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Opiate Prescriptions for Pain Don't Provide Relief to Patient
DEAR DR. ROACH: I have horrible neck, shoulder, back and hip pain, which are all from different traumas. I’ve been seeing a pain doctor for the past 14 years. I started out by taking 5 mg of Vicodin and 4 mg of trazodone. Over the years, my prescriptions have been raised to 7.5 mg of oxycodone four times a day and 800 mg of ibuprofen three times a day. I see my doctor every two weeks, and during these visits, I normally get shots (different ones in different places).
My problem is that my pain medicine isn’t working anymore. Will I have to keep raising the dosage? I can’t take it easy as I’m my husband’s sole caregiver. He’s had multiple strokes, and his leg was just amputated. Is there any other medication I can add to my current list that might help? Or is there a better pain medicine than oxycodone? — A.S.
ANSWER: I’m very sorry to hear about your predicament. Being a full-time caregiver while trying to deal with your own medical problems is a very difficult situation that many of my patients (and their caregivers) have been in. The most important advice I have is that opiates like hydrocodone (Vicodin is a brand name for hydrocodone and acetaminophen) and oxycodone aren’t good long-term options for most people. As you’ve found, the dose often needs to be increased just to maintain the same pain relief.
The body gets used to the dose of opiates — a response that is called “tachyphylaxis,” which is caused by decreasing the sensitivity of the receptors that opiates bind to in the brain. I’ve seen people get on exceedingly high doses of strong opiates without receiving adequate pain relief. Unfortunately, side effects of high-dose opiates can include severe constipation, to which the colon doesn’t become accustomed to.
While I don’t know the details of the traumas that led to your chronic pain, a pain medicine specialist will usually use a combination of different medications to help. This might include injections; low-dose or microdose opiates; antidepressant medicines that help with chronic pain, such as duloxetine or amitriptyline; antiseizure medicines that help with pain, such as gabapentin; and physical therapy.
Anti-inflammatory drugs like ibuprofen sometimes provide significant pain relief when used in combination with other medicines. However, very high doses (you are on the highest recommended dose) can cause toxicities.
I do want to make it clear that tachyphylaxis is the usual response to opiates, especially at a high dose, but it isn’t universal. I have patients who do very well with moderate amounts of opiates and remain on a stable dose with adequate control of their pain. Physicians should always consider the risks of opiates before prescribing them for long-term use.
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DEAR DR. ROACH: I’m an 82-year-old woman with sluggish gut issues. I recently heard a doctor say, “Don’t take fiber supplements because they mess up your gut,” and “Don’t take laxatives. Take stool softeners, and it’s OK to take them every day.” I’m skeptical of both statements. What do you say? Thank you. — E.G.
ANSWER: The only statement I wholeheartedly agree with is that it’s OK to take stool softeners (such as docusate) daily. I disagree with the recommendation against fiber supplementation. Fiber is very helpful for both diarrhea and constipation, and it also has other benefits, including modestly lowering cholesterol.
However, when fiber supplementation isn’t enough, then laxatives such as polyethylene glycol 3350 (MiraLAX) are a very reasonable choice. People who need laxatives every day should still discuss this with their physicians to be sure that there’s not some other medical reason for the constipation.
Dr. Roach regrets that he is unable to answer individual questions, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu.
* Time slows down so dramatically near a black hole that if you stood close enough to it, years could pass for the universe while just minutes passed for you.
* After trading $3 billion worth of Pepsi-Cola to the U.S.S.R. in exchange for vodka, submarines and other military hardware, the Pepsi company briefly had the sixth largest military in the world.
* Iceland’s parliament, the Icelandic Althingi, first formed in 930 A.D., is the oldest in the world.
* The tradition of carrying the bride across the threshold started in medieval Europe when many people believed that a bride was especially vulnerable to evil spirits through the soles of her feet. To guard her from such attacks, the chivalric groom would carry her into their new home.
* Los Angeles has the world’s largest Korean population outside of Korea.
* In J.K. Rowling’s “Harry Potter and the Sorcerer’s Stone,” dragon blood is revealed to be an effective oven cleaner.
* The Pyramids of Giza are the only Great Wonder of the ancient world still standing.
* During WWII, the Polish army adopted a brown bear named Wojtek into their ranks. The animal was fond of cigarettes and beer, and even received a promotion from private to corporal.
* A sloth can take up to two weeks to digest a single meal.
* Actress Roseanne Barr once attempted to run for president and got as far as filing with the Federal Election Commission, under the “Green Tea Party Ticket.”
* Lightning isn’t limited to thunderstorms, but can also occur in volcanic eruptions, wildfires and snowstorms.
* During certain periods in feudal Japan, executions of condemned criminals were used by some samurais to test their new swords.
***
Thought for the Day: “It’s easy to make a buck. It’s a lot tougher to make a difference.” — Tom Brokaw
NYC EMERGENCY MANAGEMENT AND THE DEPARTMENT OF HEALTH AND MENTAL HYGIENE ADVISE NEW YORKERS TO BEAT THE HEAT
WATCH: Mayor Adams Warns New Yorkers About Coming Heat Wave
Heat Emergency Plan activated beginning Sunday through Tuesday.
Cooling centers will open across the city. To find locations, including hours of operation, call 311 or visit the City’s Cool Options Map.
New Yorkers should also take advantage of additional cool options such as museums, movie theaters, coffee shops, pools, houses of worship, or a neighbor, friend, or family member’s home.
July 13, 2024 — New York City Emergency Management Department and the New York City Department of Health and Mental Hygiene advise New Yorkers to take precautions to beat the heat. NYC Emergency Management is working closely with the National Weather Service to monitor the forecast as the city experiences the third occurrence of multiple days of consecutive high heat. The next few days are expected to have heat indices in the mid to upper 90s, through at least Tuesday, and possibly Wednesday.
“With another heat wave bearing down on New York City, we want to make sure New Yorkers stay safe and stay informed,” said New York City Mayor Eric Adams. “Our cooling centers will be open starting tomorrow through at least Tuesday, we will be closely monitoring the electric systems for any impacts, and we already have more lifeguards on staff than at our peak last year. As always, please check in on your neighbors, particularly older New Yorkers, as well as others who are particularly vulnerable to extreme heat, like our four-legged friends. New Yorkers, be prepared, be safe, and stay cool.”
“New Yorkers should prepare for extremely hot weather this week, with heat indices in the mid to upper 90s,” said NYC Emergency Management Commissioner Zach Iscol. “It’s going to be hot from Sunday through Wednesday. Remember, heat kills more New Yorkers than any other weather event. But as New Yorkers, we’re going to look out for one another. That means encouraging those around you to go to a cool option and spreading the word that heat is life-threatening. Use air conditioning, visit air-conditioned places, and avoid using major appliances during the day to protect our energy grid. If you don’t have air conditioning, check out cooling centers at nyc.gov/beattheheat or call 311. Learn the signs of heat stroke, stay hydrated, and stay safe.”
The New York City Emergency Management Department and the Health Department urge New Yorkers to take steps to protect themselves and help others who may be at increased risk from the heat. For more information, including heat-related health tips and warning signs of heat illness, visit NYC.gov/health or NYC.gov/beattheheat. In New York City, most heat-related deaths occur after exposure to heat in homes without air conditioners. Air conditioning is the best way to stay safe and healthy when it is hot outside, but some people at risk of heat illness do not have or do not turn on an air conditioner.
To help New Yorkers find relief from the heat, New York City cooling centers will be open throughout the five boroughs. Cooling center locations may have changed from last year. To find a cooling center, including accessible facilities closest to you, call 311 (212-639-9675 for Video Relay Service, or TTY: 212-504-4115) or visit the City’s Cool Options Map. This year’s newly-revamped map is now available around the clock and allows New Yorkers to easily locate cooling centers, which the City opens during heat emergencies, and cool options, which include free spaces that offer air-conditioned spaces to escape the heat. New Yorkers can now also find cooling centers that welcome pets throughout the five boroughs. As a reminder, service animals are always allowed at cooling centers.
New Yorkers can access a range of outdoor cooling options, including spray showers, drinking fountains, and more. These resources can be found online at Cool It! NYC. Many of these resources are located in neighborhoods across New York City. New York City outdoor pools are open 11AM-7PM, Olympic and intermediate-sized pools will be open until 8PM from Sunday through Tuesday. State Parks, including Denny Farrell Riverbank State Park pool and Roberto Clemente State Park pool are open, call ahead to confirm.
During extreme heat, the Department of Social Services (DSS) issues a Code Red Alert. During Code Reds, shelter is available to anyone experiencing homelessness, where those experiencing heat-related discomfort are also able to access a designated cooling area. DSS staff and the agency’s not-for-profit contracted outreach teams engage with individuals experiencing homelessness 24/7/365 and redouble their efforts during extreme heat, with a focus on connecting vulnerable New Yorkers experiencing unsheltered homelessness to services and shelter.
ADDITIONAL HEALTH AND SAFETY TIPS DURING EXTREME HEAT
Those most vulnerable to heat stress include adults aged 60 and older, and people with health conditions, including heart disease, diabetes, mental health conditions, or people with cognitive impairment. Check on people who are at-risk and help them find a cool place to stay during heat events.
Go to an air-conditioned location, even if for a few hours.
Stay out of the sun and avoid extreme temperature changes.
