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After a November and December in which realities like a “tridemic” of viral threats sickened residents throughout Suffolk County, the new year has started off with fewer illnesses and cautious optimism among health care professionals.

“The numbers are coming down now,” said Dr. Sharon Nachman, chief of the Division of Pediatric Infectious Diseases at Stony Brook Children’s Hospital. The overall threat is “less” and “we’re in the take-a-deep-breath phase.”

Indeed, the frequency of cases of several viruses is lower.

“Flu and RSV (respiratory syncytial virus) are down,” Dr. Adrian Popp, chair of Infection Control at Huntington Hospital/Northwell Health and associate professor of medicine at Hofstra School of Medicine, explained in an email.

At the Catholic Health hospitals, including Port Jefferson-based St. Charles and Smithtown-based St. Catherine of Siena Hospital, the emergency room visits are down around 10% from a few weeks ago, said Dr. Jeffrey Wheeler, medical director of the Emergency Department at St. Charles.

In between too busy and too quiet, the hospital is in the “sweet spot” where health care providers have enough to do without frantically racing from one emergency to another, Wheeler said.

Among those visiting St. Charles, Wheeler added that health care providers are seeing a smattering of illnesses.

At the same time, the vaccine for the flu has proven to be a “good match” for the current strain, Nachman said. “Amongst those who did the flu shot, they have tended to not get sick enough to go to the doctor.”

According to New York State Department of Health figures, the overall numbers across the state have been declining for the flu. For the week ending Jan. 14, the number of infections was cut in half.

Suffolk County saw a slightly larger drop, falling 59% for the same week, to 571.

This year, people who were going to get the flu vaccine may have helped themselves and their families by getting the shot earlier, rather than dragging out the process of boosting their immune systems over the course of months. Nachman said.

Cases of monkeypox continue to be on the lower side, in part because of the number of vaccines people in the area have received.

To be sure, health care workers are still helping people overcome a range of infections circulating in the county.

“We are still seeing a smorgasbord of flu, COVID and RSV,” said Nachman. Of the people admitted to Stony Brook Hospital, most of them have a comorbidity.

At Huntington Hospital, admissions are “high,” and the hospital census remains high, Popp added.

Health care workers are diagnosing viruses like the flu and COVID-19 and have used available treatments to reduce the symptoms and the spread of these viruses.

New COVID vaccine approach

Earlier this week, the Food and Drug Administration posted documents online that reflected a possible future change in its approach to COVID-19 vaccinations.

Instead of recommending bivalent boosters or a range of ongoing vaccinations to provide protection against circulating strains, the FDA plans to approach COVID-19 vaccinations in the same way as the flu.

Each year, people who are otherwise healthy and may not have high risks may get a single dose of a vaccine based on the strains the administration anticipates may circulate, particularly during the colder winter months.

Health care professionals welcomed this approach.

Nachman and Popp thought a single shot would be “great” and appreciated how the annual vaccine would simplify the process while reducing inoculation fatigue.

“The simplest messages with the simplest strategy often wins,” Nachman said.

Bivalent booster concern

Addressing concerns raised by the Centers for Disease Control and Prevention about a potential link between the bivalent booster and stroke, Nachman suggested that was one data point among many.

Israel has used the Pfizer bivalent booster exclusively and hasn’t seen any such evidence linking the booster to stroke.

The CDC data is “one of multiple data points that we use to look at safety events,” she said. “Not a single other one has shown any relationship with stroke among the elderly in the first 21 days.”

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A poor diet can increase your risk for high blood pressure. METRO photo
Medication timing has a significant effect on cardiovascular risk

By David Dunaief, M.D.

Dr. David Dunaief

We are at the point in the year when many of us are taking stock of how we’ve fared over our last trip around the sun. 

If you are one of the 47 percent of U.S. adults over the age of 18 with hypertension, also known as high blood pressure, you don’t want to be one of the 92 million whose hypertension is uncontrolled (1). When it’s not controlled, you increase your probability of complications, such as cardiovascular events and mortality.

What contributes to our risk of hypertension complications?

Being significantly overweight or obese, smoking, poor diet, lack of exercise, family history, age, increased sodium, depression, low vitamin D, diabetes and too much alcohol are some of the factors that increase our risk (2). The good news is that you can take active steps to improve your risk profile (3).

