Showing posts with label Resnick. Show all posts
Showing posts with label Resnick. Show all posts

Friday, April 3, 2020

Roosevelt Island Doctor Jack Resnick Offering Virtual Telemedicine Visits - Doing Coronavirus Tests But Results Take 4 To 5 Days He Says

Roosevelt Island's Doctor Jack Resnick is offering Telemedicine services.

Dr. Resnick is now seeing patients via Telemedicine visits. The doctor is available for Facetime, Skype or Zoom visits. If you would like such a visit, please follow the instructions when you call (212) 832-2310

I asked Dr Resnick:
Do you have any info or statement about Coronavirus on Roosevelt island - are you seeing many patients with symptons, can you do test?

FYI - There have been 49 Roosevelt Island residents testing positive and at least 1 death.

Are you doing Coronavirus tests for Roosevelt Island residents?

Do they need to show symptoms before getting the test? If yes, what are the symptoms in order for you to give the test.
Dr Resnick replied:
Wow - that’s a much larger number than I expected.

We send the test off to Quest lab. Its turnaround time is 4-5 days.

People who want a more rapid report should go to hospital emergency rooms. I don’t really think that’s a good idea.

If someone develops symptoms of the flu. — fever, body aches, cough, sore throat or head congestion — they should isolate themselves. In fact, I advise people to isolate themselves even if the test comes out negative. Its not worth the risk of a false negative test in this new technology.

I send the test off to the Quest Laboratory for anyone who asks for it or who presents with a cough, fever, sinus or nasal congestion. Their turnaround time is agonizingly slow.
Here's more on Telemedicine in the age of Coronavirus.

Wednesday, April 3, 2019

Roosevelt Island Main Street Retail Update - Kamin Health Urgent Care Medical Facility Closes Out Of Business Last Monday But Pup Culture Pet Store Opens On Same Day

The Kamin Health Roosevelt Island Urgent Care medical facility opened for business in December 2016 but went out of business this week on Monday, April1. A sign was attached to the store window announcing the closing and also indicating that The Roosevelt Doctors Jack Resnick and Kathy Grimm will continue to see patients at the 520 Main Street location.


I asked Dr Resnick today:
With Urgent Care leaving Roosevelt Island, do you have any comment on future plans for providing medical service to the Roosevelt Island community?

Do you think you will expand your practice to make up for Urgent Care's departure?
Dr Resnick replied:
Yes, I do and have begun work on it...
Stay tuned for more info from Dr Resnick.

Better news is that the new Roosevelt Island pet store - Pup Culture - opened for business on Monday.


Pup Culture has existing locations in Soho and Tribeca. According to Pup Culture:
Established in 2002, Pupculture is one of the original pioneers of New York City's Dog Day care. We pride ourselves on treating your pets with the same kindness and affection that they receive at home. Our pet pampering services include Daycare and Boarding, Grooming and Spa Treatments, Dog Walking, In-Home Pet Feeding, Pick-up and Drop-off. We also carry a selection of fine pet accessories, treats, and health products in our boutique.
Earlier today, this little dog was exercising in the Roosevelt Island Pup Culture playroom


that can be easily seen as you walk on Main Street.

A passerby noted that a bench should be placed on sidewalk facing the window so that the humans can watch the dogs playing.

More Roosevelt Island retail news at prior posts.

Tuesday, February 6, 2018

Roosevelt Island Doctors Report On Current Flu Epidemic - A True Influenza Outbreak This Year Says Doctor Kathy Grimm, Still Time To Get Your Flu Shot

WCBS Channel 2 news reports that 2 NYC children have died of the flu epidemic this season.



I asked the Roosevelt Island medical community today:

Have you seen any greater # of Flu Patients or more severe symptons this year among Roosevelt Island adults and children?
Roosevelt Island Urgent Care's Steven Simanowitz replied:
At Roosevelt Island Urgent Care we have seen an increase in flu cases this year from previous years. This flu season has been one of the worst in recent memory. There is currently a national epidemic and we are here to help everyone fight it. It is not too late to get the flu shot and we have them in stock. We also recommend that if anyone starts feeling any symptoms of the flu they come in right away to be seen by a doctor, catching it early can help fight it.

So far we have been able to keep our patients from going to the hospital but we do monitor each patient and evey patient receives a follow up call within 1-2 days of their visit to see how they are doing and if there is anything else we can do for them.
Roosevelt Island pediatrician Doctor Kathy Grimm replied:
There is a true influenza outbreak this year. Both the Urgent Care and our practice have seen quite of number of affected patients.

Some patients have appeared more ill than others. Some had the flu vaccine this season and others not. Thus far the illness has been self limited and I hope it stays that way. There is always a risk of secondary bacterial infections such as pneumonia.

It is critical that any one with the flu take care of themselves, and the very young, elderly and those with chronic lung or cardiac diseases should be treated with Tamiflu within 48 hours of onset of symptoms, which is usually fever.

The Center For Disease Control website is a good source of information.
Roosevelt Island's Doctor Jack Resnick reports not seeing many flu cases among his patients so far but reports he currently has the flu.

Roosevelt Island Urgent Care, Doctor Grimm and Doctor Resnick are all located at 520 Main Street.

According to the NYC Office of Emergency Management:
It’s not too late to get your flu shot. That’s the message Dr. Demetre Daskalakis – Deputy Commissioner for the Division of Disease Control at the New York City Department of Health and Mental Hygiene – has for New Yorkers. Dr. Daskalakis is the feature guest on the latest episode of “Prep Talk”, the NYC Emergency Management Department’s podcast series. Listen as Dr. Daskalakis discusses the efficacy of the flu vaccine and debunks some of the myths about this season’s flu virus. Find out who’s most at risk to contract the flu, whether or not you can get sick from taking the flu shot, and learn some of the best methods of preventing the virus. For more information about where to get vaccinated, call 311, visit nyc.gov/flu to access the Flu Vaccine Locator, or text “flu” to 877877.


Be well but if you are feeling flu like symptoms, go see a Doctor right away.

UPDATE 5;30 PM:
UPDATE 2/15:

Thursday, March 27, 2014

Celebrate Women's History Month With 5 Phenomenal Roosevelt Island Women Honored By RI Women's Health Organization And NYC Council Member Ben Kallos

To celebrate Women's History Month, the Roosevelt Island Women's Health Organization (RIWHO) and New York City Council Member Ben Kallos honored 5 of our neighbors at RIWHO's monthly meeting yesterday.

