health and wellness fall 2014

H E A L T H W E L L N E S S&

T a k i n g C a r e o f B o d y , M i n d , a n d S p i r i tA S p e c i a l S e c t i o n o f t h e S u l l i v a n C o u n t y D e m o c r a t , O c t o b e r , 2 0 1 4

2H HEALTH SULLIVAN COUNTY DEMOCRAT OCTOBER 24, 2014

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Dr. Gary GarfieldDr. Sheldon LeidnerDr. Jonathan WeissCynthia Gilmour, F.N.P.

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518 Broadway, Monticello, NY 12701

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Sullivan Internal Medicine Group

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Dr. Douglas FletcherDr. Jagruti GohelDr. Martin PalmerDr. John PodeszwaDr. Bonnie SeecharranCarol Waxman, P.A.

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he moment you ascend Some-where in Time Lane, you sensethe peace that surrounds you.

A gentle breeze softly streamsacross the rippling grass and

pond, rustling the leaves and creakingthe branches of the trees all aroundthe Parksville home of Justine and JonSutherland.

But you can’t resist looking skyward,where a Great Plains-worthy viewstretches endlessly, the blue sky andwhite clouds somehow feeling morevibrant here.

Thus, you’ll be more than ready torespond to Justine when she intro-duces herself with her characteristic,lilting query, “How are you Being?”

And if you’re looking for innerpeace, Justine will guide you in ahealthy direction – to learn how to“Just Breathe.”

That is, in fact, one of two names for

TA land of peace awaits in Parksville COVER PHOTO

BY DAN HUST

CONTINUED ON PAGE 5HThe lovely porch of Justine and Jon Sutherland’s home – and the new ‘Somewhere Inn Time B & Be’ – gazes upon an even lovelier natural scene of field, forest and pond.

Justine is a certified teacher of classic HathaYoga Sivananda style, holding classes inside herairy, light-filled studio.

OCTOBER 24, 2014 SULLIVAN COUNTY DEMOCRAT HEALTH 3H

Providing Quality Dentistry for the entire family, includingcosmetic dentistry, crowns, bridges, implants, dentures,

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Offices atOne Fairchild Pl.Monticello, NY 12701(845) 794-6423

206 N. Gregory Street20 Gregory Street, Cal(845) 887-6423Callicoon, NY 12723

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www.drwhippledentistry.com

DON’T LET YOUR PAIN GET WORSE!

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Published byCatskill-Delaware Publications, Inc.

Publishers of the

(845) 887-5200 Callicoon, NY 12723

October 24, 2014 • Vol. CXXIV, No. 37

Publisher: Fred W. Stabbert IIISenior Editor: Dan Hust

Editor: Frank Rizzo

Sports Editor: Ken Cohen

Editorial Assistants: Kathy Daley, Jeanne Sager, Eli Ruiz,

Kaitlin Carney, Guy Harriton

Advertising Director: Liz Tucker

Advertising Coordinator: Sandy Schrader

Advertising Representatives: Barbara Matos, Cecilia Lamy

Special Sections Coordinator: Teri Luty

Business Manager: Susan Owens

Business Department: Patricia Biedinger, Joanna Blanchard

Telemarketing Coordinator: Michelle Reynolds

Classified Manager: Janet Will

Production Associates: Ruth Huggler, Rosalie Mycka,

Tracy Swendsen, Nyssa Calkin

Elizabeth Finnegan, Petra Duffy

Distribution: Bill Holmes

Proud Member of:

Serving the weeklycommunity newspapers ofNew York State since 1853.

National Newspaper Association

Health &Wellness


Early DetectionCan Save YOUR LifeOctober isn’t the only time to be aware of breast cancer.

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Livingston Manor Family Health Center 36 Pearl Street

Livingston Manor, NY 12758 845.439.3579

Catskill Regional Medical Center1st Floor Ambulatory Service Bldg

68 Harris Bushville Road Harris, NY 12742

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Callicoon Family Health Center 8881 State Route 97 Callicoon, NY 12723

845.887.5693

A member of the Greater Hudson Valley Health System

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this beautiful place: Justine’s JustBreathe Yoga.

Housed in a bright, airy barn over-looking the foothills of the Catskills,the yoga studio offers classes in clas-sic Hatha Yoga Sivananda style; a“Gentle Boot Camp” for all ages andfitness levels; and a one-mile obstaclecourse for birthday parties, campsand team-building.

Justine is as quick to sing as she is tospeak, as eager to learn as she is toteach. Her welcoming spirit is bothboundlessly euphoric and quietly joy-ful, often simultaneously.

The land upon which she and hus-band Jon, a Liberty dentist, liveechoes that spirit.

“From Route 17 to here,” says Jon,sweeping his hand from the valley to

CONTINUED FROM PAGE 3H

CONTINUED ON PAGE 7H

Jon and Justine Sutherland’s home sits atop a hill above Parksville, and guests are welcometo share their beautiful property via the Somewhere Inn Time B & Be.


