I was just browsing around and found this blog! I thought it was helpful.
This website is helpful to know when to expect the color changes in leaves in New York. It’s updated every Wednesday.
It’s fall again! It’s my favorite season — less insects, cool weather requiring just a sweater and perhaps an umbrella, and apple cider! For the last two years, I’ve done the Amazing Maize Maze at the Queens County Farm but I hadn’t gone apple picking. This year, instead of heading out to Pathmark for a 1/2 gallon bag of apples, I’ll spend a day at a orchard. After typing apple picking nyc into google, I found a website with the following information. Maybe you will want to go too. Have fun!
If you’re going to bite into a ripe juicy apple on a crisp autumn afternoon, you’d do well to be standing under the tree from which it came. This harvest season, head away from the produce aisle and north of Manhattan to the source, where you can breathe in the fresh countryside air, feel blessed by all the bounty, and stock up for those cobblers, appletinis, and pies your friends and family will be expecting.
We’ve selected six places for your next apple picking adventure, and all you need is a healthy sweet tooth and a train (or bus) ticket to get there.
1. Maskers Orchard | Warwick, NY | maskers.com
Why crop up here: In addition to a breathtaking 200-acre setting (with plenty of romantic corners), horned goats and cute-as-Wilbur pigs, Maskers Country Store has shelves filled with apple butter and fresh jams, and the perfect picnic basket to take all your goods home in.
The Apples: Macintosh, Cortlands, Mutsu Empire, Red & Golden Delicious
When to chew: Saturdays, 9:30a.m.-4:30p.m.
How to get there: Take the New Jersey Transit’s #196 or #197 bus from Port Authority to Willowbrook Station in Warwick. The orchard is 1/2 mile down the road. Take a walk or call Josie’s taxi at 845.986.8073. (45 Ball Road, 845.986.1058)
2. Outhouse Orchards | North Salem, NY | oM Review
Why crop up here: Local families come just for the apple cider doughnuts. Walk past the goats and clucking roosters and into the large market for some fresh produce, Pennsylvania Dutch candies, jugs of apple cider, or jams. You can pick your own pumpkins too. Oh, and those doughnuts.
The Apples: Ten varieties, including Red Delicious, Granny Smith, and McIntosh
When to chew: Open daily April through December, 8:30a.m.-6:00p.m.. Apple picking is 10:00a.m.-5:00p.m.
How to get there: Take Metro North Railroad from Grand Central to Croton Falls station stop. Cabs wait at the station to take city folks to the Orchards, three miles up the road. (Outhouse Orchards, 130 Hardscrabble Road., 914.277.3188.)
3. Fishkill Farms | Fishkill, NY | fishkillfarms.com
Why crop up here: You can also pick your own cherries, berries, peaches, nectarines. Plus, fall means hayrides, live music, and barbecues.
The Apples: There are 15 varieties to chose from, including Idared, Red Delicious, Macoun, Granny Smith, and McIntosh
When to chew: 9:00a.m. to 5:00p.m., 7 days a week
How to get there: Take the Metro North’s Hudson Line to Beacon station. Then take about a 20 minute taxi ride. (9 Fishkill Farm Road, 845.897.4377)
4. Jenkins & Luekin Orchards | New Paltz, NY | jlorchards.com
Why crop up here: This 50-year-old family orchard has delicious apple cider from their own cider mill, local honey, and freshly made treats in the bakery. Pick your own pumpkins for $.35/pound, enjoy a hayride for $2, or do the free corn maze.
The Apples: If you visit the during the last week of September and the first two weeks of October, all 12 varieties—that includes Macoun, McIntosh, Rome Beauty, Red Delicious—will be available.
When to chew: Weekdays and Weekends, 9:00a.m.-6:00p.m.