Avoid strenuous activity, especially during the sun’s peak hours: 11:00 AM to 4:00 PM. If you must do strenuous activity, do it during the coolest part of the day, which is usually in the morning between 4:00 AM and 7:00 AM.
Remember: drink water, rest, and locate shade if you are working outdoors or if your work is strenuous. Drink water every 15 minutes even if not thirsty (avoid beverages containing alcohol or caffeine), rest in the shade, and watch out for others on outdoor teams. Employers are required to provide water, rest, and shade when work is being done during extreme heat.
Eat small, frequent meals.
Wear lightweight, light-colored clothing.
Participate in activities to keep cool, such as going to the movies, visiting museums, walking in an air-conditioned mall, or swimming at a pool or beach.
Make sure doors and windows have tight-fitting screens and, in apartments where children live, window guards. Air conditioners in buildings more than six stories must be installed with brackets so they are secured and cannot fall on someone below.
Never leave a child or pets in the vehicle, even for a few minutes.
KNOW THE WARNING SIGNS OF HEAT ILLNESS
Call 911 immediately if you or someone you know has:
Hot dry skin
Trouble breathing
Rapid heartbeat
Confusion, disorientation, or dizziness
Nausea and vomiting
If you or someone you know feels weak or faint, go to a cool place and drink water. If there is no improvement, call a doctor or 911.
KEEPING YOUR PETS SAFE
Avoid dehydration: Pets can dehydrate quickly, so give them plenty of fresh, clean water.
Walk your dog in the morning and evening: When the temperature is very high, do not let your dog linger on hot asphalt. Your pet’s body can heat up quickly, and sensitive paw pads can burn.
Know when your pet is in danger: Symptoms of overheating in pets include excessive panting or difficulty breathing, increased heart and respiratory rate, drooling, mild weakness, unresponsiveness, or even collapse.
IMPROPER FIRE HYDRANT USE
The improper opening of fire hydrants wastes 1,000 gallons of water per minute, causes flooding on city streets, and lowers water pressure to dangerous levels, which hamper the ability of the Fire Department to fight fire safely and quickly.
Use “spray caps” to reduce hydrant output to a safe 25 gallons per minute while still providing relief from the heat. To obtain a spray cap, an adult 18 years or older with proper identification can go to his or her local firehouse and request one.
ENERGY-SAVING TIPS
During periods of intense electrical usage, such as on hot, humid days, it is important to conserve energy as much as possible to avoid brownouts and other electrical disruptions. While diminishing your power usage may seem inconvenient, your cooperation will help to ensure that utility providers are able to provide uninterrupted electrical service to you and your neighbors, particularly those who use electric powered medical equipment or are at risk of heat-related illness and death:
Set your air conditioner to 78°F or “low.”
Run appliances such as ovens, washing machines, dryers and dishwashers in the early morning or late at night when it is cooler outside to reduce heat and moisture in your home.
Close doors to keep cool air in and hot air out when the air conditioner is running.
Keep shades, blinds, and curtains closed. About 40 percent of unwanted heat comes through windows.
Turn off air conditioners, lights, and other appliances when not at home, and use a timer or smart technology to turn on your air conditioner about a half-hour before arriving home. Keep air conditioner filters clean.
If you run a business, keep your door closed while the air conditioner is running.
Tell your utility provider if you or someone you know depend on medical equipment that requires electricity.
For more information, visit NYC.gov/beattheheat. New Yorkers are also encouraged to stay informed by signing up for Notify NYC, the City’s free emergency communications program, to receive free emergency alerts and updates in your preferred language and format by visiting NYC.gov/NotifyNYC, calling 311 (212-639-9675 for Video Relay Service, or TTY: 212-504-4115), following @NotifyNYC on Twitter, or getting the free Notify NYC mobile application for your Apple or Android device.
New York State Announces Opening of $9.6 Million Intensive Crisis Stabilization Center in Buffalo
BestSelf Behavioral Health Opens 24/7 Facility Providing Stabilization Services for New Yorkers Experiencing a Behavioral Health Crisis
Western New York’s First Intensive Crisis Stabilization Center to Provide Alternative to Unnecessary Emergency Room Visits
The state Office of Mental Health today announced the opening of a new facility to provide urgent treatment to New Yorkers experiencing a mental health or substance use crisis and avoid unnecessary emergency room visits. Licensed in partnership with the Office of Addiction Services and Supports, the BestResponse Intensive Crisis Stabilization Center in Buffalo was developed with $9.6 million in state funding to provide urgent behavioral health care services to help stabilize individuals and connect them to other community-based services and supports.
“Intensive crisis stabilization centers provide a place where people experiencing a behavioral health crisis can access high-quality treatment so they can avoid unnecessary emergency room visits and hospitalization and successfully connect with services that can help them recover in their community,” Office of Mental Health Commissioner Dr. Ann Sullivan said. “BestResponse represents our ongoing efforts to expand these facilities across our state so that individuals can get specialized treatment in a welcoming and healing environment that will support their recovery journey. This center, like others funded by the state, represents Governor Hochul’s continued focus on providing greater access to mental health care for all New Yorkers.”
BestResponse will operate 24-hours per day and seven days per week, providing screenings, counseling, medication support, therapeutic interventions, peer support, ongoing observation, care collaboration, and discharge planning –all delivered in a welcoming, trauma-informed setting. The new facility will also coordinate with local mobile crisis providers, and law enforcement, as well as community treatment and support services.
“Crisis stabilization centers ensure people can get immediate help and support whenever they need it, day or night,” OASAS Commissioner Dr. Chinazo Cunningham said. “These programs create a critical connection for individuals experiencing a substance use or mental health crisis, offering timely, lifesaving care close to home. This approach has already shown success in other parts of the state, and we are pleased to see it expand to Western New York.”
Located at 430 Niagara St., BestResponse is dually certified by OMH and OASAS to provide an expertly staffed, effective, and cost-efficient alternative to often-stressful hospital emergency departments. The facility was developed in partnership with Erie County Medical Center, Crisis Services of Western New York, the Crisis to Care Collaborative, and local emergency responders to address a critical gap in the region’s behavioral health system.
“BestResponse reflects our commitment to meeting people with compassion in their most vulnerable moments,” BestSelf Behavioral Health CEO Elizabeth Woike said. “This center ensures individuals and families have access to timely, appropriate care when they need it most, without facing a crisis alone.”
OMH awarded BestSelf $7 million in ongoing operating funding, $1.6 million for start-up costs and $1 million in capital funding to develop the center, which will serve Erie, Niagara, Chautauqua, Cattaraugus, and Allegany counties. The funding was part of OMH’s overall investment of $75 million to develop 12 intensive crisis stabilization centers statewide.
BestResponse is the fifth intensive crisis stabilization center to open, joining Helio Health Crisis Stabilization Center in Syracuse, the Champlain Valley Family Center in Plattsburgh, CN Guidance & Counseling Services in Hicksville, and the Family Service League in Hauppauge. Supportive crisis stabilization centers are operated by People USA in Poughkeepsie and Upstate Caring Partners Inc. in Utica.
In addition to utilizing these centers, New Yorkers experiencing or who know someone experiencing a behavioral health issue may also contact the 988 Suicide & Crisis Lifeline, which connects them to trained crisis counselors 24/7 to help those thinking about suicide, struggling with substance use, a mental health crisis, or any other kind of emotional distress. New York 988 call centers received nearly 49,000 calls in December alone, making it the most-active 988 service in the nation.
Likewise, New Yorkers struggling with an addiction, or whose loved ones are struggling, can find help and hope by calling the state’s toll-free, 24-hour, 7-day-a-week HOPEline at 1-877-8-HOPENY (1-877-846-7369) or by texting HOPENY (Short Code 467369). Find available addiction treatment including crisis/detox, inpatient, residential, or outpatient care on the OASAS website.
The lowdown on high blood pressure: what the Hispanic community needs to know The American Heart Association stresses the power of prevention and early action for a healthy life and future generations
DALLAS, May. 28, 2026 — High blood pressure, also known as hypertension, is often called the “silent killer” and it is a disproportionate challenge facing Hispanic and Latino communities. Among Hispanic and Latino adults, more than half of the men and more than a third of the women are living with high blood pressure. To help them learn more about managing this risk factor, the American Heart Association, the world’s leading nonprofit organization focused on changing the future of health for all, is sharing vital information and awareness on how to keep blood pressure in check — starting with simple lifestyle changes.
Why high blood pressure matters to you and your loved ones
- Currently, approximately 125.9 million (47.3%) of all U.S. adults are now living with high blood pressure — an increase from previous years.
- Among Hispanic and Latino adults:
- 51.5% of men and 37.3% of women aged 20 and older have hypertension.
- Of those, only about 1 in 4 adults (25.6%) have it under control.
- The effects are serious: In 2023, cardiovascular disease, much of it driven by uncontrolled high blood pressure, claimed more than 66,000 Hispanic and Latino lives, nearly enough to fill a major professional soccer stadium.
- This silent killer demands attention because controlling blood pressure is one of the most effective, evidence-based ways to reduce the risk of heart disease and stroke.
“In our community, family is everything and taking care of your heart is an act of love for those around you. Scientific research shows us that one of the most important things you can do to be heart healthy is to manage your blood pressure,” said Eduardo Sanchez, M.D., FAHA, the chief medical officer for prevention at the American Heart Association. “Managing blood pressure is a powerful, protective step you can take for your family’s future, and it starts with knowing your numbers today.”
