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MEDICAL DIRECTORY

AUGUST 2026

LEAD PAINT POISONS KIDS! LEAD PAINT POISONS KIDS!

Homes Built Before 1980 May Have Lead Paint.

Lead poisoning can cause permanent learning and behavior problems, but lead poisoning is 100% PREVENTABLE!

5 Steps

To Protect Kids from Lead Poisoning:

1.Test your home

Call 716-661-8088 for a free home inspection.

2. Wash hands often especially before eating.

3. Wet wipe surfaces and wash toys often.

4. Feed kids healthy foods rich in iron, calcium and vitamin c.

5. Test your kids at 1 & 2 ask your child’s doctor about testing.

Scan to learn more:

or call 716-661-8088

@HealthyCHQ HealthyCHQ.com

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MEDICAL DIRECTORY

table of contents

ADVERTISING DIRECTOR Debra Brunner 716.487.1111 ext. 222 dbrunner@post-journal.com

Possible Early Warning Signs of Cancer............................................... 8

GRAPHIC DESIGNER Tesla Grobaski 716.487.1111 ext. 299 tgrobaski@post-journal.com

What to Know About Perimenopause...................................................14

ADVERTISING REPRESENTATIVES Meredith Patton 716.680.4380 mpatton@observertoday.com Janice Gee 716-680-1556 jgee@observertoday.com

Take a Bite Out of Dental Hygiene............................................................ 10 How to Simplify Medication Discussions............................................12 Lead Paint Is the Leading Cause of Lead Poisoning.....................15 Physical Therapy Helps People Avoid Surgery...............................16 Three Sleep Myths That Could Be Keeping You Awake..............18 The Right Time for Hospice..........................................................................20 What to Know About Seniors And Vaccines.....................................22 Hospitals Are Not Just for Medical Emergencies.......................24 How to Find Time to Be More Physically Active Each Day........26 Can Cataracts Be Prevented?................................................................... 27 Warning Signs of Mental Health Issues...............................................28 Chautauqua Adult Day Services...............................................................29 Conducting a Breast Self-Exam................................................................29 Service Directory....................................................................................... 30-34

6 • OBSERVER & The Westfield Republican

Medical Directory • August 2026

Possible Early Warning Signs of Cancer Courtesy of Metro Creative

ancer affects people from all walks of life, and health care experts anticipate a notable spike in cancer cases over the next decade. According to the World Health Organization’s “Global status report on cancer 2026,” new cancer diagnoses are projected to reach 35 million by 2050, which would mark an increase of 15.5 million new cases compared to 2024. While the WHO estimates represent a significant increase in cancer cases over the next quarter century, the public is not helpless against the disease. Education, including increased awareness of early warning signs of cancer, can increase the chances a person will survive a diagnosis. In fact, the Cancer Research InstituteTM notes the earlier a cancer is caught, the better a patient’s outcome is likely to be. Early detection can be lifesaving, and these are some potential early warning signs that should be taken seriously. • Unexplained weight loss: Johns Hopkins Medicine notes that a loss of 10 pounds or more may be nothing to worry about. However, unexplained weight loss sometimes is the first sign of cancer. The Dana-Farber Cancer Institute advises that weight loss when you aren’t trying to lose weight increases the risk of a cancer diagnosis within the coming year. Such weight loss has been linked to a significantly increased risk for cancers of the upper gastrointestinal tract, hematological cancers, col-

orectal cancer, and lung cancer. • Extreme fatigue: Johns Hopkins notes that cancer uses nutrients in the body to grow and advance. When that occurs, the nutrients cannot help to replenish the body, and the result is feelings of extreme fatigue. This fatigue will be different from the tiredness a person feels at the end of a long workday or a day marked by extra physical activity. • Fever: Fever is most often associated with cold and flu, so like the aforementioned potential warning signs, a fever is not necessarily an indicator of cancer. But Cancer Research UK notes that some cancers, including non-Hodgkin lymphoma, Hodgkin lymphoma, leukemia, and kidney cancer, can cause fevers. Fevers associated with lymphoma may cause night sweats that come and go with no clear cause. Fevers that are linked to cancer typically occur at night. • Pain: John Hopkins notes that persistent pain may hint at an underlying disease like cancer. This pain might occur when a cancerous mass or tumor pushes on areas of the body or the cancer releases a chemical that causes discomfort. The Mayo Clinic notes bone pain, nerve pain, and pain in the soft tissues are common types of cancer-related pain. • Changes in the skin: Skin is the largest organ in the body, so it’s no surprise cancer can cause changes in the skin. Johns Hopkins notes changes in moles may be a cause for concern. A mole that is asymmetrical or has jagged edges; a mole with irregular borders; a mole that changes colors or darkens; or a mole that is large or growing should be brought to the attention of a health care professional. Early detection of cancer can greatly improve a patient’s outcome. Keeping these potential early warning signs in mind and taking them seriously should they appear is a great first step toward combatting the disease.

Take a Bite Out of Dental Hygiene National Interprofessional Initiative on Oral Health. Despite these statistics, common oral health complaints are largely preventable. Incorporating the following daily habits can significantly reduce a person’s risk of decay and facilitate lifelong dental health. • Increase brushing time. The Academy of General Dentistry reports that the average person brushes for only 45 to 70 seconds per day. But the American Dental Association recommends brushing for two full minutes, twice daily. Setting a timer will help adults and children meet this goal. • Use a fluoride toothpaste. Fluoride strengthens enamel and can reduce caries incidence by up to 31 percent, says the ADA. Ingestion of fluoride can be reduced by spitting out excess and teaching children the proper way to brush.

Courtesy of Metro Creative

aintaining a healthy smile goes beyond a five-second brushing while running out the door for work or school. It involves being mindful of the often simple oral hygiene steps a person can take to avoid common oral health issues. According to data from the Centers for Disease Control and Prevention, nearly 47 percent of American adults age 30 or older suffer from some form of periodontal disease. More than 20 percent live with untreated tooth decay, according to the

• Recognize that angle matters. Angling toothbrush bristles to 45 degrees toward the gum line can sweep away plaque trapped at the perimeter. People should use short, gentle, circular strokes to clean teeth, rather than harsh back-and-forth scrubbing, which can erode enamel and lead to gum recession, says the American Diabetes Association. • Use floss and water flossers. A standard toothbrush can reach only so much of the tooth’s surface. The tight spaces between the teeth will remain untouched without interdental cleaning. Traditional string floss, interdental brushes, and water flossers will flush out food particles and bacteria. • Invest in a tongue scraper. The tongue is a magnet for oral bacteria, which can contribute to bad breath and plaque buildup. People can use a tongue scraper to clean the tongue each morning. • Use mouthwash. Finishing the dental routine with an alcohol-free antibacterial mouthwash will help neutralize any lingering bacteria without drying out delicate oral tissues. Some mouthwashes also are fortified with fluoride for extra tooth protection. • Get twice-annual cleanings. Visiting the dentist every six months treats the teeth and mouth to a thorough cleaning and inspections that can uncover issues before they escalate. Dedicating roughly five minutes per day to proper brushing and oral care can protect the teeth, gums, and overall health.

How to Simplify Medication Discussions With Your Physician Courtesy of Metro Creative

ffective communication is vital in a good relationship, and that includes the dynamic between seniors and their physicians. According to Caring Senior Service, adults age 65 and older see seven different health care providers each year, and that figure is potentially even higher for the millions of seniors dealing with chronic health issues like diabetes and heart disease. In addition to seeing multiple physicians in a typical year, seniors are taking a number of medications. According to a February 2026 report on WorldHealth.net, 42 percent of adults 65 and over are taking five or more medications. With so many different doctor relationships to manage and pills to take, it can be easy for seniors to feel a little overwhelmed when the time comes to speak with their physicians. These strategies can help such discussions go smoothly.

