Dr. Kofinas, pregnancy loss, pregnancy treatment, doctor, premature, obstetrics, perinatologist, fetal disorders, obstetrician, maternal-fetal medicine, miscarriage, gynecology, high risk pregnancy, prenatal testing, gynecologist

Kofinas Perinatal

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About Us

Sat, 19 Feb 2011 10:13:23 GMT

At KOFINAS PERINATAL we view the pregnancy as a dynamic and evolutionary process. We acknowledge its complexity and strive to facilitate the most optimal intrauterine environment possible in order to guide your child's development during its nine months in utero. We understand that a healthy placenta, which serves as the nexus of fetal development within the womb, almost guarantees a risk-free pregnancy. By focusing most of our attention on ensuring healthy placental development, we have continuously managed to outperform other perinatal care providers in the reduction and/or elimination of complications during the course of our patient’s pregnancies.

Staff

Mon, 17 Oct 2005 19:12:17 GMT

Diane Sulzinski, Chief Ultrasound Technician:

Diane is a registered technician (RDMS) and has passed all the required examinations in order to meet the standards of the American Institute of Ultrasound in Medicine (AIUM). Her work with Dr. Kofinas started in 1995, and since then has been involved in several research projects under his supervision. Over the years, she has been exposed to thousands of patients with all kinds of abnormal, high-risk conditions, making her experience unique among her peers. She is highly skilled in all ultrasound procedures and the quality of her work meets the high standards of KOFINAS PERINATAL. Diane is a very valuable member of our team and a leader that helps our ultrasound technicians perform quality ultrasounds (sonograms) with a personal and caring touch.

Diane Miliokas, Office Coordinator/Billing Supervisor:

Diane is our office coordinator and the supervisor of our billing department. She oversees the day-to-day financial operations at KOFINAS PERINATAL. Diane is the person to talk to when there is a question regarding coverage of our services by your insurance and also if there is any discrepancy regarding your covered services. Diane is instructed to make every effort in order to help you overcome any insurance difficulties so that you may become a patient at KOFINAS PERINATAL. She is always available during regular office hours and ready to answer all your billing/financial questions.

Christine Rodriguez, Senior Medical Assistant:

Christine Rodriguez has been with KOFINAS PERINATAL since its inception. She has evolved into a superb Medical Assistant under Dr. KofinasÕ supervision and training. Christine assists Dr. Kofinas with procedures such as amniocentesis, CVS (chorionic villous sampling), fetal blood sampling, and other fetal therapeutic procedures. She is responsible for patient education regarding diabetes monitoring, the use of injectable medications, proper execution of all KOFINAS PERINATAL protocols, etc. Christine is also involved with most of the non-pregnant patients who have experienced pregnancy loss before and are now under our care; she co-ordinates the preparation for their new pregnancy according to our protocol for the management of patients with recurrent pregnancy loss. Christine has an excellent understanding of the issues that concern most of our patients and she acts as a liaison between patients and Dr. Kofinas. She is a caring individual and is always available during office hours to answer any questions and concerns regarding your treatment at our center.

Location/Directions

Fri, 09 Sep 2005 14:09:24 GMT

Park Slope Office:
506 6th Street
Brooklyn, NY 11215-3609
(718) 780-5610

È Directions to Park Slope Office

Garden City Office:
901 Stewart Avenue
Garden City, NY 11530-4816
(516) 832-0300

È Directions to Garden City Office

Park Slope Office

Fri, 09 Sep 2005 15:13:02 GMT

506 6th Street
Brooklyn, NY 11215-3609
(718) 780-5610

Directions:

From Brooklyn and Staten Island:
Make your way to 4th or 7th Avenue in Brooklyn. Proceed until you hit 7th street and then make a right (if you are going towards downtown Brooklyn) or a left (if you are moving away from downtown Brooklyn). Go straight until you get to 8th Avenue. Make a left turn on 8th Avenue and then left again onto 6th street. Proceed towards 7th Avenue. The Hospital Garage is on your right hand side 100 feet from 7th Avenue. The office is at the corner of 6th Street and 7th Avenue.

From Long Island:
Take the LIE (495) west and get onto the Northern State Parkway going west. Proceed to Exit 13 (Jackie Robinson Pkwy - Former Interborough Pkwy). Proceed on Jackie Robinson Pkwy until you hit Exit 1 (Bushwick Avenue). At the first traffic light off the expressway make a right onto Bushwick Avenue. At the second light make a left onto the Eastern Pkwy. Follow the traffic until you reach the Grand Army Plaza (circular pattern). Follow the traffic to Flatbush Avenue towards downtown Brooklyn. Stay on the left lane and prepare to make a left onto 7th Avenue. Follow 7th Avenue until you hit 7th street, on which you make a right turn. Go straight until you get to 8th Avenue. Make a left turn on 8th Avenue and then left again onto 6th street. Proceed towards 7th Avenue. The Hospital Garage is on your right hand side 100 feet from 7th Avenue. The office is at the corner of 6th Street and 7th Avenue across from the Barnes and Nobel book store.

Kofinas Perinatal is situated parallel to the Kofinas Fertility Institute at New York Methodist Hospital. The office occupies the 4th floor of the KP Pavilion. Access to the building is possible either from its own entrance on the 6th street or through the main hospital entrance.

È Mapquest

Garden City Office

Mon, 03 Oct 2005 16:16:58 GMT

901 Stewart Avenue
Garden City, NY 11530-4816
(516) 832-0300

Directions:

From Brooklyn:
Take the Belt Parkway east to the Southern State Parkway, and then take the Meadowbrook Parkway North. From the Meadowbrook Parkway take exit M3W (Stewart Avenue going west). At the traffic light make a right onto Stewart Avenue. The office building is located on the right hand side of Stewart Avenue approximately half a mile from the traffic light. The front of the building features a large clock, however it is dificult to see while driving so stay in your right lane. There is parking on the ground floor of the building.

From Eastern South Long Island:
Take the Southern State Parkway west and then take the Meadowbrook Parkway North. From the Meadowbrook Parkway take exit M3W (Stewart Avenue going west). At the traffic light make a right onto Stewart Avenue. The office building is located on the right hand side of Stewart Avenue approximately half a mile from the traffic light. The front of the building features a large clock, however it is dificult to see while driving so stay in your right lane. There is parking on the ground floor of the building.

From North shore:
Take the Grand Central (Northern State Parkway) to the Meadowbrook Parkway South. From the Meadowbrook Parkway take exit M3W (Stewart Avenue going west). At the traffic light make a right onto Stewart Avenue. The office building is located on the right hand side of Stewart Avenue approximately half a mile from the traffic light. The front of the building features a large clock, however it is dificult to see while driving so stay in your right lane. There is parking on the ground floor of the building.

È Mapquest

Office Gallery

Mon, 26 Sep 2005 13:48:16 GMT

Career Opportunities

Thu, 06 Oct 2005 01:59:05 GMT

Combining quality of service with a pleasant and friendly atmosphere is what separates KOFINAS PERINATAL from other prenatal care providers. Our staff is not only highly qualified but also welcoming and responsive to the patient's needs and concerns. We are currently looking for individuals who fill this description for the following positions:

È Specialist in Maternal Fetal Medicine
È Ultrasound Technician
È Clinical Assistant
È Patient Associate

Openings exist for both our Park Slope and Garden City office. If you would like to apply for one of these positions please send your resume to unborn@kofinasperinatal.org or call us at (718) 780-5610.

Services

Fri, 05 Jun 2009 19:46:24 GMT

KOFINAS PERINATAL was founded on a total commitment to you, the patient, and the health of your unborn baby. We have carefully combined all the elements that will ensure your optimal care, including state of the art services, a warm environment, and a compassionate staff. We recognize the emotional frustration, which can often accompany pregnancy complications, and this leads our staff to treat each patient with the understanding and care she deserves. We emphasize:

Personal attention:
We take a one on one approach to all care and are sensitive to your individual needs and concerns. During your visits, you are assured of our undivided attention, detailed explanations of your tests and your condition, and Dr. Kofinas' involvement through every step of your diagnosis and treatment.
Quality care:
We strive for excellence in all aspects of your care and treatment. With us, you may feel secure knowing that we will do everything possible to protect the life and health of your baby.
A team approach:
We work closely with your primary obstetrician. This includes maintaining close communication during the decision making process and providing complete reports of all test, evaluations, and recommendations regarding your care.
Affordable services:
We equip all our office with advanced diagnostic technology that is found only in major diagnostic centers. Because we can perform 99% of all procedures in the convenience of our office, we are able to offer cost-effective services with charges that are comparable to local facilities.

State-Of-The-Art Services
Advanced diagnostic technology allows us to detect and treat many fetal disorders before your baby is born. These treatments can minimize neonatal intensive care, improve neonatal outcomes, and decrease long-range medical costs. We provide complete diagnostic and treatment services for both low and high-risk women.

High Risk Preganancy Consultation

Fri, 05 Jun 2009 00:43:01 GMT

Kofinas Perinatal achieves better outcomes in high-risk pregnancies

Select this link to find why

Hypertensive_Disorders (select to download file)
- Chronic hypertension
- Pre-eclampsia

HELLP syndrome
Diabetes
- Gestational
- Pre-gestational (Insulin dependent)
Lupus disease
Renal (Kidney) disease
- Diabetic renal disease
- Chronic renal disease of unknown etiology
- Lupus related renal disease
Thyroid disease
- Hyperthyroidism
- Goiter
- Hypothyroidism
Cardiac disease (congenital heart disease and other heart problems)
History of preterm delivery
History of child with growth retardation (small for age-IUGR) or very low birth weight neonate
History of placenta abruptio in prior pregnancy
History of premature rupture of membranes (pPROM) in prior pregnancy
History of cerclage (cervical stitch) that failed in prior pregnancy
Suspected fetal anomaly by means of ultrasound
History of clotting disorders (leg clots, pulmonary embolism, placental thrombosis) and pregnancy
History of placenta thrombosis (clotting) in prior pregnancy

Genetic Counseling

Fri, 09 Sep 2005 14:50:06 GMT

Patients with family history of genetic conditions
Patients with abnormal genetic screening tests
- Abnormal Ultra-screen test (first trimester chromosomal anomaly test)
- High maternal serum AFP (risk for spinal defects/anencephaly)
- Low maternal serum AFP (risk for chromosomal defects)
- Patients with a previous pregnancy complicated by any genetic defect

Diagnosis of Genetic Disorders

Fri, 09 Sep 2005 14:51:04 GMT

Chromosomal defects
Gene disorders
Fetal anatomical defects

Genetic Procedures

Sun, 15 Jun 2008 15:44:26 GMT

Chorionic villous sampling (CVS). We perform only transabdominal CVS which is the safest procedure at 11-12 weeks (this an invasive procedure with low risk for pregnancy loss).
Amniocentesis (this is an invasive procedure with low risk for pregnancy loss done after 15 weeks).
Fetal Blood Sampling (PUBS) (this is an invasive procedure with higher than amniocentesis pregnancy loss risk)
Nuchal Translucency and first trimester genetic screening for Down syndrome (non-invasive, no risk to the baby). This is a test that combines ultrasound assessment of the baby's nuchal translucency (NT), nasal bone, dutus venosus Doppler and maternal blood testing.
Level II (targeted anatomical and genetic marker) ultrasound {a negative such ultrasound at Kofinas Perinatal reduces the risk for Chromosomal defects (Down syndrome and other trisomies) by as much as 80%.

