Arts & Entertainment

Above, children listen to Nana Carol read a picture book during Story & Craft time at the Next Chapter in Huntington while parents and caregivers look on. Photo courtesy of The Next Chapter

By Tara Mae

“It is the perfect job, but it is not work.” 

This is how Carol Parker describes her free weekly children’s Story & Craft, which she hosts on Mondays from 10:30 to 11:30 a.m., at The Next Chapter bookstore in Huntington. 

Like any good grandmotherly figure, Nana Carol, as she is known, has a generosity and geniality to her that translates into her storytelling. Allaying any shyness and welcoming all who join her, Nana Carol strives to engage her temporary charges with warmth and wonder.  Yet, Parker’s effervescent engagement is not without an outline and structure. Each session follows a loose schedule: gentle movement, spellbinding stories, and creative crafts.

“We begin with our little stretch…I lead them with a little rhyme: tall as a tree, wide as a house, thin as a pin, quiet as a mouse,” Parker, who lives in Huntington, said. “It sets the tone and they have gotten so good at it. All the kids are quite happy to sit down when I ask. We start a book, but I do not just read it, we talk as I read. As the story progresses, the children start out on carpet, then creep closer and closer.”

The attentive tykes move from their spots on the bookstore’s alphabet rug, stealthily moving forward until they are gathered around Parker, at her knee. Enrapturing them with an eclectic assortment of character voices, Parker puts her own touch on modern classics and old favorites. 

Through these personifications, Parker shares stories that have a message. Her favorite books to read to the kids are from the Bad Seed series, written by John Jory and illustrated by Pete Oswald. They tell the story of a bad seed: ill-mannered and ill-tempered. Through the transformative power of will, acceptance, and personal growth, he is able to sprout a new attitude. 

“I love those books…I ask them questions after every page, so they have a memory that coincides with what we are reading. Kids get what is going on; they become so excited and interact,” she said. 

This aligns with Parker’s philosophy of providing the kids as well as their parents/caretakers with more than just story time: she encourages an interactive experience that ignites inceptive imaginations. Originally geared towards infants through four years old, Nana Carol wants to welcome kids of all ages to enjoy stories and a craft.

“Week to week is different since you never know the age of the kids in advance nor how long you can keep them interested,” Parker said. The average audience member’s attention span for active listening is about two books long, then it is craft time.  

Crafts are primarily paper-based to limit mess and mayhem: no glitter allowed. Parker precuts the pieces and individually packs each craft in separate bags for each child. Activities have holiday and seasonal themes. In the fall, the children constructed autumnal wreathes and scarecrows.   

Parker’s attention to detail extends to her craft supplies, which come from her personal collection. A couple of years ago, she found out that a nursery school was closing, and with the assistance of her daughter-in-law, rescued construction paper, markers, and other materials. 

Well-versed in applying ingenuity as inspiration, Parker always plans the crafts, but may not select what to read until she is perusing the shelves of The Next Chapter. 

An avid reader since her childhood in England — her favorite books were by English children’s writer Enid Blyton — as an adult, Parker’s tastes now gravitate towards the writings of Jodi Picoult, Kristin Hannah, and any works that cover World War II as a topic.  

Parker, who came to the United States as a senior in high school, does not have many memories of being read to as a child. But, she has consistently sought to share her reverence of the written word with her kids and grandkids.

In fact it was this passion, and her frequent trips to a former local bookstore, that led to her popular moniker.

“Nana Carol came from taking my grandkids to Book Revue in Huntington all the time; the staff heard me being called ‘nana’ and just applied it to my first name,” Parker said. 

Around 2018, when her grandchildren were a bit older, she volunteered her services for Book Revue’s story time. Nana Carol was an apparent natural with the bookstore’s youngest patrons, who quickly became enamored with her energy and emotional resonance. 

The pandemic halted this progress; the ability to enrapture very young minds was lost in translation on Zoom. In 2021, unable to afford its rent, Book Revue closed. 

What seemed like the end of a saga, was actually the start of a fresh narrative. Staff of Book Revue banded together to open The Next Chapter, and reached out to Parker, inviting her to join them in this new venture. She readily agreed, and together they have been building a literary legacy.  

