Frank Dowling, MD Re-elected Secretary of the Medical Society of the State of New York


MSSNY Seal
MEDICAL SOCIETY OF THE STATE OF NEW YORK
865 Merrick Avenue, Westbury, New York 11590-9007
www.mssny.org
Communications Division
Telephone: (516) 488-6100

 

For Immediate Release

Frank Dowling, MD Re-elected Secretary
of the Medical Society of the State of New York

MSSNY is the State’s Primary Professional Organization for Physicians

Westbury, NY—May 8, 2020— Frank Dowling, MD was re-elected Secretary of the Medical Society of the State of New York (MSSNY) on May 7.

A graduate of Harvard College, Dr. Dowling received both their medical degree and their residency training from SUNY at Stony Brook School of Medicine.  Since 2004, they have served as Clinical Associate Professor of Psychiatry at SUNY Stony Brook School of Medicine. Prior to that appointment, they were Clinical Assistant Professor from 1993-2004.

Board certified in both Psychiatry and Addiction Medicine, Dr. Dowling has an outpatient private practice in Garden City and Islandia that focuses on treating victims of trauma and disaster, emergency responders and healthcare professionals and their families. They also treat patients with co-occurring substance use and psychiatric disorders. In addition to their private practice, Dr. Dowling serves as Medical Advisor to the Police Organization Providing Peer Assistance (POPPA), an independent, confidential, non-departmental voluntary assistance program for the NYPD.

An active member of MSSNY, Dr. Dowling has served as Commissioner for Science and Public Health, co-chair of the Addiction and Psychiatric Medicine Committee, chair of the Task Force on Alcohol and Health and vice chair of the Committee on Bioterror and Emergency Preparedness. In addition, they serve on the Advisory Committee and as faculty for the Veteran’s Mental Health Training Initiative, a collaborative effort by MSSNY, NYSPA and NASW-NY to train NY practitioners to assist warriors and veterans with post-traumatic stress and TBI.  

When the ISTOP law was under consideration in Albany, Dr. Dowling—working with MSSNY staff—was instrumental in helping a MSSNY led coalition obtain the right for a designee to assist a physician with mandated PMP lookups.  They currently serve on the AMA’s LGBTQ Advisory Committee and Opioid Task Force and on MSSNY’s Committee on Physician Wellness and Resilience. They previously worked with the MSSNY/OASAS Planning Committee that developed a 3 hour CME program on pain management and opioid abuse, which is available free to MSSNY members to meet the New York State mandated CME requirement.

As a member of the New York Delegation to the American Medical Association (AMA), Dr. Dowling has collaborated with others to update AMA policies in several public health areas, including psychiatric and substance use disorders, access to care issues, preservation pf medically necessary care for patients with chronic pain, LGBTQ health issues and societal and healthcare inequities.

Dr. Dowling received the American Psychiatric Association’s Bruno Limo Award in 2003 for “outstanding contributions to the care and understanding of victims of disaster” for their work with emergency services personnel after the World Trade Center attacks in 2001. In addition, Dr. Dowling received a Long Island Healthcare Heroes Award from Long Island Business News for their work in support of veterans and others with chronic psychiatric illnesses. In 2015, they were awarded MSSNY’s Charles D. Sherman Award for their support of medical students.  They are a co-author of Disaster Psychiatry: Readiness, Evaluation, and Treatment, a textbook intended to prepare psychiatrists and other mental health professionals to respond to disasters and mass casualty events.

Dr. Dowling lives in Oakdale, NY with their spouse Theresa, children Frank, Finn and Charlie Robin.

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About the Medical Society of the State of New York
Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all.

MSSNY Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

 

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Mark J. Adams, MD, MBA, FACR Elected Treasurer of the Medical Society of the State of New York


MSSNY Seal
MEDICAL SOCIETY OF THE STATE OF NEW YORK
865 Merrick Avenue, Westbury, New York 11590-9007
www.mssny.org
Communications Division
Telephone: (516) 488-6100

 

For Immediate Release

Mark J. Adams, MD, MBA, FACR Elected Treasurer
of the Medical Society of the State of New York

MSSNY is the State’s Primary Professional Organization for Physicians 

Westbury, NY—May 8, 2020— Dr. Mark J. Adams was elected Treasurer of the Medical Society of the State of New York on May 7. A fellowship trained board-certified Radiologist, he is Professor of Clinical Imaging Sciences at University of Rochester Medical Center.

A graduate of Lehigh University, Dr. Adams received his Doctor of Medicine degree from the University of Rochester School of Medicine and Dentistry. He completed an internship in surgery at Barnes Hospital at Washington University in St. Louis, Missouri, a radiology residency at Rochester General Hospital, and a fellowship at the University of Rochester. He is certified by both the American Board of Radiology and the National Board of Medical Examiners.

