Quarterly - The Berkshire Eagle
Transcription
Quarterly - The Berkshire Eagle
Health Quarterly www.berkshireeagle.com n Winter 2011 Put your own spin on Retirement Living Come visit our newly remodeled apartments and start planning your future with Kimball Farms Lifecare Retirement Community Lenox, MA kimball farms.org 800-283-0061 PAGE 2 n Health Quarterly www.berkshireeagle.com/health n Winter 2011 Health Quarterly Winter 2011 Winter 2011: Ease and comfort New England Newspapers Inc. www.berkshireeagle.com The Berkshire Eagle The North Adams Transcript Stephanie Zollshan / Berkshire Eagle Staff People enjoy the warmth at Fuel Coffee Shop in Great Barrington, above. Heat, movement and rest may help to bring ease at the holidays. ON THE COVER: Sam Burnham makes a latte at Dottie’s Coffee Lounge in Pittsfield. Stephanie Zollshan / Berkshire Eagle Staff n n n Staff credits ... Healing with heat Careful of falls Pages 6-7 Page 11 Easing the pain Preparing for winter Pages 8-9 Pages 12-13 Keeping fit in tough times Streamlined hot drinks Page 10 Pages 14-15 HQ Editor: Kate Abbott Reporters: Lindsey Marie Hollenbaugh, Amanda Korman, Jenn Smith, Scott Stafford Photographers: Stephanie Zollshan, Caroline Bonnivier Snyder ADVERTISING: Contact your sales consultant or the advertising department. In Massachusetts, for the Berkshire County area, call (413) 496-6321 or (800) 234-7404, ext. 321. In western Vermont, call (800) 491-7567. EDITORIAL: Reach Editor Kate Abbott at (413) 496-6244 or at kabbott@berkshireeagle.com. The next issue of Health Quarterly will be Spring 2012. Health Quarterly is published four times a year by New England Newspapers Inc., 75 South Church St., Pittsfield, MA 01201. It is a supplement to The Berkshire Eagle. No part of this publication may be reproduced, in any form including electronic, without written permission. © 2011, New England Newspapers Inc. Winter 2011 n www.berkshireeagle.com/health Health Quarterly n PAGE 3 Editor’s note Warm wishes for the holidays By Kate Abbott Berkshire Eagle Staff s these pages go to press, college students will be rushing to final exams. They will stay up to the small hours and wear pajamas to the Chemistry lab to finish their last reports. This is the uphill sprint before the bluebooks are handed in and the test-takers reel down the sidewalks, punchy and light-headed. This weekend, students who took the course last winter study will give massages to their friends, and college campuses will serve hot tea in the student centers. Some colleges have begun to invite therapy dogs to help students relax. I wouldn’t mind a visit from a therapy dog. A Saint Bernard sitting by my chair could insinuate her chin above the computer keyboard and remind me that a good head scratch is sometimes more important than all these fonts and rules A Eagle file A yellow lab greets students warmly. and picas-per-inch. Dogs are sometimes right about the simple things that can help to give warmth and comfort, to ease pain or prevent it. You’ll find a lot of those things here: a good walk — a good dinner — a good stretch and a good back rub, a good Giving Seniors warm place by the fire. The only one we may disagree on is a good hot bath. In this Health Quarterly, as the cold season finally arrives, we will talk about the kind of care and medicine and wellbeing we have within reach. Health means that we can move freely and do things that absorb us. It means we have the energy to make plans and see people — and travel to light trees, menorahs and Kwanzaa candles. So we offer this magazine to everyone who can use a measure of warmth this holiday. Whether you are visiting a loved one in hospital, caring for a loved one at home, nursing a baby, missing someone lost or far away, shoveling a driveway, or blowing a sore nose over a cup of hot lemonade while taping up holiday parcels — we wish you well. And if anyone wants to bring a therapy dog to visit the Eagle, we’ve got plenty HQ of newspapers to fetch. n New Tomorrows S H E E H A N H E A LT H G R O U P Our caring family is here for yours. Whether you are looking for independent living, assisted living, skilled nursing & rehabilitation, or home care, we’re by your side, providing premier, personalized care to seniors in Berkshire County. CRANEVILLE PLACE OF DALTON* Rehabilitation & Skilled Care Center Assisted & Independent Living Dalton, MA 413-684-3212 Dalton, MA 413-684-0100 SPRINGSIDE† SUGAR HILL AT Home Care Rehabilitation & Skilled Care Center HOME Servicing Berkshire County 413-499-1777 Pittsfield, MA 413-499-2334 * = Offering Memory Care SUGAR HILL SENIOR LIVING COMMUNITY* † = Designated Short-Term Rehab Unit www.sheehanhealthgroup.com A NEW TOMORROW STARTS TODAY. CALL AND LET US TAKE CARE OF YOUR FAMILY. PAGE 4 n Health Quarterly www.berkshireeagle.com/health n Winter 2011 Strained students relax ... A study break with a spaniel By Sarah Womer Associated Press YUMA, Ariz. — Students at Arizona Western College started finals earlier this month, and with those end-of-the-year exams comes the inevitable — stress. Laura Shepherd, an adviser with Club SOTE (Seeking Opportunities Through Education), said that her group at AWC and the Student Government Association worked together to bring