Littauer Lights the Way to Accessible Healthcare

Littauer Lights the Way to Accessible Healthcare

Nathan Littauer Hospital Celebrates Opening of Caroga Lake Primary Care

Nathan Littauer Hospital & Nursing Home is proud to announce the opening of the organization’s new Caroga Lake Primary Care Center in Caroga, NY. The healthcare organization began the center’s construction in late September 2020. Previously, Nathan Littauer Hospital leased a portion of the municipal building, owned by the Town of Caroga in 2005. Now as a standalone structure for the people of Caroga, the organization is proudly continuing its healthcare services in a new center. “We look forward to meeting new patients in the area,” says Alison Townsend, Physician Assistant with Nathan Littauer. “We provide an invaluable service to the community members here, and I think our patients are really grateful for that.”

The new Primary Care Center is approximately 1,350 square feet of space, and is next to Caroga’s Town Hall, where the original primary care center was housed.

Nathan Littauer’s new Caroga Lake Primary Care Center.

“It is exciting to work with Nathan Littauer Hospital & Nursing Home in our commitment to the community,” said Supervisor of Town of Caroga Scott Horton. “This new Caroga Lake Primary Care Center is a boon, and it shows that the area of our town continues to grow. In turn, so is its need for great healthcare services.”

The Caroga Lake Primary Care Center is now accepting new patients. To call and schedule an appointment, or to select a primary care provider, call: (518) 835-2341.

Nathan Littauer Hospital invites the members of its community, and the people of the Town of Caroga, to celebrate the Primary Care Center’s opening June 24, 2021. From 5:30 – 7:30 p.m., Nathan Littauer will host a “drive-thru open house,” where members of the public will get a glimpse of the new center, and receive a free gift, while supplies last!

XXX

About Nathan Littauer

Nathan Littauer Hospital and Nursing Home is a full-service, 74 bed acute care hospital with an 84 bed skilled nursing home. Since 1894, Nathan Littauer has provided safe, high-quality health and wellness services with a focus on securing appropriate new technologies for people residing in Upstate New York. Over the years, the hospital has expanded its services in order to offer health care that is comprehensive, accessible, and relevant to the needs of the communities they serve. More information can be found by visiting www.nlh.org.

Littauer Physician’s Work with COVID Draws International Attention

Nathan Littauer Hospital & Nursing Home is proud to announce the Medical Director of the healthcare organization’s Hospitalist program, Devjit Roy, MD, has an article accepted for publication with the prestigious British Medical Journal. Roy is one of the authors of the article. “We’re extremely proud Dr. Roy received the recognition he deserves for his work,” says Littauer’s Chief Medical Officer Frederick Goldberg. “The research findings in Treatment of unexplained coma and hypokinetic-rigid syndrome in a patient with COVID-19 provides greater understanding of COVID’s complexity. His work may shape future treatments and clinical approaches for people with COVID.”

The study follows a patient suffering from severe complications of COVID. The patient experienced encephalopathy (damage or disease which affects the brain), hypokinetic rigid syndrome (the decreased and slowed movements similar to Parkinson’s disease), and severe cognitive impairment.

“Some may call the patient’s recovery a miracle,” says Dr. Roy. “But, on the scientific level there’s much more at work. This specific patient in our study was suffering from, not only the negative effects of the virus, but from prolonged hospitalization and being on a ventilator. It was likely this patient was not going to make it.”

We are learning, infection complications from COVID vary from person to person. Some positive with the disease feel little to no symptoms. For others, it can ravage their health and respiratory system completely, requiring intubation and placement on a ventilator. Numerous symptoms of the disease suggest even long-term neurological involvement and complications. Proving more challenging, there is little to no literature to describe neurophysiological cognitive state and treatment of patients in the post-intensive care unit (ICU).

Moreover, the patient in Dr. Roy’s study began experiencing depleted dopamine stores in the brain due to long-term use of anesthetics to keep the patient breathing on the ventilator, without the risk of erratic or inconsistent breathing patterns. This results in preserved consciousness, tremors, and intact eye movements.

“This patient was at risk of not making it,” explained Dr. Roy. “We needed to act fast. So, we tried an approach that was scientifically supported, and it worked. It was very successful.”

Dr. Roy and his care team immediately began treating the patient with Modafinil (used to treat narcolepsy) and Carbidopa-Levodopa (used to treat Parkinson’s disease). These medications have been shown to improve and accelerate functional recovery and sleep-wake cycles.

Within just a few days, the patient was awake, alert, and began showing increased movement of their body. After the first week of treatment, the patient was weaned from ventilator usage, able to communicate meaningfully, and demonstrated increased mobility. When the patient was medically stable for discharge and rehabilitation, the patient continued their medication regiment and showed overall signs of improvement. The patient was discharged home after a month of acute rehabilitation.

