Yearly Archives: 2019

Students at Earl L. Vandermuelen High School in Port Jefferson discuss the health effects of vaping. Photo from PJSD

By David Luces

With the rising use of e-cigarettes in schools, Suffolk County is looking to find ways to put the liquid genie back in its bottle.

County Executive Steve Bellone (D) signed legislation Dec. 20 to increase the fine for the sale of all tobacco products, including vaping products, to those under 21 years old. 

“The popularity of electronic cigarettes has exploded into mainstream culture to the point where school officials in Suffolk County have asked our public health officials for clarity and assistance in dealing with record numbers of students who are vaping on school grounds,” Bellone said in a press release.  

“Vaping has become a concern in many high schools throughout Suffolk County,”

— Paul Casciano

Along with the new legislation, in January Suffolk County officials have continued to pilot a new vaping prevention program called Vape Out. The program is currently being run in North Babylon, Hampton Bays, Port Jefferson and Bayport-Blue Point school districts. Each school district involved has the option of picking one or all three of the approaches as a way of customizing the program. 

The anti-vaping program, consists of three elements: peer-to-peer education, alternatives to suspension and  community education, according to county officials. 

Paul Casciano, the superintendent of the Port Jefferson School District, said the Suffolk County Department of Health approached them in piloting the Teens-Teaching-Teens peer education element due in part to the success of a previous peer leadership program that ran in the high school. 

Dozens of Earl. L Vandermeulen High School students took part in a full day of training Dec. 6 2018 about the health effects of vaping and nicotine. The students watched a presentation on the health hazards of vaping and were given advice on how to refuse a hit. From there, district officials said they shared the lessons they learned with other students in both the high school and Port Jefferson Middle School.

Despite being in the early stages of the program, Casciano said the response to the training from peer leaders has been positive. 

According to a 2018 report from the Centers for Disease Control and Prevention, one in five high school students use e-cigarettes. One in 20 middle school students use e-cigarettes as well. 

The popularity of e-cigarettes has risen in recent years, a CDC National Youth Tobacco Survey found that e-cigarette use among high school students increased by 78 percent between 2017 and 2018. 

“Vaping has become a concern in many high schools throughout Suffolk County,” the superintendent said. “Knowing the potential negative effects of vaping and developing strategies to resist pressure from others to vape is important for parents, staff, and especially students to learn.”

According to a report from BBC News, the global vape product market was valued as over $22.6 billion in 2016. 

“This is not just a phase or fad,” John Martin, supervising public health educator, Suffolk County Department of Health Services, said. “When I go to these presentations, I ask middle schoolers if anyone was curious enough to smoke a cigarette — nobody raised their hand. When I asked if anyone would think about trying a mango-flavored e-cigarette, some hands came up.” 

“This is not just a phase or fad.”

— John Martin

Martin said they were winning the game in curbing cigarette use in youth but he acknowledged vaping and products like JUUL, one of the more popular brands of e-cigarettes and vape products, have led to new challenges. 

“We’ve had a long history with helping people with nicotine addiction,” said Nancy
Hemendinger, the director of Office of Health Education, Suffolk County Department of Health Services. “We need to work together to combat this issue.”

Other parts of the Vape Out programming include the alternative-to-suspension element which encourages school administrators to require students who have been reprimanded for vaping to attend a customized education intervention in lieu of school suspension. The community education element would connect parent forums with parent-teacher organizations, youth bureaus and agencies to employ a variety of educational tools .

“We need to get adults and parents to recognize these items as smoking devices,” Hemendinger said. “Also, we need to understand that these kids affected have a addiction and we need to help them — It is our job to spot these trends.”

This post was amended to correct the date of the Port Jefferson training day.

Smoking and salt consumption add to the risk of GERD. Stock photo
Simple lifestyle changes are among the most effective treatments

By David Dunaief, M.D.

Dr. David Dunaief

It seems like everyone is diagnosed with gastroesophageal reflux disease (GERD). I exaggerate, of course, but the pharmaceutical companies do an excellent job of making it appear that way with advertising. Wherever you look there is an advertisement for the treatment of heartburn or indigestion, both of which are related to reflux disease.

GERD, also known as reflux, affects as much as 40 percent of the U.S. population (1). Reflux disease typically results in symptoms of heartburn and regurgitation brought on by stomach contents going backward up the esophagus. For some reason, the lower esophageal sphincter, the valve between the stomach and esophagus, inappropriately relaxes. No one is quite sure why it happens with some people and not others. Of course, a portion of reflux is physiologic (normal functioning), especially after a meal (2).

