comprehensive care for infants, children and adults...

12
G eneral pediatricians in the Hudson Valley who need to refer a young patient to an expert in oncology are doing so through the Pediatric Solid Tumor Program at Children’s and Women’s Physicians of Westchester, LLP. The Program, under the guidance and leadership of Mehmet Fevzi Ozkaynak, MD, is a comprehensive, multidisciplinary approach to cases in pediatric oncology and taps the vast breadth of resources contained within the CWPW subspecialist network. From pediatric surgeons to highly experienced experts in oncology and blood disorders/stem cell transplantation, CWPW’s Pediatric Solid Tumor Program is an all encompassing, finely tuned approach to diagnosing and treating a range of pediatric cancers. “We’re the premier pediatric hematology and oncology professionals in the region,” Dr. Ozkaynak explains, adding that the most commonly seen cancers in children are leukemia and brain tumors, followed by lymphoma. There are a variety of other pediatric cancers that are not typical in adults, including neuroblastoma, rhabdomyosarcoma, a muscle tumor, and Wilms’ tumor, a cancerous mass originating from the kidney. With this in mind, the Pediatric Solid Tumor Program offers comprehensive medical care in diagnosing and treating multiple forms of pediatric cancers. CWPW has a full complement of subspecialists dedicated to diagnosing and treating all forms of pediatric cancer. With the guidance of Mitchell Cairo, MD, Chief of the Division of Pediatric Oncology and Hematology, the Pediatric Solid Tumor Program enlists pediatric surgeons, pediatric urologists, liver surgeons, adolescent gynecologists, orthopedic surgeons, and numerous other subspecialists to discuss each patient and determine the most efficacious course of treatment. ADOLESCENT MEDICINE AND GYNECOLOGY CARDIOLOGY CRITICAL CARE DEVELOPMENTAL PEDIATRICS ENDOCRINOLOGY GASTROENTEROLOGY GENERAL PEDIATRICS AND HOSPITALIST MEDICINE HEMATOLOGY/ ONCOLOGY INFECTIOUS DISEASE & IMMUNOLOGY MEDICAL GENETICS NEONATOLOGY NEPHROLOGY NEUROLOGY NEUROPSYCHOLOGY OBSTETRICS/ GYNECOLOGY PSYCHOLOGY PULMONOLOGY, ALLERGY & SLEEP MEDICINE RESEARCH RHEUMATOLOGY SURGERY GASTROENTEROLOGY NEPHROLOGY OBSTETRICS/ GYNECOLOGY INFECTIOUS DISEASE www.cwpw.org SPRING/SUMMER 2014, VOL. 5, NO. 1 COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS PEDIATRIC SPECIALTIES Whitney McBride, MD ADULT SPECIALTIES Continued on page 4 Mehmet Fevzi Ozkaynak, MD Gustavo Stringel, MD Oya Tugal, MD Samir Pandya, MD Advances in Treating Children with Cancer: The CWPW Pediatric Solid Tumor Program Specialty Referral Hotline 1-855-4-CWPW-MD PEDIATRIC SOLID TUMOR PROGRAM l AVOIDING CONCUSSIONS l VENTRICULAR SEPTAL DEFECT l HIGH HONORS l HEALTHCARE HERO l TICK-BORNE DISEASES

Upload: others

Post on 11-Aug-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS ...bchphysicians.org/wp-content/uploads/2015/01/CWPW-Newsletter_S… · September in Las Vegas. 2 continued on page 3 Leonard Newman,

General pediatricians in the Hudson Valley who need to refer ayoung patient to an expert in oncology are doing so through the

Pediatric Solid Tumor Program at Children’s and Women’s Physicians ofWestchester, LLP.

The Program, under the guidance and leadership of Mehmet FevziOzkaynak, MD, is a comprehensive, multidisciplinary approach to casesin pediatric oncology and taps the vast breadth of resources containedwithin the CWPW subspecialist network. From pediatric surgeons tohighly experienced experts in oncology and blood disorders/stem celltransplantation, CWPW’s Pediatric Solid Tumor Program is an allencompassing, finely tuned approach to diagnosing and treating a rangeof pediatric cancers.

“We’re the premier pediatric hematology and oncology professionalsin the region,” Dr. Ozkaynak explains, adding that the most commonlyseen cancers in children are leukemia and brain tumors, followed by

lymphoma. There are a variety of other pediatric cancers that are nottypical in adults, including neuroblastoma, rhabdomyosarcoma, amuscle tumor, and Wilms’ tumor, a cancerous mass originating from thekidney. With this in mind, the Pediatric Solid Tumor Program offerscomprehensive medical care in diagnosing and treating multiple formsof pediatric cancers.

CWPW has a full complement of subspecialists dedicated todiagnosing and treating all forms of pediatric cancer. With the guidance of Mitchell Cairo, MD, Chief of the Division of PediatricOncology and Hematology, the Pediatric Solid Tumor Program enlistspediatric surgeons, pediatric urologists, liver surgeons, adolescentgynecologists, orthopedic surgeons, and numerous other subspecialiststo discuss each patient and determine the most efficacious course of treatment.

ADOLESCENTMEDICINE AND GYNECOLOGY

CARDIOLOGY

CRITICAL CARE

DEVELOPMENTAL PEDIATRICS

ENDOCRINOLOGY

GASTROENTEROLOGY

GENERAL PEDIATRICSAND HOSPITALISTMEDICINE

HEMATOLOGY/ONCOLOGY

INFECTIOUS DISEASE & IMMUNOLOGY

MEDICAL GENETICS

NEONATOLOGY

NEPHROLOGY

NEUROLOGY

NEUROPSYCHOLOGY

OBSTETRICS/GYNECOLOGY

PSYCHOLOGY

PULMONOLOGY, ALLERGY & SLEEPMEDICINE

RESEARCH

RHEUMATOLOGY

SURGERY

GASTROENTEROLOGY

NEPHROLOGY

OBSTETRICS/GYNECOLOGY

INFECTIOUS DISEASE

www.cwpw.org

SPRING/SUMMER 2014, VOL. 5, NO. 1COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS

PEDIATRIC SPECIALTIES

Whitney McBride, MD

ADULT SPECIALTIES

Continued on page 4

Mehmet Fevzi Ozkaynak, MD Gustavo Stringel, MD Oya Tugal, MD Samir Pandya, MD

Advances in Treating Children with Cancer: The CWPW Pediatric Solid Tumor Program

Specialty Referral Hotline 1-855-4-CWPW-MD

PEDIATRIC SOLID TUMOR PROGRAM l AVOIDING CONCUSSIONS l VENTRICULAR SEPTAL DEFECT l HIGH HONORS l HEALTHCARE HERO l TICK-BORNE DISEASES

Page 2: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS ...bchphysicians.org/wp-content/uploads/2015/01/CWPW-Newsletter_S… · September in Las Vegas. 2 continued on page 3 Leonard Newman,

www.cwpw.org

A MESSAGE FROM The President

After a longwinter and

what seemed likea shorter-thanusual spring, thewarm weather isupon us. Whilewe hope you’ll beable to enjoy the fruits of theseason, we’ll be busy as alwaystaking care of our patients andkeeping them healthy.

The arrival of summermeans spending time outdoors,and for us in the Northeast,that means the threat of Lymedisease and other tick-borneillnesses. In this newsletter,Gary P. Wormser, MD, one of the foremost experts on the subject, shares his insightinto Lyme disease and theresearch he has conducted onthe subject.

