Arts & Entertainment

Photo by Patrick Keeffe
‘Vineland’ by Christopher Tennant

Suffolk County Vanderbilt Museum, 180 Little Neck Road, Centerport recently debuted Related Searches, the first solo museum exhibition by New York artist Christopher Tennant.

Tennant’s artwork—a mix of avian and aquatic dioramas and vitrines, handmade lamps, and collected specimens—reimagines natural history as an extension of commodity culture and the decorative arts. His brilliantly illuminated cases combine antique taxidermy with discarded consumer products to provide a stark visual representation of the beauty and terror of an ecology altered by human industry and the algorithmic marketplace.

Related Searches is on view in the Lancaster Room, a newly renovated gallery space in the mansion, through June 30.

For more information, call 631-854-5579 or visit www.vanderbiltmuseum.org.

Find Fiesta Inspiration with Mini Tacos

(Family Features) Liven up your mealtime routine with the fresh global flavors of an at-home fiesta for a memorable way to rethink your menu. With nearly countless ways to spice up the kitchen using inspiration from around the world, it’s easy to find something new and exciting.

For example, these Sloppy Joe Mini Tacos from “The New York Times” bestselling cookbook author Stephanie Banyas offer a true flavor fusion. The lively blend of ground turkey or pork chorizo, cheeses, spices and veggies pop when combined with the high-quality ingredients of Fresh Cravings Salsa.

These boldly flavored salsas are made with vine-ripened tomatoes, crisp onions, zesty peppers and spices. Plus, they’re never cooked or pasteurized, meaning you’re enjoying a vibrant dip that’s never soggy or dull. Available in a range of heat levels among restaurant style, chunky and pico de gallo, they complement any at-home fiesta.

“This is the ultimate mashup of two school lunch favorites: Sloppy Joes and Tacos,” Banyas said. “It includes some serious attitude thanks to Fresh Cravings Salsa’s hearty blend of diced tomatoes, onions, fragrant cilantro and Anaheim and Serrano chili peppers.”

Visit freshcravings.com for more ways to spice up your at-home fiesta.

Sloppy Joe Mini Tacos
Recipe courtesy of Stephanie Banyas

Yield: 12-15 tacos

Ingredients:

1 container (16 ounces) Fresh Cravings Restaurant Style Salsa (mild or medium)
3 tablespoons ketchup
2 tablespoons yellow, brown or Dijon mustard
2 teaspoons Worcestershire sauce
2 heaping tablespoons light brown sugar
2 tablespoons vegetable oil
8 ounces ground turkey or pork chorizo
8 ounces 90% lean ground chuck or turkey
salt, to taste
freshly ground black pepper, to taste
1/4 cup water
15 tortillas
1/4 cup finely chopped fresh cilantro leaves
1 cup crumbled cotija cheese
1 cup shredded Mexican blend cheese (optional)
1/2 red onion, thinly sliced, soaked in ice water 30 minutes and drained

Avocado Mash:
1 ripe Haas avocado, halved, pitted and removed from skin
2 tablespoons finely diced red onion
1/2 lime, juice only
salt, to taste
pepper, to taste

Directions:

Preheat oven to 300 F.

In blender or food processor, process salsa until smooth. Remove 1/2 cup processed salsa and set aside for garnish. In medium bowl, mix remaining salsa, ketchup, mustard, Worcestershire sauce and brown sugar until combined. In large saute pan over high heat, heat oil until it begins to shimmer. Add chorizo and ground meat; season with salt and pepper, to taste. Cook, breaking up meat with wooden spoon, until golden brown and just cooked through, about 8 minutes. Add salsa mixture and water; bring to boil, reduce heat to medium and cook, stirring occasionally, until mixture thickens, about 10 minutes. Taste for seasoning. Wrap tortillas tightly in foil and heat in oven 10 minutes. Remove and keep wrapped tightly until ready to serve.

To make avocado mash: In medium bowl, coarsely smash avocado halves with fork. Add onion and lime juice then season with salt and pepper, to taste, and gently mix to combine.