Know Your Numbers
Get your blood pressure checked regularly, even if you only visit your doctor or other health care clinician once a year or so. You can do it yourself with a home blood pressure monitor or even at a kiosk at your local pharmacy or other retail outlet.
According to the most recent guidelines from the American Heart Association, normal blood pressure is when:
- Systolic pressure (top number) is less than 120 and
- Diastolic pressure (bottom number) is less than 80.
“One high reading isn’t usually cause for concern, although, if your blood pressure is consistently high, talk to your trusted clinician about next steps,” Sanchez said. “However, an extremely high reading could be dangerous, especially if you are not exerting yourself or if you have certain other symptoms. Do not ignore that.”
If your systolic pressure is higher than 180 and/or your diastolic is higher than 120, it could be life-threatening. Call 911 right away if you have extremely high blood pressure and any of these symptoms:
- Chest pain
- Shortness of breath
- Back pain
- Numbness
- Weakness
- Change in vision
- Difficulty speaking
A Healthy Lifestyle is Key
Making simple lifestyle changes is the first step to managing your blood pressure.
The American Heart Association’s Life’s Essential 8™ are simple, healthy habits that are proven to protect your heart. Follow these science-backed healthy habits:
- Eat Smart
- Be Active
- Quit Tobacco & Nicotine
- Sleep Well
- Manage Weight
- Manage Blood Pressure
- Manage Cholesterol
- Manage Blood Sugar
Some people may still not be able to control their high blood pressure even with these changes. In that case, safe and effective medications are available, and you and your clinician can work together to choose the treatment plan that’s right for you. Check out My Life Check Calculator to get personalized tips to set your own health goals now.
Protect Your Brain
New research confirms that high blood pressure can damage blood vessels in the brain, which may lead to memory problems and dementia as you get older. Taking action now to lower your numbers is essential in protecting your cognitive health as you age.
A Special Focus on Women
It is critical for women to manage blood pressure before, during and after pregnancy. High blood pressure during pregnancy can lead to serious complications and may increase a woman’s risk of future heart problems.
Personalized Care
Don’t be afraid to talk to your doctor. They have new tools, like the American Heart Association’s PREVENTTM (Predicting Risk of cardiovascular disease EVENTs) risk calculator, to create a personalized plan for you. This tool helps your doctor look at your personal risk factors to estimate your chances of a heart attack or stroke over the next 10 to 30 years. This allows them to create a tailored treatment plan that might include starting medication earlier, if needed.
Whether dancing at family gatherings, cooking traditional meals with a healthy twist or walking with your kids after dinner, small steps can lead to big changes. Because when you take care of your heart, you’re also taking care of your loved ones.
For more information about heart and brain health, visit heart.org.
Understanding High Blood Pressure: Key Facts for Black Communities The American Heart Association stresses the power of prevention and early action for a healthy life and future generations
DALLAS, May 28, 2026 — High blood pressure is the #1 preventable risk factor for heart disease and stroke, yet, nearly half of U.S. adults have high blood pressure and many don’t even know it. That is why the American Heart Association, the world’s leading nonprofit organization focused on changing the future of health for all, is sharing tips and information on how to how to keep your blood pressure in check — starting with simple lifestyle changes.
Why high blood pressure matters to you and your loved ones
- Currently, approximately 125.9 million (47.3%) of all U.S. adults are now living with high blood pressure, an increase from previous years.
- The burden is significantly higher in the Black community, where high blood pressure affects 62.3% of non-Hispanic Black men and 59.2% of non-Hispanic Black women. This remains one of the highest prevalence rates in the world.
- Despite high rates of awareness, only about 22% (roughly 1 in 5) of Black adults with hypertension have the condition under control.
- In 2023, cardiovascular conditions heavily driven by uncontrolled high blood pressure claimed the lives of more than 119,000 Black Americans, enough to fill nearly two NFL stadiums.
- This “silent killer” demands attention because controlling blood pressure is one of the most effective, evidence-based ways to reduce the risk of heart disease and stroke.
“Heart health is intensely personal, and scientific research shows us that one of the most important things you can do to be heart healthy is to manage your blood pressure,” said Keith C. Ferdinand, M.D., FAHA, FACC, volunteer co-vice chair of the writing committee for the Association’s 2025 high blood pressure guidelines and chair in preventative cardiology at Tulane University School of Medicine. “When you have high blood pressure, it’s not just a number on a chart, it’s your future at stake; it’s your ability to stay present for the people you love. The good news is: managing your blood pressure is not that hard. The first step is awareness.”
Know Your Numbers
Get your blood pressure checked regularly, even if you only visit your doctor or other health care clinician once a year or so. You can do it yourself with a home blood pressure monitor or even at a kiosk at your local pharmacy or other retail outlet.
According to the most recent guidelines from the American Heart Association, normal blood pressure is when:
- Systolic pressure (top number) is less than 120 and
- Diastolic pressure (bottom number) is less than 80.
“One high reading isn’t usually cause for concern, although, if your blood pressure is consistently high, talk to your clinician about next steps,” said Ferdinand, chair in preventative cardiology at Tulane University School of Medicine. “However, an extremely high reading could be dangerous, especially if you are not exerting yourself or if you have certain other symptoms. Do not ignore that.”
If your systolic pressure is higher than 180 and/or your diastolic is higher than 120, it could be life-threatening. Call 911 right away if you have extremely high blood pressure and any of these symptoms:
- Chest pain
- Shortness of breath
- Back pain
- Numbness
- Weakness
- Change in vision
- Difficulty speaking
A Healthy Lifestyle is Key
Making simple lifestyle changes is the first step to managing your blood pressure.
The American Heart Association’s Life’s Essential 8™ are simple, healthy habits that are proven to protect your heart. Follow these science-backed healthy habits:
- Eat Smart
- Be Active
- Quit Tobacco & Nicotine
- Sleep Well
- Manage Weight
- Manage Blood Pressure
- Manage Cholesterol
- Manage Blood Sugar
Some people may still not be able to control their high blood pressure even with these changes. In that case, safe and effective medications are available, and you and your clinician can work together to choose the treatment plan that’s right for you. Check out My Life Check Calculator to get personalized tips to set your own health goals now.
Protect Your Brain
New research confirms that high blood pressure can damage blood vessels in the brain, which may lead to memory problems and dementia as you get older. Taking action now to lower your numbers is essential in protecting your cognitive health as you age.
A Special Focus on Women
It is critical for women to manage blood pressure before, during and after pregnancy. High blood pressure during pregnancy can lead to serious complications and may increase a woman’s risk of future heart problems.
Personalized Care
Don’t be afraid to talk to your doctor. They have new tools, like the American Heart Association’s PREVENTTM (Predicting Risk of cardiovascular disease EVENTs) risk calculator, to create a personalized plan for you. This tool helps your doctor look at your personal risk factors to estimate your chances of a heart attack or stroke over the next 10 to 30 years. This allows them to create a tailored treatment plan that might include starting medication earlier, if needed.
Staying informed and taking action can help you and your loved ones live a longer, healthier life. Talk to your doctor to learn more about your blood pressure and what you can do to manage it.
For more information about heart and brain health, visit heart.org.
The Power to Save a Life is In Your Hands
NEW YORK, NY, May 21, 2026 — Sudden cardiac arrest can happen anytime, anywhere, and too often people hesitate to step in because they believe CPR can only be performed by medical professionals. During CPR and AED Awareness Week, June 1 – June 7, the American Heart Association, devoted to changing the future to a world of healthier lives for all, is working to change that misconception and empower everyday people to act when it matters most.
According to the Association, more than two in three people in the U.S. believe only people with special training should perform CPR, a mistaken belief that contributes to the low survival rate of sudden cardiac arrest. If performed immediately, CPR can double or even triple a person’s chance of survival, and hesitation can cost lives. During CPR & AED Awareness Week the American Heart Association is reminding families and communities, you don’t need to wear scrubs or have a medical background to save a life. You just need the courage to act.
Merrie Webel had just welcomed her daughter, Heidi, into the world. Born prematurely, Heidi’s lungs weren’t fully developed. During her stay in the NICU, she stopped breathing twice and had to be resuscitated by nurses.
“While I was in the hospital, I took an American Heart Association CPR class that they offered to all new parents,” Ms. Webel said. “I actually took the infant CPR class twice—and it’s because of that class that Heidi is alive today.”
Like any family bringing home a newborn, the family was filled with joy and excitement—but also a heightened sense of worry. “I would watch her sleep to make sure she was breathing,” Merrie recalled.
Then one day, the unthinkable happened. Heidi stopped breathing again—this time at home, without nurses nearby. Merrie had to act immediately.
“I didn’t even have to think,” she said. “I remembered exactly what I was taught in those classes and went straight into action. We had waited so long for her, and the thought of losing her was devastating.”
Heading into summer, the Association offers this checklist for families, workplaces and other communities to take health and safety into your own hands:
Learn CPR and join the Nation of Lifesavers™. In New York City, families can watch a 60-second video to learn Hands-Only CPR for adults or this video
to learn how to save an infant or child using CPR with breaths. For groups and individuals who want more comprehensive training, discover the right course with the Association’s CPR course catalog. Travelers can also get trained in Hands-Only CPR in about five minutes with a Hands-Only CPR Kiosk, located in many airports and public spaces across the country. For more information on how to learn CPR, visit heart.org/nation.
