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Yearly Archives: 2015

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I’ve got a proposal for you. You write in and share the kinds of acts that reflect positive role models and I’ll share them with our readers.

I don’t know about you, but I’ve got bad news fatigue, reading headlines online and in newspapers about people doing all kinds of terrible things to strangers, neighbors and family members.

Every time an athlete, actor or politician does something embarrassing, awful or illegal, it becomes the talk of the town, triggering endless discussions about negative role models, driven by the pampered lives of those accustomed to living without boundaries.

We have become a culture of rubberneckers, watching the “gotcha” moments when reporters demand accountability from horrible landlords. We also watch shows like “America’s Funniest Home Videos,” where people routinely hurt themselves doing ill-advised activities, like jumping over something sharp on a skateboard.

Yes, of course, some of those “gotcha” moments can benefit us, helping us as we stay vigilant against the same kind of scams or illegal activities we don’t want to trick us. But what about recognizing and emulating those people who affect positive change and tap into a seemingly endless wellspring of energy to improve the community?

How about the person answering the phone who has a kind, supportive word for anyone who calls; the receptionist who remembers every patient who comes into a doctor’s office; or the crossing guard who holds a stop sign in the middle of the busy morning commute, demanding safety for every child and encouraging anxious kids on their way to classes.

As we approach the longest day of the year, I’d like to offer you a chance to celebrate the sunshine in our communities. It’s harder for newspapers to see the sort of random acts of kindness that people share every day. After all, the police have press conferences and updates whenever there’s a crime spree or when someone does something the public needs to know about so we can protect ourselves.

A friend of ours recently started battling serious health issues. His wife has been by his side, while his children continue to go about their daily routines, to the extent possible. They go to school, take tests and walk the dog. Once their friends learned about these challenges, they rallied around the family, signing up through an organization called Lotsa Helping Hands to help provide meals and share in the dog responsibilities. These are the sort of things people routinely do to make life better for each other.

We have role models throughout our community. My son’s teacher, for example, recently noticed that he earned a lower grade on a quiz than she was accustomed to seeing from him. He didn’t fail and it didn’t cause his grade to drop dramatically. Still, she didn’t write off the result as a bad day or chalk it up to adolescent distraction. Instead, she asked to speak with him for a moment after class, where she went over each of the areas where he lost points. I’m sure that happens regularly with teachers throughout the community, who encourage and support their students in a way that might one day ignite a successful career.

To offer a corollary to the Homeland Security slogan, I’d like to suggest that “If you see something great, say something.” People routinely go out of their way to make a world filled with challenges a better place. It’s often the small things that stay with us through the day, like the magic that comes from transforming a child’s anxious frown into a self-assured grin.

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Election turnout reaches highest in years

Port Jefferson Treasurer Don Pearce and Village Clerk Bob Juliano as they tallied the 2015 election results. File photo by Elana Glowatz

The “unity” slate cleaned up in the Port Jefferson Village election Tuesday night, with Mayor Margot Garant and Trustee Larry LaPointe securing additional terms on the board of trustees and newcomer Stan Loucks winning his first.

Garant, who will start her fourth term this summer, beat out challenger Dave Forgione, a 15-year resident and the owner of a billing and accounting business in upper Port, with 1,162 votes to his 753.

“I’m just really elated that the people are entrusting and allowing me to continue to do the work that we do for the village,” Garant said about her win in a phone interview Wednesday. “Super psyched.”

When reached by phone Wednesday, Forgione said he was “humbled” by the support he received from the community.

“I’d like to congratulate Margot on her victory and wish her all the success in her upcoming term,” he said.

Forgione would not say whether he would run for village board again in the future, after experiencing a busy campaign season this time around.

“At this point I’m just trying to get my life back in order,” he said with a laugh.

There were two trustee seats up for election — LaPointe’s and that of Trustee Adrienne Kessel, who did not run for another term. The three candidates ran at-large for those spots.

Loucks, a longtime volunteer at the Port Jefferson Country Club and a retired athletics teacher and administrator in Plainview-Old Bethpage schools, garnered the most support of any candidate vying any seat, with 1,205 votes. LaPointe came in second out of the trustee candidates, with 1,160 votes, and secured a third term on the board. In third place was challenger Matthew Franco, a 10-year village resident and a pediatric occupational therapist for Nassau BOCES, who fell short with 822 votes.

LaPointe emphasized in a phone interview Wednesday morning “just how gratified and grateful I am to my friends and neighbors for coming out to support the unity team.”

Loucks is looking forward to getting to work.

