LookA community and wellness publication North from Huntington Hospital

A legacy lives on PAGE 7

Brand new maternity center now open at Huntington Hospital PAGE 6

Home is where the heart patient is PAGE 14

Volume 1, 2019 HUNTINGTON HOSPITAL

Officers of the Board Message from the executive director L. Keith Friedlander CHAIRMAN Michael Aboff VICE CHAIRMAN Thomas Lederer It has been a read about in this edition of Look North. I am SECRETARY/ VICE CHAIR great pleasure incredibly proud of all of our achievements Fred J. Buckholtz TREASURER serving as during my tenure. Clifford Friedman Huntington Seeing the level of dedication, determination ASST. TREASURER Hospital’s and innovation that emanates from our staff Nick Fitterman, MD, MACP, SFHM EXECUTIVE DIRECTOR executive has been so inspiring. I will take that with me William H. Frazier director for the as I head into my new role as chief revenue IMMEDIATE PAST CHAIRMAN last three and a officer of Northwell Health. Trustees half years. This is not a farewell. I’m still a Lloyd Harbor Michael Alesandro Carmela Anglim In that time, so resident who, along with my family, has Christopher J. Barber much has been received and will continue to receive care at Martha M. Carlstrom accomplished. Huntington Hospital when needed. Michael J. Dowling Noah S. Finkel, MD We rose to be I have truly appreciated this opportunity to among the top hospitals in New York State, *Anthony T. Giaccone serve my community members alongside Christopher Giamo according to U.S. News & World Report, for the an award-winning staff. I look forward to Michael B. Grosso, MD last three years. We achieved a Long Island seeing future wonderful accomplishments at Katherine Heaviside record fourth Magnet designation, which is Huntington Hospital. John C. Kean the gold standard in nursing. We doubled the Richard Kleinknecht size of our Emergency Department, which Shirley Levitt Sincerely, James J. Loughlin, Jr. opened at the beginning of 2017, and we Gerard Brogan, Jr., MD Patricia C. Marcin, Esq. have opened a new Center for Mothers and Brian McNally Babies with all private rooms that you will Lewis C. Meltzer, Esq. Robert N. Munao Richard Murcott Edward Murphy Xavier Palacios Message from the chairman of the board Patricia Petersen Carol Pustay John R. Riconda It has been an cycle. Dr. Brogan has left his mark of medical James N. Romanelli, MD exciting year and fiscal excellence on Huntington. Under his Bernard M. Rosof, MD for Huntington leadership, U.S. News & World Report named Richard Rouse Joseph Saladino Hospital, and us top community hospital in New York State. Lois Schlissel, Esq. we close it by We continued our unbroken string of Magnet Musarat Shareeff, MD welcoming Awards in nursing, opened a new Emergency Rachel Spencer back a friend Department, and most recently opened our Dolores R. Thompson and lifetime new Center for Mothers and Babies. You Ted D. Weiss Lilly Welch Huntington can read more about this new center, which Richard Zogheb resident, Nick provides luxurious private rooms for all our Honorary Trustees Fitterman, new moms, in this edition of Look North. Louis C. Bernst, Esq. MD, as our I want to thank board member Patricia Richard L. Bove J. Ronald Gaudreault new executive Petersen of Daniel Gale Sotheby’s director. *Joseph G. Gavin, Jr. International Realty, Stan Gale of Gale Rosalyn C. Gordon Dr. Fitterman founded the hospitalist program International and Charles and Helen Reichert Gordon S. Hargraves at Huntington and most recently was the vice for their generous donations and for naming Donald R. Head chair of internal medicine at Northwell Health. the nursery and main nursing station, *Irving Klein Eugene Levitt, Esq. Many in our community already know him as respectively. Our hospital is great because of Harry F. Mariani a dedicated physician. I extend my warmest the ongoing support of people like Pat, Stan *John McCusker welcome as he assumes this important role. and the Reicherts. C. Richard McDaniel Robert Myers I also wish a fond farewell to Dr. Gerry Brogan, Yours in health, Charles E. Murcott who is becoming a senior vice president at Virginia Partrick L. Keith Friedlander, Esq. Northwell in charge of managing revenue Joseph M. Vitale, Esq. Board Chairman * past chairman of the board deceased 2 Look North | Volume 1, 2019 HUNTINGTON HOSPITAL

Huntington Hospital support groups

Bereavement Support Group Ostomy Support Group Sisters of Greater For adults grieving the For patients and/or family members Long Island death of a loved one. who wish to learn about pouching For African-American Please call for specific dates. care tips, hear from guest speakers breast cancer survivors. Location: Women’s and more. Meets on the Meets on the fourth Monday Health Center fourth Thursday of the month, of the month, 7pm. Contact: Jamie Travers, LMSW 2pm – 3pm Location: Huntington Hospital (631) 351-2013 Location: Gillies Conference Room 3 Gillies Conference Room 1 Bereavement and Contact: Nicole Probst, MS, RN Contact: Cynthia, (631) 549-4482; Support Group for (631) 351-2656 Orrie, (631) 842-3971; Fetal and Infant Loss Breast Cancer Sue (631) 872-5737 The group’s goal is to be an Support Group I WomenHeart educational and supportive For women who are newly For women with heart disease who session that will provide family diagnosed with breast cancer, have had a heart attack, have another with information on community up to one year post-diagnosis. cardiac condition or are at risk for resources, relaxation techniques Meets on the second and fourth heart disease. and advocacy events. Thursday of the month, Contact: Peggy Sanesky Meets at 7pm. Please call for dates. 5:30pm – 7pm. (631) 271-3766 Location: 36 Acre View Drive, Location: Don Monti Cancer Huntington Center – 1 North Contact: Kasey Farber, LMSW Contact: Joyce Davis, RN (631) 796-5636 or (631) 547-6385 [email protected] Breast Cancer Support Group II Grupo de Apoyo de For women who are more Mujeres Latinas con than one year post-diagnosis. Cancer en los Senos Meets on the third Thursday Ultimo Viernes de casa mes, of the month, 7pm – 9pm 7pm – 9pm. Location: Administration Dónde: Brentwood Conference Room 2 Senior Citizen Center, Contact: Toni Lico 16 Segunda Avenida, Brentwood (631) 757-4581 Contacto: Maria Gonzales (631) 951-6908

