Health and Medicine Summer 2013

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H E A LT H Medicine Discovery Center plans for autism How to reduce the risk of stroke Refuah adds a pharmacy

Doctors and medical staff awards How to avoid foot problems Crystal Run Healthcare wins kudos Orange Regional best for stroke care

A Special Supplement to the Sullivan County Democrat • July, 2013

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SULLIVAN COUNTY DEMOCRAT

CRMC’s CRMC’ CRMC ’s Newly Newly Renovated Renovated Emergency Emergenc y Depar Department tment

Pr Providing oviding P Positive ositive Patient Experiences

Drr. Carlos Holden Medical Directorr, Emergency Depar tment

“I came to Catskill Regional Medical Center er thrree e ye ears ago because e I sa aw a grreat e opportunity ty y. As the only hospital in Sullivan ullivan County y, we e’re able e to mak ke major difffe erre ences in our patients’ liv ve es.. Our Ou skilled continually physicians and compassionate mpassionate staff arre con wo orking to enhance enhanc the quality of patient carre, implement new technology and prrovide v an n ove erall positiv ve patient experience. I am prroud o to be part of a team dedicated to serving our community y.”

When it comes to patient experiences, riences,, CRMC is dedic dedicated to improving the health of you and your family.

Our newly renovated Emergency Department featur e es a variety of amenities, menities,, new technology, essionals e more treatment rooms and quality care from highly skilled and experienced proffessionals.

For a more information, rmation,, visit www.crmcny.org or call 845.794.3300.

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Advancing P Patient atient a Ca Care re for Our Community A member of the Greater Hudson Valley Health System

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JULY, 2013

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JULY, 2013

County’s biggest employer unveils plans for new autism center STORY AND PHOTOS BY ELI RUIZ

SERVICES PROVIDED:

The Discovery Health Center is a diagnostic and treatment center dedicated to providing comprehensive out-patient care to people of all ages and backgrounds, while maintaining optimal wellness with an emphasis on prevention.

We accept Medicare, Medicaid and most private insurances.

Learn More Online at: thecenterfordiscovery.org

U U U U U U U U U U U U U CDIS-128001

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COMPREHENSIVE CARE

HURLEYVILLE — On Thursday, June 27, the Center for Discovery hosted the Sullivan County Partnership for Economic Development’s second quarterly membership meeting at the Michael Ritchie Big Barn Center in Hurleyville.

Highlighting the meeting was a panel discussion laying out the Harris based operation’s ambitious expansion project, specifically, its proposed Autism Center.

It has the potential to add some 400 new jobs to the more than 1,500 the center, as Sullivan County’s largest employer, has already injected into the struggling region’s economy.

Autism spectrum disorder – a neural development disorder affecting roughly 1-2 persons per 1,000 worldwide – is widely characterized by impaired social interaction as well as verbal and non-verbal communication. Individuals suffering from the disorder often behave in restricted, repetitive, and often stereotyped manners.

As for diagnosing the disorder, the diagnostic criteria requires that symptoms materialize before a child is 3. In altering how nerve cells and their synapses connect and organize – a phenomenon still misunderstood by researchers – the disorder profoundly affects information processing in the brain.

Autism is one of three recognized disorders in the autism spectrum (ASDs), rounded out by Asperger syndrome and pervasive developmental disorder.

Founded in 1948, the Center for Discovery’s long-standing mission has been to provide individuals with significant disabilities including autism – and their fami-

Center for Discovery CEO Patrick Dollard, under the screen, gives a talk about the proposed autism center during the Sullivan County Partnership for Economic Development’s quarterly membership meeting at the Michael Ritchie Big Barn Center in Hurleyville. The barn is part of the Center’s Hurleyville complex.

General Dentistry Assistive Technology, DME and Orthotics Audiology and Hearing Aid Dispensing Autism Evaluation and Treatment Gastroenterology Neurology Nutrition Occupational, Physical and Speech Therapy Ophthalmology Physiatry Podiatry and Orthopedics Psychiatry and Psychotherapy and more

THE CENTER FOR DISCOVERY DISCOVERY HEALTH CENTER 606 OLD ROUTE 17 MONTICELLO, NY 12701

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lies, innovative, educational, clinical, social and learning experiences designed to enrich their lives through personal development and increased independence.

But if Center for Discovery President and CEO Patrick H. Dollard and longtime employee, Associate Executive Director Theresa Hamlin, Ed.D. have their way, autism will become even more of a focus for the organization.

The proposed Autism Center is part of a $30 million initiative – first announced in June 2007 – that included the addition of new beds for medically frail young adults, the purchase of stables for therapeutic riding activities, completion of the 21,500-square-foot Carrus Institute research and training center, renovations to existing facilities, as well as upgrades to the Center’s telecommunications and computer systems and the expansion of autism services.

JULY, 2013

The $30 million initiative is intended to include the addition of new beds, the purchase of stables for therapeutic riding activities, completion of the research and training center, facility renovations as well as telecommunications and computer upgrades.

Last Thursday’s panel discussion was led by Dollard, who took the reins at the Center for Discovery in 1980 – back when the Center employed just between 15-20 individuals – and has overseen its explosive growth and expansion.

Center for Discovery CEO Patrick Dollard talks with Sullivan County Legislator Kitty Vetter after his presentation.

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this has the capacity to really change the way we view autism. There’s no one that is doing the kind of work we’re doing here right now. I think it will be a model for the nation.”

