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Heroic First Responder, Dr. Ugo Paolucci, Stroke Director at NYP-Lawrence Hospital PDF Print Email

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By Staff

May 20, 2020: Dr. Ugo Paolucci was named the Stroke Director of New York Presbyterian-Lawrence Hospital in July of last year, about eight months before the coronavirus pandemic started in New York, with one of the first known cases at NYP-Lawrence Hospital.

Dr. Paolucci specializes in vascular neurology, acute stroke management, and acute cerebrovascular emergencies, training that has been invaluable during the COVID-19 outbreak.

Before the COVID-19 outbreak, Dr. Paolucci's medical practice consisted of treating patients experiencing neurological issues of all kinds. But, since the outbreak, 90% of the patients he sees have COVID-19 and are experiencing neurological problems.

He works five days a week, up to 10 hours per day at NYP-Lawrence Hosptial, and shares calls in the evenings and weekends. He and his colleague, Dr. Igor Zilberman, rotate schedules along with other neurologists to provide the 100% coverage needed.

As Dr. Paolucci explains, COVID-19 is a new disease, and doctors have been developing a better understanding of it over the past couple of months but still have much to learn. One thing they now know is that patients with COVID-19 tend to "clot more," which can put them at risk of ischemic stroke as well as pulmonary embolism. As a result, some patients with no known risk factors for stroke are having strokes.

He explains that, at this time, it's not possible to be 100% sure that the strokes that they are seeing in COVID-19 patients are a result of COVID-19 because 10 to 20 percent of typical stroke patients may have no specific cause or underlying condition at presentation. But the additional clotting that is suspected to accompany COVID-19 may be the "tipping point" for some patients that results in a stroke. Doctors won't know for sure until they have more long term data and analysis.

One of the challenges now is how to treat COVID-19 patients. Should they all be given blood thinners that slow down clotting? What are the best protocols? This is what doctors are looking at, and there are also several studies underway.

Another issue that Dr. Paolucci and his colleagues see is that some COVID-19 patients are experiencing cognitive problems after leaving the ICU and going home. These patients will continue to come back for follow up appointments to see how they are doing and whether these problems improve or continue to linger.



Dr. Paolucci said that during the peak of COVID-19, approximately 10% of the patients they saw were non-COVID-19 patients. He suspects that patients who would typically seek treatment were not comfortable coming into an emergency room because they were worried about the risks of COVID-19. This is concerning because it's likely that some people went untreated during this time.

Thankfully, the number of COVID-19 patients is how decreasing, and the more traditional patients are coming back to see their doctors. But this too is a challenge. Because of social distancing guidelines, doctors' offices can no longer operate at full capacity with patients in waiting rooms to see their doctor. As a result, some doctors are using a combination of telemedicine and in-office visits to see patients in a timely manner.

Dr. Paolucci is optimistic about COVID-19 treatments because the search and testing of potential treatments is moving at "a highly accelerated rate." He says that this unprecedented research activity to find potential treatments will likely include "a multi-faceted approach."

That being said, Dr. Paolucci says that right now, the most important thing the general public can do is follow established guidelines to "prevent infection through social distancing and wearing masks when this is not possible."

He also says that as difficult as this time has been, it has been "rewarding to help out" and heartening to now see "more patients leaving the ICU and eventually the hospital." "We have a better understanding of how to treat patients now," he says, "and this is very good news."

Finally, May 2020 is Stroke Awareness Month. The four key signs of a stroke are weakness on one side, lack of sensation, facial droop, and speech impairment. If you or a loved one is experiencing these symptoms, please call 911 or consult a doctor.


Pictured: Dr. Paolucci

Photos courtesy NYP-Lawrence Hospital

 
May 20, 2020 Local COVID-19 Report: Five NY Regions In Phase 1 Reopening; Testing is Available PDF Print Email

By Staff

May 20, 2020: Below is the local COVID-19 report for this past week.

NY Reopening Update 

On Monday, May 11, New York State launched a "Regional Monitoring Dashboard," which shows where each region stands in meeting the reopening metrics.  As of May 19, 2020, the Mid-Hudson region, which includes Westchester, had met 5 of the 7 requirements.

According to the NY Forward Reopening Guide, when a region meets the criteria, the region can reopen businesses in phases, "with at least two weeks in between each phase" so that state and local leaders can monitor the effects of the reopening.

When they reopen, each business and industry "must have a plan to protect employees and consumers, make the physical work space safer and implement processes that lower risk of infection in the business." 

Below are the businesses that can open in each phase.

Phase 1 Businesses: construction, manufacturing, wholesale, trade, select retail for curbside pickup only, agriculture, forestry, and fishing.

Phase 2 Businesses: professional services, finance and insurance, retail, administrative support, real estate, rental, and leasing.

Phase 3 Businesses: restaurants and food services

Phase 4 Businesses: arts, entertainment, and recreation, education

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New York State COVID Statistics

According to the New York State Department of Health, as of May 19, 2020, at 4:15 PM, there are a total of 352,845 positive cases in New York State. This includes 32,402 in Westchester County.  A total of 1,424 people in Westchester County have passed away from COVID-19.

Click here for a full breakdown by county.

Other Local COVID-19 News This Week

On May 13, 2020, Governor Cuomo said that a total of 46 counties can resume elective outpatient surgeries. Click here to see the 47 counties.  He also said that, based on testing data, the State estimates that 12.3 percent of the statewide population has antibodies.

He also said that the State is investigating 102 reported cases in New York where "children, of a range of ages, are experiencing a serious illness that is possibly due to COVID-19." More details, including the symptoms to watch out for, are here.

