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Stony Brook Medicine

Dr. Frank S. Darras presents a signed baseball from the Stony Brook Medicine kidney transplant program to the 1969 World Champion Miracle Mets player Edward Kranepool. Photo from Stony Brook University

Ed Kranepool has proven once again that miracles do happen, especially when one is part of a team.

The former baseball player, who was a member of the Miracle Mets in 1969, received a new kidney last week at Stony Brook University Hospital thanks to a kidney paired exchange. Kranepool said before the transplant he had two teams — his family, and the Mets organization.

Dr. Frank S. Darras, medical director of Transplantation Services, back row left, and Dr. Wayne Waltzer, director of Kidney Transplantation Program, back row right, discuss four life-changing kidney swap surgeries in one day May 10. Photo from Stony Brook Medicine

“Now I have an extended team,” he said. “I have our donors here today who certainly without them this program doesn’t exist, and you have to be forever grateful to them.”

Kranepool, 74, received a kidney from Deborah Barbieri, who was hoping to donate a kidney to her husband, but it turned out she wasn’t a match for him due to their different blood types. However, it turned out she was a match with Kranepool. Her husband Al Barbieri received a kidney the same day donated from Port Authority police officer Brian Cooney.

At a May 10 press conference at the hospital, three days after Kranepool, the Barbieris and Cooney underwent their procedures, they joined Dr. Frank Darras, medical director of Transplantation Services, and Dr. Wayne Waltzer, director of Kidney Transplantation Program, to discuss their experiences.

Darras said many with a need for a new kidney are on a waiting list for months or even years. More than 113,000 Americans are waiting for a transplant of some kind, and 80,000 are waiting for a kidney transplant. Out of those 80,000, 8,000 of them live in New York state.

He said many times a family member or friend wants to help a patient, but their blood types don’t match, like in the case of the Barbieris, or the potential donor has health problems of their own. Because of those long odds, he called the donors heroes.

“They do this to help somebody else,” Darras said.

He said Cooney’s altruistic call to the program set the paired exchange chain in motion.

“With that came the reality that we can do a paired exchange, because when he was tested the highest person of his blood type, blood type A, was Mr. Barbieri,” Darras said. “So, then we looked at his wife, who had been a willing donor for a couple of months as blood type AB, which is the most uncommon blood type, and we ran the AB blood list, and Mr. Kranepool was the highest on the AB list with the longest waiting time. So that’s what triggered us to get to this point today.”

The doctor said after the surgery, the remaining kidney of Cooney and Deborah Barbieri would grow and compensate to do 75-80 percent of the work, and there is no significant decrease in life expectancy or increase in kidney failure. He said patients have lived entire lives with a sole kidney, and those who receive one before undergoing dialysis treatments tend to do better. Kranepool was not at the point where he needed dialysis, and Darras said it would have been difficult for him due to high blood pressure and diabetes. A patient on dialysis can gain another five to seven years, while one who receives a new kidney can live another 15 years or more.

Waltzer added there is a discrepancy between those who need a kidney and those who donate. In 2018 there were only 1,619 living donor transplants in the state of New York and 1,047 deceased organ donors. He said the national visibility that Kranepool has given the cause could benefit everyone in need of an organ.

Cooney, 45, a former NYPD officer, said when he responded to Ground Zero after the World Trade Center terrorist attacks Sept. 11, 2001, he witnessed devastation and, in the years that followed, more tragedy as first responders died from 9/11-related diseases. He said he realized how fortunate he is.

“I’d have a blessed life and a blessed career,” Cooney said. “I have very few problems to speak of and nothing to complain about.”

“It’s very difficult to see when you sit there with people who are next to you one day in the chair, and the next day they’re not there.”

— Al Barbieri

It was a few months ago he placed a call to the transplant center, and he said a few days after a visit to the hospital for a general checkup and consultation, he received the call that he was a match for someone.

“Sure enough I was able to set a chain in motion,” he said.

Al Barbieri, a volunteer firefighter in Glenwood Landing since 1982, said he was grateful for all the help in him getting his new kidney. He was placed on dialysis in 2016, four hours at a time, and he has seen many fellow patients lose their battles against kidney disease.

“It’s very difficult to see when you sit there with people who are next to you one day in the chair, and the next day they’re not there,” he said.

At the brink of crying, the organ recipient said he felt fortunate that he could now see his children graduate and be able to go to their weddings and meet his future grandchildren one day.

