Cayuga Medical Center and Schuyler Hospital Members of Cayuga Health System

SURGICAL SERVICES

FALL 2015 Cayuga Medical Center and Schuyler Hospital Members of Cayuga Health System

Our comprehensive Surgical Services specialties and Designated Centers Cayuga Health System offers a broad range of inpatient and outpatient surgery and specialized procedures. We do this so that you can stay close to home when you require special care. Having family and friends nearby for love and support is important to your recovery. When it comes to your surgery, Cayuga • Anesthesiology and Pain Medicine • Plastic Surgery Health System offers the most compre- • Facial Plastic Surgery • Podiatric Surgery hensive health-care team in the region. • General Surgery • Urologic Surgery From our board-certified and fellowship- • Neurosurgery • Vascular Surgery • Ob-Gyn • Weight-Loss Surgery trained surgeons to our state-of-the-art • Oncology Surgery The imaging services to our full-service labora- • Ophthalmologic Surgery Designated Centers • Oral and Maxillofacial Surgery tory, and board-certified physical therapists, • Cayuga Endoscopy Center • Orthopedic Surgery Surgery • Cayuga Heart Institute we are dedicated to helping you heal. • Otolaryngology and Head and Neck Surgery Convenient locations Issue We are clinically linked to some of the finest We perform all inpatient surgery at Cayuga Medical Center. Same-day surgery and outpatient procedures tertiary-care centers in the country, including take place at three locations: Cayuga Medical Center’s Same-Day Surgery Center and Surgicare in Roswell Park Cancer Institute, the Sands- Ithaca, and Schuyler Hospital in Montour Falls. Endoscopic procedures take place at the new Cayuga Endoscopy Center in Ithaca and also at Cayuga Medical Center and at Schuyler Hospital. Constellation Heart Institute at Rochester General Hospital (a Cleveland Clinic Heart Our surgical teams perform thousands of procedures a year and help our patients through recovery. We understand, however, that for most of our patients surgery is an unfamiliar experience. If at any time Surgery Center), the University of Rochester during your stay you have questions, please ask us. You are the reason we’re here. Medical Center, Mayo Medical Laboratories, and Weill Cornell Medical College.

Senior Leadership Team Cayuga Health System John B. Rudd, President and CEO Andrew Manzer, Vice President CONTENTS John Collett, Chief Financial Officer 2 Cayuga Health System Ushers in a Senior Leadership Team Cayuga Medical Center New Era of Surgical Care

John B. Rudd, President and CEO 5 Step into the Future of Surgical Care John Collett, Vice President and Chief Financial Officer The new surgical suite is fully operational at Lloyd A. Darlow, MD, Vice President, Cayuga Medical Center. Clinical Integration Ellen Dugan, Vice President, Service Lines 8 Losing to Win David Evelyn, MD, Vice President, PAGE Medical Affairs Bariatric surgery patient Shelley Love lost 131 pounds 8 Deb Raupers, RN, Vice President, and cherishes her new life. Patient Services Alan Pedersen, Vice President, 10 A Very Hip Grandmother Human Resources Hip surgery helps Barbara Dubow play again. John W. Turner, Vice President, Public Relations Tony Votaw, Vice President 12 Schuyler Hospital: Surgical Care Transformed Executive Team Big capabilities and seamless flow in a small hospital. Schuyler Hospital Andrew Manzer, President 14 Two Hospitals Working Together Jann Cady, CNO/COO Merle Bedient: “I’m too young to have a heart attack!” Amy Castle, Chief Financial Officer, A new knee restores an active lifestyle for Tim Anderson. Vice President of Finance Michael Eisman, MD, Director, Medical Staff 18 Surgicare Outpatient surgery is easy and convenient.

Deborah Bailey, Executive Director, Surgeons Peter Schwartz, MD, and Rob Arleo, MD, Clinical Operations and Outcomes, weigh in on Surgicare. Compliance Officer 20 Seeing Life in a Positive Light Michelle Benjamin, Executive Director, Wesley Carr is horse trainer extraordinaire. PAGE 18 Schuyler Health Foundation and Community Relations 22 My Cayuga Health Bill Kouwe, Administrator, Seneca View Giving 24-hour access to your health information. Kim Nagle, Director, Human Resources Published by the Office of Public Relations 23 Raising the Bar in Laboratory Services Cayuga Medical Center and Quick identification of bacteria creates a new Schuyler Hospital standard of care. John W. Turner, Vice President, Public Relations Elizabeth Heath, Public Relations Specialist 24 Cayuga Medical Center’s Gala 2015 Carol Grassi, Graphic Designer Tanya Roberts, Administrative Assistant Michelle Benjamin, Executive Director, 26 Welcoming New Practitioners Schuyler Health Foundation and Community Relations 30 Updates Project Management: Terry Marcus Writing: Julia C. Bonney, Sherrie Negrea 32 House Calls: Walter Silbert, MD Principal Photography: Dede Hatch Design: Terry Marcus Design Early screening for lung cancer may extend your life.

Cayuga Health Magazine Cayuga Medical Center 101 Dates Drive PAGE 20 Ithaca, New York 14850 (607) 274-4011 www.cayugamed.org

PRINTED ON RECYCLED PAPER FALL 2015 / Cayuga Health 1 Cayuga Health System Ushers in a NEW ERA of SURGICAL CARE

2 FALL 2015 / Cayuga Health After nearly five years of planning, design, and construction, Cayuga Medical Center and Schuyler Hospital have opened new state- of-the-art operating suites that offer our patients the latest technology in surgical care. The completion of these multi-million-dollar projects means the hospitals now have larger operating rooms to accommodate the advanced technology that our surgeons, anesthesiologists, and nurses use. The operating suites are now flexible enough for the wide range of surgical procedures the hospitals offer to meet the needs of our growing community. At Cayuga Medical Center a focus on more complex types of surgery made the renovation project a critical goal for the hospital. “Over the past five to seven years, we’ve advanced the SURGICAL SERVICES types of surgeries we’re doing here. Our new operating rooms allow us to accommodate these complex procedures, while also giving us the ca- Cayuga Health System offers a broad range of inpatient pability for further expansion,” says John Rudd, and outpatient surgery and specialized procedures. We president and CEO of Cayuga Medical Center and do this so that you can stay close to home when you Cayuga Health System. Meanwhile, at Schuyler Hospital, nearly require special care. Having family and friends nearby for tripling the size of the surgical department and love and support is important to your recovery. adding a third procedure room created a more efficient and flexible space for the surgeons Surgical Specialties who practice at the hospital. “The way surgery • Anesthesiology and Pain Medicine is delivered has changed dramatically since the • Facial Plastic Surgery hospital was built in 1972,” says Deborah Bailey, • General Surgery BSN, RN, executive director of clinical opera- • Neurosurgery tions and outcomes at Schuyler Hospital. “So we really needed surgical suites that were updated • Ob-Gyn to accommodate that.” • Oncology Surgery Cayuga Health System’s third facility that • Ophthalmologic Surgery offers surgical services is Surgicare, an outpa- • Oral and Maxillofacial Surgery tient surgical center off Warren Road in Ithaca, • Orthopedic Surgery adjacent to the Convenient Care Center. Provid- ing a variety of procedures from orthopedic to • Otolaryngology and Head and Neck Surgery ophthalmologic surgery, the center is equipped • Plastic Surgery with the latest technology and is a convenient • Podiatric Surgery option for patients in Tompkins County. • Urologic Surgery Another major development in the services of- • Vascular Surgery fered by Cayuga Health System was the completion of the Cayuga Endoscopy Center, at the • Weight-Loss Surgery corner of North Triphammer and Craft Roads in Ithaca, in March 2015. The 8,700-square-foot fa- Designated Centers cility, which is the largest, most comprehensive • Cayuga Endoscopy Center endoscopy center in the area, is staffed by four • Cayuga Heart Institute gastroenterologists who provide the region with comprehensive management of diseases of the digestive tract and liver. With the completion of these facilities, Cayuga Health System now ranks among the top hospitals in central New York for surgical and diagnostic care. “Our surgical teams are performing surgery in the most modern operating rooms in the region,” Rudd says.

Clockwise: Cayuga Medical Center Surgicare Schuyler Hospital Cayuga Endoscopy Center

4 FALL 2015 / Cayuga Health A surgical team headed by orthopedic surgeon Dr. Joseph Mannino has a “time-out” before surgery commences. This is an important patient-safety checklist before every procedure.

Cayuga Medical Center: Step into the Future of Surgical Care

At 8:13 a.m. on a sultry July morning, Dr. John Mecenas enters Operating Room 3 at Cayuga Medical Center, where a team of three nurses, a surgical technician, and an anesthesiologist is waiting for him. On the table in the center of the room is a 29-year-old-male patient who will undergo a laparoscopic sleeve gastrectomy, a type of bariatric surgery that will remove 80 percent of his stomach to promote weight loss. After the surgical time-out—a required patient safety checklist to verify the patient’s name, date of birth, and surgical procedure—Mecenas asks for listening music and the surgery begins. Inserting a long telescopic rod into one of five small incisions made in the patient’s ab- domen, Mecenas watches the position of the instrument on a flat-screen, high-definition video monitor hanging from the ceiling. He maneuvers the clippers at the end of the scope to dissect most of the stomach from the surrounding tissue. Nearly an hour after he started, Mecenas seals the remaining sliver of the stomach with three layers of staples and then slowly removes the larger section through one of the incisions.

FALL 2015 / Cayuga Health 5 W elcome to the world of surgery at Cayuga Medical Center, where a combination of highly skilled physicians and the latest technology has allowed the hospital to offer more advanced surgical procedures that are saving lives and improving patient outcomes. Specialized techniques in neurosurgery, orthopedics, and general and bariatric surgery are now part of the daily schedule unfolding in the hospital’s surgical suites.

To accommodate these increasingly rolled into the room for each procedure. advanced procedures, the hospital rebuilt “The ceiling was a space that had been its nine operating rooms over the past three underutilized,” says Mecenas, who has years, increasing their size and equipping practiced surgery at the hospital since them with state-of-the-art surgical equip- 2002. “All of the monitors we used had to ment in a multi-million-dollar project. Staff be wheeled in on carts. It wasn’t always continued to perform surgeries while the convenient because we had much smaller new rooms took shape on the hospital’s rooms, so we had to move the equipment Although up-to-date technology is third floor. in and out to get the patient in. Now it’s so needed for advanced procedures, even “This has been the longest and most much easier.” more critical is qualified staff performing difficult project we’ve done in the 20 years Another new addition in the operating the surgery. Over the past five years Cayuga I’ve been here—and probably since this room is the computerized pharmacy dis- Medical Center has successfully recruited hospital was built in 1979,” says John Rudd, pensing units. While there used to be a a number of specialized surgeons and president and CEO of Cayuga Medical central dispensing unit for the entire surgi- nurses who were attracted to the hospital, Center and Cayuga Health System. “The cal department, there is now one in each in part, because of the hospital’s renovation challenge of doing a total renovation of our operating room. “That means we have of its surgery department. Additions to operating rooms and post-anesthesia care immediate access to all of the medications the staff include specialists in neurosurgery, unit while continuing to perform surgeries that we would need in each case,” says general and bariatric surgery, ob-gyn, and of the complexity we do here was a major Dr. Anthony Sanito, an anesthesiologist and orthopedics. undertaking.” the medical director of surgical services. “Our new operating rooms not only The new operating suites are much For patients, a new feature of the operat- provide the facility piece of what you need larger than the ones they replaced, rang- ing rooms is the ambient natural light that to have high quality care, but they have also ing in size from 502 to 620 square feet. (The floods into the suites from a wall of west- helped ensure that we have superb physi- biggest room before the renovation was 426 facing windows that run the entire length cians who have come here, in part, because square feet.) Instead of rooms crowded with of the surgery department. “The rooms are we’ve done this,” Rudd says. monitors and machines on carts, most of the large and bright, and it’s impressive to see Attracting well-trained surgical nurses surgical equipment is now suspended from all the equipment on the booms that is used has also been a key factor in moving the the ceiling on hydraulically controlled arms, for surgery,” says Sarah Searles, RN, BSN, surgery department toward higher-level or booms, so that it doesn’t have to be CNOR, the operating room unit manager. procedures. To build more specialized

6 FALL 2015 / Cayuga Health Special green lighting enables the surgical team to view digital monitors more clearly.

surgical teams, the surgery department multidisciplinary team established by the asks its nurses to focus in one of two areas: hospital—the Surgical Governance Coun- one including orthopedics, neurosurgery, cil. Created in 2013, the council provides and advanced laparoscopic surgery; the oversight to the surgery department while other comprising general, plastic, and addressing urgent and long-term issues. ear, nose, and throat surgery, as well as The nine-member council, which meets urology and gynecology. Nurses receive monthly, includes surgeons, anesthesiolo- continuing education in the specialty areas gists, nurses, and members of the hospital of their choice. administration. Since its inception, one “Just as surgeons have become very of the key projects the group tackled was Michele Burt, RN, Anthony Sanito, MD, specialized over time in what they do, it only providing input into the design of the new MSN, CNOR, director anesthesiologist and makes sense to do that with the nursing operating suites, from the selection of the of surgical services at medical director of staff,” says Michele Burt, RN, MSN, CNOR, lighting to the configuration of the rooms, Cayuga Medical Center surgical services at director of surgical services at Cayuga says Dr. Michael Wilson, an orthopedic Cayuga Medical Center Medical Center. “Surgery has become very surgeon and chair of the council. complex with the technology and the pro- “I think the council played an important cedures. There’s no way that you can know role in managing a very challenging yet everything, so if you divide your nurses into very successful phase for the hospital,” two teams, then they can become very high Wilson says. “It’s taken us three years to do functioning very quickly.” this, but I think we’re well set up for future Another factor that has improved the growth. We have a modern facility that efficiency of the surgery department is a should serve us well for the next 20 years.”

