Ingredients – Serves 6 14 large cloves garlic, divided 1/4 cup extra-virgin olive oil 2 Tbsp finely chopped fresh oregano, divided 1 tsp salt, divided 3/4 tsp freshly ground pepper, divided 6 cups Brussels sprouts, trimmed and sliced 3/4 cup white wine, preferably Chardonnay 2 pounds wild-caught salmon fillet, skinned, cut into 6 portions Lemon wedges
Preheat oven to 450 °F.
Mince 2 garlic cloves and combine in a small bowl with oil, 1 tablespoon oregano, 1/2 teaspoon salt and 1/4 teaspoon pepper.
Add wine to the mixture.
Halve the remaining garlic and toss with Brussels sprouts and 3 tablespoons of the seasoned oil in a large roasting pan.
Roast Brussel sprouts and garlic, stirring once, for 15 minutes.
Remove the pan from oven, stir the vegetables and place salmon on top.
Drizzle with the oil/wine mixture.
Sprinkle with the remaining 1-tablespoon oregano and 1/2 teaspoon each salt and pepper.
Bake until the salmon is just cooked through, 5 to 10 minutes more.
Serve with lemon wedges.
Recipe Courtesy of Eatingwell
Ask the Urologist: What You Need to Know about PSA and the Increase of Metastatic Prostate Cancer in the US By Dr. Warren Bromberg
August 25, 2016 In 2012, the US Preventative Services Task Force (USPSTF) stunned the medical and lay community with its recommendation against routine prostate-specific antigen tests or, PSA screenings, for prostate cancer. This screening can detect high levels of PSA that may indicate the presence of prostate cancer. The Task Force gave PSA screening a grade of “D” primarily based on the results of the Prostate, Lung, Colorectal, and Ovary (PCLO) trial, reported in 2009, which showed no difference in prostate cancer incidence or mortality between the screening and control groups after 7 years. Since this seminal declaration, screening has decreased from 33% to 18.7% in men aged 55-69 years, the age range generally thought to be most critical in identifying and treating the second-leading cause of cancer death in men. Read more
Salmon with Tomato Basil Salsa
The fresh salsa is a great pairing to the omega-rich salmon!
Detecting and Treating Colon Cancer By Jerald Wishner MD, FACS, FASCRS, Director of the Minimally Invasive and Colorectal Surgery Program at Northern Westchester Hospital
March 13, 2017 Colon cancer remains the third most common cancer in both men and women. However, only one in three eligible Americans begin to be screened for colon cancer at the recommended age of fifty-years-old. What is stopping people from taking the lifesaving step of screening? Unscreened individuals may avoid the procedure out of fear of the unknown, or the patient may feel like they are not at risk. Here, I’ll explain the importance of screening and the exciting new developments in detecting and treating colon cancer.
Q: Why do I need a colonoscopy? A: Colorectal cancer has very few warning signs, which makes screening crucial. By the time a patient is showing symptoms, which may include a change in bowel habits, blood in the stool, or pain in the abdomen, the cancer is often advanced and may be difficult to treat. Though many put off colonoscopy screenings, new technology ensures a painless and simple procedure. In fact, most patients report that the toughest part is drinking preparatory laxatives, which can have a chalky taste. Prior to the exam, patients are given a pain reliever and sedative, which allows them to relax and often doze off. The next thing they know, they’re in the recovery room.
Q: What if the screening finds cancer? A: During a colonoscopy screening doctors are able to remove suspicious polyps during the procedure. If the polyp is too big, it can be biopsied during the colonoscopy. If cancer is found and surgery is necessary, you can be reassured that technology has greatly improved outcomes for patients. The surgeon will only need to remove the part of the colon affected by cancer; most patients will be able to lead a normal life with no colostomy bag or difficult dietary restrictions.
Q: What are my options if I need surgery? A: One of the most exciting developments in treating colon cancer is the use of robotic surgery, such as the da Vinci System at Northern Westchester Hospital. A small incision is all that’s needed to insert the robotically controlled instruments and camera. The surgeon operates the instruments and from a console, which has a screen that provides a full-color, three-dimensional image of the operation site. Because the robot holds the instruments perfectly still and the movements are so precise, there is minimal damage to the surrounding tissues. Patients used to require seven days or more to recover from colon surgery using conventional methods. Now, 90 percent of patients are able to go home within one to two days. Pain is substantially reduced with this surgical option, allowing a patient a faster recovery without a need for much pain medication.
DID YOU KNOW? One in three people between the ages of 50 and 75 have not been tested for colorectal cancer. That’s 23 million eligible Americans who are missing out.