• Prepare a list of your medications and take it with you to each appointment. It’s not uncommon for patients to feel rushed when visiting their doctors, even if they have a years-long and cordial relationship with those physicians. When patients feel rushed, it’s easy to overlook certain things about their health, including which medications they’re taking. While some physicians have digital access to a patient’s medical history, including which medications a patient is taking, that’s not always the case. So seniors are urged to maintain an up-todate list of their medications, which they can share with their physicians when an appointment begins. This can eliminate any roadblocks to effective communication, including a language barrier or nervousness on the part of patients who feel rushed. • Keep a medication diary between doctor visits. A medication diary can be a helpful asset for any senior who is concerned about overlooking a detail regarding their prescriptions and any side effects that appear while taking them. Use

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the diary to document any adverse reactions; suspicions about a given medication, including any thoughts about interactions with other medicines; questions about dosage; and additional thoughts or questions about your prescriptions. Take the diary with you to each appointment, perusing it before every visit to remind yourself of any issues you think merit discussion with your doctor. • Take a spouse or family member along with you. Having someone there with you to act on your behalf or to help bridge any communication barriers can be a helpful step. Many adults experience hearing loss as they age, and a family member can ensure a doctor’s responses are heard loud and clear. This can be particularly important in relation to discussions regarding medication, as one unheard or misunderstood statement could jeopardize a patient’s overall health. It’s not always easy to discuss medication with a physician, particularly for seniors taking multiple prescriptions at once. But various strategies can simplify such discussions and ensure seniors’ voices and medication-related concerns are heard and communicated clearly.

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What to Know About Perimenopause er), and may last anywhere from four to 10 years. It ends with menopause, which is when a woman has gone 12 consecutive months without a period. What are symptoms of perimenopause? During perimenopause, a woman may notice changes in the body. Some are subtle and others more obvious. The Mayo Clinic lists these as possible symptoms, but there may be many others. • Irregular periods: As ovulation becomes more unpredictable, the length of periods, time between periods, flow, and other factors can change. • Hot flashes (flushes): Many women have hot flashes during perimenopause. Hot flashes vary in strength, length and frequency. • Sleep issues: Changes in sleep patterns can occur, and are sometimes accompanied by night sweats. • Mood changes: Mood swings, irritability and increased risk of anxiety or depression can happen during perimenopause. • Vaginal and bladder problems: Estrogen protects the vagina, urethra and other tissues. So when it decreases, tissue can become drier and less elastic. Pain during intercourse can occur, and dryness can cause burning when urinating, even if an infection is not present. Lack of estrogen also can cause a woman to get more urinary or vaginal infections. • Changes in sexual desire: During perimenopause, some women may enjoy sex less, while others may enjoy it more. • Loss of bone: As hormone levels decrease, bone loss occurs more quickly than it can be replaced. Courtesy of Metro Creative

ormones drive many functions in the human body, including the ability to reproduce. For women, estrogen, progesterone and even testosterone play key roles in health and well-being. The levels of these hormones are not static; at different times in the reproductive cycle they wax and wane, resulting in various symptoms. Such is the case at a point in a woman’s life when she enters perimenopause.

• Changes in digestion: Some women experience changes in the foods they can tolerate, bowel habits and other factors. • Changes in cholesterol levels: Less estrogen can cause an increase in LDL cholesterol and a decrease in HDL, putting women at greater risk for heart disease.

Women likely know about puberty, pregnancy and the general years of menstruation. They have also likely heard of menopause, or when a woman’s menstruation and ability to have children ceases. Nestled in between is a period of time called perimenopause, which is a series of years when women experience a vast array of symptoms that are not always fully understood or recognized.

Can tests detect perimenopause? Most health providers use age and symptoms as diagnostic tools for detecting perimenopause. Hormone levels fluctuate so much that tests often are not reliable, according to the Cleveland Clinic. But certain hormone tests can indicate if you’re in perimenopause. Testing the FSH (follicle-stimulating hormone) level can often determine if perimenopause is beginning. A consistently high level of FSH, which is a hormone the pituitary gland produces to stimulate the ovaries to release an egg during ovulation, indicates one is getting near menopause.

What is perimenopause? The U.S. Office on Women’s Health says perimenopause is the natural transitional phase before menopause. During this time, the ovaries gradually begin to make less estrogen and progesterone. This phase can begin in a person’s 40s (or even earli-

Women may choose to ride out perimenopause without much assistance, while others prefer talking to their doctors about different treatment options designed to address symptoms. Medications, lifestyle changes and hormone therapies can be options.

Lead Paint Is the Leading Cause of Lead Poisoning in Chautauqua County

families and property owners with available lead hazard control programs and resources. Whether you're concerned about your home, have questions about lead paint, or want to learn if you qualify for a free home lead inspection or remediation assistance, we're here to help.

If your home was built before 1980, it may contain lead-based paint. When lead paint peels, chips, cracks, or creates dust during normal wear, repairs, or renovations, young children can accidentally swallow or breathe in the lead dust. Because children often put their hands and toys in their mouths, they are especially at risk.

Protect Children Today for a Healthier Tomorrow No child should suffer the lifelong effects of lead poisoning when it can be prevented. If you live in a home built before 1980, don't wait to learn whether lead hazards may be present. Testing your home, reducing lead dust, serving healthy foods, and making sure children receive blood lead testing at ages 1 and 2 are simple steps that can make a lasting difference.

Submitted by Chautauqua County Health Department

ead poisoning is preventable, but it continues to affect children in Chautauqua County every year. The most common source of lead exposure in our community is lead-based paint found in older homes.

Even small amounts of lead can harm a child's developing brain and nervous system. Lead poisoning often has no obvious signs or symptoms, making it difficult for parents to know when a child has been exposed. Lead exposure can cause permanent learning and behavior problems, lower IQ, attention difficulties, speech and language delays, and problems with growth and development. The good news is that lead poisoning is preventable.

To learn more about lead poisoning prevention, determine if your home qualifies for a free lead inspection, or learn about programs that may help repair lead paint hazards, visit HealthyCHQ.com/Lead or call the Chautauqua County Health Department’s Lead Poisoning Prevention Program at 716-661-8088. Together, we can create healthier, lead-safe homes for every child in Chautauqua County.

Five Steps to Protect Your Family There are simple steps every family can take to reduce the risk of lead exposure: • Know if your home is at risk. If your home was built before 1980, it may contain lead-based paint. • Have your home tested. The Chautauqua County Health Department offers programs to identify lead hazards in homes. Many families may even qualify for a free home lead inspection. • Keep lead dust under control. Wet wipe windowsills, floors, and other surfaces regularly, and wash children's toys often. • Wash little hands often. Encourage children to wash their hands before eating, after playing outside, and before bedtime. • Feed healthy foods and test your child. Foods rich in iron, calcium, and vitamin D can help reduce lead absorption. Children should also receive a blood lead test at ages 1 and 2, even if they seem healthy. Talk with your child's healthcare provider about testing. Help Is Available Finding lead hazards in your home is the first step—but it's not the last. If lead hazards are identified, programs are available to help eligible homeowners and landlords remediate lead paint hazards, making homes safer for children and families. Depending on eligibility and available funding, financial assistance may be available to repair or remove lead hazards, helping reduce the risk of future lead exposure. The Chautauqua County Health Department can help connect

Physical Therapy Helps People Avoid Surgery Courtesy of Metro Creative

ndividuals who are dealing with injuries or chronic pain may seek relief in various ways. Surgery may seem like an inevitable outcome, but advances in medicine have led to more conservative solutions. Physical therapy is a powerful, non-invasive first-line treatment that is increasingly being recommended by health care professionals as a means to address a wide range of conditions. According to the Cleveland Clinic, physical therapy is a health care specialty that helps restore movement, manage pain and improve physical function. Physical therapists undergo many years of schooling, during which they learn to employ targeted exercises, hands-on care, and patient education to help people heal after surgery, recover from injuries, or manage chronic health conditions. By targeting structural mechanics, restoring tissue mobility, and addressing underlying movement dysfunctions, physical therapy frequently can resolve complex medical conditions without the risks, costs, and down time associated with surgery. Here are some of the conditions PT can address.

• Spinal stenosis: Strengthening of core and pelvic stability muscles can reduce loading on the spinal canal. Manual therapy will help restore joint mechanics to alleviate pain and other symptoms. • Degenerative disc disease: Physical therapists can help strengthen deep postural stabilizer muscles to create internal support. This can help relieve mechanical stress on intervertebral discs that have worn out.

• Herniated or bulging discs: Targeted exercises, such as mechanical traction and spinal extension maneuvers, can help centralize disc material away from compressed nerves, says the Jacksonville Orthopaedic Institute.

