Profiles in Medicine 09-11-19 by Anton Community Newspapers

MEDICINE PROFILES IN

AN ANTON MEDIA GROUP SPECIAL • SEPTEMBER 11 - 17, 2019

YOGA

National Leukemia Awareness Month

SEPTEMBER IS

Blood Cancer Awareness Month

WILL YOU MAKE A DIFFERENCE TODAY? Children’s Leukemia Research Association, Inc. Funding Research and Helping Families of All Ages!

T: (516) 222-1944 F: (516) 222-0457 MAKE A DIFFERENCE

Donate

TO CHILDREN’S LEUKEMIA RESEARCH ASSOCIATION

Donate online at:

www.childrensleukemia.org/ The CLRA is a not-for-profit 501(c)3 organization governed by a volunteer Board of Directors. 207096 B

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MSK Nassau

The future of cancer care. Right here in Nassau County. With MSK’s brand-new Uniondale location, you’re connected to over 130 years of innovation and thousands of people focused entirely on cancer. That means you have access to the most advanced treatment options and care teams that guide you every step of the way. This is MSK Nassau.

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PROFILES IN MEDICINE • SEPTEMBER 11 - 17, 2019

ADVERTORIAL

5 Reasons Memorial Sloan Kettering Excels at Treating Gynecologic Cancers In its 2019–2020 listing of the nation’s best hospitals, U.S. News & World Report ranks Memorial Sloan Kettering Cancer Center (MSK) as number one for gynecologic cancer care. This recognition of excellence reflects the dedication and expertise MSK doctors and nurses bring to women with cervical cancer, uterine (endometrial) cancer, and ovarian cancer, including pioneering many advances that today are the standard of care. With three convenient locations on Long Island, it’s important to know why MSK stands out at improving outcomes and preserving quality of life for people with gynecologic cancers.

Dr. Nadeem Abu-Rustum, Chief of the Gynecology Service at Memorial Sloan Kettering. 1. Highly-Skilled Surgeons and Oncologists Who Specialize Exclusively in Gynecologic Cancers MSK has a team of about 50 highly specialized doctors dedicated solely to the treatment of gynecologic cancers. This includes surgeons, medical oncologists, radiation oncologists, radiologists and pathologists who collaborate closely. “We meet every week to consult on the details of every complex diagnosis and to decide on the best treatment,” says Nadeem Abu-Rustum, MD, Chief of the Gynecology Service. Doctors at MSK perform among the largest number of gynecologic cancer procedures in the world, making us the best at treating even the most difficult cases. For example, MSK’s ovarian cancer surgery team is the first in the nation that’s dedicated to managing advanced ovarian cancer. This group specializes in removing advanced disease that has spread beyond the ovaries. The team is especially skilled in radical debulking surgery. In this procedure, doctors remove as much tumor tissue as possible to boost the effectiveness of chemotherapy in reaching and destroying ovarian cancer. “Ninety percent of women with advanced ovarian cancer at MSK are optimally debulked. This means that the amount of tumor remaining after the procedure is very small — less than 1 centimeter in diameter,” Dr. Abu-Rustum explains. “More important, 70% have all visible tumor removed. Studies at MSK and around the world show that removing this volume of cancer tissue has led to improved survival for patients.” 2. Methods for Speeding Recovery and Preserving Quality of Life MSK pioneered a way to reduce the number of lymph nodes removed during surgery for early-stage cervical and endometrial cancers. Rather than taking out a large number of lymph nodes to make sure that the cancer has not spread, doctors use a technique called sentinel lymph node mapping. The approach removes fewer nodes and greatly reduces the risk of leg lymphedema. This common, often debilitating side effect involves swelling and skin changes. Sentinel lymph node mapping “has been rigorously studied. It has been shown that there is no difference in survival between the historical surgical approach and sentinel node mapping,” Dr. Abu-Rustum says. “It is a huge benefit if more women can be spared unnecessary lymph node removal and the resulting side effects.”

In addition, MSK surgeons often use minimally invasive methods, such as laparoscopic and robotic surgery. These involve keyhole-size incisions and have the potential for less pain and blood loss, a shorter hospital stay and a faster recovery. Surgeons now do many procedures at the Josie Robertson Surgery Center, a state-of-the-art facility for short-stay cancer surgery. Patients return home to complete their recovery as soon as possible — either the same day or the next. 3. Access to a Range of Clinical Trials and New Treatments Clinical trials can offer people with gynecologic cancers access to treatments that are not widely available elsewhere. Currently, MSK is conducting 35 clinical trials for women with gynecologic cancers, testing new drugs and drug combinations, surgical approaches, and strategies for preserving quality of life during and after treatment. One especially active field is immunotherapy. MSK scientists and doctors played a leading role in developing immunotherapies that have transformed the treatment of melanoma, lung cancer, and other cancers. Now this therapeutic approach is giving new hope to people with gynecologic cancers. In addition, MSK researchers are investigating whether many ovarian cancers start developing in the fallopian tubes and whether removal of those tubes could prevent the disease. Other researchers are looking for ways to understand and treat lymphedema. MSK is the only cancer center with a dedicated lymphedema laboratory focused on understanding and treating this debilitating condition. 4. Genetic Testing to Guide Treatment and Assess Risk Many of MSK’s recent gynecology patients have benefited from a powerful diagnostic test called MSK-IMPACT™. This test provides essential genetic information about a tumor that doctors can use when making a diagnosis and considering treatment options. In some cases, the test results may identify women who are candidates for a clinical trial. With MSK-IMPACT, MSK doctors can offer the best treatment for each person. The Clinical Genetics Service guides people who may be at a higher risk for a gynecologic cancer due to inherited genetic mutations, such as the BRCA mutations. This includes risk assessment, genetic counseling, and genetic testing. 5. Programs to Preserve Fertility and Sexual Health MSK’s Survivorship Center offers an array of services to help preserve fertility and sexual health in women undergoing treatments for gynecologic cancers. And MSK surgeons have pioneered ways to remove cervical tumors while retaining the uterus, so women preserve the option to have children later. The surgical team has done more than 200 such operations, called radical trachelectomy, and many of these women later had children. “The success rate with this approach is very high. MSK is now a referral center for young women with uterine cancer who want to maintain their fertility,” Dr. Abu-Rustum says.

Dr. Jennifer Mueller is a surgeon who cares for women with gynecologic cancer at MSK Commack and MSK Nassau.

Learn more about MSK’s outpatient cancer centers in Commack, Uniondale, and Hauppauge at www.mskcc.org/longisland 206892 B

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HEALTH NEWS

Yoga And Meditation: Healing At The Genetic Level BY BETTY LYNN TIMS specialsections@antonmediagroup.com

ational Yoga Month is an awareness campaign held during the month of September to educate about the health benefits of yoga and to inspire a healthy lifestyle. And there are many benefits. While decreasing stress, strengthening flexibility and muscle and achieving a deeper spirituality are the obvious benefits, yoga also helps to lower blood pressure, enhance brain function, increase mental function and assist in weight loss. You’ve probably heard that yoga increases flexibility, decreases stress and promotes well-being. This is all wonderful and those of us who tried yoga to promote

well-being don’t really have to be told twice. We know what we’ve discovered is tried and true, according to ancient wisdom, and we are not going to be talked out of our practice. However, did you know those waves of relaxation you experience during yoga and meditation are actually healing you at the genetic level? Have you ever wondered why some people look 40 years old when they are 60 years old and some look 80 years old when they are only 60 years old? The answer is telomere length—and many things affect it. Recent research with telomeres (the end caps of DNA, which tend to fray and

shorten as you age) by genetic researcher Elizabeth Blackburn, PhD (2009 Nobel Prize winner) and health psychologist Elissa Epel, PhD, prove that certain lifestyle habits such as yoga and meditation—or other mindful movement meditations, such as Tai Chi or Qi Gong—can actually lengthen the telomeres or repair them. This is done through the enzyme telomerase. This actually slows the aging process. Now this explains what I call the “yoga glow.” That radiant look both longtime yogis and newbies alike have after yoga class when compared with how they look when they walked into class. This is also a common longterm

effect after years of practice. I know many longtime yogis who look decades younger than their numerical age due to their decades of dedicated practice. And now we know why—yoga and meditation actually heal at the genetic level. So next time you are thinking about trying out a yoga class, just think— you may be adding years to your life, smoothing those worry lines, and tucking that tummy. So in addition to aiding that ailing back, strengthening your core, making your shoes easier to put on, and restoring your balance—it may give you a more youthful radiance. Did they just prove that yoga is the fountain of youth? Maybe so.

