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RUSK Insights on Rehabilitation Medicine

RUSK Insights on Rehabilitation Medicine is a top podcast featuring interviews with faculty and staff of RUSK Rehabilitation as well as leaders from other rehabilitation programs around the country. These podcasts are being offered by RUSK, one of the top rehabilitation centers in the world. Your host for these interviews is Dr. Tom Elwood. He will take you behind the scenes to look at what is transpiring in the exciting world of rehabilitation research and clinical services through the eyes of those involved in making dynamic breakthroughs in health care.
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Now displaying: 2020
Jun 24, 2020
Dr. Julie Fernandes works as a clinical specialist coordinating the Hand Therapy Fellowship Program at NYU Langone Orthopedic Center program. Originally from South Africa, she received her occupational therapy degree from the University of Cape Town. She went on to specialize in hand therapy, honing her ability to fabricate splints and treat surgical patients. In 2009, Julie relocated to Chicago and then New York City where she has worked as a certified hand therapist for the past eight years. She has a post-professional clinical doctorate in Occupational Therapy and has published in the peer-reviewed American Journal of Occupational Therapy on “The Occupational Therapist’s Role in Perinatal Care: A Health Promotion Approach.”
 
In this interview, she discusses the Hand Therapy Fellowship Program at NYU Langone Orthopedic Center program; range of services provided by occupational therapists, an article she recently had published; how the coronavirus has redefined how occupational therapists provide services to patients; stage when hand splinting occurs for post-operative patients; different stages when occupational therapy is most effective for hospitalized coronavirus patients; interactions with patients via telehealth; differences between providing hands-on care in a clinical setting and using a telehealth approach; challenges that must be addressed in dealing with patients who have different personal characteristics, such as age; occupational therapy studies it may be worth launching in order to enhance the care of patients who will be treated in the future; and possible additions to occupational therapy education programs.

 

Jun 10, 2020
Dr. Felicia Connor’s techniques integrate mindfulness-based interventions, cognitive-behavioral therapy and solution-focused therapy into her individual and group work. Her clinical interests include therapy with a spirituality focus, culturally informed therapy and assessment and concussion across the lifespan. In her daily practice, she provides individual and group cognitive rehabilitation, psychotherapy and neuropsychological assessment to those with neurological conditions. She has been trained in traditional therapy for depression, anxiety, adjustment to disability, grief/loss; pediatric neurological issues (e.g. concussion management) and couples and family therapy. Her research interests include: multiple sclerosis, cultural considerations for treatment, and cognitive remediation. She is Board Certified in Rehabilitation Psychology and licensed in New York, Delaware and Pennsylvania. Her doctorate in clinical psychology is from Argosy University.
 
Dr. Caitlyn Arutiunov’s research focuses on identifying barriers to the neurorehabilitation process within an outpatient neurorehabilitation population, including factors such as psychosocial, environmental, institutional, and attitudinal barriers to treatment. The goal of this research is to document these barriers to treatment to aid in improving overall quality of care for neurorehabilitation patients. In addition to conducting research, she provides psychotherapy, cognitive remediation, and group therapy on an outpatient basis to neurorehabilitation patients at Rusk. She completed her doctoral internship at Rusk. She received her Psy.D. in Clinical Psychology from the Ferkauf Graduate School of Psychology at Yeshiva University, where she completed her dissertation on "The Ethics of Publicly Diagnosing Public Figures with Mental Disorders."   
 
In the interview, they discuss kinds of treatment for patients with a coronavirus infection; how such treatment might differ from typical treatment protocols; what a workday is like treating patients by telehealth; if interaction with patients differs compared to treating them directly in a clinical setting, and if so, in what ways; how telehealth group work and cognitive remediation present more challenges and require some creative solutions on the part of clinicians; whether the type of mental health condition aids in the determination of whether treatment on a one-to-one or group therapy basis is more appropriate; whether psychological services are being provided for other health personnel treating coronavirus patients in the clinical setting and for what kinds of mental health challenges; psychological studies it may be worth launching in order to enhance the mental health care of patients who will be treated in the future; and based on personal experiences working with coronavirus patients, what could be worth incorporating in psychology education programs?
Jun 3, 2020

This discussion is a special presentation from Rusk Rehabilitation that features a group of faculty and staff battling the pandemic on the front lines at the middle of the epicenter in New York City. 

