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Daniel Dunaief

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By Daniel Dunaief

Daniel Dunaief

From birth, hair has been a signal. I had hair when I was born, which probably doesn’t come as too much of a surprise to people who have known me for years.

When I was young, my haircutter used to imagine becoming wealthy by figuring out what made my hair grow so rapidly.

For those without hair, this isn’t a boast; it’s a part of a genetic heritage that cuts both ways. My hair, as it turns out, is also thick and fast growing on my eyebrows or, as people have preferred to say, eyebrow. The space between my eyebrows is just as eager to grow hair as the area just above my eyes.

In college, I tried to grow my hair longer to see how I’d look with shoulder-length hair. That was a failed experiment as my hair grew out instead of down, turning it into a heavy tangle of thick hair.

When I met my wife, I convinced her that I couldn’t disconnect the hair between my eyebrows, or I would be like Sampson and loose my strength. Amused as she was by the story, she let it slide. The afternoon of our wedding, she was stunned to see me with two eyebrows. She wanted to know what had happened and, more importantly, how I was still standing?

I told her that I went for a professional shave so that my usual facial shadow wouldn’t appear during the wedding. While I had my eyes closed, the barber removed the hair above my nose with a quick wrist flick.

Fortunately, my wife didn’t ask for ongoing removal of that hair when it returned.

As I’ve gotten older, hair has emerged from unwelcome places, making appearances from my ears and nose. Who needs hair there — and how could Charles Darwin possibly explain the presence of such unwelcome hair? Does the ear hair announce my advancing age and lower social value?

That brings us to today. As I was maneuvering through the usual deep thoughts, resolutions and promises for the start of the new year, an errant and unwanted fellow emerged from my nose. He was clearly long enough to attract attention, but what was especially surprising about “Jedediah” wasn’t just that he was long or that he seemed to rappel out of my nose. It was his color that offered such an unwelcome but realistic signal — Jedediah was gray.

Ugh! Who wants or needs a gray nose hair, not only offering the world a clue that my hair growth was out of control, but that I’m also so much older that even my nose hairs have started to show signs of aging? Do people dye their nose hairs?

Should I pluck him, trim him or wear him with pride, hoping that he distracts people from the progressively bushier pile of hair pouring out of my ears?

Wouldn’t a rugged individualist defy convention and wear the years and the hair growth with pride, despite the lack of magazine covers with contemporary studs like Hugh Jackman with hair coming out of their noses? If Hugh made gray nose hair fashionable, would I feel less self-conscious about Jedediah?

Poor Jedediah, who worked so hard to emerge from the nose cave, suffered the same fate as the errant hairs that grew out of my ears. He reluctantly left the warm comfort of my nose and was discarded into the trash.

While hair may tell a story about each person, Jedidiah will no longer be sharing mine, except for readers of this column.

Jason Sheltzer. Photo by ©Gina Motisi, 2018/CSHL

By Daniel Dunaief

A diagnosis of cancer brings uncertainty and anxiety, as a patient and his or her family confront a new reality. But not all cancers are the same and not all patients are the same, making it difficult to know the severity of the disease.

As doctors increasingly focus on individual patient care, researchers are looking to use a wealth of information available through new technology to assist with everything from determining cancer risks, to making early diagnoses, to providing treatment and aftercare.

Jason Sheltzer, a fellow at Cold Spring Harbor Laboratory, and his partner Joan Smith, a senior software engineer at Google, have sought to use the genetic fingerprints of cancer to determine the likely course of the disease.

By looking at genes from 20,000 cancer patients, Sheltzer and Smith found that a phenomenon called copy number variation, in which genes add copies of specific long or short sequences, is often a good indicator of the aggressiveness of the cancer. Those cancers that have higher copy number variation are also likely to be the most aggressive. They recently published their research in the journal eLife.

While the investigation, which involved work over the course of four years, is in a preliminary stage, this kind of prognostic biomarker could offer doctors and patients more information from which to make decisions about treatment. It could also provide a better understanding of the course of a disease, as copy number variation changes as cancer progresses.

“The main finding is simply that copy number variation is a much more potent prognostic biomarker than people had realized,” Sheltzer said. “It appears to be more informative than mutations in most single genes.”

Additionally, despite having data from those thousands of patients, Sheltzer and Smith don’t yet know if there’s a tipping point, beyond which a cancer reaches a critical threshold.

Some copy number changes also were more problematic than others. “Our analysis suggested that copy number alterations affecting a few key oncogenes and tumor suppressors seemed to be particularly bad news for patient prognosis,” Sheltzer said, adding that they weren’t able to do a clinical follow-up to determine how genes changed as the cancer progressed. 

“Hopefully, we can follow up this study, where we can do a longitudinal analysis,” he said.

Joan Smith. Photo by Seo-young Silvia Kim

Smith, who has written computer code for Twitter, Oracle and now Google, wrote code that’s specific to this project. “The analysis we’ve done here is new and is on a much more significant scale than the analysis we did in the past,” she said.

Within the paper, Smith was able to reuse parts of code that were necessary for different related experiments. Some of the reusable code cleaned up the data and provided a useful format, while some of the code searched for genetic patterns.

“There is considerable refinement that went into writing this code, and into writing code in general,” she explained in an email.

Smith has a full-time job at Google, where she has to clear any work she does with Sheltzer with the search engine. Before publication, she sent the paper to Google for approval. She works with Sheltzer “on her personal time,” and her efforts have “nothing to do with Google or Google Tools.”

The search engine company “tends to be supportive of employees doing interesting and valuable external work, as long as it doesn’t make use of any Google confidential information or Google owned resources,” including equipment supplies or facilities, she explained in an email.

