{"id":124417,"date":"2025-01-29T15:51:51","date_gmt":"2025-01-29T20:51:51","guid":{"rendered":"https:\/\/riverheadnewsreview.timesreview.com\/?p=124417"},"modified":"2025-02-03T14:51:23","modified_gmt":"2025-02-03T19:51:23","slug":"peconic-bay-medical-center-program-supporting-cardiac-patients","status":"publish","type":"post","link":"https:\/\/riverheadnewsreview.timesreview.com\/2025\/01\/124417\/peconic-bay-medical-center-program-supporting-cardiac-patients\/","title":{"rendered":"Peconic Bay Medical Center program supporting cardiac patients"},"content":{"rendered":"\n

A Peconic Bay Medical Center program called Cardiac Rehabilitation, a 12-week course involving supervised exercise in their own gym and lessons about nutrition and lifestyle, brought a Riverhead resident back to himself after a cardiac event.<\/p>\n\n\n\n

He was suddenly, fully awake from a sound sleep at 1 a.m., the Saturday of Labor Day weekend. Something was seriously wrong.<\/p>\n\n\n\n

He felt as if his upper torso was encased in a band, tight and growing tighter. And it hurt. And he had a strange taste in his mouth.<\/p>\n\n\n\n

He knew what it was, but as he got out of bed, he was already in the process of denying it. Downstairs he walked around, drank ginger ale, spending close to an hour as the pain increased. Finally, he woke his wife and told her how he felt and that he had to go the emergency room.<\/p>\n\n\n\n

She was calm, asked a couple of questions and said she\u2019d call an ambulance, already starting to get dressed. No, he said, he\u2019d drive. She said quietly that if he insisted on being mule-headed about the ambulance, she\u2019d drive. No, he told her, let\u2019s go. I\u2019m driving. Not wanting to upset him further, she reluctantly agreed.<\/p>\n\n\n\n

He\u2019d already made three huge mistakes. First, if you have symptoms of a heart attack, don\u2019t deny it. Second, don\u2019t wait to get help. And third, never drive yourself or have someone drive you to the hospital. Call an ambulance. It will respond quickly, make no driving errors and, most important, will have experienced professionals on board who can administer medicine and first aid.<\/p>\n\n\n\n

The Riverhead resident, who preferred not to give his name for this article, said that at Peconic Bay Medical Center’s Emergency Room<\/a>, after giving his symptoms to a nurse at the desk, he was put on a gurney and wheeled into a room. Blood pressure and heart rate were documented, blood was taken and other data recorded.<\/p>\n\n\n\n

A doctor saw him and spoke with him for a few minutes and morphine was administered for the pain. In his 70s, he had never had any serious illnesses, he told a nurse who was gathering more data, and lived a relatively healthy life. When asked if there was any cardiac illness in his family, he told her that his two brothers and his father had died of complications of cardiac disease.<\/p>\n\n\n\n

\u201cClassic,\u201d she said.<\/p>\n\n\n\n

Within a few minutes he was taken upstairs to the Kanas Regional Heart Center facility, where he was prepped for surgery. He was given fentanyl, and soon a surgeon and his team were cleaning out plaque blocking arteries by running a catheter through his wrist before inserting two stents \u2014 tiny metal coils that keep the artery open and blood flowing.<\/p>\n\n\n\n

Discharged from the hospital after three days, he had recovered, and felt lucky for the speedy, efficient and professional care he received. Many are not so lucky. According to the Centers for Disease Control and Prevention<\/a>, heart disease is the leading cause of death for men, women and people of most racial and ethnic groups. According to the latest statistics available from the CDC, 702,880 people died from heart disease in 2022.<\/p>\n\n\n\n

At home, he and his family gave thanks for his recovery. But had he really recovered? Research shows that many cardiac patients experience waves of depression, anxiety, fear, anger and overall helplessness. Our patient summed it up to his wife this way: \u201cI feel beat down. Diminished.\u201d<\/p>\n\n\n\n

It was by being in and completing this program at PBMC, that he considered himself truly lucky.<\/p>\n\n\n\n

