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Surviving COVID-19

Reworking The Workout: How Community Members are Staying Fit During the Coronavirus Pandemic

June 15, 2020 by Lauren Rosh

With Insights into The Future of Exercise!

On an average day in College Park, Maryland I typically walk between 10,000 and 20,000 steps on my college campus. When my university made the switch to virtual classes for the remainder of the semester and I came back to New York, I did not think I was going to miss walking from class to class as much as I did. For me, staying fit while at home has been all about walking with my family, friends (socially distanced, of course) and even by myself. Doing this allows me to recreate the feeling I have when I’m walking on campus and also gives me peace of mind and time to reflect.

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Here are some of the ways other Northern Westchester residents have been staying fit… read on too on for insight on why some fitness enthusiasts aim to continue with online options while others say they are ready to go back to the gym.

ZOOM CALLS

Right now, gyms are offering virtual workout sessions through Zoom to keep members connected with the health club and each other.

One of the ways Chappaqua resident Jeff Samberg has been exercising is logging on to Adina Olan-Ellick’s Breathe Pilates and yoga classes.

“It’s so convenient. I roll out of bed and within five minutes, I am working out in front of the screen in a class, then five minutes after that I can be on a conference call,” said Samberg.

Marcia Heitlinger and her husband belong to Lifetime Fitness. One of their favorite instructors is holding a zoom class on weekdays and Sundays at 6:30 am. The instructor asks for donations through Venmo which she then passes on to the Westchester food bank.

“These Zoom classes are great because they are early enough where I can get the workout in before I do work for the day,” said Heitlinger.

Kristen Acosta’s main source of exercise during this time has been Zoom classes with her instructor, Lisa Gagliardi.

“There are over 70 people that Zoom in to take her class. She has done amazing things to keep our workout community connected.”

Tamara Leopold and her husband are members of Immortal Fitness in Pleasantville and have also been using Zoom to stay in shape. She said owner Tommy Carter maintains the gym community through three Zoom classes everyday excluding Sundays. Carter and his team pre-record the workouts the night before they release them so members of Immortal Fitness can have the classes on demand.

“If you can’t watch them live, you can still do them on your own,” said Leopold.

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APPS

The Peloton app is a way people are staying in shape. The company offered a 90-day free trial giving people who were interested access to all their classes ranging from strength training to yoga to cardio and cycling.

Leopold said that they use a traditional spin bike paired with Peloton app as a way to take classes. She also enjoys their weight and yoga classes.

Heather Hecht also loves the accessibility and range of classes the app offers. She completed the 4-week “crush your core” program and when she finds the time she takes anywhere from a 30 to 45-minute yoga class.

Heitlinger also enjoys the yoga feature on the Peloton app. She even will meet up with a friend to do a socially distanced yoga session led by instructors on the app.

USING GYM EQUIPMENT AT HOME

Photo by Marcia Heitlinger

Like the Peloton app, people have also been using a Peloton bike.

Hecht said previous to the stay-at-home orders, she used the Peloton bike in her house mainly on snow days or vacation days when she did not leave the house as much. However, the occasional ride has turned much more frequent as she has found creative ways to make the workout fun.

“With ‘everyone’ riding and the new hashtags, I have joined groups in town. We follow each other, favorite teachers and offer motivation. It keeps it fun,” said Hecht.

Heitlinger and her husband created a gym in one of the rooms in their home. Before gym closures, the room had a spin bike in it. Now, they added a set of weights, rubber mats and a bench.

TIME OUTSIDE

North County trail

Living in suburbs, there is the advantage of being able to spend active time outside.

In addition to the online classes through Breathe, Samberg has been riding a bike outdoors.

Heitlinger has also been spending time outside and finding ways to safely do so with others. Once a week, she does a socially distanced run with one of her friends.

Hecht has also been taking advantage of the sunshine and returned to the tennis courts outdoors to play singles with her hitting partner.

“It’s definitely great to be back on the courts and they are being super cautious,” said Hecht.

WHAT DOES THE FUTURE OF EXERCISE LOOK LIKE?

The bottom line is that there is a mixed reaction to today’s status quo.

Some people don’t necessarily miss the gym; they may enjoy the time and cost savings and may continue to feel safer staying fit without leaving their homes. Options outside the traditional club memberships satisfy many so they are starting to opt-out, at least temporarily.

