When I was about to become a grandma for the first time, I did many of the typical things prospective grandparents do. I bought baby furniture so my new little one would be comfortable in our home, and practiced referring to myself as “Grandma” (I had to get used to my new title). I even bought a new phone with a better camera and more storage for all those photos I knew I would be taking.
Then, I also did something I had never done before: I got a flu shot.
The author with her grandson.
For years, I had avoided the flu shot. I don’t get the flu and I don’t work in a hospital with vulnerable patients or with the public where I would be exposed to their germs. I ignored the recommendations that almost everyone should get vaccinated.
Babies: At High Risk For Flu Complications
Then I learned that young children who catch the flu are more likely to get really sick, land in the hospital or even die. Children are more likely to get the flu. They have a weaker immune system and are often exposed to germs. Babies less than six months old are too young to even get a flu vaccine. During the last flu season in New York state, 1 in 9 children who got the flu was hospitalized and eight children died from getting the flu.
It’s not just young children who are at high risk of getting really sick from the flu. Others at risk include:
Adults age 65 and older
People with medical conditions including asthma, heart disease, diabetes, or a weakened immune system
I may think that I won’t catch the flu. But there are people, including my grandchild, who could become seriously ill if I passed the flu to them. When you have the flu, you can pass it on to others even before you start to feel sick.
At my doctor visit, I learned that in addition to the flu vaccine, new grandparents should also talk to their doctor about getting other immunizations as well. Vaccines for new grandparents can include:
Lynn Johnson knew she should get a colonoscopy. She was 50-years-old, the age when most people should start screening for colon cancer.
“But I was busy at work and I didn’t understand the value of the screening,” said Lynn of Penfield, New York. “I was probably also a little fearful. I ignored it. Of course, that was a mistake.”
Lynn had colon cancer, but didn’t know it.
About a year later, Lynn landed in the hospital in excruciating pain. Tests revealed she had a tumor growing in her body that had perforated her colon. Lynn had stage 2 colon cancer. She needed several surgeries to remove the tumor and repair her colon.
Because the tumor had perforated her colon, the risk that the cancer would spread was high. So she also needed chemotherapy in the form of horse-pill sized medications she had to choke down over 10-day periods for the next six months.
“The doctors would have probably caught my cancer earlier if I had a colonoscopy at age 50 like I was supposed to,” said Lynn. “I might have avoided a lot of the pain and suffering and skipped the chemotherapy which compromised my immune system.”
2nd leading cause of cancer deaths
Lynn’s story isn’t unusual. About 1 in 3 upstate New York adults between the ages of 50 and 75 haven’t been screened for colon cancer, according to research findings from Excellus BlueCross BlueShield.
Facts About Colon Cancer Screening infographic
Regular screenings can detect early-stage colon cancer before symptoms develop. Early detection is important because treatments are more likely to be successful for early- rather than late-stage cancer.
A colonoscopy is the most thorough screening test for colon cancer and is proven to prevent the disease. Removing benign or pre-cancerous polyps during colonoscopy may not only prevent colon cancer, but also reduce deaths from the disease, according to the National Institutes of Health.
The U.S. Preventive Services Task Force recommends adults ages 50 to 75 be screened every 10 years. Individuals who have colon cancer risk factors, including a family history of colon cancer or previous polyps, may need to have their first screening at a younger age and/or more frequently.
Colonoscopies: The test we love to hate
For many people, preparation for a colonoscopy is worse than the procedure itself. The day before, you have to drink a nasty tasting liquid laxative to help clean out your colon and adhere to a clear liquid diet so your doctor has a visible view of the inside of your colon to spot cancer or any potentially cancer-causing polyps. You’ll probably be offered mild sedation to help you relax during the short procedure which is usually done on an outpatient basis.
“But it’s completely worth it—especially if it helps you fight off cancer,” Lynn said.
There’s also good news on the horizon. There are now several other screening tests that may be available to you.
“A colonoscopy is a great way to catch cancers before they develop or to catch them very early,” said Dr. Martin Lustick of Excellus BlueCross BlueShield. “But there are alternatives, particularly something called a “FIT test,” which is a chemical test on your bowel movement that looks for signs of invisible blood that might be there—one of the early signs of potential cancer.”
Stool tests: A Fecal Occult Blood Test (FOBT) and a Fecal Immunochemical Test (FIT).
Both tests look for blood in your stool. You can even take the test in the comfort of your own home. These tests are done once a year.
Direct visualization tests: With a colonoscopy, a doctor uses a long, thin, lighted tube to check your entire colon and rectum for polyps or cancer. These polyps can be removed during the test. With a flexible sigmoidoscopy, the physician looks for polyps or cancer in your rectum and lower third of your colon. A sigmoidoscopy is generally performed every five years.
Other screening options may be available. Talk with your doctor about which option is best for you.
Helpful Tip: Colon cancer screenings are covered in full as an ‘essential benefit’ for most health insurance plans.
Listen to your older brother
Lynn (right) with her brother and sister.
Lynn skipped her colonoscopy at age 50, despite the advice of her older brother.
Her brother, who is a few years older, had pre-cancerous polyps removed from his colon during a colonoscopy. He bugged Lynn and her twin sister to get the procedure done.
