Yearly Archives: 2018

Medical Compass: Proton pump inhibitors – Use with caution

by David Dunaief - June 19, 2018

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Overuse may lead to serious side effects

By David Dunaief, M.D.

Reflux (GERD) disease, sometimes referred to as heartburn, though this is more of a symptom, is one of the most commonly treated diseases. Continuing with that theme, proton pump inhibitors (PPIs), which have become household names, are one of the top-10 drug classes prescribed or taken in the United States. In fact, Centers for Disease Control and Prevention data shows that use has grown precipitously in the 10 years ending in 2010 for those ages 55 to 64, from 9 percent of the population to 16 percent (1). This is a 78 percent increase in the number of prescriptions for these drugs.

In 2010, there were 147 million prescriptions filled for PPIs (2). The class of drugs includes Prevacid (lansoprazole), Prilosec (omeprazole), Nexium (esomeprazole), Protonix (pantoprazole) and Aciphex (rabeprazole). This growth may not capture the fact that several of these medications are now available over the counter.

I remember when PPIs were touted as having one of the cleanest side effect profiles. This may still be true, if we are using them correctly for reflux disease. They are supposed to be used for the short term. This can range from 7 to 14 days for over-the-counter PPIs to 4 to 8 weeks for prescription PPIs.

Why did we not know that this class of drugs might be associated with chronic kidney disease, dementia, bone fractures and Clostridium difficile (a bacterial infection of the gastrointestinal tract) before they were approved? Well, if you look at the manufacturers’ package inserts for these drugs, the trials, such as for Protonix, were no longer than a year (3), yet we are putting patients on these medications for decades. And the longer people are on them, the more complications arise.

Typical symptoms of reflux are heartburn and/or regurgitation. Atypical symptoms include coughing and throat clearing. But these atypical symptoms may not be as common as you might think. In fact, in one study, coughing and throat clearing taken together only resulted in a very small portion of patients having reflux disease (4). Having one of these two symptoms showed a slightly higher risk of reflux, but very modest.

Let’s look at some of the research.

Though PPIs may increase the risk of a number of complications, keep in mind that none of the data are from randomized controlled trials (RCTs), which are the gold standard of studies, but mostly observational studies that suggest an association, but not a link. Long-term RCTs to determine side effects are prohibitively expensive.

PPI and kidney disease

Recent research has tied proton pump inhibitors to a host of alarming health problems. Stock photo

In two separate studies, results showed that there was an increase in chronic kidney disease with prolonged PPI use (5). All of the patients started the study with normal kidney function based on glomerular filtration rate (GFR). In the Atherosclerosis Risk in Communities (ARIC) study, there was a 50 percent increased risk of chronic kidney disease, while the Geisinger Health System cohort study found there was a modest 17 percent increased risk. The first study had a 13-year duration, and the second had about a six-year duration. Both demonstrated a modest, but statistically significant, increased risk of chronic kidney disease.

But as you can see, the medications were used on a chronic basis for years. In an accompanying editorial to these published studies, the author suggests that there is overuse of the medications or that they are used beyond the resolution of symptoms and suggests starting with diet and lifestyle modifications as well as a milder drug class, H2 blockers (6).

PPI and bone fractures

In a meta-analysis (a group of 18 observational studies), results showed that PPIs can increase the risk of hip fractures, spine fractures and any-site fractures (8). Interestingly, when it came to bone fractures, it did not make a difference whether patients were taking PPIs for more or less than a year. How much less than a year was not delineated. They found increased fracture risks of 58, 26 and 33 percent for spine, hip and any site, respectively. It is not clear what may potentially increase the risk; however, it has been proposed that it may have to do with calcium absorption through the gut.

PPIs reduce the amount of acid, which may be needed to absorb insoluble calcium salts. In another study, seven days of PPIs were shown to lower the absorption of calcium carbonate supplements when taken without food (9).

PPI and dementia

A German study looked at health records from a large public insurer and found there was a 44 percent increased risk of dementia in the elderly who were using PPIs, compared to those who were not (7). These patients were at least age 75. The authors surmise that PPIs may cross the coveted blood-brain barrier and have effects by potentially increasing beta-amyloid levels, markers for dementia. With occasional use, meaning once every 18 months for a few weeks to a few months, there was a much lower increased risk of 16 percent.

The researchers also suggested that PPIs may be significantly overprescribed in the elderly. Unfortunately, there were confounding factors that may have conflated the risk, such as multiple drug use, having diabetes, or patient also having depression or a stroke history. Researchers also did not take into account family history of dementia, high blood pressure or excessive alcohol use, all of which have effects on dementia occurrence.

