The Inside Press

Magazines serving the communities of Northern Westchester

health

The Surprising Facts about Heart Attacks in Women

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Heart disease is the number one killer of women in the United States. But the good news is that it’s 80 percent preventable.

The statistics are staggering: According to the American Heart Association, heart disease is the number one killer of women in the United States. And heart disease and stroke cause one in three deaths among women each year–more than all cancers combined.

Yet heart disease continues to be considered a “mostly male health issue.” Because of this misconception, women who are experiencing signs of a heart attack often don’t seek the immediate, life-saving care they need. In fact, it is common for women to wait more than six hours after first feeling the symptoms of a heart attack before going to the ER. Often, they believe they are experiencing nonlife-threatening conditions like acid reflux, the flu or normal aging. As a cardiologist, I encourage women to think about their heart health, and the heart health of the women they love, as the actions you take now could save your life.

Know The Symptoms

We’ve all seen the crushing left-sided chest pain of a heart attack that’s dramatized on TV. It’s important to know, though, that women don’t experience heart attack symptoms the same way men do. Women can feel chest pain, but more often will feel a little chest tightness or some weakness, shortness of breath or pain anywhere in the upper body, like the back of the neck or jaw. Indeed, chest pain is absent in 43% of women having a heart attack.

Women, particularly older diabetic women, tend to have more vague symptoms that make it difficult to tell what exactly is going on. These symptoms could be as common as weakness or fatigue. This is a primary reason why women delay seeking treatment or calling 911 and why there is sometimes a delay in doing an EKG or cardiology consultation for women. It is important for women to know the signs and to seek help immediately for any troubling symptoms.

Get Screened

As women, we know to schedule regular mammograms, but we continue to lag behind men in getting screened for heart disease. According to the AHA, almost two-thirds (64%) of women who die suddenly from coronary heart disease exhibit no previous symptoms. This is why physicians and cardiologists stress the importance of regular cardiac screening for women.

Lower Your Risk

Lifestyle changes can profoundly affect heart health in women. According to the AHA, nearly 80% of cardiac events can be prevented, yet cardiovascular diseases continue to be a woman’s greatest health threat. To help combat this threat, consider the following recommendations:

• Get moving: We recommend 150 minutes of aerobic exercise a week–that’s 30 minutes, five days a week. Anything that gets you moving counts, so walk, take the stairs or park far away and walk to the store. Then, as your body is able to accept a higher level of activity, move more. Exercise also helps with stress.

• Avoid sitting for long periods: A sedentary lifestyle is dangerous for overall health. If you’re sitting at your desk all day, set a timer every hour as a reminder to get up and get moving.

• Adjust your diet: When you start exercising, the endorphin release will make you motivated to make better food choices. Avoid processed foods and stick to natural, whole foods. We recommend a Mediterranean diet for optimal heart health.

• Get annual checkups: Regular checkups should start at age 40 or sooner if you have a family history of diseases. Once you know your numbers, your doctor can better guide you on how to reduce your chances of having a heart attack.

• Stop smoking: According to the AHA, smoking increases the risk of heart disease and stroke by two to four times. Also, women who smoke have a 25% higher risk of developing heart disease as compared to men who smoke. Discuss a smoking cessation plan with your doctor and kick the smoking habit.

While it’s frightening to know that someone dies of a heart attack every 42 seconds, this statistic is something our team of highly skilled cardiologists and heart health specialists are working hard to reverse. Relying on evidence-based research, and using the most advanced equipment and techniques, we can provide world-class cardiovascular care to women and men here in Westchester County, close to home. Know the symptoms of heart disease, get screened and practice prevention.

Full Line-Up of April 2021 Virtual Programming at Northern Westchester Hospital: Save the Dates!

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Reducing risk of heart disease, chair yoga, smoking cessation, classes for new and future moms, and Wellness Wednesday among virtual events this April offered by Northern Westchester Hospital and the Center for Healthy Living

An expert panel on reducing the risk of heart disease is April’s featured program at Northern Westchester Hospital’s (NWH) Center for Healthy Living. April’s virtual classes for new and future moms include breastfeeding, newborn care, a Mom Squad interactive get together, delivering your baby during a pandemic, and an infant/child safety class.  Other free, virtual classes to help people feel better, get healthier, and have more fun include chair yoga, smoking cessation, a Spring Break Cooking Club, and Wellness Wednesday.

