Monthly Archives: February 2015

Mill Etienne, MD, MPH Earns Brain Injury Board Certification

etienneMill Etienne, MD, MPH, director of the epilepsy and EEG laboratory at Good Samaritan Regional Medical Center, Suffern, NY, has recently become board certified in brain injury med

The new certification from The American Board of Psychiatry and Neurology establishes the field of brain injury medicine as a definite area of subspecialization in psychiatry, neurology, child neurology, physical medicine and rehabilitation, and provides a means of identifying properly trained and experienced physicians in brain injury medicine.  Dr. Etienne sees patients with all types of acquired brain injury including traumatic brain injury/concussion, stroke, and intracerebral hemorrhage.  He is currently working with local athletic trainers to establish concussion education program for the high school athletes and parents in Rockland County. icine. He is one of approximately 22 neurologists nationwide, and one of only three in New York state, to earn this certification. The first-ever board examination in brain injury medicine was offered in October 2014 in response to increased recognition of the need for this subspecialization.

Since joining Bon Secours Charity Health System in 2012, Dr. Etienne was also part of the inaugural group of neurologists board certified in Epilepsy.

Dr. Etienne took the epilepsy board examination in October 2013 when it was first offered.  The epilepsy board examination officially establish the field of epilepsy as a definite area of subspecialization in neurology and child neurology, and to provide a means of identifying physicians properly trained and experienced in treating epilepsy.  Epilepsy is the 4th most common neurological problem – only migraine, stroke and Alzheimer’s disease occurs more frequently.  Dr. Etienne is one of three neurologists nationwide holding dual board certifications in brain injury medicine and epilepsy.  His other board certifications are in the fields of neurology, clinical neurophysiology and public health.

Dr. Etienne is also a recognized expert in disaster medicine, particularly in the area of Ethics and Culture, and served as chief ethicist for the United States Military’s medical and rescue response (Operation Unified Response) to the 2010 earthquake in Haiti. Since then, Dr. Etienne has returned to Haiti on subsequent medical missions to establish epilepsy and neurology clinics and train Haitian doctors to treat neurological disorders. Dr. Etienne routinely takes medical trainees with him to Haiti to teach them about providing medical care in austere circumstances.  Dr. Etienne is a visiting scholar at the National Center for Bioethics in Research and Health Care at Tuskegee University and he has recently served on the American College of Chest Physicians’ Mass Critical Care Task Force which has published guidelines on mass critical care in the Chest medical journal.  These guidelines provide guidance on the management of mass casualty events as may occur with a Tsunami, earthquake or infections such as Influenza and Ebola.

Dr. Etienne is assistant dean of students and adjunct assistant professor of neurology at New York Medical College. Additionally, Dr. Etienne is assistant professor of Neurology at the Uniformed Services University of Health Sciences in Bethesda, MD.  A member of the American Academy of Neurology and the American Epilepsy Society, he has presented his research multiple times at both their annual meetings. Dr. Etienne has authored multiple book chapters and has numerous publications in peer-reviewed journals. In June 2014, Dr. Etienne was named Top Doctor 2014 by Hudson Valley Magazine.

Dr. Etienne received his bachelor’s degree from Yale University and his medical degree from New York Medical College.  Dr. Etienne was a Paul and Daisy Soros Fellow while in medical school.  He completed his neurology residency and epilepsy fellowship at New York Presbyterian Medical Center (University Hospital of Columbia and Cornell). He then obtained his MPH from Columbia University and completed a neuroepidemiology fellowship with a training grant from the National Institute of Health (NIH) under the guidance of Dr. W. Allen Hauser.

