LookA community and wellness publication North from Lenox Hill Hospital

Parents honor Lenox Hill Hospital’s NICU “guardian angels”

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Volume 1, 2020

Ready, willing and extraordinary Covid-19: Northwell answers the call PAGE 5 Work in workouts Here are ways to fit activity into your busy day

We all know that working out is important. Health experts, including the Surgeon General, recommend getting at least 150 minutes of moderate physical activity every week. But responsibilities can make it tough to give yourself a solid half hour or more on an average day. It may be more manageable to fit in micro exercise sessions of 5 to 15 minutes a couple of times (or more) during your day. Here are some effective ways to get moving: 1. Take 10 Grab 10 minutes three times a day to do something physical. The American Council on Exercise recommends this routine: Morning: Start your day with bodyweight exercises such as push-ups, lunges and squats. Afternoon: Enjoy a brisk walk during your break. Evening: Gently stretch for 10 minutes. Include 2. intervals Alternating between moderate- and high-intensity interval workouts can boost cardiovascular health. During a 15-minute walk, speed up for two to three minutes to raise your heart rate, then return to a moderate tempo. Make time for two 15-minute walks every day. Reconsider your 3. commute Can you safely walk or bike to destinations like work, school or the grocery store? If not, snag the spot in the farthest corner of the parking lot, skip the elevator and take the stairs, or walk the shopping cart back to the store after you load your car instead of using the cart corral.

Office 4. max Stand, stretch, lunge or pace while you’re on the phone. When possible, schedule walking meetings. Stroll over to your colleague for a conversation rather than sending an email.

Caring for minor injuries Stay “in the game” by tending to cramps, strains and blisters

Sprains Muscle cramps Blisters RICE (rest, ice, compression and Gently massage tight muscles or Cleanse the area with soap and elevation) is your friend, along lightly stretch them. At home, water, then apply petroleum jelly with an over-the-counter pain apply heat or take a hot bath or antibiotic ointment. Cover the reliever. See your doctor if pain or shower. blister loosely with a bandage. persists after two days or you experience swelling. LENOX HILL HOSPITAL

her to hold Jenna. “I don’t remember seeing Jenna for the first time,” Jodi said. “I just remember being scared.” Jodi went home after 10 days, but Jenna spent 77 days at Lenox Hill. Jodi and David shared skin-to-skin or “kangaroo” care duties, holding a diaper-clad Jenna against their own bare chests for hours at a time. Kangaroo care is known to stabilize babies’ heart and respiratory rates and regulate their body temperature. Jodi came each morning and David each afternoon to hold Jenna close. “All the doctors and nurses in the NICU were, and still are, our guardian angels,” Jodi said. “They’re a different Parents honor breed of human being. They truly love those kids.” To honor the NICU care team, Jodi and Lenox Hill Hospital’s David, along with her parents, Linda and Jules Toch, are giving back to support NICU “guardian angels” the purchase of a monitoring system like the one Jenna wore in the NICU. “Your baby’s on the smaller side,” the Jodi was rushed into surgery. She “We know what those machines mean,” sonographer told Jodi Klaristenfeld at was experiencing HELLP syndrome, a David said. “As a parent you dread the her 28-week appointment. “We’ll have condition where the mother develops beeping and the alarms going off, but you back in two weeks.” high blood pressure and her liver, you know they are protecting your child. It gives you a sense of security.” Two days later Jenna was born, kidneys and blood cells can be injured. weighing 2 lbs, 2 oz. The condition can be life threatening “We are always inspired to see babies and severely restrict the baby’s growth. like Jenna thriving,” said Marty Jodi had been feeling a little off. Her Often the only treatment is delivery of Ellington, MD, MPH, chair of Pediatrics husband David was traveling for the baby. Later, Jodi’s obstetrician would at Lenox Hill Hospital. “And we’re business, and her mother, Linda Toch, tell Linda, “If we didn’t deliver the baby grateful the Klaristenfelds and Tochs had arrived from Florida to do some then, there would have been no Jodi are generously ensuring vulnerable baby shopping with her. Instead, after and no baby.” newborns continue receiving high-level Jodi developed a bloody nose, then care in their first ‘home,’ the Lenox double vision, Linda rushed her to David was in a dinner meeting in Paris Hill NICU.” the obstetrician. when he saw missed calls from Linda. “I excused myself to call her back,” he Jenna, now an active one-year-old, After his exam, Jodi’s doctor, Adam said. “Our baby had already been born.” celebrated her birthday with two babies Romoff, MD, turned to her and said, David flew back home and went directly who shared her NICU experience. “We’re going to the hospital to have from the airport to Lenox Hill Hospital’s “You’re part of a unique club in the this baby.” Neonatal Intensive Care Unit (NICU) at NICU,” said Jodi. “It feels like there is a “Suddenly we were at Lenox Hill the Crown Family Pediatric Center. “I connection that will always last.” Hospital,” Jodi said, “and Dr. [Alok] actually saw Jenna before Jodi did.” Ezhuthachan was talking about “The next thing I knew,” Jodi said, Lenox Hill Hospital premature births.” “David was back, and our daughter was is ranked among the in an isolette in the NICU. nation’s top hospitals I was not comprehending for 2019-20 in diabetes and endocrinology, Watch a video about the what had just happened. My head was spinning.” ear, nose and throat, Klaristenfelds’ journey in urology, nephrology, cardiology and heart As Jodi gained strength and the Lenox Hill NICU. surgery and geriatrics by US News & World awareness over the next Report. Lenox Hill was also named one of the few days, David encouraged top five hospitals in New York State. 4 Look North | Volume 1, 2020 LENOX HILL HOSPITAL Ready, willing and extraordinary

