Nathan Littauer Hospital first in area to offer noninvasive screening techniques for chromosomal disorders Posted on August 22, 2011August 16, 2012 by Dakota PikeDuring first trimester of pregnancy Nuchal Translucency combined with maternal blood testing identifies markers for Down syndrome.Gloversville, NY — The Diagnostic Imaging Center and the Ultrasound Department at Nathan Littauer Hospital has added a new noninvasive genetic screening technique to its out-patient prenatal testing program for pregnant women.Dr. McBiles reviews a file with Kaylee Palmer, as they now offer Nuchal testing“Nuchal translucency” is a test performed by high-resolution ultrasound early in the first trimester to identify risk factors for Down syndrome, a genetic disorder that affects one in every 733 babies in the United States. “This competency really distinguishes us as a resource to expectant mothers and practitioners in our region” stated Dr. Mike McBiles, Chief of Radiology at Littauer. He added, “Our technologist, Kaylee Palmer who relocated here from Boulder Colorado, studied with the pioneer of prenatal testing, Dr. John C. Hobbins.” Dr. McBiles explained, “Mrs. Palmer was part of the original trial when the technology was first in use. Her expertise makes her an invaluable asset to this area.” He quipped, “It is a bit like having Colonel Sanders cook your chicken in your kitchen.”Nuchal translucency is a first-trimester risk assessment available at Nathan Littauer Hospital measuring the neck of fetuses between 11 and 14 weeks of gestation. The noninvasive ultrasound procedure can identify genetic abnormalities such as Down syndrome in combination with maternal blood testing. Nuchal translucency measures the amount of fluid behind the neck of the fetus, in an area known as the nuchal fold or nuchal translucency. It is believed that the higher the amount of soft tissue around the neck, the higher the risk for Down syndrome. These tests also screen for two less-common genetic disorders, trisomy 13 (Patau syndrome) and trisomy 18. “We are credentialed, we have completed our tests and we are now testing mothers.” said Barbara Tambasco, Ultrasound Department Manager for Nathan Littauer.Nathan Littauer Hospital is the first center in the Fulton, Montgomery area to offer the screening techniques “The combination of the nuchal measurement and blood test gives us about a 91% accuracy rate.” stated Dr. McBiles. Dr. McBiles and Dr. Saqib are now credentialed radiologists for the test. In addition, two sonographers at Nathan Littauer Hospital are in the process of earning their certification from the Nuchal Translucency Quality Review Program of the Maternal-Fetal Medicine Foundation. This national education and quality review program was created to ensure the highest levels of accuracy and quality in first-trimester Down syndrome screening.In 2007 the American Congress of Obstetricians and Gynecologists (ACOG) recommended routine Down syndrome screening and genetic counseling for all pregnant women, regardless of age, before the 20th week of pregnancy. Babies with Down syndrome are born with an extra copy of chromosome number 21, which causes mild to severe delays in physical, cognitive, and language development, as well as health problems such as congenital heart defects, thyroid disease, and digestive disorders. The risk of having a baby with Down syndrome increases with the age of the mother. The risk is one in 365 babies at age 35, one in 100 at age 40, and one in 30 at age 45.“This test is non-invasive, quick and gives the family vital information.” explained Kaylee Palmer, adding, “Women in this area should be very relieved they do not have to travel to major metropolitan areas to get this test.” Kaylee Palmer has performed thousands of the tests throughout her career. She states, “My goal is to have every patient leave happier than when they came in.” She concluded, “I really enjoy my patients.”xxx
