♪ [THEME MUSIC] ♪
>> AN AIR FORCE BASE IN
MASSACHUSETTS, EDINBURGH, KIPS
BAY APARTMENTS, A FRIEND
SEMINARY, MIDDLEBURY COLLEGE,
SAINT VINCENT'S TO TAKE BLOOD?
I'M GOING TO GO LEARN A LITTLE
ITALIAN.
I'M GOING TO BE A LAWYER.
I'M GOING TO PRACTICE LAW
AND GET INVOLVED IN SOME CASES.
NAH, I HAVE TO FOLLOW THE FAMILY
TRADITION, I WILL GO INTO
MEDICINE.
I'M GOING TO GO TO HARVARD.
I'M GOING TO BECOME AN EMERGENCY
ROOM PHYSICIAN AND BECOME THE
CHIEF MEDICAL INFORMATION
OFFICER AT THE NYU LANGONE
AND AN ASSOCIATE PROFESSOR AT
THE NYU SCHOOL OF MEDICINE.
I HAVE DR. PAUL TESTA.
THANK YOU FOR BEING HERE.
>> THANK YOU FOR HAVING ME.
>> TELL ME ABOUT THE HISTORY OF
THE FAMILY WHEN THEY ARRIVED IN
AMERICA.
START ON DAD'S SIDE AND THEN
WILL GO TO MOM SIDE.
>> JUST OUTSIDE OF NAPLES, WHERE
MY GREAT GRANDPARENTS CAME
FROM AND THEY CAME TO NEW YORK
CITY.
>> WHERE DID THEY END UP, ON
SPRING STREET?
>> DOWN ON SPRING AND MULBERRY.
THE FIRST STOREFRONT OFFICE WAS
ON MULBERRY STREET AND THEN THEY
TURNED THE CORNER AND OPENED UP
ON SPRING.
>> THEY CAME OVER HERE AS
PHYSICIANS?
>> NOT THAT SITE, THEY CAME OVER
AS TAILORS.
MY GRANDFATHER'S FATHER WAS A
TAILOR. PUT HIM THROUGH
COLUMBIA. SORRY, PUT HIM
THROUGH NEW YORK MED.
HE GOT INTO COLUMBIA-
THAT WAS MY GRANDFATHER.
MY GRANDFATHER -- MY GREAT
GRANDFATHER SAID DON'T LOSE THE
$50 DEPOSIT.
>> SO HE HAD THE OPPORTUNITY OF
GOING TO NEW YORK MED AND ALSO
BEING A TAILOR.
>> ON THAT SIDE, THAT WAS THE
OPTION.
>> TELL ME ABOUT MOM'S SIDE.
THAT GOES BACK SEVEN
GENERATIONS?
>> THEY ALSO CAME THROUGH FROM
NAPLES.
THEY SETTLED UP IN THE BRONX AND
IN YONKERS.
ALSO GP'S UP IN THAT AREA.
THEY WERE ALL DOCS.
BEFORE THAT, THEY WERE TRAINED
IN THE UNIVERSITY OF BOLOGNA.
>> NOW LET'S GO TO YOUR FATHER.
YOUR FATHER'S FATHER WAS A
PHYSICIAN.
WHAT WAS HIS SPECIALTY?
>> GENERAL PRACTITIONER.
>> SO HE WOULD WALK AROUND AND
VISIT THE PATIENTS AT THAT TIME.
>> MY DAD WOULD SAY HE WOULD
COME BACK HOME FOR DINNER,
FINISH UP, GET IN THE CAR
AND DRIVE THROUGH LITTLE ITALY
AND SEE THE PATIENTS.
THEY LIVED IN STUYVESANT TOWN
DURING THE WAR AND GRAMERCY PARK
AND UP IN SCARSDALE.
>> TELL ME ABOUT MOM'S PARENTS.
>> ALSO A GP FROM THE BRONX.
MY MOM'S MOM WAS IN NURSING
SCHOOL WHEN SHE MET MY
GRANDFATHER.
SHE DID NOT FINISH NURSING
SCHOOL.
>> WITH ALL THAT MEDICINE, YOU
WANT TO BE A LAWYER.
DAD GOES TO COLLEGE AT NEW YORK
MEDICAL SCHOOL?
>> COLLEGE OF HOLY CROSS AND
THEN WENT TO NEW YORK MED.
>> AFTER NEW YORK MED, HE WENT
INTO THE AIR FORCE.