Place tortillas on flat surface, top each with meat mixture and garnish as desired with reserved salsa, avocado mash, cotija, Mexican cheese and sliced red onion.

Photo from The Jazz Loft

The following events are scheduled at The Jazz Loft for June 2022:

Wed. 6/1 Young at Heart: The Harry Warren Songbook 1:00 PM

Harry Warren is a composer and lyricist who composed primarily for movies. Young at Heart is a monthly themed jazz concert for those who like their jazz in the afternoon.
Tickets: $10

Wed. 6/1 Jazz Loft Trio and Jam 7:00 PM

The Jazz Loft Trio performs at 7 PM followed by a jam at 8 PM.
Tickets: $10 at 7PM, $5 at 8 PM

Thurs. 6/2 The Jazz Loft Big Band 7:00 PM

The 17 member Jazz Loft Big Band, led by Jazz Loft founder Tom Manuel, performs jazz standards, original compositions and arrangements written by band members. The band will be performing Duke Ellington’s Far East Suite.
Tickets: $30 adults, $25 seniors, $20 students, $15 children, children 5 and under free

Fri. 6/3 The Jazz Loft Big Band 7:00 PM

The 17 member Jazz Loft Big Band, led by Jazz Loft founder Tom Manuel ,performs jazz standards and original compositions and arrangements written by band members. The band will be performing Duke Ellington’s Far East Suite.
Tickets: $30 adults, $25 seniors, $20 students, $15 children, children 5 and under free

Sat. 6/4 Noah Preminger Quartet 7:00 PM

Noah Preminger is tenor saxophonist, composer and band leader.
Tickets: $30 adults, $25 seniors, $20 students, $15 children, children 5 and under free

Wed. 6/8 Jazz Loft Trio and Jam 7:00 PM

The Jazz Loft Trio performs at 7 PM followed by a jam at 8 PM.
Tickets: $10 at 7 PM, $5 at 8 PM

Wed 6/15 Jazz Loft Trio and Jam 7:00 PM

The Jazz Loft Trio performs at 7 PM followed by a jam at 8 PM.
Tickets: $10 at 7 PM, $5 at 8 PM

Thurs. 6/16 The Bad Little Big Band 7:00 PM

Pianist Rich Iacona leads his 12 member big band in performing the music of The Great American Songbook. Madeline Kole provides vocals.
Tickets: $30 adults, $25 seniors, $20 students, $15 children, children 5 and under free

Fri. 6/17 Hye Seon Hong Jazz Orchestra 7:00 PM

Hye Seon Hong is a Korean jazz composer and arranger who leads her 17 piece NYC jazz Orchestra
in creating a musical dialogue between her Korean cultural heritage and the culture of the West. The Orchestra blends elements of classical music, modern jazz big band and traditional Korean music.
Tickets: $30 adults, $25 seniors, $20 students, $15 children, children 5 and under free

Sat. 6/18 Havana Night In The Basie Garden 7:00 PM

Manuel Tomas and His Cuban Troubadours, an eight piece Latin ensemble will perform in the Jazz Loft’s outdoor Count Basie Garden. The event will include food provided by the Bliss Restaurant, complimentary cocktails and a hand rolled cigar.
Tickets: $50

Wed. 6/22 Jazz Loft Trio and Jam 7:00 PM

The Jazz Loft Trio performs at 7:00 PM followed by a jam at 8 PM.
Tickets:$10 at 7 PM, $5 at 8PM

Thurs. 6/23 Interplay Jazz Orchestra 7:00 PM

The 17 member Jazz Loft Orchestra performs original compositions and arrangements written by band members.
Tickets: $30 adults, $25 seniors, $20 students, $15 children, children 5 and under free

Wed. 6/29 Jazz Loft Trio and Jam 7:00 PM

The Jazz Loft Trio performs at 7 PM followed by a jam at 8 PM.
Tickets: $10 at 7 PM, $5 at 8 PM

The Jazz Loft is located at 275 Christian Avenue in Stony Brook Village. For more information, call 631 751-1895. Tickets are available at www.thejazzloft.org and if available, prior to events.