 NYC Councilmember Kallos Honoring 5 Roosevelt Island Women At RIWHO Meeting

Here's the presentation of the Proclamation by Councilmember Kallos



and the text.
In celebration of Women’s History Month, Ben Kallos, Council Member of the 5th District, is proud to join the Roosevelt Island Women’s Health Care Organization in honoring a select group of women, our elders—Clarissa McCraley, Naomi Silverman, Ethel Romm, Rosalind Fernandez and Ena Shinnery—for inspiring us all with their character, commitment and courage; and

WHEREAS: Clarissa R. McCraley, 85, was born in Greenville, South Carolina, and raised by her aunt and uncle, she grew up on a farm with no running water and no electricity, but abundant with love. She has called Roosevelt Island home since 1975, making her one of our community’s pioneers. In addition to her own career in retail and health, she has excelled in her work as a generous volunteer. Over the years, she has fed the homeless at Good Shepard Church, led Bible Study groups, and worked at the island thrift store. She has also volunteered for the Red Cross, March of Dimes, Joint Disease Hospital, the Coler-Goldwater Specialty Hospital and at P.S./I.S. 217; and

WHEREAS: Naomi Silverman, 88, was born in Bay Ridge Brooklyn, and has been a proud resident of Roosevelt Island since 1977. She has been extremely active in a wide range of areas and remains so today. A few previous endeavors included owning a manufacturing woodwork firm and playing piano for a musical group. For the last 35 years, she has served as the dedicated coordinator of a poetry group. Today, she is an active member of the biblical study group Chavarah and also helps coordinates the Rivercross 5th Anniversary Party, a celebration with more than 600 attendees; and

WHEREAS: Ethel Romm, 89, was born in Massachusetts and grew up in New Hampshire. During World War II, when men were drafted and women were needed to build the planes and other machines, she was assigned to an Air Force Base where she supervised construction and building. Her unwavering commitment to learning led her to become CEO of her own construction and engineering company. Ms. Romm has now been a Roosevelt Island resident for more than 25 years and a member of Roosevelt Island Residents Association for more than 12. She also belongs to the Garden Club and continues to have an infectious enthusiasm for exercise, good nutrition and learning; and

WHEREAS: Rosalind Fernandez, 94, was born in Brooklyn and raised in Barbados. At 19, she returned the States and had a successful career in the insurance industry before retiring in 1982 to raise her granddaughter. Since 1976, she has been a champion for Roosevelt Island, whether working as a polling site coordinator, as a parishioner, or as a volunteer at Coler-Goldwater Hospital for the last 32 years. In recent years, she has new proud title: devoted great-grandmother; and

WHEREAS: Ena Shinnery, 94, was born in St. Thomas, U.S Virgin Islands, moved to New York in 1944, and has been a resident of Roosevelt Island since 1989. Prior to retirement, she worked in numerous jobs including 18 years in textiles. At her previous church, she excelled as a Sunday school teacher and Sunday school superintendent. Today, she continues to faithfully attend church on the island today and impresses all of the younger parishioners with her warmth and life experience; now, therefore

BE IT KNOWN: That Ben Kallos, Council Member of the 5th District, gratefully honors our Roosevelt Island Elders:

Clarissa McCraley, Naomi Silverman, Ethel Romm, Rosalind Fernandez and Ena Shinnery

for their extraordinary contributions to our community.

Signed this 26th day of March in the year Twenty Fourteen.
It was a wonderful event. RIWHO's Laila Amatullah hosted the proceedings which also included:
  • an excellent home health care presentation by Dr. Jack Resnick,
  • a letter of appreciation by Roosevelt Island Operating Corp (RIOC) Charlene Indelicato,
  • a greeting from RIOC Public Safety Director Jack McManus,
  • Councilmember Kallos reviewing constituent services available from his office,
  • a wellness talk
  • exercise advice from Ms. Romm and
  • a terrific recitation of Maya Angelou's poem Phenomenal Women by Ms. Amatullah.
There was also food, drink


good company


and a birthday celebration for Ms. Romm.


Here's video of the full Proclamation Ceremony.



Will have Dr. Resnick's Home Health Care presentation in a separate post soon.

Tuesday, March 25, 2014

Roosevelt Island Women's Health Organization March 26 Meeting Honoring 5 Phenomenal Women, Guest Speaker Dr. Resnick, Rewards Presenter Councilmember Kallos, Elder Appreciation Speech By Magella Samory And Poetry From Laila Amatullah - Refreshments Too

The Roosevelt Island Women's Health Organization (RIWHO) sends the following invitation for its March 26 Monthly Seminar.

According to RIWHO:
Roosevelt Island Women’s Health Organization Inc.
Presents: A WOMEN’S MONTH CELEBRATION HONORING FIVE R.I. ELDERS
PHENOMENAL WOMEN
Join us on Wednesday, March 26, 2014 at 546 Main Street, 12th Floor at 6:30 P.M.

Guest Speaker: DR. JACK RESNICK
Rewards Presenter: COUNCILMAN BEN KALLOS
Elder Appreciation Speech: MAGELLA SAMORY
Poetry Reading: LAILA AMATULLAH

One of our special ladies will have a birthday to celebrate
Let’s toast these beautiful women
Refreshments served

Tuesday, November 12, 2013

Roosevelt Island Senior Association Open House To Explain Medicare Coverage Choices Thursday, November 14, Questions And Answers With Dr. Jack Resnick - Also NY State Health Insurance Marketplace Explained

Roosevelt Island Doctor Jack Resnick reports:

There's a lot of confusion among people on Medicare about the December 7 deadline for enrollment. Attached is an announcement about an open house the Senior Association is holding Thursday, Nov. 14 that should be of interest to your older readers.

According to the notice announcing this meeting:
Which Medicare Insurance Should You Choose?

December 7 is the last day people on Medicare can choose their insurer. To many, the options are confusing.

The Roosevelt Island Senior Association (RISA) will host an open house at the Good Shepherd Chapel Thursday, November 14, 1-5 p.m. to help with the choice. The event will feature:
  • An explanation of the choices
  • Presentations by insurance company representatives
  • Roosevelt Island community members speaking about their experiences with the different insurance plans
  • On-site enrollment
A Medicare web site allows quick enrollment in the insurance plan of a person’s choice. Volunteers with internet access will help people make their choice and enroll in a plan during this open house session.
Doctor Resnick adds that a similar information session will be held next month on the Affordable Care Act (Obamacare).

Last October 8 NY State Senator Liz Krueger hosted a community forum on the Affordable Care Act NY State Health Insurance Marketplace. Here's video of the Forum.

It began with an introduction and overview to the NY State Health Insurance Marketplace



followed by a presentation on the role of Navigators assisting in the enrollment process,



small business enrollment in the Health Insurance Marketplace and



questions and answers.



Capital New York reported today:
The state health department announced today that nearly 50,000 New Yorkers have enrolled in health insurance plans since Oct. 1, when the state's exchange opened in accordance with the Affordable Care Act.

That total is roughly equal to the number of people from all 36 states relying on the federal government's troubled website healthcare.gov who have so far been able to enroll, according to a report in the Wall Street Journal, and signifies one of the few bright spots the Obama administration can point to in an otherwise troubled rollout.

