comprehensive care for infants, children and...

10
D igital, electronic and social media — everything from television and portable music players to computers, smart phones, tablets and video games and the Internet in general — they’re all taking over, so much so that the American Academy of Pediatrics (AAP) has just released new guidelines regarding curtailing and managing the use of a range of ubiquitous devices. The proliferation of electronic and social media and 24/7 access to the digital world is exerting a powerful impact on children and adolescents, the AAP states. While media itself is not to blame, and can in fact be enormously enlightening and educational, abuse of all media and an over-reliance on Internet-connected portable devices can have deleterious effects on children of any age. Arlene Adler, PhD, Chief of the Division of Pediatric Psychology at CWPW, concurs with the AAP’s observations. “Electronic and social media are everywhere, and they’re all vying for children’s attention,” Dr. Adler explains. “Parents need to understand the impact all of this has on children’s lives.” Dr. Adler points out that excessive media use can lead to a range of problems, including attention difficulties, overall learning impediments, trouble sleeping, as well as eating disorders such as obesity, bulimia and anorexia. “It becomes a platform for risky behaviors such as aggression and bullying, as well as social problems,” she adds. The AAP cites a recent study revealing that the average 8- to 10-year- old spends nearly eight hours a day with different media; older children and teens spend more than 11 hours per day. Children who have a TV in their bedroom spend more time with media. About 75 percent of 12- to 17-year-olds own cell phones, and nearly all teenagers use text messaging. “Children are learning more from electronic media than from school or from their parents,” Dr. Adler notes. “Media has taken over the primary role of teaching and parenting — more than any other activity. Electronic media, computers, TV, texting, social media, smart phones, tablets, Tumbler, YouTube… it’s all replacing parenting and schooling as the primary source of learning in raising these children.” Evidence shows that children are more likely to process and retain information from the plain printed page than from an illuminated screen. The brain is inherently more inclined to absorb text from a tactile source (like a printed page in a book or magazine) than from an electronic device, “Digital devices inhibit navigating through long text, thus inhibiting comprehension,” Dr. Adler explains. Thus, screens, tablets and phones “are less conducive to learning. The tactile experience of reading a book helps encode information in our brain.” The brain makes more neuro connections from printed material than from the screen, she adds. Social media also exerts a powerful influence on children. “There is an insatiable desire to be ‘liked’ on social media sites such as Facebook,” Dr. Adler says. This can lead to disappointment and alienation from the peer group, and even yield negative backlash such as bullying. “Children fear feeling alone or unpopular if they’re not connected,” Dr. Adler adds. Not accumulating the desired amount of positive feedback from peers on social media can leave children feeling anxious, even depressed. Children reaching friends and family members via text messaging rather than face-to-face contact or even on the phone means sacrificing human interaction; this can have consequences now, and later in life, Dr. Adler says. Dr. Adler offers these recommendations for managing children’s time on the Internet, social media and electronic devices: Limit electronic media time to no more than two hours per day. Offer educational material in a non-electronic format, including newspapers, magazines, books and board games. “This helps children to put information into context and fosters more ‘in the moment’ real-time vs. virtual-time experience.” Adapt screen-free zones in the house, such as the child’s bedroom and the kitchen. Limit entertainment media (video games) to no more than one to two hours a day. It’s important for children to spend more time outdoors in free, unstructured play, which fosters more imagination. Eliminate all TV and other entertainment media for children under the age of 2. “The developing brain can get modified prematurely” with electronic devices and other external stimuli. Continued on page 5 ADOLESCENT MEDICINE AND GYNECOLOGY CARDIOLOGY CRITICAL CARE DEVELOPMENTAL PEDIATRICS ENDOCRINOLOGY GASTROENTEROLOGY GENERAL PEDIATRICS AND HOSPITALIST MEDICINE HEMATOLOGY/ ONCOLOGY INFECTIOUS DISEASE & IMMUNOLOGY MEDICAL GENETICS NEONATOLOGY NEPHROLOGY NEUROLOGY OBSTETRICS/ GYNECOLOGY PSYCHOLOGY PULMONOLOGY, ALLERGY & SLEEP MEDICINE RESEARCH RHEUMATOLOGY SURGERY GASTROENTEROLOGY NEPHROLOGY OBSTETRICS/ GYNECOLOGY INFECTIOUS DISEASE www.cwpw.org FALL/WINTER 2013/2014, VOL. 4, NO. 2 COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS PEDIATRIC SPECIALTIES TURN ON, TUNE IN, LOG OUT: Alarms Go Off as Digital Media Use Is Educating and Parenting Children Arlene Adler, Ph.D. DIGITAL MEDIA l EXERCISE LAB l NEUROLOGY l WHEAT ALLERGIES l MEDICAL ENTREPRENEUR AWARD l PEDIATRIC ENDOCRINOLOGY DIVISION l NEW AFFILIATIONS The largest group of pediatric specialists of its kind in the region. ADULT SPECIALTIES Specialty Referral Hotline 1-855-4-CWPW-MD

Upload: others

Post on 08-Oct-2020

0 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND …bchphysicians.org/wp-content/uploads/2014/02/CWPW-Newsletter_Fall... · guidelines regarding curtailing and managing the use of a range

Digital, electronic and social media —everything from television and portable music

players to computers, smart phones, tablets andvideo games and the Internet in general — they’reall taking over, so much so that the AmericanAcademy of Pediatrics (AAP) has just released newguidelines regarding curtailing and managing theuse of a range of ubiquitous devices.

The proliferation of electronic and social mediaand 24/7 access to the digital world is exerting a powerful impact onchildren and adolescents, the AAP states. While media itself is not toblame, and can in fact be enormously enlightening and educational,abuse of all media and an over-reliance on Internet-connected portabledevices can have deleterious effects on children of any age.

Arlene Adler, PhD, Chief of the Division of Pediatric Psychology atCWPW, concurs with the AAP’s observations. “Electronic and socialmedia are everywhere, and they’re all vying for children’s attention,” Dr.Adler explains. “Parents need to understand the impact all of this has onchildren’s lives.”

Dr. Adler points out that excessive media use can lead to a range ofproblems, including attention difficulties, overall learning impediments,trouble sleeping, as well as eating disorders such as obesity, bulimiaand anorexia. “It becomes a platform for risky behaviors such asaggression and bullying, as well as social problems,” she adds.

The AAP cites a recent study revealing that the average 8- to 10-year-old spends nearly eight hours a day with different media; older childrenand teens spend more than 11 hours per day. Children who have a TV intheir bedroom spend more time with media. About 75 percent of 12- to17-year-olds own cell phones, and nearly all teenagers use textmessaging.

“Children are learning more from electronic media than from schoolor from their parents,” Dr. Adler notes. “Media has taken over theprimary role of teaching and parenting — more than any other activity.Electronic media, computers, TV, texting, social media, smart phones,tablets, Tumbler, YouTube… it’s all replacing parenting and schoolingas the primary source of learning in raising these children.”

Evidence shows that children are more likely to process and retaininformation from the plain printed page than from an illuminatedscreen. The brain is inherently more inclined to absorb text from atactile source (like a printed page in a book or magazine) thanfrom an electronic device, “Digital devices inhibit navigatingthrough long text, thus inhibiting comprehension,” Dr. Adlerexplains. Thus, screens, tablets and phones “are lessconducive to learning. The tactile experience of reading abook helps encode information in our brain.” The brain

makes more neuro connections from printed material than from thescreen, she adds.