Northwell answers the call with ingenuity and compassion

When the US first heard about the novel At the forefront of New York State’s pandemic coronavirus, it was a world away. Few could see the response, Northwell Health has risen to the enormity of the health crisis that was coming. occasion — leading on the front lines and behind But Northwell Health was getting ready with the the scenes. We transformed areas in each of our necessary tools and talent to meet the challenge, hospitals to admit and care for Covid-19 patients, marshalling resources from across our service reimagining ways to deliver treatment while area. The health system’s emergency management safeguarding those who step up to care for patients. team quickly enacted guidelines and procedures to And we’re conducting research and clinical trials in identify and treat potential patients, and to protect search of new treatments. staff members. At our core, we are healers and look for hope among our heroes.

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Hope Huddles connect front-line nurses amid Covid-19 crisis A new program initiated by Emily Fawcett, RN, the daily meeting among emergency department nurses has provided closure and optimism after they treat coronavirus patients

Emily Fawcett, RN, is a float nurse meeting of departing and arriving who also works on a Covid-19 unit. “I working on one of Lenox Hill Hospital’s nurses. Called a huddle, nurse leaders extubated a young man who, by the coronavirus (Covid-19) units. But she review cases and the events of the end of the day, was asking me out — so started a recent shift in the emergency prior shift to ensure smooth transition he’s doing OK.” department to help launch an initiative of patient care. But before digging Pinched between drawn curtains and that promises to provide positivity into the details, nurse manager Silvia a bustling nurse’s station, Ms. Fawcett to her fellow front-line health care Cota turned it over to Ms. Fawcett watched as her idea — spurred by workers — something she calls and another nurse working on a recent late-night group texts with her Hope Huddles. Covid-19 unit. friends in the emergency department — Shift changes in an emergency “We’ve had five extubations in the last took shape. department (ED) are marked by a quick few days,” said Catherine Chaplin, RN,

See how the medical staff use Hope Huddles to share good news about their patients.

