Never Giving Up

Article and photos by Lindsay Calleran

Trainer 2

A spinning class in progress.

YORKTOWN HEIGHTS, N.Y. — It’s early Friday morning in a packed spin class when the instructor, 21-year-old Ryan Dowd leaps onto a bike, sporting a giant henna tattoo of a diamond on his bicep. With a flick of his finger, Whitney Houston is screaming, “I’m Every Woman,” and they’re off.

“Are you ready? It’s only a bike!” he yells to men and women of all ages. “Fight it!”

Here, it’s only a bike. For Dowd, the real fight came 11 years ago when he was diagnosed with chronic renal failure, the final stage of kidney disease. Only a successful transplant could save his life.

His parents had taken him for a blood test after they noticed a tic in his eye. The next morning a doctor called with the shocking results. Dowd was only 10 years old. “I thought it was a huge misunderstanding,” he says. Doctors spent the next year and a half preparing his body for a transplant. After nearly a dozen surgical procedures, and 50 to 60 pills a day, Dowd learned his own mother was a perfect match.

On Aug. 6, 2003, Ryan, 12, underwent a kidney transplant. Ten to 25 percent of patients reject the new organ within the first 60 days, but a year later Dowd was able to celebrate his first anniversary with a slice of a kidney-shaped cake.

These days, it’s hard to imagine any of that as the music in the studio at Club Fit in Yorktown Heights, in Westchester County, transitions into Ricky Martin’s “Here We Go.” Dowd sings along. Long-time member Debbie Santavicca says she loves his style. “He gives you the most energy,” she says. “Others are very systematic. His classes are fun, good vibes. He’s different.”

“Different” is a word Dowd is used to. After the transplant, he returned to middle school feeling he had little in common with classmates. Those who had sent get-well cards now felt like strangers. “I didn’t speak to anyone,” he says. “I kept very much to myself. I had no friends.” Seeking comfort, Dowd relied on what he calls, “food escapism,” leading to rapid weight gain.

“The steroids change your body,” he says, “but they don’t make you gain a hundred pounds like I did.” A “healthy” snack for Ryan was a bag of romaine lettuce, a bottle of dressing, a box of croutons and a block of mozzarella cheese.

Suddenly Dowd at 15 years old weighed 225. He didn’t even notice until he saw a photograph of himself with his taller, slender brother. Wearing matching shirts, Ryan assumed they looked like twins – but the photo revealed a harsh truth. “I was gargantuan,” he says, “I didn’t know I looked like that. I just started bawling.”

Ryan Dowd

Ryan Dowd, a 21-year-old fitness trainer, has reinvented himself after a serious childhood illness.

Ryan desperately wanted to lose weight. He’d look at physically fit peers for inspiration. “That’d be good. I want that,’” he recalls saying — and he was determined to get there, but only by using shortcuts. “I’d run five or six miles a day and only eat something in the morning to sustain me.”

At 18, Dowd confidently left for college 50 pounds lighter but soon learned that looks weren’t enough. Having spent his pubescent years either in a hospital bed or in front of a mirror, Dowd had never developed a strong sense of self and quickly fell into a daily routine of trying to fit in. “It was ‘Groundhog Day,’” he says. “I wanted something to make sense,” but it never did.

After two semesters, Dowd bought a one-way ticket home. “I went to school rosy-cheeked,” he says. “I left chain-smoking, rail thin. Everyone said, ‘you look great now.’” But the result of Dowd’s over-exercising and under-eating while at school impressed everyone but himself. He was fixed on finding an identity based on positives — something that at 19 years old, he had still never known.

He began with a job as a receptionist at Club Fit. There, he was surrounded by instructors, trainers – and spin class. “I had taken it once when I was 225 pounds,” he says of indoor cycling. “I sat on the bike, approximately 16 seconds later I got off, got a tuna salad from the café and went home. I hated it.” But his first class as an adult was thrilling. Dowd left with the first clear vision he’d ever had: He wanted to be an instructor.

Dowd committed to taking two spinning classes a day, in addition to training by himself. Donna Berta, general manager of Club Fit and former spin instructor, said, “I remember him practicing. You’d look and he’d have his iPod in. He was serious about it.” Dowd soon received certification from an independent cycling center and applied for the position.

His timing was good. A long-time favorite spinning instructor resigned to pursue his own business, leaving behind a following desperately looking for someone to take his place. Very few believed that person was Ryan Dowd.

A 10-year club member, Paul Lonce, says he scoffed when he first heard that Dowd was being considered. “He had big shoes to fill, you know?” Lonce says. “I was saying, ‘him?’” But the gym was willing to give Dowd a shot — or at least an evaluation class.

The soundtrack? “Love Lockdown,” by Kanye West. The thumping hip-hop music may have been loud, but it was Dowd who commanded the attention that day. “It was amazing,” Berta said. “We felt he was strong enough to take over the class, even with the lack of experience. He can do it.”

Eighteen months later, Dowd’s class is filled with men and women, 17 to 70s, with a line outside the door, everyone looking up at Ryan, waiting for direction, encouragement and a chance to leave that class feeling like they worked hard for themselves.

Lonce voluntarily eats his own words. The man who once asked, “That kid?” now tries to catch his breath after class. “All you know when you get in there on that bike,” he says, “is that you’re gonna get the snot kicked out of you!”

Dowd is no longer the bed-ridden child, the insecure teen or the college freshman with a broken spirit, but he will always be a transplant recipient, awaiting the day when he’ll need another organ donation. “There’s no reason why I should be able to do this,” Dowd says.” “I can control my actions, but I’ll never be able to control how long my kidney keeps functioning.”

According to the National Kidney Federation, the average life span for a donated kidney from a living relative is 10 to 15 years. Dowd celebrated his ninth anniversary last Aug. 6, teaching three classes that day.

At first, his goal “was just to prove to myself that I could accomplish this dream, despite what I had been through, that I could break that cycle.” He stops, giggles for a moment.

“It’s true, I’ve broken three bikes in there.”

The Dog-Bicycle Conflict in Central Park

By Owen Diaz

In Central Park, dog owners and bicyclists have been getting in each other’s way, and the problem seems to be getting worse.

