An Anton Community Newspapers Special Supplement • February 19 - 25, 2014
PROFILES IN MEDICINE
• Pediatric Cleft Palates • Hofstra’s Medical Students • Urgent Care Clinics Dr. Rachel Ruotolo at her office Douglas Elliman Real Estate is New York’s largest residential brokerage, with over 73 offices in Long Island, New York City, the Hamptons, Westchester/Putnam, South Florida and now Los Angeles. Call one of our offices in your area and put the power of Elliman to work for you. Great Neck 516.466.2100 Huntington 631.549.4400 Locust Valley 516.759.0400 Long Beach 516.432.3400 Manhasset 516.627.2800
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PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
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PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
“It’s the smartest thing we’ve ever done.”
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LIU Post Tops In Nursing Long Island University/C.W. Post has recently ranked 123rd in the U.S. News 2014 edition of Best Colleges in Regional Universities (North), and its programming such as the school’s department of nursing is proof. The LIU Post School of Health Professions and Nursing offers a comprehensive range of undergraduate and graduate programs that prepare nurses to become strong, effective leaders who excel in compassionate care, management and teacher education. The health care industry is changing and nurses play a critical role in the continued quality of patient care. Nurses help others, using skills that blend scientific knowledge with compassion and caring. Few professions offer such a rewarding combination. Nurses are the largest single component of any hospital staff — the primary providers of hospital patient care — and they deliver most of the nation’s nursing home care. LIU Post’s School of Nursing is accredited by the Commission on Collegiate Nursing Education (CCNE). CCNE ensures the quality and integrity of baccalaureate, graduate and residency programs in nursing. CCNE serves the public interest by assessing and identifying programs that engage in effective educational practices. As a voluntary, self-regulatory process, CCNE accreditation supports and encourages continuing self-assessment by nursing programs and supports continuing growth and improvement of collegiate professional education and post-baccalaureate nurse residency programs. The programs in the Department of Nursing are accredited by CCNE. The faculty at the school of nursing is dedicated to preparing the student for life-long learning in order to meet the increasing demands of the expanding environment of nursing practice. The graduates of the Department of Nursing will have developed the values and
competencies which include: critical thinking; culturally competent care; autonomy; communication; and decision making within a framework of professional and ethical principles that are central to the delivery of nursing care in a global environment. The school offers a Bachelor of Science degree program exclusively for RNs and Master of Science degrees in Family Nurse Practitioner, Advanced Practice Nursing: Clinical Nurse Specialist and Nursing Education. Also offered are post-master’s advanced certificates in Family Nurse Practitioner and Nursing Education. The Master of Science in Nursing Education is designed to meet the shortage of nursing educators and is delivered in an innovative blended format, with nearly half of the courses offered online. The Bachelor of Science and Master of Science Programs in Nursing are fully accredited by the Commission on Collegiate Nursing Education. The Bachelor of Science in Nursing program at LIU Post is an upper division program for registered nurses. Graduates of associate degree programs in nursing receive 28 transfer credits for previous nursing education and graduates of diploma schools receive 28 credits of advanced standing toward the degree. Nursing courses are taught by professors who serve as both educators and mentors. Courses are offered during the day and evening to accommodate the schedules of registered nurses, in small class settings that encourage participation and ensure individual attention. Courses in the M.S. in Nursing Education are all offered in the Blended Learning format. Many of the core courses in the family nurse practitioner program and clinical nurse specialist program are also offered in the blended format. For more information email: post-enroll@liu.edu or call 516-299-2900. The LIU Admissions office in Mullarkey Hall at 720 Northern Blvd. in Brookville.
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BY ANTON NEWS STAFF
editorial@antonnews.com
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PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
Exploring The Biological Causes Of Autism BY ANTON NEWS STAFF
Dr. Ilan Dinstein explores the biological factors of autism.
editorial@antonnews.com
remain undiagnosed or misdiagnosed for many years. “During the last 10 years or so, scientists have realized that autism is not one disorder, but rather an entire family of disorders with distinct biology. For example, there are many genes that raise the risk of developing autism, suggesting that there are multiple biological paths that may lead a child to display social and communication problems,” said Dinstein. His goal is to develop a tool that will
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reliably identify even 20 to 30 percent of autistic children based on MRI scans or EEG exams at the age of one, which he believes will revolutionize the field. “Even today, early diagnosis paves the way for early behavioral intervention, which leads to better prognosis. If we can understand what’s different in the biology of children with autism, we may be able to identify the mechanisms that need to be corrected. Rather than treating all individuals
with autism using the same behavioral therapy, as is generally done today, it may be possible to develop targeted pharmacological therapies that will nudge the child’s development back to a typical course. “The human brain has great plasticity during early childhood, which disappears as the brain matures and becomes more rigid. With developmental disorders, it is probably critical to intervene before this period of plasticity ends,” he explained. Dr. Dinstein earned his Ph.D. in neuroscience at New York University, and did postdoctoral work at Carnegie Mellon University. At BGU, he plans to continue his successful collaborations with autism experts around the world, who include Prof. Marlene Behrmann at Carnegie Mellon University and Prof. Eric Courchesne at the University of California, San Diego. To learn more about the pioneering research and academic programs that are flourishing at Ben-Gurion University of the Negev, contact Kevin Leopold at newyork@aabgu.org or 646-452-3686, or visit www.aabgu.org.
