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‘Jack Sparrow’ Mugs Straphanger on Subway

Cops Searching for Pirate Mugger The NYPD is searching for this man in connection with a mugging inside a Bronx subway station. -Photo by NYPD By Dan Gesslein  Bronx Voice  October 31, 2024  Follow @Bronxvoice1 BRONX - Halloween came early for one crazed mugger who beat a straphanger dressed in a pirate costume, cops said. At around 4 am on October 27, the suspect dressed in a pirate costume was seen on surveillance video wandering around the subway station at Brook Avenue in Mott Haven.  Cops said the Jack Sparrow look like walked over to the turnstile and attacked a 32-year-old male. The pirate repeatedly punched the victim in the face and body. He then ripped the victim’s AirPods out of his ears and then took the sneakers off the man’s feet.  The mugger than ran out of the station.  The victim refused medical attention at the scene.  The suspect is described as a male with a light complexion, dark hair and a mustache. He was last seen in a pirate costume complete wit

Optimizing Medications for Health Equity

A New Approach by A New Care Team


By Katherine E. Di Palo, PharmD, MBA, MS, Senior Director of Transitional Care Excellence, Montefiore Health System 

Bronx Voice 

October 8, 2024


BRONX - Cardiovascular-kidney-metabolic (CKM) syndrome is a health disorder experienced by people who have obesity, chronic kidney disease, heart disease, and diabetes at the same time. People with CKM can experience symptoms including chest pain, shortness of breath, pain in legs while walking, fatigue and an increase in urination.



Within the Bronx, adults with heart disease and diabetes are more likely to be hospitalized compared to other boroughs. Fortunately, there are new drugs that can be used for CKM that improve symptoms, reduce hospitalizations, and reduce the risk of death. However, these drugs are often costly and challenging to access. At Montefiore Medical Center, an innovative new Transitional Care Excellence (TCE) team is piloting a novel approach to improve care for patients with CKM. 


A Novel Approach


When patients with CKM are admitted to the hospital for high-risk conditions, a dedicated clinical pharmacist or nurse practitioner meets the patient at the bedside, reviews their current medications and determines a plan to start or adjust medications used to treat CKM. The clinician considers each patient individually and uses an approach specific to them to reduce costs, side effects, and lower the number of medications they need to take, to make it easier for them to stick with the regimen. 





For each patient, the clinician screens for and addresses social determinants of health (SDOH) - the conditions in which people are born, live, learn and work. They also consider the age, well-being, and quality of life of each patient. 


Examples of SDOH include housing, transportation, language and literacy skills, access to nutritious foods, and income. SDOH contribute to health disparities and inequities. For example, patients who can’t afford or can’t access healthy and fresh foods are less likely to have good nutrition which raises the risk for CKM.



When patients screen positive for SDOH, the Transitional Care Excellence team proactively identifies solutions, like registering for transportation services, enrolling in Montefiore’s financial aid program, working with insurance companies to provide affordable medications, setting up nutritious meals for home delivery, providing access to mobile phones or internet, and referring to additional resources within Montefiore. The team works directly with the patient and family to establish a follow-up plan with primary care providers and specialists and provides education on self-care for CKM. 


Once out of the hospital, the same clinician checks in on the patient within two days by telephone to ensure that the patient is on the right track. The team continues to monitor for 30 days and checks in periodically to help navigate care after hospitalization. Patients are encouraged to call the TCE team if they run into any trouble after they leave the hospital. 



Testing the Model


To support this extraordinary work, Montefiore Medical Center and Albert Einstein College of Medicine were awarded funding by the American College of Clinical Pharmacy Foundation as part of the Medication Optimization Improving Human Health initiative. As one of only three health systems in the country, Montefiore will study the impact of the TCE team on overcoming challenges that hinder access to new life-saving drugs for CKM. The research team, led by myself, Dr. Ladan Golestaneh, and Dr. Pavel Goriacko, is optimistic that the Transitional Care Excellence model will greatly benefit our patients most in need, and pave the way for a healthier, more equitable future in the Bronx.




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