The phenomenon of copy number variation occurs frequently in people in somatic cells, including those who aren’t battling a deadly disease Sheltzer said. “People in general harbor a lot of normal copy number variation,” he added.

Indeed, other types of repetitive changes in the genome have played a role in various conditions.

Some copy number variations, coupled with deletions, can be especially problematic. A tumor suppressor gene called P53, which is widely studied in research labs around the world, can accumulate copy number variations.

“Patients who have deletions in P53 tend to accumulate more copy number alterations than patients who don’t,” Sheltzer said. “A surprising result from our paper is that copy number variation goes above and beyond P53 mutations. You can control for P53 status and still find copy number variations that act as significant prognostic biomarkers.”

The copy number variations Sheltzer and Smith were examining were affecting whole genes, of about 10,000 bases or longer.

“We think that is because cancers are Darwinian,” explained Sheltzer. “The cells are competing against one another to grow the fastest and be the most aggressive. If a cancer amplifies one potent oncogene, it’s good for the cancer. If the cancer amplifies 200 others, it conveys a fitness penalty in the context of cancer.”

Smith is incredibly pleased to have the opportunity to contribute her informatics expertise to Sheltzer’s research, bringing together skill sets that are becoming increasingly important to link as technology makes it possible to accumulate a wealth of data in a much shorter term and at considerably lower expense.

Smith has a physics degree from MIT and has been in the technology world ever since.

“It’s been super wonderful and inspiring to get to do both” technology work and cancer research, she said.

The dynamic scientific duo live in Mineola. They chose the location because it’s equidistant between their two commutes, which are about 35 minutes. When they are not working, the couple, who have been together for eight years and have been collaborating in their research for almost all of them, enjoy biking, usually between 30 to 60 miles at a time.

Sheltzer greatly appreciates Smith’s expertise in using computer programs to mine through enormous amounts of data.

They are working on the next steps in exploring patient data.

By Daniel Dunaief

It’s an opportunity for a reunion, a celebration of a major employer on Long Island, and a chance to recognize the role residents played in a landmark achievement from the 1960s all rolled into one exhibition.

Kicking off tonight with a discussion and reception, the Port Jefferson Village Center will present an exhibit titled Grumman on Long Island, A Photographic Tribute featuring photographs and memorabilia from Grumman. The company, which became part of Northrop Grumman in 1994, started in 1929 and was involved in everything from the design of F-14 fighter jets to the lunar excursion module that carried astronauts Neil Armstrong and Buzz Aldrin to the surface of the moon 50 years ago this July.

Sponsored by Port Jefferson Harbor Education & Arts Conservancy, the exhibition will run through February. Port Jefferson Village Historian Chris Ryon will kick off the evening and John Hiz, who is the Belle Terre village historian, will serve as the master of ceremonies.

Special guests include former Grumman employees Vinny DeStefano, vice president of manufacturing; Hank Janiesch, vice president (F-14 Program); Rodger Schafer, technical adviser; Joe “Ruggs” Ruggerio, director of electronic warfare; Harold Sheprow, a flight test manager and former mayor of Port Jefferson; Jim Reynolds Sr., an ILS engineer; and Cmdr. Jim Roth, a combat pilot and aviation test pilot who was an instructor for the first Grumman A-6 Intruder squadron.

The exhibition boasts approximately 100 photos, which former Grumman employees provided to celebrate the company’s legacy. “People are coming in every day with boxes,” said Ryon in a recent interview.

In addition to the photos, the exhibition includes a test pilot helmet and several models that are 1/10th the scale of planes, including the X29, an F-14 and the Hawkeye.

“We are anticipating a huge turnout for this exhibit,” said Margot Garant, the mayor of Port Jefferson. “Grumman was an important economic engine for Long Island.” The aerospace company attracted many people to Long Island, Garant said, and she expects that many of them will visit the exhibit to share their experiences with former co-workers. The mayor said Ryon and Hiz have received a “massive response from people” who are proud of their role at the company.

Grumman designed and produced the lunar module that helped Capt. Jim Lovell, Fred Haise and Jack Swigert return safely from the troubled Apollo 13 mission. “We have [pictures of] Apollo 13 astronauts speaking to Grumman employees,” Ryon said.

When he was bobbing up and down after returning to Earth, Lovell recognized that Grumman helped save their lives, Hiz said. “That was a defining moment in what it meant to fly a Grumman aircraft, which was reliable, rugged and dependable,” he added.

Grumman alumni also shared their appreciation for the way the company treated them, including the yearly picnic complete with carnival rides and providing turkeys to their families during Christmas and Thanksgiving. “What’s really hit me is the emotional response people have when they talk about Grumman,” said Ryon.

Reynolds, who worked at Grumman for 40 years and retired in 2005, said the exhibit highlights all the vehicles that were tested and the ones that landed on the moon, adding he appreciated how management cared for the people who worked at the company. 

He recalled how he put his youngest son John Thomas Reynolds into the cockpit of an F-14 and told him not to touch anything. Reynolds asked his technicians to run the gear and fold the wings in and out. His son was so excited that his “eyes were tremendous,” Reynolds recalls. “For a young boy, it was really quite an experience.” 

A resident of Selden for 52 years, Reynolds said he recently ran into Vinny DeStefano, a former Grumman manager and the two former co-workers “shook hands for about an hour.”

The exhibit will also feature a test pilot section, which contains stories from Amy Tuttle, the program director at the Greater Port Jefferson-North Brookhaven Arts Council, whose father Bruce was a test pilot. Tuttle had to ditch his plane in 1951 outside of Port Jefferson Harbor (see sidebar).