FALLwww.cayugamed.org 2015 / Cayuga Health 57 Losing to Win

Dr. John Mecenas and Dr. Brian Bollo n cool days busy paralegal Shelley Love Shelley Love before grabs her iPod and hoofs it up the steep Buffalo Street hill in her surgery. aboutO ten minutes from her downtown Ithaca office. Then she circles back down the winding Cascadilla Gorge Trail for a total “ Once I make up my mind to do something, distance of 1.36 miles up and down hilly, twisting terrain. She does this in a little more than thirty minutes, usually during her I do it. Failure at this is not an option.” lunch break. Love had Roux-en-Y gastric bypass surgery at Cayuga Medical the Cayuga Center for Bariatric Surgery, attending an informa- Center on April 22, 2014. Over the next fourteen months she tion session on bariatric surgery with Dr. John Mecenas, joining lost 131 pounds, nearly half of her body weight. Her body mass the bariatric surgery support group, and seeing the nutritionist index has dropped from 46 to 25.5 and she’s gone from wear- at the Cayuga Center for Healthy Living helped Love with ing size 28 clothes to sizes 8 and 10. “I haven’t been this size her decision to move ahead. “Once I make up my mind to do since I was in junior high school,” says Love. “I’ve been over- something, I do it,” she says. “Failure at this is not an option.” weight my entire life; to be this weight now seems unreal. I feel Mecenas, a board-certified general surgeon with fellowship so much better!” training in minimally invasive surgery and bariatric surgery, The past three years have seen many changes in Love’s life. performed the laparoscopic gastric bypass surgery through six She married her husband, Lawrence Love, and they created a small incisions. Love recovered quickly and returned to work two blended family of four children between the ages of seven and weeks later, a week ahead of the typical recovery time for this sixteen. She made the decision to become healthy by losing type of surgery. weight successfully with bariatric (weight-loss) surgery. She About 11 months after her bypass surgery Love returned to altered the way she eats and the way she prepares food for her Cayuga Medical Center for hernia surgery. Abdominal hernias family. And she became physically active. can occur when patients lose a significant amount of weight, as “I used to say that ‘running’ was not a word in my vocabu- Love did. As internal fat diminishes, leaving space in the abdo- lary, but now I consider myself a runner,” admits Love, who men, sometimes a portion of the intestine will migrate into that regularly competes in local races. “When we joined our families space. The problem was urgent and was diagnosed quickly and and our households, I got rid of a couch in our living room to remedied by Dr. Brian Bollo of Surgical Associates, a colleague make room for a treadmill. I’ve done the 5K Chili Challenge in of Dr. Mecenas who also specializes in minimally invasive surgery Taughannock State Park twice, running it with my husband and and bariatric surgery. The hernia surgery was also performed Sam [her 14-year-old daughter]. In 2013 the run took me 70 laparoscopically through small incisions, leaving very minimal minutes, and in 2014 I finished in just under 50 minutes.” Love scars. “My doctors and nurses at Cayuga Medical Center were and her husband also hike all over the place now, including a phenomenal,” says Love. 13-mile walk around Harvard and downtown Boston on a recent “It is really important for people considering bariatric surgery visit to New England. As a result of her lifestyle changes and to determine whether they have the willpower to do this,” says commitment, Love has had exceptional success in her efforts Love. “You have to be able to make significant changes in your to lose weight. life and stick with it. It takes effort and it takes a good support network of family and friends. We are eating a much healthier Coming to the decision diet now, with very little processed food,” she adds. “My hus- Love put a lot of thought into her decision to have bariatric band and kids have benefited; we eat mostly chicken and fish surgery, motivated by a significant family history of diabetes and and very little red meat.” Turkey burgers made with zucchini high blood pressure. “I didn’t have these health problems yet, are a big family hit. (Sam declares them her favorite meal and but I knew if I didn’t lose weight, I would develop them,” says says, “They taste heavenly!”) Love. She was, however, struggling with severe sleep apnea that Love cherishes her new life. As a result of losing weight, her required her to use a C-PAP (continuous positive air pressure) sleep apnea and excruciating plantar fasciitis have both abated. machine every night. Painful plantar fasciitis in both feet also She says she feels grateful and blessed. “I would make the made it very difficult for her to walk. “It felt like I had a railroad decision to have this surgery again in a heartbeat,” she says. spike in each of my heels,” she says. “It’s the hardest thing I’ve ever done and one of the best deci- Hearing good things about Surgical Associates of Ithaca and sions I’ve ever made.”

FALL 2015 / Cayuga Health 9 A Very Hip Grandmother

Barbara Dubow, a registered professional nurse, worked in the Joint Solutions the health-care field for 41 years. She is well known in the Ithaca program at Cayuga community as the former school nurse at Boynton Middle School Medical Center. and as a skilled caregiver at both Cayuga Medical Center and Sur- The program gave gicare. Dubow, now 63 and recently retired from nursing for the the Dubows an second time, is busier than ever in her role as “Granna” to three overview of the active young grandchildren. When her precious young charges surgery, the pre- visit, Dubow’s time is taken up with rousing rounds of kickball in and post-operative the backyard, climbing up and down steps at the lake for fishing experience, and the with the boys, and playing on the floor with her ten-month-old recovery process. granddaughter. Nine months ago, however, this kind of activity They went home with a packet of helpful information, including would simply not have been feasible. exercises for Barbara to do to prepare for the surgery. “It was a The pain in Dubow’s hip started in 2006. At first she thought wonderful program,” she says. the pain might be related to her Sjogren’s syndrome, an autoim- Dubow also checked in with her cardiologist, Dr. Lynn Swisher. mune disease that can cause joint pain. But even after she saw “I went into atrial flutter [abnormal heartbeat] about a month be- her doctor and treated the pain with both medication and physi- fore my hip surgery, and I was concerned about anesthesia,” says cal therapy, the problem persisted. A subsequent MRI showed Dubow. “Dr. Swisher cleared me for surgery, and I was fortunate arthritis in her hip joint, and over the years the pain grew steadily to have Dr. Christina Klufas as my anesthesiologist. She was an in- worse. If she bent down to pick something up off the floor, she tensivist before becoming an anesthesiologist, and she was great had trouble getting back up. Just walking out to the mailbox and about taking my various medical problems into consideration. I back had become very painful. had no problems with nausea after surgery,” adds Dubow, “and “My primary-care physician is Dr. Tim Cardina and I have the my husband was the best nurse I could have asked for once I got utmost confidence in him; he’s taken excellent care of me over home.” After six weeks of physical therapy Dubow grew stronger, the years. He recommended that I see Dr. Deidre Blake because and by March she was confidently walking without a cane. other patients of his had very good experiences with her. She’s “I’ve had a number of surgeries over the years. With the excep- been great!” says Dubow. “She took a lot of time with us and tion of heart valve surgery, which I had performed at the Cleve- answered all of our questions.” Blake, who is in practice with land Clinic, all of my surgeries have been done at Cayuga Medical Orthopedic Services of Cayuga Medical Associates, has special Center. I wouldn’t think of going anywhere else,” says Dubow. expertise in joint “I have a lot of confidence in my doctors and in this hospital. I’ve replacement and had lithotripsy here, major kidney surgery, and an exploratory ab- joint revision sur- dominal laparotomy. I delivered both of my children here, as well. gery. After an “I did my registered nurse training in a major teaching hospital; appointment with it was a big place,” Dubow continues. “I feel the care I get at Blake in December Cayuga Medical Center is much more personal. Whenever I 2014, Dubow was have been a patient here, people try very hard to make sure scheduled for total that all of my needs are met. We have a very fine group of hip replacement doctors—I think good physicians flock here because it’s such a surgery on January beautiful place to live. 6, 2015. During the “I’m doing great. I have no more pain in my hip at all and I’m intervening month, riding my bicycle again. My goal for this hip surgery was to be Dubow and her able to play with my grandchildren,” Dubow says as she prepares Dr. Deidre Blake husband attended for a visit from them. “Now I can do that!”

10 FALL 2015 / Cayuga Health “ My goal for this hip surgery was to be able to play with my grandchildren.”

FALL 2015 / Cayuga Health 11 SCHUYLER HOSPITAL: Surgical Care Transformed SURGICAL SERVICES

When Dr. Carl West used to schedule colonoscopies so that it makes sense logistically.” at Schuyler Hospital, he would often have to delay the The new operating rooms feature specially procedure if another physician needed the operating designed LED lights that eliminate shadows if a sur- room for emergency surgery. At the time, the hospital had geon or nurse is standing beneath them. And each two operating rooms, which could not accommodate a room has a computerized pharmaceutical dispens- full schedule of surgeries and diagnostic procedures. ing unit that measures out the correct medication A $2 million renovation of the hospital’s surgery for each patient. department added a procedure room dedicated to The decor in the surgery department conveys a colonoscopies. “My schedule now never conflicts with calm and warm atmosphere, with shades of yellow, other doctors because I always have a room for my gray, and beige on the walls in the rooms and cor- colonoscopy patients, and that room is never used for ridors. Ample storage space provides easy acces- anything else,” West says. sibility to all the equipment and supplies for the The transformation of Schuyler Hospital’s surgical operating rooms. services over the past two years increased the size of Dr. Wade Bollinger of Surgical Associates of the department from 2,700 to 7,400 square feet. This Ithaca, who has been performing outpatient surgery expansion allowed the hospital to reconfigure the flow at Schuyler Hospital since 2013, says the spacious of patients—from pre-operative preparation to surgery operating rooms have made his work easier. “The and post-operative care—to create a smoother process. rooms are well-lit, large, and all up-to-date with the “We had to juggle everything to make it work,” equipment for the procedures that we do, ” he says. says Chris Brink, BSN, RN, outcomes manager for The primary kinds of outpatient surgery that Bol- Schuyler Hospital. “Originally, the space wasn’t set up linger and his colleague, Dr. David Schwed, conduct very conveniently, and patients had to be moved from at Schuyler Hospital are hernia repairs, gall bladder one area to another. Now the flow is quite seamless. removals, and soft-tissue lesion excisions. The renovated space was built for form and function In August another surgeon from their practice,

12 FALL 2015 / Cayuga Health Dr. Cora Lee Foster, began working at The rooms are well-lit, Schuyler Hospital and now alternates every large, and all up-to-date other week with Schwed. Foster specializes in breast and endocrine surgery and had with the equipment for the already been treating patients from Schuyler procedures that we do.” County at her Ithaca office, next to Cayuga —Dr. Wade Bollinger Medical Center. “I have seen a number of people come from Schuyler County to Surgi- cal Associates of Ithaca and Cayuga Medical they can get on with their lives.” Center for their treatment of breast cancer,” A team of seven nurses staffs the surgery Pre-op room (above) and recovery room she says. “I think it will be really nice to of- department, with each performing multiple (below) have a soothing decor. fer more local care in Schuyler.” duties. “We’re a small hospital,” Bailey says. Foster says certain types of breast surgery “Our staff members—rather than being solely can be done at Schuyler Hospital, such as a recovery nurse or an admissions nurse—do lumpectomies, while more invasive cancers everything. They’re more versatile, which that affect the lymph nodes need to be treat- really helps staff move from one position to ed at Cayuga Medical Center. More invasive another.” breast cancer involves the use of sentinel Though the operating rooms have been node biopsies and requires nuclear medi- modernized, the atmosphere at Schuyler cine, which is offered by Cayuga Medical Hospital has remained the same: small, Center’s Department of Imaging Services. friendly, and attractive to both patients and Other procedures being performed at staff. For the surgeons who work at Schuyler, Schuyler Hospital include outpatient that means getting to know the patients and orthopedic surgery, provided by Dr. Joseph their primary care physicians, which often Mannino, and vein and laser surgery, offered doesn’t happen at large urban hospitals, by Dr. Viola Monaghan. says Schwed. “We’re doing outpatient procedures,” says “Communication is much better at a smaller Deborah Bailey, BSN, RN, executive director hospital,” Schwed says. “The doctors talk to Deborah Bailey, BSN, RN, of patient care services and outcomes at one another. As a result, everyone coordinates executive director of clinical Schuyler Hospital. “If patients need to be care better and patients can get more person- operations and outcomes admitted to a floor, we have that option; alized care.” at Schuyler Hospital however, we try to get them prepared for surgery and released the same day so that

FALL 2015 / Cayuga Health 13 14 FALL 2015 / Cayuga Health Two Hospitals Working Together “ I’m too young to have a heart attack.”

