Arts & Entertainment

Stony Brook University Hospital

Practice Greenhealth has once again recognized Stony Brook University Hospital (SBUH) as a national leader in environmental sustainability in the health care sector. As a result of SBUH’s leadership, ingenuity and hard work through its sustainability efforts and initiatives, the hospital has earned this year’s Greenhealth Emerald Award. This honor recognizes the hospital, as part of the top 20 percent, for its ongoing commitment to improving its environmental performance and efforts to build sustainability and resiliency into the operations and culture of the institution.

“At Stony Brook University Hospital, we know sustainability is essential to better care for our patients, communities and planet,” said Carol Gomes, MS, FACHE, CPHQ, Chief Executive Officer, Stony Brook University Hospital. “I am extremely proud of all our Stony Brook Medicine faculty and staff for their ongoing commitment and efforts toward environmental excellence in healthcare.”

Additionally, SBUH received Practice Greenhealth’s Greening the OR Recognition Award. The accolade honors facilities that have made substantial progress in reducing the impact of the surgical environment and improving environmental performance in the operating room.

“In a shifting health care landscape, a focus on sustainability can help build resilience while better protecting the health of patients and the community,” said Gary Cohen, Practice Greenhealth founder. “Stony Brook University Hospital demonstrates the kind of leadership, innovation, and performance that can drive the entire health sector toward more environmentally responsible practices.”

SBUH continues to lead the way in tackling emissions and is already working to achieve climate resilience through a number of initiatives, including:

This past April, SBUH was recognized by the U.S. Department of Health and Human Services (HHS) for its public commitments to decarbonizing its operations and improving resilience in the face of climate change. As part of the 2023 United Nations Climate Change Conference (COP28), HHS shared that SBUH was one of more than 130 organizations that have joined the White House-HHS Health Sector climate pledge, committing to align with the Biden administration’s goal of reducing emissions by 50% by 2030 and achieving net zero emissions by 2050.

To learn more about Stony Brook Medicine’s sustainability efforts, visit stonybrookmedicine.edu/sustainability.

Presented by Long Island Health Collaborative, Sponsored by AARP Long Island

The Long Island Health Collaborative has announced the return of  its annual AARP Long Island-sponsored Walk with a Doc series. Now in its third year, Long Islanders are invited to join the two organizations and their physician partners at the following free community walks on the third Saturday of May, June, September, and October.

The series aims to tackle chronic disease through free community walks where physicians will briefly speak about how attendees can prevent or better manage chronic conditions in their own lives through simple lifestyle choices like a balanced diet and regular physical activity before leading attendees on a walk where they can ask the doc questions and keep the conversation going.

All walks are FREE and walkers must register in advance to attend. State parking fees are waived. Learn more and register for each walk at the links below.

Walk with a Doc: Harborfront Park

Saturday, May 18, 2024 at 10 AM

Harborfront Park, Port Jefferson, NY 11777

Led by Dr. Shamim Khan, Interventional Cardiologist, Catholic Health

Register Here: https://www.eventbrite.com/e/852479829117

Walk with a Doc: Belmont Lake

Saturday, June 15, 2024 at 10 AM

Belmont Lake State Park

Led by Dr. Keasha S. Guerrier, Family Medicine, Long Island Jewish Valley Stream Hospital

Register Here: https://www.eventbrite.com/e/852497782817

Walk with a Doc: Sunken Meadow

Saturday, September 21, 2024 at 10 AM

Sunken Meadow State Park, New York State Reference Rte 908K, Kings Park, NY 11754

Led by Dr. Anupama Paranandi, Preventive Medicine Resident, Stony Brook Medicine

Special guest speakers from Suffolk County DOH’s Office of Minority Health and the Long Island Sound Study will discuss increasing equitable access to the Long Island Sound in the region and the Long Island Sound Estuary Program

Register Here: https://www.eventbrite.com/e/858998687197

 

Walk with a Doc: Hempstead Lake

Saturday, October 19, 2024 at 10 AM

Hempstead Lake State Park

Led by Dr. Gerard A. Baltazar, Critical Care Surgeon, NYU Langone Hospital

Register Here: https://www.eventbrite.com/e/858992087457

 

Why take a walk in the (New York State) park?