GERD risk factors are diverse. They range from lifestyle — obesity, smoking cigarettes and diet — to medications, like calcium channel blockers and antihistamines. Other medical conditions, like hiatal hernia and pregnancy, also contribute (3). Diet issues include triggers like spicy foods, peppermint, fried foods and chocolate.

Smoking and salt’s role

One study showed that both smoking and salt consumption added to the risk of GERD significantly (4). Risk increased 70 percent in people who smoked. Surprisingly, people who used table salt regularly saw the same increased risk as seen with smokers.

Medications

The most common and effective medications for the treatment of GERD are H2 receptor blockers (e.g., Zantac and Tagamet), which partially block acid production, and proton pump inhibitors (e.g., Nexium and Prevacid), which almost completely block acid production (5). Both classes of medicines have two levels: over-the-counter and prescription strength. Here, I will focus on PPIs, for which more than 113 million prescriptions are written every year in the U.S. (6).

PPIs include Nexium (esomeprazole), Prilosec (omeprazole), Protonix (pantoprazole) and Prevacid (lansoprazole). They have demonstrated efficacy for short-term use in the treatment of Helicobacter pylori-induced (bacteria overgrowth in the gut) peptic ulcers, GERD symptoms and complication prevention and gastric ulcer prophylaxis associated with NSAID use (aspirin, ibuprofen, etc.) as well as upper gastrointestinal bleeds.

However, they are often used long-term as maintenance therapy for GERD. PPIs used to be considered to have mild side effects. Unfortunately, evidence is showing that this may not be true. Most of the data in the package inserts is based on short-term studies lasting weeks, not years. The landmark study supporting long-term use approval was only one year, not 10 years. However, maintenance therapy usually continues over many years.

Side effects that have occurred after years of use are increased risk of bone fractures and calcium malabsorption; Clostridium difficile, a bacterial infection in the intestines; potential vitamin B12 deficiencies; and weight gain (7).

Bacterial infection

The FDA warned that patients who use PPIs may be at increased risk of a bacterial infection called C. difficile. This is a serious infection that occurs in the intestines and requires treatment with antibiotics. Unfortunately, it only responds to a few antibiotics and that number is dwindling. In the FDA’s meta-analysis, 23 of 28 studies showed increased risk of infection. Patients need to contact their physicians if they develop diarrhea when taking PPIs and the diarrhea doesn’t improve (8).

B12 deficiencies

Suppressing hydrochloric acid produced in the stomach may result in malabsorption issues if turned off for long periods of time. In a study where PPIs were associated with B12 malabsorption, it usually took at least three years’ duration to cause this effect. B12 was not absorbed properly from food, but the PPIs did not affect B12 levels from supplementation (9). Therefore, if you are taking a PPI chronically, it is worth getting your B12 and methylmalonic acid (a metabolite of B12) levels checked and discussing possible supplementation with your physician if you have a deficiency.

Lifestyle modifications

A number of modifications can improve GERD, such as raising the head of the bed about six inches, not eating prior to bedtime and obesity treatment, to name a few (10). In the same study already mentioned with smoking and salt, fiber and exercise both had the opposite effect, reducing the risk of GERD (5). This was a prospective (forward-looking) trial. The analysis by Journal Watch suggests that the fiber effect may be due to its ability to reduce nitric oxide production, a relaxant for the lower esophageal sphincter (11).

Obesity

In one study, obesity exacerbated GERD. What was interesting about the study is that researchers used manometry, which measures pressure, to show that obesity increases the pressure on the lower esophageal sphincter significantly (12). Intragastric (within the stomach) pressures were higher in both overweight and obese patients on inspiration and on expiration, compared to those with normal body mass index. This is yet another reason to lose weight.

Eating prior to bed — myth?       

Though it may be simple, it is one of the most powerful modifications we can make to avoid GERD. A study that showed a 700 percent increased risk of GERD for those who ate within three hours of bedtime, compared to those who ate four hours or more prior to bedtime. Of note, this is 10 times the increased risk of the smoking effect (13). Therefore, it is best to not eat right before bed and to avoid “midnight snacks.”

Although there are a number of ways to treat GERD, the most comprehensive have to do with modifiable risk factors. Drugs have their place in the arsenal of choices, but lifestyle changes are the first — and most effective — approach in many instances. Consult your physician before stopping PPIs since there may be rebound hyperacidity (high acid produced) if they are stopped abruptly.