Plan ahead. Summer is often a time for welcome disruptions. School is out, and it’s time for parties, camps and family trips. Check if your summer destination has a cardiac emergency response plan (CERP). A CERP establishes specific steps to reduce death from cardiac arrest in any setting — be it a school, community organization, workplace or sports facility.
“Life can be unpredictable at times, and one way you can take control is by being prepared in an emergency,” said Deepak L. Bhatt, MD, MPH, MBA, President of the New York City American Heart Association Board of Directors and Director of the Mount Sinai Fuster Heart Hospital in New York City. “Cardiac arrest doesn’t wait. It can happen to anyone at any time. When it does, that person is reliant on the people around them to be calm, be prepared and be ready to step in. This CPR Week, we’re reminding New York City residents that ordinary people have extraordinary power to save a life.”
More than 350,000 out-of-hospital cardiac arrests occur in the United States each year, and 90% of people will not survive. Join the Nation of Lifesavers to help ensure everyone, everywhere has the best chance to survive cardiac arrest.
The American Heart Association is committed to turning a nation of bystanders into lifesavers. The long-term goal: to ensure that in the face of a cardiac emergency, anyone, anywhere, is prepared and empowered to perform CPR and become a vital link in the chain of survival.
“The American Heart Association is for everyone, at every age,” said Merrie. “Heart disease affects all of us, and CPR is a skill everyone should have—not just those already impacted by heart disease or stroke.”
For additional ways to raise awareness during National CPR & AED Awareness Week, visit heart.org/nation.
Two Survivors. One Message: Why Every Second Counts at the Wall Street Run & Heart Walk
New York, NY, May 7, 2026 — On the morning of October 7, 2025, Robert Sevalrud headed out for what he thought would be an ordinary run along Manhattan’s West Side. Halfway through, his heart suddenly stopped.
Bystanders acted immediately. Strangers rushed to Robert’s side, called 911, and began CPR, while others ran to nearby FDNY Marine Company 1 to seek help. Marine 1 firefighters delivered Robert’s first shock with an AED, and when emergency medical technicians arrived, they administered an additional shock, restoring his pulse and rushing him to the hospital.
Robert survived.
Today, Robert is alive because of quick‑thinking bystanders, trained first responders, and a lifesaving system that worked exactly as it should. His story is one of survival, community, and the critical importance of CPR training and access to AEDs.
“I’m here today because people I didn’t know chose to act,” said Robert Sevalrud. “Sharing my story at the Wall Street Run & Heart Walk is my way of honoring them and reminding others that CPR training and AEDs truly make the difference between life and death.”
This year, Robert will share his story with thousands as part of the Wall Street Run & Heart Walk, the American Heart Association’s signature New York City event raising funds and awareness to fight heart disease and stroke. He will also participate in the Survivor Drum, a powerful, symbolic moment honoring survivors, first responders, and the steady heartbeat of a community committed to action.
The 2026 Wall Street Run & Heart Walk—one of New York City’s most iconic corporate wellness and community impact events—will take place on May 14, 2026, in downtown Manhattan. Start line is the intersection of Warren Street and Greenwich Street.
Opening ceremony and the start of the Wall Street Run & Heart Walk is scheduled for 6:30pm.
Robert’s story is not the only reminder of why preparedness matters.
Rob LoCascio, a Scotiabank employee and heart attack survivor, also brings a deeply personal perspective to today’s event. Rob survived a cardiac emergency—an experience that underscored just how quickly lives can change, how critical timely medical intervention can be, and how important it is to recognize the warning signs of a heart attack. Knowing the symptoms and acting without delay can mean the difference between life and death, and Rob’s story is a powerful reminder of why awareness and preparedness truly matter.
“I never imagined it would happen to me. Surviving a heart attack changes how you see everything. It’s why supporting efforts that raise awareness and preparedness is so important,” said Rob LoCascio. “The more people who know and can recognize the symptoms, the more people we can help.”
Sudden cardiac arrest and heart attacks can strike anyone, anywhere. The Wall Street Run & Heart Walk brings together survivors, families, sponsors, and volunteers with a shared goal: building a world where more people are ready to respond—and more lives are saved.
Scotiabank is a long‑time supporter of the Wall Street Run & Heart Walk, and its sponsorship of the Survivor Drum underscores its commitment to community health, cardiac awareness, and preparedness—values reflected in the experiences of employees like Rob LoCascio and survivors like Robert Sevalrud.
For more information on the Wall Street Run & Heart Walk, visit www.heartwalknyc.org.
Knowing stroke signs can save a life when every minute counts The American Stroke Association highlights how recognizing B.E. F.A.S.T. warning signs and acting quickly can help people get lifesaving care sooner
Embargoed until 8:00 a.m. CT / 9:00 a.m. ET Friday, May 1, 2026
NEW YORK, NY, May 1, 2026 — A stroke can change a life in an instant. In the minutes after symptoms begin, quick action can help protect the brain, reduce long-term disability and save a life, according to the American Stroke Association, a division of the American Heart Association.
On average, nearly 2 million brain cells die every minute a stroke goes untreated, making early recognition and treatment critical. During May, American Stroke Month, the Stroke Association is highlighting the importance of recognizing stroke warning signs and understanding how early treatment and prevention can make a meaningful difference when it matters most.
Stroke is the fourth-leading cause of death, according to the American Heart Association’s 2026 Heart Disease and Stroke Statistical Update[1], and a leading cause of serious, long-term disability in the United States. Each year, approximately 800,000 people in the U.S. experience a stroke. A stroke can happen to anyone, at any age.
3 things you can do to take action against stroke:
- Learn B.E. F.A.S.T. to spot a stroke. If you see sudden Balance loss, Eye or vision changes, Face drooping, Arm weakness or Speech difficulty, it’s time to call 911. Explore the signs by playing the B.E. F.A.S.T. Experience at Stroke.org/StrokeMonth.
- Understand your stroke risk and explore ways to lower it. Identifying personal risk factors — especially high blood pressure, the leading risk factor for stroke — can help you have informed conversations with your health care team about stroke prevention and long‑term brain health.
- Find support after stroke. Recovery is a journey and connection matters. Explore support services for survivors and care partners, including virtual Stroke Meetups, and sign up for the Stroke Connection e‑newsletter at Stroke.org/StrokeMonth.
Recognize Stroke Warning Signs: B.E. F.A.S.T.
When a stroke happens, blood flow to the brain is interrupted. The longer treatment is delayed, the greater the risk of lasting damage. Calling 911 is the fastest way to get stroke care. EMS can begin treatment immediately and alert the hospital stroke team before you arrive.
B.E. F.A.S.T. is a simple way to remember common stroke warning signs:
- Balance Loss – Sudden trouble walking, dizziness or loss of coordination
- Eye (Vision) Changes – Sudden vision loss or trouble seeing in one or both eyes
- Face Drooping – One side of the face droops or feels numb; a smile may look uneven
- Arm Weakness – One arm feels weak or numb or drifts downward when raised
- Speech Difficulty – Slurred speech or trouble speaking
- Time to Call 911 – If someone shows any of these signs, even if symptoms go away, calling 911 right away can help get lifesaving care started. Noting when symptoms first appeared can also support treatment decisions.
Take steps to prevent stroke
According to the Heart Association and the Stroke Association, approximately 80% of strokes are preventable. High blood pressure is the leading risk factor for stroke[2], and uncontrolled blood pressure, diabetes and obesity significantly increase risk.
A large majority of strokes can be prevented by taking steps to:
- Manage blood pressure. Lowering and controlling blood pressure reduces the risk of stroke. Regular check‑ups, monitoring at home and following a treatment plan can lower risk and support long‑term brain health.
- Build healthy habits. Eating well, staying active, not smoking and keeping up with routine health screenings all play an important role in reducing stroke risk. The Heart Association’s Life’s Essential 8TM outlines key steps for improving and maintaining cardiovascular and brain health.
- Reduce the risk of a second stroke. Prevention takes on added importance for people who have had a stroke or a transient ischemic attack (TIA), sometimes called a “warning stroke.” Nearly 1 in 4 strokes occur in people who have had a previous stroke[3]. Understanding what caused the first stroke and identifying personal risk factors can help guide next steps and reduce the chance of another one.
Support that meets you where you are
Stroke recovery looks different for everyone, and support can play an important role along the way. The Stroke Association offers resources designed to help survivors and
care partners feel informed, connected and supported, including live, virtual Stroke Meetups where participants can share experiences, ask questions and learn from trusted experts. Stay connected with recovery tools and support by signing up for the Stroke Connection e‑newsletter.
Stroke can happen suddenly. Knowing the signs with B.E. F.A.S.T. can help you respond when minutes matter. This American Stroke Month, explore trusted resources, practical tools and support Stroke.org/StrokeMonth.
The HCA Healthcare Foundation is a national sponsor of the American Stroke Association’s Together to End Stroke® initiative and American Stroke Month.
Tech Executive leads year-round campaign to improve health in New York City Bill McLaughlin named 2025-26 American Heart Association Heart of New York City Chair
NEW YORK, NY, January 6, 2026 – Through the Heart of New York City campaign, Bill McLaughlin, volunteer chair and CEO of Thrive will lead community-wide efforts to help ensure every individual in New York City and beyond has the opportunity for a full, healthy life. The Heart of New York City engages companies, community leaders, and individuals to make a lasting impact across the four chambers of the American Heart Association’s work: discovery, advocacy, access, and knowledge.