Of course, antihypertensive (blood pressure) medications treat this disorder. In addition, some nonpharmacological approaches have benefits.

Which risk factors have the greatest impact on developing hypertension?

A poor diet can increase your risk for high blood pressure. METRO photo

In an observational study involving 2,763 participants, results showed that those with poor diets had 2.19 times increased risk of developing high blood pressure. This was the greatest contributor to developing this disorder (4). Another risk factor with a significant impact was being at least modestly overweight (BMI >27.5 kg/m²), which put participants at 1.87 times increased risk. This, surprisingly, trumped cigarette smoking, which increased risk by 1.83 times. 

What effect does your gender, age or race have?

While the data show that more men than women have hypertension, 50 percent vs. 44 percent, and the prevalence of high blood pressure varies by race, the consequences of hypertension are felt across the spectrum of age, gender and race (5).

One of the most feared complications of hypertension is cardiovascular disease. In a study, isolated systolic (top number) hypertension was shown to increase 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 (6). The effect was greatest in women, with a 55 percent increased risk in cardiovascular disease and 112 percent increased risk in heart disease death. 

High blood pressure has complications associated with it, regardless of onset age. Though this study was observational, it was very large and had a 31-year duration.

Are nighttime blood pressure readings better risk predictors?

Measuring blood pressure in the clinic can be useful. However, in a meta-analysis (involving nine studies from Europe, South America and Asia), 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 (6).

For every 10 mmHg rise in nighttime systolic blood pressure, there was a corresponding 25 percent increase in cardiovascular events. This was a large meta-analysis that utilized studies that were at least one year in duration.

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).

There is something referred to as masked uncontrolled hypertension (MUCH) 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 commonly seen during nocturnal hours (7). Thus, the authors suggest that ABPM may be a better way to monitor those who have 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 suggested that taking at least one antihypertensive medication at night may be more effective than taking them all in the morning (8). Those who took one or more blood pressure medications at night saw a two-thirds reduction in cardiovascular event risk. Now we can potentially see why. These were patients who had chronic kidney disease (CKD). Generally, 85 to 95 percent of those with CKD have hypertension.

Do blueberries help control blood pressure?

Diet plays a role in controlling high blood pressure. 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 (9).

This is a modest amount of fruit with a significant impact, demonstrating exciting results in a small, preliminary, double-blind, placebo-controlled randomized trial. Blueberries increase nitric oxide, which helps blood vessels relax, reducing blood pressure. While the study used powder, it’s possible that an equivalent amount of real fruit would lead to greater reduction.

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

References:

(1) millionhearts.hhs.gov. (2) uptodate.com. (3) Diabetes Care 2011;34 Suppl 2:S308-312. (4) BMC Fam Pract 2015;16(26). (5) cdc.gov. (6) J Am Coll Cardiol 2015;65(4):327-335. (7) Eur Heart J 2015;35(46):3304-3312. (8) J Am Soc Nephrol 2011 Dec;22(12):2313-2321. (9) 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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Suffolk County Executive Steve Bellone has announced that the County will host a free test kit and KN95 mask distribution event on January 24 between noon and 6 p.m. in the lobby of the H. Lee Dennison Building, located at 100 Veterans Memorial Highway in Hauppauge.  Approximately 1,000 test kits and nearly 1,000 KN95 mask will be available for residents to pick up.

All Suffolk County residents are encouraged to attend to obtain kits for their household. Each resident is eligible to pick up two test kits per household member. Test kits will be distributed on a first-come, first-served basis.

“While many of us have resumed daily life, living with COVID-19, it is still important that everyone has access to the tools available to prevent exposure and spread,” said Suffolk County Executive Steve Bellone. “As we continue to see new variants, it is clear that availability to test kits is imperative as we work to keep this virus under control.”

“Testing is still crucial to slowing the transmission of the SARS-CoV-2 virus. When we test positive early in the course of illness, we have the opportunity to seek treatment to prevent the worst outcomes from COVID infection, and can limit the spread of the virus to others,” added Dr. Gregson Pigott, Suffolk County Health Commissioner.