Under park rules, dogs are allowed to play off leash in 23 specified areas in the morning before 9 a.m. and after 9 p.m. So many dog owners go to the park early — but so do cyclists, many of whom prefer the early hours because there is less traffic in the park, and they want to exercise before they go to work.

Dogs off leash will occasionally dart into the 6.1-mile Park Drive that cyclists travel on, sometimes causing accidents.

Linda Wintner, who leads morning rides in the park for the New York Cycle Club, says she has been in one accident, witnessed another and seen many near-misses. Wintner says she was lucky because her accident occurred during her final lap, as she was traveling slower to cool down. Cyclists are not always without fault. The roadway, or “loop” as it is known, has traffic lights and crosswalks that many cyclists ignore. Amanda Lee, who walks her dog Arthur for an hour in the park every morning, says, “I try to wait for a break in the bikers to cross, but sometimes I’m standing there for minutes and one never comes. Then I just have to pick the best moment I can find, and go, often getting yelled at by a biker for doing so.”

What makes this conflict odd is how many members of both groups seem to agree on a solution for it. Since dogs are not going to the park to play on the paved loop, and cyclists are not allowed on the pathways through the rest of the park, the space where the two interact is a tiny percentage of the park. If the rules required dogs to be on leash when crossing the roadway—right now it is only suggested they be leashed—and bikers heeded the stoplights when people need to cross, fewer accidents would be likely to occur.

A Skateboard Entrepreneur Draws Inspiration From New York Food Trucks

By Sean Creamer

Tre TruckSkateboarding has enjoyed a boom in New York City during the last decade, as the Bloomberg administration has doubled the number of skate parks.

With new parks in Brooklyn, Queens and Manhattan new businesses have emerged to meet the rising demand, among them the so-called Tre Truck. On any given day, outside the parks, you’re likely to spot the plain silver-sided self-proclaimed “World’s Finest Mobile Skateboard Shop” parked at a nearby curb.

The Tre Truck is owned by Alex Ritondo, 21, a skateboarder and entrepreneur who drew his inspiration from the food trucks that can be found throughout the city. The Tre Truck travels from the Lower East Side skate park under the Manhattan Bridge to the newly constructed Far Rockaway skate park and to points in between.

The goal is to bring hard goods — the skateboard decks (the platform on which the boarder stands), trucks, the turning apparatus and wheels — directly to skaters at prices comparable to those in a moderately priced skate shops. At an average skate shop, decks usually go for about $60 and trucks for $40.

“Skateboarding has always been my passion,” says Ritondo, his brown shaggy hair tucked under a baseball cap. “I originally wanted to open a shop. Me and my friends always talked about it.”

With skate shops, as with many businesses, location is a key element. And “a good location for a skate shop is going to cost a lot of money,” adds Ritondo.

Rent on the Lower East Side, a popular skate location — the Lower East Side skate park, on Monroe Street, is a regular stop for Ritondo — ranges from $2,000 to $3,000 a month, according to Tungsten Properties, a commercial real estate company in Manhattan. (Most local skate shops pay $25,000 to $100,000 a year, or roughly $2,000 to $8,000 per month, according to ReferenceUSA.)

Then, too, in the last few years a few skate shops have closed, in part because of a weak economy, but also because gentrification has pushed the shops’ customer base—typically young 20-somethings—to other neighborhoods in the outer boroughs.

A graduate of Borough of Manhattan Community College with a degree in entrepreneurship, Ritondo skateboarded daily while at school and decided to reimagine the idea of the traditional skate shop to make his dream a reality.

A traditional skate shop acts as the headquarters for a community of skateboarders. The shop typically purchases merchandise wholesale from larger suppliers who supply similar shops all over the country.

The Internet has taken some business away from brick-and-mortar retailers. But for die-hard skateboarders, the local skate shop/hangout is still the preferred locale for buying equipment and accessories, including skateboard brand shirts, shoes and other items that define the lifestyle.

While Ritondo couldn’t afford to open a skate shop, he saw opportunity in the proliferation of new parks.

“I don’t think that Tre Truck would have been sustainable without the creation of all the skate parks,” says Steve Rodriguez, a skateboarding legend in New York City who also owns Five Boro Skateboards. “Tre Truck needs that concentrated audience to do enough business to make it worth it.”

Ritondo bought a used truck from a friend on Long Island with savings and help from his family. He also got help from some of the bigger players in the city’s skateboard industry.

For example, Michael Cohen, shop manager of the Shut Skateboards brand and flagship store in the Lower East Side, agreed to let Ritondo open an account to sell Shut Skateboards.

“It is a win-win situation, people will buy from the Tre Truck and then come to the store,” says Cohen who has known Ritondo for several years. “At the same time we get kids who come here and we will tell them to check out the Tre Truck at their local park.”

The Tre Truck, which has been operating since September, has brought in about $10,000 in revenue so far. Ritondo knows that he will need to increase sales substantially in order to stay in business. He is hoping one day to franchise the operation and have trucks operating throughout Long Island.

Then too, skateboarding is seasonal and there isn’t much business in the winter.

Despite these challenges, Ritondo wins praise from both competitors and customers. “We offer a lot more variety, but what they are doing is a cool idea,” says Lennon Ficalora, the owner of Wampum skate shop on the Lower East Side.

Skaters like Frank Nicado, a regular at the Chelsea Piers 62 skate park, are often on the lookout for Ritondo. “The Truck just always has what I need,” says Nicado. “When I lose a bolt or a bearing they are always willing to hook me up.”

At Chelsea Piers, the NHL Seems Very Far Away

By Alex Mikoulianitch

The year was 1994. The New York Rangers eliminated the New Jersey Devils, their cross-river rivals in the Eastern Conference finals, advancing to the Stanley Cup finals, where they beat the Vancouver Canucks for their only Stanley Cup since 1940.

For Elvis Tominovic that was enough to spark a passion in the young Croatian immigrant that would lead him to play for his country’s national team.

Paul Durante

Paul Durante, goalie for the Steiner Stars, follows the puck as it circles along the boards to his left. Photo by Carlos Mendoza.

