2012 Fall Newsletter - Phelps Memorial Hospital



2012 Fall Newsletter - Phelps Memorial Hospital
FALL 2012
T o d a y
News from
Lung Cancer Screening
Cooling Therapy After Cardiac Arrest
Your Child’s Sleep
Mother’s Milk
Thoracic surgeons Rocco Lafaro, MD, (left) and Avraham Merav, MD, are co-directors of the new Lung Nodule Center.
Get better. Here.
Dear Friends,
It was with great excitement that the hospital welcomed the inaugural class of the New
York Medical College Phelps Family Medicine Residency program, the first residency
of its kind to be established in New York State in 15 years. As the six residents settled
in, many of the 100 Phelps physicians who will be teaching them completed faculty
development training workshops. During the first month, the residents went to lectures
presented by founding faculty members, spent time in the Hoch Center for Emergency
Education, studied medical Spanish, and started seeing patients at Phelps and at Open
Door Family Medical Center in Sleepy Hollow. Recruitment efforts are already under way
for the next class of six residents. By 2014, there will be a total of 18 residents, six in each
year of the three-year residency program.
In addition to the family medicine residents, Phelps has welcomed its first four dental
residents, who are participants in the New York Medical College-sponsored General
Dental Practice Residency program. The dental residents began providing outpatient care
at Phelps and at Open Door Family Medical Center in Port Chester.
Shortly after the residents arrived, the hospital received an important award. For the third
year in a row, the American Heart and American Stroke Associations presented Phelps
with their highest recognition – the Gold Plus Achievement Award – which signifies that
the hospital has consistently met the organizations’ guidelines for quality stroke care.
Significant recognition was also given to our Cardiovascular Lab, which was granted
a 3-year accreditation in arterial testing by the Intersocietal Accreditation Commission
(IAC). IAC accreditation is a mark of excellence that demonstrates to patients and medical
staff that Phelps’ vascular testing operations have been carefully reviewed and found to
provide quality patient care according to national standards.
Progress at Phelps continues on numerous fronts as we strive to strengthen and expand
your community hospital. We hope that you share our pride and enthusiasm in these,
and many other, noteworthy accomplishments.
Best wishes for a healthy and enjoyable fall season.
Andrew C. Merryman
Chair, Board of Directors
Keith F. Safian, FACHE
President & CEO
Therapeutic Hypothermia: Cooling Therapy After Cardiac Arrest
Gives Local Man a Second Chance . . . . . . . . . . . . . . . . . . 7
Sleep-Disordered Breathing in Children: A Q&A with Dr. Tali Lando . . . 8
Women’s Breast Health: Mammography and Other Screening Methods . 10
Phelps Nurses Improve Care for Health System Elders . . . . . . . . . . 11
Phelps Licensed to Dispense Donor Human Milk . . . . . . . . . . . 12
Mother’s Milk: The Benefits of Breastfeeding . . . . . . . . . . . . . . . 13
Diagnosing & Treating Balance Problems . . . . . . . . . . . . . . . . 14
An Invitation to Participate in an American Cancer Society Study . . . . 16
The Vitality Initiative for Seniors . . . . . . . . . . . . . . . . . . . . 17
Phelps Launches a Farmers Market . . . . . . . . . . . . . . . . . . . . 18
Upcoming Events: 25th Anniversary Champagne Ball
Lung Cancer: Improving the Odds with Screening . . . . . . . . . . . . 4
and an Extraordinary Food and Wine Experience . . . . . . . . . . . 19
Warm Blankets: Patient Satisfaction for All Ages . . . . . . . . . . . . . 20
Hearing Aids for a Better Quality of Life . . . . . . . . . . . . . . . . 21
Cáncer de pulmón: Mejorar las probabilidades con
exámenes de detección . . . . . . . . . . . . . . . . . . . . . . . . 22
Phelps Autorizado A Ofrecer Leche Humana Donada . . . . . . . . . 24
Leche Materna: Los beneficios de la lactancia materna . . . . . . . . . 25
Healthy Life Calendar . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Maternity & Baby Care Classes . . . . . . . . . . . . . . . . . . . . . 30
Request Your
Appointment Online!
Appointments for many Phelps
outpatient services can be made
on the hospital’s website. Just go
to phelpshospital.org and click on
“Request an Appointment” – any
time of the day or night!
Pay Your Bill Online!
Phelps recently established an
on-line bill paying feature on
the hospital website. Just go to
phelpshospital.org and click
on “Pay Your Bill Online” to
view and pay your bill, set up a
payment schedule, and more.
Visit www.phelpshospital.org to see our annual reports,
videos, physician directory, calendars and more.
phelps today
Mary Sernatinger
[email protected]
Managing Editor
Tina Dorfman
Medical Editor
Bruce Heckman, MD
Editorial Advisors
Lucy C. Engelhardt, RN
Leonard B. Fogel
Kenneth C. Kaplan, MD
Keith F. Safian, FACHE
PHELPS TODAY is a publication
of Phelps Memorial Hospital
Center. Phelps is a member of
the Stellaris Health Network and
the Hudson Valley’s exclusive
affiliate of Memorial Sloan-Kettering Cancer Center.
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Lung Cancer
Improving the Odds with Screening
ung cancer is the leading cause of
cancer deaths in the United States,
claiming more lives each year than
colon, prostate, ovarian and breast cancers combined.
Lung cancer may result from exposure
to radon, asbestos, some metals, diesel
fumes or other pollutants, but the biggest
cause of lung cancer is cigarette smoking. Eighty-five percent of lung cancer
victims are current or former cigarette
smokers. The relative risk of developing
lung cancer is 20 times greater in smokers than in non-smokers.
Experts describe a person’s smoking history in “pack years.” Smoking one pack
of cigarettes each day for one year is
called “one pack year” of smoking. A
person who has a 30-pack-year smoking history (a pack each day for 30 years
or two packs each day for 15 years, for
example) is considered at high risk for
developing lung cancer.
A lung cancer patient’s prognosis
depends upon how advanced the disease is and the specific form of lung
cancer. It is important to remember
that lung cancer is curable, especially
in the early stages. Finding and treating
lung cancer before symptoms appear
offers the best outlook, but it is still possible to treat lung cancer that is more
Symptoms of lung cancer may include:
• a new, persistent cough
or coughing up blood
• shortness of breath
• wheezing
• hoarseness
• chest pain
• weight loss (without trying
to lose weight)
• bone pain
• headache
A lung cancer
patient’s prognosis
depends upon how
advanced the disease
is and the specific
form of lung cancer
The CT scan (above) shows a nodule in the right upper lobe. The PET scan of the same
lung (opposite page) shows increased metabolic activity of the right upper lobe nodule,
suggesting malignancy.
Phelps Today
Screening for Lung Cancer
Screenings are routinely performed for
breast cancer, skin cancer, prostate cancer and colon cancer, but they have not
been done for lung cancer – even though
it is the most lethal type of cancer.
Lung cancer starts as a small, solitary
pulmonary nodule, a round or oval
spot (lesion) in the lung. Many times,
lung nodules are discovered incidentally from a chest X-ray performed for
some other reason. Although the traditional method for detecting lung cancer
has been chest X-ray, a study of 53,000
patients at high risk for developing
lung cancer found that a low-dose CT
scan was a better method for detecting
lung nodules. Results of the National
Lung Screening Study, published in
The New England Journal of Medicine
in August 2011, showed a 20% reduction in deaths from lung cancer in the
group screened by low-dose CT scans
as compared to the group screened by
X-rays alone.
As a result of the study, the National
Comprehensive Cancer Network® now
recommends low-dose CT scan screening for individuals between ages 55-74
who have at least a 30-pack-year smoking history and do not have any symptoms of lung cancer. Low-dose CT scan
screenings are also recommended for
people with a 20-pack-year smoking
history who have one other risk factor,
such as personal cancer history or family history of lung cancer. If you fall into
either of these categories, talk to your
physician about whether you should
have a low-dose CT scan.
If you are diagnosed with a lung nodule,
remember that cancer is not necessarily
the cause. Lung nodules may also be
evidence of an infection, a collection of
normal cells, a cyst or a vascular abnormality. In fact, most lung nodules discovered during screening are benign.
Advances in Diagnosis
Four decades ago, the only way to
diagnose lung cancer was with a chest
X-ray, but no one really knew for certain
if a nodule was cancerous until surgery
took place. Today, we have CT scanners
that can capture images of slices of the
lung in digital format that can be viewed
on a computer screen in multiple projections and in exquisite detail. Positron
Emission Tomography (PET) scanners
provide additional information about
lung nodules that help determine if they
are malignant or benign.
Early bronchoscopes, which are used to
look inside the lung, were rigid tubes that
allowed only partial views. Today, bronchoscopes are flexible; they can reach
well into the lungs and the branches of
the bronchial tree. Endobronchial ultrasound guidance (EBUS) allows the pulmonologist to perform transbronchial
biopsies through the bronchoscope and
obtain tissue samples to determine if a
nodule is caused by cancer, infection,
inflammation, or other conditions.
Treating Lung Cancer
If screening raises suspicion that a pulmonary nodule might be malignant, a
biopsy sample will be taken. Methods
for diagnosing and treating lung cancer
have improved dramatically in recent
years. At Phelps, more than 80 percent
of procedures are by video-assisted
thoracic surgery (VATS), which allows
visual inspection, lung and lymph node
biopsies and removal of a small section
of the lung (wedge resection) – all without opening the chest.
The lungs are divided into lobes – two
in the left lung and three in the right. If a
malignancy is in one lobe, the lobe can
be surgically removed, which is called
a lobectomy. This is the most common type of cancer surgery. Occasionally a patient must have the entire lung
removed, called a pneumonectomy, but
will still be able to function well – as the
actor John Wayne did for many years.
Phelps Today
n France, a message on cigarette
packages warns in large black
letters: “Fumer tue” (“Smoking
Kills”). Last year, the FDA unveiled
nine graphic warning labels, like the
one shown below right, that must
cover 50% of the front and back of
all cigarette packages by September
The most important step you can
take to protect your health is to quit
smoking. Even after smoking for
many years, you can significantly
reduce your chances of developing
lung cancer
if you stop.
The Lung Nodule Center
In response to the new guidelines
for lung cancer screening, The Lung
Nodule Center has been established, offering people access to a
team of board-certified specialists
in multiple disciplines and the latest technology and techniques for
diagnosing and treating lung cancer. The comprehensive service is
designed to meet the needs of highrisk individuals who would like to
be screened for lung cancer as well
as those who have been told they
have a lung nodule and wish to get
a second opinion. Directed by thoracic surgeons Avraham Merav, MD,
and Rocco Lafaro, MD, the Center’s
physician panel also includes pulmonologists, oncologists, infectious
disease specialists, radiologists and
pathologists. To make an appointment call 914-366-2333. LungNoduleCenter.org.
A cardiothoracic surgeon for several decades, Dr. Avraham Merav
has performed thousands of open
heart and thoracic surgical procedures. He did pioneering work on
lung transplantation while at Montefiore Medical Center, where he
was chief of thoracic surgery. He
was also chief of thoracic surgery at
Englewood (NJ) Hospital. Dr. Merav
earned his medical degree at the
University of Basle and completed a
residency in general surgery and a
fellowship in cardiothoracic surgery
at Montefiore Hospital and Medical Center. He is board certified in
general surgery and thoracic surgery
and is an associate clinical professor of cardiothoracic surgery at
Albert Einstein College of Medicine.
Dr. Merav speaks six languages
(Hebrew, French, German, Hungarian, Yiddish, and English). His office
is in the Thoracic Center, 755 North
Broadway on Phelps’ campus. (914366-2333)
Dr. Rocco Lafaro, a board certified
thoracic surgeon, is chief of general thoracic surgery at Westchester
Medical Center. He earned his
medical degree at New York Medical College, where he was chief resident of general surgery. Dr. Lafaro
completed a fellowship in thoracic
surgery at Albert Einstein College
of Medicine. His office is located at
Westchester Medical Center in Valhalla. (914-493-7676)
Rocco Lafaro, MD, and Avraham Merav, MD
Phelps Today
Phelps at
Dobbs Ferry
helps primary care physicians are
offering comprehensive, quality
healthcare for the entire family at
18 Ashford Avenue in Dobbs Ferry. Now
seeing patients at the Dobbs Ferry practice are Montgomery Douglas, MD, and
Michael Loewinger, MD.
