Yearly Archives: 2022

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Colon Cancer is Preventable, Treatable and Beatable. Early Detection Saves Lives

In support of Colorectal Awareness Month, Northwell Health Peconic Bay Medical Center (PBMC) has adopted the recommendation to lower the minimum age to start colorectal cancer screening from 50 to 45 years old. In partnership with the Cancer Services Program of Suffolk County, free screenings can now be administered to those 45 and older, conveniently, and discreetly at home to people who are uninsured, underinsured, or at-risk.

The Colorectal Surgery Program at PBMC has expert surgeons who treat patients with conditions affecting the colon and rectum, intestinal tract and pelvic floor, as well as the anal canal and perianal area.  Brett E. Ruffo, MD, colorectal surgeon and Ashanti L. Franklin, colorectal surgeon, lead the program using minimally invasive techniques such as robotic-assisted surgery which offers leading-edge precision for treatment of life-threatening cancers of the colon and rectum.

“Colorectal cancer is traditionally one of the deadliest forms of cancer, but it is treatable and beatable if caught during the early stages before it spreads. Making screenings more accessible at a time when younger people are being diagnosed will save lives,” said Dr. Ruffo. “With timely screenings, we can remove dangerous polyps before they become cancerous. Don’t wait for symptoms to get tested. Recommendations for colorectal cancer screening options vary for individuals. Please discuss with your primary care provider to determine the best option for you and your family.”

The United States Preventive Services Task Force has lowered its recommended age for colorectal cancer screening for people at average risk from age 50 to 45. Recent studies have also found that adults born around 1990 have twice the risk of colon cancer and four times the risk of rectal cancer compared to adults born around 1950.

Those with a family history of colorectal cancer or other bowel disease are at a higher risk and may need to begin screening before age 45. According to the National Cancer Institute, other heightened risk factors include obesity, physical inactivity, and smoking.

“I can’t stress enough how important it is for residents of Eastern Suffolk to get back to regular, on-time screenings,” said Maureen O’Connor, director of The Cancer Services Program of Suffolk County. “Talk to your health care provider about your risks for colorectal cancer and your testing options. Regular screening for colorectal cancer can save lives.”

Colorectal screenings are covered at little or no cost by most insurance plans. The Peconic Bay Medical Center in Riverhead and the Cancer Services Program of Suffolk County offer free colorectal, cervical, and breast cancer screening to eligible adults who do not have insurance. Call Maureen O’Connor, director of The Cancer Services Program of Suffolk County at (631) 548-6320 for any questions and to find out if you qualify for free cancer screening. Visit http://www.pbmchealth.org for more information.

Pixabay photo

By John L. Turner

This is the first in a two-part series on Long Island’s water supply.

When thinking about Long Island’s groundwater supply — its drinking water aquifers — it is helpful to visualize a food you might eat while drinking water — say, a three-tiered, open-faced turkey sandwich — a slice of cheese on top, a juicy, thick tomato disk in the middle, a slice of turkey on the bottom, all resting on a piece of hard, crusty bread. 

Well, substitute the Upper Glacial Aquifer for the cheese, the thicker Magothy Aquifer for the tomato, the Lloyd Aquifer for the turkey, and a “basement of bedrock” for the bread and you’ve got Long Island’s tiered groundwater system. It is this collection of groundwater aquifers — these sections of the sandwich — that are the sole source of water for all the uses Long Islanders use water for. Hydrologists estimate there’s about 90 trillion gallons of water contained in Long Island’s groundwater supply.

Our sandwich model described above is not fully accurate in that there is another layer called the Raritan Clay formation separating the Magothy and Lloyd Aquifers. This clay layer, about 200 feet thick, retards water movement (for a number of reasons water moves painfully slow through clay) and is referred to as an aquitard. So, in our sandwich model let’s make the thin but impactive clay formation a layer of mustard or mayonnaise. With the exception of this clay-confining layer, Long Island is essentially a million-acre sandpile whose geology is generally distinguished by subtle changes in the composition, texture, and porosity of its geological materials — varying mixtures of silt, clay, sand, gravel and cobbles which affects rates of water transmissivity or movement.

