MICH eConnection (Jan/Feb '13)

MICH eConnections: Message From the Chair, Adolescent Medicine and More
 
  Jan/Feb 2013
Monthly Pediatric Updates   
      

Research, Quality,
and Safety
 

Please join us for our monthly Collaborative Office Rounds! Under-diagnosis, misdiagnosis, and less than optimal outcomes of psychiatric problems managed in primary care settings are pressing issues. Providers suffer from a lack of cross-training and support.  Maimonides Medical Center and NYU Medical Center, under the leadership of Dr. Danielle Laraque and faculty, have begun the second year of the project entitled, "New York Collaborative Office Rounds: Reaching Children and Teens" (NY COR). 

 

Announcements  

  

We regret to inform you of the passing of Dr. Ben Zion Krieger, MD.  Dr. Krieger has been part of the Maimonides family for over 30 years and will be dearly missed.
 

A STEP in the right direction. MICH begins a first of its kind, comprehensive program for NICU graduates at risk for subsequent health issues. Click for more info on the new STEP program>
 

Thank you to the Dweck Family for organizing and dropping of such a wonderful donation! Click to see pictures of the patients with their gifts>

Congratulations to Yakhira Encarnacion-Patterson, Pediatric Residency Program Coordinator, on recently getting married!

 

New Staff 

  

Nora Caplan, MPA, EMT-B
Research Coordinator
  
Emily Raisch
Project Director
Pediatric Disaster Coalition
  
Lily Liang, RN
Peds 6
  
Chester Cheung, RN
Peds 6
  
Weanny Ching, RN
Peds 6
  
Shayleigh Dickson, RN
Peds 6
  
Rachel Fruchtman, RN
Peds 6
  
Sarah Gonzalez, RN
Peds 6 
  

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Message from the Chair

Dr. Laraque message from ChairMy last newsletter in November spoke to the impact of Super Storm Sandy, and two months later I find myself writing about an equally tragic situation, that of Sandy Hook Elementary school.  As you know, the shooting in Connecticut took the lives of 20 young children, six teachers and the suicide of the 20 year old gunman, stark evidence of our inability as a society to provide a safe environment for our children and communities.  As all things, it is complicated, and a confluence of factors has led to this tragic outcome - but unfortunately, this situation was not unique, nor rare -having played out multiple times over the past two decades.   The events in Newtown, CT have led to a national dialogue on violence prevention and a search for meaningful solutions.  Read More>>

Pediatric Spotlight
  
Adolescent Medicine at Maimonides Infants and Children's Hospital: An Overview
Heather Needham, MD, MPH, FAAP
Adolescent Medicine
The Department of Pediatrics at MMC has added an adolescent medicine specialist to address the health concerns of adolescents and young adults in the community.  Adolescence is a time of tremendous growth in a young person's life.  Pre-teens, teenagers, and young adults go through biological, psychological, and social changes, and it can often be a difficult transition to adulthood.  We will be providing the following services to assist in the transition from childhood to adulthood.  Comprehensive care for adolescents with an emphasis on reproductive health care including gynecological exams, STI screening and treatment, birth control, and pregnancy testing/ counseling.  We will address menstrual disorders such as polycystic ovarian syndrome, amenorrhea, dysmenorrhea, and dysfunctional uterine bleeding.  In addition, we will also assist in the care of the medical complications of eating disorders, mood changes, problems at home/ school, substance abuse, and teen parenting. Read More >>

 

Adolescent Medicine Case Synopsis: Dysmenhorrea
Heather Needham, MD, MPH, FAAP
Adolescent Medicine
Case: M.G. is a 15 year old female who presents to your office with a complaint of painful menstrual cycles.  She had menarche at age 12 years, and has been getting a period regularly once a month for the past 18 months.  Her periods last six days and are extremely painful the first 2 days of her period.  It is not uncommon for her to miss one or two days of school every month due to her cramps when she is on her period.  M.G. has tried Motrin for her pain with minimal resolution of her symptoms.  She never has pain at times other than during her menstrual cycle, and she has never been sexually active.
Read More>>

Latest News

 

Primary Care
As we focus our attention this month towards our newly added adolescent clinic run by Dr. Heather Needham, what better time to review a few of the recent recommendations on adolescent health care while we continue to strive for excellence in caring for our adolescent population. The New York City Department of Health recommends a set of core practices for providers who routinely care for the adolescent population in a primary care setting. These practices correlate with the CDC recommendations and are also endorsed by the District II, NYS chapter of the American Academy of Pediatrics. Read More>>

Nursing
In the Emergency room and Pediatric ICU, I have witnessed a tragic abundance of life - altering emergencies in the adolescent population. I have cared for adolescents that attempted suicide; who battle with drug addiction, contracted sexually transmitted infections and HIV, and/or unwanted pregnancies. I've seen young diabetics who, tired of their strenuous daily routine, have stopped complying with treatment, often with near-fatal results. I have helped to revive young victims of motor vehicle accidents and teens whose reckless behavior--driving while intoxicated--caused grave injury to themselves and others. I have witnessed the emergency complications associated with anorexia and bulimia. These largely preventable incidences and illnesses often had long term ramifications, tragedies which would last well into the futures of these young people. Read More>>

 

Education
The American Osteopathic Association (AOA), along with the Accreditation Council for Graduate Medical Education (ACGME) and the American Association of Colleges of Osteopathic Medicine (AACOM ), have entered into an agreement to pursue a single, unified accreditation system for graduate medical education programs in the United States beginning in July, 2015. This decision comes after the ACGME proposed two policies (Common Program Requirements) about a year ago. One policy would limit the ability for AOA-trained DOs to enter a second year of training in an ACGME program. The other policy would no longer recognize completion of an AOA-accredited residency program for entry into an ACGME fellowship. Given our track record for placement of our osteopathic residents in reputable ACGME fellowship programs the ACGME posed an interesting conundrum for our dually-accredited program. Read More >>
 
Family Centered Care
Going to the hospital can be a little scary for a young child. There are many ways that the pediatric department tries to make children feel more comfortable. The child life services bring in a team of specialists to help normalize the environment. They bring distraction techniques and other items including toys and games that help children cope well with the hospitalization or procedures. When kids get older and are considered adults by hospital standards some of the services offered by the pediatric department should still be offered to them. Just because someone turns 18 it doesn't mean they are no longer apprehensive about a hospital stay.  It doesn't mean they no longer like to do crafts or play board games. It doesn't mean that they no longer need a family member to spend the night with them. Adults enjoy board games just as much as kids and can get lonely just as often. Read More >>
For Your Interest


   
The Department of Pediatrics celebrated their annual holiday party on December 13, and it was a huge success. A night of food and fun with colleagues away from work at the stately and lavish Dyker Beach Golf Course was enjoyed by all. A big thank you to the department for arranging the festivities. Click to see pictures from the party!

 

The annual Hem-Onc party at the Cancer Center was a big hit with patients and families. Many came to enjoy the food, drinks, and gifts that were distributed by Santa himself. A big thank you to the firefighters at Ladder 148/Engine 282 for visiting and allowing the children onto the truck--they had a blast! The Child Life Department would also like to thank Rocco's Calamari and La Strada for their gracious food donations to our party. Pictures from the party>

Maimonides Infants and Children's Hospital
Maimonides Medical Center - Lutheran Medical Center
- Coney Island Hospital

4802 Tenth Avenue, Brooklyn, NY 11219  (718).283.7500 

 

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