The campaign will culminate at the Heart of New York City Gala, celebrating hope and progress made through the dedication and passion of all who support the American Heart Association, a relentless force for a world of longer, healthier lives.
“I’m honored to serve in this role and excited to collaborate with our dedicated volunteers and the American Heart Association,” said Mr. McLaughlin. “Together, we’ll drive innovation and implement proven solutions in science, policy, and care—creating healthier communities, ensuring everyone has the chance to thrive. My mission is to build awareness both in New York City and internally within my organization.”
Bill McLaughlin brings over 25 years of leadership experience in the managed services and technology industry, with a track record of guiding companies through transformation and growth. At his current company, Thrive, he stepped into the CEO role following a successful tenure as President, helping steward the acquisition of multiple companies, expanding its global footprint, and reinforcing its client advocacy and people-first culture.
Outside of his corporate life, Mr. McLaughlin demonstrates a strong commitment to philanthropic leadership and community engagement. He was co-founder and chairman of The Jillian Fund, a nonprofit created to support families coping with a child’s intensive medical treatment, where he emphasizes transparency, service, and tangible impact. His personal leadership philosophy—built on values such as “extreme ownership,” accountability, teamwork and putting mission ahead of ego—underpins how he leads and how he gives back.
The American Heart Association and Thrive will work together to empower individuals to Listen to Your Heart and Thrive — championing wellness, awareness, and connection across our communities. Together, they encourage people to seek care when they need it, equip them with the knowledge to recognize the signs of cardiovascular disease and stroke, and honor the courage of survivors and their families who have faced health challenges with extraordinary heart and strength.
“Bill McLaughlin brings exceptional vision and energy as the CEO of Thrive. His commitment to the American Heart Association’s mission, combined with a clear passion for improving the well-being of our community makes him an outstanding choice to lead this year’s campaign,” said Joe Simone, President of Simone Development Companies, member of the New York City American Heart Association board of directors and past chair of the Heart of New York City Gala. “We welcome Bill as the Heart of New York City chair, which unites leaders across our community to advance health and hope for everyone, everywhere.”
The 2026 Heart of New York City campaign is sponsored by Thrive and Simone Development Companies and will be held on Tuesday, June 2, 2026, at Cipriani Wall Street. The annual event is a night to celebrate the Heart Association’s year-round efforts to build a healthier New York City. Throughout the evening, the Heart Association will honor volunteers and patrons, share survivor stories, and entertain guests with dinner and an auction.
MOMENTS IN TIME: The History Channel
* On July 13, 2013, Patrisse Cullors, a Los Angeles community organizer, read a friend’s Facebook post expressing distress over the acquittal of George Zimmerman, who’d killed Trayvon Martin the year before, and replied to the post with the first instance of the #BlackLivesMatter hashtag.
* On July 14, 1918, Quentin Roosevelt, a 20-year-old pilot in the United States Air Service and the fourth son of former President Theodore Roosevelt, was shot down and killed by a German Fokker plane over the Marne River in France.
* On July 15, 1953, John Christie, one of England’s most notorious killers, was executed. Four months earlier, police and a tenant in West London had discovered the remains of four women, one of whom was Christie’s wife, at a house where he’d lived, and he was apprehended and confessed a week later. Detectives soon found additional bodies buried in the yard behind the house as well.
* On July 16, 1862, Ida B. Wells, a future educator, investigative journalist and civil rights activist, was born into slavery in Holly Springs, Mississippi. Motivated in part by racism within the women’s suffrage movement, she would eventually found and co-found the NAACP, the National Association of Colored Women, and the Alpha Suffrage Club.
* On July 17, 1996, a TWA Boeing 747 jetliner headed for Paris exploded over the Atlantic Ocean, killing all 230 passengers and crew aboard and creating a fireball seen along most of the Long Island coastline. A highly criticized investigation ended two years later with the conclusion that the tragedy had been caused by mechanical failure rather than a suspected bomb or missile.
* On July 18 1995, “Dreams from My Father: A Story of Race and Inheritance,” a memoir by a law professor by the name of Barack Obama, was published prior to its author’s entry into the political realm. Thirteen years later, that largely unknown professor would be elected America’s 44th president.
* On July 19, 1952, air traffic controllers in Washington, D.C., sighted UFOs flying over the White House and U.S. Capitol. More would appear a week later, but all were dismissed as simply a weather phenomenon.
Up to $30,000 in ‘Eat Well NY’ Grants Available to Bolster Healthy Eating Habits; Reduce Food Insecurity Among New Yorkers Living with Mental Illness Office of Mental Health Alerts Service Recipients and Providers About Federal Rule Changes to Supplemental Nutritional Assistance Program Eligibility
The New York State Office of Mental Health today announced the availability of individual $5,000 grants to help service providers reduce food insecurity and bolster healthy eating among individuals living with mental illness. Announced during National Nutrition Month, Eat Well NY is a three-part intervention program that teaches individuals how to incorporate healthy, nutritious foods into their diet –a practice that is connected with positive mental well- being.
“Access to sufficient healthy food is a bedrock of overall wellness, both physical and mental,” Office of Mental Health Commissioner Dr. Ann Sullivan said. “Through the Eat Well NY program, local service providers connect with New Yorkers living with mental health issues and provide them with access to fresh food and how to prepare a healthy nutritious diet.”
Established in 2022, Eat Well NY is designed to increase food access and affordability among participants, teaching healthy eating skills with a focus on fresh food. Recipients will receive program training, materials, and FreshConnect checks, which clients can use at local farmers markets to purchase fresh fruits and vegetables.
The grants are available for residential programs for adults living with serious mental illness, including congregate support, specialized housing, or they must operate Personalized Recovery-Oriented Services or ‘PROS’ where clients predominantly live in these settings. Applications are being accepted until April 9, with awards expected to be announced in May.
Approximately one in nine households in New York –roughly 875,000 people statewide – face food insecurity. Chronic stress associated with food insecurity is linked to ill-health effects including mental health conditions, including anxiety and depression.
Proper nutrition supports clearer thinking and greater emotional stability by giving the brain the nutrients it needs to function well. Research shows that diets rich in diverse vegetables, fruits, whole grains, nuts, seeds, legumes, and healthy fats provide the micronutrients — vitamins, minerals, and phytonutrients — that help reduce inflammation and support neurotransmitter activity.
Nutrition also influences mental health through the gut-brain connection. A diverse, well nourished gut microbiome is associated with lower rates of anxiety and depression, while diets high in ultra-processed foods can disrupt this natural balance.
Commissioner Sullivan outlined some of the benefits of good nutrition and positive mental well-being in a message she sent to providers today. In addition, OMH is educating service recipients and providers via a new infographic on recent federal rule changes that could impact eligibility for the Supplemental Nutrition Assistance Program.
New federal work requirements are in place for those receiving SNAP food benefits. All Able-Bodied Adults Without Dependents or ‘ABAWDs’ – defined as anyone between ages 18 and 64 who can work and doesn’t have any children under age 14 in their household – must now meet certain work requirements to continue receiving this assistance for more than three months over a 3-year period.
There are a number of exemptions, including for individuals whose ability to work is limited by a mental or physical health condition or substance use treatment; those over age 65; those who receive disability benefits from a public or private source; and those in a caregiver role. New Yorkers are encouraged to research possible exemptions and contact their local social services district to determine eligibility and find additional resources.
“These stringent work requirements mandated by the federal government are putting hundreds of thousands of SNAP recipients in New York at risk of losing their food benefits, but help is available,” Office of Temporary and Disability Assistance Commissioner Barbara C. Guinn said. “SNAP recipients should engage with their local department of social services and learn more about the different ways they can meet the work requirement or to provide information to confirm that they are not required to meet these work requirements. Individuals unable to work 80 hours a month — including individuals who receive disability benefits, participants in a substance use program, and other vulnerable populations — are not required to meet these work requirements. We are grateful to the Office of Mental Health for sharing this vital information to help individuals retain SNAP and encourage individuals to visit our website for additional information.”
NEW YORK STATE RECOGNIZES LONG ISLAND ORGANIZATION FOR HELPING YOUNG PEOPLE EXPERIENCING A MENTAL HEALTH CRISIS
Response Crisis Center of Suffolk County Honored for Operating a Crisis Call Center, Advancing Suicide Prevention, and Fostering Resilience
New York State is honoring Response Crisis Center of Suffolk County, a nonprofit organization in the Long Island Region, with the 2026 ‘What’s Great in our State’ Community/Organization Award. Representatives of the organization were presented with the award Tuesday during the event in Albany for their work to provide outreach and operate a call center supporting individuals in crisis –specifically youth, young adults, and their families.
“Response of Suffolk County demonstrates ‘What’s Great in Our State’ through their exceptional work in reaching out to young people in the community and being there to help them in times of crisis,” Office of Mental Health Commissioner Dr. Ann Sullivan said. “From its humble origins, this organization has become a pillar of support for youth and their families when they are experiencing mental health challenges.”
Response provides 24/7 support to youth, young adults, families, and individuals in crisis. The organization also provides backup support across New York State, handling approximately 15,000 calls and texts each month with a 97 percent answer rate.
Established in the early 1970s, Response started operation with a small group of dedicated volunteers after a local student’s suicide attempt revealed a critical gap in services. This organization now has a staff of nearly 300 and serves as the local crisis call center for Suffolk, Rockland, and Putnam Counties.