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Dr. Ilan Dinstein, a 37-year-old autism researcher, is a member of Department of Psychology and the Zlotowski Center for Neuroscience at Ben-Gurion University of the Negev (BGU). His neurophysiological autism lab, the first of its kind in Israel, studies the physicality of autism in the brain, rather than from a behavioral perspective. “We want to transform the definition of autism from one that is behavioral to one that is biological,” Dinstein said. Based on recent information from the U.S. Centers for Disease Control and Prevention (CDC), one in 50 children in the United States is diagnosed with autism, with similar numbers reported in Israel. These figures have skyrocketed since the 1980s, when only one in 5,000 received this diagnosis. Autism is rapidly becoming the most prevalent developmental disorder in children worldwide. However, there are currently no objective biological measures to help clinicians identify autism. The disorder is often identified at the age of two or three, but may also easily
PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
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St. Joseph Hospital Introduces
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PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
Hofstra’s School Of Medicine Receives $10 Million Gift
The Louis Feil Charitable Lead Annuity Trust, a philanthropic organization with a long history of supporting medical facilities, causes, research and education, recently announced their endowment of a $10 million scholarship fund for students at the Hofstra North Shore-LIJ School of Medicine. The Gertrude and Louis Feil Endowed Scholarship Fund for Medical Students recognizes and supports the innovative curriculum that has made Hofstra North ShoreLIJ School of Medicine a national model for medical education by fully integrating academic and clinical experiences from the beginning of a student’s training. Hofstra North Shore-LIJ School of Medicine is the first new allopathic medical school in New York state since 1963, and now has an enrollment of 180 students. The charter class will graduate in May 2015. Last summer, the school broke ground on a $35.9 million, 65,000-square-foot addition that will more than double its size. “The Feil Trust has long supported community-based health care facilities and programs that improve
access to high-quality medical care,” said Hofstra President Stuart Rabinowitz. “We are honored by this extraordinary support for the students of the Hofstra North Shore-LIJ School of Medicine, which is focused on training patient-centered physicians who are sensitive to the communities they serve.” The Feil Trust has supported numerous hospitals and health-related causes in the region, including Weill
Cornell Medical College, Peconic Bay Medical Center in Manorville and South Nassau Communities Hospital. The medical school scholarship fund is named for the parents of Jeffrey J. Feil, who is a president and CEO of the Feil Organization real estate company and a trustee of the charitable organization. The School of Medicine was formed in response to the Association of American Medical Colleges’ 2006
recommendation to increase medical school enrollment by 30 percent by 2015. Hofstra University, Long Island’s largest and most prestigious private university, and North ShoreLIJ Health System, one of the largest health systems in the nation, responded to this need by establishing the Hofstra North Shore-LIJ School of Medicine. — Submitted by Hofstra North Shore-LIJ School of Medicine
American Heart Association’s Top 10 Research Report BY JESSICA DIMEO
editorial@antonnews.com
New prevention guidelines, programs to control blood pressure, getting more people to access cardiac rehab services and a possible link between digestive bacteria and heart disease risk are included in a recap of last year’s top cardiovascular and stroke advances identified by the American Heart Association (AHA) and American Stroke Association. “To become a nation of healthier people who live longer, better quality lives, it’s important to reflect on the progress we’ve made,” said Mariell Jessup, M.D., president of the AHA. “Medical research answers critical questions we have about cardiovascular disease, raises important new questions and sets the stage for future concepts.” The association has been compiling an annual list of the top 10 major advances in heart disease and stroke science since 1996. Here are the association’s top scientific advances for 2013: 1. Prevention guidelines In November, the AHA and American College of Cardiology published a set of four guidelines on obesity, cholesterol, risk assessment and lifestyle to help
patients and physicians prevent more heart attacks and strokes. The guidelines, based on a thorough review of scientific evidence, were completed by the AHA and ACC after being initiated by the National Heart, Lung, and Blood Institute in 2008. Highlights include: • obesity requires long-term professional management • lower overall heart attack and stroke risk, not just cholesterol • assessing risk of heart attack and stroke in more people • lifestyle guidelines: dietary patterns and exercise 2. Controlling high blood pressure Although researchers understand the best ways to treat hypertension, many patients do not know they have it, and only half of the 75 percent of patients being treated control it to a healthy level. 3. Combatting poor childhood and early adulthood heart health and its aftermath Two studies looked at heart health in young people — one used the American Heart Association’s Life’s Simple 7 health measures to determine how ideal health affected brain function in middle age. The other evaluated a preschool
