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CWPW’s Adolescent Medicine Doctors provide excellent primary medical care to adolescents and young adults between the ages of 11 and 24 years, in close coordination with an experienced team of consultants in every pediatric and surgical sub-specialty, and the allied fields of psychology, psychiatry, nutrition, physical therapy and occupational therapy.In addition to providing primary medical care to adolescents and young adults, we offer sub-specialty care in adolescent and young adult medicine, and pediatric and adolescent gynecology, in conjunction with the patient’s primary care provider.
Our primary hospital affiliation is with the Maria Fareri Children’s Hospital at Westchester Medical Center. We are also affiliated with Montefiore North in the Bronx, NY, Metropolitan Hospital Center in NYC.
For over 25 years, Pediatric Cardiovascular services at the Westchester Medical Center have provided outstanding comprehensive clinical care for infants, children and adolescents from throughout the Hudson Valley and beyond. The opening of the Maria Fareri Children’s Hospital (MFCH) at Westchester Medical Centerhas strengthened those services and now provides an unmatched environment of care for children and their families.Our team pioneered noninvasive and invasive therapies for the entire spectrum of children’s cardiovascular problems in the Hudson Valley, and we continue to deliver them to area families in a state-of-the-art children’s hospital so close to home. Our pediatric cardiology team has and continues to develop new strategies for treatment and diagnosis of cardiac conditions from fetal life through young adulthood. Examples include the advent of our newest program, the Adult Congenital Heart Disease Center (in collaboration with our Adult cardiology colleagues), and the implementation of 3-D echocardiography nd similar cutting-edge technologies.
The continuum of comprehensive care, from fetus to young adult is possible due to a team-oriented approach. At Maria Fareri Children’s Hospital (MFCH) at Westchester Medical Center, 13 pediatric cardiologists work in concert with a dedicated pediatric cardiothoracic surgical team, pediatric cardiac anesthesia experts, cardiovascular nurse specialists, and a uniquely trained technical staff to deliver world-class care.
We provide the full range of pediatric cardiology services. This includes ambulatory consultation and inpatient care that consists of invasive and noninvasive electrophysiology, interventional cardiac catheterization, all modalities of echocardiography, cardiopulmonary exercise stress testing, and syncope analysis with specially designed tilt table testing. Our echocardiography staff performs more than 8,000 studies each year and we have cardiac CT and cardiac MR capabilities. Moreover, Maria Fareri Children’s Hospital (MFCH) at Westchester Medical Center is one of the few centers in New York State to provide ECMO (extracorporeal membrane oxygenation) therapy for infants and children.
Whether it’s a heartbeat irregularity or a complex heart defect detected in the womb, the pediatric cardiac specialists at Maria Fareri Children’s Hospital (MFCH) at Westchester Medical Center are dedicated to providing an uncompromised level of care for each and every patient. What’s best is that these patients and their families can stay close to home and receive treatment for their cardiac condition and continuing follow-up.
Pediatric Critical Care
The Pediatric Intensive Care Unit (PICU) at the Maria Fareri Children’s Hospital (MFCH) at Westchester Medical Center and New York Medical Collegeis an 18-bed unit including a 4-bed Pediatric Cardiothoracic Surgery unit (PCTS).The art and science of PCCM (pediatric critical care medicine) has made significant advances in the past quarter century.
We have developed a better understanding of disease and its pathophysiology, and developed the technology to monitor our pediatric patients, so that we can more effectively treat them.
Our state-of-the-art PICU allows our medical caregivers to employ our clinical expertise and newer technologies in a compassionate arena where “family centered care” is delivered. The PICU sees approximately 1300 patients a year. The breadth of pathology of admitted patients to the PICU includes all possible pediatric illnesses.
Our attending physician staff is fellowship trained and board eligible / certified in pediatrics and the sub-specialty of PCCM. The PICU nursing staff has a 25 year history of Pediatric critical care experience, and our dedicated respiratory therapy team has extensive experience dealing with pediatric patients that require respiratory support services.
The mission of the medical caregivers of the PCCM division is to deliver excellent medical care for critically ill or injured infants, children and adolescents requiring our tertiary/quaternary center – while at the same time supporting families during this intense emotional time.