In addition, Dr. Adams received an MBA from the William E. Simon School of Business and Administration at University of Rochester.

An active member of MSSNY since 2000, Dr. Adams served as the 7th District Councilor from 2011-2017. He currently serves as Commissioner of the Medical Education Committee, Vice Chair of the Legislative and Physician Advocacy Executive Committee, and member of the Collective Negotiation and Implementation Committee and the Nominating Committee. He also serves as Treasurer of the MSSNY Board of Trustees.

Dr. Adams is a New York Alternate Delegate to the American Medical Association and an active member of the Monroe County Medical Society, which he served as President in 2010.

As an active member in several radiological societies, Dr. Adams served on the Council Steering Committee of the American College of Radiology; President of the New York State Radiological Society; and President of the Rochester Roentgen Ray Society.

In 2012, Dr. Adams received the JACR Award for Recognition of Exceptional Manuscript Review from the American College of Radiology. He has been a Reviewer for the American Journal of Radiology since 1997.

An active member of his community, he currently serves in the ServNY Monroe County Medical Corps and the New York State CMS Carrier Advisory Committee.

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About the Medical Society of the State of New York
Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all.

MSSNY Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

 

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Joshua M. Cohen, MD, MPH, FAHS, Elected Assistant Secretary of the Medical Society of the State of New York


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MEDICAL SOCIETY OF THE STATE OF NEW YORK
865 Merrick Avenue, Westbury, New York 11590-9007
www.mssny.org
Communications Division
Telephone: (516) 488-6100

 

For Immediate Release

Joshua M. Cohen, MD, MPH, FAHS, Elected Assistant Secretary of the
Medical Society of the State of New York

MSSNY is the State’s Primary Professional Organization for Physicians

Westbury, NY—May 8, 2020— Joshua M. Cohen, MD, was elected Assistant Secretary of the Medical Society of the State of New York on May 7. Dr. Cohen is Senior Director, Global Medical Therapeutic Area Lead for Migraine & Headache at Teva Pharmaceuticals.

A graduate of Harvard University, Dr. Cohen received his medical degree from New York University School of Medicine and completed his neurology residency at Columbia University’s Neurological Institute. Additionally, he received a Masters of Public Health from the Columbia Mailman School of Public Health. He completed his headache fellowship at The Headache Institute and a mini-fellowship in pediatric headache at Cincinnati Children’s Hospital. Board certified in both Neurology and Headache Medicine, he was chosen as a Super Doctors® in 2013, a New York Rising Stars™ in 2014 and a Castle Connolly America’s Top Doctors™ in 2015.

An active member of organized medicine for over 20 years, Dr. Cohen currently serves as MSSNY’s Commissioner for Public Health, and previously served as President of the New York County Medical Society. He has served the American Medical Association in a variety of leadership positions, including Chair of the Medical Student Section and Delegate to the House of Delegates as a member of the New York State Delegation.

Dr. Cohen has worked extensively with non-profits dedicated to improving public health. Since 2013, he has served on the Board of Directors of the American Medical Association Foundation and served as President of the Foundation 2017-2018. He was a founding Board member of the Nan Lightstone Foundation, whose mission is to support research and public education on infectious diseases. He served a two-year term as Chair for Trevor Project NextGen, supporting that organization’s work to provide suicide prevention and crisis intervention services to LGBTQ youth. Additionally, he was founder of Adolescents in Medicine at New York University, a program which encourages minority adolescents to pursue careers in healthcare fields, and he is also a former Albert Schweitzer Fellow.

Dr. Cohen has published original research and book chapters on headache disorders, with a research focus on patients with difficult-to-treat migraine. He is the recipient of multiple awards and accolades, including the American Headache Society (AHS)/Merck US Human Health Scholarship Award, the Arnold P. Gold Foundation Humanism and Excellence in Teaching Award, and the Harvard University Derek Bok Center Teaching Award.

Dr. Cohen lives in Manhattan with his husband, Keith, son Leo, and two dogs, Snax and Treatz.

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About the Medical Society of the State of New York
Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all.

