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Monthly Archives: February 2017

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Wills kept in a safe deposit box are not obtainable to an executor without a court order.

By Linda Toga, Esq.

Linda Toga, Esq.

THE FACTS: I am trying to help my elderly parents organize their affairs. They want things to be as simple as possible for me when it comes time to handle their estates. My parents have wills and other advanced directives in place.

THE QUESTIONS: Other than their wills, are there other documents or any types of information that they should collect and organize now to make the administration of their estates easier?

THE ANSWER: You are lucky to have parents who seem to appreciate the fact that administering an estate is not necessarily easy and who are anxious to have everything in place. Having wills will certainly help you with respect to distributing your parents’ assets after they pass. However, distributing assets is often one of the last things that an executor must do.

Long before distributions are made it will be necessary to make funeral arrangements, contact life insurance carriers and banking and investment institutions, gain access to your parents’ safe deposit box, cancel credit card accounts, as well as all online accounts that your parents may have and locate documents relating to any real estate they may own or lease, to name a few.

While many of these things can be done before your parents’ wills are admitted to probate, you will not be able to marshal assets, close bank accounts or sell property until you are issued letters testamentary by the Surrogate’s Court. If your parents keep their wills in a safe deposit box, you will not be able to even get the will without a court order.

Although not exhaustive, the following is a list of the types of documents and some of the information that your parents may want to put together to facilitate your handling of their estates:

1. Deeds to burial plots

2. Documents relating to any preplanned or prepaid funeral arrangements, including military discharge papers if either parent was in the armed forces and wishes to be buried in a military cemetery or have an honor guard

3. Wills and any codicils to the wills and a list of the addresses of all of the people named in the will and/or codicil.

4. Trust instruments that name your parents as grantors, trustees and/or beneficiaries

5. Life insurance policies, including the beneficiary designation forms

6. Annuities

7. Bank statements and pins for use in ATMs

8. A list of bills that are automatically paid from their bank accounts or charged to their credit card accounts

9. Brokerage statements

10. Statements relating to IRAs, 401(k)s or any similar plans, including the beneficiary designation forms

11. Documents relating to pensions and/or deferred compensation plans

12. Deeds, leases and documents relating to time share properties

13. Loan documents, including mortgages, reverse mortgages, home equity lines, lines of credit (whether your parents are the lenders or the borrowers)

14. Credit card statements

15. Keys to safe deposit boxes and the combination to any safe they may use

16. Pins, security codes and passwords for online accounts, social media accounts and email accounts

17. Account numbers and log-ins for frequent flyer and other rewards programs

18. The names and contact information for their financial advisor, brokerage account manager, insurance agent, accountant and attorney

If your parents are able to gather these documents and provide the information set forth above, handling their estates once they pass should not be overly burdensome. The burden can be further reduced by retaining an attorney with experience in the areas of probate and estate administration. Doing so will ensure that the process goes smoothly and will give you the opportunity to deal with your loss without having to think about what needs to be done.

Linda M. Toga, Esq. provides legal services in the areas of estate planning, probate and estate administration, real estate, small business service and litigation from her East Setauket office.

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Port Jeff school district’s facilities administrator Fred Koelbel shows off the high school’s green roof during a workshop for other districts, municipalities and members of the public interested in the technology. Photo by Alex Petroski

The Port Jefferson school district recently installed a bed of vegetation on the roof of the high school as a way to curb its impact on Port Jefferson Harbor and the Long Island Sound by reducing and filtering stormwater, and now other municipalities and districts are taking notice.

The district’s facilities administrator Fred Koelbel spearheaded the mission to obtain a grant from the state’s Environmental Protection Fund as a part of the Department of Environmental Conservation’s Water Quality Improvement Projects program in 2016. As a result, the district received money to cover all but $68,000 of the $275,000 total cost to install a 3,400-square-foot bed of pre-grown sedum, a large perennial plant, on a portion of the school’s roof. The district also has an educational element planned for the new roof, to allow students to take a hands-on approach to tracking how much stormwater the roof helped to treat and prevent from entering the harbor and Sound.

