Profiles in Medicine 09-05-18 by Anton Community Newspapers

MEDICINE PROFILES IN

AN ANTON MEDIA GROUP SPECIAL • SEPTEMBER 5 - 11, 2018

Breaking The Habit Also: Avoiding Falls Kidney Walk Second Opinion Service Philip G. Palumbo, CFP® Senior Vice President– Wealth Management 516-408-5848 ubs.com/team/ palumbowealthmanagement

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We’ve mastered memory care so that you can cherish each moment

Caring for someone with Alzheimer’s disease or dementia takes both heart and science – knowing what expert approaches to take, and providing such care with compassion. This is what we do every day at The Bristal at Lake Success. Our community is dedicated 100% to state-of-the-art memory care, built upon a solid foundation of success caring for seniors at our family of assisted living communities across the tri-state area. We’ve also developed an alliance with Northwell Health’s Feinstein Institute, initiating opportunities for advancements in dementia care. Altogether, this means peace of mind for you, proven memory care for your loved one, and the freedom to share and embrace every moment. Come visit a truly extraordinary community where memory care is everything: The Bristal at Lake Success.

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BY JENNIFER FAUCI JFauci@antonmediagroup.com

It is a constant mission to raise awareness for diseases across the medical board. From the well-known to the unknown and everything in between, it has become more and more difficult to spot illnesses like mesothelioma. The Mesothelioma + Asbestos Awareness (MAA) Center is an organization that attempts to bring attention to the dangers of asbestos exposure and asbestos-related diseases like mesothelioma. Sarah Wallace is a health advocate for the MAA Center and shed some light on the cancerous disease.

What is your role with the Mesothelioma + Asbestos Awareness Center?

As a health advocate with the Mesothelioma + Asbestos Awareness Center, one of my main goals is to raise awareness about asbestos-related diseases. This is done primarily through outreach and collaboration efforts with other organizations, especially those invested in providing individuals and communities with information to protect public health and improve quality of life.

Tell me about the MAA Center?

The MAA Center is an advocacy organization seeking to educate people about the dangers of asbestos exposure, connect mesothelioma patients with relevant experts, and act as a news source for mesothelioma and asbestos-related issues.

What are some ways you garner attention for mesothelioma?

In addition to providing information, we seek to raise awareness by promoting multiple events throughout the year. Some of these include: ADAO’s Mesothelioma Awareness Month: Each September, the Asbestos Disease Awareness Organization (ADAO) raises awareness about asbestos-related diseases, prevention and detection methods, and current progress toward finding a cure. Mesothelioma Awareness Day (MAD): Each year on Sept. 26, patients, survivors, loved ones, and organizations hold events to raise awareness about mesothelioma, the dangers of asbestos exposure, and the need to ban asbestos. This year marks the 14th annual Mesothelioma Awareness Day. Rare Disease Day: Rare Disease Day takes place on the last day of February.

Digital chest x-ray of advanced malignant mesothelioma on left

Mesothelioma: Learning The Facts

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What are the consequences of asbestos exposure?

For mesothelioma, prognosis is often poor because the disease has a long latency period

’’

A rare disease is defined as a condition affecting fewer than 200,000 people a year. This includes rare cancers like mesothelioma, along with nearly 7,000 other conditions. Because these diseases are often misdiagnosed, patients can find themselves with a lack of treatment options. For this reason, organizations use Rare Disease Day to raise awareness and advocate for more clinical trials and studies dedicated to finding cures.

Asbestos is a naturally-occurring mineral that has been used in thousands of manufacturing and consumer products throughout history. In the past, asbestos was referred to as a “miracle” mineral because it is both heat and chemical resistant and extremely durable. Though it was used extensively in the United States through much of the 20th century, research has found that materials containing asbestos can cause serious health problems, especially when they are disturbed or damaged. When asbestos is disturbed, people can accidentally ingest or inhale the microscopic fibers. This may lead to serious health problems, including conditions like asbestosis, certain types of lung

cancers, and mesothelioma. For mesothelioma patients specifically, prognosis is often poor because the disease has a long latency period (anywhere from 10 to 50 years) and because symptoms are often misdiagnosed. Reaching a diagnosis is especially difficult for individuals who are not seen as having a direct link to asbestos exposure. Historically, asbestos was tied to male-dominated occupations like manufacturing and construction. However, because asbestos could be found in more than 3,000 consumer products at the height of its use and can be present in homes, schools, and public infrastructure today, everyone should understand the consequences associated with asbestos use and exposure. For more information on the Mesothelioma + Asbestos Awareness Center, visit www.maacenter.org.

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What’s next in skin care? Come find out.

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Some people never get acne. For everyone else there’s Schweiger Dermatology.

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PROFILES IN MEDICINE • SEPTEMBER 5 - 11, 2018

The 17th annual New York City Kidney Walk will take place on Nov. 11 at Foley Square in lower Manhattan.

