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FALL 2012
Reaching Out to the LGBT Community
Its dinner hour at Te SAGE Center in the Chelsea neighbor-
hood. Several women call out to another to join them at their
table. A man asks a young volunteer about the days vegetable.
Another pours over Te New York imes, lingering ater his
ternoon collage class. A ew riends discuss the SAGE Singers.
SAGE, which stands or Services and Advocacy or Gay, Lesbian,
isexual and ransgender Elders, is a national organization that oers
upportive services and consumer resources to LGB older adults and
heir caregivers, advocates or public policy, and provides training or
ging providers and LGB organizations. Tis center, which opened in
March 2012, provides a comprehensive array o services and programs
elated to arts and culture, tness, ood and nutrition, health and well-ess, and lielong education to LGB adults age 60 and over in New
York City, says Sarah Savino, manager o the center.
Mary Simmons, RN, a community health nurse at Beth Israel,
shown above, ar let), spends two aternoons a week at the center, in a
artnership between Beth Israel and SAGE. Ive taken time to get to
now everyone and provide some counseling on health issues and medi-
al management, says Ms. Simmons. Soon, Ill be doing programming
hat ocuses on topics o importance to the aging LGB community,
he adds.
When we opened the center, Beth Israel ran a health air or us
nd it was a big success, says om Weber, Director o Community
Services at SAGE (shown above, ar right). Tis is the kind o dyna
resource this center wants to be, he added, pointing out that the sen
citizen center model that was born in the 1960s hadnt evolved much
over the decades. Te mayor and the New York City Department
the Aging wanted to make senior citizen centers more impactul and
they unded 10 new ones. We are one o those 10 and the only ull-t
LGB senior center in the country, he explains.
Te city is not the only entity considering how to better serve the
needs o targeted populations. Barbara Warren, Director or LGB
Health Services at Beth Israel (shown above, second rom let), point
out that Beth Israels work with SAGE alls under the broader umbr
o the Destination Diversity Initiative across the entire ContinuumHealth System, o which Beth Israel is a part. Beth Israel is increasi
and improving our LGB health services in all settings, she says. W
believe our partnership with SAGE will be an excellent model or u
collaboration with other important organizations, too. l
lFor more information about Beth Israels commitment to the LGcommunity, please call 212.844.6389. For more informati
about The Sage Center, please call 646.576.8669 or visit
www.SageUSA.org/TheSageCenter.
EALTH NEWS YOU CAN USE FROM BETH ISRAEL MEDICAL CENTER
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Message from the PresidentWith the arrival o all, so comes the fu season!
Please remember to get your annual infuenza or
fu shot. Now is the perect time or everyone older
han six months to receive this protective vaccine.
Te fu vaccine is sae. However, individuals who
re allergic to eggs, have had a reaction to a fu
accine in the past that required medical attention,
r have had a history o Guillain-Barr syndrome,
hould consult with their physicians.
Beth Israels Karpas Health Inormation Center
will be oering ree seasonal fu vaccines at Phillips
Ambulatory Care Center, 10 Union Square East,
Dr. Gerald J. and Dorothy R. Friedman Conerence
Center, 2nd foor. Please see Karpas Calendar insert
or complete schedule.Call 212.420.4247 to register
nd or more inormation.
Once you have made that essential appointment,
njoy another issue oHealthy Neighbors!You can
ee how Beth Israel Medical Center is reaching out
o and providing services or members o the LBGommunity, patients interested in bloodless surgery,
hose who seek treatment or hernias, and anyone
nterested in living a lie o wellness and health.
Remember, We are a lways here to help!
Harris M. Nagler, MD, FACS
resident, Beth Israel Medical Center
Bloodless Surgery for JoinReplacementMedical experts say that patients who receive blood transusions h
more complications and inections and an increased length o sta
the hospital. Choosing a bloodless approach to surgery makes g
medical sense or nearly everyone, explains Steven F. Harwin, M
Chie o otal Hip and Knee Replacement at Beth Israel.
More patients are opting or transusion-ree surgery simply to avoid complic
tions like transusion reactions, allergy and the remote chance o disease transmi
sion. For some patients, like Jehovahs Witnesses, their religious belies will not a
accepting blood or any reason. Diana Hector (shown below with Dr. Harwin) is
Jehovahs Witness and Dr. Harwins patient. Dr. Harwin replaced my hip in 20
I turned to him again a ew months ago to replace my knee because I knew he ha
the expertise and would respect my belies, she says.
Te Blood Management and Bloodless Medicine and Surgery Program at
Beth Israel coordinates bloodless health care throughout the institution, encoura
pharmaceuticals, procedures and technologies to avoid the use o transused bloo
and its components. Experts estimate that 40 percent o transusions nationwide
unnecessary, says Sandra Gilmore, Director o the program.
Dr. Harwin uses a number o techniques to conserve blood, including boostin
iron in the patients blood beore surgery, using anesthetics that help lower blood
pressure, and meticulous operative techniques. Dr. Harwin doesnt rely on arbitr
trigger levels or postoperative transusions. I a patients hemoglobin level drops
there are no symptoms, we dont automatically transuse, he explains.Orthopedics at Beth Israel is one o several specialties that engages in bloodle
options. Our international reputation or excellence attracts people rom all ove
world who have an interest in blood management, says Ms. Gilmore.