The Sullivan County Partnership for Economic Development’s next quarterly meeting is scheduled for September.

For more information on the Center for Discovery and its programs and initiatives visit their website at www.thecenterfordiscovery.org.

Center for Discovery CEO Patrick Dollard points to a slide during his presentation at the Center’s Michael Ritchie Barn in Hurleyville.

JOIN OUR TEAM

Partnership outgoing CEO Alan Scott was in attendance for the mid-afternoon meeting and outlined the economic benefits of the proposed expansion and Autism Center to an audience that included such notables as Partnership Board Chair Fred Stabbert III, Assemblywoman and newly appointed NYS Legislature Mental Health Chair Aileen Gunther, County Legislators Ira Steingart and Kitty Vetter, Mamakating Supervisor Harold Baird and newly appointed Partnership CEO and longtime consultant Marc Baez.

Dollard, along with Hamlin – whom Dollard jokingly claimed has worked for the organization from the tender age of 12 – shared the stage during the casual presentation and Q&A session that included – besides a brief overview of the Center, its services, expansion and explosive growth – a discussion outlining the biological mechanisms involved with autism and the disorder’s subtypes, the functional implications of assessment and intervention for individuals with autism spectrum disorder and more.

Dollard decried the form in which individuals with disabilities were treated and “hidden” away from public view in poorly managed and maintained institutions, likening the time period to the “Dark Ages of humaneness just 30-years ago.”

Dollard additionally touched on the Center’s expansion, saying, “As an organization we’ve actually been able to take advantage of the downturn in the real estate market,” in reference to the many local properties the organization has, as Dollard put it, “gobbled up” in the last few years.

Dollard then lauded the Center’s planned partnership with SUNY Sullivan, wherein the Center will be offering graduates of the community college’s future respiratory therapy program – a two-year curriculum – immediate employment at an expected $80,000-per-year salary.

This in a county that boasted a median annual household income hovering around $48,000 per year, according to a 2011 American Community survey.

After the roughly two-hour discussion, Dollard invited guests to network and enjoy dessert and light refreshments.

In a brief interview with the Democrat, Hamlin said of the proposed Autism Center, “I truly believe that

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Become part of a dynamic group of professionals at the nation’s premier specialty center for children and adults with complex and chronic disabilities, medical frailties and autism.

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Reducing the risk of stroke M

aking small lifestyle changes could reduce your risk of having a stroke, according to a new study in the American Heart Association journal Stroke.

Researchers assessed stroke risk using the American Heart Association’s Life’s Simple 7health factors: be active, control cholesterol, eat a healthy diet, manage blood pressure, maintain a healthy weight, control blood sugar and don’t smoke.

“We used the assessment tool to look at stroke risk and found that small differences in health status were associated with large reductions in stroke risk,” said Mary Cushman, M.D., M.Sc., senior author and professor of medicine at the University of Vermont in Burlington.

Researchers divided the Life’s Simple 7 scores into three categories: zero to four points for inadequate, five to nine points for average, and 10 to 14 points for optimum cardiovascular health.

Researchers lights the critical found: importance of • Every oneimproving these point increase health factors toward a better since blacks have score was associnearly twice the ated with an 8 perstroke mortality cent lower stroke rates as whites,” risk.

Cushman said.

• Compared to Cushman and those with inadec o l l e a g u e s quate scores, peoreviewed informaCONTRIBUTED PHOTO tion ple with optimum on 22,914 scores had a 48 A stroke risk reducing “menu” supplied by black and white percent lower the American Heart Association.

Americans age 45 stroke risk and and older who are those with average scores had a 27 participating in a nationwide populapercent lower stroke risk. tion-based study called the Reasons • A better score was associated with for Geographic and Racial Differences a similar reduced stroke risk in blacks in Stroke (REGARDS). and whites.

Researchers collected data in 2003While black participants had worse 07 by telephone, self-administered Life’s Simple 7 scores than whites, the questionnaires and at-home exams. association of the Life’s Simple 7 score Participants were followed for 5 years with stroke risk was similar in black for stroke. Many of the study particiand white participants. “This high- pants live in the Southeast region of

the United States where death rates from stroke are the highest.

During the study, 432 strokes occurred. All seven health factors in Life’s Simple 7 played an important role in predicting the risk for stroke, but having ideal blood pressure was the most important indicator of stroke risk, researchers said.

“Compared to those with poor blood pressure status, those who were ideal had a 60 percent lower risk of future stroke,” Cushman said.

Researchers also found that those who didn’t smoke or quit smoking more than one year prior to the beginning of the study had a 40 percent lower stroke risk.

Each year, about 795,000 people in the United States have a stroke — the No. 4 killer and a leading cause of long-term disability. Every four minutes, an American dies from stroke.

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Ellenville Regional Hospital (ERH) announced that Parthkumar V. Pathak, physical therapist, has earned a Doctor of Physical Therapy from Utica College. After earning a Bachelor of Physical Therapy degree from the Nitte Institute of Physiotherapy, Rajiv Gandhi University of Health Sciences in Mangalor, India, Pathak earned a Master's of Science in Exercise Science and Rehabilitation from Brooklyn College, City University of New York, Brooklyn. Pathak has served as a Physical Therapist with ERH since 2010, working with both inpatients and outpatients in the Department of Physical Medicine and Rehab. For more information on the Physical Medicine and Rehab Department at ERH call 647-6400 ext. 292.

