Health

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By Nancy Burner Esq.

Nancy Burner, Esq.

The Medicare program is administered jointly by the state and federal government. Medicare is available to adults 65 years of age and older, or to anyone under the age of 65 who is entitled to Social Security Disability. 

Medicare provides varying levels of medical coverage, depending on the plan you have. Medicare Part A and Part B, two of the more basic plans, provide coverage for hospitalization stays, rehabilitation, physical therapy, routine doctor visits, and medical equipment. Medicare Part A will also cover the cost of hospice care with a terminal diagnosis of less than 6 months. 

It is important to note that Medicare will not pay for long term services in a facility or services received at home on a long term basis. For example, if you fall and require surgery, you may need rehabilitation in a facility before able to safely return home. In this case, as long as all requirements are met following the hospital stay, Medicare Part A will cover the full cost of the first 20 days in a rehabilitation facility. For days 21-100, there is a co-pay per day if the patient continues to need rehabilitation services. 

If you have a supplemental insurance policy or commonly referred to as a “gap” policy, this may help ease the cost of the daily out of pocket co-pays. After Medicare stops paying, the full cost of the nursing home falls on the patient. This can cost can be upwards of $600 per day.

As you can see, coverage for rehabilitation under Medicare Part A is intended to be short-term. The goal is improvement of acute conditions through rehabilitation and skilled nursing care. While given up to 100 days, patients rarely qualify for this full amount. After admittance to a facility, the patient is evaluated periodically. Once the facility determines that the patient no longer needs skilled care, coverage under the Medicare program ends.

The most important piece to understand is the difference between skilled care and custodial care. Medicare does not cover custodial care. There are many circumstances where the patient does not fall into the category of needing rehabilitative or skilled care, but the family cannot bring their loved one home safely. Medicare does not pay for time to set up a discharge plan. Once Medicare terminates coverage, the patient needs to return to the community or start privately paying for care.

As you enter the arena of Medicare and with unpredictable times, education is key. It is important to meet with your Elder Law attorney to discuss future care plans and options for aging in place successfully.

Nancy Burner, Esq. is the founder and managing partner at Burner Law Group, P.C with offices located in East Setauket, Westhampton Beach, New York City and East Hampton.

Author Janet Werner, left, and artist Kyle Horne display their finished book, ‘A Pear in an Apple Tree: A Journey with Multiple Sclerosis.’ Photo courtesy Kyle Horne

One of TBR News Media’s very own recently embarked on a life-changing collaboration with a former educator. 

Kyle Horne, a local artist and frequent contributor of political cartoons and editorial illustrations to our newspapers, has partnered with his former teacher, Janet Werner, to create a book about multiple sclerosis. Together, they tell a moving story of overcoming adversity, revealing a powerful, enduring bond between a student and teacher.

A journey with MS

Werner was diagnosed with multiple sclerosis, commonly known as MS, in 1986. At the onset of her symptoms, she recalled a feeling of numbness in her legs and overwhelming fatigue.

“I actually took off for two weeks from work that first year and just slept,” she said. “I got an MRI at the time, and it showed plaque in the brain, which is white lesions. Depending upon where these white lesions are seen in the brain, it could affect your mobility, cognition and eyesight.”

As the years advanced, Werner’s symptoms gradually progressed. During a startling incident one morning, she temporarily lost her eyesight and hearing completely. “What seemed like hours was about 20 minutes,” she said. “I was terrified because it had never happened before.”

Nearly four decades after her initial diagnosis, Werner explained she is “doing pretty well” despite the heightening symptoms with each passing year. She said managing the symptoms requires plenty of rest and an upbeat mentality.

With husband Ernest, “we try to get some exercise, eat correctly and just keep a positive frame of mind,” she said. “Of course, life is very stressful but we try to be positive.”

‘A Pear in an Apple Tree’

Over several years, Werner wrote “A Pear in an Apple Tree: A Journey with Multiple Sclerosis,” saying she was motivated to write the book for various reasons. 

Among them, she noted a lack of public understanding surrounding MS and its symptoms. She also wanted to share her story with those experiencing MS, preparing them for the path ahead and informing them that they are not alone.

