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A Team Approach to Weight Loss Management at Northern Westchester Hospital

November 13, 2020 by Beth Besen

Members of the team at Northern Westchester Hospital’s Center for Weight Management, which is housed in the Center for Healthy Living. (L-R): Rachel Goldman, Angelique Nicholson, Carla Larca, Julissa Pena, Laura Spallina

The Inside Press recognizes that weight management is a multi-dimensional issue, one which encompasses a myriad of physical and mental health issues. The following article seeks to provide some key information, and is neither judgment by nor opinion of the writer, editor or publisher.

These days, “home for the holidays” isn’t exactly the exciting work-break or reunion most of us associated with the phrase in years past. No, sadly, many of us have been home for quite awhile now, carefully working from that same home (if we’re lucky enough to be able to do so), helping our school-age children to learn from that same home and even supporting grown-and-flown adult children and/or parents who’ve returned to the nest as well. Likely, even Hallmark would agree that coziness has its limits, and holidays might take more than the usual toll on some.

For example, weight gain. Most years, as we approach the holiday season, we are both invited to indulge and cautioned to simultaneously take care; mouth-watering special holiday recipes on one morning talk show, “how to handle the office party and make healthy food and drink choices” on another. Let’s face it, celebrating and enjoying ourselves while remaining on the alert for hidden calories and sneaky sugars isn’t easy. Now, it’s not only that time of year again, but it comes on the heels of a nearly nine-month lockdown during which some of us became more sedentary, ate and drank more, and, much to our dismay, have had to recognize we’ve put on few pandemic pounds.

Sound familiar? Many readers will likely shake their heads in agreement, but also shrug it off as something they can deal with. However, for seriously overweight and obese people, additional weight-gain is actually quite critical. According to a CDC COVID-19 alert: “Obesity May Increase Risk for Severe Illness”. When President Trump was diagnosed as positive for the coronavirus, he was considered at higher risk for complications due to his age (74) but also due to his weight (undisclosed, but notably overweight).

Understanding Obesity

But what exactly is obesity? How do we define it? And, more to the issue, once defined, what can we do to better understand and remediate how it affects our health? For answers to these and related questions, The Inside Press turned to three members of the team of experts at Northern Westchester Hospital’s Center for Weight Management at Chappaqua Crossing; specifically Ms. Rachel L. Goldman, FNP-BC, CDCES. (Family Nurse Practitioner- Board Certified, Certified Diabetes Care Education Specialist); Ms. Pat Talio, RD, CDCE; and Dr. Mitchell S. Roslin, MD, FACS, Director of Bariatric Surgery.

In broadest terms, the condition of being overweight or obese is defined as having too much body fat, and the most widely used determining measure for this is the Body Mass Index, commonly referred to as the BMI. A simple equation originally proposed by a Belgian mathematician in the nineteenth century, the BMI is the body mass or weight (kg) divided by the square of the body height (m) or kg/m2.

Category BMI range – kg/m2

Severe Thinness < 16
Moderate Thinness 16 – 17
Mild Thinness 17 – 18.5
Normal 18.5 – 25
Overweight 25 – 30
Obese Class I 30 – 35
Obese Class II 35 – 40
Obese Class III > 40

Of course, like most tools, the BMI is not perfect; it doesn’t distinguish between body fat and denser tissue like muscle and bone. An athlete may have a high BMI and be perfectly healthy. But, for most people and healthcare professionals, the BMI is the gold-standard for determining people at risk for health problems due to excess weight. All interviewed for this article concur with this and with the World Health Organization’s (WHO) recommended body weight based on BMI values for adults. It is used for both men and women, age 18 or older.