Questions from around the country are answered in this exciting and extremely important episode!

Please excuse any issues with sound. 

May 27, 2020

This discussion is a special presentation from Rusk Rehabilitation that features a group of faculty and staff battling the pandemic on the front lines at the middle of the epicenter in New York City. 

Questions from around the country are answered in this exciting and extremely important episode!

Please excuse any issues with sound. 

May 20, 2020

This interview is a special front-line discussion with Dr. John Corcoran, William Finley, and Vincent Cavallaro. 

Dr. John Corcoran is the Site Director for Rehabilitation Therapy Services and Director of Inpatient Therapy Services at NYU Langone Health - Rusk Rehabilitation. He is a CARF Medical Rehabilitation Surveyor and surveys rehabilitation hospitals both nationally and internationally. He is a Clinical Assistant Professor in the Department of Rehabilitation Medicine, NYU Grossman School of Medicine - specializing in rehabilitation, critical care rehabilitation and pain rehabilitation. His Doctor of Physical Therapy Degree is from Long Island University Health Sciences Center and he won the Division of Physical Therapy Academic Excellence Award. He has won two awards at the NYU Langone Health Annual Quality and Safety Day (2015) for his work on Early Mobilization (lead author of the team award) and the Children’s Hospital Safety Network Fall Prevention Program (team award).

William Finley is the Program Manager of the Safe Patient Handling and Mobility Department at NYU Langone Health and is on the faculty at NYU Medical Center. He received his Master’s Degree in Occupational Therapy and Bachelor’s Degree in Health Science from Quinnipiac University. He obtained his Master’s of Business Administration degree with a dual specialty in Accounting and Health Care Administration from the University of Scranton. He has over a decade of experience as an occupational therapist in acute care and outpatient orthopedics and sports medicine. The focus of much of his research relates to biomechanics of the upper extremity and safe patient handling. His other professional interests include healthcare informatics, program development, and value based practice.

Vincent Cavallaro serves as a Vice President for hospital operations at NYU Langone Hospital – Brooklyn. He began his career as a staff physical therapist at Lutheran Medical Center in 1981. He was instrumental in the development and regulatory planning of a 30-bed Inpatient Rehabilitation Facility (IRF). He assumed various roles across the rehabilitation continuum in Acute Care, IRF, Subacute, Homecare and Outpatient services. He was chiefly responsible for operationalizing multiple outpatient Rehabilitation therapy sites within the Lutheran Family Health Center Network. He assumed operational responsibilities for Neurology and Epilepsy services as the Vice President of Hospital Operations for Neurology and Rehabilitation Services. Lutheran Medical Center underwent a merger with NYU Langone Health. His degree in physical therapy is from SUNY Downstate.

The three interviewees discussed the following: the technique of prone positioning; differences between proning in the ICU vs. proning of acute care patients; challenges in treating coronavirus patients; different stages when occupational therapy and physical therapy are most effective when coronavirus patients are hospitalized; engaging with patients using telehealth; differences between providing hands-on care in a clinical setting and a telehealth approach for treatment; stresses and strains being experienced by caregivers; specific challenges that must be addressed in treating patients with different personal characteristics, such as age; questions that arise worth pursuing in future research studies; and based on experiences working with coronavirus patients, what could possibly be incorporated in occupational therapy and physical therapy education programs

May 13, 2020

This interview is a special front-line discussion with Dr. John Corcoran, William Finley, and Vincent Cavallaro. 