“I’m just flabbergasted at the outpouring of support,” Loucks said Wednesday, speaking in a phone interview of his gratitude to his supporters. “I was blown away by the results last night.”

When reached by phone Wednesday, Franco congratulated LaPointe and Loucks and said he hopes they take it to heart that 40 percent of voters cast ballots for him.

“Don’t dismiss the minority,” he said. “There’s 40 percent of this population of the village that wants change.”

Franco said he would run again for the village board in the future.

“I am preparing for next year,” he said.

Village Justice Peter Graham ran unopposed for re-election and was also returned to his role, receiving 1,031 votes.

Resident turnout for the election was high, especially compared to recent years.

As the Village Center buzzed with activity 10 minutes before the polls closed, Village Clerk Bob Juliano said the building had been busy all day. He noted that in previous years, the crowd usually died down in the last hour of voting, but that did not happen this year.

Counting absentee ballots, almost 2,000 Port Jefferson residents voted in the election — about double the number who turned out to the polls last year. And the voter turnout was dismal in the two years prior to that: In 2013 there were 84 voters total, and in 2012 there were close to 150 who cast ballots.

Port Jefferson Village code enforcement officer Lt. John Borrero said, as the 69 absentee votes were being tallied at the end of the night, “I’ve never seen an election so crowded.”

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Book launch to be held at annual members reception

The front cover of Stephanie Gress’s new book. Image from Vanderbilt Museum

Stephanie Gress knows more about the history of William K. Vanderbilt II than most people. As director of curatorial affairs for the Suffolk County Vanderbilt Museum for eight years¸ she is the steward of Mr. Vanderbilt’s legacy, his estate, mansion and museum collections.

Using that extensive knowledge and a trove of rare photographs from the Vanderbilt archives, Gress created a richly illustrated book, Eagle’s Nest: The William K. Vanderbilt II Estate. Its cover photo, from the Vanderbilt Museum archives, is by the noted New York City photographer Drix Duryea. The picture shows the bell tower and one wing of the mansion in the late 1920s, before the Memorial Wing enclosed the courtyard.

The book was published June 1, by Arcadia Publishing in South Carolina, the leading local-history publisher in the United States. The Vanderbilt will celebrate the book’s official launch at its annual Members Reception on Sunday, June 28.

Gress noted that the release of the book is well-timed, as the development of the Eagle’s Nest estate is in its centennial decade: “This book tells readers about the Vanderbilt family, why Mr. Vanderbilt came here and built the estate, how the place changed over the years based on changes in his life, and how we use it today.”

Vanderbilt, known as Willie K., purchased the first parcel of what would become 43 acres for his Northport Bay waterfront estate in 1910, and hired the eminent New York City architectural firm of Warren & Wetmore to design and build it. The firm had designed Grand Central Terminal in Manhattan for Cornelius Vanderbilt’s New York Central Railroad. Cornelius was William’s great-grandfather.

Eagle’s Nest is the easternmost Gold Coast mansion on Long Island’s affluent North Shore. From 1910 to 1944, the palatial, 24-room, Spanish-Revival mansion was Willie K.’s summer hideaway. There he hosted intimate gatherings of Vanderbilt family members and close friends — including the Duke and Duchess of Windsor, legendary golfer Sam Snead, and the Tiffanys.

“Mr. Vanderbilt embarked on many of his legendary world voyages from Eagle’s Nest,” Gress said, “along with a 50-person crew and a few, fortunate invited passengers.” During his travels, she said, he collected natural-history and marine specimens and ethnographic artifacts from around the globe.

With the help of scientists and experts from the America Museum of Natural History, he created exhibits in the galleries at the estate to showcase his collections.  Mr. Vanderbilt died in 1944. His wife Rosamund continued to live in the mansion until her death in 1947.  Vanderbilt’s will bequeathed his estate and museum to Suffolk County. In 1950, it was opened to the public as the Suffolk County Vanderbilt Museum. The estate is listed on the National Register of Historic Places.

“Much to the credit of Willie K., Eagle’s Nest continues to fulfill his intended mission,” Gress wrote in the conclusion of the book. “Visitors from all over the world come to see one of the few remaining Long Island Gold Coast estates with its original furnishings. His collections remain on display and they continue to fascinate and entertain.”

Eagle’s Nest is available for purchase on the Arcadia Publishing, Amazon and Barnes & Noble websites, in the Vanderbilt Museum Gift Shop and in local bookstores.

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With warmer weather upon us, we now have long, sunny days, better moods and, of course, the beach.