Stay connected with us!

Northwell.edu 3 HUNTINGTON HOSPITAL

Is your body ready for winter? Ride out cold temps with stay-healthy tips

4 Look North | Volume 4, 2018 HUNTINGTON HOSPITAL

It’s wise to winterize your continue to experience numbness, pain, home and car to withstand blisters or changes in skin color, go to an emergency department. low temps, chill winds, snow Practice safe shoveling Shoveling snow poses risks beyond and ice. But what about a sore back. There is a signi„ cant connection between heavy snowfall winterizing your body? A and the incidence of heart attacks, according to a recent study published in the Canadian Medical Association few smart prep tips can help Journal. So respect your limits, take your time and don’t be shy about you stay safe and healthy. asking family and friends for help. Some communities off er assistance with snow removal to seniors. Senior residents of New York City can call 311 to make a request. If you live outside of New York, check with your local public Protect against colds — and Dress to prevent frostbite when works department or faith community extreme cold you’re outside. Layer your clothing, to see if there is assistance available cover your head, ears and hands and near you. Most adults get the common cold two top everything off with a waterproof or three times during each cold season Winterizing tips: Before you hit the outer layer. (roughly September to April), according pavement, „ rst do some simple to the U.S. Centers for Disease Control Signs of frostbite include itching, stretching indoors for about 10 and Prevention (CDC). Children succumb stinging or hardening of skin that’s minutes. Avoid eating a big meal or even more often, and frequently exposed to cold air, or even skin turning drinking alcohol, advises the American “share” their germs with the grownups blue. If you experience symptoms, Heart Association (AHA). To protect around them. move to a warm place indoors as soon your back, lift with your legs and don’t as possible. In the meantime, warm twist at the waist. Frostbite certainly isn’t contagious, but up with body heat if possible — such it can cause a lasting injury when it The AHA advises against snow as putting frostbitten „ ngers in your goes unchecked. It most often aff ects shoveling if you have a heart condition armpits. the nose, ears, cheeks, chin, „ ngers or chronic pain or are pregnant. Don’t use hot water to warm up, or toes. Shield your skin because it could damage numb skin. In Winterizing tips: Limit the spread of fact, the CDC notes that you can injure Cold weather and indoor heating cause rhinovirus, the cause of the common yourself with old-school “remedies.” So or worsen skin dryness. They can also cold, by washing your hands often. don’t rub or massage a frostbitten area exacerbate conditions such as eczema Avoid touching your eyes, nose and with snow or anything else. Don’t use or psoriasis. mouth, and steer clear of people with a heating pad directly on the skin, and colds. Boost your immune system by Winterizing tips: Use a moisturizing don’t get right up close to a heat lamp, getting at least eight hours of sleep cream or lotion plus a gentle, a stove, „ replace or radiator. If you each night, eating immune-boosting moisturizing cleanser. foods like dark leafy greens, cutting down on sugar and processed foods, We’ll help you stay healthy. Find a primary care physician with reducing stress and exercising regularly. Northwell Health Physician Partners. Visit bit.ly/my-pcp.

Northwell.edu 5 HUNTINGTON HOSPITAL

would want to have if we were to have Brand new maternity children again while planning for this expanded unit,” said Jennifer Baierlein, MSN, RNC-OB, director of patient care center now open at services and the Center for Mothers and Babies at Huntington Hospital. Huntington Hospital “The private, spacious accommodations and ability to have your baby stay The best obstetrical care, in your backyard with you make the experience all the more special. We’re honored that so many people have chosen to have their Expectant mothers and their families comfortable sleeper sofas for support children at our hospital over the years experience a wide range of emotions persons and many personal amenities and look forward to continuing to from the moment those faint lines to fulfill your stay. The design of our welcome our newest neighbors.” appear on a pregnancy test: excitement, private rooms promotes the family apprehension and concern for the bonding process through couplet care. To commemorate the momentous unborn baby. New parents can rest easy Also referred to as baby “rooming occasion, mothers and their significant knowing that they will receive top- in” with the mother during her stay, others are treated to a delicious surf notch care from Huntington Hospital’s couplet care has many proven benefits and turf dinner. These amenities are new Center for Mothers and Babies. to the family including successful in addition to the high-quality care breastfeeding, improved bonding provided by our physicians, midwives, The new center is aiding the hospital and understanding of newborn cues. a bilingual lactation consultant and the in continuing to provide world-class, These private rooms surround our entire interdisciplinary healthcare team comprehensive care to growing families nursery, which is located at the core of at the hospital. in our community. The hospital is our center. committed to navigating and supporting . families by delivering excellent patient- The neonatal intensive care unit is also and family-centered care in our expanded incorporated into our center, allowing For more information state-of-the-art Center for Mothers and easier access for mothers to their about Huntington’s Babies. This spacious and comfortable newborns. Our NICU provides specialty new maternity center, setting has been created to nurture care by experienced neonatologists and families as they begin their journey. neonatal nurses. call (631) 351-2356. The Center for Mothers and Babies at “We consulted with our mother/baby Huntington Hospital features 19 private team members and our patients to rooms with full en suite bathrooms, envision the kind of experience we

