It's The New Year, So Why Am I Feeling Blue?
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The end of 2012 was emotionally complicated in ways many of us did not anticipate. As we looked forward to a joyful holiday season, unexpected, tragic events unfolded. We experienced the wrath of Mother Nature with Hurricane Sandy and the overwhelming shock of the shootings in Newtown, CT. We've learned some lessons about the fragility of life and how people cope in very difficult situations. We celebrated the holidays and welcomed the New Year, but some of us may be left with lingering feelings of sadness and vulnerability.
Although the New Year holds the promise of rejuvenation and fresh starts, it's not unusual to feel trepidation, anxiety and concern about the future.
Even without the recent tragedies in our area, this time of year can leave people with shifts in their mood and energy level. Research demonstrates that cold weather and decreased sunlight contributes to these symptoms. Some people may feel moody or blue and just "not like themselves." Some may feel irritable, anxious or lacking in motivation. There can be an increase in appetite, particularly for foods with carbohydrates, and needing to sleep more than usual. For most people, these shifts in mood and behavior wax and wane and do not significantly affect daily functioning. For others, these symptoms become severe enough to interfere with daily activities and social interactions and may be indicative of Seasonal Affective Disorder (SAD). Women are more likely to be affected by SAD than men. People with SAD show a typical pattern of significant symptoms during the winter months and improvement during the spring and summer months. Light therapy is particularly useful to alleviate symptoms of SAD, however it may be combined with other treatments such as psychotherapy and/or medication.
Most people do not qualify for a diagnosis of SAD; they simply experience "winter time blues." Although these feelings can be bothersome, there are some concrete behaviors which can help combat the "blues." Here are some simple tips that will help you feel better:
1. Make a cognitive shift in your thinking. See the glass as half full rather than half empty. Use positive self-statements and avoid self-criticism. We all make mistakes, cut yourself a break! With practice, you'll see that when you think differently, you'll feel and behave differently.
2. Exercise and move your body! Exercise has physical and psychological benefits. It releases the brain's "feel good" chemicals known as endorphins. Endorphins boost mood, relieve tension, and increase strength and energy.
3. Spend time outdoors, even if it's cozier indoors. Small amounts of sunlight and a change in scenery can lighten your mood. Even a short walk is beneficial. Try to embrace winter (even if you want to flee to Florida), enjoy small things, like the smell of evergreen trees, the freshness of the air and the excitement of winter time activities.
4. Give yourself some TLC. Get a massage, take a relaxing bath, use the scented candle you received as a holiday gift, or listen to your favorite music. Now is the time to treat yourself to something special.
5. Stay connected with family and friends and make it a point to schedule social activities. Simply thinking about doing something fun can enhance your mood. Keeping in touch with people in your life, even if you don't feel up to it, is important and can prevent feelings of isolation.
6. Try something new and challenging; it's time for a fresh start. Make a short list of a few things you'd like to change and set some realistic goals. You may consider taking a class that is very different from your usual choice. If your physician approves, why not try rock climbing?
The take home message is simple: It's OK to experience mood or behavior changes at this time of year, but don't let them overwhelm you. Try some simple behavioral changes and you may find yourself welcoming in the New Year with increased optimism and joy!
This article was contributed by psychologists Dr. Michelle Sanders and Dr. Karen Bergsman from Scarsdale who direct a private practice known as, "Dr. Moms New York". They can be reached directly at 914-509-5439, via email at [email protected] or at their website http://www.DrMomsNY.com or follow them on Facebook.
The Doctor and the Dale
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Scarsdale was in the spotlight again this week when Jean Harris, the jilted mistress and murderer of Herman Tarnower passed away at age 89. Reviewing newspaper clippings and magazines from the time, it's evident that little has changed in Scarsdale in the 33 years since Harris' yearlong trial for murder was the talk of the town.
Harris made Scarsdale famous when she shot Dr. Herman Tarnower in 1980 after he spurned her for a young receptionist in his office at the Scarsdale Medical Center. At the time of his death Harris had been Tarnower's mistress for 14 years. When she murdered him at his home in Purchase the doctor was 69, Harris, 56, and Lynne Tryforos, the third leg of the love triangle, was a 37 year-old divorcee who worked as a receptionist at the Scarsdale Medical Group. Nicknamed Hi Tarnower, the doctor never married and was a reputed womanizer whose sexual exploits were the subject of much speculation.