Together, with local municipalities, County legislators, the Suffolk County Police Department, community groups, not-for-profits and more, the County has distributed approximately 660,680 test kits to residents, including seniors, first responders and other vulnerable populations.

Suffolk Health is also offering COVID-19 vaccines and boosters to all Suffolk County residents who are eligible to receive them. Childhood vaccinations are also offered for children who are uninsured. Walk-ins are welcome.

County clinic dates and times are available as follows:

January 24 from 11 a.m. to 3 p.m. at Sachem Library, 150 Holbrook Road, Holbrook

January 25 from 11 a.m. to 3 p.m. at Riverhead Library, 330 Court St., Riverhead

January 31 from 12:30 p.m. to 3:30 p.m. at West Babylon Library, 211 Route 109, West Babylon

For more information, call 631-853-4000.

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Mather Hospital

Port Jefferson’s Mather Hospital is one of America’s 250 Best Hospitals for 2023, according to new research released by Healthgrades, the leading marketplace connecting doctors and patients. This achievement puts Mather Hospital in the top five percent of hospitals nationwide for overall clinical performance across the most common conditions and procedures. 

“We are honored by this major recognition by Healthgrades of Mather Hospital’s record of  clinical excellence” said Mather Hospital Executive Director Kevin McGeachy. “Given the challenges of the last few years due to the COVID-19 pandemic, distinctions such as these demonstrate our ongoing commitment to quality patient care.”

 Mather Hospital also received the 2023 America’s 100 Best Hospitals for Gastrointestinal Surgery Award™, the 2023 Gastrointestinal Care Excellence Award™, the 2023 Gastrointestinal Surgery Excellence Award™, the 2023 Critical Care Excellence Award™.  Mather Hospital also received the Pulmonary Care Excellence Award™ for an 8th consecutive year (2016-2023) and the Bariatric Surgery Excellence Award™ for a fifth year in a row (2019-2023).  In 2022, Mather Hospital was also recognized with the Outstanding Patient Experience Award™ and was among the Top 5 percent of hospitals in the nation for  patient experience. 

Healthgrades evaluated patient mortality and complication rates for 31 of the most common conditions and procedures at nearly 4,500 hospitals across the country to identify the top-performing hospitals. This year’s analysis revealed significant variation between America’s Best 250 Hospitals and hospitals that did not receive the distinction. In fact, if all hospitals performed similarly to America’s 250 Best, over 160,000 lives could have been saved.* Patients treated at one of the 2023 America’s 250 Best Hospitals have, on average, a 28.7 percent lower risk of dying than if they were treated at a hospital that did not receive the America’s 250 Best Hospitals award.*

Mather Hospital also ranks third in gastrointestinal surgery and fourth for critical care in New York according to a new analysis released by Healthgrades. Mather also received the 2023 America’s 100 Best Hospitals for Gastrointestinal Surgery Award™ and the Critical Care Excellence Award™. To determine this year’s State Ranking recipients, Healthgrades evaluated clinical performance for nearly 4,500 hospitals nationwide focusing on 18 key specialties across a mix of chronic, urgent, and surgical specialty areas.  

“Excellence in health care and patient safety are built into the culture at Mather Hospital,” said Chief Medical Officer and Senior VP Joan Faro, MD. “All team members are focused on supporting the practices of a highly reliable organization to achieve our goals. I congratulate our physicians, nurses and all our team members for this prestigious award.”  

Mather in 2022 received its third Magnet® Recognition for quality patient care and nursing excellence and was one of only 29 hospitals nationwide to receive the Emergency Nurses Association Lantern Award for demonstrating exceptional and innovative performance in leadership, practice, education, advocacy, and research. Mather also received a gold-level Beacon Award for Excellence for its Critical Care team from the American Association of Critical-Care Nurses.

“We’re proud to recognize Mather Hospital as one of America’s 250 Best Hospitals for 2023,” said Brad Bowman MD, Chief Medical Officer and Head of Data Science at Healthgrades. “As one of America’s 250 Best Hospitals, Mather Hospital consistently delivers better-than-expected outcomes for the patients in their community and is setting a high national standard for clinical excellence.”