References:

(1) Gut 2005;54(5):710. (2) Gastroenterol Clin North Am. 1996;25(1):75. (3) emedicinehealth.com. (4) Gut 2004 Dec.; 53:1730-1735. (5) Gastroenterology. 2008;135(4):1392. (6) JW Gen Med. Jun. 8, 2011. (7) World J Gastroenterol. 2009;15(38):4794–4798. (8) www.FDA.gov/safety/medwatch/safetyinformation. (9) Linus Pauling Institute; lpi.oregonstate.edu. (10) Arch Intern Med. 2006;166:965-971. (11) JWatch Gastro. Feb. 16, 2005. (12) Gastroenterology 2006 Mar.; 130:639-649. (13) Am J Gastroenterol. 2005 Dec.;100(12):2633-2636.

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.

On Feb. 2, The Ward Melville Heritage Organization kicked off its 80th anniversary year with a Chinese New Year Celebration. The event was just the start of the many culturally-diverse activities the organization has planned for its milestone year, including a St. Patrick’s Day Celebration scheduled for March 3.

The day included Authentic Shaolin Kung Fu school performing a lion dance in traditional costumes, and after, demonstrating martial arts moves. The Long Island Chinese Dance Group performed dances symbolizing different regions of China, and Vivian Ye from Seiskaya Ballet Academy presented a solo dance called “Flying Apsaras.”

Singers JoJo Feng and Alice Huang were also on hand, and Manhattan Taiko shared the tradition of Taiko drumming, which includes the beats of drums ranging in size from 1 foot to 6 feet in diameter.

Video by David Ackerman

 

 

Rich Shaffer at his office in North Babylon. File Photo by Alex Petroski

In the lexicon of tarot, cards used by soothsayers for divination, there are many cards used to describe a person’s lot in life. 

If Rich Schaffer, the Suffolk County Democratic Committee chairman, could be represented by any card, it would be the chariot. Schaffer is at the head of the race, with the Democrats taking majority positions in the New York State Senate and the U.S. House of Representatives, but he’s holding onto the reins of two horses, the moderate and far-left elements of his party, and he said his task is to keep both heading in the same direction.

“My job’s been described as the therapist in chief,” said Schaffer, who is also Town of Babylon supervisor. “I’m always either talking somebody off the ledge or helping them through an issue.”

“My job’s been described as the therapist in chief.”

— Rich Schaffer

In last year’s elections, the Democratic Party won big both in New York state and nationally, securing the state Senate as well as the Assembly, and gaining a majority in the U.S. House of Representatives. It was a change of pace for the party, which was beleaguered after its loss during the 2016 elections that saw Donald Trump (R) sent to the White House.

In Suffolk County, many GOP members retained their seats despite hard campaigns from the Dems. Longtime Republican representatives such as state Sen. Ken LaValle (R-Port Jefferson) kept their seats in Albany, while U.S. Rep. Lee Zeldin (R-Shirley) won out at 51.5 percent against his Democratic challenger Perry Gershon. Still, Schaffer said they have made strides in the county, pointing to the election of state Sen. Monica Martinez (D-Brentwood) who won out over her GOP rival Dean Murray by 2,996 votes.

Schaffer added that he thinks the next time District 1 is up for grabs, it could swing blue.

Suffolk County “has been blue in the past,” the Democratic committee chairman said. 

Specifically, he points to the 35-day government shutdown that was put on hold for three weeks Jan. 25. Schaffer laid the blame for the shutdown at the president’s feet and said his Republican supporters in Congress would take the brunt of the blame.

“What they are doing to people’s livelihoods and their survival is unconscionable,” he said. “A political debate has now turned into almost scorched earth, where people’s lives are at stake.”

On the state level Schaffer said there are, all in all, six Democratic members elected to the state Senate who will represent Long Island, including new members Martinez and James Gaughran (D-Northport). 

This is important to the party commissioner, as in other years when the Democrats had majorities in both state houses, his experience was many of those focused on New York City rather than Long Island’s more suburban elements.

The differences between those two subsets of Democrats is something Schaffer said he’s particularly aware of. Nationally, much has been said about the rise of much more left-leaning Democrats, such as Rep. Alexandria Ocasio-Cortez (D-Bronx). She has been open about progressive ideas such as universal health care, establishing tuition-free colleges and trade schools, and creating a marginal tax system as high as 70 percent, which would mostly affect those in the wealthiest tax brackets. A bill for single-payer health care is currently being circulated in the state Assembly.

