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Internal Medicine of Cayuga Medical Associates, PC 8 Brentwood Drive, Suite B, Ithaca, NY (607) 266-7500 Elizabeth M. Cotton, MD Serena Yoon, MD Internal Medicine of Cayuga Medical Associates, PC 16 Brentwood Drive, Ithaca, NY (607) 277-2170 Walter E. Margie III, MD John-Paul D. Mead, MD Samson Pachikara, MD Drs. John and Ann Costello 217 N. Aurora Street, Ithaca, NY (607) 273-2811 Ann Costello, MD John Costello, MD Lucia Jander, MD Gannett Health Center Cornell University Ho Plaza, Ithaca, NY (607) 255-5155 Edward Koppel, MD James Macmillan, MD Susan Miller, MD Internal Medicine of Ithaca, PC 2359 N. Triphammer Road, Ithaca, NY (607) 257-3452 Muhammad A. Wattoo, MD Geoffrey E. Moore, MD, PC Cayuga Center for Healthy Living 310 Taughannock Blvd., Ithaca, NY (607) 252-3590 Radomir D. Stevanovic, MD, PC 2343 N. Triphammer Road, Ithaca, NY (607) 266-9100 Neonatal-Perinatal Medicine Special Care Nursery, Cayuga Medical Center 101 Dates Drive, Ithaca, NY (607) 274-4011 Srisatish Devapatla, MD Ob-Gyn Associates of Ithaca 20 Arrowwood Drive, Ithaca, NY (607) 266-7800 Zohreh Nikkhah Abyaneh, MD Kathleen E. Gardner, MD Steven A. Gelber, MD Dvorah Milner, MD Joan Sullivan, MD Midwives of Ob-Gyn Associates of Ithaca (607) 273-7271 Marie A. Harkins, CNM Kathleen Hazel, CNM Annie E. Kennedy, CNM Mahrie A. Moore, CNM Kathryn Pierce, CNM Oo Kyong, MD 1290 Trumansburg Road, Ithaca, NY (607) 273-4331 Oncology/Hematology Ithaca Medical Group 1301 Trumansburg Road, Suite P, Ithaca, NY (607) 272-5414 Timothy E. Bael, MD Charles Garbo, MD Ophthalmology Arleo Eye Associates 100 Uptown Road, Ithaca, NY (607) 257-5599 Robert J. Arleo, MD Ralph M. Bishop, MD Phillip Lempert, MD Melissa Oltz, OD Richard Pascucci, OD Tamara Stockwin, OD Peter S. Schwartz, MD 2333 N. Triphammer Road, Suite 403, Ithaca, NY (607) 266-7600 Amy K. Boscia, OD Peter S. Schwartz, MD Oral, Maxillofacial, and Facial Plastic Surgery Cayuga Facial Surgery 200 E. Buffalo Street, Suite 304, Ithaca, NY (607) 277-7007 Jeffrey S. Lewis, MD, DMD Oral Surgery Nephrology Ithaca Dialysis Clinic 201 Dates Drive, Suite 206, Ithaca, NY (607) 273-9111 Robert A. Hesson, MD Neurology Cayuga Neurologic Services 119 W. Buffalo Street, Ithaca, NY (607) 273-6757 Susan Cowdery, MD James Gaffney, MD Justin T. Montanye, MD Jody Stackman, MD Neurosurgery Progressive Neurosurgery of Cayuga Medical Associates 201 Dates Drive, Suite 101, Ithaca, NY (607) 269-0033 Barry J. Pollack, MD Gerald M. Zupruk, MD Obstetrics and Gynecology Cayuga Women’s Health 1301 Trumansburg Road, Suite L, Ithaca, NY (607) 273-0250 Jose A. Torrado, MD Finger Lakes Oral Surgery 2377 N. Triphammer Road, Ithaca, NY (607) 266-8600 Timothy D. Bonniwell, MD, DMD Francis T. Piliero, MD, DDS 2333 N. Triphammer Road, Suite 402, Ithaca, NY (607) 257-8076 Orthopedic Surgery Ithaca Orthopaedic Group, PC 10 Brentwood Drive, Suite B, Ithaca, NY (607) 266-0073 Eldridge Anderson, MD Bruce L. Greene, MD Norman Krause, MD Stephanie Roach, MD Orthopedic Services of Cayuga Medical Associates 1301 Trumansburg Road, Suite R, Ithaca, NY (607) 272-7000 Dirk H. Dugan, MD Joseph A. Mannino, MD Brett Young, MD Kimberly Carney Young, MD Pediatrics Psychology Northeast Pediatrics (607) 257-2188 Northeast Adolescent Medicine (607) 257-5067 10 Graham Road West, Ithaca, NY 821 Cliff Street, Ithaca, NY John A. Bradshaw, MD Suzanne M. Bradshaw, MD Audrey DeSilva, MD Rajaram Rao, MD Jeffrey D. Snedeker, MD Andrea Torrado, MD Marguerite Uphoff, MD Melissa Woo, MD Cayuga Medical Center 101 Dates Drive, Ithaca, NY (607) 274-4304 Kevin Field, PhD Radiation Oncology Roswell Park Cancer Institute Cayuga Medical Center Radiation Medicine (607) 274-4060 Jorge A. Gomez, MD Michael Kuettel, MD Dheerendra Prasad, MD Naoyuki Saito, MD, PhD Rheumatology Ithaca Medical Group 1301 Trumansburg Road, Suite P, Ithaca, NY (607) 272-5414 Lawrence Endo, MD Gannett Health Center Cornell University Ho Plaza, Ithaca, NY (607) 255-3564 Janet Corson-Rikert, MD Stephen Hughes, MD Sleep Disorders Physiatry: Physical Medicine and Rehabilitation Sports Medicine Plastic, Reconstructive, and Hand Surgery 22 Arrowwood Drive, Suite B, Ithaca, NY (607) 266-0483 David Monacelli, MD Cayuga Foot Care 207 North Geneva Street, Ithaca, NY (607) 272-2610 Joseph M. Quezada, DPM Ithaca Orthopaedic Group, PC 10 Brentwood Drive, Suite B, Ithaca, NY (607) 266-0073 Bruce Greene, MD Paul Klawitter, MD Urology Ithaca Urology 1301 Trumansburg Road, Suite L, Ithaca, NY (607) 273-8502 Sami T. Husseini, MD Sanjeev Vohra, MD Women’s Health and Family Planning Planned Parenthood of the Southern Finger Lakes 314 W. State Street, Ithaca, NY (607) 273-1513 Joyce Leslie, MD Max Yarowsky, MD Gannett Health Services, Cornell University Ho Plaza, Ithaca, NY (607) 255-3564 Margaret Mackenzie, MD Anna Matusiewica, MD Robert J. Mendola, MD If you are having problems sleeping, we can help. For information about the Sleep Disorder Center, call (607) 274-4617 or visit www.cayugamed.org. Everyone deserves a good night’s sleep. Cayuga Medical Center Psychiatry Cayuga Medical Center 101 Dates Drive, Ithaca, NY (607) 274-4304 Auguste Lytton Duplan, MD Henry D. Gerson, MD . p ee Cayuga Medical Center Sports Medicine and Athletic Performance Island Health Center, 5th Floor 310 Taughannock Blvd., Ithaca, NY (607) 252-3580 Andrew R. Getzin, MD Jake D. Veigel, MD Plastic Surgery Ithaca Podiatry Associates 2333 Triphammer road, Suite 202, Ithaca, NY (607) 257-7700 Jeffrey Kadlecik, DPM he thing like a g l o s n s ’ ood night s ’ e r Fall 2010 Sleep Disorder Center Cayuga Medical Center 101 Dates Drive, Ithaca, NY (607) 274-4617 Michael R. Slattery, MD Physiatry & Rehabilitation Medicine, PC 201 Dates Drive, Ithaca, NY (607) 277-4097 Andrew Morpurgo, MD Melissa Thibault, MD Family Foot Care 406 Second Street, Ithaca, NY (607) 272-9223 Mary Ellen Smoolca, DPM The News Magazine of Cayuga Medical Center at Ithaca Cayuga Medical Center Radiation Medicine 101 Dates Drive, Ithaca, NY (607) 274-4060 David S. Cho, MD Buttermilk Falls Pediatrics 1301 Trumansburg Road, Suite H, Ithaca, NY (607) 272-6880 22 Arrowwood Drive, Suite A, Ithaca, NY (607) 257-5500 Jessica Casey, DO John Y. Lambert, MD Janusz Sendek, MD Amit Shrivastava, MD Podiatry Health Visions T Internal Medicine Timothy Cardina, MD 821 Cliff Street, Ithaca, NY (607) 273-7700 The Best Physicians. Here, for You. Visit www.cayuga-areaphysicians.com Physician Referral Line: (607) 274-4615 Sleep Disorder Center New & Advanced Orthopedics & Cardiac Care Two Winning Teams HealthV isions Contents The News Magazine of Cayuga Medical Center at Ithaca Fall 2010 Senior Leadership Team Rob Mackenzie, MD President and CEO John Rudd Senior Vice President and Chief Financial Officer Lloyd Darlow, MD Vice President Clinical Integration 2 Our orthopedic team 2 John W. Turner Vice President Public Relations Tony Votaw Vice President and Chief Information Officer Published by the Office of Public Relations John W. Turner Vice President Elizabeth Heath Public Relations Specialist Tanya Roberts Administrative Assistant Writing and Project Management Julia C. Bonney Photography Dede Hatch Francine Kearney and daughter, Adriana, visit Cortland Urgent Care Taking Orthopedics to a Higher Level Putting Ithaca on the map for orthopedic care New orthopedic surgeons join the team “Standing Strong” with Dr. Bruce Greene Need Orthopedic Specialists? We Gotcha Covered! Susan Nohelty, RN Vice President Patient Services Alan Pedersen Vice President Human Resources 22 Dr. Paul Stefek and Dr. Stephanie Goodwin Ellen Dugan Vice President Service Lines David Evelyn, MD Vice President Medical Affairs 14 Interventional cardiologists 14 Advanced Heart-Attack Care Available Locally Interventional cardiology gets under way at Cayuga Heart Institute When heart attack happens, time is muscle 18 “ Most Enlightened City” Attracts Enlightened Surgeon Ithaca is a good fit for growing families and for our new bariatric surgeon 22 New Faces in Emergency and Urgent Care 24 Welcoming New Physicians 28 Cayuga Medical Center Updates Enhancing Security at CMC Design Terry Marcus Design Health Visions Cayuga Medical Center 101 Dates Drive Ithaca, New York 14850 (607) 274-4011 www.cayugamed.org PRINTED ON RECYCLED PAPER Taking Orthopedics to a Higher Level S ports injuries, broken bones, dislocated joints, torn ligaments, sprains and strains, joint replacement surgery, trauma…all part of a day’s work in orthopedic medicine. In a community of sports enthusiasts, growing families, college students, and active middleagers and seniors, the demand for orthopedic specialists has grown steadily. Dr. Joseph Mannino performs an arthroscopic rotator cuff repair Expertise, Access, and Continuum of Care “T he medical center and local orthopedic specialists share a common vision for great patient care,” says Susan Nohelty, vice president for patient services. “With highly trained people addressing the continuum of orthopedic patient needs right here in Ithaca, we are gearing up to become a destination center for superior orthopedic care.” The initial referral for orthopedic services often comes from a patient’s primary care physician. “Orthopedic care is a significant percentage of our practice; we deal with orthopedic issues on a daily basis,” says Dr. Wallace Baker of Family Medicine Associates of Ithaca. “We can treat some of the basic problems ourselves but we need orthopedic specialists regularly. Fortunately, we have a wide array of orthopedic services and surgical subspecialists available right here in our community. “It’s nice to have doctors who live here taking care of our patients, and in emergency situations it makes a real difference to have someone close by,” continues Dr. Baker. “If the circumstances require it, our orthopedists, physical therapists, and sports medicine doctors will try to see a patient within a few days—or even the same day if the situation is emergent. And when there are complications, our patients can get follow-up in a timely manner that is convenient for them because the orthopedist is local. Once the acute problem is treated, my patients typically come back to me for continuing care until the problem is resolved. “The sports medicine program is also a great resource for patients with non-surgical or sportsrelated injuries,” adds Dr. Baker. “It’s a real asset to the community in a subspecialty that isn’t available in many communities this size.” ELDRIDGE ANDERSON, MD C ayuga Medical Center welcomed three new orthopedists to the medical staff over the summer. Their arrival brings to seven the number of orthopedic surgeons in Ithaca. “With the growth of local orthopedic services, we are putting Ithaca on the map,” says Dr. Dirk Dugan, orthopedic surgeon with Orthopedic Services of Cayuga Medical Associates. “We’ve got extensive diagnostic capabilities at Cayuga Medical Center and the Convenient Care Centers. We’ve got excellent physical therapy in town. Now with the arrival of our new orthopedists, we’ve got additional talents.” “Our major objective with this growth has been to make sure that our patients can gain access to different types of care,” agrees Dr. Eldridge Anderson, orthopedic surgeon with Ithaca Orthopaedic Group. “We’ve had to send patients