“They took donations of tables and chairs, set up little areas where you can sit and read; it is very homey. Book Revue was wide, The Next Chapter is long. Its’ set up is lovely,” Parker said. “On Saturdays they have a flea market in the parking lot, with artisans displaying personal crafts, artists showing art, etc. [The staff] is really trying to establish a destination like Book Revue used to be. They are so very good to me.”  

And Parker is good their smallest clients. “I love kids and I love doing this…To make a child smile, make a child happy, that’s like a million dollar check to me,” she said. 

The Next Chapter Bookstore is located at 204 New York Avenue in Huntington. For more information about Story & Craft with Nana Carol, other programs, and the bookstore itself, please visit www.thenextchapterli.com.

From left, Plumbers Local 200 Organizer Edward Tedla, Business Agent Joseph Squicciarini, Business Manager - Financial Secretary/Treasurer Richard P. Brooks, Suffolk County Community College President Dr. Edward Bonahue, NY State Senator Mario Mattera and Sylvia A. Diaz, PhD, LMSW, executive director of the Suffolk Community College Foundation. Photo courtesy of SCCC

The Suffolk Community College Foundation’s Education Without Limits campaign that supports students with critical financial backing to help them achieve their academic and career goals, recently got a $3,000 boost from Plumbers Union Local 200.

Union representatives, including Local 200 Business Agent and New York State Senator Mario Mattera, Joseph Squicciarini, Organizer Edward Tedla and Business Manager Richard Brooks visited the Ammerman Campus in Selden to present their generous donation to college officials, including College President Dr. Edward Bonahue and Foundation Director Sylvia Diaz.

“We are incredibly grateful for the generous $3,000 donation from Plumbers Local 200 to our Education Without Limits Campaign,” said Suffolk County Community College President Dr. Edward Bonahue. “The donation helps us provide scholarships and other support to our students who are facing financial hardship. New York State Senator Mario Mattera and Plumbers Local 200 are valued partners of Suffolk County Community College, and we are proud to have their support.”

“Suffolk’s Plumbers Local 200 protect the health of all Long Islanders while promoting economic equality, building worker power, helping workers to win increases in pay, better benefits, and safer working conditions, and we are delighted to partner with them to support Suffolk’s promising students along their pathways to success,” said Sylvia A. Diaz, PhD, LMSW, executive director of the Suffolk Community College Foundation.

“As a longtime member and leader of Plumbers Local 200, I am extremely proud of the generosity of all our hardworking men and women. Suffolk County Community College is opening doors for so many young men and women with the Education Without Limits program and that is so important to our future as a region. All of our students should have the ability to chase their dreams and this will give that chance to all who are ready to work,” added Senator Mattera.

Dr. Alexander Orlov. Photo by John Griffin/SBU

Alexander Orlov, PhD, Professor of Materials Science and Chemical Engineering at Stony Brook University, has been elected chair of the American Chemical Society’s (ACS) Environmental Division. With a four-year term starting January 1, 2024, Orlov will lead the Division’s extensive community of scientists toward the goal of applying concepts in chemistry to address the world’s leading environmental and sustainability issues.

Orlov, a Middle Island resident and professor at Stony Brook since 2008, has contributed significantly to environmental protection and sustainability efforts throughout his career. His work as an educator earned him the 2017 ACS Award for Incorporating Sustainability into Chemistry Education and the 2018 American Institute of Chemical Engineers Sustainable Engineering Forum Education Award. He is a member of the US-EU working group on Risk Assessment of Nanomaterials supported by the U.S. White House and European Commission cooperative program on nanotechnology research. In 2022, he was a chair of the Environmental Division at the American Institute of Chemical Engineers.

For years Orlov has contributed to the United Nations Environmental Program and has helped lead several reports coming out of the program. From 2007 to 2014, he was appointed by two UK Secretary of States to advise the government on environmental issues such as hazardous substances and environmental impact of nanotechnology.

Orlov’s interdisciplinary research seeks to develop new materials for clean energy generation, structural applications, and environmental protection. He currently co-directs two Centers at Stony Brook — the Center for Laser Assisted Advanced Manufacturing and the Center for Development and Validation of Scalable Methods for Sustainable Plastic Synthesis and Processing.

