Yearly Archives: 2018

Rocky Point students were give one day of in-school suspension for walking out. The students attended the March 19 board of education meeting to debate the decision. File photo by Kevin Reding

They were articulate. They were passionate. And they wanted answers. A week after they walked out and were punished by the district for it, a group of Rocky Point students stood before their administrators and spoke up.

About a dozen of the high schoolers who lined up to address the board of education March 19 were among the more than 30 district students who participated in the national school walkout five days earlier. The students, many of them AP scholars, student council members and star athletes, had each been issued one day of in-school suspension, and were banned from extracurricular activities for three days following their choice to stand behind the front gates of the high school for 17 minutes March 14. Those middle school and high school students joined young people across the country in holding up signs and demanding stricter gun legislation to help put an end to school violence, one month after the Parkland, Florida, school shooting that left 17 dead.

Rocky Point students who both did and didn’t walk out March 14 attended the March 19 board of education meeting supporting those who did. Photo by Kevin Redding

While the students said during the meeting they anticipated and accepted consequences, based on a letter the district sent to parents a week prior to the protest declaring that all participants would be “subject to administrative action,” they told board members they found the ruling of suspension to be “unnecessarily harsh” and a violation of the district’s own code of conduct as well as New York state law.

Many cited Gov. Andrew Cuomo’s (D) March 15 letter defending all students’ rights to peacefully express their views on controversial issues, stating that “any attempts to stifle this speech violates the constitutional rights of students and faculty to free speech.”

“By suspending any student who participated in this peaceful nationwide movement, the administration is effectively discouraging students to have their voices heard in society,” said senior Jade Pinkenburg, who helped organized the March 14 gathering. “This is an overreaction, and we need to find a more suitable compromise … Although I believe that students should not be punished for speaking their minds in a peaceful, nondisruptive protest, we would all have happily accepted three days of detention as a consequence for cutting class [as dictated in the code of conduct] … we didn’t walk out to just flout the school’s policies or denounce the administration, but we did this because it’s our lives on the line.”

Sophomore Emily Farrell reminded board members that many schools across the country and on Long Island, including Ward Melville and Mount Sinai, ultimately did not punish students for walking out, even after forbidding students from exiting school buildings.

“So why couldn’t you support us?” Farrell asked. “All that needed to be done was to send out an adult to escort the students and provide them appropriate permission to temporarily walk outside the school building — not leave school grounds, but just go outside. The students that walked out are good kids. … It’s disappointing that our administration suppressed our First Amendment rights by not supporting the walkout.”

“The students that walked out are good kids. … It’s disappointing that our administration suppressed our First Amendment rights.”

— Emily Farrell

One student called the district’s handling of the walkout “unpatriotic” and another asked, “At what point does our educational curriculum tell us that peaceful protest is wrong?”

Senior Nicki Tavares, a national honor society member, stepped up to the microphone to address the punishment.

“This is a blatant overextension of power that disregards rules and regulations set forth by the administration themselves,” he said.

Another senior, Jo Herman, urged administrators to remove the suspensions from their school records permanently.

“Our punishment contradicted the code of conduct,” Herman said. “When we got suspended we were informed that as long as there were no further disciplinary actions against us, they wouldn’t go on our records.”

According to the students, nowhere in the district’s code of conduct, which was officially adopted in 2011, does it state any specific way to handle a situation like this, suggesting that administrators “took matters into their own hands” and enforced a rule that didn’t exist. Students called into question why a “peaceful” protest warranted a suspension, which is considered “a severe penalty” in the code — imposed on those who are “insubordinate, disorderly, violent or disruptive, or whose conduct otherwise endangers the safety, morals, health or welfare of others.”

In the code of conduct it is stated under “prohibited student conduct” that “Students may be subject to disciplinary action, up to and including suspension from school, when they … engage in any willful act that disrupts the normal operation of the school community” and “The superintendent retains his/her authority to suspend students, but places primary responsibility for the suspension of students with the building principal.”

Pinkenburg said the students had done none of the prohibited actions in the code.