(Photo source: Facebook)

Cassena Kidney Care To Sponsor 17th Annual NYC Kidney Walk

he National Kidney Foundation (NKF) Serving Greater New York announced today that Cassena Kidney Care, a leading organization that provides the latest technology clinics that prioritize comfort for Dialysis patients in New York, will partner with NKF Serving Greater New York to launch the inaugural Kidney Cup Challenge to benefit the NYC Kidney Walk taking place on Sunday, Nov. 11 in Foley Square, New York City. The Kidney Cup Challenge, presented by Cassena Kidney Care, is a friendly fundraising competition between local healthcare organizations encouraging staff, patients, and the local community to create fundraising teams to support NKF’s fight against kidney disease and efforts to increase the availability of organs for transplantation. The top fundraising team will be crowned

at the Kidney Walk and will hold ownership of the trophy until the next year’s competition. “We couldn’t be more excited to partner with Cassena Kidney Care as we launch the NYC Kidney Cup Challenge,” said Meg Gilmartin, Executive Director of NKF Serving Greater New York. “With their help, this fun competition will unite the dialysis community and those focused on eradicating kidney disease in an effort to raise more money than ever before for the NYC Kidney Walk. Cassena Kidney Care is dedicated to putting kidney health near the top of the national conversation about wellness. By supporting the NYC Kidney Walk, the largest kidney walk in the nation, they will help us drive the needle on that dialogue.” With locations in Bronx, Brooklyn, Queens, and Long Island, Cassena

Kidney Care strives to provide the highest quality treatment to the communities they serve. Comprised of a dedicated renal care team of Boardcertified nephrologists, dialysis nurses, certified renal dietitians, physicians and social Workers, Cassena Kidney Care’s experts collaborate to provide each patient with an individualized, integrated dialysis treatment program. Beyond their top-notch technology, Cassena Kidney Care dialysis centers are bright and uplifting with Wi-Fi, heated massage chairs, and individual TVs with premium channels. “It is an honor to support a foundation that raises awareness along with providing education to countless patients, families and professionals,” said Kaitlin Powers, Director of Admissions for Cassena Kidney Care. “Our team at Cassena Kidney Care joins NKF in its dedication to

improve the health and well-being of individuals impacted by kidney disease.” Fresenius Medical Care North America, is the National Presenting Sponsor of the 2018 Kidney Walk series. The New York City Kidney Walk also is supported by National Multi-Market Sponsors: Azura, LogistiCare and Relypsa. The 7,000 plus walkers are an enthusiastic and dedicated community comprised of patients, caregivers, families, living donors, friends, corporate sponsors and healthcare professionals. Checkin for the walk begins at 9 a.m. and the three-mile walk begins at 10:45 a.m. Registration for this year’s walk is now open. Individuals interested in obtaining more information about signing up or donating to the walk can visitt www. kidney.org.

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PROFILES IN MEDICINE • SEPTEMBER 5 - 11, 2018 ADVERTORIAL

Heart Health and Management According to reports, more than 5% of persons age 60 to 69 have Congestive Heart Failure (CHF). Heart failure is responsible for 11 million physician visits each year, and more hospitalizations than all forms of cancer combined. “Heart failure means that the heart isn’t pumping as well as it should be. Individuals who are diagnosed with Heart Failure and other related conditions have a higher risk of hospital admissions and readmissions without appropriate health care actions,” said Gilda St. Fleur, Senior Director, Quality Assurance & Clinical Management at AgeWell New York. Gilda reinforces that the key is management and prevention, and treatment plans may involve lifestyle changes, diet, exercise, medications, devices and surgical procedures. “At AgeWell New York, we’ve developed a Heart Failure Program to assist members with this condition and other related diagnoses to live healthy in the community. We’re giving them access to tools and resources and providing them with valuable information so they can make healthy decisions.” It is important to set goals to manage your health and involve all key people in your care coordination such as loved ones, your doctors and specialists, your health plan, and others you see necessary. Here are a few recommended tips to stay heart healthy: • Keep your blood pressure and cholesterol stable, avoid high sodium foods and eat lots of fruits and veggies. • Exercise daily and stay active. Incorporate low impact exercises such as walking, swimming, ta-chi, cycling, gardening or yoga. • Visit your doctors/specialists regularly. • Get all your annual screenings and immunizations and record any changes in your health to let your doctor know. • Take your medicines as your doctor prescribed. Talk to your doctor before you stop taking a medicine. Keep a list of all the medicines you take. Include your prescription medicines, vitamins, herbs, and medicines you buy at the store to ensure there’s no adverse interactions. The overall goal is to manage your condition and always take preventive measures. It’s also important to make sure you have a strong care team to help you identify risks, or changes in your health. If you’ve been diagnosed with HF, monitor your symptoms and let your doctor know if any new symptoms appear or if any symptoms get worse. If you think you may be at risk for HF, speak with your doctor right away.

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All-Star Hospital Visit

Mets star Michael Conforto visits pediatric cancer patients New York Mets star Michael Conforto, a 25-yearold outfielder who was an All-Star last season, recently said that he wanted to lead by example. “If I am going to be a guy who is going to be sticking around,” said Conforto, “I’ve got to step into a little bit more of a leadership role.” While Conforto was talking about his role on the field, he’s been displaying plenty of leadership off the field. Today, “Scooter,” as he’s also known, visited dozens of youngsters at The Cancer Center for Kids (CCFK) at NYU Winthrop Hospital as well as its Children’s Medical Center. The visit was part of Conforto Cares, a program established by the player to raise awareness about pediatric cancer and the challenges faced by young patients. As part of the program, Conforto had already hosted young NYU Winthrop patients and their families at Citi Field, but Conforto wanted to do more; he wanted to come and see where the youngsters are being treated and spread sunshine and hope in these important places. “My goal is to bring cheer and inspiration to these young children while also raising the visibility of pediatric cancer and other childhood diseases,” said Conforto. “The Mets have been extremely supportive

‘‘

My goal is to bring cheer and inspiration to these young children while also raising the visibility of pediatric cancer and other childhood diseases.