“Sometimes with any challenge in your life, you feel like you’re the only one who has this specific condition or challenge, whether it’s MS or cancer and you kind of hide away from the rest of the world,” she said. “That’s not good to do that. I wanted the ‘MSers’ to feel that we’re in this together.”

Werner recalled the moment that gave the book its name. She said she was eating dinner with her husband, struggling with her symptoms that day, when she blurted out, “I feel like a pear in an apple tree, kind of out of place.”

Despite the numerous challenges through the years, Werner said she wrote the book to let others know they have a place with an MS community that also understands their struggles.

A dynamic team

‘You have to educate yourself about the disease and how it affects your body. And then learn to adapt.’

— Janet Werner

The collaboration between Werner and Horne has been decades in the making. A graduate of Deer Park High School, Horne was her student and a member of the school’s Students Against Destructive Decisions Club, which Werner had advised.

“He would invite me to some of his book signings and art shows, and we kept in close contact over the years,” she said. “When I was doing this book, I immediately thought of him because I loved his artwork.”

Horne described the early stages of preparing the book with his former teacher. He was eager to sign onto the project. 

“She came to me with this idea for a book dealing with MS and how it affects her,” Horne said. Although managing symptoms “can be difficult, those challenges have been very helpful in developing her into the person she is today.”

Along with the cover and back cover, Horne prepared several illustrations throughout the book, tying into the themes of each of its chapters. Together, Werner and Horne developed the characters of Ned and Nancy Neuron.

Through the illustrations he prepared for the book, Horne said he learned much about Werner and her experiences with MS, describing a sense of growth and mutual understanding forged throughout their creative journey together.

“I don’t have MS, but I’m able to sympathize more with Janet and the struggles that she’s had,” the artist said. “She has a very strong spirit when it comes to this.”

An optimistic future

Following the success of their first collaboration, Werner and Horne are already working on the next project, a coloring book that adds an interactive component to the story of Ned and Nancy Neuron.

Werner said she remains “very hopeful” that researchers will soon discover a cure for MS. Analyzing the scope of scientific investigation into the condition, she said there is considerable overlap between ongoing MS research and similar autoimmune diseases.

“Research that’s being conducted for, say, AIDS or lupus is also being conducted for MS,” she said. “Stony Brook [University] has an MS center, and their research is going on at a rapid rate. So I am so hopeful.”

Despite the decades she has spent with MS, Werner shares a message of resolve in the face of hardship.

“I think you have to keep fighting,” she said. “You cannot give up. If you’re faced with a challenge, you have to educate yourself about the disease and how it affects your body. And then learn to adapt.”

Horne said the collaboration with Werner has been a personal experience as well. Learning about MS, he said, has informed his outlook on his own life.

“I have a condition known as ulcerative colitis, also known as Crohn’s disease,” Horne said. “Understanding the perspective of another chronic illness, and from a different person, has come to help with my own process and working through my own things.”

He added, “When it comes to something like this it can be very scary at times, but it also can be very rewarding knowing the perseverance of getting through a struggle like that.”

To learn more about MS, visit www.nationalmssociety.org. To purchase “A Pear in an Apple Tree,” visit www.allbook-books.com.

By focusing on developing heart-healthy habits, we can improve the likelihood that we will be around for a long time. METRO photo
Modest dietary changes can have a big impact

By David Dunaief, M.D.

Dr. David Dunaief

With all of the attention on infectious disease prevention these past two years, many have lost sight of the risks of heart disease. Despite improvements in the numbers in recent years, heart disease in the U.S., making it the leading cause of death (1).

I have good news: heart disease is on the decline in the U.S. due to a number of factors, including better awareness, improved medicines, earlier treatment of risk factors and lifestyle modifications. We are headed in the right direction, but we can do better. It still underpins one in four deaths, and it is preventable.

Manage your baseline risks

Significant risk factors for heart disease include high cholesterol, high blood pressure and smoking. In addition, diabetes, excess weight and excessive alcohol intake increase your risks. Unfortunately, both obesity and diabetes are on the rise. For patients with type 2 diabetes, 70 percent die of cardiovascular causes (2).

