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Look North A community and wellness publication from LIJ Forest Hills

Expanding urology services Issue 1 2017 Page 4

Getting an MRI in Queens Summer has never been easier stressbusters Page 5

Weight-loss surgery for family success stories Page 12

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Tell us at 4healthier. me/LN-ForestHills and enter to win an iPad Mini 4! See page 2. In the know A new baby boom

There has been a bump in births at Northwell Health hospitals.

More than

In 2016, Northwell hospitals 83,900 welcomed more than deliveries were performed in our communities, and 41,700 nearly 50% happened new babies — a jump at Northwell hospitals. from 38,400 the previous year.

The reasons more parents are choosing to deliver at Northwell Health: 1 2 3

High- Comprehensive Integrated care. risk programs. support for women’s Our robust team of Fragile health and obstetrics. pediatric specialists newborns and Northwell Health’s works as one infants receive services include to provide thorough genetic and an array of preventive care with a delicate nutritional services that guard touch from maternal- counseling and and advance fetal specialists in fetal monitoring. children’s health. dedicated neonatal More than 330 physicians intensive care units. deliver babies year-round.

Women’s and children’s health are long-standing priorities for Northwell, and continued investment makes the health system the region’s primary destination for care. The Katz Institute for Women’s Health provides women of all ages with resources to make healthy choices. Learn more at bit.ly/katz2017.

Enter to win an Take our survey at the link on the front cover. No purchase necessary. Void where prohibited. You must iPad mini 4! be 18 years or older to enter. Entries must be received by October 1, 2017. See the survey website for complete rules.

2 northwell.edu To fi nd a physician near you, call 888-321-DOCS.

NORTHWELL HEALTH — CORE NORTHWELL HEALTH — CORE In the know Activity A new baby boom Good medicine for

There has been a bump in births at Northwell Health hospitals. cancer patients Exercise may not be top of mind for people with cancer, but staying active More than during treatment can signifi cantly enhance overall well-being.

In 2016, Northwell hospitals 83,900 A growing pool of research shows that exercising during welcomed more than deliveries were Fighting fatigue treatment is not only safe, but also helpful for mind, body performed in our and spirit. Fatigue can feel overwhelming during communities, and cancer treatment, but getting up and While you will require more rest than usual during 41,700 nearly 50% happened moving is worth the effort. Consistent treatment, too much rest can exacerbate decreases in body new babies — a jump at Northwell hospitals. exercise can reduce that way-too-tired function, muscle volume and range of motion. from 38,400 the previous year. feeling by up to 50 percent, according to the National Comprehensive Work with your health care team to choose activities Cancer Network. you enjoy that also take into account your diagnosis and The reasons more parents are choosing to deliver at Northwell Health: condition. You’ll boost overall health and benefi t from: These fatigue-busting strategies can – minimized fatigue; give you a lift: – reduced nausea; 1 2 3 – Break it up. Instead of exercising – decreased risk of anxiety and depression; and for a full half-hour, work out in – maintaining or enhancing physical functioning and manageable chunks: Take a 10- muscle volume. High- Comprehensive Integrated care. or 15-minute walk in the morning risk programs. Our robust team of support for women’s and another in the afternoon. The Northwell Health Cancer Rehabilitation Program Fragile health and obstetrics. pediatric specialists – Know your limits. If you are encourages active approaches to treatment. Specialists tailor newborns and Northwell Health’s works as one having trouble catching your plans for patients at any age and any stage, and collaborate infants receive services include to provide breath, feel lightheaded or STOP with your care team to optimize your outcome. experience sharp pains, halt thorough an array of preventive genetic and your workout. care with a delicate nutritional services that guard – Consider alternatives. Find an Visit bit.ly/cancer-rehab to fi nd the best solutions for you. touch from maternal- counseling and and advance exercise program tailored to the fetal specialists in fetal monitoring. children’s health. unique challenges and needs of dedicated neonatal More than 330 physicians cancer patients. Northwell Health’s intensive care units. deliver babies year-round. Sports Therapy and Rehabilitation Services (STARS) program can help. Visit bit.ly/rehab4u for more information. For rehab services in Women’s and children’s health are long-standing priorities Manhattan, Staten Island or the for Northwell, and continued investment makes the Riverhead area, call the Northwell health system the region’s primary destination for care. Health Rehabilitation Network at 888-REHAB-03. Remember to The Katz Institute for Women’s Health provides women of all ages be patient and look forward to with resources to make healthy choices. Learn more at bit.ly/katz2017. the benefi ts.

