Profiles in Medicine fall 2021 edition is a special supplement published by Anton Media Group

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It’s Not Your Grandparents’ Ailment Arthritis affects all ages

BY CHRISTY HINKO

ailments.

“Myself and a lot of surgeons throughout the country are making the tiff joints and muscle shift over to robotic knee replacement,” weakness are not only ailing Levitz said. “It’s a game-changer; I’ve your aging grandparents; gone exclusively to the robot. The robot in fact most people with has the ability to perfectly balance the arthritis are under 65 years old and knee. You have to put the knee back so in some cases affecting kids in their it has the same exact tension as all of teens. According to Orlin & Cohen the ligaments.”

Orthopedic Group Chief of Sports Levitz said arthritis operations are Medicine, Craig Levitz, M.D., osteonot more prevelent in older patients, arthritis onset usually occurs after the in fact he has operated on 10-year-olds age of 40, but rheumatoid arthritis, and the whole span of older patients, an autoimmune inflammatory type of noting also that arthritis is not always arthritis, can develop at any age. sports-related.

“We are treating young patients “It’s actually not really the athletes with arthritis and young patients with who take care of themselves that get diseases that are going to develop into arthritis. Most of our treatments allow arthritis if we don’t intervene,” Levitz us to restore them to normal; if they said. “At Orlin & Cohen, we have a get injured they don’t get arthritis,” full-spectrum approach where we are Levitz said. “There are athletes that trying to prevent arthritis in 15-yearMedical advances have advanced treatment. ignore their injuries and don’t go see olds with cartilage transplantation the doctor and that generates a lot of and meniscus-sparing surgeries, arthritis, but a lot of it today is unforturepairing things that normally would nately genetic.” otherwise have been removed by Joint cartilage is similar to hair using biologics or whatever we can to follicles and wrinkles. avoid arthritis in the future.”

“Just the same way that people age at Levitz is a board-certified and different rates, their cartilage deterifellowship-trained sports medicine orates at different rates, Levitz said. specialist who is known for his use “Certainly, injury accelerates that if you of minimally invasive arthroscopic don’t treat it aggressively.” procedures for knee and shoulder He said one of the biggest reasons repair. people develop arthritis is following “Knee replacement used to be a a torn meniscus and then opting for conversation we had with the 70- to physical therapy in lieu of surgery.

80-year-old population,” Levitz said.

“The meniscus is a shock absorber,” “Now we are having that conversation Levitz said. “It would be like the with the 55- to 60-year-old popushocks blowing out in your car and lation, who, despite becoming the Aggressive treatment you keep driving it. One day you go increasing number of knee-replacecan prevent arthritis. to the mechanic when it does start ment recipients, tend to do poorly compared to older patients. The older having problems and he tells you that better to the intervention of having said. “Better MRIs now have the ability you need a new car because the car is you are in knee replacement, in fact some new plastic and metal in the to image cartilage and detect arthritis destroyed. The same thing happens the better you will feel.” body. They tend to have less pain, less early; we now have treatments for that with the knee.”

Levitz said knee replacement scar tissue and put a lower demand on early arthritis like cartilage transplant traditionally was designed for retireSurgery can prevent arthritis. and drug modulation.” ment-age people. It was not designed the knee. People in their 80s do their If you work hard and play hard, best.”

Twenty years ago, doctors used to for people who are on-the-job doing chances are you have tweaked your There are a variety of surgical and give patients narcotics to deal with physical labor for eight hours a day, knee or elbow or shoulder. How do five days a week. As you get older, the nonsurgical treatments, medications, arthritis. you know when to seek treatment?

“In today’s world, we know it is a physical pounding that you put on the mostly injectables and minimally Ibuprofen is the best initial approach if invasive surgery. Levitz said as the age horrible thing,” Levitz said. “That was you have an injury, from say, weekend knee decreases. of the patient progresses, treatment what people did back then. If you “We are placing metal and plastic warrior stuff. shifts more toward modulation. weren’t a candidate for knee replaceforeign bodies in people. As we get “Ibuprofen is a good initial approach “When we did not have a lot of ment, there was nothing we could do older, our immune system weakens. because it doesn’t mask anything,” treatment for arthritis years ago, it about it.”

It’s responsible for the scarring Levitz said. “If it’s not better in three was not worth hunting it down in 30Medical advancement and reresponse when we do surgery. Older to five of taking Advil and icing the search has catapulted treatment and people, while having a slightly higher and 40-year olds because there was injury, it is likely you have done some prevention options for many modern risk of complication, also react much nothing we could do about it,” Levitz damage.”

