CLOSE
Authors Posts by TBR Staff

TBR Staff

4894 POSTS 0 COMMENTS
TBR News Media covers everything happening on the North Shore of Suffolk County from Cold Spring Harbor to Wading River.

by -
0 376
The property is adjacent to Cordwood Landing County Park off of Landing Road in Miller Place. Photo by Erika Karp

By Jenni Culkin

A parcel of wooded land next to Cordwood Landing County Park in Miller Place is up for grabs, and the community isn’t letting the land be developed without a fight.

The 5.4-acre parcel, which backs up to the more than 64-acre county park off of Landing Road, has value to the residents of Miller Place, and according to Legislator Sarah Anker (D-Mount Sinai), constituents have been making it clear that the land needs to be preserved.

A website and Facebook group, operating under the name Friends of Cordwood Landing, was launched a few months ago, and the group has been advocating for the land’s preservation. A representative from the group could not be reached for comment.

Back in December 2014, Anker began the process of acquiring the land from its owner, Rocky Point developer Mark Baisch, of Landmark Properties. The legislature unanimously voted to start the acquisition process so that the county could protect the area, which Anker described in a phone interview on March 17 as “residential,” from possible commercialization or industrialization.  The county has hired appraisers to determine the land’s worth. According to law, the county can’t pay any more than the appraised value.

Anker said she would like to see the land become a part of the waterfront property of Cordwood Landing.

“I am a true environmentalist,” Anker said. “I will do everything I can to advocate and move this parcel forward through the acquisition process.”

According to Town of Brookhaven planning documents, Baisch submitted a request for a subdivision back in January. In a recent phone interview, Baisch said he would like to build homes on the land. However, if the county’s offer is sufficient, he said he would sell the land.

Anker said the proposal to acquire the land is currently in its early stages and is awaiting approval from the Environmental Trust Fund Review Board. If approved, the proposal will head to the Environmental, Planning, and Agriculture Committee, of which Anker is a member. She expects the proposal to get there by April.

In 2013, the county tried to purchase the land from its original owner, but the owner refused to sell.

by -
0 2175
Gordon Brosdal addresses parents about full-day kindergarten on Wednesday. Photo by Erika Karp
A small contingent of parents erupted into a round of applause at Mount Sinai’s Wednesday night school board meeting, as Superintendent Gordon Brosdal announced that full-day kindergarten is included in his 2015-16 budget proposal.
Gordon Brosdal addresses parents about full-day kindergarten on Wednesday. Photo by Erika Karp
Gordon Brosdal addresses parents about full-day kindergarten on Wednesday. Photo by Erika Karp

The meeting marked the first time district administrators committed to making the jump from half-day kindergarten. However, they were quick to remind parents that the move helps more than just the youngest students.

“It’s not a full-day K budget,” Brosdal said. “By giving our kids full-day K, you’re benefiting our entire program.”

The school board still must vote on whether to adopt the budget next month before it goes to a community vote on May 19. The proposed $56.7 million plan increases spending by a little more than 3 percent over the current year and stays within the school district’s tax levy increase cap of 1.86 percent.

Last month, a group of residents spoke in support of full-day kindergarten, saying students need the additional classroom time to meet the new Common Core Learning Standards.

Supporters of the plan had previously expressed concerns that students would fall behind under a half-day program, as there isn’t enough time to cover all the topics required by the Common Core. This was also a worry for Brosdal, who said under a full-day program students would have extra time to learn and would benefit down the line, as would their teachers, who will no longer have to worry about playing catch-up.

Last month, Renee Massari, one of the parents who supported the full-day plan, said she supported full-day kindergarten because she is seeing her son struggle this year as a first-grader who went to a half-day program. On Wednesday, she thanked the district administrators for proposing the change.

“I think I am speaking on behalf of plenty of people when I say thank you and we are excited.”