Social media also exerts a powerful influence on children. “There isan insatiable desire to be ‘liked’ on social media sites such asFacebook,” Dr. Adler says. This can lead to disappointment andalienation from the peer group, and even yield negative backlash suchas bullying. “Children fear feeling alone or unpopular if they’re notconnected,” Dr. Adler adds. Not accumulating the desired amount ofpositive feedback from peers on social media can leave children feelinganxious, even depressed.

Children reaching friends and family members via text messagingrather than face-to-face contact or even on the phone means sacrificinghuman interaction; this can have consequences now, and later in life, Dr.Adler says.

Dr. Adler offers these recommendations for managing children’s timeon the Internet, social media and electronic devices:• Limit electronic media time to no more than two hours per day.• Offer educational material in a non-electronic format, including

newspapers, magazines, books and board games. “This helpschildren to put information into context and fosters more ‘in themoment’ real-time vs. virtual-time experience.”

• Adapt screen-free zones in the house, such as the child’s bedroomand the kitchen.

• Limit entertainment media (video games) to no more than one to twohours a day.

• It’s important for children to spend more time outdoors in free,unstructured play, which fosters more imagination.

• Eliminate all TV and other entertainment media for children under theage of 2. “The developing brain can get modified prematurely” with electronic devices and other external stimuli.

Continued on page 5

ADOLESCENTMEDICINE AND GYNECOLOGY

CARDIOLOGY

CRITICAL CARE

DEVELOPMENTAL PEDIATRICS

ENDOCRINOLOGY

GASTROENTEROLOGY

GENERAL PEDIATRICSAND HOSPITALISTMEDICINE

HEMATOLOGY/ONCOLOGY

INFECTIOUS DISEASE & IMMUNOLOGY

MEDICAL GENETICS

NEONATOLOGY

NEPHROLOGY

NEUROLOGY

OBSTETRICS/GYNECOLOGY

PSYCHOLOGY

PULMONOLOGY, ALLERGY & SLEEPMEDICINE

RESEARCH

RHEUMATOLOGY

SURGERY

GASTROENTEROLOGY

NEPHROLOGY

OBSTETRICS/GYNECOLOGY

INFECTIOUS DISEASE

www.cwpw.org

FALL/WINTER 2013/2014, VOL. 4, NO. 2COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND ADULTS

PEDIATRIC SPECIALTIES

TURN ON, TUNE IN, LOG OUT: Alarms Go Off as Digital Media Use Is Educating and Parenting Children

Arlene Adler, Ph.D.

DIGITAL MEDIA l EXERCISE LAB l NEUROLOGY l WHEAT ALLERGIES l MEDICAL ENTREPRENEUR AWARD l PEDIATRIC ENDOCRINOLOGY DIVISION l NEW AFFILIATIONS

The largest group of pediatr ic special ists o f i ts kind in the region.

ADULT SPECIALTIES

Specialty Referral Hotline 1-855-4-CWPW-MD

Page 2: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND …bchphysicians.org/wp-content/uploads/2014/02/CWPW-Newsletter_Fall... · guidelines regarding curtailing and managing the use of a range

www.cwpw.org

A MESSAGE FROM The President

Been abeautiful

autumn and thecold weather isupon us. Wecontinue to workdiligently inmany areas hereat CWPW,adding new offices, welcomingphysicians, and redoubling ourefforts to provide the finesthealth care for children, andnow for many adults.

At CWPW, we’re pleased toreport that we now have anaffiliation with Women’s HealthResource, OB/GYN specialistswith offices in The Bronx andYonkers. Our relationship withthese fine physicians emphasizesout strong commitment towomen’s health. We’re alsopleased to report that we’veentered into an agreement withBrooklyn-based WyckoffHeights Medical Center toprovide subspecialist treatmentwithin a number of pediatriccare departments. Our pediatricpulmonary and gastroenterologysubspecialists will provideservices there, and additionalsubspecialties will follow soon.

Understanding why childrenfaint has been a topic of studyfor a long time. At CWPW’sPediatric Cardiology ExerciseLab, Christa Miliaresis, MD, andher team use the latesttechnologies to diagnosechildhood and congenital heartconditions, including everythingfrom chest pains and dizzy spellsto cardiac arrhythmia, orirregular heartbeat, and heartdefects. The Lab is a major stepforward, allowing cardiologiststo pinpoint causes and designpromising treatments. TheCardiology Lab operates underthe aegis of Michael H. Gewitz,MD, Vice President of CWPWand its Chief of PediatricCardiology.

It seems almost impossible inthis day and age to let even afew hours go by withoutchecking email, texting, orspending time on the computer.This can have seriousramifications for children, andin this issue Arlene Adler, PhD,Chief of our Division ofPediatric Psychology, outlinesthe potential perils of children’s

2

continued on page 3

Leonard Newman, MD

Christa Miliaresis, MD, is on a mission —to get to the root of childhood heart

ailments and determine the best course oftreatment. As director of CWPW’s PediatricCardiology Exercise Lab, located at 19 Bradhurst Avenue in Hawthorne, NY, Dr. Miliaresis has established a facility with top-notch expertise in the study ofcardiopulmonary exercise physiology inchildren with heart disease and with a variety ofother medical concerns and in adultsspecifically who have grown up with congenitalheart conditions.

Under the leadership of Michael H. Gewitz,MD, Vice President and Chief of PediatricCardiology at CWPW, Dr. Miliaresis brought thelab online two years ago. She has assembled agroup of cardiology experts dedicated to research intounderstanding the impact of various medical problems on thefunctioning of the heart and on the body’s responses to thedemands of exercise. She and her colleagues at the PediatricCardiology Exercise Lab are focused on working with patients todetermine whether underlying cardiovascular disease is presentin some children with chest pain, exercise intolerance and withdisorders such as fainting, palpitations and severe dizziness.While most children with these problems do not have a heartproblem, her work is aiming to figure out what clues are presentin the few that do. This information can then help them and theirfamilies and primary doctors design strategies to protect themand keep them healthy.

“Additionally, the Exercise Lab is for all sorts of cardiovascularconcerns,” Dr. Miliaresis explains. “We work with children todetermine the cause of their chest pains, to identify electricalproblems of the heart, and to determine if it’s safe for them toexercise.” The Lab also works with children and adults who sufferfrom congenital heart disease. “We work togauge where they are in their cardio-pulmonary status,” she says. “Wederive a great deal of informationfrom the tests we administer.”

The Lab is outfitted with state-of-the-art equipment anddiagnostic tools, including comprehensive cardiopulmonaryexercise physiology monitoring devices and cardiac rhythmanalysis monitors. Presently, Dr. Miliaresis is engaged in a varietyof research endeavors, among them the question of why somechildren faint. She is working in tandem with Julian Stewart, MD,Ph.D., a leading international expert in this field, and a CWPWpediatric cardiologist, who has conducted extensive research intochildhood fainting.

“Nobody knows the exact mechanism of why children faint,”Dr. Miliaresis says, “and why it is more of an important problemin some children than in others. We’re trying to determine wherethe blood is going; where is it going if it’s not going to the brain?”She adds: “one day this could lead to better, more specifictreatment strategies tailored to the findings in a particular child.”

Dr. Miliaresis is interested in expanding the scope of the laband integrating new equipment, while pursuing additionalavenues of research. “We want to explore issues of babies bornprematurely to determine whether they have exercise limitations”as they grow, she explains.