Need for magnesium

PPIs may have lower absorption effects on several electrolytes including magnesium, calcium and B12. In one observational study, PPIs combined with diuretics caused a 73 percent increased risk of hospitalization due to low magnesium (10). Diuretics are water pills that are commonly used in disorders such as high blood pressure, heart failure and swelling.

Another study confirmed these results. In this second study, which was a meta-analysis (a group of nine studies), PPIs increased the risk of low magnesium in patients by 43 percent, and when researchers looked only at higher quality studies, the risk increased to 63 percent (11). The authors note that a significant reduction in magnesium could lead to cardiovascular events.

The bottom line is even though some PPIs are over-the-counter and some are prescription medications, it is best if you confer with your doctor before starting them. You may not need PPIs, but rather a milder medication referred to as H2 blockers (Zantac, Pepcid). Even better, start with lifestyle modifications including diet, not eating later at night, raising the head of the bed, losing weight and stopping smoking, if needed, and then consider medications (12). If you do need medications, know that PPIs don’t give immediate relief and should only be taken for a short duration: 7 to 14 days, according to the FDA (13), without a doctor’s consult, and 4 to 8 weeks with one. Most of the problems occur with long-term use.

References:

(1) cdc.gov. (2) PLoS Med. 2014;11(9):e1001736. (3) protonix.com. (4) J Clin Gastroenterol. Online Jul 18, 2015. (5) JAMA Intern Med. 2016;176(2). (6) JAMA Intern Med. 2016;176(2):172-174. (7) JAMA Neurol. online Feb 15, 2016. (8) Osteoporos Int. online Oct 13, 2015. (9) Am J Med. 118:778-781. (10) PLoS Med. 2014;11(9):e1001736. (11) Ren Fail. 2015;37(7):1237-1241. (12) Am J Gastroenterol 2015; 110:393–400. (13) fda.gov.

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.

Harborfields’ Gavin Buda first Suffolk athlete selected for both spring all-star games

by Desirée Keegan - June 19, 2018

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Gavin Buda hurls a pitch during the Blue Chip Prospects Grand Slam Challenge all-star baseball game. File photo by Bill Landon

Gavin Buda’s first word was “ball.”

“True story,” the Harborfields dual-sport standout athlete said. “I’ve been playing sports as far back as I can remember.”

Harborfields wide receiver Gavin Buda waits for the ball to drop along the sideline during the Empire Challenge football game. File photo by Bill Landon

Baseball was his first love, he said, signing up for every team he could play on. He played for the varsity team from freshman through senior year of high school, also competing on high-level travel teams and tournaments in other states.

“It just seemed my path was set to play baseball in college,” he said.

But during his sophomore year, he decided to try out for the junior varsity football team with some of his friends. The team went undefeated, and the wide receiver was hooked.

“There was a feeling I got playing football that I never felt playing baseball,” he said. “This bond that is created between teammates that only happens in football. The knowing that you have each other’s backs — that feeling made me think if I work hard enough, this is the sport I’d like to play beyond high school.”

He never gave up on either sport, spending three days training for football and the other three for baseball. He said winters were intense, spending time indoors at batting cages while also gearing up for the fall football season, working with trainers like Jay Fulco, Mike Bouranis, Mike Feldman, James Brady and Jay Fiedler.

Buda this month became the first Suffolk County athlete to play in both the Rawlings Blue Chip Prospects Grand Slam Challenge and Empire Challenge football game, with Wantagh’s Ryan Sliwak achieved the feat in 2011. Buda said he had no idea the history he’d made at the time he was selected.

Gavin Buda makes a catch between two Rocky Point football players during Harborfields’ homecoming spoiling win. File photo by Bill Landon

“From a young age you could tell the kid was super athletic — he stood out among his peers, and from there, he put in a ton of hard work to really hone that and continue to stay ahead of the pack,” said Harborfields baseball coach Casey Sturm, who coached Buda since he was in seventh grade. “He was a special player, and what really stood out at the end of his tenure wasn’t even so much what he did at the plate but his defense in the outfield and ability to pitch were huge.”

In Suffolk County’s 5-4 loss to Nassau June 8 at St. Joseph’s College, Buda tossed a baseball for what might be the last time. The pitcher and outfielder took over on the mound in the bottom of the fifth and retired the side in order.

“To end my high school baseball career being selected to play alongside players that were drafted to the MLB or heading off to colleges like Vanderbilt to play baseball is just awesome,” Buda said, although he joked if he let up a homerun he might not have been as happy. “To get on the mound and face those guys one last time was a great way to go out, and luckily, I did pretty good.”

A week later, he’d put down his glove and bat to strap on some football equipment.

In the Empire Challenge game, he made a 30-yard reception during a play he wasn’t even slated to be a part of. Knowing Northport quarterback Ryan Walsh, he said during the call in the huddle he told Walsh he could beat out the kid that was guarding him deep. Walsh trusted him, and Buda delivered. A step ahead of the defender, he said there was no way he was letting the ball drop.