Artist statement:

I paint as if in a dream highlighting my everyday experiences in poetic color and form with emotion. My subjects range from still life, landscapes, and portraits in the photorealistic style and futuristic visionary paintings with a surreal edge.’

By Irene Ruddock

In this interview, you will gain insight on a remarkable artist; a photorealist and visionary explorer who seeks to discover the inner world through art. Born deaf, Charles Wildbank achieved degrees from Yale, Pratt, and Columbia. After a few years of teaching deaf students, Wildbank burst upon the art world with his Fifth Avenue window showcases in New York City, portraits of David Hockney and Luciano Pavarotti and his famed eight foot tall rendering of the Cartier diamond. Read on to be amazed and uplifted by his fascinating career and inner depth that has transformed this artist’s vision and ours along with it. 

Tell us about your beginning forays in the world of art? How did being deaf affect your choosing art as your life’s work?

There were hardly any options when it came to communicating as a deaf child other than pointing or drawing sketches to have others understand me. This was followed by strong approvals and eventually requests for some art from me. That is how my art career blossomed since I got adept at rendering just about anything.

How do you hear now? How did you learn to speak so well which is a difficult obstacle for the deaf?

Without wearing a hearing device, I am deaf as a stone, oblivious to all sounds. My parents, in realizing my lack of hearing as a toddler, brought home a rather large amplifier with headphones. For me, it was one of the best gifts. Music would be one of my first sounds. Also, I would wear them in front of a black and white television watching cartoons. This was followed shortly with a large new hearing aid which I could wear strapped around my chest for play outside. This helped me learn to speak and listen and not just read lips. 

It was only recently that I received a pair of cochlear implants. That is when I first picked up the sound of fizz when opening a bottle of Perrier water! Every morning since, i woke up to a cacophony of bird songs outside.

For the most part, I enjoy painting in complete silence. Music is always my love as it was my first sound. For instance, I get so moved by the vocal range of one of Maria Callas’ arias, only possible through my cochlear implants. I am so grateful for this timely modern technology. Also, I am grateful for the closed captioning, for through this, I hear most everything, I am still learning how to listen and recognize language by ear. In retrospect, all those years of speech therapy after school hours were worth it!

Being understood has been a very challenging feat for me and it was though family and friends who would help me enunciate new words. It was perhaps through my willingness to accept feedback without feeling criticized which may have been an essential key to this day.

As a former teacher, I was most impressed by your heartfelt desire for parents to encourage children in their passions and gifts. Can you tell us about your family and the importance of their support in your life’s choice of art.

The idea of praising children for any accomplishment became the norm in my family and it is likely not just love, but the side benefit of children giving back. All my siblings had many talents and in turn received their nourishment and it made us all so proud. I’d wish this for every child in this world as it has such a transforming effect on their overall being. Literally, vices such as bullyism and wars would vanish. One cannot underestimate the power of the arts in our love starved world of today. All it would take is some beautiful architecture, some color in the room, some fashion, some life changing art, or a song to make one’s life turn around for the better!

How has your art progressed since the initial foray into the art world?  

Though I was mostly self-taught, attending art college landed me into such a creative and stimulating environment among like peers. We visited many museums and galleries and took opportunities to remain inspired such as meeting older professional artists. My art output increased among the local art fairs in the Hamptons due to the delightfully growing demand for my art. 

Can you describe the exemplary ‘Hado Series?’ 

After many years of paving out a career in such hyper- real fashion on Fifth Avenue, I wished to make a leap of imagination by adding a touch of surrealism in my newer work. Since many of my dreams contain a common element of water with giant waves throughout, I adopted this Japanese word HADO, which means “wave”.  To achieve this subliminal oceanic effect, I incorporated some of my photographs with  digital tools such as photoshop. I do anything I wished with my more mundane images thus transforming them into another realm from my imaginative choosing. This is followed by using these final images as notes as I paint from my laptop onto a very large canvas. This visual show can observed in my recent “Tempest” and “Emergence” murals.