New York's number is likely to increase significantly, since some 200,000 people have completed an application and have been determined eligible but have not yet picked a plan, according to the health department.

Of the 48,162 newly insured New Yorkers, 23,653, or a little less than half, have been signed up for Medicaid. The rest have enrolled in private health insurance plans offered through the exchange....
Click here for the entire Capital New York article.

Wednesday, April 17, 2013

Relocation Of Roosevelt Island Goldwater Hospital Patients Discussed At Manhattan Community Board 8 Meeting Last Night - CB 8 Holding Full Board Meeting On Roosevelt Island Today 6:30 PM


Image Of Roosevelt Island Goldwater Hospital Patients From Daniel Tepper via Gothamist

Last night the Manhattan Community Board 8 (CB 8) Health, Seniors and Social Services Committee (HHS) met with representatives from Coler Goldwater Hospital to discuss the closing of Goldwater Hospital and plans to relocate its patients. According to the CB 8 HSS Agenda:
LaRay Brown and executive staff of Goldwater Hospital to discuss the closing of Goldwater Hospital and other issues concerning New York City Health and Hospital Corporation.
Jacqueline Ludorf, Chair
Ms Brown reported that more than 300 patients will be relocated to new facility at North General Hospital in East Harlem at the end of October 2013 and other patients will be transferred to Coler campus on Roosevelt Island at the same time. There will also be 175 mobility impaired affordable apartments for Coler Hospital patients in a new facility being built on 99th street across from Metropolitan Hospital scheduled to open in the spring/summer of 2015.

Ms. Brown added that Goldwater patients will be completely out of Goldwater Hospital by the end of October or early November and the Goldwater campus will be given back to NYC by the end of November at which time it will be transferred to Cornell to begin demolishing the facility and construction of the new Applied Sciences and Technology school.

Will post more information on the meeting soon but here is the video of the discussion with questions from those in attendance and answers by Ms. Brown and Coler Hospital's Deputy Executive Director Floyd Young.

Part 1



Part 2 (a few seconds are missing between the first two parts as I had to change cameras)



More information on the relocation of Roosevelt Island Goldwater Hospital patients from previous posts.

CB 8,

which covers Roosevelt Island and the Upper East Side, will be holding its full Board Meeting on Roosevelt Island later today. What does the Community Board do? According to CB 8's web site:
Community Board 8 reviews and makes recommendations on applications for:

Zoning Text Amendments
Building variances and special permits
Liquor licenses
Sidewalk cafes
Street Fairs
Changes to landmarked buildings or buildings in historic districts

The Community Board also monitors traffic and transportation issues, capital projects in the parks, economic development, public safety issues and the concerns of seniors and youth. The Community Board and the Board office work closely with city, state and federal elected officials; community groups; and other city agencies on these issues. In addition to the work described above, every Community Board plays a role in the Citywide budget process. Each year, the board submits a "District Statement of Needs." Every Fall, the Budget Committee holds a public hearing to determine our priorities for the City's Capital and Expense Budgets. You are encouraged to attend! The District Statement of Needs is available online here and the Budget Priorities are available in the Board 8 Office....
Here's today's Agenda:
Full Board Meeting
Meeting Date:
Wednesday, April 17, 2013 - 6:30pm
Meeting Location:
Manhattan Park Theatre Club
8 River Road Roosevelt Island
New York, NY

1. Public Session – Those who wish to speak during the Public Session must register to do so by 6:45 pm
2. Adoption of the Agenda
3. Adoption of the Minutes
4. Manhattan Borough President’s Report
5. Elected Official’s Reports
6. Chair’s Report – Nick Viest
7. Committee Reports and Action Items:
• Parks Committee-Margaret Price and Barbara Rudder, Co-Chairs
• Street Fair Committee-Barbara Chocky and Hedi White, Co-Chairs
• Landmarks Committee-David Helpern and David Liston, Co-Chairs
• Street Life Committee-Domenico Minerva and Cos Spagnoletti, Co-Chairs
• Transportation Committee-A. Scott Falk and Charles Warren, Co-Chairs
8. Old Business
9. New Business

Nicholas D. Viest, Chair

Friday, January 11, 2013

New York City Flu Epidemic - Roosevelt Island Doctor Says Worse Flu Season He Can Remember, How Are You Feeling?



The New York Post reported today:

A ferocious flu “epidemic” has New Yorkers rushing to doctors, hospitals and drug stores — with emergency-room visits up 150 percent over last year, city health officials said yesterday.

“It’s a bad year. We’ve got lots of flu,” said city Health Commissioner Dr. Thomas Farley, who noted influenza-related cases spiked from 2 percent of all emergency-room visits for the peak of last year’s flu season to 5 percent this year....
I asked Roosevelt Island's Doctor Jack Resnick:
How is the Flu impacting Roosevelt Island this year?
Dr. Resnick replied:
These last three weeks have been the worst flu season I can remember.
Flu shots are available at the Roosevelt Island Duane Reade.

Hope you avoid the Flu but if not, take care of yourself.

Sunday, July 22, 2012

Roosevelt Island's Doctor Jack Resnick Finds A Summer Home In Brighton Beach Brooklyn Reports NY Times Habitat Column

Image of Dr. Resnick/Barbara Fischer At Brighton Beach from Robert Stolarik The New York Times

Nice article in today's NY Times Real Estate Habitats Column about Roosevelt Island's Doctor Jack Resnick and his summer house in Brighton Beach Brooklyn. Here's an excerpt:
... Close your eyes, take a deep breath, and you could be on a beach in New England. You can hear the sound of the waves, and breathe in air that is tangy with salt. Even on the sultriest days, a breeze drifts through windows that face directly onto the water. Brightness floods the rooms like whitewash. “You swoon in,” Dr. Resnick said, “and you’re suddenly relaxed.”... 
Click here for the entire NY Time article.

Learn more about Doctor Resnick and some of his Roosevelt Island patients from this video


Link: Independence at Home: The Roosevelt Doctor

and previous posts.

Monday, December 12, 2011

Roosevelt Island Doctor Jack Resnick On Keeping and Treating Patients At Home - Improves Quality Of Care, Saves Lives and Reduces Costs, Urges Support For Independence At Home Initiative

Image of Dr. Resnick From Independence at Home via Sevenload

Roosevelt Island's Doctor Jack Resnick has been a long time champion of treating patients at home. Doctor Resnick published this op-ed in the December 4 NY Times headlined "Bring Health Care Home" Here's a longer version of the article from Dr. Resnick:
Why Won’t Hospitals Let Doctors Fix Healthcare?
By JACK RESNICK, M.D.

