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Exercise without dietary changes may not help you lose weight. METRO photo
Exercise without dietary changes may not help you lose weight

By David Dunaief

Dr. David Dunaief

We’re just past the point on the calendar when those who committed to exercising more in the new year are likely to have fallen off their resolutions. If you’re still following through, congratulations!

Exercise has benefits for a wide range of medical conditions, from depression, insomnia, fatigue and balance to cognitive decline, chronic kidney disease, diabetes, cardiovascular disease and osteoporosis.

Will it help you lose weight, though? While gym membership ads emphasize this in January, exercise without dietary changes may not help many people lose weight, no matter what the intensity or the duration (1). If it does help, it may only modestly reduce fat mass and weight for the majority of people. It may, however, be helpful with weight maintenance.

Ultimately, it may be more important to examine what you are eating than to succumb to the rationalization that you can eat without care and work it off later.

Will exercise help you lose weight?

The well-known weight-loss paradigm is that when you burn more calories than you consume, you will tip the scale in favor of weight loss. The more you burn, the more you will lose. However, study results say otherwise. They show that in premenopausal women there was neither weight nor fat loss from exercise (2). This involved 81 women over a short duration, 12 weeks. All of the women were overweight to obese, although there was great variability in weight.

However, more than two-thirds of the women gained a mean of 1 kilogram, or 2.2 pounds, of fat mass by the end of the study. There were a few who gained 10 pounds of predominantly fat. A fair amount of variability was seen among the participants, ranging from significant weight loss to substantial weight gain. These women were told to exercise at the American College of Sports Medicine’s optimal level of intensity (3). This is to walk 30 minutes on a treadmill three times a week at 70 percent VO2max — maximum oxygen consumption during exercise. This is a moderately intense pace.

The good news is that the women were in better aerobic shape by the end of the study. Also, women who had lost weight at the four-week mark were more likely to continue to do so by the end of the study.

Other studies have shown modest weight loss. For instance, in a meta-analysis involving 14 randomized controlled trials, results showed that there was a disappointing amount of weight loss with exercise alone (4). In six months, patients lost a mean of 3.5 pounds, and at 12 months, participants lost about 3.75 pounds.

Does exercise play a role in weight maintenance?

Exercise may help with weight maintenance, according to observational studies. Premenopausal women who exercised at least 30 minutes a day were significantly less likely to regain lost weight (5). When exercise was added to diet, women were able to maintain 30 percent more weight loss than with diet alone after a year (6).

How does exercise help with disease?

Let’s look at chronic kidney disease (CKD), which affects roughly one in seven U.S. adults, as a simple example of exercise’s impact on disease (7).

Trial results showed that walking regularly could reduce the risk of kidney replacement therapy and death in patients who have moderate to severe CKD (8). There was a 21 percent reduction in the risk of kidney replacement therapy and a 33 percent reduction in the risk of death when walkers were compared to non-walkers.

Walking had an impressive impact, and the more frequently patients walked during the week, the better the probability of preventing complications. Those who walked between one and two times per week had 17 and 19 percent reductions in death and kidney replacement therapy, respectively, while those who walked at least seven times per week saw 44 and 59 percent reductions in death and kidney replacement. These are substantial results. The authors concluded that the effectiveness of walking on CKD was independent of kidney function, age or other diseases.

There are many benefits to exercise; however, food choices will have a greater impact on weight and body composition. The good news: exercise can help maintain weight loss and is extremely beneficial for preventing progression of chronic diseases, such as CKD.

By all means, exercise, but to lose weight, also focus on consuming nutrient-dense foods instead of calorie-dense foods that you may not be able to exercise away.

References:

(1) uptodate.com. (2) J Strength Cond Res. 2015 Feb;29(2):297-304. (3) ACSM.org. (4) Am J Med. 2011;124(8):747. (5) Obesity (Silver Spring). 2010;18(1):167. (6) Int J Obes Relat Metab Disord. 1997;21(10):941. (7) cdc.gov. (8) Clin J Am Soc Nephrol. 2014 Jul;9(7):1183-1189.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.

 

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Photo from Deposit Photos

By Daniel Dunaief

In a nod to the herd immunity from a combination of illnesses and vaccinations in the population, the Centers for Disease Control and Prevention is widely expected to reduce the recommended number of days of isolation after a positive test to one day from five days.