The basement of bedrock (the bread in our sandwich) that underlies all of Long Island is metamorphic rock estimated to be about 400 million years old. It slants from the northwest to the southeast dipping at about 50 feet to the mile. So, while the thickness of the freshwater aquifers in northwest Queens is only a few hundred feet, it is approximately 2,000 feet thick in western Southampton.

On the North and South Forks and the south shore barrier islands, freshwater doesn’t extend all the way to bedrock as it does in Nassau County and much of western and central Suffolk County. It is shallowest on the barrier islands, the freshwater lens extending down only several dozen feet. 

On the North Fork it goes a little deeper before the water becomes salty and it is deepest on the wide South Fork where the freshwater lens extends downward about 550-600 feet. The depth of the aquifer is influenced by how many feet above sea level the water table is. There’s a hydrological formula, called the Ghyben-Herzberg principle, that states for every foot of water above sea level there’s 40 feet of freshwater beneath.

The water in the groundwater aquifers isn’t stored in large subterranean pools or caverns, as it is in some other places in the country with markedly different geology, Rather, the water is situated between the tiny, interstitial spaces existing between the countless sand particles that collectively make up Long Island. Given this, it is not surprising that groundwater flows (under the influence of gravity) slowly downward and sideways (depending where in the aquifer the water is located) moving on the order of just a few feet a day at most but typically in the ballpark of about one foot per day. 

It takes dozens to hundreds to thousands of years for water to move through the system, all depending where it first landed on the island’s surface. Water pumped from the seaward edge of the lowest aquifer — the Lloyd Aquifer — may have fallen as rain many years before the beginning of the ancient Greek Empire.

In the late 1970’s several governmental studies helped us to better understand some of the basics as to how the groundwater system works. One of the important takeaways from this research was that it is the middle half to two-thirds of the island that is most important for recharge — this segment is known as the “deep-flow recharge area” because a raindrop that lands here will move vertically downward recharging the vast groundwater supply. 

The middle of this area is knows as the “groundwater divide”; a water drop that lands to the south of the divide will move downward and then laterally in a southern direction discharging into one of the south shore bays or the salty groundwater underneath the Atlantic Ocean while a drop to the north will move eventually into Long Island Sound or the sandy sediments beneath it.

Hydrologists have determined that for every square mile of land (640 acres) an average of about two million gallons of rain water lands on the surface with about one million gallons recharging the groundwater supply on a daily basis. What happens to the other one million gallons? It evaporates, runs off into streams and other wetlands, or is taken up by trees and other plants that need it to sustain life processes such as transpiration (a large oak tree needs about 110 gallons of water daily to survive). 

In contrast, raindrops that land in locations nearer to the coasts such as in Setauket, northern Smithtown, southern Brookhaven, Babylon, or other places along the north and south shores don’t become part of the vast groundwater reservoir; instead, after percolating into the ground the water moves horizontally, discharging either into a stream that flows to salty water or into the salty groundwater that surrounds Long Island. These landscape segments are referred to as “shallow-flow recharge areas.”

The higher elevations along the Ronkonkoma Moraine (the central spine of Long Island created by glacial action about 40,000 years ago) are also the highest points in the water table although the water table elevation contours are a dampened expression of the land surface. So, in the West Hills region of Huntington where Jayne’s Hill is located, the highest point on Long Island topping out at a little more than 400 feet, the elevation of the water table is about 80 feet above sea level. 

Below the water table is the saturated zone and above it the unsaturated zone where air, instead of water, exists in the tiny spaces between the sand particles (in the Jayne’s Hill case the unsaturated zone runs about 320 feet). It is the water (more precisely its weight) in the higher regions of the saturated zones that pushes on the water beneath it, driving water in the lower portions to move at first sideways or laterally and then to upwell into the salty groundwater under the ocean. Due to the weight of the water the freshwater-saltwater interface is actually offshore on both coasts, meaning you could drill from a platform a mile off Jones Beach and tap into freshwater if you were to drill several hundred feet down.

A wetland forms where the land surface and water table intersect. It may be Lake Ronkonkoma, the Nissequogue or Peconic River, or any of the more than one hundred streams that drain the aquifer discharging into bays and harbors around Long Island. So when you’re gazing at the surface of Lake Ronkonkoma you’re looking at the water table — the top of the Long Island groundwater system. Since the water table elevations can change due to varying amounts of rain and snow and pumping by water suppliers these wetlands can be affected; in wet years they may enlarge and discharge more water while in droughts wetlands can largely dry up which happened on Long Island in the 1960’s.

