A Big Brother Aims to Make the Rochester Tour de Cure the #1 Ride in the U.S.

Chris Gorecki is about to tackle his seventh straight Tour de Cure.

He doesn’t participate in the diabetes fundraiser because he’s an outdoor cyclist. In fact, he usually has to rent a road bike for the event.

Chris rides because his younger brother battles Type 1 diabetes. He rides for his brother’s kids (ages 6, 8 and 18 years old) and because his brother almost died from complications of diabetes.

This year, Chris stepped up as leader of the Tour. He’s serving as chair of the event for the American Diabetes Association in Rochester, New York. As chair, he’s issued an unusual challenge to the Rochester community: Become the #1 tour in the nation.

Diabetes is a serious health condition that  afflicts almost 400,000 adults in upstate New York. Diabetes can cause blindness, kidney disease and lead to heart disease and stroke. In the U.S., heart disease is the #1 cause of death and stroke #5; stroke is a leading cause of disability.

Given that diabetes is such a serious health concern, Chris was surprised at how little he knew about this disease that was hurting his younger brother, Craig, who lives in Arizona.

 “What do you mean he almost died?”

Chris recalled the day about 10 years ago when his mom called to tell him Craig had almost died. His brother had really high blood sugar levels, landed in the hospital and almost lapsed into a coma.

“’What do you mean he almost died?’” he recalled asking his mother. “I was in shock. I had no idea that diabetes was so serious that you could die from it. It was a big eye opener for me.”

Craig continued to struggle with the disease.  Once, his blood sugar levels were so low  that he passed out while at work and ended up with a broken shoulder and bitten tongue.

He also faced workplace discrimination.  Shortly after being hired for a new job, Craig’s manager found out that he had diabetes and made the work environment very unpleasant for him.  Craig had a talk with his manager and let him know that an employee could not be fired for having diabetes.  Needless to say, Craig found another job very quickly.

The ride

Before his current job—as a senior vice president at Excellus BlueCross BlueShield in Rochester — Chris worked in Napa Valley and served as chair of the ADA board there.

Now living in Rochester, Chris is leading the Manning & Napier Tour de Cure. It’s the second largest ride in the country; last year the fundraiser took in more than $1 million to fight diabetes. For the Manning & Napier tour to finish at the top in 2017, the Rochester team would have to beat Chris’ old organization—the riders of Napa Valley.

Chris said he’s relishing in the competition between his old and new friends.

“’Beating Napa’ is about raising awareness,” Chris said. “It’s about learning more about friends and family who have the disease and realizing how hard it is for them to keep themselves healthy.”

“In the end, I hope something good comes out of all of this,” he added, “whether it’s a cure or something new that really helps those with diabetes.”

The disease

Diabetes is a disease where the body doesn’t produce or properly use insulin to digest sugar (glucose). You can become dangerously sick when your blood sugar is too high or too low.

To keep sugar at normal levels, people with diabetes are constantly watching what they eat, monitoring blood sugar levels, managing how much they exercise and adjusting medication.

“It’s easier to take care of yourself when you have a nine-to-five job,” Chris said. “But my brother is a bar manager, working until the early hours of the morning, and then he’s with his young kids during the day while his wife works.

“He doesn’t have a lot of time to exercise or the inclination to eat well,” he added.

In general, eating healthy and exercising are keys to controlling diabetes. Many people who have diabetes struggle to do the things that help keep them healthy. In upstate New York, tens of thousands of upstate New York adults fail to do what’s necessary to keep their disease in check, according to data gathered by Excellus BlueCross BlueShield. Basic steps include:

  • Checking blood sugar at least once a day
  • Having a complete eye exam, including a dilated retinal exam, each year
  • Having a health provider examine feet for sores or irritations at least annually
  • Visiting a dentist or dental clinic at least yearly
  • Staying physically active as approved by your doctor
  • Getting a flu vaccine every year

Best brother ever

When Craig was diagnosed with diabetes in his 20s, he didn’t know a lot about managing the disease. He didn’t change his eating habits, for example, or start exercising more. Chris recalled seeing his brother with an ice cream cone. He didn’t think twice since he assumed diabetes was a disease that was easily managed.

Chris Gorecki (r) with his brother, Craig

“The hospital incident was a wake-up call for him – and me,” Chris said. “Craig wants to be around for his kids. But it’s hard for him to stick to a healthy lifestyle, especially since he works nights and has a young family. But, he’s trying.”

That’s why Craig will join Chris for this year’s Tour de Cure in Rochester. Chris hopes the cycling event will get Craig exercising more. Plus, he’d love to have his little brother with him if the Rochester tour really does beat Napa.

As Chris picked up his phone, and scrolled through his brother’s Facebook page. He found a post his brother wrote about his involvement in the Tour.

“My brother, my hero,” Craig wrote, noting that Chris used his story to rally folks at a Tour de Cure kickoff event in Rochester. “My brother rules. Thanks for all you do for diabetics everywhere. See you in June. He raises tons of money for diabetic research. Best brother ever.”

How to help

If you want to help raise money to fight diabetes, click HERE to register for or donate to the Manning & Napier Tour de Cure in Rochester on June 10, 2017.

Don’t live near Rochester? Click HERE to search for a Tour de Cure event near you.

If you’re a parent of a child with diabetes, click HERE to learn more about Camp ASPIRE. The camp is a weeklong summer camp for kids with diabetes.

It’s Never Too Late to Become a Runner

George Jones sang about not needing a rocking chair when he grew old and that was the tune Laura Vallone hummed when she signed up to train for her first 5K run/walk this past summer.

Laura read about the training program for seniors over age 55 in the Broome County Office for Aging Senior News weekly paper. It piqued her interest.  “I had not been able to exercise for two years due to health reasons and I thought this would be a great way for me to get started again,” Laura stated.

Laura Vallone finishes her first 5K.

Older adults don’t have to be intimidated by the idea of starting a 5K run or walk for the first time. Just follow these tips:

  1. Ask your doctor! If you have any doubts about whether or not you are physically able to start exercising, ask your doctor for advice.
  2. Starting is simple!  Some seniors think that starting to exercise is too much bother. Getting started doesn’t have to be hard! You don’t need a plan; don’t worry about what you are wearing; don’t make excuses; just open your front door and start walking, even if it’s only for a few steps!
  3. Join a group! All too often, seniors are out walking on their own. It’s much more fun if you convince friends to join you or you can join a group. Besides being more fun, groups are safer and you’re more likely to go on the walk if you’ve previously said you would join others. Some groups that you can join: Seniors Running and Walking Festival and the Broome County Office for Aging Senior Hiking Club.