How to get there: Take the Trailways bus from Port Authority to New Paltz bus (and taxi) station in downtown. Hop a 10 minute cab to the farm. (Jenkins & Leukins Orchards, 69 Yankee Folly Road, 845.255.0999)
5. Wilkens Fruit & Fir Farm | Yorktown Heights, NY | wilkensfarm.com
Why crop up here: Close to FDR’s home, here you can pick peaches, purchase honey, maple syrup, fresh baked fruit pies, apple strudel sticks, and cider doughnuts.
The Apples: 14 varieties, including Gala, McIntosh, Granny Smith, Fuji, Baldwin
When to chew: Friday, Saturday, Sunday, 10:00a.m.-4:30p.m.
How to get there: Take Metro North to Croton Harmon. Call a cab in advance. (1335 White Hill Road, 914.245.5111)
6. Meadowbrook Farm | Wappinger, NY
Why crop up here: Also near the FDR estate and Vanderbilt Mansion, the giant orchard opens this weekend. Feed the goats and chickens, pick pumpkins, and munch on cider doughnuts at the picnic tables.
The Apples: Cortlands, McIntosh, Empires, Red & Golden Delicious
When to chew: Saturday and Sunday, 9:00a.m.-6:00p.m.
How to get there: Take Metro North to New Hamburg. Call 845.297.8294 for A-1 taxi and ride less than 10 minutes. (Meadowbrook Farm, 29 Old Myers Corners Road, 845.297.3002)
This is a sad article on obesity, moms and babies. Now it’s time to talk to people about how they can maintain a healthy weight.
As Americans have grown fatter over the last generation, inviting more heart disease, diabetes and premature deaths, all that extra weight has also become a burden in the maternity ward, where babies take their first breath of life.
About one in five women are obese when they become pregnant, meaning they have a body mass index of at least 30, as would a 5-foot-5 woman weighing 180 pounds, according to researchers with the federal Centers for Disease Control and Prevention. And medical evidence suggests thatobesity might be contributing to record-high rates of Caesarean sections and leading to more birth defects and deaths for mothers and babies.
Hospitals, especially in poor neighborhoods, have been forced to adjust. They are buying longer surgical instruments, more sophisticated fetal testing machines and bigger beds. They are holding sensitivity training for staff members and counseling women about losing weight, or even having bariatric surgery, before they become pregnant.
At Maimonides Medical Center in Brooklyn, where 38 percent of women giving birth are obese, Patricia Garcia had to be admitted after she had a stroke, part of a constellation of illnesses related to her weight, including diabetes and weak kidneys.
At seven months pregnant, she should have been feeling the thump of tiny feet against her belly. But as she lay flat in her hospital bed, doctors buzzing about, trying to stretch out her pregnancy day by precious day, Ms. Garcia, who had recently weighed in at 261 pounds, said she was too numb from water retention to feel anything.
On May 5, 11 weeks shy of her due date, a sonogram showed that the baby’s growth was lagging, and an emergency Caesarean was ordered.
She was given general anesthesia because her bulk made it hard to feel her spine to place a local anesthetic. Dr. Betsy Lantner, the obstetrician on call, stood on a stool so she could reach over Ms. Garcia’s belly. A flap of fat covered her bikini line, so the doctor had to make a higher incision. In an operation where every minute counted, it took four or five minutes, rather than the usual one or two, to pull out a 1-pound 11-ounce baby boy.
Studies have shown that babies born to obese women are nearly three times as likely to die within the first month of birth than women of normal weight, and that obese women are almost twice as likely to have a stillbirth.
About two out of three maternal deaths in New York State from 2003 to 2005 were associated with maternal obesity, according to the state-sponsored Safe Motherhood Initiative, which is analyzing more recent data.
Obese women are also more likely to have high blood pressure, diabetes, anesthesia complications, hemorrhage, blood clots and strokes during pregnancy and childbirth, data shows.