Through several decades when Grumman employed over 20,000 people on Long Island, the company and the area were inextricably intertwined. “There was probably not a day that went by during the period prior to 1994 that you weren’t faced with” a Grumman connection, said Hiz, whether on WALK radio advertisements or seeing trucks on the Long Island Expressway.

Hiz described Grumman as being at the apex of the nation’s defense for so many years. At its heyday, Grumman built 70 percent of all the aircraft that flew from aircraft carriers, Hiz said. Part of what made Grumman so effective was the way the company designed each vehicle like a Swiss watch. 

“They created these fantastic flying machines with their hands. Most of the machinery, they had to build from day one,” said Hiz, adding that the work ethic of the employees and the ability to promote from within added to its resourcefulness.

Reynolds took “great pride in what I did on the program,” he said. He started as a technician in 1965 and received numerous awards, including a 10-day trip to Hawaii that he took with his wife.

“Don’t underestimate how important Grumman was to these guys who worked there and women that worked there,” Tuttle added. “They were incredibly devoted to the company. It was a corporation which was pretty unusual even then.”

The Port Jefferson Village Center, 101A East Main St., Port Jefferson will present Grumman on Long Island, A Photographic Tribute on its second- and third-floor galleries through Feb. 28. An opening reception will be held tonight, Jan. 10, from 6 to 9 p.m. with entertainment by Jazzopedia, a Grumman video tribute and light fare. For more information, call 631-802-2160. 

Sidebar:

Test pilot Bruce Tuttle brought ‘The Right Stuff’ to Long Island

By Daniel Dunaief

Bruce Tuttle

“The Right Stuff,” a phrase made famous by the late Tom Wolfe book about fighter pilots and astronauts, also thrived on Long Island.

On Dec. 10, 1951, Navy test pilot Bruce Tuttle took an F9S to varying altitudes, where he was asked to turn off the engine and then turn it back on. At 5,000 feet, everything worked as it should. Doubling that to 10,000 caused no problems. It wasn’t until 30,000 feet that the plane refused to reignite, causing a flame out.

Needing to ditch the plane, Tuttle directed it toward the Long Island Sound, ejecting into the thin air at over 5.5 miles in the sky.

Tuttle reached the frigid water, where he waited for eight minutes for help to arrive. When it did, the initial report indicated that he looked slightly better than expected. Tuttle told the Navy the only physical consequence of his fall was a scratch to his nose but he had fractured several vertebrae. Rather than take himself out of the running for future flights, Tuttle dealt with the pain and slept on a board for a year.

“All of these pilots looked at that as not only their calling, but they felt very strongly that this was important as Americans,” said Amy Tuttle, Bruce Tuttle’s youngest child and the program director at the Greater Port Jefferson-North Brookhaven Arts Council. “They were all patriotic guys.”

The plane Bruce Tuttle flew is still at the bottom of the Long Island Sound. 

The new Grumman exhibit at the Port Jefferson Village Center features several details from the test pilot’s work at the company and on behalf of the country, including a sonar image of the plane, which over the years has moved with the current under the Sound and is about two miles out from Old Field Point and the mouth of Port Jefferson Harbor. “If you take the Port Jefferson/ Bridgeport Ferry, you’re going right past the spot where dad’s plane crashed,” said Amy, whose father died in 2014.

Like other test pilots, Bruce Tuttle received a request to gauge his interest in joining the space program. He turned down the opportunity to be an astronaut because he didn’t want to be “in anything he couldn’t control,” explained Amy.

A Saks-34th Street advertisement from Oct. 11, 1953, reads, ‘Now you can own a jacket just like Bruce Tuttle’s … Chief Test Pilot for Grumman Aircraft Corp.’ Image courtesy of Amy Tuttle

Her father did, however, contribute to the space effort. When a crippled Apollo 13 was hobbling back from its ill-fated mission to the moon, he worked feverishly with other executives at NASA, Grumman and elsewhere to help guide the astronauts home.

“He’d come home from Bethpage to Stony Brook at 11 p.m., get up at 4 a.m. and go back out to Bethpage,” Amy said. “I remember asking him, ‘Dad, are you going to be able to get them back?’ He said, ‘Well, we’re working on it.’” She appreciated how her father couldn’t, and wouldn’t, guarantee a positive outcome.

Her father “worked on the lunar excursion module. They were using everybody’s knowledge that had ever worked on it to try to find a solution,” she said.

Amy thinks Apollo 13 was especially nerve wracking for test pilots like her father, who had been in combat, because it was “so important for them to get these guys on this mission back in one piece. The mindset was: no guy left behind.”

Bruce Tuttle’s interest in flying started on May 20, 1927, when his mother took him to a hillside in Port Jefferson to see Charles Lindbergh’s plane as it attempted to cross the Atlantic. Tuttle saw Lindbergh fly along the North Shore, head back as he reached Port Jefferson because of fog, and then head east again when he reached a clearing in Setauket.

“That made a big impression on him,” Amy said of her father, who won the Distinguished Flying Cross medal and who worked for Grumman from 1946 until the mid-1980s.

While Tuttle isn’t sure whether her father inspired anyone to fly jets, she said he was in an advertisement for a flight jacket from Saks-34th, which cost $15.95 in 1953.

Amy said her father was skeptical of the overuse of the word “hero.”

“He would say, ‘I’m not a hero,’ and I’m thinking to myself, you crashed a jet so that it wouldn’t land on anybody else and kill them. That’s pretty heroic.”

By Daniel Dunaief

Daniel Dunaief

I have no doubt “Alice,” which is not her real name, is a dedicated dancer. I haven’t seen her perform, I haven’t read reviews of a show or even seen a sparkling résumé with copious awards. I also have no way, just by looking at her, of recognizing whether her movements are so refined and controlled that she clearly expresses the majesty of music through movement.