Dr. Douglas is board certified in family
medicine and geriatrics. He is Chairman
of the Department of Family and Community Medicine at New York Medical
College, making this a faculty practice.
Dr. Douglas provides medical care for
patients of all ages – from infants to
older adults – and also offers obstetrics/
gynecology care.
Dr. Loewinger earned his medical
degree at Drexel University College
of Medicine in Philadelphia and completed a residency in internal medicine
at St. Peter’s Medical Center in New
Brunswick, NJ.
New patients are welcome at Phelps at
Dobbs Ferry. Please call 914-478-1384
for an appointment.
Montgomery Douglas, MD
Michael Loewinger, MD
Therapeutic Hypothermia
Cooling Therapy After Cardiac Arrest Gives Local Man a Second Chance
ou’d never know it by looking
at John Baglieri, but just a few
months ago he was on the brink
of death. On May 19, the strapping,
50-year-old Tarrytown man with a handlebar moustache came to the Phelps
emergency department complaining of
chest pains and promptly went into cardiac arrest. Luckily for him, he was in the
right place at the right time: under the
direction of emergency medicine physician Martin Krumins, the staff started
CPR. After more than 20 extremely harrowing minutes during which his heart
was shocked four times, John’s heartbeat was finally restored to a normal
rhythm and he regained a pulse, but he
remained unconscious. What happened
next is the reason John’s recovery is so
Over the following 24 hours, his body
temperature was lowered to 92 degrees
Fahrenheit using a surface cooling
device called Arctic Sun. The lowering of body temperature, called therapeutic hypothermia, helps protect the
brain from the effects of lack of oxygen
that occur after cardiac arrest. Severe
lack of oxygen can cause loss of brain
function – the most important factor
in a patient’s outcome after cardiac
arrest. During the procedure John was
completely sedated and paralyzed and
given a medication that prevents shivering, which would counteract the purpose of hypothermia by raising his body
temperature. Phelps was one of the first
hospitals in Westchester to use the therapeutic hypothermia protocol.
John was moved to the intensive care unit. After keeping
him cool for 24 hours, the
ICU team slowly brought his
body temperature back to
normal. Then, the intubation
tube was removed, the medications were turned off and
the neurological team and his
family waited with anticipation. They quietly urged him
to wake up, but it wasn’t until
his sister-in-law yelled, “Get
up, Johnny! Do you want a cup of coffee?” that he opened his eyes.
“When I woke up, I didn’t know what I
had been through,” says John. “I had to
ask what had happened. I still have no
memory of the event or the time right
before it.” The only thing he remembers
during the time he was unconscious was
a dream about a friend of his who died
a few years ago: “It was my friend Joe,
saying ‘It’s not your time, go back.’”
“Mr. Baglieri had a major stroke of
luck,” says Emil Nigro, Director of the
Emergency Department. “He hit the lottery by having his cardiac arrest in an
ED with very experienced people, who
started CPR immediately. That kept his
blood going to his vital organs. If he
had had the heart attack at home, he
may not have survived.” Dr. Nigro adds,
“The therapeutic hypothermia protocol
after cardiac arrest is a very complicated, challenging process, and not all
hospitals are able to implement it.” John
was truly fortunate. He was discharged
several days later with complete recovery of his brain function.
John has been a foreman for the Mount
Pleasant highway department for the
past 27 years. He and his wife, Sharon,
were taken totally by surprise by his
heart attack. “He had no heart problems that we knew of, his blood work
was fine, and he never had high blood
pressure or high cholesterol.”
It turns out that John’s cardiac arrest was
caused by a blockage of one of his coro-
John Baglieri (right) speaks with his cardiologist, Rajat Sanyal, MD, prior to a workout at
Cardiac Rehab.
nary arteries. Since his cardiac event, he
has had a cardiac stent put in and he
is watching his weight. He returned to
work just five weeks after his near-death
experience. He has a cardiologist now,
Phelps Chief of Cardiology Dr. Rajat
Sanyal, who oversaw his care when he
was hospitalized. And John does cardiac rehabilitation at Phelps three times
a week under the close supervision of
a nurse.
“I can’t sit still, I can’t imagine retiring,”
says John, who is a father of three children ages 27, 29 and 31 and grandfather of three.
“The care at Phelps was wonderful –
from the emergency department on up,
I got wonderful care,” he says. “They
started calling me Miracle Man when I
woke up in the hospital, and now everybody calls me that.”
Thanking the staff who saved his life…
John Baglieri with Martin Krumins, MD,
who implemented the hypothermia procedure in the Emergency Department.
Pictured in the ICU, L to R: Celeste Duncalf, RN; John Baglieri;
Laura Reid, Technician; Ailyn Evans, RN; Sharon Baglieri; Margaret Santos, CNS/Educator
Phelps Today
Sleep-Disordered Breathing in
Children and Adenotonsillectomy
Q & A with Tali Lando, MD
leep-disordered breathing is a relatively common condition in children that results in nighttime sleep
disturbances. Ranging from simple
snoring to actual pauses in breathing
called obstructive sleep apnea (OSA),
sleep-disordered breathing is potentially serious, but it is treatable. OSA is
estimated to affect 2-3% of the pediatric
population, or approximately 2 million
American children.
Parents who bring their children into
my office sometimes tell me their
child “snores like a truck driver.” Others report that their child has episodes
of gasping, choking or breath holding,
or that their child sleeps restlessly and
wakes up repeatedly during the night.
All of these are symptoms of obstructive
sleep apnea.
What is the most common
cause of obstructive sleep
apnea in children?
The most common cause of obstructive
sleep apnea in children is enlarged tonsils
and adenoids or adenotonsillar hypertrophy. The tonsils and adenoids are
similar to the lymph nodes or “glands”
found in the neck, groin, and armpits.
The tonsils are the two round lumps in
the back of the throat. Adenoids, which
are located high in the throat behind the
nose and the roof of the mouth, are not
Phelps Today
visible through the mouth or nose without special instruments.
What is the impact of obstructive
sleep apnea in children?
Between the ages two and five, a child’s
tonsils and adenoids may undergo a
significant growth increase and become
enlarged or “hypertrophic.” At the same
time, the breathing passages in the back
of the nose and the throat may not grow
quickly enough to make room for these
structures. When a child is asleep, the
muscles of the throat relax and collapse
and the airway space becomes too narrow for comfortable breathing.
Obstructive sleep apnea in children
has a significant impact on the quality
of life of both parent and child. Some
parents report that they are afraid to
leave a sleeping child alone and constantly feel the need to reposition the
child throughout the night to help with
breathing. Children may complain of
being constantly tired, even after a
full night’s sleep. Also, they may have
attention, hyperactivity and behavioral
issues at school and bedwetting issues
at home.
The exact reason for adenoid and tonsil
enlargement remains unknown. Some
research has shown that allergies (especially nasal allergies) and environmental exposure to smoke may be risk factors for adenotonsillar hypertrophy.
Other medical issues that may contribute to breathing problems during sleep
are neuromuscular weakness or abnormalities in the shape of the skull or face.
Some studies suggest a higher rate of
obstructive sleep apnea in overweight
If your child’s adenoids are enlarged and
blocking comfortable breathing through
the nose, you may notice that your child
always breathes with his or her mouth
open. Chronic mouth-breathing can
affect dental alignment and even facial
growth. Very young children with large
tonsils and obstructed breathing may
actually fail to thrive because they are
not eating enough. Less commonly,
toddlers and young children with large
tonsils may experience problems swallowing (dysphagia) or may sometimes
choke on solid food.
More importantly, obstructive sleep
apnea poses serious long-term health
risks in a child because the heart and
lungs are forced to pump against a lot
of additional pressure. If sleep apnea is
ignored and the obstruction is severe,
over time the heart can be damaged
and this may result in right heart strain
or other cardiac defects. Concern about
heart damage may prompt your otolaryngologist (ENT) to schedule a preoperative evaluation by a cardiologist,
who may order an EKG or an echocardiogram. In addition, there is data to
suggest a link between growth failure
in some children and sleep-disordered
breathing that is caused by enlarged
tonsils and adenoids.
How is the diagnosis of
obstructive sleep apnea made
in children?
A diagnosis of sleep-disordered breathing can be made by a trained otolaryngologist from a description of symptoms
as well as a physical examination of the
child’s tonsils and adenoids. If the tonsils are small, the ENT will assess the
size of the adenoids, either with a thin,
flexible scope introduced into the nose
or with an X-ray of the neck.
In addition, a sleep study may be
ordered by the ENT to diagnose sleep
apnea or to clarify if there are pauses
in breathing during the night. The study
is performed overnight in a sleep lab,
where stick-on electrodes record the
child’s heart rate, respiratory effort, oxygen levels and other factors. The test
tells how many apneas (cessations of air
flow) and hypopneas (decreases in air
flow) a child has during the night.
Do all children with large tonsils and adenoids need to have
them removed?
Not all children with large tonsils and
adenoids need to have them removed.
In most cases, the pediatrician will refer
parents to an ENT for further evaluation
of their child.
Many studies have been conducted to
determine if removing the tonsils and
adenoids (adenotonsillectomy) in children has a negative effect, but no clear
ill effects have been identified. Various
quality of life studies have demonstrated
that children who undergo adenotonsillectomy for obstructive sleep apnea
show improvements in cognition and
behavior after surgery. There is currently
a large, multicenter, randomized, controlled study under way called the CHAT
study. This study will hopefully provide
needed data about the effectiveness
of adenotonsillectomy for sleep-disordered breathing on a child’s cognition,
behavior and quality of life.
Many parents are concerned about
the impact that removing the tonsils
and adenoids will have on their child’s
immune system. However, there is
immune tissue throughout the body
capable of fighting infection. Although
the immune function of tonsils and adenoids may be important in very young
infants whose immune systems are still
developing, the tonsils and adenoids
clearly become more of a liability than
an asset in children with obstructive
sleep apnea or recurrent infection.
than one is extremely rare. If a child
under 2 years old is having an adenotonsillectomy, the pediatric otolaryngologist may recommend an overnight
stay in the hospital along with oxygen
Is enlargement of the adenoids
and tonsils genetic?
Although there is a gene that has been
linked to recurrent strep throat, there is
no gene directly associated with adenotonsillar hypertrophy. Anecdotally,
there may be a family member, such as
a parent or sibling, who was also known
to have large tonsils. Some studies suggest that there is an increased risk of
sleep-disordered breathing among siblings. This may be due to shared genes
and/or the fact that they grew up in the
same environment. It may also indicate a heightened awareness in families
who have another child diagnosed with
sleep-disordered breathing.
What does the surgery for
removal of tonsils and adenoids
Surgery for the removal of tonsils and
adenoids is performed routinely as an
outpatient procedure, unless the child is
younger than two or three years of age.
The operation is performed through the
mouth under general anesthesia, without any external incisions. Although the
recovery period can be difficult initially
in terms of throat soreness and hesitation to swallow, younger children do
surprisingly well post-operatively.
What is the youngest age surgery may safely be performed?
Contrary to popular belief, there is no
absolute age cut-off for safely performing an adenotonsillectomy. Adenoid
growth that significantly impairs nasal
breathing can occur in infants below
the age of one. Nonetheless, the need
for removal of tonsils in children less
Tali Lando, MD, otolaryngologist, is
board certified in otolaryngology. She
received her medical degree from Weill
Medical College of Cornell University.
She then completed an internship in
general surgery and a residency in otolaryngology, both at New York and Presbyterian Hospital-Columbia Campus,
followed by a fellowship in pediatric
otolaryngology at the Children’s Hospital of Philadelphia. Dr. Lando’s practice,
ENT Faculty Practice, is at 1055 Saw
Mill River Road in Ardsley (914-6937636).
Phelps Today
Women’s Breast Health
Mammography and Other Screening Methods
ince mammography screening
became widespread in the U.S. in
1990, the breast cancer death rate,
previously unchanged for 50 years, has
dropped 37 percent, according to the
National Cancer Institute. Following are
some common questions women ask
about breast health.