Recently, Dr. Gewitz and the pediatric cardiology groupreviewed new research that indicates that the hearts of prematurebabies might mature abnormally in the years after successfultreatment for their prematurity. This might be the result of deficitsin muscle function caused either by prematurity itself or by someof the extensive treatments required to get tiny premature babiesthrough difficult beginnings of life and could lead to inadequatecirculatory responses as the children grow up. Dr. Miliaresis ishoping that her research will lead to answers.

The “epidemic” of childhood obesity is another area in whichDr. Miliaresis is anxious to study at the Lab. She plans toundertake a number of studies in conjunction with Richard Noto,MD, Chief of Pediatric Endocrinology at CWPW, and with KarenSeligman, MD, Preventive Pediatric Cardiologist at CWPW.

The Lab has already seen upwards of 500 cardiology patientssince it opened. Dr. Miliaresis says she looks forward to workingwith more children and adults to determine how their hearts meetthe needs of exercise and to design effective treatment programsfor them that include exercise for fitness and health.

For more information regarding this topic please contactCWPW’s Cardiology Department (914) 594-2222. CWPW

MATTERS OF THE HEART Christa Miliaresis, MD, SpearheadsCWPW’s Pediatric Cardiology Exercise Lab

Michael H. Gewitz, MD

Christa Miliaresis, MD

Download our CWPW app — free for iPhone and iPad

Page 3: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND …bchphysicians.org/wp-content/uploads/2014/02/CWPW-Newsletter_Fall... · guidelines regarding curtailing and managing the use of a range

A Message From The Presidentcontinued from page 2

over-reliance on all thingsdigital. It’s a real wakeup call forall of us.

The news is filled withreports of food allergies and howcertain foods affect children.Gluten, in particular, can posereal problems to children andadults. Edward Lebovics, MD,Chief of AdultGastroenterology andHepatobiliary Diseases atCWPW, and Stuart Berezin,MD, Chief of PediatricGastroenterology at CWPW,both report that glutenintolerance is on the rise amongboth adult and childpopulations, and offer guidelineson how to spot it, and live agluten-free life.

Feel free to get in touch withus with your comments,questions or story ideas. We’dlove to hear from you. Email usat [email protected]. On behalf ofall of us at CWPW, I wish youall a very enjoyable, safe andhealthy holiday season. CWPW

3www.cwpw.org

The role of the hospitalist is becomingmore important as medicine changes

and the roles of physicians evolve as well. When it comes to providing pediatric neurologyhospitalist services at the Valhalla-based Maria Fareri Children’s Hospital (MFCH), thechoice has been made: The child neurologyhospitalist position will be implemented,beginning in December.

According to Ronald Jacobson, MD, Chief of Pediatric Neurology at CWPW, the concept of the pediatric neurology hospitalist is in itsinfancy and not routinely available in the United States. Efficiency, quality of care, safety, and heightened physician access topatients are all viewed as preeminent reasonsfor embracing the hospitalist initiative. Dr. Jacobson is responsiblefor spearheading and implementing the pediatric neurologyhospitalist role at MFCH. Philip Overby, MD, a highly respectedpediatric neurologist and epileptologist with significant hospitalistexperience, most recently at Montefiore Medical Center in TheBronx, will hold the position.

“The concept in pediatric neurology is that there is a growingdistinction between skills needed for outpatient and inpatient,” Dr. Overby explains. “We have a lot of different goals. There isgrowing evidence that with vigilant monitoring after recent braininjuries-such as trauma or stroke-we can improve outcomes withaggressive management of potential complications such as seizures,infection, or inadequate nutrition.  Moreover, this type of continuityof care for hospitalized children will help us to keep families bothinformed and able to participate in each child’s ongoing care.”

Dr. Overby points out that the hospitalist initiative can not onlyresult in “improved outcome, but can shorten the time thatchildren stay in the hospital.”

“What I’ve found is that in most cases you can anticipatewhat’s going to happen with a patient over the next few days,following admission,” Dr. Overby explains. The hospitaliststructure will allow him to focus on inpatients continually, andrespond to their needs at once. “I love it; for me, it’s ideal. I’m sograteful for the opportunity to do it again.”

“Regionally this is a novel concept, and nationally it is aswell,” Dr. Jacobson explains. “Generally this has not been the waythings have been run. Yet there has been a national movementtoward the pediatric and adult hospitalist, including neurology.”

The idea of implementing the role locally came to Dr.Jacobson as a way to provide three crucial aspects of expertise:continuity of inpatient care; leadership to develop clinicalprograms; and supervision of students and residents in thehospital teaching environment. “The drive here is continuity ofinpatient care, due to the complexity of inpatient care.”

Among the programs slated for implementation at MFCH arehospitalist services focused on pediatric stroke victims. EEGtesting and children suffering from various forms of epilepsy arealso a major component of the initiative. “We want to enhance andgrow pediatric epilepsy monitoring,” Dr. Jacobson says, and thehospitalist program will pave the way toward making that a reality.

The initiative will focus on neonatal and pediatric intensivecare, pediatric emergency medicine, neurosurgery, andhematology and oncology patients.

The structure of the pediatric neurology hospitalist has severalancillary benefits as well, Dr. Jacobson explains. “It frees up ourother doctors to attend to emergency calls and allows for pediatricneurologists to offer more office hours to see patients, which isinvariably more convenient for parents.”

More importantly, Dr. Jacobson notes, is that the pediatricneurohospitalist structure will lead to the development ofadditional initiatives. These include everything from work onpediatric stroke and pain, greater interactivity with the pediatric

VISIONARY NEUROLOGYPediatric Neurology HospitalistIs an Idea Whose Time Is Now

Philip Overby, MD

Ronald Jacobson, MD

neurooncology team, and with pediatricneurosurgery.

“I’m very excited because it’s novel,”Dr. Jacobson states, “and it’s not readilyavailable at most places. It’s a newconcept in providing inpatient pediatricneurology hospitalist health care.”

Dr. Overby joins the PediatricNeurology Division led by Dr. Jacobson.Coleagues in the division include LiliahCantor, MD, Shahid Parvez, MD, andWendy Silver, MD.

For more information regarding thistopic contact CWPW’s NeurologyDepartment (914) 358-0188 CWPW

Specialty Referral Hotline 1-855-4-CWPW-MD

Page 4: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND …bchphysicians.org/wp-content/uploads/2014/02/CWPW-Newsletter_Fall... · guidelines regarding curtailing and managing the use of a range

If celiac disease is suspected based on blood tests andsymptoms, “we’ll conduct a biopsy before subjecting thepatient to a lifelong diet of that restricts gluten,” Dr.Lebovics explains. Patients have to ingest gluten prior tothe blood test in order for celiac disease to be diagnosed.“The test has good specificity,” he adds, “but it’s not one-hundred percent.”

There is also a genetic test for celiac disease, Dr. Lebovics says. “This also is not perfect. With thegenetic test, if the results are negative, it rules out celiacdisease. If, however, the results are positive, it doesn’tnecessarily rule it in. Celiac disease can still be in thegame. You can’t positively make the diagnosis (withgenetic testing), only exclude the diagnosis.”

Physicians can also conduct a biopsy of the smallbowel to help make a clear-cut diagnosis. In addition, Dr. Lebovics says that doctors can order a capsuleendoscopy, a procedure whereby the patient ingests acapsule with a tiny camera that captures images of thedigestive system every two seconds. “Reviewing thatmight find traces of celiac that we might not have foundwith an endoscope,” he says.

