Tag: healthy

Be safe outdoors – What you need to know about Lyme disease

Summer is a time to work in the garden, visit the dog park, or hit the bike path. It is also a time to be aware of tick-borne illnesses including Lyme disease, and ways to avoid them. Infected ticks can be found across the Northeast, including in upstate New York. 

“Lyme disease is a bacterial infection caused by the bite of an infected deer tick,” says Lorna Fitzpatrick, MD, vice president of medical affairs and senior medical director at Excellus BlueCross BlueShield. “Untreated, the disease can cause health problems, including severe headaches, painful arthritis, swelling of the joints, and heart and central nervous system problems.”

Treatment with antibiotics, when the infection is identified early, can result in a quick and complete recovery, according to Fitzpatrick. The big issue, she says, is that Lyme disease often goes undiagnosed, which can lead to chronic symptoms that are hard to resolve.    

Preventing tick bites is the best way to protect against tick-borne illnesses. The New York state Department of Health offers these tips: 

Know where to expect ticks.

Ticks like shady, moist areas at ground level. They cling to tall grass, brush, and shrubs, usually no more than 18-24 inches off the ground. They also live in lawns and gardens, especially at the edges of woods. When gardening, keep long hair tied back. When hiking, stick to well-cleared paths.

Reduce ticks in your yard.

Keep lawns mowed and edges trimmed. Clear away brush, leaf litter, and tall grass from around the house and at the edges of gardens and stone walls. Stack woodpiles neatly away from the house, and preferably off the ground. Keep the ground under bird feeders clean so as not to attract small animals that can carry ticks into your yard. Locate children’s swing sets and other play equipment in sunny, dry areas of the yard, away from the woods.

While outside, dress to protect.

Wear light-colored clothing with a tight weave to spot ticks easily. Wear enclosed shoes, long pants, and a long-sleeved shirt. Tuck pant legs into socks or boots, and shirts into pants. Check clothes and any exposed skin frequently for ticks.

Consider using repellent.

The NYS Health Dept recommends using EPA-registered insect repellents. For skin, products that have DEET (20% or more) or picaridin (5 to 20% of the active ingredient) can be applied.

For clothes, shoes, and camping gear, treat, or purchase pretreated clothing with permethrin, but never apply permethrin to skin.

After being outside, check yourself and your clothes.

Do a final, full-body tick check at the end of the day (also check children and pets) and remove ticks promptly. If available, put your clothes in a dryer on high heat for 15 minutes to kill any ticks that may be on them.

The New York State Department of Health has more information on Lyme disease, online at Ticks & Lyme Disease – A Guide for Preventing Lyme Disease (ny.gov).

Breaking Down Barriers

Affordable and Accessible Care for All

The ACCEL Clinic, a healthcare facility located at the Economic Opportunity Program in Elmira, NY, is providing affordable care to community members when they need it most.

They couldn’t afford their blood pressure checks

For Glenda and Woody Aikens, residents of West Elmira, the cost of weekly co-pays to have their blood pressure checked was simply not affordable. But thanks to the ACCEL Clinic they have been able to follow their primary care doctor’s orders at no cost. They learned about the clinic through a flyer provided with a food delivery from the Economic Opportunity Program. The Aikens said they were thrilled to discover that the clinic offered free services and easy access, allowing them to consistently monitor their health and interact with others in the community.

The ACCEL Clinic is a collaborative partnership between Excellus BCBS, Arnot Health, Chemung County Health Department, Lake Erie College of Osteopathic Medicine (LECOM), and the Economic Opportunity Program. The clinic provides free and accessible medical services to children and their families.

The ACCEL Clinic is supported by an Excellus BlueCross BlueShield Member and Community Health Improvement grant and the funding has enabled the clinic to enhance health outcomes and reduce health disparities in Chemung County. This has been achieved through the analysis of data collected and has enabled the clinic to provide targeted care and connect them with appropriate healthcare providers.

“The ACCEL Clinic helped us when we needed medical services but couldn’t pay for them,” said Glenda Aikens. “We enjoyed going there every week to check in and we feel important at the clinic. The ACCEL Clinic is great for our community and for people who don’t have much money.”

Surprised by her son’s high lead levels

Other services at the ACCEL Clinic include free lead screenings, an initiative that is in response to the historically high lead levels in Chemung County. The free screenings help the clinic identify and address lead poisoning in children, ensuring early intervention and appropriate treatment.

Tanisha Logan-Lattimore, a patient at the clinic, discovered that her son had high levels of lead through the clinic’s testing.