“Police officers are here in the world today, so firefighters can have heroes too,” he said.

Deborah Barbieri said that dialysis had made it difficult for the couple to go places, especially on vacation, something both of them are looking forward to doing once again.

“I decided to take a shot and go on the list, and it’s the best thing I ever did,” she said.

Kranepool said he felt fortunate to have Deborah Barbieri and Cooney step forward, and he wants to see the same happen for others by continuing to raise awareness. Last year, the former Mets player held press conferences around Long Island to urge residents to sign organ donation forms, and he said he plans to continue spreading the word about the importance of organ donations.

“You get that call,” he said. “I mean, they saved your life.”

This summer, Kranepool said he’s looking forward to spending time in the Hamptons with his wife, and also celebrating in the 50th anniversary of the Miracle Mets in June.

On the day he received the call that there was a donor for him, Kranepool said he had just finished telling his wife to stay positive about his situation. Then 10 minutes later the phone rang.

“It was like magic,” he said. “Something really happened right there.”

Dr. David Fiorella with patient Danielle Santilli who received a new treatment for aneurysms. Photo by Greg Filiano

By Daniel Dunaief

desk@tbrnewsmedia.com

Danielle Santilli grappled with numerous discomforts, from headaches to nausea to dizziness, especially when she traveled in a car or stood up quickly. After a series of tests, however, she learned she had a wide-necked bifurcation aneurysm, which is one of the more common types of aneurysms.

A diagnosis that has potentially severe consequences, an aneurysm is an area in a blood vessel that grows like a balloon. If it ruptures, it can cause dangerous bleeding.

Santilli became a patient of Stony Brook Medicine’s interventional radiologist and professor of neurological surgery and radiology David Fiorella. Santilli was thrilled with the timing, as Fiorella was a co-principal investigator on a recently completed U.S. Food and Drug Administration study for a minimally invasive surgical technique that involves implanting a Woven EndoBridge or WEB.

“I feel very fortunate,” Santilli said of the opportunity to be one of the first to receive the treatment.

The FDA approved the use of the WEB in January. European doctors have used it effectively since 2011.

The WEB is a spherical structure that’s braided out of fine-shaped memory filaments of metal called nitinol, which is a combination of nickel and titanium. The WEB behaves more like a rubber band than a paper clip and wants to return to its original shape. Doctors insert it into a microcatheter in the femoral artery near the groin. Once they release it in an aneurysm and stretch it out, the WEB expands into a spherical shape inside the blood vessel.

The body grows new tissue over the aneurysm neck along the metal mesh, which is akin to sealing off a well.

The alternative for people with this type of aneurysm can often involve more invasive, open-brained surgery, Fiorella said.

The procedure takes about 40 minutes and often requires a one-night hospital stay. Patients with a WEB procedure also require aspirin for a short period, compared with six months of a blood thinner and then aspirin for much longer periods for other surgical alternatives.

Fiorella explained that there were two types of aneurysms. An unruptured version typically doesn’t have any symptoms. Doctors usually discover these through a screening for other symptoms or because of a family history. Patients in this group sometimes receive scans for different and unrelated reasons.

Robert Walsh, a 66-year-old retiree and resident of South Jamesport, went to a doctor to check himself out after his younger sister died earlier this year from an aneurysm. Tests revealed that he, too, had an aneurysm.

A month after his sister died, Walsh had the WEB procedure.

Fiorella and his staff “are probably the best I’ve ever encountered,” Walsh said. “I’m impressed with him and his entire staff for everything they did, with follow-ups, calling in prescriptions, getting my pre-op ready. I have a lot of confidence in Dr. Fiorella.”

People with a ruptured aneurysm are dealing with bleeding into their brain. This typically causes symptoms like the worst headache people have ever had, vomiting or a loss of consciousness of rapid neurological deterioration.

The survival rate for people in these circumstances is lower and depends on whether they make it to the hospital.

The WEB is helpful for patients who have a ruptured aneurysm. Other techniques, such as stents, are not usable for patients under these conditions.

“A lot of other tools are off the table” with a ruptured aneurysm, but the WEB is “very effective,” Fiorella said.

Some potential patients with a wide-necked bifurcation may not be good candidates for a WEB because their aneurysm is too small or too large for the device.

Stony Brook has extensive experience with the WEB. Doctors who want to perform a similar procedure at other hospitals need extensive training from experienced physicians who can prepare them for the procedure.