MSSNY Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

 

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Maria A. Basile, MD Elected Vice Speaker of the Medical Society of the State of New York


MSSNY Seal
MEDICAL SOCIETY OF THE STATE OF NEW YORK
865 Merrick Avenue, Westbury, New York 11590-9007
www.mssny.org
Communications Division
Telephone: (516) 488-6100

 

For Immediate Release

Maria A. Basile, MD Elected Vice Speaker
of the Medical Society of the State of New York

MSSNY is the State’s Primary Professional Organization for Physicians 

Westbury, NY—May 8, 2020— Maria A. Basile, MD was elected Vice Speaker of the Medical Society of the State of New York on May 7.  Dr. Basile is Chief Medical Officer at US Family Health Plan-St. Vincent’s (a TRICARE Prime Option) in New York City. Dr. Basile oversees and guides the Plan’s Quality Management and Improvement activities and initiatives. Additionally, she provides clinical guidance as US Family Health Plan’s senior clinical staff person.

From 2012-2019, Dr. Basile served as Assistant Vice President, Medical Affairs at Mather Hospital – Northwell Health, where her responsibilities included professional credentialing, physician engagement, medical staff quality improvement, and leadership development.

Prior to transitioning to Hospital Administration, Dr. Basile was a Colorectal Surgeon in private practice. She is a Diplomate of the American Board of Quality Assurance and Utilization Review Physicians, and is Board Certified in Health Care Quality Assurance, with specialty certification as a Physician Advisor. Dr. Basile has lectured nationally on physician wellness and resilience, medical ethics, and practice transformation.

cum laude graduate of Georgetown University, Dr. Basile earned her Medical Degree at Georgetown University School of Medicine. She completed a General Surgery residency at Mercy Catholic Medical Center in Philadelphia and a Colon and Rectal Surgery residency at St Vincent’s Medical Center in Erie, PA.  She is a graduate of the United Hospital Fund/Greater NY Hospital Association’s Clinical Quality Fellowship Program, and received a Master’s in Business Administration from Adelphi University in Garden City, NY.

Dr. Basile is on the Core Faculty at Stony Brook University Renaissance School of Medicine’s Center for Medical Humanities, Compassionate Care and Bioethics, where she teaches medical school and graduate-level courses in Literature and Medicine.  A physician-poet, she is author of Minimally Invasive: Poems from a Life in Surgery.  Her poems and articles have been published in Journal of the American Medical Association, Touch: the Journal of Healing, and The Pharos.

An active member of MSSNY, Dr. Basile currently serves as the Commissioner of Communications and previously served as Suffolk County Councilor. Through her leadership efforts at the local and statewide levels, she has been appointed Vice Chair of the MSSNY Committee on Physician Wellness and Resilience, Co-chair of the MSSNY Committee on Women, and a Vice Chair of the MSSNY Committee on Quality. She is a Past President of the Suffolk County Medical Society.

Dr. Basile lives in East Setauket, NY, with her two college-aged children, George and Christina, and two puppies, Parker and Miles.

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About the Medical Society of the State of New York
Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all.

MSSNY Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

 

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Parag Mehta, MD Elected Vice-President of the Medical Society of the State of New York


MSSNY Seal
MEDICAL SOCIETY OF THE STATE OF NEW YORK
865 Merrick Avenue, Westbury, New York 11590-9007
www.mssny.org
Communications Division
Telephone: (516) 488-6100

 

For Immediate Release

Parag Mehta, MD Elected Vice-President
of the Medical Society of the State of New York

MSSNY is the State’s Primary Professional Organization for Physicians

Westbury, NY—May 8, 2020— Internist Parag Mehta, MD was elected Vice President of the Medical Society of the State of New York (MSSNY) on May 7. Dr. Mehta is the Senior Vice Chairman of the Department of Medicine and the Chief Medical Information Officer at New York Presbyterian Brooklyn Methodist Hospital (NYPBMH). In addition, he is an Associate Professor of Clinical Medicine at Weill Cornell Medicine.

Dr. Mehta has been involved with the implementation of EHR at NYPBMH for the last 16 years and has helped the institution to reach HIMSS Level 7. In this role, he brings IT and clinicians together to improve the user’s experience based on the user’s input.

A graduate of NHL Medical College in Ahmedabad, India, Dr. Mehta completed his residency in OB/GYN at NHL Medical College and his residency in Internal Medicine at NYPBMH in Brooklyn, New York. He is Board Certified in Internal Medicine, Hospice and Palliative Care  and Integrative and Holistic Medicine. He has completed courses in Health Information Technology from Cornell University and Artificial Intelligence from MIT Sloan School of Management.

An active member of organized medicine, Dr. Mehta is the Governor for the New York Chapter of the American College of Physicians (NYACP) for Brooklyn, Queens and Staten Island. In addition to MSSNY and NYACP, he is a member of AMA, Kings County Medical Society, American Association of Physicians of Indian Origin and Indian Medical Association.  In 2011, NYACP awarded him its highest honor, the Laureate Award, in recognition of his extraordinary contributions in the areas of governance, quality, public policy and education. As a Physician Wellbeing Champion, he promotes wellness and engages discussion through grand rounds.

