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legacy partnersTHE WHITNEY-HARKNESS SOCIETY NEWSLETTER SUMMER 2020in this issue:1 COVID-19How to Adjust to the ‘New Normal’2 VisionariesAlan and Sandra Klein3 Breakthroughs in SpinalDeformity SurgeryLawrence G. Lenke, MD5 COVID-19 FA s8 L egacy MinuteElizabeth Blackwell, MD:America’s First Female DoctorRobert Leahy, PhDCOVID-19: HOW TO ADJUST TO THE ‘NEW NORMAL’After months of sheltering in place, many of us have suddenlybeen forced to adjust to a “new normal”: parents homeschooling their children, families or roommates suddenlyisolating in cramped quarters, donning a mask when leavingthe house, and wiping down groceries after a stress-filledvisit to the store.“The world is facing a pandemic, and in many places acrossthe world, people are following similar lockdowns, shutdowns,or social distancing,” says Dr. Robert Leahy, an attendingpsychologist at NewYork-Presbyterian/Weill Cornell MedicalCenter and the author of The Worry Cure: Seven Steps to StopWorry From Stopping You. “We have to look at this by puttingin perspective that to win the war against COVID-19 weneed to make sacrifices and develop a coping mindset.”Dr. Leahy, a national expert in cognitive therapy, shareshis advice on how to cope with the challenges of so muchchange at once, and how to view the situation through alens of acceptance.Put it in perspectiveThe goal is not to get rid of worry but to put it inperspective. It’s wise for hospitals and governments tobe monitoring this situation, quarantining, and settingrestrictions to reduce the spread. It may feel concerning,but remember that government and healthcare officialsare taking measures that disrupt people’s daily routinesin an effort to be prepared and address the situation.Just because they are taking all these precautions doesn’tmean it will result in the worst-case scenario.Find the balance between following proper healthguidelines and reducing the intensity and frequencyof your worry. Don’t be overly positive or foolish anddisregard the prudent guidelines, but ask yourself if yourthoughts are productive or unproductive. You can’t controlcertain things, but you can control where you put yourattention, and you can take care of yourself by exercising,eating right, and spending time with your family.continued on page 5

2 Legacy PartnersLegacy Partners 3Sandra marvels at how Alan survived his first 19 yearsof life before he “chanced” an experimental newsurgery called the Blalock-Taussig shunt procedure,a temporary, external fix to the heart performed toincrease oxygen supply to the blood. The odds ofthe surgery were dire: 50-50. But Alan, a freshmanat the City College of New York, survived. Theprocedure gave his heart critically important time,the time needed for medical technology to devisenew methods to correct his heart’s internal defects.Alan KleinAlan B. Klein may have been born under a luckystar. Diagnosed when he was three years old withtetralogy of Fallot (TOF), a rare, congenital heartdefect that causes oxygen-poor blood, Alan managedto live to the age of 77, far exceeding any medicalexpectations. His wife of 50 years, Sandra N. Klein,says, “Alan made his own luck with his tremendouscourage, resilience, and optimism. Those threecharacteristics allowed him to face his difficulthealth issues with dignity and grace.”Now Sandra wishes the same for others requiringthe best in healthcare. She turned to NewYorkPresbyterian’s Planned Giving experts to help herhonor the memory of her husband—and his place inNewYork-Presbyterian history—with a gift from theirestate. “Alan and I were always very grateful to hisextraordinary doctors for his additional years of life.”Because of his heart defect, Alan was a frequentpatient at what was then New York Hospital, nowNewYork-Presbyterian/Weill Cornell Medical Center.Today, surgery is typically performed in the first yearof life for those with TOF. But at that time, no suchtreatment was available, and 70 percent of TOFpatients died by their 10th birthday.In his 20s, Alan turned his attention to other affairsof the heart, when he met Sandra. After graduatingfrom college, Alan worked his way through a retailtraining program to become a buyer of men’sclothing at Stern Brothers of New York, whereSandra was also a buyer. And the rest, as they say, ishistory. “It was a department store