Lynn’s sister got a colonoscopy. But Lynn did not.
“My advice? Get a colonoscopy. It could save your life,” Lynn said.
“Oh, and listen to your older brother!” she laughed.
For More Information
Many local and national organizations have pledged support for the National Colorectal Cancer Roundtable’s “80% by 2018” goal of having 80 percent of adults aged 50 and older screened for colorectal cancer by 2018.
The NCCRT was founded in 1997 by the American Cancer Society and the Centers for Disease Control and Prevention. If achieved, the screening goal of “80% by 2018” would prevent 277,000 cases of colorectal cancer and 203,000 associated deaths by 2030.
Losing weight is…well, hard! Eat healthy, be more active…you know the drill. But getting started and sticking with it are two of the hardest parts. So, what if you had someone to keep you on track, was always available, and never said no? Would it also help if they were one of your best friends?
If you answered yes, the answer may be just a few feet away from you.
In 2015, the U.S. Surgeon General encouraged people to be active and walk more.“ Strong evidence exists that physical activity has substantial health benefits,” according to “Step it Up! The Surgeon General’s Call to Action to Promote Walking and Walkable Communities.” “Walking is an excellent way for most Americans to increase their physical activity.“
It’s a simple formula. One overweight adult + one overweight dog = one really good reason (and motivation) to lose weight together. One easy way to get started would be to just go on regular walks together a few times each week.
The Wake-up Call that Saved Brad’s Life
A walk or a run can be great exercise.
Brad, a 6-foot-6-inch former athlete, had a wake-up call in his mid-30s. His doctor said he was at risk for heart disease and other health problems, such as diabetes and stroke, because of his weight and lack of exercise. He adopted Buddy, a black Labrador retriever. ”The energetic dog became Brad’s running buddy and ticket to better health. “ (More on the story of Brad and Buddy.)
Couch Potato to Athlete – The Story of Eric and Peety
Eric, a 57-year-old salesman from Spokane, Washington, says “a plump dog named Peety helped turn him from a couch potato struggling with obesity into a slim athlete.” Eric weighed 330 pounds. He lived by himself and would often eat two extra-large pizzas (consuming potentially thousands of calories) for dinner. He spent more than $1,000 a month in medications for type 2 diabetes, high cholesterol, and high blood pressure.
One month before Eric was due to have weight-loss surgery, he was advised to eat a whole-foods diet AND to rescue a dog. The thinking was that having a dog might force Eric to get outside and be more active. (Maybe he’d even meet other people?) Peety, a 7-year-old border collie/Australian shepherd mix, “came into his life and changed it forever.” More on how Eric and Peety changed each other’s lives (Their video.)
The Tale of Otto the Bulldog
Otto the Bulldog started taking longer walks and lost 15 pounds.
“Typically you can’t get an English bulldog off the couch, let alone walk more than 50 feet,” says Brittany, a digital marketing manager from Rochester, NY. “Ever since he was a puppy, Otto, our 6-year-old English Bulldog, has enjoyed going on walks.”
As he grew older though, Otto’s vet wanted him to drop from 65 to 55 pounds. Brittany gradually extended their typical route. “We often forced him to take breaks, just to catch our own breath!” Combining longer walks with better food, Otto has dropped down to 50 pounds, has a softer coat and is happier than ever. “No need for a Fitbit® alarm – Otto reminds us to walk every day with a long, dragged out whiny mumble. What a great way to unwind after work, talk about our day, and get our steps in as a whole family.”
Set up a routine and stick with it
The philosopher Lao Tzu had a saying that went something like, “The journey of a 1000 miles begins with one step.” If you’re just getting started, go for shorter walks, gradually increasing them as you feel comfortable. It’s important to set up a routine. Try walking at the same time every day. Dogs like routine and will likely come and encourage you on those days when you may not feel like it (just like Otto).
Also, if your friend or neighbor has a dog, maybe you can walk together.
Nutrition is also an important part of the puzzle.
“If food were in front of your dog all day, they would likely keep eating. We often have the same instincts.” says Janette Westman, a workplace wellness consultant at Excellus BlueCross BlueShield. “A dog’s food is controlled by their environment. The owner puts it out when it’s time to eat and controls the amount. We could create a similar environment for ourselves. By reducing how much food is constantly in front of us, we could be less tempted to snack all day long as well. Also, planning ahead is another way to make healthy eating easier.”
You can also try modifying some of your habits using the “Five Rules for Eating” from Stephen Cook, M.D., MPH, Assistant Professor of Pediatrics at the University of Rochester Medical Center. If you do choose to snack during the day, there are healthy options that can give you a boost between meals. Try keeping a banana, apple, or a handful of almonds handy. Pat Salzer, a registered dietician for Excellus BlueCross BlueShield, has suggestions for healthy snacking throughout the day.
Consider adopting/rescuing a dog. Check with your local animal rescue organization if interested in pet adoption. Some will allow local volunteers to come and walk their dogs. That can also be an option if you’re not quite ready to adopt.
Please consult with your doctor before beginning any diet or exercise regimen for yourself and a veterinarian for your furry friend.
Becoming a parent stirs up a lot of fears. Will I be a good caretaker? Who will take care of my child when I go back to work? How do you keep one of these things alive? You meanwe can just take them home?!
