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Monthly Archives: February 2016

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State Sen. John Flanagan. File photo

Lawmakers are stepping up in the fight against synthetic drugs, and one North Shore official said it was a major milestone in a personal initiative to combat abuse.

State Sen. John Flanagan (R-East Northport) joined with Senate Majority Coalition leaders and the Independent Democratic Conference leader Jeff Klein (D-Bronx) to help pass a package of bills that aims to prevent the abuse of deadly synthetic drugs. In a statement, Flanagan said the drugs have become more prevalent across Long Island because their effects are similar to other known hallucinogens or narcotics. But their chemical structures, Flanagan said, are slightly altered, making it more difficult to restrict them.

“The spread of synthetic drugs is affecting every community and will continue to destroy lives unless more preventive action is taken,” Flanagan said. “For five years, I have sponsored legislation that has passed the Senate on numerous occasions so that we can hold criminals accountable for the creation of new and dangerous drugs that evade our current laws. It is past time for the Assembly to join us and help put an end to synthetic drugs today.”

If the Senate bill passes, the state would zero in on the sale of the synthetic drugs known as K2, Alpha-PVP and others similar to them, by creating criminal penalties for possession and sale. The Department of Health would have to maintain an electronic database of known synthetic cannabinoids, listing their compounds, a description of products and their street names, lawmakers said. The legislation would also amend the Controlled Substances Act to add analogous drugs, Flanagan said.

With support from the Senate Majority Coalition and Klein, who heads the Independent Democratic Conference, lawmakers released a report called “The State of Synthetics: A Review of the Synthetic Cannabinoid Drug Problem in New York and Solutions on Ending the Epidemic” earlier this year. The report found that New York taxpayers fronted roughly $22.7 million to respond to what Flanagan called a public health crisis in 2015.

“We must KO K2 from upstate to downstate, and the Senate will send a strong message that synthetic drugs will not be tolerated in our state,” Klein said. “My analog bill will ensure that New York keeps ahead of the chemists’ curve and will ban chemicals that mimic controlled substances as they are tweaked, so the law can no longer be subverted. Now, the Assembly must take action to protect the citizens of New York State.”

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Kids are dismissed early from Port Jefferson’s middle and high schools on a previous snow day. File photo by Michael Ruiz

Slippery conditions and cold temperatures are a couple of reasons to hate snow, and now Port Jefferson kids and parents have another one: cutting into the school break.

Despite a handful of snowfalls, with the help of the heaviest of them falling on a weekend, the school district has kept closings to just two days — last Friday and Monday. But those instruction days still have to be made up at some point, so that the district stays in compliance with state education regulations regarding the minimum number of school days.

Superintendent Ken Bossert said at the Port Jefferson Board of Education meeting on Tuesday night that, as a result, the snow will dig into April. The first lost day will be made up on Friday, April 22, which was originally scheduled as a staff conference day, and the other will be made up on Monday, April 25, which was supposed to be the first day of spring break.

Delayed openings and early dismissals, which the school district also uses to ensure student safety during snow events, do not affect the count of instruction days and thus do not have to be made up elsewhere.

If there are any more storms that precipitate school closings, each instruction day missed will be redeemed during the spring break, according to Bossert, cutting deeper into that vacation time.

The superintendent explained that due to the way the school calendar was designed in the 2015-16 school year, with a late Labor Day and the way the Jewish holidays Rosh Hashanah and Yom Kippur fell, the calendar was “much less flexible with building in snow days.”

Next year is shaping up to be different. The school board approved a 2016-17 calendar on Tuesday night that starts a couple of days earlier than the current year and has five snow days built in from the get-go.

“And we can actually do more than that without encroaching on religious observances and things like that,” Bossert said.

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Gallstones are a very common gastrointestinal disease; they affect up to 20 million Americans between the ages of 20 and 74, with a more than two-times increased occurrence in women than in men, according to the NHANES III survey (1). There are two types of gallstones, 80 percent of which are cholesterol stones and 20 percent of which are pigment stones.