Call MISN today at 1-800-453-4666 to see if you qualify for Managed Care, Child Health Plus or a Special Enrollment Period.THIS IS A FREE SERVICE.

People who are eligible for Managed Care, children who are eligible for Child Health Plus, pregnant women, and small businesses can continue to enroll in the NY State of Health Marketplace throughout the year.People who have lost their jobs or insurance may be eligible to enroll during a Special Enrollment Period.

Are you a small business owner? Have you recently lost your health insurance? Have you gotten married? Did you have a baby?

You may be eligible to apply for insurance in the NY State of Health Marketplace.

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the hilltop, “was my grandfather’sfarm in the 1800s.”

The return to his family’s roots, andJon and Justine’s shared love of the1980 time-travel romance movie

“Somewhere in Time,” inspired notonly the name of their driveway butthe name of their brand new bed-and-breakfast, Somewhere Inn Time.

The “B & Be” (as Justine calls it – areference to her trademark “how are


CONTINUED ON PAGE 9H

The universal peace sign graces the upper deck of Justine’s Just Breathe Yoga studio, over-looking the gently-maintained meadows which serve as the wide front lawn.


Marie K. Devore, D.M.D.

Evening Appointments Available• We Welcome New Patients •

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PAUL D. SALZBERG, M.D.Board Certifi ed in Family Practice

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Our patients are very important to us.

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Services also offered byKelly Edwards,

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Initially conceived as a storage barn, this handsome hilltop structure now also serves as thehome of Justine’s Just Breathe Yoga studio in Parksville.

you Being”) features three bed-rooms: a master suite with a kingbed and private bath, and tworooms with queen beds and a sharedbath.

Breakfast is available wheneverguests want, as Justine simply laysout an organic repast of fruit, veg-etables, eggs and breads when sherises early in the morning.

They, too, are welcome to partakein the yoga studio’s offerings right

next door.“The dedication to their practice

brings a transformation which is anadventure in exploring their mind,body and soul,” promises Justine.

A memorable day for Jon was whena guest said, with his hands raised inthe sky, “Now I know where God is.”

To discover it all yourself, contactJustine at 845-807-8704 or [email protected]. Aschedule of offerings is available atwww.parksvilleny.org/yoga.html.



91⁄2 Dolson Ave.,MiddletownAcross from

the Colonial Diner

RN Supervisor FT - in the Middletown Branch1 to 2 years Home Care experience Required.

Must be familiar with NYS Waiver Programs. Travel necessary.

Forward resume and salary requirement: [email protected]

Is Now Accepting Applications For

PCA’s HHA’s CNA’s RN’s & LPN’sStarting at $12 per hour

Sullivan & Orange CountyNHTD and TBI waiver HCSS Workers needed

Seeking motivated employees that will travel outside city limits.Bi-lingual encouraged to apply.

Must have transportation & phone.We Offer Medical Benefits

Call or walk-in (845) 344-42229 1/2 Dolson Ave., Middletown, across from Colonial Diner

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Providers Trained in Pediatric CareProviders Trained in Pediatric CareProviders Trained in Pediatric Care

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

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Marty Ryan, the former owner ofMarty’s Sneaker World in Hones-

dale, is grateful he has both his legs andthat he’s still in the shoe business after35 years.

Wayne Memorial Hospital staffrecently surprised Ryan with a cake athis current shoe store in Waymart tocongratulate him on his anniversaryand his success at battling a debilitat-ing disease – lymphedema. Ryan, 67,was quick to thank them for muchmore than the cake.

“I wouldn’t have my leg here,” he said,pointing to his right leg, which waswrapped in compression bandages,“and maybe both of them if it hadn’tbeen for these folks. I owe the doctorsand nurses who worked so hard to healmy many wounds and these therapistsa lot!”

The praise was reciprocated by AmyKrempasky, RN and clinical coordina-tor of the hospital’s Advanced WoundCare & Hyperbaric Center and Occupa-tional Therapists Christine Carlozziand Sean Phillips.

“Marty would not be where he istoday if he hadn’t shown up for hisappointments and done the work,”said Krempasky. “He was vigilant anddiligent and that’s why he still has hisleg.”

Ryan, a US. Army veteran who servedin Korea during the Vietnam War peri-od, admitted he was not an easypatient when he was first diagnosed in2007.

“When the Wound Care Clinic staffwanted me to start therapy, I was defi-nitely not interested,” he said, “I didn’tlike change and I fought it all the way.But finally the nurses convinced me Ihad no other choice if I wanted my legsto get better. I had to give in, and now,I’m glad I did!

Ryan undergoes treatment in theWound Care Center with Edward(“Ted”) Murray, DPM, the Wound Careteam and Carlozzi and Phillips. Thetwo therapists underwent trainingsupported by Wayne Memorial Hospi-tal to become certified in CompeteDecongestive Therapy (CDT) for lym-phedema. A chronic condition inwhich excess protein-rich fluid collectsin the tissues, lymphedema causesextreme swelling and possible skinchanges in the body that don’t go awayand may even get worse over time.

