Yearly Archives: 2019

By Leah S. Dunaief

Leah Dunaief

Today we report on two diametrically opposite faces of our nation. Interspersed here are some personal recollections of my own. Fifty years ago we Americans stood proud and together, our faces turned upward to the heavens, as the United States sent Apollo 11 to the moon with astronauts Neil Armstrong, Buzz Aldrin and Michael Collins aboard. Armstrong and Aldrin were to land on the surface in the Lunar Excursion Module, or LEM, the creation of engineering wizardry by thousands of Grumman workers right here on Long Island.

An estimated 650 million people around the world watched spellbound on black-and-white television screens as the two astronauts took the first steps for a man on July 20, 1969, and the unprecedented leap into the future of space travel for mankind.

Until 1972, 24 people flew to the moon, none since then. But that was just the beginning of incredible discoveries and inventions, from miniaturizations to astrobiology. We have a satellite that has played host to other nations and enabled us to see around the world. Known as the International Space Station, we have used it to reach out into the solar system. And it will even become a regular destination for tourists shortly if entrepreneurs are to be believed.

A family gathers to watch the moon landing in 1969.

Meanwhile, as Armstrong and Aldrin were busy walking around on the moon, there was a tiny leap on Earth for our third son. He arrived from out of the womb at St. Charles Hospital in Port Jefferson and at this time is enjoying a 50th anniversary of his own. We had arrived on Long Island only three weeks earlier from Sheppard Air Force Base in Texas, where my husband had served for the preceding two years, and were busy working to establish our new lives here. 

Now you might think that the blessing of a new baby, along with the need to find a new home and rent a medical office might have overshadowed the miracle of the moon landing, but for me that event was high-voltage electric. 

Just before we left New York for Texas and my husband’s assignment, I had been working at Time-Life with Arthur C. Clarke, who had arrived from his Eden-like home in Ceylon — now Sri Lanka — to write a book called, “Man and Space.” Clarke, like the other writers of space discoveries and travel, had to write under the banner of science fiction in order to gain respectability. But the truth was that these authors believed what they wrote would come to pass, and fortunately for many of them they were alive to see it happen in the 1960s. And I was fortunate enough to be part of the excitement, a front row spectator of history, as we journalists are.

I, too, was caught up in the fervor of the coming moon shot. When Clarke parted, he went on to join Stanley Kubrick to co-write the script of “2001: A Space Odyssey,” considered today one of the best films ever made, and I to become the wife of an Air Force officer and then mother of three.

So we leave the incredible heights of American pride now and look at the other side of the coin. Elsewhere in our news, we have the press release from U.S. Rep. Tom Suozzi (D-Glen Cove), who went to the southern border of the United States with a small group from the House to see first hand what was happening at the immigration centers. In his words, the situation is “awful” and the system is “broken.” The group toured and inspected facilities that are currently holding Central American migrants seeking asylum, speaking with several immigrant families as they went.

According to first-hand reports, there is a humanitarian crisis at the border. Since only very few migrants are processed each day, many cross over the border illegally between points of entry, then turn themselves in to seek asylum. They come in such numbers that they greatly exceed capacity to house and care for them, and as such are living in deplorable conditions. 

These are our American concentration camps, where children have been separated from their parents. They are deserving of our shame. “America is better than this,” declared Suozzi, and we know that to be true. At one and the same time, we celebrate and rue our nation.

by -
0 2143

By Julianne Mosher

For five years, the Engel family of Miller Place has been putting together a basketball tournament and barbecue in memory of their late son, Jake, who tragically lost his life in 2015 to a heroin overdose. 

But this year was special for the Jake Engel Hoops for Hope Barbecue – which sold out in just three days. On Friday, July 12, Brookhaven town Councilwoman Jane Bonner (R-Rocky Point) stood with Jake’s family at Cedar Beach in Mount Sinai to reveal the new name of the court that overlooks the harbor: The Jake Engel Memorial Basketball Court.

Inscribed with the words “Shine On” and an image of a man fishing, the notion for the memorial was decided last year. 

“Basketball and fishing are what Jake loved to do,” Bonner said. “This sign is a reminder of why we are here today and why we play this game every year.”

Shortly after Jake’s death, his brother and friends spontaneously organized a community basketball tournament in his name. Over the course of four years, the organization has raised over $40,000 that has been donated to Hope House Ministries, a Port Jefferson-based nonprofit organization that provides care and hope to individuals suffering
from addiction.