COLON CANCER FACTS Screening age: Turning 50 is a reminder that it’s time to schedule a colonoscopy, but that’s only if you happen to be at low risk. If a first-degree family member — a parent or sibling — was diagnosed with colon cancer, you should get screened 10 years earlier than that person’s age at diagnosis. In other words, if a parent was diagnosed with colorectal cancer at 45, you should get your first screening when you turn 35. Why? Having a first-degree relative with the disease doubles your risk of colorectal cancer.
Symptoms: Unfortunately, the symptoms for colorectal cancer can be very vague or even non-existent. Constipation, abdominal pain, bloating, anemia, and fatigue are just a few of the common one. Catching colon cancer early — ideally before there are noticeable symptoms — is key to treating this disease successfully.
Other risk factors: A low-fiber, high fat diet that includes a lot of cured and processed meats like salami and hot dogs seems to raise the risk of colorectal cancer. Lifestyle choices that can increase your risk include smoking, a lack of regular exercise, obesity, and heavy alcohol use.
Staying Healthy without a Fad Diet
November 19, 2016 Adopting a healthy lifestyle and getting your weight under control is a goal for many. It is particularly important for those concerned with Type II diabetes prevention or self-management. With so many fad diet programs and books available to you, how do you choose the best one? You don’t have to. While low carb diets like Atkins, South Beach, and Dukan are widely accepted for weight loss – eating healthy and staying consistent is the key to diabetes prevention. Here, I’ll give you tips to maintain a healthy lifestyle without the drawbacks that may come with fad diet programs. By Jill Ashbey-Pejoves, MS, RD, CDN, CDE, Northern Westchester Hospital.
Eliminating Grains and Legumes – An Evolutionary Argument One of the drawbacks to trend diets may be that they sometimes eliminate whole categories of foods from your diet. As a result, they may be difficult to follow long-term. I’m sure you’ve heard of the Paleo or Caveman diet, which suggests that we would be healthier if we ate like our Paleolithic ancestors, the hunter-gatherers. This diet strictly eliminates all grains, legumes, refined sugar and dairy products. No beans or whole grains? With the proven benefits of these food groups, completely eliminating them from our diet is not a good idea. In fact, the US Dietary Guidelines recommend 3 servings of beans/legumes and 3 servings of whole grains per day – based on a 2000 calorie diet.
One Size doesn’t Fit All for Dieters According to the American Diabetes Association, there is no single diet type that controls blood sugar for everyone. However, a diet low in saturated fat and processed foods, and high in vegetables, legumes and other sources of fiber is essential to your health. The most important food/drinks to avoid are sugary drinks — including juice and any processed foods that contain added sugar and fats. A healthy diet for diabetes is also a healthy diet for heart disease, and cancer.
Simple Steps to Weight Loss To keep any diet healthy, consistently replace high fat meats with lean proteins such as fish, skinless white meat chicken, egg whites, or plant based proteins. Try eating 3 to 5 servings of green leafy vegetables, like kale and spinach, per day. Loading up on nutritious vegetables will keep you feeling full throughout the day. Grocery shopping? Read the list of ingredients on packaged foods and choose ones with 5 or fewer ingredients you recognize. This will ensure you are choosing the least processed grains, starches, and fruits. If you are including dairy in your diet, choose low-fat versions. It’s important to keep fats in our diets, but choose healthy, plant-based fats such as avocado, nuts, and olive oil.
Northern Westchester Hospital Dedicates Bruce and Andrea Yablon Cancer Health and Wellness Program
-Patients and Community Members have Free Access to Cancer Health & Wellness Services-
Northern Westchester Hospital, Mt. Kisco, New York (October 24, 2016) - Northern Westchester Hospital (NWH) has announced the dedication of the Bruce and Andrea Yablon Cancer Health and Wellness Program. This unique program serves patients affected by cancer beginning with those identified as at-risk for cancer; those recently diagnosed; currently receiving treatment; and those who are navigating what it means to be a cancer survivor.
Due to the extraordinary generosity of the Yablons and other community members, NWH is able to provide patients with FREE access to services including a health coach and registered dietitian, a customized physical activity plan, integrative medicine including acupuncture, aromatherapy, Reiki, reflexology, and mindful wellness, as well as individual and group counseling, stress reduction and meditation.
During the dedication ceremony, Bruce Yablon commented, “Cancer never ends for patients and their families. It becomes their new normal. Research will hopefully solve this so our kids will one day know that cancer can be cured. Northern Westchester Hospital is here to help the community and we are proud to support this program, which provides patients with the support and resources to know they are not just here to treat their disease.”