On May 14, 2020, Governor Cuomo reminded New Yorkers that the pandemic is not over and that the State is still seeing over 2,000 cases on a daily basis. He also said that there are five regions in New York State that have met the 7 criteria to begin the reopening process on May 15th.  The regions are North County, Finger Lakes, Southern Tier, Mohawk Valley and Central New York. 

He said that the State is now investigating 110 reported cases of a potentially COVID-related inflammatory illness in children.  

Finally, he said that "to date, the state has tested 1,298,757 people — a little under 7% of the statewide population." You can follow daily testing data on the COVID Tracker website.

On May 15, 2020, Mayor Mary Marvin said that the Village will hold a tribute of veterans on the front lawn of Village Hall on Memorial Day. Chief of Police Satriale said that the Village's reopening committee will meet vitually on Monday, May 18, to discuss how the village can assist local merchants when reopening commences.  Click here to listen to the full audio message.

On May 17, 2020, Governor Cuomo reported that New York State is now able to conduct 40,000 tests per day.  Testing is available to:

-Any individual who has COVID-19 symptoms

-Any individual who has had contact with a person known to be positive with COVID-19

-Any individual who is subject to a precautionary or mandatory quarantine

-Any individual who is employed as a health care worker, nursing home worker or first responder

-Any essential worker who directly interacts with the public while working

-Any individual who would return to the workplace in Phase 1 of the state's reopening plan

Your must always schedule an appointment to get a COVID-19 diagnostic test by calling 1-888-364-3065 or your healthcare provider.   

CLICK HERE to find a test site near you.

On May 18, 2020, Governor Cuomo reported that Western New York is also starting Phase 1 of reopening, along with five other regions.  Cuomo also encouraged major sports teams to plan to reopen without fans.  He also said that New York is bringing in international experts to help advise on New York's reopening plan. Dr. Michael T. Osterhold, Direct of the Center for Infectious Disease Research and Policy at the University of Minnesota, and Dr. Samir Bhatt, Senior Lecturer at Imperial College London, will work with the state to provide technical advice and analyze data/metrics throughout our reopening process and help track progress.

On May 19, 2020, Governor Cuomo announced that another region of New York (the Capitol Region) will begin Phase 1 of its phased reopening. He also said that the the number of total COVID hospitalizations continue to drop. He also said that elective surgeries arenow permitted in 50 counties. Finally, the Belmont Stake will take place on June 20, without fans. 

 
Photo at top by A. Warner; Photo in middle courtesy Bronxville police department






 

 





 
How Does Wearing a Mask Make You Feel? PDF Print Email

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By Staff

May 20, 2020: Not yet comfortable wearing your mask? Still struggling to make strapping it on feel routine? You’re not alone! 

In the current issue of Psychology Today, Dr. Jane Benjamin of The Counseling Center, and Dr. Mary Gatta of the City University of New York (CUNY), provide their unique perspectives on how wearing masks can both make us uncomfortable as individuals and bring us together as a society.

The article is entitled "Masks in the COVID-19 era."   Click here to read the article.

Pictured: Jane Benjamin

Photo courtesy The Counseling Center


Editor's note: As a public service, MyhometownBronxville publishes articles from local institutions, officeholders, and individuals. MyhometownBronxville does not fact-check statements therein, and any opinions expressed do not necessarily reflect the thinking of its staff.

 
Poll on the Home Page: Is New York State Opening Up Too Fast, Too Slow or Just Right? PDF Print Email

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By Staff

May 20, 2020:  The following poll is on the home page of MyhometownBronxville.com. 

Is New York Opening Up Too Fast, Too Slow or Just Right? 

To take the poll, click here to go to our home page.  It is on the right hand side.


Photo: Shutterstock

 
Friday May 15, 2020 Message From The Mayor & Police Chief:: Memorial Day Tribute on May 25th PDF Print Email

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By Staff

May 17, 2020: Below is a summary of an audio message sent by Bronxville Chief of Police, Christopher Satriale, and Mayor Mary Marvin on Friday, May 15, 2020, at 2:15 PM.

Mayor Mary Marvin says that the Village cannot have a Memorial Day Parade this year due to restrictions on gatherings and required social distancing. She says that the Village was prepared to honor Vicki and Si Ford, who are moving back home to Minnesota after living in Bronxville for many years. They would have been the Grand Marshal's of Bronxville's 100th Parade. The Ford's have agreed to return next Memorial Day to be properly honored.

The Mayor says that even though there will not be a parade this year, the Village is designing a tribute "to all our veterans" on the front lawn of Village Hall on Memorial Day.

Bronxville Chief of Police Satriale says that the Village's reopening committee will meet virtually on Monday to discuss how the Village can assist local merchants. He reminds listeners that Westchester is not yet in Phase 1 opening because it has only met 5 of 7 required metrics. As a result, all shops, including barbershops, hair salons, and nail salons, are prohibited from opening.

The Chief says that Michael Fosina, President of NYP-Lawrence Hospital, reports that COVID-19 cases are declining and that the hospital is a safe place to come if you have an illness. The Chief says that if someone needs an antibody test, they should contact their doctor.

Mayor Marvin says that the Bronxville High School Athletic Council is offering a way for the Bronxville Community to show support for Destination College and the Westchester Food Bank during this pandemic. The Council is selling a Bronxville Strong T-shirt and Hat. Click here to make your purchases. The shop will be open until Mary 26.

The Mayor ended with this quote from Mahatma Gandhi: "The best way to find yourself is to lose yourself in the service of others."

Click here to listen to the full audio message.

Photo courtesy Bronxville Police Department

 

 
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