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NORTHWELL HEALTH — CORE NORTHWELL HEALTH — CORE Services

Expanding If you are suffering from MD Jane Cho, the pain of a kidney stone, urology services help is available near you. Long Island Jewish Forest Hills expanded urologic services find it, and we laser it into smaller so people with urinary tract diseases or disorders can seek fragments to be removed,” Dr. Cho treatment at the hospital. explained. The laser can break up to a 11.5mm stone (about the size of a Urology specialists at LIJ Forest Hills treat kidney stones, full Tic Tac). overactive bladder, benign prostate enlargement, urinary incontinence and urinary tract infections, as well as For very large stones within the

cancers of the bladder, kidney, prostate and testicles. kidney, a more aggressive surgical Hartman,Christopher MD intervention called a percutaneous One of the most common and uncomfortable urologic nephrolithotomy is performed. This disorders — kidney stones — is on the rise. LIJ Forest Hills procedure involves inserting a small has seen an uptick in patients with this ailment. instrument through a patient’s back to remove the stone. “We’re quickly building the program to become a leader in treating kidney stones, especially in the Queens area,” Dr. Cho is also trained in robotic surgery — a popular, said urologist Christopher Hartman, MD. less-invasive surgical alternative for most types of urological cancer — which is done at LIJ Medical The No. 1 cause of kidney stones is dehydration. Center in New Hyde Park. She has a particular interest in urological cancer, including bladder cancer, having “Many people do not drink enough water,” said urologist completed a urologic oncology fellowship at Indiana Jane Cho, MD. University School of Medicine.

Another problem is a high-salt diet. Too much sodium Bladder cancer is a disease that smokers especially need leeches the calcium out of your system and suspends it to be aware of, since their risk of getting the disease is in the urine, which causes kidney stones. Other culprits markedly increased. include high consumption of coffee, dark teas and dark- colored soda drinks, which are high in phosphates and Primary care doctors routinely do urinalysis screenings oxalates that also can trigger stones. for elderly patients with a history of tobacco use. Often these tests find microscopic blood in the urine — a “For every eight-ounce cup of coffee you drink, drink two common sign of bladder cancer. cups of water to dilute it,” explained Dr. Cho. “This is usually the screening that gets the ball rolling to About kidney stones figure out where the blood is coming from,” Dr. Cho said. Stones form in the kidney and can travel down the ureter “Bladder cancer outcomes depend on what stage we (the tube that carries the urine from the kidney) into the diagnose it at.” bladder. This can block the flow of urine, putting pressure on the kidney that leads to pain, nausea and vomiting. When caught early, the disease is highly treatable. However, early stage bladder cancer is likely to recur. For The treatment of kidney stones depends on their size and this reason, Dr. Cho recommends follow-up tests every location. For a small stone (less than 5mm, or half the size three to six months for bladder cancer survivors to check of a Tic Tac) medication is usually given for pain and to for any recurrence of the disease. relax the ureter so that the patient can pass it naturally.

“If we have to remove the stone, we do a ureteroscopy, To learn more about urology services at Long Island Jewish which means we go up the ureter with a camera, we Forest Hills, please call 718-830-4093.

Know One of every seven men will develop prostate cancer. Are you at risk? your risk To take our free online risk assessment for early detection of prostate cancer, visit hra.northwell.edu/prostate.

4 northwell.edu To find a physician near you, call 1-888-321-DOCS. Community

Getting an MRI in Queens has never been easier

The new Imaging Center at Long Island Jewish Forest Hills provides convenient, high-quality radiology services.