Joanna Cirasella, breast cancer patient, emphasized the importance of these services stating, “The ending of treatment and not being under the watchful eye of the staff brings its own challenges. The services offered during and after treatment through the generosity of Bruce and Andrea eased those challenges. Because of all of you, I am not just surviving, I am living.”
Joel Seligman, NWH President and CEO added, “It takes medical expertise, a staff committed to the principles of Planetree and the support of the community to offer this program. Bruce and Andrea have been long time supporters of NWH and their continued generosity has enabled us to expand and enhance the services offered through the Cancer Treatment and Wellness Center. Their support demonstrates their empathy for others and commitment to our community.”
While the Cancer Health and Wellness Program was founded by Bruce and Andrea, it is funded and sustained entirely though the contributions and generosity of patients and donors. There have been approximately 18,000 free health and wellness visits since the program’s inception in April 2011. Community members interested in learning more can contact the Northern Westchester Hospital Foundation at 914-242-8361.
Westchester Gynecological Surgeon on Treatment Options for Pelvic Organ Prolapse
September 27, 2016 Did you know that, if you have delivered a baby vaginally, you may have a condition called pelvic organ prolapse? This means that the organs of your pelvis have prolapsed, or dropped, from their normal positions. Almost all women who have delivered vaginally have some degree of prolapse in this area. What does this mean for your health? Here, I explain this common, non-dangerous condition, your many treatment options, and how you can reduce your risk of developing it. By Dr. Elisa Burns, FACOG, gynecological surgeon and Director of Quality and Outcomes at Northern Westchester Hospital’s Institute for Robotic and Minimally Invasive Surgery.
Often called a prolapsed bladder, or a “dropped bladder” in common speech – though this is a misnomer, as I’ll explain – pelvic organ prolapse is a non-life-threatening condition that occurs when damage to the connective tissue and muscles holding up the vagina, uterus and cervix causes these organs to drop. It takes three forms: the combined prolapse of the uterus and cervix, prolapse of the vagina and bladder, and prolapse of the back wall of the vagina and rectum. The most common symptom is bulging tissue at the opening of the vagina; that is what brings most women in. This bulge is not bladder tissue; the bladder is protected, and bladder tissue can’t protrude from the body. Some women suffer pelvic or back pain. Generally, the condition does not cause incontinence.
Pelvic organ prolapse in women is mainly caused by vaginal delivery, during which connective tissue and muscles are stretched or torn. That’s why a large baby increases your risk, as do multiple births. Other risk factors include older age and genetic tendency, with white women at greater risk. Anything that causes you to continually put pressure on the pelvic region, such as obesity or a chronic cough, can elevate your risk. In addition, anything that might affect the integrity of your connective tissue, such as diabetes, can have some effect.
While large numbers of women have the iStock_000019586817Medium2condition, most are unaware of it. In fact, because it is completely non-life-threatening, your gynecologist may have noticed it and not mentioned it. Although most women have the condition to some extent, most aren’t symptomatic. But what if you are? Bulging tissue can usually be pushed back into the vagina, and for many women, this is the solution. However, the protruding tissue can be uncomfortable and interfere with normal activities like walking, working out or sexual intercourse. It is these strictly quality-of-life issues that sometimes propel women into my office, exclaiming, “I can’t stand this anymore!”
Typically detected through a routine manual gynecological exam, the condition can become merely intermittent, though it usually worsens over time. That’s why it is good to know that you have many treatment options.
Non-surgical remedies include kegel exercises for strengthening the pelvic muscles. These are easy to do, and you’ll easily find instructions online. Note, however, that the root problem is the connective tissue, which is not under our voluntary control; there is no way to exercise, strengthen or undo damage to it. Unless you are in a great deal of discomfort, I recommend that you try these exercises at home as a first remedy. Why not? They might help.
In addition, a pessary — a firmer diaphragm — can be used to hold up the dropped organ. A pessary must be regularly taken out and cleaned, and many women see a gynecologist every few months to have this done. My patients who are most satisfied with the pessary are in their 70s and 80s, don’t want surgery, and are very happy to come in every three to four months. They’re not doing Zumba classes! So they can live with merely reduced symptoms.
Surgery interventions for pelvic organ prolapse condition restore the position of the prolapsed organs. The surgery can be performed vaginally or abdominally, with the vaginal approach by far the most common. Following surgery, there is a 20 percent chance of recurrence, though most women enjoy some symptomatic relief. However, the same or a similar problem can come back, because whatever environmental or genetic factors were there, are still there. If your genetic tendency is toward weak tissue, it is still weak after surgery.