“You can’t have Cortez running in East Northport.”

— Rich Schaffer

Schaffer said he was not against policies such as universal health care, but he wanted the discussion to be had up in Albany about how the state was planning to pay for that program. 

Schaffer also questioned the viability of a Cortez-like candidate in Suffolk County. 

“I mean it’s easy for [Cortez] to speak like she does with the district she comes from, when your main election battle is the primary,” Schaffer said. “When you’re running Suffolk County North Shore and your district is not as friendly registration wise, this gets to if you elect Democrats who support basic Democratic ideas.”

Overall, Schaffer was adamant the best way to win Democratic seats in Suffolk County was to form coalitions, work off core democratic principles and promise to work toward local issues.

“You can’t have Cortez running in East Northport,” he said. “Some people will argue with me that ‘Yes, you can,’ but it has not been my experience out here. That’s not to say we can’t have things on the progressive agenda, but they have to be spoken about in a way that’s going to get you 50 percent plus one.”

Your spouse receives his/her elective share from your estate at the time of your death. Stock photo

By Nancy Burner, Esq.

Nancy Burner, Esq.

We are frequently asked whether it is a good idea to disinherit your spouse due to the possibility of nursing home care in the future. While updating your estate planning documents is a good idea, simply disinheriting your spouse may not protect your estate in the event she or he needs to go to a nursing facility. 

If your spouse requires care in a nursing facility and wants to rely on Chronic Medicaid to pay for it, the Department of Social Services will conduct a five-year lookback. 

During the examination, the Department of Social Services will inquire whether your spouse received his or her “elective share” from your estate at the time of your death. If your spouse did not receive his/her elective share, the Department of Social Services will issue a dollar for dollar penalty that will delay Chronic Medicaid benefits.

An elective share ensures that surviving spouses in New York receive the first $50,000 or one-third of an estate, whichever is greater. The surviving spouse has a time limit when he or she must demand the elective share. If the elective share is not demanded within the time frame, the surviving spouse forfeits his/her right to receive the share.  

For example, if you pass away with $300,000 in your estate, your spouse would be entitled to $100,000 even though your last will and testament specifically excluded your spouse. If the elective share of $100,000 is not paid from your estate, the Department of Social Services will issue a penalty of about seven months. In other words, Medicaid will not pay for the first seven months of care in the nursing facility.  

There are options available to you now in order to preserve your estate even if your spouse requires care in a nursing facility. One option is to set up a supplemental needs trust through your last will and testament that benefits your spouse but protects the estate. You would appoint a trustee to manage the assets in the trust on behalf of your spouse. 

The supplemental needs trust is a vehicle to supplement and not supplant government benefits. This would allow the money to be used for your spouse’s benefit but not interfere with an application for Medicaid benefits. Another option would be to provide that your spouse receives one-third of your estate and the reminder goes to your children.

Finally, in New York State, we have a program called Community Medicaid, which will pay for a home health aide to come into your home and assist your spouse with activities of daily living. If your spouse received this assistance in the home, there would not be a five-year lookback and he or she would not be required to elect against your estate. This may be a viable option now, so you are not the sole caregiver.    

It is important to review your estate planning documents with an elder law attorney in your area to ensure you and your spouse are protected and have the appropriate documents in place for your specific situation.  

Nancy Burner, Esq. practices elder law and estate planning from her East Setauket office.

A customer paying 5 cents to purchase a plastic bag from IGA Fort Salonga. File Photo by Sara-Megan Walsh

By David Luces

It has been more than a year since the 5-cent tax for plastic bags at retail stores took effect in Suffolk County. The main goal of the legislation was to reduce bag waste by encouraging shoppers to bring their own reusable bags and avoid the fee.

Some residents were reluctant to support the 5-cent  per plastic bag fee citing that the money would be going back to the store. Instead, they thought it should be given to charity or used for environmental causes.

Charlie Reichert, owner of IGA Fort Salonga Market, did just that when he announced in late January 2018 that he would be donating all proceeds from the county’s 5-cent fee to benefit local nonprofit institutions.

““It came to me when people were really complaining about the plastic bag, ‘Why are you charging a nickel? Why are you getting the money? That gave me the idea, why don’t we give the money to charity.”

— Charlie Reichert

“It came to me when people were really complaining about the plastic bag, ‘Why are you charging a nickel? Why are you getting the money?’” Reichert said to TBR News Media in January 2018. “That gave me the idea, why don’t we give the money to charity.”