Imaging services make it possible When you need imaging services to diagnose diseases or injuries At the Imaging Center, fellowship- “We have subspecialists noninvasively, all but eliminating trained radiologists lead a team on site in the areas the need for exploratory surgery. of physician assistants, nurses Views inside the body can be and technologists trained in of neuroradiology, obtained in various ways to mammography, nuclear medicine abdominal radiology and diagnose or monitor a range of and sonography. Using the latest patients’ conditions — and, in advances in imaging techniques interventional radiology. some cases, provide treatment along with advanced technology, We also have access as well. these medical imaging specialists to other subspecialists obtain consistent, high-resolution Our new center images that support accurate throughout the health LIJ Forest Hills invested $8.2 million analysis and quality care. system. That is important to expand the radiology and obstetrics and gynecology Radiologists are doctors who in a community hospital departments to better serve the graduate from the same medical setting.” community. Radiology, which had schools as doctors and surgeons shared space with ob/gyn on the and then go on to do residencies in — Samuel Kim, MD, chair of radiology third floor, moved to make room for diagnosing and treating diseases. at LIJ Forest Hills single-patient ob/gyn rooms slated They use digital imaging to help to debut in late 2017. diagnose and guide the treatment of diseases and medical conditions. Imaging Center services The Imaging Center cost –– Our radiologists specialize in approximately $3.2 million. It On average, Imaging Center diagnosing abnormalities of opened in late 2016 in space radiologists perform more the brain, spine, and head and previously used by the hospital’s than 200 diagnostic tests per day, neck, as well as performing and outpatient clinic. A ramp a high volume that testifies to the interpreting thoracic, abdominal, walkway from 102nd Street team’s experience. Because most tests pelvic, and CT and MRI scans. provides easy access to the are read on site, turning to LIJ Forest –– Our equipment includes center for diagnostic patients on Hills radiologists means getting the comfortable wide-bore magnetic an outpatient basis. fast answers needed to determine the resonance imaging (MRI) scans, next best treatment step. low-dose computed tomography “We are changing the face of LIJ (CT) scans, digital X-rays Forest Hills by expanding programs, and ultrasounds. recruiting full-time faculty and To schedule an appointment at the –– We perform neuroradiology, updating our facility to make it Imaging Center, call 718-830-1126. nuclear radiology, vascular more accommodating to both We recommend you confirm and interventional radiology inpatients and outpatients,” said beforehand that your insurance procedures, as well as biopsies, fine Susan Browning, executive director covers the procedure. needle aspirations and drainages. of the hospital.

To find a physician near you, call 1-888-321-DOCS. northwell.edu 5 Nutrition

Mind your healthy food habits Satisfy your appetite while protecting cardiovascular and brain health.

The MIND (Mediterranean-DASH Intervention for – Think differently about protein. Nut butters, Neurodegenerative Delay) diet may not only protect such as freshly ground peanut butter or sunfl ower heart health, but brain health too, according to early butter, offer protein and a boost of essential fatty research published in Alzheimer’s & Dementia: The acids. Other protein-rich, MIND-friendly meatless Journal of the Alzheimer’s Association. options include black beans, quinoa and chickpeas. For occasions when you prepare an animal-based The MIND food plan emphasizes fi sh, chicken, leafy protein, opt for chicken or fi sh rather than beef, pork greens and other vegetables, berries, nuts, legumes, or lamb. wine, olive oil, and whole grains. It draws from the – Dress up. Top salad with olive oil and vinegar Mediterranean diet, which the American Heart or fresh lemon juice. Olive oil is also a fl avorful Association acknowledges could contribute to the alternative to cooked vegetables, especially when lower incidence of heart disease in Mediterranean complemented with herbs. countries, and the sodium-limiting Dietary Approaches – Limit cheese and butter. Eat less than one serving to Stop Hypertension (DASH). The MIND diet requires of cheese a week and less than one tablespoon no specialty food or equipment. Here’s how to eat with of butter per day, according to Rush University health in MIND: Medical Center.

Protein helps the body build your intake according and repair muscles and to Recommended Daily maintain proper functioning, Allowance (RDA) guidelines. Weighing in on and is a key component of Consume no more than the satisfying nutrition. RDA, and get more protein from plant sources like The US Department of beans and nuts, and lean protein Health and Human Services’ meats rather than red meat, Dietary Guidelines for which is linked to greater Americans recommend a risk of heart and kidney Does high protein result maximum of 5.5 ounces diseases, colon cancer, and of protein daily (based on Type 2 diabetes. in weight loss? a 2,000-calorie diet), yet many who follow high- protein diets consume much Visit bit.ly/protein4u for more. This can lead to kidney personalized nutrient or gastrointestinal problems, recommendations, in addition to weight gain. including protein, from the US Food and Nutrition Protein is an important Information Center’s online nutrient, so balance calculator.

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NORTHWELL HEALTH — CORE NORTHWELL HEALTH — CORE Nutrition For the family

