Littauer offers advice to keep people in the trees

Littauer offers advice to keep people in the trees

Doctor offers deer hunters some safety tips

Gloversville, NY — With deer hunting season in full swing, Dr. Todd Duthaler, Chief of Emergency Medicine at Nathan Littauer Hospital, would like to remind hunters about the dangers of tree stands. The tree stand is a popular piece of hunting equipment, one which affords the hunter a good vantage point. But that same piece of equipment can be dangerous used recklessly or carelessly.

Dr. Todd Duthaler

Nationally, one in three hunting injuries involves a tree stand. Dr. Duthaler states that he has witnessed the results of tree stand falls in his emergency department. “They usually result in broken bones.” stated the Doctor. He added, “Most concerning though, is that most tree stand falls involve people who are alone and far from help.”

The Center for Disease Control found that the average stand was placed 16 feet above the ground. That height can cause serious injury if a hunter was to fall. The Doctor explains that although he does not know the exact number, he has witnessed “many tree stand injuries during past hunting seasons”. The Doctor states that his single most important tip is to wear a safety harness while hunting in a tree stand. Although, wearing a harness is not enough. He explains, “I prefer a full-body harness that supports a person’s weight by the torso and legs. More importantly, keep your tether short to prevent long falls. If a tethered person does fall, help them by allowing them to right themselves using the tree stand, refraining from releasing them or cutting the tether.”

According to the New York State Department of Environmental Conservation, “Serious injuries and deaths from tree stand falls are increasingly common.” They offer the following safety tip, “Don’t go too high. Remember that the higher you go, the smaller the vital zone on a deer becomes. And the likelihood of a serious injury escalates if you fall from high up. Usually, 15 to 20 feet is high enough.”

Doctor Duthaler also likes the safety tips the Department of Natural Resources, out of Maryland uses. To help prevent tree stand accidents, they offer the following safety precautions:

  • Never carry equipment with you while climbing. Use a haul line to raise or lower your gear. Make sure guns are unloaded and broadheads are covered prior to raising or lowering firearms or bows with a haul line.
  • Since most accidents occur when hunters are climbing up or down a tree, always use a climbing belt. Always use a safety belt or harness when hunting from elevated tree stands. Study manufacturer’s recommendations before using any equipment. Never use a rope to replace a safety belt.
  • Check permanent tree stands every year before hunting from them, and replace any worn or weak lumber.
  • Read, understand and follow the factory recommended practices and procedures when installing commercial stands. Inspect portable stands for loose nuts and bolts each time they are used.
  • Choose only healthy, living trees when using climbing devices. Rough-barked trees such as oak are best. Do not use a tree that is rotten or has dead limbs.
  • Never put all your weight on a single branch. Keep at least one hand and one foot on a secure place when reaching for the next hold.
  • Climb higher than the stand and step down onto it. Climbing up onto it can dislodge it.
  • Wear boots with non-skid soles, because steps or platforms can be slippery in rain, sleet or snow.
  • Tell a dependable person where you’re hunting and when you plan on returning. Map your whereabouts and leave a note at camp, at home or in your car so that you can be found.
  • Don’t fall asleep. This is a common cause of accidents. If you get drowsy, move your arms rapidly until you feel alert.
  • Never wear a ring in any climbing situation. Rings can catch on tree limbs and equipment.
  • As a precautionary measure, remove all logs, upturned and cutoff saplings, rocks and other obstructions on the ground below the tree stand.
  • Use updated equipment. When used properly, newer tree stand equipment is solid, safe and secure. Older models of safety belts offer some protection, but newer safety harnesses offer more protection.
  • Carry a whistle to call for help and carry a first aid kit, flashlight and cellular telephone in a fanny pack.

References: http://www.dnr.state.md.us/nrp/education/ts.html

New Balloon Kyphoplasty Procedure Dr. Shen Performs at Nathan Littauer Provides Significant Improvement in Quality of Life to Patients Suffering from Spinal Pain

Dr. Shen is pictured as he performs one of the area's first Kyphoplastys

Dr. Shen is pictured as he performs one of the area’s first Kyphoplastys

Dr. Shen from Nathan Littauer Hospital announced today that he is offering Balloon Kyphoplasty, a minimally invasive treatment option for patients suffering from spinal fractures due to osteoporosis. Balloon Kyphoplasty is designed to treat the spinal pain and deformity associated with vertebrae fractures that occur from osteoporosis or cancer. The new technique significantly reduces back pain and improves a patient’s ability to return to daily activities. His first two Kyphoplasty surgeries at Nathan Littauer were deemed a success. “Both my patients are reporting a substantial improvement in their pain” said Dr. Shen.