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Refuah Pharmacy ‘a model of excellence’

SOUTH FALLSBURG — Refuah Health Center recently held a ribbon cutting ceremony for an onsite pharmacy at the Refuah Health Center located at 36 Laurel Avenue, in South Fallsburg.

On hand was Congressman Chris Gibson (R-NY 19, Kinderhook), who made reference to the national healthcare debate in his praise of the Refuah Health Center.

“Your commitment to delivering excellence in healthcare is commendable and I think it is going to be part of a solution going forward for our entire country,” the congressman said.

The event was attended by local and state officials as well as the administration and staff of the Refuah Health Center headquarters located in Spring Valley.

Refuah has been serving the population of Sullivan County for over 15 years. The new Refuah pharmacy is the only pharmacy in all of South Fallsburg.

Refuah’s provision of healthcare

maintaining the mobile medical vans.

“Our mission has always been to identify and enable underserved populations to access comprehensive, quality health care,” said Refuah Health Center President/CEO Chanie Sternberg. ”Building a pharmacy was a natural extension of that.”

Congressman Gibson declared that he is working on providing more pharmacies in other areas of his district. He noted that Americans are “blessed” that we “continue to live longer” and that “access to a pharmacy is key to that.”

Refuah Health Center provides high-quality health

CONTRIBUTED PHOTO

Congressman Chris Gibson was on hand for the recent ribbon cutting of the new pharmacy at Refuah Health Center in South Fallsburg.

services in Sullivan County began with a mobile medical van, which provided quality healthcare to residents spending the summer in South

Fallsburg. In 2002, with the encouragement of Sullivan County officials, Refuah established a permanent yearround site for its health center while

care in Rockland, Sullivan, Orange, and Ulster Counties since 1993. All residents in need of health care, regardless of their ability to pay have access to care at any of the sites. Refuah was founded on the belief that everyone has a right to excellent health care that is compassionate, convenient and culturally appropriate. Refuah’s greatest asset is its cadre of health professionals, including doctors, dentists, nurses, technologists and ancillary staff, who are able to provide excellent, comprehensive care. As it celebrates its 20th anniversary, Refuah has grown from one doctor to 210 medical professionals at three locations, and five mobile vans – treating over 38,000 patients in 2012.

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ORMC earns Stroke Gold Plus Award

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or the second consecutive year, Orange Regional Medical Center (ORMC) has received the American Heart Association/ American Stroke Association’s Get With The Guidelines-Stroke Gold Plus Quality Achievement Award. The award recognizes Orange Regional’s commitment and success in implementing a higher standard of stroke care by ensuring stroke patients receive treatment according to nationally accepted standards and recommendations.

Based on the American Heart Association and American Stroke Association standards to earn this status, Orange Regional was recognized for achieving 85 percent or higher adherence to all Get With The Guidelines Stroke Performance Achievement indicators for consecutive 12 month intervals.

Additionally, Orange Regional received 75 percent or higher compliance with 5 of 8 Get With The Guidelines Stroke Quality Measures to improve the quality of patient care and outcomes.

“With a stroke, every second counts.

This award reflects Orange Regional’s dedication in providing top rated stroke care to our patients,” says Vice President of Clinical Program Development & Operations, Jerry Dunlavey.

ORMC is a designated Stroke Center by the New York State Department of Health. As a designated Stroke Center, Orange Regional has an expert Stroke Team comprised of highly trained physicians, nurses and technicians that can treat stroke patients quickly and effectively minimizing brain damage. Quick access to expert stroke services within the first three hours of stroke symptoms appearing is essential to preventing long-term neurological damage.

Signs and symptoms of a stroke include: • Numbness or weakness of the face, arm or leg (especially on one side of the body) • Confusion, trouble speaking or understanding • Trouble seeing in or of both eyes • Trouble walking, dizziness, loss of

CONTRIBUTED PHOTO

The stroke team at ORMC includes, sitting, from the left: Luanne Troiano, Rose Toscano, Angela Marchionni and Robin Brennan Seibel. Standing: Dr. Anuj Vohra, Ann McEnroe-O’Connor, Cathy Ryan, Dr. Olga Fishman, Jessica Weiss and Jerry Dunlavey.

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UHS upgrades ultrasound services WALTON — In keeping with its plan to keep pace with technology upgrades, UHS Delaware Valley Hospital in Walton just purchased new ultrasound equipment. In addition to enhancing image quality, the new equipment allows the technician to view other types of radiological images while performing the ultrasound test. For example, if a woman is having an ultrasound in follow up to a mammogram, the tech can view the mammogram on the ultrasound’s screen as she also views the ultrasound image. This can be very helpful in locating the precise area that needed further study, at the same time the exam is being performed.

In addition to breast ultrasound, patients can also have ultrasounds of their carotid arteries (neck arteries), abdomen, vascular system (veins) or gynecological and/or obstetrical images. Echocardiograms are also offered.

The hospital also welcomes Ultrasonographer, Nina Alexopouls to its staff. Nina moved to the area from

CONTRIBUTED PHOTO

Nina Alexopouls, ultrasonographer, with new ultrasound equipment.

downstate and says, “I love it here.

Everyone is so kind and nice. I am excited about caring for patients at Delaware Valley.”

UHS Delaware Valley Hospital offers some evening and Saturday hours for many of its imaging services. Patients’ doctors do not have to be affiliated with Delaware Valley Hospital in order for patients to have their testing done locally. Appointments can be made by calling 607-865-2126.