We’re proud to announcethat Praveen Ballabh, MD,CWPW neonatologist and anexpert on methods of preventingbrain damage in prematureinfants who have suffered ahemorrhage in the brain cavity,has been awarded a five-yeargrant from the NationalInstitutes of Health totaling$1.9 million. The grant willallow Dr. Ballabh to investigatehow such perinatal hemorrhagesdisrupt the functioning of thebrain and ultimately lead toconditions such as cerebralpalsy, mental retardation,learning disabilities,eurodevelopmental delays, and reduced brain size.

We’re also pleased to pointout that CWPW surgeonGustavo Stringel, MD, MBA,has been selected to receive the2014 SLS EXCEL Awardfrom the Society ofLaparoendoscopic Surgeons.Dr. Stringel will receive theaward at the organization’sannual meeting this comingSeptember in Las Vegas.

2

continued on page 3

Leonard Newman, MD

For many children the longer, warmer daysmeans playing outdoor sports; everything

from soccer and lacrosse to tennis and softballand baseball.

Sports are a great way for children tounwind, stay fit, and engage in healthy physical competition. Yet children need toknow their limits and capabilities, and adultsshould pay strict attention to children’s health and safety along theway. According to Jeanne M. Wilson, MD, in the Division ofGeneral Pediatrics at CWPW, who works closely in assessingchildhood sport readiness, paying assiduous attention is important before, during and after a child engages in spring sports, or recreation any time of year.

Detecting and avoiding concussion has emerged as a hot button issue in children’s sports. “We teach parents, coaches/trainers and teachers how to recognize it,” Dr. Wilson says.

“They’re all watching for it and assessing whether a childshould or should not return to play.” Being aware of the signs and symptoms is critical, she adds. These include headache,nausea, vomiting, fatigue, confusion, difficulty concentrating, anysensitivity to light or sound, vision changes, or difficulty walking.

“A lot of the screening tests we use for concussion are gearedtoward older children, but not to elementary school children,” Dr. Wilson notes. “Now we may consider it in cases where a childmight have hit their head. They complain of a headache, so nowthey are assessed for concussion and managed appropriately. It isalso important to remember that the younger the child the longer ittakes to recover from a concussion.”

Dr. Wilson points out that overuse injuries are important torecognize and to treat. “They tend to come about in kids who aren’tconditioned properly, or who play through their injury.” Likepitchers in baseball who are not taught proper mechanics and arenot well conditioned, they are more prone to injury. “Overuseinjuries are more common than concussion,” she says. They areespecially prominent in baseball, tennis, basketball, and in softballfor girls. “It’s important to train well, and this means stretching,warming up, and cooling down afterwards.”

All parties need to be alert for the first sign of an injury orproblem, Dr. Wilson cautions. “Look for a decline in the child’sperformance or a change in their performance. Their accuracy maybe off. They are showing signs of weakness in a particular area orin an extremity or muscle group. They’re limping or having

difficulty running. Knowing your child and what their normal levelof performance is and communicating with coaches and trainersis crucial.”

Reinforcing the idea is that honesty regarding a sports injuryis key to protecting children from long-term damage. “I try toexplain to children that speaking up sooner can make theirrecovery time shorter,” Dr. Wilson says. “If we address it as soonas possible, you may be back more quickly; if not, you could beout for months. Children need to have some responsibility fortheir own bodies and level of performance.”

Finally, hydration is critical, “Especially this time of year,” Dr. Wilson stresses. “In the warmer weather it’s very important tohydrate throughout the day.” As the temperature rises, more fluidis needed. “It‘s a good habit to begin to hydrate even before youget out there,” she adds. “Drink small, frequent amounts of water

during play/practice, and more when done.” Dr. Wilson stronglyprefers that children hydrate with water as opposed to sugarybeverages or a lot of sports drinks. “And children need healthysnacks with some protein and carbohydrates.”

According to the Centers for Disease Control, there are 2.6million emergency room visits annually to treat children betweenthe ages of one and 19 for a sports-related injury, and a half-million doctor visits a year for sports and recreation-relatedinjuries. Dr. Wilson hopes that by school officials keeping awatchful eye on young athletes, parents paying close attention,and children knowing their limits and speaking up when there’seven the hint of an injury, those numbers can be kept to aminimum. CWPW

Safe Play in Sports and Avoiding Concussions

Download our CWPW app — free for iPhone and iPad

Jeanne Wilson, MD

Page 3: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS ...bchphysicians.org/wp-content/uploads/2015/01/CWPW-Newsletter_S… · September in Las Vegas. 2 continued on page 3 Leonard Newman,

A Message From The Presidentcontinued from page 2

Parents with childreninvolved in sports will want toread about how to keep theirchildren safe as they head to theplaying field. Jeanne M.Wilson, MD, of the Division ofGeneral Pediatrics at CWPW,is an expert on the subject andprovides some essentialinformation about sport safetyand injury prevention.

Finally, accolades to ourPediatric Solid Tumor Program,under the direction of MehmetFevzi Ozkaynak, MD. TheProgram is a comprehensive,multidisciplinary approach tocases in pediatric oncology,tapping the breadth of resourcescontained within the CWPWsubspecialist network to helpdiagnose and treat children witha range of cancers and blooddisorders. It’s a unique programthat has made tremendousstrides and continues to do so.

Feel free to get in touch with us with your comments,questions or story ideas. We’dlove to hear from you. Email us at [email protected]. Onbehalf of all of us at

CWPW, best wishes for asafe and relaxing summerseason. CWPW

3

“For this particular defect, located in the muscular, or lower partof the septum, closure was often a difficult-to-perform open heartoperation that would require five-to-seven days of post-operativecare in hospital, or longer,” Dr. Gewitz explains. The new procedureuses a device, known by the trade name Amplatzer (named for KurtAmplatz, an Austrian radiologist who developed the septaloccluder), to close the hole .

“This demonstrates the continued state of the art work that thegroup is doing,” Dr. Gewitz says. The procedure “has been doneselectively at a few leading pediatric cardiovascular centers aroundthe country,” he notes, but this is the first time it has beenundertaken here in the Hudson Valley region. The procedure wasperformed by CWPW Pediatric Interventional Cardiology ChiefMarkus Erb, MD, who was assisted by Pediatric CardiologistJoseph Giamelli, MD. CWPW

Treating an important pediatric heartailment, such as a large hole in the

wall of the pumping chambers of the heart,often involves complex, hours-long openheart surgery followed by a several days ofin-hospital recuperation. Now, thanks to anew procedure performed by expert CWPWinterventional Pediatric Cardiologistsworking at Maria Fareri Children’s Hospital,such procedures can be performedminimally invasively; the result is a less risky procedure, no scarring, and adrastically reduced recuperation period.

According to Michael H. Gewitz, MD,Chief of Pediatric Cardiology for CWPW andfor the hospital and Vice President of the physician group, latethis spring cardiologists performed the procedure to repair a 15-month-old child’s ventricular septal defect, or a hole in thewall that separates the right and left ventricles(pumpingchambers) of the heart. “The child was diagnosed by a pediatriccardiologist in Brooklyn, and was subsequently assessed andtreated by our physicians,” Dr. Gewitz explains.