While the BMI is but a simple measurement tool, the Center for Weight Management is a full-on toolbox of state-of-the-art health help. According to Goldman, when a potential patient calls the Center, the first order of business is a comprehensive medical screening including “a really long conversation with the patient to discuss their weight struggle over time; our relationship with food is complicated with many possible factors at play including emotional issues, lack of time to cook, lack of time to exercise. We take blood, and screen for weight-related underlying conditions–hormonal or metabolic conditions that make weight loss hard and unsustainable–and look for side effects of medications taken for other things. I’ve seen people who’ve been struggling to lose weight for years without knowing they have an underlying thyroid condition.”

Goldman notes that patients have continued to work with the Center remotely during the pandemic lockdown, and that the Center’s online content has grown and greatly improved. She also shares that the team has seen new patients as well, “people who recognize they’re extra vulnerable and are searching for new ways to be successful. We’re here for them, and eventually we come up with a plan which may include any or all of the following: nutrition counseling, medical-nutrition therapy, FDA- approved medication, surgery.”

Nutrition Counseling is Key

Explains registered dietitian Pat Talio: the foods we use to fuel our body aren’t all created equal. Talio discovered this herself as a freshman away at college for the first time. Having come from a “family who always ate well, used fresh and healthy ingredients and got outside to play sports a lot”, Talio wasn’t prepared for the relatively nutrient-poor but abundant food choices at college, and soon found she was on her way to gaining the proverbial “freshman 15”. Fortunately, she also found her way to health services who recommended she meet with a dietitian. The dietitian not only opened up her eyes to healthy food choices, but also to a regular exercise program (she’d been unaware that her home-based backyard sports games were about more than fun and were actually a means toward an ongoing healthy lifestyle).

What’s more, this all led to an abiding interest in nutrition, and her ultimate choice of career; Talio has been a practicing Registered Dietitian since 1985, and is further certified as a diabetes specialist. She sees a variety of clients including cardiac and pulmonary rehab patients for whom she points out that “nutrition is an important part of recovery.”

When asked about the differences, if any, between her work pre- and post-COVID-19, Talio says, “I never thought I’d be working from home but the hospital has been very supportive with technology and thinking outside the box! There’s greater scheduling flexibility for their appointments–and all without traffic and waiting rooms.” Her patient roster has remained fairly steady, but she does allow that the virus has led to new inquiries and perhaps provided an extra push to people who have been on the fence about seeking help; “they’re re-evaluating their health and their choices”. And, she adds, “I’m so thankful I’m able to offer support.”

Bariatric Surgery Option

Patients whose Center personal plan includes surgery often see Dr. Roslin, considered one of the best bariatric surgeons in New York, and an innovator in the search for new and better treatments of obesity. Roslin is full of compassion for his patients and their struggle as he describes the importance of surgical intervention.

He begins with what he calls Point #1: obesity is a chronic relapsing condition. He then provides a useful visual to what that means by saying “it’s like a rubber band that always wants to bounce back.” “And,” he adds, “this makes treating obesity extremely challenging.” Explains Roslin, “There’s an assumption that obese people overeat. That’s wrong. It has to do with insulin resistance which encourages fat formation as well as other metabolic activity. It’s impossible to tease out which comes first and they can also be synchronous. It’s not lack of will power.

Surgery is the only reproducible mechanism we have; it breaks insulin resistance and blunts recidivism–and it’s underused. The number of people who are in their 30s and 40s with obese BMIs will likely not be able to lose weight without surgery.” Roslin shares that his patients rarely come in due to some seminal event–e.g., a death in the family–but because they’ve reached a point in their lives “when functional impairment overcomes the fear of surgery threshold.” And, further, he notes “a majority have gained a significant amount of weight during the pandemic, as much as 25-30 lbs in the last few months.” Unfortunately, that doesn’t mean that they’ll be able to shed the weight as quickly as they put it on.

To be sure, surgery is not a substitute for a healthy lifestyle, and even though Roslin sees it as the linchpin to starting that healthy lifestyle, he, like Goldman and Talio all agree that the only way to truly treat the complex issue of obesity is to help the patient learn to make a sustainable lifestyle change. Sums up Roslin, “the reason centers like ours are so important is because we teach you!”