therapy dogs to campus the week before finals, giving students a chance to relax during this hectic time. “I’ve noticed there is a national trend right now with bringing therapy pets to college campuses,” Shepherd said, adding that she was also involved with a similar activity while she was attending San Diego State University, and it proved to be very successful. “I wanted to bring that here to Yuma to create some kind of an event that would contribute to relieving the stress that students are under during finals week,” she said. A handful of dogs and their owners from Love on a Leash’s Yuma chapter visited the campus for two hours a day for three days — making a difference for those who stopped by. It was so successful, in fact, that the student groups are already making plans for the therapy dogs to stop by again next semester during midterms. New Love on a Leash member Oliver, a Teacup Yorkie who goes by “Ollie,” was drawing students left and right who were amazed by his tiny stature. His owner, Jeff Jaquays, said that he initially decided to get involved with Love on a Leash to share Ollie with the community because he has done so much for their family. “This was my wife’s dog,” Eagle file Torch, a therapy dog, visits students at the Berkshire Arts and Technology Charter Public School in Adams. Many schools have found that therapy dogs can help students relax. Jaquays said. “We got him three months before she was diagnosed with cancer, and for two years after that he lay on her lap and was very comforting to my wife. After she passed away, I decided I needed to share him with people and give back so that others could be around him. Now I take him to schools and to nursing homes, and we do all the things we can to make other people happy. The neat thing about it is when I see someone smiling because of him, it makes me smile inside even bigger.” He said that it is also good for Ollie to get out the house and visit with other people. “Otherwise he’d be at home sleeping,” Jaquays said. Freshman AWC student Silvia Rios said that having the dogs on campus distracted her for a bit from the stress of Winter 2011 n www.berkshireeagle.com/health looming exams, and that she enjoyed visiting with Ollie. “I heard that it actually helps, and I was really curious to see if it would,” she said. “It was a fun environment, and it helped relax me before finals.” Classmate Adrianna Stevens, another freshman, said that even though she owns cats, she loved spending time with the dogs on campus. “It was really calming, just to come out here and relax,” she said. Freshman Victoria Hernandez said that she had a lot of fun playing with the dogs. “It distracted me, and suddenly my mood changed,” she said. Yuma Love on a Leash chapter vice president Vicki Privette was on campus with her two dogs, Maddy and Tilly, a cocker spaniel and a springer spaniel/border collie mix. She said she loved seeing the students’ faces light up when they visited with the animals. “It’s relaxing to them, and a lot of them want to take our dogs home,” she said with a laugh. Privette added that some students who stopped by were from out of state or from another country and couldn’t go home for the holidays. “This is just like a little bit of home for them, away from the school atmosphere,” she said. “That’s what we’re all about, whether we’re at schools, rehabs, nursing homes ... we just want to make people happy. It doesn’t matter where we go.” She said they offer their services free, as they are all volunteers, and added that they also make house calls to those who are confined to their homes for HQ health reasons. n Health Quarterly n PAGE 5 Healing with heat Warmth helps illness or injury By Jenn Smith Berkshire Eagle Staff Eagle file Heat and massage can help to soothe sore muscles and stiff joints, say local spa owners who use warmth in many treatments. Vicki Smith M.D. nective tissue can also begin to loosen, and blood circulation is stimulated, which is why a person can feel more relaxed after a steamy shower or cozy wearing a fleece sweatshirt or wool socks. At Body & Soul, the Marshalls and their staff members first greet their clients with a warm neck or back wrap. (The microwavable wraps are easy Doctor of Chiropractic 1547187-01d Hitting the slopes or frolicking in the snow is a great way to spend a winter’s day, especially if it ends with a warm bath, a hot meal or a rest by the fire. When used safely, heat can not only bring us comfort and joy, but can also create some health benefits, too. “In my mind, there’s also a huge health benefit to the comforting aspect of heat as well,” said massage therapist Stephen Marshall, who co-owns Body & Soul day spa in Great Barrington with his wife, esthetician Doone Marshall. “We’re big heat proponents,” said Doone Marshall. “If the body doesn’t feel warm, it doesn’t relax.” The human body naturally hovers at a temperature of about 98.6 degrees Fahrenheit. If the body gets too cold, we shiver or seek heat to restore balance. Heat can also help people fight infections, which is why we may get a fever while fighting a flu virus. When the body is comfortably warm, muscles and con- to find at most stores, and many brands can be bought for $20 or less.) “Those