professional pediatric group in ny & ct - comprehensive...

ADOLESCENTMEDICINE AND GYNECOLOGY

CARDIOLOGY

CRITICAL CARE

DEVELOPMENTAL PEDIATRICS

ENDOCRINOLOGY

GASTROENTEROLOGY

GENERAL PEDIATRICSAND HOSPITALISTMEDICINE

SURGERY

HEMATOLOGY/ONCOLOGY

INFECTIOUS DISEASE & IMMUNOLOGY

MEDICAL GENETICS

NEONATOLOGY

NEPHROLOGY

NEUROLOGY

OBSTETRICS/GYNECOLOGY

PSYCHOLOGY

PULMONOLOGY, ALLERGY & SLEEPMEDICINE

RESEARCH

RHEUMATOLOGY

Download our CWPW app — free for iPhone and iPad www.cwpw.org

FALL/WINTER 2012, VOL. 2, NO. 6COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND YOUNG ADULTS

SPECIALTIES

CWPW enjoys astellar reputation for

excellence in patient care.At the same time, most of the group are on thefaculty of New YorkMedical College (NYMC),and are widely respected for both basic science andclinical research. The Pulmonary, Allergy andSleep Medicine Division, under the direction of Allen J. Dozor, MD, has been the recipient of over$3 million in grants for clinical research, and isone of 18 programs selected by the AmericanLung Association (ALA) to perform real-worldclinical trials in both children and adults withasthma. According to Dr. Dozor, principalinvestigator at the ALA Clinical Research Center,it’s among the largest such groups in the country.The biggest challenge, he notes, is recruitingwilling subjects.

“Participants in these clinical trials aredesperately needed,” Dr. Dozor says. “My goalis for the families, pediatricians and staff toget the word out that we can’t ultimately

improve clinical care unless patientsvolunteer for these studies.”

Clinical trials with asthma sufferers arecrucial for a number of reasons, Dr. Dozorexplains. Asthma is the most commonchronic illness of childhood, and it is thesingle greatest cause of visits to the ER. “So there is a real need for these trials,” heinsists. “It’s important that patients contactour research coordinators: Even if they don’tfit into a current clinical trial, they canparticipate in future trials.”

The present and prospective clinical trials at CWPW span not just childhood, butadolescents and adults as well, including theelderly and even adults with asthma whosmoke. “It’s important that patients whovolunteer are representative of the real world,”Dr. Dozor states. What often occurs is that thesame patients continuously volunteer forclinical trials, which throws off the “real-world” mission embraced by CWPW. “We not only want to study children, we want their parents and grandparents with asthma to volunteer.”

WANTED: A Few Good Asthma Patients for Vital Clinical Trials

Munger Pavilion, Room 123 • Valhalla, New York 10595

Dr. Dozor explains that the American LungAssociation provides CWPW with funding tosupport the infrastructure for the clinicaltrials. “We then are able to apply foradditional funding to New York MedicalCollege from the National Institutes of Healthand pharmaceutical companies,” he says. In fact, part of President Obama’s stimuluspackage funneled down to CWPW in theform of funding for clinical trials.

Dr. Dozor stresses that these clinical trials“are practical and usually involve therapiesalready approved and found to be safe andeffective.” Studying known treatments canlead to real improvements in the quality of life of patients, as is the case with the currenttrial, known by the acronym LASST. The goalof this study is to determine how best to weana patient off medications. “All too oftendoctors add medications; the goal of LASSTis to find how to safely lower the level ofmedication when patients are doing well.”

Clinical trials can last six months orlonger. There are no costs to study subjectsand they receive compensation. Dr. Dozorand his team of 12 pulmonologists, twoallergists and research staff are veryaccommodating — even schedulingweekend and evening visits with participants.

A recent trial focused on a soy-based foodsupplement, instead of just medications. Inan upcoming trial, known as CPAP, the goalis to determine if sleeping with warm,humidified air under pressure will lessenthe need for asthma medications. Anotherclinical trial, SATIN, proposed for next year,will monitor children with asthma frominfancy to age five. “Wheezing is morecommon in preschool children than in any other age group, yet they are theleast studied.

“We’re very proud of our work,” Dr. Dozorsays. “It’s very competitive, and CWPW andNYMC have developed national reputationsfor our clinical research. We hope both thephysicians in CWPW and our patients willspread the word.”

Those interested in participating in clinical trials should call 914-593-8882 or 914-594-3320. CWPW

Allen J. Dozor, MD

CWPW • V i s i t O u r We b S i te fo r Ad d i t i o n a l I n fo rm a t i o n : w w w. c w p w. o rg

The largest group of pediatr ic special ists o f i ts kind in the region.

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ASTHMA l NEW CWPW AFFILIATIONS l CHAPPAQUA PEDIATRICS l LYME DISEASE/MRSA l SUZANNE KASETA, MD l AFFAIRS OF THE HEART l COLD COMFORT


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Best Doctors List• Pediatric Cardiology: Michael H. Gewitz, Frederick Bierman, Bernard Fish, Deborah Friedman, Henry Issenberg

• Pediatric Critical Care: Carey Goltzman • Pediatric Endocrinology: Richard Noto, Alicia Romano, Daniel Handelsman• Pediatric Gastroenterology: Stuart Berezin, Mark Glassman, Michael Halata, Leonard Newman • Gastroenterology: Edward Lebovics

• Medical Genetics: David Kronn, Lawrence Shapiro • Pediatric Hematology/Oncology: Mitchell Cairo, Mehmet Fevzi Ozkaynak, Claudio Sandoval, Oya Tugal• Neonatology: Edmund LaGamma, Sergio Golombek, Martin Katzenstein, Glenn Mendoza

• Pediatric Nephrology: Robert Allen Weiss • Nephrology: Stephen Adler, Veronica Delaney, Renee Garrick • Pediatric Neurology: Ronald Jacobson • Pediatric and Adolescent Gynecology: Monique Regard • General Pediatrics: Robin Altman, Luciano Barone, Harry Lubell

• Pediatric Pulmonology: Allen Dozor, Nikhil Amin, Joseph Boyer, Diana Lowenthal • Pediatric Rheumatology: Chun-Peng Chao • Pediatric Surgery: Gustavo Stringel, Whitney McBride, Anthony San Filippo

www.cwpw.org Download our CWPW app — free for iPhone and iPad

A MESSAGE FROM The President

At CWPWwe’ve been

busy welcomingnew physicianpartners into ourgrowing roster of practices, andworking to keepchildren healthy and safe every day of the year.We’re also thrilled that our newWeb site is up and running. It’s amajor revamping of our old site,and it will make it easier forparents, physicians and theentire community to learn moreabout the superior care providedby the unmatched physicianshere at CWPW.