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“We just want to say thank you,” said recovering — a side of the story want to be connected to the front-line Ms. Chaplan, closing out her portion of most nurses often don’t see or hear workers, and obviously they can’t be. So, the Hope Huddle. “You guys are doing about. And this dose of positivity they are finding ways to give us hope, an amazing job. We couldn’t do this and optimism is exactly what nurses, and give us strength. So I am hopeful. without one another, so stay safe, stay doctors and the entire staff need right All I can be right now is hopeful.” sane and thank you all.” now, Ms. Cudina said. And she spread that hope during the Emergency department nurses and “It’s a time of camaraderie and we’re all first Hope Huddle, accented by several doctors remember every patient kind of rallying together and checking rounds of applause for positive — and they intubate, Christen Cudina, RN, in on one another and making sure even some funny — stories, and the assistant nurse manager of Lenox Hill’s we’re taking care of ourselves, as well news of Covid-19 patients recovering emergency department, said. And as taking care of everybody else,” she and going home. Cathy Fogarty, particularly these days as they treat said. “And the Hope Huddle gives us senior director of patient care services those suffering the worst symptoms of the positivity to keep going, and keep at Lenox Hill Hospital, said she has Covid-19. serving, and keep doing what we do witnessed similar reactions on the “They were expressing how upset best here.” Covid-19 units. they’ve been, seeing all of these Answering the call to serve is nothing “I just walk to the units that are caring Covid-19-positive patients coming new for Ms. Fawcett, who was one of for these patients and they give me a through the emergency department, 27 Northwell employees who assisted tremendous sense of calm,” she said. very sick and having to be intubated the disaster relief efforts in Puerto Rico “They are doing a fabulous job under and moved to the next level of care,” after Hurricane Maria — a category 5 these very difficult circumstances, Ms. Fawcett said of her friends in the storm — devastated the island in 2017. supporting one another and providing emergency department. “They never She is also a board member, clinic the highest quality of care to these know what happens to them.” coordinator and trip leader for Crossing patients. It makes me very proud.” To close that loop and help her friends Thresholds, a mobile medical clinic Hope Huddles will be done regularly find some solace, Ms. Fawcett realized serving the Kibera Slum in Nairobi, in the Lenox Hill emergency she could provide those answers. Kenya — the second largest slum in department and Ms. Fawcett hopes the world. “I see those patients,” she said. “Every it will be adopted in other EDs across day I hear little stories of patients Back at Lenox Hill, she now plays a Northwell Health. getting better; of people getting off critical role in a new crisis, which has “I hope this spreads hope and light ventilators; of people being able to claimed New York as its epicenter in the around our hospital, around Northwell reunite with their families after weeks United States. and to the community at large,” of not seeing them.” “I see New Yorkers banding together. she said. Hope Huddles are an addition to the I have friends and family, and now regular huddle in the emergency complete strangers, giving food to us department, where a unit nurse comes nurses every single day,” she said. “I down to share stories of patients think New Yorkers, they feel for us. They

Lenox Hill celebrates 1,000th coronavirus patient discharge More than one hundred cheering staff members gathered to celebrate a major milestone: the discharge of the hospital’s 1,000th coronavirus patient, Ramdeo Radhay. Mr. Radhay, a father of five, had spent 10 days at the hospital before making a remarkable recovery. His eyes welled up with tears and he pressed his hands together in gratitude as he was wheeled out of the hospital and reunited with his sons. Watch a video of the big moment.

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Read about one city nurse’s experience with Covid-19 and see more photos from inside Lenox Hill Hospital’s intensive care unit. Photo credit: Lenox Hill Hospital nurse Karen Cunningham, RN

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occur,” Dr. Grossman explained. “A hip replacement could offer Ms. Rosenstein more stability and get her immediately weight bearing again, so she could strengthen the muscles that were neglected for so long.” Within two weeks of the procedure, Ms. Rosenstein was back on her feet. She credits Dr. Grossman, and his team at Rothman Orthopaedics and Lenox Hill, for providing top-notch care. “He really just went above and beyond for me — and his staff is just amazing,” she said. “Now I’m walking five miles a day and going up and down the stairs. I’m not running yet, but I’m going to be soon. The Nashville half marathon is not going to be my last race. I’ll be back out there before you know it.”

Running toward recovery Strategic alliance brings top-notch orthopedic After undergoing a total hip reconstruction, care to patients one patient is ready to run again In April 2017, Northwell Health formed a strategic alliance Jodi Fried Rosenstein has always been once she returned to New York, she with the Rothman Orthopaedic an avid runner. But while running a struggled to recover. Institute, a leading orthopedic half marathon in Nashville with her “The bone just wasn’t healing,” she practice with locations daughter, the 55-year-old Purchase said. “I was supposed to be non-weight throughout Pennsylvania, New resident snapped her femur after an bearing on that leg for 10 weeks. But 10 Jersey and New York. unexpected collision with another racer. weeks became three months, then four “Rothman Orthopaedics has an “It was very crowded — there were months, and I needed to find a solution international reputation as a about 50,000 people running in the because I was going crazy.” prominent leader in the delivery race,” she said. “I was at mile seven Luckily, Ms. Rosenstein was referred of orthopedic care — and is one when someone accidentally caught my to Eric Grossman, MD, director of of the most specialized places out leg while trying to pass me. I went flying adult reconstruction at the Rothman there in terms of both academic and she landed on top of me.” Orthopedic Institute – New York and clinical excellence,” said At first, Ms. Rosenstein thought her and orthopedic surgeon at Lenox Eric Grossman, MD, director of injuries were mostly superficial. “I Hill Hospital. He recommended adult reconstruction for Rothman decided to keep going. I just wanted Ms. Rosenstein undergo a total Orthopaedics – New York. “It to get to the finish line even if I had to hip replacement. made sense for the two to come together.” walk,” she said. “A closed reduction and pinning have Ms. Rosenstein later learned she most been the traditional way of treating Over the past three years, this likely had a hairline fracture in her this kind of fracture, but there is partnership has helped expand femur before she even started the always a small risk that healing won’t Rothman Orthopaedics’ services, race. That crack in her thigh bone was including innovative treatment exacerbated by her crash and tumble at US News & methods, research and education mile seven. At mile 13, she took a single World Report initiatives into the New York step and her femur “just snapped,” as has recognized metropolitan area. she put it. Ms. Rosenstein was taken to Lenox Hill “This affiliation gives patients a nearby hospital where she underwent Hospital as a easier access while still delivering emergency surgery to repair her femur top performing the kind of elite orthopedic care and hip using a pinning technique. But hospital in that they expect and deserve,” orthopedics. Dr. Grossman said. 10 Look North | Volume 1, 2020 Serving those who serve Every military veteran and service member in our community counts. Find programs and services at Northwell Health to address your well-being and your family’s, plus employment assistance and other vital resources.

