Expert Advice on RSV and Other Respiratory Illnesses in Children

Nov 29, 2022 | Featured, Your Health

As often happens at this time of the year, physicians are busy caring for children with respiratory illnesses that can range from a common cold to something more serious, including COVID-19. What’s different this season is an increase in the number of cases of respiratory syncytial virus, better known as RSV.

In this Q&A, C. Anthoney Lim, MD, the Director of Pediatric Emergency Medicine for the Mount Sinai Health System and the Medical Director of the Pediatric Emergency Department and Pediatric Short Stay Unit at Mount Sinai Beth Israel, explains what symptoms to look out for, how to help your child if they are sick, and when to seek medical care.

As always, Mount Sinai’s Emergency Departments and Urgent Care centers are available to help any time, and they work closely with your pediatrician and primary care provider. And one important reminder: Be sure your child is up to date with their vaccinations, which is one of the best ways to prevent serious illness.

What pediatric respiratory illnesses are circulating now and who is most at risk of getting them?

All of the respiratory viruses are circulating among most school age children and those in preschool. They all look essentially the same to physicians and parents at the onset. These are the most common ones we’re seeing:

  • Respiratory syncytial (sin-SISH-uhl) virus, or RSV, is a common respiratory virus that usually causes mild, cold-like symptoms. Most people recover in a week or two, but RSV can be serious, especially for infants and older adults. It typically affects younger infants, premature infants, and children with underlying medical conditions.
  • Influenza is the seasonal virus that causes the flu. The flu season stated early this year. Like RSV, it especially affects young children and those with chronic illnesses or medical conditions such as asthma.
  • Enterovirus D68 causes a mild cold in most cases. But it produces a more severe illness in some children, possibly requiring hospitalization, especially for those with asthma.
  • COVID-19 has been circulating throughout the year. Children who require hospitalization are those who have not been vaccinated or have not received all of their vaccinations.

C. Anthoney Lim, MD

What advice do you have for parents whose children may be sick?

In general, it’s less important to try to tell the differences between these respiratory illnesses. It’s more important that you support your child and their illness by keeping your child hydrated, making sure they are breathing comfortably, and taking care of their symptoms, such as fever. It is helpful to prepare by having some Motrin or Tylenol at home. If your child has an underlying medical condition, you should be prepared to treat other symptoms, such as having an inhaler for those with asthma or carefully managing your child’s sugar levels if they have diabetes.

How do I know if my child is becoming dehydrated?

There are some simple things that you can do to make sure your child is properly hydrated. The most important thing is making sure your child is peeing. A well hydrated infant will urinate about four to six times a day. For young children, that means that you should have a wet diaper about every six or eight hours. If it starts getting longer than that, it’s important to start encouraging your child to drink fluids. If your child continues to go without peeing, it’s time to talk to your doctor. Other signs of possible dehydration are that you may see your child will just be less active. They might cry, but not make any tears. Their mouth might start looking dry as well. All of these can be signs that it’s time to see the doctor.

How can I monitor my child’s breathing?

When your child is breathing comfortably, you should almost barely recognize they are taking breaths. As they start having more trouble breathing, you’ll see them start using all of their body muscles that you don’t typically use to breathe, such as their belly moving. You might see their neck moving or their shoulders. You’ll see their nose flaring. All of those can be signs that your child is now using these muscles to breathe that they don’t normally use. If it goes on for a prolonged period of time, it can be dangerous. So once that starts, it is time to see a doctor.

How do I know if I need to call the doctor?

If you begin treating symptoms and don’t see any improvement, it’s often time to reach out to a doctor. For example, if you’ve been giving your child Motrin or Tylenol and your child is still very tired, and they’re not getting up to drink, then it’s probably time for a conversation with your doctor. If you’ve been giving albuterol every four for hours and it looks like the child’s breathing is not improving, definitely call the doctor. You can expect a variety of symptoms, including cough, runny nose, vomiting, diarrhea, fevers, rashes, just more crying. These typically can last three to five days. If after that time, your treatments are not leading to an improvement in your child’s condition, then it is time to have a chat with your pediatrician.

Any tips for managing symptoms?

