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Yearly Archives: 2022

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Metro photo
Consequences can be greater than snoring and fatigue

By David Dunaief, M.D.

Dr. David Dunaief

Good sleep contributes to our physical and mental wellbeing, however many of us struggle to get quality, restful sleep. For those with obstructive sleep apnea (OSA), quality sleep is especially elusive.

Sleep apnea is an abnormal pause in breathing that occurs at least five times an hour while sleeping. It can have an array of causes, the most common of which is airway obstruction. Some estimates suggest that about 30 million people suffer from sleep apnea in the United States (1).

Obstructive sleep apnea (OSA), also known as sleep-disordered breathing, may affect up to 30 percent of adults. OSA diagnoses are classified as either mild, moderate or severe. It’s estimated that roughly 80 percent of moderate and severe OSA sufferers are undiagnosed.

Risk factors for OSA include chronic nasal congestion, large neck circumference, excess weight or obesity, alcohol use, smoking and a family history (2). Many of these factors, however, are modifiable.

Significant symptoms of OSA tend to be quality of life issues and include daytime fatigue, loud snoring, breathing cessation observed by another, impaired concentration and morning headaches. While these are significant, it’s more concerning that OSA is also associated with an array of more serious health consequences, such as cardiovascular disease, high blood pressure and depression.

Fortunately, we have an arsenal of treatment options, including continuous positive airway pressure (CPAP) devices; oral appliances; lifestyle modifications, such as diet, exercise, smoking cessation and reduced alcohol intake; and some medications.

What is the impact on cardiovascular disease risk?

In an observational study, the risk of cardiovascular mortality increased in a linear fashion with the severity of OSA (3). For those with mild-to-moderate untreated sleep apnea, there was a 60 percent increased risk of death; for those in the severe group, this risk jumped considerably to 250 percent. However, the good news is that treating patients with CPAP considerably decreased their risk by 81 percent for mild-to-moderate patients and 45 percent for severe OSA patients. This study involved 1,116 women over a six-year duration.

Another observational study with male subjects showed similar risks of cardiovascular disease with sleep apnea and benefits from CPAP treatment (4). There were more than 1,500 men in this study with a 10-year follow-up. The authors concluded that severe sleep apnea increases the risk of nonfatal and fatal cardiovascular events, and CPAP was effective in curbing these occurrences.

In a third study, this time involving the elderly, OSA increased the risk of cardiovascular death in mild-to-moderate patients and in those with severe OSA by 38 and 125 percent, respectively (5). But, as in the previous studies, CPAP decreased the risk in both groups significantly. In the elderly, an increased risk of falls, cognitive decline and difficult-to-control high blood pressure may be signs of OSA.

Is there a cancer connection?

In sleep apnea patients under age 65, a study showed an increased risk of cancer (6). The authors believe that intermittent low levels of oxygen, caused by the many frequent short bouts of breathing cessation, may be responsible for the development of tumors and their subsequent growth.

The greater the percentage of time patients spend in hypoxia (low oxygen) at night, the greater the risk of cancer. For those patients with more than 12 percent low-oxygen levels at night, there was a twofold increased risk of cancer development when compared to those with less than 1.2 percent low-oxygen levels.

Does OSA affect male sexual function?

It appears that erectile dysfunction (ED) may also be associated with OSA. CPAP may decrease this incidence. This was demonstrated in a small study involving 92 men with ED (7). The surprising aspects of this study were that, at baseline, the participants were overweight, not obese, on average and were only 45 years old. In those with mild OSA, the CPAP had a beneficial effect in over half of the men. For those with moderate and severe OSA, the effect was still significant, though not as robust, at 29 and 27 percent, respectively.

An array of other studies on the association between OSA and ED have varying results, depending on the age and existing health challenges of the participants. Some study authors have postulated that other underlying health problems may be the cause in some patient populations.

Can diet help?

For some of my patients, their goal is to discontinue their CPAP. Diet may be an alternative to CPAP, or it may be used in combination with CPAP to improve results.

In a small study of those with moderate-to-severe OSA levels, a low-energy diet showed positive results. A low-energy diet implies a low-calorie approach, such as a diet that is plant-based and nutrient-rich. It makes sense, this can help with weight loss. In the study, almost 50 percent of those who followed this type of diet were able to discontinue CPAP (8). The results endured for at least one year.

