Two Mount Sinai Hospitals Work as One to Save a Life

Amit Pawale, MD

When 24-year-old Andrea Giraldo arrived in New York City from Miami to ring in 2018 with friends in the East Village, she had no idea how gravely ill she would soon become.

Her ordeal began with terrible leg pain, which sent Ms. Giraldo to a New York City hospital that is not affiliated with the Mount Sinai Health System. There, she was treated for blood clots in her leg vein and sent home. But later that night in her friend’s apartment, she had trouble breathing and collapsed.

The Emergency Medical Services ambulance took her to Mount Sinai Beth Israel (MSBI). Now unconscious, with very low blood pressure and a low blood-oxygen level, Ms. Giraldo was placed on a breathing machine. A CAT scan revealed that she had large life-threatening clots in her lung arteries. She received clot-busting medication (tPA) with no effect.

MSBI physicians contacted Amit Pawale, MD, Assistant Professor of Cardiovascular Surgery at The Mount Sinai Hospital, and a team of ECMO (Extracorporeal Membrane Oxygenation) specialists led by Dr. Pawale was dispatched immediately. They placed Ms. Giraldo on an ECMO machine, which supported her heart and lungs and prevented imminent cardiac arrest. ECMO works by draining blood from a patient’s vein and pumping it to an artificial lung or oxygenator that adds oxygen, removes carbon dioxide, and sends it back to the patient.

Her blood pressure and oxygen level normalized, and Ms. Giraldo was transported to The Mount Sinai Hospital on ECMO support. Dr. Pawale and his team performed open heart surgery, removed large blood clots from her arteries, and discontinued ECMO support. Vascular surgeons implanted an intravascular filter to prevent future clots from reaching her heart.

Four weeks after her surgery, Ms. Giraldo returned home to Miami, where she gradually resumed her work and daily activities. “I’m so glad I ended up at Mount Sinai,” Ms. Giraldo says. “I got the best care. The nurses were amazing, and Dr. Pawale literally saved my life.”

Dr. Pawale attributes Ms. Giraldo’s excellent outcome to exceptional teamwork throughout the Mount Sinai Health System: the Pulmonary Embolism Response Team, and the doctors, nurses, and technicians in the Cardiothoracic Surgery Intensive Care Unit.

 

The ECMO machine was used to help provide Andrea Giraldo with life-sustaining support.

Staten Island Live: Singer Overcomes Surgery, Sings Again for the First Time on Easter Sunday

Church singer Ashley Welborn had lost her voice and was worried she might never sing again. But on Easter Sunday she was able to resume performing with the chorus at her church, thanks to Mark Courey, MD, Professor of Otolaryngology-Head and Neck Surgery at the Icahn School of Medicine at Mount Sinai, and Director of the Eugen Grabscheid Voice and Swallowing Center at The Mount Sinai Hospital.

Read the article in silive.com

Hoda Farghaly: My Colleagues in Queens Inspire Me

Hoda Farghaly, Patient Ambassador, Mount Sinai Queens, is pursuing a nursing degree.

When I was eight years old, I witnessed my mom involved in a tragic accident. Time was of the essence, and she was rushed to Mount Sinai Queens, the nearest hospital. My sister—who was seven at the time—and I were terrified that we could lose our mother. As our family was preparing for the worst, this “little emergency room that could” saved my mother’s life.

After emergency surgery, she was transferred to an inpatient unit and hospitalized for about three weeks. My sister and I visited her whenever we were able to.

During those times, I encountered so many heroes. I can still remember their names, faces, warm smiles, and kind, soft-spoken words. At a time of uncertainty and distress, these special people—housekeepers, nursing assistants, nurses, and doctors—helped my family feel at ease, and I felt that everything was truly going to be OK.

The day my mother was discharged to rehabilitation, I told myself that I wanted to dedicate my life to helping others with the same compassion and care that my mother received at Mount Sinai Queens.

I learned so much about humanity, empathy, and selflessness during my mother’s hospital stay 17 years ago. I continue to learn and see this today, being surrounded by so many great people who work here.

