Nathan Littauer in the news: Plan ahead to reduce stress Posted on April 7, 2014April 7, 2014 by Dakota PikePublished in the Daily Gazette April 5, 2014Q & A: Plan ahead to reduce stress, health educator says Community health educator Wendy Chirieleison says one way to reduce stress is to stay away from computer screens. (Courtesy Healthlink Littauer)Relax — that’s one word of advice that community health educator Wendy Chirieleison can offer to reduce stress.Chirieleison will offer other advice to free people from personal pressure cookers on Tuesday, April 15, as she presents “50 Ways to Reduce Stress.” Two one-hour lectures, sponsored by HealthLink Littauer — Nathan Littauer’s Hospital’s wellness education and resource center — will be held at the Fulton County YWCA at 11:30 a.m. and 6:30 p.m. The YWCA is at 213 Harrison St. Extension, Johnstown.People interested in attending either of the lectures are asked to call HealthLink at 736-1120.Q: Can you tell that people in our community are under assorted stresses these days?A: I think you can see people are looking tired, looking a little bit frantic when they’re working and carrying out daily activities. People can be a little short-tempered at times . . . I think it’s a combination of family, not having enough time, high demands at work, not getting enough sleep, not getting enough exercise, not eating well, not getting the fruits and vegetables and water that we need to maintain a healthy balance.Q: How can people dampen their daily stresses?A: Here are some of the ways to help minimize or prevent stress — one would be improving time management, making a schedule and sticking to it. Getting ready ahead of time, prepping things ahead of time and leaving yourself enough time to arrive early. So leave a little earlier for appointments. When you don’t plan for enough time, people start rushing — especially in the car, when you may not have planned to be behind a slow-moving vehicle. Your blood pressure goes up, you need to get to your appointment on time and you didn’t factor in this travel time.Q: How can people reduce their stress in their workplaces?A: Technology has placed an expectation on workers they will be available 24-7. If you’re working on a project, and your team has a question, they may feel they can text you or email you with questions when you’re home trying to have a relaxing evening with your family. Turn off, unplug your devices so you can connect with your family and have a clear division of work time and personal time.Q: How about some other ways to minimize stress at the office?A: Being organized is one great way to minimize stress at work. That means everything from organizing your work space to your schedule and really giving yourself either 30 minutes or 60 minutes to de-stress from what you were doing at work, have a healthy lunch, get in some exercise. I think people would really feel better if they did that. They would feel a lot more energized.Q: How can people on the job beat stress when so many of us have extra duties these days?A: It’s OK to say no. If you are being asked by the PTA to run an event but your plate is full, know that it’s OK to respectfully decline helping out . . . you can ask your supervisor to put that project on hold until you can have finished some of the other things you’re working on. It would give you some time to finish working before starting something new.I think supervisors also have to be mindful of realistic expectations, take into consideration how much time employees are spending working on projects and be a little bit more flexible with the demands they’re placing on their workers and their staffs.Q: How does healthy eating figure into stress?A: Unhealthy eating connects to stress because our bodies need nutrients in order to help us cope with the stress that we experience all day. So healthy eating would make sure you’ve gotten the proper servings of proteins, whole grains, fruits and vegetables and avoid things that add to stress such as caffeine, excess sugar and alcohol.Q: How does exercise help chase stress?A: Exercise creates endorphins that make us feel happy, so that kind of balances our stress as well. If people were getting 30 minutes of activity every day, even if they divided that 30 minutes into two 15-minute increments or three 10-minute increments, they’d feel more energized and much less stressed.Q: How much sleep do we need to relieve stress?A: You need at least seven to eight hours of sleep every night. That really helps maintain balance. If people have trouble sleeping at night, they might try putting their devices away early because the light from the screens really triggers the brain and doesn’t allow the brain to relax. You might think reading a tablet a half hour before you go to bed is helpful, but really, it isn’t. TV is another thing you would want to avoid in bed.Q: How does positive thinking figure into the de-stress equation?A: Sometimes we tend to be more negative in thinking about ourselves and what we have done. Replace those thoughts with something more positive. So if you made a mistake or, for example, you’re on a diet and you eat something you shouldn’t have eaten and didn’t want to eat. Tell yourself “Tomorrow starts another day . . . I’m not going to beat me up over this one mistake.” Recognize all the good efforts you have made.Reach Gazette reporter Jeff Wilkin at 395-3124 or at wilkin@dailygazette.com.