It is clear, given the isolated nature of our water supply — our freshwater bubble surrounded by hostile salt water — that we are captains of our own fate. Our groundwater supply is the only source of water to meet all of our collective needs and wants. There are no magical underground freshwater connections to Connecticut, mainland New York, or New Jersey. We are not tied into, nor is it likely we will ever be able to tap into, New York City’s water supply, provided by the Delaware River and several upstate reservoirs. As the federal Environmental Protection Agency has declared — Long Island is a “sole source aquifer.” To paraphrase the late Senator Daniel Patrick Moyhihan: “Long Islanders all drink from the same well.” Indeed we do.

The next article will detail the quality and quantity problems facing our groundwater supply.

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.

Port Jefferson’s Earl L. Vandermeulen sophomore Katherine Ranjbar. Photo from PJSD
Port Jefferson’s Earl L. Vandermeulen sophomore Katherine Ranjbar. Photo from PJSD

Earl L. Vandermeulen High School student-musician Katherine Ranjbar recently performed at Carnegie Hall as part of its grand prize concerto competition. A sophomore, Katherine performed at New York’s famed venue on solo piano. 

“Congratulations to Katherine on her outstanding musical achievement,” said Port Jefferson School District Director of Music and Fine Arts Dr. Michael Caravello.

Port Jefferson School District SCMEA Division I students. Photo from PJSD

In-person student musical performances are back, and Port Jefferson School District students represented at the recent Suffolk County Music Educators’ Association All-County Festival held at Ward Melville High School.

In the fifth and sixth grade Division I, students Josie Amtmann, Jenny Cheung, Isabella Fratticci Cseri, Nina Gnatenko, Kai Gronenthal, Ruairi Hogan, Patrick Hutchinson, Nila Manian, Austin Nam, Adyson Nocito, Clara Pearce, Violet Pryor, Sara Puopolo, Aiden Fraticci Rodriguez, Sebastian Salzman, Dylan Sproul, Kaho Sugimoto, Leilani Von Oiste and Elizabeth Yin were selected. Seventh and eighth graders Rowan Casey, Crystal Reustle, Sadie Salzman and Daria Zakharova were selected for Division II, and Division III’s ninth and 10th graders welcomed Earl L. Vandermeulen High School student Andi Kelly.

“Congratulations to all of our outstanding student musicians who were fortunate to perform in the FIRST in-person county music festival in nearly three years!” said Dr. Michael Caravello, district director of music and fine arts.

Photo courtesy of PJHS

The recent Earl L. Vandermeulen High School production of “You’re a Good Man, Charlie Brown” was a resounding success. The all-star cast and crew of Port Jefferson students, staff and volunteers worked tirelessly for months on this production, a special nostalgic treat for the whole family that took place for three shows from March 19 to 20.

The show, directed by Tony Butera, followed the adventures of classic “Peanuts” characters Charlie Brown, Lucy, Linus, Marci, Peppermint Patty, Schroeder and the lovable and headstrong Snoopy on top of his doghouse. It featured kite flying, Beethoven music directed by Christine Creighton and short vignettes reminiscent of the original comic strip.

Spencer Harvey. Photo taken by Amy Schoenfeld

Winners from regional JewQ competitions from around the U.S. and abroad came together to face off at the international championships in Princeton, NJ, last weekend. Spencer Harvey of Dix Hills, representing The Chai Center Hebrew School in Dix Hills took home a gold medal in the fourth grade category at the International JewQ Championships.

Throughout the fall, more than 6,000 JewQ students in grades 3-7 from Hebrew schools around the globe learned and were tested on a wide range of Jewish knowledge, such as basic prayers, blessings, Jewish holidays, Torah traditions, and more. Following a regional competition, Spencer was among 150 winners who moved on to the final round of competition. Spencer goes to Ostego Elementary School in Dix Hills, NY, in the Half Hollow Hills Central School District.

