When the average person thinks about having a concussion, or mild traumatic brain injury, what comes to mind is being hit on the head hard enough to cause symptoms, with a brief loss of consciousness at most. Most people recover quickly, but it is still a structural injury to the brain that in some cases may have lifelong consequences. Now there is a growing body of research into subconcussive brain injury, a subtler phenomenon caused by repeated impacts to the head. One example of this would be heading the ball during soccer, where the player impacts their head but does not experience symptoms. The Montefiore-Einstein Soccer Study, led by Michael Lipton, MD, PhD, FACR, Medical Director of MRI services and attending radiologist at Montefiore, and Professor of Radiology at the Gruss Magnetic Resonance Research Center, Albert Einstein College of Medicine, is building our understanding of how these kinds of impacts to the head may lead to changes in the brain that accumulate over time, suggesting the development of a subclinical injury.
“ADVANCES IN IMAGING TECHNOLOGY ALLOW US TO SEE MICROSCOPIC INJURIES IN THE BRAIN THAT CAN LEAD TO SYMPTOMS OVER TIME.” —Michael Lipton, MD, PhD, FACR
Dr. Lipton has conducted brain injury research for nearly two decades where his findings indicate that susceptibility to this type of cumulative injury varies based on gender, and may be greater in those with certain genetic profiles. "Protecting your brain doesn't necessarily mean giving up sports that have proven benefits for both your brain and overall health. Understanding more about concussion and subconcussive injury can help you make good decisions when it comes to avoiding or recovering from either," says Dr. Lipton.
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The Children's Hospital at Montefiore Craniofacial Center was designated an Approved Cross- Specialty Team by the American Cleft Palate-Craniofacial Association (ACPA). "Craniofacial patients need expertise from a broad range of disciplines including plastic surgery; neurosurgery; dentistry; speech and language pathology; ear, nose and throat; social work; and psychology," says Oren Tepper, MD, Director and Associate Professor, Craniofacial Surgery, Montefiore and Einstein. "I can confidently say that we owe this success to the efforts of various people—with particular recognition for Elyse Uppal, NP, our craniofacial nurse practitioner—who coordinated all of these specialists and raised our level of care to where it is today," he says.
The designation is based on six standards of care—including team composition, communication with families, cultural competence, psychological and social service, and outcomes assessments. "This designation recognizes the excellent collaborative care we provide, involving not only multiple providers, but also the families of our young patients," says Dr. Tepper.
Wear Blue Day kicked off Montefiore-Einstein's month-long campaign, the goal of which is to encourage the public and Montefiore associates to recognize the risks and prevent colon cancer. The Grand Hall at Moses was the scene of the event, with information and giveaways for the public provided by the departments of gastroenterology, radiology and oncology. Participants enjoyed nutrition talks, learned about colorectal cancer prevention, and had fun walking through the Rollin' Colon.
The third most commonly diagnosed cancer in the United States, colorectal cancer takes about 50,000 lives each year. The good news is that colorectal cancer is one of the few cancers considered highly preventable.
There is more to come during March as we work to build awareness about colorectal cancer. Keep your Colon Rolling, and visit www.montefiore.org/colorectalcancermonth for information about upcoming events.
A ribbon-cutting ceremony was held on February 26 to celebrate the opening of Montefiore Nyack Hospital's new outpatient Cardiopulmonary Rehabilitation Center in partnership with Burke Rehabilitation Hospital. The 2,500-square-foot facility will help individuals with heart disease and those recuperating from heart attack/cardiac surgery to resume an active, healthy lifestyle through individualized exercise plans.
During National Social Work Month in March, Montefiore-Einstein recognizes our dedicated social workers who consistently elevate every person they serve throughout the health system. With leadership from Montefiore social workers, the Department of Psychiatry and Behavioral Sciences, recently launched the Montefiore Social Work Academy to provide high quality continuing education offerings. "The new Montefiore Social Work Academy is one of many examples of the creative vision and far-reaching impact of social workers throughout the Montefiore community," says Jonathan E. Alpert, MD, PhD, Chair, Psychiatry and Behavioral Sciences and Professor Psychiatry, Neuroscience and Pediatrics, Montefiore and Einstein.
Learn more about our Department of Social Services at www.montefiore.org/social-services
Michelle Ng Gong, MD, MS, has been named Chief of the Division of Pulmonary Medicine, Montefiore-Einstein. Currently Chief of the Division of Critical Care Medicine, and Jay B. Langer Critical Care Service, Dr. Gong will lead the two divisions going forward.
Richard V. Smith, MD, FACS, has been appointed Interim Chair, Otorhinolaryngology–Head and Neck Surgery, Montefiore-Einstein.
Ten pediatricians at Children's Hospital at Montefiore (CHAM) successfully completed the first-ever Pediatric Hospital Medicine subspecialty board examination established by the American Board of Pediatrics. Pediatric hospitalists specialize in inpatient pediatric medicine, providing direct patient care, consultations and coordination of care for children in the hospital. CHAM's Division of Pediatric Hospital Medicine (PHM) was launched in 2007, notes Patricia A. Hametz, MD, MPH, Chief of PHM and Associate Professor, Pediatrics, Montefiore and Einstein, and one of the 10 physicians to complete the Pediatric Hospital Medicine Subspecialty Board Examination this past November. "We have an accomplished team of pediatric specialists who have already been providing excellent care to children during their stay at CHAM," says Dr. Hametz.
Information about the rigorous requirements for this certification can be found at www.abp.org/content/pediatric-hospital-medicine-certification
If you are Ashkenazi Jewish and between the ages of 20 and 40, researchers at Einstein are seeking blood samples for their LifeLong Study, testing the molecular and cell changes that occur in normal aging.
More information can be found here: www.einstein.yu.edu/r/lifelong-study
Interested in participating? If you can be available for a one-time, 30-minute visit on the Montefiore or Einstein Campus, please call 718-839-7986 or email LifeLongStudy@einstein.yu.edu