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Torrisi Design Associates, Inc.

Torrisi Design Associates, Inc. is one of the leading full service

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Luxury Travel Lifestyle Magazine

Winter 2015

Lifestyles

Fall 2013

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TUSCANY & ARIZONA

Girls & Guys Getaways

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The Eternal Tourist

Making Art in ST. BARTH

Experience the Sights, Sounds and Tastes of

Vietnam, Laos & Cambodia

EUROPE´S CHRISTMAS MARKETS

History and Tradition

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Revealed

Protecting our Planet

EuropE: Unique Cities,

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Insider’s Guide

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SAN FRANCISCO

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S E A S O N A L E V E N T S 2 01 5

2015 + BEYOND

PLANNING AHEAD FOR

The Northern Lights

Late Sep - late Mar Arctic regions Also known as aurora borealis, these spectacular natural light shows can be seen in the high latitudes of the Arctic regions (Alaska, Northern Canada, Scandinavia, and Western Russia). The best time to catch them is late September through late March.

ach year, like clockwork, in countries all over the world, locals pull out all the stops to celebrate culturally significant events. By timing your trips to coincide with these annual events, you can experience the ultimate in authentic cultural immersion.

J A N 4

Truffle Hunting Season

Jun - Sep Italy

Cherry Blossom Festival

Mar - Apr Japan

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Often referred to as “diamonds of the kitchen,” truffles grow amongst the roots of certain trees and are prized ingredients for chefs of European haute cuisine. Fall trips to the Tuscan countryside can be arranged to include truffle extracting excursions, followed by culinary demonstrations.

Performed every five years since the early 1800s, the Passion Play of Sordevolo is a dramatic presentation of the final days in the life of Jesus Christ against the backdrop of Piedmont’s Sacred Mountains. To bring the event to life, the town’s 1,300 residents volunteer as actors and set builders to transform a 4,000 square meter open space into Jerusalem, circa 33 A.D. In 2015, weekly performances of the threehour play will run from Jun 6 - Sep 27, 2015.

Annual outdoor Hanami (flower viewing) festivals are held all over Japan each spring when the Sakura cherry trees are in bloom. The trees’ beautiful yet fleeting blossoms are considered a metaphor for life itself.

F E B 4

Oct - Nov Tuscany, Italy

2015 Passion Play of Sordevolo

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Oct 31 - Nov 2 Día de los Muertos Mexico

Nov 7 Festival of Lights Bangkok, Thailand

Dec 10 - 17 Whirling Dervishes Festival Turkey

With origins dating back to the Aztecs, Mexico’s “Day of the Dead” offers participants the chance to commune with friends and family members who have passed away. The dead are honored with private alters, sand sculptures, sugar skulls, cardboard cadavers, and late-night cemetery parties.

Late Nov - Dec Europe

Jan 31 - Feb 17 Carnevale di Venezia Venice, Italy In the weeks prior to the Christian observance of Lent, the streets of Venice come alive with mysterious figures, dressed in elaborate costumes and decorative masks, who celebrate passion and decadence late into the night at opulent masquerade balls. Tickets for the balls can be booked well in advance, giving you plenty of time to plan your own disguise.

Feb 1 Super Bowl XLIX Phoenix, AZ Feb 13 - 15 NBA All Star Weekend New York, NY

Late Sep - late Mar Arctic regions The Northern Lights 10 Ensemble Lifestyles Winter 2015

Mar 6 - 23 Holi, Festival of Color Nepal & India An ancient Hindu celebration of love, Holi is a carnival of color featuring huge bonfires, singing, dancing, and playful battles involving water guns and brightly colored powder.

Apr 6 - 12 The Masters Tournament Augusta, GA Apr 30 - May 2 Kentucky Derby Louisville, KY

May 5 Cinco de Mayo Puebla, Mexico Locals gather to celebrate Mexico’s unlikely victory in the Battle of Puebla (1862), in which they defeated French invaders sent by Napoleon III. May 24 - Jun 7 The French Open Paris, France

Mar 20 - May 17 Holland Arguably one of the world’s most spectacular planned gardens, this park in Lisse, South Holland, showcases — for just two months a year — seven million blooming bulbs and countless other floral displays in an array of indoor pavilions. Avalon Waterways’ Tulip Time Cruise visits from March to May. Keukenhof Gardens & Tulip Fields

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Jun 29 - Jul 12 Wimbledon London, England

Jun - Aug Tanzania Each year, nearly 260,000 zebra, 1.5 million wildebeest, and 470,000 gazelle travel a circular route over 1,800 miles of the Serengeti in search of food and water. Safaris timed to coincide with the migration offer thrilling views of massive herds thundering across the vast plains and crossing deep rivers where predators lie in wait. Africa’s Wildlife Migration

Jul 2 Palio di Siena Siena, Italy

Aug 16 Palio di Siena Siena, Italy

Held twice each summer, “Il Palio” is a 90-second bareback dash around the enormous Piazza del Campo. The competition has occurred every year, save for one during World War II, since the first stallions lined up in 1656. Prior to that, participants rode buffaloes. Jul 19 Festa del Redentore Venice, Italy At sunset the night before, Venetian locals board decorated boats and make their way into St. Mark’s Basin to watch fireworks, picnic, and celebrate the end of the plague of 1576.

Sep 19 - Oct 4 Oktoberfest Germany Sep 25 Emmy Awards Los Angeles, CA

Sip mulled wine as you bask in the warm glow of Europe’s charming Christkindlmarkts. For the full experience, choose a holiday river cruise with Uniworld Boutique River Cruises, Tauck, or Viking River Cruises. Christmas Markets

Contact your Ensemble Travel® Group consultant for more details – they have the insider connections to give you access to these amazing events. Ensemble Lifestyles Winter 2015 11

U. S. CITY SP OTLIG H T: SAN FRA NCIS CO

E t e r n a l To u r i s t i n

San Francisco San Francisco has long been a city of possibility, a place where goldminers came in hopes of striking it rich and immigrants sought a better life. With cable cars that rise to the stars, historic hotels with topfloor bars, and cultural options from ballet to the blues, San Francisco opens its Golden Gate to visitors from near and far. by JACQUELINE YAU

34 Ensemble Lifestyles Winter 2015

very time I cross the Golden Gate Bridge and drive into San Francisco, my breath catches; I’m a devotee to the city anew. It can be morning, afternoon or evening; sunny, cloudy or foggy, it doesn’t matter. San Francisco’s skyline, Alcatraz, and the Bay Bridge unfold into view as the bay reflects the city’s unique light. My first memories of the city are of the cacophonous chatter of Cantonese relatives as I played with my cousins in the Richmond

neighborhood or as I raced down the streets of Chinatown to my favorite bakery after having a dim sum weekend brunch. San Francisco is known for its patchwork quilt of ethnic neighborhoods. I love the murals and Latino culture of the Mission and the lively ambiance of the Castro district, a hub of gay pride. The Castro Theater, an art deco wonder built in 1922, seen in the documentary “Milk,” has live Wurlitzer organ music before its showings of classic films.

AT T R AC T ION S

ALCATRAZ Once known as the United States’ most secure federal prison and the backdrop to many Hollywood movies, “The Rock” is now a popular destination operated by the National Park Service. If you’re feeling brave, spend a moment “locked” in a jail cell. Alcatraz now has an installation featuring the works of Chinese artist Ai Wei Wei, through late April.

ANGEL ISLAND Not far from Alcatraz (there are summer tours that offer visits to both islands) is Angel Island, the U.S. gateway for about a million Asian immigrants in the early 20th century. Poems from heartsick detainees remain on the walls of Angel Island’s Immigration Station. Pack a picnic and enjoy the panoramic views of the surrounding Bay Area while hiking around the island.

NAPA The Meritage Resort & Spa

SONOMA The Fairmont Sonoma Mission Inn & Spa

MUSEUMS San Francisco has had a renaissance in museums in recent years. The de Young adds luster to Golden Gate Park; the Museum of Modern Art (closed until 2016) is expanding to house the Fisher Collection of contemporary art; and the Asian Art Museum is one of the world’s leading centers of classic and modern Asian works. Other favorites include the Legion of Honor fine arts museum in a French neo-classical building. If you love cable cars, don’t miss the Cable Car Museum.

STAIRWAY WALKS Some of the “streets” of San Francisco can be traversed only on foot, as homes all over the city are located up narrow stairways. There are dozens of appealing stairways in San Francisco. The Filbert Steps are narrow wooden stairs with overhanging trees frequented by the green parrots of Telegraph Hill. The Mosaic tile stairs on 16th Avenue is a neighborhood art project. For an excellent guide, get the book, “Stairway Walks in San Francisco” by Adah Bakalinsky.

W H E R E T O STAY SAN FRANCISCO U.S. CI TY SPOTL I GHT: SAN F RANCISCO Hotel Zetta Fairmont Heritage Place, Palace Hotel, Ghirardelli Square A Luxury Collection Hotel FO OD & DR I N K The Fairmont San Francisco W San Francisco Grand Hyatt San Francisco

Day Trips and Overnight Getaways

In San Francisco you can startle and satisfy your palate with bargain bites, gourmet Ensemble Lifestyles Winter 2015 35 cuisine and everything in between. Among the creations the city claims: the Missionstyle burrito, fortune cookie, cioppino, Crab Louis salad, and Irish coffee.

NORT H B AY Bourbon & Branch

Go back in time to the Prohibition era at BOURBON & BRANCH, a speakeasy serving spirits and cocktails with fresh ingredients from the farmers market. If you love tequila and margaritas, visit tequila ambassador Julio Bermejo at TOMMY’S MEXICAN RESTAURANT in the Richmond District.

Zuni Café

For a taste of San Francisco history, tuck into a bowl of seafood cioppino at the legendary TADICH GRILL downtown. Take in an indie film while slurping oysters or dining at FOREIGN CINEMA. Another sure-to-satisfy culinary destination is ZUNI CAFÉ; try the chicken roasted in the brick oven.

The Slanted Door

Treat yourself to an evening of warm hospitality and delicious contemporary American tasting menus at GARY DANKO. Sip a Peony cocktail and sample South Indian dishes at DOSA on Fillmore Street. Other local favorites are KOKKARI, with sumptuous Greek dishes, and THE SLANTED DOOR for inventive Vietnamese food.

North Beach is San Francisco’s version of Little Italy. This is where the Beat poets roamed, and the neighborhood remains home to the fiercely independent City Lights Books, historic cafes such as the Savoy Tivoli, terrific pizza places, and the long-running show Beach Blanket Babylon, a wild satirical romp though pop culture and San Francisco history. The Ferry Building and its signature clock tower survived the Great Earthquake of 1906. Today it’s an epicurean’s dream of fresh produce (especially on farmers market days: Tuesdays, Thursdays and Saturdays until 2pm), artisan foods and gifts. I like to meet friends there for a cup of coffee and a bite of chocolate, or to dine at The Slanted Door, Charles Phan’s world-renowned Vietnamese restaurant.

Cross the Golden Gate Bridge to see the bluffs of the Marin Headlands. Drive along roads offering picture-postcard views of San Francisco. Watch red-tailed hawks soar off Hawk Hill, or explore Point Bonita Lighthouse. In Mill Valley, wander among the old-growth redwoods of Muir Woods; nearby are the twin peaks of Mt. Tam. Drive to near the top of the East Peak for panoramic views of San Francisco Bay and beyond.

Two favorites there include Musée Mécanique, with functioning arcade games that date back to the early 20th century; and the Exploratorium, an interactive science museum at Pier 15 geared for kids of all ages.

Golden Gate Park ends across the street from Ocean Beach. If I’m feeling energetic, I’ll walk on the beach (or the sidewalk above it) or along the Lands End trail and enjoy sweeping views of the Golden Gate Bridge, Pacific Ocean and Marin Headlands. Then I’ll get a drink or a bite at the Cliff House, perched on the edge of the continent, and watch the sun slide slowly into the sea. b

Farther north is the Sonoma and Napa wine country. Most bus tours visit large wineries in Napa. For a more personal experience, consider Sonoma County’s Alexander Valley region with boutique wineries like family-owned Seghesio. Nearby is the picturesque town of

Healdsburg, with lovely restaurants like Scopa, tasting rooms and an appealing town square. In Napa, hop aboard the Wine Train, which runs from Napa to St. Helena. Sit back, taste some superb vintages and watch the wine country roll by. When it comes to wine country dining, everyone raves about The French Laundry. But my favorite restaurant in the Napa Valley is Tra Vigne in St. Helena, where outstanding Italian food is perfectly paired with local wines in an elegant yet relaxed Tuscan setting.

E A ST B AY

Alongside the Ferry building is the Embarcadero, a waterfront promenade that arcs more than two miles from the San Francisco Giants’ ballpark to Fisherman’s Wharf, where I’ve been savoring fresh Dungeness crab and clam chowder served in a sourdough-bread bowl since I was a kid.

On the west side of the city, I love strolling through Golden Gate Park. Within its leafy sanctuary is the de Young museum, tranquil Japanese Tea Garden, and the California Academy of Sciences. For a serene afternoon, my husband and I rent a boat and paddle on Stow Lake in the heart of the park. And there’s nothing like a leisurely walk along the park’s paved trails.

Along the coast in Marshall is Hog Island Oyster Co. Stop by for some halfshell heaven and tour the working oyster farm on Tomales Bay. To further explore the coast, visit Pt. Reyes National Seashore with trails (ideal for day hikes) along the Pacific.

Berkeley

Berkeley’s University of California, with its landmark Campanile, is a good place for a stroll or a campus tour. A hotbed of protest in the 1960s, the city of Berkeley now has a more relaxed vibe and has become known for its epicurean innovations. Chez Panisse opened in 1971 and was among the first to use fresh, local and organic ingredients in haute cuisine.

Monterey Bay Aquarium

S OU T H B AY Located in Silicon Valley, the pastoral Stanford University campus is home to an outstanding collection of Rodin bronzes (200 works in all) at the Cantor Arts Center. Art lovers will also enjoy the Anderson Collection, an assemblage of 20th-century American art featuring De Kooning, Thiebaud and Diebenkorn.

Continue south to Santa Cruz and its famed Beach Boardwalk. If the old wooden rollercoaster isn’t your speed, try to spot migrating gray whales. Then visit Monterey, where John Steinbeck set “Cannery Row.” Today the main attraction is the Monterey Bay Aquarium, where jellyfish tanks look like modern art installations.

If time allows, venture into nearby Carmel Valley and spend the night at Bernardus Lodge. The chef’s tasting menu with wine pairings at the on-site Marinus restaurant is one of California’s premier dining experiences. Dinner here is worth the trip to Carmel Valley.

To plan your own San Francisco getaway, contact your Ensemble Travel® Group consultant. 36 Ensemble Lifestyles Winter 2015

Ensemble Lifestyles Winter 2015 37

design

THE PIONEERS

Maybe it’s the season of the midnight sun that energizes the designers of Scandinavia in all genres to work through the night, revolutionizing the shape of a building or the silhouette of a shift dress. In architecture, jewelry, furniture, fashion, décor, consumer products, technology, and countless other spheres, their influence has been apparent since the middle of the last century, when their simple yet functional forms became known to the world at large through exhibitions, prizes, and competitions – and subsequently contributed profoundly to the rise of the modern aesthetic.

SCANDINAVIA

C U IS IN E

A True Taste of the North: OSLO Worldly Delights by TIM JOHNSON

Norway’s architects have made their mark on the international scene well below their latitude. The striking landscape they inhabit may be the inspiration for tranquil forms and a use of earth-bound materials. This TOURIST REST STOP, located on the Hardanger Fjord and designed by Huus og Heim Arkitektur, consists of torqued gabions filled with rubble that slope toward the ground. The firm’s contemporary practice has completed private homes, ferry terminals, embassy residences, churches, and apartment complexes where residential units are designed in the shape of a triangle.

Regarded as one of the grandfathers of Danish design, Hans Wegner broke new ground with many an organically shaped chair that took the sharp edge off the modern style. In the process, he inspired a whole generation of furniture-makers who have in the last few years experienced a sweeping revival that celebrates the service of function through form, and holds to the notion that practicality can co-exist with beauty. Wegner’s PAPA BEAR CHAIR was released in the early 1950s and can now be found through dealers or via authorized licensees.

Johannes Torpe, multi-disciplinary Danish arbiter of design, has taken his Chef Bang (left), Maaemo’s inventive Nordic cuisine (inset) instincts for architecture, branding, and product design far and wide. With futuristic night club interiors, brand identities for bakeries and cupcake-makers, and furniture for both residential and commercial installations, the tastemaker a midafternoon interview with the brain and the offerings change often, has completed projects and delivered lectures on several continents. His line behind it all, a remarkable young man named sometimes even nightly. of BALLERINA LAMPS, made from porcelain and bamboo, makes a Esben fancifulHolmboe Bang. I hustled over to the addition to any room in the house. calls it “chunky restaurant sandwiched between the city’s AsHe I nibbled on lunchand andfunky.”

For some reason, I had assumed it would be easy to get into Maaemo. This little restaurant – which seats only 25 – burst onto the culinary radar a few years ago when it was awarded not one, but two Michelin stars just months after it opened. The place has been the toast of Oslo, and indeed all of Scandinavia, since they served up their first 10-course, 25-plate meal. I could almost taste those fresh

sipped a hoppy amber ale microbrewed in a basement on the east side of Oslo, he noted that sharing food is deeply ingrained in the country’s culture, and that the dishes at Smalhans, designed with that in mind, are served family style. He added that Norwegian food has changed dramatically over the past ten or fifteen years. People used to eat just to get full, and even in the ‘90s, he said, it was difficult to find a single place in town serving the national cuisine. But Noma, the Danish sensation that serves ultra-local and all natural food and is often listed as the world’s best restaurant, has exerted a regional influence. “It was good for all Nordic countries. Now there are lots of places to get fresh, local, Norwegian food,” he said. “We’ve evolved.”

Norwegian ingredients, which come with a rather daunting price tag (a dinner for one – with vino – will set you back a steep $650). And then, the reality. I consulted with a Norwegian colleague, who broke the bad news. “Sorry Tim, they only have eight tables, and they’re always fully booked.” Nonetheless,

24 Ensemble Lifestyles Fall 2014

I still tried – contacting everyone I know as I explored Oslo’s many and varied culinary offerings.

Fall 2014

Lifestyles

Mathallen exterior

Cured moose meat from Smak

Just a few decades ago, Norway – traditionally a hardscrabble, seafaring country that ate more for survival than taste – was known mainly for pickled herring, lutefisk and klipfish. But those days are long gone. A northern nation now awakened to the fruits of its natural environment – and infused with great oil wealth – Norway has become a redhot destination for culinary travelers. And Oslo, its capital, is its epicenter. I started my foodie adventure at Mathallen. Inspired by old-time Scandinavian food

Mathallen food market stall

halls and opened just over a year ago, this repurposed, 110-year old steel mill now houses 28 individual shops, two restaurants, and a large kitchen that hosts cooking classes. Browsing its offerings, I chatted with shop owners – most of whom either grow their own ingredients or know the farmers personally. I sampled everything from handmade cheeses (traditional, smooth brown cheese and a bold Norsk camembert), and lovely smoked salmon, to distinctive (and delicious) moose meat cured with juniper and blueberries.

The latter I got from a spot named Smak, a cooperative of nine central Norwegian producers. I chatted with one of the owners, a man named Beito Trond Wahlstrøm. A cheese maker by trade, he explained that his home and workshop are located at the gateway to some of Norway’s most stunning, snowcapped mountains, about a three-hour drive from Oslo. He sources his milk – fresh every morning – from neighbors, then makes the cheese within an hour. “Norwegian ingredients are special,” Wahlstrøm told me, in perfect English. “The milk, the grass that

Seafood platter from Solsiden

the cows eat, it’s all natural and high quality. Much now is handmade.” Not quite full yet, I visited Smalhans, a trendy spot in a sunny suburban setting. I sat at an open window, and was joined by Anders Braathen, a young chef and one of three friends that recently pooled their resources to open this place. Showing me the menu – just a sheet of paper secured to a clipboard – Braathen explained that the ingredients here are mostly Norwegian and always in season,

I tasted more of the evolution at places like Solsiden, which doesn’t serve klipfish or lutefisk, but rather the freshest fruits of the sea. At a table overlooking Oslo’s beautiful harbor, bustling with pleasure craft and tall ships, I feasted on a giant platter of king crab, crayfish, oysters, scallops, shrimp and mussels – all sourced in local waters and super-fresh – washing it down with a Chablis as the sun sank over the water. After days of hoping to hear from Maaemo, I finally received a glimmer of hope. It wasn't the dinner reservation I had in mind, but

central train and bus stations. The 31-year old chef welcomed me into his bright, glassy space in a white apron, wearing a big smile on his face and a sleeve of tattoos on his left arm.

Chic and sophisticated with an irreverent streak are the dresses, blouses, jackets, and trousers conceived by the talented Ann-Sofie Back, the Swedish fashion designer whose eponymous line recently spawned a spin-off, Back. With imaginative details and interesting fabrics, her garments have won critical acclaim from many a catwalk maven, shows at London’s Victoria and Albert Museum and the Palais de Tokyo in Paris, Sweden’s Gold Button Award, and an honor few designers can claim: a postal stamp solidifying her legacy. A biker jacket with a belt of exaggerated width makes a statement as does a skirt with a shredded hem.

The delicate designs of Maria Nilsdotter make a refreshingly feminine and sometimes cheeky counterpoint to the angular shapes and sharp cuts showcased on Scandinavia’s fashion runways. This Swedish artist, who incorporates stones into rings, earrings, necklaces, and bracelets shaped like bats, bones, and claws, says she finds her inspiration in mythology and folklore and likens her studio to the laboratory of a mad scientist. At her Stockholm shop you might find madly intricate and whimsical objects such as the “Bee” necklace with bullet-cut cabochon stones in a variety of colors, or the “Gargoyle”—a tiny creature of a ring set with an amethyst.

Ensemble Lifestyles Fall 2014 25

He showed me around the place, and told me that he has three rules at Maaemo: the ingredients must be organic, biodynamic, and sourced solely in Norway. “Our food is crisp and clean – like the climate,” he explained, noting that before opening his doors, he studied up on Norway’s culinary history and traveled around the country to find the best suppliers, people that, he noted, “have their hands in the soil every day.” We chatted about the day that he learned the prestigious Michelin Guide had awarded him two stars in its very first review of Maaemo (a feat not even Noma can claim). “That day was crazy,” he remembered. “We went from this obscure restaurant on the east side of Oslo to a phenomenon in the world press.” Bang’s staff had already begun the work on that evening’s meal, and it smelled delicious. I lamented the fact that I couldn’t get in for dinner, but asked if maybe I could sample what was being cooked in the kitchen. “Um, no. We’re just prepping it now,” he said, apologetically. “But maybe next time!” I shook Bang’s hand and left the restaurant, the scent of that food still on my mind, vowing to return to Oslo – though next time with an advance dinner reservation for Maaemo. ❂

XX 20 Ensemble EnsembleLifestyles LifestylesFall Fall2014 2014

DESTINATION:

Cyclists need not contend with bulky helmets too large for their totes when they acquire this airbag-like hood that protects their heads when they unexpectedly tumble to the pavement. Designed by Anna Haupt and Terese Alstin of Sweden-based HÖVDING, the helmet is the result of a graduate thesis the two completed together. Nearly 10 years in the making, the hood was continually refined based on the results of thousands of re-enacted cycling accidents. As a result, its designers say it provides the “best shock absorption in the world.”

In the crowded market of hand-held gadgetry, LUMIGON’S T2 HD SMARTPHONE stands out from the pack thanks to an ability to resist both water and dust. The Danish company has managed to combine leading-edge technologies from a slew of best-of-breed manufacturers to produce a phone that features the following: a 1.7-GHz Snapdragon™ dual-core processor from Qualcomm that reduces charging frequency; Corning’s Gorilla Glass 3, which is thin, light, and damage-resistant; 4G LTE connectivity; and 128 GB of internal memory.

fashion

furniture/decor

architecture

by SUZANNE GANNON

technology

Ensemble Lifestyles Magazine

Ensemble EnsembleLifestyles LifestylesFall Fall2014 2014 XX 21

Scandinavia Denmark • Finland • Iceland • Norway • Sweden

With winter nights lit up by the aurora borealis, sleek designs, bike-friendly paths and real-life reindeer, Scandinavia’s allure is timeless. From Iceland’s geysers to Sweden’s cafes to Norway’s fjords,

the wow factor is off the charts.

S C AN D IN AVIA

REAL P EO P L E REAL J OU RN E YS

SC A N D I N AV I A

REAL P EO P LE REA L JO URN EYS

Reindeer Herding in LA PLA N D I am sitting in a wood-burning sauna in Lapland, the northernmost part of Finland where, although it feels like 150 degrees Fahrenheit inside, outside it’s less than 20 degrees Fahrenheit – not surprising, as I am 186 miles north

The Northern Lights

Glass igloo

of the Arctic Circle. This most northern part of Europe is home to the Lapps (also known as the Sami) – indigenous people who have lived here since the Ice Age. Once, the Sami made their living by hunting, fishing, and reindeer

Margie and Sami farmer

herding. Now, there are only 700 reindeer herders left, but Lapland is still all about reindeer: as an industry, for food, clothing, and even the names of

His first word was kelka (snowmobile), and

drinks. Last night I tried “Tear of the Reindeer” (Cointreau and vodka).

he helped his father herd from the age of 10.

by MARGIE GOLDSMITH

Petri feeding the reindeer

Long Distance Travel to NEW ZEALAND with Teens

Cruising the

48 Hours in

Sailing in

BALTICS

CHARLESTON

GREECE

Our travel agent has arranged for an Englishspeaking Finnish guide and van to transport our group of six along the snow-covered roads. Yesterday, we went to a reindeer farm and I hopped into a sledge (the Finnish word for sled), pulled by a tame reindeer named Rudolph. Most reindeer are not tame, have no names, and live in the forest in herds. They eat lichen and mushrooms, though reindeer herders deliver hay to supplement their winter diet. Every part of the reindeer has a use: meat for eating, skin for clothing and blankets, head for dog food, hooves for boots, and antlers for handicrafts. The herders also grind the antlers into a powder that the Japanese buy as Viagra, though the Sami reindeer farmer admits it has no powers. The reindeer sledge ride feels childish and I can’t wait for the real deal: to shadow an authentic reindeer herder through the forest. Lucky for me, at my request, the guide and my travel agent have arranged it – something truly special. After breakfast, the group leaves to go snowmobiling and dog sledding. Kirsten Mattus, the reindeer herder’s wife,

picks me up and drives me to her house where I meet her husband Petri, a 36-year-old Sami reindeer herder who runs reindeer tours into the forest. He outfits all his clients in an insulated snowsuit, snuggly mittens, and warm boots.

Petri drives out three times a week to feed the reindeer by snowmobile, pulling a sledge for both passengers and a bale of hay. We ride into the silent forest beneath a canopy of snow-blanketed branches, past snowdrifts the size of igloos and fox tracks in the snow.

After about ten miles, we stop at a clearing. Petri unloads a bale of hay from the sledge, spreads it on the snow-packed ground, and calls out, “Oyyyyyaiiii — oyyyyy — aiii.” After a few minutes, there’s a clicking sound as small groups of reindeer trickle towards us. Reindeer have two extra bones in their foot that click so they can hear each other in the dark and know it’s not a predator. More reindeer approach. I’d like to ask how many reindeer he owns, but that’s considered rude, like asking how much money one has in the bank. I count over 100. Petri splits a log, makes a fire in the snow, slices some fresh reindeer meat from a bag and cooks it in an iron skillet. Lapland food includes freshwater salmon, arctic char, and trout, but reindeer is

Margie and Petri

Illustration by MARTIN HAAKE 12 Ensemble Lifestyles Fall 2014

the specialty; I’ve tried it in stew, as a steak, and as sausage. It’s succulent, a cross between tenderloin and lamb.

Ensemble Lifestyles Fall 2014 13

14 Ensemble Lifestyles Fall 2014

Petri’s father was a reindeer hunter and from the time he was little, Petri never thought of anything else. His first word was kelka (snowmobile), and he helped his father herd from the age of 10. His favorite moment is when he sees a newborn. “First, they find their mother’s milk, then, after a few hours, they learn to walk,” he says. “After the first day they can run so fast, you can’t keep up with them.” Back at his farm, he puts a reindeer skull on the ground and throws the rope into a perfect arc, lassoing the skull. “Now you know how I caught my wife,” he laughs, “though it’s much harder to catch a running reindeer.” A few hours later, I am outfitted in another warm snowsuit, boots and helmet and follow the snowmobile instructor onto the frozen lake to reunite with my group. Half are dogsledding

and half are snowmobiling, so I trade my snowmobile for a dogsled and race across the frozen ice, pulled by the joyous dogs. It’s almost as good as being out with Petri. “I am so jealous,” says Marco, my traveling companion, as we sit in the steamy sauna and I tell them about my forest adventure. “So now, you pay!” He pulls me out of the sauna down the snowy path to the lake where there’s a hole in the frozen ice. “Do it fast,” he says. I race down the ladder, submerge myself in the freezing water to my neck, then, climb up and run back into the hot sauna where Marco hands me a beer. “You’ve earned it,” he grins. Later, we all pile inside our guide’s snuggly ice igloo and stare up through the glass at the blackness. And then, as if on cue, a colossal green genie dances across the entire expanse of the sky, swirling into exotic patterns and changing into neon colors of violet and orange and yellow – one of the greatest of nature’s productions: the northern lights. ❂

I trade my snowmobile for a dogsled and race across the frozen ice, pulled by the joyous dogs. It’s almost as good as being out with Petri.

The bright lights that seem to dance across the sky are caused by collisions of electrically charged particles from the sun, which enter the earth’s atmosphere. The lights can be seen above the magnetic poles of both the northern and southern hemispheres. In the north they are called the Aurora borealis and in the south, Aurora australis. The lights can appear in many colors such as red, yellow, blue and violet, but the most common are green and pink. The type of gas particles colliding causes the variations in color. The lights appear in many different forms – they can look like a balloon about to explode or streamers dancing in the wind, arcs, rippling waves or shooting rays. Cloud cover will obscure the lights, and there is no guarantee of seeing them. In Finnish Lapland, only three nights out of ten are usually clear. If you plan to view the Northern Lights outdoors (and not in the comfort of a heated all-glass igloo) dress very warmly: hat, gloves, lined boots, long underwear, fleece, down jacket, waterproof layer, and hand and feet warmers for those who get cold quickly. To Get There: Your travel agent can arrange your flight from the USA to Helsinki and then a short flight to Ivalo in the north. When To Go: March is a good time to view the Northern Lights, with bright blue skies and snow. Spring is muddy and early summer brings mosquitoes. August is ideal, as is autumn for the foliage.

To plan your own trip to Finland, please see page 74, or contact your Ensemble Travel® Group consultant. Ensemble Lifestyles Fall 2014 15

Ensemble Vacation Therapy

Catalog and Direct Mail

Europe /Alaska Holland America Line

Exquisite, exhilarating experiences

oast the amber sunset as you cruise the Bosphorus Strait. Meander through the palace of Catherine the Great. Explore the cellars of Bordeaux. Or commune with spectacular wildlife along the Alaskan shore. Wherever you go with Holland America, you’ll enjoy gracious, award-winning service, sophisticated five-star dining, and generous overnight stays. On board, you can find renewal in the Greenhouse Spa & Salon, catch up with friends in Explorations Café, and learn professional photo techniques in the Digital Workshop powered by Windows®.

The Culinary Arts Center presented by Food & Wine® magazine hosts

Vacation Th e ra py

guest chefs, cooking classes, party planning, wine tasting, mixology, and more.

Mediterranean Empires

EH C

12 days aboard ms Eurodam from $2,199 per person, inside stateroom* Departure: Jul 17 - 29, 2016

Vacation Th e ra py

Ports of Call: Venice, Olympia, Athens, Istanbul (overnight), Mytilene, Ephesus, Santorini, Argostoli, Venice (overnight) ENSEMBLE® EXCLUSIVE: Ensemble® Hosted Cruise with Ensemble® Experience shore event in Kusadasi. Book now! WEB ID: EV1108

EH Ensemble® Hosted Cruise C

Baltic Adventure

EH C

12 days aboard ms Zuiderdam from $2,099 per person, inside stateroom* Departures: May 29, Jun 10, Jul 4 & Aug 9, 2016 Ports of Call: Copenhagen, Berlin, Tallinn, St. Petersburg (overnight), Helsinki, Stockholm, Hamburg, Gothenburg, Helsingborg, Copenhagen (overnight)

Bourgundian Explorer

EH C

14 days aboard ms Prinsendam from $1,999 per person, inside stateroom* Departure: Sep 6 - 20, 2016 Ports of Call: Amsterdam, Brussels, Normandy, Bordeaux (overnight), Bilbao, Lisbon, Seville, Gibraltar, Malaga, Castellon de la Plana, Barcelona

Glacier Discovery

EH C

7 days aboard ms Zaandam from $999 per person, inside stateroom* Departure: Aug 14 - 21, 2016 Ports of Call: Vancouver, Ketchikan, Juneau, Skagway, Anchorage ENSEMBLE® EXCLUSIVE: Ensemble® Hosted Cruise with Ensemble® Experience shore

Hawaii / Caribbean Bahamas & Hosted Florida / Bermuda ENSEMBLE / EXCLUSIVE: Ensemble event in Juneau. Book now!

ENSEMBLE® EXCLUSIVE: Aug 9 sailing features an Ensemble® Hosted Cruise with Ensemble® Experience shore event in Stockholm. Other sailings feature $75 shipboard credit per stateroom. Book now! WEB ID: EV1109

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Norwegian Cruise Line

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* Receive a FREE signature beverage package, FREE Pinnacle Grill dinner, reduced cruise fares for 3rd/4th guests, and 50% reduced deposit. Book a suite and also receive $300 shipboard credit per stateroom and a FREE Canaletto dinner. Book by Oct 30th!

