Profiles In Medicine 02-21-2018

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MEDICINE PROFILES IN

AN ANTON MEDIA GROUP SPECIAL • FEBRUARY 21 - 27, 2018

Pro Bono Surgery Health Care Careers Northwell Grant Second Opinion Service Philip G. Palumbo, CFP® Senior Vice President– Wealth Management 516-408-5848 ubs.com/team/ palumbowealthmanagement

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As a firm providing wealth management services to clients, UBS Financial Services Inc. offers both investment advisory services and brokerage services. Investment advisory services and brokerage services are separate and distinct, differ in material ways and are governed by different laws and separate arrangements. It is important that clients understand the ways in which we conduct business and that they carefully read the agreements and disclosures that we provide to them about the products or services we offer. For more information visit our website at ubs.com/workingwithus. Certified Financial Planner Board of Standards Inc. owns the certification marks CFP® and Certified finanCial Planner™ in the U.S. Neither UBS Financial Services Inc. nor any of its employees provides legal or tax advice. You should consult with your personal legal or tax advisor regarding your personal circumstances. UBS Financial Services Inc. is a subsidiary of UBS AG. © UBS 2018. All rights reserved. UBS Financial Services Inc. is a subsidiary of UBS AG. Member FINRA/SIPC. CJ-UBS-1719415545 Exp.: 02282019 180647B


PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018

“When NYU Winthrop’s TAVR team replaced my heart valve, they gave me my life back.”

For John Elliott, sailing is living. He’s been on the water for most of his 91 years. In all three theaters during World War 2, as a merchant seaman, and for the last 70 years sailing out of the Rockaway Point Yacht Club. But recently John was so fatigued and short of breath, he could only walk a few steps. His aortic valve was failing. A condition that could lead to heart failure, and death. His daughter, a nurse, told John about a minimally invasive valve replacement procedure called TAVR, or Transcatheter Aortic Valve Replacement. She took him to one of the country’s leaders in TAVR: NYU Winthrop Hospital. They replaced John’s valve through an artery in his leg. In no time at all, he was back to sailing off Breezy Point. If you suffer from aortic stenosis, you may now be a candidate for TAVR. To learn more, call 1-866-WINTHROP or visit nyuwinthrop.org.

259 First Street, Mineola, New York 11501 • 1.866.WINTHROP • nyuwinthrop.org

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PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018 ADVERTORIAL

NYU Winthrop’s Continued Success with a Life-Changing Alternative for Patients with Aortic Valve Stenosis

Caption: Scott Schubach, MD, Chairman of the Department of Thoracic and Cardiovascular Surgery, and Richard Schwartz, DO, Interventional Cardiologist and Medical Director of TAVR Services, perform a TAVR procedure at NYU Winthrop Hospital in Mineola, NY.

tration (FDA). Since then, the Hospital has been invited to participate in multiple trials to examine TAVRs efficacy in intermediate, low, and most recently, “beyond low risk” patients – asymptomatic patients with aortic valve stenosis. “Because of our great success with this minimally invasive procedure in high risk patients, we have been able to build a renowned program to also treat intermediate and low risk patients and now, patients who have no symptoms whatsoever,” said Scott Schubach, MD, Chairman of Thoracic and Cardiovascular Surgery, who leads the TAVR team at NYU Winthrop, supported by Richard Schwartz, DO, Interventional Cardiologist and Medical Director of TAVR Services, and Khaled F. Salhab, MD, Attending Cardiothoracic Surgeon. “The minimally invasive

nature of TAVR also enables us to replace worn out valves in select patients, eliminating the need for a second open surgery.” NYU Winthrop has performed more than 1,200 minimally invasive TAVR procedures since the program’s inception, making it one of the busiest and most experienced programs in the U.S. Also offering hope to an entirely different subset of patients is a new collaboration between NYU Langone and NYU Winthrop Hospital to bring the world-class heart transplant services of NYU Langone Health to patients on Long Island. Services include pre-surgical evaluations of candidates for implanted heart-assist devices and heart transplants in Mineola. “We’re bringing the worldclass services of NYU Langone’s heart transplant team to our patients locally on Long Island, fur-

ther elevating our already strong cardiology services,” said Kevin Marzo, MD, Chief of the Cardiology Division at NYU Winthrop. “Patients with advanced heart failure often have reduced mobility, so this new collaboration vastly increases patient access. Long Islanders need look no further than their own backyard for the finest in heart care.” For additional information about TAVR or the Heart Transplant Program, call 1-866-WINTHROP or visit www.nyuwinthrop.org.

259 First Street, Mineola, New York 11501 • 1.866.WINTHROP • nyuwinthrop.org

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NYU Winthrop Hospital’s world-class cardiology and cardiac surgery programs positioned the Hospital as an ideal place to study a revolutionary heart procedure, Transcatheter Aortic Valve Replacement (TAVR). Today, patients from all over the country are turning to NYU Winthrop for this minimally invasive treatment for aortic valve stenosis. Aortic heart valve stenosis is a chronic condition in which the aortic valve does not open properly, hindering the flow of blood from the heart to the rest of the body. TAVR employs a newly designed valve to take over for the diseased valve, which can be placed in the heart without standard open heart surgery. NYU Winthrop began offering TAVR for high-risk cases of severe aortic stenosis in February 2012, following its approval by the Food and Drug Adminis-


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PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018

Advertorial

My mom and I before my fight on June 28th, 2014.

This is me fighting with herniated disk on June 28, 2014. I won by technical knockout in the first round, but I did more damage to my back. (Marcus pictured on the left)

This was from my July 30th, 2016 MMA fight, after my spinal fusion. I am on the top of my game; technical knockout in the first round!

“My neurosurgeon gave me hope to be back in the ring again after spinal surgery” “I was 20 when I was training for a Mixed Martial Arts (MMA) fight. During one of my sparring sessions, I hurt my back. “I wrestled during high school as well, so I was used to getting some minor injuries and didn’t think much of it. I treated the pain with ice, heat, and Motrin. However, the pain continued to increase and there was no relief. I continued to train and participate in tournaments. It was not a good idea, but I was 20 and thought it would heal once I could rest. “The pain increased until I was unable to stand, sit, walk, or sleep. I went to the doctor and had x-rays and an MRI. I herniated my L5-S1 disc, and it was causing much pain in my back and both my legs. Pain management gave me cortisone shots, but they did not help. “I tried everything and could not even sit through a meal with my family. I didn’t think I would be able to do any of the things I did before I hurt my back, like riding my motorcycle and competing in Mixed Martial Arts. I had goals and things I wanted to accomplish. It was affecting everything in my life. I really had no hope.

“My mother set up an appointment on Long Island with Dr. William Sonstein, a neurosurgeon at NSPC Brain & Spine Surgery. She received his name from a friend who had undergone surgery with him and reassured her that he was the one to help me. I went to see him on January 14, 2015. “When I first met with Dr. Sonstein, he had so much confidence in me and his practice that it was comforting to hear that he could help me and fix the situation. He told me I would be back in the ring, and I would have my life back. He was so positive, and he gave me hope. “I started to believe that there was a chance I would be able to compete in MMA again. He scheduled me for a spinal fusion less than two weeks later, on January 23, 2015. His staff at the office and in the hospital were just as amazing as he was. The prompt follow-up and scheduling for surgery made me feel extremely lucky to be under such great care. Teresa, Dr. Sonstein’s secretary, is the best and was there to help me and my parents through everything.

enough he got me fighting again. I was back in the cage in June, 2016, one year later doing everything I did before. I am able to lift people, run, jump, punch, and kick with no problem at all. I have my life back. I ride my motorcycle, go to work, and train. I am so thankful for Dr. Sonstein and his team at NSPC. His bedside manner and friendliness got me back to health. I can’t thank him enough for giving me a second chance at pursuing my dreams. “As a young adult, my advice for anyone suffering from back pain is that there is no reason to live in pain all the time. Find the right doctor and get help. Don’t give up or give in to the pain. Fight for your dreams and have the life you want. There is always hope!” Marcus Comodo (Age: 22), Levittown, NY -Actual Patient For more information, or to seek a consultation, please call (516) 255-9031 or visit nspc.com.