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Will and Alex doing some adaptive surfing

Patients Make Splash With Adaptive Surfing

BY ROBIN FRANK

Specialsections@antonmediagroup.com

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ospital for Special Surgery (HSS) made a splash with a surfing trip for young patients in August. Giving new meaning to patient care, the hospital’s Adaptive Sports Academy at Lerner Children’s Pavilion treated 10 young people and their siblings to a surfing lesson, followed by a chance to ride the waves in Long Beach.

The academy organizes the annual excursion and other activities for young people with cerebral palsy or another physical challenge. Cancelled last year due to the pandemic, patients and their families were thrilled to hear that surfing was back on the calendar this year. The trips are offered without cost thanks to the generosity of donors.

“Our adaptive sports trips encourage young people with physical disabilities to challenge themselves by trying new sports, while building their self-confidence and encouraging independence,” said Peyton Katz, pediatric patient and family care coordinator at HSS. “Some of the kids are not sure at first how well they’ll do, but they almost always exceed their own expectations.”

Adaptive sports are competitive or crutches or a walker to get around, recreational activities for people with and they needed a beach wheelchair differing abilities. Sometimes rules or to get to the water. But that didn’t stop equipment are modified to meet the them from climbing on the surfboard. needs of participants. The kids who Balancing on a surfboard while in the went surfing were five to 15 years old, water would be a challenge for any most with cerebral palsy or another beginner, but with help from their condition affecting body movement, instructors, the patients experienced muscle control, posture and balance. the thrill of hanging ten.

Many have had multiple surgeries Twelve-year-old Alex by pediatric orthopedic Nowakowski had surgery at surgeons at HSS and have HSS just two months before been patients for years. the trip and was excited “For many of the when Dr. Scher kids, it was a chance cleared him to go surfThey rode a to experience moving ing. “It was cool, there their bodies and were a lot of waves,” wave all the way using their muscles down, and the smile he explained. On land, in ways they’ve never Nowakowski uses a on Alex’s face was experienced before,” walker or a cane, but just pure joy. explained David M. it was a different story Scher, MD, a pediatric when riding a wave Magdalena Nowakowski orthopedic surgeon with his instructor, who has performed Will Skudin. “I feel like many of the surgeries to improve the instructors understood me really movement, posture, balance and well,” Alex explained, “and the good mobility. “It was also a wonderful part was that Will was able to stand me opportunity for them to go outside and up on the surfboard.” enjoy the fresh air. Over the past year, Nowakowski’s mother, Magdalena such opportunities have been limited Nowakowski, was awestruck as she for many of the kids.” watched from the shore, recording Some of the young people use video of a day she says her son will

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always remember. “I couldn’t believe it when the instructor lifted him up on the surfboard. I thought they would just sit him down,” she said. “It was amazing. They rode a wave all the way down, and the smile on Alex’s face was just pure joy.”

The young people learned to surf from the best of the best. World-class surfers Will and Cliff Skudin, wellknown and admired among surfing enthusiasts, provided the lessons, along with their specially trained staff at Skudin Surf in Long Beach.

“It was wonderful. Kids got to be kids without limitation,” said Jessica Parise, child life supervisor at HSS. “Seeing the patients’ siblings and parents surf with them was amazing.

Everyone was full of joy! Safe to say those watching had tears in their eyes. I know I did.”

Lerner Children’s Pavilion is located at the HSS main campus on Manhattan’s Upper East Side. For residents of Nassau and Suffolk counties, HSS Long Island in Uniondale offers care by more than 25 orthopedic surgeons in a variety of subspecialities, serving adult and pediatric patients.

—Robin Frank writes for Hospital for Special Surgery (HSS)

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SCENARIO 1

“This is Cathy. Your dad fell, and he’s in the hospital.” Who is Cathy? Oh yes, your dad’s stepdaughter—whom you’ve never met, as your dad and her mom only recently married.

SCENARIO 2

Your stepmother, who helped raise you, needs help as she recovers from a stroke, and you have plenty of room in your home. But she and your mother don’t get along very well, and Mom comes over often.

SCENARIO 3

Your husband has Alzheimer’s disease. His adult children from a former marriage want to come along to his doctor appointments, where they sometimes disagree with your decisions about care.

Elder care experts tell us these are common situations. Today’s families come in many configurations and many have been shaped by remarriage. According to Pew Research Center, 41 percent of American adults have at least one step-relative in their family; almost 20 percent have a stepparent, and 13 percent have at least one stepchild. Experts predict these percentages will continue to rise as people live longer and if the divorce rate remains high.