Long Island residents should know they have a “major center right here that’s doing work that surpasses anything going on in Long Island or, in most cases, in the city” with endovascular surgery, Fiorella said.

Santilli feels the doctor “saved my life,” and is delighted that she “doesn’t have to worry about using a blood thinner.”

The procedure changed the way Santilli and her family live. They are making healthier lifestyle choices. She and her husband Frank are cutting back on smoking, and she is also buying fruit instead of sugary snacks for the house.

Santilli said she feels fortunate that Fiorella was able to perform the procedure.

“I feel like I got a second chance,” she said.

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The Ward Melville Heritage Organization hosted A “Taste” of Stony Brook Village … Ladies Night In! Feb. 26 at WMHO’s Educational & Cultural Center. Gloria Rocchio, president of WMHO, said the organization reached the event fundraising goal of $5,000 for breast cancer research at Stony Brook Medicine.

The night featured a fashion show celebrating clothing store Chico’s 25th anniversary in Stony Brook Village Center, which was the chain’s first one in New York.

The night also included music by Roberta Fabiano, food sampling, hair and virtual reality demonstrations, raffles, giveaways and raffle baskets. Members of Roseland School of Dance were on hand to teach attendees how to dance the Macarena and the cha-cha slide, too.

Rocchio said WMHO raised $45,000 during its Walk for Beauty at the Stony Brook Village Center Oct. 21. She said the organization plans to present a check for $50,000 to Stony Brook Medicine in the near future.

Dr. David Fiorella and Eric Niegelberg. Photo from Stony Brook Medicine

As American Heart Month kicks off in February, Stony Brook Medicine is finalizing plans to provide speedy help to stroke victims in Suffolk County.

“When a blood vessel supplying the brain is blocked, it is estimated that nearly two million brain cells are lost for each minute that passes, making stroke the most time sensitive diagnosis we have in medicine.”

— Dr. David Fiorella

The Stony Brook Cerebrovascular and Comprehensive Stroke Center and the Stony Brook Renaissance School of Medicine’s Department of Emergency Medicine will launch Long Island’s first mobile stroke unit program in March. The program will include specially equipped ambulances that will be strategically based along the length of the Long Island Expressway, taking calls within 10 miles of their bases.

The hope is to ensure response times of 20 minutes or less.

“When a blood vessel supplying the brain is blocked, it is estimated that nearly two million brain cells are lost for each minute that passes, making stroke the most time sensitive diagnosis we have in medicine,” said Dr. David Fiorella, director of the stroke center and professor of neurological surgery and radiology at the Renaissance School of Medicine. “The faster we can restore blood flow to the brain the more likely that the patient will have a full recovery.”

The units will be available seven days a week from 8 a.m. to 8 p.m., which is the window of time when most stroke calls are received.

Eric Niegelberg, associate director of Operations for Emergency Services and Internal Medicine, said an evaluation was completed to choose what time frame the mobile units would be available.

“We evaluated 911 ambulance call volume by area in the county and combined that data with what we felt was a reasonable response distance and time.”

— Eric Niegelberg,

“We looked at actual data for five years and historically the highest percentage of stroke calls come in during that time frame,” he said, adding once the program begins Stony Brook Medicine will continue to evaluate data and modify the hours based upon current call volume.

While the first unit will be deployed at Exit 57 on the LIE sometime between mid-to-late March, the second will not be in use until April and will be set up at Exit 68.

“The locations were chosen based upon call volume,” Niegelberg said. “We evaluated 911 ambulance call volume by area in the county and combined that data with what we felt was a reasonable response distance and time. Based upon this analysis the two locations were chosen. We did want locations that would provide easy North-South and East-West access.”

The units will include an in-ambulance care team, telemedicine system that enables emergency physicians and neurologists to see the patient via audio/visual conferencing, CT scanner for a standard scan and CT scan angiogram, which allows doctors to check for bleeding in the brain immediately.

Robert Simpson, district manager of Medford Volunteer Ambulance, said the mobile stroke units would be valuable to emergency response workers.

“As an EMS provider, we are always looking for ways to enhance treatment to patients,” Simpson said. “I think that it will definitely be an asset to us, especially for patients with strokes. As they say, ‘Saving time, saves the brain.’ Minutes count when someone is having a stroke as far as being able to enhance their chances of survival.”

