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Advice to Thrive onJose Acevedo, M.D., MBAMammographySaves Lives1 in 8 women will be diagnosedwith breast cancer.While there have been recentconflicting recommendations aboutmammography screening guidelines,the most important information forus to focus on is that mammographyscreening saves lives.We perform screening mammogramsas a way to increase early detectionand save lives. The goal is to reducedeaths due to breast cancer bydetecting breast cancer early, whentreatment is more effective and lessharmful. Simply put, the goal ofbreast cancer screening is to reducethe incidence of advanced disease.The American College of Radiology(ACR) and Society of Breast Imaging(SBI) recommend that women startgetting annual mammograms at age40. The American Cancer Society(ACS), US Preventive Services TaskForce (USPSTF), ACR and SBI agreethat this approach saves the mostlives.If a first degree relative has anearlier diagnosis under age 40, itis recommended that you startscreening 10 years before theage your first degree relative wasdiagnosed.Breast cancer has to reach acertain size to be detected in anymanner. The benefit of screeningmammography is earlierdetection and lower risk that thebreast cancer will have spreadat the time of detection. Waitingfor breast cancer to becomeevident as a palpable lumpdetected on a breast self-examor by a primary care physician,means it will be larger and morelikely to have spread to lymphnodes or elsewhere at the timeof detection. This is especiallytrue for premenopausal women.Based on studies of modernscreening mammography thereare 30 to 40% fewer deaths dueto breast cancer among womenscreened with mammographythan among those who do notundergo screening.At Geneva General Hospital’sWomen’s Health, we haverecently installed a Hologic 3Dmammography unit and we arecurrently fundraising (see page9) to bring this same technologyto Soldiers & Sailors MemorialHospital. The new 3D unitscapture more images in nearlyan identical time for the patient andusing the same dose of radiation.These images provide an enhancedtool for the radiologists reading thestudy to interpret the results. Thistechnology is especially important forwomen with dense breast tissue.We offer convenient day, eveningand weekend hours. Mammographyscreening is covered by mostinsurances and there are countyprograms which are designed to helpoffset any costs. We also have specialdonated funds to assist patientswho might need transportationfor a screening mammogram ormight miss work for a diagnosticmammogram or breast ultrasound, ifcalled back for a mammogram. Thereare many resources and no reason tonot get this life-saving screening.My advice to thrive is simple, calltoday, (315) 787-4555 Genevaor (315) 531-2555 Penn Yan, toschedule your mammogram andencourage those you love to gettheir mammogram every yearaccording to the guidelines.S P R I N G / S U M M E R 2019 F I N G E R L A K E S H E A LT H T H R I V E7

HEALTHY RETURNSYour Support BringsCutting Edge Technology to Our CommunitiesStarting December 6, 2018, theWomen’s Health Services at GenevaGeneral Hospital began offeringour patients the most accuratemammogram available – digitalbreast tomosynthesis, also known as3D mammography. This state of theart technology allows our physiciansto treat patients of all breast densitieswho are at risk for breast disease,while reducing procedure time,minimizing costs and improvingpatient comfort.On Tuesday, February 19, more than100 people gathered at Women’sHealth Services in the North StreetMedical Office Building to celebratethe installation of the new 3Dmammography equipment. Thegroup, consisting of Finger LakesHealth administrators, staff and healthprofessionals as well as prospectivepatients and community memberswere able to see the equipmentand learn about the benefits of 3Dmammography from radiologist, Dr.Scott Mooney.Dr. Mooney explained, “Thetechnology will help the radiologistsdetect invasive breast cancers earlier,and will reduce the number ofpatients who need additional imagingafter a screening mammogram.”The skilled physicians from FingerLakes Radiology are big proponentsof 3D mammography, and feel thatthe technology is a ‘game changer’for our facilities and Lisa Davis,Women’s Health Services Coordinatorat Geneva General Hospital, sharestheir enthusiasm for the equipment.Davis says, “Our patients deservethe most up to date technology inbreast imaging.” She adds, “I havebeen performing mammographyfor 31 years and the images and thetechnology amaze me!”The installation of the 3Dmammography equipmentwas made possible, thanksto a generous lead giftfrom the Brenda and DaveRickey Family Foundationhonoring Joy McDonaldRoulan and from donationsfrom the community tothe 2018 Geneva GeneralHospital Annual Campaign.A plaque has been installedin the mammography roomto acknowledge the gifthonoring Joy.8S P R I N G / S U M M E R 2019 F I N G E R L A K E S H E A LT H T H R I V E