Students like sophomore Emily Farrell addressed the administrator’s mishandling of the event. Photo by Kevin Redding

“While the school claims that the walkout endangered the safety of those involved, we have not compromised the safety of other students, not ourselves, and we understood the risk involved,” he said. “We [also] did not disrupt the day at all, as all the students were watching tribute videos in the auditorium and gymnasium.”

According to the code of conduct, a student is to be given “due process” before a suspension is authorized. And, for any short-term suspension, as mandated by New York State Education Department policy section 3214 (3)(b), the school must notify parents in writing within 24 hours of their child’s suspension via “personal delivery, express mail delivery or some other means that is reasonably calculated to assure receipt of the notice within 24 hours of the decision to propose suspension at the last known address for the parents.” An opportunity for an informal conference is also encouraged.

But none of these procedures took place, according to the students and their parents.

“I have seen these students’ reputations be dragged through the mud for no other reason than they felt strongly about doing something about the ongoing violence and bullying here, and in schools across the nation,” said Brian Botticelli, whose daughter in the middle school was issued her unexpected suspension, as well as some hate texts from her peers because of her involvement. “It is my opinion that [Superintendent Michael Ring] overstepped his authority by issuing arbitrary and extreme punishments based on his ideological opinion instead of what is best for the student body … I ask that the board conduct a thorough investigation into the allegations that this was negligently mishandled.”

Botticelli explained that the students who walked out scheduled a meeting with Ring to better understand the penalties of their involvement March 13, which turned out to be a snow day. The parent said the meeting was canceled by Ring and never rescheduled.

In response to this, Ring said, “The students did send an email that evening [Tuesday, March 13], but we didn’t get it until the following morning … I was not available then. But it was my intention for that meeting to take place.”

Nicolette Green, a senior, said while she didn’t participate in the walkout, she still stands for those who did, and encouraged administrators to do the same.

“I have seen these students’ reputations be dragged through the mud for no other reason than they felt strongly about doing something about the ongoing violence and bullying here.”

— Brian Botticelli

“It is our right as students to speak about problems we have — not only within our schools but within our country,” she said. “Fighting against gun violence shouldn’t just be a student cause and, as members of the school, you should stand with us. We are calling for change.”

Green also addressed the district’s “heightened interest of safety and security,” as stated in the letter sent to parents as the main reason the walkout was prohibited and “not a viable option for our schools.” But, she said, that was proven to not be the case last week, referring to a PTA meeting in the school district March 14 in which a man pulled out a closed pocketknife while face-to-face with Pinkenburg, making a point that security is needed in rapidly escalating situations. Green said, although a security guard was present during that meeting, nothing was done to stop the man in an urgent manner. (See story on page A6.)

“This behavior should not be tolerated, and the event should not have happened,” Green said. “This man was told to leave by other parents, but he was not escorted out of the building. How was I or anyone else in that room supposed to blindly trust this guy? I don’t know this man or his background. Something should have been done.”

Ring interjected, assuring Green and the rest of the room that the district has since banned that individual from school property.

But not all speakers were against the district’s handling of the walkout.

“I would like to say that what the school district did with the walkout was appropriate,” eighth-grader Quentin Palifka said. “There was an email that was sent, and it did say that we were allowed to write letters to Congress, Senate and the Parkland victims … if you wanted to be heard, I think that you should’ve written a letter.”

Board Trustee Ed Casswell, who remembered being a history teacher the day the Columbine shootings occurred and how “numb” it left him, thanked all the students for weighing in.

“Someone said you’re all good students … you’re not good students, you’re great students,” Casswell said, turning his attention to parents in the room. “There have been 24 shootings in a K-12 institute since 1999, 10 since Sandy Hook. When is it going to be enough? We’re all united under the umbrella of health and safety for our kids. What I ask is rather than turn on each other, that we move forward locking arms.”

Rocky Point High School. File photo by Giselle Barkley

By Kevin Redding

Michelle Salz, the mother of Rocky Point Middle School student Isadora Luce — an eighth-grader who participated in the walkout March 14 — said she and a group of parents are in the process of contacting the American Civil Liberties Union in hopes of fighting their children’s suspensions legally.

