Teams taking precautions to beat the heat Posted on August 17, 2011August 16, 2012 by Dakota PikeTeams taking precautions to beat the heatAugust 15, 2011By ERICH NEUHAUS , The Leader HeraldRead the story at the Leader Herald website here: Believe it or not, practice for high school football teams starts today.Bill Oates delivers heat related illness information to the coaches at Broadalbin Perth School systemIt’s hard to believe the unofficial end to summer for high school athletes is already here as they get a jump start on their school year by preparing for the upcoming sports season.In reality, though, summer doesn’t officially end until Sept. 23, so the temperatures will still be summerlike for weeks, which is a cause for concern for coaches and athletes, especially football coaches, when it comes to practice routines.Hot temperatures, combined with the extra weight of helmets and pads, can expedite dehydration, which can be a recipe for a fatal scenario if not monitored.The National Center for Catastrophic Sport Injury Research’s annual football injuries research reported 13 heat-related deaths among high school and middle school football players since 2006, which is why the Nathan Littauer’s Sports Medicine and Rehabilitation team is stressing the importance of hydration throughout practice by offering a free 45 minute Beat the Heat seminar to area coaches.“The coaches are educated on the warning signs and how to go about responding to such an emergency,” said Bill Oates, director of Sports Medicine and Rehabilitation at Nathan Littauer, who heads the Beat the Heat program. “It is a growing epidemic across the United States, and we’re just trying to provide as much information as we can.”The hydration program, which has already been presented at Broadalbin-Perth High School and will be presented at Johnstown High School in September, offers a variety of tips for coaches as they prepare to practice throughout the warm summer days in the rest of August and early September.Oates said younger athletes are more at risk for dehydration than adults for several reasons.“Kids really don’t tolerate heat in the same ways as adults do,” he said “Their sweating threshold is higher, so it takes them more to sweat. Their exercise tolerance is shorter, their acclimation to heat is slower, and their core temperature rises faster. Those four things can kind of drastically increase the risk for a young athlete compared to an adult.”One of the program’s suggestions that’s specifically effective for today as the teams begin to work for the first time after the summer break, is a period of acclimation.“It’s a 10-day period or so to get them accustomed to the conditioning and accustomed to the heat,” Oates said. “A lot of athletes show up for sports in fairly poor conditions at times. They don’t maintain that level of cardiac fitness throughout the entire year and they also are not accustomed to two-a-days.”The seminar also touches on who is considered at high risk for dehydration and encouraging coaches to teach their players about signs of dehydration.Broadalbin-Perth head football coach Jim Pelneau, who is entering his first year with the Patriots, has seen the hydration program run by Oates and Nathan Littauer and already is making preparations to put them into his team’s practice routine.“You learn to work those things into your practice schedule,” he said. “We are much more aware of it than maybe we have been in the past.”Heat is obviously a major factor that leads to dehydration, and recently, Section II made recommendations about practices should be run during extreme heat.Anything over a RealFeel – an index that takes into account temperature and humidity – temperature of 96 degrees will result in a cancelled practice or contest.When the RealFeel is 91-95 degrees, Section II recommends teams provide water breaks every 15 minutes, and also suggests reducing the practice time. When the RealFeel temperature is above 86, coaches should allow an hour of recovery time for every hour of practice,?Section II?suggests.Oates said temperatures from 74 to 82 degrees create a high risk for dehydration, while anything over 82 degrees is considered extremely high-risk. He said sometimes more recovery time is needed what Section II suggests.“You have to take into account the temperature and the intensity of the exercise,” Oates said. “If you do a two-to-three hour practice in 85 degree heat, and you’re really working them, three hours probably isn’t sufficient – especially for young people.”Fonda-Fultonville head football coach Tom Carpenter said he likes to keep his team from practicing in the heat of the afternoon.“When we usually do doubles, we go at 8 a.m. and at 5 p.m.,” he said. “We try to go at the coolest parts of the day.”A lot of dehydration incidents occur toward the beginning of the season, when athletes may be vying for a spot on the roster or starting position on the field. There’s a chance young athletes may say they’re OK even when they feel exhausted, Carpenter said.“You try to tell the kids to be honest with you,” Carpenter said. “If you’re not feeling good, say something.”William Oates, Director of the Sports Medicine and Rehabilitation services at Littauer.For information on the Beat the Heat program at Littauer, contact Bill Oates at 773-5540.