“Blended families come in all shapes and sizes,” Gregg Balbera, president of Right at Home Nassau Suffolk said. “There’s the classic ‘Brady Bunch’ scenario, where each spouse brings children to the marriage. There’s the ‘yours/mine/ours’ situation, where the new couple goes on to have more children together. In early-blended families, the children might fully consider one another siblings, with little distinction in the ‘who’s whose’ department.”

But some stepfamilies never fully blend and stepsiblings may not be close. And with the increase in “gray divorce”—later-life marital dissolutions—there are more late-life remarriages. Quite often in this case, the new stepsiblings hardly know one another.

“Stepfamilies can experience conflicts— squabbles about where to spend the holidays, conflicted parental loyalties, and friction between stepparents, stepchildren and stepsiblings,” Balbera said.

The challenges can escalate when parents grow older and need care support. Planning for elder care is plenty complicated on its own, and stepfamily issues can add to the complexity.

“Sometimes remarried partners and adult stepchildren come to consider each other ‘family,’ and sometimes they don’t,” Carey Wexler Sherman of the University of Michigan Institute for Social Research said. “Often you hear people talk about ‘my father’s wife’ or ‘my husband’s children,’ which can be a sign that a family hasn’t really blended. Ambivalent feelings among family members may carry over in all kinds of ways when a stepparent needs help providing care for an aging parent.”

It’s said that when older parents need care, their adult children are more engaged.

Caregiving In The Blended Family Six steps to better “step-caregiving” Balbera said that when older parents need care support, adult children often become much more engaged in their lives, participating in financial and medical decisions and practical tasks. This is also a time when siblings might have more contact, and that includes stepsiblings.

Have discussions early on.

Planning for elder care can reduce touchy situations and ambiguity—for example, about whether adult children or the new spouse will be in charge of care decisions, and the role of stepchildren. The Pew study shows that while stepfamily relationships can be close, only 56 percent of stepchildren feel a sense of obligation to care for stepparents, compared with 83 percent of biological children.

If a parent remarries later in life, get to know your stepparent’s family.

Yes, this might feel awkward, especially if the new couple lives at a distance and you don’t have much of a relationship with your parent’s new partner. Yet even if caregiving seems far into the future, time sneaks up on us.

Suddenly the couple might need help, and it’s a lot easier to work together with people you know.

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Balbera said everyone should exchange contact information early on, and make a point to be in touch.

Set aside old business.

Forming a stepfamily can be fraught with emotions and resentments. Acrimonious divorces, rivalries, conflicted loyalties and estrangements might be part of the family constellation.

“When planning for caregiving, set all that aside as best you can,” Balbera said. “Having a close relationship with your step-kin would be lovely, but right now the goal is to ensure that older loved ones are cared for. Set ground rules if you need to.”

Learn about support services.

In stepfamilies, there might be more adult children to share in caregiving—but many times, resources are spread thin because there are more older parents who might need care. An only child may be scrambling to help their father, stepmother, mother and stepfather at the same time. Look into senior services available in your community.

Bring in experts.

Financial advisers can help a couple navigate

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complicated situations in paying for care. An attorney might be needed for inheritance and property issues and creating a power of attorney for health care. If the family is having trouble getting on the same page, bring in a counselor to help. Consider the services of an aging life care professional (geriatric care manager). These experts can help mediate the discussion, as well as locate services and resources and can work with family on a fair division of labor and financial contribution.

Professional in-home care can help.

In some situations, older parents need more assistance than family can provide. Perhaps family dynamics make it more desirable to bring in professional care. Many families engage a professional caregiver to keep older loved ones safe and well cared for. Professional caregivers can provide assistance with personal care, such as bathing and dressing. They can support a loved one’s well-being at home and help manage health care.

“This can increase peace of mind and reduce stress for everyone,” Balbera said. “And that’s good news, no matter what your family structure.”

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Celiac Disease And Your Liver Many people have heard of celiac disease and a surprisingly high number of people believe they suffer from this condition without getting the proper medical evaluation. Celiac disease is a common condition which can cause abdominal discomfort, diarrhea, weight loss, fatigue, anemia and liver test abnormalities. Over the past two decades, celiac disease is being recognized more frequently.

Celiac disease commonly causes liver test abnormalities, which may be present before other symptoms are present. Therefore, celiac disease should always be considered in people with unexplained, abnormal liver tests, especially in young and middle-aged people.