Carlozzi and Phillips use the VodderTechnique which moves the lymphfluid through and out of the bodythrough very gentle skin stretchesalong the normal pathways of the lym-phatic system. This technique is com-bined with skin care, compressionbandaging and specific exercises. .”

“I’m really happy to share my ownstory if it can help even one other per-son out there who has lymphedema toseek help from these folks,” said Ryan.Wayne Memorial Rehabilitation Serv-ices, with two locations in Honesdale,offers physical, occupational andspeech therapy, as well as specialtytherapies for patients with lymphede-ma, Parkinson’s Disease and cancer.

For more information, visit www.wmh.org.

Celebrating sales and survivalThanks to Wayne Memorial’s Advanced

Wound Care & Hyperbaric Center

CONTRIBUTED PHOTO

Marty Ryan celebrates his 35th anniversary in the shoe business with his lymphedema careproviders from Wayne Memorial Hospital. Left to right: Sean Phillips, OT; Ryan; Amy Krem-pasky, RN; Christine Carlozzi, OT; Terri Henderson, OT/manager Rehabilitation Services.


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STORY AND PHOTO BY DAN HUST

Shannon Bruning felt the bite,swatting away the tiny darkinsect from her lower right leg.

She’d been standing amongst the tallgrass of her Kauneonga Lake backyard, watching husband Butch test anew weedwhacker.

But within seconds of the bite, “Ihad a blister bigger than a silver dol-lar,” she recalled.

“And the itch was unbelievable.”Ice, peroxide, anti-itch cream –

nothing salved it, and Shannon could-n’t resist scratching.

That burst the blister, and suddenlyshe was confronted with a nasty openwound straight out of a horror movie.

“The black and yellow are poison,”Shannon pointed out during a visitlast week.

She was changing the dressing on apainful, two-inch-long gash in herleg – four months after the initial bite.

Doctors at Hudson Valley HospitalCenter’s Institute for Wound Care andHyperbaric Medicine in Peekskill tell

her it could take another eight monthsfor the wound to heal.

And she will likely never know exact-ly what bit her.

Shannon thinks it could be a brownrecluse spider, but their range doesn’textend this far north.

“They’re not common here,”affirmed Sullivan County PublicHealth Director Nancy McGraw. “Sowe really can’t say whether it was abrown recluse spider or not.”

Allergic reactions, immune systemproblems and cardiovascular issuescan all aggravate insect bites, sheadded, meaning a person’s particularreaction to a bite may be very differentfrom another’s – whether it was a spi-der or something else.

McGraw sympathized with thealarming nature of Shannon’s woundbut said brown recluse spider bites arenot a local problem.

“From a public health perspective,it’s not something the average personshould be concerned about,” sheassured.

Indeed, “if I were to caution anyoneto be more vigilant about bugs,” saidMcGraw, “it would be ticks.”

A bite from a tick may or may not benoticeable, but they can transmitLyme Disease, which, left untreated,can have long-term health effects.

Regardless, if you’re wearing cloth-ing that exposes arms, legs or otherparts of the body to vegetation, beready for insect bites in SullivanCounty – and to react swiftly.

Shannon initially visited her doctor,who gave her antibiotics to stave offfurther complications. The team atHudson Valley Hospital Center helpedher recover from an infection in thewound, but she’s still got a long roadto travel.

“This is $274 a tube,” she remarked,holding up a container of Santyl,

Something did this…but what? Insect bite of unknown

origin causes hell forKauneonga Lake woman

Shannon Bruning of Kauneonga Lake sus-tained an insect bite of some kind back inJune that has since turned into this gapingwound on her leg, requiring months of care-ful, painful treatment.

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which helps her clean out the dead tis-sue three times a day. “I’m going to gobroke!”

And Butch still has to take her downto Peekskill weekly for further cleaningand inspection of the bite area.

Some of that’s covered by Medicareand private insurance, some not.

The itch, thankfully, is gone, but so isShannon’s independence.

“I haven’t driven, but I can walk.Sometimes it’s very painful,” Shannonrelated – made more painful by the factshe broke her toe after stubbing it onfurniture in her home.

The grandmother of eight misses vis-its with family, though Butch and theirdog Sam have been constant compan-ions.

Her pets, in fact, are what broughther from Westchester County to Sulli-van County 14 years ago.

“I wanted a place where I could havemy animals,” she said with a smile.

She didn’t count on the kind of crit-ters that might feast on – or be irritatedby – her presence, however. So she’sspreading the word to be careful.

“I want people to be aware of this,”she affirmed, “that there’s somethinghere that bites you and eats your fleshaway.”


