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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