“Our main goal is to bring awareness of the opioid crisis we have here on Long Island and to bring the community together,” Jake’s mother, Karen Engel, said. 

The four-and-a-half hour event consisted of 28 teams of three to four players. Over a dozen volunteers helped with selling T-shirts, food and refreshments, along with a large raffle of donated items. Friday’s event raised roughly $12,000 and was the first year of the organization as a nonprofit. 

“This year’s tournament was really successful,” Geoff Engel, Jake’s brother, said. 

Four months ago, the family officially established the Jake Engel Hoops for Hope Foundation that looks to bring awareness, community and change to all people negatively affected by substance abuse in Suffolk County. 

“I want to thank the Engel family for taking such a horrible tragedy and turning it into something special,” Bonner said, “It takes a special person to do that.”

A scene from ‘Toy Story 4’. Photo courtesy of Disney/Pixar

By Jeffrey Sanzel

A film that aims to explore the pains of growing up, that endeavors to touch on love and loss, on sense of self and self-worth, takes on a huge challenge. That the movie aspires to a balance of humor and honesty makes it even more challenging. That an animated feature is told through the eyes and voices of toys seems impossible. However, as seen through the first three Toy Story movies, it is more than attainable. In a franchise that grew in both depth and art with each film, finding more laughter and more tears, it is the exception to every rule. The newest addition, Toy Story 4, is certainly one of the best films of the year.

Woody introduces Forky to the other toys. Photo courtesy of Disney/Pixar

Here are 100 minutes of pure entertainment, alternating between laugh-out-loud funny and poignantly touching, in a film that never feels like a sequel. It plays on multiple levels, providing jokes and slapstick, clever asides and deep insights, so that audiences of any age will be completely engaged from start to finish.

Woody (the always marvelous Tom Hanks) now belongs to Bonnie (Madeleine McGraw) but has been put aside for cowboy Jessie (Joan Cusack). This does not change Woody’s mission to make sure Bonnie is taken care of at all times. When Bonnie reluctantly goes to kindergarten, she finds solace in creating Forky, crafting him from a spork, googly eyes and a pipe cleaner — an opportunity that Woody engineers. Forky becomes Bonnie’s obsession and solace. What she doesn’t realize is that Forky (a scene-stealing Tony Hale) does not want to be a toy. Eventually, guided by Woody, Forky learns his value.  

Toy Story 4 is what we have come to expect in the series without ever feeling like it is a repeat of its earlier chapters. The movie includes a wild road trip, a dazzling carnival and a range of hijinks and colorful characters that make for a nonstop adventure. 

Eventually, the crew is reunited with the now self-actualized Bo Peep (a sly and knowing Annie Potts) who has found freedom in being a “lost toy,” living a full life in what can only be labeled renegade and off the grid with a posse of like-minded toys. Much of the latter half of the film also centers around an antique shop, ruled by Gabby Gabby (a flawlessly wicked Christina Hendricks) and her minion of ventriloquist dummies. Gabby Gabby is, at first, the villain of the story; but there is much more to her and her journey.

The film features many returning voices including Tim Allen as Buzz Lightyear (comically learning to listen to his inner voice), Wallace Shawn as the neurotic Rex, John Ratzenberger as Hamm, Blake Clark as Slinky Dog, Estelle Harris as Mrs. Potato Head, Don Rickles as Mr. Potato Head (from archival recordings), Timothy Dalton as Mr. Pricklepants, Bonnie Hunt as Dolly and Carl Weathers in a terrific running joke as three different Combat Carls. All of them deliver incredibly enjoyable performances, mining the most of their individual and team moments.

Newcomers include Keegan-Michael Key as Ducky; Jordan Peele as Bunny, an outrageous plush pair; and Keanu Reeves as Duke Caboom, a second-rate Evel Knievel toy. There are wonderful cameos from Mel Brooks (Melephant Brooks), Carol Burnett (Chairol Burnett), Betty White (Bitey White) and Carl Reiner (Carl Reineroceros).

Josh Cooley, whose directorial credits include The Incredibles, Cars and Up, has beautifully guided the entire film. The excellent screenplay is by Stephany Folsom and Andrew Stanton (with a total of eight people credited with “story by”). The literally hundreds of artists who worked on the picture have contributed to an emotionally seamless and visually stunning whole.

If the ending doesn’t pack quite the emotional punch of Toy Story 3, it is still wholly satisfying, bringing to a close a classic and heartfelt odyssey. While perhaps not perfect, Toy Story 4 comes pretty close.