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• Soft tissue injuries: Overuse injuries and tendon degradation can lead to pain that mimics conditions that require surgical repair. These may include achilles tendinopathy, plantar fasciitis, and carpal tunnel syndrome. PT may be an initial treatment option for these conditions. • Pelvic floor dysfunction: The National Center for Biotechnology Information says pelvic floor dysfunction involves the abnormal activity or function of the pelvic floor musculature. Pelvic floor dysfunction can affect bladder and bowel function and cause pain in the abdomen, including during intercourse. Physical therapy uses biofeedback, internal and external manual techniques, and targeted neuromuscular retraining to strengthen the pelvic basket. • Joint osteoarthritis: The Cleveland Clinic says osteoarthritis is the most common form of arthritis. It happens when the cartilage that cushions the ends of bones in a joint wears down over time. PT can address osteoarthritis in knees, hips, shoulders, and other joints. Physical therapy can be a powerful tool when patients consistently and actively participate in the treatment. For many, a tailored physical therapy plan provides a path to complete recovery.

Chautauqua County's Premier Chiropractic & Sports Medicine Clinic • 30 minute appointments that utilize myofascial release and muscle/joint manipulation. • These neuromuscular treatments coupled with patient-specific rehabilitative exercises aim to both relieve symptoms and prevent re-occurrence. • There is no "quick fix" when it comes to pain. The issue must be properly diagnosed, and then treated by combining manual therapy, rehabilitative exercise, and life style changes. • This is the difference between getting temporary relief, and actually addressing the problem.

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Three Sleep Myths That Could Be Keeping You Awake Courtesy of Brandpoint Content

mericans have never been more focused on optimizing their health. They wear devices that measure nearly every aspect of their day - from workouts and steps to heart rate and recovery - and increasingly turn to GLP-1 medications as part of the weight management journey. Alongside these changes, experts are encouraging people to prioritize another key pillar of health: quality sleep, which plays an important role in overall well-being and can support healthy lifestyle habits. According to the Centers for Disease Control and Prevention (CDC), more than 30% of U.S. adults regularly get less than the recommended seven to nine hours of sleep each night1. Dr. Stephanie Stahl, Medical Director at Indiana University Health, notes that many people still treat sleep as something they'll fit in if there's time. Stahl is the Sleep Medicine Fellowship Program Director and Associate Professor at Indiana University School of Medicine as well as Natrol® Sleep Science Advisory Board member. "Many people think of sleep as the first thing they can sacrifice when life gets busy. But sleep isn't a luxury. It's one of the most powerful tools we have to support our health, mental well-being and daily performance." That can be difficult in today's always-on world. Packed sched-

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ules, constant notifications and late-night scrolling can all work against the body's natural sleep-wake cycle. In fact, 38% of adults say using their phone or tablet before bed to read the news or "doomscroll" makes their sleep somewhat or significantly worse. What sleep myths could be keeping you awake? "One of the biggest misconceptions I hear is that sleep starts when your head hits the pillow," said Stahl. "The truth is that your body has been preparing for sleep all day. Your light exposure, activity, meals, stress and evening routine all influence how prepared your brain and body are for sleep." She describes this as your sleep ecosystem - the daily habits, routines and environmental cues that work together to influence your body's natural sleep-wake cycle. One of the most important players in that ecosystem is melatonin, a hormone your body naturally produces in response to darkness. Rather than forcing sleep, melatonin helps signal to your brain that it's time to wind down. Stahl is helping to debunk three common sleep myths: Myth: Better sleep starts at bedtime. Stahl: "Great sleep starts the moment you wake up. Morning sunlight helps regulate your body's internal clock and supports natural melatonin production later that evening." Myth: I'll catch up on sleep this weekend. Stahl: "Consistency matters more than catch-up sleep. Keeping a regular sleep and wake schedule (yes, even on weekends) helps reinforce your body's natural rhythm." Myth: The eight hours you're asleep are all that matter. Stahl: "The hour before bed matters, too. A consistent winddown routine, like dimming the lights and avoiding screen time, helps prepare your brain and body for quality sleep." What small habits lead to better sleep? The good news is that improving sleep doesn't require overhauling your lifestyle. Stahl recommends focusing on a few consistent habits: Get outside for natural light early in the continued on page 20

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The Right Time for Hospice: Sooner is Often Better

Submitted by Chautauqua Hospice & Palliative Care

any people think hospice care is only for the very last days of life. Starting hospice earlier can make a big difference for both patients and families. It means more comfort, less stress, and more time to spend together. Studies have shown that patients who begin hospice sooner often have better pain control and fewer trips to the hospital. In some cases, they even live longer than those who continue with standard treatment alone. Families also report feeling more supported and less overwhelmed when hospice is involved earlier. Hospice care provides more than medical help. It brings emotional and spiritual support, guidance for caregivers, and peace of mind when families need it most. At Chautauqua Hospice & Palliative Care, we know how important this time is. When hospice begins earlier, our nurses, aides, social workers, chaplains, and volunteers have the chance to truly get to know each family. This allows us to create care that is personal, thoughtful, and focused on what matters most to the patient. It may be controlling pain, finding emotional or spiritual peace, or simply spending more time at home surrounded by loved ones. Families who call earlier often find they have more opportunities to talk openly about their wishes, repair old relationships, or simply enjoy the small everyday moments. Hospice creates SLEEP MYTHS • continued from page 18

day, stay physically active, avoid caffeine in the afternoon and evening, maintain a regular sleep schedule and create a cool, dark, quiet sleep environment. If travel, changing schedules or other temporary disruptions affect that rhythm, melatonin supplements can help support your body's natural sleep-wake cycle.Dr. Stephanie Stahl When healthy habits need extra support that is safe Healthy sleep habits are the foundation of better sleep, but even the best routines can't account for everything. Travel, shift work, changing schedules, stress and age-related changes can all temporarily disrupt your body's natural rhythm. It's one reason more than 27% of U.S. adults report using melatonin supplements, making it one of the country's most commonly used sleep supplements3. Melatonin is a well-studied naturally occurring hormone that plays a key role in regulating the sleep-wake cycle. When used as directed, it is widely recognized as a safe, effective and non-habit-forming option for temporary sleep support. Backed by 30 years of scientific research and widespread use, melatonin is the No. 1 doctor recommended ingredient for sleep4, recognized by experts as a safe, reliable way to help people fall asleep faster and stay asleep longer*. "Healthy sleep starts with healthy habits," says Stahl. "Melatonin is a hormone your body naturally produces to help signal when it's time to sleep. If travel, changing schedules or other temporary disruptions affect that rhythm, melatonin supplements can help support your body's natural sleep-wake cycle. The key is to think of it as one part of a broader sleep strategy, not a replacement for healthy habits."

space for those conversations and moments to happen without the constant interruptions of medical crises. Too often, families tell us they wish they had called sooner. Hospice is not about giving up. It is about gaining comfort, dignity, and support. Starting earlier gives families more time to focus on the moments that matter most. If you or someone you love is living with a serious illness, consider having the hospice conversation today. At Chautauqua Hospice & Palliative Care, we are here to help, to listen, and to provide care when it matters most. If you or a loved one has a terminal illness, do not hesitate to call 716-338-0033. Because sleep challenges vary from person to person, some people may also benefit from ingredients such as magnesium glycinate, valerian root, GABA or L-theanine depending on their individual needs. Guided by leading sleep experts, including Stahl, Natrol develops science-backed sleep solutions designed to complement healthy sleep habits and support different sleep needs. The benefits of prioritizing sleep extend well beyond feeling rested - 88% of adults who are satisfied with their sleep, report they are flourishing, compared with just 47% of those who aren't5. Better sleep isn't just another wellness goal. It's one of the strongest investments you can make in your overall health and well-being. * These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. SOURCES: * Centers for Disease Control and Prevention. Short Sleep Duration Among Adults. National Center for Health Statistics, U.S. Department of Health and Human Services, 2025, https://www.cdc.gov/nchs/products/databriefs/db559. htm. Accessed 26 June 2026. * American Academy of Sleep Medicine. "Americans Are Doomscrolling at Bedtime, Prioritizing Screen Time Over Sleep." American Academy of Sleep Medicine, 2025, https://aasm.org/americans-are-doomscrolling-at-bedtime-prioritizing-screen-time-over-sleep/. Accessed 26 June 2026. * SleepFoundation.org survey. October 2022. https://www.sleepfoundation.org/ sleep-news/how-much-melatonin-do-adults-really-take. * Based on a survey of doctors who recommend sleep support products. * National Sleep Foundation. Sleep in America® 2025 Report. National Sleep Foundation, March 2025, https://www.thensf.org/wp-content/ uploads/2025/03/NSF_SIA_2025-Report_final.pdf. Accessed 26 June 2026.