New endoscopic spinal surgery promises shorter recovery time Posted on August 17, 2011 by Dakota Pike(First printed in Daily Gazette) New endoscopic spinal surgery promises shorter recovery timeTuesday, August 16, 2011By Marcy Velte Gazette ReporterGLOVERSVILLE — A groundbreaking spinal surgery that is minimally invasive and comes with a faster recovery period is now being performed at Nathan Littauer Hospital.Dr. Jian Shen, an orthopedic surgeon who specializes in complex spine care, completed the first endoscopic cervical spine surgery in the area at the hospital Friday. The technique causes less muscle damage and less irritation than the typical cervical spine surgery.“It’s basically a decompressing procedure,” said Shen, who explained that the surgery involves removing a bone spur, cyst or herniation that is compressing a nerve. The procedure is designed to improve patient discomfort.The procedure is about 5 years old but so far has been performed only in San Francisco, Chicago and Texas.Shen said the reason why more doctors aren’t performing the surgery may be because “people get used to the open procedure and it’s hard to change.”“But once you get used to [the newer procedure] there is no return because it’s so much better,” he said.The procedure uses an endoscope, a device with a long, thin, flexible tube with a light and camera at the tip. The video feed then goes to an HDTV that the doctor uses to view the area. It requires an inch-long incision, while other methods use a large, midline incision almost five times longer.“I think this is really good,” said Shen. “There’s less blood, less pain, a shorter recovery and less muscle damage.”The first local patient was a man with a rare spine disease.“The patient reports [he] already feel[s] a difference from surgery,” said Shen. “Although it is early in the recovery process, the patient already has improved range of motion.” The patient, whose name is not being disclosed for privacy reasons, was discharged from the hospital Saturday.The family was also grateful. “We have waited for Dr. Shen to come here. We are very pleased to be in his care,” they said in a news release.Hospital President and CEO Laurence E. Kelly stated: “According to our research, only a few academic centers in the United States perform this type of surgery. Obviously we are thrilled for this patient and for others in our region who suffer with spine problems.”Shen finished his fellowship at University of California, San Francisco, earlier this year before joining the staff of Nathan Littauer in July.Previously, he earned a Ph.D. in basic science research in pharmacology, finished his medical education at Cornell University Medical College in New York City, did a surgical internship at the Mayo Clinic in Rochester, Minn., and completed an orthopedic surgery residency at Wake Forest University Medical Center in Winston-Salem, N.C. He is versed in minimally invasive and complex spine surgery, as well as nonsurgical techniques and therapies.Dr. Shen chose the Gloversville area because he wants to interact personally with each patient so they “do not feel like a number.” He said working at Littauer allows him to do that and he plans to stay in the area.“With Dr. Shen’s arrival, we now say, ‘Spines everywhere can rejoice,’ ” Kelly said in the news release.
Wellness Words August 2011 Posted on August 16, 2011August 16, 2012 by Dakota PikeHealthLink Littauer’sWELLNESS WORDSSubmitted by Ryan Wille, B.S.Community Health Educator HEAT-RELATED ILLNESS The summer months are filled with hot days that can put individuals at risk of developing heat-related illnesses, such as heat exhaustion and heatstroke. Heat-related illnesses occur when the body can not keep itself cool. As the air temperature rises, the human body stays cool when sweat evaporates. However, the evaporation of sweat is slowed down by increased moisture in the air on hot and humid days. When sweating isn’t enough to keep the body cool, the body temperature rises and individuals may become ill.Heat exhaustion occurs when the body gets too hot. It can be caused by physical exercise or hot weather. If an individual has heat exhaustion, they may experience:Heavy sweatingFeeling weak and/or confusedDizzinessNauseaHeadacheFast heartbeatDark-colored urine, which is an indicator of dehydrationIf you think you have heat exhaustion, you should get out of the heat quickly. Rest in a building with air-conditioning or find a cool and shady place. Drink plenty of water and other fluids. Do not drink alcohol or caffeinated drinks, because they can make heat exhaustion worse. Take a cool shower or bath and remove any tight or unnecessary clothing. If you don’t feel well in 30 minutes, contact a doctor. If heat exhaustion is not treated, it can progress to heatstroke.Heat stroke is an abnormally elevated body temperature with accompanying physical symptoms including changes in the nervous system function. Heat stroke is a true medical emergency that is often fatal if not treated correctly. Infants, the elderly, athletes