“This study is very meaningful to me,” Dr. Roy adds. “Not much was known about COVID at the time – there still isn’t,” Dr. Roy adds. “Nobody would’ve imagined this crisis to happen when it did, and for it to have put such a strain on hospitals, our healthcare systems, and our country. But it did. Yet, we have responded in the best way possible – get more information, understand more about the virus, and find answers. And we are actively doing that.”

Medical Director of Littauer’s Hospitalist program, Devjit Roy, MD

To read the full article, visit: https://casereports.bmj.com/content/14/3/e239781.full?ijkey=KCNlkQBsWbMgeuJ&keytype=ref

New Providers Say, “We’ve Got This.”

While many hospitals struggled to find medical care providers, Nathan Littauer Hospital & Nursing Home acquired new, talented providers during the pandemic, acclimating them quickly to serve a critical role during a critical time. For the year 2020, the healthcare organization added 28 new providers to its medical staff, totaling more than 200 providers working with Nathan Littauer Hospital & Nursing Home. “The members of our community are deserving of great healthcare services,” says Littauer Vice President of Primary and Specialty Care, Patrice McMahon. “That’s why we’ve chosen some of the best providers our patients could ask for.”

Nathan Littauer Primary/Specialty Care welcomed the following providers to its medical staff in the year 2020:

James Alexander, MD, Radiology; Mohammad Al-Hasan, MD, Emergency Medicine; James Bai, MD, Radiology; Emmanuel Bapana, MD, Emergency Medicine; Medhat Barsoom, MD, Emergency Medicine; Kayla Bellinger, FNP, Family Practice; Jeremiah Benoit, MD, Internal Medicine; Susan Duross, NP, Palliative Care; Obafemi Giwa-Amu, MD, Family Practice; Kristi Hecker, FNP, Family Practice; Abigail Johnson, PA, Orthopedics; Monika Kapusniak, CRNA, Anesthesiology; Stephen Little, DO, Anesthesiology; Sandeep Mangalmurti, MD, Cardiology; Trevor McGinley, MD, Emergency Medicine; Harish Moorjani, MD, Infectious Disease; Brittany Mulhall, NP, Cardiology; Elizabeth “Betty” O’Hagan, FNP, Family Practice; Sein Yone Pao, DO, Hospitalist; Ashlee Podolec, NP, Primary Care/OR; Betti Ressler, MD; Locums/Pediatrics; Ryan Richman, MD, Emergency Medicine; Devjit, Roy, MD, Inpatient Specialist/Hospitalist; Thomas Rush, MD, Infectious Disease; Krista Sheils, FNP, Pediatrics; Alison Townsend, PA, Caroga Lake Primary Care; Melissa VanSlyke, ANP, Family Medicine; Omer Wali, MD, Hospitalist; and Timothy Waters, DO, Hospitalist.

“While our nation is experiencing a shortage of medical providers, we have enjoyed great success in attracting high-quality physicians and Advance Practice Professionals to our medical staff,” says Littauer’s Chief Medical Officer Dr. Frederick Goldberg, “These skilled, compassionate and dedicated medical professionals make it possible for our community to have easy access on a daily basis to what they most need and deserve: patient-centered, high-quality healthcare close to home.” 

In addition to welcoming new providers to the organization, Nathan Littauer Hospital is actively engaged in the early stages of a community and organizational pandemic recovery. The organization’s plan for recovery focuses on internal workforce development, increasing community vaccination rates, and general organizational growth.

New Littauer providers had a few things to say to the community members they serve:

“I am proud to be working with Nathan Littauer,” says Jeremiah Benoit, MD. “The past year has carried unique limitations and concerns, but we can continue working together to keep our community safe. Our Broadalbin Primary Care Center has been able to successfully stay open and accessible to our patients during the pandemic, and I’m adamant we will continue to do so. We have a great team of providers, nurses, and staff.”

Jeremiah Benoit, MD

“Being a healthcare provider during a pandemic presents unique challenges,” says Kayla Bellinger, FNP. “However, it has been reassuring to be part of a team that puts our community and the safety of our patients at the forefront. Most of us go into this field to optimize the health of others and advocate for those who have difficulty doing so for themselves; this has not changed through the pandemic. More than ever, we are here to help our community navigate through a scary and confusing time. Our facilities are open, safe, and we are here for you.”

Kayla Bellinger, FNP

“We are very understanding of the general public’s thoughts about visiting their provider during a pandemic,” says Obafemi “Femi” Giwa-Amu, MD. “But, we want to reassure our community members that we strive to keep our patients safe. We have safe, effective infection control and preventative measures in place, and stringent guidelines to ensure that we are healthy before we even start our day. We have all been offered vaccines as an added layer of protection, for us, and for you! I urge you not to delay your routine appointments, and know that we are here to keep you healthy.”

Obafemi “Dr. Femi”
Giwa-Amu, MD

Littauer’s providers explain, “We’ve got this,” to the people in the region. Now, Littauer providers are eager to help their patients prevent disease, and look forward to continuing a routine course of care. Nathan Littauer invites people back to their community hospital adding, “Health care should not be placed on-hold. We are here to help you heal.”