Career services Health services – Barracks to Business. Vets return – Florence & Robert A. Rosen Family – Uni‹ ed Behavioral Health Center home with valuable skills, but Wellness Center. Serving overseas for Military Veterans and Their often have diffi culty translating or being exposed to trauma via a Families. This partnership between their experience into civilian career as a rst responder or law Northwell and the Northport employment. Barracks to Business enforcement offi cer can aff ect people Veterans Administration provides workshops provide assistance and their families in ways that aren’t behavioral health services for with resume writing, career always visible. Staff at the Rosen military service members and their development, interview prep and Family Wellness Center address families. communication skills. stress and trauma, bereavement – VA Women’s Referral Program. – VALOR (Veterans and Allies: Liaisons and service member reintegration, This joint eff ort between the health of Reintegration). A veteran-focused and off er counseling, referrals, system and the Northport VA refers business employee resource group, training and workshops, among other women vets for mammography, VALOR connects current Northwell services. For more information, call breast ultrasound and biopsy, employees who are veterans with (516) 562-3260. and obstetrical care at Northwell those returning to civilian life, locations in Manhasset, providing companionship, insight New Hyde Park, Huntington and advice. The VALOR Navigator and Islip. Program pairs newly hired vets Call (631) 647-2530 to learn about at Northwell with mentors care from these VA-Northwell in the health system to off er collaborations. encouragement. For more information on jobs, workshops and veteran-focused career services, go to jobs.northwell.edu/veterans, or call (516) 881-7020.

Northwell Health honored military and health care heroes with Side by Side: A Celebration of Service. See performances by our special guests — Gavin Degraw, DJ Questlove and Meghan Trainor — at sidebysidenyc.com.

Northwell.edu 11 Stroke of (bad) luck

The incidence of stroke in people younger than age 65 is trending upwards. Increasing rates of risk factors — obesity, smoking and high cholesterol — may be the culprits.

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Experts point to unhealthy lifestyles: Many younger Americans are less physically active than previous generations, and more likely to eat a lot of processed, high-fat, high-sodium foods. Plus, since young adults tend to feel fine, and they’re less likely to get regular physical examinations, so high blood pressure, high cholesterol and diabetes go undiagnosed. It’s an alarming trend — but there’s hope.