Located next to the Whole Foods Market at Chappaqua Crossing, the Center for Healthy Living supports health and wellness through education, health resources, diverse programing and referrals. For a full list of upcoming Free events and registration, visit Eventbrite.com. All programs are currently offered virtually.

FEATURED EVENT:

Let’s Have a Heart-to-Heart – Reducing your Risk for Heart Disease

Monday, April 19, 5-6 pm live on Zoom

Cost: Free

Join experts from the Seema Boesky Heart Center at NWH for a down-to-earth conversation about reducing your risk for heart disease at any age and the latest advancements in cardiac care including treatment available at NWH’s Cardiac Catheterization and Electrophysiology Labs. The panel will be moderated by Melissa Hernandez, DScPAS, PA-C, advanced clinical provider, NWH Cardiac Catheterization and Electrophysiology Labs. She is joined by Carl Reimers, MD, FACC, FSCAI, Director, Cardiac Catheterization Lab at Northern Westchester Hospital, and Northwell Cardiology Service Line Director for Westchester County; and Subbarao Choudry, MD, Director, Northern Westchester Hospital Electrophysiology Lab.

Register at: Let’s Have a Heart-to-Heart

Virtual Breastfeeding Class
Monday, April 5, 6:00 – 8:00pm, live over Microsoft Teams
Cost: $30/couple

This comprehensive class is taught exclusively by our International Board Certified Lactation Consultants (IBCLC) for women who are considering or have decided to breastfeed. The class will cover advantages of breastfeeding; building and maintaining your milk supply; strategies for success; breastfeeding techniques; diet considerations; nipple care; and tips for partner feeding. Plenty of time is allotted for Q&As, and couples are encouraged to come together. For more information, please call the Mother-Baby Navigator Office at (914) 666-1840

Register at: Virtual Breastfeeding

Chair Yoga:

Mondays, April 5, 12, and 19, 11 am to Noon, live over Zoom

Cost: Free

One of the gentlest forms of yoga, chair yoga adapts yoga positions and poses using a chair for support during standing and balancing poses, allowing for greater stability. Emphasis will be on breathing, balance, and taking things at your own pace.  Chair yoga is suitable for all ages, fitness levels and physical condition; beginners welcome. Toni Russo, MS, RN AHN-BC, RYT-220, a leader in NWH’s Integrative Medicine Team will lead the workshop.

Register at:  chair yoga

Smoking Cessation:

Wednesday, April 7, Tuesday, April 13, and Wednesday, April 21, 6 to 7 pm, live over Microsoft Teams

Cost: Free

Smoking cigarettes is one of the leading causes of preventable death in the United States. A NWH respiratory therapist will facilitate this online video support group. For information, contact NWHSmokingCessation@northwell.edu or call (914) 666-1868.

Register at: Smoking Cessation

Virtual Newborn Care Class
Thursday, April 8, 6:00 – 8:00pm, live over Microsoft Teams

Cost: $30/couple
Topics include newborn care, feeding patterns, common parental concerns, and the role of pediatricians during your baby’s stay at the hospital. Upon availability, a pediatrician will join at the end of class for a Q&A session.  Please note, this support group is for mothers who have already delivered their baby. For more information, please call the Mother-Baby Navigator Office at (914) 666-1840 or email NWHMotherBabyNavigator@northwell.edu

Mom Squad
Monday, April 12, Noon to 2 pm, live over Microsoft Teams

Cost: Free
Please note, this support group–facilitated by a registered nurse–is for mothers who have already delivered their baby. Join with your baby for an interactive social get together to meet other moms and share information about caring for your newborn and yourself.  For more information, please call the Mother-Baby Navigator Office at (914) 666-1840 or email NWHMotherBabyNavigator@northwell.edu.

 

Delivering Your Baby at NWH During a Pandemic:

Tuesday, April 13, 2-3 pm, live over Microsoft Teams

Cost: Free

During this monthly session exclusively for patients who are registered to deliver at NWH, we will provide you with facts about COVID-19 and your labor and delivery experience. These monthly updates include a Q&A with our Mother-Baby Leadership.

Register at:  Delivering Your Baby at NWH

 

Virtual Infant/Child Safety Class:

Monday, April 19, 6-8 pm, live over Microsoft Teams

Cost: $50/couple

This class is recommended for anyone living with or caring for an infant. Learn how to respond to a choking baby and other safety concerns, including car seats, poison control and home safety. Advance registration required.