I practice general internal medicine on Roosevelt Island, a unique community in the East River that had been, until 1971, Welfare Island. Many of my patients are homebound. They live in 50 apartments specially designed to accommodate people who had spent years as inpatients at Coler and Goldwater Hospitals, two chronic disease facilities on Roosevelt Island.

This homebound population has taught me what is wrong with the health care system.

Vinny was a 48 year old man who became a quadriplegic after being shot during a robbery in the hardware store he had owned and operated for many years. When he called me with high fevers, shaking chills and dropping blood pressure, I told him I was going to call an ambulance to take him to the hospital. He begged me not to do that. We argued back and forth, but he finally relented and I admitted him to the hospital. We successfully brought his urinary tract infection under control, and he survived the crisis. But he didn’t survive the hospitalization. There wasn’t sufficient staff in the hospital to turn him every two hours as was done routinely at home by aides. A bedsore developed, the wound got infected with a bacterium that breeds in hospitals and is resistant to almost all antibiotics. It killed him. Ever since then, I have struggled to keep my frail, elderly and disabled homebound patients out of the hospital.

It’s not easy. The healthcare system battles me every step of the way. The City’s ambulances insist on taking people to the nearest emergency room, not to the one where their own doctor is on staff. The State’s laws make it difficult to administer simple treatments in the home. Emergency rooms want to admit patients rather than send them home. Hospitals want to discharge people to nursing homes, not to the community.

Luba, 83, had emigrated from Russia in the early 1990s.Her arthritis kept her from moving around much, but she loved to talk about her career as a rocket scientist; working on weather rockets, not military ones. One day, a well-intentioned neighbor dropped by and, when she found Luba feverish and dehydrated from diarrhea, she called 911. After that, Luba disappeared. It took me two months to track Luba down to the nursing home to which the hospital had transferred her.

Luba, like many elderly people, became confused and disoriented when she got sick. This delirium, a condition that can improve when the underlying condition is removed, looks very much like dementia, a permanent change in a person’s brain. The staffs at the hospital and the nursing home had assumed that Luba was a demented old lady. They had sent her to live out her days in an institution, where her engagement with the world ended and her life would have been shorter. And she would have cost Medicare and Medicaid a great deal of money. Fortunately, when I arrived at the nursing home, Luba recognized me. I had to fight the bureaucracy for several months to get Luba home. But ultimately Luba’s personality and intelligence returned in full. It was crucial that I knew Luba and her mental status well, that I could differentiate hospital-imposed delerium from permament dementia. Being in familiar surroundings with well-known attendants, friends and family keep people well, sane, and happy.

Ruth was 93 when I became her doctor. Dementia had set in several years earlier and, like most people in their 90's, her blood sugar and blood pressure were a little high. A cardiologist had put her on three blood pressure medications, two drugs to lower her cholesterol and a daily aspirin. An endocrinologist was trying to control her blood sugar “tightly” with three diabetic pills. A neurologist prescribed two drugs for her dementia, a sleeping pill and two antidepressants. Each of these three assumed that her decrease in her energy and increasing fatigue could be ascribed to the problems they were treating. None of them spoke to any of the others. When I met Ruth, it seemed likely that much of her problem was overmedication. I cut her down to three drugs from her previous fifteen and, three weeks later, she was back in action.

The mantra of American healthcare is "more is better," more medications, more specialists, more tests. We have built enormous institutions -- hospitals, health systems, insurers, the drug industry -- and, like any institution, their primary mission is their own growth and survival. For forty years we have been asking these systems to rein in their growth before they choke the rest of the economy. They have given us health maintenance organizations, integrated delivery systems, case managers and, coming soon, accountable care organizations. None of these changes has or is likely to work. It's simply not in the nature of institutions to find ways to shrink.

Our healthcare institutions provide fine products and services. They work hard to convince us to use too many of them even when that’s not in our own best interests. We need to give the job of controlling health care to someone else.

In 2010 the American Academy of House Call Physicians successfully lobbied Congress to pass the Independence at Home Act (IAH).

IAH allows physicians to create organizations that will improve the care of the country’s sickest people - - the homebound, nursing-home eligible segment of the population -- while also decreasing its cost. It is scheduled for implementation January 1, 2012.

Independence at Home Organizations are founded on two underlying principles.

First, each patient must have a personal physician who knows him intimately and is available 24/7. Secondly, these people should be cared for in their homes -- not in offices, hospitals or nursing homes - - whenever possible. This change of the locus of care will dramatically decrease the infections, mistakes, deconditioning and delirium which are the inevitable attendants of institutional care.

Unlike other components of the Federal health care reform, the IAH approach has a long and dramatically successful track record. Hundreds of programs across the country have been providing care in the home to our frailest patients for decades. The largest of these programs is the Department of Veteran Affairs’ Home Based Primary Care Program. In existence for 30 years, the program serves tens of thousands of veterans spread over every state in the country.

The VA has cut hospital utilization by 54%, nursing home utilization by 82% and total health care cost by 24%. Comparable or better results are reported by most organizations using this approach, organizations that range in size from solo practitioners to small group practices to academic medical centers.

Technology is what makes it possible for individual or small groups of physicians to provide complex care at home.

The Obama Administration has aggressively promoted electronic medical records. A physician with an IPad has more information available about a given patient than any institution. That IPad’s internet access also allows him to rapidly search for the best answer to any urgent question - much more rapidly than awaiting the arrival of a hospital-based consultant.

With just a few drops of blood, a physician at the bedside can now get crucial test results in seconds. Waiting hours for staff to draw the blood, transport it to the lab, perform the test and report the results are things of the past.

Similarly, portable X-ray and ultrasound equipment are wheeled into a patient’s home in suitcase- sized containers. Images are fed digitally hundreds or thousands of miles away where a report is generated and returned in minutes -- not in hours or days. Even CT scanners can be rolled up to the patient’s front door. Sophisticated remote monitors measure every imaginable parameter of a patient’s status and notify the physician remotely. Audio visual equipment can even allow nursing personnel to watch over many people dispersed over a neighborhood. Consultants are already seeing many complicated patients from a distance over webcams. And their consultations are much more productive when conducted in the virtual presence of the patient’s personal physician.

The role of hospitals will change. Acutely ill patients will still be brought to an emergency department for evaluation and stabilization. Those people who need an operating room or an intensive care unit will be hospitalized. Anyone else will be returned home to the care of a personal physician and a dedicated nursing staff who know them intimately and who have at their disposal technology’s tools.

Physicians who make themselves available 24/7 to these complicated patients will be well compensated. Doctors in IAH organizations, who provide measurable high quality care and save Medicare money, will share in those savings, and those savings should be considerable. Conservative calculations suggest that these doctors will earn as much as today’s most highly paid specialists. This will quickly change the calculus of health care economics and end the shortage of primary care physicians.