According to Salz, in suspending her daughter, who is the president of the student council and National Junior Honor Society, and was one of eight middle schoolers involved, the administration violated its code of conduct by denying her the right to due process, foregoing an informal conference and not issuing a written notification within 24 hours of the authorized suspension.

Michelle Salz is disappointed the district chose to give her daughter in-school suspension for participating in the National School Walkout, and is contemplating taking legal action. Photo from Michelle Salz

Salz said when she requested information regarding consequences in the code of conduct for cutting class, Principal Scott O’Brien said there was nothing listed. It was O’Brien, she said, who ultimately made the decision to issue Isadora a suspension over a detention — a penalty Salz felt should be reserved for “violent or bad kids … not for cutting class.”

“She was surprised and dismayed,” Salz said. “She’s lost respect for her principal, and she also realizes how mishandled the whole situation is. … As educators, I think the district could’ve made this an empowering event that the kids would’ve never forgotten. They could’ve helped make signs, talked to them about laws, the tradition of protests and civil liberties. Instead, they chose to do this.”

O’Brien and Rocky Point Superintendent Michael Ring did not return requests for comment.

Isadora herself said, although this was predominantly a high school movement, she was inspired to participate from seeing the Parkland survivors take initiative, and because she said she’s passionate when it comes to gun control.

“I knew there would be punishment, but I’m very disappointed the school didn’t reward us at all for taking leadership,” Isadora said. “I wish they would respect that we’re doing this as a nationwide thing, rather than saying ‘Oh, it’s a risk to safety.’ They knew about this way ahead of time.”

A fellow eighth-grader who participated in the walkout with Isadora agreed that the punishment didn’t fit the crime.

“I feel like the superintendent used his own opinions to make a quick decision rather than take his time to see what would be best for everyone,” 14-year-old Ella Botticelli said. “I feel that this was wrong on his part and he should admit to that.”

“She realizes how mishandled the whole situation is. … As educators, I think the district could’ve made this an empowering event.”

— Michelle Salz

Salz said she and a group of parents who met through Facebook are waiting for a response to an email sent to New York Civil Liberties Union-Suffolk Chapter Director Irma Solis last week. Salz has also been in contact with attorneys from the area.

According to the ACLU website, while the law allows school districts to discipline students for missing class, “even if they’re doing so to participate in a protest” or to express themselves, a school can’t “discipline students more harshly because they are walking out to express a political view or because school administrators don’t support the views behind the protest.”

“We hope those schools recognize that even when they are within their right to discipline students for protests, that doesn’t always mean they should,” wrote ACLU member Vera Eidelman in a Feb. 22 article. “[The students’] activism inspires confidence in the future of our democracy and their schools should be proud of them.”

Salz said while she knows lawsuits will be a costly endeavor, she and the fellow parents are currently drumming up ideas on how to go about it.

“I don’t know how we’re going to afford it right now,” the mother said. “But this is the only way this school district is going to be made to change.”

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Veterans for a More Responsive Government, Quick Stop Deli & Catering provide meals for those who served

Volunteers gathered outside Quick Stop Deli and Catering in Commack before bringing St. Patricks Day meals to homeless veterans. Photo by Sara-Megan Walsh.

A St. James resident and Commack business owner worked together to make sure the luck of the Irish was
delivered to homeless veterans from Huntington to Riverhead this weekend.

As many Smithtown area residents were waking to find the sun shining on St. Patrick’s Day, Robert Cornicelli, founder of the nonprofit Veterans for a More Responsive Government, gathered his friends and volunteers over cups of coffee at Quick Stop Deli & Catering in Commack.

A volunteer with St. James resident Robert Cornicelli packs meals into a car for delivery. Photo by Sara-Megan Walsh.

Cornicelli, a U.S. Army veteran who retired in November 2017, organized the loading of boxes of prepacked meals in the back of a car to be delivered to disabled homeless veterans at nine United Veterans Beacon House locations throughout Suffolk County. Beacon House is a Bay Shore-based nonprofit that provides housing for homeless veterans, many of whom are disabled due to physical injuries or mental impairments related to their time in the service.