Laura, for example, joined the Vestal Senior Run/Walk Festival training program, which is sponsored by Excellus BlueCross BlueShield. The training program met twice a week for eight weeks and focused on proper warm up and cool down skills, basic hydration options and the overall race/walk itself.

  1. You’re not too old!  There are many people in their 90s and even over 100 years old who walk or run on a regular basis.  Even if you need to use a cane or a walker, you can still get out and enjoy a walk with others.
  2. It takes time!  Seniors who may not have had much exercise recently will need to slowly build up their endurance. Start with some very short walks, at an easy pace, and gradually increase how far, and how fast you walk. It’s also good to walk in places that have benches so you can stop to rest if needed.
  3. Beat the heat! Try walking in the early morning or early evening, when it’s a bit cooler. Wear a hat and use sunscreen. Walk in the shade whenever possible, even if that means walking on the grass. Stay hydrated, bring a water bottle and drink water during and after your walk.

Laura said the summer heat added some additional stress to the 5K event.  “The summer was very hot and humid and the day of the race it was very humid,” said Laura.  “I wasn’t afraid of failing though, I knew that I would finish the race, even if it took me a little longer,” she added.

Vince Fox, coordinator of the Vestal Senior Run/Walk event, said the heat was brutal that summer but that didn’t stop senior citizens from participating. “I always enjoy hearing the participants’ stories, like Laura’s, how they had fun, and gained the exercise benefits at the same time.” We had nearly 100 seniors cross the finish line this summer, despite the hot weather.”

  1. Wear shorts! Some seniors tend to wear heavy, warm clothing such as long pants and two layers on top. That’s fine for indoors but not for walking on warm summer days. Instead, try wearing shorts and a short-sleeve shirt that are made with cooler materials such as 50/50 blend or polyester.
  2. Treat your feet! If you start to walk on a regular basis, your feet will thank you if you get them a pair of comfortable shoes that fit well and are designed for walking (or running). Some seniors are used to going out in their dress shoes, but you’ll feel so much better in walking shoes, and you’ll still look good!
  3. Keep a diary!  Write down how much time you spent walking, or how far you went. It gives you a sense of accomplishment to be able to look back at your diary and to see your progress. Some people also like to write about how they felt and who or what they saw along the way.
  4. Enjoy it!  Exercise, especially with a group, will make you feel good. Enjoy the feeling of being healthy and meeting your goals. Even though you may get a little tired, you can still enjoy the way exercise makes you feel.  It also gives you a great feeling of accomplishment.

Laura’s daughter Lorraine is thrilled that her mother has found a passion for participating in 5K races.  In fact, she helped her sign up for another race this past summer in Pennsylvania and brought her entire family to cheer Laura on!

Laura has credited the Vestal Senior Run/Walk Program with getting her moving again and keeping her active.  She is committed to continuing to exercise and walk —leaving those rocking chairs for someone else.

Personal Spotlight on Randy Sabourin of Metro Fitness

Randy Sabourin is the man behind the free Wellness Wednesdays in downtown Syracuse, N.Y. As founder/owner of the Metro Fitness Clubs in Syracuse and Fayetteville, he worked with the City of Syracuse and American Heart Association to bring these weekly fitness classes to the community. What helps him lead his healthiest life? He gives a lot of credit to his “exercise machine with hair!”

Any healthy eating tips?

Stop juicing everything. It’s better to eat whole foods that your body needs to work to break down. Yes, you get vitamins in your smoothie, but WOW, do the calories really add up, AND the blender did the digestion for you!

Here is a breakfast I enjoy. This meal will keep you fuller longer and your blood sugar stable.

Randy’s breakfast bowl
Cook some kale, peppers and onions in olive oil. Add a cup of egg whites and stir in some cooked red quinoa and a sprinkle of turmeric.

My other tip is to eat healthy snacks between meals. My go-to is an apple and unsalted almonds, or some veggies and hummus.

Finally, drink more water! Water is a catalysis and necessary for so many functions in our body. Fatigue is a common side effect of dehydration, so when you drink more water, you’ll probably notice less fatigue during the day!

How do you juggle everything?

No matter what you do in life, you need to find balance. I’ve always lived and practiced what I preach by regularly exercising and making good nutritional choices. I’m the owner of two health clubs and responsible for over 60 employees. Sometimes it’s a challenge to balance quality family time, but my children have grown up in this environment, and I always involved them by bringing them to the club for workouts. Today, I’m proud to have my two oldest working at one of the clubs. One is taking a strong interest in nutrition certification; the other has certified as a Pilates reformer trainer.

Randy Sabourin

How do you stay active during our snowy, frigid winters?

If you’re going to be happy living in this part of the country in the winter, you’d better discover and embrace an outdoor activity. My wife and I are both originally from Vermont. We love to ski our local mountains and always try to get out of town for a couple of ski trips to our home state. I also have an “exercise machine with hair.” My dog, Molly, demands that I take her for a run every morning, regardless of the weather. I also live on the water and enjoy an occasional kayak adventure.

Randy’s dog, Molly

Any other advice?

Start small. Don’t try to change everything at once. Think sustainability. In other words, can you sustain the changes you are making? I’m sure you’ve heard the expression, “you will never out-exercise a bad diet.” Many people set out on an aggressive exercise routine without putting enough or any emphasis on the nutritional component. One will complement or sabotage the other. Find balance and don’t go it alone. There is strength in numbers, so I recommend joining an exercise class, taking a nutrition class and sharing your journey to help keep you accountable to your goals.

Where’s your favorite place to be healthy?

Well, of course, I have the benefit of being around health-minded people all day at my health clubs. So many of my members and teammates inspire me with their commitments to a healthy lifestyle. But overall, my time in the early morning, running with my dog, is my favorite way to get in some exercise and reflect on things. I tell my wife that I’m not sure if Molly is better for me or I am for her.