The bottom line is that if you think you or someone else is suffering from sleep apnea, it is important to be evaluated at a sleep lab and then follow up with your doctor. Don’t suffer from sleep apnea and, more importantly, don’t let obstructive sleep apnea cause severe complications, possibly robbing you of more than sleep. There are many effective treatments.

References: 

(1) sleepapnea.org. (2) JAMA. 2004;291(16):2013. (3) Ann Intern Med. 2012 Jan 17;156(2):115-122. (4) Lancet. 2005 Mar 19-25;365(9464):1046-1053. (5) Am J Respir Crit Care Med. 2012;186(9):909-916. (6) Am J Respir Crit Care Med. 2012 Nov. 15. (7) Sleep. 2012;35:A0574. (8) BMJ. 2011;342:d3017.

Dr. David 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.

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Photo from Mather Hospital

The American Association of Critical-Care Nurses (AACN) has awarded a gold-level Beacon Award for Excellence to Mather Hospital’s Critical Care team in Port Jefferson.

The Beacon Award for Excellence — a significant milestone on the path to exceptional patient care and healthy work environments — recognizes unit caregivers who successfully improve patient outcomes and align practices with AACN’s six Healthy Work Environment Standards. Units that achieve this three-year, three-level award with gold, silver or bronze designations meet national criteria consistent with the ANCC Magnet Recognition Program®, the Malcolm Baldrige National Quality Award and the National Quality Healthcare Award.

“I want to extend my congratulations to Mather Hospital’s Critical Care team on earning a gold-level Beacon Award for Excellence from the American Association of Critical-Care Nurses,” said Mather Hospital CNO/VP for Nursing Marie Mulligan, PhD, RN, CNOR, NEA-BC. “This designation is the highest level of recognition that Critical Care services can achieve for this award.”

“Achieving the gold level AACN Beacon Award for Excellence is a tremendous honor and validates our nursing team’s efforts for providing high quality care and optimal patient outcomes,” said Laura O’Brien RN MSN CRN, NE-BC, Nursing Director of Critical Care at Mather Hospital.

AACN President Beth Wathen, MSN, APRN, CCRN-K, applauded the commitment of the Critical Care caregivers at Mather Hospital for working together to meet and exceed the high standards set forth by the Beacon Award for Excellence. “The Beacon Award for Excellence is a testament to a team’s commitment to providing safe, patient-centered and evidence-based care to patients and families. Creating healthy and supportive work environments empowers nurses and other team members to make their optimal contribution,” Wathen said. 

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Bird lovers gather at the Stone Bridge at Frank Melville Memorial Park to witness the common nighthawk migration. Photo from Four Harbors Audubon Society

VOLUNTEERS WANTED

It’s that time of year again! Starting on August 27, the Four Harbors Audubon Society will be tallying migrating Common Nighthawks to better understand nighthawk population trends. Join them at the stone bridge at Frank Melville Memorial Park, One Old Field Road, Setauket to witness nighthawks as they pass over during their migratory journey to their wintering grounds in Brazil and Argentina. The watch dates are August 27 to October 6, 5:30 p.m. until dusk. Visit www.4has.org for further details.

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Pixabay photo

By John L. Turner

August is my birthday month and as I sat staring at the computer screen deliberating the topic for this month’s “Nature Matters” column, the realization occurred to me that I will be celebrating (or at least recognizing) two-thirds of a century of existence. Yes, my 67th trip around the sun on this blessed, pearl blue planet, the only place we know in the entire physical universe where this most unique and fascinating thing called life exists.  

So, while I graciously accept your projected birthday greetings, I’m going to devote this column to laying out birthday wishes for Planet Earth, wishes that I humbly request you consider acting upon. 

Here’s my eclectic list of wishes for our planetary home and all of its inhabitants:

‘Don’t Bag It’

One of the downsides of our love for the grass lawn is, well, the grass, or more specifically, the cut grass. Common practice for many homeowners is to bag grass clippings, placing the bags at the curb for their municipality to deal with, as though the clippings were a waste product to be gotten rid of. We now know the opposite is true — clippings are an asset which should be left on the lawn to rapidly decompose (or if you object to the clippings being left on the lawn then spread out in your compost pile). Doing so returns moisture and nutrients to the lawn and can reduce your water and fertilizing needs (saving money!). These clippings do not add to the creation of thatch, a common misperception. Plus, grass clippings brought to the dump can result in methane generation, a bad thing since methane is a potent greenhouse gas.  Clippings are bad for both the planet and your pocketbook!  