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“A year ago I couldn’t think about hitting a driver. Now after back surgery, I’m a weekend warrior again. No pain and I’m doing what I love... THANKS TO NSPC!” Michael’s road to recovery began with a call to Neurological Surgery, P.C. (NSPC) and a same-day appointment with a member of NSPC’s team of world-renowned brain and spine surgeons. He received a personalized treatment plan that ensured the best possible outcome. Michael’s journey ended with minimally invasive surgery that restored his normal life, including hitting it straight down the fairway.

Make the right call.

A Proudly Independent Private Practice. Seven Convenient Long Island Locations. 181690 C


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PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018

Beyond His Borders BY JENNIFER FAUCI

JFauci@antonmediagroup.com

A life that is spent studying, training and preparing to do good in the world deserves to reap all the benefits of success. For some people, personal success is measured in moments of changing the lives of others. Andrew Jacono M.D., FACS is a board certified plastic surgeon and global authority in the field of facial plastic and reconstructive surgery. Although his Great Neck practice the New York Center for Facial Plastic & Laser Surgery caters to patients looking for a younger version of themselves, Jacono’s work as a pro bono surgeon around the world tugs at the heartstrings, as he gives life a new meaning for children born with facial abnormalities. “My desire to become a facial plastic surgeon was solidified in grade school. There was a girl who was on my bus route and lived in my neighborhood who was born with a cleft lip and palate deformity,” said Jacono. “Unfortunately, whenever she spoke, the air and words escaped through her nose. Kids teased her and were cruel, and nobody would sit next to her on the bus, so I decided I would sit by her.” Jacono recalled the girl being very nice and sweet and not at all deserving of harsh treatment by her peers. He felt bad for her and

Dr. Andrew Jacono’s philanthropic endeavors help those in need around the world wished he could help, but also remembers being acutely aware at such a young age, of how judgmental people were of physical appearances. “It seemed unfair to me. There was so much more to her than her cleft lip and palate,” said Jacono, noting that the girl had plastic surgery and returned to school with her face repaired. “Suddenly, we all saw her face instead of her deformity and kids immediately treated her differently. Fair or not, this was the reality.” Relieved and happy for his bus buddy, a young Jacono was intrigued at how a face could be changed and in turn, change a person’s life.

Dr. Jacono’s many happy patients before and after their reconstructive surgeries. (Photos courtesy of the New York Center for Facial Plastic & Laser Surgery)

“This seemed to me to be a formidable power, and I remember thinking that I wanted to do that,” he said. “I wanted to fix people’s faces. I wanted to change their lives.” Jacono earned his medical degree from the Albert Einstein College of Medicine in New York, before completing internships in general surgery at St. Vincent’s Hospital and Medical Center. He completed his surgical residency at the New York Eye and Ear Infirmary specializing in otorhinolaryngology. While Jacono’s overriding goal as a surgeon is to deliver natural-looking results with minimal downtime, scarring and risk—something he

has successfully done throughout his 21 years of practice—and that mindset also extends to domestic abuse victims and children. “Early in my career, I repaired the broken nose of a woman who said she had been injured in a car accident. Several months later, she returned a second time, claiming she had broken her nose in yet another car accident,” recalled Jacono, later learning that the woman’s broken noses were the result of an abusive relationship. As the senior advisor to AAFPRS’ FACE TO FACE, a national project offering pro bono consultation

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PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018 ADVERTORIAL

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Hospice and Palliative Care What to know about alleviating pain and improving quality of life

aying goodbye to a loved one is never easy. It is in those final months and weeks of a person’s life where family members want to make them as comfortable as possible, knowing that when they are no longer suffering from the pain of an illness, they are finally at peace. Part of hospice services include palliative care, the medical specialty of alleviating pain and improving the quality of life of the seriously ill. According to Right at Home, which provides home care, senior care and home health care services, hospice care begins after health treatment for an illness has stopped and the patient is considered terminal. Palliative care can begin as soon as a patient is diagnosed with a serious illness and can continue while the individual pursues a cure. Statistics show that hospice providers alone care for more than 1.6 million Americans and their families annually. While hospice does involve caring for the terminally ill, hospice care is more than seeing someone through their final days. An integrated

team of healthcare professionals and trained volunteers work together to manage pain, control symptoms, and bolster emotional and spiritual needs. Hospice teams ensure patients and their loved ones find support, respect and dignity along the difficult path of a life-limiting illness. Interdisciplinary palliative care teams are typically comprised of doctors, nurses, social workers, chaplains, and physical and occupational therapists who assist with the pain of cancer, kidney failure, chronic obstructive pulmonary disease, congestive heart failure and other chronic diseases or disorders. As for cost, most Medicaid, Medicare and private health insurance plans cover palliative and hospice services. Hospice care covered by Medicare requires that a person receive a prognosis of living six months or less, but there is not a six-month limit on hospice care services. A patient with a doctor’s certification of terminal illness may receive hospice support for as long as necessary. At the Parker Jewish Institute, a hospice and palliative care seminar

was recently held for health care professionals called “Hospice into the Future.” The informative seminar for hospital and skilled nursing facility staff, health care service providers and clinical professionals, focused on the current state of hospice and palliative care. The seminar was given by Carla Braveman, BSN, RN, M.Ed, CHCE, president and CEO of Hospice and Palliative Care Association of New York State (HPCANYS), who gave a brief history of hospice care, noting that the modern hospice movement began in England in 1967 by founder Dame Cecile Saunders, a nurse who became a social worker and then a physician. Also discussed were the latest issues of concern to HPCANYS. What is the future role of hospice with the new payment model? How will palliative care evolve? “People in Washington, D.C. are now actually talking about a Palliative Care Benefit,” said Braveman. “A Palliative Care Benefit is not a Palliative Care doctor seeing patients, it is a hospice-like situation where the patient doesn’t have six months or less to live,

but is based on a longer trajectory of an illness and whether they want curative treatment or comfort care.” The Community/ Inpatient Hospice at Parker provides comfort, relief, and peace of mind to individuals with advanced or life-limiting illness and their families. Parker’s is an intimate and unique program that provides personalized care to ensure a patient’s comfort, enhance quality of life, preserve one’s dignity and respect individual choices. For more information on palliative and hospice care, contact Right at Home at 516-719-5999 or visit www. rightathomeli.com. For more information about the Parker Jewish Institute, contact Lina Scacco at 718-289-2212 or email lscacco@parkerinstitute.org.


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Beyond His Borders and surgery to victims of domestic violence that have suffered facial disfigurement, Jacono has provided pro bono reconstructive surgery to more than 100 female victims. His work with said victims was chronicled in the television series Facing Trauma on the OWN network and Discovery Fit & Health. Jacono, who began volunteering in 2002, believes that “philanthropy is a cornerstone” of his practice, and his passion for giving back is heightened every day. On average, he spends approximately four weeks a year performing pro-bono surgery, which includes trips around the world helping children with facial deformities. “As a father of four, I’m passionate about helping children across the globe,” said Jacono, who volunteers for numerous charity organizations aimed at helping children with limited medical and financial resources receive surgeries. “To date, I have completed surgery on more than 500 children through missions with Healing the Children, the HUGS Foundation and T.H.A.I Children, among others.” Jacono recently returned from leading a mission in Santa Marta, Columbia with healing The Children Northeast (his 10th mission for the organization) in which he and his team performed surgeries on children with cleft lip and palate deformities, as well as microtia, an underdevelopment of external ears. His next mission is planned for Ecuador in April 2018. Like any philanthropic venture, Jacono raises money for his pro bono work by mountain climbing and running marathons with his family. He is also a proponent of social media platforms to raise awareness. “If people can see the direct impact in a child’s smile, it’s a powerful message,” he said of his work. “There is no better feeling than being able to give children new faces and smiles. It’s indescribable and my medical practice allows me to give back to those in need, which is my true passion.” To learn more about Dr. Andrew Jacono and his practice, visit www.newyorkfacialplasticsurgery.com.