Even as most of the population has returned to a normal life after the pandemic — toughing through colds with relatively mild symptoms at work and staying home, for the most part, when symptoms become severe — the CDC had urged Americans to remain isolated for five days.

“Covid has diminished as a real threat for the majority of people,” said Dr. Sharon Nachman, Chief of the Division of Pediatric Infectious Diseases at Stony Brook Children’s Hospital. “The responsiveness between vaccinations and multiple events [such as infections] is reasonable to prevent hospitalization and death in most people.”

In addition, Covid treatments, such as Pfizer’s Paxlovid, have become effective in reducing the severity and duration of symptoms.

The CDC likely couldn’t have provided such guidance a year ago, but, for most people, the consequence of contracting the virus that altered the course of life for people for several years, has been less problematic for their health, doctors said.

Despite ongoing illnesses and symptoms, people have become less likely to test for Covid.

“Insurance companies used to pay for eight per month, but now, people just buy one [test box] at a time,” said Michael DeAngelis, the owner of Village Chemist in Setauket.

Dr. Sunil Dhuper, chief medical officer at Port Jefferson’s St. Charles Hospital, understood the CDC’s decision, with an important warning.

“The rationale behind changing the timing of isolation guidelines is based on looking at the evolving severity of cases,” Dhuper said.

“People who are younger get more mild levels of illness and recover,” he added.

Concerns for the elderly

“The disease is beginning to behave more and more like other respiratory viruses, but we are not there yet,” Dr. Dhuper cautioned, particularly for those who are over 65.

Hospitalization for people who contract Covid is 11.2 per 100,000 for people over 65, compared with 6.9 per 100,000 in the week ending Feb. 10, according to data from the Centers for Disease Control and Prevention. 

The mortality for those over 65 from Covid is higher than for the flu, Dr. Dhuper said.

“We have to be a little cautious, sending a message to the community that you can continue to do what you want to do,” Dr. Dhuper said. “When they are around the elderly” people, particularly those who might have symptoms even if they haven’t been tested, should consider wearing masks or keeping their distance.

The incidence of Covid, among other illnesses, climbed after the December holidays and the start of 2024, as people traveled to visit with family or on vacations. Those numbers have come down, although the upcoming spring break from secondary schools and colleges raises the possibility that illnesses could climb again, doctors predicted.

Be careful of grandkids

While the public may not want to hear it, Dr. Dhuper expected that it might take another five years before Covid reaches a comparable level of potential risk to the elderly as the flu, which could also present a risk to people’s health.

Dr. Dhuper urged those who have symptoms to test themselves for Covid. Even if they don’t isolate themselves for more than 24 hours, they should be cautious around vulnerable groups.

Dr. Dhuper’s advice to grandparents is to “be careful when you’re around your grandkids, because they are like petri dishes, harboring tons of infections.”

While for many people in the community, Covid has become like white noise, it’s still causing medical problems and leading to some hospitalizations, the St. Charles doctor added.

Any change in isolation guidance from the CDC should come with an asterisk that “yes, we are changing the guidelines, but people should still exercise precautions,” Dr. Dhuper said.

Vaccination research

Amid discussions related to vaccines, Dr. Nachman added that several compelling papers have demonstrated that people who are up to date on their vaccines, including flu, are at lower risk for dementia.

The link between vaccinations and overall brain health is unclear, and it is possible that people who receive vaccines also have a lifestyle that reduces the risk of developing dementia.

“We have an aging population in New York, particularly on Long Island,” said Dr. Nachmman. “If we want to keep them healthier longer, getting appropriate medical care, including vaccines, is probably helpful.”

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Wend Wellness Chiropractic
Dr. Shane Wend of Wend Wellness Chiropractic. Photo from WMHO

Stony Brook Village is home to a new chiropractic practice. 

Wend Wellness Chiropractic, located at 21 Main Street, opened its doors in January. Led by Dr. Shane Wend, the office offers comprehensive initial evaluations, chiropractic adjustments, free nutrition plans, natural supplementation recommendations for specific issues and pathological implications, fitness plans, and all-natural supplements (Super U), which provides focus, smooth energy, and mental clarity, according to a press release.

Super U is a proprietary blend of nutrients created and tested over 3 years by Dr. Wend. It is available only through Wend Wellness Chiropractic.