>> HE DID HIS INTERN YEAR AT
ST. VINCENT'S AND THEN WENT INTO
THE AIR FORCE FOR A COUPLE OF
YEARS AND CAME BACK AND FINISHED
HIS RESIDENCY IN ORTHOPEDICS
AT NYU LANGONE.
>> MOM MET HIM?
>> THEY WERE IN MED SCHOOL
TOGETHER.
I DON'T THINK SHE LIKED HIM VERY
MUCH IS WHAT SHE TELLS ME.
THAN THEY DID AN INTERNSHIP
TOGETHER.
THEY WERE ON NIGHTS.
>> MOM BECAME A RADIOLOGIST?
WHERE DID SHE GET HER RADIOLOGY-
>> ST. VINCENTS.
>> SO THEY KEPT WITH THE ST.
VINCENTS.
>> WHERE WERE YOU BORN?
>> WESTOVER AIR FORCE BASE,
UP IN MASSACHUSETTS.
>> OKAY, THAT'S WHEN DAD WAS
IN THE AIR FORCE.
YOU HAVE A YOUNGER BROTHER
ALSO WHO ALSO WENT INTO THE
HEALTH CARE PROFESSION.
>> WE'RE NOT VERY CREATIVE.
>> IT'S A TRADITION.
IT WAS LIKE THE BARBARSHOPS.
DAD GETS INVOLVED WITH NYU AS
OPPOSED TO ST. VINCENT'S.
>> RIGHT.
I THINK IT WAS A PRESTIGIOUS
ORTHOPEDIC PROGRAM.
>> HE BECAME AN ORTHOPEDIST.
NOW LET'S TALK ABOUT THE
OLDER TESTA BROTHER.
SO YOU WERE BORN WHEN?
>> 1969.
>> AT THAT TIME YOU WERE LIVING
IN KIPS BAY?
>> THAT'S RIGHT.
THEN YOU WENT UP AT U.N. PLAZA.
TELL ME ONE OF THE INTERESTING
THINGS LATER ON IN LIFE OF
VISITING YOUR APARTMENT AND
SEEING TRUMAN CAPOTE AND OTHER
INTERESTING CHARACTERS?
>> IT WAS A WILD BUILDING IN
THE 1980'S.
YOU CAME HOME IN 1985 AND TRUMAN
CAPOTE WOULD BE SITTING IN THE
LOBBY WITH A HIGHBALL WELCOMING
THE GUESTS.
ON OUR FLOOR, HALF OF THE FLOOR
WAS GLORIA VANDERBILT.
SHE CHOSE THE WALLPAPER WHICH
WAS ALL DRAGONS.
IT WAS AN AMAZING PLACE TO GROW
UP AS A KID.
>> IT WOULD HAVE BEEN BETTER IF
IT WAS PSYCHIATRISTS AS OPPOSED
TO AN ORTHOPEDIST OR A
RADIOLOGIST.
>> IT WOULD HAVE BEEN HELPFUL IN
THAT BUILDING.
>> HOW DOES THE ROMAN CATHOLIC
KID WHO HAS ROOTS IN ST.
VINCENT'S AND THESE OTHER PLACES
AND NEW YORK MEDICAL COLLEGE
AND EVERYTHING DECIDE TO GO
TO FRIENDS SEMINARY?
>> I THINK I HAVE MY MOM TO
THANK FOR THAT.
I DON'T REMEMBER EXACTLY.
SHE SAID I SEEMED HAPPIEST THERE
AND IT WAS A GREAT PLACE.
IT WAS A SMALL, LIBERAL, WILDLY
ACCEPTING PLACE THAT SORT OF FIT
IN AND THEY LEFT ME THERE FOR 14
YEARS.
>> LET'S TALK ABOUT THOSE YEARS
AT FRIENDS SEMINARY.
WHAT DO YOU REMEMBER?
>> IT WAS A SPECIAL SCHOOL.
QUAKERS BELIEVE THAT IF GIVEN
ENOUGH OPPORTUNITIES, PEOPLE
WILL DO THE RIGHT THING.
THEY HAVE THIS MEETING FOR
SILENCE AND MEETING FOR WORSHIP
SO EVERY DAY, THE ENTIRE SCHOOL
WOULD GET TOGETHER FOR 45
MINUTES.
