As with any major construction project, there were a few delays for the Batavia Medical Campus on the north side of the Thruway entrance; however, a preview glimpse of the campus Wednesday showed off the multi-floor, 95,000 square-foot facility with ample windows and natural light that’s now ready to serve, officials say.

The ribbon is cut and UR Medicine's new Batavia campus is ready to receive patients for care in a variety of specialties that officials say will save them a trip to Rochester.

"What I learned is that the patients won't get the care unless the health care providers come to them, at least in the beginning," said neurosurgeon Dr. Webster H. Pilcher during opening remarks.

The campus will serve patients from Genesee, Orleans, and Wyoming counties, and care will include adult and pediatric allergy/immunology, neurosurgery, oncology, otolaryngology and audiology, and urology, as well as providing primary care.

"Bringing specialty and primary care clinics under one roof allows for better care for our patients, as well as really helps us practice efficiently," said Kathleen Parrinello, COO of UR Medicine. "So there's a lot to be gained by having all of our clinicians together so that the people in this community can really appreciate the integrated Clinical Network at UR Medicine."

The new 24,455 square foot medical campus – located at 7995 Call Parkway – will centralize specialty clinics and primary care into one location, along with on-site lab services. 

UR Medicine Radiation Oncology will remain in its current Bank Street location.  Eric Wu, M.D., and the Batavia Ophthalmology practice are joining UR Medicine and will move to the Flaum Eye Institute’s location on Liberty Street on June 1, which will be expanded into space formerly occupied by primary care.

"We will continue our practice of staffing specialty clinics with providers who are either locally from here or are based consistently in Batavia in this community," Parrinello said. "Meaning that the people who receive care here will receive care from physicians, advanced practice providers, nurses, and staff who spend all of their work hours here."

“Almost 30 years ago, I started seeing patients out in Batavia and it has been an incredibly rewarding experience to serve the patients of that community,” Pilcher said. “It is often difficult for patients to negotiate a complex care system, especially if that means traveling to Rochester.  By bringing that care to them and simplifying the relationship between our patients and primary and specialized care, we can provide them with access to world-class care, right in their own community.”

Top photo: Ribbon cutting with Alexander K. Mandych, Dr. Webster H. Pilcher, Victoria Godwin Hines, COO and Vice President, Lily J. Snyder, faculty in the Department of Family Medicine.

Photos by Howard Owens

Check-out desks area for patients.

A nurse's workstation.

Lily Snyder in her office.

Joy Michaelides, assistant professor of clinical urology in a urology exam room.

Oncology center.

The Genesee County Funding Corporation (GCFC), an affiliate of the Genesee County Economic Development Center (GCEDC), approved tax-exempt bonds to support projects by Rochester Regional Health (RRH) expanding healthcare services in Genesee County and throughout New York State at its April 28th board meeting.

The tax-exempt bonds approved by the GCFC support the construction of a 105,393 square-foot healthcare facility on Oak Orchard Road in the Town of Batavia and 56,147 square feet of related ground floor parking.

In Batavia, Rochester Regional Health will offer outpatient cardiac care, women’s health services, primary care, urgent care, outpatient surgical services, gastroenterology, outpatient radiology and other outpatient services.

The Batavia project is projected to create approximately 70 full-time equivalent jobs with an average salary of $110,000, and over 200 construction jobs.

In addition to new bonding, the project also includes improvements of machinery, equipment and other tangible personal property, the refunding or refinancing of all or a portion of the outstanding principal amounts of existing bonds, and the construction of a 96,189 square-foot healthcare facility in the town of Potsdam in St. Lawrence County.

The projects will generate over $172.6 million of economic benefits to Genesee County and other communities over 10 years, including $161.4 million of payroll for temporary and ongoing jobs, and $11.2 million of tax revenues.

Press release:

Yesterday we introduced the new Mobile Medical Unit (MMU) at the ribbon-cutting event at our Brockport location. The MMU will operate like a primary care site bringing healthcare to Monroe, Orleans, Wyoming, Steuben, and Genesee counties.

“The Mobile Medical Unit would not have been possible without the support of our Board of Directors and The John R. Oishei Foundation that gave us a grant to fund this state-of-the-art medical facility,” said Mary Ann Pettibon, CEO, Oak Orchard Health.  The John R. Oishei Foundation enhances the economic vitality and quality of life for the Buffalo Niagara region through grantmaking, leadership and network building. For more information about The John R. Oishei Foundation, visit www.oishei.org.”