Gavin Buda rips the ball deep into the outfield during the Blue Chip Prospects Grand Slam Challenge. File photo by Bill Landon

His two-year head coach Rocco Colucci said for him personally the moment was fitting. Being a teacher at Northport he’d coached Walsh on the junior varsity level.

“This is why I coach football,” he said. “To see these guys grow and excel.”

He said too it was a privilege to watch Buda excel the way he did.

“Right off the bat I knew he was going to be a playmaker,” Colucci said. “His hard work showed. He was always looking to get better. He was very coachable — anything I told him to do, he’d do it. And because of that, [when other teams] put their best defensive players on him, he’d still make the catch. He likes that type of best-on-best competitiveness in football, and there’s a lot of areas in football where he excels.”

Buda will be taking his talents to Hobart and William Smith Colleges to join the football team, but said he’ll never forget where he came from.

“Harborfields is a great school, but for some reason we are always under the radar in athletics — it’s a smaller school so I guess that’s why,” he said, adding that while other top athletes chose St. Anthony’s or Chaminade, he never questioned becoming a Tornado. “There were some great players that came through Harborfields before me, and there’ll be more after me. I just hope that I did my part to help put Harborfields sports on the map. The experience these last two weeks of playing in both all-star games is something I will carry with me forever.”

This version was updated June 20 at 12:43 a.m. to indicate that Gavin Buda is the first Suffolk County athlete to be chosen for both all-star games, not Long Island.

East Setauket farmers market gets new name, partners with cancer center

by Rita J. Egan - June 19, 2018

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A customer checks out the variety of salsas at the Three Village Artisan and Farmers Market in East Setauket. Photo from Linda Johnson

Visitors to the farmers market on the grounds of the Three Village Historical Society every Friday afternoon will discover new things this year, including a mission to help out a good cause.

The East Setauket Farmers Market has now been named the Three Village Artisan and Farmers Market, or nicknamed Three Village Market for short. Linda Johnson, owner of Chocology Unlimited and market manager, said the new name reflects the growing participation of vendors from across the Three Village area and the artisans, musicians and other makers on hand every week. This year, the market aims to raise money with various fundraisers throughout the season for Stony Brook Cancer Center, specifically the Healthy Forks and Move to Heal Survivorship series.

Attendees at a recent Three Village Artisan and Farmers Market visit the different tents on the grounds of the Three Village Historical Society. Photo from Linda Johnson

“We want to make the market more of a gathering place and at the same time give back to the community,” Johnson said.

The business owner said it made sense to partner with the cancer center’s program.

“It’s all about nutrition and eating healthy, and how people can eat healthy but also not spend a lot of money,” she said.

Jennifer Fitzgibbon, Stony Brook Cancer Center’s oncology nutritionist and the Healthy Forks program coordinator, said she was pleased when she heard the farmers market’s fundraisers would benefit the program.

“I am a firm believer in the addition of fresh produce and what the market features, so the fact that we’re going to be working together, I’m so excited about it,” Fitzgibbon said.

The nutritionist says she takes participants in the program to grocery stores, including Trader Joe’s, to show them how to make healthier choices while eating
affordably, and she plans to take them to the Three Village Market this year.

“I love going there,” she said. “I just think it’s such a beautiful climate. You go there and everyone is so friendly, and every little spot you look at — for example, the organic herbs and the pepper hot sauce — you can really get a nutritional sense from every little piece.”

Fitzgibbon said farmers markets offer fresher, more seasonal products, which means adding a better variety of nutrients to diets. She suggests eating five to eight servings of low-glycemic plant foods a day.

“I just think it’s such a beautiful climate. You go there and everyone is so friendly, and every little spot you look at — for example the organic herbs and the pepper hot sauce — you can really get a nutritional sense from every little piece.”

— Jennifer Fitzgibbon

As she works in conjunction with physical therapist Denise Dahlgren, the funds raised at the Three Village Market will go toward exercise equipment, including yoga mats and pedometers for participants in the Healthy Forks series.

Linda Bily, director of cancer patient advocacy and community outreach at Stony Brook Medicine, said the hospital always welcomes donations from the community. She said patients have received items
including cards from Scouts and hats knitted by senior citizens. One patient who received both a hat and a card was inspired to ask her company to create bags for cancer patients that were filled with hand sanitizers, tissues, lip balm and more.

“It’s hard for someone that isn’t going through cancer treatments to understand the value of these small, comforting things that say, ‘Hey, I got your back. Someone is looking out for you,’” Bily said.

Johnson said the market almost didn’t come together this year. She decided to help manage the market and reached out to the owners of Ann Marie’s Farmstand of Port Jefferson Station. They were the first to agree to be part of the new market and other businesses quickly joined the list of vendors.