Dr. Mehta’s many contributions to MSSNY include service as Assistant Treasurer, Commissioner of the Membership Division, Chair of the Future Task Force for Infrastructure/Organization, Chair of the International Medical Graduate Committee, and Young Physician Councilor. He presently serves as Councilor for Kings and Richmond County and as a New York Alternate Delegate to the American Medical Association.

Dr. Mehta lives in Manhasset Hills with his wife, Isha Mehta, MD, who is Chief of Gynecology at Elmhurst Hospital and is a founder of “A Stitch in Time,” an organization that treats gynecological conditions at no cost to women around the world. They have two daughters, Ruju, an environmental engineer, and Setu, a pre-med student at Harvard College.

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About the Medical Society of the State of New York
Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all.

MSSNY Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

 

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William Latreille, MD Elected Speaker of the Medical Society of the State of New York


MSSNY Seal
MEDICAL SOCIETY OF THE STATE OF NEW YORK
865 Merrick Avenue, Westbury, New York 11590-9007
www.mssny.org
Communications Division
Telephone: (516) 488-6100

 

For Immediate Release

William Latreille, MD Elected Speaker
of the Medical Society of the State of New York

MSSNY is the State’s Primary Professional Organization for Physicians

Westbury, NY—May 8, 2020— Internist William Latreille, MD, was elected as Speaker of the Medical Society of the State of New York on May 7.  He will continue to play an active role in the outpatient medical practice at the University of Vermont Health Network, Alice Hyde Medical Center in Malone, New York. He will also continue his internal medicine practice in Malone and at the Indian Health Center in Hogansburg, New York.

A graduate of LeMoyne College in Syracuse, Dr. Latreille earned his medical degree at SUNY Upstate Medical Center in Syracuse. He received his first and second years of Internal Medicine residency training at the University of Missouri Medical Center in Columbia, Missouri and finished his residency training at the Robert Packer Hospital/Guthrie Clinic in Syre, Pennsylvania.  He is board certified in Internal Medicine.

Dr. Latreille is a Fellow of the American College of Physicians and a specialist in adult and adolescent medicine.  He also has been designated as a Senior Aviation Medical Examiner (AME) by the Federal Aviation Administration (FAA) to perform flight physical examinations and issue aviation medical certificates for Class 1, 2 and 3 pilots.

Dr. Latreille served as 4th District Councilor for eight years and 4th District President for four years. He created, and continues to chair,  the Lake Placid Retreat—now in its 21st year—that is held each January for MSSNY Districts 3 and 4. He was appointed to the MSSNY Board of Trustees in 2012 and served as Board Chairman for 2015-16. 

In addition to his activities at MSSNY, Dr. Latreille is a member of the American Medical Association (AMA) and a member of the NY Delegation to the AMA. He is also a member and past president of the Franklin County Medical Society.

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About the Medical Society of the State of New York
Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all.

MSSNY Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

 

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Joseph R. Sellers, MD, FAAP, FACP, Elected President-Elect of the Medical Society of the State of New York


MSSNY Seal
MEDICAL SOCIETY OF THE STATE OF NEW YORK
865 Merrick Avenue, Westbury, New York 11590-9007
www.mssny.org
Communications Division
Telephone: (516) 488-6100

 

For Immediate Release

Joseph R. Sellers, MD, FAAP, FACP, Elected President-Elect
of the Medical Society of the State of New York

MSSNY is the State’s Primary Professional Organization for Physicians

Westbury, NY—May 8, 2020— Joseph R. Sellers, MD, FAAP, FACP, was elected President-Elect of the Medical Society of the State of New York on May 7. Board Certified in Internal Medicine and Pediatrics, Dr. Sellers serves as Eastern Region Medical Director for the Bassett Healthcare network.

Originally from Buffalo, Dr. Sellers earned his BA degree from the University of Rochester and his MD degree from Georgetown University School of Medicine.  He completed a combined Internal Medicine and Pediatrics Residency Program at the Albany Medical Center.  He is a fellow of the American Academy of Pediatrics and the American College of Physicians.

An attending physician in Internal Medicine and Pediatrics at the Bassett Medical Center, Cooperstown, NY and the Cobleskill Regional Hospital, Dr. Sellers is an Assistant Professor of Clinical Medicine at the Columbia University College of Physicians and Surgeons, where he has served as a primary care clerkship preceptor for over twenty years.

Dr. Sellers has served medical missions in Haiti and Kenya and is a volunteer physician with the Boy Scouts of America. Dr. Sellers has been a trustee of the Cobleskill Regional Hospital for the past 20 years and served for 22 years on the Schoharie County Board of Health.