things generate fantastic warmth. Most people come in cold, so we start there with a baseline of being comfortable, then we move up,” Stephen Marshall said. They use heated massage tables, which Doone said adds more comfort than therapeutic relief. The spa also uses Thermophore moist heat packs, which are believed to deliver a more penetrating heating sensation. “If you can relieve tension, you can help people, as tension often causes pain,” she said. Stephen said some research has shown that connective tissue is thixotropic, meaning it 374 South Street - Pittsfield, MA 01201 phone: 413-447-3888 fax: 413-499-4455 Stephen D. Tosk, D.C. PAGE 6 n Health Quarterly An assisted living residence where friendships are made One hour care a day, medication management, meals & house keeping all included. 109 Housatonic St., Lenox, MA 01240 413.637.3100 www.newspringseniorcommunities.com 1547188-01d Practice/Clinic: Berkshire Chiropractic Services, P.C. Address: 100 Wendell Ave., Suite 9, Pittsfield, MA 01201 Phone: (413) 442-8563 Website: www.toskchiropractic.com Education/Certification: Diplomate, National Board of Chiropractic Examiners; B.A. University of Hartford 1974; Doctorate, Northwestern College of Chiropractic, St. Paul, Minn. 1977 Numerous post graduate seminars and classes taken in the areas of automobile accidents, x-rays, workplace injuries, sports injuries, nutrition and exercise. 1546266 www.berkshireeagle.com/health n Winter 2011 Stephanie Zollshan / Berkshire Eagle Staff Steve Hennessey relaxes by the fire in the lobby of The Red Lion Inn in Stockbridge — a warm place for a mug of hot cider. is more pliable and able to be stretched when moved and warmed. But the health benefits of this reaction still come up for debate among physicians and therapists. Joanne Lacey, a pharmacist at Lenox Village Integrative Pharmacy, said heat alone is not a cure-all, but it can help the healing process. Heating pads, whirlpools, even topical ointments like Bengay or Icy Hot can provide relief to injuries, but Lacey recommends using ice before heat, particularly on a new injury. In terms of other ailments, warm liquids and steam treatments can break up nasal congestion, and herbal teas can also be soothing to the throat. “It can break up congestion caused by bacteria. It doesn’t Heat and safety: Heat can make us feel warm and cozy, but it can also become dangerous. Here’s a list of cautions while using heat: Candles can add warmth to a room and the light can brighten the mood on a cold, dark day. But take care to fully douse a candle after use, especially before you go to bed. Flameless LED candles can be a safe alternative. Heating pads and heating ointments can each help aching muscles, but they should never be used together. Putting a heating pad on top of ointment-treated skin can cause a chemical reaction that can be toxic to the body. Similarly, hot water bottles and electric blancure, but it does help so that symptoms are not as severe,” Lacey said. Adding herbs like ginger, peppermint or chamomile can also be soothing not only for Winter 2011 n www.berkshireeagle.com/health kets can be great bed warmers, but they should never be used simultaneously, even if the blanket is switched off. If you use an electric blanket, unplug it before you go to bed, unless it has a thermostat control for safe all-night use. Herbal supplements can taste and smell good, but they can be harmful to the body if not used in a proper dose, or if mixed with other medications. Consult a physician before using herbal or homeopathic remedies. Elderly people, children and infants and people with certain medical conditions can be more heat sensitive and should take precautions when using heating pads, blankets, hot tubs, steam rooms and/or saunas. — Jenn Smith the throat, but for the stomach as well, when a person is sick. Herbs like rosemary, cinnamon, cardamom and pepper are also said to have warming effects when used in teas, wraps or compresses. But whatever your pleasure this winter season, be sure to use warming products within reason, and consult your physician first. HQ n Health Quarterly n PAGE 7 Photos by Caroline Bonnivier Snyder / Berkshire Eagle Staff Al Cassidy teaches a healthy backs class at the Pittsfield YMCA on Tuesday and Thursday mornings. Easing pain ... When an aspirin won’t touch it By Amanda Korman Berkshire Eagle Staff PITTSFIELD — Al Cassidy knows pain. The 78-year-old physical trainer began dealing with a bad back when he entered middle age, and he has spent the last several decades trying to help others cope with theirs in his “healthy backs” course at the Pittsfield YMCA. “It affects you psychologically; it affects your balance, how you feel,” he said. “My wife knows when my back is bothering me because I’m a bear.” Chronic pain, a term that encompasses everything from spinal-related aches to the full-body hurt of fibromyalgia, can have serious impacts on PAGE 8 n Health Quarterly people’s daily lives, according to Dr. Steven Nguyen. “Pain is a big factor that limits the function,” said Nguyen, a pain specialist at Berkshire Medical Center’s New England Pain Diagnosis and Treatment Center. “Patients come in — they have lost their jobs because the pain interferes