“Oak Orchard Health will be working collaboratively with the County Health Departments, partnering agencies, the Head Start programs, and the homeless to bring the Mobile Medical Unit closer to those in need. This is all part of our mission. We will also serve farmworkers, as we always do, but with this new unit we will be able to provide access during the times and the places that are convenient for them,” said Mary Ann Pettibon, CEO, Oak Orchard Health.

Public Health Commissioner, Dr. Michael Mendoza also spoke at the event and said, “one thing this pandemic has taught us is that we haven’t done a good job meeting people where they are, where they live, and where they are comfortable. Our region suffers from a lack of primary care access -- doctors, nurses, behavioral health professionals, the gamut of healthcare professionals. This Mobile Medical Unit will help to bridge that gap. Without Federally Qualified Health Centers like Oak Orchard Health, many, many, people would be going without healthcare. This unit will provide more primary care to more people especially those who are underserved.”

The Mobile Medical Unit will also provide vision screenings, behavioral health services, COVID testing and vaccinations, other vaccinations, routine health screenings, chronic disease management, EKGs, and so much more.

Unless you are over 103 years old and remember the Spanish Flu worldwide outbreak of 1918, then the COVID virus is your first (and hopefully last) pandemic. Enduring all of the shortages, masking, social distancing, quarantining, and isolation for the past year and a half has caused me to think back to when I was a kid growing up in Batavia in the 1950s and 1960s.

What kind of health care did I receive? Who were my providers? What kind of medical problems did I experience? Did we have fears back then like there are now with COVID?

Doctor In The House
My first memory of a doctor is when I had appendicitis at age 5. We lived at 26 Thomas Avenue and our family physician , Doctor Mansueto, lived across the street at number 23. He regularly made house calls after office hours and my mother summoned him to see me.

I had a fever, was vomiting, and had severe lower right side belly pain – the class signs of an infected appendix. But when Dr. Mansueto began examining my abdomen I started giggling like he was tickling me. My mom was exasperated by my reaction until he touched the right spot and I let out a screech so loud that the customers at Olivers Candies probably heard me. It was off to St. Jerome's Hospital for me.

This was in 1952 and a year earlier a major renovation of St. Jerome's had been completed so they were all ready for me. I recall that the anesthesia that was used for my surgery was ether which causes a lot of nausea upon awakening. In between throwing up, all they would give me was ice chips to moisten my mouth. After several days' stay, I got to go home minus my appendix and plus the first of many scars.

Dr. Biagio Mansueto had gotten his degree from the University of Bologna in Italy and then served in the U.S. Army Medical Corps in Europe during WWII. In 1946 he began his medical practice as a family physician in Batavia with an office upstairs at 73 Main Street above what was Critic's Restaurant. He had a 35-year career and helped deliver over 2,000 babies before retiring to California in 1980. He passed away in 1995.

We had many occasions in our family to call on the services of Dr. Mansueto over the years. When I was about 7 or 8, I had a bad case of strep throat and he had me hospitalized for several days at St. Jerome's. Back then your own family doctor would visit the hospital and oversee your care. The only thing I can remember is that I was given some Hydrogen Peroxide to gargle with and for some reason the nurse left me alone to do that. I spilled it in my bed and lay uncomfortably in the wet sheets until someone discovered it.

A Bad Dime Was Had By Me
A more humorous incident that ended up at the doctor's house began in St. Mary's Church. While attending Sunday Mass my mother gave me a dime (talk about inflation) to put in the collection basket. Me being a goofy little boy, the dime ended up stuck in my nostril. After a couple of embarrassing minutes trying to extricate it (resulting in a lot of runny snot), mom dragged me (probably literally) out of there.

She got me in the car and proceeded to Mansueto's across the street from our house. Fortunately, the doctor was home and calmly removed the stuck coin with tweezers. He told my mother and me that he would be required to keep the coin as payment. This became a funny family tale in subsequent years, but I got my ears blistered (as my mom used to say) that day.

College Interruptus
Probably my last interaction with Doctor Mansueto was after my sophomore year of college in 1966. The whole school year I had been feeling off health-wise and had been losing weight. While working a summer job at Coca- Cola on East Main St. I developed a nagging cough. Eventually, the doctor suspected pneumonia and had me admitted to St. Jerome's for tests and observation.

I have 2 memories of that stay. First, one night the dinner that was served was a not very fresh plate of fruit. Nutrition-wise I guess that was okay ( if it didn't look like it had been left out for a couple of days), but not exactly what a 19-year-old would want. I think I had my mom go to Kustas Kandies on Main Street and get me a big cheeseburger.