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Back in the Fall of 1984, Dr.Rajan Gulati was the well-respected Director of the

Emergency Department at the now-closed Horton Memorial Hospital inMiddletown.

After a decade in this position, hedecided to branch out on his ownand open “Immediate MedicalCare,” walk-in Urgent Care servicesand the first of its kind in the region,at a small location on Ridge Street inMiddletown, just down the roadfrom Horton, and with just threeemployees.

Fast forward 30 years later to 2014,and “Immediate Medical Care” isnow “Middletown Medical,” a multi-specialty physicians’ group with 15locations throughout Orange,Sullivan and Ulster counties, andconsidered to be one of the HudsonValley’s premier healthcare servicesprovider known for its compassion-ate and comprehensive services.

And those three employees have

now blossomed into 350, makingMiddletown Medical a leadingemployer in the area, as well.

“We simply wanted to makeurgent care services accessible topeople, as the local emergencyrooms were overwhelmed,” notesDr. Gulati, who continues to seepatients while also serving asPresident & CEO of MiddletownMedical. “We were in the right placeat the right time.”

But it’s more than that. Thealways-modest Dr. Gulati’s initialmission of providing top qualitycare in a warm and caring environ-ment continues to this day, asMiddletown Medical’s variousawards and positive patient testi-monials through the years confirmthis mission is still very much top ofmind throughout the organization.

Success leads to expansionAfter just a few years on Ridge

Street, “Immediate Medical Care”

was growing out of its space,prompting Dr. Gulati to build a5,000 square foot building at 2Edgewater Drive in Middletown.With this move came expandedservices – primary and family care,specialty medicines such as cardiol-ogy, laboratory services and more –and the name “MiddletownMedical” was born.

Then in 1993, it was time toexpand again – to a new and consid-erably larger 30,000 square footbuilding at 111 Maltese Drive (justnext door to 2 Edgewater). Thisbuilding underwent significantexpansion in 1999, and is still themain “hub” of MiddletownMedical’s operation.

Today, Middletown Medicalincludes:

• 15 locations throughout Orange,Sullivan and Ulster counties,stretching from Warwick in thesouth to Monticello in the north –and everything in between.

Middletown Medical celebrates 30th anniversary

CONTRIBUTED PHOTO

Dr. Rajan Gulati left his position as Directorof the Emergency Department at the now-closed Horton Memorial Hospital to foundwhat became Middletown Medical.

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• Those 350 employees include aphysician roster of more than 50,and encompassing more than 20different specialties.

• Immediate Medical Care servicesin Middletown, Ellenville andChester – the latter located in abeautiful, new state-of-the-art facil-ity.

• Home to “Pediatric Express” inChester, walk-in Urgent Care servic-es for children with a pediatricianon site until 9 p.m. on weeknights,and the first of its kind in OrangeCounty.

• A prestigious “Recognized Prac-tice” as a Patient-Centered MedicalHome by the National Committeefor Quality Assurance (NCQA).

• Unique specialty services such asThe Sleep Center, The HeadacheCenter, Occupational Medicine, andmore.

As well, growth is always on thehorizon, as Middletown Medical isconstantly expanding through affili-ations with local and regional physi-cians and providers, collaborationswith new specialists, and acquisi-tions of new properties in new mar-kets.

What’s so special about Middletown Medical?

Some of Middletown Medical’smost senior employees are quick topraise Dr. Gulati and his compas-sionate approach to the success ofthe healthcare services provider.

“We are a state of the art health-care practice focused on thepatient,” says Billing SupervisorMarge Ingrassia, who joined Mid-dletown Medical in 1990. “We canprovide all services at any location,and our staff is caring and most con-cerned about the patient’s totalwell-being.”

“The focus is to go above andbeyond, and to treat our patients asfamily,” echoes Amanda Hansen, aPhysician Assistant who began hercareer in 2001 under Dr. Gulati’stutelage. “Dr. Gulati has alwaysstressed quality over quantity, andthat shows in the patients that keepreturning to us.”

“The thing I love about Middle-town Medical is that Dr. Gulatibelieves in his employees and neverdiscourages new ideas,” says LoriMarl, Middletown Medical’s Opera-

tions Director who began with thecompany in 1992 as a night recep-tionist. “This is what keeps us on theforefront of giving our patients thebest and most comprehensive careanywhere.

“Plus my entire family has beencoming to Middletown Medical foryears. That alone says it all about thequality of service we provide.”

Middletown Medical is a multi-specialty physicians' group dedicat-ed to providing patients with topquality, comprehensive care in awarm and caring environment.Opened in 1984, Middletown Med-ical now includes 10 locationsthroughout Orange, Sullivan andUlster counties – Middletown (5locations), Bloomingburg, Chester,Ellenville, Liberty, Monticello (twolocations), Port Jervis, Warwick andWurtsboro – as well as ImmediateMedical Care (Urgent Care walk-inservices) at the Middletown, Chesterand Ellenville locations. Open sevendays a week with no appointmentnecessary, visit www.Middletown-Medical.com for more information,or call 342-4774.