The market opened June 1, and Johnson said each week more people are stopping by. She said there is also a tent where children can make crafts and listen to authors read their books.

“People have been very happy, which is really nice to see,” she said. “They’re liking what they’re seeing and feeling.”

The Three Village Artisan and Farmers Market is open every Friday until Oct. 26 from 3 to 7 p.m. It is located at 93 N. County Road in Setauket.

Six researchers, faculty with ties to SBU, BNL release joint letter supporting Gershon

by Alex Petroski - June 19, 2018

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Gershon-1stCD-Democrat-primary-060118-Barr20180531_0476w — Perry Gershon. Photo by Kyle Barr

As the five-headed Democratic Primary to select a challenger for 1st District U.S. Rep. Lee Zeldin (R-Shirley) nears, six Stony Brook University faculty members, some with ties to Brookhaven National Lab, have authored a letter endorsing their preferred winner.

The signers of the letter are throwing their public support behind Perry Gershon, a first-time candidate for political office from the private sector, who made a career as a commercial mortgage lender and small business owner, citing his belief that “facts trump opinions.” The group also supports Gershon’s broader dedication to protecting the environment.

The endorsement came with a disclaimer that the signees being affiliated with SBU are for identification purposes only and do not imply institutional support for any political candidate. Other notable endorsements in the race thus far include Suffolk County Legislator Al Krupski’s (D-Cutchogue) stated support for Kate Browning, a former legislator herself; and Legislator Kara Hahn (D-Setauket) and Brookhaven Town Councilwoman Valerie Cartright (D-Port Jefferson Station) backing Vivian Viloria-Fisher, another Suffolk legislature alumna. Notably, the group of six from SBU’s STEM department did not endorse BNL scientist Elaine DiMasi, who is also among the five candidates in the race.

The full letter from the SBU professors supporting Gershon is below, lightly edited for grammar and style.

Endorsement of Perry Gershon for Congress by faculty and researchers in science, technology, engineering and math at Stony Brook University and Brookhaven National Laboratory

An open letter to the community:

As faculty and researchers at Stony Brook University and Brookhaven National Laboratory involved in science, technology, engineering and math (STEM) teaching and research, we believe it is of vital importance that you vote for Perry Gershon as your next U.S. Representative in Congress in New York’s 1^st Congressional District June 26 in the Democratic Primary.

For all of us, at both the university and the lab in Brookhaven, mid-western Suffolk has been our home for many years, just as the South Fork in eastern Suffolk has been Perry’s home for over 20 years. CD1 covers both — we share the same aquifer and the same need for clean water. What happens here locally, in our country, and in the world, matters deeply to all of us.

We need Perry in Congress because he believes that facts trump opinions. Perry grew up in an academic family. His parents are both medical researchers at Columbia University. While a student at Yale, Perry was involved in original research as co-investigator on multiple published papers with faculty. He understands at his core that investigation and evidence must win out over demagoguery.

Perry believes in the overwhelming evidence of climate change and its profound effects at every scale, from Long Island to the entire Earth. Unlike President Donald Trump (R) and Zeldin, Perry would stay in the Paris Climate Accord and work to help America meet its goals. Perry holds that expanding markets for innovative clean technologies generates jobs and economic growth. Research at SBU, BNL, and Suffolk incubators can be at the forefront of turning CD1’s economy into one that supports good-paying, middle-class jobs that offer our young people the opportunity to stay on Long Island.

Perry knows that Environmental Protection Agency regulations, based on scientific study, are made to help and protect every one of us. Yet under Trump (R), EPA Administrator Scott Pruitt (R) and Zeldin, expert scientists are no longer even allowed to provide advice to the EPA, because recipients of EPA grants, who are the most knowledgeable experts, are forbidden from serving on EPA’s scientific advisory committees — the bodies that make sure regulations to protect public health and environmental values are based on sound science.

Perry knows that Department of the Interior decisions should benefit the country, not benefit any corporation that wants to exploit our natural resources for its bottom line. We do not need or want offshore oil drilling destroying our pristine coastline and threatening our tourist industry. While Zeldin feigns opposition, his support of Trump has allowed Zinke to move forward to expedite drilling permits.

Perry stands for the Democratic values that we all share: seeking truth and diversity of opinion. Unlike Trump and Zeldin, Perry actually listens. He actively seeks input and advice. His main goal is to solve problems in ways that benefit the greatest number of people.

On June 26, the Democratic Primary will choose the candidate who will oppose Zeldin in November. We firmly believe Perry Gershon has the intellect, the skills, the fortitude, and the resources to beat Zeldin — a powerful combination that is not matched by any of the other primary candidates.

We ask you to support Perry Gershon, to take back Congress by removing the man who has become Trump’s mouthpiece and enabler — Lee Zeldin. On June 26, please stand with us in returning truth to our government’s decision making.