romance,” Sandrarecalls fondly.The couple married in 1961, not knowing howmany years they would have together. “Every daythat I woke up and my husband was breathing—that was my gift,” says Sandra. The couple wouldreceive another gift, a chance at a long life forAlan, in the way of a pioneering cardiac surgeon,Dr. James Malm, and the new American inventionAlan and I were always verygrateful to his extraordinarydoctors for his additionalyears of life.of open-heart surgery. Dr. Malm, who was the firstChief of Cardiothoracic Surgery at what was thenPresbyterian Hospital, now NewYork-Presbyterian/Columbia University Irving Medical Center,performed Alan’s surgery on June 28, 1966.“He was a young surgeon,” Sandra remembers,“but so compassionate with Alan and me.”Once more, Alan’s luck held, and the surgery wasa success. Sandra still celebrates that date, each year,as one of her late husband’s many “birthdays.”continued on page 6BREAKTHROUGHS IN SPINAL DEFORMITY SURGERY:A DISCUSSION WITH LAWRENCE G. LENKE, MDFacilities exist for other specialties of medicine,but the Och Spine Hospital is unique. That’s whyI came here: to provide unparalleled patient care,advanced research, and top-notch education. Ibelieve we are making a big impact in the field.Surgeon-in-Chief, NewYork-Presbyterian Och Spine HospitalChief of the Spine Division, Department of OrthopedicSurgery, NewYork-Presbyterian/Columbia University IrvingMedical CenterDr. Lenke is one of the world’s foremost leaders incomplex spinal deformity surgery and the most widelypublished spinal deformity surgeon, having developedthe classification system for adolescent idiopathic scoliosis.What inspired you to specialize in spinaldeformity surgeries?I went to medical school wanting to change thelives of patients. Once there, I gravitated towardorthopedic surgery, but I ultimately chose tospecialize in spinal deformity surgery because it’sso challenging. My patients suffer from spinaldeformities that can cause a wide range of serioushealth issues, and I’m very, very privileged to beable to take care of them. Often I’m the end ofthe line. If I can’t help them, really, they can’t behelped. Fortunately, that rarely happens.What brought you to NewYork-Presbyterian?I came to New York for the opportunity to leadthe Och Spine Hospital, which was established in2015 to treat patients of all ages for every type ofspine issue—from everyday back pain to the mostcomplex spinal deformities. It’s the first hospitalof its kind, with a singular focus on spinal care.What makes the Och Spine Hospital special?The Och Spine Hospital combines NewYorkPresbyterian’s first-rate expertise in neurosurgerywith orthopedic spine services to offer patientsthe best chance at restored health. We recruit andretain the top doctors, invest in young talent, andpush each other to be the best that we can be.The facility itself is unprecedented in terms of itsresources for spinal cases; the Hospital is set upto manage all surgical patients, from their firstappointment through rehabilitation and recovery.Surgical suites are designed explicitly for spinalsurgeries so we can perform complex proceduresusing the latest technology—all with an eye towardThat’s why I came here: toprovide unparalleled patientcare, advanced research,and top-notch education.reducing complications. Patient care is coordinatedwith NewYork-Presbyterian’s hospitalists,intensivists, pulmonologists, and other specialists,plus we have dedicated 24/7 spine physicianassistant coverage of our patients. I always say ittakes a village to prepare, perform, and recover ourpatients from this type of surgery. We have that here.continued on page 7advancesVISIONARIESVISIONARIES: ALAN AND SANDRA KLEIN