Mind your Stress burners: ways to healthy food habits family edition wind Satisfy your appetite while protecting cardiovascular and brain health. Bumps in the road are normal, but down stress doesn’t have to be a way of life. To ease tension, engage — Sleep doesn’t always come easily. The MIND (Mediterranean-DASH Intervention for – Think differently about protein. Nut butters, Neurodegenerative Delay) diet may not only protect such as freshly ground peanut butter or sunfl ower don’t isolate. Here’s how to relax after a full day. heart health, but brain health too, according to early butter, offer protein and a boost of essential fatty research published in Alzheimer’s & Dementia: The acids. Other protein-rich, MIND-friendly meatless Recurrent stress can cause headaches, upset Long days, even fun ones, can make it tough to shift Journal of the Alzheimer’s Association. options include black beans, quinoa and chickpeas. stomach, elevated blood pressure and sleep from “go, go, go” to taking it slow — especially in For occasions when you prepare an animal-based disturbances. If this sounds like you or a loved homes with children. To help your family prepare The MIND food plan emphasizes fi sh, chicken, leafy protein, opt for chicken or fi sh rather than beef, pork one, take a break to blow off some steam. for bedtime: greens and other vegetables, berries, nuts, legumes, or lamb. wine, olive oil, and whole grains. It draws from the – Dress up. Top salad with olive oil and vinegar Say “good night” to gadgets. Set a house- Mediterranean diet, which the American Heart or fresh lemon juice. Olive oil is also a fl avorful Silver screen wide curfew for mobile phones, tablets, TVs Association acknowledges could contribute to the alternative to cooked vegetables, especially when 1 Relax in a movie theater or catch a and computers. The devices emit light that lower incidence of heart disease in Mediterranean complemented with herbs. fl ick at home. Laughter is a great stress mimics sunlight, which tricks the brain into countries, and the sodium-limiting Dietary Approaches – Limit cheese and butter. Eat less than one serving reliever, so choose a comedy to lighten thinking it’s time to wake up rather than to Stop Hypertension (DASH). The MIND diet requires of cheese a week and less than one tablespoon the mood. Save the suspense thriller wind down. The National Sleep Foundation no specialty food or equipment. Here’s how to eat with of butter per day, according to Rush University for another day! recommends going gadget-free for at health in MIND: Medical Center. least 30 minutes before bed.

Diffuse a soothing scent. Briefl y burning Wild life a lavender-scented candle can have a Protein helps the body build your intake according 2 Spending time in nature has been shown relaxing effect, according to the National and repair muscles and to Recommended Daily to reduce stress and combat depression, Sleep Foundation. Just remember to keep maintain proper functioning, Allowance (RDA) guidelines. so get out there — even if you need to the fl ame away from young children and to Weighing in on and is a key component of Consume no more than the bundle up. Pets boost oxytocin (“the blow it out before you call it a day. satisfying nutrition. RDA, and get more protein happiness hormone”) and provide from plant sources like unconditional love, so bring Fido along The US Department of beans and nuts, and lean for a double dose of relief. Play with puzzles. Focusing on a mental protein Health and Human Services’ meats rather than red meat, challenge can help the mind unwind. Dietary Guidelines for which is linked to greater Brain games come in many forms, so Americans recommend a risk of heart and kidney choose age-appropriate options everyone Does high protein result maximum of 5.5 ounces diseases, colon cancer, and will enjoy. Try jigsaw puzzles, Sudoku, of protein daily (based on Type 2 diabetes. Boogie down crosswords, word searches, checkers in weight loss? a 2,000-calorie diet), yet 3 Dancing is a great way to get your or chess. many who follow high- blood fl owing, enjoy music and even protein diets consume much Visit bit.ly/protein4u for have a good laugh, which can all ease more. This can lead to kidney personalized nutrient stress. Clear your furniture to create Turn the page. Reading stories or gastrointestinal problems, recommendations, an open space, pump up the volume aloud to children is a bonding in addition to weight gain. including protein, from and break out your best (or even bedtime ritual with long-term the US Food and Nutrition worst) moves. Or learn new steps benefi ts. Fairy tales and legends Protein is an important Information Center’s online with family-friendly video games like engage young imaginations and improve nutrient, so balance calculator. “Just Dance” or “Dance Central.” literacy and learning. Adults benefi t from a good read before slumber, too. Use ample but soft lighting and support your neck and shoulders to read comfortably.

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NORTHWELL HEALTH — CORE NORTHWELL HEALTH — CORE LIJ Forest Hills

8 northwell.edu To find a physician near you, call 1-888-321-DOCS. LIJ Forest Hills

LIJ Forest Hills’ Mr. Clean Whether he’s handing a warm blanket to a patient in the Emergency Department or making sure the floors of Long Island Jewish Forest Hills sparkle, Ramon Landraw has made many lasting impressions during his 35-year career at the hospital.

Hired as an environmental services worker in 1981 Mr. Landraw and other union leaders worked with when LIJ Forest Hills was known as LaGuardia Hospital, hospital leadership to help break down barriers between Mr. Landraw was originally part of a five-member team management and the union, creating an environment of responsible for stripping, waxing and buffing all 10 floors collaboration that benefits patients and employees. of the hospital. “In our department, we don’t have an ‘us against them’ “Whatever I do, I try to give it 100 percent,” he mentality. We’re all part of a team,” said Mr. Insanalli, said. “When I was doing the floors, people would who has worked with Mr. Landraw for 14 years. “We’ve always say how nice they looked. It made me laid out a program within our department where we feel good.” act like a family, and any issues that we have within our department we try to fix among ourselves before taking After 20 years, Mr. Landraw switched over to linens them outside the department to the union or human where he employs the same work ethic. resources. And we’ve been doing a fantastic job of that.”