 According to the New York State Department of Health, chronic diseases such as asthma, cancer, diabetes, health disease, and stroke are the leading causes of disability and death in the United States. These conditions account for seven of every ten deaths and affect 90 million Americans. The good news is that these diseases are preventable with simple lifestyle choices, such as regular physical activity and a balanced diet. Walking is a simple, free way to get in regular physical activity that can help you manage or even prevent chronic conditions.

It’s no secret that Long Island is home to a multitude of scenic locations that lend themselves to safe, beautiful walking opportunities. In 2024,New York State Parks and Historic Sites also celebrates their Centennial, commemorating the 100th anniversary of the founding of our parks and sites system. Three of our four 2024 walks will be held at New York State Parks.

For more information about Walk with a Doc, contact Brooke Oliveri, Manager of the Long Island Health Collaborative at[email protected] or call 631-963-4167.

Stock photo

The Town of Smithtown will host a community blood drive at the Smithtown Senior Citizen Center, 420 Middle Country Road, Smithtown on Wednesday, May 15 from 9 a.m. to 3 p.m. Participating community members who donate blood will receive a free box of Girl Scout Cookies. Appointments are preferred by visiting www.nybc.org, however walk-ins will be welcomed. For further information, call Dineen at 631-360-7626.

Gallery North, 90 North Country Road, Setauket presents its annual Winner’s Circle exhibition  celebrating the award-winning artists of the 2023 Outdoor Art Show and Music Festival from May 16 to June 23. An opening reception will be held Thursday, May 16 from 6 to 8 p.m. 

The exhibition features recipients of the Best in Show award and best in categories including mixed media, fiber art, glass art, jewelry, painting, photography, and pottery at the 2023 Outdoor Art Show and Music Festival hosted by Gallery North. 

The 2023 festival judges, Tasha Boehm, Director of the Reboli Center for Art and History in Stony Brook, Julianna Kirk, a Long Island jeweler, multimedia artist, and educator, and contemporary artist Loretta Oberheim evaluated over 50 exhibitors to present the 13 available awards.

The Winner’s Circle exhibition includes artists Melanie Wulforst, Denise Aneke, Renee Brown, Jane Irvine, Flo Kemp, Joanne Liff, Susan Nagel, Lori Rosen, Paul Speh, Marlene Weinstein, Ally Liff, Dan McCarthy, and artists of the Brick Studio. These artists are all exceptional representatives of Long Island’s creative community and are an essential part of the Outdoor Art Show and Music Festival’s importance to the cultural offerings of the region. 

“Gallery North is proud to celebrate their significant achievements within their respective mediums,” read the press release.

This exhibition is generously sponsored by Jefferson’s Ferry and Suffolk County’s Department of Economic Development and Planning. The exhibition and reception will be free and open to the public. For more information, call 631-751-2676 or visit www.gallerynorth.org.

Astronomy Day. Photo courtesy of Vanderbilt Museum

The Suffolk County Vanderbilt Museum’s Reichert Planetarium, 180 Little Neck Road Centerport will celebrate Astronomy Day 2024 on Saturday, May 18, from 11 a.m. to 3 p.m. Astronomy Day at the Vanderbilt is part of an international celebration of educational programs designed to engage audiences in the awe-inspiring fields of Earth and space science. Sponsored by PSEG Long Island, activities are free to all visitors who pay general admission.

This Vanderbilt STEM education event will include exciting science, take-home materials, and engaging discussion about science and society. Participants will create nebula spin art, investigate constellations, explore craters, and much moreThese fun activities introduce guests to the ongoing research happening at NASA in the fields of Earth science, planetary science and astrophysics. Astronomy educators will perform free earth science and astronomy demonstrations for adults and children.

Toolkits for these demonstrations were developed by the National Informal Science Education Network (NISE NET).

Members of the Astronomical Society of Long Island, an astronomy club based at the Reichert Planetarium, will have telescopes on display and will be giving short presentations on how to use them.

Weather permitting, there will be solar telescopes available so that guests may safely look at details on the surface of the Sun.

Purchase General Admission Ticket for May 18

 

By Tara Mae

Like separate entries in an anthology, different community organizations offer rich options for diverse cultural endeavors that form a cohesive collection of experiences to encourage understanding and appreciation.

In this spirit, Middle Country Public Library’s Centereach branch at 101 Eastwood Blvd. will host Museum Day on Thursday, May 16, from 4 to 7 p.m. The event is free and no registration is required. 