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10am - 6pm 10am - 6pm 10am - 6pm 10am - 6pm 10am - 6pm 10am - 6pm 9:30am - 5:30pm

New York College of Traditional Chinese Medicine 200 Old Country Road, Suite 500 Mineola, NY 11501 www.nyctcm.edu 516.739.1545

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Raising Awareness

The Children’s Leukemia Research Association sheds light on Blood Cancer Awareness Month

Q A

BY JENNIFER FAUCI jfauci@antonmediagroup.com

here is nothing more heartbreaking than a sick child. For parents whose children have life threatening diseases that debilitate them and leave them exhausted, weak and unable to live the life of a normal kid, it is crucial to know where to turn to for help. Fortunately, there are hundreds of organizations out there that lend a helping hand, and The Children’s Leukemia Research Association Inc. (CLRA) is one of them. Angela Russo is the executive director of the nonprofit, 501c3 charity that offers grants toward research organizations and financial assistance for those undergoing treatment. As September is Blood Cancer Awareness Month, Russo and the CLRA are raising awareness for leukemia and how far research has come. : Tell me about your role as executive director of Children’s Leukemia Research Association. : My duties include all-inclusive administrative and operational aspects of managing the organization, including marketing, advertising and fundraising. I am additionally accountable to the board of trustees to ensure our two-prong mission of funding research grants and financially assisting Leukemia victims of all ages is realized while ensuring fiscal responsibility and compliance. : I know that CLRA provides funding to children and adults who are being treated for leukemia. What else does the organization assist with? : Each year, CLRA’s medical advisory committee, consisting of prominent internationally known and respected hematologists, reviews submitted research proposals from doctors nationwide. The objectives of this committee are to direct the funds of the association into the most promising projects, and where funding would not duplicate other funding sources. Our medical advisory team have recently reviewed requested research grants submitted and have recommended we fund research for University of South Carolina, Stanford, Roswell Park, Columbia University and Dana Farber Institute.

Q A

: September is Blood Cancer Awareness Month, so what does CLRA do to raise awareness for this? : Our organization is publicizing Blood Cancer Awareness Month by utilizing website and Facebook postings, local media advertising, email blasts and thank you cards to supporting donors.

: How do you garner attention for fundraising efforts and get the word out about the foundation? : As a result of our 2018 rebranding, reorganizing and rebuilding we are currently tapping into all affordable resources to raise funds. Since its inception in 1965, CLRA was known as the National Leukemia Research Association. As a result, not much effort was allocated into publicizing our association on a local level. Upon my joining CLRA last July, it was most evident that our own community, along with all of New York and Long Island, had very little knowledge of our work. Considering Long Island has the highest cost of living due to our tax structure, and CLRA offers patient aid to middle/working class leukemia victims of all ages, my priority was getting the word out locally. : What types of research is being done today that wasn’t being done 10 years ago for leukemia? : Acute promyelocytic leukemia used to be uniformly fatal. Now 70-80 percent of adults can be cured. This represents 10 percent of all adult acute myeloid leukemia. Acute lymphocytic leukemia in children used to be 90 percent fatal, now 90 percent are cured. Chronic myeloid leukemia in adults, 90 percent used to die within four years, now 90 percent survive at least 15 years and some are cured off all medications. : Do you have any fundraising events or meetings coming up that we can promote or draw attention to? : At this point in time we have no fundraisers scheduled, however we do have a significant board meeting coming up that will focus on the progress over the past year regarding all the components of the rebranding and reorganization and utilizing all data to concentrate on 2020 fundraising efforts. It is vital that our Long Island community becomes aware of the Children’s Leukemia Research Association because we help the victims of leukemia of all ages within the middle/ working socioeconomic populace. One does not need to be below or at the poverty income line to qualify for aid. The greatest challenge we are currently facing is raising enough funds to remain viable and continue helping patients and funding research. The Children’s Leukemia Research Association is located at 585 Stewart Ave, Suite 520 in Garden City. For more information, call 516-222-1944 or visit www.childrensleukemia. org.

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PROFILES IN MEDICINE • SEPTEMBER 11 - 17, 2019

ADVERTORIAL

The Implant Center at ProHEALTH Dental Creating Smiles and Changing Lives The Implant Center at ProHEALTH Dental in Lake Success is one of the most comprehensive centers on Long Island. What sets us apart is our team of specialists, Dr. Neil Karnofsky (Periodontist & Implant Surgeon) and Dr. Bruce Valauri (Prosthodontist) working together hand-in-hand under the same roof in our state-of-the-art facility. The value of having over 50 years of combined experience in placing and restoring implants is unparalleled. Missing teeth can not only make smiling embarrassing and eating a challenge, missing and periodontally compromised teeth may contribute to serious health issues from digestive problems to an increased risk for diabetes, Alzheimer’s, as well as heart and kidney disease. Dental implants are the preferred choice for tooth replacement. Dental implants replace the root of your tooth with a titanium post, providing the necessary foundation for a single tooth or entire full smile. In certain circumstances we can place the implants and teeth on the same day. The appearance, function, and feel are like natural teeth. This is a great alternative to dentures, bridges, and crowns- implant supported restorations don’t slip or move and can last a lifetime when properly maintained.

Our experienced implant team has performed numerous cases together. In other offices, your implants are being placed in one location and restored in another. Not at ProHEALTH Dental, our team consults with each patient, reviews all the diagnostic information and collaboratively designs a custom treatment plan (utilizing current digital technology) and routinely work side by side to efficiently deliver the agreed upon care. If you are considering implant-supported restorations, we invite you to take advantage of our free consultation. We can assist you in creating a customized treatment plan and answer any questions you may have. It’s important to us that you feel comfortable throughout the dental implant process and make the right decision for you. While costs vary according to your personalized treatment plan—and will be provided during your consultation—we also offer several convenient financing options. For that reason, we provide a dedicated Treatment Coordinator to help you throughout the entire process.

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ADVERTORIAL

Meet ROSA: A New Innovation In Pediatric Epilepsy Treatment Cohen Children’s Medical Center is the first on Long Island to use the seizure-fighting robot There are nearly 500,000 children in the U.S. living with the seizure disorder known as epilepsy. For many pediatric epilepsy patients, medication or diet can control or eliminate seizures. For others, surgical intervention may be necessary. As a leader in epilepsy and neurosurgery, Cohen Children’s Medical Center is the first pediatric program on Long Island to use ROSA—a new robotic operating surgical assistant that makes epilepsy and other pediatric neurosurgery procedures more precise and safe. ROSA the robot is giving pediatric epilepsy patients at Cohen Children’s an easier path to treatment.

accurately detect and characterize seizure activity. Once the electrodes are in place, patients are monitored for seizure activity, and Cohen Children’s surgeons use the data collected to create a more targeted treatment plan. Cohen Children’s is one of the New York metropolitan area’s largest providers of pediatric neurosurgery.

WHAT IS ROSA AND HOW IS IT DIFFERENT? ROSA uses a robotic arm that is able to target suspected areas of seizure activity through small incisions in the skull. This minimally invasive approach eliminates the need to open the skull to pinpoint seizures. With ROSA’s assistance, surgeons can get the same results, while reducing the risk of infection and strain on the patient. A PRECISE PATHWAY ROSA uses a powerful navigation system and a robotic arm that provides exceptional dexterity and control of movement. It has surgical planning software that allows surgeons to download preoperative imaging scans and create accurate 3D maps of the brain. During the procedure, the robotic arm can be fitted with various instruments and guided to precise points in the brain. Thin wires, known as depth electrodes, are then placed into the brain to more

ROSA’s surgical planning software allows our neurosurgeons to create 3D maps of the brain.

THE BENEFITS ARE SIGNIFICANT Parents and surgeons agree—ROSA offers a better operation and recovery. • •

• •

•

Reduces pain and bleeding for quicker healing Increases access to the surgical area due to the robotic arm that mimics human arm movements Provides precise instrument guidance through the robot arm’s high dexterity Reduces operating time due to increased efficiencies, particularly with placement of multiple electrodes for SEEG Eliminates need to remove a portion of the skull

ROSA WEARS MANY HATS In addition to monitoring pediatric epilepsy, Cohen Children’s uses ROSA to support many neurosurgical procedures, including stereoelectroencephalography (SEEG), thermal ablation of seizure foci or tumors, deep brain stimulation (DBS) and surgical treatment of movement disorders. It can also be used for a variety of minimally invasive neurological procedures, including laser ablation, responsive neurostimulation (RNS) electrode placement, biopsy and endoscopy.

To learn more about ROSA or schedule a pediatric neurosurgery appointment at Cohen Children’s, please call (516) 548-2712.

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Children see us differently because we care for them differently. Katelyn, age 7, sees Dr. Mittler as more than a surgeon—she sees a hero who’s as bright as the sun.

At Cohen Children’s, kids see us as more than doctors, nurses and therapists. They see heroes, rock stars, royalty, friends. And we see them differently, too— not as patients, but as children who deserve the very best. That’s why we’re ranked in nine specialties by U.S. News & World Report—and why we’re one of the nation’s best children’s hospitals.