For more information or to speak to a member of the Center for Weight Management team, call (914) 223-1780.

Filed Under: Cover Stories Tagged With: Bariatric Surgery, Northern Westchester Hospital, Nutritional Counseling, team, weight loss, Weight Management

Just Getting Started: Quakers Field Hockey Team A Section 1 Win Plus Hopes for the Future

March 22, 2020 by Andrew Vitelli

PHOTO BY Christina Schoonmaker

On November 2, the Horace Greeley field hockey team clinched its first Section 1 championship since 1984 with a 1-0 win over Mamaroneck.

It was a late goal by senior captain Isabelle Klein that sealed the win at Nyack High School last Fall. But building a championship team–one that lost two straight sectional final games before breaking through–took years, both for the program and the girls who finally ended the drought.

The upwards trek towards the top of Class A began 11 years ago, when Sukhvindar Singh Sandhu–recently named New York State Coach of the Year–joined the coaching staff. Sandhu, who played pro field hockey in India, found a middling program that posed little threat to Section 1 Class A juggernaut Mamaroneck. Sandhu saw that many of the girls were relatively new to the game, and realized he needed to get a stick in their hands at a younger age.

Building a Hockey Program from the Ground Up

“I talked to a couple of the parents, and we started a youth program,” he recalls. This helped grow the number of players coming out for the team, but it was not enough. “The next step was getting the travel team” established, Sandhu says. “You need the kids playing year-round.”

Sandhu became head coach of the varsity team in 2009 after a year coaching JV.

His first four years at the varsity level produced just one winning record and no playoff wins. In 2013 the Quakers began showing signs of life, making it to the Section 1 quarterfinals. The next year, Greeley reached the semi-finals, followed by three trips to the sectional championship game in four years.

The Quakers fell one game short of a Section 1 title in 2015, 2017 and 2018, losing to Mamaroneck each time. In November, the girls found themselves as the only team standing in the way of a Tigers threepeat.

“Seeing the seniors lose in that final game [the previous two years], I did not want to feel that as a senior,” midfielder Sofia Rutman says. “We just knew that couldn’t be our last game with the underclassmen.”

Klein’s goal, along with a dominant Quaker defense which did not allow a goal throughout the Section 1 playoffs, were enough to finally lift Greeley past the Tigers. Greeley won two more games to make it to the state championship. There, the season ended with a 2-1 loss to Maine-Endwell. “Most of the girls on our team who are juniors now were playing in that youth group with me,” says junior forward Lily Schoonmaker, who started playing the sport in fifth grade and has verbally committed to play for Colgate. “We’ve been going through the New Castle program through modified and now to varsity.”

Team Camaraderie & Coaches: Key Success Factors

Rutnam also pointed to the team chemistry as an important factor in their success. “I’ve been playing with these girls for six or seven years now, and it makes a huge difference just to know them and know their playing styles,” she explains. “We got along off the field really well, and that translated to passing and connections on the field. It let us score a lot of goals.”

Schoonmaker, who led the team with 20 goals, and Rutman, who was named the Quakers’ MVP, both cited Sandhu and assistant coach Brittany Paulus as key to the team’s success. “If you have a foot in the wrong place as you’re approaching somebody with the ball, he knows exactly where you should be and how to fix it,” Rutman says of Sandhu. “He knows every aspect of the game.”

Following their 18-1-4 season, the Quakers will be favored to vie for the championship again next season. The team is graduating nine seniors, including Rutman, who was All State, All League midfielder Talia Belowich and forward Klein, and All League Honorable Mention forward Kristen Graham and midfielder Paige Dalrymple. Defender Mia Warshaw, forwards Tess Fuqua and Sophie Dorst, and midfielder Mia Handler will also graduate.