How do I know about her talent? A recent family acquaintance, Alice is a senior in high school who is applying to college. When I asked about her essay, she generously shared it. As a condition for reading her work and writing about it, I agreed to allow her to remain anonymous.

The college application process forces young adults to distill their lives onto the lines of a page. They have the unenviable task of sifting through experiences, memories, hopes and aspirations as they try to figure out what to include and what to exclude.

The latter is perhaps more challenging. Most of us could tell stories about our lives, mentioning the day of the week, the time of year, the names of other people on a trip to New Zealand or the food we ate that day. Those details could be relevant if they indicate something specific about the writer, or they could provide a dense fog through which a reader struggles to find a truth, passion or personal meaning.

Tempting as it might have been for Alice to mention her dancing success or memorable performances, she excluded those details.

Alice honed in on a sensory experience linked to her practices, performances and passion for dance: the smell of her shoes. Indeed, the first line of her essay draws the reader into her world immediately, suggesting that she’s worried about the foul aroma of her shoes spreading through her car.

Beginning an essay with a sensory experience generates an immediately relatable experience, even among those of us who have never stood under hot lights on stage and contorted our bodies in carefully choreographed productions. Readers, whether they are admissions officers, high school teachers or contest judges, have all had moments when they worry a smell can give us away. It doesn’t have to be an unpleasant scent, as we may have cooked a surprise dinner for our partner and don’t want that person to know about it until mealtime.

Alice goes on to describe how the smell reflects the hard work, pain and beauty connected with her dancing. We all have seen the bright light moments when people perform, whether they’re dancing ballet, catching a ball on a Major League Baseball field or sharing a poem they’ve written.

These moments and concerns in between the performances occur more frequently and capture more about Alice’s inner thoughts and drive. The smell becomes an unpleasant but hard-earned badge of honor.

Alice goes on to describe how these shoes mirror her participation in a pursuit that requires her to reach a level of perfection she suggests the body doesn’t achieve naturally. She adds an awareness of the individual nature of the performance, coupled with the fact that she’s never alone, surrounded by others whose feet have the same smell.

Through descriptions like these, Alice is revealing fine details of what she’s doing, the by-product of the effort she exerts and the shared sense of purpose she has with her fellow dancers.

College essays require a mental perspiration akin to that which affected Alice’s shoes. Through those efforts, however, writers not only reveal more about themselves, but they also create lasting impressions for readers searching for evidence of commitment and passion.

Heather Lynch visits Cape Lookout in Antarctica during recent trip that included an NBC TV crew that produced a feature for ‘Sunday Night with Megan Kelly.’ Photo by Jeff Topham

By Daniel Dunaief

Heather Lynch is thrilled that she’s in the first class of scientists chosen as a recipient of the National Geographic AI for Earth Innovation Grant.

An associate professor of ecology and evolution at Stony Brook University, Lynch uses computers to study satellite images to reveal details about populations of penguins.

In addition to determining how many penguins are in an area, Lynch also can use images of the stains penguin poop leaves on rocks to determine what the penguins eat. Krill, which feeds on the underside of ice, is reddish or pinkish, while fish leave a white stain.

Heather Lynch with a penguin. Photo from Heather Lynch

A total of 11 researchers won the grants, which are a combined award from Microsoft and the National Geographic Society and were announced in December. The winners were chosen from more than 200 qualified scientists.

“This is the first grant that National Geographic and Microsoft are doing,” Lynch said. “It’s super exciting to be in the inaugural group.”

To hear from Lynch’s colleagues, she is an extraordinary candidate for a host of awards, including recognition as one of the TBR News Media People of the Year for 2018.

In addition to landing a coveted grant for her innovative research using sophisticated computers and satellite images, Lynch earlier this year made a remarkable discovery using Landsat imagery about a population of Adélie penguins on the Danger Islands in the Antarctic that was largely unknown prior to her published paper.

This archipelago of nine islands, which were named because of the ice that is impenetrable in most years, was home to 1.5 million penguins, which she surveyed using a combination of photos, drone imagery and hand counting. That figure represents a substantial population of a charismatic animal whose numbers often are used as a way to determine the health of a delicate region managed by a collection of nations.

“She does such good work,” said Patricia Wright, a distinguished service professor at Stony Brook University and the founder and executive director of Centre ValBio, a research station in Madagascar. Her discovery of the additional Adélie penguins was “fantastic.”

Lynch received some pushback from people who thought the discovery of these penguins ran counter to the narrative about the need for conservation. Wright appreciates how Lynch shared the discovery with the public, reinforcing her scientific credibility.

“She’s an example of a scientist who doesn’t give in to political pressure,” Wright said. “It’s difficult sometimes to face up to people who have good intentions, but who don’t seem to want to accept the reality.”

While the discovery of the Adélie penguins was remarkable, it doesn’t necessarily run contrary to the notion about the delicate balance of the Antarctic ecosystem, and it also doesn’t indicate that the population is soaring in a way the flightless water fowl never will. Indeed, the 1.5 million penguins may have been higher in the 1990s, although she is working to pin down exactly how much larger they might have once been.

Heather Lynch at Spigot Peak in the Antarctic. Photo by Catherine Foley

Lynch has also won admiration and appreciation from Assemblyman Steve Englebright (D-Setauket), who recently won his 14th term and has focused attention on environmental issues.

“Her ability to use statistics and mathematics to further conservation biology is pioneering work and worthy of recognition,” Englebright said.

The assemblyman believes scientists and policymakers are still in the early part of the process of understanding the complexity of the ecosystems in the Antarctic.

Finding the penguins on the Danger Islands doesn’t mean the “Antarctic is any less at risk. We still have to place that discovery into its proper context and [Lynch] is helping us do that,” Englebright said.