A lot of us are lost when it comes to understanding digital art, yet you have achieved remarkable work that is not remote or cold in feeling but touches the soul. Can you explain this?

Instead of a computer mouse, I use a special stylus digital pen and tablet with my laptop in creating new images. My photo diaries are uploaded for this purpose, and I often start with a dream in mind’s eye and find elements in reality that I can morph into the composition on the screen. This would take many hours to achieve to my satisfaction. Finally, a grid is laid upon the approved image and sketched by hand onto a new blank canvas. Digitally I can add and take away elements that do not belong and amplify to match any given emotion or whim. Once sketched upon the canvas in pencil, I proceed to paint and brush onto that canvas  with acrylic paint. This process usually take several months to complete.

Your portraits of everyday people are as mesmerizing as your famous portrait of Ruth Bader Ginsburg. What is it that draws you to a person?

Portraits are a very dear subject for me, particularly large ones. Whenever someone visually grabs my attention for any reason, I usually make a request for a pose which often goes rewarded. Perhaps it is their hair or certain attitude that I find appealing.  Essentially, I look for that timeless feeling. 

Your commission to paint for the ocean liner The Queen Mary 2 had to be an exciting honor. 

For those murals on board the QM2, I was approached by agents representing Cunard Lines in Amsterdam by e-mail because my website must have captured their strong interest. There were requirements to be met and one interesting one was that the murals had to be flame proof. After some search online then, I was able to locate a canvas manufacturer that makes this Trevira (TM) brand and ordered 10-foot-wide rolls 40 feet long from Nurnberg, Germany. The ship’s insurance company in London requested my canvas sample and it passed the flame test. These tall murals depict coastal scenes of England and America and are now hung by the elevators on board the QM2. Fans having sailed on board would thoughtfully send me selfies confirming they have admired these murals. Such gestures would make my day.

You are presently showing your work at the Reboli Center’s Bloom exhibit in Stony Brook. What piece do you have on exhibit there? 

Originally, I was going to include my latest “Grand Florale” at this Reboli  Exhibition “Bloom”, however, fortunately and unfortunately, I had sold the mural, all 11 feet of it to a private collector. I decided to exhibit one of my favorites titled, “The Path” which depicts one of my refreshing walks by the beach path covered with rugosa roses in bloom.

How can the public view your work ? 

Visit my latest website, http://wildbankfineart.com and facebook page under “Charles Wildbank” and view my story on the Reboli Center website. Also, I welcome visitors to my studio in Jamesport to see my work in person or to join a group for art lessons by appointment.

By Tara Mae

Proud portraits. Mixed media meditations. Vibrant colors and muted tones. A true exploration of artistic expression, the 26th annual Long Island’s Best: Young Artists at the Heckscher Museum student exhibition is now on view in Huntington through May 29.

Jurors Karli Wurzelbacher, (Curator, at The Heckscher Museum), and local artist Emily Martin (a weaver, installation artist, and textile designer) had the difficult task of selecting 79 works out of 399 entries from 55 different schools. “It is our most competitive year yet,” said Director of Visitor Experience Kristina Schaaf.

Top awards went to four distinct mixed media works of art. 11th grader Ashley Park of Half Hollow Hills High School West won the  Celebrate Achievement Best in Show award for This is Who I Am; 12th grader Anjali Gauld of Manhasset High School received Second Place for Bowerbird’s Baubles; 12th grader Khizran Fatima of Hicksville High School captured Third Place for Sinf e Aahan (Women of Steel); 12th grader Charlotte Quintero of Hicksville High School received Fourth Place for Tattered Flesh. 

Long Island’s Best is a way to highlight the talent we have in our communities and connect it with the public. People come in and cannot believe that teenagers have created such high caliber art,” said Director of Education and Public Programs Joy Weiner.

The museum is an educational institution at its core and Long Island’s Best is the culmination of its school outreach program. High school art teachers arrange for their students to visit the museum either in person, or since the pandemic began, virtually. 

Educators at the museum guide the students through detailed study and discourse about works of art; students then select the works of art that most appeal to them as   inspiration for their own pieces. Participants include Artist Statements in their submissions, describing their methods, inspirations, and reactions to what they saw in the museum, as well as how it led them to creating their art. 