We’re proud of the fact thatout Pulmonary, Allergy andSleep Medicine Division, underthe direction of Allen J. Dozor,MD, has received over $3million in grants to conductclinical research. It’s one of only18 programs selected by theAmerican Lung Association toperform real-world clinical trialsin both children and adults with

asthma. Dr. Dozor is highlyrespected in the field, and isalways looking for participantsin these trials. Read more aboutit in this issue, and if you’d liketo participate, please call 914-593-8882 or 914-594-3320.

Lyme disease is of particularinterest to those of us in theNortheast, where the tick-borneillness is rampant. NinaArlievsky, MD, a specialist ininfectious diseases and an expertin Lyme disease, offers insightinto how to detect it, treat it,and prevent it. She also sharesinformation about MRSA, the

A Message From The Presidentcontinued from page 2

infection once prevalent inhospitals that is now found inthe general community and canaffect children.

We’re pleased to welcomeChappaqua Pediatrics to theCWPW family of practices.Stuart Beeber, MD, combinesold-world TLC with modernmedicine and keep children inthe Chappaqua area healthy,and their parents happy. Wealso welcome three newcardiologists to our Connecticutoffices: Richard Berning, MD;Christa L. Miliaresis, MD; andIrfan Warsy, MD.

At CWPW we’re also proudto report that we’re branchingout to include specializedmedical services for adults.These subspecialties includeGastroenterology, Nephrology,and Obstetrics and Gynecology.We made our announcementwith an ad in The New YorkTimes, reprinted in this issue.

Keep in touch, and if youhave any questions, commentsor story ideas, please email us at:[email protected]. CWPW

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GROWING FAMILY

Leonard Newman, MD

Westchester Park Pediatrics222 North Westchester Ave.Suite 202,White Plains, NY 10604914.761.1717www.westchesterparkpediatrics.comJody A. Ross, MD, FAAPG. Patricia Avvocato, MD, FAAPAmy Eisenberg, MD, FAAPCarol L. Wurzel, MD, FAAPMichelle Ratau, MD, MPH, FAAPSpecialists in General Pediatrics

Bridgespan Medicine222 North Westchester Ave. Suite 201,White Plains, NY 10604914.698.5544www.bridgespanmedicine.comKaren J. Browner-Elhanan, MDSpecialist in Adolescent Medicine

We extend a warm welcome to these three practices and their physicians and staffs who, as of September 1, 2012, have becomemembers of CWPW’s growing family of quality health care practitioners in the Hudson Valley region:

Parents who bring their child toChappaqua Pediatrics might feel that

they’ve gone back in time a bit. Thetechnology is state of the art, the office is upto date, but the brand of medicine that headpediatrician Stuart Beeber, MD, and his teampractices is reminiscent of earlier times.

When a new mother or father brings theirbaby to see Dr. Beeber and seems concernedabout a particularly vexing or troublesomemedical issue, he’ll call them the next day tosee how the child is faring. It’s that kind ofpatient contact and TLC that gives Dr. Beeber a lot of satisfaction — and his patients realpeace of mind.

“We like to deliver what we call real ‘mom-and-pop’ treatment for our patients,”

Dr. Beeber explains. He likens it to a “Norman Rockwell kind ofmedicine” that puts the focus on the patient. “It’s a small practicethat puts the emphasis on prompt, personal attention,” he adds.

Feeling bogged down by administrative tasks and devotingupwards of 40 percent of his time to everything from payroll tooffice accounting, Dr. Beeber joined the CWPW family of medicalpractices on August 1 of this year after operating as a single-physician practice for over three decades. He has been associatedwith Maria Fareri Children’s Hospital and New York Medical Collegefor over 30 years.

“The advantage of joining CWPW is that it enables me to spendmore time with my patients,” Dr. Beeber says. Susanna Sorrentino,MD, joined the practice in August. She is an Assistant Professor of Pediatrics at New York Medical College and provides inpatientand outpatient genetics consultations for pediatric, adult, pre-conceptual, prenatal and cancer patients. Dr. Sorrentino supervisesinfusions for patients with Pompe Disease and has conductedresearch in craniofacial disorders.

The office is also unique in that Drs. Beeber and Sorrentino donot have nurses or medical assistants in the office. “We take thechild’s height, weight, temperature, blood pressure, and everything

else,” he states. They treat patients from newborns through age 26.Dr. Beeber is a longtime member of the Board of Directors of

the Oak Lane Child Care Center in Chappaqua and is on theChappaqua Volunteer Ambulance Corp. He also recently served on

a medical mission to Ecuador and is an attending pediatrician at the Northern Westchester Hospital in Mt. Kisco, NY. CWPW


Dr. Beeber explains. He likens it to a “Norman Rockwell kind of medicine”

that puts the focus on the patient. “It’s a small practice that puts the emphasis

on prompt, personal attention...”


CWPWFall/Winter 2012, Vol. 2, No 6

CWPW Newsletter is publishedfour times a year by Children’s & Women’s Physicians of Westchester, LLP. Munger Pavilion, Room 123Valhalla, NY 10595Phone: 914-594-4280Fax: 914-594-3693www.cwpw.org

Leonard Newman, MD, President Michael H. Gewitz, MD, Vice PresidentGerard Villucci, Chief Executive OfficerPublisher: Yaeger Public RelationsEditor: Harold ClarkArt Director: Denise Stieve

Stuart Beeber, MD

“We’re proud of the factthat out Pulmonary, Allergy

and Sleep Medicine Division, under the

direction of Allen J. Dozor,MD, has received over $3 million in grants to

conduct clinical research.It’s one of only 18 programsselected by the American

Lung Association to perform real-world clinical trials

in both children and adults with asthma.