Though many associate Tarnower with Scarsdale, his relationship with the 'dale was more professional than 
personal. At the time of his death, Tarnower lived on a 6.8 acre estate in Purchase, was a member of Century Country Club in Purchase and on the staff of three Westchester hospitals. He was also an avid hunter and a "regular visitor" to a private hunting club in Dutchess Valley. Accompanied by shooting companions Arthur Schulte and Bob Jacobs, he was involved in several accidents. During one of these outings, Tarnower "winged Schulte in the chest," and on another Tarnower shot and killed Schulte's dog, a prized Weinmarner. In yet another mishap, Tarnower shot himself in the leg while climbing a fence with a loaded gun.
However it was the cache of Scarsdale that put Tarnower in the national spotlight. After the Second World War, Tarnower, who was a trained cardiologist, left military duty and came to Scarsdale to form a small group practice in the Village. By 1959 Tarnower had amassed the funds to build the Scarsdale Medical Group at 259 Heathcote Road. He had acquired the property at a competitive price years before, possibly because it was "low-lying" and possibly prone to the flooding we now see today. With the vision of forming a "mini Mayo Clinic," he and his partner Dr. John Cannon enlisted a gastroenterologist, an allergist and an endocrinologist to join them in a group medical practice. However, the Scarsdale Zoning Board 
objected to the construction of a professional building in a residential area and battled the plans for years. Tarnower insisted the fight was due to anti-Semitism and refused to back down. He ultimately won and the Scarsdale Medical Center still stands today.
Tarnower also used "Scarsdale" to further his means when he named his famed diet book, The Complete Scarsdale Medical Diet." Published in 1979, just two years before his death, the book was one of the first to recommend a low-carb diet. Though Tarnower was a cardiologist, rather than a nutritionist, he
formulated The Scarsdale Diet that involved cutting down on carbs and eating oily fish, lean meat, fruits and vegetables, and limiting intake of fats, salts, and sweets. Tarnower had been distributing the regime on a mimeographed sheet for years before he and collaborator Samm Sinclair Baker expanded it to a book that sold 75,000 copies in hardback and over 2 million paperbacks and made Tarnower rich.
During her trial, which lasted a year, Harris stayed in Scarsdale, and the town made national news. In an article from a North Carolina newspaper in December 1980, it was evident that the murder was the talk of the town.
"As might be expected, the Tarnower case has attracted a great deal of talk, including gossip suggesting that Dr. Tarnower was a woman chaser. But while nearly everyone in the village either knew the doctor personally or knew someone who was a patient of his, the picture of him that emerges varies dramatically. Some, especially fellow physicians, use such words as "cold," "arrogant" and "reclusive" in characterizing him, but just as many remember him as a likable man."
The article goes on to discuss a debate about the non-partisan system that has "only recently been challenged as restrictive." With an election scheduled for March 17, 1981, " many residents have voiced reservations about the present system."
Looking back at the archives, it's interesting to note that the Harris-Tarnower case brings to light many of the same issues that make news in Scarsdale today. Diet, fitness, social climbing, guns, religion, intrigue, celebrity, zoning and the non-partisan system -- how far we have not come in 32 years.
This information was taken from "Very Much a Lady, the Untold Story of Jean Harris and Dr. Herman Tarnower" by Shana Alexander, published by Simon and Schuster in 1983 and "The Headmistress and the Diet Doctor" by Anthony Haden Guest, New York Magazine, March 31, 1980.
Should Teachers Be Armed With Mace?
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Here's a letter to Superintendent McGill from a Greenacres Dad Mike Greenberg who has three children in the Scarsdale schools: Dear Dr. McGill: I am a parent of three Scarsdale students, one currently in 10th grade, one in 7th grade and the youngest, a kindergartner at Greenacres.
Although I can hardly believe that I'm saying this, incidents like today's have become too common in our nation to take for granted. Until we adopt sensible gun control laws, school administrations must do more than make certain that school doors are locked to protect students against this sort of violence. Of course, I'm sure you realize how simple it would be for someone with an assault rifle and an unbalanced determination to enter a school building if they wanted to, even a locked one.