“Jurors reading about their work in their own words is a huge part of the process; it is so important for students to have to speak about what they are making,” Schaaf said. “The statements are also on view in exhibition. We take what every student has written about their process and ideas and we put it on the walls. Visitors hear from students themselves when they visit and we include little images of works that inspired them.” 

There are two awards that have not yet been determined: Visitors’ Choice, for which museum-goers may vote in person and Virtual Visitors Choice, for which website viewers may vote online. 

In addition to the month-long exhibition in the galleries, Mitchell’s, the Huntington-based retailer, and Firefly Gallery in Northport are currently showing select student works in their stores through May. 

Beyond the immediate satisfaction of having their efforts recognized, guest juror Martin, a finalist in Long Island’s Best when she was a junior at Plainview-Old Bethpage John F. Kennedy High School in 2014, identifies with the impact participating in the exhibit can have on the students. 

“I was always interested in art, but was unsure if it would be something I would pursue until I got into the LI Best show. Being chosen for this exhibit jump started my journey to become an artist,” Martin said. 

The Heckscher Museum of Art, 2 Prime Avenue, Huntington is open Thursday to Sunday, from noon to 5 p.m. $5 admission is suggested for adults, free for children under the age of 13. For more information, call 631-380-3230 or visit www.heckscher.org.

On April 26, Brookhaven Town Supervisor Ed Romaine and Councilmember Jonathan Kornreich attended the 22nd annual Brookhaven Chambers of Commerce Coalition (BCCC) Awards Night at the Meadow Club in Port Jefferson Station. 

Established in 1992, the Brookhaven Chambers of Commerce Coalition represents more than 16 chambers in the Town of Brookhaven. The awards reception honors members that represent the values and mission of the coalition.

During the evening, Brookhaven Town chamber members were recognized by the Supervisor and Councilmember for their service to the business community. In addition to running their own businesses, members share the understanding that small businesses provide jobs to thousands of people and help create a sense of place in the community. 

“Congratulations to all the award recipients. This recognition of service to the business community is well deserved, especially after the difficulties brought on by the pandemic. Small business was hit hard, but now it’s their time to rebound and get back to business as usual,” said Supervisor Romaine.

“I was so proud to see our own Jennifer Dzvonar from the Port Jefferson Station/Terryville Chamber of Commerce; James Luciano from the Port Jefferson Chamber of Commerce and Colette Frey-Bitzas from the Three Village Chamber of Commerce be nominated as members of the year,” said Councilmember Kornreich. 

“The town wide winner was our very own Jen Dzvonar. Thank you, Jen and all our Chamber members for everything you do to make Council District 1 a great place to live and do business. Special thanks to Indu Kaur for hosting the event at the elegant Meadow Club, and a shoutout to Barbara Ransome for running a great event,” he added.

Pixabay photo

By Michael Christodoulou

Michael Christodoulou
Michael Christodoulou

As an investor, you can easily feel frustrated to see short-term drops in your investment statements. But while you cannot control the market, you may find it helpful to review the factors you can control.

Many forces affect the financial markets, including geopolitical events, corporate profits and interest rate movements — forces beyond the control of most individual investors. In any case, it’s important to focus on the things you can control, such as the following:

Your ability to define your goals: One area in which you have total control is your ability to define your goals. Like most people, you probably have short-term goals  — such as saving for a new car or a dream vacation — and long-term ones, such as a comfortable retirement. Once you identify your goals and estimate how much they will cost, you can create an investment strategy to help achieve them. Over time, some of your personal circumstances will likely change, so you’ll want to review your time horizon and risk tolerance on a regular basis, adjusting your strategy when appropriate. And the same is true for your goals — they may evolve over time, requiring new responses from you in how you invest.

Your response to market downturns: When the market drops and the value of your investments declines, you might be tempted to take immediate action in an effort to stop the losses. This is understandable.  After all, your investment results can have a big impact on your future. However, acting hastily could work against you. For example, you could sell investments that still have solid fundamentals and are still appropriate for your needs. If you can avoid decisions based on short-term events, you may help yourself in the long run.