The business owner estimated the nickel surcharge to generate approximately $6,000 to $7,000 a month for charity. Fast forward a year, and Reichert said his five IGA supermarket locations in Bayville, Fort Salonga, Greenport, East Northport and Southold have generated more than $40,000, which has been donated to Huntington Hospital and Eastern Long Island Hospital in Greenport.

Reichert was hopeful he would be able to get other businesses to support his cause and donate as well, but the effort has not seen the same success. 

Suffolk County Legislator Robert Trotta  (R-Fort Salonga) expressed similar hope in January 2018 that the initiative could potentially result in millions of dollars being donated to local charities.

Trotta said he reached out to ShopRite locations in Hauppauge and Patchogue, which allegedly planned on donating proceeds of the fee to Hauppauge-based Long Island Cares, a food bank and pantry, specifically to benefit veterans in need last January.

Susan Eckert, legislative aide for Trotta, said his office also reached out to 14 other stores. Many said they would contact their corporate offices and, if interested, would call back — not one did. Two national corporations, Walmart and Target, said if they chose to donate the plastic bag fee to charity, it would go to their corporate foundations.

Robin Amato, chief development officer and communications director at Long Island Cares, said her nonprofit organization did not receive any donations as a result of the new tax.

“Although everyone’s intentions were good I am sure we did not receive any of the bag fees as donations,” Amato said. “All the ShopRite stores and families are very supportive of Long Island Cares and if the fees did come through they were not noted as such.”

In April 2018, the nonprofit advocacy group Citizens Campaign for the Environment conducted a survey of 6,000 people in 20 grocery stores throughout Suffolk. The study found 30 percent of respondents bought plastic bags and 43 percent were carrying reusable ones. This showed a drastic change from late 2017, when a similar survey found only 6 percent of customers used a reusable bag.

Citizen’s Campaign for the Environment announced intentions to conduct another study at the end of 2018 to gather a much larger sample size and determine the legislation’s impact. Phone calls to the CCE were not returned.

New York State Gov. Andrew Cuomo (D) has called for a statewide ban on single-use plastic bags in his 2019 Executive Budget proposal. The governor put a measure before the state Legislature in 2018, but it was not voted on.

John Kennedy Jr. (R) and Steve Bellone (D). File Photos

Executive Steve Bellone, Comptroller John Kennedy Jr. offer differing view of what financial future holds

When asked to critically examine Suffolk County’s finances and what lies ahead for residents, our executive branch and accounting officials couldn’t be further divided on their vision of the future. 

Suffolk Comptroller John Kennedy Jr. (R) said out of the $410 million operating note the county sought to sell for 2019 operating funds only half, or $207 million, could be competitively sold in December. Instead, he had to rely on a negotiated agreement with Bank of America to give the funds needed to run the county’s government at an interest rate of 2.35 percent. 

“This has been one of the toughest times we’d had in the market since I’ve taken office,” Kennedy said. 

“We are in some very strenuous times.”

— John Kennedy Jr.

The county comptroller, since 2015, said it was a combination of factors that negatively impacted Suffolk: seeking funding later than normal, stock market uncertainty and, perhaps most importantly, that Moody’s downgrading the county’s bond rating from A3 to Baa1. 

“We are barred from being purchased by many major investment funds,” Kennedy said, citing Fidelity and T. Rowe Price Group won’t invest. “We are in some very strenuous times.” 

Eric Naughton, Suffolk’s budget director, said while the county’s bond rating was dropped the comptroller was “overstating” its impact and meaning. 

“[Moody’s investors] are looking at the past,” he said. “They are not looking at what is happening in the future.” 

Naughton cited how Suffolk Executive Steve Bellone (D) has implemented many structural changes since taking office in 2012 including reducing the county’s workforce by approximately 1,200 employees, closed John J. Foley nursing home in Yaphank that was losing money and creating the Traffic and Parking Violations Agency to bring in additional funds. 

Kennedy countered that from March 2012 to September 2018 Moody’s has downgraded the county’s bond rating by five ranks. 

“We need to change how county government operates,” the comptroller said. 

Suffolk is not likely to see the state takeover of the county’s government like Nassau according to Kennedy, in good part because the county has about half the outstanding debt of neighboring Nassau — a sentiment with which Naughton agreed. 

