New York City Clinical Center of the Albert Einstein College of Medicine INSIDE WHI: Woman to Woman A WORD FROM OUR PRINCIPAL INVESTIGATOR You all know that the WHI will provide answers to the critical questions about the risk factors for, and the prevention of, heart disease, breast and colorectal cancer, and osteoporosis. These answers will come from the hormone replacement trial, the dietary modification trial, the calcium/vitamin D supplementation study, and the observational study. As a participant in WHI, you may be in one or several of these components (if you are not sure which, call us). But many of you may not know that we also have a number of related studies which address other problems that post-menopausal women may have. These are called ancillary studies to the WHI. For example, at the New York Center we currently have the WHIMS (WHIMemory Study) which is looking to see if hormone replacement prevents Alzheimer's disease. WHIMS participants are women over age 65 who are in the hormone replacement part of WHI. Enrollment is closed now, but many of you are participating in that ancillary study. Another ancillary study is WHISCA - the WHI Study of Cognitive Aging. This study is trying to determine whether hormone replacement therapy affects NORMAL declines in memory and cognitive aspects. WHISCA is open to all women who are enrolled in WHIMS. We have just started enrolling participants in WHISCA so please call Jennifer Grennan to set up an appointment. Generally, you can enroll when you come for your regular WHI annual or semi-annual visit, but it will take an additional hour or two of your time. For women in the Observational Study, we also have a very interesting ancillary study called MIMS Myocardial Ischemia and Migraine Study. This study requires that you wear a Holter monitor for 24 hours which is really an ambulatory electrocardiogram device. The objective is to see whether headaches are related to what we call "silent ischemia," which means certain abnormalities in the flow of blood to the heart which may have no outward symptoms. This study is still open, so if you are a member of the observational study, be sure to call Adelyn Alvarez or Ileana Valle to set up an appointment. If you are coming for your 3 year visit to WHI, you can enroll at that time. Another study which we are about to begin is a study related to eyesight. We will be telling you about it soon. So you see, WHI and its associate studies, will tell us how we can prevent many diseases and conditions which are a problem to older women and you can be very proud that you are "part of the answer." Sylvia Smoller, Ph.D., F.A.C.E. On a Personal Note… I During the coming year we have several seminars and lectures planned, that I would like to invite you to participate in. I hope that most of you have already attended our study update on “the Women’s Health Initiative and Women’s Health” and our seminar on “Elder Law.” More lectures are planned for the rest of the year for the different components of the WHI study and we hope to see each of you at the lecture or event of your choice. There will be different events taking place in the Bronx, in Westchester and in Manhattan at Beth Israel. If you would like to hear about or share information about a specific topic, please let the staff at your site know or give me a call at 718-931-1010. I would love to hear from you. Thank you for your continued dedication to this important project. Warmest regards, Yvonne Raiford, Project Director ASK MIMI Inside WHI: Woman to Woman Q. What is the importance of the Medical Release Form? A. At every visit, we ask our participants to fill out and sign a Medical Release Form. It is hard to over-emphasize the importance of having an active, signed Release Form in your chart. In case you have a medical event, it is important that we are able to obtain your medical records from the doctor or hospital that treated you. Medical providers require proof that you have given them permission to release these records to us, and that is why we ask you to sign a Medical Release Form at every visit. Without it, we cannot obtain your medical records. It is only by examining and following what happens to each of you individually that we will get the greater picture of women’s health. When looked at collectively, your irreplaceable participation in the Women’s Health Initiative will provide this information. Also, knowing what is happening to you permits us to monitor the safety of all women in the study. We are, as always, happy to answer your questions about this and any other things relating to your participation in WHI. Mimi Goodwin, Clinic Manager MEET OUR STAFF Hi! My name is Jeanne Kenney. I am the Clinical Coordinator for the Beth Israel Site in Manhattan and I’d like to take the time to say to all of you Congratulations on being “Part of The Answer” as well as for contributing to the recommendations for health care for women for the next Millennium! Being one of four daughters, raised as an Army Brat, I learned to adapt to change and to expect the very best from women in all aspects of life - as observers, as participants and as teachers - early on in life. After college, I worked in Italy and France for six years in business and education. Curious about medicine and health, I returned to college for a Degree in Nursing, after the birth of my daughter, who graduated from university this year. In the interviews we share, I am fascinated to hear how you deal with good and ill health from a uniquely feminine perspective. Being brought up in a large family of women, I’d like to think my listening skills are pretty good. Your questions are always interesting. I’ll be looking forward to our visits over the next years, knowing your contributions will benefit our generation as well as that of our daughters and granddaughters. See you in the next millennium, ladies. Jeanne B. Kenney, BSN, Clinical Coordinator Hi! My name is Myrta Lopez and I have been with WHI in the Bronx from the very beginning. As a Medical Technician, for the past year I have also worked at our Beth Israel clinic located in Manhattan. I am a mother of four loving adults and a grandmother of seven children. The most recent addition is my lovely granddaughter, Jessica Jade (now 6 months old), whose big brother Christopher is 6 years old and a computer wizard who often teaches me things. I enjoy cooking, reading, and listening to Latin music. My coworkers beg for my flan, which I try to make for them every Christmas. I adore cats and just adopted a 5 month old kitten (a gray and beige calico) that needed a loving home. Her name is Buttons. She is simply beautiful! Being part of the WHI team has been a wonderful experience for me. My job as a Medical Technician brings me in close contact with our participants, many of whom bring their own life experiences to share with me. I thank WHI for this opportunity and for letting me be ‘Part of the Answer. Myrta Lopez, Medical Technician
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