Register at: Infant/Child Safety Class

 

Wellness Wednesdays – A Phone Conference Series

Last Wednesday of every month, by phone. Wednesday, April 28, 11:00-11:30am.

Cost: Free

Topic of the Month: COVID-19 vaccine information with Debra A. Spicehandler, MD, co-chief of Medicine – Infectious Diseases at NWH. Grab a snack & a cup of tea, and join us for a monthly phone conference series all about health. Dial in every month to hear the latest information from clinicians & health experts.

Register at: https://nwhwellnesswednesdays.eventbrite.com

or dial 1-929-436-2866 to join the program: when prompted enter the Webinar ID: 942 77713429 followed by the # sign. You will hear music until the program starts at 11 am.

 

About Northern Westchester Hospital

Northern Westchester Hospital (NWH), a member of Northwell Health, provides quality, patient-centered care that is close to home through a unique combination of medical expertise, leading-edge technology, and a commitment to humanity. Over 650 highly-skilled physicians, state-of-the-art technology and professional staff of caregivers are all in place to ensure that you and your family receive treatment in a caring, respectful and nurturing environment. NWH has established extensive internal quality measurements that surpass the standards defined by the Centers for Medicare & Medicaid Services (CMS) and the Hospital Quality Alliance (HQA) National Hospital Quality Measures. Our high-quality standards help to ensure that the treatment you receive at NWH is among the best in the nation. For more information, please visit www.nwh.northwell.edu and connect with us on Facebook.

 

About Northwell Health

Northwell Health is New York State’s largest health care provider and private employer, with 23 hospitals, 830 outpatient facilities and more than 16,600 affiliated physicians. We care for over two million people annually in the New York metro area and beyond, thanks to philanthropic support from our communities. Our 76,000 employees – 18,900 nurses and 4,800 employed doctors, including members of Northwell Health Physician Partners – are working to change health care for the better. We’re making breakthroughs in medicine at the Feinstein Institutes for Medical Research. We’re training the next generation of medical professionals at the visionary Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and the Hofstra Northwell School of Nursing and Physician Assistant Studies. For information on our more than 100 medical specialties, visit Northwell.edu and follow us @NorthwellHealth on Facebook, Twitter, Instagram and LinkedIn.

Saluting Your Strength

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In 2020: If you’ve lost a job, a home, a business, a relationship, or in any worst case scenario, gotten ill, or seen a loved one through illness, or worse, then you might have taken stock of life itself. Most of us have gleaned ‘lessons’ from the unexpected, and at times, extremely hurtful losses these last six months to individuals and communities far and wide in these unprecedented times.

No one of us is ‘the same’ and there is ‘no business as usual,’ anymore. Not really. Coronavirus aside, 2020 did a fine job delivering a steady stream of calamities; the jokes to cope flowed as we all hunkered down. The rather severe tropical storm Isaias added a final sucker punch… proving that any control we think we have over our planet is, while not delusional, a continuous work in progress, shall we say.

The good news: The buzz, sometimes everywhere, it seems, is of a new level of self-awareness and personal growth, and other spiritual (frequently coupled with fitness) pursuits that may have been continuously shelved, pre-Corona. Low priorities have become high ones. Those with a basic survival instinct (i.e. most of us) have had no choice but to step up by looking inside ourselves too, to cultivate what brings inner happiness, and what gnaws at it, and to take actions long shelved to maximize the former, and minimize the other.

Constructive actions can be diverse, far ranging–what works for you, might seem absurd for another… your personal happiness may be vested in saving a marriage, another will find salvation saying goodbye to an unhealthy attachment. Maybe your path is something ‘small,’ like signing up for a course at Chappaqua Continuing Education (a pleasant surprise to receive their booklet in my mailbox), or something ‘big,’ like investing time in volunteering or helping a social justice movement like Black Lives Matter which has tugged at heart strings this summer. Or ‘something big’ can be finally booking a trip on your bucket list. Consider if you have backburned general health needs long enough, like that, ahem, mammogram or forever delayed colonoscopy (guilty as charged).

Our beautiful communities are no exception to inner life dynamics. There has been pain here too, often well-hidden pain. The path forward has to include shoring up your inner strength to break free. I’ve watched many grow incredibly strong during this pandemic, and I believe I’ve grown stronger myself.