While the district is receiving $459,125 in state aid to help implement the program, it will still have to spend $90,000 of its own funding to cover the cost. In past budget presentations, officials had estimated a higher district cost.

At previous meetings, school board members agreed that full-day kindergarten was important for student success, but were hesitant to propose the change, as they wanted to make sure the district’s current Kindergarten through 12th grade offerings were maintained and the full-day program would be sustained in the future.

“The board and myself annoyed you perhaps, but you have to look at the budget down the road,” Brosdal said.

On Wednesday, school board President Robert Sweeney spoke about some of the challenges in budgeting for the upcoming school year, as the district grapples with a dwindling surplus, which could run out by 2017-18.

Even so, he said he remained optimistic about the future, as the school board members advocate for additional education aid and legislators move to restore the Gap Elimination Adjustment, a reduction in aid for each school district that was once used to plug a state budget deficit.

Sweeney thanked residents for their patience, but was blunt about the importance of voting in the future.

“Where will you be in the future, as a community, in terms of supporting your school?” he asked.

by -
0 500
Abdelgheni Dakyouk mugshot from SCPD

Police have arrested the man they say is responsible for an early morning hit-and-run in Coram that killed a pedestrian.

According to the Suffolk County Police Department, East Patchogue resident Abdelgheni Dakyouk, 48, has been charged with leaving the scene of a fatal incident without reporting.

Shortly after the crash on Route 112 on Saturday, March 14, police reported that the victim had been walking north between Granny Road and Route 25 when he was hit by a light-colored, possibly tan vehicle. The incident occurred just before 6 a.m. and the driver, whose car had front-end damage, fled north.

Police arrested Dakyouk on March 18, following an investigation by detectives from the SCPD’s Vehicular Crime Unit.

Attorney information for Dakyouk was not available. He was scheduled to be arraigned on March 19.

Officials have not yet named the victim, who was pronounced dead at the scene. But two days after the crash, police announced they had “tentatively identified” him as a 37-year-old Medford resident, awaiting positive identification by detectives and the Office of the Suffolk County Medical Examiner. Police said they had notified the person’s next of kin.

by -
0 351
Jack Muise, 14, is a national Tourette Syndrome Association youth ambassador. Photo from Jack Muise

A Northport teen will be standing on the steps of Capitol Hill, in Washington, D.C., this month to speak with lawmakers about Tourette’s syndrome.

Jack Muise, 14, is a national Tourette Syndrome Association youth ambassador. Photo from Jack Muise
Jack Muise, 14, is a national Tourette Syndrome Association youth ambassador. Photo from Jack Muise

Jack Muise, 14, is a ninth-grader at Northport High School. At the age of 10, Jack was diagnosed with Tourette’s syndrome, a neurological disorder characterized by repetitive, stereotyped, involuntary movements and vocalizations called tics, according to the National Institute of Neurological Disorders and Stroke.

Sponsored through the national Tourette Syndrome Association, Jack was selected as a youth ambassador — a title that will give him the opportunity to attend a two-day training in Arlington, Va., with 39 other 13- to 17-year-olds, from March 23 to 25, to learn how to educate peers about the disorder.

Jack, who says he is very excited about the training, learned about the program through his Tourette’s syndrome support group, which generally meets once a month from September through June in Old Brookville in Nassau County.

The youth ambassador program originated from Jack’s own support group — the national group’s Long Island chapter. Jennifer Zwilling, now 24, who also has Tourette’s syndrome, started the training program in 2008.

“The goal of this exciting program is to educate children all over the country about TS, a widely misunderstood disorder,” Zwilling said in a press release. “We are following the motto ‘think globally, act locally.’ Understanding and tolerance are the program’s goals.”

Since 2008, the youth ambassador program has completed more than 1,000 activities, including presentations, interviews and training sessions and, through its combined efforts, has reached over 5.5 million people.

Following the training, all of the youth ambassadors, Jack included, will meet with their respective local representatives on the steps of Capitol Hill on March 25.