“It is incredible to see the vast amount of knowledge Spencer and all the children learned in a few short months,” said Rabbi Dovid Weinbaum, Youth Director of The Chai Center. “My hope is this will inspire them to want to learn more about Judaism and the world around them.”

 

Pixabay photo

In an effort to ease the suffering of all those subject to the devastation and terror being inflicted upon the Ukrainian nation, Senator Mario R. Mattera (2nd Senate District) and his staff will be hosting a humanitarian supply drive on Saturday, March 26th, from 10 a.m. to noon in their district office located at 180 East Main Street in Smithtown.

The effort is intended to assist all in the region including animals who were displaced when their families evacuated.

Senator Mattera’s office is coordinating this effort with the staff and students of Kings Park Central School District (KPCSD) and local nonprofit Nobody Starves on Long Island.

To assist families of Ukraine, KPCSD is collecting items that will be shipped overseas to assist the citizens of Ukraine.  The KPCSD drive will accept a host of items including medical items (including bandages, gauze and medicine), empty boxes, flashlights, batteries, garbage bags and personal items including warm clothing, boots, socks, tooth care, personal cleaning supplies and feminine hygiene products.

KPCSD will deliver all items to The Monastery of Saint Josaphat in Glen Cove for delivery to those in need in the region.

To assist Ukrainian pets in need, Nobody Starves on Long Island will be accepting pet supplies to help animals that in many cases have lost their owners and their homes.  To help the nonprofit, Senator Mattera’s office is accepting pet items such as pet food, leashes, food bowls, treats and collars.

The office will not be accepting cash donations at the event or in their office.

“We are hopeful that everyone in our community will join us in helping all who have been impacted by the attack on the Ukrainian people.  This unwarranted assault on their homes must be countered by the kindness of our community and I thank everyone who will or who has helped in this effort.  Thank you to Nobody Starves on Long Island and everyone at the Kings Park School District for their selfless work.  Together, we can bring hope to those who are suffering,” stated Senator Mattera.

Any resident who is unable to attend the Saturday, March 26, event is invited to drop off items at Senator Mattera’s district office during regular business hours.  The office is located in 180 East Main Street, Suite 210, in Smithtown. For more information, call 631-361-2154.

131 RSOM students match to residency programs; 20 percent to stay at Stony Brook Medicine

Taking a major step toward launching their careers, 131 Renaissance School of Medicine (RSOM) fourth-year students matched to residency training programs all over the country, New York State and at Stony Brook Medicine on March 18. Twenty percent of the students matched to training programs at Stony Brook, the highest percentage staying at Stony Brook since 2010 when the school began tracking this metric annually.

Match Days are held nationwide each year, a celebratory event when students learn of their residency training assignments. Administered by the National Resident Matching Program (NRMP), this year more than 39,000 positions were filled. See this NRMP news. The numbers of physicians continue to increase, in part because of a need for our nation’s growing population and increasing need for specialty services in medicine. The two-year international pandemic has also raised awareness of the importance of a strong physician pool going forward in the 21st Century.

“The role of the physician has never been more important,” said Hal Paz, MD, MS, Executive Vice President for Health Sciences at  Stony Brook University, in a video message to the matching students. “You will soon be joining a network of over 4.500 physician alumni. The Renaissance School of Medicine gave you an opportunity to become a physician, but you did the hard work to fulfill your dreams.”

Collectively the students matched to programs in 18 states and Washington, DC. Approximately 43 percent of the students matched to programs in NYS, and 56 percent to programs in other states. The leading programs matched to included Internal Medicine (21 students), Emergency Medicine (15), Anesthesiology (12), and Pediatrics (11).

To view the celebration and some students’ matches see this video.

“You all stand on the threshold of your medical careers, a threshold can be the entrance to a new place, or it can be the beginning of some new chapter in our lives, or it can be the limit of a prior condition. For you it is all those things,” said William Wertheim, MD, Interim Dean of the RSOM.

Considering these challenging times in our society and in healthcare, Dr. Wertheim continued:  “COVID has become, during your student years, a fact of life. Though it has posed disruptions for you all, it has also created opportunities  — for you to witness the advances of science and how each of these advances is incorporated into practice, for the rapidity with which recognition of new conditions and new challenges are adopted into medical care. These are all good lessons to learn.”

