NLH Gastroenterology campaign gets National nod from American Hospital Assoc. Posted on May 3, 2016 by Dakota PikeThe American Hospital Association’s Matthew O’Connor reached out to Littauer after hearing about our gastroenterology campaign – his story is in the this months issue of the associations Health & Hospital Networks.Using Humor to Address a Serious Health Care ConcernNathan Littauer Hospital in upstate New York uses silly pint glasses, puzzles to help improve colon cancer mortality rates.May 3, 2016Matt O’ConnorUnable to make a dent in colon cancer patients’ mortality rate through traditional means, a small hospital in upstate New York is adding a new ingredient to its approach: humor.The 74-bed Nathan Littauer Hospital found its home county of Fulton was near the national average for incidence, but had a higher than average mortality rate. Leaders there decided to look at their gastroenterology department, and specifically its colonoscopy procedure — or lack of procedures in this case. They staffed up from one gastroenterologist to three and opened a new endoscopy center, but something was still missing.“Everyone knows that nobody wants a colonoscopy,” says Laurence Kelly, president and CEO of Nathan Littauer Hospital, in Gloversville, N.Y. “We said, ‘Let’s do something different and creative to get people’s attention,’ and it certainly has worked.”That’s where their humorous colonoscopy initiative comes in. Patients who schedule a colonoscopy receive a notepad filled with quizzes, puzzles and a space to write “a haiku about #2” for their frequent trips to “the office.”The real draw is that each patient who schedules a colonoscopy gets a pint glass with tick marks to help measure out his or her laxatives for the procedure. It also makes a great beer glass for later.The program is only five months old, but many are optimistic it will help to bring the hospital’s colon cancer rates down, including Nathan Littauer gastroenterologist Kamini Ramani, M.D., who some patients call “Dr. Innerds” because of the logo on the pint glass. “I’m hopeful we will reach our goal and at least get near the national standard,” she says.Hospitals don’t often employ humor to tackle such serious issues, but Kelly believes it has made all the difference. “Listen to ideas that are out of the box,” he says. “You think your usual efforts will work: this is science, this is medicine, it’s preventive and the right thing, so people would say, ‘Yes, sign me up’ — but it just doesn’t work that way.”
The Gazette features NLH Gastro campaign front page Posted on April 5, 2016 by Dakota PikeTrying to bring a little humor to the process, anyone getting scoped at Nathan Littauer’s endoscopy facility gets a complimentary pint glass scaled with markings o measure out their laxative. Afterward, it makes an ideal beer mug.Bringing humor to a serious issue:Fulton County aims to boost colonoscopy participationBy John Cropley March 30, 2016 FULTON COUNTY — Fulton County is in the odd position of having roughly the same incidence of colon cancer as the rest of the state but a much higher death rate.A variety of factors may be at play, but health care administrators, regulators and providers agree the most likely cause is the low rate at which county residents are screened for cancer. So the local hospital has been taking steps to make it easier to get a colonoscopy, and taking steps to convince people to go ahead and get it done.Nathan Littauer Hospital’s endoscopy office in Johnstown, which marks its first anniversary in April, is seeing 20 patients a day, more or less clearing the months-long backlog that existed when the only place to get a colonoscopy in Fulton County was at the hospital in Gloversville.Colonoscopies can save lives, but they’re nobody’s idea of fun. The procedure requires the patient to skip several meals, drink a gallon of laxative, and then be sedated the next day and examined with a tiny camera mounted on a long slender tube that’s inserted in the rectum.Some may find it embarrassing.So Littauer is spiking its outreach campaign with a bit of humor. Anyone getting scoped at Littauer gets a complimentaryscaled with markings to measure out their laxative. (In happier times, it makes a spiffy beer glass, too.) And the procedure will be performed by the Innerds, “nerdy about your innards for nearly 100 years.” (The three doctors pictured on the beer glass are approaching a century in practice, in total.)A pencil and a humorous little work pad to use while sitting in the bathroom round out the package.Patrice McMahon, Littauer’s vice president of primary/specialty care services, was previously the administrator for a gastroenterology practice, so she had a lot of experience with hesitant patients.“I knew the biggest way people would deflect their discomfort over it was through humor,” she said. This colored the hospital’s outreach.Dr. Kamini Ramani, one of the at the new Kingsboro GI Center, said she performs 1,600 to 1,800 colonoscopies a year and considers it a crucial tool to save lives.“It is still probably not being done as much as I would like to see it done,” she said.It’s a safe procedure for most patients, Ramani said, with physical damage resulting to the colon about once every 3,000 times under ideal conditions. The risk rises under less-than-ideal medical conditions, so in some cases non-invasive tests such as CT scans are substituted for colonoscopy.Ramani said the CT scan is good for detecting larger and cancer, but not as accurate as a colonoscopy for identifying precancerous problems. Early diagnosis is key to successful treatment, she said, because colorectal cancer takes a long time to develop but once it does it is a tough opponent to fight.