IAH has the potential to do wonders for the national economy. Cutting Medicare’s cost dramatically will make the work of the Congressional budget supercommittee much simpler. And moving much of health care into the home will create hundreds of thousands of new jobs across the country.

Applications to form IAH Organizations have not been issued. Medicare has, instead, been focusing on other portions of the Obama Healthcare Reform that will encourage and reward hospitals and other large institutions for once again rearranging the deck chairs on their sinking ships. Through IAH, doctors have the means to address and solve the healthcare crisis.

Let us move healthcare into the home where it is safer, cheaper and more effective.

(The writer is a general internist in solo practice on Roosevelt Island. He spends half of his time making house calls to 50 homebound patients. He has been working for several years with the American Academy of House Call Physicians on getting the Independence at Home Act enacted and implemented. You can meet some of his homebound patients in a 15-minute video on therooseveltdoctor.com.)
More information on Independence at Home Organizations available here.

Learn more about Doctor Resnick and some of his Roosevelt Island patients from this video.


Link: Independence at Home: The Roosevelt Doctor

Wednesday, January 13, 2010

Volunteer Opportunity On Roosevelt Island To Help The Homebound With DASH - The Disabled Association Support For The Homebound

Link: Independence at Home: The Roosevelt Doctor

I often get inquires from readers looking for volunteer opportunities on Roosevelt Island. If you are interested in helping your neighbors by volunteering here on Roosevelt Island, please consider the Disabled Association Support for the Homebound (DASH) which was initiated recently by Roosevelt Island Doctor Jack Resnick. Louella Streitz sent this message describing DASH.
Another wonderful Roosevelt Island initiative, by the community – for the community – to help our Homebound.

DASH, (Disabled Association Support for the Homebound), a non-profit organization, is seeking volunteers to help successfully run this initiative. Please sign up on our website Therooseveltdoctor.com or call 1-917-558 0534. Louella Streitz and Sara Metzidakis are managing this initiative. If you do know someone who would benefit from some DASH support, please do encourage them to contact us.

Our goal is to “fill in the cracks” for our Roosevelt Island Homebound ,to ensure that their other-than-basic -needs are met - caringly, especially in times of sickness or loneliness.
This project is looking to help the homebound in different ways – , a “hello” visit, a “Cheer-up” call, taking someone for a walk and fresh air, picking up/delivering medication, being a secure companion to get money from the ATM, visiting with pets, running errands, grocery shopping, reading to them, writing cards/letters for them - anything to provide an additional smile.

We are working with some of the already established groups on the Island for maximum outreach. Please help us reach this goal and make this a successful initiative by volunteering. It’s only with your great support will we be able to run this program.
Sometimes, all it takes is a simple act of human kindness to make someone else feel good and yourself as well.

Monday, June 1, 2009

What Should The Roosevelt Island FDR Memorial Be About - Honoring Overcoming Challenges & Disabilities Or The Architect Louis Kahn?

Image of FDR Using Crutches From Poughkeepsie Journal and FDR Library/Museum

The May 27 FDR Memorial Town Hall Meeting at which the Franklin & Eleanor Roosevelt Institute (FERI) presented an update of the proposed Louis Kahn designed FDR Memorial and a SEQR Environmental briefing aroused heated passions from many Roosevelt Island residents who believe that the proposed Memorial ignores the disabled community both here on Roosevelt Island and across the nation. Many think, myself included, that this proposed Memorial is not so much honoring FDR as it is the architect of the project, Louis Kahn.

For those that want to view the meeting and decide for yourself, RIOC has posted a webcast of the proceedings here. The first 50 minutes of the proceedings are devoted to FERI's presentation. Starting at the 51 minute mark questions and statements from the community were presented. I would recommend paying particular attention to the first two statements by Roosevelt Island Disabled Association (RIDA) President Virginia Granato and Doctor Jack Resnick.

Image From Main Street WIRE of RIDA Members Protesting Against Proposed FDR Memorial


There's More!




The 5/30/ Main Street WIRE (PDF File) has an excellent summary of the Town Hall Meeting and some portions are excerpted below:

... On Wednesday night, the most prominent objection came from a group of disabled residents, who protested the lack of any plan for a full-length portrayal of FDR as a disabled person who nonetheless excelled in life in general, and as a wartime president in particular. They carried signs, but listened quietly as a representative from the construction company, another from the architectural firm, and officials of the Franklin and Eleanor Roosevelt Institute (FERI) made what amounted to a repeat of several previous presentations – six in the last 12 months, by FERI’s count. The report on an environmental impact assessment, the intended purpose of the meeting, was pro forma....

... In the Q&A period that followed the formal presentation, the president of the Roosevelt Island Disabled Association, Virginia Granato, calmly presented her group’s objection: “We feel that being disabled was part of who FDR was, as a human being, and he made wonderful contributions in spite of his disability, and not depicting this is a disservice to disabled and non-disabled alike. It’s part of this island. This island has a history of disabled people. We’ve got two long-term care hospitals here. We feel slighted in not showing that he was a disabled person, and we would like to right this wrong.”

Dr. Jack Resnick, physician to many of the community’s disabled or homebound people, spoke moments after Granato, and set forth the basic question in a few sentences. “It really is unconscionable that you could build a memorial to FDR, on Roosevelt Island, that doesn’t recognize why the island is named Roosevelt Island,” Resnick said....

... Resident after resident then hammered away at the “insult” – lamenting the failure to acknowledge Roosevelt’s disability with a view of him in a wheelchair.

Sally Minard, president and CEO of the Franklin D. Roosevelt Four Freedoms Park, responded to most of these comments by pointing out that showing Roosevelt as a disabled person “is not the purpose of this park.” She emphasized repeatedly that the park’s specific purpose is to celebrate Roosevelt’s Four Freedoms. “There are other ways and other places in the park where it can be very clear that Roosevelt was crippled and never could stand or walk alone. We are not ignoring or blind to the significance of his situation....

...Historical Society President Judith Berdy joined those calling for some representation of the physical difficulties FDR overcame. “When I was a student, in
1966, I came here, to Goldwater. Goldwater had open wards of young people, some of whom are in this room, living in iron lungs. Our history of this island has always shunted off the disabled, the prison, the almshouse, the poor. It’s been put away, put on the side. It’s true. It’s time that we reflect more on FDR and his disability.”
Berdy observed that in the ’20s and ’30s, concealing a disability was common, suggesting that times have changed.