A native of Northport and current resident of Head of the Harbor, Dr. Wend developed an early passion for the intricacies of the human body and a genuine desire to enhance people’s well-being and health. He graduated from Saint Anthony’s High School in 2009 and pursued a degree in biology at Stony Brook University. Later, he studied at the Palmer College of Chiropractic and, since 2020, has been practicing chiropractic care while sharing informative tips on nutrition, health, and wellness through his website and social media pages.

Wend Wellness Chiropractic is open Mondays, Wednesdays, Thursdays and Fridays from 8 a.m. to 7 p.m. by appointment, closed on Tuesdays and on weekends. For  more information, call 631-485-3643 or visit www.wendwellness.com.

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BODY20 ribbon cutting on Feb. 2, 2024. Photo courtesy of Councilwoman Bonnner's office

On February 2, Town of Brookhaven Councilwoman Jane Bonner and Mt. Sinai Miller Place Chamber of Commerce President Holly Bottiglieri helped celebrate the grand opening of BODY20, the new boutique fitness studio located at 275 Route 25A, Suite 28, Route 25A in Miller Place, with a ribbon cutting ceremony.

BODY20 is a personalized, technology-based workout experience that creates up to 150 times more muscle contractions versus conventional training. Combined with their personalized workout experience, results are achieved in just 20 minutes that would require hours in a traditional gym. 

“I am happy to welcome Body20 to Miller Place and I encourage everyone to stop in meet the staff and see what they have to offer. It’s a great addition to the community and I wish them the best of luck,” said Councilwoman Bonner. 

Pictured from left is Eva Zherberlyaeva (employee); Gianna Marfoglio (employee); Maureen Bond (Mt Sinai Miller Place Chamber) Yvonne Levine (employee); Jim Carlson (Owner), Connie Marfoglio (employee); Holly Bottiglieri (Mt. Sinai Miller Place Chamber President); Councilwoman Jane Bonner and Jade Noll (employee). 

The studio is open from 7 a.m. to 8 p.m. Mondays through Fridays, 8 a.m. to 1 p.m. on Saturdays, and 8 a.m. to noon on Sundays. For more information, call 631-683-3543.

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ICR Program Team from left, Brittany Decker, LCSW; Christina Di Lieto, RDN, CDN; Neal Patel, MD, FACC, FSCAI, Medical Director of the ICR Program; Jennifer Cain, RN, ICR Program Administrator; Ashley Ryan, Unit Coordinator; Veronica Barat, MS, CEP, CISSN. Photo from North Suffolk Cardiology

North Suffolk Cardiology, a practice of Stony Brook Medicine Community Medical Group, has recently launched its Pritikin Intensive Cardiac Rehabilitation Program (ICR). The first-of-its-kind initiative on Long Island marks a significant milestone in North Suffolk Cardiology’s mission, continuing its longstanding tradition of pioneering cardiac care. 

“Unlike traditional cardiac rehab programs which are primarily exercise-focused, North Suffolk Cardiology’s ICR program offers patients comprehensive lifestyle education at every visit, plus one-on-one access to a multidisciplinary cardiac care team in a state-of-the-art location,” said Neal Patel, MD, ICR Program Medical Director at North Suffolk Cardiology. “Through dynamic interaction with a cardiac nurse, exercise physiologist, nutritionist and licensed clinical social worker, an individualized cardiac wellness plan is created, and patients are taught specific lifestyle methods to enact meaningful change.”  

This program complements the existing comprehensive cardiac services offered by North Suffolk Cardiology, whose mission is to provide full-service exceptional cardiac care to improve a patient’s quality of life. The practice now offers an expanded array of services tailored to a patient’s unique care plan following a cardiac condition or procedure.  

“This groundbreaking program will serve as a tremendous resource to our patients, families and community — both through its ability to help people live heart-healthy lives and because of the expertise, advanced approaches and compassion of North Suffolk Cardiology’s physicians and staff,” said William Wertheim, MD, MBA, Interim Executive Vice President for Stony Brook Medicine and President of Stony Brook Medicine Community Medical Group. “I am so proud that this program is part of Stony Brook Medicine.” 

