Young Stroke Patient Thanks a Skilled Mount Sinai Occupational Therapist With Calming Presence

With the help of dedicated Mount Sinai staff—including a creative and calm occupational therapist—patient Meaghan Onofrey has made a smooth transition to life after a stroke.

On December 13, 2019, 40-year-old Meaghan was out for a run in Riverside Park. She remembers needing to suddenly stop, but after that, she has no recollection of the events that took place. According to her husband, Nick, she had collapsed and crawled to a bench, and a passerby called 911. Meaghan was taken in an ambulance to Mount Sinai Morningside, where it was discovered that she was having a stroke. She was transferred to The Mount Sinai Hospital, where she underwent surgery to remove a blood clot from her brain.

Meaghan spent four months at Mount Sinai, initially in the Neurosciences Intensive Care Unit and then in Rehabilitation. Meaghan and Nick praise the medical and rehabilitation teams for their skilled and compassionate work, but have special words of appreciation for the care provided by Occupational Therapy Rehabilitation Specialist Andrea Johnston. Meaghan and Nick laughingly say that Andrea “adopted” them, taking them under her wing, especially during Meaghan’s transition to home, which happened earlier than expected when the Rehabilitation Unit was converted into a COVID-19 Intensive Care Unit.

“Andrea went above and beyond,” Meaghan says. “She made sure we had every piece of equipment we needed for home care and Meaghan’s activities of daily living,” adds Nick.  “She came to our house and did a walk-through so we had guidance on how to adapt our environment to align with Meaghan’s needs. She even trained me on how to change Meaghan’s tracheotomy tube, a scary endeavor, to be honest.” Meaghan and Nick speak with one voice when they say Andrea “humanizes people.” “And nothing rattles her, she is Zen-like and is such a calming presence,” Meaghan says. “We joke that we are ‘summoning our inner Andrea.'”

Debra Zeitlin, Rehabilitation Manager at The Mount Sinai Hospital, concurs with Meaghan’s and Nick’s praise.  “Andrea is an amazing occupational therapist. She is very empathetic and goes the extra mile  for her patients. For example she completes community re-entry with her patients and re-orients them to their environment, which makes discharge and the return to home much more soothing for patients.  She is extremely creative in her work and provides great guidance and ideas to her whole team. She is a great mentor to newly graduated occupational therapists. The thing I admire the most about her: She always gives more than 100 percent and is very consistent in her work and embodies all of Mount Sinai’s core values.”

Infection Prevention Is Singled Out for a Thank-You

Across the Health System, Infection Protection works closely with Environmental Services and front-line staff to keep staff members and patients safe.

A team that is usually behind the scenes received a special thank-you from Mount Sinai leadership in honor of International Infection Prevention Week—Monday, October 19, through Friday, October 23. “This year, in light of the COVID-19 pandemic, we want to express our heartfelt gratitude to the Mount Sinai Health System’s Infection Prevention team members,” says Vicki LoPachin, MD, MBA, Senior Vice President and Chief Medical Officer, Mount Sinai Health System. “We are proud to recognize our infection preventionists and hospital epidemiologists, who work tirelessly to minimize the risk of infection to our staff, our patients, our families, and the communities we serve every day.”

The team includes nurses, physicians, and public health professionals across Mount Sinai, says Bernard Camins, MD, Director of Infection Prevention for the Health System, united by the goal of preventing health care-associated infections. In normal times they keep busy creating and monitoring safety protocols and policies, and working directly with front-line staff. And then came the COVID-19 pandemic. “The surge brought unique challenges we had never faced before, and working behind the scenes, our teams put protocols and procedures in place to reduce the risk of transmission,” Dr. Camins says. At the outset of the COVID-19 pandemic, for example, the disease was not on the EPIC system. So the team used the designation “special droplet,” and created isolation protocols for a virus that had never been described before.

Leaders of Infection Prevention at a workgroup meeting in April 2019.

The team helped oversee Environmental Services staff who were keeping rooms and equipment safe, and went to COVID units to help ensure that staff members put on PPE correctly. They created zones within hospitals to indicate levels of contamination—the rooms of COVID-19 patients were taped off in red, hallways in yellow, and break rooms in green. And they, in conjunction with Employee Health Services, conducted contact tracing to keep track of patients and staff members who had been exposed to COVID-19.

“In spite of unprecedented circumstances, the Infection Prevention team maintained their professionalism and were always available to educate or collaborate with front-line colleagues,” Dr. LoPachin says. “We thank members of the team for their leadership, perseverance, patience, and dedication to their work.”

‘Eternally Grateful’ for Dad’s Compassionate Care by Mount Sinai Queens Team

From right: Georgios Syros, MD, Director of Arrhythmia Services at Mount Sinai Queens; Tiffany Vargas, Clinical Program Director; and Amelia Pylarinos, Patient Coordinator.