Jack will be meeting with U.S. Rep. Steve Israel (D-Huntington), New York’s 3rd Congressional District representative, to advocate for support for the neurological disorder, he said.

“I think people don’t understand, for me personally, it’s when I say inappropriate things that I can’t control and people think I’m weird,” Jack said. “I just want to be able to explain what it is and make them aware and hopefully make them better people in general.”

After returning to Long Island, Jack, along with the three other Long Island youth ambassadors, will visit schools throughout Nassau and Suffolk County to educate children about the disorder.

Jack, who joined his support group three years ago, said that prior to joining, he never really knew or understood what the disorder was.

“Jack’s been through a lot,” Jack’s mom, Stephanie Muise said. “He’s had a lot of challenges, even just today. He’s really focused on training and how to talk to people about Tourette’s and hoping to raise awareness. He really wants people to understand him.”

Jack said that in his free time he likes to solve Rubix’s Cube and do card tricks. He also sings and is learning to play the piano.

“Over the years I’ve heard great stories about the training in D.C. and presentations the other kids have made,” Jack said in a press release. “I’m really excited that it’s my turn. It will be great to be able to share my story and educate others about a very misunderstood disorder.”

by -
0 520
A young boy stands in a pothole on Woodhull Avenue in Port Jefferson Station to demonstrate its size. Photo from Dawn Andolfi

The Brookhaven Town Highway Department is recouping from the cold and moving on to a new task: filling those pesky potholes.

“This proved to be an exceptional winter,” Highway Superintendent Dan Losquadro said in a Monday interview. “This year was worse than last year in terms of icing.”

The winter also proved to be costly. Losquadro estimated the department spent double the $3.6 million budgeted amount for snow removal, despite town officials injecting the budget line with an additional $1 million. Now, as the weather is warming up, the department is moving forward with repairing the roads.

A car swerves to avoid a pothole on Mount Sinai-Coram Road in Mount Sinai. Photo by Barbara Donlon
A car swerves to avoid a pothole on Mount Sinai-Coram Road in Mount Sinai. Photo by Barbara Donlon

Losquadro said the frequent below-freezing temperatures made the ground freeze deeper and is leading to potholes “literally forming overnight.” He said the warm daytime temperatures and colder nights aren’t helping the situation either, as the warming and refreezing of the ground allows liquid to get into cracks and expand.

Although the holes aren’t finished forming, repairs are on the way.

Losquadro said local asphalt plants are opening soon, which will benefit the department, as workers will no longer have to travel to and from Deer Park and Bay Shore to retrieve the materials.

“They were only able to [pick up] two loads a day, which doesn’t go a long way,” Losquadro said.

Despite the town’s effort, the potholes have been a nuisance for some residents. Mt. Sinai Bagel Cafe owner Marcus Argyros was driving on Mount Sinai-Coram Road on Monday when he popped a tire.

“I didn’t swerve and because it was in the middle of the road, I hit it and it popped my tire,” Argyros said, as he worked to put a spare tire on his car. “It’s like Mario Kart with all the potholes right now.”

In an effort to complete all of the repairs, Losquadro said the town is extending workdays by two hours.

Marcus Argyros changes his tire on the side of the road after hitting a pothole. Photo by Barbara Donlon
Marcus Argyros changes his tire on the side of the road after hitting a pothole. Photo by Barbara Donlon

While residents can try to get reimbursed, the likelihood of it happening during this time is unlikely, as the potholes are to be expected.

Losquadro urges residents to call the town when a pothole is visible so they can write it down and fix it as soon as possible.

As for next winter, Losquadro is already planning. He said he would ask for an increase in the snow removal budget, as he wants to avoid being in this situation again.

by -
0 1556

New York Secretary of State Cesar Perales hit Hauppauge last week to outline Gov. Andrew Cuomo’s plan to increase the state minimum wage from $8.75 to $10.50.