Ultrasound Services

Fri, 09 Sep 2005 14:52:56 GMT

General pregnancy assessment (low risk patients included)
First trimester genetic ultrasound
- Nuchal translucency
- Nasal bone
- Ductus venosus Doppler
Diagnosis of spinal defects
Targeted anatomical ultrasound (Level II/III)
Computerized fetal growth analysis
Fetal biophysical profile (assessment of fetal behavior and well being)
Uteroplacental Doppler assessment
- Maternal uterine arteries
- Fetal umbilical arteries
- Fetal umbilical vein
- Placental intervillous flow patterns (power color Doppler and 3-D power angiography)
Fetal brain sparing Doppler assessment (evaluation of peripheral and central fetal vessels which help us determine the quality of oxygenation of the fetus).
Fetal echocardiography (detailed assessment of the anatomy and function of the fetal heart).

Fetal Therapy

Fri, 09 Sep 2005 14:54:36 GMT

Fetal injections
Fetal intrauterine intravascular transfusion
Amniotic fluid removal in twin-to-twin transfusion syndrome
Fetal management of
- Ascites
- Pleural effusions
- Fetal urinary tract problems (posterior urethral valve/fetal hydronephrosis)

Frequently Asked Questions

Sat, 19 Dec 2009 22:43:06 GMT

As a physician practicing for over 20 years, I have encountered countless questions and have heard infinite concerns from mothers and their families about everything from smoking during pregnancy to what sort of music may or may not be harmful to the development of a babyÕs ears. Hopefully, going through this list will ease some of your worries, or in the least inform you as to what you should and should not be concerned about. - Alexander D. Kofinas, MD

Presentations

Tue, 02 Jun 2009 23:54:09 GMT

Note: The information contained in this section is to be used only as general educational material and should not be used in any form for management of any medical conditions. If you think that you have a medical problem, which may relate to the information presented here, please consult with your physician. You may not distribute any of this information without written permission by KOFINAS PERINATAL.

Wed, 23 Feb 2011 15:51:46 GMT

Links

Sun, 06 Mar 2011 12:36:41 GMT

Auto-immune disorders relating to fertility

Autism Information CenterLearn about DHA

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Life Extension Magazine
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National Library of National Institutes of Health

American College of Obstetricians and Gynecologists

More about Varicose veins and spider veins

Management Guidelines in Pregnancy Related Complications

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National Library of Medicine
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General Health Care Related Information for Patients

Recurrent Preganancy Loss

Sun, 15 Jun 2008 15:35:06 GMT

First trimester recurrent miscarriage (> 2 losses prior to 12 weeks)
Fetal demise (in utero death) in the second and third trimesters
Known existence of acquired and/or genetic thrombophilia (clotting disorder)
Family history of clotting disorders and pregnancy loss
Incompetent cervix related loss
- Loss with premature rupture of membranes
- Loss with vaginal bleeding with or without pain
- Previous cerclage (cervical stitch) failure
- Patients with short cervix from prior surgery
- Patients with history of LEEP procedure for cervical HPV disease
Preterm labor related loss
History of premature rupture of membranes between 24 and 37 weeks gestation
History of a previous child with deficient intrauterine growth (IUGR/ Small for dates neonate)
- Patients with a previous child with cerebral palsy
- Patients with a previous pregnancy complicated by preterm labor and/or preterm delivery.
- Management of pregnancy in patients with history of infertility prior to current pregnancy (patients with history of infertility are at significantly higher risk for fetal growth failure, fetal loss and premature delivery during the current pregnancy regardless of the number of fetuses they carry).
- Pregnancies complicated by uterine anomalies and leiomyomata (fibroid tumors)

Medical Glossary

Tue, 02 Jun 2009 23:56:06 GMT

Search Our Site

Mon, 05 May 2008 01:03:41 GMT

Please enter a keyword you would like to search in the textfield below. Be advised that if your search comes up empty it does not necessarily mean that information regarding your search is not available on the site. We encourage you to explore our FAQ and Resource sections for more complete information.

Contact Us

Mon, 14 Jun 2010 10:16:15 GMT

Park Slope Office:
506 6th Street
Brooklyn, NY 11215-3609
(718) 780-5610

Garden City Office:
901 Stewart Avenue
Garden City, NY 11530-4816
(516) 832-0300

Directions

Mon, 25 Jul 2005 12:25:59 GMT

Administrative Clinical Downloads

Wed, 09 Jun 2010 19:26:10 GMT

Please review the following Administrative Clinical Downloads and click on the file you would like to download.

File Library

Tue, 02 Jun 2009 22:28:46 GMT

Ultrasound Images

Thu, 07 Feb 2008 12:53:19 GMT

Please have look at our Ultrasound Image collection.

1st Trimester

Wed, 14 Sep 2005 16:12:59 GMT

2nd Trimester

Wed, 14 Sep 2005 16:12:59 GMT

Location/Directions

Sat, 19 Feb 2011 10:19:51 GMT

Park Slope Office:
506 6th Street
Brooklyn, NY 11215-3609
(718) 780-5610

Directions to Park Slope Offic

Garden City Office:
901 Stewart Avenue
Garden City, NY 11530-4816
(516) 832-0300

Directions to Garden City Office

Abnormal Fetus

Mon, 24 Oct 2005 13:57:35 GMT

Normal GYN Exam

Mon, 24 Oct 2005 14:23:33 GMT

Heart

Mon, 24 Oct 2005 14:05:12 GMT

Funny Baby

Tue, 04 Oct 2005 13:53:20 GMT

Specialist in Maternal Fetal Medicine

Mon, 03 Oct 2005 15:06:26 GMT

The applicant should be Board Certified in MFM. In the case of recent graduates it is necessary to at least be board eligible in MFM. Board certification in OB/GYN is a big plus. Candidate must be passionate about perinatal medicine and consider him/herself an energetic and amiable individual. We place great emphasis on maintaining a friendly and synergetic work environment for our patients as well as our staff. Some of the clinical duties for this position would involve:

Hands on experience with the following ultrasound skills:

First trimester genetic ultrasound
Targeted fetal anatomical assessment
Fetal echocardiography (2D, CDI and PW Doppler imaging)
Uteroplacental Doppler (fetal and maternal circulations)
Fetal central and peripheral Doppler:

Fetal Cranial Doppler
Major fetal veins
Descending aorta

Genetic procedures:

Genetic counseling
Amniocentesis
Chorionic villous sampling (abdominal approach only)
Fetal blood sampling (PUBS)
Fetal intravascular transfusion desirable
Experience with fetal ultrasound guided procedures desirable but not necessary

KOFINAS PERINATAL is a strictly consultative practice and we do not perform deliveries. We provide genetic and high-risk consultation services to Obstetricians in the major metropolitan New York area. Our practice is focused on patients with histories of infertility (conception through ART), patients with recurrent pregnancy loss, patients with a history of preterm delivery, patients with incompetent cervix and previous second trimester losses after cerclage, etc.

We offer a competitive salary based on qualifications and the level of training needed after-hire, along with an outstanding benefits package.

Ultrasound Technician

Mon, 03 Oct 2005 15:06:31 GMT

This is a fantastic opportunity for a young and energetic individual with excellent communication and people skills. We place great emphasis on maintaining a friendly and synergetic work environment for our patients as well as our staff. Below are some of the clinical duties required by all our ultrasound technicians:

Perform the following ultrasound studies independently:

First trimester viability and placenta assessment
Fetal nuchal translucency
Transvaginal assessment of the cervix for incompetence and preterm labor signs.
Gynecologic transvaginal ultrasound for gynecologic pathology
Performs fetal growth assessments and fetal biophysical profiles

Assist with invasive procedures:

Echo guidance for amniocentesis
Echo guidance for CVS
Echo guidance for therapeutic fetal interventions

Perform basic cardiac assessment of the fetus:

Four chamber views and major cardiac vessel assessment

Performs Uteroplacental Doppler:

Umbilical cord vessels
Maternal Uteroplacental arteries

Fetal vascular studies:

Middle cerebral artery
Descending aorta
Ductus venosus and major fetal veins
Ductus arteriosus

We do not expect applicants to be familiar with every one of these procedures, however all KOFINAS PERINATAL technicians will become acquainted with them during the course of their training and employment at our practice.

Requirements:

Graduate of an accredited Ultrasound Technician school
Obstetrical/Gynecological experience preferable
RDMS certification a major plus
Certification in Nuchal Translucency testing highly desirable

Salaries are all competitive and based on the previous experience and qualifications of the applicant. We also offer a superb benefit package to all our staff members.

Clinical Assistant

Mon, 03 Oct 2005 15:06:37 GMT

Candidate for this position must be amicable and have great communication skills. Job duties include: assisting physicians in their daily patient evaluations, administration of phlebotomy and injectable medication, teaching patients how to self-administer injectable medications, reviewing clinical charts the day prior to patientÕs visit, contacting patients the day after a procedure, obtaining history and intake information on new patients, acting as a liaison between patients and the physician.

Requirements:

Applicant must be a compassionate and caring individual.
Graduation from an accredited school is required.
Obstetrical experience is highly desirable.
Familiarity with MS Office is highly desirable.

Patient Associate

Mon, 03 Oct 2005 15:30:26 GMT

Candidate for this position must be amicable and have great communication skills. Job duties would include managing the front office and patient visits. This would involve answering and making phone calls to patients and other physicians, obtaining and managing payments, co-ordinate patient flow according to the daily schedule, as well as obtaining financial and insurance intake information from new patients.

Requirements:

Applicant must be a compassionate and caring individual.
Graduation from an accredited school is required.
Knowledge of relevant obstetrical terminology is desirable.
Experience with MS Office is highly desirable.
Transcription skills are necessary.
Experience with billing software is a plus.

Patient Testimonials

Wed, 09 Jul 2008 23:54:20 GMT

At KOFINAS PERINATAL we pride ourselves on providing a pleasant and memorable environment for all our patients. Many of our patients continue to keep in touch with us even after the end of their pregnancy. With their consent, we have posted a few of the letters on our site to help give you a better idea about what sort of experiences patients have had at KOFINAS PERINATAL.

Doctors

Thu, 10 Jul 2008 00:18:17 GMT

Alexander D. Kofinas, MD is Director and founder of KOFINAS PERINATAL. He is on the cutting edge of his field and among the few physicians who have completed the rigorous training to achieve board certification in both Obstetrics & Gynecology and Maternal-Fetal Medicine (MFM). Dr. Kofinas’ unrivaled access to advanced technologies and latest techniques provides his patients with a distinctive and utterly delightful prenatal experience.

Dr. Kofinas completed his training in MFM at the Bowman Gray School of Medicine at Wake Forest, where he kept a full time position for 5 years. He has taught medical students, residents, and conducted extensive research in the physiology of the human myometrium and the mechanism of human labor, as well as conducting pioneering research concerning the fetal cardio and utero-placental vascular systems. Since his return to NY in 1994, Dr. Kofinas has been exceedingly involved in ongoing fetal research, and is regularly invited to speak at perinatal forums both in the US and abroad. His research has been published in the most authoritative American and international medical journals and textbooks.

