Health Department:Healthy Living

E
SUNDAY, December 11, 2011 | poughkeepsiejournal.com/health
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DUGAN RADWIN, Section Editor » 845-437-4841 » dradwin@poughkeepsiejournal.com
DR. MICHAEL
CALDWELL
TO YOUR HEALTH
We must end
domestic
violence
Andrea Bocelli is singing “The Lord’s
Prayer” in my office as I write to you. It
is one of the most beautiful and spiritual
renditions I have ever heard. I could
think of no better way to capture the way
I am feeling today after having read the
recent news of another tragic domestic
violence event in our community.
Yes, it is a tragedy, but I see more. I
see it a different way. I see it as hopeful.
Why?
The Poughkeepsie Journal has reported that it was likely that one of the young
children called 911 for help. When chaos
was raining down on their mommy and
the world, a child reached out for help
and we were there. Yes, we were there to
help — you, me and everyone who cares
about children and families and our community.
It is evident that our public safety professionals are cooperating and working
every hour of every day to protect the
children and families of Dutchess County. They put their lives on the line to protect us.
This situation could have resulted in
many more innocent lives lost. Thankfully, we have demanded that laws be
changed and modified to address domestic violence. Much progress has been
made yet we must continue to be vigilant
in our work to eliminate domestic violence.
Less than a century ago, English comSee CALDWELL, Page 4E
12
The participants in the Better U Challenge are: Front row: Blair Wing, Kristine Conte. Standing are Sandra Larkin, Donna Bourhill,
Anita Jones, Dawn Keefe, Antonia Sweet, Karen Marchant, Jennifer Crewell, Sara Greenberg, Monique Walker and Lydia
Reyes-Spath. COURTESY PHOTO
women take
challenge for
healthier lifestyle
Dutchess-Ulster 12-week heart fitness program is under way
DR. KIMBERLY
CLARE
PEDIATRICIAN ON CALL
Doctors too
liberal with
antibiotics
I decided this month I am prescribing
too many antibiotics. I haven’t exactly
counted, but my gut feeling tells me I
have been more fast and loose about
treating children who have been coughing for a while. I think if I believed the
medication was warranted in all of these
cases, I wouldn’t worry about it too
much.
But I don’t believe it. I think that for at
least a few of these patients, I am treating the parental concern that “she’s been
coughing so long,” rather than the actual
illness.
You may have also noticed I’m not the
only doctor having this problem, because it seems that every child I see has a
father, or grandmother, or cousin who’s
See CLARE, Page 2E
Karen Maserjian Shan
For the Poughkeepsie Journal
Karen Marchant wants to lower her
blood pressure and cholesterol without the use of medication. She’d also
like to lose weight and prevent the onset of diabetes.
“Heart attacks, high blood pressure
and stroke run in my mother’s family,”
said Marchant, 50, of Hyde Park. “I
raised two children on my own and
spent the last 20 years doing for others. It is time I put myself first and did
something to improve my health and
physical well being.”
Anita Peeples Jones of Poughkeepsie also wants to improve her health.
She has high blood pressure, arthritis
and high cholesterol for which she
takes medication. She’d like to lose
weight, exercise more and get off her
expensive medicines. That’s not all.
Jones also would like to, “prove that at
67, I am still capable of changing my
lifestyle,” she said.
Luckily for Marchant and Jones,
they’ve been given the opportunity to
improve their health. Both are part of
a group of12 women selected to participate in the Dutchess-Ulster American
Heart Association’s first Go Red Bet-
ON THE WEB
» Follow the women’s progress on
the BetterU Blog at on the Journal’s
website: poughkeepsiejournal.com/
betteru
» Join the BetterU challenge at
www.GoRedForWomen.org and
get guidance for better health,
including:
» 12 weeks of step-by-step guidance
on becoming healthy
» A downloadable online BetterMe
Coaching Tool. You can place it
anywhere — your desktop, iGoogle
or your blog. BetterMe is nationally
supported by Ocean Spray.
» 365 daily tips from expert coaches
on nutrition, stress, physical activity
and more
» Structured long- and short-term
goal setting.
» Individual journaling capabilities.
» A BetterU Forum to connect with
other participants.
» Healthy recipes to keep you on
track.
terU Challenge, a free 12-week program sponsored by Central Hudson
Gas & Electric Corporation that incorporates nutrition and fitness counseling to help the women improve their
heart health.
“We were delighted to have so many
applicants for the program,” said Central Hudson Vice President Denise
Doring VanBuren. “The stories of
these 12 women really create a broad
picture of the health and life challenges women face. We know they will
inspire us throughout the 12 weeks.”
The women began the BetterU
Challenge on Monday. It will continue
through Feb. 27 and be celebrated at
the annual Go Red for Women luncheon on March 2. The challenge
includes:
» Free baseline medical evaluation
provided by Health Quest.
» Free 12-week membership to
Gold’s Gym including personal
training.
» Free nutrition coaching provided
by Vicki Koenig.