And that’s just the stuff you talk about publicly.
The Creepiness of Children’s Music
One of the secrets I’ve harbored in the deep recesses of my mind is a disdain for kids’ music (and those weird music videos!). The chipper, high voices. Bright primary colors. People singing while wearing spandex.
I’ve tried to get on board. I attended a newborn story time at our local library,* where they handed out lyrics to kids’ songs and taught interactive movements. A totally cool idea, and very helpful for someone like myself who hasn’t been around kids that much and has no idea where to start with such things. Story time was met with marginal success: my baby slept on my lap while I sang and clapped. My mind kept wandering along with the ridiculous lyrics we were singing. The song “Hickory Dickory Dock” reminded me of a Hickory Farms summer sausage gift basket. Ants marching one by one in the house are usually met with the sole of my shoe, because I’m the resident exterminator. And spiders? During a discussion of “Itsy Bitsy Spider,” my brother texted, “I hate spiders. Why would I sing about them?” Well said, sir.
Then the time of reckoning arrived. A beautiful, innocent, googly-eyed baby staring up from the crib, longing for some parental interaction. When I opened my mouth to croak out something, I didn’t know what to sing other than “Happy Birthday.” That experience showed me the need to create some playlists that wouldn’t be too terrible to sing along with over and over again. Because what is more fun in life then creating your own soundtrack?
The Positive Effect That Music Has on Children Makes It A Must
Studies have shown that music can have a really positive impact on childrens’ development.
It’s just that the entire universe-altering shift to parenthood is so overwhelming that it’s hard to let all facets in at once and the preordained music playlist, well, sometimes it just hurts. So you try to preserve some small semblance of your past that you want to share with your little one.
Playlists That Don’t Suck
There is nothing revolutionary here and obviously you can put any music you like on your soundtrack. I’ve been known to sing the jingle from the Cellino & Barnes commercial when desperate. Sleep deprivation causes things like an inability to remember your once-favorite songs, the words to the ABCs or those melodies earmarked for kids. I’ve found it helpful to have playlists queued up so I can spend more time interacting with our little one instead of racking my brain for songs to sing.
When I moved off campus my junior year of college, I was excited to have an actual kitchen to cook in and a place to eat that I didn’t have to share with hundreds of other students.
That feeling quickly faded when I remembered how much time and money it takes to cook and grocery shop when you’re a broke college student and also going to classes, club meetings, working and seeing friends.
Staying up late was normal for me. Some nights I’d leave work at 1:30 a.m., or I was up late studying or hanging out with friends. There was no way I was going to take the time to cook myself an actual healthy meal. Even if I wanted to cook, I probably didn’t have anything in my fridge to make it.
I saw fast food as my only option.
Frequenting fast food drive-thrus became a regular habit for my friends and me. They were the only places open late at night and the cost seems cheap when you can get a meal for only a few dollars. If I did go to the grocery store, I’d buy chips or microwaveable meals that were easy to make. I probably used my oven a handful of times over an entire semester.
But the truth is, with a bit of planning, broke college students and young professionals can eat healthy without spending a lot of time or money. Pat Salzer, registered dietitian and workplace wellness consultant at Excellus BlueCross BlueShield, shares eight tips to help you save time while eating healthy on the cheap.
8 Tips for Healthy Eating on a College Student’s Budget
Have group meals. Find friends who like to cook and make your meals together. Having a group of people working together to make dinner is more fun than cooking alone and will help you avoid fast food restaurants.
Don’t grocery shop when you’re hungry. This might seem like an obvious tip that you’ve heard a thousand times, but it’s true! When you’re hungry, your willpower goes out the window. Everything will look good, especially the things that don’t take long to make.
Buying in bulk isn’t always a good thing. Bulk can be good if you know that you’ll eat all of it. However, it’s not worth buying large quantities, especially produce, if you’ll just stress about not eating it all before it goes bad.
Have a plan when you shop so you’ll get what you need and only what you really need. You won’t overspend if you stick to a grocery list. This strategy might also help you avoid filling your cart with junk food—like those little pints of Ben & Jerry’s chocolate fudge brownie ice cream that I love so much!
Be realistic about what you will eat. I would always buy Greek yogurt because I knew it was healthy. Only problem was, I don’t like Greek yogurt. I tried to force myself to like it, but it wasn’t happening. The yogurt would sit in my fridge until it hit the expiration date and then I’d have to (thankfully!) throw it out. There’s no point in spending your money on something that you know you won’t eat.
Prepare big batches of healthy, delicious foods that’ll leave you with lots of leftovers (and unlike in tip #3, you know you’ll eat it). Whatever you make for dinner, you can also eat the next day for lunch. It’s also a good way to keep yourself from overeating at a meal if you know that you need to save some for the next day.
Buy fruits and vegetables that are in-season. Not only will that sweet Red Delicious apple you bought in the fall taste better, but it’ll likely be cheaper, too. Try different types of produce—you might be surprised by what you like! I was shocked (shocked) to learn that I actually liked the taste of broccoli!
Stash affordable, healthy foods for snacks—yogurt, string cheese, cottage cheese, peanut butter, etc.—around your apartment, house or dormitory. These foods will help satisfy late-night cravings and deter you from embarking on fast food runs.