The time clearly has come for teachers and staff in each school to have mace/pepper spray on hand that can be sprayed from 20 ft or more. If you soak someone's shirt with that, they won't be able to see or breathe and it will disable most intruders long enough to disarm them or permit escape with children in tow. That's a reasonable, non-lethal precaution to take.
It is both sad and insane that we have to consider that sort of thing, but we must. And we must do so without delay. Mace can be stored discreetly, in locked cabinets around the school, beyond the reach of children and other unauthorized users.
Here's a link to a product on Amazon that might be effective. This particular product can be fired accurately from 20 ft, according to the description. Obviously, you should consult our police department to see if they recommend a different product, or a Taser, which also can be fired from a distance and will similarly disable a violent intruder.
The contingency plans that we have currently for this sort of event are inadequate. Simply locking doors or guiding children to different locations does not prevent these tragedies. Have such measures worked in any school in America where this has occurred? Clearly, a more robust, non-lethal response is called for. The police can arrive, with their own assault gear to counter such a threat, only so quickly. Until they are on scene, teachers and administrators must be empowered to protect the children in their schools. Anything less would be shortsighted and overly optimistic.
Thank you for reading this during what must be an incredibly trying and difficult time for all who run our excellent schools. And thank you for all you and the District have done and continue to do for our children and their families.
Best regards.
Mike Greenberg
Back from the Dead and Very Much Alive
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When Bill and Hilary Greenberg flew to Costa Rica in April 2012 for a scuba vacation they were not new to diving. In fact, they took their first dive together on their honeymoon 18 years ago and have been going to the bottom of the ocean ever since. Both physicians and certified divers they felt secure enough to introduce their three boys, ages 15, 14 and 11 to the sport and planned another idyllic week diving in the indigo waters of the Catalina Islands off the western shore of Costa Rica under the supervision of Pacific Coast Divers. The area is known as a scuba haven with a spectacular array of marine life.
Less than 24 hours into their trip they set out for their first dive. Hilary and Bill planned to spend the day with one instructor and sent the boys off with another instructor to work on mastering their diving skills. After the morning dive the group gathered on the boat to rest and snack and then set out near a coral reef for their afternoon dive.
The instructor told the group to follow the current next to the reef and they all plunged in. About ten minutes into the dive the 
group was hit by a sudden surge and pushed rapidly through a rock formation. Just seconds after the rush, Bill looked up and realized that Hilary was nowhere to be found. He frantically signaled to the instructor who signaled the group to stay put while he swam back upstream from where they had come. Minutes later he was back and signaled that she was not there. The instructor motioned for the group to continue forward and as they swam on Bill caught a glimpse of Hilary's dive suit at the bottom of the reef. He swam to the other side of the reef and found her lying on the coral, unresponsive and without her regulator in her mouth.
Bill and the dive master lifted Hilary's lifeless body up to the surface of the water and inflated her buoyancy control device. Once on top of the water Bill attempted to do CPR in the water but only managed to get a few breaths into her while they awaited the boat, which was some distance away. Due to the waves and the distance, the instructor was having trouble making contact with it. It was several minutes before it arrived. When it did, they hoisted her onto the floor of the boat and Bill continued to do CPR, checking for a pulse – which he could not detect.
At that point, his wife's eyes were dilated and fixed, her lips blue, and she had no pulse. Bill continued the CPR, desperately hoping that he would soon see some sign of life. But as the minutes wore on, she failed to resume breathing, her eyes stared into nothingness, he felt no pulse and began to fear that his efforts were in vain.
In normal medical practice CPR should be applied for 20 minutes, although it has been suggested that more extended CPR can be effective. Bill and the others continued to work on her as they waited for the boat to get them back to shore.
Diving protocol requires that the boat stay out until all the divers in the area could be retrieved. At some point, the Greenberg's three boys returned to the boat and saw their mom lying lifeless and their dad desperately attempting to revive her.
Some 20 minutes after she was hauled out of the water, the Costa Rican Coast Guard arrived in a boat and Bill was hopeful that their EMT's would take over the CPR. The Coast Guard team boarded the boat, put a mask over Hilary's face and started to give her oxygen. However Bill realized that the mask was leaking and that Hilary's chest was not rising and falling with each surge of oxygen. He waved off the EMT's and resumed his efforts while the boat travelled to shore.