Working out of a small room in the basement that At age 58, Mr. Landraw credits the patients that he serves houses linen carts from departments throughout the as helping him learn to appreciate life. hospital, he processes more than 3,000 pounds of bed sheets, as well as lab coats and employee uniforms, “I was young when I started here,” he said. “Seeing the each day. patients on a daily basis when I worked on the floors gave me a lot more compassion for people. I used to talk a lot “It’s a little place, but it’s very busy,” said Mr. Landraw, to them. Sometimes a few minutes of conversation can who weighs every cartload of laundry that is sent out make them feel better.” for cleaning and brought back. And even though he doesn’t have as much one-on-one For more than a third of his career at LIJ Forest Hills, he access to patients in his current role, Mr. Landraw finds has been an 1199SEIU union delegate. ways to go the extra step in patient care. Since the hospital’s Emergency Department frequently puts in “He’s one of those dedicated employees,” said Nazeer requests for more blankets, he makes sure to always keep Insanalli, director of environmental services and the some in a warming cabinet. laundry/linen department. “He’s smart, open to new ideas and not afraid of change. Anything that I ask of “I get the call from the ED, and I just bring it to them,” him, he’s always there.” he said. “Sometimes I put it on the patients myself.”

To find a physician near you, call 1-888-321-DOCS. northwell.edu 9 Well-being

steps to healthy aging Age5 happily and gracefully with these tools at your fi ngertips. 1 Stay in touch. 2 Keep on moving. 3 Watch calories. Social connections help keep You’re never too old — or too young Calculate how much food the mind sharp and engaged. — to exercise. Ask your doctor you need. The National Keep up with loved ones via about a good activity for you, like Institutes of Health (NIH) email, scroll through social strolling in your neighborhood with recommends 1,800 calories media apps to see pictures of a friend or pedaling a stationary for moderately active women family and call loved ones using bike. Strengthen bones and muscles — those who do light aerobic an online video conference with a resistance band or hand activity for up to 40 minutes service like FaceTime or Skype. weights. Join a gym and take classes a day — 51 years and older, Maintain community ties tailored for your age group, or ask and 2,400 for moderately — or form new ones — by the instructor about accommodating active men in the same volunteering regularly with your fi tness level in a class. Yard work age range. Choose food in local clubs or charities. and household chores count, too. its original state (opt for an apple, not apple pie, or a baked potato instead of 4 Enjoy solid sleep. potato chips). Focus on whole Sleep helps your brain and body recover from the day’s activities. The grains, low-fat dairy and National Sleep Foundation advises getting seven to nine hours a night. lean protein. Keep track of If you struggle with insomnia — as almost 50 percent of adults 60 and food, physical activity and older do — relax your body and breathe deeply, lengthening your weight with the Body Weight inhale and exhale. Then, redirect tension from your joints into Planner, an NIH tool, at your exhale. bit.ly/nih-tracker. 5 Mind Explore your medications. the possibilities Ask your pharmacist about of joining the Northwell potential medication Health family of volunteers interactions. Some drugs may in your area. Visit interfere with each other or bit.ly/volunteer-family. with vitamin supplements, and certain foods and drinks prevent proper absorption of medicine.

Visit bit.ly/healthyaging4u to access Northwell Health’s wide range of services to enhance healthy aging. For help fi nding the right geriatric health care, call 866-651-4200, option 3, and ask for the Northwell senior navigator.

10 northwell.edu To fi nd a physician near you, call 888-321-DOCS.

NORTHWELL HEALTH — CORE NORTHWELL HEALTH — CORE Well-being Well-being steps to A new healthy aging dimension of Age5 happily and gracefully with these tools at your fi ngertips. 1 Stay in touch. 2 Keep on moving. 3 Watch calories. Social connections help keep You’re never too old — or too young Calculate how much food the mind sharp and engaged. — to exercise. Ask your doctor you need. The National medicine Keep up with loved ones via about a good activity for you, like Institutes of Health (NIH) email, scroll through social strolling in your neighborhood with recommends 1,800 calories media apps to see pictures of a friend or pedaling a stationary for moderately active women family and call loved ones using bike. Strengthen bones and muscles — those who do light aerobic an online video conference with a resistance band or hand activity for up to 40 minutes 3-D printing service like FaceTime or Skype. weights. Join a gym and take classes a day — 51 years and older, opens new Maintain community ties tailored for your age group, or ask and 2,400 for moderately — or form new ones — by the instructor about accommodating active men in the same vistas in care. volunteering regularly with your fi tness level in a class. Yard work age range. Choose food in local clubs or charities. and household chores count, too. its original state (opt for an apple, not apple pie, or a baked potato instead of