I wanted to share with you that my father passed away August 16, 2020.  He was 90 years old. We were able to celebrate his 90th birthday in January of this year because of the care he received from all the staff at Mount Sinai Queens in 2018 and until his death.

Primary care physician Rolando Borges, MD, was not only always there for my father but he was always there for me and my entire family every step of the way. His dedication, patience, persistence, and concern were present at every encounter. He always listened, and he always informed us of what was going on. He kept us abreast of every decision and every development. He treated my father as if he were his own, and for that I can’t begin to express my gratitude. He is now my mother’s primary care physician, and I know that he will always guide us the right way with her care, too. He is also my doctor and my husband’s doctor. When my children turned 18, he became their primary care physician, too.

Another member of your team who I would like to express gratitude for is Georgios Syros, MD, Director of Arrhythmia Services at Mount Sinai Queens.  He was my father’s cardiologist. His honesty, his dedication, and his constant concern were always evident. He never failed to respond to a question, call, or email, and that is something I will never forget. It doesn’t stop there. He is the cardiologist for every member of my family.

I also want to share with you how much hematologist Howard Greenberg, MD, Director of the Infusion Center, helped my dad live a longer life. My father was dealing with a host of issues, one of which was multiple myeloma. It was because of Dr. Greenberg’s care that my father lived as long as he did. Not only did he care for him when he was alive, but when he found out my father had passed, Dr. Greenberg called me to extend his condolences. He expressed to me what kind of fighter my dad was and how we were fortunate to have had him with us for as long as we did. He showed me that he knew my dad as a human being, not just a patient. His words were exactly what I needed to hear the day after my dad passed. I will never forget his compassion.

Clinical Program Director Tiffany Vargas is someone who I will always remember with great fondness. Ms. Vargas went out of her way to make sure that my dad was always greeted with patience and respect. She always made him feel as if he mattered by asking him questions and making him feel happy even during his saddest moments. Her help allowed him to live as long as he did so that we were able to share more memories with my father. Her constant smile always made him feel better, and that’s all that mattered to me.

Patient Coordinator Amelia Pylarinos, who was at the desk on the fifth floor when we went to see Dr. Syros or Ms. Vargas, was always helpful. She greeted my dad with a smile, spoke to him in Greek and got him his oxygen tank as soon as he got there. My dad had become used to seeing her there, and that made him feel at ease. That is something on which no one can place a value.

Eternally grateful to Dr. Borges, Dr. Syros, Dr. Greenberg, Tiffany Vargas, and Amelia Pylarinos. I know that you have a great team, but I was lucky enough to have met them first-hand during scary times, which they helped make less scary. They made me feel secure and calm. More important, they made my dad feel the same way.

With respect and appreciation,

Anastasia Economopoulos

 

A Wonderful Experience from Beginning to End at Mount Sinai Queens

Anthony Parrizzi , left, and Stephen Johnstone, MD

Caryn Schwab, Executive Director, Mount Sinai Queens, receives letters from grateful patients on a regular basis, and they are a source of pride. But the letter she received from Anthony Parrizzi stands out. Anthony’s letter overflowed with expressions of appreciation and praise for his Mount Sinai Queens (MSQ) care providers, telling of his “most outstanding experience” from start to finish, as both an inpatient and outpatient.

Shortly after an accident at home that left him with a ruptured patella tendon, Anthony arrived at the Emergency Department at MSQ. Orthopedic specialist Stephen Johnstone, MD, first called him while he was in the ED and then examined him a little later. “Dr. Johnstone informed me what to expect in a very caring manner, both in person and on the phone call,” Anthony says. “His explanations then and throughout my recovery have helped so much, not just with my physical recuperation, but psychologically as well.”

Surgery was indicated, but first Anthony needed to take a COVID test. Once he was advised of a negative result, Anthony underwent surgery on July 2. “After seeing the safety measures firsthand at the hospital, not for a minute did I feel vulnerable to contracting the virus,” he says.

Anthony cannot say enough about his surgical team. “Nurses, staff, really all involved, reassured me that my case and my injury were a top priority. They were constantly engaged with me; always making sure I was comfortable and my pain was managed accordingly. It was a perfectly coordinated dance.” He cites the “professionalism and attentiveness” of Bryan Iglesias, BSN, Raul Dy, RN, and nurse’s aide Enis Thaqi in the post-operative unit; and Patrick Johnson, MD, and Joy Byun, RN, as sources of comfort and compassion in anesthesiology. And others, too, he says, “I just can’t recall all the names.” With respect to Dr. Johnstone, Anthony adds, “His level of professionalism goes beyond words, for sure.”

Last, he says, is the “wonderful culture” at Mount Sinai Queens. “No one hesitates to help, even if it is not his or her job. Everyone is so positive, the camaraderie among the staff is evident, as is the love and respect for the doctors.”

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.”