Secondly, I know people seem older when you are that young, but there was one nurse who looked about 80. She was walking so slowly entering and leaving the room, with tongue only partially in cheek I asked the young man who was my roommate if he thought we should get out of bed and assist her.

As it turned out. I ended up at a specialist in Rochester and had to withdraw from St. John Fisher College to have surgery for a benign (thankfully ) tumor in my lung. That was definitely not a fun experience but did result in my spending an extra year getting a degree and delaying immersion into the real world of adulthood.

Take Your Best Shot

But by far the things that scared us the most were the newspaper and magazine photos of kids in “Iron Lungs”. These were the precursors to ventilators and consisted of a large metal tank which the patient was placed into with only their head sticking out. The apparatus helped you to breathe easier and helped the lungs and diaphragm to regain their strength.

Most people only needed the iron lungs for several weeks, but somehow we kids got the impression that if you got polio you'd have to spend your whole life in there.

So, needless to say, when we and our parents learned of Doctor Jonas Salk's vaccine discovery that would keep us from those horrible contraptions we counted the days until we could get our shots. Sound familiar in 2021?

It was in the spring of 1955 when the vaccinations finally came. I was in the fourth grade at St. Mary's School and it was announced that doctors would be going to the schools and be assisted by nurses in doing the inoculations. Dr. Samuel Gerace came to our school and I recall him being very friendly and soft-spoken to make the nervous kids more at ease.

I don't remember which kid it was, but one of the boys was boasting about how easy it was going to be and no one should be a “scaredy-cat”. As he waited in line for his turn, he saw the needle go into a child's arm and fainted, going down like an electric pole in a hurricane. For the rest of the year, he was the one that got needled.

Later on in the 1960s, my younger brother was protected against polio by an oral vaccine developed by Doctor Albert Sabin. Instead of a shot, the medication was placed on a sugar cube and you just had to pop it in your mouth. No more fainting.

You Know The Drill
I would be remiss if I didn't mention my experiences with dental care. Our dentist was Doctor Lawrence Mulcahy whose office was in a big white building on the northeast corner of East Main and Ross Streets. I'm sure that he was a very capable dentist, but I would have rather eaten bugs than endure a session with him. I used to stress for days before my appointment.

I don't recall Doctor Mulcahy giving an injection (what most people call Novacaine but used to be Procaine and is now Lidocaine) to numb my mouth for fillings. Rather, he administered Nitrous Oxide, also known as laughing gas.

This is a chemical that apparently people have fun with at Grateful Dead concerts, but I can assure you that I wasn't doing any laughing in the dental chair. It made me feel a little lightheaded but did practically nothing for the pain. I'm pretty sure I yelled out in agony on several occasions.

I was so traumatized by my dental visits that I did not go to the dentist for many years. Eventually, when I finally did go, I had so many cavities that I had to have them taken care of in stages. Dental care was not as bad in the 1950s as in the Old West days when the barber doubled as the dentist. But, I'm sure happy that my appointments for dental care today are painless and anxiety-free.

A lot of folks who get on board the nostalgia train seem to think that everything was better back then. Admittedly, you were more likely to have a personal relationship with your family physician, especially in a small town and particularly when they sometimes came right to your home. But, advances in scientific discoveries ( for those of us who trust them) and medical technology have enabled us to have a longer and healthier life today.

Among the organizations: Erie County Medical Center, Veterans Affairs, Kaleida Health, Horizon Health, Lake Plains Community Care, and Independent Health.  

Among the physicians signing the letter is Dr. Michael Merrill, former chief medical officer at UMMC and currently an executive with Independent Health. 

To view the document with the statement and a list of all the supporters of the statement, click here (pdf).

Statement:

These organizations and the individuals signing below say the following message is correct and reliable. Social media posts may be incorrect. Find reliable, science- based information sources, such as the CDC.

We are experiencing a high number of COVID-19 cases in the region. You should wear a mask in indoor public places, even if you are fully vaccinated. Please wear a mask in outdoor settings if it is crowded or you expect close contact with others.

Wearing a mask will protect you. It will protect people around you. And the more people who do it, the more we protect the community. This is similar to littering. If one person litters, no one notices the impact. If many people litter, it creates a problem for everyone.

The risks of the vaccine are far lower than the risks of COVID-19. Please get a vaccine. Even if you are healthy, it is best not to get the COVID-19 infection, because you can spread it to vulnerable people without knowing.