People who have ventured to the Antarctic with her admire Lynch’s focus, energy
and stamina.

Michelle LaRue, who is a lecturer at the University of Canterbury in New Zealand, suggested that Lynch was “the most hardworking scientist that I know.”

LaRue recalled a time when Lynch was ill, and she still got up and did her job every day.

“The work we were doing wasn’t easy,” LaRue said. “I know she didn’t feel well and she kept going. She has a lot of perseverance.”

LaRue appreciates how her fellow scientist sees the “forest for the trees,” using a combination of high technology and considerable on-site counting to understand what changes in the penguin population reveal about the region.

Michael Polito, an assistant professor in the Department of Oceanography and Coastal Sciences at Louisiana State University, has also worked with Lynch for years. He appreciates how she’s “not afraid of uncertainty. In science, it’s knowing how well you know something. She’s amazing at taking data and information, which from the natural world is messy, and analyzing it and helping people pull useful and meaningful knowledge from complex situations.”

Ron Naveen, who founded the nonprofit group Oceanites in 1987, has worked with Lynch for 11 years.

“I’m very much proud of her work ethic and the standard of excellence she brings to the job,” Naveen said.

Oceanites collaborates with Lynch and others, Naveen said, to understand how penguins have reacted to climate change in an area where temperatures have been increasing at a faster rate than they have for much of the rest of the world.

Naveen recalls how Lynch, whom he describes as “petite and energetic” lugged around “amazingly heavy equipment,” including a camera for a Google Earth project.

“Whether [Lynch] is hiking, using a satellite or a drone, or lugging equipment that’s heavier than she is, she gets the data,” Naveen said.

He recalled a lab meeting with Lynch, who was a postdoctoral researcher at the University of Maryland in the lab of William Fagan. Lynch circled the room as she wrote on the board, sharing statistical language to explain a point.

“I had no bloody idea what she was talking about,” Naveen said. “When she was done, she sat down with a smile, and I raised my hand and innocently asked, ‘Would you mind translating that into plain English?’ Without missing a beat, she did.”

By all accounts, she’s continuing to do that.

By Daniel Dunaief

Brian Hoerger saw the doors bowing inward. A deluge of about 4 inches of rain in an hour or so in Port Jefferson on Sept. 25 sent a river of water toward Theatre Three, which was holding auditions for “A Christmas Carol” and was preparing to share “The Addams Family” a few days later.

Brian Hoerger in front of Theatre Three

The doors and nearby windows were no match for water that came flooding in, submerging a lighting board, damaging props and leaving tens of thousands of dollars in damage.

Hoerger, the facilities manager at the theater founded in 1969, sprang into action, salvaging what he could, removing what was unrecoverable and stabilizing the situation enough that he could leave around midnight and return six hours later to continue the cleanup effort.

To hear his friends tell it, Hoerger’s response, which included coordinating more than 50 volunteers and prioritizing a way to get the theater back in action just a few days later, is typical of a man committed to the community.

Hoerger has “an unparalleled devotion to helping others,” said Mollie Adler, who attended high school in Port Jefferson with him. “He’s always been extraordinarily helpful.”

In response to the devastating water in the building, Hoerger “worked nonstop,” said Jeffrey Sanzel, executive artistic director of Theatre Three. “He was physically cleaning, he was supervising the things that had to be thrown out and he was dealing with a lot of the main stage electrical stuff.”

Margot Garant, mayor of Port Jefferson, recalled how she and Hoerger were “knee deep in the water,” and that he “goes above and beyond” with his lighting expertise.

“You call him, and he’s always there for you,” she said.

Hoerger was involved in setting up the rental for the replacement of the dimmer rack, which provides the stage lighting.

“He put the theater first, and he put the needs of the staff and the cast that was running in ‘The Addams Family’ first,” Sanzel said. “He stayed positive the whole time. He was always available.”

Hoerger wasn’t involved in much theater. A friend from when the two of them were 5, Eric Cherches, who was then a board member at Theatre Three, suggested that Hoerger give the theater a chance when he returned to Long Island in 2014.

Hoerger said he was hooked, especially by the production of “Sweeney Todd.”

“It was a great show, and the talent was amazing,” recalled Hoerger, who has helped with lighting, carpentry and building sets. While the Theatre Three cast and crew appreciate all he does to support them, he has also built up a reputation as a cook.

Beyond his work with Theatre Three, Hoerger has contributed in numerous other ways.

He pitches in with prom decorations.

The downstairs of Theatre Three after the flash flood. Photo by Kyle Barr

“Little kids will accompany their parents to work on the prom for older siblings or cousins,” said Cherches, a lawyer at the Law Offices of Eric D. Cherches in Port Jefferson. “Everybody knows [Hoerger]. He has a way of making everybody a friend.”

Hoerger has been helpful to Adler, who has had three surgeries for breast cancer and is a single mom dealing with significant financial challenges.

“My house was falling apart,” Adler said. “He helped organize a group of guys we went to school with” to come repair holes in the deck, to paint her door and to repair other problems.

Adler bakes Miss Mollie’s Brownies to support herself and her family. Hoerger brought her brownies into Theatre Three, which shares in the profits for the baked goods.

In addition to the many roles Hoerger has played at Theatre Three, which also include serving as a photographer, the organization has offered him a chance to stand in front of the lights he ensures are working. Sanzel asked Hoerger if he’d be willing to play the role of Mr. Fusco, the hardware store owner in “Saturday Night Fever.”

“That’s not my thing,” Hoerger said. “I enjoy watching the shows and being behind the scenes.”

Hoerger’s colleagues at Theatre Three appreciate his preparation and contributions in the moments when torrential rains don’t hit.