Teams taking precautions to beat the heat Posted on August 17, 2011August 16, 2012 by Dakota PikeTeams taking precautions to beat the heatAugust 15, 2011By ERICH NEUHAUS , The Leader HeraldRead the story at the Leader Herald website here: Believe it or not, practice for high school football teams starts today.Bill Oates delivers heat related illness information to the coaches at Broadalbin Perth School systemIt’s hard to believe the unofficial end to summer for high school athletes is already here as they get a jump start on their school year by preparing for the upcoming sports season.In reality, though, summer doesn’t officially end until Sept. 23, so the temperatures will still be summerlike for weeks, which is a cause for concern for coaches and athletes, especially football coaches, when it comes to practice routines.Hot temperatures, combined with the extra weight of helmets and pads, can expedite dehydration, which can be a recipe for a fatal scenario if not monitored.The National Center for Catastrophic Sport Injury Research’s annual football injuries research reported 13 heat-related deaths among high school and middle school football players since 2006, which is why the Nathan Littauer’s Sports Medicine and Rehabilitation team is stressing the importance of hydration throughout practice by offering a free 45 minute Beat the Heat seminar to area coaches.“The coaches are educated on the warning signs and how to go about responding to such an emergency,” said Bill Oates, director of Sports Medicine and Rehabilitation at Nathan Littauer, who heads the Beat the Heat program. “It is a growing epidemic across the United States, and we’re just trying to provide as much information as we can.”The hydration program, which has already been presented at Broadalbin-Perth High School and will be presented at Johnstown High School in September, offers a variety of tips for coaches as they prepare to practice throughout the warm summer days in the rest of August and early September.Oates said younger athletes are more at risk for dehydration than adults for several reasons.“Kids really don’t tolerate heat in the same ways as adults do,” he said “Their sweating threshold is higher, so it takes them more to sweat. Their exercise tolerance is shorter, their acclimation to heat is slower, and their core temperature rises faster. Those four things can kind of drastically increase the risk for a young athlete compared to an adult.”One of the program’s suggestions that’s specifically effective for today as the teams begin to work for the first time after the summer break, is a period of acclimation.“It’s a 10-day period or so to get them accustomed to the conditioning and accustomed to the heat,” Oates said. “A lot of athletes show up for sports in fairly poor conditions at times. They don’t maintain that level of cardiac fitness throughout the entire year and they also are not accustomed to two-a-days.”The seminar also touches on who is considered at high risk for dehydration and encouraging coaches to teach their players about signs of dehydration.Broadalbin-Perth head football coach Jim Pelneau, who is entering his first year with the Patriots, has seen the hydration program run by Oates and Nathan Littauer and already is making preparations to put them into his team’s practice routine.“You learn to work those things into your practice schedule,” he said. “We are much more aware of it than maybe we have been in the past.”Heat is obviously a major factor that leads to dehydration, and recently, Section II made recommendations about practices should be run during extreme heat.Anything over a RealFeel – an index that takes into account temperature and humidity – temperature of 96 degrees will result in a cancelled practice or contest.When the RealFeel is 91-95 degrees, Section II recommends teams provide water breaks every 15 minutes, and also suggests reducing the practice time. When the RealFeel temperature is above 86, coaches should allow an hour of recovery time for every hour of practice,?Section II?suggests.Oates said temperatures from 74 to 82 degrees create a high risk for dehydration, while anything over 82 degrees is considered extremely high-risk. He said sometimes more recovery time is needed what Section II suggests.“You have to take into account the temperature and the intensity of the exercise,” Oates said. “If you do a two-to-three hour practice in 85 degree heat, and you’re really working them, three hours probably isn’t sufficient – especially for young people.”Fonda-Fultonville head football coach Tom Carpenter said he likes to keep his team from practicing in the heat of the afternoon.“When we usually do doubles, we go at 8 a.m. and at 5 p.m.,” he said. “We try to go at the coolest parts of the day.”A lot of dehydration incidents occur toward the beginning of the season, when athletes may be vying for a spot on the roster or starting position on the field. There’s a chance young athletes may say they’re OK even when they feel exhausted, Carpenter said.“You try to tell the kids to be honest with you,” Carpenter said. “If you’re not feeling good, say something.”William Oates, Director of the Sports Medicine and Rehabilitation services at Littauer.For information on the Beat the Heat program at Littauer, contact Bill Oates at 773-5540.