Sincerely,

Dr. Douglas Futuyma, Distinguished Professor, Ecology and Evolution, SBU

Dr. Nancy Goroff, Chair Department of Chemistry, SBU

Dr. Stephen Baines, Associate Professor, Ecology and Evolution, SBU

Dr. Barry McCoy, Distinguished Professor, CN Yang Institute for Theoretical Physics, SBU

Dr. Lorna Role, Distinguished Professor and Chair, Neurobiology and Behavior, SBU

Dr. Gene Sprouse, Distinguished Professor Emeritus, Physics and Astronomy, SBU

This post was updated June 19 to remove Dr. Jeff Keister as a signer and add Dr. Stephen Baines.

Kings Park students tackle mental health issues head-on

by TBR Staff - June 19, 2018

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Superintendent's Council creates 31-minute video to share with their peers

Supt Council Rob Trotta_KPSDw — Kings Park student members of the Superintendent's Council stand with school staff and elected officials. Photo from Kings Park school district

By Amanda Perelli

Kings Park students are going digital in the national debate of mental health awareness to raise awareness among their peers and inform community leaders.

Students in Kings Park school district worked to create a nearly 31-minute video to spread mental health awareness in the community and with elected officials.

The Superintendent’s Council, a group of more than 30 Kings Park students from grades four through 12. The council is made up of approximately four students per grade, who are elected by their peers in fourth grade and remain a part of the council through graduation.

“We got to talk about mental health, a big conversation not only in Kings Park, but all around the country.”
– Timothy Eagen

Timothy Eagen, superintendent of Kings Park school district, said that this year’s council was focused on mental health. The students invited Suffolk County Legislator Rob Trotta (R-Fort Salonga) to a council meeting in March, where he spoke about his role in local government. As a result of that meeting, council members decided to create a video covering stress and anxiety; vaping, smoking, and substance use/abuse; and online safety to raise awareness of mental health in the community.

“They are just a great group of student leaders that I use to bounce ideas off of and pick their brain and insight on a student perspective,” Eagen said. “We got to talk about mental health, a big conversation not only in Kings Park, but all around the country.”

The students filmed themselves, teachers and their classmates in the district for the video. Several Kings Park staff members who assisted include district Assistant Superintendent Ralph Cartisano; Rudy Massimo, principal of R.J.O. Intermediate School; Ken Ferrazzi, assistant principal at William T. Rogers Middle School; and Danielle Thompson, technology integration specialist, helped the students create the video which was filmed on iPhones and iPads. Thompson then edited and pieced together the footage using iMovie.

“If we can get the students to share what they are experiencing, just encourage them to speak about it… maybe we can save a life or two.”
– Rudy Massimo

“We broke it into different groups and being that I am one of the participants of the Superintendents Council, I worked with middle school students on drug and alcohol abuse, including vaping,” Massimo said.

The entire video, from the script to where they filmed, was driven by the students. They filmed parts in areas of the building where students might go to do things against school policy, including the stairwells, bathrooms and basement. They used their smartphones to gather information and read off of them like a script. Throughout filming, the students had one goal to get their peers to listen, according to Massimo.

“Mr. Trotta was the first audience that the kids had to show off their video, Eagen said. “We have it posted to our website and we’ve also shared it with our elected officials, so they can best understand how our students are feeling.”

The principal of R.J. O Intermediate said he has plans to show pieces of the video in the fourth- and fifth-grade classrooms next year.

“What the kids say is that they are tired of the same kind of information coming to them,” said Massimo. “If they hear it from their peers, it means more.”

Stranded boaters freed from rocks in Huntington

by Desirée Keegan - June 19, 2018

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HuntingtonHarbormasterFrankUvena_KyleBarrw — Huntington Harbormaster Fred Uvena gives a tour of accident-prone sites. File Photo by Kyle Barr

Suffolk County Police Department’s Marine Bureau officers rescued two boaters who were stranded on the rocks at Huntington Lighthouse in Huntington Harbor.

The Huntington harbormaster requested assistance from Suffolk County Marine Bureau for a boat that had become lodged in the rocks by the Huntington Lighthouse June 17 at approximately 8 p.m. Marine Bureau officers Terence McGovern and Kevin Yoli responded aboard Marine Bravo.

The officers tied a line to the stern of the 38-foot sailboat in an attempt to free it. A boat from Sea Tow arrived and workers secured a second line to the mast of the boat and rolled it on its side allowing Marine Bravo to pull it away from the rocks to safety.

After the boat was freed from the rocks, officers did a visual inspection of the boat and conferred with the boat’s owner, Jorge Schneider, 71, of Huntington. It was determined the boat was undamaged and Schneider and a female passenger were unharmed. The pair remained aboard the sailboat and were escorted by Sea Tow to shore.