“Any time there’s a chance of heavy rain, he is out there with his pump and hoses snaked around the parking lot,” said Vivian Koutrakos, managing director at Theatre Three. “I’m more impressed with that” in those moments “when we’re not calling on the world to come help us.”

Bringing his childhood friend to the group was “the best thing I did during my almost 10 years on the board,” Cherches said.

Left, Lauren Hale; above, teenagers need 8 to 10 hours of sleep every night.

By Daniel Dunaief

Around this time of year, people shop for gifts for others, decorate for the holidays, and generally raise their stress level as they search for the perfect holiday plan. Somewhere in between the to-do lists and the to-buy lists, some ambitious holiday revelers also consider making a for-me list, or the equivalent of a collection of pre-New Year’s resolutions.

Often appearing in that collection is a desire to live better, to stick to a diet, to embark on a healthy lifestyle and to enjoy the moments, big and small, on the horizon in 2019.

Often overlooked in the end-of-the-year cycle is if people hope for the chance to get more sleep. That, however, may make many of those other goals — weight loss, better work performance or a calm reaction to events — more manageable.

Times Beacon Record News Media recently spoke with Stony Brook University sleep expert Lauren Hale, who is a professor of family, population and preventive medicine and teaches in the Program in Public Health at Stony Brook. Hale is also the editor-in-chief of Sleep Health.

TBR: You recently published a journal article in Sleep Health in which you linked late night social media use by National Basketball Association players with their performance. Can you talk about that?

LH: This is a coarse estimate at showing that being up late is associated with worse outcomes. It’s not necessarily saying it’s only because they’re staying up late.

TBR: How much data did you examine?

LH: We looked at seven seasons of data. We were interested in how players did on games following late night tweets compared to games following no tweeting activity. … If your shooting percentage drops by 1.7 percentage points, that could be the difference between a win and a loss.

TBR: Have you extended this work to any teams?

LH: I’m talking with the Stony Brook Athletics Department to incorporate sleep hygiene into the players’ routines. We’re hoping to start with men’s basketball in the spring of 2019.

TBR: What are some sleep strategies?

LH: There is a list of sleep hygiene strategies. Many will seem like common sense. They include having a regular bedtime, which you calculate based on when you need to wake up and how many hours of sleep you need to get, limiting caffeine, tobacco and alcohol… [They also include] not eating too many heavy foods right before bed, exercising, preferably earlier in the day and reducing screen time at night.

TBR: Does the optimum number of hours of sleep change with age?

LH: Yes. Little kids sleep a lot and need a nap. As they get older, they lose the nap, but still need to sleep 9 to 11 hours. Teenagers need 8 to 10. Adults typically need 7 to 9 hours.

TBR: How do you manage sleep in your house?

LH: We have young children, so we know how challenging it can be. The younger one goes to day care and naps two hours. It’s hard to get him to go to sleep. I’m not good about putting my phone down in the hour before bed. We do have a charging location downstairs in our house, so the devices are limited in the bedroom. The children don’t watch screens in the half hour or hour before bed.

TBR: What’s the link between sleep and weight loss?

LH: Sleep duration is inversely associated with weight gain. Individuals not getting enough sleep are more likely to gain weight. The choices of food you make when you’re sleep deprived are worse. Your hormones make you hungrier and less full. The choices you make also show less self-discipline. When you’re sleep deprived, you’re unlikely to make yourself a salad.

TBR: Did you see the recent study that links sleep and anger?

LH: It is consistent with some work I’m doing on teenagers. We know sleep is important for emotional regulation. I’m not surprised that it’s linked.

TBR: Should people who want to lose weight focus on sleep?

LH: There are obesity experts who have taken on sleep as one of the three pillars of optimal health: sleep, exercise and diet. Among those three, sleep is usually the one that’s the most overlooked.

TBR: How else does sleeping affect weight?

LH: If you want to stick to your diet, stay on a regular sleep schedule that’s going to give you the sleep you need. Eating during normal activity phases — daytime for humans — prevents obesity. 

TBR: Is there evidence that too much sleep can be bad for health as well?

LH: There’s not good evidence of a casual link between long sleep and poor health. There is strong evidence that there’s an association, due to reverse causality, that shows that sicker people need more sleep. If you’re sleeping more than 11 hours, that might be a sign that you have an underlying condition that is contributing to you needing 11 hours.

TBR: What is your next sleep-related study?

LH: My primary current research is about studying teenagers and the causes and consequences of their insufficient sleep. Some of the factors that affect adolescent sleep are screen-based media use and early school start times.

TBR: Could sleep patterns be an important indicator of health?

LH: We would love to see sleep treated as a vital sign, in which every patient gets asked. It’s not asked about and it’s not, in and of itself, sufficient [for a specific diagnosis]. It’s a good marker of well-being.

TBR: Did people believe a certain amount of sleep was optimal 50 years ago and has that number risen or fallen since then?

LH: The number of recommended hours has been relatively consistent over time. There’s just more science to support the recommendations now.

By David Dunaief, M.D.

Dear Santa,

Dr. David Dunaief

This time of year, people around the world are no doubt sending you lists of things they want through emails, blogs, tweets and old-fashioned letters. In the spirit of giving, I’d like to offer you some advice.

Let’s face it: You aren’t exactly the model of good health. Think about the example you’re setting for all those people whose faces light up when they imagine you shimmying down their chimneys. You have what I’d describe as an abnormally high BMI (body mass index). Since you are a role model to millions, this sends the wrong message.