Inactivity and the standard American diet, rich in saturated fat and calories, also contribute to atherosclerosis, fatty streaks in the arteries, the underlying culprit in heart disease risk (3).

Another potential risk factor is a resting heart rate greater than 80 beats per minute (bpm). In one study, healthy men and women had 18 and 10 percent increased risks of dying from a heart attack, respectively, for every increase of 10 bpm over 80 (4). A normal resting heart rate is usually between 60 and 100 bpm. Thus, you don’t have to have a racing heart rate, just one that is high-normal. All of these risk factors can be overcome.

How does medication lower heart disease risk?

Cholesterol and blood pressure medications have been credited to some extent with reducing the risk of heart disease. Unfortunately, according to 2018 National Health and Nutrition Examination Survey (NHANES) data, only 43.7 percent of those with hypertension have it controlled (5). While the projected reasons are complex, a significant issue among those who are aware they have hypertension is a failure to consistently take prescribed medications, or medication nonadherence.

Statins also have played a key role in primary prevention. They lower lipid levels, including total cholesterol and LDL (“bad” cholesterol) but they also lower inflammation levels that contribute to the risk of cardiovascular disease. The JUPITER trial showed a 55 percent combined reduction in heart disease, stroke and mortality from cardiovascular disease in healthy patients — those with a slightly elevated level of inflammation and normal cholesterol profile — with statins.

The downside of statins is their side effects. Statins have been shown to increase the risk of diabetes in intensive dosing, when compared to moderate dosing (6).

Unfortunately, many on statins also suffer from myopathy (muscle pain). I have had a number of patients who have complained of muscle pain and cramps. Their goal is to reduce and ultimately discontinue their statins by following a lifestyle modification plan involving diet and exercise. Lifestyle modification is a powerful ally.

What lifestyle changes help minimize heart disease?

The Baltimore Longitudinal Study of Aging, a prospective (forward-looking) study, investigated 501 healthy men and their risk of dying from cardiovascular disease. The authors concluded that those who consumed five servings or more of fruits and vegetables daily with <12 percent saturated fat had a 76 percent reduction in their risk of dying from heart disease compared to those who did not (7). 

The authors theorized that eating more fruits and vegetables helped to displace saturated fats from the diet. These results are impressive and, to achieve them, they only required a modest change in diet.

The Nurses’ Health Study shows that these results are also seen in women, with lifestyle modification reducing the risk of sudden cardiac death (SCD). Many times, this is the first manifestation of heart disease in women. The authors looked at four parameters of lifestyle modification, including a Mediterranean-type diet, exercise, smoking and body mass index. The decrease in SCD that was dose-dependent, meaning the more factors incorporated, the greater the risk reduction. SCD risk was reduced up to 92 percent when all four parameters were followed (8). Thus, it is possible to almost eliminate the risk of SCD for women with lifestyle modifications.

How can you monitor your heart disease risk?

To monitor your progress, cardiac biomarkers are telling, including inflammatory markers like C-reactive protein, blood pressure, cholesterol and body mass index. 

In a cohort study of high-risk participants and those with heart disease, patients implemented extensive lifestyle modifications: a plant-based, whole foods diet accompanied by exercise and stress management (9). The results showed an improvement in biomarkers, as well as in cognitive function and overall quality of life. Most exciting is that results occurred over a very short period to time — three months from the start of the trial. Many of my patients have experienced similar results.

Ideally, if a patient needs medications to treat risk factors for heart disease, it should be for the short term. For some patients, it may be appropriate to use medication and lifestyle changes together; for others, lifestyle modifications may be sufficient, as long as patient takes an active role.

By focusing on developing heart-healthy habits, we can improve the likelihood that we will be around for a long time.

References:

(1) cdc.gov/heartdisease/facts. (2) Diabetes Care. 2010 Feb; 33(2):442-449. (3) Lancet. 2004;364(9438):93. (4) J Epidemiol Community Health. 2010 Feb;64(2):175-181. (5) Hypertension. 2022;79:e1–e14. (6) JAMA. 2011;305(24):2556-2564. (7) J Nutr. March 1, 2005;135(3):556-561. (8) JAMA. 2011 Jul 6;306(1):62-69. (9) Am J Cardiol. 2011;108(4):498-507.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.