But three All State players will be returning –Schoonmaker along with defender Caroline Flannery and midfielder Natalie Laskowski. All Section defender Stephanie Kasulka will be back, as will Emma Terjesen, Grace Arrese, Hannah Lane and goaltender Siena Jarrin, who were all named All League or All League Honorable Mention.

With a Section 1 title crossed off the checklist, the next goal is to win one more game and take home the state championship. “We are going to come back strong,” says Schoonmaker. “Now that we’ve been there, we have to do it.”

Filed Under: Cover Stories Tagged With: championship, Field Hockey, Hockey program, Horace Greeley, Isabelle Klein, New York State Coach of the Year, Quakers, team, varsity team

Publisher Pride

February 22, 2020 by Grace Bennett

We are officially in our 17th year, and I couldn’t be prouder of this company launched in 2003, and especially of our team whose mission is to create features which shine a light on all the wonderful, big hearted people living here and all the fun and vital happenings in this area–and also to give our sponsors an effective place to share their news too! We have two terrific new additions to our team: Robin Chwatko, as advertising manager, and Sherry Topel, who is managing accounts, too.

If we missed your story or sponsorship ‘in print,’ remember to contact me about our online edition, insidepress.com, for possible publication and/or advertising options, too. In the meantime, I invite you to enjoy just one of 11 springtime ‘Inside Press’ editions–Inside Chappaqua & Millwood, Inside Armonk and the new Inside Briarcliff/Ossining/Pleasantville Magazine (which we are calling ‘BOP’ Magazine) that we produce. We love sharing the joys of your hometown and supporting local efforts to protect our precious environments. I love hearing from readers, too. Drop me a note anytime: grace@insidepress.com

Enjoy!

Filed Under: Just Between Us Tagged With: advertising options, Features, Inside Press, news, Publisher, Readers, team

World Cup Gymnast Scores a Perfect 10

December 9, 2017 by The Inside Press

CHAPPAQUA, New York–World Cup Gymnastics girls team kicked off the meet season at home during the Josh Ward Invitational state qualifying meet which was renamed this year in honor of one of their young coaches who passed away after a short battle with cancer.  

The World Cup gymnasts honored their coach by putting out some outstanding performances.  The highlight of the entire competition came from one of World Cup’s younger competitors, eight year old Emma Namba from Pelham, NY.  Namba scored World Cup’s first ever 10.0 on the Balance Beam!  To score a 10.0 is an extremely rare feat and speaks to how hard Emma has been practicing in the gym to achieve perfection!  Namba dominated the middle Level 3 competition by earning 1st place medals in each event including a 9.9 on Vault, a 9.7 on Bars, a 9.7 on Floor and secured the all-around first place title with a 39.3.  The Level 3 Team took home the first place trophy.

Other highlights of the meet included a sweep of the top all-around spots by World Cup gymnasts on the older Level 3 Team.  Lauren Chase of Pleasantville lead the pack with a 37.45 and placed 1st on Bars with a 9.25, 2nd on Vault with a 9.5 and 3rd on Beam with a 9.5.  Armonk native, Alexa Goldberg finished 2nd place all-around with a 36.95 and took home the first place medal on Vault with a 9.65 and 2nd place on Bars and Floor with a 9.15 and 9.35 respectively.  Olivia Selkin who hails from Greenwich, CT finished 3rd place all-around with a 36.75 and took home two 3rd place medals for Bars with a 9.05 and Floor with a 9.3.  Gabriela Olego of Mt. Kisco, who competes in the younger Level 3 division, finished 3rd in the all-around with a 37.75 and took home a 1st place medal in Floor with a 9.5 and two 3rd place medals on Bar and Beam with a 9.3 and 9.6 respectively.