“We do try to convince people that doing a colonoscopy is a good idea,” she said. “Many patients don’t know that they can have this done, and they should be having it done.”From 2008 to 2012, an average 49.6 men and 38.1 women out of 100,000 were diagnosed with colorectal cancer statewide, according to the state Department of Health, compared with 48.5 men and 48.6 women in Fulton County. (The rates are adjusted in the case of Fulton County, which has fewer than 100,000 residents.)In the same period, DOH statistics show 17.8 male and 12.8 female deaths from colorectal cancer statewide per 100,000 population, compared with 23.9 male and 16.5 female deaths in Fulton County.“Our effort is in response to that,” McMahon said.Littauer for years had a single gastroenterologist and two endoscopy rooms. The backlog for colonoscopies was six to 12 months, McMahon said, and many people in the hospital’s service area lacked money, transportation or motivation to travel elsewhere for quicker access to the procedure.“When you’re not screened, you don’t have the opportunity to find that precancerous polyp,” McMahon said.Littauer set out to recruit a second and third physician — Dr. Luz Alvarez and Dr. Hamid Azizur Rehman, both previously in Amsterdam — and outfitted a new site for them to work, a former Littauer ambulatory care center on South Kingsboro Avenue Extension in Johnstown.In April 2015, the Kingsboro GI Center began operations three days a week. Two nurse practitioners work there with the three doctors, and they perform about 20 procedures a day. The endoscopy rooms at the hospital remain in full-time use, typically for patients unable to leave the hospital.The co-payment at the Kingsboro GI Center ranges from $50 to $100, depending what insurance the patient has.Ramani said the colonoscopy is part of a larger picture. Healthy diet and lifestyle on the part of the patient reduce the risk of colon cancer. Rectal exams and feces tests by the family physician during the annual checkup are important for early detection, as the colonoscopy is recommended only once ever 10 years starting at age 50 for the general population.Nathan Littauer’s efforts are mirrored in the statewide public awareness campaign by the New York Department of Health to get more people to undergo colorectal cancer screening. A DOH spokesperson said the lower-than-average screening rate in Fulton County is a likely factor in the higher-than-average death rate.In 2013-2014, the most recent years for which data are available, the colorectal cancer screening rate in Fulton County was 59.3 percent, compared with 68.7 percent statewide, according to DOH. Surrounding counties had higher screening rates and lower death rates, DOH noted.The state goal is 80 percent screening statewide by 2018.McMahon cited the previously limited colonoscopy options for Fulton County’s disparity with its neighbors.“If you put up a barrier and people really have to pursue it, it’s going to fall by the wayside,” she said. “Those barriers were here and now they’re not.”
The Leader Herald helps NLH educate the community on caffeine consumption Posted on April 5, 2016April 5, 2016 by Dakota PikeCaffeine and Children Children, teens consuming more caffeine through ‘energy drinks’ April 3, 2016 By PATRICIA OLDER, Leader HeraldNathan Littauer dietician Alexandra Barbieri discusses the impact energy drinks can have on children, teens and young adultsGLOVERSVILLE -With slick advertising campaigns, many regularly featuring high-level athletes promoting their accomplishments and posing with a can of the latest energy drink, children and teens are caught up in the craze and are buying into the marketing they must have it. As a result, more adolescents are consuming large amounts of caffeine, and the consequences, say experts, can be serious. “The most recent study shows 73 percent of kids are consuming caffeine and those studies are showing kids are now drinking more energy drinks,” said Alexandra Barbieri, registered dietician at Nathan Littauer Hospital and Nursing Home. “These studies are showing kids are consuming more energy drinks and these kids are ingesting one to three of these drinks at a time and not drinking enough water.” Barbieri said that while the effects of caffeine on teens and children has not been studied enough to draw any solid conclusions on the health ramifications, she did cite some studies which show drinking caffeine produces an increase in heart rate, blood pressure and irritability. “Unfortunately, caffeine has not been studied too much in adolescents, only adults,” said Barbieri. “However, a study I found did show a relationship between students who drank energy drinks resulted in insufficient sleep duration. Caffeine can also cause increased heart rates and elevated blood pressure.” Continuing, she said energy drinks have between 142 mg. and 240 mg. of caffeine for 16 fluid ounces, with the daily national suggested amount not to exceed 400 mg. One cup of coffee can have between 95 mg to 200 mg. of caffeine. “[The toxicity] is dose