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Yearly Archives: 2015

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Gloria H. Lauber, 67, of Smithtown, died on March 18.

She was a member of the Smithtown Fire Department Ladies Auxiliary.

She was the wife of the late Charles Jr.; beloved mother of Charles III, Sherry Lauber-Pannulla and Jeffrey; and the loving grandmother of two.

Arrangements were entrusted to Hawkins & Davis Funeral Home in Smithtown, where a funeral service was held. Entombment followed in Pinelawn Memorial Park in Farmingdale.

Her family requests donations in her name to Calvary Lutheran Church, 860 Townline Rd., Hauppauge, NY 11788 or the Suffolk County Volunteer Firefighters Burn Center Fund Inc., P.O. Box 765, Smithtown, NY 11787. An online guest book is available at www.hawkinsanddavisfh.com.

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Karl R. Svanberg, 71, of Wainscott, formerly of Smithtown, died on Feb. 10. He was a veteran of the U.S. Air Force.

Karl was the beloved father of Karl Jr. and Eric; loving brother of Lars; and dear grandfather of three.

Arrangements were entrusted to Hawkins & Davis Funeral Home in Smithtown, where a funeral service was held. Interment with full military honors followed in Calverton National Cemetery.

An online guest book is available at www.hawkinsanddavisfh.com.

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Beatrice A. Foray, 97, longtime resident of Smithtown, died on March 8.

She was the wife of the late Paul; beloved mother of Joan Svanberg and Eileen Foray; grandmother of seven and great-grandmother of four.

Arrangements were entrusted to Hawkins & Davis Funeral Home in Smithtown, where a funeral service was held. Interment followed in Washington Memorial Park in Mount Sinai.

An online guest book is available at www.hawkinsanddavisfh.com.

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By David Dunaief

As the population ages, we see more and more osteoarthritis (OA); but as the population gets heavier, we see more; and as people become more active, we see more; and as the population becomes more sedentary (weakened muscles), we see more. The point is that age, although a strong factor, may not be the only one, and while there are conflicting contributors, there are many, nonetheless.

Over 27 million people in the U.S. suffer from OA (1). Osteoarthritis is insidious, developing over a long period of time, and is chronic by nature. It is a top cause of disability (2). What can we do about it?

It turns out that OA is not just caused by friction or mechanical breakdown based on age but rather on a multitude of factors including friction but also local inflammation, genes and metabolic processes at the cellular level (3). Being a more complicated process means that we may be able to prevent and treat it better than we thought through exercise, diet, medication, injections and possibly even with supplements.

Let’s look at some of the research.

Don’t wait to lose weight!
In an older study, results showed that even a small 10-pound weight loss could result in an impressive 50 percent reduction of symptomatic knee OA over a 10-year period (4).

How can exercise be beneficial?
One of the exercises that most of us either can tolerate or actually enjoy is walking. We have heard that walking can be dangerous for exacerbating OA symptoms; the pounding can be harsh on our joints, especially our knees. Well, maybe not. Walking may have benefits. And once we figure out what exercise might be useful, in this case walking, how much should we do? In the Multicenter Osteoarthritis Study (MOST), results showed that walking may indeed be useful to prevent functional decline (5). But certainly not in overweight or obese patients and not older patients, right?

Actually, the patients in this study were a mean age of 67 and were obese, with a mean body mass index (BMI) of 31 kg/m2, and either had or were at risk of knee arthritis. In fact, the most interesting part of this study was that the researchers quantified the amount of walking needed to see a positive effect. The least amount to see a benefit was between 3250 and 3750 steps per day, measured by an ankle pedometer. The best results were seen in those walking >6000 steps per day, a relatively modest amount. This was random, unstructured exercise. In addition, for every 1000 extra steps per day, there was a 16 to 18 percent reduced risk of functional decline two years later.