It’s all sunshine and happiness

To book, CALL US TODAY. Or SEE MORE OFFERS ON OUR WEBSITE. Our contact information is on the back cover. 8 Cruise Vacations

o for the cascading waterfalls and volcanic action of Hawaii with overnights on Maui and Kauai. Get into the rich undersea world of Cozumel and the crystal caves of Belize on a Caribbean escape. Sail from New York on an easy adventure to Florida & the Bahamas. Or hit the pink sand beaches and pristine golf courses in colorful Bermuda. On board, savor gelato along The Waterfront. Try spinning, kickboxing, or TRX training. And soak up the fun in the Aqua Park, the huge Sports Complex, White Hot Parties, bliss-inducing night clubs, and more.

Vacation Th e ra py

Cruise Vacations 9

Hawaii 7 days aboard Pride of America from $1,999 per person, balcony stateroom Departures: Select dates Feb 2 Dec 31, 2016 Ports of Call: Honolulu, Kahului, Hilo, Kona, Nawiliwili, Honolulu ENSEMBLE® EXCLUSIVE: Receive up to $50 onboard credit per stateroom. Book now!

Web ID: EV1112

Bermuda Western Caribbean 7 days aboard Norwegian Getaway from $1,049 per person, balcony stateroom Departures: Select dates Jan 3 - Apr 17, 2016 Ports of Call: Miami, Great Stirrup Cay, Ocho Rios, George Town, Cozumel, Miami ENSEMBLE® EXCLUSIVE: Receive up to $50 onboard credit per stateroom. Book now!

7 days aboard Norwegian Breakaway from $1,049 per person, balcony stateroom Departures: Select dates Apr 24 Oct 23, 2016 Ports of Call: New York, Bermuda, New York ENSEMBLE® EXCLUSIVE: Receive up to $50 onboard credit per stateroom. Book now! WEB ID: EV1115

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Bahamas & Florida De-stress and detox in Mandara Spa with age-defying treatments and quality time in the Thalasso Therapy Pool, Vitality Pool, hot tub, or cool, grotto-like Salt Room.

Look inside for Exclusive Deals and Offers!

7 days aboard Norwegian Breakaway from $999 per person, balcony stateroom Departures: Select dates Feb 14 Apr 17, 2016 Ports of Call: New York, Orlando & Beaches, Great Stirrup Cay, Nassau, New York ENSEMBLE® EXCLUSIVE: Receive up to $50 onboard credit per stateroom. Book now! WEB ID: EV1114 To book, CALL US TODAY. Or SEE MORE OFFERS ON OUR WEBSITE. Our contact information is on the back cover.

2 Cruise Vacations

Look inside for Exclusive Deals and Offers! Winter 2015

Look inside for Exclusive Deals and Offers! Winter 2014

Cruise Vacations 3

ST. CROIX’S HOT FOOD SCENE

St. Croix’s burgeoning culinary scene, highlighted by the popular St. Croix Food and Wine Experience every April, is even stronger with new restaurant openings. Balter, which will open during the fall, is the idea of U.S. Virgin Islands culinary ambassador and St. Croix native Chef Stridiron. Stridiron was the Caribbean Tourism Organization’s 2014 Caribbean Chef of the Year and has cooked for celebrities like Katy Perry, Nicki Minaj and Vivica A. Fox. Balter will offer contemporary West Indian cuisine, some of it cooked in a full-sized Danish oven.

What’s New in the

U.S. Virgin Islands

Newly opened 40 Strand Eatery is one of the few restaurants in the U.S. Virgin Islands that actually plates dishes from Denmark, which ruled the Virgin Islands for over 200 years until the United States’ purchase of the islands in 1917. Elsewhere, popular St. Croix Chef Frank Pugliese and culinary partner Chef Michael Ross opened Zion Modern Kitchen in downtown Christiansted. Zion’s menu features simple, approachable farm-to-table dishes, including favorites such as pumpkin soup and a farmer salad featuring St. Croix greens.

Top 10 Reasons to Travel in 2015

Last year was just practice; this year is the real thing.

It’s the Most

Magical Time of the Year! NEW EXPERIENCES

Your Reputation

Imagine returning home from a glorious adventure with a new light in your eyes, a skip in your step, and a refreshing glow. The kind of glow that makes your colleagues and neighbors the tiniest bit jealous of your entire life.

Understanding between people and nations doesn’t happen overnight. It happens when you share a laugh or a smile with someone from another culture – a shopkeeper in Athens, an artist in Istanbul, a dancer in St. Petersburg. It all begins with you.

Accessability

The U.S. Virgin Islands are America’s Paradise, providing an authentic Caribbean experience with no U.S. passports required for entry. St. Croix, St. John and St. Thomas are three distinct islands with unique offerings, and it’s easy to “island hop” between them via ferry or seaplane. Beyond the year-round pristine beaches and clear blue waters, the USVI boasts new activities and restaurant openings, just in time for the fall travel season.

Give your personal paparazzi the excitement they so richly deserve. There’s no better time than now to share tales of daring adventures and photos of sizzling Caribbean sunsets, Polynesian fire shows, icebergs and orcas, English sheepdogs, Irish beers, and more.

FAMILY FUN (AND SAVINGS) AT CORAL WORLD

St. Thomas is home to one of the top familyfriendly attractions in the Caribbean, Coral World Ocean Park. The park offers all sorts of attractions for visitors, including sea lion and shark encounters, a touch pool and SNUBA – a combination of snorkeling and scuba diving. Coral World is now offering its “Sunday Funday” special, where children ages 12 and under get free admission with a regular rate-paying adult.

Laughter

Getting away is an opportunity to reinvent yourself. To escape your old routines and explore life’s amazing array of possibilities. Start training for a triathlon at Club Med. Learn Spanish from an Argentine. Explore the culinary wonders of France. Discover a new you.

Epic Stories

For more information about the U.S. Virgin Islands, contact your Ensemble Travel® Group consultant.

MAGIC KINGDOM ® PARK: MICKEY’S VERY MERRY CHRISTMAS PARTY

12 Land Vacations

Social Networks

With fun-filled seasonal activities, holiday décor and great rates on vacation packages, it’s the most magical time to visit

Land Vacations 13 Celebrate the magic of the holiday season with your family at Mickey’s Very Merry Christmas Party, a special event held select nights at Magic Kingdom® Park!

This festive celebration is filled with spectacular fireworks, a very special holiday parade and live entertainment featuring your favorite Disney Characters. Purchase of an additional event admission ticket is required to attend this event, and tickets sell out quickly.

Walt Disney World® Resort. So get together for some

Today, there are more unique trips to choose from than ever before. Remote regions are now within reach. Authentic cultural experiences are at your fingertips. So go ahead. Dance through Austria, see Norway’s northern lights, the tigers of Ranthambore, and more.

Few things can fill you with pure delight like trying something new. Whether you’re sharing funny stories, bungling foreign phrases, racing down water slides, or giggling with local schoolchildren, joy-filled laughter is one of the very best reasons to get out of town.

Reinvention

World Peace

Exotic Strangers

If your favorite new friends are characters on a TV show or avatars in an online game, travel could be your best hope for reconnecting with the real world. Go on. Get out there. Meet someone new ... on a ski slope in Italy, a bridge in Budapest, a safari in Botswana.

Disney holiday cheer!

Greek temples. Turkish mosques. Imperial Russian palaces. Lost cities. Battle sites. Buttressed cathedrals. Museums filled with paintings, sculptures, and ancient artifacts. The world has amazing stories to tell. Travel lets you experience them firsthand.

Mickey’s Very Merry Christmas Party features: • The enchanted Castle Dream Lights on Cinderella Castle • Mickey’s Once Upon A Christmastime Parade, complete with a special appearance by Santa Claus himself • An exclusive holiday fireworks extravaganza – Holiday Wishes: Celebrate the Spirit of the Season • Live entertainment featuring Disney Characters • Meet and greet opportunities throughout Magic Kingdom Park with some of your favorite Disney Characters • Complimentary cookies and hot cocoa • A magical snow fall on Main Street, U.S.A. • Special access to many of the most popular Magic Kingdom Park attractions Mickey’s Very Merry Christmas Party is held from 7:00 p.m. to midnight on select nights in November and December.

Mouth-watering, awe-inspiring works of culinary art are being prepared right now by practiced chefs in exotic locations all over the world. They’re the kind of dishes that are presented with flair, enjoyed in the company of good friends, and savored for years to come.

10 True Love

14 Land Vacations

Epicuriosity

Take time out to gaze into each other’s eyes. Share sweet pastries in a sidewalk café. Savor candlelit dinners beneath the stars. Learn to tango. And get reacquainted with all the quirky little things that make you care so much about that special someone in your life.

DISNEY’S HOLLYWOOD STUDIOS ® : OSBORNE FAMILY SPECTACLE OF DANCING LIGHTS

Abi Beach Bar, accessible only by boat, has become a new hang out spot on St. Thomas with live music, beverages and bites. St. Thomas also boasts a new tropical botanical garden, Phantasea, which is 20 years in the making. Visitors can relax and enjoy more than 1,000 orchids in a park-like setting with paths, decks and a gazebo. Visitors can also now cool off with authentic Danish-style ice cream at Virgin Islands Ice Cream Company in Charlotte Amalie, featuring flavors like soursop and guinep along with homemade waffle cones.

The most spectacular light display returns to Disney’s Hollywood Studios. As you stroll down New York Street and the streetlights fade and snowflakes begin to fall, you’ll be dazzled by the millions of lights, dancing in synchronized splendor to a high-energy holiday symphony. You’ll experience a symphony for the senses with twirling carousels, heavenly angels – even Santa and his reindeer – amidst electrifying holiday music! This enchanting spectacle is a Walt Disney World® tradition that’s sure to make your holiday dreams come true! EPCOT ® : HOLIDAYS AROUND THE WORLD

Celebrate the holiday season with the characters, legends and lore from around the globe. Delight in wondrous tales and customs while experiencing the traditions of Walt Disney World® Resort. The signature events include a breathtaking Candlelight Processional and a special holiday-themed finale to the dazzling IllumiNations: Reflections of Earth.

Event Dates: Select dates November December 2015. Admission to Disney’s Hollywood Studios® required.

• Entertainment Highlights: Ongoing Holiday celebrations throughout the World Showcase featuring festive food, fun and entertainment from a variety of exciting cultures worldwide. • Candlelight Processional: One of the most beloved holiday traditions at Epcot – a joyous retelling of the Christmas story by a celebrity narrator accompanied by a 50-piece orchestra and a glorious mass choir. • IllumiNations: Reflections of Earth: A spectacular light and sound show every night at the World Showcase Lagoon featuring a very special holiday finale. • Holiday Storytellers: Listen to legendary holiday folklore from around the world as told at the World Showcase by the legends themselves, including France’s Père Noël, Italy’s LaBefana and America’s Santa Claus. Event Dates: Select dates November December 2015. Admission to Epcot® required.

As to Disney artwork/properties: ©Disney

Land Vacations 15

Fischer Travel

Branded Campaign

“ Having been in the travel industry for the past 25 years, I think I know a thing or two about what it really takes to put together the perfect trip. There is only one firm I know that can do this. There is no other like it, and that is Fischer Travel. They are in the know, they are incredibly well-connected and they can accomplish things that nobody else can. They will take care of everything your trip entails, from the minutest detail to the biggest one. If I wanted my daughter to get married by a Justice of the peace in a suit of armor from 12th Century england at 3:00 in the morning and I wanted it tomorrow, I would call Fischer Travel. only they can accomplish the impossible for their clients.”

One thing stood in his way.

– Ian schrager

Managing elite travel requires a level of attention far beyond the average travel agency. Bill realized that his reputation as “the man who does the impossible” occasionally attracted clients more interested in his connections than his level of caring. He and his staff would spend time and effort crafting over-the-top experiences for individuals that they would never hear from again. Knowing that relationships are built on mutual investment, Bill ﬂoored his accountant, and the critics, by charging a participation fee and changing his model of the travel business.

Fortune favors the bold. In the years since, Bill Fischer, his daughter Stacy, and their

“ Fischer Travel’s commitment and sensitivity to every detail to ensure the success of our trips is clearly evident and I am grateful for the one-of-a-kind experiences they have created for my family and me. Without hesitation, I would recommend Fischer Travel to anyone seeking unparalleled service and lifelong memories.”

tireless team of dedicated consultants have continued to develop Fischer Travel into an award-winning and renowned

– Richard santulli

leader in luxury travel and lifestyle services. They never waver from the Fischer Travel mission: to create unique and extraordinary experiences and lifelong memories.

“ Inspired by my creative vision, Fischer Travel enterprises has realized my vacation dreams of visiting global cultural institutions, relaxing in serene paradises, exploring natural wonders, learning about exotic customs, tasting traditional cuisines, and experiencing enchanting and once-in-a-lifetime adventures.” – Agnes gund

The Fischer Travel Story

Word slowly got around... that Fischer Travel was providing unparalleled service and delivering hard-to-get hotel suites, event tickets, and restaurant tables. Eight years in, Bill decided to make his phone number unlisted. Industry critics condemned the move as entrepreneurial suicide, but word-of-mouth proved a powerful authenticator and before long, Bill

More than 50 years ago...

had a formidable waiting list of clients.

Bill Fischer was selling one side of travel, but living the other.

While working in a small Brooklyn agency booking $199 package deals to Las Vegas, Bill would spend his personal time visiting what was then recognized as the world’s best hotels. What he found there surprised him: the service level rarely lived up to the grandeur of the accommodations. Knowing that there is so much more to a great trip than just booking a room,

DoIng

Bill began to approach travel agency owners with an

the

offer to train managers on how to sell luxury travel.

ImpossIble

No one was interested and after two years of knocking on closed doors, Bill decided to open his own agency.

“ I have been a Fischer Travel client for over 20 years. The service is incomparable. Fischer is extremely responsive and manages to do the impossible on a regular basis, from flights to hotels to restaurants.” - steve schwarzman

Fischer Travel

Opening up your world

Fischer Travel

Opening up your world

Fischer Travelworld Story Opening upTheyour

Fischer Travel Enterprises Fischer Travel Enterprises The Fischer Travel Story

Fischer Travel Enterprises Fischer Travel Enterprises

Opening up your world

American Friends of Tel Aviv

Centennial Celebration

Urology

05.21.2009

San Diego Marriott La Jolla Pediatric Save the DateMedicine 4240 La Jolla Village Drive, La Jolla, California 6 pm

Pediatric Urology

Maternal/Fetal Medicine

Maternal/ Fetal Medicine

Pediatric Medicine

San Diego Friends of the Tel Aviv Centennial and Tel Aviv Mayor, Ron Huldai invite you to join us

Neonatal intensive Care unit

Perinatal Center at Weill Cornell

Personalized, Comprehensive Care Before, During and After Birth

Care for Mother and Baby All in One Place

Honorary Chair Gregorio Goldstein

in celebration of the Tel Aviv Centennial and the extraordinary achievements of The American Committee for The Tel Aviv Foundation in education, social services, the arts and the environment.

Chairs Leslie and Shlomo Caspi Jeffrey and Vivien Ressler

Invitation to Follow Department of Pediatric Medicine For more information, contact: Rhonda Pohl at 619-384-0763 or rpohl@telavivfoundation.org www.telavivfoundation.org

Co-chairs Diane and Elliot Feuerstein Murray and Elaine Galinson Franklin and Jean Gaylis Shoshi Recht Ruben and Fanny Rosental Dr. Bob and Mao Shillman

Making a Difference in Children’s Lives

Save the Date Thursday, May 21, 2009 San Diego Marriott La Jolla Pediatric 4240 La Jolla Village Drive, La Jolla, California Medicine 6 pm

Chairs Leslie and Shlomo Caspi Jeffrey and Vivien Ressler Co-chairs Diane and Elliot Feuerstein Center forGalinson Pediatric Transplant and Murray and Elaine Advanced Kidney and urology Disease Franklin and Jean Gaylis Shoshi Recht Ruben and Fanny Rosental Dr. Bob and Mao Shillman

San Diego Friends of the Tel Aviv Centennial and

Personalized Tel Aviv Mayor, Ron Huldai invite you to join us Coordinated in celebration of the Tel Aviv Centennial and the extraordinary achievements Care, Family-of The American Committee for The Tel Aviv Foundation in education, social services, the arts and the environment. Friendly Environment

New Approaches to Urologic Surgery in Children

Invitation to Follow

For more information contact: Rhonda Pohl at 619-384-0763 or rpohl@telavivfoundation.org www.telavivfoundation.org

Maternal/Fetal Medicine

Maternal/Fetal Medicine The Tel Aviv Centennial

Pediatric Urology

Honorary Chair Gregorio Goldstein

Family services

institute for Pediatric urology

Minimally Invasive Procedures for Urologic Surgery in Children

Pediatric Urology

Headed by Mayor Ron Huldai

SERVICE

and operating out of offices in Israel, the USA, Canada, the

GROWTH

Pediatric Medicine

UK and Germany, the Tel Aviv-Yafo Foundation is the international fund-raising arm of the City of Tel Aviv-Yafo. Since its inception in 1977, the Foundation has established over 500 projects that have vastly improved the quality of life in Tel Aviv-Yafo with significant development of the City’s educational, social-welfare, cultural and environmental sectors. Unlike comparable organizations, the Tel Aviv-Yafo

High risk obstetrics

Newborn Nursery/Newborn Care

Prenatal Foundation has no endowment. All funds raised are designatedsonogram for specific projects and augmented by the City.

Experience and Expertise with a Personal Touch

Early Detection and Treatment in Maternal Medicine

LEARN

Congenital Kidney Anomalies in Newborns

SCIENCE

Personalized Coordinated The Tel Aviv Centennial Headed by Care, Mayor RonFamilyHuldai and operating out of offices in Israel, the USA, Canada, the Friendly UK and Germany, the Tel Aviv-Yafo Foundation is the international fund-raising arm of the City ofEnvironment Tel Aviv-Yafo.

Making a Difference in Pediatric Outcomes Celebrating the first century. Partnering for the next.

Since its inception in 1977, the Foundation has established

over 500 projects that have vastly improved the quality of life in Tel Aviv-Yafo with significant development of the City’s

T EL

AVI V

T Reducational, A D I T I social-welfare, ON cultural and environmental

S U P P O RT

HISTORY

sectors. Unlike comparable organizations, the Tel Aviv-Yafo Foundation has no endowment. All funds raised are designated for specific projects and augmented by the City.

The Honorable Ron Huldai Mayor of Tel Aviv-Yafo and International Chair

The Honorable Ronald S. Lauder Centennial Chairman

American Committee Josh Weston Chairman of the Board

November 3, 2008 Mr. Joshua Smith Chairman Joshua Smith and Company 260 Fifth Avenue, Suite 503 New York, NY 10001

Stephen Greenberg Treasurer

The American Committe for The Tel Aviv Foundation This 50-50 partnership has ensured accountability, promoted cooperation between donor and recipient and strengthened the bond

ART

CULTURE

between Israel and the Diaspora. In recent years, the Tel Aviv-Yafo Foundation has focused much of its efforts on educational reform by building pre-kindergartens, transforming obsolete libraries into

TE L

AVIV

S U P P O RT

state-of-the-art resource centers and renovating science laboratories in elementary schools. The Foundation’s ongoing support for Hemda, Tel Aviv’s unique science education center has made it possible for

David C. Albalah Micky Arison Ted Arison* Gissou Farahi Jose Galicot Steven H. Hirth Bernard Kossar Harvey Krueger Marvin Lender Walter Lieber Jack Mandel Ira D. Riklis Aby J. Rosen Dan Rubin Mark Selinger Gertrude Thaler David Weinstein *Founder, in blessed memory

gifted high school students to study physics, chemistry and

Dear Mr. Smith Headed by Mayor Ron Huldai and operating out of offices in Israel, the USA, Canada, the UK and Germany, the Tel Aviv-Yafo Foundation is the international fund-raising arm of the City of Tel Aviv-Yafo. Since its inception in 1977, the Foundation has established over 500 projects that have vastly improved the quality of life in Tel Aviv-Yafo with significant development of the City’s educational, social-welfare, cultural and environmental sectors . Unlike comparable organizations, the Tel Aviv-Yafo Foundation has no endowment. All funds raised are designated for specific projects and augmented by the City’s unique matching funds program. This 50-50 partnership has ensured accountability, promoted cooperation between donor and recipient and strengthened the bond between Israel and the Diaspora. In recent years, the Tel Aviv-Yafo Foundation has focused much of its efforts on educational reform by building pre-kindergartens, transforming obsolete libraries into state-of-the-art resource centers and renovating science laboratories in elementary schools.

computational science at an advanced level.

SPORTS

N V I O Rfor NM E NTelT Aviv Foundation The American ECommitte The This 50-50 partnership has ensured accountability, promoted cooperation between donor and recipient and strengthened the bond between Israel and the Diaspora. In recent years, the Tel Aviv-Yafo Foundation has focused much of its efforts on educational reform by building pre-kindergartens, transforming obsolete libraries into state-of-the-art resource centers and renovating science laboratories in elementary schools. The Foundation’s ongoing support for Hemda, Tel Aviv’s unique science education center has made it possible for gifted high school students to study physics, chemistry and computational science at an advanced level.

•

SAVE THE DATE

Thursday, May 21, 2009

Perinatal Center

Celebrating the first century. Partnering for the next.

Hip Hop Public Health Education Center

Our mission To reduce

healthcare disparities through context-relevant, cost-effective, intergenerational educational interventions focused on disease prevention and health promotion.

www.hiphoppublichealth.org www.hiphoppublichealth.org

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Cras mattis dolor a augue faucibus pretium. adipiscing elit. Pellentesque eros nibh, lacinia vel Nullam ac metus non mauris porttitor laoreet et ac lectus dignissim laoreet. Pellentesque vehicula Quisque nulla nisi, ullamcorper ut bibendum ultricies vitae, scelerisque eget neque. Aliquam in dolor. Nunc vitae dolor vitae mauris faucibus elit ut purus sodales pulvinar consequat felis viverra, gravida vel lacus. Quisque eget leo ultricies, felis vitae dignissim fringilla, eros diam adipiscing eget et sem. imperdiet. Duis cursus eros sit amet leo interdum sem, id pellentesque risus. Phasellus tincidunt pellentesque ante, quis convallis lorem risus vitae pellentesque. Etiam enim sem, imperdiet sit amet congue ligula ut tempus. Sed eu fringilla mi. In libero. Suspendisse lacus risus, vestibulum sed Nullam ac libero at risus venenatis ornare sit amet fermentum nec, dignissim et turpis. Aliquam elementum elit vitae ante euismod non hendrerit rhoncus eget, pulvinar non odio. Proin feugiat ut nisi. Lorem ipsum dolor sit amet, consectetur egestas ullamcorper lorem a dictum. Pellentesque libero congue. Aenean eget sem turpis. Aliquam nibh dictum quam lacinia et hendrerit tortor adipiscing elit. Sed a ligula ut augue pellentesque habitant morbi tristique senectus et netus et vitae velit odio. Donec egestas lacus a arcu mattis fringilla. Vivamus accumsan posuere eros, at pellentesque et egestas lacus. Nullam ut egestas malesuada fames ac turpis egestas. Proin hendrerit eu ornare velit feugiat. To reach high-risk communities with important health messages, porta dolor malesuada quis. Phasellus sed lectus tortor. Cras mattis dolor a augue faucibus pretium. it’s urgent to create innovative, culturally tailored health literacy eleifend eleifend. Maecenas pharetra sagittis ac lectus dignissim laoreet. Pellentesque vehicula Quisque nulla nisi,people ullamcorper where they ut live.bibendum Health education programs that meet vestibulum. Nunc sed libero augue, eget venenatis Aliquam erat volutpat. Sed sed diam sit amet initiatives that involve andQuisque dance activities elit ut purus sodales pulvinar consequat felis viverra, gravida velmusic lacus. egetwhich leo are either dui. Nulla vehicula nisl sed lacus convallis elit adipiscing euismod eu quis nisl.already Aenean familiar, or are easy to learn, are moretincidunt likely to have the imperdiet. Duis cursus eros sit amet leo interdum sem, id pellentesque risus. Phasellus tristique. Duis faucibus, leo in vehicula laoreet, rutrum lorem id nunc pretium ut vulputate enim and also be retained over the long term. most immediate pellentesque. Etiam enim sem, imperdiet sit amet congue ligula utimpact tempus. Sed eu fringilla mi. In This eros massa dictum tellus, et condimentum risus vehicula. Proin purus lacus, pharetra utunderstanding malesuadais the driving force behind Hip Hop Public fermentum nec, dignissim et turpis. Aliquam elementum vitae ante euismod non hendrerit Health. Hip elit neque quis enim. Vestibulum accumsan, quam nec ut, dapibus eu lectus. Morbi volutpat nisi sedHop Public Health has developed successful educational programs. egestas ullamcorper lorem a dictum. Pellentesque libero congue. Aenean eget sem turpis. Aliquam tincidunt venenatis, nunc tellus ultrices ipsum, libero pellentesque ut egestas erat vestibulum. habitant morbi tristique senectus et netus et vitae velit odio. Donec egestas lacus a arcu mattis non dictum lectus dui et justo. Ut in purus justo. Quisque auctor auctor nunc Have you ever gotten a song into your head that just won’t go malesuada fames ac turpis egestas. Proin hendrerit eu ornare velit feugiat. away? If you quis venenatis. Mauris justo arcu, viverra id want a message that your audience won’t forget, eleifend eleifend. Maecenas pharetra sagittis can’t do much better than to deliver it through hip hop Pellentesque euismod blandit eros, at lobortis pretium et, malesuada at arcu. Crasyou volutpat hop’s catchy lyrics, beats,sit and popularity music. Hip vestibulum. Nunc sed libero augue, eget venenatis Aliquam erat volutpat. Sedrhythmic sed diam amet orci dapibus quis. Donec lobortis diam in augue sollicitudin odio ac placerat. Suspendisse at array of socioeconomic andAenean ethnic groups can a diverseeuismod dui. Nulla vehicula nisl sed lacus convallis elitamong adipiscing eu quis nisl. suscipit venenatis. Duis nec leo purus, non nisl id lorem porttitor lobortis eu sitbeamet used to introduce almost any type of health education tristique. Duis faucibus, leo in vehicula laoreet, rutrum lorem id nunc pretium ut vulputate enim to children – and, through them, to their families and interdum eros. In nibh nibh, consequat aliquam diam. Nulla sollicitudin elementuminitiative orci, et eros massa dictum tellus, et condimentum risus vehicula. Proin . purus lacus, pharetra ut malesuada auctor quis, tincidunt vitae mi. Pellentesque volutpat purus interdum vitae. Namcommunities ut velit risus. neque quis enim. Vestibulum accumsan, quam nec ut, dapibus eu lectus. Morbi volutpat nisi sed habitant morbi tristique senectus et netus et Nulla semper viverra magna a euismod. Integer educational Hip Hop Public Healthut hasegestas developederat successful tincidunt venenatis, nunc tellus ultrices ipsum, libero pellentesque vestibulum. malesuada fames ac turpis egestas. Phasellus posuere pulvinar est, ac feugiat tortor pulvinar programs using in. this approach: Hip Hop Stroke™, Hip Hop non dictum lectus dui et justo. Ut in purusHipjusto. Quisque auctor auctor nunc Hop H.E.A.L.S. (Healthy Eating And Living in L.E.A.N., aliquet ornare libero, a sollicitudin mauris ornare Vivamus interdum egestas malesuada. Vivamus quisSchools)™, venenatis. Mauris justo arcu, viverra id at. Fusce imperdiet, nisl eu mollis lobortis, est sollicitudin, leo vel malesuada egestas, diamHip Hop F.E.A.T., Hip Hop B.E.A.T.S. and Hip Hop Old S.C.H.O.O.L. Using music written andCras performed by hip hop Pellentesque euismod blandit eros, at lobortis pretium et, malesuada at arcu. volutpat tellus vestibulum nunc, at tempor felis odio eget lacus vulputate enim, ac laoreet orcilegends puruslikenon Doug E. Fresh, Chuck D, Artie Green, and Easy AD of orci dapibus quis. Donec lobortis diam in augue sollicitudin odio ac placerat. Suspendisse at sem. Nam diam tellus, vulputate sit amet molestie ipsum. Lorem ipsum dolor sit amet,theconsectetur Legendary Cold Crush Brothers, we deliver essential suscipit venenatis. Duis nec leo purus, non nislmessages id lorem porttitor lobortis eu sit amet with unforgettable rhythms. at, adipiscing vitae tortor. Integer eu lacus sed adipiscing elit. Pellentesque eros nibh, lacinia vel interdum eros. In nibh nibh, consequat aliquam diam. Nulla sollicitudin elementum orci, et mauris volutpat interdum et sed velit. Mauris eget ultricies vitae, scelerisque eget neque. Aliquam andvitae. Hispanics are ut at particularly high Elderly African-Americans auctor quis, tincidunt vitae mi. Pellentesque volutpat purus interdum Nam velit risus. tortor a sapien ultrices elementum. ultricies, felis vitae dignissim fringilla, eros diamresearch shows, perhaps because certain risk risk for dementia, habitant morbi tristique senectus et netus et Nulla semper viverra magna a euismod. Integer pellentesque ante, quis convallis lorem vitae – such as poor diet and lack of access to factorsrisus for dementia malesuada fames ac turpis egestas. Phasellus posuere pulvinar est, ac feugiat tortor pulvinar in. social activities – are also high in these populations. physical and Morbi pretium arcu in lacus feugiat rhoncus. libero. Suspendisse lacus risus, vestibulum sed aliquet ornare libero, a sollicitudin mauris ornare Vivamus egestas malesuada. Vivamus community in particular need of This putsinterdum the central Harlem In placerat, arcu in suscipit porttitor, risus diam rhoncus eget, pulvinar non odio. Proin feugiat of dementia, interventionsleo thatvel can help to reduce the advancediam at. Fusce imperdiet, nisl eu mollis lobortis, est sollicitudin, malesuada egestas, dictum sapien, ut ultrices urna leo sit amet tortor. nibh dictum quam lacinia et hendrerit tortorthese communities’ quality of life and improving their enhancing tellus vestibulum nunc, at tempor felis odio eget lacus vulputate enim, ac laoreet orci purus non In vitae enim quam, ut fringilla orci. Fusce porta fringilla. Vivamus accumsan posuere at By improving factors such as diet, physical life eros, expectancy. sem. Nam diam tellus, vulputate sit amet molestie ipsum. Lorem ipsum dolor sit amet, consectetur activity, social involvement, we could decrease the risk of placerat diam. Etiam eget lectus sed justo ornare porta dolor malesuada quis. Phasellus sedand lectus at, adipiscing vitae tortor. Integer eu lacus sed adipiscing elit. Pellentesque eros nibh, lacinia vel particularly minorities. dementia in the elderly, lacinia vel consequat tortor. Mauris in elit turpis. ac lectus dignissim laoreet. Pellentesque vehicula mauris volutpat interdum et sed velit. Mauris eget ultricies vitae, scelerisque eget neque. Aliquam Pellentesque in quam ac odio dignissim cursus elit ut purus sodales pulvinar consequat The Oldfelis S.C.H.O.O.L. Project reaches at-risk older adults through tortor a sapien ultrices elementum. ultricies, felis vitae dignissim fringilla, eros diam id sed lectus. Praesent metus massa, tincidunt imperdiet. Duis cursus eros sit amettheleo interdum children who are important in their lives. Our program takes pellentesque ante, quis convallis lorem risus vitae away thesit mystery in pharetra ut, fermentum nec nunc. Donec pellentesque. Etiam enim sem, imperdiet ametand fear surrounding aging, dementia, and Morbi pretium arcu in lacus feugiat rhoncus. libero. Suspendisse lacus vestibulum memory, while at therisus, same time teaching thesed children elementum tristique nibh sagittis bibendum. Nulla fermentum nec, dignissim et turpis.impaired Aliquam decisions that help prevent healthyeget, lifestylepulvinar In placerat, arcu in suscipit porttitor, risus diam rhoncus noncan odio. Proin dementia. feugiat Old sed ligula diam. Praesent luctus lacinia risus et egestas ullamcorper lorem a dictum. Pellentesque S.C.H.O.O.L teaches a host of mentally stimulating activities, dictum sapien, ut ultrices urna leo sit amet tortor. nibh dictum also quam lacinia et hendrerit tortor consectetur. Integer eu nunc lectus, at facilisis habitant morbi tristique senectus etdeveloped netus etespecially for our program, that children can do at In vitae enim quam, ut fringilla orci. Fusce porta fringilla. Vivamus accumsan posuere eros, at their parents and grandparents while also teaching dui. Curabitur sit amet libero sem, sed ultrices malesuada fames ac turpis egestas. home Proinwith hendrerit placerat diam. Etiam eget lectus sed justo ornare porta dolor malesuada quis. Phasellus sedmay lectus lessons about lifestyle choices that help them important ipsum. Morbi a accumsan enim. Proin dignissim eleifend eleifend. delay thedignissim onset of dementia. lacinia vel consequat tortor. Mauris in elit turpis. ac lectus laoreet. Pellentesque vehicula Pellentesque in quam ac odio dignissim cursus elit ut purus sodales pulvinar consequat felis HHS doesn’t end in the school: children receive Hip Hop To-Go id sed lectus. Praesent metus massa, tincidunt imperdiet. cursus eros sit amet leo interdum home kits Duis designed to spark discussion with their parents and in pharetra ut, fermentum nec nunc. Donec pellentesque. enim sem, sit amet grandparents. Etiam This is part of our childimperdiet mediated health interventionnec, approach. elementum tristique nibh sagittis bibendum. Nulla fermentum dignissim et turpis. Aliquam sed ligula diam. Praesent luctus lacinia risus et egestas ullamcorper lorem a dictum. Pellentesque We have found that children who learn about stroke through our consectetur. Integer eu nunc lectus, at facilisis habitant tristique etimportant netus etknowledge; Hip Hopmorbi StrokeTM program senectus hold onto this dui. Curabitur sit amet libero sem, sed ultrices malesuada fames ac turpis egestas. Proin approximately 86%hendrerit of children three months after participating, still remembered ipsum. Morbi a accumsan enim. Proin dignissim eleifend eleifend.where and how a stroke occurs and the

Hip Hop H.E.A.L.S.

importance of calling 911 immediately. These impressive results were published in the prestigious medical journal Stroke.* The program has meant more than just the right answers to a test – it may have saved lives. After participating in the Hip Hop StrokeTM pilot, two children – a fourth grader and a sixth grader – witnessed the sudden onset of stroke symptoms and called 911, just as they had been taught!