Dr. John Corcoran is the Site Director for Rehabilitation Therapy Services and Director of Inpatient Therapy Services at NYU Langone Health - Rusk Rehabilitation. He is a CARF Medical Rehabilitation Surveyor and surveys rehabilitation hospitals both nationally and internationally. He is a Clinical Assistant Professor in the Department of Rehabilitation Medicine, NYU Grossman School of Medicine - specializing in rehabilitation, critical care rehabilitation and pain rehabilitation. His Doctor of Physical Therapy Degree is from Long Island University Health Sciences Center and he won the Division of Physical Therapy Academic Excellence Award. He has won two awards at the NYU Langone Health Annual Quality and Safety Day (2015) for his work on Early Mobilization (lead author of the team award) and the Children’s Hospital Safety Network Fall Prevention Program (team award).

William Finley is the Program Manager of the Safe Patient Handling and Mobility Department at NYU Langone Health and is on the faculty at NYU Medical Center. He received his Master’s Degree in Occupational Therapy and Bachelor’s Degree in Health Science from Quinnipiac University. He obtained his Master’s of Business Administration degree with a dual specialty in Accounting and Health Care Administration from the University of Scranton. He has over a decade of experience as an occupational therapist in acute care and outpatient orthopedics and sports medicine. The focus of much of his research relates to biomechanics of the upper extremity and safe patient handling. His other professional interests include healthcare informatics, program development, and value based practice.

Vincent Cavallaro serves as a Vice President for hospital operations at NYU Langone Hospital – Brooklyn. He began his career as a staff physical therapist at Lutheran Medical Center in 1981. He was instrumental in the development and regulatory planning of a 30-bed Inpatient Rehabilitation Facility (IRF). He assumed various roles across the rehabilitation continuum in Acute Care, IRF, Subacute, Homecare and Outpatient services. He was chiefly responsible for operationalizing multiple outpatient Rehabilitation therapy sites within the Lutheran Family Health Center Network. He assumed operational responsibilities for Neurology and Epilepsy services as the Vice President of Hospital Operations for Neurology and Rehabilitation Services. Lutheran Medical Center underwent a merger with NYU Langone Health. His degree in physical therapy is from SUNY Downstate.

The three interviewees discussed the following: the technique of prone positioning; differences between proning in the ICU vs. proning of acute care patients; challenges in treating coronavirus patients; different stages when occupational therapy and physical therapy are most effective when coronavirus patients are hospitalized; engaging with patients using telehealth; differences between providing hands-on care in a clinical setting and a telehealth approach for treatment; stresses and strains being experienced by caregivers; specific challenges that must be addressed in treating patients with different personal characteristics, such as age; questions that arise worth pursuing in future research studies; and based on experiences working with coronavirus patients, what could possibly be incorporated in occupational therapy and physical therapy education programs

May 6, 2020

This discussion is a special presentation from Rusk Rehabilitation that features a group of faculty and staff battling the pandemic on the front lines at the middle of the epicenter in New York City. 

Questions from around the country are answered in this exciting and extremely important episode!

Please excuse any issues with sound. 

Apr 29, 2020

This discussion is a special presentation from Rusk Rehabilitation that features a group of faculty and staff battling the pandemic on the front lines at the middle of the epicenter in New York City. 

Questions from around the country are answered in this exciting and extremely important episode!

Please excuse any issues with sound. 

Apr 22, 2020

Dr. Jeffrey Fine serves as Vice Chairman of NYU Langone Health Brooklyn Rehabilitation & Rusk Rehabilitation Network Development. He is a clinician educator and administrator who has been practicing in academic medicine at Level I Trauma Center teaching hospitals for over 20 years. Dr. Fine is chairperson of the VBM ICU early mobilization program at NYU Langone Hospital Brooklyn and also chairperson of the  Brooklyn brain injury outpatient care planning team. He holds four certifications from the American Board of Medical Specialties in the following areas: Physical Medicine & Rehabilitation; Spinal Cord Injury; Brain Injury Medicine; and Pain Medicine. He also has published several articles regarding patient safety during transitions of care including communication during handoffs, and identification/reconciliation of barriers to safe community discharge with resultant enhanced patient satisfaction. His medical degree is from New York Medical College and he completed his residency at Mount Sinai School of Medicine in New York City. Among his many prestigious awards, on more than one occasion he was honored as Best Teacher Of The Year in the Department of Rehabilitation Medicine at the Icahn School of Medicine at Mount Sinai.

