Monthly Archives: October 2016

Angelina Navas, left, and Gianna Figliolia were arrested for burglary. Photo from SCPD.

Suffolk County Police arrested two women for burglarizing an occupied home in Huntington Station Oct. 4.

Officer said a resident of a home on Oakcrest Drive woke up after hearing a noise and observed two people standing in the hallway of her home at approximately 3:15 a.m. They fled and she called 911. 2nd Precinct Patrol, Canine Section and Aviation Section officers responded.

Approximately 30 minutes later, Officer Jesus Faya located Gianna Figliolia, 25, and arrested her. Officers Heather McQuade and Bobby Temple then located Angelina Navas, 24, several hours later and arrested her.

Following an investigation by Second Squad detectives, Figliolia, of Sound Beach, was charged with second-degree burglary, seventh-degree criminal possession of a controlled substance and possession of a hypodermic instrument. Angelina Navas, of Ridge, was charged with second-degree burglary and possession of a hypodermic instrument.

Figliolia and Navas will be held overnight at the 4th Precinct for arraignment at First District Court in Central Islip on October 5.

Michael Tessler, far left, at the Icon Oscars at Walt Disney's Hollywood Studios in Orlando, Florida. Photo from Michael Tessler

Transcript:

[Movie trailer voice] In a world, on an island … a long island, there is a man, a curly-haired man, on a bold and courageous journey to create the best column ever written. Will this Jonah-Hill-looking fellow overcome his childhood lisp, will he make audiences laugh, find out in the next exciting chapter of OPEN MIKE: The Column.

To quote the late great Robin Williams, “I do voices.”  What does that even mean? [Yoda voice] Ermm, master of voices I am, make you laugh I shall [Yoda laugh]. This fascination of mine first manifested itself at the young age of 5, shortly after my youngest sister was born, leaving me with a horrendous case of middle child syndrome. My parents literally learned to tune out my voice, leaving me with no option but to invent and discover new ones.

My first real character voice was an impersonation of my Uncle Jean Pierre. His thick Parisian accent was like nothing I had ever heard before. So I began to replicate it. Weeks later and after a few thousand attempts, I figured it out. My face scrunched upward, my nose lunged toward the sky, and his voice came out of mouth — (in heavy French accent) [French laughter] “Bonjour my name Jean Pierre, and I am proud Frenchman!” this caricature version of my uncle became a hit at family parties.

From then on my range of voices grew 10-fold. Every movie I watched, every video game I played, every foreign accent I heard, I absorbed and replicated. Character voices became an outlet for this otherwise socially awkward child. There’s no better feeling than brightening a room and having the power to produce laughter. No matter your age there’s no way not to laugh at the dueling Michael Myers characters Shrek/Fat Bastard bursting into a room shouting: “Get in my belly, you stupid fat donkey!”

Voices weren’t always for an audience though. Most of the time they were just for me. One year while re-watching the  “Muppet’s Christmas Carol” (arguably the greatest film ever made), I became obsessed with learning the Muppet voices — starting with Kermit, Fozzie Bear, Beaker, Dr. Bunsen Honeydew, and inevitably Miss Piggy. Learning Miss Piggy was the first time I ever made the connection between voices and voice actors. Frank Oz, who famously gave life to Master Yoda in “The Empire Strikes Back” also played the sassy frog-loving pig we know and loathe. [In Yoda voice, then Miss Piggy voice] “Ermm, pigs, pigs lead to pork, pork leads to bacon, and bacon leads to the dark side, Kermie, don’t you love mwah?” How stunning, to hear how the voices connect to one another.

  But truthfully with time and practice anybody can do a line or two. What distinguishes professionals from amateurs is the ability to carry out any kind of dialogue, conveying any kind of emotions, and being able to do so without a second thought. Rehearsing this looks like pure insanity but is beyond rewarding. My favorite example is of Andy Serkis, who played the dual personalities of Gollum in “Lord of the Rings.” “Frodo’s our friend! Yes Yes! GOLLUM! GOLLUM! Stupid fat Hobbit(es)!” After hearing his voice, I knew I needed to up my game.