The congenital defect was repaired in about four hourswithout the need to open the chest or use a heart-lung bypassmachine. The child was able to go home the next day, rather thanspending a week or more recovering in the hospital, and hasmade a full recovery.

FORWARD THINKINGInnovative Surgical Procedure forVentricular Septal Defect

Marcus Erb, MD

Joseph Giamelli, MD

Pride and humility were in abundance at theNew York Botanical Garden in The Bronx

as Michael H. Gewitz, MD, Chief of PediatricCardiology at Maria Fareri Children’s Hospitalof Westchester Medical Center and VicePresident of CWPW, was honored by theWestchester Medical Center Foundation for his longstanding and outstanding work inhelping to conceive, nurture and develop the Children’s Hospitalat the Medical Center.

Dr. Gewitz, who is Physician-in-Chief at Maria FareriChildren’s Hospital, and Professor and Vice Chairman ofPediatrics for New York Medical College, was similarly honoredin 1996 for advancing the development of children’s health careservices at Westchester Medical Center. This year, Dr. Gewitzsays, he asked to accept the award “not on a personal basis,”opting instead to receive it “on behalf of the tenth anniversary ofthe Maria Fareri Children’s Hospital.” The Hospital wasestablished through the efforts of John and Brenda Fareri in2004 in memory of their daughter, Maria, who contracted andultimately succumbed to what was at that time an unusual ofcase of rabies from a bat bite.

According to Dr. Gewitz, he was selected to receive the honor“in recognition that the Children’s Hospital has come to be anessential part of health care in the Hudson Valley.” The honors

were presented at the annual Westchester Medical CenterFundraising Gala, an event that traditionally attracts from 600 to700 attendees. The honor was to recognize the tenth anniversaryof Maria Fareri Children’s Hospital and, Dr. Gewitz adds, “theindividuals from the community at large and special role thatCWPW has played in bringing it about and helping it to grow.”The Hospital today has almost 50% more patient capacity thanwhen it opened a decade ago.

“This was really to recognize the value of the Children’sHospital and its staff, including physicians, professional, andnonprofessional staff members,” Dr. Gewitz explains. “When wehad the inauguration event of the Maria Fareri Children’s Hospitalin 2004, I said then that wherever children’s hospitals arise, thehealth care of the entire region rises as well. This event helped torecognize that idea.” The Hospital serves approximately 20,000children annually from throughout the Hudson Valley.

Presently, CWPW has a total of nearly 300 physicians, ofwhich 140 to 150 are centered at the Children’s Hospital. Theremaining physicians support the Children’s Hospital through itsreferral network, teaching program opportunities, as well asthrough research programs.

“Without the work, support and energy of the physicians andstaff of CWPW, LLP, the Children’s Hospital would never havecome to pass,” Dr. Gewitz says, “nor would it have been thesuccess that it is today.” CWPW

www.cwpw.orgSpecialty Referral Hotline 1-855-4-CWPW-MD

Michael H. Gewitz, MD

HIGH HONORSMichael H. Gewitz, MD, Vice President of CWPW,Is Lauded for Devoted Service to Children’s Hospital

Page 4: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS ...bchphysicians.org/wp-content/uploads/2015/01/CWPW-Newsletter_S… · September in Las Vegas. 2 continued on page 3 Leonard Newman,

extends all the way up to the right atrium of the heart, thepatients require chemotherapy first. However, in Julianna’scase, the thrombus (clot) was just below the level of theheart by a few centimeters. She therefore fell into a greyzone, so to speak. We discussed whether to administerchemotherapy before as well as after surgery versus aftersurgery alone. Since it was below the level of the right

atrium, we took out the right kidney and the tumor.” Dr. Pandya found that the tumor had extended all the wayup to the level of the hepatic veins. “Her own body hadformed collateral circulation to drain blood back to theheart, since the inferior vena cava was blocked. We had totie off the cava. If we didn’t close it off and the tumorflipped and moved, it is conceivable that she could havesuffered a fatal clot in the lungs.”

The surgery took ten hours, with Dr. McBride assisting.“Within a week she was ambulating again and has neverdeveloped any swelling in her legs. That was great.”

Her surgical wound healed very well, he says. She subsequently underwent chemotherapy. Dr. Pandya examined the child andshe is free of disease.

“We have outstanding expertise from the surgical,medical and radiation standpoints to treat these solid tumors that children are sometime faced with,” Dr. Pandya explains. “It requires a multi-disciplinaryapproach, and we have an outstanding team here.”

“Under the pioneering leadership of Dr. GustavoStringel,MD, Chief of Pediatric Surgery, historically manyof the region’s first minimally invasive operations onchildren were performed at the Maria Fareri children’shospital by CWPW’s surgeons . As a division wecontinue to push the envelope and find new frontiers inthe surgical care of children. We perform the mostadvanced pediatric minimally invasive surgery (MIS) here in this hospital, but in children with cancer, it isoften not possible to do MIS, as was the case in thisinstance. However, whenever it is possible, I would nothesitate to proceed minimally invasively as long as it issafe and in agreement with the surgical oncologicprinciples,” he adds. “This was a success story, and we’re proud of our efforts.”

Julianna’s parents could not be more pleased with theirdaughter’s treatment, and with the successful outcome.“They are really terrific over there,” Mrs. Pierre says,referring to Drs. Ozkaynak, Pandya, and the Pediatric SolidTumor Program team. “They really are excellent doctors.

“It was a hard time, but thankfully it was very, verysuccessful,” Mrs. Pierre adds. “She’s a smart girl; they

did not keep her back in school. She loves to study.”Even before the onset of her illness, Julianna

announced plans to pursue a career — in pediatric medicine.

“Everyone was excellent” throughout theirdaughter’s ordeal, recalls Reginald Pierre,Julianna’s father, who adds that he can’t sayenough about the physicians in thePediatric Solid Tumor Program who treatedJulianna and oversaw her recovery.

Pediatric surgeons in the Program areintegrating new procedures in state-of-

the-art facilities in tackling some of themost challenging cases, such as

laparoscopic surgery — wheresurgeons operate through a small

incision — when appropriate.Other advanced equipment and

techniques such asradiotherapy are also

implemented whenwarranted.

“Our surgeonsare doing new

things inapproaching

these cancers,” Dr. Ozkaynak explains.

“Our Program isblessed with excellent

surgeons and oncologistsmaking real inroads in

diagnosis and treatment ofpediatric solid tumors.”CWPW

What sets the Pediatric Solid Tumor Program apart fromother facilities are the unique approaches to navigating thepatient through the right channels of diagnostics, with acomprehensive, multidisciplinary approach that leads toindividualized, tailored treatment. When six-year-oldJulianna Pierre of Middletown, NY, exhibited a host ofsymptoms ranging from a stomach ache and fever tovomiting and abdominal swelling, her general pediatricianimmediately contacted CWPW for subspecialty expertise.Upon examination, the child was diagnosed with Wilms’tumor, a unique childhood cancer of the kidney.

Nicole Pierre, Julianna’s mother, knew something wasn’tright when her daughter first complained of a stomachache. “I thought at first that it was indigestion; I gave hertea, but the next morning she wasn’t looking good at all.”She took Julianna to her general pediatrician, whosuspected stomach flu. When Julianna began to run afever, her doctor suggested they take the child to theemergency room. “They did blood tests, but they cameback fine,” Mrs. Pierre recalls. “I know my daughter, andshe just wasn’t right.” After a sonogram, the cause of herdiscomfort was revealed: “They found a mass on herkidney,” Mrs. Pierre says.