If you’re like me, you ended the year celebrating the holiday season just a little too much and you’ve started the new year looking for the perfect gym to undo the damage of rich desserts and not enough activity.
Finding the right fitness facility can be tricky if you’re looking for more than just the lowest-cost option.
A treadmill is great for running in the winter months.
“You need to assess your fitness goals before selecting the best gym for you,” said Janette Westman, workplace wellness consultant, Excellus BlueCross BlueShield. “Do you want a basic gym with treadmills for a daily run or walk, for example, or do you prefer one with a variety of classes or state-of-the art equipment to keep you motivated?”
My needs as a gym buff have evolved over the years. When I was a broke, recent college graduate, I went with the cheapest option. All I needed was a place to run in the winter—at the lowest possible price!
Select a gym close to your job.
As I earned a little more, I gravitated toward facilities that also had early morning spinning classes. But once I had kids and was paying daycare bills (yup, I was broke again!), I gravitated toward the free workplace gym.
Given my holiday weight gain, I’m now also hunting for a fitness facility to use on the weekends, when I don’t want to trek into work to work out. I’m considering a gym or a facility that also offers classes, such as kickboxing.
Westman, a former personal trainer, offers the following tips for finding the right fitness facility in the new year:
Location: People often stop exercising because they lack the time. If you exercise after work, select a gym close to your employer. Weekend warriors in the battle against the bulge may want a facility close to home.
Hours of operation: The gym should be open when you plan to exercise. Early birds, for example, may need a fitness center that opens at the crack of dawn to allow for the 5 a.m. swim before work.
Classes: Ask if classes such as spinning and yoga cost extra. If you’re solely interested in classes, a studio instead of a fitness facility may be a better option.
Equipment quality: Ensure the cardio and weight machines are clean and in good condition.
Staff: Are staff members friendly and qualified with the right certifications? You may want a gym with fitness trainers and dieticians to help you get healthier.
Free trial pass: Test the gym during the times you’ll likely exercise. Is it too crowded? Are the classes, equipment, and atmosphere right for you? Are showers and changing facilities up to par? Is the parking convenient? Will you feel comfortable asking staff for advice or posing questions, such as how to use unfamiliar equipment?
Cost: Ask if the gym will waive the enrollment fee so that you’re only responsible for the monthly dues.
Important Tip: Some health care insurers may offer a benefit that helps pay for a gym membership. Be sure to check your policy to see what’s available to you. Don’t leave money on the table!
Being a teenager and going through high school can be difficult. There are classes to keep up with, sports commitments and demands for your time from family and friends. And, for Brittany McNair, a cancer diagnosis.
McNair was diagnosed with osteosarcoma June of 2005, the end of her freshman year of high school. She went to the doctor after not being able to walk and after several tests, found out that she had cancer in her right leg.
The former three-sport athlete went from running daily for soccer and indoor/outdoor track to relearning how to walk. She didn’t think she’d run again.
The high school years are a time when your peers are constantly judging you. Because chemotherapy treatments caused her hair to fall out, McNair feared having her picture taken or being asked to remove her hat. She also learned to get creative to avoid the dreaded hospital visits. (More on that later.)
With the help of friends, family and a local nonprofit, McNair found a way to keep some of the normalcy of her teenage years. Her family also emerged stronger and closer as a result of it.
Brittany McNair on her 16th birthday while in the hospital for cancer treatment.
A Visit to Her Hospital Room
In August of 2005, surgeons replaced the bones in McNair’s right leg with a metal prosthesis. At the same time, they removed her calf muscles and performed knee replacement surgery on that leg. She was 15.
As she recovered in the hospital, McNair received a visit from Lauren Spiker, executive director of 13thirty Cancer Connect, formerly known as Melissa’s Living Legacy Teen Cancer Foundation. Spiker had formed the organization three years prior after her daughter, Melissa, died of cancer, and was running it from her home.
On the wall at 13thirty Cancer Connect is Melissa’s request of her mother before she died, “If you have learned anything from me through all of this, do something with it to make a difference – to make things better.”
Spiker explained her daughter’s request.
“When Melissa was going through treatments for cancer as a teenager, we noticed that there weren’t many support groups for teenagers or young adults.”
Spiker visited McNair in the hospital to invite her to join their support groups, including a popular pancake breakfast at Spiker’s home with other teenage cancer survivors. A few weeks later, McNair participated in a photo shoot for a brochure for the organization. From that day, McNair has continued to attend 13thirty Cancer Connect events.
“13thirty Cancer Connect helped me in ways I couldn’t even begin to describe,” said McNair. “I’ve made lifelong friends there, and I am so thankful for them.”
The organization welcomes individuals ages 13 to 30 who have cancer and their families. A few years after McNair joined the group, 13thirty Cancer Connect began offering fitness classes to give people who have been diagnosed with cancer a chance to exercise with the supervision of a physical therapist and get their strength back.
It was through this program that McNair started to run again.
Brittany with Lauren Spiker, executive director of 13thirty Cancer Connect
Friends on the field
McNair was lucky to have friends who worked hard to keep her connected to high school (and all the drama!).