What to Know About Seniors And Vaccines Influenza The World Health Organization notes that the flu kills as many as 650,000 people across the globe each year. A 2009 study published in the journal Influenza and Other Respiratory Viruses indicated that most deaths associated with influenza in industrialized countries occur among seniors age 65 and older. The flu is easily transmitted from one person to another and the NIA advises everyone age six months and older to get an annual flu vaccine. While the protection from a flu vaccine can lessen over time, particularly in older adults, a flu shot still reduces the likelihood of serious illness and/or hospitalization. The Centers for Disease Control and Prevention recommends that seniors age 65 and older receive a higher-dose flu vaccine or an adjuvanted flu vaccine, the latter of which helps to create a stronger immune response than a normal flu shot. Seniors are urged to speak with their physicians about which flu shot is right for them.

Courtesy of Metro Creative

arents know that vaccination is a big part of caring for young children. The American Academy of Pediatrics advises parents to vaccinate children against a host of diseases and conditions in the first 12 to 18 months of a child’s life. The AAP notes that early immunization helps children build immunity at the best time — before they’re exposed to germs that can make them very sick. The effectiveness of vaccines in relation to protecting young children is well documented, but what about seniors and vaccines? Are immunizations still a vital part of a wellness routine when adults reach their golden years? The National Institute on Aging advises older adults to speak with their doctors or pharmacists about the vaccines they need, which may help to prevent or reduce the severity of various diseases. COVID-19 The NIA notes that age is a risk factor for serious illness from COVID-19. Due to the relative infancy of COVID-19, researchers are still learning about the effectiveness of vaccines against new variants of the virus. But older adults are more likely to get seriously ill from COVID-19 than younger people, so it’s imperative seniors discuss immunization against the virus with their physicians.

Respiratory syncytial virus (RSV) The NIA indicates that RSV is a common virus that often produces mild, cold-like symptoms. But older adults should know that they are at higher risk of developing severe symptoms if they are infected with RSV. The NIA notes RSV can be particularly dangerous for older adults with chronic diseases or weakened immune systems. Hospitalization or even death can occur after severe RSV symptoms develop. RSV vaccines can prevent serious health problems, and the CDC urges seniors to speak with their physicians regarding immunization. Doing so prior to peak RSV infection season, which is fall and winter, is ideal. Pneumococcal disease The CDC advises that all adults age 50 and older get pneumococcal vaccination. Pneumococcal disease is a serious infection that the NIA notes often causes pneumonia in the lungs. The risk of getting very sick and even dying from pneumococcal disease is higher among older adults than younger people. There are different forms of the pneumococcal vaccine, and seniors can speak to their physicians about which one is best for them. Immunization schedules begin shortly after birth, and seniors still have much to gain from being vaccinated.

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The Chautauqua Center is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $3,179,348.00 with 81% ﬁnanced with non-governmental sources. The contents of this site are those of the author(s) and do not necessarily represent the oﬃcial views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

Hospitals Are Not Just for Medical Emergencies Courtesy of Metro Creative

ospitals play an important role in keeping people healthy. While hospitals remain the place to go when experiencing a medical emergency, these vital facilities offer much more than emergency care. The scope of services available in many hospitals is vast and can benefit people confronting medical emergencies as well as individuals hoping to live as healthy as possible. The following rundown of offerings can shed light on how beneficial it can be to look to hospitals as part of a health care regimen. • Vaccination: Many people get vaccinated during wellness checkups or at local pharmacies. But some patients are forced to wait months before they can book an appointment with their primary care physicians, while others may not live close to pharmacies. In such instances, people can visit their local hospitals to determine if they provide vaccinations. Many hospitals do, and that can help circumvent months-long waiting lists at primary care offices and issues related to pharmacies. • Notary services: Advance directives and power-of-attorney arrangements are important components of estate planning. When setting such directives, it’s customary if not mandatory to have such wishes notarized so there is no legal gray area upon a person’s death. Many hospitals include notary services as part of their concierge care (some might include notary services under packages with different names). These are vital guest assistance services and can be particularly useful if patients encounter a medical emergency and are unsure if they have formalized their intentions regarding their estate. • Financial assistance: Health care costs can be substantial, particularly for people who experience a medical emergency and find themselves facing hefty bills related to their care. Hospitals typically have trained financial assistance professionals on staff who can help patients and their families navigate the potential assistance available to them. Options can include direct assistance in finding government support, charity care,

Peer support services for patients, family members and caregivers is just one of the lesser known services available at many hospitals. billing support, and more. Financial assistance staff may help patients and their families determine out-of-pocket costs, which is often a significant concern for people confronting a medical emergency. • Wellness services: Hospitals also offer services to people who are not confronting medical emergencies. Some facilities provide wellness services that emphasize preventive care like nutrition advice, dietary counseling and weight management support. Such offerings also may include lifestyle education that can showcase strategies people can look to each day to get healthy and stay healthy. • Language interpretation: Patients whose native tongue differs from that spoken at the hospital may be hesitant or intimidated when discussing their health and care with hospital officials. But many hospitals provide language interpretation and translation services that can ease those concerns and ensure there is no disconnect between patients and their health care providers. These services also can be utilized by people seeking advice on preventive care and healthy lifestyle choices. • Peer support services: Many hospitals also offer peer support services to patients as well as family members. These services may include routine support groups for survivors, caregivers, and others affected by a personal or family medical issue. Hospitals are more than just places to go when feeling unwell. The range of services available at many hospitals goes well beyond patient care.

Medical care for the whole family. ALL IN ONE PLACE. Primary care

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Women’s health Cardiology All under one roof.

Welcoming our newest cardiologist

<< James Cirbus, MD, FACC to our Dunkirk office!

3 8 9 8 V i n e y a rd D r i v e , D u n k i r k , N Y 1 4 0 4 8 | gppconline.com GP-QC_Dunkirk Medical Guide_7-167x9-5_8-2026_FINAL.indd 1

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How to Find Time to Be More Physically Active Each Day The Heart Foundation notes lack of time is often cited as an excuse for not exercising, and that’s a legitimate hurdle for many professionals. Indeed, a 2026 report from Monster indicated that 73 percent of workers report regularly working more than 40 hours per week and 47 percent cite employer expectations or company culture as their top reasons for overworking. While professionals in such situations may find it challenging to overcome a lack of time to exercise, the following strategies may be just what people need to incorporate physical activity into their daily routines. • Drive less. Driving is undoubtedly convenient, particularly for people who feel they’re continuously pressed for time. But leaving the car behind and walking or cycling to run local errands is a simple and enjoyable way to incorporate physical activity into your daily routine. Parents can walk children to the bus stop or their school in lieu of driving. Adults also can try walking to a local coffee shop near their home or office in lieu of driving to get their morning cup of Joe.

Courtesy of Metro Creative

hysical fitness is one of the keys to a long and healthy life. The Centers for Disease Control and Prevention note that routine physical activity helps people maintain a healthy weight, reduces a person’s risk for chronic health problems like cardiovascular disease and type 2 diabetes, and strengthens bones and muscles, which can help aging adults overcome age-related reductions in muscle mass and strength and reduce their risk for falls. People have much to gain from incorporating exercise into their daily routines. But many adults are not reaping those rewards, and studies indicate sedentary lifestyles are on the rise. A 2024 study published in the journal The Lancet Global Health noted that 31 percent of the world’s adult population was physically inactive in 2022, which marked a 5 percent increase since 2010. And a recent report from the U.S. Department of Health and Human Services and the United Health Foundation found that roughly one in five adults get no physical activity beyond their regular job.