6 Look North | Volume 1, 2019 HUNTINGTON HOSPITAL

the center that fosters better bonding as A legacy lives on well as successful breastfeeding. Nick Fitterman, MD, executive Family marks its fourth generation director of Huntington Hospital, noted, “Between the cutting-edge born at Huntington Hospital care we provide, the highly skilled physicians and our four-time Magnet For the Capra family, Huntington Ms. Capra even elected to switch designation-winning nurses, there Hospital is more than a birthplace – it’s obstetricians when she became are many reasons for families to a birth rite. pregnant the third time to ensure that choose to deliver their children at Starting with Jean Mortensen in May Kylie would be a Huntington Hospital Huntington Hospital.” baby. That brought her to Mitchell 1921 and Robert Capra in December Huntington Hospital marked its 100th Kramer, MD, chair of obstetrics and of the same year, a female relative anniversary of caring for the community gynecology at the hospital. from the Mortensen family and a male in 2016. ancestor from the Capra clan have been “I’ve worked at Huntington Hospital for born at Huntington Hospital for the 29 years, so it has been very special to past four generations. care for multiple members of a family See the Capras discuss Kylie Rose Capra continued the family and to be part of a legacy such as the their experience at the Capras’,” Dr. Kramer said. tradition when she was welcomed into Center for Mothers the world at Huntington Hospital on The eldest Mortensen and Capra family August 6, to proud parents Elizabeth members were delivered in the hospital’s and Babies by visiting Capra and Robert Capra III. original brick building, near the front bit.ly/hh-tradition. “I’m a sentimental person, and it’s so entrance. The hospital has come a long special to have a nurse who went to way since then. Its expanded maternity high school with you help with your center provides mothers with spacious, delivery and be part of this momentous private rooms with en suite bathrooms. occasion,” said Ms. Capra, who was born Couplet care, or having the baby “room at the hospital in 1982. in” with the mother, is also a mainstay at

Northwell.edu 7 HUNTINGTON HOSPITAL

News from the Dolan Family Health Center Redesignated a Patient-Centered New ultrasound machine thanks Medical Home to DANYS grant

Under the latest guidelines, the National Committee for Doctors at the Dolan Family Health Center no longer have Quality Assurance has redesignated the Dolan Family to send patients to another facility to receive sonograms. Health Center a Patient-Centered Medical Home. Thanks to an $857,000 grant from Doctors Across New York Patient-centered medical homes foster relationships State (DANYS), the Dolan Family Health Center has purchased between medical practitioners and patients in a more a point-of-care ultrasound (POCUS). comprehensive and cohesive way than can be achieved With the new machine, patients have the benefit of through individual healthcare appointments. Patients receiving diagnostic testing onsite. The ultrasound’s are overseen by a clinician-led team that helps patients capabilities are vast; it can be used for diagnostic coordinate their care throughout the healthcare system. sonograms of the heart, liver, gallbladder, pancreas, The Dolan Center is the first of Northwell Health’s nearly kidneys, uterus, ovaries, bladder, thyroid, testicles, spleen 700 ambulatory facilities to receive the designation under and blood vessels in both adults and children. the new standards. First-year medical students at the Donald and Barbara Zucker “This is a significant recognition that demonstrates School of Medicine at Hofstra/Northwell and residents from the Dolan Family Health Center’s commitment to Plainview and Glen Cove hospitals are being trained on how putting the patient at the center of everything that to use the ultrasound. we do,” said Joseph Volavka, PT, senior administrative “We are glad to have the opportunity to bring new director of the Dolan Family Health Center. “I appreciate technology into the Dolan Family Health Center to better our staff’s hard work and dedication that made this re- serve our community,” said William Gehrhardt, MD, medical designation possible.” director. “We are very appreciative of this grant, which will also help us teach our residents another useful skill. It reflects our commitment to remaining on the forefront of all The Dolan Family Health Center evolving medical technologies.” provides a wide array of primary healthcare services for children and The Dolan Family Health Center has adults while delivering high-quality been accredited by The Joint Commission health care to the underinsured and is a National Committee for Quality and uninsured. Assurance Level III Patient-Centered Medical Home, which is the highest national award given for excellence in primary care practice. For more information about the Dolan Family Health Center, call (631) 425-5250.