Her soccer teammates and their families took turns decorating and filling a box of goodies for McNair to have before she went to the hospital for chemotherapy on Fridays. She found the box on her front porch every Thursday.
“I would be in the hospital all weekend and my teammates would give me everything from candy to DVDs in that box,” said McNair.
McNair’s favorite? A barf bucket. (The chemotherapy made McNair pretty sick!) It was decorated with different words and phrases related to barfing.
After her diagnosis, one family gave her a laptop to help her keep up with school, but she also used it to keep up with her friends and high school happenings.
“AOL Instant Messenger was the big thing then, and I would be on my laptop all the time talking to friends so I was kept in the loop,” said McNair.
Her friends also would visit her at home and in the hospital. As often as she could, McNair would go to basketball games to watch her sister cheer, and she’d also sit on the bench and help her coach during soccer games.
A birthday to remember
McNair really wanted to be in school with her friends on her 16th birthday on Dec. 23, 2005. Usually her birthday falls during winter break, when there’s no school, but that year was an exception.
On the morning of her birthday that year, McNair’s mom – Jennifer Arnold – noticed that her daughter felt hot. So Arnold took her temperature. If McNair had a fever, that meant she’d have to go to the emergency room and would automatically be in the hospital for 24-48 hours. When Arnold came back, McNair’s sister was in the room.
“I didn’t think anything of it,” said Arnold. “I figured they had just been talking before Brittany’s sister went to school or something.”
Arnold looked at the thermometer and it read a normal temperature. Arnold made McNair take her temperature again, but this time she didn’t leave the room.
“The thermometer said she had a fever just like I thought,” Arnold said. “Brittany’s sister took her own temperature, and the girls tried to trick me!”
McNair’s friends ended up visiting her in the hospital and celebrated her birthday there.
It wasn’t the first time her friends or family were willing to intervene on McNair’s behalf.
“I don’t know why it was such a big deal.”
When McNair walked into the school cafeteria to take her regents exam, the proctor wouldn’t let her in because she was wearing a hat.
“I don’t know why it was such a big deal,” said McNair. “I guess they were worried I was going to hide notes in my hat or something.”
McNair refused to take off her hat. She didn’t want to tell the proctor that she was embarrassed of her bald head. Eventually, one of her friends stepped in and explained why McNair wanted to keep her hat on. The proctor let her into the cafeteria to take her test.
After she sat down, a different proctor also asked her to remove her hat. Again, she refused. This time, a math teacher intervened and said that she could keep her hat on.
That night, Arnold attended a basketball game to see Britany’s sister cheer. The same math teacher approached her and apologized. He hoped that her daughter did well on the test.
“Brittany hadn’t told me that anything had happened at the regents test so I was trying to think of what could have possibly happened,” said Arnold, adding that she was also thinking , ‘Well I’d be more concerned that she didn’t do well because of all the work she hasn’t been doing.”
It wasn’t the first time McNair fought requests to remove her hat.
Learning to embrace her bald head
Like most 16-year-olds, McNair was eager to get her driving permit. She went to the DMV to take the written test and after passing it, stood in line to have her picture taken for her license. The photographer told her to remove her hat. McNair refused.
“My dad started arguing with the people at the DMV to let me keep my hat on and eventually they did and took my picture,” said McNair. “After that, when people looked at my I.D., they were confused to see that I was wearing a hat.”
McNair was determined to learn to drive during her sophomore year. Since she was still relearning how to use her right leg, used two feet instead of one to apply the brakes or use the accelerator.
“Looking back on everything from when I was diagnosed and going through chemo, I would tell other people going through the same thing to take pictures and rock the bald head,” said McNair. “Those are the two things I wish I had done.
Arnold thinks back fondly on Christmas that year. It was a few days after McNair’s birthday fever and she was still in the hospital. She and her husband agreed to bring both McNair and her sister three presents to open at the hospital; they could open the rest when McNair returned home.
“My husband and I made two trips from the hospital to the house and back to pick up more presents because the girls didn’t want it to end, they were having so much fun,” said Arnold.
Brittany, her father (David), and younger sister (Alexis) on Christmas Day. Alexis is now a Pediatric Oncology nurse at Golisano Children’s Hospital. She was inspired by the nurses who cared for Brittany.
When McNair came home on New Year’s Eve, her parents said she and her sister couldn’t open the rest of their presents until the next morning. They wanted the girls to have that feeling of waking up and seeing presents under the tree.
“The girls went to bed at 3 a.m. on New Year’s Eve and then woke up a few hours later to open presents,” said Arnold. “It wasn’t a traditional Christmas, but we made the most of it and that’s what made it so special. “
Changing the family dynamic
Mother and daughter smiled and laughed as they recalled those special memories. “Brittany’s cancer diagnosis definitely changed our family dynamic for the better,” said Arnold. “We’re all incredibly close and I love it.”
Brittany with her mother, Jennifer Arnold in September 2016.
McNair, now an avid runner, made her athletic comeback October 2014 running the Bandana Bolt 5K at Seneca Park, thanks in large part to 13thirty Cancer Connect’s fitness program. Her mom joined her for the race as a fellow runner.
“With this new awesome fitness program that I’ve been doing for a couple years now, I’m slowly regaining my strength in my leg, regaining confidence and regaining the old me that was that former athlete,” said McNair.