Rated G, Toy Story 4 is now playing in local theaters.

Photo courtesy of PJCC

RIBBON CUTTING

Prohibition Kitchen, located at 115 Main Street in Port Jefferson, held an official ribbon cutting and grand opening celebration on July 3. The event was hosted by the Greater Port Jefferson Chamber of Commerce. 

Port Jefferson Village Mayor Margot Garant joined owners Lisa Harris and Robert in cutting the ribbon surrounded by chamber partners, staff and friends.

Promising to serve “illegally good food,” Prohibition Kitchen has occupied the former location of Kimi Japanese Restaurant since February. The menu features salads, burgers, seafood, sandwiches, shakes and much more along with beer, wine and spirits from Long Island.  

The restaurant is open Mondays through Thursdays from 11 a.m. to 10 p.m., Fridays and Saturdays from 10 a.m. to 10 p.m. and Sundays from 10 a.m. to 8 p.m. For more information, call 631-473-0613 or visit www.prohibitionpj.com. 

 

In celebration of its 80th anniversary, The Long Island Museum hosted a Mount House Summer Soirée at the Hawkins-Mount House in Stony Brook on June 28. The Americana-themed party featured signature cocktails dinner, live music and tours of artist William Sidney Mount’s childhood home, which had been closed to the public for three decades. 

Photos by Karen Romanelli

Photo courtesy of PJCC

TIME TO PARTY!

The Greater Port Jefferson Chamber of Commerce hosted a ribbon cutting for its new chamber partner, Hook & Ladder Party Company, on June 27. 

Owners Robert and Rose Rodriguez (center) cut the ribbon with Port Jefferson Village Mayor Margot Garant and Port Jefferson Chamber President Joy Pipe surrounded by family, friends and chamber members.Their full-scale fire engine truck was parked outside the chamber’s office for full display and a state of the art Firefighter Simulator was set up and visitors could help to extinguish a simulated fire. Hospitality was provided in the chamber’s office.

Hook & Ladder Party Company specializes in educational programs for schools, camps, libraries, children’s birthday parties and special events on Long Island. Children learn about fire safety, dress in firefighter gear, compete in a firefighter obstacle course challenge, use a fire extinguisher to put out a simulated fire and take part in a bucket brigade relay race. All activities can be adapted for indoor or outdoor programs. 

For  more information, call 631-236-8443 or visit www.hookandladderparty.com.

 

Stock photo

By Matthew Kearns, DVM

Dr. Matthew Kearns

This second of a two-part series continues to discuss if vaccines are necessary for your pet and, if so, how often. The first article, from June 18, gave a brief overview of the immune system and how vaccines work. In this article I hope to more specifically address which vaccines are necessary and why. 

There are certain core vaccines that are recommended or required. Core vaccines protect against diseases that are so prevalent in the environment that your pet is at risk for exposure even if they do not go outside or are legally required by the county and state. Noncore, or “at risk,” vaccines vary from pet to pet depending on where they go and interactions with other pets or wildlife. 

We also take into account multipet households where some pets venture outside and are in contact with indoor-only pets. Certain vaccines are required on a regular basis by boarding facilities, groomers, doggy day care and group obedience classes. Be sure to let your veterinarian know if your pet participates in any of these activities. 

Can too many vaccines hurt your pet? The answer to that question is, “Not if not given all at once.” Two large studies (one involved over a million dogs and the other involved almost 500,000 cats) focused on what are termed vaccine-associated adverse events (VAAE). VAAE refers to serious, even life-threatening vaccine reactions. 

VAAEs are rare (less than 1 percent) and neither the number of vaccines a pet receives throughout its life nor any particular type of vaccine increases that risk. What the study did find was the risk of a VAAE increased significantly in patients under 22 pounds when they were given multiple vaccines at the same visit. The take home of these studies was we can vaccinate our pets for whatever they are at risk for as long as we don’t treat a Chihuahua like a Great Dane. Stagger the vaccines by a week to a few weeks in smaller patients. 

Is your pet ever too old for vaccines? Age never plays a role in vaccinating but underlying disease does. If your pet has developed any organ dysfunction, glandular diseases or cancer, talk to your veterinarian about vaccinations. Vaccinating pets with underlying disease is contraindicated (a no-no). Not only won’t these pets use the vaccines to their advantage, but this is also an added stress they do not need. However, if you have a healthy, older pet, they should receive any vaccines against any infections they are still at risk for exposure to regardless of age.  