There’s literally voice recordings on my phone of every character you can possibly imagine, communicating with one another! That’s my favorite part honesty, having great historical figures and pop culture icons interacting with one another. For example:

Richard Nixon: I don’t know Bill, that wife Hillary of yours strikes me as a real crook.

Bill Clinton: Oh Rich Nixon you are so funny. If candidates were metaphorical fast food items, my wife Hillary would be a Big Mac.

Jack Kennedy: Do you mind if I chime in here? Rich you look like you sweating again.

Richard Nixon: I bet you think you’re SO hysterical Jack Kennedy.

Fozzie Bear: Wakka Wakka!

Richard Nixon: Why is there a Muppet in this scene!

Kermit: Sorry about that everybody, wrong sketch! Although while we’re here, I’d lobby you about an issue I’m passionate about, it’s not easy green!

Bernie Sanders: Hello, adorable green frog. My name Senator Bernard Senators and the top 1 percent of mammals are being treated better than 99% percent of all amphibians. I like to wave my arms in the air like an inflatable tube man at a used car dealership.

… scene!

In my life I’ve been blessed to have performed in front of thousands of people. One of the most rewarding experiences was performing a musical parody of Disney characters on a stage once graced by Mark Hamill (Luke Skywalker, The Joker), Billy Dee Williams (Lando Calrissian, Harvey Dent), Jim Cummings (Winnie the Pooh, Tigger), Warwick Davis (Wicket, Professor Flitwick) and so many other vocal greats. There is nothing more magical than the look in a child’s eyes when they hear their favorite character speak to them, calling them by name. One can only hope it inspires them the same way my [in accent] French Uncle Jean Pierre did!

So, as my former employer Mickey Mouse would always say, “Thanks folks, see ya real soon! Buh-bye!”

TBR Interactive: This column is the first in our interactive series. Hear the column come to life by scanning the QR code or use the link featured below.

Across from left, Adele Cullen, Peter Desjardins, Marie Moran and Rachel Ndembera will take on new administrative roles in Middle Country Central School District. Photos from Middle Country school district

Middle Country Central School District announced that four new administrators have joined the district staff this fall.

Adele Cullen will serve as Coordinator of PPS/Special Education in Secondary Education, Marie Moran will serve as Coordinator of PPS/Special Education in Elementary Education, Peter Desjardins will serve as Coordinator of District Data Services and Rachel Ndembera will serve as Coordinator of Science/Research K-12.

“It is with great pride that we welcome these four dedicated administrators to our district,” Superintendent of Schools Dr. Roberta Gerold said. “We continuously strive to bring the best experiences and support to our students throughout their educational careers, and these new members of our team will help achieve this goal.”

Adele Cullen attended Touro College, where she earned her Master of Science in School District/School Building Leadership. As a school psychologist at Newfield High School, she has positively affected innumerable students the past six years, and will continue to do so as she brings her passion and keen understanding of students’ strengths and needs to the team of administrators.

Marie Moran graduated from Hofstra University with a Master of Science in Special Education and holds an Advanced Graduate Certificate in School Building Leadership from Queens College. She gained experience as a special education coordinator at a K-8 school district in Queens before she joined Middle Country’s administrative team. Moran is passionate about providing high quality special education and is committed to supporting the needs of all students.

Peter Desjardins will be responsible for utilizing student data to aid teachers in providing individualized instruction to students. He graduated cum laude from Stony Brook University with a Bachelor of Arts in Social Science Education, and gained his master’s in Liberal Arts from Stony Brook as well. Desjardins plans to use his experiences as a student data expert at Eastern Suffolk BOCES to provide a one of a kind learning experience for Middle Country students.

Rachel Ndembera earned a degree in Geology and Astronomy from the University of Colorado in Boulder and served in the Peace Corps, during which time she worked with Botswana’s Ministry of Education Department of Curriculum Development and Evaluation. There she oversaw the design and implementation of a curriculum program in Molepolole, one of Botswana’s largest villages. She hopes to continue assisting students make sure they have the necessary tools to achieve a high-quality research education.