At 6 a.m. on a Friday morning in late May, Merle Bedient but Sodums suspects it is the culprit. reported to work in the housekeeping department at Schuyler “The sacs found in the artery walls of a Hospital. Two hours into his shift, as he was sweeping and person with LEOPARD syndrome create wiping down the emergency room, sharp pains started darting pockets, which prevent normal blood across his upper chest. flow,” Sodums explains. “When there He waited, thinking it was heartburn. But the symptoms is stagnant flow, blood has a tendency intensified, and an hour later, Bedient, 48, asked a nurse to to clot.” check his vital signs. Although they were normal, the nurse After Bedient’s clot formed, it likely warned him that he should have a more thorough examination. disintegrated, showering particles into Yet Bedient, who describes himself as stubborn, waited another the tiny downstream arterial branches hour and a half before he returned to the emergency room, and closing some of them, thus causing where care providers performed an EKG and drew a sample the heart attack. It is impossible to know Dr. Marcis Sodums, of his blood to look for the presence of certain heart enzymes. precisely what happened in Bedient’s FACC, FSCAI Both of these tests are part of the standard protocol for ruling case, Sodums adds, because the smallest out heart attack in patients experiencing chest pain. arteries are not visible on an X-ray. After consulting with Bedient’s primary care doctor, the The measurement of his enzymes from the blood test showed physician assistant in the emergency room told Bedient he that Bedient suffered a small heart attack, Sodums says. Yet the was having a heart attack. He was quickly given aspirin to thin positive side of the episode is that he now knows that he has his blood and medication for his chest pain, then wheeled into irregular coronary arteries and an aneurysm on the aortic valve, an ambulance headed for Cayuga Medical Center, where a which can be monitored and treated with medication. cardiac care team was assembling to meet him at the door. While he was aware of the potential for heart problems related “I’m too young to have a heart attack,” Bedient recalls to LEOPARD syndrome, Bedient says he had no idea his own heart saying. In the ambulance he jokingly asked the technicians was affected. “I didn’t know I had any of those problems,” he says. to disconnect his IV. “I’m fine — take me off this,” he said, “I thought my heart was in good shape.” “and let me get back to work.” Bedient says he felt comfortable and assured by the care he By the time he reached the Cayuga Heart Institute, the received at Cayuga Medical Center. When he was first brought pain was subsiding. Still, the cardiologist waiting to treat him, to the hospital, his mother, who has had her own heart problems, Dr. Marcis Sodums, FACC, FSCAI, performed a radial access was unable to drive over to the hospital until the middle of the catheterization by threading a tiny plastic tube through the afternoon. “Dr. Sodums called my mother twice to give her up- artery in his right arm to his heart muscle. Although the dye dates,” Bedient says. inserted in the tube showed that there was no blockage in Three days later, he was released with a prescription for blood his arteries, it did reveal that Bedient’s coronary arteries were thinners, which Bedient expects to take the rest of his life. After enlarged and saccular in shape. resting at home in Montour Falls, he returned to his housekeeping His abnormal arteries are most likely connected with a rare job at Schuyler Hospital a week later. disorder Bedient was diagnosed with at the age of four — “Between Schuyler Hospital and Cayuga Medical, I was very LEOPARD syndrome, which is characterized by a multitude of lucky,” Bedient says, while taking a break during his shift at the freckles that appear on the body. Triggered by a genetic muta- hospital. “I’m grateful to everybody who took care of me. I don’t tion, the disorder may also cause deafness, unusually wide-set know where I would be if it wasn’t for the staff at both hospitals eyes, and aneurysms. and the ambulance crew that got me over to Cayuga Medical Whether the condition caused the heart attack is unclear, Center as fast as they could.”

FALL 2015 / Cayuga Health 15 Two Hospitals Working Together New Knee Restores an Active Lifestyle

At a reunion for a group of Hobart College lacrosse play- ers last summer, the conversation outside the lakeside cottage eventually turned to knee replacements. Five of the 15 men at the gathering had had the surgery, but none of them could imag- ine recovering as quickly as Tim Anderson, a retired high school teacher and coach from Schuyler County. Barely six weeks after his operation at Cayuga Medical Center, Anderson had traveled to the reunion at DeRuyter Lake on a motorcycle and was easily walking without a limp. “Some of these guys had war stories,” says Anderson, who is 65. “After two years, they had still not recovered.” An avid athlete and traveler, Ander- son attributes his successful recovery to his surgeon, Dr. Dirk Dugan, who Anderson traces the pain in his knee to an injury he had also performed a hip replacement suffered while playing football at Susquehanna Valley on Anderson’s wife, Barbara, in 2014. High School in Conklin, New York. During a game in When Anderson started his physical his senior year, another player collided with his right therapy at Schuyler Hospital, he says knee, and doctors had to drain fluid from his swollen the therapists there could guess that Dr. leg. In college he played basketball at West Point and Dugan had performed his surgery. “They switched to lacrosse after transferring to Hobart. said, ‘We can always tell, because his Thirty years in front of a classroom as a high school incisions are so good,’” Anderson says. Spanish teacher also took a toll, and by the time What also made the difference in his he first saw Dr. Dugan ten years ago, he knew he Dr. Dirk Dugan, MD, recovery was his physical therapist in would eventually have to replace his knee. After toler- orthopedic surgeon the Rehabilitation Services Department ating the pain for a decade, Anderson decided last fall at Schuyler Hospital, Michele Myers, PT, to set a date for surgery. “I just decided, ‘Enough of DPT, OCS. Five days after being released from the hospital, Ander- being a tough guy; it’s time to just go ahead and get son began physical therapy with Myers, starting out twice a week this done.’” and then coming in for a weekly session. With the surgery behind him, Anderson says he is “She pushed me like you’re supposed to, knowing that the looking forward to visiting the casita he and his wife more you can push, the more likely you are to prevent scar tissue built in Costa Rica 25 years ago and have been updat- forming in there, and the faster and better your rehab is going to ing every winter since he retired. In the meantime, as be,” Anderson says. he winds down from physical therapy, Anderson, a The therapy began with Anderson reestablishing normal former football and basketball coach, hopes to resume motion in his right knee, strengthening his leg, and improving his workouts at the gym his wife owns in Watkins functional movement. Then he worked up to a cardio and fitness- Glen. “It’s very important to stay in shape,” he says. based program to help him maintain his fitness level and upper “As you get older, you need to use your muscles to do body strength, Myer says. strength training as well as cardio training. It’s proven “He’s still going to have a lot of healing,” Myers says. “Over that it will enhance the quality of your life.” the next six months, he’ll definitely continue to improve, but he is For Tim Anderson, the key to a long and happy life is very functional. He’s getting his life back.” an active lifestyle.

16 FALL 2015 / Cayuga Health “ She pushed me like you’re supposed to, knowing that the more you can push, the more likely you are to prevent scar tissue forming in there, and the faster and better your rehab is going to be.”

Physical therapist Michele Myers works with patient Tim Anderson

FALL 2015 / Cayuga Health 17 There is simply no place easier or more convenient than Surgicare.

If you’re having outpatient surgery there is simply no place easier also in charge of pre-admission testing or more convenient than Surgicare, Cayuga Medical Center’s am- for all surgical patients at Cayuga Medi- bulatory surgery center located just off Warren Road in Ithaca, next cal Center and Surgicare. to the Convenient Care Center. Your driver can let you out right at “You’ll never hear anyone at Sur- the entrance of Surgicare, where 16 short steps take you to the front gicare say, ‘That’s not my job,’” says door; if you need a wheelchair, one is readily available. Just inside Leonard. “We’re all willing to help each you are greeted by a friendly receptionist who is expecting you and other, no matter what our role is here.” who quickly starts the admission process. Parking is plentiful. Your This attitude underpins the safety and driver can relax with a cup of hot brewed Gimme! coffee, hot tea, efficiency of surgery at Surgicare. or a refreshing drink from the water cooler in a waiting room that Angie Leonard, RN, BSN, is quiet and light and decorated with the beautiful photographs of Safety, efficiency, teamwork CNOR, Surgicare unit manager local artist Dede Hatch. “Patient satisfaction here is high,” says You are taken back to the pre-operative area, where light pours Leonard. She credits the efficiency with which the operation runs in through cathedral ceiling windows. The staff is attentive and and the expertise and compassion of the staff. “With safety our skilled. Things move quickly but no one seems rushed. You see your top priority at all times, our intention is for patients to spend as surgeon and anesthesiologist, who answer any remaining questions, little time here as possible. We rely on skilled teamwork to make followed by your surgery. Depending on your specific procedure, all this happen and everyone’s role is important. Our reception- you can expect to be discharged and heading back out the front door ists are all patient-care assistants who also work in pre- and post- about four hours after you first arrived. op patient care, so they’re very knowledgeable. Housekeeping is “Our focus at Surgicare is on outpatient surgery,” says Angie key in infection control, as is our sterile processing department. Leonard, RN, BSN, CNOR. “We serve our community by providing Materials management makes sure we have everything on hand.” primarily healthy patients with an alternative environment in which Surgicare recently received kudos for its high level of patient to have their elective surgery. Unlike the medical center, where satisfaction in the national publication, Outpatient Surgery emergencies can interrupt the flow of scheduled surgery, things go Magazine. quite smoothly here.” Keeping the surgeons happy is also a priority at Surgicare. “If Leonard is a professional registered nurse, holding a bachelor’s a surgeon needs a particular piece of equipment, we buy it,” says degree in nursing and certification as an operating room nurse. Leonard. “This increases surgeon satisfaction and makes us more She brings 18 years of experience to her position as Surgicare unit efficient because they have what they need. And our surgeons manager and has worked there since the doors opened in 1997. She is know we’ll take good care of their patients.”

18 FALL 2015 / Cayuga Health SURGICARE STATS

• Surgical specialties at Surgicare - ENT (ear, nose, and throat); head/ neck surgery - General surgery - Ophthalmology - Orthopedics - Plastic surgery - Podiatry

• Both pediatric and adult surgery are performed at Surgicare.