When your child has a fever, and they’re fussy and don’t want to eat or drink, and they don’t want to sleep because they’re uncomfortable, giving them Motrin or Tylenol can help them feel comfortable enough so that they’ll drink or get some rest. I often tell parents that if your child is sleeping in the middle of the night and you check on them and they feel a little warm but they’re sleeping and breathing comfortably, there’s no need for wake them up to give Motrin or Tylenol. You are only defeating the whole purpose of the medication, which is to allow them to rest and have the body help with their illness. If your child has asthma and you notice coughing or wheezing, it’s a good time to give your controller medications because they can still have some benefits. For children with other underlying illnesses, make sure you’re keeping up with what your action plans are. Talking with your doctor in advance can be helpful in coming up with a plan to help your child.

Learn more about Mount Sinai Urgent Care

For a Teenager From Ukraine, a Pandemic, a War, and Then a Life-Saving Heart Procedure at Mount Sinai

Updated on Nov 28, 2022 | Featured, Patient Stories

Sofiia Baturina and her doctor, Barry Love, MD

When Russian forces invaded her hometown in Ukraine, 16-year-old Sofiia Baturina had never heard of Mount Sinai Kravis Children’s Hospital thousands of miles away.

The young girl, born with a rare heart condition that required life-long care, knew that she had a long, perilous journey ahead. She was often frightened, and winded because of her heart condition. But further care would have to wait until she reached safety with her mom and dad.

After a harrowing journey out of Ukraine, they arrived in Germany. At this point, Sofiia’s older sister, Anna, who lived in New York, made contact with the Staten Island-based Global Medical Relief Fund seeking help. The nonprofit foundation arranged for flights out of Germany, and with one email quickly connected the family to doctors at Mount Sinai, who immediately offered to help.

When Sofiia arrived in New York City with her parents on June 27, she was exhausted. Her hometown of Severodonetsk, a city of about 100,000 residents in northeast Ukraine, was still on her mind. Located about 90 miles from the Russian border, it had been a focal point of the war and the scene of fierce fighting. The city was now in ruins, and she could only guess whether she would ever return.

“My city remains intact only in my memory’s most distant, secluded corners, where it is still young, beautiful, clean, and tidy,” she says.  The loss of her home, her hometown, and her homeland, she says, represents “the greatest loss of my life.”

But it was not her first test.

Sofiia Baturina wearing a traditional Ukrainian wreath.

When the war with Russia broke out, she had already endured a lifetime of surgeries to fix her heart. Born with the heart condition tetralogy of Fallot,  she had three prior heart operations performed in Kyiv—the first when she was 10 months old. While in the hospital preparing for a fourth surgery, she was informed that the operation would be postponed because she had COVID-19. After she recovered, with the war underway, there was no chance of finding a surgeon in Ukraine.

Once at Mount Sinai, Sofiia and her family  finally received some good news: After reviewing the records the family brought and performing additional testing, the team at Mount Sinai felt that Sofiia could be treated with a minimally invasive catheterization procedure rather than surgery. Her doctors in Ukraine had recommended open-heart surgery, which comes with a much longer and harder recovery.

On August 2, Barry Love, MD, Director of the Congenital Cardiac Catheterization Program at the performed a two-hour procedure from a small incision in the groin.

Instead of replacing an old conduit, the narrowed tube between the right heart and the lungs, which had been implanted during a previous surgery, Dr. Love enlarged this critical tube with a series of balloons, and then he placed a metal cage, called a stent, to hold it open. Finally, he telescoped a new valve within the stent and expanded in-place to complete the procedure and allow the blood to again flow freely to the lungs and not leak back to the heart.

“Before we intervened, Sofiia’s right heart pressure was dangerously high,” Dr. Love says.  “After the stent and valve, her right heart pressure is nearly normal. This is an incredibly satisfying result.”

Sofiia was discharged from the hospital the next day. A week later, she was walking without symptoms.  She was excited to tell Dr. Love, “I walked 19,000 steps yesterday and didn’t get tired or have to stop.”

Sofiia and her family are grateful for the warm welcome and expert care they received at Mount Sinai Kravis Children’s Hospital.

“I’m feeling great!” she says. “My life became more accessible and comfortable after the surgery. I do my best to walk more when I have free time from school. I especially enjoy walking in Central Park.”

Looking back on the toll of the war and the pandemic, she says, “I don’t know how I managed to stay strong. That was my only choice. Letting the fear swallow and paralyze you is the worst thing you can do.”

Sofiia and her father, Andril, hiding out in a basement during their long and arduous escape from Ukraine.