Recycle aluminum

Manufacturing aluminum from bauxite ore to turn into cans and foil has enormous environmental impacts. It creates significant air pollution, requires lots of energy, and consumes large amounts of water. It is one of the top ten industries driving climate change. In contrast, making cans and foil from recycled aluminum uses about 5% of the energy needed to make these products from scratch. The good news is aluminum is endlessly recyclable and about two-thirds of consumed aluminum is recycled each year so the more we increase that percentage the less we impact the planet from the effects of bauxite ore mining and aluminum manufacture derived therefrom. 

An easy way to promote aluminum recycling is to pick up discarded cans like those  you undoubtedly see in parking lots and along roadsides. I see them too and I collect them, putting them in a small plastic bag I keep in the car until I dump them in a much larger bag lining a garbage can. I bring the bags filled with foil and cans to a local waste or scrap metal company (PK Metals on Route 112 in Coram is currently paying 40 cents a pound)  and then donate the money to the Four Harbors Audubon Society, creating a true triple win situation — more aluminum recycled, less roadside litter, and funds for conservation. Will you join me in this effort?  

Protect birds 

Many bird species are in trouble. A recent study has documented a 30% decline — or about 3 billion less birds in North America today than 50 years ago. There are many causes including habitat destruction, feral and pet cats, window strikes, oil spills, drowning due to at-sea fishing activities, ingestion of lead shot and fishing sinkers, and pesticide poisoning, to name but a few. But these problems present opportunities and there’s much we each can do to protect birds by directly responding to these threats — putting window stickers on problem windows so birds can see them, avoiding a fatal collision, keeping your pet cat indoors or if you can’t, make your next pet cat an indoor animal, not using lead split shot and recycling fishing line, drinking shade grown coffee, and throwing away the pesticide can. Birds very much need our help, and let’s remember we are their only hope, so let’s help them!  

Be kind to other living things 

All life shares a common ancestry that began several  billion years ago, when the first signs of life emerged. This is a fact which we can, perhaps uniquely, understand, fostering an opportunity for a kinder, gentler relationship with all living things. So please be kind to them — move turtles out of the road, while driving slow down for squirrels and other wildlife, and practice accommodation by placing outside, unharmed, house-inhabiting spiders, mice, and snakes. 

To bolster this view of valuing life’s sanctity, remember a thought your parents probably shared with you when it came to empathy for the predicament of others — “putting yourself in the shoes of another.” Imagine, for a moment, being that box turtle or squirrel trying to get across a road. Wouldn’t you love it for the human driver bearing down on you to take their shoe-clad foot off the gas pedal for a moment or maybe safely pulling to the side of the road, stopping, and moving you out of harm’s way? 

Connect to nature by connecting to a local park 

Walk slowly through a park or preserve, practicing the Japanese art of “Shinrin-yoku” or forest bathing. It is shown to lower blood pressure and levels of cortisol, a stress hormone. Leave human distraction behind; listen for a variety of bird songs and calls and the deep croaks of frogs, the lapping waves or running water; breathe in the rich scents of the forest or the salty air of the seashore; and quietly observe all the surrounding life, breathing deeply and intently while you do so.

Connect to the vibrancy that is around you — the green fuse of plant life, the orderly activities of ants around an ant mound, the many patterns of tree bark, the cloud formations you take for granted, and the patrols of darting dragonflies. Maybe you’ll even see the blur of an actively feeding ruby-throated hummingbird seeking nectar from jewelweed. 

Baba Dioum, a Senegalese forester, said in a speech at the United Nations half-a-century ago: “In the end, we will conserve only what we love, we will love only what we understand, and we will understand only what we are taught.” Go forth, being taught by nature, and fall in love, perhaps for the first time or maybe for the 487th time with her beauty, complexity, and magic.    

If these things are done you will have taken measurable steps toward improving your relationship with planet Earth and its treasured forms of life that share the only place in the universe so blessed. What a great birthday present that would be, enough to make me skip the birthday cake.  