NOT SO MUCH PRAY OR WORSHIP
JUST SIT IN SILENCE TOGETHER AND
IF ANYBODY WANTED TO SAY
ANYTHING, ANYBODY COULD STAND
UP SO IT WAS VERY EGALITARIAN.
VERY SPECIAL PLACE.
>> CO-ED?
>> BEEN CO-ED SINCE I BELIEVE
THE BEGINNING AND IT'S 230
YEARS OLD.
MY BROTHER WAS FOUR YEARS BEHIND
ME.
>> YOUR PARENTS LEFT THE
RELIGION AND SENT TO A QUAKER
SCHOOL.
TALK TO ME ABOUT GROWING UP.
>> MY PARENTS WERE ADAMANT TO
GET ME OUT OF THE CITY.
THEY THOUGHT I WOULD GET IN LESS
TROUBLE.
>> I DIDN'T KNOW YOU WERE A
TROUBLEMAKER.
>> I DIDN'T SAY I WAS A
TROUBLEMAKER.
>> WHERE DID YOU SPEND THE
SUMMER'S?
>> I BIKED IN SCOTLAND AND WAS
FORTUNATE TO GET SENT AWAY FOR
A COUPLE OF SUMMERS AND THEN I
CAME BACK AND DID SOME JOBS DOWN
THE WEST VILLAGE.
>> WHEN DID YOU GET THE JOB
WORKING AT ST. VINCENT'S?
>> 1985.
>> WERE YOU DRAWING BLOOD?
>> THEY DID SHOW ME HOW.
I WAS 16 SO I GOT WORKING PAPERS
TO DO THAT UPTOWN.
I WOULD SIT IN THE LAB OR THE
PHLEBOTOMY STATION WHERE
EVERYBODY WAS COMING IN --
>> O'TOOLE WAS OFF 7TH AVENUE
AND LIKE 12 STREET?
>> IT WAS THE OLD MARITIME
BUILDING.
IT WAS THE WALK IN FRONT DOOR.
EVERYONE WOULD COME IN A GET
THEIR BLOOD DRAWN.
THAT'S WHEN YOU STARTED SEEING
PEOPLE DYING IN THE STREETS.
>> AT THAT TIME, DID YOU THINK
YOU WOULD FOLLOW THE FAMILY
TRADITION OF GOING INTO
MEDICINE?
>> I DON'T THINK I KNEW ANY
BETTER NOT TO.
>> WHEN DID YOU GRADUATE
FROM FRIENDS?
>> '87.
>> IT WAS 1987 AND YOU HAD YOUR
14 YEARS OF FRIENDS SO HOW DID
YOU DECIDE TO GO TO MIDDLEBURY
COLLEGE?
>> I LIVED MY WHOLE LIFE IN
MANHATTAN.
I THOUGHT TREES WOULD BE
WONDERFUL.
>> CENTRAL PARK.
>> WE WERE RIGHT ACROSS
FROM WASHINGTON SQUARE.
DIFFERENT KINDS OF TREES,
VERMONT IS A SPECIAL PLACE.
I THOUGHT WHAT IS THE EXACT
OPPOSITE OF A SMALL COMMUNITY IN
THE EAST VILLAGE OF MANHATTAN, A
SMALL COMMUNITY IN THE CENTER OF
VERMONT.
>> HOW DOES SOMEBODY WHO WAS
PLANNING TO GO PREMED GET INTO
GEOGRAPHY?
>> THEY HAD REQUIREMENTS AND I
SPENT A LOT OF TIME IN THE BIO
AND CHEMISTRY LABS.
IT WAS A BEAUTIFUL COUNTRYSIDE
IN THE MIDDLE OF VERMONT.
I THOUGHT I WOULD HAVE A BETTER
TIME HERE.
I DID NOT THINK I HAD TO BE
PREMED.
>> YOU TOOK THE MEDICAL
REQUIREMENTS?
>> I TOOK ABOUT A YEAR'S WORTH.
THEN I THOUGHT I WOULD LIKE TO
GO SKIING.
>> WHAT HAPPENED ONE SUMMER
AT BBD&O, THE MADMAN OF THE
ADVERTISING WORLD, TELL ME ABOUT
THAT SUMMER.
>> I THINK THAT JOB WOULD NOW BE
REPLACED BY THE INTERNET.
I DID TRAFFIC WHICH MEANS YOU
TAKE ADVERTISING COPY FROM ONE
DESK TO THE NEXT.
YOU HAD THE CART.
>> SO YOU ARE IN THE TRAFFIC FOR
ONE SUMMER.