For diagnostic dilemmas, PICU referrals and emergency transport call (866) WMC-PEDS or (866) 962-7337
Children may be referred to Developmental Pediatrics for a variety of developmental concerns. These may include delays in a child’s developmental progress, either in a specific area, such as motor skills or language skills, or global delays in all areas of development.Children may also be referred for the evaluation and treatment of attention problems and hyperactivity, as well as the evaluation and remediation of learning difficulties. Children may also be referred if they are displaying behavioral difficulties.
In addition, our physicians are trained and certified to diagnose and treat children for physical rehabilitation needs, and to prescribe and supervise indicated Physical and Occupational Therapy Services. As children’s physical rehabilitation needs can be quite different from those of adults, having these services provided under the direction of someone trained in Pediatrics can be quite important.
CWPW’s pediatric gastroenterologists are dedicated to providing comprehensive diagnostic and therapeutic services for children from infancy to adolescence with a wide variety of problems of the gastrointestinal tract, liver or biliary system, as well as children with nutritional disorders. We also strive to educate our patients and their families about their problems as well as training medical students, residents, and fellows in pediatric gastroenterology and nutrition.We are fully equipped to perform a number of diagnostic procedures to help make a definitive diagnosis. The diagnostic center includes state-of-the-art endoscopic equipment, allowing for complete evaluation of the upper and lower intestine. These procedures can be performed in an outpatient setting, utilizing conscious sedation when necessary. Other tests that can be performed include testing to look for excessive amounts of acid reflux into the esophagus, tests that can look for abnormalities in the motility of the upper and lower GI tract, biopsy of the liver, and tests that can determine the amount of calories required for proper growth.
Walk-in hours for acute illnesses Monday-Friday 8a-9a
CWPW’s Academic General Pediatric group is comprised of New York Medical College faculty, who are experts in the health supervision of children from newborn to 21 years of age. The group of 15 board certified physicians are available for urgent care visits as well as periodic health supervision visits as recommended by the American Academy of Pediatrics. We are experienced in the care of healthy newborns, toddlers, school aged children and young adults In addition, we provide comprehensive office-based care to children with special health care needs and their complex medical conditions. With outstanding pediatric nurses and office staff, we pride ourselves in providing a family centered medical home for all our patients. Our physicians have a plethora of individual interest including the care of premature infants, children with obesity, failure to thrive, asthma, learning disabilities, developmental delays, unique complex medical conditions and syndromes, and the care of international adoptees. As part of the largest pediatric multi-specialty practice in the region, communication with and access to pediatric specialists within CWPW is readily available. As New York Medical College faculty, we are involved in the education of medical students and pediatric residents in many venues . Our office provides Primary Care Pediatrics training to the pediatric residents of New York Medical College/Maria Fareri Children’s Hospital, who see patients with our physicians in the office. Newborn care is provided by our group in the Newborn Nursery at Westchester Medical Center.
Members of the section also serve as the Pediatric Hospitalists at the Maria Fareri Children’s Hospital. With 24 hour inpatient coverage, these physicians work as a team with the pediatric medical and surgical specialists to provide expert comprehensive care to the children of the Hudson Valley who are referred to Maria Fareri Children’s Hospital with moderate to severe illnesses and complex chronic diseases. They are recognized in the region for their coordination of care during the child’s hospitalization and for facilitating seamless transfer back to the referring doctor upon hospital discharge.
Gynecology (Pediatric & Adolescent)
Adolescence is the time of onset of menstruation, and we are attentive to deviations from the normal process. The gynecology of adolescents is not the same as that of adult women. This field spans the spectrum of development from early puberty, and the beginning of breast development, to the contraceptive needs of mature young women. We are specifically trained in these many differences, and are uniquely experienced in providing care to this age group.We provide full office gynecology services, including pelvic examinations, pap smears, testing for sexually transmitted diseases, office pregnancy testing, and contraceptive services, including emergency contraception (EC). We are particularly sensitive to our patients’ concerns surrounding these issues.
Pediatric Hematology / Oncology
Pediatric Hematology, Oncology, and Stem Cell Transplantation Fellowship Program
We offer a three year ACGME accredited fellowship training program in Pediatric Hematology/Oncology / Stem Cell Transplantation. This state of the art training program is designed to mentor fellows for an academic and clinical career in Pediatric Hematology / Oncology / Stem Cell Transplantation.