Living in upstate New York, it’s almost inevitable that you’ll end up trying to learn to ski or snowboard at some point. In my case, I had a boyfriend who grew up near a ski resort and raced his entire life, so I really didn’t have an option not to ski.
I started learning to ski at the ripe old age of 22. I clicked my boots into my first pair of skis as he showed me the ropes at our local ski hill, Toggenburg, in Fabius, Onondaga County. I was not a stellar student and a wee bit apprehensive. But after about six weeks, I perfected my “wedge”—the beginner stance in downhill skiing.
Feeling confident that I could handle anything with my practiced wedge, we ventured out to Utah with six friends. On our first day, we went to Snowbird, an absolutely beautiful ski resort. At 11,000 feet, it’s a big mountain! By comparison, the elevation at Toggenburg is 2,000 feet. As the skiing newbie, I trusted my crew of friends and my then boyfriend (my first mistake) as we started the first run at The Summit and a trail called the Cirque Traverse. The sign screamed “Cliffs Ahead-DANGER!” which should have been a big clue that I was in way over my head.
The Cirque Traverse was basically a single track trail at the very top of the mountain with a steep cliff to the left—not my preferred way down. To the right and my only way down was what skiers call a “bowl.” A bowl is basically a big, wide open, ungroomed, snow-covered cliff. Super!
Needless to say, there were a few choice words thrown around. I asked my beloved boyfriend, “How do I get into the bowl?” His answer: “You jump!”…. “I WHAT??!!!”
I figured my time on this planet was likely over. So, being the last one standing, I jumped into the bowl with my awesome wedge stance and was met with a lot of soft, fluffy snow. I had a blast, but I’m not sure I left much snow on the mountain. I quickly learned that the wedge stance works great on our hard, eastern coast snow, but it wasn’t the thing for thigh-deep powder skiing! After a lot of laughter and many falls later, I made it to the bottom and decided I’d let my boyfriend live.
This is a picture half-way down the upper Cirque bowl:
I married that nutty guy and had two kids who were also bitten by the ski racing bug. Over the past 15 years, we’ve spent a lot of time traveling around New York state and enjoying many of the local ski areas!
How to Get Started in Skiing and/or Snowboarding
Skiing and snowboarding are both excellent options to get you outside and active during the long upstate New York winters. Snowboarding is different from skiing in that you strap both feet into a single board to get down the hill. It melds skateboarding, surfing, skiing and sledding all into one.
For skiing: skis, ski boots, bindings, poles, goggles and a helmet.
For snowboarding: a snowboard, snowboard boots, bindings, goggles and a helmet.
To go down the hill, you also have to get to the top beforehand! Depending on the ski area, you’ll be brought to the top by a chairlift, t-bars or tow ropes. Bigger ski resorts, like Whiteface in Lake Placid, have a gondola lift. Chairlifts and gondolas let you sit and rest while going up the hill and allow for a pretty, scenic view.
How to Know Which Downhill Trails to Use
The downhill trails vary from beginner to expert. These markings tell you the difficulty of each trail and are the same at all ski areas:
Green Circle: Easier Blue Square: More Difficult Black Diamond: Most Difficult Double-Black Diamond: Most Difficult, use extra caution Orange Oval: Freestyle Terrain
Ski areas are now going beyond traditional ways to get down the hill and are even providing terrain parks to challenge skiers and boarders with different obstacles, such as jumps, rails and half pipes. I’m in awe of people who ski and board in the terrain park, because they make it look so easy! If I attempted any of these, I would definitely be on the ground and all of my equipment strewn around me on the hill—what we call a “yard sale” in skiing.
New York State has more than 50 ski and snowboarding areas. Most provide equipment rentals and lessons for skiing and snowboarding. These can be group lessons or private lessons. All you need to bring is yourself and your winter coat, snow pants, gloves, hat and a wallet.
In upstate New York, there are a number of excellent areas where you can ski and snowboard.
For me, there’s nothing better than arriving at the top of a mountain on a crystal clear, sunny day in winter and enjoying the view! Even after my husband and kids have ditched me and are racing down the hill, I am completely content to take my time and enjoy the scenery. I’m glad that I added skiing to my winter activities and learned to ski. It gets me outside and exercising with my family and I’m able to experience some of the most stellar views in our state.
If you are looking for something fun to do during our long, snowy winters, head to your local ski/snowboard area. Just be prepared to fall.
I’m a bit obsessive about looking for new ways to save money. When I buy a new car, I research it to death. Consumer Reports® is my friend. I work hard for my money and I want to stretch every dollar so that I can save for retirement, take nice vacations and be able to buy gifts for my loved ones.
Don’t get me wrong; I know that you get what you pay for, but if making smart choices puts money in my pocket, I’m all for it.
Take health care. There are lots of ways you can save on prescriptions, “earn” money by practicing healthy behaviors or get health care services for free. Here are a few things I do to keep more money in my pocket.
Healthy Is as Healthy Does
Be healthy. Earn $$. Does your insurance company have a way for you to earn money for practicing healthy behaviors? Mine does. I can earn up to $500 a year and my spouse can, too, for completing a health assessment, recording how much I exercise daily and practicing healthy behaviors, e.g., not smoking. (Many health plans cover smoking cessation programs; New York has a Smokers’ Quitline.)