Read more about the Children’s Heart Center at Mount Sinai Kravis Children’s Hospital

A Generous Gift Advances Breast Cancer Screening at Mount Sinai

Updated on Nov 21, 2022 | Featured, Your Health

Joyce Glasgold and her daughter, Ellen Glasgold Lange, know firsthand how important early detection can be in breast cancer, which is why a generous gift from the Glasgold Family Foundation made possible the purchase of an ultrasound reading platform powered by artificial intelligence. From left: Alexandra Lange, Ellen Glasgold Lange, Joyce Glasgold, Olivia Lange, and Trevor Lange.

When it comes to breast cancer, Joyce Glasgold and her daughter, Ellen Glasgold Lange, know firsthand how important early detection can be.

Joyce Glasgold’s mother died of breast cancer, and many of her family members had the disease. Mrs. Glasgold herself was diagnosed in 1991 at age 50. Fifteen years later, her daughter Ellen was diagnosed with lobular carcinoma in situ (LCIS), a condition that indicates an increased risk of developing breast cancer and that, along with her family history, led her to have a bilateral mastectomy.

So when they learned about Koios DS Breast—an AI-powered, ultrasound-reading software platform that can spot cancer in two seconds—they were eager to make it available to women throughout New York City. A generous gift from the Glasgold Family Foundation to the Department of Radiology supported the purchase and installation of the software at The Mount Sinai Hospital, ensuring that physicians have advanced technology to aid them in making rapid, accurate diagnoses and reducing unnecessary biopsies.

This is particularly important for women with dense breasts, which can make it much more difficult to spot cancers. Nearly 50 percent of women over age 40 have dense breast tissue, and mammograms miss more than half of cancers present in those individuals. These women often require an ultrasound in addition to mammography to capture images of areas of the breast that may be harder to see.

“This new software potentially allows us to increase the ability of breast ultrasound to find cancer that might have gone undetected,” says Laurie R. Margolies, MD, FACR, FSBI, System Chief of Breast Imaging for the Mount Sinai Health System. “The radiologists at Mount Sinai are excited to be able to use cutting-edge technologies for the betterment of our robust ultrasound screening program and the benefit of all our patients.”

Using artificial intelligence and machine learning algorithms, Koios DS Breast compares ultrasounds to an archive of hundreds of thousands of images from patients from around the world with confirmed benign or malignant diagnoses, providing radiologists with an instant “second opinion” in classifying suspicious lesions. The technology not only helps clinicians identify cancer sooner so patients can begin treatment as quickly as possible, but it also reduces the need for biopsies in benign tissues.

Because the Mount Sinai Health System serves a large and diverse patient population, the Glasgolds are also pleased that women from medically underserved communities will now have access to state-of-the-art diagnostics.

“We all know that catching breast cancer early saves lives, so our family was compelled to accelerate the adoption of this exciting new innovation,” says Joyce Glasgold. “We are honored and thrilled to help bring this game-changing technology to Mount Sinai.”

Learn more about the Center of Excellence for Breast Cancer at Mount Sinai

‘What a Wonderful World’ Gala Benefits Music Therapy

Updated on Nov 18, 2022 | Community, Featured, Inside Mount Sinai Psychiatry, Mental Health, Psychiatry

From left, Honoree David Sanborn, Shantelena Mouzon, administrative coordinator at the Louis Armstrong Center for Music and Medicine,  and musician Paul Shaffer

The 17th annual “What a Wonderful World” gala benefiting the Louis Armstrong Center for Music and Medicine, was a festive evening of jazz and expressions of gratitude to three honorees for making the world more wonderful through their contributions to music and music therapy.

The event, held Monday, October 24, at the Angel Orensanz Foundation and hosted by the Wonderful World Friends of Music Therapy Inc., honors the legacy of the Louis Armstrong Department of Music Therapy and their commitment to music therapy at Mount Sinai hospitals.

The event recognizes a dynamic group of individuals chosen from a variety of fields including music, medicine, and patients who have benefitted from receiving music therapy at Mount Sinai hospitals.

This year’s honorees were Grant Mitchell, MD, Chair, Department of Psychiatry, Mount Sinai Beth Israel; David Sanborn, the multi-Grammy Award-winning saxophonist, who was presented the Phoebe Jacobs Award by Paul Shaffer (pianist of the former Late Night with David Letterman); and patient Rosemarie Greene.