Response advances suicide prevention by supporting resilience and helping individuals connect with community resources that can support long-term well-being and recovery. Through collaboration with local partners and crisis systems, the organization continues to advance suicide prevention, foster resilience, and support long-term recovery in communities they serve.
Response’s mission is to provide individuals in crisis or in need with unconditional acceptance, compassion, and respect, reducing emotional distress and empowering them to use personal coping strategies. Organization programming helps reduce stigma, strengthen coping and communication skills, and connects individuals to critical support, including mental health care and housing.
“I’m so pleased to receive and accept this honor on behalf of the wonderful crisis counselors and staff of Response Crisis Center,” Response of Suffolk County Executive Director Meryl Cassidy said. “They are the true heroes — making a real difference in the lives of so many young people and youth-involved adults and in our communities 24 hours a day, seven days per week, 365 days a year. We strive to be there for all people in crisis in the moments they need caring human connection the most. Our vision is a world where all people feel connected and cared for and know their lives matter.”
‘What’s Great in Our State’ recognizes individuals and programs that are successfully advancing the cause of children’s mental health in New York State and is celebrated annually during Children’s Mental Health Awareness Week. Established in 2010, the day-long conference in Albany features a ceremony recognizing honorees, in-person l workshops, and an art show featuring artwork created by children receiving services from New York State’s mental health system.
Last week, Governor Kathy Hochul issued a proclamation recognizing Children’s Mental Health Awareness Month, the What’s Great in Our State event and the importance of fostering positive mental well-being among youth. Under her leadership, the state has undertaken key initiatives to improve youth mental health, including expanding Teen Mental Health First Aid training in schools, establishing the Youth Mental Health Advisory Board, funding Youth Safe Spaces, and adopting strong digital and social media protections for young people, including the nation’s first bell-to-bell restrictions on smart phone use during school.
The event is sponsored by the state Office of Mental Health, Department of Health, Department of Education, Office of Children and Family Services and the Office of Addiction Services and Supports. In addition, several children’s mental health advocacy organizations sponsor the event, including the Council on Children and Families, the Early Care & Learning Council, Families Together in New York State, Inc., Mental Health Association in New York State, Inc., National Alliance on Mental Illness – New York State, New York State Network for Youth Success, and Prevent Child Abuse New York.
New York State Suicide Prevention Conference Focuses on Improving Mental Wellness among Uniformed Personnel
Suicide Prevention Center of New York Hosts Training and Workshops on Building Resilience; Addressing Job-Related Stress and Cumulative Trauma
Capital Region-Based Conference Aimed at Addressing Disproportionately High Rates of Suicide Among First Responders, Veterans, and Others
The New York State Office of Mental Health announced efforts to address disproportionately high rates of suicide among military veterans and uniformed personnel, including law enforcement, firefighters, emergency medical service workers, corrections officers, and 911 dispatchers. The agency today is hosting the second day of a conference with this focus –part of Governor Kathy Hochul’s ongoing efforts to support the mental health needs of veterans and uniformed personnel –featuring nationally recognized speakers, subject matter experts, training, and workshops related to the impact of stress and trauma associated with these professions.
“Understanding the tremendous importance of the mental health of our uniformed personnel and veterans and realizing the impact of the stress and cumulative trauma they may experience, we must effectively support them as they serve our communities and keep us safe.” OMH Commissioner Dr. Ann Sullivan said. “This conference will provide information and invaluable insight into ways to promote mental wellness, build resilience, and address the nationally observed disproportionately high rates of suicide among these professionals.”
The conference in Troy is hosted by OMH’s Suicide Prevention Center of New York and features nearly two dozen speakers, including nationally recognized subject-matter experts, including mental health professionals, veterans, and leaders from the first responder community. Now in its second day, the event is drawing roughly 320 individuals representing 172 different agencies throughout the state.
Cumulative stress and trauma are common among uniformed personnel and have placed these individuals at greater risk of suicide. First responders were more likely to die by suicide than in the line of duty, according to one recent study.
Likewise, the inaugural New York State First Responder Mental Health Needs Assessment also highlighted the challenges facing these professions. Released earlier this year, the survey of roughly 6,000 individuals found that 53 percent experienced symptoms associated with depression, 38 percent experienced symptoms associated post-traumatic stress disorder, and 16 percent had thoughts of suicide.
Veterans in New York also disproportionately experience mental health issues and have a suicide rate nearly two times higher than civilians. Veterans under the age of 55 consistently experience the highest rates of suicide in New York.
The conference’s objective to build resilience is parallel to OMH’s CARES UP initiative, which provides $3 million annually to uniformed personnel agencies and veterans’ organizations to increase suicide prevention efforts and wellness programming. So far, this initiative has provided funding to 36 first responder agencies and eight veteran-serving organizations via Onward Ops.
CARES UP fosters an open dialogue about mental health to reduce stigma and encourage uniformed personnel to seek help when they need it. The initiative uses a public health approach to integrate mental health and suicide prevention training with various wellness initiatives designed to enhance the overall health.
OMH is expected to release a request for applications for CARES UP later this fall. The initiative provides $60,000 over two years to agencies seeking the funding for the first time, and $40,000 organizations looking to continue the program.
Suicide Prevention Center of New York Director Dr. Jay Carruthers said, “We know that uniformed personnel are at elevated risk for a number of mental health challenges and even suicide by virtue of the work they have chosen. Cultural and organizational barriers can sometime pose a barrier to seeking help among our first responders and uniformed personnel. This conference, like the CARES UP initiative, will provide the expertise to foster an environment that prioritizes mental health and wellbeing among the uniformed personnel and veterans that serve and protect our communities and our nation. Together, we can chip away at the barriers.”
Colonie EMS Chief Erin Kelly said, “Despite growing staffing shortages and the physical and emotional demands of this work, our providers continue to answer the call because they care deeply about the people and community they serve. In many ways, EMS has become one of the most reliable and consistent sources of healthcare for people — when someone calls 911, EMS shows up. CARES UP gives us the opportunity to show up for our providers, giving them the best chance to thrive in their lives and careers, not just survive.”
Watervliet Firefighter and Peer Team Coordinator Tom Corcoran said, “Watervliet’s Brave Minds Firefighter Wellness program provides mental health awareness and stigma reduction training, mental health assessments, and an effective peer support team –all made possible with the help of CARES UP. We have firefighters who have a better quality of life, others who have successfully returned to work after challenges, and others who have retired with dignity on their own terms because of this hard work.”
Fitness is a Lifeline, Not a Luxury: Why Movement Matters for Aging New Yorkers
By Joanne Orlando
We’re living longer than ever before, and seniors are New York City’s fastest growing population. One in five New Yorkers are over the age of 60, reshaping how we think about health, mobility, and independence.
However, this longevity is a double-edged sword, carrying with it more complex and chronic health conditions, meaning while we’ve living longer, we’re also sicker and frailer.
That’s why we must prioritize fitness programming that supports at-risk seniors — especially those recovering after being discharged from the hospital and rehab units.
As the Baby Boomer generation eases into their senior years, they overwhelmingly prefer to “age in place,” remaining at home and in their communities. But this requires real investment in home-based wellness resources. Recovery doesn’t end when older adults leave the hospital but is rather the start of a vulnerable period.
Nearly 20% of patients experience an adverse event such as a fall, infection, or medication error within three weeks of discharge. This can lead to a cascade of setbacks: ER visits, rehospitalizations, and even permanent loss of mobility. Those with multiple chronic conditions face higher risks, and “post-hospitalization syndrome” characterized by increased weakness and stress can make recovery harder.
With May serving as National Physical Fitness and Sports Month, it’s a timely reminder that movement matters – and that for older adults, regular physical activity is essential for preventing falls and maintaining overall health.
Yet access to physical and occupational therapy designed to prevent rehospitalization remains a barrier for many, and written home regimens can be confusing, inaccessible, or ineffective without guidance.
Fitness and exercise regimens don’t need to be complex – just achievable and consistent through baby steps.
As part of our programming provided through ElderServe Health, which provides home care aides to over 20,000 New Yorkers through Medicaid-funded Managed Long Term Care (MLTC) Plans, we’re always thinking of ways to boost at-home fitness.
It’s not easy – and let’s face it: It can be tough to get motivated even when you’re in the best of health. But we’ve found that guided exercise classes allow our members to follow along with their occupational and physical therapists and have been beneficial in promoting mobility, strengthening recovery, and reducing the risk of ER visits and hospitalizations.
However, just one program alone is not enough.
Policymakers must recognize the critical role that MLTC programs play in delivering comprehensive, community-based care that helps New Yorkers age in place. As the city’s senior population grows, so does the urgency to protect and strengthen the essential services that older New Yorkers rely on.
We’re also watching closely how Mayor Adams’ proposed executive budget will address senior wellness. The City Council has proposed key restorations to health and aging programs, but gaps remain. Advocates say the $550 million allocated to the NYC Department of Aging represents less than half of 1% of the overall $112.4 billion budget and won’t keep pace with a rapidly growing older population.
It is critical for the city to follow through with targeted investments in physical fitness, community rehab, and culturally accessible health programs for older New Yorkers.
Fitness is a lifeline that more and more New Yorkers will depend on in the years ahead. This National Physical Fitness and Sports Month, let’s commit to building a city where every older adult, regardless of income or borough, has the tools they need to move, thrive, and age with strength and independence.