Located at 45 Research Way, Suite 108 in East Setauket, North Suffolk Cardiology is currently accepting new patients. For appointments, call 631-941-2000. For more information, visit northsuffolkcardiology.com.

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Blueberries have been known to lower blood pressure. METRO photo
Over 77 percent of hypertension is uncontrolled.

By David Dunaief, M.D.

Dr. David Dunaief

You would think that, with all the attention we place on hypertension and all the medications in the market that focus on reducing it, we would be doing better in the U.S., statistically.

According to the latest data, almost 120 million U.S. adults, or 48.1 percent of the population, suffer from hypertension (1). Of these, only 22.5 percent have their blood pressure controlled to less than 130/80 mmHg.

For the remaining 92.9 million affected, their risk of complications, such as cardiovascular events and mortality, is significantly higher.

What has the greatest impact on your risk of developing hypertension?

In an observational study involving 2,763 participants, results showed that the top three influencers on the risk of developing high blood pressure were eating a poor diet, with 2.19 times increased risk; being at least modestly overweight, with 1.87 times increased risk; and cigarette smoking, which increased risk 1.83 times (2).

What increases our risk of hypertension complications?

Being significantly overweight or obese, smoking, poor diet, lack of exercise, family history, age, increased sodium, depression, diabetes, low vitamin D, and too much alcohol are some of the factors that increase our risk (3). The good news is that you can take an active role in improving your risk profile (4).

Who is at greater risk of complications, men or women?

One of the most feared complications of hypertension is cardiovascular disease. A study found that isolated systolic (top number) hypertension increased the risk of cardiovascular disease and death in both young and middle-aged men and women between 18 and 49 years old, compared to those who had optimal blood pressure (5). The effect was greatest in women, with a 55 percent increased risk of cardiovascular disease and 112 percent increased risk of heart disease death. 

High blood pressure complications were not affected by onset age. Though this study was observational, it was very large and had a 31-year duration.

When is the best time to measure blood pressure?

Measuring blood pressure in the clinic can be useful. However, in a meta-analysis of nine studies, results showed that high blood pressure measured at nighttime was potentially a better predictor of myocardial infarctions (heart attacks) and strokes, compared to daytime and clinic readings (5).

For every 10 mmHg rise in nighttime systolic blood pressure, there was a corresponding 25 percent increase in cardiovascular events.

Does this mean that nighttime readings are superior in predicting risk? Not necessarily, but the results are interesting. The nighttime readings were made using 24-hour ambulatory blood pressure measurements (ABPM).

Masked uncontrolled hypertension (MUCH) is a factor that may increase the risk of cardiovascular events in the nighttime. MUCH occurs in those who are well-controlled during clinic readings for blood pressure; however, their nocturnal blood pressure is uncontrolled. In the Spanish Society of Hypertension ABPM Registry, MUCH was most seen during nocturnal hours (6). 

The authors suggest that ABPM may be a better way to monitor those with higher risk factors for MUCH, such as those whose pressure is borderline in the clinic and those who are smokers, obese or have diabetes.

A previous study of patients with chronic kidney disease (CKD) and hypertension suggested that taking at least one antihypertensive medication at night may be more effective than taking them all in the morning (7). Those who took one or more blood pressure medications at night saw a two-thirds reduction in cardiovascular event risk. This could help explain those results.

Do berries help control blood pressure?

Diet plays an important role in controlling high blood pressure. Of course, lowering sodium is important, but what about adding berries?

In a study, 22 grams of blueberry powder consumed daily, equivalent to one cup of fresh blueberries, reduced systolic blood pressure by a respectable 7 mmHg and diastolic blood pressure by 5 mmHg over 2 months (8).

This modest amount of fruit had a significant impact in a small, preliminary, double-blind, placebo-controlled randomized trial. Blueberries increase nitric oxide, which helps blood vessels relax and reduces blood pressure. While the study used powder, it’s possible that an equivalent amount of real fruit could lead to an even greater reduction.

In conclusion, high blood pressure and resulting cardiovascular complications can be scary, but lifestyle modifications, such as making dietary changes and taking antihypertensive medications at night, can have a big impact in reducing your risks.