Port Jeff’s green roof at the high school provides environmental and educational benefits. Photo by Alex Petroski

The project was overseen by Siplast, a commercial roofing manufacturer who specializes in installing green roofs in New York and across the country. John A. Grillo Architects of Port Jefferson installed the roof. Siplast’s district manager for New York Michael Balaban and field sales representative Colby Devereux were at Port Jefferson high school Jan. 26, to host an informational workshop for administrators from other school districts, members of the public, a representative from Port Jefferson’s board of trustees and building department, among others who might be interested in installing a green roof on their school, home or municipal building. Balaban said most of the company’s work has been done in New York City, and he isn’t aware of any other school district on Long Island with a green roof, currently.

The representatives from the company presented the many public and private benefits to the attendees, and held up the district as an example for what is possible if others were to follow Koelbel’s lead.

“For our kids, now this is something that we do — we made it normal,” Koelbel said to the workshop attendees.

The concept of installing green roofs in the United States began in 2005, according to Balaban, and there are numerous environmental benefits. The vegetation catches rainwater, filters it and slows down its progression through municipal drains, and thus reduces the dangerous impact stormwater can have on Long Island’s water supply. According to the presentation, green roofs also increase a building’s energy efficiency and work as insulation for noise from within a building.

With green roofs, according to the presentation, water is stored at the surface and taken by the plants, where it is returned to the atmosphere through transpiration and evaporation. Green roofs not only retain rainwater, but moderate the temperature of the water and act as natural filters for any of the water that happens to run off.

Devereux praised Koelbel’s vision and the multifaceted benefits of installing a green roof on a school. Balaban had kind words about the actual execution of the project at Port Jefferson.

“We look at a lot of roofing every day … this is just really, really, really well done,” he said. “The roofer deserves a little applause here as well.”

Bruce D’Abramo, a member of the village board of trustees and liaison to the building and planning department, attended the workshop on behalf of the village.

“The reason we brought the planning board here is so that we can encourage, especially with our redevelopment, the use of this kind of roof,” he said. He added that the village will encourage business owners to venture to the school to take a look at the roof and gain an understanding of its benefits, to possibly add vegetation when they are in need of a new roof.

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Above, one of the Harbormen quartets delivers a singing valentine to an appreciative waitress last year. Photo from David Lance

SINGING VALENTINES

They’re back! On February 12, 13 and 14, quartets from the Harbormen Barbershop Chorus will travel all around Suffolk County and beyond to entertain pleasantly-surprised wives, husbands, sweethearts, school children, co-workers, and a host of others. Along with a decorative rose, box of candy and personalized card, the two love songs delivered by these four elegantly-dressed gentlemen will create a most memorable impression for the delighted recipient.

To send your loved one a singing valentine just call 631-644-0129 and ask for “Mr. Valentine.” The donation is only $75 (credit cards accepted). You can check them out on YouTube under “Antiquity Quartet” and Facebook under “Harmonic Tides.” The Harbormen Chorus is a 501(c)3 charitable organization and donates a portion of all their proceeds to the Good Shepherd Hospice facility at St. Charles Hospital in Port Jefferson.

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By David Dunaief, M.D.

Autoimmune diseases are becoming increasingly common, affecting approximately 23.5 million Americans, with 78 percent of them women. These numbers are expected to continue rising. There are more than 80 conditions with autoimmunity implications (1). These diseases include rheumatoid arthritis (RA), lupus, thyroid (hypo and hyper), psoriasis, multiple sclerosis and inflammatory bowel disease, to mention just a few.

Dr. David Dunaief

Autoimmune diseases are defined by the immune system inappropriately attacking organs, cells and tissues of the body, causing chronic inflammation. Thus, inflammation is the main consequence of immune system dysfunction, and it is the underlying theme tying these diseases together. Unfortunately, autoimmune diseases tend to cluster (2). In other words, once you have one, you are much more likely to acquire others.