At more than 150,000 members, the ACS is one of the largest scientific societies in the U. S. Approximately 3,000 scientists nationally and internationally are in the Environmental Division. The Division is dedicated to addressing all 17 Sustainable Development Goals outlined by the United Nations with an emphasis on issues surrounding climate change.

Navy

Welcome to the 24th edition of Paw Prints, a monthly column for animal lovers dedicated to helping shelter pets find their furever home.

Meet Navy – NAVY HAS BEEN ADOPTED!!!

Navy

Dignified in full dress white, this officer and a gentleman is Navy, currenly up for adoption at Little Shelter in Huntington. Strikingly handsome, yet humble and down to earth, he’s hoping to join an active family in time to participate in all their holiday gatherings and festivities. Intelligent, mischievous and friendly, he has both impeccable manners and an expressive, free-spirited side. While enjoying high ranking with the staff and volunteers, this young fellow would love nothing more than a home base, so stop by Little Shelter today and recruit Navy for your very own! 631-368-8770, ext. 21

Meet Beautiful

Beautiful

Introducing Beautiful — a sweet and stunning girl living up to her name! This one to two-year-old beauty is not just lovely on the outside but radiates love from within. Ready for her forever family, Beautiful is housebroken, a fantastic leash walker, and spayed. Enjoy long walks? Beautiful is your perfect companion! She’s a volunteer favorite, cherished for playtime and cuddles in the pens. Vaccinated and ready to embark on a lifetime of love, Beautiful deserves the world and is eagerly waiting for her people to give it to her. Beautiful would do well in a home with another dog, children 10 and up and potentially cats. Come meet her at the Brookhaven Animal Shelter. 631-451-6950

Meet Meadow

Meadow

This happy lady is always smiling! Meadow is a 2-year-old female lab mix who is currently up for adoption at the Smithtown Animal Shelter. Meadow was found as a stray on Nov. 11 and was never claimed. She adores making new friends and has energy for days. She needs a little work on leash manners and may be a bit much for small kids or cats but is otherwise perfect. If you are interested in meeting Meadow, please schedule time to properly interact with her in a domestic setting, which includes a Meet and Greet Room, the dog runs, and a Dog Walk trail. 631-360-7575

Meet Princess Polly

Princess Polly

This beautiful lady is waiting for you at Little Shelter in Huntington. The origin of the name Polly means “wished for” and this season of gratitude is the perfect time to add a nine year old Maltese mix to your family. Coming from a long line of royalty, she also enjoys the title of Princess, so when dressed in her holiday finest, she‘s affectionately known as Princess Polly. Congenial and easy going, this little socialite is quick to make friends and influence people when out and about on her daily rounds. The Maltese have been prized companions for centuries, being intelligent and affectionate, with the ability to easily learn new things. Her best trick? She knows how to make herself irresistible! Stop by to meet Princess Polly today! 631-368-8770, ext. 21

Cuteness Overload!

Geoff
Lemon
Daphne

 

 

 

 

 

 

Gilda

Check out these gorgeous kitties, Geoff, Lemon, Daphne and Gilda, currently up for adoption at Kent Animal Shelter in Calverton. Stop by the shelter (10 a.m. to 4 p.m. daily) to meet them or fill out an adoption application ahead of time at www.kentanimalshelter.com. 631-727-5731 ext. 1

Check out the next Paw Prints in the issue of January 11.

Paw Prints is generously sponsored by Mark T. Freeley, Esq.

Photo courtesy of Stony Brook Athletics

The Stony Brook women’s basketball team kept Longwood to just 15.4 percent from deep in a 2-for-13 shooting performance on the way to an 85-49 victory against the Lancers at home on Dec. 11.

The Seawolves (8-1) had three players score in double figures, led by Khari Clark, who had 16 points and three steals. Zaida Gonzalez tacked on 16 points and two blocks and Gigi Gonzalez chipped in as well with 16 points, six assists and three steals. Stony Brook grabbed 45 rebounds in Monday’s game compared to Longwood’s 38, led by 10 boards from Shamarla King.

Stony Brook’s defense held Longwood to only 15.4 percent shooting from beyond the arc and 26.2 percent from the field.