This year 30 local institutions are participating, including the Long Island Museum of American History, Art and Carriages (LIM) in Stony Brook, Three Village Historical Society (TVHS) in Setauket, Whaling Museum and Education Center of Cold Spring Harbor, Railroad Museum of Long Island in Riverhead, and Sweetbriar Nature Center in Smithtown.  

“The purpose [of Museum Day] is to provide a forum for community members to interact with representatives from local museums, historical societies, science and nature centers that participate to share information regarding their collections, programs, and exhibits in a festival type setting,” said Deborah Hempe, Middle Country Public Library’s Coordinator for Outreach Services and Museum Corner.

Held at the Museum Corner section of the library, which is part of the Youth Services Department, Museum Day is geared towards children and their families. Interactive elements across multiple mediums include science experiments, arts and crafts, live animal visits, and interaction with museum displays and artifacts. 

“For many children, looking and listening isn’t enough to activate the desire to learn. At events like this, children are presented with opportunities to also create, explore objects for themselves, and feel a connection that is personal,” said Lisa Unander, Director of Education at the Long Island Museum. “That feeling can be a catalyst to spark wonder and a lifelong love of art and history.”

The LIM will have a collage project inspired by the art of Reynold Ruffins, whose work is featuring in one of its current exhibits, Painting Partnership: Reynold and Joan Ruffins. The activity will concentrate on how using color and geometric shapes can create art. 

TVHS will set up a mini-exhibit and teach hands-on crafts, like making colonial whirligigs. Sweetbriar Nature Center will attend with two of its ambassador animals; traditionally, a resident owl and snake come as its guests. The Railroad Museum of Long Island will set up a train display. 

“I enjoy seeing the families who attend Museum Day and [engaging] with the children on hands-on learning activities we offer during the event,” said Education Coordinator of TVHS Lindsey Steward-Goldberg.

These offerings are made to energize minds and excite imaginations. 

“Museums can be places that introduce new ideas, unique perspectives and often challenge people’s ways of looking and thinking. Giving children a chance expand their way of thinking and encouragement to be creative in unexpected ways is often a goal of museum educators,” Unander said. 

For 35 years, Middle Country Public Library has organized the gathering in conjunction with International Museum Day, which falls on or around May 18. In 2023, more than 37,000 museums in about 158 countries and territories took part in the celebration.

Coordinated by the International Council of Museums, International Museum Day has a distinctive theme every year; 2024’s focus is Museums for Education and Research.

Although the motif changes, primary objectives of the official occasion and the library’s exhibition remain consistent: to alert people to the role museums play in the advancement of society and fortify the cooperation between neighboring operations.

“The public is able to learn about what these local organizations have to offer in a fun and interactive setting…Additionally, it provides a nice way for the organizations to do a bit of networking with each other,” Hempe said.  

A welcome chance to fortify interdisciplinary dynamics for the attending entities while engaging with a new audience and enchanting existing patrons, Museum Day is both a synopsis and preview of the organizations’ services. Many vendors return annually to maximize and solidify their exposure.

“Each year we meet many patrons who know our museum, and also many who have not ever visited the LIM. It is a wonderful way to showcase what the LIM has to offer and to extend a personal invitation to these families to visit for the first time or to come back and see what is new since their last visit,” Unander said. 

Through nurturing partnerships of longevity and consistency, Museum Day invigorates  lifelong interest in learning as well as sustained support for assemblages dedicated to historical preservation and intellectual enrichment. 

“I look forward to further cultivating those relationships, interacting with the staff and volunteers of participating organizations, and seeing the event attendees interacting with them as well…all are welcome,” Hempe said.

Participating organizations include:

American Airpower Museum

Bayard Cutting Arboretum

Bethel Hobbs Community Farm

Cornell Cooperative Extension of Suffolk County Community Education

Fire Island Lighthouse Preservation Society

Fire Island National Seashore

Greater Port Jefferson Arts Council

Hallockville Museum Farm

Hofstra University Museum of Art

Long Island Explorium

Long Island Maritime Museum

Long Island Museum

Long Island Telephone Museum

LT Michael P. Murphy Navy SEAL Museum

Montauk Historical Society/Lighthouse

NY Marine Rescue Center

Old Westbury Gardens

Patchogue Arts Council

Railroad Museum of Long Island

Sagtikos Manor

Smithtown Historical Society

Southampton History Museum

South Fork Natural History Museum

Sweetbriar Nature Center

Three Village Historical Society

Town of Brookhaven Historian

Vanderbilt Museum and Planetarium

Whaling Museum & Education Center of Cold Spring Harbor

Water Mill Museum

To learn more about Museum Day, call 631-585-9393 or visit www.mcplibrary.org.