Samberg said he recently gave his gym the notice that he would not be returning when they reopen.

“I have been able to get everything I need at home, this has changed my perspective. For smaller studios I plan to go back because I think they can be contained and sanitized and healthy,” said Samberg.

Then there are those who are interested in working out in classes and groups in proximity to live humans, so they are looking forward to getting back to the gyms. They also are bracing themselves for the changes.

“I would like to go to the gym after this, I am a big class person, so I’m a little worried, I do hot yoga and I would love for it to happen again but I do not know if it will,” said Heitlinger.

Yet others are also ready to be adaptable to changes gyms will make when they reopen whether that is smaller classes or stricter guidelines.

“I look forward to going back whatever capacity that is in. We miss being inside the four walls of the gym,” said Leopold.

Also, people are missing the sense of community that is found within a gym. Although health club owners are working hard at maintaining relations with and between members, there is something different about working out with others in person.

“I look forward to the day that I can walk back into my gym and see everyone’s faces. Although I feel connected with everyone from home, there is nothing like that in person, face to face, interaction,” said Acosta.

 

Filed Under: Surviving COVID-19 Tagged With: community, exercise, fit, Future of Exercise, gym, gyms, Health Clubs, Keeping Fit, Staying Fit, steps, virtual classes, Walking, work outs, Zoom

Ready to Open Pool Clubs Eager for a Green Light

June 10, 2020 by Megan Klein

Willowbrook, like other county and private pool clubs throughout the county, anticipates opening during Phase 4.

The soundtrack of a pool club consists of the following: wet flip flops, lifeguard whistles, kids asking for snack-bar money, parents saying no, but then giving in after the fifth ask and loud splashes following a cannonball.

Unfortunately, the sounds have been put on pause. Although summer has arrived and Coronavirus cases have declined, pool clubs in New York are still not open for the season.

We’re all looking for answers, but unfortunately so are those who are in charge of the clubs themselves. Harriet Engel has been a board member at Willowbrook Swim and Tennis Club for four years and is a long time member herself of 16 years. She recently spoke to Westchester County Executive George Latimer on the phone, who is also awaiting answers from the state, to discuss the status of the pool clubs.

“George Latimer said on this call that he strongly feels that the pools can be open safely and they have done that in other states…it’s just a matter of when and what specific restrictions are imposed when they can open.”

The reopening of pool clubs is part of the Phase 4 structure in relation to COVID-19, however it is unclear if that means county pools or private ones. But, county pools are preparing to open, which means so is Willowbrook.

“We are prepared to open…when we are given the green light. We’re ready to go,” Engel said, stating that they’ve had plumbers there and pools being filled and repainted.

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The question of snack bars, playgrounds and swim teams are all currently unanswered and not up to individual pool clubs but rather the state. However, tennis clubs have been open. At Willowbrook, although both pickleball and tennis courts are open for play, you can’t share balls and large clinics are not being held. With that being said, the Pros at the club are available for lessons if you are looking for something to get your kids out of the house.

That’s another thing. Kids have been cooped up for months inside their homes due to quarantine, so the opening of pools would be a great way to let them be outside and get out of the house. And with the cancellation of many sleepaway camps, families are now home with their kids with nothing to do. For those who are worried about social distancing and the travel of germs, no need to fear.

“The benefit of the pool clubs is that they are all open air…they say that being out in an open air environment is much safer because everything can circulate, so it seems like it’s a safe environment and plus we have a lot of deck space. So, we could allow the chairs to be more distanced from one another for people to social distance themselves on the deck,” Engel reassured.

And in terms of the swim team, although there is no concrete plan or set of guidelines to follow that have been provided just yet, there are some possible solutions.  For instance, separating kids into different age groups and capping the number of swimmers allowed in the pool at one time. Even though these potential implementations change one’s normal routine at the pool, it seems as if that might be the only way to get back in the water.

“It’s the price of being able to partake in an activity, safely, to keep yourself and others safe. That’s the name of the game. You want to be able to do all these things, but we’ve taken all these precautions so to do something in an unsafe manner just doesn’t make sense right now,” said Engel. “You would sort of destroy all the work that you’ve put in up until now.”