out of town for certain types of orthopedic procedures; however, our patients would rather stay local. Our goal is to treat patients here, and now, with seven orthopedists, patient access to service will improve.” Dr. Bruce Greene and his colleagues are looking at long-term goals. “I want to reach out to patients here and in Cortland, Auburn, and other communities in the region,” he says. “If you provide great service, patients don’t mind traveling. Our patients recognize that we provide a very high level of service…and it’s gratifying.” Orthopedic Services at Cayuga Medical Center ● Inpatient and outpatient surgery at Cayuga Medical Center; outpatient surgery at Surgicare ● Trauma and fracture surgery for accident victims ● Sports Medicine addressing all types of sports-related injuries, both surgical and non-surgical ● Tendon repair and fracture reduction ● Total joint replacements of the hip, elbow, shoulder, and knee, including both total and unicom● Specialized arthroscopic knee, partmental knee replaceshoulder, elbow, wrist, and hand ment ● Routine introduction of new surgery, including endoscopic surgical procedures, such as the carpal tunnel surgery ● Minimally invasive joint use of custom-made models for revision, for repair and minimally invasive knee-replacement ● Arthroscopically-assisted replacement of existing surgery, Copeland shoulder resurfacligament reconstruction joint replacements ing for painful arthritis, and reverse shoulder replacement surgery ● Minimally invasive approaches for joint replacement and revision, operating through small incisions Ithaca Orthopaedic Group (607) 266-0073 Certification: American Board of Orthopedic Surgery Medical School: University of Medicine and Dentistry of New Jersey (UMDNJ) – Robert Wood Johnson Medical School/Rutgers Medical School (New Brunswick, NJ) Internship: Denver Presbyterian Medical Center – Surgery (Denver CO) Residency: UMDNJ Robert Wood Johnson Medical School - Orthopedics Areas of Special Interest: General orthopedics DIRK H. DUGAN, MD Fellow, American Academy of Orthopedic Surgeons Orthopedic Services of Cayuga Medical Associates (607) 272-7000 Certification: American Board of Orthopedic Surgery Medical School: State University of New York at Buffalo Internship: North Shore University Hospital – Surgery (Manhasset, NY) Residency: The Hospital for Special Surgery (affiliate of Weill Cornell Medical College) – Orthopedic Surgery (New York City) Areas of Special Interest: Sports medicine, joint replacement surgery www.cayugamed.org 3 Doctors Kimberly and Brett Young: A Perfect Match Dr. Brett Young and Dr. Kimberly Carney Young met on the first day of their orthopedic surgery residency at the University of Rochester Medical Center, but they didn’t start dating until the end of their second year. They’ve now been married for two years and have spent both anniversaries moving: from Rochester to New York City to complete their fellowship training and from New York to Ithaca to join Orthopedic Services of Cayuga Medical Associates. 4 FALL 2010 / Health Visions “I t’s been great going into practice with my husband,” says Kim, “…having someone who understands my passions, and also understands the demands of the job and the commitment to my patients.” Brett adds, “We even talk orthopedics at our dinner table; it’s part of who we are. If someone e-mails me with a question, they actually get a collaborative response from both of us.” Dr. Brett Young: From Sports Medicine to Orthopedics A Syracuse native, Dr. Brett Young graduated with high honors from the University of Virginia in Charlottesville with a bachelor’s degree in education and special concentration in sports medicine. From there he went to medical school at the University of Pittsburgh and then on to his orthopedic residency in Rochester, where he also served as the supervising team orthopedic surgeon for the Rochester Americans (Amerks) professional hockey team and the Rochester Rhinos professional soccer team. “Entering college, I knew I wanted to work in the field of sports medicine. I worked as an athletic trainer at UVA and eventually became certified. Most injuries can be treated without surgery,” Brett explains, “but I found the surgical component the most interesting and rewarding. “My additional year in fellowship training was for advanced shoulder and elbow surgery. In the last five years there’s been a lot of growth in new technology for shoulder surgery,” he continues. “One of the newer procedures I perform is the reverse shoulder replacement, which was approved by the FDA in 2004. It is designed to help people with shoulder arthritis whose rotator cuff is damaged beyond repair. These people typically can’t raise their arms above 45 degrees, but with the biomechanics of this new implant, they can raise their arms up over their heads. The field has advanced tremendously in shoulder and elbow arthroscopy, which I did a lot of during my fellowship,” he adds, “and I also enjoy hip and knee replacement surgery.” Dr. Kim Carney Young: Operating Handily Dr. Kim Carney Young hails from Buffalo, where she grew up with an identical twin sister. After graduating with high honors in biology from the University of Buffalo, she earned her medical degree from the University of Buffalo School of Medicine where she was on the Dean’s List all four years and earned honors from the prestigious AOA medical honor society. She served as chief resident during her orthopedic training at the University of Rochester Medical Center and received the “Strong Star,” a patientnominated award for excellent patient care. During her fellowship in hand and upper extremities at the world-renowned Hospital for Special Surgery in New York, she took second place at the 2010 Research Symposium of the New York Society for Surgery of the Hand. “I love dealing with the minute structures and nerves in the hands, wrists, and elbows,” says Kim. “Although I’ve done a lot of surgery to repair injuries and to resolve conditions like trigger finger, arthritis, and carpal tunnel syndrome, the added benefit of the fellowship was performing complex procedures like tendon transfers, finger reconstructions, and correction of congenital anomalies. I also like performing elbow surgery for joint replacement, trauma, and contractual release to increase range of motion in the elbow.” Brett adds, “We’ll do some elbow surgery together here because it’s complicated and it’s helpful to have another skilled set of hands.” Both Brett and Kim Young are looking forward to being on call in the Emergency Department. “We both enjoy handling fractures and trauma,” says Brett. He says that with a total of seven orthopedists on the medical staff, the ED should be able to handle the vast majority of all local orthopedic trauma cases, with major multiple trauma victims referred to tertiary care centers. The Youngs have learned, worked, and collaborated side-by-side for six years. “Brett is extremely caring and is one of the smartest people I’ve ever met,” says Kim. “He is technically skilled and strives for an excellent outcome with every patient.” Brett responds, “Kim treats her patients like family and they love her for it. She’s smart and technically talented, that goes without saying. But what her patients remember most is her compassion—she really goes above and beyond expectations.” With the Drs. Young, practicing orthopedics is a family affair. BRETT H. YOUNG, MD Orthopedic Services of Cayuga Medical Associates Medical School: University of Pittsburgh School of Medicine (Pittsburgh, PA) Residency: University of Rochester Medical Center – Orthopedic Surgery (Rochester, NY) Fellowship: New York University Hospital for Joint Diseases – Shoulder and Elbow (New York City) Areas of Special Interest: Sports medicine, arthroscopic shoulder and elbow surgery, degenerative shoulder, complex shoulder reconstruction, joint replacement surgery KIMBERLY CARNEY YOUNG, MD Orthopedic Services of Cayuga Medical Associates Medical School: University of Buffalo School of Medicine (Buffalo, NY) Residency: University of Rochester Medical Center – Orthopedic Surgery (Rochester, NY) Fellowship: The Hospital for Special Surgery (affiliate of Weill Cornell Medical College) – Hand and Upper Extremities (New York City) Areas of Special Interest: Hand, wrist, and elbow surgery www.cayugamed.org 5 Ithaca’s Siren Call Ionthaca has cast its magic spell orthopedist Dr. Joe Mannino. He and his family moved to Ithaca in August from Hamilton, New York, where Dr. Mannino was in a very successful orthopedic practice for ten years. “We had been visiting Ithaca for years before relocating here,” he says. “We enjoy the cultural activity here, the parks, and the culinary offerings.” Dr. Mannino started his career in an orthopedics-based research lab in Stony Brook after he graduated from college. As part of his research work, he began attending grand rounds at Stony Brook University Medical Center and he quickly realized that practicing orthopedics was for him. “In its simplest form, someone breaks something, an orof satisfaction in that,” he says. “I do hip and knee replacement surgery, shoulder surgery, and ACL reconstruction. As a team physician at SUNY Morrisville I gained a lot of sports medicine experience. On a fall day it’s great to be on the field TOM HOEBBEL with a team of athletes.” JOSEPH A. MANNINO, MD Diplomate, American Academy of Orthopedic Surgeons Orthopedic Services of Cayuga Medical Associates (607) 272-7000 Certification: American Board of Orthopedic Surgery Medical School: State University of New York at Stony Brook School of Medicine (Stony Brook, NY) Internship: Stony Brook University Medical Center - Surgery Residency: Stony Brook University Medical Center – Orthopedics Areas of Special Interest: Arthroscopic shoulder surgery (rotator cuff repair, capsular shift surgery), ACL reconstruction, hip and knee joint replacement surgery Dr. Mannino also has extensive experience with orthopedic trauma. “I took specialized trauma courses during residency and we provided coverage to three of the four Level 1 Trauma Centers on Long Island, so I am very familiar and comfortable with handling trauma,” he says. “I’m taking call in the Emergency Department at Cayuga Medical Center, so some of the orthopedic injuries that have been going out to other hospitals can stay here now.” Dr. Mannino brings additional orthopedic capabilities to Cayuga Medical Center, including arthroscopic rotator cuff repair and arthroscopic capsular shift surgery. “Once a shoulder has been dislocated, there is a 50 percent chance that it will dislocate again and this can lead to recurring stability problems,” explains Dr. Mannino. “Arthroscopic capsular shift surgery helps to stabilize the shoulder and prevent repeated dislocation. “I really care about what’s going on with all of my patients and what I can do to help them,” Dr. Mannino concludes. “I want to take care of people, including those who may not necessarily need orthopedic surgery or those who may ultimately be referred elsewhere for their care.” 6 FALL 2010 / Health Visions TOM HOEBBEL thopedist fixes it, and the person gets better. There’s a lot Need an Orthopedic Specialist? We Gotcha Covered! “Additional expertise ANDREW GETZIN, MD makes