Advances in Care NewYork-Presbyterian

Over the years working in the neurocritical ICU, Dr. Soojin Park recognized a problem: She knew that 30 to 40% of her patients were at risk for stroke in the weeks following an aneurysmal subarachnoid hemorrhage, but it was still difficult to determine which patients were most likely to develop additional problems, like a delayed cerebral ischemia, and treat them accordingly. So, Dr. Park used her background in data science to develop a tool that can better predict which specific patients were at increased risk. The COSMIC score utilizes machine learning, and basic patient data such as blood pressure and heart rate, to predict likely outcomes, and improve targeted patient care in the neurocritical ICU.

By the year 2030, there will be around 22 million cancer survivors. And while cancer treatment continues to improve, it’s an unfortunate reality that many of these patients are at increased risk for cardiovascular issues, because of biology or as a byproduct of their life saving treatments. But recently, the field of cardio-oncology has emerged to help cancer patients minimize short and long term risks to their hearts. Dr. Stephanie Feldman speaks about the research pushing this innovative field forward and how it will increase the quality of life for so many patients in the years to come.

Dr. Jason Hawksworth, Dr. Tamatha Fenster, and Dr. Arnar Geirsson come from different specialties, but one thing unites them: the implementation of surgical robotics to advance their practices. In this episode, the doctors discuss how robots are revolutionizing the fields of hepatobiliary, gynecological, and cardiac surgeries–and what’s coming next for the future of medicine.

Dr. Robert Christian and Dr. Samuel Van de Velde are orthopedic surgeons with two different specializations, but one common goal: alleviating pain and preserving their patient’s native hip function for as long as possible. With Dr. Christian’s sports medicine and arthroscopic surgery background, and Dr. Van de Velde’s expertise in periacetabular Ganz osteotomy, the uniquely qualified pair run a combination clinic focused on hip preservation - one of few in the country to offer this type of collaborative treatment approach.

Dr. Mario Gaudino set out early in his career to study the difference between doing coronary artery bypass surgery through veins versus arteries but when he started to review the research findings he noticed something strange: there was no data on how coronary bypass surgery was different for women and people of color. As a matter of fact, the only thing doctors knew about coronary bypass surgery in women was that they had worse outcomes. Dr. Gaudino decided that needed to change and has since launched multiple studies focused on understanding the health outcomes of women and people of color undergoing coronary bypass surgery as well as working to define an improved, patient centric approach for clinical research.

Dr. Dena Goffman believes that better maternal care requires a proactive, system-wide approach and is making her vision a reality at NewYork-Presbyterian. How? She focuses on implementing guidelines that standardize care across all of NewYork-Presbyterian’s hospitals. Dr. Goffman has also aided in FDA approval and adoption of a new, ingenious anti-hemorrhage tool and embraced simulations to train and improve the skills of healthcare professionals throughout the labor and delivery process. Her work across the hospital system has helped to set goals and create quality standards making labor and delivery safer for patients.