ON THE WAY BACK<\/strong><\/p>\n\n\n\n

Shelter Island Town Justice Stanley Birnbaum also participated in PBMC\u2019s Cardiac Rehab program and has high praise for the activities and lessons provided \u2014 but most of all for the staff.<\/p>\n\n\n\n

\u201cComing to grips with your own mortality is a unique experience,\u201d Judge Birnbaum said, not completely tongue-in-cheek, after completing the program.<\/p>\n\n\n\n

It started for him last July, when he began feeling fatigue nearly every day. After tests from a cardiologist, he was diagnosed with an irregular heartbeat. An angiogram found he had a 90% heart blockage, and a stent was inserted.<\/p>\n\n\n\n

\u201cCardio rehab was next for me,\u201d Judge Birnbaum said. \u201cEach staff member is a true, dedicated professional. Their knowledge, courtesy, patience, consideration and skill sets are second to none. Each patient receiving treatment is respected and catered to. The attention that is shown to everyone is meticulous. Health, exercise, hydration, follow-up treatment, aftercare and diet are all emphasized. They dot their i\u2019s and cross their t\u2019s.\u201d<\/p>\n\n\n\n

MAKING IT WORK<\/strong><\/p>\n\n\n\n

In an office off the gym where patients work out three days a week for 12 weeks, Anna Szlejter, director of Rehabilitation Services at PBMC, said the program \u201cis for any kind of heart condition \u2014 heart attacks, stent replacements \u2014 anything to do with the heart muscle.\u201d<\/p>\n\n\n\n

\"\"
Anna Szlejter director of Rehabilitation Services at PBMC, in the office off the rehab gym. (Credit: Ambrose Clancy)<\/figcaption><\/figure>\n\n\n\n

Unique to the region, it\u2019s been accredited by American Association of Cardiovascular and Pulmonary Rehabilitation, and staffed by specially trained physical therapists and registered nurses certified in advanced Cardiac Life Support. In 2024 there were 6,261 visits, Ms. Szlejter said, with 174 patients completing all 36 sessions. Over the past few years, PBMC\u2019s Cardiac Rehab has had the highest program completion rate in New York State.<\/p>\n\n\n\n

Every patient, upon arriving for each scheduled session at the gym, is asked by the staff how they\u2019re feeling and if there has been any change in medication or lifestyle. Blood pressure is taken on arrival, the first of three times during the hour-long session, again after the exercise session is over and finally after \u201ccooling down\u201d for a few minutes.<\/p>\n\n\n\n

Before exercise starts, wireless leads are attached to the patients\u2019 chests that record a constant EKG, monitored by the RN at the desk.<\/p>\n\n\n\n

The workouts involve treadmills, a stair-stepper, weight training equipment, an elliptical, an arm bike and what most patients start with, the NuStep, a recumbent cross-trainer working the arms and legs. The staff gets them started and checks in throughout the workout.<\/p>\n\n\n\n

Every session is monitored electronically, and patients are asked to rate how they feel after each exercise, and are also asked to increase the difficulty, if they\u2019re able.<\/p>\n\n\n\n

Speaking with Ms. Szlejter at the gym\u2019s office, the sounds of therapists speaking to patients drifted in \u2014 upbeat conversations, with occasional laughter, the back-and-forth of friends encouraging, razzing and complimenting each other.<\/p>\n\n\n\n

A testament to the staff\u2019s dedication is that more than 80% of patients complete the 36-session program, Ms. Szlejter said.<\/p>\n\n\n\n

As Judge Birnbaum said, \u201cNo one is overworked. Each patient does the best that he or she can do.\u201d          <\/p>\n\n\n\n

HEART AND HEAD<\/strong><\/p>\n\n\n\n

\u201cThe psychological aspect of the program is on par with the physical exercise and the discussion on nutrition,\u201d Ms. Szlejter said.<\/p>\n\n\n\n

According to an article published by the National Institutes of Health, evidence suggests that between 30% and 40% of cardiac surgery patients experience a form of psychological depression before and\/or after the surgery takes place.<\/p>\n\n\n\n