For more information about academic programs available within the Middle Country school district or a calendar of events, visit www.mccsd.net. For more news from the district, visit www.mymiddlecountryschools.net.

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Selena Ubriaco races her way between two East Islip players to gain possession. Photo by Desirée Keegan

Kings Park has come back from behind three times this season — and tried to recreate that success for a fourth time against East Islip Sept. 30.

Kayla Homeyer blocks an East Islip pass. Photo by Desirée Keegan
Kayla Homeyer blocks an East Islip pass. Photo by Desirée Keegan

The Kingsmen kept pushing in the final minutes down 2-0, and sophomore forward Samantha Hogan made it a one-goal game with 3:41 left to play, but the team couldn’t come up with the equalizer, falling 2-1 to East Islip at home.

“I think we really played as a unit, I don’t think we ever changed our style of play to match theirs or change anything to match them,” senior center defender Kayla Homeyer said. “I think we continued to play the way we wanted to play, and with that, we put up the best fight that we could. Every now and then a call doesn’t go your way — we had a hand ball and an offsides — but we kept our cool, we fought our hardest and for us to score that goal in the last 10 minutes really showed we played that way.”

Sophomore goalkeeper Nicole Scott, who made 10 saves during the game, held off East Islip in the opening minutes, along with her defense — batting the ball away, getting in front of shots and grabbing corner kick send-ins.

A flurry of back-and-forth passes between East Islip players became too hard for Scott to handle though, and with 5:27 left until halftime, Rachel Florenz put one in.

“They work hard and they try to stick together,” Kings Park head coach Bryan LoPalo said. “We have 11 seniors on this team and they showed their leadership and played hard from whistle to whistle.”

Jessica Hoyt tosses the ball into play. Photo by Desirée Keegan
Jessica Hoyt tosses the ball into play. Photo by Desirée Keegan

Early into the second half, East Islip was awarded a penalty kick, and Florenz’s second goal of the game gave her team a distinct advantage. The wind and rain left players slipping and sliding across the muddy field, and that made it difficult for Kings Park to even the score.

“The ball didn’t bounce our way, especially with the weather, but we always have each other’s backs and that’s all that really matters,” senior right and left back Jessica Hoyt said. “We kept composed and stayed calm. We tried to pass it around and play to feet — we don’t like to kick and run, but if we have to we have to.”

Keeping their composure led the Kingsmen to the late goal by Hogan. She races up top, leading the pack toward the box, and knocked her shot into the left corner to cut the deficit.

“We just have to ignore the goal and ignore the conditions, focus in and not let it get to us,” senior forward and center midfielder Emily DaVella said. “Sometimes the little things make a big difference, and we just have to step up faster and try to get to every single ball.”

The Kingsmen pressured in the game’s final minutes, but the ball kept skipping away through the wet grass as the rain continued to come down. East Islip’s dump-and-chase style also made it difficult for Kings Park to keep it in the forward zone.

Samantha Hogan redirects the ball around East Islip defenders. Photo by Desirée Keegan
Samantha Hogan redirects the ball around East Islip defenders. Photo by Desirée Keegan

“We play in a tough league,” LoPalo said. “Every game seems to be tough and every game is a one-goal game, and we had another one here today.”

Homeyer said she was proud to see how her team kept with it, despite being down and despite the weather.

“Playing in the rain is always a little more intense, and I think we matched that intensity and kept things under control,” she said. “We get better and better every day. We just need to play our hardest every game. We need to continue to pull together, play as a unit and work toward the same goal.”

With the loss, Kings Park moves to 8-3-1 overall with a 6-3-1 mark in League IV play, putting the Kingsmen tied with East Islip for the No. 2 spot. Deer Park remains the No. 1 team to beat, going undefeated with a 9-0-1 mark. The team traveled to Half Hollow Hills next, Oct. 5, but results were not available by press time.

As Kings Park moves into the final few games of the season, postseason play is in its sights. But for now, the Kingsmens’ head coach just wants his players to enjoy the ride.

“I just want them to make everlasting memories — I want them to remember this for the rest of their lives,” LoPalo said. “We’ll see what happens from here on out.”