The problem has become so acute that five New York City hospitals — Beth Israel Medical Center and Mount Sinai Medical Center in Manhattan, Maimonides in Brooklyn andMontefiore Medical Center and Bronx-Lebanon Hospital Center in the Bronx — have formed a consortium to figure out how to handle it. They are supported by their malpractice insurer and the United Hospital Fund, a research group.
One possibility is to create specialized centers for obese women. The centers would counsel them on nutrition and weight loss, and would be staffed to provide emergency Caesarean sections and intensive care for newborns, said Dr. Adam P. Buckley, an obstetrician and patient safety expert at Beth Israel Hospital North who is leading the group.
Very obese women, or those with a B.M.I. of 35 or higher, are three to four times as likely to deliver their first baby by Caesarean section as first-time mothers of normal weight, according to a study by the Consortium on Safe Labor of the National Institutes of Health.
While doctors are often on the defensive about whether Caesarean sections, which carry all the risks of surgery, are justified, Dr. Howard L. Minkoff, the chairman of obstetrics at Maimonides, said doctors must weigh those concerns against the potential complications from vaginal delivery in obese women. Typically, these include failing to progress in labor; diabetes in the mother, which can lead to birth complications; and difficulty monitoring fetal distress. “With obese women we are stuck between Scylla and Charybdis,” Dr. Minkoff said.
But even routine care, like finding a vein to take blood, can be harder through layers of fatty tissue.
And equipment can be a problem. Dr. Janice Henderson, an obstetrician for high-risk pregnancies at Johns Hopkins in Baltimore, described a recent meeting where doctors worried that the delivery room table might collapse under the weight of an obese patient.
At Maimonides, the perinatal unit threw away its old examining tables and replaced them with wider, sturdier ones. It bought ultrasound machines that make lifelike three-dimensional images early in pregnancy, when the fetus is still low in the uterus and less obscured by fat, but also less developed and thus harder to diagnose clearly. “You really need to use the best equipment, which is more expensive,” said Dr. Shoshana Haberman, the director of perinatal services.
Many experienced obstetricians complain that as Americans have grown larger, the perception of what constitutes obesity has shifted, leading to some complacency among doctors. At UMass Memorial Medical Center in Worcester, Mass., Dr. Tiffany A. Moore Simas, the associate director of the residency program in obstetrics, demands that residents calculate B.M.I. as a routine part of prenatal treatment. “It’s one of my siren songs,” Dr. Moore Simas said, “because we are very bad at eyeballing people.”
Dr. Haberman said there was obesity in her own family, and she had seen how hurtful even professionals could be. “We as a society have issues with the perception of obesity; anatomically, you get turned off,” she said.
So she was sympathetic to Ms. Garcia, making sure she got a room with a window, and calling to check on her after hours.
Ms. Garcia, 38, a former school bus dispatcher, is 5 feet tall. She said she had tried diets, weight-watching groups and joining a gym. She was 195 pounds before her pregnancy (B.M.I., 38) and ballooned to 261 pounds, which she attributed to water weight and inactivity.
“I’m the smallest one in my family,” she said. Her older brother weighed more than 700 pounds before having gastric bypass surgery.
She wiped tears away as she confessed that she worried that she might die and leave her baby without a mother.
At Ms. Garcia’s stage of pregnancy, every day in the womb was good for the baby but bad for the mother, Dr. Minkoff said. “She’s making a heroic decision to put her own self in peril for the sake of the child,” he said.
She survived, but was dismayed by the size of her son, Josiah Patrick, who had to be put on a breathing machine. At first she could see him only by remote video. But after a month, Josiah was off the ventilator, taking 15 milliliters of formula and had smiled at his mother, and doctors said he was where he should be developmentally for a preemie his age.
The hospital estimated that the cost of caring for the mother and baby would be more than $200,000, compared with $13,000 for a normal delivery.
Ms. Garcia promised Dr. Minkoff that she would lose weight and see her baby graduate from college. “I’m going on a strict, strict, strict diet,” she said. “I’m not going through this again.”