An active member of organized medicine since 1990, Dr. Sellers previously served MSSNY as Vice President, Treasurer, Assistant Treasurer and as Secretary. He served as MSSNY’s Third District Councilor from 2004-2010, and Third District President from 1998-2004.  Additionally, he served as Chair of MSSNY’s Political Action Committee from 2010 to 2019.  He was president of the Schoharie County Medical Society from 1990-1994.  Dr. Sellers lives in Cobleskill, NY with his wife, Kathleen.

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About the Medical Society of the State of New York
Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all.

MSSNY Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

 

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Bonnie Litvack, MD Elected President of the Medical Society of the State of New York


MSSNY Seal
MEDICAL SOCIETY OF THE STATE OF NEW YORK
865 Merrick Avenue, Westbury, New York 11590-9007
www.mssny.org
Communications Division
Telephone: (516) 488-6100

 

For Immediate Release

Bonnie Litvack, MD Elected President
of the Medical Society of the State of New York

MSSNY is the State’s Primary Professional Organization for Physicians

Westbury, NY—May 8, 2020— Radiologist Bonnie Litvack, MD was elected President of the Medical Society of the State of New York today. Dr. Litvack is Director of Women’s Imaging at Northern Westchester Hospital, which is part of Northwell Health.

A cum laude graduate of Rensselaer Polytechnic Institute, Dr. Litvack earned her medical degree at Albany Medical Center. She completed both her Internal Medicine internship and her diagnostic radiology residency at Stony Brook University and a magnetic resonance imaging/body imaging fellowship at New York Hospital-Cornell Medical Center.  Dr. Litvack is certified in diagnostic radiology by the American Board of Radiology.

Under Dr. Litvack’s leadership, the Women’s Imaging Center at Northern Westchester Hospital has been acclaimed as a Breast Imaging Center of Excellence by the American College of Radiology. During her career, Dr. Litvack has received numerous awards and honors.

An active member of organized medicine, Dr. Litvack has served as MSSNY’s President-Elect, Vice President, Assistant Secretary, Assistant Commissioner of Public Health, Commissioner of Membership and  MSSNY’s Ninth District Councilor.  She has also served as president of the Westchester County Medical Society, the Westchester Academy of Medicine,  the New York State Radiological Society and as MSSNY’s Ninth District President. She is a delegate from New York to the American Medical Association and has served as a councilor to the American College of Radiology.

Dr. Litvack lives in Chappaqua with her husband, Craig Penn, and daughters Sydney, Haley and Carly.

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About the Medical Society of the State of New York
Founded in 1807, the Medical Society of the State of New York is the state’s principal non-profit professional organization for physicians, residents and medical students of all specialties. Its mission is to represent the interests of patients and physicians to assure quality healthcare services for all.

MSSNY Contact:
Roseann Raia
Communications / Marketing
Medical Society of the State of New York
865 Merrick Ave.
Westbury, New York
516-488-6100 ext 302
rraia@mssny.org

 

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COVID-19 Update May 8, 2020


.


Colleagues:

After literal and figurative March and April showers, we are ready for those May flowers! We have been living in what should be the realm of science fiction. This global pandemic has hit our house of medicine hard physically, emotionally, and financially. My thoughts and prayers are with all of you. I wish those that are sick a speedy recovery and those that have suffered the loss of a loved one my heartfelt sympathy.

During these trying times the ethics, courage, strength, ingenuity, and resilience of the physicians of New York have not waivered nor have the efforts of our medical society. We have spoken out about everything from needed equipment, needed protections both physical and legal to needed funding.  We have come together as a profession and rapidly mobilized, disseminated needed information, and helped our practices adapt to the current reality.  This has been in no small part due to the strong leadership and tireless efforts on the part of Dr. Art Fougner whose inspiring quotes and stories have been a light in the darkness.

As I humbly take the torch from Art, the seeds of change are beginning to take hold.  The talk is of re-imagining healthcare in our state. It is time to change– medical malpractice reform, an end to bureaucratic paperwork and hassles and a time for collective negotiation for physicians.  As we start this new decade it is time to end to health disparities and prioritize healthy equity. Let us imagine New York with a new distinction as the healthiest place to live and to practice medicine.

May the roses bloom in our gardens this year!  Happy Mother’s Day to all.

Bonnie Litvack, MD
MSSNY President


Governor Cuomo’s COVID-19 Briefing Notes for Today

GENERAL:
-Hospitalizations down to 8,196.
– Intubations down (-330).
– New hospitalizations flat (604), have been flat for a few days.
– IHME Projection model show cases decreasing over time, but still expects a
few hundred in June.
– Deaths since May 7: 216. 171 in hospitals, 45 in nursing homes

AIRPORTS:
– 3 Million Europeans flew into NY from December to March, none were screened
for the virus.
– Reiterated argument that an outbreak in one nation can be assumed to exist
in other regions as well.