4 Legacy PartnersLegacy Partners 5The COVID-19 pandemic has upended the lives of countless individuals across the world, the country, andhere in New York. With New York City as an epicenter of the pandemic, NewYork-Presbyterian has emergedas a trusted voice, a reliable resource, and a national leader in the diagnosis and treatment of COVID-19patients. As we start to reopen our cities, we hope you and your loved ones are staying well and safe.How has NewYork-Presbyterian faced thechallenges of COVID-19?Since the beginning of this pandemic, the entireNYP enterprise has worked around the clock andto date we have discharged more than 10,000patients with COVID-19, making us one of thelargest providers of care for these patients in thenation. In addition, our labs have performedmore than 150,000 COVID-19 diagnostic testssince the inception of the crisis.The Hospital also increased its care capacityby converting clinical spaces to intensive careunits, establishing multiple cough and feverclinics throughout the city, moving most of ouroutpatient services to a telemedicine platform,and even converting Columbia University’sBaker Field to a field hospital capable of treatingmore than 200 patients.How has telemedicine played a role duringthe COVID-19 outbreak?Throughout this remarkably challenging period,we have continued to care for New Yorkerswith other conditions, primarily through ourcomprehensive suite of telehealth services. SinceNew York City went under a stay-at-homeorder, we have provided world-class treatment,information, and reassurance to more than330,000 patients using telehealth.Through virtual urgent care visits usingNYP OnDemand (www.nyp.org/ondemand/urgent-care), patients have consulted withNYP physicians who have provided clinicalexpertise and sound guidance. This step avoidedunnecessary trips to the Emergency Departmentfor many, reducing patient volume in the ED andensuring that those with COVID-19 received careas quickly as possible.What steps has NewYork-Presbyterian takento protect and support its front-line staffduring the crisis?The health and safety of our employees is one ofour top priorities at NewYork-Presbyterian. Withthe emergence of COVID-19, it has becomeeven more important to protect our front-linestaff who courageously face the pandemic on adaily basis. During the crisis, personal protectiveequipment needs increased greatly. The Hospital’smask utilization alone grew by 2,200 percent,from 4,000 masks per day to 90,000. Face masksand hand sanitizer were provided to all NYPemployees, including nonclinical workers.Additionally, the Hospital has providedemployee support resources including childcare and backup care services, Citi Bikememberships, emergency parking spaces, andemergency housing accommodations—all atno cost—for team members. Employees havealso had access to free emotional and physicalwell-being and mental health resources.Moreover, the Hospital has been providingthree free meals a day to every member of ourfront-line patient-facing teams across all ourcampuses since the beginning of April.Where can I obtain more information aboutCOVID-19?For the latest updates on coronavirus, please visitthe Centers for Disease Control and Preventionat cdc.gov or NewYork-Presbyterian at nyp.org.Be kind and practice acceptanceWhen hunkered down in close quarters with alot of stress, Dr. Leahy recommends a “protocolof politeness,” particularly when it comes to yourpartner or significant other. “Treat your partner likea total stranger you want to please,” he says. “Try tobe thoughtful, polite, compassionate, and rewarding.A compliment and a ‘thank you’ can go a long way.”People should also recognize that it is simply notpossible to be on top of everything right now—butthey can work to accept the “new normal” as it isand cope as necessary. “Methods of coping can beproblem-solving, sharing things, cheering people on,learning from the experience, reevaluating priorities,and reflecting on how people coped with far worse inthe past,” says Dr. Leahy. “Resilient people reevaluatetheir expectations and then focus on new goals.”Take media breaksGoogling “Cases of coronavirus” every few hourswill quickly become mentally taxing and ramp upcoronavirus anxiety. Instead, try compartmentalizing.Limit your intake of the news to about 15 minutesa day so you can stay informed about developments,such as school closings or changes in travel advisories.(Also important: Make sure your news comes fromcredible sources.) But then focus on more productivetasks, like taking care of your family, finishing yourwork, or finding time to relax.Putting limits on your news consumption andshifting your attention back to day-to-day dutieswill help quiet your worry and coronavirus anxiety.