My mom is addicted to YouTube. After coming back from Hong Kong to China, she said the worst part about China is that they banned YouTube. Yes, I suggested to her that she should try YouKu, China’s version of YouTube. She said she did but couldn’t find the show that she wanted to watch.
Now that she’s back home, she glued to her iPad. Even as of right now.
My dad is addicted to the stock market. He watches it go up and down. He watches YouTube videos of ‘experts’ predicting the next day’s outcome at 10pm and in the morning before the market opens. He keeps reading about what will happen. He then goes on to StockCharts.com and reads the charts hourly to determine what he will do next with his stocks. He gets the most excited when he makes $$.
Maybe the only thing that will take him away from the computer is Miki – a Japanese Restaurant that my parents enjoy eating at.
Yesterday, he said that my mom and I should go out for lunch alone because he still had taxes to do (he had them delayed, I guess). I went over to tell my mom and when my dad came by, she said that we were going to Miki. When he heard that, he instantly changed his mind and said he’ll go eat with us.
As it becomes ever clearer that modern antiretroviral drugs can not only treat the disease but prevent it, pressure is likely to increase on donors to find more money to supply them in places like Africa and on pharmaceutical manufacturers to either sell them cheaply or release their patents to companies that can.
“This is an extremely exciting day for H.I.V. prevention,” said Dr. Kevin Fenton, director of AIDS prevention at the Centers for Disease Control and Prevention in Atlanta. “It’s clear we’re not going to find a magic pill that prevents it, but this is adding more to the tool kit.”
Until a few years ago, condoms and abstinence were alone in that tool kit. Recent studies have added circumcision, vaginal microbicides, a daily pill for the uninfected (known as pre-exposure prophylaxis, or PrEP) and early treatment for the infected (known as “treatment as prevention”).
Women who have just given birth should wait at least three weeks before they start using birth control pills because of the risk of serious, potentially fatal blood clots, public health officials announced last week. Women who deliver by Caesarean section or have other risk factors for blood clots — like obesity or a history of previous blood clots — should wait at least six weeks before using these medications, they said.
Asian medical tradition centers on a belief in the interconnectedness of the mind, body, and spirit and the need for balance and a holistic approach to the treatment of illness. In this session, you will look at some of the traditional beliefs that shape Asian medicine. Understanding and acknowledging these beliefs can help you provide a better foundation for helping your patients make intelligent health care decisions.
Many Asian patients must reconcile traditional beliefs with Western concepts of health and illness. Patients subscribe more firmly to traditional or western beliefs based on their age, education, language proficiency, length of time in the US, and general assimilation into Western culture. An awareness of AAPI medical tradition will permit you to ask appropriate questions regarding health beliefs, demonstrate respect and sensitivity for your patient’s culture, and ultimately strengthen your relationships with your AAPI patients.
via Providers Guide.
Saturday, October 13, 2007
A feature on area youth who are leaders and volunteers in their communities. The teens featured were nominated for The Ann Arbor News’ Young Citizen of the Year award.
High school: Pioneer High School in Ann Arbor.
Parents: Jimmy and Theresa Chang.
School activities: President of Asian Student Union, webmaster of Rotary’s Interact Club, lead team member of Leap the Gap project from Youth Senate.
Community activities: Taught English to young children, created brochures for the Caregiver’s Day conference, raised money for tsunami relief in southeast Asia and earthquake aid in Pakistan. Also donated blood.
Post high school plans: Will attend the New York Institute of Technology as part of a seven-year bachelor of science/doctor of osteopathic medicine program.
Why is community service an important part of your life?
“The community has provided a lot for me, and I believe that it is important to give back even more. It brings people together to make the town a better place and generates new ideas.”
What do you wish to tell other students about the value of community service?
“What you do will make a big impact on someone else’s life, no matter how small or insignificant you think the service is. People appreciate those who help. Thus, in turn, you will receive help when you need it.”