According to Centers for Disease Control and Prevention, Division for Heart Disease and Stroke Prevention, stroke is the fifth leading cause of death in the United States, killing about 140,000 Americans each year.

Stony Brook University Hospital. File photo

Most people only think about Lyme disease when taking a hike in a park, but for many doctors, the condition weighs heavily on their minds every day.

Dr. Benjamin Luft, director and principal investigator of Stony Brook WTC Wellness Program, is one of those doctors. He is currently working on two clinical studies examining the disease. One involves those who continue to present symptoms after being treated, and the other study involves Latinos on Long Island who work in the landscaping and agricultural fields.

In a recent phone interview, Luft said the clinical study involving Latinos is a straightforward one, where the aim is to help a population that has been underserved and understudied due to their work schedules. The other study is more involved.

After being bitten by a tick infected with a bacterium called Borrelia burgdorferi, many people with a bull’s eye rash or flulike symptoms may receive treatment and feel better; but there are those who will continue to suffer for a prolonged period, even years, with a variety of complaints like aches, pains and brain fogginess. Luft said at times there may be no clear signs of the disease in the body, but doctors may find evidence of it after thorough neuropsychological exams that can detect subtle abnormalities.

Dr. Benjamin Luft is one of the doctors at Stony Brook Medicine looking for answers when it comes to those who continue to suffer from Lyme disease after treatment. Photo from Stony Brook Medicine

“This study is really geared toward diagnosing and to find ways to be able to monitor the disease,” Luft said, adding in the future his hope is to conduct studies testing new ways to treat Lyme disease.

The doctor said it’s essential to receive a diagnosis because if Lyme disease is left untreated, it can lead to joint swelling, arthritis, neuropathies, meningitis or cardiac problems.

When Stony Brook University recently began making a more significant investment in its imagining facilities, Luft said he saw a chance to find an answer for those with chronic symptoms.

“I thought this is the opportunity to see what is going on in the brain of these patients with using X-ray techniques and radiological techniques which may give us some insight,” he said.

He said with cutting-edge neuroimaging studies researchers can look for evidence of inflammation in the brain which may be a reaction to the infection.

“That would be an important thing to do because it may give us another target for therapy,” Luft said. “A lot of the therapy that we now use is really just geared toward the organism itself, but it’s not really geared toward the body’s reaction to the organism which may also have to be treated in order to alleviate some of these symptoms.”

The doctor has studied Lyme disease for more than 30 years. When he arrived at SBU from Stanford University Hospital, he was involved in work with AIDs and age-related diseases, but he said at the university’s clinic in the 1980s many people complained of Lyme disease problems and there were no effective therapies at the time. Many of the first therapies and treatments used today were developed at SBU, he said, but there have always been people who haven’t responded well to those treatments.

“So that’s been something that’s been bothering me for many years as to why that is,” Luft said.

He said he will present initial data, which is promising, from the clinical imagining study at a conference in Barcelona, Spain, later this month and hopes to get more patients for the clinical study. Those who are interested can call 631-601-5615. Subjects must meet stringent criteria including not having any other disease, having serological evidence of Lyme disease and a clear history that they had the rash.

In addition to Luft’s studies, Dr. Christy Beneri, assistant professor of pediatrics at SBU, and her team are working on a pilot study to look at newer diagnostic tools to establish a better way to diagnose early Lyme disease.

“We also will be doing work on understanding tick epidemiology in our area and working with the local health department to understand potential new tick-borne pathogens,” Beneri said.

Stony Brook Lyme Disease Laboratory has been performing Lyme disease testing on clinical specimens since 1984. Both inpatients and outpatients can have a Lyme ELISA screening test and Western blots confirmatory test at Stony Brook Medicine. Almost 10,000 screenings were done in 2017 at the hospital, which has been actively working with state senators for funding for Lyme disease outreach and research, according to Beneri.

John T. Mather Memorial Hospital in Port Jefferson is set to join Northwell Health. File photo from Mather Hospital

A historic change at a nearly 90-year-old Port Jefferson institution has been finalized.