The comptroller suggested that in order to avoid dire straits, Suffolk officials should move to consolidate by merging county offices with similar functions, encourage shared services among municipalities, reduce its workforce, evaluate and sell off surplus property where possible, like the former Suffolk County Police 6th Precinct building in Coram. 

“Structural changes were needed and these structural changes were adopted.”

— Jason Elan

Jason Elan, a spokesman for Bellone, said the county executive has done just that. Under Bellone, the county treasurer and comptroller positions were merged, as were four departments made into two:  Labor and Consumer Affairs and Economic Development and Planning. Bellone made county employees contribute 15 percent to their health insurance premiums while taking a pay freeze himself, at an estimated savings of more than $300,000. Further, Suffolk’s workforce has been reduced and, according to Naughton, county-operated land and property is being evaluated to see if it can be deemed surplus. 

“Structural changes were needed and these structural changes were adopted,” Bellone’s spokesman said, noting Kennedy voted against or opposed many of the measures. 

What looms ahead for Suffolk is negotiation of a new contract with the Police Benevolent Association. Kennedy said at a current cost of $573 million per year, the police contract is the largest item in the county’s $3.11 billion 2019 budget followed by roughly $451 million for county employee’s health insurance. 

“If we are not focused on actively managing those expenditures in both categories, we might as well shut off the lights and go home,” he said.

In fact, it’s not just the police but all of the county’s employee contracts have expired. Elan said Bellone would not comment on the status of PBA negotiations. 

Rather he said the county’s greatest opportunity lies in furthering its economic development, like the proposed Ronkonkoma Hub and other projects that will bring businesses to the area.

These issues are some that are expected to be addressed by Bellone when he gives his annual State of the County per tradition in May. 

By Fr. Francis Pizzarelli

Father Frank Pizzarelli

The American landscape continues to be burdened with conflict, dishonesty and ineffective leadership at every level of government. As I write this column, more than 800,000 federal employees will not be paid because of a government shutdown. They unfortunately are being held captive by a government that is paralyzed on both sides of the aisle.

As the New Year begins, let’s not be distracted by a political rhetoric that is more fixated on ad hominem attacks and divisiveness, but rather let us support positive action on behalf of all Americans.

Our country is founded on the principle of “we the people.” We must renew our commitment to stand up for social justice, for equality and inclusiveness for all people, no matter what their ethnicity, race, color, sexual orientation, economic or social status.

The leaders of our faith community, both locally and nationally, must move out of their coma of silence, not become political or feed the rhetoric of hate and divisiveness, but rather they must stand up and call us to civility and a discourse that supports and respects the human dignity and integrity of every American citizen.

At the beginning of every New Year, we traditionally make a series of New Year’s resolutions that we break by Jan. 2. This year let’s identify some important social issues that urgently need to be addressed and work diligently at creative solutions that will improve the quality of life in all of our communities.

Homelessness is a growing problem across our county. Our traditional approach is a poor Band-Aid that sets most homeless up for failure. The poor and the homeless live in the shadows. They’ve no fixed address so they have no political representation — no one to voice their concerns and struggles.

Our Department of Health and Human Services, which is charged to deal with the homeless, is working with an antiquated model that is outdated and inefficient, therefore costing you, the taxpayer, an extraordinary amount of money and does little to break the cycle of poverty and homelessness in our midst.

Let us be mindful that more and more of our homeless are mentally ill, drug addicts and returning veterans suffering from untreated PTSD. We lack the basic human resources to break their cycle of dependency on the system.

The opioid crisis is worse than it was last year. As I write this column, I buried two more young people who died senselessly because of this epidemic.

The president of the United States called the opioid epidemic a national health crisis. It is, but again we pay lip service to a national infection but are doing little to treat it effectively. Evidence-based treatment says we need long-term residential treatment beds for a minimum of one year to 18 months, if we hope to empower the recovering addict to wellness and long-term recovery.

We have very limited resources in this regard. The few resources we do have are overtaxed with referrals and are underfunded. The time for talking is over; it’s time for positive action!

These two issues are massive. However, I am optimistic that we have the people and the resources to make a difference. We need to think outside the box, be creative, be willing to risk and most importantly believe we can make a difference that counts. I do!

Fr. Pizzarelli, SMM, LCSW-R, ACSW, DCSW, is the director of Hope House Ministries in Port Jefferson.

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Renee Goldfarb, the owner of Origin of Era. Photo by Kyle Barr

By Karina Gerry and Kyle Barr

The winds of change have began to blow in Port Jefferson village as the new year brings a host of changes to the area’s small businesses.