Susanna Sorrentino, MD

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Finding a great doctor for your family has never been easier: the best doctors in the region are at Children’s andWomen’s Physicians of Westchester. With 39 offices throughout the Hudson Valley and experts in virtually

every medical specialization, the doctors at CWPW are consistently ranked among the finest anywhere.Blending compassion with experience, CWPW physicians are unique in their respective fields —

lauded for excellence and respected for visionary care and innovation. We join Westchester Magazine Top Doctors in saluting these superior physicians — and all the medical experts within the

CWPW family of health care professionals.

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Edmund LaGamma, Sergio Golombek, Martin Katzenstein, Glenn Mendoza

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Rheumatology: Chun-Peng Chao • P

Munger Pavilion, Room 123, Valhalla, NY 10595 • (914) 594-4021 • www.cwpw.org

Download our CWPW app — free for iPhone and iPad.

Children’s and Women’s Physicians of Westchester, LLP

Congratulates our 2012 Top Doctorsand celebrates the outstanding medical care

provided by all of our physicians in Westchester and throughout the Hudson Valley.


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As Advertised in Westchester Magazine

Polly Kanganis, MD4 Studio ArcadeBronxville, NY 10708914.771-9441Sole practitionerSpecialist in OB/GYN

SLEEP MEDICINE PROGRAMExpands at CWPW

Priya Prashad, MD, is joining CWPW'sPediatric Sleep Medicine Program,

effective January 2013. The announcementwas made by Allen J. Dozor, MD, Chief of PediatricPulmonology, Allergy and Sleep Medicine at CWPW.

Dr. Prashad specializes in the evaluation and managementof sleep disorders in children, including a wide variety ofcommon maladies: insomnia, daytime sleepiness, frequentwaking, nightmares and night terrors, as well as disturbedbreathing and apnea during sleep. Dr. Prashad completed hertraining in Pediatric Sleep Medicine at the Children’s Hospitalof Philadelphia, perhaps the most prestigious sleep programin the United States.

Dr. Nadav Traeger, Director of Pediatric Sleep Medicine of Children’s and Women’s Physicians of Westchester, says: “I am thrilled that Dr. Prashad has agreed to join our rapidlygrowing Program, which is already by far the busiest in theHudson Valley. Children of all ages, from infancy toadolescence, frequently have difficulties with sleep, andfamilies are often desperate for help. With the help of Dr. Prashad, we hope to expand our clinical services, our educational programs, and our research.” CWPW

Priya Prashad, MD

CHAPPAQUA PEDI ATRICSPractices Modern Medicine with the Traditional Touch

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• Medical Genetics: David Kronn, Lawrence Shapiro • Pediatric Hematology/Oncology: Mitchell Cairo, Mehmet Fevzi Ozkaynak, Claudio Sandoval, Oya Tugal• Neonatology: Edmund LaGamma, Sergio Golombek, Martin Katzenstein, Glenn Mendoza

• Pediatric Nephrology: Robert Allen Weiss • Nephrology: Stephen Adler, Veronica Delaney, Renee Garrick • Pediatric Neurology: Ronald Jacobson • Pediatric and Adolescent Gynecology: Monique Regard • General Pediatrics: Robin Altman, Luciano Barone, Harry Lubell

• Pediatric Pulmonology: Allen Dozor, Nikhil Amin, Joseph Boyer, Diana Lowenthal • Pediatric Rheumatology: Chun-Peng Chao • Pediatric Surgery: Gustavo Stringel, Whitney McBride, Anthony San Filippo



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• Medical Genetics: David Kronn, Lawrence Shapiro • Pediatric Hematology/Oncology: Mitchell Cairo, Mehmet Fevzi Ozkaynak, Claudio Sandoval, Oya Tugal

• Neonatology: Edmund LaGamma, Sergio Golombek, Martin Katzenstein, Glenn Mendoza • Pediatric Nephrology: Robert Allen Weiss • Nephrology: Stephen Adler, Veronica Delaney, Renee Garrick • Pediatric Neurology: Ronald Jacobson

• Pediatric and Adolescent Gynecology: Monique Regard • General Pediatrics: Robin Altman, Luciano Barone, Harry Lubell • Pediatric Pulmonology: Allen Dozor, Nikhil Amin, Joseph Boyer, Diana Lowenthal

• Pediatric Rheumatology: Chun-Peng Chao • Pediatric Surgery: Gustavo Stringel, Whitney McBride, Anthony San Filippo



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• Medical Genetics: David Kronn, Lawrence Shapiro • Pediatric Hematology/Oncology: Mitchell Cairo, Mehmet Fevzi Ozkaynak, Claudio Sandoval, Oya Tugal

• Neonatology: Edmund LaGamma, Sergio Golombek, Martin Katzenstein, Glenn Mendoza • Pediatric Nephrology: Robert Allen Weiss • Nephrology: Stephen Adler, Veronica Delaney, Renee Garrick • Pediatric Neurology: Ronald Jacobson

• Pediatric and Adolescent Gynecology: Monique Regard • General Pediatrics: Robin Altman, Luciano Barone, Harry Lubell • Pediatric Pulmonology: Allen Dozor, Nikhil Amin, Joseph Boyer, Diana Lowenthal

• Pediatric Rheumatology: Chun-Peng Chao • Pediatric Surgery: Gustavo Stringel, Whitney McBride, Anthony San Filippo



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• Adolescent Medicine: Karen Browner-Elhanan

Christa L. Miliaresis, MD, is Director of the PediatricCardiology Exercise Lab at CWPWin Hawthorne, and also sees heryoung patients at CWPW officesin Norwalk and Danbury. The stateof the art exercise lab has provento be a great leap forward for her

and her fellow cardiologists. “Ten to 20 years ago,physicians did stress tests as a matter of course,” sheexplains. “Today we’re getting very subspecialized,” and the modern stress test is part of that transformation.

