Dear Colleagues:

A lot can happen in 40 months. In that space of time, we experienced a harsh economic downturn, several hospitals were shuttered just miles from our doorstep, a new President took office, health care reform legislation passed in Washington, and – we constructed a seven-story hospital wing.

Forty months ago on a brisk February morning we broke ground on our new “West Wing” building. This month, we celebrate the culmination of all the planning and hard work that went into creating this new wing with a ribbon cutting ceremony.

This milestone will mark the day that we expanded community access to health care in Queens.

Forging ahead with construction through tough economic times has not been easy. We persevered by remaining optimistic. Our approach has been to retain our high quality staff and to continue to bring on new voluntary and full time medical staff and employee talent.

Not a day goes by that I don’t hear from someone that New York Hospital Queens is the place that they trust for their health care needs.

We continue to build this reputation and to make headlines for research and technological breakthroughs that we established here. As you will read further in this newsletter, our physicians-in-training developed 62 research projects over the past six months, and recently presented the results of their work at our Lang Research Day in May. Regular readers of this message will note that every month, members of our medical staff are presenting their groundbreaking research at national and, in some cases, international conferences.

As time goes on, when and where we can, we will continue to invest in building specialty services and procedures. For now, come join us on June 16 at 5:30 p.m. as we celebrate the completion of our new “West Wing,” and unveil a new era of health care right here.

Sincerely,

Stephen S. Mills, F.A.C.H.E.

 

 PEOPLE & PROGRAMS


PEOPLE NEWS

We are pleased to announce our expanded role for medical support at John F. Kennedy International Airport.

Edward Bennett, M.D., attending physician in emergency medicine, was recently appointed by the Port Authority of NY and NJ as medical director of all EMS teams that respond to medical calls at JFK Airport. Also, our attending emergency medicine physicians will be responsible for coordinating the medical treatment of patients being transported from JFK.

We congratulate those who were recognized through awards programs during National Nurse’s Week and GI Nurses Week. National Nurse’s Week included a tribute to Florence Nightingale and a daylong celebration for NYHQ nursing staff.

National Nurse’s Week
● Nurse of the Year: Perpetua Samson, B.S.N., R.N.-C.N.N., Hemodialysis
● Jack Fanning Nurse of Compassion: Susamma Daniel, B.S.N., C.C.R.N., SICU
● Jack Fanning Assistant of Compassion: Isaac Twumasi, E.D.T, Emergency Department
● Felicia Grant & Virginia Metacarpa Scholarship Award: Danielle Russo, Nursing Student
● Medical Staff Society Award for Nursing: Christine Brown, B.S.N., R.N., 5 North
● Nurse Leader of the Year: Ambulatory Services Margaret Cartmell, M.S.N., R.N., C.N.E.-B.C., 

GI Nurse’s Week
● GI Nurse of the Year: Remy Laster, R.N., Endoscopy

Our physicians and clinicians frequently present their work at national medical conferences and in peer-reviewed publications.

Peter Wasserman, R.D., M.A. metabolic support, infectious disease division, and David S. Rubin, M.D., attending physician, infectious disease division, and director, NYHQ Specialty Care Center for HIV/AIDS, have published the results of their investigator-initiated study, “Highly prevalent vitamin D deficiency and insufficiency in an urban cohort of HIV-infected men under care,” in the journal AIDS Patient Care and STDs. Last year, Dr. Rubin presented the abstract at the International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention in Cape Town, South Africa. The work of the NYHQ investigators and the UK group received significant attention from the National AIDS Treatment Advocacy Program and HIV medical news organizations. This work has led to routine Vitamin D testing and vitamin D supplementation at the NYHQ HIV/AIDS Center and other infectious disease clinics in the United States, United Kingdom and the European Union.

Ebima Okundaye, M.D., nephrology fellow, presented a study at the National Kidney Foundation's 2010 Spring Clinical Meetings in Orlando, FL, that show about one-quarter of chronic kidney disease patients suffer from iron deficiency anemia. Results showed that 66% of subjects had anemia (58% of men, 69% of women) and 23% of patients had iron deficiency anemia. The study included 308 patients.

At the same conference in Orlando, Jacob Poulose, M.D., a third-year medical resident, presented the study “PPIs Plus Phosphate Binders May Decrease Phosphorus Levels in Hemodialysis Patients.” The study found that taking a proton pump inhibitor (PPI) with a phosphate binder may improve phosphorus control in patients on hemodialysis. High phosphorous levels are a risk factor for cardiovascular events, such as stroke and heart disease.|

Clostridium difficile is a dangerous, diarrhea-causing bacteria that causes several hundred thousand human infections, and several thousand deaths, each year in the U.S. Moshe Rubin, M.D., presented research titled, “Higher resolution rate of clostridia difficile enteritis in hospitalized patients with normal vitamin D levels,” at Digestive Disease Week in New Orleans, LA. The retrospective study found that hospital patients were less likely to clear Clostridium difficile infections in 30 days when they had low vitamin D levels.