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PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018 ADVERTORIAL

Village Dental Brushes Into Port Most people fear the thought of going to the dentist and having someone prod away in their mouth, but Doctor of Dental Surgery Andrew Levy hopes to make going to the dentist a welcomed experience for Port residents. Port born and bred, Levy came back to Port in 2016 to start a family and decided to open a second practice in his hometown called Village Dental PW. “I wanted to work and open up here and start from where I grew up and where I want to raise my family,” said Levy. “I just recently got married last year and we’re expecting a baby and we moved back to Port. There’s a dental lab across the hall and we had mutual friends and this was basically just concrete. Mutual friends were looking for a dentist to come in here and work so it all kind of made sense. I came in here and the views are beautiful.” Levy went to Manorhaven Elementary School all the way up to Schreiber High School and then went on to SUNY

Albany. After graduating undergrad, Levy attended New York University College of Dentistry for four years and did his residency at Woodhull Medical Center in Brooklyn. Levy jumped right into his own practice, opening his first office in Manhattan through a rental chair, which later grew into a four-chair office in Union Square, Village Dental NYC. “I hope to bring the same expertise as Manhattan which is a friendly environment, trying to make the dental office as fun as possible, having updated technology— everything is digital—and just a warm and easy-going feeling for all the patients,” said Levy who will be splitting his time between the Port and New York City locations. “We let the patients play their own music, we have these bright windows they could look out and it doesn’t feel like they’re in a dental cell.” Along with making sure patients feel at home in his office, Levy feels that his office’s ability to be a kind of one-stop

shop separates him from others. Village Dental PW has a dental lab across the way where things like crowns, bridges, implants and dentures can be made in a few days time. So instead of impressions being sent out to a lab, taking weeks, Levy and Smile Design Dental Lab are able to speed up the process. Specialists from Smile Dental Lab are also able to come to Levy’s office and give one-onone consultations. “The other thing that separates us is that we try to keep everything in-house and try to do everything like all types of procedures, implants, root canals, bridges, so it will hopefully be a one-stop shop for patients so they don’t have to go to all different specialists and then come back,” said Levy. Levy explains that taking care of one’s dental hygiene is extremely important as problems in the mouth can indicate problems in the rest of the body. “It’s very important to come and get a minimum of two checkups and cleanings a year, not just for dental health but for overall body health,” said Levy. “Everything starts in the mouth, any type of bad bacteria or problems in the mouth can get into the bloodstream and cause issues to the body, whether it’s heart

Doctor Andrew Levy opened a dental center in his hometown of Port. disease or diabetes or infections.” Village Dental PW located at 85 Old Shore Rd. Suite 201, Port Washington is for all ages and is open to residents by appointmet only at this time. For an appointment, call 516-465-5777 or visit www.zocdoc.com and search Andrew Levy. For more information, visit www. villagedentalpw.com.

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Grand Opening! Brand New State-of-the-Art Dental Office We provide a comprehensive array of dental services: • • Teeth Whitening • Veneers • Botox

Call to Schedule an Appointment Today!

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P: (516) 465-5777

85 Old Shore Rd., Port Washington, NY 11050 • villagedentalpw.com

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• Teeth Cleaning • Fillings • Implants • Crowns/Bridges


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Owner Of Progressive O&P, Named To Board Of NAAOP

Dan Bastian, CP, cofounder and co-owner of Progressive Orthotics and Prosthetics in Albertson was recently appointed to the Board of Directors of the National Association for the Advancement of Orthotics and Prosthetics (NAAOP) to serve through 2018. “I am honored to join the board. The work of the NAAOP is vital to ensuring that prosthetic and orthotic patients receive the care they need and deserve,” said Bastian. “The organization works at a national and state level, and that’s important to my patients and me.” Nearly 20 years ago Bastian, along with his business partner, Sal Martella, opened Progressive O&P, a successful clinical practice providing compassionate care for adults, children, and veterans needing prosthetic and orthotic solutions. The NAAOP, located in Washington DC, is dedicated to promoting public policy that is in the interest of patients in need of orthotic

Dan Bastian, CP, cofounder and Co-Owner of Progressive Orthotics and Prosthetics in Albertson and prosthetic care because patients do not always receive the care they deserve due to various government policies. Since its inception 31 years ago, the work of the NAACP focuses on government relations advocacy and education of policymakers. “NAAOP is excited to have Dan Bastian join NAAOP as a Board Member,” said David McGill, president of NAAOP.

“Dan brings a wealth of experience to our organization and has consistently demonstrated his willingness and ability to engage in initiatives that benefit individuals with limb loss and other mobility impairments.” In addition to his successful clinical practice, Bastian is also living with limb loss. In

1980, at the age of 15, he was diagnosed with osteogenic sarcoma in his right leg and underwent many (unsuccessful) reconstructive surgeries to repair the damaged bone and musculature. He made the difficult decision to have his right leg amputated in 1990, and has walked with a prosthesis ever since. Bastiana,

a Certified Prosthetist (CP), has dedicated his career to helping patients living with limb loss. Dan lives with his family in Massapequa. For more information on Progressive Orthotics and Prosthetics, visit www. progoandp.com. —Anton Media Staff

Goodbye Resolutions And Hello Life Solutions BY RAYNA HERSKOWITZ

specialsections@antonmediagroup.com

We are now well into the new year and it may be getting harder to keep that resolution. Whether it was centered around getting in shape, eating healthier, flossing more or listening better—don’t let yourself forget the bigger picture. Instead, figure out ways to turn your resolutions into lifelong solutions.

Be Realistic

If sitting down to a bowl of kale isn’t something you enjoy, don’t do it. Think of fun ways to make your resolutions into life solutions. Look for healthy recipes that you know can be incorporated into your life and actually enjoyed. Being healthy doesn’t have to feel like a chore.

Acceptance

Progress is progress is progress. Resolutions shouldn’t be bringing you down. Instead, they should be a reminder of how far you’ve already come. Use empowering visuals to help remind yourself of this. For example, make a check mark on your calendar every day you flossed. Don’t forget to look back at how many checks you’ve obtained.

Make Small Goals

Start with small changes that can lead to a bigger outcome. For example, don’t vow to lose 100 pounds by summer. It’s just not realistic and you are setting yourself up for disappointment. Aim for realistic goals, such as “I will lose five pounds within the next month.” This satisfies the healthy recommendation of 1-2

pounds a week.

Stronger In Numbers

Find someone you can rely on to push you forward and provide positive motivation. You may find that certain days you are stronger than others, so let your designated partner help keep you accountable, but most importantly, optimistic.

Forgiveness

Aside from your accountability partner, it’s also wonderful to hold yourself responsible as you are working towards a goal. However, if you fall off the bandwagon every so often, it’s OK. Just start again when you are ready.

Self-Love

The key to starting any change, no

matter what month it is, is self-love. Accepting where you are at this very moment can help to propel you further. Plus, when you love yourself, you want to better yourself that much more. Weight loss, joining a new gym, or facing any fear can be an intimating time. Be your biggest advocate. There is no such thing as perfection. Remember, Rome wasn’t built in a day and neither were you. Every goal takes time. Every goal takes effort. Start planning life solutions instead of just resolutions. Seek professional help when necessary, such as contacting a registered dietitian. Use your resources and have fun while improving your life. —Rayna Herskowitz, RD, CDN


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ADVERTORIAL

Changing the Face of Health Care Affordable healthcare with dignity. That is the cornerstone of the mission of Charles Evans Center (CEC), a state-of-the-art health center that provides the highest standard of medical care using a team-based approach to put patients at the center of their care. CEC provides more than healthcare – they provide life care.