How often do I need to have
a mammogram?
The American Cancer Society recommends an annual screening mammography and a clinical breast exam by a
healthcare professional for all women
starting at age 40. The first mammography image is called a baseline screening
mammogram, and it is used for comparison with subsequent mammograms.
Women who are at higher than average
risk of breast cancer should talk with
their healthcare providers about whether
to have a mammography before age 40
and whether another imaging modality
such as a screening breast MRI should
also be done.
Who gets breast cancer?
Research has shown that women with
the following risk factors have increased
chance of developing breast cancer:
• personal history of breast cancer
• family history of breast cancer
(mother, sister or daughter with
breast cancer, especially if diagnosed
before age 50)
• genetic alterations in certain genes
(BRCA1, BRCA2 and others)
• high density breast tissue
• first menstrual cycle before age 12 or
menopause after 55
• use of combined estrogen and
progestin hormone therapy for more
than 5 years
• radiation therapy to the chest
(including the breasts) before age 30
• obesity
• physical inactivity
Phelps Today
The strongest risk factor is age – a woman’s chance of developing breast cancer
increases as she gets older. Most breast
cancers occur in women over 50, and
the number is especially high in women
over 60. Breast cancer is uncommon in
women under 40.
Are there different screenings
recommended for women
with dense breasts?
The denser the breast, the harder it is to
detect a cancer because the cancer can
be obscured by dense breast tissue. The
American College of Radiology and the
American Cancer Society recommend
mammograms only as a yearly screening tool for the breast, although other
imaging modalities like ultrasound or
MRI may increase the cancer detection
rate. However, they have limitations as
well. The modalities complement each
other but give different information. For
example, if a density is detected in a
mammogram, it may not be possible to
tell from the mammogram alone if it’s a
solid mass or a fluid-filled mass called a
cyst. An ultrasound, as a diagnostic tool,
can confirm whether the mass is solid
or cystic.
Even among the national
experts, the usefulness of
screening breast ultrasound
is still up for debate. A woman’s primary care physician
can assess her needs and
determine if an extra study
would be beneficial.
What is a breast
Breast cysts, which are common in women in their 30s
and 40s, develop when an
overgrowth of glands and
connective tissue block milk
ducts, causing them to dilate
and fill with fluid. Treatment
is not generally required,
unless a cyst is large and
painful or otherwise uncomfortable. In such cases, draining the fluid from the cyst
can ease symptoms. Breast cysts usually
disappear after menopause in women
who are not taking hormone therapy.
The cause of breast cysts is unknown,
although estrogen may be involved.
What are
Microcalcifications are calcium deposits in the breast that appear as tiny white
dots on a mammogram. They are usually benign, but they can also be an
indication of an early malignancy in
the breast. Not every calcification is
biopsied; however, when they are different sizes and shapes, the radiologist
will probably recommend a biopsy to
determine definitively whether they are
benign or malignant. At Phelps, stereotactic biopsy is performed, which is the
least invasive method to sample microcalcifications in the breast. If the calcifications are malignant, the sooner they
are addressed, the better the outcome.
When would an MRI of the
breast be recommended?
A breast MRI is most often used to screen
for breast cancer in women thought to
have a very high risk of the disease. A
breast MRI can also be recommended
when more information is needed than
a mammogram, ultrasound or clinical
breast exam can provide. An MRI performed before or after cancer is diagnosed helps determine what kind of surgery would be appropriate. Breast MRI
is intended to be used in addition to a
mammogram or another breast-imaging
test — not as a replacement for them.
Although it’s a very sensitive test that
can detect many findings that mammogram and ultrasound won’t, breast MRI
can still miss some breast cancers that a
mammogram will detect.
Breast Health Services
at Phelps
Phelps has been designated a Breast
Imaging Center of Excellence by the
American College of Radiology’s Commission on Quality and Safety. This
designation means that the center has
achieved accreditation in mammography, breast ultrasound, stereotactic
breast biopsy and ultrasound-guided
breast biopsy, and all the services
provided meet the highest national
Phelps’ director of Breast Imaging,
Norman Lee, MD, is board certified in
radiology with subspecialty fellowship
training in breast imaging. He personally interprets all screening and diagnostic mammograms and breast ultrasound
studies and also performs minimally
invasive breast procedures to determine
if a detected abnormality is benign or
malignant. The procedures include stereotactic biopsy (a non-surgical, X-rayguided method to extract some cells
through a small needle), ultrasoundguided core biopsy (a non-surgical,
ultrasound-guided method to extract
some tissue through a larger needle),
ultrasound-guided fine needle aspiration (FNA) (extraction of fluid or cells
with a very small needle), and needle
localization of a lesion under mammographic or sonographic guidance.
If a surgical consultation is needed, an
appointment can be quickly arranged
with one of the excellent surgeons at
Phelps who have particular expertise
in breast disease and breast surgery.
Patients benefit from the continuity of
care whereby the radiologist who discovers the cancer is also involved in
directing the surgeon in precisely locating the lesion prior to its removal. The
same radiologist continues to follow the
patient, issues a final report after analyzing the pathology results and offers
advice to the clinicians with regard to
next steps for care.
Phelps also has a full-time Patient Navigator (PN), Rose Finer, who facilitates
a patient’s journey through the diagnostic process when additional testing
is needed. A PN’s main responsibilities
are to assist and guide patients, many
of whom are anxious about testing and
results. She coordinates visits, obtains
test results, maintains contact among the
various treating physicians and sometimes even suggests questions a patient
may want to have answered.
The Phelps Mammography Suite’s waiting room and registration area have been
recently renovated and offer patients the
highest level of privacy and comfort.
Early morning, lunchtime, evening and
Saturday appointments are available to
accommodate busy schedules. To make
an appointment for a mammography or
breast ultrasound at Phelps, call 914366-3440.
Phelps Nurses Improve Care for Health System Elders
s people are living longer, the
number of older adults in our
communities is increasing. Hospitalized older patients often have serious illnesses and a variety of special
needs. To address the growing demand
for geriatric nursing care, a team of
Phelps nurses are bringing to Phelps a
program to improve healthcare for our
older patients. The program, Nurses
Improving Care for Health System
Elders (NICHE), was developed by the
Hartford Institute for Geriatric Nursing
at the New York University College of
The Phelps nursing leadership team for
NICHE includes Cheryl Burke, RN, clinical specialist and NICHE program coordinator; Kathy Pappas, RN, Phelps and
NICHE clinical educator; Paula Keenan,
RN, nursing director and NICHE program administrator; Maria Magno, RN,
and Ronda Osborn Haroon, RN, coordinators from the medical unit; and
Alicia Mulvena, RN, clinical educator
and NICHE evidence-based practice
coordinator. These nurses are learning
new ways to deal with such problems
as falls, incontinence, pain and wound
care, and by sharing their knowledge
with the rest of the hospital will effect
cultural change in the way that care is
provided to the elderly.
The program will be expanded throughout the hospital in phases. The
nursing leaders have completed
their initial NICHE training and
will soon begin training the staff
who will be participating in the
first phase. The program will
begin on one unit and eventually
be brought to the remainder of
the hospital, including the Emergency Department.
The goals of NICHE are to
increase sensitivity of hospital staff to the aging process,
improve the recognition of agerelated changes in older adult
patients, enhance communica-
tion skills with patients and their families, and ensure mental and physical
stimulation for patients while they are
in the hospital.
Only two other hospitals in Westchester,
to date, have received the NICHE recognition. The end result of the NICHE
training will benefit all Phelps patients,
young and old.
The NICHE nurse leaders, pictured left to right: Kathy
Pappas, RN; Ronda Osborn Haroon, RN; Paula Keenan,
RN; Alicia Mulvena, RN; Cheryl Burke, RN; and Maria
Magno, RN.
Phelps Today
Phelps Licensed To Dispense
Donor Human Milk
helps Memorial Hospital Center
has recently been licensed by the
New York State Department of
Health to receive, store and issue donor
human milk. The only hospital with
such a license in Westchester County,
Phelps is known for its long-standing
commitment to breastfeeding. Last year
it was ranked among the top 10 hospitals in the state with the highest percentage of mothers who exclusively breastfeed their infants.
“We’ve earned that rating because we
work with all our new mothers to help
them breastfeed,” says Joann Gould,
RN, a lactation consultant at Phelps.
“Many mothers are reluctant to give
their babies formula because they have
become so knowledgeable about the
benefits of breastfeeding.”
Human milk provides optimal nutrition
for infants and young children, promoting normal growth and development
and reducing the risk of illness and disease. However, some mothers have difficulty producing adequate amounts of
“At Phelps, this now means that when
newborns require supplementation,
mothers will be able to give their babies
donor human milk, which contains useful antibodies and immune properties
and is more easily digested by infants,”
says Gould. “Breast milk is human milk
designed for human babies.”
Doctors may prescribe supplementation for a variety of reasons. It could be
that a baby is in a special care nursery
or has elevated bilirubin levels, which
leads to jaundice. The mother might be
ill or taking medication that is contraindicated for providing breast milk. Or
perhaps a baby has a low glucose level.
When the mother’s milk is unavailable
or additional milk is required, pasteurized donor milk from a recognized milk
bank is the next best option. Mothers
will be required to sign a consent form
to obtain donor milk and will need a
doctor’s order before the baby can be
fed donor milk.
Phelps Today
Donors are women who produce an
abundance of milk that they do not
need for their own babies. Milk donors
are screened to make sure they are free
of pre-existing medical conditions such
as hepatitis or HIV. Phelps obtains milk
from one of two facilities, WakeMed,
located in Raleigh, North Carolina,
which processes the milk, or Hudson
Valley Milk Bank in Irvington, which
also obtains milk from WakeMed. The
milk is pasteurized at WakeMed and
shipped to Phelps in a frozen state.
In order to receive the new state
license, Phelps had to meet stringent
standards requiring staff education
and the establishment of policies and procedures that will be
reviewed annually. The hospital
is also required to submit logs
to the Department of Health
on an annual basis.
In addition, Phelps had
to demonstrate the ability to store the milk
safely and securely. For
that, Phelps purchased
a freezer and temperature probe. All this
comes at a cost – the
milk alone is $5
per ounce. This fee
covers the costs of
processing, storage,
handling and shipping of the product.
The Westchester Putnam Rockland Lactation Consortium
donated money to
purchase the freezer,
temperature probe
and an initial supply
of milk.
Dr. Myra Mercado,
a neonatologist at
Phelps, is overseeing
the new program.
a way of providing better health for
growing babies,” said Dr. Mercado.
“The American Academy of Pediatrics
calls for exclusive breastfeeding for
the first 6 months of life. With our new
license, Phelps can now help all mothers meet that recommendation.”
Mother’s Milk
The Benefits of Breastfeeding
ncreasingly, people are becoming more
conscious about the foods they eat, as they
realize that a healthful diet will help prevent
obesity and a variety of illnesses. It makes sense
that the best time to start “eating right” is at the
beginning of life, and proponents of breastfeeding
have long been touting its benefits.
The New York City health department took a bold
step to promote breastfeeding in May when it
began the campaign “Latch on NYC” to encourage
hospitals to stop handing out free infant formula.
The campaign is based on the belief that giving
mothers infant formula as they leave the hospital
may make them feel that their breast milk is not
enough to satisfy their baby. But mother’s milk,
with its unique nutrients and antibodies, contains
ingredients that formula simply cannot duplicate.
“Human breast milk is best for babies and
mothers,” says NYC Health Commissioner Thomas
Farley, explaining that by joining together, the
entire health community will support mothers who
wish to breastfeed. The campaign also focuses
on encouraging mothers to breastfeed for longer
periods. The American Academy of Pediatrics
recommends breastfeeding exclusively for six
months and continuing it for up to one year while
introducing other food.
Babies who are breastfed benefit in a number of
ways. The antibodies in mother’s milk protect
against illness, so breastfed babies usually require
fewer visits to the doctor. Compared to infants
who are fed formula, those who are breastfed are
less susceptible to ear and respiratory infections,
skin rashes and diarrhea. Breastfeeding also offers
protection against sudden infant death syndrome.
Among young adults who were breastfed, there is a lower
incidence of obesity, type 2 diabetes and asthma.