Northwell.edu/BestAndBrightest

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NORTHWELL NEWS

Cardiac Rehab Center Receives National Certification Northwell Health’s cardiovascular rehabilitation program in Great Neck has received national certification by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), the leading organization in the industry. The designation demonstrates Northwell’s commitment to improving the quality of life of patients by enhancing standards of care through measured outcomes. Northwell’s outpatient cardiac rehabilitation program, which is part of the Sandra Atlas Bass Heart Hospital at North Shore University Hospital (NSUH), is designed for patients who have undergone coronary artery stenting, heart surgeries such

as bypass, valve surgery, or heart transplant, or carry a diagnosis of heart attack, stable angina, or chronic systolic heart failure. The program provides individualized exercise and risk factor modification plans, close monitoring of patients’ vitals, exercise reserve, and delivers customized heart health education and emotional support. “The cardiac rehabilitation center provides a vital service to our patients when they leave the hospital, a time when they are most vulnerable,” said Benjamin Hirsh, MD, the program’s medical director as well as director of preventive cardiology at NSUH. “The program empowers individuals to

return to everyday living with the confidence necessary to thrive and the tools essential to improve their quality of life and longevity.” Hirsh said the comprehensive cardiac rehabilitation center supports the most heart transplant recipients on Long Island. “It’s incredible to see what these patients can achieve as they progress through the program. These successes cannot be accomplished without a staff that is dedicated to provide superior quality care,” he added. While the cardiac rehabilitation center was established in 2017, it was a goal from the outset to be designated as a center of excellence through AACVPR certification,

Katz Women’s Hospital Recognized As An Obstetric Center Of Excellence

Marianne McTyre, RN, director of Patient Care Services (far left); Dr. Burton Rochelson, chief of Maternal Fetal Medicine (sixth from left); Dr. Greg Palleschi, director of OB Anesthesiology (seventh); and Dr. Leo Penzi, vice chair of Anesthesiology (10th); along with other members of the labor and delivery team at North Shore University Hospital.

A Manhasset cardiac rehab patient exercises on the bike while her heart rate and rhythm is remotely monitored, as Sarah Siemers, NP, the program director, reviews the intensity of the workout. according to Sarah Siemers, NP, program director of the facility. “On behalf of our entire team, we are proud to receive this premier recognition,” she said. “The certifying association has an outcomes-based process with performance measurements that demonstrate we are providing excellent patient care.”

Katz Women’s Hospital (KWH) at North Shore University Hospital (NSUH) has been designated a center of excellence by the Society for Obstetric Anesthesia and Perinatology (SOAP). Only 39 hospitals worldwide have received this distinction and NSUH is the sole facility on Long Island to be honored. To receive the designation, NSUH met requirements demonstrating excellence in obstetric anesthesia care. The criteria analyzed included: anesthesia protocols, preparedness during emergencies for high risk pregnancies, medical team collaboration and mobilization of a backup system within a designated time frame. Cesarean delivery management and labor practices were also factored into receiving the recognition. “This is a well-deserved recognition of the care we

AACVPR Program Certification is the only peer-review accreditation process designed to review individual programs for adherence to standards and guidelines developed and published by AACVPR and other related professional societies. —Submitted by Northwell Health

deliver to our patients,” said Greg T. Palleschi, MD, NSUH’s director of obstetric anesthesiology. “Most importantly, this certificate recognizes the excellence of our entire obstetric team consisting not only of our anesthesia department but also our obstetricians, nurses, and physician assistants as well. The integration and cooperation of these services culminates in the highest level of care and that is what this award recognizes.” The Society for Obstetric Anesthesia and Perinatology aims to improve pregnancy-related outcomes of women and neonates through the support of obstetric anesthesiology research, the provision of education to its members, other providers and pregnant women, and the promotion of excellence in clinical anesthetic care. —Submitted by Northwell Health

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Supporting School Nurses Northwell launches clinical education program To enhance the health of children in its communities, Northwell Health has launched its School Nurse Professional Development Program, which provides education and clinical skills practice for these health care professionals. The program helps school nurses stay up-to-date on changes in the rapidly evolving field of health care, empowering them to more effectively care for students. “At Northwell, we’re committed to caring not just for the children at our hospitals and practices but for all the children and families in our area,” said Launette Woolforde, EdD, DNP, RNBC, vice president of nursing education and professional development at Northwell Health. “One way of achieving that goal is through providing educational support to school nurses, who are vital in protecting the physical, emotional and mental health of children from kindergarten through high school.” The new program meets a demonstrated need. Unlike a number of other states, New York does not require nurses to participate in continuing education to maintain their license; additionally, there are limited resources available to school nurses who are interested in ongoing clinical education and skills practice as well as professional development. Clinicians at Northwell’s Cohen Children’s Medical Center in New Hyde Park have regularly fielded calls from school nurses asking for guidance regarding new medical technology and practice guidelines. In response, for the past two years, the health system has offered informational sessions on a variety of

health care topics, which have been attended by approximately 1,000 school nurses. The new program, which was jointly developed by Northwell Health Community Relations, Cohen Children’s Medical Center and the Northwell Health Institute for Nursing, includes an expanded schedule of these educational workshops and adds clinical instruction courses that offer school nurses hands-on experience with equipment, along with interactive demonstrations and assessment of nursing skills. “Through our involvement with local school districts, we became aware that school nurses are often siloed from education on the newest medical treatments and technologies,” said Matthew DePace, Northwell’s Regional Director of Community Relations for Long Island and Queens. “School nurses face many more demands these days than in years past,” said Laura McDonagh, director of pediatric services at Cohen Children’s Medical Center. “More children have chronic conditions or complex medical needs, and nurses have to be prepared for potentially life-threatening emergencies, like diabetic coma or anaphylaxis.” The first clinical classes will be held in the 20192020 school year, and will cover best practices when handling anaphylaxis in a school setting, managing students with diabetes and caring for students with seizure disorder. The educational courses will update nurses on the latest evidence-based approaches to a variety of topics, including food allergies,

childhood anxiety, the use of social media, urological issues, and human and child sex trafficking. The educational program also includes Northwell’s well-attended school nurse program addressing the opioid epidemic. The program, Recovery, Resilience and Hope, destigmatizes and reframes substance misuse and abuse as medical issues, provides information on resources available for students and community members with substance use issues, and provides a broad range of strategies that nurses can use in addressing opioid-related concerns. Participants also learn

Northwell’s School Nurse Professional Development Program offers clinical instruction and guidance on new medical technology and practice guidelines. how to prevent, recognize and respond to overdose, including administering naloxone, the medication designed to rapidly reverse opioid overdose. More than 400 nurses have attended the program and by the close of 2019, the program will have been made available to nurses in every school district in Northwell’s footprint.

School nurses can register for these educational and clinical programs or for the opioid education program, Recovery, Resilience and Hope in the 2019-20 school year by visiting www. northwell.edu. —Submitted by Northwell Health

Skateboarding Buddies Raising money for pediatric cancer survivors

Devin Votta, 24, of Levittown, and three of his childhood friends have figured out the perfect way to carve for a cause. On Aug. 3 and 4, Votta and his friends— Sean, James and Steven Reilly, also of Levittown—strapped on their helmets and transformed into the skateboarding team of Ride 4 Life: Carving 4 A Cause. The intrepid quartet hit the streets of Long Island, and began their journey at Cohen Children’s Medical Center in New Hyde Park and ended at Montauk Lighthouse, a journey of more than 120 miles. All part of a fundraising effort to benefit Cohen’s SURFF (Survivors Facing Forward) program, led by Jonathan Fish, MD, director of the SURFF program. For Votta, the journey is the best way he can think of to pay homage to his grandfather, Daniel Huggard, who passed away in 2017 from leukemia. “Ride 4 Life will show that no battle is too tough, no road too far and no fight too strong when people work together for a cause,” said Votta. During a brief visit to Cohen Children’s, Fish congratulated the team on their dedication and compassion and thanked

A Manhasset cardiac rehab patient exercises on the bike while her heart rate and rhythm is remotely monitored, as Sarah Siemers, NP, the program director, reviews the intensity of the workout. them for their generosity. “I can’t emphasize enough how appreciative we are to Devin and the Ride 4 Life team,” said Fish. “On behalf of the entire Cohen Children’s staff, and the hundreds of children we treat every year, we thank you for this incredible act of generosity.” —Submitted by Northwell Health

Medicare Advantage Prescription Drug12 Plans $0 or Low Cost Plan Premiums 12C SEPTEMBER 11 - 17, 2019 • PROFILES IN MEDICINE

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ADVERTORIAL

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PROFILES IN MEDICINE • SEPTEMBER 11 - 17, 2019 13C

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Hours are 7 days a week from 8:00 am to 8:00 pm. Note: From April 1 to September 30, we may use alternate technologies on Weekends and Federal holidays. AgeWell New York, LLC is a HMO plan with a Medicare and Medicaid contract. Enrollment in AgeWell New York, LLC depends on contract renewal. ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1-866-586-8044 (TTY: 1-800-662-1220). ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-586-8044 (TTY: 1-800-662-1220). 注意：如果您使用繁體中文您可以免費獲得語言援助服務。請致電 1-866-586-8044 (TTY: 1-800-662-1220)) Assistance services for other languages are also available free of charge at the number above. AgeWell New York complies with applicable Federal civil rights laws and does not discriminate on the basis of races, color, national origin, age, disability, or sex. AgeWell New York cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. AgeWell New York 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年齡、殘障或性別而歧視任何人。H4922_YesMM4002_M Accpeted 02162019 206378 B