“Every Thanksgiving, I would raise money to bring Thanksgiving meals to Beacon House, then it became Thanksgiving, Christmas and Super Bowl Sunday,” Cornicelli said. “I decided I’m going to try to do this for every major holiday.”

He launched a GoFundMe campaign mid-February that quickly raised more than $1,000 towards the March 17 feast. When Cornicelli mentioned his idea to longtime friend Rudy Massa, owner of Gasoline Heaven and Quick Stop Deli & Catering, he quickly stepped in to provide food for the 107 veterans and cover the remaining costs.

“Why not? I’m in; let’s do something,” said Massa, a U.S. Army veteran, in remembering their conversation. “We are trying to do the right thing and give back to the community a little bit.”

St. Patricks Day meals for homeless veterans made by Quick Stop Deli & Catering in Commack. Photo by Sara-Megan Walsh.

On Saturday, Massa provided 107 plates of a “proper St. Patrick’s Day feast” consisting of corned beef and cabbage, Irish-style potatoes, carrots, Irish soda bread and the utensils needed to dig in.

Joining Cornicelli and Massa in delivering the meals was U.S. Marine Corp veteran Terry Devaney, a resident of one of the Beacon House locations in Huntington. He wanted to lend a hand after enjoying the Super Bowl meals set up by the St. James nonprofit in conjunction with Tommy O’Grady, owner of Miller Place’s Tuscany Gourmet Market, last month.

“It’s very gratifying to know that people are thinking about you,” Devaney said. “A lot of veterans feel they are kind of forgotten once they are discharged.”

Devaney, who served in the Vietnam War, retired from his position as a veteran service officer for Suffolk County in September 2017 suffering from post-traumatic stress disorder. He said he wanted to help as the free meals provided by Cornicelli and his nonprofit go a long way towards boosting morale. 

“It may seem like a small matter to most people, but a good meal can mean a lot,” Devaney said. “To have them deliver it and say thank you for your service, it re-instills your pride in having served.” 

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By Bill Landon

Port Jefferson’s first-year girls lacrosse coach Kelly Walsh will be relying on her team’s defense to help the Royals improve on its win total in its second ever varsity season.

Last year, the Royals notched two wins, and ultimately fell short of a third with a 14-13 loss at the hands of Copiague. Although Port Jefferson hasn’t had a chance to have many outdoor practices yet this year, the head coach is liking what she’s seeing.

“I think we’re coming together pretty well,” said Walsh, who played for Commack and St. Joseph’s University. “I think we’re going to be strong defensively. The girls just bond really well, so I think now that some of them have put their foot in the water to get experience playing, even though we’re so young, they’re starting to get that connection with the older players.”

Brooke Zamek said she believes there’s more work to be done to be in a position to win games.

“We definitely have to work on some skills, because we’re not at the top of our abilities yet,” the freshman defender and midfielder said. “But we all know each other — we’ve known each other for a long time — and that helps us.”

Without any seniors on the squad, this year’s team is a mix of very new varsity players with a handful of juniors, but Walsh said her team will use that to its advantage.

“You wouldn’t know [the difference] between the eighth-graders and eleventh-grade player because they treat each other like sisters,” the coach said. “Youth doesn’t make that much of a difference, maybe in size, but you can see where the older girls just take in the younger players.”

Freshman Katelynn Johnston echoed the assessment of her coach and teamates about how her Royals will look this year.

“We communicate well, we work well together, we need to get better at our stick skills,” she said. “We’re young, but I think we’ll do fairly well this year.”

Midfielder Phalina Sciara took her critiques a step further, analyzing different particular aspects of Port Jefferson’s play.

“We’ve got to hone our passing and clean up our stick skills, but we shouldn’t be underestimated just because we’re a young team,” the junior said. “We have great coaches this year, so that definitely helps, and they know how to motivate us and I think we’ll do well this year.”

Walsh said the season will be a challenge with a small roster, but hopes her limited amount of substitutes can still make their own contributions.

“We’re going to have to lean on our subs,” Walsh said. “But they’re always talking about who wants it more amongst themselves, and that builds character.”