Mothers also benefit. It’s common for a new mother to become
overwhelmed by the many responsibilities associated with
taking care of her baby, but the simplicity of breastfeeding
can help to alleviate her stress. Breastfeeding mothers are
also more likely to be rested, since feedings in the middle
of the night are not encumbered by bottle preparation. It is
surprisingly convenient. There’s no need to sterilize bottles or
carry bags of feeding supplies on outings.
In addition, a woman who breastfeeds is less likely to
experience postpartum depression and has a reduced risk
of ovarian and breast cancers and type 2 diabetes. Nursing
mothers also have a quicker return of uterine tone.
Beyond the emotional and health benefits, there is also a
cost savings associated with breastfeeding, since there is no
need to purchase formula, bottles and other supplies – not to
mention the savings from fewer visits to the doctor.
Breastfeeding is a magnificent gift that a mother can give her
child, and herself. She needs simply to eat a healthful diet, and
she can feel confident that her baby will benefit from the milk
she provides. Just as meaningful is the profound mother-child
bond that is created through the simple act of breastfeeding –
an experience that the two exclusively share and enjoy.
Nurses and lactation consultants in the Maternal Child
Unit at Phelps Memorial Hospital Center have been
uniquely successful in encouraging and assisting mothers
in breastfeeding. Last year, Phelps was recognized by the
New York State Department of Health as one of the top 10
hospitals statewide with the highest percentage of mothers
who exclusively breastfeed their newborns. Breastfeeding
education classes are provided monthly. For information, call
Phelps Today
Diagnosing & Treating Balance Problems
izziness or imbalance can have
a profound effect on your life.
It may curtail your activities of
daily living or make you overly cautious about engaging in social situations
or going places where there is a risk of
falling. As you restrict your activities for
fear of sudden dizziness, you may begin
to feel socially isolated.
Most people have experienced the
sensation of unexplained dizziness or
imbalance at one time or another in
their lives, but the cause of the dizziness may be difficult to identify. Some of
the possible causes are stroke, migraine,
a tumor or a central nervous system disorder. Another possible cause of dizziness is a disease or condition of the vestibular system, the sensory system in the
inner ear that helps maintain balance.
The Vestibular System
The vestibular system is composed of
fluid-filled tubes and chambers with
nerve endings that collect information
about the location of your body in relation to the space around it. A healthy
vestibular system relies on equal but
opposite information from the left and
right inner ear canals. If one side of the
vestibular system is weak, your brain
senses a mismatch, resulting in the perception of dizziness. In addition to dizziness, symptoms of a vestibular disorder include falling, altered gait, nausea
and vomiting.
Videonystagmography (VNG)
cal or occupational therapist. After
reviewing your symptoms, the therapist
will test your strength, flexibility, coordination, gait, overall balance and posture. The results will indicate whether
you are a candidate for vestibular
A diagnostic test is now available at
Phelps to help determine if a vestibular disease or condition is the cause of
dizziness or a balance problem and if
so, whether vestibular rehabilitation is
appropriate. Called videonystagmography (VNG), the test assesses the connection between the eyes and the pathways connecting the vestibular system
to the brain.
During the test, the patient wears a
set of comfortable goggles equipped
with small infrared video cameras. The
cameras measure the movements of
the eyes while the head and body are
placed in different positions. Warm and
cold air stimulates both ears to assess
the two sides of the vestibular system
If a vestibular disorder is identified, a
vestibular rehabilitation evaluation may
be recommended. This assessment is
conducted by a specially trained physi-
Patient Brian Marcin performing a visual exercise with therapist Puja Agarwal.
Vestibular Rehabilitation
Vestibular rehabilitation therapy is
an exercise-based program involving
positioning maneuvers that reduce the
symptoms of dizziness and imbalance.
The program includes exercises for:
• coordinating eye and head
• desensitizing the vestibular
system to episodes of dizziness
• improving walking and balance
• increasing general activity levels
Vestibular rehabilitation has been
shown to be effective in reducing balance problems. Most patients report a
reduction in symptoms and are able
to return to the daily activities that are
important in their lives.
Demonstration of VNG Test by Susan Reilly, MS, CCC-A, Audiologist
Phelps Today
If you are having problems with dizziness or imbalance, your physician may
order these diagnostic tests, which are
provided at Phelps in the Department of
Physical Medicine and Rehabilitation.
For more information about vestibular
testing and rehabilitation at Phelps, call
Returning to an Active Life
Through Vestibular Therapy
“I’m one of those people, I do what I
have to do,” she says.
lfreda Aldridge, a highly independent, energetic Scarborough
Manor woman who retired after
many years in the television industry
and started a second career as a real
estate broker, remembers the first time
it happened 20 years ago.
“I was sitting in a chair and getting ready
to leave for a vacation in Montreal. All
of a sudden, I felt like I was falling. The
feeling passed and I went on vacation.”
Over the next 20 years, she continued to
have the feeling periodically: “I would
be dizzy walking through a store, and
would have to grab onto a counter. It
always felt like I was falling, but I never
passed out. I could only sleep on my
right side – if I turned onto my left, I had
the falling feeling again.” Ms. Aldridge
continued working even while she had
the problem because it wasn’t constant.
She went for long periods, as long as a
year, where she didn’t feel dizzy or have
the sensation of falling. Finally, after visiting several neurologists and ear, nose
and throat specialists and having MRIs
and “every test possible,” Ms. Aldridge
was diagnosed with BPPV (Benign Paroxysmal Positional Vertigo), a spinning
sensation that lasts for less than a minute while the person is in certain positions. It typically occurs when turning
over in bed, reclining or bending over.
BPPV is caused by the displacement of
otoconia, crystals in the inner ear.
Last year her neurologist gave her a prescription for vestibular therapy, and she
came to Phelps, where she worked with
occupational therapist Sheetal Shenoy,
one of two Phelps therapists certified in
vestibular rehabilitation by Emory University and the American Physical Therapy Association. Ms. Aldridge under-
went a series of positional maneuver
exercises while lying down on a bed as
well as other exercises. Because she is a
very independent person, she was also
given detailed instructions on exercises
to do at home.
Shenoy points out how important it is
that exercises at home are done under
the supervision and guidance of a skilled
therapist. “People go to the Internet and
think they can do the exercises all by
themselves, but you need to work with
a skilled therapist – who knows how to
adjust and modify these highly individualized exercises – or you can actually
do yourself harm,” says Shenoy.
After attending just a few sessions, Ms.
Aldridge reports, “I’ve been fine ever
since. It’s nice not having to sleep on
one side in one position. Also, at the
gym, I am able to go on machines
where I lie flat – I had given up on those
before my vestibular therapy. It’s helped
my balance too.”
Coming Back from a Devastating Accident
nother patient who has benefited
from vestibular therapy at Phelps
is Steven Garcia, a 38-year-old
Peekskill man who works in civil construction. In October of 2011, Garcia
was involved in a serious construction
accident that resulted in a concussion,
eye damage, and 200 stitches in his face.
After returning from the hospital, Garcia
started experiencing dizziness, memory
issues, problems with vision and more.
He saw several different specialists, and
after doing occupational and physical
therapy at Kessler Institute for Rehabilitation in New Jersey, he was told he
would benefit from vestibular therapy.
Looking for a location closer to home,
he came to Phelps, where he underwent
therapy with Sheetal Shenoy.
His therapy started in January. At first,
it was very slow going. He couldn’t
tolerate sessions for very long because
of the trauma he had been through.
Then, after a month, he was able to do
modified vestibular exercises, dizziness management techniques, balance
retraining with the state-ofthe-art Dynavision machine,
general conditioning and
memory exercises – all of
which helped him function
independently at home and
in the community.
“From Day 1 until now the
results are tremendous. I
don’t get anywhere near as
dizzy as I used to, and I just
got cleared by my neurologist to go back to work parttime,” says Garcia.
“I recently took a boat ride with my
son, and I was worried about going out
there, but I did very well. I’m really glad
I ended up at Phelps for therapy. I don’t
know if I would have gotten this kind of
help anywhere else.”
Steven Garcia (right) enjoying a boat ride with his son,
Phelps Today
You are invited to
participate in an
American Cancer
Society Study
It took thousands
of study volunteers
to prove that
cigarette smoking
causes cancer.
verybody knows that cigarette
smoking causes lung cancer, but
few realize that it took many years
and thousands of cancer prevention
study volunteers and participants to
prove it.
Phelps Memorial Hospital Center
and the American Cancer Society
invite members of our community
to participate in “Cancer Prevention
Study-3,” a major public health study
aimed at better understanding the factors
– lifestyle, environmental, genetic – that
cause or prevent cancer.
For the study, the American Cancer
Society plans to enroll 300,000 men
and women between the ages of 30
and 65 from across the United States.
To participate, an individual must never
have been diagnosed with cancer and
must be willing to make a long-term
commitment to the study. Participants
will be followed for at least 20 years.
Cancer Prevention Study-3 (CPS-3) is
actually the American Cancer Society’s
fourth follow-up study. The first study
took place in the 1950s. Information
from that study and the two studies that
followed it confirmed the link between
cigarette smoking and lung cancer,
demonstrated the link between larger
waist size and increased death rates
from cancer and other causes, and
showed the considerable impact of air
pollution on heart and lung conditions.
The current study, CPS-II, began in
1982 and is still ongoing. But changes
in people’s lifestyles and our increased
understanding about cancer since that
study began make it important to now
begin a new study.
information such as medical history,
lifestyle and behavior from a large group
of people at the beginning of the study
Phelps Today
and then following them over time to
update that information as well as
document health changes like a cancer
diagnosis or heart disease. Researchers
will examine data on participants who
get cancer (as well as those who do not)
to identify cancer risks or protection
associated with various lifestyle,
environmental or genetic factors.
To enroll in the study, individuals will
be asked to complete a comprehensive
survey packet that asks for information
on lifestyle, behavior and other factors
related to their health. Participants will
have their waist circumference measured
and give a small blood sample. After that,
participants will be asked to complete
a brief survey on a yearly basis for the
next 20 years – a small commitment that
could have a large impact on finding a
cure for cancer.
If you would like to participate in this
study, the details for enrollment are as
Date/Time: Wednesday,
14, 2012 from 2 - 7 pm
Place: Phelps Memorial Hospital
Center 701 North Broadway, Sleepy
Hollow, NY. Come to Suite 200 in the
755 Building across from the Phelps
parking garage.
For more information, you may contact
Aurora DeVilla (914-366-3781 or
[email protected]) or Nancy Fox
(914-366-3167 or [email protected]).
Your participation will impact generations to come.
Phelps’ First “Vitality
Day” a Huge Success
n May 24, Phelps recognized National Older
Americans Month with
its first-ever Vitality Day celebration for seniors. Approximately 75
seniors attended the all-day celebration, which began with screenings
for blood pressure, glucose, pulse
oximetry, medication and balance,
and an opportunity for informal
conversations with representatives
from the Phelps Sleep Center and
Speech and Hearing Center and
an acupuncture practitioner. Several community partners joined
the event to educate seniors on
brain fitness, dentistry, Alzheimer’s
and community resources. Mae
Carpenter, Commissioner of the
Westchester County Department
of Senior Programs and Services,
gave a talk on the resources available to help seniors in Westchester
County “age in place” safely and
Participants enjoyed a mid-day
tour of Kendal on Hudson, the
continuing care retirement community located on the Phelps campus, and were treated to a delicious complimentary lunch in the
Kendal dining room overlooking
the Hudson River. In the afternoon
three workshops were offered:
geriatrician Lidia Pousada talked
about preventive medicine; Phelps
nurses and pharmacists offered a
medication review; and Phelps
Breakfast Club member Debra Elsbach led a meditation session.
Vitality Day ended with an evening mixer at Atria, an independent and supportive living community in Briarcliff Manor, where
seniors enjoyed cuisine prepared
by Atria’s master chef, toured the
facility and strolled around the
grounds. A wonderful time was
had by all!
Anne Nelson, NP-C, performs blood pressure screenings
at Vitality Day.