“I feel it is time for reconsidering some of the aspects of this memorial to make it more accessible, and perhaps changing some of the depictions of FDR. Showcase his
disability. That will show this island’s history of caring for people – taking those no one cared about and taking care of them and making them at home here.” She said the park should celebrate the whole man, including his disabilities and abilities.“

“There are other ways and other places in the park where it can be very clear that Roosevelt was a man who was crippled and never could stand or walk alone,” Minard responded. “No one is trying to avoid talking about it or writing about it.”
But nothing Minard or others said satisfied those speaking for the disabled community, and subsequent speakers suggested the FERI representatives were deliberately “not hearing” the disabled point of view. The unspoken theme appeared to be that FERI intends to stick closely to the Louis Kahn design, which has led critics to suggest the park is more a monument to Kahn’s architecture than to Roosevelt or the Four Freedoms....
Following the meeting, I sent this email message to Ms. Minard, the CEO of FERI:
Thank you for participating in last night's Public Hearing on the proposed Kahn/FDR Memorial.

As we discussed, here is the link from the National Organization on Disability which includes a resolution of FERI's Board of Directors stating the following:

Resolution of the Franklin and Eleanor Roosevelt Institute Board of Directors at its meeting in Warm Springs, GA, on Tuesday, April 11, 1995

Franklin Delano Roosevelt's indomitability, even in the face of his disability, is an important part of his legacy, and the fact of his disability should be shown in a significant way at the Washington memorial to FDR. Recognizing that time may be needed to do this in an effective way, necessary additions or modifications should be pursued as quickly as possible, but the opening of the memorial should not be delayed.


There are also statements from President's Clinton, Bush (41), Carter and Ford in support of depicting FDR as a person with a disability for the DC Memorial as well as a statement from members of the Roosevelt family saying the same thing.

I understand that many of you have worked very long and hard to get the Kahn designed FDR Memorial build at Southpoint Park. I sincerely ask you to reconsider this design and replace it with one recognizing FDR as a person with a disability who overcame tremendous hardships and challenges to become a great President with a Wheelchair Memorial at the southern tip of the Island instead of the bust and room. It would be a wonderful inspiration for people on Roosevelt Island and all over the world to see such a Memorial demonstrating that nothing is impossible with sufficient will. In keeping with the Four Freedoms aspect of the Park, the base of the Wheelchair could have the 4 Freedoms inscribed on each side.

Please don't dismiss this idea. Bring it to your Board and and donors. See what they say. Better yet - have them come to Roosevelt Island and speak to Doctor Resnick, Virginia Granato and others so that the FERI Board can see first hand how vital this is to Roosevelt Island and America.

On another matter, as we also discussed last night, can you please provide me with the public record of your donor list for the FDR Four Freedoms Park.
Thank you.
Ms. Minard replied:

I appreciate your thoughtful comments on how President Roosevelt should be portrayed.
The sincerity and sensitivity of many Roosevelt Island residents on the subject is understood.
As we said, there are ways and places to accomplish their objective within Southpoint Park.
We are more than willing to work with the community to address the issue.

Regarding the names of contributors to the Four Freedoms Park, the information is not public.
All donors will be recognized at the park when it is completed.

I’m sure we will see you soon.

There are Roosevelt Island residents who have been and are still in favor of FERI's proposed FDR Memorial designed by Louis Kahn. I have been having a continuing dialogue with one of them, Marc Diamond (MD). Here is a recent series of exchanges we have had on topic.

MD:
Did you cull together all the information in this post? The articles and stuff?
I think you and I agree on something about FDR park - that the sculpture should show FDR's disability.
Me:
Thanks for your thoughts.

Yes, I did pull together all the information.

The question is how do you include a sculpture that shows FDR's disability within the Kahn design context. To date, FERI will not allow any changes to the design.

I, of course, would prefer to substitute the proposed 3 sided enclosed memorial room and bust with a wheelchair statue and perhaps Four Freedoms at the base.

Do you have any thoughts on how to include recognition of FDR's disability in Memorial?
MD :
Nice job on collecting all those clips.
Couldn't the bust of FDR be replaced by a sculpture with FDR in a wheelchair or on crutches? FERI is making other changes to allow for lighting and access for the disabled, like a new ramp in the "Room." And this change would have less affect on the architecture, IMHO.
Will you be there tomorrow night?
Me:
I'll be there,

Can't you agree to get rid of the "Room" and just have wheelchair statue at southern site? Is the "room" a "must have"
MD:
I think if you get rid of the "room," there's no Kahn design. You gotta start over. It's a "must have" in that sense.
I don't think starting over is an option for RIOC or FERI anymore.
Me:
You write that without the "room' there is "No Kahn design". In my view, that is the problem. For some, keeping the 1970 Kahn design is more important than creating the most appropriate 21st century Memorial to President Roosevelt. A wheelchair statue of FDR at the southern tip of Southpoint does not need to be enclosed in a room.

Is it more important to adhere to the Kahn design or recognize and honor those, like FDR, who have overcome great disabilities like polio or any other challenge and hardship? That is not just a Roosevelt Island issue but an American one as well.
MD:
When I wrote that, I was being practical. I'm hoping there might still be time to change the sculpture, but I don't think RIOC or FERI is interested in any park design but what they started with.
I'm not disagreeing that there may be a better design for the park/memorial or that there could be substantive changes to the Kahn design that would be better. No one knows whether Kahn's design would win if it were one entry in a new international design competition. But it seems to be all about the money for the last year or two. And even that looks like it's in FERI's favor now. Personally, I believe I will really enjoy the Room, whether Kahn designed it or not. But yes, I will get a kick out of knowing it was designed by Kahn. If I could change something about the design, it would be to do away with the stone on all the sloping surfaces and replace it with grass or some other groundcover.
But that cat's out of the barn, or that horse has sailed, or that's soda under the bridge, or the fat lady has eaten, or, well, you know.

The Saga continues. Stay tuned for more.

Wednesday, April 29, 2009

Swine Flu Advice For Roosevelt Islanders & A Discussion With Pediatrician Dr. Grimm On Thursday April 30

You Tube Video on Swine Flu Outbreak From CBS News
I noticed that a NYC Department of Health Swine Flu flyer was placed by the elevators of my building. The next day, I inquired of Roosevelt Island Doctors Resnick and Grimm:
The Riverwalk Buildings have placed flyers near the elevators advising residents about the NYC Health Department warnings concerning the new Swine Flu strain that has appeared in NYC. I was wondering as local Roosevelt Island physicians if you would care to comment or provide some advice to residents on what to do to avoid catching this virus and what to do if they are feeling flu like symptoms.
Dr. Grimm replied:
... I have received some calls. So far the US cases have been mild and are sensitive to Tamiflu. In general, it is best to avoid crowded areas and only do as much traveling as is necessary. If one develops typical symptoms of flu such as fever, body aches, and terrible cold symptoms, one should seek medical advice but avoid exposing other people if possible. The city is advising against going to ERs unless one is really sick and not just out of fear. This reminds us the importance of flu shots for everyone. although the present flu shot formulation did not include the specific antigens for swine flu, I wonder if people who take the flu shot year after year may have some crossover protection. HOpe this helps a little. Kathie Grimm
And Dr. Resnick:
... If you feel sick, stay home. Wash your hands frequently. Always cough into a tissue or your sleeve, never into the air on onto your hand.
Also, parents can discuss their health concerns with Roosevelt Island's pediatrician Dr. Kathie Grimm on Thursday April 30, 7 PM at the Roosevelt Island Day Nursery (4 River Road). Dr. Grimm is giving a talk titled, The Questions Parents Ask. If you are interested in attending, please RSVP 212*593*0750