As for non-celiac gluten sensitivity, Dr. Lebovics pointsout that these patients tend to respond to a low-FODMAP(which stands for Fermentable Oligo-, Di- and Mono-saccharides and Polyols) diet. This diet aims to eliminatefermentable carbohydrates, which can trigger symptomssimilar to celiac disease in patients without a clear-cutdiagnosis for celiac.

While celiac disease is often diagnosed in adults, it’snot completely foreign to younger populations. Childrencan become gluten-intolerant as well. “It’s not uniquelyfound in adults,” Dr. Lebovics says. “Some people havelived their whole life with the disease.” The key iscontrolling its symptoms, he adds, and that meansavoiding foods containing gluten. Abstinence from wheat-based products, he says, is the surest way to avoid theoften-debilitating symptoms of gluten intolerance.

“There is research toward development of a vaccineagainst gluten and its effects on the small bowel,” Dr. Lebovics explains. “Yet the vast majority of patientson a gluten-free diet will do just fine.”

As a specialist in pediatric gastrointestinal disorders,Dr. Berezin also points out that celiac disease andreactions to gluten-based products are more prevalentthan ever. “People are much more aware of it now,” hesays, noting that the numbers are rising. Today, one in150 children has celiac disease. “It’s much morecommon than we thought in the past.”

In children who exhibit symptoms of celiac diseaseand in patients who are diagnosed with non-celiac gluten intolerance, symptoms can be obvious, or subtle, Dr. Berezin says. “Sometimes it presents itselfdramatically, with children experiencing anything fromdiarrhea and vomiting to abdominal pain, rashes, jointsymptoms, constipation, and even neurologicalproblems.”

Celiac disease and symptoms of gluten intoleranceare very rare in infants, Dr. Berezin states. “Childrentypically don’t develop celiac disease until one year ofage and over.”

The key for physicians today is to be hyper-vigilant to patients exhibiting any symptoms that may indicategluten intolerance. “We have to be really alert,” Dr.Berezin points out. “Just about every patient we see, wehave to be alert” and suspect that a wheat allergy mightbe the cause of the child’s gastrointestinal distress.

“With a lot more people being diagnosed with celiacdisease, there is a lot more interest in it in general,”Dr. Berezin explains. As a result, he says, “morecompanies are producing gluten-free foods andrestaurants are serving gluten-free meals.” Even entirebakeries have sprung up featuring gluten-free products,he says.

With the proliferation of information surroundinggluten as the trigger for gastrointestinal symptoms insusceptible children, Dr. Berezin says that it’s now easierfor patients to stay on a gluten-free diet. Dietary choiceshave markedly improved in recent years, he says,making it easier for parents to nourish their children withhealthy food options — while avoiding gluten altogether.

For children who are diagnosed with celiac diseaseand those who exhibit symptoms, there is no substitutefor a healthy diet that excludes gluten, Dr. Berezin says.“It’s crucial to stay on a gluten-free diet,” he stresses.Parents of patients who suffer from gluten intoleranceneed to meet with a dietitian, he says, to help guide themthrough the maze of healthy foods, and foods that mightpose gastrointestinal problems.

“This is a really interesting area,” Dr. Berezinexplains. “In almost every patient we see, celiac diseaseis one of the diseases we think about. It’s definitely oneof the concerns we watch out for on a daily basis.”

For referral to one of our adult or pediatricgastroentologists, please call 1-855-4-CWPW-MD.CWPW

Thanks to a plethora ofinformation in the media, not to

mention improved diagnostic efforts,more and more children and adultswho experience gastric distress arerealizing that what they actually have is an allergy to gluten, a protein foundin wheat products. Anyone sufferingfrom its allergic effects will tell you that gluten is everywhere. It’s found in countless consumer productscontaining wheat, barley, rye, spelt, and to a lesser degree, oats.

Edward Lebovics, MD, Chief ofAdult Gastroenterology andHepatobiliary Diseases at CWPW, andStuart Berezin, MD, Chief of Pediatric Gastroenterology at CWPW, both report that the incidence of glutenintolerance is on the rise among both adult and childpopulations.

According to Dr. Lebovics, the issue of glutenintolerance is relevant in two settings: celiac disease, inwhich the bowel is sensitive to gluten and will cause aninflammatory reaction; and patients with non-celiac glutenintolerance who test negative for celiac disease but whostill experience discomfort after consuming gluten.Consuming gluten triggers an immune response in theintestines, resulting in symptoms that can range frombloating, diarrhea, and weight loss to abdominal pain.

“Better diagnosis and increased awareness” havemade the issue of gluten more prevalent, Dr. Lebovicsexplains. Patients exhibiting symptoms of glutenintolerance can obtain a blood test to determine ifantibodies for celiac disease are present. “Test results can strongly suggest a diagnosis of celiac disease,” Dr. Lebovics says. “Anyone who has unexplainedgastrointestinal symptoms — a standard part of theevaluation is to check for celiac disease.”

WHEAT-EASEPatients Suffering from Wheat Allergies AreWise to Embrace the Inevitable: Abstinence

4 www.cwpw.org Download our CWPW app — free for iPhone and iPad

Edward Lebovics, MD

Stuart Berezin, MD

Page 5: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND …bchphysicians.org/wp-content/uploads/2014/02/CWPW-Newsletter_Fall... · guidelines regarding curtailing and managing the use of a range

5

Robert W. Amler, MD, FAAP,FACPM, of the Division of

General Pediatrics at CWPW has beenpresented with a Doctor of DistinctionAward from the Westchester CountyBusiness Journal, the WestchesterCounty Medical Society, and CitrinCooperman, an accounting, tax andconsulting firm in White Plains, NY. Dr.Amler is a managing partner at CWPW.

At the inaugural awards ceremony recently held at theBristal in White Plains, Dr. Amler received the MedicalEntrepreneur Award, in recognition of a physician “whoseingenuity and thinking and action have significantlycontributed to the advancement of the practice ofmedicine.”

ROBERT W. AMLER, MD Receives Prestigious Medical Entrepreneur Award

Robert W. Amler, MD,FAAP, FACPM

Dr. Amler is an attending physician in general pediatricsat Maria Fareri Children’s Hospital at Westchester MedicalCenter. He is the Vice President for Government Affairs atNew York Medical College, Dean of the School of HealthSciences and Practice, and Institute of Public Health, anda Professor of Public Health, Pediatrics, andEnvironmental Health Science at New York MedicalCollege (NYMC).

Dr. Amler was one of six physicians to receive honors inseparate categories. Awards were also presented forHumanitarian Efforts, Community Service, ResearchExcellence, Lifetime Achievement, and Leadership inMedical Advocacy.

Since joining CWPW in 2005, Dr. Amler has pursuedhis passion for medicine and public health with newventures involving the biotechnology business

community in Westchester and the Hudson Valley. Hehelped bring more than $10 million in federal and stategrants to expand the region’s capabilities in disastermedicine and launch a biotechnology incubator on theNYMC campus.

“This is a partnership between government andacademia to develop new modalities that improve thepractice of medicine,” Dr. Amler says. “The incubator alsowill help grow the regional economy by creating new jobsfor highly trained scientists and their associates.”

