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St. Catherine of Siena Hospital

The new front entrance of the emergency room. Photo by Victoria Espinoza

With the decision of Gov. Andrew Cuomo (D) to lift the elective surgeries ban in Suffolk on May 16, area hospitals will be able to resume an important aspect of their day-to-day operations. 

Hospital officials have praised the news because elective and emergency procedures are seen as a vital source of revenue for these facilities. 

James O’Connor, president of St. Charles Hospital in Port Jefferson and chief administrative officer of St. Catherine of Siena Hospital in Smithtown, said it’s good news that both facilities can resume these important procedures. 

“It’s a public health issue, you have these patients that were holding off on these urgent and vital surgeries,” he said. “Those needs didn’t go away because of COVID-19.”

O’Connor said between them the two hospitals perform around 750-800 surgeries a month. Orthopedic, bariatric, spine and general surgeries are the most common. The hospitals have already started to bring back staff and furloughed workers have been contacted and will report back to work. 

Elective/urgent surgeries have been put on hold for nearly two months, in an effort to ensure there were sufficient hospital beds and medical staff available to handle the surge in COVID-19 cases.

The St. Charles president said that he expects the hospitals to be back “at full volume” in performing surgeries by sometime next month.

“After week one, we will be ramping up the percentage of surgeries that will be done,” he said. “The first week will be at 25 percent and then we’ll keep going forward.”

Stony Brook University Hospital has begun bringing back personnel to the Ambulatory Surgery Center, main operating room and other areas. 

“The hospital is looking forward to rescheduling cases to provide the care necessary for its patients and addressing their surgical needs as soon as possible,” said Carol Gomes, chief executive officer at Stony Brook University Hospital. 

On average, approximately 100-120 cases daily are performed at the hospital. Those include general surgery, orthopedics, neurosurgery, surgical oncology, cardiac surgery, trauma, kidney transplants, urologic procedures and gynecologic surgery. 

The return of these services will help hospitals who are in the midst of financial hardship from the ongoing coronavirus crisis.  

According to a report from the American Hospital Association, U.S. hospitals and health systems have lost around $50 billion per month on average during the COVID-19 crisis. From March 1 to June 30, the association estimates a total of $202.6 billion in losses. 

“Hospitals and health systems face catastrophic financial challenges in light of the COVID-19 pandemic,” the AHA said in the report. 

The association also predicted more financial hardship as millions of people could be left unemployed and lose health insurance. It could lead to increased uncompensated care at hospitals. 

O’Connor said without those services health care systems would cease to function. 

At Huntington Hospital, a member of Northwell Health, officials have started to implement a daily symptom screening policy for all staff and developed a non-COVID care pathway for all elective/urgent procedures — from parking and presurgical testing to discharge. For the last eight weeks the hospital has been performing surgery on emergency cases. 

“I am confident we are prepared to safely take the next step with elective surgeries,” said Dr. David Buchin, director of Bariatric Surgery at Huntington Hospital.

Stony Brook University Hospital will also implement a number of safeguards in preparation for elective surgery patients. In addition to expanding on the use of telehealth, it will test all patients prior to surgery and have them self-isolate prior to operations. 

For St. Charles and St. Catherine hospitals, O’Connor said all patients will be required to undergo a COVID-19 test 72 hours before a planned procedure. 

Suffolk County Police Commissioner Geraldine Hart, right, and Suffolk County Executive Steve Bellone. File photo

Without the usual fanfare, 60 cadets graduated from the police academy today and have become sworn members of the Suffolk County Police Department.

The officers, which include six people who are fluent in Spanish, will be a part of a group called Together Ensuring Compliance, or TEC, according to police officials. They will be “visible on the street” and will have increased foot patrols and will be in parks and shopping centers to ensure that businesses that are supposed to be closed, while making sure they educate the population about maintaining social distancing. Geraldine Hart, the Commissioner of the Suffolk County Police Department, made the announcement on County Executive Steve Bellone’s (D) daily call with reporters.

At the same time, Bellone announced the launch of the Suffolk Childcare Consortium, which is a free childcare program for first responders, medical professionals transit workers and, where space permits, other essential workers. The program will be open Monday to Friday, from 7 a.m. to 6:30 p.m. and enrollment for those battling the coronavirus outbreak will be on a first come, first served basis and will be limited based on space and staff.

Residents with questions about he consortium should call 311.

The new childcare program is available to the following districts:
  • Babylon School District — Babylon Elementary School
  • Commack School District — Sawmill Intermediate School
  • Connetquot School District – Cherokee Street Elementary School
  • Deer Park School District – John F. Kennedy Intermediate School  
  • Harborfields School Districts – Thomas J. Lahey Elementary School
  • Hauppauge School District — Pines Elementary School
  • Huntington School District — Jefferson Primary School
  • Lindenhurst School District — Albany Avenue Elementary School
  • Middle Country School District – Jericho Elementary School
  • Miller Place School District — Andrew Muller Primary School
  • Northport School District — Pulaski Road Elementary School
  • Sachem School District– Nokomis School Elementary School

To qualify for the program, children must be between pre-K and sixth grade. Students in the program can work on their school’s long distance learning requirements during the day. The program is run by SCOPE education services and will have trained childcare. The staff will check on the health of the children regularly. Anyone with a fever or who demonstrates any sign of illness will not be allowed in the program.