Preventing stroke Warning signs The good news is that regardless of age, up to 80 percent of Most strokes occur after the age of 65, but the American strokes are preventable. For younger adults, these healthy lifestyle Stroke Association says that changes are especially beneficial: adolescents and young adults account for 15 percent of See a doctor. A yearly checkup can Kick the nicotine habit. The use of ischemic strokes — the most alert you and your physician to red vaping devices, or e-cigarettes, has common type, which occurs flags, such as elevated blood pressure. surged among young people even as when a blood vessel in the cigarette use has declined. But vaping brain is blocked. Furthermore, Know your numbers. Get screened delivers nicotine, a chemical that hospitalizations for stroke every year for high cholesterol and increases stroke risk by raising blood between 2003 and 2012 diabetes, two conditions that raise pressure and making blood “stickier” increased by 30 to 41 percent the risk of stroke. Nearly a quarter and more likely to clot, among other for people between 35 to of a million Americans ages 18 to 64 changes. According to the American 44 years old, according to a have high cholesterol, according to Stroke Association, cigarette smokers JAMA Neurology study. the latest guidelines. High cholesterol are twice as likely as nonsmokers causes fatty deposits, or plaque, to Whatever your age, getting to have a stroke, while research build up in the arteries. If a deposit treatment quickly for a suggests that e-cigarette users have breaks off, it can trigger a stroke- stroke reduces the risk of a 71 percent higher chance of stroke inducing clot. brain damage, permanent compared to non-vapers. disability or death. Go to an Eat healthier. A diet loaded with Maintain a healthy weight. More emergency department or call saturated fats and sodium, like than a third of adults between 20 and 911 if you or someone with one high in red meat and fried or 39 are considered obese, a condition you experiences shows these processed foods, can raise unhealthy that contributes to high blood symptoms: cholesterol levels and blood pressure. pressure, unhealthy cholesterol levels Choose plenty of fresh fruits and – facial drooping and diabetes. An American Health vegetables, whole grains and lean Association study found an increased – arm weakness protein like fish. risk for early-onset stroke among – speech difficulties young, overweight adults, especially Calculate your risk for for men and African-Americans. stroke with our free health risk assessment at hra.northwell.edu/stroke.

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“Medications, combined with a healthy lifestyle, completely changed his life and even the future of his children and grandchildren, which is really nice to witness,” Dr. Gianos stated. Mr. Aliseo’s daughter, Larissa Soares, 33, became concerned about her cholesterol levels when she developed preeclampsia while pregnant with her son, LJ, now two years old. “I look at my dad and I get super nervous about having to go through those surgeries,” she said. “I’m hoping that I continue to stay at a healthy cholesterol, and I’m hoping my son doesn’t have what I have. But we’re not Gene mutation for high sure yet.” The chance of passing on FH to a child cholesterol meets its match is 50 percent if a parent has one copy of the gene and 100 percent if a parent has two. But, Dr. Gianos is confident at Lenox Hill the Aliseo children and grandchildren will avoid the difficulties their parents Life-threatening levels of bad cholesterol endured because their disorder was caught early, which may possibly plagued an entire family, until they met prevent the disease process entirely with the right medication. a cardiologist who recognized their often “She’s like a godsend to our family,” undiagnosed condition Mr. Aliseo said.

At just 29 years of age, Peter Aliseo, now FH in 2012 and now treats two of his 59, had double bypass surgery because siblings, his daughter and many others Northwell Health’s preventive of a blocked artery. in the family. cardiology division operates several centers focused on Since then, the seasonal restaurateur “Even if a person eats perfectly healthy cardiac disease prevention has required multiple cardiac and leads a perfectly healthy life, and cholesterol management, procedures with 13 stents because they genetically don’t have including lipid centers in placed in a single artery to open enough receptors on their liver to clear Manhattan and Long Island. repeated blockages. the cholesterol, there’s a requirement The centers take a team- “My bad cholesterol is always bad,” the for medication,” she explained. based approach to prevention father of three said. “And the biggest Mr. Aliseo was one of the first to trial of cardiovascular disease, thing is to get that down.” certain medications now used to treat offering nutrition and exercise Mr. Aliseo has a genetic condition called FH, thanks to Dr. Gianos. In the five counseling, identification and familial hypercholesterolemia (FH), years since, the family man’s total modification of risk factors and which prevents the body from breaking cholesterol has dropped from a high access to research and novel down bad cholesterol, known as low- of 489 to 190 — the optimal level is treatments and therapies. below 200. density lipoproteins (LDLs). LDLs build For more information up silently in the arteries and may lead US News & to heart attacks and strokes. or to schedule an World Report appointment, call Eugenia Gianos, MD, director of has recognized cardiovascular prevention at Northwell Lenox Hill (646) 860-0434. Health and director of the Women’s Hospital as a Cardiovascular Center at Lenox Hill top performing Hospital, diagnosed Mr. Aliseo with hospital in cardiology. 14 Look North | Volume 1, 2020 LENOX HILL HOSPITAL

US News & World Report has recognized Lenox Hill Hospital as a top performing hospital in otolaryngology.