Following the September 11, 2001 terrorist attacks, Dr. Etienne developed an interest in joining the US military.  Dr. Etienne received a commission as a Lieutenant in the United States Navy in October 2004.  In 2009, Dr. Etienne did a voluntary recall to active duty and went on to establish and direct the comprehensive Epilepsy, EEG and autonomic programs at the Walter Reed National Military Medical Center. While at Walter Reed, he was associate program director of the neurology residency program and was part of the Clinical Neurophysiology teaching faculty for the National Institute of Neurological Disorders and Stroke (NINDS) at the NIH.  After joining Bon Secours staff, Dr. Etienne transitioned to the US Naval reserve and currently serves as Chief neurologist for the US Naval reserve.

 

National Heart Month: Know the Signs

Heart Attack? Stroke?

Do you know the ways to detect various heart diseases? Listed below are symptoms associated with heart attacks and strokes. Please check them out, and always pay attention to the signs your body is giving you!

HEART ATTACK

  • Uncomfortable pressure, squeezing, fullness or pain in the center of your chest that lasts more than a few minutes or goes away and comes back
  • Pain or discomfort in one or both arms, the back, neck, jaw or stomach
  • Shortness of breath, with or without chest discomfort
  • Breaking out in a cold sweat
  • Nausea
  • Lightheadedness

STROKE

  • Sudden numbness or weakness of the face, arm or leg, especially on one side of the body
  • Sudden confusion, trouble speaking or understanding
  • Sudden trouble seeing or blurred vision in one or both eyes
  • Sudden trouble walking
  • Dizziness
  • Loss of balance or coordination
  • Sudden severe headache with no known cause

REMEMBER, a simple way to spot a stroke is to recognize FAST:

F: face drooping

A: arm weakness

S: speech difficulty

T: time to call 911!

Schervier Pavilion residents celebrate Mardi Gras

Mardi Gras 8

Mardi Gras, French for Fat Tuesday, is the day before Ash Wednesday and it’s traditionally a time to celebrate and eat well before the season of Lent.

Although celebrated throughout the world, most people in the United States associate the event with the City of New Orleans. But on Tuesday, February 17, the residents of Schervier Pavilion, a skilled nursing facility on the Warwick Campus of the Bon Secours Charity Health System, had an opportunity to celebrate Mardi Gras with a traditional New Orleans King Cake party.

The lavish costumes and parades may not have been part of this event but it was fun celebration none the less and opportunities to participate in traditional events are always available to the residents.

In addition to special Mardi Gras refreshments and treats like punch and chocolate doubloons, the residents, many wearing colorful purple, green and gold hats and beads, were treated to recorded New Orleans music and songs like “Jambalaya, On the Bayou.”

The highlight of the afternoon was the cutting and serving of the King Cake. King Cake is made of a cinnamon-filled dough in the shape of a hollow circle. The cake has a small plastic baby inserted and, according to custom, the person who gets the piece of cake with the baby has to throw the next party.

“We hosted this and other events to give our residents and often their families an opportunity to share a holiday tradition,” said Schervier Pavilion Director of Recreation Kari Call. “We’re happy that our residents were able to enjoy this Mardi Gras celebration.”

As Director of Recreation, her job is to provide recreation resources and opportunities for both the long and short-term residents of the skilled nursing home in order to maintain and improve their health and well being.

All programs at Schervier Pavilion are designed to meet the psychosocial and physical needs of the residents with activities that are not only enjoyable but are also intended to achieve this goal.

Schervier Pavilion, a member of the Bon Secours Charity Health System, is a 120-bed skilled nursing facility licensed by the New York State Department of Health. Dedicated to the highest standard of health care excellence, its full range of services, such as its therapeutic recreational program, are designed to respond to each individual’s physical, emotional and spiritual needs.

In addition to quality long term care services, Schervier Pavilion also offers a wide range of short-term (sub acute) care needs. Its sub acute services include IV therapy, Rehabilitation therapy and wound care. These services afford residents the ability to recuperate for a short time in the sub-acute unit of the facility and then return home where they can resume a more independent life. In some cases, they can then enter Schervier Pavilion’s Day-At-A-Time, an innovative medical adult day care program that provides nursing services, medication administration, ongoing evaluations, and stimulating activities tailored to each individual’s needs and abilities.