“The surgery is new to the Fulton-Montgomery county areas and only a handful of surgeons in the Capital Region currently perform kyphoplasty.” said Hospital spokesperson Cheryl McGrattan. One factor contributing to spinal pain is Osteoporosis. Osteoporosis is a disease that causes the bones of the spine to weaken and often collapse, resulting in spinal fractures. Traditional treatment for spinal fractures includes bed rest, medication and back bracing. While these therapies may help to decrease a patient’s pain over time, they do not treat the deformity related to the osteoporotic fractures.

Balloon Kyphoplasty is designed to repair vertebral compression fractures and restore the vertebrae to the correct position, reducing back pain, reducing the number of days in bed, significantly improving mobility and increasing overall quality of life. The procedure generally takes less than one hour per fracture and has been performed under both local and general anesthesia. In most cases, Medicare provides coverage for Balloon Kyphoplasty. Other insurance companies may also provide coverage.

This picture was taken minutes before he performed the new surgery.

Dr. Shen preps for the surgery

Dr. Shen says, “I am pleased to bring this surgery to our region.” He added, “Of all the surgeries I perform, this technique is especially rewarding because it can reduce pain significantly and in a short period of time. The surgeon concluded, “I enjoying seeing the patient return to a better quality of life after this procedure.”

Osteoporosis-Related Spinal Fractures: More Frequent Than Hip Fractures

In the U.S., according to the National Osteoporosis Foundation, each year 700,000 patients suffer from spinal fractures due to osteoporosis. Unfortunately, over 400,000 of these fractures go undiagnosed and untreated due in part to lack of awareness about osteoporosis and available treatment options.

The consequences of untreated fractures can be devastating. Once a patient suffers one vertebral compression fracture, the risk of suffering a second fracture increases five-fold. Left unattended, many fractures can result in an exaggerated rounded curvature of the spine, called kyphosis or dowager’s hump. This condition is painful and debilitating — making walking, eating, sleeping, and even breathing painful and difficult. Long-term, this condition could be fatal. Diagnosing such fractures is the first step toward providing patients who have been impacted by this devastating disease state with hope for treatment.

The statistics are staggering — one in two women and one in four men age 50 and older in the United States will have an osteoporosis-related fracture in their lifetime, with bone loss potentially beginning in women as early as age 25. This figure is projected to double in the next 50 years due to the increase in aging population and lifestyle factors, according to the International Osteoporosis Foundation. The current incidence rate has caused the World Health Organization to cite osteoporosis as second only to cardiovascular disease as a leading international healthcare problem. For more information about osteoporosis and spinal fractures, please visit the National Osteoporosis Foundation web site at www.nof.org.

Although the complication rate with Balloon Kyphoplasty has been demonstrated to be low, as with most surgical procedures, there are risks associated with Balloon Kyphoplasty, including serious complications. Patients should consult with their doctor for a full discussion of the risks.

The surgical team at Littauer gets ready for the procedure

The surgical team at Littauer gets ready for the procedure

For consultation:

For a consultation concerning treatment options for a spinal fracture, please contact Dr. Shen at the New Johnstown Surgery Center at 773-4242.

Public Forum Offered:

For people who are interested in learning more about Dr. Shen and his surgical solutions, Nathan Littauer is offering a FREE seminar: “Reducing Spine Pain” October 18, 2011 at 6:30pm at The Johnstown Holiday Inn. “It is an evening with Dr. Shen and a rare opportunity to hear first-hand the myriad of solutions this phenomenal surgeon brings to our region” said Hospital Spokesperson Cheryl McGrattan. Patients will learn about break-through surgeries and be given the opportunity to ask questions. A dessert buffet will be provided.

Clinic Offered to Children to Avoid Backpack Injury

Littauer Brings Medical Professionals to the YMCA to Teach Back to School Safety: Avoiding Backpack Injury

Littauer hosts backpack safety clinic for back to school season.

Littauer hosts backpack safety clinic for back to school season.

During this back to school season, Nathan Littauer Hospital is hoping parents consider the safety of their children’s spine as they pack up their child’s backpack.

Injuries due to overstuffed backpacks are on the rise. While backpacks are practical, there are many safety tips that should be followed to ensure optimal safety. Did you know:

  • According to the American Academy of Orthopaedic Surgeons nearly 30,000 Americans were treated for injuries stemming from improper backpack use in 2010. The most common complaints included joint dislocations, strains, sprains and bone fractures.
  • Approximately ½ of all American school children carry too much weight in their backpack.
  • Between 30-50% of adolescents complain of pain directly related to the use of backpacks.

Therefore, Nathan Littauer Hospital and the Fulton County YMCA are partnering to teach backpack safety. The free backpack safety clinic is designed for children and/or parents. It is a drop in event and no appointment is needed. Dr. Jian Shen an Orthopedic Surgeon at Nathan Littauer and Bill Oates a Physical Therapist also from Littauer will be on hand to teach backpack safety. They will calculate the correct amount a child should carry and teach exercises to strengthen core muscles. Each participant will bring home some safety tips and a personalized card.