Neurologist Joins Phelps Staff
Phelps welcomes neurologist
Eliz Agopian, MD, MPH, to
the medical staff. Dr. Agopian
earned her medical degree
from SUNY-Buffalo School of
Medicine and completed an
internship and a residency in
neurology at Albert Einstein
College of Medicine in the
Bronx. Her office is located
on the Phelps campus in the
755 Medical Services Building
in Suite 417 (914-366-5330).
Eliz Agopian, MD
he Vitality Initiative at Phelps brings health, wellness
and aging-in-place programs to seniors in the community. Following are some of the programs sponsored by Vitality:
The Breakfast Club is a social gathering for adults in their
second half of life, which meets once a month (except in
August and December) on Thursday mornings from 8:30
to 10:30 am. Each Breakfast Club includes a presentation
on a health topic, a nutritious breakfast and some light
Cool Conversations is a group that meets after the Breakfast Club to engage in some lively conversation on a variety of interesting topics. The program is meant to be social
as well as intellectually stimulating.
Mind Games is a fun way to stimulate various cognitive
functions – memory, problem solving, focus and speed. If
you are you having trouble remembering things or feel that
you are easily confused, come join the fun! The Memory
Game, Boggle, Set and Sporcle are just a few of the games
played, one Wednesday afternoon a month.
Living Well, sponsored by the Westchester County Department of Senior Programs and Services, is a series of six
workshops designed to help seniors manage their chronic
health problems. Participants get the support they need,
find practical ways to deal with pain and fatigue, discover
better nutrition and exercise choices, understand new
treatment options, and learn better ways to talk with their
doctor and family about their health.
New – The Vitality Newsletter is a bi-monthly publication
specifically for seniors. To receive the newsletter, either by
mail or email, contact Ellen Woods at 914-366-3937 or
[email protected]
For more information about any of these programs, call
Phelps Today
Phelps Launches A Farmers Market
n June 21, Phelps Memorial Hospital Center became the first
hospital in the region to launch a farmers market. The Sleepy
Hollow Farmers Market at Phelps is a great source of local
produce, farm products and healthful prepared foods for residents of
the community as well as hospital staff, visitors and patients.
Many may ask why a hospital has taken the unusual step of sponsoring a farmers market. “We are all about promoting good health,” says
Phelps Senior Vice President Daniel Blum, “and good health starts with
good food. The market fits right in with our Vitality Initiative, which
focuses on encouraging wellness in our community.”
The Sleepy Hollow Farmers Market at Phelps is organized by Pascale Le
Draoulec of Hastings, a food writer and author who runs farmers markets in Chappaqua, Hastings and Irvington. The market offers a wide
range of farm fresh fruits and vegetables, farm products such as cheeses,
eggs, and meats, as well as prepared foods such as baked goods, sandwiches and salads. The selection of vendors varies from week to week,
and many offer samples so shoppers can taste before they buy.
The Sleepy Hollow Farmers Market at Phelps is located in the Rockwood Hall parking area just north of the hospital, at the end of Route
117. Free parking is available in the Phelps parking garage.
The market is open from 11:30 am – 3:30 pm on Thursdays and will
continue through the fall. More information may be obtained by calling
Phelps Today
Upcoming Events:
The 25th Anniversary
Champagne Ball
n Saturday, November 10, 2012, Phelps Memorial Hospital
Center will celebrate its 25th Anniversary Champagne Ball
at Trump National Golf Club in Briarcliff Manor, NY. The
event will be chaired by Pamela and Dr. Paul Terracciano. Over the past 25 years, the Champagne Ball has provided invaluable
resources for the hospital, helping to fulfill its mission of providing
world-class community-based healthcare. This year we are proud to
honor two extraordinary individuals, Dr. Albert Sheehy, a long-time
beloved Phelps physician, and Dr. Max Gomez, nine-time Emmy
award-winning medical journalist. These gentlemen have made
exceptional contributions to the health and well-being of our community and beyond. The Champagne Ball is our opportunity to recognize the impact they have had on the lives of others. “Celebrating our 25th anniversary speaks volumes about the success
of this event,” Pamela shared recently. “It’s a landmark occasion
that brings together doctors, staff, family, friends and the community
to celebrate all that Phelps has accomplished and to share plans for
the future. We have an extraordinary committee whose members
are truly the heart and soul of the Ball. This year is especially exciting as one of our committee members, the world-renowned artist
Christopher Radko, is designing our invitations and the commemorative journal, further ensuring that this Champagne Ball will be an
unforgettable event.”
One of the most unique aspects of the evening is the Fund-A-Cause
auction, where guests pledge their support to a designated hospital
program or service with the goal of completely funding the initiative
by the end of the evening. This year, the auction’s goal is to fund
cardiac monitors for the Thomas E. and Alice M. Hales Endoscopy
Sponsorship dollars are critical to this effort, supporting some of the
most important initiatives within our hospital. We are grateful to
our early participants, including the Phelps Department of Anesthesiology, which is sponsoring the Cocktail Reception.
We invite you to be a part of this extraordinary event. For more
information please contact Robert Lane, Vice President for Development, at (914) 366-3107 or [email protected]
Dr. Max Gomez
An Evening with
Le Grand Orange
oin us on Sunday, November 18, 2012, when
Phelps Memorial Hospital Center will partner
with the Rusty Staub Foundation to co-host an
extraordinary food and wine experience at the
award-winning restaurant Daniel at 60 E 65th
Street in New York City. The evening, hosted by legendary baseball great
and humanitarian Daniel “Rusty” Staub, will
feature a 5-course dinner prepared by worldrenowned chef Daniel Boulud, and an auction
offering a wide array of exceptional wines. Proceeds from the event will support community
healthcare at Phelps and the humanitarian efforts
of the Rusty Staub Foundation.
Mr. Staub was a six-time All Star and Most Valuable
Player for the Houston Astros, Montreal Expos and
New York Mets and is in the Hall of Fame for all
three teams. He is the president of the Rusty Staub
Foundation, which has raised over $7 million to
assist families and children through various services and programs, including food pantries and
a mobile food unit that travels the five boroughs of
New York City and serves more than one million
meals to the needy every year. “Hunger in NYC is
at an all-time high,” Mr. Staub recently remarked. “I have never seen lines longer at our nine emergency food pantries. We really try hard to feed
people who cannot take care of themselves.”
Tickets for An Evening with Le Grand Orange are
$1,000 each ($600 of which is tax-deductible).
Seating is extremely limited. For more information, please contact Robert Lane, Vice President
for Development, at (914) 366-3107 or [email protected]
Daniel “Rusty” Staub
Dr. Albert Sheehy
Phelps Today
Warm Blankets: Patient
Satisfaction “For All Ages”
n 2009, when she was in fifth grade,
Briarcliff Manor resident Annemarie
Altomare started making baby blankets as part of a project undertaken by
the Briarcliff Girl Scout troop led by her
mother, Carol Altomare.
Annemarie’s finished blankets were
donated to Project Linus, a national
organization that donates handmade
security blankets to sick and needy children in hospitals and shelters. Project
Linus gets its name from the popular
“Peanuts” character who totes his security blanket around with him wherever
he goes. Creator Charles Schultz was
delighted by the idea of naming this
program for his special character. The
organization believes that “the best kind
of sleep beneath heaven above is under
a blanket handmade with love!”
Recently, Annemarie, who is now 14,
returned to blanket making as her preConfirmation service project for St. Theresa’s Church in Briarcliff Manor. When
donating her four blankets to Project
Linus, she asked that hers be earmarked
for Phelps Memorial Hospital because
that is where she was born. The creative
designs she chooses for her hand-knotted fleece blankets reflect her love for
animals. The blankets for Phelps featured brightly colored, cheerful frogs,
owls and dinosaurs. In July, Annemarie and her mother visited Phelps and
made a personal presentation to Barbara Bruno, Nursing Director of Mater-
nity, joined by Pam Cardozo, Director
of Volunteer Services.
Annemarie is especially proud that one
of her Phelps blankets was given to a
premature infant and another went to
a mother who had no special blanket
in which to take her newborn home.
Annemarie says that doing things for
others helps her realize how much she
has and takes for granted.
Congratulations to Annemarie’s parents
and teachers for encouraging this spirit
of giving. Who knows – perhaps we
have a future Phelps student volunteer
in Annemarie.
The Comfort Shawl Program
The Phelps Comfort Shawl program, initiated in 2009, provides “extra comfort”
to adult patients in need of “emotional
warmth” around their shoulders during
their hospital stay. The knitter’s support
is woven into each shawl as a way of
giving to the patient. In receiving the
shawl, the patient knows that a caring
person created it. Since the program
began, more than 100 volunteers have
donated over 300 handmade shawls for
Phelps patients. The volunteer office has
received numerous notes from patients
thanking Phelps for this personal touch,
which helped make their hospital experience such a positive one. Patient satisfaction for all ages is Phelps’ goal. These
handmade blankets and shawls “for all
ages” represent but one contribution
toward this collective effort.
For more information about the Comfort
Shawl program, call Volunteer Services
at 914-366-3170.
Annemarie Altomare (center) presents a baby
blanket to Barbara Bruno, RN, (left) and Pam
Manage Your Health Records Online
At Phelps, we believe it is important for patients to have access to their health records whenever they need
them. By partnering with Dell™ PHR Link and Microsoft™ HealthVault®, we are able to provide patients
access to their medical records free of charge. The record may include medications, test results, allergies,
diagnoses, procedures or conditions. Creating this free Personal Health Record account allows you to
securely store, organize and share your health information online using your HealthVault account. To
create or access your new personal health record, visit www.phelpshospital.org/PHR.
Phelps Today
Hearing Aids Improve Quality of Life
Empower People with Hearing Loss to Stay Socially Active
he Donald R. Reed Speech and
Hearing Center at Phelps is helping area residents with hearing loss regain their quality of life and
remain socially active by raising awareness of a new, comprehensive research
study. Conducted by the Better Hearing
Institute, a not-for-profit organization
whose mission is to educate the public and medical profession on hearing
loss, its treatment and prevention, the
study reports that eight out of ten hearing aid users say they are satisfied with
the changes that have occurred in their
lives specifically due to their hearing
aids, and 82% would recommend hearing aids to their friends.
“These findings are both timely and
encouraging,” says Susan Reilly, Coordinator of Audiology Services at Phelps.
“More people have hearing loss at
younger ages due to the noisy world we
live in. What many people don’t realize
is how dramatically the quality of their
lives can improve with the use of good
quality, well-managed hearing aids.”
shopping, driving or participating in
outdoor activities
According to Ms. Reilly, outdated
notions about hearing aids pose a significant barrier that inhibits people from
addressing their hearing loss. Public perception of hearing aids hasn’t kept pace
with the new technologies and discreet
designs of today’s devices. These misconceptions can hold people back from
addressing their hearing loss, resulting
in withdrawal from social situations and
Another important take-away from the
study is that benefits received from hearing aids and quality of life improvements
were highly related to the quality of care
provided by the audiologist. “Even the
most advanced instrument won’t do you
any good if it’s not fit properly,” Reilly
says. “I urge people in the Westchester
community to make an appointment
to get their hearing checked. Because
hearing loss typically happens over
time, it’s difficult for people to notice
the loss and the negative impact it has
had on their well-being.”
The Better Hearing Institute study
showed that:
• 91% of hearing aid users in the study
are satisfied with their ability to
understand in one-on-one situations
• 85% are happy with their improvement in hearing in small groups
• 80% are satisfied with their ability
to hear while watching television,
The good news is that hearing aids can
help the majority of people with hearing loss regain their quality of life. To
schedule an appointment for a hearing evaluation or for more information
about hearing aid services at Phelps,
call 914-366-3010.
Coming Soon –
Phelps at Crotonon-Hudson
Phelps will be opening a
new medical practice in
Croton this fall. Phelps at
Croton-on-Hudson will offer
primary care and specialty
care, as well as X-ray and
ultrasound diagnostic radiology services. The practice
will be located in the Croton
Shoprite Plaza at 440 South
Riverside Avenue.