• Surgicare handles about 3,000 cases a year, averaging 250 per Surgeons weigh in month and 15 to 20 on a typical on Surgicare weekday. • Surgeons have access to the most innovative technology on the Two highly experienced, board-certified ophthalmologists on the medical staff of market, including high-power Cayuga Medical Center are among those surgeons who operate regularly at Surgicare. operating microscopes and Both graduated with honors from their respective undergraduate and medical schools digital video equipment necessary and both are in private practice. Their patients come from near and far. to perform various types of difficult microsurgery. Dr. Peter Schwartz As an ophthalmologist trained in both adult adds, ”and I routinely perform surgery for cata- • Anesthesiologists use the same and pediatric care, Dr. Peter Schwartz treats racts, glaucoma, eyelid problems, benign and equipment that is in use at Cayuga the whole family, from babies to seniors. cancerous lesions, and growths on the whites of Medical Center, including the latest He graduated from Mount Sinai School of the eye.” in video laryngoscopy for the safest Medicine with honors, completed his oph- Schwartz has high praise for the staff at possible intubation of patients. thalmology residency there, and then went Surgicare. “When I sit down to do my work at on to the Children’s Hospital of Michigan for Surgicare, so much has already been done for • The average patient stay is four a pediatric ophthalmology fellowship. He re- me,” he says. “I’m involved in the checks and hours; however, some patients turned to New York City, where for ten years balances to ensure patient safety, but at the are in and out within two hours. “If patients need a longer recovery he maintained a busy practice and taught same time I know the staff is very thorough time, they get it,” says Leonard. at both the Mount Sinai School of Medicine and I don’t have to worry that something has “The care we provide is based on and the prestigious New York Eye Infirmary. been missed. It’s a very pleasant environment criteria-driven standards of care In 2006 Schwartz and his family moved to and lets me focus on why I’m there, which is to that we tailor to the needs of Ithaca, although he continued to teach and perform surgery. I get positive feedback from my each patient.” take weekend trauma call in New York until patients at Surgicare. just a year ago. “When I moved my practice to Ithaca I was • You can request to have your While pediatric care is a smaller percent- initially concerned that I might not find the type outpatient surgery at Surgicare, age of his practice than adult care, Schwartz of excellent surgical facilities I was accustomed depending on your specific meets a significant need in the region, to at the two top eye-care hospitals in New York procedure and the availability especially given the recent retirement of City,” says Schwartz. “I was pleased to find that of your surgeon. pediatric ophthalmologists in Elmira and at Surgicare I could still perform the compli- Syracuse. Both of those doctors asked him cated surgeries I enjoy doing.” to take on patients of theirs, which Schwartz was happy to do. “We typically do eye surgery at Surgicare on kids 12 months and older,” he explains, “though we have made exceptions in consultation with our anesthesiologists. The most common pediatric procedures I perform here are to correct strabismus (where the eyes appear to be looking either inward or outward), tear-duct surgery to open obstructions, various eyelid procedures, and trauma surgery. However, the majority of my patients are adults,” he

19 Seeing Life in a Positive Light

Dr. Rob Arleo Dr. Rob Arleo came to Ithaca in 1994 after graduating with honors from SUNY Upstate Medical University and then completing his ophthalmology residency at University Hospi- tal in Syracuse. He estimates he’s done 15,000 surgeries at Surgicare since the facility opened in 1997. “We have the best technology available and the staff is very experienced,” says Arleo. “Many of the nurses have been operating with me since I first arrived at Cayuga Medical Center 21 years ago. In fact, I think Karla Ferguson [certified scrub technician] has probably done 7,000 to 8,000 surgeries with me. “There’s a high level of professionalism at Surgicare,” Arleo continues. “The nurses are compassionate and we have excellent systems in place. We try to make things as safe as possible, and as a result our rate of complications is well below national averages. And similar to the medical center, only board-certified anesthesiologists administer anesthesiology at Surgicare. It’s a great group overall.” Arleo specializes in adult ophthalmology. “I’m doing an increasing amount of glaucoma surgery,” he says. “This condition is most commonly caused by increased pressure in the eye, and we are taking care of the more complicated patients at Surgicare. We do quite a lot of cataract surgery, and I also perform occasional secondary implant reconstructions and excisions from the eye. My referrals come from all over the region; people come to us— hen you meet Wesley Carr, you know you’ve and to Surgicare—because we have an excellent met someone who pursues his passions fully. reputation.” Whether it’s raising a family, working his dairy farm, playing basketball, or training horses, Carr gives it everything he’s got. WHe’s used his body hard over the years, finally giving up his beloved game of basketball ten years ago at age 65 when his son, an orthopedic surgeon in Syracuse, talked to him about upcoming knee-replacement surgery. The conversation came just days after Carr returned from the World Senior Games in Utah with a gold medal for basketball. Now 75, Carr is training horses, a profession he has returned to after a 35-year hiatus. He has rescued horses with serious behavior problems and turned them around, and he’s

1620 FALL 2015 / Cayuga Health This method of training, called natural horsemanship, teaches horses fundamental groundwork and good manners, explains Carr. “We teach them to do what we ask them to do. It’s based on mutual respect.” Back in the barn we talk about his cataract surgery. “I figure I’ve been with Dr. Arleo almost from the time he got to town. I’ve watched his practice grow,” says Carr, who lives in Poplar Ridge. “Over the years I’ve experienced macular migraines and I’m a candidate for glaucoma, so I’ve seen Dr. Arleo regularly for eye exams and field-of-vision testing. When my distance vision changed and I wasn’t able to see road signs as well as I used to, we talked about cataract surgery.” Carr had cataract surgery in each eye—exactly one week apart—at Surgicare. This microsurgery procedure uses state- of-the-art technology to carefully remove the cloudy lens of the eye and replace it with a clear artificial lens. “Two days after my first surgery, I could see great in that eye,” he says. trained world champion Morgan show horses. “I could see every detail on the birds around our house; the We meet up with Carr on a July afternoon at Diane colors on the TV were much brighter.” He followed doctor’s Walsh’s Bar W Northfork Stable in Pompey, New York. His orders the first time around and waited two days until return- striking blue eyes don’t miss much; cataract surgery per- ing to work. But after the second eye surgery he was back at formed by Dr. Rob Arleo restored Carr’s vision to 20/20. the barn the very next day. No muss, no fuss. This is an especially important improvement because at Carr has only good things to say about his experience at the moment a young horse, weighing in at about 950 Surgicare. “The people were excellent and there was no pounds, is moving quickly around him in a tight circle. waiting around. Everything was very efficient,” he says. Standing in the stillness of the large cool training arena, “The employees in Dr. Arleo’s office are great, too. I had using hand signals and a low voice, Carr asks his horse to three appointments: one for measurements in each eye, one move closer. Wearing just a halter and a loose rope lead, for the surgery, and one for follow-up. I had all of the infor- the six-year-old Morgan horse walks, trots, and canters, mation I needed.” stops on a dime, turns, and pivots on one foot—creat- Wes Carr and his wife, Adrienne, ing a small, tightly curving circle of dark-brown satin are in the process of packing up and horse with Carr at its center. On request, the horse steps selling their house in order to move to forward, backward, and sideways with such grace and Florida this fall. Timo Teo, the beauti- eagerness to please, the pair look like dance partners ful gelding we watched, will make the in perfect sync. After the groundwork, Carr puts a move with them. All three will return Western saddle on his horse and mounts, riding him next summer, though, to avoid the with the same halter and lead rope, which he now loops soaring Florida temperatures. And over the top of the horse’s neck to create loose reins Wes has already scheduled his annual (this horse has never had a bit in its mouth). Together appointment with Dr. Arleo to coin- they execute the same maneuvers they practiced before. cide with his return visit.

FALL 2015 / Cayuga Health 21 MY CAYUGA HEALTH: 24-Hour Access to Your Health Information

Cayuga Health System has launched a patient portal system that enables people who are patients of Cayuga Medical Center, Cayuga Medical Associates, Schuyler Hospital, and Schuyler Hospital Primary Care Physicians to view their health care information at their own convenience. Here are the basics!

Q: What is a patient portal? site to discover all it has is to offer. Some of the most popular features allow you to A: A patient portal is a secure online website that gives you convenient access to your own personal health information • E-mail your physician and his or her office staff for and the health information of your family members. nonemergency communication (this feature, which is secure, is available at Cayuga Medical Center only) Q: How do I access this information? • Request, reschedule, or cancel an appointment

• Request or renew a prescription A: You can access your information on the Internet using your • View your health information electronic device (computer, cell phone, or tablet). My Cayuga - Care instructions Health (mycayugahealth.com) features the latest and - A list of your prescribed medications greatest in responsive design: it changes to accommodate - Blood pressure, heart rate, weight, and more various electronic devices so the screen is easy to navigate no - Immunizations matter what device you are using. - Allergies - Procedures you’ve had done, complete with Q: Who can use My Cayuga Health? discharge instructions A: If you are a patient of the Cayuga Health System—which • View information from Cayuga Medical Center, comprises Cayuga Medical Center, Cayuga Medical Associates, Cayuga Medical Associates, Schuyler Hospital, and Schuyler Hospital, and Schuyler Hospital Primary Care Physicians, Schuyler Hospital Primary Care Physicians all in one place. you can find your health information on My Cayuga Health. • Laboratory test results are available now. Additional laboratory Additionally, if your doctor is in private practice and he or she and imaging test results coming soon. orders lab testing and imaging exams from either hospital or the affiliated primary and convenient care centers, you can find Q: How is the information organized?

your results at My Cayuga Health. (Minors between the ages A: There are four main categories of information in your patient of 10 and 17 will not have access to their records, nor will their portal, and each has an easy-to-use icon you can select. The parents. Parents will have access only to the records of their categories are children up to nine years old.) • Health Records—for viewing lab results, medications, and more Q: Where do I start? • Messages—to communicate with your doctor or other health

care provider A: We are currently inviting area residents to join My Cayuga Health, • Download My Data—to export (download) a file of your so you may have heard from us already. If you have not received health data an e-mail about My Cayuga Health however, you can still register • Additional Services—where you can find helpful answers to by visiting the Medical Records Department at either hospital. frequently asked questions (FAQ). You will need to provide your e-mail address and a photo ID and we will ask you to sign a consent form. We understand that My Cayuga Health is functional today and has lots of features and visiting the hospital may be inconvenient but this security benefits. We will continue to add to its functionality in the coming measure enables us to be certain that only you (and family months. Bear in mind, however, that your patient portal will not members to whom you give explicit consent) can gain access include your entire patient record, but a subset of your patient record to your private patient portal. that we hope you will find very helpful and convenient. To find out more about My Cayuga Health, simply go to either Q: What kind of information will my patient hospital’s website (cayugamed.org or schuylerhospital.org) and portal provide? click on My Cayuga Health. You will find it in the upper left-hand A: My Cayuga Health has a rich menu of services. We suggest that corner of the home page. once you have registered you spend some time exploring the Cayuga Health System: Looking for ways to serve you better!

22 FALL 2015 / Cayuga Health Raising the Bar in Laboratory Services

Specimens of bacterial infections sent to the and lab technicians to determine the types of speci- Cayuga Medical Center Laboratories used to take up mens to collect from patients through the hospital’s to 36 hours to culture and analyze. Starting this fall, website. The database is provided through the hospi- however, new technology in the laboratory will allow tal’s collaboration with Mayo Medical Laboratories. “The changes we’ve technologists to identify a specific strain of bacteria “The changes we’ve initiated recently in our labo- in a matter of minutes. ratory are truly transformative,” notes Burger. “They initiated recently The large equipment in the back of the labora- have a dramatic impact on patient care by enabling in our laboratory are tory has an imposing name: It’s called a MALDI-TOF us to expand our services and accelerate the diag- truly transformative.” (matrix-assisted laser desorption/ionization time-of- nostic process. We are pleased to offer this level of flight) mass spectrometer. What it means for patients service to our patients and our physicians.” —Toni Burger, MBA, MT (ASCP), is that the rapid identification of specimens will allow As part of Cayuga Medical Center’s affiliation administrative director of the doctors to prescribe antibiotics much more quickly. with Schuyler Hospital through the Cayuga Health laboratory “In the 23 years I’ve been in laboratory medicine, System, the laboratory has also offered extended this is the biggest advancement in our ability to support to the Schuyler Hospital laboratory this quickly identify specific bacteria and get patients on year. “That means we now have improved con- the correct antibiotic,” says Dr. Daniel Sudilovsky, nectivity with Schuyler,” says Sudilovsky. “The director of pathology and laboratory medicine at Schuyler microbiology testing is already being Cayuga Medical Center and Schuyler Hospital. “It done in Ithaca. There will be future utilization creates a new standard of care.” of Cayuga Medical Center’s resources for testing Cayuga Medical Center is the only hospital in the for Schuyler patients, which includes courier Southern Tier that has the rapid microbiology technol- service outreach in ogy. Sudilovsky hopes the mass spectrometer, which that region.” uses laser beams to analyze bacteria at the molecular level, will be used by hospitals across the region. “We acquired it with the idea that this should become a regional resource,” Sudilovsky says. The cutting-edge mass spectrometer is one of several new services recently rolled out by the laboratory, which relocated to newly constructed space on the hospital’s first floor in 2012. This fall the laboratory started offering electronic tracking of specimens transported Laurie Mras MLS (ASCP), to the hospital by the laboratory’s microbiology lab supervisor courier service. Similar to the equipment used by FedEx, the handheld devices used by the laboratory couriers will scan bar codes on specimens as they pick them up and register their GPS location. “When the couriers come into the lab with the specimens, we know where each speci- men is located and that all of the specimens made it to the lab safely,” says Toni Burger, MBA MT (ASCP), administrative director of the laboratory. Another new service the laboratory initiated this year is the Cayuga Lab Test Catalog, which allows doctors, nurses, Gala co-chairs Margaret Gala 2015 Munchmeyer and Kate Travis, along with their talented committee mem- Another Success! bers, are pleased to report that the Cayuga Medical Center Foundation’s Gala 2015 once again broke all previous attendance records, with 430 attendees. The net proceeds from the event totaled an impressive $118,000. The dinner, live auction, fun package draw- ings, and dancing brought smiles to our donors’ faces throughout the evening. All proceeds from the Gala will be directed to expanding the neonatal intensive care services at Cayuga Medical Center, enabling mothers to deliver premature babies at Cayuga Birthplace as early as 30 weeks gestation (normal gestation is 40 weeks). These new special care capabilities will also open up possibilities for the safe delivery of premature twins (and potentially triplets) at Cayuga Medical Center. Thank you to our many generous donors and sponsors, who make this event such a success.