Elderly African-Americans and Hispanics are at particularly high risk for dementia, research shows, perhaps because certain risk factors for dementia – such as poor diet and lack of access to physical and social activities – are also high in these populations. This puts the central Harlem community in particular need of interventions that can help to reduce the advance of dementia, enhancing these communities’ quality of life and improving their life expectancy. By improving factors such as diet, physical activity, and social involvement, we could decrease the risk of dementia in the elderly, particularly minorities. Have you ever gotten a song into your head that just won’t go away? If you want a message that your audience won’t forget, you can’t do much better than to deliver it through hip hop music. Hip hop’s catchy lyrics, rhythmic beats, and popularity among a diverse array of socioeconomic and ethnic groups can be used to introduce almost any type of health education initiative to children – and, through them, to their families and communities. Hip Hop Public Health has developed successful educational programs using this approach: Hip Hop Stroke™, Hip Hop L.E.A.N., Hip Hop H.E.A.L.S. (Healthy Eating And Living in Schools)™, Hip Hop F.E.A.T., Hip Hop B.E.A.T.S. and Hip Hop Old S.C.H.O.O.L. Using music written and performed by hip hop legends like Doug E. Fresh, Chuck D, Artie Green, and Easy AD of the Legendary Cold Crush Brothers, we deliver essential messages with unforgettable rhythms. We have found that children who learn about stroke through our Hip Hop StrokeTM program hold onto this important knowledge; three months after participating, approximately 86% of children still remembered where and how a stroke occurs and the importance of calling 911 immediately. These impressive results were published in the prestigious medical journal Stroke.* To reach high-risk communities with important health messages, it’s urgent to create innovative, culturally tailored health literacy programs that meet people where they live. Health education initiatives that involve music and dance activities which are either already familiar, or are easy to learn, are more likely to have the most immediate impact and also be retained over the long term. This understanding is the driving force behind Hip Hop Public Health. Hip Hop Public Health has developed successful educational programs Have you ever gotten a song into your head that just won’t go away? If you want a message that your audience won’t forget, you can’t do much better than to deliver it through hip hop music. Hip hop’s catchy lyrics, rhythmic beats, and popularity among a diverse array of socioeconomic and ethnic groups can be used to introduce almost any type of health education initiative to children – and, through them, to their families and communities. Hip Hop Public Health has developed successful educational programs using this approach: Hip Hop Stroke™, Hip Hop L.E.A.N., Hip Hop H.E.A.L.S. (Healthy Eating And Living in Schools)™, Hip Hop F.E.A.T., Hip Hop B.E.A.T.S. and Hip Hop Old S.C.H.O.O.L. Using music written and performed by hip hop legends like Doug E. Fresh, Chuck D, Artie Green, and Easy AD of the Legendary Cold Crush Brothers, we deliver essential messages with unforgettable rhythms.

‘‘

My students and teachers had nothing but good things to say about

Hip Hop Stroke and Hip Hop HEALS.

They were particularly pleased with the interactive nature of the program. The presenters were very animated and pleasant. The students told me that they enjoyed it and learned a lot.

’’

– Jacqueline Y. Bailey Principal, P.S. 9

List of Programs Hip Hop Stroke Hip Hop H.E.A.L.S. Walk It Out! The HOPE Support Group for Stroke Survivors and Care Partners ArtLinks Old S.C.H.O.O.L.

www.hiphoppublichealth.org

NewYork-Presbyterian

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NewYork-Presbyterian is affiliated with two Ivy League Medical Schools.

Pediatric Urology Real-World Medical Excellence

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Pediatric Urology

One of the world’s largest clinical and research institutions, NewYork-Presbyterian is the only hospital in the United

States affiliated with two internationally renowned Ivy League

Pediatric Medicine Perinatal Center at Weill Cornell

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Care for Mother and Baby All in One Place

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Medical Schools: Columbia University College of Physicians and

Surgeons and Weill Cornell Medical College.

Our physicians are leading scientists and researchers who hold

faculty appointments at one or both of these prestigious

Patients at NewYork-Presbyterian Center for Pediatric Transplant and benefit from leading-edge treatment

institutions. They continue to make history with groundbreaking

Department of Pediatric Medicine

Family services

Making a Difference in Children’s Lives

procedures to treat and cure diverse and challenging diseases and

disorders. Ongoing research conducted directly at the bedside

institute for Pediatric urology

Advanced Kidney and urology Disease

allows us to bring new treatments and technologies to our patients

faster, ultimately enhancing the quality of care for patients from options in every specialty. Personalized around the globe. New Coordinated Approaches Care, FamilyTop-Ranked Clinical Specialties NewYork-Presbyterian is noted for advancing care and treatment to Urologic Friendly therapies in every clinical specialty. We are recognized for Surgery in Environment pioneering minimally invasive new technologies, including natural orifice translumenal endoscopic surgery (NOTES ), robotic surgery Children

Minimally Invasive Procedures for Urologic Surgery in Children

and the use of advanced imaging modalities.

Equally important is our approach to delivering compassionate care

to patients and their families, and our focus on innovative technologies

and leading-edge treatments. www.nyp.org/international

Clinical Service Lines Cancer

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In a perfect world, there would be no need for hospitals. High risk obstetrics

Experience and Expertise with a Personal Touch

Prenatal sonogram

Early Detection and Treatment in Maternal InMedicine the real world,

one of America’s best hospitals provides world-class healthcare to people from around the globe.

Vascular Women’s Health

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Personalized Coordinated Care, FamilyNewYork-Presbyterian Friendly Environment

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Congenital Kidney Anomalies in Newborns

Making a Difference in Pediatric Outcomes

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In the real world, people get sick and need specialized care for a wide range of

complex medical conditions. That’s why thousands of patients from across the globe travel every year to NewYork-Presbyterian Hospital to be treated by some of the world’s finest medical talent.

Year after year, NewYork-Presbyterian is named one of America’s best hospitals by U.S. News & World Report, widely considered one of the most reliable measures for excellence in medical care, quality and patient safety.

Our focus is on advancing care in every specialty, through the use of

innovative technologies and treatment options. Equally important is our commitment to putting patients first, as demonstrated by our

compassionate treatment of patients and their families in a service-oriented

You’ll find more of America’s top doctors at NewYork-Presbyterian.

and caring environment.

Our international patients are assisted by a team of skilled Coordinators who provide an unmatched level of customized service and personal attention every step of the way.

More Top Doctors Than Any Other U.S. Hospital Many of our physicians are specialists recognized internationally

as healthcare leaders and provide unequaled clinical care in every

NewYork-Presbyterian is also recognized worldwide for its expertise and leadership in hospital management and advisory services across a full

spectrum of clinical, operational and administrative areas. With institutional

relationships in Africa, Asia, Europe, and the Middle East, NewYork-Presbyterian

is expanding its international presence and assisting healthcare organizations worldwide through sharing of “best practices.”

specialty and sub-specialty of medicine.

In a survey conducted by Castle Connolly listing “America’s Top

Doctors,” more than 250,000 physicians in the United States were

asked to name doctors to whom they would refer family members.

More doctors were selected from NewYork-Presbyterian than from any

other U.S. hospital.

One of America’s best hospitals. More of America’s best doctors. America’s greatest city.

www.nyp.org/international

NewYork-Presbyterian

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At Your Service 24/7

We are located in the heart of New York City.

Medical & Hospital Services Physician appointments Inpatient and surgical services coordination Global air ambulance Ground ambulance Scheduling and escorting patients to appointments Daily inpatient visitation Explanation of medical information, instructions and procedures Referral for emotional support/spiritual guidance

Our International Coordinators make you feel right at home when you’re far from home.

Where Healing Begins NewYork-Presbyterian offers state-of-the-art inpatient and

Currency & Financial Matters Estimates of charges for physician/hospital services Pre-admission deposits and special packages Currency conversions Banking/funds transfer

ambulatory care facilities to patients in two major Manhattan

academic medical centers. NewYork-Presbyterian Hospital/Weill

Customized Service and Personal Attention 24/7

Cornell Medical Center is located in the heart of Manhattan’s

stylish Upper East Side. NewYork-Presbyterian Hospital/Columbia

Our support begins the moment you contact us. Our goal

University Medical Center, including our world-renowned

is to provide a level of personal attention and customized

Morgan Stanley Children’s Hospital, is located along the banks

service that matches the superior quality of the medical

of the Hudson River in northern Manhattan.

care you receive at NewYork-Presbyterian.

NewYork-Presbyterian is the largest not-for-profit, non-sectarian

Our staff has extensive experience handling the day-to-day

hospital in the United States, with 2,242 beds, more than 18,000

cultural and language requirements of patients from

employees, and some 5,500 physicians. The Hospital provides

around the world.

services to nearly 2 million inpatients and outpatients annually.

International Coordinators are available around-the-clock,

seven days a week, to meet your every need as they facilitate

your care. Financial Counselors can assist you with billing and

other administrative matters.

Visas Communication with local embassies/consulates/missions Visa assistance Accommodations Hotel reservations/special lodging for family members and guests Language Assistance Translation assistance in all languages including Arabic, Chinese, English, French, German, Greek, Hindi, Italian, Japanese, Korean, Portuguese, Russian, Spanish, and Turkish Concierge Assistance with arrangements for multicultural activities, shopping and visits to points of interest, entertainment and recreational facilities, museums, houses of worship, and restaurants in and around New York City Security Experienced professional security detail for heads of state, dignitaries, or other individuals requiring these services

www.nyp.org/international

NewYork-Presbyterian International Services

www.nyp.org/international

Clinical Specialties Groundbreaking new therapies, diagnostic tests and procedures enhance patient care around the globe.

Customized Service & Personal Attention 24/7

Our support begins the moment you contact us. Our goal is to provide a level of personal attention and customized service along with superior medical care. NewYork-Presbyterian Coordinators are available around-the-clock, seven days a week, to meet your every need as they facilitate your care.

At Your Service 24/7 Medical & Hospital Services

• Physician appointments • Inpatient and surgical services coordination • Global air ambulance • Ground ambulance • Scheduling and escorting patients to appointments • Daily inpatient visitation • Explanation of medical information, instructions and procedures • Referral for emotional support/spiritual guidance

Currency & Financial Matters

• Estimates of charges for physician/hospital services • Pre-admission deposits and special packages • Currency conversions • Banking/funds transfer

Visas

• Communication with local embassies/consulates/missions • Visa assistance

Accommodations

Private Room, The Greenberg Pavilion

Heart NewYork-Presbyterian has earned international recognition in the research and treatment of cardiovascular disease. Year after year,NewYorkPresbyterian is ranked among the nation’s top institutions in the treatment of heart disease and in heart surgery by U.S. News &World Report. We perform more heart transplants than any hospital in the United States and we are widely recognized for our clinical expertise in the following areas:

• Hotel reservations/special lodging for family members and guests

• Advanced diagnostics

Language Assistance

• Coronary artery bypass surgery

Translation assistance in all languages, including Arabic, Chinese, English, French, German, Greek, Hindi, Italian, Japanese, Korean, Portuguese, Russian, Spanish, and Turkish

Concierge

Assistance with arrangements for multicultural activities, shopping and visits to points of interest; entertainment and recreational facilities, museums, houses of worship, and restaurants in and around New York City

Security

Experienced and professional security detail for heads of state, dignitaries, or other individuals requiring these services

• Implanting devices, such as defibrillators, pacemakers and artificial devices (LVAD) • Valve repair and replacement • Thoracic aneurysm repair • Angioplasty stenting • Catheter ablation for cardiac arrhythmias

Neuroscience NewYork-Presbyterian offers the most innovative, up-to-date treatments to combat a full range of neurological disorders. Our neurologists, neurosurgeons and interventional neuroradiologists excel at treating patients with tumors of the brain and spine,as well as individuals with blockages or weaknesses in the vessels of their brains,considered precursors to stroke and aneurysms. We’ve also achieved tremendous success with both surgical and nonsurgical treatment of movement disorders,such as Parkinson’s disease, dystonia and multiple sclerosis,and memory disorders such as Alzheimer's disease.

Digestive Diseases Our gastroenterologists and surgeons treat conditions that affect the liver,pancreas,gallbladder, esophagus,stomach and intestines.These include acute conditions such as heartburn and upset stomach and chronic and debilitating pain diseases such as: • Gastroesophageal reflux disease • Diverticulitis • Pancreatitis • Colorectal and other cancers. Additionally,we are pioneers in metabolic surgery to treat type 2 diabetes and natural orifice translumenal endoscopic surgery or NOTESTM .

Obesity Surgery The American College of Surgeons (ACS) has accredited NewYorkPresbyterian as a Center of Excellence for Obesity Surgery,inducting the program into its Bariatric Surgery Center Network.In recognition of the Center’s high level of care and superior facilities,the ACS designated the Hospital as a top-rated 1A facility. NewYork-Presbyterian provides patients with an unusually diverse array of weight-loss surgeries and is one of the few centers in the United States able to perform revisional procedures to correct failed surgeries. In addition,we are one of six clinical centers in the United States selected to be part of LABS (Longitudinal Assessment of Bariatric Surgery),a National Institutes of Health (NIH) consortium that develops and evaluates bariatric procedures.

Cancer NewYork-Presbyterian is cited consistently for excellence in its care of patients with every type of cancer. Our expertise ranges from the most innovative modalities in prevention and screening to highly complex medical therapies,including use of the most advanced radiation oncology and minimally invasive surgical techniques available today for the treatment of: • Blood cancer and bone marrow transplant • Brain cancer • Breast cancer • Gastrointestinal cancer • Gynecological cancer • Head and neck cancer • Lung cancer • Pediatric cancer • Skin cancer • Soft tissue and bone cancer • Urologic cancer

Urology Our Urological Service treats both male and female patients with a variety of conditions and cancers. NewYorkPresbyterian physicians have track records of surgical innovation and were among the first in the country to perform robotic partial nephrectomies and cystectomies,and to develop new techniques for complex bladder and kidney reconstruction.They also have expertise in the surgical management of small testicular tumors, preserving function while minimizing the need for invasive surgery. Our surgeons have helped to develop and refine many minimally invasive,nervesparing techniques used in robotic prostate cancer surgery,providing our patients with superior outcomes and shortened recovery time.

Transplant NewYork-Presbyterian has the largest transplant program in the United States with the most respected clinical minds and state-of-the-art facilities for patient care. Our capabilities enable us to deliver the highest standard of coordinated and comprehensive care to save lives and enhance quality of life. Our heart,liver,lung,kidney (renal) and pancreas transplant programs offer therapies that can extend and dramatically improve the quality of life for transplant patients.From evaluation to post-operative follow-up,patients receive a seamless integration of multidisciplinary medical and surgical services, together with state-of-theart immunosuppressive therapy,which results in our high survival rates.

Children’s Health NewYork-Presbyterian also offers comprehensive personalized medical and surgical care for children at the Morgan Stanley Children’s Hospital located at NewYork-Presbyterian Hospital/Columbia University Medical Center and the Komansky Center for Children’s Health located at NewYork-Presbyterian Hospital/Weill Cornell Medical Center. Our pediatricians and pediatric surgeons are leading experts in their fields and provide some of the most advanced care in the world.

For a complete list of NewYork-Presbyterian’s clinical services visit www.nyp.org

Luxury Room, The McKeen Pavilion

Atrium, The McKeen Pavilion

Hospitality and Healing in a Refined Setting NewYork-Presbyterian offers several types of accommodations for patients and their family members or guests.

Inpatient Accommodations Elegantly appointed luxury rooms and spacious suites provide privacy and feature amenities such as flat-panel TVs, DVD players and pull-out sofas for family members or overnight guests. Comfortable private and semi-private rooms are equipped with individual television featuring a selection of entertainment and educational channels.

Outpatient/Family Accommodations Apartments are available in the Helmsley Medical Tower for patients and their families who are visiting the hospital for outpatient or extended care.

Dining In addition to the standard meal service included in your hospital stay, your International Coordinator can arrange a seasonal gourmet meal of your choice, prepared by a talented hospital chef or a private catering company according to dietary and or religious specifications.

Department of Education

Leaders in Education Apprenticeship Program (LEAP)

NYCDOE Office of Leadership

LEaDErship paThWaYs

Leaders in Education Apprenticeship Program

The Leaders in Education Apprenticeship Program (LEAP), in collaboration with the New York City Leadership Academy, launched in 2009 and is a

New York City Department of Education

12-month, cluster-based, on-the-job leadership development program focused on developing individuals who have demonstrated leadership

Jump Start Your Career as a Principal through LEAP

capacity and readiness to engage in school leadership positions. LEAP is a unique model that develops school leaders within their existing school environments and creates opportunities Overview

New York City Department of Education

to harness existing relationships including those with current principals and school communities. The LEAP curriculum differentiates learning based

BelieVe

DeciDe

teacH

leaRN

Facilitate

MeNtOR

i N N O Vat e

leaD

iNSPiRe

Enroll today!

Middle school is a pivotal stage, providing on individual needs and creates a pathway one of the most significant opportunities for a for the development of professional learning teacher to alter a student’s academic trajectory. communities. The LEAP model is aligned with the Research demonstrates that the level of academic DOE’s instructional initiatives and priorities, and achievements attained by eighth grade has F U t U Rin e research and leadership-based is grounded more of an impact on students’ college and competencies. New York City Department of Education career readiness than any subsequent education.

Middle School Spring Classroom Apprenticeship (MS-SCA)

Carefully aligned with the Chancellor’s priority to strengthen the performance of middle schools in New York City, the Middle School Spring Classroom Apprenticeship (MS-SCA) places talented new recruits in intensive classroom embedded training between March and May 2013. MS-SCA participants will be guided by a rigorously selected Cooperating Teacher for ten weeks of immersion while gaining greater familiarity with the needs of middle school learners. Apprentices will also attend weekly workshops that will build upon their teaching skills. This program is intended to position our future educators to be as successful as possible as classroom teachers in our schools next fall.

Division of Academics, Performance and Support (DAPS) 52 Chambers Street New York, NY 10007

out and are unlikely to ever attend college.

• Chance to make a positive impact on students during a critical period in their development

schools.nyc.gov

• 10 weeks of full-time field training with an experienced cooperating teacher in a NYC public school from Monday through Friday* • Weekly workshops and sessions to build skills in planning and delivering instruction to students and to network with program participants

The NewYork City Department of Education 52 Chambers Street New York, NY 10007

• Graduated or will graduate with a degree from an approved teacher preparation program in the NYC metro area with a minimum cumulative GPA of 3.0 or higher

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Morbi non enim quam, a ornare odio. Lorem ipsum dolor sit elit amet, consectetur a dipiscing elit.

• Certified or will be certified in one of the following areas by September 2013: English Language Arts, Math, Sciences, Social Studies, Students with Disabilities, English as a Second Language, Bilingual (Secondary), Middle School Generalist • Must submit resume AND unofficial transcripts

• Complete required essay question

• Opportunity to learn first-hand about what it takes to be a successful middle school educator in NYC public middle schools

academic skills are at much higher risk of dropping

• Strong interest in teaching middle grades

• Submit a sample lesson plan Benefits • Early consideration to positions in host school for 2013 – 2014 school year as opportunities arise

Students graduating from middle school with low Office of Leadership

Application Requirements In order to be eligible for the MS-SCA, applicants must have graduated in Spring 2012 or will graduate in Fall 2012 or Spring 2013. In addition, all applicants must meet the following application requirements:

• May satisfy student teaching requirements in some teacher preparation programs**

schools.nyc.gov

• $3,000 stipend and acceptance as a member of TeachNYC Select Recruits upon successful completion of the program

Timeline • Priority Deadline: Friday, December 7th

*May be adjusted to accommodate college or university class schedule. **Current student teachers must work with their university to ensure that their participation in the Apprenticeship will satisfy their student teaching experience requirements.

• Final Deadline: Friday, December 21st • Selection Period: January through Mid-February • Admission Notifications: Early February • Program Duration: March 4- May 10

Typical Day Apprentices will typically work in a high-need middle school from 8 a.m. to 3 p.m. Monday through Friday. During that time, apprentices will have the opportunity to work in small groups with students, lead whole class lessons, and observe their Cooperating Teacher and other excellent teachers in action. All the while, participants will receive constructive feedback from their Cooperating Teacher on specific aspects of teaching. Participants will also attend weekly supplemental professional development sessions led by an experienced NYC public schools teacher to train you to be effective in a high-need middle school.

How to Apply Students interested in applying for the MS-SCA should complete an application through the NYCDOE student teaching registration portal. nyc.teacherssupportnetwork.com/ studentteacher/Home.do

Presentation to DOE Community & Citywide Education Councils I October 9, 2012 I Version 1 I Website Treatment

New york City department of education

– Patrick, 11th grade ELA teacher

Leadership pathways Our Challenge To significantly increase the quantity of high-quality principal candidates, the New York City Department of Education (DOE) must leverage our City’s 75,000-member teaching force to develop an innovative school leadership pipeline. With the expectation of hiring between 130-180 new principals during each of the next five years, the Office of Leadership has been charged with developing more highly-skilled leaders that will embrace new and established models of leadership, and refine and adapt capacity to meet the needs of our students. We believe that an investment in leadership development today will benefit our children’s future tomorrow.

Our Approach The leadership pipeline is focused on creating a richer and more thoughtful process, which includes identifying and nurturing talented educators earlier in their careers, strengthening existing principal preparation programs, and developing new partnerships. This pipeline has systemic supports and effective leadership development programs at each stage to identify and cultivate:

Community & Citywide Education Councils It all starts with you!

1. Strong teachers to meet the citywide instructional expectations and move into more formal teacher leadership development programs; 2. Effective teacher leaders and assistant principals to move into principal pipeline programs and then into principal positions; 3. Quality support for novice principals; and 4. Opportunities for experienced principals to mentor aspiring leaders.

Our Pipeline

“I teach because I believe that passionate, caring and determined teachers are essential for ensuring the future success of students and our nation as a whole.”

Via strong collaboration and integration with our management system, the pipeline is guided by the following principles: 1. Effective reform requires a systemic, end-to-end approach; 2. Student achievement outcomes and teacher and school leader standards must drive all talent management practices; 3. Student and educator performance data drives innovation and improvement of the talent management system; 4. Principals are the key human capital managers at their schools; and 5. Continuous refinement of the quality of all leadership programs is critical.

Great teaching takes consistent commitment, and all teachers benefit from ongoing support to continuously strengthen their practice. The Teacher Effectiveness Program (TEP) is designed to support collaboration between teachers and school leaders to strengthen instructional practice in every classroom, fostering a shared vision for instructional excellence and driving toward a common vision: A high-quality teacher in every classroom for every student, enabled by high-quality support for all teachers’ ongoing professional development.

Leadership Development & Opportunities From our teacher leadership programs to opportunities for seasoned principals, the DOE offers a range of professional experiences for leadership development and career advancement.

Teacher Leadership Teacher leaders are the foundation of the DOE leadership pipeline as they assume a level of professional responsibility that exceeds the purview of the classroom. With a commitment to teacher leadership, opportunities are available for current teachers within the context of their role and as they prepare for advancement.

School Leadership The DOE is committed to the development and support of new, aspiring and seasoned school leaders. It is our goal to ensure that leaders of our system enhance their capacity, and that we continuously identify aspiring leaders who demonstrate commitment, innovation and a relentless pursuit to meet the social and academic needs of our students.

Leadership Pathways Fair

October 21, 2013

The leadership pipeline was created to identify and nurture 4:00PM – 7:30PM talented leaders through an array of internal and external Discover Your Leadership Pathway Contact Us development opportunities at all levels of the leadership The Office of Leadership invites you to attend To learn Pavilion more about the array of opportunities continuum. Key to the pipeline is ongoing dialogue, Metropolitan offered through the DOE leadership pipeline, the Leadership Pathway Fair. This forum will which ensures that our leadership tools are contextually 125 W. 18th St. please visit our Leadership Pathways link at appropriate, incentives are aligned and stakeholders are provide you with opportunities to explore New York, NY 10011 schools.nyc.gov/leadershippathways or given a voice. several leadership development programs and contact us at leadershippathways@schools.nyc.gov. to network with individuals who can propel Guest Speaker Jim Ziolkowski CEO of buildOn www.buildon.org and author of Walk in Their Shoes: Can One Person Change the World?

you to the next level professionally.

Information Session: Pathway to Principalship Division of Academics, Performance, and Support: Office of Leadership February 2012

Free copies of his book will be given to the first 300 registered attendees.

Leaders in Education Apprenticeship Program (LEAP)

Lead with Us. Grow with Us. Inspire with Us.

Department of Education

Raising the Bar Over the past 10 years, through the hard work of our students, teachers, school leaders, school support staff, parents, and communities, we have made substantial progress toward a system of great schools.

More School Options Nearly 600 new schools have opened since 2002, offering families more choices for where to send their children.

Talented School Leaders and Teachers Our talented leaders and teachers have been provided additional opportunities to learn how to further improve their instruction and support their students at a higher level.

with high-quality support. But we can’t do this without you—families are essential partners in preparing all students for a brighter future.

Working together, we can expect greater success for all of our 1.1 million students.

Dollars Directed to Classrooms

Social Studies & Science Our schools are committed In social studies classes, students will study to challenging students history, geography, economics, government, to take on more difficult and civics and learn how civilizations, people, and engaging work andand events have individually and collectively impact on student outcomes. to supporting all students, shaped the world. These lessons will help For New York City public school graduates to beand prepared for success including those with students make sense of the world in which As a result, our students schools are after high school, they must be challenged in new This ways they live and will offer them the knowledge disabilities and English better prepared to succeed. is aacademically good and receive consistent support atbut home and the classroom and skills they need to be active and informed start, we can andinwill achieve more. to language learners, to reach develop other valuable skillsOur and behaviors. preparation students must beThat asked to do the typebegins in high standards. on a local, national, and global level. Hundreds of millions of dollars have been shifted to school budgets, giving those

working closest to students more power to Success in the Classroom make the spending decisions that have an

Expect Success

pre-kindergarten and continues through and high school. of rigorous workmiddle needed to thrive in college, careers, and life. Higher standards are necessary to prepare more students with the skills they need to succeed after high school.

Common Core Learning Standards Our schools are committed to challenging

students to take on more difficult and engaging worktoand to supporting all students, For our students succeed in today’s colleges those they with disabilities andable English and including workplaces, need to be to think languagesolve learners, to reach high standards. creatively, real-world problems, make effective arguments, engage insucceed, debates. And, to make certainand all our students we are committed to providing our schools The Common Core standards describe what your child needs to learn and know at every grade level—starting in pre-kindergarten—to graduate from high school prepared for college and careers.

A Family’s Guide to Preparing Students for College and Careers

New York City is one of the national leaders in implementing the Common Core standards. During the 2012-13 school year: •

Teachers and school leaders will expose students to even more learning experiences related to the Common Core standards.

•

Students will take on more challenging assignments to accelerate their learning, deepen their conceptual understanding, and strengthen their ability to make effective written and oral arguments.

English Language Arts Along with works of fiction such as novels and short stories, students will read more nonfiction texts such as news articles, research reports, and historical documents. They will have to develop and defend arguments by closely analyzing what they are reading. These types of writing assignments will prepare them to express their ideas clearly and persuasively.

Math Students will focus on understanding concepts more deeply and making connections among topics instead of rushing to get a particular answer. They will have to explain how they arrived at their conclusion and respond to competing arguments. Students will also work towards being able to solve basic problems accurately and reasonably quickly—seeing beyond basic calculations and understanding the greater mathematical idea.

In science classes, students will interact directly with the natural world and study the world that surrounds them. For elementary students, lessons will focus on discovery through a hands-on, inquiry-based approach to learning. In middle school, students will focus on how to explain the big ideas about our physical setting and our living environment with appropriate scientific language.

Arts Students may participate in the visual arts, music, dance, and/or theater. In addition to 3 building their skills and learning to express themselves by creating and performing their own works of art, students may:

•

learn about the materials, vocabulary, and concepts of each art form;

•

connect their studies to the historic, cultural, economic, and other factors that influence the arts;

•

become aware of careers in the arts;

•

explore New York City’s diverse and rich arts resources by attending exhibits and performances at museums, theaters, and other venues in their community.

Fitness and Health In all grades, students should receive physical education every year and engage in a wide variety of opportunities to be physically active, learn how to make healthy decisions, develop a healthy lifestyle, and experience a range of fitness activities. All students should also receive lessons on HIV/AIDS. Middle

A Family’s Guide to Preparing Students for College and Careers

Grades

Expect Success High School Grades 9-12

A Family’s Guide to Preparing Students for College and Careers

2013-2014

Grades

Pre-K to 8

How Your Child’s Exams are Changing In 2012-13, the content of the New York State English language arts (ELA) and math exams— which students in grades 3-8 take in the spring—will begin to change to align to the Common Core Learning Standards.

•

ELA tests will have a greater focus on non-fiction reading materials and math tests will include more questions that require students to take multiple steps to solve them.

•

Your child will further develop these skills as his/her school implements more lessons in line with the Common Core standards.

While the test content will be different, the test format will remain similar to past tests. For information and resources visit schools.nyc.gov/Academics/ CommonCoreLibrary/ForFamilies.

Expect Success

Pre-K to 8

school grades also receive one semester of daily health education including sexual health education. Students learn about their personal health and well-being, how to practice healthy habits, and how to avoid risky behaviors, and peer pressure.

Expect Success

A Family’s Guide to Preparing Students for College and Careers

2013-2014

High School Grades 9-12

Presentation to DOE Community & Citywide Education Councils I October 9, 2012 I Version 1 I Website Treatment

Presentation to DOE Community & Citywide Education Councils I October 9, 2012 I Version 1 I Logo

Apply NOW to run for an open seat at nycparentleaders.org! February 13th through March 13th

Community & Citywide Education Councils It all starts with you!

Community & Citywide Education Councils It all starts with you! Presentation to DOE Community & Citywide Education Councils I October 9, 2012 I Version 1 I One Page Handout 8.5” x 11”

Community & Citywide Education Councils Headline Goes Here

For more information please visit our website: www.nycparentleaders.org

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Apply NOW to run for an open seat

at nycparentleaders.org! Dennis M. Walcott, Chancellor

¡Postúlese AHORA para una vacante

Apply NOW to run for an open seat at nycparentleaders. org! February 13th through March 13th! Community and Citywide

Education Councils. It all starts with you. For more information please visit our website: www.nycparentleaders.org

Portez-vous candidat(e) MAINTENANT sur nycparentleaders.org ! Du 13 février au 13 mars. Conseils

Apply NOW to run for an open seat at nycparentleaders. org! February 13th through March 13th! Community and Citywide

Communautaires& de la Ville pour l’Éducation. Tout commence avec vous !Venez voir notre site Internet à : www.nycparentleaders.org

Education Councils. It all starts with you. For more information please visit our website: www.nycparentleaders.org

Vin tounen yon Paran lidè! Apati 13 Fevriye rive 13 Mas.Konsèy Edikasyon pou Kominote & Konsèy Edikasyon Vil. Se oumenm ki tout bagay la! Tanpri ale sou sit wèb nou an: www.nycparentleaders.org

Apply NOW to run for an open seat at nycparentleaders. org! February 13th through March 13th! Community and Citywide

Education Councils. It all starts with you. For more information please visit our website: www.nycparentleaders.org

en nycparentleaders.org! Del 13 de febrero al 13 de marzo. Consejos de educación comunales y de la ciudad. ¡Todo comienza con usted! Para más información porfavor visite nuestro sitio web: www.nycparentleaders.org

February 13th through March 13th

Community & Citywide Education Councils It all starts with you!

Please visit our website: www.nycparentleaders.org

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For more information please visit our website: http://schools.nyc.gov/Offices/CEC

Department of Education

TABLE OF CONTENTS

ACKNOWLEDGEMENTS

MESSAGE FROM CHRISTINA FUENTES . . . . . . . . . . . . . . . . . . . 2 The Research and Policy Support Group (RPSG) and Center for Public Research

LEARNING

BEYOND BOUNDARIES

and Leadership at Columbia University (CPRL) are grateful to the many individuals

LEARNING TOGETHER:

who made this research possible. First and foremost, we want to acknowledge the

OVERVIEW AND GUIDE TO READING THE LEARNING PARTNERS CASE STUDIES

teachers and school leaders who participated in the study. By graciously allowing us to join them during their Learning Partners activities and meetings and taking

The Learning Partners Program . . . . . . . . . . . . . . . . . . . . 3

the time to speak with us about their views, we were able to gain insight into the

Who Are the LPP Case Study Triads? . . . . . . . . . . . . . . . . . 3

complex, important work of interschool collaboration. We would like to express

Collaborative Learning Process

our appreciation to the faculty and staff of Citizens of the World Charter School

. . . . . . . . . . . . . . . . . . . 5

The Role of the Facilitator . . . . . . . . . . . . . . . . . . . . . . 6

I, Fort Greene Preparatory Academy, Hunters Point Community Middle School,

Components of Successful Collaboration . . . . . . . . . . . . . . . 7

Metropolitan Expeditionary Learning School, M.S. 390 in the Bronx, P.S. 089 Cypress

Road Map to the Case Studies . . . . . . . . . . . . . . . . . . . . 7

Hills Community School, P.S. 109 Sedgwick, P.S. 143 Louis Armstrong School, and P.S. 214 Lorraine Hansberry Academy.

CASE STUDIES Additionally, we would like to express our gratitude to staff from the New York City Department of Education Office of Interschool Collaborative Learning, especially to

Case Study 1: “Critical Friends” Working Toward Improved School Culture . . 9

the LPP facilitators, who provided valuable information about the LPP process. Thank

The Collaborative Learning Process in Triad 1 . . . . . . . . . . . . . 10

you to Joseph Catalanotti, Lamson Lam, and Betty Lugo. We are also indebted to the

The Role of the Facilitator in Triad 1 . . . . . . . . . . . . . . . . . . 12

Office of Interschool Collaboration and the Learning Partners team, who consulted

Components of Successful Collaboration in Triad 1 . . . . . . . . . . 13

on drafts and provided ongoing feedback throughout the research project.