A few restaurants in the area are closing. Japanese restaurant Oceans 88, famous for its sushi bar, planned to be closed Jan. 31. Owners did not respond for requests to comment.

“There’s no more sushi in the village, that’s a real shame,” said village Mayor Margot Garant.

Though not all is bad as a number of new shops, both new names and old names, take shape all around the village.

Billie’s 1890 Saloon

Billie’s 1890 Saloon, a Port Jefferson staple, has reopened its doors after a kitchen fire forced it to close two years ago.

The bar and restaurant located on Main Street is back in business under its original ownership. Founded in 1981 by Billie E. Phillips and his late first wife, Billie’s 1890 Saloon soon became a community favorite. In 1987, after six years, Phillips sold his business, but after the fire in June of 2016 he purchased the restaurant and bar back with his son, Billie S. Phillips, and set about renovating the space. 

Billie’s 1890 Saloon. Photo by Kyle Barr

While the layout of Billie’s has remained relatively the same, the crowd has changed.

“It’s a more grown-up establishment,” Phillips Jr. said. “The same tables, and bar length and everything like that but it’s just been cleaned up and refurbished and we’re just going for a little more of an adult crowd than what it had turned out to be before the fire.”

Before the 2016 fire, Billie’s was considered a college bar, tailoring to the younger crowd with its infamous wheel, which was spun every hour and wherever the wheel landed was the drink that would be offered at a reduced price. Now, it has an age limit of 23, pushing away the crowd that made it so popular before.

“The new Billie’s seems to have a very different vibe,” Christopher Gulino, a former East Setauket resident said. “The renovations look great, but I think the customers that were regularly going to Billie’s when it was previously opened were looking forward to seeing the same old Billie’s.”

While the younger crowd may not be too happy with the changes to Billie’s, Phillips Jr. said they were necessary for the business to succeed.

“Billie’s had become the local meeting place and people have very fond memories of it,” Billie the younger said. “But I don’t think the business model they had would have survived much longer.”

New shop from East Main & Main

Food lovers can rejoice as one of the owners of East Main & Main is opening a new restaurant in Port Jefferson village.

Lisa Harris and her husband Robert Strehle opened the popular donut shop in June 2017, offering customers new flavors of donuts daily. After the success of the donut shop, Harris is ready to take on a new solo venture, a restaurant that offers brunch, lunch, dinner and shareable appetizers.

“It’s always been my dream to own a restaurant and run a restaurant,” Lisa Harris said. “It just seemed like the natural next step — it seemed like it was something that we were ready to take a chance.”

The new restaurant is slated to open around the end of February on Main Street. Harris said she plans for the space to have a casual comfortable vibe.

East Main and Main in Port Jefferson Village. Photo by David Lucas

“We didn’t have to do any building, any construction, or anything like that,” Harris noted. “We were very lucky because the restaurant there had pretty much everything we needed, it was just something we had to make our own by changing the color scheme and doing a lot of cleaning.”

Harris plans on having some crossover between the staff at the donut shop and the new restaurant, but she is also looking to hire a full-time crew.

“So we will be creating some new jobs,” Harris said. “Probably seven to 10 new jobs will be created in Port Jefferson, which will be great.”

While rumors have been making their rounds that East Main & Main is closing, Harris assures that’s not the case.

“We’re not moving the donut shop,” Harris said. “The donut shop is staying right where it is.”

And if donuts are more your thing, don’t worry, as Harris insists her and her husband are open to the idea of opening up another space somewhere else if the right opportunity comes along.

“It’s finding the right spot is always a challenge,” Harris said. “We’re kind of so spoiled here because of the foot traffic that we get. It’s just always exciting and fun, so we’re looking for a spot that is very similar to Port Jeff and there aren’t a lot of towns like Port Jeff.”

Origin of Era

A new clothing shop that just opened Jan. 26 in Chandler Square is looking to attract women of all shapes and sizes with a fashion-forward, inclusive ideal.

Renee Goldfarb, the owner of Origin of Era, is a Long Island native but has spent much of her life living in Queens and Brooklyn and abroad while working in the fashion industry. 

“I worked in film and fashion for 15 years — moved abroad and worked in Prague and Berlin. I worked in two corporations in branding, but I didn’t want to make money for anyone else anymore, I wanted to do it for myself,” she said.