Money for the gym. Some insurers may offer a benefit that helps pay for a gym membership or kits to workout at home. Check your policy to see what’s available to you.
Weight-loss help. My company also offers a free weight management program. Last year, I decided to bite the bullet and lose the extra 20 pounds I’d been lugging around the last 15 years. Thanks to the program’s support and tools, I met my goal. I’m delighted that I can now wear clothing that’s two sizes smaller and that losing the weight means less stress on my knees. Under your health insurance plan, you may be eligible for weight-loss counseling. Many companies offer weight-loss programs and classes in nutrition.
Free Is Better
No-cost services. Most insurance plans cover flu shots at no cost. Some companies offer free flu shots to their employees and even provide them at the workplace. The cost of not getting sick? Priceless.
For a list of no-cost preventive health services specific for adults, women and children, check out HealthCare.gov. All Marketplace health plans and many others must cover specific preventive services without charging a co-pay or co-insurance, even if you haven’t met your yearly deductible. However, these services are free only when a doctor or other provider in your plan’s network covers them.
Try employer wellness programs. Some companies offer financial incentives to participate in preventive care programs. These may include lower premiums, lower deductibles, a contribution to your health savings account or gift cards.
My company provides an annual free health screening that uses a simple blood test to check my cholesterol and lipid levels. I have the results sent to my personal physician so she has a copy.
If I meet my yearly goal, I get an extra $20 in my biweekly paycheck. That’s $520 a year to offset my health insurance premium. By participating in the screening, some employees have been alerted to serious health problems, such as diabetes or metabolic syndrome. Those who have taken the knowledge to heed are working with their personal physicians to improve their health.
Medicine Meets George Jetson!
FaceTime your doc. The Jetsons was one of my favorite childhood cartoons. The space age TV cartoon with its video phones seemed so cool and so far out of reach. Today, talking “face to face” via smartphones and computers is common place. Even a doctor visit by Skype™ or FaceTime is possible. Last year, my insurer began offering a telemedicine benefit. If I have a minor illness or injury and can’t see my personal physician right away or it’s after hours, I can talk with or videoconference a board certified doctor who participates in our telemedicine program. My plan’s co-pay for the telemedicine visit is not only less than a doctor visit or urgent care center co-pay, but a lot less than I would shell out for an emergency room visit.
The cost of an emergency room visit for a minor condition like a sinus infection, for example, can be 15 times the cost of a telemedicine visit, according to research from Excellus BlueCross BlueShield. Unless you have a serious medical emergency, who wants to wait for hours in a crowded ER and be exposed to who knows what germs?
Convenient? You bet! I’ve used telemedicine twice—once for a cut on my thumb that was slow healing and again for a skin rash. Because I used FaceTime, the doctor could see my cut and rash. Both times, the doctor faxed the prescriptions to my local pharmacy where they were available in an hour. I wish telemedicine had been around when my son was a child and subject to frequent ear infections. I remember taking him to the ER for an ear ache in the wee hours of the morning. How much easier it would have been to use telemedicine instead of waiting for hours for the ER doctor to examine him. (“Cry louder, Andy, maybe that will get the doctor in here sooner.”) Did I mention it was in the middle of winter so we not only had to go out in the dark of night, but also had to bundle up and fight the snow?
Even if your health plan does not offer this benefit, you can still use a telemedicine service. If you’re paying out of pocket, check to see how much a one-time visit will cost. Considering the convenience and time saved, it may be worth it to you.
Of course, seeing your personal physician is preferable, but if you can’t, telemedicine is a great alternative.
So, do as I do. Get a pill minder and fill it every week. Then, I don’t have to wonder, “Did I take my pills this morning?” If I’m not sure, I might skip that day’s dose or take a double dose—either way could be harmful to my health. So, if it’s Tuesday and my pill “slot” for that day is empty, I have one less thing to worry about.
Consider generic drugs. I’m also one for using less expensive store brands, say Wegmans paper towels over Bounty. Same holds true for prescriptions. If I can get a generic alternative to its brand name counterpart, count me in.
Generic drugs are as safe and effective as the brand, but usually cost less. The difference in co-pays can be substantial, especially if you have a chronic condition, such as high blood pressure or high cholesterol.
Next time you visit your doctor or pharmacist and are placing or refilling a prescription, ask if there is a generic alternative. You might want to try the substitution for a month to make sure the generic version is right for you. Most insurance plans have pharmacy benefits representatives who can help you find ways to get your prescriptions at the most economical cost. (Here’s what the FDA has to say about generics: Savings From Generic Drugs.)
Have your prescriptions delivered to your home.Home delivery of your prescriptions is not only convenient but may save you money. Often, you can fill three months’ worth of prescriptions for the cost of two. Check with your insurance company to see whether they offer this benefit and if you would save money The savings can really add up—I like to figure out how much on a yearly basis. So, if my co-pay is $25 and I’m getting 12 months of pills for the cost of eight, I’ll be ahead by $100 a year. Cha-Ching!