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MiddletownMedical welcomes Dr. Valencia

MIDDLETOWN — MiddletownMedical announced the addition ofDr. Sharon Valencia, Podiatrist.

Podiatry will be MiddletownMedical’s newest Specialty Medicine,and Dr. Valencia brings more than 20years of compassionate experience indiagnosing and treating medical andsurgical conditions of the lowerextremity, including those resultingfrom bone and joint disorders, infec-tious diseases, muscular pathologies,as well as neurological, metabolic,and circulatory diseases.

Since 1996, Dr. Valencia has run asuccessful private practice inGoshen, performing examinations,diagnoses, and treatments, as well asoffice and outpatient surgical proce-dures on the lower extremity. In addi-tion, she’s been a Consulting

Podiatrist with Elant Inc. in Goshen(also since 1996), providing palliativecare for several senior facilities,including nursing homes, adulthomes and senior day care programs.

A graduate of New York College ofPodiatric Medicine in New York, Dr.Valencia earned her undergraduatedegree in Biology from The College of

Mt. St. Vincent in New York. She com-pleted a Surgical Residency with St.Mary Hospital in Hoboken, N.J.

Dr. Valencia is affiliated withOrange Regional Medical Center, andis also a tennis instructor, as well as amember of the National AthleticTrainer’s Association (NATA).

Carol Waxman,PA-C joinsMiddletown Medical

MIDDLETOWN — MiddletownMedical announced the addition ofCertified Physician Assistant CarolWaxman, P.A.-C, to its Ellenvillelocation.

“Carol offers more than 35 years ofcompassionate experience to ourpatients,” said Lori Marl, OperationsDirector. “And during the time, she’sworked in most every area, such as

Primary Care, Family Practice,Pediatrics, Emergency andPreventive Medicine, among others.She’s a wonderful asset to ourEllenville patients.”

Carol comes to Middletown Medical

CONTRIBUTED PHOTO

Dr. Sharon Valencia will bring two decadesof podiatry experience to MiddletownMedical.

CONTRIBUTED PHOTO

Carol Waxman has spent a career in the med-ical field in Sullivan County, and will be nowserving patients in Ellenville for MiddletownMedical.

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from Catskill Adult & PediatricMedicine in Monticello (which hassince become part of the MiddletownMedical family), and previously spentseveral years with Daytop Village inSwan Lake , where she cared for bothacute and chronic ill patients. She’salso been with Liberty Pediatrics,Harris Family Health Center, theSullivan County Public HealthDepartment, and several other pri-vate practices, and began her careerat Scranton (Pa.) State GeneralHospital as a Registered Nurse.

Carol has been a Sullivan Countyresident for 30 years, and her hus-band Dennis is a Physician Assistantin Middletown Medical’s Libertyoffice.

She is a graduate of Scranton StateHospital of Nursing, and earned hercertification from the Milton S.Hershey Medical Center Pennsyl-vania State University in Hershey, Pa.

MiddletownMedical welcomes Dr. Seribekyan

MIDDLETOWN — MiddletownMedical announced the addition of Dr.Arpine Saribekyan, who will practiceFamily Medicine and Palliative Care.

Dr. Saribekyan is a Board CertifiedFamily Medicine physician also spe-cializing in Palliative Care. She comesto Middletown Medical from theLehigh Valley Health Network inAllentown, Pa., where she completed aHospice and Palliative Care

Fellowship, and brings with her yearsof varied experience.

Dr. Saribekyan previously spent sev-eral years with Lutheran MedicalCenter in Brooklyn, where she com-pleted both her Family MedicineResidency and Internship, and wasalso a House Physician in theDepartment of OB/GYN.

Beginning her medical career in hernative Armenia, Dr. Saribekyan gradu-ated from Yerevan State MedicalUniversity, then went on to complete aCritical Care and Pain ManagementResidency, followed by several years asa Critical Care Physician andAnesthesiologist.

Well published on a variety of qualityof life topics, Dr. Saribekyan is also amember of the American Academy ofHospice and Palliative Medicine.

Dr. Luna joinsMiddletown Medical

MIDDLETOWN — MiddletownMedical announced the addition ofDr. Jennie Luna, a Board CertifiedPhysician specializing in Endo-

crinology.Dr. Luna comes to Middletown

Medical from the East CarolinaUniversity Brody School of Medicinein Greenville, N.C., where she recentlycompleted an EndocrinologyFellowship. Previously, Dr. Luna wasan Internal Medicine Resident withSaint Joseph’s Regional MedicalCenter in Paterson, N.J., and is a grad-uate of Universidad Iberoamericanain Santo Domingo, D.R., earning aDoctor in Medicine with Magna CumLaude honors.

Board Certified in Internal Medicine,Dr. Luna is also a member of theAmerican Association of ClinicalEndocrinologist (AACE), and has pre-sented at several national meetings.