Common symptoms
Gallstones may be asymptomatic; however, when gallstones block either the cystic or common bile ducts, symptoms occur. Symptoms include dull or crampy abdominal pain that is exacerbated by meals and lasts one to five hours. Jaundice, which includes yellowing of skin and eyes, is another symptom. Others include nausea and vomiting, rapid heart rate, hypotension (low blood pressure) and fever (2).

Tests used for diagnosis
Blood tests include complete blood count, where there may be a rise in white blood cells; liver enzymes; and the pancreatic enzymes lipase and amylase. In general, diagnostic tests that have more accuracy are the endoscopic ultrasonography (EUS) and endoscopic retrograde cholangiopancreatography (ERCP). However, these are invasive tests. Less accurate but noninvasive tests include abdominal x-ray, ultrasound and CAT Scan (CT). The tests used also depend on where the stone may be located. Hepatobiliary (HIDA) scans are accurate if the stone is located in the cystic duct. And magnetic resonance retrograde cholangiopancreatography (MRCP) is used if the stone is thought to be located in the common bile duct (2).

What are the risk factors?
There are a multitude of risk factors. Some of these are modifiable, some others are not. The modifiable ones include obesity, measured by body mass index (BMI); rapid weight loss; fat consumption; hormone replacement therapy (HRT); oral contraceptives; decreased physical activity; Crohn’s disease and certain drugs. One non-modifiable risk factor is age; the older we get, the higher the risk, with 40 years of age being the demarcation line (3). Other risk factors are gender, with females being more predisposed ; pregnancy; and family history (4).

Let’s look at the evidence.

Obesity
Obesity may play an important role. Obesity is not age-discriminant; it can impact both adults and children. The reason obesity is implicated is potentially due to bile becoming supersaturated (5). Bile is a substance produced in the liver and stored in the gallbladder. Bile aids in the digestion or breakdown of fats in the small intestines. Crystals may form, creating cholesterol gallstones from the bile.

Body Mass Index
A body mass index of greater than 30 kg/m2 is considered obese. In a meta-analysis of two prospective, forward-looking observational trials, Copenhagen General Population Study and the Copenhagen City Heart Study, those in the highest quintile of BMI were almost three times as likely to experience symptomatic gallstones compared to those who were in the lowest quintile (6). The highest quintile was those who had a mean BMI of 32.5 kg/m2 and thus were obese, whereas those in the lowest quintile had a mean BMI of 20.9 kg/m2. This is a comparison of ideal to obese BMI. Not surprisingly, since women in general have a higher risk of gallstones, they also have a higher risk when their BMI is in the obese range compared to men, a 3.36-fold increase and 1.51-fold increase, respectively.

Also, the research showed that for every 1 kg/m2 increase in BMI, there was a 7 percent increase in the risk of gallstones. Those who had genetic variants that increased their likelihood of an elevated BMI had an even greater increase in gallstone risk —17 percent — per 1 kg/m2. In the study population of approximately 77,000, more than 4,000 participants became symptomatic for gallstones.

Gallstones in children
Sadly, obese children are not immune to gallstones, even though they are young. In a prospective observational study based on Kaiser Permanente data from southern California, children who were overweight had a twofold increased risk of gallstones (7). But if that is not enough, girls who were extremely obese had a higher propensity for gallstones, similar to women in the previous study, with a greater than sevenfold increase compared to a still very substantial greater-than-threefold increase for obese boys. Hispanic children were affected the most. The age range in this study was between 10 and 19 years old. Obesity is a disease that is blind to age.

Physical activity
We know physical activity is very important to stave off many diseases, but in this case, the lack of physical activity can be detrimental. In the Physicians’ Health Study, a prospective observational trial, those in the lowest quintile of activity between the ages of 40 and 64 had a 72 percent increased risk of gallstone formation, and those 65 and older had a 33 percent increased risk. (8). Also, men who were 65 and older and watched television more than six hours a week were at least three times as likely to have gallstones as those who watched fewer hours. There was a substantial increased risk for those under 65, as well, though to a slightly lesser degree.