Chief Medical Officer, Christine Brown, MD, a board certified family physician, oversees all clinical operations at CEC. She emphasizes a whole person care approach across all medical specialties. Judy Olshin, DDS, CEC’s Director of Dentistry, is responsible for improving community access to dental care. She has experience treating patients of all ages and dental conditions and works extensively with people who have intellectual and other developmental disabilities. Dr. Olshin can perform ambulatory surgery and procedures requiring general anesthesia at Northwell Health Ambulatory Surgery Center.

With locations in Bethpage and Hauppauge, CEC provides highquality, comprehensive healthcare to underserved community members with limited incomes including those with autism, learning and other developmental disabilities. In addition to medical care, CEC is equipped to address behavioral and mental health concerns. CEC focuses on preventive care to ensure healthy lifestyles and minimize the use of emergency rooms.

CEC grew out of Adults and Children with Learning and Developmental Disabilities, Inc. (ACLD), a leading Long Islandbased not-for-profit agency devoted to supporting the pursuit of an enviable life for children and adults with autism, learning and developmental disabilities. As the Article 28 licensed primary medical care extension, CEC is dedicated to using best practices to enhance access to healthcare services and improve health outcomes for vulnerable populations across Long Island.

CEC offers a welcoming environment that facilitates access to a broad range of medical services including Family Medicine, Gynecology, Neurology, Podiatry, Dentistry, Psychiatry, Psychology, Social Work and Case Management. Overseen by culturally sensitive, credentialed medical staff, primary and specialty services are provided regardless of a patient’s background or ability to pay. In 2015, CEC received its status as a Federally Qualified Health Center (FQHC). As an FQHC, CEC is part of a network of FQHCs led by Hudson River Health Care, a leading provider serving Long Island and the Hudson Valley.

CEC accepts Medicare, Medicaid and all Medicaid Managed Care Plans and Commercial Insurance with out-of-network benefits. A sliding fee scale is available. To schedule an appointment at CEC’s Nassau location call (516) 622-8888; or for the Suffolk location call (631) 524-5290. Visit www.charlesevanscenter.org for more information.

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“Our board certified physicians provide high-quality medical, dental and behavioral services to patients in a caring and compassionate environment,” says Dr. James R. Dolan, Executive Director of CEC. “CEC ensures that patients and their ‘circle of support’ are partners with their physicians in the healthcare process.”

Dr. James Dolan and CEC Welcome Dr. Judy Olshin, DDS as Director of Dentistry

Dr. Olshin has extensive experience treating children and adults with autism, intellectual and other developmental disabilities. She will help CEC enhance our dental services and continue our mission.

CEC Services

Charles Evans Center (CEC) provides access to high-quality, comprehensive medical care to improve the health and quality of life of underserved populations including those with autism, intellectual and developmental disabilities, as well as low-income residents.

Family Medicine • Children • Adults

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CEC accepts Medicare, Medicaid and all Medicaid Managed Care Plans and Commercial Insurance with out-of-network benefits. A sliding fee scale is available.

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Visit: charlesevanscenter.org Call: (516) 622-8888

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James R. Dolan, Jr., DSW, LCSW Executive Director

Dr. Judy Olshin, Director of Dentistry

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857 South Oyster Bay Road, Bethpage, NY 11714 Office Hours: Monday through Thursday, 8:00 a.m. – 8:00 p.m. Friday, 8:00 a.m. – 5:00 p.m. Call (631) 524-5290 to make an appointment at our Suffolk County location.


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Sculpted By The Sculptor

Body contouring offers a little extra help to be your best you BY JENNIFER FAUCI

JFauci@antonmediagroup.com

You’ve maintained a healthy nutrition plan and stuck to an exercise regime that works for you. You’ve seen results but those pesky problem areas still remain. What if you could get rid of the loose skin that prevents you from showing off your hard work? Believe it or not, there is a way, and it takes about 25 minutes. Dr. Peter R. Neumann, MD, FACS, is a board certified plastic surgeon specializing in cosmetic and reconstructive surgery in Roslyn Heights and shared the secret to getting rid of fat: body contouring. “Body sculpting has been in existence for the last 40 years, and since then, we have been trying to figure out ways to get rid of unwanted fat in localized areas,” said Neumann, who is a proponent of SculpSure, a revolutionary treatment that is noninvasive, has zero recovery time and takes less than half an hour. “A little over a year ago, the FDA approved Cynosure, which uses laser energy that penetrates the outside of the skin to the fat cells, which burst and are destroyed forever. In 6-12 weeks, 25 percent of the fat will disappear in the treated area.” As science would have it, people are born with fat cells determined by genetics. Those cells get bigger and smaller depending on weight gain or loss, but they don’t change in number unless they are destroyed. Neumann, who opened his practice in 1981, has been in private surgical practice for the past 35 years and has seen a great deal of attempts to give a better shape to the body. But the history of burning fat has not come without its trials and tribulations. “Initially, we used liposuction, which was a surgical procedure that has a certain amount of invasion and anesthesia as well as recovery time, pain and discomfort, but the results for large amounts of fat

Peter R. Neumann, MD, F.A.C.S. removal were successful,” said Neumann. “Then we used non-invasive methods such as heat and massage and that didn’t seem to work. Then we tried ultrasound and sound waves.” Another method that surgeons have tried for weight loss is freezing, which is a cool sculpt method that has been around for eight years. In Neumann’s personal experience, said method does not work, as patients have a short term change in shape before exhibiting their same appearance once the fat expands again. As for Cynosure’s SculpSure, that seems to be working quite well, and it’s possible that surgeons have found a successful way to abolish stubborn fat cells. “Noninvasive is working and working well. SculpSure has been

Cont’d on page 14B

Photos courtesy of Nassau Plastic Surgical Associates


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ADVERTORIAL

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PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018

Sculpted By The Sculptor around for two and a half years and the results are universally successful,” said Neumann, adding that the treatment is not for overweight patients, but for those who wish to eliminate localized areas of fat such as the muffin top, below the buttocks, love handles, the bra bulge on a woman’s back or under the arms where fat hangs. SculpSure is also successful in postpartum women who recently gave birth. Candidates must have a stable body weight with localized areas of fat that they can’t get rid of, therefore needing contour and improvement. SculpSure only works on fat that is approximately 3/4 inches under the top layer of skin, and once the fat is gone, it never comes back. “There are no repercussions with body sculpting, and the only time there is an issue is if the patient doesn’t have any fat, then they will not see results,” said Neumann, who has had a SculpSure machine for about 14 months. He has had about 180 patients who have been satisfied with their treatment. “There is no redoing of an area. By destroying the area of fat, the body will shape to that area so it looks more contoured.” The painless treatment features four panels that harness controlled light-based technology when applied to the desired area, such as the stomach. The flat, non-suction applicator is designed for consistent results, depending on how many times a patient needs treatment for a selected area. As for the cost, it is estimated to be between $1,200 to $1,400, a price that it determined by the company, not from surgeon to surgeon, however, many surgeons offer specials during holidays. The procedure is only done in office, and Neumann said people can even come on their lunch break, have it done and go straight back to work. “It’s great for a quick fix, for localized areas of fat and it’s the best and easiest treatment with the least amount of downtime,” he said. For more information on SculpSure, visit www.nassauplasticsurgeryli.com or call Dr. Neumann’s office at 516-484-0800. Nassau Plastic Surgical Associates, P.C. is located at 1 Expy Plaza Suite #201, Roslyn Heights.