Oren Lerman, MD, created a bone graft out of a segment of Ms. Ryan’s leg bone. The last step brought together all of the surgeons to place the teeth on the bone graft. “You have the same dimensions of bone going into the jaw as what you’ve taken out, so you get a perfect fit,” said Lawrence Brecht, DDS, director of maxillofacial prosthetics at Lenox Reconstructing facial surgery Hill’s department of otolaryngology. Dr. Brecht designs the teeth before surgery and helps determine where the with “Jaw-in-a-Day” leg bone and implants need to go to best support them. A young woman didn’t have to wait long Just one month after surgery, Ms. Ryan was pain free and getting rehab to for her new smile, thanks to an all-in-one strengthen her leg. approach to reconstructive surgery “Leaving the operating room with teeth was the most crucial thing for me,” said During a routine dental checkup, surgeries done months apart,” Ms. Ryan, still amazed that a surgery like 25-year-old Tracey Ryan’s dentist found Dr. Hirsch explained. “We would this is even possible. “Once I heard that it a tumor on her jaw. Though benign, it have to wait six-to-12 months to give was an option, it was the only option.” was fast growing and would need to be Tracey teeth. For a young woman — removed immediately. psychologically — that’s not so good.” To learn more about the More shocking than the diagnosis, Using a computer-aided design Ms. Ryan said, was the proposed program that matched Ms. Ryan’s CT Jaw-in-a-Day procedure, solution — surgery to remove that scans with digital images of her teeth, as well as other other ear, portion of her jaw, along with most of surgeons virtually planned the entire nose and throat services her teeth, and reconstruction using a procedure down to the millimeter and portion of her leg bone. then 3D-printed tools and models at Lenox Hill Hospital, call (646) 860-0323. “When you just go to the dentist to enhance accuracy. As Dr. Hirsch and find out you’re getting a part of removed the jawbone, plastic surgeon your leg cut out and put in your jaw, it’s a whirlwind,” the Manhattan accountant recounted. Residential addiction Fortunately, Ms. Ryan was a candidate treatment and research for a revolutionary procedure called A new facility for those Jaw-in-a-Day, patented by David Hirsch, 18 years old and up DDS, MD, chief of oral and maxillofacial surgery at Lenox Hill Hospital. In a Wellbridge has opened to 10-hour operation, she had eight provide residential addiction teeth removed and her lower jaw care, including medical stabilization/detox, rehabilitation and extended stay. completely rebuilt. The custom-built facility is located on 96 acres in Calverton, where addiction researchers and clinicians collaborate to deliver the latest treatment and investigate “The old way required much larger new options for the future. Wellbridge’s partnership with Northwell Health gives it incisions in the neck and multiple extensive resources to help deliver holistic treatment and highly personalized care.

Learn more at wellbridge.org or (877) 935-5274Northwell.edu. 15 LENOX HILL HOSPITAL This is your brain Getting enough rest helps you to build on sleep a better, smarter, stronger brain People who power through the day with just a few hours of sleep each night are shortchanging themselves. That’s because sleep doesn’t just recharge your body, it also boosts brain function. Here’s how:

Sleep improves Sleep “cleans” your Sleep boosts Sleep helps you memory. brain. creativity. focus. As your body rests, your Brain activity during Thinking outside of the Lack of sleep aff ects your brain is very active, working non-REM sleep impacts box is tough for the sleep ability to focus when a to consolidate information blood ‡ ow and triggers deprived. Over the years, lot is happening around that you acquired during the cerebrospinal ‡ uid to wash researchers have found links you, reports a study in day and cementing it into through the brain. Every between sleep quality and Neuroscience Letters. This memory. A recent study in time this “‡ ood” recedes, it the ability to think creatively. ability allows you to pick NeuroImage looked at how removes the day’s central One piece of research up on your friend’s mood it works and found via brain nervous system waste build- published in the Proceedings during a conversation while imaging that bursts of brain up. These contaminants may of the National Academy blocking out others in a waves during an early phase increase the risk of dementia of Sciences pinpointed that bustling environment. of sleep help consolidate and Alzheimer’s disease, REM sleep — the deepest things you’ve learned before according to a study in phase of slumber — you nod off . Science. improved people’s ability to problem-solve.

Sleep aids: Do they work? Looking for a solution to help you rest? These approaches may have some merit:

Weighted blankets provide Sunrise simulators wake you Meditation: Practicing Melatonin: A hormone a calming eff ect for some up by gradually illuminating meditation helps you naturally produced in the people. Though studies have your room — unlike harsh to focus on present body that induces sleep, yet to “weigh” in on the alarm clocks. The devices experiences, thoughts and melatonin taken as a blankets’ power to induce purport to improve sleep emotions. Research shows supplement may help if you sleep, there is some research quality if you work nights, that as little as 10 minutes have jet lag or a sleep-wake to show the feeling of experience jet lag or have of meditation a day can help disorder. But experts say that weight eases anxiety, which a sleep-wake disorder. You you relax and sleep longer there isn’t enough evidence keeps some of us awake. can also try products that and more deeply. of its eff ectiveness or safety simulate the natural loss to recommend it for chronic of light at the end of the insomnia. Talk to your doctor day, gradually dimming a if you’re interested in giving room’s lighting starting melatonin a try to make sure about 30 minutes before a it won’t interact with any set bedtime. other medications you take. I like working Seeing the “with people from everywhere and emergency heart + soul medicine gives you just that. No matter of medicine Mirtha Macri, DO who you are, you ED nocturnist, Lenox Health can come to us A new Netflix series gives an intimate Greenwich Village and we’ll take care look at the lives of four doctors as they of you. navigate the highs and lows of caring for patients at Lenox Hill Hospital in ” Manhattan. Being a With an unflinching eye, “Lenox Hill” shows the “neurosurgeon physicians’ challenges to balance their personal focused on cancer and professional lives, and delves into the personal journeys of their patients. From birth has made me a to brain surgery, each case offers a rare inside more laid-back look at the complex, fascinating and emotional parent. I realize the world of medicine, as lived by the four doctors. John Andrew Boockvar, MD blessings I have Vice chair of neurosurgery, The series was directed and produced by Lenox Hill Hospital and director every day just to sit Adi Barash and Ruthie Shatz, whose previous of the Brain Tumor and Pituitary/ with my family at Neuroendocrine Center work includes “The Collaborator and His Family” dinner. and “Diamonds and Rust.” ”

The wonderful Diversity always “thing about “makes for better medicine is the practice and I harder you work think that Lenox the more there is Hill Hospital does to give back, and I a great job of David Langer, MD feel a responsibility Amanda Little-Richardson, MD providing culturally Chair, neurosurgery, Lenox Hill to use my skills to Former chief resident of appropriate care Hospital and vice president ob/gyn, Lenox Hill Hospital of neurosurgery, Northwell make a and meeting people Health’s Western Region difference.” where they are. ”

Watch for the June premiere of this groundbreaking series on Netflix. LENOX HILL HOSPITAL

“And it’s a two-way street,” said Dr. Roane, who specializes in geriatric care. “If we have patients who need socialization or help getting Medicaid, housing or food, then we can refer those patients to Carter Burden. So it works extremely well.” Seeing patients in their homes gives clinicians like Yana Lechtman, Psy. D, a psychology post-doctoral fellow with the program, a deeper understanding of their physical and mental health needs. “This is a population that struggles with a lot of adjustment to new life circumstances and all the challenges that come with aging, like loneliness, depression and anxiety about what’s coming next,” Dr. Lechtman explained. “I feel grateful to be able to join someone in their home and get to know Therapy at your doorstep them in a way that not only helps them Lenox Hill Hospital’s home-based improve but thrive.” By the end of her 10 weekly sessions, geriatric psychiatry program brings Ms. Greenberg was up to going out again and said she was “just kind of the full range of resources of a coming back to being me.” The early success of the program hospital-based program to the doorstep has prompted plans to expand it to underserved populations in of homebound seniors in the community East Harlem.

Penny Greenberg’s world got smaller now out in the community serving the after her husband passed away in people in our own neighborhood who 2004, just one year after their 50th really need our services.” Lenox Hill’s Psychiatry wedding anniversary. Many seniors become homebound Department has a long- Then, in 2019, her Pekingese pup, because of mental health problems but standing tradition of providing Baby Lion, passed away, leaving are unlikely to seek out treatment — comprehensive mental health Ms. Greenberg, 86, feeling alone and some are also physically unable to services on the Upper East and depressed. do so. Side, including a 27-bed in-patient psychiatry unit, “When I lost him, I was really not up “It gave me something to get ready for, the latest therapies, a large to par,” the Upper East Side resident to look forward to,” Ms. Greenberg said. consultation psychiatry recounted, sitting just a few feet from “It was very important to me.” program and an outpatient one of her two cherished paintings of The program gets its referrals from the program located at Manhattan her furry companion of 14 years. hospital’s House Calls program and, in Eye, Ear & Throat Hospital. But Ms. Greenberg was able to find cases like Ms. Greenberg’s, social service purpose again thanks to Lenox Hill organizations like the Carter Burden For more information Hospital’s home-based geriatric mental Network (CBN). the broad range health program, now in its second year. US News & of mental health “There are a lot of seniors, particularly World Report on the Upper East Side, who suffer services at Lenox Hill has recognized Hospital please call from a range of mental health Lenox Hill disorders and don’t have access to Hospital as a (646) 860-0281. care,” said David Roane, MD, chairman top performing of psychiatry at Lenox Hill. “We are hospital in geriatrics. 18 Look North | Volume 1, 2020 LENOX HILL HOSPITAL Breast cancer in younger women Under age 50? What you need to know about your risk