And there his dream ended. Like Ivo Mocek, Tom Lambertson and Paul Durante, his teammates on the Steiner Stars of Chelsea Piers Division 1 adult league, their dreams of playing in the National Hockey League were not realized.

Even making the national team was long and arduous. From learning to skate, to learning the mechanics of the game and developing “hockey sense,” (the ability to make fast decisions on what to do when) Tominovic stood out. “Hockey was fun from the start, it was fast paced, lots of hitting and a lot of hard work,” Tominovic says. “It came to me naturally, even though I played it from sunrise till sunset as a kid. My first position was defense because I was a big kid growing up, and the coach put all the big kids on defense. I played defense until I was 14 and moved to Long Island, then the coaches put me at forward. I can play both defense and forward in men’s league.”

When he was young, Tominovic’s family wasn’t financially well off, and playing hockey is expensive, because of the cost of equipment.

For a good hockey stick, prices start near $100, and skates and protective equipment are far more. Because of his talent, Tominovic was helped by some of his coaches, and was able to get equipment and start training.

“The coaches started taking me under their wing and gave me old equipment to use and let my mother only pay half the fee for ice time,” he says. “Sometimes they allowed me to work at the rink in order to receive free ice time in return. Without their help I would have never played ice hockey.”

Tominovic developed into a strong, effective skater and played in college at SUNY Fredonia, in Division III of the National Collegiate Athletic Association. Succeeding there was the key to Tominovic’s invitation to play for Croatia’s national team.

Handshake

Opponents line up for a post-game handshake after the game at Chelsea Piers. Photo by Carlos Mendoza.

“I moved on to play for the Croatian National Team and from there they offered me a contract to play for Medvescak of Zagreb in Croatia,” he says. When he returned to the U.S., he played in the Eastern Professional Hockey League, a minor league. There, he realized that he didn’t have what it takes to make the NHL, that “the dream was fun, but hockey will not pay the bills.”

His teammate Paul Durante made it much closer to the NHL. Durante was a late bloomer; his mother didn’t want him to play hockey, saying he was a “china doll.” Only after his parents divorced was he able to play. “In order to get custody of me, my dad told me, ‘Hey Paul, if you come live with me I’ll let you play hockey’,” says Durante. “So I ended up playing hockey because my father wanted to spite my mother.”

He started to play ice hockey at the age of 11, though he says he “played street hockey since he could walk.”

Durante played in a bunch of junior leagues until he finally was invited to training camp by the NHL’s Hartford Whalers (now the Carolina Hurricanes). But injury intervened. While wrestling for his high school team, “I badly dislocated my shoulder and it ended my hockey career,” Durante says. “So I stopped playing when I was about 18 or 19.”

Another Chelsea Piers teammate, Tom Lambertson, came closer.

Growing up in Texas, he and his brother decided to stray from football and took up hockey. Living close to the rink helped.

From a young age, Lambertson attended a regional camp, played in high school, then at Buffalo State University, also in Division III. He left school and was noticed by a coach in the East Coast Hockey League.

The team was linked to the Montreal Canadiens, and some players who didn’t perform well in the NHL were demoted to where Lambertson was playing.

It was there that Lambertson concluded he wasn’t good enough to move on. Among the opponents he played against was Sidney Crosby, now with the Pittsburgh Penguins, who is among the three or four best players in the world when he’s healthy.

“He would just win the faceoff to himself, one guy would slash him on the hands and he would just be like ‘Okay, no,’ I’d try to grab him, he would be like ‘no’ and he’d go down the ice and score a goal,” Lambertson recalls.

Even though the players’ dreams didn’t turn into reality, playing at Chelsea’s Division 1 is more than enough now.

“You know it’s all about having fun,” said Mocek. “And I have that here, at men’s league.”

When a Child’s Fears After 9/11 Linger Into Adulthood

By Rocco Schirripa

Dollars and Sense logoOn Sept. 11, 2001, I was in my sixth-grade Italian class at I.S. 7 on Staten Island. When the World Trade Center was attacked, my teachers decided it was best not to tell us what had happened. We were young — most of us sixth graders were 11 that fall. And because we were on Staten Island, we were considered to be safe.

At first, I couldn’t tell anything was wrong. But as I look back on that day, I realize that Mr. Iacono, my Italian teacher, was at a rare loss for words and seemed shaky. I remember the phone in the classroom ringing and, when he picked it up, he didn’t say anything, which seemed strange at the time considering Mr. Iacono was known for being outgoing.

As the day wore on, we heard announcements over the school loudspeaker telling tens of kids at a time that their parents were coming to pick them up. At one point, I went to the bathroom, and while I was walking down the hall I saw my father waiting with other parents to pick their children up early. I looked at him, and it was the only time I ever saw fear in his eyes. My dad works for the M.T.A. as a manager. What I didn’t find out until later was that he had spent the morning sending buses downtown to pick up passengers — most of them covered in ash — from near the Twin Towers.

All of this could have been pretty traumatizing for a little boy. But what really got to me was the nonstop media coverage. I saw the constant footage of the tallest buildings in New York being attacked, on fire and collapsing. I saw people screaming and crying, even jumping out of buildings. All of a sudden, it hit me. The people who died in downtown Manhattan didn’t deserve to die, and the people who attacked the buildings wouldn’t have cared if I had been one of them.

That night I experienced the worst nightmare of my life. I woke up in a cold sweat, screaming.

Of course, I was one of the lucky ones. People lost fathers, mothers, husbands, wives, sons and daughters that day. I consoled friends who had suddenly lost a parent. I sometimes felt that I spent my adolescence looking over my shoulder.

In fact, it was common for young New Yorkers, even those who did not lose a parent, to be traumatized by the events of 9/11. Twenty-nine percent of children in New York City public school developed some sort of mental disorder as a result of Sept. 11; most affected were girls and children in grades four and five, according to a study published in the Journal of General Psychology. Other studies suggest that children’s mental stress dissipated in the months after the disaster.