Dr. Kofinas’ exceptionalism however, comes from his unparalleled understanding of the fetal placenta. His unprecedented and unmatched experience with infertility patients has imparted him with an inestimable view at the growth of the fetal placenta from its absolute earliest stages, allowing Dr. Kofinas to identify and resolve prenatal complications earlier and more effectively than anyone else in his field.

» See Resume & Best Doctors in NY Awards

Senior Staff

Thu, 20 May 2010 12:20:57 GMT

Diane Sulzinski, Chief Ultrasound Technician:

Diane is a registered technician (RDMS) and has passed all the required examinations in order to meet the standards of the American Institute of Ultrasound in Medicine (AIUM). Diane began working with Dr. Kofinas in 1995 and has since been involved in several research projects under his supervision. Over the years, she has been exposed to thousands of patients with all kinds of abnormal, high-risk conditions, making her experience unique among her peers. She is highly skilled in all ultrasound procedures and the quality of her work meets the high standards of KOFINAS PERINATAL. Diane is a very valuable member of our team and a leader that helps our ultrasound technicians perform quality ultrasounds (sonograms) with a personal and caring touch.

Diane Miliokas, Office Coordinator/Billing supervisor:

Diane is our office coordinator and the supervisor of our billing department. She oversees the day-to-day financial operations at KOFINAS PERINATAL. Diane is the person to talk to when there is a question regarding coverage of our services by your insurance or for any discrepancy regarding your covered services. Diane is instructed to make every effort to help you overcome any insurance difficulties so that you may become a patient at KOFINAS PERINATAL. She is always available during regular office hours and ready to answer all your billing/financial questions.

Christine Rodriguez, Senior Medical Assistant:

Christine Rodriguez has been with KOFINAS PERINATAL since its inception. She has evolved into a superb Medical Assistant under Dr. Kofinas’ supervision and training and assists him with procedures such as amniocentesis, CVS (chorionic villous sampling), fetal blood sampling, and other fetal therapeutic procedures. She is responsible for patient education regarding diabetes monitoring, the use of injectable medications, proper execution of all KOFINAS PERINATAL protocols, etc. Christine is also involved with most of the non-pregnant patients who have experienced pregnancy loss before and are now under our care. She co-ordinates the preparation for new pregnancies according to our protocol for the management of patients with recurrent pregnancy loss. Christine has an excellent understanding of the issues that concern most of our patients and she acts as a liaison between patients and Dr. Kofinas. She is a caring individual and is always available during office hours to answer any questions and concerns regarding your treatment at KOFINAS PERINATAL.

Office Gallery

Thu, 10 Jul 2008 00:22:30 GMT

Career Opportunities

Sat, 19 Feb 2011 10:16:38 GMT

Doctor Kofinas' Resume and Awards

Sat, 19 Feb 2011 10:21:01 GMT

Dr. Kofinas has been selected by the New York magazine as one of the very few "Best Doctors" in the major tristate area eight times in the last 9 years and has been always one of the "Top Doctors" in New York metro area.

Search for Best Doctors in New York

Click here to download a pdf version of the resume.

Park Slope Office

Thu, 20 May 2010 12:22:32 GMT

506 6th Street
Brooklyn, NY 11215-3609
(718) 780-5610

Directions:

» Mapquest

Garden City Office

Thu, 20 May 2010 12:24:17 GMT

901 Stewart Avenue
Garden City, NY 11530-4816
(516) 832-0300

Directions:

» Mapquest

Specialist in Maternal Fetal Medicine

Tue, 18 Oct 2005 10:25:37 GMT

Hands on experience with the following ultrasound skills:
- First trimester genetic ultrasound
- Targeted fetal anatomical assessment
- Fetal echocardiography (2D, CDI and PW Doppler imaging)
- Uteroplacental Doppler (fetal and maternal circulations)
- Fetal central and peripheral Doppler:
  - Fetal Cranial Doppler
  - Major fetal veins
  - Descending aorta
Genetic procedures:
- Genetic counseling
- Amniocentesis
- Chorionic villous sampling (abdominal approach only)
- Fetal blood sampling (PUBS)
- Fetal intravascular transfusion desirable
- Experience with fetal ultrasound guided procedures desirable but not necessary

We offer a competitive salary based on qualifications and the level of training needed after-hire, along with an outstanding benefits package.

Ultrasound Technician

Tue, 18 Oct 2005 10:25:38 GMT

Perform the following ultrasound studies independently:
- First trimester viability and placenta assessment
- Fetal nuchal translucency
- Transvaginal assessment of the cervix for incompetence and preterm labor signs.
- Gynecologic transvaginal ultrasound for gynecologic pathology
- Performs fetal growth assessments and fetal biophysical profiles
Assist with invasive procedures:
- Echo guidance for amniocentesis
- Echo guidance for CVS
- Echo guidance for therapeutic fetal interventions
Perform basic cardiac assessment of the fetus:
- Four chamber views and major cardiac vessel assessment
Performs Uteroplacental Doppler:
- Umbilical cord vessels
- Maternal Uteroplacental arteries
Fetal vascular studies:
- Middle cerebral artery
- Descending aorta
- Ductus venosus and major fetal veins
- Ductus arteriosus

Requirements:

Graduate of an accredited Ultrasound Technician school
Obstetrical/Gynecological experience preferable
RDMS certification a major plus
Certification in Nuchal Translucency testing highly desirable

Salaries are all competitive and based on the previous experience and qualifications of the applicant. We also offer a superb benefit package to all our staff members.

Clinical Assistant

Tue, 18 Oct 2005 10:25:38 GMT

Requirements:

Applicant must be a compassionate and caring individual.
Graduation from an accredited school is required.
Obstetrical experience is highly desirable.
Familiarity with MS Office is highly desirable.

Patient Associate

Tue, 18 Oct 2005 10:25:38 GMT

Requirements:

Applicant must be a compassionate and caring individual.
Graduation from an accredited school is required.
Knowledge of relevant obstetrical terminology is desirable.
Experience with MS Office is highly desirable.
Transcription skills are necessary.
Experience with billing software is a plus.

Ask a Question

Mon, 24 Oct 2005 15:33:24 GMT

Dr. Kofinas Publications

Mon, 28 Apr 2008 08:13:48 GMT

Kofinas Perinatal Protocols

Mon, 05 May 2008 01:07:39 GMT

Pregnancy Information

Tue, 02 Jun 2009 21:58:53 GMT

Resources Section

Mon, 07 Jun 2010 10:37:15 GMT

At KOFINAS PERINATAL, patient education is of paramount importance, and we are making every effort possible to provide our patients with the tools necessary to expand their knowledge and understanding of their condition. An educated patient is our best patient. We expect our patients to be fully informed about their problem and actively participate in the decision making process as we together walk down the healing path. In this section you will find a number of articles as well as other resources that can help you better understand the nature of your pregnancy and further assist you achieve your goal of a healthy newborn baby. The section "Dr. Kofinas publications" presents all the peer reviewed research articles authored by Dr. Kofinas; all these articles have been published in the most authoritative American and international obstetrical journals. The section "Kofinas Perinatal Protocols" contains the management protocols that have been developed and are used by Dr. Kofinas. These protocols are unique to our practice and the reason our outcomes are far superior to the outcomes provided by the so-called "standard of care". The section "Pregnancy News" contains news and updates regarding pregnancy related matters. Finally, the section "Pregnancy Information" presents informative articles regarding various pregnancy related subjects. Dr. Kofinas wrote most of the articles in this section; the remaining articles were authored by various authorities in pregnancy related matters and were reviewed for accuracy and relevance by Dr. Kofinas.

In the "Presentations" section, Dr. Kofinas presents a series of interactive presentations that you can view at your leisure. The purpose of these presentations is to help you by means of an interactive multimedia presentation understand the various conditions affecting pregnancies complicated by high-risk conditions. Most of these presentations are geared towards individuals without medical background. However, some of the presentations are geared towards medical professionals (obstetrical residents, obstetricians, and Maternal-Fetal Medicine specialist) and may be difficult to understand without prior medical knowledge.

You may navigate the menu to the left or may search for a keyword in the "Search Web site" section. If you like this page, feel free to email the link to your friends by clicking the "email page" in the right upper corner.

4D Pictures

Tue, 18 Oct 2005 10:57:47 GMT

Success Stories

Mon, 07 Mar 2011 15:30:31 GMT

At KOFINAS PERINATAL, success is synonymous with treatment. We have helped countless patients with exceptional histories of complications and pregnancy loss give birth to beautiful and healthy babies. Some of our patients have chosen to share their experiences at KOFINAS PERINATAL with the rest of us. Below are a few of their successes…

Video Gallery

Thu, 24 Feb 2011 14:38:36 GMT

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Wed, 18 Aug 2010 16:25:15 GMT

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Some of our babies

Sun, 06 Mar 2011 12:51:00 GMT

Dr. Kofinas' Resume

Sun, 06 Mar 2011 22:24:35 GMT

Neural Tube Defects and Folic Acid

Sun, 06 Mar 2011 21:47:05 GMT

Thrombophilic Factors: interpretation of mechanism

Sun, 01 Jan 2012 16:03:36 GMT

Describes the reasons and mechanism of action of various thrombotic factors

Medrol withdrawal schedule

Sun, 06 Mar 2011 21:47:53 GMT

For patients to get access to the schedule if thay have been taking Medrol for IVF

Proper Use of Steroids in Pregnancy-Equipotency Issues

Sun, 06 Mar 2011 21:48:33 GMT

October 2009 Edition-Thrombophilia Controversy

Sun, 06 Mar 2011 22:27:46 GMT

This issue examines the reasons why thrombophilia has been a controversial subject and explains the proper management of patients with thrombophilia to prevent poor perinatal outcomes.

November 2009 Edition_Obesity Epidemic

Sun, 06 Mar 2011 22:20:49 GMT

Obesity has become the number one problem of American society. Read the reasons why and some ideas on how to prevent it for a healthier life.

CVS: Information for Patients

Wed, 30 Mar 2011 18:47:33 GMT

This document provides most if not all of the information you need before you decide to have a Chorionic Villus Sampling (CVS). Read it carefully and write down all the questions that you may still have. During your visit, the doctor will answer all of your questions to your full satisfaction.

Amnioinfusion in patients with oligohydramnios

Sun, 06 Mar 2011 22:04:43 GMT

Kofinas Perinatal Care Exceeds the Stardard of Care

Sun, 06 Mar 2011 21:41:42 GMT

Describes the differences between our protocols and the standard of care protocols and why our management is much better.

Woman's right to refusal

Sun, 06 Mar 2011 21:04:07 GMT

Fish consumption in Pregnancy_Risks and Benefits

Sun, 06 Mar 2011 21:10:19 GMT

The benefits and risks of fish consumption during pregnancy.

December 2009 Edition-Standard of Care

Sun, 06 Mar 2011 22:25:35 GMT

Quality of health care depends of the relationship of two individuals, the patient and his/her doctor. Any interference attempting to standardize this relationship will certainly cause more pain than benefit to all individuals involved.