dependent – how it affects one 15-year-old could affect another differently,” said Barbieri. “But caffeine toxicity can come with only two cups of coffee – imagine what these energy drinks can do.” According to the American Academy of Pediatrics, the maximum amount of caffeine for adolescents is no more than 100 mg. a day. A study published in the Journal of the American Medical Association in November 2015 found that a single 16 ounce energy drink – they used Rockstar for the study-released the stress hormone norepinephrine by 70 percent. The hormone is released during times of increased stress, such as testing time for college students. It also showed increases in blood pressure and heart rates. Continuing, Barbieri said one of the issues adolescents face with the energy drinks is the marketing and government regulation. “They are mostly marketing to young, adolescent boys and the [Federal Drug Administration] does not regulate [energy drinks] since they are considered diet supplements because of the addition of herbal supplements,” said Barbieri. The energy drinks, such as Rockstar, Monster and AMP, have ingredients such as ginseng, guarana and milk thistle. She said consumers, especially parents, need to be aware of what they are buying and what their children are buying. “Parents need to know the difference between sports drinks and energy drinks,” said Barbieri. “Sports drink are good for hydration. Energy drinks – we don’t know the long-term consequences. They are full of sugars and caffeine” She said one of the scariest aspects of the energy drinks is the easy availability to anyone. “I was told [by a store clerk] that a two-year-old with two bucks could buy one,” said Barbieri. She said one energy drink is even named Cocaine. “Tell me what you think that name implies,” said Barbieri. Continuing, she said parents can help by being aware of what their children are drinking when not around them. “People follow suit with what other people are doing and the magic question is how do we get kids back on board,” said Barbieri. “Looking at alternative sources of energy is important and thinking how are you going to hydrate yourself after an athletic activity.” She said today’s fast-track lifestyle lends itself to helping keep children from buying into the marketing of the energy drinks. “Kids wants what is free, convenient and fast. The more you load up in the house, the less likely they will reach for [energy drinks,]” Barbieri said. “If we give them something easy and reliable and convenient, they’ll reach for it.” Coconut water, she said, is one good source of hydration for kids after an athletic event. “They need the electrolytes with prolonged physical activity, but they can even use sodium-fortified coconut water,” said Barbieri, adding that parents can look at the first three ingredients of any drink to get an idea of what their children are consuming. “There have been overdoses on Rockstar, Red Bull and caffeine shots,” said Barbieri. “In other countries, like Turkey, Australia and Denmark they are actually banned or have warning labels.” Cheryl McGrattan, vice president of marketing for Nathan Littauer, said parents will ask a child what they had for lunch, but not what they are drinking throughout the day. “It is common for a parent to ask ‘What have you eaten for lunch today?’ but not what have you had to drink,” said McGrattan. “How frightening is it an 8-year-old can take their $3 and buy a Red Bull?” Locally, energy drinks are not available in local schools, although they are at Fulton Montgomery Community College. “We really do not use them because they are not allowed by the federal guidelines for the ala-carte menu,” said Teal Carpenter, nutrition director for Gloversville Enlarged School District. She said that a vending machine at Boulevard Elementary has the sports drink Gatorade G2, but only because the gymnasium and school field are used for athletic practices and events. “There is Gatorade in the vending machine outside the Boulevard gym because of team practices and we do sometimes use it at the high school vending machines, but other than that, we offer 100 percent juice, water and milk,” said Carpenter. Gatorade is considered a sport drink. Dustin Swanger, president of Fulton Montgomery Community College, said energy drinks were available to students attending the college. “My position is they’re in college and it is not like they’re young children attending school in school district,” said Swanger. “They’re adults and they are going to buy them at the store or on campus.” Barbieri said the key for parents is to become aware of what their children are consuming outside of the home. “We can look at alternative sources of energy and rely on whole foods,” said Barbieri. “There is water, green tea and green tea smoothies and chocolate milk. We just have to think how we are going to get our kids back on board and drink what is good for them, not what is being marketed to them.”The Leader Herald,Sunday, April 3, 2016