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Running from foot problems

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he subject of barefoot running has received a lot of attention as both a trend as well as a source of foot and ankle injuries. But even experienced walkers and runners who adhere to the use of more traditional footwear can be plagued by common injuries that require treatment by a foot specialist.

Dr. Robert Russo, president of the New York State Podiatric Medical Association, suggests that even the most experienced and well prepared runners and walkers need to be mindful of signals and symptoms that indicate your foot pain requires medical attention.

“A visit to the podiatrist should happen at the first sign of pain or discomfort,” said Dr. Russo. “Many people will tolerate pain thinking it is normal and will go away, only to find they have a fracture or other serious injury that requires medical treatment or even surgery,” he added.

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START WITH PREVENTION Warming up before starting any form of exercise is recommended. This can help prevent ankle sprains and fractures. So can wearing proper shoes. A foot specialist can help determine which type of shoe is best for you. And it is good to remember that any athletic shoe should be replaced annually.

Running shoes should be replaced approximately every 300–400 miles.

It is not uncommon for people to wear uncomfortable or ill-fitting shoes. After all, many people buy their footwear in a setting where there are no experts to ensure proper fit, including online or big-box retailers. So even if you are purchasing expensive athletic shoes, if the fit is not correct or the shoe does not provide adequate support, you may experience foot pain.

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Pain, swelling, bruising and difficulty walking on the affected foot or ankle are the most common symptoms of a sprain or foot fracture. The podiatrist will examine you and take a complete medical history. Tests may be ordered, including an X-ray, ultra-

sound or MRI, to determine the extent of the injury. If a fracture is clearly visible from the X-ray, further tests may not be necessary. Ultrasounds and MRIs are useful for diagnosing soft tissue injuries like torn ligaments and stress fractures.

WHAT TO DO FIRST

At the first sign of injury – if it is swollen, bruised, or painful to walk there are several immediate steps recommended by Dr. Russo. The acronym RICE will help you remember: R – Rest. Stay off the foot until it can be evaluated. Even walking on the affected area can make it worse.

I – Ice. Apply ice as soon as possible and reapply it every 15 – 20 minutes every three or four hours after the injury. Ice can decrease inflammation.

C – Compression. Wrap an elastic bandage around the foot. The wrapping should be snug, but not so tight as to cut off circulation.

E – Elevation. Prop up the foot and ankle using a couple of pillows, ensuring it is higher than your heart.

Keeping the foot elevated also helps decrease swelling.

The bottom line: Don’t take your feet, or pain of any kind, for granted. A podiatrist will determine the extent of your injury and develop a plan to get you back on your feet as soon as possible. To find a foot specialist near you, visit NYSPMA.org and click on the “find a podiatrist” button or call Toll-free, 866-996-4400.

The New York State Podiatric Medical Association is the largest statewide component of the American Podiatric Medical Association and its affiliated national network of certifying boards and professional colleges. Established in 1895, NYSPMA has over 1,200 members across 13 divisions in New York State. Visit www.nyspma.org for more information.

The Association is located at 1255 Fifth Avenue, New York, NY 10029.

The information included in this article is for educational purposes only. It is neither professional medical advice nor is it intended or implied to be a substitute for professional medical advice. Without exception, the reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation, or if they have any questions regarding a medical condition or treatment plan. Reading the information in this article does not create a physician-patient relationship.

HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2013

13H

Cancer care recognized at Crystal Run

C

rystal Run Healthcare has been recognized by the Quality Oncology Practice Initiative (QOPI®) Certification Program, an affiliate of the American Society of Clinical Oncology (ASCO).

The program certifies outpatient hematology-oncology practices that meet the highest standards for quality cancer care. Crystal Run earned the same level of recognition in 2010, at which time it was one of the first sixteen community cancer care practices in the United States to earn certification from the ASCO. This latest recognition is again valid for three years.

The certification recognizes that Crystal Run Healthcare has not only scored high on the key QOPI quality measures, but also meets the rigorous safety measures established by ASCO and the Oncology Nursing Society (ONS). Crystal Run has met the program’s core standards in all areas of treatment, including: • Treatment planning

• Staff training and education • Chemotherapy orders and drug preparation • Patient consent and education • Safe chemotherapy administration • Monitoring and assessment of patient well-being “We are proud to once again earn certification from the ASCO and QOPI. As Crystal Run Healthcare continues to provide the highest quality of care available to our patients, this certification further underscores our commitment to excellence in cancer care,” said Manuel C. Perry, MD, Oncology and Hematology Division leader at Crystal Run Healthcare.

QOPI is a voluntary, self-assessment and improvement program launched

by ASCO in 2006 to help hematologyoncology and medical oncology practices assess the quality of the care they provide to patients. More than 800 oncology practices have registered in the QOPI program.

“Oncology practices that are com-

mitted to quality and safety are those that provide the most optimal cancer care,” said ASCO President Sandra M. Swain, MD, FACP. “ASCO’s quality programs are designed by leaders in the profession and give practices the ability to continuously improve the quality of care they provide. The QOPI

Certification Program helps practices determine whether they are providing the best treatment and care possible to their patients, and demonstrates a commitment to excellence and ongoing quality improvement in the hematology-oncology outpatient practice.”

Be prepared for summer safety – learn CPR

I

f a family member, friend or infant in your care had a cardiac event or required first aid, could you recognize the signs of a medical emergency and respond quickly and appropriately?