Guidelines for Group B Strep prophylaxis

Sun, 06 Mar 2011 22:06:11 GMT

Auto-immune disorders and infertility

Sun, 27 Mar 2011 21:39:19 GMT

Cervical incompetence Manuscript Final

Sat, 19 Feb 2011 12:48:33 GMT

This is the final manuscript of a study on cervical incompetence management

AMA Fetal Death

Sun, 06 Mar 2011 21:58:10 GMT

Breech Delivery

Sat, 19 Feb 2011 13:01:25 GMT

Nowhere to hide: Chemical toxicants and the unborn child

Sun, 06 Mar 2011 21:11:55 GMT

Toxins that affect the unborn.

Fetal Pollution from industrial chemicals EWG Report 2009

Sun, 06 Mar 2011 20:51:40 GMT

This is a report of the Environmental Working Group on the content of industrial toxicants in fetal cord blood

January 2010 Edition-Fetal Nutrition Part I

Sun, 06 Mar 2011 22:26:56 GMT

In this issue, you will be amazed to realize that all the adult diseases such as diabetes, high blood pressure, stroke, heart attack and a lot more are programmed in utero when the fetus grows in an environment of deprivation (poor placenta function).

Cytomegalovirus (CMV) infections

Sun, 06 Mar 2011 21:37:16 GMT

Fetal Nutrition and adult health lecture transcript

Sun, 06 Mar 2011 20:54:04 GMT

This is the trascript of a lecture Dr. Kofinas gave at New York Methodist Hospital's Obstetrical Grand Rounds in December 2009

Hypertensive Disorders Pregnancy

Sat, 19 Feb 2011 12:52:34 GMT

This article discusses the diagnosis and management of various hypertensive disorders in pregnancy

Nutritional and Environmental Exposures in Pregnancy

Sat, 19 Feb 2011 12:53:19 GMT

Obesity in Pregnancy and Beyond

Sat, 19 Feb 2011 12:50:46 GMT

Effects of Smoking on health

Sun, 15 Aug 2010 10:28:32 GMT

Describes the effects of smoking in women and men alike.

Cervical incompetence management and improved outcomes

Sun, 06 Mar 2011 21:01:47 GMT

Diabetes management protocol ver 1.005

Sun, 06 Mar 2011 21:06:17 GMT

The risks and benefits (maternal and fetal) of elective cesarean section

Sun, 06 Mar 2011 20:59:29 GMT

Elective repeat cesarean delivery vs vaginal birth after cesarean (VBAC)

Sun, 06 Mar 2011 22:13:37 GMT

Comparison of risks and outcomes of the two procedures

Guidelines for Group B prophylaxis

Sun, 06 Mar 2011 20:08:01 GMT

Hypertensive Disorders in Pregnancy

Sun, 15 Aug 2010 10:27:03 GMT

Indomethacin Procardia Instructions for patients treated for preterm labor

Sun, 06 Mar 2011 22:15:10 GMT

Patient information about Lovenox (Enoxaparin)

Sun, 06 Mar 2011 21:45:33 GMT

Patient information on the use of Glyburide in diabetic pregnancies

Sun, 06 Mar 2011 22:20:09 GMT

Information about Selective reduction in pregnancies of higher order

Wed, 30 Mar 2011 20:10:46 GMT

Read the material carefully; this may be one of the most important decisions of your life. If there are any questions you might still have after you have read this document, write them down and ask the doctor during your office visit.

Vaginal delivery increases the risk of anal incontinence

Sun, 06 Mar 2011 21:49:08 GMT

Vaginal birth after cesarean (VBAC) is associated with increased risk for cerebral palsy

Sun, 15 Aug 2010 10:21:41 GMT

Vaginal birth after cesarean (VBAC) may be risky Editorial

Sun, 15 Aug 2010 10:23:27 GMT

Apresoline in the treatment of severe hypertension guidelines

Sun, 06 Mar 2011 22:05:14 GMT

Bleeding during the 3rd trimester of pregnancy

Sun, 06 Mar 2011 22:05:49 GMT

AFI in Normal and Diabetic pregnancies

Sat, 19 Feb 2011 12:54:30 GMT

Chondrosarcoma of the uterus

Sun, 15 Aug 2010 13:17:53 GMT

Cerclage for cervical incompetence Protocol

Sun, 06 Mar 2011 22:10:41 GMT

The KP protocol for cervical cerclage

Guidlines for Level II ultrasound (targeted anatomical fetal assessment)

Sun, 06 Mar 2011 22:07:05 GMT

Managment of pregnancies conceived by ART(IVF or OI-IUI)

Sun, 06 Mar 2011 22:10:21 GMT

This document describes the management of pregnancies conceived by assisted reproductive technologies. This includes IVF pregnancies as well as pregnancies conceived by ovulation induction and IUI.

Obstetric and Gynecologic Imaging Protocol

Sun, 06 Mar 2011 22:07:58 GMT

Preterm Labor Protocol at Kofinas Perinatal

Sun, 06 Mar 2011 22:12:35 GMT

Treatment of Hyperemesis gravidarum excessiv vomiting during pregnancy

Sun, 06 Mar 2011 22:09:30 GMT

Antibiotics in patients with preterm premature rupture of membranes

Sun, 06 Mar 2011 21:50:46 GMT

Aspirin is safe during pregnancy and lactation

Sun, 06 Mar 2011 21:51:08 GMT

Patient information about Prednisone

Sun, 06 Mar 2011 22:03:10 GMT

Physiological adaptation in pregnancy

Sun, 06 Mar 2011 21:59:25 GMT

Thrombophilia in children

Tue, 27 Jul 2010 15:52:17 GMT

Thrombophilia issues in children

Cardiovascular adaptational changes in pregnancy

Tue, 27 Jul 2010 15:34:26 GMT

Placenta thrombosis role of ultrasound and power Doppler

Sun, 06 Mar 2011 22:08:51 GMT

This is a recent study published by Dr. Kofinas presenting the severity of poor pregnancy outcomes in patients with Placental clots (thrombosis)

Cerclage General Information

Sun, 06 Mar 2011 21:52:50 GMT

Cervical incompetence preterm labor continuum

Sun, 06 Mar 2011 21:53:26 GMT

Cervical lenght and the risk for premature birth

Sun, 06 Mar 2011 20:41:40 GMT

Patient Information regarding cytomegalovirus (CMV) infection in pregnancy

Sun, 06 Mar 2011 21:53:54 GMT

Consent for Chorionic Villus Sampling CVS

Wed, 30 Mar 2011 18:45:48 GMT

This is the consent for the procedure. You must read it at home and understand it well. If you have additional questions after you read it, write them down and ask the doctor prior to the procedure during your visit.

Elective induction of labor Economic and Health_ ssues

Sun, 06 Mar 2011 21:54:52 GMT

Elective primary cesarean section

Sun, 06 Mar 2011 20:58:13 GMT

Fetal death data and graphs1

Sun, 06 Mar 2011 21:02:31 GMT

Patient Information about Heparin

Sun, 06 Mar 2011 22:02:50 GMT

Fetal death rate after 39 weeks gestation in pregnancies at large

Sun, 06 Mar 2011 21:00:04 GMT

Indomethacin Procardia instructions for patients treated for premature labor

Sun, 06 Mar 2011 21:55:36 GMT

Effects of Nutritional and Environmental Exposures in Pregnancy

Sun, 06 Mar 2011 21:56:46 GMT

Pharmacokinetics of Lovenox (enoxaparin) during pregnancy

Sun, 06 Mar 2011 22:03:51 GMT

Mechanism of Premature Rupture of Membranes (PROM)

Sun, 06 Mar 2011 21:58:52 GMT

Preterm Delivery Prevention Education and symptoms

Sun, 06 Mar 2011 21:59:56 GMT

Steroids in Premature Rupture of Membranes

Sun, 06 Mar 2011 22:02:11 GMT

Thrombophilia newsletter

Fri, 22 Apr 2011 11:26:35 GMT

The thrombophilia controversies and why they exist.

Abdominal chorionic villus sampling (CVS) is safe after 9.5 weeks gestation.

Sun, 15 Aug 2010 13:02:13 GMT

Amniotic fluid beta-endorphin in laboring women

Sat, 19 Feb 2011 12:56:24 GMT

Amniotic fluid reduction-Indomethacin in immature pregnancy with fully dilated cervix

Sun, 06 Mar 2011 21:39:26 GMT

Demographics and Financial Information Form

Wed, 30 Mar 2011 18:38:29 GMT

Print this form, complete all the pertaining information and bring with you to the office on your first visit. This is a one time event.

Consent for Amniocentesis

Thu, 31 Mar 2011 13:06:50 GMT

This is the consent form for amniocentesis. Please read carefully and write down any questions you may still have to ask the doctor during your office visit and before you have the procedure. You should be fully informed before you have any invasive procedure that might put the baby's life at risk.

Consent for Fragile-X, Cystic fibrosis, and Spinal Mascular Atrophy testing

Thu, 31 Mar 2011 13:49:28 GMT

This consent is for the tested noted on the title of the document. Please read carefully and write down any questions you may still have to ask the doctor during your office visit and before you have the procedure. You should be fully informed before you have any invasive procedure that might put the baby's life at risk.

Consent for genetic screening for Ashkenazi Jewish patients

Thu, 31 Mar 2011 13:55:43 GMT

This is the consent form for Ashkenazi Jewish patients. Please read carefully and write down any questions you may still have to ask the doctor during your office visit and before you have the procedure. You should be fully informed before you have any invasive procedure that might put the baby's life at risk.

Consent for Genetic Thrombophilia testing

Thu, 31 Mar 2011 13:58:54 GMT

This is the consent for genetic thrombophilia testing. Please read carefully and write down any questions you may still have to ask the doctor during your office visit and before you have the procedure.

Genetic testing specific for pregnancies conceived by IVF/ICSI

Thu, 31 Mar 2011 14:06:06 GMT

This is information regarding pregnancies conceived by IVF with or without ICSI. Such pregnancies are at slightly increased risk of two specific and rare genetic conditions which can be diagnosed with prenatal invasive testing such as CVS or Amniocentesis. Read the document for more information and to see if this test is appropriate for you.

June 2010 Edition-Truth about Supplements and Vitamins

Fri, 22 Apr 2011 12:44:53 GMT

Our modern life styles and poor nutrition has lead to significant nutritional deficiencies with numerous health consequences. Taking chemically synthesized nutritional supplements is not the solution. Eating nutrient rich, organically grown foods is the most important step in the right direction. It is expensive and time consuming, but it all starts from here. Learn also about the fraud that plagues the supplements industry.

July_2010_Edition Essential Fatty Acids_Part I

Fri, 22 Apr 2011 13:00:59 GMT

Atrial Natriuretic peptide in pregnancy and postpartum

Sun, 06 Mar 2011 20:07:14 GMT

August_2010_ Edition Essential Fatty Acids_Part II

Fri, 22 Apr 2011 13:10:16 GMT

Essential fatty acids are called so because the human body can not produce them and must take them through the daily food intake. Learn about the health effects and benefits of these essential nutrients. This is part II and presents various clinical conditions that can benefit from increased intake of essential fatty acids.