Wednesday, February 18, 2009

Celebrity Signage Included At Proposed Kahn/FDR Memorial But No Recognition Of Disabled - Another Insult To FDR & Roosevelt Island Community

Image of Freedom Trees for Roosevelt Island from FDR Four Freedoms Park

In addition to destroying the beautiful NYC skyline and waterfront views from Roosevelt Island's Southpoint Park, the proposed Kahn/FDR memorial also fails to acknowledge FDR as a man and a President of the United States who achieved greatness despite a disability that forced him into a wheelchair. The absence, in any meaningful way, of FDR's use of a wheelchair or crutches is particularly shameful given the large disabled and handicapped community at Roosevelt Island's Coler-Goldwater Hospital complex.

A similar controversy arose at the FDR Memorial in Washington DC. According to this 1/11/01 LA Times article:
... Advocates for the disabled objected strongly when the memorial opened 3 1/2 years ago with its centerpiece FDR statue only hinting at Roosevelt’s polio affliction. It shows a cape-covered Roosevelt in a straight chair with two tiny wheels....

... Four-year-old Hannah McFadden, an Albanian immigrant born with a leg deformity, didn’t need her mother to explain the significance of Wednesday’s unveiling of a statue depicting President Franklin D. Roosevelt in a wheelchair.

“It means people on crutches and in a wheelchair can do anything,” said Hannah, sporting hot-pink crutches for the ceremony in which President Clinton dedicated the statue...
The National Organization of Disability wrote of the importance in recognizing FDR's use of a wheelchair and incorporating it into the Washington DC memorial.
President Clinton dedicated a new statue of President Franklin D. Roosevelt in a wheelchair at the FDR Memorial in Washington, D.C. on the morning of January 10, 2001. The statue, the first to depict a world leader using a wheelchair, will be located at the entrance to the seven-acre Memorial site in Potomac Park, between the Lincoln and Jefferson Memorials. "This dedication represents a great victory for people with disabilities. FDR's Memorial finally will acknowledge his significant disability experience, which forged his leadership qualities-courage, determination, and compassion-that enabled him to successfully lead the nation through the worst crises of the 20th century," said N.O.D. President Alan Reich. "This magnificent statue will be an inspiration to people worldwide, disabled and non-disabled alike."...

Image of FDR Memorial Wheelchair from Ability Unleashed

A great idea for an appropriate and honorable FDR Memorial on Roosevelt Island was suggested by Roosevelt Island's Doctor Jack Resnick who treats many of our disabled residents.
Somebody designed a memorial to FDR on Roosevelt Island that completely ignored the man’s physical disability. Franklin Roosevelt spent much of his adult life in a wheelchair. The polio virus, which infected him in 1921 at the age of 39, left him with almost no use of his legs. Twelve years later he became President of the United States. He went on to save the country from economic calamity and the world from Hitler....

...Roosevelt Island is a living, breathing memorial to FDR. And when we celebrated FDR Day here each year, it was clear that we were focused on FDR as an icon for the disabled.

The FDR Memorial on this Island should focus on the President’s strength in conquering his disability. Many possibilities come to mind. For instance, he should not be memorialized with a bust. We should see a greater-than-life-sized statue of him sitting in a wheelchair – and he should face north toward Goldwater and Coler Hospitals...
The Chris Reeve home page includes the Congressional House and Senate resolutions in favor of a FDR Wheelchair Statue for the Memorial in Washington DC. Shouldn't such a representation of FDR really be just as appropriate, if not more so, here on Roosevelt Island.

Unfortunately to date, it is more important to the supporters of Roosevelt Island's incorrectly labled FDR memorial to honor the projects architect, Louis Kahn, than it is to honor FDR and the disabled community here on Roosevelt Island and elsewhere.

Monday, January 19, 2009

Barack Obama Issues A Call To Serve On Dr. Martin Luther King Day & Roosevelt Island's Doctor Resnick Responds With Plan to Help Home Bound Neighbors


You Tube Video of Martin Luther King Day Call to Service by President-elect Barack Obama

Today is Martin Luther King Jr. Day. Rather than celebrate Dr. King by taking a relaxing day off from work or school, President- elect Barack Obama challenges Americans with a Call To Serve your community and neighbors. Roosevelt Island's Doctor Jack Resnick has accepted the challenge and sends the following message regarding a new volunteer program he is developing to help the home bound elderly and disabled residents of Roosevelt Island.

Dr. Resnick will explain his plans later tonight (6PM) during an event held by the Roosevelt Island Seniors Association honoring Dr. Martin Luther King being held at Seniors Center (546 Main Street). Dr. Resnick will also talk about his plan on Tuesday prior to the RIOC sponsored viewing of the Presidential Inaugural at the Good Shepherd Community Center. (Main Street WIRE has more here.) According to Dr. Resnick:
We will be introducing a new volunteer service opportunity to Roosevelt Island residents at an MLK Day event at the Senior Center and the next day at the chapel during the RIOC sponsored community inaugural event.

The inspiration for this came from an e-mail from Michelle Obama encouraging people to a Call for Service on those two days and is posted on their web site as an event.

The idea has the support of the leaders of both the Seniors (Dolores Greene) and The Disabled (Virginia Granato) Associations.

The idea -- at this early stage -- is create Independence at Home Volunteers. People would offer their time to help out homebound Roosevelt Island residents. There would be a central clearing house where individuals could request help and offer help. The time people served would generate credits. If some day in the future a volunteer needed assistance, he or she would be able to draw down on those credits. The idea needs a lot of work but I'm hoping that someone will come forward at one of these meetings and offer to spearhead such an organization.
Last week, a new Roosevelt Island resident and reader of this blog wrote in asking:
Hi Roosevelt Islander
I enjoy reading your blog. My wife, son and I are recent arrivals (July 08, Manhattan Park) on the Island, and your blog has been key in staying up to date on Island life.
I'm wondering if you're aware of any volunteer opportunities on the Island for MLK day? Thanks for any thoughts you might have.
At the time I was not aware of Doctor Resick's plan but I suggested:
I am not aware of any volunteer activities on RI specifically for, or on, MLK day but there are Roosevelt Island volunteer opportunities. Take a look at this post on volunteering at Coler Goldwater hospital. I know the Girl Scouts were looking for volunteer leaders and there is a boy scout troop on the Island as well. Also, check out an organization called Orphans International which is HQed on the Island with an office next to the candy store on Main Street.
Also:
If you are interested in tutoring/mentoring, I would suggest contacting the Roosevelt Island Youth Center. or the Child/Legacy High School as well as PS/IS 217.
Please let me know if anyone has any other ideas for volunteer opportunities on Roosevelt Island.