Where does vitamin D fit in?
For the last decade or so, we thought vitamin D was the potential elixir for chronic diseases. If it were low, that meant higher risk for disease, and we needed to replete the levels. Well, a recent randomized controlled trial (RCT), the gold standard of studies, has shown that low vitamin D levels may indeed contribute to knee osteoarthritis (6). However, repleting levels of vitamin D did not seem to stem disease progression. In fact, it had no effect on the disease, to the bewilderment of the researchers. There was no change in joint space, knee pain, mobility or cartilage loss slowing. Hmm. The patients were supplemented with vitamin D 2000 IU for two years. There were 146 patients involved in the study. Blood levels of vitamin D were raised by 16.1 ng/ml in the treatment group to >36 ng/ml, which was significantly greater than the 2.1 ng/ml increase in the placebo group. Since the reasons for the results are unclear, work to maintain normal levels of vitamin D to possibly prevent OA, rather than wait to treat it later.

Acetaminophen may not live up to its popularity
Acetaminophen is a popular initial go-to drug for the treatment of osteoarthritis, but what does the research say about its effectiveness? The answer might surprise you. Although acetaminophen doesn’t have anti-inflammatory properties, it does have analgesic properties. However, in a recent meta-analysis (involving 137 studies), acetaminophen did not reduce the pain for OA patients (7). In this study, all other oral treatments were significantly better than acetaminophen including diclofenac, naproxen and ibuprofen as well as intra-articular (in the joint) injectables, such as hyaluronic acid and corticosteroids, except for an oral cox-2 inhibitor, celecoxib, which was only marginally better.

What about NSAIDs?
NSAIDs (nonsteroidal anti-inflammatory drugs) by definition help to reduce inflammation. However, they have side effects that may include gastrointestinal bleed and have a black box warning for heart attacks. Risk tends to escalate with a rise in dose. But now there is a new twist; the FDA has approved a new formulation of an NSAID, diclofenac (Zorvolex) (8). This formulation uses submicron particles, which are roughly 20 times smaller than the older version; since they provide a greater surface area that helps the drug to dissolve faster, they require less dosage.

The approved dosage for OA treatment is 35 mg, three times a day. In a 602-patient, one-year duration, open-label randomized controlled trial, the new formulation of diclofenac demonstrated improvement in pain, functionality and quality of life (9). The adverse effects, or side effects, were similar to the placebo. The only caveat is that there was a high dropout rate in the treatment group; only 40 percent completed the trial when they were dosed three times daily.

Don’t forget about glucosamine and chondroitin
Study results for this supplement combination or its individual components for the treatment of OA have been mixed. In a double-blind RCTß, the combination supplement improved joint space, narrowing and reducing the pain of knee OA over two years. However, the pain was reduced no more than was seen in the placebo group (10). In a Cochrane meta-analysis review study (involving 43 RCTs) results showed that chondroitin with or without glucosamine reduced the symptom of pain modestly compared to placebo in short-term studies (11). However, the researchers stipulate that most of the studies were of low quality.

So, think twice before reaching for the Tylenol. If you are having symptomatic OA pain, NSAIDs such as diclofenac may be a better choice, especially with SoluMatrix fine-particle technology that uses a lower dose and thus hopefully means fewer side effects. Even though results are mixed, there is no significant downside to giving glucosamine-chondroitin supplements a chance. However, if it does not work after 12 weeks, it is unlikely to have a significant effect. And above all else, if you need to lose weight and do, it would reduce your risk of OA significantly.

REFERENCES
(1) Arthritis Rheum. 2008;58:26-35. (2) Popul Health Metr. 2006;4:11. (3) Lancet. 1997;350(9076):503. (4) Ann Intern Med.1992;116:535-539. (5) Arthritis Care Res (Hoboken). 2014;66(9):1328-36. (6) JAMA. 2013;309:155-162. (7) Ann Intern Med. 2015;162:46-54. (8) FDA.gov. (9) ACR 2014 Annual Meeting: Abstract 249. (10) Ann Rheum Dis. Online Jan 6, 2014. (11) Cochrane Database Syst Rev. 2015 Jan 28;1:CD005614.

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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Gunshots rang out in the night on March 11 in Huntington Station. The bullets from the gun of someone fleeing a traffic stop struck Suffolk Police Officer Mark Collins in the neck and hip, triggering an immediate reaction in a team of medical and emergency personnel with one goal: Do whatever can be done to keep Collins alive.