14C SEPTEMBER 11 - 17, 2019 • PROFILES IN MEDICINE

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Northwell Opens Pancreatic Cancer Center

pproximately 60,000 new cases of pancreatic cancer are diagnosed each year in the US and less than 10 percent of those people will survive. Among the most devastating of cancers, it cannot be prevented, there is no definitive screening test and symptoms don’t occur until the cancer spreads to other areas of the body. Recognizing the complexity and expertise needed to care for patients with this dreaded dis-ease, the Northwell Health Cancer Institute on Wednesday announced the opening of its new Pancreatic Cancer Center, featuring a multidisciplinary team of surgical, medical and radiation oncologists, gastroenterologists, interventional radiologists, pathologists, endocrinologists, genetic counselors, social workers, nutritionists, and pain management and palliation specialists. At Wednesday’s news conference, Northwell clinicians leading the program were joined by a Long Island native who recently underwent surgery to remove a tumor within her pancreas, as well as representatives from Cold Spring Harbor Laboratory and the Lustgarten Foundation, which are collaborating with Northwell in the fight against pancreatic cancer. “Diagnosis and treatment of patients with pancreatic cancer can be very challenging be-cause the cancer is usually detected late, making treatment complex,” said Richard Barakat, MD, physician-in-chief and director of the Northwell Health Cancer Institute. “Northwell has designed its new center with renowned experts in all aspects of pancreatic cancer, including diagnosis and staging, surgical, medical and radiation oncology, as well as palliative care. “ As an integrated health system, Northwell is able to collaborate with physicians in multiple specialties and handle any other medical conditions patients may have. At the new center, patients and their families work closely with an experienced nurse navigator who facilitates communication and guides them every step of the way, Dr. Barakat said. Chicago resident Tonic Fabric, 50, who grew up in Atlantic Beach, shared the story of her courageous battle against pancreatic cancer, which was discovered in July 2017 after she returned from a vacation to Spain with her husband, Darren. While there, the then 48-year-old experienced shooting

At the opening of Northwell Health Cancer Institute’s Pancreatic Cancer Center, from left: Richard Barakat, MD, David Tuveson, MD, PhD, CSHL, Toni Fabric, native Long Islander who received pancreatic cancer surgery at Northwell, Matthew Weiss, MD, and William Nealon, MD. pains in her stomach and back. Upon pancreas where the tumor originated, arriving home and after a whirlwind along with the spleen, a portion of the of appointments and a battery of tests stomach and omen-tum. (she was sure it was an ulcer), Fabric “After meeting with Dr. Weiss, for received the diagnosis. Because the tu- the first time I felt hopeful again and mor was in the tail of her pancreas and confident in him and the procedure he the cancer had spread, her doctors in explained,” said Fabric. Chicago said she would Underscoring recent never be a candidate for advances in treating surgery. They said the pancreatic cancer, Weiss only way for her to stay said, “chemotherapy alive was to continue has now improved chemotherapy for the to the point where We are 100 rest of her life. it’s possible for some percent commitAfter 33 rounds of patients who may chemotherapy and benefit from surgery ted to defeating radiation, Fabric who would never consulted with panhave been candidates pancreatic creatic cancer surgeon before, even those cancer. Matthew Weiss, MD, with metastases.” who was then at Johns Weiss performed –Richard Barakat Hopkins Hospital in Fabric’s surgery in Baltimore. March at Long Island Shortly thereafter in Jewish Medical February 2019, Weiss was recruited to Center in New Hyde Park, the hospital the Northwell Health Cancer Insti-tute where she was born in 1969. as deputy-physician-in-chief and “No two pancreas cancers are the director of surgical oncology, along same and the goal in certain cases like with other pancreatic cancer specialMs. Fabric’s is to offer surgery only ists. Because of Fabric’s remarkable as a cure,” Weiss said. “Three months response to chemotherapy, which after Ms. Fabric’s surgery there is no shrank her tumors, Weiss suggested detectable cancer right now.” an aggressive approach to surgery: As part of their strategic affiliation he would remove the area of the with Cold Spring Harbor Laboratory

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(CSHL), Northwell’s pancreatic cancer specialists are working closely with David Tuveson, MD, PhD, director of the CSHL Cancer Center and chief scientist at the Lustgarten Foundation, and one of the pioneers of organoid research. Northwell and CSHL researchers are developing new therapies, including the use of organoids (growing a tumor in the lab from actual tumor cells in order to test treatments.) “Our goal is to combat pancreatic cancer and to find a cure,” said Tuveson., “We can only achieve that with cutting-edge science, coupled with the best medical, surgical advances and radiation oncology, and working collaboratively.” On June 12, Fabric celebrated her 50th birthday with husband, three daughters at a huge gathering of family and friends. “Like so many others who have fought this disease, I’m a fighter. We stare down cancer and we will win,” she said. “I am looking forward to walking into Dr. Weiss’ office two years from now and saying, `I am a survivor.’” For more about Northwell’s Pancreatic Cancer Center or call 833-762-7327. —Submitted by Northwell Health

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PROFILES IN MEDICINE • SEPTEMBER 11 - 17, 2019 15C

White Coat Ceremony Welcomes First Class At NYU Long Island School Of Medicine

he newly accredited NYU Long Island School of Medicine (NYU LISOM) opened its doors to its first class of students this week, welcoming a new generation of aspiring physicians in an inaugural “White Coat Ceremony”—an emotionally moving rite of passage for students entering medical schools the world over. Of note, this year’s ceremony marked the official kick-off of New York University’s flagship medical school on Long Island—a school offering full-tuition scholarships with an innovative, accelerated three-year curriculum exclusively devoted to training primary care physicians. “NYU Long Island School of Medicine is the realization of a bold vision to make medical school attainable—without financial hardship—to attract the brightest and best students from diverse walks of life into the medical profession,” said Andrew Hamilton, president of NYU. NYU LISOM received more than 2,400 applications for the 24 available slots this year. It has already begun recruiting for next year’s class, which

NYU Long Island School of Medicine first-year medical students are presented with a white lab coat at the inaugural White Coat Ceremony to mark the start of their medical education and training. will include 32 students. The inaugural White Coat ceremony included each of the 24 new students reciting a version of the Hippocratic Oath— acknowledging their commitment to serving humanity with honor, compassion, and dignity, after which a white medical coat was draped upon each students’ shoulders. The event took place at the Mineola campus of NYU Winthrop Hospital, in a beautiful, new contemporary-designed space. During the ceremony, students

were surrounded by family and friends, as well as school leadership and faculty. “In the decade ahead, there is expected to be a significant shortage of primary care physicians nationwide, NYU LISOM hopes to inspire its graduates to help fill that void in the New York metro area and on Long Island,” said Dr. Steven Abramson of the program, which offers an accelerated three-year curriculum, allowing physicians to get into the

field of their choice earlier, during their most productive years, and with less debt. “The tuition-free initiative, along with the three-year curriculum, are critical milestones in transforming medical education and addressing the dramatic changes in the healthcare delivery system.” NYU Long Island School of Medicine is the second to open under the auspices of NYU. Additionally, full-tuition scholarships were offered to all students at NYU LISOM, regardless of merit or financial need. The new school’s curriculum, with its primary-care focus, will concentrate on internal and community medicine, pediatrics, OB/GYN, and general surgery, as compared to more traditional four-year schools that tend to focus on other specialties. All students are offered a conditional acceptance to an NYU Winthrop Hospital residency slot upon matriculation; it is believed that NYU LISOM is the only school in the nation to offer such a conditional guarantee. —Submitted by NYU Long Island School Of Medicine

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16C SEPTEMBER 11 - 17, 2019 • PROFILES IN MEDICINE

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ADVERTORIAL

Neurosurgeons Alexandros D. Zouzias, M.D. and Xavier P.J. Gaudin, D.O., Join Neurological Surgery, P.C. (NSPC) (Rockville Centre, NY – 9/3/2019)

