Mr. B is an 80-year-old man with a history of prior stroke, dementia and chronic kidney disease who is admitted to the ICU from home with aspiration pneumonia, respiratory and renal failure. He is intubated in the emergency department and after several days extubated. His baseline health status is poor. He is bed- bound, unable to communicate other than basic nonverbal gestures and had been taking increasingly smaller amounts of food and liquid at home.
SBH Health System has taken the lead in the Bronx in implementing a point of care PACS (for Picture Archiving and Communications System) for its point-of-care ultrasounds in the emergency department. Ultrasound is used routinely these days in hospital emergency departments. However the informatics portion […]
SBH’s recent patient innovations cover the gamut from softwa new pharmacy technology to a healthy eating initiative. Here is a closer look: SBH Bronx Health Talk SBH Bronx Health Talk became the first health podcast of its kind in the Bronx this spring. A podcast […]
It is natural for reasons that soon will be apparent that investments tend to lead the focus when it comes to finding an advisor. Questions about performance and investment strategy often come before questions about the competency of an advisor’s financial planning advice.
Dr. Ralph Rahme is Director of the Division of Neurosurgery at SBH. Most recently, before arriving at SBH in 2017, he completed a fellowship focusing on complex cranial and cerebral bypass surgery. The following is an excerpt of a recent interview with Dr. Rahme. Q. […]
Ana Tergas, MD, a gynecologic oncologist on the faculty at Columbia University Medical Cancer New York Presbyterian Hospital, is now seeing patients at St. Barnabas Hospital. Dr. Tergas treats vaginal, cervical, vulvar, endometrial, and ovarian cancers using minimally invasive procedures and radical cytoreductive surgery for […]
When discussing contact dermatitis in his professional and teaching lectures . Charles Gropper, director, Division of Dermatology at SBH, often brings up a particular case study. One winter, a woman came to see him complaining of a rash around her mouth. In discussing the possible […]
It would certainly shock people to learn that many frail elderly people in our community suffer abuse and mistreatment. Very often, it goes unreported. Estimates are that only 1 in 24 occurrences are reported to authorities.
“What does the PET scan show?Is she a non-smoker? If it were me I would recommend observation.This is not a classic small cell carcinoma.Certainly not textbook.Did she have surgery in the past? How old is she? The pre-op risk seems high. What’s the patient’s social […]
A primary care provider with an IPA in the Bronx sees a patient complaining of symptoms consistent with a gastrointestinal condition. As the doctor doesn’t feel equipped to diagnose or treat the problem, she refers the patient to a GI specialist. “Only maybe the primary […]
Teamwork and communication are critical to an offensive line on a football team. To actors in a play. To chefs in a restaurant. And now, to physicians in an emergency room. Which is why Dr. Mina Attaalla, director of simulation education and informatics at SBH, […]
New technologies. Better materials. Improved pain medication. Greater coordination of care. These are some of the reasons why older patients and those with compromised health conditions have become candidates today for joint replacement surgery that can greatly improve the quality of their lives. Only, unfortunately, […]
The Maternity Pavilion at SBH has embarked on an innovative endeavor to improve patient health outcomes. With the United States ranking 26th out of 29 countries in terms of infant mortality and pre-term birth, with black women being nearly 50 percent higher when compared to white women, something needed to be done.
On a beautiful, unseasonably cool late July day, the 65-year-old Bronx woman is the first of about a dozen patients scheduled to meet Andrea Plunkett, a registered dietitian, on the 6th floor of the SBH ambulatory care clinic for a 45-minute nutritional assessment. Most of […]
People who are high utilizers of healthcare services account for a small percentage of the patient population. They often have significant physical, behavioral and social needs and find it challenging to navigate our complex healthcare system. It is not uncommon for patients to have experienced deep trauma including various forms of violence, poverty and abuse which make it difficult for them to engage in their own care.
A Positive Blood Test Was Almost Like a Death. From the early 1980s, when it was first identified, through the mid-1990s, the prognosis was dire: Almost uniformly, it was fatal. And, very likely, the end was not kind. Those afflicted with the disease often literally […]