“When you get a worrisome thought, and that worryis off and running, you might get a case of what Icall ‘Google-itis’—obsessively searching the internetabout your concern,” Dr. Leahy says. “You have achoice in where you put your attention, so keep tabson how much news you consume and carry on withthe routine parts of life that are within your control.”Connect with others (even if not face-to-face)Just because we are self-isolating doesn’t mean weneed to truly isolate ourselves. Make a list of friends,including some you haven’t had contact with in acontinuedlong time, and use your phone as a telephone. Setup a regular time each day to contact people, andschedule virtual get-togethers on online platformsto talk or maybe even play games. You could start abook club online with your friends.If you have a loved one in the hospital or goingthrough a hard time, it’s easy to feel helpless,especially if you can’t visit or help them feel better.But you can always tell people you love them andcare about them. We often underestimate howimportant it is to express connection, love, andgratitude. And we can do that on an ongoing basis,not just when someone is sick.Dr. Leahy suggests looking at life as a series ofchapters in a book, which can provide a sense ofcontrol and agency in what can feel like a helplesssituation. “If you look at life as a series of chapters,this chapter is objectively a hard one. But we canadjust our expectations and write a story abouthow we cope with this chapter to make it as goodas it can be,” he says.Dr. Leahy’s Ingredients for a Coping Mindset Adjust your expectations. R eevaluate your priorities: Don’t vieweverything as essential. F ocus on what you can do, not what youcannot do. Go on a politeness binge. Think of this as a chapter in the bookyou are writing. View life as a narrative.Chapters also have an end, which can help youfrom feeling engulfed in the moment. “This isn’tthe chapter we’ll always be in, and not all chaptershave to be wonderful,” he says.Each day you can decide to make positive choices,reflect on your values, and cheer on the front-lineheroes. “The chapter is up to you,” says Dr. Leahy.Learn more about COVID-19 at healthmatters.nyp.org.covid-19HOW TO ADJUST TO THE ‘NEW NORMAL’

6 Legacy PartnersLegacy Partners 7continuedSandra delights in the medical improvementsmade in the ensuing decades and in the“marriage” in 1997 that joined together thetwo medical institutions, New York Hospitaland Presbyterian Hospital, that saved herhusband’s life. Today, NewYork-Presbyterianis renowned for its advances in cardiologyand cardiac surgery, having performed tensof thousands of open-heart surgeries.BREAKTHROUGHS IN SPINALDEFORMITY SURGERYcontinuedWhat is scoliosis and how do you treat it?Scoliosis is a curvature of the spine. In manycases, spinal disorders like scoliosis can be treatedwithout an operation. But severe scoliosis can causesevere health issues, especially cardiopulmonaryproblems, and sometimes it requires complex spinalreconstruction. In the case of one of my patients,a 14-year-old from Moscow named Svetlana, shehad such severe scoliosis that her curved spinewas restricting her ability to breathe. Her spineFrom the world’s first successful pediatricheart transplant in 1984, our institutioncontinues to pioneer advancements. Eachyear, thousands of young patients benefitfrom our groundbreaking discoveries,the results of decades of clinical research,education, innovation, and compassionatepatient care. By supporting the Division ofPediatric Surgery at NewYork-PresbyterianMorgan Stanley Children’s Hospital, Sandrapays forward the care Alan received, as shecontinues their story of luck and love.I’m just honoredto be able to give themtheir health back.Sandra and Alan KleinBEQUESTS: SIMPLE WAYS TO SUPPORT LIFE-SAVING HEALTHCARELike Sandra Klein, many of our generous donors have remembered NewYork-PresbyterianHospital in their estate plans. Bequests through wills or living trusts are great waysto help provide the finest healthcare available while not affecting your cash flow orsecurities portfolio.We suggest the following language for your will or living trust:“I give, devise, and bequeath to New York-Presbyterian Fund, Inc., a corporationcreated under the New York State Not-for-Profit Corporation Law and located inNew York City, New York, (the sum of or % of my residuary estate) to beused for the general corporate purposes of NewYork-Presbyterian Hospital as itsBoard of Trustees shall determine.”