This summer season, the American Heart Association encourages residents to be prepared for summer safety by learning CPR. With the swimming season and hot weather upon us, people should be prepared to act in case of a medical emergency.

Accidents, choking and drowning are leading causes of death in children. Every day, about ten people die from unintentional drowning, according to the Centers for Disease Control (CDC). Of these, two out of the ten are children aged 14 or younger. Children ages 1 to 4 have the highest drowning rates. The fatal drowning rate of African American children ages 5 to 14 is almost three times that of white children in the same age range.

CONTRIBUTED PHOTO

By usings hands-only CPR, bystanders can give a victim of drowing or sudden cardiac arrest a chance to survive until professional help arrives.

Learning CPR can help save lives in cases of drowning. Pool safety like locking gates and monitoring children near pools and bodies of water are key to preventing drowning. Children and beginner swimmers should take swimming lessons and never swim alone. Find a local HeartSaver CPR class at www.heart.org/CPR. CPR is also vital when sudden cardiac arrest – a leading cause of death in America – strikes without warning.

Nearly 360,000 out-of-hospital sudden cardiac arrests (SCA) occur annually in the United States.

It is rare for victims of SCA to survive unless a bystander starts CPR before emergency rescuers arrive. Unfortunately, less than one-third of out-ofhospital cardiac arrest victims receive bystander cardiopulmonary resuscitation (CPR) and less than five percent survive.

Since 2008, the American Heart Association has recommended that when you witness an adult or teen

suddenly collapse to use Hands-Only CPR – CPR without breaths.

Hands-Only CPR teaches basic steps: First, call 911 and then push hard and fast on the center of the chest until professional help or an AED arrives.

By using Hands-Only CPR, bystanders can still act to improve the odds of survival, whether they are trained in conventional CPR or not.

The AHA encourages everyone to view a one-minute Hands-Only CPR video at www.heart.org/handsonlycpr.

Also recommended is the “Pocket First Aid & CPR” app available through the Android market and iTunes. The app includes Adult, Child, and Infant CPR, Adult, Child, and Infant Choking, AED use, medical, injury and environmental emergencies and Emergency First Aid. The AHA’s “Hands Only CPR” app is free through cellular markets.

HEALTH

14H

SULLIVAN COUNTY DEMOCRAT

UHS offers cardiac stress test

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HS Delaware Valley Hospital now offers cardiac stress testing. Patients with chest pain or who, under exertion, experience shortness of breath may be referred for exercise stress testing, which is often used in the initial evaluation of a patient for coronary artery disease.

Those who wish to begin a new exercise program or patients who have been referred to cardiac or pulmonary rehabilitation program may have a stress test in order for the physician to determine what a safe level of exercise is for them.

The testing is performed under the direction of Dr. James Oâ&#x20AC;&#x2122;Brien, cardiologist, who sees patients at the Visiting Specialist Center every Thursday. A cardiac stress test is when a person walks on a treadmill while a continuous EKG is done. The speed and the incline of the treadmill can be adjusted during the test at the discretion of the physician. After the test is completed the doctor can review the EKG and see how the heartâ&#x20AC;&#x2122;s rhythm was or was not impacted by the exercise.

â&#x20AC;&#x153;Adding stress testing to our cardiology services means patients can receive yet another service locally,â&#x20AC;? said Randy Taylor, manager of Cardiopulmonary Services. â&#x20AC;&#x153;We already offer holter and event monitoring, EKGs, and echocardiograms so this is in keeping with our goal of offering the tests that are needed most often right here, saving travel and expense for our patients.â&#x20AC;? Area residents do not have to be patients of Delaware Valley Hospital physicians in order to have their testing done locally.

The hospitalâ&#x20AC;&#x2122;s cardiac and pulmonary rehabilitation program is under the direction of Sarah Pawlikowski, manager of Delaware Valleyâ&#x20AC;&#x2122;s Rehabilitation Services.

Appointments with Dr. Oâ&#x20AC;&#x2122;Brien can be scheduled by calling 865-2400. To find out more about the hospitalâ&#x20AC;&#x2122;s cardiopulmonary services, call 8652126 and rehabilitation services information by calling 865-2155.

UHS Delaware Valley Hospital is a 25-bed facility based in Walton and offering diagnostic and treatment services, acute care and 24-hour emergency care.

HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2013

Dr. Hacker practices family health care W

Catskill Veterinary Services

practice internship at the Medical College of Virginia Hospital in Richmond, VA. Dr. Hacker has worked for local community health care centers and health systems including Barnes Kasson and Wayne Memorial Hospital; serving as the Emergency Department Director for Wayne Memorial Hospital for one year.

Dr. Hacker was most recently affiliated with the Pioneer City Urgent Care, Carbondale, (Pa.).

New patients may call 570-7982828 to see Dr. Hacker at the Northern Wayne Family Health Center.

WMCHC, is a federally qualified health center clinically affiliated with Wayne Memorial Health System, Inc. WMCHC offers primary care, women’s health care, pediatric services, dental care, pulmonology, general surgery and behavioral health services at satellite offices located in Wayne, Pike and Lackawanna Counties. Most private insurances as well as medical assistance are accepted. For more information on all of our services, call 570-251-6676 or visit us at www.wmh.org/WMCHC.

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CONTRIBUTED PHOTO

Richard Hacker, MD, board-certified family practitioner.