with their function; they cannot participate in their daily lives; they cannot enjoy life as much as they did in the past.” In winter, the hurt often goes from bad to worse. The aggravation of pain in cold weather is a well-documented phenomenon, but there’s no known explanation, according to Nguyen. “There’s no scientific reason www.berkshireeagle.com/health n Winter 2011 behind it, but that’s what we see in almost all patients,” he said. At least one contributing factor is the simple fact that the snow and chill keep people indoors, where they’re moving less and thinking about their malady more. “They stay mostly inside in winter and tend to be focused more on the pain,” Nguyen said, “when in the summertime, you can go outdoors and get your mind off of whatever you have.” Nguyen, who sees more people with more complicated pain cases, estimated that about 90 percent of his patients are on some sort of prescription medication, from anti-inflammatory drugs to muscle relaxants. The “last resort,” he said, are the opiods, like Vicodin or OxyContin. These highly addictive drugs are associated with abuse and recreational use. But even when they are used correctly, patients can become dependent and find that they are more sensitive to pain. Patients may also find some relief in natural options like ginger, curcumin and turmeric, according to Dr. Nancy Bronstein, a Great Barrington chiropractor and alternative and complementary medicine practitioner. Usually taken in pill form, those spices play an anti-inflammatory role in reducing the hurt, as can fish oils, she said. The most often cited lifestyle changes for health — quit smoking, eat a good diet and exercise more — are also associated with the alleviation of chronic pain, Bronstein said — except when pain derives from an overstressing of muscles — the territory of the “weekend warrior,” she said, who would do well with taking a break from exercising. “In general, what keeps people’s pain levels lowered are the things that keep us free of most chronic diseases,” Bronstein said: “regular, sensible exercise, lots of fresh vegetables.” For people with more severe pain, there’s not always a solution waiting in the wings, Photos by Caroline Bonnivier Snyder / Berkshire Eagle Staff Stretching can help to relieve some kinds of chronic pain and soreness. If you go ... What: Healthy Backs 101 When: 7:30 to 8:30 a.m., Tuesdays and Thursdays, Jan. 3-Feb. 9 Where: Pittsfield Family YMCA’s auditorium Admission: $40, free for YMCA members Information: Al Cassidy: (413) 442-8073 or Michelle Kettler: (413) 499-7650, ext. 33, mkettler@pittsfieldfamily ymca.org Nguyen said. In those cases, the question is how to alleviate, rather than eliminate. “Let’s say the pain is severe. If we bring it down to a tolerable level where they can function, they can go back to work, that’s a success for us and for the patient,” Nguyen said. “So we have to be clear about the goal.” HQ n Winter 2011 n www.berkshireeaglecom/health Health Quarterly n PAGE 9 Keeping fit in tough times Exercise as medicine for pain By Adrian Dunn Special to The Eagle any of us know how frustrating it can be to manage our daily activities with a physical injury or illness. For millions of people, pain from ongoing conditions can become chronic, lasting three to six months or longer, and the effects can be increasingly difficult to manage. Though regular exercise may be the last thing you want to do when you’re in pain, resist the impulse to curl up under a blanket. Maintaining as much physical activity as you can within reasonable limits can improve your overall health, boost your mood and increase your quality of life. Chronic pain can affect only one area of the body, as in low back pain or nerve damage (neuropathy); more than one area, as in osteoarthritis; or a widespread area, as in fibromyalgia. Each condition requires an experienced physician who will work with you to find ways to deal with both the physical and the psychological aspects of your condition. Pain affects the mind as well as the body and can lead to depression. So a comprehensive approach to treatment is best. Medication, psychological therapy and physical therapy may help — and so may moderate exercise. M Why movement helps If you live with chronic pain, you may initially respond by becoming inactive, which can lead to tight hips and hamstrings, weak back and abdominal muscles and poor postural alignment. Losing balance in opposing muscles can also increase the chance that you will injure yourself again. Weakened muscles no longer support the joints. PAGE 10 n Health Quarterly Some resources in Berkshire County Pittsfield Family YMCA offers Silver Sneakers strength and cardio circuit programs appropriate for those with exercise limitations. They also offer a shallow water, lowimpact pool workout. Northern Berkshire YMCA in North Adams offers a Twinges in the Hinges water exercise class as well as two other water aerobics classes. Fit 4 Life exercise classes supervised by a physical therapist are offered at Raised shoulders, tightly contracted chest and weak shoulder muscles — recognized as a “pain posture” — can lead to short, shallow breathing. Reversing these trends can re-establish muscles and joints