Hospital has his back Posted on March 27, 2014 by Dakota PikeFirst printed in the Albany Times Union October 19, 2013Dr. Jian Shen has a vision.He has chosen Fulton and Montgomery counties to make it a reality.“Even though it’s a small area, I feel I can really do something big,” Shen said.Although the 42-year-old former molecular biologist has been a surgeon for less than three years, he is building a reputation for cutting-edge minimally invasive operations at Nathan Littauer Hospital in Gloversville and St. Mary’s Hospital in Amsterdam. He has performed several surgical “firsts” in the region, including the first robotic-assisted spine surgery, at Nathan Littauer, this summer.And that’s the beginning. Shen’s goal is to create a “minimally invasive spine surgery destination” here, he said. He envisions patients from around the nation traveling to the region for the highest level of surgical care.Sound far-fetched? Maybe. Medical “destinations” are typically large, long-established institutions with national reputations, like Minnesota’s Mayo Clinic, said Alwyn Cassil of the Washington, D.C.-based Center for Studying Health System Change.But it’s also tough to discount Shen. In two and a half years, he has brought patients in from New York City, Florida, Texas and Tennessee. He is among fewer than 100 surgeons in the nation, he said, who do endoscopic surgery of the spine — correcting problems with tiny incisions and a camera that projects the body’s interior onto a screen.After 1,300 minimally invasive spine surgeries, Shen said his patients have had no resulting serious complications, such as infections or spinal cord injuries.“We did not make anybody worse,” Shen said. “We made lots of people better. We made lots of people pain-free.”About 15 percent of people who come to Shen’s practice, Mohawk Valley Orthopedics, for back pain end up having surgery, Shen said. One of his best-known local patients is Alan Chartock, president and CEO of WAMC Northeast Public Radio.After a year of incessant, debilitating back pain, Chartock traveled to the Hospital for Special Surgery in Manhattan, but left unconvinced about having a procedure there. He’d had Shen as a guest on WAMC’s call-in program, Vox Pop. Chartock says he liked the doctor because he spoke to him as an equal. Shen had also performed a successful surgery on Chartock’s friend. So Chartock decided to have his back surgery performed at Nathan Littauer.Given a couple of surgical options, Chartock chose the less aggressive one, Shen said. It didn’t help him; soon afterward, Chartock was in pain again. So he returned for a second, more intensive operation.“When I left, I had no pain, and I have had no pain since that time,” Chartock said. “I’m very grateful to Dr. Shen.”But he recalled friends’ responses when he said he would have spine surgery in Gloversville.“Each of them had said, ‘What, are you crazy?”’ Chartock said.So why did Shen, who lives in Loudonville, choose to work in Fulton and Montgomery counties? His decision was fueled in part by interest in treating patients in an underserved community — and in part as a strategic career move.“At a major medical center, I would be nobody,” Shen said. “I would say, ‘Get me a robot.’ It would take longer to approve. Here, I get it in a week.”Nathan Littauer and St. Mary’s hospitals have each invested about $1.75 million in robotic equipment, microscopes and other technology to support Shen’s surgeries, the institutions’ CEOs said.Nathan Littauer administrators believed the investment was necessary to attract a highly trained specialist to the area, where there was tremendous need for a back surgeon, said hospital President and CEO Laurence E. Kelly. Shen has had patients waiting to see him every week since he arrived.“We took a big risk, and it’s worked out fine,” Kelly said.Now the question is whether more spine surgeons can be lured to the region to work with the surgeon.“I’m looking for partners right now,” Shen said, “because it’s getting so busy, I cannot handle it myself.”chughes@timesunion.com • 518-454-5417 • @hughesclaireVitalsDr. Jian Shen , 42Born near BeijingLives in LoudonvilleMarried to Wencui Shen, father of 7-year-old IvyannMedical degree from Weill Cornell University Medical CollegeSpine surgery fellowship: University of California at San FranciscoMoved to the Capital Region in 2011 ProfileDr. Jian Shen, 42Born near BeijingLives in LoudonvilleMarried to Wencui Shen, father of 7-year-old IvyannMedical degree from Weill Cornell University Medical CollegeSpine surgery fellowship: University of California at San Francisco
Reflections of 2012 Posted on March 20, 2014 by Dakota PikeAs we get ready to release 2013’s summary, watch what we accomplished in 2012.