Seeing the injuries to Collins’ neck, the medics at the scene directed the injured officer to the Stony Brook Trauma Center, where the Code T Team — the highest level activated — was called in. Several medical professionals prepared for his arrival, including a board-certified general surgeon and an anesthesiologist, in case the officer needed emergency surgery. The center also held open an operating room and a CT scanner and had several other medical professionals, including a radiology technician, at the ready.

“We bring all the necessary resources to handle any array of injuries,” said Dr. James Vosswinkel, chief of Division of Trauma, Emergency Surgery and Surgical Critical Care at Stony Brook Medicine.

A gunshot wound to the neck “doesn’t sound good,” said Vosswinkel, who was home in East Setauket before the incident. When Collins came in, “we mobilized all the appropriate services.”

The prospect of such a serious injury raised concerns for their incoming patient.

Any time there is a Code T alert, “your blood pressure goes up a little bit,” Vosswinkel said. Still, he and the other members of the medical crew were prepared to follow a system that uses a “standard algorithmic approach” for injured patients, “where we have people come in and everybody knows their role.” The medical staff relies on a set of instructions that involve multiple people whose responsibilities range from stabilizing the patient to identifying injuries.

How does a surgeon who might be required to spend hours with a patient at any given time — and often late in the night, as was the case with this officer — prepare for the moment when he might ask his or her body and mind to focus on something unexpected?

Vosswinkel’s response, like those of the police who deal with emergency situations in our communities, was simple: training. Four years of medical school, five years of general surgery and then a few years of additional trauma training helped him prepare emotionally and physically.

The doctors also “try to keep ourselves in good shape with a healthy lifestyle and the necessary rest,” which gives them emotional and physical control. “You’re prepared when you’re on call,” he said. “The first priority” in an emergency is to “get a good enough team and good enough number of people together so you can handle the rigors that may be required.”

Vosswinkel said he does what many people who confront a high-stress situation do: He takes a slow deep breath, moves a step back and does whatever he can to remain focused and logical.

“Practicing in a hospital like this allows you to keep focus and keep your emotions in control,” he said.

The bullet in Collins’ neck was an inch away from a much more precarious outcome. The surgical team put him in a medically-induced coma. Standing behind Collins in a wheelchair as other officers saluted their wounded colleague, Vosswinkel brought Collins out of the hospital.

Vosswinkel said he and the staff were inspired by Collins’ dedication as a police officer and his contribution to the community.

“How could you not be inspired by someone like him?” Vosswinkel asked. “These guys are out there making it safe so something bad doesn’t happen to us.” And, when something bad happens to them, the trauma unit stands ready.

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Several joyous events are coming together for us at Times Beacon Record Newspapers. One is the 39th anniversary of the founding of our media group, which began with the first issue of The Village Times on April 8, 1976. While we had little doubt that we would be successful, such being the perception of total ignorance, we look back at the intervening years with astonishment and humility. We are astonished by all that has transpired in the communications industry during that time, from the advent of typesetting and desktop computers to the soon-to-be released Dick Tracy watch from Apple. And we are deeply grateful for our endurance, the result of a selfless and totally committed staff and a trusting and supportive readership and advertising base. We are incredibly appreciative that we have with us staff who have been with the company for so many of those years, and subscribers and advertisers who still think we are worth the cost. And we highly value those who have joined us most recently, for they keep us on the cutting edge.

In creating The Village Times, in effect we created a microscopic world within our office in which talented staffers worked as a team to publish a hometown newspaper each week. Everyone learned to fill almost every position because we never knew who would be called away without finishing the allotted work. Why would that happen? Because we were mainly a group of mothers with young children, and I can say in all truthfulness that we invented the concept of job sharing.

As a result of so much teamwork, we tightly bonded then, even as we have continued the tradition of helping each other every day. Those bonds are much in evidence whenever former staffers, now highly successful perhaps in larger communications corporations, stop by to say “hello” and catch up on the latest. For we know of each others’ families, challenges and successes over the years and we delight in staying in touch.