Cold Spring Harbor firefighters dedicate 9/11 memorial

by Sara-Megan Walsh - June 18, 2018

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17-foot long World Trade Center steel beam is focal point of monument remembering 9/11 victims

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By Sara-Megan Walsh

A 17-foot World Trade Center steel beam stand in Cold Spring Harbor, more than 35 miles from New York City, as a solemn reminder of those who lost their lives in the 9/11 attacks.

The Cold Spring Harbor Volunteer Fire Department officially dedicated its 9/11 memorial in Fireman’s Park, directly across from its headquarters at 2 Main Street, in a June 16 ceremony. More than 2,750 people were killed in the terrorist attacks, which includes 42 residents from the Town of Huntington.

“We will never forget those who perished on 9/11,” said Thomas Buchta, chairman of the fire department’s 9/11 Committee. “We will remember the sacrifices of those who rushed into the building to fight the fires, to rescue those who were trapped, and the thousands of people who simple went to work that morning and never returned home.”

“[Peter Martin] left behind his wife and two young sons, but he also left behind a legacy. ”
– Chad Lupinacci

Two fire department members, brothers Dan and John Martin, are following in the footsteps of their father, Peter Martin, who died on 9/11. Peter Martin served as a lieutenant in the Fire Department of New York’s Rescue 2 in Brooklyn. He was 43.

“He left behind his wife and two young sons, but he also left behind a legacy,” Huntington Supervisor Chad Lupinacci (R) said. “He loved his occupation and left a record of how many fires he fought over the years and many stories to tell.”

Martin also served as a volunteer firefighter in the Miller Place Fire Department, where he lived with his family at the time.

“While our grief recedes with time and our lives move on in different ways and directions, our resolve and the memories of love friends, co-workers and family will never wane,” said Cold Spring Harbor Fire Chief of Department Daniel Froehlich.

The brothers both served as members of the 9/11 Committee which has worked for more than two years to erect the monument. In May 2016, the 17-foot by 4-foot artifact from World Trade Center Tower One’s 62nd floor was transported from where it was stored at John F. Kennedy Airport out to the Town of Huntington Recycling Center for safekeeping while plans for the memorial were finalized.

“Now 17 years later, think about whether we’ve slipped back into everydayness.”
– Tom Suozzi

Volunteers started constructing the memorial in the fall of 2017, featuring the nearly 18,000-pound beam in a shape reminiscent of a cross being lowered into the ground Sept. 9. Three saplings grown from offshoots of the Callery pear tree that endured the 9/11 attacks, called the “Survivor Tree,” were planted around the memorial with a plaque to explain their significance.

“When you look at it don’t forget the anguish and loss, but don’t forget about the other things this symbolizes, the strength and resilience of spirit,” said Greg Cergol, husband of Huntington Councilwoman Joan Cergol (D) and master of ceremonies. “Those are the things that unite and define us as Americans.”

The keynote address was given by U.S. Congressman Tom Suozzi (D-Glen Cove) who recalled his own desire to help in response to 9/11 in his position as mayor of Glen Gove and visit to ground zero. He questioned if Americans were losing the focus and sense of community that united them in the days that followed.

“Now 17 years later, think about whether we’ve slipped back into everydayness,” Suozzi said. “Love matters. Forgiveness matters. Our friends, our families and our communities matter.”

After a moment of silence was held for the 9/11 victims, the Martin family rang the bell of Cold Spring Harbor Fire Department five times each in four intervals. It’s part of a long-held tradition in the fire department that signals the last alarm of a firefighter who has answered his or her last call.

The Gardener’s Delight: Dependably deer-proof annuals provide weeks of vibrant colors

by Kyrnan Harvey - June 18, 2018

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By Kyrnan Harvey

Successful perennial plantings present landscaping solutions that endure for a few years at a minimum: right plant, right place. Yarrows, peonies, echinaceas, catmint, sages and grasses of all kinds are dependable year-in, year-out, with no worries that the deer will compromise the peak of their performance with unpredictable browsing.

But what about annuals? What possibilities are there for long seasons of color that deliver a strong return on our efforts, and that the deer will dependably leave alone? Here’s a few that my wife and I have successfully grown in our East Setauket garden, which happens to be Grand Central Station for deer. These plants supply many weeks of color and character and carry the garden from July through October, and they too can be counted on as year-in, year-out solutions. These here all require plenty of sun, so if you haven’t got enough, maybe it’s time to call an arborist and remove some Norway maples, Ailanthus (tree of heaven) or black locust.

Snapdragons flower in early summer. They are charming in a vase and there are some great colors out there. They self-seed for us and occasionally overwinter. We like the taller ones; the deer don’t.