Are there alternatives to vaccinating annually? There are certain vaccines that need to be given annually to be effective. For other vaccines, yes, there are alternatives. One alternative is to ask your veterinarian to run antibody titers instead. As discussed in the first article there are blood tests to measure the effectiveness of one component of the immune system, the humoral component. 

The other alternative is to use vaccines that are approved for longer than one year. Just remember that Suffolk County does not recognize the difference between a one-year versus a multiyear approved vaccine when it comes to boarding.

I hope this opens the door to a healthy discussion with your veterinarian at your next visit.  

One last thing: Even if you do not vaccinate your pet every year, I still recommend an annual checkup or exam. It is true that one human year equals about seven dog years and about five and a half to six cat years.  

Dr. Kearns practices veterinary medicine from his Port Jefferson office and is pictured with his son Matthew and his dog Jasmine. Have a question for the vet? Email it to [email protected] to see his answer in an upcoming column.

Port Jefferson Country Club hosted a sectional qualifying round July 15 for the 2019 U.S. Amateur Championship, featuring local talent with the hope of making the cut to compete in the final round at Pinehurst (North Carolina) Resort and Country Club Aug 12-18.

The qualifier was one of 96 tournaments held across the country, and with 84 golfers vying for the top three spots to make the cut, Brent Ito of Ann Arbor, Michigan tied with Ethan Ng of New York City to finish at 7-under. Andrew Chambers of Boca Raton, Florida finished 5-under, to round out the top three.

Ward Melville alum and Port Jeff resident Gerald Mackedon, a junior at St. John’s University, shot a 68 in the first round followed by a 72 in the second, coming in at 4-under for the tournament to secure the first alternate position for the championship in Pinehurst.

Port Jeff resident Jon Sherman survived the first round with a 75 and shot a 79 in the second to finish at 10-over.

Port Jefferson resident and 2019 graduate Shane DeVincenzo, who earlier this season won his second consecutive Suffolk championship, went on to place second in the New York State championship round June 3 at Cornell University. DeVincenzo shot a 77.

Matthew Mirocco, another Ward Melville graduate, finished the day shooting 80.

Complete results can be found here.

Belly fat can play a critical role in increased risk of pancreatitis. Stock photo
Central obesity is more important than body mass index

By David Dunaief, M.D.

Dr. David Dunaief

Pancreatitis is among the top gastrointestinal reasons for patients to be admitted to a hospital, and its incidence has been growing steadily (1). Typically it’s severe abdominal pain that drives patients to the emergency room, but diagnosis is more complex.

First, let’s define pancreatitis. A rudimentary definition is an inflammation of the pancreas. There are both acute and chronic forms. We are going to address the acute — abrupt and of short duration — form. There are three acute types: mild, moderate and severe. Those with the mild type don’t have organ failure, whereas those with moderate acute pancreatitis experience short-term or transient (less than 48 hours) organ failure. Those with the severe type have persistent organ failure. One in five patients presents with moderate or severe levels (2).

What are the symptoms?

To diagnosis this disease, the American College of Gastroenterology guidelines suggest that two of three symptoms be present. The three symptoms include severe abdominal pain; enzymes (amylase or lipase) that are at least three times greater than normal; and radiologic imaging that shows characteristic disease findings (3). Most of the time, the abdominal pain is in the central upper abdomen near the stomach, and it may also present with pain in the right upper quadrant of the abdomen (4). Approximately 90 percent of patients also experience nausea and vomiting (5). In half of patients, there is also pain that radiates to the back.

What are the risk factors?

Acute pancreatitis risk factors include gallstones, alcohol, obesity and, to a much lesser degree, drugs. Gallstones and alcohol may cause up to 75 percent of the cases (2). Many other cases of acute pancreatitis are considered idiopathic (of unknown cause). Although medications are potentially responsible for between 1.4 and 5.3 percent of cases, making it rare, the number of medications implicated is diverse (6, 7). These include certain classes of diabetes therapies, some antibiotics — metronidazole (Flagyl) and tetracycline — and immunosuppressive drugs used to treat ailments like autoimmune diseases. Even calcium may potentially increase risk.