A river otter caught on a trail camera in Bellport. Image courtesy of Luke Ormand

By John L. Turner

John Turner

I slung on the backpack, shut the car door and walked off quickly, fueled by excitement and expectation. After  a brisk walk on a shady forest path, bordered by a few small fields hinting at the property’s past farm use, I reached my destination — a wooden observation platform providing sweeping views of a freshwater pond situated within the North Fork’s Arshamomaque Preserve. I immediately began a binocular scan of the water and the far shore for any sign of movement revealing their presence. Nothing. Scanned for a few more minutes and nothing. I soon fall into a pattern of picking up the binoculars and looking first along the water surface and then the vegetated far shore. This goes on for an hour. Still no action. 

I learned a long time ago that nature is not a zoo and the comings and goings of animals are never done to please us humans, but always in response to their needs. So I will see them, if I see them at all, on their schedule. I continue to patiently sit, soaking in the beauty of the warm sunshine, bolstered by a large cup of strong coffee and a cinnamon-raisin bagel. 

 I was also enjoying the many marsh mallow shrubs blooming in profusion amidst the abundance of cattails ringing the pond. The flowers of this species border on the spectacular — three to five inches across, deep but bright pink petals with a red throat or base, and a prominent tower containing both the stamens and the stigmata. This species is related to the plant whose roots were once the source of that delicious confectioneries used to make s’mores — marshmallows.  

Suddenly, there was rippled movement along the far shore. It took me a moment to process what I was looking at but it was a family of  four river otters (Lontra canadensis) — two adults and two pups — weaving in and out of the wetland plants.  I enjoyed them for about 15 seconds until they all broke back into cover of the cattails at the eastern edge of the pond. A minute or two later they reappeared this time swimming along the wooded shoreline before doubling back to the cattails. 

What I was witnessing is a small part of a welcome recovery of the species taking place over several decades now, as an increasing number of otters are colonizing suitable wetland habitat on Long Island, after decades of their dearth. According to Paul Connor’s definitive Mammals of Long Island published by the New York State Museum in 1971, otters were thought to be extirpated from Long Island in the latter part of the 19th century. He states that Daniel Denton in his 1670 description of Long Island mammals noted the presence of otters, but goes on to mention that more than 170 years later J.E. DeKay declared the species extirpated from Long Island. 

Through the 20th century otters were occasionally seen or reported but there was no sense of a sustained recovery of the species on Long Island. Connor reports no sightings in all the field work (conducted over several field seasons in the late 1960’s) that formed the basis for his monograph. This began to change in the first few years of the 21st century when sightings of otters became more commonplace. One of the first sightings  was near the well-known Shu Swamp sanctuary in Mill Neck, Nassau County. 

Mike Bottini, a well-known Long Island naturalist and founder of the Long Island River Otter Project, has studied this recovery as well as other aspects of otter ecology and biology and published an informative published paper investigating the status of river otter in 2008. He states: “This survey estimates that there are at least eight river otters inhabiting Long Island: four on the north shore of Nassau County, one in the Nissequogue River watershed, one in the west end of the Peconic Estuary, one on the south shore, and one in the Southold-Shelter Island-East Hampton area.” Remarkably, a mere decade later otter signs were found in 26 watersheds; the recovery was well underway.

Three years later, in 2021, Mike noted: “otter home ranges included all the watersheds on the north shore from Oyster Bay east to Orient, the Peconic River watershed and a significant portion of the Peconic Estuary, and two watersheds on the south shore.”  Painting a rosy picture, Mike concludes: “Much excellent otter habitat on Long Island remains unoccupied, especially on the south shore. 

In addition to the obvious confirmation formed by actual sightings or finding their tracks in mud or snow, the use of latrines or “otter bathrooms” by this highly aquatic mammal is one of the ways researchers use to gain a better sense of their distribution on Long Island. For reasons that are not entirely clear, otters often defecate (known as scat) in upland areas adjacent to the waterways, these latrine sites thought to be used to communicate information. 