Parents can register their children through www.scopeonline.us.

Meanwhile, the numbers of cases of the virus, hospitalization for it, and fatalities associated with it continues to climb. There are 3,385 cases, which is up by 650 in the last 24 hours. As of this morning, there were also 331 hospitalizations of people with the virus, with 119 in the Intensive Care Unit.

For the ninth straight day, Bellone reported fatalities connected with the virus. Eight people, all of whom had underlying medical condition, passed away. Those who died were: a man in his 80’s at Stony Brook Hospital, a woman in her 80’s at Huntington Hospital, a woman in her 90’s at St. Catherine’s hospital, a man in his late 40’s at LIJ, a woman in her 80’s at Huntington Hospital, a woman in her 80’s at Huntington Hospital this morning, a man in his 60’s at Stony Brook University Hospital, and a woman in her 80’s at Good Samaritan Hospital.

The total number of people who have died from coronavirus related issues in the county is now 30.

Bellone shared his thoughts and prayers with the families.

“This drives home the point of why we have to do this, why all of us have an important role to play in helping to reduce that number,” Bellone said. “Our actions will determine how high that number goes.”

The county executive said the governor’s office, which requires the closure of non essential businesses, provided new guidance on construction work. He said non-essential construction must now cease. Everything except emergency construction, like bridges and transit and hospitals or that protects the health and safety, will stop.

Tents like the one above are being used during Stony Brook University Hospital’s drive-through testing for the coronavirus. Photo by Kyle Barr

Hospitals along the North Shore of Western Suffolk are changing the way they operate to keep the number of coronavirus cases down.

Stony Brook University Hospital

Stony Brook University is asking that all patients who have cold and flu-like symptoms to go directly to its emergency room department area and not get out of their cars, according to its website. Between 11 a.m. and 11 p.m., patients driving to the emergency department entrance will be greeted and screened while in their vehicles.

Stony Brook University’s Ambulatory Care Pavilion COVID-19 Triage area. Photo from SBUH

Those with cold and flu-like symptoms and mild respiratory symptoms will be directed by staff members to go to the hospital’s new triage area located in the nearby Ambulatory Care Pavilion. The triage area will be staffed by emergency medicine physicians and nurses.

According to Stony Brook Medicine, “The triage service is to separate patients with cold and flu-like symptoms from others seeking emergent care, in order to provide all patients with a streamlined environment for care and treatment.”

Dr. Eric Morley, clinical associate professor and clinical director of the SBU Renaissance School of Medicine’s Department of Emergency Medicine, said in an email the new procedure has been successful.

“The process has gone very well, and we are seeing an increasing number of patients in the triage and treatment area located in the Ambulatory Care Pavilion,” he said. “Our staff have adapted very well to the new process. The level of teamwork and dedication of our staff is clearly the driving force behind this success.”

He said doctors have seen patients with both cold and flu-like symptoms, and also those who fit the Centers for Disease Control and Prevention criteria for COVID-19 testing.

On March 18, a drive-through testing site for the coronavirus opened in the commuter P Lot on the southern end of the SBU campus. According to the office of Gov. Andrew Cuomo (D), those wishing to be tested must call 888-364-3065 to schedule an appointment. No referral from a doctor is needed but operators will ask callers questions such as age, symptoms, if they have any underlying health problems and if they have been out of the country. The information will be given to the New York State Department of Health, which will call back with an appointment confirmation if testing is deemed necessary.

SBUH has revised its visitors policy. In response to New York State declaring a state of the emergency due to COVID-19, the hospital will no longer allow visitation until further notice.

“While we understand the important role that family members and visitors play in a patient’s healing process, this is a necessary step we need to take at this time for our adult units,” a statement from SBUH officials said, adding that exceptions will be made in pediatrics, labor and delivery, maternity and neonatal intensive care, also end of life on a case-by-case basis.

Catholic Health Services of LI: St. Charles and St. Catherine hospitals

Catholic Health Services of Long Island, until further notice, has suspended visits to all its hospitals as well as skilled nursing facilities, according to its website. Hospital officials said exceptions will be made on a case-by-case basis, which will entail hospital and nursing home leadership making a decision in conjunction with its infection prevention department and following Centers for Disease Control and Prevention guidelines for screening for the coronavirus before allowing visitation. CHS may make exceptions for end of life and newborn delivery.

On the CHS website, Dr. Patrick O’Shaughnessy, executive vice president and chief clinical officer, explained the screening on the system’s website.

“At all CHS hospitals emergency departments, in our skilled nursing facilities and throughout our regional nursing service, we are actively screening, asking patients about recent travel and looking for signs and symptoms of the virus,” O’Shaughnessy said. “Symptoms include fever and respiratory issues. Also, we are taking these precautionary steps at our owned physician practices.”