4 Enjoy solid sleep. potato chips). Focus on whole Northwell Health produced a 3-D-printed prosthetic swimming device called “the fi n” for former US Marine Dan Lasko. Sleep helps your brain and body recover from the day’s activities. The grains, low-fat dairy and National Sleep Foundation advises getting seven to nine hours a night. lean protein. Keep track of Three-dimensional printers translate virtual models into technology can also help address critical conditions, such If you struggle with insomnia — as almost 50 percent of adults 60 and food, physical activity and solid, 3-D objects. The printing process is revolutionizing as bone tumors. For example, by mapping a plan to remove older do — relax your body and breathe deeply, lengthening your weight with the Body Weight medicine at an exponential speed, offering solutions a tumor, radiologists and surgeons may work together to inhale and exhale. Then, redirect tension from your joints into Planner, an NIH tool, at for everything from customized prosthetic recreation to identify which tissue is healthy, what needs to be removed your exhale. bit.ly/nih-tracker. tissue and organ fabrication to pharmaceutical research. and the most effective way to approach the surgery.

5 Mind Using patient images, 3-D printers recreate organ and The Feinstein Institute for Medical Research, a branch of Explore your medications. bone models that let surgeons prepare for complicated Northwell Health, is already creating customized implants procedures. For instance, a 3-D-printed model of a that incorporate live tissue, using pre-implanted cells kept the possibilities Ask your pharmacist about potential medication heart can serve as a patient-specifi c guide to help a alive in a special gel. While this “printed tissue” technology of joining the Northwell physician address a complex congenital heart defect. As is still in development, a centralized 3-D printing lab is in Health family of volunteers interactions. Some drugs may interfere with each other or a result, surgeons can improve precision and decrease the works, so Northwell Health will be able to offer patients in your area. Visit operating time. more of these innovative bioprinting solutions. bit.ly/volunteer-family. with vitamin supplements, and certain foods and drinks prevent proper absorption First, a computed tomography (CT) scan outlines the One major project of the Feinstein Institute team is of medicine. size, shape and structure of the patient’s anatomy the use of a commercial-grade 3-D printer to produce and imports the information into surgical planning an artificial trachea. The scientists are replicating the software. Medical technicians and physicians use the structure and function of the tracheal rings to create a software to simulate the procedure and then create a 3-D model that can benefit patients with airway issues. Visit bit.ly/healthyaging4u model of what the anatomy will look like after surgery. to access Northwell Health’s With 3-D before-and-after models, doctors help patients wide range of services to understand what to expect. enhance healthy aging. For Listen to Northwell Health’s “Health Story” help fi nding the right geriatric A spectrum of solutions podcast about Dan Lasko and his prosthetic health care, call 866-651-4200, Northwell Health specialists use 3-D printing for a variety limb at bit.ly/health-podcast. option 3, and ask for the of surgical services, including cardiology, dentistry, Northwell senior navigator. oncology, otolaryngology and thoracic surgery. The

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NORTHWELL HEALTH — CORE NORTHWELL HEALTH — CORE Patient care

Weight-loss surgery changes lives

Niyoka Morgan Sacara Wilson

Two women from Queens — Sacara Wilson of Rosedale and Niyoka Morgan of Corona — lost a combined 140 pounds after each underwent gastric sleeve surgery, the most popular form of weight-loss surgery, at Long Island Jewish Forest Hills.

12 northwell.edu To find a physician near you, call 1-888-321-DOCS. Patient care

Join us! The Bariatric Surgery Support Group meets on the second Tuesday of the month (except in August) in the ninth floor conference room. A Spanish session starts at 6:30 p.m. and an English session at 7 p.m. For more information, call Deborah Riddick, RN, at 718-830-4093. Ask about our post- surgery support group as well.

“The surgery involves removing a portion of the stomach, weight loss after weight-loss surgery,” said their surgeon, which reduces how much food you eat at a time and Neil Tanna, MD, a board-certified plastic surgeon at your desire for food,” explained their surgeon, Allison LIJ Forest Hills. Barrett, MD, director of bariatric surgery at the hospital. The three-hour-plus surgery involved removing excess skin Since opting for bariatric surgery in 2015, both patients and fat from the middle and lower abdomen, along with have enjoyed countless health benefits, including lower tightening of abdominal wall muscles, and liposuction to blood pressure and reduced joint pain along with a spike help trim and smooth out love handles. More than eight in energy level. That’s especially important because both pounds of abdominal skin and fat was surgically removed women have young children. from each woman.