>> ONE SUMMER.
>> HOW DID THE FUTURE PHYSICIAN
GET INVOLVED WITH PHILIP MORRIS?
THAT WASN'T PART OF THE
VERNACULAR OF THE HEALTH CARE.
>> I BUMPED INTO A FRIEND OF
MINE IN THE STREET AND HIS DAD
WORKED THERE.
HE SAID I NEED SOMEBODY WHO CAN
DO RESEARCH.
>> WHAT TYPE OF RESEARCH DID YOU
DO?
>> I RESEARCH THE INTERNATIONAL
LAWS AROUND NO SMOKING AREAS.
I LOOKED AT FRENCH LAW AND
JAPANESE LAW.
AT THE TIME, DO JEFF BIBLE WHO
WAS AN INCREDIBLE TEACHER WAS
THE CEO OF PHILIP MORRIS
INTERNATIONAL.
HE PUT ME ON HIS PLANNING TEAM
AT 22 TO BE EXPOSED TO ALL OF
THIS CORPORATE CULTURE THAT
THE DOCTORS KIDS DID NOT GET
EXPOSED TO BEFORE.
AND WE PUT TOGETHER THE
CORPORATE ANNUAL PRESENTATION.
>> WHAT WAS THE PRESENTATION?
>> I NEVER GOT TO SEE IT BUT I
MADE SOME SLIDES FOR IT.
>> THIS IS YOUR JUNIOR YEAR, I
ASSUME.
NOW IT'S YOUR SENIOR YEAR, IT'S
TIME FOR PREMED, IT'S TIME FOR
MCATS, WHAT HAPPENED?
>> I HAD THE GREAT FORTUNE OF
TWO GEOGRAPHY PROFESSORS.
I CUT THE FIRST DAY OF CLASS OF
ONE OF THEM.
I THINK I SLEPT IN.
I MISSED THE CLASS, SHE SAID
WHERE IS TESTA?
HE'S NOT HERE SO HE WILL REBUT
EVERYBODY'S PRESENTATION FOR
THE TERM.
I REALIZED I LIKED ARGUING.
>> WHEN DID YOU REALIZE YOU
LIKED ARGUING?
>> PROBABLY EARLIER BUT IT HIT
ME SOPHOMORE YEAR OF MIDDLEBURY.
>> YOU GRADUATE MIDDLEBURY WHAT
YEAR?
>> 1992.
>> SO THERE IS A GAP
AS I SAID IN THE OPENING
REMARKS.
SIENA? TELL ME ABOUT THAT.
>> IT WAS RECONNECTING A LITTLE
BIT WITH MY ITALIAN ROOTS.
I HAD FOUR MONTHS BEFORE I WAS
GOING TO START LAW SCHOOL.
>> YOU HAD MADE THE DECISION YOU
WANTED TO BE A LAWYER.
>> ABOUT HALFWAY THROUGH
MIDDLEBURY I DECIDED.
>> SO WHERE'D YOU APPLY TO LAW
SCHOOL?
>> EVERYWHERE.
MUST'VE BEEN 20
APPLICATIONS BECAUSE I DID NOT
KNOW WHAT KIND OF CANDIDATE I
WOULD BE.
>> YOU FINALLY DECIDED BOSTON
COLLEGE LAW SCHOOL.
>> AT LEAST NOW YOU DECIDED
TO FOLLOW THE TRADITION.
YOU HAD TO TAKE THE SIENA FOR
SIX MONTHS.
WHAT DID YOU LEARN OVER THERE?
>> ABOUT 20 POUNDS OF PASTA.
LITTLE BIT OF ITALIAN.
>> YOU COME BACK AND YOU ARE NOW
IN LAW SCHOOL.
>> LAW SCHOOL IS TERRIFIC.
BOSTON COLLEGE LAW SCHOOL AND
THE JESUITS WAS A TERRIFIC
EXPERIENCE.
IT WAS INTELLECTUALLY
STIMULATING, THEY MADE YOU WORK
FOR YOUR ARGUMENT, THEY PRESSED
YOU AND THEY MADE IT IN A VERY
ACCEPTING AND OPEN WAY.
>> SINCE YOU HAVE THIS RELAPSE
TO GO INTO LAW INSTEAD OF
MEDICINE, WHAT WERE YOUR POP
AND MAMA TESTA SAYING?
