2014 Spring Newsletter - Phelps Memorial Hospital
Transcripción
2014 Spring Newsletter - Phelps Memorial Hospital
phelps T O D AY Spring 2014 News from Phelps Memorial Hospital Center Osteoporosis: Steps for Maintaining Strong Bones Balance Disorders: How Therapy Can Prevent Falls Help for Children with Hoarse Voices Dental Care for Children Who Need Special Treatment Room Service Dining Comes to Phelps Spring Calendar Get better. Here. Letter from the President and Chairman Dear Friends, It pleases us to bring you the spring edition of Phelps Today, especially after the freezing, snow-filled winter we all experienced this year. Despite the challenges of the weather, our patients were well cared for, as always, thanks to our remarkable staff who braved the elements to come to work each day. One even walked along Route 9 from Ossining to Phelps on the snowiest morning in February to make certain that he was here to fulfill his patient care responsibilities. Throughout the winter, construction of our innovative new SurgiCenter and connecting bridge continued. This $15 million project is on schedule to be completed this coming fall. When this state-of-the-art facility opens, our surgical patients and their families will enjoy unsurpassed comfort in beautifully appointed spacious surroundings. Also this winter, two programs were added to Phelps’ broad array of services: •The Osteoporosis Center provides comprehensive diagnosis, treatment and support for individuals who have or are at risk for developing this disease. The program is unique in that it also offers free monthly education sessions as well as a support group. •The Balance Center’s staff of audiologists and physical and occupational therapists utilize the latest technology to determine the cause of dizziness or imbalance. The therapists then develop an individualized treatment plan to help patients prevent falls and remain independent. The introduction of these services demonstrates Phelps’ ongoing commitment to meeting the needs of our community by offering the broadest array of programs and services of any community hospital in the region. We wish you a beautiful, healthy spring. Sincerely, Richard Sinni Keith F. Safian, FACHE ChairPresident & CEO 2 PHELPS TODAY Table of Contents PHELPS TODAY Osteoporosis: Steps for Maintaining Strong Bones 4 Editor Mary Sernatinger [email protected] Balance Disorders: How Therapy Can Prevent Falls 8 Help for Children with Hoarse Voices 10 Dental Care for Children Who Need Special Treatment 12 Room Service Dining Comes to Phelps 14 Phelps Medical Associates News 16 Vitality Spring Programs 17 Maternity and Baby Care Classes 19 Healthy Life Calendar 20 Osteoporosis: Pasos para mantener la fortaleza de los huesos 24 Ayuda para los trastornos del equilibrio 28 Managing Editor Tina Dorfman Medical Editor Bruce Heckman, MD, MPH Editorial Advisors Lucy C. Engelhardt, RN Leonard B. Fogel Kenneth C. Kaplan, MD Mary McDermott, RN Keith F. Safian, FACHE PHELPS TODAY is a publication of Phelps Memorial Hospital Center, a 238-bed, notfor-profit acute care community hospital located in Sleepy Hollow, NY. Phelps has been providing medical and mental health services to Westchester and surrounding communities since 1955. If you would like to be removed from the Phelps Today mailing list, please call (914) 3663100 or email [email protected]. Request Your Appointment Online! Appointments for many of Phelps’ outpatient services can be made on the hospital’s website, including: cardiovascular, diabetes, hyperbaric, infusion, nutrition counseling, occupational and physical therapy, pain center, pulmonary/respiratory, radiology/x-ray, senior services, sleep, speech & hearing, voice & swallowing, and wound healing. You can even make an appointment to donate blood online. Just go to www.phelpshospital.org and click on “Request an Appointment” – any time of the day or night! Phelps’ Community Service Plan Visit us on Facebook: http://www.facebook.com/ PhelpsMemorialHospitalCenter Visit us on Twitter: https://twitter.com/ #!/phelpshospital Phelps Memorial Hospital Center is committed to improving the health and well-being of the community. To see our Community Service Plan (2014-16) and learn about our current and planned activities and initiatives, please visit phelpshospital.org/about-phelps and click on “Community Service Plan.” A summary of the hospital’s 2012 community service is described in our “Caring for Our Community” publication, which is also available at the same address (click on “Caring for Our Community”). A printed copy of these publications may be requested by calling 914-366-3115. PHELPS TODAY 3 Osteoporosis: Steps for Maintaining Strong Bones You may not think of your bones as living tissue, but they are. They are constantly being renewed throughout our lives, as old bone gets broken down and is replaced with new. Children and teenagers produce more bone than they lose, but as we age, we lose more than we produce. According to the National Osteoporosis Foundation, about one in two women and one in four men age 50 and older will break a bone due to osteoporosis during their lifetime. Normal Bone 4 PHELPS TODAY B About 52 million Americans have low bone mass, which makes them at risk for osteoporosis. According to the National Osteoporosis Foundation, about one in two women and one in four men age 50 and older will break a bone due to osteoporosis during their lifetime. Risk Factors for Osteoporosis •Gender – Women are four times more likely than men to develop osteoporosis. •Age – Over 50 •Race – White or of Asian descent •Family or personal history of bone fractures •S m a l l b o n e s t r u c t u r e o r l o w body weight •Reduction in hormones – estrogen in women/testosterone in men •Lack of physical exercise •Eating disorders or gastrointestinal surgery •Low calcium and Vitamin D intake •Smoking •Excessive alcohol consumption •Current or former long-term use of corticosteroid medications (e.g., prednisone, cortisone), thyroid drugs, anticonvulsants, antacids, or medications used to combat or prevent cancer, depression or transplant rejection. Osteoporosis Symptoms There are no symptoms in the early stages of osteoporosis. Because bone loss occurs over many years, sometimes the first evidence of it comes when a fracture occurs – most commonly in the hip, spine or wrist. If a bone fractures more easily than one would expect, it may be a sign of osteoporosis. Other possible symptoms are a loss in height or stooped posture. Or there may be spine pain caused by a compression fracture (the collapse of a vertebra), which may occur suddenly or over a period of time. one mass, also called bone density or bone mineral density, refers to the density of minerals contained within a specific volume of bone. Bone mass usually peaks in our early 20s. After that, bone production slows down but continues until about age 30, when our bone density begins to decrease by approximately 1% a year. The denser our bones are at their peak mass, the less likely it is that we will develop osteoporosis – the most common type of bone disease – later in life. When we lose bone mass, our bones become porous, making them brittle and fragile. Menopause and Osteoporosis At menopause, women experience a drastic decline in the hormone estrogen. This slows the replacement of old bone with new, resulting in a faster rate of bone loss. About 10 years after menopause begins, the rate of loss returns to pre-menopausal levels but the rate of bone formation does not increase. That is why postmenopausal women have a greater chance of a fracture. Women who go through early menopause (before age 40) have an even greater risk of osteoporosis and fractures. How Osteoporosis Is Diagnosed A medical evaluation to diagnose osteoporosis may include one or more of the following: •Personal and family medical history •Physical exam: A look at the spine and measurement of height. A loss in height may indicate osteoporosis. After age 50, it is recommended that height be measured annually, without shoes. •Laboratory tests: Measurement of blood calcium levels, thyroid function, parathyroid hormone levels, testosterone levels in men, 25-hydroxyvitamin D and 24-hour urine calcium. •Bone density test (DEXA scan): This low-level X-ray, usually of the hip and spine, measures the proportion of mineral contained in the bones and is used to estimate bone density. The National Osteoporosis Foundation recommends bone density scans for women age 65 and older and men age 70 and older, or earlier if there are other risk factors. If the test shows early signs of bone loss it is called osteopenia; when bone loss becomes more severe, it is called osteoporosis. •FRAX® tool: A method of evaluating a patient’s risk of fracture over the next 10 years based on results from a DEXA scan and an assessment of risk factors. The FRAX® tool is particularly useful in determining if women who only have osteopenia would benefit from treatment with medication. Prevention and Treatment Although osteoporosis is common as one ages, getting older doesn’t necessarily mean you will develop it. Throughout life, you can help keep your bones strong by eating a balanced diet, getting adequate amounts of calcium and vitamin D, limiting your consumption of caffeine and alcohol, exercising and avoiding smoking. “Many people are unaware that smoking decreases bone density and that stopping smoking can improve bone strength,” says James Hellerman, MD, medical director of the Phelps Osteoporosis Center. The following are steps you can take to maintain bone health: Calcium: In addition to milk, cheese and yogurt, good sources of calcium are canned sardines and salmon (with bones), and dark green vegetables such as kale and broccoli. Calcium-fortified foods, such as some types of bread and juices, are also available. Experts recommend total daily calcium intake (food plus any supplements) of 1,000 milligrams for premenopausal women and 1,200 milligrams for postmenopausal women. For men age 70 and younger, the recommended total daily intake (food plus any supplements) of calcium is 1,000 milligrams. Men 71 and older should consume 1,200 milligrams daily. Supplements are advised only when the recommended daily amount of calcium cannot be obtained through diet. Ask your doctor if calcium supplements are right for you. Vitamin D: Your body needs Vitamin D to absorb calcium. Twenty minutes of exposure to the sun each day helps ensure that the body produces Vitamin D, but not everyone can get sun exposure – especially in the winter. Dietary sources of Vitamin D include eggs, fatty fish like salmon, fortified milk and cereal, and Vitamin D supplements. The National Osteoporosis Foundation recommends 400 – 800 international units (IU) of Vitamin D daily for men and women under 50, and 800-1000 IU daily for men and women 50 and older. Limit caffeine and alcohol: Coffee, tea and soft drinks with caffeine can decrease your body’s