Physicians in the Pediatric Solid Tumor Programassessed her condition and, in conjunction with pediatricsurgeons, including Samir Pandya, MD, and WhitneyMcBride, MD, co-surgeons on Julianna’s case; as well asOya Tugal, MD, a pediatric oncologist and hematologist,the child underwent a number of procedures, includingsurgery, chemotherapy and radiation. She respondedwell to all treatments, and is now eight years of age and in remission.

“The child presented with a renal mass,” Dr. Tugalrecalls. “She had abdominal pain, was vomiting, andhad a fever of 103 degrees.” An ultrasound and CTscan revealed a mass on her right kidney. Thetumor, however, had not spread to her lungs orto any other organs. She was diagnosed withStage III Wilms’ tumor and was admitted toMaria Fareri Children’s Hospital whereshe underwent surgery.

“This was a very challengingcase,” explains Dr. Pandya.“She had a very extensivetumor that extended into herinferior vena cava that hadlead to a thrombosis,making surgery verydifficult.” Dr. Pandyawas part of thegroup that met todiscuss the casebefore and aftersurgery.

According to Dr.Pandya, Wilms’tumor is not all thatuncommon inchildren. “It canextend into the inferiorvena cava and therebymake surgery morechallenging. When it

4

“Our surgeons are doing new thingsin approaching these cancers,”

Dr. Ozkaynak explains. “Our Program is blessed with

excellent surgeons and oncologistsmaking real inroads in diagnosis andtreatment of pediatric solid tumors.”

The Pediatric Solid Tumor Program Continued from page 1

www.cwpw.org Download our CWPW app — free for iPhone and iPad

Page 5: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS ...bchphysicians.org/wp-content/uploads/2015/01/CWPW-Newsletter_S… · September in Las Vegas. 2 continued on page 3 Leonard Newman,

Today there are 55 active members, compared with just 17 two years ago. He has also introduced new areas oftreatment and research, including a Child and AdolescentCancer and Blood Disease Center. Dr. Cairo’s group hasalso launched a program in pediatric solid tumormalignancies since he came aboard. He is also forgingnew ground in neurooncology and stem celltransplantation and the group also operates a state of theart, comprehensive sickle cell disease program. A new

Pediatric Hematology/Oncology Fellowship Program hasalso been instituted at the Maria Fareri Children’s Hospitalunder the aegis of Dr. Cairo and his CWPW colleagues.

Dr. Cairo is highly respected in the field of pediatriconcology and holds many distinctions. He is Chief ofPediatric Hematology, Oncology and Stem CellTransplantation at New York Medical College (NYMC),Director of the Children and Adolescent Cancer and BloodDiseases Center at NYMC, Medical and Scientific Director

of the Cellular and TissueEngineering Laboratory there,and Medical Director of theHematotherapy Program,also at Westchester MedicalCenter (WMC). Dr. Cairo alsoserves as Associate Chair forBasic Research of theDepartment of Pediatrics, as well as Professor ofPediatrics, Medicine,Pathology, Microbiology and Immunology and CellBiology and Anatomy, all at NYMC. CWPW

Mitchell S. Cairo, MD, Chief of the Division ofPediatric Oncology and Hematology at CWPW,

has been named a “Healthcare Hero” by WestchesterMagazine. Dr. Cairo is one of only 10 people in the countychosen to receive this award in its inaugural year.

Westchester Magazine’s, “Healthcare Heroes” award“is bestowed upon individuals who are shining examplesof community service, patient concern and leadership inthe local healthcare field.” Dr. Cairo joined other recipientsat an award ceremony thispast month at theDoubleTree Innin Tarrytown.

Since joining CWPW in2011, Dr. Cairo has mademajor revisions in theDivision of PediatricOncology and Hematology.The Division has expandedin size and made significantprogress in bone-marrowtransplantation,neurooncology, pediatricleukemia and lymphomasas well as cellular therapy.

CWPW ONCOLOGIST MITCHELL S. CAIRO, MDNamed Westchester Magazine ‘Healthcare Hero’

5www.cwpw.orgSpecialty Referral Hotline 1-855-4-CWPW-MD

Page 6: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS ...bchphysicians.org/wp-content/uploads/2015/01/CWPW-Newsletter_S… · September in Las Vegas. 2 continued on page 3 Leonard Newman,

CWPW LOCATIONSWestchester County

Pediatric Associates of Westchester

1 701 Bedford Road, Suite BBedford Hills, NY 10507• General Pediatrics – (914) 723-7444

Bronxville Women's Care

2 1 Pondfield Rd #302Bronxville, NY 10708• Obstetrics/Gynecology – (914) 337-3715

Polly Kanganis, MD

3 4 Studio ArcadeBronxville, NY 10708• Obstetrics/Gynecology – (914) 771-9441

Douglas Savino, MD

4 1 Pondfield Road West, Suite 7Bronxville, NY 10708• General Pediatrics – (914) 771-8900

Chappaqua Pediatrics

5 175 King StreetChappaqua, NY 10514• General Pediatrics – (914) 238-8550

NWH at Chappaqua Crossing

6 480 Bedford Rd (formerly Reader's Digest)Chappaqua, NY 10514• Hematology/Oncology – (914) 493-7997• Pediatric Surgery – (914) 493-7620, (914) 761-5437

Croton Pediatrics

7 130 Grand StreetCroton-on-Hudson, NY 10520• Developmental – (914) 304-5250• General Pediatrics – (914) 271-4727

Eastchester Pediatric Medical Group

8 266 White Plains Road, Suite A3Eastchester, NY 10709• General Pediatrics – (914) 337-3960

Hartsdale Pediatrics

9 280 North Central Avenue, Suite 303Hartsdale, NY 10530• General Pediatrics – (914) 472-0300

Children’s and Women’s Physicians ofWestchester LLP at Bradhurst

10 19 Bradhurst Avenue,Suites 1400, 2400 & 2550Hawthorne, NY 10532• Cardiology – (914) 594-2222 • Endocrinology – (914) 366-3400• General Pediatrics – (914) 593-8850• Hematology/Oncology – (914) 493-7997• Infectious Disease – (914) 493-8333• Medical Home – (914) 594-4602• Nephrology – (914) 493-7583• Neonatology Follow-Up Program – Referral Only

• Pediatric Surgery – (914) 493-7620, (914) 761-5437

• Psychology – (914) 493-7697• Pulmonology/Allergy – (914) 493-7585• Rheumatology – (914) 594-2270

Central Avenue Pediatrics

111075 Central AveScarsdale, NY 10583• General Pediatrics – (914) 472-4300

Pediatric Associates of Westchester

12688 Post Road, Suite 232Scarsdale, NY 10583• General Pediatrics – (914) 725-5252

Briarcliff Pediatric Associates

13755 North Broadway, Suite 500Sleepy Hollow, NY 10591• General Pediatrics – (914) 366-0015

Medical Service Building at Phelps Memorial Hospital

14755 North Broadway, Suites 400 & 540Sleepy Hollow, NY 10591• Endocrinology – (914) 366-3400• Neurology – (914) 358-0188/0190