So, whatever you have ‘been through’ these past six months, I salute the strength that has seen you through, and that will continue to see you through whether you are navigating back to school or college challenges, creating safe work and school environments or whether you are courageously confronting a difficult job market or in the business of saving your business.

Eternal and continued gratitude to our role models of inner strength–those on the frontlines of health care delivery at our local hospitals and our first responders, where #CommunityStrong is continuous 3-D viewing. Stay well, stay safe.

 

 

 

Throughout the COVID-19 crisis, the firefighters in White Plains supported the healthcare heroes of White Plains Hospital who were on the frontlines. Every Thursday eve, the firefighters parked their fire trucks outside the hospital to “make some noise” and clap for the hospital’s nurses, doctors and staff. The White Plains Fire Department also donated meals to feed the frontline workers. WPH nurses and staff returned the gesture in August and brought lunches and huge socially distant thank yous to the essential first responders of the White Plains Fire Dept.
This pandemic has illustrated as never before: time to take charge of your health. A newly opening Cardiac Catheterization Lab at Northern Westchester Hospital promises to save lives.

 

Area Journalist Diagnosed COVID-19 Positive and Quarantined with Family

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March 19, 2020, Mount Kisco, NY–On Monday, March 16, I was on deadline for the Inside Press, covering the hasty switch local restaurants were asked to make by 8 p.m. to takeout and delivery service only, as coronavirus containment measures grew in severity here in Westchester County.

It was a sad article to write, as I attempted to speak with restaurant owners and managers who were busy, worried, and upset about the impact on their employees. As a former waitress and bartender, I was worried for them too. As a longtime reporter, I knew the community needed to follow this kind of news in as close to real time as possible, so they could see the impact on their favorite establishments and possibly help mitigate it with extra patronage. Due to the time crunch, and the need for social distancing, I conducted these interviews by phone and filed the article as quickly as I could.

Later, as I was doing laundry and tidying up around my house in Mount Kisco, I started to feel a little under the weather. Nothing major, just achy, with a headache. Maybe I felt a chill. I couldn’t take my temperature because our thermometer had broken and there hasn’t been a thermometer to be found in Mount Kisco for some time now.

I put another load in the dryer and called it a day, telling my husband that I hoped I wasn’t coming down with the flu.

The next day–St. Patrick’s Day–I decided to basically stay in bed. My kids are older now, so the college students home working remotely could keep an eye on the sixth grader. I asked my daughter Regina, a freshman at Baruch College-who’s still coming to terms with the cancellation of her softball season-to throw the corned beef in the crockpot and assigned the Irish soda bread to 14-year-old Ted.

Later, I woke up from a nap with chest pain. I have a minor cardiac condition, but I didn’t want to go to the hospital unless it was absolutely necessary since all resources are needed to fight the coronavirus. Instead, I called my internist’s office at Caremount first–my doctor said I had to go in.

Pretty soon I was at Northern Westchester Hospital, where I was handed a mask at the front door, and once in back, I was quickly surrounded by people in masks, clear face shields and yellow gowns. They efficiently got my heart issue under control and swabbed up both nostrils, testing for flu and COVID-19.

I was told I’d be there at least overnight, so they could keep an eye on my cardiac activity, and I was settled in on the sixth floor in isolation, connected to a heart monitor that never showed a problem after my initial treatment.

Today, 48 hours later, I’m lying in bed at home, a 50-year-old woman on day one of a 14-day quarantine that includes my entire family of nine (yes, my husband and I have seven kids.)

My test results only came back this morning, as I was preparing to be discharged. I was shocked that they were positive. Although I have asthma, my lungs had remained resolutely clear throughout my stay, checked often by skilled and kind nurses, and I’m still breathing well right now. My temperature hasn’t been over 100 degrees and is currently normal.

A cardiologist and an internist at NWH judged me well enough to be sent home and weather out the course of this illness with my family. One of the nurses supplied me with a thermometer that had been used on me, otherwise slated for disposal, and made me enough copies of a symptom log sheet to keep track of my whole crew.

By this time, just two days after I entered NWH, six of us are feeling sub-par and are in as much isolation as we can manage, but no one seems dangerously ill. The flu is much worse than what the Kelleys are experiencing so far with COVID-19–a little coughing, aches, fatigue and headaches.