absorption of calcium. Excess alcohol consumption has been shown to have an adverse effect on bone health. Exercise: Regular exercise makes bones and muscles stronger and helps to prevent bone loss. Both weight-bearing and muscle-strengthening exercises can help prevent osteoporosis and increase your PHELPS TODAY 5 •Tai Chi can help improve balance and prevent falls. Posture exercises are good for reducing rounded shoulders, which decreases your chance of breaking a bone. Yoga and Pilates may be beneficial for some people, but before beginning either of these activities, a physical therapist should be consulted. Medications: The most common medications to prevent and treat osteoporosis are those that slow the loss of bone, called anti-resorptive medicines. These include bisphosphonates (Fosamax, Boniva, Actonel), calcitonin, estrogen, estrogen agonists/antagonists (SERM) and RANK ligand inhibitor (Prolia). Dr. James Hellerman explains the effects of osteoporosis on the spine to a patient. ability to stay active. Women should keep in mind that too much exercise can be detrimental because it can cause a drop in estrogen, which is needed for bone health. •Weight-bearing exercise, which should be done at least three or four times a week, includes such activities as walking, jogging/running, dancing, high-impact aerobics, playing tennis, jumping rope, hiking and stairclimbing. Lower-impact exercises can also help keep your bones strong and are a safe alternative for people who cannot do high-impact exercises. Some examples of low-impact, weightbearing exercises are elliptical training machines, low-impact aerobics, stairstep machines and fast walking. •Muscle-strengthening exercises, such as lifting weights or using elastic exercise bands, cause skeletal muscle to pull against the bone, which results in the bone rebuilding and becoming denser. Muscle-strengthening exercises should be done two to three days per week. 6 PHELPS TODAY James Hellerman, MD James Hellerman, MD, Medical Director of the Phelps Osteoporosis Center, has had an endocrinology practice in Westchester for more than 25 years. A graduate of the University of Rochester School of Medicine and Dentistry, Dr. Hellerman completed an internship and residency in medicine at Montefiore Hospital and Medical Center and a fellowship in endocrinology, diabetes and metabolism at Massachusetts General Hospital. He is board certified both in internal medicine and endocrinology, diabetes and metabolism. For a medical evaluation with Dr. Hellerman or to learn more about the Phelps Osteoporosis Center, call 914-269-1888. The Phelps Osteoporosis Center Pain management is a crucial element of osteoporosis treatment because remaining active benefits a patient’s overall health. Early this year, Phelps established the Osteoporosis Center to provide comprehensive diagnosis, treatment and support for patients with osteopenia and osteoporosis. It is a multi-disciplinary program under the medical direction of endocrinologist James Hellerman, MD. Each patient is given a thorough medical examination and is interviewed to determine possible risk factors. Lab tests and a DEXA scan may be recommended. Results are assessed, and an individual treatment plan is developed for each patient. The treatment plan may include any of the following: •Medication – Medications that minimize bone loss and reduce risk of fractures may be prescribed. Free educational programs and a support group are offered monthly. •Nutrition therapy – A registered dietitian assesses a patient’s specific nutritional needs and designs a plan that incorporates adequate intake of bone-building nutrients and more global issues such as weight management. Diet plans can be tailored to accommodate a patient’s medical conditions, food preferences and lifestyle. •Physical medicine evaluation – Patients who have postural abnormalities may be referred to a physiatrist, who may recommend physical and/or occupational therapy. •Physical therapy – A physical therapist helps patients increase strength, reduce back pain, and improve their posture and balance to prevent falls. •Occupational therapy – An occupational therapist teaches patients ways to perform activities of daily living that are less likely to cause falls or fractures. •Pain management – Patients who have pain may be referred to the Phelps Pain Center. Pain management is a crucial element of osteoporosis treatment because remaining active benefits a patient’s overall health. Free Group Sessions and a Support Group The Phelps Osteoporosis Center offers free monthly group programs for individuals living with osteoporosis. These group sessions provide education on nutrition, guidance on ways to perform activities of daily living, and instruction on weight-bearing, strengthening and balance exercises. In addition, a monthly support group run by a social worker gives participants the opportunity to share their personal experiences and offer advice to others. The group programs are held the second Thursday of the month from 11:00 am to 12:30 pm at Phelps Memorial Hospital Center, 701 North Broadway, Sleepy Hollow, in the Boardroom. For more information about the Phelps Osteoporosis Center or to register for the group sessions or support group, call 914-269-1888. PHELPS TODAY 7 Balance Disorders: How Therapy Can Prevent Falls A balance disorder causes a person to have trouble maintaining an upright position, resulting in a feeling of unsteadiness, dizziness or light-headedness. Some people may have a sensation of spinning or floating. Balance problems are among the most common reasons that older adults seek help from a physician. Early prevention such as balance therapy helps promote independence. Without prevention efforts, about one third of people aged 65 or older typically fall once or more each year. E njoying good balance is the result of three body systems working together: •visual system (eyes) •vestibular system (ears) •proprioception (awareness of one’s own posture, movement and relative position of neighboring parts of the body, or the sensation that you feel under your feet when you are standing) If there is a disruption in any of these systems, balance problems may occur. Why Balance Is Important Good balance enables people to walk without staggering, climb stairs without tripping, and bend over or get up from a chair without falling. The greatest risk associated with balance problems is falling and fall-related injuries such as hip fractures. Early prevention such as balance therapy helps promote independence. Without prevention efforts, about one third of people aged 65 or older typically fall once or more each year. Types of Balance Disorders There are three main types of balance problems: vertigo, presyncope and disequilibrium. Vertigo Vertigo is a sense of spinning. It may feel like the room is spinning around you. One of the most common types of vertigo is benign paroxysmal positional vertigo, or BPPV, which causes brief, intense spinning feelings when the position of the head is changed. The reason it occurs is because small calcium particles in the 8 PHELPS TODAY inner ear become displaced and hit the inner ear balance sensors, causing dizziness. The cause is unknown but may be an inner ear infection, head injury, or aging (it is most common in adults aged 60 and over). Other conditions that cause vertigo include migraine headache, motion sickness, Meniere’s disease, head injury, and a number of conditions in the ear (inflammation, a benign tumor or a herpes zoster infection). Symptoms associated with these conditions include intermittent hearing loss, buzzing or ringing in the ear, nausea and, of course, loss of balance. Presyncope Presyncope is a feeling of lightheadedness or feeling faint. This type of dizziness can be caused by a significant drop in blood pressure when standing up too quickly from sitting, called orthostatic hypotension. Other causes of presyncope inlcude cardiovascular diseases that reduce blood flow, such as abnormal heart rhythms (arrhythmias) or narrowed or blocked blood vessels. Disequilibrium Disequilibrium is the sensation of being off balance, and is most often characterized by frequent falls in a specific direction. This often causes unsteadiness when walking. Causes of disequilibrium include vision problems, inner ear problems (vestibular), weak muscles or unstable joints, or conditions such as Parkinson’s disease. Disequilibrium may also be a side effect of some medications. The Phelps Balance Center Phelps has recently established the Balance Center to offer comprehensive testing and rehabilitation for individuals who have problems with dizziness and imbalance. Diagnostic Tests The Balance Center uses state-of-the-art technology to determine which of the body’s “balance” systems is not working properly. These tests include: You might benefit from vestibular/ balance rehabilitation if: You feel dizzy when you: • Look up • Bend down • Turn over in bed quickly • Get up quickly • Turn your head quickly • Walk down a narrow hallway • Walk in a supermarket aisle • Recline in a dentist chair • Are in dim lighting or darkness You feel dizzy and you recently: • Were hospitalized • Had a near/full fall • Had a head injury • Had an ear infection You are not dizzy but you: • Have trouble with your balance • Hold onto objects when you walk • Walk slowly • Feel wobbly/unsteady in the dark • Turn your head slowly • Are cautious and do everything slowly •Computerized Dynamic Posturography (CDP) with SMART Balance Master equipment, developed by NASA. CDP is used to identify which of the three balance systems is impaired – the auditory system (hearing and vestibular), the proprioception system (sense of touch and feel by skin, joints and muscles) or vision. Sensory inputs from these systems interact with the brain to control motor functions. CDP provides information about balance function by testing under varying environmental conditions, such as walking surfaces of different textures and slopes or different head turn directions. This test is performed by a physical or occupational therapist. •A hearing test called audiometry, which measures hearing function in the inner ear. Hearing evaluations are important in vestibular diagnosis because of the influence that the inner ear has on balance. Audiograms provide a graphic record of hearing ability, which can be used to measure hearing loss. The test is performed by an audiologist. With these tests, the impairment causing imbalance may be identified, enabling therapists to provide focused, individualized balance training. Vestibular/Balance Rehab at the Phelps Balance Center A staff of highly qualified audiologists, occupational therapists and physical therapists work closely with each patient. Individuals whose balance problems are caused by inner ear disorders can benefit from vestibular/balance rehabilitation. Before designing a treatment plan, a specialty-trained physical