In his pitch, Perales projected a rippling economic impact that could potentially give 150,000 workers a pay raise and bring $382.3 million in value to Long Island. While this newspaper supports the notion of empowering our low-income earners with higher minimum wages, we still only see it as a one-dimensional, short-term fix that does not address the bigger issues of affordability.

Raising the minimum wage is a risky move that could end up hurting us in the long run if not done in conjunction with other means to address inflation and making New York — and Long Island — more affordable and livable. Long Island has already been struggling to prevent its young people from relocating because of its lack of affordable living options, and raising wages could consequently end up bringing the cost of living even higher for those still hanging on.

It’s already hard enough to live on Long Island as rents continue to skyrocket and costs continue to increase. That’s why we need a multi-pronged approach to coincide with the established proposal to raise the state minimum wage, which has increased a total $4.50 since 1991.

There are plenty of pros to raising the minimum wage, and Perales outlined key points during his Hauppauge visit — he said the number of workers on Long Island earning minimum wage would jump from the current 85,264 to 202,248.

But the state must not ignore the cons that come with such a move, including the potential layoffs at Long Island’s small businesses lining the main streets of our communities.

Our leaders too often put short-term patches on long-term wounds. Those immediate fixes serve a purpose, but we should be looking at the bigger picture.

by -
0 1214

Adolescence stinks. I’m not talking about the heightened age of self-consciousness, the potential for bullying, the physical and emotional growing pains, or the shifting alliances with friends who become enemies who become friends again.

Those all stink applying the definition of the quintessentially American expression: “That stinks.”

What I’m describing is the literal smell, as in “Ooh, those roses smell beautiful”; or “Wow, that smell reminds me of the time I went to Montauk and we saw dolphins and whales while drinking aromatic hot chocolate with whipped cream.” With their spectacularly busy schedules, thanks to us, no doubt, teenagers live in the same uniforms day after day.

The last thing we do before going to bed, or the first thing we do when we get up in the morning, is to throw those uniforms in the washing machine.

We can’t and don’t wash their footwear every night. We can air it out, we can put deodorizers in it, we can even, in a fit of pique, rush out and buy them a new set of Storm Trooper cleats to protect ourselves, but, eventually, the sneakers in the cabinet by the door — or tucked in the basement — develop a cloud of toxic fumes above them.

On the positive side, I suppose, the horrific stench could be like smelling salts. If they are suddenly feeling tired or they bump into one wall too many, as soon as they go down on the ground, they smell their own and everybody else’s cleats and spring back into action.

“I’m fine,” they say, as they wobble on one knee, “just get me off that floor.”

Sensing that their sweat-driven, body-changing odors may be offensive, some children use deodorants, scented moisturizers or perfume — in the case of my daughter’s friends. That’s like diving into a pool that is way too hot and way too cold, confusing the senses without defeating the odor.

I recently brought my son and a friend back from a basketball practice and pulled up next to a mom who was shuttling home six sweaty teammates. We rolled down our windows at a red light and my nose felt as if it had returned to the gym. No car, not even one with a new car smell, would stand a chance against the pungent odors of adolescence marinating in her three rows of boys.

“Oh, hey,” I said, as the boys greeted each other through their open windows. “I guess you got the bigger carpool duty today.”

“Uh huh,” she grunted, making it clear she’d somehow drawn the short, smelly straw.

“That’s, um, a lot of sweat in there, huh?” I said.

She winced while concentrating on breathing only through her mouth.

When the light turned green, I thought about those incredible first few months of our kids’ lives. The smells from the delicate shampoos were like the kind of subtle flavor waiters describe to entice us into ordering the specials of the day.

Even after those magnificent miracles of life no longer occupied a room, their comforting smell made us forget the late nights of “what’s wrong with her, why won’t she go to sleep,” or the “why is she crying now,” reminding us, instead, of how sweet life can be.