The incubator, scheduled to open in 2014, will includea federally funded training center to help investigatorsdevelop their business skills as well as lab skills. Thetraining center is a collaboration with the Hudson ValleyEconomic Development Corporation and WestchesterCommunity College. CWPW

www.cwpw.org

Families looking for superior endocrine care for theirchild now have more opportunity to see a CWPW

physician. Due to an increased volume of requests forappointments, CWPW’s Division of PediatricEndocrinology has added three new clinical staffmembers. They will join Richard A. Noto, MD. CWPW’sChief of Pediatric Endocrinology, Diabetes and theEndocrine Center for Children and Young Adults.

The two physicians joining the staff are PediatricEndocrinologists Payal Patel, MD, and Toni Kim, MD.

Payal Patel, MD received her undergraduate degreefrom the State University of New York at Binghamton.She continued on to graduate medical school from theState University of New York at Downstate beforemoving on to pediatric residency at New YorkUniversity. She subsequently completed her first year of pediatric endocrinology fellowship at the Children’sHospital of Philadelphia before completing the last two

TEAM EFFORTCWPW’s Pediatric Endocrinology DivisionAdds New Clinical Staff

Richard A. Noto, MD Payal Patel, MD Toni Kim, MDyears at New York University. After graduatingfellowship she spent a year working at the Children’sHospital of Los Angeles before moving back to the eastcoast and starting at the Children’s and Women’sPhysicians of Westchester. She also has anappointment as assistant professor in pediatrics at theNew York Medical College.

Toni Kim MD received her undergraduate degree inBiochemistry from Stony Brook University on fulltuition scholarship. She continued on at Stony BrookUniversity for medical school, before moving toWestchester County for residency in Pediatrics at theMaria Fareri Children’s Hospital at Westchester MedicalCenter. After the honored position of Chief Resident,she received her subspecialty training in PediatricEndocrinology at The Children’s Hospital Colorado. Dr.Kim worked at Children’s and Women’s Physicians ofWestchester and was an Assistant Professor in

The AAP also offers these recommendations for pediatricians:• Ask two questions at the well-child visit: How much time is the child spending with media? Is there a television

and/or Internet-connected device in the child’s bedroom? Take a more detailed media history with children orteens at risk for obesity, aggression, tobacco or substance use, or school problems.

• Work with schools to encourage media education; encourage innovative use of technology to help studentslearn and to have rules about what content may be accessed on devices in the classroom.

• Challenge the entertainment industry to create positive content for children and teens, and advocate for strongrules about how products are marketed to youth. 

• As the media landscape continues to evolve at a rapid pace, the AAP calls for a federal report on what is knownabout the media’s effects on youth and what research needs to be conducted. The AAP calls for an ongoingmechanism to fund research about media’s effects.

For more information regarding this topic please contact CWPW’s Psychology Department (914) 493-7697.CWPW

TURN ON, TUNE IN, LOG OUT Continued from page 1

Pediatrics at New York Medical College. She left in 2010 todo a short stint in Austin, TX, where Texas Monthlymagazine named her as a “Rising Star,” an honor awardedto only 2.5% within “Super Doctors” category. Dr. Kimrejoins the practice with her position upon her return hometo Westchester.

In addition to these distinguished physicians, LeighFogwell, CPNP, a Certified Pediatric Nurse Practitioner, hasalso been added to the staff to support the physicians andpatients.

Appointments are immediately available for all new andfollow-up patients at the Sleepy Hollow, Good Samaritan inSuffern, and Middletown locations. Staff and patients cancall 1-855-4-CWPW-MD (1-855-429-7963) to scheduleappointments at any of CWPW’s practice locations.

WPW

Specialty Referral Hotline 1-855-4-CWPW-MD

Page 6: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND …bchphysicians.org/wp-content/uploads/2014/02/CWPW-Newsletter_Fall... · guidelines regarding curtailing and managing the use of a range

at the Medical Center, with additional subspecialties tofollow. “We’re already providing care and treatment at theMedical Center,” he says. “We’re cooperating withWyckoff Heights in improving services; it’s an excellentinstitution.”

Wyckoff Heights Medical Center is a 350-bed teachinghospital with a staff of 1,800 physicians, nurses andsupport personnel. Located in an ethnically diverse areaon the border of northern Brooklyn and western Queens,the Medical Center serves patients representing 35distinct languages and cultures. Serving the communitysince 1889, today the Medical Center servesapproximately 75,000 patients annually in itsPediatric/Adult Emergency Departments, delivers 2,000babies, offers outpatient services to thousands at itsnetwork of community ambulatory care centers, and offersextensive community health education and screeningprograms.

Dr. Newman explains that CWPW’s relationship withWyckoff Heights stems from a number of CWPWphysicians teaching at New York Medical College whowere involved with the Brooklyn hospital. “I decided tovisit with them,” Dr. Newman says. He and his CWPWcolleagues developed a relationship with the Brooklynfacility in large part because Gustavo Del Toro, MD, ahematologist and Senior Vice President and Chief

Medical Officer at Wyckoff Heights, was friendly withCWPW’s Mitchell Cairo, MD, Chief of PediatricHematology and Oncology, and had trained with Dr. Cairo.“The relationship grew,” Dr. Newman recalls. “We thoughtthere was a lot we could do together there.”

Sanjivan Patel, MD, a neonatologist and Chairman ofthe Department of Pediatrics at Wyckoff Heights, was“Instrumental in helping us — and helping to makethis possible,” Dr. Newman adds. “Everyone benefits,especially the children. We can’t underscore theimportance of having this service available, and a large network is what’s happening in health care. It’s abetter way to serve patients, and to make patient caremore accessible.”

Dr. Newman notes that Wyckoff is establishing apediatric osteopathic residency program. “We hope tohave a full subspecialty center in Brooklyn,” he says.Girish Sharma, MD, a CWPW pediatric gastroenterologistand attending physician at Wyckoff Heights, willparticipate in the program, as will several other physiciansunder the aegis of Allen J. Dozor, MD, Chief of PediatricPulmonology at CWPW, and Edmund F. La Gamma, MD,Chief of Pediatric Neonatology at CWPW. WyckoffHeights has selected Dr. La Gamma to oversee its regionalcenter neonatal patients.

Dr. La Gamma is also Chief of the Division of NewbornMedicine at Maria Fareri Children’s Hospital in Valhalla, astate-designated Regional Neonatal Intensive Care Unit(RNICU). He oversees a team of 30 neonatologists, nursepractitioners and physicians-in-training dedicated totreating at-risk infants. The relationship with Wyckoff Continued on page 8

CWPW physicians now provide medicalexpertise in several subspecialties

benefiting a medically underservedpopulation on the Brooklyn-Queens border

Children’s & Women’s Physicians of Westchester, LLP,the largest group of pediatric specialists of its kind in theHudson Valley region, has recently entered into anaffiliation with the Brooklyn-based Wyckoff HeightsMedical Center to provide subspecialist medical treatmentwithin a number of pediatric care departments.

The announcement was made by Leonard Newman,MD, President of CWPW. “We are initiating a wholeprogram of several medical specialty practices incoordination with the Medical Center itself,” Dr. Newmanexplains, adding that CWPW’s foray into other parts ofNew York City is a natural expansion of its service area.CWPW already has offices in Woodlawn and in Riverdalein The Bronx, as well as 45 additional offices locatedthroughout the Hudson Valley, NY, and Fairfield County,CT. “We’re beginning to have a presence in Brooklyn. Thisis a community that we feel is medically underserved, andin need of our specialists.”