Alexandros D. Zouzias, M.D, and Xavier P.J. Gaudin, D.O., both neurosurgeons specializing in spine surgery, have joined Neurological Surgery, P.C. (NSPC). With six offices on Long Island, and 20 neurosurgeons available to see patients, NSPC is one of the country’s largest private brain and spine surgery practices. “Dr. Zouzias and Dr. Gaudin are outstanding additions to our practice,” says Michael Dr. Zouzias Dr. Gaudin H. Brisman, M.D., Chief Executive Officer Dr. Gaudin received his medical degree from the University (CEO) and a senior partner at NSPC. of Pikeville – Kentucky College of Osteopathic Medicine, and “They’re both qualified as neurosurgeons and have additional orthopedic spinal surgical training. This gives them he completed his internship and residency in neurological surgery at Ohio University COM/Grant Medical Center and exceptional insight into how to best treat patients with neck or back conditions. Their arrival,” he notes, “further enhances Riverside Methodist Hospital, Columbus, OH. Dr. Gaudin was appointed Chief Resident and a clinical instructor during our group’s ability to provide highly-specialized, universityhis final year of residency. He received additional training in level care in a community setting.” minimally invasive, complex spinal deformity and scoliosis Dr. Zouzias is a board-certified neurosurgeon specializing surgery at The Orthopedic Foundation in New Albany, OH. in complex and minimally invasive spinal surgery. He performs advanced neurological and spinal procedures ABOUT NEUROLOGICAL SURGERY, P.C. (NSPC)– Founded in Freeport using the most advanced techniques, such as lateral in 1958, Neurological Surgery, P.C. (NSPC) has grown to become access procedures for spinal fusion, cervical artificial disk one of the largest, private neurosurgical practices in the U.S. with replacement, and percutaneous procedures for complex six conveniently located offices on Long Island. The practice’s spinal reconstruction and pain control. experienced neurosurgeons and interventional neuroradiologists are Dr. Gaudin performs minimally invasive and complex spinal surgery to treat conditions such as degenerative scoliosis and deformity, spinal stenosis, compression fractures, herniated disks, sciatica, revision surgery, infections, and tumors. In addition, he’s able to address a variety of other neurosurgical disorders, including brain tumors, craniocervical trauma, and peripheral nerve pathologies. Dr. Zouzias received his medical degree from the New York University (NYU) School of Medicine and completed his internship in general surgery and his residency in neurological surgery at the University of Medicine and Dentistry of New Jersey (UMDNJ). He was named chief neurosurgical resident of both University Hospital and Robert Wood Johnson Hospital during his final year of residency. Dr. Zouzias then went on to complete a complex and minimally invasive spine surgery fellowship at the University of South Florida. Prior to joining NSPC, he was an attending neurosurgeon and Chief of Spine Surgery at New York-Presbyterian Brooklyn Methodist Hospital.

experts in “Bloodless” brain and spine surgery, including laser spine surgery, ultrasonic spine surgery, endovascular coiling, stereotactic radiosurgery, and other advanced minimally invasive techniques which are used to treat brain tumors, brain aneurysms, trigeminal neuralgia, herniated disk, spinal stenosis, chronic back pain, and other neurosurgical conditions. Please visit www.nspc.com to learn more.

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5 Reasons to Call, Now: 1. Founded in Freeport, 1958. 2. First practice on Long Island to adopt routine collaborative care for complex spinal conditions. 3. Only our experienced neurosurgeons will perform your surgery. 4. Leaders in “Bloodless” brain and spine surgery, including laser spine surgery, radiosurgery, and other advanced minimally invasive techniques. • Herniated Disc • Spinal Stenosis • Back Pain

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18C SEPTEMBER 11 - 17, 2019 • PROFILES IN MEDICINE

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How-to Make The Perfect Powerhouse Salad

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Start with a powerhouse green

CHOOSING HEALTH STEFANI SASSOS

In order to incorporate more plants into your diet, a salad a day is a great start. Not only does a salad allow you to pack in quite a bit of vegetables, but it’s also a great way to sneak in extra fiber and water. Don’t forget, vegetables carry a lot of water and can help you stay hydrated, too. Incorporating a salad can help fight that mid-afternoon slump and keep you feeling energized for hours. Here are a few tips for creating a truly powerhouse salad meal.

Your green base is really personal preference. If you love romaine or iceburg lettuce, you can certainly choose that as your base, but keep in mind that these varieties of lettuce but they don’t have much nutritional value. The darker green leafy vegetables such as spinach, arugula, and kale have a much higher vitamin and mineral content. If you can, try to choose one of these darker greens or opt for a combo of both.

Go lean with protein

Although our vegetables are giving us fiber, we still need protein to help stabilize our blood sugar and promote satiety. Opt for a lean protein such as grilled chicken or baked salmon. Or, choose a plant-based protein such as chickpeas or edamame.

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Add a healthy fat

Tons of anti-inflammatory benefits from choosing a healthy fat to add to your salad, plus any healthy fat adds a ton of flavor., such as unsalted chopped nuts (walnuts or almonds are both heart-healthy favorites) or diced avocado. Unsalted seeds are a great addition as well.

Dress it up

Choose your dressing wisely. Is your salad look

more like dressing with a side of lettuce? Don’t throw away all the benefits of your salad by dousing it in heavy dressing. Opt for vinaigrettes over creamy dressings. You can also simply do olive oil and vinegar if you want something super light. Trader Joe’s carries a few delicious low-calorie creamy dressings (ie: Green Goddess, Almond Butter Turmeric, Carrot Ginger Miso) that are only about 20 calories for a two tablespoon serving. Mix everything together, and enjoy. Stefani Sassos, MS, RDN, CSO, CDN, CPT, is a Clinical Dietitian and Certified Personal Trainer. She also provides private nutrition counseling at her office in Great Neck. Visit her website www.stefhealthtips.com for more information or call 516-216-9909 to schedule an appointment.

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Load up on veggies

Add as many non-starchy vegetables as you would like. This is the best way to add color, flavor, and bulk to your salad. Some veggie favorites include red bell peppers, shredded carrots, beets, celery, jicama, tomatoes, cucumbers, and sugar snap peas. The more colors, the more antioxidant variety and health benefits.

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eptember is almost the unofficial start to the year. The fall is a great time to re-group and hit the ground running. This month is the perfect opportunity to re-commit to those goals you set back in January. One easy step towards improving your health and nutrition is by following a more plant-based diet. You don’t necessarily have to become a vegan or vegetarian, but adding more plants into your diet can help you manage your weight and also improve your overall health. Plant-based diets have been linked to countless health benefits, including reducing the risk of chronic diseases such as heart disease, cancer, diabetes, and even cognitive decline. The nice thing about a plant-based diet is that it focuses more on foods that we can add in as opposed to foods we need to cut out.

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PROFILES IN MEDICINE • SEPTEMBER 11 - 17, 2019 19C

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Alcohol By Volume “But I only drink a glass or two wine at dinner, that’s not really alcohol so how can I have a liver problem?” I hear this a lot as many people have a true misunderstanding regarding the alcohol content of beer, wine and distilled spirits such as scotch or vodka. The amount of liquid that one drinks does not necessarily correlate with the amount of alcohol that is taken in. It is therefore important to understand the alcohol content of each alcoholic beverage. Most beers contain about 5 percent alcohol. Light beers have slightly less alcohol, but not by much, averaging about 4.2 percent alcohol. Malt liquors contain a higher alcohol content, about 7 percent. Wine has considerably more alcohol with an average content of around 12 percent and heavier alcohols like gin, vodka, scotch, tequila, etc. have about a 40 percent alcohol content. In the United States, a standard drink, contains about 14 grams of alcohol. Examples of standard drinks are 12 ounces of beer, a glass of wine or 1.5 ounces of distilled spirits. Heavy drinking is defined as more than 14 standard drinks per week for a woman and more than 21 standard drinks for a man. Unfortunately, many people can drink significantly less than these amounts and still develop advanced liver disease, usually related to either concomitant medical issues, usually obesity or diabetes or a genetic predisposition. To make it more complicated,

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different wines have significantly different alcohol contents and the amount of alcohol consumed in wine is also related to the size of the pour, with many pours being more than the standard 5 ounces, especially when one orders a bottle at a restaurant. Low alcohol wines with less than 10 percent alcohol by volume are ones such as German Rieslings or Italian moscatos. Medium-high alcohol content wines, with 13.5-15 percent alcohol by content, include chardonnays, pinot noirs, zinfandels, malbecs, barolos, amarones, brunellos and Chateauneuf-du-Pape, to name just a few. High alcohol content wines, containing more than 15 percent alcohol by volume, include sherry, port, Madeira, Marsala and Thunderbird. Alcohol use can lead to a spectrum of liver injury, from simple fatty liver to cirrhosis and its complications. Alcohol related liver disease is now the leading indication for liver transplantation in the United States. It is important to note that the vast majority of people who drink responsibly will not develop liver problems. However, in some people, as little as two glasses of wine a day can cause significant liver disease, especially in thin women. It is very important for people to understand the alcohol content of the beverages that they enjoy, for both your health as well as the health of others. The higher the alcohol content, the more likely one will develop concentration and judgment impairments which effect one’s ability to safely drive a motor vehicle. Overall, the use of alcohol requires good common sense. “Everything in moderation, nothing in excess,” remains a good axiom to live by. If one has any concerns regarding their alcohol use, these concerns should be addressed by a physician.