• Break up workouts. WHO guidelines recommend adults between the ages of 18 and 64 get at least 150 minutes of moderate-intensity physical activity or 75 minutes of vigorous physical activity each week. The WHO also recommends muscle-strengthening activities two or more days per week. That can seem daunting to adults pressed for time, but workouts can be broken up throughout the day. A pre-breakfast strength training session at home may only require 20 minutes, and that night adults can go for a jog or a brisk walk around their neighborhood. • Workout while watching television. Adults who like to unwind at the end of the day by watching their favorite television shows can use that time to exercise without giving up their entertainment. Invest in a treadmill or elliptical and turn television time into a time to break a sweat as well. Watching a 30-minute episode of a favorite TV show while on a treadmill or elliptical can help adults meet WHO physical activity guidelines without requiring them to sacrifice their preferred way to unwind. These strategies can help time-pressed adults incorporate more physical activity into their daily routines and lay a foundation for a long and healthy life.

Can Cataracts Be Prevented? Courtesy of Metro Creative

ision should be cherished at every stage in life. However, as one ages and vision changes become more profound, it is even more important to stay abreast of what can be done to care for the eyes in the hopes of preventing certain conditions, including cataracts. Cataracts are the clouding of the eye’s natural lenses. The World Health Organization estimates that cataracts affect more than 94 million people globally. Cataracts also account for nearly 45 percent of all blindness cases.

Even though cataracts are considered an unavoidable part of the aging process, some people wonder if they can be prevented. Reedsburg Area Medical Center says that, while one cannot entirely stop the biological aging of the lens, delayed onset and reduced severity of cataracts is possible through targeted lifestyle choices. According to EyeHealth Northwest, by age 80, more than 90 percent of adults will either have a cataract or have already undergone surgery for them. Technically cataracts cannot be prevented, but these steps can help push cataract development further into later life. • Wear sunglasses with UV protection. The consensus among experts is that prolonged exposure to ultraviolet B rays accelerates the breakdown of lens proteins. Consistent use of sunglasses that offer 100 percent UV protection can greatly slow this protein degradation. Wraparound frames will block light from the periphery as well as the front. • Lower oxidative stress. Preventing oxidative stress, a primary driver of lens opacification, can be achieved through diets rich in antioxidants, says Premier Eye Care of Eastern Idaho. Lutein, zeaxanthin and vitamin C act as shields for the eye. Eye Physicians of Long Beach says the risk of age-related cataracts reduces by around 26 percent for every additional 10 mg of carotenoids added to a person’s diet. • Manage diabetes. The National Institutes of Health says individuals with diabetes face a 63 percent higher likelihood of requiring cataract surgery compared to those without the condition. Managing high blood sugar will prevent sorbitol from depositing in the lenses and causing cloudiness earlier in life. • Quit smoking: Smoking is a key factor in cataract development, says Optometrists.org. Smokers have a 1.66 times greater risk of developing cataracts than non-smokers because the toxins in tobacco smoke can deplete the body’s natural antioxidant stores. Although it may not be possible to turn off aging and prevent cataracts entirely, cataracts can be delayed and made less impactful through lifestyle changes.

Warning Signs of Mental Health Issues

Courtesy of Metro Creative

he significance of measures to protect mental health has garnered renewed attention in recent years. As that shift has taken place, measures to safeguard mental health have become vital components of the health and wellness routines of people from all walks of life. Education is an important component of mental health care. While mental health issues were once stigmatized, education has helped to raise awareness about mental illness and how common it is among people of all ages, countries, and socioeconomic backgrounds. One of the first steps to educate oneself or others about mental health is to learn the warning signs and symptoms that someone might be dealing with mental illness. The National Alliance on Mental Illness notes each illness has its own symptoms, but there are some common indicators that characterize various conditions. According to the NAMI, signs of mental illness in adults and adolescents may include: • Excessive worrying or fear • Feeling excessively sad or low • Confusion when thinking or difficulty concentrating and learning • Extreme changes in mood, including uncontrollable highs or feelings of euphoria

• Feelings of irritability or anger that are prolonged or strong • Reluctance to engage with friends and avoidance of social activities • Difficulty understanding or relating to other people • Alterations in sleeping habits or feeling tired or lacking energy • Changes in eating habits, such as increased hunger or lack of appetite • Changes in sex drive • Difficulty perceiving reality. These difficulties may be marked by delusions or hallucinations, in which a person experiences and senses things that don’t exist in objective reality. • Inability to perceive changes in one’s own feelings, behavior or personality, a lack of insight known as anosognosia • Excessive consumption of substances like alcohol or drugs • Multiple physical ailments without obvious causes, such as headaches, stomach aches, and vague and ongoing aches and pains • Thoughts about suicide • An inability to carry out daily activities or handle daily problems and stress • An intense fear of weight gain or concern with appearance Parents should know that even young, school-aged children can experience mental health issues or illness. The symptoms of such conditions in young children may manifest behaviorally, which the NAMI notes occurs because kids are still learning how to identify and talk about their thoughts and emotions. Young children dealing with mental health issues may exhibit these symptoms: • Changes in school performance • Excessive worry or anxiety. Children may exhibit these symptoms by fighting to avoid going to bed or school. • Hyperactive behavior • Frequent nightmares • Frequent disobedience or aggression • Frequent temper tantrums The World Health Organization estimates that more than one billion people across the globe are living with mental health conditions. More information about mental illness can be found at nami.org.

Chautauqua Adult Day Services “Where everyday is a good day!”

erving Chautauqua County for over 40 years, Chautauqua Adult Day Services has been proudly providing a meaningful, Comprehensive, cost-effective day program for seniors. Adult day programs make a difference in the lives of seniors. They help older adults remain in the comfort of their homes and continue to be active and independent. Give family members and caregivers support and a break from care giving. With three locations to serve the county residents their locations include The Dunkirk Center located at St. John's UCC 733 Central Ave. Dunkirk, NY, 14048 • phone 716-366-8786; and The Taft Center, located at the Bercik-Lucks Center -358 E 5th Street, Jamestown, NY, 14701 •phone 716-6654899 both offer day programs for older adults providing: Supervision in a Safe and Secure Setting • Socialization and Friendship • Recreational Activities • Arts and Music Programming • Community Recreation • Special Events and Celebrations • Meal Programs • Scheduled Transportation •

Assistance with Personal Care • Respite for Caregivers and Social Work Services The Present Center at the Bercik-Lucks Center -358 E 5th Street, Jamestown, NY, 14701 •phone 716-6654899 The Present Center is a specialized day program that can provide caregivers with a break from caring for a loved one with Alzheimer’s disease and memory loss. Their services include providing: a Safe and Secure Environment • Specialized Activity Programming • One on One Care and Supervision • Meal Programs • Social Work Services • Personal Care Assistance and Respite for Caregivers Chautauqua Adult Day Services also provides Latino Outreach for seniors that include translation, interpretation and case management services for older Latino adults at all of their locations. For more information on any of their services contact them at the above phone numbers or via their website at www.seniordayprograms.com.

Conducting a Breast Self-Exam Courtesy of Metro Creative

here are various ways to detect breast cancer in the earliest stages of the disease. Self-exams are one way to be mindful of potential changes in the breasts and bring them to the attention of medical professionals. While self-exams can help individuals learn how their bodies normally look and feel, major medical organizations like the American Cancer Society no longer recommend doing formal, regimented monthly self-exams. Instead, there is a greater push toward breast self-awareness. According to BreastCancer.org, regular step-by-step self-exams do not decrease breast cancer mortality rates. In some instances, they can cause unnecessary anxiety and lead to biopsies after the discovery of benign lumps. But it can still be helpful to learn how to conduct a self-exam and incorporate it into a preventive health care routine. Here’s how to conduct an exam, courtesy of BreastCancer.org. 1. Examine your breasts in the mirror with hands on hips. Look for breasts that are evenly shaped without visible distortion or swelling. Also look to ensure that the breasts are their usual size, shape and color. 2. Now raise your arms and look for the same things.

