BRONX, N.Y. -- New York State Nurses Association (NYSNA) members continue to speak out, with allegations of understaffing in New York City hospitals, and they are calling for more rapid hires at multiple locations in the Bronx.
Benny Mathew, director at-large of NYSNA and an ER nurse at Montefiore Medical Center in the Bronx, said recruiting and retaining nurses was hard even before the pandemic. Now, he claimed patient care is compromised even further, by low staffing and lack of space.
"Most of the time, they are having over 120, 140 patients in the ER," Mathew explained. "So, that means patients are packed like sardines. There is no privacy, you know - when the doctor or the nurse is talking to the patient, everyone else around the patient is listening to everything."
In response to the allegations, a Bronx Montefiore spokesperson maintained they "work every day to fill any vacancies and explore new recruitment and retention strategies." A rally held outside Montefiore Moses yesterday capped off a month of demonstrations at different New York City hospitals to draw attention to the staffing allegations.
Mathew pointed out one part of the problem is an incredibly high turnover rate at the hospital, even among temporary nurses.
"If a new nurse comes through our emergency room, she or he can have 20 or more patients," Mathew observed. "And it is really traumatic for that person, and they end up quitting after a few weeks."
Mathew also lives in the Bronx, and noted while he loves helping his community, working in understaffed conditions comes at a great personal cost.
"Your personal relationships can get damaged, your attitude can change, your behavior can change, you're always frustrated," Mathew asserted. "So, it does have a negative personal effect on me."
Come January, every hospital in New York must establish minimum staffing standards for intensive and critical care units under a new state law.
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A New York group has a new program to help veterans.
The Center for Independence of the Disabled New York's Veteran Direct Care program helps veterans choose a home care provider. Initially, the program began with a few veterans on Staten Island but has grown to include people from other New York City boroughs.
Sharon McLennon-Wier, executive director of the center, said the program has been a year in the making with some challenges along the way.
"There was a lot of paperwork to become a provider through the federal government, the Veterans Administration," McLennon-Wier explained. "It required a lot of background checks, it required developing a manual, a lot of training with getting connected to the VA portal system, their referral system, their payment structure."
Since the program's launch, she reported feedback has been positive since New York City did not have such a program before. McLennon-Wier noted it also provides benefits for veterans' caregivers, who can earn income from this program.
An AARP report showed caregivers for veterans spend an average of $11,500 of their own money, since they often require more advanced care.
Though the program is still relatively new, McLennon-Wier hopes to grow it into a new department at CIDNY to help veterans access necessary services but it comes as the state and nation face a shortage of mental health providers for veterans. She pointed out along with extra training, the roles involve an understanding of veteran culture.
"Post-traumatic stress disorder in a veteran is something that a clinician who hasn't worked with veterans needs to understand the nuances of it," McLennon-Wier emphasized. "It's a different military lifestyle. It's a different culture. It's a different mentality."
She added mental health providers would also need training to help veterans with traumatic brain injuries. A Department of Veterans Affairs Inspector General report found psychologists are the fourth top shortage position, while psychiatrists are the top shortage among specialty physicians.
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November is National Diabetes Month and experts said with healthier habits, more Tennesseans can reverse prediabetes and prevent Type 2 diabetes and all its complications.
The prevalence of diabetes is quite high in Tennessee, at 14.6%, which is three points higher than the national average.
Dr. Griffin Rogers, director of the National Institute of Diabetes, Digestive and Kidney Diseases in Bethesda, Maryland, said it is possible to prevent the wide range of health problems caused by high blood sugar, from heart attack and stroke, to kidney disease and vision problems. Rodgers said a helpful acronym is "ABCs."
"The A stands for hemoglobin A1C. The A1C is a measure of what the average blood sugar is in the preceding three months. The 'B' stands for blood pressure, and the 'C' stands for cholesterol," Rogers outlined. "High blood pressure and high cholesterol, in addition to high blood sugars, can contribute to the nerve and blood vessel damage."
The "s" in ABCs stands for "stop smoking." He pointed out smoking can also damage your blood vessels and can cause or increase your risk of these complications.
Rodgers recommended a diet based on fresh fruits and vegetables, whole grains and lean proteins like fish. He also suggested replacing sugary drinks with water to improve overall health, plus regular exercise and getting seven to eight hours of sleep can help.
"On the physical activity side, 30 minutes a day, five days a week for most adults is what's generally recommended," Rodgers explained. "Just walking. And if you can't do the 30 minutes all at one time, breaking it into either two 15, or three 10-minute intervals is sufficient."
Rodgers stressed diabetes is preventable and manageable. He added it is important for people to have their blood pressure and blood glucose levels checked as part of their routine wellness visits.
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According to experts in the field, the system of developing new antibiotics is broken and doctors are running out of ways to treat deadly infections.
Lawmakers have proposed the PASTEUR Act to fix the pipeline. New antibiotics are critical but they must be used sparingly, which means private drug companies cannot recoup their investment.
David Hyun, director of the Antibiotic Resistance Project at the Pew Charitable Trusts, said the bill would establish a subscription model to fund research for certain drugs approved by the Food and Drug Administration.
"It delinks their revenue from the volume of sales and provides an up-front payment to the companies purely based on the value of the public-health value of the new antibiotic," Hyun explained.
The Centers for Disease Control and Prevention said patients in the U.S. contract 2.8 million antibiotic-resistant infections each year and more than 35,000 of them die. Experts estimate the U.S. spends $4.6 billion a year to treat infections caused by drug-resistant germs.
Dr. Sarah Doernberg, an infectious disease specialist and professor of medicine at the University of California-San Francisco, said the ability to treat infection dictates the safety of all kinds of medical procedures from giving birth to having surgery.
"We are able to operate ICUs and transplantation and give chemotherapy agent," Doernberg noted. "All of these things that we do that are very invasive and come with risks of infection, and we need to be able to treat the infections in order to be able to provide modern health care."
Despite bipartisan support, a similar bill failed to pass in 2021. Senate lawmakers reintroduced the PASTEUR Act in 2023 with reduced funding but it remains stalled in committee.
Support for this reporting was provided by The Pew Charitable Trusts.
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