Pediatrics of Sleepy Hollow

15150 White Plains Road, Suite #101Tarrytown, NY 10591• General Pediatrics – (914) 332-4141

Village Pediatric Group

16115 Main Street, Suite # 301Tuckahoe, NY 10707• General Pediatrics – (914) 771-7070

Children’s and Women’s Physicians ofWestchester LLP at Grasslands Road

17503 Grasslands Road, Suites 200 & 201Valhalla, NY 10595• Adolescent Medicine – (914) 304-5288• Developmental – (914) 304-5250• Gastroenterology – (914) 367-0000• Medical Genetics/Metabolic –(914) 304-5280

• Pediatric & Adolescent Gynecology –914-304-5254

Gastrointestinal & Hepatobiliary Consultants

1819 Bradhurst Ave, Ste 2550Hawthorne, NY 10532• Adult Gastroenterology –(914) 493-7337

Nephrology Associates of Westchester

1919 Bradhurst, Suite #200Hawthorne, NY 10532• Adult Nephrology – (914) 493-7701

Bridgespan Medicine

20 222 North Westchester Ave, Suite 201White Plains, NY 10604• Adolescent Medicine – (914) 698-5544

Children’s Rehabilitation Center

21317 North StreetWhite Plains, NY 10605• Neonatology – (914) 597-4080/4115

Peter Liebert, MD

22222 Westchester Avenue, Suite # 403White Plains, NY 10604• Pediatric Surgery – (914) 428-3533

Westchester Park Pediatrics

23222 North Westchester Ave, Suite 202White Plains, NY 10604• General Pediatrics – (914) 761-1717

Douglas Savino, MD

24328 South Broadway Yonkers, NY 10705• General Pediatrics – (914) 969-8590

Women’s Health Resource and MD Cosmetics & Laser Center

251990 Central Park Avenue Yonkers, NY 10710(914) 793-5588

Yorktown Specialty Center

261940 Commerce Street, Suite 206Yorktown Heights, NY 10598• Endocrinology – (914) 366-3400• Gastroenterology – (914) 367-0000• Sleep Medicine – (914) 493-7585• Gynecology – (914) 304-5254 or

(914) 302-7758

Rockland County

Bardonia Pediatrics

27446 Route 304Bardonia, NY 10954• General Pediatrics (845) 623-8031

North Rockland Pediatric Associates

28171 Ramapo Road Garnerville, NY 10923• General Pediatrics – (845) 947-1772

Pediatrics and Adolescent Medicine of New City

29337 North Main Street, Suite 4New City, NY 10956• General Pediatrics – (845) 634-7900

Orangetown Pediatrics

3030 Ramland Road - Suite 200AOrangeburg, NY 10962• General Pediatrics – (845) 359-0010

Pomona Pediatrics

314 Medical Park Drive, Suite CPomona, NY 10970• General Pediatrics – (845) 362-0202

Suffern Medical Pavilion at Good Samaritan Hospital

32255 Lafayette Avenue, Suites 370 & 390Suffern, NY 10901• Cardiology – (914) 594-2222• Endocrinology – (914) 366-3400• Gastroenterology – (914) 367-0000• Medical Genetics/Metabolic – (914) 304-5280

• Neonatology Follow-Up Program – Referral Only

• Nephrology – (914) 493-7583• Neurology – (914) 358-0188/0190 • Pulmonology – (914) 493-7585

Orange County

Children’s and Women’s Physicians ofWestchester at Middletown

33100 Crystal Run Road, Suite 108Middletown, NY 10941• Cardiology – (914) 594-2222• Developmental – (914) 304-5250• Endocrinology – (914) 366-3400• Gastroenterology – (914) 367-0000• Hematology/Oncology – (914) 493-7997• Infectious Disease – (914) 493-8333• Medical Genetics/Metabolic – (914) 304-5280

• Neonatology Follow-Up Program –Referral Only

• Neurology – (914) 358-0188/0190• Pediatric Surgery – (914) 761-5437• Pulmonology – (914) 493-7585

Orange Pediatric Associates

34400 Midway Park Drive Middletown, NY 10940• General Pediatrics – 845-343-0728

Pediatric Arts of Monroe

3591 Lakes RoadMonroe, NY 10950• General Pediatrics – (845) 782-8608

Pediatric Care of the Hudson Valley

36266 North Street, Suite ANewburgh, NY 12550• General Pediatrics (845) 565-5437

Medical Center of New Windsor

37575 Hudson Valley Avenue, Suite 203New Windsor, NY 12553• Cardiology – (914) 594-2222• Gastroenterology – (914) 367-0000• Pulmonology – (914) 493-7585

Herbert Kania Pediatric Group

3810 Ronald Reagan Blvd.Warwick, NY 10990• General Pediatrics – (845) 986-2058

Washingtonville Pediatrics

3910 Weathervane DriveWashingtonville, New York 10992 • General Pediatrics (845) 496-5437

Putnam County

Virgilio Monteleone , MD

40263 North Brewster RoadBrewster, NY 10509• General Pediatrics (845) 279-5161

Carmel Pediatrics

4111 Fair StreetCarmel, NY 10512• General Pediatrics (845) 225-7337

Putnam Pediatrics

42667 Stoneleigh Avenue, Suite #111Carmel, NY 10512 • General Pediatrics – (845) 279-5131

Bennett Pallant, MD

43 906 Route 6 Mahopac, NY 10541

• General Pediatrics (845) 628-2015

Dutchess County

Kathleen Ennabi, MD

442529 Route 52, Suite #3Hopewell Junction, NY 12533• General Pediatrics (845) 227-0123

Children’s and Women’s Physicians ofWestchester LLP at Poughkeepsie

45104 Fulton AvePoughkeepsie, NY 12601• Cardiology – (914) 594- 2222• Endocrinology – (914) 366-3400• Infectious Disease – (914) 493-8333• Neonatology – (914) 493 - 8431• Nephrology – (914) 493-7583 • Neurology – (914) 358-0188/0190• Pediatric Surgery – (914) 761-5437• Pulmonology – (914) 493-7585

Pediatric Sub-Specialty Center at Vassar Brothers Medical Center

4645 Reade PlacePoughkeepsie, NY 12601• Cardiology – (914) 594-2222• Gastroenterology – (914) 367-0000• Hematology/Oncology – (914) 493-7997• Medical Genetics/Metabolic – (914) 304-5280

• Pulmonology – (914) 493-7585

6www.cwpw.org Download our CWPW app — free for iPhone and iPad

Page 7: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS ...bchphysicians.org/wp-content/uploads/2015/01/CWPW-Newsletter_S… · September in Las Vegas. 2 continued on page 3 Leonard Newman,

Bronx County

Children’s and Women’s Physicians ofWestchester, LLP at Riverdale

47Skyview Shopping Mall5683 A Riverdale Avenue, Bronx, New York 10471 • Cardiology – (914) 594-2222• Gastroenterology – (914) 367-000• General Pediatrics – (347) 843-6136• Gynecology – (914) 304-5254 or

(914) 302-7758• Pulmonology – (914) 493-7585

Children’s and Women’s Physicians ofWestchester, LLP at Woodlawn

484350 Van Cortlandt Park East Bronx, NY 10470• Allergy – (347) 226-6437 • Adolescent Gynecology – (914) 304-5254

• Cardiology – (914) 594-2222• Developmental – (914) 304-5250• Endocrinology – (347) 226-6437• Gastroenterology – (914) 367-0000• General Pediatrics – (718) 231-6565• Hematology/Oncology – (914) 493-7997 • Medical Genetics/Metabolic – (914) 304-5280

