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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 events Phelps 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 Quality Dr. Weinstein is a Board Certified Pediatrician 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 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 Quality Dr. Weinstein is a Board Certified Pediatrician 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


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