Tenzin Tanaka playing on a swing set at his mother’s home. Photo by Samantha Blandi

Port Jefferson Moose Lodge, 37 Crystal Brook Hollow Road, Mt. Sinai hosts a Comedy Show fundraiser by the Terryville Road PTA for Port Jefferson Station 8-year-old Tenzin Tanaka who is battling leukemia on Sunday, March 26 at 4 p.m. (Doors open at 2:30 p.m.) with comedians John Butera, Chris Roach, Dan LaRocco, Rich Walker and Fat Jay.  With 50/50 raffle auction. Mature audiences only. $30 per person, $50 per couple. For tickets, please call 516-662-0931.

File photo/TBR News Media

Mather Hospital in Port Jefferson has received a 2023 Outstanding Patient Experience Award™ from Healthgrades. This distinction places Mather Hospital among the top 10 percent of hospitals nationwide for patient experience, according to Healthgrades, the leading marketplace that connects people with the right doctor and hospital. Mather Hospital has received the Outstanding Patient Experience Award for three consecutive years (2021-2023). 

The award recognizes hospitals that provide an overall outstanding patient experience and is based on ten measures related to doctor and nurse communication, hospital cleanliness and noise levels, and medication and post-discharge care instructions using data from surveys of the hospital’s own patients. Patient experience is the sum of all interactions, shaped by a healthcare organization’s culture, that influence patients’ perceptions across the continuum of care.

“It is our goal at Mather to constantly evaluate and improve every aspect of our patients’ experience from the moment they walk through our doors,” said Executive Director Kevin McGeachy. “This applies not only to the outstanding clinical care they receive but everything from the quality of the food to the cleanliness of their rooms. I am proud of our entire team for this recognition for the third consecutive year.”

 Earlier this year, Mather also received Healthgrades 2023 America’s 250 Best Hospitals Award™. In addition, Healthgrades awarded Mather the 2023 America’s 100 Best Hospitals for Gastrointestinal Surgery Award™, the 2023 Gastrointestinal Care Excellence Award™, the 2023 Gastrointestinal Surgery Excellence Award™, the 2023 Critical Care Excellence Award™.  Mather also received the Pulmonary Care Excellence Award™ for an 8th consecutive year (2016-2023) and the Bariatric Surgery Excellence Award™ for a fifth year in a row (2019-2023).  

For this annual analysis, Healthgrades evaluated 3,138 hospitals that submitted at least 100 patient experience surveys to the Centers for Medicare and Medicaid Services, covering admissions from January 2021 through December 2021. Of those hospitals evaluated, 419 hospitals outperformed their peers – based on their patients’ responses – to achieve this award.

Healthgrades evaluates performance by applying a scoring methodology to ten patient experience measures, using data collected from HCAHPS survey of the hospital’s own patients. 

Survey questions focus on patients’ perspectives of their care in the hospital, from cleanliness and noise levels in patient rooms to medication explanations and hospital staff responsiveness to 

patients’ needs. The measures also include whether a patient would recommend the hospital to friends or family and their overall rating of the hospital.

“We applaud all recipients of the Healthgrades 2023 Outstanding Patient Experience Award for putting patient experience front and center within their organizations,” said Brad Bowman, MD, Chief Medical Officer and Head of Data Science at Healthgrades. “We commend these hospitals for their ongoing commitment to prioritizing an exceptional patient experience, while ensuring the health and safety of their patients.”

Consumers can visit healthgrades.com for more information on how Healthgrades measures hospital quality and access the complete methodology here. An easy-to-understand overview of Healthgrades’ complete patient experience methodology is also available here.

For people who suffer from seasonal allergies, life is about to get really uncomfortable. METRO photo
Over the counter medications help some sufferers

By David Dunaief, M.D.