Port Jefferson will be tested when it opens the season at home March 28 hosting Deer Park at 4 p.m.

Kids get their heads shaved at the annual St. Baldrick's event at Centereach Fire Department March 16. Photo by Doug Dickerson

By Kyle Barr

On the night before St. Patrick’s Day, hair rained down onto the floor of Centereach Fire Department. People clapped and cheered as blonde, brown and even green-dyed hair fell from amused faces before being swept away during the annual St. Baldrick’s charity event to raise money for childhood cancer research March 16.

Area local Aimee Jackson watched her teenage son Zachary get shaved, the first head of the night to go bald. It was his fourth time participating, and every year the duo has tried to raise more and more money.

“The first time he did it he was little — 5 years old — we both did it,” she said. “He’s shaving in honor of his twin brother, Kendall, who passed away just before their fifth birthday.”

Zachary Jackson has his head shaved in honor of his twin brother, Kendall, who died of cancer at age 4. Photo by Kyle Barr

The Middle Country Youth Civic Association and Centereach Fire Department joined with local sponsors to host the fourth annual event. Before the buzzer even started sounding, the team of brave bald-headed
community members raised close to $30,000. By Monday, the event had raised over $47,000, close to twice the original $25,000 goal, according to event organizer Doug Dickson. The largest donor was 12-year-old Austin Vero, who raised over $15,000 alone.

“Thank God for our barbers — with all the hair on the ground, they bring their own guys, they’re sweeping all the time,” Dickson said, laughingly.

The night was full of Irish flavor with the inclusion of FDNY Emerald Society bagpipers and Irish step dancers from Mulvihill-Lynch Studio of Irish Dance in Lake Ronkonkoma. Attendees were decked in green from head to toe, including Rob “Squid” Wilson, who was one of many prospective head-shavers to dye their hair green.

Wilson has been hosting local St. Baldrick’s events for 16 years. This year, he dressed in a bright green shamrock coat and a green tiara.

“My team is the Squid and the Squires,” Wilson said. “Each team is a bunch of clowns like us who are doing it for the right reasons.”

He and his friend Tom Duffy have been involved and shaved their heads every year since their first rodeo.

“It’s important to show kids it’s not a big deal to get their heads shaved,” Duffy said. “My big thing is I feel if [scientists] can cure cancer with kids — they can cure cancer.”

Members of the Suffolk County Police
Department shave their heads at the event. Photo by Doug Dickerson

Several staff members at the fire department joined in the shaving spirit, including Assistant Chief Joseph Feola.

“It’s a huge event — one of the bigger events we have,” Feola said. “It’s great to see all this support from the community.”

Nine barbers and hairdressers volunteered their time to shave heads, including the owner of Rockabilly Barbers of Stony Brook’s Vinnie Ferrara. He and his crew of barbers have also been involved in the event for 16 years.

“The greatest thing about it is that we’ve been doing it for so long and seen so much money raised,” Ferrara said. “It just goes to a great cause.”

“The people are so into it,” owner of Centereach-based Blondie’s Creations Inc. Mary Beth Mastando said. She and her team have been shaving heads at the event for three years.

“The community gets together, and everybody helps,” Mastando said. “They’re excited to be shaving their head, and I’m the one doing it, so that’s pretty cool.”

The Centereach St. Baldrick’s organizers are accepting donations until next year’s event. To join in the cause, visit www.stbaldricks.org/events/mypage/10953/2018.

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Miller Place sophomore Lauren Mancini carries the ball downfield with a Mount Sinai defender on her back during a scrimmage. Photo by Bill Landon

By Bill Landon

Miller Place boasts a mix of youth and experience in its girls lacrosse team this season, including nine eighth-graders, many   of which were on the Panthers playoff team last year.

Miller Place sophomore Madison Murphy gains possession off the draw. Photo by Bill Landon

The team finished its 2017 campaign with a 7-6 record, making the playoffs but falling to rival Shoreham-Wading River in the opening round. The girls scrimmaged Syosset before going toe-to-toe March 17 with New York State champion Mount Sinai, scoring several goals against their formidable neighbors.