However, longer sun exposure does increase the risk of skin cancer. Melanoma is the most serious skin cancer, but fortunately it is not the most common. Basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (SCC) are more prevalent, in that order. Here, we will focus on these two types.

The incidences of these skin cancers are very difficult to pin down because they are not reported as readily.

However, most of us either know someone who has had these types of skin cancers or have had them ourselves. There were roughly 3.5 million nonmelanoma skin cancer treatments in the U.S. in 2006, with the number of treatments increasing 77 percent from 1992 to 2006 (1). SCC and BCC outcomes diverge, with the former having a higher risk of metastases compared to the latter, which tends to grow much slower (2).

These skin cancers may present in different ways. BCC may have a bump that is pearly, waxy, light-colored or pink or flesh-colored or brown. It may bleed, ooze and crust, but may not heal, and can be sunken in the middle (3). SCC has the appearance of a growing nodule. It may also be scaly or crusty and may have flat reddish patches. It may be a sore that also may not heal. It is found on sun-exposed areas, more commonly the forehead, hands, lower lip and nose (3). Interestingly, SCC develops over years of gradual UV sun exposure, while BCC develops more like melanoma through intense multiple sporadic burns (4).

The more well-known risks for these types of skin cancer include sun exposure (UV radiation), light skin, age, ethnicity and tanning beds (2). But there are other risk factors, such as manicures.

There are also ways to reduce risk with sunscreen reapplied every two hours, depending on what you are doing, but also NSAIDs (non-steroidal anti-inflammatories) and even vitamin B3.

Let’s look at the research.

BEYOND SKIN CANCER
Though nonmelanoma skin cancers (NMSCs) have far less potential to be deadly, compared to melanoma, there are other risks associated with them. In the CLUE II cohort study of over 19,000 participants, results show something very disturbing: A personal history of NMSC can lead to other types of cancer throughout the body (5). The increased risk of another type of cancer beyond NMSC is 103 percent in those with BCC and 97 percent in those with SCC, both compared to those who did not have a personal history of NMSC.

TANNING BEDS — NO SURPRISE
We know that tanning beds may be a cause for concern. Now the FDA has changed the classification of tanning beds from low to moderate risk and requires a warning that they should not be used by those under age 18 (6). The catch is that this does not have teeth; if tanning salons ignore the new rules, there is no punishment.

However, in a newly published prospective (forward-looking) study, results show that people’s responses to warnings depended on how the warnings were framed (7). Compared to the text-only FDA warning requirement, graphic warnings that emphasized the risks of skin cancer were more likely to help people stop using tanning beds, whereas graphic warnings that demonstrated the positive benefits of not using these devices had no effects. So you may have to scare the daylights out of those in their teens and early twenties.

MANICURE RISK, REALLY?
I am told women love manicures. Manicures cannot possibly be dangerous, right? Not so fast. It is not the actual manicure itself, but rather the drying process that poses a risk. In a recent prospective study, results show that drying lamps used after a manicure may increase the risk of DNA damage to the skin, which could lead to skin cancer, though the risk is small per visit (8). There were a lot of variables. The shortest number of visits to increase the risk of skin cancer was eight, but the intensity of the UVA irradiance varied considerably in 17 different salons. The median number of months it took to have carcinogenic potential with exposure was around 35, or roughly three years. The authors recommend either gloves or suntan lotion when using these devices, although both seem to be somewhat impractical with wet nails. It’s best to let your nails dry naturally.

VITAMIN B3 TO THE RESCUE
Many vitamins tend to disappoint when it comes to prevention. Well, hold on to your hat. This may not be the case for vitamin B3. In the recent Australian ONTRAC study, the results show that vitamin B3 reduced the risk of developing NMSC by 23 percent, compared to those who took a placebo (9). Even better was the fact that SCC was reduced by 30 percent.

The most interesting part about this study is that these results were in high-risk individuals who had a personal history of NMSC. The participants were given B3 (nicotinamide 500 mg) twice daily for one year.

After the patients discontinued taking B3, the benefits dissipated within six months. The study was on the small side, including 386 patients with two or more skin cancer lesions in the last five years, with a mean of eight lesions. The side effects were minimal and did not include the flushing (usually neck and facial redness) or headaches seen with higher levels of niacin, another derivative. The caveat is that this study was done in Australia, which has more intense sunlight. We need to repeat the study in the U.S. Nicotinamide is not expensive, and it has few side effects.