Human Gut and Health

Fri, 22 Apr 2011 13:26:48 GMT

Read about the tremendous importance of our intestine in our overall physiological balance and health.

The role of placenta on fetal brain development and function

Thu, 16 Jun 2011 14:22:13 GMT

This article presents the latest on the effects of placental serotonin on fetal brain structure and function.

Stillbirth increases the risk for poor pregnancy outcomes in subsequent pregnancies

Mon, 23 May 2011 22:09:29 GMT

The findings of this study suggest that women whose first pregnancy resulted in stillbirth are at increased risk for ischemic placental disease, fetal distress, chorioamnionitis, spontaneous preterm birth and early neonatal mortality in the second pregnancy...

Do cellulite treatments work?

Fri, 27 May 2011 10:50:50 GMT

This is a recent report published in the Berkley Wellness Report regarding the effectiveness and risks of various cellulite treatments.

SEPTEMBER 2010 EDITION ESSENTIAL FATTY ACIDS PART III

Tue, 31 May 2011 17:11:34 GMT

Part III is the final segment on the essen1al fa3y acids subject. This final part, presents the poten1al risks from the various forms of omega‐3 nutrients (whole foods and supplements) as well as some advice how to get the best form of omega‐3 nutrients with the least risk to your health. Enjoy it!

December_2010_Edition Food and Carcinogens

Tue, 31 May 2011 17:41:31 GMT

Meat cooking in high temperatures (grilling) generates a lot of carcinogens. Learn what meats are safe and how to cook meat in a safe and healthy way!

Social deprivation of children leads to lower IQs and premature aging

Wed, 01 Jun 2011 13:50:54 GMT

Studies in institutionalized Romanian children have found that the length of time spent in conditions of social deprivation and neglect correlates with lower IQ and behavioral problems...

Beta-endorphin release in response to the stress of labor and delivery

Sun, 06 Mar 2011 20:02:18 GMT

The risks of IVF pregnancies: improper conclusions in recent research article

Thu, 16 Jun 2011 15:08:34 GMT

This is a classic example of poor research that leads to confusing and inaccurate results and conclusions. The risk for stillbirth and other fetal poor outcomes is increased but not for the reasons this study concluded. This kind of misguided research continues to be the reason for thousands of lost lives in IVF pregnancies.

Poor outcomes in patients with low PAPP-A in the first trimester

Sun, 10 Jul 2011 18:38:43 GMT

Low PAPP-A in the first trimester in chromosomaly normal fetuses is a risk factor for poor pregnancy outcomes including preterm birth, pregnancy loss, late fetal demise, severe fetal growth retardation and neonatal death.

Health Benefits of Ginger

Sun, 10 Jul 2011 18:52:40 GMT

Important information about your skin health

Thu, 04 Aug 2011 22:39:31 GMT

Learn some of the basics about the importance of your skin and its health.

Pearls of health and wisdom

Thu, 04 Aug 2011 22:57:26 GMT

If you’re looking for seafood that’s good for both you and the environment, you may be surprised to know that oysters can be a good choice.

Women: Understand the reasons you have gained weight in order to lose it

Thu, 04 Aug 2011 23:47:29 GMT

Face it: Losing weight is hard. And when you're a woman, the challenge seems even mightier. Maybe you've noticed how men seem to shed pounds with ease, while women are counting every calorie and still seeing fewer results. But is this battle of the sexes actually true?

cAMP-phosphodiesterase changes in pregnant and non-pregnant human myometrium

Sun, 15 Aug 2010 13:20:43 GMT

Cerebellar diameter in diagnosis of asymmetrical fetal growth failure

Sat, 19 Feb 2011 12:59:20 GMT

This article examines the relationship between fetal growth and cerebellar diameter. Fetuses with growth restriction protect their brain and the cerebellum continues to grow normally. This discordance can be used to diagnose fetal growth retardation

Intrahepatic Cholestasis of Pregnancy

Sun, 24 Apr 2011 11:54:47 GMT

Intrahepatic Cholestasis of pregnancy can be lethal to the embryo. Learn about the etiology, pathology and management of this rare pregnancy complication.

ACE gene polymorphism and pregancy complications

Sun, 24 Apr 2011 12:01:13 GMT

Angiotensin converting enzyme (ACE) gene polymorphism has been found to cause severe placental thrombosis, fetal thrombotic vasculopathy, fetal growth restriction and other placenta related complications that can affect your baby's health.

Warning about Arsenic and Lead in Hyperemesis Gravidarum

Sun, 24 Apr 2011 12:29:24 GMT

This is a warning from the NY State Department of Health about Arsenic and Lead exposure in an African remedy for nausea and vomiting of pregnancy.

Circadian variation of plasma insulin in gestational diabetes

Sun, 15 Aug 2010 13:11:13 GMT

Comparison of fetal cerebellar measurements by two different technics

Sun, 06 Mar 2011 20:11:14 GMT

Correcting umbilical artery for fetal heart rate is unnecessary

Sun, 15 Aug 2010 13:07:37 GMT

Detection of fetal macrosomia by individual growth curve method

Sun, 15 Aug 2010 13:06:08 GMT

Doppler in Ob Gyn Principles and Practice Chapter in MFM textbook

Sun, 06 Mar 2011 21:41:07 GMT

Ductus venosus flow reversal in acute fetal heart failure

Sun, 06 Mar 2011 20:06:51 GMT

Epidemiology of recurrent pregnancy loss (RPL)

Sun, 06 Mar 2011 21:07:18 GMT

Fetal_tachycardia_Letter_to_the_Editor

Sun, 06 Mar 2011 22:17:56 GMT

Normal placental Doppler values in human Pregnancy

Sun, 15 Aug 2010 10:33:30 GMT

Effect of Braxton-Hicks contractions on human myometrial functional asymmetry

Sun, 06 Mar 2011 22:16:09 GMT

Effect of heart rate and fetal activiity on fetal Doppler at 18-42 weeks gestation

Sun, 15 Aug 2010 10:30:18 GMT

Effect_of_placental_laterality_on_development_of_preeclampsia_and_growth_failure

Sun, 06 Mar 2011 22:24:06 GMT

Fetal_Doppler_in_management_of_gestational_diabetes

Sun, 06 Mar 2011 22:22:24 GMT

Fetal_pulmonary_sequestration_-_idiopathic_hydrothorax

Sun, 06 Mar 2011 22:21:34 GMT

Flecainide vs Digoxin in the treatment of fetal supravetricular tachycardia

Sun, 15 Aug 2010 10:32:00 GMT

Ifrared_Spectroscopy_in_monitoring_fetal_brain_perfusion

Sun, 06 Mar 2011 22:17:29 GMT

Ifrared_Spectroscopy_in_neonatal_brain_hemorrhage

Sun, 06 Mar 2011 22:16:56 GMT

Ifrared Spectroscopy in real time imaging of neonatal_ schemia in piglets

Sat, 14 Aug 2010 17:51:53 GMT

Interrelationship of Uterine Artery Doppler in Preeclampsia and Hypertension

Sun, 06 Mar 2011 21:43:44 GMT

Once a cesarean always a cesarean

Tue, 29 Mar 2011 16:08:13 GMT

Once a cesarean always a cesarean

Oxytocin and Vasopressin response to nipple stimulation in human pregnancy

Sun, 15 Aug 2010 10:34:56 GMT

Placenta_Location_is_a_random_event

Sun, 06 Mar 2011 22:15:49 GMT

Pregesterone and estradiol in human myometrium and its effect on cAMP phosphodiesterase activity

Sun, 06 Mar 2011 20:15:14 GMT

Prenatal diagnosis of fetal horseshoe kidney

Sun, 06 Mar 2011 20:40:01 GMT

Small for menstrual age infant detection by individual growth curve

Sun, 15 Aug 2010 10:42:27 GMT

The effect of placental location on Uterine artery Doppler

Sun, 15 Aug 2010 10:44:24 GMT

Umbilical cord entanglement in monozygotic (identical) twins detected by Doppler imaging

Sun, 15 Aug 2010 12:44:20 GMT

Umbilical_vein_varix__case_report

Sun, 06 Mar 2011 20:49:05 GMT

Uteroplacental Doppler in pregnancies with hypertension or preeclampsia

Sun, 06 Mar 2011 20:04:55 GMT

Vibratory acoustic stimulation effects on fetal middle cerebral artery blood flow

Sun, 06 Mar 2011 21:46:37 GMT

March 2010 Edition-Health benefits of Vitamin D3

Fri, 22 Apr 2011 11:24:27 GMT

Vitamin D is not just a vitamin; it is a hormone that affects the entire body. Vitamin D deficiency can be detrimental to our health leading to weak immune system, cancer, diabetes, hypertension, weak heart, AlzheimerÕs, multiple sclerosis, irritable bowel syndrome and in fetuses it causes poor brain development. Read how you can protect your self and your baby from Vitamin D deficiency.

Vitamin D suplementation saves thousands of lives

Fri, 22 Apr 2011 11:20:57 GMT

Canadian study shows that vitamin D supplementation can save thousands of Canadian lives and more...

February 2010 Edition-Fetal Nutrition Part II

Sun, 06 Mar 2011 22:26:11 GMT

Fetal nutrition and adult health Part II. This article describes the various foods that are appropriate for healthy fetal development and is the continuation of the Part I published in January.

Kofinas Perinatal Outcomes in High Risk patients

Sun, 06 Mar 2011 22:29:08 GMT

At Kofinas Perinatal Outcomes in High Risk patients are much better with less fetal loss, less growth failure, less fetal demises and less prematurity. This is achieved because of our unique treatment protocols we developed over the last 25 years.

Vitamin D3 supplementation guidelines

Sun, 01 Jan 2012 16:07:23 GMT

Guidelines for the management of vitamin D3 deficiency and supplementation.

April 2010_Edition Myths about Fat and Carbs on Health and Weight loss Part I

Fri, 22 Apr 2011 12:47:30 GMT

This is part I of the article that examines the myths about cholesterol and explains the effects of carbohydrates on poor health. It also discusses the differences between glycemic index and glycemic load.

May 2010 Edition Myths about Fat and Carbs on Health and Weight loss Part II

Fri, 22 Apr 2011 12:46:02 GMT

This is part II of the article that examines the myths about cholesterol and explains the effects of carbohydrates on poor health. Part I is the April issue of the newsletter.

HEALTH ADVISORY FROM THE NY STATE DEPARTMENT OF HEALTH

Mon, 12 Jul 2010 13:11:49 GMT

Advisory regarding some dangerous remedies for hyperemesis that contain heavy metals

Indomethacin Diagnostic Therapeutic In Short Cervix

Sun, 06 Mar 2011 22:23:07 GMT

This study demonstrates that proper use of Indomethacin can reduce prematurity by 90%. Indomethacin can be used as a diagnostic and therapeutic tool in patients with short cervix.

January 2011 Edition Poor outcomes in IVF Pregnancies

Sun, 05 Jun 2011 11:58:47 GMT

Learn why IVF pregnancies as well as pregnancies conceived by means of assisted reproductive technologies (ART) are at high risk for adverse outcomes and how you can prevent such poor outcomes.