us stronger.” JAKE VEIGEL, MD S ports medicine specialist Dr. Andrew Getzin works with recreational and competitive athletes every day and sees all types of sports-related injuries in athletes of all ages and abilities. He’s an athlete himself and for the past few years has been All American for the USA Triathlon. “We’ve been increasing our patient volume in sports medicine while maintaining our quality,” he says. “Now, with more orthopedists on the scene, we’ll be able to comfortably handle the growing number of patients coming our way.” Dr. Getzin and his associate, Dr. Jake Veigel, work closely with a number of local sports organizations and teams, including Ithaca College and Tompkins Cortland Community College, where they are team physicians. Dr. Getzin has served as team physician for both the USA Olympic Committee and the USA Triathlon, and Dr. Veigel is lead team doctor at SUNY Cortland and medical director for the Cayuga Lake Triathlon. Between them they see lots of local patients; however, because their sports medicine services are so specialized, high endurance athletes travel to Ithaca for their help from as far away as Albany and Buffalo. “As team physicians at Ithaca College, Dr. Veigel and I have had the privilege of working in collaboration with Doctors Greene and Anderson. We look forward to continuing that relationship while developing new connections with our colleagues who have just joined us,” says Dr. Getzin. “Their additional expertise can only make us stronger. “At Cayuga Medical Center, we provide well coordinated care for high school, college, and community athletes,” Dr. Getzin observes. “When one of our athletic trainers is involved in assessing an injury during practice or competition, we are involved immediately. If the trainer decides the athlete needs to see one of the sports medicine doctors, we get the patient in for an appointment the same day or early the next day. If the patient needs physical therapy right away or an orthopedic surgical consult, we can make that happen in Ithaca. The value of having orthopedists here in town who understand the special needs of athletes cannot be overstated.” Dr. Andrew Getzin and Dr. Jake Veigel are both board certified in family practice and sports medicine and can be reached at Cayuga Medical Center Sports Medicine and Athletic Performance at (607) 252-3580. For additional information, visit the website at cayugamed.org/sportsmedicine. www.cayugamed.org 7 “People come to us from near and far.” STEPHANIE ROACH, MD Ithaca Orthopaedic Group (607) 266-0073 Certification: American Board of Orthopedic Surgery; Board Certificate of Added Qualification: Hand Surgery Medical School: State University of New York Upstate Medical University (Syracuse, NY) Internship: SUNY Upstate Medical University - Surgery Residency: University Hospital – Orthopedic Surgery (Syracuse, NY) Fellowship: Alleghany General Hospital – Hand Surgery (Pittsburgh, PA) Areas of Special Interest: Wrist and hand surgery, rotator cuff repair, shoulder resurfacing, hyalgan injection therapy for degenerative knee and shoulder pain 8 FALL 2010 / Health Visions JOHN WINSLOW, PT, DPT, OCS, MTC, CSCS “I believe we have one of the best physical therapy practices in the northeast,” says John Winslow, director of Cayuga Medical Center’s Department of Sports Medicine, Physical Therapy, and Athletic Performance. “We are uniquely qualified to provide outstanding clinical support to the growing orthopedic program at Cayuga Medical Center. Of our seventeen physical therapists, nine have doctoral degrees and seven are board certified in orthopedics. Everyone has additional subspecialty training in areas such as foot and ankle; hand, wrist, and elbow; hip and knee; shoulder; and sports medicine.” Orthopedic surgeon Dr. Stephanie Roach appreciates the availability of subspecialists and gives the Physical Therapy Department high grades. “They do a fabulous job,” says Dr. Roach. “I send just about all of my hand patients to Jeff Humphrey, PT, MPT, CHT, CEAS, who is certified in hand therapy. The department also has a shoulder specialist, Andrew Jordan, PT, DPT, OCS, who does a very nice job with my shoulder patients. We get excellent results with rotator cuff repairs when people follow through with physical therapy afterwards.” The department is home to the only Orthopedic Physical Therapy Residency Program in New York State and is one of only thirty-one such programs in the United States. “We are affiliated with Ithaca College,” adds Winslow, “which has one of the top physical therapy schools in the country.” The Department of Sports Medicine, Physical Therapy, and Athletic Performance recently received the 2010 Outstanding Clinical Education Site Award from the New York/New Jersey Clinical Education Consortium. “This award recognizes physical therapy departments whose ADRIAN WESTERN, ATC staffs have made significant contributions to clinical education through excellence in clinical teaching,” explains Winslow. “Mt. Sinai Hospital, New York Presbyterian Hospital, and Roswell Park Cancer Institute are among the previous winners, which puts us in the company of preeminent institutions. “Over the years we’ve worked closely with two talented physicians, orthopedist Dr. Bruce Greene in Physical Therapy and sports medicine specialist Dr. Andrew Getzin in Sports Medicine and Athletic Performance, to build a regional center in orthopedic and sports-related care. We’ve had four excellent orthopedic surgeons in Ithaca and now three more have joined us, making our program even stronger. People come to us from near and far,” Winslow adds. “The word is really getting out there about everything we have to offer right here in Ithaca.” For more information visit our website at cayugamed.org and select Clinical Services. To make an appointment, call (607) 252-3500. Joint Solutions: the name of this program says it all. The goal is to assist patients who are seeking a solution to joint pain and deteriorating function. The program’s services are comprehensive, with care provided by a multidisciplinary team of orthopedic surgeons, nurses, physical therapists, and aides who specialize in total joint replacement of hips and knees. Joint Solutions coordinator, Margaret Vence, PT, DPT, holds a doctorate in physical therapy and has a decade of experience working with joint replacement patients—from their pre-operative stage, throughout their hospital stay and their post-discharge follow-up. “At Cayuga Medical Center, we know that knowledge is power,” Vence explains. “Knowing what to expect and how to prepare for joint replacement surgery motivates our patients is power!” throughout the process. The result is that our patients gain the best function possible following their surgery. We’ve had excellent success.” Vence tracks patient outcomes using data beginning four to six weeks before surgery and concluding six to eight weeks after surgery. She collects patient feedback on pain levels and quality of living. “On average, patients tell us their pain symptoms have improved 84 percent by six to eight weeks after surgery, compared to their level of pain before joint replacement surgery,” says Vence. “They also tell us that their quality of life has improved 125 percent following surgery, which is off the chart!” For more information on Joint Solutions or to register for pre-operative classes, call (607) 274-4517. JON REIS PHOTOGRAPHY “We know that knowledge MARGARET VENCE, PT, DPT, ATRIC “Our PMRU is rated in the 99th percentile nationally.” S BERNICE MILLER, RN ome patients undergoing joint replacement surgery have complex medical issues and physical needs that require continued inpatient rehabilitation during recovery from surgery. Cayuga Medical Center has one of the best Physical Medical Rehabilitation Units (PMRU) in the country, rated in the 99th percentile in 2010 among 827 such units nationwide. “The joint replacement surgery patients who come to PMRU are typically patients in their eighties,” explains PMRU director, Bernice Miller, RN. “We’re also here to help younger joint replacement patients who have other medical problems that make it tougher for them to recover from the surgery. “Our fifteen-bed unit has been rated in the top 10 percent nationally for the past four years,” Miller says, “based on our patient outcomes and the ability of our patients to function when they leave here. The goal of our multidisciplinary team is to help each patient reach their greatest potential for independent living so they can return home.” PRITI BARVE, OT For more information on the Physical Medicine Rehabilitation Unit, call (607) 274-4555 and ask for Bernice Miller, RN, or Dr. Andrew Morpurgo. www.cayugamed.org 9 “A quarter of our patients at Cayuga Center for Healthy Living have knee or hip pain and require our help to get active again.” D GEOFFREY MOORE, MD r. Geoffrey Moore, MD, is a lifestyle management specialist. He and the multidisciplinary staff at the Cayuga Center for Healthy Living (CCHL) help people with chronic health problems—such as heart disease, diabetes, and obesity—become more active and maintain their health. Many people seeking help modifying their lifestyles are stuck in a cycle, explains Dr. Moore. “They can’t get active and lose weight because their knees hurt, and often their knees hurt because they are carrying too much weight and their muscles are deconditioned. A quarter of our patients have knee, hip, or back pain and require our help to become active again.” Dr. Moore works closely with sports medicine specialist Dr. Jake Veigel to help CCHL patients identify the causes for their pain. “When we have an accurate diagnosis, we can effectively treat the problem,” Dr. Moore says. “The treatment may involve exercise modification so the patient can exercise without pain and begin to lose weight,” adds Dr. Veigel. “The patients who come to CCHL have chronic health problems, which Dr. Moore and I collaborate on. He is concerned with the cardiac implications of exercise and I concentrate on the orthopedic implications.” “We see a lot of patients with joint pain who are not necessarily joint replacement candidates,” adds CCHL nurse practitioner Shannan Simkin, FNP-C. “If someone has a weight problem, just a 10 percent drop in their weight takes a lot of stress off their joints. We can help them institute an exercise program that’s doable, with the goal of regaining function without pain.” “I can prescribe appropriate medication and injections to deal with joint pain and to help people start moving,” explains Dr. Veigel. “Patients with existing chronic medical problems can’t tolerate certain pain medications; they need to be aware of the side effects pain meds can have on their kidneys, heart, and gastrointestinal systems. My role is to consider different types of medications and alternative approaches to the problem. “We do this in a slow progression, helping our patients through the initial phase of exercise to prevent further injury: their pain starts to go away and they gain strength,” says Dr. Veigel. “People are often amazed to discover that as they begin to get active, they feel so much better!” For more information, visit the website at cayugamed.org and select Clinical Services, or call (607) 252-3590. JAKE VEIGEL, MD “People are often amazed to discover that as they begin to get active, they feel so much better!” 