Visit Healthgrades.com/quality/americas-best-hospitals for an in-depth look at Mather Hospital’s performance and profile to explore the highest quality care in Port Jefferson today. Consumers can also visit Healthgrades.com for more information on how Healthgrades measures hospital quality, and access the complete methodology here. A patient-friendly overview of the complete methodology is available here. 

*Statistics are based on Healthgrades analysis of MedPAR data for years 2019 through 2021 and represent three-year estimates for Medicare patients only. 

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About Mather Hospital

Mather Hospital is an accredited 248-bed, non-profit community teaching hospital dedicated to providing a wide spectrum of high-quality health care services to Suffolk County residents, showing compassion, respect and treating each patient in the manner we would wish for our loved ones. Mather has earned the prestigious Magnet® recognition from the American Nurses Credentialing Center, which recognizes healthcare organizations for quality patient care, nursing excellence and innovations in professional nursing practice. Our Graduate Medical Education program prepares physicians for future careers through Internal Medicine, Transitional Year, Diagnostic Radiology, Interventional Radiology, and Psychiatry residency programs and gastroenterology and hematology/oncology fellowships. Mather was 

rated high performing by U.S. News & World Report hospital rankings in heart failure, geriatrics, kidney failure, orthopedics, hip fracture, COPD, and urology. For information about Mather Hospital, visit matherhospital.org or follow us @MatherHospital on Facebook.

About Northwell Health
Northwell Health is New York State’s largest health care provider and private employer, with 21 hospitals, about 900 outpatient facilities and more than 12,000 affiliated physicians. We care for over two million people annually in the New York metro area and beyond, thanks to philanthropic support from our communities. Our 83,000 employees – 18,900 nurses and 4,900 employed doctors, including members of Northwell Health Physician Partners – are working to change health care for the better. We’re making breakthroughs in medicine at the Feinstein Institutes for Medical Research. We’re training the next generation of medical professionals at the visionary Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and the Hofstra Northwell School of Nursing and Physician Assistant Studies. For information on our more than 100 medical specialties, visit Northwell.edu and follow us @NorthwellHealth on Facebook, Twitter, Instagram and LinkedIn.

About Healthgrades

Healthgrades is dedicated to empowering stronger and more meaningful connections between patients and their healthcare providers. As the #1 platform for finding a doctor and a leader in healthcare transparency, we help millions of consumers each month find and schedule appointments with their healthcare professional of choice and prepare for their appointments with best-in-class, treatment-focused content.

Our health system, large group practice, and life sciences marketing solutions have been helping our partners reach and engage consumers who are on their way to the doctor for over 20 years.

Healthgrades is part of RVO Health, a partnership between Red Ventures and Optum, part of UnitedHealth Group. RVO Health has the largest consumer health and wellness audience online across its brand portfolio including Healthgrades, Healthline, Medical News Today, Greatist, Psych Central, Bezzy and Platejoy which touch every part of the health and wellness journey. Each month, RVO Health helps more than 100 million unique visitors live their strongest and healthiest lives.

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In order to be aware of potentially adverse events, you have to be your own best advocate and read labels. METRO photo
Recently updated FDA warnings highlight risks

By David Dunaief, M.D.

Dr. David Dunaief

What’s in your medicine cabinet?

Many of us keep a supply of over-the-counter medications for pain relief, fever and inflammation. This could include acetaminophen and a variety of NSDAIDs, such as aspirin, ibuprofen, naproxen sodium and diclofenac sodium.

“NSAIDs” is shorthand for non-steroidal anti-inflammatory drugs, which are available by prescription or over-the-counter (OTC) at your local pharmacy or at any newsstand. Familiar NSAID brand names include Advil, Motrin, Aleve and Voltaren.

Americans consume more than 30 billion doses of NSAIDs a year, including both prescription and OTC use (1). As for acetaminophen, also known by the brand name, Tylenol, one quarter of Americans take it weekly. 

Perhaps because they’re so easy to access and take, many think of these drugs as low risk. According to a poll of regular OTC NSAID users, 60 percent of them were not aware that they can have dangerous side effects (2).

They are so commonplace that most of my patients don’t even include them in a list of medications they take. I need to specifically ask about them.

Why be concerned about NSAIDs?