• Pulmonology – (914) 493-7585

Women’s Health Resource Center

49Hutch Metro Center1250 Waters Place, Suite 1206 Bronx, New York 10471 (718) 409-5454

Kings County

Wyckoff Heights Medical CenterFamily Health Center

5075-54 Metropolitan Avenue Middle Village, NY 11379• Pediatric Gastroenterology –(718) 894-4200

Southern Connecticut

Children’s and Women’s Physicians of Westchester, LLP at Danbury

5167 Sandpit Road, Suite 204Danbury, CT 06810• Adolescent Gynecology –(914) 304-5254

• Cardiology – (914) 594-2222• Gastroenterology – (914) 367-0000• Hematology/Oncology – (914) 493-7997• Medical Genetics/Metabolic – (914) 304-5280

Children’s Medical Group of Greenwich

5242 Sherwood PlaceGreenwich, CT 06830• General Pediatrics – (203) 661-2440

Children’s Specialty Center at Norwalk Hospital

5330 Stevens AvenueNorwalk, CT 06856• Cardiology – (914) 594-2222• Gastroenterology – (914) 367-0000• Pulmonology – (914) 493-7585

Pediatric Gastroenterology

54148 East Avenue, Suite 2NNorwalk, CT 06851• Gastroenterology – (203) 853-7170• Pediatric & Adolescent Gynecology –(203) 838-5054

Tully Health Center

55 32 Strawberry Court, Suite 7Stamford, CT 06902• Pediatric & Adolescent Gynecology – (914) 304-5254

• Gastroenterology – (914) 367-0000

Suffolk County

Branch Pediatrics and Adolescent Medicine

56300 East Main Street, Suite 4/5,Smithtown, NY 11787(631) 979-6466

New Jersey

Herbert Kania Pediatric Group

57Bald Eagle Commons179 Cahill Cross Road, Suite 210West Milford, NJ 07480• General Pediatrics – (845) 986-2058

The largest group of pediatr ic special ists o f i ts kind in the region.

Now 57 locations!

50

49

48

47

24 4 32

16 81112 22

23 17181915

13 14

65

71

4043

41 4233

39

51

37

36

353433

28

29

31

3227

25 2021

44

45 46

5453

5244 55

38

1030

Spring/Summer 2014, Vol. 5, No 1CWPW Newsletter is published two times a year by Children’s & Women’s Physicians of Westchester, LLP.Skyline Suite # 1N-C08, 40 Sunshine Cottage Road,Valhalla, NY 10595 • Phone: 1(855) 4-CWPW-MDwww.cwpw.org

Leonard Newman, MD, President Michael H. Gewitz, MD, Vice PresidentGerard Villucci, Chief Executive OfficerPublisher: Yaeger Public RelationsEditor: Harold ClarkArt Director: Denise Stieve

Specialty ReferralHotline

Please contact our new one-call concierge servicefor specialty appointmentscheduling!

1-855-4-CWPW-MD (1-855-429-7963)

7

9

26

5657

www.cwpw.orgSpecialty Referral Hotline 1-855-4-CWPW-MD

Page 8: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS ...bchphysicians.org/wp-content/uploads/2015/01/CWPW-Newsletter_S… · September in Las Vegas. 2 continued on page 3 Leonard Newman,

www.cwpw.org8 Specialty Referral Hotline 1-855-4-CWPW-MD

It wasn’t too many years ago when Lyme disease —or any of the other deer tick-transmitted illnesses —

was new to the nomenclature. Then, in the late 1970sand early 1980s, people in the Northeast began tocomplain of a variety of symptoms, from joint swelling,headache and fatigue to an unusual bull’s-eye rash thatenlarged over time. Physicians and epidemiologistswere vexed. Finally, the syndrome was linked to the

miniscule deer tick, and today approximately 30,000cases are reported annually in the United States,according to the Centers for Disease Control andPrevention. That is up from 10,000 reported cases in1992. The number may be as high as 300,000 todaywhen unreported cases are considered.

Gary P. Wormser, MD, is one of the nation’s foremostexperts on tick-borne disease. Chief of the Division ofAdult Infectious Diseases at CWPW and Vice Chairmanof the Department of Medicine at New York MedicalCollege, Dr. Wormser has devoted much of hisprofessional career to studying and treating tick-borneillness while conducting research into the causes of itsvirulence and how to diagnose, treat and prevent theseinfections. He is widely published and highly respectedfor his work in the field of infectious diseases,particularly tick-borne illnesses and AIDS.

As Director of the Lyme Disease Diagnostic Center atNYMC, Dr. Wormser and his colleagues have seen thenumber of cases grow over the years. The Center isamong the world’s leading clinical and research facilitiesdedicated to tick-borne illnesses. Now in its 26th year,the Center provides free rash screenings, laboratorytesting for tick-borne diseases, as well as tickidentification for patients 18 years or older. The Centerhas a new location for the summer of 2014, at 19Bradhurst Avenue, Suite 1400 South, in Hawthorne, NY.The walk-in center is open Mondays, Wednesdays andThursdays from 5:00 p.m. to 7:00 p.m. and noappointment is necessary.

Aside from Lyme disease, the other tick-bornediseases transmitted by the deer tick in New York Stateinclude babesiosis, human granulocytic anaplasmosis,deer tick virus (Powassan), and Borrelia miyamotoiinfections.

Today the incidence of tick-borne disease is notincreasing locally as much as it is in the broadergeographic area in which it is being diagnosed. It’s onemore conundrum that continues to challenge physiciansand researchers like Dr. Wormser.

The incidence of Lyme disease is highest amongchildren aged five to 14 years of age, and middle-agedadults from 40 to 50 years of age; it is slightly moreprevalent among males than females. Deer ticks are theculprit in transmitting the disease, which originates inmice, chipmunks and other small mammals, as well as birds.

“In general, the incidence of Lyme disease is fairlysubstantial in the U.S.,” Dr. Wormser explains. “It’s foundmost frequently in 13 states, mostly in the Northeast andin a few Midwestern states. There are places where youdefinitely can get it, and places where you definitely can’tget it.”

“What has jumped dramatically in the Lower HudsonValley of New York State is babesiosis,” Dr. Wormsercontinues. “It’s a lot like malaria; it’s essentially the sametype of organism.” Five percent of patients who arehospitalized with babesiosis will die, he explains. It’s also the most common cause of blood-related transfusioninfection today. It’s nefarious in many ways; 50 percent ofchildren and 25 percent of adults who are infected have no symptoms. That can spell problems if the adults thendonate blood. On the other hand, some patients become

so severely ill that they are at death’s door. The elderly,those who are immunocompromised, and those who haveno spleen are the most susceptible to severemanifestations of babesiosis.

“It’s a real challenge for the medical community,”Dr. Wormser says. “The problem right now is that we

need a lot more research. We’ve donea lot of substantive research on Lymedisease, but more needs to be doneon all of the deer tick- transmittedinfections.” His current federalCenters for Disease Control (CDC)and National Institutes of Health (NIH) sponsored research focuses onthe long-term outcome of Lyme disease followingtreatment, and on the development of new tools todiagnose other tick-borne illnesses.