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ayne Memorial Community Health Centers (WMCHC), Honesdale, Pa., announces that Board Certified Family Practitioner Richard Hacker, M.D., recently began seeing patients at the Northern Wayne Family Health Center in Lake Como. Dr. Hacker treats patients ranging from newborn to adult.

“Dr. Hacker brings more than 25 years of experience in the areas of family practice and emergency medicine to our patients,” said Frederick Jackson, executive director, WMCHC. “He is an excellent diagnostician and we are grateful he has chosen to join the staff of WMCHC.” Dr. Hacker received a medical degree from the Boston University School of Medicine and performed his residency in family practice at Hanover Family Physicians inMechanicsville, PA. He completed a general surgery internship at the US Navy Hospital in San Diego, CA as well as a family

15H

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HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2013

How to make the most of your doctor’s visit

P

rimary care physicians are in short supply in the United States, which means increased pressures and heavier workloads for those in practice, says Dr. Paul Griner, (www.drpaulgriner.com), author of “The Power of Patient Stories: Learning Moments in Medicine.”

“Many physicians say their favorite part of being a doctor is the relationships they form with patients, but those are harder to cultivate now because physicians are so squeezed for time,” Griner says.

More than 80 percent of physicians said patient relationships were the “most satisfying” part of their job, according to a survey of more than 13,000 doctors last year by The Physicians Foundation.

But nearly 40 percent said they

were seeing 11 to 20 patients a day, and nearly 27 percent had a daily load of 21 to 30. On top of that, they spent an average 22 percent of their day on paperwork that had nothing to do with patient care.

“A good doctor-patient relationship is essential to achieving the best possible care, but the reality is, most doctors have less and less time to spend with each patient,” Griner says. “So it’s important for patients to take some responsibility for that relationship, too.”

By preparing for your visit, you can ensure you make the best use of your time together, he says.

He offers the following suggestions:

•

Prepare your thoughts ahead of time so that you can be as precise and accurate as possible. What are the

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What were you doing at the time?

How are the symptoms affected by

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www.uptodate.com; information from the well-established and respected organizations such as the National Cancer Society; and written materials such as the Harvard Health Letter.

Avoid unnecessary office visits. Some things can be done by email, Skype (or other video hookups), or new technology such as iPhone recording and transmission of your EKG. Other things you can do to make the best use of the visit include: Bring your medications, or a list of them, with you.

Bring copies of the results of tests or procedures from other physicians.

Wear clothes that make it easy for you to be examined.

Let your doctor know when you are using any complementary or alternative medicine.

Bring a spouse or other relative with you when the problem is complicated. Two pairs of ears are better than one for remembering what the doctor said.

•

• • • • •

In praise of Ellenville Regional

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Catskill Dermatology, P.C. Steven J. Fishman, M.D.

To the editor:

I am writing, since it is summer in the Catskills, some of us are away from home, and most of us would like to know we have reliable medical care if needed.

Therefore, I would like to share my discovery of Ellenville Regional Hospital. I needed them and they really were “ there” for me. It is a jewel of a place. It is all on one floor, which makes it welcoming and very easy to “navigate.”

The staff, from intake, technicians, and doctors and nurses immediately put me at ease, and “stayed with me” the whole time. I did not feel like a “number”– and for me that counts high in the “healing process.”

I also learned that the hospital has invested in state-of-the-art equipment, which I was grateful to have!

So, I have nothing but good memories of my care there. Did I mention the cleanliness, and lack of waiting time?

I wanted others on extended summer stays to know that Ellenville Hospital has made itself a place of comfort, committed to professional upgrade, and always aware their job is to “see” who and why people walk through their doors, and we then benefit from it as well!

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have they affected your daily activities? Don’t withhold any information that might be relevant to your symptoms.

Be on time or early. Up to 15 percent of patients are late for their doctor’s appointment, which adds to the time crunch.

Arrive early so you’re ready when the physician, or the physician’s team, is ready. While the doctor is the senior person on the team, he or she also relies on advanced practice nurses and physician’s assistants, who have received extensive training in their areas of responsibility. Give them time to obtain your medical history or perform preliminary tests.

Their functions are an important aspect of the overall quality of the visit, so it’s important to allow for that time. View the wait as valuable personal time for reading and relaxation.

Research your health concerns ahead of time and use the information to help focus your questions. Use reliable sources for research, including www.mayoclinic.com or

•

HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2013

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18H

HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2013

Hospital is a friend of mental health

O

range Regional Medical Center (ORMC) accepted the 2013 Corporate Bell Award presented by the Mental Health Association (MHA) of Orange County, Inc. Scott Batulis, President & CEO of Orange Regional accepted the award on the Hospital’s behalf.

ORMC and the MHA have a long history of providing needed mental health services to the community such as the MHA’s Family Support Program and the National Alliance for Mental Illness (NAMI); a partnership with the Orange County District Attorney’s Office to create the County’s first Sexual Assault Examiners (SANE) Program; as well as a partnership with the MHA and the Orange County Department of Mental Health to provide the Jeanne E. Jonas Professional Development Symposium and the Frank W. Masterson Memorial Banquet.

“We are honored to be the recipient of the Corporate Bell Award. Orange

Regional is proud to partner with an organization that finds it just as important as we do to deliver the very best services and care to our community,” said Batulis.

As a recognized leader in behavioral health services, ORMC’s behavioral health team provides outpatient clinical services, treatments and counseling to patients and their families to successfully manage and overcome mental health illnesses.

Licensed by the New York State Office of Mental Health Services and fully accredited by The Joint Commission, ORMC maintains a comprehensive series of programs.