Nathan Littauer Hospital Designated Blue Distinction® Center for Maternity Care Posted on March 17, 2016 by Dakota Pike GLOVERSVILLE – In an effort to help prospective parents find hospitals that deliver quality maternity care, Excellus BlueCross BlueShield announced that Nathan Littauer Hospital has been designated as one of the first hospitals to receive the Blue Distinction Center for Maternity Care designation, a new designation under the Blue Distinction Specialty Care program.Nearly four million babies are born in the U.S. annually, making childbirth the most common cause of hospitalization. This new Blue Distinction Centers for Maternity Care program evaluates hospitals on several quality measures, including the percentage of newborns that fall into the category of early elective delivery, an ongoing concern in the medical community. Compared with babies born 39 weeks or later, early term infants face higher risks of infant death and respiratory ailments such as respiratory distress syndrome, pneumonia, and respiratory failure, among other conditions. These babies also have a higher rate of admission to Neonatal Intensive Care Units.In addition, hospitals that receive a Blue Distinction Center for Maternity Care designation agreed to meet requirements that align with principles that support evidence-based practices of care, as well as having initiated programs to promote successful breastfeeding, as described in the Baby-Friendly Hospital Initiative by Baby-Friendly USA or the Mother-Friendly Hospital program by the Coalition for Improving Maternity Services (CIMS) through its “Ten Steps of Mother-Friendly Care.” The program also evaluates hospitals on overall patient satisfaction, including a willingness to recommend the hospital to others.Blue Distinction Centers for Maternity Care, an expansion of the national Blue Distinction® Specialty Care program, are hospitals recognized for delivering quality specialty care safely and effectively, based on objective measures developed with input from the medical community.“I am so proud of our team,” said Maureen Mosher, Littauer Manager of Maternal Child Health. “Being one of the first hospitals designated as a Blue Distinction Center for Maternity Care is a distinction we have achieved through our heartfelt dedication to our patients and community.”Blue Cross and Blue Shield (BCBS) companies across the nation have recognized more than 280 hospitals as Blue Distinction Centers for Maternity Care. Hospitals recognized for these designations were assessed using a combination of publicly available quality information and cost measures derived from BCBS companies’ medical claims.Since 2006, the Blue Distinction Specialty Care program has helped patients find quality providers for their specialty care needs in the areas of bariatric surgery, cardiac care, complex and rare cancers, knee and hip replacements, spine surgery and transplants. Research shows that compared to other facilities, those designated as Blue Distinction Centers demonstrate better quality and improved outcomes for patients.For more information about the program, visit www.bcbs.com/bluedistinction.XXX Nathan Littauer Hospital and Family of Health Services serves Fulton, Montgomery, and Hamilton counties in upstate New York with a full-service, 74-bed acute care hospital, nine primary care centers, a nursing home and a community education center. The hospital was founded in 1894 and has 1,000 employees. Nathan Littauer continues to offer the latest in diagnostic imaging, including a new MRI suite. Littauer’s medical staff provides well over 100,000 patient encounters each year. For more information, please visit www.nlh.org.Excellus BlueCross BlueShield, a nonprofit independent licensee of the Blue Cross Blue Shield Association, is part of a family of companies that finances and delivers vital health care services to about 1.5 million people across upstate New York. Excellus BlueCross BlueShield provides access to high-quality, affordable health coverage, including valuable health-related resources that our members use every day, such as cost-saving prescription drug discounts and wellness tracking tools. To learn more, visit ExcellusBCBS.com.The Birthing Center at Nathan Littauer Hospital has been designated as one of the first hospitals to receive the Blue Distinction Center for Maternity Care designation
The Birthing Center at announces the Littauer Leapster Posted on March 17, 2016 by Dakota PikeGLOVERSVILLE – Paisley Raye Carpenter made her grand entrance into this world at 9:32 a.m. on Feb. 29, 2016. Waiting until a week after her due-date, she was born at Nathan Littauer Hospital’s Birthing Center on the 2016 Leap Year. She is the daughter of Dallas and Dan Carpenter of Johnstown, and joins a two-year-old brother Ryder. “I haven’t even thought about how we will spend her first birthday,” said Dallas Carpenter. “I know people with birthdays on Feb. 28 and March 1. We may just choose any special day, like St Patrick’s Day? We will do something big every four years for sure,” she added. Feb. 29 pops up every four years to keep up with the disparity in the Gregorian calendar and the earth’s rotation around the sun. Earth’s complete orbit around the sun takes exactly 365.2422 days. Every four years we need to add a day to our 365 day calendar year to keep us in sync with clocks, calendars and seasons. “I was told by people that I would probably have the baby on Leap Year. My first child was born two weeks early, so I never believed Paisley would be this late,” said Dallas. “She is special, and we are so happy.”Littauer Leapster Paisley Ray Carpenter with her parents Dallas and Dan Carpenter of Johnstown. Paisley was born at Nathan Littauer Hospital on Feb. 29, Leap Year 2016