Filed Under: Surviving COVID-19 Tagged With: Chappaqua, County Executive, COVID-19, Phase 4, pool clubs, swim, swimming, Tennis, Willowbrook Swim and Tennis

What Local Businesses are Planning as the Curve Flattens and Restrictions Ease

June 4, 2020 by Kiran Sheth

As the coronavirus continues to spread all around the world, many local businesses have reported a massive drop in revenue as consumers remain at their homes. The virus has dealt a devastating blow for hundreds of restaurants and other small businesses as they are forced to close in response to public health guidelines. According to the U.S. Labor Department, as of May 14th, 36.5 million people have filed for unemployment in the past eight weeks bringing the unemployment rate to 14.7 percent in April – the highest since the Great Depression.

I had the pleasure of speaking with many local businesses from the surrounding area about their experiences with the coronavirus and how they have been adapting in these unprecedented times. As a resident of Chappaqua, I have patronized many local businesses and understand their value to the members of the community. While I spoke to the businesses (all generous/recent sponsors of the Inside Press which has also been working hard to stay the course), many expressed feelings of caution and worry even as they inch closer to “Phase 1” and “Phase 2” reentry dates. https://www.westchestergov.com/home/all-press-releases/8388-april-15-county-executive-george-latimer-gives-westchester-county-coronavirus-update-westchester-forward-phase-i

To date, many businesses have been applying for loans, first federal ones, and more recently a state option loan called New York Forward has been very specific to small businesses, and was announced by Governor Cuomo. https://forward.ny.gov/  Meanwhile, the owners of small businesses describe Herculean efforts between finding time to explore and pursue loan options while also keeping focused on creating new and unique solutions to handle the hurdles they face in a safe and secure manner, and just basically keep up with the day to day tasks involved in running a business.  From transitioning to virtual platforms to implementing curbside pickup, the local businesses are following emerging guidelines and figuring out how to continue to serve the community in whatever way they can, and prepare for any ‘new normal’ the future may bring. Here are eight businesses whose owners offered a glimpse into both current day challenges AND relaunch/reentry plans!

Armonk Tennis Club

Tim Shea, the owner of Armonk Tennis Club expressed the intense precautions that people have to take while at the club. “As soon as people arrive on the property, they are assigned a court to go play on. It is only singles at this point. When they get to their court, it is recommended that they have labeled their own tennis balls. We don’t have benches or water on the courts and we are sanitizing the nets everytime after people play – this is no longer the ideal club.”

Much like any other store or club, Armonk Tennis Club is ready to resume their day to day operations. “Physically we are ready to go back to last year within a day.” However, there is one caveat – “we don’t know what the new normal is.” Shea furthered this by expressing that “hopefully at some point doubles and group teachings are allowed and that social distancing can be maintained.” Armonk Tennis Club was the first recreational facility to close down in March. Despite that, Shea passionately explains that the club is “truly following the guidelines handed down by the county, which is taking their orders from the state.”

Aura Salon and Style Bar

“As a hair salon, it is very hard to know when we are going to reopen because it’s not listed anywhere,” explains Leticia Villagran, owner of Aura Salon and Style Bar. “It is really hard to prepare for the reopening – nobody was prepared for this.” However, Villagran seems more than ready for the challenges that lie ahead. Like many businesses, she is practicing curbside pickup for hair coloring agents and other supplies. Looking forwards, she has “ordered masks, sanitizers, and a very heavy duty UV lamp. Everytime I will use a comb or scissors, I will put them under the lamp for 10 minutes before using it on the next client – it is all about being safe.”

She has also ordered a disposable plastic shield for the chairs, but most important to securing the safety of her clients and workers is the structure of her salon. “The building I have the salon in is three floors, and this is going to be great because I plan on having a few stylists on each floor. This way I can have more clients while still being safe.” Villagran feels like she is confident to accommodate people in a cautious manner when her store reopens. “From the chairs to the tools that we are using we are going to be making sure that everybody is safe.”