8 Look North | Volume 1, 2019 HUNTINGTON HOSPITAL

The ‘key’ to a safe hospital? It’s in the entrance New safety measures are being taken at Huntington Hospital

As part of Huntington Hospital’s same badge-scanning process as at the Huntington Hospital installed its ongoing security enhancement, the main entrance. visitor management identification hospital’s leadership has directed the At each of the three entrances will be system at the end of 2016; it creates installation of new security measures at a badge scanner; there the barcode temporary badges, which include the hospital’s guest entrances. All guests on the temporary ID that each guest guests’ photos. The hospital also and employees will require a badge to receives upon entering the hospital periodically conducts drills with its gain access at the main, Emergency will activate the turnstile or doors, staff and community emergency Department, and Center for Mothers and allowing the visitor to enter. In the management agencies to make Babies entrances. near future the hospital plans to test sure these groups are as prepared Arriving guests will notice the new the utilization of metal detectors at as possible to manage any type of acrylic turnstiles at the main entrance each of the entrances as a means to emergency scenario that of the hospital. All guests and prevent dangerous items from entering may occur. employees will need to scan their the building. badges to gain access through the “To date, there have not been turnstiles. Guests receive their badges any significant security issues at For more information from the main entrance information Huntington Hospital,” said Randy about Huntington desk when they first arrive at the Howard, vice president of operations hospital. Employees will use their at the hospital. “To help ensure that Hospital’s security, regular work badges to gain access. remains the case, we are taking contact Patrick Ilnitzki, At the Emergency Department and additional security precautions director of security, at Center for Mothers and Babies that will continue to provide a safe entrances, the existing doors will remain environment for our patients, guests (631) 351-2523. in place but will be opened through the and staff.”

Northwell.edu 9 HUNTINGTON HOSPITAL Fighting fatigue Sometimes tiredness isn’t from too little sleep. Here are some surprising causes of fatigue — and how to get more energy Are you SAD? If you feel noticeably more If you find yourself always tired, dragging in the middle of the day, fatigued as winter edges closer, looking for a caffeine boost at 2pm, it may be cause for concern. the culprit may be seasonal affective disorder (SAD). SAD is a It’s normal to be tired after a late night, but always feeling tired is form of depression that’s related not. Rather than making another coffee run, consider these possible to months of weaker sunlight and causes of fatigue. shorter, colder days. SAD can cause fatigue as well Undiagnosed illness. A discussion with reduce mental clarity and cause fatigue, as depressed feelings, loss of your doctor may uncover symptoms of which may be related to reduced blood interest in activities and difficulty fatigue-triggering physical conditions volume. Men should drink about 15 concentrating. You may find such as sleep apnea, thyroid disease or cups and women 11 cups of water (or yourself oversleeping and gaining diabetes. Exhaustion can also be a sign other no-calorie/low-calorie fluid) per weight. of depression, so talk with your primary day, according to Harvard’s T. H. Chan If this sounds like you, visit care physician about a depression School of Public Health. Fresh fruits your doctor. Treatment can screening. and vegetables are also a good way include sitting in front of a to hydrate. A sedentary lifestyle. Too much rest special lamp, which is believed results in deconditioning. That means The snack cycle. Tired bodies crave to boost serotonin levels in the your muscles become weaker and your carbs that promise quick energy. But brain, improving mood. Some metabolism becomes less effective, so processed/packaged snacks are likely to doctors recommend vitamin your body is not as efficient at getting cause a crash when your body quickly D supplements and others oxygen to your tissues. Recent studies processes the sugar and your glucose prescribe antidepressants to have shown a positive influence from levels dip. If you’re the snacking type, relieve symptoms of SAD. exercise therapy for people with chronic pack small, nutritious snacks — raw You can help relieve symptoms of fatigue. A daily brisk walk at lunch can carrots, almonds, low-fat cheese — that SAD by exercising for at least 30 make a big difference. Roughly 20 to can feed the urge and prevent a trip to minutes, three days a week, and 30 minutes of moderate activity a day the vending machine. going outside for short periods can help curb insomnia, boost feel- Doing too much. A packed calendar can when the sun is shining. good endorphins and improve cognitive poop you out, even when it’s peppered function. with fun stuff. Take time to reset Dehydration. If you’re draggy and with proven relaxers such as reading, Sleep more soundly meditating, deep breathing and yoga. foggy, thirst may be to blame. Studies Visit bit.ly/sleep-doc to find a show that even mild dehydration can Northwell Health sleep specialist.

10 Look North | Volume 1, 2019 HUNTINGTON HOSPITAL Fast forward Can regular fasting really be good for you?

People have fasted for millennia, but intermittent fasting gives the practice a new spin

Unlike traditional fasts — not eating for extended and other calorie-free beverages to help reduce periods — intermittent fasting (IF) limits food hunger levels. The American Journal of Clinical intake within shorter blocks of time. Nutrition published data suggesting that increased water consumption helped people According to a 2015 review of 40 clinical trials lose weight. published in The Journal of Molecular and Cellular Endocrinology, some individuals have found IF More studies need to be completed to determine effective for weight loss. IF increases the body’s IF’s effectiveness in the long term. One ongoing response to insulin, a hormone that regulates clinical trial is studying how IF calorie restriction blood sugar, according to a recent study published affects insulin-resistant women between 55 in Cell Metabolism. A pilot study in The Journal of and 70 years old. Furthermore, researchers at Immunology indicated that intermittent fasting Intermountain Medical Center in Utah have can alleviate mild asthma symptoms in adults. been studying how IF may reduce the risk of developing Type 2 diabetes and heart disease, IF works with healthy eating plans and is and help reduce cholesterol levels in people who adaptable to vegetarian, vegan or gluten-free are prediabetic. menus. Proponents like that flexibility. IF is not recommended for pregnant women, The safest format restricts all food intake to children, teens, seniors or those with a history of within a daily window of eight, six or four hours. eating disorders or Type 1 diabetes. Please check You don’t eat for the balance of the day, but with your doctor before starting intermittent can still drink calorie-free beverages. Other IF fasting or any other new eating plan. formats restrict calories severely for two or three nonconsecutive days. Though the early research is promising, we don’t recommend jumping into such a drastic change in diet without consulting a Find out if intermittent fasting is right for registered dietitian, nutritionist or physician. you. Search for “registered dietitian” on Many intermittent fasters avoid refined carbs bit.ly/my-pcp. and alcohol. If you try IF, be sure to drink water