’’

–Michael Conforto

of my efforts, caring deeply about their communities and helping me to give back. I hope to inspire these young patients to stay determined. If we, as a broader community, stay determined, maybe one day there will be more cures for childhood diseases.” Conforto distributed Mets t-shirts to the pediatric patients and family members. He also handed out pop-up replicas of the Mets home-run apple and presented autographed photos. The event followed on the heels of patients and family members visiting Citi Field last month at Michael Conforto’s invitation. During that outing, the youngsters were given a tour of the stadium and Mets clubhouse, and they were shown scoreboard operations including how to raise the home-run apple in centerfield. The children also enjoyed batting practice in the Mets batting cages and joined Conforto for lunch in the ballpark. Michael Conforto was so inspired by the spirit of these young patients during their visit that it prompted him to expand his program and initiate visits into the communities, such as the one held today. “Michael’s desire to create special experiences for these children and their families really makes a difference,” said Mark Weinblatt, MD, Chief of Pediatric Hematology/Oncology at NYU Winthrop and Director

of the CCFK. “Children look up to professional athletes and meeting one like Michael Conforto and getting special memorabilia, it renews the vitality of these young patients and that’s so important.” “It’s a privilege to help these children forget about the rigors of their treatments and just enjoy being kids,” said Conforto. The Cancer Center for Kids at NYU Winthrop Hospital offers a range of early detection, diagnostic, intervention and treatment services, both inpatient and outpatient, for children’s cancers and blood disorders. Dramatic improvements have been made in pediatric cancer patient survival, with nearly 80 percent of children cured of their malignancies. Each CCFK patient receives the latest treatment regimens, and most participate in national protocols that serve to further the science and

treatment of childhood malignancies. Conditions treated at the Center include leukemia and lymphomas; bone, soft tissue and brain tumors; hemophilia; sickle cell disease and more. NYU Winthrop Hospital Children’s Medical Center offers broad-scoped inpatient specialty programs and services. The Medical Center also features a Child Life Program aimed at easing the fears and anxiety of children who are hospitalized, addressing their emotional needs through play, fun-filled activities, education and support. The Children’s Medical Center was recently named to U.S. News & World Report’s 2018-19 Best Children’s Hospitals rankings as one of the best Children’s Hospitals in the NY/ Metro area and for demonstrating excellence in the area of Pediatric Diabetes and Endocrinology. —Submitted by NYU Winthrop Hospital

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HEALTH BRIEF

Northwell CEO Named A ‘Most Influential’ Health Care Leader Northwell Health president and CEO Michael J. Dowling has been named to Modern Healthcare magazine’s “100 Most Influential People in Healthcare” for the 12th consecutive year. Dowling is the top-rated hospital executive in New York State on this year’s list, ranking No. 44 overall. He oversees an organization with nearly $12 billion in annual revenue, building a culture of high-quality care with a focus on innovation that has helped drive the growth of Northwell Health, which now has 23 hospitals and more than 665 outpatient facilities throughout the New York metropolitan area. His ability to grow the health system into a vast clinical, academic and research enterprise builds on a legacy of innovation dating back to his 12 years of public service overseeing health, education and human services for former New York Governor Mario Cuomo.

Northwell Health president and CEO Michael J. Dowling

“In today’s turbulent health care environment, it’s imperative that providers on the front lines of delivering care have strong representation at the state and federal levels,” said Dowling. “As CEO of New York’s largest health care provider, I’ve always tried to be a compassionate voice for the needy, a no-excuses advocate for patients, and a driver of changes that stabilize our industry and improve health care delivery in the process.” President Donald Trump topped Modern Healthcare’s rankings while Apple CEO Tim Cook and Amazon Chairman and CEO Jeff Bezos were among 12 executives tied in the No. 2 spot and labeled as “disrupters.” To see the complete list of Modern Healthcare’s “100 Most Influential People in Healthcare,” visit www. modernhealthcare.com/community/100-most-influential/2018. —Submitted by Northwell Health

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Katz Institute for Women’s Health

Join our Women’s Wellness event:

Reducing Your Risk of Cancer Throughout Your Life

The foods you eat and the amount you exercise have a significant impact on your overall health. It may also play a part in your risk for cancer. There are simple lifestyle changes you can make to help reduce your chances. Join our experts as they discuss: – >ow genetics can contribute to your risk of developing certain cancers – Jhe various types of cancer screenings appropriate for your age – Mhich foods to eat (and avoid) for cancer prevention Speakers Anna Levy, DO Medical Oncologist Monter Cancer Center Northwell Health Cancer Institute

Sharona Cohen MS, CGC Certified Genetic Counselor, Director, Cancer Genetic Program Northwell Health Cancer Institute

Stefanie Grzancic RD, CDN Nutritionist Northwell Health Cancer Institute

For more information, call the Katz Institute for Women’s Health at (855) 850-KIWH (5494) or email womenshealth@northwell.edu.

Join us:

Wednesday, September 26, 2018 6:30pm to 8:30pm Long Island Marriott 101 James Doolittle Boulevard Uniondale, NY 11553 Admission: $20 Registration required. Register with a friend and receive $5 oﬀ each. Register online at 9WdY[hh_ia$[l[djXh_j[$Yec or call (855) 850-KIWH (5494). Healthy refreshments and a light dinner will be served. All attendees will be entered into a raﬄe to win a gift basket.

