Thriving with Parkinson’s: A Guide to Living Well
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- Written by: Joanne Wallenstein
- Category: Health
More than 1 million people in the U.S. are estimated to be living with Parkinson’s disease, with nearly 90,000 new diagnoses each year.
For many individuals and families, Parkinson’s begins gradually and unexpectedly—often with subtle symptoms that may be mistaken for normal aging or overlooked altogether. Neurologist Dr. Melba Beltre and neurosurgeon Dr. Alexandra Kammen, specialists in White Plains Hospital’s Neurosciences program, share what to watch for and how patients can move beyond simply living with Parkinson’s to living well.
Parkinson’s Is More Than a Tremor
While tremors are often the most recognizable symptom, the condition can affect balance, coordination, stiffness, and everyday movement. And in many cases, those changes begin long before a tremor appears.
“The symptoms are broader and more nuanced than many people realize,” explains Dr. Beltre. “We often see non-motor symptoms early on that can go unrecognized.”
These include:
• Sleep disturbances
• Anxiety
• Depression
• Cognitive changes
At the same time, having a tremor doesn’t automatically mean someone has Parkinson’s. It may simply be a signal that further evaluation is needed.
Diagnosing - and Ruling Out - Parkinson’s
There is no definitive test to diagnose Parkinson’s disease. Instead, diagnosis is based on a careful, comprehensive evaluation, says Dr. Beltre. “Understanding how symptoms are evolving—changes in movement, balance, coordination—and how they’re affecting daily life is critical.”
Dr. Beltre adds, “It’s not a single test, but a thoughtful evaluation of patterns over time. We also consider medical history and any family or genetic factors that may play a role.”
In some cases, imaging or medication trials may be used to help confirm a diagnosis or rule out other conditions that can mimic Parkinson’s.
Moving Forward After Diagnosis
Receiving a Parkinson’s diagnosis can feel overwhelming. Patients often experience a mix of fear, uncertainty, and grief—not just for themselves, but for their loved ones.
But there is also an important truth: Parkinson’s is not one-size-fits-all.
“We want patients to know there is real reason for hope,” says Dr. Kammen. “Many people live full, active lives for years - even decades - after diagnosis.”
Movement Matters
One of the most common misconceptions is that there’s little patients can do after diagnosis. In reality, there is a lot within a patient’s control.
“Exercise is essential for overall wellbeing, and there are many benefits for patients with Parkinson’s as well,” Dr. Beltre emphasizes, pointing to walking, physical or occupational therapy, and even sports like boxing or table tennis as playing a meaningful role in maintaining mobility, balance, and confidence.
Regular movement also supports mood, energy levels, and overall wellness. Combined with good sleep, consistent routines, and social engagement, these habits form a powerful foundation for living well.
A Team Approach to Care
Parkinson’s care is a team effort.
“We look at the whole patient - physical, emotional, and functional,” says Dr. Kammen. “That often means bringing together a multidisciplinary team to provide the right support at the right time.”
Depending on individual needs, care may include:
• Neurology and neurosurgery
• Physical and occupational therapy
• Medications to support dopamine function
• Lifestyle and wellness strategies
For some patients, advanced treatments may also be an option.
“As the disease evolves, we continue to reassess and expand treatment options,” Dr. Kammen explains. “For appropriate patients, surgical therapies like deep brain stimulation can be considered to help manage symptoms.”
Living Well with Parkinson’s
Today, Parkinson’s care goes beyond simply managing symptoms, with a focus on maintaining independence, connection, and quality of life.
“We encourage patients to be active participants in their care,” says Dr. Beltre. “Staying engaged physically, mentally, and socially can make a meaningful difference.”
With the right support system, a proactive mindset, and access to the right resources, living well with Parkinson’s is not only possible—it’s our main goal.
Learn more about White Plains Hospital’s Neurosciences program.
Dr. Melba Beltre is a Neurologist at White Plains Hospital Physician Associates. To make an appointment, call 914.849.5300.
Dr. Alexandra Kammen is a Neurosurgeon at White Plains Hospital Physician Associates. To make an appointment, call 914.849.7593.