“Health is a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity” – World Health Organization Special yoga offerings: – $39 for one week unlimited yoga (new students only) – Fall Special for students and teachers–15% Off – First Class FREE for Yoga and Pilates (new students only) Restorative Yoga & Aromatherapy Saturday, September 14th, 1:00–3:00 pm Experience Restorative yoga with the addition of therapeutic essential oils to relieve the effects of chronic stress. Using props such as bolsters, blocks and blankets, the body releases tension and calms the mind. 200 hour Yoga Teacher Training with Lisa Bondy Weekend Format October 2019 Services: – Acupuncture – Aromatherapy – Energy Healing & Bodywork – Healing Circles – Health & Wellness Coaching – Massage – Meditation – Nutrition Counseling – Reflexology – Reiki & Energy Healing – Yoga, Tai Chi Easy™ & Pilates

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20C SEPTEMBER 11 - 17, 2019 • PROFILES IN MEDICINE

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National Ovarian Cancer Awareness Month

varian cancer sneaks up on women because in its early stages, the symptoms aren’t intense and present vaguely, and there is no dependable screening test for the cancer. According to the National Ovarian Cancer Coalition, ovarian cancer is diagnosed in nearly 80 percent of women when the cancer is already in its later stages and prognosis is poor. The American Cancer Society notes that ovarian cancer is the deadliest of cancers affecting the female reproductive system and the fifth-leading cause of cancer deaths among women overall. Ovarian cancer will be diagnosed in an estimated 22,500 American women in 2019. September is set aside as National Ovarian Cancer Awareness Month to rally support, research and treatment for this tough-to-detect gynecological cancer. Standing unified in a countrywide awareness campaign, a number of cancer prevention and healthcare organizations join with everyday citizens and ovarian cancer patients and their families to fight for a cancer-free future. “Just because older women can no longer have children, it does not mean they are no longer at risk for reproductive system cancers. The opposite is true,” said Gregg Balbera, president of Right at Home Nassau Suffolk. “Because ovarian cancer is more prevalent in older women, particularly women who are age 63 and up, we encourage our senior clients to stay current on their health exams. It is important for all of us to stay proactive with our health as we age.” The ovaries are a pair of almond-sized reproductive glands found on each side of a woman’s uterus in the pelvis. The ovaries’ job is to produce eggs for reproduction and the female hormones estrogen and progesterone. Ovarian cancer occurs when abnormal cells in an ovary grow out of control and crowd out normal cells. Eventually, these erratic cancer cells form a lump or tumor. The American Cancer Society finds that a woman has a one in 78 chance of getting ovarian cancer

during her life. Aging, excess weight and obesity, late-age pregnancy and fertility treatments, hormone replacement therapy after menopause, if you are a breast cancer survivor, if you are a carrier for BRCA1 and/or BRCA2 or if you have a family history of ovarian, breast or colorectal cancer, all contribute to ovarian cancer. Oncology researchers do note a few factors that can help lower the risk of ovarian cancer including having a full-term baby before age 26, breastfeeding and taking oral contraceptives. Some studies also show that ovarian cancer risk lowers through other birth control forms including tubal ligation (tying of fallopian tubes), using intrauterine devices and undergoing a hysterectomy without removing the ovaries. Catching cancer early is always the goal to allow

for more treatment options. The American Cancer Society states, “Only about 20 percent of ovarian cancers are found at an early stage. When ovarian cancer is found early, about 94 percent of patients live longer than five years after diagnosis.” Currently, there is no consistently effective screening test for ovarian cancer. Regular women’s health exams are important to help rule out reproductive system cancers of any kind. Part of the pelvic exam includes a Pap test for detecting early cervical cancer. In rare instances, a Pap test has helped detect an advanced stage ovarian cancer. In addition to a complete pelvic exam, a transvaginal ultrasound (TVUS) and the CA-125 blood test are ordered sometimes for women at highest risk for ovarian cancer, but both of these tests are not fully reliable for detecting cancer of the ovaries. Once ovarian cancer is diagnosed, doctors will try to determine the extent of the cancer through a process called staging. Ovarian cancer stages range from I through IV, with IV involving the greatest

spread of the cancer. Staging helps doctors determine the best treatment options. Surgery to remove the cancerous growth is the most common treatment for women with ovarian cancer. Chemotherapy that delivers chemicals to destroy or stop cancer cells from growing is also a best practice for ovarian cancer. Radiation is rarely used for treating ovarian cancer in the United States, but may be used to shrink tumors and destroy cancer cells that have spread to other parts of the body. Many women also choose a number of complementary therapies including acupuncture, herbal medicine, meditation and massage to boost their whole body approach to cancer treatment. “With the awareness that National Ovarian Cancer Awareness Month brings and the efforts of ongoing research and clinical trials, the American Cancer Society reports that the diagnosis rate for ovarian cancer has slowly declined over the past 20 years,” Balbera explained. —Submitted by Right at Home

Thyroid Cancer Awareness Month Spotlighting the need for early detection and more research

While the most common thyroid cancers are usually treatable if found early, some types and variants are often aggressive and difficult to treat. And, unlike many other cancers, the mortality rate for thyroid cancer has gradually increased in recent years. People of all ages, from infants through seniors, are diagnosed with thyroid cancer. In addition, patients need lifelong daily medication and periodic testing following treatment. The expenses can be high, and treatments may have side effects that impact patients’ quality of life. ThyCa: Thyroid Cancer Survivors’ Association, Inc. created this observance 19 years

ago to increase awareness about the many types and variants of thyroid cancer: Papillary (and variants), Follicular (including Hurthle Cell), Medullary and Anaplastic. “Find It Early” messages to encourage medical professionals to perform quick neck checks to find thyroid nodules through palpation using their fingers, together with expert follow-up if a nodule is found. Most thyroid nodules are benign, not cancerous. New treatments are extending lives for many people with thyroid cancer. However, the overall death rate continues to rise. The annual International Thyroid Cancer Survivors’ Conference,

plus videos and free handbooks, helpful support groups both in-person and online are where patients and caregivers share experiences and coping tips, thyroid cancer awareness campaigns and research fundraising activities. In 2019, the nonprofit ThyCa: Thyroid Cancer Survivors’ Association, Inc. is marking its 24th year of providing thyroid cancer information and a wide array of free support services, educational resources, and thyroid cancer events to people affected by thyroid cancer as well as professionals and the public. Visit www.thyca.org to learn more. —Submitted by ThyCa Long Island

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Advertorial

The Mommy Makeover: A Combined Approach to Body Rejuvenation By Dr. Shain Cuber, New York Plastic Surgeon

Mommy Makeover targets trouble areas such as the breasts, tummy, hips, and flanks. A Mommy Makeover is a combination of procedures performed on the same day, to address any or all of the issues that may be left in the wake of childbearing.

Typically, a Mommy Makeover consists of: Abdominoplasty (Tummy Tuck), Breast Augmentation or Breast Lift, and Liposuction. Each of these procedures address the specific issues that need to be restored, resulting in a total body transformation. For best results, it is encouraged for the patient to be complete with having children before undergoing a Mommy Makeover. Patients must also be in good health and should have someone to help with childcare while they are convalescing. If you are considering undergoing a Mommy Makeover, it is important to consult with a Board Certified Plastic Surgeon. During the consultation, the surgeon will listen to your specific goals and discuss possible treatment plans. Photographs from different angles will also be taken either at the initial consultation and/or the day of the procedure, which aids in surgical planning for both you and the surgeon. It is important that you feel comfortable with your surgeon and that all of your questions and concerns are addressed. As with all cosmetic procedures, the goal is for a happy, healthy, and more confident YOU. Author bio: Dr. Shain Cuber is a Board Certified plastic surgeon practicing in Great Neck and Manhattan. He is also a member of the American Society of Plastic Surgeons.

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The gift of life is a beautiful thing; when you look at your new baby after carrying it for months, there is no greater joy. With the biggest joys often come the biggest pains—one of these being getting back into your previous shape once you bounce back from childbirth. While this may all seem vain to some, looking good and feeling good have a high impact on one’s self-image and well-being; permeating into all aspects of one’s life. The physical changes that your body endures during pregnancy do take a while to reverse post-partum, yet, unfortunately some of these changes can be irreversible for many women, no matter how hard they try. The skin may become loose due to a lack of skin elasticity, genetics, age, or just overstretching. The abdominal wall muscles can become weak and protrude, resulting in a potbelly. A loss of breast tissue may result in saggy or “deflated” breasts after nursing. Fat may have accumulated in certain areas and is resistant to positive lifestyle changes such as healthy eating and regular exercise.

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22C SEPTEMBER 11 - 17, 2019 • PROFILES IN MEDICINE

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NEIGHBORS IN THE NEWS

Northwell Health Cancer Institute Appoints Chief Of Cancer Genetics

he Northwell Health Cancer Institute has recently appointed Noah D. Kauff, MD, chief of cancer genetics for the health system. He joined the Cancer Institute on Aug. 14. Kauff, a gynecologist and geneticist, has specialized in cancer genetics for 20 years. Prior to joining Northwell, he served as director of clinical cancer genetics at the Duke Cancer Institute in Durham, NC, part of the Duke University Health System. From 2006-15, Kauff directed the Ovarian Cancer Screening and Prevention program at Memorial Sloan-Kettering Cancer Center (MSK) in Manhattan. He also was an attending physician for MSK’s Clinical Genetics and Gynecology Services. In his role at the Northwell Cancer Institute, Kauff, will