Being a young team, boasting just four seniors with sophomores, freshmen and the nine eighth-graders making up the rest of the roster, Miller Place head coach Thomas Carro is under no illusion as to what’s in store for his squad this season.

“We’re going to have some growing pains in the beginning,” he said. “They’re going to make mistakes. We turned the ball over like 11 times in that last scrimmage [against Syosset], so we’ve got to limit those — and we will.”

Carro said five-year senior goalkeeper Hailey Duchnowski, along with returning defenders, should keep the Panthers in games.

“I think we have one of the best goalies we’ve ever had,” Carro said of Duchnowski, also pointing to junior defender Ava Burns and sophomore midfielder Madison Murphy, who he said is “going to have a good year.” “If those girls play hard, that stuff becomes contagious and the younger group will follow them.”

Miller Place freshman Alexa Corbin moves the ball through midfield in a scrimmage against Mount Sinai. Photo by Bill Landon

Duchnowski pointed to areas of promise and areas of concern she has with her unit up to this point in practice.

“We are doing really well at moving the ball fast on offense, coming together on defense, working hard,” she said. “But we’ll have to get better in transition.”

Murphy’s assessment of her team’s progress so far she said belies its age, but also noticed moments of weakness.

“We have a bunch of athletes,” she said. “We need to play together as a team, and if we do that it’ll all come together. We’ll need a lot of communication on the defensive end as well as on offense, and if we can do that fluently we can win.”

Senior Nicole Beck will also provide the Panthers with the leadership they need, and said, like her coach always does, Miller Place doesn’t rebuild, it reloads.

Miller Place junior Ava Burns battles for a ground ball against Mount Sinai. Photo by Bill Landon

“We lost a great amount of talent last year, but so far we’re still able to put up the numbers offensively,” Beck said. “It’s been impressive — we didn’t think we’d be able to do that — we have a lot of young girls who are playing really well.”

Murphy said her team’s preparation for the league opener at home against last year’s nemesis won’t have anything to do with the athleticism of the team, but with the mental preparedness. Miller Place will host Shoreham-Wading River March 28 at 4 p.m.

“If we go into that game with a positive mindset, work as hard as we can, I think there could be a positive outcome,” she said.

Carro said his team competes with some of the sport’s top Long Island talents, and said finding a way to neutralize high-caliber opponent’s threats will be key to competing with the cream of the crop.

“Shoreham lost a lot [of talent] last year, but it’ll be a test for us to play a team that’s next door to us; the girls all know each other,” the coach said. “We have Rocky Point and Mount Sinai [as neighbors and opponents this year], and those are tough teams. These girls come out and play hard against those teams, and if we take care of the ball and make good decisions, we can be in the game with anybody.”

Huntington High School. File Photo

Suffolk County police have confirmed that a dead man was found on the grounds of Huntington High School on Monday afternoon.

Suffolk homicide detectives and crime scene vans were spotted on the periphery of the district’s property off Oakwood Road. Police have not released the identity of the adult male, but confirmed the death appears to be noncriminal at this time.

James Polansky, superintendent of Huntington school district, said no students, staff or school community members are in any way involved in the incident.

“There was never any concern regarding student or staff safety,” Polansky said.

The superintendent said upon hearing of the discovery he headed out to the join police officers at the site for several hours and confirm what facts could be ascertained. The district is fully cooperating with police investigations, Polansky said.

“It’s an unfortunate incident and equally unfortunately it happened on school grounds,” he said. 

This post will be updated as more information becomes available. Last updated 5:50 p.m. March 19. 

 

Children can discover the wonder of plants the Brookhaven Ecology Center next month. Photo from Town of Brookhaven

Spring Pee Wee Gardening

The Town of Brookhaven Highway Department offers Spring Pee Wee Gardening classes for ages 3 to 5 at the Wildlife Education & Ecology Center, 249 Buckley Road, Holtsville on Thursdays, April 12, 19 and 26, May 3, 10 and 17 or Fridays, April 13, 20 and 27, May 4, 11 and 18 at either 10 to 11 a.m. or 1 to 2 p.m. The children will learn about the environment, animals and plants through crafts and stories. $50 for six-week session. For more information, please call 631-758-9664, ext. 10.