and those who physically exert themselves outside under the sun, are at the highest risk of heat stroke.Symptoms of heat stroke can sometimes mimic those of heart attacks. Sometimes a person experiences symptoms of heat exhaustion before it progresses to heat stroke. Common symptoms and signs of heat stroke include:High body temperatureAbsence of sweating, with red or flushed dry skinRapid pulseDifficulty breathingStrange behaviorHallucinationsConfusionAgitationDisorientationSeizureComaIf you think someone might have heatstroke, call emergency medical personnel immediately! While waiting, take the person into an air-conditioned building or a cool, shady place. Remove unnecessary clothing to cool them down. Try to fan air over the person while wetting their skin with water. Appling ice packs to the person’s armpits, groin, neck and back can also help them cool down.The best way to prevent heat illness is to stay in air-conditioned areas as much as possible on hot days. If you must go outside, here are several precautions to take to keep you safe:Wear lightweight, light-colored, loose-fitting clothing.Protect yourself from the sun with hats or umbrellas.Use sunscreen with SPF 15 or more.Drink plenty of water before starting an outdoor activity and continue to drink extra water throughout the day.Drink fewer beverages that contain caffeine or alcohol.Schedule activities before 10:00 a.m. and after 6:00 p.m. when the sun isn’t as strong.During outdoor activities, take frequent breaks. Drink water or other fluids every 15 to 20 minutes.If you have a chronic medical problem, ask your doctor how to deal with the heat, especially how your medications relate to heat.For more information, visit www.FamilyDoctor.org, contact your health care provider or HealthLink Littauer at 736-1120. You can e-mail us at healthlink@nlh.org, see our website at nlh.org, or visit our wellness center at 213 Harrison Street Ext. in Johnstown, Monday – Friday, 9 a.m. – 5 p.m. We’re your community health & wellness service of Nathan Littauer Hospital and Nursing Home.
Ground-breaking surgery performed at Littauer Posted on August 6, 2011August 16, 2012 by Dakota PikeGround-breaking surgery performed at Littauer Dr. Jian Shen performs area’s first Endoscopic Cervical Spine Surgery Gloversville, NY — At approximately 1p.m. Friday, August 5, 2011 Dr. Jian Shen, an orthopedic surgeon specializing in complex spine care, practicing at Nathan Littauer Hospital, completed the first Endoscopic Cervical Spine Surgery in our area. The patient suffers from a rare spine disease. “The patient reports they already feel a difference from surgery.” said Dr. Shen. The doctor added, “Although it is early in the recovery process, the patient already has improved range of motion”. The patient was released today.Dr. Jian Shen at Nathan Littauer Hospital with the equipment he used for his ground-breaking surgeryHospital President and CEO Laurence E. Kelly stated, “San Francisco, Chicago, Texas and now Gloversville, NY!” Mr. Kelly explained, “According to our research only a few academic centers in the United States perform this type of surgery.” Mr. Kelly added, “Obviously we are thrilled for this patient and for others in our region who suffer with spine problems.”Endoscopic techniques permit smaller incisions, with less muscle damage and less irritation to the nerve root. The resulting loss in muscle strength is also considerably less with endoscopic techniques. “Nationwide there is an increasing demand for minimally invasive, less traumatic techniques. Because of Dr. Shen we can now meet that demand right here in Fulton County.” hospital spokesperson Cheryl McGrattan said. “The patient’s incision was approximately 2 centimeters. The equipment used in this surgery offers the doctor a better view of the spine than traditional techniques.”The family is grateful to Dr. Shen explaining, “We have waited for Dr. Shen to come here. We are very pleased to be in his care.”Minutes after the ground-breaking surgery, the surgery team marks the occasion. From left to right: Pam Dutcher, RN, Dr. Jain Shen, Jacob Dutcher, CRNA.Dr. Shen started practicing at Littauer a few days ago having arrived from the University of San Francisco. Dr. Shen is an orthopedic surgeon who specializes in complete spine care. “Surgery is not indicated for every spine problem. Dr. Shen also uses non-surgical techniques to get results” said Ms. McGrattan. After the surgery Dr. Shen concluded, “I cannot say enough good things about Nathan Littauer. From the surgical team to the recovery room staff to the nursing team- they are all top notch.” Mr. Kelly agrees, explaining “I am so proud of our staff at Littauer. They have gladly learned cutting-edge techniques to support Dr. Shen as he makes history in our region.”Dr. Shen reviews images from the surgeryTo learn more about this procedure and Dr. Shen, please visit www.nlh.org or follow us on Facebook.xxx