Additionally, her article“Postmortem Diagnosis of DiabeticKetoacidosis Presenting as the “Dead-in-Bed Syndrome”“ was the coverselection for a recent issue ofEndocrine Practice, while her article“Sagging Brain Masquerading as aPituitary Adenoma” will appear in anupcoming issue of Journal of ClinicalEndocrinology and Metabolism.

CONTRIBUTED PHOTO

Dr. Arpine Saribekyan will practice FamilyMedicine and Palliative Care fro MiddletownMedical.

CONTRIBUTED PHOTO

Dr. Luna has presented at several nationalmeetings and has authored articles on herspecialty, endocrinology.

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O

HARRIS — In recognition of itsexpertise in treating stroke patients,Catskill Regional Medical Center’sHarris Campus has been named adesignated Stroke Center by the NewYork State Department of Health.According to New York State proto-col, emergency responders shouldalways transport stroke patients tothe nearest designated stroke centerwhen they present symptoms andsigns of a stroke.

As a designated Stroke Center,Catskill Regional has an expertStroke Team comprised of highlytrained physicians, nurses and tech-nicians that can treat stroke quicklyand effectively, using the latest med-icines and techniques, to minimizebrain damage. Having quick accessto these types of services within thefirst three hours of showing symp-toms of a stroke is essential to pre-venting long-term neurological

damage.“This designation signifies our

ability to rapidly assess our patientsand get them the treatment theyneed, states Chief Medical Officerand Chief Executive Officer, GerardGalarneau, MD. “Now, people whoshow signs of a stroke can be caredfor right in their own community,receiving quality stroke care andminimizing the affects that a strokecan cause. ”

A stroke, or brain attack, occurswhen a blood clot blocks a blood ves-sel or artery, or when a blood vesselbreaks, interrupting blood flow to anarea of the brain. When a brainattack occurs, it kills brain cells in theimmediate area. Doctors call thisarea of dead cells an infarct. Thesecells usually die within minutes to afew hours after the stroke starts.

“We want to remind area residentsto call 911 immediately if they begin

to experience symptoms of a stroke— sudden numbness or weakness ofthe face, arm or leg, especially onone side of the body; sudden confu-sion; trouble speaking or under-standing; sudden trouble seeing inone or both eyes; sudden troublewalking, dizziness, loss of balance orcoordination; and/or sudden, severeheadache with no known cause,”said Medical Director of the StrokeCenter Dr. Carlos Holden. “In thecase of a stroke, every minutecounts.”

Additionally, Catskill Regional’sHarris and Callicoon Campuses haveconstant contact with qualified spe-cialists, regardless of the time of dayor weather, through the use of“Doctor Polly” or a “Doc on Wheels.”Doctor Polly is state-of-the-art tech-nology used to help diagnose strokeand other illnesses by remote con-sultation. This technology was fund-

ed with a New York State HEAL 125grant and was specifically allocatedfor enhancing services to CatskillRegional’s Emergency Department.Doctor Polly is manufactured byPolycom and is a mobile cart usedfor bedside consultations betweenpatients and off-site specialists thatcan also be used to facilitate rapiddiagnosis of stroke.

For information about StrokeServices at Catskill Regional MedicalCenter, call 794-3300 or visitwww.crmcny.org/strokecenter.

CRMC named designated Stroke Center ‘In the case of astroke, everyminute counts.’Dr. Carlos HoldenStroke Center Medical Director |

ELLENVILLE — EllenvilleRegional Hospital has been award-ed a three-year term of accredita-tion in mammography as theresult of a recent review by theAmerican College of Radiology(ACR). Mammography is a specifictype of imaging test that uses alow-dose x-ray system to examinebreasts. A mammography exam,called a mammogram, is used toaid in the early detection and diag-nosis of breast diseases in women.

The ACR gold seal of accredita-tion represents the highest level ofimage quality and patient safety. Itis awarded only to facilities meet-ing ACR Practice Guidelines andTechnical Standards after a peer-review evaluation by board-certi-fied physicians and medical physi-cists who are experts in the field.Image quality, personnel qualifica-tions, adequacy of facility equip-ment, quality control procedures,

and quality assur-ance programsare assessed. Thefindings arereported to theACR Committee onAccreditation, which subsequentlyprovides the practice with a com-prehensive report they can use forcontinuous practice improvement.

The ACR is a national profes-sional organization serving morethan 36,000 diagnostic/interven-tional radiologists, radiationoncologists, nuclear medicinephysicians, and medical physicistswith programs focusing on thepractice of medical imaging andradiation oncology and the deliv-ery of comprehensive health careservices.

For more information on med-ical imaging services available atEllenville Regional Hospital, call647-6400 ext. 271.

ERH earns ‘Gold Seal’ for mammography

18817

MIDDLETOWN — MiddletownMedical announced the acquisitionof George Giovannone PhysicalTherapy of Middletown, one of theregion’s most successful such prac-tices since 1992.

