2014 Spring Newsletter - Phelps Memorial Hospital

Transcripción

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

2014 Spring Newsletter - Phelps Memorial Hospital

Transcripción

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