This story originally appeared on Health Matters, a White Plains Hospital publication.
Scarsdale Library Announces Summer Reading Challenges
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- Written by: Stacey Liew
- Category: Health
As the weather warms up, the Scarsdale Public Library will open registration this Sunday, June 7, for their highly anticipated 2026 Summer Reading Programs. Prizes sponsored by the Friends of the Scarsdale Library are also awarded for participating. The theme for this year is Unearth A Story.
Each of the three challenges is based on age group: Children's Summer Reading, Teenstack 2026 (Grades 6 - 12), and Summer Reading for Adults. Every program starts on June 21st, with the children’s and adult’s programs ending on August 15th and the teens’ program ending on August 31th.
Children can partake in the library’s Summer Reading Bingo for babies and toddlers, PreK through 1st grade, and 2nd through 5th grade. Kids can claim a prize or even a book to keep depending on how much of the card they complete.
If teens read books, they can fill in bingo squares to gain tickets. Entering the tickets into a drawing gives them a chance to win one of four $50 ‘Dale Dollars cards that can be spent at 30+ local stores.
Adults can obtain a themed pin or keychain and earn points toward prizes by registering. They can also submit book reviews and attend Trivia, Puzzle Breakfast, and Paint Night for a greater chance of winning prizes.
Game On: Reducing Your Risks on the Pickleball and Padel Courts
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- Written by: Joanne Wallenstein
- Category: Health
Pickleball and padel have seen a significant rise in popularity in recent years—and with good reason. In addition to being fast-paced and social, both sports offer a great cardio workout, improve agility, and keep you moving.
The right preparation can help you play stronger, longer—and avoid the injuries that could sideline you this spring and summer.
Tough on Your Feet
Both pickleball and padel demand quick reflexes and constant movement. Short sprints, sudden stops, and side-to-side motion put significant stress on your feet and ankles.
Common injuries include:
• Ankle sprains
• Achilles tendonitis
• Plantar fasciitis
• Stress injuries
• Toenail trauma
If the Shoe Fits
Court sports require stability in multiple directions – not just forward – so ditch your running shoes.
Look for shoes that:
• Are labeled specifically for tennis, pickleball, or padel
• Provide strong lateral support
• Have reinforced upper materials for side-to-side movement and a lower-profile sole for better balance
• Have a firm heel counter (the stiff, supportive structure built into the back of a shoe that wraps around your heel)
• Feature durable outsoles for court surfaces
Here is a fit tip: Aim for a thumb-width of space in the toe box, a snug midfoot, and no heel slipping. Replace shoes when tread wears down or cushioning feels compressed.
Simple Ways to Prevent Injury
Taking a few simple precautions before you step on the court can help you both prevent overuse injuries and enjoy the game over time.
Be sure to:
• Warm up with 5–10 minutes of light movement
• Stretch your calves and Achilles tendons
• Strengthen ankles with balance exercises
• Cross-train to reduce repetitive stress
Advantage: Preparation and Precaution
Pickleball and padel are excellent ways to stay active and preparing properly can help you avoid preventable injuries. I encourage all my patients to heed the warning signs – ongoing pain, swelling or instability in your foot or ankle – and see a podiatrist when they arise can also help reduce your time on the sidelines.
Dr. Michelle Castiello, MBA is a podiatrist at Scarsdale Medical Group/White Plains Hospital Physician Associates, seeing patients at 600 Mamaroneck Avenue in Harrison. To make an appointment, call 914-723-8100.
This story originally appeared on Health Matters, a White Plains Hospital publication.
Back In the Game Sooner: Nonsurgical Treatment for Sports Injuries and Arthritis
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- Written by: Joanne Wallenstein
- Category: Health
“As people stay active longer, we’re seeing more injuries from both sports and aging joints,” says Dr. Jonathan Holder (pictured), an orthopedic surgeon who frequently treats sports-related injuries, arthritis, and osteoporosis.