Origin of Era in Port Jefferson Village. Photo by Kyle Barr

The owner opened and operated another store in Williamsburg, Brooklyn, for several years before she and her husband bought a home in Amityville Harbor. When coming to Long Island Goldfarb wanted to find a town that had the same sense of community she originally felt in that city neighborhood. Her selection was between Babylon village and Port Jeff village, but she chose the latter because she said the elected officials had small businesses in mind, especially with events like the annual Charles Dickens Festival.

While she said her previous store focused on vintage clothing, her new shop emphasizes the modern. In terms of her clothing selection, Goldfarb supplies sizes from extra small to extra-large, and offers free alterations to any items purchased in the store. The brand selection encompasses companies from the U.S., Spain, the U.K., India and China, though she stressed she only selected ethically produced clothing.

Most important in her selection, she said, was the emphasis on getting clothing only designed by women.

“If I owned a woman’s store I would make sure we represented all women and made it inclusive,” Goldfarb siad. “That’s why I wanted to make sure we only carried female designers … If we think logically, we are catering to women, nobody knows women best but a woman.”

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Debra Bowling, the new owner of Pasta Pasta, and her husband Jerry. Photo by Kyle Barr

Debra Bowling, the new owner of Pasta Pasta in Port Jefferson village, knows the customers who walk through the old wood doors. She herself started 20 years ago as a waitress and has kept loyal to the restaurant ever since. Now, after two decades, she’s in charge.

However, despite owning the restaurant, she expects she will still continue to wait tables.

“That’s not going to change,” Bowling, a Setauket resident, said. She was almost successful at suppressing a laugh. “We still have two kids in college, so I really put a lot of hours in here. I said if I’m going to work so hard, I might as well work for myself.”

The restaurant serves what the new owner described as American food with an Italian flavor, providing everything from fish to pasta to salads. The eatery is also famous for its flaky and moist garlic bread.

Previous owners Steve Sands and Jules Buitron bought Pasta Pasta back in 1998, already owning another restaurant on the South Shore. Sands said they already knew and liked the Port Jeff restaurant, back when its menu was limited to pizza and pasta, so they decided to purchase it and bring in Bowling, who was at that time planning on moving to the North Shore.

Pasta Pasta in Port Jefferson Village. Photo by Kyle Barr

Once Sands and Buitron decided they wanted to sell, Bowling was the first person they talked to about buying the restaurant.

 

“She’s a hard worker, she knows the business and she knows the customers,” Sands said. “She’s got a great team. Much of the kitchen crew has been there before we even bought the restaurant.”

Sands said he still plans to visit the restaurant when he can.

“The reason I bought it because it’s always been my favorite restaurant,” he said.

That doesn’t mean it’s not a big transition for Bowling and her family. The new restaurant owner’s husband Jerry is also there on a regular basis where he can be seen manning the phone and helping with whatever needs doing. 

So much of Bowling’s life has been spent at the restaurant, and her children have also moved through the restaurant as a part of growing up.

“Five of my six kids have worked here, and two of them still work here,” the restaurant owner said. 

While many have moved on, the kids have been supportive of their mother’s new venture, with her son Ryan Burns posting a heartwarming social media message to his mother saying how much she inspired him.

And even with these new expectations laid on her shoulders, Bowling still has two families to assist her, one at home and one at work, including kitchen manager Anthony Vadala, who has helped Bowling and her team throughout the years. Now with her running the show those two families are more intertwined than ever.

“We’re all a family here, the kitchen staff has been here before me,” she said. “Most of the waitresses were here between 10 and 15 years.”

“We’re all a family here, the kitchen staff has been here before me.”

— Debra Bowling

Bowling intends to keep the food and the atmosphere the same as it has been, though she does have a few design changes in mind, including some new paint on the walls, new bathrooms and replacing the windows up front so they can be swung open on atmospheric summer evenings.

The customers who have gone to the restaurant for years probably couldn’t accept too much change, and there are quite a few regulars. Even before she owned the restaurant, Bowling was a well-known face to her multitudes of regular customers, often those who have their own set of menus internalized in the minds of the Pasta Pasta staff. Some of those longtime customers who constantly travel make it a point to stop in her restaurant, even going out of their way to call ahead of time and beg the restaurant for a bowl of pasta, the kind the restaurant staff knows they like in particular. Baby showers have been hosted in the restaurant, and just last year, the restaurant hosted a wedding as well.

“On New Year’s Eve we had a wedding here,” Bowling said. “They met on their first date here on New Year’s Eve two years ago. She met here, she has to get married here … That’s just from them getting to know us over the years.”