John T. Mather Memorial Hospital will officially finalize an affiliation agreement with Northwell Health Dec. 21, according to a Mather board member, who asked not to be referred to by name. Leadership from Mather Hospital signed a letter of intent to join Northwell, New York’s largest health care provider, in August, though the sides had not yet finalized the terms of the agreement at that time. It is the first time in the hospital’s history it will be affiliating with a larger health system, and a signing ceremony is set to take place Thursday, Dec. 21, at 3 p.m. in a conference room at the hospital. The board member said he expects Northwell Health president and chief executive officer Michael Dowling as well as Mather board of directors chairman Ken Jacoppi to attend the signing.

Mather Hospital is set to join Northwell Healht. Photo from Huntington Hospital

“We’re very pleased Northwell has committed to making an investment in our community and bringing their extraordinary capabilities to our community,” the board member said. “They’ve committed to preserve our culture of patient safety.”

The board member said part of the agreement is that Mather’s board and CEO will remain in place through an initial period of five years, allowing the hospital to remain “largely self-governing” during that time with collaboration and cooperation from Northwell. The Mather board member did not specify the total length or any other specifics of the agreement. A spokesperson from Mather confirmed the ceremonial signing will take place Dec. 21 and that the agreement has been reached, but declined to confirm any details relating to the contract.

The board member summed up what the change might mean for hospital patients going forward.

“In the near term the experience should not change at all,” he said. “We happen to believe that’s a good experience, generally speaking. In the long term Northwell has greater capabilities than we do and we’ll gain those. They’re committed to supporting our residency program as well.”

In August, state Sen. Ken LaValle (R-Port Jefferson) voiced opposition to the agreement, saying he would have preferred Mather affiliate with Stony Brook University Hospital.

“I don’t think it’s a good decision,” LaValle said at the time. “For 50 years-plus there’s been a culture in place if people needed tertiary care they would go from Mather to Stony Brook. Stony Brook will still be in place, will still offer services and people if they choose can go to Stony Brook.”

Mather Hospital vice president of public affairs Nancy Uzo said in August Stony Brook was considered an option for affiliation and offered an explanation by email.

“Our goal through this process is to ensure that our communities continue to have access to advanced, high-quality care and superior satisfaction close to home, and to serve the best interests of our medical staff and employees,” she said.

Dowling commented similarly about Mather Hospital’s reputation around the letter of intent signing in August, and as to why Northwell would be a good fit for Mather.

“Mather Hospital is known for patient-centric care both in the community and throughout the industry,” he said. “That deeply embedded sense of purpose is the type of quality we want to represent Northwell Health, along with an excellent staff of medical professionals and physicians. Together, Mather and Northwell will play a crucial partnership role expanding world-class care and innovative patient services to Suffolk County residents.”

A public relations representative from Northwell did not immediately respond to requests for comment.

This story was updated Dec. 19 to include a Mather spokesperson’s confirmation of the signing ceremony.

Above, Stony Brook Medicine’s Puerto Rico medical relief team. Photo from SBU

By Kenneth Kaushansky, M.D.

Dr. Kenneth Kaushansky

As the holidays arrive, our thoughts turn to giving — and giving back to those who need our help. Stony Brook Medicine’s Puerto Rico medical relief team did just that, spending two weeks on the devastated island to treat patients and give a much-needed break to health care workers there.

We got word, after Category 5 Hurricane Maria swept through, of the conditions in Puerto Rico. Pharmacies were in ruins. Patients with chronic illnesses who needed to see their primary care physicians could not get appointments. Health care professionals couldn’t tend to their own families, nor repair their damaged homes, because their services were needed around the clock.

Relief efforts for those in Puerto Rico took on many forms. In my role as chair of the Greater New York Hospital Association board of directors, I served as part of an organization that teamed up with the Healthcare Association of New York State to establish the New York Healthcare’s Puerto Rico Hurricane Relief Fund to assist hospitals, health care workers and their families in Puerto Rico. The fund is a vehicle for New York’s hospital community to show its support for frontline caregivers and their families who have suffered significant losses.

I’m proud how Stony Brook Medicine also responded to this human health crisis. As part of a 78-member relief team of personnel from hospitals around the region, Stony Brook organized a team of health care professionals that was deployed to Puerto Rico. They signed on to spend two weeks living and working 12-hour days in less-than-ideal conditions, with widespread shortages of food, water and electricity.

Our 23 care providers — three physicians, two nurse practitioners, nine nurses, four paramedics, four nursing assistants and one pharmacist — split up after arriving in Puerto Rico. Most were stationed in the city of Manatí, while the rest went to the city of Fajardo and then to the U.S. Navy hospital ship USNS Comfort. They worked closely with military personnel, federal agencies and the people of Puerto Rico. They saw more than 2,000 patients and helped local health care workers get some rest and get back on their feet.

