4/20/17 Meetings: ‘Coronary Disease & Treatments’ and ‘Immigration’

screen-shot-2016-10-16-at-7-10-54-pmDinner Meeting at Quigley’s Restaurant
593 Columbia Turnpike
East Greenbush, NY
April 20, 2017

Members Attending (14): Debbie Rodriguez, Murray Forth, Pat Bailey, Roberto Martinez, Jim Leyhane, Dick Drumm, Peter Brown, Debbie Brown, Terry Brewer, Phil Kellerman, Ray Hannan, Dean Calamaras, Charlie Foote, Carole Spencer.

Guests (5): Edward L. Hannan, Mary Ann Hannan, Jack Faddegon, Maggie Forth, Jeremy Forth.

PROGRAM: Coronary Artery Disease and its Treatments

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Dr. Edward L. Hannan

Carole Spencer introduced our speaker, Dr. Edward L. Hannan, professor emeritus at the University at Albany School of Public Health.

Ed described what constitutes coronary artery disease and what today’s treatments are. He shared background information on the state’s cardiac treatment and data collection efforts. When he spoke to the club in April 2014, he discussed choosing the right treatment, hospitals and doctors. Tonight, he updated attendees on the findings of comparing angioplasty vs. medicinal therapy for stable coronary artery disease (CAD) and the appropriateness of coronary revascularization for certain patients.

Ed explained that in complete revascularization all major vessels that are diseased have been successfully stented. However, there always is a difference when comparing the doctors and hospitals doing the procedures. Inappropriate stenting has decreased substantially, resulting in cost savings estimated at $40 million a year in New York. Also, shared decision-making has improved due to these studies being available to the public even though more are needed. The data comes from annual reports from hospitals, and these are available on line showing results from hospitals in New York.

The latest study looked at background, methods, and results and discovered there is not yet enough information to make determinations for everyone. Ed explained that about $50 million is spent annually on stents that may not be needed. The information gathered is fed back to hospitals, but stenting remains the best treatment for patients with evolving ST analysis. The rate of inappropriate stents has dropped from 18.3% in 2010 to 10.6% in 2014. Also, for Medicaid patients it dropped from 340 to 84 surgeries, a decrease of nearly 75%.

Ed said there now is a change in favor of bypass surgery (CABG), and that patients also had a lesser rate of repeat procedures. He spoke in much detail about two or three vessel diseases as opposed to lesser blockage.

He said that a newer study from the New England Journal of Medicine about the rate of plaque returning shows there is a second generation of stents now in use that have had slightly better results.

Business & Announcements

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SHINING STAR OF HOPE — Terry Brewer spoke about this project (above), a $5,000 initiative started by the Interact Club at Columbia High School in 2001-02 when his daughter Hilary was club president. It recognizes students who died before their graduation. That particular club dissolved in 2008, and the memorial, which is on the grounds of the East Greenbush Public Library, is in need of some refurbishing. Terry said our club contributed $500 to the original memorial stone with other funding coming from other community groups, and his research also says per a 2001 agreement with the Library Board the club agreed to be the responsible party. At its meeting next Thursday, April 27, the SRC Board will discuss what sort of commitment the club might make to provide annual upkeep.

AREA 8 WORK DAY — Assistant District Governor Jack Faddegon joined us for dinner. He spoke about the Saturday, May 20, Area 8 — of which SRC is a member — joint project to improve the entry of the Shaker Heritage Site near the Albany International Airport. This may include new signage, plantings and decorative boulders at the entrance. In addition, the pasture behind it needs attention. Lots of hands will be  needed beginning at 8:30 that morning, and a picnic will be held later in the barn. The day  will include a number of activities, so all skills welcome.

RECYCLING & SHREDDING — A reminder that our second paper shredding and electronics recycling day will be held on Saturday, April 29, at the Wainschaf Associates Construction warehouse. Volunteers were asked for to staff the event. A flyer has been circulating for weeks on our club website and Facebook page for members to copy and share on social media.

ROTARY HOME COOKING — Murray and Maggie Forth are hosting a surf-and-turf dinner at their residence on Saturday, May 20. Anyone interested in attending should contact Murray ASAP. As always, reservations for this series are accepted on a first-come, first-served basis.

NEXT DINNER MEETING — 6:15 p.m. Thursday, April 27, at Quigley’s. We will hear from Rafaella “Ella” Cancio Real, our Rotary Youth Exchange student from Brazil.

SRC Breakfast Logo

Breakfast Meeting at Greenbush YMCA
1 Community Way
East Greenbush, NY
April 20, 2017

Members Attending (12): Ron Annis, Geoff Brewer, Terry Brewer, Peter Brown, Debbie Brown, Jim Butterworth, Murray Forth, Phil Kellerman, Andy Leyhane, Jim Leyhane, Roberto Martinez, Shannon Romanowski.

Guests: None.

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Club member Phil Kellerman spoke on immigration issues, a talk similar to one he presented at a club dinner meeting last September. You can access details of his original  talk by clicking here.

NEXT BREAKFAST MEETING — 7 a.m. Thursday, May 18, at East Greenbush YMCA.

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