I have found their latrines in a few places, the closest being at Frank Melville Memorial Park in Setauket on both sides of the northern pond. Their scat often contains the remains of scales and bones of the fish they prey on, and such was the case by a recent inspection of the latrines at the park — scales and delicate fish bones were prevalent in the sushi meals the otter was consuming. While otters favor fish, they are opportunistic and will eat frogs, turtles, crayfish (yes, we do have crayfish species on Long Island), and freshwater clams and mussels. 

Otters are carnivores and are members of the weasel family whose other Long Island members include, according to Connor, Mink, Long-tailed weasel, and perhaps Short-tailed weasel. Further afield in the North American continent we have badgers, the federally endangered Black-footed ferret, and the famous and remarkable wolverine. Thirteen otter species occur around the globe. 

As evidenced by my North Fork experience and several other accounts, otters are reproducing on Long Island with their pups presumably helping to fuel the resurgence.  As their young (typically between 2-5 pups are born) are quite helpless at birth, being hairless and blind, they grow and develop in dens which provide some degree of protection from the elements. The dens are in close proximity to the water and may, in some cases, be connected to it. As of this writing I don’t know of anyone who has conclusively discovered an otter den here. 

The use of remote cameras installed in the field at sites likely to be utilized by otters have proven instrumental in learning some new streams and creeks otters are frequenting. Luke Ormand, a staff member in the Town of Brookhaven’s Division of Land Management, has placed several cameras in numerous locations in Brookhaven Town that have been successful in recording otters. With these cameras, otters have been confirmed in the Carmans River watershed and the Motts Creek drainage system in Bellport.

A significant damper on the continued recolonization and expansion of river otters on Long Island are motor vehicles, as otters are sometimes struck and killed. An otter was recently struck on Jericho Turnpike near the famous bull statue in Smithtown and the total number of road killed otters recorded for Long Island stands at 29 animals. 

Bottini notes that the peak time is between March and May both when males are searching for females in estrus (ready to mate) and yearling individuals are striking out on their own. The likelihood of being hit by a vehicle is especially high in places where otters are forced to cross a road that spans a stream containing too narrow a culvert or a dam where the dam is under the bridge; the dam face prevents downstream or upstream access, forcing the otter to climb up the banks and lope across the dangerous roadway.  Solutions involve  the placement of stacked cinder blocks to form a ramp or aluminum ramps which otters can negotiate.  

I had the pleasure of working with the aforementioned Mike and Luke one day a few years ago in constructing a cinder block ramp along a dam face on the Little Seatuck Creek in East Moriches. Camera footage soon showed otter use of the ramp although the two otters in the area illustrated different personalities; one otter immediately took to using it while the other was quite hesitant.  

Mike notes that otters are “ambassadors of wetlands” and given their broad appeal and popularity this is true. Who doesn’t remember wildlife films on Disney and other shows depicting otters tobogganing in the snow, frolicking about in what appears to be joyous play? Perhaps this iconic and charismatic species can help to generate public support on Long Island in better protecting our waterways — important habitats — which sustain so many species. 

 Let me end by stating the obvious: you “otter” take time out of your busy schedule to look for these furry, very attractive ambassadors. But please drive slowly to your intended destination, all the while keeping an eye out for a sleek, rich brown animal loping across the road.  

A resident of Setauket, author John L. 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.

Pixabay photo

By Bob Lipinski

Bob Lipinski

Anderson Valley, an AVA (1983) grape-growing area west of Ukiah and north of Sonoma in Mendocino County, California, continues to garner praise as one of the premier regions for Pinot Noir and is one of California’s coolest climates. The valley is almost 15 miles long, with virtually no flat land and hills ranging from 80 to 1,300 feet in elevation and runs to the northwest parallel to the coast till it opens to the Pacific just south of Mendocino.

In 1851, a settler named Walter Anderson discovered the valley after getting separated from his hunting group, and it was named after him. Commercial wine production did not begin until the 1960s, when Donald Edmeades planted a vineyard to Chardonnay, Gewürztraminer, French Colombard, and Cabernet Sauvignon. The Husch Vineyards, established in 1971, was the first to plant Pinot Noir grapes in the Knoll Vineyard, in Anderson Valley.