“Today it’s amazingly effective as a tool,” Dr. Miliaresis says of exercise physiology, bothdiagnostically and in treating children with a range ofcardiac issues. “Many pediatricians just don’t realizewhat a valuable tool it really is.” As technologyimproves, she adds, “even more people will benefit”from exercise physiology. “In cardio-pulmonary, it’sbecome very powerful in predicting mortality and patient outcomes,” Dr. Miliaresis adds.

The myriad applications of the Cardiology ExerciseLab are useful in helping children with congenital heart

diseases and defects,and in predicting achild’s health downthe road. Exercisephysiology, she notes,has been an integralcomponent of pediatriccardiac treatment for

years in Israel, and throughout Europe. For youngathletes in particular, Dr. Miliaresis notes, exercisephysiology is critical, coupled with traditional diagnosticmeasures such as the echocardiogram (echo) and theelectrocardiogram (EKG). “For any athlete with cardiacsymptoms, it’s one of the top tests, along with the echoand the EKG,” she says. For patients with cardiacarrhythmia, or irregular heartbeat, the CardiologyExercise Lab is essential in predicting risk of futurecomplications.

Dr. Miliaresis champions the numerous benefits ofCWPW’s Cardiology Exercise Lab: “It really is the bestmeasure of cardio-pulmonary fitness.”

Dr. Miliaresis came to CWPW after completing hertraining at Yale and working in its medical system forseveral years. CWPW

has Lyme disease. Symptoms range from swollen joints, rash and fatigue to body aches — not unlike flu symptoms. “The proper thing to do is to consult a physician to rule out other issues, such as generalfatigue,” she explains. “Once treated symptoms willimprove over a week or two.” Parents can help afflictedchildren by providing supportive care and administer pain relievers for joint pain, or an anti-inflammatorymedication, but only on the advice of a physician.

Prevention is key, she stresses, which means wearinglong sleeves and long pants in all weather, and checkingoften for ticks. Treatments include Amoxicillin,doxycycline, and cefuroxime.

MRSA, which stands for methicillin-resistantStaphylococcus aureus, is a well-known bacterium thatcauses a range of infections, and in a range of ages, Dr.Arlievsky reports. “It usually presents itself with puss-producing infections such as boils,” she says. Somestrains are resistant to anti-staphylococcal antibiotics,giving rise to its distinction as a “super bug.” A personhas about a 30-percent chance of becoming colonizedwith Staphylococcus aureus.

Some people are more susceptible than others tocontracting the infection. Toddlers particularly are primetargets, Dr. Arlievsky says, thanks to wet diapers and theirpropensity for exploring everything in sight. Teens canalso be susceptible, she adds, as this group can tend toforego hygiene for periods of time.

MRSA used to be predominant in hospitals. “Now it’smore community-acquired,” Dr. Arlievsky says, “meaningthat it’s prevalent among the general population. Anyone

can get it. It can be treated with antibiotics, orally ortopically. The key to treating boils is warm soaks to helpthem to drain.” Patients can also have a fever andspreading redness.

“Prevent MRSA with good hygiene,” Dr. Arlievskynotes, “which means frequent hand-washing, and use of alcohol-based hand-sanitizers. This is a very good way to inhibit the spread of bacteria.” New antibiotics areavailable that are very effective in the treatment of MRSA,she adds. CWPW

The thought of your childcontracting Lyme disease

or any serious infections diseasecan be terrifying. The nefarious little tick can wreak havoc, andseveral weeks can pass before itcan be confirmed by blood tests.According to Nina Arlievsky, MD,

attending physician in pediatric infectious diseases atCWPW and an expert in Lyme disease, it took time fordoctors to recognize, identify and develop lab tests todetect the disease. “But now,” she says, “there have been numerous studies and excellent progress withLyme disease — as long as it is diagnosed and treated correctly.”

Prevalent in suburban areas and any wooded orgrassy region populated by wild animals throughout theNortheast, ticks attach to a host and deposit the infectionafter burrowing their head in a host. Dr. Arlievsky saysthat if a classic bulls-eye rash appears, it is “certainconfirmation” that the child has been bitten by a tick and

Nina Arlievsky, MD

LYME DISEASE/MRSA Prevention Is Key to Protecting Children

“Parents can help afflicted children by providing supportive

care and administer pain relievers for joint pain, or an

anti-inflammatory medication, butonly on the advice of a physician.”

4 5www.cwpw.org Download our CWPW app — free for iPhone and iPad Download our CWPW app — free for iPhone and iPad www.cwpw.org

Richard A. Berning, MD, is thefirst line of defense in treatingnewborns and children inSouthwestern Connecticut withsuspected heart conditions. As theleading practitioner at PediatricHeart Specialists, LLC, in SandyHook, Dr. Berning is the critical

link in diagnosing and treating pediatric cardiologypatients in the south west corner of Connecticut, andarranging for intervention in critical-care patients at atertiary care level children’s hospital.

Dr. Berning joined CWPW in August of this year.Already familiar with Michael H. Gewitz, MD, Chief ofPediatric Cardiology at CWPW, from conducting roundsat Danbury Hospital, Dr. Berning discussed the prospectof teaming up with CWPW over several months. “There is a real advantage to being part of a large group,”Dr. Berning explains, and handing off many of theadministrative duties to support personnel at CWPWallows him to concentrate on treating his patients. “Withall the changes taking place in health care these days, itmakes sense to manage it all efficiently and effectively,”Dr. Berning says.

Dr. Berningperforms a full range ofpediatric cardiacdiagnostic proceduresand treatment at hisSandy Hook office,including everythingfrom 2D echocardiogram and EKG’s to outfitting childrenwith event and Holter monitors, he also providesemergency consultations in the newborn nurseries atlocal hospitals. When significant intervention is requiredor advanced cardiac surgery is indicated, Dr. Berningkeeps in contact with his patients through a closerelationship with the cardiac team at Maria FareriChildren’s Hospital at Westchester Medical Center.