Randy enjoys an early morning exercise session with Molly

The City of Syracuse’s Wellness Wednesdays series of classes will be held every Wednesday beginning on June 14 and running through the month of July in Clinton Square. Choose from:

Sunrise Yoga from 6:30 a.m. to 7 a.m.
Zumba in the Square from 12:15 p.m. through 12:45 p.m.
Hula Hooping from 5:30 p.m. to 6 p.m.

Power Poses: My Good Luck Charm

Stand tall with your hands on your hips! Or, flex your muscles! Do whatever pose makes you feel powerful for a few minutes.

 Two upstate New Yorkers share how these “power poses” might have boosted their confidence. You can also visit ExcellusBCBS.com/LiveFearlessNation for more on how to make small changes for a healthier life – one fearless step at a time.


Wonder Woman Gets Me Through

By Elaina Mancuso

When I first learned about power posing, I was baffled. I did yoga before, but that was for relaxation, not to pump myself up. Could standing big, outstretched, and breathing deeply boost my confidence, too?

I gave it a try at my desk after my friend Lynn and I talked about it and sent me a link to the TED Talk. (BTW – since the Ted Talk, the science behind power poses has been hotly debated.)

Elaina strikes a power pose at her desk.

She took me through the ropes. The Wonder Woman pose. Feet on my desk and hands behind my head. I think we even practiced the V for victory pose. I didn’t feel the effects that day—I was simply testing it out. But the concept stuck with me for months, all the way up to an anxiety-inducing presentation.

My presentation was one of many that day—sales training. I thought back to the conversation with Lynn and the TED Talk I had watched and I gave it a go, this time for real.

My presentation was after lunch, so while everyone was finishing their meals, I stepped out of the room and into the hallway. I walked around a little bit to calm my nerves, then found the perfect spot to strike my pose. I coached myself through it: “Okay. Hands on hips. Feet hip- length apart. Big, controlled, deep breaths. In and out. This is kind of like yoga. Oh my god, I’m power posing. You’ve got this. You’re gonna rock this presentation.”

After my minute or two I walked back into the room and took it away.

Not only was I feeling calmer, I felt more at ease with the material and the audience. I felt more natural and relaxed—like a better version of myself—and was able to get through my presentation without a hitch.

But I can’t give power posing all the credit. I’ve got to chalk up some of my success to preparation and practice. I also realize that power posing might not work for everyone, and that there may (or may not) be science to back up its effects.

Still, power posing worked for me. It was my good luck charm and I’m going to leverage its effects before every presentation.


Power posing your way to a new job

By Lindsay Speicher

Lindsay Speicher

When I first heard of power posing, I honestly thought it seemed a little trite and cliché. My attitude toward the idea changed, however, when this past year I landed several interviews for a job I really, really wanted.

Nothing is more frustrating than being prepared, really knowing your stuff, and then having it go out the window when it’s time to present because you’re nervous and insecure.

When I’ve had this happen in the past, it’s because I’m (1) too anxious during an interview to really articulate the smart things I have to say, or (2) thrown off my game by the dreaded “imposter syndrome.” That’s when I think, “there is probably someone who is stronger, better, faster and smarter than me waiting in the wings right now, who would be 10 times better at this than me … and it’s only a matter of time before everyone finds out!”

Not very helpful thoughts to have when you’re trying to present the best version of yourself to a prospective employer!

With my interviews fast approaching, I wanted to be certain my nervousness wouldn’t hinder my confidence, and subsequently, my performance.

I consulted the internet-career-advice-universe, and I found interview tips that went something like: prepare, practice, reflect, and relax. Several articles even referenced “power posing,” and how useful it could be for the “relax” portion of the pre-interview prep, which I needed the most help with. I finally decided to watch the TED Talk and see what it was about.

The science behind “power posing” has been debated, but I deemed Amy Cuddy’s presentation a compelling case for trying it out. Even if the study was dead wrong, or if I was immune to the “magic” of “power posing,” what could it hurt? Trying it out was totally risk free, so I added power poses to my interview day plan.

Here’s how I did it

 Before any big presentation, interview, speech – whatever — most of us head into the bathroom to freshen up and take a minute to get composed. Enter “power posing!” Once I arrived at the company and checked in, I stepped into a stall, struck my pose, and gave it as long as I could.

Lindsay finds the perfect place to freshen up and get composed.

I stretched out my arms in a big V, puffed out my chest, and took some deep breaths.  I was grateful no one else was in the bathroom, otherwise they might have seen my outstretched hands above the stall door, which would have totally thrown me off. I kept it up for what seemed like forever, but was probably just about a minute.

So did it work?

I “power posed” before each of my three in-person interviews and my phone interview. Each time, I walked out feeling like I gave it my absolute best. As an interviewee, you really can’t ask for more than that. Was it the “power posing”? Maybe! Did I feel more confident, focused, and able to be myself in the interviews? Yes!  I’ll honestly never know whether it was the power posing or something else, but I got the job, so I know it didn’t hurt!

Would I recommend it? Sure! My advice to fellow nervous presenters, interviewees, speechmakers, etc.:  breathe deep, regroup, remember you know your stuff, and strike a “power pose!”

It’s Never Too Late For a New Beginning in Your Life

It was the end of August, late in the evening and raining cats and dogs when my bus pulled into the station in Oswego, New York, 23 years ago.

I had just quit my job to become a full-time college student at the age of 39.

There’s an old Chinese proverb, “A journey of a thousand miles begins with a single step.” This would be the biggest step of my life. It was not quite a thousand miles from Brooklyn to Oswego — more like 260 — but still daunting, and a huge step for me.

Let the journey begin

Back when I was 19 and considered myself “grown,” I dropped out of college in favor of getting a full-time job, earning my own money and having my own apartment. I told myself (and my parents) that I would go back to school in a year.

Landing an entry-level figure clerk job for a major insurance company, I joined droves of others in business attire amidst the hustle and bustle of Wall Street. From there, I got a job at Empire BlueCross BlueShield working as an examiner in Supplemental Medicare. My introduction to the health care field was brief, as my path led me to the banking industry.

Fast forward 21 years

After 15 years in the banking world, I found myself passed over for promotions that required a college degree. With growing frustration, I realized that it was decision-making time. I could continue going down the path I had chosen as a teenager, or I could change it.