NSAIDs AS BENEFICIAL?
Results have been mixed previously in terms of NSAIDs and skin cancer prevention. However, a recent meta-analysis (nine studies of varying quality, with six studies considered higher quality) showed that especially nonaspirin NSAIDs reduced the risk of SCC by 15 percent compared to those who did not use them (10).

DIET — THE GOOD AND THE BAD
In terms of diet studies, there have been mixed positive and neutral results, especially when it comes to low-fat diets. These are notoriously difficult to run because the low-fat group rarely remains low fat.

However, in a prospective dietary study, results showed that effects on skin cancer varied depending on the foods. For those who were in the highest tertile of meat and fat consumption, compared to those in the lowest tertile, there was a threefold increased risk of a squamous cell cancer in those who had a personal history of SCC (11). But what is even more interesting is that those who were in the highest tertile of vegetable consumption, especially green leafy vegetables, experienced a 54 percent reduction in skin cancer, compared to those in the lowest consumption tertile.

Thus, know that there are modifiable risk factors that reduce the risk of non-melanoma skin cancer and don’t negatively impact your enjoyment of summer. There may be easy solutions to help prevent recurrent skin cancer, as well, that involve both medication and lifestyle modifications.

REFERENCES:
(1) Arch Dermatol. 2010;146(3):283. (2) uptodate.com. (3) nih.gov. (4) Br J Cancer. 2006;94(5):743. (5) J Natl Cancer Inst. 2008;100(17):1215-1222. (6) federalregister.gov. (7) Am J Public Health. Online June 11, 2015. (8) JAMA Dermatol. 2014;150(7):775-776. (9) ASCO 2015 Annual Meeting: Abstract 9000. (10) J Invest Dermatol. 2015;135(4):975-983. (11) Am J Clin Nutr. 2007;85(5):1401.

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

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Faces off against incumbent Sarah Anker for 6th District seat

Steve Tricarico photo by Erika Karp
Steve Tricarico photo by Erika Karp
Steve Tricarico photo by Erika Karp

After years of working in the public sector and for local government, Republican Steve Tricarico, Brookhaven Town’s deputy highway superintendent, is making his first run for elected office.

The 30-year-old Wading River native will face off against incumbent Legislator Sarah Anker (D-Mount Sinai) for the 6th District seat in November. In a recent interview, Tricarico touted his years of experience working within local governments and his fiscally conservative approach when it comes to budgeting.

Bettering the county’s finances is a main focus of his campaign, Tricarico said. He was critical of the county increasing departmental fees, over relying on sales taxes and borrowing to pay for its operating expenses. He said the county, like its residents, should be living within its means and cut its borrowing.

“The county just doesn’t seem to be getting that message,” he said.

Tricarico said he took issue with how the county overestimated its sales tax revenue in 2014 by 1.5 percent, causing an $18.1 million shortfall, according to a June Fitch Ratings report. Despite the shortfall, the county budgeted for a 4.87 percent increase in sales tax for 2015.

Tricarico said this practice is “hurting our ability to function,” and if elected, he wouldn’t budget for any increase in sales tax, as to not overestimate.

Suffolk County Republican Committee Chairman John Jay LaValle described Tricarico as the “ideal candidate,” and one that people — from Dan Losquadro to former Suffolk County Executive Steve Levy — have sought out to work with.

“He has really excelled everywhere he has gone,” LaValle said.

Prior to working for the town, Tricarico worked as a district manager for LIPA, liaising between government officials and constituents. He also worked under Levy in the intergovernmental affairs unit. Tricarico said the jobs provided him with the best background as he understands local government, constituents and budgets.

Sarah Anker file photo by Erika Karp
Sarah Anker file photo by Erika Karp

Tricarico, who still lives in Wading River with his wife, Francine, said their two-year-old daughter, Charlotte, served as an inspiration for him to run as he wants to leave the county better than how he found it for her and for future generations.

As an adjunct professor at Farmingdale State College, Tricarico said he hears from students all of the time about how they would like to stay on Long Island, but just can’t because of the high-cost of living and lack of good jobs.

So if elected, he said he would like to explore ways to provide additional incentives to local businesses and create an economy that grows jobs. All options must be on the table when looking at how to better local government and its economy, Tricarico insisted, stating that he would explore the privatization of some government functions, like health and social services.

“As county representatives there is only so much we can do, but in order to start keeping good businesses here on the Island, we need to make sure that our county legislator, especially in the 6th District, is representing the constituents of the 6th District,” he said. “In my opinion, the current county legislator is rubber-stamping every policy that comes across her desk.”