There is comfort among parents in knowing that Dr. Berning is accessible and convenient; thus avoiding a long trip for pediatric cardiac examination or treatment.“I feel I’ve brought a level of care here to the communitythat keeps mom and baby together, and being part ofCWPW only enhances that opportunity.” Dr. Berningcompleted his cardiology training at the University ofCalifornia-San Francisco and was on the Pediatric faculty at Tufts Children’s Hospital before coming to Connecticut.

As CWPW expands andbrings more pediatric

practices into its widening phalanxof medical offices, the focus onreinforcing subspecialties hasnever been greater. In Connecticutparticularly, where there arepediatric cardiology specialists in

three offices — in Norwalk, Danbury and Sandy Hook— CWPW offers a range of child health services, and is placing a greater emphasis on pediatric cardiology.

Irfan Warsy, MD, spends considerable time inCWPW’s Norwalk and Danbury offices when he’s notseeing pediatric cardiac patients at Maria FareriChildren’s Hospital in Valhalla. Dr. Warsy specializes in the diagnosis and treatment of complex arrhythmiasin children and adolescents. He also concentrates oncatheter-based techniques for the treatment of heartrhythm abnormalities, and has worked extensively onpacemaker and Implantable Cardioverter-Defibrillator(ICD) implantation. His research includes the utilizationof non-invasive heart rhythm monitoring tools inarrhythmia management.

“We’ve been in Norwalk for several years, and inDanbury for over a decade,” Dr. Warsy explains. “Weprovide all services, including evaluation of heartmurmurs, fainting spells, chest pain, and palpitations, as well as the diagnosis and follow-up of complex heartlesions.” A full range of diagnostic procedures isperformed at the Norwalk, Danbury and Sandy Hookoffices of CWPW, including 2-D echocardiograms,Holter and event/loop monitoring, and 12-lead EKGs.

Dr. Warsy joined CWPW after an additional year inspecialized electrophysiology training at Duke Universityfollowing his core fellowship at Yale.

Irfan Warsy, MD

AFFAIRS OF THE HEART CWPW Broadens Cardiac Services in Connecticut

Richard A. Berning, MD Christa L. Miliaresis, MD

Dr. Kaseta will facilitate the introduction of qualifiedsubspecialists by regularly hosting what is referred to as ‘dine arounds.’ “It is important to create personalrelationships with the subspecialists you will be referringto,” says Dr. Kaseta. “The best way to do that is to meetthe physicians in a comfortable venue outside the typicaloffice environment where you can share information and

communicate openly.” The ‘dine arounds’ have beensuccessful in Westchester and bring physician groupsand subspecialists together for a special evening ofdinner and camaraderie at a premier restaurant in thearea. Car service is provided for physicians if needed.The first ‘dine around’ event will take place in Rocklandwith formal invitations going out shortly.

Dr. Kaseta is a practice manager of Washingtonville

Pediatrics in Orange County, where she designed and builtan 11,000 square-foot medical practice that is also hometo other medical specialties. Dr. Kaseta received hermedical degree and performed her Pediatric ChiefResidency at Albert Einstein College of Medicine/Montefiore Medical College. She will become a CertifiedPhysician Executive (CPE) in February 2013 and recently

completed prerequisite training in Quality Management at the American College of Physician Executives. She is working toward her Master’s Degree in MedicalManagement at Carnegie Mellon University.

Says Dr. Newman, “I am thrilled to have Dr. Kaseta as a member of our team and ask every physician who is a member of the CWPW family to support Dr. Kaseta in her new role.” CWPW

Leonard Newman, MD,President of CWPW, recently

announced the appointment ofSuzanne Kaseta, MD, as PhysicianDirector of Community QualityInitiatives. “Putting qualitymeasures in place is critical to thesuccess of every medical practice

in today’s healthcare environment,” says Dr. Newman.“Improving quality leads to improved efficiencies, and ultimately, better patient outcomes and cash flow. Dr. Kaseta will play a valuable role in implementingquality initiatives that will benefit all the practicescomprising CWPW.”

Although Dr. Kaseta’s role in quality issues will be farreaching, her first initiative will be to focus on helpingprivate practices create a team of highly qualifiedsubspecialists for referral. “It is important to have directaccess to high-quality subspecialists who are responsiveto your referrals, provide quick appointment times, andcan help you manage your case timely and efficiently,”says Dr. Kaseta. “Having a quality referral network helpsimprove the overall patient experience and, therefore,improves patient satisfaction.”

Suzanne Kaseta MD

CWPW APPOINTS SUZANNE KASETA, MD Physician Director of Community Quality Initiatives

“Improving quality leads to improved efficiencies,and ultimately,better patient outcomes and cash flow. Dr. Kaseta will play a

valuable role in implementing quality initiatives that will benefit all the practices comprising CWPW.”

“ I feel I’ve brought a level of care hereto the community that keeps mom and

baby together, and being part of CWPWonly enhances that opportunity.”

Michael H. Gewitz, MD,Chief, Pediatric Cardiology and Vice President, CWPW

The Pediatric Cardiovascular programs of CWPW, centered at the Children’s Heart Center at Maria FareriChildren’s Hospital, have continued to grow to meet the needs of children and their families in the Hudson

Valley, in Connecticut, and elsewhere in our region. Fifteen attending Cardiologists, the Pediatric Surgery team,and a full complement of clinical nurse specialists, dedicated technologists, and other support staff all work togetherto help children and their families with the entire spectrum of cardiovascular concerns that they might encounter.Our 3 CWPW specialty centers in Connecticut help bring that depth of expertise close to home for yo ung patientsand their families in the region.





















Nina Arlievsky, MD

















Irfan Warsy, MD













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Suzanne Kaseta MD










From newborns to adolescence and now specialized medicine for adults,we’re with you every step of the way.


Pediatric Subspecialties Include:• Adolescent Medicine & Gynecology • Cardiology • Critical Care •• Developmental Pediatrics • Endocrinology • Gastroenterology •

• General Pediatrics & Hospitalist Medicine • Surgery • Hematology/Oncology • • Infectious Disease & Immunology • Medical Genetics • • Neonatology • Nephrology • Neurology • Psychology •

• Pulmonology, Allergy & Sleep Med icine • Research • Rheumatology •

Adult Subspecialties Include:• Gastroenterology • Nephrology • Obstetrics and Gynecology •

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With 39 regional offices, 23 areas of medical expertise, 230 skilled physicians and now expertise in Gastroenterology,Nephrology and Obstetrics and Gynecology, CWPW is settingnew standards for excellence in family health care in the Hudson Valley — and beyond.