We already have an epidemic of overweight kids, leading to an ever increasing number of type 2 diabetics at younger and younger ages. According to the Centers for Disease Control and Prevention, as of 2015, more than 100 million U.S. adults are living with diabetes or prediabetes. It complicates the issue that approximately two-thirds of the U.S. population is overweight and/or obese. This is just one of many reasons we need you as a shining beacon of health.

Obesity has a much higher risk of shortening a person’s life span, not to mention quality of life and self-image. The most dangerous type of obesity is an increase in visceral adipose tissue, which means central belly fat. An easy way to tell if someone is too rotund is if a waistline, measured from the navel, is greater than or equal to 40 inches for a man, and is greater than or equal to 35 inches for a woman. The chances of diseases such as pancreatic cancer, breast cancer, liver cancer and heart disease increase dramatically with this increased fat.

Santa, here is a chance for you to lead by example (and, maybe by summer, to fit into those skinny jeans you hide in the back of your closet). Think of the advantages to you of being slimmer and trimmer. Your joints wouldn’t ache with the winter cold, and you would have more energy. Plus, studies show that with a plant-based diet, focusing on fruits and vegetables, you can reverse atherosclerosis, clogging of the arteries.

The importance of a good diet not only helps you lose weight, but avoid strokes, heart attacks and peripheral vascular diseases, among other ailments. But you don’t have to be vegetarian; you just have to increase your fruits, vegetables and whole-grain foods significantly. With a simple change, like eating a handful of raw nuts a day, you can reduce your risk of heart disease by half. Santa, future generations need you. Losing weight will also change your center of gravity, so your belly doesn’t pull you forward. This will make it easier for you to keep your balance on those steep, icy rooftops.

Exercise will help, as well. Maybe for the first continent or so, you might want to consider walking or jogging alongside the sleigh. As you exercise, you’ll start to tighten your abs and slowly see fat disappear from your midsection. Your fans everywhere leave you cookies and milk when you deliver presents. It’s a tough cycle to break, but break it you must. You — and your fans — need to see a healthier Santa. 

You might let slip that the modern Santa enjoys fruits, especially berries, and veggies, with an emphasis on cruciferous veggies like broccoli florets dipped in humus, which have substantial antioxidant qualities and can help reverse disease. And, of course, skip putting candy in the stockings. No one needs more sugar, and I’m sure that, over the long night, it’s hard to resist sneaking a piece, yourself.

As for your loyal fans, you could place fitness videos under the tree. In fact, you and your elves could make workout videos for those of us who need them, and we could follow along as you showed us “12 Days of Workouts with Santa and Friends.” Who knows, you might become a modern version of Jane Fonda or Richard Simmons or even the next Shaun T!

How about giving athletic equipment, such as baseball gloves, footballs and basketballs, instead of video games? You could even give wearable devices that track step counts and bike routes or stuff gift certificates for dance lessons into people’s stockings. These might influence the recipients to be more active.

By doing all this, you might also have the kind of energy that will make it easier for you to steal a base or two in this season’s North Pole Athletic League’s Softball Team. The elves don’t even bother holding you on base anymore, do they?

As you become more active, you’ll find that you have more energy all year round, not just on Christmas Eve. If you start soon, Santa, maybe by next year, you’ll find yourself parking the sleigh farther away and skipping from chimney to chimney.

The benefits of a healthier Santa will ripple across the world. Think about something much closer to home, even your reindeer won’t have to work so hard. You might also fit extra presents in your sleigh. And Santa, you will be sending kids and adults the world over the right message about taking control of their health through nutrition and exercise. That’s the best gift you could give!

Wishing you good health in the new year,

David

P.S. I could really use some new baseballs, if you have a little extra room in your sleigh.

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. 

٭We invite you to check out our new weekly Medical Compass MD Health Videos on Times Beacon Record News Media’s website, www.tbrnewsmedia.com.٭

By Daniel Dunaief

Daniel Dunaief

As we marinate in the warmth of the holidays, we have a chance to spend time with friends and family.

We’ve chosen most of our friends ourselves. OK, maybe that’s not exactly true, as we inherit friends from our parents when we’re young: “Oh, why don’t you play with Timmy, who is the son of my best friend whom I met when I was your age”; and from our children when we’re older: “Hey, dad, can you hang out with Allisa’s parents while we wander through Great Adventure theme park.”

Despite the somewhat limited pool of people from which to choose our friends, we often pick those people who share similar values, a sense of humor or a tolerance for politicians.

We don’t have the same luxury with our families. We have nutty family members who say and do all kinds of things that make us cringe, that cause us to laugh long after the events are over or who simply make us scratch our heads.

We often think it’s the other family members who are the oddballs but, in truth, we’re all pretty strange.

Long before people voted each other off shows or islands in situations that seemed completely contrived in reality TV shows, family members confronted the awkward moments when they saw each other, year after year, at holidays, birthdays, special occasions and, perhaps, uncomfortable or less-than-ideal moments.

Families provide us with opportunities to test ourselves and our theories without worrying about losing a job, losing a friend or losing our minds. We can challenge ourselves and our families with ideas percolating in our heads, but that may not be exactly what we believe.

Our families receive the best and the worst of our impulses, as we step forward to help each other, but also encourage independent growth and development.

As older members of families, we hope to lead not only by our words but by our examples. Failing that, however, we hope that our spouses, children, parents and siblings can see us for the range of our contributions to the family, and not just for that ignominious moment that we’d just as soon forget.

Families offer reality checks on the myths we create for ourselves. “No, Dan, you didn’t win that horseback-riding ribbon because you had such a great ride. You fell off the horse and the judges felt sorry for you when you landed in horse manure. Good try, though.”

These moments when families hold up mirrors to us can help ground us, keeping us from becoming too proud or mighty. On the other side, however, when we’re feeling down, families can serve as the perfect counterweight, suggesting that we have succeeded in more difficult circumstances and that they are certain of a positive outcome, even if we harbor significant doubts.