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Breathe Pilates and Yoga

Adina Ellick, the owner of Breathe Pilates and Yoga in downtown Chappaqua described how her business has been dramatically altered due to the virus outbreak. “My business is completely virtual now. My hope is to lean into private sessions as soon as I am able with limited people in the studio at each time” she states. The state of her business also impacts how her clients approach their traditional yoga experiences. “I have some clients that don’t want any part of it, and they are waiting until the doors open again. However, I have other clients who have taken more classes than they have ever taken – they love the availability and accessibility. Finally, I have clients that I would have never been able to get.”

Ellick also has some special ideas available for the public when her store reopens. “I will be offering re-entry packages when I open, virtual classes will still be available and I will be implementing a virtual package for those people who want more than just the studio.” At the end of the interview, she passionately asserted that she “wants people’s opinions. I want people to reach out to me – tell me their fears, tell me their desires. Tell me what I can do to help them move to the next phase of re-entering back into some sense of normalcy – we need to start to meld back together into a community.”

Chappaqua Paint and Hardware

“I think the face of retail is completely changed,” exclaims Peter James, the manager of Chappaqua Paint and Hardware. “We are sanitizing every 20 minutes. Masks are worn throughout the store. Gloves are worn throughout the store.” Chappaqua Paint and Hardware was deemed an “essential” business during this time, but regardless, “it is always safety first in everything that we do. Even before everything started, it was a matter of not only keeping our customers safe, but our staff healthy as well.” Chappaqua Paint and Hardware has also been adopting a phrase that is becoming part of the norm – curbside pickup. “You have to remodel your business because now you are taking a lot more phone calls – it’s definitely a change in the way that we are operating.”

James seemed to be optimistic about the future. “Once we do start opening up, it’s going to be a great thing.” He continued, referencing his fellow businesses in downtown Chappaqua, stating “There have been a lot of businesses that haven’t been able to open their doors and adding them back into the mix will invigorate people to start coming outside. It’s going to be nice to have a downtown that is rejuvenated and open for business.”

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Eye Designs

Many businesses are adapting the best that they can to the ambiguous “new normal.” Jaime Herman, the manager of Eye Designs in Armonk states that “I haven’t really been open – it’s just been on an emergency basis – a few times a week. We have a lot of things in place for cleaning and disinfecting frames if someone touches them. We have masks, face-shields and everything necessary.”

Herman further explained that business has been almost “non-existent.” However, they are finding creative solutions to the problems presented. “I have been able to order contact lenses for people and have them be shipped directly to the patient so they don’t have to come in.” Eye Designs is in a precarious position as to buy eyeglasses “you really need to come in. That personal aspect is missing.”

Herman included that the store will be “offering $120 off for a complete pair of prescription eyeglasses.” Herman concluded on a positive note, exclaiming that “We look forward to serving the community, like we have for the last 20 years, and we hope to be there for the community throughout this process.”

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Family Britches

“This has been a big negative for any retail business, particularly one that relies on relationships,” Barry Mishkin, co-founder of Family Britches in Chappaqua explains. “Customers make appointments and come in, but everybody is staying home and following orders.” Most of their business at the moment has come from mail, phone and online orders. Despite this, Family Britches is committed to ensuring the well-being of their customers. “We are staying in touch with our clients and are reassuring them that everything is going to be okay. We have called over 1,000 people over the past nine weeks.” When the store reopens, they have “masks available, a UV light and hand sanitizer.”

Family Britches is devoted to providing the same personalized service that they have done in the past for their customers. “We are here to help and assist our customers. We are not like a department store where you ‘promote, promote, promote.’ We are here to fill their needs and we want them to feel comfortable going into a place where they can see and speak to the same people they have spoken to for years.”

Hickory and Tweed Ski and Cycle

Other business owners have detailed how the virus has been affecting them. Skip Beitzel, owner of the well-known Hickory and Tweed Ski and Cycle in Armonk was at loss for words when asked about how the bike shop is faring. “I can’t describe it. I just can’t describe it. The bike business is exploding – none of the vendors has any more bikes. Tuning bikes is all we are going to be doing from now into the summer – we don’t have anything else to sell.”

Beitzel went on to describe the retail aspect of his store. “I think we are going to be having appointment based shopping, but we are going to be doing more with online shopping and curb-side pickup – I’m hoping for the best, but I am strategically planning for the worst.” In the future, Hickory and Tweed will be offering half off for everything in retail for ski wear during the summer

Much like any business, Hickory and Tweed is dedicated to maintaining the safety of their customers by “listening very carefully to what the county executive, George Latimer has been saying. Everyday is unique and presents a different challenge.” Beitzel also hopes to learn from other businesses, stating that this process requires a lot of “learning by doing.”

