The Gazette features NLH Gastro campaign front page

The Gazette features NLH Gastro campaign front page

Trying to bring a little humor to the process, anyone getting scoped at Nathan Littauer's endoscopy facility gets a complimentary pint glass scaled with markings o measure out their laxative. Afterward, it makes an ideal beer mug.

Trying to bring a little humor to the process, anyone getting scoped at Nathan Littauer’s endoscopy facility gets a complimentary pint glass scaled with markings o measure out their laxative. Afterward, it makes an ideal beer mug.

Bringing humor to a serious issue:

Fulton County aims to boost colonoscopy participation

By John Cropley March 30, 2016

 

FULTON COUNTY — Fulton County is in the odd position of having roughly the same incidence of colon cancer as the rest of the state but a much higher death rate.

A variety of factors may be at play, but health care administrators, regulators and providers agree the most likely cause is the low rate at which county residents are screened for cancer. So the local hospital has been taking steps to make it easier to get a colonoscopy, and taking steps to convince people to go ahead and get it done.

Nathan Littauer Hospital’s endoscopy office in Johnstown, which marks its first anniversary in April, is seeing 20 patients a day, more or less clearing the months-long backlog that existed when the only place to get a colonoscopy in Fulton County was at the hospital in Gloversville.

Colonoscopies can save lives, but they’re nobody’s idea of fun. The procedure requires the patient to skip several meals, drink a gallon of laxative, and then be sedated the next day and examined with a tiny camera mounted on a long slender tube that’s inserted in the rectum.

Some may find it embarrassing.

So Littauer is spiking its outreach campaign with a bit of humor. Anyone getting scoped at Littauer gets a complimentaryscaled with markings to measure out their laxative. (In happier times, it makes a spiffy beer glass, too.) And the procedure will be performed by the Innerds, “nerdy about your innards for nearly 100 years.” (The three doctors pictured on the beer glass are approaching a century in practice, in total.)

A pencil and a humorous little work pad to use while sitting in the bathroom round out the package.

Patrice McMahon, Littauer’s vice president of primary/specialty care services, was previously the administrator for a gastroenterology practice, so she had a lot of experience with hesitant patients.

“I knew the biggest way people would deflect their discomfort over it was through humor,” she said. This colored the hospital’s outreach.

Dr. Kamini Ramani, one of the  at the new Kingsboro GI Center, said she performs 1,600 to 1,800 colonoscopies a year and considers it a crucial tool to save lives.

“It is still probably not being done as much as I would like to see it done,” she said.

It’s a safe procedure for most patients, Ramani said, with physical damage resulting to the colon about once every 3,000 times under ideal conditions. The risk rises under less-than-ideal medical conditions, so in some cases non-invasive tests such as CT scans are substituted for colonoscopy.

Ramani said the CT scan is good for detecting larger and cancer, but not as accurate as a colonoscopy for identifying precancerous problems. Early diagnosis is key to successful treatment, she said, because colorectal cancer takes a long time to develop but once it does it is a tough opponent to fight.

“We do try to convince people that doing a colonoscopy is a good idea,” she said. “Many patients don’t know that they can have this done, and they should be having it done.”

From 2008 to 2012, an average 49.6 men and 38.1 women out of 100,000 were diagnosed with colorectal cancer statewide, according to the state Department of Health, compared with 48.5 men and 48.6 women in Fulton County. (The rates are adjusted in the case of Fulton County, which has fewer than 100,000 residents.)

In the same period, DOH statistics show 17.8 male and 12.8 female deaths from colorectal cancer statewide per 100,000 population, compared with 23.9 male and 16.5 female deaths in Fulton County.

“Our effort is in response to that,” McMahon said.

Littauer for years had a single gastroenterologist and two endoscopy rooms. The backlog for colonoscopies was six to 12 months, McMahon said, and many people in the hospital’s service area lacked money, transportation or motivation to travel elsewhere for quicker access to the procedure.

“When you’re not screened, you don’t have the opportunity to find that precancerous polyp,” McMahon said.

Littauer set out to recruit a second and third physician — Dr. Luz Alvarez and Dr. Hamid Azizur Rehman, both previously in Amsterdam — and outfitted a new site for them to work, a former Littauer ambulatory care center on South Kingsboro Avenue Extension in Johnstown.

In April 2015, the Kingsboro GI Center began operations three days a week. Two nurse practitioners work there with the three doctors, and they perform about 20 procedures a day. The endoscopy rooms at the hospital remain in full-time use, typically for patients unable to leave the hospital.

The co-payment at the Kingsboro GI Center ranges from $50 to $100, depending what insurance the patient has.

Ramani said the colonoscopy is part of a larger picture. Healthy diet and lifestyle on the part of the patient reduce the risk of colon cancer. Rectal exams and feces tests by the family physician during the annual checkup are important for early detection, as the colonoscopy is recommended only once ever 10 years starting at age 50 for the general population.

Nathan Littauer’s efforts are mirrored in the statewide public awareness campaign by the New York Department of Health to get more people to undergo colorectal cancer screening. A DOH spokesperson said the lower-than-average screening rate in Fulton County is a likely factor in the higher-than-average death rate.