In a phone interview, Anker said she is focusing on her responsibilities as a county legislator. She said she is grateful that she has had the opportunity to serve the people of the 6th District and would like to continue to do so.

Like Tricarico, Anker said she believes the county needs to start borrowing less. She described taking office in 2011 during one of the worst fiscal challenges anyone has faced  — a time when the county didn’t have much of a choice but to borrow.

“I don’t think he understands the government process,” she said.

Anker also defended her position on creating task forces to look at problems. Tricarico described this as creating “bureaucracy to solve problems.”

But Anker said the groups focus government resources on an issue and create plans to fix things. For example, the SAVE Hotline, which provides schools a direct line to police in the case of an active shooter situation, came out of task force discussions.

“I don’t wait for something to happen,” Anker said. “I actively and proactively [look at] what needs to be focused on, what needs to be changed.”

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Supervisor Ed Romaine makes friends with a dog at the town animal shelter. Photo from Brookhaven Town

By Talia Amorosano

Brookhaven Town is reducing adoption costs at its animal shelter this month.

According to a recent town press release, the Brookhaven Animal Shelter and Adoption Center on Horseblock Road will offer discounted adoption fees through June. While the fees are normally $137 for a dog and $125 for a cat, they have been dropped to $60.

The lower fee includes a free neuter or spay for the animal as well as a free microchip, vaccinations, heartworm test and animal license.

The reduced price is partly the result of renovations that are currently taking place at the shelter.  The shelter’s website notes that “pet overpopulation is of great concern” and that it is especially important for some of the animals to be adopted during the next four to six weeks because kennels will be renovated during that timeframe.

The shelter has also invested in new air conditioners, freshly painted walls and new floors.

But Martin Haley, Brookhaven Town’s commissioner of general services, said adoption discounts like this one are common throughout the year regardless of special circumstances like construction and renovation, because the shelter staff is constantly trying to incentivize adoption.

As of Monday, there were 78 animals in the shelter.

Haley said the number fluctuates every day and the shelter’s goal is to keep the population manageable. He said the animals can become difficult to manage at numbers of 80 to 100, but it varies on a case-by-case basis with animals’ spatial and behavioral needs.

According to Haley, most of the animals currently housed at the shelter are dogs, but there are also about 30 cats and kittens available for adoption.

The shelter is open from 9:30 a.m. to 4 p.m. on Mondays, Tuesdays and Fridays; from 9:30 a.m. to 8 p.m. on Thursdays; from 10 a.m. to 4 p.m. on Saturdays; and from 11 a.m. to 4 p.m. on Sundays. It is closed on Wednesdays.

Anyone interested in adopting a pet may call the shelter at 631-451-6950 or visit www.brookhaven.org/animalshelter for more information.

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Juergen Thieme stands near the beginning of the beamline and is pointing in the direction the light travels to the end station, where scientists conduct their experiments. Photo from BNL

He’s waited six years. He left his home country of Germany, bringing his wife and children to Long Island.

Now, months after first light and just weeks before the first experiments, Juergen Thieme is on the threshold of seeing those long-awaited returns.

A physicist at Brookhaven National Laboratory and adjunct professor at Stony Brook, Thieme is responsible for one of the seven beamlines that are transitioning into operation at the newly minted National Synchrotron Light Source II. The facility allows researchers to study matter at incredibly fine resolution through X-ray imaging and high-resolution energy analysis.

“We have invested so much time and so much energy into getting this thing going,” Thieme said. “When you open the shutter and light is coming to the place where it’s supposed to be, that is fantastic.”

The beamline is already overbooked, Thieme said. Scientists have three proposal submission deadlines throughout the year. The most recent one, which ended on June 1, generated over 20 submissions, which Thieme and the beamline team read through to check their feasibility and then send out for a peer review.

The proposals include studies in biology, energy, chemistry, geosciences, condensed matter and materials science.

One of the drivers for the construction of the $912 million facility was developing a greater understanding of how batteries work and how to store energy.

“Although batteries are working very well already, there is room for improvement,” Thieme said. The importance of energy storage suggests that “even a small improvement can have a huge impact.”

Indeed, when he returns to Germany and drives through the countryside, he sees thousands of windmills creating energy. Wind speed and energy demands are not correlated, he said. “There is a need for an intermediate storage of energy.”

The NSLS-II also has the potential to improve commercial industries. Mining rare earth elements, which have a range of application including in cell phones, is a potentially environmentally hazardous process. By using the NSLS-II, scientists can see how bacteria might change oxidation states to make the materials insoluble, making them easier to obtain.