Talk Is Cheap
Avoid unneeded tests, drugs and services. Smart health decisions start with a discussion between you and your doctor. A nationwide initiative developed by the American Board of Internal Medicine Foundation, Choosing Wisely promotes conversations between doctors and patients about the most appropriate care based on an individual’s situation.
Choosing Wisely has more than 400 health care recommendations that can help you become a more informed patient.
In the meantime, here are five questions to ask your doctor before receiving any treatment, procedure or medication:
Five Questions to Ask Your Doctor
Do I really need this test or procedure?
What are the risks?
Are there simpler, safer options?
What happens if I don’t do anything?
How much does it cost?
The Gift of Health
Ask for healthy gifts. I’m at a point in my life where I don’t need more “things.” In fact, I’m trying to get rid of stuff. So when family members ask me what I’d like for my birthday or Christmas, I suggest gift certificates to my massage therapist or yoga studio or gift cards I can redeem for yoga apparel.
What Ways Do You Save?
Use our Comments section to tell us and other readers how you save money while staying healthy.
Our family’s unique Thanksgiving tradition has little to do with food or football. It has everything to do with our values, beliefs, and goals.
After we finish our turkey, and after the dishes are cleared, we talk about how we want to die.
“No pumpkin pie until you tell me how you want to die!”
I know it may sound morbid and it’s often uncomfortable. But it’s necessary. Thanksgiving is actually the perfect time to have conversations like these. It’s a holiday that almost everyone celebrates, and it brings the family together from far and wide.
My mom started this family tradition in 1992. She wanted to explain why she picked some of her children and not others as her health care proxies – the person who’ll make your health care decisions if you’re unable to do so. She talked about factors we should consider when deciding what to do if she was incapable of making her own decisions.
My mom was brilliant in her approach to discussing a difficult topic during an uplifting holiday gathering. I hope her tips help you have similar conversations this Thanksgiving.
4 Tips for Discussing a Difficult Topic
Begin by discussing what matters most to you. My mom didn’t start with a cold list of whether she wanted a certain procedure like a breathing tube. She began by discussing what made her life worth living. To her, it was being a “Babci” (grandmother in Polish) for her grandchildren.
She loved being a grandmother. She wanted to be present and able to interact with them. If that wasn’t possible, she wouldn’t want certain life-saving procedures.
Discuss your values. As a Catholic, she wanted ordinary – and not extraordinary – measures to save her life. She wanted a natural death. If her heart stopped beating, for example, she wasn’t in favor of resuscitation.
Come from a place of love. Serving as a health care agent is a huge responsibility, and it’s not for everyone. You’re grieving for your loved one, yet need to be clearheaded and practical when deciding what this person would want at the end of their life. Often, you’ll have to manage potential conflict among family members. It requires a delicate balance of involving everyone in the discussion while ensuring the final decision is based on what matters most to your loved one. Each of us only dies once.
My mom knew that two of my four sisters would be too emotional to handle this responsibility. At the dinner table that Thanksgiving, my mom told those sisters that, “I didn’t pick you because I love you too much to put you through something you can’t handle. It’s a hard job and I don’t want to put that kind of responsibility on you. I love you too much to do that.”
I was named my mom’s health care agent, and my other two sisters were named as backups. My mom explained to my sisters that my role was to stand in her shoes when making decisions and to keep the whole family in the loop and involved in the entire process. She wanted to ensure that any decisions would be based on her values, beliefs, and goals for care.
Here’s one more tip that helped my family navigate these difficult conversations over the years:
Talk about stories in the news. We’d reference news stories and discuss what we’d do in these scenarios.
I remember discussing the case of Christopher Reeve, the Superman actor who became a quadriplegic after falling from a horse and breaking his neck in a riding accident. My son said he’d be OK living as a quadriplegic as long as he was able to think and interact with others. My daughter, however, wasn’t so sure since Reeve benefited by having a lot of money to help make his life functional!
Resources to Help Guide Conversations
As you’ve realized by now, these are difficult conversations. (To help, there are a variety of resources and tools available at CompassionAndSupport.org)
During our Thanksgiving talks, we also take the extra step to review our individual Advance Care Planning documents to make sure they reflect our current feelings. We have blank forms on hand in case new documents need to be completed and witnessed.
For individuals with serious or advancing chronic illness, there’s also a document called Medical Orders for Life Sustaining Treatment (MOLST), and an electronic version called eMOLST. MOLST is recommended for those who want to further define their wishes for medical interventions, including resuscitation. The MOLST form is legally approved and has to be followed by all health care professionals including emergency medical services (EMS) personnel across New York State.
Regarding that first Thanksgiving talk, I still have a funny photo of my sister’s husband. He had a hand to his head and a “what are these people talking about!” look on his face!
But it turns out these annual Thanksgiving conversations were invaluable as he suffered through his own terminal disease years later. He was seriously ill, undergoing aggressive treatments, not very mobile and living in a nursing home. He recalled these Thanksgiving talks, and how he discussed the importance of living his life to the fullest in the end. Additionally, he wanted to spend time with his son. That’s how he decided to leave the nursing home and switch to treatments that were less aggressive. Making these choices helped him enjoy what he had left of his life.
I encourage your family to adopt our Thanksgiving tradition. Save your family possible heartache and turmoil in the future by discussing and documenting each family member’s thoughts and views on a difficult, but necessary topic.