Stony Brook started out the scoring by going on a 9-0 run, culminating in a bucket from Clark, to take an early lead with 7:27 left in the first quarter. The Seawolves then added three points to that lead by the end of the period and entered the quarter break with an 18-6 advantage. Stony Brook did most of its first quarter damage in the paint, scoring 12 of its 18 points close to the basket.

The Seawolves built that first quarter lead to 30-14 before going on a 6-0 run starting at the 2:45 mark in the second period, highlighted by a three from Victoria Keenan, to increase its lead to 36-14. The squad proceeded to tack on three points to that lead and enjoyed a 43-18 advantage heading into halftime. Stony Brook dominated in the paint, scoring 14 of its 25 points close to the basket.

Following intermission, Stony Brook continued to expand its advantage, pushing it to 50-23 before going on a 14-0 run, punctuated by a basket from King, to expand its lead further to 64-23 with 4:14 to go in the third. Before the conclusion of the third period, the Lancers had cut into that lead, but the Seawolves still entered the fourth quarter with a 68-28 edge. Stony Brook played dominated near the basket, scoring 18 of its 25 points in the paint.

The Seawolves then held on for the victory in the fourth quarter, 85-49. 

The team will return to the court next week when they head to New Rochelle to battle Iona at 1 p.m. on Dec. 21. The game will be live on ESPN+.

“I was really pleased with the win today. [The team} was able to stay locked in and focused and disciplined. … I’m excited for them to get some rest in these 10 days and study for finals,” said Coach Ashley Langford after the game.

#24 Jared Frey Jared Frey connected on five three-pointers, a new career-best for the sophomore, during last Saturday's game. Photo courtesy of Stony Brook Athletics

The Stony Brook University men’s basketball team came from behind to defeat Bryant, 86-75, on Dec. 9 at Island Federal Arena. The Seawolves knocked down 16 three-pointers and shot 66.7 percent from the field in the second half to beat the Bulldogs.

Stony Brook found itself down 17-5 out of the gate after Connor Withers made his first five shots, including four from beyond the arc. Bryant maintained a double-digit lead for a majority of the opening 13 minutes of the contest, thanks to hot shooting from three-point range. The Seawolves made it a one-possession game on two occasions down the stretch in the first half, but would go into the locker room facing a 36-31 deficit.

The second half told a much different story, seeing the Seawolves flip the script on the Bulldogs. Stony Brook shot better than 65 percent from the floor and 73.3 percent from downtown in the second half to overcome a 12-point, first-half deficit and overcome Bryant.

Momentum began swinging in the Seawolves’ favor early on in the second half, and by the 12-minute mark the game was tied for the first time since the opening tip. Dean Noll’s trifecta made it 47-47, capping off a 9-0 run by Stony Brook.

Stony Brook then grabbed its first lead of the evening, 51-49, on a Tyler Stephenson-Moore trifecta. Chippiness between the two sides followed, seeing a pair of double-technicals assessed to players from either side.

 With the contest tied once more at 55-55, Withers struck again from downtown, but an extended celebration directed towards Stony Brook’s bench earned him a technical foul. Bryant’s three-point lead then turned into a seven-point deficit after the Seawolves went on a 10-0 run after the tech, punctuated by another Stepheson-Moore triple.

The Seawolves never trailed again, though the Bulldogs came within a possession of the lead with just under five minutes to play. The Seawolves buckled down however, expanding its lead to double figures with under two minutes to play and closing things out at the charity stripe to earn its biggest victory of the season to date.

“Tonight … we needed everybody to play well … and the eight guys that went in there made key contributions. It was a great win for us,” said Coach Geno Ford after the game. “At the end of the day, we showed a level of toughness and resolve that we need to show to win a game against a really good team.”

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From Angels to Werewolves: Animal-Human Hybrids in Myth and Art

By Elizabeth Kahn Kaplan

St. James resident Philip F. Palmedo has produced a beautifully written and generously illustrated book on a subject that has intrigued, delighted, and frightened children and adults from ancient days to the present: therianthropy, the mythological ability of humans to metamorphose into animals or animal-human hybrids.  

“The concept of the therianthrope can catalyze the creative imagination,” writes Palmedo. 

The first that we know of is the Upper Paleolithic Lion-Man carved out of woolly mammoth ivory some 40,000 years ago. While we can only conjecture why it was created, we know that more recent animal-headed deities like the jackal-headed Egyptian god Anubis played important roles some 5000 years ago in weighing the worth of a person after death.

