families are more precious. Wehave a new sense of connection
preparedness and to providingtraining that will ensure that
has been an emphasis on emer-gency preparedness for manyyears, and ours is the onlyhospital in Westchester with afull-time manager devoted exclu-
preparedness. Twenty thousandEMTs, paramedics, and otherfirst responders have receivedtraining at our Emergency
whom responded to the WorldTrade Center disaster.
Phelps has been atthe forefront ofplanning for eventsPhelps is a member of theStellarisHealth Network.
Emergency Department staff toundergo annual radiation decon-
Managing Editor Editorial Advisors
Kenneth C. Kaplan, MDKeith F. Safian, FACHE
To ensure our ability to care formultiple victims, Phelps con-structed a permanent decontam-ination facility on the hospital
BioterrorismSome Facts, and How to “Prepare”
ther modified genetically tomake it resistant to antibioticsand to float freely when releasedinto the air. A highly sophisti-cated lab is needed to manufac-ture weapons grade aerosolanthrax, and the technologyrequired to release it over a widearea is not easily obtainable.
Cutaneous (skin) anthrax startsout looking like an insect bite,then becomes larger and mayblister and blacken. As it pro-gresses, it usually does not itchor cause pain and generally
recent drill at Phelps' Decontami-nation Center.
from cyanide-laced Tylenol cap-sules, and ten restaurant salad
to or up to four days after expo-sure. The vaccination, in fact, is
ness - there can be changes inthe serotonin levels in the brain.
Both the life events and thechemical changes contribute to
treatment is that medication andtherapy (especially cognitivetherapy) can be effective in
Senior Attending at Phelps and isChairman of the QualityDr. Weinstein is a Board CertifiedPediatrician who is currently serv-
A relatively new techniquecalled stereotactic biopsy candiagnose abnormalities that arediscovered on a mammogrambefore they are large enough tofeel (“non-palpable lesions”). The technique uses x-ray andcomputer technology to guide aneedle directly into the spotthat needs to be biopsied. Coresof tissue are then aspiratedthrough the needle and sent tothe pathologist to be analyzed. The patient is spared a trip tothe operating room and associ-
women in the United Statestoday. The good news is that in
chance to spread and when theycan be treated successfully with-
in breast conservation techniques(“lumpectomy” surgery) as wellas sentinel lymph node biopsy,
which reduces the need forextensive surgery on the lymph
surgeons are experienced inperforming reconstructive
advised to start screening at anearlier age. Risk factors for
Q & A with Dr. MerkerThe Family Practitioner
Family Practitioners, like otherprimary care physicians, willrefer their patients to the appro-priate specialist(s). Even aftersuch referral(s), a Family Practi-tioner will often continue tocoordinate the patient's care inorder to ensure continued com-prehensive patient follow-up. Q. Are Family PractitionersBoard Certified?
A. Yes, all Family Practitionersmust pass National BoardExams after their residencies.
Family Physicians are primarycare physicians who can care for
development and aging. By know-ing the family, the physician may
tions in Obstetrics and Gynecol-ogy, Pediatrics, Internal Medi-
Minor Surgery. Family Practi-tioners' training also includes
physicians in other locations,visit www.familydoctor.org.Q. What type of care does theFamily Practitioner provide?Edward L. Merker, MD, graduat-ed from Albert Einstein College
DepressionIs it me, or is it my brain?
that, people's understanding ofdepression was vague at best,and many people suffering fromdepression just felt “there'ssomething wrong with me” –often feeling guilty about it, aclassic example of depressivethinking.
Through the media and self-helppublications, another treatmentfor depression began to becomebetter known about the sametime as Prozac. This was cogni-tive (or cognitive-behavioral)
cause. Even when there is a trau-ma, the strength and persistenceof the depressed feelings must go
beyond the norm to constitute a“clinical” depression. Frequently
whelmed by these feelings andunable to make sense of them. chemistry as a causeof depression.
When Prozac was first put on themarket, it rapidly became one ofthe most talked-about drugs, a“wonder drug” for treating
qualities, ways are found to over-come those, rather than getting
aware of brain chemistry as acause of depression. Prior to
ness - there can be changes inthe serotonin levels in the brain.
Both the life events and thechemical changes contribute to
treatment is that medication andtherapy (especially cognitivetherapy) can be effective in
Senior Attending at Phelps and isChairman of the QualityDr. Weinstein is a Board CertifiedPediatrician who is currently serv-Wednesday, May 1 Nat’l Anxiety Screening DayFree screenings will be offered.
at 777 North Broadway, Suite303, in the Professional Office
Thursday, May 9 History: The Junior Leagueestablished the “Hudson River
services in 1996, the name waschanged to the Donald R. ReedSpeech & Hearing Center. Monday & Tuesday, May 13 & 14
ies were added in the 1980s; andin 1999, the Center for Swallow-
Evaluation of Swallowing withSensory Testing). Tuesday, May 14
The Donald R. Reed Center isthe largest Speech & Hearing
sees 90-100 outpatients per weekfor speech therapy and approxi-
Thursday, May 19
siderably more space for thera-py, testing, and offices. There is
an observation area where par-ents can hear and view their
UNIONE SINDACALE TITOLARI DI FARMACIA DELLA REGIONE CAMPANIA Napoli, 3 dicembre 2008 Oggetto: applicazione ticket e quote a carico delibera 1941 del 26/11/08 In seguito ai ripetuti colloqui con gli organismi regionali, si ribadisce che in aggiunta della quota a carico dei cittadini ove dovuta (in assenza cioè del codice 148) è dovuto il ticket di € 1,50 per confezione in accordo con lo sche
Sustainability strategy 2012 – 2013 with objectives and measures Sustainability means satisfying the needs of the present without limiting the opportunities and re-sources of future generations. In concrete terms, this means linking economic growth and busi-ness activities that are successful in the long term with environmentally friendly and socially re-sponsible action. The "sustainabi