Cancellation policy: All cancellations must be confirmed in writing to womenshealth@northwell.edu or 1981 Marcus Avenue, Suite E110, Lake Success, NY 11042 no later than I[fj[cX[h (*. No refunds will be made after this date for cancellations or “no shows.”

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Empowering Those With ADHD Helps The Community And Economy

Demystifying Meningitis

BY SCOTT DARREN SCHACHTER

specialsections@antonmediagroup.com

“In my opinion, ADHD is a terrible term. As I see it, ADHD is neither a disorder, nor is there a deficit of attention. I see ADHD as a trait, not a disability. WhenBY it isCHRISTINA managed JOHNS since the sooner a case is diagnosed the properly, specialsections it can become a@ huge asset antonmediagroup.com better the outcome will be, even if that in one’s life.” means hospitalization. Those areThere the words of words world-reare few in the lexicon of Meningitis refers to inflammation of the nowned,medical Harvard-educated terminologyADHD that get a parent’s meninges, which are the tissues lining the specialistattention and psychiatrist Ned ” It’s a critical like “Meningitis. brain. As an infectious disease, it can have Hallowell. He also have illness thathappens can eventobe fatal, especially multiple causes: from bacterial to viral to ADHD and dyslexia. among children and teenagers. Yet many the more obscure (like tuberculosis). Like Hallowell, I tooknow not only have people don’t what it means or how People who have meningitis typically ADHD and a learning disability to spot its earliest symptoms. complain of some combination of (dysgraphia) butisview ADHD notnow as abecause This a timely topic symptoms, from a short flu-like syndrome disabilityone butof anthe amazing ability that most common culprits of viral that can feel like a stomach bug. Other needs to meningitis be cultivated through is the class hope, of germs called hallmarks include “nuchal rigidity” (a stiff empowerment and treatment. enteroviruses, which circulate during the neck) as well as difficulty doing a straight In fact,warmer I have spent the months. past school weather While meningi- leg raise. Light sensitivity, called photoyear speaking at various fast, yet sometimes manage Why: Better Economy, tis is rare overall,special we tend to see more viral phobia,difficult is a big to clue as well. education PTAs (SEPTAs) and leading ability and brain. meningitis cases in the summer. Better Business By the time I see most patients with ADHD organizations discussing with is and Below, outlinedthey some simple Knowing what meningitis what I have meningitis, have an inklingThose that living with ADHD have our localto communities parents ways, steps and reasonsiswhy we on that’s more than look for in itsand early days is important, something going an amazing, fast, creative brain. about how and why we should be should be empowering, embracing They can think on their feet and empowering children, students and and encouraging communities to often come up with some amazing adults who live with this amazing, accommodate those with ADHD.

outside-of-the-box ideas. It’s not a coincidence that many of the top businessmen and entrepreneurs have ADHD including: billionaire Richard Branson, JetBlue founder David Neeleman and Kinkos founder Paul Orfalea. ADVERTORIAL

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Alzheimer’s & Dementia Caregiver Support Group At Grace Plaza, we understand how difficult it can be to navigate and understand exactly what caring for someone you love with Alzheimer’s and Dementia looks like. We invite you, your family, other caregivers and friends to join us for our monthly support group. Here you will find a place to share your feelings, learn and exchange valuable caregiving information, and discover a supportive network of Grace Plaza staff and other families sharing a similar experience. Meetings are held on the third Thursday monthly at 2pm in the First Floor Parlor. For more information about the support group or for suggested RSVP, please contact facilitators Jaclyn or Debbie at 908-208-6059 or email jdagnallsentosa@gmail.com

We welcome you to take a personalized tour of the Facility!

Our Pathway to Recovery is a comprehensive and dynamic rehabilitation model offered at Grace Plaza Nursing & Rehabilitation Center for individuals who require continued rehabilitation in a specialized setting to address: Neurological, Pulmonary and Orthopedic conditions. At Grace Plaza’s specialized rehab-oriented campus, we provide physical, occupational, speech and respiratory therapies, with a twist. The approach and training of the rehabilitation team is centered around concepts and modules related to specific areas of function. The skilled nursing care also focuses on your rehabilitation. The following programs may be incorporated into a daily therapy regime designed to specifically meet the individual’s needs on their Pathway To Recovery. • On-site Medical Management • Rehabilitation Services • Nursing Rehabilitation • Recreational Programs • Discharge Coordination (Home Assessment, Post-Rehab Care) • Therapeutic Exercise Programs • Activities of Daily Living – Bathroom and Kitchen Skills • Neuropsychological Assessment, Evaluation and Treatment