Drug treatments

The mainstay of treatment is immunosuppressives. For example, in RA where there is swelling of joints bilaterally, the typical drug regimen includes methotrexate and TNF (tumor necrosis factor) alpha inhibitors, like Remicade (infliximab). These therapies are thought to help reduce the underlying inflammation by suppressing the immune system and interfering with inflammatory factors, such as TNF-alpha. The disease-modifying antirheumatic drugs (DMARDs) may slow or stop the progression of joint destruction and increase physical functioning. Remicade reduces C-reactive protein (CRP), a biomarker of inflammation.

However, there are several concerning factors with these drugs. First, the side effect profile is substantial. It includes the risk of cancers, opportunistic infections and even death, according to black box warnings (the strongest warning by the FDA) (3). Opportunistic infections include diseases like tuberculosis and invasive fungal infections. It is no surprise that suppressing the immune system would result in increased infection rates. Nor is it surprising that cancer rates would increase, since the immune system helps to fend off malignancies. In fact, a study showed that after 10 years of therapy, the risk of cancer increased by approximately fourfold with the use of immunosuppressives (4).

Second, these drugs were tested and approved using short-term randomized clinical trials, but many patients are put on these therapies for 20 or more years. Remicade’s package insert was approved with approximately two years of data.

So what other methods are available to treat autoimmune diseases? These include medical nutrition therapy using bioactive compounds, which have immunomodulatory (regulation of the immune system) effects on inflammatory factors and on gene expression, and supplementation.

Nutrition and inflammation

Raising the level of beta-cryptoxanthin, a carotenoid bioactive food component, by a modest amount has a substantial impact in preventing RA. In one study, participants drank the equivalent of about one glass of freshly squeezed orange juice a day with a resultant 49 percent risk reduction in the development of RA (5).

While I have not found studies that specifically tested diet in RA treatment, there are dietary studies that have shown anti-inflammatory effects in other diseases, using biomarkers such as CRP and TNF-alpha. In a study that looked at the Mediterranean-type diet in 112 older patients, there was a significant decrease in inflammatory markers, including CRP (6).

In another study, participants showed a substantial reduction in CRP with increased flavonoid levels, an antioxidant, from vegetables and apples. Astaxanthin, a carotenoid found in fish, was shown to significantly reduce a host of inflammatory factors in mice, including TNF-alpha (7).

Vitamin D

Vitamin D is ubiquitous in helping to treat and prevent many chronic diseases — autoimmune diseases are no exception. Vitamin D affects over 200 genes, according to Wellcome Trust Centre for Human Genetics at University of Oxford. In the absence of vitamin D, T-cell response, part of the immune system, becomes dysfunctional and uncontrollable, resulting in an increase in multiple sclerosis (MS) and inflammatory bowel disease — Crohn’s and ulcerative colitis. However, when normal levels of vitamin D are conveyed to the vitamin D receptors, proper T-cell functioning is restored with no subsequent autoimmune disease, at least in animal studies (8).

Interestingly, multiple sclerosis patients are notoriously very low in vitamin D, and it is difficult to raise the levels. There was a small study proclaiming that MS patients may need as much as 50,000 IUs of vitamin D2 weekly, and that it was safe (9). I would check with a neurologist specializing in MS before taking such a high dose.

Fish oil

Fish oil helps your immune system by reducing inflammation and improving your blood chemistry.

If you think vitamin D is impressive, fish oil affects as many as 1,040 genes (10). In a randomized clinical study, 1.8 grams of eicosapentaenoic acid (EPA) plus docosahexaenoic acid (DHA) supplementation had anti-inflammatory affects, suppressing cell signals and transcription factors (proteins involved with gene expression) that are pro-inflammatory, such as NFkB.

In RA patients, fish oil helps suppress cartilage degradative enzymes, while also having an anti-inflammatory effect (11). When treating patients with autoimmune disease, I typically suggest about 2 grams of EPA plus DHA to help regulate their immune systems. Don’t take these high doses of fish oil without consulting your doctor, since fish oil may have blood thinning effects.