Among the students matching include native Long Islanders Kristin Krumenacker and Justin Cheung. Krumenacker, a dual-degree student who will also earn a Master of Arts in Medical Humanities, Compassionate Care, and Bioethics in May, matched to a Radiology residency at Virginia Commonwealth University Health Systems. Cheung, who earned a BS in Chemical Engineering at Stony Brook University as an undergraduate, hopes to pursue a fellowship in hematology/oncology. He is one of four fourth-year students completing the BS to MD program at Stony Brook. Cheung matched to an Internal Medicine program at Massachusetts General Hospital.

Another student completing the BS to MD program at Stony Brook, Verdah Ahmad, matched to Rutgers Robert Wood Johnson University Hospital in New Jersey. A native of New Jersey, Ahmad was hoping to match to a school in the New York metro area. She is very happy to match to a program in her home state.

 

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File photo by Heidi Sutton

By Jim Hastings

The main order of business at the Village of Port Jefferson board meeting March 21 was the proposed budget for the 2022-23 fiscal year which begins June 1. The board is looking to approve the piercing of the 2% village property tax cap and raise it to 4.5%. Mayor Margot Garant said the piercing would be needed to recoup much of the loss brought on by the LIPA settlement, which equates to $122,383 a year.

The board discussed how 2.7% of the budget would go to union contracts. The removal of brush in the village and care of the sidewalks would total $118,000 and $150,000 respectively. The cost of snow removal, along with the purchase of sand and salt, was factored in. Sand and salt saw an increase of $10,000 over last year’s prices due to inflation. The village purchased two Bobcats to remove snow; the equipment was leased in the past. One of the Bobcats was paid for by the Business Improvement District, the other by the village.  

Garant discussed the Port Jefferson Country Club. Due to the erosion situation with the tennis courts at the edge of the cliffside, the club’s tennis pro has been forced to teach elsewhere throughout the village. $50,000 is budgeted for that. More on the country club will be discussed at the next meeting. 

Trustee Bruce Miller brought up the current greenkeeping situation. He posited the need for a professional gardener to care of the village’s flowerbeds and green spaces. Garant praised village gardener Caran Markson and the parks department for doing a great job, and for the continued handling during Markson’s medical leave due to injury on the job. No decision was made about a replacement at the meeting. 

Garant congratulated the board for its work on the budget, noting that the village is AA rated, which means it has a “very strong capacity to meet its financial commitments,” as defined by S&P Global Ratings.

The proposed budget will be posted five days before the next public hearing, which is to be held April 4.

Other points of business

• Parking in front of the post office: A vote was taken, and it was decided that two of the four spots in front would change from 10 minutes only to two hours.

Parking in the village: Paid parking begins on April 1 and continues until the day after the Dickens Festival in early December. Pricing will remain the same at 50 cents per hour Monday through Thursday and $1 per hour on the weekend. 

Long Island Explorium: Noting that some of the space is underutilized, Garant floated the idea of using some areas, like the upper balcony, for live music.

Recharge basin between Old Homestead and Oakwood roads: There has been a delay in the crushing of stone for the basin due primarily to a shortage in the workforce — most notably truck drivers.

Rocketship Park bathrooms: The facilities are still under construction but on track to open on April 1. 

Recreational activities: The Recreation Department ordered 16 more kayaks for Centennial Park beach. There is a proposal to bring pickleball to Texaco Avenue Park which would see the creation of two pickleball courts on the existing basketball court area. Summer camp is open to village residents until May 1 and will then be opened to nonresidents after that at a higher price. Summer camp is open to Village residents until May 1 and will then be opened to non-residents after that at a higher price.

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Ward Melville opened their 2022 lacrosse campaign with a home game against West Islip March 22.

Trailing by one goal at the half the Patriots’ sticks spoke loudest the rest of the way cruising to a 9-5 victory in the non-league season opener.

Ava Simonton led the way scoring her hat trick, and Grace Balocca found the net twice. Grace Mulham, Courtney Quinn, MJ Timpanaro and freshman Peyton Phillips all scored. Ward Melville retakes the field Saturday morning at home in another non-league contest against Garden City. Game time is scheduled for 10 a.m.