For me, the nightmares eventually subsided. As I grew into adulthood, 9/11 became a distant memory. That is, until I transferred from Rider University, in Lawrenceville, N.J., to Baruch College, in the fall of 2010. It was not too soon after my transfer that I watched a documentary about 9/11, a collection of home videos that people took in Lower Manhattan that morning. That documentary and the everyday commute into Manhattan brought the fears and images of 9/11 rushing back into my life.

I was frightened all over again. I realized that an attack could happen again at any time. While there are some people who fall asleep at night in some parts of the world wondering if it is their last, in America, we have long felt safe and comfortable. Maybe too comfortable. Now I wonder if that normalcy is something that we take for granted.

Fear is like a shadow. It comes in different forms and serves different purposes. It is something that is so real — sometimes there, just behind us — but we can never truly feel or touch it.

The thing is, I don’t think fear is a bad thing. Out of fear came brotherhood. After Sept. 11, New Yorkers actually came closer together and became friends. I never thought there would be a time in my life when my neighbors would leave their doors open to each other. The fear actually seemed to bring out the best in many of us.

The biggest problem with fear is that for some people fear can dictate their lives. Fear can cripple people to the point of radicalism or harden them to the point of fascism. It can make people jump to a dangerous any-means-to-an-end mindset.

Franklin Delano Roosevelt said, “There is nothing to fear but fear itself.” This is a lesson that I think we are all still learning. Every day that I walk through Manhattan I remember what I saw on TV all those years ago and the crying people who lost their loved ones for no reason. When I take the Staten Island Ferry back home, I can see the new skyline taking shape as the new World Trade Center begins to rise above Lower Manhattan, filling the void. I realize that, no matter what, for the rest of my life I will always be looking over my shoulder, worrying about another attack.

But, I refuse to let fear cripple me. I will walk down the streets of New York City with my held high as a symbol of the hope we have as a city and as a challenge to make sure that an attack here never happens again.

Adding Insult to Injury: Automobile Accident Claims in New York City

By Carol A. Wood

New York State insurance laws provide medical coverage for victims of car crashes regardless of fault or state of residence. Yet these laws are not publicized and are little known. This article examines the lack of official guidance on handling a crash and its aftermath, and the unnecessary financial loss and risk of harm it causes.

Joseph Herzfeld

Joseph Herzfeld says the injury he received in a car crash, while minor, has never completely healed. Photo by Carol A. Wood.

Crash victims report that this uncertainty compounds the chaos and pain of a crash, and makes access to medical benefits and to full recovery a matter of chance rather than policy. The article suggests that public officials take simple, inexpensive steps to address the problem, such as publishing information on medical, legal and insurance procedures that crash victims need. Officials can similarly educate the public at large about what to do, and not do, at any of the 78,000 crashes in the city each year, to further reduce potential harm.

Riding her bike home from a Brooklyn cafe on a hot June afternoon, Sarah Phillips carefully signaled and waited before turning onto Prospect Place. Next thing she knew, she was in an ambulance, both right shinbones fractured. “Wherever you’re taking me, it has to be cheap,” the panicked, uninsured art student told paramedics.

Dan Finton, an uninsured bookseller, had his leg broken by a hit-and-run driver on Eighth Avenue in Manhattan one Saturday night. He says he had no idea how he was going to pay his medical bills. He engaged a lawyer, who told him about a state insurance program for hit-and-run victims — but hospital administrators said they knew nothing about the program.

A woman who asked to be named only as “Deborah,” a 30-something consultant, was crossing the street on the Upper East Side when a livery cab backed over her to get a parking space. A crowd of people gathered, urging her not to move. At the hospital, Deborah was diagnosed with a head injury; she was unable to remember her relatives’ names, let alone to navigate the insurance system. “Absolutely nobody explained these administrative things,” she says.

Severe traffic injuries by category

Click graph to view larger.

ABOUT EVERY SEVEN MINUTES, a car crash occurs in New York City that’s serious enough to be reported to the authorities. Although fatalities have begun to fall lately, the number of car crashes and injuries continues to rise, according to the state’s latest full-year data. More than 11,000 pedestrians were injured in 78,000 NYC car crashes in 2010, up 6.1 percent from the previous year, along with 3,500 bicyclists — up 25 percent. And while the number of severe injuries has fallen, nondrivers account for a higher percentage of them — 36 percent in 2007, up from 30 percent of in 2002. (The city’s Department of Transportation did not respond to several requests for more recent figures.)

Under two state insurance laws, all of these pedestrians and cyclists are entitled to medical benefits, paid by the driver’s insurer or an industry fund. But frequently, the victims don’t know about the laws. That’s because no government authority publicizes their existence. And insurance companies aren’t required to explain the laws’ provisions until the crash victim files a claim.

Increasingly in New York, both city and state governments are taking bold steps to improve the safety of public streets. City efforts to tame traffic began more than a decade ago — including redesigns along the notorious Queens Boulevard — and intensified in 2008 under a new DOT commissioner, Janette Sadik-Khan, with widened sidewalks and expanded bikeways, among other projects.

The trend gained steam in August 2011, when the state enacted a “complete streets” law that requires roadway planners to “consider the needs of all users…including pedestrians, bicyclists, public transportation riders, motorists and citizens of all ages and abilities, including children, the elderly and the disabled.”

From a public safety standpoint, these measures have begun to reduce casualties and promise greater benefits in the future. Yet legions of current crash victims remain neglected, and neither the state nor the city ensure that they receive the benefits they’re entitled to.

The state and city could begin to correct this problem simply by making basic information available. Even small changes — such as identifying and linking the state insurance laws on the 311 and 511 information portals — would help.

The laws are these:

  • The “No-Fault Insurance Law” (NYIL 5101). Requires car owners to provide insurance coverage of at least $25,000 per person for bodily injury expenses, or $50,000 per crash, and $10,000 in property damage.
  • The “Motor Vehicle Accident Indemnification Act” (MVAIC [or EM-vayk]) (NYIL 5201). Provides medical benefits for victims of hit-and-run and uninsured drivers, and for other claimants denied or ignored by a driver’s No-Fault insurer. As “insurer of last resort,” this hard-to-pronounce and little-known program is funded by insurance carriers doing business in New York State.