While breast cancer is rare in younger women, the disease can — and sometimes does — strike early. The Centers for Disease Control and Prevention (CDC) estimates that 11 percent of new cases of breast cancer occur in women 45 and under. Even women in their twenties can develop breast cancer, though the odds are relatively low (about one in 1,500, according to the American Cancer Society).

Are you at risk? Treating breast cancer at a Reduce your risk Certain factors increase the likelihood young age Talk to your doctor if you’re young of a breast cancer diagnosis before Younger women with breast and concerned about a heightened age 45. cancer tend to develop more risk of breast cancer. Your doctor may – Family history of breast or ovarian aggressive types, such as triple- recommend seeing a genetic counselor to learn more about screening for breast cancer before 45 in first-degree negative and HER-2 positive. The relatives (mother, sister). good news is that certain targeted cancer gene mutations. In some cases, treatments, including oral a doctor may advise starting yearly – Genetics. Mutations in the breast- chemotherapies, kinase inhibitors mammograms earlier, or hormonal cancer genes BRCA1 and/or BRCA2. and immunotherapies, have birth control or hormone replacement – Heritage, including women of proven to be effective at fighting therapy. Ashkenazi Jewish descent. these cancers. You can lower breast cancer risk by: – Radiation exposure in childhood or – Maintaining a healthy weight adolescence. – Staying physically active – Limiting alcohol to no more than one drink per day – Breastfeeding your babies, if possible For a free assessment of your personal risk for breast cancer, go to hra.northwell.edu/breast. 100 E 77th Street New York, NY 10075 Nonprofit Org. (212) 434-2000 U.S. Postage www.northwell.edu NonprofitPAID Org. Look North U.S. Postage Pewaukee, WI Michael Dowling Barbara Osborn PermitPAID No. 1753 President and CEO, VP, Public Relations, Pewaukee, WI Northwell Health Northwell Health Permit No. 1753 Jill Kalman Margarita Oksenkrug Executive Director, Director, Media Relations, Lenox Hill Hospital Manhattan Joseph Manopella Brian Donnelly Deputy Executive Director, Project Manager, Public Manhattan Eye, Ear and Relations, Lenox Hill Hospital Throat Hospital Maya Devereaux Terry Lynam Coordinator, Public Relations, Senior VP, Chief Public Lenox Hill Hospital Relations Officer, Northwell Health Look North is published by the Public Relations Department of Lenox Hill Hospital (212) 434-2000. The information within this publication is intended to educate readers about subjects pertinent to their health and is not meant to be a substitute for consultation with a personal physician. Produced by Onward Publishing, Inc. Port Jefferson, NY Northwell Health Hospitals: Cohen Children’s Medical Center • Glen Cove Hospital11777. (631) • Huntington 757-8300. Hospital Printed in • theLenox USA. Hill Hospital • Long Island Jewish (LIJ) Forest Hills • LIJ Medical Center • LIJ Valley Stream • Mather Hospital • North Shore University Hospital • Northern Westchester Hospital • Peconic Bay Medical Center Northwell• Phelps Health Hospital Hospitals: • Plainview Cohen Hospital Children’s • South Medical Oaks HospitalCenter • •Glen Southside Cove HospitalHospital • StatenHuntington Island Hospital University • Lenox Hospital Hill • Hospital Syosset Hospital• Long Island • Zucker Jewish Hillside (LIJ) Hospital Forest Hills • LIJAffi Medical liates: Boca Center Raton • LIJ Regional Valley Hospital Stream •• MatherCrouse Hospital Hospital • Maimonides • North Shore Medical University Center Hospital • Nassau • University Northern Medical Westchester Center Hospital • Western • Connecticut Peconic Bay Health Medical Network Center • Phelps Hospital • Plainview Hospital • South Oaks Hospital • Southside Hospital • Staten Island University Hospital • Syosset Hospital • Zucker Hillside Hospital Affi liates: Boca Raton Regional Hospital • Crouse Hospital • Maimonides Medical Center • Nassau University Medical Center • Western Connecticut Health Network CareCare wherewhere you you are are

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