The younger Level 4 girls also swept the top spots during the competition.  Mt. Kisco native, Amanda Olego was the all-around champion with a score of 37.075.  She also won 1st place on Bars with a 9.325, on Beam with a 9.250 and on Floor with a 9.8 and took 2nd place for Vault with an 8.7.   Teammate Grace McClullough from Pleasantville was 2nd place all-around with a score of 35.95 and placed 2nd on Bars with a 9.250.  Mt. Kisco native Sasha Goldman secured the 3rd place all-around medal with a 35.6.  The older Level 4 gymnasts Annika Murphy from Croton on Hudson took home the silver all-around medal with a score of 35.575 and earned a 2nd place medal on Bars with a 9.150 and on Beam with a 8.975 and a 3rd place medal on Vault with a 8.45.  Here teammate and Scarsdale native, Gordana Zimberg took home the bronze all-around with a 34.775 and placed 1st on Beam with a 9.15 and 2nd on Floor with a 9.25.  Senika Manchanda of Tarrytown, who competed as a middle level 4, took home the 3rd place, all-around medal with a 36.85 and 2nd place medals on Bars with a 9.575 and Beam with a 9.325.  The Level 4 team went home with the 2nd place trophy!

The younger level 5 all-around champion was Scarsdale native, Sofia Gisbert who earned a 36.250 and earned 1st place on Bars with an 8.85, on Beam with a 9.0 and a 2nd place medal on Floor with a 9.45.  Her teammate Eliana Chorost of Rye was the 2nd place, all-around champion with a score of 35.30.  Chorost also earned 2nd place on Vault with a 9.05 and 2nd place on Beam with an 8.85.  Older Level 5 gymnasts, Denise Kotronis of Hastings on Hudson was the 2nd place, all-around winner with a score of 34.475 and earned 1st place on Bars with an 8.15 and 2nd place on Vault with an 8.775.  Katonah native, Georgia Nekos was 3rd place, all-around with a score of 33.975 and won 1st place on Vault with an 8.825, 2nd place on Beam with an 8.55 and 3rd place on Bars with a 7.45.  The level 5 team came home with the 2nd place trophy.

Dani Halperin, who hails from Chappaqua, was 2nd place, all-around champion in the Level 6 junior competition earning a 37.30 all-around and taking home two 2nd place medals for Bars with a 9.15 and Beam with a 9.45.

Brooke Giardina of Waccabue, a level 7 senior competitor, was the 3rd place all-around champion earning a 36.275.  She also took home two 3rd place medals for Bars with a 9.3 and Beam with an 8.5.  Level 7 junior, Natalie Calman of Briarcliff, took the 2nd place all-around medal with a 37.15.  She also took home 1st place on Floor with a 9.825.  The Level 7 team took home the 2nd place trophy.

Level 8 Senior Madison Higgins of Bedford was the all-around champion with a score of 36.35 and received two 1st place medals for Vault and Bars with scores of 9.15 and 9.45 respectively and two 2nd place medals for Beam and Floor with scores of 8.45 and 9.3 respectively.

Pleasantville native, Katherine Colella who competed as a Level 8 Senior was the 2nd place, all-around medalist earning a score of 36.275.  She also was 1st on Bars with a 9.425, 2nd on Vault with a 9.05 and 3rd on Floor with a 9.6.

World Cup’s XCEL Platinum team was definitely feeling the home advantage when they outperformed other teams that had double and/or nearly triple the amount of competitors to take home the 1st Place Trophy with a score of 28.  XCEL junior competitor, Julia Hansburg from Bedford won the all-around with a 36.8 and received first place on Bars with an 8.9 and Floor with a 9.5.  She also placed 2nd on Vault.  Senior competitors Arielle Wilson of Pleasantville and Katherine Grimes of Croton on Hudson were the 1st and 2nd place all-around champions receiving scores of 37.95 and 37.8 respectively.  Wilson also placed first on Vault and Bars with a 9.8 and  a 9.65 and placed 2nd of Floor with a 9.2.  Grimes placed 2nd on Bars with a 9.5.

World Cup Gymnastics has been training State, Regional and National Champions for over 20 years.