Triad 1 Site Visit Summary

. . . . . . . . . . . . . . . . . . . . . . 15

Appendix for Case Study 1 . . . . . . . . . . . . . . . . . . . . . . 16 Case Study 2: Relationship Building and Self-Assessing to Create School Improvement Plans . . . . . . . . . . . . . . . . . . . . . . . . 22 The Collaborative Learning Process in Triad 2 . . . . . . . . . . . . . 22 The Role of the Facilitator in Triad 2 . . . . . . . . . . . . . . . . . . 25 Components of Successful Collaboration in Triad 2 . . . . . . . . . . 26 Triad 2 Site Visit Summary . . . . . . . . . . . . . . . . . . . . . . . 29

Case Studies of

Appendix for Case Study 2 . . . . . . . . . . . . . . . . . . . . . . 30 RPSG Research Team Elise Corwin, Lead Researcher Lillian Dunn, Lead Researcher

Interschool Collaboration in the New York City Department of Education

CPRL Research Team Case Study 3: Addressing Difference in School Needs Through a Host-Partner, Host-Partner Model . . . . . . . . . . . . . . . . . . . . . . 35

Cynthia Leck

Will Duckett Logan Gowdey

Renata PeraltaCollaborative Learning Process

Daniel Hamburg

Angel Vasquez

Kassandra Jordan

Jessica Wallenstein, Lead Researcher

Components of Successful Collaboration

The Collaborative Learning Process in Triad 35 . . . . . . . . . . . . . 35

The Role of the Facilitator in Triad 3 . . . . . . . The . . case . . .studies . . . reveal . . . 38 three major components of successful engagement with the LPP

components supports LPP collaboration, and is also developed Components of Successful Collaboration in Triadprocess. 3 . . . Each . . . of. these . . . 39 Triad 3 Site Visit Summary

Recommended Citation for this Report Wallenstein, J., Corwin, E., Duckett, W., Gowdey, L., Hamburg, D., Jordan, K., Leck, C., Peralta, R., & Vasquez, Adapting and Preparing Refining and A. (2015). Learning Beyond Boundaries: Case Studies of Interschool in the New Implementing for LPPCollaboration Tailoring the LFA York City Practices Department of Education Learning Partners Program. New York City Department of Education.

through the collaborative process. In this way, building the capacity to collaborate and moving through the LPP process are mutually reinforcing. We define the components as

. . . . . . . . . . . . . . . . . . . . . . 42

Appendix for Case Study 3 . . . . . . . . . . . follows: . . . . . . . . . . . 43

Disseminating Practices

TRUST

July 2015

Learning Partners Program

Researching and Sharing Effective Practices

Reflecting on and Refining Practices

COHERENCE

Characterized by alignment of the triad’s LPP goals to school needs and sustained focus on those goals; requires engaging in structured and intensive self-reflection and using existing school systems to initiate and further LPP work

DISTRIBUTED LEADERSHIP

Characterized by leadership and accountability shared across the triad vertically and horizontally; developing knowledge of one’s practices and using this knowledge to positively influence the work of others

Developing Leadership and Self-Knowledge throughout the Learning Process

The Role of the Facilitator Various facilitator styles and strategies, ranging from active leadership to responsive support, aided collaboration within triads. For instance, the second case study triad’s facilitator was an active leader, bringing mentor texts and activity ideas to the triad. The first case study triad’s facilitator was less involved in planning site visits, but deepened triad work with probing questions and comments that elicited reflection among participants. The third case study triad’s facilitator was least involved in planning site visits, but participated fully, acting as a sounding board and providing comments to prompt reflection. The case studies provide detailed illustrations of the vastly different ways facilitators can support schools.

These components are exemplified by specific practices and approaches used in the three case study triads, which are described through detailed vignettes in the case studies.

LEADING n n

Planning site visits and activities Providing participants with resources

Reinforcing norms

Tending to triad relationships

Thought-partnering

A report prepared by the Research & Policy Support Group (RPSG) at the NYC Department of Education and the Center for Public Research and Leadership at Columbia University (CPRL)

Road Map for the Case Studies Below is a Road Map for navigating the case studies, which should help identify which ones may provide the most insight into achieving your goals. The table below summarizes the ways each triad approached the Components of Collaboration. You can find more information about specific strategies in the vignettes within each case study.

Monitoring triad’s status in the learning process

CASE STUDY 1

CASE STUDY 2

CASE STUDY 3

Engaging in Rigorous Learning through a Culture of “Critical Friends”

Establishing a Safe and Honest Community

Establishing Common Ground with Mentor Texts

COHERENCE

Aligning LPP Work to Existing School Structures

Self-Assessing to Align LPP Work with School Goals

Matching Host Support to Partners’ Distinct Needs

DISTRIBUTED LEADERSHIP

Improving Practice through Teacher-to-Teacher Learning and Leadership

Disseminating Practices through Teacher Leadership

Developing Leadership through New Staff Configurations and Roles

Calendaring

SUPPORTING

Carmen Fariña, Chancellor

Characterized by receptiveness to feedback, continuous learning, open communication, and risk-taking; requires a safe, reliable, and competent community 1

Building Relationships

TRUST

3 themselves and achieve more. All of us must work together — educators, parents, communities, universities, and the private sector — toward the common goal of developing wellrounded students who are college and career ready. We all have a role to play in our children’s success.

Raising the Bar for students & schools

Working together towards higher standards, we can expect greater success for our 1.1 million students. For decades, the New York City high school graduation rate was stagnant at 50 percent. For the class of 2010, however, the four-year graduation rate was 65 percent. That means that, across our City, 10,000 more students are graduating from public

the new York city public schools are focused on delivering this promise of educational opportunity. We owe this to all of our 1.1 million students. We want parents, the school community, and the community at large to know what we have done as a system to meet this responsibility, and what we are going to do

high schools each year. And higher expectations for student achievement have already led to more students earning Regents diplomas and taking Advanced Placement and other collegelevel courses. There is much more work to be done, but we have a foundation of success on which to build. Our continuing belief is that we will achieve a system of great schools if we focus our efforts on student and school success. In this document we will explain our goals and ask for help to succeed. We are committed to Raising the Bar for our 1.1 million students and more than 1,700 schools.

next to aim even higher.

Since the start of Mayor Bloomberg’s Children First initiative in 2002, through the hard work of our teachers, principals, school support staff, parents, students, and communities, we have already made substantial progress toward a system of great schools. • Hundreds

of millions of dollars were redirected to school budgets so that those working closest to students can make decisions about how to improve student outcomes.

Raising the BaR

•A

wave of talented leaders and teachers have worked collaboratively and used innovative approaches to reinvent public education and transform the lives of thousands of children.

foR students & schools:

ouR commitment to action

• The

City has opened 529 new schools since 2002, including both district and public charter schools, all of which are empowered to support student achievement and promote a culture of high expectations.

• Teachers

and school leaders are now, more than ever, accountable for student achievement.

The result?

Students and schools are better prepared to succeed. This is a good start, but we can and will achievestrategy more. to The work in classrooms is a vital our goal: foundationReach that is continuously improving to help more students push

engaging families

We must set higher expectations for all students to ensure that our children develop the skills they need to reach their fullest potential. Principals and teachers certainly play key roles in strengthening our schools; however, it is clear that our city’s public schools also need parents and families as essential partners to prepare our students for a brighter future.

Parents and families are children’s first teachers and their most important support system. Their expectations can fuel a child’s success. As we challenge ourselves to Raise the Bar, we ask parents and families to commit to the effort. Whether it’s checking up on homework, attending a PTA meeting, or getting children to school on time ready to learn, engaged parents and families are critical to student success. Involved parents and families, combined with quality teaching and learning in the classroom, will boost

college and career readiness for our students. There are many ways to join us in these efforts. Turning to our NYC Family Guide is a great start. Visit: http://schools.nyc.gov/ Parentsfamilies/nYcfamilyguide Here is a closer look at the commitments we have pledged to students, families, and the City to prepare our children as the next generation of leaders.

Expect. Involve. Succeed.

Our commitment to action means that we will: • Raise Expectations for Teaching and Learning • Create New Schools and Support Existing Schools • Inform and Involve Families as Essential Partners

Read

Raising the Bar

Raising the Bar for Students and Schools Raising the Bar is a pledge to prepare our children for college and careers, giving them the skills they need to become the next generation of leaders. Working towards higher standards – together with students, parents, families, teachers and schools – we can get there.

and join us to inspire school and student success.

Visit schools.nyc.gov/raisingthebar Or text “Bar” to 877877

NewYork-Presbyterian

Phylliss and David Komansky Center for Childrenâ&#x20AC;&#x2122;s Health

Collateral System Design

Pediatric Cardiology

Pediatric Pulmonology

Pediatric Cardiovascular Servicves

Pediatric Oncology

P R E - O P E RATI V E I N ST R U C T I O N S F O R CA R D I AC S U R G E RY

Professional Series

Treating Congenital or Acquired Pediatric Heart Disease

Diagnostic and Treatment Services for Pediatric Respiratory Diseases

Conquering the Challenges of Childhood Cancer

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Professional Series Brochure / size: 4 x 9

Treating Congenital or Acquired Pediatric Heart Disease

the pediatric course designed exclusively for pediatric physicians

Pediatric Pulmonology

March 10, 2011

Updates in Pediatric Gastroenterology

Seating is limited. Register online NOW! www.cornellneurosurgery.org/pedneuro

R ECO GN ITION and MANAGEMENT of

Common Neurosurgical Conditions in the Pediatric Practice

Sample Title Minimally Invasive Procedures for Urologic Surgery in Children

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Minimally Invasive Procedures for Urologic Surgery in Children

the Komansky Center for Children’s Health

Powerpoint slides

4th

March 10, 2011

xcredits CME

22 CME credits up to

Annual Pediatric Neurology Course

N eW CONCepts i N

Neonatal Intensive Care Identified Practice Gaps / EDUCATIONAL NEEDS

The New Concepts in Neonatal Intensive Care course is designated to provide

physicians, nurses, respiratory therapists and infant specialists

neonatal intensive care. The goal is for attendees to gain

• Understanding the importance of Pulmonary Hypertension in infants with Bronchopulmonary Dysplasia • Learning about Erythropoietin as Neuroprotective Agent • Knowing the potential role of Omegaven to reduce cholestatic jaundice • Understanding the value of Simulation as a teaching tool

Weill Cornell Medical College Uris Auditorium 1300 York Avenue (at 69th street) New York, NY Zip Code

Special Offer for Early Registration: EARN 22 CME CREDItS in ONE DAY. (See details inside)

6credits CME

Wednesday, December 8, 2010

Continuing Medical Education Materials / size: 4 x 9

7:45 a.m.

Registration & Breakfast

8:25 - 8:30

Welcome & Introduction Jeffrey Perlman, MB, Ch.B

8:30 - 9:30

Bronchopulmonary Dysplasia, Pulmonary Hypertension – Management Strategies Steven H. Abman, MD

9:30 - 10:30

Is there a Role for Erythropioetin as a Neuroprotective Strategy in At Risk Preterm and Term Newborn Infants Sandra E. Juul, M.D., Ph.D.

10:30 - 11:00

BREAK

11:00 - 12:00

Air Versus Oxygen for Newborn Resuscitation Ola Didrik Saugstad, MD, PhD, FRCPE

knowledge and develop optimal management strategies to

Professional Series

the pediatric course designed exclusively for pediatric physicians Special Offer for Early Registration: EARN 22 CME CREDItS in ONE DAY. (See details inside)

Friday, October 21, 2011

Friday, October 21, 2011 7:45am - 5:00pm (7:45am - 8:25am Registration/Breakfast)

Weill Cornell Medical College Uris Auditorium 1300 York Avenue (at 69th Street)

Course FORMAT Lectures, Q&A

Physicians, Nurses, Respiratory Therapist, Infant specialists, Fellows and Residents

Omegaven TM – Novel Strategy to reverse Cholestatic Jaundice in Newborn Infants with Short Gut Syndrome but may have Additional Broad Protective Properties Mark Puder, MD

TRAvEL

Helping Babies Breathe- A Global Strategy to Reduce Birth Asphyxia Related Mortality in the Developing World Susan Niermeyer, MD, MPH, FAAP.

BY CAR: FDR driving SOUTH, exit at 71st Street FDR driving NORTH, exit at 63rd Street Garage parking is available. AIRLINE: Arrivals at LaGuardia, John F. Kennedy and Newark International Airports. Public transportation and taxi service are available. For more information go to: www.nyp.org.

2:30 - 3:30

3:30 - 4:00

BREAK

4:00 - 5:00

Simulation and Debriefing is the Optimal Methodology for Achieving and Sustaining Competency in Healthcare Louis P. Halamek, M.D., F.A.A.P.

5:00

Feel comfortable to initiate delivery room resuscitation with room air.

Target AUDIENCE

1:30 - 2:30

LOCATION

Seating is limited. Register online NOW! www.websiteaddresstocome

LUNCH

Date & TIME

New Concepts in Neonatal Intensive Care TUITION: Tuition includes registration and course materials, coffee breaks and luncheon.

The objective of any CME program is to improve patient care. Upon completion of this course, participants will be able to:

12:00 - 1:30

Course DIRECTORS Jeffrey M. Perlman, MD, ChB Karen D. Hendricks-Munoz, MD Richard A. Polin, MD

Course OBJECTIvES / Desired OUTCOMES

Course AGENDA

with a forum to learn about new strategies/techniques that are likely to improve the outcome of infants subjected to

improve the outcome of high –risk infants:

Caspary Auditorium Rockefeller University 1230 York Avenue New York, NY 10065

Department of Urology

NewYork-Presbyterian Phyllis and David Komansky Center for Children’s Health

• Learning that using supplemental oxygen during resuscitation is not necessary in most cases

Diagnostic and Treatment Services for Pediatric Respiratory Diseases

Professional Series Brochure / size: 6 x 9

Department of Urology

Patient Services Cut Sheets

Pediatric Cardiology

Professional Series

the Komansky Center for Children’s Health

Weill Cornell Medical College Uris Auditorium 1300 York Avenue (at 69th Street)

For course information, please contact: Jessica Grajales, CME Marketing Associate Tel: 212-585-6800 Email: jeg9059@nyp.org

TO REGISTER: Register ONLINE at www.websiteaddress or FILL OUT and mail this registration card. Email inquiries: jeg9059@nyp.org. FEES: Please check the corresponding box to indicate your level of participation Online By Mail Registration Physicians NewYork-Presbyterian Network Physicians Nurses and other Health Professionals Fellow/Residents in training

o $350 o $225

o $365 o $240

o $175

o $190

o $100

o $115

(Must provide letter from Program Director certifying status)

o YES, I would like to attend.

(Please print all information below)

Identify the critical importance of ventilation in most resuscitation.

NAME: ______________________________ DEGREE:_______ (LAST NAME)

(FIRST NAME)

SPECIALTY: _________________ AFFILIATION: _____________ ADDRESS: __________________________________________ __________________________________________ CITY: ______________STATE: _____ ZIP: _________

ADJOURN

Recognize the value of Omegaven in reversing TPN cholestasis.

REFUND POLICY: A handling fee of $20 is deducted for cancellation. Refund request must be received by mail one week prior to the course. No refund will be made thereafter.

The importance of simulation and debriefing as an educational strategy of the future.

DAYTIME TELEPHONE: ________________________________ EMAIL ADDRESS: ____________________________________ SIGNATURE: ________________________________________ Please make checks payable to NewYork-Presbyterian Hospital Mail to: NewYork-Presbyterian Hospital Attn: Marketing Department 525 E. 68th St., Box 51 New York, NY 10065 212-585-6800

NewYork-Presbyterian

Phylliss and David Komansky Center for Children’s Health

Presentation to NewYork-Presbyterian/Komansky Center for Children’s Health | June 2, 2011 | Overall System At-a-Glance

Pediatric Cardiology

Pediatric Urology

hest pain can be a common complaint in children. While it is rarely life

threatening or related to the heart,

it is an understandable worry to parents. If your child is experiencing chest pain, your

pediatrician will want you to have it evaluated

Pediatric Diabetes & Metabolism

Congenital Kidney Anomalies in Newborns

Making a Difference in Children’s Lives

What to Expect

Part of Pediatric Cardiovascular Services

Once our pediatric cardiologists have determined which sub-specialties need to see the patient, those services report to the Patient Coordinator all tests they expect will be needed. Upon arrival at Pediatric Cardiology, all patients will receive:

Under the direction of pediatric cardiologists Dr. Patrick A. Flynn and Dr. Jeffrey Dayton, our Pediatric Chest Pain Program is part of Pediatric Cardiovascular Services at the Phyllis and David Komansky Center for Children’s Health at NewYork-Presbyterian/Weill Cornell Medical Center. The program provides comprehensive, integrated and easily accessible outpatient services to children and young adults with chest pain.

Pediatric Chest Pain Program

Making a Difference in Pediatric Outcomes

Diagnosis and Treatment of Chest Pain in Children

We believe that optimal care is best achieved by collaboration across multiple specialties. Our integrated care team includes the expertise of pediatric cardiologists, pediatric digestive disease specialists, pediatric pulmonary specialists, and child psychiatrists – all with unique focus on evaluation and diagnosis of chest pain in children.

to differentiate a minor problem from a more serious disorder.

Pediatric Endocrinology

Multidisciplinary Care Team

The Komansky Center for Children’s Health is one of the nation’s top ten children’s hospitals and listed on the U.S. News & World Report “America’s Best Children’s Hospitals” Honor Roll.

Same-Day Multispecialty Appointments Our Patient Coordinator acts as a liaison to all specialties and helps patients and their families navigate through a multispecialty workup – conveniently arranging appointments and any necessary blood work all on the same day. And to help make the visit as easy and comfortable as possible, the Patient Coordinator escorts patients and families to scheduled appointments throughout the day.

Comprehensive Questionnaire Evaluation of a child’s chest pain begins before the first visit – with a thorough medical and family history questionnaire we send to patients. Responses are carefully reviewed by our pediatric cardiologists. Based on answers provided on the questionnaire, Cardiology determines which other sub-specialties should see the patient.

• an electrocardiogram (ECG) which records the electrical activity of the heart at rest, and • an echocardiogram, which uses ultrasound waves to show the pattern of blood through the heart. Based on the returned questionnaire, other diagnostic studies that may be arranged, include: • exercise stress testing • Holtercardiography (continuous, non-invasive, ambulatory heart rate monitoring) • measurement of serum cardiac enzyme levels • chest x-ray • event recording to monitor short-term heart rhythm patterns If event recording or Holtercardiography is recommended and the patient’s first visit is scheduled for more than 3 days from receipt of the questionnaire results, these studies may

be arranged for delivery to the patient’s home in advance of the visit, allowing some monitoring results to be available for review at the time of the visit.

Multidisciplinary Conference

We are pleased to announce

At the conclusion of the first visit, all of the involved specialties discuss with families the findings of their workups, diagnosis, and a recommended plan of treatment, if any. Our team of pediatric cardiologists, together with other clinical specialists, is available to listen to concerns and provide answers to questions. Our goal is to provide accurate information to empower patients to confidently make informed decisions.

Dr. John Miller has joined the Department of Pediatric Cardiology. Et estotam vendiore nis eatia at fuga. Nam aut autenducipid quodita tibusam, optaquam sit estis et facculp.

Based on the results of the initial workup, the evaluation team will determine if the cause of the chest pain is related to a cardiac disorder or some other injury, infection, irritation or dysfunction of another structure in the chest or abdomen. Chest pain may also be a manifestation of stress or anxiety. Many times, there is no clear medical cause or diagnosis to explain symptoms.

A short biography of Dr. John Miller goes here.

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Ongoing treatment or follow-up will be arranged, as appropriate – with the goal of minimizing the number of times the patient needs to return to the facility.

announcing

Open Communication with Referring Physicians We stress open communication with referring physicians and work closely with them to coordinate the most appropriate care for patients. The Patient Coordinator compiles the reports of all clinical specialties, together with test results, and forwards them to the referring physician. The Pediatric Cardiologist provides a summary of the workup findings as a cover letter for the results package.

Dr. John Miller

Our goal is to provide accurate information to empower patients to confidently make informed decisions

Physician’s Announcement / size: 4.5 x 9 Patient Services Brochure / size: 4 x 9

Pediatric Endocrinology

Pediatric Urology

ou want the most advanced treatment options, the highest quality care and a compassionate experienced team of pediatric specialistm

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An Experienced Team & Top Doctors Volupis ditium derepudant que volut quat quaerfereris exceaqu atecum nia ab illorep tatianis volupta simet, voluptae quam fugia sinvendaest a cus eatur mo consedi caborem poreperi in esteni dit harchicae nost, et aut eos sapicitis aut et laceptatur, seque voluptatior maionetus reprate vent velent arum rem et rehenecae. Cerspedipsa desciatissi nullata namus remquidelit aut lam eos aut audandi psapero vent unt, cusapici des magniatur. Audici voluptae odit od ut eos excepratis as quibus quam etur, que nis modiscia sim volorLuptas entiatio.

Making a Difference in Children’s Lives

Congenital Kidney Anomalies in Newborns

Making a Difference in Pediatric Outcomes

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Pediatric Cardiology

Personalized, Coordinated Care Volupis ditium derepudant que volut quat quaerfereris exceaqu atecum nia ab illorep tatianis volupta simet, voluptae quam fugia sinvendaest a cus eatur mo consedi caborem poreperi in esteni dit harchicae nost, et aut eos sapicitis aut et laceptatur, seque voluptatior maionetus reprate vent velent arum rem et rehenecae. Cerspedipsa desciatissi nullata namus remquidelit aut lam eos aut audandi psapero vent unt, cusapici des magniatur. Audici voluptae odit od ut eos. Excepratis as quibus quam etur, que nis modiscia sim volorLuptas entiatio.

Making a Chest Pain Program

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We want you to understand and feel comfortable with all issues concerning your child’s cardiac health. — Olupis ditium derepudant

Making a Difference in Children’s Lives

A COMPREHENSIVE

BECAUSE WE ARE A CHILDREN’S HOSPITAL WITHIN A MAJOR

CENTER, WE ARE ABLE TO

ACADEMIC MEDICAL CENTER, WE CAN OFFER YOUNG

OFFER OUR PEDIATRIC

PATIENTS ACCESS TO THE WORLD-CLASS FACILITIES OF

PATIENTS THE FULL RANGE

NEWYORK-PRESBYTERIAN HOSPITAL.

OF THERAPIES AND Pediatric NEWEST TECHNOLOGIES, INCLUDING MANY NOT CARDIOVASCULAR AVAILABLE AT OTHER SERVICES INSTITUTIONS.

diverse areas such as pediatric gastroenterology, urology and neurology add to the quality and depth of the care we can provide.

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Critical Care

Our facility is equipped and staffed to care for critically ill infants, children and adolescents around the clock.

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Neonatal Critical Care Unit (NICU) A 50-bed Level IV

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amenihit alis am, quam que cusaerf eribusant

Diagnosis and Treatment of Chest Pain in Children

Patient Services Brochure / size: 6 x 9

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Hospital Within a Hospital

An Experienced Team & Top Doctors

A family referred to The Phyllis & David Komansky Center for cardiac consultation, diagnostic evaluation or heart surgery is in the expert hands of one of the nation’s most highly-trained and experienced medical teams. Renowned for leading-edge pediatric cardiology and cardiac surgery, our team consists of surgeons, neonatologists, anesthesologists, perfusionists who operate the heart-lung machine, and many other subspecialists experienced in the special needs of infants and children with heart disease. We have extensive experience treating both simple and complex cases, with outcomes that well surpass national benchmarks.

Overview Brochure / size: 7 x 10

A comprehensive center, we are able to offer our pediatric patients the full range of therapies and newest technologies, including many not available at other institutions.

Multidisciplinary Team Approach

We provide a multidisciplinary approach to pediatric cardiac care, which means patients benefit from the expertise of related clinical disciplines all centered on the needs of the child. We believe this kind of shared thinking results in improved outcomes for our young patients.

Personalized, Coordinated Care

Your child’s medical team is supported by care coordinators who guide and support you

through each step of diagnosis, treatment and recovery. This seamless, coordinated approach to care helps provide ease of access to specialists, coordination of appointments and careful follow through for every patient. Coordinators communicate your child’s day-to-day progress to family members, referring physicians and insurance companies.

Hospital Within a Hospital

Many children with congenital heart defects often also have other related health problems. Because we are a children’s hospital within a major academic

medical center, we can offer young patients access to the world-class facilities of NewYorkPresbyterian Hospital, where

Neonatal Intensive Care Unit (NICU) provides the highest level of care and a wide range of services for critically ill newborns, individualized care of neonates

requiring cardiac surgical intervention. Newborns are cared for by leading neonatologists, pediatric cardiologists, cardiac surgeons and a team of neonatal nurse practitioners. All pediatric subspecialties are available to families for consultation. NewYork-Presbyterian was among the first hospitals in the nation to provide critical care services to both full-term and premature newborns with congenital heart disease and we continue to develop innovative therapies to care for these babies.

OUR FACILITY IS EQUIPPED AND STAFFED TO CARE FOR CRITICALLY ILL

INFANTS,

CHIL-

Presentation to NewYork-Presbyterian/Komansky Center for Children’s Health | June 2, 2011 | 4x9 Brochure System Elements

Cardiology

Endocrinology

Pediatric Cardiology

Pediatric Endocrinology Pediatric Endocrinology

Making a Difference in Children’s Lives

Pediatric CARDIOVASCULAR SERVICES

Pediatric Cardiology

Pediatric Cardiac Catheterization

Pediatric Diabetes & Metabolism

Making a Difference in Children’s Lives

Beta Cell and Immune Therapies for Type 1 Diabetes

Making a Difference in Children’s Lives

Evaluation, Diagnosis and Treatment of Type 1 Diabetes in Children

Pediatric Cardiology Pediatric Endocrinology

Pediatric Syncope Program

Evaluation, Diagnosis and Treatment of Fainting in Children

Nutritional Guidelines

Pediatric Chest Pain Program

Diagnosis and Treatment of Chest Pain in Children

Pediatric Pulmonary Services Pulmonary Function Testing Laboratory

Making a Difference with Accurate Diagnosis and Treatment

Infectious Diseases The Center for Special Studies in Pediatric HIV Disease

Prevention, Community Outreach and Education

Understanding the Importance of Nutrition in Children’s Health

Pediatric Endocrinology Diabetes Education Services

Guidance and Support for Children with Diabetes

NewYork-Presbyterian

Global Services

At Your Service around the clock We understand how valuable it is to have support while planning for care far from home. our dedicated, multilingual regional coordinators are available 24 hours a day/seven days a week to answer questions and help plan an itinerary that addresses both travel and healthcare-related logistics for patients and their accompanying loved ones. our team of coordinators will guide patients through their medical care experience, providing customized service and personal attention every step of the way.

About Global ServiceS

Global Health Navigator 24/7 Global Medical Assistance

this includes: • Scheduling physician and other clinical appointments or tests • escorting patients to appointments

• explaining and interpreting medical information, instructions, and procedures • Facilitating communication between referring physicians and newYork-Presbyterian physicians • organizing global air ambulance, ground ambulance, or other emergency transport services for critically ill patients • Making recommendations and arrangements for hotels or furnished apartments, including the hospital’s on-site facilities Prior to admission to NewYork-Presbyterian, our financial counselor will assist families in understanding the cost of care.

PAtieNt AccommodAtions And Amenities NewYork-Presbyterian Hospital offers an array of personalized patient services and amenities, including private hospital rooms and suites that provide luxury accommodations in a hotel-like environment. Panoramic river views, chef-prepared meals and afternoon tea, visitors’ sitting rooms with a sleep sofa, stocked pantries, and satellite television all contribute to enhancing the patient’s and family’s experience during hospitalization. in addition, our concierge staff can facilitate access to a private business center.

Global Services at NewYork-Presbyterian assists medical providers, corporations, and individuals with access to the healthcare services and expertise of the Hospital and its physicians worldwide. Global Patient Services Assists patients traveling to New York for care at NewYork-Presbyterian by coordinating medical services and providing concierge support. +1 (212) 746-9100

Global Patient Services one of America’s Best Hospitals

improving Health and Wellbeing for Patients and Families

more of America’s top doctors

Global Health Navigator A membership program that provides concierge support for medical services at NewYork-Presbyterian, as well as worldwide medical assistance 24/7. +1 (212) 472-4444

America’s Greatest city

Corporate Health Assisting employees with access to healthcare at NewYork-Presbyterian and partnering with corporations to design innovative programs that improve employee health and wellbeing. +1 (212) 472-5412 Executive Health A comprehensive and personalized physical exam and wellness program to help achieve personal health goals. +1 (212) 746-9129

through newYork-Presbyterian’s comprehensive Global Services program, patients and their family members also find a multilingual team committed to making them feel welcomed and at ease while far from home. Dedicated coordinators provide personalized attention and service every step of the way – from the journey to America and throughout treatment, recovery, and their return home.

Institutional Collaborations Partnering with prominent international healthcare institutions to advance clinical care and offer training for physicians and healthcare providers. +1 (212) 746-9200

For more information

+ 1 (212) 746-9100 + 1 (888) 728-7945 globalservices@nyp.org nyp.org/globalservices

NewYork-Presbyterian is affiliated with two renowned medical colleges — Columbia University College of Physicians and Surgeons and Weill Cornell Medical College

Global Patient Services

• Executive Health •

Corporate Health

•

Global Health Navigator

•

Institutional Collaborations

Welcome to Global Health Navigator

Worldwide Medical Access

Global Health Navigator

RAYMOND WU

Global Health Navigator Passport

This is your Global Health Navigator Passport which serves as a reference guide to the program and provides details on how to access the various services the program has to offer. Information in this booklet can also be viewed through the Global Health Navigator app available in the Android and Apple app stores.

ID 1234567

Referrals • Appointments • Physician Collaboration Pre-travel Services • Air Medical Transport Assistance

Global Health Navigator

DIRECT ACCESS NUMBER +1 (212) 472-4444 (For emergencies, please call local emergency services)

Worldwide Medical Access

globalhealthnavigator@nyp.org nyp.org/globalhealthnavigator

•

Initial Health Orientation. . . . . . . . 2

•

Facilitated Referrals and Appointments . . . . . . . . . . . . . 3

• Worldwide Medical Access

. . . . . . 4

•

Concierge Service at NewYork-Presbyterian Hospital . . . 5

•

Pre-Travel Services . . . . . . . . . . . . . 6

•

Executive Health . . . . . . . . . . . . . . 7

•

Contact Information . . . . . . . . . . . 8

At Your Service around the clock

Corporate Health

byterian assists medical providers, h access to the healthcare services and physicians worldwide.

Employee Wellness Solutions and Access to New York’s #1 Hospital

healthcare at NewYork-Presbyterian and sign innovative programs that improve

th@nyp.org

• Pediatric Cardiology/ Heart Surgery

• Diabetes/Endocrinology • Gastroenterology/ GI Surgery

to medical services, 24 hours a day, seven days a week. Whether you are in the U.S. or in another country seeking medical care, our team will help you ed physical exam and wellness program to navigate through the process of identifying the best healthcare options als. available for you. th@nyp.org

Through our extensive resources and global reach, Global Health Navigator York for care at NewYork-Presbyterian by our members with healthcare professionals who can helps to connect d providing concierge support. provide them with medical care. The membership includes facilitated 7945 | globalpatientservices@nyp.org access to NewYork-Presbyterian Hospital, which has the most top doctors*

in the U.S., recommendations for domestic and international hospitals and physicians, as well as recommendations and assistance with understanding ional healthcare institutions to advance available air medical transportation options. Our program offers you and r physicians and healthcare providers. ollaborations@nyp.org your family peace of mind by connecting you to the top available healthcare options, whether in the U.S. or abroad. +1 (212) 472-4444 globalhealthnavigator@nyp.org nyp.org/globalhealthnavigator

• Psychiatry

• Geriatrics

• Pulmonology

• Neonatology

• Rheumatology

• Nephrology

• Urology

oved clinical outcomes are closely linked to

The NewYork-Presbyterian Congenital Heart NTMENT

e in New York State for pediatric heart surgery es nationwide – even though our surgeons mplex cases of congenital heart disease.

ly skilled and experienced cardiologists cluding three nationally recognized leaders ONAL REFERRAL CENTER l surgery, hybrid minimally invasive surgery tal Heart Center is a national and international ets with available our international patients for congenitalto heart disease and one of the centers. The Centerand provides a fully integrated evaluation treatment.

lex heart conditions in children of all ages – adults – coming from our region, the entire

or more information, please call

ents from over 100 countries, including the ates of Bahrain, Kuwait, Oman, Qatar, Saudi

Y LEAGUE MEDICAL SCHOOLS & W Y ORK - P RESBYTERIAN

nes the outstanding physician faculties of – Columbia University College of Physicians dical College – and the pediatric centers tanley Children’s Hospital and NewYorkavid Komansky Center for Children’s Health.

Services k-Presbyterian pursues clinical r research, and provides outstanding medical

CENTERED CARE

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Services

ldren’s Heart Center tes with physicians at NewYork-Presbyterian hildren in the UAE and to ensure access to the ns.

Global Patient Services Assists patients traveling to New York for care at NewYork-Presbyterian by coordinating medical services and providing concierge support. +1 (212) 746-9100

from around the world travel to

NewYork-Presbyterian New York City families for Prior to admission to NewYork-Presbyterian, our financialin counselor will assist NYP / Columbia University in understanding the cost ofthe care.latest diagnostic modalities, advanced Medical Center

NYP / Morgan Stanley Children’s Hospital

treatments, and innovative approaches available in healthcare today. Here they find outstanding care from physicians and

Executive Health A comprehensive and personalized physical exam and wellness program to help achieve personal health goals. Comprehensive and Personalized +1 (212) 746-9129

NewYork-Presbyterian Hospital offers an array of personalized patient services surgeons practicing at the forefront of With its academic partners, Columbia University Am apiet laccuptatur sinum and amenities, including private hospital rooms and suites that provide luxury their specialties. accommodations in a hotel-like environment. Panoramic river views, chef-prepared College of Physicians and Surgeons and Weill Cornell ipicae noste velita dolessit mos meals and afternoon tea, visitors’ sitting rooms with a sleep sofa, stocked pantries, Medical College, NewYork-Presbyterian pursues and satellite television all contribute to enhancing thesites patient’s family’s clinical excellence, engages in pioneering medical With seven hospital andand numerous / Weill Cornell experience NYP during hospitalization. in addition, our concierge staff can facilitate research, and provides outstanding medical education. Medical Center physician practices throughout the access to a private business center.