XXX

About Nathan Littauer

Nathan Littauer Hospital and Nursing Home is a full-service, 74 bed acute care hospital with an 84 bed skilled nursing home. Since 1894, Nathan Littauer has provided safe, high-quality health and wellness services with a focus on securing appropriate new technologies for people residing in Upstate New York. Over the years, the hospital has expanded its services in order to offer health care that is comprehensive, accessible, and relevant to the needs of the communities they serve.  More information can be found by visiting www.nlh.org.

Statement from New York State Health Commissioner Dr. Howard Zucker Regarding Johnson & Johnson Vaccine

“Today the CDC and FDA issued a statement recommending a pause in the use of the Johnson & Johnson vaccine out of an abundance of caution. New York State will follow the CDC and FDA recommendation and pause the use of the Johnson & Johnson vaccine statewide immediately today while these health and safety agencies evaluate next steps. All appointments for Johnson & Johnson vaccines today at New York State mass vaccination sites will be honored with the Pfizer vaccine.

“As the CDC and FDA have said, any adverse events related to the Johnson & Johnson vaccine ‘appear to be extremely rare’ and, ‘People who have received the J&J vaccine who develop severe headache, abdominal pain, leg pain, or shortness of breath within three weeks after vaccination should contact their health care provider.’

“I am in constant contact with the federal government and we will update New Yorkers as more information becomes available.”

Visit New York State’s website for more information: http://www.governor.ny.gov/news/statement-new-york-state-health-commissioner-dr-howard-zucker-regarding-johnson-johnson

Palliative Care Service Line Launched at Nathan Littauer Hospital & Nursing Home

Nathan Littauer Hospital & Nursing Home is proud to announce the launch of their new palliative care program. The mission of Littauer’s palliative care program is to ease physical, psychosocial, and spiritual distress among those with serious illness. Compassionate conversations with patients regarding their illness, how it affects them, and their family, and what matters most to them in the context of disease – ultimately helps patients and their families to plan and make well-informed decisions in regards to their care. Finally, the completion of advance directives helps ensure a patient’s wishes are identified, respected, and communicated. Susan “Susie” Duross, Nurse Practitioner, is the organization’s new Palliative Care Coordinator. Duross says, “Palliative care ultimately improves lives. It is based on the needs of the patient, so the patient receives a very individualized form of care.”

“We see the landscape of healthcare changing,” adds Duross. “More people are being diagnosed with chronic illnesses and living longer with them. It is important, that for every patient we serve, we are paying attention to what matters most to patients and their families and ensuring that treatment plans consider their unique needs and wishes.”

Since its inception two years ago, Nathan Littauer Hospital’s palliative care program has been widely successful. To date, Nathan Littauer Hospital has provided palliative care services to over 30 patients.

Littauer proudly welcomed Susan “Susie” Duross, Nurse Practitioner, as the organization’s new Palliative Care Coordinator in October, however, the palliative care team at Littauer has grown diversified. The growing palliative care team consists of Littauer teammates: Susie Duross, NP, Care Coordination Manager and Social Worker, Margaret “Maggie” Rowley, and Pastoral Care Coordinator, Reverend Bonnie Orth.

In an effort to further expand knowledge of palliative care principles and practices, Nathan Littauer has joined the CAPC. The CAPC is part of the nonprofit Icahn School of Medicine at Mount Sanai, and is the leading organization for training, resources, and technical assistance to aide health care providers in caring for their most vulnerable and complex patients.

With palliative care services at Littauer, ­we can provide a close, unique approach to care for our patients,” says Vice President of Population Health, Geoffrey Peck. “The growing need for palliative care services has existed long before the pandemic, and since we developed the program two years ago, it has been extremely successful.”

Duross affirms the demand of palliative care services during the height of the COVID pandemic:

During the pandemic it has been challenging for our patients, families, and caregivers. Everyone in our community has been affected in some way. We have assisted patients and families by giving them our time; ensuring they are kept updated regarding their loved one’s condition. We have responded to their spiritual needs by providing prayer and healing sacraments as requested, and we have helped reunite family members that were estranged. Additionally, we were able to coordinate a commitment ceremony for a patient and her significant other. Since team health is a vital part of palliative care, we are also helping to ensure all front-line workers are coping during these very stressful times.

Conclusively, the palliative care team at Littauer aims to provide consultation and palliative care services to at least 40 inpatients each year, to patients who are in need of them. As the palliative care program develops and expands to the healthcare organization’s extended care facility, and more healthcare providers become familiar with palliative care through the means of education, it is likely Littauer’s palliative care services will grow exponentially. While the program is now offered on an inpatient basis, the organization hopes to provide the service on an outpatient basis in the future. For more information about Littauer’s palliative care services, please contact Littauer’s Palliative Care Coordinator, Susie Duross, at (518) 773-5254 or via email: sduross@nlh.org