Ribbon CuttingCelebrating 3D mammography at Women’s Health Servicesat Geneva General Hospital made possible by the Brendaand Dave Rickey Family Foundation and other generouscommunity donors. The Mammography unit gift was madein honor of Joy McDonald-Roulan. Pictured from left toright: Dave Rickey, Mike Roulan, Brenda Rickey, Dr. JoseAcevedo (President and CEO of Finger Lakes Health), Dr. ScottMooney (Finger Lakes Radiology), Lisa Davis (Women’s HealthCoordinator), Kaylee Stone (grateful patient and breast cancersurvivor), Dr. Kristin Baltazar-Ford (Geneva General SurgicalAssociates), Phil Beckley (Finger Lakes Health Board member).The Rickeys were on hand to celebrate withFinger Lakes Health representatives at theribbon cutting ceremony, made all the moretouching as several of Joy’s family and friendswere in attendance.More than 4500 was also raised through thesale of “3D Mammo” candy bars, featuringthe breast cancer journey of Kaylee Stone,whose story was featured on the labels. All 20 candy bar purchasers were eligible to beentered into a raffle drawing for a choice of a 250 cash prize or a 3D camera. The winningticket was drawn on January 9th by MarieGay, receptionist at Women’s Health Services.Marie was chosen to draw the ticket, as shewas the number one salesperson, selling 65out of 200 bars!Fundraising efforts are now under way tosupport plans to bring 3D mammographyto Soldiers & Sailors Memorial Hospital inPenn Yan. Finger Lakes Health will earmarkall donations to the 2019 Soldiers & SailorsAnnual Fund for this campaign, and “3DMammo” bars, featuring the story of LewAnn Giles, of Dundee, are available for salethroughout the health system.To make a donation to the 3D Mammographycampaign or to designate your gift to anydepartment at any of our sites or a project/area of special importance to you, contactHelen Kelley, Director of Development for theFinger Lakes Health Foundation: (315) 7874050 or helen.kelley@flhealth.org. Your giftwill make a lifesaving difference. 3D Mammo Bar DrawingThe new 3D Mammography equipment at Women’s Health Services in the Medical Office Building atGeneva General Hospital provided the perfect backdrop for the 3D Mammo Bar raffle drawing on January9. Jeanne Marshall, radiology technician; Lisa Davis, Women’s Health Services Coordinator; and HelenKelley, Director of Development for the Finger Lakes Health Foundation look on in anticipation as MarieGay, Women’s Health receptionist, drew the winning ticket. 3D Mammo Bar at Soldiers & SailorsIn May 2018, Lew Ann Giles of Dundee was diagnosedwith breast cancer at Soldiers & Sailors MemorialHospital. Thus began her journey with her trusted, localhealth care system and staff. Lew Ann is committedto inspiring others to take control of their health. Shesays, “Don’t duck and run go get a mammogram!”She is thrilled that the Finger Lakes Health system isbringing 3D mammography to Geneva General Hospitaland Soldiers & Sailors Memorial Hospital, as this is thestandard of care for breast cancer screening, and asLew Ann says, “The best protection is early detection.”S P R I N G / S U M M E R 2019 F I N G E R L A K E S H E A LT H T H R I V E9

BroKaoke Cool, FNP- Cthleen K- BCirker, MS, FNPShar l yn Secor, FNP- CKatelinCMalishchal, PA-Kar l e igh Sharp, PA- CFLH Medical, P.C. Urgent Care,Providing the BEST Care forOur CommunityFLHMedical, P.C.URGENT CAREWe were voted as theBEST “Urgent Care” in theFinger Lakes by the FingerLakes Times Readers’Choice Awards. Read what ourpatients are saying: Best urgent care hands down. Have been here severaltimes, and have always left feeling great about the careI received. Staff really cares about what you have tosay, and do their best to make you feel better! Definitelyrecommend!-Shannon L.10 5 stars! Excellent care. Staff was very personable andprofessional. The provider listened to my concerns andprovided me with compassionate care. The wait was lessthan 5 minutes. Total visit time was less than 15 minutes.I highly recommend this Urgent Care - will definitely bereturning for any future needs.-Andrew J. I was in from out of town needing an appointment at anUrgent Care. From the first moments inside the door to myactual exam with Brooke I was not only impressed but feltcompletely at ease and comfortable in her care. The bonuswas that I was in and out within a 15 minute time frame.What a great experience.-Cheryl F.S P R I N G / S U M M E R 2019 F I N G E R L A K E S H E A LT H T H R I V E After taking a fall and getting injured, I went to FLHUrgent Care in Geneva to seek treatment. I was greetedwith kindness by the receptionist & offered to help myself tosome coffee while I waited for the provider. However therewas no time as I was immediately taken into the treatmentroom. I was assessed by nurse and provider and xrayswere ordered on the spot. The provider then explained mysituation thoroughly and what was necessary in the bestcourse of care. This was my first experience with FLH UrgentCare and I would definitely recommend this UC for quickservice, and excellent care. Thank you Shar Secor and yourstaff for such good care.-Rob O.