There’s nothing more important than the health of your family.That’s why in the Hudson Valley and Southern Connecticut,

families rely on superior care from the doctors at CWPW. It’s state of the art medicine that’s right in your community — without havingto travel to New York City or beyond. Great doctors, unparalleledmedical expertise, and all close to home: Your family always comesfirst at CWPW.


Westchester County

Children’s and Women’s Physicians ofWestchester LLP at Bradhurst

1 19 Bradhurst Avenue,Suites 1400, 2400 & 2550Hawthorne, NY 10532• Cardiology – (914) 594-4370 • Endocrinology – (914) 366-3400• General Pediatrics – (914) 493-7235• Hematology/Oncology – (914) 493-7997• Infectious Disease – (914) 493-8333• Medical Home – (914) 594-4602• Nephrology – (914) 493-7583• Neonatology Follow-Up Program –

Referral Only• Pediatric Surgery – (914) 493-7620, (914) 761-5437

• Psychology – (914) 493-7697• Pulmonology/Allergy – (914) 493-7585• Rheumatology – (914) 594-4835

Children’s and Women’s Physicians ofWestchester LLP at Grasslands Road

2 503 Grasslands Road, Suites 200 & 201Valhalla, NY 10595• Adolescent Medicine – (914) 304-5300• Developmental – (914) 304-5250• Gastroenterology – (914) 367-0000• Medical Genetics/Metabolic –(914) 304-5300

Gastrointestinal and HepatobiliaryConsultants NYMC Munger Pavilion

3 Valhalla, NY 10595• Adult Gastroenterology (914) 594-3415

Nephrology Associates of Westchester

4 19 Bradhurst, Suite #100Valhalla, NY 10595• Adult Nephrology (914) 493-7701

Medical Service Building at Phelps Memorial Hospital

5 755 North Broadway, Suites 400 & 540Sleepy Hollow, NY 10591• Endocrinology – (914) 366-3400• Neurology – (914) 358-0188/0190

Briarcliff Pediatric Associates

6 755 North Broadway, Suite 500Sleepy Hollow, NY 10591• General Pediatrics – (914) 366-0015

Bronxville Women's Care

7 1 Pondfield Rd #302Bronxville, NY 10708• Obstetrics/Gynecology – (914) 337-3715

Polly Kanganis, MD

8 4 Studio ArcadeBronxville, NY 10708• Obstetrics/Gynecology – (914) 771-9441

Croton Pediatrics

9 130 Grand StreetCroton-on-Hudson, NY 10520• General Pediatrics – (914) 271-4727

Eastchester Pediatric Medical Group

10266 White Plains RoadEastchester, NY 10709-4423• General Pediatrics – (914) 337-3960

Pediatrics of Sleepy Hollow

11150 White Plains Road, Suite #101Tarrytown, NY 10591• General Pediatrics – (914) 332-4141

Sound Shore Medical Center

1216 Guion Place New Rochelle, NY 10802• Cardiology – (914) 594-4370• Endocrinology – (914) 366-3400• Hematology/Oncology – (914) 365-3065

Bridgespan Medicine

13222 North Westchester AveSuite 201White Plains, NY 10604• Adolescent Medicine – (914) 698-5544

Children’s Rehabilitation Center

14317 North StreetWhite Plains, NY 10605• Neonatology – (914) 597-4080/4115

Westchester Park Pediatrics

15222 North Westchester AveSuite 202White Plains, NY 10604• General Pediatrics – (914) 761-1717

Chappaqua Pediatrics

16175 King StreetChappaqua, NY 10514• General Pediatrics – (914) 238-8550

Rockland County

Bardonia Pediatrics

17446 Route 304Bardonia, NY 10954• General Pediatrics (845) 623-8031

North Rockland Pediatric Associates

18171 Ramapo Road Garnerville, NY 10923• General Pediatrics – (845) 947-1772

Orangetown Pediatric Associates

19422 Western HighwayTappan, NY 10983• General Pediatrics – (845) 359-0010

Pediatrics and Adolescent Medicine of New City

20337 North Main StreetNew City, NY 10956• General Pediatrics – (845) 634-7900

Pomona Pediatrics

214 Medical Park Drive, Suite CPomona, NY 10970• General Pediatrics – (845) 362-0202

Suffern Medical Pavilion at Good Samaritan Hospital

22255 Lafayette Avenue, Suites 370 & 390Suffern, NY 10901• Cardiology – (914) 594-4370• Endocrinology – (914) 366-3400• Gastroenterology – (914) 367-0000• Medical Genetics/Metabolic – (914) 304-5300

• Neonatology Follow-Up Program – Referral Only

• Neurology – (914) 358-0188/0190 • Pulmonology – (914) 493-7585

Orange County

Herbert Kania Pediatric Group

2310 Ronald Reagan Blvd.Warwick, NY 10990• General Pediatrics – (845) 986-2058

Medical Center of New Windsor

24575 Hudson Valley Avenue, Suite 203New Windsor, NY 12553• Cardiology – (914) 594-4370• Gastroenterology – (914) 367-0000• Pulmonology – (914) 493-7585

Children’s and Women’s Physicians ofWestchester at Middletown

25100 Crystal Run Road, Suite 108Middletown, NY 10941• Cardiology – (914) 594-4370• Developmental – (914) 304-5250• Endocrinology – (914) 366-3400• Gastroenterology – (914) 367-0000• Hematology/Oncology – (914) 493-7997• Medical Genetics/Metabolic –