—Jan Hertel, Executive Director Cayuga Medical Center Foundation GALA PHOTOS BY GARY HODGES GALA PHOTOS BY GARY

1624 WINTERFALL 2015 2014 / Cayuga / Cayuga Health Health FALL 2015 / Cayuga Health 25 Welcoming New Practitioners

We would like to take this opportunity to introduce new members of our medical staff. They come to Cayuga Medical Center and the Cayuga Health System with exemplary training and experience. Please join us in welcoming these talented physicians.

CARDIOLOGY

Brian Marino, DO | Cayuga Heart Institute of CMA | 2432 N. Triphammer Road | Ithaca, NY | (607) 272-0460 Certification: American Board of Internal Medicine, National Board of Osteopathic Medicine, Nuclear Cardiology and Echocardiography Medical School: Philadelphia College of Osteopathic Medicine (Philadelphia, PA) Residency: Geisinger Health System (Danville, PA) – Internal Medicine Fellowship: New York-Presbyterian/Queens (Queens, NY) – Cardiovascular Disease

Dr. Marino graduated with highest distinction from Pennsylvania State University with a bachelor of science degree. He was a member of the Sigma Sigma Phi honors and service fraternity and an elected representative of the Student Government Association while in medical school. He completed a three-year fellowship in cardiovascular disease at New York-Presbyterian/Queens, a primary affiliate of Weill Cornell Medical College.

INTERVENTIONAL CARDIOLOGY

Marcis T. Sodums, MD, FACC, FSCAI Cayuga Heart Institute of CMA | Cayuga Medical Office Bldg., Suite 101 | 201 Dates Drive | Ithaca, NY | (607) 882-9068

Certification: American Board of Internal Medicine: Cardiovascular Disease; Interventional Cardiology Medical School: University of Chicago Pritzker School of Medicine (Chicago, IL) Internship: University of California at San Diego (San Diego, CA) – Internal Medicine Residency: University of California at San Diego (San Diego, CA) – Internal Medicine Fellowship: University of Texas Health Science Center (San Antonio, TX) – Clinical Cardiology

Dr. Sodums joined the Cayuga Heart Institute, enhancing local capabilities in invasive and interventional cardiac care, and the percutanious treament of peripheral arterial disease, including limb salvage. He was an honors graduate of the University of Chicago Pritzker School of Medicine. After his training, he served for three years as director of the Cardiac Catheterization Laboratories at Stony Brook Health Science Center and then joined the Guthrie Clinic for 18 years, where he has served as chief of cardiology and senior interven- tionalist. He comes to Cayuga Medical Center from Raleigh General Hospital in West Virgina. Dr. Sodums is a fellow of the American College of Cardiology and a fellow of the Society for Cardiovascular Angiography and Interventions.

EMERGENCY MEDICINE AND URGENT CARE Leah M. Bennett, MD, MPH | Cayuga Medical Center

Medical School: University of Arizona, Colleges of Medicine and Public Health (Tucson, AZ) Residency: University of Arizona (Tucson, AZ) – Emergency Medicine and Pediatrics

Dr. Bennett earned a bachelor of science degree from Bates College. During medical school she was recognized for distinction for leadership in improving health of underserved populations in Arizona. She completed a masters degree in public health with honors, has extensive experience in international public health, and is fluent in Spanish. Dr. Bennett sees patients in the Emergency Department at Cayuga Medical Center and in the Convenient Care Centers in Ithaca and Cortland.

26 FALL 2015 / Cayuga Health Kevin E. Gaskin, MD | Cayuga Medical Center

Certification: American Board of Family Medicine Medical School: University of North Carolina (Chapel Hill, NC) Residency: University of Arizona (Tucson, AZ) – Emergency Medicine University of Arizona (Tucson, AZ) – Family Medicine Fellowship: University of Arizona (Tucson, AZ) – Emergency Medicine Ultrasound University of Arizona (Tucson, AZ) – Rural Faculty Development Dr. Gaskin graduated from University of Florida with a bachelor of arts in Spanish literature. He served in the Peace Corps in Paraguay and is fluent in Spanish. He sees patients in the Emergency Department at Cayuga Medical Center and at the Convenient Care Centers in Ithaca and Cortland. Anne-Marie Moukala-Cadet, DO | Cayuga Medical Center

Certification: American Osteopathic Board of Family Physicians Medical School: New York College of Osteopathic Medicine (Old Westbury, NY) Internship: United Health Services – Wilson Hospital (Johnson City, NY) – Osteopathic Rotating Internship - Internal Medicine Internship: Pennsylvania State University – Milton Hershey Medical Center (Hershey, PA) – Internal Medicine Residency: Clarion Hospital (Clarion, PA) – Family Practice Dr. Moukala-Cadet graduated cum laude from Adelphi University with a bachelor’s degree in biology. She was a National Medical Fellowship Scholar in medical school and was awarded the Chief Resident Award during her residency. She founded the organization Village to Village Care, Inc., whose mission is to empower leaders of villages in developing countries to build and operate a clinic in their village. Dr. Moukala-Cadet is fluent in French and Duala. She sees patients at the Convenient Care Centers in Ithaca and Cortland. FAMILY MEDICINE Kent W. Bullis, MD | Gannett Health Services | Cornell University | 110 Ho Plaza, Ithaca, NY | (607) 255-5155

Certification: American Board of Family Medicine Medical School: Indiana University School of Medicine (Indianapolis, IN) Residency: Ball Memorial Hospital (Muncie, IN) – Family Medicine Dr. Bullis has served as the director of medical services for Gannett Health Services at Cornell University since 2013. He came to Ithaca from Indiana where he served as medical director of health services at Ball State University and Taylor University. He has extensive experience in college health and has served on the board of directors of the American College Health Association.

Jada L. Hamilton, MD | Gannett Health Services | Cornell University | 110 Ho Plaza, Ithaca, NY | (607) 255-5155

Certification: American Board of Family Medicine Medical School: University of Rochester School of Medicine and Dentistry (Rochester, NY) Internship: National Naval Medical Center (Bethesda, MD) – Psychiatry Residency: United States Naval Hospital (Jacksonville, FL) – Family Practice Dr. Hamilton has 20 years of experience in military health care, serving in Kuwait, Djibouti, and Okinawa. She helped implement an acupuncture clinic and tobacco cessation programs, and has been actively engaged in mentoring and teaching medical and nursing students. In her medical practice Dr. Hamilton has provided acute and preventive health care to patients of all ages and has special interests in chronic disease management and women’s health. Margaret Hurley, DO, DABFM, MEd | Gannett Health Services | Cornell University | 110 Ho Plaza, Ithaca, NY | (607) 255-5155

Certification: American Board of Family Medicine Medical School: University of Medicine and Dentistry of New Jersey – School of Osteopathic Medicine (Stratford, NJ) Residency: Underwood Memorial Hospital in affiliation with Thomas Jefferson University (Woodbury, NJ) – Family Medicine Dr. Hurley graduated magna cum laude from Mansfield University with a bachelor of science degree in biology, and she went on to earn a masters in education from Pennsylvania State University, also graduating magna cum laude. During her time as a staff physician at Underwood Memorial Hospital Family Medicine Center she was voted best doctor in the county. She has worked with Doctors Without Borders in Sudan. Before coming to Gannett, she was the acting medical director at Rowan University Student Health Center.

FALL 2015 / Cayuga Health 27 FAMILY MEDICINE, continued Anne C. Jones, DO | Gannett Health Services | Cornell University | 110 Ho Plaza, Ithaca, NY | (607) 255-5155

Certification: American Board of Osteopathic Family Physicians Medical School: Rowan University School of Osteopathic Medicine (Formerly UMDNJ-SOM) (Stratford, NJ) Residency: Maine Dartmouth Family Medicine (Augusta, ME) – Family Medicine Dr. Jones graduated from Cornell University with a bachelor of arts degree in biological sciences and a concentration in neurobiology and behavior. She has won numerous awards, including the New Jersey Association of Osteopathic Physicians & Surgeons Excellence in Osteopathic Medicine Award. She has been an instructor at Geisel School of Medicine at Dartmouth and a VA Quality Scholar before coming to Ithaca.

HOSPITALIST MEDICINE Jarred M. Johnson, MD | Hospital Medicine of CMA, Cayuga Medical Center

Certification: American Board of Internal Medicine Medical School: State University of New York Downstate College of Medicine (Brooklyn, NY) Residency: University of Rochester Medical Center (Rochester, NY) – Internal Medicine Dr. Johnson graduated from Tufts University with a bachelor of arts in psychology. He then worked as a clinical research assistant at Massachusetts General Hospital, managing the brain tumor database for the Department of Radiation Oncology. During his residency he received multiple Strong Star awards for outstanding behaviors that inspire others. Before coming to Cayuga Medical Center, he was an instructor of clinical medicine at the University of Rochester, Highland Hospital.

NEUROLOGY Deana M. Bonno, MD | Cayuga Neurologic Services of CMA | 8 Brentwood Drive, Suite B | Ithaca, NY | (607) 273-6757

Certification: American Board of Psychiatry and Neurology Medical School: University of Connecticut School of Medicine (Farmington, CT) Internship: University of Rochester Strong Memorial Hospital (Rochester, NY) – Medicine Residency: University of Rochester Strong Memorial Hospital (Rochester, NY) – Neurology Fellowship: University of Rochester Strong Memorial Hospital (Rochester, NY) – Epilepsy University of Rochester Strong Memorial Hospital (Rochester, NY) – Clinical Neurophysiology

Dr. Bonno graduated magna cum laude from Union College with a bachelor of science in biology and psychology. She is an assistant professor of clinical neurology at the University of Rochester and will be working with the Strong Epilepsy Center to establish an epilepsy monitoring unit at Cayuga Medical Center. Dr. Bonno holds professional affiliations with the American Clinical Neurophysiology Society, American Epilepsy Society, American Academy of Neurology, and the American Medical Association.

David H. Halpert, MD | Cayuga Neurologic Services of CMA | 8 Brentwood Drive, Suite B | Ithaca, NY | (607) 273-6757

Certification: American Board of Psychiatry and Neurology with Special Qualifications in Child Neurology Medical School: Stanford University School of Medicine (Palo Alto, CA) Residency: Yale University (New Haven, CT) – Pediatrics Residency: Stanford University (Palo Alto, CA) – Neurology Dr. Halpert earned his undergraduate degree magna cum laude in biochemistry from Harvard University. He comes to Cayuga Medical Center from Arnot Ogden Medical Center in Elmira, where he was director of the Departments of Neurology and Newborn Neurology, as well as the designated stroke center. He practices adult and pediatric neurology.