curriculum’s effect on the health habits of preschoolers and their families. 4. Getting more people to cardiac rehabilitation has big results Following hospitalization for cardiovascular disease, simple changes can greatly increase enrollment and participation in cardiac rehabilitation, and rehabilitation significantly lowered the death rate after heart bypass surgery, according to several 2013 studies. 5. Breakthroughs in congenital heart disease genetics Two new papers have significantly increased our understanding of the genetics of congenital heart disease. One identified 400 genes potentially responsible for congenital heart disease, and found that 10 percent of mutations leading to severe congenital heart disease were new and not passed down by a parent. Another study showed for the first time that, mutations within a genetic pathway that regulates early development may be responsible for congenital heart disease, and may also have a link to autism. 6. How intestinal microbes raise the cardiovascular disease risk from red meat An emerging area of nutrition science is the study of bacteria, or microbes, in
the digestive system and how they affect heart disease risk. 7. Atrial Fibrillation Atrial fibrillation, an irregular heartbeat that can lead to blood clots, stroke, heart failure and other heart-related complications, affects 2.7 million Americans. One study found that atrial fibrillation also may affect cognitive function. 8. Simplifying the cooling of cardiac arrest patients and extending life support Resuscitation studies provided guidance on cooling cardiac arrest patients — called therapeutic hypothermia — and on how long to provide life support after they’ve been rewarmed. 9. Endovascular treatment for stroke Several studies evaluated the use of endovascular treatment of strokes caused by blocked blood vessels supplying the brain. 10. Niacin doesn’t lower heart risks, may be harmful In 2013, the largest study of niacin showed that the drug, combined with laropiprant, added to reduce the facial flushing caused by niacin, does not benefit people at risk for heart disease or stroke, and may even be harmful.
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PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
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PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
Did You Know?
Follow your heart. It will lead you to the only Long Island hospital ranked in the top 10 nationally for Cardiology & Heart Surgery.
Some things you might not know about your local hospitals BY ANTON NEWS STAFF
editorial@antonnews.com
• St. Francis Open Heart Program at Good Samaritan Hospital is launched In collaboration with Good Samaritan Hospital, St. Francis Hospital — The Heart Center is bringing a nationally recognized and award-winning open heart surgery program to residents of Suffolk County. As members of Catholic Health Services, both Good Sam and St. Francis are known for their commitment to compassionate care and patient safety, along with superior clinical outcomes. Through this collaboration, an entire clinical team from St. Francis’ open heart surgery program, including heart surgeons, anesthesiologists, registered nurses, physicians assistants, nurse practitioners and perfusionists, are on-site at Good Sam caring for patients requiring heart surgery. St. Francis is known as the Heart Center for its unrivaled experience in providing more cardiac surgeries than any other hospital in New York. Over the past decade, St. Francis surgeons have performed more than 16,000 open heart procedures. In addition to being New York’s only specialty designated cardiac center, St. Francis was once again rated the top hospital on Long Island for 2013-14 and 8th in the nation for cardiology and heart surgery by U.S. News & World Report.
For the seventh consecutive year, St. Francis Hospital is the only Long Island hospital nationally ranked in Cardiology & Heart Surgery by U.S.News & World Report. And if you live in Suffolk County, follow your heart to Good Samaritan Hospital. St. Francis is now performing open heart surgeries there as well.
100 Port Washington Blvd., Roslyn, NY 11576 For a physician referral, call 1-888-HEARTNY.
www.stfrancisheartcenter.com
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• South Nassau Cancer Program earns prestigious award from ACS Commission on cancer South Nassau Communities Hospital’s Gertrude & Louis Feil Cancer Center has been named a recipient of the American College of Surgeons (ACS) Commission on Cancer (CoC) Outstanding Achievement Award. South Nassau is one of just seven hospitals in New York and only 84 in the nation to receive the prestigious award in 2012. South Nassau Communities Hospital is one of the region’s largest hospitals, with 435 beds, more than 900 physicians and 3,000 employees. Located in Oceanside, the hospital is an acute-care, not-for-profit teaching hospital that provides state-of-the-art care in cardiac, oncologic, orthopedic, bariatric, pain management, mental health and emergency services. South Nassau is a designated Stroke Center by the New York State Department of Health and Comprehensive Community Cancer Center by the American College of Surgeons and is recognized as a
South Nassau Communities Hospital’s Gertrude & Louis Feil Cancer Center. Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery. Visit www.southnassau.org for more information. • St. Joseph Hospital has a full array of outpatient services Radiology — CT scanning on our brand new state of the art GE low dose scanner. Sleep Center — Do you have trouble sleeping?, do you snore?, are you tired during the day? Balance Center — Did you know that 50 percent of the entire population will experience dizziness or balance problems often resulting in falls? Do you suffer from vertigo? The Balance Center will diagnose and treat your symptoms so that you will not have to suffer anymore. Other outpatient services include: hyperbaric, wound care, and gastroenterology. • Mercy and St. Charles named top performers Both Mercy Medical Center and St. Charles Hospital have been ranked a Top Performer on Key Quality Measures by The Joint Commission, the leading accreditor of health care organizations in the U.S. They are among just 45 hospitals in New York state to earn such designation out of more than 3,000 U.S. hospitals evaluated. The ratings are based on an aggregation from the accountability measure data reported to The Joint Commission during the 2012 calendar year. St. Charles earned a place among the Best Hospitals for 2013–14, as ranked by U.S. News & World Report. In addition, CHS’s Our Lady of Consolation and St. Catherine of Siena were recognized as among the Best Nursing Homes in the nation.
PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
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Super Medical Technology Comes To Long Island rable imaging technologies like MRI
MSKUS has also become an indispensable tool in tracking the course of therapy, making it critical in the treatment of rheumatoid arthritis, a disease which actually destroys joint tissue, causes excruciating pain, and disfigures hands and feet. It not only allows doctors to watch the disease progression, but also shows how well specific medications are working so that each patient’s therapy is individualized and optimized.
What MSKUS does is simple: with the touch of a transducer — a handheld wand — to the skin, it painlessly renders a photo of the joint beneath that is so detailed it shows not only damaged tissue but actually reveals the destructive inflammatory pro“It’s an amazing technology,” says cess itself. Richard Blau, M.D., medical director You can’t do that with an X-ray. For at the Arthritis Institute of Long Is- an MRI, you’d have to make a sepaland in Hicksville, “and in my field, rate appointment with a radiologist it’s revolutionizing diagnosis and and lie inside a claustrophobic tube Since first bringing MSKUS to the therapy in a way I can only compare for half an hour to get the same in- Institute in December 2012, Dr. Blau to the invention of the stethoscope.” formation. If you walk into Dr. Blau’s has seen more than 500 of his patients achieve satisfying results with Dr. Blau’s field is rheumatology, the office with a sore shoulder, on the it. treatment of diseases and injuries of other hand, he can tell you within the joints, which means everything a few minutes if you have a muscle “This is cutting-edge science — realfrom a simple carpal tunnel syn- strain, bursitis, a separation or a torn ly the kind of thing you’d see in Star Trek,” Dr. Blau says. “But it’s real, and drome to the most devastating forms rotator cuff before you leave. of arthritis. He also uses the imaging technology it’s available right now at the Institute.” “We’re now seeing great results in 80 to guide injectable drugs with an acpercent of our patients with osteo- curacy never before achieved. That’s Dr. Richard Blau is a board-certified arthritis of the knee. Those kinds of important for medications like Hy- Rheumatologist. He is the medical results were unheard of a couple of algan, which some doctors call the director and founder of the Arthritis “WD-40” for the joints, because to Institute of Long Island and author years ago,” says Dr. Blau. be effective, you have to inject it into of the bestseller arthritis self-help The technology is called musculo- a space deep in the joint that’s only 1 book, Too Young to Feel Old. His skeletal ultrasound or MSKUS, and to 2 mm wide — barely bigger than a office is located at 120 Bethpage Rd., while the concept has been around pinhead. Hicksville. The phone number is for a while, it has recently become 516-932-7777. so advanced that it is fundamental- “Studies have shown that even the ly altering the way Dr. Blau practices most highly skilled doctors accurately get this kind of medicine to exactly medicine at the Institute. the right spot only three out of four Here’s why: times when they rely solely on their • It’s incredibly accurate own judgment and guesswork,” Dr. • It radically improves results Blau says. “With MSKUS, we can be • It’s painless accurate almost 100 percent of the • It’s portable time.” • It’s five times cheaper than compa-
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Ever notice how big medical breakthroughs seem to make it into television, magazines, radio and Internet news, but somehow never find their way into your local doctor’s office? Well, now one has. And it’s dramatically changing people’s lives on Long Island.