LaGravinese Jewelers

“It’s pretty easy to control how many people are in the store at a time,” describes Debra LaGravinese, owner of LaGravinese Jewelers in Armonk. “We post on Instagram and social media that one or two people are allowed in the store at a time and we have curbside pickup. We have changed to manage within this.” Similarly to other local businesses, LaGravinese Jewelers is implementing curbside pickup into their adaptations to the restrictions of the coronavirus. In order to cope with the loss of business, LaGravinese has people “text me directly. I have repairs people left here so I would meet them or deliver them.” Debra is hopeful for the future of her business as “people still want to celebrate the good birthdays and graduations.” She continued stating that “June is usually one of our busiest months.” However, there are still some hindrances before things get completely back to normal. “Things have changed because my employees have kids who don’t have daycare that is open right now, so my hours are completely different.” She concluded stating “the best thing I can do is to make people feel safe and comfortable when they come.”

Filed Under: Surviving COVID-19 Tagged With: community, COVID-19, devastating, guidelines, local businesses, reinventing, reopenings, Shop Local, Small businesses, Solutions, The Inside Press, unique solutions, Virus, Working hard

Greeley Principal: A Preview of Plans to Celebrate a “Mature and Community Minded” Class of 2020

May 29, 2020 by Grace Bennett

Students conveyed a simple wish: to be together. 

Photo by Donna Mueller

Editor’s Note: Please scroll to the bottom of the story for the district’s graduation plans as they stand now as conveyed by HGHS’s Andrew Corsilia and Lauralyn Stewart in a letter to parents and students. Graduation Day is June 20th, and will be a car-based ceremony, site not yet confirmed, according to the letter which was forwarded to my attention just this morning after I posted the article below.– Grace Bennett 

In a class of 342 graduating seniors, all yearning for a meaningful and memorable graduation, one thing is for certain: there are many, many throughout the school district and community at large who care about the kids deeply and who are rooting for them to experience just that.

That was a primary message gleaned from an interview with Andrew Corsilia, principal of Horace Greeley High School, who commented on the HGHS Class of 2020 at large and the plans being discussed.

“We have essentially a small town,” said Corsilia. “The seniors have grown up with the same families, the same Main streets, with most in the same schools for 13 years, so what it means to be a Senior, what Senior year means to them: those are questions that have really loomed large in their imaginations, and in their expectations. Some of these events that we have planned for them are not just celebrations. They are milestones-with a ritualized way of getting to leave.”

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“The whole community is feeling for these students and wanting to celebrate them,” Corsilia emphasized. While no official plan has of yet been announced (SEE EDITOR’S NOTE ABOVE), a video message to the entire community, shared Corsilia, is planned for release next week. It will contain information about the multiple celebrations which typically place around the traditional ‘Senior Week’–a much celebrated time leading up to the actual graduation.

Corsilia said he had heard from many students and families and by and large, he said, “No one wants a virtual celebration; they made it clear that it would be anticlimactic to be sitting on your couch watching your own graduation; it’s not interactive.”

“They are clear that they want to be together,” he said. “It was a no to individual ceremonies.”

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Corsilia said HGHS was “holding out for a social distancing graduation similar to that held by the U.S. Air Force; we are scouting locations and coming up with back up plans.” 

Nothing is set in stone, given the coronavirus challenges. “We are grappling with a new set of circumstances every week,” as the schools receive news of any updates to rules and regulations from the County and State. “Our first choice if allowed by county and state would be to create something as close to the real thing as we can make it.”

The location of the Greeley graduation has traditionally been under the big white tent on the athletic fields.  “A tent is out this year because it compacts everyone into a very small area,” Corsilia explained, but the the fields and its vast space is the likely choice for any social distancing graduation for the class. (SEE EDITOR’S NOTE ABOVE)

Corsilia emphasized his and the district’s intention to “do right” on behalf of the seniors who he commended.