or occupational therapist will conduct a vestibular rehabilitation evaluation that includes tests for gaze, postural stability, strength, sensation, coordination, balance, vertigo and dizziness. Therapies are tailored for each individual patient and may include positioning maneuvers for vertigo or exercises for dizziness management. The goal is to help patients compensate for imbalance and/or adapt to having less balance so that physical activity can be maintained and the risk of falls can be reduced. For more information about the Balance Center at Phelps call 914-366-1170. For information on scheduling an audiometry or VNG test, call 914-366-3010. •Videonystagmography (VNG) is a diagnostic test conducted by an audiologist that analyzes eye movements to evaluate the vestibular function in the inner ear. The test shows if a dizziness or imbalance problem is due to inner ear disorders. PHELPS TODAY 9 Help for Children with Hoarse Voices By Leah Ross-Kugler, MS, CCC-SLP A mother takes her five-year-old boy to the pediatrician’s office for a routine check-up. The doctor examines the child and everything is fine, except that the doctor comments that the child has a raspy voice. When asked about it, the mother says that her child has been “hoarse his whole life” and “I was told by another physician that he’ll grow out of it.” should have a laryngeal exam conducted by a qualified laryngologist (an ear, nose and throat doctor specializing in the voice/airway/throat). If the physician determines that voice therapy can help, he or she will make a referral to a qualified voice therapist, a speechlanguage pathologist specializing in voice disorders. The voice therapist will conduct an evaluation to figure out the contributing factors to the voice problem, take measurements of the voice, and conduct “stimulability” testing to see if the child’s voice will improve immediately, even if only temporarily, with a certain technique. Speech-language pathologist Leah Ross-Kugler conducts voice exercises with a patient. I t is true that in some cases a “child will grow out of it,” depending on the cause or causes of the hoarseness. But many people remain hoarse or have vocal problems their entire lives, which may inhibit their academic, social and professional success. The incidence of chronic hoarseness among elementary school children is 38%, according to one study, but most children with voice disorders are never seen by voice professionals. A voice disorder is generally characterized by a change in pitch (high or low), loudness and/or vocal quality. A child who doesn’t sound like his or her peers 10 PHELPS TODAY Voice Therapy Traditional voice therapy includes raising the child’s awareness of the factors relating to his or her voice problem. For example; too much shouting, excessive talking or singing, or not drinking enough water can be contributing factors. Other therapy includes laryngeal relaxation strategies and vocal exercises and using appropriate “melody,” loudness, rate of conversation, and voice quality in everyday speaking. Working with children presents its own set of challenges. They do not come to therapy voluntarily. They are often unaware of or unbothered by their voices. Children change rapidly as part of their individual development. They are not little adults, so adult voice therapy techniques are often not appropriate. Helping Children Make Vocal Changes To help a child make vocal changes, it has to be fun! If a child loves acting or singing or doing math, I incorporate the favored activity into vocal practice. This keeps the child excited and motivated to participate in voice therapy activities both inside and outside of the therapy room. The vocal exercises have to be appropriate. Exercises that work for adults will also work for children, but they need to be simpler and relatable. I also work with the child to find positive, appropriate substitute behaviors for shouting. Using a noisemaker at a sports event to cheer on the team may work for some children, but others may think that it calls too much attention to them. The family has to be on board to help the child make vocal changes. If the child comes from a “loud” family, I design specific exercises so that everyone in the family can practice and provide a good model for the child. Again, this should be fun for everyone and not tedious. Context is important. I explore where and when the child is having problems with vocal “misuse.” Is it in the mornings, on the playground, at bedtime? I design techniques for each situation. Above all, the techniques should empower the child. I allow children to come to their own decisions without providing too much “education.” For example, I may ask a child to decide what behaviors are easy or hard on the voice and give a “thumbs up” or “thumbs down.” We brainstorm to find substitute behaviors for yelling and pick one together as a “technique of the week.” Parents can then reward the child (e.g., with points for something, or a big hug) when they observe the child using the technique. When you give children the tools to help them make their vocal choices, they “own it” and feel the intrinsic satisfaction of a job well done! Leah Ross-Kugler, MS, CCC-SLP a speech-language pathologist who specializes in voice disorders, has served many prominent laryngologists in the metropolitan area. She has worked at the Institute for Voice and Swallowing Disorders at Phelps Memorial Hospital for eight years and maintains a private practice in Croton-on-Hudson and Brooklyn, NY. With her background in both music and art (as a former opera singer and a textile designer), she seeks creative ways to help children succeed in changing their voices. Celebrate World Voice Day 2014 at Phelps! In honor of World Voice Day 2014, the Institute of Voice and Swallowing Disorders at Phelps invites the community to a Celebration of Song on Tuesday, April 22 at 7 pm in the Phelps Auditorium. Professional singers of various genres – including gospel, jazz, Baroque, rock and Broadway – will perform. Afterwards, they will share their personal stories about their “voice journeys” along the way to becoming professional singers. Refreshments will be served. Reservations are required and space is limited. Call 914-366-3220 to reserve a spot at this exciting event! Closest parking is near the Auditorium entrance behind the hospital. PHELPS TODAY 11 Dental Care for Children Who Need Special Treatment Imagine these scenarios . . . Molly knew that something was bothering her son Kevin. He kept pointing to his mouth and moaning. Born with cerebral palsy, he was developmentally delayed and could not really communicate using speech. 12 PHELPS TODAY A visit to the dentist had always been a nightmare, and now that Kevin was 10 years old, Molly could not even get him to sit in the dental chair for an examination. She tried to look inside his mouth to see if she could find anything unusual, but she really could not tell. When he woke up one morning with a swollen cheek and in agony, she knew something had to be done. But where could she go for help? Tiffany was very worried. She had just left the office of her family dentist, who had told her that her three-yearold daughter had seven cavities. Tiffany never realized that sticky food like fruit gummies and raisins could do so much harm, or that drinking more than one cup of juice a day could cause cavities. What should she do now? How could her three-year-old sit still in the dental chair to have her cavities fixed? Mr. and Mrs. Peterson had taken their son, Jack, to three different dentists looking for help. Jack, who had autism, could not tolerate sitting in a dental chair. He needed four dental extractions to remove baby teeth that were not giving way to make room for the permanent teeth waiting to come in. Where could they go for help? All of these are real-life scenarios. Sometimes, it is simply not possible to provide extensive dental care to children in the dentist’s office. Fortunately, when young patients or those with special needs cannot be treated in a dental chair, pediatric dentists can provide comprehensive care in a hospital operating room, where the administration of general anesthesia makes it possible for such patients to receive the care they need. General anesthesia administered in a hospital operating room under the watchful eye of an anesthesiologist is considered safer than sedating a patient for a prolonged procedure in a non-hospital setting. Dental care under general anesthesia is not a traumatic experience. Afterwards, the child does not have negative feelings about dental treatment, since there have not been any long, painful sessions or uncomfortable restraints. Consequently, children who have undergone dental surgery in the hospital are able to return to the dental office for routine checkups without recollection of any unpleasant experience. In addition, it is easier for the dental team to provide safe, effective care, because they do not have to deal with an uncooperative patient who is moving around. “I am so happy and grateful,” says Katherine, whose daughter, Laura, had trouble cooperating with their family dentist to get a cavity fixed. Not only was the entire treatment in the operating room completed successfully without any unpleasant incidents, Laura now loves visiting the dentist and is one of the practice’s star patients! “It is so common to hear adults say that they don’t like going to the dentist,” notes pediatric dentist Dr. Renuka Bijoor. “Most often, the aversion stems from a traumatic visit during childhood. It might be a recollection of novocaine shots, or the discomfort of the drill, or just being restrained so that the dentist could provide care that created that fear or dislike. For a very young patient with several cavities or a child with special needs who is unable to tolerate prolonged dental treatment, providing care in a hospital operating room is a considerate solution that avoids multiple uncomfortable sessions that could result in a life-long fear of dentists.” In a dentist’s office, young patients have a more comfortable experience when their dentist uses Turbo Laser technology, which is a gentle way to treat cavities without shots or a drill. The laser can also be used to release lip-ties and tongue-ties in newborns and infants to relieve difficulties in breastfeeding or speech, without the need for anesthesia or stitches, and completely eliminating any bleeding. Dr. Renuka Rao Bijoor Dr. Renuka Rao Bijoor trained as an oral surgeon in India and in Britain and had a private practice for seven years in Bombay, India. She completed fellowship examinations from the Royal College of Surgeons in England and the Royal College of Surgeons in Ireland. She earned her DDS degree at Columbia University School of Dental and Oral Surgery, where she also completed a residency in pediatric dentistry. Dr. Bijoor’s practice, Briarcliff Pediatric Dentistry, provides