Unfortunately, NSAIDs, according to the Centers for Disease Control and Prevention, are responsible for 7,600 deaths annually and 10 times that number in hospitalizations (3). 

NSAIDs increase the risk of several maladies, including heart attacks, gastrointestinal bleeding, stroke, exacerbation of diverticular disease, chronic arrhythmias (abnormal heartbeats) and erectile dysfunction. In some instances, the cardiovascular effects can be fatal.

These risks prompted the FDA to strengthen the warning labels on non-aspirin NSAID labels in 2015, advising that those taking NSAIDs should immediately seek medical attention if they experience chest pain, shortness of breath or trouble breathing, weakness in one part or side of their body, or slurred speech (4).

As recently as late 2020, the FDA added a warning label to non-aspirin NSAIDs about the potential for fetal kidney damage and pregnancy complications beginning around week 20 of a pregnancy (4).

Research on NSAID complications

In a case control study using the UK Primary Care Database, chronic users of NSAIDs between ages 40 and 89 had a significantly increased risk of a serious arrhythmia (abnormal heartbeat) called atrial fibrillation (5).

Interestingly, chronic users were defined as patients who took NSAIDs for more than 30 days. Those patients who used NSAIDs more than 30 days had a 57 percent increased risk of atrial fibrillation. A Danish study reinforces these results after the first month of use (6). This is not very long to have such a substantial risk. For patients who used NSAIDs longer than one year, the risk increased to 80 percent. 

Atrial fibrillation is not an easy disease to treat.

NSAIDs also increase the risk of mortality in chronic users. Older patients who have heart disease or hypertension (high blood pressure) and are chronic NSAIDs users are at increased risk of death, according to an observational study (7). Compared to those who never or infrequently used them over about 2.5 years, chronic users had a greater than twofold increase in death due to cardiovascular causes. High blood pressure was not a factor, since the chronic users actually had lower blood pressure. Yet I have seen with my patients that NSAID use can increase blood pressure. 

Is acetaminophen better than NSAIDs?

The Food & Drug Administration announced in 2011 that acetaminophen should not exceed 325 mg every four to six hours when used as a prescription combination pain reliever (4). The goal is to reduce and avoid severe injury to the liver, which can cause liver failure. 

There is an intriguing paradox with acetaminophen: Hospitals typically dispense regular-strength 325-mg doses of the drug, whereas OTC doses frequently are found in extra-strength 500-mg tablets, and often the suggested dose is two tablets, or 1 gram. At the FDA’s request, Tylenol lowered its recommended daily dosage for extra strength Tylenol to no more than 3 grams a day to lower the risk of liver damage.

I have patients who have exceeded this, thinking that, because it is OTC, this is “safe.” Unfortunately, this is not true and can be dangerous.

One study that showed acute liver failure was due primarily to unintentional overdoses of acetaminophen (8). Accidental overdosing is more likely to occur when taking acetaminophen at the same time as a combination sinus, cough or cold remedy that also contains acetaminophen. OTC and prescription cold medications can contain acetaminophen.

Of course, if you already suffer from liver damage or disease, you should consult with your physician before taking any medications.

In order to be aware of potentially adverse events, you have to be your own best advocate and read labels. Remember to tell your physician if you are taking any OTC medications.

If you are a chronic user of NSAIDs or acetaminophen because of underlying inflammation, you may find an anti-inflammatory diet is an effective alternative.

References:

(1) Medscape.com, 2021 Oct 21 (emedicine.medscape.com/article/816117-overview). (2) J Rheumatol. 2005;32;2218-2224. (3) Annals of Internal Medicine, 1997;127:429-438. (4) fda.gov (5) Arch Intern Med. 2010;170(16):1450-1455. (6) BMJ 2011;343:d3450. (7) Am J Med. 2011 Jul;124(7):614-620. (8) Am J Gastroenterol. 2007;102:2459-2463.

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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The outside of Stony Brook University Children's Hospital. Photo from SBUH

Stony Brook Children’s Hospital is now a Certified Duchenne Care Center (CDCC). The accreditation comes from Parent Project Muscular Dystrophy (PPMD), a nonprofit organization leading the fight to end Duchenne muscular dystrophy (DMD). This accreditation makes Stony Brook the only certified center on Long Island and in the NYC metropolitan area, and one of only two centers in New York State.