28 FALL 2015 / Cayuga Health ORTHOPEDICS Zaneb Yaseen, MD | Orthopedic Services of CMA | 16 Brentwood Drive | Ithaca, NY | (607) 272-7000 1122 Commons Avenue | Cortland, NY | (607) 428-8004 Medical School: University of Tennessee College of Medicine, University of Tennessee Health Science Center (Memphis, TN) Residency: University of Rochester (Rochester, NY) – Orthopaedic Surgery Fellowship: University of Pittsburgh Center for Sports Medicine (Pittsburgh, PA) – Sports Medicine Dr. Yaseen graduated from George Washington University with a bachelor of science in electrical engineering. She went on to earn a masters of science in electrical engineering with a concentration in biomedical engineering at the same university before attending medical school. She has extensive research experience and has appeared in numerous publications. Dr. Yaseen joins Orthopedic Services of CMA at both their Ithaca and Cortland offices. PEDIATRICS Lindsay Tamborelle, MD | Northeast Pediatrics | 10 Graham Road | Ithaca, NY | (607) 257-2188

Medical School: SUNY Upstate Medical University (Syracuse, NY) Residency: SUNY Upstate Medical University, Golisano Children’s Hospital (Syracuse, NY) – Pediatrics Dr. Tamborelle received a bachelor of arts degree in biology and society from Cornell University. She graduated cum laude from medical school and received the rookie of the year award from the Pediatric Emergency Department while doing her residency in pediatrics. She has been a volunteer EMT, firefighter, and support staff member of the Cayuga Heights Fire Department since 2003.

RADIATION ONCOLOGY Simon Fung-Kee-Fung, MD | Cayuga Radiation Oncology | 101 Dates Drive | Ithaca, NY Roswell Park Cancer Institute | Buffalo, NY

Medical School: University at Buffalo (Buffalo, NY) Internship: University at Buffalo (Buffalo, NY) —Internal Medicine Residency: University at Buffalo (Buffalo, NY) — Radiation Oncology Dr. Fung graduated with honors from Johns Hopkins University with a bachelor of science in biomedical engineering. He received a masters of science in biomedical engineering from Columbia University and worked as a research scientist, a biomedical engineer, and a software engineer before attending medical school, where he graduated cum laude. Dr. Fung has appointments to the medical staffs at Roswell Parck Cancer Institute and Cayuga Medical Center.

INTERVENTIONAL RADIOLOGY Roman G. Politi, MD | Cayuga Medical Center | Department of Imaging Services

Certification: American Board of Radiology, Diagnostic Radiology Medical School: Sidney Kimmel Medical College at Thomas Jefferson University (Philadelphia, PA) Internship: Thomas Jefferson University Hospital (Philadelphia, PA) – Surgery Residency: Bryn Mawr Hospital (Bryn Mawr, PA) – Radiology Fellowship: Massachusetts General Hospital (Boston, MA) – Interventional Radiology Dr. Politi comes to Ithaca from Geisinger Health System in Pennsylvania, where he was an attending interventional radiologist. He was an undergraduate at Northern Arizona University, where he graduated cum laude with a bachelor of science in zoology. He is an adjunct professor in the Department of Radiology at Temple University School of Medicine. SCHUYLER HOSPITAL: Jeanna Wilkens, PA-C | Montour Falls and Ovid Primary Care Centers | 230 Steuben Street | Montour Falls, NY 14865 | (607) 535-7154

Certification: Physician Assistant Education: Masters of Science, Upstate Medical University (Syracuse, NY) – Physician Assistant Studies Jeanna Wilkens received a bachelor of arts degree in public policy from Syracuse University, where she was a member of the National Society of Collegiate Scholars. She has done clinical rotations through Cayuga Medical Center and Schuyler Hospital, and worked as a wilderness EMT in the Adirondacks, participating in search and rescue endeavors. Wilkens has a special interest in women’s health.

FALL 2015 / Cayuga Health 29 Updates

SCHUYLER HOSPITAL

Massage Therapy at Schuyler Schuyler Steps Out Names was recognized Hospital and Seneca View Most Improved, MVP by his coworkers Schuyler Hospital offers massage therapy After wrapping up the ninth annual Schuy- for his kindness, both in the outpatient rehabilitation clinic ler Steps Out community walking challenge dependability, and to residents of Seneca View Skilled with a new winner, the Rainbow Chasers and compas- Nursing Facility. Certified massage therapist Club, Schuyler Hospital has also awarded sion. The annual Libby Bloodgood, an independent contrac- most improved and most valuable walkers. reward is given tor working closely with the staff of Seneca The Rainbow Chasers, with 15 walkers, in memory of View, provides therapeutic massage to totaled 13.5 million total steps over the Lou Sands, an the residents in 15 to 60 minute sessions. course of the 8-week program. An average employee who Bloodgood is also a volunteer with CareFirst of 282 people from 15 teams participated demonstrated Hospice and No One Dies Alone (NODA): in the program, developed to get people exemplary service to others. Both of these services are free and accessible up and active in the late winter and early at Schuyler Hospital through Bloodgood. spring. The Schuyler Steps Out program is Schuyler Hospital Auxiliary Sue Brace, certified massage therapist, offers sponsored by Schuyler Hospital, Walmart, Donates $28,477 Back to Hospital 30- to 60-minute massages in the hospital’s and Excellus BlueCross BlueShield. At their annual spring luncheon, the private rehabilitation services rooms by ap- Schuyler Hospital Auxiliary proudly an- pointment. She performs Swedish massage, Schuyler Hospital Auxiliary nounced that its donations back to Schuyler deep tissue massage, trigger point therapy, Awards Scholarships Hospital in 2014 totaled $28,477, which is a reflexology, and aromatherapy. The Schuyler Hospital Auxiliary awarded new record for the volunteer organization. $1,000 scholarships to three high school Fund-raising efforts throughout the year Schuyler Hospital Laboratory graduates who are planning to enter the allowed the Auxiliary to fund a number of Reaccredited by Joint Commission health-care field. Hailie Searles, Odessa- projects around the hospital and Seneca Schuyler Hospital has earned The Joint Montour High School, will be studying View Skilled Nursing Facility, including the Commission’s Gold Seal of Approval for nutrition at Tompkins Cortland Community purchase of monitors, a metro cart, and Laboratory Services Accreditation by dem- College. Callie Stillman, also from Odessa- chairs in the new operating rooms; a onstrating continuous compliance with its Montour High School, will be studying blanket warmer and televisions for the performance standards. The Gold Seal of physical therapy at Tompkins Cortland Emergency Department; and wheelchairs Approval is a symbol of quality that reflects Community College. Colin DeMeritt, for both facilities. an organization’s commitment to providing Watkins Glen High School, will be studying safe and effective patient care. at Corning Community College, with plans to transfer to Cornell for pre-med. Schuyler Hospital’s Dr. Hinterberger Supports Dundee Rocks and Schuyler Hospital Recognizes Reads Program Employees Service Dr. Joseph Hinterberger At the annual Employee Recognition Din- cares for the bodies ner on May 13, 2015, Schuyler Hospital and minds of those he recognized employees for five to 35 years treats. Just one example of service. Forty employees were recog- is his participation in nized for a total of 465 years of combined Recognizing the Arcangeli Family Dundee’s Our Town experience at the hospital and skilled At Schuyler Hospital, the first annual RoCKS and Reads Books nursing facility. The celebration included Community Partner Award was to Grow On program. a tribute to one 35-year employee, Karen presented to the Arcangeli Family, who Through this program, each young child and Storm, who worked her way up to director helped plan, prepare for, organize and family are given a new book, funded by Our of the Dietary Services Department after host the Schuyler Health Foundation’s Town RoCKS and Reads, as well as informa- starting as an aide in 1979. Community Family Picnic fundraiser in tion on the importance and pleasure of early At the dinner the 2015 Lou Sand both 2013 and 2014 at their family farm. reading experiences. Award was presented to Bryan Daugherty, a housekeeper at the hospital and Seneca View for over a decade. Daugherty

30 FALL 2015 / Cayuga Health CAYUGA MEDICAL CENTER

Annual Community The New Cayuga Endoscopy Center center), strict protocols for patient’s Partner Award After years of planning and collaboration safety, and SGNA-nationally certified The first annual Community Partner Award the new Cayuga Endoscopy Center, located GI nurses and endoscopy technicians. was given to Peter Saltonstall from King at 2435 North Triphammer Road, is open Cayuga Endoscopy Center works in Ferry Winery for organizing the Ride for and is committed to delivering the highest collaboration with the physicians of Heart Health. The ride is an annual event quality endoscopy service in the region. This Gastroenterology Associates of Ithaca that benefits the Cayuga Heart Institute. If project expands the outpatient endoscopy which includes Peter Brennan, Carl you are interested in participating or volun- services for our entire community. West, Steve Rogers, and Brent Lemberg, teering in the 2016 Ride for Heart Health on The conveniently located center boasts: all board-certified endoscopy specialists June 25 next year, please contact the King 4 expansive, fully-equipped, and state- available 24/7 and with offices con- Ferry Winery at (315) 364-5100, or e-mail of-the-art procedure rooms, 9 oversized veniently located on-site—a winning [email protected]. patient rooms (tripling the size of Cayuga combination that will form state of the Medical Center’s previous endoscopy art services for all patients. Annual M.A.S.H. Camp at Cayuga Medical Center M.A.S.H. (Medical Academy of Science & CAYUGA CENTER FOR HEALTHY LIVING FALL 2015 Health) Camp is all about learning what health-care professionals do each day by is a six-week weight-loss program that helps you manage allowing students to interact in a number of Living Well weight while maximizing your healthy, self-prepared foods from home. departments with the medical center. This Cost is $150 for the six week classes. Meets on Thursday 5:30 – 6:45 p.m. year students participated through interac- tive, hands-on activities that highlight skills, Exercise Transition Program is for people who want to start being active or equipment, technology, and resources used have difficulty due to pain, atrial fibrillation, or other medical problems. Participants by health-care professions, encouraging stu- use cardiovascular equipment, handheld weights, and do functional activities and dents to pursue future health-care careers. stretching. Classes are led by exercise physiologists from Island Health and Fitness and The program is free to students in the eighth meet throughout the week. Medical clearance is needed. grade. Call the Cayuga Medical Center Education Department for more details, Aquatic Exercise provides a comfortable setting for improving strength, flexibility, 607-274-4011. balance, and cardiovascular function in the water, a medium which aids mobility. Led by exercise physiologists from Island Health and Fitness, classes are offered at several levels, with options on different days and times. Medical clearance is needed. SILVER SERVICE LECTURES Diabetes Education enables people to learn and practice the skills you need Free and open to the public. to manage diabetes. This is a series of three 2-hour sessions meeting each month. 2:00 pm - 3:00 pm Call for upcoming dates and times. DeWitt Clinton Auditorium, Kendal at Ithaca Optifast Meal Replacement Program provides medical management, November 13 nutrition education, and behavioral intervention consisting of an initial nurse practi- tioner assessment, and six weeks of ongoing weight check-in, 30 minutes of class Stroke: New and Expanding and 30 minutes of exercise. Cost is $150 for the six-week classes. Additional cost for Options for Care Optifast products. Tuesday 5:30 – 6:45 p.m. Susan Cowdery, MD, Cayuga Neurologic Services of CMA Staying on the Right Track is a tobacco-cessation support group that meets monthly at three locations for anyone thinking about a quit, ready to quit, or trying John Mayer, Physical Therapist, CMC to maintain a quit. Join in, no matter where you are along your quitting journey. December 11 Call for dates and times.

What You Should Know KidFit is a twelve-week program with Island Health and Fitness that provides a sup- About Nutrition and Heart Disease portive environment for overweight kids (ages 8 to 12) to improve exercise and nutrition. Krista Mugford, MS, RDN, CDN, Parents are included in nutrition classes. Tuesday and Thursday, 4:45 – 6:15 p.m. Registered Dietitian, Call (607) 252-3590 for CCHL class dates, information, and fees. Cayuga Center for Healthy Living

FALL 2015 / Cayuga Health 31 House Calls

Early Screening for Lung Cancer May Save or Extend Your Life

Lung cancer is the leading cause of cancer death in both men and women in the United States. One of the reasons it remains so lethal is that lung cancer is not typically discovered until a patient develops symptoms. At this late stage of the disease, it is very difficult to treat successfully. However, when it is detected early in the disease process—before the onset of symptoms—it is more responsive to treatment, and patients often have a longer life expectancy. Cayuga Medical Center has implemented an annual lung- screening program to help identify patients with an increased risk of lung cancer, to counsel them on smoking cessation, and to screen them annually for early-stage tumors.