“I had my entire family tested, including myself. I was surprised when the results showed that my son had very high levels of lead in his body. I had no idea about this before, and it was fortunate that we found out because my son already has a weakened immune system. Sharing the test results with his doctors allowed them to consider the lead exposure when planning his treatment. It was truly a blessing in disguise,” Tanisha stated.

Since its opening in 2022, the clinic has successfully conducted over 400 lead screenings, contributing to the reduction of lead levels in Chemung County, according to Economic Opportunity Program Chief Executive Officer Andrea Ogunwumi.

Access to Affordable Care

Convenience and accessibility are key factors in the success of the ACCEL Clinic. Being in the same building as Head Start programs and after-school activities makes it easier for parents to bring their children in for screenings. This eliminates barriers such as transportation and time constraints, ensuring that healthcare services are readily available to those who need them said Ogunwumi.

The clinic is staffed by LECOM medical students who not only assist with screenings but also ensure that individuals receive necessary primary care follow-up. This includes appointments with primary care physicians and lab screening services provided by Arnot Health. This comprehensive approach to healthcare ensures that individuals receive the necessary care and support to manage their health effectively.

The ACCEL Clinic also collaborates with SNAP-Ed’s Fruit & Vegetable Prescription Program to provide nutritional education services.

“The ACCEL Clinic is a valuable resource in the community, providing cost-free and accessible healthcare services to those in need,” said Dr. Richard R. Terry, LECOM – Elmira Associate Dean of Academic Affair. “A collaborative approach, uniting healthcare organizations, community programs, and funders, is key to improving health outcomes and effectively controlling rising health costs. By working together, these stakeholders can leverage their unique strengths and resources, creating a powerful synergy that fosters innovation, efficiency, and sustainability in healthcare delivery. Through collective efforts, they not only enhance the quality of care but also address the root causes of health disparities, ultimately paving the way for healthier communities and a more cost-effective healthcare system.”

Picture of a mom holding a baby up over her head

Maternal Mental Health Month: Meet the Bright Beginnings team

Each year, May marks the start of Maternal Mental Health Month. According to the National Alliance on Mental Illness (NAMI), Maternal Mental Health refers to a mother’s overall emotional, social, and mental well-being, both during and after pregnancy. We recognize this month to spread awareness, support, and to encourage the availability of resources for mothers throughout the world.

7 years ago, Lyndsay is driving her newborn to the doctor’s office. As a brand-new mom, she claps her hands to check her baby’s alertness, looking repeatedly to ensure her baby is breathing during the entire 10-minute drive. Upon arriving to the office, she checks with her doctor about her concerns. They reassure her this is “typical,” just another symptom of new motherhood, or the “baby blues.” Lyndsay leaves the office feeling confused, with a feeling in her gut that something isn’t quite right.

Experiences like Lyndsay’s affect mothers worldwide. While awareness is still growing, today, we know that worldwide about 10% of pregnant women and 13% of women who have just given birth experience a mental disorder, with the most common being depression. These statistics also show a staggering health disparity for women of color. According to the U.S. Department of Health and Human Services, 30-40% of Black, Hispanic, American Indian, or Alaska Native women do not get the prenatal care they need. This is where programs like Bright Beginnings make a huge difference, stepping in to fill necessary gaps in care like transportation, resources, and provider referrals to help new parents to effectively care for themselves and their mental health.

Solutions for People Who Hate Kids' Music

As a Licensed Social Worker with the Health Plan, Lyndsay recognizes these gaps, and now works persistently to ensure members receive the care they need while pregnant or postpartum through the Bright Beginnings program. Working with individuals who need anything from resources and transportation to treatment for post-partum psychosis, Lyndsay approaches each member with respect and a listening ear. 

“I say, ‘tell me your barriers. You can’t get there? Let me find telehealth. You can’t afford it? Let me find someone who does a sliding scale,’ just really trying to make sure that I’m able to give them all the resources and options that I can give them.”

-Lyndsay, Case Manager

The Bright Beginning program, led by Kara Traverse, includes a team of Licensed Social Workers and Registered Nurses who meet with members referred by area doctors and hospitals, family, and even members themselves. They contact the member, listen to their concerns, and screen for depression and anxiety. From there, the case manager assesses and makes appropriate recommendations, providing resources for transportation, education, mental health support, and more.

Above all, the Bright Beginnings team stands out as a remarkable group of compassionate and experienced health care professionals. In fact, Kara remarks that the team compiled their work experience, saying they collectively have “over 102 years of maternal health experience” on their team.