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“This class is incredibly mature.  They are community minded.  They are a pleasure to work with.  They give off a wonderful positive energy when they are together.  They distinguish themselves academically and creatively.”  He spoke of how they excel in science. He expressed his joy for them that they were able to produce a beloved senior production in the nick of time. This year, it was High School Musical, and “it was a ton of fun,” he said.

In the meantime, he has kept in touch with student progress since the pandemic took hold.  He shared his impressions of the 290 students who are participating in internships and independent projects.  Typically most of the students would be in internships from a workplace supervised in a traditional professional settings and 20-30 percent would be engaging in independent projects.

This year, those figures were ‘flipped,’ he said.

  “70 to 80 percent have had to abandon showing up at a workplace although some of the kids transitioned into a remote internship for these workplaces; the vast majority transitioned to engaging in independent projects, in which “their creativity has really come out!”

They have included: students creating a podcast as to how the pandemic has impacted small businesses in Chappaqua; students designing and producing fashionable masks being sold in Chappaqua; and those “diving into literature” whether by recent Pulitzer Prize winning authors, or classic literature. Others have worked on something deeply personal, whether learning to play guitar or building and creating cookbooks containing traditional family recipes by their parents and grandparents.

The support and warm feelings toward these seniors has been felt throughout the community. “I’ve had older people call me, those who have no students in this school, asking me what they can do for these seniors. They’ve seen the graduation signs around town that the PTA surprised parents with in the middle of the night. Everyone’s feeling for them… We’re just incredibly proud and want to do right by them.”

Is there anything else you would like the class to know, I asked. “They are really an amazing class,” said Corsilia. “We miss them.” 

 

May 28th Letter to the Class of 2020  

Dear Class of 2020,

We hope that you and your families are well.

As we head into June, we are happy to share our plans for a full schedule of senior-week activities, culminating in graduation. We want to thank your class leadership, PTA, administrators, and town, for planning and organizing these senior week events.

Video Message

June 10th – Senior Awards

We will hold a virtual awards ceremony, including a personalized presentation for each senior receiving an award. Those students receiving awards will receive an invitation to the ceremony.

June 11th – Post Greeley 101

Our PTA has organized a series of Zoom seminars about life after Greeley, hosted by returning graduates, parents, school staff, and community members. Historically, our seniors comment on how valuable this experience is, as they prepare to leave Greeley.

June 12th – Honk for Seniors Parade

Our PTA and New Castle Police have organized a driving parade (parent drivers), starting at the train station in the early evening and ending with a drive through the Greeley campus to celebrate the final day of classes for seniors. Expect a more detailed communication from our PTA.

June 15th – Color Wars

Your class leadership is sponsoring a digital version of our traditional color wars, where you will get to show your elementary school pride and compete against your classmates. Let’s see which elementary school wins!

June 15th – Athletic Awards

Mr. Semo and Greeley Sports Boosters have organized a virtual ceremony to honor our senior athletes. Students will receive commemorative booklets prior to the virtual event which will begin at 7:00 p.m.

June 17th – Cap and Gown Drop Off

We will deliver to your home, via school bus, a care package, including your cap and gown and Senior Beach Day towel.

June 18th – Senior Montage

Our PTA will release the senior montage video to commemorate your senior year.

Prom

Your class leadership and PTA have reserved Trump National Golf Course and are working to schedule your prom at a future date, when it is safe to do so.

Yearbooks

Your yearbooks are looking great, but due to printing delays, they will not be available until August, at which time, we will schedule a process for picking up your yearbook.

June 20th – Graduation

We have heard from our students and our community that you want to be together for graduation, and we know that your first choice would be to have an in-person, socially-distanced graduation on our fields. The New York State Executive Orders, at this time, do not permit such a ceremony. Unless these guidelines change, we will hold a car-based graduation on June 20th in Chappaqua. We are currently confirming the site, and you will hear additional details about location and logistics, as we move closer to the date. In this way, we can keep our original date, bring the class together, and send you off to an amazing summer.

As we move closer to these dates, you will receive additional communication, specific to each event.

Class of 2020, we look forward to celebrating you in style.