Probiotic supplements

The gut contains approximately 70 percent of your immune system. Probiotics, by populating the gut with live beneficial microorganisms, have immune-modulating effects that decrease inflammation and thus are appropriate for autoimmune diseases. Lactobacillus salvirus and Bifidobacterium longum infantis are two strains that were shown to have positive effects (12, 13).

In a study with Crohn’s disease patients, Lactobacillus casei and L. bulgaricus reduced the inflammatory factor, TNF-alpha (14). To provide balance, I recommend probiotics with Lactobacillus to my patients, especially with autoimmune diseases that affect the intestines, like Crohn’s and ulcerative colitis.

Fiber

Fiber has been shown to modulate inflammation by reducing biomarkers, such as CRP. In two separate clinical trials, fiber either reduced or prevented high CRP in patients. In one, a randomized clinical trial, 30 grams, or about 1 ounce, of fiber daily from either dietary sources or supplements reduced CRP significantly compared to placebo (15).

In the second trial, which was observational, participants who consumed the highest amount of dietary fiber (greater than 19.5 grams) had reductions in a vast number of inflammatory factors, including CRP, interleukin-1 (IL-1), interleukin-6 (IL-6) and TNF-alpha. (16).

Immune system regulation is complex and involves over a 1,000 genes, as well as many biomarkers. Dysfunction results in inflammation, and potentially autoimmune disease. We know the immune system is highly influenced by bioactive compounds found in high nutrient foods and supplements. Therefore, bioactive compounds may work in tandem with medications and/or may provide the ability to reset the immune system through immunomodulatory effects and thus treat and prevent autoimmune diseases.

References: (1) niaid.nih.gov. (2) J Autoimmun. 2007;29(1):1. (3) epocrates.com. (4) J Rheumatol 1999;26(8):1705-1714. (5) Am J Clin Nutr. 2005 Aug; 82(2):451-455. (6) Am J Clin Nutr. 2009 Jan;89(1):248-256. (7) Chem Biol Interact. 2011 May 20. (8) Prog Biophys Mol Biol. 2006 Sept;92(1):60-64. (9) Am J Clin Nutr. 2007 Sep;86(3):645-651. (10) Am J Clin Nutr. 2009 Aug;90(2):415-424. (11) Drugs. 2003;63(9):845-853. (12) Gut. 2003 Jul;52(7):975-980. (13) Antonie Van Leeuwenhoek 1999 Jul-Nov;76(1-4):279-292. (14) Gut. 2002;51(5):659. (15) Arch Intern Med. 2007;167(5):502-506. (16) Nutr Metab (Lond). 2010 May 13;7:42.

Dr. Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management.

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By Elof Axel Carlson

Elof Axel Carlson

There are millions of species of living things. Until the 1860s biologists divided them into two kingdoms, animals and plants.

Louis Pasteur revealed a third group of microscopic bacteria that caused disease, fermented foods (like cheeses), rotted food and decomposed dead organisms. In the mid-20th century this third group, known as prokaryotes, was shown to consist of eubacteria and archaea, differing mostly in how they used energy to carry out their living activities.

Bacteria mostly use oxygen, sunlight and carbon dioxide as fuels and an energy source. Some bacteria are like green plants and use chlorophyll to convert carbon molecules to food and release oxygen. Most of Earth’s atmosphere arose from that early growth of photosynthetic bacteria. Archaea mostly use sulfur, superheated water and more extreme environmental conditions (like deep sea vents) for their energy.

Biologists today identify cellular life as having three domains — archaea, bacteria and eukaryotes. We belong to the eukaryotes whose cells have nuclei with chromosomes. The eukaryotes include multicellular animals, multicellular plants, unicellular protozoa (protists), unicellular algae and fungi.

The two prokaryotic domains and the five eukaryotic groups are designated as kingdoms. A rough time table of early life on Earth would put prokaryotic life about 3.5 to 3.8 billion years ago, the first free oxygen in our atmosphere about 3.5 billion years ago, the first eukaryotic cells about 2.5 billion years ago and the first multicellular organisms about 1.5 billion years ago.