UPDATES ON COVID-19:
– There are doubts of immunity despite the existence of antibodies, though
information continues to be updated.
– 73 reported cases of children with symptoms similar to Kawasaki disease.
– On Thursday, a 5-year old boy passed away from COVID-related
complications and other cases are being investigated as well.
– Gov urged parents to seek care if their child has a prolonged fever,
difficulty feeding, severe abdominal pain/diarrhea/vomiting, change in skin
color (pale, patchy, or blue), trouble breathing, chest pain, decreased amount
or frequency of urine, lethargy, irritability, or confusion.
– Infection rate is higher in minorities, affecting Hispanic/Latinos and
African-Americans the most.
– Have asked hospitals to provide information on new cases as a way
to better target state efforts.
– Majority of new cases are coming from minority communities. Gov says
this inequity will be addressed immediately, with new information to be
released in a couple of days.

CHILD VICTIMS ACT:
– Because of reduction in court services, window will be extended an additional
five months (Jan. 14).

PERSONAL OPINION:
– Gov feels we are ahead of the virus and “in control of our own destiny.”
Attributes success to distancing protocols. Again, urged for responsible
reopenings to ensure numbers continue to go down.

Q&A:

REOPENING:
– Gov says “nicest surprise” when reopening would be acting responsibly.
Reiterated a focus on factual data to best determine reopening and the actions
to be taken. Doesn’t believe downstate numbers will change enough in the next
few days to reopen.
– Gov wants to avoid any potential deaths from “responding to politics.”

UNEMPLOYMENT:
– On a remark that many jobs were lost, Gov, claimed to understand the
struggles many New Yorkers are facing now. “We have to get through,” he said. Gov
reiterated previous statement that health is most important.
– Said we will “figure out” the economics once the situation becomes more
manageable.
– DeRosa urged applicants to take matters online and only use the phone system
if there is a lack of access to internet. Granted $6.8 billion to 1.6 million
people in the last seven weeks.
– DeRosa reiterated that upgrades to the system were not necessary prior to
the outbreak, as well as the point that NYS has done more than other states to
help the unemployed.
– “Unemployment forfeit” days: DeRosa said this has come to their attention in
the last week and the state is working to fix the issue.

TESTING:

– Antibody testing is used as an indicator of infection rates. No action is
being taken after testing, Gov says data is used for statistical purposes.
– DOH Commissioner Zucker: Working with hospitals to develop tests and confirm quality of tests. Also added that NYS’s antibody test stands six standard deviations out, making it more accurate.


SMALL BUSINESS LOANS FOR PHYSICIANS

PLEASE TAKE THE NEW SURVEY!

In late April, Congress approved an additional $310 billion dollars for the Paycheck Protection forgivable loan Program (PPP) to assist small businesses, including physician practices. To date, the program has approved assistance to nearly 250,000 New York businesses in two different rounds of application periods.

The Congressional package also provided $75 billion more for the CARES Act Health Provider Relief Pool, to assist hospitals and physicians. This is in addition to $30 billion dedicated to physicians and hospitals, in early April, based on 2019 Medicare payments, and $20 billion was just made available to physicians and hospitals based on 2018 total patient revenue.

As with our first survey, MSSNY wants to gather data to determine how much New York physicians are benefiting from these new resources, to better guide our advocacy for further stimulus bills. Please help us evaluate this by taking a few minutes to fill out and submit the following Survey Monkey questionnaire.

Please take the survey here


COVID-19 Map – Johns Hopkins Coronavirus Resource Center


HHS Extends Attestation Time Period for CARES Act Relief Pool
The US Department of Health and Human Services (HHS) has extended the deadline for physicians and other healthcare providers to attest to receipt of payments from the CARES Act Provider Relief Fund and accept the Terms and Conditions. Physicians will now have 45 days, increased from 30 days, from the date they receive a payment to attest and accept the Terms and Conditions or return the funds. The AMA gives the example that, the initial 30-day deadline for providers who received payment on April 10, 2020, is extended to May 24 from May 9, 2020. With the extension, not returning the payment within 45 days of receipt of payment will be viewed as acceptance of the Terms and Conditions. For physicians, this is referring to payments from the $30 billion in Round 1 from this fund and $20 billion in Round 2 from this CARES Act relief fund (not the PPP).