In this interview, Dr. Fine discusses the following: kinds of patients he is treating for COVID-19; patient pathways to arrive for treatment; differential susceptibility of patients entering the health care setting on the basis of age, gender, socioeconomic factors, genetic variations and other characteristics, such as preexisting conditions like diabetes; whether accurate predictors are being employed, along with any kinds of measures or rating scales to help distinguish patients who can expect to be discharged to their homes compared to individuals with more life-limiting medical conditions; access to all necessary therapies, including those considered still at an experimental stage of effectiveness; role of telehealth in treating COVID-19; possible impact on daily activities of wearing full-body PPE by clinicians in the hospital; and how as a health professional life may have changed since the appearance of COVID-19.

 

 

 

Apr 15, 2020

Dr. Brian Im serves as director of brain injury rehabilitation at the Rusk Rehabilitation Institute at NYU Langone Health. He is heavily involved in program development and academic medicine. He has an active role in TBI research with a focus on studying health care disparities and differences that exist in traumatic brain injury care for different populations. After completing medical school at SUNY, Syracuse, a rehabilitation residency at NYU School of Medicine/Rusk Rehabilitation, and a fellowship in brain injury medicine at UMDNJ/Johnson Rehabilitation Institute, his subsequent tenure at Bellevue Hospital focused upon an interest in improving brain injury rehabilitation for underserved populations.

In this episode, Dr Im discusses the kinds of patients he has been treating for COVID-19, after-effects that are caused or associated with the onset of coronavirus that might not have occurred in the absence of a COVID-19 infection; patterns that characterize these patients; when triage becomes necessary; whether any kinds of measures or rating scales are being used at Rusk as a means of helping to distinguish patients who can expect to be discharged to their homes compared to individuals with more life-limiting medical conditions; whether accurate predictors exist to help determine whether a patient’s condition may be prone to deteriorate rapidly as opposed to achieving recovery eventually from what ails them; if Rusk has access to all necessary therapies, including those considered still at an experimental stage of effectiveness; if wearing full-body PPE in the hospital results in physical barriers that hinder personal activities; ways is which his life has changed since the appearance of COVID-19; and whether telehealth plays a role in treating either patients who have been discharged after being treated for COVID-19 or patients who already were being treated by Rusk clinicians prior to the outbreak of that disease.

 

 

Apr 1, 2020

Dr. Naomi Gerber serves as the Director of Research for the Department of Medicine at Inova Fairfax Hospital in Virginia and the Outcomes Program at the Beatty Center for Integrated Research. After graduating from Tufts University School of Medicine, Dr. Gerber completed two residencies in internal medicine and rehabilitation medicine and a fellowship in rheumatology. She served as the Chief of the Rehabilitation Medicine Department at the Clinical Center, National Institutes of Health in Bethesda, Maryland and was instrumental in helping to develop the sub-specialty of rehabilitative rheumatology. In 2006, Dr. Gerber joined the faculty of George Mason University in the Health Administration and Policy Department and is co-director of the Laboratory for the Study and Simulation of Human Movement. 

Listeners to Part 1 of Dr. Gerber’s presentation will recall that she talked about fatigue in the context of proteomics, performance, and perception. In Part 2, she began by asking how do we separate central fatigue from depression? It is a difficult question and may be why the biosignatures are so important. From a clinical perspective, sad and despairing feelings, anhedonia, really is the hallmark of depression. It’s not the hallmark of central fatigue, which is a different pathway. Many important factors here originate in the liver. We need to be attentive to the way we measure the specifics of both peripheral and central fatigue. We have objective measures that are quantitative and we have self-reports. Both are needed, along with observer-recorded reports to obtain a full picture of what we mean by fatigue. A perfect fatigue instrument has not been found yet. She described the fatigue severity scale and indicated some of its deficiencies. She also described the kinds of procedures undertaken in her laboratory to obtain a fuller understanding of fatigue. She indicated who can be considered fatigued. It’s usually women, individuals who are less active, who are obese or overweight, who are smokers with more than moderate alcohol intake, often complaining of depressed symptomology, and they are anxious. In her view, metabolic issues are under appreciated by our specialty. 