According to Dr. Newman, initially CWPW’s pediatricpulmonary, gastroenterology and neonatologysubspecialists will provide consulting and referral services

CWPW ANNOUNCES NEW AFFILIATIONwith Brooklyn’s Wyckoff Heights Medical Center

Leonard Newman, MD

www.cwpw.org Download our CWPW app — free for iPhone and iPad 6

Michael Gewitz, MD Gerard Villucci, CEO

Orangetown Pediatric Associateshas a new office location —

30 Ramland Road, Suite 200A, inOrangeburg, NY.

The practice has thrived under theaegis of Alanna Levine MD, FAAP,who has been treating infants, youngchildren and adolescents as managingpartner of the top-notch team ofphysicians and support personnel. The new location willallow Dr. Levine and her fellow physicians to continue toprovide high-quality pediatric medicine to more familiesin the Rockland County region. The Orangetown teamalso includes Cynthia Cohen, MD, Philip Newfield, MD,

Relocates to New RocklandCounty Office Location

read the answers ahead of time. For those parents whodidn't fill them out before the visit — no worries! Thereare iPads® available in the waiting room where they cancomplete them right in the office.

Many physicians report that having a computer inthe exam room is a barrier to face-to-face contact as itsits between the provider and the patient. To combatthis, Dr. Levine designed a workstation for a wirelesskeyboard that swivels so that she can face the patient atall times — without having a computer monitor in theway. The monitor is also on a swivel that’s attached to the wall so she can show the screen to the parent when, for example, she wants to share the growth chart. CWPW

Alanna Levine MD,FAAP

Eric Oberman, DO, Reina Greenbaum, PA-C, and PatriciaReilly, FNPC.

The new location on Ramland Road offers greaterspace as well as more technologically sophisticatedequipment for diagnostic and treatment purposes. Theoffice number remains unchanged at 845-359-0010.

The office is moving rapidly into the technological era,while still maintaining a hands-on approach to patientcare. Computer monitors are set up in each exam roomand double as Apple® TVs. Dr. Levine's ultimate plan is toshow specific educational video content to parents whilethey wait for the provider to come into the room. In themeantime, the children enjoy watching “Doc McStuffins”and “Despicable Me” while they wait for their doctor tocome see them.

Orangetown Pediatrics has also partnered withCHADIS, a company that provides online developmentalscreening questionnaires to parents. Screening fordevelopmental delays has become the standard of careduring pediatric well visits. Having the questions availableonline in the days before the visit allows parents to fillthem out at their leisure, while allowing the provider to

Page 7: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND …bchphysicians.org/wp-content/uploads/2014/02/CWPW-Newsletter_Fall... · guidelines regarding curtailing and managing the use of a range

www.cwpw.org 7

NEW AFFILIATION CWPW Welcomes Women’s Health Resource

2012, Dr. Miller and his colleagues’ interest becamepiqued in the idea of aligning with CWPW.

“We looked around,” Dr. Miller explains. “We’d heard alot of good things about CWPW and thought it would be agreat fit. Dr. Rubeo was happy with the arrangement, so wemet with CWPW’s President Leonard Newman MD, VicePresident Michael Gewitz MD and Chief Executive OfficerGerard Villucci.

Dr. Miller is joined at Women’s Health Resource byDenis T. Sconzo, MD; Regina Fitzgerald, MD; NaviotGhotra, MD; Neil H. Melnick, MD; Adam Duhl, MD; BrittBenn, PA; and Aja Snow, PA.

Complementing the range of services the practiceprovides, Dr. Miller feels the strength of Women’s HealthResource is the continuity of care it brings to adolescentsand women in the communities it serves. “I’ve been withthe practice for 27 years, and Dr. Sconzo started in 1994,”he explains. Dr. Fitzgerald joined the practice a year later.“We’re proud of our longevity,” Dr. Miller adds, noting thatDr. Melnick opened the practice about 45 years ago. “Formyself, Dr. Sconzo and Dr. Fitzgerald, this is the onlypractice we’ve ever been part of. And we’ve had the sameoffice manager for 35 years. Our patient base is quite loyalas well.”

What makes Women’s Health Resources unique? “We’refairly young physicians, but we’ve been doing it for a longtime,” Dr. Miller states. Joint-commission accredited, thepractice can administer anesthesia in the office, andprovide a range of services that might otherwise be

available in the hospital setting. “We’re very self-sufficient,” Dr. Miller adds.

Another draw is that Women’s Health Resource is oneof the few private practices serving patients in The Bronx.“Most are hospital-based now, or clinics,” Dr. Millerexplains. That sense of personal care endears patients tothe practice. “Our patients really seem to like us, and wefeel the same way about them,” he says. “They receivetruly private, professional care, and they appreciate that agreat deal.” He adds that the group continues to grow,and has relocated from “very cramped quarters” onPelham Parkway in The Bronx to a beautiful, state of theart facility at the Hutch Metro Center.

Dr. Miller is enthusiastic about joining the CWPWfamily of practices. “We think it will be a productiverelationship,” he says. “We feel this arrangement will begood for CWPW, and it will be good for us. I intend tospend the rest of my professional career here and be partof CWPW.”

Patients can contact the Women’s Health ResourceCenter in the Bronx: 718-409-5454 and in Yonkers: 914-793-5588, www.womens-health-resource.com.CWPW

“Our patients really seem to like us,and we feel the same way about

them,” he says. “They receive trulyprivate, professional care, and they

appreciate that a great deal.”

Denis T. Sconzo, MD

Specialty Referral Hotline 1-855-4-CWPW-MD

CWPW is pleased to welcomeWomen’s Health Resource to

its ever-expanding coterie of qualityhealth care practices. The group willcome on board with the beginning of the new year.

With two locations — at the HutchMetro Center at 1250 Waters Place,Suite 1206 in The Bronx, and theWomen’s Health Resource and MDCosmetic & Laser Center at 1990Central Park Avenue in Yonkers —Women’s Health Resources reinforces CWPW’s commitment toproviding quality health care towomen and expectant mothers.

Women’s Health Resource offers a wide range ofservices to women, including obstetrics and gynecology,women’s imaging for diagnosis and treatment, andcosmetic services. A perinatologist also works with thegroup. Physicians treat women from adolescents to thosein their senior years.

According to Daniel R. Miller, MD, one of sixphysicians at Women’s Health Resource, he and hiscolleagues became interested in partnering with aspecialist practice organization over the last few years. At the recommendation of Thomas J. Rubeo, Jr., MD, of Bronxville Women’s Care, who joined CWPW in late

Daniel R. Miller, MD

Page 8: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND …bchphysicians.org/wp-content/uploads/2014/02/CWPW-Newsletter_Fall... · guidelines regarding curtailing and managing the use of a range

Skyline Suite# 1N-C08 • 40 Sunshine Cottage Road • Valhalla, NY 10595

CWPW • V i s i t Ou r Web S i te fo r Add i t i ona l I n fo rmat ion : www.cwpw.o rg

Heights adds a third Level III program that will refer infantsto the neonatal experts at CWPW. The RNICU treats over650 babies annually and typically has the highest case-mixindex in New York State. Patients are drawn fromapproximately 23,000 deliveries at 32 area hospitals within5,000 square miles, that is served by six Level II and nowthree Level III programs that refer neonates to Dr.LaGamma and his team of neonatologists.

“We have the highest survival rate and the lowestmorbidity rate compared to national standards forextremely low birth weight neonates (birth weight under 2 pounds),” Dr. LaGamma says of the RNICU at CWPW.“It’s a remarkable achievement.”