in better working order and help you to breathe deeply and stand straight. Too much or too vigorous exercise can make some conditions worse, including fibromyalgia and arthritis, so take care to find the right amount and to schedule your exercise when you are not having a flare-up of your symptoms. General guidelines: Consult your doctor or other health care providers first. Find out what exercise limitations are specific for your condition and find the right specialists to help you — your doctor, your physical therapist or a certified personal trainer who specializes in your condition. n Begin with gentle stretching every other day. If you have been inactive for several months, don't jump back into an exercise program you used to do. Instead, begin with a simple stretching exercise Williamstown Physical Therapy in Williamstown. New England Pain Center at Berkshire Medical Center Hillcrest Campus in Pittsfield provides a comprehensive program for pain management. You can ask your doctor for a referral. Do you offer appropriate fitness and wellness programs for people in chronic pain? Let the Eagle know at kabbott@berkshireeagle.com. Courtesy of Sylvia Thompson routine, which should work your chest, back, shoulders, arms, legs, and feet. Stretching can loosen tight muscles, and improve your range of motion. n Always stretch after your muscles have been warmed up for at least five minutes, and breathe throughout the stretch. Hold the stretch for 10 seconds to start, then increase gradually to 30 seconds, if you can tolerate it. n Try yoga or Tai Chi. Hatha yoga, which combines breathing exercises with physical postures and meditation, has been shown to reduce the physical and psychological symptoms of chronic pain in women with fibromyalgia, according to a recent study. Tai Chi, a series of graceful, slow, standing movements, has also been shown to help relieve pain and improve balance. Work up to it n Do resistance training two or three times a week. Use very light hand weights (1-3 lbs.) or exercise bands, and lift slowly and precisely to improve muscle tone. n You can work core muscles (abdominals and back) on a stability ball. Low repetitions are best, beginning with eight reps and increasing up to 10 to 12 reps. Work each major muscle group — legs, chest, shoulders, back, arms and abs. Rest one day in between workouts. n Add low impact, aerobic endurance exercise — swimming, easy water aerobics, walking or cycling, for instance. A recumbent bike may be easier on your knees than an upright one. Use an elliptical machine instead of a treadmill for a lower impact workout. n Do short workouts first. If your goal is to walk for 30 minutes, start with three 10minute walks a day. Pay attention to how you feel and adjust accordingly. You may find exercise classes at your local hospital outreach program, physical therapy practice, yoga center, YMCA or senior center. While you can exercise on your own, joining a group or class can be a real lift for your spirits, as well as giving you a safe workout. HQ n Adrian Dunn of Williamstown is a ACSM certified personal trainer and a wellness coach in the Berkshires. To reach her: Dancerdunn@gmail.com. www.berkshireeagle.com/health n Winter 2011 Careful of falls How to avoid accidental slips By Telly Halkias Special to The Eagle Valentine’s Day 2010 didn’t turn out sweetly for Sylvia Thompson. On her regular hike up Berlin Mountain in Berlin, N.Y., the 68-year-old self-proclaimed health and fitness fanatic took a fall, fracturing a bone in her wrist. “I had never broken a bone,” Thompson said. “I wore a cast for a month and then had a removable one for a while. My orthopedist said, ‘You really heal well; how do you do it?’ ” Thompson’s quick recovery was rooted in practices that prevent falls by developing strength and sense of balance. “I eat well and exercise daily,” she said. “I hike three to four times a week, and walk the other days. I snowshoe when the snow is deep. And I do yoga three times a week. My doctor told me the way I fell was due to my reaction and balance. It could have been much worse.” Prevention better than cure Experts have long agreed that age changes physical performance, including one’s balance. As activity levels decrease, so does the body’s capacity to maneuver. Deborah Henley, an orthopedic surgeon at Southwestern Vermont Medical Center in Bennington, Vt., said decreased balance is common in middle age, so prevention of falls should be taken seriously. “Forty-five percent of women over 50 experience some type of injury from an accidental fall,” Henley said. “Since bone mass peaks between ages 20 and 30, the increased risk of being hurt from a fall rises in middle age. Fragile bones can’t take the impact they did when we were younger.” Henley said calcium and Courtesy of Sylvia Thompson Sylvia Thompson takes a recent yoga class led by Carol Steinmetz, R.N. Thompson suffered a fall while hiking at age 67 and credits yoga for helping her maintain a strong sense of balance. vitamins C and D in one’s diet can help, as well as avoiding narcotics and biophosphonates (drugs used to strengthen bone). Regular exercise is essential, she said. “Strengthening the body through walking, yoga, dancing, and Tai Chi