Phelps Today
Cáncer de pulmón
Mejorar las probabilidades con exámenes de detección
l cáncer de pulmón es la principal causa de muertes por
cáncer en Estados Unidos. Todos los años provoca más
muertes que los cánceres de colon, próstata, ovarios y
de senos combinados.
una tos nueva y persistente o toser con sangre
• ronquera
El cáncer de pulmón puede ser consecuencia de la exposición
al radón, al asbesto, a algunos metales, a los gases de diesel o a otros contaminantes, pero la mayor causa de cáncer
de pulmón es el consumo de cigarrillos. El ochenta y cinco
por ciento de las víctimas del cáncer de pulmón son fumadores actuales o ex fumadores. El riesgo relativo de desarrollar
cáncer de pulmón es 20 veces mayor en los fumadores que en
los no fumadores.
• dolor de pecho
Los expertos describen los antecedentes de consumo de cigarrillos de una persona en “paquetes años”. Fumar un paquete
de cigarrillos por día durante un año equivale a “un paquete
año” de consumo de cigarrillos. Para una persona que tiene
una historia de consumo de cigarrillos de 30 paquetes año
(un paquete por día durante 30 años o dos paquetes por día
durante 15 años, por ejemplo) se considera que tiene un alto
riesgo de desarrollar cáncer de pulmón.
El pronóstico del paciente con cáncer de pulmón depende de
cuán avanzada esté la enfermedad y de la forma específica
del cáncer de pulmón. Es importante recordar que el cáncer
de pulmón se puede curar, especialmente en los estadios tempranos. Detectar y tratar el cáncer de pulmón antes de que se
presenten los síntomas ofrece la mejor perspectiva, pero, no
obstante, se pueden tratar los cánceres de pulmón más avanzados. Los síntomas de cáncer de pulmón pueden incluir:
• dificultad para respirar
• sibilancias
• pérdida de peso (sin intentar bajar de peso)
• dolor óseo
• dolor de cabeza
Pruebas de detección para el cáncer de pulmón
Habitualmente se realizan pruebas para detectar cáncer de
senos, cáncer de piel, cáncer de próstata y cáncer de colon,
pero no se realizan pruebas para detectar cáncer de pulmón,
aún cuando este es el tipo de cáncer más letal.
El cáncer de pulmón comienza como un pequeño nódulo
pulmonar solitario, una mancha (lesión) redonda u ovalada
en el pulmón. Muchas veces, los nódulos pulmonares se descubren accidentalmente en una radiografía de tórax realizada
por otro motivo. Aunque el método tradicional para detectar
el cáncer de pulmón ha sido la radiografía de tórax, en un
estudio de 53,000 pacientes con alto riesgo de desarrollar
cáncer de pulmón se observó que la Tomografía Computada
(CT) de baja dosis era un mejor método para detectar nódulos
pulmonares. Los resultados del Estudio Nacional de Pruebas
de Detección para el Pulmón, publicado en The New England Journal of Medicine en agosto de 2011, mostraron una
reducción del 20% en las muertes por cáncer de pulmón en el
grupo que se realizó la CT de baja dosis en comparación con
Una imagen (izquierda) de tomografía computada (CT) muestra un nódulo en el lóbulo superior derecho. Una imagen (derecha) de tomografía
por emisión de positrones (PET) muestra un aumento en la actividad metabólica del lóbulo superior derecho, sugiriendo una malignidad.
Phelps Today
el grupo que solo se realizó las radiografías.
Como consecuencia del estudio, la National Comprehensive
Cancer Network® ahora recomienda las CT de baja dosis
en las personas de 55 a 74 años que tienen una historia de
consumo de cigarrillos de al menos 30 paquetes año y que
no tienen ningún síntoma de cáncer de pulmón. También se
recomiendan los exámenes de detección de CT de baja dosis
para las personas con una historia de consumo de cigarrillos
de 20 paquetes año que tienen algún otro factor de riesgo,
como antecedentes personales de cáncer o antecedentes
familiares de cáncer de pulmón.
Si le diagnostican un nódulo pulmonar, recuerde que la causa
no necesariamente es un cáncer. Los nódulos pulmonares
también pueden ser la manifestación de una infección, una
acumulación de células normales, un quiste o una anormalidad vascular. De hecho, la mayoría de los nódulos pulmonares
descubiertos durante las pruebas de detección son benignos.
Avances en el diagnóstico
Hace cuatro décadas, la única manera de diagnosticar cáncer
de pulmón era mediante las radiografías de tórax, pero nadie
sabía efectivamente si el nódulo era canceroso hasta que se
realizaba la cirugía. En la actualidad, contamos con tomógrafos que pueden capturar imágenes de cortes del pulmón en
formato digital, que se pueden ver en una pantalla de computadora en múltiples proyecciones y en extremo detalle.
La Tomografía por Emisión de Positrones (PET) proporciona
información adicional acerca de los nódulos pulmonares que
ayuda a determinar si son malignos o benignos.
En Francia, en los paquetes de cigarrillos hay un mensaje que advierte
con grandes letras negras: “Fumer
tue” (“Fumar mata”). El año pasado, la
Administración de Alimentos y Drogas
presentó nueve etiquetas de advertencia con imágenes gráficas, como
la que se muestra aquí, que deberán
cubrir el 50% de la parte frontal y posterior de todos los paquetes de cigarrillos para septiembre de 2012.
El paso más importante que puede
dar para proteger su salud es dejar
de fumar. Incluso después de fumar
durante muchos años, se pueden
reducir significativamente las posibilidades de desarrollar cáncer de pulmón si deja de fumar.
Centro de Nódulos Pulmonares
En respuesta a las nuevas pautas para
las pruebas de detección del cáncer
de pulmón, se ha creado el Centro de
Nódulos Pulmonares (The Lung Nodule Center), que ofrece a las personas
el acceso a un equipo de especialistas
certificados en múltiples disciplinas y
Los primeros broncoscopios, que se utilizan para observar el
interior del pulmón, eran tubos rígidos que solo permitían
vistas parciales. En la actualidad, los broncoscopios son
flexibles; pueden alcanzar bien el interior de los pulmones y
las ramas del árbol bronquial. La Aspiración Endobronquial
Guiada por Ultrasonido (EBUS) permite que el neumonólogo
realice biopsias transbronquiales a través del broncoscopio y
obtenga muestras de tejido para determinar si la causa de un
nódulo es un cáncer, una infección, una inflamación, u otras
Tratamiento del cáncer de pulmón
Si los análisis de detección generan sospecha de que el nódulo
pulmonar podría ser maligno, se extraerá una muestra para
biopsia. Los métodos para diagnosticar y tratar el cáncer de
pulmón han mejorado notablemente en los últimos años. En
Phelps, más del 80 por ciento de los procedimientos son por
cirugía torácica video asistida (VATS), que permite la inspección visual, tomar biopsias del pulmón y los ganglios linfáticos y retirar una pequeña sección del pulmón (resección en
cuña), todo sin abrir el tórax.
Los pulmones se dividen en lóbulos, el pulmón izquierdo
tiene dos y el derecho, tres. Si se detecta una malignidad en
un lóbulo, el lóbulo puede ser retirado quirúrgicamente, procedimiento que se denomina lobectomía. Es el tipo de cirugía
por cáncer más común. Ocasionalmente es necesario extraer
completamente el pulmón del paciente. A ese procedimiento
se lo llama neumonectomía. Aún así será capaz de vivir bien,
como lo hizo durante muchos años el actor John Wayne.
las más recientes tecnologías y técnicas de diagnóstico y tratamiento del
cáncer de pulmón. El servicio completo está diseñado para satisfacer
las necesidades de personas en alto
riesgo que desean realizarse pruebas
de detección del cáncer de pulmón,
así como de aquellas a las que se les
ha dicho que tienen un nódulo pulmonar y desean tener una segunda
opinión. Dirigido por los cirujanos
torácicos Dr. Avraham Merav y Dr.
Rocco Lafaro, el panel de médicos
del Centro también incluye neumonólogos, oncólogos, especialistas
en enfermedades infecciosas, radiólogos y patólogos. (914-366-2333)
Durante varias décadas, el cirujano
cardiotorácico Dr. Avraham Merav
ha realizado miles de procedimientos
quirúrgicos torácicos y a corazón abierto. Fue un pionero en el trasplante
de pulmón, mientras trabajaba en el
Montefiore Medical Center, donde fue
jefe de cirugía torácica. También fue
jefe de cirugía torácica del Hospital de
Englewood (NJ). El Dr. Merav obtuvo
su título médico en la Universidad de
Basilea y completó una residencia en
cirugía general y una especialidad en
cirugía cardiotorácica en el Hospital y Centro Médico de Montefiore.
Está certificado en cirugía general y
cirugía torácica y es profesor clínico
asociado de cirugía cardiotorácica en
la Facultad de Medicina Albert Einstein. El Dr. Merav habla seis idiomas
(hebreo, francés, alemán, húngaro,
idish e inglés). El consultorio del Dr.
Merav está ubicado en el Thoracic
Center, 755 North Broadway del campus de Phelps. (914-366-2333)
Dr. Rocco Lafaro, cirujano torácico
certificado, es jefe de cirugía torácica
general del Westchester Medical Center. Obtuvo su título médico en la
Facultad de Medicina de Nueva York
donde fue jefe residente de cirugía
general. El Dr. Lafaro completó una
especialidad en cirugía torácica en
la Facultad de Medicina Albert Einstein. Su consultorio está ubicado en
el Westchester Medical Center en Valhalla. (914-493-7676)
Phelps Today
Phelps Autorizado A Ofrecer Leche
Humana Donada
helps Memorial Hospital Center recientemente fue autorizado
por el Departamento de Salud
del Estado de Nueva York para recibir,
almacenar y entregar leche humana
donada. Phelps, el único hospital que
cuenta con dicha autorización en el
Condado de Westchester, es conocido
por el compromiso que tiene desde
hace mucho tiempo con la lactancia
materna. El año pasado fue clasificado
entre los 10 principales hospitales del
estado que cuentan con el más alto
porcentaje de madres que exclusivamente amamantan a sus niños.
“Nos hemos ganado esa clasificación
porque trabajamos con todas nuestras
madres nuevas para ayudarlas a amamantar”, dice Joann Gould, RN, una
asesora de lactancia de Phelps. “Muchas
madres son reacias a dar leche de fórmula a sus bebés porque están muy
bien informadas acerca de los beneficios de la lactancia materna”.
La leche humana proporciona una
nutrición óptima para los bebés y los
niños pequeños, lo cual promueve el
crecimiento y el desarrollo normales
y reduce el riesgo de enfermedades
y dolencias. Sin embargo, algunas
madres tienen dificultad para producir
cantidades adecuadas de leche.
“En Phelps, ahora esto significa que
cuando los recién nacidos requieren
complemento, las madres podrán dar
a sus bebés leche humana donada,
que contiene anticuerpos y propie-
Phelps Today
dades inmunológicas útiles, y que es
de más fácil digestión para los bebés”,
dice Gould. “La leche materna es
leche humana diseñada para bebés
Los médicos pueden indicar complemento por numerosas razones. Podría
ocurrir que un bebé se encuentre en
una sala de cuidados especiales o que
tenga niveles elevados de bilirrubina, lo
que puede producir ictericia. Es posible
que la madre esté enferma o que tome
medicación que esté contraindicada
durante el período de lactancia. O,
quizás, el bebé tenga un bajo nivel de
glucosa. Cuando no hay leche materna
disponible o se requiere leche adicional, la leche donada pasteurizada de un
banco de leche reconocido es la próxima mejor opción. Las madres deberán
firmar un formulario de consentimiento
para obtener la leche donada y necesitarán una receta médica antes de que
el bebé pueda ser alimentado con
leche donada.
Las donantes son mujeres que producen una gran cantidad de leche que
no necesitan para alimentar a sus propios bebés. Se realizan exámenes a las
donantes de leche para asegurar que
no tengan enfermedades preexistentes,
como hepatitis o VIH. Phelps obtiene
leche por parte de uno de los dos
siguientes centros: WakeMed, ubicado
en Raleigh, Carolina del Norte, que
procesa la leche, o el Hudson Valley
Milk Bank en Irvington, que también
obtiene leche de WakeMed. La leche
se pasteuriza en WakeMed y se envía a
Phelps congelada.