Adult Horticulture Classes

The Town of Brookhaven’s Department of Highways will present Adult Horticulture Classes at the Holtsville Ecology Site, 249 Buckley Road, Holtsville on Wednesdays, April 11, 18 and 25 and May 2, 9 and 16. Participants will learn about starting plants through propagation, growing vegetables from seeds, spring gardening techniques and unique gardening crafts. Fee is $50 for six-week session. Deadline to register is March 29. For more info, call 631-758-9664, ext. 10.

Einstein the screech owl. Photo by Kevin Redding

TIME TO CLEAN OUT THOSE CLOSETS

Let’s help Einstein and his friends at Sweetbriar! The nature center, located at 62 Eckernkamp Drive, Smithtown seeks donations for its annual spring yard sale and fundraiser on April 28 and 29 including antiques, collectibles, memorabilia and other “cool” stuff. Please NO clothes, books, baby supplies, electronics or anything that weighs over 40 pounds unless it fits the above guidelines. Proceeds will go toward the center’s mission of providing nature education and wildlife rehabilitation. To make a donation, please call Eric at 631-979-6344 or Joe at 631-901-5911.

A plant-based diet involving lots of vegetables, fruits and some grains may have a similar effect as steroids in reducing inflammation. Stock photo
Steroids reduce inflammation, but it comes at a cost

By David Dunaief, M.D.

Dr. David Dunaief

Steroid use as a performance-enhancing drug was a significant factor in the recent Olympics, with the Russian team banned for their illegal use. However, if we look beyond the flashy headlines to rudimentary use, we see that corticosteroids, or steroids, play an important role in medicine.

This is a commonly prescribed class of medications. In fact, our bodies make corticosteroids, the indigenous form of steroids, in the cortex of the adrenals, glands that sit on top of the kidneys. Here, we are going to concentrate on the exogenous form, meaning from the outside as medication.

Use or benefit

Steroids have an anti-inflammatory effect. This is critical since many acute and chronic diseases are based at least partially on inflammation. Chronic diseases that benefit include allergic, inflammatory and immunological diseases (1). These types of diseases touch on almost every area of the body from osteoarthritis and autoimmune diseases — rheumatoid arthritis, inflammatory bowel disease, multiple sclerosis, lupus, psoriasis and eczema — to asthma, COPD (emphysema and chronic bronchitis) and eye disorders. This type of medication is pervasive.

Delivery

Steroids are delivered orally, topically as creams, lotions and eye drops, or via injections, intravenous solutions and inhaled formulations. The most commonly known medication is prednisone, but there is a plethora of others, including prednisolone, methylprednisolone, cortisone, hydrocortisone and dexamethasone. Their benefits can be tremendous, improving functionality and reducing pain or improving breathing. You could say they are lifesaving in some instances, and with rescue inhalers they may just be that.

The bad

However, there is a very big caveat: they come at a price. Steroids have lots of adverse events associated with them. This is where the bad part comes in and keeps on coming. Steroids cause weight gain, increased glucose (sugars), high blood pressure, cardiovascular events, osteoporosis, change in mood (psychoses), cataracts, glaucoma, infection, peptic ulcers, Cushing’s syndrome and the list goes on. Ironically, steroids help with breathing; however, as I’ve seen in my clinical experience, they can cause shortness of breath when weaned from a longer-use high dose too quickly.

The upshot

The good news is that a plant-based diet may have similar beneficial effects in chronic diseases as steroids without all the downsides. Let’s look at the evidence.

The role in pneumonia

Pneumonia is among the top-10 leading causes of death in the world (2). It can be a most painful and debilitating disease. I know, for I experienced it personally while I was in my medical training. Every time I coughed, it felt like there was a fire in my chest.

In a meta-analysis (a group of nine studies), there was no overall effect of corticosteroids in reducing the risk of mortality in community-acquired pneumonia (3). However, don’t fret; when the data was broken into subsets, the findings were different. In subset data of those who had severe pneumonia, there was a statistically significant 74 percent reduction in mortality. And when duration was the main focus in subgroup analysis, those who received prolonged use of steroids reduced their risk of mortality by half.