There was no way to attend school while I was still working, because my job demanded long, mandatory overtime hours. I decided to quit my job and become a full-time college student at the age of 39. We were called nontrads, short for nontraditional students.

It’s all about having a plan

My plan was to pull up my Brooklyn roots and attend the State University of New York at Oswego. I had never heard of Oswego, but chose the university because of its broadcasting major. I thought I wanted to work in television and radio, but later changed my major to public relations and English writing arts.

Oswego was perfect. Unlike New York City, it was not a major city, and there were fewer distractions. I also decided to live in the dorms with the other freshmen, even though I was 21 years older than they were. The dorm I chose was smaller than the others and situated right on Lake Ontario, which was a bonus.

Oswego Harbor

Finally reaching my destination

As I lugged five pieces of luggage across campus in the pouring rain, not sure where I was going, I worried about having some 18-year-old snot for a roommate, and that we would constantly be at odds. I was lucky. He turned out to be quite a bit like me when I was that age — a bit reserved, but still fun. To this day, he is still one of my nearest and dearest friends.

Although the students in the dorm were younger than I was, they taught me a lot, especially when it came to computer skills. Ever patient with me when I would get frustrated with myself, they were helpful and good-natured as I developed my computer proficiencies.

They also helped me in the beginning – when I questioned my decision because the road ahead seemed so long. It was these young kids who also taught me how to study. We spent two hours in the library every Sunday, whether we needed to or not.

Meanwhile, I had become a big brother to them. In no time, they had become more than my dorm- mates. They were my new family.

Oswego is brutal in the winter

Near the end of my first semester, five feet of snow covered the ground outside our dorm. At first, it looked pretty with the trees covered in snow. It was fun frolicking in it and having huge snowball fights with the other dorms. Then it got old and long and everyone just wanted it to be spring, but there appeared to be no relief in sight.

As the winter snows melted with soft spring rains that later revealed a glorious summer and fall that year, I quickly realized that spring, summer and fall more than make up for the harsh winters in Oswego. The sunsets on the lake are spectacular.

Change is inevitable

The author’s diploma

It was with great pride that I walked across the stage after four years of school. Al Roker, also an Oswego State alumnus, was the guest speaker at my commencement ceremony. Al’s message for us was to follow our dreams and not be afraid to embrace change, as change is inevitable. He also advised us to continue to expand our minds by challenging ourselves and to have a healthy appetite for knowledge and a thirst for achieving goals.

Feeling a tremendous sense of accomplishment from what I had achieved in my four years at Oswego, I also realized that I had learned a lot about myself, academics and collegiate life. The biggest lesson was that I am in charge of own destiny. Best of all, I now was qualified to apply for any classified job ads that required a college degree.

I still keep Al Roker’s advice in mind as I continue to work toward accomplishing the goals that I set for myself. The road may not always be direct, and I may stumble here and there, but I now know that in the end, it is worth it.

It’s never too late for a new beginning in your life

You, too, can make the decision to take a different course in life.  Don’t be afraid — you can start right now. If you’re feeling at a crossroads, or in need of some inspiration for what you’re planning to pursue, remember that you can do it. Here are some other things I learned along the way:

  • Develop a plan and stick to it
  • Follow through with the plan, even when things seem tough
  • Always remember why you made the decision to give yourself a new start
  • Don’t be afraid to make minor adjustments to the plan if needed
  • Take a chance
  • Develop some close friendships along the way … they might turn out to become your lifelong friends
  • Learn all you can from other people
  • Appreciate the good that comes along with the bad
  • Take pride in your accomplishments
  • Be open to ever new possibilities

For me, making the decision to quit my full-time job to become a full-time student was the best decision I ever made. It gave me new experiences, a chance to make new friends and opened up my career possibilities far beyond what I ever thought could be possible.

Interestingly enough, I never had the chance to get to miss the cold and bleak Oswego winters and the lovely Lake Ontario sunsets, because — believe it or not — I still live in Oswego.

Telemedicine Saved My Sanity and My Vacation

Some things can’t be avoided—like colds that settle in right before a vacation. And flights that can’t be postponed because I’m sick and don’t want to miss one niece’s wedding and another niece’s baby shower, and I haven’t seen my 91-year-old mother in six months.

Here’s how my get well journey began and ultimately led to my using telemedicine so I could enjoy time with my family in Oklahoma and Missouri.

My trip was looming

After my sickness hit, I was resigned to sniffling, sneezing and coughing my way through the next few days. After all, colds, as the adage goes, are “three days coming, three days here and three days going.” I started taking over-the-counter cold medicine to relieve symptoms and drinking lots of liquids and tried to get more shut-eye. Standard operating procedure for waiting out a cold.

My trip was looming. I needed to be healthy. But when my throat felt like it was lined with razor blades, I visited an urgent care center to rule out strep. Because I’ve found the quick strep test not always reliable, I requested a throat culture which takes a couple of days to grow. I hoped to get the results back Saturday so if they came back positive, I could be prescribed an antibiotic before leaving on Sunday. Fortunately, I tested negative.

No hugs. I’m fighting a cold.

So, I sucked it up and boarded the plane armed with a decongestant, a nasal inhaler, plenty of tissues, antiseptic wipes and hand sanitizer. I discreetly coated the inside of my nose with a saline nasal gel and used earplugs to avoid airplane ear, an especially uncomfortable condition when you’re flying with nasal congestion. Still, my eardrums felt like they were about to burst on the descent—not once, but twice since I had a connection in Chicago. No wonder some babies and little kids cry so loud on planes!

When my sisters picked me up at the Tulsa airport, I warned them, “No hugs. I’m fighting a cold.”

Each morning, I hoped to have turned the corner and be on the mend, but I wasn’t getting better. Friday, day 10 of my cold and the day of the rehearsal dinner, I still felt miserable. There wasn’t time for and it wasn’t convenient for another urgent care visit. What to do? What to do?

Telemedicine to the rescue

Then, I had an “aha” moment. Telemedicine! I’d used it successfully a couple of times before at home in New York. Once for a cut that would not heal, another for a rash, the kinds of minor illnesses and injuries that many telemedicine services treat.

But, it would also work in Missouri! For what I thought was a cold and knew was something more significant!!