In the Hindu pantheon, elephant-headed, four-armed Ganesha is widely revered as a bringer of good luck; in Christian art winged angels abound, by turns avenging and comforting. In the 20th century, the ancient Greek legend of the fearsome Minotaur, a man with the head and tail of a bull, served as Pablo Picasso’s “allegorical alter-ego . . . with many of his etchings, paintings, and sculptures featuring this mythical bull-man.” 

Imaginative minds past and present have created talking animals, from the wicked snake in Genesis that tempted Eve in the Garden to the Cowardly Lion in The Wizard of Oz, Disney’s Mickey Mouse and Donald Duck, and lovable Big Bird of Sesame Street. 

Shape-shifting, the ability to change from human to animal or to an inanimate object, abounds in Greek mythology. One rather improbable example is that of the god Zeus changing into a swan to seduce Leda. In another example, as retold by the ancient Roman poet Ovid, the beautiful river nymph Daphne was “shapeshifted” by her father, morphing into a laurel tree to defeat the unwelcome advances of Apollo, the Greek god of the arts. The sadder but wiser Apollo paid tribute to her by adopting the laurel wreath as his crown. 

In America, therianthropy is on display in The Wolf Man horror films, from Lon Chaney’s 1941 portrayal to Benicio del Toro’s in 2010. More recently, the widely consumed Harry Potter tales spun by prolific British writer J. K. Rowling charmed children and adults with a talking bird, Hedwig, and with Firenze, the centaur who rescued Harry from the villain Voldemort. 

Centaurs, mythic creatures with the upper body of a human and the lower body and legs of a horse, are the land complement to creatures with human upper torsos ending in huge fish tails — mermen and the alluring mermaids sighted by lonely mariners whose names derive from the French word for the sea, La mer. Palmedo’s chapter, Merpeople, is richly illustrated with examples in art from 6000 BC Serbia and 4th century BC Greece to 19th and 20th century India, Japan, Great Britain, and Denmark, including the bronze sculpture The Little Mermaid that overlooks the harbor in Copenhagen. Based on Hans Christian Andersen’s tale published in 1837, that fable might bring tears to one’s eyes. 

On the other hand, Norman Rockwell’s 1955 Saturday Evening Post cover, The Mermaid, can only make us chuckle with its depiction of an elderly fisherman hauling a beautiful mermaid home, her long elegant tail protruding from the large wooden fish trap on his back. 

This elegant, art-illustrated book written with clarity, printed on glossy paper, will entertain and enlighten. It can be purchased from Amazon. 

ABOUT THE AUTHOR:

A Ph. D. in Nuclear Engineering from M.I.T., Philip F. Palmedo, former head of the Energy Policy Analysis Division at Brookhaven National Laboratory, was for many years Chairman of the Washington-based International Resources Group, which he founded. A former Trustee of Williams College in Massachusetts, where he majored in Physics and Art History as an undergraduate, Palmedo formed and was President of the Long Island Research Institute. He also serves on the MIT Council for the Arts, and is a fellow of the Williams College Museum of Art. Palmedo’s previous book was Deep Affinities: Art and Science.

Caroline Parker Mountpleasant, a Haudenosaunee woman from the Seneca people, in traditional dress circa 1850. Courtesy of the Rochester Museum & Science Center

By Lisa Scott

November for most of us is a time to celebrate our democracy by voting. And later that month we conjure Pilgrims and Indians celebrating harvest plentitude in peace, as we similarly gather with friends and family to feast and give thanks. But today when vocal individuals and groups are arguing that history and culture are controversial subjects, it’s important to remind us all that there is much more about Native Americans that we can learn from and that should be shared. 

American Indian Day was first celebrated in New York 107 years ago — after Red Fox James (a member of the Blackfoot Nation) rode across our country seeking approval from 24 state governments to have a day to honor  American Indians. But it wasn’t until 1990 that Pres. George H.W. Bush signed a joint congressional resolution designating November “National American Indian Heritage Month.”