92% of recent COVID-19 deaths in Erie County are in people who are not fully vaccinated.
There is evidence that the COVID-19 vaccines are SAFE during pregnancy. Infection with the COVID-19 virus during pregnancy can cause poor outcomes for moms and newborns. One study showed if a mother gives birth while infected with COVID-19, they have a 5 times elevated risk of dying.

There is NO evidence that the COVID-19 vaccines affect fertility. However, the COVID-19 infection CAN affect future fertility. You are not protected by your racial, ethnic or age group. COVID-19 is not like influenza. It is 10 times more fatal.

Why get a COVID-19 vaccine if we still have to wear masks and practice social distancing? We must use every tool available to control the pandemic. Each tool contributes toward “flattening the curve” and reducing, for example, the number of critically ill patients.

Why should I get the vaccine when people who are vaccinated can still get COVID-19? The COVID-19 vaccines were designed to prevent serious infection, hospitalization, and death. All of the current US vaccines provide very strong protection against all of these outcomes, with protection against hospitalization and death greater than 90%. Most vaccinated people who do get COVID have either no symptoms or very mild symptoms and are much less likely to be hospitalized or die.

How do we know the vaccines are safe in the long term? In the history of vaccine research, most vaccine side effects appear within a few weeks and almost all appear within six months. We now have data for well beyond six months for people who have received the COVID-19 vaccines, and it continues to show they are extremely safe. More than 360 million doses have been given in the US. At no point were shortcuts taken or safety compromised.

In support of Breastfeeding Month, today the USDA Food and Nutrition Service (FNS) held a virtual ceremony for its WIC Breastfeeding Award of Excellence winners in the Northeast Region, including seven in New York.

“USDA established the award program to recognize local WIC agencies that have provided exemplary breastfeeding promotion and support to WIC moms,” said Lizbeth Silbermann, Northeast Regional Administrator for USDA’s Food and Nutrition Service. "The intent is to provide models to help other WIC clinics strengthen their breastfeeding programs to increase breastfeeding initiation and duration rates nationwide.” 

A major goal of the WIC Program is to improve the health of babies and moms through breastfeeding; WIC serves about half of all babies born in the country and is uniquely positioned to help moms successfully breastfeed.

In New York the following WIC clinics received Gold awards: 

• Catholic Charities WIC of Buffalo, Buffalo
• Oak Orchard Health WIC, Batavia
• Ryan Health WIC Program, NYC
• Bedford Stuyvesant Family Health Center, Brooklyn
• Morris Heights Health Center WIC, Bronx
• SBH Health System, Bronx
• Northwell Health Staten Island University Hospital, Staten Island

“Peer counselors have a unique ability to relate to participants and play a key role in providing support beyond the office when parents need it most, especially throughout the pandemic,” said Corie Nadzan, WIC Director for New York State. “These awards highlight the dedicated efforts of WIC staff to empower families to meet their breastfeeding goals beginning prenatally, through delivery and beyond. Having worked in a local agency myself, I know this is no easy feat, and I am incredibly proud of these agencies for their outstanding services.”

The award is given at three levels of performance that build on one another: Gold, Premiere, and Elite. 

One hundred and one awards were handed out across the country throughout the month of August, including 16 awards presented today to clinics in Connecticut, Massachusetts, New Hampshire, New York and Vermont.

The Special Supplemental Nutrition Program for Women, Infants, and Children - better known as WIC - serves to safeguard the health of low-income pregnant, postpartum, and breastfeeding women, infants, and children up to age 5 who are at nutritional risk by providing nutritious foods to supplement diets, information on healthy eating including breastfeeding promotion and support, and referrals to health care. More information about WIC can be found at www.fns.usda.gov/WIC.

The U.S. Department of Agriculture (USDA) Food and Nutrition Service (FNS) leverages its 15 nutrition assistance programs to ensure that children, low-income individuals, and families have opportunities for a better future through equitable access to safe, healthy, and nutritious food while building a more resilient food system. Under the leadership of Secretary Tom Vilsack, FNS is fighting to end food and nutrition insecurity for all through programs such as SNAP, school meals, and WIC. FNS also provides science-based nutrition recommendations through the co-development of the Dietary Guidelines for Americans. To learn more, visitwww.fns.usda.gov. 

The COVID-19 pandemic is shining a spotlight on the value of more complete medical records in assessing and assisting people who need care to become and remain healthy. Now, 300 regional Community Based Organization (CBOs) sites have connected to Rochester RHIO. 

For the first time, social services and behavioral health organizations have a more complete picture of health records, including recent hospitalizations, laboratory tests and imaging, and medications administered. The same holds true for long-term care facilities, who can contribute details about residents that can speed and improve treatment should they fall ill.