Excellus BCBS recognizes the gaps in maternal mental health awareness, and the need for more equitable healthcare for members and the community at large. The Bright Beginnings program is just one of a few programs aimed at combatting these issues. We also collaborate with community-based partners which are committed to increasing maternal health care awareness and availability. From breast pump and pregnancy education to mental health screenings and arranging visits to the hospital and pediatrician, the Bright Beginnings program enlists licensed social workers and registered nurses to help parents stay on track, caring for themselves and their children.

Excellus BCBS also supports programs for maternal mental health run by community-based organizations in our regions. Some of these efforts include: Seven Valleys Health Coalition’s Post Partum Doula Support and Doula Partnership, Contact Community Services’ Maternal Mental Health Follow Up Support, and Integrated Community Alternatives Network’s Maternal Health Equity for Pregnant Homeless Teens.

Racing toward a challenge

With the Boilermaker 15K presented by Excellus BlueCross BlueShield just around the corner, we interviewed two first-time runners to get their perspectives on training, motivation, and rising to the challenge of participating in this annual iconic race.

Why Boilermaker?

For many, the Utica Boilermaker 15K Road Race is considered a bucket-list race.  Runners come from around the world to participate in what is often referred to as one of the nation’s best 15K races.  The 9.3-mile course takes runners down Utica’s historic Parkway and through the hills of Roscoe Conkling Park where runners enjoy beautiful views of the city atop the hills of Valley View Golf Course. 

The course passes through several Utica neighborhoods and extends to the suburbs of Yorkville and New Hartford where runners experience the unique personality of each of these areas as crowds line the streets.  Live bands, music, and entertainment can be found all along the route.  Runners finish out the final leg of the race in the West end of Utica as they head toward the iconic finish line arch just outside of the FX Matt Brewery where they are welcomed to the post-race party, one of the best celebrations around.

Since its inception in 1978, the Boilermaker Road Race has invited runners of all skill levels, from beginners to professionals, to participate.  And for many, it serves as goal to get active or keep up their exercise routine.

Making the commitment

Heather Bentley, Excellus BCBS case manager and Jessica Gann, Excellus BCBS product implementation specialist, signed up for their first Boilermaker 15K this year. “I am a Utica area native and have always wanted to run the boilermaker.  I had cheered on my father in-Law for multiple years and always enjoyed the excitement around it,” says Heather.

Setting goals can be a great way to focus your efforts and gauge your progress. “I have always wanted to run the boilermaker, but never took the opportunity,” explains Jessica. “This year I had it in my mind that I am going to achieve that goal.”

Both Heather and Jessica have experience running various distances up to half marathons. Jessica notes, “In 2017, I ran a 5K, 10K, and a half marathon while living in Hawaii. I have not run much since then, so I’ll be starting over.”

Putting in the work

As with any race, proper training is key. “To prepare for the race I have been trying to run 3 times a week,” shares Heather.  “I signed up for some 5K races to keep myself from procrastinating in my training.” Starting off slow and establishing consistency in your training, are good first steps. “I started off working on running 3 miles consistently and then added miles as the weeks went on,” says Jessica.

Preparing for a race, doesn’t come without challenges. “I did have a little set back from a slight strain to my right Achilles tendon,” explains Jessica. And Heather shares that she often struggles with some hip pain at longer distances. “I focus on stretching to help with that,” she explains.

Stretching is recommended both before and after running to help ward off injury. Mike Smith, certified USAT running coach and co-facilitator of Excellus BCBS’s Boilermaker Virtual Coaching Sessions for the organization’s employees, recommends dynamic stretches pre-workout and static stretches post-workout. He also recommends strength training or cross training to protect from injury. He notes the importance of working at a lower intensity for 80% of your workouts and reserving high or moderate intensity training for a maximum of 20% of your workouts.  Mike encourages all runners to build recovery days into their training plans.

Staying motivated

Training for a race of this distance can take a long time, especially if you are starting from scratch.  Many training plans are designed to be 16 weeks long, so motivation is vital. “Staying motivated is definitely a challenge for me,” explains Jessica. “I do have a very supportive team, my boyfriend – who runs with me and my daughters. I want to prove to my daughters that they can do anything that they put their minds to.”  Having a training partner and accountability can be great motivators.

Heather maintains her motivation by signing up for races leading up to the Boilermaker.  This can be a great way to gain race-day experience and test out clothing, shoes, and nutrition for the longer race ahead.

Challenges and rewards

One of the biggest challenges Heather and Jessica are preparing for are the hills along the Boilermaker course, particularly the large hill from miles 3 to 4. “I like to run the roads around my house, they have lots of hills to prepare for the boilermaker course,” says Heather. 