For years, Thieme was on the other side of this process, sending proposals to beamlines to use his training in X-ray physics and X-ray optics to conduct environmental science projects, including analyzing soils.

Six years ago, Qun Shen, the Experimental Facilities Division director for the NSLS-II, asked Thieme if he would consider joining BNL. The two had met when Thieme brought students to the Argonne National Laboratory in Chicago, where Shen was the head of the X-Ray Microscopy and Imaging Group.

Thieme said he presented the opportunity to his family. His three children voted with a clear yes, while his wife Kirsten was hesitant. Eventually, they decided to go.

Following that offer, Thieme looked at the future site of the facility and saw a green lawn. “I was asking myself, ‘What do I do for the next six years?’” he recalled. “I can tell you I was extremely busy.”

He said he worked on design, planning and evaluations, which included numerous calculations to decide on what to build. “One of the big aspects of constructing a facility at NSLS-II is to reach out to the broader community and try to solicit input from them and try to develop the scientific capabilities to meet their needs,” said Shen. “He has certainly done very well.”

Thieme’s beamline will accelerate the process of collecting information for scientists, Shen said. For some projects, the existing technology would take a few days to produce an image. The beamline Thieme oversees will shorten that period enough that researchers can “test out and revise their hypothesis during the process,” Shen added.

Thieme is eager not only to help other scientists unlock secrets of matter but is also hungry to return to his environmental science interests.

Thieme and Kirsten live in Sound Beach with their 16-year-old son Nils, who is in high school. Their daughters, 23-year-old Svenja, who is studying English and history, and 21-year-old Annika, who is studying to become a journalist, have returned to Germany.

Thieme is inspired by the NSLS-II. “We are building a state of the art experimental station” he said. “To be competitive with other upcoming facilities, we have always to think about how to improve the beamline that we have right now.”

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Focusing on clinical and population improvements for our communities

By Joseph Lamantia

Whether or not you’ve already heard of the Delivery System Reform Incentive Payment Program, one thing is for certain: it’s about to change health care in our state.

In April 2014, New York State Governor Andrew M. Cuomo announced that New York had finalized terms with the federal government for a groundbreaking waiver enabling the state to reinvest $6.2 billion in federal savings generated by Medicaid Redesign Team reforms. Known as DSRIP, the program promotes community-level collaborations, with a focus on improving health care for patients covered by Medicaid and those who are uninsured.

The main goal of the program is to reduce avoidable emergency room visits and avoidable hospital admissions among Medicaid and uninsured populations by 25 percent over a five-year period. The plan is to accomplish this through enhanced collaboration among providers, improved electronic and direct communications, and ready access to primary care and behavioral health services.

For example, offering after-hours appointments can help patients who work full-time; translation services can assist those for whom English is a second language; and transportation to appointments can help patients who don’t have access to a vehicle or public transportation.

The DSRIP initiative for Suffolk County and its network of providers is called the Suffolk Care Collaborative.

The Office of Population Health at Stony Brook Medicine is administering the SCC and is responsible for coordinating more than 500 countywide organizations, including hospitals, skilled nursing facilities, long-term home health care providers, behavioral health professionals, community-based organizations, certified home health agencies, physician practices and many other integral health care delivery system partners.

Some of the 11 focus areas of the SCC are diabetes care, pediatric asthma home-based self-management, cardiovascular care, behavioral health access and substance abuse prevention programs. Central to all programs is a coordination-of-care effort using care mangers embedded in the community to support health care providers and patients to achieve individual health goals. Connecting with patients at the point of care, identifying needs and providing appropriate support in the community will help prevent unnecessary emergency room visits and hospitalizations, and support a healthier population.

Suffolk County has approximately 150,000 uninsured residents and 240,000 Medicaid enrollees who can benefit from the program’s initiatives. And, because improvements made will affect the overall health care delivery system, they have the potential to benefit everyone — enhancing the patient experience and outcomes. When providers collaborate on patient care, information can be shared, test duplication can be avoided and preventive measures can be put in place to help all patients stay healthier.

Visit www.suffolkcare.org to learn more about the Suffolk Care Collaborative.

Joseph Lamantia is the chief of operations for population health at Stony Brook Medicine.

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By Matthew Kearns, DVM

I recently authored a two-part series entitled “A Long (and Fat) Winter’s Night,” with ideas on the management of the obese patient. However, if your pet is not obese but the long winter has affected them, what do we do? Stiff, creaky joints may make it difficult for him or her to rise. Just doesn’t seem to be able to finish those long walks (or even have the willingness to take them).  These are difficult to see in our aging babies but are also something that can be addressed. Physical therapy along with low-impact exercise can be helpful in not only improving our pet’s mobility and stamina but also has a positive effect on their sense of well-being.