Our team returned home in November to cheers and hugs from their co-workers and loved ones who met them at Stony Brook University Hospital. Despite the hardships and long hours, they spoke of the deeply fulfilling experiences they had in Puerto Rico. Their trip embodied the reasons why people choose a career in health care in the first place — to be of service and to provide excellent care.

Stony Brook Medicine’s mission is to deliver world-class, compassionate care to patients and families. And sometimes that mission extends well beyond our own four walls. We are making a difference, not only here at home but in communities around the world.

All of us at Stony Brook Medicine are so extremely proud of our Puerto Rico relief team. The work they did was heroic, generous in the extreme and so worthwhile. Our thanks also go to their families and to their Stony Brook colleagues who stepped up to cover extra shifts while the team was away.

Having heard many of their experiences, I cannot say enough about the team members and their devotion. I know they have returned much better for the experience and are now safely back to continue their efforts to improve the health of our patients.

Dr. Kenneth Kaushansky serves as dean of the School of Medicine and senior vice president of Health Sciences at State University of New York at Stony Brook.

New one-stop clinic opens in Commack to provide care for 9/11 first responders

First responder John Feal gets a checkup at the Stony Brook WTC Wellness Program center, which opened a new facility in Commack, Nov. 28. Photo from Stony Brook WTC Wellness Program website

Accessing medical treatment on Long Island has become easier for 9/11 first responders.

Stony Brook WTC Wellness Program celebrated the official opening of its new one-stop health clinic in Commack Nov. 28. The program relocated from Islandia to the Stony Brook Medicine Advanced Specialty Care building, located at 500 Commack Road. The move allowed the program to expand from a monitoring facility into a 20,000-square-foot, integrative clinic where World Trade Center responders can receive more comprehensive medical treatment under one roof.

Dr. Benjamin Luft, program director and principal investigator, said the clinic is dedicated to caring for approximately 10,000 patients suffering from illnesses after volunteering at Ground Zero after 9/11. He said the responders suffer from a wide variety of conditions and the new location will provide the medical staff more resources. Among the new services available will be blood testing and imaging, which weren’t available in Islandia and caused patients to have to go elsewhere.

“This is ideal for the World Trade responder patient population, and the reason why is these patients who have been so severely affected by the World Trade Center disaster have a compendium of various abnormalities and disorders which are directly related to 9/11,” Luft said. “These included diseases ranging from psychiatry diseases to respiratory and gastrointestinal problems, to cancer.”

“The program is now a state-of-the-art facility that not only monitors you, but treats you and gives you top-notch medical care all in one facility.”

— John Feal

The doctor said the program has a research team dedicated to studying neurocognitive problems, autoimmune issues and cancer-related illness. The new Commack location has an in-house laboratory that will make accessing patients’ samples and processing them easier. He said many of the illnesses related to the disaster were not initially recognized, and the number of patients has grown approximately 8 to 10 percent each year since the monitoring clinic first opened on the Stony Brook University campus shortly after 9/11.

The day of the Commack grand opening, the Stony Brook WTC Wellness Program honored John Feal, a first responder and founder of the Fealgood Foundation. A Nesconset resident and Commack native, he said having the clinic where he grew up is special to him. Feal and members of his organization worked tirelessly to get the James Zadroga 9/11 Health and Compensation Act passed in Dec. 2010 and again in 2015. The act enables first responders, volunteers and survivors of the Sept. 11 attacks to receive health monitoring and financial aid.

Luft said at first the program treated many patients who lacked medical insurance coverage. “So when they got sick, they didn’t have health insurance or have someone to take care of their acute problems,” he said. “We established our clinic to do that at no additional costs to the patients.”

Feal, who was a patient at the Islandia clinic and recently had his physical in Commack, said he was impressed with the new location.

“The program is now a state-of-the-art facility that not only monitors you, but treats you and gives you top-notch medical care all in one facility,” Feal said.

He said having a one-stop clinic is important to many, especially for those who have become too frail to travel. Aging is an issue as many are now in their mid-50s or older.

“As we get further away from 9/11, the illnesses are getting worse,” Feal said. “One, because of age and, two, because with these illnesses, some latency periods and manifestations in the body take this long.”

The first responder said it was humbling to be honored for his work Nov. 28.