Inadequate information

Map of most frequent crash locations

Click map to view larger.

The city’s emergency medical system is highly responsive. A phone call to 911 leads quickly to the dispatch of an ambulance to a car crash site. Hospital emergency rooms are required by federal law to stabilize any patients in trauma, regardless of their ability to pay.

But once the emergency is over — or if an injury doesn’t appear until later — the victim’s financial and medical outcomes are largely a matter of luck and his or her own resources. To find out what resources are available, you have to dig deep, long and hard.

As of early October 2011, a reporter found virtually no information on the websites of various government agencies and the five major New York auto insurers.

New York City’s front line of information, the 311 phone service, advises calling the 911 emergency line in case of a car crash. But its website and agents apparently don’t have any suggestions for after the crash. Asked what to do in a hypothetical accident, to ensure one’s legal rights and access to medical care, one 311 agent put a reporter on hold three times, then advised calling the NYC Bar Association’s lawyer referral service and the NYS Unified Courts. The agent, though quick-thinking, clearly had to improvise. The lawyer referral service would be useful to many victims. But knowing about No-Fault and MVAIC medical benefits is arguably more important — whether a lawyer is hired or not.

A spokesperson for 311 could not confirm that such information wasn’t available somewhere on the department’s vast website. But he added, “To the extent that we can make the site more accessible, we want to do that.”

Nor does any city website mention what to do in a car crash — not the NYPD, the Department of Transportation, or the Department of Health — apart from calling 911. By contrast, in tiny Waverly, Ill., with a population of 1,400, emergency instructions are posted prominently on its website (and quickly located under Home/Information/Car Accident Procedures).

New York City, however, is not responsible for overseeing car insurance. The state Department of Financial Services (DFS, until last October the Department of Insurance, or DOI) is. As of mid-September 2011, the department’s public website included only two hard-to-find mentions of the medical benefits available to pedestrians — buried in information for automobile owners. Additionally, their fractured phrasing makes them unlikely to surface on a Google search.

Searching the DFS site for “pedestrian” calls up a reference to a No-Fault FAQs page, which states that pedestrians should file a claim with the driver’s insurer, a household insurer, or MVAIC. This is accurate, but the claimant must figure out how to actually make the claim, and in a way that protects their interests. More useful would be step-by-step directions that could be easily found on the Auto Insurance home page.

NYC crash stats

Click table to view larger.

A DFS site search yields nothing for “bicyclist.” Bicyclists aren’t named in the law but are covered by it, the department confirmed in an email.

Asked how injured New Yorkers are supposed to learn of the medical benefits, the DFS responded that consumers should refer to its No-Fault FAQs page on the Web or call its consumer services bureau’s toll-free phone line on weekdays. The department noted that the driver’s insurer must provide this information — once the injured party presents it with a claim.

And there’s the Catch-22. Car crash victims must already know about the No-Fault and MVAIC programs in order to make a claim. But they must make a claim to be notified of the programs’ benefits.

Also, hit-and-run victims must report their crash to the police within 24 hours in order to qualify for MVAIC benefits. But if they’re struck on a Friday or Saturday night, and wait until Monday to phone the DFS for information, they’ll have already missed the reporting deadline.

Nor do insurers offer much help. Of the five largest auto insurers in New York, representing more than 50 percent of market share, none explains on its site how to make a No-Fault claim against an insured driver’s policy. Three require nonmembers to call an agent personally to make a claim; two allow claims to be submitted online, without explanation of the policies involved.

For the nonmember claimant, calling the insurer puts them at a legal disadvantage in discussing their case, especially if the caller has no other information about their rights under the No-Fault law.

Of the five insurers, only Geico describes No-Fault coverage on a glossary page. But it does so inaccurately, omitting mention of pedestrians and bicyclists. Progressive Group’s glossary mentions that pedestrians are covered under “personal injury protection” — a little-known name for No-Fault, which many people might not think to check; the entry omits bicyclists as well. Allstate discusses bicyclists among its informative tip sheets for drivers, but it says nothing of their right to make a claim in a crash.

The No-Fault law specifically entitles pedestrians and cyclists to “first-party” benefits. Yet claimants are in essence denied this parity by insurers’ strict control of information. Pointing to the inherent conflict, Scott Charnas, a plaintiff’s personal injury attorney, says, “It’s not in the insurer’s interest to inform the public as much as possible of their rights.”

The asymmetry puts New York City residents at a special disadvantage. An estimated 55 percent do not own automobiles, and often have little familiarity with the business.

Even if crash victims hire an attorney or possess unusual financial literacy they may not be able to penetrate the insurance system.

Laurie Cohen was in the crosswalk at Duane and Greenwich Streets when she felt a taxi hit her. She woke up as a good Samaritan was tying a tourniquet around her bleeding head and was taken by ambulance to the hospital with a head injury. But Cohen says her lawyer dropped her case when the self-insured cab company ignored his calls. Her health insurer rejected her medical claims as well. Because Cohen, a seasoned investigative reporter for The Wall Street Journal, had never heard about the state programs, she had no inkling that she should look into them.

Given the effective information blackout, how do ordinary people find out about these benefits? Two people interviewed for this article said they were told by ambulance workers or hospital staff. But most say they got no help.

Police are required to tell crash victims how to obtain an accident report, which in most cases is needed to file an insurance claim. (A state DMV form may also be used in some instances.) Several people interviewed said their responding officer did not tell them how to get a report, creating confusion and delays. But even if victim has the accident report in hand, without information on how to file a claim, the report is useless.

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Baruch Alum Creates Website for Bicycle Crash Victims

By Ashley Lofters

Carol Wood

Carol Wood, a Baruch graduate, recently created a Web site that provides resources for and data about bicycle riders who are involved in accidents.

Each year, 11,000 pedestrians and 3,500 bicyclists are injured from car crashes in New York City, according to Carol Wood. It was statistics like this that drove her to create NycCarAccident.net, a nonprofit website providing information for pedestrians and bicyclists who have been injured in car accidents.