How is the screening performed? DR. WALTER SILBERT is board certified in diagnostic radiology We use low-dose computed tomography (LDCT), which is a pain- and is on the medical staff of Cayuga Medical Center, where he less, noninvasive imaging study. This screening program is similar is director of musculoskeletal radiology in the Department of to the use of mammography in annual breast cancer screening, which has proven very successful in identifying early-stage can- Imaging Services. cers and has reduced fatalities from breast cancer. What happens after my physician has referred Who is a candidate for annual lung screening? me for LDCT lung screening? The government guidelines recommend annual screening for Once your screening exam has been completed, the radiologist lung cancer in adults aged 55 to 80 years old who have a 30-pack- sends a report to your primary-care provider, who shares the year smoking history. If you meet this criteria and you currently results with you. If the results are positive, you and your smoke, or if you quit less than 15 years ago, annual screening is physician will discuss what comes next. At Cayuga Medical recommended. Center our experienced patient navigators, who are specially trained nurses, will help answer your questions. Additional What is the definition of the term 30-pack-year? patient resources include the Cayuga Cancer Center for compre- If you have smoked a pack of cigarettes a day, every day, for 30 hensive cancer care, board-certified pulmonologists with special years, you have a 30-pack-year smoking history. If you smoked training in diagnosing and treating diseases of the lung, and the two packs a day, every day, for 15 years, you also have a 30-pack- Cayuga Center for Healthy Living for help with smoking cessation year smoking history. This calculation is clinically important and other lifestyle changes. because there is a direct relationship between magnitude of cigarette smoking and the risk of lung cancer. Does my health insurance cover the cost of annual lung screening? Are there any risks associated with LDCT? Every insurance policy is different, so it is best to verify with The biggest concern related to LDCT screening is a certain your health insurance carrier what the approved criteria are percentage of false-positive results, which occur when the for annual lung screening using LDCT. If this screening is not screening test results indicate there may be cancer when there covered under your insurance program, Cayuga Medical Center is not. To best mitigate this, we follow detailed guidelines in offers it as a self-pay service. If you think you meet the criteria for the appropriate evaluation and follow-up of indeterminate lung cancer screening, I urge you to talk with your primary-care lung nodules detected during LDCT. physician or call (607) 274-3937 to speak with one of our patient navigators for further information.

32 FALL 2015 / Cayuga Health SURGICAL SERVICES

FALL 2015 Cayuga Medical Center and Schuyler Hospital Members of Cayuga Health System