HE'LL WAKE UP ONE DAY AND
DECIDE THAT HE WILL FOLLOW
HIS YOUNGER BROTHER.
>> MY MOM WAS POSITIVE,
HE'LL COME AROUND ONE DAY AND
MY DAD WAS HAPPY I HAD A JOB.
>> WHAT TO DO YOU DURING THE
FIRST SEMESTER?
>> THE SUMMER?
I CLERKED FOR MAXINE DUBERSTEIN
OUT OF BROOKLYN.
SHE WAS A JUDGE WHO
WAS DOING MENTAL HYGIENE
CASES.
THAT WAS THE TIME WHERE
MULTI DRUG RESISTANT
TUBERCULOUS WAS UNTREATED AND
RAMPANT IN NEW YORK SO SHE WAS
DOING DETENTION HEARINGS.
IT ALWAYS COMES BACK TO HEALTH
CARE IN SOME WAY.
>> THE SECOND SUMMER?
>> BOWER & GARDNER.
MEDICAL MALPRACTICE, LARGE
MEDICAL MALPRACTICE FIRM
THAT ENDED UP DISOLVING DURING
THAT SUMMER SO THE WORKLOAD
WASN'T TOO BAD.
>> THAT WAS THE SECOND SUMMER.
WHEN WAS PATAGONIA?
>> THAT WAS DURING HIGH SCHOOL.
I LASTED ONE DAY THERE.
TOOK A LIE DETECTOR TEST.
PASSED IT.
>> BUT YOU DRESSED
INAPPROPRIATELY.
>> I WORE JEANS.
>> NOW YOU'RE FINISHING BOSTON
COLLEGE LAW SCHOOL AND YOU SAY
IT'S TIME TO PRACTICE LAW.
GOT YOUR LAW DEGREE.
YOU GOT A JOB IN NEW YORK FOR A
SHORT TIME AND THEN YOU FOUND
ANOTHER JOB IN MASSACHUSETTS.
>> THE FIRM IN MASSACHUSETTS
WAS TERRIFIC. STONEMAN,
CHANDLER & MILLER.
THEY DID A LOT OF LABORED
EMPLOYMENT WORK BUT THEY
ALSO DID SOME HEALTH CARE WORK.
THAT WAS A GREAT PLACE FOR A
BRIEF TIME.
I SAW A CHANCE TO DO HEALTH CARE
LAW, I JUMPED AT IT.
>> YOU SAID YOU HAD ONE MAJOR
CASE FOR THREE YEARS.
WHAT WAS THAT ABOUT?
>> IT WAS A TRAGIC CASE AT
DANA-FARBER MEDICAL.
WAS AN OVERDOSE, UNINTENTIONAL
OF TWO PATIENTS WITH
CHEMOTHERAPY.
IT WAS MY FIRST INTRODUCTION AS
AN ADULT BEING BACK INSIDE A
HOSPITAL AND I WAS THERE FOR
THREE YEARS.
>> TELL ME ABOUT THE CASE.
>> IT'S ALL PUBLIC KNOWLEDGE.
IT'S TAUGHT FREQUENTLY AS AN
EXAMPLE OF SWISS CHEESE ERRORS.
>> IT WAS A WHISTLEBLOWER CASE
ORIGINALLY.
SOMEBODY REPORTED IT?
>> ONE OF THE PATIENTS THAT
ENDED UP DYING WAS THE CHIEF
HEALTH CARE CORRESPONDENT FOR
THE BOSTON GLOBE AND THAT
GOT A LOT OF PUBLICITY FROM
THAT.
THAT MADE THE NATIONAL PAPERS.
>> WHAT WAS YOUR JOB IN THE
CASE?
>> MY JOB WAS TO TRANSLATE
BETWEEN TWO DIFFERENT GROUPS.
MY BOSS KNEW I WAS FROM A FAMILY
OF DOCTORS SO I COULD
COMMUNICATE WITH THE DOCTORS IN
A WAY SHE COULDN'T OR WASN'T
ALWAYS AVAILABLE TO.
SHE WOULD SEND ME TO MEET WITH
THE DOCTORS TO COLLECT DOCUMENTS
AND REVIEW WHAT THE DOCTORS
BEFORE-
THE MEDICAL MALPRACTICE PART WAS
SETTLED QUICKLY.