“We’re talking about human life, and I’m never going to apologize for anything I ever said or did, because at the end of the day I only care about helping those who are sick from 9/11,” Feal said. “And so many people are getting sick. It’s not ending anytime soon.”

Dr. R. Trevor Marshall, right, consults with a New York Presbyterian Hospital nurse while assisting patients at a coliseum in Manati. Photo by Alejandro Granadillo

Many in Puerto Rico still reeling from the devastation of Hurricane Maria recently received much-needed medical care from a local Long Island hospital.

There were 23 staff members from Stony Brook Medicine stationed on the island from Oct. 24 to Nov. 8 as part of a 78-member relief team consisting of professionals from New York metropolitan hospitals. Three physicians, two nurse practitioners, nine nurses, four paramedics, four nursing assistants and one pharmacist from Stony Brook put their skills to use to help those with physical aliments and relieve overloaded hospitals in Puerto Rico.

The Coliseo Juan Aubin Cruz  Abreu “Bincito” in Manati, Puerto Rico, was the temporary workplace of 19 from Stony Brook, while four others assisted at Hospital HIMA San Pablo-Fajardo for a week, followed by another seven days on the U.S. Navy hospital ship USNS Comfort, which is docked in Old San Juan.

Dr. R. Trevor Marshall, emergency physician and director of Emergency Medical Services at Stony Brook, said he and 18 others worked with the Disaster Medical Assistance Teams — part of the National Disaster Medical System — Veterans Affairs and the U.S. Army at the coliseum in Manati.

“It was a nice way to be able to provide additional resources down there to help the local community,” he said.

The grateful husband of a patient wears a Stony Brook Medicine hat while serenading the medical staff. Photo by Alejandro Granadillo

The physician said the staff members treated patients with diarrhea, conjunctivitis, abscesses, severe cuts and broken bones. Marshall said the patients were appreciative, and the staff was grateful for local high school and college students who volunteered their time to translate. The South Setauket resident said it was his first medical relief trip, and he’s open to volunteering for another one in the future due to his positive experience in Puerto Rico.

“This was an outstanding opportunity,” Marshall said.

Dr. Richard Scriven, associate professor of surgery and pediatrics at Stony Brook University, was one of the doctors working alongside Marshall at the coliseum. While driving from the airport to the arena he said he could see half of the homes were covered with the tarps that the Federal Emergency Management Agency provided to protect the houses that lost roofs during the Category 5 hurricane.

He said the staff would alternate working 12-hour shifts, slept on cots in the mezzanine section and bathed in outdoor showers. Scriven said food was provided from the local veterans agency, nearby residents and appreciative patients who bought them pizzas.

The physicians said DMAT tents were set up outside the arena, where many patients were treated for minor ailments. Inside were 50 to 70 inpatients who were frail and on ventilators and mostly relocated from nursing homes.

Scriven, who lives in Stony Brook, said he and others would walk to the nearest Walgreens, and while Manati didn’t have as much damage as other areas, many were still without power and he didn’t witness any utility crews working on restoring it.

“Yet the people were so nice, so appreciative and really amazing,” Scriven said.

Many areas in Puerto Rico still have downed power lines after Hurricane Maria. Photo by Ralph Rodriguez

Emergency Medical Specialist Dr. Rolando Valenzuela, a St. James resident, was one of the team members who spent time in Fajardo and on the USNS Comfort. He said the hospital in Fajardo needed help with its emergency room, and the New York medical professionals assisted with ambulatory patients and mostly dealt with benign medical complaints. He said a number of people were in distress because they were unable to get treatment for diabetes or use medical equipment such as nebulizers and oxygen concentrators without electricity. Others were experiencing health problems as a result of a lack of water or medications.

Valenzuela said many hospitals on the island are low on supplies and are operating on generators. Any kind of extensive imaging or lab work wasn’t available on site; however, the staff had basic medications, antibiotics, IV fluids and EKG machines on hand.

“The medical infrastructure is ground down to a halt,” Valenzuela said.

Patients with more serious problems in Fajardo were transported to San Juan or to the USNS Comfort. The ship was staffed by Navy personnel and DMAT tents were set up outside for ambulatory patients. Valenzuela said medical professionals from around the country working in the tents saw 500 to 600 patients a day. Patients with serious conditions were transferred to the Comfort.