A resident of Setauket, John Turner is conservation chair of the Four Harbors Audubon Society, author of “Exploring the Other Island: A Seasonal Nature Guide to Long Island” and president of Alula Birding & Natural History Tours.

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Scene from The Atelier at Flowerfield's Open House
Scene from The Atelier at Flowerfield's Open House
Scene from The Atelier at Flowerfield's Open House
Scene from The Atelier at Flowerfield's Open House

It was a hot, muggy, summer Saturday, as crowds gathered in the cool exhibition hall of The Atelier at Flowerfield for another Open House. Visitors observed portrait drawing demonstrations by Bill Graf, who teaches several classes in painting and drawing. They also watched Fellowship student, Alyssa Kolakowski, warm up with several quick sketches then demonstrate Master drawings.

Those who dropped in were treated to tours of the art studios and Fine Arts Library by Fellowship student, Annie Nate Schindler and Carol D’Amato, Librarian and Teacher Assistant.

On display was the artwork of Fellowship students Annie Nate Schindler and Jonathan Horn.

Guests could also grab a brush and paint along with Carol D’Amato, Teacher’s Assistant and Librarian, as she demonstrated Watercolor painting techniques.

The Fall session begins September 12th with several classes, daytime and evening, in studio and online, in painting (all mediums), drawing, illustration, plein air and a new class in Fashion Textile Design. Every Monday night is Open Figure Night with a live model and its only $20 per 3-hour session! The Atelier also offers lectures and workshops.

The next exhibition, featuring a Fifty-Year Retrospective of Neill Slaughter’s artwork, opens on Thursday, September 8th with a reception from 5:30 to 7:30 p.m.

For more information or to register, go to https://theatelieratflowerfield.org or call 631-250-9009.

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Town of Brookhaven Chief Deputy Commissioner of RSMM,Daniel Johnson; Commissioner of RSMM Christine Fetten; PaintCare Program Coordinator for Long Island, Sandra Torres Vera; RSMM Recycling Coordination Aide Zachary Sicardi and town Supervisor Ed Romaine. Photo from Town of Brookhaven

own of Brookhaven Supervisor Ed Romaine (R) recently visited the Residential Drop-Off facility at the Town of Brookhaven Landfill to announce the town’s participation in the New York State Paint Stewardship Program.

Operated by the nonprofit PaintCare and administered by the Town’s Department of Recycling and Sustainable Materials Management (RSMM), this program enables the recycling of architectural paints such as oil-based, latex-based and water-based paints, as well as stains, varnishes and lacquers.

The program, which is funded by a fee on the sale of paint, keeps thousands of gallons of paint from being improperly disposed of each year in the Town of Brookhaven alone.

The paint collected by the town is recycled to the highest extent possible, being remixed into recycled paint; used as fuel; made into other products; or safely disposed of when no other beneficial use can be found.

Brookhaven residents may bring up to 10 gallons per day to the Town of Brookhaven’s Landfill Residential Drop-Off at 350 Horseblock Road in Brookhaven. Hours of operation are Monday through Friday from 7 a.m. to 3 p.m. and Saturday from 7 a.m. to 12 p.m.

Many paint vendors have also signed up as paint recycling drop-offs. A map of all local drop-off locations and a complete list of acceptable items is available at paintcare.org. If you have 100 gallons or more of paint at your home or business, go to paintcare.org and submit a Large Volume Pickup Request form for free large volume pickup service.

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American Jiu Jitsu Centers’ students Joe and Summer demonstrate a self-defense technique. Photo by Rita J. Egan

When my husband told me about a women’s self-defense class on Aug. 22 at the jiu jitsu center where he and his daughter train, I jumped at the opportunity to attend. The fact that it was free to those who signed up before Aug. 22 was an added bonus.

It’s been a long time since I had to avoid unwelcome gestures at bars or being picked up — including physically — by men. Still, with current headlines citing increased crime, including in nearby New York City, it was time to brush up on some skills.

It had been more than 20 years since I was in a similar class. Before I stepped into the dojo at American Jiu Jitsu Centers on Lake Avenue in St. James Monday night, I only remembered one or two techniques. One is to hold my keys a certain way if it’s dark or I feel I am in danger, and go for a person’s crevice in their neck if they threaten me.

After Monday night’s class, I have a few more techniques in my arsenal.