The branches of the tree of life biologists construct have an earliest ancestor called LUCA (for the last universal common ancestor of a particular branch). There may have been a biochemical evolution preceding the formation of the first cellular LUCA with RNA and protein associations, RNA and DNA associations and virus-like sequences of nucleic acids.

The three domains have produced six million different genes. Molecular biologists have identified 355 genes that all cellular organisms share in common. This is possibly the genome of the LUCA of all living cellular organisms. Whether such a synthetic DNA chromosome could be inserted into a bacterial or archaeal cell or even a eukaryotic cell whose own DNA has been removed has not yet been attempted. It may not work because we know little about the non-DNA components of bacterial or archaeal cells.

Biologists have known for some time that a nucleus of a distant species (e.g., a frog) placed in a mouse egg whose nucleus has been removed will not divide or produce a living organism. But two closely related species (like algae of the genus Acetabularia) can develop after swapping nuclei. In such cases the growing organism with the donated nucleus resembles the features of the nuclear donor.

There is a LUCA for the first primate branch with the genus Homo. We are described as Homo sapiens. Anthropologists and paleontologists studying fossil human remains have worked out the twigs of the branch we identify as the genus Homo. Neanderthals and Denisovans (about 500,000 years ago) are the two most recent branches that preceded the origins of H. sapiens (about 160,000 years ago). Most humans have a small percentage of Neanderthal or Denisovan genes. Fossils of Homo erectus (about 1.8 million years ago) or Homo habilis (about 2.8 million years ago) are much older than the recent three species of Homo. Those fossils do not have DNA that can be extracted from teeth.

A second objective of studying LUCA’s 355 genes will be the identification of each gene’s function. That will tell biologists what it is that makes these genes essential in all cellular organisms.

I can think of a third important consequence of studying LUCA. There are millions of different viruses on Earth, especially in the oceans. If cellularity arose from clusters of viruses, the genes of the mother of all LUCAs may be scattered among some of those viruses and give biologists insights into the step-by-step formation of that first LUCA cell.

In Gilbert and Sullivan’s operetta, “The Mikado,” one character boasts of tracing his ancestors to a primordial bit of protoplasm. The genome of LUCA might become an unexpected example where science imitates art.

Elof Axel Carlson is a distinguished teaching professor emeritus in the Department of Biochemistry and Cell Biology at Stony Brook University.

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Liliana Davalos, right in blue and white shirt, in La Victoria, Colombia with the paleo team from Grand Valley State University during a fossil dig last year. Photo courtesy of Siobhán Cooke

By Daniel Dunaief 

It’s like that old bus riddle. The bus starts out with 20 people. Six people get off, then eight get on, two more get off, 12 enter, eight exit, and so on until, lo and behold, the bus has either the same number of people or someone asks the identity of the driver.

In this case, though, the bus is a collection of Caribbean islands called the Greater Antilles, which includes the Dominican Republic, Cuba, Hispaniola, Haiti, Puerto Rico, the Cayman Islands and Jamaica. The passengers are not people; they are species of bats.

Working with Luis Valente, a postdoctoral researcher at the Natural History Museum of Berlin, Liliana Davalos, an associate professor of conservation biology/ecology and evolution at Stony Brook University, recently determined that the number of species of bats, like the people entering and leaving the bus, remained in relative equilibrium for millions of years over many generations.

Liliana Davalos at La Venta site in Colombia with a rainbow in the background.Photo courtesy of Siobhán Cooke

While several species of bats will colonize the islands and new species will also form over that long time scale, the rate of natural extinction in that time balances out the islands’ diversity gains, leaving the metaphorical bus with about the same number of species.

Famous biologists Edward O. Wilson and Robert MacArthur came up with the theory of island biogeography in 1967, which might help explain how the number of species of bats remained in equilibrium for millions of years. The theory proposes an equilibrium between colonization and extinction.