Sports Injuries at Every Age
From young athletes to weekend warriors, knee, ankle, and wrist injuries are common. These range from ligament and tendon damage to sprains and overuse injuries. Many patients benefit from nonsurgical approaches—such as injection-based therapies that support the body’s natural healing process—helping reduce pain and downtime and, in some cases, avoid surgery altogether.
“Advances in nonsurgical care are helping many patients recover faster and safely maintain their activity.”
Caring for Aging Joints and Bones
In older adults, fractures from minor falls and chronic pain from arthritis are common. Nonsurgical treatments, like hyaluronic acid injections, help improve joint function, reduce pain, and sometimes delay the need for surgery. “Treatment isn’t just about relieving pain,” Dr. Holder notes. “We also focus on prevention— improving bone strength, balance, and flexibility to reduce future injuries.”
A Faster, More Convenient Path to Recovery
Early diagnosis is key. Imaging—available onsite at multiple White Plains Hospital Physician Associates (WPHPA) locations—and physical therapy (offered by Burke Rehabilitation at WPHPA of West Harrison, WPHPA of Scarsdale and White Plains Hospital Medical & Wellness in Armonk) support faster, more coordinated care, often beginning the same day. “Reducing delays makes a huge difference,” Dr. Holder says. “Patients leave with a clear plan and confidence that they’re on the right path.” While many patients improve with nonsurgical care, Dr. Holder and his colleagues at WPHPA also provide advanced surgical treatment when needed, guiding patients seamlessly from diagnosis to recovery.
These two treatments boost healing without surgery:
Platelet-Rich Plasma (PRP) Therapy
PRP uses a patient’s own concentrated platelets to support healing in chronic tendon, ligament, muscle, and early joint injuries. It’s an in-office treatment with minimal downtime, and results typically develop gradually over several weeks.
Hyaluronic Acid (HA) Injections
Hyaluronic acid injections help lubricate arthritic joints— most often the knee—to reduce pain and improve movement. Relief may begin within weeks and can last several months, offering a non-surgical option for managing osteoarthritis.
To make an appointment with Dr. Holder, call 914-849-7897.
This story originally appeared in Health Matters, a White Plains Hospital publication.
Letter to the Editor: Splicing the Data on Reveal Math
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- Written by: Joanne Wallenstein
- Category: Health
(This letter was submitted by Daniel Rothman)
To the Editor,
Scarsdale is known for academic excellence, and we need a board that will continue to elevate it. We need Board members who will work with parents, educators and administrators to improve pathways for parent input and district-wide communication. Most importantly, they must ask respectful questions and hold the administration accountable when results slip.
That is why I am voting for Kevin Ziegler and Omer Wiczyk.
The district celebrates that Scarsdale students are still "Proficient" under Reveal Math. Across Grades 3 through 6, the share of students scoring "Proficient" averaged 89.5% across the three years before Reveal (2017-18, 2018-19, 2021-22)*. Across the three years since Reveal was adopted (2022-23, 2023-24, 2024-25), that number climbed slightly to 91.9%. The district cites this as proof the curriculum is working.
But this celebration of "Proficient" is a celebration of mediocrity. On New York State's four-point scale, "Proficient" lumps Level 3 (meets standard, i.e. passing) with Level 4 (exceeds standard, i.e. excellent) into one number. Across the same three pre-Reveal years, Grades 3 through 6 averaged 59.3% excellent (Level 4). Across the three Reveal years, the average dropped to 50.1% excellent (Level 4). This is a 9.2 point reduction in excellence for our lower grades.
Parents have repeatedly asked the district to explain why they believe Reveal is the most effective math program for our children. It is safe to say the rollout has been bumpy at best. A year ago, at the district's June 2025 Reveal Math Coffee, parents put forward three concrete testing proposals. All three were declined, and no alternatives were shared. A school administration that refuses to critically evaluate its own curriculum and treats parent concerns as a nuisance is one that needs a change. Erica German has volunteered many hours, and I genuinely thank her for her service. But being a long-time insider is the opposite of what is needed. The insiders are the ones who told parents we weren’t qualified to engage. They are not going to be the ones who change that culture. We need a board willing to ask questions and constructively develop solutions.
