Want to Lose Weight? Grab Your Dog’s Leash

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.

If we’re out of shape, then our pets probably are too. About 54 percent of dogs (and 58 percent of cats) are overweight or obese, according to the Association for Pet Obesity Prevention. About 2 in 3 upstate New York adults, meanwhile, are also overweight or obese, according to an Excellus BlueCross BlueShield report. Heavier adults are at risk for serious chronic diseases and health problems. But, did you know that obese pets also face many of the same health problems as humans, such as diabetes, high blood pressure, arthritis, urinary disease, skin problems, and breathing problems. Also, overweight pets often have shorter life spans (up to 2.5 years less). Taking steps to stay in shape with our pets may help keep them around longer.

Taking “steps” to be active

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.

Keep safety in mind for both of you. Stay hydrated. In hot weather, try going early or later in the day when it may be cooler. In cold and snowy weather, wear good boots and check their paws for snow and ice buildup.

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.

What about healthy eating for my dog? According to the American Kennel Club, there are things you can do to prevent them from packing on unnecessary pounds, like establishing a regular eating schedule, limiting between-meal snacks, and choosing low-calorie treats.

Don’t already have a “workout” buddy?

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.

Twinkle, Twinkle Little UGH. Solutions for Parents who Hate Kids’ Music.

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 mean we 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

Solutions for People Who Hate Kids' Music

Studies have shown that music can have a really positive impact on childrens’ development.

I appreciate and support the benefits that music (even lullabies like “Twinkle Twinkle Little Star”) can have on child development. I have Sesame Street records and sing “Row Row Row Your Boat” and “Buzz Buzz” like it’s my job. Study after study has shown so many positive effects that music and music therapy can have on a child at any stage, even in-utero . While listening to music, premature infants in the neonatal intensive care unit show signs of improved breathing and heart rates, along with advances in neurological development, weight gain and appetite..

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.

Playlist for bouncing, clapping & tummy time:

Listen to this playlist on Spotify

Ophelia, The Lumineers
Take it all Back, Judah and The Lion
HandClap, Fitz and the Tantrums
I am the Walrus, The Beatles
Fa-Fa-Fa-Fa-Fa (Sad Song), Otis Redding
Budapest, George Ezra
Home, Edward Sharpe and the Magnetic Zeros
Welcome Home, Radical Face
Dog Days are Over, Florence and the Machine
I Feel the Earth Move, Carole King

Playlist for mellowing out:

Listen to this playlist on Spotify

Three Little Birds, Bob Marley
Here Comes the Sun, The Beatles
Morning Song, Avett Brothers
In the Dark, Nina Simone
Hello My Old Heart, The Oh Hellos
The Circle Game, Joni Mitchell
Our House, Crosby, Stills and Nash
Mercedes Benz, Janis Joplin
Half Acre, Hem
Lullaby, Lord Huron

Playlist for loud crying (either the baby’s or yours):

Listen to this playlist on Spotify

Renegade, Styx
Crying, Waiting, Hoping, The Beatles
Ain’t Too Proud To Beg, The Temptations
Helter Skelter, The Beatles
I Bet My Life, Imagine Dragons
New York, Alicia Keys

*Looking for a kid’s story time in your community? Check your local library. Here’s a place to start:

How I Learned to Avoid Drive-Thrus and Eat Healthier on a Budget

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.

Drive-Thru Voodoo

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.

7 Steps to Finding the Right Gym

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!

Fighting Cancer: A Teenager’s Story of Courage

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.

“Our program was able to recently expand, thanks to a $3,000 grant from Excellus BlueCross BlueShield,” said Spiker.

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 16^th 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.

Non-traditional Christmas

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.

18 Places to Ski & Snowboard in Upstate New York

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.

Required Equipment

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.

In the Buffalo area:

Holiday Valley, Ellicottville
Peek‘n Peak , Clymer

In Rochester, you can enjoy:

Bristol Mountain, Canandaigua
Hunt Hollow, Naples
Swain, Swain
Brantling, Sodus

In Central New York:

Toggenburg, Fabius
Labrador, Truxton
Song, Tully
Greek Peak, Cortland

Near the Utica area, the Adirondack Park includes:

West Mountain, Queensbury
Whiteface, Lake Placid
Gore, North Creek

A little more local to Utica includes:

Snow Ridge, Turin
Woods Valley, Westernville

A little to our south, The Catskill Mountains have:

Windham, Windham
Hunter, Hunter
Belleayre, Highmount

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.

Save on Health Care: 11 Ways to Put More Money in Your Pocket

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 in 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.

TIP: Breast-feeding? See our article on Hidden Ways to Save on Breast-Feeding Gear.

Pay Me to Be Healthy

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 commonplace. 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 video conference 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 earache 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.