For bats, however, that balance changed. About 20,000 years ago, fossils of extinct species made their final appearance, while other species died off about 3,000 to 4,000 years ago. So, what happened to the bat bus?

The last ice age accounts for some of the declines about 20,000 years ago. More recently, the arrival of people altered conditions on the islands. At least two other waves of colonization occurred before the arrival of Europeans, with people changing the landscape through agriculture. While hunting of other mammals is evident from the archeological record, it is less certain how changes on the land affected bats. It’s difficult to pinpoint the exact time when each species went extinct, although many of those events happened after people arrived on the islands, changing the region’s equilibrium.

Davalos’ previous work had found that the number of species lost was as predicted if the losses occurred because of the rising sea levels at the end of the last glaciation. If that were the case, many of those species would have disappeared around that time. Some of her colleagues, however, dated the remains of bats and found that these species became extinct more recently, over the last few thousand years.

“While we cannot be certain that all bat extinctions were caused by humans, evidence increasingly seems to suggest so,” explained Valente in an email. “All over the world, colonization of islands by humans has led to many extinctions of local species, because islands have very unique species that are very prone to any disturbances.”

The researchers used computer simulations to calculate that it would take nature eight million years to restore bat biodiversity. “Some people argue that if we leave nature alone it will quickly return to its original state,” Valente explained. “However, the finding that it would take eight million years to recover lost diversity suggests that is clearly not the case.” Valente, who described Davalos as a “wonderful collaborator” who was “actively involved in the project at all stages,” wrote that this study “raises awareness for conservation of the unique bat species of the Caribbean.”

While there is still work ahead, the “nations of the Greater Antilles have amazing natural parks to protect their biodiversity,” Davalos explained. In the tropics of the Western Hemisphere, Puerto Rico is the “number one example of a forest growing back,” Davalos said. “Puerto Rico is one of the places in the world that has had more of a resurgence of the forest.”

The preservation of biodiversity remains threatened even now as at least three bat populations on the Greater Antilles are threatened with extinction and two might already be extinct. Still, the effort is not “hopeless,” she said, as there are some large populations of bats thriving on these islands. Davalos and her colleagues were able to make these discoveries by examining the bat in detail.

A resident of Setauket, Davalos has been at Stony Brook University for eight years. She enjoys kayaking on Long Island and visiting local and state parks. Over the last few years, she has spent her free time on staycations, where she sees a protected area of Long Island each day.

From a young age, Davalos recalls being interested in science. Indeed, when she was only 4, she saw a documentary where Louis and Mary Leakey showed the results of their expeditions where they collected human fossils in Kenya. “From that moment on,” Davalos recalled, “I thought, ‘Some day, this is what I’m going to study.’” Her family and their acquaintances suggested that pursuing such a career path would be challenging.

She tells her current SBU students that she’s “the luckiest person in the world, living out my childhood dream.” Last year, she went on her first fossil dig in Colombia, where she joined a team from Grand Valley State University in Allendale, Michigan, and Johns Hopkins. She found fossils from bats that were 12 million years old.

While Davalos has never met the Leakey family, she wants to tell them that, “Children are watching and [their work] can have a huge effect” on their dreams. Some day, Davalos hopes a future scientist may say the same thing about her research.

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By Matthew Kearns, DVM

February is National Pet Dental Health Month; so I wanted to write an article on swellings of the oral cavity in dogs and cats. Swellings of the oral cavity are relatively common in dogs and cats. Some are tumors, some are not. Some are malignant, some are not. A fair number of cases of oral swellings are actually related to inflammation and not a tumor at all. Unfortunately, if these swellings are tumors, the majority of these tumors are malignant. This is why early diagnosis and treatment is so important.

How do we keep an eye on these things? Most veterinary oral surgeons recommend brushing your pet’s teeth daily, but I have not always found this approach feasible, even with my own pets. I think checking our pet’s mouths once weekly or as often as one can remember is more reasonable. Please bring any new swellings or masses in your pet’s mouth to your veterinarian’s attention right away. The “wait and see” approach is not recommended.