(New York-Presbyterian Fund, Inc., exclusively supports NewYork-Presbyterian Hospital. The Tax Identification Number forNew York-Presbyterian Fund, Inc., is 13-3160356.)For more information:Phone: (646) 317-7499 Email: legacy@nyp.org Online: www.nyp.org/plannedgivingneeded to be separated into two sections, realigned,and placed back together to make it straighter, atechnique we call vertebral column resection. Whatmakes this a very risky operation is that the spinalcord runs down the center of the spinal columnthat we separate, so we have to do this very carefully,obviously. After the surgery, Svetlana, who had beenseverely hunched and unhealthy from her severescoliosis, gained 13 inches in height and eventuallybecame a model back in Russia.Spine Hospital, and the education they receivehere has allowed them to take that knowledgeand various surgical techniques back to theirown hospitals to better care for their own patients.In this manner, overall reach of the Och SpineHospital is exponential and something we areextremely proud of.What’s next in the treatment of spinal issues atthe Och Spine Hospital?Donor support has been critical to realizing anumber of investments at the Hospital, includingbeing able to recruit and retain the very best spinalspecialists and empower them to perform researchto benefit future patients. With over 4,000 surgeriessince the opening of the Hospital, we know theneed is there to accommodate a growing numberof patients, which will require increased space,equipment, technology, and additional surgeons.To see how well some of these patients have done,after coming in with such severe conditions—itreally puts your own life into perspective. I’m justhonored to be able to give them their health back.It’s a reflection of the entire team effort at theOch Spine Hospital, and the expertise we have, tomanage this kind of complex patient.How does the Och Spine Hospital collaboratewith other institutions?We established a unique visiting surgeon educationalprogram, where surgeons from the U.S. and aroundthe globe come to work and learn alongside ourteam of experts. To date, more than 240 surgeonsfrom nearly 30 countries have come to the OchPatient with severe 159-degree idiopathic thoracic scoliosis.At five years postoperative, the patient has excellentcorrection of their curve, nicely maintaining lung fields aswell as clinical posture and appearance.advancesVISIONARIESALAN AND SANDRA KLEIN

8 Legacy Partnerslegacy minuteELIZABETH BLACKWELL, MD:AMERICA’S FIRST FEMALE DOCTORElizabeth Blackwell, MDRevered as an inspiration to all women physicians,Elizabeth Blackwell became the nation’s first femaledoctor in 1849, changing forever the face of medicalcare. Five years later, she founded the New YorkDispensary for Poor Women and Children nearTompkins Square, where an impoverished immigrantcommunity battled outbreaks of typhoid, diphtheria,and other diseases. In the one-room clinic,Dr. Blackwell provided free healthcare to thecommunity’s women and children.The experience inspired her to open her own hospital,the New York Infirmary for Indigent Women andChildren, staffed entirely by women, which wouldeventually evolve into today’s NewYork-PresbyterianLower Manhattan Hospital.For more information, please contact:Nicholas R. Pitaro, J.D.Executive Director of Planned Givingand Donor Engagement(646) 317-7499 or legacy@nyp.org,or visit www.nyp.org/plannedgivingA decade later, Dr. Blackwell launched a medicalcollege devoted entirely to the education of women,an institution that was absorbed by what is todayWeill Cornell Medicine.Dr. Blackwell was a fierce advocate for women inmedicine until her death in 1910, and her legacyendures through the countless women physicians forwhom she paved the way. Her social consciousnesslives on in our commitment to the diverse andvibrant communities that we serve at all NewYorkPresbyterian hospitals.Learn more about Dr. Elizabeth Blackwell at healthmatters.nyp.org.NewYork-Presbyterian does not provide legal or tax advice. This communication(including any attachments) is not intended or written to be used, and cannot beused, for the purpose of avoiding tax-related penalties.

characteristics allowed him to face his difficult health issues with dignity and grace.” Now Sandra wishes the same for others requiring the best in healthcare. She turned to NewYork-Presbyterian’s Planned Giving experts to help her honor the memory of her husband—and his place in Ne

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