According to PPMD, Duchenne is the most common muscular dystrophy in children, affecting around one in every 5,000 boys. It is a progressive disorder affecting both skeletal and heart muscles, causing decreasing mobility, and often cardiac and respiratory issues. Duchenne affects mainly boys, and its impact affects all races and cultures. The opening of the Duchenne Care Center at Stony Brook Children’s Hospital marks a new era in the level of care available to patients in the tri-state area.

“We have an extraordinary number of families affected by Duchenne living on Long Island or in the New York City area, and until now, they’ve had to travel quite a distance, even out of state, to access optimal Duchenne care,” said Rachel Schrader, Vice President of Clinical Care and Education at Parent Project Muscular Dystrophy. “We are thrilled to add Stony Brook Children’s Hospital to our growing CDCC network not only because of the amazing work they are doing, but because of the access to care it creates for so many families.”

The Duchenne program at Stony Brook Children’s Hospital is led by program director Dr. Peter Morelli, neuromuscular specialist Dr. Simona Treidler and PNP coordinator Dawn Dawson.

“Treatment to improve mobility and to delay the onset of symptoms, requires a wide variety of treatments and specialist care,” says Dr. Morelli. “At Stony Brook Children’s Hospital, we provide individualized coordinated care for each family across all medical disciplines, to minimize the stress associated with complex disease management, and to enable a faster and more efficient dissemination of information among all involved clinicians and our families.”

For more information, visit stonybrookchildrens.org/specialties-services/clinical-programs/duchenneMD.

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Chantae Sullivan-Pyke, Ob Gyn, Island Fertility

Chantae Sullivan-Pyke, MD, MSTR, FACOG, has joined Island Fertility, a full-service fertility practice in Stony Brook Medicine’s expanding network of community practices and physicians, at Stony Brook Medicine’s Advanced Specialty Care Center in Commack.

Dr. Sullivan-Pyke is double board certified in obstetrics and gynecology and reproductive endocrinology and infertility (REI). She completed her medical degree at Yale School of Medicine, followed by her residency in obstetrics and gynecology at New York – Presbyterian Columbia University Irving Medical Center. In addition, Dr. Sullivan-Pyke completed a subspecialty fellowship training in REI at the University of Pennsylvania. Her long-standing interest in the investigation of clinical questions in the laboratory and bringing answers back to the bedside for clinical practice inspired her to complete a Master of Science degree in Translational Research during her REI fellowship.

“Stony Brook Medicine is thrilled that Dr. Sullivan-Pyke has joined Island Fertility,” said Todd Griffin, MD, MBA, Interim Vice President for Clinical Services and Chair of the Department of Obstetrics, Gynecology and Reproductive Medicine at Stony Brook Medicine. “She is an experienced infertility expert who will continue the outstanding tradition of excellent care provided at Island Fertility. We know our patients will value her expertise as well as the compassionate care she will deliver.”

Before joining Island Fertility, Dr. Sullivan-Pyke spent the past four years caring for patients at Kofinas Fertility Group in New York City, where she was the director of fertility preservation.

“I am excited to join the incredible team at Island Fertility and to continue to provide world-class fertility care to patients across Long Island and New York in a caring and welcoming environment,” said Dr. Sullivan-Pyke.

Island Fertility is accepting new patients and has office hours Monday through Saturday. For more information, call 631-638-4600.

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Photo from Mather Hospital
Photo from Mather Hospital
Photo from Mather Hospital

Mather Hospital in Port Jefferson has earned the prestigious Magnet® recognition from the American Nurses Credentialing Center (ANCC) for the third time. The ANCC designation came with 13 exemplars, examples of excellence in nursing practice.

The Magnet Recognition Program® recognizes health care organizations for quality patient care, nursing excellence and innovations in professional nursing practice. Developed by the ANCC, Magnet is the leading source of successful nursing practices and strategies worldwide. Only 601 hospitals worldwide have earned the Magnet designation.

 “I am thrilled. Thirteen exemplars is beyond expectations,” said Mather Hospital CNO/VP for Nursing Marie Mulligan, PhD, RN. “I am extremely proud of my team and the entire hospital …I am beyond honored and privileged to be the CNO of an organization that far exceeds excellence in nursing practice.”