Diabetes rears its ugly head
Just like with obesity, diabetes is almost always a culprit for complications. In a prospective observational study, those with diabetes were at a significant 2.55-times greater risk of developing gallstones than those without (9). Again, women had a higher propensity than men, but both had significant increases in the risk of gallstone formation, 3.85-times and 2.03-times, respectively. There were almost 700 participants in this study. The researchers believe that an alteration in glucose (sugar) metabolism may create this disease risk.

Hormone replacement therapy
If you needed another reason to be leery of hormone replacement therapy (HRT), then gallstones might be it. In a prospective observational trial, women who used HRT compared to those who did not, had a 10 percent increased risk in cholecystectomy — removal of the gallbladder — to treat gallstones (10). Though this may not sound like a large increase, oral HRT increased the risk 16 percent, and oral estrogen-only therapy without progestogens increased the risk the most, 38 percent. Transdermal HRT did not have a significantly increased risk.

It is never too early or too late to treat obesity before it causes, in this case, gallstones. With a lack of exercise, obesity is exacerbated and, not surprisingly, so is symptomatic gallstone formation. Diabetes needs to be controlled to prevent complications. HRT, unless menopausal symptoms are unbearable, continues to show why it may not be a good choice. Next week, we will look at the complications of gallstones and how to prevent them.

References:
Gastroenterology. 1999;117:632. (2) emedicine.medscape.com. (3) J Hepatol. 1993;18 Suppl 1:S43. (4) uptodate.com. (5) Best Pract Res Clin Gastroenterol. 2014 Aug;28:623-635. (6) Hepatology. 2013 Dec;58:2133-41. (7) J Pediatr Gastroenterol Nutr. 2012;55:328-333. (8) Ann Intern Med. 1998;128:417. (9) Hepatology. 1997;2:787. (10) CMAJ. 2013;16;185:549-50.

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 or consult your personal physician.

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By Fr. Francis Pizzarelli

It is only February of the new year and yet it is hard to believe that more than a dozen young people from our larger community have died prematurely from reckless decision-making and heroin overdoses.

Researchers in Suffolk County are saying that at least one person a day is dying of a heroin overdose. School districts are training their faculty and staff on how to use Narcan — that new nasal spray that is literally bringing people back to life. One local not-for-profit agency recently trained more than 60 members from the Port Jefferson community on how to use this miracle nasal spray.

Slowly, people seem to be finally recognizing the seriousness of this infectious epidemic. Parents are moving beyond their denial and painfully realizing that this affliction is threatening their children’s livelihood and is here to stay.

Awareness is rising but unfortunately at a snail’s pace; law enforcement and our criminal justice system are finally seeing this epidemic as it should be seen — as a serious health crisis, not as a crime.

Unfortunately, insurance companies continue to have the power over people’s lives with no accountability. They continue to determine, even though it’s supposed to be against the law, who lives and who dies, who gets access to residential drug and alcohol treatment and who doesn’t.

A few months ago, a desperate family sought my assistance for their 25-year-old son T.J. who was a hard-core heroin addict — and they didn’t have a clue! He almost died and finally was open to serious treatment. He said to his mom, “I will do whatever it takes to take back my life and live again!”

Unfortunately, I did not have a bed immediately available — our waiting list has 25 people on it and it is growing exponentially every day. I suggested a number of well-respected, short-term residential rehabilitation centers within our larger community.

Their insurance company would not pay for a short-term residential rehabilitation center until T.J. tried an intensive outpatient program. He did that; on the third day he failed. He overdosed on heroin and died.

Heroin is like no other drug on the street today. People trying it once are becoming hooked. It is destroying children, mothers and fathers and whole families. Bright kids, athletes, the rich and the poor — this drug knows no parameters or boundaries. Anyone who uses it is vulnerable for destruction.