(914) 304-5300• Neonatology Follow-Up Program –

Referral Only• Neurology – (914) 358-0188/0190• Pulmonology – (914) 493-7585

Pediatric Care of the Hudson Valley

26266 North StreetNewburgh, NY 12550• General Pediatrics (845) 565-5437

Washingtonville Pediatrics

2710 Weathervane DriveWashingtonville, New York 10992 • General Pediatrics (845) 496-5437

Dutchess County

Kathleen Ennabi, MD

28 2529 Route 52, Suite #3Hopewell Junction, NY 12533

• General Pediatrics (845) 227-0123

Pediatric Sub-Specialty Center at Vassar Brothers Medical Center

29 45 Reade PlacePoughkeepsie, NY 12601

• Cardiology – (914) 594-4370• Gastroenterology – (914) 367-0000• Hematology/Oncology – (914) 493-7997• Medical Genetics/Metabolic –

(914) 304-5300• Pulmonology – (914) 493-7585

Children’s and Women’s Physicians ofWestchester LLP at Fulton Ave

104 Fulton Ave, Poughkeepsie, NY 12601• Pulmonology – (914) 493-7585 • Endocrinology – (914) 366-3400• Neonatology – (914) 493 - 8431• Nephrology – (914) 493-7583 • Infectious Disease – (914) 493-8333• Cardiology – (914) 594- 4370• Neurology – (914) 358-0188/0190

Bronx County

Woodlawn Medical Arts Building

304350 Van Cortlandt Park East Bronx, NY 10470• Allergy – (347) 226-6437 • Adolescent Gynecology –

(347) 226-6437

• Cardiology – (914) 594-4370• Developmental – (914) 304-5250• Endocrinology – (718) 231-6565• Gastroenterology – (914) 367-0000• General Pediatrics – (718) 231-6565• Hematology/Oncology – (347) 226-6437• Medical Genetics/Metabolic –

(914) 304-5300• Neurology – (914)358-0188/

(347) 226-6437• Pulmonology – (914) 493-7585

Putnam County

Bennett Pallant, MD

31 906 Route 6 Mahopac, NY 10541• General Pediatrics (845) 628-2015

Virgilio Monteleone , MD

32 263 North Brewster RoadBrewster, NY 10509• General Pediatrics (845) 279-5161

Carmel Pediatrics

33 11 Fair StreetCarmel, NY 10512• General Pediatrics (845) 225-7337

Southern Connecticut

Children’s and Women’s Physicians of Westchester, LLP at Danbury

3467 Sandpit RoadDanbury, CT 06810• Cardiology – (914) 594-4370• Gastroenterology – (914) 367-0000• Medical Genetics/Metabolic –

(914) 304-5300

Children’s Medical Group of Greenwich

3542 Sherwood PlaceGreenwich, CT 06830• General Pediatrics – (203) 661-2440

Children’s Specialty Center at Norwalk Hospital

3630 Stevens AvenueNorwalk, CT 06856• Cardiology – (914) 594-4370• Gastroenterology – (914) 367-0000• Pulmonology – (914) 493-7585

Pediatric Gastroenterology

37149 East Avenue, Suite 39Norwalk, CT 06851• Gastroenterology – (203) 853-7170

Pediatric Heart Specialists

38107 Church Hill RoadSandyhook, CT 06842• Cardiologist – (203) 426-0225

New Jersey


391900 Union Valley Road Hewitt, New Jersey 07421• General Pediatrics – (973) 728-4480

CWPW LOCATIONS

67

www.cwpw.org Download our CWPW app — free for iPhone and iPad Download our CWPW app — free for iPhone and iPad www.cwpw.org

As advertised in

Children’s and Women’s Physicians of Westchester also provides a cancer carenetwork, including an excellent hematology oncology program, that allows care to be given locally once a diagnosis is made by a CWPW physician, according to Dr. Newman. “So, for children who come to us from 50 or 60 miles away for diagnosispurposes, we have outreach sites so chemotherapy can be given locally and the familydoesn’t have to travel into New York City or Westchester,” explains Dr. Newman. “But if they live in Connecticut or Duchess County, they can come to us. Or if a child isdiagnosed [with] autism by us, our specialists get involved in the school system tohelp the families so they’re not alone in getting the proper treatment.”

CWPW also provides transition care for patients who often fall through the cracks:those who are no longer teenagers but who still require care for illnesses they have hadsince their childhood or adolescence. “The neglected group of patients is between 18and 26 who formally didn’t get proper help,” says Dr. Newman. “They’re seen by theirpediatrician, and then there’s no transfer to adult services. We’ve started adding adultgroups, particularly adult gastroenterology and nephrology, to transition the care ofchildren with illnesses who became adults.” CWPW

Children’s and Women’s Physicians of Westchester (CWPW) is a dedicated networkof children’s physicians with locations throughout the Hudson Valley area, as well

as parts of Connecticut and New Jersey. The network provides comprehensive care toinfants, children and adolescents coping with a wide range of medical issues – fromallergies and Crohn’s disease to cystic fibrosis and cancer.

The group of physicians includes general pediatricians as well as subspecialist inareas such as pediatric gastroenterology, cardiology, pulmonology, nephrology (diseasesof the kidneys) and gynecology, as well as a pediatric surgical group. Patients are oftenreferred from pediatric practices and community hospitals.

“We take all children and now all children [who are under the age of 19 and residentsof New York State] are insured through Child Health Plus,” says Leonard Newman, MD,President of Children’s and Women’s Physicians of Westchester. “We participate in all of the [insurance] plans – that way, no child is turned away.”