Honor Gracey Kopcienski 1932-2016. Photo from Kopcienski family

By Elizabeth Kopcienski Schwartz

Honor Gracey Kopcienski bestowed grace and kindness on every person she met throughout her 84 years. She left this world Sept. 17 at her Mount Sinai home with lifelong partner, Johnny (Alfred) Kopcienski by her side.

Honor was born July 2, 1932, to Ruth Jaynes Gracey, a much-loved Port Jefferson high school teacher, and Stuart Gracey, an internationally acclaimed singer and conductor. Honor and her sisters, Louise Hawley and Anne Hedstrom, attended the one-room schoolhouse on North Country Road in Mount Sinai. She and her childhood friend, Jane Carter, often reminisced about their wonderful early years freely roaming the woods and beaches of Miller Place.

“Honor and Johnny’s greatest gifts, and source of greatest pride, are their children, grandchildren and great-grandchild.”

— Elizabeth Kopcienski Schwartz 

Later, at Port Jefferson High School, Honor met Johnny. Their courting included a contest where they kissed all the way from Patchogue to Port Jefferson in the rumble seat of a Ford Model A. One particular Friday, after high school graduation and a semester at Mannes School of Music in New York, Honor went to Tinker National Bank and withdrew $89 from Johnny’s bank account. She had him drive her to Rose Jewelers in Patchogue where she informed him that he was buying her an engagement ring. They were wed May 25, 1952, and their love produced eight children, 24 grandchildren and one great-grandchild. The values that defined Honor as a person are seen in her family: compassion, integrity and a love of music.

Honor’s devotion to music began early. At 12, she accompanied her father and his choruses. Early on she studied piano at a studio in the Old Field lighthouse. Later she participated in the Juilliard preparatory program. She was an accomplished pianist, organist and accompanist. Her passion led her to Infant Jesus R.C. Church in Port Jefferson where she and Johnny were wed, and where she served as parish organist for more than 50 years. Parishioners would often stand in the pews, marveling at her playing until the final note. Honor’s gift was an integral part of hundreds of weddings, funerals and masses. She and her musical partner and dear friend, Dolores Butera, were honored by The Port Times on behalf of Infant Jesus Choir as People of the Year for the Arts in 1991.

Honor taught and accompanied numerous children and performers, her own children and grandchildren included. She played for Manhasset Glee Club, Port Jefferson Choral Society, Southold Town Choral Society, Choral Society of Moriches, SUNY Stony Brook, and at master classes given by opera singer Eleanor Steber in her Belle Terre home. Later she was accompanist and mentor for the New Century Singers. Honor always maintained her own musical studies and in 2000 studied and passed the rigorous test to attain the prestigious Associateship of the American Guild of Organists.

Instead of retiring, Honor continued to play the organ at many local churches including Mount Sinai Congregational, Setauket’s Presbyterian with director Mark Orton, Port Jefferson’s First United Methodist and, most recently, St. Louis de Montfort R.C. Church in Sound Beach.

While busy raising children along with her musical career, Honor was also active in community service. She was instrumental in organizing Polish Fest at Infant Jesus Church, cooking kielbasa sausage side by side with Johnny; was active in supporting Port Jefferson Rotary charitable efforts including the Gift of Life; and was a contributing member of the Miller Place-Mount Sinai Historical Society.

When the new Infant Jesus Parish Center was built, Honor and Johnny donated a piano so that there would be music for all events there. They supported funding for a new piano for Earl L. Vandermeulen High School.

Honor and Johnny’s years of giving to the people and spirit of Infant Jesus Parish were recognized by the Diocese of Rockville Centre with the St. Agnes Medal of Service award. The couple were early advocates and strong supporters of Father Frank Pizzarelli in his efforts to minister to troubled youth in the community. The mission of Hope House Ministries matched Honor’s passion for personal, ongoing and daily commitment to the spirit of giving.