Led by the school’s Shihan Francine and Sensei Charlie, other black belts and lower rank students were on hand to help with approximately two dozen women in attendance.

The importance of learning how to protect oneself was stressed in the hour-long class. The two head instructors were the perfect match to lead the class. Sensei Charlie is tall and muscular, while Shihan Francine is petite, standing 5 feet 3 inches. Charlie joked during one demonstration that he could bench press three times her weight, but that didn’t stop Francine from being able to push him to the ground while showing the women a defense move.

During the class, Sensei Charlie shared some statistics from Bethpage-based The Safe Center with the students. Among the stats, as far as experiences with attempted or complete rape, 1 in 5 women and 1 in 33 men have reported such cases. The center’s Human Trafficking Department in 2019 responded to 500 human trafficking victims, both adults and youth. Violence also happens in private homes with the center reporting 1 in 3 women and 1 in 4 men being victims of domestic violence in their lifetimes.

To me, it’s always shocking that while men can also be attacked, more women still find themselves as victims. Living in suburbia for decades, sometimes I forget the importance of being aware of my surroundings and knowing what to do if danger presents itself. Something I was more conscious of when I was a child in Queens or frequently traveling to Manhattan in my younger years.

One of the most important things I learned from the class is the first thing to do, when a person approaches you, is back away. Then maintain a nonconfrontational stance, and say, “Hey, I don’t want any trouble.” At the same time, it’s crucial to bring your arms up, hands in front of your face, to let the person know that you can defend yourself if needed.

Shihan Francine and Sensei Charlie shared several techniques with the women, such as heel-palm, knee and eye strikes. A main technique includes a combination of a kick, followed by a heel-palm strike, knee to the groin followed by a blow with an elbow. One of the most important things stressed was to shout “No!” with each move and to do so loudly.

The sequence and others were repeated several times, and students were able to practice with each other and the black belts.

I enjoyed that combining techniques was just like learning dance choreography, and I found the repetition helpful. 

The importance of repetition was stressed so that the techniques come naturally. Shihan Francine said the sequence of moves wasn’t as important as remembering each of them. One student she knew years ago was attacked on the subway. Even though he only remembered to kick, she said the main thing is that he did something.

The black belts on hand shared advice to remember every day such as walking with confidence, looking people in the eyes when passing them, being aware of your surroundings and not putting earpods in both ears. Facing one’s back to a door or wall when stopping to make a phone call or to text is also important.

Sensei Charlie and his daughter as well as my husband, Joe, and my stepdaughter Summer gave demonstrations. Seeing young teenage girls being able to take down grown men sent the message home that women don’t need to be damsels in distress anymore with proper awareness and a bit of training.

After the class, I reached out to Shihan Francine and she said that American Jiu Jitsu Centers, which was founded by head instructor O’Sensei Joe Puleio, “is always delighted to host free martial arts seminars for women and welcomes the chance to give back to the communities of St. James and surrounding areas.”

Shihan Francine has taught several of the women’s self-defense classes at the school and has seen this empowerment on a regular basis.

“It is great to see new people learn practical defense techniques in under an hour,” she said. “It is even more exciting for me, though, when some of the participants are empowered enough to continue their training and join us on the mat every week.”

She added that there are many women who train at the St. James location: “These ladies continue to practice their skills several times a week and have the strength and confidence to defend themselves against an attacker.”

For more information and the opportunity to take a free trial class at AJJC, visit ajjctraining.com.

Rita J. Egan is the editor of The Village Times Herald, The Times of Smithtown and The Times of Huntington & Northport. 

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Stock photo

Suffolk County Legislator Rob Trotta is hosting a summer drive to collect non-perishable items for school lunches and snacks, as well as personal care products for the St. Vincent de Paul Food Pantry. The pantry is located at St. Joseph’s Church, 59 Church Street, Kings Park, and is open on Monday and Thursday form 1pm until 4pm. To speak with someone at the pantry, please call 631-269-6635.

Specific items that they are seeking include snack size cookies, chips, pretzels, juice boxes, small bottled water, and salsa and chips. They also need such staples as cereal, bottles of cooking oil, sugar, flour, mustard, mayonnaise, jarred sauce, breadcrumbs, Hamburger Helper, pickles, canned fruit, boxed milk, Pop Tarts, honey, napkins, paper towels,  sandwich bags, cleaning supplies and Marble composition books.  Personal care items requested are body wash, toothpaste, shaving cream, razors, shampoo, tissues, small hand sanitizers, and laundry detergent.