‘‘

A patient receives the SculpSure treatment

Noninvasive is working and working well. SculpSure has been around for two and a half years and the results are universally successful.

’’

– Peter Neumann

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Herricks High School Students

Nine students from Herricks High School’s Medical Technology class, under the guidance of teacher Dana Fischer, had the opportunity to see and learn about Northwell Health’s Monter Cancer Center in New Hyde Park. This clinical site visit was conducted as the first phase of the SPARK! Challenge, a healthcare career program now in its fourth year. A nurse manager and two nurses hosted the Herricks group and provided a tour of the cancer institute and background information about how the center is run on a daily basis. The students then explored the facility’s resources and learned about their impacts. The students received handson experiences in administering IV chemotherapy and using IVs, catheters and ports through the use of teaching dummies. They witnessed pharmacists preparing chemotherapy drugs in the clean room and even had the opportunity to draw “medicine” into a syringe. They visited the center’s blood lab, where technicians were using the instrumentation and viewed different blood

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conditions through microscopes. Additionally, the research team spoke with the students about clinical trials for cancer patients. The objective of the visit was to expose the students to STEM careers. As the next step to the SPARK! Challenge, they will collaborate to create a project and presentation for a fair to be held in April at the Cradle of Aviation. —Story and photos submitted by Herricks Public Schools

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A Beary Good Check Up

Teddy bear clinic teaches local kindergarteners about injury prevention Injured teddy bears were lined up at Searingtown Elementary School in Albertson recently as kindergarteners took on the roles of doctors and nurses to treat the injuries. Slings were made, cuts tended to and teddy bear pulses were checked. It was all part of a free “Teddy Bear Clinic” orchestrated by NYU Winthrop Hospital’s Trauma Center to teach young members of the community about injury prevention, treatment, and to educate them on the medical profession. The children brought in their favorite teddy bear or other stuffed animal, with NYU Winthrop providing equipment for the students to dress up as doctors and nurses. Adelphi University nursing students pitched in, dressed in scrubs and with stethoscopes to assist in treating the injured bears. “We teach children how to take safety into their own hands such as by wearing bike helmets, seat belts and stopping at stop signs,” said Ellen Berghorn, RN, who heads NYU Winthrop’s Pediatric Injury Prevention Program. “We also teach students that the medical world is really not so scary, and the children’s hands-on experience treating injured bears helps bring that to light.” This is the second year the program was put on at Searingtown Elementary School, brought back by popular demand. Presentations were held for four different classes, educating about 80 children in total.

“This program is an excellent way to help young children be comfortable in emergency situations,” said Robert Neufeld, Principal of Searingtown Elementary School. “Making preparations to prevent injuries and to promote well-being as a normal activity and part of life are such valuable experiences for children.” Members of Adelphi University Student Nurses Association explained their roles as nurses and helped the children learn about different medical

instruments. Students went home armed with flyers providing tips for parents to keep children safe, including the proper safety belt fit. According to Safe Kids Worldwide, a non-profit organization, road injuries are the leading cause of preventable deaths and injuries to children in the US, but child safety seats, correctly used, can reduce the risk of death by as much as 71 percent. Unintentional pedestrian injuries are the fifth leading cause of injury-related deaths for children ages 5 to 19, with teens particularly at risk. Safe Kids Worldwide emphasizes the need for children of all ages to put down phones and take off headphones when crossing the street. “The majority of trauma injuries are preventable if children and their parents take basic precautions, stay alert and follow public safety rules,” said Berghorn. NYU Winthrop Hospital’s Trauma Injury Prevention and Outreach Program is dedicated to reducing the number of preventable injuries through research, training and public education. The hospital works throughout the year with local communities to spread awareness about safety-related issues and advocate for policies to improve the safety of Long Islanders. For more safety tips, visit www.winthrop.org/ trauma-injury-prevention-and-outreach. —Submitted by NYU Winthrop Hospital ADVERTORIAL

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Staying Heart Healthy with your Medicare Advantage Plan Heart disease is the leading cause of death for both men and women in the US, according to the American Heart Association (AHA). Heart disease kills an estimated 630,000 Americans each year. We hear these surprising statistics repeatedly, but joining a Medicare Advantage Plan gives you access to various health benefits, so you don’t have to become another statistic. Here are a few ways you can stay heart healthy by taking advantage of some prime benefits and covered services with your Medicare Advantage Plan. Preventative Services. Your risk for developing heart disease increases if you are: a woman age 55 or older, a man age 45 or older; have a family history of heart disease. While you can’t control your age or family history, you can take preventive actions. Many plans cover preventative services such as screenings, immunizations and annual wellness visits. These services help you identify and treat health issues early. Identifying risk factors, unhealthy lifestyle habits, getting recommended screenings and vaccinations, are all part of ongoing heart healthy prevention and management. Speak with your doctor about blood cholesterol and triglyceride level screenings. Disease Management Programs. Many Medicare plans have disease management programs that aim to help you learn to manage chronic conditions like diabetes or high blood pressure. Participating in a disease management program gives you access to information about exercise, medicine, diet, and other treatment options, that will help you lower your risk for heart disease and to improve your overall quality of life. Fitness programs. Fitness programs and access to gym memberships promotes a healthy lifestyle while helping you stay active. These programs may include access to fitness equipment, gym memberships, group exercise classes and more, at no additional cost. The American Heart Association notes that regular exercise leads to heart-healthy habits and can prevent conditions like obesity, high blood pressure, and poor cholesterol levels, which can lead to heart attack and stroke. Access to a Care Navigator or Care Manager. Having a dedicated person to help you navigate all of these services gives you easier access to all your benefits, so you can focus on staying healthy. Care Navigators or Care Managers can help you stay on track with your health goals and assist with things such as medication management, care planning, routine screenings and preventative services. Care Navigators or Care Managers are here to support and encourage a healthy heart.

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Cohen Children’s Medical Center’s New Substance Abuse Initiative

It’s Long Island’s biggest substance problem: the opioid epidemic. To combat this dangerously growing issue, Cohen Children’s Medical Center (CCMC), the stand-alone children’s hospital of Northwell Health, has begun asking patients ages 12 and older about their substance use. The new initiative is an age-appropriate adaptation of the health system’s existing Screening, Brief Intervention, and Referral to Treatment (SBIRT) program, which promotes the “We Ask Everyone” process. Originally instituted for adult patients presenting to select Northwell Emergency Departments and Primary Care Practices, the protocol is designed to universally screen patients. Evidence-based questions are utilized to determine the patient’s level of risk and if they may benefit from support or treatment for their substance use. “This is one of many steps we are taking across the Northwell health system to help our communities combat this national health crisis,” said Jay Enden, MD, chair of the

health system’s Opioid Management Steering Committee. “It is a vital step to standardized practices that better address substance use and the opioid crisis. It is a service to our communities, patients and employees.” In 2015, the Center for Disease Control’s (CDC) Youth Risk Behavior Surveillance System (YRBSS), revealed that for New York State high school students (grades 9-12), 7.6 percent reported using cocaine, 4.8 percent used heroin and 3.4 percent injected illegal drugs compared to 5.2, 2.1 and 1.8 percent respectively, for students nationwide.