Each patient in PBMC\u2019s cardio rehab is twice given what the therapists call \u201chomework\u201d \u2014 professionals know it as PHQ9 scoring \u2014 to evaluate their emotional health.<\/p>\n\n\n\n

Sample questions given to patients are: does the individual have little interest or pleasure in doing things; is she\/he feeling down, depressed, or hopeless; has trouble falling or staying asleep, or sleeping too much; has poor appetite or is overeating; is feeling bad about themselves or that they are a failure or have let themselves or their families down; or have had thoughts that they would be better off dead, or of hurting themselves.<\/p>\n\n\n\n

\u201cBased on that scoring, we try to cater to their limitations,\u201d Ms. Szlejter said. \u201cAnd if they score a certain level, then we\u2019re involving a psychiatrist to come and speak to them.\u201d<\/p>\n\n\n\n

Ms. Szlejter said more women than men are in the category of needing counseling. \u201cA lot of women care for their families first before themselves,\u201d she said. \u201cThey put their emotional health on the back burner because they think, \u2018Oh, I have to take care of X, Y and Z before I get to me. How am I going to be the caregiver?\u2019 But, of course, this also happens to men, too.\u201d<\/p>\n\n\n\n

\"\"<\/figure>
\n

THE ORIGIN OF COMING BACK<\/strong><\/p>\n\n\n\n

Paul Furbeck, formerly PBMC\u2019s director of therapy, along with physical therapist Claudia Cebada Mora \u2014 who is still with the program \u2014 R.N. Ruth Gueli and Ms. Szlejter took 18 months to research and study other rehab centers before designing and launching the program here.Ms. Cebeda Mora, who has a doctorate in physical therapy, spent time at the Mayo Clinic Health System in La Crosse, Wis., studying their Cardio Rehab program to apply methods and procedures at PBMC to gain national accreditation from the American Association of Cardiovascular and Pulmonary Rehabilitation.<\/p>\n\n\n\n

As a physical therapist, Ms. Cebeda Mora evaluates each patient and works with them on their exercise routines. She also throughly monitors their workouts, and their emotional states.<\/p>\n\n\n\n

\u201cManaging stress is key to being heart healthy,\u201d Ms. Cebeda Mora said. \u201cWe want this to be social, fun, and want people to speak to us. We always make it personal, that they aren\u2019t part of a mass production.\u201d<\/p>\n\n\n\n

The work is extremely rewarding, she said, especially when the staff sees a patient progressing and eager to work out, and \u201cwhen we see people sticking with it and continuing after they leave.\u201d<\/p>\n<\/div><\/div>\n\n\n\n

Judge Birnbaum spoke about the restoration of emotional balance and optimism given to patients by Cardio Rehab staff after the experience of heart surgery. \u201cConfidence was instilled from the very beginning. Encouragement never disappeared,\u201d he said. \u201cThe staff is the epitome of the adage, \u2018Pick yourself up, dust yourself off, start all over again.\u2019 “<\/p>\n","protected":false},"excerpt":{"rendered":"

A Peconic Bay Medical Center program called Cardiac Rehabilitation, a 12-week course involving supervised exercise in their own gym and lessons about nutrition and lifestyle, brought a Riverhead resident back to himself after a cardiac event. He was suddenly, fully awake from a sound sleep at 1 a.m., the Saturday of Labor Day weekend. Something…<\/p>\n","protected":false},"author":1574,"featured_media":124418,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1743,114,35],"tags":[17616,314,13186],"coauthors":[17479],"class_list":["post-124417","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured-story","category-health","category-news","tag-cardiac-care","tag-peconic-bay-medical-center","tag-premium"],"acf":[],"yoast_head":"\nPeconic Bay Medical Center program supporting cardiac patients - Riverhead News Review<\/title>\n<meta name=\"description\" content=\"A program run by Peconic Bay Medical Center called Cardiac Rehabilitation, a 12-week course helped bring one Riverhead resident back.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/riverheadnewsreview.timesreview.com\/2025\/01\/124417\/peconic-bay-medical-center-program-supporting-cardiac-patients\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Peconic Bay Medical Center program supporting cardiac patients - 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