As we built and grew newspapers, we also worked diligently to build and grow community. That is, after all, the consequence of a community newspaper that exists to share the problems and triumphs of the latest news, The net effect is to encourage bonding among residents for the common good and for pride of place. Where there is a strong sense of community, everyone benefits, from school districts and local governments to commercial, cultural and athletic efforts.

This weekend, we will celebrate the 39th annual party honoring the men and woman of the year as selected in our last issue of this past year. By appreciating their work in going the extra mile and enhancing our lives with their accomplishments, we are also strengthening our pride in community and encouraging communications among all segments of our hometown. When we get all those leaders into one room at one time socializing together, we like to think we are cross-pollinating for future cooperation and success. We will run some photos from the event in next week’s papers so that everyone can feel pleased with where and among whom we live.

Besides all that fun stuff, we are bringing out our latest publication, a beautiful magazine: LIFESTYLE. It will be inserted in all our newspapers each month, and we hope it will offer a breath of fresh air alongside some of our more somber news articles. In LIFESTYLE, we will examine activities and issues that animate our region and some that we might hope to enjoy. LIFESTYLE is intended to upgrade and augment our regular supplements, like Focus on Health, Our House, SummerTimes and HarvestTimes, and we will develop ideas and go farther afield in geography in its pages.

And finally, I will share with you our excitement over our revamped and upgraded website. With our new platform, we will be able to bring more news, more photos, more features, more voices and more interactivity to our communities. The official rollout is next week but, like the news itself, it will be an ongoing work in progress.

We create these new products and events to further your pleasure and the value you feel in our media company. But we cannot succeed in any of these efforts without your support and input. We will be delighted, as always, to hear from you. Happy Spring!

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College is expensive. Actually, college is ludicrously expensive these days, as 60 percent of graduates from colleges and universities in New York are coming out of school with a debt of more than $26,000, according to the Project on Student Debt, an initiative of the nonprofit Institute for College Access & Success.

With these numbers in mind, we support Assemblyman Chad Lupinacci’s (R-Huntington Station) push for increasing the maximum amount of financial aid awarded through the New York State Tuition Assistance Program.

While college costs have increased drastically over the last 10 years, there has been no substantial increase in the maximum TAP award a student can receive. Individuals can currently cash in a minimum grant of $500 and a maximum of $5,165 each year.

Lupinacci said he wants to raise the maximum to $6,470, while also increasing the maximum eligible household income from $80,000 to $100,000. We wholeheartedly support this measure, as the increases would better align with SUNY and CUNY tuition rates for in-state residents and the high cost of living in New York.

For the 2014-15 school year, a typical undergraduate student studying at a SUNY college will pay a little more than $7,500 for tuition and student fees. Add room and board, and that cost becomes about $19,600.

Raising the maximum TAP award would provide many students — who may be supporting themselves and working full-time — an easier pathway to obtaining their degrees. This program could be especially crucial to students who are on their own and may not have someone to co-sign a loan.

We often use the phrase “every penny counts,” and in this case it couldn’t be truer. The purpose of public education is to increase access to an important service. Increasing TAP will help further that goal.

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Miller Place property could be developed

The property is adjacent to Cordwood Landing County Park off of Landing Road in Miller Place. Photo by Erika Karp

A parcel of wooded land next to Cordwood Landing County Park in Miller Place is up for grabs, and the community isn’t letting the land be developed without a fight.

The 5.4-acre parcel, which backs up to the more than 64-acre county park off of Landing Road, has value to the residents of Miller Place, and according to Legislator Sarah Anker (D-Mount Sinai), constituents have been making it clear that the land needs to be preserved.

A website and Facebook group, operating under the name Friends of Cordwood Landing, was launched a few months ago, and the group has been advocating for the land’s preservation. A representative from the group could not be reached for comment.