Celiac disease is an autoimmune disorder that is induced by the intake of the protein gluten. Its cause is unknown but it may be caused by genetic or environmental factors. It has been linked to previous childhood infections with certain gastrointestinal and respiratory viruses. These viruses may increase gastrointestinal permeability to increase the passage of gluten across the mucosa of the small intestine. Gluten is derived from wheat, barley and rye and the intake

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THE SPECIALIST David Bernstein, MD

of foods made from any of these products will worsen symptoms of this condition. Gluten is often found in many pastas, cereals, sauces, soups and snack foods.

Celiac disease is common, affecting approximately one percent of Americans (three million people).

Unlike many other autoimmune conditions, it shows no predilection for any particular group of people and it can be diagnosed at any age. It is commonly seen in people whose ancestry hails from Europe, the Middle East, Asia, Australia, North America, South America and North Africa.

Gluten induces a reaction in the first portion of the small intestine so most people will have symptoms

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similar to a viral infection or the irritable bowel syndrome.

The initial presentation of celiac disease is highly variable and symptoms may be mild or quite severe. Children

usually complain of diarrhea, bloating, vomiting, irritability, or even constipation. Many children are diagnosed when they are noted by their parents or pediatricians not to gain weight as would be expected for

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their age. Adults typically complain of diarrhea with or without the presence of abdominal pain or bloating, although these symptoms may be present in less than half of patients with the disease. In adults, women are more commonly affected. Celiac disease is also associated with lymphocytic colitis, a disease

of the colon which can cause diarrhea, abdominal pain and weight loss.

In addition to complaints related to the gastrointestinal tract, celiac disease may also cause symptoms and signs related to other organ

systems. Common presentations in adults include anemia, osteoporosis, neurological complaints, rash and abnormal liver tests. Many patients with celiac disease were previously diagnosed with the irritable bowel syndrome and therefore the correct diagnosis was often delayed. Celiac disease is more common with people with diabetes and thyroid disease.

Proper diagnosis of celiac disease is important as there is a significant difference between celiac disease and presumed gluten intolerance.

The first step in diagnosis is to obtain blood tests for specific antibodies associated with celiac disease. The definitive diagnosis is made by endoscopy and biopsy of the small intestine.

There are features seen on biopsy which are characteristic but not definitive for celiac disease. If typical endoscopic features are not seen, it may be a good idea to perform a capsule endoscopy to evaluate more of the small intestine. Ultimately, diagnosis of disease depends upon response to a gluten free diet and in those patients with classic symptoms but a normal endoscopy, a gluten-free diet

should be recommended.

Following a gluten-free diet is the treatment for celiac disease. The majority of people will respond to this diet. In years past, a gluten-free diet was very difficult to follow but nowadays, most supermarkets have entire sections of tasty gluten-free products. The most common reason for recurrence of celiac symptoms is dietary indiscretion. Untreated disease or prolonged dietary indiscretion places patients at risk for developing small intestinal cancer, small intestinal lymphoma and

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esophageal cancer. While there are no medications to treat celiac disease, there is considerable research being done to develop new therapies.

A recent study in the New England Journal of Medicine by Schuppan et al. reported positive results in decreasing mucosal damage in celiac disease.

David Bernstein, MD, FAASLD, FACG, AGAF, FACP, is the vice chair of medicine for clinical trials and chief of hepatology at the Sandra Atlas Bass Center for Liver Diseases.

PROFILES IN Pu b lis hed b y MEDICINE An to n M ed ia Gro up KARL V. ANTON, JR. Publisher, 1984-2000 Angela Susan Anton Frank A. Virga Iris Picone Shari Egnasko Christy Hinko Robin Carter Alex Nuñez Cathy Bongiorno Joy DiDonato Linda Baccoli Advertising Sales 132 East Second Street, Mineola, NY 11501 advertising inquiries circulation inquiries editorial submissions

Editor and Publisher President Vice President of Operations Director of Sales Administration Editor, Special Sections Director of Production Creative Director Art Director Director of Circulation Director of Business Administration Ally Deane, Sal Massa, Maria Pruyn, Jeryl Sletteland Phone: 516-747- 8282 Fax: 516-742-5867 advertising@antonmediagroup.com subscribe@antonmediagroup.com specialsections@antonmediagroup.com Anton Media Group © 2021

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CONTACT:

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Cohen Children’s Medical Center

ohen Children’s Medical Center is the top-rated children’s hospital in New York State and has earned top national rankings for exceptional care in nine pediatric specialties, according to U.S. News & World Report’s 2021-2022 Best Children’s Hospitals. As the largest provider of pediatric health services in the state, Cohen Children’s has been ranked among the nation’s top children’s hospitals by U.S. News for 15 consecutive years.