However, there was one significant effect: Rolls of excess Today, they are enjoying new and improved versions skin that hung from their abdomens were a constant of themselves. reminder of their former selves. “In the past, I’d shop online. Now, I can put myself out As a MAC Cosmetics make-up artist, Ms. Wilson knows there,” explained Ms. Wilson. “I look forward to actually a thing or two about making people look and feel their going into stores and trying on clothes.” best. But after dropping more than 60 pounds following her surgery, she was at a loss on how to conceal her belly bulge. The comprehensive bariatric surgery program at LIJ Forest Hills offers care before, during and after surgery, An often overlooked (by patients) downside of weight- including medical screening, help with insurance loss surgery, those remnant folds of sagging stomach approvals, nutritional guidance, post-surgical care skin can leave patients in physical (chafing, rashes) and and support groups. Are you considering weight-loss psychological (embarrassment, lack of confidence) pain. surgery to improve your health? Take our free health risk assessment at hra.northwell.edu/weightloss. “Emotionally, as a woman, it was very draining,” said Ms. Morgan, a hairstylist who lost more than 80 pounds. “Every time I looked down, it was there, like a constant nightmare.” Check out the video about these In January, both women underwent a surgery commonly weight-loss success stories starring known as a tummy tuck to combat the overhang problem. Sacara Wilson and Niyoka Morgan at bit.ly/new-bodies. “Abdominoplasty is probably the most common body- contouring procedure following massive

To find a physician near you, call 1-888-321-DOCS. northwell.edu 13 For her The female factor Men and women are not equal when it comes to autoimmune conditions.

Autoimmune diseases cause the body to attack its Americans — more than two-thirds of them women, own tissues. Scientists are still searching for the according to the National Institutes of Health. reasons why, and the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMSD) says that The following autoimmune disorders more frequently a combination of factors probably causes autoimmune affect women than men, says the American diseases. These conditions affect more than 23 million Autoimmune Related Diseases Association:

Graves’ Disease is a Lupus can damage many Multiple Rheumatoid arthritis type of hyperthyroidism parts of the body. Symptoms sclerosis (MS) is a long-term that often affects the like joint pain, rash, fever strikes the infl ammatory disorder eyes via infl ammation and fatigue may come and central nervous that mostly attacks in surrounding tissues. go, and can last from six system (the joints. It can be Other symptoms may be weeks to many years. New brain, optic disabling and painful, an enlarged thyroid gland symptoms may appear at nerves and and lack of treatment (goiter), weight loss with any time. There is no single spinal cord). can lead to signifi cantly increased appetite, anxiety, test for lupus, and diagnosis Brain lesions are reduced functioning chest pain, or palpitations may take months or years, common with and mobility. and shortness of breath. according to the NIAMSD. this disease.

The stress of living with an autoimmune disease can lead to clinical depression and anxiety. Medication and other treatments help to suppress or control symptoms, but there are no cures — for now.

Diagnosis can bring relief and treatment. Self-care, especially that geared toward stress relief, can help mitigate the effects of autoimmune conditions. Try: – simple relaxation techniques, such as meditation or guided imagery; – regular physical activity, such as yoga or tai chi; – maintaining a consistent sleep routine; and – alternative therapies, such as chiropractic or acupuncture. Find Talk with your doctor before starting an exercise your om! Take deep breaths regimen or complementary therapy. and relax.

Feinstein Institute for Medical Research investigators are currently studying both lupus and rheumatoid arthritis. If you’re interested in participating in clinical trials, visit FeinsteinInstitute.org.

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NORTHWELL HEALTH — CORE NORTHWELL HEALTH — CORE For her For him