Unfortunately, with the benefit comes an increased risk of adverse events, and this meta-analysis was no exception. There was a greater than two-times increased risk of abnormally high glucose levels with prolonged use. Thus, when giving steroids, especially for a prolonged use, it may be wise to check glucose levels.

In a more recent randomized controlled trial (RCT), the gold standard of studies, the results reinforced the beneficial effects of steroids on pneumonia. They showed that in those with both severe pneumonia and high inflammation, there was a two-thirds reduction in treatment failures when corticosteroids were added to the regimen (4). There were 120 patients involved in the study. They received antibiotics plus either methylprednisolone or placebo for five days.

Osteoarthritis: surprising results

As we know, osteoarthritis specifically of the knee is very common, especially as the population continues to age. Intra-articular (in the joint) injections directly into the knee are becoming routine treatment. A recent study compared injectable hyaluronic acid to injectable corticosteroid (5). The results showed that over three months, the corticosteroid was superior to hyaluronic acid in terms of reducing pain, 66 percent versus 43.8 percent, respectively. Interestingly, over the longer term, 12 months, hyaluronic acid reduced the pain and maintained its effect significantly longer than the steroid, 33 percent versus a meager 8.2 percent, respectively.

Study groups received five injections of either steroid or of hyaluronic acid directly to the knee over a five-week period. Thus, steroids may not always be the most effective choice when it comes to pain reduction. Hyaluronic acid may have caused this beneficial effect by reducing inflammation, protecting cartilage and preventing cell death, according to the authors.

COPD: length may not matter

It is not unusual to treat COPD patients with oral steroids. But what is the proper duration? The treatment paradigm has been two weeks with 40 mg of corticosteroids daily. However, results in an RCT showed that five days with 40 mg of corticosteroid was noninferior (equivalent) to 14 days of the same dosage and frequency (6). About one-third of patients in each group experienced a COPD exacerbation within the six-month duration of the trial. The hope is that the shorter use of steroids will mean fewer side effects. There were over 600 patients in this trial. We have come a long way; prior to 1999, eight weeks of steroids was a more commonplace approach to treating acute COPD exacerbations.

Topical steroid risk

Even topical creams and lotions are not immune to risk. For example, potent topical creams and lotions placed around the orbit of the eye with prolonged use may negatively affect vision (7). However, the evidence is based mostly on case reporting, which is a low level of evidence.

Dietary effect

One of the great things about steroids is that they reduce inflammation, and we know that the basis of greater than 80 percent of chronic disease is inflammation. A plant-based diet involving lots of vegetables, fruits and some grains may have a similar effect as steroids. The effect of diet on chronic disease may be to modify the immune system and reduce inflammation (8).

The bioactive substances from plants thought to be involved in this process are predominantly the carotenoids and the flavonoids. Thus, those patients who respond even minimally to steroids are likely to respond to a plant-based diet in much the same beneficial way without the downsides of a significant number of side effects. Diet, unlike steroids, can be used for a long duration and a high intake, with a direct relationship to improving disease outcomes.

In conclusion, it is always better to treat with the lowest effective dose for the shortest effective period when it comes to steroids. The complications of these drugs are enumerable and must always be weighed against the benefits. Sometimes, other drugs may have more beneficial effects over the long term, such as hyaluronic acid injections for knee osteoarthritis. A plant-based diet, with anti-inflammatory properties similar to steroids, may be a useful alternative for chronic disease or may be used alongside these drugs, possibly reducing their dosage and duration.

References: (1) uptodate.com.(2) N Engl J Med. 1995;333(24):1618-24. (3) PLoS One. 2012;7(10):e47926. (4) JAMA. 2015;313(7):677-686. (5) Open Access Rheum 2015;7:9-18. (6) JAMA. 2013;309(21):2223-31. (7) Australas J Dermatol. Mar 5, 2015. (8) Int J Vitam Nutr Res. 2008 Dec;78(6):293-8.

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