Honor and Johnny’s greatest gifts, and source of greatest pride, are their children, grandchildren and great-grandchild: Charlaine and Ira, Emma (Sean) and Abbie; Beth and Joseph, Kate (Dan), Caralyn (Johnny) and David; Mark and Rebecca, Andrew, Julia, Christian and Lauren; Therese and Clark, John (Shannon and baby Clark), Christen (Ryan), Mary Liz (Adam) and Luke; Ann Marie and Chip, Sergei and Daniel; John Paul and Martha, Jake and Mary Claire; Jennie and Peter, Gracey (Jamie), Peter and Annie; Matthew and Becky, Gregory, Benjamin, Margaret and Sam.

Their 24 grandchildren include five addressed as doctor, an Olympian, teachers, musicians, business people and enthusiastic students. Honor was proud of the legacy of hard work, service and compassion she instilled in her family. She will always be remembered by both her name and key trait: Honor.

Honor’s final days were blessed to end in peace, comfort and love through the assistance of the staff at Good Shepherd Hospice. Her family prefers that memorial donations be sent to Good Shepherd Hospice or the giver’s local hospice organization.

Arrangements were entrusted to Bryant Funeral Home of East Setauket. Please visit www.bryantfh.com to sign the online guestbook.

Elizabeth Kopcienski Schwartz is the daughter of Honor Gracey Kopcienski.

The Huntington football team jumped out to a 14-0 lead in the second quarter of its homecoming matchup against Centereach, and it proved to be all the Blue Devils needed, as the team held the Cougars scoreless in the first and third quarters to pull away with a 14-9 victory.

Huntington junior running back Sam Bergman rushed three yards for the game’s first touchdown. Huntington sophomore quarterback John Paci Jr. threw a 30-yard touchdown pass to senior wide receiver Taquan Gooden-Hill in the second quarter, which put Huntington (2-2 in Division II) out in front for good.

Centereach put its first points on the board as the clock wound down in the same stanza, with a 23-yard field goal kick from senior kicker and wide receiver Rob Montgomery. Both teams remained scoreless in the third, and the Cougars held off the Blue Devils in the fourth, but managed to break through in the matchup’s final minutes, when Montgomery caught a 7-yard pass from junior quarterback Jay Morwood for six points. The point-after attempt failed.

Paci was just 1-for-5 for 30 yards and a touchdown under center for Huntington, but senior running back Kei’ron Byrams chipped in, completing two of three attempts for 28 yards. Bergman had 42 rushing yards. Huntington senior running back Jared Leake ran for 103 yards on 17 carries, and junior tight end Anthony McDonald had 10 tackles and a sack. Huntington senior tight end and defensive lineman Josh Hallman had five tackles and a fumble recovery.

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By Bill Landon

It was a catfight between undefeated teams.

The battle of Panthers teams wasn’t decided until the final 40 seconds of the game, and despite Miller Place junior running back Tyler Ammirato leading the way for his football team during its homecoming matchup Oct. 1 against Babylon — scoring all four touchdowns for his team — anything can happen on the gridiron. With 40 seconds left on the clock, a Miller Place fourth-down pass was broken up, Babylon gained possession and took two knees to seal the deal, 29-25.

In his first start at quarterback, junior Anthony Seymour looked like he had been at the helm all season long. He took over under center to replace injured senior Christian McPartland, who broke his arm during the Panthers’ 54-0 blanking of McGann-Mercy Sept. 23.

Ammirato took charge with the ground-and-pound offense, and struck first when he punched through Babylon’s defensive line and bounced outside, traveling 41 yards for the touchdown. With the extra-point kick by senior Eric Cisneros good, the Panthers found themselves ahead 7-0 two minutes in.

Miller Place followed the touchdown by squandering several opportunities to score, like when on a bad snap, Babylon coughed up the ball and junior defensive lineman Joe Panico recovered the ball on the 31-yard line. Or on its’ next possession, when Miller Place was forced to punt and the Babylon punt returner called for a fair catch but bobbled the ball and the Panthers recovered on the Babylon 26-yard line.

“We left some plays on the field, so we’re going to learn from it. We’ll look at film and we’ll get better, and we’ll move on.”

—Greg Murphy

“We left some plays on the field, so we’re going to learn from it,” Miller Place’s first-year head coach Greg Murphy said. “We’ll look at film and we’ll get better, and we’ll move on. Our backup quarterback was tested today, and Anthony [Seymour] stepped it up and he played well today.”