THIS WAS THE ATTORNEY GENERAL
OFFICE, THE FEDS AND THE STATE
ALL COMING TO INVESTIGATE,
AS WELL AS DANA FARBER,
DOING BOTH THEIR INTERNAL AND
EXTERNAL PEER REVIEWS AND
WHAT REALLY WENT WRONG IN
THAT CASE.
>> SO THAT'S A THREE YEAR PERIOD
OF TIME. AND THEN IT'S FINALLY
DECIDED THAT YOU SHOULD GO
TO MEDICAL SCHOOL.
>> I BLAME MY BOSS AT THE LAW
FIRM. SHE SENT ME THERE FIVE
DAYS A WEEK AND I TOLD HER
THE DOCS ARE HAVING A WHOLE
LOT MORE FUN THEN I AM SO
I DECIDED TO SWITCH.
>> HOW DID YOU DECIDE TO GO TO
DARTMOUTH?
>> IF THEY WOULD HAVE ME, THEY
TOOK ME.
>> YOU COULD HAVE GONE BACK TO
THE FAMILY TRADITION OF NEW YORK
MEDICAL.
>> I DECIDED THAT- I WAS
LOOKING AT NYU AND DARTMOUTH
AND A BUDDY OF MINE SAID I HAD
THE ATTENTION SPAN OF A KITTEN.
AND IF I WENT TO MED SCHOOL
IN NEW YORK CITY I'D BE LIVING
NEXT DOOR TO THE YARN FACTORY.
AND I THINK THAT WAS PRETTY
GOOD ADVICE.
BACK UP TO THE WOODS TO HAVE
A STUDY UP THERE.
>> YOU ARE IN DARTMOUTH AND WHEN
YOU ARE AT MEDICAL SCHOOL, YOU
DO SOME ROTATIONS.
HOW DID YOU DECIDE TO GO FOR
YOUR MASTERS IN PUBLIC HEALTH?
>> THERE WERE TWO FACULTIES WHO
WERE MD JD'S AND WORKED OR
HELPED FOUND THE PROGRAM
FOR PUBILC HEALTH LAW
UP A HARVARD.
IT WAS A GREAT MOMENT TO BRING
BOTH FIELDS TOGETHER.
THERE WAS A BUNCH OF LAWYERS OR
DOCTORS WERE IN THE FIELD.
>> YOU ARE MORE OF A
PROFESSIONAL STUDENT.
>> IT SOUNDS THAT WAY.
>> SO YOU ARE AT DARTMOUTH, YOU
ARE AT HARVARD FOR YOUR MPH.
ORTHOPEDISTS IN THE FAMILY,
I HAVE A RADIOLOGIST, I HAVE
GP'S, HOW DID YOU DECIDE TO GO
INTO EMERGENC MEDICINE?
>> THE FIRST TIME I WENT THE OR
AS A MEDICAL STUDENT, I DID NOT
HAVE THE ATTENTION FOR IT TO DO
SIX HOUR SURGERIES.
I WAS AN OLDER STUDENT AT THE
TIME AND I DID NOT WANT TO SET
UP A PRACTICE.
MY BROTHER WAS IN EMERGENCY
MEDICINE DOCTOR AND WAS FOUR OR
FIVE YEARS AHEAD OF ME.
>> WHERE WAS HE TRAINED?
>> HE DID HIS RESIDENCE IN L A
COUNTY, THE BELLEVUE OF THE WEST
COAST.
>> WHEN DID YOU GET YOUR MPH?
>> 2003?
>> SO 2003, HOW DO YOU DECIDE TO
RETURN TO THE APPLE?
>> BELLEVUE WAS EASY.
I DID A MONTH AND A HALF
ROTATION THERE.
IF YOU GET A CHANCE TO TAKE CARE
OF THE PATIENTS OF BELLEVUE,
IT'S A SPECIAL PLACE.
>> WHEN YOU'RE AT BELLEVUE
YOU'RE ALSO AT NYU.
>> I DID IN ADDITION DURING MED
SCHOOL TO IMPRESS THEM AND SEE
IF THEY LIKE YOU.
THAT'S HOW YOU MATCH
RESIDENCIES AFTERWORDS.
>> SO YOU ARE AT BELLEVUE/NYU
AND YOU FINISH YOUR RESIDENCE.
THIS IS THE TIME YOU'RE WORKING
PART-TIME AS A FREELANCE
PHYSICIAN AT MADISON SQUARE
GARDEN?
IT'S A GREAT WAY TO WATCH THE
GAMES.
>> AND YOU GET GREAT SEATS.