Drug Savings ‘R’ Us

Take your medication as directed. The savings may not be obvious at first, but in the long run, taking your medications as your doctor prescribed can save you money, not to mention your life. The World Health Organization says the No. 1 problem in treating illness today is patients’ failure to take their medications correctly. Not adhering to your medication regimen may cause you to become sicker over time. Your quality of life may be adversely affected and you may require additional and more expensive medications and treatments—even hospitalization. (Check out Medication Adherence.)

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.

No Pie Until You Tell Me How You Want To Die

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)

One of the resources is a document that lists what to keep in mind when choosing a proxy. The person, for example, must be willing to talk to you NOW about your wishes. If the person is uncomfortable talking about it now, then he or she won’t be able to do so when you need it the most.

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.

4 Tips for not Driving Your College Kids Crazy Over Thanksgiving Break

My mom always says that my coming home from college during breaks is a blessing and a curse.

She loves having me there, but by the end of the week, she’s wondering when it’s time for me to go back.

I’m no longer a contributing member of the family—for the short week that I’m home, I pretty much just want to veg out.

For many college students like me, Thanksgiving is a much needed break from studying. Still, it can be overwhelming coming back home after being away for a few months – especially for first year students. From this senior’s perspective, here are a few ways parents can avoid pushing your college kid’s buttons without feeling like you’re walking on eggshells.

Don’t Ask So Many Questions

It’s Thanksgiving, and I love being home, enjoying my family’s company and eating my mom’s sweet potato casserole (topped with marshmallows, of course). Everything is going great, and I’m finally relaxing before heading back to college for a few more weeks of classes and finals before winter break. Then, the questions start—from Mom, Grandma, Grandpa, Aunt Rebecca, Uncle Danny….

“What do you want to do when you graduate?”
“Do you have a boyfriend yet?”
“How’s your internship?”
“What are your classes like?”

I just got home from a stressful semester that still isn’t over and now you have me thinking about it all over again. Some of us still have no clue what we want to do after graduation; let’s just enjoy the turkey and trimmings, shall we? Also, chances are, I still do not have a boyfriend. (I’ll let you know when I do).

So, steer away from what feels like very personal questions. (My internship supervisor said her adult son gives her the “time out” signal, meaning TMQ or “too many questions.” She knows to cool it for a while. “I’ve learned the less I ask, the more he’s apt to tell me,” she said.)

Let Me Enjoy Being Home

Of course I want to sit and tell you everything about my life, Mom, but we talk on the phone almost every day while I’m at school. So, can I just have these next few days to myself?

This isn’t to say that I don’t want to spend time with you, because it’s actually one of the things I want most. However, while you might think I’d enjoy going to family friends’ homes with you, I’d rather not. My time at home is precious.

I’d also welcome a few days’ reprieve from household chores. Most of all, please let me sleep in the mornings! I need a break from my busy academic life when I’m constantly on the go and following a strict schedule. It’s nice to just kick back and enjoy the moment.

The author, Alaina Galiano, at dinner with her parents.

Keep the “Constructive Criticism” to a Minimum

I realize that everything you say to me comes from a place of love and affection, but it doesn’t always come across that way to this stressed-out, on-edge college kid.

Please, don’t comment on my weight or ask when I think I’m going to lose the freshman 15. Don’t even ask about my eating habits at school. Chances are you already know I’m not the poster child for the new food pyramid. I’m eating enough and no, not just ramen noodle soup and mac and cheese.

And, it’s not just my appearance that’s off limits. I know I could be doing better in school and trying harder. Just don’t bring that up now so I can get a break from worrying about this stuff even for a little while.

In addition, especially after this recent election, please, don’t bring up politics! We all have our opinions, but it’s not worth the fight over the mashed potatoes. Let’s enjoy the holiday, not start World War III.

What We Love to Hear

Tell me about what you and the family have been up to. Trust me, I hate missing out on so much while I’m gone, so please, let me know what’s going on in your life

Tell me how proud you are of me, that you know I’m out there doing something great for myself. I always love to hear that!

Remind me that it gets harder and harder each time I leave.

None of these suggestions mean you have to stop being a parent and caring, because you never will; just give me a little space while I’m home. While I’m not exactly on my own yet, college gives me time to grow into being an adult. I just need the safety and comfort of home during this break to recoup so I’ll be renewed and rejuvenated to tackle those last minute projects and finals.

I want this time together to be as peaceful and joyful for you as I want it to be for me. Besides, I’ll be back for winter break before you know it! (And, no, you still can’t ask me those overly personal questions then either.)

Is 6 hours of Sleep Like not Sleeping at all?

Lack of sleep isn’t just an inconvenience, it’s a public health problem. If you have trouble falling asleep at night or staying awake during the day, you’re not alone. According to the Centers for Disease Control and Prevention, approximately one in four American adults has a sleep or wakefulness disorder.

Was it the wine I drank with dinner? I didn’t think I napped that long. Is it because I didn’t run today? I never followed up on that project. What’s that noise? I need chapstick. WHY CAN’T I SLEEP?