Nor do they touch cosmos or zinnias. The former are charming daisies, the embodiment of simplicity in the garden; the latter have the colors that remind me of vintage psychedelic rock posters. Buy them at the garden center or start seeds in April. We prefer the tall zinnia seed strain, Giant. Dead-head spent flowers, especially the zinnias.

We love lantana. Readily available, we have certain varieties in certain colors that we look out for. The Bandana series is upright and not trailing. They are actually perennial, woody shrubs, native in the tropics and thus not hardy. Vibrantly colored, heat and drought tolerant, aromatic, they attract hummingbirds and butterflies.

We started years ago supplementing clients’ sunny beds with them, and we’d cut them back to about a foot in early November; dig them up and squeeze them into as small an azalea pot (broader than deep) as possible; water them in just once; leave them a day or two outside; and leave them alone to be dormant in a cold (but not freezing) garage or basement. We try to place them where there is a window, just a tiny bit of light, let them get good and dry, and water only every three or four weeks. We move them outside in May, they start growing, and by late May they are planted out again. They get larger from year to year, but we still pot them up, not without questioning our sanity, and are rewarded with lantanas a yard high and wide — a splendid filler after spring and early summer perennials are finished.

One might expect zaftig dahlias to be irresistible to deer, but astonishingly they are unmolested. My wife has become the in-house dahlia enthusiast at Bosky Garden Design, adding each year to her collection of favorites. And there are indeed so many gorgeous varieties. The best cut flowers, you can grow them just for that, or they are easily incorporated in mixed planting schemes, color combination possibilities are endless. We overwinter them, again in a cold basement, bare of soil, wrapped first in newspaper and placed in those 5-cent plastic bags with peat moss.

We love the shock of red of scarlet sage, if used wisely (i.e., segregated), but salvias of all kinds are avoided by deer. Salvia greggii is sold as an annual, but some varieties will be perennial given favorable conditions. This is a plant to look for; there is a wide range of colors, some hardier than others.

Cleome will self-seed prolifically, not until late May. Sparkler is a great seed strain that is tall and that repels deer for sure.

Last, and certainly not least, we have Verbena bonariensis, a short-lived perennial, technically, that succumbs to temperatures below 10 degrees but that self-seeds more abundantly than even cleome. For us it is a tall matrix plant that intermingles everywhere in the garden. Loved by butterflies, loathed by deer, it epitomizes and unifies the naturalistic planting style.

Kyrnan Harvey is a horticulturist and garden designer residing in East Setauket. For more information, visit www.boskygarden.com.

All photos by Kyrnan Harvey

Tesla Science Center in Shoreham lands on state list of historic places

by Kyle Barr - June 18, 2018

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Nikola-Tesla-birthday-071016-2_Maw — The Tesla Science Center at Wardenclyffe is located at 5 Randall Road in Shoreham. File photo by Wenhao Ma

With close to 9,500 letters signed from all over the world in support, the Wardenclyffe property in Shoreham, home to 20th century inventor and scientist Nikola Tesla’s last standing laboratory, was approved for state historical status June 7.

“From all over the world people responded to us, including individuals, organizations and public officials – it’s really cool,” said Jane Alcorn, president of the board of directors of the Tesla Science Center at Wardenclyffe. “We’re hoping that since it was a unanimous decision on the part of New York State that they will look upon all of that favorably, as well as [see] we had so many international and national supporters.”

Inventor Nikola Tesla’s Shoreham laboratory, built in 1901, is his last lab still standing. TBR News Media

The historic review board at New York State Historic Preservation Office voted unanimously to recommend the property to the state historic register. Jennifer Betsworth, a historic preservation specialist for the state preservation department, said the review board members were enthusiastic to see the application before they even received it.

“They were all excited to see this coming forward,” Betsworth said of the board member’s feelings. “It’s been one of these properties that people have known about for some time, and everyone wanted to see it [have] a positive future.”

The state review board forwarded the application to the federal historical review board under the National Park Service, whose review process should take one to two months. Betsworth said that while the federal review board often looks favorably on New York applications, there is no guarantee it will be accepted.

To prove the case for historic preservation, a historic architect consultant was hired to document the land and its legacy. The Tesla Science Center board members spent a month crafting a 92-page document that went into the specific historic status of the many buildings on the site. But other than the landmark brick building in the center of the property that once was Tesla’s main lab space, many of the other concrete and wood structures on the property were built after Tesla’s time.

Serbian-American inventor Nikola Tesla. TBR News Media photo

“For us we’re still in a marathon – we still have a lot more running to do,” said Marc Alessi, the science center’s executive director.“But it was nice to make this milestone.”