comprehensive dental and orthodontic care to patients aged 0 – 21 years. Dr. Bijoor is experienced in providing dental care in the hospital operating room to children with extensive tooth decay and patients with special needs. Dr. Bijoor was the first specialist performing Turbo laser dentistry in Westchester and has now performed the greatest number of procedures using laser technology for tongue-tie and lip-tie conditions in the tri-state area. (914-762-4151, Briarcliffpediatricdentistry.com) PHELPS TODAY 13 Room Service Dining Comes to Phelps Patients Enjoy Meals “On Demand” Does good hospital food speed recovery? Great Britain’s Prince Charles thinks so. In January he called for greater emphasis on tastier, quality food in his country’s hospitals, noting that “food is medicine in itself.” R ecognizing that healthful, enjoyable eating plays an integral role in wellness and healing, and that patients have different tastes and nutrition needs, Phelps has adopted a new ondemand meal delivery model for patients. Instead of receiving three meals at set times during the day, patients at Phelps can now call the Room Service Call Center anytime between 6:30 am and 6:30 pm to order from a comprehensive new menu and expect their freshly prepared meal to be delivered within 45 minutes. Studies have shown that when patients are able to have their meals when they want them, it significantly improves their hospital experience. Hospitality Manager Andrea Hodges checks in with patient Altagracia Saiz to make sure her meal is to her liking. The Room Service menu is extensive. For breakfast – which can be ordered at any time of the day – choices include pancakes, omelets, breakfast burritos and fresh fruit. There’s something for everyone on the lunch and dinner menu – from roasted turkey or stir-fried tofu to burgers or beans and rice. A wide variety of vegetables, salads, sandwiches and soups are available as well, and special menu items are offered for patients who follow a gluten-free or kosher diet. Phelps’ Room Service is based on the hotel concept, with one key difference: Call Center Associates not only assist patients with selections, but also ensure that the order is in line with the patient’s diet. Both Call Center Associates and the Hospitality staff, who deliver the meals, received extensive training in ways to fulfill patient requests without exceeding 14 PHELPS TODAY Studies have shown that when patients are able to have their meals when they want them, it significantly improves their hospital experience. their dietary limitations. Patients appreciate the service provided by Hospitality staff, who help ensure that mealtime is a pleasant experience. hospital tray line to a modern, state-ofthe-art restaurant-style kitchen, where at any given moment a row of chefs and cooks are preparing fresh plates of food. According to Richard Schmidt, Director of Food, Nutrition and Hospitality Services, another important benefit of the new program is that there is significantly less food wasted. “Patients used to order their meals the day before, but it’s hard to know a day in advance how hungry you’ll be or what you’ll feel like eating,“ says Schmidt. “Now that patients are ordering what they want and getting it when they want it, much less food is left uneaten.” This “on-demand” dining differentiates Phelps from other hospitals in Westchester. “Our meal program is unique in that when patients call to place their order, the food is freshly prepared and delivered when it’s ready, rather than at a set time. “We are even able to accommodate patients who require insulin,” says Schmidt. “We are getting a lot of positive feedback from patients who like being able to eat when they are hungry.” To implement the new program, Phelps spent more than $500,000 to redesign its kitchen, which underwent major renovations last summer. The kitchen was converted from a traditional 1950s One such happy patient, Altagracia Saiz, found the food to be delicious. “The menu is excellent. I order breakfast at 7:30 and it arrives by 8 o’clock,” said Ms. Saiz. “The Hospitality staff who bring the food are wonderful!” Chefs at work in the new state-of-the-art restaurant-style kitchen. PHELPS TODAY 15 Richard Becker, MD, Named Vice President-Physician Administrator key liaison between the hospital and the medical staff. He interfaces with the medical staff on collaborative initiatives, and is a champion for quality through evidence-based medicine, best practices and optimizing the use of electronic health records. Richard Becker, MD, was recently appointed to the newly created position of Vice President-Physician Administrator at Phelps Memorial Hospital Center. In this position, Dr. Becker serves as the Dr. Becker also oversees the operations of Phelps Medical Associates, the hospital’s growing multi-specialty medical group, which employs 34 clinicians in 12 practice locations. In this capacity, he is responsible for clinical quality, patient satisfaction and the recruitment of new physicians. He also sees cardiology patients on a limited basis at the Phelps Medical Associates offices in Croton and Briarcliff Manor. Prior to joining Phelps, Dr. Becker was a member of a cardiology practice in Cortlandt Manor, NY. Board certified in cardiology, he earned his medical degree at New York Medical College and completed an internship and residency in internal medicine at Lenox Hill Hospital, followed by a fellowship in cardiology at New York Medical College/ Westchester Medical Center. Phelps Medical Associates News Croton and Briarcliff Practices Welcome New Cardiologist In addition to serving as the hospital’s new VP-Physician Administrator, Richard Becker, MD, will continue practicing as a cardiologist on a limited basis at the Croton and Briarcliff offices of Phelps Medical Associates. Croton: 440 South Riverside Avenue (914-366-1700); Briarcliff: 465 North State Road (914-762-5810). Dobbs Ferry Expands Its Hours The Dobbs Ferry office has increased its hours of operation to accommodate busy schedules. It is now open two Saturdays every month, from 9 am – 12 pm and has extended its Tuesday hours by opening at 7:00 am. 18 Ashford Avenue, Suite MW (914-478-1384). More Primary Care on Campus Internal medicine physician Jilliann Elliott, MD, has joined Phelps Medical Associates, the hospital’s multi-specialty medical group. Dr. Elliott, who is board certified in internal medicine, is seeing patients on the Phelps campus in Suite 417 of the 755 Building (914-366-5490). She received her medical degree from New York Medical College and completed a residency in internal medicine at Montefiore Medical Center. Prior to joining Phelps, Dr. Elliott worked at one of Montefiore’s outpatient clinics in Yonkers. Internal medicine physician Imaan Chowdhury, MD, is now seeing Senior Health and Internal Medicine patients two days a week on the Phelps campus in Suite 100 of the 755 Building (914-366-3677). She continues to see patients three days a week at the Dobbs Ferry location, 18 Ashford Avenue, Suite MW (914-478-1384). Nurse Midwife – On Campus and in Croton Nurse midwife Rebecca McCracken, CNM, who recently joined Sleepy Hollow Medical Group, an OB/GYN practice on the Phelps campus in Suite 560 of the 755 Building (914-366-5400), is now also seeing obstetrical patients at the Croton office two days a week, 440 South Riverside Avenue (914-366-1700). Jilliann Elliott, MD Imaan Chowdhury, MD Rebecca McCracken, CNM 16 PHELPS TODAY Vitality Spring Series The Vitality Initiative at Phelps, established in 2011, offers educational programs for adults who are in the second half of life. In response to special interest in the areas of financial planning and spirituality, Vitality is offering a multi-part series on each of these topics. In addition, Vitality is hosting another Living Well workshop for seniors with chronic health problems. Financial Series Phelps and Westchester County Department of Senior Programs and Services will be hosting a three-part series on Planning for Your Future. The presentations will be held from 6:00 - 7:30 pm on the first Tuesday of the month in the Auditorium. Tuesday, April 1: Estate Planning/Elder Law 101 Nuts and Bolts of Estate Planning to Preserve Your Assets Speaker: Rita K. Gilbert, Esq. Tuesday, May 6: Nuts and Bolts Making Your Money Last Through Retirement Speaker: Robert Leitner, CFP Tuesday, June 3: How Do I Pay for Long-Term Care? Planning With/Without Long-Term Care Insurance Speaker: Abe Gruenwald, CLU and Lee Hoffman, Esq. Whether you are in the early stages of planning your retirement or already retired, these programs will provide valuable information to guide you along in the process. Spirituality Series Vitality will offer a four-part series on spirituality, presented by the Reverend Dr. Carole Johannsen, Phelps Chaplain. The programs are scheduled for Wednesdays in April from 9:00 - 10:30 am in the Phelps Auditorium. Wednesday, April 2: The Grace of Aging: Growing Into Wisdom Beyond physical and financial health, what are our spiritual (not religious) needs? How does wisdom grow out of seeking spiritual health? Wednesday, April 9: Forgiveness: the Struggle and the Relief Forgiving others and forgiving oneself is not easy at any age, but as we grow older, the burden gets heavier and the time gets shorter. Wednesday, April 23: YOUR Death, YOUR Way Plan your funeral so it is YOUR funeral and not something generic. Families are so grateful when they know what their deceased loved one wanted, and the process can be done creatively, and with good humor. April 30: Writing an Ethical Will A letter written to your descendants that records your values and wishes, the knowledge of your experience, and the wisdom gained. It requires a look back at your life, and a look forward to your legacy. Living Well: A Program for Seniors with Chronic Health Problems The Living Well – Livable Communities program, developed at Stanford University’s School of Medicine, is a series of six workshops designed to help seniors manage their chronic health problems. The workshops are given by specially trained volunteers who are learning to deal with their own long-term health problems. Having seniors take more responsibility for managing their health can improve the quality of their life and help them maintain a more active lifestyle. The trainers provide seniors with strategies to modify their behavior through physical activity and exercise, changes in their diet and techniques to handle pain, frustration and fatigue. Seniors also learn how to use medications correctly and ways to communicate more effectively with their families and healthcare providers. Participants develop a plan and set weekly goals that help them realize success through small, incremental steps. The Living Well program is offered in partnership with Westchester Community College, which coordinates the Livable Communities programs for northern Westchester County. It is