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PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
Gait Training For ReWalk Device
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editorial@antonnews.com
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Following the successful clinical trials at MossRehab in Philadelphia, the United Cerebral Palsy Association of Nassau County (UCPN) is offering ReWalk, an amazing advancement in mobility technology, through a gait training program at the Agency’s Fortunoff Treatment and Rehabilitation Center (FTRC). ReWalk is a motorized exoskeleton device available to aid paraplegics to regain upright mobility. Under the supervision of healthcare professionals, people with paralysis below the waist can be trained to use ReWalk to stand, sit, walk, and climb stairs. The UCPN is the first facility to offer ReWalk training in the regional area. The convenient location of UCPN will help the people of Long Island and many in the region have access to gait training with the ReWalk device. “Expert facilities like UCPN offering ReWalk gait training programs is beneficial to mobility-impaired individual; by providing a realistic alternative to the wheelchair, ReWalk is actually the first real step forward in mobility assistance,” according to Dr. Amit Goffer, the inventor of ReWalk and founder of Argo Medical Technologies Ltd., the Israeli company that developed ReWalk. “The UCPN is an outstanding institution in the New York area and we are excited to have partnered with them in bringing alternative mobility to many.” ReWalk is an exoskeleton bionic suit with leg braces worn over clothing. The leg braces have motorized knee and hip joints and are connected to a backpack the user wears. The backpack contains a computerized control box and a rechargeable battery that lasts about four hours of continuous use. For stability, support, and safety, fore-arm crutches are used. Sensors analyze body movements, and changes in the center of gravity, such as leaning forward, trigger mechanisms that control and sustain gait movements and other operational modes. ReWalk is lightweight, approximately 44 pounds, and relatively easy to maneuver, making this revolutionary technology a viable option for paraplegics. ReWalk is available to people with use of their arms and shoulders. Individuals must have the upper body strength to use the crutches and have healthy cardiovascular systems and bone density because of the physical
Above: A ReWalk user with members of the ReWalk Team at the Fortunoff Treatment and Rehabilitation Center (FTRC) at ucpn. demands of the device. After passing a medical exam, individuals can be certified to use ReWalk by successfully completing a training program supervised at a rehabilitation facility such as UCPN. The FTRC at UCPN provides comprehensive medical and clinical services for children and adults with disabilities. The center builds on decades of UCPN experience and offers a medical practice where individuals with special needs can receive expert health care from a staff of specially trained physicians, nurse practitioners, therapists, technicians and support staff. Specialists in a variety of disciplines are available through the primary care programs. Renowned experts in the fields of medical and surgical Specialties, pediatric specialties, rehabilitation services including seating and mobility, pressure mapping, wheelchair evaluation and computer access evaluations and applications are available as needed through primary care. The UCPN has been assisting individuals with disabilities since 1948. More than 1,800 patients benefit from the high-quality programs and services offered by UCPN. For more, call 516-378-2000 ext 285, email ReWalk@ ucpn.org, or visit www.ucpn.org.
PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
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A Better Kind of Cancer Care
“We give patients the opportunity to get the very best cancer care right in their own backyards.”
Dr. Jeffrey Schneider has an Ivy League medical education and was an attending physician at a leading New York City cancer center. His commitment to lung cancer patients led him to help create the first formal lung cancer screening program on Long Island and to take the lead in a number of breakthrough clinical trials in lung cancer that are achieving remarkable early results.
“The patients clearly come first here at Winthrop. We were first on Long Island to incorporate a Cancer Navigator for each of the major cancer types to work with patients and their families. No matter what anyone says, no cancer center has everything, but I can say with complete confidence that cancer patients who come to Winthrop are denied nothing.
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“Sometimes after a treatment a patient won’t feel well and may need to return to the hospital. It’s a big advantage to be right nearby. I’m proud to be here at Winthrop because I believe that we are offering a better kind of cancer care, closer to home.”
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PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
Long Island’s New Breed Of Doctors Hofstra to graduate its first class of doctors in 2015 BY CHRISTY HINKO
Hofstra medical students: Reshmi Madankumar, Lindsay Hahn, Samantha Ruff, and Daniel Ohngemach. (Photo by Christy Hinko)
chinko@antonnews.com
In May 2015, Long Island will receive its newest group of doctors, all graduates of Hofstra University, North Shore-LIJ Health System and the School of Medicine. Hofstra University and North Shore-LIJ Health System are partners in the establishment and operation of the Hofstra North Shore-LIJ School of Medicine. Lawrence Smith, MD, founding dean of Hofstra North Shore-LIJ School of Medicine at Hofstra University, said there are approximately 35 students who will graduate in 2015, while several others of the class have additional classes added into their program, but will graduate with a later class. Four of the members of the Class of 2015: Daniel Ohngemach, Reshmi Madankumar, Lindsay Hahn, and Samantha Ruff, shared their thoughts and ideas about the innovative curriculum and about being Hofstra School of Medicine’s first graduates. Ohngemach, of Garden City, had previously applied to University North Carolina and Vanderbilt, in addition
to Hofstra. “Hofstra felt right,” he said, which ultimately helped him make his decision to stay close to home to attend medical school. He plans to pursue a career as an interventional