10 FALL 2010 / Health Visions “Island He alth and Fi tness is part of the continuum of care.” I JOHN COMERESKI sland Health and Fitness, the state-ofthe-art community fitness and clinical rehabilitation center that anchors the Island Health Center, is directly adjacent to Cayuga Medical Center’s Department of Sports Medicine, Physical Therapy, and Athletic Performance. John Comereski, general manager, describes Island Health and Fitness as “part of the continuum of care” for orthopedic patients. He says a number of his patrons transition directly from physical therapy to club membership. “They join us to maintain the gains they’ve made during physical therapy and to regain more of their function following orthopedic surgery. In fact, we like to get joint replacement patients before their surgery,” he confides, “because with our help they get stronger and are better prepared. As a result, many of them recover faster after the surgery.” Comereski points out that exercise science constantly evolves and he and his exercise physiologists stay on top of those changes. “If we encounter a disease or an injury we don’t know enough about, we get more information from our sports medicine doctors or physical therapists. I’ve never had more confidence in a staff than I have in this one.” For more information on Island Health and Fitness, visit the website at islandhealthfitness.com or call (607) 277-3861. “Over the years we’ve helped a number of patients at Rasa Spa with hip and knee replacements.” “M edical massage can be very helpful to people with all kinds soft tissue problems, including muscle sprains and strains, shin splints, whiplash, carpal tunnel syndrome, sciatica, plantar fasciitis, and frozen shoulder,” says Rachel Hogancamp, LMT. She is spa director at Rasa Spa and co-owner with Cayuga Medical Center and Island Health and Fitness. “Massage therapy increases circulation, loosens the fascia, relaxes muscles, and increases range of motion. “Over the years we’ve also helped a number of patients with hip and knee replacements. Massage relieves muscle tightness around the joint, giving people more freedom of movement,” Hogancamp adds. “Our staff of eighteen massage therapists are trained and experienced in the proper positioning of joint replacement patients. We often work in collaboration with the orthopedists and physical therapists to get the best results for the patient.” RACHEL HOGANCAMP, LMT For more information, visit the website at rasaspa.com or call (607) 273-1740. www.cayugamed.org 11 Standing Strong At eighty-five years old, Grigoriy Zinchenko has places to go and people to see. Mr. Zinchenko is a refugee from the Ukraine living in Ithaca. He had an important reunion to attend in the spring of 2010 and he was determined not to let severe knee pain stand in his way. I n September 2009, Ithaca orthopedic surgeon Dr. Bruce Greene operated on Mr. Zinchenko’s left leg and put in a new knee. After five days at Cayuga Medical Center, Mr. Zinchenko went home. He and his wife, Rayisa, had help from visiting nurse services, followed by five weeks of physical therapy with Melissa Fronhofer, PT, MS. She works in Cayuga Medical Center’s Department of Sports Medicine, Physical Therapy, and Athletic Performance. This past April Mr. Zinchenko traveled to Germany to celebrate the 65th anniversary of the liberation of Buchenwald, the Nazi concentration camp where he was held prisoner during World War ll. Mr. Zinchenko entered Buchenwald at the age of nineteen. At twenty, he made a harrowing escape, just four weeks ahead of the camp’s liberation, and spent forty-five frightening, dangerous days in the winter woods of Germany. At night, he visited nearby farms to collect enough food to keep himself just barely alive. Speaking through an interpreter, Mr. Zinchenko said it was very important for him to make the 2010 April trip to meet with the people from Buchenwald who are still alive. Of the survivors, he is the only one remaining who had escaped from the camp before it was liberated at the end of the war. His plans for the trip to Germany had been jeopardized by a fall while grocery shopping. Mr. Zinchenko’s knee was causing him terrible pain and it just gave out, he said, causing him to tumble to the ground. The dreadful pain in his knee—and the fear of falling again and hitting his head—motivated him to see Dr. Greene, who came strongly recommended by friends. In his cozy Titus Towers apartment, Mr. Zinchenko unabashedly pulls up his pant leg to reveal a pale pink scar on his left kneecap. He smiles broadly, lifting his leg easily and twirling it around like a dancer might. No pain, he says. The surgery was good for me, he says, clearly delighted with the results. In talking about Dr. Greene, he hugs himself and then puts his hand over his heart. It’s clear that Bruce Greene has a big fan in Grigoriy Zinchenko. The surgery “Mr. Zinchenko had a severely degenerative knee,” says Dr. Greene. “I performed a total knee replacement using Otis-med technology, a new development in knee surgery that results in faster recoveries and excellent range of motion. To have a part in helping Mr. Zinchenko do something so important was very special to me.” Prior to having this type of surgery, patients have a special MRI of their knee, Dr. Greene explains. This imaging study creates a threedimensional model of the knee in its current deteriorated condition. Then, using data from the imaging study, the MRI computer reconstructs an image of the knee as it looked before the loss of cartilage. A plastic “cutting block” is created from this second image, which the surgeon fits tightly over the end of each of the bones in the knee. “This custom-made model serves as a cutting guide for the surgeon, indicating precisely how much bone should be removed from both the femur and the tibia,” says Dr. Greene. “This allows me to remove significantly less bone than is excised during standard knee replacement surgery; I can take off a piece of bone that looks more like a potato chip than a thick chunk of bone. This is particularly important for younger patients,” he adds, “because knee replacements don’t last forever and revisions are often necessary. This procedure leaves much more bone with which to do the second surgery.” He explains that an additional benefit of the cutting block is that, because it aligns the bones so perfectly, there is no need for the surgeon to put an alignment rod into the tibia or the femur during surgery. The surgery takes less time, the patient experiences less blood loss, and the recuperation is easier and faster. “This procedure cuts hospital time by almost fifty percent,” says Dr. Greene. “I’ve had a few patients who have been able to go home just two days after their surgery.” BRUCE GREENE, MD Fellow, American Academy of Orthopedic Surgeons Ithaca Orthopaedic Group 607-266-0073 Certification: American Board of Orthopedic Surgery Medical School: Rutgers Medical School Internship: University of Medicine and Dentistry of New Jersey (UMDNJ) – Surgery (Newark, NJ) Residency: UMDNJ – Orthopedic Surgery Fellowship: United Hospitals, Case Western Reserve University – Sports Medicine (Cleveland, OH) Areas of Special Interest: Sports medicine, adult reconstructive surgery Living for today Mr. Zinchenko says that when the war was over he learned his parents had perished. “I made a pact with God then,” says Mr. Zinchenko through his interpreter, Valeriy Kurbanov, “that I would help the orphans. I have helped establish an orphanage in Kharkov, Ukraine, through the Children Assistance Center, one of very few organizations to distribute humanitarian aid in this area.” Sometimes life throws obstacles in our paths. For Grigoriy Zinchenko, knee replacement surgery at the age of eighty-five allowed him to get where he needed to go. While in Germany, he did some fund-raising for the orphanage. “For me,” he says, “it’s all about the children now.” www.cayugamed.org 13 YOUR CARDIAC TEAM Brings Advanced Heart Attack Care TO T HE CAY U GA H E A R T I N S TI TU TE The Cayuga Heart Institute at Cayuga Medical Center welcomes two experienced interventional cardiologists to its team of physicians, Dr. Paul Stefek, FACC, and Dr. Stephanie Goodwin, FACC. Both are happily familiar with Ithaca and the region; Dr. Stefek as a former Long Islander and the proud father of a recent Ithaca College graduate, and Dr. Goodwin as a native of the Finger Lakes. With their arrival, the Cayuga Heart Institute will begin to offer percutaneous coronary intervention (PCI) in November. PCI is performed on an emergency basis during a heart attack to quickly open a blocked cardiac artery and restore blood flow to the heart. This procedure is also used electively in treating patients with chest pain due to coronary artery blockages. With the launch of this new service, emergency PCI is available 24/7 at Cayuga Medical Center. “This is a very exciting time,” says Dr. Stefek. “The cardiac care program at Cayuga Medical Center has grown steadily with a progression of new services that provide this community with 14 FALL 2010 / Health Visions quality care and the most up-to-date treatment possible. When it’s snowing here this winter, our patients won’t have to worry about going somewhere else for treatment in the middle of a heart attack,” he adds. “We will be able to open your artery right here in Ithaca.” An interventional cardiologist with twentythree years of experience, Dr. Stefek is the new director of the interventional program at the Cayuga Heart Institute. This is a job for which he is well suited, having served for twelve years as co-director of the Cardiovascular Laboratory at St. Elizabeth Health Center in Youngstown, Ohio. He is quick to point out, however, that the success of the PCI service lies in teamwork. “Dr. Goodwin and I will be helping each other and working closely with all of the cardiologists at the Cayuga Heart Institute,” says Dr. Stefek. Dr. Stefek has a knowledgeable collaborator in Dr. Goodwin. She has put both her cardiology training and her entrepreneurial spirit to good use in the start-up of three other PCI programs in Cooperstown, New York; Williamsburg, Virginia; and Lewes, Delaware. “I enjoy being part of a start-up program,” says Dr. Goodwin. “When you start something new you can put your stamp on the program, grow with it, and offer excellent care to the community. I’m happy to be here to help Dr. Stefek and the hospital.” “It’s exciting and rewarding to include PCI in our chest pain protocols at the Cayuga Heart Institute,” says Sandy Fuller, RN, director of Cardiac Services at Cayuga Medical Center. “This high level of care improves patient outcomes and reduces adverse events with our heart attack patients. We are fortunate to have an established cardiac community to welcome two experienced interventional cardiologists who will introduce PCI.” D O C T O R S AT T HE C AY U G A HE A R T IN S T IT U T E Dr. Paul Stefek, of Ithaca Cardiology Associates, is a fellow of the American College of Cardiology. He graduated summa cum laude in biology from Union College and went on to graduate from New York Medical College in