funded by New York State’s Office for the Aging through Westchester County’s Department of Senior Programs and Services. The workshops run from April 23 to May 28 from 9:00 - 11:30 am in Room 235 of the 755 Building on the Phelps campus. The Breakfast Club, Mind Games, Cool Conversations and Senior Steps also continue. To find out more about the Vitality programs or to register, please contact Ellen Woods at 914-366-3937 or [email protected]. PHELPS TODAY 17 Financial Counselors Now Certified to Assist with Enrollment Through NYS Health Insurance Exchange F ive financial counselors from the Patient Accounting Department have obtained Certified Application Counselor (CAC) certification under the Affordable Care Act. This certification qualifies them to assist members of the community to sign up for affordable healthcare insurance through New York State’s health insurance exchange, New York State of Health. Pictured with department manager Christine Taylor (left) and department director Matthew Knaus (right), are certified counselors Jaime Martinez, Michelle Carrasco, Nancy Morales, Melinda Lukmann and Maria Malacarne. Calling All Knitters! I f you like to knit and would be willing to create a “comfort shawl” for a patient who might need a little extra emotional or physical warmth, the Phelps Volunteer Department would like to hear from you. In times of stress, bereavement, illness or recovery, a handmade shawl is a lovely source of comfort. It is wonderful to see how patients’ faces light up when they are presented with one. Knowing that your creativity will bring joy to a hospitalized patient will give you a tremendous feeling of fulfillment. According to Pam Cardozo, Director of Volunteer Services, since this program began in 2010, more than 400 comfort shawls have been donated – one from as far away as Hawaii! 18 PHELPS TODAY You don’t have to be a Phelps volunteer to participate – all you have to do is be willing to knit! Please call 914-366-3170 to be a part of this project. Phelps will provide the pattern and instructions. Robin’s Nest Now Accepting Enrollment for 2014 Summer Camp T he Robin’s Nest child care center on the Phelps campus is now accepting enrollment for summer camp 2014 for boys and girls ages 6-9. Now is the time to enroll your kids for a fun-filled summer! Camp runs from 8 am - 4:30 pm starting Monday, June 30 through Friday, August 29 (extended hours are available at an additional charge). Rates are $275/week or $60/day. Free lunch and snacks are provided, as well as a free camp T-shirt. Summer camp activities include: arts and crafts, scavenger hunts, hikes, indoor and outdoor games, educational enhancements (iPads and new apps), Smart Board activities, sports, yoga, and field trips to places such as Lego Land in Yonkers, Rockwood Park and bowling. Call (914) 366-3232 for a registration form. A 20% deposit is required upon registration. Maternity and Baby Care Classes The Childbirth Experience/ LaMaze Method Wednesday evenings 7:30 – 9:30 pm for 5-6 weeks Start dates: April 2, May 14, June 25, August 6, September 17, October 29 OR 2-day weekend sessions, 10 am – 3 pm: April 12-13, May 17-18, June 21-22, July 12-13, August 9-10, September 13-14, October 11-12, November 8-9, December 13-14 Cost: $170 per couple Breastfeeding: First Choice for Babies May 1, June 9, July 10, August 18, September 4, October 6, November 6, December 1 7 – 9 pm Cost: $45 per couple ABCs of Baby Care April 7 or 24, May 8 or 29, June 12 or 26, July 17, August 14, September 18, October 16, November 17, December 15 7 pm Cost: $65 per couple Big Brother/Big Sister: Sibling Preparation May 24, July 19, September 20, November 15 10:30 am $20 per child Totsaver Program: American Heart Association CPR for Family and Friends April 5, May 3, June 7, September 6, October 4, November 1, December 6 9 am – 2 pm $55 per person For up-to-date schedule, visit www.phelpshospital.org or call (914) 366-3382 for information or to register. Prenatal Clinic: Phelps Memorial Hospital Center and Open Door Family Medical Center, participants in the Medicaid Prenatal Care Assistance Program, jointly sponsor a Prenatal Program. Care for expectant mothers is provided by a highly trained, caring, bilingual staff. No one is turned away based on income or health insurance. Women are encouraged to seek prenatal care early in their pregnancy. Care is provided at Open Door during the first 36 weeks of pregnancy and at Phelps Memorial Hospital during the remainder of the pregnancy and for delivery. For information, call: (914) 941-1263. Atención Prenatal: Phelps Memorial Hospital Center en Sleepy Hollow y Open Door Family Medical Center, participantes en el Programa de Asistencia de Atención Prenatal de Medicaid, auspician conjuntamente un Programa Prenatal. La atención de mujeres embarazadas es provista por un personal bilingüe y solidario, altamente capacitado. No se rechaza a nadie basándose en sus ingresos económicos o seguro. Se alienta a las mujeres a recibir atención prenatal lo más temprano posible durante su embarazo. La atención es provista en Open Door durante las primeras 36 semanas del embarazo y en Phelps Memorial Hospital durante el resto del embarazo y el parto. Para mayor información, sírvase llamar al: (914) 941-1263. PHELPS TODAY 19 a lt h y l i f e c a l e n d a r PHELPS Healthy Life Calendar Spring 2014 Monday, April 21, 2014 Snoring Screening for Kids Does your child snore loudly? Does he/ she have interruptions in breathing at night that worry you? Does your child seem constantly tired despite having a good night’s sleep? Is he/she having trouble concentrating in school or at home or having behavioral issues that may be related to sleep disturbance? If the answer to these questions is yes, bring your child to a pediatric snoring screening. Meet Dr. Tali Lando, Director of Pediatric Otolaryngology at Phelps. Ongoing April Tali Lando, MD Pediatric otolaryngologist Bereavement Support Group Tuesday, April 8, 2014 9:30 – 11:00 am; Walkway Conference Room Better Breathers Club Registration is required. Call (914) 366-3220 to register. This ongoing support group for adults struggling with the loss of a oved one meets twice a month on the following dates: April 10 and 24, May 8 and 22, June 12 and 26. Bess Steiger, LCSW Bereavement Coordinator 2 – 3:30 pm; Hospice Office in the James House Suggested donation: $10 per session. Registration is required. Call (914) 366-3325 or email [email protected]. Look Good . . . Feel Better® This free, 2-hour workshop teaches beauty techniques to women undergoing cancer treatment. The program, held monthly at Phelps, includes a hair consultation with a professional stylist and a makeup consultation with a cosmetologist. Attendees can take home a complimentary wig and a make-up kit donated by cosmetic companies. The program is offered in partnership with the American Cancer Society, The National Cosmetology Association, and the Cosmetic, Toiletry and Fragrance Association (CTFA) Foundation. Call (914) 366-3315 or (914) 366-3345 to register for an upcoming session. 20 PHELPS TODAY The Better Breathers Club is an informal interactive support group for people with breathing disorders. This session will include a discussion about the differences between obstructive and restrictive lung disease, followed by a question and answer session. Refreshments will be served. Gary Lehrman, MD Chief of Pulmonary Medicine 6 – 7 pm; Pulmonary Lab (B Level) Registration is required. Call (914) 366-3712 to register. Thursday, April 10, 2014 The Breakfast Club The Breakfast Club is a series of free breakfast meetings designed especially for seniors. Each session includes a free breakfast, a presentation on a healthy lifestyle topic and a light exercise program. The group meets monthly, except for August and December. 8:30 – 10:30 am; Cafeteria (G Level) Call (914) 366-3937 to register. Tuesday, April 22, 2014 Celebrate World Voice Day at Phelps! In honor of World Voice Day 2014, the Institute of Voice and Swallowing Disorders at Phelps invites the community to a Celebration of Song. Professional singers of various genres – including gospel, jazz, Baroque, rock and Broadway – will perform. Afterwards, they will share their stories about their voice journeys along the way to becoming professionals. Refreshments will be served. 7 pm; Auditorium Reservations are required. Call (914) 366-3220 to reserve a space. Thursday, April 24, 2014 Tuesday, May 6, 2014 Monday, May 12, 2014 Speech Therapy for Parkinson’s Patients: Think LOUD, Speak LOUD Calling All Singers! Something Is Wrong with My Hearing Aid! Care and Troubleshooting Join graduates of LSVT LOUD and learn about this intensive speech therapy program for individuals with Parkinson’s disease. Andrea Bracciante Ely, MS, CCC-SLP Senior Speech-Language Pathologist 10:30 – 11:30 am Walkway Conference Room Registration is required. Call (914) 366-3220 to register. Whether you are a professionally trained or avocational singer, this participatory workshop instructs you on safe vocal warm-ups and optimal vocal hygiene. Leah Ross-Kugler, MS, CCC-SLP Voice Rehabilitation Specialist 6 – 7:30 pm Walkway Conference Room Registration is required. Call (914) 366-3220 to register. Thursday, May 8, 2014 Monday and Tuesday, April 28 and 29, 2014 Defensive Driving This two-evening certification program lowers insurance premiums, reduces violation points and sharpens driving skills. Robert Fogel 5:30 – 8:30 pm; Auditorium Fee: $45 Call (914) 366-3220 to register. May Thursday, May 1 and Friday, May 9, 2014 Speech-Language Screenings for Preschool Children Are you concerned about your child’s speech and language development? If so, call for a free speech-language screening with an experienced pediatric speech-language pathologist. Kim M. Ventimiglia, MS, CCC-SLP May 1: 1 – 2:00 pm May 9: 10:30 – 11:30 am Speech & Hearing Center at Phelps 777 North Broadway, Suite 303 Registration is required. Call (914) 366-3220 to register. Swallow Screening Anyone who has purchased hearing aids knows they are a significant investment that can really improve your quality of life. When hearing aids break down it can become frustrating for the hearing-impaired person and their loved ones. This session will provide attendees with information and hands-on experience cleaning and maintaining all styles of hearing aids. Knowing how to clean and care for your hearing aids will help keep them in good working order. Susan D. Reilly, MS, CCC-A Audiologist Do you sometimes feel food or liquid going down the “wrong pipe” or coming back up? Does food get stuck? Do you have pain when you swallow? If you answered yes to any of these questions, you should attend this free swallow screening. 1-2:30 pm; C Level Classroom Lynne Marie Gagne-LeBlanc, MS, CCC-SLP Paula Dinu, MS, CCC-SLP The Better Breathers Club is an informal interactive support group for people with breathing disorders. This meeting will focus on respiratory medication and usage of devices. Refreshments will be served. 