• More than 6,500 physicians

• More than 2 million inpatient and outpatient visits

Health Evaluations

NYP / Lower Manhattan Hospital KEY

•

Hospital

•

America’s Greatest city

more of America’s top doctors

Global Health Navigator 24/7 Global Medical Assistance

every year, thousands of individuals from around the world travel to newYork-Presbyterian hospital in New York city for the latest diagnostic modalities, advanced treatments, and innovative approaches available in healthcare today. Here they find outstanding care from physicians and surgeons practicing at the forefront of their specialties. through newYork-Presbyterian’s comprehensive Global Services program, patients and their family members also find a multilingual team committed to making them feel welcomed and at ease while far from home. Dedicated coordinators provide personalized attention and service every step of the way – from the journey to America and throughout treatment, recovery, and their return home.

With its academic affiliates, Columbia University College of Physicians and Surgeons and Weill Cornell Medical College, NewYork-Presbyterian pursues clinical excellence, engages in pioneering medical research, and provides outstanding medical education.

Institutional Collaborations Partnering with prominent international healthcare institutions to advance clinical care and offer training for physicians and healthcare providers. +1 (212) 746-9200

metropolitan area, NewYork-Presbyterian can offer a convenient location wherever your employees prefer to obtain their healthcare.

MORE OF AMERICA’S TOP DOCTORS

one of America’s Best Hospitals

America’s Greatest City

NewYork-Presbyterian is one of America’s Best Hospitals according to U.S. News & World Report. The Hospital is ranked #1 in the New York Tri-state area by U.S. News in its 2014-15 rankings, and for the 14th consecutive year has been included on its prestigious Honor Roll.

Executive Health

AccommodAtions And Amenities InstitutionalPAtieNt Collaboration

One of America’s Best Hospitals improving Health and Wellbeing for Patients and Families More of America’s Top Doctors

Global Health Navigator A membership program that provides concierge support for medical services at NewYork-Presbyterian, as well as worldwide medical assistance 24/7. +1 (212) 472-4444

• Making recommendations and arrangements for hotels furnished Every year, thousands oforindividuals NYP / The Allen Hospital apartments, including the hospital’s on-site facilities

AFFILIATION WITH TWO IVY LEAGUE MEDICAL SCHOOLS

NewYork-Presbyterian has more physicians cited in Castle Connolly’s distinguished survey of America’s Top Doctors than any other hospital in the nation. The survey asks 250,000 physicians to name those doctors “to whom you would send members of your family.”

Global Patient Services

Global Services at NewYork-Presbyterian assists medical providers, corporations, and individuals with access to the healthcare services and expertise of the Hospital and its physicians worldwide.

center campuses and physician office practices conveniently located through-More of America’s Top Doctors • Facilitating communication between referring physicians and out the New York metropolitan area. newYork-Presbyterian physicians America’s Greatest City *NYP / Westchester Division • organizing global air ambulance, ground ambulance, or other emergency **NYP / Lawrence Hospital transport services for critically ill patients

For more information

Corporate Health

+ 1 (212) 746-9100 + 1 (888) 728-7945

Health and Wellness Services for Corporations arranged by the # Medical Center in New York*

globalservices@nyp.org nyp.org/globalservices

Physician office

*NYP/Westchester Division is located in White Plains, NY, about 25 miles from midtown Manhattan

**NYP/Lawrence Hospital is located in Bronxville, NY, about 17 miles from midtown Manhattan

* Castle Connolly’s Top Doctors, 18th Edition, 2015

geons perform more than 700 pediatric and luding some 25 heart transplants, 175 newborn ital heart repairs – many referred from around the world.

About Global ServiceS

Global Health Navigator

Facilitated Medical Access at New York’s #1 Hospital and • escorting patients to appointments NewYork-Presbyterian has medical One of America’s Best Hospitals When Away from Home • explaining and interpreting medical information, instructions, and procedures

You can also benefit from specialized programs in cancer, dermatology, orthopedics, transplantation, and vascular medicine, as well as comprehensive services in men’s and women’s health.

ONE OF THE NATION’S LARGEST HOSPITALS

Global Health Navigator NewYork-PresbyterianV 1.14 Hospital 525 East 68th Street, Box 114 New York, NY 10065

N NEW YORK STATE

AE 604

NewYork-Presbyterian ranks in the top 10 nationally in: • Cardiology/Heart Surgery • Neurology/Neurosurgery

Welcome to Global Health Navigator

vides concierge support for medical services as worldwide medical assistance 24/7. navigator@nyp.org Global Health Navigator, is a membership program, which arranges access

ut our programs

We understand how valuable it is to have support while planning for care far from home. our dedicated, multilingual regional coordinators are available 24 hours a day/seven days a week to answer questions and help plan an itinerary that addresses both travel and healthcare-related logistics for patients and their accompanying Out of nearly 5,000 hospitals nationwide evaluated byones. U.S. News & World Report loved our team of coordinators will guide patients through their medical care for its 2014-15 rankings, NewYork-Presbyterian ranked #1 inproviding the New York experience, customized service and personal attention every step of the way. Tri-state area and continues to be recognized as one of the country’s premier this includes: medical institutions. For the 14th consecutive year, NewYork-Presbyterian has been included on U.S. News’ prestigious Honor Roll. • Scheduling physician and other clinical appointments or tests

ONE OF AMERICA’S BEST HOSPITALS

CES

V 1.15

*U.S. News & World Report, annual survey of America’s Top Hospitals

Executive Health

Customized Health & Wellness Assessments at the # Medical Center in New York*

HIGH SURGICAL VOLUMES

SCHEDULE AN APPOINTMENT Our distinguished roster of highly skilled and experienced cardiologists and cardiovascular surgeons, including three nationally recognized leaders specializing in complex neonatal surgery, hybrid minimally invasive surgery and transplant/assist devices are available to our international patients for consultations, second opinions, evaluation and treatment.

Patient Outcomes Among America’s Best

Congenital Heart Center

To schedule an appointment or for more information, please call Global Patient Services +1 (212) 305-4900 Email globalservices@nyp.org

Patient Outcomes Among America’s Best

New York Office NewYork-Presbyterian - Global Services 641 Lexington Avenue, 25th Floor New York, NY 10022 USA +1 (212) 746-9100 globalservices@nyp.org nyp.org/globalservices Middle East Office NewYork-Presbyterian - Global Services Kingdom Tower, Suite 2005 Riyadh, Kingdom of Saudi Arabia (+966) 11 211 0570 isr9012@nyp.org

KidsHeart: American Fetal & Children’s Heart Center KidsHeart Clinic Dubai collaborates with physicians at NewYork-Presbyterian to improve cardiac services for children in the UAE and to ensure access to the most advanced treatment options. Dubai Healthcare City, Dubai, UAE Bldg 27 (Ibn Sina), Block A, Unit 604 (+971) 4 452 9970 kidsheartuae@gmail.com

Every year, our pediatric cardiac surgeons perform more than 700 pediatric and adult congenital heart surgeries, including some 25 heart transplants, 175 newborn heart repairs, and 100 adult congenital heart repairs – many referred from institutions around the country and around the world.

Congenital Heart Center

LOWEST MORALITY RATE IN NEW YORK STATE It has been demonstrated that improved clinical outcomes are closely linked to centers with high surgical volumes. The NewYork-Presbyterian Congenital Heart Center has the lowest mortality rate in New York State for pediatric heart surgery and one of the lowest mortality rates nationwide – even though our surgeons routinely treat some of the most complex cases of congenital heart disease.

Welcome to NewYork-Presbyterian Congenital Heart Center – one of America’s premier programs for the care of children’s hearts

NATIONAL AND INTERNATIONAL REFERRAL CENTER

Top-Ranked Hospital

Welcome to& NewYork-Presbyterian In 2015, U.S. News World Report ranked NewYork-Presbyterian as one of the top pediatric Congenital Heart Center – one of heart and heart surgery programs nationally, reflecting our reputation and surgical outcomes, America’s premier programs for the the expertise of our surgical teams, our volume of care ofandchildren’s hearts cases, other patient care data.

The NewYork-Presbyterian Congenital Heart Center is a national and international referral center for children and adults with congenital heart disease and one of the nation’s major pediatric transplant centers. The Center provides a fully integrated approach to the treatment of complex heart conditions in children of all ages – from newborns to adolescents and adults – coming from our region, the entire U.S. and abroad. NewYork-Presbyterian attracts patients from over 100 countries, including the Dominican Republic and the Gulf states of Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and United Arab Emirates.

AFFILIATION WITH TWO IVY LEAGUE MEDICAL SCHOOLS & PEDIATRIC CENTERS OF N EW Y ORK - P RESBYTERIAN The Congenital Heart Center combines the outstanding physician faculties of two esteemed U.S. medical schools – Columbia University College of Physicians and Surgeons and Weill Cornell Medical College – and the pediatric centers of NewYork-Presbyterian/Morgan Stanley Children’s Hospital and NewYorkPresbyterian Hospital/Phyllis and David Komansky Center for Children’s Health.

New York-Presbyterian is ranked #1 in the New York metropolitan area and in the top ten

Top-Ranked Hospital nationally for both pediatric and adult cardiology and heart surgery.

New York-Presbyterian is ranked #1 in the New York metropolitan area and in the top ten Paul J. Chai, MD nationally for both pediatric and adult cardiology Director, Pediatric Heart Transplantation and Mechanical Assist Device Services NewYork-Presbyterian/Morgan Stanley Children’s Hospital and heart surgery.

Site Director, Pediatric and Congenital Cardiac Surgery NewYork-Presbyterian Hospital/Phyllis and David Komansky Center for Children’s Health David Kalfa, MD Assistant Professor of Surgery Columbia University College of Physicians and Surgeons

Maternal-Fetal Medicine Lynn L. Simpson, MD, MSc Division Chief, Maternal-Fetal Medicine Medical Director, Center for Prenatal Pediatrics NewYork-Presbyterian/Morgan Stanley Children’s Hospital Chief of Obstetrics NewYork-Presbyterian/Columbia University Medical Center

PATIENT ACCOMMODATIONS & AMENITIES NewYork-Presbyterian offers an array of personalized patient services and amenities, including private hospital rooms and suites that provide luxury accommodations in a hotel-like environment. Panoramic river views, chef-prepared meals and afternoon tea, visitors’ sitting rooms with a sleep sofa, stocked pantries, and satellite television all contribute to enhancing the patient’s and family’s experience during hospitalization. In addition, our concierge staff can facilitate access to a private business center.

Patient Outcomes Among America’s Best

Welcome to NewYork-Presbyterian Congenital Heart Center – one of America’s premier programs for the care of children’s hearts

Email globalservices@nyp.org

Top-Ranked Hospital

New York Office NewYork-Presbyterian - Global Services 641 Lexington Avenue, 25th Floor New York, NY 10022 USA +1 (212) 746-9100 globalservices@nyp.org nyp.org/globalservices

In 2015, U.S. News & World Report ranked NewYork-Presbyterian as one of the top pediatric heart and heart surgery programs nationally, reflecting our reputation and surgical outcomes, the expertise of our surgical teams, our volume of cases, and other patient care data.

Middle East Office NewYork-Presbyterian - Global Services Kingdom Tower, Suite 2005 Riyadh, Kingdom of Saudi Arabia (+966) 11 211 0570 isr9012@nyp.org

In 2015, U.S. News & World Report ranked With its academic partners, NewYork-Presbyterian pursues clinical KidsHeart: American Fetal & Children’s Heart Center excellence, engages in pioneering medical research, and provides outstanding NewYork-Presbyterian as one of the top pediatric Cardiologists TOP-RANKED MULTIDISCIPLINARY MEDICAL TEAM KidsHeart Clinic Dubai collaborates with physicians at NewYork-Presbyterian medical education. to improve cardiac services for children in the UAE and to ensure access to the heart and heart surgery programs nationally, Julie A. Vincent, MD Bringing together our pediatric cardiology, cardiac surgery, anesthesiology, perfusion, critical COMPASSIONATE FAMILY-CENTERED CARE most advanced treatment options. Chief, Division of Pediatric Cardiology care and cardiovascular support specialists into one integrated, coordinated team helps us reflecting our reputation and surgical outcomes, Our staff iswith committed to providing the highest quality compassionate care to Director, Pediatric InterventionalDubai Healthcare City,Catheterization Dubai, UAE Laboratories Cardiology and Cardiac provide the most effective care and best outcomes for children a congenital heart defect. each of our international pediatric patients and families, responding to concerns NewYork-Presbyterian Bldg 27 (Ibn Sina), Block A, Unit 604 the expertise of our surgical teams, our volume of Surgeons of family members, and helping them make informed decisions about the care of (+971) 4 452 9970 their children. kidsheartuae@gmail.com cases, and other patient care data. Emile Bacha, MD Chief, Division of Cardiac, Thoracic and Vascular Surgery NewYork-Presbyterian/Columbia University Medical Center Director, Congenital and Pediatric Cardiac Surgery NewYork-Presbyterian Hospital

Congenital Heart Center

Erika S. Berman Rosenzweig, MD Associate Chief, Division of Pediatric Cardiology Director, Pediatric Pulmonary Hypertension Center NewYork-Presbyterian/Morgan Stanley Children’s Hospital

Matthew A. Crystal, MD Associate Director, Cardiac Catheterization Laboratory NewYork-Presbyterian Hospital/Phyllis and David Komansky Center for Children’s Health

Marlon S. Rosenbaum, MD Director, Schneeweiss Adult Congenital Heart Center NewYork-Presbyterian/Columbia University Medical Center

Eric S. Silver, MD Arrhythmia Management and Electrophysiology Service, Division of Pediatric Cardiology NewYork-Presbyterian/Morgan Stanley Children’s Hospital

New York-Presbyterian is ranked #1 in the New York metropolitan area and in the top ten nationally for both pediatric and adult cardiology and heart surgery.

N EW Y ORK -P RESBYTERIAN More of America’s Top Doctors NewYork-Presbyterian physicians are among the most sought after in the world, with more of our physicians cited in Castle Connolly’s distinguished survey of America’s Top Doctors than any other hospital in the nation. Our Patient Coordinators are available around-the-clock seven days a week to meet your every need as they facilitate your child’s care.

One of the Nation’s Largest Hospitals • More than 6,000 physicians. • More than 2 million inpatient and outpatient visits, including approximately 15,000 newborn deliveries and more than 700 congenital heart repairs.

Accompanied by her NewYork-Presbyterian Patient Coordinator, four-year-old Madia returns for a post-op checkup following surgery to repair an Atrial Septal Defect (ASD) present at birth.

AT YOUR SERVICE AROUND THE CLOCK We understand how valuable it is to have support when planning medical care for your child while far from home. Our dedicated, multilingual regional coordinators are available 24 hours a day/seven days a week to answer questions and help plan an itinerary that addresses both travel and healthcare-related logistics for patients and their accompanying loved ones.

International Partnership With KidsHeart/Dubai KidsHeart Clinic Dubai collaborates with physicians at NewYork-Presbyterian to improve cardiac services for children in the United Arab Emirates and to ensure access to the most advanced treatment options. Every year, many UAE families with children needing heart repairs travel to New York City for excellent clinical expertise and outcomes, leading-edge technology, and compassionate care at both NewYork-Presbyterian/Morgan Stanley Children’s Hospital and NewYork-Presbyterian Hospital/Komansky Center for Children’s Health.

Our team of coordinators will guide you throughout your medical care experience at NewYork-Presbyterian Congenital Heart Center, providing customized service and personal attention every step of the way — beginning with your journey to New York and throughout treatment, recovery, and return home. Our guidance and support includes: • Scheduling physician and other clinical appointments or tests • Escorting patients and family members to appointments • Explaining and interpreting medical information, instructions and procedures

NYP/Weill Cornell Medical Center which houses NYP/Komansky Center for Children’s Health

• Facilitating communication between referring physicians and NewYork-Presbyterian physicians • Organizing global air ambulance, ground ambulance, or other emergency transport services for critically ill children • Making recommendations and arrangements for hotels or furnished apartments, including New-York Presbyterian’s on-site facilities Prior to admission to NewYork-Presbyterian, our financial counselor will assist families in understanding the cost of care. NYP/Morgan Stanley Children’s Hospital

KidsHeart Clinic Dubai collaborates with physicians at NYP

*U.S. News & World Report, annual survey of America’s Top Hospitals

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corporations have taken IT, a cost centric approach towards emphasizing cost cutting at thetorisk of facilitate cohesive operational assessments and

The goal is to develop a factual business case for an solution designs.

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implement Plan

implement

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customer satisfaction. successful IT managers are taking an investment from more critical business initiatives. IT 3. Optimize the return on investment of Windows 2000 centric approach when making strategic decisions, in your 2000 distributed computing environment. 3. Optimize the return on investment of Windows organizations are faced with implementing a solution centric approach when making strategic decisions, in your distributed computing environment. such as developing a business justification for the IT Business Cycle that leverages technology to enhance business prosuch as developing a business justification for the IT Business Cycle implementation of Windows 2000. Baseline cesses while lowering costs. Microsoft’s® Systems implementation of Windows 2000. Baseline Management Server® (SMS) 3.0 is a scalable solution operations Vision

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Ownership (TCO), but also the value of the solution. the business value of their organizations. The justification study will demonstrate how to: Historically, corporations have taken a cost centric Siemens Busines The justification study will demonstrate how to: 1. Align key Windows 2000 benefits with strategic Historically, corporations have taken a cost centric Siemens Busines business initiatives. approach towards IT, emphasizing cost cutting 1. Align at key the Windows 2000 benefits with strategic business initiatives. approach towards IT, emphasizing cost cutting at the 2. Leverage the new, robust management capabilianaging the corporate desktop and server risk of negatively impacting service levels. Today’s ties of Windows 2000 to enhance end-user support 2. Leverage the new, robust management capabilirisk of negatively impacting service levels. Today’s services, increase productivity, and drive higher ties of Windows 2000 to enhance end-user support environment can take valuable time away customer satisfaction. successful IT managers are taking an investment

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Exp

JDRF

Annual Report

“I’ll be cured when my body starts regulating my blood glucose on its own and I don’t have to worry about developing complications.” Bethany G., diagnosed at age 21

Many people agree that the ideal cure for type 1 diabetes (T1D) would be a short course of therapy that frees people with T1D from constant blood glucose testing, insulin injections, carbohydrate counting, and complications. JDRF has learned, however, that there are many individuals living with the disease who would feel “cured” with a treatment that significantly reduces the complexity of their current therapeutic regimen and keeps them safer and healthier as research progresses

“a cure means I will be free from this big giant who follows me everywhere all the time. I could say that I faced the giant and won.” Rush G., diagnosed at age 6

toward the ideal cure. We know from the T1D community—individuals with T1D, their families, and caregivers—that the delivery of a cure may come in different forms, largely depending on the age of the person and the stage of the disease. We

The Edwards Family

also know that reduced complexity of management and increased safety are non-negotiable. Depending on the

“a cure would mean I don’t have to prick my finger anymore.” Miles W., diagnosed at age 23 months

individual’s perspective, a cure could be organ or islet

Lia Edwards has a very

transplantation, implanted islets from pig or stem cell

specific idea in mind for

sources, an artificial pancreas device, glucose-responsive

a cure—no more needles!

insulin, or another drug therapy. At JDRF, we believe it

The california native and

is our responsibility to acknowledge every one of these

dedicated JDRF volunteer

perspectives. As we work toward a cure, our expanded

has lived with type 1

research agenda follows a variety of paths representing

diabetes (T1D) for 17 years,

the needs and perspectives of the panorama of people

so she’s something of a

that make up the T1D community.

professional at checking her blood glucose six to eight times a day, but that wasn’t always the case.

Individual perspectives, scientific feasibility, and

overwhelming fear of needles and learning to test her

the cure from a lofty goal to a deliverable therapy. These

blood glucose by herself before the hospital would

“I’d consider myself cured if I injected insulin just once a week, did only one blood test a day, and had no reason to worry about my blood glucose level falling dangerously low overnight.”

elements are essential to developing the breakthrough

agree to release her. “I manage fairly well on my own

treatments considered to be first-generation cures.

now,” she says, “but I’ll be thrilled when I can finally say

Today, three treatments show tremendous promise to

goodbye to all the needles.”

Bill S., diagnosed at age 12

glucose levels, reducing the need for constant testing and

dramatically change the lives of people living with T1D: Today, Lia and her husband, herman Edwards—a Cell-based — implantable device with encapsulated cells

former coach for the New York Jets and the Kansas

to stimulate the production of insulin without the risk of

city chiefs and currently an NFL analyst for EsPN—are

immune attacks

building their dream house, and Lia has two even more

Drug-based — insulin that responds to high blood injections for a defined period of time Device-based — automated insulin delivery using

“a cure would mean I wouldn’t have to test myself constantly during gymnastics; I would be able to wear any kind of dress without my pump showing; and I would have a normal childhood.” Eloise S., diagnosed at age 18 months 14 x JDRF 2011 annual Report

Diagnosed at age 24, she spent four days battling an

commercial viability are all working together to transform

compelling reasons to look forward to a cure: gabrielle, age six, and Vivian, age five. “Whenever my daughters show any of the familiar symptoms such as excessive thirst or weight loss, I have the doctor test their blood sugar,” Lia says. “I would give anything to prevent this

continuous glucose monitoring and insulin pump

disease in my children.” Lia wears an insulin pump that

technology to achieve better control and prevent the

is a bright, cheerful pink, and she is learning to use a

dangers of hyper- and hypoglycemia.

blood glucose sensor. “The girls ask me if they will have

Exciting and transformative treatments are on the

them, ‘I hope not.’”

to do the same when they’re older. Every time, I tell horizon. Through our unwavering support of research, JDRF will continue to play a vital role in bringing these treatments, prevention, and eventually a cure, to all people living with T1D. JDRF 2011 annual Report x 15

Richard A. Insel,

M.D.

chief scientific Officer, JDRF

Dedicated to research for the type 1 diabetes community.

JDRF Now JDRF’s research mission is to discover, develop, and deliver advances to cure, better treat, and prevent type 1 diabetes (T1D). curing T1D will require the achievement of insulin independence by either 1) restoring beta cell function through the regeneration of beta cells, or 2) replacing

Antigen-specific Therapies When it comes to type 1 diabetes (T1D) research, Richard

his excitement about JDRF’s advancements extends

cells. Either solution must be considered with a method

Imagine a vaccine that could halt the onset of T1D in

A. Insel, M.D., JDRF’s chief scientific officer, thinks

to accelerating progress in fiscal year 2012. he sees

to prevent the immune attack that destroys these

people at risk for the disease. In fiscal year 2011, JDRF

big—and only big. he has seen exponential, not just

momentum building in each JDRF research area. In the

or transplanting glucose-responsive insulin-secreting

cells. Until a cure is at hand, JDRF is committed to

continued to work on this objective and focused our

incremental progress in T1D science in his eight years at

cure area, researchers have shown that alpha cells in the

keeping individuals with T1D healthy and reducing the

efforts on vaccines and immunotherapeutics that could

JDRF. “We have recruited superb, committed scientists,

islets of the pancreas can be converted to to insulin-

burden of living with the disease by improving glucose

stop the autoimmune attack on the beta cells that

discovered new and significant insights into the disease,

producing beta cells. In the treatment area, Dr. Insel notes

William Dinehart In The begInnIng

control. Additionally, JDRF funds research to further Diagnosed with type 1 diabetesthe in 1950 at age causes 10 understand underlying of T1D, in order to

Living with type 1 diabetes (T1D) is such a

develop strategies to prevent the disease on both a

day-to-day struggle that it is easy to forget that there was a time when this struggle

primary level (preventing beta cell autoimmunity) and 71-year-old grandfather a secondary level (preventing insulin dependence in atWilliam “Bill” Dinehart has risk individuals). Our funding commitments span from strong opinions about what early exploratory research, to clinical trials, to approval it means to live with type 1 of new drugs and devices by regulatory agencies. Our diabetes (T1D). his certainty success is ultimately defined by our ability to catalyze might come from being an novel discoveries and bring new therapies to market. In engineer, and tapping into keeping with these carefully defined goals, JDRF has his precision-driven talents at the age of 10—that’s when identified the following eight areas of research with the he was diagnosed. Bill mastered the use of a sharpening highest potential to deliver impact to people with T1D. stone to hone the tip of insulin needles. The sharper the

did not exist—it was not even possible to struggle against the disease. For thousands of years, people knew about T1D and its symptoms, such as excessive thirst and frequent urination. Yet nothing could be done about T1D. Those who suffered from it succumbed to it.

needle, he knew, the less painful the injection.

TODay

Though not a cure, insulin was, and is, one of the most important

discoveries in modern medicine. The 50 years that followed that first milestone discovery bore witness to several landmark advancements

growing up near Buffalo, NY, Bill decided T1D wouldn’t hold him back. In high school, he ran track and played basketball. An active athlete during college, Bill later joined the National ski Patrol as a ski patrolman (he

the next century of progress—stepping stones to the future. From

was never without sugar cubes in his pocket for blood

the glass syringe and glucose test strips that made treatment

sugar lows).

first pancreas transplant, physicians and scientists brought forth developments that slowly made T1D a manageable disease. Then in 1970,

and developed novel technologies that are advancing our

that improved closed-loop technologies have resulted in

have prioritized antigen-specific therapies, which target

pursuit of transformative, breakthrough approaches to

better glucose control in the outpatient setting. And in

particular immune cells rather than the entire immune

accelerate JDRF’s mission,” he says.

prevention, he has championed research focusing on how the abnormal development of an infant’s intestinal bacteria

system. These therapies seek to eliminate the “bad”

or “microbiome” increases the risk of developing T1D.

immune cells that destroy beta cells, and/or expand the

Dr. Insel defines the elements that drive JDRF’s ability

number of “good” immune cells that maintain a healthy

to generate impactful progress: a proactive approach to

immune system and keep T1D from developing. That

identifying and leveraging new opportunities inside and

Dr. Insel’s personal dedication to T1D research is

said, combining antigen-specific and other approaches

outside the field; the expansion of priorities to include

wholehearted. “It is a privilege to be able to work on behalf

(which might include anti-inflammatory agents, beta cell

curing, treating, and preventing; the commitment to

of children and adults with T1D,” he says. “We know that

regeneration agents, and glucose control), will ultimately

individuals at all ages and all stages of the disease; and

on every level our work touches something profound for

be required to preserve and restore healthy beta cell

the strengthening of cross-disciplinary collaborations with

individuals, families, communities, and societies.”

function. In the past year, JDRF established a research

academia and industry to more effectively translate research

partnership with selecta Biosciences to support the

and drive potential therapies to the clinic for evaluation.

development of an antigen-specific diabetes vaccine. such a vaccine would be used to preserve functional beta

in T1D science, advancements that would lay the foundation for

more accessible to more efficient formulations of insulin and the

produce insulin, thereby thwarting the disease. We

cell mass in recent-onset T1D, to potentially immunize A longtime supporter of JDRF, Bill credits the against the development of T1D, and to prevent the organization with helping to advance new T1D destruction of newly regenerated or replaced beta cells to treatments. Through JDRF, Bill is participating in the cure T1D. Joslin Diabetes center 50-Year Medalist study, which studies people who have lived with T1D for 50 years or Learn more jdrf.org/immune/research. more with minimal complications. heatsays it’s the most mentally stimulating program that he’s ever been a part

More than 80 percent

And, as an organ donor, he’ll allow researchers to Bill says that managing T1D has gotten much easier. of JDRF’sof.expenditures study surviving insulin-producing cells in his pancreas. Always the engineer, he refers to his glucometer as his directly support and research“secret weapon” because it tells him what to do withresearch his

with the aim of freeing people from the “life sentence” of T1D forever, JDRF was

related education. For now, Bill has his own blueprint for a cure: it is to have other tools. he is disciplined about checking his blood

born, and a new, accelerated period of discovery began.

sugar and adjusting his insulin. “I’ve got the tools now,

a pancreas that works, not just better blood glucose

which I didn’t have at age 10.”

control. “I want the total fix,” the engineer announces.

Beta cell Regeneration We now know that the body is capable of making

reprogram other cell types (such as liver and pancreatic

new insulin-producing beta cells, even in people who

alpha cells) to become beta cells. generating new cells,

have had T1D for a long time. And we know that newly

reprogramming other cell types, and ensuring long-term

diagnosed individuals still have beta cells that can be

survival of residual or newly generated cells will continue

preserved to secrete insulin. The implications of these

to be priority research initiatives. JDRF supports these

findings are exciting and lead to new and promising

initiatives through partnerships with pharmaceutical

possibilities: they suggest that the disease may be halted

companies such as Eli Lilly and company, Pfizer, and

with interventions that quickly prompt beta cell survival

Johnson & Johnson. collaborations such as these will help

and beta cell regeneration. In FY2011, JDRF-led research

us to accelerate the translation of discoveries in beta cell

focused on approaches to trigger the body to grow its

survival and regeneration into new therapies.

own beta cells and restore normal insulin production. In addition, researchers may be able to convert or

1921

1924

1934

1966

1970

Discovery of Insulin

Mass Production

Insulin Syringe

Complications

Long-Acting Insulin

Glucose Test Strips

Pancreas Transplant

Testing extracts from pancreatic islet cells on dogs with diabetes, Frederick Banting, a canadian surgeon, and charles Best, a medical student at the University of Toronto, discover insulin and confirm its relation to diabetes. This discovery garners the 1923 Nobel Prize in Physiology or Medicine.

1922 Fourteen-year-old Leonard Thompson, near death, becomes the first person to receive insulin extracts as a treatment for diabetes. he quickly recovers. Eli Lilly and company and the University of Toronto enter an agreement for the mass production of insulin in North America.

Becton, Dickinson and company manufactures the first syringe made for insulin injection. It is made of glass, with a needle that can be resharpened for repeated usage. The syringe makes insulin accessible and diabetes more easily manageable. It will be 36 years before the disposable syringe is available.

henry Wagener and Russell Wilder, physicians at the Mayo clinic, discover the first diabetes-related complication: eye disease. Their findings, published in The New England Journal of Medicine, begin a debate in the medical world about whether complications are caused by genetics or by lack of blood glucose control.

1936

A Danish researcher named hans christian hagedorn develops the first intermediate-acting insulin. It is a suspension of crystalline zinc insulin with the peptide protamine. The insulin is mass-produced as NPh (neutral protamine hagedorn) by Nordisk in the 1940s.

1956

helen and Alfred Free, research scientists in biochemistry, invent a “dip and read” urine test to measure glucose levels. called clinistix, the test allows instant monitoring of glucose levels for the first time.

Richard Lillehei and William Kelly, two surgeons at the University of Minnesota, perform the first successful pancreas transplant. The patient, a 28-year-old woman who was diagnosed with diabetes at age nine, simultaneously receives a kidney transplant.

JDRF Launches: A New Era of Progress Begins

6 x JDRF 2011 annual Report

Learn more at jdrf.org/betacell/regeneration.

JDRF 2011 annual Report x 7

Parents of children with T1D, led by Lee Ducat, a Philadelphiaarea mother, launch the Juvenile Diabetes Foundation. says Ducat: “I wanted to start an organization that would help cure the disease. We didn’t know if we could raise a penny.” since its founding, JDRF has awarded more than $1.6 billion to T1D research.

On the 2 x JDRF 2011 annual Report

JDRF 2011 annual Report x 3

JDRF 2011 ANNUAL REPORT

“I will be cured when I can go for a run, enjoy a meal, and sleep through the night without worrying about my blood sugar.” Thomas T., diagnosed at age 9

JDRF is the leader of the type 1 diabetes community—unifying global efforts to cure, treat and prevent T1D. Through a transformative vision, breakthrough innovation and effective operations, we are inspiring tomorrow’s hope through today’s results.

On The

What Is a “a cure means a fresh start for my life. We all deserve this chance.” Rohan S., diagnosed at age 2

“a cure is not thinking of my health in terms of blood sugars, boluses, and basal rates.” Leslie A., diagnosed at age 5

NOT ThAT LONg AgO, a diagnosis of type 1 diabetes was a death sentence. Today, that diagnosis is a lifelong sentence. It’s one that requires daily life support because type 1 diabetes (T1D) is a disease that never takes a day off. The path that leads to that life support is impressive—it’s lined with the accomplishments of many people and guided forward by the encouragement and strength of JDRF. But we are not satisfied. We are not finished. The path continues because every day, 80 more people—children and adults--are diagnosed. We will not rest until T1D is removed from our lives forever. And along this path, we will deliver treatments and preventions that transform the lives of those with T1D and those who face the threat of it—so that everyone can ultimately benefit from a cure. We have learned so much along the path. But there is still much more to learn. Including the answer to the real question:

WhAT Is A cURE?

“I want to make him not cry when he gets his shot. I try to make him laugh. I don’t like Coop’s diabetes.”

ThE JDRF MIssION is the same today as it was more than 40 years ago: to find a cure for type 1 diabetes (T1D) and its complications through the support of research. Ultimately, what that means is finding a way to completely restore normal physiology, and JDRF will not rest until that end is achieved. In listening to our constituents over the years, we have come to understand that a “cure” actually means different things to different people living with T1D. JDRF aims to lift the burden of the disease for all of those people, both today and tomorrow. That is why JDRF-funded research encompasses T1D at every life-stage: stopping its progression in people who are newly diagnosed; reversing it in those who have lived with the disease for years; avoiding or reversing complications; and preventing the disease in people at risk and for future generations.