Maybe the smell assault is one more way adolescents challenge authority figures. When their feet enter the room, we don’t need to see their frustrated faces or hear their answers-with-attitude to know another battle is about to begin, filled with arguments that sometimes don’t make sense — and scents that make their own arguments.

by -
0 461
Ed Maher file photo

The Smithtown Democratic Committee is gearing up for a competitive election season and setting its sights on the town board.

“It is important that we reflect on the past, but it is necessary that we plan for the future of Smithtown — 2015 will be the year that we reshape our town’s policy-making body,” said committee chairman, Ed Maher, citing the town’s recent 350th anniversary festivities. “Our screening committee will convene this spring and we are excited to hear what the potential candidates have in mind for the future of Smithtown.”

Maher also said he will consider screening potential candidates from other parties if needed, and that the Democrats will put the strongest candidates on the ballot in November.

Maher said that several notable Democrats have approached him with interest in running for town board, including former town supervisor candidate Steve Snair and Suffolk County Industrial Development Agency board member, Tony Giordano.

“I cannot deny that one of my goals is to serve our community as an elected official,” Snair said of his possible run. “The voters here in Smithtown have seen how little this all-Republican board has done for them and they will remember in November.”

Giordano also confirmed that he is considering screening for the Democratic nomination for town board positions.

“It’s something that I’m currently looking into,” he said.

by -
0 1708

By now, many people have heard of the Setauket Spy Ring and its leader, Benjamin Tallmadge that operated valuably during the Revolutionary War. For that and for putting Setauket “on the map,” so to speak, we can thank AMC’s “Turn,” the cable television program soon to begin Season 2. That these adventure stories have made our village famous I can vouch for personally. Many times, when I have been asked where I am from and have

answered, “Setauket,” I have then had to explain, even to Long Islanders, my hometown’s location as being between our better-known neighbors, Stony Brook and Port Jefferson. Now people will sometimes respond, “Oh, the Setauket spies.” They may still not have a geographic grasp, but at least they are impressed.

“Turn,” however, is just that, a series of adventure stories whose goal is to entertain and only accidentally teach. Unlike the popular series, “Downton Abbey” on PBS, where there is a full-time historian employed to assure accuracy of even the smallest details concerning the table settings, “Turn” makes up the narrative when the historic details aren’t convenient for the plot.

That is not to say that all characterizations and facts are not correct in the TV series. We learned of some that are and some that are not at a panel Sunday afternoon in the Emma Clark library in “famous” Setauket. The event, directed and moderated by reference librarian, Carolyn Emerson, featured five distinguished historians who answered questions from the moderator about the lives of citizens, soldiers and spies at the gathering titled, “Setauket During the Revolution.”

The five were town historian Barbara Russell; Three Village Historical Society’s Beverly Tyler; Suffolk Cooperative Library System’s Mark Rothenberg; Third Regiment, New York historian Bob Winowitch; and Elizabeth Kahn Kaplan, lecturer and curator of the “Spies” exhibit at the historical society. Each panelist spoke for a few minutes, then answered questions from the standing-room-only crowd. For fun and instruction, most of the panel came dressed in clothes reminiscent of the Revolutionary War era.

Tallmadge, founder and head of the network, was a major, active in the Revolutionary battles in the north, even as he organized and oversaw the spy ring they called Culper. Abraham Woodhull was the resident spy, later replaced by Robert Townsend, and Caleb Brewster served as a courier, ferrying messages across the Long Island Sound to Washington in Connecticut. Others were deeply involved, including Austin Roe and Anna Smith Strong. The spy work was stressful and dangerous and involved the use of “invisible ink,” messages written between the lines of legitimate bills of sale whose words could be read only with the application of a special reagent. Much of the intelligence garnered came from mingling with the British in New York City, and so those spies had to have apparent reason to travel back and forth.