9:30 – 11:00 am Walkway Conference Room Mona Zeliger, RRT Community Surgical Respiratory Registration is required. Call (914) 366-3220 to register. 6 – 7 pm; Pulmonary Lab (B-Level) Thursday, May 8, 2014 Thursday, May 15, 2014 Ovarian Cancer: Diagnosis and Treatment Empowering Women to Overcome Bladder and Pelvic Floor Problems Andrea Bracciante Ely, MS, CCC-SLP This discussion will include an overview of ovarian cancer, from diagnosis to treatment, and will cover new advances. Nancy E. Mills, MD Attending Physician, Memorial Sloan-Kettering Cancer Center Sleepy Hollow 7 pm; Phelps Auditorium (a light dinner will be served at 6:30 pm) Registration is required. Call (914) 366-3220 to register. Registration is required. Call (914) 366-3220 to register. Tuesday, May 13, 2014 Better Breathers Club Registration is required. Call (914) 366-3712 to register. An educational seminar for women suffering from incontinence, overactive bladder, bladder pain, pelvic organ prolapse and a variety of problems involving the female pelvic floor. Dr. Sue Zhou, MD, FACOG Urogynecologist 10 am – 12 pm; Boardroom Call (914) 366-3220 to register. PHELPS TODAY 21 Thursday, May 15, 2014 See listing for April 10, 2014. In addition, chronic asthma, recurrent sinusitis, dental disease and even cancer can all be caused or exacerbated by LPR. LPR is not GERD. Monday and Tuesday, May 19 and 20, 2014 Craig H. Zalvan, MD, laryngologist, Medical Director of the Institute for Voice and Swallowing Disorders at Phelps Defensive Driving 8:45 – 10 am The Breakfast Club This two-evening certification program lowers insurance premiums, reduces violation points and sharpens driving skills. Robert Fogel 5:30 – 8:30 pm; Auditorium Fee: $45 Call (914) 366-3220 to register. Monday, May 19, 2014 Help for Dizziness and Balance Problems Are symptoms of dizziness or imbalance affecting your life and the activities you participate in? Learn about videonystagmography (VNG), a diagnostic test for dizziness or imbalance. Registration is required. Call (914) 366-3220 to register. Tuesday, June 10 & 17 & Wednesday, June 18 Skin Cancer Screenings A dermatologist will visually examine your skin for the presence of abnormal tissue and let you know if further testing is advisable. Tuesday, June 10, 2014 9:30 am – 11:30 am Jerome Felsenstein, MD Tuesday, June 17, 2014 1 pm – 3 pm Alison Stallings, MD Wednesday, June 18, 2014 Swapna Nataraj, AuD, CCC-A Audiologist 9 am – 11:15 am Jeffrey Sturza, MD 11 am – 12 pm; Auditorium Appointments are required. For an appointment call 914-366-3220. Registration is required. Call (914) 366-3220 to register. Tuesday, June 10, 2014 June Monday, June 9, 2014 Laryngopharyngeal Reflux (LPR) – Silent Reflux Screening Changes in the voice, throat clearing, mucus in the throat with discomfort, swallowing problems and chronic cough that does not respond to medications are all symptoms of Laryngopharyngeal Reflux (LPR). Better Breathers Club – Pulmonary Fibrosis Support Group The Pulmonary Fibrosis Support Group welcomes those with pulmonary fibrosis to learn and share with others. Susan DiFabio, RT, CPFT Education Coordinator for Phelps’ Pulmonary Rehabilitation Program 12 – 1 pm; Pulmonary Lab (B Level) Registration is required. Call (914) 366-3712 to register. Wednesday, June 11, 2014 Snoring Screening for Kids Does your child snore loudly? Does he/ she have interruptions in breathing at night that worry you? Does your child seem constantly tired despite having a good night’s sleep? Is he/she having trouble concentrating in school or at home or having behavioral issues that may be related to sleep disturbance? If the answer to these questions is yes, bring your child to a pediatric snoring screening. Meet Dr. Tali Lando, Director of Pediatric Otolaryngology at Phelps. Tali Lando, MD Pediatric otolaryngologist 11 am – 12:30 pm Walkway Conference Room Registration is required. Call (914) 366-3220 to register. Thursday, June 12, 2014 The Breakfast Club See listing for April 10, 2014. Monday, June 23, 2014 Chronic Cough Screening People often have a chronic cough despite numerous doctor visits, medications, and diagnostic tests. Coughing associated with throat clearing, voice changes, trouble swallowing, nighttime cough, and vocal spasms may be caused by chronic laryngopharyngeal reflux disease. Alternatively, some people feel a frequent tickle in the throat that precedes a cough, or a dry spot or dryness in the throat, which may be caused by irritation of a nerve. Screenings for these types of coughs will be offered. Craig H. Zalvan, MD, Laryngologist, Medical Director of the Institute for Voice and Swallowing Disorders at Phelps 8:45 – 10 am Registration is required. Call (914) 366-3220 to register. 22 PHELPS TODAY Donate Blood at Phelps Give the gift of life and receive a discount from a local business! Did you know that every time you donate a unit of blood you can help save up to three lives? Also, each time you donate at Phelps, you’ll receive a $15 voucher for a free meal in the Phelps cafeteria and will be invited to choose a discount offer from one of the many generous area businesses listed below that support Phelps’ Blood Donor program. To donate, you must be between 16 and 75 years old and weigh at least 110 pounds. To make an appointment, call 914-366-3916. Walk-ins are welcome. Briarcliff Manor Bella Maiya Day Spa Briars Restaurant Good Food Manor Wine & Spirits March Boutique Paese Pasta & Pizza Squire’s Steak & Seafood Terra Rustica Three Dogs GF Bakery Chappaqua Kittle House Croton-on-Hudson Anton Restaurant Backstage Salon Baked by Susan The Black Cow Capriccio II Croton Colonial Diner DePrez Wines & Spirits Feed the Birds! Friends Bar & Restaurant Giovanni’s Deli & Pastries Holistic Physical Therapy Hop Scotch Market & Restaurant Justin Thyme Café Bar Memphis Mae’s Bistro BBQ Pronto Brick Oven Pizza Red Hot Karaoke Tavern at Croton Landing Vogue Nails & Spa Elmsford Fairview Golf Center Westchester Broadway Theatre Hawthorne Gordo’s Green Valley Nursery Tramonto Restaurant-Bar-Café Irvington Geordane’s Il Sorriso Red Hat on the River River City Grille Mt. Kisco Basilico Pizza, Pasta Ossining Art Barn Atria Senior Living The Boathouse Capri Pizza & Pasta Carpet Giant Corsi Tire Doca’s Portuguese Goldfish King Shell Service Center Landmark Diner Mandee Melita’s Okinawa Hibachi South of the Border Ultra Clean Car Wash Wobble Café Pleasantville A’Mangiare The Black Cow The Flower Basket Foley’s Club Lounge Jacob Burns Film Center Martha’s Pleasantville Deli Mediterraneo Physical Fitness Xperts Pleasantville Dawg house Pony Express Good Food Sinapi’s Bakery & Café Sir Speedy Printing & Marketing Sparx Hair & Makeup Salon Tech Connect Computer Trattoria 160 Sleepy Hollow Bridge View Tavern Dominick’s Limousine J. P. Doyle’s Restaurant The Horseman The Huddle Kendal on Hudson The River Grill Restaurant & Bar Tarrytown Bark & Meow Pet Products Bella’s Boutique Coffee Labs Roasters Elite Hair Design Family YMCA Grape Expectations TGI Friday’s Heritage Frame Hudson River Eyecare Horsefeathers King Shell Service Center Main Street Sweets Mr. Nick’s Brick Oven Pizza NY School of Esthetics On Track Sport Center PHR Electrolysis Pure Mountain Olive Oil River View Wines & Spirits Santa Fe Restaurant Sunset Cove The Tapp Tarry Tavern Taste of China Warner Library w@tercooler Thornwood Casa Rina Thornwood Ale House White Plains The Cabin Yonkers UNO Chicago Grill PHELPS TODAY 23 Osteoporosis: Pasos para mantener la fortaleza de los huesos Tal vez usted no considera a sus huesos como un tejido vivo, pero lo son. Estos se renuevan constantemente a lo largo de nuestras vidas, a medida que el hueso viejo se descompone y es reemplazado con tejido nuevo. Cuando somos niños y adolescentes producimos más hueso del que perdemos, pero a medida que envejecemos perdemos más de lo que producimos. Según la Fundación Nacional de Osteoporosis, más o menos una de cada dos mujeres y uno de cada cuatro hombres mayores de 50 años sufrirá la fractura de un hueso debido a la osteoporosis durante su vida. Normal Huesos 24 PHELPS TODAY L a masa ósea, también llamada densidad ósea o densidad mineral ósea, hace referencia a la densidad de los minerales contenidos en un volumen específico de hueso. La masa ósea generalmente llega a un máximo a principios de nuestros 20 años. Después de eso, la producción de hueso se enlentece pero continúa más o menos hasta los 30 años, cuando nuestra densidad ósea comienza a reducirse aproximadamente 1% al año. Cuanto más densos son nuestros huesos al llegar a su masa máxima, menos probable es que desarrollemos osteoporosis – el tipo más común de enfermedad de los huesos – más adelante en nuestras vidas. Cuando perdemos masa ósea, nuestros huesos se vuelven porosos, lo que los torna quebradizos y frágiles. Osteoporosis Unos 52 millones de estadounidenses tienen masa ósea baja, lo cual los pone en riesgo de desarrollar osteoporosis. Según la Fundación Nacional de Osteoporosis, más o menos una de cada dos mujeres y uno de cada cuatro hombres mayores de 50 años sufrirá la fractura de un hueso debido a la osteoporosis durante su vida. Factores de riesgo para la osteoporosis •Género – Las mujeres tienen cuatro veces más probabilidad que los hombres de desarrollar osteoporosis. •Edad – Mayores de 50 años •Raza – Blanca o descendientes de asiáticos •Historia familiar o personal de fracturas de huesos •Estructura ósea pequeña o peso corporal bajo •Reducción en las hormonas – (estrógeno en las mujeres/testosterona en los hombres) •Falta de ejercicio físico •Trastornos de la alimentación o cirugía gastrointestinal •Ingesta baja de calcio y vitamina D •Tabaquismo •Consumo excesivo de alcohol •Uso prolongado, actual o anterior, de medicamentos con corticosteroides (p. ej., prednisona, cortisona), medicamentos para la tiroides, anticonvulsivos, antiácidos, o medicamentos para combatir o prevenir el cáncer, la depresión o el rechazo a los trasplantes. Síntomas No hay síntomas en las primeras etapas de la osteoporosis. Debido a que la pérdida de hueso ocurre a lo largo de muchos años, a veces la primera evidencia es la ocurrencia de una fractura, más comúnmente de la cadera, columna vertebral o muñeca. Si un hueso se fractura más fácilmente de lo esperable, ello podría ser un signo de osteoporosis. Otros síntomas posibles son una pérdida de estatura o una postura encorvada. O podría haber dolor en la columna causado por una fractura por compresión (el colapso de una vértebra) que podría ocurrir de repente o a lo largo de un período de tiempo. Menopausia y osteoporosis En la menopausia, las mujeres experimentan un descenso drástico de la hormona estrógeno. Esto enlentece el reemplazo de hueso viejo con tejido nuevo, con el resultado de una tasa más rápida de pérdida de hueso. Unos 10 años después que empieza la menopausia, la tasa de pérdida regresa a los niveles