Surgery involves an overnight hospital stay, and you’ll likely be back to your normal routine in two weeks. In choosing a surgeon, look for a board-certified gynecologist or urogynecologist, or a pelvic surgeon with experience in vaginal surgery.
Maintaining a healthy weight reduces your risk of developing pelvic organ prolapse. So does not smoking, as smoking both damages connective tissue and makes you cough, which puts pressure on that tissue. The good news for women regarding this condition: You have many options. You can start off with kegel exercises and, if necessary, progress to the pessary. If you have surgery and your symptom recurs, you can have a secondary surgery. I have patients who have had the surgery and now are using the pessary. And, because the condition is not dangerous, you have time. So you can calmly research the best option for you.
Dr. Elisa Burns, FACOG, is a gynecological surgeon and Director of Quality and Outcomes at Northern Westchester Hospital’s Institute for Robotic and Minimally Invasive Surgery.
Northern Westchester Hospital to Host Free Senior Health & Wellness Fair on September 21 with the Support of Senator Terrence Murphy and Assemblyman David Buchwald
August 30, 2016 Maria Simonetti, Director of Community Health Education & Outreach at Northern Westchester Hospital (NWH), is pleased to announce that the hospital will host a free Senior Health & Wellness Fair on Wednesday, September 21, 2016, from 10:00 a.m. to 1:00 p.m. at Chappaqua Crossing, 480 Bedford Road in Chappaqua, NY. The fair is being held with the support of New York State Senator Terrence Murphy and New York State Assemblyman David Buchwald.
Pharmacists, dietitians, yoga instructors, nurses, doctors, and many more will be on hand to share their expertise and advice, as well as conduct health screenings.
“Northern Westchester Hospital is inspired to host the Senior Health & Wellness Fair for seniors as well as their caregivers. Our goal is to empower seniors in the community by raising awareness about their health, and to prevent chronic conditions from worsening,” said Ms. Simonetti. “As we continue to celebrate our Centennial, we are so grateful for the support this year of New York State Senator Terrence Murphy and New York State Assemblyman David Buchwald. We are all committed to the health and wellness of our entire community.”
“One of my primary concerns is improving the quality of life for our senior citizens,” said Senator Terrence Murphy. “We want to recognize the many contributions senior citizens have made to our community through the years by showing them the services that are available to them as they get older. This health and wellness fair will help connect seniors with organizations and services that can help them remain healthy and independent.”
“I am pleased to be working with Northern Westchester Hospital to bring the Senior Health & Wellness Fair to our community once again,” said Assemblyman David Buchwald (D-Mount Kisco). “This fair provides resources for seniors, families and caregivers alike. Northern Westchester Hospital deserves great credit for sponsoring this effort to address the broader health care needs of senior citizens.”
Activities will include:
· Pharmacy Brown Bag – bring your current medications and a NWH pharmacist will review the benefits as well as anything that should be avoided while taking medication;
· First Aid & Emergency Preparedness Tips;
· Balance & Falls Prevention;
· Chair Yoga/Stretching;
· Nutritional Counseling & Food Demonstration by Registered Dietitians;
· Health screenings including:
· Blood pressure;
· Cholesterol and glucose levels;
· Osteoporosis/bone density tests.
The event is free and open to the public. For more information, please contact Margaret Ribaudo, RN, (“Nurse Margaret”) at email@example.com
Northern Westchester Hospital Opens Janet Fields Memorial Garden Outdoor Oasis Pays Tribute to Former Patient and Staff that Cared for Her
August 2, 2016 A beautiful garden now enriches the grounds of Northern Westchester Hospital and the lives of those who enjoy it. The Janet Fields Memorial Garden was dedicated, last month, by the Fields and Bauer families, in honor of the loving memory of Janet Fields, cherished daughter, sister, aunt and friend.
The hospital’s healing footprint now extends into a beautiful, therapeutic space. “We are forever grateful to Janet for living a life which inspired such love and generosity and to the Fields and Bauer families for taking their pain and sadness and insisting that Janet’s life continues to have meaning,” said Keeva Young-Wright, President of the NWH Foundation.
During a moving dedication ceremony, Janet’s sister, Nancy Bauer, shared, “We wanted to do something at Northern Westchester Hospital to honor Janet’s memory and how safe and cared for Janet felt here. We wanted to honor staff and families with an oasis that reflects her warmth, beauty, spirit and love of life.” With profound gratitude to the NWH staff for the extraordinary and compassionate care she received at the hospital, her family honored her legacy by donating this sanctuary to be enjoyed by patients, staff, physicians and visitors.