“By reaching out and offering our services to WyckoffHeights, it’s a welcoming gesture to another medicalcenter.” Dr. LaGamma explains. “We’ve always taken theposition that, philosophically, if there is a medicalproblem, we’ll work with you” to achieve the best outcome

possible. “Wyckoff Heights has a very competent neonatalgroup; we will help amplify their impact by expanding thescope of services.”

The relationship with CWPW physicians and neonatalstaff, he feels, “is based on a combination of the quality ofoutcomes, the affability of our institutions, and thewillingness for all of us to work as a team. It’srelationship-building.”

A relationship involving adult medicine is also in theoffing between CWPW and Wyckoff Heights, Dr.LaGamma says. As for neonatology, the CWPWneonatology team is also responsible for qualityassurance. In addition, it will play a role by contributingto the state’s perinatal database, which assesses outcomesof neonatal treatment. They can now compare outcomesat both locations for benchmarking standards forcommunity Level III sites, share protocols andinformation, exchange patients, and rely on technologies

like extra-corporeal membrane oxygenators (ECMO; i.e.heart lung machine), CoolCap™, jet ventilators and theBronchotron,™ Dr. LaGamma explains. This is essential,he says. “We’re involved in taking care of rare, unusualand complicated cases.”

Pediatric endocrinology and hematology services arealso planned at Wyckoff Heights, provided by physiciansat CWPW.

The foray into Brooklyn is not an ending point forCWPW, Dr. Newman points out. “We hope to move on toLong Island and elsewhere,” he says. “It’s part of thenetwork we’re establishing for children’s care. Werecognized that Brooklyn had a definite need, with theclosure of many hospitals in the area, and there was a reallack of pediatric specialty presence there. Thanks to ournew relationship with Wyckoff Heights, we will enhancehigh complexity pediatric services to the families residingin that community.” CWPW

BROOKLYN’S WYCKOFF HEIGHTS MEDICAL CENTER Continued from page 6

Page 9: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND …bchphysicians.org/wp-content/uploads/2014/02/CWPW-Newsletter_Fall... · guidelines regarding curtailing and managing the use of a range

CWPW LOCATIONS

www.cwpw.org Specialty Referral Hotline 1-855-4-CWPW-MD

Westchester County

Pediatric Associates of Westchester

1 701 Bedford Road, Suite BBedford Hills, NY 10583• General Pediatrics – (914) 723-7444

Bronxville Women's Care

2 1 Pondfield Rd #302Bronxville, NY 10708• Obstetrics/Gynecology – (914) 337-3715

Polly Kanganis, MD

3 4 Studio ArcadeBronxville, NY 10708• Obstetrics/Gynecology – (914) 771-9441

Douglas Savino, MD

4 1 Pondfield Road WestBronxville, NY 10708• General Pediatrics – (914) 771-8990

Chappaqua Pediatrics

5 175 King StreetChappaqua, NY 10514• General Pediatrics – (914) 238-8550

NWH at Chappaqua Crossing

6 480 Bedford Rd (formerly Reader's Digest)Chappaqua, NY 10514• Hematology/Oncology – (914) 493-7997• Pediatric Surgery – (914) 493-7620, (914) 761-5437

Croton Pediatrics

7 130 Grand StreetCroton-on-Hudson, NY 10520• Developmental – (914) 304-5250• General Pediatrics – (914) 271-4727

Eastchester Pediatric Medical Group

8 266 White Plains RoadEastchester, NY 10709-4423• General Pediatrics – (914) 337-3960

Children’s and Women’s Physicians ofWestchester LLP at Bradhurst

9 19 Bradhurst Avenue,Suites 1400, 2400 & 2550Hawthorne, NY 10532• Cardiology – (914) 594-2222 • Endocrinology – (914) 366-3400• General Pediatrics – (914) 593-8850• Hematology/Oncology – (914) 493-7997• Infectious Disease – (914) 493-8333• Medical Home – (914) 594-4602• Nephrology – (914) 493-7583• Neonatology Follow-Up Program – Referral Only

• Pediatric Surgery – (914) 493-7620, (914) 761-5437

• Psychology – (914) 493-7697• Pulmonology/Allergy – (914) 493-7585• Rheumatology – (914) 594-2270

Central Avenue Pediatrics

101075 Central AveScarsdale, NY 10583• General Pediatrics – (914) 472-4300

Pediatric Associates of Westchester

11688 Post Road, Suite 232Scarsdale, NY 10583• General Pediatrics – (914) 723-7444

Briarcliff Pediatric Associates

12755 North Broadway, Suite 500Sleepy Hollow, NY 10591• General Pediatrics – (914) 366-0015

Medical Service Building at Phelps Memorial Hospital

13755 North Broadway, Suites 400 & 540Sleepy Hollow, NY 10591• Endocrinology – (914) 366-3400• Neurology – (914) 358-0188/0190

Pediatrics of Sleepy Hollow

14150 White Plains Road, Suite #101Tarrytown, NY 10591• General Pediatrics – (914) 332-4141

Village Pediatric Group

15115 Main Street, Suite # 301Tuckahoe, NY 10707• General Pediatrics – (914) 771-7070

Children’s and Women’s Physicians ofWestchester LLP at Grasslands Road

16503 Grasslands Road, Suites 200 & 201Valhalla, NY 10595• Adolescent Medicine – (914) 304-5288• Developmental – (914) 304-5250• Gastroenterology – (914) 367-0000• Medical Genetics/Metabolic –(914) 304-5280

• Pediatric & Adolescent Gynecology –914-304-5254

Gastrointestinal and HepatobiliaryConsultants

1719 Bradhurst Ave, Ste 2550Hawthorne, NY 10532• Adult Gastroenterology –(914) 493-7337

Nephrology Associates of Westchester

1819 Bradhurst, Suite #100Hawthorne, NY 10532• Adult Nephrology – (914) 493-7701

Bridgespan Medicine

19 222 North Westchester Ave, Suite 201White Plains, NY 10604• Adolescent Medicine – (914) 698-5544

Children’s Rehabilitation Center

20317 North StreetWhite Plains, NY 10605• Neonatology – (914) 597-4080/4115

Peter Liebert, MD

21222 Westchester Avenue, Suite # 403White Plains, NY 10604• Pediatric Surgery – (914) 428-3533

Westchester Park Pediatrics

22222 North Westchester Ave, Suite 202White Plains, NY 10604• General Pediatrics – (914) 761-1717

Douglas Savino, MD

23328 South Broadway Yonkers, NY 10705• General Pediatrics – (914) 771-8990

Women’s Health Resource and MDCosmetics & Laser Center

241990 Central Park Avenue Yonkers, NY 10710(914) 793-5588

Rockland County

Bardonia Pediatrics

25446 Route 304Bardonia, NY 10954• General Pediatrics (845) 623-8031

North Rockland Pediatric Associates

26171 Ramapo Road Garnerville, NY 10923• General Pediatrics – (845) 947-1772

Pediatrics and Adolescent Medicine of New City

27337 North Main StreetNew City, NY 10956• General Pediatrics – (845) 634-7900

Orangetown Pediatrics

2830 Ramland Road - Suite 200AOrangeburg, NY 10962• General Pediatrics – (845) 359-0010

Pomona Pediatrics

294 Medical Park Drive, Suite CPomona, NY 10970• General Pediatrics – (845) 362-0202

Suffern Medical Pavilion at Good Samaritan Hospital

30255 Lafayette Avenue, Suites 370 & 390Suffern, NY 10901• Cardiology – (914) 594-2222• Endocrinology – (914) 366-3400• Gastroenterology – (914) 367-0000• Medical Genetics/Metabolic – (914) 304-5300