More Details Regarding Empire BCBS Advance Physician Payment Program
As reported in the MSSNY e-news and Crain’s Health Pulse earlier this week, Empire BCBS (Anthem) is initiating a program to provide advance care payments to many of its network independent primary care and specialty care physician practices in New York State and across the country.  The goal of the program is to help these practices through this difficult period to remain available for patient care as we begin to transition back to a more regular schedule of patient care visits.  Advance payments would be paid back over a period of time.  Empire has begun outreach to physician groups that meet the criteria to be eligible for this program.  Further questions can be directed to Empire’s provider relations department (https://www.empireblue.com/provider/)


Malaria Drug Shows No Benefit in New Coronavirus Study
A new study finds no evidence of benefit from a malaria drug widely promoted as a treatment for coronavirus infection. Hydroxychloroquine did not lower the risk of dying or needing a breathing tube in a comparison that involved nearly 1,400 patients treated at Columbia University in New York, researchers reported Thursday in the New England Journal of Medicine.

Although the study is observational rather than a rigorous experiment, it gives valuable information for a decision that hundreds of thousands of COVID-19 patients have already had to make without clear evidence about the drug’s risks and benefits, some journal editors and other doctors wrote in an editorial. “It is disappointing that several months into the pandemic, we do not yet have results” from any strict tests of the drug, they wrote. Still, the new study “suggests that this treatment is not a panacea.”

President Donald Trump repeatedly urged the use of hydroxychloroquine, which is used now for lupus and rheumatoid arthritis. It has potentially serious side effects, including altering the heartbeat in a way that could lead to sudden death.

The U.S. Food and Drug Administration has warned against its use for coronavirus infections except in formal studies. Doctors at Columbia tracked how 565 patients who did not get the drug fared compared to 811 others who received hydroxychloroquine with or without the antibiotic azithromycin, a combo Trump also has touted.

In all, 180 patients required breathing tubes and 232 died, and the drug did not seem to affect the odds of either. Patients given hydroxychloroquine were generally sicker than the others, but widely accepted methods were used to take that into account and still no benefit was seen for the drug.

Its use started within two days of admission for nearly all who received it. Some critics of earlier studies have said treatment may have started too late to do any good.

The study was funded by the National Institutes of Health, which has launched two of its own trials comparing hydroxychloroquine to placebo — the gold standard for establishing safety and effectiveness.

One study involves COVID-19 patients, and the other aims to see whether the drug can help prevent infections in health care workers exposed to the virus. Both got started in April. (Modern Healthcare, May 8)


This Week’s Legislative Podcast


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Hospitals and Doctors: Need $60 Billion in Direct Funding
New York state said Thursday that it needs at least an additional $60 billion in direct federal funding along with millions of dollars more from Medicaid and FEMA formula changes in the next coronavirus aid package being crafted in Congress.

New York’s massive request, which is part of the National Governors Association’s bid for $500 billion for all states and territories, would be spread over three fiscal years, unrestricted and could be used for revenue shortfalls, according to the association.

New York hospitals need additional direct federal funding, targeted to “hot spots” such as New York state, to meet the high cost of treating patients with COVID-19 amid huge revenue losses, the Healthcare Association of New York State said.

A top priority is to bolster New York State’s finances so that it does not have to cut state Medicaid funding by as much as 20% to 30%.The association seeks changes in formulas used to distribute health care funding, including tweaks to Medicare and Medicaid payment systems, that could be worth billions of dollars.

Meanwhile, doctors with private practices need greater access to small business loans and medical school loan debts should be forgiven for young physicians and residents, especially for those who have pitched in to treat the infected patients, said the Medical Society of the State of New York. (Newsday, Updated May 7)


Symptomatic Spread of SARS-CoV-2 in a Nursing Home
Neil M. Ampel, MD reviewing Arons MM et al. N Engl J Med 2020 Apr 24 Gandhi M et al. N Engl J Med 2020 Apr 24

More than half the residents who tested positive were asymptomatic at testing.

Nursing homes are now recognized as niduses of infection with SARS-CoV-2. On February 29, 2020, because of known COVID-19 in their area, a nursing home in King County, Washington, instituted enhanced infection control measures and soon identified a resident and staff member who were infected. This prompted a larger study culminating in two point-prevalence surveys of the residents. Full-time staff were also tested.

On the initial screen of 76 residents, 23 (30%) were positive on nasopharyngeal swab for SARS-CoV-2. Among those testing positive, 12 (52%) were asymptomatic. One week later, 49 who were initially negative were retested. Of these, 24 (49%) were positive and 15 (63%) were without symptoms. Of the 27 residents testing positive without symptoms, 24 (89%) later developed symptoms. Among 138 full-time staff, 26 (19%) tested positive. The doubling time of infection was 3.5 days. Fifteen residents (26%) died. There was no difference in the viral load of SARS-CoV-2 in samples from those with symptoms and those without symptoms. Viable virus was isolated from 6 days before to 9 days after symptoms developed.