— Joanne Orlando serves as the vice president of rehabilitation services at the Bronx-based ElderServe Health, a Managed Long Term Care provider serving the New York City metro area
ADMINISTRATION FOR CHILDREN’S SERVICES RECOGNIZES APRIL AS “NATIONAL CHILD ABUSE PREVENTION MONTH” ACS Hosts “Planting Pinwheels for Prevention” Event to Raise Awareness About Supportive Services Available to Families
ACS Hosts “Planting Pinwheels for Prevention” Event to Raise Awareness About Supportive Services Available to Families
NEW YORK, NY – In recognition of April as “National Child Abuse Prevention Month,” the Administration for Children’s Services (ACS) is planning a number of events to raise awareness about the city’s efforts to prevent abuse, keep children safe and provide supports for families. For instance, ACS today hosted a “Planting Pinwheels for Prevention” event in City Hall Park. Pinwheels are the national symbol for child abuse prevention because they evoke a childlike sense of whimsy and wonder. Organizations across the country will be planting pinwheels throughout the month of April in order to take a stand against child abuse and raise awareness about the supportive services available to keep children safe and families supported. We encourage all families interested in learning more about the services available to participate. ACS is also teaming up with Scouting America, Greater New York Council to host a day of outdoor activities for children at the Alpine Scout Camp.
“There is no greater responsibility than ensuring our littlest New Yorkers are safe and their families have everything they need to help them grow and thrive, and that’s why during National Child Abuse Prevention Month – and every month of the year – we are doing all we can to make sure New Yorkers know about the resources available to them,” said Jess Dannhauser, Commissioner of the NYC Administration for Children’s Services. “Whether it’s food insecurity, access to clothing and diapers, help with substance abuse treatment or being connecting to mental health counseling, we encourage all families with children to reach out to our dedicated prevention support line to get the services they need to help their families grow and thrive: 212-676-7667, or visit our website: www.nyc.gov/ForFamilies.”
ACS contracts with over 100 prevention programs throughout New York City. In 2023, approximately 15,000 families were served in ACS contracted prevention programs. A 2024 survey of families participating in prevention services showed strong satisfaction with services. Approximately 93 percent said the services were helping them achieve their goals; 93 percent said they are happy with the services their family received; 91 percent said they would recommend the services to a family member and/or a friend; and 91 percent said they would go to their prevention provider for help again in the future.
More and more, ACS has been collaborating with its partners in city government that work most closely with children and families to raise awareness about the services available and help families feel and be comfortable and safe enough to ask for and receive help without judgement or fear. For example, ACS has jointly trained over 6,000 staff at New York City Public Schools in more than 65 sessions and developed a training program that reached tens of thousands of school-based personnel last fall. As a result, we have seen a substantial increase in referrals from schools directly to prevention programs and other supportive services without involving the child protection system. ACS has also been training Department of Homeless Services shelter staff and Department of Youth and Community Development after school providers and helped revise a training program for NYC Health + Hospitals staff. These tailored sessions provide mandated reporters with tools they need to not only assess whether a report is truly needed, but also how to connect families with services and supports outside of the traditional child protection system.
“Making the city safe is among the highest priorities of Mayor Adams, and that certainly extends to the well-being of our most precious young New Yorkers. At the core of DYCD’s mission and the work of our staff and nonprofit partners is ensuring that young people and their families have the resources, skills, and support to maintain a healthy and safe environment,” said NYC Department of Youth and Community Development (DYCD) Commissioner Keith Howard. “We stand with Commissioner Dannhauser, his ACS team, and our sister agencies in recognizing National Child Abuse Prevention Month and making New York City the best place to raise a family.”
“At NYC Parks, we know that access to safe, welcoming green spaces is essential to the well-being of all New Yorkers—especially our youngest residents. Parks are places where children can play freely, families can bond, and communities can grow stronger together,” said NYC Parks Commissioner Sue Donoghue. “We’re proud to work with ACS for Child Abuse Prevention Month and host the ‘Planting Pinwheels for Prevention’ event in City Hall Park. These pinwheels are a powerful symbol of the joy, innocence, and safety every child deserves, and we remain committed to ensuring our parks continue to be safe havens where children and families can thrive.”
“In addition to providing medical care, NYC Health + Hospitals is committed to ensuring our patients are connected to any necessary social supports,” said Aaron Miller, MD, MPA, Assistant Vice President of Child Abuse Prevention and Treatment at NYC Health + Hospitals. “The recent Pathways to Prevention initiative with ACS expands that support network and creates additional training for our staff, ensuring that thousands of children and families get the care they need.”
“Every child in New York deserves to grow up healthy. We’re proud to partner with the Administration for Children’s Services during National Child Abuse Prevention Month to protect our kids and connect families with the essential support they need to thrive,” said Acting Health Commissioner Dr. Michelle Morse. “The Health Department provides a wide range of resources to families such as comprehensive child developmental screenings and vaccinations. These services represent just a fraction of New York City’s comprehensive family support system. By working together, we’re creating a stronger, healthier future for our city’s youngest residents.”
“We are committed to making New York the safest big city to raise a family and that starts by keeping children safe and ensuring families have access to trauma-informed resources,” said Saloni Sethi, Commissioner of the Mayor’s Office to End Domestic and Gender-Based Violence (ENDGBV). “When we intervene early, we can interrupt intergenerational cycles of abuse and prevent future violence. This Child Abuse Prevention Month, ENDGBV is thrilled to partner with ACS to raise awareness and connect families to the support they need.”
“As a mother and public servant, I believe that every child deserves to grow up in a safe, nurturing environment where they are seen, heard, and supported. National Child Abuse Prevention Month is a critical time to raise awareness about the services available to families before a crisis occurs.” NYC Council Member Althea Stevens, Chair of the Committee on Children & Youth, emphasizes, “I’m proud to stand with ACS and our community partners to ensure that prevention remains a priority—not just in April, but all year round. When we invest in our families, we build safer, stronger communities for every New Yorker.”
THE NEW YORK STATE OFFICE OF ADDICTION SERVICES AND SUPPORTS ANNOUNCES OPENING OF NEW INTEGRATED OUTPATIENT AND OPIOID TREATMENT PROGRAM IN WATERTOWN
New Program Provides Range of Addiction Services in One Location
Designed to Cut Down on the Need for Individuals to Travel to Multiple Different Providers
The New York State Office of Addiction Services and Supports (OASAS) today announced the opening of a new comprehensive integrated outpatient and Opioid Treatment Program (OTP) in Watertown. Operated by THRIVE Wellness and Recovery and located at 611 West Main Street, the new facility provides medication for addiction treatment, including methadone, as well as a comprehensive array of other addiction services. OASAS is providing more than $240,000 through the New York State Opioid Settlement Fund to support the integration of outpatient and OTP services in this new setting.
“This new center is a game-changer for the North Country region,” OASAS Commissioner Dr. Chinazo Cunningham said. “Medication for addiction, like methadone, is a safe and effective treatment that has been proven to save lives by reducing the risk overdose death by as much as 50%. As the first program of this type in Jefferson County, this facility will help more people access a range of lifesaving care without the need to travel long distances and will further support our efforts to provide lifesaving services to those in need.”
Comprehensive integrated and OTP programs provide more opportunities to access person-centered services, including medication treatment for opioid use disorder, by co-locating both an outpatient treatment program and an OTP at the same site. These programs are designed to centralize medication treatment, including methadone, and other addiction and healthcare services to make it easier for New Yorkers seeking treatment for substance use disorders to access multiple services in one location.
OASAS has provided more than $18 million through the New York State Opioid Settlement Fund, as well as federal grant programs, to establish more than 40 integrated outpatient and OTP programs across the state.
New York State leads the nation in making settlement funding available, and has made $335 available to providers across the state to support various initiatives to address the opioid and overdose crisis. Additional funding from the settlement fund is being used to support other initiatives to increase medication for addiction treatment, as well as outreach services to connect at-risk individuals to services and resources, increased support for recovery centers, and more than $100 million delivered directly to municipalities across the state for them to address the opioid and overdose crisis on a local level. Details of this spending are available on the New York State Opioid Settlement Fund Tracker.
The New York State Office of Addiction Services and Supports oversees one of the nation’s largest systems of addiction services with approximately 1,700 prevention, treatment and recovery programs serving over 731,000 individuals per year. This includes the direct operation of 12 Addiction Treatment Centers where our doctors, nurses, and clinical staff provide inpatient and residential services to approximately 8,000 individuals per year.
New Yorkers struggling with an addiction, or whose loved ones are struggling, can find help and hope by calling the state’s toll-free, 24-hour, 7-day-a-week HOPEline at 1-877-8-HOPENY (1-877-846-7369) or by texting HOPENY (Short Code 467369).
TOP VIDEO RENTALS & SALES
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7. Star Wars: The Mandalorian and Grogu
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8. The Death of Robin Hood
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9. Leviticus
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(c) 2026 King Features Synd., Inc.
New UVA Findings Could Help Prevent Stroke in Young People Scientists Link Dangerous Cervical Artery Dissections to Unusual Gene Activity
CHARLOTTESVILLE, Va., June 29, 2026 – UVA Health stroke researchers have identified a distinct and temporary pattern of gene behavior during cervical artery dissections, a leading cause of stroke in young people. These unusual gene changes may help explain the dissections and could lead to new ways to prevent potentially debilitating strokes among the young.