One significant accomplishment of the spies was to alert Washington that the British were sailing with a superior force to greet the French, who had entered the war and were due to disembark in Newport, R.I. Washington was then able to plant a fake set of plans for the invasion of New York City where the British would discover it. Intent on keeping control of New York City, which they viewed as key to their success, the British fleet turned around in the Sound to rush back for the anticipated battle. As a result, the French landed without opposition.

Life on Long Island under eight years of British occupation was hard. Residents were routinely subjected to forays by British troops for food and valuables. The population at the time was agrarian, with hard farm labor the order of the day, and the British viewed Long Island as their breadbasket. No one was safe, and as a result many who started the war as Loyalists became Patriots — hence the title “Turn.”

To judge the difference a TV series makes, in 2013 there were up to three visitors a week to the spy exhibit at the historical society, sometimes none; in 2014, there were 30. If you watch the AMC series, as I will on DVD, be sure to check the facts on any number of relevant websites.

by -
0 1360

By David Dunaief

Chronic kidney disease is much more common than you think. Those at highest risk for CKD include patients with diabetes, hypertension (high blood pressure) and those with first degree relatives who have advanced disease. But those are only the ones at highest risk. This brings me to my first question.

Why is CKD a tricky disease?
Unfortunately, similar to high blood pressure and dyslipidemia (high cholesterol), the disease tends to be asymptomatic, at least initially. Only in the advanced stages do symptoms become distinct, though there can be vague symptoms such as fatigue, malaise and loss of appetite in moderate stages.

What are the stages?
CKD is classified into five stages based on the estimated glomerular filtration rate (eGFR), a way to determine kidney function. Stages 1 and 2 are the early stages, while stages 3a and 3b are the moderate stages, and finally stages 4 and 5 are the advanced stages. This demarcation is based on an eGFR of >60 ml/min for early, 30-59 ml/min for moderate and <30 ml/min for advanced. Stage 5 is end-stage kidney disease or failure.

Why is CKD important?
The prevalence of the disease is predicted to grow by leaps and bounds in the next 15 years. Presently, approximately 13 percent of those over age 30 in the U.S. population are affected by CKD. In a new simulation model, it is expected to reach 16.7 percent prevalence in the year 2030. Currently, those who are ages 30 to 49 have a 54 percent chance of having CKD in their lifetimes; those 50 to 64 years of age, a slightly lower risk of 52 percent; and those 65 years and older, a 42 percent risk (1). Thus, a broad spectrum of people are affected. Another study’s results corroborate these numbers, suggesting almost a 60 percent lifetime risk of at least moderate stage 3a to advanced stage 5 CKD (2). If these numbers are correct, they are impressive, and the disease needs to be addressed. We need to take precautions to prevent the disease and its progression.

Who should be screened?
According to the U.S. Preventive Services Task Force, screening for CKD may not be warranted in the asymptomatic “healthy” population (3). This means people without chronic diseases. The studies are inconclusive in terms of benefits and harms. In order to qualify as CKD, there has to be a minimum of three months of decreased kidney function. This appears to be a paradox: remember, CKD is asymptomatic generally until the advanced stages. However, there are a number of caveats in the report.

Those who are at highest risk should be screened, including, as I mentioned above, patients with diabetes or hypertension. In an interview on www.Medscape.com entitled “Proteinuria: A Cheaper and Better Cholesterol?” two high-ranking nephrologists suggest that first-degree relatives to advanced CKD patients should also be screened and that those with vague symptoms of fatigue, malaise and/or decreased appetite may also be potential candidates (4). This broadens the asymptomatic population that may benefit from screening.

The fix!
Fortunately, there are several options available, ranging from preventing CKD with specific exercise to slowing the progression with lifestyle changes and medications.

Why exercise?
Here we go again, preaching the benefits of exercise. But what if you don’t really like exercise? It turns out that the results of a study show that walking reduces the risk of death and the need for dialysis by 33 percent and 21 percent respectively (5). And although some don’t like formal exercise programs, most people agree that walking is enticing.