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radiologist. Ohngemach shared that it was actually Ms. Scanlon, his ninthgrade biology teacher at Garden City High School, who inspired him to consider a career in medicine. In 2006, the Association of American Medical Colleges, citing population increases, a doubling between 2000 and 2030 of the number of citizens over the age of 65, and an aging physician workforce, recommended that medical school enrollment be increased by 30 percent by 2015. By this time, the University and the Health System each had reached a rapid-growth stage of development at which collaborating to develop a nationally renowned medical school became a highly attractive and advantageous endeavor. Aligned in their visions for their institutions, Hofstra University President Stuart Rabinowitz and North Shore-LIJ Health System President/CEO Michael Dowling began to discuss the advantages of collaborating to create an innovative school of medicine. Hahn, of Rochester, worked as an EMT previously for a private company in Boston and also upstate in Brockport. She said, “The faculty and administration here is so committed to making sure everyone is learning, not just doing things because that is the way it’s always been done.” The two institutions established the Hofstra North Shore-LIJ School of Medicine to reflect the true partnership between the two entities, which was initially referred
to as the Hofstra University School of Medicine in partnership with North Shore-LIJ Health System. This unique partnership brought together two outstanding institutions, ensuring that the medical school, from the outset, would have excellent clinical training opportunities, research opportunities, and academic infrastructure. Madankumar, of Jericho, attended Great Neck South High School. She said, “It’s an innovative curriculum and being at home was a major advantage.” A career in medicine is in Madankumar’s blood. Her grandfather was a surgeon; her mother is an obstetrician at North Shore LIJ, and her father is in a private pain management practice in Great Neck. She is undecided as to what her specialty will be once she completes school. The School of Medicine is built upon the strong clinical and graduate medical education programs of the Health System and the robust research and academic programs of Hofstra University and the Feinstein Institute for Medical Research at North Shore-LIJ Health System. “I’ve always been better learning on my feet, so I really liked the clinical stuff we did in the first year,” said Ruff, of Croton-On-Hudson. “I like seeing patients once a week and combining that with our curriculum.” She wants to work in pediatrics, but has not decided if she wants to work as a pediatric surgeon or in one of the sub-specialties. On March 27, 2008, with the approval of their respective boards, Hofstra University and North ShoreLIJ Health System entered into a formal agreement that established the School of Medicine, the first allopathic medical school in Nassau County and the first new medical school in the New York metropolitan area in more than 35 years. In June 2010, the School of Medicine officially opened its initial building and on Aug. 1, 2011, the school welcomed its inaugural class. In 2013, the School of Medicine broke ground on the expansion of the campus of its medical education center. The new facility will increase the size of the main education site by more than 60,000 square feet.
PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
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Make Me Smile Cleft palate kids have a friend in local surgeons BY DAVE GIL DE RUBIO AND CHRISTY HINKO Editorial@antonnews.com
come from and I tell them, right here on Long Island. It’s important to focus on the kids here because clefting is just as big of a problem here as According to international children’s medical it is elsewhere,” she explained. “On a daily basis, charity Operation Smile, every three minutes, a I’m taking care of these kids. I feel like I’m doing child is born with a cleft lip and palate, a congenital the work every day. The kids that you see on the deformity caused by abnormal facial development side of a bus are three years old and their condition during gestation. It’s the kind of condition more often is uncorrected. But it’s just as common here. And found in Third World countries and one of the many that’s why when parents that do have a baby born medical missions of mercy annually conducted with a cleft, they feel very alone because they think by Garden City-based Long Island Plastic Surgical that it doesn’t happen here. And it absolutely does. Group (LIPSG) and also by Great Neck’s New York And there aren’t as many support groups for these Center for Facial Plastic and Laser Surgery. parents as you would think.” Dr. Rachel Ruotolo at LIPSG is one of the group’s Dr. Andrew Jacono of New York Center for Facial 13 partners and craniofacial and pediatric plastic Plastic and Laser Surgery has been performing cleft surgery are her specialties. And while the practice palate surgeries for more than eight years with Heal has only started doing these missions in a concenthe Children organization, recently spending three trated fashion in the past five years, Dr. Ruotolo has weeks each year in Colombia and other countries already visited Vietnam and helped out scores of in South America and Southeast Asia. He will be children in need of corrective surgery. But while traveling to Ecuador in three weeks to perform the television commercials make cleft lip and palate out pro bono work with Heal the Children. to be a condition only suffered by children in these Jacono explained that the trip usually consists of more impoverished areas of the world, Dr. Ruotolo a team of 60 people, including three surgeons. He is quick to point out that she deals with a significant regularly brings other specialists, like an ear-noseamount of these cases on Long Island. throat (ENT) specialist, or a head/neck surgeon, and even a facial plastic surgeon, to help tackle some “Cleft lip and palate surgery is literally the bread coexisting conditions which he finds occur regularly and butter of my practice. I do several a week and with children who have cleft palates. people are always asking me where my patients
Above: Dr. Ruotolo with her cleft lip/palate patients at a Jan. 17 press conference, where she was honored for her work with children. Inset: Dr. Andrew Jacono, M.D., FACS A major reason why most people are unaware of how common cleft lip and palate abnormalities are is because prenatal ultrasound technology oftentimes allows for the diagnosis to be made in the womb. From here, the primary portion of this type of corrective surgery is done within the first year of life, According to Ruotolo, some children may need multiple surgeries throughout their lives, be it for revisions, bone grafting or other stages of reconstruction. But for the Upper Brookville resident and mom of two, the positive effect she has on these children and her families makes her all the more eager to go overseas and wield her medical mastery. Ruotolo is eager to return Vietnam, where the memories of her inaugural trip are still fresh.