Northwell.edu 11 HUNTINGTON HOSPITAL Good to the

boneYou can slow down — and even reverse — bone loss as time passes

Bones are your hardest body part, Factors that increase your risk of but over your lifetime they’re osteopenia or osteoporosis: continually breaking down and – Menopause rebuilding themselves. – Family history of osteoporosis – Small stature and thin frame Loss of bone density may accelerate as time passes, but you can take steps in your 30s, 40s, 50s and beyond to – Caucasian or Asian ethnicity help fortify skeletal strength and prevent the worst – Smoking eff ects of bone loss. – Overactive thyroid It helps to think of bone loss and rebuilding as a – Excessive alcohol consumption cycle. In youth, you build bone mass faster than you break it down. Bone loss occurs when bone-building – Lack of exercise, especially mode is slower than break-down mode. This may lead strength training to osteopenia or osteoporosis — low bone density – Low calcium and vitamin D intake and bone weakness. Both conditions increase your risk of falls and fractures. According to the National – Certain medications such as Osteoporosis Foundation, one in two women and up to steroids and antacids one in four men will break a bone in their lifetime due – Past cancer treatment such as to osteoporosis. chemotherapy or radiation Women’s bone mass peaks around age 30. Bone loss begins gradually after that and speeds up after menopause. Men typically achieve greater peak bone mass, but they lose bone mass over time, too.

12 Look North | Volume 1, 2019 HUNTINGTON HOSPITAL

Workouts that build bones Weight-bearing exercise, which is any activity that makes you work against gravity, builds and maintains bone density. Enjoy high-impact dancing, jogging, running or tennis. If you prefer low-impact workouts, try walking (outside or on a treadmill), hiking or elliptical or stair- climbing gym equipment. Resistance training with free weights, machines or a resistance band also builds bone, particularly in Dietary musts for strong bones your upper body and spine. You can prevent or reverse bone loss with a diet Performing at least 30 minutes of physical activity most days that’s rich in nutrients and minerals that are key to of the week is good not only for your bones, but also for your building and maintaining bone: calcium, vitamin D overall health. Be sure to consult a physician before starting any and phosphorous. exercise program. Calcium is constantly removed and replaced through a bone “remodeling” process, but it isn’t made by the Good health habits body. Good dietary sources of calcium include dark leafy greens such as collard greens and kale, dairy You can help reduce your risk for products including milk, cheese and yogurt and  sh, developing osteoporosis by eliminating especially sardines and salmon. In addition, many unhealthy habits, including smoking, foods are forti ed with additional calcium. Women which has been associated with bone over 50 and all adults over 70 should ingest 1,200 mg loss. In fact, studies have shown that a day of calcium. If choosing supplements to augment smoking increases the risk for fracture. your dietary calcium, the National Institutes of Health Similarly, chronic, heavy alcohol recommends 1,000 mg daily for most adults. intake may also increase the risk for developing osteoporosis. Consult your Vitamin D works with calcium to help build and physician for help in quitting smoking maintain strong bones. There is very little vitamin D in and reducing or eliminating your food, but some good natural sources are cod liver oil, alcohol intake. salmon and tuna, forti ed milk, egg yolks and liver. Vitamin D is known as the sunshine vitamin because our bodies can synthesize the vitamin with exposure to sunlight. It doesn’t take much — studies suggest Bone density that 30 minutes of midday sun exposure outside on testing your arms and face twice a week can maintain healthy More than 53 million vitamin D levels. While experts normally suggest people in the U.S. wearing sunblock in direct sun, it actually inhibits the are living with process. So use your judgment — enjoy the sunshine osteoporosis or are at in short bursts, and if you’re especially fair-skinned, high risk, according consider supplements. As with calcium, you can goose to the National your vitamin D intake with a supplement; the NIH Institutes of Health’s recommends 600 IU (international units) daily. Osteoporosis and Related Bone Diseases National Resource Phosphorus helps to maximize calcium’s ability to Center. Sometimes you don’t have symptoms until you strengthen bones. Find it in protein-rich foods such as break a bone. If you think you’re at risk, ask your doctor if tuna, tofu, milk, chicken, lentils, pumpkin seeds and you should have a bone densitometry test, which is a low- quinoa. Adults should get 700 mg of phosphorus daily, dose X-ray that measures the density of bone. This painless which is easy to accomplish with a balanced diet. scan takes 10 to 20 minutes to perform.

If you have questions about your bone health, we can help. Find a primary care physician with Northwell Health Physician Partners. Visit bit.ly/my-pcp.