Its services are designed for children, adolescents and adults with behavioral, emotional and mental health needs. Treatments are provided by licensed professional adult and child psychiatrists and clinical social workers. Therapy services are offered on an individual basis as well as for couples and families.

Paul D. Salzberg, M.D.

CONTRIBUTED PHOTO

From left: Orange Regional Board of Directors Chairman Rolland Peacock III; Mental Health Association Executive Director Nadia Allen; Orange Regional’s President & CEO, Scott Batulis; and Orange Regional Board Member Sher Singh.

For more information on Behavioral Health Services at Orange

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HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2013

19H

WMH in top 10 percent for electronic records plus for our patients, our doctors and our community. Through electronic documentation, the potential for human error is greatly reduced and the access to tests and other records is greatly enhanced. This is a big investment in patient safety.”

Wayne Memorial Hospital (WMH) recently received close to $2 million for “meaningful use” of its EMR, an incentive payment from the federal government to encourage medical providers to convert to EMR. The Centers for Medicare and Medicaid Services is requiring all hospitals to implement EMR within the next few years or face penalties, such as reductions in the annual reimbursement increases hospitals receive for Medicare patients.

“The move to electronically input and store patient records – tests, procedures, doctor’s orders, histories, insurance and billing information – is designed to improve the quality of healthcare,” said Tom Hoffman, man-

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order entry or CPOE. Under this feature, doctors can check allergy and medication interactions and review national clinical quality indicators.

“All of this helps Wayne Memorial reach the highest possible levels for patient safety and patient satisfaction,” said Hoffman, who also thanked his staff and the Administration for supporting the training and implementation required to meet all the stages.

The MEDITECH team at WMH is far from done. Next up: “Doctor First, an electronic prescribing feature,” according to Clinical Liaison Renee LaPoint, LPN. “This is where physicians can send scripts for all drugs except narcotics to participating pharmacies by computer. We also have plans to launch a secure patient portal.

We continue to make progress, thanks in large part to the cooperation of our doctors and the hospital’s leadership.”Health Tab-WMH electronic records

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ager of WMH’s Information Services Department. “Wayne Memorial has been ahead of the information curve for some time, and we hope to stay that way!”

Hoffman said that the hospital’s road to Stage 6 EMR adoption began in 2006, when WMH invested more than $5 million in information technology, including software from the Massachusetts-based company, Medical Information Technology (MEDITECH). In 2007, WMH implemented electronic functionalities for registration, nursing and billing. In 2008, the hospital launched its Bedside Medication Verification program, which uses a bar code and a scanner to match the name on a patient’s wristband with the correct medication for that patient.

Between 2009 and 2012, WMH completed electronic feature implementation for the Operating Room, physician usage in the Emergency Department and physician computerized provider

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ne of the most respected information technology groups in the country recognized Wayne Memorial Hospital at its annual conference for electronic medical records (EMR) implementation.

According to the Healthcare Information and Management Systems Society (HIMSS), Wayne Memorial is in the top 10 percent of hospitals nationwide to achieve a Stage 6 designation for EMR. HIMSS Analytics publishes a seven-stage “Adoption Model” that shows the progression of the country’s 5,319 hospitals. As of October, 2012, Wayne Memorial became one of only 430 hospitals to achieve the Stage 6 plateau.

The HIMSS conference took place earlier this year in New Orleans.

“This is an honor and a reflection of the hard work that has gone into making our EMR part of the fabric of Wayne Memorial,” said Chief Executive Officer David Hoff. “Just as importantly, though, EMR itself is a huge

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HEALTH

Nature’s Grace

SULLIVAN COUNTY DEMOCRAT

ERH employees earn BS degrees

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ELLENVILLE — Ellenville Regional Hospital (ERH) announced that Chief Nursing Officer Ann Marie Kelly, BSN, RN, CEN, and Emergency Department & Emergency Medical Services Coordinator Maria Gonzalez, BSN, RN, CEN, , have earned their Bachelor of Science Degree in Nursing from SUNY IT (Institute of Technology).

Ann Marie Kelly began her career at ERH as nursing assistant in 1997, while working towards her Associates Degree in Nursing from Ulster County Community College, which she achieved in 1998. While continuing to work at Ellenville Regional as a staff nurse and nursing supervisor, she broadened her experience by working as a medical surgical nurse and emergency department nurse at other local hospitals. Kelly was named the ERH Emergency Department Nurse of the Year by the Ulster County EMS Association in

both 2002 and 2008.In 2009, Kelly was promoted to nurse manager and in 2012 she was promoted to chief nursing officer, a title she holds today.

After earning her Associate’s Degree in Nursing from Ulster County CC in 1995, Maria Gonzalez began her nursing career at Benedictine Hospital in Kingston, specializing in oncology. In 2003, she joined the staff at ERH as a staff nurse in the Emergency Department. Maria has fulfilled the role of staff nurse, charge nurse and nursing supervisor. She exemplifies and inspires her peers by mentoring compassion and competence. In 2007, Gonzalez earned her Board Certification in Emergency Nursing through the Emergency Nurses’ Association. In 2009, Maria was named the ERH Emergency Department Nurse of the Year by the Ulster County EMS Association. In 2012, Gonzalez was promoted to

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SULLIVAN COUNTY DEMOCRAT

JULY, 2013

21H

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CONTRIBUTED PHOTO

Emergency Department & Emergency Medical Services Coordinator Maria Gonzalez, left, and Chief Nursing Officer Ann Marie Kelly both recently earned Bachelor of Science degrees.