3. Look for signs of fluid coming out of one or both nipples. 4. Lie down, and use your right hand to feel your left breast. Then switch to use your left hand to feel your right breast. Use a firm, smooth touch with the first few finger pads of your hand. Press down with your fingers and move them in a circular motion that’s about the size of an inch around. Go around each breast from top to bottom, side to side. Be sure to follow a pattern to be sure to cover the entire breast from collarbone to the top of the abdomen, and from your armpit to your cleavage. 5. Feel your breasts while you are standing or sitting. Many people find that the easiest way to self-examine their breasts is in the shower when the skin is slippery. Conduct the same hand movements as in step 4. While many lumps are benign, women should not hesitate to call the doctor to check out a new lump or breast change that concerns them. Getting to know one’s breasts through self-exam can lead to early detection of breast cancer at a point in time when the disease is most treatable.

SERVICE DIRECTORY Adult Day Services

Chemical Dependency

Chautauqua Adult Day Services....... 16 St Johns UCC 733 Central Ave., Dunkirk, NY 14048 716-366-8786 option 5 www.seniordayprograms.com

Brooks-TLC Hospital System, Inc....1 & 19 Substance Use Disorder Outpatient Treatment Clinics 33 N. Main St., Cassadaga, NY 14718 716-595-3395

Assisted Living

7020 Erie Rd., Derby, NY 14047 716-947-0316 www.brookshospital.org

Sagewell Assisted Living at Hultquist Place.............................. 5, 7, & 9 715 Falconer St., Jamestown, NY 14701 716-665-4905 sagewellny.org

Behavioral Health/Care Coordination The Chautauqua Center........................ 23 75 E. 3rd St., Dunkirk, NY 14048 716-363-6050 107 Institute St., Jamestown, NY 14701 716-484-4334 www.tcchealth.org

Cardiology AHN/Westfield Memorial Hospital... 13 189 East Main St., Westfield, NY 14787 716-326-4921 www.ahn.org/locations/hospitals/ westfield-memorial General Physician Cardiovascular…..25 Mohamed Abdel-Aal Ahmed, MD James Cirbus, MD, FACC Daniel Heusinger, PA-C 3898 Vineyard Drive, Suite 3 Dunkirk, NY 14048 (716) 268-1260 gppconline.com GLPP JAMA Cardiology........................... 21 15 S. Main St., Suite 110 Jamestown, NY 14701 716-483-2320 12 Center St., Suite 4, Fredonia, NY 14063 716-934-3641 www.GLPP.com

Cardiovascular / Vein Treatment General Physician Cardiovascular…..25 Mohamed Abdel-Aal Ahmed, MD James Cirbus, MD, FACC Daniel Heusinger, PA-C 3898 Vineyard Drive, Suite 3 Dunkirk, NY 14048 (716) 268-1260 gppconline.com

The Chautauqua Center........................ 23 75 E. 3rd St., Dunkirk, NY 14048 716-363-6050 107 Institute St., Jamestown, NY 14701 716-484-4334 www.tcchealth.org

Diagnostic Testing

AHN/Westfield Memorial Hospital... 13 189 East Main St., Westfield, NY 14787 716-326-4921 www.ahn.org/locations/hospitals/ westfield-memorial

Disease Management

The Chautauqua Center........................ 23 75 E. 3rd St., Dunkirk, NY 14048 716-363-6050 107 Institute St., Jamestown, NY 14701 716-484-4334 www.tcchealth.org

Eye/Vision Care

Lakeshore Eye Care................................ 35 12657 Seneca Rd., Irving, NY 14081 716-698-9194 or 716-934-3300 www.lseyecare.com

New York Medical Center.......................2 845 Route 5 & 20, Irving, NY 14081 716-961-7457

5844 Southwestern Blvd #600 Hamburg, NY 14075 716-898-2002 www.lseyecare.com

Chiropractic

Family Medicine

The Chautauqua Center........................ 23 75 E. 3rd St., Suite B, Dunkirk, NY 14048 716-363-6050 107 Institute St., Jamestown, NY 14701 716-484-4334 www.tcchealth.org Dynami Chiropractic of Western NY........ 17 Precision • Mobility • Performance 37 West Main St., Fredonia, NY 14063 Dimitri Landis DC 716-672-9837 www.pmpchiro.com

Counseling & Psychiatric Services The Chautauqua Center........................ 23 75 E. 3rd St., Dunkirk, NY 14048 716-363-6050 107 institute St., Jamestown, NY 14701 716-484-4334 www.tcchealth.org

Dental The Chautauqua Center........................ 23 75 E. 3rd St., Dunkirk, NY 14048 716-363-6050 107 Institute St., Jamestown, NY 14701 716-484-4334 www.tcchealth.org

Brooks-TLC Hospital System, Inc....1 & 19 529 Central Ave., Dunkirk, NY 14048 716-366-1111 www.brookshospital.org The Chautauqua Center........................ 23 75 E. 3rd St., Dunkirk, NY 14048 716-363-6050 107 Institute St., Jamestown, NY 14701 716-484-4334 10988 Bennett State Rd, Forestville, NY 14062 (716) 732-7770 www.tcchealth.org General Physician Primary Care...... 25 Rabina Sippy, MD Keith Shankar, MD Linda Fuller, ANP-BC, CDCES Katelyn Heist, NP Amanda Olander, AGNP 3898 Vineyard Drive, Suite 1 Dunkirk, NY 14048 716-363-6960 www.gppconline.com GLPP Family Practice.............................. 21 15 South Main St., Jamestown, NY 14701 716-483-6700 • Kaitlin Ames, DO • Robert Bailey, MD • Julia Clark, PA-C • Zachary Eklum, MD • Christophr Hayes, MD • Jerry John, MD • Brynlynn Pitt, MD www.GLPP.com

SERVICE DIRECTORY Family Planning

Gynecology/OB/GYN

Infusion

The Chautauqua Center........................ 23 75 E. 3rd St., Dunkirk, NY 14048 716-363-6050

The Chautauqua Center.........................23 75 E. 3rd St., Dunkirk, NY 14048 716-363-6050 107 Institute St., Jamestown, NY 14701 716-484-4334 www.tcchealth.org

Brooks-TLC Hospital System, Inc....... 1 & 19 Blood-related Disorders, Immunotherapy 529 Central Ave., Dunkirk, NY 14048 2nd Floor 716-366-1111 Brooks-TLC Hospital System, Inc./LEMS (Lake Erie Medical Services) Chemotherapy, Immunotherapy Raman Sood, MD 529 Central Ave., Dunkirk, NY 14048 1st Floor 716-366-1223

107 Institute St., Jamestown, NY 14701 716-484-4334 www.tcchealth.org

Gastrointestinal Services Brooks-TLC Hospital System, Inc./LEMS (Lake Erie Medical Services)..................1 & 19 Abdul Shahzad, MD 419 Central Ave., Dunkirk, NY 14048 Joseph Askar, MD 419 Central Ave., Dunkirk, NY 14048 Keith M. Kulju, MD Board Certified Gastroenterologist 419 Central Ave., Dunkirk, NY 14048 716-672-2000 www.lakeeriemedicalservices.org

General Surgery Brooks-TLC Hospital System, Inc./LEMS (Lake Erie Medical Services)..................1 & 19 Abdul Shahzad, MD 419 Central Ave., Dunkirk, NY 14048 Joseph Askar, MD 419 Central Ave., Dunkirk, NY 14048 7060 Erie Rd. Ste 500 Derby, NY 14047 716-672-2000 www.lakeeriemedicalservices.org www.brookshospital.org GLPP JAMA General Surgery.............. 21 15 S. Main St., Suite 170 Jamestown, NY 14701 716-483-1183 504 Central Ave. Dunkirk, NY 14048 716-483-1183 www.GLPP.com

Gynecology/OB/GYN AHN/Westfield Memorial Hospital... 13 Erie, PA 814-455-7591 www.ahn.org/locations/hospitals/ westfield-memorial Brooks-TLC Hospital System, Inc./ LEMS.......................................................... 1 & 19 (Lake Erie Medical Services) Lisa Barrett, ANP-BC 268 W. Main St., Fredonia, NY 14063 716-672-2000

Queen City OBGYN..................................... 25 Rebecca Balone, NP Maria Brzozowski, MD Dakota Coles, PA-C Laura Graci, PA-C 3898 Vineyard Dr., Suite 1 Dunkirk, NY 14048 716-748-4444 www.gppconline.com/specialties/QueenCity-OBGYN