Participants can also:• Ask questions about spine health for any family member.

WHO:Nathan Littauer Hospital and the Fulton County YMCA.
WHAT:A FREE Back to School Backpack Safety Clinic. Drop-in, group instruction at 30 minute intervals.
WHEN:Wednesday August 31, 2011 at 04-6pm Eastern Time (US & Canada)
WHERE:213 Harrison Street
Johnstown, New York 12095

CONTACT: Cheryl McGrattan 332-2505.

Dr. Shen will lead the Backpack Safety Clinic at the YMCA

Dr. Shen will lead the Backpack Safety Clinic at the YMCA

• Adults can weigh their handbag, backpack, briefcase, computer bag, etc.• Ask questions about scoliosis

Nathan Littauer Hospital first in area to offer noninvasive screening techniques for chromosomal disorders

During first trimester of pregnancy Nuchal Translucency combined with maternal blood testing identifies markers for Down syndrome.

Gloversville, NY — The Diagnostic Imaging Center and the Ultrasound Department at Nathan Littauer Hospital has added a new noninvasive genetic screening technique to its out-patient prenatal testing program for pregnant women.

Dr. McBiles reviews a file with Kaylee Palmer, as they now offer Nuchal testing

Dr. McBiles reviews a file with Kaylee Palmer, as they now offer Nuchal testing

“Nuchal translucency” is a test performed by high-resolution ultrasound early in the first trimester to identify risk factors for Down syndrome, a genetic disorder that affects one in every 733 babies in the United States. “This competency really distinguishes us as a resource to expectant mothers and practitioners in our region” stated Dr. Mike McBiles, Chief of Radiology at Littauer. He added, “Our technologist, Kaylee Palmer who relocated here from Boulder Colorado, studied with the pioneer of prenatal testing, Dr. John C. Hobbins.” Dr. McBiles explained, “Mrs. Palmer was part of the original trial when the technology was first in use. Her expertise makes her an invaluable asset to this area.” He quipped, “It is a bit like having Colonel Sanders cook your chicken in your kitchen.”

Nuchal translucency is a first-trimester risk assessment available at Nathan Littauer Hospital measuring the neck of fetuses between 11 and 14 weeks of gestation. The noninvasive ultrasound procedure can identify genetic abnormalities such as Down syndrome in combination with maternal blood testing. Nuchal translucency measures the amount of fluid behind the neck of the fetus, in an area known as the nuchal fold or nuchal translucency. It is believed that the higher the amount of soft tissue around the neck, the higher the risk for Down syndrome. These tests also screen for two less-common genetic disorders, trisomy 13 (Patau syndrome) and trisomy 18. “We are credentialed, we have completed our tests and we are now testing mothers.” said Barbara Tambasco, Ultrasound Department Manager for Nathan Littauer.

Nathan Littauer Hospital is the first center in the Fulton, Montgomery area to offer the screening techniques “The combination of the nuchal measurement and blood test gives us about a 91% accuracy rate.” stated Dr. McBiles. Dr. McBiles and Dr. Saqib are now credentialed radiologists for the test. In addition, two sonographers at Nathan Littauer Hospital are in the process of earning their certification from the Nuchal Translucency Quality Review Program of the Maternal-Fetal Medicine Foundation. This national education and quality review program was created to ensure the highest levels of accuracy and quality in first-trimester Down syndrome screening.

In 2007 the American Congress of Obstetricians and Gynecologists (ACOG) recommended routine Down syndrome screening and genetic counseling for all pregnant women, regardless of age, before the 20th week of pregnancy. Babies with Down syndrome are born with an extra copy of chromosome number 21, which causes mild to severe delays in physical, cognitive, and language development, as well as health problems such as congenital heart defects, thyroid disease, and digestive disorders. The risk of having a baby with Down syndrome increases with the age of the mother. The risk is one in 365 babies at age 35, one in 100 at age 40, and one in 30 at age 45.

“This test is non-invasive, quick and gives the family vital information.” explained Kaylee Palmer, adding, “Women in this area should be very relieved they do not have to travel to major metropolitan areas to get this test.” Kaylee Palmer has performed thousands of the tests throughout her career. She states, “My goal is to have every patient leave happier than when they came in.” She concluded, “I really enjoy my patients.”

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Teams taking precautions to beat the heat

Teams taking precautions to beat the heat

August 15, 2011
By ERICH NEUHAUS , The Leader Herald

 

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 system

Bill Oates delivers heat related illness information to the coaches at Broadalbin Perth School system

It’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.

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.

Ground-breaking surgery performed at Littauer

Ground-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

Dr. Jian Shen at Nathan Littauer Hospital with the equipment he used for his ground-breaking surgery

Hospital 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.

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 surgery

Dr. Shen reviews images from the surgery

To learn more about this procedure and Dr. Shen, please visit www.nlh.org or follow us on Facebook.

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