Para recibir la nueva licencia estatal,
Phelps tuvo que cumplir estrictas normas que exigen educar al personal y
establecer políticas y procedimientos
que se revisarán en forma anual. El hospital también debe presentar registros
al Departamento de Salud en forma
Además, Phelps tuvo que demostrar la
capacidad para almacenar la leche de
forma segura. Para ello, Phelps compró
un congelador y una sonda de temperatura. Todo esto tiene un costo: la leche
sola cuesta $5 por onza. Esta tarifa
cubre los costos de procesamiento,
almacenamiento, manipuleo y envío
del producto. El Consorcio de la Lactancia Materna Putnam Rockland de
Westchester donó dinero para comprar
el congelador, la sonda de temperatura
y un abastecimiento inicial de leche.
La Dra. Myra Mercado, neonatóloga de
Phelps, está supervisando el nuevo programa. “La lactancia materna es una
forma de proporcionar mejor salud a
los bebés durante el crecimiento”, dijo
la Dra. Mercado.
“La Academia Estadounidense de Pediatría recomienda la lactancia materna
exclusiva durante los primeros 6 meses
de vida. Con nuestra nueva autorización, Phelps ahora puede ayudar a
que todas las madres cumplan con esa
Leche materna
Los beneficios de la lactancia materna
ada vez más, las personas toman mayor conciencia
acerca de los alimentos que consumen, ya que se dan
cuenta de que una dieta saludable ayuda a prevenir
la obesidad y una variedad de enfermedades. Tiene sentido
el hecho de que el mejor momento para empezar a “comer
bien” sea al comienzo de la vida. Desde hace mucho tiempo
los defensores de la lactancia materna han estado difundiendo sus beneficios.
El departamento de salud de la Ciudad de Nueva York dio
un gran paso para promover la lactancia materna en mayo
cuando comenzó la campaña “Latch on NYC” para alentar
a los hospitales a dejar de entregar fórmula infantil en forma
gratuita. La campaña se basa en la creencia de que entregar
fórmula infantil a las madres al salir del hospital puede hacer
que sientan que su leche materna no es suficiente para satisfacer a su bebé. Pero la leche materna, con sus nutrientes
y anticuerpos únicos, contiene ingredientes que la leche de
fórmula simplemente no puede duplicar.
“La leche materna humana es lo mejor para los bebés y sus
madres”, dice Farley, el Comisionado de la Ciudad de Nueva
York, explicando que, al unirse, toda la comunidad de la salud
apoyará a las madres que deseen amamantar. La campaña
también apunta a alentar a las madres a amamantar durante
períodos más prolongados. La Academia Estadounidense de
Pediatría recomienda la lactancia exclusivamente durante
seis meses y continuar hasta un año mientras se introducen
otros alimentos.
madres que amamantan también tienen un retorno más
rápido del tono uterino.
Además de los beneficios emocionales y para la salud, también existe un ahorro económico asociado a la lactancia
materna, ya que no hay necesidad de comprar fórmula infantil, biberones y otros suministros, sin mencionar lo que se
ahorra con la menor cantidad de visitas al médico.
La lactancia materna es un magnífico regalo que una madre
puede hacerle a su bebé, y a sí misma. Ella simplemente
necesita ingerir una dieta saludable y eso le asegurará que
su bebé se beneficiará con la leche que ella provea. De igual
importancia es el profundo vínculo entre madre y bebé que
se genera a través del simple acto de amamantar, una experiencia que comparten y disfrutan exclusivamente los dos.
Los enfermeros y asesores de lactancia de la Unidad Materno
Infantil del Phelps Memorial Hospital Center han tenido un
éxito único en alentar y ayudar a las madres a amamantar.
El año pasado, Phelps fue reconocido por el Departamento
de Salud del Estado de Nueva York como uno de los 10 principales hospitales del estado que cuentan con el más alto
porcentaje de madres que exclusivamente amamantan a sus
recién nacidos. Mensualmente se dictan clases de educación
sobre lactancia materna. Para obtener más información, llame
al (914) 366-3382.
Los bebés que lactan se benefician de muchas maneras. Los
anticuerpos de la leche materna los protegen contra enfermedades, de modo que los bebés que lactan en general requieren
menos visitas al médico. En comparación con los bebés que
se alimentan con fórmula infantil, los que reciben lactancia
materna son menos susceptibles a infecciones respiratorias y
de oídos, erupciones en la piel y diarrea. La lactancia también brinda protección contra el síndrome de muerte súbita
infantil. Entre los adultos jóvenes que fueron amamantados,
existe una menor incidencia de obesidad, Diabetes Tipo 2 y
Las madres también se benefician. Es común que una madre
reciente se sienta abrumada por tantas responsabilidades asociadas al cuidado del bebé, pero la simpleza de amamantar
puede ayudar a aliviar su estrés. Las madres que amamantan también tienen más probabilidades de estar descansadas,
ya que la alimentación en medio de la noche no requiere
preparar un biberón. Es sorprendentemente cómodo. No hay
necesidad de esterilizar biberones o llevar bolsos de suministros para alimentar al bebé en las salidas.
Además, una mujer que amamanta tiene menos probabilidades de sufrir depresión posparto y tiene menor riesgo de
cáncer de ovarios, cáncer de senos y diabetes tipo 2. Las
Phelps Today
Thursdays through November
11:30 am – 3:30 pm
Call (914) 366-3937 for information.
Monday, September 10, 2012
An ongoing support group for adults
struggling with the loss of a loved one
meets the second and fourth Thursday
of the month from 2 – 3:30 pm in
Room 235 of the 755 North Broadway
An evening support group for adults
who have lost a parent will begin on
Wednesday, October 10 from 6:30 –
8 pm, meeting in Room 225 of the 755
North Broadway building.
Bess Steiger, LCSW,
Bereavement Coordinator
Call (914) 366-3325 or email [email protected]
pmhc.us for information.
Arno Housman, MD,
Chief of Urology at Phelps
Monday, September 10 and 24
5 – 8 pm
Jack Hershman, MD, urologist
Thursday, September 13 and Friday,
September 21
9 am – 12 pm
Suggested donation: $10 per session
(other dates available in October)
Visit the new Farmers Market at Phelps
every Thursday through November to
purchase farm-fresh produce, meats
and cheeses, baked goods, prepared
foods and more. The market is held in
the Rockwood Hall parking area next
to the Phelps parking garage. To learn
more about the Farmers Market, see
page 18.
Bereavement Support Groups
h e a lth y li f e c a l e n d a r
Sleepy Hollow Farmers
Market at Phelps
Prostate Screenings
Appointments are required;
no walk-ins.
Call (914) 366-3220 to register.
Look Good . . . Feel Better®
Look Good . . . Feel Better® is a free
program for women going through
cancer treatment that teaches them
beauty techniques to help manage
the appearance-related side effects of
their treatment. Makeup kits donated
by cosmetic companies are given to
each participant to take home. The
program is offered in partnership with
the American Cancer Society, The
National Cosmetology Association, and
the Cosmetic, Toiletry and Fragrance
Association (CTFA) Foundation.
Sheri Silver, cosmetologist
7 – 9 pm; 755 N. Broadway, Room 225
Advance registration is required. Call
(800) 227-2345.
Tuesday, September 11, 2012
Better Breathers Club Pulmonary Fibrosis Support
The Pulmonary Fibrosis Support Group
welcomes those with pulmonary fibrosis
to learn and share with others.
Susan DiFabio, RRT, Educational
Coordinator for Pulmonary
Rehabilitation Program
12 - 1 pm; Pulmonary Lab (B Level)
Call (914) 366-3712 to register.
Tuesday, September 11, 2012
Sleep Well Support Group
Do you suffer from a sleep disorder or
have a friend or family member who
does? Come to this educational and
social support group for people affected
by sleep disorders. An oral surgeon will
speak about the use of oral appliances
and their positive effect on mild sleep
8:30 – 10 am; Registration is required.
Call (914) 366-3220 to register.
Saturday, October 6, 2012
CarFit for Older Driver
Tuesday, October 9, 2012
Controlling the Pain of
Arthritic Knees Without
Undergoing Surgery
Tasios Vakkas, MD, oral surgeon
7 – 8:30 pm; Auditorium
Call (914) 366-3755 to register.
Prostate Screenings
(other dates available in September)
Arno Housman, MD,
Chief of Urology at Phelps
Monday, October 1
5 – 8 pm
Jack Hershman, MD, urologist
Thursday, October 4 and Friday,
October 12
9 am – 12 pm
Appointments are required;
no walk-ins.
Call (914) 366-3220 to register.
Wednesday, October 3, 2012
Laryngopharyngeal Reflux
(LPR) – Silent Reflux
Changes in voice, throat clearing, mucus
in the throat with discomfort, chronic
cough not responding to medications,
and swallowing problems are all
symptoms of Laryngopharyngeal Reflux
(LPR). In addition, chronic asthma,
recurrent sinusitis, dental disease and
even cancer can all be caused by or
exacerbated by LPR. LPR is not GERD.
Craig H. Zalvan, MD, laryngologist,
Medical Director of the Institute for
Voice and Swallowing Disorders at
Phelps Occupational Therapy Department is hosting CarFit, a free, interactive
educational program designed to improve older driver safety. Trained staff
will provide information to ensure the
safest “fit” for older drivers and their
9:00 am until noon (rain or shine);
Phelps parking garage
Appointments are required.
Call (914) 366-3705 to schedule an
Tuesday, October 9, 2012
Better Breathers Club
The Better Breathers Club is an informal
interactive support group for people with
breathing disorders. This presentation on
smoking cessation will cover the basics
of quitting and provide information on
how to prevent or limit weight gain.
Jennifer Lucas, RRT-NPS, Northern
Westchester Hospital Smoking
Cessation Program Coordinator
6 – 7 pm; Pulmonary Lab (B Level)
Call (914) 366-3712 to register.
If you have arthritis of the knee, you have
probably thought about whether you
might have to have surgery. Orthopedic
surgeon J. Robert Seebacher, MD, will
discuss a non-surgical therapy that often
helps people maintain active lifestyles
while postponing – or eliminating – the
need for surgery. Learn how injections
and exercise can enable reconditioning
and reduction of inflammation and
J. Robert Seebacher, MD
Medical Director of the Phelps Joint
Replacement Service
6:30 pm; Auditorium (light
refreshments at 6 pm)
Call (914) 366-3100 to register.
Thursday, October 11, 2012
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.
Phelps Today
Thursday, October 11, 2012
Thursday, October 18, 2012
Monday, October 29, 2012
Kendal on Hudson’s Annual
Senior Health Fair
Inpatient Rehab – Bridging
the Gap Between Hospital
and Home
An Introduction to LSVT (Lee
Silverman Voice Treatment)
Seniors are invited to a Health Fair at
Kendal on Hudson located adjacent
to the Phelps campus.
screenings, massage and exercise
demonstrations will be available.
Admission is free. No reservations are
required. Discount meal tickets will be
offered for lunch in Kendal’s Bistro, and
there will be free giveaways and gift
10 am - 2 pm; Kendal on Hudson
(adjacent to the hospital campus)
For more information, please call
(914) 922-1060 or (914) 922-1062.
Wednesday, October 17, 2012
Ergonomics for Computer
and Mobile Device Use
Phelps is the only community hospital
in Westchester with an acute inpatient
rehabilitation unit. For those patients
who qualify, staying at Phelps instead
of transferring to another facility can be
the best option. Learn what acute rehab
entails for someone who has had knee
surgery, hip replacement, a stroke, or
other conditions, and how our therapists
prepare them to return home at the
highest level.
Judi Sewell, RN,
Coordinator for Acute Rehabilitation
Matt Landfield, PT, Manager of
Physical Medicine and Rehabilitation
Kathy Gibbs, OTR/L, Occupational
5 - 6 pm; Auditorium
Call (914) 366-3220 to register.
Thursday, October 18, 2012
Greenlight Laser Prostate
Learn about a breakthrough laser
treatment for men with prostate
enlargement or blockage. Evaluation
and treatment of prostate and urinary
problems will be discussed.
People today are using computers and
mobile devices more than ever, but
pain and discomfort should not be
a part of this experience. A Certified
Ergonomics Assessment
will discuss positioning and posture,
as well as how to set up a computer
workstation for the comfortable use
of desktop/laptop computers and other
devices. The presentation will include
simple exercises to prevent injury
and a demonstration of ergonomically
designed equipment.