LITTAUER WELCOMES DR. JIAN SHEN Posted on August 6, 2011August 16, 2012 by Dakota PikeFellowship-trained Orthopedic Surgeon Dr. Jian Shen joins LittauerSan Francisco physician brings minimally-invasive spine surgery to area Dr. Jian Shen at Nathan LittauerNathan Littauer Hospital is pleased to welcome Jian Shen, MD, PhD to their medical staff. Dr. Shen is practicing with Dr. Russell Cecil and Dr. Gerald Ortiz at Littauer’s new Johnstown Surgery Center. “This is a major announcement for our region.” stated Wally Hart, President of the Fulton County Chamber of Commerce who met Dr. Shen at a recent reception. He added, “It means a lot to our region to have this cutting-edge expertise here.” Laurence E. Kelly Littauer’s President and CEO agreed noting, “Dr. Shen could have chosen to practice anywhere in the country. And he is coming directly from the University here to our community.” He added, “To have him treating people at Littauer is an enormous boon to the people who suffer with pain in our region.” Dr. Shen arrived a few days ago from the University of San Francisco. He explained his reason to come here as, “I chose to practice here because I want to bring cutting-edge spine care from big academic centers to this community.” He added, “I am very happy with the choice I made, I feel like I can do more here.” He added, “The staff at Littauer is top-notch.”Dr. Shen offers complete spine careDr. Shen offers complete spine care to people who suffer with spine problems. He is versed in minimally-invasive and complex spine surgery. He has already completed New York State’s first Endoscopic Cervical Sine Surgery at Littauer. As an orthopedic surgeon, he is well-versed in non operative (including spinal injections) and operative treatment of all spine conditions for people of all ages. He also can address back pain, neck pain, sciatica, leg, shoulder and arm pain caused by spine problems. While surgery is not indicated for every patient, Dr. Shen is also able to provide non-surgical therapies as well. He explained, “If I can get the patient better using non-surgical techniques like ESI (Epidural Spine Injections) or physical therapy I am very happy.”Dr. Shen’s main expertise has been on minimally invasive decompression/fusion surgery, as well as complex deformity/scoliosis and revision spine surgery. Minimally invasive and endoscopic spine surgery is a technique that allows the surgeon to perform an operation that normally is done via a large midline incision. This type of surgery uses a much smaller incision, allowing for significantly less tissue damage and quicker recovery.“He has a stellar background.” stated Hospital Spokesperson Cheryl McGrattan. After getting a PhD in basic science research in Pharmacology, Dr. Shen went on and finished his medical school education at Cornell University Medical College in New York City, New York. After a surgical internship at Mayo Clinic in Rochester, Minnesota, he completed an orthopedic surgery residency at Wake Forest University Medical Center in Winston-Salem, North Carolina. Dr. Shen went on to finish a spine surgery fellowship from 2010 to 2011 at UCSF Medical Center in San Francisco, California. He also has earned many accolades including: The Gold Medal, Residents’ and Fellows’ Research Day, Wake Forest University Medical Center, The Basil M. Boyd, MD Memorial Resident Award, 24th Annual Oscar Miller Day Symposium the Katherine Wolcott Walker Resident Research Award, Orthopaedic Research and Education Foundation (OREF) and the Academic Achievement Award, Wake Forest University Medical Center among others. In the coming years, Dr. Shen hopes to create a Spine Center of Excellence in the Adirondacks.Dr. Shen speaks to Fulton County President, Wally Hart at a Littauer receptionHospital staff, board members and community members met Dr. Shen on Monday August 1, 2011 at a special reception. “Many people are commenting on how personable he is.” said Ms. McGrattan. One Littauer staff person said upon meeting him, “What a brilliant man. He is the type of man I could listen to for hours. He truly knows his stuff! Very personable and an awesome asset to our hospital family!” Patients agree. A trauma patient who broke a vertebra in a recent car accident saw Dr. Shen this week and reported, “He was a very caring physician who was very empathetic to what I was going through.”Dr. Shen explains that one of his reasons he came to this area is because his goal is to “interact personally with each patient, so they do not feel like a number”. He said, “Practicing at Littauer allows me to do that. I cannot say enough good things about the staff at Littauer.” He concluded, “I want to practice traditional medicine- where the patient receives individualized care and gets my full attention. Yet, I can use cutting-edge technologies to treat all their spinal conditions.” Laurence E. Kelly states, “With Dr. Shen’s arrival, we now say, ‘Spines everywhere can rejoice’”.The hospital plans several outreach activities in the coming months. Patients who are experiencing spine problems are encouraged to contact his office at 773-4242. Further information can also be found at www.nlh.org.