They were met at the beach by an EMS team and a doctor with a defibrillator that was attached to Hilary and showed that she had a heart rhythm. That team intubated Hilary – putting a tube down her throat so that they could have better control of her airway and quickly hoisted her into an ambulance for the 40-minute ride to the nearest hospital.
Bill travelled in another ambulance behind Hilary and the boys followed in a car not knowing if their mother would come out of this alive. Once at the hospital the doctors ran a few tests on Hilary. She remained unresponsive and appeared to be in a coma. Her breathing was stabilized but there was little else that was hopeful about her status. The Diver's Alert Network (DAN) quickly swung into action and was able to arrange air transport from Costa Rica to Florida that night for the Greenberg family. They moved swiftly and around 10 pm they took off for Ft. Lauderdale Airport with Hilary stretched out in the middle of the small plane hooked up to the ventilator. Once they landed, they were met by an ambulance that transported Hilary to Del Ray Hospital.
The family ended up staying in Del Ray from Sunday until the following Saturday where Hilary remained unresponsive and breathing with the help of the ventilator. Though her legs and arms moved she could not follow any commands. A CT scan of her brain showed no injury but doctors could not assess her chances of recovering. They simply said it was "too early to tell" and "we have to be lucky." When the family left on Saturday, Hilary's eyes had begun to track but there were no other signs of brain function.
Ten days after the accident it was determined that she could breathe on her own and she was transported to the Neuro ICU at Columbia University Hospital in New York. Despite one doctor's claim that she was brain dead, the second set of tests performed at Columbia looked more positive.
On the second day of her stay at Columbia, the first of many miracles occurred. According to her medical school friend Dr. Diana Deutsch. here's an account of Hilary's first breakthrough. "When Hilary came back to New York after being stabilized enough to travel, I got to see her at the Columbia Neuro ICU for the first time. It was horrifying to see her in that state, and yet hope came when suddenly, out of a semiconscious state, she looked me right in the eye and said, 'Diana, please help me.' This is the first responsive thing she had said since the accident."
Hilary's brother-in-law Mitch also came by and Hilary recognized him and called out his name. The staff at Columbia began occupational therapy and kept her there for four days until they could get her into Burke Rehabilitation Hospital in White Plains. Once there, though she was still "semi-comatose" they decided to lift the pain medications she was on due to the injury to her ribs during CPR and that helped to improve her mental state.
She began to make small improvements though she still had great difficulty speaking and was only able to name a few fruits at the start. Though her husband visited her daily, she had no memory of his visits, and each time he came she accused him of "never coming to see her." She finally asked her friend to post a sign-in sheet on the wall so that she could track who had been in to see her. She kept insisting she was stupid until another friend assured her that she had graduated Phi Beta Kappa from Wellesley and that she was frustrated, not stupid. During her five-week stay at Burke, she required constant supervision and was secured to her bed as she was so confused that she would walk into walls. At times she thought she was at the hospital working as a doctor, and tried to wheel herself out of the facility to go home.
Speaking about that time in Hilary's recovery, lifelong friend Wendy Stober says, "Hilary would get annoyed with me when I would arrive at Burke in the morning and would not take her home. She so desperately wanted to go home. She would tell the nurse that I did not care about my children so I could stay but she needed to go home to her boys. She knew she had children and she so very much wanted to be with them and take care of them."
Hilary continually asked for her sister and her father, though her sister had passed away ten years earlier and her dad had been gone for five. Bill decided to let her know that they were gone and she cried for hours, re-experiencing her initial grief at the loss.
Following five weeks of intensive therapy Hilary was given the okay to go home. Even at the house she required 24/7 supervision, and also continued to return to Burke three days a week for speech and cognitive therapy.
Neighbors in Edgemont jumped to her aid. They did everything from supplying months of meals to the family, to supervising Hilary at home and scheduling her rides to and from therapy at Burke throughout the summer.
Now six months after the accident, doctors predict that Hilary will make a 100% recovery – but by all outward signs she's already there. She speaks fluidly, has a wonderful sense of humor and shows no outward signs of the trauma she experienced. Her rehab nurses have told her that her speedy recovery was helped by her natural intelligence. She looks forward to taking her medical boards in April and getting back to work when she is fully recovered.