The author was able to enjoy her visit with her 91-year-old mom in Tulsa thanks to telemedicine.

I was already registered with MDLIVE, the telemedicine service affiliated with my health insurance. Now, I just had to schedule an appointment. I knew I could do a phone consultation or a face-to-face visit via video conference.

When I made the initial call that morning, I asked for an immediate doctor visit, although I could have scheduled one later in the day. In a few minutes, a doctor licensed in Missouri called me. He asked about my symptoms, how long I had had them, and what I’d been taking to alleviate them. I told him about the negative throat culture. He was friendly and compassionate. (A recent survey of upstate New Yorkers by Excellus BlueCross BlueShield indicated that 80 percent of those who have used telemedicine rated their experience as “excellent” or “very good.”)

Ready for the wedding

The doctor concluded my cold had probably developed into a sinus infection. He faxed some prescriptions to a pharmacy near the hotel. They were ready in about an hour, and that afternoon, I was bright-eyed and bushy-tailed for the wedding festivities.

The telemedicine visit was fast, effective and cheap. (Through my health insurance, my co-pay for a telemedicine visit is $10. Check with your health plan to see if you have a telemedicine benefit. If you don’t, you can still use the service. Google “telemedicine” or “telehealth” online to see what’s available and how much it costs.)

Although I felt better soon after taking the prescribed medications, having to fly again a few days later seemed to set me back. When I got home, I scheduled a visit with my regular doctor who prescribed an inhaler for a slight wheeze.

So, if you find yourself or a family member with a minor illness or injury and your regular doctor isn’t available or you’re out-of-town, telemedicine may save the day—or your vacation.

50 Small Changes for a Healthier Life

I’m obsessed with my popcorn popper. My hot-air wonder has been popping healthy treats since before I met my hubby and had kids – even before I got the now-elderly feline.

You come to my house, I serve you popcorn. You invite me to your house, I come with popcorn.

My friends mock me for my love of air-popped popcorn. But they lust after salty chips and fudgy ice cream, while I happily embrace my popper and bag of popcorn kernels.

It’s my simple solution to healthy snacking.

“Swapping out junky treats for air-popped popcorn is a simple change that can lead to a healthier tomorrow,” said Patricia Salzer, registered dietitian, Excellus BlueCross BlueShield.  “One cup of popcorn is about 30 calories – if you don’t add gobs of butter and other unhealthy stuff!”

It’s not the only simple solution to life’s healthy living problems. Consider these 50 small healthy changes that can make a big difference, and visit ExcellusBCBS.com/LiveFearlessNation for more on how to make small changes – one fearless step at a time. Help spread the word with family and friends and inspire others to be part of this Fearless Nation.

Eat better

Let’s start with my biggest hurdle – eating right! I generally eat OK, especially when I’m inhaling popcorn, but I’m a sucker for sweets. Here are some ideas:

  1. Invest in an air popper! (Are you surprised this is tip #1?) You, too, can be mocked by friends for snacking on nothing but popcorn. But, get this. One of those friends ran out a few years ago and BOUGHT HER OWN POPPER! It changed her life.
  2. Banish the Oreos to the highest of shelves! Exile the double fudge ice cream to the back of your freezer!  Out of sight, out of mind, right?
  3. Wash and cut-up raw veggies and coax them to the front of your fridge. When you’re looking for something quick to eat, you can grab and go. For an added treat, dip them in a hummus or a yogurt mix.
  4. Swap out the cookie jar for a bowl of apples. Apples are guilt-free because they have just traces of fat and sodium and no cholesterol. The skin of the apple is loaded with disease-fighting antioxidants.
  5. Ditch the gigantic plates. Smaller plates can help control portion size. The bigger the plate, the bigger the portions . . . and the more calories you’ll consume.

  1. Fill that smaller plate with the right stuff. Fill half the plate with fruits and veggies and split the rest between lean protein (chicken, fish, beans, etc.) and grains.
  2. Hey ladies: If you’re thinking of having a baby at some point, consider stocking up on folic acid. This vitamin helps to prevent birth defects. Aim for 400 micrograms of folic acid daily in vitamins or foods, such as fortified breakfast cereal.
  3. Ditch the “I need to get Vitamin D” excuse for excess sunbathing. Don’t risk getting skin cancer. Consider eating foods high in the vitamin, such as tuna fish, salmon and fortified milk. The vitamin is critical to having strong and healthy muscles and bones.
  4. Carry around a water bottle for easy drinking. Drinking lots of water can help curb your hunger and help you lose weight.
  5. Not a fan of water? Add flavor to tap water with slices of cucumber, cinnamon sticks, apples, fresh cranberries or a sprig of mint.
  6. Now that you have an air-popper, consider adding a crock-pot to your collection of small appliances. Become a wiz at making easy, healthy meals. It can even save your sanity and your marriage.
  7. Add veggies to your meals, whenever possible. Got fussy kids? Find ways to sneak veggies into their foods. Try this Stealthy Zucchini Meatball recipe.
  8. Eat breakfast. Lose weight. Really.
  9. Indulge in healthy snacks. Think plain Greek yogurt, a few nuts, fruit, veggies or nut butter. If you get too hungry, you’ll likely overeat at your next meal.
  10. Buy fruits and vegetables that are in season in the fallwinterspring and summer. Eat foods at their peak for flavor and freshness.
  11. Drink your greens. You won’t taste the added veggies, but you’ll be getting an extra serving of produce without even trying. Check out this recipe.

Move more

I used to run – a lot. But then then I had kid #1 and kid #2, and started running less. I stressed over my inability to find enough time to run.

I finally faced reality. As long as I moved a lot in a day, it’s OK if I didn’t run. My new outlook saved my sanity, and kept me active.

Here are ideas for moving more:

  1. Buy a FitBit or another activity tracker — if you don’t mind spending the cash! It might be the motivation you need to hit certain activity goals, like 10,000 steps or more a day.
  2. Walk out your front door and keep walking. Walking has the lowest dropout rate of any physical activity. It’s so easy to do!
  3. Loop around the perimeter of a big box store such as Walmart, Target or Wegmans before you fill your cart.
  4. Race your kid. Run outside with the little ones, climb that tree, jump rope and kick the ball. When I’m low on steps for the day, I race my kindergartener around our yard to boost my activity totals.
  5. Stand up! More than half of your day is likely spent sitting. Too much sitting is linked to heart disease and other serious issues. Sit all day at work? Set a reminder to stand every hour. Stand when on a conference call or eating lunch. Or, try a walking meeting with co-workers.