Movies about families often run the gamut of emotions, from slapstick, to comical, to serious and even bruising, as rivalries that run amok can become the origin of dysfunction even when we step away from these familial contacts.

Certainly, therapists often start and end with the family dynamic, drawing an understanding of habits we may not know we have until we look back at the lives and roles that brought us to this point.

At their best, families can inspire and encourage, while suggesting that we can and should believe in ourselves while we pursue our goals. Ultimately, families who demonstrate unconditional love and support, even if they do laugh at us periodically, set the kind of example that makes the accomplishments of the next generation possible. Here’s to everything we give, get and laugh about from the people we call family.

Danny Bluestein and Wei-Che Chiu, a Stony Brook biomedical engineering doctoral student, with ventricular assist devices. Photo from SBU

By Daniel Dunaief

Some day, a doctor may save your life, repairing a calcified heart valve that jeopardizes your health. But then, the doctor may owe his or her latest lifesaving procedure to the work of people like Danny Bluestein, a professor in biomedical engineering and the director of the Biofluids Laboratory at Stony Brook University, and an international team of colleagues.

The group is working on restoring blood flow from the heart to the body using approaches for patients for whom open heart surgery is not an option.

Recently, the National Institutes of Health awarded the research crew a five-year $3.8 million grant to work on a broad project to understand ways to improve transcatheter aortic valve replacements, or TAVR, while reducing or minimizing complications from the procedure.

Danny Bluestein with his wife, Rita Goldstein. Photo from D. Bluestein

The grant is “not just about developing a new device, which we’ve been developing already for several years, but it’s also developing it in such a way that it answers challenges with disease and what clinical problems current technology offers solutions for,” Bluestein said.

TAVR provides a prosthetic valve for high-risk surgery patients. Like stents, TAVR is inserted through an artery, typically near the groin, and is delivered to the heart, where it improves the efficiency of an organ compromised by calcification on a valve and on the aorta itself.

Patients who have been candidates for TAVR are usually over 70 and often struggle to walk, as their hearts are enlarged and lose flexibility.

TAVR surgeries are performed in as many as 40 percent of such operations in some parts of Europe and the United States. The numbers have been increasing in the last couple of years as the technology has improved in different iterations of TAVR.

These valves are not only helping high-risk patients, but they are also assisting moderate and lower risk candidates.

Doctors have used TAVR for off-label uses, such as for people who have congenital difficulties with their valves, and for people who have already had open heart surgeries whose replacement valves are failing and who may be at risk for a second major heart operation.

Recovery from TAVR is far easier and less complicated than it is for cardiac surgery, typically requiring fewer days in the hospital.

Indeed, numerous researchers and cardiologists anticipate that this percentage could climb in the next several years, particularly if the risks continue to decline.

The team involved in this research effort is working with a polymer, hoping to reduce complications with TAVR and develop a way to tailor the valve for specific patients.

“If you’re a polymer person like me, you know we can make this work,” said Marvin Slepian, the director of the Arizona Center for Accelerated BioMedical Innovation at the University of Arizona. Slepian is pleased to continue a long collaboration with Bluestein, whose expertise in fluids creates a “unique approach to making something happen.”

The tandem is working with Rami Haj-Ali, the Nathan Cummings Chair in Mechanics in the Faculty of Engineering at Tel-Aviv University in Ramat Aviv, Israel. “To enable this technology, we need to better understand the current” conditions, said Haj-Ali, who uses computer methods to study the calcium deposited on the valve to understand the stages of the disease.

The valve Bluestein is proposing includes “new designs, new simulations, and new materials” that can create “less reactions with patients and overcome” problems TAVR patients sometimes face, Haj-Ali explained.

One of the significant challenges with TAVR is that it typically only lasts about five to six years.

“The idea of the NIH and this project is to extend the built-in efficiency of such a procedure,” Bluestein said. “TAVR is moving very fast to extend its functionality and durability.”

When the valve is inserted into the body, it is folded to allow it to fit through the circulatory system. This folding, however, can damage the valve, making it fail faster than in the surgical procedure.

As a part of this research, Bluestein and his team will explore ways to change the geometry of the TAVR according to the needs of the patient, which will enhance its functionality for longer. Bluestein and others will test these changing shapes through models constructed on high-performance computers, which can test the effect of blood flowing through shapes with specific physical passageways.

“Eventually, the future would involve custom designed valves, which would be optimal for the specific patient and will extend the lifespan of such a device,” Bluestein said.

A current off-label use of the TAVR valve involves assisting people born with an aortic valve that has two leaflets. Most aortic valves have a third leaflet. People with bicuspid aortic valves develop symptoms similar to those with calcification.

Going forward, Bluestein and his team plan to design valves that are specific for these patients.

A small percentage of patients with TAVR also require pacemakers. The device can interact with the electrophysiology of the heart and impair its rhythm because it creates pressure on the tissue. It is likely pushing against special nodes that generate the heart rhythm.

These studies include exploring the mechanical stress threshold that requires implantation of a pacemaker. By moving the device to a slightly different location, it may not interfere with the heart rhythm.

A resident of Melville and Manhattan, Bluestein is married to Rita Goldstein, who is a professor of psychiatry and neuroscience at the Icahn School of Medicine at Mount Sinai. 

Bluestein was raised in Israel, where he did his doctoral work. He became intrigued by the study of the flow of blood around and through the heart because he was interested in blood as a living tissue.

As for the ongoing work, Haj-Ali is optimistic about the group’s prospects. The scientists that are a part of this effort “bring something to the table that, in combination, doesn’t exist” elsewhere, he said.