Back in December 2014, Anker began the process of acquiring the land from its owner, Rocky Point developer Mark Baisch, of Landmark Properties. The legislature unanimously voted to start the acquisition process so that the county could protect the area, which Anker described in a phone interview on March 17 as “residential,” from possible commercialization or industrialization. The county has hired appraisers to determine the land’s worth. According to law, the county can’t pay any more than the appraised value.

Anker said she would like to see the land become a part of the waterfront property of Cordwood Landing.

“I am a true environmentalist,” Anker said. “I will do everything I can to advocate and move this parcel forward through the acquisition process.”

According to Town of Brookhaven planning documents, Baisch submitted a request for a subdivision back in January. In a recent phone interview, Baisch said he would like to build homes on the land. However, if the county’s offer is sufficient, he said he would sell the land.

Anker said the proposal to acquire the land is currently in its early stages and is awaiting approval from the Environmental Trust Fund Review Board. If approved, the proposal will head to the Environmental, Planning, and Agriculture Committee, of which Anker is a member. She expects the proposal to get there by April.

In 2013, the county tried to purchase the land from its original owner, but the owner refused to sell.

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Family is the most important thing in Mario's life. She celebrated her 108th birthday in February. Photo from Elaine Campanella

Much has changed since Anna Mario lived in her first-floor Brooklyn apartment back in the 1920s.

In those days, people were friendlier, they said hello to each other, and they were more attached to their friends and neighbors, according to the 108-year-old, who now lives in St. James Nursing and Rehabilitation Center.

“People are more independent now. They don’t help each other, they think they are better than you,” Mario said. “I don’t want to be better than anyone, I want to be what I am and I’m happy,” she said.

A positive outlook has always played a part in her life, according to Mario’s daughter Elaine Campanella of Hauppauge.

“She’s got a good attitude,” Campanella said. “She believes that anything you do, you do with happiness. She says if you smile, the world smiles back at you.”

One of seven children, Mario was born in New York City in 1907. She worked in the garment industry as a machine operator in a factory that made pajamas.

“I worked most of my life and I loved every minute of it,” she said. “We made the most beautiful nightgowns.”

Mario’s husband passed away in 1975, but she stayed in Brooklyn until 1990 when she moved out to Port Jefferson Station. Campanella said her mother remained active after the move, taking bus trips to Atlantic City and participating in senior clubs, even becoming president of one.

According to Campanella, no one in Mario’s family has lived past 100 years old, let alone 108. Mario’s father died when he was 80 and her mother at 62.

Campanella doesn’t think there is a secret to her mother’s longevity, but she did say she always cooked well and she rarely took medication except for the occasional dose of Tums. Her faith always remained important to her.

“If anyone was in trouble or sick she would say a prayer and say it was in God’s hands,” Campanella said.

She said her mother always lived a simple life, never shying away from crises but always handling it as best she could.

“She always tells everyone that if you have a problem, you deal with it. If there is nothing you can do, then you move on.”

Mario lived on her own until she was 106 years old, doing all of her own cooking and cleaning. Heart problems that year put her in the nursing home, where she has been ever since.

“I have a nice life here,” Mario said of the nursing home. “Everyone is friendly and I have a nice time. If I can’t be home, this is the place to be. They make me feel at home.”

She occasionally leaves the nursing home to join her family for holidays and special events, she said.

According to Lori Sorrentino, recreational therapist at St. James, Mario keeps busy practicing tai chi, socializing with friends, dancing in her wheelchair at facility dance events and playing Bingo, one of her favorite pastimes.

Sorrentino called Mario “very spunky,” adding that she has had a great attitude since coming to the facility over a year ago.

“She is very funny and very inspirational. She is just full of life and age does not stop her,” Sorrentino said. “She always says that its good friends and family that keep her going.”

Mario’s family includes four grandchildren, eight great-grandchildren and many nieces and nephews. Campanella said her mother hates to see the younger generation glued to iPods and cell phones.

“It’s just not social — she sees it as detachment,” Campanella said. “It hurts her.”

At her 108th birthday celebration last month, Mario made a toast to her family, urging them to avoid that detachment.

“She made everyone cry when she said how much she wanted the family to stay together,” Campanella said. “Family is what she loves about life. That is her philosophy.”