  1. Wake up 10 minutes earlier for a quick workout. I’m currently hooked on a 12-minute Tank Top Arms Workout on YouTube. My co-worker swears by the free workout app, Seven, for — you guessed it – seven-minute workouts.
  2. Time strapped in the morning? Squeeze in a few push-ups (on toes or knees) before you brush your teeth.
  3. Keep refilling the water bottle or glass of water. That’ll get you extra steps – especially from added bathroom breaks!
  4. Skip the email! Get up, walk to your co-worker’s desk and have an actual conversation in person.
  5. While watching TV, stand, stretch or squeeze in exercises.
  6. Schedule a gym date with a friend. You’re more likely to go if you have a buddy holding you accountable.

Feel better

My neighborhood is full of big weeping willows and other park-like, mature trees. A creek winds through my yard. A walk around my yard or street is the perfect stress buster, since being in nature is a great mood booster. Here are other ideas to help you stay sane:

  1. Trek through a park, forest or trail. As I mentioned — nature is believed to reduce stress and depression.
  2. An even simpler solution? Go outside and breathe in the fresh air.
  3. When you’re outside, look up! The sky can be beautiful and a great distraction from your troubles.
  4. Gardening – Fixing up your yard or tending to rows of tomato plants can help reduce stress.
  5. Breathe … deeply. It’ll help distract you from your thoughts and might actually help you (really) relax.
  6. Power Pose!  Stand tall with your hands on your hips! Or, flex your muscles! Do whatever pose makes you feel powerful for two minutes. It might boost your confidence before a job interview or another high-pressured event.

 

  1. Exercise to . . . relax? It’s a real thing. Exercise can decrease stress levels while stimulating the feel good chemicals in your brain, called endorphins.
  2. Pen thank you notes. Focusing on the good things in your life, such as how others have helped you, can make you feel happy.
  3. Write only happy thoughts. Journal about what makes you feel good. It’s the same idea behind #33. Gratitude can boost the positive emotions that make you happy.
  4. Call a friend. Connecting with good friends can prevent you from feeling lonely, offer companionship and boost your overall mood.
  5. Smile! I mean a real, full-fledged smile that leaves crinkles around the eyes. Smile your way out of your crabby mood.
  6. Volunteer. If you want to fight depression and loneliness, helping others is a great antidote.
  7. Hey road-ragers: Get a stress ball. Instead of shrieking at the car in front of you, find other ways to alleviate stress.

Sleep more

I took an amazing nap the other day. It was Sunday, and I was up early with the kids. After a morning of chasing them around, doing errands, laundry, etc., I was cranky and exhausted. Then I took that amazing 20-minute nap. I woke feeling unusually refreshed and pleasant!

Here are tips for grabbing more of that elusive shuteye:

  1. Nap! A short, 20-30 minute nap can help fix a poor night’s sleep.

  1. No bedtime iPhone-ing. That light from your smartphone might wreck your ability to sleep.
  2. Read a book. When I’m struggling for shuteye, I grab the Kindle and read until my eye lids start to droop. It. Works. Every. Time.
  3. Quiet your racing mind. One large sleeping roadblock is your obsession with your to-do list, your workload, your kids, etc. But meditation can help calm your mind and relax. Sleep.org has tips for meditating before bed.
  4. Skip the booze. I’m really sorry about this one. The wine before bed might help you quickly doze off, but you might not get a restful night’s sleep. Everyone’s body is different, so listen to yours in deciding if and how much to drink before bed.
  5. Exercise during the day. When I run, I sleep. Doing aerobic exercise for at least 10 minutes and you might have a more satisfying slumber.
  6.  Snack before bed. This blog article, “11 easy snacks to help you sleep better,”  will get you thinking about nighttime indulgences.
  7. Adult lullabies. Sure, you’re a big adult with big adult responsibilities. But even big adults sometimes need “adult lullabies” to wind down and fall asleep.
  8. Thin, firm or no pillow? Are you a back, side or stomach sleeper? Certain pillows will work best for certain sleepers. Get tips HERE.

Our last small change is….

Have you seen how kids clean their teeth nowadays? They’ve got bags of colorful, flavorful “flossers” to sharpen their fangs. All I got as a child were boring containers of … floss.

  1. Speaking of floss, do it! Flossing helps prevent gum disease, which in turn can lead to a host of health issues. So floss, and you might reduce your risk of heart disease.

Personal Spotlight on Nicole Kazimer of Hikyoga

Nicole Kazimer is the founder of Hikyoga, a hiking-infused yoga class in Rochester. Born and raised in Webster, NY, Nicole is a certified yoga instructor whose Hikyoga journey began when she started to teach her friends yoga at a Rochester park. Upstate New York has so many amazing hiking trails, making it the perfect place for Nicole to start her business. In an interview with AHealthierUpstate.org, Nicole shares insight into how she leads her healthiest life.

Tell us about Hikyoga. What does it involve?  

Taking yoga outside inspires people to become more present with their surroundings. As the yoga “studio” is ever changing from trail to trail and season to season, participants are continuously engaged with nature.

Hikyoga attracts newcomers interested in trying yoga as it eliminates the stress and intimidation sometimes associated with studio yoga. It also attracts life-long yogis! Incorporating movement into yoga as we move from the studio to the outdoors is a great variation from traditional styles.

Healthy eating can be a struggle for all of us. What do you do to stay on top of it?

Breakfast! We hear it’s the most important meal of the day… that is no joke. I eat breakfast within the first 20 minutes of waking up and make sure I eat more protein than sugar. Too much sugar and carbs for breakfast makes me feel yucky the rest of the day.

Smoothies are so much easier than everyone thinks. Throw the ingredients into a blender and you’re good to go. Hikyoga even offers super fun smoothie making workshops that include yoga plus smoothies made by Mackenzie’s Table.

For me, counting calories does more harm than good; it creates more stress which leads to unhealthy choices. Eliminating the pressure from calorie counting helps me listen to what my body needs and enjoy what I’m eating!