U.S. News expanded its rankings this year to include state and regional children’s hospital ratings.

Cohen Children’s received high marks there as well. In addition to earning the top spot in New York, it was ranked fifth in the mid-Atlantic region, which includes Delaware, the District of Columbia, Maryland, New Jersey, New York, Pennsylvania, Virginia and West Virginia.

Cohen Children’s landed in the top 30 nationally in six disciplines: pediatric urology (ranking 18th), neurology/neurosurgery (21st), pulmonology/lung surgery (tied for

24th), orthopedics (26th), diabetes/ endocrinology (27th) and cancer (tied for 30th). The children’s hospital also serves as New York’s largest Level 1 pediatric trauma center and a primary destination for emergency care.

“We are proud to be recognized as the No. 1 children’s hospital in New York and ranked as one of the best hospitals in the nation,” said Michael Dowling, president and CEO of Northwell Health, which operates Cohen Children’s. “This exceptional achievement reflects the unwavering dedication of the staff at Cohen Children’s Medical Center in providing world class care across a broad spectrum of clinical areas to our youngest and most precious patients.”

Coordinated, complex care is a hallmark of Cohen Children’s, which was put to the test during the coronavirus disease 2019 (COVID-19) pandemic. The children’s hospital was a leader in treating children with COVID-19 and helped identify and treat Kawasaki-like disease, the multisystem inflammatory

Dr. Colleen M. Fitzpatrick, a pediatric surgeon, engages with her young patient.

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Ranks No.1 syndrome of childhood (MIS-C), a late-stage response to COVID-19.

“For the past 15 years, our hospital has been ranked among our country’s top children’s hospitals and all of us are very proud of this ongoing achievement,” said Charles Schleien, MD, MBA, senior vice president and chair of pediatric services at Northwell Health. “The excellence of every member of our staff—from the surgeons and doctors, nurses and therapists, environmental and food service workers—was put to the test this year as they diligently worked, each in their own way, to care for our patients during the COVID-19 pandemic. In spite of their own personal or family issues, the Cohen Children’s staff cared for these very vulnerable patients in ways that can only be described as heroic.”

Visit https://health.usnews. com/best-hospitals/pediatric-rankings to view U.S. News & World Report’s “Best Children’s Hospital’s” edition.

—Submitted by Cohen Children’s Medical Center

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Massapequa Park Resident Wins Nursing Scholarship Constance M. Torre, a resident to obtain her nursing degree of Massapequa Park and a student from Molloy College. Constance at Hofstra University, was selected is committed to bridging the as the 2021 Ann Marie Brown gap between patient care and Memorial Scholarship recipient. administration, focusing on the The $2,000 scholarship is awarded business side of healthcare, but annually by the Nassau-Suffolk also focusing on providing top Hospital Council (NSHC) quality patient care. She and its Communications will receive her Master’s Committee. Torre is a degree in healthcare registered nurse and administration from currently serves as a case Hofstra University in manager in the departMay 2023. ment of medicine’s The Ann Marie division of infectious Brown Memorial diseases at Northwell.

Scholarship has been Constance awarded since 1994 and Torre is majoring in Torre commemorates the late healthcare administration. She aspires to vice president for govadvance her career in nursing ernment and public affairs at the management and she aims to Hospital Council. Brown served increase her knowledge of integra- in this role from 1983 to 1993. The tion of new health care delivery scholarship is offered to a college systems, restructuring of work and junior, senior or post-graduate budgets and the increased focus student who is both a resident of on preventative care through her Long Island and studies commueducation. nications/marketing, journalism Torre earned her B.S. in technol- or health care administration. For ogy and society from Farmingdale more specific information, go to State College, before going on www.nshc.org.

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COVID-19 Service Pins To Health Care Workers

assau County Legislature Deputy Presiding Officer Howard Kopel and Legislator Bill Gaylor presented more than 1,800 COVID-19 service pins to the doctors, nurses and staff of Catholic Health’s Mercy Hospital in Rockville Centre for their hard work and sacrifice during the COVID-19 pandemic.

“This pin is to recognize the outstanding contributions that each one of you make to this community and the residents of Nassau County. And it’s not just Nassau; anyone who walks in those doors, you take care of the same and provide the best care imaginable.

You ensure their recovery,” Gaylor said. “You were asked to do way more than you ever expected to do when you signed on and we want to personally thank each and every one of you. We just want to say thank you.”