This reprehensible policy is sentencing more and more heroin addicts to a premature death. T.J.’s insurance company should be held accountable and charged with his death!

As a community, we must stand up and say “No more!” What will it take? How many more bright, talented young people have to die before the people in power are ready to do something that really will make a difference?

Recently, at a local community meeting, Sen. Kenneth LaValle said that the State Senate was going to make the heroin epidemic a number-one priority on their agenda this year. Let’s storm the State Senate and the Governor’s office with letters and emails urging and demanding that they act now before another family buries a young person with a limitless possibility and promise.

Fr. Pizzarelli is the director of Hope House Ministries in Port Jefferson.

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The McDonald’s in Port Jefferson has closed. Photo by Reid Biondo

A longtime fixture in downtown Port Jefferson closed last week, leaving a business next to Village Hall empty.

The McDonald’s fast food restaurant on West Broadway had been controversial when it first moved in more than a decade ago, but what has been perceived as its abrupt closure has left some scratching their heads. Visitors were met with a sign directing them to a different franchise location in Port Jefferson Station.

“I was totally shocked,” Barbara Sabatino said about when she found out the harborfront restaurant had closed.

The owners and operators of the business, franchisees Peter and Katie Hunt, said in an email statement through a McDonald’s spokesperson on Monday, “It’s been a pleasure to serve this neighborhood and we appreciate the support of the local business community, elected officials and community partners. We are very happy to report that all of our employees have accepted jobs at nearby McDonald’s locations. We remain committed to serving Port Jefferson, and we look forward to continuing our work in this community.”

Sabatino, who runs the Port Jeff Army Navy in upper Port and serves on the village planning board, was a member of the now-defunct civic association at the time McDonald’s was trying to locate in lower Port more than 15 years ago.

“They really had a difficult time,” she said. “[Some people] felt that a McDonald’s did not fit their view of Port Jefferson.”

There were also people on the other side of the argument, she added, who had an attitude of “what’s the big deal?”

While village officials said they were concerned about how the restaurant would look, Sabatino said, the owner was “cooperative” on the architecture and finishing touches, giving it that “seafaring town look, with the dormers on the top and the little trim.”

And the business owner noted that the restaurant has been a good neighbor, cleaning up trash and keeping the property looking nice.

The controversy over it coming in was enough to spur the village board of trustees to take precautions for the future.

According to the village code, officials amended Port Jefferson’s zoning laws in June 2000 to prohibit “formula fast food establishments” in both the C-1 and C-2 central commercial districts, which are located along the main drag in the downtown and uptown areas, respectively.

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Ukrainian Easter eggs are decorated with traditional Ukrainian folk designs using a wax-resist (batik) method. Photo from RBCC

Resurrection Byzantine Catholic Church, located at the corner of Edgewater and Mayflower Avenues in Smithtown, invites the community to take part in its 5th annual Traditional Ukrainian Easter Egg (Pysanky) workshop on March 6 and 13 from 1 to 3 p.m.

The two-day workshop, which will take place in the church’s Social Hall, is open to all levels of experience. Learn and complete your first egg, discover new patterns and tips or show your skills and enjoy the company. Bring your dyes and tools or start fresh with a new kit, available for an additional $15. Each participant must bring a candle in a holder, pencils and a roll of paper towels.

Two day class fee is $20. Advance registration is required by calling Joanne at 631-332-1449 after 6:30 p.m. or email [email protected]. Deadline to register is Feb. 19.

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Cinema Arts Centre photo by Victoria Espinoza

Looking for a more exclusive way to enjoy movies in Huntington? The Cinema Arts Centre has just the fix.

The Preview Club is a new program opening in March that will allow a select amount of people to attend advance screenings of new films before their New York release dates.