LEONARD NEWMAN, MD, President of CWPW

As advertised in








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Westchester County

















Polly Kanganis, MD


Croton Pediatrics








Bridgespan Medicine








Rockland County

Bardonia Pediatrics








Pomona Pediatrics






Orange County













Dutchess County

Kathleen Ennabi, MD






(914) 304-5300• Pulmonology – (914) 493-7585



Bronx County



(347) 226-6437


(914) 304-5300• Neurology – (914)358-0188/

(347) 226-6437• Pulmonology – (914) 493-7585

Putnam County

Bennett Pallant, MD




Carmel Pediatrics





(914) 304-5300









New Jersey



CWPW LOCATIONS

67


As advertised in








As advertised in








( 9 1 4 ) 5 9 4 - 4 0 2 1 • w w w . c w p w . o r g





Westchester County

















Polly Kanganis, MD


Croton Pediatrics








Bridgespan Medicine








Rockland County

Bardonia Pediatrics








Pomona Pediatrics






Orange County













Dutchess County

Kathleen Ennabi, MD






(914) 304-5300• Pulmonology – (914) 493-7585



Bronx County



(347) 226-6437


(914) 304-5300• Neurology – (914)358-0188/

(347) 226-6437• Pulmonology – (914) 493-7585

Putnam County

Bennett Pallant, MD




Carmel Pediatrics





(914) 304-5300









New Jersey



CWPW LOCATIONS

67


As advertised in








As advertised in








( 9 1 4 ) 5 9 4 - 4 0 2 1 • w w w . c w p w . o r g





Westchester County

















Polly Kanganis, MD


Croton Pediatrics








Bridgespan Medicine








Rockland County

Bardonia Pediatrics








Pomona Pediatrics






Orange County













Dutchess County

Kathleen Ennabi, MD






(914) 304-5300• Pulmonology – (914) 493-7585



Bronx County



(347) 226-6437


(914) 304-5300• Neurology – (914)358-0188/

(347) 226-6437• Pulmonology – (914) 493-7585

Putnam County

Bennett Pallant, MD




Carmel Pediatrics





(914) 304-5300









New Jersey



CWPW LOCATIONS

67


As advertised in








As advertised in


ADOLESCENTMEDICINE AND GYNECOLOGY

CARDIOLOGY

CRITICAL CARE

DEVELOPMENTAL PEDIATRICS

ENDOCRINOLOGY

GASTROENTEROLOGY

GENERAL PEDIATRICSAND HOSPITALISTMEDICINE

SURGERY

HEMATOLOGY/ONCOLOGY

INFECTIOUS DISEASE & IMMUNOLOGY

MEDICAL GENETICS

NEONATOLOGY

NEPHROLOGY

NEUROLOGY

OBSTETRICS/GYNECOLOGY

PSYCHOLOGY

PULMONOLOGY, ALLERGY & SLEEPMEDICINE

RESEARCH

RHEUMATOLOGY


FALL/WINTER 2012, VOL. 2, NO. 6COMPREHENSIVE CARE FOR INFANTS, CHILDREN AND YOUNG ADULTS

SPECIALTIES

CWPW enjoys astellar reputation for

excellence in patient care.At the same time, most of the group are on thefaculty of New YorkMedical College (NYMC),and are widely respected for both basic science andclinical research. The Pulmonary, Allergy andSleep Medicine Division, under the direction of Allen J. Dozor, MD, has been the recipient of over$3 million in grants for clinical research, and isone of 18 programs selected by the AmericanLung Association (ALA) to perform real-worldclinical trials in both children and adults withasthma. According to Dr. Dozor, principalinvestigator at the ALA Clinical Research Center,it’s among the largest such groups in the country.The biggest challenge, he notes, is recruitingwilling subjects.

“Participants in these clinical trials aredesperately needed,” Dr. Dozor says. “My goalis for the families, pediatricians and staff toget the word out that we can’t ultimately

improve clinical care unless patientsvolunteer for these studies.”

Clinical trials with asthma sufferers arecrucial for a number of reasons, Dr. Dozorexplains. Asthma is the most commonchronic illness of childhood, and it is thesingle greatest cause of visits to the ER. “So there is a real need for these trials,” heinsists. “It’s important that patients contactour research coordinators: Even if they don’tfit into a current clinical trial, they canparticipate in future trials.”

The present and prospective clinical trials at CWPW span not just childhood, butadolescents and adults as well, including theelderly and even adults with asthma whosmoke. “It’s important that patients whovolunteer are representative of the real world,”Dr. Dozor states. What often occurs is that thesame patients continuously volunteer forclinical trials, which throws off the “real-world” mission embraced by CWPW. “We not only want to study children, we want their parents and grandparents with asthma to volunteer.”

WANTED: A Few Good Asthma Patients for Vital Clinical Trials

Munger Pavilion, Room 123 • Valhalla, New York 10595

Dr. Dozor explains that the American LungAssociation provides CWPW with funding tosupport the infrastructure for the clinicaltrials. “We then are able to apply foradditional funding to New York MedicalCollege from the National Institutes of Healthand pharmaceutical companies,” he says. In fact, part of President Obama’s stimuluspackage funneled down to CWPW in theform of funding for clinical trials.

Dr. Dozor stresses that these clinical trials“are practical and usually involve therapiesalready approved and found to be safe andeffective.” Studying known treatments canlead to real improvements in the quality of life of patients, as is the case with the currenttrial, known by the acronym LASST. The goalof this study is to determine how best to weana patient off medications. “All too oftendoctors add medications; the goal of LASSTis to find how to safely lower the level ofmedication when patients are doing well.”

Clinical trials can last six months orlonger. There are no costs to study subjectsand they receive compensation. Dr. Dozorand his team of 12 pulmonologists, twoallergists and research staff are veryaccommodating — even schedulingweekend and evening visits with participants.

A recent trial focused on a soy-based foodsupplement, instead of just medications. Inan upcoming trial, known as CPAP, the goalis to determine if sleeping with warm,humidified air under pressure will lessenthe need for asthma medications. Anotherclinical trial, SATIN, proposed for next year,will monitor children with asthma frominfancy to age five. “Wheezing is morecommon in preschool children than in any other age group, yet they are theleast studied.

“We’re very proud of our work,” Dr. Dozorsays. “It’s very competitive, and CWPW andNYMC have developed national reputationsfor our clinical research. We hope both thephysicians in CWPW and our patients willspread the word.”

Those interested in participating in clinical trials should call 914-593-8882 or 914-594-3320. CWPW

Allen J. Dozor, MD

CWPW • V i s i t O u r We b S i te fo r Ad d i t i o n a l I n fo rm a t i o n : w w w. c w p w. o rg


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ASTHMA l NEW CWPW AFFILIATIONS l CHAPPAQUA PEDIATRICS l LYME DISEASE/MRSA l SUZANNE KASETA, MD l AFFAIRS OF THE HEART l COLD COMFORT


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