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'Queensborough,' oil on prepared acid free paper. Image from Gallery North

Gallery North is mourning the loss of illustrator and friend Jeffrey K. Fisher. Beginning Friday, March 27, the gallery honors this dynamic illustrator with a one-man show titled “By Default: The Work of Jeffrey K. Fisher.”

Judith Levy, director of Gallery North, speaks of Fisher with both tears in her eyes and a smile on her face. “I knew Jeff for four and a half years. He helped me with a couple of important exhibitions. He was an exuberant person!”

The name of the show evolved from a joke Fisher had with Levy in which he said he was “only in the Gallery’s shows by default.” It was his tongue-in-cheek way of joking about why his work was included in its shows. Fisher’s passing has left a void in the art community. Levy said the reception and show will “represent the spirit, the energy and the fun of Jeffrey Fisher.”

Fisher, an award-winning artist, cast his spell on everyone he met. Adrian Sinnot, illustrator and friend of Fisher, shared words of praise, which will resonate with those who knew the artist. “He was a giant of a man both physically and artistically. At 6 feet 4 inches he towered over the members of the Berndt Toast Gang, the Long Island chapter of the National Cartoonists Society.” He continued to say that Jeff was a “prime example of a fellow artist who was always willing to help other artists in the highly competitive professional work they were engaged in.”

Artist Jeffrey K. Fisher at last year's 'The Drawn Word' opening reception. Photo by Jeff Foster
Artist Jeffrey K. Fisher at last year’s ‘The Drawn Word’ opening reception. Photo by Jeff Foster

From professional organizations such as the Society of Illustrators to his formation of the Long Island Drawing Studio in Smithtown, to the Joe Bonham Project, Fisher left behind many people who miss his presence. Amanda Reilly, a freelance illustrator who was a student of Fisher’s for two years, at the Drawing Studio, is grateful for his guidance. “He always found the time to talk to me about my work and I will always remember the support and confidence he gave me. Through his continued criticism, he made me realize that I am always learning and growing.” Reilly laughed about the crazy drawing exercises he would make them do, such as drawing with their nondominate hand or with their feet. Reilly and other members of the studio are proudly renaming the studio “The Jeffrey K. Fisher Studio” to honor the commitment and dedication he shared with the students.

Victor Juhasz, fellow illustrator, met Fisher in the early 2000’s when they were serving on the board of directors for the Society of Illustrators. Juhasz reflected, “Jeff was one of those guys who goofed around but when he talked about art and drawing he was utterly fluent and poetic.” Juhasz and Fisher worked together on the “Joe Bonham Project” where they would spend hours talking to wounded service members about their war experiences while documenting their stories through drawings. “I literally think of him almost every day,” said Juhasz.

Fisher offered so much of his life and passion to the art community and his family. Sinnot added with pride, “[Fisher’s] passing leaves a great hole in the lives of the many thousands of people he touched through his teaching and his art. One of the great things we do as artists is to leave behind a part of ourselves in our work for future generations to share and enjoy.”

“By Default” offers visitors an opportunity to experience an array of work that Fisher created over the years, which according to Levy “includes a variety of illustrations prepared for various books and other publications.”

'Babe Ruth,' ink sketch. Image from Gallery North
‘Babe Ruth,’ ink sketch. Image from Gallery North

“To see one of Jeff’s pieces brings him back to us if only for a moment. If you never had the chance to know Jeff, get to know his work, as he lives and breathes through it,” reflected Sinnot, Fisher’s friend and colleague of 25 years.

Please join Gallery North on Friday, March 27, from 5 to 7 p.m. for the opening reception, which will not only honor Fisher but also keep alive his humor with live caricaturists and calligraphers drawing for guests.

“By Default” will run from March 27 through April 17. Gallery North is located at 90 North Country Road in Setauket. Gallery hours are Tuesday through Saturday 10 a.m. to 5 p.m. and Sundays from noon to 5 p.m. For more information contact Gallery North at 631-751-2676 or visit www.gallerynorth.org.

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