Noah Kauff

(Photo by Northwell Health)

provide leadership, strategy and management of cancer genetics, incorporating clinical care, research and education across the health system’s cancer centers. Kauff also will help integrate cutting-edge understanding of the molecular basis of individual cancers to provide more targeted therapy to Northwell’s oncology patients

as well as better characterize cancer risks and methods to reduce these risks in patients with a family history of cancer. Kauff also will be appointed professor of OB/GYN at the Zucker School of Medicine at Hofstra/Northwell. “With Dr. Kauff’s extensive clinical and research expertise, he will be critical in developing a comprehensive and robust adult cancer genetics program at Northwell,” said Richard Barakat, MD, physician-in-chief and director of the Northwell Health Cancer Institute, and senior vice president of the health system’s Cancer Service Line. “Dr. Kauff will expand and standardize cancer genetics throughout our entire cancer network in New York City, Long Island and Westchester.” Kauff’s research interests include the role of genetic

counseling on the evaluation and management of individuals with an inherited predisposition to cancer. His clinical focus includes cancer risk counseling, screening for and prevention of inherited cancers and the gynecologic care of patients with cancer. Kauff was the lead investigator of the first prospective study evaluating the efficacy of removing ovaries and fallopian tubes to prevent breast and gynecologic cancer in women with BRCA1 or BRCA2 gene mutations. The study was published in the New England Journal of Medicine and led to a change in the international standard of care for women with these mutations. Kauff received his medical degree from the University of Pennsylvania School of Medicine. He completed his residency at New York

Medical College and his fellowship in clinical genetics from MSKCC/New York Presbyterian Hospital. He is a fellow of the American College of Obstetrics and Gynecology and a member of several medical organizations, including: the American Society of Clinical Oncology, the American Association for Cancer Research, the Society of Gynecologic Oncologists, among others. A frequent lecturer at medical meetings, Kauff has been invited to give nearly 100 presentations on inherited breast and gynecological cancer and other related topics. He has published extensively in peer-reviewed publications, scientific book chapters, practice guidelines and journal editorials. —Submitted by Northwell Health Cancer Institute

Annual Adelphi Breast Cancer Celebration Of Survivorship Four breast cancer survivors will tell their powerful stories at the annual Celebration of Survivorship of the Adelphi Breast Cancer Program on Thursday, Oct. 3 at 7 p.m. The event, which will be held in the Adelphi Performing Arts Center, is free and open to the public but reservations are required. The four women are Barbara Ehrenpreis (28-year survivor), Margaret Bores (30-year survivor), Estafany Carolina Garay (5½-year survivor) and Cindy Kay-Fink (25year survivor). Ehrenpreis was referred to the Adelphi Breast Cancer by the hospital where she was receiving chemotherapy. She joined a support group and her life took a different turn. After completing the group, Ehrenpreis volunteered to be a hotline volunteer. That led her to the decision to attend the Adelphi School of Social Work and completed a Masters Degree in Social Work. Today, she is a licensed

Clinical Social Worker, working for NorthWell Health Hospice Care Network, providing support to hospice patients on the Palliative Care Unit at NorthWell Manhasset, as well as in their homes. Bores played professional basketball for the New Jersey Amazons at age 17, opening for the Harlem Globe Trotters at the Renaissance Club in Harlem. In 1979, she refereed one of the first women’s college

basketball games played at Madison Square Garden. After her four children graduated from college, she earned degrees in physical therapy psychology, and exercise physiology. While attending college, she was diagnosed with breast cancer, and when she recovered, spent 10 years as a member of the Living with Breast Cancer Program, organizing and maintaining the lending library and teaching breast self-exam. She has been a breast health educator, speaking at colleges, factories, stores and community centers and for 10 years she taught the exercise program for the Arthritis Society. Garay is a first generation American; her parents emigrated from El Salvador in 1980 and she was born here and grew up in Freeport. She earned a BA from Hofstra University and M.P.A (magna cum laude) from LIU Post. Today, she is director of the Town of North Hempstead’s Yes We Can Community Center in Westbury.

She is responsible for programming and maintenance of the facility and oversees an afterschool program with over 50 children and a summer activities program with 80 children. Kaye-Fink was 36 years old with two young children and a full-time job as a court reporter when she was diagnosed with breast cancer. She reached out to the Young Women’s Support Group at the Adelphi Breast Cancer Program where she met with others in her situation and gained the support she needed to go on. In 2010 breast cancer returned. After a mastectomy, reconstruction and more chemo, today she is in remission and giving back by being a volunteer with the Adelphi program. She still meets monthly with the group of women from her original support group. Doors open at 7 p.m. (raffles available) and the program begins at 7:30 p.m. Register by phone at 516-8774325 or email breastcancerhotline@ adelphi.edu.

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Taking care of your health can start with something small, easy and even fun. At the Katz Institute, we know that women’s health needs are unique. That’s why we provide a wide range of services, including clinical programs, community health education and cutting-edge research for women throughout their life span. Join us for one of our upcoming educational events:

Restorative Yoga with Aromatherapy Saturday, September 14 1:00 pm to 3:00 pm $60 ($50 for Northwell employees) Center for Wellness and Integrative Medicine 1500 Old Northern Blvd. Roslyn, NY Restorative yoga helps relieve the effects of chronic stress by enlisting supported yoga postures to achieve relaxation. Using props such as bolsters, blocks, and blankets, the body releases tension and calms the mind. Therapeutic grade essential oils are added to each pose.

Everything You Need to Know About Colorectal Cancer: Prevention, Screening & Treatment Wednesday, September 18 5:30pm to 7:30pm Free event Imbert Cancer Center 440 East Main Street Bay Shore, NY 11706 Thursday, September 19 5:30pm to 7:30pm Free event The Dolan Center 284 Pulaski Road Greenlawn, NY 11740 Colorectal cancer is a leading cause of death in the U.S.—but it can be prevented with early screenings and managing our risk factors. Our experts will discuss risk factors, genetics, screening guidelines and the latest diagnostic and treatment options.

Miss Diagnosed: What You Need to Know about Endometriosis Wednesday, September 25 6:30 pm to 8:30 pm Free event Huntington Hospital Dolan Family Health Center Murcott Conference Room 284 Pulaski Road Greenlawn, NY 11740 Approximately 5 million women in North America have endometriosis. Although it is common, it is widely misunderstood and often misdiagnosed. Join our experts as they discuss what causes endometriosis, how it’s diagnosed and treated and what women can do to raise awareness.

For more information or to register, call the KIWH Resource Center at (855) 850-KIWH (5494) or visit Northwell.edu/kiwh-events. @KatzWomensHlth

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Alzheimer’s Foundation Of America Awards $100,000 Grant NYU Winthrop Hospital will use the funds to develop new Alzheimer’s treatments

the brain. These extracellular pieces of neuron, or vesicles, carry genetic information regarding brain neurons and can be extracted from blood. Researchers will investigate differences in this genetic information between healthy individuals and those with Alzheimer’s and, since these reflect differences in actual brain neurons, plan to use the information gained to reprogram Alzheimer’s neurons to behave like those in healthy people. “Alzheimer’s disease is a growing public health epidemic. With the

number of Americans living with Alzheimer’s disease expected to nearly triple by 2060, the need for a disease-modifying treatment is critical,” said AFA president and CEO Charles J. Fuschillo, Jr. “NYU Winthrop Hospital’s cutting-edge research project has great potential to increase understanding of the causes of Alzheimer’s, leading to treatment that millions of families are hoping for.” “Examining these particles from brain neurons is like conducting detective work, since they provide

clues as to what is occurring in the brain itself,” said Reiss. According to NYU Winthrop, this innovative approach has evolved out of research that Reiss’ team has been conducting for the last five years, much of it funded by a previous AFA grant. Reiss noted that in the last two decades, only a handful of medicines were approved to treat Alzheimer’s, while the vast majority of clinical trials—more than 120—were halted. Trials typically rely on research first conducted on mice or using spinal fluid, and those often fail to replicate the complex neurological activity in the human brain. That contrasts with research to find cures for cancers of the liver, lungs, etc., where it is increasingly common for pieces of tissue to be extracted for biopsies – and for profiling of cancer cells—to come up with optimal treatment regimens. —Submitted by AFA

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The Alzheimer’s Foundation of America (AFA) announced a $100,000 grant to NYU Winthrop Hospital for a research project aimed at uncovering the underlying causes of Alzheimer’s disease and new treatments. The cutting-edge research will reengineer human cells, collected through a single voluntary blood test, to behave like brain neurons, allowing researchers to achieve what they believe is the closest approximation to brain behavior possible. Dr. Allison Reiss, head of the Inflammation Section at NYU Winthrop Hospital’s Research Institute and her team will gather blood samples from individuals living with Alzheimer’s and those without the disease, and reengineer the collected cells to behave like brain neurons. The research will isolate and examine “exosomes,” i.e. small particles shed from every cell, including neurons in

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HEALTH NEWS

Hearing Health: Dispelling Five Common Myths BY DIANE NENS

editorial@antonmediagroup.com

he sounds of fall are approaching: the windy rustle of leaves, crickets chirping and children going back to school. But for a growing number of people, these sounds are becoming more difficult to hear. Hearing loss affects more than 48 million people nationwide, and it could become more widespread in the coming years due to an aging population and our increasingly noisy world. To help people reduce their risk of hearing loss and become more informed about the nation’s third most common chronic condition, here are five myths—and facts—to consider.

Hearing loss affects only hearing loss is associated with social isolation, dementia, older people While it is true that most people’s hearing naturally declines as we age, the condition can affect people in their 30s, 40s and 50s. In fact, nearly one-third of people with hearing loss are 59 or younger. The condition could affect more people in the coming decades, as more than 1.1 billion young adults worldwide are at risk of developing hearing loss, according to a study by the World Health Organization.

