Adirondack Sports July 2023

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34 Adirondack Sports Become a Member! Great rides, make friends & support your Capital- Saratoga Region bike club Founded 1969 Mohawk Hudson Cycling Club Join or renew online (only $20): MohawkHudsonCyclingClub.org All levels of ability welcome Over 300 group rides per year Reach 50,000 Sports, Health, Fitness, Recreation & Travel Enthusiasts Monthly! Affordable Rates And we can design a nice ad! AUG ISSUE DEADLINE 8/8 Contact Darryl: (518) 877-8788 Darryl@AdkSports.com Media Kit: AdkSports.com Paul E. Lemanski, MD, PLLC Fellow, American College of Physicians Practicing Internal Medicine & Lifestyle Medicine Welcome Laurie Burton-Grego, RD, CDE – and our new comprehensive lifestyle program, Prevent It Now! Accepting new patients and referrals for consultation: Weight loss and obesity management • Optimizing lipids • Statin intolerant patients Hypertension • Prehypertension management with lifestyle Type-2 diabetes prevention and remission • C-PAP intolerant sleep apnea Rx GERD with minimal or no medication 4 Palisades Dr, Ste 130, Albany | 518-722-0099 | CenterForPreventiveMedicine.com Great selection of bicycles and ebikes in stock and ready for you to test ride SANTA CRUZ | SPECIALIZED | INTENSE CERVELO | TREK | JULIANA | GAZELLE 2242 SARANAC AVE | LAKE PLACID | 518-523-4128 PLACIDPLANET.COM Put Off Your Invasive Knee Surgery, Not Your Vacation. Put Off Your Invasive Knee Surgery, Not Your Vacation. I refused to let my chronic knee symptoms spoil the trip we’ve been planning all year. So when an MRI showed a bone defect - also known as a bone marrow I lesion refused - in the to let bone my near chronic my knee, my symptoms doctor recommended spoil the trip The we’ve Subchondroplasty been planning ® all Procedure. year. So when This minimally-invasive an MRI showed a bone surgery defect fills these - also defects known as with a bone a biomimetic marrow lesion bone substitute - in the bone that near is my replaced knee, my with doctor new recommended bone during The the Subchondroplasty healing process. ® Procedure. Best part? Back This minimally-invasive on my feet time surgery to explore fills these Grand defects Canyon. with a biomimetic bone substitute that is replaced with new bone during the healing process. Best Visit part? subchondroplasty.com To Back learn my feet more in time about to explore to the learn Subchondroplasty® Grand more Canyon. about The Subchondroplasty Procedure ® and Procedure find a surgeon and in your find a area, surgeon visit in scp.zimmerbiomet.com. your area. Visit subchondroplasty.com to learn more about The Subchondroplasty ® Procedure and find a surgeon in your area. As with every surgical procedure, there are risks and potential complications. Individual results will vary. As with Success every surgical depends procedure, on there factors are risks such and potential as age, complications. weight and Individual activity results level. will vary. Only Success your depends health on care factors team such as can age, deter- weight and activity level. Only your health care team can determine if you are healthy enough for surgery. Consult your doctor for a complete assessment of possible before mine if are healthy enough for surgery. Consult your doctor for a complete assessment of possible risks deciding to have surgery. See the package insert on subchondroplasty.com for full information. before deciding to have surgery. See the package insert on scp.zimmerbiomet.com for full information. As with every surgical procedure, there are risks and potential complications. Individual results will vary. Success depends on factors such as age, weight and activity level. Only your health care team can determine if you are healthy enough for surgery. Consult your doctor for a complete assessment of possible risks before deciding to have surgery. See the package insert on subchondroplasty.com for full information. Copyright © 2016 Zimmer Knee Creations, Inc. 903.126 Rev A Copyright © 2016 Zimmer Knee Creations, Inc. 903.126 Rev A
JULY 2023 35 By Paul E. Lemanski, MD, MS, FACP NON-MEDICATED LIFE Preventing Lyme Disease Medicines are a mainstay of American life and the healthcare system not only because they are perceived to work by the individuals taking them, but also because their benefit may be shown by the objective assessment of scientific study. Clinical research trials have shown that some of the medicines of Western science may reduce the risk of Type 2 diabetes, heart attacks, strokes and cardiovascular death. In the first 109 installments of the Non-Medicated Life, a healthy lifestyle has been shown to accomplish naturally for the majority of individuals most of the benefits of medications in the prevention of the chronic medical conditions mentioned above. In addition, however, healthy lifestyle choices may also help prevent you from contracting several infectious diseases, including Lyme disease. Because Lyme disease is so widespread, the transmission so insidious, and the consequences so serious when recognized only later in its course, it is important to determine how simple actions and behaviors may actually help prevent Lyme disease in the first place. Lyme disease results from the transmission to a human of a corkshaped microscopic organism called a spirochete during the blood meal of an infected tick. The Lyme disease spirochete, Borrelia burgdorferi, was first described in Lyme, Connecticut in 1977 and became a reportable disease US NATIONAL PARKS SERVICE Editor’s Note: This is the 110th in a series on optimal diet and lifestyle to help prevent and treat disease. Any planned change in diet, exercise or treatment should be discussed with and approved by your personal physician before implementation. The help of a registered dietitian in the implementation of dietary changes is strongly recommended. in the US in 1991; currently it is endemic in much of the Northeastern US. Preventing Lyme disease, which does require some effort, begins with understanding its phases and the seriousness of it. Lyme disease is a multisystem disease with clinical manifestations divided into three phases: early localized, early disseminated, and late disease. Early localized disease may begin a few days to one month