With six kids, 13 grandchildren and 14 great-grandchildren, Ms. Hector is h
to be among the thousands o Dr. Harwins patients who have had successula
bloodlesstotal hip and knee replacements. l
l For more information on The Blood Management and BloodlessMedicine and Surgery Program, please call 212.420.2430 or visit
http://www.chpnyc.org/services/BI_BloodlessMedicine.
Visit Beth Israels brand-new blog for health and
wellness information from our doctors, nurses and
ther health care professionals. Topics range from
urgery, yoga and high blood pressure to dietary
upplements, heart health and how to get your kids
o take their medication. Check out Health Bytes at
www.HealthBytesNYC.com.
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WES SIDERS, AKE NOE!Beth Israel has just opened or will soon open the ollowing new
primary and specialty care locations in your neighborhood:
NOW OPEN! BETH ISRAEL MEDICAL GROUPWEST 14TH STREET
222 West 14th Street, New York, NY 10011
212.604.1800
NOW OPEN! BETH ISRAEL MEDICAL GROUPWEST 23RD STREET
309 West 23rd Street, New York, NY 10011
212.352.2600
Please call the location nearest you or more inormation on hourservices and insurances accepted.l
Help or Hernia Suerersernias are one o the most common
perations in America, says
Michael Leitman, MD, FACS, Director
Beth Israels Hernia Center. Hernias
ccur when part o an internal organ bulges
hrough a weak area o muscle. Patientshould know that we can almost always treat
ernias on an outpatient basis with minimal-
y invasive techniques, minimal discomort
nd a quick return to normal lie activities.
I your hernias are more complicated
r you have a case o a recurrent hernia, we
an help. Our team o surgeons is expert in
iagnosing and treating all types o hernias,
rom the most common to the most complex.
Te small subsets o hernias that do require
more extensive surgeries are rare, but we
ave the ability to treat them and have great
esults, adds Dr. Leitman.
Te centers surgeons use a comprehen-
ve range o surgical procedures (including
obotic surgery and complex repairs done
multaneously with plastic and reconstructive
urgeons). Te experts also stay up-to-date
n the latest materials or repair, including
he latest synthetic mesh products. Te goal
o mesh repair surgery is to close the hole in
the muscle, with the mesh placed between
the layers o muscle to decrease the likelihood
that the hernia will come back over time. Te
mesh acts as a scaold to allow the body to
produce natural scar tissue in and around it to
keep the hole closed.
Te centers surgeons also work closely
with other specialists, such as those who care
or the digestive system or those who prov
sophisticated imaging tests, to provide you
best and most successul treatment plan o
your hernia type. l
H
Beth Israel Medical Center, along
with other members of Continuum
Hospitals of New York, has teamed
up with Te New York Daily Newsnd NBC-New York to provide
valuable health information to the
New York metropolitan community
via a multimedia platform. Visit
www.LiveWellNY.com for excellent
health tips and advice, as well as
more information on the program.
l To make an appointment with one of tsurgeons at the Beth Israel Hernia
Center, please call 212.844.1555.
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IsraelMedicalCenter
East16thStreet,Fl2York,NY10003
w.BethIsraelNY.org
NonproftOrg.
U.S.Postage
PAID
Permit#3109
NewYork,NY
Caution! Food-Drug Interactionsou may be rightly careul about drinking alcohol while on medi-
cation, but did you know that you should also consider what
ou eat? Sally S. Wong, PhD, RD, CDN, Clinical Nutrition Manager
t Beth Israel, outlines common unhealthy or dangerous ood-drug
nteractions you should know about. For instance, i you take:
Statins (Lipitor), avoid graperuit, which can dangerously multi-
ply the drugs eect. Blood thinners (Wafarin), be careul how oten you eat
Vitamin K-rich oods like green, leay vegetables. You dont have
to avoid these oods entirely, but you should eat a steady amount
so your doctor can ne-tune the medications dosage according
to your normal diet. You should, however, avoid cranberry
products, which interere with the drug.
Antibiotics, avoid graperuit, which can block the eect. For
some classes o antibiotics (Cipro, Avelox, tetracycline), calcium
also blocks the drug, so dont eat dairy products within two hours
o taking these antibiotics.
Blood pressure-lowering drugs (ACE inhibitors), be careul
how you eat potassium-rich oods like bananas, oranges and
green, leay vegetables. You may not have to avoid these oods
entirely, but because the drugs increase potassium in your body,
your doctor may want to guide you on whats a sae amount.
Anti-depressants (MAOI class),avoid oods rich in tyramine,
oten pickled, smoked, aged or preserved oods, such as aged
cheeses, sausages, wines, soy sauce, sauerkraut, caviar and organ
meat like liver. Tis interaction can cause a very dangerous hyper-
tensive crisis.
Bronchodilators(Ventolin, Albuterol),avoid caeine. Te c
bination can cause excitability, nervousness and racing heartb
HIV medications(saquinavir, ritonavir), avoid garlicky dish
and garlic supplements, which render the drug ineective.
Y
side:LGBThealth,treatingherniasandbloodlesssurgery.
Always ask your physician about what information you shou
know regarding your medications. For instance, some medic
tions should be eaten with foods and some taken on an emp
stomach. If you dont have a regular doctor, call 877.886.933
for a physician referral.