Dr. David Dunaief

This past weekend, we adjusted our clocks for Daylight Saving Time, the unofficial end of winter. Because it’s been warmer than usual this winter, I’ve noticed crocuses and daffodils are already sprouting and we’re just a few weeks out from full scale tree buds.

For people who suffer from seasonal allergic rhinitis, hay fever, seasonal allergies or whatever you would like to call it, life is about to get really uncomfortable. Just over 25 percent of U.S. adults were diagnosed with seasonal allergies in 2021, and 18.9 percent of children were diagnosed, according to the Centers for Disease Control and Prevention (1). The triggers for seasonal allergies are diverse. They include pollen from leafy trees and shrubs, grass and flowering plants, as well as weeds, with the majority from ragweed (mostly in the fall) and fungus (summer and fall) (2).

What triggers allergic reactions? 

A chain reaction occurs in seasonal allergy sufferers. When foreign substances such as allergens (pollen, in this case) interact with immunoglobulin E (IgE), antibodies that are part of our immune system, they cause mast cells in the body’s tissues to degrade and release inflammatory mediators. These include histamines, leukotrienes and eosinophils in those who are susceptible. In other words, it is an allergic inflammatory response.

The revved up immune system then responds with sneezing; red, itchy and watery eyes; scratchy throat; congestion; sinus headaches; postnasal drip; runny nose; diminished taste and smell; and even coughing (3). Basically, it emulates a cold, but without the virus. If symptoms last more than 10 days and are recurrent, then it is likely you have allergies, not a virus.

If allergic rhinitis is not treated properly, you can experience complications like ear infections, sinusitis, irritated throat, insomnia, chronic fatigue, headaches and even asthma (4).

What medications help? 

The best way to treat allergy attacks is to prevent them, but this is can mean closing yourself out from the enjoyment of spring by literally closing the windows, using the air-conditioning, and using recycling vents in your car.

On the medication side, we have intranasal glucocorticoids (steroids), oral antihistamines, allergy shots, decongestants, antihistamine and decongestant eye drops, and leukotriene modifiers (second-line treatment only).

The guidelines for treating seasonal allergic rhinitis with medications suggest that intranasal corticosteroids (steroids) should be used when quality of life is affected. If there is itchiness and sneezing, then second-generation oral antihistamines may be appropriate (5). Two well-known inhaled steroids are Nasacort (triamcinolone) and Flonase (fluticasone propionate). While inhaled steroids are probably most effective in treating and preventing symptoms, they need to be used every day and can have side effects, like headaches.

Oral antihistamines, on the other hand, can be taken on an as-needed basis. Second-generation antihistamines, such as loratadine (Claritin), cetirizine (Zyrtec) and fexofenadine (Allegra), have less sleepiness as a side effect than first-generation antihistamines, but don’t work for everyone.

Alternative treatments

 Butterbur (Petasites hybridus), an herb, has several small studies that indicate its efficacy in treating hay fever. In one randomized controlled trial (RCT) involving 131 patients, results showed that butterbur was as effective as cetirizine (Zyrtec) (6).

In another RCT, results showed that high doses of butterbur — 1 tablet given three times a day for two weeks — was significantly more effective than placebo (7). Researchers used butterbur Ze339 (carbon dioxide extract from the leaves of Petasites hybridus L., 8 mg petasines per tablet) in the trial.

A post-marketing follow-up study of 580 patients showed that, with butterbur Ze339, symptoms improved in 90 percent of patients with allergic rhinitis over a two-week period (8). Gastrointestinal upset occurred as the most common side effect in 3.8 percent of the population.

The caveats to the use of butterbur are several. First, the studies were short in duration. Second, the leaf extract used in these studies was free of pyrrolizidine alkaloids (PAs). This is very important, since PAs may not be safe. Third, the dose was well-measured, which may not be the case with over-the-counter extracts. Fourth, there are interactions with some prescription medications.

Treating allergies with diet?