Valhalla, New York. He completed his internship, residency, and cardiology fellowship at St. Elizabeth’s Hospital in Boston, a teaching hospital of Tufts University School of Medicine. Dr. Stefek is board certified in cardiovascular disease, interventional cardiology, and adult echocardiography. He has been practicing interventional cardiology in Youngstown, Ohio, since 1988. Dr. Stephanie Goodwin, of Cayuga Cardiology, is a fellow of the American College of Cardiology. She earned her bachelor of science in pharmacy at Albany College of Pharmacy, where she was recognized for scholarship. She went on to earn her doctor of osteopathy at the New York College of Osteopathic Medicine in Old Westbury. Dr. Goodwin completed a rotating internship at Massapequa General Hospital in Seaford, New York, and did her internal medicine residency at Robert Packer Hospital in Sayre, where she was First Year Resident of the Year in 1991 and Chief Medical Resident in her fi nal year of residency. She stayed on in Sayre for a fellowship in cardiovascular disease and served as an interventional cardiologist at Robert Packer Hospital for six years before helping to open a succession of interventional cardiology services in three different cities. Dr. Goodwin is board certified in cardiovascular disease and interventional cardiology and has special interests in heart disease in women. Dr. Stefek and Dr. Goodwin join a team of five experienced cardiologists at the Cayuga Heart Institute. Malcolm Brand, MD, FACC Ithaca Cardiology Associates Qutaybeh Maghaydah, MD, FACC Jonathan Mauser, MD, FACC (607) 272-0460 Director: Cardiac Catheterization, Cayuga Medical Center Board certification: Internal Medicine, Cardiovascular Disease, Nuclear Cardiology. Fellow: American College of Cardiology Diplomate: Certification Board of Nuclear Cardiology; Special Certification in Pacing and Defibrillation from the International Board of Heart Rhythm Examiners (IBHRE) Cayuga Cardiology of Cayuga Medical Associates (607) 269-0100 Board certification: Internal Medicine, Cardiovascular Disease Fellow: American College of Cardiology Cayuga Cardiology of Cayuga Medical Associates (607) 269-0100 Board certification: Internal Medicine, Cardiovascular Disease Fellow: American College of Cardiology Amit Singh, MD, FACC Lynn Swisher, MD, FACC Ithaca Cardiology Associates (607) 272-0460 Board certification: Internal Medicine, Cardiovascular Disease, and Nuclear Cardiology Fellow: American College of Cardiology Diplomate: Certification Board of Nuclear Cardiology Ithaca Cardiology Associates (607) 272-0460 Board certification: Internal Medicine, Cardiovascular Disease, and Echocardiography Fellow: American College of Cardiology Diplomate: National Board of Echocardiography (Adults) www.cayugamed.org 15 More on PCI: Answers from the Experts When you are dealing with a heart attack, ack, time is muscle. During PCI, the interventional cardiologist carefully places an extremely fine wire into the affected artery. This guide-wire is advanced through the arterial blockage and comes out on the other side. Using the wire as a guide, the doctor inserts a balloon into the spot in the artery of maximum blockage. The balloon is then infl ated, which pushes the blockage aside. The first balloon is removed and a second balloon, wrapped in a stent, is inserted into the artery. The stent is made up of finely woven wire in a cylindrical shape. When the second balloon expands, it opens the stent, which moves up against the sides of the artery and remains there as a scaffold to hold the blockage aside while the artery heals. Health Visions: How safe is PCI? Dr. Stefek: Interventional cardiology has improved significantly with the advent of stent technology. Patients with acute heart attacks can now be treated safely at hospitals that do not have an open-heart surgery program. And for patients having elective PCI, there is only a one percent risk of major complications. Dr. Goodwin: We will have two different kinds of stents available for use, depending on the specific situation. Drug-eluting stents are impregnated with medications that help prevent the artery from renarrowing in the treated segment, which happens approximately 5 to 7 percent of the time. However, these stents require the use of additional oral medications for twelve to eighteen months. Bare metal stents can be used in patients when we anticipate imminent additional surgery or in patients with potential bleeding issues. 16 FALL 2010 / Health Visions Health Visions: Will PCI be available locally to all heart patients? Dr. Stefek: We have guidelines for which cases we will perform locally and which cases need to be referred to the Rochester Heart Institute. We will be handling the vast majority of PCI cases right here; however, a small percentage of elective patients who are considered to be high risk and who have high risk blockages will have to be referred out. Our cardiology team has the knowledge and experience to understand which patients we can treat safely and which we need to refer; it’s our experience that helps us make these decisions well. Health Visions: What role does community education play in the success of our cardiology program? Dr. Goodwin: Community education is very important. Dr. Stefek and I are both looking forward to getting out into the community to speak and teach. People need to be aware of the symptoms of heart attack and the causes of coronary artery disease. There are so many issues that contribute to the development of coronary artery disease: we are all at risk for it. It’s important to be mindful of proper eating and the importance of exercise. I’ve already heard a lot about the good work of the Cayuga Center for Healthy Living in this regard. Dr. Stefek: When you are dealing with a heart attack, time is muscle. The sooner people get to the hospital the sooner we can open the artery, and the more heart muscle we can save. The most important message is: Don’t delay! Cardiac Rehab at the Cayuga Center for Healthy Living LISA PROCTOR, RN, MSN, ACNP Following a cardiac event, local patients are typically referred to the Cardiac Disease Prevention and Cardiac Rehabilitation Program at the Cayuga Center for Healthy Living. This is a lifestyle modification program of supervised exercise, dietary counseling, stress management, and education about heart disease and its medical management. The program varies in length, up to thirty-six visits, depending on the nature of a patient’s condition and assistance from their insurance benefits. “I can’t think of any patient with cardiovascular disease who shouldn’t come to the Cayuga Center for Healthy Living,” says Dr. Geoff Moore, director of clinical services at CCHL. “We help them learn how to become active, how to eat well, how to keep their blood pressure down, and how to better manage their lives while living with cardiovascular disease.” Nurse practitioner Lisa Proctor, RN, MSN, ACNP is the coordinator of Cardiac Rehabilitation at CCHL. Proctor has a longstanding interest in cardiac health and has worked in intensive-care units for over thirty years. During her master’s preparation she spent clinical time in the Cleveland Clinic heart failure outpatient department. “Cardiac rehabilitation is a great way to help your heart and to help you adopt a healthier approach to life in general,” agrees Proctor. “If you haven’t exercised in a while, our program is a good way to pick up exercise and make it part of your life. “We get a lot of good feedback from our patients,” Proctor continues. “Diabetics experience better blood sugar control; people with high blood pressure see it improve; and people who have had cardiac events discover their ability to exercise without fear. One of our goals is to see more people before they have a cardiac event,” she adds, “so we can help them prevent it from occurring in the first place.” The Rochester Heart Institute: Our Cardiothoracic Connection The affiliation between Cayuga Medical Center and the Rochester Heart Institute at Rochester General Hospital has been crucial in the development of local PCI services. The Rochester Heart Institute at RGH is one of the nation’s Top 100 Heart Hospitals and a heart-surgery center for the Cleveland Clinic. “We’ve made arrangements with the Rochester Heart Institute to mentor our experienced team of cardiac nurses and technologists in the techniques of intervention,” says Dr. Stefek. “RHI will also review our Quality Assurance Program, give us feedback, and review our data. Dr. Thomas Stuver, FACC, director of their Cardiac Catheterization Laboratory, will have privileges here to help cover for vacations. And when our heart-attack patients meet our high-risk criteria, or need open-heart surgery, we will refer them to our colleagues in Rochester.” www.cayugamed.org 17 ITHACA is A Good Fit for Dr. Brian Bollo In 1997 Brian Bollo had just finished a two-year stint in the US Peace Corps in Zimbabwe. While in Africa Bollo decided that he wanted to become a doctor, so when he got back home the former math major began post-baccalaureate pre-medical studies. It was at that time that he picked up a copy of The Utne Reader and read about a small city in Upstate New York called Ithaca, which the magazine identified as “America’s Most Enlightened City.” Brian Bollo filed that information away for future reference. 18 FALL 2010 / Health Visions T oday, Dr. Brian Bollo is a general surgeon with fellowship training in minimally invasive and bariatric surgery. He and his family recently moved to our fair city to join Surgical Associates of Ithaca and the medical staff of Cayuga Medical Center. With two small sons (and another on the way) Brian and his wife, pediatrician Dr. Melissa Dhundale, were not only seeking enlightened environs, they were also looking for just the right setting to raise their boys. “Ithaca is a lovely place, not too far from my family in Long Island,” says Dr. Bollo. “My wife and I are interested in outdoor activities and there is a lot to do in this area, including sailing. We figured we would have no trouble keeping the boys busy here.” Dr. Bollo joins three other surgeons at Surgical Associates of Ithaca: Dr. David Schwed, Dr. Cory Foster, and Dr. John Mecenas, all of whom have children. “The practice is very family oriented,” he notes. “Everyone in the group sees their kids’ games.” surgery. “The outcomes of our bariatric surgery patients were fantastic,” he says. “As a fellow, I had the opportunity to follow the progress of these patients over a longer period of time while they were losing weight. It was great to see them going off their medications for diabetes and hypertension because they didn’t need them any more.” Dr. Bollo performs three bariatric procedures: roux en y gastric bypass surgery, gastric banding surgery, and gastric sleeve surgery. He describes the gastric sleeve procedure, which many insurance companies are not yet reimbursing, as “another tool for surgical weight loss. For some patients, the gastric sleeve is the final procedure,” he explains. “For patients who are morbidly obese, the gastric sleeve surgery may be a bridge to gastric bypass surgery, allowing them to lose weight prior to having the bypass performed.” In the realm of general surgery, minimally