Health & Wellness/Fitness Center YWCA - Westfield...................................... 8 58 S. Portage St., Westfield, NY 14787 716-326-2011 www.ywcawestfield.org

Health Department Chautauqua County Health Dept.........3 716-753-4491

Hospice Care Chautauqua Hospice and Palliative Care......27 20 W. Fairmount Ave., Lakewood, NY 14750 716-338-0033 www.chpc.care

Hospitals/Emergency AHN/Westfield Memorial Hospital... 13 189 East Main St., Westfield, NY 14787 716-326-4921 www.ahn.org/locations/hospitals/ westfield-memorial Brooks-TLC Hospital System, Inc.....1 & 19 529 Central Ave., Dunkirk, NY 14048 716-366-1111 www.brookshospital.org

Independent Living Sagewell Independent Living at Edgewood Communities.............. 5, 7 & 9 737 Falconer St., Jamestown, NY 14701 716-665-8197 sagewellny.org

Internal Medicine Chautauqua Medical Services........... 21 504 Central Ave., Dunkirk, NY 14048 716-366-9008 Hyder Alam, MD Michael Guilding, MD Susan Mackowiak, CRNP Beth Wlodarek, PA-C www.GLPP.com 113 Main St., Silver Creek, NY 14163 716-934-4518 Steven Barnes, DO Andrew Manoharan, MD Xuan Huy Phan, MD Carl Roth, DO www.GLPP.com 33 Main St., Cassadaga, NY 14718 716-595-3001 Mary Rudloff, PA-C www.GLPP.com 12 Center St., Suite 1, Fredonia, NY 14063 716-679-2233 Anthony Bartholomew, MD Sarah Bartholomew PA-C Andrew Landis, MD Stephen Laskowski, MD Hamza Muhammad, DO www.GLPP.com GLPP Internal Medicine.......................... 21 15 South Main St., Jamestown, NY 14701 716-488-1877 716-488-0232 716-483-0113 Shaden Alfallay, MD Tyler Gustafson, RPA-C Courtney Hammond, PA-C John LaMancuso, MD, FACP Evadne Ong, MD www.GLPP.com

SERVICE DIRECTORY Laboratory

Medicare

Oncology/Hematology

AHN/Westfield Memorial Hospital... 13 189 East Main St., Westfield, NY 14787 716-793-2286 www.ahn.org/locations/hospitals/ westfield-memorial

Putnam Record Agency......................... 15 Danielle Marx, Licensed Sales Agent 716-366-2744, TTY 711 danielle@putnamrecord.com

Brooks-TLC Hospital System, Inc./LEMS....1 & 19 (Lake Erie Medical Services) Raman Sood, MD 529 Central Ave., Dunkirk, NY 14048 716-366-1223

Brooks-TLC Hospital System, Inc........1 & 19 Draw Sites 103 E. Main St., Fredonia, NY 14063 716-672-5025

WNY Medicare Advisors.......................11 Paul Reidenouer 716-296-0022 paul@wnymedicareadvisors.com www.wnymedicareadvisors.com

Orthopedics/Surgeons

Mammography/Women's Imaging Services

Mental Health

AHN/Westfield Memorial Hospital... 13 189 East Main St., Westfield, NY 14787 716-326-4921 www.ahn.org/locations/hospitals/ westfield-memorial Brooks-TLC Hospital System, Inc........1 & 19 529 Central Ave., Dunkirk, NY 14048 716-366-1111 www.brookshospital.org

Meal Plans Meals on Wheels....................................... 24 196 Newton St., Fredonia, NY 14063 716-366-8822 www.dfmealsonwheels.org

Medical Insurance Complete Medicare Services..................36 Wealth Management Center 110 Mall Blvd., Lakewood, NY 14750 716-490-6337 www.CompleteMedicareServices.com Putnam Record Agency....................... ..15 Danielle Marx, Licensed Sales Agent 716-366-2744, TTY 711 danielle@putnamrecord.com WNY Medicare Advisors........................11 Paul Reidenouer 716-296-0022 paul@wnymedicareadvisors.com www.wnymedicareadvisors.com

Medicare Complete Medicare Services..................36 Wealth Management Center 110 Mall Blvd., Lakewood, NY 14750 716-490-6337 www.CompleteMedicareServices.com

The Chautauqua Center.........................23 75 E. 3rd St., Dunkirk, NY 14048 716-363-6050 107 Institute St., Jamestown, NY 14701 716-484-4334 www.tcchealth.org

MRI/CT Services AHN/Westfield Memorial Hospital... 13 189 East Main St., Westfield, NY 14787 716-326-4921 www.ahn.org/locations/hospitals/ westfield-memorial Brooks-TLC Hospital System, Inc....1 & 19 529 Central Ave. Dunkirk, NY 14048 716-366-1111 www.brookshospital.org

Nephrology GLPP JAMA Nephrology.......................... 21 15 S. Main St., Suite 130 Jamestown, NY 14701 716-664-7725 12 Center St., Suite 1 Fredonia, NY 14063 716-664-7725 113 Main St. Silver Creek, NY 14163 716-664-7725 www.GLPP.com

Occupational Therapy TCC - Chautauqua Physical & Occupational Therapy........................... 23 51 East Third St., Dunkirk, NY 14048 716-363-2244 www.chautauquapt.com

AHN/Westfield Memorial Hospital... 13 189 East Main St., Westfield, NY 14787 412-362-8677 www.ahn.org/services/orthopaedic Brooks-TLC Hospital System, Inc./LEMS...... 1 & 19 (Lake Erie Medical Services) Sunil Kukreja, MD Ryan Shephard, DO Lindsay Aldrich, RPA-C 419 Central Ave., Dunkirk, NY 14048 716-672-2000 107 Institute St., Jamestown, NY 14701 716-672-2000 268 W. Main St., Fredonia, NY 14063 716-672-2000 7060 Erie Rd. Ste 500, Derby, NY 14047 www.lakeeriemedicalservices.org GLPP Lakeshore Orthopedics............ 21 322 Park Ave. Dunkirk, NY 14048 716-366-7150 3040 Amsdell Rd Hamburg, NY 14075 716-366-7150 207 Foote Ave Jamestown, NY 14701 716-366-7150 www.GLPP.com

Pain Management Brooks-TLC Hospital System, Inc./LEMS (Lake Erie Medical Services)..........1 & 19 Lenny Rostomian, DO 7060 Erie Rd. Ste 500 Derby, NY 14047 716-672-2000 www.lakeeriemedicalservices.org

Pediatrics General Physician, PC Primary Care........ 25 3898 Vineyard Dr., Suite 1 Dunkirk, NY 14048 716-363-6960 www.gppconline.com The Chautauqua Center........................ 23 1134 Central Ave., Dunkirk, NY 14048 716-366-6036 107 Institute St., Jamestown, NY 14701 716-484-4334 www.tcchealth.org

Pharmacy

SERVICE DIRECTORY

TCC - The Waterfront Pharmacy..... 23 75 E. 3rd St., Dunkirk, NY 14048 107 Institute St., Jamestown, NY 14701 716-484-4334 www.tcchealth.org TCC - South Dayton Pharmacy........... 23 303 Pine St., South Dayton, NY 14138 716-988-3410 www.tcchealth.org

Physical Therapy

AHN/Westfield Memorial Hospital... 13 189 East Main St., Westfield, NY 14787 716-793-2231 www.ahn.org/locations/hospitals/ westfield-memorial Body Werks Physical Therapy........... 12 112 West Main Street (Pucci Building) Fredonia, NY 14063 716-680-8180 www.facebook.com/p/BodyWerksPhysical-Therapy-PLLC Brooks-TLC Hospital System, Inc......1 & 19 529 Central Ave. Dunkirk, NY 14048 716-363-3092 TCC - Chautauqua Physical & Occupational Therapy........................... 23 51 East Third St., Dunkirk, NY 14048 716-363-2244 www.chautauquapt.com