“We need to rethink the way we approach the topic. It’s important to address this crisis with a teambased approach to better support our patients and their families,” said Sandeep Kapoor, MD, director of Northwell’s SBIRT program. “By normalizing the conversation, building trust with our patients, and valuing the importance of identifying substance use and its clinical relevance, we are taking a step in the right direction.” At Cohen, social workers and frontline Emergency Department nursing and physician teams have been

trained to use the SBIRT screening tool. In addition to screening at its hospitals, Cohen and the Northwell Opioid Management Steering Committee reached out to all school superintendents in Nassau and Suffolk counties during the first week of January with a survey. By reaching out to determine current issues communities and districts are facing regarding substance use, they hope to identify opportunities that may benefit from partnership. “We are creating structured opportunities to engage and discuss substance use with our patients,” said Jahn Avarello, MD, division chief of Pediatric Emergency Medicine at Cohen. “Adolescence is a critical time due to the exponential risk for abuse and addiction among those who start using substances before the age of 18 compared to those who do not start use until adulthood.” For more information on the new program, visit www.childrenshospital. northwell.edu. —Submitted by Northwell Health ADVERTORIAL

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Researcher Awarded $1.2M To Continue Sepsis Research Feinstein Institute for Medical Research Professor Haichao Wang, PhD, recently received a $1.2 million grant from the National Institutes of Health’s (NIH) National Institute for General Medical Sciences (NIGMS) to continue his search to identify different proteins associated with sepsis, which could lead to a targeted treatment for the condition. This is the fourth NIH grant since 2002 that Wang has received for sepsis research. Sepsis affects more than one million Americans annually—up to 50 percent of whom die. The condition is a life-threatening, body-wide immune system reaction to an infection, which commonly presents symptoms such as fever, swelling, pain, fast heart rate, difficulty breathing, chills and disorientation. While recent research has pinpointed warning signs to identify and protocols to help with the different sepsis symptoms, more understanding of the biological mechanisms is required to develop a treatment for the condition. Fluids and antibiotics are currently administered to reduce the inflammation in

sepsis patients, but it remains unclear what the root cause of inflammation may be. “Our work shows that TTN decreases Professor Haichao the amount of Wang, PhD HMGB1 released by immune cells,” said Wang. “With this continued support from the NIH/ NIGMS, we hope to fully understand the relationship between TTN and HMGB1 in order to develop possible therapies for sepsis.” Previous research conducted by Wang, along with Chief Scientific Officer of the Feinstein Institute Dr. Ping Wang and Feinstein president and CEO Dr. Kevin J. Tracey, found that the protein HMGB1 released by the cells in our immune system accelerates the dysregulated inflammation associated with sepsis. In his current study, Wang believes his research team has identified a particular protein called tetranectin

Sepsis or septicaemia is a life-threatening illness. Presence of numerous bacteria in the blood, causes the body to respond in organ dysfunction.

(TTN), which could reduce the amount of HMGB1 released in sepsis patients. “Sepsis is a lethal and common syndrome, and the available treatments are inadequate—research into this problem is in the national interest,” said Tracey. “The NIH’s continued support of Dr. Haichao Wang is

evidence of the outstanding contributions he has made to understanding this deadly problem.” Wang and his team will be examining the levels of TTN and HMGB1 in mice to map the different ways TTN and HMGB1 are interacting to increase or reduce the inflammation related to sepsis.

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NYU Winthrop Hospital Weight-Loss Program Comes In First

A medically supervised weight management program offered at NYU Winthrop Hospital in Mineola and created by HMR Weight Management Services (HMR), has been named a No.1 Best Fast Weight-Loss Diet for 2018 by U.S. News & World Report. This is the third consecutive year that the program, which involves simple diet and high-intensity lifestyle intervention, has earned this honor. NYU Winthrop is the only hospital in the New York metro area that offers this program. “Successful weight loss is about creating changes around eating and physical activity that can be sustained over the long term,” said Raymond Lau, MD, Endocrinologist and Medical Director of the program at NYU Winthrop. “By keeping the plan simple, people can lose weight quickly while building the skills they need for long-term weight management.” Like many individuals who find themselves struggling to lose excess weight, Elizabeth Kelly of Hicksville, NY, was one such person. After one year on the program, Kelly has successfully lost 115 pounds. Today, she continues on her journey to good health, knowing she has all of the support and resources to do so, thanks to NYU Winthrop’s Weight Management Team. “Five years ago, my life changed

‘‘

Successful weight loss is about creating changes around eating and physical activity that can be sustained over the long term.

’’

dramatically with the unexpected loss of my husband. But this year, this program, this success, gave me the hope I needed to get on a path to a new life—one that is filled with the belief that the future will be rich with enjoyment, pleasure and continued success,” said Kelly, who is elated to be a role model for her grandchildren. “I am forever grateful to NYU Winthrop’s Weight Management Program, its supportive and knowledgeable staff, and to the caring and empathetic members of the

– Raymond Lau program. Without them I would not be here today.” Unlike many commercial diet programs, HMR specializes in helping those who have a lot of weight to lose. The nutritionally-complete plans of the program are designed to simplify food decisions, using only HMR foods (shakes, entrées, cereal, and nutrition bars) with the option of unlimited fruits and vegetables on some plans. The most popular plan follows a simple 3/2/5 structure designed to

keep people feeling full throughout the day. This plan includes at least three shakes, two entrées, and five servings of fruits and vegetables. People are encouraged to eat as many of these foods as they like to avoid hunger. While losing weight, people also practice developing skills like learning to eat more fruits and vegetables, increase physical activity and how to make healthier food choices. “Another key difference from other programs is that NYU Winthrop provides medical management. This is especially important if a patient has diabetes, high blood pressure, high cholesterol, or other weight-related conditions that require monitoring during weight loss,” said Lau. “There is a strong need in our community for effective weight-loss options so we also offer an HMR plan that is a self-guided option, and people can follow that plan at home with online support.” These are lifestyle skills that will help keep weight off, as well as help to reduce risk factors related to the development of heart disease, stroke, diabetes, some types of cancer and other chronic diseases. For more information on this program, visit www.hmrprogram.com. —Submitted by NYU Winthrop Hospital


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PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018 ADVERTORIAL

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PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018

Crucial Care

Central Island debuts Call9 to Rep. Tom Suozzi BY ALLISON EICHLER

aeichler@antonmediagroup.com

Rep. Tom Suozzi visited Central Island Healthcare, a nursing home facility in Plainview, to observe how Call9, an emergency care company, has been improving the lives of Central Island residents. Michael Ostreicher, executive director of Central Island, and Dr. Timothy Peck, a Westbury native and Call9 co-founder and CEO, sat with Suozzi on Feb. 12 to answer his questions and then took him on a tour to meet with patients and nurses to see how the technology works in real time. In July of 2015, the skilled nursing facility became the first in the nation to utilize Call9 technology. The brand’s emergency care is made possible through telemedicine—connecting a physician to the patient through technology and video technology. “Our physicians are on-call 24/7, always available to see the patient, and then we have bedside hands here and that’s a really important part of what we do,” Peck explained. “We have these clinical care specialists who are trained to be able to handle emergencies. They go to the bedside whenever there’s any type of acute need for the patient, tap that app, connect to the physician and together they treat the patient.” As Call9 clinical care specialist Rebecca Charles showed Suozzi, a moveable station houses all of the technology and equipment. An iPad on top will connect to a physician when needed and display medical information, and drawers under the desk space house all medical necessities. The station also includes a telemetry machine that live streams the patient’s vital signs onto the physician’s screen, live streaming of ultrasounds, bedside labs that result within two minutes, EKGs, a variety of blood and urine tests, medications and breathing treatments. “The worst thing for a sick patient is to transfer back and forth to the hospital. Call9 reached out to me and I decided to take a chance on them. Two and a half years later, our patients have benefited tremendously and we’re very happy that

we took a chance on them and to be their first client,” Ostreicher said. “We essentially have emergency room doctors available 24 hours a day to see our patients through [Call9’s] innovative technology, giving us the ability to treat patients