COMMENT

This paper has multiple important takeaways. First, infection can spread rapidly and efficiently in a nursing home environment. Second, infection control methods that focus only on those with symptoms are inadequate, since there is likely ongoing transmission from patients without symptoms as well as from staff. As the editorialists point out, this asymptomatic transmission distinguishes SARS-CoV-2 from the related SARS-CoV-1. Last, early and repeated viral testing of residents and staff, particularly those without symptoms, is the key to control. CITATION(S):

Arons MM et al. Presymptomatic SARS-CoV-2 infections and transmission in a skilled nursing facility. N Engl J Med 2020 Apr 24; [e-pub]. (https://doi.org/10.1056/NEJMoa2008457)

Gandhi M et al. Asymptomatic transmission, the Achilles’ heel of current strategies to control Covid-19. N Engl J Med 2020 Apr 24; [e-pub].

 (https://doi.org/10.1056/NEJMe2009758)


May 20, 2020 @ 7:30am Medical Matters CME Webinar Registration Now Open Mental Health and COVID-19 for Health Professionals

Register now for MSSNY’s next webinar related to the COVID-19 pandemic, Medical Matters: Mental Health and COVID-19 for Health Professionals.  Just like we need to take extra precautions to protect ourselves from the risk of being infected by COVID-19, we also need to be concerned about psychological risks for health professionals.  Faculty for this program is Craig Katz, MD.

Registration is now open for this webinar

To view the companion pieces to this webinar, be sure to go to https://cme.mssny.org and view Medical Matters: Coronaviruses 2020: COVID-19 An Evolving Story recorded on March 18, 2020, Medical Matters: Psychosocial Dimensions of Infectious Outbreaks recorded on April 1, 2020 and Medical Matters: COVID-19 for Office-Based Physicians: How to Handle Surge and Psychological First Aid recorded on April 29, 2020.

Additional information or assistance with registration may be obtained by contacting Melissa Hoffman at mhoffman@mssny.org.

The Medical Society of the State of New York is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this live activity for a maximum of 1.0 AMA PRA Category 1 credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Health Care Workers Dealing With ‘Medical Burnout’ Amid Exhausting Pandemic
The pandemic has taken its toll on health care workers, leading many to experience medical burnout. Northwell cardiologist Dr. Evelina Grayver, who works in a COVID-19 ICU, says the trauma and stress can take a toll on medical staff. She says burnout has always- been a bullet to dodge, but the coronavirus has made it even tougher.

“At a certain point, we allow ourselves to be human and allow ourselves to feel the fear and the helplessness and the sense of desperation,” says Grayver. “Because if we don’t deal with it head-on, we are going into an era of anxiety depression, insomnia, post-traumatic stress disorder.”

Northwell Health has set up several resources for its medical providers who are feeling burned out, including outreach programs, counseling and setting up tranquility spaces where staff can take a few moments to regroup.

“We have ramped up our support services because everybody knows that people are under an enormous amount of stress and anxiety,” says Northwell Health Senior Vice President Dr. David Battinelli.

Along With support from clinicians, Northwell Health psychiatrist and Director of CPH, Dr. Jeff Selzer. says the signs of support from the community and sense of teamwork is keeping health care professionals emotionally strong.

“Strong teams, the sense of peer support, the sense of mission and how important it is for all of us to express gratitude to health care workers,” says Selzer.


Veterans Matters: Substance Use Disorder in Veterans Podcast
Check out MSSNY’s Veterans Matters newest podcast entitled Substance Use Disorders (SUDs) in Veterans. Dr. Thomas Madejski, Immediate Past President of MSSNY, discusses how to identify and diagnose substance use in veterans. Click here to listen.


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When you subscribe to the Medical Society of the State of New York Grassroots Action Center, the Division of Governmental Affairs will alert you when legislation and issues of importance to physicians and patients, either in the NYS legislature or in Congress, are at critical stages.

Accordingly, contact from constituents would be vital to influencing the path and future of that legislation or issue.

Alerts will be accompanied by recommended actions you or your designee can take to have maximum impact such as calling, tweeting and emailing a customizable letter to your legislators.

If you are concerned with health care policy formation in New York State, please subscribe today by texting MSSNY to 52886 and you will be prompted to enter your email address.  When you sign up, it is best to use your NY-based voting address or practice address (if you do not reside in NY) for your alerts.

Contact the Division of Governmental Affairs at 518-465-8085 or albany@mssny.orgThank you. (WILKS)