Anderson Valley has almost 100 vineyards planted on 2,457 acres. The grapes grown are 69 percent Pinot Noir and 21 percent Chardonnay. Secondary grapes include Gewürztraminer, Pinot Gris, Riesling, Merlot, Sémillon, and Sauvignon Blanc. In addition to Pinot Noir, Anderson Valley produces some of California’s best sparkling wines… Scharffenberger Cellars, Handley Cellars, Navarro Vineyards, and Roederer Estate, to name but a few.

Recently tasted Pinot Noirs are…

2019 Domaine Anderson “Pinot Noir” Anderson Valley, California. (Made with organic grapes) Bouquet of dried herbs, black cherry, plum, and mulberry with flavors of mushrooms, bittersweet chocolate, and hints of smoke, and pomegranate. The aftertaste begs for another glass.

2021 Crosby Roamann Pinot Noir “Fiadh Vineyard” Anderson Valley, California. (Fiadh is an Irish girl’s name meaning “wild” and “untamed” like this small vineyard site.) Aged 18 months in new oak barrels. Ruby color with an earthy bouquet of mushrooms, black olives, leather, and tobacco. Subtle flavors of cola, cinnamon, vanilla, and dark berries with some tannin.

2021 Crosby Roamann Pinot Noir “Annie’s Old Vines” Sonoma Coast, California. (Aged 18 months in used oak barrels) Light cherry colored with a bouquet bursting with red fruit: cherries, cranberries, and strawberries. Flavors of jam, black pepper, black plums, cocoa, and mint with notes of roses and sandalwood. Very smooth finish and long aftertaste. 

2019 Handley Cellars “Pinot Noir,” Anderson Valley, California. Aromas of boysenberry, cherries, and dried fruit with a hint of bay and eucalyptus. Medium-bodied with plums, oak, jam, and some tannin to lose. Vibrant aftertaste with notes of clove and cardamom.

Bob Lipinski is the author of 10 books, including “101: Everything You Need To Know About Whiskey” and “Italian Wine & Cheese Made Simple” (available on Amazon.com). He consults and conducts training seminars on Wine, Spirits, and Food and is available for speaking engagements. He can be reached at www.boblipinski.com OR [email protected].

Simple tests can confirm your kidney's health. METRO photo
Simple tests can confirm your kidney’s health.

By David Dunaief, M.D.

Dr. David Dunaief

Your kidneys perform an array of critical functions that help maintain your body’s systems. They filter waste and fluid from your body and maintain your blood’s health. They also help control your blood pressure, make red blood cells and vitamin D, and control your body’s acid levels.

If your kidney function degrades, it can lead to hypertension or cardiovascular problems and it may require dialysis or a kidney transplant in later stages. For the best outcomes, it’s critical to identify chronic kidney disease (CKD) early and strive to arrest its advance to more serious stages. However, of the estimated 35.5 million U.S. adults who have CKD, as many as 9 in 10 are not even aware they have it (1).

One of the challenges with identifying early-stage CKD is that symptoms are not obvious and can be overlooked. Among them are foamy urine, urinating more or less frequently than usual, itchy or dry skin, fatigue, nausea, appetite loss, and unintended weight loss (2).

Fortunately, there are simple tests, such as a basic metabolic panel and a urinalysis, that will confirm your kidney function. These indices for kidney function include an estimated glomerular filtration rate (eGFR), creatinine level and protein in the urine. eGFR is a calculation and, while the other two indices have varying ranges depending on the laboratory used, a patient with an eGFR of 30 to 59 is considered to have mild disease. The eGFR and the kidney function are inversely related, meaning as eGFR declines, the severity of CKD increases.

What can be done to address early-stage CKD, before complications occur? There are several studies that have evaluated different lifestyle modifications and their impacts on its prevention, treatment and reversal.

What causes the greatest risk to your kidneys?

Among the greatest risks for your kidneys are uncontrolled diseases and medical disorders, such as diabetes and hypertension (1). If you have — or are at risk for — diabetes, be sure to control your blood sugar levels to limit kidney damage. Similarly, if you currently have hypertension, controlling it will put less stress on your kidneys. For these diseases, it’s crucial that you have your kidney function tested at least once a year.

In addition, obesity and smoking have been identified as risk factors and can be managed by making lifestyle changes to reduce your risk.