The new garden is located off the hospital’s cafeteria and features lush greenery, artistically designed stone walls and walkways, a flowing stream and pond. In addition to Suzanne and Stephen Fields (Janet’s parents), Nancy Bauer (her sister), and Ken Fields (her brother), many NWH administrators, staff and physicians spoke about Janet’s positive impact on the staff. Hospital Reverend Dr. Sonia Trew-Wisdom, provided a blessing of the garden and all who attended.
One of Janet’s nurses, Laurel DiNonno added, “Janet faced every day with a positive attitude. She taught me so much about the importance of developing relationships with my patients and their families.” Other physicians and staff who cared for Janet reflected on her bright smile, love of the outdoors and compassion for others and how even in her most challenging health situations she was concerned for her family and caregivers.
Joel Seligman, NWH President and CEO, thanked the Fields family for choosing NWH as the place to honor their beloved daughter and sister in such a meaningful way and added, “Being a Planetree Patient-centered hospital is about personalizing every aspect of care. The Janet Fields Memorial Garden fosters that mission and will be a place where visitors, family caregivers and staff will feel cared for – a place of respite, reflection and relaxation, today, tomorrow and for years to come.”
Special acknowledgements were made to Robert Golde, Principal of Towers|Golde, Channing Harris, Senior Associate of Towers|Golde; John Santaroni of Scenic Landscaping; Mike Caruso, Vice President of Facilities Management at NWH; Chris Shopinski, Director of Facilities Management at NWH and the entire Northern Westchester Hospital Facilities team.
Workplace Ergonomics: Make Your Desk Work For You
July 22, 2016 Battling Chronic Office Fatigue from Your Work Environment Monday through Friday, your shoulders are tight and your neck aches. By Sunday afternoon you start to feel a bit better, but the pain returns on your first day back to work. If that sounds familiar, your workplace ergonomics are probably out of whack. Easing your pains may be simpler than you realize, though.
Workplace Ergonomics Pain in the neck and shoulders, which may lead to headaches or shooting pains down the arms and legs, is often caused by a poorly set up work desk and computer.
Office Ergonomics Tips
1. The first thing to do is check the height of your computer monitor. Your eyes should be level with the top of the screen, which prevents you from tilting your head back or forward and putting strain on your neck.
2. Next, check your chair. And no, you don’t need to spend $2000 on a sophisticated one to get the support you need. I recommend a chair with adjustable height, adjustable arm rests, and lumbar—which means lower back—support. Adjust the rests so that your arms are bent at a 90-degree angle while typing. If your chair doesn’t offer lower back support, you can add a lumbar pillow to get the cushion you need.
3. The other key to a healthy work station is not being tied to it for hours on end. You need to get up and walk around for at least five minutes out of every hour. Your eyes will need a break, too. Every so often, look past your monitor out a window or across the office. You can also experiment with changing the fonts on your computer to ease eye strain. If you struggle with computer glare, try reading glasses with a slight tint. Look for a pair that correct for the distance from your screen—which should be about 20 to 30 inches.
Dr. Michael Rosenberg attended Columbia College of Physicians and Surgeons and was a Surgical Representative of the Medical Board at Columbia-Presbyterian Medical Center where he also completed his Chief Residency. He is board-certified in plastic and reconstructive surgery, as well as cosmetic surgery.
Although Plastic Surgeon and military Veteran Dr. Michael Rosenberg retired from the Army 20 years ago, the unique challenges facing our servicemen and women have always remained present in his mind. He has found working with the young soldiers especially rewarding, and hopes to continue to help our men and women of the Armed Forces by raising awareness of reconstructive procedures that can help them regain a sense of normalcy.
To schedule an appointment with Dr. Rosenberg, call 914-242-7610
Date: Tuesday, May 31 Time: 9:30 - 10:30am Location: The Ken Hamilton Caregivers Center 1st Floor, off the main lobby, Northern Westchester Hospital To Register,call 914-242-8128
The Ken Hamilton Caregiver Support Program provides emotional support and organizational assistance to help caregivers manage their daily lives while dealing with the illness of a loved one.
Northern Westchester Hospital (NWH), a proud member of Northwell Health (formerly North Shore-LIJ Health System), provides quality, patient-centered care that is close to home through a unique combination of medical expertise, leading-edge technology, and a commitment to humanity. Over 650 highly-skilled physicians, state-of-the-art technology and professional staff of caregivers are all in place to ensure that you and your family receive treatment in a caring, respectful and nurturing environment.