“People who have been hit don’t know what to do,” says Wood. “And because these things happen all the time, this information should be available to people. We need to help people be aware and reduce the frequency of crashes.”

Wood’s idea for the website, which launched on Feb. 29, emerged from her research on crash victims that became her master’s thesis in Baruch College’s master’s program in business journalism (which is now defunct). During her research, Wood found very little information was available for crash victims, and the information that she did find was never available in one place. “As I was researching what happens to people who are hit by cars, I thought the only way I could make sense of everything was to build a website that had hyperlinks on it,” she says.

Wood spent two months putting the site together, interviewing dozens of victims as well as specialists in medicine, public health, law and transportation advocacy. “With something as common as a car crash, the information comes to you because everyone has a story to tell,” says Wood.

As a transportation advocate for 15 years and a cyclist herself, Wood had a personal motivation for informing the public. “Sometimes you don’t know if you’re injured; it happened to me,” she says. “I was hit and I ended up on my back on Park Avenue South.” Wood says she still has back pains that could stem from her accident.

According to Wood, after being hit you should send a letter to anyone with whom you might make a claim. “You have to send them a notice saying you were hit if you want to file a claim within 30 days,” she says. “You don’t have to actually make a claim if you don’t want to, but you need to protect your rights.”

Wood details how to file a claim in one of the several sections on the site. The sections are: “At the Scene of the Crash,” “Reporting the Crash,” “Insurance for Peds & Cyclists,” “Getting Legal Assistance,” “How to File an Insurance Claim,” “Disputing an Insurer” and “Dramatis Personae.”

The site also offers an annotated bibliography of sources consulted by Wood. For people on the go, a wallet card containing the site’s important bullet points can be downloaded. For those with more time, there’s a link to the full thesis.

One vital fact on site is that a car owner’s no-fault insurance coverage will pay for the medical expenses of pedestrians and cyclists who are struck by a driver, regardless of who was at fault. Few accident victims are aware of this, Wood says.

Despite all the hard work that Wood has put into her site, she is determined to keep it noncommercial and insists that producing knowledge is all the profit she needs.

“I’m not taking any advertising,” she says. “I thought that any commercial aspects would diminish the public’s trust. I had to do the work anyway, so I don’t want to monetize this. I don’t want anyone making a profit off of this.”

Only a week after the site was launched, Wood had already received praise for it.

“It’s a resource that is not being used to draw the person into a relationship with a lawyer – which I don’t think is a bad thing – but as a noncommercial and nonprofit source of information; I’m hoping that people will distinguish it from other information and realize that it’s reliable,” says Steve Vaccaro, a lawyer with Rankin & Taylor Lawyer whom Wood consulted during her research. “It will help them navigate this difficult no-fault system.”

Wood is hopeful the site will be a helpful resource to victims. “I strongly believe in karma,” she says. “So it will pay off in the end.”

When Mental Health Problems Become Another Hurdle for Immigrants

By Rahinur Akther

In his small office in Jackson Heights, Queens, Dr. Ferdous Khandker cares for many immigrants and says he is as much of a counselor to them as a physician.

In his small office in Jackson Heights, Queens, Dr. Ferdous Khandker cares for many immigrants and says he is as much of a counselor to them as a physician.

Dr. Ferdous Khandker had finished with his last patient of the day, a Bangladeshi immigrant. In his in his small office in Jackson Heights, Queens, Khandker sees immigrants from Bangladesh, India, Pakistan, Nepal and various African and Hispanic countries.

“Eighty percent of immigrant patients start their opening conversation expressing anxiousness, feeling pain in the body here and there, and most definitely talking about stress in life,” Khandker says.

To many of his patients, Khandker has become less like a doctor and more like a counselor with whom to share problems. In fact, researchers have found that discrimination and family cultural conflict appear to play a significant role in the likelihood that many immigrants will eventually develop psychiatric disorders.

Khandker says he sees three predominant problems in his work with immigrants.

The first he calls the school-and-job adjustment problem, particularly prevalent among 18-to-35-year-old immigrants.

“This group of people is facing the identity problem,” says Khandker firmly. “They are young and dreaming for a better future. In reality they are struggling to fit in school among native students.”

One aspect of this, he continues, is that “their non-fluent communication skills create barriers for their desirable jobs; for instance, someone who came from India at age 20 and now is trying to make his or her identity in New York, new culture and ceaseless demands of adjusting with a new society are making their lives harder, yet they want so badly and quickly to fit into the society.”

The frequent result, he says, is “when they are not completely achieving what they want, that is making them insecure and feeling unfit in the society.”

The second category Khandker has found is depression, and he finds this most commonly among 36-to-50-year-olds. Basically they are highly depressed and frustrated by their jobs and the lack of other opportunities.

“They are missing their high-profile jobs and positions back home,” says Khandker. “They used to have a good job. Now, they cannot have an official job here unless they go to school, and 90 percent of people do not go to school due to the financial responsibilities for their families.”

One of his patients, Jahanara Begum, 42, a Bangladeshi immigrant who now works at a Dunkin’ Donuts, says in broken English: “My entire life I speak Bengali and live as a housewife. It was so miserable when I first came to New York, because of the language.”

After she came to the United States in February, it took her five months to find a job, she says with a sigh, and during that time “my family and I survived a dispossessed life.”

She continues, “I have two sons and my husband is a heart patient. I had to go out every day looking for job. It took me five months to get a job in Dunkin’ Donuts because of my language problem. I did not understand English when someone was saying anything to me. In Bangladesh, I never speak in English.”

Khandker’s third category of problems is loneliness. People who are over 50 are at risk of feeling lonely, he says, because no one has time here to keep them company. “Traditionally in Bangladesh those who are 50-plus retire from work and stay home with their children,” says Khandker, gesturing with his hands.

Ready to leave for the day, Khandker says, “When this age group of people comes to USA, they basically stay home all day without doing anything. They do not know enough English to go out to communicate with others. They have to wait until someone comes home.”

It’s hardly surprising that life is stressful for many immigrants, as they adapt to new places, new cultures and new languages. And for those who are undocumented, the strains are surely worse.