Having the property listed on the New York historic register allows the science center to apply for state grants that specifically require historic significance. That is important, Alessi said, because the science center is finalizing its master plan this month, which includes finalizing and designing a planned Tesla museum and science center. Though he did not wish to say which buildings he expects to house the museum, AlessI said construction should be finished and the museum open to the public by the end of next year.

“We want to get open to the public as quickly as possible” he said. “Once we open our first building to the public it will be an ongoing project to expand into other buildings on the property.”

Because of the strong public response, Alessi said the science center hopes to involve its international fanbase through more crowdfunding opportunities down the road.

“We know that [the letters came from] the crowd that helped save this place,” Alessi said. “And we want to make sure they stay engaged.”

Area athletes help Long Island retake Empire Challenge title

by TBR Staff - June 18, 2018

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By Bill Landon

After a New York City 30-yard Hail Mary touchdown pass, the team went for a two-point conversion to outright win its third straight Empire Challenge football game under Hofstra University’s Friday night lights, but Long Island’s James Lyons, of Sayville, batted away the two-point conversion pass in a 28-27 thriller.

Up to that point Westhampton running back Dylan Laube has been the center of all things Long Island offense June 15, powering his way to three touchdowns — accumulating 151 all-purpose yards. He was voted most outstanding player of the game.

He opened Long Island’s scoring running off left tackle on the opening play of the second quarter and punching into the end zone to help tie the game 7-all.

Miller Place’s Tyler Ammirato, Long Island’s defensive captain, called signals on the field in an attempt to contain an explosive NYC offensive attack. His plan ended up in a Long Island defensive stop to take over on downs, and Laube was back to work on offense. Farmingdale’s Bryan DeFelice made the extra-point kick following Laube’s second touchdown to put Long Island out front 14-7 with three minutes left in the third.

“It’s an awesome experience — you read the paper every week and you see all these guy’s names and to finally meet them and get to play with them,” Ammirato said. “I thought, ‘Our defensive stand right here will be the turning point of this game — we’ve got to get a stop right here,’ but our offense is [also very] talented, they’ll punch it in.”

After NYC retied the game, Harborfields wide receiver Gavin Buda ran a sideline route and grabbed a 39-yard pass from Northport quarterback Ryan Walsh to put Long Island in excellent field position.

Buda, the only athlete in history to be chosen for both the Empire Challenge and the Blue Chip Prospects Grand Slam Challenge baseball game earlier this month, said it was a fitting way to conclude his high school career.

“It’s sad, but this is one of the greatest games I’ve ever played in my life,” Buda said. “To meet all of these great superstars that I’ve played against and I’ve seen on the field, and to be friends with them now and to be their teammates, is just amazing experience that I’m going to remember for the rest of my life.”

Laube finished what Buda started for a 21-14 advantage to end the scoring for the third. A rare NYC miscue helped Westhampton’s Nola Quinlan pick off a pass and nearly return it for a touchdown before being forced out of bounds with 32 seconds left in the quarter. NYC’s defense was able to make a stop that forced Long Island to try for a 36-yard field goal attempt, which was blocked.

With just over eight minutes left NYC made it a new game 21-all, but Long Island let time tick off the clock on a long drive to three consecutive first downs before Oceanside wide receiver Derek Cruz’s old-school flea-flicker jump ball. Cruz faked continuing his run and tossed the ball back to quarterback Tommy Heuer, who waited for Massapequa wide receiver Owen Glascoe to break free.

Heuer hit Glascoe in the end zone for a 34-yard touchdown pass and DeFelice added his fourth extra-point kick for a 28-21 lead with 41 seconds left, which ended up being the game-winning point.

Ward Melville linebacker Zach Hobbes, who was instrumental in the Patriots’ rout of West Geneseein the state lacrosse championship the weekend prior, was euphoric taking part in his final football game.

“I can’t think of a better way to end my senior year,” Hobbes said. “Winning a state championship and then to play in front of 9,000 people for the last game of my varsity football career, and to get a win like that, it’s an unbelievable experience.”

With time running out NYC went hurry-up offense and hit three consecutive pass plays down the sideline, getting out of bounds each time to stop the clock and save what precious seconds remained. With five seconds left, NYC quarterback Mike Nicosia threw the Hail Mary to the left corner of the end zone, where he found Titus Leo, who made the catch as time expired.

“That was a crazy experience — that’s just how I expected the game to go,” Buda said. “I knew both teams would put up a fight and right when we scored that last touchdown I knew you could not count them out. We had to make a defensive stop, but they drove down; they’re a great team. Our defense came up with a humongous stop and that sealed the deal.”

Shoreham-Wading River’s Tyler McAuley was unable to play in the 23rd annual Empire Challenge football game. Ward Melville outside linebacker Thomas Kutchma and running back Nicholas Messina; Miller Place defensive end Matthew McNulty; and Northport quarterback Ryan Walsh were other area athletes that took part in the senior all-star game.

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