The U.S. Census Bureau conducted population surveys which were released as part of their 2020 census:  the U.S. American Indian and Alaska Native population (9.7 million in 2020) is one of the six major race categories defined by the US Office of Management and Budget. There were 1.5 million people who identified as Cherokee. That group has a tragic history, since they and the other “Five Civilized Tribes” of what’s referred to now as the American Deep South were subject to Andrew Jackson’s Indian Removal Act of 1830 leading to the “Trail of Tears.”

This was an effort to forcibly relocate tribes/sovereign nations to Oklahoma and for the federal and state governments to dissolve their tribal boundaries and annex their lands. In today’s world, it can be termed “ethnic cleansing” and it anticipated the U.S. Indian reservation system. And the fighting over Indian lands was not only a 19th century blot on our history. 

Killers of the Flower Moon (book by David Grann, as well as the recent film) recounts the true story of how a white businessman and self-proclaimed “true friend” of the Osage Nation orchestrated the brutal murders of numerous members of the tribe in early 1920s Oklahoma after big oil deposits were discovered beneath their land. 

The ”Trail of Tears” tragedy and the legacy of government disregard (in spite of court decisions supporting tribal land sovereignty and finding against federal and state land seizures) continues to the current day. For example, the Shinnecock Nation continue their efforts to regain control over their ancestral land. The Shinnecock Indian Nation is one of the oldest self-governing tribes in the State of New York and was formally recognized by the United States federal government as the 565th federally recognized tribe on October 1, 2010. 

But Governor Hochul recently vetoed the Montaukett tribe’s state-recognition bill, which had passed the NYS legislature unanimously early in 2023, citing a 1910 judicial decision which claimed that the Montaukett community no longer functioned as a governmental unit in the state. Historian John Strong called those 1910 rulings “racist.” In 1998, a Newsday investigation unearthed documents that appear to be “deceit, likes and possible forgery” in deals that wrested tribal lands from the Montauketts and the Shinnecock Indian Nation. 

Women’s Suffrage leaders in upstate New York in the mid-19th century were strongly influenced by the Native Americans — specifically the Haudenosaunee (Iroquois Confederacy) whose tribal government  was organized to maintain a balance of equality between men and women. There was a wide range of information in local newspapers like the Syracuse Standard, creating a sophisticated understanding of Haudenosaunee culture and tribal government. Also there was a great deal of personal interaction; friendship and visiting were commonplace activities. 

Elizabeth Cady Stanton and Matilda Joslyn Gage, as major theoreticians of the woman’s rights movement, claimed that the society in which they lived was based on the oppression of women. However, their neighbors, Haudenosaunee society, was organized to maintain a balance of equality between women and men; women had decisive political power, control of their bodies, control of their own property. custody of the children they bore, the power to initiate divorce, satisfying work, and a society generally free of rape and domestic violence. Women chose their chief, held key political offices, and decision making was by consensus. Thus those early feminists believed women’s liberation was possible because they knew liberated women who possessed rights beyond their wildest imagination — Haudenosaunee women.

Lisa Scott is president of the League of Women Voters of Suffolk County a nonprofit, nonpartisan organization that encourages the informed and active participation of citizens in government and influences public policy through education and advocacy. For more information, visit https//my.lwv.org/new-york/suffolk-county.

Most thyroid nodules are found incidentally. METRO photo

By David Dunaief, M.D.

Dr. David Dunaief

Thyroid nodules are often diagnosed incidentally on radiologic exams, such as CT scans of the chest, MRI scans, PET scans and ultrasounds of the carotid arteries in the neck. It’s rarely because of symptoms. More than 50 percent of people have thyroid nodules detectable by high-resolution ultrasound. Fortunately, most are benign. Depending on the study, the percent that are malignant can range from 1.1 to 6.5 percent of nodules. 

This leaves us with the question of what to do with a thyroid nodule. What’s the short answer? It depends on the size. If it is over one centimeter, usually it is biopsied by fine needle aspiration (FNA). While most are asymptomatic, if there are symptoms, these might include difficulty swallowing, difficulty breathing, hoarseness, pain in the lower portion of the neck and a goiter.

FNA biopsy is becoming more common. In a study evaluating several databases, there was a greater than 100 percent increase in thyroid FNAs performed over a five-year period from 2006 to 2011. This resulted in a 31 percent increase in thyroidectomies, surgeries to remove the thyroid partially or completely.