Northwell.edu 13 HUNTINGTON HOSPITAL

Some tips for your daily weigh-in include: • Weighing yourself every morning • Using the same scale and standing in the center • Emptying your bladder before weighing yourself • Weighing yourself before eating and drinking • Wearing similar clothing for each weigh-in • Recording your weight daily to recognize changes that mean you should call your doctor

Home is where the heart patient is Thanks to a new program offering free scales, more heart failure patients are avoiding hospital readmission

Heart failure is a disease that, when “The goal of this new initiative is Patients with heart failure receive managed well, someone can live with twofold: to provide accurate daily a dietary consult while they are in for many years. Through a partnership weight while in the hospital, which is the hospital. If they are on multiple with Huntington Hospital’s quality and critical for medication management, medications or high-risk medications, cardiology departments as well as the and to empower patients and their they receive additional education from auxiliary, patients are getting education families to take an active role in their the hospital’s pharmacists. There is also and resources to help them better disease management post-discharge,” a heart failure nurse practitioner (NP) manage this chronic disease. Ms. Palmer-Powell said. “Providing who oversees and educates the heart Weight gain is one of the first signs heart failure patients and their families failure patients. that a heart failure patient’s condition with the tools they need to succeed “It takes a village to best discharge is worsening. That’s why the hospital, will ultimately help them manage their a patient, which is an idea that we through a $16,000 donation from the symptoms and live their lives.” are firmly embracing at Huntington auxiliary, is offering all heart failure In addition to providing the scales, the Hospital,” Ms. Palmer-Powell said. patients a free scale and calendar as hospital’s auxiliary will be following a gift to help them accurately track up with heart failure patients after their weight. they leave the hospital to ensure they “A gain of two to three pounds in are using their scales and providing To learn more about feedback to our clinical team. a day or five pounds in a week is the scales program an indication that patients need to “Often people with heart failure are or to schedule an call their cardiologist right away to readmitted to the hospital, which determine a plan of action,” said Jackie is not where they want to be,” Ms. appointment with Palmer-Powell, quality management Palmer-Powell said. “We believe that our Department of coordinator at Huntington Hospital. educating patients and their families Cardiology, call “Not only are we giving these patients and providing them with scales is one a scale but we’re showing them the of the primary interventions that can (631) 351-2798. best way to weigh themselves so they help them remain at home and enjoying can have reliable results. their daily activities.”

14 Look North | Volume 1, 2019 HUNTINGTON HOSPITAL

There’s no place like home for health care

All your medical needs cared for right in your backyard

William Gay, 82, of Cold Spring Harbor, Mr. Gay was nervous when he first “Before Dr. Bitterman performed the has had Huntington Hospital physicians heard he needed brain surgery, but he surgery on my ankle, I was taking care for him from his head to his toes – said Dr. Kerr was very calming. aspirin often and having pain overnight well, his ankle, to be precise. “Dr. Kerr is a wonderful man who after a walk in the Adirondacks,” In February 2017, Mr. Gay was is kind, sympathetic and very said Mr. Gay. “Now, I walk at least a diagnosed with hydrocephalus, or understanding,” Mr. Gay said. mile a day and when I go up to the a fluid buildup in his brain that Adirondacks, I walk on that rough ground. My pain is gone, and this was causing him to shuffle when And now, an ankle he walked. It had gotten to the point summer I was able to enjoy my time in that Mr. Gay was afraid he would lose replacement the Adirondacks much more.” his balance. Mr. Gay was having difficulty with Robert Kerr, MD, chief of neurosurgery his ankle. Though he was receiving To learn more about at Huntington Hospital, placed a shunt cortisone shots to relieve the pain, in Mr. Gay’s head to drain his spinal Mr. Gay began seeking out alternative the multitude of services fluid. The procedure involved drilling treatments. The idea of going into offered at Huntington a hole in the side of his head and Manhattan for an ankle replacement Hospital, call inserting a tube through his abdomen was daunting, so when Mr. Gay via a small incision. discovered that Adam Bitterman, DO, (631) 351-2000. “The scar is fading, and I don’t even an orthopedic surgeon at Huntington think about it,” Mr. Gay said of his Hospital, could perform this procedure neurosurgical procedure. “I didn’t have near Mr. Gay’s home, he felt much any pain after the operation.” more comfortable.

Northwell.edu 15 HUNTINGTON HOSPITAL

Healthy recipes for family gatherings You’ll feel good about serving these Hot spiced appealing yet nutritious dishes apple cider A festive scent, too You can enjoy yourself during the 3. Eat moderate portions. It’s easy holidays without putting on extra to lose track of the calories you’re Makes 8 servings. pounds. Watch your portions and consuming when you’re presented follow a few simple strategies with large platters of food. Be sure Per serving: 120 calories, 0 g total fat provided by the Academy of Nutrition to eat in moderation so you don’t (0 g saturated fat), 30 g carbohydrate, and Dietetics: blow your caloric budget. Try using a 0 g protein, 0 g fiber, 8 mg sodium. smaller plate. 1. Don’t skip meals. You may believe Ingredients that skipping a meal means you’ll 4. Set priorities. Get plenty of lower- – 8 cups fresh sweet apple cider take in fewer calories for the day. But calorie foods, like salad or vegetables, – 8 t grated fresh ginger it actually makes you hungrier and before you dive into the entree leads to overeating. It’s wiser to eat and sides. This can keep you from – 8 t grated fresh turmeric moderate portions at all your meals. binging on less healthy options at the – 1 medium lemon peel, pith (white dinner table. 2. Add fiber. Foods that are high in part of peel) included fiber are high in volume, yet lower in 5. Get moving. Work off some Directions calories. Fiber-rich foods like fruits, calories with an after-dinner walk In a small saucepan, combine cider, vegetables and whole grains can help or a game of catch with family ginger, turmeric and lemon peel. Over satisfy your hunger. and friends. medium-high heat, heat until a ring of 6. Serve healthy meals. If you’re bubbles appears around edge of pan, 3 cooking this year, opt for some minutes. nutritious recipes like those you Cover pan and set aside to steep for 5 see here. minutes. Pour hot spiced cider through fine tea strainer into mugs. Serve immediately. 16 Look North | Volume 1, 2019 HUNTINGTON HOSPITAL