February 2011 Edition Cervical incompetence and preterm labor

Sun, 05 Jun 2011 12:04:12 GMT

This article provides a complete understanding of the major problem of prematurity in the USA. You will understand why we have failed our patients as a nation and learn how we have solve this problem at Kofinas Perinatal helping thousands of babies stay in utero until they are mature and healthy.

Why low molecular weight heparin (Lovenox) prevents pregnancy complications

Sun, 05 Jun 2011 13:12:37 GMT

This article describes why low molecular weight heparin (Lovenox, Fragmin, etc.) prevent most of the major placenta related pregnancy complications. The new research leaves no doubt of the benefits of proper anti-coagulation in patients with miscarriage, fetal demise, preeclampsia, IUGR and other pregnancy complications.

From Marilyn P. and family

Sat, 19 Mar 2011 09:56:23 GMT

To Dr. Kofinas and Staff,

I still can't believe it's been nearly one year since I became a mother to two wonderful boys born November 7, 2008 (Baby A) Ryan 3lbs 4oz and (Baby B) Bryan 3lbs 14oz. I thank God everyday but I can't ignore the fact that you and your staff play a huge, huge part of this wonderful miracle.

Dr. Kofinas, I've never known anyone who is as committed and as passionate about "their job" as you are. You were born to do exactly what you're doing. You are excellent at it. Words cannot express my gratitude to you all for what you did for my family. My life will never be the same. I thank you from the bottom of my heart. May God bless you all, may you live a very long and healthy life. The journey was not easy but very worthwhile I look forward to seeing you again for "set #2".

Again God bless you all-you will always be in my prayers.

Sincerely,

Marilyn P. and Family

From Jennifer and Dylan

Sat, 19 Mar 2011 10:41:03 GMT

I finally have a moment to sit and compose this letter of gratitude that I have recited in my head for what feels like forever. After suffering 2 miscarriages and a horrible pregnancy with Dylan, I was overjoyed when I became pregnant in January 2007. Immediately, my joy turned into sadness when I began bleeding. I was positive I was losing another baby. At this point I had no OB/GYN, and felt alone and hopeless. Lying in bed one night, I suddenly remembered that I was given your name and number in 2004 during my pregnancy with Dylan. I knew I had to meet you. On February 14 2007, with nowhere else to turn, I called your Garden City office in the hopes of scheduling an appointment to uncover why I was losing another pregnancy. I spoke with Stacy first, and then was transferred over to Christine. From that moment on, I knew I was in great hands. Christine spent close to an hour on the phone with me obtaining my history, etc. Within an hour, I had an abundance of literature pertaining to thrombophilia, and most importantly some hope. Christine and Stacy were so caring, warm and professional. Christine arranged for me to have labs done the very next day. I met you 2 days later and the rest of my journey is history....

On October 9, 2007 Ryan Kenneth was born. As you always reassured me, he is healthy and beautiful. He has brought so much joy to our entire family. Thanks to you, the miscarriage I once mourned I now the life that I celebrate. I will never fully be able to communicate to you how truly thankful I am for you. You saved my baby. You never judged me. You are an outstanding physician, and a wonderful person. You outshine every other doctor with not only your brilliance and expertise, but with your compassion and love for our patients and their babies. You gave Dylan the sibling I always wanted him to have. I think of you everyday, and as Ryan grows I will tell him about the wonderful man who saved his life. I have truly been blessed. I will never forget you, Dr. Kofinas. Thank you for Ryan.

From Denise and John

Mon, 05 Jul 2010 18:24:35 GMT

Dear Dr. Kofinas,

Words could never express our gratitude for everything you have done for us. Luke Anthony is here because of you…your tireless devotion, your endless knowledge, your God given gift to nurture the unborn.

Never have we met a physician who truly cared, who showed such compassion, who freely gave so much of himself to his work. A man who lives his life following his own sense of deep personal commitment.

I remember driving to your Brooklyn office feeling such anxiety and fear, scared for our unborn baby, and by the time we left Park Slope, as late in the evening as it was, feeling confident and hopeful that everything would be all right. You always made us feel as if you would spend all the time in the world with us if need be, in spite of the fact that you had a full waiting room. You took the time to not only explain everything that was happening but to say an encouraging word. You always made us feel more hopeful and better able to face the challenges that lay ahead for us. You were there for us as we faced some very difficult times and heart ache.

When your office opened in Garden City we felt as if you provided a haven for us to come and get a glimpse of our baby, where we saw him thrive under your care. We felt a tremendous sense of comfort in knowing that you were with us during this very critical time.

God answered our prayers by giving us our son and allowing us to find you. We feel truly blessed. We know that God is doing some of his finest work through you. You have “the gift”…You are a man who has a calling that is so pure and so very important.

The medical profession and people like us are tremendously fortunate to have a physician like yourself. One person can truly make a difference, and you did, and we just wanted to let you know that we’ll always be grateful.

God bless you and thank you,
Denise and John

From Peter & Claudia

Sat, 19 Mar 2011 10:00:34 GMT

Dear Dr. Kofinas,

You are in our thoughts all the time. When we think of how you saved our daughter’s life our hearts are filled with joy. We cannot thank you enough. Every time we look at her beautiful smile we think of what you did for us. If it wasn’t for you we may not have had this angel in our life. You are an extraordinary doctor and we cannot say enough good things about you. We trusted you with our unborn child’s life and it’s all thanks to you that she is with us today.

We remember you telling us of your trip to Greece and the baby that died from a hematoma. It was so ironic how this happened to us when you came back from doing so much research on it. We know of women who have miscarried because of blood clotting and we can’t tell you how upset it makes us knowing that this could have happened to us. But thanks to you we were very lucky, and Samantha was born.

We would also like to thank your staff, especially Jennifer, Christina, Irena and Olga. Thank you girls so much. You were always very caring, friendly and comforting especially during the stressful times when we had the CVS and then again for the amnio in the 36^th week. You are wonderful and you made us feel comfortable knowing that you were keeping such a close watch on our unborn child’s development. Christina, we are especially thankful to you for first spotting the hematoma and bringing it to the doctor’s attention. We miss being pregnant and coming to your office. The best part of being pregnant was coming in for the sonograms and seeing how she was growing.

Samantha is 6 months and weighs over 15 pounds. She is perfect. She is such a happy baby, always smiling and laughing. She is our little miracle.

We are eternally grateful for all you have done for us and when Samantha is old enough to understand we will tell her the story of how Dr. Kofinas saved her life.

Love,
Peter & Claudia

From Theresa and Robert

Mon, 05 Jul 2010 18:24:36 GMT

Dear Dr. Kofinas and Staff,

I cannot believe that time has passed so quickly and that today will be my last visit to this office. At least as a patient. IÕll be sure to be back with my beautiful baby so that we can say thank you for all that you have done for us. How can I possibly express all my gratitude and appreciation to such a wonderful doctor? I simply cannot. During an extremely anxious and nervous time in my life, you, Dr. Kofinas, have always reassured me and gave me strength when I needed it the most. You are an incredible expert in your field, but most importantly you are an amazing gentleman. Thanks to everyone on staff who was always so kind and gracious to me when I arrived every Friday. Your commitment and dedication are exemplary examples of healthcare workers. I remain grateful and will always remember your kindness. Until we meet again. I wish you Dr. Kofinas and your staff all the best and warmest

Regards,
Theresa and Robert

From Nick, Amy and Nicholas

Mon, 05 Jul 2010 18:24:36 GMT

Dear Dr. Kofinas,

Nick and I are so grateful for all you have done for us. We know we were truly blessed to be under your care. You have helped to give us the greatest gift possible- a beautiful and healthy child. Nick and I believe that God places special people on this earth for a very special purpose. To us you are a special person and your purpose is clear. For your genuine care and concern, we will be forever grateful.

Sincerely,
Nick, Amy and Nicholas too!

From Denise and Kevin

Sat, 19 Mar 2011 10:41:59 GMT

Dear Dr. Kofinas,

What can Kevin and I say but thank you for helping us have our child born. Your knowledge and caring for the unborn helped make that possible. This to me seems to be your life purpose from God. You give 100% to all your patients. I know I was your most difficult case and you did all you could possible for us. You helped give Kevin and I a memory that can never be replaced. Continue on Dr. Alexander Kofinas, to help couples experience the joy and blessing of seeing their unborn child born.

Sincerely,
Denise and Kevin

From Recent Mother

Mon, 05 Jul 2010 18:24:38 GMT

Dr. Kofinas,

My husband Anthony and I thank you for all you have done for me. Your kind words and encouragement that all would be ok continually put me at ease. I always knew I was receiving the best of care, and you made me feel confident that I was putting the life of my unborn child in good hands. You and your amazing staff have been wonderful to me and I will be forever thankful.

Thank you again!

From Antoinette

Mon, 05 Jul 2010 18:24:37 GMT

Dear Dr. Kofinas and Staff,

I wanted to write to you and say Thank You. I am very proud to be the mother of a healthy beautiful baby girl. Her name is Alexis (born on 11/5/03, 7lb 12oz). I have been meaning to write after her birth, but I became very ill and was hospitalized after delivering her and time just slipped away. Alexis just turned 3 months old and is currently weighing 15lbs. Dr. Kofinas, you were right, she was born with a head full of hair. You really impressed me with your expertise and knowledge of my condition. I recall you telling me ÒI was going to have this babyÓ. I was truly blessed to have found you! You and your staff are superb! Enclosed is a picture of little Alexis. Everyone thinks I am going to have another baby. I said, ÓNot me!Ó However, if I were to, your office will definitely be my #1 choice. Tell everyone hello and take care.

Fondly,
Antoinette

P.S. Hallelujah!!! The diabetes is gone!

From Recent Mother

Mon, 05 Jul 2010 18:24:38 GMT

Dear Dr. Kofinas,

My husband, Sadik, and I can't thank you enough for all that you have done on monitoring our pregnancy. May God bless you a 1000 folds for all that you have done for keeping our spirits up after the loss of our first child last year. Again, saying thank you is such a small word, but for us it means "life".

Thank You!

From Lorna

Mon, 05 Jul 2010 18:24:38 GMT

To Dr. Kofinas & Staff (Heather, Carla, Christina, Jennifer & Irina),

Thanks for being my angels here on earth & for taking such good care of me so that my little angel could make it into our world safely.

Lots of Love,
Lorna

From Kenny

Mon, 05 Jul 2010 18:24:38 GMT

Dearest Prenatal staff at the fertility clinic of NY Methodist Hospital,

Thank you all for your warmth, words of encouragement, your smiles, your courtesy, your TLC (tender, love and care) and for your prompt attention in returning phone calls and completing letters for work or forms for disability. You all made me feel a little more at ease during this challenging time and I am eternally grateful. May God bless you all.