Not just a Environmental causes of The female factor mom thing autism Men and women are not equal when it comes to autoimmune conditions. Dads also get postpartum depression New research reveals (PPD). Sometimes it lasts until their Autoimmune diseases cause the body to attack its Americans — more than two-thirds of them women, how fetal surroundings own tissues. Scientists are still searching for the according to the National Institutes of Health. baby is a year old. can contribute to reasons why, and the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMSD) says that The following autoimmune disorders more frequently The rate of PPD in new fathers is only slightly lower than the development a combination of factors probably causes autoimmune affect women than men, says the American in new mothers, according to the Journal of the American of autism spectrum diseases. These conditions affect more than 23 million Autoimmune Related Diseases Association: Medical Association. Expectations and responsibilities that come with parenting are often to blame when either disorder (ASD). Graves’ Disease is a Lupus can damage many Multiple Rheumatoid arthritis parent is affected. type of hyperthyroidism parts of the body. Symptoms sclerosis (MS) is a long-term ASD is often diagnosed in early childhood and refl ects that often affects the like joint pain, rash, fever strikes the infl ammatory disorder Fathers’ hormone levels change after birth, too. A drop in a wide range of symptoms. As with all developmental eyes via infl ammation and fatigue may come and central nervous that mostly attacks their testosterone levels and rise in estrogen and prolactin brain disorders, a combination of environmental in surrounding tissues. go, and can last from six system (the joints. It can be levels can cause depression. and genetic factors affect whether a child will have Other symptoms may be weeks to many years. New brain, optic disabling and painful, ASD. No single environmental or situational trigger an enlarged thyroid gland symptoms may appear at nerves and and lack of treatment Awareness of risk factors and symptoms makes the explains the rise in diagnosis, but factors that may (goiter), weight loss with any time. There is no single spinal cord). can lead to signifi cantly condition easier to spot. Risk factors for PPD in men contribute include: increased appetite, anxiety, test for lupus, and diagnosis Brain lesions are reduced functioning include personal or family history of clinical depression – Parental age. Babies of fathers in their 50s chest pain, or palpitations may take months or years, common with and mobility. or depressive episodes; lack of sleep; a stressful birth and older have a relative risk that is two-thirds and shortness of breath. according to the NIAMSD. this disease. experience; and feeling overwhelmed at work and home. higher than babies born to dads in their 20s, according to a 2015 study published in the journal The stress of living with an autoimmune disease can PPD symptoms in men include: Molecular Psychiatry. lead to clinical depression and anxiety. Medication – increased anger, frustration and irritability; – Pollution. Prenatal exposure to certain pesticides and other treatments help to suppress or control – fatigue; or air pollution, such as that found near freeways symptoms, but there are no cures — for now. – unexplained sadness or crying; and other highly traffi cked areas, can result in – isolation from loved ones; impaired mental and motor functions, according to Diagnosis can bring relief and treatment. Self-care, – alcohol or drug misuse or abuse; the International Journal of Occupational Medicine especially that geared toward stress relief, can help – trouble concentrating or feeling motivated; and/or and Environmental Health. mitigate the effects of autoimmune conditions. Try: – impulsive or risk-taking behavior. – Maternal infection or disease. This applies to – simple relaxation techniques, such as meditation or mothers who develop infections, like rubella, or guided imagery; Treatment includes individual or group counseling as well gestational diabetes. – regular physical activity, such as yoga or tai chi; as drug therapy. – maintaining a consistent sleep routine; and Researchers know little about how a baby’s in utero – alternative therapies, such as chiropractic environment contributes to the risk for ASD. A study or acupuncture. Find For information about treatment options, visit underway at the Feinstein Institute for Medical bit.ly/postpartumhelp. Research hopes to help determine the risk in children Talk with your doctor before starting an exercise your om! born to mothers with autoimmune disease during Take deep breaths regimen or complementary therapy. and relax. pregnancy. The National Institutes of Health’s Environmental Infl uences on Child Health Outcomes initiative has provided a $3 million grant for this study, Feinstein Institute for Medical Research which will follow 4,500 pregnant women at Northwell investigators are currently studying both Health for two years. lupus and rheumatoid arthritis. If you’re interested in participating in clinical trials, visit FeinsteinInstitute.org. For diagnosis and treatment of developmental and behavioral issues, contact the specialists at Cohen Children’s Medical Center at 516-802-6100.

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Support groups at LIJ Forest Hills AA Support Group Bariatric Post Surgery Support Group Every Sunday Morning at 9:45 a.m. The third Tuesday of each month from Main Floor Conference Room 6 to 7 p.m. For more information please call 212-647-1680. 95-25 Queens Boulevard 2nd floor suite B waiting area Please call Deborah Riddick, RN, for more Bereavement Support Group information at 718-830-4093. The last Monday of each month at 6 p.m. Main Floor Conference Room See the success stories on page 12. Please call Father Radu for more information at 718-830-1826. Graysheeters (overeating) Every Wednesday evening at 7 p.m. Lupus Support Group Main floor conference room The first Tuesday of each Month at 7:30 p.m. For more information, please Main Floor Conference Room call 516-445-2222. For more information please call 516-783-3370.

Diabetes Support Group Bariatric Surgery Support Group The fourth Wednesday of each month at 7 p.m. The second Tuesday of each month (except August) 8th floor conference room 9th floor conference room Please call Nataliya Shaforost, Spanish session at 6:30 p.m. NP, for more information at English session at 7 p.m. 718-830-1924. Please call Deborah Riddick, RN, for more information at 718-830-4093.