Tristan F., brother of cooper Cooper Dean F., diagnosed at age 8 months

“a cure would be great because I would not have to check my blood sugar and take insulin anymore. and I could live like a normal kid!” Jasmine M., diagnosed at age 1

“a cure means freedom. Freedom from devices. Freedom from anxiety over highs and lows, and my future. Freedom to enjoy life. every moment of it.” Lianna W., diagnosed at age 2 JDRF 2011 annual Report x 13

JDRF

RESEARCH REVIEW 2010 I JDRF

curing diabetes will not be easy. This is a highly complicated disease, and to cure it, we must solve multiple problems. Nanoparticle Vaccines Researchers successfully cured and prevented type 1 diabetes in mice using an innovative nanotechnology-based vaccine.

Miller credits Jared’s involvement with boosting JDRF fundraising by more than $300,000, and she says his partnership has given the chapter an entrée into the entire Chiefs organization. “Our relationship with Jared has evolved into so much more than him serving as our Celebrity Chair...he has gone from interested advocate to evangelist,” Miller says. “He truly has become part of the Kansas City Chapter family. He has visited kids in the hospital, gone to their baseball games, basketball games, high school football games, swim meets, and school plays.”

Carolyn and Morris Kremen

Kimberly the Lund overall immune system.

Florence and Chester Kolczewski Darla and Jerry Kollar KPMG Kraco Enterprises, LLC Harvey and Minna Kramer

Ure and Dianne JDRF is Kretowicz now funding more Estate ofthan Ruth40M.trials Kroon in people. Mr. Michael Krupka and Dr. Anne Kubik

Mr. and Mrs. Frank KudlaO S RE RESEAFoundation Laffey McHugh RCH

Mr. Marshall Laitsch and Ms. Carolyn Powell Lamar Bruni Vergara Trust Estate of Gilbert E. Lamothe Land O’Frost Jim and Maggie Lang Lannan Foundation

One of the most striking things about Jared’s involvement with JDRF is the fact that he has no direct experience with type 1 diabetes.

hen Jared Allen was a rookie for the National Football League’s Kansas City Chiefs in 2004, his roommate received a Walk to Cure Diabetes fundraising letter from a friend’s son. Jared read it and was moved by the child’s description of the challenges of type 1 diabetes. It inspired him to pick up the phone. “I was looking for something to get involved with,” he says. He talked first with the child’s father about living with diabetes and then with JDRF’s Yvonne Miller about how he might be able to help. He agreed to appear at a Walk awards dinner for the Kansas City Chapter – a first step that has evolved into a marathon relationship.

JDRF 2010 Annual Report

Today, Jared describes his many contributions to JDRF in a typically understated way: “I got involved with some kids, and it’s gradually grown over the years.” Yet that doesn’t begin to adequately describe what he’s done, especially for the Kansas City Chapter: appearing at the Dream Gala, initiating a “Sack Diabetes” fundraising program, serving as the Walk

One of the things that inspires him is JDRF’s results-oriented research. He has learned a lot about the search for a cure and understands the challenges involved. “It’s one of those things where on the research side, every step is one step closer, but I know these kids would like to see the complete cure altogether.” he says. What keeps him committed are the kids and families he’s met. “Big corporate events, sponsorships, and fundraising are all part of what you’ve got to do,” he says, “but it’s always good to hang out with the kids and families, see their struggles firsthand, and get to know them…I don’t even think of it as charity; I’m just hanging out with friends now.” For Jared, the visibility he can bring to type 1 diabetes is secondary to what he brings to these families. “I think the biggest thing…is the time I’ve spent with families,” he says. “Even if it’s just an hour to take the kids’ minds off the disease that they’re battling every day, that’s the greatest gift I can give them.”

The Lawton Family Fund Mary and Jack Leary Joann Leatherby and Dr. Greg Bates

Mr. and Mrs. Hampton Mallis

Mercy Medical Center

Mr. and Mrs. Franc Lee

nPOD Expands toJr.EuropeNancy JDRF’s nPOD program, and Les Meredith Mr. and Mrs. Bob E. Mallory,

Leerink Swann & Co.

remarkable research into the Merisant US, Inc. Peter aand Catherine success Malone in advancing

Matthew and Violet Lehrer

causes of type 1 diabetes, to Europe. Merrick Ventures, LLC Mr. and Mrs. John M. Maloney, Jr. was expanded

David Lewis 12 and Karen Lewis Geoffrey

Amir & Rosita Manocherian Family Foundation

Rick and Lisa Lewis

Marathon Oil

Lewis-Sebring Family Foundation

Mr. and Mrs. Barry Margolis

Elizabeth Liebman

Robert Margolis

Liner, Yankelevitz, Sunshine & Regenstreif, LLP Joe and Debbie Lippincott/ Lippincott & Lippincott

Estate of Robert H. Merrill

Foy and Judy Meyer

Mid-Hudson Valley Federal Credit Union

John and Lisa Marquardt

Elise Mikus

Local Edge

Jane and Z. Marshall

Milano Foundation

Jacinta and Robert Loewen

Melinda and John Marshall

Cindy and Rich Miller

Long Island Diabetes Support Foundation, Inc.

Kara and John Martin

Diana and Mike Miller

Massapequa Youth Lacrosse Club

Lisa and David Miniat

Estate of Barbara Louis Louis Yager Cantwell Private Foundation

In research in mice, alpha cells in the pancreas – specialized cells that produce glucagon, not insulin – can spontaneously convert into insulin-producing beta cells under specific conditions. The study showed the potential of these cells to adapt and produce insulin when needed – in this case, when the beta cells that normally produce insulin were destroyed. The results were the first to show that beta cell reprogramming can occur spontaneously, without genetic manipulation; scientists may be able to harness this conversion potential to regenerate beta cells in people with diabetes. This may be particularly useful in people who have had diabetes for a long time and have no, or very few, remaining beta cells.

Critical Beta Cell Development Gene Identified Scientists identified a gene needed for cells to mature into insulin-producing cells and other cell types in the pancreas. Researchers from the University of California, San Francisco and McGill University showed that mice lacking a certain gene were not able to make insulin-producing cells (or most other cells in the pancreas). They also found that in people, newborns who had a deficiency of that gene eventually developed diabetes. The research provides important new insights into beta cell development. Most importantly, it boosts the prospects for one day being able to generate an abundant, renewable supply of insulin-producing cells to replace those killed off by the immune attack that causes diabetes.

There’s no JDRF chapter in Fredericksburg, VA; the nearest one is a 45-minute drive away in Richmond, the state capital. But that hasn’t stopped local mom Lisa Taylor from building a highly successful Walk in her hometown. Lisa helped spearhead the creation of the Fredericksburg Walk after moving there from New York City, where she had connected with JDRF after her daughter Elissa was diagnosed with type 1 diabetes at 10 months old. In New York City, Lisa had helped make the Queens Walk a success. After the family moved to Fredericksburg, Lisa got involved in a local type 1 support group for families, and together, some of the parents decided to hold a Walk to raise money for JDRF. That first year, they gathered at the city’s historic Civil War battlefield site and raised $3,000. The founding families sought out the support of JDRF’s Central Virginia Chapter in Richmond the following year, and Lisa took on the role of volunteer Walk chair. She steered the Fredericksburg Walk to steadily growing success. But after five years in the role, Lisa was finding the job tough, given medical issues she was experiencing at the time. She thought about stepping down. Then her second daughter, Genaya, was diagnosed with type 1 diabetes at the age of 14 in December 2007. Lisa quickly banished all doubts about continuing in her Walk role. The event has continued to go from strength to strength under her guidance. With her daughters’ help – Elissa is now a 20-year-old college senior and Genaya is a 17-year-old high school senior – Lisa organized the most successful Fredericksburg Walk ever this past year, raising more than $40,000. Lisa has no intention of stopping now. “As a parent, you want to do anything in your power to help your children,” she explains. “I believe we can get to a cure, and I will do whatever it takes to help us get there.”

Stress Hormone Linked to Cell Growth A hormone responsible for the body’s stress response was linked to the growth of insulinproducing cells, suggesting new pathways to restore beta cells and cure diabetes. When researchers at the Salk Institute for Biological Studies in California exposed beta cells to a stress hormone and high levels of sugar, the cells began to replicate. The findings reinforce the potential of regeneration as a cure for diabetes, and provide insights for discovering new approaches to treat the disease. 13

Micrmetl

Markey’s Audio Visual

Little Feet and More, Inc.

James Lott

Researchers at the University of Geneva in Switzerland showed that pancreas cells that do not normally produce insulin hold the potential to naturally convert into cells that do.

Lisa Taylor

Merrill Lynch

Robert and Elizabeth Lisowski

Lormar Foundation

Pancreas Cells Change into InsulinProducing Cells (Reprogramming)

Mom Leads Her Hometown to Walk for a Cure

Metro East Annual JDRF Golf Tournament Association Michelin

Mark Lauria Associates, Inc.

into new therapies. • A collaboration with the Johnson & Johnson Corporate Office of Science and Technology to develop drug targets and pathways that promote

beta cell survival and function. The program funds research at academic and medical research centers worldwide, creating an “incubator” to support early-stage studies. By working with a company known for first-class research and significant experience in the commercialization of products, JDRF is looking to increase the number of viable drug targets identified and fundamentally advance the pace of diabetes research.

Merrill Companies, LLC

Marina Medical Billing Services Marion W. Minton, Walter J. Minton Foundation, Inc.

Mattel, Inc.

Pauline and Ronald Miniat

Barbara and Hank Mawicke

May Mitchell Royal Foundation

W. David and Mary Maxwell

Howard and Judy Mock

Louis Mayberg

Moe’s Southwest Grill

Louisiana CNI, LLC

Mark and Anna Maynard

Molton Brown

Louisiana Machinery

McAlester Radio

Peter and Sarah Monaco

Lowdon Family Foundation

Mr. and Mrs. Josh McCarter

Mr. and Mrs. Steve Lowit

Elizabeth and Jake McCarthy

Montgomery Coscia Greilich/ ExponentHR

1970s

1980s

JDRF (then known as the Juvenile Diabetes Foundation) is founded by Lee Ducat and parents of children with type 1 diabetes.

JDRF-funded science leads to the development of genetically engineered insulin – the first human protein to be cloned and made by genetic engineering.

Vitrectomy, an early surgical technique to treat the progression of diabetic eye disease, is pioneered by doctors at a JDRF-funded ophthalmic research center.

An experimental insulin pump is developed, delivering a pre-programmed flow of insulin, with larger amounts before meals.

Hormones that can beneficially alter the effect of insulin are discovered, purified, and synthesized. One of these, glucagon, becomes an important treatment for hypoglycemia.

JDRF scientists establish the relationship between low blood sugar and brain metabolism: since the brain cannot store glucose, it is particularly sensitive to rapid and prolonged hypoglycemia.

JDRF scientists define the tumor angiogenesis factor, the abnormal growth of blood vessels in the eye caused by diabetes.

The relationship between diabetic eye disease and pregnancy is established – an important step in determining preventive measures. Diabetic retinopathy may progress during pregnancy and often reverses after delivery.

The first test to measure long-term blood glucose levels – the hemoglobin A1C test – is developed with JDRF backing. Thanks to this test, doctors and scientists can now determine how well someone is controlling diabetes over a period of months.

JDRF scientists find that blood sugar control is paramount to fetal development, leading to treatment standards that are invaluable to the delivery of babies by women with type 1 diabetes.

To prevent arteriosclerosis, scientists find that a prototype drug keeps glucose from blocking blood vessels and interacting with leaked plasma proteins. JDRF research establishes the relationship between diabetic retinopathy and glycosylated hemoglobin levels. The success rate of pancreatic transplants increases as scientists advance the procedures for transplanting a whole or partial pancreas. JDRF makes islet transplantation a priority by establishing the JDRF Center for Islet Transplantation at Harvard Medical School, the first of many centers JDRF will launch that focus on reversing type 1 diabetes and hypoglycemic unawareness by replacing insulin-producing cells through transplantation. JDRF establishes the Human Islet Distribution Programs to meet increased demand for insulin-producing cells for both clinical transplants as well as basic diabetes research.

to Present

The past year was pivotal for JDRF research – both in numbers and in scientific focus. We funded$107 million in research, and we made significant advances toward new treatments and a cure for type 1 diabetes.

JDRF helps establish the Immune Tolerance Network. JDRF researchers develop the Edmonton Protocol for islet transplants, which uses less toxic immune-suppressing drugs. JDRF partners with the Department of Defense to develop technology to monitor blood sugar.

Moreover, as we marked JDRF’s 40th year, we passed a significant milestone, reaching $1.5 billion in cumulative research funding since our founding.

JDRF research shows that the initial stimulus for diabetic eye disease comes not only from blood vessels but also from the nervous system and the neural components in the retina itself. A JDRF-funded human clinical trial shows that treating newly diagnosed patients with a drug called an anti-CD3 antibody can preserve the function of insulin-producing cells for several years.

hat total is surely impressive, but it’s even more so when put in historical context. Consider that JDRF (then known as JDF) funded its first research in 1974: four grants totaling just over $200,000. Not until 1976 did the foundation’s research funding surpass $1 million annually, and as late as 1990, funding totaled just over $16 million a year.

Military, government, academic, and industry researchers work together to develop better methods to deliver insulin and monitor glucose. Research shows that insulin itself is a key target in the autoimmune attack on pancreatic beta cells. Clinical trials use new technologies and treatments to reduce the risk of severe hypoglycemia in children. A large genetics study shows that people with type 1 diabetes who carry a specific gene variant are protected to some degree from diabetic kidney disease.

Over 50 genes and genetic regions are identified as the genetic basis of type 1 diabetes. JDRF-funded human clinical trials definitively show that people with type 1 diabetes who regularly use a continuous glucose monitor experience significant improvements in blood sugar control without increasing their risk for hypoglycemia.

alone back in 1970. JDRF has aggressively invested in these areas and helped accelerate these scientific advances. Because of the momentum and developments we have seen in recent years, JDRF remains as confident as ever that continued funding of innovative and critical research will result in advances that will lead to better treatments and ultimately a cure – and that we will be the organization driving these developments. At the same time, the past 40 years have shown us that curing diabetes will not be easy. It has become painfully clear that this is a highly complicated disease, and to cure it, we must solve multiple problems: We must figure out how to stop the immune attack that causes diabetes; we must determine how to regenerate or replace beta cells so people can make their own insulin again; and we must stop or reverse complications that may have already begun.

JDRF funds research in 19 countries.

What this means is that the vast majority of the $1.5 billion has come in just the last decade – associated with achieving significant scientific progress and exciting momentum, as exemplified by the progress in the field of diabetes research in the last year. It is thanks in large part to JDRF funding that the field has blossomed over the past 10 years. New and highly promising areas of investigation have emerged – beta cell regeneration, autoantigen-specific immunoregulation, the technologies that will allow for the development of first generation artificial pancreas systems – that were not even considerations a decade ago, let

Researchers discover that adult insulin-producing beta cells have the ability to successfully replicate.

RESEARCH REVIEW 2010

E RESEARCH R

Researchers funded by JDRF advance understanding of the cells in blood vessels that are involved in the hardening of the arteries that can result from diabetes.

1990s 2000

JDRF I RESEARCH REVIEW 2010

JDRF I RESEARCH MILESTONES

Results

RESEARCH REVIEW 2010 I JDRF

Resources

RESEARCH MILESTONES I JDRF

Research

Sharon McGill

and Donna McGovern Richard Lutz Blocking “Natural Killer”Eric Cells Scientists Andy and Dan McGuire M & Hdemonstrated Building Specialties, Inc. that certain immune system cells

Las Patronas

In 2008, Jared joined the Minnesota Vikings, his talents rewarded with what at the time was the most lucrative contract ever for a defensive player. Since then, he has also become supportive of JDRF’s MinnDakotas Chapter, appearing in public service announcements, among other initiatives. Jared has also started his own charity, building homes for wounded war veterans. Still, he remains dedicated to JDRF.

Mr. and Mrs. Patrick McFeeley, Jr.

• A research collaboration with Pfizer, Hadassah Medical Organization, and The Hebrew University of Jerusalem to develop drugs that can regenerate insulin-producing cells. The program evaluates McGuire Foundation M.D. Anderson FoundationT cells) playVirginia (called regulatory a role in preventing Pfizer compounds that promote cell regeneration, Marc and Mandy McIntyre Mr. and Mrs. James MacDonald type 1 diabetes. and builds on unique beta cell regeneration McKamish, Inc. Will MacKenzie models created by JDRF-funded researchers. Kevin McKenna Researchers School showed that Mackin’s Auto Body at Harvard Medical regulatory cells control how McKesson diabetes progresses – Greenville, TX Macquarie Group TFoundation • A unique agreement with the Genomics Institute in mice.Inc. The cells rein in the immune attack on the McNeil Nutritionals MacroGenics, of the Novartis Research Foundation JDRF (GNF) Ride toto Cure Diabetes pancreas changing how other immune system MED3000, Inc. Heather and Jim by Madden create a drug discovery and development platform participants raised cells – called “natural killer” cells – function. Medical Center ofWhen Plano an average of Joe and Wendy Madden for beta cell proliferation, survival, and $4,100 each for there wereGarden no regulatory T cells to blockInc. them, the Meguiar’s, Madison Square reprogramming. This is one ofdiabetes the largest and research in FY2010. natural killer Magner cells began the immune that David W.attack Meier, Jr. Jerome and Frances most comprehensive collaborations in JDRF’s UR causes diabetes. The researchMeijer, suggests Inc. that drugs William Mahoney history, and marks a major opportunity to work C ES RESULTS therapies targeting these cells couldCorporation prevent Menasha Majoror League Baseball with an experienced and highly regarded scientific or Malk alter its course. Vickie and Bob Mercer Robindiabetes and Charles partner to quickly translate discoveries in research Kristina and Marvin Lustiger

E RESEARCH R

One of the most striking things about Jared’s involvement with JDRF is the fact that he has no direct experience with type 1 diabetes. “I knew the kids were great,” he says of his decision to become involved. “Just hanging around with the kids grew my relationships with the families, and I learned more and more about diabetes.”

Seth Kogan

UR CE S RE SULTS

DONOR SUPPORT I JDRF

Just Because He Cares: Jared Allen’s Inspiring Commitment

Celebrity Chair, and representing JDRF at a variety of community fundraising events. On the national level, Jared appeared at Children’s Congress in 2009, offering support and inspiration to children with type 1 from across the nation.

JDRF I DONOR SUPPORT

Steven and Cindy Kramer

JDRF-funded scientists used a vaccine made of nanoparticles – thousands of times smaller than the size of a cell – that were coated with proteins involved in enabling immune cells to communicate Beta Cell Therapies with one another. The treatment increased the Regeneration Partnerships JDRF entered into numbers of a type of cell that suppresses the three new partnerships to speed the fast-developing immune system attack underlying diabetes, and field of regeneration, demonstrating its leadership restored normal blood sugar levels in mice with in this new and highly promising pathway of the disease. The study, conducted at the University diabetes research. The early-stage research driven of Calgary in Alberta, provides important insights Mr. that and Mrs. Ken type McClure Jacqueline and Richard by JDRF has now attracted the attention of large into stopping theLoynd immune attack causes 1 McConnell Lozierdiabetes. Foundation pharmaceutical companies who are committing In fact, these discoveries haveDevelopment now Billie andcalled Scott McCormick funds and capabilities to accelerate drug Cheryltriggered and Tom Lozowski the formation of a company Parvus development for beta cell regeneration. JDRF will McCownGordon LLC Forrest and Charlotte Inc., Lucaswhich will further Therapeutics, developConstruction, the continue to explore innovative partnerships and Mr. and Kyle McCoy The Lucas Family The study also shows technology. theMrs. potential of McCutcheon Enterprises, Inc. new funding mechanisms to address gaps in type 1 Lucasantigen-specific Oil Products therapies, which target highly research. Mr.without and Mrs.damaging Patrick J. McFeeley,diabetes Sr. Larry specific L. Luing Family Foundation autoimmune responses

MAJOR DONORS & PARTNERS continued

JARED ALLEN

The Network for Pancreatic Organ Donors with Diabetes – better known as nPOD – provides diabetes researchers worldwide with access to pancreatic and other tissues from organ donors at all stages of diabetes; researchers use the tissues in studies that seek to answer key questions about the underlying cause and characteristics of type 1 diabetes. By expanding to Europe, nPOD can offer researchers an additional pool of potential organ donors – including the important but less-studied group with pre-diabetes, a stage of disease prior to insulin-dependence. nPOD expects to be screening about 30 percent of all organ donors in the United States by the end of 2011 – a key milestone for the program, and a huge help for researchers.

JDRF I RESEARCH REVIEW 2010

The past 40 years have shown us that

UR C ES

RESULTS

Hospital For Joint Diseases

These are our patients. Here are their stories.

Charles Weiss. Ruth Threadgill. Michele Peterson. Catharine Lloyd. Diane Aiken. They’ve never met but they share something quite meaningful . . . the expertise of physicians and health professionals at the contents Executive Message

ANESTHESIOLOGY 2

Ralph L. Bernstein, M.D., Chairman A New Era in Musculoskeletal Medicine The Department continued its tradition A Letter from the Surgeon-in-Chief 6 of providing the highest quality anesRenewing our Commitment to thesia care and remained active in clinPatient Care, Research and Education A Letter from the Physician-in-Chief ical investigation7 and education. The anesthesiology staff Making Strides in Orthopaedic Care 10 has been collabo-

Operational Highlights 1998-1999

rating with the18pediatric orthopaedic Charting the Future of Rheumatology surgical staff to help develop a program Meeting Challenges in Neuroscience 24 for children with orthopaedic problems. Inspiring Patients to Reach Their Goals 29 The Department also has been workOperational Highlights 32 ing with the Pediatrics and Nursing Benefactors

Departments to39 formulate protocols

Financials

for post-operative 43 pain management in pediatric cases, and is now providing various post-surgical pain techniques for patients undergoing knee and shoulder repair to facilitate ambulation. With other faculty members, anesthesiolo-

modalites, such as Tai Chi and yoga, to

It is engaged in important collabora-

its inventory of services.

tive efforts with the Occupational and

CASE MANAGEMENT

Kelly Lynn, Director Case Management achieved several of its goals in 1998 and 1999, including the development of a communications procedure with the Finance Department to enhance the tracking of accounts in dispute. Case managers have enhanced patient care by cultivating relationships

the Rheumatology Department, in particular for its work on the National Research Registry for Neonatal Lupus. NEUROSCIENCES

The Department expanded many existing programs and initiated several new

third party payor activities, and has rep-

ones as it continued to lead the way in the fields of neurology, neurophysiology,

on this issue.

neurorehabilitation, pain management,

ing. The Department exceeded its goal, raising $4.7 million. More than $3 million was raised in 1998. The 1999 Founders Gala surpassed its goal

The Pain Center of the Department of

achieving a gross income of $1 mil-

Behavioral Medicine — recently expand-

lion. Other notable accomplishments

ed into the new Comprehensive Pain

included: the implementation of the

Treatment Center of HJD — provides

Raiser’s Edge development software

intensive inpatient rehabilitation for

system for the processing, recording

persons with chronic debilitating con-

and acknowledgment of contributions;

ditions associated with pain to maxi-

the initiation of new fundraising efforts;

mize the individual’s functioning and

and the presentation of educational

enhance independence and productiv-

programs for patients and the public.

up care to patients who have completed

the Social Security Disability Agency; the Geriatric Hip Fracture Project; and

resented HJD in various lobbying efforts

1999 was a stellar year in fundrais-

patient program which provides follow-

Chapter of the Arthritis Foundation and

instrumental in identifying trends in

and chronic musculoskeletal pain.

ity. In 1998, the Center began an out-

research awards from the New York

with post-discharge health service pro-

vide pain relief to patients with acute

MUSCULOSKELETAL EPIDEMIOLOGY UNIT

Hospital for Joint Diseases.

Industrial Orthopaedics Center (OIOC), which recently received significant

viders. The Department also has been

DEVELOPMENT

Paul Gusmorino, M.D., Medical Director

tion and reporting of clinical research.

gists have been studying ways to pro-

BEHAVIORAL MEDICINE

Hospital for Joint Diseases

recently added alternative medicine

neuromuscular disease, traumatic brain injury and multiple sclerosis. Among its initiatives were the establishment of the Comprehensive Pain Treatment Center, a Stroke Prevention and Treatment Center, the Neuromuscular Disease program for adults and the Comprehensive Center for Adults with Cerebral Palsy. The Attention Deficit Disorder Center, which is unique in its special emphasis on adults, continued as a premier center for treatment and research, and the Initiative for Women with Disabilities (IWD) continued to expand as a provider of care for disabled women. In addition to providing health care services, including primary care, a gynecological clinic, and social work

the inpatient programs, those who do

Rudi Hiebert, Research Associate and Interim Director

services, IWD sponsors educational,

not require inpatient care, and those

This Unit enhances clinical research

vocational and advocacy programs. In

who suffer with fibromyalgia and reflex

at HJD by serving as a key resource for

1998, IWD created the Hammerman

sympathetic dystrophy. The Center

Hospital staff in the design, administra-

Wellness Center through the generos33

Restoring Quality of Life Stories from Our Patients

knowledge in the field of neurosciences has matured in the last 30 years into a powerfully precise instrument that can reach across the divide between the brain and behavior.

Meeting Challenges in Neuroscience

“Before I had my shoulder

Providing Help, Restoring Hope Catharine Lloyd is an actress and now a docent for the Guggenheim Museum. Charles Weiss is a vice president for a

replaced, I couldn’t manage

textile manufacturing company and likes to play golf. Michele

the simplest tasks. Surgery

Peterson plays for her Little League team and sings in her church

has turned my life around.”

choir. Diane Aiken does crafts when she’s not at her job with the

ebilitating pain, muscle weakness, sleep disturbances, poor digestion, depression and fatigue led Ruth Threadgill on an

- Charles Weiss 18-year medical odyssey in search of relief and control of her

New York City Department of Corrections. Ruth Threadgill is going

life. A difficult personal history stigmatized Ms. Threadgill’s

back to college. And Jeremiah Cofield takes pleasure in having

pain as psychogenic, but she knew that the excruciating pain in her right leg and a series of unexplained falls had to have a physical origin. Tests showed little, and treatment for bursitis “seemed to make it feel better.” Her electric ache soon revived, only more intensely, and it had migrated to her neck, upper back, elbows, and points throughout her body. Through research, Ms. Threadgill learned of Hospital for Joint Diseases,

an ice cream at the mall. At first glance, these individuals appear to have nothing in common. But each came to Hospital for Joint Diseases when formidable musculoskeletal problems threatened their livelihood, their hobbies, their daily activities...their quality of

where she was diagnosed with a disorder that finally made sense: fibromyalgia, a painful, chronic illness that affects the

life. Here physicians and health professionals offered them hope

muscles and soft tissues of the body. She was referred to the Hospital’s Comprehensive Pain Treatment Center and, for the

RUTH THREADGILL SUFFERED WITH CHRONIC PAIN FOR ALMOST TWO DECADES BEFORE FINDING RELIEF AT HOSPITAL FOR JOINT DISEASES.

and help for the future.

CATHARINE LLOYD RETURNED TO AN ACTIVE LIFESTYLE OF DANCE AND ACTING FOLLOWING HIP REPLACEMENT SURGERY WITH WILLIAM L. JAFFE, M.D.

Hospital For Joint Diseases

CHARTiNG THE fuTuRE Of RHEuMATOLOGY

orthopaedic and neurological consulta-

I come home from work in the evening,

tions, sophisticated diagnostic testing,

I feel like somebody pulled the plug on

and rehabilitation services. Patients also

me and forgot to put it back in.”

LaboRatoRy foR functionaL GenoMics in MuscuLoskeLetaL diseases

Hospital for Joint Diseases has become

have access to our Ambulatory Clinical Research Center and the opportunity to

“Each of our patients with lupus is

participate in clinical trials of the most

unique, varying in disease severity, fre-

advanced medication therapies.”

a pioneer in functional genomics, establishing the first hospital-based laboratory in the metropolitan area dedicated

quency of flares and extent of system-

to this rapidly evolving field. “Finding

ic involvement,” says rheumatologist MAkiNG STRiDES iN ORTHOPAEDiC CARE

RHEUMATOLOGIST H. MICHAEL BELMONT, M.D., MEDICAL DIRECTOR OF HJD, HAS STUDIED

competes with a different set of wheels.

multidisciplinary care provided.

Born with spina bifida — a congenital

for sports-related injuries,” says Andrew

Dr. Zuckerman and his team are

arthroplasty with William L. Jaffe, M.D.,

have to? Don’t let fear of an operation

Rokito, M.D., Associate Chief, Sports

renowned in the field of orthopaedic

Chief of the Adult Orthopaedic Service.

let you lose sight of the fact that you can

anomaly of the spine — Michele is

As Michele grows and develops, she will

Medicine Service. These injuries can

surgery. “Our three-sided pyramid of

“It was like a miracle. I was so grateful.

unable to walk. So she races against

continue to come to the Center for medi-

often be treated non-operatively, but if

patient care, education and research is

I had my life given back to me.”

Kevin in her wheelchair...and often wins.

cal care and therapy. Meanwhile, Gail

surgery is necessary the sports medicine

what sets us apart,” says Dr. Zuckerman.

Peterson strives to shape a balanced life

It is an opinion shared by the thou-

Hospital’s rheumatologists understand

which the immune system has gone awry

the idiosyncrasies of these complex con-

and, instead of defending against disease, it begins an attack on the organs of the body. “I have my good days and

United States which incorporates several clots within these vessels,” says Dr.

bad,” says Ms. Aiken. “Sometimes when

disciplines from medicine and surgery Belmont. “Distinguishing between — these

manage most injuries with minimally

develop a combined program

smile on his face,” recalled Ms. Lloyd.

prosthetic hip implant. Dr. Jaffe tells his

Center for Children at HJD and Chief

time encouraging her to succeed in the

invasive arthroscopy.

with unparalleled resources;

“When he noticed me limping, he said,

patients that this is not an operation to

ditions, the unpredictable flares and

of Pediatric Orthopaedic Surgery, and

mainstream. “I find that my children are

remissions, and the effect that ongoing

serve an extraordinary volume and vari-

‘You really should see my surgeon, he’s

save their life or limb, but an operation

“The arthroscope plays a role in virtually

ety of patients that reinforce our exper-

fantastic.’ That was Dr. Jaffe. So I went

to improve their quality of life. “When

pain and fatigue can have on personal

all surgery that we do,” says Dr. Rokito.

tise; and promote standards of excel-

to see him and that was it.”

patients come to us, their personal and

and professional lives. They also under-

Arthroscopy uses fiber optic technol-

lence which are continually surpassed

ogy and miniature video cameras to

by our many outstanding clinicians,

obtain views inside the joint through a

educators and researchers.”

very small incision. The procedure has been available since the 1970s, but its application to more complex injuries

professional lives have been severely Within five days of having her left hip

medicines to treat disease. “The oppor-

ing simple, complex and comprehensive care. Directed by either from increased inflammation of David S. Feldman, M.D., Chief, Pediatric the blood vessels within organs of theOrthopaedic Surgery, the Center is of a few facilities in the body or from the formation of one blood

physically challenged while at the same

using the latest

a broad range of expertise in

pediatric orthopaedic, rheumatological solve the puzzles of lupus. and neurological conditions to provide

term relationships with physicians. The

David S. Feldman, M.D., Director of The

in the field.

cal companies to identify dysfunctional

often chronic conditions requiring long-

are associated with the Hospital for

England — the developer of the first

compromised by pain and immobility.

replaced, Ms. Lloyd was out of the

Surgery offers them the opportunity to

hospital, swimming three weeks later

become vital and productive again.”

Just ask any of their patients and they

and taking moderate jazz classes in two

will quickly confirm Dr. Zuckerman’s

months. Ms. Lloyd’s advice to others,

Dr. Jaffe — as with many of his col-

observations. “Surgery made me anxious,

“Why

leagues in the Department — not only

stand that they require management from multiple specialties. That is why, in

seeking to

tunities to develop new drugs are limitless,” says Dr. Amin, “but these projects

the best care possible for children need-

to rehabilitation and support services in one location to provide seamless care to

LEADING THE STUDIES OF RHEUMATIC DISEASES ARE (FROM LEFT) MUKUNDAN ATTUR, PH.D., SENIOR RESEARCH ASSOCIATE; ASHOK AMIN, PH.D., DIRECTOR, RHEUMATOLOGY RESEARCH

children with severe disabilities.

LABORATORY; ROBERT CLANCY, PH.D., DIRECTOR, INFLAMMATION RESEARCH; JILL BUYON,

1999, the Department of Rheumatology

M.D., VICE CHAIRMAN, RHEUMATOLOGY AND MEDICINE; PATRICIA MONGINI, M.D., RESEARCH

and Medicine launched the Center for

EUGENIA MIRANDA-CARUS, M.D., RESEARCH SCIENTIST.

17,000

oveR visits to RHeuMatoLoGy seRvices

SCIENTIST;

STEVEN B. ABRAMSON, M.D., CHAIRMAN, RHEUMATOLOGY AND MEDICINE; AND

The Center for Children will soon open

Arthritis and Autoimmunity —

in brand new facilities on the second,

bringing together the expertise of

third and fourth floors of the Hospital.

have to revolve around the patients. HJD provides the critical infrastructure to ASHOK AMIN, PH.D., DIRECTOR, RHEUMATOLOGY RESEARCH LABORATORY, HEADS THE

two is important for determining treat-

nician and researcher in systemic lupus

ment. If we could develop a blood test

erythematosus. Since 1996, Dr. Buyon

to predict an oncoming flare, we could

has been studying estrogen use both in

administer more aggressive treatment

oral contraceptives and estrogen replace-

when an exacerbation is about to begin.”

ment therapy in women with lupus as

The Hospital’s rheumatology laborato-

part of an NIH-funded study taking

ries have begun to identify combinations

place in 17 major rheumatology centers

of blood tests that help predict disease

across the country. The SELENA (Safety

flare and are now monitoring them as

of Estrogens in Lupus Erythematosus

her mom, Gail, who brought Michele to

teachers in their own way, helping others

an extraordinary group of rheu-

The child-friendly environment will fea-

to overcome their initial discomfort and

but everyone at the Hospital inspired con-

matologists with an array of sup-

ture a play area and multimedia theater.

she was seven years old. A problem with

to focus on Michele’s ability, not disabil-

part of a study, called SACS (Serologically

National Assessment) project seeks to

fidence,” recalls Mr. Weiss. “My experi-

port services to enhance the care of chil-

the tendon in her left leg and severe

ity,” says Ms. Peterson.

