Dr. David Chesler

https://patch.com//stony-brook-hospital-ranked-among-natio

As the weather turns nicer and it appears that the coronavirus epidemic is stabilizing we are all are tempted to start returning to the outdoors and our usual spring-time activities. Please remember safety and common sense as we are eager to be active. Make sure our children are wearing helmets when appropriate!!!

https://www.nytimes.com//h/coronavirus-antibody-tests.html Regardless of sensitivity and specificity, antibody production does not always equate with immunity. Humoral immunity (antibody-mediated immunity) requires functional/neutralizing antibody production. If these assays are not identifying functional/neutralizing antibody (independent of IgM/IgG), positive results do not necessarily infer immunity. Further, coronaviruses as a family do not always induce robust and sustainable immune responses which can complicate things.

The comments below were originally posted by Jason Ganz, a colleague of mine, who is an outstanding plastic surgeon. I was reminded of this today as I was caring for someone and wanted to share it, as it holds true for everyone right now during this crisis; particularly for those of us who take care of surgical emergencies. Please think before you act. Stay home and stay safe. Speaking in my role as a reconstructive surgeon, I’d like to make a plea to the world. Right now..., we’re all on what seems like a really long weekend. With the weather gradually improving, and cabin fever setting in, there’s going to be a temptation for the weekend warriors among us to start doing stuff. But before you get on that motorcycle or ATV, before you climb up on the roof and finally fix that leak, or before you stay inside and finally try out that table saw you got for Christmas, or wrestle with the dog, just remember: One pothole, one slip, one split second lapse of attention, and you can end up in a hospital where the doctors you need may be out with fevers, you may wait hours or days to be seen, you’ll be admitted alone with no visitors allowed, probably sleeping in a hallway, and your chance of contracting the virus will be orders of magnitude greater than if you just sat on your couch and read a book, or played board games with your kids. Plus someone like me will need to come in and put you back together, and nurses and residents who are already stressed and overworked, and often working in areas outside of their specialty, will have to tend to you. Worst case scenario, you’ll take a much needed ICU bed or ventilator from someone who needs one through no fault of their own. Sorry to sound preachy, but do yourself a favor, weekend warriors, and get comfy, stay home, and we’ll all get through this together! #stayonthecouch #stayathome See more

I was fortunate enough to have the chance to learn from Dr. Goodrich over my four years as a medical student at Einstein and had the privilege of watching as he along with a dedicated team including his partner, Dr. Ira Abbott, separated craniopagus twins. He was an consummate physician, dedicated pediatric neurosurgeon and worldly gentleman who always strived for perfection. I’m am devastated to hear of his passing and hope that his will be a lasting legacy for all future pediatric neurosurgeons.