Pediatric Infectious Disease and Immunology
Childhood infections are one of the most common reasons for a parent to bring a child to see a healthcare provider. While the majority of infections are benign and recovery is quick, situations do arise when consultation with a specialist is needed for evaluation of children with recurrent, prolonged, or severe infections.The pediatric specialists in the Infectious Disease and Immunology section assist in the diagnosis and management of children with a variety of known or suspected infections as well as immune deficiencies. Children are commonly referred for outpatient evaluation of recurrent or prolonged infections, persistent fever, suspected immune deficiency, enlarged lymph nodes, pneumonia, and a wide range of childhood infections. Children with meningitis, encephalitis, bone infections, endocarditis, and a spectrum of serious or difficult-to-treat infections are usually evaluated by the Infectious Disease specialists in an inpatient setting.
Pediatric Medical Genetics
Infants and children with birth defects, growth problems and abnormal sexual development are cared for at the Regional Medical Genetics Center at Westchester Medical Center. State-of-the-art technologies are used to evaluate patients of all ages with suspected genetic problems. In addition, comprehensive diagnosis and treatment is available to patients of all ages, who have a history of a familial disorder, infertility, repeated miscarriages, family history of mental retardation or birth defects and growth disorders. The program is home to one of the few approved Pediatric Metabolic Centers in the state, and these physicians diagnose and treat children with inborn errors of metabolism and other inherited metabolic problems.We offer genetic screening, diagnosis, and counseling services for pediatric and adult patients as well as prenatal testing. Our staff follows a multidisciplinary approach to care and works closely with specialists from pediatrics and obstetrics. Our Genetics Division offers a range of comprehensive services, and is staffed by board-certified professionals in the fields of clinical and molecular genetics, and genetic counseling.
The excitement of newborn medicine lies first in the rapid evolution of new technologies, cutting edge developments in clinical and basic science, and bench-to-bedside correlates of human biology that are matched only by the avalanche of new discoveries that change today’s management of old diseases.Each of these features contributes to the overall intensity of neonatology and its ability to re-invent itself nearly every 5 years.
The physicians in the Division of Newborn Medicine at New York Medical College, through their clinical and basic science research investigations, are seeking ways to improve care for extremely preterm babies and other conditions of the newborn. These challenges include newborns born as early as 23 weeks’ gestation – nearly 4 ½ months earlier than the 40 weeks of a full term pregnancy.
The Division of Newborn Medicine is dedicated to the highest quality of patient care, teaching, research outreach and public health. Clinical and Basic Science research projects at the Regional Neonatal Center, a NYS DOH level IV designated program, afford these tiny patients and their families an opportunity to receive new treatments and therapies not available at community hospitals or even at many other major medical centers (e.g., ECMO, Jet and Oscillatory Ventilation, Selective Brain Cooling for asphyxia, High Frequency Ventilation for transport, etc…). We run a network of neonatal intensive care programs at 11 hospitals and coordinate the largest High Risk Neonatal Follow-up Program in New York State.
The Division is also involved with many public health initiatives focused on enhanced access to health care and in identifying opportunities to improve perinatal outcomes for the citizens of our entire 5,000 square mile catchment area through a formal collaboration with the Lower Hudson and Mid-Hudson Valley Perinatal Networks. There have been over 20,000 sick or premature newborns cared for since the Division was established in 1985.
Our Faculty scientists hold leadership positions in many professional societies and are frequent contributors of important perinatal research in multicenter trials, single institution trials, and in basic research.
Diagnosing and treating kidney diseases in infants, children and adolescents is the focus of pediatric nephrologists at the Maria Fareri Children’s Hospital at Westchester Medical Center. Specialists also work with children facing end-stage kidney disease, who may require dialysis and life-saving kidney transplants. The hospital is a collaborating center in the North American Pediatric Transplant Consortium.Our service consists of three board certified pediatricians, who have additional training & certification in the subspecialty of nephrology. We collaborate with a large pediatric urology group at the same facility, to provide seamless, comprehensive, medical & surgical care, for infants, children & adolescents with all kidney & urinary tract conditions.
The program includes acute & chronic peritoneal & hemodialysis, as well as kidney transplantation. Our group is active in multi-center clinical research trials & has a dedicated clinical research nurse. A renal dietician & social worker are also part of our team.