These amazing people recently inspired my own kind gesture to a patient at Mount Sinai Queens.

This patient had a bucket list. He passionately wanted to travel the world like his brother did, but his health was preventing him from doing that. One of the places on his list was Egypt, and we spoke about its culture and history. Fortunately, I am half Egyptian, and my parents travel often. After work that day, I ran home and grabbed a souvenir I had gotten from Egypt, from the Pyramids of Giza, and brought it to him. I knew I couldn’t help him travel, but I could bring a small piece of another part of the world to his bedside.

He was so surprised and happy, and must have thanked me a million times. Something as small as a souvenir that we might take for granted every day really made such a difference to him.

Patient’s Art Brightens Cancer Treatment Center

Veena Agarwal and Sundar Jagannath, MD

A 4’ x 6’ floral landscape painting hangs in the Derald H. Ruttenberg Treatment Center at Mount Sinai thanks to Veena Agarwal, a multimedia artist and patient of Sundar Jagannath, MD, Director, Multiple Myeloma Program, The Mount Sinai Hospital.

Diagnosed with stage III multiple myeloma in 2007, Ms. Agarwal has since waged a decade-long fight against the disease. After a particular reoccurrence left her quite ill, Dr. Jagannath asked Ms. Agarwal what she needed to do to help lift her spirits. “I wanted to walk again and to paint again,” Ms. Agarwal told him. “Both of my wishes were granted by the doctors of Mount Sinai. They inspired me.”

Ms. Agarwal was selected to exhibit 47 paintings at The Creative Center, a nonprofit organization in Manhattan that holds workshops and promotes artistic expression among those with cancer and chronic illnesses. The large biopharmaceutical company Celgene has also commissioned her to complete an 8’ x 5’ painting for its corporate office in New Jersey. “I am very happy to do it,” says Ms. Agarwal. “Colors have come back into my life.”

Hiker Reunites With Medical Students Who Came to His Aid

Matthew Fredricks with medical students, front row, from left: Aliza Green and Zina Huxley-Reicher; back row, from left: Hayley Lynch, Haley Tupper, Letitia Li, Esben Iberson, Halley Kaye-Kauderer, Matt Spindler, and Jenna Hobeika.

Miracles happen. Kindness matters. A touch of the hand can mean “everything.” Those were some of the messages that Matthew Fredricks delivered on Monday, November 27, when he was reunited with a group of students at the Icahn School of Medicine at Mount Sinai who weeks before had aided and comforted him on a hiking trail when he was having a heart attack.

“In your studies, you are going to learn the mechanics of medicine, you are going to learn all the technical terms and procedures,” Mr. Fredricks said. “But what you guys did instinctively, you can’t be taught that. You showed me compassion, and I am amazingly grateful.”

Mr. Fredricks, a kitchen designer from New City, Rockland County, was at the center of a dramatic rescue on Sunday, October 22, after he collapsed on a steep trail in Harriman State Park. Before he was lifted off the mountain by a helicopter crew—an event shown on local newscasts—he was aided by the group of medical students who were also hiking that day. Weeks later, Mr. Fredricks contacted the Icahn School of Medicine seeking a reunion with the students, and it was arranged at the Annenberg Building.

“You are incredible for making this effort,” David Muller, MD, Dean for Medical Education, and the Marietta and Charles C. Morchand Chair for Medical Education, told Mr. Fredricks. “What happened to you is really rare, but what is even more rare is that you made this effort to find every single person who helped you.”

Matthew Fredricks being lifted from the mountain trail. Courtesy of NYPD

Mr. Fredricks, 59, is an avid hiker and skier, even serving on the National Ski Patrol. A few months before the heart attack, he had what seemed to be persistent heartburn and visited his local primary care doctor and cardiologist, but a stress test and imaging were inconclusive. Mr. Fredricks had hiked the trail—a challenging 2.5-mile round trip—five times in recent months, but on October 22, he stopped near the top because he felt intense pain in his chest and arms. He called it a “miracle” that he was clearheaded enough to pick a resting spot—a flat outcropping of rock—that would be accessible to rescuers. In a second “miracle,” a Pennsylvania couple to whom he had given directions at the bottom of the trail, stopped to ask if he had made it to the top. He told them, “I didn’t, and I’m in trouble.”