It is harmless Hearing loss is more than a nuisance or a sign of aging—it can have a significant impact on people’s overall health. For instance, research shows

depression and other health ailments. People with hearing loss are 32 percent more likely to be hospitalized, according to the Better Hearing Institute.

It can’t be prevented Exposure to loud sounds can contribute to noise-induced hearing loss. To help reduce your risk, limit exposure to loud sounds and consider using ear protection, especially at sporting events and music concerts where sounds can often exceed 100 decibels. When listening to music or movies on a mobile device, people should consider over-the-ear headphones—especially models with noise-canceling

properties—as those are generally considered a better option than earbuds.

It will improve without treatment For some people in the early stages of hearing loss, there is an expectation—and hope— the problem will resolve itself or improve eventually. The reality is hearing loss tends to gradually worsen over time without treatment. Unlike a broken bone or other physical injury, hearing follicles don’t regrow or repair themselves.

Hearing aids are bulky and expensive

Hearing aids can be expensive, but more affordable options are becoming available.

Direct-to-consumer hearing aids can enable people to save up to 80 percent compared to devices sold through traditional channels. And a growing number of health plans are offering coverage for hearing aids, including through some Medicare Advantage and employer-sponsored benefit plans. Plus, newer advances are making hearing aids smaller and more comfortable while incorporating fall-detection capabilities and blue-tooth technology to synch with smartphones and other digital devices. Diane Nens is an Audiologist and Senior Clinical Director for UnitedHealthcare Hearing

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Hearing Screenings from 10 a.m. - 12 p.m. Hearing Aid Cleanings from 10 a.m. - 12 p.m. Lecture on Active Aging and Better Hearing 10 a.m. Hearing Support Group 3 p.m. Hearing Screenings & Hearing Aid Help 10 a.m. - 12 p.m. Call today and reserve your appointment!

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HEALTH NEWS

NYU Langone Health, NYU Winthrop Complete Full-Asset Merger

YU Langone Health announced today the completion of a full-asset merger with NYU Winthrop Hospital, with which it has been affiliated since 2017. The partnership will expand, enhance, and clinically integrate NYU Langone’s healthcare networks on Long Island, while building upon those of NYU Winthrop Hospital, which provides inpatient and outpatient medical care through its network of Long Island– based healthcare facilities. “NYU Winthrop has proven to be an exceptional partner and shares our level of commitment to patient care,” said Robert I. Grossman, MD, the Saul J. Farber Dean of NYU School of Medicine and CEO of NYU Langone Health. “Since we’ve been affiliated, our institutions have enhanced the range and quality of services offered to the residents of Long Island and have grown the physician network across the region, with NYU Winthrop serving as the primary inpatient hospital.” In a phased approach, the merger with NYU Winthrop added approximately 70 ambulatory sites to NYU Langone’s healthcare network, including one inpatient location in Mineola, which has served Long Islanders for more than 120 years. Additional benefits of the partnership mean that Long Islanders now have access to NYU Langone’s specialized services and resources, including increased access to clinical trials—and more cost-effective care delivery across the region. The implementation and integration of the Epic electronic health record system throughout NYU Winthrop facilities allows for a seamless continuum of care across ambulatory sites—and an improved patient experience. NYU Winthrop’s Research Institute initiatives, including clinical trials, are also being integrated with those of NYU Langone. Capital commitments have been made to expand and modernize various NYU Winthrop physical facilities to better accommodate an increasing Long Island patient population. NYU Winthrop Hospital’s 591-bed medical center, with more than 75 divisions of specialty care and an ACS Level 1 Trauma Center, offers current NYU Langone patients on Long Island comprehensive inpatient care, as well as outpatient care through a network of healthcare

facilities closer to home. Current NYU Langone patients on Long Island also have access to NYU Winthrop Hospital’s many stellar services and programs including a renowned cardiac program, with NYU Winthrop among the top five transcatheter

aortic valve replacement centers in the country; the first Diabetes Education Program established in New York State and the first major teaching hospital in the state to earn The Joint Commission’s Gold Seal of Approval for advanced inpatient diabetes care;

NYU Winthrop’s CyberKnife Center, the first established in the region; a Breast Health Center that was the first in Nassau County to earn certification by the National Accreditation Program for Breast Centers and an internationally renowned Neonatal Intensive Care Unit, and the hospital offers the only fetal surgery program on Long Island. “The merger of these two outstanding institutions will enable us to expand the services offered to the communities we serve, enhance the level of care provided, increase access for patients to clinical trials, and lead to the more cost effective delivery of care across the region,” said John Collins, Winthrop’s president and CEO. —Submitted by NYU Winthrop Hospital

Queens-Long Island Renal Institute Earns Quality Recognition Awards The Queens-Long Island Renal Institute (QLIRI) at Parker Jewish Institute for Health Care and Rehabilitation was recently honored with two quality recognition awards, by Island Peer Review Organization End-Stage Renal Disease Network of New York. These prestigious awards represent programs from across the state that demonstrate excellence in best practices in response to a public health need. “The QLIRI team accomplished this wonderful goal, very diligently, to help support patient care,” said Michael N. Rosenblut, QLIRI’s president and CEO. QLIRI earned the “Recognition of Excellence in Medication Management Initiative: CMS Emerging Success Story,” for its education programs and awareness campaigns to support medication management, opioid misuse counseling, and substance abuse screenings. These initiatives were identified as best practice strategies in opioid-misuse prevention and treatment as well as supporting safe and effective

pain management, according to the network. QLIRI was also awarded the “Recognition of Achievement in the ESRD Quality Incentive Program (QIP) Arteriovenous Fistula (AVF)/ Graft (AVG) 2018 Performance Score,” having achieved the highest rating, 10 points, in this category, according to the network. These awards are just some of the recent recognitions earned by Queens-Long Island Renal Institute. The organization

also received the prestigious 5-Diamond Patient Safety Program. This award is given only to those dialysis facilities that meet precise criteria. These standards include building specific staff and patient awareness of defined patient safety areas, promoting patient safety values, and fostering a culture of patient safety after completing a series of learning modules. —Submitted by Parker Jewish Institute for Health Care and Rehabilitation

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PROFILES IN MEDICINE • SEPTEMBER 11 - 17, 2019 27C Photo Credit Diana Davis

Four Dedicated Pancreatic Cancer Research Laboratories More resources, time and talent are being put toward this disease, where they are urgently needed.

How To Navigate A Pancreatic Cancer Diagnosis

Have you or a loved one recently been diagnosed with pancreatic cancer? It is estimated that this year alone, more than 56,000 Americans will be diagnosed, and the ﬁve-year survival rate remains in the single digits. The Lustgarten Foundation is the world’s largest private funder of pancreatic cancer research and is at the forefront of the most promising breakthroughs. The Foundation is committed to helping you navigate this disease and has developed the checklist below highlighting a few immediate steps to take after receiving this diagnosis. Understand your disease. Thoroughly understand what stage of pancreatic cancer you have. Staging cancer is a standardized way to classify a tumor based on its size, whether it has spread, and where it has spread. Staging measures the extent of the disease and will impact treatment.

Photo Credit: Diana Davis

Walk for Research Raise awareness and funding for pancreatic cancer research. We have more than 30 walks across the country annually, which have raised more than $40 million since inception.

Get genetic testing. Inquire about having your blood or saliva tested to identify possible genetic predispositions to cancer. This testing can have implications for family members and can guide your treatment program. According to the National Comprehensive Cancer Network’s guidelines, all pancreatic cancer patients should undergo genetic testing for inherited genetic mutations, regardless of family history. Get tumor testing. Tumor testing is still in the early stages of being studied. If you are being treated at a major cancer center, you may want to inquire about having your tumor tested for genetic mutations, which in some instances can help identify additional therapy programs. Seek opinions from experts. Get two opinions and make sure one is from a large academic institution specializing in treating pancreatic cancer. Know your healthcare team. Treating pancreatic cancer requires an interdisciplinary approach that includes your oncologist and other specialists who will be involved in your care. Continue to see other doctors who are involved in your overall care, such as your internist.

Find a Community Event Join one of our more than 300 community events across the U.S. or start your own fundraising event.

Contact your insurance company. Thoroughly understand your health insurance policy. Know what services are covered and what your out-of-pocket obligation will be per calendar year. Request a case manager to help you optimize your beneﬁts and navigate the intricacies of your policy. To learn more about the Lustgarten Foundation visit lustgarten.org or call 866.789.1000. Thanks to separate funding to support administrative expenses, 100% of your donation goes directly to pancreatic cancer research. 206142A

Walk WalkWith WithUs! Us!

100% of every dollar raise goes directly 100% of every dollar youyou raise goes directly to pancreatic cancer research. to pancreatic cancer research.

Sunday, October 6, 2019

Jones Beach - Field 5, Wantagh, NY Check-in begins at 8:30 AM Sign up at: lustgartenwalklongisland.org or call 866.789.1000

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