Your commitment to investing: The financial markets are almost always in flux, and their movements are hard to predict. If you can continue investing in all markets — good, bad or sideways —you will likely make much better progress toward your goals than if you periodically were to take a “time out.” Many people head to the investment sidelines when the market tumbles, only to miss out on the beginnings of the next rally. And by steadily investing, you will increase the number of shares you own in your investments. And the larger your ownership stake, the greater your opportunities for building wealth.

Your portfolio’s level of diversification: While diversification itself can’t guarantee profits or protect against all losses, it can help to greatly reduce the impact of market volatility on your portfolio. Just how you diversify your investments depends on several factors, but the general principle of maintaining a diversified portfolio should govern your approach to investing. It’s a good idea to periodically review your portfolio to ensure it’s still properly diversified.

The world will always be filled with unpredictable, uncontrollable events, and many of them will affect the financial markets to one degree or another. But within your own investment world, you always have a great deal of control — and with it, you have the power to keep moving toward all your important financial objectives.

Michael Christodoulou, ChFC®, AAMS®, CRPC®, CRPS® is a Financial Advisor for Edward Jones in Stony Brook. Member SIPC

METRO photo

By Warren Strugatch

Warren Strugatch

This past Easter Sunday was my first without my wife Cindy. On the little dining room table that she brought home from Europe, beneath the candy-colored mini-chandelier acquired on the same trip, I set a holiday table. I reheated crab cakes, stirred up some homemade hollandaise, and sat down to a tasty, albeit solitary, meal.  

I celebrated Easter remembering how Cindy made it festive. She made every holiday festive, none more so than Christmas. She celebrated to the max: decorating, cooking, doling out family tales about her resourceful, hard-toiling immigrant ancestors from England, Holland, Germany, and Ireland. 

I come from a Jewish family with roots in Poland and Belarus; Easter and Christmas were terra incognita. I offered immigrant stories too, plus treats like halvah and matzo brei. Of gefilte fish, the less said the better. 

On Easter, Cindy baked ham, broiled asparagus, boiled potatoes, and prepared quiche. The ham she shared with her mother, Patricia, who had come to live with us in Stony Brook. The quiche, the designated vegetarian plate, was for me. The asparagus was for all. I made matzo brei, the traditional egg and matzo casserole.

The memories of those meals and other occasions warm my heart. My beautiful wife died of leukemia in February. Her mother passed away a year earlier from heart disease. I’ve inherited many of their rituals, including Easter brunch and Christmas celebrations. Now they’re my traditions, too.

My mother-in-law Patricia Slattery, who went by Pat, grew up in the fifties on a farm in Huntington. She got a job working for lawyers while still in high school, surprising her parents. She married Larry Smith, a Navy vet returning from the Korean war, and the couple settled in Smithtown. In a way it was a homecoming, as Larry claimed descent from Smithtown founder Richard “Bull” Smith.  

He opened an auto repair shop. She stayed home to raise Cindy and her younger brother Lawrence, then went to work full-time in the 1980s. In the mid-2000s her car was hit from behind while she drove home from work. Pat suffered a stroke, never walked again, and spoke only with much effort.

Soon thereafter, Pat moved in. With nothing said out loud, Cindy became keeper of the Smith legacy. Her family’s approach to holiday celebrations was revelatory. As for me, I grew up in the Bronx and then Westchester, my home resembling a Larry David script co-written with Billy Crystal. You want a holiday? Come for Festivus. We’ll show you how to share grievances! Billy’s six Jewish relatives, hopping from photo album to photo album, alighted on ours. Hey, that’s Uncle Morty!

As Passover often coincides with Easter, Cindy took elements of one holiday and incorporated them into the other. Our first hybrid celebration almost didn’t happen. Cindy, an event planner par excellence, asked me to collect what was needed a week ahead of time. I dug into the boxes I brought from my previous life and found a menorah. What about the matzo? Well, the store was out.