Littauer Thinks Pink All Year Long Posted on March 20, 2014 by Dakota PikeAs we celebrate breast health this October, Littauer wanted to do something that would last. See what we did for women in our region…
Littauer’s Heartfelt Message To You Posted on March 20, 2014 by Dakota PikeThis Valentine’s Day, Nathan Littauer Hospital had a special message for our patients. One thousand employees joined as one to deliver the best care possible.
See what motivates Littauer staff in our new video! Posted on March 20, 2014March 20, 2014 by Dakota PikeHealth care is a rewarding field. See what motivates our staff to deliver the best care possible to our patients.
Wellness Words March 2014 Posted on March 11, 2014 by Dakota PikeHealthLink Littauer’sWELLNESS WORDSSubmitted by Wendy Chirieleison, MS EdCommunity Health Educator Eat Smart, Be Strong, Live Long!It is essential to maintain a healthy and active lifestyle, especially as you get older. Eating well and getting enough exercise can decrease older adults’ chances of getting chronic diseases, disabilities, and can increase life expectancy. Many do not consider that entering older adulthood means facing new and unique challenges beyond a change in weight and appetite.THE RECOMMENDATIONSIn September of 2011, the USDA released a new publication called “My Plate for Older Adults,” a chart which is a food pyramid style guide describing what older adults should be eating. The chart specifies that ages 60-74 should be eating 2 ½ cups of vegetables, 1 ½ cups of fruits, 6 oz. grains (3 oz. should be whole grains), 5 oz. protein, and 3 cups of dairy each day. The chart also gives examples for each food group, and states that the caloric intake should total 1,800 calories per day.According to Tufts University, a school that focuses on nutrition, it is recommended that these calories consist of foods that are high in vitamins and minerals and low in salt, sugars, and fats, especially trans fats and saturated fats (Mayer 2011). The My Plate chart also recommends physical activity such as walking, playing with your pet or grandchild, gardening, or another activity that you can enjoy with your friends (USDA 2011).THE CHALLENGESIn preparing this My Plate chart, the USDA took into consideration some of the concerns older adults face while trying to eat a healthy diet, such as not getting the recommended amount of fruits, vegetables, and exercise each day; ease of food preparation; food costs; access to certain foods; and oral health problems, like difficulties in chewing and swallowing foods.The Administration On Aging reports that oral health is the most overlooked issue related to poor health and nutrition in older adults. Dry mouth, inflammation of the gums due to poorly fitting dentures, root decay, and gum disease are just some of the oral health issues that older adults experience. Poor oral health affects nutrition because the digestive process begins at the time food enters the mouth. Saliva contains important enzymes that begin breaking down foods as the teeth chew the food, making it manageable to swallow. Poor oral health makes this process difficult. About one-third of adults over age 65 have untreated tooth decay. Severe gum disease can lead to chronic diseases such as diabetes, heart disease, stroke, and respiratory disease.STRATEGIES TO OVERCOME CHALLENGESBe sure to schedule regular appointments with your dentist.Tell the dentist about your oral hygiene routine to be sure that you are doing everything you can to ensure proper oral hygiene.When you plan your weekly menu, incorporate items listed in weekly sales flyers where you normally shop.Take advantage of fresh produce when it is on sale. If you can, blanch fresh vegetables (boil briefly and drain off excess water) and put them into freezer bags.If you can not purchase fresh vegetables, opt for frozen. Canned vegetables can contain sodium or other unwanted ingredients.When preparing foods, consider making extras that you can freeze in divided containers. Always label and date foods that go in the freezer to be sure of their freshness.If you have a hard time exercising for 30 minutes at a time, break it up into two 15 minute or three 10 minute intervals.For a free copy of My Plate For Older Adults or for more information, contact HealthLink Littauer at 736-1120. You can e-mail us at healthlink@nlh.org, see our website at nlh.org, or visit our wellness center at 213 Harrison Street Ext. in Johnstown, Monday – Friday, 9 a.m. – 5 p.m. We’re your community health & wellness service of Nathan Littauer Hospital and Nursing Home.