References:

(1) millionhearts.hhs.gov. (2) BMC Fam Pract 2015;16(26). (3) uptodate.com. (4) Diabetes Care 2011;34 Suppl 2:S308-312. (5) J Am Coll Cardiol 2015;65(4):327-335. (6) Eur Heart J 2015;35(46):3304-3312. (7) J Am Soc Nephrol 2011 Dec;22(12):2313-2321. (8) J Acad Nutr Diet 2015;115(3):369-377.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.

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Key changes can significantly reduce heart disease risk. METRO photo

By David Dunaief, M.D.

Dr. David Dunaief

In February, we celebrate Valentine’s Day, a celebration of those we love, alongside American Heart Month, an invitation for us to build our awareness of heart-healthy habits.

The good news is that heart disease is on the decline due to several factors, including improved medicines, earlier treatment of risk factors, and an embrace of lifestyle modifications. While we are headed in the right direction, we can do better. Heart disease is ultimately preventable.

Can we reduce heart disease risks?

Major risk factors for heart disease include obesity, high cholesterol, high blood pressure, smoking and diabetes. Sadly, rates of both obesity and diabetes are rising. For patients with type 2 diabetes, 70 percent die of cardiovascular causes (1).

Key contributors also include inactivity and the standard American diet, which is rich in saturated fat and calories (2). This drives atherosclerosis, fatty streaks in the arteries.

Another potential risk factor is a resting heart rate greater than 80 beats per minute (bpm). In one study, healthy men and women had 18 and 10 percent increased risks of dying from a heart attack, respectively, for every increase of 10 bpm over 80 (3). A normal resting heart rate is usually between 60 and 100 bpm. Thus, you don’t have to have a racing heart rate, just one that is high-normal. All of these risk factors can be overcome.

When does medication help?

Cholesterol and blood pressure medications have been credited to some extent with reducing the risk of heart disease. Compliance with taking blood pressure medications has increased over the last 10 years from 33 to 50 percent, according to the American Society of Hypertension.

Statins have also played a key role in primary prevention. They are effective at lowering lipid levels, including total cholesterol and LDL — the “bad” cholesterol. In addition, they lower the inflammation levels that contribute to cardiovascular disease risk. The Jupiter trial showed a 55 percent combined reduction in heart disease, stroke and mortality from cardiovascular disease in healthy patients — those with a slightly elevated level of inflammation and normal cholesterol profile — with statins.

The downside of statins is their side effects. Statins have been shown to increase the risk of diabetes in intensive dosing, compared to moderate dosing (4). Many who are on statins also suffer from myopathy (muscle pain and cramping).

I’m often approached by patients on statins with this complaint. Their goal when they come to see me is to reduce and ultimately discontinue statins by modifying their diet and exercise plans.

Lifestyle modification is a powerful ally.

How much do lifestyle changes reduce heart disease risk?

The Baltimore Longitudinal Study of Aging investigated 501 healthy men and their risk of dying from cardiovascular disease. The authors concluded that those who consumed five servings or more of fruits and vegetables daily with <12 percent saturated fat had a 76 percent reduction in their risk of dying from heart disease compared to those who did not (5). The authors theorized that eating more fruits and vegetables helped to displace saturated fats from the diet. These results are impressive and, to achieve them, they only required a modest change in diet.

The Nurses’ Health Study shows that these results are also seen in women. Lifestyle modification reduced the risk of sudden cardiac death (SCD) (6). Many times, this is the first manifestation of heart disease in women. The authors looked at four parameters of lifestyle modification, including a Mediterranean-type diet, exercise, smoking and body mass index. There was a decrease in SCD that was dose-dependent, meaning the more factors incorporated, the greater the risk reduction. There was as much as a 92 percent decrease in SCD risk when all four parameters were followed. Thus, it is possible to almost eliminate the risk of SCD for women with lifestyle modifications.

In a cohort study of high-risk participants and those with heart disease, patients implemented extensive lifestyle modification: a plant-based, whole foods diet accompanied by exercise and stress management. The results showed an improvement in biomarkers, as well as in cognitive function and overall quality of life. The best part is the results occurred over a very short period — three months from the start of the trial (7). Outside of this study environment, many of my own patients have experienced similar results.

How do you monitor your heart disease risk?

Physicians use cardiac biomarkers, including blood pressure, cholesterol and body mass index, alongside inflammatory markers like C-reactive protein to monitor your risk. Ideally, if you need to use medications to treat risk factors for heart disease, it should be for the short term. For some patients, it may be appropriate to use medication and lifestyle changes together; for patients who take an active role, lifestyle modifications may be sufficient.