Located at 1219 Dolsontown Roadin Middletown, MiddletownMedical’s physical therapy serviceswill now be based at this location.

“George and his practice are thisarea’s premier provider of physicaltherapy services, and we couldn’t bemore excited to have them now bepart of the Middletown Medicalfamily,” said Operations DirectorLori Marl. “This will be a phenome-nal resource for so many of ourpatients.”

Along with his veteran staff,George has assisted thousands ofpatients through the years. Beyondthe extensive array of equipment,

George’s focus has always been oncreating a truly personalized experi-ence, and firmly believes this con-tributes to the outstanding successrate of his patients.

George has been practicing physi-cal therapy since 1981, and workedin New Jersey and Massachusetts atvarious hospitals and rehabilitationcenters before coming to OrangeCounty in 1984. Beginning as a StaffPhysical Therapist with HortonMemorial Hospital in Middletown,he then spent several years asDirector of Outpatient PhysicalTherapy Services for Orange CountySport Medicine Services in Goshen.During this time, he also wasProprietor of Home Care PhysicalTherapy Services.

Outside of his practice, George hasserved as a Clinical Instructor withSUNY Orange since 1985, lecturing

on such topics as “ManualTherapeutic Techniques for theLumbar Spine” and “IsokineticTesting and Exercise.” In addition,he’s been an Instructor with TheAmerican Back School since 1985,and involved in the assessment ofinjuries with Little League Baseballsince 1991. Through the years, he’salso helped many local athletesreturn to the playing field.

George is a 1981 honors graduateof Northeastern University inBoston, earning a Bachelor ofScience in Physical Therapy, andwas also a member of the varsityswimming & diving team. He andhis wife Kathy (who is also his OfficeCoordinator) have three childrenand four grandchildren.

To schedule an appointment, call344-1899.



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Middletown Medical acquires physical therapy practice

CONTRIBUTED PHOTO

The firm of George Giovannone, PT, has beenacquired by Middletown Medical. “This willbe a phenomenal resource for so many ofour patients,” said Middletown MedicalOperations Manager Lori Marl.


MIDDLETOWN — OrangeRegional’s Outpatient Surgery andProcedure Center, located at theOrange Regional Medical Pavilion,75 Crystal Run Road, Middletown,now offers the LenSx® Laser fromAlcon. This is the first femtosecondlaser cleared for use in cataract sur-gery – thus creating the category oflaser refractive cataract surgery. Thisinnovation allows eye surgeons atOrange Regional to perform some ofthe most challenging steps incataract surgery with the precision ofadvanced laser technology.

The laser provides the surgeon withwell-known benefits of femtosecondtechnology – micron level precision,accuracy and predictability. It isdesigned to perform many of thechallenges of traditional, manuallyexecuted cataract surgery with com-puter precision. The laser uses

focused femtosecond laser pulses tocreate incisions in the lens capsule,crystalline lens and the cornea. Thisresults in treatments that are tailoredto a surgeon’s specifications anddeliver a remarkable degree of accu-racy. Capsulotomy, lens fragmenta-tion and all corneal incisions are cre-ated with the image-guided surgeoncontrol.

“The LenSx femtosecond laser pro-cedure is the wave of the future forcataract surgery, We believe ourpatients will have faster recoveriesand more accurate outcomes, result-ing in sharper vision and less needfor glasses than with the currenttechnology,” said ORMC’s Director ofOpthalmological Surgery Dr. MandesKates.

The surgical benefit of this newtechnology enables surgeons todeliver a truly premium surgical

experience for lens replacement. Theblade-free laser technology is anadvanced alternative to manualcataract surgery and automates

some of the most difficult steps ofcataract procedure. Incisions cannow be made with image-guidedsoftware and allows for improved

ORMC offers cutting edgecataract surgery technology


CONTRIBUTED PHOTO

Orange Regional Medical Center Certified Surgical Technician, Dawn Cholewka, andOphthalmologists Dr. Leslie Green and Dr. Mandes Kates display how they use the LenSx®

Laser to perform cataract surgery in the Orange Regional Medical PavilionSurgery andProcedure.

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ELLENVILLE — Dr. WalterSperling was recently awarded theDr. Gary Ogden Rural HealthPractitioner of the Year Award by theNew York State Association for RuralHealth (NYSARH). The award waspresented to Dr. Sperling at theNYSARH Annual Conference inFayetteville.

Dr. Sperling serves as the MedicalDirector of Ellenville RegionalHospital and as an instructor andmentor to the medical students andresidents at The Institute for FamilyHealth since retiring from his clini-cal practice in the community.

This Award was named in honor ofDr. Gary Ogden, who passed awayearly in January of 2007. Candidatesfor this award must exhibit the samequalities as witnessed in Dr. Ogden;a passion for life, selfless dedicationto their community, organization,and especially, their patients; a

strong sense of truth, and the con-viction, belief, and action to makedreams a reality.