While there are no significant studies on diet, there is one review of literature that suggests that a plant-based diet may reduce symptoms of allergies, specifically rhinoconjunctivitis, affecting the nose and eyes, as well as eczema and asthma. This is according to the International Study of Asthma and Allergies in Childhood study in 13- to 14-year-old teens (9). In my clinical practice, I have seen patients who suffer from seasonal allergies improve and even reverse the course of allergies over time with a vegetable-rich, plant-based diet, possibly due to its anti-inflammatory effect. Analogously, some physicians suggest that their patients have benefited from removing dairy from their diets.

While allergies can be miserable, there are a significant number of over-the-counter and prescription options to help reduce symptoms. Diet may play a role in the disease process by reducing inflammation, although there are no formal studies. There does seem to be promise with some herbs, like butterbur. However, alternative supplements and herbs lack large, randomized clinical trials with long durations. Always consult your doctor before starting any supplements, herbs or over-the-counter medications.

References:

(1) CDC.gov. (2) acaai.org/allergies/types/pollen-allergy. (3) J Allergy Clin Immunol. 2003 Dec;112(6):1021-31.. (4) J Allergy Clin Immunol. 2010 Jan;125(1):16-29.. (5) Otolaryngol Head Neck Surg. 2015 Feb;2:197-206. (6) BMJ 2002;324:144. (7) Arch Otolaryngol Head Neck Surg. 2004 Dec;130(12):1381-6. (8) Adv Ther. Mar-Apr 2006;23(2):373-84. (9) Eur Respir J. 2001;17(3):436-443.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.

Anthony Peterson

New York Cancer & Blood Specialists (NYCBS), has announced the appointment of Anthony Peterson to Chief of Business Development.

“Anthony’s promotion to Chief is a significant step in our ongoing efforts to create an organization that provides exceptional value to our partners, patients, and the community,” said Jeff Vacirca, MD, CEO of NYCBS. “With his demonstrated ability to embrace change and think creatively, we are confident that he will be instrumental in leading the organization towards improved outcomes, benefiting healthcare providers and patients alike. I am excited to see the next stage of business growth for NYCBS under his leadership.”

Peterson previously served as Vice President in the development, management, and driving of strategic partnerships and key business opportunities. As Chief, he will continue to work closely under the direction of OneOncology’s Chief Development Officer, Jimmy Harper, and Vice President of Development, Henry Varnell, to cultivate and strengthen relationships and growth at a national level.

“I am thrilled and grateful to have been promoted to the role of Chief,” said Peterson. “This appointment is a testament to NYCBS’ unwavering commitment to fostering diversity and developing leadership talent. I am excited to align our business development efforts with our strategic direction and execution, and to contribute to the continued growth and success of the company.” 

For more information, please visit nycancer.com.

Pictured from left, PJCC Director James Luciano; Vincenza Anselmo; PJCC Director Mary Joy Pipe; owners Theresa Livingston and Anthony Anselmo; and Bill and Terry Livingston

The Bar Method Port Jeff Village celebrated its grand opening on March 11 with a ribbon cutting hosted by the Port Jefferson Chamber of Commerce (PJCC), light refreshments and a champagne toast. 

Located inside the Harbor Square Mall at 134 Main Street, Port Jefferson, the franchise is a boutique fitness studio offering barre classes for students of all levels. 

According to the website, the signature method uses your own body weight, the ballet barre and a few props to create a transformative workout that results in long, lean sculpted muscles. Highly-trained instructors customize the exercises to ensure they are safe and effective for any age and every body, including modifications for pregnant women and students with injuries. Studio amenities include lockers, a beauty bar, showers, childcare, free parking and more. 

For more information, call 631-828-1474 or visit [email protected].

To learn more about The Bar Method, read TBR News Media’s article, “Bar Method franchise to open studio in Port Jefferson Village” by Julianne Mosher here.

From left, Dr. Eric Cioe Peña, Dr. Anas Sawas, Abit Soylu, Amen Alhadi, Dr. Onat Akin, the Consul General of the Republic of Turkey Reyhan Ozgur, Northwell Health CEO Michael Dowling, and Dr. Banu Aygun stand next to medical supplies earmarked for Turkey and Syria. Photo courtesy of Northwell Health

Standing with medical providers of Turkish and Syrian descent, Michael J. Dowling, Northwell Health’s president and CEO, announced on March 3 that the health system is sending 22 pallets of needed medical and disaster relief supplies to the devastated regions after the 7.8 magnitude earthquake on February 6 that claimed more than 48,000 lives and left millions displaced.