According to the Department of Homeland Security’s 2010 Yearbook of Immigration Statistics, 1.04 million foreign nationals entered the United States legally in 2010.

Many researchers and scholars have studied immigration issues, with the focus primarily on Latino populations. Whether comparable studies have been done of East Asian, South Asian or other immigrant groups is not clear. (Searches of scholarly literature do not turn any up.)

Researchers at the University of California-Davis School of Medicine, for example, found that Mexicans who came to the United States were “far more likely to experience significant depression and anxiety than people who stay in Mexico.”

But interestingly, other studies have found that Latino immigrants to the United States have better mental health than Latinos born in the United States (what researchers call the “immigrant paradox”). Researchers also say that the mental health of immigrants declines over time in the host country (what they call the “acculturation hypothesis”).

Miguel Chavez, 24, a Mexican-born immigrant, has been living in the United States for more than five years. He is a waiter in an Italian restaurant in Manhattan and is studying English literature at Queens College.

“I do not know what would be my future in America,” he says. “When I go for a job interview and see an American-born person is also waiting for the interview, I deeply feel, as an immigrant, my chance is already low to get the job.”

Sober in the City

Story and photos by Andrea Kayda
Originally published on Oct. 26, 2011.

Doctor and staff

Dr. Barbara Kistenmacher, center, a clinical psychologist and executive director of Hazelden New York’s Tribeca Twelve programs, meets with two staff members, Ashley Anderson and Rinaldo Morelli.

If you were designing a treatment program for young-adult substance abusers, would you place it amid the purveyors of their biggest vices?

The Hazelden Foundation, a nonprofit alcohol and drug addiction treatment center based in Center City, Minn., is doing just that — opening the Tribeca Twelve Collegiate Recovery Residence on West Broadway, in a neighborhood with one of New York’s most active party scenes.

“Sure, it can work, why not?” said Carlos Perez, an employee at 378 Electronics, around the corner from Tribeca Twelve. “They’ll have to be strong but that’s what it’s all about.”

In trendy Tribeca, the sober living dorm — its name echoing the Alcoholics Anonymous “Twelve Step Program” — hopes to help reintegrate young adults, ages 18 to 29, into society while at the same time, encouraging them to continue their education clean, sober and one step at a time.

Tribeca Twelve is surrounded by temptation. In its immediate vicinity are the Pepolino Restaurant, offering a full bar; the Pelea Mexicana Restaurant, with a daily happy hour special from 5 to 7 p.m. serving wine, tequila, beer and margaritas; and Nancy’s Whiskey Pub on the corner at 1 Lispenard St.

Rather than being wary or apprehensive about the location, Hazelden didn’t think of it as, “‘Oh, what a terrible place to put a recovery house,’ says Dr. Barbara Kistenmacher, a clinical psychologist and executive director of Hazelden New York. “They thought about it as, ‘This city needs a recovery house.’”

She adds, “We will be the very first recovery house for the college-age and graduate school-age population in New York City.”

While some neighborhoods have objected to the placement in their communities of halfway houses for recovering addicts, shelters for the abused and for the homeless, the Tribeca community is “very much supportive and receptive to the facility and its goals,” says Michael Levine, director of planning and land use of Community Board 1.

Yet not every neighbor considers it wise. “I think it’s stupid and totally unrealistic. It’s way too tempting,” says Jonathan Elkayan, who works in Tribeca.

Tribeca Twelve outside view

The Tribeca Twelve treatment is in the heart of Tribeca, on West Broadway, surrounded by the temptations of urban life.

Hazelden, which describes itself as one of the largest private nonprofit treatment centers in the world, has eight locations in Minnesota, Illinois, Oregon, Florida and now New York. The others are in more remote and sequestered settings; Tribeca Twelve is a departure.

The design of Tribeca Twelve is meant to be highly individualized and tailored to each student, based on his or her background, history and specific need, Kistenmacher says. The operation will be staffed 24/7 and will offer on-site 12-step meetings, recovery coaches and personalized recovery plans. These approaches embrace physical health, mental health and spiritual well-being, while helping clients establish academic goals. Rather than a curfew, the house will employ a quiet time of 11 p.m. in which residents who are in the building must keep the noise level to a minimum. Security cameras are at every entrance, and electronic key cards are required for access into and out of the building.

Impromptu drug tests will be administered; the ramifications of relapse can vary from an increase in drug-test monitoring and revisions to recovery plans to discharge from the program and referral to a higher level of care, according to Hazelden’s Web site.

The minimum required stay is three months and costs $5,000 to $5,500 a month — none of which is covered by health insurance. Other fees are charged for professional treatment and continuing care services, and these, however, may be covered by policies. Hazelden, like other treatment programs, promises to work with residents and their families to determine the availability of insurance to pay for professional services.

The cost is surely high in the minds of most low-income college students, but similar residential programs elsewhere in the country can cost from $7,500 to $12,000a month.

The look-and-feel inside the West Broadway building is luxury meets dormitory. The 2,200-square-foot apartments consist of two bedrooms — one with two twin beds and the other with two sets of bunk beds, accommodating four — two bathrooms, a kitchen, dining room, living room, laundry room and study. Offices and group rooms are on the lower floors.

Tribeca Twelve apartment

The two-bedroom apartments, designed to hold six students, look like a combination of college dorm and a very nice apartment.

Kistenmacher compares Tribeca Twelve most closely to Augsburg College’s Step Up Program in Augsburg, Minn., a sober-living residence within the college. Tribeca Twelve will differ, however, because it will include students studying at colleges and universities from all over the city and its outer boroughs. In addition, Kistenmacher says Tribeca Twelve’s close partnership with the Columbia University Department of Psychiatry’s treatment programs is distinctive.

Kevin J. Kindlin, a clinical psychologist and a certified substance abuse counselor, is in charge of professional and community development at the Second Nature Wilderness Therapy Program, which has locations for various age groups in Georgia, Oregon and Utah. At Second Nature, the patient is removed from her everyday life, stressors and distractions, in the hope that she will focus on recovery. While Kindlin trusts in wilderness treatment wholeheartedly, he too believes that it’s “imperative for a young adult to step into a place like Tribeca Twelve after primary care.”