Along with challenge, comes a great reward. “I am most looking forward to running with all the cheering! It’s so energizing,” shares Heather. “Seeing all of the supporters on route and crossing that finish line is what I’m looking forward to most,” says Jessica.

When asked what piece of advice they would give other runners thinking about running this race, a common theme emerged. “Start preparing earlier than you think you should,” advises Jessica. “Sign up to do it at least once, but don’t procrastinate on your training!” says Heather.

Excellus BCBS is looking forward to cheering on Heather, Jessica and all of the runners at the Boilermaker Road Race on July 9.  Visit the Boilermaker website for more information about the race and all the events happening during Boilermaker weekend. 

5 Ways to Reduce Caregiver Stress

When I was in high school, there were several years where my mom devoted herself to taking care of my grandparents. We lived in Syracuse, but my grandparents lived in Watertown, so my mom would regularly travel the hour or so north up I-81 to be with them. Back then, and for years after, she would often say how glad she was to be able to be there for her parents during that time. Despite the gratification caregiving brought her, I know it was hard for her to balance helping her parents while taking care of me and my sisters and working a full-time job.

Caregiving can be a rewarding experience, but it can also be very stressful. You may be experiencing caregiver stress if you’re feeling overwhelmed, alone, or are often worried. Whether you’re providing hands-on care or helping from afar, here are some tips from fellow caregivers to help reduce caregiver stress.

Take a break

Recognize that providing care for someone is an important job. Like all jobs, it’s important to seek a well-deserved break when you can. Don’t be shy about asking others for help. Jan Caster, a caregiver from Onondaga County, says that when someone offers to help, it’s important to “be specific about what the individual can do for you. Suggest choices like respite care, preparing meals or providing transportation.”

If you’re a long-distance caregiver, offer what you can to help the caregiver who is local. You can help research community resources or even give a small gift card to help give the other caregiver a break. That kind of help can be “a better gift than any ‘thing’,” says Jan.

There are also more formal respite services available to help give you a break and reduce caregiver stress. These services include:

  • In-home care: regular or periodic in-home care can provide someone to help with personal care, providing medical services and respite care.
  • Programs for All-Inclusive Care for the Elderly (PACE): these programs provide both medical and social services to individuals who live in the community.
  • Adult Day Care Centers: provide your loved one with some socialization while giving you an opportunity to work, run errands or take a break.
  • Nursing homes: many communities have nursing homes or other residential care facilities that can provide short-term overnight care if you need to go out of town.

Check with your local Office for the Aging and NY Connects to learn more about these and other respite services available in your community.

Communication is Key

Having open and honest conversations with your loved one can help to take the burden off of you, the caregiver. It’s helpful to understand the wishes of your loved one and make sure everyone is on the same page. Jim Redmond, a caregiver from Monroe County, says that when you’re a caregiver “you may need to have difficult conversations with your loved one…but you can still maintain a level of respect and help them preserve as much of their independence as possible. Part of having a difficult conversation is helping your loved one determine realistic goals based on their condition and the way it is changing.” Resources like AARP offer tips for having those difficult conversations.

It’s also important to establish open communication with other family members. “We have an on-going group text with my siblings and our spouses,” says Jim, “It helps everyone get the same information at the same time”. It’s one way to include everyone, even if they live out of town.”

Do Something You Enjoy

When you’re caring for someone else, you often prioritize your loved one’s health over your own. It’s important to remember to take care of your own health too to help you provide your loved one with the best care.

While it can be hard to do, Jan says it’s also helpful to “do something for yourself that you’ll look forward to.” You could watch a movie or take an exercise class. Jan enjoys a yoga class as one way to take time for her health. Finding time to rest or nap is important too, as many caregivers struggle with sleep. “Sleep is not overrated!” adds Jan.

Seek Support

Feeling isolated can be a challenge for caregivers. When you’re feeling alone, talking with others can help you to cope, whether it’s with a counselor or with a few good friends. My aunts were a main source of support for mom. They were helping to take care of my grandparents too. I remember the long phone calls my mom would have with them late into the night. Like with many of life’s challenges, it helps so much just to know you’re not alone.

Support groups are another great resource for caregivers. They can provide a safe space for venting frustration or sharing struggles. To find an in-person or online support group, contact your local Office for the Aging.

Keep Things in Perspective

It’s easy to become overwhelmed when caregiving, whether it’s with your loved one or with the situation in general. Jim says it helps to “maintain perspective” and remember that “everyone will have good days and bad days.” Many fellow caregivers say that when providing care for a loved one, it’s helpful to focus on what’s really important and not sweat the small stuff.