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just a two to three day sickness. Clinicians diagnose meningitis by performing a spinal tap, or lumbar puncture, that draws spinal fluid (also known as CSF), which is sent to a lab for testing. Based on the cell count and level of glucose and protein in the fluid we can determine whether the infection is due to a viral or bacterial cause. Treatment can include a broad spectrum antibiotics until the CSF culture incubates in the lab for 48 hours. After that time, if the culture is positive, antibiotics are continued and ultimately tailored to the exact infecting organism. If the culture is negative, the assumption is that the infection is viral meningitis, and we engage in symptom management rather than antibiotics. The extent of treatment can include rest, pain management, and hydration, all the way up to IV fluids and hospitalization. People who have viral meningitis typically recover well; treating bacterial meningitis is trickier, and is usually it’s more dangerous. If your child has symptoms that are concerning, an urgent medical evaluation is your best first course of action. The

earlier the diagnosis is made, the sooner physicians can make your child comfortable, regardless of final diagnosis. What can be done to prevent meningitis? Children should be immunized on the proper schedules to guard against H. Influenza type b, Neisseria Meningitidis, and the Pneumococcal conjugate vaccine, which are all causes of bacterial meningitis. Some of these vaccines are given during infancy, and some are given in the preteen and teenage years. Viral meningitis is typically transmitted through aerosolized respiratory particles—basically, sneezing—and can be controlled by taking the same precautions that apply to regular viruses: coughing into the elbow, not sharing drinks with someone with a stomach bug and handwashing. Demystifying meningitis is important, to convert fears and misunderstanding into higher awareness and early recognition. That way, you can tell the difference between a summer bug and something far worse. Christina Johns, MD, is a pediatric urgent care spokesperson for PM Pediatrics

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License 400-S-326 210179

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HEALTH BRIEF

Catholic Health Services Catholic Health Services of Long Island Names New VP

Catholic Health Services (CHS) has named George Beauregard, DO, senior vice president of value-based care for CHS Physician Partners Medical Group, a CHS employed faculty network, which includes approximately 250 physicians and 100 mid-level providers. “We are excited to have Dr. Beauregard join the CHS team,” said executive vice president and Chief Clinical Officer Patrick M. O’Shaughnessy, DO, MBA, FACEP. “His extensive experience will be a great asset to leading our population health management organization and help position CHS as a leader in this space.” Beauregard, a physician executive with 20 years of multi-leadership experience in large physician networks and integrated delivery systems, brings talent and robust credentials to this role. He recently served as vice president and chief physician executive for St. Luke’s Health Partners of

Catholic Health Services on Long Island

 6 Hospitals Boise (SLHP), Idaho, which comprises transformed

(Map courtesy of Catholic Health Services)



Clinics and Practices In addition to his leadership roles,

approximately 2,400 providers, where SLHP into Beauregard has wide-ranging clinical  65 employed practices in on 76various lead3the Skilled he design andNursing implemen- Facilities becoming experience and has served tation of essential components that a clinically boards for health care organizations, locations integrated including the Central Healthcare  Home Care network. Also, which is part of the  335,000 Collaborative, visits (2016) he has served Idaho Healthcare Coalition/State  Hospice iNthrop ospital as senior vice Healthcare Plan—a recipient of a president $40 million grant from Center for ompreheNsive Ultiple Clerosis George Medicare & Medicaid Innovation to and chief Beauregard help transform healthcare in Idaho. clinical officer are eNter at Pinnacle Beauregard graduated from the MS PATIENT EDUCATION PROGRAM Health in Harrisburg, PA, as presUniversity of New England/College ident and chief medical officer for of Osteopathic Medicine and comSpeakers & Topics: Southcoast Physicians Network pleted his internship and residency JOSEF MAXWELL GUTMAN, MD of Massachusetts and cofounded at Osteopathic Hospital of Maine NYU Winthrop Hospital Division of Neurology Primary Care physician network of and Faulkner Hospital in Boston, Research Update on Disease Modifying Treatments eastern Massachusetts. His medical respectively. practice career consisted of 18 years LAUREN B. KRUPP, MD as a community-based internal —Submitted by Catholic medicine physician. Health Services Director, NYU Langone Multiple Sclerosis Comprehensive Care Center Understanding and Living Well with MS Fatigue

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September 27, 2018 7 pm to 8:30 pm Registration begins at 6:45 pm NYU Winthrop’s Research & Academic Center Room G-018A 101 Mineola Blvd., Mineola (at the corner of Second Street) Admission is free, but reservations are required. Please contact 516-663-8300 to reserve your space

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New York State Smokers’ Quitline Launches Enhanced Website The new site features updated healthcare provider resources, increased visuals and an online newsroom

s part of its ongoing commitment to promote tobacco cessation efforts, the New York State Smokers’ Quitline, headquartered at Roswell Park Comprehensive Cancer Center in Buffalo, NY, launched a fully updated, redesigned and mobile-ready website at www.nysmokefree.com. Enhanced visuals, easier-to-read text and more intuitive navigation will help visitors quickly find the latest resources on tobacco cessation. Messages throughout the website also encourage tobacco users and healthcare providers to talk to one another for greater chances of quit-success. “Cigarette smoking causes approximately 28,000 deaths statewide each and every year. Countless New Yorkers have used the Quitline to help them quit smoking. Besides the support of our trained Quit Coaches at 1-866-NY-QUITS, it’s critical for the Quitline to offer an effective 24/7 online resource in the fight against tobacco,” said Andrew Hyland, PhD, Chair of Health Behavior at Roswell Park Comprehensive Cancer Center and director of the Quitline. “Our website at www.nysmokefree.com has an entirely new look, refreshed materials and added resources, which will greatly help both those looking to break nicotine addiction and healthcare professionals who assist tobacco-using patients in the quest to achieve and maintain tobacco-free lives.” Visitors to the website will notice a new color scheme and a new logo, with the “Q” in “Quitline” resembling a no-smoking sign. In addition, a new Online News Room will help members of the media and healthcare providers stay informed about the latest tobacco cessation news in New York State. The Online News Room includes helpful tools such as an Experts Database, a sign-up form for e-newsletters and a press release archive. Tobacco users will encounter positive messages about the quit-process throughout the website, such as reframing thinking about slips and relapses as well as building confidence and knowledge prior to discussing quitting with a healthcare provider. The website also addresses timely