From left, Honoree Grant Mitchell, MD, Joanne V. Loewy, DA, LCAT, MT-BC, Prameet Singh, MD, and Daniel S Safin, MD

The gala was hosted by Mercedes Ellington, dancer, choreographer, and granddaughter of Duke Ellington, and Bill Daughtry, the retired radio and TV host. The co-chairs were Karen and Doug Seidman from the Louis Armstrong Center for Music and Medicine’s Steering Committee. The event featured performances by Rema Webb from the Broadway production of The Music Man; Antoine Smith from the Broadway production of MJ: The Musical; saxophonist Erik Lawrence, Lou Marini, a saxophonist and an original member of The Blues Brother, and jazz pianist Garry Dial. Mr. Shaffer and Mr. Sanborn, along with Will Lee (bass), performed jazz and Louis Armstrong’s ‘Wonderful World’.

“We are proud to bring together members of the music, medicine, and patient community who through the gala learn of the breadth and scope of patients we serve and our research projects with doctors and nurses, from neonatal care to oncology, Alzheimer’s disease and psychiatry,” said Joanne V. Loewy, DA, LCAT, MT-BC, Founder and Director of the Louis Armstrong Center for Music and Medicine, which provides music therapy services throughout the Mount Sinai Health System.

The Department of Music Therapy, with support from the Louis Armstrong Educational Foundation and other grants, provides a range of clinical services for infants, children, and adults, and day treatment at the Mount Sinai-Union Square clinic and within the community. Its music therapists are licensed and board certified to provide care that complements medical treatment, assisting with sedation, pain management, and neurologic and respiratory function.

Learn more about the Louis Armstrong Department of Music Therapy

Celebration Week for Nurse Practitioners—Ever Rising to Meet the Needs of Patients

Updated on Nov 18, 2022 | Diversity and Inclusion, Featured, Nursing, Stories of Excellence

The Mount Sinai Health System celebrates nurse practitioners (NPs) during the week of Sunday, November 13, to Saturday, November 19—and recognizes their commitment toward furthering the mission and vision of the organization. “Nurse practitioners are a critical link in the comprehensive compassionate care we provide,” says Beth Oliver, DNP, RN, FAAN, Chief Nurse Executive, Mount Sinai Health System.

Since the NP role began more than 50 years ago, nurse practitioners have risen to meet each challenge, worked to eliminate health care disparities, and strengthened the nation’s ability to ensure patients have equitable access to high-quality care, says Priscilla Samuel, DNP, FNP-BC, Vice President of Advanced Practice Nursing, Mount Sinai Health System.

“NPs are integral in promoting clinical excellence and fostering patient safety and quality,” Ms. Samuel says. “In collaboration with interdisciplinary teams, we provide exceptional patient care while ensuring that patient preferences and values guide all clinical decisions.”

Here are the thoughts of several of Mount Sinai’s dedicated nurse practitioners on what inspires them, what fills them with pride, and what they wish people knew about their role:

Lena Chang, MSN, RN, ANP-BC
Clinical Program Manager, Cardiology
Mount Sinai Beth Israel

I’ve been working at Mount Sinai Beth Israel and Mount Sinai Union Square for 28 years, 24 of which have been in the Cardiovascular Services Department.

What is the most interesting and inspiring aspect of your role as an NP?
​As a nurse practitioner and Clinical Program Manager, I am able to involve myself directly with the patients along with system-wide projects. I have a wonderful team of nurse practitioners and am so proud of their hard work to make the department excel.

I am also a co-chair of the Mount Sinai Downtown and Mount Sinai Heart Diversity Councils. This work is extremely important to me, and so relevant during these tumultuous times. I also enjoy community projects, such as my involvement in American Heart Association community events. Aside from my hospital involvement, I sit on the Leadership Council for the Chinese-American Planning Council, which provides resources for senior and youth programs in New York City. I was recently accepted onto the Board of Directors of New York City’s Home Care Program. I look forward to doing more important work for senior programs in the city.

I am involved in wellness programs within the Cardiovascular Services Department, and like to encourage participation in our walking events, including the Heart Walk, the premier event of the American Heart Association, and meditative practice within our staff. I am most proud of all the work we have done as a department to provide the highest standards of care, as well as the work of the Mount Sinai Downtown Diversity Council to strive toward diversity, inclusion, and equity.