Many treatment centers are placed remotely, he says, not so much a result of research dictating isolation but because of various state laws. “By far, Utah has the most supportive licensures and treatment center laws, which is why many facilities are located there, whereas some of the more populous states are more restrictive,” he says.

CooperRiis, another treatment program, offers a choice of locations in North Carolina — one a traditional site on farmland in Mill Spring, N.C., and a Tribeca Twelve-like site in downtown Asheville, N.C., a city of about 73,000. The Asheville campus, known as 85Z, places patients in an urban setting, a short distance away from many attractive nuisances such as restaurants and bars, as well as a college campus.

“If you don’t learn how to navigate the challenges of the environment you will return to after treatment, then how are you going to successfully return there?” says Todd Weatherly, managing director at the 85Z campus, putting patients an urban setting. “We need to get them support on how to still be exposed to certain triggers but to make different choices.”

Tribeca Twelve held a ribbon-cutting ceremony on Oct. 5 but cannot open its doors until an official certificate of occupancy is obtained.

Only time will tell how the program and its students fare, but Kistenmacher says her definition of a success is when a patient becomes “someone who is not just clean and sober but really develops some insight about the connection between certain aspects of their personalities, of their day-to-day mood, their affect and how all of that is connected to the behavioral choices they’re making including using drugs and alcohol.”

The Hazelden Foundation, in a news release, says it has invested $42 million to expand services to help young people who struggle with addiction find and maintain recovery, beginning with Tribeca Twelve.

Living With Cerebral Palsy

By Amit Noor

Arianna Jamil is a cheerful, friendly 9-year-old with a spark in her deep brown eyes and curly jet-black hair, short and messy, complementing her olive skin. She walks toward her computer gingerly. Her gait is unbalanced as she smiles as a clip of her favorite cartoon, Dora the Explorer, plays on YouTube.

Arianna, the daughter of Bangladeshi immigrants, has cerebral palsy, an umbrella term, that incorporates a group of non-progressive and non-contagious motor conditions that cause physical disability in human development, mainly in the various areas of body movement.

She lives with her mother and extended family in a three-bedroom house in Woodside, Queens, and loves to play with her cousins when they visit every other weekend. But much of her day, outside of school, is spent in the house, with no friends or playmates, playing games on her computer and watching cartoons.

“I know that my daughter will never be like all the regular children. It took me years to accept that reality. She is still my little champion,” says Shaheen Jamil, 42. “She works much harder to achieve the little things that others can do easily. I will never give up on her.”

Jamil, a single mother, emigrated to the United States from Bangladesh in 2001. Her daughter was born the same year. Jamil does not speak English fluently and often struggles to communicate with Arianna’s teachers and doctors. Despite the challenges, she tries to provide her daughter with everything she needs to improve the quality of her life.

She had a difficult marriage and left her husband a year earlier to move in with her older sister, she says. Finding work has been challenging but some government aid and financial support from family members, along with a part-time job at a local pizzeria, have improved her situation slightly. She is optimistic despite the challenges ahead.

“It is difficult for me because I do not speak English well.” she says. “I used to work for a bank in Bangladesh but my experience and degree has little value here. I need the money so will work anywhere at the moment but hopefully things will improve with time and patience.”

Cerebral palsy is not classified as a disease but a condition caused by damage to one or more specific areas of the brain, usually occurring during fetal development but sometimes before, during or shortly after birth, or in infancy and early childhood.

The United Cerebral Palsy Research and Educational Foundation estimates that 1.5 million to 2 million children and adults have cerebral palsy in the United States and that 10,000 babies and infants are diagnosed with cerebral palsy annually.

There is currently no known cure but improving technological innovations and therapies can help improve muscle function and coordination in people with cerebral palsy. Physical therapy at home, during an early age, has been beneficial for increasing numbers of children with special needs.

“I worked with Arianna from age 1 to 3 for Early Intervention,” says Silvia Vaher, a physical therapist, who is working for the New York City public school system. “At that time she received physical, occupational and speech therapy. Early Intervention is a critical time to receive therapy. This is the time when the brain is the most malleable.”

Vaher, 47, also works with children under the age of 3 as part of the Early Intervention program. Arianna “responded very well to the handling,” she says, and physical therapy helped “improve her strength, range of motion and lower extremity dissociation so she could be as independent as possible.”

“Arianna’s mother was also integral to the treatment as she followed through with going to the doctor” and obtaining braces that she needed for her ankles. These braces were very important for her to wear as she needs them” to maintain her ankle range of motion. Increasing social awareness and enhancement of treatment options have made significant contributions in improving the quality of life for people with cerebral palsy. The recent addition of CA Technologies Rehabilitation Center at the Hospital of Special Surgery, on the Upper East Side, is one such example.

The 7,000-square-foot, high-tech center is designed to improve access to pediatric rehabilitation services for surgical patients and children who need outpatient therapy. The department is equipped with a physical therapy gym, therapy rooms for fine motor skills, rooms for speech and occupational therapy and quiet areas for children with sensory needs. Additionally, an equipment clinic focuses on wheelchair and mobility needs and a full collection of virtual reality toys and software to be used in therapy.

“The hospital has a lot of clinics, physicians and therapists who specialize in seeing patients with cerebral palsy,” says Magdalena Oledzka, 41, a physical therapist and the pediatric section manager of the CA Technologies Rehabilitation Department. “We have a motion analysis lab, where they are seen for their gait analysis, which helps the doctors to make decisions.”

Arianna has been fortunate to receive treatment from an early age. Therapists regularly came to her house to work on her motor skills and physical movement. She attends a school for children with special needs and regularly visits her doctors for treatment and medicine. She still has problems with her posture and her ability to speak clearly.

Jamil helps her daughter to brush her teeth and take a shower. They spend their nights doing homework and watching cartoons on a small, old television. She says she’s thankful that Arianna is improving and becoming more independent with each passing day.

“I am worried about her future,” Jamil says. “I have been since she was born, just like any other mother. I don’t know what life has in store for her. All I know is that I will always be there for her so that she can make the most of her life and create her own beautiful world.”