When all else fails, take deeps breaths and give yourself credit for doing one of the toughest jobs that there is. Jan adds, “Trust yourself when it comes to your loved one’s care – you know them better than anyone.”

Teresa’s Grateful for Her Gift of Life

After Teresa Arnold’s 12-hour liver transplant surgery, her doctor told her husband, “It’s amazing she was still alive. Her liver was a small, hard rock.”

Teresa emerged from the operation looking pink after years of having a yellow cast to her skin.

Her husband, David, burst into tears of relief. He had been her primary caregiver for the previous two years while working full-time.

“It was a crazy, crazy time,” Teresa said of her five years waiting on the transplant list. Liver failure had caused her to develop encephalopathy. The brain disease not only turned her sleep/wake cycle upside down, but also adversely affected her memory and balance.

Teresa, a registered nurse, believes she contracted hepatitis C during the 1970s before the health care profession adopted universal precautions.

At 3 a.m., two days after Christmas 2006, she received a call informing her that a donor’s liver was available. Soon, she and her husband were on the road to Rochester’s Strong Memorial Hospital for the surgery.

Teresa checked out of the hospital in a record seven days post-op. Although she would undergo yearlong chemotherapy for hepatitis C, she felt well enough after three months of recuperation at home to take on a new job. In 2007, she started working at Excellus BlueCross BlueShield in Syracuse as a Utilization Review Coordinator.

“I love my job. I still get to be a nurse,” she said. Until her illness forced her to quit, Teresa had been nursing director at Syracuse Community Health Center. She also had worked in a Wyoming hospital for 10 years before returning to upstate New York with her husband and son. Her son now lives in Oregon with his family.

Her current position is Care Coordinator.

“It’s probably the best job I’ve ever had,” said Teresa.

How do I give back?

In the years since her surgery, Teresa often has wondered why she — of the thousands of people waiting for a donor organ — was lucky enough to receive a 40-year-old man’s liver.  Through the transplant coordinator, she wrote a thank-you letter to his family, but didn’t hear back.

She contemplated how she could repay the gift the universe had bestowed on her.

A Buddhist, Teresa believes in the interconnectedness of all life. She turned to her teacher for answers.

“What am I supposed to do now that I’ve been given this gift? How do I give back?”

Her teacher answered, “Just live.”

Organ donation statistics

Here are some organ donation statistics provided by Mary Jane Milano, Community Development Manager at the Finger Lakes Donor Recovery Network. The Finger Lakes Donor Recovery Network is a nonprofit, federally designated organ procurement organization that serves 20 counties in the Finger Lakes, Central New York and upstate New York regions.

 

In the United States

  • Every 9 minutes, someone is added to the national transplant waiting list.
  • On average, 17 people die each day while waiting for a transplant.
  • More than 5,600 people died in 2020 while waiting for an organ transplant (or within 30 days of leaving the list for personal or medical reasons).
  • There were more than 12,500 deceased donors in 2020, a 6 percent increase from the year before.
  • One donor hero can save up to eight lives through organ donation and could improve the lives of up to 75 more through tissue and cornea donation.

Approximate Waitlists (the number of people waiting for a life-saving organ transplant

  • National: 108,000
  • New York state: 8,880
  • Finger Lakes Donor Recovery Network service area: 860 (listed at Strong Memorial Hospital or SUNY Upstate Medical University)

Donor registry enrollment rates (the percentage of people registered as organ, eye and tissue donors)

  • United States: 60%
  • New York state: 43%
  • Finger Lakes Donor Recovery Network area: 56%

The only restriction to signing up for organ donation in New York state is that enrollees must be at least 16 years old.

If it’s your wish to pass life on to others through organ donation, you can easily enroll through the electronic New York State Donate Life Registry.

Visit DonorRecovery.org to learn more about organ donation in New York state. If you live outside of New York state, visit OrganDonor.gov to learn more about organ donation in your state.

Sources:

  • Health Resources and Services Administration / U.S. Department of Health & Human Services
  • United Network of Organ Sharing
  • New York State Donate Life Registry 

Why every day is a good time to talk about breast cancer awareness

During the month of October, it’s difficult to ignore the stories, commercials, advertisements, pink T-shirts and other paraphernalia proclaiming Breast Cancer Awareness Month. For Excellus BlueCross BlueShield employee Maria Horton, however, every month and every day is a good time for breast cancer awareness.

Maria has learned that the hard way. She is a breast cancer survivor.

Maria Horton

An Otherwise perfectly normal mammogram

Due to a family history of breast cancer, Maria knew she was at high risk of also developing breast cancer. That’s why she started annual mammography screenings when she turned 40. Everything appeared normal for Maria up until a few years ago.