- Kenny

From Madlena and Igor

Tue, 01 Jul 2008 01:16:23 GMT

Dear Dr. Alex Kofinas:
We are writing this letter today to attempt to express all of the gratitude that our family has to you, to your staff, and to your uncanny dedication to help save as many unborn babies as possible. We were lucky enough to meet with you at the most unfortunate opportunity. My wife and I had just left her high risk pregnancy specialist after learning the news that we were in jeopardy of losing our first child due to as he described unforeseen and unexplained reasons. Even though he had ordered and administered a number of expensive and thorough exams including an "amnio" all that were performed over a number of weeks while our baby girl was slowly suffocating to death with a steady reduction of amniotic fluid, as we have come to learn from you that could only mean a placenta abnormality. After specifically, asking our high-risk specialist what steps should be taken to attempt to correct this condition and save this precious child we were given a nonchalant "we will just keep monitoring, and simply hope for a correction" that was not good enough from a medical "specialist"; we asked to be referred to you by a number of friends of ours, and thankful patients of yours. After, our first consultation you said to us the worst thing that we ever expected to hear from and also the best thing that we could have gotten us through what we were about to go through emotionally and physically. You told us straight from your heart without any sugarcoating that Madlena's placenta had deteriorated, that the baby already suffered extensive damage, and that you would not be able to help. Most doctors would have seen this to be an opportunity to earn a few more dollars by stretching the inevitable truth out over a few more visits, but you hugged my wife as she was all in tears and assured us that the next pregnancy would be an utter success. Our previous specialist did not even offer us a Kleenex!!!
Dr. Kofinas from that day forward my wife could not get out of our minds the level of confidence that you had for the next time we would be lucky enough to get pregnant again. Thank God you came into our lives because four months later my wife got pregnant with our son Leonard. We followed your advice to an exact science, and everything went as smooth as possible just as you had promised and assured us that it would on that very first 4 months earlier.
The level of service that your staff gave to my wife is unheard of in our hustle and bustle society but they went to great lengths to make sure she was comfortable and well taken care of in every which way possible. My wife, would rush to her appointments every two weeks, you would make her feel as comfortable as possible, thank God for people like you in this world.
I believe it is God-sent that we stumbled upon you, and a great shame to our population that more people in the medical society do not listen to your findings in this matter, and there are too many babies dying because of their closed minds. Leonard came out as perfect as possible no complications no unwarranted surprises, healthy and a beautiful six pound fourteen ounce twenty inch long baby boy. Thanks to you this has turned out to be the most wonderful Thanksgiving ever imaginable. Every time we look at him we cannot believe what our world would be like if God had not sent you to us.
God Bless You Dr. Alex Kofinas!!!!!!!!!!

From Ari Fisch......

Mon, 01 Sep 2008 17:16:20 GMT

Dear Doctor,
As you know, born to us 7/10/07 was our son Elazar Fisch****. This, in no small part, is due to your special care and expertise. Throughout the pregnancy I had composed in my head a letter of thanks to you that I would put down on paper as soon as our child was born. It was full of well deserved praise and words of gratitude. I had thought it up and was satisfied with it. Then I saw your bulletin board full of letters. There they were, all the words I was going to use. My first thought was "Dam, I am not original" My very next thought was, "Of course." Of course those words were taken, of course the pouring out of gratitude and the genuine thanks filled the wall. Your work, the work to bring new life to this world, to bring joy to parents who have experienced terrible pain, to bring hope where it may have been lost, is of the noblest work one can do on this earth. Of course I am ever grateful to you but even more so, I am proud to know you. My son and all the generations thereafter owe their existence, in part, to you. When he grows, my son will hear about the great doctor, the doctor who fights against convention, who cares not of politics, who cares only about bringing life, and quality life at that, into this world. As much as any man can be grateful to another, I am to you. Thank you doctor, Thank you. I have a son.

From Gittel and Elger

Thu, 13 Aug 2009 19:41:42 GMT

Dear Dr. Kofinas,
   On April 6th of this year I was examined by ultrasound in the New York University Hospital. My baby was 22 weeks gestational age. I was told that in spite of the stitch I had had put in, the baby's membranes were bulging into the vagina. I was told that there was absolutely no way to save the baby at this point.

   When I heard the terrible diagnosis I was totally devastated. I cried to G-D and pleaded with Him to save our baby. I told Him that just as He created the entire world and everything in it and just as He created us human beings and makes us all function in such wonderous ways-He could surely perform a miracle for us if He only wanted to. I begged Him to help me carry the baby through the pregnancy despite all the odds against us; and to help me give birth to a healthy baby.

   We did not know which doctor to turn to. We did not know which doctor would be prepared to try to save the baby at this point- at the risk of perhaps not succeeding-   G-D forbid.

   Dr. Ari Weinreb recommended you; Dr. Kofinas. From the first moment on, you gave us hope; by telling us the story of the patient you had with the amniotic sac between her legs! Her baby eventually made it. This gave us tremendous hope!

   However you were very honest. You told us about the risks involved. You told us what the chances were for success. We gave all this information to our advisor; our Rabbi in Israel, and asked him whether to go ahead and for his blessing and prayers.

   He told us to go ahead with you. He gave us his blessing and prayed for us.

   Dr. Kofinas, Thanks so so so so so so so much for agreeing to be G-D's messenger. Thanks so much for doing your best to try to save our baby. Thanks so much for your endless commitment to preserving my pregnancy. Thanks so much for your patient and thorough examinations. Thanks so much for giving up so much time to deal with all those hospital personnel who wanted me out earlier, for giving up so much time on all the numerous paperwork involved in my case.

   Thank you for the great care you gave me. Thank you for helping us get the most beautiful gift in the world- a full term, healthy baby girl!

   Please tell our story to the other couples. Tell them that it is all worth it; the cerclage, the ten and half weeks on bedrest, the medications, the exams and everything else. Tell them to pray to G-D and do their best. At the end, when the baby comes and it's a healthy child with a whole life and future ahead-it is very, very well worth it!

   Thank you Dr. Kofinas for everything, plus for being such a kind and understanding person too! There are numerous medical specialists who are competent but their personalities are not very wonderful...... Thanks for having the wonderful combination of being a great doctor and great person!
   Please thank your excellent and kind staff from us too. It makes a huge difference to be treated by people who act so decently!

Most Sincerely,

Mr. and Mrs. Elger and Gittel

From Elana and Avram

Tue, 25 Aug 2009 14:05:00 GMT

August 4, 2008

Dear Dr. Kofinas,

It's been almost seven months since the birth of our beautiful daughter Rebecca. Each day, as we watch our perfect princess grow, we thank G-d for the precious gift He has given us, and we thank G-d for bringing us to you Dr. Kofinas.

We thank G-d for bringing us to a medical genius whose innovative thoughts are ahead of his time. A scientist with the conviction to pursue his ideas and turn medical theories into thousands of miraculous results.

We thank G-d for bringing us to a man full of warmth and compassion. After all the pain and suffering we went through, you gave us true hope. Before you, there was doubt...but you gave us confidence that we would once again experience the joy of a baby. You guided us. You held our hand every step of the way.

There are no words that can properly express how we feel about you Dr. Kofinas. You gave us a gift no one else could and you did it in a manner that few others would. True, "a medical genius full of warmth and compassion" is a fitting description. But that's really not enough. You are more than that to us. We thank you for our Rebecca. You are a special person. A true friend.

With much admiration and appreciation,

Elana & Avram Weis...

From Steve and Linda

Sat, 19 Mar 2011 10:41:41 GMT

Dear Dr. Kofinas,

When my husband and I visited your office for the first time I was four weeks pregnant. We were both overcome with anxiety and uncertainty about the outcome of my pregnancy. The anxiety that we both felt was eased with each visit to your office. Knowing that our baby was in the best possible hands made all the difference in the world to us. Thank you so much for always taking the extra time out of your busy schedule to speak with us and make us feel so comfortable. Your passion for your work shows through the extraordinary care that you give to each of your patients. Words simply cannot express our gratitude for the exceptional care that we received at your office.

We are now blessed with a beautiful, healthy son. As a parent, watching your child grow and thrive is one of the most wonderful experiences that life has to offer. Having the opportunity to see our unborn baby grow, under your care, into the perfect baby that we held in our arms the day of his birth was truly one of the most amazing experiences of our lives. A million thanks to you and your wonderful staff for making my pregnancy such a cherished time in our lives.

Sincerely,

Steve and Linda

From Anna and Jimmy

Sat, 19 Feb 2011 10:04:05 GMT

Dear Dr. Kofinas and Staff,

Simple words are not enough to express our heartfelt appreciation for all you have done for us. Your staff-especially Christina and Diane was such a strong, professional and compassionate group that always made us feel special and helped put our minds at ease, even during some stressful moments.

Dr. Kofinas your care, knowledge and immeasurable experience helped us bring little Andrew into this world. You always took the time to talk to us and explain things and made the pregnancy a "less scary" experience. Through the very last week, you showed your compassion and loyalty to us, as patients, even when you had to push the OB/GYN to do what was best and safest for our baby. We simply can't thank you enough! You, your staff and your families will always be special to us and you'll always be in our prayers.

Andrew, Anna & Jimmy X.

From Nicole and Tony Ami..

Sat, 19 Dec 2009 22:55:10 GMT

Dr. Kofinas,

Where do I begin? I am so grateful to you. It was four years ago that I was introduced to you. My first pregnancy with so many emotions. So many fears. So much excitement. I wanted to do everything possible to ensure my child would be healthy and safe. I wanted the best for my baby. I found that in you.

Our first meeting was overwhelming. Scared I may not be able to give my baby all he needed. I was immediately comforted and at ease upon meeting you. My baby would be in the hands of a caring, compassionate and brilliant man whose goal was to care for my unborn child.

It was not until my last pregnancy that I realized how truly lucky I was to be in your care. From early on we encountered difficulties. It seemed each visit beginning at twenty weeks we had new issues to encounter. I managed to remain calm knowing you were there to care for us. You were always honest and straight forward with me. You would give me the best and worst case scenarios. I appreciated that. It allowed me to be prepared for all situations. It was at the end of pregnancy I realized how amazing you and your staff are and how incredibly lucky I was to be in your care.

The most amazing thing you did for me was get us into Cornell (while on your vacation!). I really believe you saved my daughter's life. The entire Cornell experience was wonderful under such stressful, scary and devastating circumstances. The doctors were great. My OB was very attentive and the cardiologist and surgeon were untouchable. The entire NICU and PICU experience was amazing. They all treated us like we were the most important, like my daughter was their top priority. It was the longest four weeks of my life, but through the entire experience I knew I was in the right place. I did the right thing for my daughter-this was thanks to you. Had I not known about her cardiac defects life would have been so different. My baby girl is now home with us-healthy, safe and beautiful.

I have learned so much from you and I admire all you do, not only in the effort and time you put into your patients but also in the education of your colleagues and staff. You surround yourself with a staff that is outstanding and knowledgeable. They are always caring and kind. Diane was all-around wonderful, I looked forward to seeing her every week. Christine was always available to answer my questions and was especially helpful in getting us into Cornell. They say you are only as good as those you surround yourself by and you have succeeded!

I hope to someday visit you again 2x a month (although my husband says NO WAY!). If there is anything I can ever do for you I am always available. If a patient experiences anything I have been through-the loss of a child in-utero or the stress of a child needing surgery upon birth, feel free to give my name as someone to speak to.