Active, Clinically Stable SLE), sponsored

define the effect of estrogen-containing

ence and the result could not have been

dren and adults with rheumatic disease.

by the National Institutes of Health

drugs on disease activity. “Oral con-

made it difficult for her to function. Dr.

“It’s okay if I’m in a wheelchair; other

(NIH). A principal site for SACS, HJD is

traceptives and estrogen replacement

you have an orthopaedic problem.”

Feldman performed two surgeries — one

people are in wheelchairs,” says Michele.

to release the tendon so Michele could

“And if you can’t do some things, it

RESTORING MOBILITY WITH

straighten her leg, and a second, more

doesn’t matter because you have friends

PROSTHETIC JOINTS

serious operation to straighten her spine.

that can help you.”

Each year, HJD’s orthopaedic surgeons

scoliosis compromised her posture and

better. This is absolutely the place to go if

The results were remarkable and Michele found herself sitting up straight for the first time and able to wear clothes that

perform over 1,200 hip and knee A WINNING TEAM IN SPORTS MEDICINE

replacement procedures to relieve pain RESTORING MOBILITY WITH ORTHOPAEDIC

and restore mobility in the patients who

SURGERY.

fit. She also found a new friend in Dr.

Athletic injuries require a field of medi-

In 1999, HJD orthopaedic surgeons

seek out their expertise. Many of these

Feldman.

cal specialty all their own. From baseball

performed over 4,000 arthroscopic pro-

are for patients needing a second, more

and basketball to running and rollerblad-

cedures.

complex revision surgery. It is an area

As a patient in the Hospital’s Center

ing, the number and types of injuries

of skill in which volume counts. Most

for Children, Michele joins thousands

resulting from participation in any one

“We are now beginning to treat many

studies show that surgeons who do more

of children with pediatric orthopaedic,

of these and other sports continues to

rotator cuff tears in the shoulder com-

than 100 joint replacements a year have

rheumatological, and neurological prob-

grow. It doesn’t matter if you attend

pletely through the arthroscope, reduc-

fewer complications.

lems such as spina bifida, cerebral

elementary school or college, are an

ing the need for major surgery,” notes

palsy, Down’s syndrome, scoliosis, club-

amateur or professional athlete, the risk

Dr. Rokito, who is one of only a handful

“I’ll never forget the day I went to hand

feet, and juvenile arthritis — who come

of injury — from simple to complex — is

of doctors in the metropolitan area per-

in my crutches,” said Catharine Lloyd,

for the specialized, comprehensive and

present. “There is virtually no age limit

forming the innovative shoulder proce-

an actress and dancer who had hip

MICHELE PETERSON (RIGHT) AND BROTHER, KEVIN, ARE STAR ATHLETES IN THEIR OWN RIGHT.

go around in pain if you don’t

Arthroplasty — the

replacement of damaged

joints with prosthetic implants — is a major focus of the Department. WILLIAM L. JAFFE, M.D. (FAR RIGHT), ALONG WITH TWO OF HIS RESIDENTS, PERFORMS HIP REPLACEMENT SURGERY IN AN O.R. EQUIPPED WITH THE LATEST INFECTION CONTROL TECHNOLOGY.

(LEFT TO RIGHT) FRANK CHEN, M.D., JOSEPH D. ZUCKERMAN, M.D., CHAIRMAN OF ORTHOPAEDIC SURGERY, AND PHILLIP SHRANK, M.D., TAKE A MOMENT TO REVIEW A RADIOLOGY FILM.

“The Center provides our patients with

participating in the evaluation of short-

therapy are not generally prescribed to

a well-coordinated, comprehensive properforms reconstructive surgery, he is gram of prevention, diagnosis and treatinvolved in research designed to improve ment,” says Steven B. Abramson, M.D., it. The Hospital’s orthopaedic surgeons Chairman, Department of Rheumatology were instrumental in developing a speand Medicine. “Here they have access cial coating to improve fixation of the to complete rheumatologic evaluations, implant, avoiding the use of cement

term corticosteroid treatment in averting

women with lupus due to the widely

flares as well as reducing their frequency.

held view that they can activate the

program is the single largest jewel in our necklace,” notes Dr. Jaffe. “The reason with the residents. These bright, up and coming surgeons push the staff to their extreme...stimulating us to constantly

which has the tendency to loosen over

assess our work and look for new and

time. This advance allowed the surgery

improved methods of treatment.”

to be offered to younger, mobile patients whose hips were likely to be subject to

CHILDHOOD TRIUMPHS

more activity over time than older, more

By all accounts, including her own,

sedentary patients. They now seek to

Michele Peterson is a typical 11-year

develop stronger implant materials in

old. She’s a fan of Britany Spears, she’s

order to extend the life of the prosthesis.

disease,” says Dr. Buyon. “But recent

most of us practice here is to be involved

hit several home runs for her Little League team, and, in school, she is a

Patients who come to HJD also have

social butterfly. She also likes to race

the advantage of being cared for in

with her younger brother, Kevin. But

a teaching institution. “Our residency

while Kevin rides his bicycle, Michele

understand the clinical ramifications of

LABORATORY FOR FUNCTIONAL GENOMICS IN MUSCULOSKELETAL DISEASES, WHICH IS AT THE VANGUARD OF DRUG DEVELOPMENT.

Dr. Feldman for a second opinion when

has grown considerably in recent years.

Research

collaborating with major pharmaceutigenes in order to pinpoint targets for

Joint Diseases. Rheumatic diseases are

“He was walking straight with a big

Rheumatology

Laboratory. The new laboratory will be

The new Center for Children brings

Many of the Hospital’s rheumatologists aretogether

sands of patients whose rheumatologists

a neighbor who had both hips replaced.

1997, we have been able to

advances

critical,” says Ashok R. Amin, Ph.D., Director,

helping to better understand these flares. “We recognize that flares result tHe centeR foR cHiLdRen

who trained with Sir John Charnley in

Department of Orthopaedic Surgery in

ing injuries arthroscopically

the function of the gene is now what’s

As 44-year-old Diane Aiken learned, lupus is an unpredictable condition in

on individual’s lives,” says Dr. Jaffe,

knowledge of the latest techniques and have available the newest technology to

HJD orthopaedic surgeons are adept at repair-

Director of HJD. Research at HJD is

“What we do has a significant impact

“By uniting our department with NYU’s

for her daughter — involving Michele in programs with other children who are

1,200

ON MANY FRONTS

get your life back.”

specialists at HJD are equipped with

In the past four years, Michele has had

oveR HiP and knee RePLaceMents annuaLLy

H. Michael Belmont, M.D., Medical

LUPUS ExTENSIVELY.

many other victories with the help of

Ms. Lloyd learned of Dr. Jaffe through

TACKLING LUPUS

The research builds on the work of Jill P.

studies suggest this is not the case and

Buyon, M.D., Vice Chairman, Department

physicians may unnecessarily be forfeit-

of Rheumatology, a highly respected cli-

ing an important birth control option or

SEARCHING FOR DYSFUNCTIONAL GENES.

new medicines.” Most recently, the Hospital entered into a collaborative agreement with Yamanouchi Pharmaceutical Co., Ltd. in Japan focusing on osteoarthritis. It is the first of many partnerships at HJD between the academic and private sectors, which share a commitment to world-class science, drug discovery efforts and improved therapies for 21

DAVID S. FELDMAN, M.D., CHIEF, PEDIATRIC ORTHOPAEDIC SURGERY.

“Our Center is unique in its ability to treat children who need care from multiple disciplines,” says Dr. Feldman. “We all work together to develop consensus on a treatment plan. And we’re doing this for children with many different conditions. Whether they have cerebral palsy or clubfoot, we’re collaborating to find the best answer for that child.”

The cumulative bank of experience

We provide our patients with opportunities to become competent and confident as

of our orthopaedic subspecialists is

they strive for a maximum degree of independence.

virtually without peer. This translates into the highest quality of care for our patients.

Making Strides in Orthopaedic Care

inspiring Patients to Reach Their Goals magine never being able to sit down because you can’t bend

bottom of the spine. As the condition progresses up the spine,

at the waist. There would be no opportunity to rest because

the bones begin to fuse and can leave the patient without any

standing straight or leaning against a wall would be all you

motion in the central part of the body. When Mr. Cofield arrived

could do. Jeremiah Cofield doesn’t have to use his imagination.

at HJD, he could do no more than shuffle painfully along.

ou might say that the “weight of the world” has been lifted from Charles Weiss’ shoulders. For some 15 years, Mr. Weiss

Just two years ago, when he was 24 years old, Mr. Cofield had

had been suffering with chronic pain in his left shoulder. The

no inkling that he would be overcome by a disorder that would

“When I first met Jeremiah, he had very limited motion in his

simplest acts — reaching for his wallet, brushing his teeth —

rob him of his ability to sit in a chair, lie down by himself, or

spine as well as in his hips and knees,” says Erika Muraski,

had become impossible. His favorite pastime, golf, was out of

walk unassisted. While attending school upstate, he noticed

M.S., P.T., Department of Physical and Occupational Therapy.

the question. With the pain continuing to interrupt his life and

some stiffness in his left hip. The stiffness soon spread to his

“Because of his severe limitations, therapeutic exercises would

no relief in sight, Mr. Weiss decided it was time to consider

lower spine and began to interfere with walking. Mr. Cofield

be very difficult. Helping to restore his mobility would be a great

surgery to replace his flawed shoulder joint. Coming to that

was started on physical therapy at a local hospital, using a cane

challenge.”

decision was the hard part; finding an outstanding orthopae-

to help him get around. But he deteriorated rapidly and when

dic surgeon with the experience and the skill to perform the

a friend of his mother’s suggested he go to Hospital for Joint

HELPING PATIENTS A DAY AT A TIME

surgery turned out to be easier than he expected. Two physi-

Diseases, he did just that.

It is a challenge that is met daily by the physicians, physiat-

cians he consulted on Long Island unanimously referred him

rists, physical therapists and occupational therapists in the

to Joseph D. Zuckerman, M.D., Chairman, NYU-Hospital for

Mr. Cofield’s symptoms were classic of a rheumatic disease

Department of Rehabilitation and Physical Medicine at the

Joint Diseases Department of Orthopaedic Surgery. And, as

called ankylosing spondylitis or AS as it is commonly called.

Hospital for Joint Diseases. Directed by Arthur Jimenez, M.D.,

a result, Dr. Zuckerman replaced Mr. Weiss’ ailing shoulder.

Unlike arthritis which affects the joints, AS attacks the site

the Department treats adults and children recovering from a full

where a ligament or tendon attaches to the bone — most

spectrum of disabilities, including gait disorders, spinal cord

often, as in Mr. Cofield’s case — at the sacroiliac joint at the

injuries, amputation, rheumatological conditions, trauma, low

CHARLES WEISS HAD HIS LEFT SHOULDER REPLACED AND NOW FEELS GREAT PHYSICALLY AND PSYCHOLOGICALLY.

JEREMIAH COFIELD FINDS RELIEF FROM SYMPTOMS OF ANKYLOSING SPONDYLITIS IN HJD’S THERAPEUTIC POOL WITH THE HELP OF PHYSICAL THERAPISTS ERIKA MURASKI AND RICK KASSLER.

Hospital For Joint Diseases

“At HJD, we are not just surgeons or technicians.

the Many Facets

oF oRthoPaEDicS

We are healers, and we never lose sight of the fact

In many ways, motion is the essence of physical being. It may mean navigating crowded streets, climbing stairs to a subway platform, jogging

that we are caring for individuals who often need

through the park, or simply swaying in the breeze. hen motion becomes painful or even impossible, life

share our knowledge, our experience and, very often, we

changes dramatically and the results can be devastat-

share in the care of our patients, who may have injuries

ing. the Department of orthopaedic Surgery at the

or conditions requiring input from numerous specialties.”

treatment on many levels.”

hospital for Joint Diseases restores mobility to patients, 10

By drawing upon a huge bank of talent, hanDlED

giving them back more than the capacity to move. the

tHe many facets of ortHopaeDIcs

With caRE

Department’s cadre of skilled and experienced orthopae-

the hand is a marvelously complicated tool that can be

dic surgeons can treat injured ball players and enable

easily taken for granted—but not by the hand specialists

notes Dr. Posner. “the need for our residents and fellows

perform some 1,000 spinal procedures a year. “the

them to hit home runs again, manage the musculoskeletal

at the hospital for Joint Diseases. here orthopaedic sur-

to learn the latest in the field keeps us on top of current

strength of the Spine Service lies in the comprehensive

problems of musicians so that they can perform a flawless

issues and encourages us to consider advances in treat-

management of patients, from the time they are seen in

ment that may be worthy of our attention.”

the doctor’s office for diagnosis, through recovery from

concerto; replace the arthritic knee or hip joints of older

disabled by congenital anomalies, injured by trauma, or

adults and provide them with the stability to stand tall

limited by various medical conditions, such as arthritis

surgery,” says Dr. Errico. “there is a well-established

once again, and intervene with disabled children to give

or carpal tunnel syndrome.

hand Service, has a particular interest in fractures of the

path that patients follow and an experienced team of

them the confidence to play with their peers.

wrist. With nearly two decades in the field, Dr. Raskin

physicians, nurses and rehabilitation specialists who

has not only seen the technology for surgical treat-

care for them along the way.”

keith Raskin, M.D., associate chief of the hospital’s

ment of the hand change, he has helped to develop it.

—led by Dr. Joseph D. Zuckerman,

Spine surgery often uses minimally invasive proce-

the hand Service at hJD brings an extraordinary

“We have an amazing range of subspecialists in

team of orthopaedic surgeons and health professionals to

orthopaedic surgery—hand surgeons, spine surgeons,

bear on patient care. these include highly trained nurses

joint replacement surgeons, pediatric orthopaedic sur-

and physical and occupational therapists who are key to

Dissatisfied with the external fixators available to stabi-

dures made possible with new imaging technologies, and

Chairman (at left)—applies a comprehenrecovery of both the body and the spirit. “our successes geons, orthopaedic trauma specialists, even experts in

lize the bones of the wrist during surgery to repair frac-

devices and implants that allow a greater correction of

work-related orthopaedic disorders,” says Joseph D.

are clearly attributable to the fact that we take care of

tures, Dr. Raskin designed his own. his device allows for

spinal problems. this minimizes trauma to the patient

Zuckerman, M.D., chairman, nyu-hospital for Joint

patients together,” says Martin Posner, M.D., chief of the

more fine manipulation of the fracture and the potential

as well as post-operative discomfort. Patients can return

Diseases Department of orthopaedic Surgery. “and each

hand Service, who also points out the benefits of practic-

for a more complete restoration of function.

home more quickly, and they have speedier recoveries.

hand surgery continues to evolve with the trend

hJD’s doctors also are pursuing a new approach

toward using minimally invasive procedures. these pro-

to treating spinal fractures due to osteoporosis, which

cedures require smaller incisions, enhancing healing and

entails injecting a cement compound into fractured or

recovery for patients. in particular, arthroscopic tech-

weakened vertebrae to support each individual level.

niques—once the primary purview of knee and shoulder

this immediately fixes the fracture, relieves the pain,

procedures—are being increasingly applied to surgery on

and makes the bones stable from within.

the wrist, and surgical devices are being miniaturized to make them more appropriate for hand surgery.

prosthetic devices that replace injured or degenerated discs while allowing continued motion. currently, the Spine Service is involved in a clinical study sponsored by

boy was brought in with a fracture of the spine that para-

the national institutes of health to evaluate both surgi-

lyzed his lower extremities. “We inserted a harrington

cal and non-surgical treatments and help set standards

rod in his back, stretched out the area of the fracture,

of care for various spinal problems.

and when he woke up he could move his feet. that was Dr. Errico entered the specialty of spine surgery,

largest orthopaedic residency programs in the country,”

wide scope of musculoskeletal disorders.

Spinal research is increasingly concentrating on degeneration. another promising area of research is in

orthopaedics at Bellevue hospital center, a 16-year-old

and today he is chief of the hospital’s Spine Service,

sive approach to diagnose and treat the ing in an academic environment. “hJD has one of the

is at the top of his or her field. the key, however, is that

no one person or one group is an island onto himself. We

gene therapy to halt and reverse the process of disc

thE BackBonE oF oRthoPaEDicS

When thomas Errico, M.D., was a chief resident in

very powerful for me,” recalls Dr. Errico.

— DR. MaRtin PoSnER, chiEF, hanD SERvicE (below, at left)

the Department of Orthopaedic Surgery geons are highly skilled in restoring function in patients

CenT eR O f exCellenC e: The Spine Center The goals of specialists like Dr. Keith Raskin, Associate Chief, HJD “hJD’s Spine center is one of the truly coordinated spine proHand Service, are not just to alleviate pain, but also to restore structure

grams in the country,” says Jeffrey M. Spivak, M.D.,and Director. function to patients with disorders and injuries of the hand. the center’s team consists of orthopaedic spine surgeons, a physiatrist, a rehabilitation specialist and a neurologist. “Patients

aDDRESSing on-thE-JoB inJuRiES

Recognizing that many orthopaedic problems are workrelated, hJD was ahead of its time when it opened

where surgeons have the expertise and skills to address

its occupational and industrial orthopaedic center

every aspect of a spinal problem. combined, they

(oioc) nearly 17 years ago. the program is a center of

are evaluated promptly with the full range of diagnostic testing and provided with their optimal treatment plan which can include pain management, physical therapy, medication, surgery, or any combination of these treatments. the center is able to imple-

H o s pi t al fo r J o i n t D i s ea s es 2 0 0 0 A n n ual R e po r t

ment treatment quickly and seamlessly, and, while surgery is certainly the Spine center’s forte, the team first approaches the treatment of spine problems non-operatively—calling on the expertise of pain management and rehabilitation specialists. Orthopaedic surgery, under the direction of Dr. Joseph Zuckerman,

The Spine Center team includes (clockwise) Dr. Thomas errico, Chief, Spine Service, Dr. Jeffrey Spivak, the Center’s Director, and Dr. John Bendo.

Chairman (left), calls on the expertise of highly skilled anesthesiologists such as Dr. Daniel Wambold (second from left).

Restoring Freedom of Motion,

Enhancing Quality oF liFE Dr. Michael Belmont, Assistant Director, Rheumatology, and Sharon Gordon, Rn, address the complexities and challenges of unpredictable flares in patients with lupus.

An increasing number of Asian patients,

many who have been underrepresented

to pin down.”

the prescribed medicine will be matched to the patient’s individual genetic code.”

been extraordinary over the last five years—enabling its

genetics, too, is a vital focus for research on

rheumatologists to offer patients access to promising

lupus—a complex condition in which the patient’s

medications far in advance of their general availability.

immune system attacks the body’s own organs. “lupus,

through the ambulatory clinical Research center, there

as with other autoimmune diseases, is viewed as having

are currently over 15 ongoing clinical trials in lupus,

a genetic predisposition requiring an environmental trig-

rheumatoid arthritis, osteoarthritis and osteoporosis. in

ger,” says h. Michael Belmont, M.D., Medical Director

a few months, the Department will celebrate the opening

of hJD and assistant Director, Rheumatology.

of 3,000 square feet of new space dedicated to clinical trials, increasing the center’s ability to accommodate

clinic, are also looking at lupus from a number of other

more complex drug studies. co-directed by clifton

perspectives including a study of the effects of estrogen

Bingham, M.D., and Sicy lee, M.D., the center con-

on women with lupus to determine if estrogen plays a role

ducts both nih-funded studies and those sponsored by

in activating the disease. “Part of the excitement about

the pharmaceutical industry.

doing clinical research is that patients and their problems

the center is a major site for studies of the new

drive the science,” says Dr. Buyon. “the ultimate results

biologic therapeutics or response modifiers—medicines

of this multicenter study will have widespread implica-

that target specific pathways in the proteins that are involved in the pathogenesis of inflammatory disease

tions for women with lupus and their ability to take oral contraceptives and estrogen replacement therapy.”

such as rheumatoid arthritis. “there has been a paradigmatic shift in the way rheumatoid arthritis is viewed,”

caRing With conFiDEncE

says Dr. Bingham. “We are recognizing that the destruc-

clearly, the seamless interaction among the physi-

tion to the joints occurs extremely early. therefore

cians, scientists and academicians of the Department

prompt treatment, especially now that medicines are

of Rheumatology provides a level of competence and

available that can significantly slow and even arrest the

confidence that is unparalleled. Patients agree, and so

disease’s inflammatory progression, is key.”

their numbers continue to grow. the Department’s well-

the Department is also developing a Dna tissue

earned reputation is also derived from its impressive

bank to conduct translational research so that results

fellowship program—one of the largest in the country.

can be translated quickly into improvements in patient

like the patients, these physicians-in-training know that

care. through the tissue bank, a patient’s Dna tis-

at hJD they will find the most capable doctors practicing

sue can be analyzed and its response to medications

the most advanced forms of medicine in an environment

monitored to determine what relationships, if any, exist

that encourages innovation, creativity and compassion.

between the patients’ genetic makeup and their responsiveness to various drug treatments. “We are making

nearly

30,000 rheumatology patient visits in 2000

takes place among clinicians and scientists.” reach efforts of Dr. Sicy lee, (at left — DR. kathlEEn hainES, DiREctoR, PEDiatRic RhEuMatology anD

with patient) and Dr. Chung-e Tseng.

to RhEuMatology victims intermittent pain and disability, and often leaving the physicians who treat them perplexed and wanting to know more.

treatment advances thanks to the out-

Dr. Belmont and Jill P. Buyon, M.D., Director, lupus

an integrated approach

rheumatic diseases attack joints and organ systems capriciously, causing

research laboratories. Here collaboration readily

Dr. abramson. “this is an approach of the future where the hospital’s growth in clinical investigations has

fronts—clinically, academically and in the

in clinical trials, are able to access

huge strides in developing predictive medicine,” says

tRanSlating RESEaRch into RESultS

“At HJD, rheumatic diseases are fought on all

DiREctoR, clinical iMMunology laBoRatoRy (below)

t the hospital for Joint Diseases, patients with diseases

noses are the same as for adults—lupus, vasculitis,

such as systemic lupus erythematosus, rheumatoid arthri-

dematomyositis,” explains Dr. haines. “But they present

tis and osteoarthritis benefit from a roster of gifted physi-

with their own manifestations in children.”

cians who share their knowledge and experience as prac-

children who come to hJD benefit from the clinical

titioners, teachers and scientists. “there is a seamless

expertise of Dr. haines and her colleagues as well as

connection between laboratory work and bedside care,”

from the program’s multidisciplinary approach—one that

says Steven B. abramson, M.D., chairman of the hJD

is inclusive of physical and occupational therapy, as well

Department of Rheumatology and Medicine—a depart-

as orthopaedic surgery when damage to joints requires

ment that includes some of the most talented clinicians

surgical intervention.

in the field, several world-renowned molecular biologists

Dr. haines also oversees hJD’s clinical immunology

and many physicians who fit both descriptions. “Being

laboratory—a key reference lab for the hospital’s rheu-

at the forefront in research has uniquely positioned our

matologists, a valuable diagnostic resource for surround-

Department to offer its patients the very latest in care and

ing hospitals and a national testing lab for two major

the center for arthritis and autoimmunity is a model interdis-

our rheumatology fellows the most advanced training.”

nih-funded, multicenter studies in lupus. the highly

ciplinary program providing patients with comprehensive diag-

aRthRitiS: a DiSEaSE oF all agES

some 10,000 tests a year, but small enough to be able

While the uninitiated may perceive rheumatic diseases

to provide personalized attention to test results. “We

as an affliction of older adults, children are also suf-

have the ability to do very specialized tests, interpret

ferers. at hJD, kathleen a. haines, M.D., Director,

unusual results, and then do further testing on the spot

Pediatric Rheumatology, treats young patients with

if it is indicated,” says Dr. haines. “the intimate rela-

juvenile arthritis—an “umbrella” term for at least seven

tionship we have with our laboratory is very important

presentations of rheumatic disease. “Many of the diag-

especially when dealing with diseases that are difficult

C e nTe R Of ex C e lle nC e : The C e nt e r f or A r t hr i t i s and A u t oi mmu ni t y

regarded laboratory is large enough to accommodate

nostic and therapeutic services in one location. the coordinated care enables patients to easily access relevant specialties and resources while ensuring continuity of care. “We are dealing with complex diseases that often require insight from many disciplines,” says Dr. Steven abramson, chairman, Rheumatology (at right). interaction among physicians is facilitated by the sharing of space with each other and with other disciplines—encouraging collaboration on patient care management and discussion about new advancements in the field. Directed by gary Solomon, M.D., associate Director of Rheumatology, the center demonstrates the

centers of excellence

Department’s seamless approach to patient care.

According to Dr. Kathleen Haines, Director, Pediatric Rheumatology, the incidence of arthritis in the young population is uncommon enough that it is often misdiagnosed.

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Enterprise Media Group

Senior Vice President and Chief Product Officer

David K. P. Li1, 3

Jorge L. Figueredo

Consumer Media Group

Paul A. Gigot

Retired Airline Captain, American Airlines

Does local advertising work?

Joseph A. Stern

Executive Vice President, General Counsel and Corporate Secretary

President, Tax of news. Only my You canVicefind lots Robert Perrine tells me what’s local newspaper Corporate Controller and Chief Accounting Officer going on in my town.

Editorial Page Editor, The Wall Street Journal

William B. Plummer

Chief Financial Officer and Executive Vice President

Senior Vice President and Managing Editor, Dow Jones Newswires

President, Dow Jones Indexes and Reprints President, Dow Jones Financial Information Services

Alan C. Scott

Senior Vice President and Chief Marketing Officer

Bill Voltmer

Senior Vice President, Global Sales and Client Solutions

Local Media Group Andrew Langhoff

Senior Vice President and General Counsel

William A. Zurilla

Elizabeth Steele3

President, Main Street Landing LLC

William C. Steere Jr.3, * Chairman of the Board Emeritus, Pfizer Inc.

Committee Memberships: (1) Audit (2) Compensation (3) Corporate Governance

Vice President and Chief Financial Officer

Catherine D. Paffenroth

Vice President, Human Resources

Don Waterman

Vice President, Operations and Audience Development

Zeke M. Fleet

Vice President, Operations and Advertising

* Scheduled to retire after

April 2007 annual meeting 15

Financial Highlights

Content whenever wherever however

Total revenues increased 6.6% Operating income before special items rose 37.4%* (8.8% including special items)

Consumer Media Group

Earnings per share before special items were up 13.3%* (533% including special items)

At Dow Jones, it is our vision to be the world’s best provider of business and related content. To get there, we are committed to

Exclusive. Insightful. Comprehensive. Indispensable.

delivering excellent journalism, insight, data and technology to cut through today’s information overload – whenever, wherever, however.

Where our customers want us to be

Total Revenue (in millions) 1,800

1,784

Dear Fellow Shareholders: Content is the compelling and defining difference for Dow Jones. Amid rapid change at Dow Jones, amid revolutionary advances in technology, amid the cyclical peaks

1,700 1,673 1,600 1,574

and valleys and the fundamental shifts in the media business, content is the unique proposition on which we base our business. It is the foundation for confidence in our ability to thrive in this new

What distinguishes The Wall Street Journal, Barron’s and MarketWatch is unique and compelling content. In print and online, via radio and video, we bring you what the news means, not just what happened – not just news, but knowledge and even wisdom.

1,500

media environment. Content is the news, insight, data, information and tools that comprise our products. It's words on

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paper. It’s words over the Web. It’s real-time reports and historical collections. It’s the analysis of market data. It’s the ability to plumb an archive to reveal the right fact at the right moment. At Dow Jones, content is what we do. Our aim, always, is to do it best, delivering differentiated, indispensable

‘04

‘05

‘06

Creating great content by itself isn’t a formula for business success. Never has this been more true than now when new technology and resultant new competition provide ever more choices for readers

Differentiated, indispensable, conveniently accessible news and information ... in all media channels.

Earnings Per Share 5.0

content wherever, whenever and however our readers and other customers want it.

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To keep pace, we are transforming Dow Jones. Simply put, we believe we will win by transforming from a publishing company heavily reliant on traditional print publishing to a more diversified media channels – print, online, mobile or otherwise. Our goal is to encourage customers to view us

1.21 0.73

1.0 0

‘04

‘05

employees the greatest value.

innovating new offerings, developing new revenue streams, retooling our cost structure and

Content that provides insight. Content that asks “how” and “why.” Content that sheds light on what’s important and goes beyond reporting what happened yesterday.

working, as evidenced by our strong, industry-bucking results in 2006 and expectations for 2007,

1.2 1.1 1.0

The critical first plank was to put in place the right organizational structure. In February, we

0.9

customers rather than the former focus on channels of distribution. In doing so, we increased the trim $15 million in annual costs.

0.8

founders Charles Dow and Edward Jones wrote: “We

doorsteps and newsstands on Jan. 2, 2007.

appreciate the confidence reposed in our work. We mean

new print Journal has innovative features and

that outweighs the challenge. Our competitive

enhanced navigation. It’s printed on a narrower

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page to be more convenient and to consume less

most: unique and compelling content and the tools and

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newsprint. What hasn’t changed is the Journal’s

technology to deliver news and information where,

media channels. We’ll succeed delivering quality,

commitment to the highest-quality journalism.

when and how customers now want it.

reliable content where customers want it.

Not only does the Journal remain the same

0.98

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often in real time and from many sources – the

consumption habits afford Dow Jones an opportunity

installed a new corporate structure, one that grouped our businesses around franchises, markets and opportunity for collaboration and efficiency among related products. That effort also allowed us to

In the first issue of The Wall Street Journal in 1889,

A new Wall Street Journal appeared on desks,

platform – ink on paper, Internet and mobile.

Designed for how today’s readers get their news –

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Journal 3.0: Newspaper for the Digital Age

engines, stream information 24/7 on every conceivable

The changing media landscape and changing media

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news outlets to aggregators, bloggers and search

‘06

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Because I get news, analysis and insight I can’t get anywhere else.

Today, millions of content providers, from traditional

and customers.

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Journal’s focus on innovation and evolution as the needs and expectations of our readers and advertisers change. 7

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Close relationships with leading industry experts Each of Cypress’s industry-focused deal teams develops and maintains unique INDUSTRIES

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APART FR OM THE UNIVERSE

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OF FIRMS IN TODAY ’S FINANCIAL SPONSOR

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for our investors.

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Cypress professionals.

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Grand Street Settlement

Corporate Brochure

NewYork-Presbyterian High-Risk Obstetrics & Neonatal Care

Neonatal Intensive Care

Advanced Support Technology

NewYork-Presbyterian/Morgan Stanley Children’s Hospital Neonatal Intensive Care Unit (NICU) is designated Level 4 and a New York State Regional Perinatal Center. We care for over 1,100 critically ill infants every year, with approximately 30% of those transferred to us after delivery at other centers, some of them the most complex cases from other Level 4 centers. We provide the highest level of neonatal care and have a full range of medical and surgical subspecialties to care for the sickest infants, including those with extreme prematurity, respiratory failure, very low birth weight/ extremely low birth weight, congenital heart disease, and other complex congenital abnormalities that may require surgery.

Very Low Birth Weight (VLBW) Infants In 2014, our neonatologists treated 140 very low birth weight (<1,500 grams) newborns and our NICU outperformed the Vermont Oxford Network (VON)* benchmarks in several significant categories. Notably, Morgan Stanley Children’s Hospital (MSCH) has one of the best infant survival rates among neonatal intensive care units in the nation, with both inborn and admitted VLBW infants having a significantly higher survival rate than those of those in the Vermont Oxford Network benchmark*. Additionally, our outcomes for neonates with chronic lung disease are excellent, a result of our expertise in Continuous Positive Airway Pressure (CPAP).

Comparison to Vermont Oxford Network (VON)* benchmark demonstrates excellent outcomes for both admitted and inborn Very Low Birth Weight (VLBW) infants. *The Neonatal Intensive Care Unit (NICU) at NewYork-Presbyterian/Morgan Stanley Children’s Hospital (MSCH) is part of the Vermont Oxford Network (VON), a consortium of over 800 participating NICUs around the world. VON collects detailed information on newborn intensive care unit outcomes for infants cared for at member institutions, which provides a benchmark for quality patient care. Infants are eligible for the Very Low Birth Weight (VLBW) database if they have a birth weight from 401 to 1500 g, or a gestational age between 22 and 32 weeks and are born at the member hospital or transferred to it within 28 days of birth.

Mortality

NYP/MSCH NICU

All Network NICUs

9.2%

14.6%

32.1%

43.9%

Chronic Lung Disease

9.4%

24.4%

Nosocomial Infection

10.7%

11.9%

Intraventricular Hemorrhage

7.4%

23.0%

Death or Morbidity

Complex birth defects are a key focus of our fetal and newborn medical teams. Among the advanced procedures we offer are:

CPAP Continuous Positive Airway Pressure is a technology we deploy to

manage respiratory complications to assist infants who cannot maintain adequate oxygen levels. NewYork-Presbyterian/Morgan Stanley Children’s Hospital and Columbia University Medical Center are known worldwide for the development of this gentle ventilatory support pioneered by our doctors in the 1970s. Bronchopulmonary dysplasia (BPD) remains a major source of morbidity and mortality for extremely low birth weight infants. The frequency of chronic lung disease in premature infants treated in our unit is the lowest in the United States, and we have been recognized by the National Institutes of Health for our contribution to respiratory care of preterm babies.