In 2013-2014, the most recent years for which data are available, the colorectal cancer screening rate in Fulton County was 59.3 percent, compared with 68.7 percent statewide, according to DOH. Surrounding counties had higher screening rates and lower death rates, DOH noted.

The state goal is 80 percent screening statewide by 2018.

McMahon cited the previously limited colonoscopy options for Fulton County’s disparity with its neighbors.

“If you put up a barrier and people really have to pursue it, it’s going to fall by the wayside,” she said. “Those barriers were here and now they’re not.”

 

Littauer’s Frederick Goldberg M.D. is featured nationally in medical publication

The findings of Nathan Littauer Hospital and Nursing Home’s Vice President, Medical Affairs & CMO Frederick Goldberg, MD, were published in Hospitals & Health Networks Daily, on August 25, 2015. The article “The One Tool You Need to Measure Patient Safety and Quality” is in H&HN Daily, a national publication available to subscribers globally via the online digital version and the website.  You can share Dr. Goldberg’s findings at:

http://www.hhnmag.com/Daily/2015/August/total-harm-rate-patient-saftey-qualityblog-linden-joshi?utm_source=daily&utm_medium=email&utm_campaign=HHN&eid=257868649&bid=1160495

Frederick Goldberg, MD - NLH Vice President, Medical Affairs & CMO

Frederick Goldberg, MD – NLH Vice President, Medical Affairs & CMO

Sue Cridland receives the prestigious Ellen Burns Award

Littauer’s Sue Cridland, RN, BSN, recently received the Ellen Burns Award by the Nursing Organization from Fulton, Montgomery and Schenectady counties.

Sue Cridland was celebrated for her commitment to the community and to the field of nursing. She has led Littauer’s HealthLink since its inception 26 years ago. HealthLink is a regional health education center, delivering healthy programming and classes to our community.

Littauer Vice President of Marketing and Communication Cheryl McGrattan said, “Under her guidance, HealthLink has grown to be a trusted resource for preventative health. Literally thousands of people have been touched by her limitless energy and informative classes. Sue is a devotee of prevention, and many have benefited from her special brand of care. Sue is always beyond kind to her patients. Her empathetic counseling leads with clinical excellence and finishes with gentle, but firm guidance.”

Sue currently serves on various councils and community groups, and currently serves on the board of Catholic Charities.

Sue Cridland’s career includes these milestones:
• 32 years of service to Nathan Littauer Hospital
• 25 years of service to HealthLink
• 179,658 HealthLink attendees from 1989 to 2013
• 7,368 programs offered since its inception 1989 to 2013

Littauer’s Sue Cridland, RN, BSN

Littauer’s Sue Cridland, RN, BSN

WNYT News Channel 13 turns to Littauer for information

On Wednesday, Feb. 25, WNYT News Channel 13 news anchor and health reporter Benita Zahn came to Nathan Littauer Hospital to talk to Littauer’s own Dr. Maruthi Sunkara and one of his patients about the new peanut allergy debate. Dr. Sunkara, his young patient, and mother did an incredible job lending clarity to the food allergy discussion.

 

Follow this link to the program segment:

 

http://wnyt.com/article/stories/s3717088.shtml?cat=12404

 

Click here for information about the new peanut study:

http://www.eurekalert.org/pub_releases/2015-02/nioa-sfp022015.php

 

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Visitation guidelines announced

ALBANY, N.Y., December 16, 2014 — Visitation guidelines are being implemented at several regional hospitals to further protect patients from influenza and other infectious diseases. These actions are being taken in response to increasing numbers of cases of influenza (Type A-H3N2) across the state and in this region.

The guidelines will be implemented in all hospitals joining this announcement by Friday, December 19, 2014.

Hospitals implementing the restrictions include Albany Medical Center; Nathan Littauer Hospital; St. Peter’s Health Partners acute care hospitals including Albany Memorial Hospital, Samaritan Hospital, St. Mary’s Hospital (Troy), St. Peter’s Hospital, and Sunnyview Rehabilitation Hospital; Ellis Medicine acute care hospitals including Bellevue Woman’s Center and Ellis Hospital; Glens Falls Hospital; Columbia Memorial Hospital; St. Mary’s Healthcare (Amsterdam); and Saratoga Hospital.

The restrictions include the following:

  • A maximum of two visitors will be permitted in a patient’s room at any one time.
  • Children 12 and under will be prohibited from visiting patients’ rooms, as they are more likely to have and transmit respiratory infections.
  • Visitors with rash, diarrhea or respiratory symptoms will be prohibited from visiting patients. These symptoms include fever, sore throat, cough, shortness of breath.

The hospitals also are urging all visitors to use hand-washing stations before entering and upon leaving a patient’s room. Hand sanitizers are available at many hospital entrances and at many other locations throughout these hospitals, including the doorways of many patient rooms.

Some hospitals have special care units or physical layouts which may have additional visitation restrictions.

Hospital officials said there is a potential that this flu season could be more severe as one of the strains circulating is not in the vaccine.  They advised that it is still important to get vaccine, as it offers protection against other circulating strains and will reduce the likelihood of severe illness.

The same guidelines announced today were developed and temporarily implemented in previous years to address influenza outbreaks. These temporary restrictions are intended to help limit the transmission of the virus and protect the health and safety of patients and the professionals who provide their care during the outbreak.