Mather had previously earned Magnet® recognition in 2013 and 2018.

“This puts us in truly elite company,” said Mather Hospital Executive Director Kevin McGeachy. “Only 3 percent of acute care hospitals in the United States have achieved three or more Magnet® designations. There are approximately 10,000 acute care hospitals in the United States. I couldn’t be prouder of the work that our nursing staff does every day single day to improve patient care and outcomes. We are among the best. Our data shows it.”

“We are very excited for our third Magnet® designation. It means that our nurses and the entire professional team is dedicated to patient care and to excellent outcomes,” said Maureen Altieri, RN, Director of Service Excellence and Magnet® for Mather Hospital. “The fact that we did this during the pandemic is remarkable, that we were able to maintain a high level of care for our patients and their families.”

Research demonstrates that Magnet® recognition provides specific benefits to health care organizations and their communities, such as:

    Improved patient experience

    Better patient outcomes

    Higher job satisfaction among nurses

To achieve Magnet® recognition, organizations must pass a rigorous and lengthy process that demands widespread participation from leadership and staff. This process includes an electronic application, written documentation, an on-site visit, and a review by the Commission on Magnet® Recognition.

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METRO photo

By David Dunaief, M.D.

Dr. David Dunaief

Dear Santa,

It’s been a while since I wrote, and I know you have a lot of last-minute requests at this time of year, so I’ll keep this short.

Kids around the world look to you as a role model for kindness and generosity. That must feel pretty good.

They also marvel at your round belly, claiming that it shakes when you laugh like a bowl full of jelly. Then, they literally feed that belly by setting out cookies and other sweets for you on Christmas Eve.

I have nothing against your round belly, but I’m concerned about the message it sends. We’re currently facing an epidemic of overweight kids and an ever-increasing number of children with type 2 diabetes. According to the CDC, the percentage of children in the U.S. between ages 10 and 19 with type 2 diabetes nearly doubled from 2001 to 2017. You, Santa, with your influence, can help reverse this trend.

Obesity has a much higher risk of shortening a person’s life span, not to mention affecting their quality of life. The most dangerous type of obesity is visceral adipose tissue, which means central belly fat. An easy way to tell if someone is too rotund is if their waistline, measured from the navel, is 40 inches or more for a man and 35 inches or more for a woman. Risks for pancreatic cancer, breast cancer, liver cancer and heart disease increase dramatically with this increased fat.

Santa, here is your opportunity to lead by example (and, maybe by summer, to fit into those skinny jeans you hide in the back of your closet).

Think of the personal advantages of being trimmer. Your joints won’t ache with the winter cold, and you will have more energy. Plus, studies show that, with a diet that emphasizes fruits, vegetables and whole grains, you can reverse clogged arteries and avoid strokes, heart attacks and peripheral vascular disease. With a simple change, like eating a handful of raw nuts a day, you can reduce your heart disease risk significantly.

Losing weight will also change your center of gravity, which will make it easier for you to keep your balance on those steep, icy rooftops.

Exercise will help as well. Maybe this Christmas Eve, you could walk or jog alongside the sleigh for the first continent or so. As you continue to exercise during the “offseason,” you’ll start to tighten your abs and slowly see fat disappear from your midsection.

This might make it easier to steal a base or two during the North Pole Athletic League’s Softball season. The elves don’t even bother holding you on base anymore, do they?

Of course, the cookies don’t help. You might let slip that the modern Santa enjoys fruits, especially berries, and veggies, with an emphasis on cruciferous veggies like broccoli florets dipped in humus, which have substantial antioxidant qualities and can help reverse disease. And, of course, skip putting candy in the stockings. No one needs more sugar, and I’m sure that, over the long night, it’s hard to resist sneaking a few pieces, yourself.

As for your loyal fans, you could place active games under the tree. You and your elves could create an app with workout videos for those of us who need them, and we could follow along as you showed us “12 Days of Workouts with Santa and Friends.” Who knows, you might become the next Shaun T!

You could gift athletic equipment, such as baseball gloves, footballs and basketballs, instead of video games. Or wearable devices that track step counts and bike routes. Or stuff gift certificates for dance lessons into people’s stockings.