Babylon marched down the field on its next possession. And as the team continued to move the chains, timeout was called with five seconds left in the first half, with the ball at Miller Place’s 3-yard line. Looking to even the score, Babylon plowed up the middle on a handoff, but junior defensive end Alex Herbst plugged the hole to send Babylon into the halftime break scoreless.

As a result of a sustained drive six minutes into the third quarter, Babylon found the end zone on a 5-yard pass to even the score 7-7.

On the ensuing kickoff, Ammirato went coast to coast on a 75-yard kickoff return to put his team out front 13-7 with 6:05 left on the clock. The point-after attempt failed.

Although neither team scored for the remainder of the stanza, Babylon showed why it hasn’t lost a game this season, They marched down the field again to open the final quarter with a 7-yard touchdown run to give the team its first lead of the game, 14-13.

Miller Place found itself in a fourth-and-1 position, and went for it. To no surprise, Ammirato got the call, bounced outside and jetted into the end zone untouched. Although a 2-point conversion attempt failed, Miller Place was back in front, 19-14.

“[Tyler Ammirato] is a warrior — he’s the heart and soul of this team,” Murphy said. “This was a hard-hitting game, and we knew it would be. Babylon’s a good team with numerous Long Island championships — they’ve been there, they have the swag; so we knew we had to play a perfect game.”

“We played well in key moments — we flustered a little bit [in others], but we’ll be back.”

—Tyler Ammirato

With 7:54 left in regulation Babylon grabbed a 36-yard screen pass for the score. With a successful 2-point conversion, Babylon retook the lead, 22-19.

Miller Place leaned on its premier running back, and Ammirato took the team to the Babylon 8-yard line on a handoff with just over four minutes left in the contest. Ammirato finished the job by punching into the end zone on a 3-yard run for his fourth touchdown of the afternoon. The team lined up for the two-point play, but were stopped again.The Panthers lead 25-22.

On the following possession, Babylon pounded the ball up the center of the field when the quarterback connected with his running back on a swing pass, and the receiver found an opening down the sideline following the 62-yard pass completion, and scored with three minutes left. With the extra-point kick, Babylon regained the advantage,29-25.

The clock was working against Miller Place, so when Seymour spotted senior wide receiver Kevin Gersbeck sprinting down the right sideline, he made sure to hit his mark. Seymour hit Gersbeck in stride, and the Panthers were in business at the 28-yard line with 1:16 left.

Four plays later, on fourth down with 40 seconds left in regulation, Seymour attempted to pass the ball over the middle to Cisneros, but Babylon’s defense broke up the play.

“They were a very tough team, but we knew that coming in,” Ammirato said. “We played well in key moments — we flustered a little bit [in others], but we’ll be back.”

Babylon took over on down, and took two knees to hold on and win the game.

“I think not being able to transition coming out of halftime ate up the majority of the clock, and that was a big difference,” Murphy said. “[Babylon] put one in coming out of the half, but our kids responded well. It was just a great high school football game.”

Fruits and vegetables may protect the kidneys. Stock photo

By David Dunaief

Chronic kidney disease is on the rise in this country. In a study that looked at data from the National Health and Nutrition Examination Survey, prevalence of chronic kidney disease (CKD) increased more than 30 percent from 1988 to 2004 (1). Earlier-stage (moderate) CKD is no exception and may not be getting enough attention. In this article, we will look beyond the more obvious causes of moderate chronic kidney disease, like diabetes, smoking, aging, obesity and high blood pressure (2).

Why is earlier-stage CKD so important? It is associated with a 40 percent increased risk of developing cardiovascular events, such as heart attacks (3). It also significantly increases the risk of peripheral artery disease (PAD). Those with decreased kidney function have a 24 percent prevalence of PAD, compared to 3.7 percent in those with normal kidney function (4). Of course, it can lead ultimately to end-stage renal (kidney) disease, requiring dialysis and potentially a kidney transplant.