Best, Mr. Corsilia and Ms. Stewart

 

Filed Under: New Castle News, Surviving COVID-19 Tagged With: Andrew Corsilia, celebrations, ceremonies, Chappaqua, Circumstances, Class of 2020, community, Expectations, graduation, HGHS, Horace Greeley High School, Imaginations, independent projects, Internships, Plans, Senior Week

Accessing Non-COVID Medical Care During the Time of Corona

May 14, 2020 by Ella Ilan

To go or not to go to the doctor? That is the question, although the evidence is mounting that avoiding medical care when you are sick is at best, foolhardy. Still, with the threat of COVID-19, the reports of overwhelmed hospitals, and the shutdown of elective surgeries and non-essential medical care, for many the thought of going to a doctor or emergency room can cause the toughest amongst us to break into a sweat.

A new poll from the American College of Emergency Physicians reveals 80 percent of adults say they are concerned about contracting Covid-19 from another patient or visitor if they need to go to the emergency room. The poll further reveals that 29 percent of adults have actively delayed or avoided seeking medical care due to these concerns. An article published yesterday on this site revealed that emergency room avoidance is a problem that has hit close to home, too, increasing the risk of life threatening conditions.

Michele Older, an Edgemont resident, had been trying so hard to avoid going to any doctors during this pandemic, but she had no alternative when her 17-year-old son had an anaphylactic allergic reaction on the evening of April 30th. She was advised by her pediatrician on the phone that despite administering an epi-pen to her son, she had to go to the emergency room. Although afraid, she drove in the pouring rain that night to Maria Fareri Children’s Hospital. 

“It was very surreal,” recounts Older. “You couldn’t get into the hospital on your own, you had to knock on the emergency room door, and a nurse covered up in a hazmat suit came to the door and asked several times how old he was before they let me in with him.” Had he been 18 or older, Older would not have been permitted inside due to the stringent precautions all medical facilities are taking due to Covid.“They kept asking about his coughing, which had only started thirty minutes ago because of the allergic reaction, but you could tell they were fearful,” says Older. “Everyone was all masked up and seemed to be very careful and there were people going around cleaning constantly which was good. Everyone just seemed a little stressed, but very nice. It was not crowded and we had a private space. I wouldn’t avoid the hospital if I had another emergency.”

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Proving the adage that when it rains it pours, within a week’s time, Older’s son required several other doctor visits unrelated to his allergic reaction. A growth in his nose that had developed after a surgery he had in February for an injury had suddenly become intolerable. Older had put off bringing him to a doctor because of the pandemic, but her son was now complaining that he could not breathe out of his right nostril. She was able to quickly secure an appointment with his ENT specialist, who performed an in-office procedure.  Within that same week, Older had tele-health visits with her son’s allergist, his pediatrician, and his gastroenterologist for an unrelated issue. “The tele-health visits were great,” she says. “It normally takes weeks to see the gastroenterologist but we were able to set it up for the next day. He spent thirty minutes with us discussing some test results and I thought it was very convenient.”

The Doctors’ Perspective
Although non-essential in-person medical visits have been discouraged, patients who have possible cancer or abnormal studies have been able to be seen during this pandemic. Dr. Andrew Ashikari, a breast cancer surgeon at The Ashikari Breast Center at the Dobbs Ferry Pavilion of St. Johns Riverside Hospital and a longtime Chappaqua resident, tells his patients “if they are concerned about anything, especially swelling, a lump, or nipple discharge, they should see me regardless of the covid crisis.”

Dr. Ashikari has continued to see patients throughout the crisis since “with breast cancer, you really can’t do a breast exam with tele-health.” He has been seeing new diagnoses “but that slowed down a little because people aren’t getting mammography screenings since they were stopped due to covid. Most patients are coming in with palpable masses and then we are able to order diagnostic imaging.” Unfortunately “it has been a struggle” as many breast imagers were furloughed by radiology groups, but luckily for Dr. Ashikari and his patients, “they actually came in out of the goodness of their heart if I asked them that I needed something biopsied,” he explains.

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As far as taking precautions, Dr. Ashikari’s office screens patients by taking their temperatures, making sure they have no cough, wearing masks, spacing people’s appointments out, and putting patients immediately into a room so there is never more than one patient in the waiting room. “I’ve kept my staff hired the whole time and none tested positive or developed antibodies, so we know we’ve been taking the right precautions,” he says.