Before I discuss physical therapy and low-impact exercise specifically, I would recommend that all pet owners visit their veterinarian’s office to rule out possible underlying or concurrent disease. This may be something that you already do during an annual wellness exam. However, if you’ve missed a few years, please do make an appointment to have your four-legged family member examined and consider some basic diagnostics (if warranted) such as blood work, X-rays, etc. If all is well, then let’s get started.

The one good thing about physical therapy (unlike missing a dose of medication) is every little bit helps. If you can perform certain exercises and therapies only once daily instead or more often, remember every little bit helps.

Heat Therapy and Massage: It has been shown that heat therapy causes vasodilation and improves circulation to tissues. This increases tissue oxygenation and transportation of metabolites. It has been proven that five to 10 minutes of heat before physical therapy and exercise can reduce joint stiffness and increase range of motion. Make sure to use a blanket or towel as an insulating layer between your pet’s skin to prevent burns. After heat therapy, gentle massage therapy manipulates muscles and tissues around joints to reduce pain, stiffness, muscle knots/spasms, increase blood flow and promote relaxation.

Range of Motion and Stretching Exercises: This type of exercise helps improve joint motion and flexibility in patients. Simple flexion and extension exercises are excellent. Find a part of the house where your pet will feel most relaxed and least likely to try to get up and move around. Manipulate each affected joint only as far as your pet will tolerate initially but hold for 15 to 30 seconds at full flexion and again at full extension. Repeat the process for three to five repetitions.

Low-Impact Exercise: The most accessible (and most commonly used) low-impact exercise is controlled leash walks.Controlled leash walks (slowly at first) will help to achieve the most normal gait possible. Slow walks increase flexibility, strength and weight bearing. After slow walks have been mastered, then we can increase the pace, incorporate gentle inclines or different surfaces (e.g., sand) to further develop endurance, strength, balance and coordination.

Swimming: Swimming is somewhat controversial in veterinary medicine. Some believe swimming (because of the non-weight-bearing component) is the ideal at-home exercise for older patients. Others believe the movements are too “herky-jerkey” and could lead to hyperextension of already arthritic joints. First, access to a pool that has stairs that the pet can walk in and out of is important (this eliminates swimming in the ocean or above-ground pools). Make sure active swimming only continues for five minutes before taking a break. It would also be a good idea to purchase a pet-specific life jacket to ensure that if your pet does tire there is no risk of drowning.

There are other physical therapy modalities such as therapeutic ultrasound, therapeutic laser, transcutaneous electrical nerve stimulation (TENS), underwater treadmills, etc. Unfortunately, these modalities are neither readily available nor inexpensive so I thought I would concentrate on therapies one could do at home. If interested in more advanced therapies, make an appointment with your veterinarian to discuss them.

Dr. Kearns has been in practice for 19 years.

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No. 3 overall pick Brendan Rogers, who was selected by the Colorodo Rockies, talks with members of the media. Photo by Clayton Collier

By Desirée Keegan & Clayton Collier

One Port Jefferson local was awarded another trip to the MLB Draft, held in Secaucus, N.J., from June 8 through June 10, where he experienced the sights and sounds that surround the excitement that comes about when young new talent is recognized and called upon to compete at the majors level.

Long second fiddle to the NFL and NBA drafts, mostly due to the length of time before baseball draftees make a major league impact, MLB has catapulted its draft into a unique experience in which prospects as young as 17 years old are welcomed live on television by some of the greatest to ever wear the uniform.

This was Clayton Collier’s third time covering the draft. He said every year the event continues to live up to the hype.

Baseball legends converge on MLB Network’s northern New Jersey location to ceremoniously answer the phones from their respective front office’s to hand in their draft picks for the first and second round. The remainder of the selections are made over the following two days and are announced online.

Clayton Collier was in attendance at the 2013 MLB draft, his first experience with the event. Photo from Collier
Clayton Collier was in attendance at the 2013 MLB draft, his first experience with the event. Photo from Collier

Collier was covering the event for WSOU, Seton Hall University’s radio station, which is a school that has a strong baseball program that typically has a handful of players go in the higher rounds, operates 24 hours a day, seven days a week, and is a local station that broadcasts into New York City.