You sound like a pretty busy lady! How do you balance it all?

I make time for myself. I make time for sleep, self-care, alone time, and schedule one night a week for nothing but family time.

My schedule is jammed, especially on nights and weekends. I make sure to get at least 7.5 hours of sleep a night to ensure I have a sharp mind the next day. Also, I’m always prepared with snacks! I’m the snack queen – especially when I know that I’ll be running around for a while. Some of my favorite snacks include yogurt (siggi’s is my jam right now), spoonfuls of peanut butter and clementines.

Upstate New York, as you know, can have some pretty tough winters. How do you stay active?

I make time for the outdoors in the winter and take full advantage of the sunny winter days to get outside and hike. I practice indoor yoga about once a week. I’ve learned that if you don’t like it… don’t do it and find something that works for you.

Doing something you love is extremely important in living an active lifestyle no matter what the season is. If you’ve tried it all, and you’re still not totally keen on it, bring a friend. You’ll hold each other accountable and have fun!

How does a healthy lifestyle help you at home and at work?

The food we put into our bodies makes us who we are. If I feed my body with nutrients and feed my mind with positivity, then I’ll be the best version of myself.

Stress takes a toll on our bodies, even if we’re stressed over something we enjoy doing. My passion is teaching to large groups and organizing big, fun events – but it’s extremely demanding. I know if I sleep well, eat healthy, and feed my mind with positive thoughts, I’ll be able to conquer the day and be the best version of myself for my students.

What advice do you have for someone who is trying to live a healthier lifestyle?

Know that it’s ok to say “no” to things that don’t excite you. We’re pressured into doing a lot of things that we “should” be doing, but does it really make us happy? There are tons of ways to stay healthy, so have fun experimenting with what works for you! Also, spend more time on your mental wellbeing and your physical wellbeing will follow.

Where do you go in your community to be healthy?

I am super lucky my job allows me to be outside exploring trails in and around Rochester. These trails help me stay in the present as I calm/clear my mind. When I’m outside, I don’t like to check my phone.  Instead, I look up, look down and all around and take in nature. Our minds are going so fast all day long between all the stimulants and high demands. Some of my favorite trails include Abraham Lincoln Park in Penfield, Chimney Bluffs State Park in Wolcott, and Highland Park in Rochester.

To learn more about Nicole, go to hikyoga.com

Invite more balance, strength and flexibility into your healthy lifestyle by trying some of Nicole’s favorite yoga poses:

F is for Fridays, Food, and Family

After a long week at work, there’s nothing more comforting than coming home on a Friday night and having some idea of what you’re going to serve your family for dinner.

I really hate it when I don’t have a meal plan, especially on a Friday night when my creative reserves are fairly depleted. Having something already in mind can make all the difference in the world. It can, quite literally, make the difference between having a nice, relaxing night to end a long week … and the evening dissolving into a pool of frustration with no dinner in sight until much later than you’d like.

For me, one of my favorite Friday night family meals is homemade pizza – a meal that’s easy, tasty and healthy, but also a wild departure from my Eastern European upbringing.

Must be easy

So my plans for Friday night dinner generally revolve around something I can pull together fairly easily. Usually, I like to have all of the ingredients on hand. But if I don’t, I can pick up a few things fairly easily at our local meat market on my way home.

Stopping at a larger grocery store would just make my trip home longer, add too much stress to the end of the day and needlessly complicate the chore. For me, that’s an easy one to drop from the realm of possibilities on a Friday night.

Must be healthy

The selection also has to be fairly healthy. My husband and I are of the years when things like cholesterol, saturated fat and sodium content make a difference. I’m always fighting high cholesterol and constantly looking for ways to lower the number that appears on my yearly health risk assessment.

Must be tasty

And, of course, dinner must also taste good. I mean, what’s the point of eating anything if it isn’t delicious? That’s a lesson I learned a long time ago … while growing up in a family where such Old World favorites as beet soup and stuffed cabbage with potatoes were the standard fare.

When I was young, no one I knew ate such dishes. They were a far cry from the macaroni and cheese, fish sticks and French fries that my classmates lived on.

Back then, my distaste for beet soup was so palpable that I was known to have sat for hours without so much as touching a steaming bowl of (purple-colored!) beet soup. Now, of course, beet soup and stuffed cabbage are favorites of mine, and I can hardly recall what all the fuss was about, except that for me, as a first-generation American back then, it was.

Vegetable pigments make beet soup beautiful and delicious.

Vegetable pigments make beet soup beautiful and delicious.

Leaving behind the Old World

My attitude toward food changed when I was introduced to the art of cooking in home economics classes in junior high school. It was eye-opening to learn that there were endless combinations of foods and ways to prepare them that could actually look and taste good.

Pretty soon, I was preparing the food I’d learned to cook in school at home, much to the surprise of my family. There was no end to the ribbing my brothers gave me about the grapefruit halves that I ran under the broiler and served as an appetizer with a maraschino cherry on top. For them, that was a wild departure from the mostly Eastern European, meat-and-potatoes dishes we were used to.

My fascination for cooking continued after I got married and had a family of my own. I wasn’t going to serve them food that didn’t at least look appetizing and have some nutritional value.

Bye mac & cheese. Hello tahini paste.

Of course, when our children were little, my go-to meals tended toward kid-friendly macaroni and cheese, tuna noodle casseroles and homemade chicken nuggets. No one ever tired of these tried-and-true favorites, and they were simple and easy to make with ingredients that usually were on-hand.

Our tastes became more adventurous and sophisticated as the years went on, though. Now, the staples that can usually be found in our refrigerator and pantry are things like hot chicken sausage in the freezer, kale in the vegetable crisper, and tahini paste, canned tomatoes with green chilies and just about every variety of beans you can think of in the cupboard.

These ingredients can add zip and zing to just about any dish, and make something as mundane as Friday night dinner into FRIDAY NIGHT DINNER.

The perfect Friday night FAMILY meal: Homemade pizza

More often than not, the dish that I go to when I think about Friday night dinner on my way home after a long week at work is homemade pizza.

It’s a meal in one — no other sides, other than perhaps a salad, are required. It comes piping hot out of your oven — without ever tasting like the cardboard box that a delivered pizza tastes like. It’s satisfying and nutritious — dressed up with an endless variety of fresh vegetables.