invasive hernia surgery is another special interest of Dr. Bollo. “Laparoscopic inguinal hernia surgery is associated with less post-operative pain and quicker return to normal activities,” he says. “The surgery is performed with just a few small incisions. We attach mesh to the interior abdominal wall to cover the hernia defect.” During his specialty training, Dr. Bollo also did a rotation at Sloan Kettering Cancer Center, where he gained experience in hepatobiliary surgery of the liver, bile ducts, and gallbladder. “I came here to do both general surgery and bariatric surgery,” says Dr. Bollo. “The hospital and Surgical Associates were looking for a surgeon interested in filling both of those needs—so this is a good fit!” “Our program is uncommon.” General and Bariatric Surgery Dr. Bollo earned his medical degree from SUNY Downstate Medical College in Brooklyn and completed a five-year residency in general surgery at Staten Island University Hospital, where he served as chief resident in his final year. He went on for fellowship training in minimally invasive surgery at Lutheran Medical Center in Brooklyn, where he studied with Dr. George Ferzli, who is considered a pioneer in laparoscopic surgery and who holds patents on a number of laparoscopic surgical instruments. It was during his fellowship that Dr. Bollo became interested in bariatric (weight-loss) “Bariatric surgery is one of many tools to approach treatment of type 2 diabetes and other obesity-related maladies,” says Dr. Geoffrey Moore, director of clinical services at the Cayuga Center for Healthy Living. Dr. Moore and his multidisciplinary team at CCHL specialize in helping people with chronic medical conditions adopt healthier lifestyles. One population of patients they help is people preparing for weight-loss surgery. The team works in close collaboration with bariatric surgeons Dr. John Mecenas and Dr. Brian Bollo at Surgical Associates of Ithaca. “Our program takes the right steps to help people succeed,” Dr. Moore says, “because weight-loss surgery alone www.cayugamed.org 19 SHANNAN SIMKIN, FNP-C TIFFANY BELL, RN is not an adequate solution to their problems. The benefits of the surgery do not negate the need to have a healthy lifestyle: people still have to diet and exercise to maintain weight loss and good health.” Nurse practitioner, Shannan Simkin, FNP-C, is one of the first CCHL team members to meet with prospective bariatric surgery patients. “Many health insurance companies require pre-surgery weight loss and that’s where we come into the picture,” Simkin explains. “With our help and encouragement, patients can usually lose the required weight. “CCHL is a multidisciplinary clinic,” continues Simkin, “and we serve as a support team for the patient.” Physicians, nurse practitioners, registered nurses, dietitians, and health educators make up the team. Their job, says Simkin, is to ensure that their patients reach their goals. Tiffany Bell, RN, is coordinator of the Bariatric Program for Cayuga Medical Center. “While other bariatric programs may include various components of what we offer, these other places usually out-source the services,” says Bell. “At CCHL, we deal with lifestyle change as a team—our program is not just about the surgery. Here, we discuss the individual needs of each patient and then tailor the program accordingly. We are most interested in good outcomes and lifelong success.” Bariatric surgery patients spend between three and six months preparing for the surgery. “The teaching we do ahead of time is crucial,” explains Simkin, “because once you’re in post-operative recovery, you are busy recuperating and you don’t want to be learning a new way of eating. The learning curve is steep immediately following surgery: if you eat too much or eat the wrong thing, it can be unpleasant. The people who invest time in their pre-surgical learning are the ones who do really well after surgery.” “Education is a big piece of what we do,” Bell agrees. She serves as the liaison between the medical center, the surgeons, and CCHL. “It’s our job to help patients get ready for the surgery so they will be clinically successful. We also keep track of patients after their surgery and draw them back to CCHL for support. Our follow-up helps to ensure their long-term success.” “We take a unified approach to patient care; we take the right steps to help people succeed,” says Dr. Moore. “Our program is uncommon.” WHAT TO EXPECT WITH BARIATRIC SURGERY 1) Initial Steps At our information seminar, you can learn about the components of our bariatric program from our surgeons and clinicians. You have an opportunity to ask questions and will leave the meeting with a packet of information. 2) Lifestyle Preparation You will participate in a series of consultations prior to surgery, including visits with your surgeon, a psychologist, dietitians, and other specialists. With their help, you will develop a plan to prepare for surgery, including weight loss and the adoption of healthier lifestyle habits. At CCHL you will create an activity plan that will be initiated prior to surgery. You can attend a variety of classes in healthy living, living with diabetes, healthy shopping and cooking, stress management, smoking cessation, medically supervised exercise, and more. This is an excellent way to begin practicing lifestyle improvement. Bariatric support group meetings provide you with important information and an ongoing forum for asking questions, voicing concerns, and learning about successful surgery outcomes and coping strategies. 3) After Surgery Follow-up Surgical Associates offers lifelong follow-up to minimize the risk of complications and to ensure that you maintain lifestyle improvements. The Cayuga Center for Healthy Living will help you cope with any health problems and learn to stay healthy by providing needed guidance with both medical treatment and healthy living strategies. 20 FALL 2010 / Health Visions YOUR DOCTORS JOHN MECENAS, MD, FACS BRIAN BOLLO, MD GEOFFREY MOORE, MD General and Bariatric Surgeon Bariatric Program Medical Director General and Bariatric Surgeon Lifestyle Management Specialist Director of Clinical Services Surgical Associates of Ithaca (607) 273-3161 Medical School: Mount Sinai Specialty Training: General surgery residency at North Shore University Hospital; Advanced laparoscopic surgery at Yale University; Fellowship in minimally invasive and bariatric surgery at New York University. Board certified in general surgery; membership in the American Society for Metabolic and Bariatric Surgery. Dr. Mecenas founded the Bariatric Surgery Program at Cayuga Medical Center in 2003. He performs gastric bypass surgery (roux en y surgery); gastric banding (lap-band) surgery, and sleeve gastrectomy surgery. Surgical Associates of Ithaca (607) 273-3161 Medical School: SUNY Downstate Medical Center at Brooklyn Specialty Training: General surgery residency at Staten Island University Hospital; Fellowship in minimally invasive and bariatric surgery at Lutheran Medical Center, Brooklyn. Board certified in general surgery. Dr. Bollo was selected for fellowship training in minimally invasive and bariatric surgery with one of the nation’s leading experts in the field. He performs gastric bypass surgery (roux en y surgery); gastric banding (lap-band) surgery, and sleeve gastrectomy surgery. Cayuga Center for Healthy Living (607) 252-3590 Medical School: UT Southwestern, Dallas, Texas Specialty Training: Internship and residency in Internal Medicine, Presbyterian Hospital, Dallas; Fellowship in Sports Medicine, Cardiovascular Disease, and Exercise Science, McGill University, Montreal, Quebec. Board certified in internal medicine and sports medicine; Fellow of the American College of Sports Medicine. Dr. Moore oversees all medical aspects of the program at the Center for Healthy Living and sees patients who require medical consultations and exercise prescriptions. He is a national expert on lifestyle management and cardiovascular rehabilitation and has written extensively on lifestyle management. www.cayugamed.org 21 15 N E W FA C E S I N Emergency Medicine and Urgent Care JASON R. BUCHANAN, MD Urgent Care Cayuga Emergency Physicians, LLP Certification: American Board of Family Medicine Medical School: Pennsylvania State College of Medicine (Hershey, PA) Internship and Residency: Wilson Family Practice (Johnson City, NY) – Family Practice Dr. Buchanan sees urgent care patients at the Convenient Care Centers at Ithaca and Cortland. 22 FALL 2010 / Health Visions “Physicians are trained today to recognize the importance of teamwork; it’s imperative to work as a team in order to deliver appropriate, timely patient care,” says Dr. Jason Buchanan. He talks to Health Visions right before he assumes the evening urgent care shift at Cayuga Medical Center’s Urgent Care Center at Cortland. “Our team members communicate throughout the process to give each patient the best care possible, from the time the patient is greeted right through the time of discharge.” “At our urgent care centers we handle everything from the common cold to broken bones and relatively minor accidents,” continues Dr. Buchanan, “but we don’t have hospital resources here to diagnose conditions like heart attack or appendicitis. When you are deciding where to go for care, if you think you might need to be in a hospital, then that is where you need to go. And if you are hoping that it’s not a heart attack—when deep down inside you think it might be— you should go directly to the hospital,” he adds. Situations like this can be difficult when adult children are dealing with an elderly parent who does not want to go to the Emergency Department; however, it is appropriate to choose the ED in these circumstances. Go to the CHRISTOPHER R. SCIANNA, DO EMERGENCY DEPARTMENT if you have: Emergency Medicine Cayuga Emergency Physicians, LLP ● Medical School: University of New England College of Osteopathic Medicine (Biddeford, ME) Residency: State University of New York Upstate Medical University at Syracuse – Emergency Medicine Dr. Scianna sees patients in the Emergency Department at Cayuga Medical Center. ● ● ● ● ● ● ● ● ● Chest pain Difficulty breathing Symptoms of stroke (the sudden onset of slurred speech, weakness or partial paralysis on one side, confusion, difficulty swallowing, double vision) The sudden onset of pain anywhere in the body (such as severe abdominal pain or severe headache) Deep cuts with uncontrolled bleeding Traumatic accident of any kind (fall, motor vehicle accident, serious blow) Drug overdose Compelling thoughts of suicide An acute altered level of consciousness Anytime you feel the urgent need to be medically evaluated Call 911 and have an ambulance bring you to us. Our local EMS providers can start your care right in the ambulance, giving you a good head start. Go to URGENT CARE for a minor illness or injury: LOUANNE L. TEN KATE, MD Emergency Medicine Cayuga Emergency Physicians, LLP ● ● Certification: American Board of Emergency Medicine ● Medical School: Albany Medical College (Albany, NY) ● Internship and Residency: State University of New York Upstate Medical University at Syracuse – Emergency Medicine ● Dr. Ten Kate sees patients in the Emergency Department