Morgan Stanley Children’s Hospital has one of the

infant Dedicatedbest Cardiac NICU

ECMO Extracorporeal Membrane Oxygenator is an artificial heart and lung

NEONATAL MORTALITY RATES IN THE UNITED STATES

survival rates among

that supports oxygenation until a baby’s heart defect can be corrected or Because failing many neonates require heart surgery within hours of birth, we have lungs can function on their own. Columbia physicians at Morgan Stanley Children’s a dedicated 16-bed Cardiac Neonatal Intensive Care Unit within our NICU and Hospital (formerly Babies Hospital) participated in the earliest development a neonatal team specially trained to care for newborns with congenital heart of ECMO, making our facility one of the first in the world to use this life-saving anomalies. Neonates differ from infants and older children not just in size, but technology successfully in infants with severe reversible cardio respiratoryalso failure in the physiology of their maturing organs and systems. We believe caring unresponsive to conventional therapies. Today, we have the largest ECMOfor program them in a specially dedicated neonate cardiac unit provides a significantly in the New York Metro area. Approximately 20 of our newborns require this higher standard of care than a mixed NICU or PICU setting. specialized technology each year. Our neonatal team delivers some of the best survival rates in national and international comparisons. Neonates with congenital heart disease are best served by a highly skilled team

neonatal intensive care units in the nation.

of intensivists well-versed in unique neonatal physiology and cardiac care. Our Cardiac NICU offers the enormous resources needed when treating serious Extra Uterine Intrapartum Treatment is a life-saving surgical procedure heart defects and comorbidities, including advanced support technology, all used to deliver babies with congenital airway compression or obstruction.levels of care, and one-to-one patient/nurse ratios. A multidisciplinary team of Morgan Stanley Children’s Hospital is one of a handful of centers with theneonatologists, depth of cardiologists, pediatric anesthesiologists, and critical care nurses expertise to perform this procedure. An EXIT is a joint procedure involvingwith multiple subspecialties in neonatal cardiac care provides care to newborns with specialties, including Maternal-Fetal Medicine, Neonatology, Pediatric Surgery and congenital heart disease. complex Otolaryngology. MSCH typically performs two to three EXIT procedures each year. EXIT procedures can have minimal maternal morbidity and with good outcomes, Our Cardiac NICU staff has expertise in the most advanced support technology, but should be performed at a hospital with both adult and pediatric specialists including ECMO, high-frequency oscillatory ventilation, and inhaled nitric oxide. who can care for both mother and child at delivery and after birth. We are also one of the few institutions in the world offering continuous renal

EXIT

A dedicated Cardiac NICU differentiates the care we provide.

replacement therapies such as continuous veno-venous hemofiltration (CVVH) and neurologic monitoring, including continuous EEG and ventricular assist Our neonatal specialists use the CoolCap device toto the smallest children in our NICU. devices, prevent brain injury and improve neurologic outcomes in some oxygen-deprived newborn babies. In early clinical trials, birth-related neuro-developmental disability was significantly reduced from 66 percent to 48 percent by the cooling, and there was a trend to a reduction in mortality in cooled infants.

BRAIN COOLING

Though neonates comprise approximately 25 percent of the congenital heart surgeries in the United States, the mortality rate is approximately 10 percent – three times higher than infants, the next largest surgical category. Increased neonatal mortality has several causes: birth before 39 weeks’ gestation, immature organ systems, and technical issues related to structure, insertion of tubes, cardiopulmonary bypass, and limited reserve. By focusing exclusively on neonates with cardiac disease, we feel we have developed unsurpassed expertise in the care of low birth weight and premature babies — from diagnosis of fetal congenital heart disease to delivery and immediate newborn management by our post natal team.

we feel we have developed

CONGENITAL HEART SURGERY MORTALITY IN THE UNITED STATES

unsurpassed expertise

2007-2010

in the care of low birth weight and premature babies.

12% 10%

10.10%

10 Neonatal Intensive Care

By focusing exclusively on

neonates with cardiac disease,

6% 4%

2.90%

2% 0%

1.10% NEONATES 0 - 30 days

INFANTS

31 days - 1 year

CHILDREN

> 1 year < 18 years

1.90% ADULTS

18 years +

Source: Society of Thoracic Surgeons

14 Neonatal Cardiac Care

High-Risk Obstetrics & Neonatal Care

fastfacts

Best Outcomes for At-Risk Mothers & Babies

Nearly

4,500

annual deliveries

Over

Maternal-Fetal

Medicine specialists

80% 38%

epidural rate

cesarean

delivery rate (2013)

53.8

multiple gestations

per 1,000 deliveries

Average length of stay

Over

3.6

900

days

NICU discharges

Nearly

175

NICU transfers

Sloane Hospital for Women

A Specialized Hospital for Expectant Mothers Sloane Hospital for Women, part of NewYork-Presbyterian/ Columbia University Medical Center has been caring for women for more than a century and offers specialized services for high-risk pregnancy available in just a few programs in the United States.

e provide individualized care and rigorous prenatal management for expectant mothers who are referred to us with an obstetric complication or a high-risk health condition, as well as for those whose pregnancy is complicated by a multiple gestation or a fetal structural, functional or genetic abnormality.

Our 62-bed Level 4 Neonatal Intensive Care Unit (NICU) is recognized as one of the finest in the country, with the depth of expertise, advanced technology and therapies available to offer the best chance for survival. Our team of physicians, specially trained in intensive care, has pioneered many therapies for newborn babies now used worldwide.

With Labor and Delivery an integral part of NewYork-Presbyterian/ Morgan Stanley Children’s Hospital, we are able to offer every possible diagnostic and therapeutic option for both mothers and babies. We are one of only a few hospitals nationally that has labor and delivery in the same building as our children’s hospital. As a result, mother and baby never need to be separated.

In a family friendly and technologically advanced setting, NewYork-Presbyterian/Morgan Stanley Children’s Hospital offers the best available care in every area of pediatrics – including the most complex neonatal and critical care, and all areas of pediatric subspecialties.

Collaborative Interdisciplinary Care for Pregnancy Bringing together diverse expertise from every field of medicine and surgery, we develop treatment programs and therapeutic options to ensure the best possible outcomes for high-risk mothers and babies. We believe the best outcomes are a result of multidisciplinary collaborative care, where there is active communication among specialists. A team of more than 30 specialists experienced in obstetrical, maternal-fetal, pediatric, and neonatal conditions focuses on all the medical and surgical complications of pregnancy. From obstetrical anesthesiologists, cardiologists, and gynecological oncologists to interventional radiology, neonatologists, pediatric cardiac surgeons, an on-site blood bank, and a mobile ECMO (Extracorporeal Membrane Oxygenator) the team can be mobilized in minutes. They are supported by clinical nurses and genetic counselors, all trained in the management of high-risk pregnancies.

NewYork-Presbyterian Pediatric Hematology, Oncology, and Stem Cell Transplantation

zzzzz

walk through the pediatric hematology and oncology outpatient clinic may reveal some familiar sights: Children receiving treatment. Parents speaking with nurses. Doctors checking on patients. But look closely, and you may see something else: A child getting a foot massage. A teenager receiving acupuncture. A parent learning how to use guided imagery to relax. These approaches are all part of the multifaceted Center for Comprehensive Wellness (CCW) within the Division of Pediatric Hematology, Oncology, and Stem Cell Transplantation. Integrative therapies have been making their way into the care of people with cancer for several years. What makes this program different? Integrative treatments, supportive care, and survivorship wellness are woven into each patient’s plan of care from day one. We are also conducting the research to determine which interventions are helpful, and which patients benefit.

We are changing the way we think of “whole-person care.”

While the PIPseq and medical programs seek to achieve more precise treatments for disease, we believe wellness care must be personalized for the child and family as a whole. “As providers, we need to have an understanding of the emotional and educational needs of our young patients at different points in their care, and provide services designed to meet those needs,” says Jennifer Levine, MD, Medical Director of the CCW. The CCW offers services such as: • Integrative therapies such as massage therapy, reflexology, acupuncture and CANCER CARE THROUGH RESEARCH acupressure, Reiki and therapeutic touch, exercise and yoga, aromatherapy, and mind-body techniques such as meditation and guided imagery to relieve symptoms and stress. • Nutritional counseling regarding the use of herbal and other supplements Collaborating in conjunction with nutrition educators who work with children during and after treatment.

for Cures

A Research-Based Approach to Cancer

subspecialists from every field within pediatrics are located onsite and are Child life specialists, who provide emotional support to patients and their to work as part of each child’s team. families and use age-appropriate therapeutic play and available education to help Examples include: children understand their illness and medical procedures. • Pediatric neurosurgeons for children with

surgeons • Pastoral care to provide for the religious and spiritual• Pediatric needs ofliver patients andand hepatologists from Columbia’s Center for Liver Disease their families.

laboratory and translational research initiatives and a robust portfolio of clinical trials, including pivotal early-phase studies.

and Transplantation, for patients with • A long-term survivor program to monitor for late complications liver tumors of cancer Adolfo Ferrando, MD, PhD, and his team are treatment and to promote survivor wellness. Reproductive endocrinologists • Pediatric critical care specialists for children exploring the molecular mechanisms underlying are lymphoblastic also availableleukemia to provide fertility support, including infertility need ofpreservation, intensive care acute — particularly if desired. leukemias that become resistant to chemotherapy • Pediatric cardiologists, nephrologists,

PIPSEQ PRECISION MEDICINE

The Division of Pediatric Hematology, Oncology, and Stem Cell Transplantation

PIPseq has the potential to propel pediatric cancer care to new levels of success.

PIPseq: A Novel Approach to Precision Medicine

With next generation sequencing, we can delve deeper into the genetic basis of cancer to tailor treatments for patients in a more precise manner.

hile tremendous progress has been made in the treatment of pediatric cancers, oncologists are still challenged by cancers that fail to respond or develop resistance to treatment. The key to our success in the battle against these cancers lies in the biology of each child’s cancer. What mutations are driving its growth, or rendering it invulnerable to the standard therapies we try to use?

Genetic sequencing can be used to identify the molecular drivers of each patient’s cancer — knowledge that can be further applied to personalize treatment

The answers to those questions will increasingly come from our Precision in Pediatric Sequencing (PIPseq) program. “Through this initiative, we’re aiming to identify the molecular drivers of each patient’s cancer and use this information to personalize his or her treatment using novel, biologically targeted investigational agents,” explains Julia Glade Bender, MD, Medical Director of PIPseq. “With next generation sequencing, we can delve deeper into the genetic basis of cancer to pinpoint novel therapeutic targets.” This customized treatment approach is gaining speed across the spectrum of cancer care, including adult cancers, and has the potential to propel pediatric cancer care to new levels of success.

Although liver tumors are rare in children (they account for only one to two percent of childhood cancers), they can be very complex, and require a multidisciplinary approach for optimal management. Families of children with liver tumors who come to NYP/Morgan Stanley Children’s for their care meet with all members of the child’s healthcare team right from the beginning, and all team members collaborate regularly throughout the child’s

providers. An approach called “Narrative Medicine” — offered through the Division’s Center for Comprehensive Wellness and in association with the Columbia Program in Narrative Medicine — can make starting these conversations a little easier. The program brings patients, family members, and/or staff members together in groups of two to eight people around a piece of literature, like a poem or short story, chosen by the group’s facilitator or by one of the group members. They read it out loud, think and talk about it, and then take time to write about it. Along the way, thoughts and feelings are expressed in creative and often surprising ways.

Skylar with Darrell Yamashiro, MD, and Debra Holmberg, PNP treatment to ensure that care is delivered effectively and compassionately. Pamela was especially appreciative of the Division’s integrative medicine services, taking advantage of aromatherapy to ease her daughter’s nausea and discomfort, and chair massage for her own relaxation. “The doctors and all the staff blew us away. They were highly professional and open-minded, and welcomed us and our daughter,” she says. “Their teamwork was just amazing.”

but also an award-winning fiction writer and a graduate of Harvard Divinity School. “But it’s also a way for us to address the psychological and spiritual health of sick children and everyone involved in their care. It’s a way to ask about how people are feeling that invites a complex response.” For example, one group was asked to read a Shel Silverstein poem called “Magic,” and then asked to write about a time when they had to make their own magic. “As in the poem,” adds Dr. Adrian, “for everyone who participated, making magic in the context of a child’s illness was about a lot more than fairies and leprechauns.” Narrative Medicine is being used in the Division to allow patients, families, and staff to express themselves to each other. Says Dr. Adrian, “Narrative Medicine is another component of the care we provide that addresses the Total Child — body, mind, and spirit.”

Maria Luisa Sulis, MD, who leads the hematologic malignancies program, has built a leukemia sample bank to provide the patient samples necessary to empower basic science breakthroughs

Precision Medicine, Personalized Care

Under Dr. Yamashiro’s guidance, in April 2010, Skylar began treatment with chemotherapy to shrink the tumor to reduce the risk of complications during surgical resection. The surgery was performed by Tomoaki Kato, MD, an internationally renowned transplant surgeon, and afterward Skylar continued to receive combination chemotherapy to destroy any residual tumor cells. She completed her treatment that September. Today Skylar is a bright-eyed 6-year-old who enjoys swimming, dance class, and gymnastics and who has no evidence of disease.

“Narrative Medicine can improve communication among all parties involved in the care of a sick child, and we know that good communication is vital to good care,” explains Chris Adrian, MD — who is not only a pediatric hematologist/oncologist,

gastroenterologists, • Palliative care to improve the quality of life of patientspulmonologists, and their families neurologists, and he advances that have been achieved the management of pediatric from theinmoment of diagnosis by relieving symptoms and helping endocrinologists, them to urologists to assist with organ toxicities understand and cope with in a serious illness. cancers all came about as a result of research. Scientists the Division that arise due to cancer or its treatment are working in the laboratory and the clinic — and bridging the two • Pediatric infectious disease specialists to — to accelerate the pace of such progress. For example, Adolfo Ferrando, MD, 16 help guide prevention and treatment of PhD, and his team are exploring the molecular mechanisms underlying the infectious complications growth of acute lymphoblastic leukemia (ALL), particularly leukemias that • A dedicated pediatric Emergency develop resistance to chemotherapy. In a paper published in Nature Medicine, Department for 24/7 emergency care they identified a gene called NT5C2 which, when mutated, allows leukemia cells to degrade 6-mercaptopurine, an important backbone of conventional ALL therapy. “This genetic mutation may serve as a target for new therapies that could work by inactivating mutant NT5C2, restoring the sensitivity of leukemia cells to anticancer drugs,” Dr. Ferrando explains. His team has also learned that a protein called AKT1 may be involved in the resistance of leukemia cells to glucocorticoids, another critical component of ALL treatment. In a paper published in Cancer Cell, Dr. Ferrando’s team demonstrated that inhibiting AKT1 could reverse the resistance of leukemia cells to glucocorticoids.

Translating these basic science discoveries to the clinic is a major priority within the Division, especially using a team-based approach partnering clinical with basic science researchers. Maria Luisa Sulis, MD, is an ideal partner for Dr. Ferrando, having previously trained in his laboratory and now serving as head of the hematologic malignancies program within the Division. Over the last ten years, Dr. Sulis has built a leukemia sample bank that has played a vital role in providing the patient samples necessary to empower basic science breakthroughs. In turn, she is now guiding the development of national clinical trials based on the resulting discoveries. “My goal is to be a champion for my patients and to help enable the bidirectional translational research that will improve the outcomes for all patients in the future,” explains Dr. Sulis.

As a Licensed Massage Therapist, Pamela knew every inch of her baby girl’s body. So when she felt a golf ball-sized lump in her one-year-old daughter Skylar’s abdomen, she knew something wasn’t quite right. After two months of fevers, blood tests, and ultimately an imaging exam, Pamela and her husband, Trever, learned Skylar had hepatoblastoma. They made an appointment with Darrell Yamashiro, MD, PhD, a pediatric liver cancer specialist at NYP/Morgan Stanley Children’s, traveling to Manhattan from their home in New Milford, Connecticut.

It can be difficult for some children and adolescents with cancer and other serious illnesses, as well as their family members, to put their experience into words and talk about what matters most to them with each other and their healthcare

• Social workers, who provide emotional support, advocacy, crisis intervention, brain and spinal cord tumors and referrals to resources, and help coordinate a safe and secure plan when it is • Pediatric orthopedic surgeons for children time to leave the hospital. with bone tumors

Our program is rooted in science, with strong

A Team Approach to One Little Girl’s Care

Navigating with Words

Just as it takes a village to raise a child,

it takes a teamfor to children treat a child with • Neuropsychological assessment and psychosocial support cancer. At NYP/Morgan Stanley Children’s, and individual and group counseling for families.

•

WELLNESS FOR PATIENTS AND FAMILIES

“The doctors and all the staff blew us away. They were highly professional and open-minded, and welcomed us and our daughter. Their teamwork was just amazing.”

Animal Care & Control of NYC

Corporate Branding

Animal Care & Control of NYC

Animal Care Spring Fling

ReSCue

RoAST

to benefit

Animal Care & Control of NYC

A Full Bodied Smooth Tasting Dark Coffee

Friday, May 3rd 2013 7 to 9 pm

100%

Arabica Coffee Regular Ground

The National Arts Club 15 Gramercy Park South Tickets $100 ($110 at the door)

Rescue tea Half the proceeds from this special roast will help the furry friends you love the most at Animal Care & Control of NYC.

nycacc.org

English Morning â&#x20AC;&#x201C; Black Tea

Half the proceeds from this special tea will help the furry friends you love the most at Animal Care & Control of NYC.

Net Weight 11 oz.

Made with Premium Ceylon, Fine Assam, and Nilgiri Tea

nycacc.org

15 Tea Pyramids (32.92g)

Click here to purchase tickets

Adopt Donate Volunteer my dog oreo

AC&C All About Cats 11 Park Place, Suite 805, New York, NY 10007 office 212 442 2059 fax 212 442 2066 cell 917 217 9727 email jbank@nycacc.org web nycacc.org

FELINE Allipsum About Discuss Pet Adoption dolorDogs sit amet, consectetur adipiscing elit.

Julie Bank

My cat, Whiskers.

• Lorem ipsum dolor sit amet, consectetur adipiscing elit. Fusce ac metus massa. Nam semper magna eget mauris ullamcorper ut malesuada nibh imperdiet.

Executive Director

Dr. Thomas Farley Chairperson

CANINE

Bruce Doniger Treasurer Adrian Benepe

• In metus arcu, eleifend at hendrerit et, pretium a felis. Proin vulputate Director Pet Adoption Day Dr. Thomas Farley suscipit imperdiet. sollicitudin felis at pellentesque DiscussPhasellus Pet Adoption ipsum dolor sitligula amet, consectetur adipiscing elit. scelerisque. Aliquam ac lacus felis, ac blandit arcu. Curabitur nec purus Jay Kuhlman, DVM Chairperson Director sem, vel iaculis velit vulputate suscipit. • Lorem ipsum dolor sit amet, consectetur adipiscing elit. Fusce ac metus ADOPTION Bruce Doniger massa. Nam semper magna eget mauris ullamcorper ut malesuada nibh John M. B. O’Connor Treasurer • Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere imperdiet. Director 1 cubilia Curae; Cras magna est, sodales non ultrices et, mollis sit amet Adrian Benepe enim. Etiam •eget malesuada varius. In massa metus eget arcu,metus eleifend at hendrerit et, pretium a felis. Proin vulputate Director David Colon Beipsum a Volunteer Dr. Thomas Farley suscipit imperdiet. sollicitudin felis at DiscussPhasellus Pet Adoption dolor sitligula amet,pellentesque consectetur Director adipiscing elit. • Quisque sodalesscelerisque. blandit sapien, vitaeac viverra et. arcu. Curabitur nec purus Aliquam lacusdiam felis,suscipit ac blandit Jay Kuhlman, DVM Chairperson Director Pellentesque duisem, tortor, vitae non, non purus.adipiscing elit. vel mollis iaculis velit adipiscing vulputate suscipit. • Lorem ipsum dolor sitconvallis amet, consectetur Fusce Patrick Nolanac metus VOLUNTEER Bruce Doniger Maecenas tempus arcu in justomassa. interdum vestibulum. Nam semper magna eget mauris ullamcorper Director ut malesuada nibh John M. B. O’Connor Treasurer • Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere imperdiet. Director Richard Gentles • Quisque lacus augue, et consectetur commodo vel quam. cubiliadapibus Curae; Cras magna est,ac, sodales non ultrices et, mollis sit amet Adrian Benepe Secretary Cras vitae fermentum massa.•eget enim. Etiam malesuada varius. In massa metus eget arcu,metus eleifend at hendrerit et, pretium a felis. Proin vulputate Director David Colon Dr. Thomas Farley suscipit imperdiet. sollicitudin felis at pellentesque DiscussPhasellus Pet Adoption ipsum dolor sitligula amet, consectetur Director adipiscing elit. Risa Weinstock • Aliquam erat •volutpat. Aliquam aliquam. Curabitur luctus, Quisque sodalessagittis blanditvehicula sapien, vitaeac viverra diam et. arcu. Interim scelerisque. Aliquam lacus felis,suscipit ac blandit Curabitur necDirector purus Jay Kuhlman, DVM Chairperson Executive justo vel tincidunt dapibus, tellus turpis suscipit est,adipiscing in aliquam purus Director Pellentesque duisem, tortor, vitae non, non purus.adipiscing elit. vel mollis iaculis velit vulputate suscipit. • Lorem ipsum dolor sitconvallis amet, consectetur Fusce Patrick Nolanac metus Bruce Doniger metus sit amet turpis. Nullatempus at ultricies Pellentesque volutpat justo eget mauris ullamcorper Director Maecenas arcu risus. in justo interdum vestibulum. massa. Nam semper magna ut malesuada nibh John M. B. O’Connor Treasurer sed lectus consequat et adipiscing eros aliquet. • Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere imperdiet. Director Richard Gentles • Quisque lacus augue, et consectetur commodo vel quam. cubiliadapibus Curae; Cras magna est,ac, sodales non ultrices et, mollis sit amet Adrian Benepe Secretary • Fusce ac diam at odio imperdiet pulvinar sit•eget amet ac ligula. Aenean Cras vitae fermentum massa. enim. Etiam eget metus malesuada varius. In massa metus arcu, eleifend at hendrerit et, pretium a felis. Proin vulputate Director David Colon consectetur purus ut massa eleifend id commodo magnaimperdiet. dignissim. Dr. Thomas Farley suscipit ligula pellentesque DiscussPhasellus Volunteersollicitudin ipsum dolorfelis sit at amet, consectetur Director elit. Risa Weinstock adipiscing Vestibulum non tempus erat odio.•volutpat. InQuisque tincidunt neque ac lorem consequat • Aliquam Aliquam sagittis vehicula aliquam. Curabitur luctus, sodales blandit sapien, vitaeac viverra diam et. arcu. Interim scelerisque. Aliquam lacus felis,suscipit ac blandit Curabitur necDirector purus Jay Kuhlman, DVM Chairperson Executive posuere. justo vel tincidunt dapibus, tellus turpis suscipit est,adipiscing in aliquam purus Director Pellentesque duisem, tortor, vitae non, non purus.adipiscing elit. vel mollis iaculis velit vulputate suscipit. • Lorem ipsum dolor sitconvallis amet, consectetur Fusce Patrick Nolanac metus 11 Park Place, Suite 805 • New York, NY 10007 Bruce Doniger metus sit amet turpis. Nullatempus at ultricies Pellentesque volutpat justo eget mauris ullamcorper Director Maecenas arcu risus. in justo interdum vestibulum. massa. Nam semper magna ut malesuada nibh tel 212 442 2057 • fax 212 442 2066 • www.nycacc.org John M. B. O’Connor Treasurer • Lorem ipsum dolor amet, consectetur adipiscing elit.aliquet. Fusce acipsum metusprimis in faucibus orci luctus et ultrices posuere sed sit lectus consequat et adipiscing eros • Vestibulum ante imperdiet. Director Richard Gentles massa. Nam semper magna eget mauris ullamcorper utdapibus malesuada nibh est,ac, • Quisque lacus augue, et consectetur commodo vel quam. cubilia Curae; Cras magna sodales non ultrices et, mollis sit amet Adrian Benepe Secretary imperdiet. • Fusce ac diam at odio imperdiet pulvinar sit•eget amet ac ligula. Aenean Cras vitae fermentum massa. enim. Etiam eget metus malesuada varius. In massa metus arcu, eleifend at hendrerit et, pretium a felis. Proin vulputate Director David Colon consectetur purus ut massa eleifend id commodo magnaimperdiet. dignissim.Phasellus sollicitudin felis at ligula pellentesque suscipit Julie Bank • In metus arcu, eleifend Director Risa Weinstock at hendrerit et, erat pretium atincidunt felis. Proin vulputate Vestibulum non tempus odio.•volutpat. InQuisque neque ac lorem consequat • Aliquam Aliquam sagittis vehicula aliquam. Curabitur luctus, sodales blandit sapien, vitaeac viverra diam et. arcu. Interim scelerisque. Aliquam lacus felis,suscipit ac blandit Curabitur necDirector purus Jay Kuhlman, DVM Executive Director Executive suscipit imperdiet. Phasellus sollicitudin felis at ligula pellentesque posuere. justo vel tincidunt dapibus, tellus turpis suscipit est,adipiscing in aliquamsuscipit. purus Director Pellentesque duisem, tortor, non, convallis non purus. vel mollis iaculisvitae velit vulputate Patrick Nolan scelerisque. Aliquam ac lacus felis, arcu. Curabitur necarcu purus metusacsitblandit amet turpis. Nullatempus at ultricies risus. Pellentesque volutpat justo Maecenas in justo interdum vestibulum. Director John M. B. O’Connor sem, vel iaculis velit vulputate suscipit. • Lorem ipsum dolor sit amet, consectetur adipiscing elit.aliquet. Fusce metusprimis in faucibus orci luctus et ultrices posuere sed lectus consequat et adipiscing eros • Vestibulum anteacipsum Director Richard Gentles massa. Nam semper magna eget mauris ullamcorper utdapibus malesuada nibh est,ac, • Quisque lacus augue, et consectetur commodo vel quam. cubilia Curae; Cras magna sodales non ultrices et, mollis sit amet Secretary imperdiet. • Fusce ac diam at odio imperdiet pulvinar sit eget ametmassa ac ligula. Cras vitae fermentum massa. enim. Etiam egetAenean metus malesuada varius. OF David Colon consectetur purus ut massa eleifend id commodo magna dignissim. Director Risa Weinstock • In metus arcu, eleifend at hendrerit et, erat pretium atincidunt felis. Proin vulputate Vestibulum non tempus odio.•volutpat. InQuisque neque ac lorem consequat • Aliquam Aliquam sagittis vehicula aliquam. Curabitur luctus, et. sodales blandit sapien, vitae viverra diam suscipit Interim Executive Director Animal Care & Control of NYCimperdiet. 11 Parkposuere. Place, Suite 805 Newvel York, NY 10007 suscipit Phasellus sollicitudin felis at ligula pellentesque justo tincidunt dapibus, tellus turpis mollis suscipit est,adipiscing in aliquamnon, purus Pellentesque dui tortor, vitae convallis non purus. Patrick Nolan tel 212 442 2057 faxscelerisque. 212 442 2066Aliquam www.nycacc.org ac lacus felis, acsitblandit arcu. Curabitur necarcu purus metus amet turpis. Nullatempus at ultricies risus. Pellentesque volutpat justo www.nycacc.org Maecenas in justo interdum vestibulum. Director Animal Care & Control of NYC sem, vel iaculis velit vulputate suscipit. • Lorem ipsum dolor sit amet, consectetur adipiscingeros elit.aliquet. Fusce ac metus sed lectus consequat et adipiscing Richard Gentles massa. Nam semper magna eget mauris ullamcorper malesuada nibh • Quisque lacus augue,utdapibus et consectetur ac, commodo vel quam. Secretary imperdiet. • Fusce ac diam at odio imperdiet pulvinar sit amet ac ligula. Aenean Cras vitae fermentum massa. consectetur purus ut massa eleifend id commodo magna dignissim. Risa Weinstock • In metus arcu, eleifend at hendrerit et, erat pretium felis. Proin vulputate Vestibulum non tempus odio.volutpat. In atincidunt neque ac lorem consequat • Aliquam Aliquam sagittis vehicula aliquam. Curabitur luctus, Interim Executive Director Animal Care & Control of NYCimperdiet. 11 Parkposuere. Place, Suite 805 Newvel York, NY 10007 suscipit Phasellus sollicitudin felis at ligula pellentesque justo tincidunt dapibus, tellus turpis suscipit est, in aliquam purus tel 212 442 2057 faxscelerisque. 212 442 2066Aliquam www.nycacc.org ac lacus felis, arcu. Curabitur nec purus metusacsitblandit amet turpis. Nulla at ultricies risus. Pellentesque volutpat justo Animal Care & Control of NYC sem, vel iaculis velit vulputate suscipit. • Lorem ipsum dolor sit amet, consectetur adipiscingeros elit.aliquet. Fusce ac metus sed lectus consequat et adipiscing massa. Nam semper magna eget mauris ullamcorper ut malesuada nibh imperdiet. • Fusce ac diam at odio imperdiet pulvinar sit amet ac ligula. Aenean consectetur purus ut massa eleifend id commodo magna dignissim. • In metus arcu, eleifend at hendrerit et, pretium felis. Proin vulputate Vestibulum non tempus odio. In atincidunt neque ac lorem consequat Animal Care & Control of NYCimperdiet. 11 Parkposuere. Place, Suite 805 New York, felis NY 10007 suscipit Phasellus sollicitudin at ligula pellentesque tel 212 442 2057 faxscelerisque. 212 442 2066Aliquam www.nycacc.org ac lacus felis, ac blandit arcu. Curabitur nec purus Animal Care & Control of NYC sem, vel iaculis velit vulputate suscipit. • Lorem ipsum dolor sit amet, consectetur adipiscing elit. Fusce ac metus massa. Nam semper magna eget mauris ullamcorper ut malesuada nibh imperdiet.

Committed to Caring

Animal Care

& Control NYC OF

11 Park Place, Suite 805 • New York, NY 10007 • tel 212 442 2057 • fax 212 442 2066 • www.nycacc.org

Animal Care

& Control NYC

AC&C

September 3, 2010

AC&C

Mr. and Mrs. Smith 1234 Any Road New York, NY 10001

Dear Mr. and Mrs. Smith,

AC&C

Consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation ullamcorper suscipit lobortis nisl ut aliquip ex ea commodo consequat. Duis autem vel eum iriure dolor in hendrerit in vulputate velit esse molestie consequat, vel illum dolore eu feugiat nulla facilisis at vero eros et accumsan et iusto odio dignissim qui blandit praesent luptatum zzril delenit augue duis dolore te feugait nulla facilisi. Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation ullamcorper suscipit loborti ut aliquip ex ea commodo consequat.

• In metus arcu, eleifend at hendrerit et, pretium a felis. Proin vulputate

AC&C

Animal Care & Control of NYCimperdiet. 11 Park Place, Suite 805 New York, felis NY 10007 suscipit Phasellus sollicitudin at ligula pellentesque tel 212 442 2057 faxscelerisque. 212 442 2066Aliquam www.nycacc.org ac lacus felis, ac blandit arcu. Curabitur nec purus

Animal Care & Control of NYC

sem, vel iaculis velit vulputate suscipit.

Animal Care & Control of NYC 11 Park Place, Suite 805 New York, NY 10007 tel 212 442 2057 fax 212 442 2066 www.nycacc.org

Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh eu tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisi enim ad minim veniam, OF quis nostrud exerci tation ullamcorper suscipit lobortis nisl ut aliquip ex ea commodo 11 Park Place, Suite 805 • New York, NY 10007 consequat. Duis autem vel eum iriure dolor in hendrerit in vulputate velit esse molestie consequat, vel dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat.

Animal Care

& Control NYC

Ut wisi enim ad minim veniam, quis nostrud exerci tation ullamcorper suscipit lobortis nisl ut aliquip ex ea commodoDonate consequat. Duis autem vel eum iriure dolor in hendrerit in vulpu Adopt Volunteer tate velit esse molestie consequat, vel illum dolore eu feugiat nulla facilisis at vero eros et accumsan et iusto odio dignissim blandit praesent luptatum zzril delenit augue duis dolore te feugait nulla facilisi.

AC&C

Sincerely,

All About Cats

Julie Bank

FELINE

Julie Bank Executive Director

Allipsum About Discuss Pet Adoption dolorDogs sit amet, consectetur adipiscing elit. • Lorem ipsum dolor sit amet, consectetur adipiscing elit. Fusce ac metus massa. Nam semper magna eget mauris ullamcorper ut malesuada nibh imperdiet.

Dr. Thomas Farley Chairperson Bruce Doniger Treasurer

Animal Care

CANINE

& Control NYC OF

Adrian Benepe Director

• In metus arcu, eleifend at hendrerit et, pretium a felis. Proin vulputate Pet Adoption Day Dr. Thomas Farley suscipit imperdiet. sollicitudin felis at pellentesque DiscussPhasellus Pet Adoption ipsum dolor sitligula amet, consectetur adipiscing elit. scelerisque. Aliquam ac lacus felis, ac blandit arcu. Curabitur nec purus Jay Kuhlman, DVM Chairperson Director sem, vel iaculis velit vulputate suscipit. • Lorem ipsum dolor sit amet, consectetur adipiscing elit. Fusce ac metus Bruce Doniger massa. Nam semper magna eget mauris ullamcorper ut malesuada nibh John M. B. O’Connor Treasurer • Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere imperdiet. Director cubilia Curae; Cras magna est, sodales non ultrices et, mollis sit amet Adrian Benepe enim. Etiam •eget malesuada varius. In massa metus eget arcu,metus eleifend at hendrerit et, pretium a felis. Proin vulputate Director David Colon Beipsum a Volunteer Dr. Thomas Farley suscipit imperdiet. sollicitudin felis at DiscussPhasellus Pet Adoption dolor sitligula amet,pellentesque consectetur Director adipiscing elit. • Quisque sodalesscelerisque. blandit sapien, vitaeac viverra et. arcu. Curabitur nec purus Aliquam lacusdiam felis,suscipit ac blandit Jay Kuhlman, DVM Chairperson Director Pellentesque duisem, tortor, vitae non, non purus.adipiscing elit. vel mollis iaculis velit adipiscing vulputate suscipit. • Lorem ipsum dolor sitconvallis amet, consectetur Fusce Patrick Nolanac metus

ADOPTION

Animal Care

& Control NYC OF

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