Obesity effects

In a study using the Swedish Mammography Cohort and the Cohort of Swedish Men, results showed that central obesity is an important risk factor, not body mass index or obesity overall (8). In other words, it is the fat in the belly that is very important, since this may increase risk more than twofold for the occurrence of a first-time acute pancreatitis episode. Those who had a waist circumference of greater than 105 cm (41 inches) experienced this significantly increased risk compared to those who had a waist circumference of 75 to 85 cm (29.5 to 33.5 inches). The association between central obesity and acute pancreatitis occurred in both gallbladder-induced and non-gallbladder-induced disease. There were 68,158 patients involved in the study, which had a median duration of 12 years. Remember that waistline is measured from the navel, not from the hips.

Mortality risks

What makes acute pancreatitis so potentially dangerous is the surprisingly high rate of organ failure and mortality. A prospective (forward-looking) observational trial involving 1,005 patients found that the risk of mortality was 5 percent overall. This statistic broke out into a smaller percentage for mild acute pancreatitis and a greater percentage for severe acute pancreatitis, 1.5 and 17 percent, respectively (9). However, in another study, when patients were hospitalized, the mortality rate was higher, at 10 percent overall (10).

Diabetes risks

The pancreas is a critical organ for balancing glucose (sugar) in the body. In a meta-analysis (24 observational trials), results showed that more than one-third of patients diagnosed with acute pancreatitis went on to develop prediabetes or diabetes (11). Within the first year, 15 percent of patients were newly diagnosed with diabetes. After five years, the risk of diabetes increased 2.7-fold. By reducing the risk of pancreatitis, we may also help reduce the risk of diabetes.

Surgical treatments

Gallstones and gallbladder sludge are major risk factors, accounting for 35 to 40 percent of acute pancreatitis incidences (12). Gallstones are thought to cause pancreatitis by temporarily blocking the duct shared by the pancreas and gallbladder that leads into the small intestine. When the liver enzyme ALT is elevated threefold (measured through a simple blood test), it has a positive predictive value of 95 percent that it is indeed gallstone-induced pancreatitis (13). 

If it is gallstone-induced, surgery plays an important role in helping to resolve pancreatitis and prevent recurrence. In a retrospective study with 102 patients, results showed that surgery to remove the gallbladder was better than medical treatment when comparing hospitalized patients with this disease (14). Surgery trumped medical treatment in terms of outcomes, complication rates, length of stay in the hospital and overall cost for patients with mild acute pancreatitis.

Can diet have an impact?

The short answer is: Yes. What foods specifically? In a large, prospective observational study, results showed that there was a direct linear relationship between those who consumed vegetables and a decreased risk of non-gallstone acute pancreatitis (15). For every two servings of vegetables, there was 17 percent drop in the risk of pancreatitis. Those who consumed the most vegetables — the highest quintile (4.6 servings per day) — had a 44 percent reduction in disease risk, compared to those who were in the lowest quintile (0.8 servings per day). There were 80,000 participants involved in the study with an 11-year follow-up. The authors surmise that the reason for this effect with vegetables may have to do with their antioxidant properties, since acute pancreatitis increases oxidative stress on the pancreas.

References:

(1) Gastroenterology. 2012;143:1179-1187. (2) www.uptodate.com. (3) Am J Gastroenterol. 2013;108:1400-1415. (4) JAMA. 2004;291:2865-2868. (5) Am J Gastroenterol. 2006;101:2379-2400. (6) Gut. 1995;37:565-567. (7) Dig Dis Sci. 2010;55:2977-2981. (8) Am J Gastroenterol. 2013;108:133-139. (9) Dig Liver Dis. 2004;36:205-211. (10) Dig Dis Sci. 1985;30:573-574. (11) Gut. 2014;63:818-831. (12) Gastroenterology. 2007;132:2022-2044. (13) Am J Gastroenterol. 1994;89:1863-1866. (14) Am J Surg online. 2014 Sept. 20. (15) Gut. 2013;62:1187-1192.

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.  

Image from PJDS

The Port Jefferson Documentary Series will host a special summer screening of “Woodstock: Three Days That Defined a Generation” at Theatre Three, 412 Main St., Port Jefferson on Monday, July 29 at 7 p.m. 

With never-before-seen footage, the documentary tells the story of the political and social upheaval leading up to those three historic days, as well as the extraordinary events of the concert itself, when near disaster put the ideals of the counterculture to the test. 

The screening will be followed by an interview with co-screenwriter/editor Don Kleszy. $8 advance sale tickets are now available at www.portjeffdocumentaryseries. Tickets will also be sold at the door (cash only). For further info, call 631-473-5220.