at Cayuga Medical Center. ● ● Ear, throat, or respiratory infection Virus or flu Sprains or strains Minor burns Lacerations or puncture wounds Bites Minor eye injuries Our Urgent Care Centers are not equipped to take care of heart attacks, acute asthma attacks, and other bona fide medical emergencies. www.cayugamed.org 23 WELCOMING NEW PHYSICIANS ALLERGY AND IMMUNOLOGY ANESTHESIOLOGY AND PAIN MEDICINE HOSPITALIST MEDICINE Mariah M. Pieretti, MD Christina I. Klufas, MD Eric H. Chanko, MD Asthma and Allergy Associates, P.C. Cayuga Anesthesiology Associates Hospitalists of Cayuga Medical Associates Certification: American Board of Anesthesiology; Critical Care Medicine; Internal Medicine Certification: American Board of Internal Medicine Medical School: State University of New York Upstate Medical University at Syracuse Internship and Residency: Saint Vincent’s Medical Center (New York, NY) – Internal Medicine 840 Hanshaw Road, Ithaca, NY (607) 257-6563 1-800-88-ASTHMA Certification: Allergy and Immunology; American Board of Pediatrics Medical School: Temple University School of Medicine (Philadelphia, PA) Internship: Columbia University Medical Center (New York, NY) – Family Medicine Internship and Residency: Columbia University Medical Center – Pediatrics Research Fellowship: Columbia University Fellowship: Mount Sinai School of Medicine (New York, NY) – Allergy and Immunology Internship and Residency: SUNY Upstate Medical University at Syracuse – Internal Medicine Residency: University of Pittsburgh Medical Center (Pittsburgh, PA) – Anesthesiology Medical School: New York Medical College (New York, NY) Dr. Chanko was selected for the six-year accelerated medical school/residency program, where he was recognized for scholarship and elected to Alpha Omega Alpha Medical Honor Society. He sees inpatients at Cayuga Medical Center. Fellowship: University of Pittsburgh Medical Center – Critical Care Medicine Dr. Klufas has practiced critical care medicine in Syracuse and Pittsburgh, and is now an anesthesiologist at Cayuga Medical Center. Andreia de Lima, MD Hospitalists of Cayuga Medical Associates Certification: American Board of Internal Medicine Medical School: Universidade do Estado do Para, Belem (Para, Brazil) Residency: Hospital das Forcas Armadas (Brasilia, Distrito Federal, Brazil) and St. Barnabas Hospital (Bronx, NY) – Internal Medicine Fellowship: Hospital de Base do Distrito Federal (Brasilia, Distrito Federal, Brazil) – Rheumatology Dr. de Lima sees inpatients at Cayuga Medical Center. 24 FALL 2009 2010 / Health Visions 20 FAMILY MEDICINE PEDIATRICS Jessie Varghese Phillips, MD Sharon Ziegler, MD, MSS Melissa L. Woo, MD Hospitalists of Cayuga Medical Associates Family Medicine Associates of Ithaca Northeast Pediatrics and Adolescent Medicine Certification: American Board of Family Medicine 209 West State Street and 8 Brentwood Drive Ithaca, NY (607) 277-4341 Medical School: St. George’s University School of Medicine (Bayshore, NY) Residency: Southside Community Hospital (Bayshore, NY) – Family Practice Dr. Phillips sees inpatients at Cayuga Medical Center. Certification: American Board of Family Medicine Medical School: State University of New York School of Medicine and Biological Sciences at Buffalo Internship and Residency: SUNY School of Medicine and Biological Sciences at Buffalo – Family Medicine Prior to attending medical school, Dr. Ziegler earned her MSS in clinical social work at the Bryn Mawr College Graduate School of Social Work and Social Research. She taught in the Family Medicine Program at SUNY Buffalo. Victor A. Sacchi, Jr., MD 10 Graham Road West and 821 Cliff Street Ithaca, NY (607) 257-2188 Certification: American Board of Pediatrics; Pediatric Endocrinology Medical School: Dartmouth Medical School, (Hanover, NH) Residency: Tufts-New England Medical Center/Floating Hospital for Children (Boston, MA) – Pediatrics Fellowship: Massachusetts General Hospital, (Boston, MA) – Pediatric Endocrinology During her fellowship, Dr. Woo did research on obesity and type 2 diabetes. She is a member of the American Academy of Pediatrics. Hospitalists of Cayuga Medical Associates Certification: American Board of Internal Medicine; Nephrology Medical School: Autonomous University of Guadalajara School of Medicine (Guadalajara, Jalisco, Mexico) and State University of New York School of Medicine and Biological Sciences at Buffalo, Fifth Pathway Medicine (Buffalo, NY) Residency: Sisters of Charity Hospital (Buffalo, NY) – Internal Medicine Fellowship: Veteran’s Administration Medical Center, Division of Nephrology (Buffalo, NY) – Nephrology Dr. Sacchi sees inpatients at Cayuga Medical Center. He has advanced training in diseases of the kidney. www.cayugamed.org 25 21 Gala 2010 Gala co-chairs Loren Colbert and Susan McCutcheon report that the net proceeds from Gala 2010 totaled $50,000. The funds will be used for a major renovation of the Department of Surgical Services at Cayuga Medical Center. This building project will include new construction and reconfiguration of the surgical suite space, enhanced technological capabilities, and improved operational efficiencies, all of which will enable Cayuga Medical Center to better meet the growing needs of our community. Loren Colbert and Susan McCutcheon 26 FALL 2010 / Health Visions GALA PHOTOS BY SHERYL SINKOW www.cayugamed.org 27 C A Y U G A M E D I C A L C E N T E R U P D AT E S Dr. Henry Gerson Heads Department of Psychiatry KUDOS 2010 Outstanding Clinical Education Site The Department of Sports Medicine, Physical Therapy, and Athletic Performance recently received the 2010 Outstanding Clinical Education Site Award from the New York/New Jersey Clinical Education Consortium. The award recognizes physical therapy departments whose staffs have made significant contributions to clinical education through excellence in clinical teaching. Additionally, Cayuga Medical Center is now home to the only Orthopedic Physical Therapy Residency Program in New York State that is certified by the American Physical Therapy Association (APTA). Radiation Medicine Earns Three-Year Accreditation The Department of Radiation Medicine has earned accreditation from the American Society of Radiation Oncology. The threeyear accreditation follows a meticulous on-site survey of all aspects of the radiation oncology program at Cayuga Medical Center and a stringent peer-review evaluation. This accreditation confirms that cancer patients who receive radiation therapy at Cayuga Medical Center are receiving the highest quality of care. Cardiovascular Certification for CCHL The Cardiovascular Disease Prevention and Cardiac Rehabilitation Program at the Cayuga Center for Healthy Living has received program certification from the American Association of Cardiovascular and Pulmonary Rehabilitation. Henry Gerson, MD, has been appointed as medical director of Cayuga Medical Center’s Department of Psychiatry. Dr. Gerson, who is board certified in psychiatry and neurology, has been a psychiatrist in the Behavioral Services Unit since 2007. Dr. Gerson has earned numerous honors including the C. Harold Taylor, MD Award for Excellence in Psychiatry while at St. Vincent Catholic Medical Centers in Manhattan. He is also listed in the Consumers’ Research Council Guide to America’s Top Psychiatrists. MATERNAL–CHILD HEALTH UNIT WORKSHOPS Our maternal-childcare experts offer monthly workshops to the public on a variety of important topics. Call (607) 274-4408 for information and to register. Fees are $15-25 per family unless otherwise indicated. If you are looking for help in making medically necessary lifestyle changes, check out the Center for Healthy Living on the 5th floor of the Island Health Center. Classes at CCHL include: Diabetes Education Classes: To learn and practice the skills you need to manage diabetes. Healthy Living 101: To learn the basic principles of lifestyle management for disease prevention and to help control type 2 diabetes. Healthy Living with Type 2 Diabetes: To learn to use the principles of lifestyle management to help control type 2 diabetes. Cardiovascular Disease Prevention & Cardiac Rehabilitation: To help people with cardiac-related medical conditions learn strategies to improve these conditions. This program includes supervised exercise, dietary counseling, stress management, and education about your disease and its medical management. Medically Supervised Exercise (MSE): Exercise guidance for people who have difficulty being active due to chronic medical conditions. Expectant Parent Workshops Daylong program. Fee $75 per family. Aquatic Medically Supervised Exercise: Siblings are Special For children ages 3–8 years who are about to become big brothers and sisters. To improve strength, flexibility, balance, and cardiovascular endurance in the buoyancy of water. The program will also assist you in developing your own independent aquatic exercise routine. Swimming experience is not necessary. Breastfeeding Plan for Success For new and experienced moms and their partners. Infant Care and Safety Class on the basics of care, feeding, and safety of your baby in the first few weeks. Upcoming Silver Service Lectures All Silver Service lectures are free and open to the public. They are presented at 2:00 p.m. in the DeWitt Clinton Auditorium at Kendal at Ithaca. November 12 “State of the Medical Center” Rob Mackenzie, MD, President and CEO Cayuga Medical Center December 10 “Exercise and the Brain” Henry Gerson, MD, Behavioral Services Cayuga Medical Center January No lecture February 11 “Am I Having a Heart Attack or Is It Just the Chili?” Paul Stefek, MD, Interventional Cardiologist Cayuga Heart Institute at Cayuga Medical Center 28 FALL 2010 / Health Visions CAYUGA CENTER FOR HEALTHY LIVING Smoking Cessation: To help you quit your habit. Healthy Shopping and Cooking: To learn the basics of portion control, savvy shopping, and the how-tos of preparing healthy meals. Call (607) 252-3590 for CCHL class dates, information, and fees. THE KIDFIT PROGRAM A 12-week membership weight management program for kids ages 8 to 17, to help them learn healthy eating and exercise habits while having fun. This medically based health and fitness program, which is located at the Island Health Center, requires medical clearance, a health assessment, and enrollment fee. For information or to enroll, call the Cayuga Center for Healthy Living at (607) 252-3590. An Update on Security A Shared Vision for Comprehensive Care at Cayuga Medical Center I by Dr. Rob Mackenzie, president and CEO n the past few months we’ve welcomed eighteen physicians to the medical staff at Cayuga Medical Center. These talented doctors have had excellent training and their areas of expertise encompass several different specialties. We take pride in introducing them to you in the pages of this issue of Health Visions. The successful recruitment of these fine physicians is the result of a close, ongoing collaboration between Cayuga Medical Center and its medical staff. Our shared vision is to be a clinically integrated system centered on the comprehensive health and wellbeing of everyone in our community and our region. We aspire to be your portal to excellent health care. Cayuga Medical Center is working together with our