We are committed to caring for ourneighbors, friends and family. We arecommitted to caring for YOU.Rob er tSwitzer, PA- COur Urgent Care services are designed forall minor injuries and unexpected illnesses.We are staffed with highly qualified andexperienced physicians, physician assistants,nurse practitioners, and nursing staff whoare ready to provide on-the-spot care fororthopaedic injuries, dental pain, minorwounds requiring sutures, minor cuts andburns, sexually transmitted infections,urinary tract infections, colds and flu-likeillnesses, sore throats, earaches, and cough.We also offer sports physicals. “We havetested over 2000 patients for the flu sinceOctober 1st 2018. 472 patients have testedpositive for Influenza A, with the highestspike during the month of March 2019,”comments Bob Switzer, PA-C, Director,Urgent Care.We provide point-of-care testing for: Influenza Mononucleosis Pregnancy Strep Throat Urine Lyme Disease Testing“Lyme disease is the most common tickborne disease in North America. Earlydetection and treatment can help resolvesymptoms and prevent progression of thedisease, so we are very excited to be ableto offer Lyme-testing at our Urgent Carelocations since we see so many patients thatpresent with tick bites” comments Switzer.We offer two locations that are openeveryday, with convenient hours.SENECA FALLSLifecare MedicalAssociates1991 Balsley Road(315) 835-4900GENEVAFinger Lakes HealthCommons789 Pre-Emption Road(315) 781-2000S P R I N G / S U M M E R 2019 F I N G E R L A K E S H E A LT H T H R I V E11

Ultherapy!Now being offered at Geneva General Dermatology.The Ultherapy DifferenceFDA approved Ultherapy is a noninvasive procedure that lifts andtightens skin on the neck, chin andbrow and improves lines and wrinkleson the décolletage. This non-surgicaltreatment relies on ultrasound therapyto deliver its collagen-boostingtreatment and stimulates productionof your skin’s own collagen and elastin.Unlike other more invasive treatments,you get real results with no downtimeSafety is Our #1 PriorityGeneva General Dermatology is a fullservice practice offering personalizedmedical, cosmetic and surgicaldermatology care. We are committedto providing the highest quality ofcare and service in a supportiveand educational environment.To learn more about Ultherapyand to make an appointment,please call Geneva GeneralDermatology at(315) 787-5355.Trust the Experts inSkin Care at GenevaGeneral Dermatology.May is Skin Cancer Awareness MonthThese are all skin cancersHave you been checked?12S P R I N G / S U M M E R 2019 F I N G E R L A K E S H E A LT H T H R I V EGeneva General Dermatology70 Mason Street Geneva, NY 14456(315) 787-5355 www.flhealth.org/dermatology