Last year, the Nassau County Legislature created this recognition to thank all the first responders and medical professionals who put their lives

More than 1,800 COVID-19 service pins were awarded to the doctors, nurses and staff of Catholic Health’s Mercy Hospital. on the line to keep Nassau residents safe. More than 10,000 pins have been given out to police officers, correction officers, volunteer firefighters, health department officials and others.

“Thank you to each one of you for doing critical invaluable work and risking your lives during the COVID pandemic.

It is very important that we recognize your sacrifices,” Kopel said. “Every

one of you has done a service to this community and for that we are eternally grateful and appreciative. Thank you.”

—Submitted by Nassau County Legislature

Emergency Departments Recognized With Lantern Award Four Northwell Health emergency departments have been recognized by the Emergency Nurses Association (ENA) with a 2021 Lantern Award for demonstrating exceptional and innovative performance in leadership, practice, education, advocacy and research.

North Shore University Hospital, Manhasset, Cohen Children’s Medical Center, New Hyde Park, South Shore University Hospital, Bay Shore and Phelps Hospital, Sleepy Hollow are four of only 33 hospital emergency departments to receive the distinction.

Consisting of more than 50,000 members worldwide, the ENA is the premier professional nursing organization dedicated to defining the future of emergency nursing.

“The ENA Lantern Award showcases an emergency department’s accomplishments in incorporating evidence-based practice and innovation into emergency care—a symbol of Northwell Health’s commitment to quality, safety and a healthy work environment,” said John D’Angelo, senior vice president and executive director

UCP Of Long Island Welcomes New Director Of Nursing Northwell Health ER nurses of Emergency Medicine Services at Northwell Health.

This year’s recipients were recognized for many accomplishments, including efforts to improve patient mortality from severe sepsis and septic shock, better clinical outcomes and quality of life for stroke patients and developing efficiencies for the triage process during high patient volume times.

North Shore University Hospital was ranked fifth in the metro area and state and is Long Island’s top hospital while Cohen Children’s Medical Center was ranked the best children’s hospital in New York State, according to U.S. News and World Report.

—Submitted by Northwell Health

UCP of Long Island is pleased background in the nursing industry. to announce the appointment of We believe she is well equipped to Alisa Charles as the new director work with our team and lead us in our of nursing. efforts to provide the highest quality In this role, Charles will have of care to the individuals we support”, responsibility for the said Colleen Crispino, supervision of 31 intermepresident and CEO. diate care facilities and Charles has more than individualized residential 15 years of experience; she alternatives and all-day is a dedicated professional program nursing staff. with a demonstrated reCharles joins UCP of cord of strong leadership Alisa LI from Lifespire, INC. skills including superCharles where she held the vision of nursing staff, director of nursing position. Prior oversight of continuity of individual to joining Lifespire, INC. she held a care, training and communication. director of medical services role with “I am truly humbled to join UCP the Jewish Board. of Long Island and I look forward “We are delighted to have someone to working closely with the agency with Alisa’s experience join the leadto further our mission to create a ership team here at UCP-LI. She is a life without limits for those in our seasoned professional with a strong care”, said Charles. —UCP

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PROFILES IN MEDICINE • SEPTEMBER 15 - 21, 2021 13B

Northwell Health Appoints Regional Director Of Urology

J

ay T. Bishoff, MD, has been named director of urology for Northwell Health’s Central Region, with oversight of urology sites in Nassau County and parts of eastern Queens. He also is a professor of urology at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell. His appointment is effective August 2, 2021.

Based at Northwell’s The Smith Institute of Urology, with affiliations at North Shore University Hospital and Long Island Jewish Medical Center, Dr. Bishoff treats urological cancer patients using the latest, least invasive robotic and laparoscopic techniques available. He is an expert in developing programs for quality improvement to increase better health outcomes. His areas of research and interest include cancer of the prostate, kidney, adrenal gland and testis.

“We are very fortunate to have recruited Dr. Bishoff to help lead our prostate cancer efforts in the central region,” said Louis Kavoussi, MD, chair of urology for Northwell Health.

“He has an outstanding international reputation and his technical skills are unparalleled. His addition to our faculty will allow Northwell to offer an unrivaled program for patients diagnosed with prostate cancer.”