If I or any of my colleagues suspect a tumor, surgical excision and biopsy are recommended; however, certain pre-surgical testing is very important. Chest X-rays are recommended in all cases even though the rate of metastasis, or spread to other organ systems, in oral tumors is low. Chest X-rays can usually be performed without any sedation or anesthesia and, if evidence of metastasis is present, I recommend a discussion with the pet owner before proceeding with surgery/biopsy.

Wouldn’t it be great if our pets brushed their own teeth?

Also, if lymph nodes are enlarged, they should either be tested before surgery or removed and biopsied at the time of surgery to differentiate between secondary inflammation or metastasis. Preoperative blood work rules out other concurrent disease such as organ dysfunction to determine a patient’s risk of anesthesia more than it evaluates the tumor.

Oral swellings of the maxilla (upper portion of the jaw connected to the sinuses) suspected to be tumors should have either a CT (CAT-SCAN) or skull X-rays to see if there is invasion of the tumor into the bone of the skull. CT and skull X-rays require anesthesia so these are scheduled the same day as surgery.

Depending on the location of the tumor, surgical excision can be curative. The down side is that a “wide excision” is necessary. This means a large amount of tissue (both the tumor itself and a fair amount of healthy tissue around it) is necessary to ensure complete removal.

If a wide resection is not possible due to location, follow-up radiation therapy can be used after surgery to kill any remaining cancer cells. Radiation alone is only potentially curative in benign, or noncancerous, oral tumors. Chemotherapy is also sometimes used after surgery for cancerous oral tumors with either confirmed metastasis before surgery or a high metastatic potential based on biopsy.

Much of what we veterinarians recommend is not only based on location and suspicion of metastasis but also age and pre-existing disease. Whether or not to pursue testing and treatment is always up to you (as the owner) but diligent monitoring and prompt intervention should be discussed earlier rather than later.

Dr. Kearns practices veterinary medicine from his Port Jefferson office and is pictured with his son Matthew and his dog Jasmine.

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Public hearing at Town Hall will be Farmingville Feb. 6 at 4 p.m.

Rendering of the shopping center. Image from Brookhaven Town

Setauket developer Parviz Farahzad applied to the Brookhaven Town Planning Board for site plan approval to construct a 24,873 square foot retail center, known as Stony Brook Square LLC. The proposed shopping center is located on Route 25A near the Stony Brook railroad station. The plan includes site improvements for parking, lighting, drainage and landscaping.

J. Timothy Shea Jr., a partner in the real estate group of Certilman, Balin, Adler & Hyman LLP, represented Farahzad and Stony Brook Square at a Zoning Board of Appeals hearing Dec. 14. The developer requested front yard setback variances for three of the proposed buildings as well as an addition to an existing building, from the required 25 feet to 11.5 feet; and a height variance for one of the buildings, from a permitted 35-foot height to a 60-foot height. The extra height will be used to raise a clock tower in the middle building at the rear of the center.

“We thought it was a nice feature,” Shea said during the proceedings.

A list of 10 recommendations made by the 25A Corridor Citizens Advisory Committee were read into the hearing record.

Eight homeowners or residents spoke in the public comment portion of the hearing. They expressed concerns regarding traffic safety on the busy road, environmental issues and the viability of adding retail space when there are so many unoccupied stores in the area.

“My first concern is safety,” Professor Erez Zadok of Stony Brook said. “On this stretch of road … people drive fast; over the limit. It’s dark. Additional traffic will make things worse.” He spoke of environmental concerns as well and questioned the need for additional retail space. The nearby Three Village Shopping Plaza currently has four available spaces according to Kristen Moore, spokesperson for Brixmor Properties, and there are three vacant units just down the street.

Several people spoke out against the granting of a variance that would nearly double the permitted height of the proposed clock tower.

Michael Vaeth viewed the tower as a marketing ploy.