CHS has canceled all elective surgeries from March 23 through April 24, according to its website.

Northwell Health: Mather and Huntington hospitals

Northwell Health Labs announced March 11 in a press release that it began semi-automated testing for COVID-19 through its Lake Success facility.

“Since we began manual testing Sunday evening, we processed about 133 tests,” said Dr. Dwayne Breining, executive director, in the press release. “Moving to this semi-automated system will enable us to increase our testing capacity immediately to about 160 a day, and then to several hundred a day later this week.”

Dr. John D’Angelo, senior vice president and executive director of Northwell Health’s emergency medicine service line, said in an email that changes have been in place for a while in its health care system.

John T. Mather Memorial Hospital in Port Jefferson is sending tests to Northwell’s Lake Success facility. File photo from Mather Hospital

“We instituted changes from normal practice long ago, starting with 100 percent screening of all patients on arrival with positive screens being masked immediately and escorted directly to a private room for further investigation,” D’Angelo said.

He added that a decision was made soon after to mask every employee after emergency department changes.

“I believe we were the first in the region to institute such a mask mandate,” he said. “Lastly, as traditional screening (travel to CDC level 2/3 countries or known close contact) became less relevant, we decided to mask everyone — all patients, all visitors and all staff — while we continue to aggressively cohort patients with potential COVID-like symptoms.”

Emergency department volumes in the Northwell system have remained at or below average, according to hospital officials.

“The public is listening and staying home,” said Dr. Leonardo Huertas, chair of emergency medicine at Huntington Hospital.

D’Angelo said a surge plan is in place for all Northwell system emergency departments which can be used if the overall general volumes increase “or if there is a surge of COVID-suspected patients.”

He added that if a plan was needed “an exterior ‘split-flow’ model” would be put in place. This would enable those who may possibly have COVID-19 but aren’t that sick to be treated in an alternative care site adjacent to the emergency room, while “those arriving with COVID symptoms but are too sick for the alternative care site will be brought directly into a predetermined, cohort isolation area within the emergency department. Every site has such plans.”

Northwell has also canceled all elective surgeries. These surgeries, endoscopies and other invasive procedures in the outpatient setting will continue when doctors determine that they are clinically necessary.

A Mather Hospital official also said that the junior and adult volunteer programs have been suspended, and the hospital is working with Northwell on childcare alternatives for staff members.

Photo courtesy of St. Catherine of Sienna

“Life is like a disco, no matter how the music changes, you just keep on dancing.” The charmed quote is taken from the 2011 movie, Jumping the Broom, and captured the essence of St. Catherine of Siena Hospital’s 8th Annual Pink Ribbon Salute, held on Oct. 2. Each year, the breast cancer survivor event adopts a creative theme to add a layer of fun to the celebration.

This year, the event took on a disco theme — and more than 100 breast cancer survivors showed up in their best Saturday Night Fever attire ready to dance the night away as they triumph, despite the changes cancer may have brought upon their lives. 

“It was wonderful to see familiar and new faces in our growing family of courageous women celebrating their fearless determination to overcome,” said St. Catherine’s Administrative Director of Reconstructive Microsurgery Dr. Diana Yoon-Schwartz.

The event was moderated by St. Catherine’s breast health navigator Meiling Alsen, and a special welcome was given by chief nursing officer Mary Jane Finnegan. 

“When I look at all of you, I know I am surrounded by strong, courageous women, along with your family members and friends, who have survived or are in the process of surviving a fight that no one should ever have to fight — you truly are my inspiration,” said Finnegan. 

The welcome was followed by the latest updates in breast care by St. Catherine’s Medical Director of Breast Health Services Dr. Jana Deitch, who also took the opportunity to address survivors directly. “Tonight is a wonderful night about celebrating women who fight the tough fight every day — you are not only surviving, but thriving and giving back to other women who may need some encouragement on the journey to healing,” said Deitch.

The disco mood was further set with live renditions of the era’s top hits, played by Just Cause Band. The band, originated by attorneys, has grown into a diversified group, born from the love of music and a desire to help the community by supporting charity events at no cost. Thanks to the philanthropic and harmonizing skills of Just Cause Band, survivors and supporters danced and sang all night, and when the rendition of Gloria Gaynor’s “I Will Survive” was played, the room erupted in unified triumph. 

“It is a moment I will always remember — it was electrifying and inspiring,” said Deitch.

The Pink Ribbon has become a tradition that survivors and staff look forward to annually. “Our survivors and staff dance the night away in celebration — it is an evening we all cherish, filled with laughter and hope, share with family and friends,” said St. Catherine’s Medical Director of Breast Imaging Dr. Anne Green. 

“I’m proud to be a part of an exceptional group of compassionate breast health specialists who service patients from one location in their own community — we are a community that provides the true continuum of care for our patients — so, we will keep on dancing right beside them!”

The Pink Ribbon Salute is supported by St. Catherine of Siena’s senior leadership, and the event was co-sponsored with the support of Suffolk Anesthesia Associates, Genomic Health Inc. Myriad Genetics, New York Cancer Specialists, New Street Plastic Surgery and Square Care.