More on the Martin Luther King Day Jr. Day of Service.

Monday, January 12, 2009

Roosevelt Island Doctor Jack Resnick's Affordable Home Health Care Proposal Profiled in Today's NY Times

Link: Independence at Home: The Roosevelt Doctor


Last December 29, Roosevelt Island's Doctor Jack Resnick conducted one of the Obama Health Care Forums at the Good Shepherd Community Center in which he presented his plan for affordable home health care and showed the above video to illustrate the benefits of such a system from both a cost and patient care perspective. Today's NY Times column, titled The New Old Age - Why House Calls Save Money, profiled Dr. Resnick's ideas:
Dr. Jack Resnick, an internist in New York, believes that if the frail elderly are treated at home by doctors making house calls, as they did in the good old days, then medical outcomes will improve and Medicare costs can be reduced.

...Dr. Resnick’s own anecdotal experience with house calls has been documented in various medical journals, which report that keeping geriatric patients out of the hospital reduces costs between 30 and 60 percent. With Medicare cost-containment high on the agenda of the incoming administration,...
Almost all of the comments to the NY Times article were deservedly supportive and complimentary of Doctor Resnick but two in particular raised interesting points. The first by AS (#17):
Sounds good, but the bottom line is “Show me the data” until then this is just a heartwarming anecdote.

Prelim data => grant money => real data

I agree that paying people enough is going to be key. At the end of the day, we’re going to have to ration health care. If Bam is smart he’ll start funding the necessary research now. If the outcomes data support this then paying enough to make it financially viable should be a no brainer. My colleagues and I are going to undergo a huge cognitive shift if we as a society finally realize that we want good care more then sophisticated care and align the financial incentives accordingly.

BTW: For anyone with means there’s a way to get a true medical home and possibly house calls right now. It’s called concierge medicine.
Followed by JimJaf (#18):
This all makes sense. So why doesn’t this guy and a bunch of colleagues get together with an insurer and start a medicare advantage program, which pays better than 100% of the average medicare reimbursement. Insofar as their costs will be less than 70% of this norm, they’ll then be able to split the remaining 30% as profit. Seems like a win-win situation.
I am glad that Doctor Resnick has been able to get his message out to the public beyond Roosevelt Island and hope that President-Elect Barack Obama's Health Care Transition Team is paying attention.

YES WE CAN!

Tuesday, December 30, 2008

Report From The Roosevelt Island Obama Health Care Forum - Prioritize Affordable Home Health Care Instead of Hospitalization and Nursing Homes

Roosevelt Island Obama Health Care Forum at the Good Shepherd Community Center

Tom Daschle attended one of last night's Obama Health Care Forums designed to help develop fresh new ideas for improving America's health care system in Dublin Indiana and not the one held last night here on Roosevelt Island. According to the NY Times:
Former Senator Tom Daschle, whom President-elect Barack Obama has called the “lead architect” of the new administration’s efforts to expand health insurance and rein in medical costs, attended a community meeting Monday where he got an earful about expenses that were too high and coverage that was too little....
Had Mr. Daschle attended last night's Roosevelt Island Obama Health Care Forum conducted by Doctor Jack Resnick (one of the rare NYC doctors who still makes neighborhood house calls) he would have seen an extremely informative and well attended meeting that focused primarily on providing affordable home health care as an alternative to hospital and nursing home care for elderly and disabled persons. Dr. Resnick's presentation can be summarized from the video below and his web site, The Roosevelt Doctor.

Independence at Home:
Saving Lives and Resources Through Health Care in the Home

Our health care system is broken. It costs too much and provides low quality care.

It's not enough to fix the financing of the system. We need to make health care better, safer, and more cost-effective.

By moving care out of hospitals and nursing facilities and into the
home, we can improve the quality of care by

  • eliminating hospital-acquired infections
  • reducing hospital errors
  • providing personalized care from one doctor, not a faceless rotation of specialists

What do we need to make home care work?

  • Physicians with:
    -24/7 availability
    -Intimate, comprehensive knowledge of the patient
    -Immediate access to the patient's database
  • Home Health Aides
    -competent, well-paid
    -multi-functional
    -long-term
  • Exercise/Physical Therapy -- continuous
  • Providing hospital services at home, such as IVs
  • Early Family/Caregiver Care Planning
  • Live Audio/Video connection between doctors and patients

How will the system pay for it? It's cheaper.

  • Hospitalization is the largest portion of healthcare cost
  • Insurers could easily pay for all of the above services and still save money
  • States are going broke paying for nursing home care through Medicaid
    -- we can save money by moving these patients into their own homes

Link: Independence at Home: The Roosevelt Doctor


CBS News reports that:
Through its Web site, the Obama transition team invited Americans to host health-care forums over the holidays. It provided "kits" that included a sample agenda, tips for a moderator and a plea for "particularly poignant stories to illustrate the need for health care reform."

A videographer documented Daschle's trip -- complete with footage of him walking through Indianapolis International Airport -- to post on the transition Web site. Other groups were encouraged to send photos, videos and reports.
I think Dr. Resnick and Roosevelt Island have plenty of "poignant stories to illustrate the need for health care reform" and hope that the Obama Health Care Transition team pays attention.

Monday, December 29, 2008

Can Roosevelt Island Become a Model For Health Care Reform Under the Obama Administation? Come to Tonight's Obama Health Care Forum and Find Out?


Tom Daschle describing Community Health Care Forums

Dr. Jack Resnick has been living and practicing medicine on Roosevelt Island for many years. He now hopes that Roosevelt Island can become a model for President- Elect Obama's incoming administration to reform the American health care system by reducing costs and improving patient services. Dr. Resnick will be holding a Health Care Forum later tonight at the Good Shepherd Community Center. According to the Main Street WIRE (PDF File):
...Resnick will conduct an “Obama Health Care Forum” Monday, December 29, at 7:30, in the Good Shepherd Community Center. The event was organized in response to a call from Senator Tom Daschle, the President-Elect’s nominee for Secretary of Health and Human Services. In a YouTube video, Daschle described this period as “a transformational moment.” Resnick wants Roosevelt Island to be central in that transformational moment.
Here is a participants guide and survey for Obama Health Care Community Discussions and an article by Dr. Resnick from the December 15 2007 Main Street WIRE (PDF File Page 1) on affordable home health care that the Obama health care team should examine.

More information on U.S. health care costs is available from NY Times 6 part Economix series via Yglesias.