Even select non-HIPAA organizations utilize RHIO DIRECT messaging service, which enables secure point to point electronic communication between caregivers. During no other time in history has a holistic collection of health information been as vital to quality care as it is today.

CBOs work to improve the lives of residents in their geographic location, delivering services that address social determinants of health, including education, transportation, socioeconomic factors, employment status and access to healthy food and activities. With this collaboration, secure data sharing is building a more complete medical record for communities and the 1.5 million residents across the RHIO’s 14-county region. 

“We work to assure that all our population can lead healthy lives,” said Jill Eisenstein, CEO and president of Rochester RHIO. “Community Based Organizations interact with people in their everyday lives, and work to address the economic, educational and social factors that have a direct bearing on their health and well-being.

"By working in coordination with clinical providers, CBOs will be better equipped to provide their services, especially during our current public health emergency.”

CBOs connect to the RHIO Contribute service to achieve bi-directional exchange, meaning they can transmit and receive data that helps caregivers make better decisions and provide better guidance. In turn, other health organizations such as hospitals and specialists who also have permission to access the data can use it to help their assessments and recommendations.

Learn more by contacting Rochester RHIO at 877-865-7446 or info@grrhio.org.

The following community participants are located in Genesee County.

• ARC of Genesee, Orleans (NYSARC)
• Genesee County Office of the Aging
• Genesee County Mental Health
• Genesee County Public Health
• Mental Health Association of Genesee and Orleans Counties
• Lake Plains Community Care Network (Batavia)
• Le Roy Volunteer Ambulance Service
• UMMC Healthy Living Programs (Batavia)
• Western NY Independent Living (Batavia)

The full participant map is available here.

Congressman Chris Collins (NY-27) introduced legislation which provides a financial solution for uninsured Americans seeking medical procedures by hospitals.

The Protect the Uninsured Act of 2019 would amend Title XI of the Social Security Act to require hospitals and critical access hospitals to offer the uninsured individual access to the lowest negotiated price for any service or procedure.

“Hospitals are supposed to take care of everyone, the uninsured are often saddled with debt far beyond what they can pay while others are receiving steep discounts for the same procedures,” Collins said. “People are putting their health at risk by avoiding important procedures due to inflated costs while hospitals are writing off uncollected debts as charity work."

Hospitals negotiate discounts with insurance companies to determine costs of procedures or services they are willing to accept. This negotiated discount is subtracted from an inflated total cost of a procedure or service, the individual then pays a copay while the insurance company covers the remaining expenses.

Under current law, an uninsured patient is forced to cover the full cost of the procedure with no discounts, leading to uninsured patients mounting debt or avoiding necessary care.

This legislation will provide financial relief to those who are uninsured by allowing the individual to receive the lowest discount negotiated with an insurance company for a procedure or service by a hospital.

UMMC's severe maternal morbidity (SMM) rate for births to all mothers is 0.09 percent, compared to 1.8 percent for New York and a 1.4-percent rate nationwide.

SMM includes unexpected outcomes of labor and delivery that result in significant short- or long-term consequences to a woman’s health, according to the CDC.

The rate for UMMC is based on 2,341 deliveries from 2014 through 2017.

Dr. Tara Gellasch, chief medical officer for UMMC, and a physician at Batavia's Women Care Center, said UMMC's rating reflects the hospital's commitment to quality care and the support of the Rochester Regional Health system.

"Due to a myriad of potential conditions that can increase risk, maternal mortality is a growing concern in New York State and throughout the country," Gellasch said. "At United Memorial Medical Center, our providers and staff are trained to identify patients at risk so we can work with our Rochester Regional Health experts in high-risk obstetrics to provide these patients with the prenatal care they need.

"Our team is proud that we have kept maternal mortality rates consistently low and, as we do in all areas of care, we continue to evaluate our work and find ways to raise the bar for the future."

The severe maternal morbidity rate "is a composite measure of things that can go wrong at the hospital before, during or after delivery – heart attacks, strokes, blood transfusions, hysterectomies and other perilous emergencies that can permanently harm or even kill a new mother," reported USA Today.

Because the SMM rate is especially a concern for black mothers, the newspaper also reported on the rate and deaths for black mothers at UMMC during the study period.

The rate of episiotomy, an incision made in the vagina to assist during difficult births but not recommended by most health care experts, is 1.2 percent at UMMC compared to 7.8 percent at hospitals in 13 other states. 

The cesarean rate at UMMC is 18.5 percent compared to a national rate, among hospitals that report the rate -- some do not disclose it -- is 19.9 percent.