I almost always get a full eight hours each night, so having days when I’m running on six hours isn’t ideal, especially since I become a groggy, grumpy, downright miserable human being if I’m not well-rested. Luckily this doesn’t happen often.

But for those who are clocking four or six hours on the regular—WAKE UP!—you need more sleep! Take it from the researchers who found that participants getting four hours of sleep a night for two weeks functioned like a person who hadn’t slept for 48 hours. And those who got six hours every night over a period of two weeks performed like those who had been awake for 24 hours.

The Science Behind the Sleep Study

Forty-eight people joined a study conducted by researchers from the University of Pennsylvania School of Medicine and Harvard Medical School. The point of the study was “to inform the debate over whether human sleep can be chronically reduced without consequences.” Essentially, do humans really need eight hours of sleep?

Researchers split test subjects into four groups—those who slept eight hours, six hours, or four hours every night for two weeks, and those who stayed awake for three days straight. Each person was measured on sleepiness and how well their brain worked. Here are a few examples of the kinds of testing participants underwent:

For reaction time, subjects were measured on how quickly they could respond to a visual stimulus. Curious about the test? Get your reaction time here. Apparently my alertness may be suboptimal and I should consider medical evaluation—hmm, interesting.

They were also measured on their memory and had to match numbers to shapes (something like this), as well as complete 50 addition and subtraction equations that build upon each other (check out this animation).

To measure sleepiness, subjects were asked to rate how sleepy they felt using a scale from 1 to 7. For example, at 9 a.m., I was a “1” or “Feeling active, vital, alert or wide awake.” Then at 3 p.m. I was a “4” or “Somewhat foggy, let down.” Then at 11 p.m. I was a “6” or “Sleepy, woozy, fighting sleep; prefer to lie down.”

As you can imagine, the well-rested group that got eight hours a night for two weeks did significantly better than any of the other three test groups which had their sleep restricted. But the surprise lies in how the group sleeping four or six hours per night thought they were functioning.

Which brings me back to why you need more sleep if you’re only getting four or six hours each night. According to the study, not only did participants function as poorly as people who had been awake for 48 or 24 hours straight, but participants were more tired than they thought they were.

In other words, not enough sleep can be just as dangerous as having no sleep at all.

Dr. Matthew Bartels, a chief medical officer at Excellus BlueCross BlueShield, who was not involved with the study, agrees with the study’s findings. “Sleep is absolutely essential for mental alertness and better physical health,” he stated. “I think most people can relate that when you get a good night’s sleep, you feel better and are more alert.”

Get Out of Sleep Debt

There’s no easier way to get all of the positive benefits of sleep—stress relief, restored energy, improved mood, the ability to think clearly or fight off infection—for such little effort. If you’ve been skimping, not only are you more tired than you think you are, but according to the National Heart, Lung and Blood Institute, you’re putting your body at risk for having heart disease, high blood pressure and other medical conditions that develop over the long run.

The good news is that if you haven’t been getting the recommended seven to nine hours of sleep, you can pay it back to yourself slowly and over time. To get out of “sleep debt,” common methods include going to bed earlier or taking short naps to compensate, but weekend catch-up is not advised.

Going to bed earlier doesn’t necessarily mean moving your bedtime back two hours. Try going to bed 15 minutes earlier each weeknight. If your typical bedtime is 11 p.m., go to bed at 10:45 p.m. on Monday, 10:30 p.m. on Tuesday, 10:15 p.m. on Wednesday—and so on. Come Saturday morning, you will have made up almost three hours of sleep.

I know new parents are probably tired of people telling them this, but if at all possible, try to sleep when your baby does (even if that means going to bed at 8:30 p.m.!). I realize that this is much easier said than done!

And if you’re pro-nap like me, limit daytime napping to less than one hour. “It’s certainly OK to take naps from time to time,” says Bartels. “But the long-term solution is to get the proper number of hours of sleep at nighttime so you aren’t disrupting your sleep cycle.”

Good Sleep Hygiene

If you have trouble falling and staying asleep, you may need to consider making sleep hygiene a habit. Everyone can benefit from it.

For example, the Sleep Foundation suggests avoiding bright lights (including cellphone and TV screens) 30 to 60 minutes before bed. Other recommendations include:

Going to bed and waking up at the same time every day, including weekends
Doing a relaxing activity, such as reading before bed
Exercising at a time that works for you
Creating a Zen bedroom by dimming the lights, turning the thermostat down and having plenty of cozy blankets
Make one of 11 easy snacks to help you sleep better

If all else fails, Bartels suggests talking to your doctor. “If a patient is having trouble falling and staying asleep, I question the cause,” he said. “Is there another condition that could be causing the sleepless nights?”

So what’s the difference between four hours, six hours and eight hours of sleep? Besides the obvious time and cognitive effects, Bartels says the quality is just as important as the quantity. “There are phases of sleep needed to ‘reset your clock,’” he said. “When you get the optimal hours, your body has time to move through the sleep stages and benefit from the regenerative effects of sleep.”