premenopáusicos pero la tasa de formación de hueso no aumenta. Por eso, las mujeres postmenopáusicas tienen mayor probabilidad de una fractura. Las mujeres que tienen una menopausia temprana (antes de los 40 años) tienen un riesgo aún mayor de osteoporosis y fracturas. Cómo se diagnostica la osteoporosis Una evaluación médica para diagnosticar osteoporosis puede incluir uno o más de los siguientes: •Historia médica personal y familiar •Examen físico: Una observación de la columna y medición de la estatura. Una pérdida de estatura podría indicar osteoporosis. Después de cumplir 50 años, se recomienda medir la estatura anualmente, sin zapatos. •Exámenes de laboratorio: Medición de los niveles de calcio en sangre, función tiroidea, niveles de hormona paratiroidea, niveles de testosterona en los hombres, 25-hidroxivitamina D, calcio en la orina de 24 horas y exámenes de sangre del recambio óseo. •Examen de densidad de los huesos (DEXA scan): Este examen con rayosX de bajo nivel, por lo general de la cadera y columna, mide la proporción de mineral contenido en los huesos y se usa para estimar la densidad ósea. La Fundación Nacional de Osteoporosis recomienda evaluaciones de densidad ósea para las mujeres mayores de 65 años y los hombres mayores de 70, o antes si hay otros factores de riesgo. Si el examen muestra signos de pérdida de hueso, eso se llama osteopenia; cuando la pérdida de hueso se hace más severa, se llama osteoporosis. •Herramienta FRAX®: Un método de evaluación del riesgo que tiene un paciente de sufrir una fractura durante los 10 años siguientes basándose en los resultados de un DEXA scan y una evaluación de los factores de riesgo. La herramienta FRAX® es particularmente útil para determinar si las mujeres que solo tienen osteopenia se beneficiarían del tratamiento con medicamentos. Prevención y tratamiento Aunque la osteoporosis es algo común con el envejecimiento, envejecer no significa necesariamente que usted desarrollará esta condición. A lo largo de su vida, usted puede mantener sus huesos fuertes comiendo una dieta balanceada, con un aporte adecuado de calcio y vitamina D, limitando su consumo de cafeína y alcohol, haciendo ejercicio y evitando fumar. “Muchas personas no saben que fumar disminuye la densidad ósea y que dejar de fumar puede mejorar la fortaleza de los huesos”, dice James Hellerman, MD, director médico del Centro de Osteoporosis de Phelps. Los siguientes son pasos que usted puede dar para mantener la salud de los huesos: Calcio: Además de la leche, el queso y el yogur, son buenas fuentes de calcio las sardinas en lata y el salmón (con las espinas) y las verduras de color verde oscuro, como la col rizada y el brócoli. También hay disponibles alimentos fortificados con calcio, como algunos tipos de pan y jugos. Los expertos recomiendan una ingesta de calcio total por día (alimentos más cualquier suplemento) de 1,000 miligramos para mujeres premenopáusicas y 1,200 miligramos para mujeres postmenopáusicas. Para los hombres menores de 70 años, la ingesta total recomendada por día (alimentos más cualquier suplemento) de calcio es de 1,000 miligramos. Los hombres después de cumplir 71 años deberían consumir 1,200 miligramos por día. Se aconsejan suplementos solo cuando la cantidad de calcio recomendada por día no puede obtenerse de la dieta. Pregunte a su médico si los suplementos de calcio son convenientes para usted. PHELPS TODAY 25 rarse un hueso. Yoga y Pilates podrían ser beneficiosos para algunas personas, pero antes de comenzar cualquiera de estas dos actividades, debería consultar un terapeuta físico. Medicamentos: Los medicamentos más comunes para prevenir y tratar la osteoporosis son los que enlentecen la pérdida de hueso, llamados medicamentos antirresorción. Estos incluyen los bisfosfonatos (Fosamax, Boniva, Actonel), la calcitonina, el estrógeno, los agonistas/ antagonistas del estrógeno (SERM) y el inhibidor del ligando RANK (Prolia). Vitamina D: Su cuerpo necesita vitamina D para absorber calcio. Veinte minutos de exposición al sol cada día ayudan a asegurar que el cuerpo produzca vitamina D, pero no todas las personas pueden tener exposición al sol, especialmente en invierno. Las fuentes dietéticas de la vitamina D incluyen huevos, pescados grasos como el salmón, leche fortificada y cereales, y suplementos de vitamina D. La Fundación Nacional de Osteoporosis recomienda 400 a 800 unidades internacionales (IU) de vitamina D por día para hombres y mujeres menores de 50 años, y 800 a 1000 IU por día para hombres y mujeres mayores de 50 años. Limite la cafeína y el alcohol: El café, el té y los refrescos con cafeína pueden reducir la absorción que hace su cuerpo del calcio. Se ha demostrado que el exceso de consumo de alcohol tiene un efecto adverso en la salud de los huesos. Ejercicio: El ejercicio regular fortalece los huesos y los músculos, y ayuda a prevenir la pérdida de hueso. Los ejercicios de soportar el peso y de fortalecimiento muscular pueden ayudar a prevenir la osteoporosis y promueven su capacidad de permanecer activo. Las mujeres deberían tener presente que demasiado ejercicio puede ser perjudicial porque puede causar una caída en el estrógeno, que se necesita para la salud de los huesos. 26 PHELPS TODAY •Ejercicios de soportar el peso, que deberían hacerse por lo menos tres o cuatro veces a la semana, incluyen actividades como caminar, hacer jogging, correr, bailar, aeróbicos de alto impacto, jugar al tenis, brincar con la cuerda, excursionismo y subir escaleras. Los ejercicios de menor impacto también pueden ayudarlo a mantener sus huesos fuertes y son una alternativa segura para las personas que no pueden hacer ejercicios de alto impacto. Algunos ejemplos de ejercicios de soportar el peso con bajo impacto son las máquinas de entrenamiento elípticas, los aeróbicos de bajo impacto, las máquinas con simuladores de escalones y las caminatas rápidas. •Ejercicios de fortalecimiento muscular, como levantar pesas o usar bandas elásticas de ejercicios, hacen que el músculo esquelético tironee contra el hueso, con el resultado de la reconstitución del músculo y su transformación en tejido más denso. Los ejercicios de fortalecimiento muscular deberían hacerse dos a tres veces por semana. •El Tai Chi puede ayudar a mejorar el equilibrio y a prevenir las caídas. Los ejercicios posturales son buenos para reducir los hombros redondeados, lo que reduce su probabilidad de fractu- James Hellerman, MD James Hellerman, MD, Director Médico del Centro de Osteoporosis de Phelps, ha practicado la endocrinología en Westchester durante más de 25 años. El Dr. Hellerman es graduado de la Facultad de Medicina y Odontología de la Universidad de Rochester y ha completado una práctica profesional y residencia en medicina en el Hospital y Centro Médico Montefiore, y una fellowship en endocrinología, diabetes y metabolismo en el Hospital General de Massachusetts. Es médico certificado en medicina interna y en endocrinología, diabetes y metabolismo. Para una evaluación médica con el Dr. Hellerman o para informarse más sobre el Centro de Osteoporosis de Phelps, llame al 914-269-1888. El Centro de Osteoporosis de Phelps El manejo del dolor es un elemento crucial del tratamiento de la osteoporosis porque permanecer activo beneficia la salud global del paciente. A comienzos del año, Phelps estableció el Centro de Osteoporosis para proveer diagnóstico integral, tratamiento y apoyo a pacientes con osteopenia y osteoporosis. Es un programa multidisciplinario bajo la dirección médica del endocrinólogo James Hellerman, MD. A cada paciente se le realiza un examen médico completo y se lo entrevista para determinar los posibles factores de riesgo. Podrían recomendarse exámenes de laboratorio y un DEXA scan. Los resultados son evaluados, y se desarrolla un plan de tratamiento individual para cada paciente. El plan de tratamiento podría incluir cualquiera de los siguientes: •Medicación – Podrían recetarse medicamentos que minimicen la pérdida de hueso y reduzcan el riesgo de fracturas. •Terapia de nutrición – Un dietista registrado evalúa las necesidades nutricionales específicas de un paciente y diseña un plan que incorpora el aporte adecuado de nutrientes que promueven la formación del hueso y cuestiones más globales como el manejo del peso. Pueden diseñarse planes dietéticos para tomar en cuenta las condiciones médicas, preferencias de alimentos y estilo de vida del paciente. •Evaluación de medicina física – Los pacientes que tiene anomalías posturales podrían ser derivados a un fisiatra, quien podría recomendar terapia física y/o terapia ocupacional. •Terapia física – Un terapeuta físico ayuda a los pacientes a aumentar la fuerza, reducir el dolor de espalda y mejorar su postura y equilibrio para prevenir caídas. •Terapia ocupacional – Un terapeuta ocupacional enseña a los pacientes maneras de realizar las actividades de la vida diaria con menos probabilidad de causar caídas o fracturas. •Manejo del dolor – Los pacientes que tienen dolor podrían ser derivados al Centro del Dolor de Phelps. El manejo del dolor es un elemento crucial del tratamiento de la osteoporosis porque permanecer activo beneficia la salud global del paciente. Sesiones grupales y grupo de apoyo gratuitos El Centro de Osteoporosis de Phelps ofrece programas grupales mensuales gratuitos para personas que viven con osteoporosis. Estas sesiones grupales proveen educación en nutrición, orientación en formas de desarrollar actividades de la vida diaria e instrucción para hacer ejercicios de soportar el peso, fortalecimiento y equilibrio. Además, un grupo de apoyo mensual dirigido por un trabajador social da a los participantes la oportunidad de compartir sus experiencias personales y ofrecer consejos a otras personas. Los programas del grupo se llevan a cabo el segundo jueves de cada mes desde las 11:00 a.m. a las 12:30 p.m. en el Phelps Memorial Hospital Center, 701 North Broadway, Sleepy Hollow, en la sala de juntas. Por más información sobre el Centro de Osteoporosis de Phelps o para registrarse para las sesiones grupales o el grupo de apoyo, llame al 914-269-1888. PHELPS TODAY 27 Ayuda para los trastornos del equilibrio Un trastorno del equilibrio hace que una persona tenga dificultad para mantener una posición erguida, con el resultado de una sensación de inestabilidad, mareos o debilidad. Algunas personas podrían tener la sensación de estar girando o flotando. Los problemas del equilibrio están entre las razones más comunes por las cuales los adultos mayores buscan ayuda de un médico. Una prevención precoz como la terapia del equilibrio ayuda a promover la independencia. Sin esfuerzos de prevención, cerca de un tercio de las personas de 65 años o mayores se caen una vez o más cada año. P oder disfrutar de un buen equilibrio es el resultado de tres sistemas corporales que trabajan juntos: •sistema visual (ojos) •sistema vestibular (oídos) •sistema propioceptivo (conciencia de la propia postura, del movimiento y la posición relativa de las partes vecinas del cuerpo o la sensación que usted siente debajo de sus pies cuando está parado) Si hay una distorsión en cualquiera de estos sistemas, pueden ocurrir problemas de equilibrio. Por qué el equilibrio es importante Un buen equilibrio posibilita que las personas caminen sin tambalearse, suban escaleras sin tropezarse y flexionen su cuerpo o se levanten de una silla sin caerse. El riesgo más grande asociado con los problemas del equilibrio son las caídas y las lesiones relacionadas a las caídas, como las fracturas de cadera. Una prevención precoz como la terapia del equilibrio ayuda a promover la independencia. Sin esfuerzos de prevención, cerca de un tercio de las personas de 65 años o mayores se caen una vez o más cada año. Tipos de trastornos del equilibrio Hay tres tipos principales de problemas del equilibrio: vértigo, presíncope y desequilibrio. 