see SMILE on page 15C
PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
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SMILE from page 14C
County officials honored Dr. Rachel Ruotolo and members of Adelphi University’s Club Operation Smile at a recent ceremony. Sejal Jain, founder and president of the Adelphi chapter addressed the audience explaining that Operation Smile is an international children’s medical charity with programs and foundations in more than 60 countries. Adelphi’s chapter has successfully been raising funds and awareness about this disability, and helping to provide operations to families in need. The organization is dedicated to providing free reconstructive surgery for children and young adults locally and around the world who suffer from facial deformities such as cleft lips and cleft palates. Pictured are: Dr. Lawrence Eisenstein, Roger Sanguino, Brianna Callejas, County Executive Ed Mangano, Sejal Jain, Adelphi University Associate Director Jennifer Hunker, Legislator Rose Marie Walker, Michele Shimonova, and James Bisogno.
Jacono said that the genetic predisposition is higher in other countries, often in siblings and multi-generations. Locally, he said he sees less than a dozen children in a year for cleft palate correction. “I am a parent, but there is something special about handing an eight-week-old infant back to the parents after the surgery, being able to held a parent in need because it really is scary and they don’t look normal,” said Jacono. “Taking away that burden is amazing.” On a medical visit to Thailand recently, Jacono said their team screened dozens of children and performed more than 70 surgeries in a week. His son, Andrew has founded an organization, T.H.A.I. Children Missions, to help provided the basic supplies and the nominal costs of the surgeries for families in need, during the overseas surgeries. “At the facility over there, we wound up operating on 16 patients in a day where they were all in one room. There are no nurses there. The families take care of them post-operatively. Obviously the facility there was very rudimentary, but the people are so grateful,” she recalled. “I think when you go on these trips, you’re forced to be given adequate perspective of how lucky we are in this country. I think that’s what these trips do for doctors that are going on them. You get back here and think that the things you worry about on a daily basis are nothing compared to what these people have to worry about. It just puts things in perspective and makes you appreciate what we have here.” Dr. Ruotolo’s Garden City LIPSG office is located at 999 Franklin Ave. (516-504-3014). Dr. Jacono’s Long Island surgery center and adjoining medical spa is located at 440 Northern Blvd, in Great Neck (516-773-2424).
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Urgent Care Centers, Changing The Face Of Medicine BY DR. CYNTHIA PAULIS
editorial@antonnews.com
Let’s face it, people are busier now and the last thing you need is to get sick or injured, and worse yet have it occur on a weekend. What do you do? Do you wait for your doctor’s office to open up next week and beg for an appointment that could be open in a few weeks or do go to the closest emergency room, which for some people is no longer close because many hospitals have shut their doors, especially on the south shore of Long Island, and wait for eight hours. There is a better alternative, go to urgent care center in your community. Urgent care centers are springing up all over Long Island and are changing the way patients perceive how health care should be delivered. No longer are patients accommodating doctor’s schedules, now the patient’s schedules and expectations are being met. Urgent care centers first showed up on Long Island in the late 80s but soon fell out of favor. They were not understood by the community, they were poorly staffed with doctors who were ill-equipped to handle urgent situations, resented by practicing physicians who felt they would steal their patients, and insurance companies that did not recognize them so the patient had to pay in cash. Urgent care centers today are completely different and are gaining popularity not only with the community, but with other health professionals as well. Anton News visited two of these centers ER-DOX owned and operated by Drs. Scott Flashner and Larry Kessler at Southgate Shopping Center in Massapequa Park and ProHealth Urgent Care at 555 N. Broadway, in Jericho, owned by Dr. David Cooper, CEO of Pro Health Care. When asked why urgent care centers are important on Long Island, Dr. Flashner said, “It is a step between going to the emergency room for something serious and not being able to access your primary care doctor as you need it; it fits that intermediate aspect.” He explained that urgent care centers served the purpose of handling everything you would go to an emergency room for that is not an emergency, such as sore throat, cold, laceration, fracture, either your primary care doctor can’t fit you in or can’t handle it or it requires an x-ray. Flashner said urgent care center providers are all board certified emergency room physicians, but this is a much better way of providing that care. “We do it more efficiently, most cost effectively and the patients tend to be happier because they don’t have
The Urgent Care Center at ProHealth At right: Dr. Scott Flashner (Photos by Dr. Cynthia Paulis) to compete with all of the sick people who are in the emergency room department, and we do it in a nicer setting,” Flashner added. Dr. David Cooper of ProHealth stressed that all of their facilities are staffed by board certified emergency room doctors. “We are trying to educate our patients that when you see the sign ‘urgent care’ you can expect the same type of doctor you will find in an emergency room,” said Cooper. “You don’t want to go to an urgent care center for a heart attack, stroke, or GI bleed, but when you go there for a laceration or fracture (noncomplex) that the doctor you see can take care of it.” Urgent care centers now take insurances and they offer the convenience of one stop shopping by having their own x-rays, labs, and pharmacy on site. The most important feature of urgent care centers is that they are open seven days a week, 365 days a year, and have extended hours often going up to 11 p.m. such as ER-DOX, but the most important feature of all is that you don’t need an appointment and you are usually out in less than an hour. Many of them often try to match the doctor with the community. “Some [outside] doctors even refer their patients here when they are closed because they know they will get good quality care and we will refer them back,” said Cooper. “The response from the community as well as the other physicians has been extremely positive.”