after a tick bite and manifestations may include a target or bull’s eye rash, fatigue, mild headache, myalgias, arthralgias, and localized lymph node swelling. Early disseminated disease may occur weeks to months after a tick bite and manifestation may rarely include heart electrical conduction abnormalities, mild heart failure, and inflammation of the sack surrounding the heart. Fifteen-percent of infected, untreated patients may also manifest neurological disease such as infection of the membranes surrounding the brain with headache and stiff neck, as well as peripheral nerve symptoms of numbness or weakness. Sixty-percent of infected, untreated patients may have migratory joint pains without frank swelling or redness. Late Lyme disease typically involves intermittent or persistent arthritis with pain, swelling, and warmth in one or more large joints. Lyme disease consequences can be disabling and life altering and make efforts at prevention all the more important. As we acknowledge its seriousness, we must also point out that transmission of Lyme disease may be insidious. Individuals may present with late-stage Lyme and never recall a preceding tick bite. Lyme ticks are quite small, but if identified and removed the risk of transmission drops significantly. Moreover, treatment with a single dose of 200 mg of doxycycline within 72 hours of a bite may completely prevent infection. For this reason, prevention of Lyme disease begins with heightened awareness and a willingness to engage in careful self-examination especially after potential exposure in areas in which Lyme is endemic. Heightened awareness begins with recognizing the habitat of Lyme ticks and considering avoiding those areas of high tick density. Ticks like to climb tall grasses and plants that allow them to hitch a ride when a passing human or dog brushes against vegetation. For example, if hiking or walking, staying to the center of a trail or path, away from vegetation can significantly reduce possible exposure. Heightened awareness also includes checking for and removing ticks from both humans and dogs after outdoor activities. While dogs may be immunized against Lyme and may wear an insecticide laden collar, it is still possible for Lyme ticks to hitch a ride and subsequently bite a human. Routinely removing clothes after outdoor activities allows for careful self-examination using a mirror to help in viewing your back; examination of your scalp can be aided by a comb to part hair or a willing helper. During such self-examination placing your clothes in a dryer on high heat for five minutes will kill ticks and allow the clothes to be used again without washing. For those who do not have someone to help, the practice of routinely bathing within two hours of outdoor activities can remove ticks before they have had a chance to settle and bite. Prevention of Lyme disease is also aided by the use of protective clothing. Long pants, long-sleeve shirts, and light-colored clothing may allow ticks to be identified and removed before biting. If the clothes are also treated with the insect repellent permethrin, a study of 700 case patients and 1,000 controls, indicated an effectiveness of 40% in preventing Lyme disease. Among 82 outdoor workers studied in Rhode Island and Massachusetts, factory-impregnated permethrin clothing reduced tick bites by 58%. Prevention of Lyme disease is also aided by the use of tick repellents on exposed skin. Products containing DEET have been shown to effectively repel ticks and are generally well tolerated and safe when used on intact, exposed skin. Picaridin, a synthetic compound, based on natural plant extract also is effective, but, perhaps, less so than DEET. The use of tick repellents on intact, exposed skin in combination with the use of permethrin impregnated clothing probably offers the best tolerated, most effective barrier protection against Lyme ticks. Finally, it is important to point out that prolonged outdoor summer activities such as hiking in heavy brush, camping, and golfing with multiple forays into the rough, may expose an individual in endemic areas to a high-risk for Lyme disease; even in the absence of a tick bite or a symptom. It may, in my opinion, be a wise policy to discuss with your physician obtaining a blood test for Lyme at the end of a summer of such high-risk exposure. In summary, Lyme disease is a multisystem disease with serious health consequences. It’s prudent to take steps to minimize high-risk exposure to Lyme ticks. Such steps include avoidance of high tick density habitats, a careful examination and early removal of Lyme ticks after exposure, a shower within two hours of exposure, the use of permethrin treated clothing, and the use of DEET or Picaridin on intact, exposed skin. After a tick bite in an endemic area, treatment with doxycycline within 72 hours of the bite may prevent infection. After prolonged, high-risk exposure, even in the absence of a bite or a symptom, your physician may recommend blood testing for Lyme disease. Paul E. Lemanski, MD, MS, FACP is a board-certified internist practicing internal medicine and lifestyle medicine in Albany. Paul has a master’s degree in human nutrition, he’s an assistant clinical professor of medicine at Albany Medical College, and a fellow of the American College of Physicians (plemanski3@gmail.com).
Page 1 and 2: COVERING UPSTATE NY SINCE 2000 FREE
Page 3 and 4: JULY 2023 3 CONTENTS 5 NEWS BRIEFS
Page 5 and 6: News Briefs Paddle the Canals: Cham
Page 7 and 8: JULY 2023 7 BICYCLING Come Ride wit
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Page 11 and 12: JULY 2023 11 A BOREAS PONDS VIEW -
Page 13 and 14: JULY 2023 13 PADDLING, HIKING & CAM
Page 15 and 16: JULY 2023 15 RUNNING & WALKING Mara
Page 17 and 18: JULY 2023 17 RUNNING & WALKING from
Page 19 and 20: JULY 2023 19 RECREATION Protect Our
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Page 23 and 24: JULY 2023 23 AUGUST 4-6 Weekender a
Page 25 and 26: JULY 2023 25 27 High Peaks: Phelps.
Page 27 and 28: JULY 2023 27 Thu Thursday Waterway
Page 29 and 30: JULY 2023 29 16 ADK 5K Run/Walk. 10
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Page 39 and 40: Get Outdoors! with ADK Peaks and Po

Adirondack Sports July 2023

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