What do you wish people knew about nurse practitioners?
I wish people knew how much nurse practitioners do for our patients, using the latest evidence-based research treatment protocols. They are also excellent problem solvers and strong patient advocates.

Charleen Jacobs, MS, ANP-BC
Sickle Cell Nurse Practitioner
The Mount Sinai Hospital

I work in the Mount Sinai Comprehensive Sickle Cell Program.

What is the most interesting and inspiring aspect of your job?
As a sickle cell nurse practitioner at The Mount Sinai Hospital, the most interesting aspect of my job is having the ability to provide longitudinal care to a unique population. Sickle cell disease requires specialized care. Our approach to care is holistic, preventative, and lifespan-focused.

Every day at work, I have the opportunity to care for patients in inpatient and outpatient settings. The sickle cell nurse practitioners provide consult services to inpatient teams once a patient arrives in the Emergency Department, and continue to follow them throughout their hospital course. Once a patient is discharged, we can provide outpatient follow-up care, as well. With this approach, we can provide high-quality, evidence-based care, identify potential gaps, and prevent long-term complications associated with sickle cell disease.

As a Black health care provider, I am most proud that I can provide care for my community, which is disproportionately affected by sick cell disease. As their nurse practitioner, there is no feeling more incredible than knowing I can serve people with this disease. It is one of the most fulfilling parts of this role.

What do you wish people knew about nurse practitioners?
I hope that others in the larger health care community understand the value of nurse practitioners. There is so much diversity among nurse practitioners—from those in leadership, academia, clinical care, and research. With this, nurse practitioners are well-posed to participate in significant decision-making due to our wide experience in a variety of health care roles.

David Skovran, NP
Internal Medicine Associates
Respectful and Equitable Access to Comprehensive Healthcare (REACH) Program
Division of General Internal Medicine
Director of Nursing, East Harlem Health Outreach Partnership

I am a primary care provider currently with Mount Sinai Doctors Internal Medicine Associates at The Mountain Sinai Hospital.

What is the most interesting and inspiring aspect of your role as a nurse practitioner?
The most inspiring aspect of my role is having the opportunity be a primary care provider with my own panel of patients. I have cared for some patients for the past six years, which has allowed me to establish long-term relationships with my patients, encourage open communications, and strive to provide personalized care.

I am proud to be part of the Respectful and Equitable Access to Comprehensive Healthcare (REACH) Program. As part of this program, I am able to provide a comprehensive, patient-centered, harm reduction approach to primary care for persons who use alcohol or other drugs, and for individuals living with hepatitis C. As part of this program, I have had the opportunity to present at national conferences on buprenorphine treatment, stigma-free risk reduction counseling, hepatitis C virus (HCV) treatment, and overdose response training. I am most proud of being able to educate people about the important work this program does within the Mount Sinai Health System.

What do you wish people knew about nurse practitioners?
Nurse practitioners play a vital role in our nation’s health care system. They provide acute and primary care to patients across the health care continuum, from assessing, diagnosing, and treating illnesses to educating communities on disease prevention.

Katherine D. Reina, DNP, APRN, AGNP-C
Clinical Program Director, Delirium Program
Mount Sinai Morningside
Faculty Member, Committee on Professionalism

 I work for the Mount Sinai Health System’s Delirium Program, a one-of-kind approach that enables early recognition and treatment of patients who develop delirium while hospitalized, which I oversee at Mount Sinai Morningside.

What is the most interesting and inspiring aspect of your role as a nurse practitioner?
As a nurse practitioner, I am honored and humbled to be a part of the Health System’s interdisciplinary team caring for some of our most vulnerable patients and their families. I feel that nurse practitioners are uniquely positioned to manage patients across their lifespan. As nurse practitioners, we get to combine the best of nursing and medicine to optimize the health care delivery model. I truly believe the Health System is at the forefront of innovation and research in health care.

I am most proud of first being a part of the Delirium Program. As a nurse practitioner, I have helped expand the program at Mount Sinai Morningside while helping to manage patients. My work within the program has helped reimagine the role of the nurse practitioner as one that includes serving as a lead consultant for a clinical program. It has also increased awareness of delirium and best evidence-based practices to improve management of our patients.

What do you wish people knew about nurse practitioners?
Nurse practitioners are the fastest growing career field in the United States, with more than 355,000 nurse practitioners practicing across the country. Nurse practitioners hold the potential to become the foundation of health care delivery models and standards.