» Quit-smoking counseling by SmokeFree Dutchess.
»Tools, resources and inspiration at
www.goredforwomen.org/betteru
In addition, local psychologist Lubna Somjee, will conduct a session on
the impact of emotional well-being on
heart disease. The participants will
also have group workouts and food
shopping field trips and will blog their
progress
at
poughkeepsiejournal.com/betteru; www.facebook.com/
americanheartnewyork and on Twitter @HVHeartAssoc.
Heart disease is the number one
killer of women in the United States,
according to the American Heart Association, taking the life of one in three
women each year. That’s about one
woman every minute. While 90 percent of women have one or more risk
factors for developing heart disease,
80 percent of cardiac events in women
may be prevented by lifestyle choices
involving diet, exercise and abstinence from smoking.
See CHALLENGE, Page 2E
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4E
Sunday, December 11, 2011 POUGHKEEPSIE JOURNAL
Savory beef dish won’t pack on pounds
1 cup diced yellow onion
2
1/2
teaspoons
chopped fresh thyme, divided
10-ounce box frozen
chopped spinach, thawed
and squeezed dry
2 egg whites, beaten
1 2/3 cups Bisquick
Heart Smart Pancake and
Baking Mix
5 chunks dried porcini
mushrooms
3/4 ounce beef jerky,
finely shredded
1/2 cup Madeira
1 1/2 tablespoons arrowroot powder
2 teaspoons soy sauce
Directions:
Heat the oven to 375 F.
Line a baking sheet with
parchment paper.
Season the beef liberally with salt and pepper.
In a large saute pan
over medium-high, heat
the olive oil. When the oil
is just smoking, add the
beef. Brown on all sides, 1
to 2 minutes per side.
Once browned, remove
the beef and place on a
rack to rest.
Add the garlic to the
hot pan and cook until
lightly browned, about 20
seconds. Add the mushrooms and onion. Cook until the mushrooms and onions are soft and tender
and all of their liquid has
evaporated, 8 to 10 minutes. Season with salt and
pepper and add 2 teaspoons of the thyme.
Set aside 1/4 cup of the
mushroom-onion
mixture. Transfer the rest to a
food processor and pulse
to roughly chop until reduced to 1/4-inch pieces.
Transfer to a bowl and refrigerate for 5 minutes.
Once slightly cooled, add
the spinach and egg
whites and mix well.
In a medium bowl stir
the pancake mix with just
enough water, about 1/3
cup, to moisten and make
a dough that holds together but is not sticky. On a
lightly floured surface,
roll the dough to a thin
rectangle that is 2 inches
longer than the beef roast.
Place the beef on the
dough. Spoon the spinach
tional resources.
On a local level, the Coalition Against Domestic
Violence has been active
in Dutchess County for
decades. This coalition
represents
health-care
providers, mental-health
professionals, law enforcement, Grace Smith
House, battered women’s
services and other dedicated community members.
A few examples of
their efforts are the recently established Sexual
Assault Forensic Examiners Program, the institution of emergency room
assessment protocols and
education for health-care
and law-enforcement personnel.
On a personal level,
what can we do to support
domestic violence prevention efforts? The New
York State Office for the
Prevention of Domestic
Violence published a resource guide titled “Domestic Violence: Finding
Safety and Support,”
which offers a checklist
for family and friends of
domestic violence victims.
Some of the points recommended to assist a potential domestic violence
victim are:
» Ask in private.
» Express concern.
» Listen and validate.
» Offer help.
» Support decisions the
victim makes.
Do not wait for her to
come to you, judge,
blame, pressure her, give
advice or place conditions
on your support. Remember that leaving an abuser
can put a woman and her
children at greater risk of
injury and death. According to the Harvard Mental
Health Letter (April
2004), “many women said
that if only someone had
asked they would have re-
vealed the situation sooner.”
What if you are the victim of domestic violence?
Domestic violence usually is all-encompassing, including emotional, psychological, sexual, economic as well as physical
abuse. Domestic violence
comes in cycles, but almost always progresses
in severity and frequency.
There are risks attached to every decision a
battered person makes. A
safety plan that evaluates
the risks and benefits of
different options can help
reduce your risk.
Identify options that
are workable for you. In
addition to local domestic
violence programs and
law enforcement, consider an employee assistance
program at your place of
employment; a counselor
or therapist; your healthcare provider; friends,
family and neighbors;
your pastor, priest, or rabbi; women’s centers;
teachers or social services case worker.
If you are faced with a
life-threatening situation,
call 911. If you think a
friend or a relative may
be in danger, please call
911. Our public-safety professionals
are
welltrained to respond to all
situations and can be a
lifeline to safety. You can
make a difference.