David Schwartz, chief curator of the Museum of the Moving Image in Manhattan, will be curating the program and will also design the program from audience feedback. After every show, a guest speaker — for example, the producer of the movie — will lead a discussion with the audience related to the film shown. The audience will also be given cards for comments, which will aide Schwartz in his development of the program going forward.

Preview-Card-Raj-wThere is a maximum of 270 members allowed in the club, and Raj Tawney, director of publicity and promotions at the Cinema Arts Centre, said the club already has about one hundred members after just announcing the program last week.

“The exciting part of it is you as an audience member won’t know what you’re seeing until you sit down in the theater,” Tawney said in a phone interview.

The films shows will be a range of major independent and international movies and will be shown about once or twice a month.

The first showing is Mar. 16, and the following few include April 16 and 27.

The Preview Club is not only a ticket to new movies but also a social club meant for fellow film lovers to interact.

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Vendors at the Huntington schools winter farmers market on Jan. 31 included Finks Country Farm. Photo by Heidi Sutton
Vendors at the Huntington schools winter farmers market on Jan. 31 included Naturally Handmade by Susan. Photo by Heidi Sutton
Vendors at the Huntington schools winter farmers market on Jan. 31 included Copia Granola. Photo by Heidi Sutton
Vendors at the Huntington schools winter farmers market on Jan. 31 included High River Sauces. Photo by Heidi Sutton
Vendors at the Huntington winter farmers market include The Big Cheese. Photo by Heidi Sutton
Vendors at the Huntington schools winter farmers market on Jan. 31 included MOMO Dressing. Photo by Heidi Sutton
Vendors at the Huntington schools winter farmers market on Jan. 31 included Peck’s of Maine. Photo by Heidi Sutton
Vendors at the Huntington schools winter farmers market on Jan. 31 included Champagne Tea. Photo by Heidi Sutton

Farmers markets have certainly evolved over the years and the Long Island Winter Farmers Market at the Jack Abrams School at 155 Lowndes Ave. in Huntington Station is no exception.

On a recent Sunday morning, the market was bustling with activity. Bread, vegetables, preserves, fudge, cheese, granola, salad dressings, smoked salmon, pickles, champagne tea , yogurt and coffee, to name just a view, were available for purchase as live music played.

Vendors, who came from as far as Brooklyn and Manhattan, offered free samples of their products and were eager to answer any questions.

The Huntington Station winter farmers market will run every Sunday from 9 a.m. to 1 p.m. through April 24. For more information and a list of select vendors, visit www.longislandfarmersmarkets.com.

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Jon Cryer and Molly Ringwald in a scene from ‘Pretty in Pink.’ Photo from Fathom Events

The 1980s teen classic “Pretty in Pink” turns 30 this year and Fathom Events and Paramount Pictures invite you to celebrate the cult film’s 30th anniversary when it returns to 575 select cinemas nationwide for a special two-day event on Sunday, Feb. 14 and Wednesday, Feb. 17 at 2 p.m. and 7 p.m.

John Hughes’ romantic comedy-drama film about love and social cliques in 1980s American high schools first arrived in theaters on Feb. 28, 1986, and secured the No. 22 spot on that year’s list of highest box-office earners by grossing $40.5 million over its 14-week run.

“It is exciting to celebrate 30 years of Pretty in Pink by showing it back in movie theaters for Valentine’s Day,” John Rubey, the CEO of Fathom Events, said in a statement. “Many from this generation have never seen it on the big screen and now they have two very special chances.”

Featuring outstanding performances by Molly Ringwald, Andrew McCarthy, Jon Cryer, James Spader, Harry Dean Stanton and Annie Potts plus a phenomenal rock soundtrack, “Pretty in Pink” is a funny and bittersweet love story that stands the test of time.

In our neck of the woods, screenings will be held at Island 16, 185 Morris Ave., Holtsville; AMC Loews Stony Brook 17, 2196 Nesconset Highway, Stony Brook; and Farmingdale Multiplex 1001 Broadhollow Road, Farmingdale.

Tickets are available online at www.FathomEvents.com and at participating theater box offices.