can be an asset to one’s overall balance,” she said. “When balance improves, the risk of falls decreases. Even if you stumble, the ability to react quickly and gracefully can reduce the impact of falling and any resulting injury.” Carol Steinmetz, a registered nurse from Pownal, Vt., and a registered yoga teacher, holds classes in both Massachusetts and New York. She said practices such as yoga, Tai Chi and Pilates demand concentrated awareness while stimulating nerve pathways improving muscle response and reaction time. “Yoga demands focus on breath and body to achieve the postures,” Steinmetz said. “This is invaluable for the mind and body. Aging requires more attention be paid Winter 2011 n www.berkshireeagle.com/health to the body than ever before. This increases awareness of our body in space, and physical sensations. When conscious of sensations that affect our balance, we can make wiser decisions.” Steinmetz said yoga strengthens and tones muscles, ligaments and tendons. With use of repeated postures and new challenges in movement patterns, the nervous system is exercised and strengthened. She added that most falls can be prevented in practical ways. These include wearing supportive footwear, anchoring throw rugs, using sole grippers in winter, and asking for help when faced with balancechallenging tasks such as cleaning gutters or hanging Christmas lights. Also, people can use caution with animals, install stairway railings, and avoid physical challenges when ear canals are blocked by a cold. Balanced meals are also key, as shifting blood sugar levels can cause weakness, resulting in falls. Senior consequences Still hiking Berlin Mountain several times a week, Thompson said she doesn’t plan on slowing down and credited her active lifestyle with a greater sense of well-being. “I’ve been doing yoga for more than a decade,” she said. “It has helped me in my flexibility, balance, and peace of mind. The times I have fallen, I seem to fall gracefully. I can only attribute this to yoga.” Yet she admitted there are consequences from falling and agreed seniors should be prepared to face them. “After [last year’s fall], I developed plantar fasciitis in my right heel, followed by arthritis in my right leg,” she said. “I’ve taken this in stride and find the continuous stretching of yoga very helpful. I realize the trickle-down effect of being hurt as one gets older, but my philosophy is if you’re in the best shape possible, the consequences of injuries and illnesses are less severe and the recovery much faster.” HQ n Health Quarterly n PAGE 11 Grieving over the holidays NORTH ADAMS — The Visiting Nurse Association & Hospice of Northern Berkshire, Inc. invites those who have experienced the loss of a loved one to a holiday gathering on Tuesday, Dec. 20, from 6 to 7:30 p.m. Hospice Bereavement facilitator Corinne Case, LMHC, will lead a time of reflection. All who come are encouraged to bring a photo or memento. The gathering is free. In a supportive and confidential setting, the group will share experiences related to their loss. Please call Volunteer Coordinator Patricia Courtemanche at (413) 664-4536 to RSVP for the Gathering. Eagle file A support group in North County will welcome those who have lost a loved one. 0SHBOJD t /BUVSBM t -PDBM $PPQFSBUJWFMZ 0XOFE $PNNVOJUZ 'PDVTFE *UT NPSF UIBO KVTU B TUPSF *UT B DPPQ PAGE 12 n Health Quarterly Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Your local, independent Pharmacy Rx • Ample Free Parking Rx • Open 7 Days A Week Rx • Delivery Service Available Rx • We Bill Most Third Rx Party Plans Including Rx Cvs / Caremark • Durable Medical Equipment Rx • 24-Hour Emergency Service Rx • Fax Service Available • Medela® /Ameda Breast Pump Specials Rx Rx “Support those who support your community” Rx Rx Rx Home Care Pharmacy 403 Main St., Dalton, MA Rx 413-684-0023 Rx visit us on the web @ www.olaughlinspharmacy.com Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx You can trust us. ’Laughlin’s 1547396-01 %5,'*( 675((7 *5($7 %$55,1*721 :::%(5.6+,5(&223 021'$< 6$785'$< 681'$< Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx Rx www.berkshireeagle.com n Winter 2011 Hard choices in the cold: Food, warmth and medicine By Scott Stafford Berkshire Eagle Staff Thousands of Berkshire County families will face the coming winter with about half the heating aid they received last year — and many will face some hard choices. According to officials at Berkshire Community Action Council (BCAC), the roughly 10,000 families who apply for heating aid this winter — and meet the guidelines — will receive between $380 and $650 for heating oil, whereas last winter the average family received $800 or more from the Low Income Home Energy Assistance Program (LIHEAP). At the same time, the cost of heating is expected to hit record highs this winter. A report issued by the U.S. Energy Information Administration in October said, “The average price paid by households in the Northeast this winter for heating oil may be the highest ever, almost $3.71 per gallon, more than double the average cost of natural gas.” That is an increase of more than 10 percent. The report also notes that in seven years, the cost of heating oil has more than doubled. So