Castillo has worked as both a nursing assistant and patient registrar.

The hospital is proud of the educational accomplishments of its staff and continues to encourage our staff to accomplish their career goals by accommodating work schedules and providing monetary support to its employees who wish to further their education.

FREE DELIVERY WITHIN 3 MILES CONVENIENT DRIVE THRU OPEN 6 DAYS A WEEK - Mon. - Fri. 8:30am - 7pm; Sat. 9am - 2 pm; Closed Sun. Tel. 845-292-3430 â&#x20AC;˘ Fax 845-292-3437 Pharmacist Samir K. Shah R. Ph 187 Mill Street (LIBERTY PLAZA) , Liberty, NY 12754

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Emergency Department & Emergency Medical Services Coordinator at ERH. In addition, the hospital would like to recognize Kyra Ayers, Zoraida Castillo and Brian Whitehead, who earned their Associateâ&#x20AC;&#x2122;s in Nursing degree this month. Both Ayers and Whitehead began their work with ERH as nursing assistants, while

22H

HEALTH

SULLIVAN COUNTY DEMOCRAT

Dr. Galarneau wears two hats at CRMC

Marie K. Devore, D.M.D. GENERAL DENTISTRY

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HARRIS — Catskill Regional Medical Center (CRMC) announced the appointment of Gerard Galarneau, MD as the new chief executive officer. Additionally, Dr. Galarneau serves as the chief medical officer for CRMC. Dr. Galarneau has a strong and accomplished leadership history with the Greater Hudson Valley Health System, comprised of Catskill Regional Medical Center and Orange Regional Medical Center. Prior to his CMO position at CRMC in January 2013, Dr. Galarneau held the positions of chairman of the Institutional Review Board and Bioethics Committee, chairman of the Medical Executive Committee and Chairman of the Department at Urology while on staff at Orange Regional. Dr. Galarneau’s urology practice also opened at Catskill Regional in April.

“As a talented and skilled clinician, Dr. Galarneau brings impressive credentials and experience as well as a new and revitalizing vision and leadership to Catskill Regional,” said CRMC Board Chairman Darrell Supak.

Dr. Galarneau is Board-certified in urology and has extensive training in urological conditions. He received his undergraduate degree from the State University of New York at Binghamton and earned his medical degree from New York Medical College in Valhalla. Dr. Galarneau completed his residency at Beth

CONTRIBUTED PHOTO

Dr. Gerard Galarneau

Israel Medical Center in New York where he served as Chief Resident and is currently pursuing a Master’s degree in Medical Management at Carnegie Mellon University in Pittsburgh.

“I am very grateful for the opportunity to join the Catskill Regional family and eager to work with the staff, Board and physicians to continue the tradition of providing quality care to the community,” says Dr. Galarneau.

Catskill Regional Medical Center is dedicated to providing the highest quality health care to residents in the Sullivan County region. For more about CRMC, call 794-3300 or visit www.crmcny.org.

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HEALTH

SULLIVAN COUNTY DEMOCRAT

JULY, 2013

A fall, a spill or a burn from the grillâ&#x20AC;Ś When summer suddenly turns into a bummer, our Emergency Rooms are here to help.

From minor setbacks to major blows, our Emergency Rooms can treat virtually any illness or injury that comes your way. We take care of all lab work, tests, and imaging right onsite. And if things get serious, we have specialists and surgeons ready to help, along with direct access to one of the leading heart surgery programs in the country. With us, quality emergency care is always in season.

Bon Secours Community Hospital PORT JERVIS, NY | 845.858.7000

St. Anthony Community Hospital WARWICK, NY | 845.986.2276

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Good Help to Those in Need

23H

24H

HEALTH

SULLIVAN COUNTY DEMOCRAT

Around the time that Jamie was born, Refuah built a health center.

And now a pharmacy.

I guess you can say we’re growing together.

At Refuah Health Center, we ’re proud of the growing feeling that we are part of the family.

We realized when we first arrived with our mobile medical vans it looked like we were only here to treat those who come up for the summer. But 10 years ago we worked together with officials in S ul liva n Count y and buil t a pe r mane nt on- si t e of ffiic e f o r e ver yone li vi ng in t he S outh Fal ls b urg area - al l yea r ro un d .

J ust rec ent l y, we op en e d t h e onl y pharmacy in South Fallsburg. We now off ffeer a w h o l e r a n g e o f m e d i c a l s e r v i c e s t o a n yo n e who needs them - regard less of your abilit y to pay.

Afftter all, that ’s what Refuah is all about - that ever yone deser ves excellent, aff ffoordable health care, c lose to home. Delivered with caring and compassion in response to the needs of the community.

Medical M edical Services: Ser vviices: N e w ) • Pharmacy P h a r m a c y (New) ( N e w ) • Primary Pr i m a r y Care Care • P Pediatric e d i a t r i c Care C a r e • Podiatry Po d i a t r y GYN G Y N ((New)

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For F or aappointment ppointment aand nd sscheduling, cheduling, p please lease ccall: al l:

8845-482-9394 45-482-9394

3366 Laurel Laurel A Avenue, venue, So South uth F Fallsburg, aalllsburg, NY NY 12779, 12779, www.refuahhealthcenter.com ww w ww w w.reffu uaah hhealthcenter.com

JULY, 2013