With Reyhan Ozgur, Consul General of the Republic of Turkey, on hand at Northwell’s Integrated Distribution Center in Bethpage, this announcement comes a day shy of the one-year anniversary of Northwell sending humanitarian relief supplies in support of health providers in Ukraine at the start of a war waged by Russian forces. 

“We’re all part of one global family,” said Dowling. “And when there’s one part of the family in severe distress, we as a health care organization have to be concerned about people in other parts of the world.”

As with Ukraine relief, Northwell is working with longstanding partner Medshare to transport supplies from New York into the affected regions. In addition, Northwell’s Center for Global Health (CGH) is networking with local leaders on the ground to fund relief efforts where they’ll make the greatest impact.

“We are gathering specialized supplies that are difficult to procure locally, things like dialysis kits, trauma supplies that are now already strained in Europe because of the war in Ukraine,” said Eric Cioe Peña, MD, director of the CGH, who’s helping spearhead these efforts.

After the shock

Disaster relief efforts in Turkey and Syria have been continually plagued by high-magnitude aftershocks in already devastated areas, with the most recent 5.6 magnitude on Feb. 27, compounding the crisis.

Northwell has once again aligned with international relief partners, such as Médecins Sans Frontières (MSF) — more commonly known in the U.S. as Doctors Without Borders — to provide direct medical care to survivors and people in need of basic care. The Northwell Health Turkey-Syria relief fund was also created to bring direct equitable financial support to the disaster areas.

This was welcomed news to Abit Soylu, a paramedic with Northwell’s Center for Emergency Medical Services, whose family lives in Turkey. Soylu lost his cousin and her son when their home collapsed in the initial quake.

“It’s hard for me because I’m not there and I’m heartbroken here not being able to help them,” he said. “It took five days for them to find them in the rubble.”

Mr. Soylu was joined by Amen Alhadi, a flight paramedic with Helicopter Emergency Medical Services (HEMS) who has family in Syria and Anas Sawas, MD, an emergency medicine physician at Mather Hospital in Port Jefferson, who spoke about the limited humanitarian access into Syria from the civil war, now strained by the earthquake.

Also at the event were Onat Akin, MD, a Northwell pathologist with family in Turkey, and Banu Aygun MD, a pediatric oncologist at Cohen Children’s Medical Center. The two discussed the medical risks children face in that region due to the lack of access to care and clean water. Scabies and cholera can spread quickly and other illness from lack of vaccinations.

“Aside from losing their homes, their schools, their friends, some of them are unfortunately orphans,” Dr. Aygun said. “The physical scars are very big, but the psychological scars are much deeper.”

“We’re a culturally dynamic health system,” Dr. Cioe Peña said. “Like in Ukraine, working with MSF and our teammates that hail from these regions will help us build sustainable relationships to get materials and funds to the right place and care for more people.” 

Disaster 24/7 on-call: 

In the weeks that followed the invasion of Ukraine, Northwell Health deployed its integrated telehealth service to provide 24/7 assistance to health care providers to consult and offer guidance on civilian and military patient care. The program has provided more than 350 consults to clinicians caring for patients of blast injury and gunfire, to women with perinatal care needs and patients awaiting organ transplant.

Northwell looks to deploy this same strategy in Turkey and Syria and offer 24/7 access to complement medical care there. “When we launched this program, we quickly realized that using this as a peer-to-peer platform offered the most benefit and impact to the medical community in Ukraine,” said Dr. Cioe Peña.

“We have an obligation and responsibility. It’s part of the culture of Northwell: Any time anyone is in trouble — whether it’s domestic or overseas — we do our best to help,” added Dowling. “If we have the ability and the resources to help — and we obviously have the will — then we should help. That’s why we’re in the health care business. … It’s something we’ve always done, it’s something we always do.”

To donate and support the Northwell Health CGH Turkey/Relief fund visit: https://support.northwell.edu/center-for-global-health