The husband called 911 on his cellphone, and then a third “miracle” occurred—the arrival of the Mount Sinai students. The couple asked if they had any medical knowledge. “They were sort of joking, I think,” said Halley Kaye-Kauderer, a second-year student. “I told them ‘Not really, but probably more than anyone else here.’ ” The nine young people are members of WildMed, a group of students interested in the specialty of wilderness medicine—providing emergency care in remote settings. They huddled around Mr. Fredricks, took his pulse, and questioned him about his condition. Letitia Li, a first-year student, folded a lightweight blue towel and put it under Mr. Fredricks’s head. (He kept it, and now wears it “as a fashion statement.”) Second-year students Zina Huxley-Reicher and Aliza Green sat on either side of him. “Aliza simply said, ‘I’m going to hold your hand.’ In that moment, it meant everything,” Mr. Fredricks said, adding that he felt a sense of calm, despite excruciating pain.

After about an hour, emergency responders arrived and sent the students on their way. Mr. Fredricks was taken to the Westchester Medical Center, where a blockage was found in his right coronary artery.

Now he is watching his diet, exercising moderately, and getting follow-up cardiac care. Mr. Fredricks is also trying to thank everyone he can, reaching out to the helicopter pilot, his hospital team, and the rescue workers. He invited the students to go skiing on the mountain he patrols, and he brought each of them a blue towel similar to the one Ms. Li gave him.

“You did the right thing,” Mr. Fredricks told the students who aided him. “Keep doing it. You are in the right place, and you are all amazing people.”

An Emergency Sight-Saving Surgery for a Patient Forced to Leave Puerto Rico

Carmen Rivera at her follow-up appointment with Jessica Lee, MD.

Carmen Rivera of Isabela, Puerto Rico, was seeing black dots in her left eye and having trouble focusing when she visited a doctor who diagnosed her with a retinal detachment and scheduled her for emergency surgery on Tuesday, September 19. As Hurricane Maria approached Puerto Rico, however, the surgery was postponed, and when the island, including the hospital where she was scheduled for surgery, was left without electricity, she faced a serious health crisis. Without immediate treatment, Ms. Rivera risked losing her central vision.

“My doctor in Puerto Rico suggested I get off the island as soon as possible to have the surgery,” recalls Ms. Rivera, whose children stepped in to help—first by driving long distances to get cellular service, and finally by reaching relatives in the Bronx who arranged for her trip to New York City. “By the time I arrived here on October 2, my vision got worse and I couldn’t see anything out of my left eye,” says Ms. Rivera.

Family members brought her to New York Eye and Ear Infirmary of Mount Sinai, where retina specialist Jessica Lee, MD, Assistant Professor of Ophthalmology, Icahn School of Medicine at Mount Sinai, performed sight-saving emergency surgery on Monday, October 9. Ms. Rivera underwent retinal detachment repair surgery, which involved placing a gas bubble into the eye to keep the retina in place. “She is recovering nicely,” Dr. Lee says a few weeks after the surgery, noting that it can take about two months for the gas bubble in the eye to dissolve, at which time vision can further improve. At a follow-up visit on Tuesday, December 5, Dr. Lee reports, “Her retina is completely attached and she is doing well.”

“There are no words to describe how grateful I am that everything fell into place so that I could be in New York City and have the surgery. I am so thankful for the excellent care I received,” says Ms. Rivera. “Regaining my vision has been amazing. If I weren’t here, I would still be waiting for the surgery.”

Leadership, faculty, and staff from the New York Eye and Ear Infirmary remain eager to help other patients from Puerto Rico. They recently partnered with Bascom Palmer Eye Institute, the Puerto Rican Society of Ophthalmology, and ophthalmologists throughout the United States to launch “Eye Care: Puerto Rico,” a program that facilitates access to eye care to evacuees in need of emergency care.

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