How could someone recover completely after being without oxygen for an estimated nine minutes? Though doctors say this is a unique case, Bill has several theories. At the time of the drowning, Hilary was in very cold water and the hypothermia may have helped to prevent injury to her brain cells. More importantly, Bill performed CPR for a full 45 minutes – never giving up, though traditionally codes end in the hospital after patients fail to respond in 20 minutes. He notes that following her accident new research was announced in the NY Times that confirmed that prolonged CPR improves the chance of survival.
Many factors may have contributed to Hilary's surprising come back. Among these are the power of prayer, as the Jewish prayer for healing, known as the Mi Sheberakh was being said for her at temples all over the country. Her will to live and diligent approach to therapy also may have helped. But she gives full credit to her husband Bill's knowledge of CPR and his valiant efforts to save her – when from all appearances she was gone. She's very much alive today and encourages everyone who is reading this article to learn CPR – just in case!
Drs. William and Hilary Gleekman-Greenberg live in Edgemont with their three boys. Bill recently opened SkinTheraP, specializing in cosmetic medicine on the Popham Road Bridge in Scarsdale.
What an Inspiration
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I had heard that Tony Wagner was a forward thinker, but with limited knowledge of the field of educational innovation I didn't expect to be wowed when I signed up to attend his lecture. Wagner, a Harvard University Professor and author of four books on fostering change in education, was originally scheduled to speak here after Hurricane Sandy but was unable to come due to the storm. His visit was rescheduled for Wednesday, December 5. He spent the day meeting with teachers, parents, administrators and members of the Board of Education and completed his visit with a talk for the community on Wednesday night.
He recently published his fourth book, "Creating Innovators: The Making of Young People Who Will Change The World" and has been on the road to share his insights. According to Wagner, educators have spent the last 30 years thinking about how to bring up the worst performing students while neglecting educational innovation for all. In a world where courses can be taken online and degrees earned without attending school, Wagner is examining the value of education and what should happen in the classroom to create innovators for tomorrow.
To find out, Wagner has interviewed today's business leaders to discern what skills are essential to success and he is convinced that critical thinking and problem solving are foremost. He also believes that those who will thrive have the ability to collaborate across networks and lead across disciplines, are agile, adaptable, innovative and entrepreneurial. They are effective speakers and know how to infuse their writing with a clear voice and perspective.
The big disconnect for Wagner is that many schools in this country, including some of the most prestigious high schools, are singularly focused on conveying content and preparing students for tests. In his view, these schools fail to encourage the skills that students will need most to succeed on the job and in the world.
Contradictions abound ... Wagner points out that:
- The current culture of learning celebrates individual achievement but innovation is a team sport.
- Students are now rewarded for specialization and compartmentalization of knowledge but innovation demands a problem-based interdisciplinary approach.
- The current culture of schooling creates a passive experience with kids sitting at desks and guessing what's on the teacher's mind when the emphasis should be on creating not listening.
- Students are now penalized for failure and discouraged from taking risks, creating a culture of compliance... however innovation requires risk-taking, failing and learning from mistakes.
In Wagner's view, our prevailing mode of education leaves many students bored and unmotivated. He believes that teachers should help students unlock their passion for learning and encourage risk-taking and creativity. Classrooms should be safe, supportive environments were students can experiment rather than being marked down for failures.
He also believes that throughout their school years, students should develop digital portfolios of their work that
can supplement a transcript that shows only grades.
Wagner applauded the Scarsdale Schools for taking bold steps toward innovation in learning. He credited Scarsdale with dropping the test-centric AP curriculum and substituting an AT track that incorporates the values he supports. He also praised the school for developing initiatives that foster critical thinking skills for students at all grade levels such as the Capstone Projects.
Earlier in the day, Wagner spoke to the staff of the high school at an after school meeting. Over 200 teachers signed up to see him, and registration for the event had to be cut off due to limited space in the room. Wagner reviewed presentations from Scarsdale teachers who have received grant funding from the district's new Center for Innovation to pursue projects that further the district's objective to integrate critical and creative thinking skills into many areas of the curriculum. More details about these projects will be available in the coming weeks on Scarsdale10583.
Wagner is a dynamic speaker and a visionary with revolutionary ideas that will make you reconsider what you value in education. If you missed Tony Wagner's talk and want to learn more about him, watch his TED talks here:
Photo credits: Jerry Crisci and Vicki Presser