Ground-breaking surgery performed at Littauer Posted on August 6, 2011August 16, 2012 by Dakota PikeGround-breaking surgery performed at Littauer Dr. Jian Shen performs area’s first Endoscopic Cervical Spine Surgery Gloversville, NY — At approximately 1p.m. Friday, August 5, 2011 Dr. Jian Shen, an orthopedic surgeon specializing in complex spine care, practicing at Nathan Littauer Hospital, completed the first Endoscopic Cervical Spine Surgery in our area. The patient suffers from a rare spine disease. “The patient reports they already feel a difference from surgery.” said Dr. Shen. The doctor added, “Although it is early in the recovery process, the patient already has improved range of motion”. The patient was released today.Dr. Jian Shen at Nathan Littauer Hospital with the equipment he used for his ground-breaking surgeryHospital President and CEO Laurence E. Kelly stated, “San Francisco, Chicago, Texas and now Gloversville, NY!” Mr. Kelly explained, “According to our research only a few academic centers in the United States perform this type of surgery.” Mr. Kelly added, “Obviously we are thrilled for this patient and for others in our region who suffer with spine problems.”Endoscopic techniques permit smaller incisions, with less muscle damage and less irritation to the nerve root. The resulting loss in muscle strength is also considerably less with endoscopic techniques. “Nationwide there is an increasing demand for minimally invasive, less traumatic techniques. Because of Dr. Shen we can now meet that demand right here in Fulton County.” hospital spokesperson Cheryl McGrattan said. “The patient’s incision was approximately 2 centimeters. The equipment used in this surgery offers the doctor a better view of the spine than traditional techniques.”The family is grateful to Dr. Shen explaining, “We have waited for Dr. Shen to come here. We are very pleased to be in his care.”Minutes after the ground-breaking surgery, the surgery team marks the occasion. From left to right: Pam Dutcher, RN, Dr. Jain Shen, Jacob Dutcher, CRNA.Dr. Shen started practicing at Littauer a few days ago having arrived from the University of San Francisco. Dr. Shen is an orthopedic surgeon who specializes in complete spine care. “Surgery is not indicated for every spine problem. Dr. Shen also uses non-surgical techniques to get results” said Ms. McGrattan. After the surgery Dr. Shen concluded, “I cannot say enough good things about Nathan Littauer. From the surgical team to the recovery room staff to the nursing team- they are all top notch.” Mr. Kelly agrees, explaining “I am so proud of our staff at Littauer. They have gladly learned cutting-edge techniques to support Dr. Shen as he makes history in our region.”Dr. Shen reviews images from the surgeryTo learn more about this procedure and Dr. Shen, please visit www.nlh.org or follow us on Facebook.xxx
LITTAUER WELCOMES DR. JIAN SHEN Posted on August 6, 2011August 16, 2012 by Dakota PikeFellowship-trained Orthopedic Surgeon Dr. Jian Shen joins LittauerSan Francisco physician brings minimally-invasive spine surgery to area Dr. Jian Shen at Nathan LittauerNathan Littauer Hospital is pleased to welcome Jian Shen, MD, PhD to their medical staff. Dr. Shen is practicing with Dr. Russell Cecil and Dr. Gerald Ortiz at Littauer’s new Johnstown Surgery Center. “This is a major announcement for our region.” stated Wally Hart, President of the Fulton County Chamber of Commerce who met Dr. Shen at a recent reception. He added, “It means a lot to our region to have this cutting-edge expertise here.” Laurence E. Kelly Littauer’s President and CEO agreed noting, “Dr. Shen could have chosen to practice anywhere in the country. And he is coming directly from the University here to our community.” He added, “To have him treating people at Littauer is an enormous boon to the people who suffer with pain in our region.” Dr. Shen arrived a few days ago from the University of San Francisco. He explained his reason to come here as, “I chose to practice here because I want to bring cutting-edge spine care from big academic centers to this community.” He added, “I am very happy with the choice I made, I feel like I can do more here.” He added, “The staff at Littauer is top-notch.”Dr. Shen offers complete spine careDr. Shen offers complete spine care to people who suffer with spine problems. He is versed in minimally-invasive and complex spine surgery. He has already completed New York State’s first Endoscopic Cervical Sine Surgery at Littauer. As an orthopedic surgeon, he is well-versed in non operative (including spinal injections) and operative treatment of all spine conditions for people of all ages. He also can address back pain, neck pain, sciatica, leg, shoulder and arm pain caused by spine problems. While surgery is not indicated for every patient, Dr. Shen is also able to provide non-surgical therapies as well. He explained, “If I can get the patient better using non-surgical techniques like ESI (Epidural Spine Injections) or physical therapy I am very happy.”Dr. Shen’s main expertise has been on minimally invasive decompression/fusion surgery, as well as complex deformity/scoliosis and revision spine surgery. Minimally invasive and endoscopic spine surgery is a technique that allows the surgeon to perform an operation that normally is done via a large midline incision. This type of surgery uses a much smaller incision, allowing for significantly less tissue damage and quicker recovery.