Mar 18, 2020

Dr. Naomi Gerber serves as the Director of Research for the Department of Medicine at Inova Fairfax Hospital in Virginia and the Outcomes Program at the Beatty Center for Integrated Research. After graduating from Tufts University School of Medicine, Dr. Gerber completed two residencies in internal medicine and rehabilitation medicine and a fellowship in rheumatology. She served as the Chief of the Rehabilitation Medicine Department at the Clinical Center, National Institutes of Health in Bethesda, Maryland and was instrumental in helping to develop the sub-specialty of rehabilitative rheumatology. In 2006, Dr. Gerber joined the faculty of George Mason University in the Health Administration and Policy Department and is co-director of the Laboratory for the Study and Simulation of Human Movement. 

In Part 1 of her presentation, Dr. Gerber’s aim is to decipher fatigue in the context of proteomics, performance, and perception. She wants to describe the construct that is beginning to be shaped to enable us to understand fatigue better and indicate how it is effectively measured both objectively and subjectively. She mentioned that the term biosignature is a more robust term than biomarker because it represents multiple domain measures to help us understand complex ideas, such as fatigue. When talking about fatigue, it is necessary for individuals to report what they are experiencing. Expectation plays a role in what a person is trying to accomplish. In order to treat fatigue effectively, it is necessary to know the parameters. Her presentation included the topics of cancer fatigue and liver fatigue, noting that if we do not study the liver better, an important concept in the rehabilitation world, we are not going to conquer this problem. She made a distinction between pathological and non-pathological (normal) fatigue and how to treat these conditions. She also discussed peripheral and central fatigue. There is confusion in the domain culture about these kinds of fatigue and an effort is underway to identify a biosignature that gives a mix of objective measures linked to perception. A portion of the tryptophan pathway is critical for understanding fatigue, both peripheral and central.

Mar 4, 2020

Dr. Bartels received his MD and MPH degrees from Columbia University College of Physicians & Surgeons and completed an internship and internal medicine and rehabilitation residencies at New York-Presbyterian/Columbia University Medical Center in New York.

Prior to becoming the Chairman of the Department of Physical Medicine and Rehabilitation at Montefiore Medical Center/Albert Einstein College of Medicine in September 2013, Dr. Bartels directed Cardiopulmonary Rehabilitation and the Human Performance Laboratory at Columbia Presbyterian Medical Center, where he has served as director of cardiopulmonary rehabilitation and founder and director of the Human Performance Laboratory.

Over the years, Dr. Bartels has also been recognized for his commitment to educating future physicians, including those outside of his specialty of rehabilitation medicine.  While at Columbia, he served as a clinical mentor to two first-year medical students each year and coordinated research teaching for the Rehabilitation residents. He also participated in lecture series events for fellows in the areas of Cardiology and Pulmonary Medicine, sharing the rehabilitation perspective for each specialty.

Feb 19, 2020

Dr. Bartels received his MD and MPH degrees from Columbia University College of Physicians & Surgeons and completed an internship and internal medicine and rehabilitation residencies at New York-Presbyterian/Columbia University Medical Center in New York.

Prior to becoming the Chairman of the Department of Physical Medicine and Rehabilitation at Montefiore Medical Center/Albert Einstein College of Medicine in September 2013, Dr. Bartels directed Cardiopulmonary Rehabilitation and the Human Performance Laboratory at Columbia Presbyterian Medical Center, where he has served as director of cardiopulmonary rehabilitation and founder and director of the Human Performance Laboratory.