Herb-roasted turkey breast with vegetables Serve up to 10 guests with this delicious alternative to a whole turkey

Makes 10 servings. Directions Per serving: 380 calories, 13 g total fat (3.5 g saturated fat), Preheat oven to 425 degrees F. Add oil, rosemary, sage, 19g carbohydrate, 43g protein, 5 g fiber, 390 mg sodium. oregano, garlic, salt and pepper to a small food processor (or Prep time: 20 minutes blender). Pulse until finely chopped. Cook time: 2 hours Gently pull skin back from turkey-breast halves. Rub half of the Ingredients oil-herb mixture all over turkey breasts, both under the skin and then on top. – 2 (2.5 lbs each) bone-in, – ½ t black pepper skin-on turkey breasts Arrange 6 shallot halves on each of two separate large, deep – 6 shallots peeled and baking pans. Set turkey breasts on top of shallots and add ½ (1 whole turkey breast halved length-wise split in half) cup chicken broth to each pan. Roast for 60 minutes. While the – 1 cup low-sodium chicken turkey is roasting, toss the sweet potatoes, Brussels sprouts – 2 T olive or canola oil broth and carrots with remaining oil-herb mixture in a large bowl. – 4 sprigs fresh rosemary or – 2 large sweet potatoes, Remove turkey from oven and transfer turkey and shallots to 1.5 t dried rosemary scrubbed and chopped cutting board. Carefully drain the broth (and save for gravy, – 3 sprigs fresh sage or 1 t into 1-inch cubes if desired). Spread the sweet potatoes, Brussels sprouts and carrots on baking pans in an even layer. Place turkey and dried sage – 1 ½ lbs Brussels sprouts, shallots on top of vegetables and roast until turkey registers – 5 sprigs fresh oregano or halved 165 degrees F on instant-read thermometer and vegetables 1 t dried oregano – 1 lb whole small carrots, are golden brown, about 60 to 75 minutes more (if skin or – 4 cloves garlic or 1 ½ T tops removed and sliced vegetables are starting to burn, lightly tent the turkey in foil). minced garlic in half length-wise Transfer turkey to clean cutting board and let rest at least 10 – 1 t salt minutes before slicing. Serve with roasted vegetables.

Beet, carrot and apple salad A colorful, easy, affordable starter

Makes 4 servings. Directions Per serving: 112 calories, 8 g total fat (<1g saturated fat), Place each hand in a plastic sandwich bag to avoid staining 11 g carbohydrate, 2 g protein, 2 g fiber, 330 mg sodium. your hands while you prep the beet. Peel beet using a swivel- Ingredients blade vegetable peeler. Using the coarse side of a box grater, shred the beet to ¾ cup. Save any remaining beet for another - 1 medium beet (or ¾ cup - 3 T chopped flat- use. Shred carrots and apple. Place shredded beets, carrots, preshredded beets) leaf parsley or dill or and apple in a mixing bowl and mix to combine. Add walnuts combination - 2 medium carrots (or ¾ cup and green herbs and set bowl aside. preshredded carrots) - 1 T fresh lemon juice For dressing, whisk lemon juice and salt in a small bowl until - 1 large Granny Smith - ½ t salt the salt dissolves. Add 3 to 4 grinds of pepper. Whisk in the olive oil. Pour the dressing over the salad and mix well. Serve apple, peeled - Freshly ground black the salad within one hour. - ¼ cup walnut halves, pepper, to taste chopped - 1 T extra virgin olive oil

Find more festive, healthy recipes with easy-to-find ingredients and simple directions at bit.ly/festive-flavor.

Northwell.edu 17 HUNTINGTON HOSPITAL

Meet the new executive director at Huntington Hospital A longtime Huntington resident returns to his roots

Nick Fitterman, MD, is the next executive director of Huntington Hospital. Dr. Fitterman began his career at Huntington Hospital in 1992 and was the founder of the hospitalist program before becoming vice chair of medicine at Northwell Health.

What excites you about coming back to as evidenced by our Long Island record While leaving private practice was Huntington Hospital? four-time Magnet award designation. bittersweet, as I gave up many of the relationships I developed with What are some of your strengths that There are a few things. First of all, patients, I knew that I was serving you bring to the executive director role? seeing all of the great innovations and a larger community through the progress that has been made in the My experience as an internist and hospitalist program. It is very last seven years is very inspiring. It’s a hospitalist gives me the perspective of rewarding seeing that program humbling privilege to lead this talented patient care both on the inpatient and the flourish now under Dr. Anthony staff to provide the residents of our outpatient side. Intintoli’s leadership. comminity with world-class health care. As past president of the largest chapter What do you like to do in your Secondly, I have been a resident of of the largest medical specialty society free time? Northport for the last 27 years. So from in the world (the American College of I enjoy spending time with my starting my medical career here to Physicians), I gained insights into the wife, Jennifer, and nine-year-old being a resident of the area myself, it is changing landscape of health care as well daughter Abbey. wonderful to be back in my community. as advocacy experience. What are some of your goals for Finally, the training and experience the hospital? working with Northwell Health leadership To continue the excellent patient care – some of the finest in the world – helps For more information to prepare me for the challenges that this and service it has been providing to about Huntington Suffolk County residents. Huntington position holds. Hospital is among the top hospitals in What was it like for you to develop Hospital, call New York State according to U.S. News & Huntington Hospital’s hospitalist 631-351-2000. World Report for the last three years. We program? also have the best nurses on Long Island