My husband and kids won’t be tested. Both the doctor at NWH and the kids’ pediatrician asked that we operate under the assumption that they have it and monitor any symptoms to make sure no one has to go to the hospital. Nat, 24, spent all day yesterday sacked out, barely moving, but today is eating pancakes and sitting up reading to pass the time. He has special needs, so he keeps talking to me from across the hall, trying to convince me that because he feels better it’s okay if he leaves the room. No dice!

My daughters aren’t too debilitated to FaceTime friends and request coffee delivery from healthy brothers (left outside a closed door, of course.)

When I was told my test was positive, I picked up my phone and checked the Shoprite app, knowing I’d need food delivered. But all the spots were taken. Yes, we’ve done some stocking up–mostly because my husband took this whole thing seriously way before I did. But nine people eat an incredible amount of food, and a 14-day quarantine is quite different than social isolation, which now seems to me a lifestyle of enviable freedom.

Thankfully, family and friends have already offered meals and checked to see what they can get me at the store. Right after I arrived home, a friend from Katonah dropped packages of disinfectant wipes in my mailbox–another friend is currently cooking for us. Many of my older sons’ friends, guys in their twenties, have been texting in, offering to pick up whatever we need.

There’s a lot we don’t know right now. Will we flatten the curve? When will our economy rebound? When can we once more mingle freely with family, friends and co-workers?

I don’t know. I wish I did. I only have a few bits of knowledge to share from my brief initial experience with COVID-19: no one in my family is very sick, so far. I’m the only one with any of the comorbidities I’ve seen mentioned in the news, and I’m well enough to write this article (lying down.) Medical professionals have assured me that they think my family will be fine, and they’ve given me the tools I need to ascertain whether we need further care.

Our local hospital is well-run and reliable. The people who work there are not only friendly and dedicated, but inspire confidence with their professionalism and expertise, and I pray the curve flattens enough not to overwhelm them.

As an aside, the hospital is also continuously customer-service oriented; I was given a mini-loaf of banana bread tied up in a bow at discharge, attached to a card that says: “From our family to yours.”

Not in 14 days, but in some weeks or months more–who knows how many–I very much hope to write the article for Inside Press about the resurgence of the local restaurant business.

Until then, everyone, from my family to yours–stay home and stay safe.

Pre COVID-19: Author Amy Kelley on a happier day in New York City

 

COR Performance: Training Kids for Athletics

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We often hear parents ask: “Could my son’s injury have been prevented with strength and agility training?” or “My daughter is an excellent athlete, clearly a D1 caliber, what do I need to ensure that competitive edge?”

The most pressing questions, however, revolve around the potential benefits of starting your child on training at an early age. And how young is ‘too young’ to start?

Meanwhile, both you and your child may have big dreams of one day of playing college sports, or even professionally, but some kids simply want to play high school sports and create lifelong health and wellness habits.

Until recently, the standard approach to train young athletes would lead only to damage to the spine, stunt growth and/or ultimately result in injuries. Many even believed that strength training for kids results in slowed progression of athletic development.

All of this is true and false depending on how, what, when and why you are training.

Today, thanks to new research and practical knowledge, we better understand the biomechanics and the role it plays in all stages of a child’s life. We know for certain that a safe and age appropriate approach to athletics can be EXTREMELY beneficial to children in the long run.

Children who participate in a regular fitness routine or lifestyle tend to be a step ahead, developmentally speaking, of those that do not–in height, weight management, muscle strength, lung capacity, even body control, as well as self-confidence. Studies have also found a resistance training program can also have a great impact on strength prior to adolescence. With the proper trainer and program, preadolescents can attain the same levels of strength gains that their adolescent counterparts do, regardless of gender.

The Mayo Clinic, an authority in health research, has stated that kids should start age-appropriate strength and athletic development training as early as 7 or 8 years of age. At these early ages, you can expect a longer positive effect on a child than just playing sports.

If we invest the time to properly teach, train and develop our children now, we are maximizing their chances of long-term physical, mental and developmental success. As puberty, competition and challenge come into play, your child’s mind and body will be prepared. Call 914-273-3413 now to get your little athlete training!

COR Performance (CP) is a 16,000-square-foot facility located in Armonk, NY, featuring an indoor turf, fully equipped gym and onsite sports medical personnel. At CP, we focus on the four pillars of strength training: Strength, Mobility, Power, and Agility. We know what it takes to be reach optimum performance: Hard Work, Positive Attitude, and a Burning Desire to be the Best. CP trains; young athletes, amateurs, as well as professional athletes.