January 2016

Appears Quarterly in place of our Chapter NewsletterTop
In This Issue
Upcoming Events
Save the Date
February 1-April 15

February 2

February 10

February 18
TTN - NYC Event Policies  
TTN Partner Event
Welcome New Members




Kayne Lieberman

 A Message from Our NYC Chapter ChairEileenNote
Hello TTNers,
The holidays are over and now most of us are in recovery mode.  It's the perfect time to connect or reconnect with your fellow TTNers.
We all care about our physical and mental health, especially as we slog through the winter.
Attend a Caring Collaborative orientation session, become a Caring Collaborative member, and sign up to attend a Neighborhood Group meeting.

Attending CC Neighborhood Group meetings is a great way to create camaraderie and share winter tips, health information, and interests. If you haven't already joined a neighborhood group...why not join one now?  You will definitely be welcomed.

Kind Regards,
Eileen Kobrin,
How are we doing?
We received some wonderful responses and suggestions to the September issue of Caring Times.  Please keep them coming after you read this new edition. With your input we can keep making Caring Times YOUR newsletter.

"You do a great job on the Caring Times and I had nothing to say except kudos. In particular, I like that one can read a brief summary of an article and click on a link if you want a more thorough presentation. All the articles to date have been relevant."
"...What I read of it was very good, interesting, and helpful. I didn't read it all because I find the process of having to click on each "Read More" tiresome and annoying. I liked the old format better when you could just scroll down..."
"...I forwarded the article on Mindfulness (September issue) to a friend in LA who recently lost a son."  
"'re doing very well!  Clearly, the issue provides a wide variety of ideas suggested by different neighborhood groups as well as possible activities and discussion topics."  

It was also good to hear two members sharing their personal experiences in the videos below."  
The Editors

Barbara's Story
Barbara's Story
Sally's Story
Sally's Story

URGENT CARE: When is it right for me?   Mindfulness
by Barbara Stahura 
In my neighborhood, it is impossible to take a short walk without passing multiple signs proclaiming Urgent Care. These offices are part of a nationwide trend offering walk-in medical services as an alternative to an Emergency Department visit.  Do you know when an Urgent Care Center may be the best, and less expensive choice for immediate medical attention - and when urgent care is not a wise choice?

An Urgent Care Center could be the right alternative to an Emergency Department if you need care such as stitches for a cut, x-rays to check for possible fracture after a fall, or IV fluid administration after a prolonged bout of vomiting. It is never the right choice for someone having a seizure or chest pain.

An Urgent Care Center staffed by a Board Certified Emergency Medicine Physician was the best choice for TTN member Susan Freeman when she cut her finger with a new, and very sharp, mandolin slicer. Her accident happened on NYC Marathon Sunday, and Susan knew Manhattan Emergency Departments would be swamped with injured marathoners. 

She rushed to a new Urgent Care Center near her apartment. Within a few minutes of arrival Susan's sliced finger was cleaned and stitched together by the center's physician. She returned to the center the following week to have the same MD remove her eight stitches.

Susan was so pleased with the prompt and proficient care received for her finger-which healed without significant scarring- that she again used Urgent Care instead of an Emergency Department for an insect bite that became swollen and infected on a Sunday afternoon. Talk to your primary care physician at your next visit. Ask about the best choices when you require prompt medical care, but the office is closed.

Many PCPs, including my own, now refer patients to Internal Medicine groups in their healthcare system. They see walk-in patients late evening and wee
kend hours. Although my PCP does not work on weekends, if there is an urgent medical issue I can go to an affiliated group near my home on Saturday or Sunday.  

These offices always communicate findings directly to the patient's primary physician.  Generally, they participate in the same insurance plans, and often have the ability to document after-hours visits in a system-wide electronic medical record. If your PCP is not part of a healthcare system, ask if she/he has a covering physician group or a preferred Urgent Care Center staffed by Board Certified Internal Medicine Physicians.

Every woman who has reached the age the age of 50 owes it to herself to develop a relationship with a primary care physician, preferably, one who is a member of a group practice affiliated with a large teaching hospital.

If you have chronic medical conditions or are undergoing treatment for an active medical problem, it is especially important to confirm with your physician exactly when it is safe to visit a Walk-in Medical Office/Urgent Care Center vs. when to call 911 for immediate transport to an Emergency Department. A reference to bring to that "what if" discussion with your physician is found here:
by Barbara Stahura

The first step is to decide what type of doctor is best for you - a General Internal Medicine/Family Practice MD or a Geriatric Specialist.

Chances are good that most TTNers will never need a Geriatrician as their primary care physician, even if they live to an advanced age.  However, you may have a family member or friend with multiple chronic diseases, medication-related side effects, memory problems, frailty or difficulty performing activities of daily living. The patient's condition may be causing significant stress and strain. A Geriatric Specialist provide's more support for this type of patient. Read More
Is There a Hospitalist in your Future?  Hosptilaist
by Phyllis Edelson

Advances in technology and research, as well as in financial incentives have changed medicine a lot over the past 20 years. Those changes have contributed to the upward trend of care provided by Hospitalists, doctors who specialize in providing care to in-hospital patients.

Hospitalists are equally as qualified as their office-based counterparts, having undertaken the same training and board certifications as other internal medicine doctors. The main difference between the practitioners is that Hospitalists have elected to work exclusively in hospitals, while most primary care internists and family practitioner are now entirely office based. Read More

In Case You Missed It... Smile
                                                          Back To Top 
 Neighborhood Group NotesNGs
Neighborhood Groups continue to grow and be one of the most important parts of the Caring Collaborative. At our meetings we share and learn from each other about topics that contribute to our well-being. Read what Neighborhood Groups have been talking about and see if there's a topic that would work well for your group, too. Read More
 Around TTN  TownTTN_Town

TTN-NYC Points of Contact
Did you know there are 5 different ways to connect and learn about TTN members? Click here to view TTN-NYC's points of contact

Thank You for Attending 2015 Annual Holiday Luncheon
Thank YOU, for making the 2015 Holiday Luncheon a huge success! Over 120 TTNers celebrated the holiday season and donated books to our volunteer partner Reading Partners. Pictures will be available on website very shortly. 

TTN Partner Event - Flaming Amy's Singalong
Over 20 TTN Members joined in this monthly fulfilled Singalong. TTN Member & Flaming Amy's piano player Liz Robbins sent in this short video. For more information about the next Singalong please check out the TTN-NYC events page.

Remembering Charlotte Frank
In honor of TTN Co-Founder Charlotte Frank's life, please share your remarks or memories on her obituary in the New York Times.
Caring Collaborative Contacts 
Caring Collaborative Co-Chairs
Nancy Gold -
Barbara Stahura -              
Caring Times Co-Editors
Phyllis Edelson & Susan Freeman

Caring Collaborative Coordinator
Shawndra Card-Grant  -

Do you have an article you'd like to see in a future Caring Times Newsletter?  Contact Phyllis