18 Look North | Volume 1, 2019 HUNTINGTON HOSPITAL

arthroscopic procedures on damaged knees and other joints; perform joint replacement surgeries; provide fracture and arthritis care; and take care of bumps and bruises in elite athletes, weekend warriors and both school-age and elder athletes. Do you play sports? Yes. I played football, basketball, lacrosse and travel soccer in high school. I also played lacrosse in college and professionally for the Long Island Lizards (now called the New York Lizards). I’ve had both ACL (anterior cruciate ligament, which helps to stabilize the knee joint) and elbow surgery, so I know what patients are looking for in their surgical and sports medicine care. How has your experience as an athlete affected the way you treat patients? As a former athlete with my fair share of injuries, I think I have a unique perspective on the doctor-patient interaction. I have sat on the other side with injuries needing surgery. I have spent countless A former athlete and hours rehabilitating post-operatively and I have been able to return to sports after orthopedic surgeon joins surgery. I know the athletes’ or patients’ perspective on their injury and their road to return to play or a job. his newest team at What do you look forward to in your new role? Huntington Hospital I look forward to working with both young and elder athletes. In addition to A doctor who can relate to the helping people stay physically fit, I’m interested in overall mental well-being patient experience and sports performance, so I want to share this knowledge with patients. Robert Trasolini, DO, is a residency program close to home. I I also want to become involved in talented athlete and prior completed my fellowship training in recreational athletics, whether through sports injury patient. Now an sports medicine in Boston, but with basketball, football or lacrosse, in the my wife working in New York City and local community. orthopedic surgeon and sports family still on Long Island, it made medicine specialist, Dr. Trasolini sense to come back here. I applied offers a unique perspective on for an orthopedic surgery position at For more information patient care. Huntington Hospital and started in September. I’m excited to be part of the about Huntington What brought you to Huntington Northwell Health system. Hospital’s orthopedic Hospital? What services do you provide surgery and sports I grew up on Long Island, in New Huntington Hospital patients? medicine services, please Hyde Park, went to medical school in With my fellowship training, I call (631) 351-2700. New York City and was accepted to a bring sports medicine expertise to Northwell Health orthopedic surgery both adults and children. I perform

Northwell.edu 19 270 Park Avenue Huntington, NY 11743 Nonprofit Org. U.S. Postage (631) 351-2000 Look North PAID www.northwell.edu Pewaukee, WI Michael Dowling Maria Conforti Permit No. 1753 President and CEO, Director, Editorial Northwell Health Services and Executive Communications, Nick Fitterman, MD Northwell PR Executive Director, Huntington Hospital Alexandra Zendrian Regional Public Relations Terry Lynam Director and Editor Senior VP and Chief Public Relations Officer

Look North is published by the Public Relations Department of Huntington Hospital (516) 321-6701. 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 11777. (631) 757-8300. Printed in the USA.

Northwell Health Hospitals: Cohen Children’s Medical Center • Glen Cove Hospital • Huntington Hospital • Lenox 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 • Phelps Hospital • Plainview Hospital • South Oaks Hospital • Southside Hospital • Staten Island University Hospital • Syosset Hospital • Zucker Hillside Hospital Affiliates: Boca Raton Regional Hospital • Crouse Hospital • Maimonides Medical Center • Nassau University Medical Center • Western Connecticut Health Network

Step up to prevent substance misuse

If you know someone who has a eating patterns, withdrawal from family are affected by his or her unhealthy substance misuse problem, you can make and friends and a sudden lack of care choices. a difference with the right tools and about personal hygiene. 4. Provide suggestions for getting help. information. Emotional signs 5. If your loved one resists treatment or is First, it’s important to understand that Substance misuse and addiction can affect not ready to admit to a problem, it isn’t having a drug or alcohol problem is mood and personality. Look for unusual your fault. You may want to consider not a failure of willpower or a sign of mood swings, dramatic outbursts, joining a support group for families of personal weakness. Rather, it’s a chronic irritability, fatigue, nervousness, anger, people with substance use issues. Find and complex condition that affects brain sadness or a lack of motivation. out more at Al-Anon Family Groups function and makes it harder to quit and (al-anon.org) or Nar-Anon Family to “stay quit.” If a loved one has a substance use problem Groups (nar-anon.org/naranon). Here’s how you can spot danger signs 1. If you see some of these signs and are and learn to intervene promptly and concerned, confide in a trusted family empathetically. member or friend. We ask everyone Physical signs Northwell Health clinicians screen all 2. If they agree there’s a problem, contact patients for potential risk of substance Watch for bloodshot eyes, coordination a mental health expert or social misuse. If needed, we make referrals problems, large or small pupils, slurred worker, physician or substance abuse for treatment. Called SBIRT (Screening, speech and sudden, unexplained professional for guidance. Contact the Brief Intervention and Referral to weight changes. Substance Abuse and Mental Health Treatment), this initiative receives Behavioral signs Services Administration (SAMHSA) grant support from SAMHSA, the New People with substance misuse problems National Helpline at (800) 662-HELP. York State Office of Alcoholism and tend to have relationship issues and 3. With an expert’s guidance, calmly and Substance Abuse Services and the difficulties handling daily responsibilities. empathetically tell the person (when Center for Addiction and Substance Note changes in performance at work sober) how you and other loved ones Abuse. Learn more at samhsa.gov/sbirt. or school, abrupt changes in energy (too much or too little), shifts in sleeping and