Otolaryngology Patient Appreciates the “Overwhelming Kindness” of Her Care Team

New Jersey resident Janet Gambuti, 76, considers herself very healthy. But in the fall of 2019, her primary care physician became suspicious of a swelling in her nose. He referred her to Satish Govindaraj, MD, Associate Professor of Otolaryngology and Neurosurgery, and Chief of the Division of Rhinology at the Icahn School of Medicine at Mount Sinai.  After looking at the results of an MRI, and consulting with a colleague from the Neurosurgery Department, he determined that a biopsy was warranted.

Janet had never undergone surgery in her life, so she was anxious. But the “overwhelming kindness” of her care team helped allay her fears. On October 23,, 2019, Dr. Govindaraj took the biopsy. Janet recalls she was in the recovery room when Dr. Govindaraj took her hand and told her she was going to be fine. “He treated me as if I was his mother,” she says. “He was that gentle and caring.”

A highly successful, seven-hour surgery to remove the mass was performed on November 18, by Alfred M.C. Iloreta, Jr., MD, Assistant Professor of Otolaryngology, Head and Neck Surgery, and Neurosurgery, Icahn School of Medicine at Mount Sinai. Dr. Iloreta is also Director for Endoscopic Skull Base Surgery for the Mount Sinai Health System.

The following day, while waiting to be discharged, Janet received a call from Maryanne LaPietra-Santonocito, surgical scheduling coordinator for Drs. Govindaraj and Iloreta, to see how she was doing and to give Janet her cell number, just in case she needed to reach out.  Maryanne had been instrumental in setting up Janet’s appointments and tests, so she was a familiar voice.

As it turns out, Janet did call Maryanne a few days later. At 7 am on the Sunday after her discharge, her right eye swelled and closed up. She became extremely nervous and called Maryanne, who instantly calmed her and asked Janet to send her a photo of her eye. Maryanne sent the photo to Dr. Iloreta, who immediately called Janet, reassuring her and explaining that the swelling would resolve shortly.

Janet becomes emotional speaking about her care. “I am eternally grateful for Dr. ILoreta, Dr. Gonvindaraj, and Maryanne for a time in my life when everything was so foreign to me.”  She adds, “Maryanne is my guardian angel. I will treasure her for the rest of my life.” But she is quick to credit others on the team for a wonderful experience, including the anesthesiologists Ben Toure, MD, Assistant Professor Anesthesiology, Perioperative and Pain Medicine, and Nigel Wilkinson-Maitland, MD, PGY-3s;  clinical assistants Stacey Haywood and Kathy Aleksa; and administrative assistant Michelle Golomshtok; who “greets me so warmly when I come for follow-ups.”

A twenty-six year veteran of the Otolaryngology Department, Maryanne is humble as she speaks for herself and her colleagues: “Teamwork, and compassion for our patients and one another are at the heart of what we do. We are a family. I am so proud and happy to be a member of this group.”

Information Technology Award Winner Treats Patients Like Family

A “highly responsive” guide in the new age of telehealth, Amit Singh was recently honored with the Information Technology Department’s Be Patient Centric Award.

When Amit, a senior analyst on the Epic Mobile Applications team, began working on telehealth services in 2018, there were about seven virtual visits per week. That number rose to 40 per day by mid-March 2020, and began to skyrocket after the COVID-19 pandemic pause in office visits—to 2,500 visits by mid-April, and in late April and May to almost 4,000 visits per day across all platforms. Amit, working in partnership with one other analyst for the Health System, had his work cut out for him. Hai Ly, Manager of Epic Mobile Applications, who nominated Amit for the award, says Amit has been working 24/7 to help providers, staff, and patients become proficient and comfortable with telehealth visits. “Amit is highly responsive and always jumps into whatever task is at hand,” he says. “Importantly, Amit is dedicated to the clinicians and staff he serves, and genuinely cares for patients.”

Amit says he loves working with patients and treats them like family. “When patients get frustrated, I reassure them that having tech issues happens to everybody, even me,” he explains.  “I will log in directly to a patient’s computer so I can walk them slowly through the process. I also give patients my personal cell number so they can get in touch if necessary. Ninety percent of the time, we can solve any issue together.”

Parents Are Grateful to NYEE for Their Newborn’s Sight-Saving Surgery

Two parents expressed profound gratitude to a team at the New York Eye and Ear Infirmary of Mount Sinai (NYEE) for kindly and skillfully supporting them through their baby daughter’s cataract surgeries and difficult recovery.

Mia Alvarez was born on March 17, 2020. While her parents took joy in welcoming their new daughter, they were met with unexpected news, Mia was born with congenital cataracts in both eyes. The news was a blow to both parents, who are legally blind. Hereditary cataracts are rare in babies and require immediate surgery (within 6 to 8 weeks of age) in order to allow the eye sight to develop normally. With COVID-19 cases rising and all elective surgeries canceled across NYC hospitals, Kristal and Alex Alvarez had little time to digest the news, but immediately focused on finding the best pediatric ophthalmologist to perform Mia’s vision-saving surgery.

On the recommendation of their pediatrician at Mount Sinai, Kristal and Alex went to NYEE to see Douglas Fredrick, MD, Chief of Pediatric Ophthalmology and Strabismus for the Mount Sinai Health System. “We believed Dr. Fredrick could give our daughter the best chance of having good eyesight as she got older,” says Kristal.

The days leading up to the operation were trying. Kristal and Alex had to navigate Medicaid to obtain approvals, a difficult task as New York State programs were grappling with COVID-19 shutdown orders and working remotely.  But Dr. Fredrick and his team worked with Kristal and Alex to help clear the Medicaid hurdles. And due to visitor restrictions, only one of them would be allowed at the surgery at a time. But the team went above and beyond to support the couple and ensure everything went smoothly.

Mia’s surgery, performed in April, was successful. However, Kristal and Alex were faced with another challenge: following a strict post-op regime of administering eye drops, three times a day, into Mia’s eyes. Despite their own vision limitations, they learned to deliver the drops and insert tiny contact lenses in her eyes, cleaning and replacing them. “Knowing our challenges, Dr. Fredrick offered to have us come in every week so that he could change the lenses,” recalled Alex, “but we knew we had to find a way to change them on our own.”

Just as the family thought they were out of the woods, Mia faced a setback. During an exam, Dr. Fredrick discovered that secondary cataracts had developed. Although not uncommon, this required a follow-up procedure. Once again, Dr. Fredrick and his team worked with Kristal and Alex to help clear the Medicaid hurdles, and Mia successfully underwent her second surgery in June.

Kristal and Alex greatly appreciated the extraordinary support and care demonstrated by Dr. Fredrick and the NYEE team. “Mia received the best care possible, and Dr. Fredrik went above and beyond to help us through every step of the process,” Kristal says. “One day we ran out of eye drops, and he personally dropped off the eye drops at our home. What doctor does that?”  She adds, “The entire team was patient, kind, supportive, and reassuring throughout the process, and the hospital implemented special safety precautions every step of the way. We were always very confident everything possible was being done to protect our health,” says Kristal.

Mia continues to heal well, and Dr. Fredrick says she has a good chance of developing 20/40 vision when she gets older. “Being able to share the burden and fear of vision loss with new parents and replacing that with hope for a future of clear vision for their child”, he says, “is one of the most gratifying parts of our profession.”

Kristal is ecstatic.“20/40 vision—that is almost perfect. We are excited that Mia can now grow and experience life like most children, without limits.”

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