when families face an increased heating cost of roughly $500 or more this winter, the question becomes where to cut back. With money so tight, the cost of medication and food are on the table. But first, many will wonder how low the thermostat can go before it starts to affect the health of the residents. According to Dr. Robert Davenport, a primary care physician with the Hillcrest Family Health Center at Berkshire Medical Center, the temperature limit that is too cold varies a little from one person to the next. Eagle file Students gather coats, above, to help people who face the cold weather as heating costs rise. “But it is generally felt that the room temperature should be kept in the 60s at a minimum, as long as the patient adds layers of clothing to prevent hypothermia,” Davenport said. Some may be tempted to reduce their monthly allotment for medication. That choice could bring possibly dire consequences, but there are places where people can get help with the cost of drugs and still keep up with their daily prescriptions, Dr. Davenport said. “If a patient feels they cannot afford their medications, I would recommend that he or she set up an appointment with his or her physician to discuss alternative medications, which might be helpful, depending on the condition being treated, in reducing cost,” he said. Davenport explained that many pharmacies have discounted plans for generic medications, and a patient can discuss such a plan with their pharmacist. And some pharmaceutical companies offer free or discounted prescriptions for some brand name scripts. Winter 2011 n www.berkshireeagle.com/health “Naturally, every patient is different, and a lot of this will be very particular to the individual patient’s medical needs,” he said. Another fixed cost families may seek to reduce is their food spending. This is apparently a popular choice to cut back on, because local food pantries are reporting a dramatic spike in the number of families seeking food aid. At the same time, many of the food pantries have seen their federal funding cut in half. So they’re trying to distribute less food to more families. According to Lt. Cynthia Crowsen, administrator of the Salvation Army in North Adams, “We’re definitely seeing more people coming in for food pantry assistance and Christmas assistance because of the increased cost of heating. And all the assistance agencies are receiving less revenue.” In addition, there is less funding for emergency rent and utility assistance, she said, “so there is a big gap to fill this year.” But there are some other sources of heating aid that can reduce some of the hard choic- For information ... To learn more about energy or food assistance, call the BCAC at (413) 445-4503. es, said Tammy Biagini, the LIHEAP director at BCAC. Once a family exhausts their aid from the LIHEAP program, said Shirley MacDonald, director of community programing at BCAC, they can seek help from the Salvation Army’s Good Neighbor Fund. There is also Citizen’s Energy, an independent low income energy assistance agency, which is chaired by Joseph P. Kennedy II. For further food assistance, MacDonald said, there are nearly 18 food pantries in Berkshire County, with 10 in Pittsfield alone. There are also five Pittsfield locations and one place in North Adams that offer free hot meals once weekly. “It’s tough every year, but this year is tougher than most,” MacDonald said. “That’s almost all we talk about — how hard it’s become.” HQ n Health Quarterly n PAGE 13 Streamlined hot drinks Comfort in a (low-calorie) cup By Lindsey Marie Hollenbaugh Special to The Eagle It’s a cold December night. You’ve got a great book, a cozy blanket and countless snowedin hours all to yourself. You go to reach for your favorite handmade mug, filled to the brim with rich, heavy cocoa, toppedoff with whipped cream. Sounds perfect, right? Well, almost. In the blistery winter days ahead when your throat craves something hot and your hands gravitate toward a warm mug, it’s possible to reach for something that tastes good and offers health benefits, not just empty calories and caffeine. Anna Smith, a member of the Berkshire Botanical Gar- Eagle file Tea has many benefits. Orange, spices and herbs may sweeten and invigorate a hot cup of tea and cleanse the body too. den’s Herb Associates, recommends spicing up your regular cup of decaf herbal tea with orange juice and honey. She also suggests steeping tea with 1⁄2 teaspoon of chopped fresh rosemary and 1⁄4 teaspoon of chopped, peeled fresh ginger, or with slices of Meyer lemon and honey. For those who want to make your own decaf, just pour a little hot water over a tea bag in a cup and steep for one minute. Then remove the tea bag from the cup and use that bag to make your tea. “Much of the caffeine is released in the first minute of steeping,” Smith said. n At the Kripalu Center for Yoga & Health in Stockbridge, “YOUR BEST CHOICE FOR MEDICAL CARE” 510 MEDICAL WALK-IN CRAIG W. FISCHER D.M.D ORTHODONTIST Medical Care At Your Convenience Celebrating over 30 Years in the Berkshires “The Patient Is Our Main Concern. You Will Be Treated By An Experienced Caregiver.” is pleased to announce his office is now accepting patients wishing to be treated