Diane Sixsmith, M.D., chairman, Emergency Medicine, presented her experience with managing high patient volumes and surges during epidemic and disaster situations at the New York Chapter of the American College of Emergency Physicians’ ED Directors' Forum roundtable. Her comments were particularly relevant and timely given in the aftermath of the recent closures of several Queens hospitals and the impact of the H1N1 influenza pandemic on our emergency room.|

Anita Datta, M.D., R.D., M.S., Monica Kapoor, M.D., Michelle Pearl-Davis, D.O., and Penelope Chun-Lema, M.D. R.D., M.S., taught an Introductory Emergency Ultrasound Course to emergency physicians and surgeons at Harlem Hospital/Columbia University.

Two research studies from NYHQ were presented at the St. Luke's Roosevelt Annual Regional Ultrasound Symposium. Anita Datta M.D., R.D., M.S., Monica Kapoor, M.D., Shauna Conry, M.D., Sanjey Gupta, M.D., Nidhi Garg, M.D., and Penelope Chun-Lema, M.D, R.D., M.S. presented their research, “Does the Presence of a Baker's Cyst of the Lower Extremity on Initial Ultrasound Increase the Incidence of a Deep Vein Thrombosis?,” and Drs. Datta, Pearl-Davis, Gupta, Garg, Chun-Lema, and Anjali Bharati, D.O. presented their research, “Is the Wall Echo Shadow Triad on Ultrasound Really Cholecystitis?”

Dr. Chun-Lema presented a lecture on the practical uses of bedside lung ultrasound to the SUNY Stony Brook Department of Emergency Medicine.


PROGRAM NEWS

       DaVinci Robot™ Makes its Debut in the Operating Room
Kathy Huang, M.D.,
attending physician, Department of Obstetrics
and Gynecology at New York Hospital Queens, performed our
first robotic surgery on a 37-year-old woman who had excessive
uterine bleeding, as well as an ovarian tumor and a desire to
protect her future fertility. Her surgery was successful and Dr.
Huang did robotic surgery to remove an ovarian cyst on another
woman the next day.

NYHQ is using the new third generation da Vinci Robotic Surgery Si System, the most advanced model available. It has been shown to provide superior clinical results when compared to non-robotic traditional and scope assisted procedures because it allows the surgeon a full three dimensional high resolution view during the surgery.

Lang Research Center Hosts Residents and Fellows Day 
The Theresa and Eugene M. Lang Center for Research and Education annually hosts a training program for medical residents and fellows that teaches physicians-in-training how to conduct a clinical research study. The training program culminates with a Residents and Fellows Day symposium that showcases the studies and includes the presentation of Lang Research Awards, chosen by the hospital’s Scientific Advisory Board. This year 62 studies were submitted in posters, oral presentations and case reports. The award recipients and their research studies were:

Farzin Rahmanou, M.D., Internal Medicine, “Albumin Levels in a Newly Intubated Critically Ill Patient”
Ernie Yap, M.D., Internal Medicine, “Retrospective Analysis of (VTE) Prophylaxis Prescription”
Ellen Gutkin, M.D., Gastroenterelogy, “Pillcam ESO is More Accurate than Clinical Scoring Systems in Risk Stratisfying    Emergency Room Patients with Acute Upper Gastrointestinal Bleeding”
Rashmi Bawa, M.D., Surgery, “Evaluating the Transition into Residency”
Alexander Kraev, M.D., Surgery, “Factors Predictive of Mortality in Vascular Surgery Patients from A NSQIP Database: Does Obesity Matter?”

Reducing Pain in the Emergency Room
As another way to address acute pain, especially in children who tend to be squeamish about needles, the Department of Emergency Medicine recently established inhaled nitrous oxide as an option for pain management and procedural sedation. The Emergency Room protocol was developed by Gregg Rusczyk, MD, director, Pediatric Emergency Department, in collaboration with Peter Silverberg, MD, chairman, Department of Anesthesiology. What makes nitrous oxide so attractive is that it offers very effective pain and stress reduction. And, once the mask is removed, the patient returns to normal within a few minutes.