Can changing your diet help protect your kidneys?

Fruits and vegetables may play a role in helping patients with CKD. In a one-year study with 77 patients, results showed that fruits and vegetables work as well as sodium bicarbonate in improving kidney function by reducing metabolic acidosis levels (3).

What is the significance of metabolic acidosis? It means that body fluids become acidic, and it is associated with CKD. The authors concluded that both sodium bicarbonate and a diet including fruits and vegetables were renoprotective, helping to protect the kidneys from further damage in patients with CKD. Alkali diets are primarily plant-based, although not necessarily vegetarian or vegan. Animal products tend to cause an acidic environment.

In the Nurses’ Health Study, results show that animal fat, red meat and sodium all negatively impact kidney function (4). The risk of protein in the urine, a potential indicator of CKD, increased by 72 percent in those participants who consumed the highest amounts of animal fat compared to the lowest, and by 51 percent in those who ate red meat at least twice a week. With higher amounts of sodium, there was a 52 percent increased risk of having lower eGFR levels.

The most interesting part with sodium was that the difference between higher mean consumption and the lower mean consumption was not that large, 2.4 grams compared to 1.7 grams. In other words, a difference of approximately a quarter-teaspoon of sodium per day was responsible for the decrease in kidney function.

The National Kidney Foundation recommends diets that are higher in fruit and vegetable content and lower in animal protein, including the Dietary Approaches to Stop Hypertension (DASH) diet and plant-based diets (2). 

In my practice, when CKD patients follow a vegetable-rich, nutrient-dense diet, there are substantial improvements in kidney functioning. For instance, for one patient, his baseline eGFR was 54. After one month of dietary changes, his eGFR improved by 9 points to 63, which is a return to “normal” functioning of the kidney. Note that this is anecdotal, not a study.

When should you have your kidney function tested?

It is important to have your kidney function checked. If your levels are low, you should address the issue through medications and lifestyle modifications to manage and reverse early-stage CKD. If you have common risk factors, such as diabetes, smoking, obesity or high blood pressure, or if you are over 60 years old, talk to your doctor about regular testing. 

Don’t wait until symptoms and complications occur. In my experience, it is much easier to treat and reverse CKD in its earlier stages.

References:

(1) CDC.gov. (2) kidney.org. (3) Clin J Am Soc Nephrol. 2013;8:371-381. (4) Clin J Am Soc Nephrol. 2010; 5:836-843.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.

Photo from Lefferts Tide Mill & Preserve

The Lefferts Tide Mill & Preserve is sponsoring a Label Design Contest for photographers and artists!! The winning image of this 18th-century tide mill will be printed on the labels of a custom brew issued by Six Harbors Brewing Company this August, and the winner will be celebrated at a special awards ceremony at the brewery.

The Label Design Contest is open to photographers and artists. We will accept one black-and-white and/or one-color entry. The label specs are 8×4.8125″ with .125″ bleed around. We will accept landscape orientation photos and drawings.  Photos and camera-ready art should be submitted to  Claudia Fortunato-Napolitano, Executive Director, at [email protected] or mailed to Lefferts Mill at P.O. Box 1482, Huntington, NY 11743, by June 30, 2024.  

If you are a photographer or an artist, be creative! It is our mission to restore the eighteenth-century Tide Mill & Dam. As such, a barge is filled with tools in front of the Tide Mill.  Your goal is to capture the essence of the Tide Mill, either with the barge or without.

“The Lefferts Tide Mill is a place where you can capture the essence of the beautiful setting that has been home to the Tide Mill for 231 years,” commented Claudia Fortunato-Napolitano, the Executive Director.

For creative inspiration, take a tour of the mill operated by the Huntington Historical Society, paddle your kayak to the end of Puppy Cove, or visit us at www.leffertstidemill.org .

The Lefferts Tide Mill & Preserve is a not-for-profit organization, established in 2013, with a mission to preserve and protect an 18th century tide mill, located in the Village of Lloyd Harbor, that is the best-preserved tidal grist mill in the United States.  The mill design is based on U.S. Patent No. 3 for an “automatic mill” signed by President George Washington.  The mill pond has flourished into a haven for native and migratory waterfowl, contributing significantly to the region’s biodiversity. 

For more information, contact Claudia Fortunato-Napolitano at [email protected] .