In the arena of all infectious diseases, Lyme diseaseis fairly new; Dr. Wormser saw his first case in 1981.“Lyme disease wasn’t even considered as a seriousillness until the late 1970s or early 1980s in the U.S.,” hesays. “We’ve been making pretty big strides since then.“

“We’re a lot better at diagnosing and treating Lymedisease today,” Dr. Wormser states.” However, hehastens to add, there is still no vaccine to prevent it. “So there is a great need for additional research.”

“One of the aspects we are studying is Lyme diseaseoutcomes and the long-term issues,” Dr. Wormsercontinues. He and his colleagues at the Center are alsoconducting research to determine whether there arecertain biomarkers — or predictors — in the blood thatcan determine whether a patient will have a propensitytoward longer-term symptoms. “Why do some peopleget really sick, while others have a mild illness? We’realso studying strain variations in the Lyme borrelia” todetermine why some strains of the spirochetal bacteriaeare more virulent than others.

All in all, there is much research to be conducted, but Dr. Wormser is dedicated to making additionalinroads into the debilitating — and occasionally deadly— range of illnesses known as tick-borne diseases. The Lyme Disease Diagnostic Center welcomescontributions, which can be made online atwww.nymc.edu/give.

Prospective donors can also contact Larissa Reece,Vice President, Development and Alumni Affairs at NewYork Medical College, at 914-594-4550 or via email [email protected]. CWPW

Gary P. Wormser, MD

TICK-BORNE DISEASEA Common Summertime Infectious Illness in Parts of the U.S.

“In general, the incidence of Lymedisease is fairly substantial in theU.S.,” Dr. Wormser explains.

“It’s found most frequently in 13states, mostly in the Northeast andin a few Midwestern states. Thereare places where you definitely can

get it, and places where you definitely can’t get it.”

Page 9: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS ...bchphysicians.org/wp-content/uploads/2015/01/CWPW-Newsletter_S… · September in Las Vegas. 2 continued on page 3 Leonard Newman,

Gustavo Stringel, MD, a respected pediatric surgeon withCWPW, has been selected to receive the 2014 Society of

Laparoendoscopic Surgeons EXCEL Award. Dr. Stringel willreceive the award at the Society’s annual meeting later this year inLas Vegas.

EXCEL Award nominees are recommended by the SLS Nationaland International Advisory Boards, and are given to a surgeonwho has made outstanding contributions to laparoscopy,endoscopy, and minimally invasive surgery. Past recipients include general surgeonsand subspecialists from throughout the United States, Canada and Europe.

SURGEON OF DISTINCTION Gustavo Stringel, MD, MBA, to Receive 2014 Society of Laparoendoscopic Surgeons EXCEL Award for Contributions to Minimally Invasive Surgery

Gustavo Stringel, MD, MBA

Dr. Stringel is Professor of Surgery and Pediatrics at New York Medical College,Attending Surgeon at Westchester Medical Center, and Surgeon-in-Chief at the MariaFareri Children’s Hospital. He is board certified in Surgery, Pediatric Surgery andSurgical Critical Care, and is certified in Medical Management by the AmericanCollege of Physician Executives. Dr. Stringel received his MBA from the University ofMassachusetts at Amherst.

“Dr. Stringel embodies the very best in pediatric surgery,” notes Leonard Newman,MD, President of CWPW. “I know I join with everyone in the Division of PediatricSurgery — and all physicians and staff at CWPW — in congratulating Dr. Stringel onthis most impressive award.” CWPW

9

Edmund F. La Gamma, MD, Chief of CWPW’s Division ofNewborn Medicine was a speaker at the New York State

Perinatal Association’s (NYSPA) 28TH Annual PerinatalConference in Albany, NY that was held last month. Theconference theme was Advocacy in Action: Promoting theHealthy Women, Infants and Children for Prevention Agenda forNew York State. Dr. LaGamma’s talk was devoted to the topic ofEarly Enteral Nutrition.

EDMUND F. LA GAMMA, MD 28th Annual Perinatal Conference in Albany, NY

www.cwpw.org

Praveen Ballabh, MD, a CWPW neonatologist and a leadingexpert on determining methods of preventing brain damage

in premature infants who have suffered a hemorrhage in the braincavity, has been awarded a five-year grant from the NationalInstitutes of Health (NIH) totaling $1.9 million. The grant willallow Dr. Ballabh to investigate how such perinatal hemorrhagesdisrupt the functioning of the brain and ultimately lead toconditions such as cerebral palsy, mental retardation, learningdisabilities, neurodevelopmental delays, and reduced brain size. Moreover, he willevaluate strategies to restore brain function and minimize neurological disabilities after thedevelopment of brain bleed in preterm infants.

In announcing the award to departmental colleagues at CWPW, Edward F. LaGamma,MD, Chief of CWPW’s Division of Newborn Medicine, points out that the grant “istestimony to perseverance in the competitive market of federal funding.” Dr. Ballabhwas successful in securing the award after submitting previous renewal applications tofoundations, including the NIH. “Success was ultimately achieved. (Dr. Ballabh) hasbeen a funded investigator nearly every year he has been here on our team. I am trulyhappy for him,” Dr. La Gamma says.

“The grant we received from NIH is very exciting,” Dr. Ballabh says. “Working todetermine how premature infants succumb to hemorrhage is the core of our NIH grant

PRAVEEN BALLABH, MD, RECEIVES NATIONAL INSTITUTES OF HEALTH (NIH)Grant to Study Perinatal Brain Injury

award. The survival rate of premature babies has increased,” he explains. “As such,brain hemorrhage has emerged as a major public health concern.”

In his proposal to the NIH, Dr. Ballabh indicates that about 12,000 premature infants in the United States develop bleeding in and around the brain cavity each year. Survival is about 90 percent. “This can result in mental retardation,neurodevelopmental delays, and reduced brain growth,” he notes. “Since theformation of neurons, or brain cells, continues in fetuses until 28 weeks of pregnancy,bleeding in the brain cavity might suppress the generation of neurons and brainmaturation in preterm infants. In this proposal, we will determine whether the brainhemorrhage affects the formation of neurons, and will test strategies to restore thedevelopment of neurons and organization of brain layers in our preterm rabbit modelof brain hemorrhage.”

The germinal matrix “is the factory where brain cells are formed,” Dr. Ballabhexplains. “They migrate out to form six layers of the cerebral cortex, which is ourforebrain. We are testing strategies to restore the development of neurons,” and,hopefully, mitigate the effects of a hemorrhage in the delicate first 28 weeks ofdevelopment. “There are not many people working on this area,” Dr. Ballabh observes.There are many physicians who are probing the causes of stroke and Alzheimer’sdisease, but Dr. Ballabh’s work on premature infants is unique. “We want to determinehow brain hemorrhage affects neurons, and find ways to restore normalcy to the brain.CWPW

Specialty Referral Hotline 1-855-4-CWPW-MD

Praveen Ballabh, MD

Edmund F. La Gamma, MD

The NYS Prevention Agenda 2013-2017 is significantly changing how perinatalhealth is measured and funded throughout New York State and presents anopportunity for real meaningful change in the lives of women and children today andfor future generations. Their workshops are designed to exhibit the work throughoutthe regions to advance perinatal health and implement the New York State healthywomen, infants and children agenda. CWPW

Page 10: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS ...bchphysicians.org/wp-content/uploads/2015/01/CWPW-Newsletter_S… · September in Las Vegas. 2 continued on page 3 Leonard Newman,

1 - 8 5 5 - 4 - C W P W - M D • w w w . c w p w . o r g

We Congratulate our 2014 Top Doctorsand celebrate the outstanding medical care provided by

all of our physicians throughout the Hudson Valley.