Specialized Nursing Team Achieves Zero Infection Rate
A team of five nurse specialists who insert special catheter lines (PICC lines) that are used instead of IVs to deliver medications, nutrients and various fluids, achieved a zero infection rate in 2009. The team uses a strict safety protocol that makes the procedure sterile and safer for patients. The national average of PICCassociated infections is 5 percent (at NYHQ, 5 percent would have been about 45 infections). In addition to the safety benefit, our patients experience less needle sticks through the use of an ultrasound guided system that is used to find the vein precisely the first time. This method avoids irritation to the vein, damage to nearby nerves and arteries, and lessens the formation of blood clots that can occur with repeated insertion attempts.

  Program News Mother’s Day Promotion for Free Cancer Screenings for Women
The phone was ringing off the hook as hundreds of women responded to a pre-Mother’s Day announcement by New York Hospital Queens, State Senator Toby Ann Stavisky, Assemblywoman Grace Meng and Councilman Peter Koo, that urged women to get free cancer screenings. New York Hospital Queens in conjunction with the New York State Department of Health Cancer Services Program offered free breast and cervical cancer screening at the NYHQ Flushing Family Health Center in Downtown Flushing.


Cardiac Health Center Study Finds Need for More Cardiac Rehab
The Cardiac Health Center presented its study, "Diabetic post-CABG cardiac patients and their obvious need for more intensive
cardiac rehabilitation," at the Preventive Cardiovascular Nurses Association 16th Annual Symposium in Schaumburg, IL. The
study abstract was also published in the Journal of Cardiovascular Nursing.|

Women’s Auxiliary Presents New Ultrasound Machine to Emergency Room
The NYHQ Women’s Auxiliary helps raise funds for the hospital and supports health-related programs. They recently presented a generous gift of a new portable ultrasound machine to the Emergency Department. Emergency medicine physicians can use this state-of-the-art equipment to rapidly diagnose conditions, such as abdominal aortic aneurysms. In addition, it will be used to assist in performing invasive procedures such as peripheral and central intravenous line cannulation.

NYHQ Receives Half Million Dollar Grant for Cancer Diagnostic Technology
A grant of $515,000 has been delivered to New York Hospital Queens by the Dormitory Authority of the State of New York for the purchase of a new Alpha 10 EUS, a sophisticated endoscopic ultrasound system, for the Endoscopy Lab. The system is used to examine internal organs in the chest and abdomen and helps diagnose pancreatic, esophageal, rectal, gastric and lung cancer, as well as benign tumors.

Pediatric Mobile Asthma Unit Hits the Road Again
After a hiatus for repairs, the Pediatric Mobile Asthma Unit is back on the road. Since its unveiling in 1997, the mobile unit has
traveled to more than 50 health fairs, community centers, schools, homeless shelters, houses of worship and other locations in
Queens, offering asthma education and screening to more than 2,000 children in primarily medically underserved neighborhoods. The mobile unit is fully equipped with the latest diagnostic technology, including a computerized spirometer designed to resemble a video game, for measuring lung capacity.

We Appreciate Our Hospital Volunteers
We celebrated our many volunteers during National Volunteer Week with a festive luncheon. Mario C. Henry, patient hospitality volunteer, was recognized as Volunteer of the Year. What is truly staggering are the 2009 statistics. Last year, 909 volunteers supported the hospital with 82,326 hours of time and talent in a wide variety of departments and programs.

Disaster Preparedness Training by the Red Cross at NYHQ
In addition to disaster relief, The American Red Cross of Greater New York provides disaster preparedness training for New Yorkers. Our hospital was selected as the Queens site for a daylong “Community Preparedness Day” of training sessions offered in English, Chinese and Korean. We held a joint press conference in May at the hospital to promote the sessions to the community.

New York Hospital Queens Supports Our Community
The hospital supports many organizations in the Queens community. Our community activities strengthen our ties to our neighborhood and residents. By developing new relationships and building our community partnerships, Queens residents learn more about the high quality medical care available right in their own backyard.

Some of the organizations with which we recently sponsored programs included Queens College, Queens Theatre in the Park, Queens Borough Community College, Queens Chamber of Commerce, the Queens Botanical Garden, the American Red Cross and the Queens Economic Development Corporation.

PROGRESS

Major Modernization – West Wing Nears Completion
The new seven-story West Wing building is nearly complete. The Department of Buildings (DOB) will conduct an inspection shortly to give us their approval to open the building. In addition to receiving the DOB approval, as a health care facility, the hospital must also receive approval from the Department of Health (DOH) in order to receive patients and provide care. Upon DOB approval, we will request a DOH inspection.

Please join us at the Ribbon Cutting and Reception on Wednesday, June 16, 2010 at 5:30 p.m. Please RSVP (favorably only) if you have not yet done so. We look forward to seeing you at this historic event for New York Hospital Queens.



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