Yes, pizza can be healthy

The fact that pizza can be satisfying and nutritious is probably the single biggest reason for choosing homemade pizza on a Friday night. The recipe below calls for hot chicken sausage (a healthy substitute for the usual pork sausage), but you can also use turkey pepperoni for something different.

All kinds of vegetables and vegetable combinations go well with pizza. They’re especially tasty sprinkled with fresh herbs snipped from the pots on your windowsill or in your kitchen garden. Use those same herbs to make a pesto (frozen and later thawed) that adds a nice touch to homemade pizza in the winter months.

When you make your own pie, you also have full control of the amount and type of cheese you use. Feel free to try lower-fat varieties, which may suit your tastes just as well as full-fat selections. Because you’re eating in, you can also afford to be choosy about your pizza dough. Here in Syracuse, there’s nothing like Columbus Bakery’s prepared pizza dough, but you may have other out-of-this-world dough suggestions from your favorite bakeries to recommend in the comments section below. You could even try whole wheat pizza dough as a healthier alternative.

So have fun experimenting, bon appétit and please let us know your favorite homemade pizza recipes, topping combinations or other go-to Friday night family dinner recipes below.

Print Recipe
Chicken Sausage Pizza
Servings
Ingredients
Servings
Ingredients
Instructions
  1. Preheat oven to 500 degrees. Stretch pizza dough to fit a round, lightly oiled pizza pan. Heat 1 Tablespoon of olive oil in a frying pan and cook chopped onion a couple of minutes until lightly browned. Add garlic and continue cooking for another minute or two. Add hot chicken sausage and cook until browned and crumbled.
  2. Cover pizza dough with desired amount of sauce. Layer with the sausage mixture. Top with chopped red peppers and other vegetables if desired. Sprinkle with seasonings and red pepper flakes for added kick.
  3. Place sliced tomatoes on top of sausage/vegetable/seasoning mixture, covering the pie. Brush any visible crust with olive oil and spray tomatoes with cooking spray.
  4. Place in preheated oven for about 10 minutes, but keep an eye on it. When it starts to rise and the crust just starts to turn brown, remove from oven and top with shredded mozzarella/cheddar cheese and then sprinkle with Parmesan cheese. Brush crust with oil again and return to oven just until cheese melts.
  5. Remove from oven, slice with pizza cutter and serve immediately!

Sleep Cycle App Will Kick You Out of Bed, But Gently

The Sleep Cycle app is listed as “essential” in the app store, and for good reason! Sleep Cycle is an app that helps wake you up based on how you sleep. Since I’m basically the opposite of a morning person, I find that the customizable features and 30-minute “wake-up phase” help me feel less like a zombie when I wake up. Instead, I’m more ready to face my day fully recharged (if that’s even possible with me).

How it works

  1. When you’re ready for bed, set Sleep Cycle’s wake-up alarm and place your phone face-down next to your bed or on the edge of your mattress.
  2. Using your phone’s microphone or accelerometer (a type of motion detector), your sleep patterns are analyzed based on your movements in bed.
  3. While you sleep, the app tracks the peaks and valleys of your lightest to deepest sleep phases.
  4. Since I share a bed with another Sleep Cycle user, the app links our phones through the Wi-Fi connection, accounting for both of our movements. That way his sleep phases don’t impact my sleep statistics and vice versa.

How to customize

Using the app settings, select how you’d like to wake up, choosing between several fairly gentle alarm sounds, such as “warm breeze” or “forest glade.”  Premium users can also enable the “random alarm sound” setting to cycle through a new one each day so you don’t get too irritated with just one sound (you can get irritated with them all instead!).

I use the “random” feature to keep things interesting, and to prevent myself from getting so used to one tone that I start to sleep through the alarm. Plus, I know myself ­– there are only so many times I can hear “forest glade” in one week before chucking my phone across the room and dozing back off to sleep.

During the recommended 30-minute, “wake-up phase,” the alarm goes off when you’re in your lightest sleep of that time period, making it easier to wake. For me, this setting means instead of feeling majorly groggy and sluggish when my alarm sounds, I feel only slightly groggy– a big improvement in my book.

You “hit” snooze by either double tapping on or near your phone or by picking up the entire phone. The “intelligent” feature can also be programmed so the alarm sounds get closer together each time you hit snooze, which I found to be an especially useful feature. Since I’m a true snooze-button-addict, I need an extra few kicks in the morning to willingly emerge from the covers.

Extras

The app provides reports on your average sleep quality and time in bed every day, and premium users can access trend reports for the days, weeks, and months you use the app. Premium users can also record mood and heart rate upon waking, add “sleep notes” like whether you worked out or consumed alcohol, and see how weather might affect sleep.  For example, I learned I sleep significantly better on days I work out, and significantly worse after I consume alcohol, experience a stressful day, or get a sunburn!

What I Learned

I learned that my deepest sleep is typically between 4 a.m. and 7 a.m., which could be why I have such a hard time waking up most mornings. I was also fascinated to see how my daytime activities affected my sleep quality. I now think twice before having that glass or two of wine before bed when I want to feel rested the next day. I also try to give myself plenty of time to unwind before bed, and the app motivates me to keep on track with my gym schedule — no one likes a poor night’s rest!

Any Critiques?

The app helped me learn more about my sleep patterns and the effect my habits have on them, but didn’t exactly change my life. I may never be a morning person and I’ll probably never find an app that can make me into one.

There’s also no way to know the true accuracy of the sleep cycle app. I sometimes wake up feeling as if I’ve had the best sleep of my life, only to have the app report my sleep quality at 50 percent. The app isn’t a substitute for a sleep study and doesn’t claim to be, but these little inconsistencies can sometimes leave me second-guessing the technology.

The Gist

Healthy sleep is critical to good health. When you sleep well, you tend to feel better, be more alert and reduce your risks for medical conditions, such as heart disease.  Sleep Cycle helps me better understand my sleep needs and patterns, helping me get more of that essential shut-eye!

Download: https://www.sleepcycle.com/

Cost: FREE

Premium: $29.99/year

Disclaimer: Excellus BlueCross BlueShield does not endorse or have any business relationship with Sleep Cycle.