It was just a few months after an otherwise perfectly normal mammogram that Maria noticed a change in one of her breasts. Not one to brush it off in ignorance in hopes that it will go away, she followed up with her doctor.

That led Maria to a ductogram and a core needle biopsy. When her doctor scheduled fine needle guided biopsies, the doctor didn’t need to tell her she had breast cancer. “I already knew,” she said.

Support of The People Who Carried Her Through

While her husband, three children and work family were aware of what was going on, Maria then had to break the news to her parents, siblings and in-laws. “This was very tough and very emotional,” she said. “I was numb.”

Once she shared the news, however, it was these same people who helped carry Maria through her 10½-hour bilateral mastectomy and reconstructive surgery. “Without the support of my loving family and the wonderful, caring people I work with, I don’t know how I would have gotten through all of my difficult days,” she said.

During her eight-week recovery, Maria’s family took care of her and helped with everything. Friends brought cards, food, flowers and her favorite Starbucks coffee.

“The support I had meant the world to me and still does,” she said.

Advice from a breast cancer survivor

Maria considers herself lucky in that she did not need follow-up chemotherapy or radiation. She continues to follow up with an oncologist.

Her advice to all women is to know their personal risk factors for breast cancer, schedule their mammograms as recommended by their doctors, and perform monthly breast self-checks.

The U.S. Preventive Services Task Force recommends that all women ages 50 to 74 be screened for breast cancer every two years. According to 2018 data from the New York State Department of Health, 82 percent of NY women aged 50 to 74 received their recommended screening.

“The evidence is clear that early detection saves lives,” said Nicholas Massa, M.D., medical director, Excellus BlueCross BlueShield. “Given the fact that most health insurers cover preventive breast cancer screenings in full every one to two years for women older than age 40, we would like to see even higher percentages of women being screened for breast cancer.”

3 reasons  women skip breast cancer screenings

1. Concerned about pain

Women who haven’t gone through menopause can minimize the pain and discomfort of having their mammogram by scheduling their screening a week after having their period, when breasts are less tender. Avoiding caffeine the week before your mammogram may also help. Take it from Maria, who offered this sage advice, “Yes, having a mammogram is uncomfortable, but it beats the alternative of having breast cancer.”

2. Concerned about test results

Mammograms can detect lumps in your breast when they are small, even before you can feel them. Breast cancer found early is easier to treat and results in better clinical outcomes. Generally, you can get your mammogram results within a day or so by calling your doctor’s office. There may be times when you receive a call from your doctor’s office recommending further testing. This does not mean you have cancer, but it is very important that you follow up if asked to do so. For Maria, it’s simple. “Do it!” she said.

3. Concerned about radiation

According to the American Cancer Society, the benefits of the small amount of radiation to which we are exposed during mammography screening outweigh any possible harm from radiation exposure. The peace of mind you’ll receive from having completed your mammogram is immeasurable, added Maria. “This takes a few minutes, and it’s done.”

Breast cancer can affect women of any age or race. Dr. Massa noted that your risk for breast cancer increases with age and if you have a family history. A woman’s risk factors determine when she should begin getting screened.

Learn more about breast cancer risk factors and screenings by talking to your doctor, or by visiting the U.S. Preventive Services Task Force website.

For more on the best ways to protect your health, read this Women’s Health Checklist from Excellus BlueCross BlueShield.

Sudden signs of stroke

Recognizing Signs of Stroke Can Speed Treatment and Limit Damage

Only one-third of adults in New York state say they can recognize the signs of a stroke, according to a review of self-reported data by Excellus BlueCross BlueShield. And that’s bad news since every 40 seconds someone in the United States has a stroke, according to the American Heart Association. Knowing when someone is exhibiting the symptoms of a stroke can lead to quicker treatment and a lower risk of disability or death.

Acting F.A.S.T. If You Suspect a Stroke

A stroke occurs when a blood vessel supplying oxygen and nutrients to the brain becomes blocked with a blood clot (ischemic stroke) or when a blood vessel bursts, causing bleeding within or around the brain (hemorrhagic stroke). The brain is deprived of oxygen, and brain cells die within minutes. The body cannot replace damaged brain cells, so the effects of a stroke are often permanent.

“A stroke is a brain attack, and damage can increase with every minute that treatment is delayed,” said Nicholas Massa, M.D., C.P.C., Medical Director at Excellus BCBS. “The acronym F-A-S-T is an easy way to remember what to look for and what to do if you suspect someone has had a stroke.”