Bishoff is an innovator in his field with more than 30 years of urological surgery experience, a sought-after course instructor, lecturer and researcher. He was a United States Air Force surgeon, where he served from 1998 to 2006, including during Operation Iraqi Freedom. There he treated patients at Balad, Iraq, then the busiest trauma hospital in the world. Dr. Bishoff went on to serve in the U.S. Air Force Reserves as a Lieutenant Colonel from 2006 to 2011.

Prior to joining Northwell, Dr. Bishoff was director of Intermountain Urological Institute at Intermountain Health Care in Salt Lake City, UT, where he also held other clinical leadership positions over a 15-year span. Dr. Bishoff earned his medical

Jay T. Bishoff, MD degree from the Uniformed Services University of the Health Sciences in Bethesda, MD; and completed his residency in urology at the Wilford Hall Medical Center in San Antonio, TX, and fellowship in endourology at Johns Hopkins Medical Center in Baltimore.

Bishoff is a fellow of the American College of Surgeons; American Urology Association; Western Section AUA; Endourology Society; and Society of Government Service Urologists. He also is the recipient of numerous honors and awards including, Outstanding Faculty Award for Air Force Faculty, Air Force Commendation Medal Meritorious Service and medalist, Smithsonian Computer World Permanent Collection International Telesurgery.

Bishoff is the author or co-author of numerous peer reviewed publications, book chapters, and surgical text books focusing on topics such as laparoscopic and robotic surgery, adrenal imaging, minimally invasive urology, diagnostic imaging, laparoscopic kidney surgery, among others.

He is also the author of Boots of War: Unforgettable Experiences from a Front Line Surgeon During Operation Iraqi Freedom.

—Submitted by Northwell Health

For years, they took care of us.

Now, it’s our turn.

At Gurwin Healthcare System, we’ve been caring for Long Island families for generations, providing a full continuum of services that offer unparalleled clinical excellence, innovative approaches to care and enhanced safety protocols.

It’s reassuring to know that Gurwin will be here, helping you care for your family the way they cared for you, no matter what tomorrow brings.

Healthcare System

Caring for Generations

Gurwin.org 631.302.7772

Our family of healthcare services includes: Long-term Care

Home Care

Short-term Rehabilitation

Palliative & Hospice Care

Advanced Care

Adult Day Programs

Memory Care

Assisted Living

Ventilator/ Respiratory Care On-site Dialysis Fountaingate Gardens Independent Living Community

Island Nursing and Rehab Center in Holtsville is now a member of the Gurwin Healthcare System.

GUR125_Yesterday+Today_4.25x11.25_4C_Anton.indd 1

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14B SEPTEMBER 15 - 21, 2021 • PROFILES IN MEDICINE

FULL RUN ADVERTORIAL

UPPER EAST SIDE CARDIOLOGY Offers Personalized Patient Services One of New York’s leading cardiovascular disease specialists, Satjit Bhusri, MD, FACC, recently announced the opening of his New York City practice, Upper East Side Cardiology (The Practice). The state-of-the-art Practice is located at 45 East End Avenue, #1S New York, NY 10028 in the Upper East Side neighborhood of Manhattan.

The Practice’s mission is to deliver cutting-edge healthcare through a personalized approach to patients with cardiovascular conditions, offering them access to top-of-the-line diagnostic tools like an echocardiogram and stress testing.

Dr. Bhusri’s passion for quality patient care came about after he suffered from Cardiac Shock in 2015 and was hospitalized for a month in Intensive Care, given only a 20% chance of survival. This life-threatening experience became the cornerstone of his life and made him a more mindful and healthier person and it’s his hope to share this experience with his patients as he helps them change their lifestyles for the better.

“Going from treating patients every day to then being the patient you understand what approaches work and don’t and realize what you’re patients really need,” Dr. Bhusri said. “At Upper East Side Cardiology, we have the opportunity to not only provide relief to patients, but to also give them tools to change their overall lifestyle and support what they need most at that time.”

As a cardiologist, Dr. Bhusri is also helping to shed light on the importance of women’s heart health.

Heart disease is the leading cause of death in women, with 1 in 5 women dying from heart disease annually. Heart disease risk factors vary between men and women.

“While heart disease can be deadly in women, roughly 80% of cases are preventable,” Dr. Bhusri said. “That’s why preventive cardiology is the most important step women can take to protect their heart health. At Upper East Side Cardiology, we’ve made it our mission to use today’s advanced technology to support women’s cardiac care.”