“I can’t say enough about how amazing the Navy personnel was,” Valenzuela said. “These guys had been on board for over a month before they were allowed off the ship. They were getting a few hours of sleep here and there but their main focus was on treating patients.”

Valenzuela visited Puerto Rico in the past and remembered how friendly the people were, and said despite the devastation on the island, the residents were in good spirits.

“The people were extremely enthusiastic to have us there,” he said. “They were so grateful for any kind of assistance. They just wanted to make sure that they weren’t being forgotten, and we did our best to provide them with the standard of care that would be acceptable on Long Island. I think we were successful.”

Tree decorated in honor of national Breast Cancer Awareness month

Sound Beach resident Patti Kozlowski, founder of the nonprofit North Shore Neighbors Breast Cancer Coalition, places a flag with her friend Camille's name under the Pink Tree for Hope at Mount Sinai's Heritage Park. Photo by Kevin Redding

Throughout October, a tree at Heritage Park in Mount Sinai will be pretty in pink in celebration of national Breast Cancer Awareness month.

Up to 5,000 lights on the Pink Tree for Hope, which sits in front of the Heritage Center on Mount Sinai-Coram Road and overlooks the park, burned bright during a ceremony Oct. 4 held by Suffolk County Legislator Sarah Anker (D-Mount Sinai) and the nonprofit North Shore Neighbors Breast Cancer Coalition.

The Pink Tree for Hope glows pink at Heritage Park in honor of Breast Cancer Awareness month. Photo by Kevin Redding

The glowing tree will serve as a reminder to passersby of the importance of breast cancer prevention by way of early detection screenings and education. The names of local breast cancer survivors and those who lost their lives to the disease are displayed on little flags around the tree.

“There’s not one person I know that has not been affected by breast cancer in one way or another,” said Anker, whose grandmother passed away after a long fight with the disease. “I am honored to partner with the North Shore Neighbors Breast Cancer Coalition to raise awareness about the prevalence of breast cancer, honor our loved ones lost to breast cancer, and support survivors across Long Island.”

Anker encouraged residents to work together and support groups like the coalition to help find a cure for breast cancer. The North Shore Neighbors Breast Cancer Coalition, founded in 2001 by Sound Beach resident Patti Kozlowski, is a grassroots organization that raises funds to provide non-medical or support services for local families fighting breast, gynecological and other forms of cancer. If someone is out of work for a number of weeks during and after breast cancer treatment, it can be devastating financially, Kozlowski said.

“We need to help raise awareness and hopefully help people understand the magnitude of what we’re dealing with,” said Kozlowski, who will be collecting donations to support the nonprofit’s mission at the park throughout the month. “Treatment is incredibly important.”

Darlene Rastelli, assistant director at the Carol M. Baldwin Breast Care Center at Stony Brook Medicine, set up at a table during the ceremony to spread the word that “early detection is the best prevention.”

A flag placed in honor of a man’s wife, a breast cancer survivor, sits under the Pink Tree for Hope at Heritage Park. Photo by Kevin Redding

The American College of Radiology, Rastelli said, recommends women over the age of 40 have a breast screening once a year.

“It’s so important to screen not only in October, but throughout the year,” she said. “Breast cancer is not a death sentence anymore. If you get your screenings done early enough, it can be managed early and you can survive.”

Miller Place resident Felicia Lopez said she was scared when she was diagnosed in 2011, because she wasn’t educated and assumed the worst.

“I didn’t know anything about it, but the doctors comforted me and told me it was curable,” said Lopez, who is now cancer-free. “You have to be your own advocate. You have to check your own body regularly.”

Before the ceremony, Kozlowski, who started her nonproit as a way to inspire women to come together, wrote her friend Camille’s name on a flag.

“She’s a co-worker of mine who retired Aug. 31 and was diagnosed with breast cancer Sept. 1,” Kozlowski said before placing the flag under the tree. “I think this tree will give people a good feeling to know they’re not alone.”

The Pink Tree of Hope, adorned with lights donated and installed by Bob Koch of Koch Tree Services Inc., will be lit throughout October at 633 Mount Sinai-Coram Road in Mount Sinai.

Learn more about the North Shore Neighbors Breast Cancer Coalition at https://www.facebook.com/NSNBCC/.

Suffolk County Legislator Sarah Anker (fourth from left) with local community members around the Pink Tree for Hope at Mount Sinai’s Heritage Park. Photo by Kevin Redding

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