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By Susan Risoli

People coping with illnesses such as osteoporosis and rheumatoid arthritis — or those who have undergone a mastectomy — may also contend with pain, disability and a swirl of emotions.

hand_health_wThe best treatment plan is a multifaceted approach, said Marco Palmieri, D.O. Palmieri is medical director of the Center for Pain Management at Stony Brook Medicine. “A pretty high percentage” of post-mastectomy patients experience pain, he said. He and his colleagues recommend a well-structured regimen that could include medications, interventional approaches, physical therapy, acupuncture, massage therapy, diet, exercise and, in some cases, treatment by a pain psychologist, Palmieri said.

Interventional approaches may include ablation and nerve blocks. “We block the nerves that supply the area of the chest wall,” Palmieri explained. For postmastectomy patients, he said, pain management specialists would choose neuropathic pain medications first, before turning to opioid drugs, in what Palmieri called “an opioid-sparing strategy.”

A pain psychologist may be called in for postmastectomy patients “who experience mood effects or have trouble coping,” Palmieri said.

Most important is to remember that postmastectomy patients need more than a cookie-cutter pain management plan, Palmieri said. “Not every patient is going to fit into the same treatment paradigm. Some things may be more appropriate for some patients than others.”

An individualized treatment plan can also aid people with rheumatoid arthritis, a disease that is “more of an inflammatory syndrome from other body structures than from a nerve,” Palmieri said. RA treatments at SBU’s Center for Pain Management could include joint injections guided by imaging (x-ray or ultrasound), nerve blocks and ablations, non-steroidal anti-inflammatory medications, “and, sometimes, anti-depressant medications,” he said. Low-impact exercise, acupuncture, physical therapy and speaking with a pain psychologist can also help, he said.

He urges patients with acute or chronic pain from arthritis or mastectomy to understand that “there are options for them. If you come to pain management, it does not mean you’re going to be placed on narcotics.”

For information on the Center for Pain Management, visit www.stonybrookmedicine.edu or call 631-689-8333.

Those who have become all-too-familiar with the effects of osteoporosis and rheumatoid arthritis, and people who have undergone mastectomy can find relief and renewed health through the regular practice of yoga, said Danielle Goldstein. Yoga helps mastectomy patients “rebuild their upper body strength and work through the scar tissue that forms as a result of the mastectomy,” said Goldstein, owner/director of Mindful Turtle Yoga and Wellness in East Setauket. After a mastectomy, the breath work that is part of doing yoga helps people “worry less, because they’re able to be in the present moment. They develop the ability to not think about the past or the future — even if it’s just for that hour-long yoga practice,” Goldstein said.

 “The practice of yoga is the effort towards steadiness of mind,” she explained. And the physical side of it “will help people feel better, so they can enjoy their life more.” To get started, consult your physician and an experienced yoga instructor who has worked with mastectomy patients, she advised.

Keep moving — that’s Goldstein’s advice for people with osteoporosis and rheumatoid arthritis. Yoga will develop strength, she said, “and in combination with diet, the physical practice could help get body fluids moving so they’re not so stuck.” For osteoporosis, yoga postures (asanas) that are weight-bearing — planks, arm balances, bent-knee poses — will maintain bone density, Goldstein pointed out, “and these asanas can be modified for any age level.” Yoga is also great as a combination approach with acupuncture, nutrition, and Western medical treatment, she added.

People being treated or recovering from illnesses can still turn to yoga, Goldstein said. “It is believed that if you can breathe, you can practice yoga,” she said. “Yoga’s for everybody.” She recommended new students get started by calling the studio, speaking to her, and being guided to the best instructor for their needs.

“A yoga practice is sustainable over the course of a lifetime,” Goldstein said. “The practice may change, it may look different, but it’s still there.” And above all, she said, “It should make you joyful and happy.”

Goldstein can be reached at the Mindful Turtle Yoga and Wellness, 631-721-1881.

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