As you become more active, you’ll find that you have more energy all year round, not just on Christmas Eve. If you start soon, Santa, maybe by next year, you’ll be able to park the sleigh farther away and skip from chimney to chimney.

The benefits of a healthier Santa will ripple across the world. Your reindeer won’t have to work so hard. You might fit extra presents in your sleigh. And Santa, you will be sending kids and adults the world over the right message about taking control of their health through nutrition and exercise. That’s the best gift you could give!

Wishing you good health in the coming year,

David

P.S. If you have a little extra room in your sleigh, I could use a new pair of batting gloves. I hear the Yankees need help, and I’ve been practicing, just in case.

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.

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People are waiting once again for COVID-19 and other tests at local urgent care centers. File photo by Lina Weingarten

Around this time of year, parking lots are often full.

That’s true of the mall parking lot, as people go out to shop for holiday gifts for their friends and family, but it’s also true, especially this year, for hospitals and urgent care centers.

With the so-called “tridemic,” which is a combination of viruses that typically affect the lungs, including COVID-19, the flu and respiratory syncytial virus (or RSV), infecting people of all ages, the need for health care and medical attention has been high in the weeks leading up to the holidays.

When Dr. Sharon Nachman, chief of the Division of Pediatric Infectious Diseases at Stony Brook Children’s Hospital, arrives at work at 7 a.m., she drives past urgent center parking lots that are “full for a reason. It’s because people are sick” and need medical attention at the start of the day.

Indeed, the combination of the three viruses, as well as other viruses and bacteria in the community such as adenovirus and enterovirus, has made it difficult for some children to attend schools and for adults to go to work.

For the week ending Dec. 10, which is the most recent period for which data is available, Suffolk County reported 3,936 cases of the flu, which is up 35% just from the prior week. The week ending Dec. 10 alone represents more than half of all flu cases for the entire 2019-2020 season, according to data from the New York State Department of Health.

At the same time, COVID and RSV numbers have climbed.

“We almost doubled our COVID census over the last three to four weeks,” Dr. Michael Khlat, chief medical officer at St. Catherine of Siena Hospital in Smithtown, explained in an email. St. Catherine currently has almost 60 COVID-positive patients. Nearly a third of those patients are admitted for COVID and are receiving intravenous remdesivir, while the others are incidental findings in the context of other medical needs.

“What is special about this surge is that it is inclusive of COVID, influenza, rhinovirus as well as RSV,” Khlat wrote. “The symptoms are very similar, and treatments are all supportive at this time.”

Family gatherings at Thanksgiving contributed to the increase, adding “extra turbocharging to the current respiratory viruses,” Nachman said.

The most vulnerable patients are the immunocompromised, patients with diabetes, chronic lung and cardiac disease, obese residents and patients with chronic liver and kidney disease, Khlat added.

Demand for beds

The influx of patients has meant that St. Catherine has had to increase its capacity of staffing using nursing agencies to meet the needs of the community for “seamless, high-quality care,” Khlat explained.

St. Catherine has also added more providers on the medical wards to care for patients and has load balanced patients with their Catholic services partner St. Charles Hospital and other Catholic Health facilities.

Nachman urged residents to see their primary care doctor if they have routine viral symptoms. Coming directly to the emergency room slows the process of delivering urgent care.

To be sure, Nachman urged anyone with chest pains or stroke-like symptoms should head directly to the emergency room.

Nachman said Stony Brook Children’s Hospital is transitioning to a model in which they triage patients who walk into the ER to assess the need for services.

As people prepare for family gatherings, Nachman suggested that they evaluate the risks of interacting with others.

People with an immune deficiency might want to wear masks or speak outside with others, particularly if someone in the group had one of the respiratory viruses.

Viruses like RSV are generally contagious for about three to eight days, according to the Centers for Disease Control and Prevention.

RSV spreads through close contact, which means that passing someone in a supermarket won’t likely spread the virus, while sitting and doing homework or eating a meal next to someone could.

As for COVID, Nachman continued to urge people to get the bivalent booster shot.

Every study, she said, shows that the booster drastically reduces the risk of being hospitalized with COVID.

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