|Orange Regional Medical Center
707 East Main Street
Middletown, NY 10940
In recognition of its expertise in treating stroke patients, Orange Regional Medical Center has been named a designated stroke center by the New York State Department of Health. A state protocol dictates emergency responders transport certain stroke patients to designated stroke centers even if other hospitals are closer.
Orange Regional Stroke Team
As a designated Stroke Center led by Dr. Olga Fishman, Orange Regional has an expert Stroke Team made up of highly trained physicians, nurses and technicians that can treat stroke patients quickly and effectively, using the latest medicines and techniques, to minimize brain damage. Having quick access to these types of services within the first three hours of showing symptoms of a stroke is essential to preventing long-term neurological damage.
A stroke, or brain attack, occurs when a blood clot blocks a blood vessel or artery, or when a blood vessel breaks, interrupting blood flow to an area of the brain. When a brain attack occurs, it kills brain cells in the immediate area. Doctors call this area of dead cells an infarct. These cells usually die within minutes to a few hours after the stroke starts.
Every second counts - know the symptoms & signs of a stroke
Call 911 immediately if you experience sudden onset of the following:
- numbness or weakness of the face, arm or leg (especially on one side of the body)
- confusion, trouble speaking or understanding
- trouble seeing in or of both eyes
- trouble walking, dizziness, loss of balance or coordination
- severe headache (with no known cause)
Olga Fishman, MD
Orange Regional Medical Center
Dr. Fishman received her medical degree from SUNY Brooklyn, completed her residency at Long Island Jewish Medical Center and was Fellowship-trained in clinical neurophysiology at Montefiore Medical Center in Bronx, New York. Dr. Fishman has been a member of Orange Regional’s Neurology Department since 2010. She is Board-certified in neurology and clinical neurophysiology and is a member of the American Academy of Neurology and American Epilepsy Society. She is affiliated with Crystal Run Healthcare.
Teressa Bianchi, RN, MSN, TNCC
Neuroscience Program Coordinator
Orange Regional Medical Center
Teressa earned her Bachelor of Science in Nursing Degree and her Master of Science in Nursing Degree from the University of Phoenix. She is a member of the Sigma Theta Tau International Honor Society of Nursing and is certified in Trauma Nursing through the Emergency Nurse Association.
Get With The Guidelines® - Stroke
Orange Regional Medical Center has received the
American Heart Association/American Stroke Association's
Get With The Guidelines-Stroke Gold Plus
Quality Achievement Award. The award recognizes Orange Regional's commitment and success in implementing excellent care for stroke patients, according to evidence-based guidelines.
To receive the award, Orange Regional achieved 85 percent or higher adherence to all Get With The Guidelines-Stroke Quality Achievement indicators for two or more consecutive 12-month intervals and achieved 75 percent or higher compliance with six of 10 Get With The Guidelines-Stroke Quality Measures, which are reporting initiatives to measure quality of care.
Get With The Guidelines-Stroke was developed to help hospitals employ proven science-based treatment guidelines, including those developed by the American Stroke Association, American Heart Association and Brain Attack Coalition. These guidelines address acute stroke management, primary prevention of cardiovascular diseases, secondary prevention of strokes and the establishment of primary stroke centers.
As a Get With The Guidelines - Stroke participating hospital, Orange Regional has been encouraged to develop a comprehensive system for providing rapid diagnosis and treatment of stroke when patients are admitted to the emergency department. This includes being equipped 24 hours a day, seven days a week, to provide brain imaging scans, availability of neurologists to conduct patient evaluations and using clot-busting medications when appropriate.
Orange Regional is also increasing its efforts to prevent secondary strokes through the aggressive use of medications such as statins and anti-platelets as indicated in the secondary stroke prevention guidelines. Other methods include the treatment of atrial fibrillation and atherosclerosis and management of smoking cessation, weight, exercise, diabetes, and cholesterol.
Education and Support:
Our Stroke Education and Support Group focuses on stroke "recover" with particular emphasis on promoting continued recovery and quality of life after formal treatment stops. For information about our Stroke Education and Support Groupor to schedule a stroke educator for a free group presentation for your organization, call the Orange Regional Health Connection at 1-888-321-ORMC (6762).
American Stroke Association: www.strokeassociation.org
American Heart Association: www.americanheart.org
Brain Attack Coalition: www.stroke-site.org