By focusing on developing heart-healthy habits, you can improve the likelihood that you— and those you love — will be around for a long time.

References:

(1) Diabetes Care. 2010 Feb; 33(2):442-449. (2) Lancet. 2004;364(9438):93. (3) J Epidemiol Community Health. 2010 Feb;64(2):175-181. (4) JAMA. 2011;305(24):2556-2564. (5) J Nutr. March 1, 2005;135(3):556-561. (6) JAMA. 2011 Jul 6;306(1):62-69. (7) Am J Cardiol. 2011;108(4):498-507.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.

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A rendering of the new Ronald McDonald House building to be constructed in Stony Brook.

Ronald McDonald House Charities NY Metro (RMHC NYM) announced on Feb. 1 that it will break ground for a new Ronald McDonald House in Suffolk County on April 17, having raised more than $23 million for the project.

“We are thrilled to have achieved this milestone as we push toward making the dream of a Ronald McDonald House a reality for Suffolk County families,” said Cynthia Lippe, who is heading the fundraising effort. “We thank those who have supported us and urge others to join us in this most noble of efforts.”

The new, three-story, 60,000 sq. ft. Ronald McDonald House will be located within walking distance to Stony Brook Children’s Hospital and will be the only one in Suffolk County. It will join two family rooms located at Stony Brook, in the Children’s Hospital (opened in 2013) and the Hospital NICU (opened in 2022). The house will include 30 bedrooms that include ensuite bathrooms, a communal dining room, a movie theater and fitness room, administrative offices and a great room designed with children in mind.

“The Suffolk County Ronald McDonald House has been a vision of ours for many years and is needed to help so many families who travel from the farthest ends of Suffolk to find the medical care their children need,” said Matt Campo, CEO of RMHC NYM. “We’re thrilled to see the end in sight and get ready for construction next year.”

“The new Ronald McDonald House will provide a safe, secure and comfortable environment for families of children who are hospitalized at Stony Brook Children’s Hospital,” said Carol Gomes, chief executive officer of Stony Brook University Hospital. “We are grateful for our long-standing partnership with Ronald McDonald House Charities NY Metro. The facility underscores Stony Brook Medicine’s commitment to offer exceptional care to meet the needs of our patients and their families.”

About Ronald McDonald House Charities NY Metro 

Ronald McDonald House Charities New York Metro (RMHC NYM) provides free lodging, meals, and emotional support to keep families seeking medical treatment for their sick children near the care they need and the families they love.

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METRO photo

Comsewogue Public Library, 170 Terryville Road, Port Jefferson Station invites the community to a presentation titled Heart Healthy Diet on Thursday, Feb. 15 from 7 to 8 p.m. Join cardiologist Jyoti Ganguly, MD to learn the most recent recommendations for a healthy diet to lower your risk of heart disease. Open to all. Call 631-928-1212 or visit www.cplib.org to register.

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Dr. Frank Gress

The prestigious award Master of the American College of Gastroenterology was recently awarded to Mount Sinai South Nassau’s Chief of Gastroenterology and Director of Interventional Endoscopy, Frank Gress, MD, at the 2023 American College of Gastroenterology (ACG) Annual Scientific Meeting in Vancouver, Canada.

The title of “Master” is an honorary designation granted by the ACG, recognizing significant career achievements in clinical practice, research, education, and service to the field of gastroenterology. Recipients are considered leaders and influencers, contributing to the ACG’s mission of promoting the highest standards in patient care and digestive health.

“I am humbled and honored by this award,” Dr. Gress, a resident of Smithtown, said. “This award not only reflects on my efforts but on those of our entire gastroenterology team at Mount Sinai South Nassau. We are focused on advancing the field—and on the care we provide to our patients we see each and every day, keeping them as our primary focus.”

“We applaud Dr. Gress for his leadership, exemplary career in gastroenterology, and development of Mount Sinai South Nassau’s gastroenterology and interventional endoscopy programs,” said Adhi Sharma, MD, President of Mount Sinai South Nassau. “He is truly dedicated to improving patient care and educating our residents and fellows and is respected by his peers and valued by his patients and their families, both for his insight and compassion.”