“Currently, especially in the winter months, I have a view of the university and the train station,” he said. “I’m objecting to the 60-foot height. That would be the tallest building in all of the Three Villages — including Ward Melville High School.”

Vaeth’s neighbor Maureen Bybee said she didn’t see the need for the clock tower.

“I want to express my objection and opposition to the clock tower. It doesn’t seem to add anything … and it certainly will have an effect on the neighbors,” she said.

David Pauldy also asked the board to reject the height variance for the tower.

“It would have an effect on the neighborhood behind it,” he said. “It would be extremely visible and it would change the character of the neighborhood.”

The zoning board is allowed 62 days to rule on the request for variances, which gives the board until Feb. 14 to make its decision whether or not to grant the variances.

A public hearing is scheduled Feb. 6 at 4 p.m. at Brookhaven Town Hall in the board meeting room for residents and business owners to continue to voice their opinions on this development.

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The cast of ‘The Snow Queen,’ from left, Danny Meglio, Jacqueline Hughes, Stephanie Krasner, TracyLynn Connor and Matthew Rafanelli. Photo courtesy of Engeman Theater

By Heidi Sutton

In perfect harmony with the frosty weather outside, “The Snow Queen” opened at the John W. Engeman Theater in Northport last weekend to a warm reception. Based on the beloved Hans Christian Andersen story that inspired Disney’s “Frozen,” the musical, co-written by Rick Lombardo and Kirsten Brandt, is told in seven short stories and revolves around a young girl name Gerda, her best friend, Kai, and the power of love and friendship.

The Snow Queen has kidnapped Kai and taken him to her icy palace. There she orders him to solve the Riddle of Eternity by counting all the snowflakes in the world. When Gerda realizes what has happened, she sets off on a dangerous journey to save her friend.

Reminiscent of an Alice in Wonderland experience, Gerda encounters many obstacles along the way including a sneaky Garden Witch, a band of robbers and the blistering cold. Fortunately, she also meets a talking crow, a lovable reindeer and a wise Woman of the North who help her reach the palace.

Alyson Leonard expertly directs a talented adult cast of five, all of whom, with the exception of the lead, play multiple roles throughout the show. Stephanie Krasner, last seen in the role of Rapunzel, returns to Engeman’s stage as Gerda, who proves to be a faithful friend willing to go to the ends of the Earth to save Kai. Her courage and determination has the audience rooting for her from the beginning. Matthew Rafanelli is terrific as Kai, trapped within the clutches of the Snow Queen but absolutely shines as the Crow who helps Gerda.

TracyLynn Connor gives the Snow Queen an icy regalness but also plays the role of a rose, princess and robber girl with ease. From her first appearance on stage as an old woman to her last as the Wise Woman of the North, Jacqueline Hughes’s performance is always top notch. Her solo “Breathe” takes your breath away and her various accents are impressive.

Last seen in “The Wizard of Oz,” Danny Meglio tackles the role of the troll, prince and sweet reindeer this time around. Helping Gerda reach the castle in the darkness and the cold as the reindeer is one of the most memorable scenes in the show.

Although at times Gerda’s journey may seem a bit long, the wonderful songs including “Flying,” “The Real Reality,” “Here I Am,” “Never Give Up” and “The End,” written by Haddon Kime, more than make up for its shortcomings, and you will find yourself humming these songs for days to come. Those familar with Andersen’s fairy tale won’t be disappointed with the ending and will go back out into the air with a warm heart after realizing that love conquers all.

The show is recommended for ages 8 and up because of its complex storyline, although younger children will enjoy it for the beautiful costumes, special effects and songs. Meet the entire cast in the lobby for autographs and photos after the show. An autograph page is conveniently located at the end of the program.

The John W. Engeman Theater, 250 Main St., Northport will present “The Snow Queen” on Saturdays at 11 a.m. and Sundays at 10:30 a.m. through March 5. Up next is “Madagascar: A Musical Adventure” from March 25 to April 30. All seats are $15. To order, call 631-261-2900 or visit www.engemantheater.com.

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