Pediatric Pulmonology, Allergy and Sleep Medicine
The Division of Pediatric Pulmonology, Allergy and Sleep Medicine, at the Maria Fareri Children’s Hospital, provides comprehensive inpatient and outpatient consultation and management for children suffering from a broad variety of respiratory problems, including allergies, asthma, sleep disturbances of many kinds, and a variety of complex pulmonary disorders. We are the only accredited Cystic Fibrosis Center in the Hudson Valley. The division is dedicated to teaching, research, and patient care.We have one of the largest such divisions in the nation. Between twenty and thirty new patients a week are referred for evaluation! Our main offices are in the Medical Arts Atrium at Westchester Medical Center, and we have nine outreach offices throughout the Hudson Valley.
Our physicians are dedicated to caring for children with the entire array of respiratory disorders. Our mission is three-fold: patient care, teaching and research. We care for all children with asthma, allergies, cystic fibrosis, recurrent pneumonias, sleep apnea and a wide array of congenital and acquired illnesses that affect the respiratory tract. Our major emphasis is on the diagnosis and management of such disorders.
Your physician may recommend you see a pediatric allergist, pediatric pulmonologist, or pediatric sleep specialist. Or, If you are not certain which subspecialty is appropriate, feel free to call and talk it over with our office staff, which includes Madelint Heydendael, RN, MSN, who is a very experienced nurse who can guide you.
Our division has a very active clinical research program, and we are always performing many clinical studies, particularly focused on asthma and cystic fibrosis. If you are interesting in hearing more about our research projects, feel free to call and speak to Ingrid Gherson, our research coordinator.
In 2008, we opened our Children’s Environmental Health Center, the first of its kind in the Hudson Valley. Our center is open for consultations for children with any suspected or known exposures to environmental toxins.
Our pediatric rheumatologists specialize in the diagnosis and treatment of autoimmune diseases, childhood arthritis, musculoskeletal pain disorders and osteoporosis. There are more than 100 types of these diseases, including rheumatoid arthritis, osteoarthritis, gout, lupus, back pain, osteoporosis, fibromyalgia and tendonitis. Some of these are very serious diseases that can be difficult to diagnose and treat. Our pediatric rheumatologists have special expertise in the care of:
- Juvenile Idiopathic Arthritis
- Juvenile Rheumatoid Arthritis
- Systemic Lupus Erythematosus
- Neonatal Lupus Erythematosus
- Lyme Arthritis
- Rheumatic Fever
- Henoch-Schonlein Purpura
- Wegener’s Granulomatosis
- Takayasu Arteritis
- Kawasaki Disease
- Familial Mediterranean Fever
- Periodic Fever Syndromes
- Idiopathic Uveitis
- Behcet syndrome
- Thrombophilic syndromes
- Systemic sclerosis
- Linear scleroderma
- Antiphospholipid antibody syndrome
The role the rheumatologist plays in health care depends on several factors and needs. Typically, the rheumatologist works with other physicians, sometimes acting as a consultant to advise another physician about a specific diagnosis and treatment plan. In other situations, the rheumatologist acts as a a manager, relying upon the help of many skilled professionals including nurses, physical and occupational therapists, psychologists and social workers. Team work is important, since musculoskeletal disorders are chronic. Health care professionals can help people with musculoskeletal diseases and their families cope with the changes the diseases cause in their lives.
Our pediatric rheumatologists work closely with colleagues in Pediatric Infectious Disease & Immunology, Pediatric Hematology/Oncology, Pediatric Cardiology, Pediatric Orthopedic Surgery and Pediatric Nephrology.
Our pediatric surgeons work with a variety of medical specialists and referring physicians to provide a full spectrum of surgical services to pediatric patients – from newborns and infants to adolescents.The pediatric surgeons treat patients with many congenital and acquired diseases of childhood, using the latest advances in surgical therapies.
The team works closely with other departments to treat complex pediatric surgery cases, performing a wide range of general, thoracic, head, neck, pelvic and soft tissue procedures, including advanced, minimally invasive state-of-the-art robotic, laparoscopic and thorascopic operations.
As part of the Regional Trauma Center at Westchester Medical Center, our team also supervises emergency and surgical care of infants and children who are victims of trauma.