss in those who are overweight or obese may correct this condition and avoid these more invasive and expensive approaches to address this correctable, albeit serious medical problem. Paul E. Lemanski, MD, MS, FACP (paul. lemanski@primecarepc.com) is a board certified internist with a master’s degree in human nutrition. He is director of the Center for Preventive Medicine, Albany Associates in Cardiology, Prime Care Physicians, P.C. Paul is an assistant clinical professor of medicine at Albany Medical College and a fellow of the American College of Physicians. Changing Jobs or Retiring? Should you roll over your 401(k) plan account or reallocate your retirement assets? Whether you are changing jobs or retiring, a Morgan Stanley Smith Barney Financial Advisor can review your situation and help you make informed choices to ensure that your nest egg will be there when you need it. Call your Morgan Stanley Smith Barney Financial Advisor today to help you develop an investment program tailored to your retirement needs. THE CENTER FOR PREVENTIVE MEDICINE Paul Lemanski, MD, FACP • Laurie Burton-Grego, MS, RD • Amy Milstein, MS, RD, CDE Optimally Reduce Cardiovascular Risk with Cutting Edge Complementary Medicine • CARDIOFIT weight reduction program • Mediterranean Cooking Classes • Acupuncture with Angela Stritt, L. Ac, Dipl. Ac, North Country Acupuncture, LLC • 518-210-6081 More info: CenterforPreventiveMedicine.com and NorthCountryAcupuncture.com The Center for Preventive Medicine • Prime Care Physicians, PLLC 400 Patroon Creek Blvd, Suite 100, Albany • 518-618-1100 PROFESSIONAL SKI BOOT FITTING AND BALANCING Richard F. White Second Vice President-Wealth Management Financial Planning Specialist Financial Advisor 80 State Street, 12th Floor Albany, NY 12207 518-427-5555 www.fa.smithbarney.com/richardfwhite richard1.white@mssb.com A Morgan Stanley Company Tax laws are complex and subject to change. Morgan Stanley Smith Barney LLC, its affiliates and Morgan Stanley Smith Barney Financial Advisors do not provide tax or legal advice. This material was not intended or written to be used for the purpose of avoiding tax penalties that may be imposed on the taxpayer. Individuals are urged to consult their personal tax or legal advisors to understand the tax and related consequences of any actions or investments described herein. © 2010 Morgan Stanley Smith Barney LLC. Member SIPC. NY CS 6256950 RET010 PSC 05/10 GP10-00936P-N04/10 SKI SKI SEASON IS IS COMING HERE Get your boots tuned up at STEINER’S! SKI, SNOWBOARD & & TELEMARK BOOTS Ask about our professionals discount! This shop is certified “America’s Best” by the Masterfit University Training Centers for bootfitting and custom footbeds Specializing in • Skier Biomechanic Assessment • Boot Sole Modifications • Custom Orthotics and Footbeds • Under Binding Lifts & Cants • Stance Balancing (Canting) • Boot Sole Lifts 329 Glenmont Rd, Glenmont 3455 Route 9, Valatie 2.5M south of Thruway -Glenmont- Exit 23 2M south of I-90 Exit 12 (518) 427-2406 (518) 784-3663 2.5 miles south of Thruway Exit 23 on Route 9W Mon-Wed 10-6, Thu-Fri 10-8, Sat 9-5, Sun 11-4 (518) Serving S i 427-2406 sports t enthusiasts • i www t for f 30 steinerssports years • SteinersSkiBike.com i S com t
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