  • F = Face.  Ask the person to smile. Does one side of the face droop?
  • A = Arm.  Ask the person to raise both arms. Is one arm drifting down or appearing weak?
  • S = Speech.  Ask the person to repeat a simple phrase. Is speech slurred or confused?
  • T= Time.  Time lost is brain lost, so call 9-1-1 right away if you detect any signs of stroke.

Know Your Risk

Stroke is the fifth leading cause of death in the United States. Six thousand New Yorkers die each year from a stroke. Risk factors include high blood pressure, high cholesterol, diabetes, tobacco use and obesity. Among adults in upstate New York, more African Americans and Hispanic Americans self-report experiencing a stroke compared with those who self-identify as White.

“Anyone with any of the risk factors for stroke should speak with their doctor about medical interventions or lifestyle changes to reduce their risk,” said Dr. Massa. “And everyone should know the acronym F-A-S-T, so they can recognize when someone is showing signs of a stroke and can summon medical help immediately.”

Excellus BCBS created a free and downloadable educational poster, “The Sudden Signs of Stroke,” available at ExcellusBCBS.com .

Learn more at CDC.gov/Stroke.

Sepsis: A deadly condition that happens fast

Something in Jean Hopkins’ gut told her to take her daughter to urgent care.

It was after school, and her 8th grader didn’t feel well enough for cheerleading practice. She had a slight fever, nausea and was tired. Her daughter said she felt like she did when she had a bladder infection.

Hopkins’ husband wondered whether they should wait until morning for the trip to urgent care.

Hopkins’ daughter, Riley

“But something in me told me she needed to go to urgent care now,” said Hopkins, of Rochester.

Her husband took their daughter to urgent care while Hopkins, a youth cheerleading coach, went to practice. By the end of practice, her husband called to say their daughter needed to go to the hospital.

Once in the emergency room, her daughter’s health quickly spiraled downward.

Her daughter threw up green bile that looked like antifreeze. She had dangerously low blood pressure that staff couldn’t control. By 4 a.m. her daughter was in the intensive care unit.

“It’s scary how quickly Sepsis can happen”

Hopkins’ daughter had sepsis, a condition that can come on quickly and lead to death. Sepsis is the body’s extreme response to an infection. If not treated quickly, Sepsis can cause tissue damage, organ failure and death, according to the Centers for Disease Control and Prevention.

According to the Sepsis Alliance, there are 1.7 million cases of sepsis and 270,000 deaths each year in the United States. The sepsis death toll exceeds annual deaths in the U.S. from breast cancer, prostate cancer and AIDS combined. A recent study reports that  sepsis may have been responsible for 20 percent of all deaths worldwide in 2017.

Hopkins’ daughter did recover. She spent a week in the hospital.

“It’s scary how quickly sepsis can happen,” Hopkins said. “Just listen to your inner voice.  We were very fortunate that everything happened as it should. I don’t want to think about what could have happened if we didn’t take her right away to urgent care.”

Sepsis: Get treatment quickly

It’s critical that patients with sepsis receive treatment as early as possible, said Gregory Carnevale, M.D., a chief medical officer for Excellus BlueCross BlueShield in upstate New York. Early treatment with antibiotics and large amounts of intravenous fluids improves your chances for survival, he said.

“Act fast and get medical care immediately if you suspect sepsis or have an infection that’s not getting better or is getting worse,” said Carnevale.

Barkley Klaiber of Syracuse said she’s grateful. She acted quickly when she didn’t feel quite right and had some abdominal cramping. Klaiber was 20-weeks pregnant with her second daughter.

Barkley Klaiber with husband Karl and daughters Sutton and Carson.

Normally, Klaiber would have waited a little before seeking treatment. She figured the cramping was related to kidney stones. She’s prone to getting them when pregnant.

But Klaiber had just been in a minor car accident a few days earlier. She thought she should go to the emergency room as a precaution.

Turns out Klaiber did have kidney stones, along with a bladder infection. But she had also developed a kidney infection as a result. Barkley went into septic shock after arriving at the hospital.

Barkley did recover after a 9-day stay.

“The car accident was a blessing,” she said. “Otherwise, I don’t think I would have gone to the emergency room as quickly. If I had gone into septic shock and I wasn’t in the hospital? I don’t want to think about what could have happened.”

Her daughter remained strong throughout the ordeal. “We just celebrated her second birthday,” she said.

Who gets Sepsis?

Anyone can get sepsis. But those at higher risk include babies and those with chronic conditions or weakened immune systems.