• Neonatology Follow-Up Program – Referral Only

• Nephrology – (914) 493-7583• Neurology – (914) 358-0188/0190 • Pulmonology – (914) 493-7585

Orange County

Children’s and Women’s Physicians ofWestchester at Middletown

31100 Crystal Run Road, Suite 108Middletown, NY 10941• Cardiology – (914) 594-2222• Developmental – (914) 304-5250• Endocrinology – (914) 366-3400• Gastroenterology – (914) 367-0000• Hematology/Oncology – (914) 493-7997• Medical Genetics/Metabolic – (914) 304-5300

• Neonatology Follow-Up Program –Referral Only

• Neurology – (914) 358-0188/0190• Pediatric Surgery – (914) 761-5437• Pulmonology – (914) 493-7585

Orange Pediatric Associates

32400 Midway Park Drive Middletown, NY 10940• General Pediatrics – 845-343-0728

Pediatric Arts of Monroe

3391 Lakes RoadMonroe, NY 10950• General Pediatrics – (845) 782-8608

Pediatric Care of the Hudson Valley

34266 North StreetNewburgh, NY 12550• General Pediatrics (845) 565-5437

Medical Center of New Windsor

35575 Hudson Valley Avenue, Suite 203New Windsor, NY 12553• Cardiology – (914) 594-4370• Gastroenterology – (914) 367-0000• Pulmonology – (914) 493-7585

Herbert Kania Pediatric Group

3610 Ronald Reagan Blvd.Warwick, NY 10990• General Pediatrics – (845) 986-2058

Washingtonville Pediatrics

3710 Weathervane DriveWashingtonville, New York 10992 • General Pediatrics (845) 496-5437

Putnam County

Virgilio Monteleone , MD

38263 North Brewster RoadBrewster, NY 10509• General Pediatrics (845) 279-5161

Carmel Pediatrics

3911 Fair StreetCarmel, NY 10512• General Pediatrics (845) 225-7337

Putnam Pediatrics

40667 Stoneleigh Avenue, Suite #111Carmel, NY • General Pediatrics – (845) 279-5131

Bennett Pallant, MD

41 906 Route 6 Mahopac, NY 10541

• General Pediatrics (845) 628-2015

Dutchess County

Kathleen Ennabi, MD

422529 Route 52, Suite #3Hopewell Junction, NY 12533• General Pediatrics (845) 227-0123

Children’s and Women’s Physicians ofWestchester LLP at Poughkeepsie

43104 Fulton AvePoughkeepsie, NY 12601• Cardiology – (914) 594- 2222• Endocrinology – (914) 366-3400• Infectious Disease – (914) 493-8333• Neonatology – (914) 493 - 8431• Nephrology – (914) 493-7583 • Neurology – (914) 358-0188/0190• Pediatric Surgery – (914) 761-5437• Pulmonology – (914) 493-7585

Pediatric Sub-Specialty Center at Vassar Brothers Medical Center

4445 Reade PlacePoughkeepsie, NY 12601• Cardiology – (914) 594-2222• Gastroenterology – (914) 367-0000• Hematology/Oncology – (914) 493-7997• Medical Genetics/Metabolic – (914) 304-5300

• Pulmonology – (914) 493-7585

Page 10: COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND …bchphysicians.org/wp-content/uploads/2014/02/CWPW-Newsletter_Fall... · guidelines regarding curtailing and managing the use of a range

Bronx County

Children’s and Women’s Physicians ofWestchester, LLP at Riverdale

45Skyview Shopping Mall5683 A Riverdale Avenue, Bronx, New York 10471 • General Pediatrics (347) 843-6136

Children’s and Women’s Physicians ofWestchester, LLP at Woodlawn

464350 Van Cortlandt Park East Bronx, NY 10470• Allergy – (347) 226-6437 • Adolescent Gynecology – (347) 226-6437

• Cardiology – (914) 594-2222• Developmental – (914) 304-5250• Endocrinology – (347) 226-6437• Gastroenterology – (914) 367-0000• General Pediatrics – (718) 231-6565• Hematology/Oncology – (347) 226-6437• Medical Genetics/Metabolic – (914) 304-5300

• Neurology – (914)358-0188/(347) 226-6437

• Pulmonology – (914) 493-7585

Women’s Health Resource CenterHutch Metro Center

47Hutch Metro Center1250 Waters Place, Suite 1206 Bronx, New York 10471 (718) 409-5454

Kings County

Wyckoff Heights Medical CenterFamily Health Center

48 75-54 Metropolitan Avenue Middle Village, NY 11379

• Pediatric Gastroenterology –(718) 894-4200

Southern Connecticut

Children’s and Women’s Physicians of Westchester, LLP at Danbury

4967 Sandpit RoadDanbury, CT 06810• Adolescent Gynecology –(914) 304-5254

• Cardiology – (914) 594-2222• Gastroenterology – (914) 367-0000• Hematology/Oncology – (914) 493-7997• Medical Genetics/Metabolic – (914) 304-5280

Children’s Medical Group of Greenwich

5042 Sherwood PlaceGreenwich, CT 06830• General Pediatrics – (203) 661-2440

Children’s Specialty Center at Norwalk Hospital

5130 Stevens AvenueNorwalk, CT 06856• Cardiology – (914) 594-2222• Gastroenterology – (914) 367-0000• Pulmonology – (914) 493-7585

Pediatric Gastroenterology

52148 East Avenue, Suite 2NNorwalk, CT 06851• Gastroenterology – (203) 853-7170• Pediatric & Adolescent Gynecology –(203) 838-5054

Pediatric Heart Specialists

53107 Church Hill RoadSandy Hook, CT 06842• Cardiology – (203) 426-0225

Tully Health Center

5432 Strawbery Court, Suite 7Stamford, CT 06902• Pediatric & Adolescent Gynecology – (914) 304-5254

• Gastroenterology – (914) 304-5254

New Jersey

Herbert Kania Pediatric Group

551900 Union Valley Road Hewitt, New Jersey 07421• General Pediatrics – (973) 728-4480

The largest group of pediatr ic special ists o f i ts kind in the region.

www.cwpw.org Download our CWPW app — free for iPhone and iPad

Now 55 locations!

48

47

46

45

23 4 32

15 81011 2122 16171814

1213

65

3671

3841

39 4033

37

49

35

34

333231

26

27

29

3025

24 1920

42

43 44

53

5251

5044 54

55

928

Fall/Winter 2013/2014, Vol. 4, No 2CWPW Newsletter is published two times a year by Children’s & Women’s Physicians of Westchester, LLP.Skyline Suite # 1N-C08, 40 Sunshine Cottage Road,Valhalla, NY 10595 • Phone: 1(855) 4-CWPW-MDwww.cwpw.org

Leonard Newman, MD, President Michael H. Gewitz, MD, Vice PresidentGerard Villucci, Chief Executive OfficerPublisher: Yaeger Public RelationsEditor: Harold ClarkArt Director: Denise Stieve

Specialty ReferralHotline

Please contact our new one-call concierge servicefor specialty appointmentscheduling!

1-855-4-CWPW-MD (1-855-429-7963)