One of the problems with earlier-stage CKD is that it tends to be asymptomatic. However, there are simple tests, such as a basic metabolic panel and a urinalysis, that will indicate whether a patient may have moderate chronic kidney disease.

These indices for kidney function include an estimated glomerular filtration rate (eGFR), creatinine level and protein in the urine. While the other two indices have varying ranges depending on the laboratory used, a patient with an eGFR of 30 to 59 mL/minute/1.73 m2 is considered to have moderate disease. The eGFR and the kidney function are inversely related, meaning as eGFR declines, the more severe the chronic kidney disease.

What can be done to stem earlier-stage CKD, before complications occur? There are several studies that have looked at medications and lifestyle modifications and their impacts on its prevention, treatment and reversal. Let’s look at the evidence.

Medications

Allopurinol is usually thought of as a medication for the prevention of gout. However, in a randomized controlled trial, the gold standard of studies, the results show that allopurinol may help to slow the progression of CKD, defined in this study as an eGFR less than 60 mL/min/1.73 m2 (5).

The group using 100 mg of allopurinol showed significant improvement in eGFR levels (a 1.3 mL/minute per 1.73 m2 increase) compared to the control group (a 3.3 mL/minute per 1.73 m2 decrease) over a two-year period. There were 113 patients involved in this study. The researchers concluded that there was a slow progression of CKD with allopurinol. Allopurinol also decreased cardiovascular risk by 71 percent.

Fibrates are a class of drug usually used to boost HDL (“good”) cholesterol levels and reduce triglyceride levels, another cholesterol marker. Fibrates have gotten negative press for not showing improvement in cardiovascular outcomes.

However, in patients with moderate CKD, a meta-analysis (a group of 10 studies) showed a 30 percent reduction in major cardiovascular events and a 40 percent reduction in the risk of cardiovascular mortality with the use of fibrates (6). This is important, since patients with CKD are mostly likely to die of cardiovascular disease. The authors concluded that fibrates seem to have a much more powerful beneficial effect in CKD patients, as opposed to the general population. So, there may be a role for fibrates after all.

Lifestyle modifications

Fruits and vegetables may play a role in helping patients with CKD. In one study, the results showed that fruits and vegetables work as well as sodium bicarbonate in improving kidney function by reducing metabolic acidosis levels (7). What is the significance of metabolic acidosis? It means that body fluids become acidic and it is associated with chronic kidney disease. The authors concluded that both sodium bicarbonate and a diet including fruits and vegetables were renoprotective, helping to protect the kidneys from further damage in patients with CKD.

Alkali diets are primarily plant-based, although not necessarily vegetarian or vegan-based diets. Animal products tend to cause an acidic environment. The study was one year in duration. However, though the results were impressive, the study was small, with 77 patients.

Sodium rears its ugly head yet again. Red meat is not thought of positively, and animal fat is not far behind. In the Nurses’ Health Study, the results show that animal fat, red meat and salt all negatively impact kidney function (8). The risk of protein in the urine, a potential indicator of CKD, increased by 72 percent in those participants who consumed the highest amounts of animal fat compared to the lowest, and by 51 percent in those who ate red meat at least twice a week. With higher amounts of sodium, there was a 52 percent increased risk of having lower levels of eGFR.

The most interesting part with sodium was that the difference between higher mean consumption and the lower mean consumption was not that large, 2.4 grams compared to 1.7 grams. In other words, the difference between approximately a teaspoon of sodium and three quarters of a teaspoon was responsible for the decrease in kidney function.

In my practice, when CKD patients follow a vegetable-rich, nutrient-dense diet, there are substantial improvements in kidney functioning. For instance, for one patient, his baseline eGFR was 54 mL/min/1.73 m2. After one month of lifestyle modifications, his eGFR improved by 9 points to 63 mL/min/1.73 m2, which is a return to “normal” functioning of the kidney. His kidney functioning after 6 months actually exceeded 90 mL/min/1.73 m2 for eGFR. However, this is an anecdotal story and not a study.