see CARE on page 17C
PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
Dr. Flashner commented on the speed in which they can refer patients to other doctors, especially orthopedists in the community, “We have a great relationship with these doctors and can often get a patient in faster than if they went to the emergency room.” Total Orthopaedics and Sports Medicine in Massapequa regularly receives referred patients from ERDOX and its president, Dr. Charles Ruotolo agrees, “Dr. Flashner and the other physicians at ER-DOX do a great job initially splinting fractures and expediting their referral to our orthopedic office. I believe that urgent care centers provide an important service to the community for non life threatening problems with their timely medical care and facilitate referrals to the appropriate providers.” Urgent care centers now are becoming referral places for those patients that don’t have a doctor. “We ask every patient who their primary care doctor is and if they don’t have one we have a list of doctors and encourage them to get one. We don’t do long term care and we want to make sure the patient is followed up,” Flashner commented. One of the most innovative changes to urgent care centers has been the Electronic Medical Record (EMR). “We are completely paperless here, plus we can also access all of the medications a patient is taking through a service we subscribe to,” said Flashner. “This helps me with mothers and the elderly who don’t remember all of their medications so I can avoid their allergies and any drug interactions.” Prescriptions can be reviewed from approximately the past two years and from most places in the country. New York State is passing laws that require urgent care centers to have minimum requirements such as qualified physicians who are Advanced Cardiovascular Life Support, or ACLS, and Basic Life Support (BLS) trained, in the event a person does have a heart attack. However it is important to stress that urgent care centers are not designed to handle heart attacks and strokes. The place to go for those problems are the emergency rooms. Urgent care centers are very popular in Florida, Texas, and California and are now starting to gain acceptance here on Long Island. The biggest reason is convenience. Yvonne Dagger of Massapequa has used ER-DOX twice and has recommended it to family members. The first time was on a weekend when she was concerned about having strep throat. “They took me in immediately, they were very efficient,” said Dagger, who explained that her tests returned positive for strep throat and she was immediately given antibiotics. “They even gave me a new toothbrush and told me to change
it after I was done with my antibiotics; I thought that was really thoughtful.” Another time Dagger had fallen and after a week was still having problems with her knee. After an exam, an infection was identified and treated locally. “It’s more conducive to a regular doctor’s office, and an emergency room, there is extreme care that has to be met,” said Dagger. “I just feel that emergency rooms can be overwhelming and sort of scary; this is more like going to your doctor’s office, and less stressful.” Positive experiences like the ones Dagger had are the reason urgent care centers are gaining popularity on Long Island.
At right: ER Dox’s Urgent Care Center
LONG ISLAND STARTS LIVING MINDFULLY You’ve probably noticed that talk about mindfulness meditation is much more common than it was just a few years ago. Nowadays, you hear about mindfulness meditation from a variety of different sources: on the news, television talk shows, online, and most often in conversation. But what is it? SIMPLY, mindfulness is concentrating on a single thing at a single time. In a culture where technology distracts and speeds us up, mindfulness is an amazing practice that helps us focus and slows us down. Hot off the press evidence from the Journal of the American Medical Association tells us that practicing MINDFULNESS: * Lowers Cortisol levels (stress hormones) * Increases Grey Matter (brain density) * Decreases Depression (as much as anti-depressants) * Boosts Immune Function (protects us from disease) Start simple, practical, and right now. NOTICE 3 things you see, hear or smell, and in seconds you are more MINDFUL of the present moment. If you have trouble getting started, a suggestion is that you get involved in a mindfulness meditation group. The group will provide you with the support you need to stay motivated and committed to your practice. Watch for this series explaining many aspects of mindfulness MINDFUL MOMS groups just starting We provide group and individual guidance in mindfulness and MINDFULNESS - BASED - STRESS - REDUCTION
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CARE from page 16C
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PROFILES IN MEDICINE - ANTON COMMUNITY NEWSPAPERS - FEBRUARY 19 - 25, 2014
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