Call9. “The problem I got interested in, and kind of obsessed with, was it takes over an hour for you to call 911 and then see an emergency physician. I thought if I could be with people at the moment of emergency,

bedside as opposed to sending them to the hospital.” The immediate, in-house care Call9 provides, therefore eliminating the wait time of getting to a hospital and seeing a doctor, was the main idea behind Peck’s co-founding of

maybe I could get to them earlier, and telemedicine seemed to be a good way to do that,” Peck said. After making his way through med school at New York University and an emergency medicine residency at Harvard, Peck stayed as faculty

at Harvard medical school and practiced in one of their hospitals. However, his interest in Silicon Valley and technology in the medical field prevailed and he went through Harvard’s business classes, “trying to create that skillset that I would need to lead and run a company like this.” Peck quit his Harvard career, teamed up with others willing to invest in Call9, moved out to Silicon Valley and finally headquartered the company in Brooklyn after having learned and raised enough money to get going. As he observed that 19 percent of ambulance trips to emergency departments originate from nursing homes and rehab centers, Peck emailed nursing homes across the country with his business proposal. After Ostreicher took interest in Peck’s company, Peck made an allout personal investment, spending three months sleeping on a provided cot in the facility’s conference room. “I started seeing patients from the conference room so that if anything went wrong with the technology I would be here to treat the patients. In the meantime, I learned everything I could about the nursing home industry, about treating patients in nursing homes, how the medicine works, how the operations work, how the finances work, et cetera.” With Call9 in place in Central Island, Peck said 80 percent of patients who utilize the telemedicine technology no longer require a hospital visit. The 20 percent who still need outside emergency care require surgery or ICU-level care that Central Island cannot provide in-house. While already in eight nursing homes across the lower eight counties of New York, Peck said Call9 will be branching out this year at a rate of one nursing home per month. “We’re going to, what they say, ‘hit the inflection point’ and start to scale into many, many more,” he said. For more information, visit call9.com.


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PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018

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PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018

Getting The Red Out: Addressing The Appearance Of Broken Blood Vessels BY LANCE BARAZANI

specialsections@antonmediagroup.com

Over time, what may have started out as an “itsy bitsy” spider vein can become a real concern. We call them “spider veins” because of their web-like appearance, but really they’re broken blood vessels: veins that are not properly returning blood to our heart. They can be unsightly and—in some cases—indicate a medical problem. Age is one risk factor for spider veins, which are sometimes referred to as “telangiectasias.” As we get older, so do our veins, which are the tubes that bring blood back to our heart for a refill of oxygen to be delivered to the rest of our body. Our veins have valves to make sure that blood continues to flow to the heart. If those valves don’t work well, blood backs up, causing spider veins and, in more severe cases, varicose veins. Genetics, injury and disease, sun exposure, hormones, diet, and prolonged sitting or standing can also contribute to spider veins. As a result, the American Society for Dermatologic Surgery reports that most of us will see some level of vein breakdown during our lifetimes. Women are more susceptible due to hormones: Regardless of age, forty percent experience vein issues, with four out of five women having problems by age 80. Spider veins usually appear on patients’ legs and faces, which can cause significant cosmetic concerns. In addition, though infrequent, spider veins can be a sign of circulatory problems that require medical treatment. With this in mind, try these tips to address spider veins:

Start with a thorough medical examination

Especially for treating leg veins, it’s important that patients are carefully evaluated to make sure that the appearance of spider veins is not related to an underlying circulatory problem. The doctor needs a comprehensive understanding of the nature and extent of the vein damage so that a tailored, effective approach can be used.

Legs or face? Location matters

The type of procedure that is used depends in part on where the veins are. In general, laser and light-based treatments are used for the face, where spider veins may appear as the result of conditions such as rosacea. For the legs, chemical injections— called sclerotherapy—are often used. Another more recent approach for spider veins on the legs is endovenous laser therapy (EVLT).

Choose your doctor carefully

Spider-vein procedures are generally minimally-invasive outpatient treatments and the patient can usually expect to be back to their normal routine by the next day. That said, these procedures are surgeries, and the doctor’s knowledge and expertise are important for the best outcome.

Manage your expectations

Whether chemical or laser, spider-vein treatments

‘‘

Take preventative steps after the procedure

Genetics, injury and disease, sun exposure, hormones, diet, and prolonged sitting or standing can also contribute to spider veins.

’’

work by disrupting the problem veins so that they eventually dissolve and disappear, with blood flow rerouted to fully functioning veins. But this takes time, usually at least three to six weeks. Also, it’s important that patients realize that more than one treatment may be needed to address the appearance of spider veins.

Part of managing expectations is understanding that treating spider veins will not prevent new ones. Patients should be aware of the steps they can take to support healthy veins: staying active, watching their weight, limiting sun exposure, avoiding hot baths, refraining from prolonged sitting or standing, wearing comfortable, non-restrictive clothes and, when possible, using compression hose. Above all, it’s helpful for patients to know that while spider veins are inevitable for many of us, if they become disruptive, there are effective treatment options. Lance Barazani, M.D., F.A.A.D., is board-certified in dermatology and specializes in all areas of medical dermatology for adults and children, the prevention and treatment of skin cancer, cosmetic dermatology and laser surgery. Dr. Barazani was recognized on New York Magazine’s list of top doctors for 2016 and has also received recognition as a Castle Connolly Top Doctor and a NY Top Doctor.


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PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018

PEOPLE IN THE NEWS

Richard Satin Named Vice-Chairman Of Ronald McDonald House Of Long Island The Ronald McDonald House of Long Island (RMH-LI) is proud to announce that Richard G. Satin, New York Office Managing Partner of Schnader Harrison Segal & Lewis LLP, has been named to the position of ViceChairman of the Ronald McDonald House of Long Island. Satin has served on the board of directors since 2010. The Ronald McDonald House keeps families with sick children close to each other and the care and resources they need. The House provides the parents and siblings of these children with a temporary haven in a secure and comfortable environment among other families sharing a similar burden. Satin is a member of Schnader’s Business Services department, as well as Securities Law and Corporate & Finance Practice Groups. He is deeply committed to community service, and

was selected as one of the 2010 Pro Bono Attorneys of the Year by Touro Law School, where he has also been a guest lecturer. “Richard is a tremendous asset to our organization,” said Matt Campo, president of RMH-LI. “We are grateful

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of critically ill children in our community is unprecedented. We are looking forward to his leadership in 2018.” —Submitted by Ronald McDonald House of Long Island

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PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018

New Legislation Combats Lyme And Tick Borne Diseases

With Lyme disease cases continuing to increase on Long Island and throughout New York, Senator Elaine Phillips announced her support of a package of legislation designed to reshape and more effectively combat the growing disease. The package includes measures that would significantly increase reporting of these diseases to bolster critical research and create a working group composed of various experts to ensure that the State remains aware of important developments in this ever-evolving field of study. “Long Island families are unfortunately very familiar with the hazards of Lyme disease and other tick-borne illnesses. This is why it is imperative that we advance efforts in Albany to improve research and awareness to ultimately prevent future cases and mitigate the harmful effects of the disease, especially in our children,” said Phillips, who noted that one bill would specifically create a pilot program for Lyme and tick-borne disease testing in children. “Child’s symptoms for Lyme disease or other TBD’s are not always clear-cut. By giving families more options for early detection and testing, hopefully more kids will be able to make a quick recovery from Lyme disease.” The package of bills aims to tackle the growing issue head-on. Specifically, the bills include:

A pilot program for Lyme and TBD testing in children

Children with certain diagnoses that have similar symptoms as Lyme and other TBD’s could voluntarily be tested for TBD’s. Experts have noted that children ages 5-7 have the highest rate of contracting Lyme disease, and by targeting at-risk populations, we can better ensure that those who contract Lyme or other TBD’s can be diagnosed and treated early.

The creation of a ‘Mental Health Impacts’ report

This would require the State to conduct an impact study considering how infectious diseases and blood-borne pathogens, including Lyme and TBD’s, may have correlations with mental illness in infected individuals. Such an initiative would enable the State to better address any mental health consequences associated with these infections.