Ellenville Regional doctorearns state health award

accuracy, predictability, reliabilityand reproducibility compared to tra-ditional refractive cataract surgery.

Outpatient Surgery at the Medical PavilionThe Surgery and Procedure Center at

Orange Regional Medical Pavilion islocated on the second floor and con-tains four state-of-the-art operatingrooms, two special procedure rooms(for minor procedures that do notrequire anesthesia), patient pre- andpost-operative recovery, and a wait-ing/reception area. The Surgery andProcedure Center may be accessed viathe elevator bank adjacent to thePatient Drop-Off entrance.

Hours for Pre-Surgical Testing areMonday–Friday from 7:30 a.m. to 4:30p.m.

Hours for Same Day Surgery arerotating days, from 6:30 a.m.–3 p.m.

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Dr. Walter Sperling accepts the Dr. GaryOgden Rural Health Practitioner of the YearAward from Ellenville Regional HospitalVice President and Chief Quality OfficerAshima Butler, a NYSARH Board Treasurer.


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Exercise is beneficial any time of the year, but itcan be especially so during the winter monthswhen colder temperatures force many peopleinside, where they live more sedentary lifestylesthan they do during the rest of the year. Adaptingyour exercise habits in the winter can help youmake it through the colder months in great shape.

There is no reason to stop exercising when thetemperature drops. The American HeartAssociation says working out in the cold weatherhas distinct advantages over working out in hotand humid conditions. When the weather is cold,you may be able to work out longer and harderbecause the heat won't zap your energy levels, andexercising outdoors in the winter is a great way toget small doses of sunlight that can improve moodand help your body produce more vitamin D.

The Centers for Disease Control and Preventionsays exercise can help boost your immune system,which can help you fight colds and flu symptoms.Just a few minutes of exercise each day can help pre-vent simple viral and bacterial infections as well.

Working out in the winter may help you burnmore calories than in warmer seasons. Researchpublished in Medicine & Science in Sports &Exercise found that race times are faster in coldweather than in warmer temperatures. Quickerruns or walks can burn more calories.

If exercising outdoors is too uncomfortable,break up your routine into smaller, more manage-able sessions. Aim for 10 minute sessions severaltimes per day. This quickly can add up to the 30minutes of daily recommended exercise. Dress inlayers so you can feel comfortable, adjusting yourclothing as necessary. You don't want to be freez-ing, but you don't want to wear so many clothesthat you start sweating and risk hypothermia.

Consider less traditional exercises when wintersets in. These include shoveling snow, sledding,skating, skiing, and snowshoeing.

MStay fit when temperatures drop . . .

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Diabetes is a disease that makesit difficult for the body tomanage its blood-glucose lev-

els. Diabetes is broken down into twotypes: type 1 diabetes, which occurswhen the pancreas cannot adequate-ly produce enough insulin to regulateblood sugar; and type 2 diabetes,which occurs when the body eitherresists the effects of insulin or doesnot produce enough to maintain anormal blood sugar level.

The Centers for Disease Controland Prevention reports type 2 dia-betes has been occurring withincreasing frequency amongAmerican children and adolescentsover the past 20 years. The MayoClinic says 90 percent of diabetescases are type 2, and 80 percent ofthese people are overweight.

Being overweight or obese is a sig-nificant risk factor for type 2 dia-betes, but many people do not knowwhy. There is some evidence that fatcells are more resistant to insulinthan muscle cells. In addition, beingoverweight taxes the body in other

ways and can put more pressure onthe body's ability to properly controlblood sugar and use insulin.

Carbohydrate-rich diets full of sim-ple sugars and refined foods cancause unhealthy spikes in blood-glu-cose readings. Individuals whoovereat and lead sedentary lifestylesmay not burn enoughenergy, and excesscalories are then storedas fat, compoundingthe problem.

The Obesity Societysays type 2 diabetes islargely preventable,and research showsthat lifestyle changesthat include smallamounts of weight loss(between 5 and 10 per-cent of body weight)can prevent or delaythe onset of type 2 dia-betes. In fact, manag-ing weight is the bestthing a person can doto reduce their risk for

diabetes. Losing as few as 10 poundscan markedly improve insulin resist-ance and make it much easier tomanage blood sugar levels.

In addition to losing weight, eating ahealthy diet and exercising regularlycan reduce a person's risk of develop-ing diabetes. Lean proteins, leafy

green vegetables andcomplex carbohydrateswill not spike bloodsugar levels. Exercisehelps burn calories andboost metabolism, andmay even help the bodyuse insulin more effec-tively.

Type 2 diabetes canbe a chronic, debilitat-ing condition thatleads to other illness-es. But type 2 diabetesis largely preventable,and losing weight andmaintaining a healthyweight are great waysto lower your risk ofdiabetes.

The relationship between obesity and type 2 diabetes


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