February 7, 2016
Upstate registered dietitian nutritionists Carrie Carlton and Cecilia Sansone talk about nutrition in older adults. Upstate pediatrician Travis Hobart, MD, discusses the new cholesterol screening guidelines for children. Syracuse University professor Amy Ellen Schwartz, PhD, addresses obesity and nutrition in schoolchildren.
Through a partnership with the Syracuse Housing Authority, Upstate is helping to reduce health disparities in public housing neighborhoods. Connie Gregory (at right) and Aldrine Ashong-Katai explain how resident health advocates are trained in important chronic health and social conditions and asked to share the information with their neighbors. “People are more apt to listen to people they can relate to,” explains Ashong-Katai. He and Gregory work in Upstate’s office of diversity and inclusion.
Children between age 9 and 11, and again between 18 and 21, should have their cholesterol checked through a blood test, according to new guidelines from the American Academy of Pediatrics. Testing previously was reserved for children whose families included a history of high cholesterol, explains Upstate pediatrician Travis Hobart, MD. Now the strategy is to identify cholesterol problems early to allow time to intervene. “Children with high cholesterol are much more likely to become adults with a bad cholesterol profile,” he says.
Low-dose computerized tomography scans can help locate lung cancers at the earliest, most treatable stages, says Upstate radiologist Santiago Miro, MD. He tells about the lung cancer screening program at Upstate (call 1-800-464-8668 for an appointment) which is now covered by most health insurance plans. It’s designed for people between the ages of 55 and 77 who have smoked what is known as “30 pack years.” That’s a pack a day for 30 years, or two packs a day for 15 years, or other variations. The testing is also for people who quit smoking within the last 15 years. Lung cancer is the leading cause of cancer death in men and women in the United States.
Syracuse University professor Amy Ellen Schwartz, PhD, examines factors that may influence America’s obesity epidemic in schoolchildren. She has looked at physical education, school lunches and the barriers to walking to school. More recently she studied the obesity rates in New York City schools that installed water jets in school cafeterias, which allow kids to quickly fill cups or bottles with cold water. “After the installation of the water jets, obesity rates go down, and weight goes down,” she says. “And we’re convinced it’s a causal relationship because we can compare it with schools that did not get the water jets.” Schwartz specializes in economics in SU’s Maxwell School of Citizenship and Public Affairs.
January 31, 2016
Upstate urologist Gennady Bratslavsky, MD, joins his patient Erica Searles in telling about a delicate operation to remove a tumor while preserving her adrenal gland. Upstate pediatric rheumatologist Caitlin Sgarlat, DO, and pediatric infectious disease expert Jana Shaw, MD, discuss the diagnosis and treatment of Lyme disease.
January 24, 2016
Registered nurse Deb Polmanteer talks about treatment and options for someone with chronic kidney disease. Upstate urologist Dmitriy Nikolavsky, MD, shares his expertise in surgical repair after gender reassignment surgery, and author Terri Cook tells about the memoir she wrote with her husband about their child’s transition. Syracuse University registered dietitian Tanya Horacek, PhD, explores the factors that influence college student weight gain.
Upstate psychologist Rich O’Neill, PhD, talks in this segment about how our feelings sometimes are out of tune with what is really going on, and how our responses to situations can help adjust the behavior of other people, and ourselves.
Ensuring proper nutrition for senior citizens involves looking at changes in both body and lifestyle, say two registered dietitian nutritionists at Upstate. Decreases in muscle mass, bone density and the sense of smell, coupled with physical illness or depression, contribute to diminished appetite and calories needed, say Carrie Carlton (at right in photo) and Cecilia Sansone. Among their prescriptions are a varied diet of nutrient-rich foods tailored to the individual, sufficient fluids and several small meals as an alternative to three main meals.
Treating chronic kidney disease, which can result from diabetes, high blood pressure and other causes, can involve dialysis and take over the life of a patient and his or her family. That is why at-risk people should be screened, says registered nurse Deb Polmanteer, chronic kidney disease coordinator for the Reach Kidney Care program in Central New York. She describes how this free program — “Reach” stands for Real Engagement Achieving Complete Health — helps patients get support and education to cope with the disease and avoid dialysis if possible.
On top of each kidney sits an adrenal gland, which produces hormones a person cannot live without. When a tumor develops in an adrenal gland, the patient may face the removal of the entire gland and, if tumors were to also develop in the remaining gland, the reliance on medications for the rest of his or her life. So Erica Searles (at right in photo, with Gennady Bratslavsky, MD) appreciated the option presented by Gennady Bratslavsky, MD, who leads the department of urology at Upstate. He removed a tumor but preserved Searles’ adrenal gland in a minimally invasive operation. In this interview, the patient describes how she learned she had a tumor, and Bratslavsky tells about the surgery, called a partial adrenalectomy.
Lyme disease is treated successfully with a short course of antibiotics in most cases, but prevention is the key to controlling the disease, say two experts from Upstate Golisano Children’s Hospital. Since the bacterial infection is transmitted to humans by deer ticks, people should wear long sleeves and pants when outdoors even in warm weather, as well as check their skin afterward, say Caitlin Sgarlat, DO (at left in photo, with program host Linda Cohen at center, and Jana Shaw, MD), who specializes in rheumatology and integrative medicine, and Jana Shaw, MD, who specializes in infectious diseases. They explain how quick and careful removal of ticks prevents transmission of the disease and why they advise against the long-term use of antibiotics for Lyme disease patients with lingering problems after treatment. They also explain how the disease is diagnosed and its typical symptoms.