28 PHELPS TODAY Vértigo El vértigo es una sensación de estar girando. Puede sentir que la habitación gira como carrusel en torno suyo. Uno de los tipos más comunes de vértigo es el vértigo posicional paroxístico benigno, o BPPV, que causa sensaciones breves e intensas de rotación cuando se cambia la posición de la cabeza. La razón de ello es que pequeñas partículas de calcio en el oído interno son desplazadas y golpean los sensores del equilibrio en el oído interno, causando mareos. La causa es desconocida pero podría deberse a una infección del oído interno, una lesión en la cabeza o por envejecimiento (es más común en adultos mayores de 60 años). Otras condiciones que causan vértigo incluyen dolores de cabeza tipo migraña, mareo por movimiento, enfermedad de Meniere, lesiones en la cabeza y un número de condiciones en el oído (inflamación, un tumor benigno o una infección por herpes zoster). Los síntomas asociados con estas condiciones incluyen pérdida intermitente de la audición, zumbidos o ruidos (acufenos) en el oído, náuseas y, por supuesto, pérdida del equilibrio. Presíncope El presíncope es una sensación de mareo o desmayo inminente. Este tipo de mareos puede ser causado por una caída significativa de la presión arterial cuando la persona se levanta demasiado rápido de un asiento, llamada hipotensión ortostática. Otras causas del presíncope incluyen enfermedades cardiovasculares que reducen el flujo sanguíneo, como los ritmos cardíacos anormales (arritmias), o vasos sanguíneos reducidos o bloqueados. Desequilibrio El desequilibrio es la sensación de perder el equilibrio, y por lo general se caracteriza por caídas frecuentes en una dirección específica. Esto a menudo causa inestabilidad al caminar. Las causas del desequilibrio incluyen problemas de la vista, problemas del oído interno (vestibulares), debilidad muscular o articulaciones inestables, o condiciones como la enfermedad de Parkinson. El desequilibrio también podría ser un efecto secundario de algunos medicamentos. Centro del Equilibrio de Phelps Phelps ha establecido recientemente el Centro del Equilibrio para ofrecer exámenes y rehabilitación integrales para personas que tienen problemas de mareos y equilibrio. Usted podría beneficiarse de la rehabilitación vestibular/del equilibrio si: Se siente mareado cuando: • Mira hacia arriba • Se inclina hacia abajo • Se da vuelta en la cama rápidamente • Se levanta rápidamente • Gira su cabeza rápidamente • Camina por un corredor estrecho • Camina por un pasillo de supermercado • Se reclina en el sillón del dentista • Está en un ambiente con luz tenue o en la oscuridad Se siente mareado y recientemente: • Fue hospitalizado • Estuvo a punto de caerse/se cayó • Tuvo una lesión en la cabeza • Tuvo una infección del oído Usted no se siente mareado pero: • Tiene problemas con el equilibrio • Trata de asirse a objetos cuando camina • Camina lentamente • Siente inestabilidad/siente que tambalea en la oscuridad • Gira su cabeza lentamente • Es cauteloso y hace todo lentamente Exámenes diagnósticos El Centro del Equilibrio usa tecnología de última generación para determinar cuál de los sistemas del “equilibrio” del cuerpo no está funcionando debidamente. Estos exámenes incluyen: Con estos exámenes, el trastorno que causa el problema de equilibrio podría ser identificado, permitiendo que los terapeutas puedan dar un entrenamiento focalizado e individualizado del equilibrio. •Posturografía Dinámica Computarizada (CDP) con equipos SMART Balance Master para dominio del equilibrio, desarrollada por NASA. La CDP se usa para identificar cuál de los tres sistemas del equilibrio está alterado: el sistema auditivo (audición y vestibular), el sistema propioceptivo (sentido del tacto y sensación por la piel, articulaciones y músculos) o la vista. Los aportes sensitivos de estos sistemas interactúan con el cerebro para controlar las funciones motoras. La CDP provee información sobre la función del equilibrio examinado bajo condiciones medioambientales variables, como caminar sobre superficies de texturas y pendientes diferentes, o diferentes direcciones de giro de la cabeza. Este examen es realizado por un terapeuta físico u ocupacional. Rehabilitación vestibular/ del equilibrio en el Centro del Equilibrio de Phelps Un personal compuesto de audiólogos, terapeutas ocupacionales y terapeutas físicos altamente calificados trabajan estrechamente con cada paciente. •Un examen de la audición llamado audiometría, que mide la función de la audición en el oído interno. Las evaluaciones de la audición son importantes en el diagnóstico vestibular por la influencia del oído interno en el equilibrio. Los audiogramas proveen un registro gráfico de la capacidad de audición, que puede usarse para medir la pérdida de audición. El examen es realizado por un audiólogo. Las terapias son diseñadas para cada paciente individual y podrían incluir maniobras de posición para el vértigo o ejercicios para el manejo de los mareos. La meta es ayudar a los pacientes a compensar la pérdida del equilibrio y/o adaptarse a tener menos equilibrio de forma que la actividad física pueda mantenerse y el riesgo de caídas pueda reducirse. •Videonistagmografía (VNG) es un examen diagnóstico llevado a cabo por un audiólogo que analiza los movimientos de los ojos para evaluar la función vestibular en el oído interno. El examen muestra si un mareo o un problema del equilibrio se debe a trastornos del oído interno. Las personas con problemas del equilibrio causados por trastornos del oído interno pueden beneficiarse de la rehabilitación vestibular/del equilibrio. Antes de diseñar un plan de tratamiento, un terapeuta físico u ocupacional entrenado en la especialidad realizará una evaluación de la rehabilitación vestibular que incluye exámenes de la mirada, estabilidad postular, fortaleza, sensación, coordinación, equilibrio, vértigo y mareos. Por más información sobre el Centro del Equilibrio de Phelps llame al 914-3661170. Por información sobre la programación de una audiometría o un examen VNG, llame al 914-366-3010. PHELPS TODAY 29 Phelps Medical Associates and Behavioral Health Locations in the Community MEDICAL PRACTICES OFF CAMPUS Phelps in Croton Primary & Specialty Care: 914-269-1700; Radiology: 914-269-1701 B Phelps in Ossining Family & Internal Medicine: 914-373-4948 & 914-941-1277 Phelps Cardiology in Briarcliff 914-762-5810 A C D Phelps in Tarrytown Endocrinology: 914-366-7862 Osteoporosis Center: 914-269-1880 Phelps in Dobbs Ferry Primary Care: 914-478-1384 E F 30 Phelps in Sleepy Hollow – Heritage Medical Group Primary Care: 914-631-2070 PHELPS TODAY ON THE PRACTICES PHELPS CAMPUS • Advanced Endoscopy & Gastroenterology: 914-366-1190 • Westchester Gastroenterology: 914-366-5420 • Multi-Specialty Medical Group at Phelps (Primary Care & Neurology): 914-366-5490 • OB/GYN – Sleepy Hollow Medical Group: 914-366-5400 • Rheumatology at Phelps: 914-366-1017 • Senior Health & Internal Medicine: 914-366-3677 • Thoracic Center: 914-366-2333 • Westchester Lung Nodule Center: 914-366-2333 BEHAVIORAL HEALTH SERVICES Threshold – Alcohol/Chemical 1 Dependency Services Tarrytown: 914-631-3133 2 Addiction Treatment Services (ATS) And Ossining Counseling Service Ossining: 914-944-5220; 914-944-5250 Continuing Day Treatment; Supportive Case Management Briarcliff Manor: 914-923-5700; 914-923-5740 3 6th Annual Spirit of Jazz Concert Saturday, April 26, 8 pm Irvington Town Hall Theater, 85 Main Street, Irvington, NY Grammy award-winning vocalist Melissa Walker will pay tribute to the music of the late singer/songwriters Abbey Lincoln and Nina Simone at the sixth annual Spirit of Jazz concert on Saturday, April 26 at 8 pm at Irvington Town Hall Theater. Joining in the celebration will be Oscar Perez on piano and other outstanding jazz musicians. This year for the first time the concert will be held on Saturday night. All proceeds from the Spirit of Jazz concert support Phelps Hospice, Westchester’s oldest hospice program, now celebrating its 31st year of providing compassionate end-of-life care to individuals and their families. Concert tickets at $25 each may be obtained online at www.irvingtontheater.com or by calling the Irvington Town Hall Theater box office at (914) 591-6602. Save the Date 11th Annual Phelps Golf Classic Monday, June 9, 2014 Sleepy Hollow Country Club 27th Annual Champagne Ball Saturday, November 8, 2014 Trump National Golf Club For more information contact Marissa Coratti at (914) 366-3104 or e-mail [email protected]. PHELPS TODAY 31 PHELPS Nonprofit Organization U.S. Postage PAID Permit #102 Stamford, CT Phelps Memorial Hospital Center 701 North Broadway Sleepy Hollow, NY 10591-1096 www.phelpshospital.org Ongoing Health Programs and Support Groups Alzheimer’s Support Group For information, call Curtis Au (914) 253-6860 Cardiovascular Wellness Center Exercise under RN supervision (914) 366-3752 Outpatient Behavioral Health Alcohol/chemical dependency, counseling, continuing day treatment, supportive case management (914) 366-3027 Celiac Sprue Support Group Sue Goldstein: (914) 428-1389 Bereavement Support Groups (914) 366-3325 Better Breathers Club (914) 366-3712 Blood Donations (914) 366-3916 Blood Pressure Screenings Generally the 1st & 3rd Wednesday of the month, 9:30 - 11:30 am Appointments necessary (914) 366-3220 Cardiovascular Rehab (914) 366-3740 CPR Classes (914) 366-3166 Diabetes Education Classes for Adults (914) 366-2270 Group Counseling Help with issues such as: separation & divorce, losses, relationships, family issues, parenting, coping skills (914) 366-3600 Hospice (914) 366-3325 Look Good Feel Better® for women undergoing cancer treatment (914) 366-3315 or (914) 366-3345 Mammography (914) 366-3440 Maternity & Baby Classes (914) 366-3382 My Sister’s Place (800) 298-SAFE (7233) Ostomy Support Group 3rd Sunday of every month (914) 366-3395 (Call 366-3000 for cancellation information) Parkinson’s Support Group at Kendal on Hudson (914) 922-1749 Physician Referral (914) 366-3367 Pulmonary Rehabilitation (914) 366-3712 Sleep Well Support Group (914) 366-3755