World Cup Gymnastics is deemed one of the most revered recreational and competitive gymnastics programs in the state offering mommy and me classes for infants, pre-school gymnastics, school-age recreational gymnastics, tumbling for cheerleaders and competitive teams.   For more information, please call 914-238-4967 or visit www.worldcupgymnastics.com.

Filed Under: Sponsor News! Tagged With: Emma Namba, gym, gymnastics competition, Josh Ward Invitational, qualify, state, team, World Cup Gymnastics

Meet the Inside Press Team

October 22, 2017 by The Inside Press

We have a talented group of writers and artists who contribute on a regular basis but we also have a strong core group of dedicated professionals who ensure that each issue of Inside Chappaqua and Inside Armonk is chock full of local news that you won’t find in other news outlets. With the growth of online media, we ensure that each issue’s content is available online and we also love to share our stories via social media. All of this though would never happen though without the generous support of our sponsors so we are all grateful for the support. In keeping with this issue’s gratitude theme, please take a moment to ‘meet’ the Inside Press team. We also thank you, dear readers, for the intense interest in our pubs.

Grace Bennett

Publisher & Editor-in-Chief

Following a career in newspaper and magazine journalism, and also raising two kids (Anna and Ari) to the first and fourth grades, I launched the Inside Press in 2003 and went live in 2009 with theinsidepress.com. I greatly enjoy the role of overseeing the editorial and working closely with so many generous sponsors in this incredibly beautiful and happening corner of Westchester. Long walks keep me centered through it all.

Stacey Pfeffer

Editor

After working in public relations in NYC and London for more than a decade, I decided to switch to freelance writing after the birth of my first child. I have written for a variety of regional media outlets.For the past two years, I have also written numerous articles for Inside Chappaqua and Inside Armonk, before assuming the role of editor. I love highlighting local stories in our magazines and online that you won’t find anywhere else.

Caroline Rosengarden

Advertising Manager

I’m the Inside Press Advertising Manager, which means that I communicate with advertisers all day long! I liaise with sponsors old and new alike to ensure their ads appear in the magazine exactly the way they expect. In the past, I managed national brands at ad agencies in NYC and San Francisco. I enjoy baking, walking with my husband and Ruby (our Golden Doodle) or reading books with my girls, Lucy (10) and Sadie (8).

Ryan Smith

Website Developer

I’m the company’s website developer who ensures the articles that go to print are available for consumption on The Inside Press website, theinsidepress.com, as well as in social media. I help keep the site fast, fresh, and secure!

I’ve previously served as the IT Director for a worldwide design agency and was in charge of development for a financial technology start-up. When I’m not taking things apart to figure out how they work, I enjoy hiking, ballroom dancing, and costume parties.

Lisa Samkoff

Art Director

A year ago I joined the Inside Press team as art director. In my role, I redesigned our company logo complimenting it with a complete re-design of the magazines giving them a more modern look. As an independent graphic designer and consultant specializing in branding, logos and signage, I often work on packaging and website design as well. When I’m not working, I’m cooking, planting, crafting, or going to games with my friends and family.

Rick Waters

Website Designer

I am responsible for making sure the articles and ads are neat and tidy for the Inside Press website. I transfer the Inside Press magazines into online articles and provide photo-resizing work. I also post various Inside Press articles throughout the year while optimizing photos and videos. When I’m not in the office, I am an avid cyclist, hiker and swimmer. I also enjoy cocktail parties and going on adventures with my dog.

Analia Boltuch (with her son Oliver)

Account Manager

I am the account manager for the Inside Press handling all bookkeeping needs. When not wearing my bookkeeping cape, I enjoy providing virtual assistant services to small businesses and entrepreneurs ranging from office management to social media. I’m also a wife and mom of three boys (one of them being of the four-legged variety!)

 

Filed Under: In the Know Tagged With: Behind the scenes, crew, Inside Armonk, inside chappaqua, Inside Press, team, The Inside Press

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