THE PATIENTS ARE MOSTLY HAPPY
AND THEY USUALLY GET BUMPED IN
THE HEAD BY A FOUL OR A BAD POCK
OR A CONCERT.
THERE IS USUALLY ONE OR TWO
AMBULANCES PARKED THERE.
MAYBE THREE OR FOUR EMTS
STATIONED THERE.
IF IT GETS BAD, THEY GET THEM
OUT OF THERE AND IF IT'S
SOMETHING THEY NEED YOUR HELP
WITH YOU'RE AVAILABLE.
>> THAT WAS YOUR PART-TIME JOB.
YOU FINISH YOUR RESIDENCY.
>> 2006.
>> HOW DO YOU GET INVOLVED WITH
HJD WITH THEIR ORTHOPEDIC
EMERGENCY ROOM?
>> I STAYED ON FACULTY ONCE I
GRADUATED. THE NICE
THING ABOUT NYU LANGONE
WE MOVE AMONGST THREE OR FOUR
DIFFERENT EMERGENCY DEPARTMENTS
AND ONE OF THEM IS THIS
IMMEDIATE CARE FACILITY-
>> PEOPLE DON'T REALIZE IT'S A
SMALL HIDDEN GEM.
>> IT'S A GREAT SECRET.
THEY CALL IT ICARE.
IT'S SPECIFICALLY FOR
ORTHOPEDIC INJURIES.
IT'S A WALK-IN CLINIC.
IT'S OPEN FROM EIGHT UNTIL TEN
P.M. EVERY DAY. STAFFED BY
ORTHOPEDIC RESIDENCE AND
EMERGENCY MEDICINE DOCS.
>> AND YOU BECAME THE CHIEF.
HOW DO YOU COME BACK TO NYU
AND GET INVOLVED WITH THE
CHIEF MEDICAL INFORMATION
OFFICER. HOW'D THAT COME ABOUT?
THAT DOESN'T SOUND LIKE
EMERGENCY MEDICINE.
>> DR. GOLDFRANK, OUR CHAIRMAN
AT THE TIME, NEEDED SOMEONE
TO GO LOOK AT ORDER SETS.
>> HE IS THE CHAIRMAN OF
EMERGENCY MEDICINE AT
THE WHOLE SYSTEM AT NYU.
>> HE WAS A MENTOR TO ME.
>> WHAT DID HE SAY TO YOU?
>> HE SAID I NEED SOMEONE WHO
GETS ALONG WITH OTHER PEOPLE
FAIRLY WELL TO READ THESE ORDER
SETS.
I DID NOT KNOW WHAT THEY WERE.
IT'S A COLLECTION OF ORDERS.
IF YOU TREAT PNEUMONIA, HOW DO
YOU STANDARDIZE THE TREATMENT
OF A PARTICULAR KIND OF
PNEUMONIA?
HOW DO YOU STANDARDIZE THE
WAY YOU TREAT A DIABETIC
IN THE ICU. THERE ARE GROUPS
OF ORDER THAT A GROUP OF
CLINICIANS GET TOGETHER,
PHARMACY AND NURSING
AND PROVIDERS, SAY THIS IS HOW
WE TAKE CARE OF THIS MATTER.
HE WANTED ME TO PROOFREAD THEM
TO MAKE SURE THEY WERE
CONSISTENT IN THE WAY WE
PRACTICED EMERGENCY MEDICINE.
>> HOW DOES THIS TRANSLATE TO
BECOMING THE CHIEF MEDICAL
INFORMATION OFFICER?
NOW YOU ARE INVOLVED IN
TELEMEDICINE.
>> HEALTH CARE IS MAKING A
CHOICE.
WILL IT BECOME BLOCKBUSTER OR
NETFLIX?
>> EXPLAIN WHAT YOU MEAN BY
BLOCKBUSTER VERSUS NETFLIX?
WE KNEW NETLIFX IS STAYING ALIVE
AND STREAMING. BLOCKBUSTER
WENT-
>> HEALTH CARE AS A WHOLE HAS
INVESTED RESOURCES IN BECOMING
DIGITAL.
MY FEELING WAS IT'S IMPORTANT
FOR CLINICIANS TO BE INVOLVED IN
THAT PROCESS.
MANY PLACES LIKE NYU LOOKS
AT HEALTH IT, AS A
STRATEGIC ADVANTAGE.