physicians to evaluate our current strengths, assess those areas in which we can do better, and identify how we can meet your needs better. An excellent example of this teamwork can be seen in the growth of cardiology services at Cayuga Medical Center. When we started planning our interventional cardiac program, we sought input from our doctors on which cardiac center we should partner with as we enhanced our own local capabilities. The outcome has been a rich and rewarding affiliation with the Rochester Heart Institute. In similar fashion, we sought advice and input from our medical staff on our orthopedic services. One of the issues we identified was improving patient access. To remedy this situation, we recruited three new orthopedic surgeons who joined the medical staff this past summer, almost doubling the size of our team of orthopedic specialists. We now have seven orthopedists whose collective training and experience will allow us to provide you with the latest orthopedic treatments for trauma and sports-related injuries, joint replacement, and routine musculoskeletal problems. The collaboration between Cayuga Medical Center and our doctors extends to our leadership. Cayuga Medical Center has formed a Physician Council to engage our talented medical staff even more fully in leadership and strategic planning. The Physician Council works closely with me and my senior leadership team to build on existing strengths, extend our capabilities, and more fully integrate clinical systems between our doctors and the medical center. Together we are planning physician recruitment and the development of new patient services. We are expanding our affiliations with Roswell Park Cancer Institute, Rochester Heart Institute, Mayo Medical Laboratories, and Weill Cornell Medical College/New YorkPresbyterian Hospital—all of them national leaders in health care. We have also established a Patient Referral Center to help you get in to see local doctors more quickly—just call (607) 274-4615. The environment in which physicians practice medicine in this country has greatly changed in recent years. Some physicians in Tompkins County practice only at the medical center, while others practice in single- or multi-specialty group practices, in partnerships, or solo practices. At Cayuga Medical Center, we respect this variety of practice options and strive to accommodate whatever style of practice a doctor wants—so you can find the care that best suits your needs. I encourage you to contact me to let me know how we are doing. Truly, the center is you. Rob Mackenzie, MD President and CEO Emergency and Urgent Care Medicine A L L I A N C E The CAP Alliance provides area residents with a comprehensive array of primary care and specialty care physicians. We are committed to enhancing the patient experience through close collaboration and the coordination of our efforts. We strive for continuous quality improvement in our care delivery system and high patient satisfaction. Please keep this directory as an easy resource and please call our Physical Referral Line if you need assistance in selecting a physician. The number is (607) 274-4615. P roviding a safe environment for patients, visitors, and staff is a top priority throughout Cayuga Medical Center. Two incidents earlier this year prompted us to take a hard look at our safety environment. After soliciting valuable feedback from our employees, we sought advice from law enforcement, community leaders, and respected national consultants. From the national consultants, we learned that our community’s “threat rating” is still low for a community our size. We also learned, however, that when threats do materialize, our “vulnerability rating” at CMC has not been as low as we would like it to be in all areas. One area of particular concern to our consultants and law enforcement officials was our very “open” Emergency Department. Our safety vulnerability in the ED has been underscored in the past several months by a couple of security-related events. And while the security team at Cayuga Medical Center received very high marks for their skill and crisis management, the general “safety awareness” of our employee and physician staff was assessed as being too low. In response to analysis and feedback from our consultants, you will notice a number of changes at our main campus. ● We know that visiting family members and friends play an important role in helping patients recover their health, which is why historically we have tried to keep visiting hours as liberal as possible. However, now, in the interest of safety and security, we are instituting visiting hours from 7 a.m. to 9 p.m. There will be exceptions in certain clinical areas, but visitors in those areas will receive and wear a visitor’s pass. Amy Mathews, RN, director, Emergency Department, Dr. Rob Mackenzie, and Dr. Drew Koch, director, Emergency Medicine ● Regular entry to the Emergency Department proper will be limited to our patients and to specific medical center employees and physicians who will have a special Cayuga Medical Center badge. Family members and other individuals who need occasional access will be required to come to the main Emergency Department entrance to receive permission to enter. ● We now have a protective enclosure for the Emergency Department reception area, and a satellite security office will be located adjacent to reception. We understand that for many people the Emergency Department is their first interaction with the medical center and that this typically occurs under stressful circumstances. You have my pledge that we will work very hard to extend warm hospitality and provide a welcoming environment in the Emergency Department while also keeping our patients, staff, and visitors as safe as possible. We are continuing to process recommendations for additional changes to enhance security at the medical center and our other campuses. These changes will be phased in over time. Please let me know of any questions or concerns you may have about safety and security at Cayuga Medical Center. I appreciate your interest and your feedback on this important matter. Allergy and Immunology Asthma and Allergy Associates, PC 840 Hanshaw Road, Ithaca NY (607) 257-6563 (800) 800-88ASTHMA Stella Castro, MD Mariah Pieretti, MD Elliot Rubinstein, MD Christopher A. Smith, MD Anatomical Pathology and Clinical Pathology Pathology Associates of Ithaca, PC 101 Dates Drive, Ithaca, NY (607) 274-4474 Luminita Marinescu, MD Daniel Sudilovsky, MD Anesthesiology Cayuga Anesthesia Associates, PLLC 101 Dates Drive, Ithaca, NY (607) 274-4327 Donald Bluh, MD Mattison Burt, III, MD Joseph Bylebyl, MD David G. Fellows, MD Christina Klufas, MD Stephen Meyer, DO Robert Mitchell, MD J. Russell Norton, MD Anthony Sanito, MD Thomas M. Toal, MD Bariatric Surgery Surgical Associates of Ithaca 1301 Trumansburg Road, Ithaca, NY (607) 273-3161 Brian Bollo, MD John Mecenas, MD Cardiology Cayuga Cardiology of Cayuga Medical Associates 310 Taughannock Blvd, 4th Floor, Ithaca, NY (607) 269-0100 Stephanie Goodwin, DO Qutaybeh S. Maghaydah, MD Jonathan Mauser, MD Ithaca Cardiology Associates 2432 N. Triphammer Road, Ithaca, NY (607) 272-0460 Malcolm Brand, MD Amit K. Singh, MD Paul Stefek, MD Lynn Swisher, MD Critical Care Medicine Cayuga Medical Associates, PC 101 Dates Drive, Ithaca, NY (607) 274-4296 Vanessa M. Alvarez, MD Peter Hannon, DO David M. Landsberg, MD Paul L. Marino, MD, PhD Nathaniel Pascual, MD Dermatology Robert Horn, MD 2333 N. Triphammer Road, Ithaca, NY (607) 257-1107 Robert Horn, MD Josephine Chu McAllister, MD Ithaca Dermatology Associates 821 Cliff Street, Ithaca, NY (607) 256-0019 Kimberly J. Silvers, MD Pradip Bhattacharjee, MD Diagnostic Radiology Radiology Associates of Ithaca, PC 101 Dates Drive, Ithaca, NY (607) 274-4376 William Carroll, MD, PhD Robert M. Domke, MD Kim Hwang, MD Marc Jouandet, MD, PhD Anthony F. Massi, MD Walter C. Silbert, MD Ear/Nose/Throat (Otorhinolaryngology) Head and Neck Cayuga Ear, Nose, Throat – Head & Neck Surgery 2 Ascot Place, Ithaca, NY (607) 266-0772 Jonathan E. Cryer, MD Ashutosh H. Ruparelia, MD Robert N. Strominger, MD Joseph Bialobreski, Audiologist Cayuga Emergency Physicians 101 Dates Drive, Ithaca, NY (607) 274-4411 Richard Allen, MD John A. Alley, MD Donald James Baker, MD Michael F. Boyle, MD Jason Buchanan, MD Garrison F. Christian, MD James L. Darling, MD David Feldshuh, MD Aaron Garber, MD Antony Hsu, MD Marc Immerman, MD Tara C. Khan, DO Drew A. Koch, DO Vincent J. Leonti, MD Christine V. Lorenzo, MD Lynn E. Miller, MD Monica VanEvery Morgan, MD Richard Murray, MD Laura J. Rendano, MD Renee A Ryan, MD Wajeeh Sana, MD Christopher Scianna, DO William C. Shepherd, MD J. Esther Steinberg, MD LouAnne Ten Kate, MD Michael A Torres. MD Martin K. Weitzel, DO Endocrinology and Internal Medicine IthacaMed 404 N. Cayuga Street, Ithaca, NY (607) 277-0969 Adam Law, MD, PC Family Medicine Beechtree Care Center 318 S. Albany Street, Ithaca, NY (607) 273-4166 Jennifer F. Weinraub, MD (practice limited to Beechtree patients) Cayuga Family Medicine, PC 302 West Seneca Street, Ithaca, NY (607) 697-0360 Mary F. Howson, MD James Loehr, MD Ellyn Sellers Selin, MD Peter Clark, MD 220 W. South Street, Groton, NY (607) 898-3341 Dryden Family Medicine 5 Evergreen Street, Dryden, NY (607) 844-8181 Cindy Gordon, MD William A. Klepack, MD Howard Silcoff, MD Family Medicine Associates of Ithaca 209 W. State Street, Ithaca, NY 8 Brentwood Drive, Ithaca, NY (607) 277-4341 Wallace A. Baker, MD Robert Breiman, MD Lloyd A. Darlow, MD Karen Marie LaFace, MD Alan Midura, MD Neil Shallish, MD Elizabeth VonFelten, MD Sharon L. Ziegler, MD Family Practice Associates of Dryden 83 Lewis Street, Dryden, NY (607) 844-8201 Michael Niziol, MD Shern Hart, MD Hector Street, Trumansburg, NY (607) 387-5781 Gannett Health Center Cornell University Ho Plaza, Ithaca, NY (607) 255-3564 Thomas Gole, DO Alexandra Hall, MD Angela Rubineau, MD David Wentzel, DO Medical Pain Consultants, Inc. 2127 Dryden Road, Ithaca, NY (607) 844-9979 Ralph Ortiz, DO Marne O’Shae, MD 402 N. Cayuga Street, Ithaca, NY (607) 273-5551 Progressive Medicine of Ithaca, PC 402 3rd Street, Ithaca, NY (607) 272-9938 John Weston, DO Nancy Stewart, MD, Integrative Medicine Center 301 W. State Street, Ithaca, NY 14850 (607) 275-9697 Trumansburg Family Health Center 4438 E. Seneca Road, Trumansburg, NY (607) 387-5707 Suzanne Anderson, MD Michelle Blegen, MD John Cooke, MD Maura McCauley, MD Gastroenterology Gastroenterology Associates of Ithaca 201 Dates Drive, Ithaca, NY (607) 272-5011 Peter Brennan, MD Brent D. Lemberg, MD Steven Alan Rogers, MD Carl G. West, MD General Surgery Northeast Surgical Group, LLP Vein and Laser Center 8 Brentwood Drive, Ithaca, NY (607) 257-2116 Guillermo E. Ferrer, MD Viola Peachy Monaghan, MD Surgical Associates of Ithaca 1301 Trumansburg Road, Ithaca, NY (607) 273-3161 Brian Bollo, MD Cora L. Foster, MD John A. Mecenas, MD David A. Schwed, MD Hospitalist Medicine Hospitalists of Cayuga Medical Associates, PC 101 Dates Drive, Ithaca, NY (607) 274-4296 Nisar Alvi, MD Eric Chanko. MD Andreia deLima, MD Magdalena Hohn, MD Fredrik Kardon, MD Charbel Moussallem, MD Jessie Varghese Phillips, MD Victor Sacchi, MD Martin Stallone, MD Tomas E. Vence, MD