Therefore, it is important to have your kidney function checked with mainstream tests. If the levels are low, you should address the issue through medications and/or lifestyle modifications to manage and reverse earlier-stage CKD. However, lifestyle modifications don’t have the negative side effects of medications. Don’t wait until symptoms and complications occur. In my experience, it is much easier to treat and reverse a disease in its earlier stages, and CKD is no exception.

References:

(1) JAMA. 2007;298:2038-2047. (2) JAMA. 2004;291:844-850. (3) N Engl J Med. 2004;351:1296-1305. (4) Circulation. 2004;109:320–323. (5) Clin J Am Soc Nephrol. 2010 Aug;5:1388-1393. (6) J Am Coll Cardiol. 2012 Nov. 13;60:2061-2071. (7) Clin J Am Soc Nephrol. 2013;8:371-381. (8) Clin J Am Soc Nephrol. 2010; 5:836-843.

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, visit www.medicalcompassmd.com or consult your personal physician.

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Vanessa Rodriguez races across the St. Anthony's Invitational 5K-course at Sunken Meadow State Park. Photo by Bill Landon

By Bill Landon

Karina Allen will be racing her way to the state qualifiers.

The Comsewogue sophomore hit the road with her team for the St. Anthony’s Invitational at Sunken Meadow State Park Sept. 30, and despite the constant drizzle and 35 mph gusts of wind that would make it hard for any athlete, the Warriors’ cross country standout finished the 5K event just 14 seconds shy of her personal best.

Karina Allen, who finished the St. Anthony's Invitational 5K race in 13th place out of 190 runners, will be competing in the state qualifier this November. Photo by Bill Landon
Karina Allen, who finished the St. Anthony’s Invitational 5K race in 13th place out of 190 runners, will compete in the state qualifier this November. Photo by Bill Landon

Scores of runners answered the gun in a mass start for the 5K-event on the Cardiac Hill course, facing unrelenting wind as the rain came down sideways, making for slippery conditions. Allen crossed the finish line in 21 minutes, 11.46 , which placed her 13th out of 190 runners.

“Just going up Cardiac [Hill] — that’s just really the worst part, but going down Snake is easier — you just have to let yourself go,” Allen said. “I struggled at the bottom of Cardiac, and going up I was just sore in my legs and in my forearms, but going down the rest of the hill I was ok.”

Comsewogue head coach Charlotte Johnson said Allen has tremendous potential, and will set the tone for the team for the remainder of the season.

“Today was Karina’s personal best on this course, and she has already run under the time required for entry into the state qualification meet,” Johnson said. Allen will be competing at the qualifier for the first time this November.

Second across the line for the Warriors was classmate Mya Darsan, who placed 95th with a time of 24:38.14. Darsan said despite the wind and rain, she liked the conditions.

“It’s a bit windy; it’s a bit cold, but it feels nice when you’re running because it’s not as hot,” she said. “The wind does hold you up, but when it’s at your back, it gives you a nice push.”

Darsan did agree that the hardest part of the course was Cardiac Hill.

At the St. Anthony's Invitational, first-year varsity runner Mya Darsan reached a new personal record with her 95th-place finish. Photo by Bill Landon
At the St. Anthony’s Invitational, first-year varsity runner Mya Darsan reached a new personal record with her 95th-place finish. Photo by Bill Landon

“It’s very difficult; it’s a mountain,” she said. “It’s not straight up — when you think you’re done, there’s another one [to climb]. It’s steep and dirt is coming from everywhere; it’s painful.”

Third across the line for Comsewogue was senior Vanessa Rodriguez-Reyes, who finished 107th in 25:14.43. The time was 18 seconds shy of her personal best.

“At the start, we were running into the wind and that made it hard, so you have to push yourself a lot,” Rodriguez-Reyes said. “But then coming back it was better.”

She also said Cardiac Hill is steep, adding that sometimes runners don’t have enough energy to run up, so they walk.

Johnson said her team’s challenge will be to keep everyone healthy, as the Warriors build toward the division meet.

“The team’s strength is three-fold — the girls who run in the middle of our pack; our leading runner, Karina Allen; and our group of outstanding freshman, including several who have run well this year over the 1.47-mile and 5K courses,” she said. “We have a young team showing great promise for the future.”