Improve reporting requirements of Lyme and TBD’s after death

Requires those responsible for conducting post-mortem examinations to report to the State Department of Health any time they discover that the deceased individual was afflicted with Lyme or any TBD at the time of their death. Such reporting will help improve the accuracy of Lyme and TBD’s statistics.

Lyme and TBD’s working group

Establishes a Lyme and TBD’s working group to review current best practices for the diagnosis,

‘‘

Long Island families are unfortunately very familiar with the hazards of Lyme disease and other tick-borne illnesses.

’’

– Elaine Phillips

treatment and prevention of Lyme and TBD’s and ensure that the State remains apprised of new developments in the ever-evolving field. The bills were drafted as a result of recommendations made in a report issued by the Senate Majority Coalition Task Force on Lyme and

Tick-Borne Diseases of which Senator Phillips was named a member last year. The Task Force has been working since 2013 to engage stakeholders and develop legislation to address Lyme disease. It will build upon past legislative successes, including two new laws passed last year that require the Department of Health to design a Lyme and TBD awareness program, and require the State to create age-appropriate educational materials that would be readily available to schools. Another new law passed this year will help keep kids safer through the use of insect repellent at summer camps. “Education is key and as elected officials, it is our responsibility to promote public awareness about this debilitating illness in our local communities,” said Phillips. “As a member of the Task Force, I look forward to working with my colleagues as we improve detection and treatment efforts of tick-borne diseases and provide residents with the knowledge they need to reduce exposure.” —Submitted by Senator Elaine Phillips


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PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018

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Northwell And ProCure NJ To Offer Advanced Proton Beam Cancer Therapy Northwell Health now offers an innovative, targeted cancer treatment option called proton beam therapy through a clinical affiliation with ProCure Proton Therapy Center (ProCure NJ) located in Somerset, NJ. With the addition of proton therapy, Northwell Health provides the full spectrum of cutting-edge cancer treatments in the NY/NJ tri-state area. Radiation oncologists from the Northwell Health Cancer Institute now have access to this important cancer fighting tool and will assist patients in determining the treatment option most appropriate for them. Anuj Goenka, MD, the director of proton services for Northwell, and Rajiv Sharma, MD, a specialist in pediatric radiation oncology, will coordinate the care

‘‘

Proton therapy is a precise form of external-beam radiation treatment that utilizes protons to target tumors instead of photons (X-rays).

’’

of Northwell Health patients at ProCure NJ. “It can be quite challenging to navigate the complex world of oncology, specifically radiation oncology, in which there are so many treatment options available,” said Goenka. “We are excited to now offer the full spectrum of radiotherapy options here at Northwell. Our cancer team has the clinical expertise and tools to help patients make the best decisions for their care.” “Northwell’s affiliation with ProCure NJ to treat our patients with advanced proton therapy means that cancer care is coordinated by the same team of physicians that manage patients’ entire course of treatment,” said Louis Potters, MD, chair of radiation

medicine at the Northwell Health Cancer Institute. “As a result, there is no need for patients and their families to search for and establish care outside of Northwell Health. With the addition of proton therapy, we now offer every major radiation therapy option currently available, allowing our physicians to personalize treatment for all our patients.” ProCure NJ was the first to bring proton therapy to the tri-state region. Proton therapy is a precise form of external-beam radiation treatment that utilizes protons to

target tumors instead of photons (X-rays). The important distinction between the two is that after the protons travel through the patient and reach the tumor, they stop, so there is no exit dose. Protons limit the amount of radiation exposure healthy tissue and organs surrounding the tumor receive, thereby, reducing the risk of side effects and improving a patient’s quality of life. Proton therapy is a treatment option for a wide range of cancers, including childhood cancers, brain tumors, head and neck cancers,

breast cancer, lung cancer, prostate cancer, re-irradiation of previously treated cancers, sarcomas, pancreatic cancers, lymphomas and esophageal cancers. ProCure NJ is the only center to offer Pencil Beam Scanning (PBS) in the New York metro area. PBS is the most advanced form of proton therapy which utilizes an ultra-narrow proton beam that deposits radiation dose more precisely within a tumor. It allows physicians to precisely “paint” the tumor with radiation, minimizing radiation exposure to healthy tissue and reducing the risk of side effects. “It has always been our mission to make proton therapy accessible to as many patients as possible,” said Dr. Brian Chon, medical director at ProCure NJ. “Our clinical affiliation with Northwell Health allows us to share access to this cutting-edge treatment and takes us another step closer to continuing and fulfilling our mission.” To schedule an appointment with a Northwell radiation oncologist, call 855-927-6622. To learn more about proton therapy at ProCure NJ, visit www.procure.com/nj —Submitted by Northwell Health


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PROFILES IN MEDICINE • FEBRUARY 21 - 27, 2018

HEALTH BRIEFS

Northwell Receives Grant To Deliver HIV/AIDS Care North Shore University Hospital (NSUH) has been awarded an $837,935 federal grant to provide HIV care and support services for women, infants, children and youth along with their affected family members in 2017-18. The Ryan White Part D grant, awarded by the federal Health Resources and Services Administration (HRSA), is one of only 116 programs nationally that received funding. The bulk of the funding supports HIV specialists and mental health providers to ensure access to cutting edge pediatric, adolescent,

OB/GYN and adult HIV care. David Rosenthal D.O., Ph.D., is the primary investigator of this grant and medical director for the Center for Young Adult, Adolescent and Pediatric HIV at Northwell Health. Dr. Rosenthal has worked on the grant since its inception in 2009. “Women, children and youth living with HIV have unique challenges that are specific to their age and gender,” said Dr. Rosenthal. “The Ryan White Part D program allows the Northwell Health Center for Young Adult Adolescent and Pediatric Health to specifically

address these patients’ individual needs and to provide them with outstanding comprehensive health care. This grant allows Northwell Health to provide resources specifically aimed at helping families living with HIV.” Approximately $2.36 billion in Ryan White HIV/AIDS Program grants have been allocated to cities, counties, states and local community-based organizations for 2017. This funding backs medical care and support services to more than half a million people living with the disease in the United States.

David Rosenthal D.O., Ph.D.

Michelin Star Chef Joins Northwell Health Chef Bruno Tison has joined Northwell Health, becoming the first and only Michelin Star chef hired by a health care organization in the United States. “This is the first time Northwell has hired and created a position such as this because there’s a real need for it,” said Tison, who spent 14 years as the Executive Chef at the Plaza Hotel in New York City. Tison plans to visit all Northwell hospitals to train kitchen staffs at their individual facilities. His first stop was to LIJ Valley Stream Hospital, where he prepared the quintessential comfort food for convalescing and cold weather—healthy chicken

‘‘

I’m going to re-train and re-teach the culinary departments to provide not only the patients, but employees with fresh food.

’’

– Chef Bruno Tison soup from scratch. The chef’s seasoned techniques included whole chickens and vegetables, and no dehydrated powders, which are used in hospitals. “It’s an honor and a privilege to work with such an amazing chef like Bruno,” said LIJ Valley Stream Executive Chef Patty Sobol. “He’s got a wealth of knowledge and we can’t wait for Chef Bruno to inspire us and help us make our food even better.” As part of Northwell’s Food and Nutrition

Wellness transformation, kitchen staffs across the system will learn to create food that supports healing and well-being by using less salt and sugar while avoiding saturated fat. The goal is to minimize the use of frozen and canned goods, serve foods with minimal processing that are baked, not fried. “I’m going to re-train and re-teach the culinary departments to provide not only the patients, but employees with fresh food,” said Tison. “We want to

keep patients and employees healthy and we want our patients to look forward to a great meal.” Under his leadership, Tison’s team at the Fairmont Sonoma Mission Inn and Spa in California has received Michelin Star recognition for three consecutive years. His role at Northwell Health will include system-wide oversight of food quality, culinary training and menu and recipe development.


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