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topics such as e-cigarettes, the truth about filters, medication enrollment and healthcare benefits. Healthcare providers will find a special sub-section of www.nysmoke free.com geared toward helping them deliver quality tobacco dependence treatment to their patients, including step-by-step information on how to use the Quitline’s Patient Referral Program. Links to peer-reviewed resources are available for topics such as prescribing stop-smoking medications, billing codes and healthcare system-wide solutions. For more information, visit www. nysmokefree.com. —Submitted by Roswell Park Comprehensive Cancer Center

The Gregory Foundation for Cancer Research will host a Biden Cancer Summit on Sept. 21 from 8 a.m. to 4 p.m. at Northwell Health’s corporate headquarters at 2000 Marcus Ave., in New Hyde Park. This summit will address a patient’s cancer journey beyond the disease, including topics such as patient data, disparities in cancer and treatment, managing difficult conversations, preventing cancer, understanding oncology research, the development pipeline and how to promote innovation now and in the future. The summit will bring together all stakeholders in cancer, including clinicians, scientists, researchers, pharmaceutical industry, patients and care-givers. The Gregory Foundation’s partnership with Northwell Health aims to accelerate progress and

collaboration in cancer care, treatment, prevention, diagnosis and survivorship. The goal is to double the rate of progress in cancer by joining hands with Biden Cancer Initiative for this global effort. Northwell is the only site on Long Island hosting a Biden Cancer Summit. Through this summit, the Gregory Foundation and Northwell hope to deliver what patients deserve: a cancer research and care system that puts saving and extending lives above all else. While the summit is free, seating is limited so those interested in attending should register by contacting Emily Morrissette by Sept. 14 at 516-321-6272 or emorrisset@northwell.edu. To learn more about the Biden Cancer Summit, visit www. bidencancer.org.

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How To Help Prevent Falls

Fall Prevention Day is Sept. 22 and while it is meant to raise awareness about how to prevent fall-related injuries among older adults, news articles seem to focus on the obvious: clearing obstructions in the house, being aware of loose wires and other tripping hazards, etc. When we think of those normally those prone to falling, we think of their physical deficits (being off-balance, tripping over things, etc.). But we do not consider the mental deficit, which is just as important: not being confident. Some older people are already in a negative mindset, thinking “when is my next fall going to occur?” instead of being mentally prepared for how they can prevent it, or what they can do if it does happen. Nassau native Bill Kraupner has been a physical therapist for more than 20 years with the Visiting Nurse Service of New York, and he makes sure to do comprehensive mental coaching along with providing Videotape your habits physical tips to encourage patients Kraupner had a patient with to plan ahead in their minds, so they Parkinson’s disease who was very know what they are capable of doing unsteady on his feet. He videotaped when the time comes.

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the patient with his own phone so he could see different things he was doing wrong, observe a few times and make changes. He could see himself before he made the simple safety corrections Kraupner taught him, during and after, so he could observe for himself the right away to do things, which allows the patient to mentally visualize everything and let it all sink in.

Don’t let your past falls scare you

Kraupner was the PT for a woman who fell two times in her kitchen, and was anxious to go into that room moving forward. He helped her mentally prepare herself by asking key questions to find out more and so she could truly understand what happened so she could go into the room feeling well equipped to handle it. Where did the fall occur? What happened? If it happened near the fridge, was the lighting too dark? Were you standing too far from the door?

Please join us as David Neubert, MD, Emergency Physician at NYU Winthrop Hospital, provides an educational overview of the opioid crisis, explains the physiology behind an overdose and how the lifesaving opiate antidote NARCAN™ works. Attendees will receive a free kit, be trained to administer the antidote, and learn how to get the kit replenished if it is used during an emergency. Question and answer period will follow. Thursday, September 20, 2018 7pm NYU Winthrop’s Research & Academic Center 101 Mineola Blvd., Mineola (at the corner of Second Street)

Think about each upcoming step (literally and figuratively)

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Admission is free, but reservations are required. To reserve, please e-mail: Lila.Hageman-Sheehan@nyulangone.org or call 516-663-8300

First, make sure you have proper lighting. Make sure the switch is within reaching distance, or get your lights hooked up to a remote to make it even easier. Think about the surface you are walking on…are you starting on carpet? When you get to the kitchen does it switch to tile? Since tile is smoother you might have a natural tendency to walk

faster, so be aware of how you’re moving. Take a second to think before you sit down somewhere—is it a chair with an armrest or not? (Should always have armrests).

Motivational words

Kraupner speaks to his patients in motivational phrases to help build confidence. He tells them “You are strong, you can do this” to help them believe in themselves and feel more comfortable caring for themselves.

Work from the waist to chest level

This is your “safe area” so try to make everything as accessible as possible within that space.