After speaking with Kevin and Omer, I am confident that if elected they will critically assess the data, ask respectful questions, and preserve the values that define our schools: academic excellence, intellectual curiosity, and an environment where students are challenged. More importantly, Kevin & Omer are already building those communication pathways between parents, administrators and the Board. They came to my neighborhood to seek out a diversity of perspectives. That is why I will be voting for them, and if you want to continue having some of the best schools in the country (keeping your property values high), you will too.
Daniel Rothman
172 Boulevard
* Source: NYSED Data Site, data.nysed.gov, Scarsdale UFSD Grades 3 through 6 Math Assessment, six years of district report cards. Institution ID 800000034921. Pre-Reveal years: 2017-18, 2018-19, 2021-22. Reveal years: 2022-23, 2023-24, 2024-25. 2019-20 cancelled for COVID. 2020-21 excluded due to low participation. Same data the district uses.
Commenting on Rothman's letter, Mayra Kirkendall Rodriguez said the following:
Correlation Is Not Causation
I read Mr. Rothman’s letter with great interest. It seems to be a partial data analysis of some Scarsdale math test scores combined with a campaign letter and a critique of the Scarsdale School District Administration and current school board. Essentially, Mr. Rothman states that elementary school math scores in the Scarsdale School District have declined since the Reveal Math curriculum was rolled out in the District. Yet, correlation is not causation.
Without seeing grade-by-grade data, variance, subgroup performance, or statewide comparisons, it is difficult to see if the change in math test scores is due to the Reveal Math curriculum itself or whether there are other factors influencing the data.
Given the concern of some elementary school parents about the Reveal Math curriculum, conducting data analysis is a very worthy endeavor. Mr. Rothman’s disaggregation of Level 3 and Level 4 scores rather than treating “Proficient” as a monolith is a valid data analysis methodology. Using a combined metric can easily mask a shift from "excellent" to merely "passing." Asking for a granular breakdown when analyzing data sets is fair, relevant, and can be very useful.
For individuals wanting to analyze the Reveal Math curriculum dispassionately, however, there are several factors that would be worth addressing in a subsequent data analysis iteration to come up with an assessment of the Reveal Math curriculum.
I include my questions and observations here.
https://docs.google.com/document/d/1yjbOGe_EQWpSmyC26Qp3hWN4JqFedj5-6RWpo7Ltmaw/edit?usp=sharing That document also includes a list I researched and compiled of almost 300 cities and counties that have implemented the Reveal Math curriculum across the U.S.
And Tina Lin had this to say:
I have to take issue with Mr. Rothman's statement that "insiders told parents that they aren't qualified to engage". As an "insider", I don't think that anyone on the PTA would ever make such a statement. The PTA celebrates how involved, knowledgeable and qualified our community is, and we have always encouraged parental involvement and voice. It's the definition of the PTA. Further, being a long term volunteer does NOT preclude Erica German from asking questions and constructively developing solutions.
In fact, she is probably better positioned to ask the right questions and develop effective solutions faster because she already has a foundation. Erica's qualifications should also not be reduced to being a "PTA volunteer." She is a psychiatrist, who also understands child development and is a specialist in listening and communication. As a parent of a 4th grader and a member of the PTC EC, Erica is perfectly aware of and has communicated to the administration about parents' concerns with Reveal Math, but the reality is that PTC/PTAs don't have a "vote" on the Board. She has done what she can: initiated group forums, facilitated individual parent meetings, and has proactively provided feedback to Drew & Edgar. She's running for BOE to be able to make a larger impact.
Finally, I also have to strongly question Mr. Rothman's assertion that Kevin and Omer showing up for some meet and greets in the past month makes them better connected to the community than Erica German, who has been in the community, in the schools, showing up for BOE meetings, talking to parents, day in and day out for 17 years. Everyone should support who they want for the Board, and our community has some terrific options this year. However, please do not try to garner support for your candidates by playing on parents' frustration with Reveal Math and then making false statements about what Erica German represents and what she intends to and is able to do.
