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13134 Cornerstone 2.07 New - Winthrop University Hospital

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Winter 2006 • 2007<br />

Institute for Neurosciences<br />

<strong>Winthrop</strong>’s MS Treatment Center Continues<br />

to Elevate Standard of Care & Research<br />

Since 2001, Christine Posner has<br />

been traveling from her Rocky Point<br />

home in eastern Long Island to<br />

<strong>Winthrop</strong>-<strong>University</strong> <strong>Hospital</strong>’s<br />

Multiple Sclerosis (MS) Treatment<br />

Center in Mineola every three months.<br />

The round-trip takes three hours, but<br />

she believes it’s a small price to pay<br />

for her continued well-being.<br />

She was first diagnosed with MS —<br />

the most common cause of chronic neurological<br />

disability in young adults —<br />

six years ago at the age of 31. She had<br />

been misdiagnosed for the previous 10<br />

years, despite her symptoms, which<br />

included weakness in her legs, tingling<br />

hands, serious problems with balance<br />

and blurry vision. After being diagnosed<br />

with MS and treated for a year without<br />

any improvement, she came to<br />

<strong>Winthrop</strong>’s MS Center, where Malcolm<br />

Gottesman, MD, Chief of the Division<br />

of Neurology and Director of the MS<br />

Center, began to manage her care.<br />

“The Center has changed my life,”<br />

she said. “I’m symptom-free now. And,<br />

when they do appear, they’re milder<br />

than before. Since Dr. Gottesman has<br />

been treating me, I’ve been basically<br />

healthy.”<br />

While the cause of MS remains a<br />

mystery, it is considered an inflammatory<br />

disease that damages areas of the<br />

protective insulation (myelin) surrounding<br />

the nerves in the central nervous<br />

system (brain and spine).<br />

“MS is difficult to diagnose,” said<br />

Dr. Gottesman. “It shares many characteristics<br />

of other diseases, and there is<br />

no single test to confirm its existence.<br />

Only after ruling out other conditions<br />

can we confirm an MS diagnosis.<br />

“Although we have no cure yet, the<br />

last 10 years have been a watershed<br />

decade for advances in treatment<br />

options, which have evolved from a<br />

8 <strong>Cornerstone</strong><br />

single medication<br />

to the use of multiple<br />

drugs in<br />

combination that<br />

can stabilize<br />

patients and retard<br />

progression.”<br />

The Center’s<br />

mission is to provide<br />

compassionate<br />

patient care, conduct<br />

research and<br />

promote professional<br />

and patient<br />

education. Since its<br />

inception in 1997,<br />

the program has<br />

grown steadily and<br />

established itself<br />

at the forefront of<br />

MS treatment and<br />

research.<br />

Patient Care<br />

With about 1,500 patient visits<br />

annually, the Center’s staff has become<br />

known for the concerned, personalized<br />

attention bestowed on each patient.<br />

“With most chronic illnesses, where<br />

there’s no cure, the next best thing is<br />

to develop a relationship with a medical<br />

team that takes the time to really<br />

listen to you,” said Mindy Alpert, who<br />

has been treated for MS at <strong>Winthrop</strong><br />

since 1999.<br />

MS patients at the Center receive<br />

much more than attention to their physical<br />

needs. “Our strength as an MS<br />

Center is our expertise and knowledge<br />

in helping patients manage and cope<br />

with this serious disease,” said<br />

Sharon Friedman-Urevich, RN, Nurse<br />

Practitioner and Coordinator of<br />

<strong>Winthrop</strong>’s Multiple Sclerosis Treatment<br />

Program. “Our association with specialists<br />

who treat the various symptoms<br />

connected with MS, such as pain<br />

Malcolm Gottesman, MD, Chief of the Neurology Division and<br />

Director of the MS Center (third from left) with dedicated staff<br />

(l.-r.), Sharon Friedman-Urevich, RN, Nurse Practitioner and<br />

Coordinator of <strong>Winthrop</strong>’s MS Treatment Program; Denise Cheng,<br />

RN; and Eileen Boylan, RN.<br />

management, depression, bladder control<br />

and spasticity — and our ability to<br />

expedite referrals to them — enhances<br />

our ability to improve patients’ quality<br />

of life.”<br />

Since manifestations of MS<br />

depend on which part of the central<br />

nervous system is affected, psychosocial<br />

symptoms such as depression are<br />

not uncommon. “We treat the disease<br />

as well as help patients manage their<br />

symptoms,” said Ms. Friedman-<br />

Urevich. “Our team listens and talks<br />

to our patients — that’s key to the<br />

quality of care we provide.”<br />

Although Ms. Alpert’s disease has<br />

progressed since beginning treatment<br />

at the Center, she believes she’s at the<br />

best place she can be. “I’m in a much<br />

better place emotionally since coming<br />

to the Center,” she explained. “It’s a big<br />

relief to have a responsive medical<br />

team. When I call, I know I’ll get an<br />

answer to my question.”<br />

(continued on page 18)

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