At the 2015 draft, Collier witnessed crowds of families, former players and media members pack the glass double doors. Inside, was a large, rustic Dodger-blue door affixed with a plaque marked “42,” an ode to the civil rights trailblazer and Brooklyn-great Jackie Robinson.

Through the doorway and down a maze of hallways, is the iconic Studio 42, a set designed as a baseball stadium. In front of Collier was a mock turf field, including a pitcher’s mound, which was wedged between the Brewers’ and Tigers’ draft tables.

The overhead lights replicate the scene of a major league ballpark. The green stadium seating in the outfield, similar to those at Citi Field, is packed with families of draft hopefuls. All is arranged to face a podium, which is located at home plate in front of a large screen projecting various clips of current MLB All-Stars.

Commissioner Rob Manfred made his first appearance with his opening remarks and subsequently made 75 young men’s dream come true live on national television.

An array of 30 tables dressed to the nines in team apparel don the field.

With them, legends of each of those aforementioned clubs take their rightful seat at each of the corresponding club’s station. Philadelphia Phillies’ Mike Schmidt and Brooklyn Dodgers’ Tommy Lasorda shoot the breeze in front of the podium. Seattle Mariners’ Ken Griffey Jr. shares a laugh with Andre Dawson, originally a Montreal Expos outfielder, and company at the buffet in back. Art Stewart, a front-office executive and former director of scouting for the Kansas City Royals, asks former outfielder Johnny Damon, most notably from the Royals, Oakland Athletics, Boston Red Sox and New York Yankees, for the Wi-Fi password. Originally a pitcher for the Atlanta Braves and currently an active sportscaster, John Smoltz; Detroit Tigers’ shortstop Alan Trammel; Luis Gonzalez, most known for his time spent as an outfielder with the Arizona Diamondbacks; and David Cone, a former pitcher and now commentator for the New York Yankees on the YES Network, who pitched the 16th perfect game in baseball history, struck out 19 batters to tie for the second-most ever in a game, and 1994 Cy Young Award winner are some of the legends that continue to flood in. Manfred then comes out to mingle with them all.

Entrenched in the third-base dugout, a quartet of MLB Draft hopefuls were in attendance for the ceremony. Ashe Russell, Brendan Rodgers, Mike Nikorak and Garrett Whitley sit quietly with their parents, watching the scene and occasionally interacting with a former player or two who come over to introduce themselves.

Friends and family cheer for No. 3 overall pick Brandon Rogers during the 2015 MLB Draft. Photo by Clayton Collier
Friends and family cheer for No. 3 overall pick Brandon Rogers during the 2015 MLB Draft. Photo by Clayton Collier

As the names get called, polite applause ensues. When one of the four prospects in-studio gets picked, pandemonium ensues. The outfield stands erupt as if the home team hit a walk-off home run. Rodgers was the first, being picked third overall to the Colorado Rockies. He puts on his jersey, shakes Manfred’s hand and is soon after interviewed by Port Jefferson native Sam Ryan. He then takes a phone call from Rockies general manager Jeff Bridich, who playfully asks, “Are you still breathing?”

Russell, Whitley and Nikorak follow the same routine once their names are called, going to the Royals, Rays and Rockies, respectively. Nikorak, Rodgers and their parents celebrate the fact that they’ll be teammates again, having been on the field together for the Under Armour All-America Game.

As the final names were called and the cameras went dark, the draftees and their representatives clear out, and all that was left was a mess of papers and water bottles scattered throughout the stadium and stands.

It’s a unique phenomenon to observe the beginnings of the young athlete’s careers. In 2011, we witnessed a young man by the name of Mike Trout get called up on stage to receive his Los Angeles Angels jersey. Four years later, he’s the face of the game. How long until we see Rodgers, Russell, Nikorak or Whitley in the big leagues? Only time will tell.

Russell best explained the experience before the night began, when he was pacing along the third baseline of Studio 42 in nervousness. Around 10 minutes after being selected by the Royals, Clayton followed up to see how the no longer prospect, but draftee, now felt.

“I’m so excited,” he said. “I can’t believe this is happening right now. This is a dream come true.”

For Collier, the experience has had similar effects.

“As a young sports journalist, it is certainly rewarding to have the opportunity to cover these type of events,” he said. “WSOU at Seton Hall, as a professionally run radio station, offers a number of tremendous opportunities for students such as the MLB Draft. It’s events like these that help you gain the experience necessary to be successful in the media industry. I’ve worked hard at it for several years now, so to be able to cover an event like the MLB Draft for WSOU is very much satisfying.”

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