using the invisalign® system. • No appointment necessary • All general medical problems and minor emergencies, including lacerations and routine PE’s for adults and children • Onsite X-ray & Laboratory • We submit to major insurance companies • Workman’s compensation • Occupational medicine and drug screening • Immunizations and flu shots ATTENTION TEENAGERS You may be a candidate for Use us as your primary care physician 1546185 Monday thru Friday 8 a.m. - 5 p.m. Saturday 9 a.m. - 1 p.m. 510 North St. PAGE 14 n Health Quarterly Pittsfield, MA 499-0237 1547403 510 MEDICAL WALK-IN 413-499-2862 10 Second Street Pittsfield, MA 01201 413-528-4396 390 Main Street Great Barrington, MA 01230 www.brkshireeagle.com/health n Winter 2011 Stephanie Zollshan / Berkshire Eagle Staff Sam Burnham makes a latte at Dottie’s Coffee Lounge on North Street in Pittsfield. Hot drinks can be comforting and healthy. visitors joining in the center’s Detox Healthy Living program are given this warm recipe for Ginger Turmeric Detox Tea, according to Annie B. Kay, lead nutritionist at Kripalu. For more recipes... For healthy hot drink recipes and tips from local chefs, visit www.berkshire eagle.com/health. What you’ll need for Detox Tea: 2 cups of water 1 ⁄4 cup of fresh chopped ginger 1 ⁄2 teaspoon powdered turmeric 1 tablespoon of honey Juice of half of a lemon Bring the water to a boil. Add the next two ingredients and simmer for 10 minutes. Strain tea into a mug, then add honey and lemon and stir to combine. “Not only is it tasty, but each ingredient also supports your body’s nutrient-driven natural detoxification that is going on all the time,” Kay said. For those who enjoy the healthy benefits of green tea, Deb Morgan, executive chef at Kripalu, advises in her latest cookbook “Kripalu Breakfast: Savory and Sweet” not to use boiling hot water because it can burn the tender leaves. Instead, green-tea lovers should bring the water to a boil then let cool a little before pouring over the tea. n If you require some spirits in your warm drinks to help you get you through these Berkshire winters, Caitlin Harrison, front of house manager of Mezze Bistro and Bar in Williamstown, suggests the unexpected taste and historical healing powers of bitters. There are two types of bitters: potable, usually sipped over ice or “neat,” and nonpotable bitters that are shaken in cocktails. These non-potable bitters are like the “salt and pepper” for any good drink, seasoning the cocktail but not the star of Winter 2011 n www.berkshireeagle.com/health the show, Harrison said. Most bitters are commonly a mixture of many organic components including herbs, spices, flowers, roots and bark. Historically, Europeans have believed bitters could cure a long list of medical ailments, including digestive issues, kidney problems, headaches and jaundice. Today, potable bitters, such as Fernet Branca, Averna and Pastis, are still used as after dinner drinks to help ease digestion. “I find bitters to be one of the most profound and prolific programs in modern mixology,” Harrison said. For a warm citrus cocktail with straightforward pastis — a potable bitter that is made with anise, an herbal component — and a hint of sweetness, Harrison recommends this variation on the classic Hot Toddy, a recipe she learned when working at a bar in Boston. What you’ll need to make a Fillinges Chaud: 1 1 ⁄2 ounces Ricard Pastis 1 barspoon of local honey 1 dash of clove bitters To make this drink, top the listed ingredients with hot water, stir and add a flamed lemon twist for garnish. Those shopping for bitters can find them in most middle or high-end liquor stores, according to Harrison, and should expect a dry, bitter taste similar to biting into a clove. “You taste it and it’s like ‘Whoa!’ and then you suddenly feel better,” Harrison said. “Bitters have a nice herbal taste, like biting into dry herbs. It’s a medicinal, bitter taste. You get all that herbaceous bark-like sensation on the palate.” Regardless of the main ingredient, all warm-drink experts agree that fresh, local ingredients are key to keeping your winter drinks healthy and tasty. And if you really need your hot chocolate fix, just hold HQ the whipped cream. n Lindsey Hollenbaugh Online Editor The Berkshire Eagle (413)496-6229 Health Quarterly n PAGE 15 Our Network’s Got You Covered. Whatever kind of healthcare you need, Berkshire Healthcare has you covered—all across Berkshire County. We provide nursing care, short-term rehab, long-term care, independent and assisted living, Alzheimer’s and dementia care, respite care, adult day care, specialty programs, and hospice services— all in Berkshire County. No one else can say all that. Our customers say our care and service are top-notch. We employ enthusiastic and caring area professionals, because caring for our neighbors is our top priority. We’re locally owned and operated, a nonprofit company based in Pittsfield and focused on our community. If you or a loved one needs care, call us first. We’ll provide the care you need or help you find it. Berkshire County Local Affiliates: We’re Perfecting the Art of Superior Care. berkshirehealthcare.org 800-445-4560 PAGE 16 n Health Quarterly www.berkshireeagle.com/health n Winter 2011