Luz Lucero-Calabro, MS, RN
Wound, Ostomy, and Continence Nurse Specialist
Mount Sinai Brooklyn

I am a nurse practitioner engaged in system policy changes, standardizing pressure injury prevention practices, managing products, and providing education for the staff.

I started in 2019 as the Wound, Ostomy, and Continence Nurse (WOCN) Nurse Practitioner specialist at Mount Sinai Brooklyn, with a unique position as an educator, provider, and nurse administrator. While I work mainly at Mount Sinai Brooklyn, I am also engaged in a number of Mount Sinai Health System initiatives related to the prevention of hospital acquired-pressure injuries.

What is the most interesting and inspiring aspect of your role as a nurse practitioner?
I have the autonomy to plan and develop treatment plans as a provider while also engaging in a holistic approach due to my nursing roots. I take into account the patient as a whole. It is rewarding to make a difference in the wound and ostomy community.

I am most proud of helping to create the Mount Sinai Brooklyn Skin Care team with registered nurses and personal care assistants. I am also proud of collaborating on the development of a program to improve electronic reporting to the National Database of Nursing Quality Indicators®, which provides reporting of structure, process, and outcome indicators to evaluate nursing care at the unit level, and using the data for quality improvement projects. I am also proud of my engagement in standardizing the WOCN practice throughout the Mount Sinai Health System, and serving as chair of the WOCN Steering Committee.

What do you wish people knew about nurse practitioners?
We uphold the highest professional standards for ourselves, and desire to succeed and model care through our practice.

James Murphy, DNP, ANP-C
Administrative Director
Advanced Practice Nursing
Mount Sinai South Nassau

I am currently the Administrative Director of Advanced Practice Nursing at Mount Sinai South Nassau. Clinically, I work with the Critical Care team as a provider on the Rapid Response team.

What is the most interesting and inspiring aspect of your role as a nurse practitioner?
I love clinical work and being able to spend time caring for and speaking with patients and their families regarding care. I also enjoy assisting the resident physicians with their education through the Rapid Response team. Both are very rewarding.

I am co-chair of the Resuscitation Committee at Mount Sinai South Nassau and love working on this proactive committee. I believe we all work well together and make changes where it counts most—through policies and at the bedside of patients. I am also called upon to review charts and medical team cases when questions arise. I have also had the pleasure of working on the Mount Sinai Health System CPR Committee, which worked on a system-wide medical team policy.

What do you wish people knew about nurse practitioners?
I wish more people knew who we are and what we can offer. Nurse practitioners take time with our patients and are holistic in looking at all aspects of our patients’ physical and emotional care. We see the whole patient.

Kimberley Ennis DNP, APRN-BC
Senior Director of Nursing
Mount Sinai Queens

I am a nurse practitioner currently practicing as a nurse leader at Mount Sinai Queens, overseeing all operations of medical-surgical units, cancer center, dialysis, catheterization/electrophysiology, and hospital administrator team. I also act as liaison to the Magnet Recognition Program for nursing excellence, and oversee advanced practice nurses.

What is the most interesting and inspiring aspect of your role as a nurse practitioner?
The most inspiring part of my role is the ability to mentor, coach, and inspire new and experienced nurse leaders and other nurses and nurse practitioners who aspire to leadership roles.

I am proud to be a part of a system that is leading change in diversity, equity, and inclusion and a system that has many opportunities for RNs to advance to nurse practitioners.  I am proud of the projects and initiatives I have led, in opening a new clinical unit and lab and significantly impacting multiple quality metrics at Mount Sinai Queens.  I am even more proud to be a mentor to Mount Sinai Health System nurses and nurse leaders.

What do you wish people knew about nurse practitioners?
I want more people to understand the multifaceted roles of a nurse practitioner in the health care setting.

Monica An, PhD, RN
Inpatient Oncology Nurse Practitioner
Hematology and Oncology Infusion Center
Mount Sinai West

I am currently an inpatient consultant for a non-teaching service in the Hematology/Oncology program.

What is the most interesting and inspiring aspect of your role as a nurse practitioner?
Inpatient consultants have a big responsibility to optimize the patient’s oncologic care during hospital admission. My role is to provide a unique inpatient nurse practitioner service, which bridges oncologic care with that of the primary medicine and primary oncology teams.