The most prevalent form of exercise in this study was walking. The results are even more intriguing; they are based on a dose-response curve. In other words, those who walk more often see greater results. So, the participants who walked one-to-two times per week had a significant 17 percent reduction in death and a 19 percent reduction in kidney replacement therapy, whereas those who walked at least seven times per week experienced a more impressive 59 percent reduction in death and a 44 percent reduction in the risk of dialysis. Those who were in between saw a graded response. There were 6,363 participants for an average duration of 1.3 years.

Protein is important! Right?
Yes, protein is important for tissue and muscle health. But when it comes to CKD, more is not necessarily better, and may even be harmful. In a meta-analysis (a group of 10 randomized controlled trials, the gold standard of studies), results showed that the risk of death or treatment with dialysis or kidney transplant was reduced by 32 percent in those who consumed less protein compared to unrestricted protein (6). This meta-analysis used the Cochrane database to search for studies.

According to the authors, as few as two patients would need to be treated for a year in order to prevent one from either dying or reaching the need for dialysis or transplant. Unfortunately, the specific quantity of protein consumption that is ideal in CKD patients could not be ascertained since the study was a meta-analysis.

Sodium: How much?
The debate roils on: how much do we need to reduce sodium in order to see an effect? Well, the good news is that in a recent study, results showed that a modest sodium reduction in our diet may be sufficient to help prevent proteinuria (protein in the urine) (7). Different guidelines recommend sodium intake ranging from fewer than 1500 mg to 2300 mg daily. This particular study says that less than 2000 mg is beneficial, something all of us can achieve.

Of course medications have a place
We routinely give certain medications, ACE inhibitors or ARBs, to patients who have diabetes to protect their kidneys. What about patients who do not have diabetes? ACEs and ARBs are two classes of anti-hypertensives — high blood pressure medications — that work on the RAAS system of the kidneys, responsible for blood pressure and water balance (8). Results of a recent study show that these medications reduced the risk of death significantly in patients with moderate CKD. Most of the patients were considered hypertensive.

However, there was a high discontinuation rate among those taking the medication. If you include the discontinuations and regard them as failures, then all who participated showed a 19 percent reduction in risk of death, which was significant. However, if you exclude discontinuations, the results are much more robust with a 63 percent reduction. To get a more realistic picture, the intention-to-treat result (those that include both participants and drop outs) is probably the response that will occur in clinical practice unless the physician is a really good motivator or has very highly motivated patients.

While these two classes of medications, ACE inhibitors and ARBs, are good potential options for protecting the kidneys, they are not the only options. You don’t necessarily have to rely on drug therapies, and there is no downside to lifestyle modifications. Lowering sodium modestly, walking frequently, and lowering your protein consumption may all be viable options, with or without medication, since medication compliance was woeful. Screening for asymptomatic, moderate CKD may lack conclusive studies, but screening should occur in high-risk patients and possibly be on the radar for those with vague symptoms of lethargy as well as aches and pains. Of course, this is a discussion to have with your physician.

REFERENCES:
(1) Am J Kidney Dis. 2015;65(3):403-11. (2) Am J Kidney Dis. 2013;62(2):245-52. (3) Ann Int. Med. 2012;157(8):567-570. (4) www.Medscape.com. (5) Clin J Am Soc Nephrol. 2014;9(7):1183-9. (6) Cochrane Database Syst Rev. 2009;(3):CD001892. (7) Curr Opin Nephrol Hypertens. 2014;23(6):533-540. (8) J Am Coll Cardiol. 2014;63(7):650-658.

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, go to the website www.medicalcompassmd.com and/or consult your personal physician.

Prev1...485486487...490Next Page 486 of 490
TBR News Media is your local news and entertainment website.
We provide you with the latest breaking news and information for your community.
Contact us: [email protected]

Most Viewed

©