Small and Mighty AuxiliariesHave Big ImpactGeneva General Hospital Auxiliansspend many hours conductingmultiple fund raisers during the yearto support projects in our facilitiesthrough the Finger Lakes HealthFoundation. In 2018, the groupdonated 3,000 to the Foundationin support of 3D mammography atGeneva General, and provided a 500scholarship to a New Vision student. Valentine Basket Winner. EmilyMogray, a physical therapist with the Transitional CareProgram at Living Center South, was the winner ofthe Geneva General Hospital Auxiliary Valentine’s DayBasket which was filled with goodies including wine,candy, decorative items and candles and was valuedat more than 200. The raffle brought in 341 for theAuxiliary, which supports programs and services atGeneva General Hospital.The Soldiers & Sailors MemorialHospital Auxiliary had anotheroutstanding year of fund raising,contributing 12,000 to the Soldiers& Sailors Annual Fund of the FingerLakes Health Foundation to support3D mammography at the Penn Yanhospital. The Auxiliary’s contributionwas made possible by anotherprofitable year for the PeppermintParlor snack bar and gift shop andthe work of many volunteers andfriends of the Auxiliary. Auxiliary Donates to 3DMammography. Soldiers & Sailors MemorialHospital Auxiliary Board president, Sylvia Eisenhart,presents Helen Kelley, Director of Development forFinger Lakes Health Foundation, with a check for 12,000 to support acquisition of a 3D mammographyunit for the Penn Yan hospital. Other members of theAuxiliary Board pictured in back from left: MarilynSmith, Eisenhart, Kelley, and Shirley Jensen, and seatedfrom left: Doris Vander Weide and Kathie Sheridan.Taylor-BrownAuxiliaryconducted manyfund raisers,which enabled thegroup to donatemore than 9,200to HuntingtonLiving Center. Themoney fundedentertainmentand game rentalfor the annualresident picnicas well as otherentertainment such as bands, Zumbagold sessions, Sirius radio renewaland game supplies. Taylor-Brown Auxiliary DonatesGame Supplies. Residents at the HuntingtonLiving Center enjoy activities and games thanks todonations from the Taylor-Brown Auxiliary.Finger Lakes Health is very grateful tothose in our community who give oftheir time and talents to participatein our Auxiliaries. If you are interestedin learning more about becominga member of an Auxiliary, contactHelen Kelley at (315) 787-4050 orhelen.kelley@flhealth.org.S P R I N G / S U M M E R 2019 F I N G E R L A K E S H E A LT H T H R I V E13

Finger Lakes OutpatientRehabilitation Services“Excellent, all of them, caring,thoughtful, respectful, professional,and they know their jobs and performthem well!” This is a recent quotefrom a patient of Finger Lakes Health’sOutpatient Rehabilitation Services.Finger Lakes Health RehabilitationServices provide physical therapy,occupational therapy and speechtherapy services in Ontario, Senecaand Yates counties. Every individualwho requires therapy receives one onone attention during the therapy visit.Over the last few years, Finger LakesHealth Rehabilitation has expandedservices and sites, and have earlyand evening hours available. All thetherapists at Finger Lakes Health (FLH)have advanced degrees and someare specially trained and certified in avariety of treatment methods allowingfor care of a variety of diagnoses.Orthopaedic CareThe physical therapists andoccupational therapists provide carefor local, elite athletes both at the14college and high school levels. Thetherapists work with our team ofproviders from Interlakes OrthopaedicSurgery (IOS) and surroundingphysicians for a team approach togetting these athletes back in thegame. Our team of therapists alsotreats weekend warriors as well asthose who have had orthopaedicsurgical procedures, such as hip orknee replacement or shoulder orback procedures. If everyday strainsand sprains are your ailment, ourtherapists can address those concernsand help decrease your pain andincrease your strength and mobility tohelp you live a healthier life with lessjoint pain and disability.Neurological and Stroke CareIf you or someone you know suffereda stroke or is fighting a neurologicaldisease such as multiple sclerosis orParkinson’s disease, the therapy teamcan help establish goals to maximizemobility and restore function. AtFinger Lakes Health, a patient canS P R I N G / S U M M E R 2019 F I N G E R L A K E S H E A LT H T H R I V Ereceive physical therapy, occupationaltherapy and speech therapy servicesall at the same time, under one roof.The team of therapists will collaborateand coordinate services to meet thegoals of the patient. The overlappingteam approach allows the therapiststo work on function, cognition,memory and mobility together.Having all services at one place isconvenient to both the patient andfamily caregivers.Post-Concussion Care andVestibular CareIf you have had a concussion withunresolved symptoms of decreasedtolerance to activities, the physicaltherapists’ at FLH can help. Usingspecialized assessment techniques,the therapist can help you “normalize”your symptoms and return to learn,play and life. The therapist can helpanyone of any age who may havesuffered a concussion or multipleconcussions.If you are experiencing dizziness,loss of balance or benign positionalvertigo (BPV), our physical therapistscan help you alleviate thesesymptoms. The therapists will move

the patient through a variety ofspecialized exercises and techniquesto increase tolerance to everydayactivities and decrease the impactof symptoms of dizziness and loss ofbalance.Pelvic Floor CareThe muscles on the floor of yourpelvis support your internal organs.If these muscles become weak, it cancause urinary incontinence, pelvicfloor prolapse, pain, and decreasequality of life. Specialized trainedtherapists at FLH rehabilitationservi

Health College of Nursing & Health Sciences and the Marion S. Whelan School of Practical Nursing. Carlson received her Doctor of Nursing Practice from St. John . Fisher College, Wegmans School of Nursing in Rochester where she was the recipient of the DNP Academic Excellence Award and the Doctor of Nursing Practice DNP Clinical