Addressing the plague
of domestic violence will
take dedicated response
on every level. Director of
the New York State Office
for the Prevention of Domestic Violence, Charlotte Watson, said, “We
must stop expecting women and children to flee
their homes in the hopes
of living safely. We must
stop asking: Why doesn’t
she leave? And start asking: Why is he allowed to
terrorize her? With its
pervasiveness and complexities, we may feel that
addressing domestic violence is an insurmount-
By Rocco DiSpirito
The Associated Press
F
Beef Wellington
Start to finish: 1 hour
15 minutes
Servings: Eight
Ingredients:
32-ounce beef tenderloin, center cut, trimmed
of all visible fat
Salt and ground black
pepper
1/2 tablespoon olive oil
2
cloves
garlic,
chopped
10 ounces button mushrooms, sliced
Caldwell
Continued from Page 1E
mon law stated that wives
were the property of their
husbands. The only legal
“protection”
married
women had was a provision in the law known as
“the rule of thumb” that
allowed a man to beat his
wife with a stick so long as
the stick was no thicker
than his thumb.
Although beating one’s
wife is no longer a legally
protected right, it was
only in1977 that New York
criminalized domestic violence. It has been hardly
more than a decade since
the American Medical Association, the American
Psychological
Association and the American Bar
Association have begun to
take domestic violence seriously.
Doctors have an ethical obligation to screen
for domestic violence and
to ask all of their female
patients over 14 if they
have every felt threatened or unsafe at home or
with a partner. Unfortunately, a study has shown
that less than 10 percent
of my colleagues routinely perform these screenings.
We can do better. Despite progress made in the
fight against domestic violence, 25 percent of
women and 7.4 percent of
men surveyed said they
were physically assaulted
by an intimate partner at
some time in their lifetime. Thus, one out of every four U.S. women has
been physically assaulted
by an intimate partner. In
2007, 2,349 people in the
United States died at the
hands of an intimate partner.
The recent Hyde Park
tragedy, as well as the one
at the Poughkeepsie train
station earlier this year
ending with a murdered
young mother and the
murder of intervening police officer John Falcone,
provides a face and intensity to these sobering statistics.
Nearly a century after
the abolishment of the
“rule of thumb,” domestic
violence remains a plague
of epidemic proportion.
According to the National
Woman Abuse Prevention
Center, former Surgeon
General C. Everett Koop
identified domestic violence as the number one
health problem for American women, causing
more injuries than automobile accidents, muggings and rapes combined.
So what can be done as
a nation as a community?
On a national level, the
National Resource Center
on Domestic Violence
provides a wide range of
free, comprehensive and
individualized technical
assistance, training and
resource materials, as
well as links to other na-
This beef Wellington recipe from Rocco DiSpirito offers
more healthful alternative to the traditional prime rib that
is served for many holiday dinners. THE ASSOCIATED PRESS
half. Pour the dried mushroom and beef broth
through a fine mesh
strainer into the reduced
Madeira while pushing on
the jerky and mushrooms
to extract as much liquid
as possible.
Remove the whole
pieces of porcini mushrooms from the strainer
and roughly chop them,
then set them aside. Discard the jerky. Bring the
broth and Madeira mixture to a boil.
In a small bowl, combine arrowroot and 4 tablespoons cold water. Mix
well, add to the simmering sauce. Cook and stir
for 1 minute, or until
sauce is thickened. Add
the soy sauce, remaining
1/2 teaspoon of thyme
leaves and the reserved
chopped porcini and reserved 1/4 cup of the
mushroom and onion mixture. Season to taste with
salt and pepper.
Slice the roast into
eight even slices and arrange on a platter. Serve
with the sauce.
able task. But as world-renowned
anthropologist
Margaret Mead noted,
“Never doubt that a small
group of concerned citizens can change the
world. It is the only thing
that ever has.”
commissioner of health.
His column is published
the second Sunday of
each month. Send questions or comments via
email to healthinfo@co.dutchess.ny.us.
Director of Communicable Disease Control Linda Squires contributed to
this article.
Dr. Michael Caldwell is
the Dutchess County
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or Christmas this
year, I didn't ask Santa for a new sweater,
tie or even my two front
teeth. I just wanted a richly satisfying holiday dinner that wouldn't make
me gain weight.
One of my solutions
was a down-sized beef
Wellington.
Tips:
» Be sure to specify a
center cut tenderloin at
the meat counter .
and mushroom mixture
on the top and sides of the
beef and pat down tightly.
Fold the dough up and
over the top of the beef
and spinach and crimp the
seams together.
Place the meat seamside down on the prepared
baking sheet. Cut a few
slits in the top to vent.
Bake for 35 to 40 minutes,
or until the center of the
roast registers 140 F. Remove from the oven, cover with foil and let rest for
10 minutes.
Meanwhile, place two
of the porcini chunks in a
spice grinder and grind to
a fine powder. Place the
mushroom powder, remaining whole porcini
mushroom chunks and
the shredded jerky in a
microwave-safe
bowl
with 2 cups of water. Microwave on high for about
2 minutes, or until the water is simmering. Let sit
for 5 minutes and repeat.
Pour the Madeira into a
small saucepan over medium heat. Bring to a boil
and boil for about 5 minutes, or until reduced by
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