However, the number of thyroid cancers diagnosed with surgery did not rise in this same period. Thyroid nodules in this study were least likely to be cancerous when the initial diagnosis was by incidental radiologic exam.

Addressing indeterminate FNA results

As much as 25 percent of FNA biopsies are indeterminate. We are going to look at two techniques to differentiate between benign and malignant thyroid nodules when FNA results are equivocal: a PET scan and a molecular genetics test.

A meta-analysis of six studies of PET scan results showed that it was least effective in resolving an unclear FNA biopsy. The PET scan was able to rule out patients who did not have malignancies, but it did not do a good job of identifying those who did have cancer.

On the other hand, a molecular-based test was able to potentially determine whether an indeterminate thyroid nodule by FNA was malignant or benign.

Unlike in the PET scan study above, the researchers were able to not only rule out the majority of malignancies but also to rule them in. It was not perfect, but the percent of negative predictive value (ruled out) was 94 percent, and the positive predictive value (ruled in) was 74 percent. The combination test improved the predictive results of previous molecular tests by 65 to 69 percent. This is important to help decide whether or not the patient needs surgery to remove at least part of the thyroid.

What is the significance of calcification?

Microcalcifications in the nodule can be detected with an ultrasound. The significance of this may be that patients with microcalcifications are more likely to have malignant thyroid nodules than those without them, according to a small prospective study involving 170 patients. This does not mean that a patient has malignancy with calcifications, but that there is a higher risk.

The ‘wait and follow-up’ approach

As I mentioned above, most thyroid nodules are benign. The results of one study go even further, showing that most asymptomatic benign nodules do not progress in size significantly after five years. The factors that did contribute to growth of about 11 percent of the nodules were age (<45 years old had more growth than >60 years old), the existence of multiple nodules, greater nodule volume at baseline, and being male.

The study authors’ suggestion is that, after the follow-up scan, the next ultrasound scan might be five years later instead of three. However, they did discover thyroid cancer in 0.3 percent after five years.

How does thyroid function affect outcomes?

In considering risk factors, it’s important to note that those who had normal thyroid stimulating hormone (TSH) were less likely to have a malignant thyroid nodule than those who had high TSH, implying hypothyroidism. There was an almost 30 percent prevalence of cancer in the nodule if the TSH was greater than >5.5 mU/L (13).

Fortunately, most nodules are benign and asymptomatic, but the number of cancerous nodules found is growing. Why the mortality rate remains the same, year over year for decades, may have to do with the slow rate at which most thyroid cancers progress, especially of the two most common forms, follicular and papillary.

References:

(1) uptodate.com. (2) AACE 2013 Abstract 1048. (3) Thyroid. 2005;15(7):708. (4) European Thyroid Journal. 2022 Jun 29;11(4) online. (5) AACE 2013 Abstract 1048. (6) thyroid.org. (7) AAES 2013 Annual Meeting. Abstract 36. (8) AACE 2013 Abstract 1048. (9) Cancer. 2011;117(20):4582-4594. (10) J Clin Endocrinol Metab. Online May 12, 2015. (11) Head Neck. 2008 Sep;30(9):1206-1210. (12) JAMA. 2015;313(9):926-935. (13) J Clin Endocrinol Metab. 2006;91(11):4295.

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.

The Three Village Community Trust, the Three Village Civic Association, the North Suffolk Garden Club, the Three Village Chamber of Commerce and students and faculty at the Stony Brook School, and the Three Village Historical Society are partners in a Beautification Project at the Stony Brook Train Station.  Over the past year, significant progress has been made removing debris, weeds, and invasive plants from the landscaped beds. And a wide variety of Long Island native plants have been added to the landscaped beds.

As part of their ongoing efforts, the Stony Brook Train Station Beautification Committee invited local artist Michael Rosengard to create a unique art installation at the Station titled ‘All Aboard – Home For The Holiday.’ This outdoor work of art, located outside the front entrance of the historic Stony Brook Station House, creates a sense of wonder and whimsy to those walking or driving past the Station, highlights the history and importance of the Long Island Rail Road, celebrates the accomplishments of the Beautification Project, and helps kicks of the Holiday Season.

The community celebrated the opening of the exhibit on Monday, December 4th!