Top Doctors List• Adolescent Medicine: Martha Arden, Marcia Nackenson

• Pediatric Cardiology: Michael Gewitz, Markus Erb, Bernard Fish, Deborah Friedman, Henry Issenberg • Pediatric Critical Care: Carey Goltzman • Developmental Pediatrics:William Levinson

• Pediatric Endocrinology: Richard Noto, Dan Handelsman, Alicia Romano • Adult Gastroenterology: Edward Lebovics, Brad Dworkin • Pediatric Gastroenterology: Leonard Newman, Stuart Berezin, Mark Glassman, Michael Halata

• Medical Genetics: David Kronn • Pediatric and Adolescent Gynecology: Monique Regard • Pediatric Hematology/Oncology: Mitchell Cairo, Mehmet Ozkaynak, Claudio Sandoval, Oya Tugal

• Adult Infectious Disease: Robert Nadelman, Gary Wormser • Pediatric Infectious Disease: Karl Li, Nina Arlievsky • Neonatology: Edmund LaGamma, Heather Brumberg, Sergio Golombek, Jordan Kase, Martin Katzenstein, Glenn Mendoza

• Adult Nephrology: Stephen Adler, Veronica Delaney, Renee Garrick, Michael Klein • Pediatric Nephrology: Dmitry Samsonov • Pediatric Neurology: Ronald Jacobson • General Pediatrics: Robin Altman, Luciano Barone, Daniel Cohen, David Hedrick, Suzanne Kaseta, William Levinson, Harry Lubell, Katherine Mini, Steven Schiz

• Pediatric Pulmonology: Allen Dozor, Nikhil Amin, Joseph Boyer, Sankaran Krishnan, Diana Lowenthal • Pediatric Rheumatology: Chun Chao • Pediatric Surgery: Gustavo Stringel, Whitney McBride, Suvro Sett

Finding a great doctor for your family has never been easier: the best doctors in the region are at Children’s and Women’s Physicians of Westchester. With over 50 offices throughout the Hudson Valley

and experts in virtually every medical specialization, the doctors at CWPW are unique in their respective fields – lauded for excellence and respected for visionary care and innovation.

We join Hudson Valley Magazine in saluting these superior physicians – and all medical experts within the CWPW family of health care professionals.

Download our CWPW app — free for iPhone and iPad

Page 11: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS ...bchphysicians.org/wp-content/uploads/2015/01/CWPW-Newsletter_S… · September in Las Vegas. 2 continued on page 3 Leonard Newman,

CWPW ANNOUNCES NEW AFFILIATIONS Welcoming Branch Pediatrics and Hartsdale Pediatrics to the CWPW Family

11

““We strive to provide comprehensive care for your children through collaborationwith our colleagues within the office and in the surrounding communities,” says RichardAncona MD.

Richard Ancona MD FAAP, Keith Ancona MD FAAP, Mary Ann Flynn Gameng MDFAAP, Michael Stern MD FAAP and Judy Murphy RN CPNP make up Branch Pediatrics.

The doctors have admission privileges at Stony Brook Long Island Children'sHospital, Saint Charles Hospital and Saint Catherine of Sienna Hospital. Newborn careis provided at all three hospitals as well as inpatient hospital care at Stony Brook LongIsland Children’s Hospital. Appointments can be made by calling (631) 979-6466.www.branchpediatrics.com CWPW

Hartsdale Pediatrics located at 280 Central ParkAvenue in Hartsdale, New York is a new general pediatric

medical practice that has recently joined our CWPW family.Under the medical direction of pediatrician Robert

Rosenberg MD, Hartsdale Pediatrics providescomprehensive general pediatric care to families inthe Hartsdale, Scarsdale, Greenburg and White

Plains areas of Westchester County.In addition to General Pediatrics, Hartsdale Pediatrics has

concentrations in Child Development and Nephrology. DrRosenberg is the current Director of Pediatrics at White PlainsHospital Center. Dr. Rosenberg lives with his family in Scarsdale,New York. Appointments can be made by calling(914) 472-0300 or via the Hartsdale Pediatrics websitewww.HartsdalePediatrics.com appointment form. CWPW

Branch Pediatrics andAdolescent Medicine, P.C.

has now joined the CWPW family. Branch Pediatrics is located inSmithtown, Suffolk County on Long Island at 300 East Main Street. They havebeen serving generations of children on Long Island since 1973 providingexceptional pediatric care for the community in a family friendly environment.

Robert Rosenberg, MD

www.cwpw.org Download our CWPW app — free for iPhone and iPad

growing needs. So we set out to find accommodations that would be convenient,provide sufficient space, and allow for administrators and department heads to functionusing state-of-the-art wireless technology. As we were looking for a new location, NewYork Medical College, where many of our doctors are also faculty members, recentlyacquired the new Skyline property and offered this new space to us,” Mr. Villucci says.“We are now fortunate to have a more modern and efficient set of offices and a state-of-the-art headquarters.”CWPW

The new headquarters of CWPWis now located at the former site

of IBM’s T.J. Watson Research Centerat 19 Skyline Drive in Hawthorne, NY.The CWPW offices are convenientlylocated within the New York MedicalCollege faculty center and house alldepartment heads of CWPW, includingLeonard Newman, MD, President, Michael H. Gewitz, MD, Chief of PediatricCardiology and Vice President, Gerard Villucci, Chief Executive Officer, and RobertShaw, Chief Operating Officer. In addition, most division heads of the variousmedical subspecialties of CWPW will operate out of the new office location.

The announcement of CWPW’s new headquarters was made by LeonardNewman MD, CWPW’s President.

“CWPW is one of the largest physician medical and surgical practices in theregion providing a wide-reaching system of primary care and specialty careservices in both the inpatient and outpatient settings,” says Dr. Newman. “Ourmore than 50 medical practices are located throughout the greater New YorkMetropolitan area, extending from New York City, throughout the Hudson Valley,including Westchester, Rockland, Dutchess, Putnam and Orange Counties as wellas in Southern Connecticut and New Jersey.”

According to Gerard Villucci, CWPW’s Chief Executive Officer, “Our formerheadquarters at the Munger Pavilion in Valhalla was unable to accommodate our

CHILDREN’S AND WOMEN’S PHYSICIANS OF WESTCHESTER MOVES HEADQUARTERSto Larger, Hi-Tech Office Space

Leonard Newman, MD Gerard Villucci, CEO

Page 12: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS ...bchphysicians.org/wp-content/uploads/2015/01/CWPW-Newsletter_S… · September in Las Vegas. 2 continued on page 3 Leonard Newman,

Congratulations!Maria Fareri Children’s Hospital: celebrating 10 years of outstanding pediatric medical care for patients in need.

Skyline Suite# 1N-C08 • 40 Sunshine Cottage Road • Valhalla, NY 10595

CWPW • V i s i t Ou r Web S i te fo r Add i t i ona l I n fo rmat ion : www.cwpw.o rg