Dr. Gress is Program Director, Gastroenterology Fellowship at Mount Sinai South Nassau. He also serves as the lead for therapeutic endoscopy for the Mount Sinai Health System on Long Island and is Professor of Medicine (Gastroenterology) at the Icahn School of Medicine at Mount Sinai. Board certified in gastroenterology, Dr. Gress has contributed significantly to advancing interventional gastroenterology, and especially endoscopic ultrasound for diagnosing and treating gastrointestinal conditions.

He completed his medical degree at the Mount Sinai School of Medicine and completed residency training in internal medicine at Montefiore Medical Center in New York, NY. He completed two fellowships, one in gastroenterology and hepatology at SUNY Downstate Medical Center/The Brooklyn Hospital Center in Brooklyn, and another in advanced therapeutic endoscopy at Indiana University Medical Center (IUMC) in Indianapolis, Indiana.

It was at IUMC that Dr. Gress developed his interest in the emerging technology of endoscopic ultrasound (a minimally invasive procedure to assess diseases of the digestive tract and other nearby organs and tissues). He has contributed significantly to advancing the technology from a diagnostic modality to an interventional platform. This includes techniques for fine needle aspiration (to remove fluid or tissue samples for biopsy) and endoscopic ultrasound-guided (EUS) celiac plexus block (to control pain associated with chronic pancreatitis) as well as EUS-guided celiac plexus neurolysis (a technique used to reduce pain associated with pancreatic cancer).

In addition to his vital clinical endoscopic research, Dr. Gress has contributed to developing guidelines and programs for advanced endoscopy training. He has published more than 100 original research articles in peer reviewed journals and numerous invited book chapters and editorials, and has edited two highly regarded EUS textbooks: Endoscopic Ultrasonography 4e and the Atlas of Endoscopic Ultrasonography 3e, and co-edited another textbook on pancreatic disease, Curbside Consultations of the Pancreas. He also has helped educate the community during the hospital’s annual colon cancer awareness media briefing, urging the public to undergo colonoscopy screenings based on age and family history.

Dr. Gress has extensive clinical and research experience in pancreatic disease, gallbladder/bile duct diseases, esophageal disorders, and the endoscopic diagnosis and management of GI malignancies. He has participated in numerous multicenter and collaborative studies involving such areas as endoscopic retrograde cholangiopancreatography (a procedure used to identify the presence of stones, tumors, or narrowing in the biliary and pancreatic ducts), endoscopic surgical techniques, and pancreatitis.

Dr. Gress has served in leadership roles with all the national GI societies, including the ACG, the American Society for Gastrointestinal Endoscopy, and the American Gastroenterological Association, as well as with the American College of Physicians. He currently serves on the ACG Innovation and Technology Committee and is the ACG Governor, representing Long Island, and is past president of the New York Society of Gastrointestinal Endoscopy

About Mount Sinai South Nassau

The Long Island flagship hospital of the Mount Sinai Health System, Mount Sinai South Nassau is designated a Magnet® hospital by the American Nurses Credentialing Center (ANCC) for outstanding nursing care. Mount Sinai South Nassau is one of the region’s largest hospitals, with 455 beds, more than 900 physicians and 3,500 employees. Located in Oceanside, New York, the hospital is an acute-care, not-for-profit teaching hospital that provides state-of-the-art care in cardiac, oncologic, orthopedic, bariatric, pain management, mental health, and emergency services and operates the only Trauma Center on the South Shore of Nassau County, along with Long Island’s only free-standing Emergency Department in Long Beach.

In addition to its extensive outpatient specialty centers, Mount Sinai South Nassau provides emergency and elective angioplasty, and offers Novalis Tx™ and Gamma Knife® radiosurgery technologies. Mount Sinai South Nassau operates the only Trauma Center on the South Shore of Nassau County verified by the American College of Surgeons as well as Long Island’s only free-standing, 9-1-1 receiving Emergency Department in Long Beach. Mount Sinai South Nassau also is a designated Stroke Center by the New York State Department of Health and Comprehensive Community Cancer Center by the American College of Surgeons; is an accredited center of the Metabolic and Bariatric Surgery Association and Quality Improvement Program; and an Infectious Diseases Society of America Antimicrobial Stewardship Center of Excellence.

For more information, go to www.mountsinai.org/southnassau.

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