Prepare for if you do fall

Of course all of these efforts are to prevent you from falling, but if you still do fall, don’t panic. Take a moment to think ahead. Always have your life alert on you so you can call that when you fall. If you know you will be able to get up, make sure you know of a safe, stable area around you that you can use to help yourself up. In our minds we start panicking right away—but it only takes 15 seconds to take a breath and think about what you can do. —Submitted by the Visiting Nurse Service of New York

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What Employers Need To Know About Value-Based Care BY DON STANGLER

specialsections@antonmediagroup.com

When employers evaluate health benefit plans for their employees, factors such as coverage, cost and customer service are typically cited as most important. However, companies in New York are looking for innovative ways to help improve employee health and more effectively manage costs, including adopting new value-based care approaches that put more emphasis on paying for patients’ actual health outcomes rather than just the number of tests or procedures they have.. Under value-based care arrangements, health care providers are paid for achieving certain quality outcomes and demonstrating that they’re improving people’s health, rather than getting paid solely for the number of services they provide to patients. Take back surgeries, which are becoming increasingly common in the United States due to an aging population and higher rates of obesity. Spinal

conditions – a major contributor to lost workplace productivity – account for 10 percent of overall health care costs, and quality and costs related to treatment of these conditions can vary widely among care providers. To help address that, a type of value-based arrangement known as “bundled payments” reimburses care providers under a single, set payment that is dispersed among all providers involved in that person’s care. They work to help provide quality outcomes within that “budget,” covering care before and after surgery. As a practical matter, patients receive one bill, helping to simplify the experience. This is a shift away from the traditional health care model in which a care provider is paid for each treatment, appointment or test, generating multiple claims for a single episode of care. In short, value-based care puts the patient at the center of the health care experience. It emphasizes the importance of keeping people healthy and rewards physicians for coordinating

care. For consumers and employees, value-based care is demonstrating real, tangible cost-savings and improved health outcomes. For employers, value-based care means a healthier workforce, better care for their employees and less money spent paying for employees’ medical bills. The bundled payment method, in particular, offers fixed and competitive prices, enabling employers to better manage and anticipate costs. For instance, a new UnitedHealthcare program with health care facilities nationwide, including NYC’s Hospital for Special Surgery is using bundled payments for knee, hip and spine procedures. So far, the program nationwide has helped reduce hospital readmissions by 22 percent and led to 17 percent fewer complications for joint replacement surgeries, as compared to nonparticipating facilities. For spine surgeries, hospital readmissions were reduced by 10 percent, and there were 3.4 percent fewer complications, as compared to

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nonparticipating facilities. Since the program’s introduction, participating employers have realized an average savings of $18,000 per operation when compared with median costs in the same metropolitan area. Eligible employees saved more than $3,000 in out-of-pocket costs per procedure when accessing a participating facility rather than another in-network medical facility. The shift toward these outcome-based payments and new benefit designs that focus on overall value is transforming how we pay for health care and how health care is delivered. Employers play an important role in bringing these new approaches to life by incorporating them into the benefits for the nearly 180 million Americans with commercial insurance. Value-based payment methods are helping make higher-quality and lower-cost care a reality. Don Stangler, MD, is the senior medical director of UnitedHealthcare NY

NYU Winthrop Hospital Receives Prestigious ‘Center Of Excellence’ Designation NYU Winthrop Hospital today announced that it has been designated a “Center of Excellence” by the Hypertrophic Cardiomyopathy Association (HCMA), the preeminent patient advocacy association serving individuals with hypertrophic cardiomyopathy (HCM), their families, and those providing care to HCM patients. The HCMA provides support, education, advocacy and advances research on the condition, which involves a thickening of the muscles of the heart. HCM is most commonly known as the leading cause of sudden cardiac arrest in athletes. NYU Winthrop strives to prevent such untimely deaths and improve the lives of those with HCM. The NYU Winthrop HCM Center is one of 33 programs in the USA with this designation and one of only three hospitals in New York State to boast that distinction. NYU Winthrop’s affiliate, NYU Langone Health, also holds the HCMA Center of Excellence designation. “This is an exceptional distinction, having NYU Winthrop Hospital achieve the HCMA Recognized Center of Excellence designation, and it speaks volumes about the full-spectrum diagnostic and therapeutic

options we offer patients with HCM,” said Vijayapraveena Paruchuri, MD, director of NYU Winthrop Hospital’s HCM Center and director of the Hospital’s Adult Congenital Heart Center. “HCM is a multidisciplinary disease that requires far more than the expertise of one HCM specialist, and NYU Winthrop brings that multidisciplinary expertise to the fore, understanding how to manage complex cases including those of athletes and women with high-risk pregnancies.” The Hospital’s HCM Center is the “go-to” center for the diagnosis and multidisciplinary longitudinal management of individuals with HCM in the greater Long Island area. To achieve the Center of Excellence recognition, NYU Winthrop’s HCM program was required to possess

a highly experienced subspecialty team able to treat HCM and its many complex variations; provide the highest quality care to a large volume of HCM patients; possess advanced imaging and related technologies; and the Hospital had to display a dedication to research regarding HCM, among other factors in which the Hospital had to excel. “HCMA Centers of Excellence save lives every day through skilled diagnoses, preventative care and multidisciplinary HCM treatment. The HCMA is extremely pleased to add NYU Winthrop Hospital to our prestigious roster of Centers of Excellence,” said Lisa Salberg, Founder and CEO of the HCMA. Fundamental to achieving the designation of HCMA Recognized Center of Excellence, a medical center, such as NYU Winthrop, must offer a team with

subspecialty care experience so that rather than receiving just one physician’s opinion, patients have access to a group of clinicians with extensive exposure in the area of HCM. The HCM Center at NYU Winthrop not only collaborates closely with pediatric cardiology and general cardiologists but has the strong support of experts in advanced imaging, electrophysiology and implantable devices, interventional cardiology, cardiac surgery and genetic testing and counseling. In addition, Paruchuri’s HCM Center team works closely the hospital’s Division of Maternal Fetal Medicine, which is renowned for its expertise with high-risk pregnancies including those involving HCM. The disease can cause increased demands on a pregnant woman’s heart, and arrhythmias may also worsen during pregnancy. In addition, NYU Winthrop has a close collaboration with NYU Langone Health’s heart surgery programs, which allows NYU Winthrop to bring transplant services to patients with HCM, when a transplant is indicated. —Submitted by NYU Winthrop Hospital