The elderly are also at high risk. Meg Thoin of Buffalo said her 86-year-old mother died of sepsis about a week after breaking her hip. She was in rehabilitation at a nursing home when her mom started suffering from diarrhea and confusion, and then nausea and vomiting.

Her mom was transferred to the hospital. She had kidney failure and had become septic. She died the next day, Thoin said.

“My hope is that others become more aware of what sepsis looks like, especially if you have elderly family members or if you know someone who is in a hospital or nursing facility,” she said.

There are a variety of warning signs associated with sepsis. The most common signs include:

  • Fever, shivering or feeling very cold
  • Elevated heart rate
  • Rapid breathing
  • Disorientation or confusion
  • Clammy or pale skin

“I was an educated person,” added Thoin, who is a nurse. “I knew what to look for, and I really wished I pushed harder for her to be tested when I started to notice certain symptoms.”

Excellus BlueCross BlueShield is proud to provide educational content regarding topics such as sepsis. For more information, view our infographic on sepsis.

 

Will you join me? New York City at 3 mph

Growing up on Long Island and then while attending college in New York City, I had the opportunity to enjoy many of the things that make the “Big Apple” an endlessly interesting and special place.

But it was not until several years ago that I was made aware of the opportunity to experience Manhattan in two very challenging and unique ways.

In a few months, I’ll again experience Manhattan in this very unique way. I’d love for you to join me. But first, read on.

Experience Manhattan by bike

Several years ago, my brother and I joined about 4,000 other cyclists and rode our bicycles in the New York City Bike MS event to raise funds for the many individuals (including our Dad) who struggle with multiple sclerosis.

The first year we participated, we rode about 30 miles on closed roads around the perimeter of Manhattan. The following year, a friend joined us, and we took an extended, 45-mile ride on (mostly) closed roads that included the ride around Manhattan and a ride through the Lincoln Tunnel to New Jersey and then back into Manhattan via the George Washington Bridge.

Experience Manhattan on foot

A few years ago, my mother-in-law made me aware of a chance to experience Manhattan in yet another unique way, through a Shorewalkers event known as “The Great Saunter.” Held the first Saturday in May, it’s a one-day, 32-mile walk around the perimeter of Manhattan.

The majority of the walk is along the Manhattan waterfront, including the Hudson and East Rivers, and traverses more than 20 parks. It begins and ends in Battery Park at the southernmost tip of the island.

On my first Great Saunter experience in 2015, one of my good friends from college and I joined 1,500 other walkers who set out early in the morning. Although my friend and I did not complete the entire walk, we did cover more than 25 miles! By late afternoon/early evening, more than half of the original group had completed the course.

It is amazing how different Manhattan looks and feels “from the edges,” rather than being immersed in the glass and steel canyons of the usual street grid. Highlights of the walk include stunning views of the Statue of Liberty and the New Jersey, Queens and Brooklyn waterfronts.

We walked under several bridges, including the Brooklyn, Manhattan and Williamsburg Bridges.  At the northern tip of Manhattan, we ate lunch at the base of the Little Red Lighthouse in Fort Washington Park, and we later passed through almost 200 acres of the beautifully wooded (and quiet!) Inwood Hill Park. At that point, it was difficult to believe that we were still in Manhattan!

Armed with an excellent map of the Great Saunter route, we were guided along the way by Shorewalkers volunteers, who also provided snacks, drinks and plenty of encouragement.

Preparing for The Great Saunter

If you’re anything like me, you won’t be able to undertake a 32-mile walk on the spur of the moment. To prepare for the Great Saunter, I added several long (six- to seven-hour) walks in the Syracuse area to my usual, regular daily walks. My favorite places to go for the longer walks are Green Lakes State Park, Onondaga Lake Park, and during those cold winter months, Destiny USA mall. If you visit Destiny USA during the pandemic, please follow their healthy shopper guidelines.

My challenge for 2019:  Walk AND bike Manhattan

I may have to do a little more training for my trip to New York this year. I recently learned of the annual Five Boro Bike Tour, a one-day, 40-mile ride that begins and ends in Staten Island on the first Sunday of May (the day after the Great Saunter).

As the name suggests, this event is a ride through all five of the New York City boroughs (also on closed roads), including a trip on the Staten Island Ferry and a ride over the Verrazzano Narrows Bridge. Each year, more than 30,000 people from around the world participate in the Five Boro Bike Tour.

So this year, I’ve made it my personal challenge to spend the first weekend in May in New York, walking in the Great Saunter on Saturday, May 4, and then riding in the Five Boro Bike Tour the following day, May 5.

Anyone care to join me? If so, please respond in the comments section below.