HOW DO YOU HELP DEPLOY
TECHNOLOGY TO SUPPORT THE WAY WE
TAKE CARE PATIENTS?
I HAVE THE OPPORTUNITY TO BE IN
THE BACK OF A ROOM WHEN DR.
GROSSMAN WAS SPEAKING TO SOME
RESIDENTS.
AS WE EXPAND OUR AMBULATORY
SETTINGS, ONE RESIDENT ASKED,
HOW DO WE MAINTAIN BEING
NUMBER ONE IN QUALITY AND SAFETY
IN ALL THESE RANKINGS, IF WE
ARE GROWING THIS FAST?
AND HE SAID, WE EXTEND OUR
QUALITY THROUGH THE EHR.
HE DIDN'T KNOW I WAS IN THE
ROOM. THE EHR BEING
ELECTRONIC MEDICAL RECORD.
BEING EPIC FOR US.
IT'S HOW WE PROVIDE CARE NOW.
IT'S HOW WE PROVIDE THE BEST
CARE BY NUDGING CLINICIANS, BY
HELPING PATIENTS ENGAGE WITH
THEIR OWN CARE THROUGH
PORTALS, BY PROVIDING
INFORMATION AND MESSAGING.
>> LET'S TALK ABOUT TELEMED,
WHICH IS YOUR LATEST TOY.
>> COMING HERE TODAY, IT TOOK ME
45 MINUTES FROM 14TH STREET.
WE THOUGHT OF TELEMEDICINE AS
BEING IN KANSAS OR CANADA AND
CROSSING BIG DIVIDES.
IT'S HARD TO GET TO BROOKLYN
FROM HERE IN MIDTOWN QUICKLY.
THERE IS LIMITED RESOURCES AND
THERE IS THE NEED TO BE
CONVENIENT.
COUPLES THERAPY INTO DIFFERENT
OFFICES WITH THEIR PSYCHIATRIST
IN ONE OF OUR FACILITIES, HOW
DO YOU TRAVEL AN HOUR EACH TIME
JUST TO COME TOGETHER FOR THAT
50 MINUTE SESSION?
AND LIKE WE STOOD UP OUR
VIRTUAL URGENT CARE, THE IDEA
IS TO BE AVAILABLE TO OUR
PATIENTS ARE ESTABLISHED WITH
US BUT IT MAY NOT BE CONVENIENT.
>> HOW ARE THE PATIENTS
ACCEPTING THIS?
>> I DON'T WANT TO SAY I'M
SURPRISED BUT I'M AMAZED BY THE
COMMENTS.
WE HEAR BACK FROM ABOUT 40% OF
OUR PATIENTS AND ONCE THEY HAVE
THE VIDEO WORKING WHICH CAN BE
TRICKY, THEY SAY THE GET BETTER
EYE CONTACT.
THEY SAY THE DOCTORS AND NOT
LOOKING AT THE COMPUTER SO MUCH
BUT THE CAMERA AND THEY FEEL
LIKE THEY FAST CONNECTED THING.
>> WHAT'S THE AVERAGE TIME ON
TELEMEDICINE?
>> VIRTUAL URGENT CARE WHICH WE
JUST LAUNCHED IS UNDER 15
MINUTES A VISIT.
ORTHOPEDICS IS DOING IT FOR
POSTOP PATIENTS.
THESE ARE QUICK CHECKS, FIRST OR
SECOND VISIT AFTER SURGERY.
YOU MAY HAVE BEEN IN THE
HOSPITAL DAY OR LESS.
>> LET'S TALK ABOUT FAMILY, YOUR
BROTHER IS IN CALIFORNIA AND MOM
AND DAD, WE HAVE A PICTURE OF
THEM.
MOM IS NO LONGER PRACTICING
RADIOLOGY BUT SHE IS A
PHOTOGRAPHER.
WE CAN FIND HER WALKING AROUND
THE CITY OF NEW YORK TAKING
PICTURES?
>> YOU WILL SEE HER IN TIME
SCRATCHING PICTURES OF TOURISTS.
>> AND DAD?
>> DAD IS NEWLY RETIRED.
>> WASN'T A BAD IDEA FOR THEM
TO SEND YOU TO FRIENDS
SEMINARY. YOU'VE BEEN A
PROFESSIONAL STUDENT BUT
MORE IMPORTANTLY YOU'RE DOING
A GREAT JOB AT NYU AND
THANKS FOR BEING HERE TODAY.
♪ [THEME MUSIC] ♪
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