Finding ways to prevent cervical artery dissections is particularly important not just because of the devastating effects strokes can have but because of the many years of disability they can cause for younger patients, noted UVA Health stroke expert Andrew M. Southerland, MD, MSc. Cervical artery dissections can occur without warning and are responsible for 1 in 5 strokes among people under 55.
“Stroke is a devastating disease at any age. People suffering cervical artery dissections are often young or in the prime of their adult years and are therefore even more prone to the disabling impact of this sudden, often unexplained occurrence,” said Southerland, part of the Departments of Neurology and Public Health Sciences at the University of Virginia School of Medicine. “Understanding the genetic and environmental risk factors associated with cervical artery dissection takes us a step closer to identifying those at most risk and, ideally, preventing it from occurring.”
Cervical Artery Dissection and Stroke
A cervical artery dissection is a tear that occurs within the walls of the arteries that feed blood to the brain. These tears can allow blood to pool and cause blockages – strokes – that starve the brain of oxygen. Cervical artery dissections can be caused by minor neck trauma, such as whiplash or chiropractic adjustments, or by certain genetic disorders, but most cases are deemed “spontaneous” and have no obvious cause.
Southerland and colleagues wanted to better understand what could be causing these abrupt arterial tears in patients without trauma, so they looked at 37 UVA patients with the condition and compared them with healthy people – the patients’ spouses or friends or volunteers from the local community.
The researchers hypothesized that the patients would have a “signature” pattern of gene activity at the time of the dissections, akin to patterns seen in other sudden vascular events such as aneurysms. This proved to be the case – the patients had substantial differences in the activity of 11 genes shortly after their dissections than was seen in the healthy study participants.
Further, the patients had different gene-activation patterns shortly after their dissections than they did later on, suggesting that the distinctive gene activity was temporary. Most of these genes were focused on the body’s use of hemoglobin, the substance that transports oxygen in our blood. Hemoglobin also plays an important role in clotting.
Based on those results, the researchers suspect that impaired oxygen transport could predispose people to cervical artery dissections, or that hemoglobin could be playing some other role, such as by triggering systemic conditions in the body predisposing to arterial vulnerability.
The scientists are eager to do further research to explore those possibilities and, hopefully, find ways to prevent strokes. “This work remains highly preliminary, and we need to replicate it in other larger and more diverse groups of patients,” said Southerland, part of UVA’s Comprehensive Stroke Center. “We are currently working with an international team of collaborators to continue studying genetic causes of cervical artery dissection and look forward to bringing these research opportunities to our patients here in Virginia and abroad.”
Finding new ways to improve human health and better prevent and treat serious conditions such as stroke is the driving mission of UVA’s new Paul and Diane Manning Institute of Biotechnology. The institute aims to accelerate how quickly lab discoveries can be translated into treatments that will benefit patients across Virginia and around the world.
Analysis Reveals Path to More Effective Probiotic Supplements Scientists Find Lack of Consistency in Microbes Used to Support Health Claims
CHARLOTTESVILLE, Va., June 17, 2026 – Probiotic supplements found in drugstores nationwide contain an assortment of microbes sold for specific health purposes despite limited understanding of the microbes’ connections to their marketed use, new University of Virginia School of Medicine research reveals. But the scientists have assembled sophisticated computer models that could lead to more effective products to shape our microbiomes to improve health.
UVA researchers led by Jason Papin, PhD, analyzed more than 350 over-the-counter probiotics sold at the three largest pharmacy chains in the United States – CVS, Walgreens and Walmart. Those 352 products were found to contain, collectively, only 36 unique species of bacteria. The most common species were forms of Lactobacillus, a type of bacteria commonly found in yogurt.
More than half the products contained only one probiotic species. The products with the most unique species topped out at 17. Some brands maintained a consistent number of bacterial strains across products, while others did not.
Based on their analysis, the scientists concluded that there was no real consistency in the combination of species used to support gut health, vaginal health or other health claims.
“It is truly fascinating to discover that these probiotic bacteria hold a unique, specialized niche among the trillions of microbes in and on the human body,” said Glynis Kolling, PhD, a research faculty member in UVA’s Department of Biomedical Engineering who works closely with Papin. “By combining our advanced methods, we have the potential to vastly expand the pool of beneficial bacteria and pave the way for targeted solutions to support human health.”
Targeting the Microbiome
We have at least as many microorganisms living on and inside us than we have cells in our bodies. Scientists have increasingly come to appreciate the role these microorganisms – collectively known as the microbiome – play in maintaining our health. We can get beneficial bacteria from our diets, such as from yogurt and fermented foods, but there has also been an explosion in “probiotic” products over the last two decades.
So far, the federal Food and Drug Administration has approved only two microbial products for therapeutic purposes, and both are used to treat recurrent C. difficile infections in the colon. Supplements, however, are not regulated as strictly as drugs in the United States, and there is limited understanding of connections between bacteria and marketed use for many probiotic products, the UVA researchers found.
To improve the effectiveness of probiotic products, Papin and his team have developed HaPaPro, a collection of more than 1,000 computer models of bacterial metabolism. They used these models to see if they could identify probiotics with the potential to improve women’s vaginal health.
The vaginal microbiome is a natural ecosystem of bacteria, fungi and other microbes that help support health. Bacterial vaginosis occurs when this natural ecosystem is disrupted, leading to pregnancy complications, pelvic inflammatory disease, higher risk of sexually transmitted disease and general discomfort. The researchers were able to use their models to identify microbes that have the potential to help prevent bacterial vaginosis.
The successful results, Papin says, demonstrates HaPaPro’s potential for identifying ways to manipulate the microbiome will have concrete benefits. Such insights, he hopes, will lead to better probiotic products that deliver on their promises.
“It is remarkable how much microbes play a role in human health and well-being,” Papin said. “I love seeing how computational models of these complex biological systems are leading to new ideas for therapies and helping us understand such fundamental biological processes.”
Findings Published
The researchers have published their findings in the scientific journal Nature Microbiology. The research team consisted of Emma M. Glass, Kolling and Papin. The scientists have no financial interest in the probiotic industry, but Papin disclosed he has a stake in Cerillo, the manufacturer of instrumentation used in some of the analyses.
The work was supported by the National Science Foundation, grant 1842490, and the National Institutes of Health, grants T32 GM-145443-1, R01-AI154242 and R01-AT010253.
UVA’s Department of Biomedical Engineering is a joint program of the School of Medicine and the School of Engineering and Applied Science.
To keep up with the latest medical research news from UVA’s Paul and Diane Manning Institute of Biotechnology and School of Medicine, bookmark the Making of Medicine blog at https://makingofmedicine.
UVA Discovers ‘Chimeras’ That Influence Women’s Health RNA Mashups Found Only in Women Affect Susceptibility to Infectious Disease
CHARLOTTESVILLE, Va., June 3, 2026 – Strange “chimeric” RNA once thought to be the product of cancer is actually an important controller of women’s health, including influencing their susceptibility to infectious disease and autoimmune disorders, new University of Virginia School of Medicine research suggests.
UVA’s Hui Li, PhD, and colleagues have identified a chimeric RNA called UBA1-CDK16 that is found only in women. This RNA plays important roles in their blood cell development and in determining the severity of diseases such as COVID-19, the scientists found. The findings could open the door to blood tests to help diagnose diseases or identify women at greatest risk for bad outcomes.
“Chimeric RNAs are RNA molecules composed of parts from different genes,” explained Li, of UVA’s Department of Pathology and the UVA Comprehensive Cancer Center. “They were once believed to be cancer-specific. However, our research shows that they can also be part of normal physiology and play important roles in human health.”
Powerful Chimeras
RNA provides instructions for our cells, telling them what to do based on the genetic material, called DNA, that we inherit from our parents. Chimeric RNAs were long thought to be mistakes, as they are made up of instructions mashed together from different genes. This is why they were believed to be a byproduct of cancer; cancer itself is the result of cellular copying mistakes.
Li’s discovery, however, suggests that UBA1-CDK16 plays important roles in maintaining women’s health and in controlling their immune systems. This chimeric RNA is found only in women because women have two X chromosomes, while men have an X and Y. Normally, one of the two X chromosomes found in women’s cells are inactive. But Li found that the inactive X chromosome produces this peculiar chimeric RNA that he could identify in women’s blood.
Based on his findings, Li believes UBA1-CDK16 plays an important role in regulating blood cell formation. But his work also suggests the chimera may play an important role in the immune system’s response to infection. He found that the chimeric RNA was lost in 50% women who developed severe COVID-19 infections, while it was present in women who were asymptomatic. Further, the decrease in chimeric RNA correlated with the increasing severity of the infection.
Li suspects that the chimeric RNA may play an important role in governing the development of immune cells called neutrophils that act as the body’s first responders to infection. (Neutrophil count has already been identified as a way to predict how patients will fare against COVID-19.)
“As humans share similar numbers of genes with fruit flies and worms, gene number does not explain why we are much more sophisticated than these lower organisms,” Li said. “We believe chimeric RNAs are another means to expand the functional genome, without an actual increase in gene number.”
Li’s findings suggest that the chimeric RNA also may serve as a natural brake to protect women from excessive autoimmune activity. Women are far more likely to suffer autoimmune disorders than men, and Li is urging additional research to better understand the role chimeric RNA could be playing – and how it could be targeted to improve patient outcomes.
“This finding highlights there is another layer of control for gene expression,” Li said. “These chimeric RNAs may represent a hidden repertoire for biomarkers and therapy targets as well.”