Physicians

Chautauqua Medical Services........... 21 504 Central Ave., Dunkirk, NY 14048 716-366-9008 Hyder Alam, MD Michael Guilding, MD www.GLPP.com 113 Main St.. Silver Creek, NY 14163 716-934-4518 Steven Barnes, DO Andrew Manoharan, MD Xuan Huy Phan, MD Carl Roth, DO GLPP.com 33 Main St., Cassadaga, NY 14718 716-595-3001 Mary Rudloff, PA-C www.GLPP.com 12 Center St., Suite 1, Fredonia, NY 14063 716-679-2233 Anthony Bartholomew, MD Sarah Bartholomew PA-C Andrew Landis, MD Stephen Laskowski, MD Hamza Muhammad, DO www.GLPP.com 117 Main St., Salamanca, NY 14779 716-945-5500 Dean Mast, MD www.GLPP.com

Physicians

Podiatry

General Physician Primary Care...... 25 3898 Vineyard Drive, Suite 1 Dunkirk, NY 14048 716-363-6960 www.gppconline.com

Brooks-TLC Hospital System, Inc.......1 & 19 Dunkirk Wound Care Center Abdul Shahzad, MD Sean Nagle, DPM Mohammad Kahn, DPM 529 Central Ave. Dunkirk, NY 14048 716-363-3391

GLPP Family Practice.............................. 21 15 South Main St., Jamestown, NY 14701 716-483-6700 Kaitlin Ames, DO Robert Bailey, MD Christopher Hayes, MD Jerry John, MD Andrea M. Johnson, MD Brynlynn Pitt, MD www.GLPP.com GLPP Internal Medicine.......................... 21 15 South Main St., Jamestown, NY 14701 716-488-1877 716-488-0232 716-483-0113 Shaden Alfallay, MD John LaMancuso, MD, FACP Evadne Ong, MD www.GLPP.com General Physician Primary Care...... 25 Rabina Sippy, MD Keith Shankar, MD Linda Fuller, ANP-BC, CDCES Katelyn Heist, NP Amanda Olander, AGNP 3898 Vineyard Drive, Suite 1 Dunkirk, NY 14048 716-363-6960 www.gppconline.com General Physician, PC /Queen City OBGYN..... 25 3898 Vineyard Dr., Suite 1 Dunkirk, NY 14048 716-748-4444 www.gppconline.com/specialties/QueenCity-OBGYN/ The Chautauqua Center............................23 75 E. 3rd St., Dunkirk, NY 14048 716-363-6050 107 Institute St., Jamestown, NY 14701 716-484-4334 www.tcchealth.org

GLPP Podiatry............................................. 21 207 Foote Ave. Jamestown, NY 14701 716-483-2200 www.GLPP.com The Chautauqua Center............................23 75 E. 3rd St., Dunkirk, NY 14048 716-363-6050 www.tcchealth.org

Primary Care Brooks-TLC Hospital System, Inc./LEMS...1 & 19 (Lake Erie Medical Services) Lisa Barrett, ANP-BC 268 W. Main St., Fredonia, NY 14063 716-672-2000 Chautauqua Medical Services........... 21 504 Central Ave., Dunkirk, NY 14048 716-366-9008 Hyder Alam, MD Michael Guilding, MD www.GLPP.com 113 Main St.. Silver Creek, NY 14163 716-934-4518 • Steven Barnes, DO • Andrew Manoharan, MD • Xuan Huy Phan, MD • Carl Roth, DO www.GLPP.com 33 Main St., Cassadaga, NY 14718 716-595-3001 • Mary Rudloff, PA-C www.GLPP.com 12 Center St., Suite 1, Fredonia, NY 14063 716-679-2233 • Anthony Bartholomew, MD • Sarah Bartholomew PA-C • Andrew Landis, MD • Stephen Laskowski, MD • Hamza Muhammad, DO www.GLPP.com 117 Main St., Salamanca, NY 14779 716-945-5500 • Dean Mast, MD www.GLPP.com

SERVICE DIRECTORY Primary Care

Senior Benefits

Surgeons - General Surgery

The Chautauqua Center....................... .23 75 E. 3rd St., Suite B, Dunkirk, NY 14048 716-363-6050 107 Institute St., Jamestown, NY 14701 716-484-4334 10988 Bennett State Rd, Forestville, NY 14062 (716) 732-7770 www.tcchealth.org

WNY Medicare Advisors........................11 Paul Reidenouer 716-296-0022 paul@wnymedicareadvisors.com www.wnymedicareadvisors.com

Brooks-TLC Hospital System, Inc........1 & 19

Senior Respite

Telehealth-medicine

Chautauqua Adult Day Services....... 16 St Johns UCC 733 Central Ave., Dunkirk, NY 14048 716-366-8786 option 5 www.seniordayprograms.com

The Chautauqua Center........................ 23

Sleep Studies

www.tcchealth.org

General Physician Primary Care...... 25 Rabina Sippy, MD Keith Shankar, MD Linda Fuller, ANP-BC, CDCES Katelyn Heist, NP Amanda Olander, AGNP 3898 Vineyard Drive, Suite 1 Dunkirk, NY 14048 716-363-6960 www.gppconline.com

Radiology AHN/Westfield Memorial Hospital... 13 189 East Main St., Westfield, NY 14787 Women’s Imaging, Mammography, CTScan, Ultrasound, Nuclear Medicine, Fluoroscopy 716-793-2243 www.ahn.org/locations/hospitals/ westfield-memorial Brooks-TLC Hospital System, Inc........1 & 19 529 Central Ave., Dunkirk, NY 14048 716-366-1111 Women’s Imaging, 3-D Mammography, DEXA Scan, MRI, CT, Interventional Radiology, Fluoroscopy, Ultrasound, Nuclear Medicine

Rheumatology The Chautauqua Center........................ 23 75 E. 3rd St., Dunkirk, NY 14048 716-363-6050 107 Institute St., Jamestown, NY 14701 716-484-4334 www.tcchealth.org

Senior Benefits Complete Medicare Services..................36 Wealth Management Center 110 Mall Blvd., Lakewood, NY 14750 716-490-6337 www.CompleteMedicareServices.com

AHN/Westfield Memorial Hospital... 13 189 East Main St., Westfield, NY 14787 877-256-4904 www.ahn.org/locations/hospitals/ westfield-memorial

529 Central Ave., Dunkirk, NY 14048 716-366-1111 www.brookshospital.org

75 E. 3rd St., Dunkirk, NY 140483 716-363-6050 107 Institute St., Jamestown, NY 14701 716-484-4334

Urology Western New York Urology Associates...4 504 Central Ave Suite 200 Dunkirk, NY 14048

Speech - Language Pathology & Audiology

716-338-9200

AHN/Westfield Memorial Hospital... 13 189 East Main St., Westfield, NY 14787 716-326-4921 www.ahn.org/locations/hospitals/ westfield-memorial

716-338-9200

117 Foote Ave Jamestown, NY 14701

Women’s Health The Chautauqua Center........................ 23 75 E. 3rd St., Suite B, Dunkirk, NY 14048

TCC - Chautauqua Physical & Occupational Therapy - Speech Therapy............................ 23 107 Institute St., Jamestown, NY 14701 716-488-2322 Youngerman Center For Communication Disorders.............................18 The State University Of New York At Fredonia W. 123 Thompson Hall, Fredonia, NY 14063 716-673-3203

Sports Medicine Dynami Chiropractic of Western NY........ 17 Precision • Mobility • Performance 37 West Main St., Fredonia, NY 14063 Dimitri Landis DC 716-672-9837 www.pmpchiro.com

Surgeons - General Surgery AHN/Westfield Memorial Hospital... 13 189 East Main St., Westfield, NY 14787 716-793-2226 www.ahn.org/locations/hospitals/ westfield-memorial

716-363-6050 107 Institute St., Jamestown, NY 14701 716-484-4334 www.tcchealth.org Queen City OBGYN..................................... 25 Rebecca Balone, NP Maria Brzozowski, MD Dakota Coles, PA-C Laura Graci, PA-C 3898 Vineyard Dr., Suite 1 Dunkirk, NY 14048 716-748-4444 www.gppconline.com/specialties/QueenCity-OBGYN/

Wound Care Clinic Brooks-TLC Hospital System, Inc........1 & 19 Abdul Shahzad, MD Sean Nagle, DPM Mohammad Kahn, DPM 419 Central Ave., Dunkirk, NY 14048 716-672-2000

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