Shannon Clearwater, OTD, OTR/L,
6 – 7 pm; Auditorium
Call (914) 366-3220 to register.
Jack Hershman, MD, urologist
7 pm; Boardroom (C Level)
Call (914) 366-3220 to register.
Monday and Tuesday, October 22
and 23, 2012
Defensive Driving
Two-evening certification program.
Lowers insurance premiums, reduces
violation points, and sharpens driving
Robert Fogel
5:30 – 8:30 pm; Auditorium
Fee: $45
Call (914) 366-3220 to register.
Learn about an intensive voice therapy
program and physical therapy programs
to strengthen the voice and improve
movement for patients with Parkinson’s
Andrea Bracciante Ely, MSP-CCC/SLP
Jennifer Teyfel-Freestone, PT, DPT,
1:30 – 3 pm;
Walkway Conference Room
Call (914) 366-3010 to register.
Monday, November 5, 2012
Look Good . . . Feel Better®
See listing for September 10, 2012.
Tuesday, November 6, 2012
Swallow Screening
Do you sometimes feel food or liquid
go down the “wrong pipe”? Does food
get stuck? Do you have pain when you
swallow? Do you experience food or
liquid coming back up? If you answered
yes to any of these questions, then
you should attend this free swallow
screening clinic.
Lynne Marie Gagne-LeBlanc,
Andrea Bracciante-ELY, MSP-CCC/SLP
Paula Dinu, MS-CCC/SLP
9:30 – 11 am; Walkway Conference
Call (914) 366-3220 to register.
Thursday, November 8, 2012
The Breakfast Club
See listing for October 11, 2012.
Thursdays, November 8 and
November 15, 2012
Sound Advice: Getting the
Most from your Hearing Aids
(2-part workshop)
Did you know that people with hearing
aids who participate in an auditory
rehabilitation program are more
satisfied with their hearing aids than
people who don’t? The Donald R. Reed
Speech & Hearing Center at Phelps has
been providing auditory rehabilitation
for individuals who purchase their
hearing aids at Phelps for more than 6
years. It is the only program of its kind
in Westchester. As a special offering,
this 2-part workshop is being offered to
anyone with hearing aids. Attendance at
both sessions is strongly recommended
and space is limited. Come with your
“hearing partner” and learn, share and
laugh with us.
Susan D. Reilly, MS, CCC-A,
James Edler, EdD, experienced hearing
aid user
7 – 8:30 pm;
Walkway Conference Room
Call (914) 366-3010 to register.
Monday, November 12, 2012
Tuesday, November 13, 2012
Chronic Cough Clinic
Better Breathers Club
The Better Breathers Club is an informal
interactive support group for people with
breathing disorders. Learn about the
importance of eating green vegetables
for those with lung disease.
Alaina Muckell, educator, holistic
health coach and cystic fibrosis patient
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
often feel a tickle in the throat that
precedes a cough, 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
6 - 7 pm; Pulmonary Lab (B Level)
Call (914) 366-3712 to register.
Wednesday and Thursday,
November 14 and 15, 2012
Defensive Driving
Two-evening certification program.
Lowers insurance premiums, reduces
violation points and sharpens driving
Robert Fogel
5:30 – 8:30 pm; Auditorium
Fee: $45
Call (914) 366-3220 to register.
8:30 – 10 am; Registration is required.
Call (914) 366-3220 to register.
Ongoing Health Programs and Support Groups
Alzheimer’s Support Group
For information, call Curtis Au
(914) 253-6860
Outpatient Behavioral Health
dependency, counseling,
continuing day treatment,
supportive case
management (914) 366-3027
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
Cardiovascular Wellness Center
Exercise under RN supervision
(914) 366-3752
Celiac Sprue Support Group
Sue Goldstein: (914) 428-1389
CPR Classes (914) 366-3166
Diabetes Education Classes
for Adults (914) 366-2270
Essential Tremor Group
Meets in Somers. Contact
[email protected]
for information.
Group Counseling
Help with issues such as:
separation & divorce, losses,
relationships, family issues,
parenting, coping skills (914)
(914) 366-3325
Look Good Feel Better® for
women undergoing cancer
(800) ACS-2345
(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
Phelps Today
Maternity & Baby Care Classes
The ChildbirthExperience/
LaMaze Method
Tuesday or Wednesday evenings
7:30 – 9:30 pm for 5-6 weeks
Start dates: September 11, October 3 or 23,
November 14, 2012
OR two-day weekend session, 10 am – 3 pm:
September 15-16, October 13-14, November
10-11, December 8-9, 2012
Cost: $170 per couple
Breastfeeding: First Choice for Babies
October 11, November 5, December 3, 2012
7 – 9 pm
Cost: $45 per couple
ABCs of Baby Care
September 10 or 27; October 18 or 29,
November 15 or 26; December 6 or 20, 2012
7 pm
Cost: $65 per couple
Big Brother/Big Sister:
Sibling Preparation
September 22, October 20, November 17,
December 15, 2012
10:30 am
$20 per child
Totsaver Program: American Heart
Association CPR for Family and Friends
September 8, October 6, November 3,
December 1, 2012
9 am
$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
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
Programs and Services at Phelps
Bereavement Support
(914) 366-3325
Blood Donor Services*
(914) 366-3916
Cardiovascular Diagnostic Lab
(914) 366-3740
Cardiac Rehabilitation
(914) 366-3742
Child Care – Robin’s Nest
(914) 366-3232
Diabetes & Metabolism Center**
(914) 366-2270
Diabetes & Endocrine Center for Children & Young Adults*
(914) 366-3400
Educational Programs and Free Screenings
(914) 366-3220
Emergency Department
(914) 366-3590
Emergency Department’s PromptCare
(914) 366-3660
Emergency Education Center*
(914) 366-3577
Gastroenterology & Advanced Endoscopy* (914) 366-1190
(914) 366-3325
Hyperbaric Medicine Center
(914) 366-3690
Infusion Center*
(914) 366-3523
Laboratory (Outpatient)
(914) 366-3917
Lung Nodule Center
(914) 366-2333
Maternal Child Center
(914) 366-3382
Memorial Sloan-Kettering Cancer Center**
(914) 366-0664
Mental Health – Outpatient Counseling*
(914) 366-3600
Mental Health – Outpatient Chemical Dependency
(914) 944-5220
Mental Health – Inpatient Substance Abuse – Co-occurring Disorders
(914) 366-3027
Mental Health – Inpatient Psychiatry
(914) 366-3513
Nutrition Counseling
(914) 366-2264
Pain Center
(914) 366-3794
Pastoral Care
(914) 366-3090
Pharmacy for the Community**
(914) 366-1400
Physical Medicine & Rehab (PT, OT, Aquatherapy) - Outpatient*
(914) 366-3700
Physical Medicine & Rehab - Inpatient
(914) 366-3702
Physician Referral Service
(914) 366-3367
Prenatal Care Assistance Program (PCAP)
(914) 941-1263
Pulmonary Physiology Lab and Pulmonary Rehabilitation
(914) 366-3712
(914) 366-3430
Respite Care
(914) 366-3356
Senior Services and Memory Loss Evaluation*
(914) 366-3669 or 3677
Sleep Center
(914) 366-3626
Speech & Hearing – The Donald R. Reed Center**
(914) 366-3010
Surgery – Call Physician Referral (914) 366-3367
Thoracic Center for Chest Diseases* (914) 366-2333
Vascular Institute
(914) 366-3008
Voice & Swallowing Institute**
(914) 366-3636
Volunteer Services
(914) 366-3170
Wound Healing Institute* (914) 366-3040
*Located in the Phelps Medical Services Building (755 North Broadway).
** Located in the Phelps Professional Building (777 North Broadway).
For more information about Phelps services, visit phelpshospital.org and click on “Programs & Services.”
It is now possible to request an appointment for many services on the Phelps website. Just go to
phelpshospital.org and click on “Request an Appointment Online.”
Phelps Today
Nonprofit Organization
Phelps Memorial Hospital Center
701 North Broadway
Sleepy Hollow, NY 10591-1096
U.S. Postage
Permit #63
Mechanicsburg, PA
Receive a Gift When You Give the Gift of Life!
Every time you donate blood at Phelps, you can choose a gift from one of the generous supporters listed below.
¡Reciba un regalo cuando dé el regalo de la vida!
Cada tiempo usted dona sangre en Phelps, puede escoger un regalo de uno de los partidarios generosos listó abajo.
Amalfi Restaurant, Briarcliff Manor
The Art Barn, Ossining
At the Reef Restaurant,
Cortlandt Manor
Atria Senior Living on the Hudson,
Basilico Pizza, Pasta and Gourmet,
Mt. Kisco
The Boathouse, Ossining
Brasserie Swiss, Ossining
Bridge View Tavern, Sleepy Hollow
The Cabin, White Plains
Canfin Gallery, Tarrytown
Capri Pizza & Pasta, Ossining
Caravela, Tarrytown
Carpet Giant, Ossining
Casa Rina, Thornwood
Coffee Labs Roasters, Tarrytown
Crabtree’s Kittle House, Chappaqua
Creative Flooring, Mt. Kisco
Doca’s Portuguese Restaurant,
Dominick’s Limousine,
Sleepy Hollow
Don Juan Mexican Restaurant,
Doubletree Hotel, Tarrytown
Eldorado West Diner, Tarrytown
Elite Hair Design, Tarrytown
Elmsford Chiropractic, Elmsford
Fairview Golf Center, Elmsford
Family YMCA, Tarrytown
TGI Friday’s, Tarrytown
Geordane’s Deli, Irvington
Goldfish Restaurant, Ossining
Good Food, Briarcliff Manor
Gordo’s, Hawthorne
Green Valley Nursery, Hawthorne
Hair on the Hudson, Tarrytown
Heritage Frame & Picture,
Highland Dry Cleaners, Ossining
Horsefeathers, Tarrytown
Horseman Restaurant & Pizza,
Il Sorriso Ristorante, Irvington
Images Art Gallery, Briarcliff Manor
Isabella Italian Bistro, Tarrytown
J.P. Doyle’s Restaurant,
Sleepy Hollow
Jacob Burns Film Center,
Josephine’s Hair Salon, Ossining
Karma Lounge Martini Bar & Grille,
Kendal on Hudson, Sleepy Hollow
L3 Couture, Briarcliff Manor
Landmark Diner, Ossining
Louie Linguine’s Casual Bistro,
Main Street Sweets, Tarrytown
Mandee, Ossining
Manor Wine & Spirits,
Briarcliff Manor
Marriott Westchester, Tarrytown
Mediterraneo, Pleasantville
Melita’s Home Furnishings,
Moon River Grill, Sleepy Hollow
Moonbeam Café, Briarcliff Manor
Mr. Nick’s Brick Oven Pizza,
My Sherry & More, Inc.,
Briarcliff Manor
Nevaeh Cuisine, Pleasantville
NY School of Esthetics, Tarrytown
Okinawa Hibachi Steak House,
Old Stone Trattoria, Chappaqua
Paese Pasta & Pizza,
Briarcliff Manor
PHR Center of Electrolysis,
Pleasantville Colonial Diner,
Red Hat Bistro & Bar, Irvington
River View Wine & Spirits,
Rock Island Sound, Tarrytown
Sheraton Hotel, Tarrytown
South of the Border, Ossining
Sparx Hair & Makeup Salon,
Squire’s Restaurant, Briarcliff Manor
Striped Bass, Tarrytown
Sunset Cove, Tarrytown
Tarry Tavern, Tarrytown
Tarrytown Woodworks, Tarrytown
Taste of China, Tarrytown
Terra Rustica Ristorante,
Briarcliff Manor
Thornwood Ale House, Thornwood
Tramonto Restaurant-Bar-Café,
Trapp Optical, Tarrytown
The Tuscan Grille, Briarcliff Manor
Ultra Clean Car Wash & Detail
Center, Ossining
Wake Robin, Briarcliff Manor
Warner Library, Tarrytown
Westchester Broadway Theatre,
Wobble Café & Catering, Ossining
Please patronize these businesses
and let them know you appreciate
their community-minded support.
To learn about donating blood, call
(914) 366-3916.

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