Thank you again for all you have done for my family. I have TWO beautiful, healthy children. My son is brilliant and my daughter is so sweet. Thank you for watching over them-you are wonderful.

Gratefully,

Nicole and Tony Ami..

From Karen Haye....

Mon, 21 Mar 2011 08:42:40 GMT

Dear Dr. Kofinas,

Every time I look at my beautiful, healthy daughter I realize how lucky I am. I am overcome with emotion when I think about the negative possibilities that could have occurred throughout any point of my pregnancy had it not been for you and your staff. Words will never express how entirely grateful I am to you. From the second I walked into your incredible office I knew that I was in the very best of hands. That is what you are Dr. Kofinas, the best. That word gets thrown away too often, but it truly describes you. You are by far, the most intelligent and compassionate doctor I have ever been to (and I have been to many). You are, as my own OB -GYN put it, in a place above the rest, in a category all your own. You give your patients the most precious and valuable gift one could receive: the gift of a child that might not existed.

A misdiagnosis is what brought me to your office and now I thank the Lord for it. You completely controlled my very difficult pregnancy from my very first visit. Your staff is comprised of an amazing group of people. Knowledgeable and considerate, I am grateful to each and every one of them. I am so thankful for Christine who gave me the confidence it took to give myself daily injections, answered all of my questions and even came in during her own maternity leave to administer my progesterone shot. Diane is the most competent, informative, and personable sonogram technician I have ever had. She allayed so many of my fears and explained every step of my pregnancy.

My family and I will never forget any of you. We are eternally grateful for the 7lb. 4oz. baby girl that you helped bring into this world. One day we will tell her about the doctor and staff who made sure that she arrived healthy and strong and able to do anything and be anyone she wants to be. Thank You!

Sincerely,

Karen Hay...

(and Jimmy, Kayla and especially Cassidy)

Al & Cathy Bottar...

Sat, 19 Dec 2009 23:16:52 GMT

Dear Dr. Kofinas,

Words alone cannot express how grateful and lucky we feel to have met you. We truly know that if it was not for you and your amazing expertise out little angle may not have made it. When we came to you, our confidence of having a successful pregnancy was very low given out history, but every time I spoke with you either via phone or in the office you always gave us hope. You extended yourself beyond any doctor I have ever met. I remember in the beginning when I was bleeding you told me to call you every day. I mainly remember saying but Thanksgiving is in a couple of days and you without hesitation repeated yourself - call me everyday. Sure enough we spoke Thanksgiving Day. Boy did I have a lot to be thankful for. In addition to your outstanding medical care you also knew how to take care of my emotional needs. You never once rushed me and I always felt like all of my questions/concerns were addressed. That meant so much to me. I looked forward to my appointments with you because you always "held my hand" and helped me just get through week after week. You took care of my baby and me and I always felt so secure and knew the two of us were in the best hands. I think you are an amazing doctor but also an amazing person. It is so clear how dedicated you are to your patients. You have a unique bedside manner and your presence alone gave me a sense of security and calmness. Needless to say I was very anxious throughout the pregnancy but you never once discarded that.

What I guess I am trying to say is thank you for taking care of me during such a stressful but exciting time. I would not have gotten through it emotionally without your help and of course physically. I will be forever grateful and you will always hold a special place in my heart and in our family.

With much love and admiration,

Al & Cathy Botta...

From Elisa kan..

Mon, 22 Aug 2011 22:08:23 GMT

Dear Dr. A. Kofinas,

I am compelled to write you my sentiments of how fortunate my family and I are this holiday season. Our greatest gift is our newest addition to our family, Jordan Thomas Kane. Three and a half years ago you never gave up on me and aided me in maintaining my pregnancy with Justin Daniel. Returning to the Fertility Institute soon after to try again for our second child was difficult. I suffered some despair in the process, but I knew my time would come again and it did. In February 2009 I found the courage and determination to begin the IVF treatment again and was fortunate to become pregnant with yet another healthy boy. Through the ups and downs, you have been there with early detection, blood tests, sonograms, careful studies, articulation with associate doctor and staff, and a comfort I felt each time I saw you at a scheduled visit. I knew I was always in the best hands for medical care.

I just want you to know how thankful I am to you and for what you have helped me accomplish. I know I would never have had my boys if not for you and your staff. What you do each day is a medical miracle. Your devotion to women, like me, who are vulnerable, scared, distraught and yet hopeful that they too, will be a mom one day is commendable. The long hours of patient care and research are endless for you, but never unnoticed. I have entrusted in you a belief that has come true for me and the genuine care and concern you have displayed for me will never be forgotten.

During this Christmas holiday, I want you to know how much you've given me and how thankful I am for you in my life. My boys will forever know your name and what you have helped me to achieve. Although this road I've traveled has not been an easy one, I could have never persevered without a strong doctor like yourself. I only hope you know how important and valuable you are to many families like mine. Even though our paths may never cross again, I know how you'll keep on making the impossible... possible, for every couples "pursuit of happiness". Luckily, you have given me mine! You will be with me forever. I love you always.

Sincerely,

Elisa Kan...

From Jen, Mike and Carissa

Sat, 19 Mar 2011 10:07:23 GMT

Dear Dr. Kofinas, Diane, Christina, Effie, Zoe, Stacey and Christine

Words cannot express how much I appreciate what you have done for me. From the start of my pregnancy, I had complications and was always concerned. All of you always knew what to say to keep my mind at ease. More importantly, you were aware of every aspect of my pregnancy and were able to provide me with treatment in order to keep me and my baby healthy.

From the second Mike and I entered your office we were approached with friendly smiles and conversations. Everyone always made us feel so welcomed and the support from you is indescribable.

Dr. Kofinas, there are rare doctors like you that care so deeply for your patients and always do what is in their best interest. I can't thank all of you enough for all that you have done for me. After 35 weeks of pregnancy, I gave birth to a perfect healthy baby girl Carissa Marie. Your support, guidance, and treatment contributed to the successful birth of Carissa. I can't wait to bring her to your office so she can meet all of you. Thanks again and we will be seeing you soon!

Love,

Jen, Mike and Carissa

From Gregory, Danielle and Gavin

Sat, 19 Dec 2009 23:22:21 GMT

Dear Dr. Kofinas, Dr. Nguyen, Christine, Christina, Diane, Zoe, Effie and anyone else I forgot,

I have sat down countless times to write this thank you but can never seem to find the right words to express the amount of gratitude my husband and I have for all you. We came to you at 7 weeks pregnant after my hematologist said I did not need to go on Lovenox. My gut said to get a second opinion and I am so glad we did. When we came to your office we were scared out of our minds to lose our baby but Dr. Kofinas assured me that he was going to do everything he could to help us bring home a healthy full term baby. Over the course of my pregnancy I called numerous times with issues and questions. I was always treated with the greatest amount of care by the office staff (especially when I called hysterically crying at 12 weeks thank you so much Effie for calming me down) and Dr. Kofinas or Dr. Nguyen always got on the phone to help me. I am sure you have heard it a million times, but I have never had such a wonderful experience with a doctor and staff as I have had with all of you. As I sit here staring at my beautiful 4 month old son I cannot imagine our life without him. I hope all of you go home each day knowing that Gavin is with us filling out lives with joy in part because of you and the work you are committed to. We would love to stop by and show you our little angel soon. Thank you again for everything you have done for us. We love you!

Love,

Gregory, Danielle and Gavin

From Jessica Fisc.....

Wed, 26 Jan 2011 16:03:31 GMT

Dear Dr. Kofinas and staff,

I can hardly believe I have a son to hold in my arms after all these years and all our heartache. So first and foremost, I thank you for the life of my baby.

Next, I want to thank you for the peace of mind I had during the pregnancy. Okay, I admit it- I was a nervous wreck. (But you knew that! ;-). However, there are different degrees of nervousness. I have had pregnancies where I was nervous because there were horrible things happening in the pregnancy-bleeding and contractions that kept getting worse, miscarriages, no heartbeats, etc. I am so grateful that you were able to prevent those manifestations of complications. I was anxious, but I knew I was anxious mostly because of my history and not so much because there were actual things going wrong. And I cannot thank you enough for that. The peace of mind that I had coming in as frequently as we did and seeing the sonograms and speaking to the doctor regularly and knowing exactly where we were holding brought me as much relief as was possible under those circumstances. I have been to other high-risk practices and feel that your level of care and medical expertise is not to be compared. Your methods and knowledge inspire a unique confidence.

The Jewish Sages describe an ideal of one who "sees what is born,"( in Hebrew "ha'ro'eh et hanolad") i.e., sees future events before they have fully developed. It is a specific skill to be able to see trends and how things will play out before they are fully expressed. It is a beautiful thing that in your practice, you look for hints of problems before they become unstoppable problems, at a point when you can actually do something and change the outcome! I will never forget when, at 15 weeks and bleeding more heavily, I called a high-risk practice that I had consulted at 11 weeks due to spotting. And they told me, "We can't do anything. Either he will live or he won't." My water broke in the fifth month and that baby is forever lost to me. I am so grateful to have found you, because your scrutiny and pre-emptive care prevented the same thing from happening again. Because of your ability to "see what is born," we have been fortunate to see our son born.

Thank you.

Jessie Fisc....

From Jennifer and Chuck Suf...

Mon, 22 Aug 2011 23:11:04 GMT

Dear Dr. Kofinas, Dr. Nguyen, Diane, Stacey, Zoe, Effie, Christine, Jennifer, and Georgia

How do you begin to thank someone for changing your life? For finding an answer to such a long painful ordeal and for placing the baby you thought you would never have safely in your arms? There are no words adequate enough to thank you all. To you it was your job but to my husband and I it was nothing short of miraculous.

It has been one whole year since our son Charles Daniel was born and every day since you have all been in our hearts. After six miscarriages, endless tears and countless doctors telling us to “relax” and “miscarriages are common” you Dr. Kofinas were the only person who found the problem. You with an extensive blood panel pinpointed an easily detectable thrombosis problem and changed our lives forever.

Charles is a beautiful, active, happy baby- I cannot imagine life without him. The care you all gave me and “cheeks” as Diane used to call him was amazing. Anxiety disappeared with every visit and I will never forget you telling me to stop looking at HCG levels and focus on the baby. “We have a baby and we are going to get it here safely”.

It is no secret to you by now that I have recommended several people to you and I hope in some small way helped to ease the pain for other women who have the same issue.

We are today and will always be so grateful to you for our son, for giving us hope and understanding how scared we were to experience another loss. I think of you every time he smiles at me and every time I see Rebecca with her little brother. She will have a sibling long after we are gone and we owe that to you.

We heard about you years ago in a playground, my husband was speaking to one of the ladies there who had learned we suffered another loss. She told my husband your name and simply this “He works miracles”.

No words were ever truer than those and I cherish the miracle you gave to me.

It is more than just a job- you change lives.

All out love and thanks

Chuck, Jennifer, Rebecca

and

Charles “Cheeks” Suffel

Dr. Kofinas, pregnancy loss, pregnancy treatment, doctor, premature, obstetrics, perinatologist, fetal disorders, obstetrician, maternal-fetal medicine, miscarriage, gynecology, high risk pregnancy, prenatal testing, gynecologist

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