Over the years, Dr. Bartels has also been recognized for his commitment to educating future physicians, including those outside of his specialty of rehabilitation medicine. While at Columbia, he served as a clinical mentor to two first-year medical students each year and coordinated research teaching for the Rehabilitation residents. He also participated in lecture series events for fellows in the areas of Cardiology and Pulmonary Medicine, sharing the rehabilitation perspective for each specialty.

Feb 5, 2020

Dr. Charla Fischer one of New York City’s top minimally invasive spine surgeons. She specializes in lumbar disc herniations, lumbar spinal stenosis, lumbar degenerative disc disease, instability, and cervical spine degeneration. She is also an expert in advanced minimally invasive spine surgery techniques such as minimally invasive microdiscetomy, MIS lumbar fusions, robotic-assisted spine surgery, and advanced MIS techniques.

Dr. Fischer completed her residency at Columbia after completing both medical school and undergraduate school on a full academic scholarship at University of Southern California. She spent a year specializing in spine surgery at NYU-Hospital for Joint Diseases.

As an associate professor of spine surgery at NYU Langone Medical Center, Dr. Fischer regularly teaches residents and medical students in the areas of compassionate patient care and minimally invasive spine surgery. She has received grants from the National Institutes of Health (NIH) and the Orthopedic Research and Education Foundation (OREF). The funding helps her pursuits in the advancement of minimally invasive surgical techniques, and quality of life improvements after spine surgery. She routinely publishes in the top peer-reviewed journals and presents her findings at internationally attended academic meetings. She serves on the SRS Research Committee and is an Associate Editor for the prestigious Journal of Bone and Joint Surgery.

Jan 22, 2020

Dr. Charla Fischer one of New York City’s top minimally invasive spine surgeons. She specializes in lumbar disc herniations, lumbar spinal stenosis, lumbar degenerative disc disease, instability, and cervical spine degeneration. She is also an expert in advanced minimally invasive spine surgery techniques such as minimally invasive microdiscetomy, MIS lumbar fusions, robotic-assisted spine surgery, and advanced MIS techniques.

Dr. Fischer completed her residency at Columbia after completing both medical school and undergraduate school on a full academic scholarship at University of Southern California. She spent a year specializing in spine surgery at NYU-Hospital for Joint Diseases.

As an associate professor of spine surgery at NYU Langone Medical Center, Dr. Fischer regularly teaches residents and medical students in the areas of compassionate patient care and minimally invasive spine surgery. She has received grants from the National Institutes of Health (NIH) and the Orthopedic Research and Education Foundation (OREF). The funding helps her pursuits in the advancement of minimally invasive surgical techniques, and quality of life improvements after spine surgery. She routinely publishes in the top peer-reviewed journals and presents her findings at internationally attended academic meetings. She serves on the SRS Research Committee and is an Associate Editor for the prestigious Journal of Bone and Joint Surgery.

Jan 8, 2020

Dr. JR Rizzo is a physician scientist at Rusk Rehabilitation. He leads the Visuomotor Integration Laboratory where his team focuses on eye-hand coordination as it relates to acquired brain injury. Dr. Rizzo has been recognized as a Top 40 under 40 by Crain’s for his industry-leading innovation and dedication to transforming the lives of those with vision deficiencies worldwide. This is a two-part Grand Rounds presentation.

In Part Two, Dr. Rizzo discusses assistive technology. There is lots of it for physical impairments, but what about for sensory impairments, such as mobility? Visually impaired patients may use a white cane while walking, but it misses large physical objects. So, they came up with something they called the Dragon Fly, which may become available commercially by the end of 2019. A form of push and clear technology, it should prove to be highly useful. He talked about advanced driver assist systems (ADAS), systems which, for example, help motor vehicle drivers by improving road safety. Rear end collisions are being reduced significantly. Why can’t we do this for falls experienced by patients with sensory impairments? This work is being done now and he gave examples of how visually impaired pedestrians are being assisted. He also described assistance devices that can help patients in their homes, such as reaching and grasping accurately.

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