Photo courtesy of Northeast Orthopaedics and Sports Medicine

Dr. Doron Ilan, an orthopaedic hand surgeon at Northeast Orthopaedics and Sports Medicine in Westchester and Rockland Counties and an Armonk dad, has made adaptations to ensure patients get the care they need. “While non urgent surgeries have been postponed, patients with new or recurring injuries and conditions should not delay getting a good evaluation,” advises Dr. Ilan. “Patients continue to get hurt, suffer fractures, lacerations, ligament injuries, pinched nerves and we are here for them. We have instituted a number of options for our patients including telemedicine visits, in-person visits and orthopaedic urgent care where we can see you virtually or in-person the same day in most cases.”

Dr. Ilan’s office has taken numerous steps to keep their offices safe by instituting strict guidelines “including sanitizing each room before every patient, requiring face masks for all staff and patients, pre-screening patients for any illness, social distancing via spacing out visits and online check-in. In partnership with our stand alone surgery centers and outpatient hospital units we have been able to provide our patients with a safe environment to have urgent surgery and we expect to be cleared to do elective surgery in the near future,” he assures.

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Dr. Richard Stumacher, Chief of Pulmonary and Critical Care at Northern Westchester Hospital and an Armonk dad, says he has “seen the fear” but people should not avoid getting the care that they need. “For people whose concerns or complaints can wait or can be taken care of by telehealth, it’s ok for them to avoid the ER and instead call their doctor and arrange a virtual visit. It is not ok for them to not see anyone,” advises Dr. Stumacher. But, as far as the people who needed to go to the hospital and did not go on time, “we’ve seen some challenging cases taking care of those who have been avoiding the hospital when they shouldn’t.”

“The truth is,” says Dr. Stumacher,” that now that we’re way beyond the surge and the numbers are coming down, there should be no excuse for anyone not to either contact their doctor, have a virtual visit, go to an office, or even an ER. The harm that they could be doing themselves by continuing to wait can put them at a greater risk than the risk for getting covid, as long as everyone is following proper procedures, wearing masks, and sterilizing everything. Our intervention has proven to be really successful and nobody is currently catching covid from anybody in our hospital.“

Patients’ Challenges
To reduce the risk of exposure, hospitals and doctors’ offices in New York have instituted policies throughout this crisis of only allowing adult patients into their facilities without family members or companions. While most patients understand the rationale behind these rules, it has been difficult for some since having a trusted companion can help ease anxiety over a medical procedure.

“I completely understand why it has to be this way,” says one Armonk mother battling breast cancer, “but it doesn’t stop me from being terrified when I’m dropped off alone to have surgery or when I have to go in for my chemo treatments. Even surrounded by amazing top-notch nurses and doctors, it’s hard to brave it all without your spouse.”

When an in-person visit can be avoided, however, most patients have been opting to delay a visit or take advantage of tele-health. Jennifer Kalapoutis, an Irvington resident, says that one of her daughters has not been getting her routine allergy shots because the allergist is not offering them right now and her other daughter is not going in to her orthodontist to fix a broken bracket in her braces.

“The orthodontist said he would see her if it was causing her pain, but he doesn’t recommend coming in otherwise,” says Kalapoutis. “I don’t want her to be seen. I don’t want to be exposed and I don’t want to expose anyone else.”

Victoria Assa, a Scarsdale resident, was very satisfied with her recent tele-health experience. In lieu of an in-person appointment with her daughter’s endocrinologist who manages her Type 1 diabetes, she scheduled a tele-visit. ”It went very smoothly,” says Assa, “and because of the advanced technology of her pump and her continuous glucose monitor, it was a very seamless appointment because all of the data was sent through the cloud and available to the doctor on her computer. “

Still, the public remains cautious and sub-consciously, many of us are being just a little more careful in our daily lives. Echoing a popular sentiment of many people over the last few months, Assa admits “I’m always thinking don’t take any risks because I don’t want to end up in an E.R.”

 

Filed Under: Surviving COVID-19 Tagged With: allergic reaction, allergist, appointments, breast cancer, coughing, diabetes, diagnoses, Elective Surgeries, emergency, Emergency Room, endocrinologist, gastroenterologist, Going to the Doctor, hand surgeon, internal medicine, new diagnoses, orthodontics, orthopaedics, Pandemic, sanitizing, sterilizing, tele-health, tele-health visits, virtual visit

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