“He has a stellar background.” stated Hospital Spokesperson Cheryl McGrattan. After getting a PhD in basic science research in Pharmacology, Dr. Shen went on and finished his medical school education at Cornell University Medical College in New York City, New York. After a surgical internship at Mayo Clinic in Rochester, Minnesota, he completed an orthopedic surgery residency at Wake Forest University Medical Center in Winston-Salem, North Carolina. Dr. Shen went on to finish a spine surgery fellowship from 2010 to 2011 at UCSF Medical Center in San Francisco, California. He also has earned many accolades including: The Gold Medal, Residents’ and Fellows’ Research Day, Wake Forest University Medical Center, The Basil M. Boyd, MD Memorial Resident Award, 24th Annual Oscar Miller Day Symposium the Katherine Wolcott Walker Resident Research Award, Orthopaedic Research and Education Foundation (OREF) and the Academic Achievement Award, Wake Forest University Medical Center among others. In the coming years, Dr. Shen hopes to create a Spine Center of Excellence in the Adirondacks.Dr. Shen speaks to Fulton County President, Wally Hart at a Littauer receptionHospital staff, board members and community members met Dr. Shen on Monday August 1, 2011 at a special reception. “Many people are commenting on how personable he is.” said Ms. McGrattan. One Littauer staff person said upon meeting him, “What a brilliant man. He is the type of man I could listen to for hours. He truly knows his stuff! Very personable and an awesome asset to our hospital family!” Patients agree. A trauma patient who broke a vertebra in a recent car accident saw Dr. Shen this week and reported, “He was a very caring physician who was very empathetic to what I was going through.”Dr. Shen explains that one of his reasons he came to this area is because his goal is to “interact personally with each patient, so they do not feel like a number”. He said, “Practicing at Littauer allows me to do that. I cannot say enough good things about the staff at Littauer.” He concluded, “I want to practice traditional medicine- where the patient receives individualized care and gets my full attention. Yet, I can use cutting-edge technologies to treat all their spinal conditions.” Laurence E. Kelly states, “With Dr. Shen’s arrival, we now say, ‘Spines everywhere can rejoice’”.The hospital plans several outreach activities in the coming months. Patients who are experiencing spine problems are encouraged to contact his office at 773-4242. Further information can also be found at www.nlh.org.
Littauer secures new technology for ambulance services Posted on July 14, 2011August 16, 2012 by Dakota PikeLittauer secures new technology for ambulance servicesNathan Littauer Hospital was recently awarded a grant from the Dominic Ferraioli Foundation to purchase wireless technology/modems for our Fulton County ambulances. This technology will allow real time cardiac data to be streamed into our Emergency Care Center where doctors will analyze the data and begin the patient’s care plan. Of all medical conditions reported in Fulton County, cardiac, stroke and respiratory-related are among the highest so this technology will save time and save lives in our area.
HOSPITAL WELCOMES DR. PAUL HUSSON Posted on July 14, 2011August 16, 2012 by Dakota Pike Dr. Paul Husson joins the medical team at LittauerNathan Littauer Hospital announced today the appointment of Paul J. Husson Jr, MD to their medical staff. Dr. Husson is a Urologist and recently completed his residency at Albany Medical Center. “We are thrilled to have Dr. Husson join our team. He is highly-regarded in the medical community at Albany Medical Center,” stated Laurence E. Kelly, Hospital President and CEO. “We are very proud to introduce him to our patients.”With Dr. Husson’s specialized training, the hospital will be offering a new cutting edge procedure, Laparoscopic Kidney Surgery. The surgery uses small incisions resulting in shorter recovery times. As a member of the American Urologic Association, Dr. Husson will be able to offer surgical and medical solutions to a host of urological issues, including: kidney stones, urinary tract infections, incontinence and screenings for prostrate, bladder and kidney cancers.According to the American Urological Association (AUA), 30 million individuals live with urological issues in the US, greatly affecting their quality of life and overall lifespan.Dr. Husson, an Albany native, is pleased to be practicing at Nathan Littauer explaining, “I like being in a setting that allows me to work closely with people. Working at Nathan Littauer Hospital will give me the opportunity to connect with my patients. I do not want people to feel like a number.” He concluded, “Working in Fulton County really excites me.”Dr. Husson will be seeing patients out of the Gloversville Primary Care Center. To schedule an appointment patients are urged to call: 775-4133.