We form meaningful partnerships with patients Cayuga Medical Center Schuyler Hospital Surgicare Cayuga Endoscopy Center and families to create 101 Dates Drive 220 Steuben Street 10 Arrowwood Drive 2435 N. Triphammer Road Ithaca, New York 14850 Montour Falls, NY 14865 Ithaca, New York 14850 (Corner of N. Triphammer Patient- the highest level of and Craft Roads) support and healing. Ithaca, New York 14850 THE NEW MAGAZINE FOR CAYUGA HEALTH SYSTEM Focused and For more information, please call Surgical Services at (607) 274-4011 Progressive or visit us online at cayugamed.org. SURGERY IN THE SYSTEM BARIATRIC WEIGHT LOSS SURGERY ATTACK: ONE MAN’S STORY Surgical Services Specialties Bringing You the Next Generation of Surgery General and Obstetric and Gynecologic Otolaryngology (ENT) – Plastic, Cosmetic, and Orthopedic Surgery Neurosurgery General Surgery UrologicGeneral SurgerySurgery Surgery Head and Neck Surgery Reconstructive Surgery Welcome to the inaugural issue of while we constructed our new operating Cayuga Health, the news magazine of rooms. Our surgeons, nurses, and tech- the Cayuga Health System. We know our nicians made the transition to the new readers of Cayuga Medical Center’s Health operating rooms as seamlessly as possible. Visions and Schuyler Hospital’s Life Cycles I have rarely seen such remarkable team- will enjoy this new publication every bit as work in the face of such complex projects. much as we enjoy bringing it to you. The capabilities and commitment of staff I am very pleased to announce that the members at both hospitals in the Cayuga last of the new operating rooms at Cayuga Health System were just extraordinary Medical Center was completed in June under these difficult circumstances. 2015, bringing to a close the three-year construction process that has made the Attracting the best surgical suites here the most up-to-date of As significant as these changes are, a any hospital in our region. Our operating successful surgical services department rooms are now significantly larger and depends on more than up-to-date technol- can more efficiently accommodate the ogy. Ultimately, what is most important is Our orthopedic surgeons partner with you to Our general and urologic surgeons take care Our neurosurgeons work with a highly trained A team of ob-gyn surgeons, certified nurse Our ENT and head and neck surgeons treat a Our surgical specialists are fellowship-trained, complex inpatient and outpatient surger- the team of professionals that perform the determine treatment for of patients requiring group of operating-room and intensive-care- midwives, and experienced registered nurses wide range of acute and chronic problems, involv- and perform both facial plastic surgery and ies that are performed routinely at Cayuga surgery. Having top-notch physicians, nurses, • Fracture injuries due to accidents • A comprehensive weight-loss surgery program unit professionals to treat a wide variety of provide comprehensive surgical care for women, ing both illness and congenital conditions, such as reconstruction following surgery for cancer Medical Center. The completion of this and technicians makes the difference, and neurosurgical problems affecting the spine, including and trauma, such as project comes one year after Schuyler I’m proud of the surgical team we have • All types of sports-related injuries • Cancer surgery (breast, colon, lung, etc.) • Severe snoring and obstructive sleep apnea Hospital wrapped up the three-year expan- attracted to the Cayuga Health System. We • Specialized arthroscopic shoulder, knee, wrist, • Thoracic (chest) surgery, major and minor neck, and brain, including • Cesarean-section surgery in the special surgical • Functional endoscopic sinus surgery or FESS • Facial and nasal surgery (reconstructive and sion and renovation of its own operating recruit the kinds of surgeons we need to and hand surgery, including endoscopic carpal abdominal procedures, including digestive • Herniated disks, spinal fusions, and lumbar suite located within Cayuga Birthplace (to treat chronic sinus infections) cosmetic) suite, enabling surgeons there to perform serve our communities because they see that tunnel surgery tract, biliary tract (liver, gallbladder, pancreas), stenosis (impinged nerve functioning due to • Minimally invasive procedures such as advanced • Microlaryngoscopic surgery (to repair damaged • Reconstruction after the excision of tumors outpatient procedures in orthopedics, gen- we reinvest in our surgical capabilities. We • Arthroscopically assisted ligament reconstruction and hernias narrowing of the spinal canal) laparoscopy, total and supracervical laparoscopic vocal cords) • Breast reconstruction surgery eral surgery, gastroenterology, and vein attract and retain phenomenal nurses who and laser surgery. are committed to staying at the leading edge • Tendon repair and fracture reduction • Endocrine system procedures (thyroid and • Benign and malignant tumors of the brain hysterectomy, advanced hysteroscopy for polyps • Removal of tonsils and adenoids • Hand surgery The original operating rooms at both of their profession and who continually hone • Total joint replacements of the hip, elbow, parathyroid glands) that produce the body’s and spine and fibroids, and hysteroscopic sterilization • Myringotomy and tubes (drains fluid from ear) • Liposuction to remove fat and contour the body Cayuga Medical Center and Schuyler their skills as they specialize in specific areas shoulder, and other joints, including both total hormones • Aneurysms and other hemorrhages in the brain, • Endometrial ablation to treat menorrhagia • Septoplasty (to improve breathing) • The newest techniques for chronic wound care Hospital were built in the 1970s. Since of surgical nursing. and unicondylar knee replacement • Skin and soft-tissue surgery and brain injury from trauma or stroke (heavy menstrual bleeding) • Tympanoplasty (to repair eardrum injuries) that time surgery has changed dramatically We are also fortunate at Cayuga Medical • Repair and replacement of existing joint • Vascular surgery on the circulatory system • Hydrocephalus (accumulated fluid in the brain) • Pelvic reconstructive surgery for uterine and • Bronchoscopy (to diagnose congenital and become increasingly dependent on Center to have an active and involved the use of technology. Changes have Surgical Governance Council under the replacement (arteries and veins) • Fractures of the neck and spine vaginal prolapse malformations of the trachea and larynx, occurred more rapidly in some surgical capable leadership of Dr. Michael Wilson, • Urologic surgery of diseases in the urinary tract • Urogynecology services including surgical and to remove foreign bodies) specialties than others; however, over an orthopedic surgeon. The members of this of women and men and the reproductive tract treatment of urinary incontinence • Parathyroid surgery time many of these technological innova- council work collaboratively to ensure in men • Head and neck cancer surgery tions have been adapted for use across the smooth, safe provision of surgical services surgical specialties. This means that as for the patients we serve, and they will play Our opthalmologic surgeons are specialists various surgeons perform different types a key role in our continued success as we Safe. Comfortable. Stress-Free. Surgical Services at Cayuga Medical Center* of procedures—from hernia repairs to acclimate to our new facilities and plan for Opthalmologic (Eye) in adult and pediatric ophthalmology who spinal fusions—they all benefit from the the future. Surgery routinely perform I am confident that with our leading-edge availability of the latest advancements. • Eye trauma, eyelid, and eye muscle surgery High-definition video monitors, the flex- operating suites, our experienced staff, and ibility of boom technology to conveniently the surgical governing structure we have in From presurgery • Advanced surgery for cataract removal and suspend surgical equipment from the place at Cayuga Medical Center, the Cayuga to recovery, every lens replacement ceiling, and computerized pharmacy dis- Health System will continue to grow. By • Infant eye exams and pediatric surgery for pensing units in the operating suites are working together we will keep pace with all effort is made by amblyopia and strabismus Inpatient Cases • 1,380 among the many enhancements that now the remarkable advances in surgery in the our surgical team • Refractive surgery improve patient care. years to come. Outpatient Cases • 6,052 • Glaucoma surgery What is especially impressive about to ensure the most Total Surgical Cases • 7,432 both of these building projects is that John Rudd, President and CEO safe, comfortable, the surgery schedules at Cayuga Medical Cayuga Medical Center and Center and Schuyler Hospital did not stop Cayuga Health System and stress-free * Statistics from 2013 patient experience. Surgical Services Specialties Bringing You the Next Generation of Surgery General and Obstetric and Gynecologic Otolaryngology (ENT) – Plastic, Cosmetic, and Orthopedic Surgery Neurosurgery General Surgery UrologicGeneral SurgerySurgery Surgery Head and Neck Surgery Reconstructive Surgery Welcome to the inaugural issue of while we constructed our new operating Cayuga Health, the news magazine of rooms. Our surgeons, nurses, and tech- the Cayuga Health System. We know our nicians made the transition to the new readers of Cayuga Medical Center’s Health operating rooms as seamlessly as possible. Visions and Schuyler Hospital’s Life Cycles I have rarely seen such remarkable team- will enjoy this new publication every bit as work in the face of such complex projects. much as we enjoy bringing it to you. The capabilities and commitment of staff I am very pleased to announce that the members at both hospitals in the Cayuga last of the new operating rooms at Cayuga Health System were just extraordinary Medical Center was completed in June under these difficult circumstances. 2015, bringing to a close the three-year construction process that has made the Attracting the best surgical suites here the most up-to-date of As significant as these changes are, a any hospital in our region. Our operating successful surgical services department rooms are now significantly larger and depends on more than up-to-date technol- can more efficiently accommodate the ogy. Ultimately, what is most important is Our orthopedic surgeons partner with you to Our general and urologic surgeons take care Our neurosurgeons work with a highly trained A team of ob-gyn surgeons, certified nurse Our ENT and head and neck surgeons treat a Our surgical specialists are fellowship-trained, complex inpatient and outpatient surger- the team of professionals that perform the determine treatment for of patients requiring group of operating-room and intensive-care- midwives, and experienced registered nurses wide range of acute and chronic problems, involv- and perform both facial plastic surgery and ies that are performed routinely at Cayuga surgery. Having top-notch physicians, nurses, • Fracture injuries due to accidents • A comprehensive weight-loss surgery program unit professionals to treat a wide variety of provide comprehensive surgical care for women, ing both illness and congenital conditions, such as reconstruction following surgery for cancer Medical Center. The completion of this and technicians makes the difference, and neurosurgical problems affecting the spine, including and trauma, such as project comes one year after Schuyler I’m proud of the surgical team we have • All types of sports-related injuries • Cancer surgery (breast, colon, lung, etc.) • Severe snoring and obstructive sleep apnea Hospital wrapped up the three-year expan- attracted to the Cayuga Health System. We • Specialized arthroscopic shoulder, knee, wrist, • Thoracic (chest) surgery, major and minor neck, and brain, including • Cesarean-section surgery in the special surgical • Functional endoscopic sinus surgery or FESS • Facial and nasal surgery (reconstructive and sion and renovation of its own operating recruit the kinds of surgeons we need to and hand surgery, including endoscopic carpal abdominal procedures, including digestive • Herniated disks, spinal fusions, and lumbar suite located within Cayuga Birthplace (to treat chronic sinus infections) cosmetic) suite, enabling surgeons there to perform serve our communities because they see that tunnel surgery tract, biliary tract (liver, gallbladder, pancreas), stenosis (impinged nerve functioning due to • Minimally invasive procedures such as advanced • Microlaryngoscopic surgery (to repair damaged • Reconstruction after the excision of tumors outpatient procedures in orthopedics, gen- we reinvest in our surgical capabilities. We • Arthroscopically assisted ligament reconstruction and hernias narrowing of the spinal canal) laparoscopy, total and supracervical laparoscopic vocal cords) • Breast reconstruction surgery eral surgery, gastroenterology, and vein attract and retain phenomenal nurses who and laser surgery. are committed to staying at the leading edge • Tendon repair and fracture reduction • Endocrine system procedures (thyroid and • Benign and malignant tumors of the brain hysterectomy, advanced hysteroscopy for polyps • Removal of tonsils and adenoids • Hand surgery The original operating rooms at both of their profession and who continually hone • Total joint replacements of the hip, elbow, parathyroid glands) that produce the body’s and spine and fibroids, and hysteroscopic sterilization • Myringotomy and tubes (drains fluid from ear) • Liposuction to remove fat and contour the body Cayuga Medical Center and Schuyler their skills as they specialize in specific areas shoulder, and other joints, including both total hormones • Aneurysms and other hemorrhages in the brain, • Endometrial ablation to treat menorrhagia • Septoplasty (to improve breathing) • The newest techniques for chronic wound care Hospital were built in the 1970s. Since of surgical nursing. and unicondylar knee replacement • Skin and soft-tissue surgery and brain injury from trauma or stroke (heavy menstrual bleeding) • Tympanoplasty (to repair eardrum injuries) that time surgery has changed dramatically We are also fortunate at Cayuga Medical • Repair and replacement of existing joint • Vascular surgery on the circulatory system • Hydrocephalus (accumulated fluid in the brain) • Pelvic reconstructive surgery for uterine and • Bronchoscopy (to diagnose congenital and become increasingly dependent on Center to have an active and involved the use of technology. Changes have Surgical Governance Council under the replacement (arteries and veins) • Fractures of the neck and spine vaginal prolapse malformations of the trachea and larynx, occurred more rapidly in some surgical capable leadership of Dr. Michael Wilson, • Urologic surgery of diseases in the urinary tract • Urogynecology services including surgical and to remove foreign bodies) specialties than others; however, over an orthopedic surgeon. The members of this of women and men and the reproductive tract treatment of urinary incontinence • Parathyroid surgery time many of these technological innova- council work collaboratively to ensure in men • Head and neck cancer surgery tions have been adapted for use across the smooth, safe provision of surgical services surgical specialties. This means that as for the patients we serve, and they will play Our opthalmologic surgeons are specialists various surgeons perform different types a key role in our continued success as we Safe. Comfortable. Stress-Free. Surgical Services at Cayuga Medical Center* of procedures—from hernia repairs to acclimate to our new facilities and plan for Opthalmologic (Eye) in adult and pediatric ophthalmology who spinal fusions—they all benefit from the the future. Surgery routinely perform I am confident that with our leading-edge availability of the latest advancements. • Eye trauma, eyelid, and eye muscle surgery High-definition video monitors, the flex- operating suites, our experienced staff, and ibility of boom technology to conveniently the surgical governing structure we have in From presurgery • Advanced surgery for cataract removal and suspend surgical equipment from the place at Cayuga Medical Center, the Cayuga to recovery, every lens replacement ceiling, and computerized pharmacy dis- Health System will continue to grow. By • Infant eye exams and pediatric surgery for pensing units in the operating suites are working together we will keep pace with all effort is made by amblyopia and strabismus Inpatient Cases • 1,380 among the many enhancements that now the remarkable advances in surgery in the our surgical team • Refractive surgery improve patient care. years to come. Outpatient Cases • 6,052 • Glaucoma surgery What is especially impressive about to ensure the most Total Surgical Cases • 7,432 both of these building projects is that John Rudd, President and CEO safe, comfortable, the surgery schedules at Cayuga Medical Cayuga Medical Center and Center and Schuyler Hospital did not stop Cayuga Health System and stress-free * Statistics from 2013 patient experience. Surgical Services Specialties Bringing You the Next Generation of Surgery General and Obstetric and Gynecologic Otolaryngology (ENT) – Plastic, Cosmetic, and Orthopedic Surgery Neurosurgery General Surgery UrologicGeneral SurgerySurgery Surgery Head and Neck Surgery Reconstructive Surgery Welcome to the inaugural issue of while we constructed our new operating Cayuga Health, the news magazine of rooms. Our surgeons, nurses, and tech- the Cayuga Health System. We know our nicians made the transition to the new readers of Cayuga Medical Center’s Health operating rooms as seamlessly as possible. Visions and Schuyler Hospital’s Life Cycles I have rarely seen such remarkable team- will enjoy this new publication every bit as work in the face of such complex projects. much as we enjoy bringing it to you. The capabilities and commitment of staff I am very pleased to announce that the members at both hospitals in the Cayuga last of the new operating rooms at Cayuga Health System were just extraordinary Medical Center was completed in June under these difficult circumstances. 2015, bringing to a close the three-year construction process that has made the Attracting the best surgical suites here the most up-to-date of As significant as these changes are, a any hospital in our region. Our operating successful surgical services department rooms are now significantly larger and depends on more than up-to-date technol- can more efficiently accommodate the ogy. Ultimately, what is most important is Our orthopedic surgeons partner with you to Our general and urologic surgeons take care Our neurosurgeons work with a highly trained A team of ob-gyn surgeons, certified nurse Our ENT and head and neck surgeons treat a Our surgical specialists are fellowship-trained, complex inpatient and outpatient surger- the team of professionals that perform the determine treatment for of patients requiring group of operating-room and intensive-care- midwives, and experienced registered nurses wide range of acute and chronic problems, involv- and perform both facial plastic surgery and ies that are performed routinely at Cayuga surgery. Having top-notch physicians, nurses, • Fracture injuries due to accidents • A comprehensive weight-loss surgery program unit professionals to treat a wide variety of provide comprehensive surgical care for women, ing both illness and congenital conditions, such as reconstruction following surgery for cancer Medical Center. The completion of this and technicians makes the difference, and neurosurgical problems affecting the spine, including and trauma, such as project comes one year after Schuyler I’m proud of the surgical team we have • All types of sports-related injuries • Cancer surgery (breast, colon, lung, etc.) • Severe snoring and obstructive sleep apnea Hospital wrapped up the three-year expan- attracted to the Cayuga Health System. We • Specialized arthroscopic shoulder, knee, wrist, • Thoracic (chest) surgery, major and minor neck, and brain, including • Cesarean-section surgery in the special surgical • Functional endoscopic sinus surgery or FESS • Facial and nasal surgery (reconstructive and sion and renovation of its own operating recruit the kinds of surgeons we need to and hand surgery, including endoscopic carpal abdominal procedures, including digestive • Herniated disks, spinal fusions, and lumbar suite located within Cayuga Birthplace (to treat chronic sinus infections) cosmetic) suite, enabling surgeons there to perform serve our communities because they see that tunnel surgery tract, biliary tract (liver, gallbladder, pancreas), stenosis (impinged nerve functioning due to • Minimally invasive procedures such as advanced • Microlaryngoscopic surgery (to repair damaged • Reconstruction after the excision of tumors outpatient procedures in orthopedics, gen- we reinvest in our surgical capabilities. We • Arthroscopically assisted ligament reconstruction and hernias narrowing of the spinal canal) laparoscopy, total and supracervical laparoscopic vocal cords) • Breast reconstruction surgery eral surgery, gastroenterology, and vein attract and retain phenomenal nurses who and laser surgery. are committed to staying at the leading edge • Tendon repair and fracture reduction • Endocrine system procedures (thyroid and • Benign and malignant tumors of the brain hysterectomy, advanced hysteroscopy for polyps • Removal of tonsils and adenoids • Hand surgery The original operating rooms at both of their profession and who continually hone • Total joint replacements of the hip, elbow, parathyroid glands) that produce the body’s and spine and fibroids, and hysteroscopic sterilization • Myringotomy and tubes (drains fluid from ear) • Liposuction to remove fat and contour the body Cayuga Medical Center and Schuyler their skills as they specialize in specific areas shoulder, and other joints, including both total hormones • Aneurysms and other hemorrhages in the brain, • Endometrial ablation to treat menorrhagia • Septoplasty (to improve breathing) • The newest techniques for chronic wound care Hospital were built in the 1970s. Since of surgical nursing. and unicondylar knee replacement • Skin and soft-tissue surgery and brain injury from trauma or stroke (heavy menstrual bleeding) • Tympanoplasty (to repair eardrum injuries) that time surgery has changed dramatically We are also fortunate at Cayuga Medical • Repair and replacement of existing joint • Vascular surgery on the circulatory system • Hydrocephalus (accumulated fluid in the brain) • Pelvic reconstructive surgery for uterine and • Bronchoscopy (to diagnose congenital and become increasingly dependent on Center to have an active and involved the use of technology. Changes have Surgical Governance Council under the replacement (arteries and veins) • Fractures of the neck and spine vaginal prolapse malformations of the trachea and larynx, occurred more rapidly in some surgical capable leadership of Dr. Michael Wilson, • Urologic surgery of diseases in the urinary tract • Urogynecology services including surgical and to remove foreign bodies) specialties than others; however, over an orthopedic surgeon. The members of this of women and men and the reproductive tract treatment of urinary incontinence • Parathyroid surgery time many of these technological innova- council work collaboratively to ensure in men • Head and neck cancer surgery tions have been adapted for use across the smooth, safe provision of surgical services surgical specialties. This means that as for the patients we serve, and they will play Our opthalmologic surgeons are specialists various surgeons perform different types a key role in our continued success as we Safe. Comfortable. Stress-Free. Surgical Services at Cayuga Medical Center* of procedures—from hernia repairs to acclimate to our new facilities and plan for Opthalmologic (Eye) in adult and pediatric ophthalmology who spinal fusions—they all benefit from the the future. Surgery routinely perform I am confident that with our leading-edge availability of the latest advancements. • Eye trauma, eyelid, and eye muscle surgery High-definition video monitors, the flex- operating suites, our experienced staff, and ibility of boom technology to conveniently the surgical governing structure we have in From presurgery • Advanced surgery for cataract removal and suspend surgical equipment from the place at Cayuga Medical Center, the Cayuga to recovery, every lens replacement ceiling, and computerized pharmacy dis- Health System will continue to grow. By • Infant eye exams and pediatric surgery for pensing units in the operating suites are working together we will keep pace with all effort is made by amblyopia and strabismus Inpatient Cases • 1,380 among the many enhancements that now the remarkable advances in surgery in the our surgical team • Refractive surgery improve patient care. years to come. Outpatient Cases • 6,052 • Glaucoma surgery What is especially impressive about to ensure the most Total Surgical Cases • 7,432 both of these building projects is that John Rudd, President and CEO safe, comfortable, the surgery schedules at Cayuga Medical Cayuga Medical Center and Center and Schuyler Hospital did not stop Cayuga Health System and stress-free * Statistics from 2013 patient experience. SURGICAL SERVICES

FALL 2015 Cayuga Medical Center and Schuyler Hospital Members of Cayuga Health System