I am proud that the Mount Sinai Health System supports our nurse practitioner service as an advanced practice provider in many ways, such as orientation programs that combine essential, detailed information with extensive mentorship for new nurse practitioners. The Health System also supports nurse practitioners in initiating research projects. And leadership consistently provides a supportive environment for nurse practitioners who want to advance their degrees, which was instrumental in my earning a PhD. Working as a nurse practitioner at the Health System has been a precious and extraordinary experience that has allowed me to grow in my profession.

What do you wish people knew about nurse practitioners?
Everything we do, including the critical role we play in nursing and medicine. Nurse practitioners practice with independence, profound knowledge, and experience. As such, we are crucial in ensuring better outcomes and greater satisfaction for our patients.

COVID-19 Travel Tips for This Holiday Season

Updated on Nov 10, 2022 | COVID-19, Featured

We are approaching the third holiday season during the COVID-19 pandemic, but this one is different from the others: Masking requirements and other social distancing guidelines are largely gone.

So what should you do if you are concerned about COVID-19 possibly interfering with your holiday plans? Just take some common-sense precautions, experts say. Here are some suggestions from Bernard Camins, MD, MSc, Professor of Medicine (Infectious Diseases) at the Icahn School of Medicine at Mount Sinai and the Medical Director for Infection Prevention for the Mount Sinai Health System.

Pay attention to all your vaccinations. Continue to stay up to date with your COVID-19 vaccinations. On September 1, the Centers for Disease Control and Prevention (CDC) recommended that those over age 12 get the newest COVID-19 boosters that also target the Omicron variant, and on October 12, the CDC extended that recommendation to those ages 5-11. You should get this vaccine if it has been at least two months since your last COVID-19 vaccine dose. Also, don’t forget your flu shot, as this season is expected to be worse than normal. And remember these shots may take up to two weeks for full protection to kick in.

It’s just as important to stay up to date even if you had COVID-19. The newest vaccine provides added protection, according to the CDC. If you recently had COVID-19, you may delay the next vaccine dose for three months from the onset of symptoms or from your first positive test.

When traveling, consider wearing a high-quality mask in crowded public areas. A surgical mask, which is more comfortable than a snug-fitting KN95 mask, provides some protection against viral infections. That might be prudent for a long plane ride. But to ensure better protection, wearing a clean cloth mask on top of the surgical mask, or wearing a KN95 mask or N95 mask is recommended. Also, onboard the plane, the most important time to consider wearing a mask is while the plane is still on the ground; once airborne, the plane’s sophisticated air filtration systems come on. (Two important footnotes on masks: Masking is still required in health care facilities in New York State, and health care facilities in areas where there is high COVID-19 transmission may require them. You are supposed to wear a mask in public if you are just getting over COVID-19.)

Be especially careful at gatherings and celebrations. If you have been dining at restaurants indoors or attending gatherings indoors without a mask on, then you have been exposed to respiratory viruses already. This holiday season, you are probably more likely to get infected during the many hours you are with friends and family around the dinner table or celebrating inside. That’s what happened a year ago when social distancing guidelines were relaxed. So general guidance on gatherings remains: Remember that some people may be more at risk, such as such as older adults, those with chronic medical conditions, such as diabetes, and those with reduced ability to fight infections, such as those being treated for some cancers. More fresh air is better. You may want to ask those gathering to consider taking an at-home test in advance.  Keep in mind these tests are not always sensitive enough to detect the onset of COVID-19 (home antigen tests should be performed at least three times, 48 hours apart after a high-risk exposure), and you could be infected and spreading the virus without showing any symptoms.

Have a plan. Talk with your primary care provider in advance about what you should do if you are at risk for severe complications from COVID-19 and think you have been exposed or start to show symptoms of COVID-19. For example, some clinicians may prefer you get a more sophisticated PCR test, rather than the simple at-home antigen tests. Some people with COVID-19, notably those over 65 or with other health conditions, might benefit from the antiviral therapy Paxlovid—though this must be taken within five days after symptoms start. Talking to your provider in advance can help you know precisely what to do, such as getting a prescription for Paxlovid, especially if you must take action over the weekend.

Recognize we are all learning to live with COVID-19. This viral disease, much like the flu or the common cold, is not going away. But with some basic precautions, it should not stand in the way of spending time with friends and family.

Learn more from the CDC about COVID-19 and travel

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