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early 60 high school students from Queens, Nassau, and Suffolk counties recently completed a rigorous multi-year, four-week summertime academic program offered by the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell designed to increase the diversity of the healthcare workforce by exposing young scholars to careers in the medical field. Celebrating its ninth year, the Zucker School of Medicine’s Medical Scholars Pipeline Program (MSPP) takes motivated, high-achieving students from underserved communities and provides mentoring, healthcare skills training, and college preparation to support them in the effort to become highly competitive applicants to undergraduate and graduate schools in medicine and other fields. To date, nearly 200 students have enrolled in the MSPP including 100 students who have completed the program. Of the graduates, 100 percent have matriculated into leading universities and beyond, an achievement that includes three MSPP alumni who are now medical students at the Zucker School of Medicine. “When applying to medical school, I remembered the relationships and nurturing mentors that I gained during my exposure in the pipeline program,” said MSPP graduate and second-year medical student, Britney Nathan, a resident of Hempstead. “I knew that I just could not leave.” This year’s pipeline program at the Zucker School of Medicine began June 27, 2018 and ended on July 19 with an inspirational closing ceremony featuring keynote speaker, cardiologist Luther T. Clark, MD, Deputy Chief Patient Officer, Global Director, Scientific Medical and Patient Perspective, and leader of the Patient Insight’s team at Merck Pharmaceutical. Clark is also a member of the Boulé Foundation, a fraternity for African-American professionals in healthcare and medicine “Increasing diversity [in medicine] is not only an important key to eliminating inequities in health care among communities of color but also to achieving overall excellence for the greater good,” said Clark in his address to MSPP participants and new graduates. “It is why we need a well-trained, qualified, culturally competent workforce that mirrors the diverse population it serves.” The Zucker School of Medicine MSPP works collaboratively with the Gateway Institute for Pre-College Education at The City College of New York to recruit and support minority

Zucker School Of Medicine Provides Positive Pathway For Minorities In Medicine

public school students in their higher education and health career goals. The initiative also includes branch programs at Northwell Health’s Lenox Hill Hospital in Manhattan and Southside Hospital in Bay Shore. For help in keeping the momentum through higher education, the School of Medicine has approximately 20 MSPP alums currently enrolled in The Northeast Regional Alliance (NERA) MedPrep, a free summer enrichment program for under-represented and economically disadvantaged college students interested in the medical field. The Zucker School of Medicine also hosts a summer pre-med Program for college students. “It’s a privilege to help these deserving young people discover and develop confidence in their

potential,” said Gina Granger, program manager for the Medical Science Youth Programs at the Zucker School of Medicine. “From high school to college and career, we offer guidance and support for each step of the journey—and it’s working for our students.” At the Zucker School of Medicine, generous donor support allows MSPP student to participate in a variety of courses and enrichment activities, including information sessions and campus tours at Hofstra University and Stony Brook University as well as an educational excursion to the Oyster Bay Marine Education Center. First-year participants obtain CPR/AED certification, while high school junior and senior students receive academic assistance from a professional college consultant and complete P/SAT test prep courses. Rising college students round out their MSPP experience by completing a “mini medical school” based on Zucker School of Medicine’s innovative curriculum called Patient Explorations in Active Learning Reason and Synthesis (PEARLS), a student-driven course that uses problem- and case-based learning scenarios as a forum for active reasoning, collaboration, and discussion. Students also spend time serving as volunteers in the PEACE (Patient Engagement and Communication Enhancement) program at Northwell Health-Long Island Jewish Medical

Center and participate in an initiative with Northwell’s Monter Cancer Center designed to teach ways to connect and communicate with patients dealing with cancer treatment and chronic illness. “The lessons I learned will truly last a lifetime. My time as a pipeline student can be compared to that of a good book—I never wanted it to end,” said George Rosario in his moving address as a member of the MSPP Class of 2018. “If we can create more programs like this one, minorities in medicine will not just be a catchy slogan but a movement progressing toward an exciting new future.” Rosario, a new alumnus of Benjamin Cardozo High School in Bayside, NY, will be attending the CUNY School of Medicine/ Sophie Davis Biomedical Education Program this fall along with several MSPP graduates. In fact, all of his 13-member graduating class will head off to college with a combined scholarship tally of nearly $400,000, including two students who received full rides to Yale University and Brooklyn College. Special thanks to the Pinkerton Foundation, the Shippy Foundation, the Boulé Foundation, New York Smart Set, and Dr. Thelma DyeHolmes for their generous support of the Zucker School of Medicine’s Medical Scholars Pipeline Program. —Submitted by Hofstra/Northwell

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