As a board-certified physician and cardiovascular disease specialist, Dr. Bhusri brings nearly 15 years of intensive study and training in medicine to his patients. He provides his patients with customized and comprehensive treatment plans – incorporating lifestyle changes, advanced therapies and medications when necessary – for a variety of cardiovascular problems, including chest pain, heart failure, hypertension, palpitation and varicose veins. In addition to providing treatment services, Dr. Bhusri specializes in preventive cardiology to help identify patients’ risks of developing cardiovascular disease before symptoms arise.

Upper East Side Cardiology also recently launched The Vein Institute - The Premier Varicose Vein Treatment Center on the Upper East Side.

Nearly 1 in 4 Americans live with varicose veins - the thick, ropey, purple or blue veins that form when blood pools in a weak section of the vein, causing swelling and bulging against the skin. In addition to their appearance, varicose veins can cause uncomfortable symptoms such as itching, burning, cramping, and aches and can potentially be a sign of deeper cardiovascular health issues.

The Vein Institute offers several personalized treatment options for varicose veins, most of which are covered by insurance including: • • • • •

VenaSeal™ – an advanced technique that quickly and safely eliminates the veins using a specially formulated adhesive.

Dr. Bhusri is one of the only physicians on the Upper East Side to utilize this leading technology for the treatment of varicose veins.

ClosureFast™ – a minimally invasive treatment for varicose veins and the condition that causes them, venous insufficiency.

The procedure uses radiofrequency energy or heat to close the diseased vein, which redirects blood flow to healthy veins, relieving symptoms.

Interject™ Sclerotherapy Needle – Schlerotherapy is a medical procedure helping to eliminate varicose veins and spider veins which involves an injection of a solution directly into the vein.

VeinGoghan – an innovative treatment for spider veins that uses ohmic thermolysis. This process uses microbursts of heat to seal and close spider veins, so they eventually fade away, leaving your skin smooth and flawless Varithena® – an FDA-approved microfoam sclerosant medication. The procedure uses ultrasound guidance to locate the specific veins that need treatment and ensure the medication is injected into the correct vein.

“It’s important to speak with your doctor if you have varicose veins as they can be an indicator of vascular health problems and can lead to blood clots, bleeding veins, and leg ulcers” Dr. Bhusri said. “Vein disease is generally progressive and symptoms are likely to worsen over time. That’s why The Vein Institute is so dedicated to creating customized treatment plans for our patients to restore both their vascular health and comfort.”

For more information on these treatments,

The Vein Institute and Upper East Side Cardiology visit www.bhusriheart.com

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PROFILES IN MEDICINE • SEPTEMBER 15 - 21, 2021 15B

UPPER EAST SIDE CARDIOLOGY

SATJIT BHUSRI, MD, FACC Cardiovascular Disease Specialist located in Manhattan

Services

• The Vein Institute • Peripheral Vascular Disease • Hypertension • Stress Testing • Chest Pain • Atrial Fibrillation • Heart Failure • Echocardiogram • Palpitations • Preventative Cardiology • Cardio Oncology • Women’s Heart Health

The Vein Institute

Varicose veins are the thick, ropey, purple or blue veins that appear on the surface of your veins. They form when blood pools in a weak section of the vein, swelling and bulging against your skin.

In addition to their appearance, they can cause itching, burning, cramping, and aches.

Your skin might also change texture or colors. Varicose veins are an indicator of vascular health problems and can lead to blood clots, bleeding veins, and leg ulcers.

The providers at Upper East Side Cardiology use state-of-the-art vascular ultrasounds to identify areas of weakness and blockage and create a customized treatment plan.

Before

After

SATJIT BHUSRI, MD, FACC

Appointments: 646-439-5170 | Information: 212-752-3464 Various Insurance Providers Accepted 45 East End Avenue, #1S, New York, NY 10028 www.bhusriheart.com ®

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Sunday no longer a fun day?

We’ve Got Specialists For That SM

Seven days a week!

Long Island’s only orthopedic network with multiple offices open on weeknights and weekends, Orlin & Cohen’s premier team of experienced, compassionate specialists is here to help you feel better, faster.

Top-tier, fellowship-trained specialists—in sports medicine, knee, shoulder, hip, joint replacement, foot and ankle, spine and hand—backed by orthopedic physician assistants.

In-house orthopedic MRI for convenient, comprehensive care.

Walk-ins welcome. No appointment needed so you don’t have to waste time (or money) at a general urgent care center.

Immediate After-Hours Care Across Long Island Merrick 1728 Sunrise Highway

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Weeknights: 5pm - 8pm

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Weeknights: 5pm - 8pm

Weekends: 9am - 5pm

Weekends: 9am - 5pm

516.536.2800 | 631.706.2800 | orlincohen.com

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