“During this difficult time, it is important to help our fellow neighbors so donations of these items may be dropped off at my office at 59 Landing Avenue, Suite 1 A, (blue door), Smithtown, from now until September 9, between the hours of 9 a.m. and 4:30 pm,” said Suffolk County Legislator Rob Trotta. For more information, please call Legislator Trotta’s office at 631-854-3900.

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George, Linda, Stefan and Dawn Karatzas gather in front of James Cress Florist on Main Street in Smithtown. Photo by Jan La Roche

By Chris Mellides

Founded in Manhattan at the turn of the 20th century, James Cress Florist has flourished and become a fixture on Smithtown’s Main Street since the 1960s. 

Photo by Jan LaRoche

With their fingers on the pulse of a bustling suburban street in a prominent Long Island town, new owners George and Linda Karatzas always admired the James Cress name and its storied legacy. Their vow is to keep the integrity of the popular flower shop that broke ground in 1903 without sacrificing on quality or service.

The old James Cress business was housed in a 13,000-square-foot building on the corner of Main and Bellemeade Avenue, and George Karatzas admits that moving his location a few doors down to 127 E. Main St. and into an 18,180-square-foot establishment was no easy task. Despite this, the Karatzas family is wholly optimistic. The move date initially occurred on Aug. 18.  

“It’s happening,” George Karatzas said on the day of the move, “Flowers are here, I’m slowly bringing the computers over, and I’m ready to put the phone lines into this new location.”

“Once all the product is here and computers are operational, we’re going to be doing business out of the new location,” he added. 

James Cress has grown since the Karatzas purchased the iconic Smithtown location in December 2021. With the expansion, James Cress now serves Long Islanders with two other shops that can be found in Port Jefferson Station as well as Woodbury.

Overseeing the operations of three individual stores is a huge undertaking and one that was further complicated by the pandemic and the shops’ lack of employees, despite there being over 50 staff members at this time.    

“It’s quite a task with today’s COVID still happening,” Karatzas said. “If we don’t have employees with COVID issues, we have staffing problems. We’re having a very difficult time recruiting new help. That is a problem across the board.”

Asked what measures he can take to stymy this looming problem, the florist said, “There really isn’t much you can do other than reaching out more on social media platforms.” The focus, he continued, is on “expanding the reach” of James Cress. 

The award-winning flower shop provides same-day flower deliveries for just about any occasion. These occasions include weddings, bar and bat mitzvahs, parties of any stripe and themed events, where a wide array of flowers and bouquets are needed to spruce up a special day.  

“The event business is busy,” Karatzas said. “There are [times] where we have eight events over the weekend, it’s a lot. I would have to say that the weddings during the summer months — where business is normally slower because there are no holidays and whatnot — we’re busy doing weddings. There are no two ways about it. Valentine’s Day is a big one for us.” 

While it’s not exactly known when James Cress himself launched the Smithtown storefront, designer and senior employee Kevin Henchey estimates that the old building was purchased by Cress sometime in the early 1960s and quickly became a prominent location serving patrons in and around the surrounding area. Henchey has been with James Cress for the last 40 years, according to the Karatzas family.  

Photo by Jan LaRoche

The entirety of the upstairs floor of the new James Cress building was perfect for showcasing a dedicated bridal showroom, since the space is considerably larger than the last, according to George Karatzas. 

“We took the first half of the top level, and we rented it. That is going to be the bridal showroom where brides can come in and do their consults like we’ve been doing for the past 30-some-odd years,” Karatzas said. 

No matter the occasion, the Karatzas understand the importance of the James Cress name and are equally determined to provide unmatched service across all three locations. With George Karatzas stating that it would have been a shame to see the Smithtown location close and was happy to relocate the storefront instead of shuttering its doors for good. 

“So, really at the end of the day, Linda and I don’t want to lose the legacy of James Cress,” Karatzas said. “We’re going to continue it and my son Stefan is on board with me and my daughter Dawn is also helping us out.” 

He added that he wants “to continue with our relationship with the customer base that we currently serve. And give them a more modern facility for the walk-in traffic that’s on Main Street.”

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