Cindy: “Go find a store and buy matzo. What are you waiting for?”

I went, I shopped, I couldn’t find. The Passover shopping season was over.  Returning to Stony Brook, I opened the front door to the scent of baked ham and cooked matzo. Cindy must have hidden a box and found a recipe online.

“Happy Passover,” she said.

Long-term use of PPIs can cause dementia and chronic kidney disease. METRO photo
Over-the-counter PPIs should be taken for no more than 14 days

By David Dunaief, MD

Dr. David Dunaief

Gastroesophageal reflux disease (GERD) is one of the most commonly treated diseases in the U.S. While it is sometimes referred to as heartburn, this really a symptom. Proton pump inhibitors (PPIs), first launched in the late 1980s, have grown to become one of the top-10 drug classes prescribed or taken over-the-counter (OTC).

When they were first approved, they were touted as having one of the cleanest side-effect profiles. This may still be true, if we use them correctly. They are intended to be used for the short term only. 

PPIs currently available OTC include Prilosec (omeprazole), Nexium (esomeprazole), Prevacid (lansoprazole), Protonix (pantoprazole), and Aciphex (rabeprazole). These and others are also available by prescription.

The FDA indicates that OTC PPIs should be taken for no more than a 14-day treatment once every four months. Prescription PPIs should be taken for 4 to 8 weeks (1).

While PPI pre-approval trials were short-term, many take these medications long-term. And the longer people are on them, the more complications arise. Among potential associations with long-term use are chronic kidney disease, dementia, bone fractures and Clostridium difficile, a bacterial infection of the gastrointestinal tract.

Chronic kidney disease

In two separate studies, results showed that there was an increase in chronic kidney disease with prolonged PPI use (2). All of the patients started the study with normal kidney function based on glomerular filtration rate (GFR). In the Atherosclerosis Risk in Communities (ARIC) study, there was a 50 percent increased risk of chronic kidney disease, while the Geisinger Health System cohort study found there was a 17 percent increased risk. 

The first study had a 13-year duration, and the second had about a six-year duration. Both demonstrated modest, but statistically significant, increased risk of chronic kidney disease. But as you can see, the medications were used on a chronic basis for years. In an accompanying editorial to these published studies, the author suggests that there is overuse of the medications or that they are used beyond the resolution of symptoms and suggests starting with diet and lifestyle modifications as well as a milder drug class, H2 blockers (3).

Dementia risk

A German study looked at health records from a large public insurer and found there was a 44 percent increased risk of dementia in the elderly who were using PPIs, compared to those who were not (4). These patients were at least age 75. The authors surmise that PPIs may cross the blood-brain barrier and potentially increase beta-amyloid levels, markers for dementia. With occasional use, meaning once every 18 months for a few weeks to a few months, there was a much lower increased risk of 16 percent.

The researchers also suggested that PPIs may be significantly overprescribed in the elderly. Unfortunately, there were confounding factors that may have conflated the risk. Researchers also did not take into account family history of dementia, high blood pressure or excessive alcohol use, all of which have effects on dementia occurrence.

Bone fracture risk

In a meta-analysis of 18 observational studies, results showed that PPIs can increase the risk of hip fractures, spine fractures and any-site fractures (5). Interestingly, when it came to bone fractures, it did not make a difference whether patients were taking PPIs for more or less than a year.

They found increased fracture risks of 58, 26 and 33 percent for spine, hip and any site, respectively. It is not clear what may potentially increase the risk; however, it has been proposed that it may have to do with calcium absorption through the gut. PPIs reduce acid, which may be needed to absorb insoluble calcium salts. In another study, seven days of PPIs were shown to lower the absorption of calcium carbonate supplements when taken without food (6).

Absorption of magnesium, calcium and B12

PPIs may have lower absorption effects on several electrolytes including magnesium, calcium and B12. In one observational study, PPIs combined with diuretics caused a 73 percent increased risk of hospitalization due to low magnesium (7). Diuretics are commonly prescribed for high blood pressure, heart failure and swelling.

Another study confirmed these results. In this second study, which was a meta-analysis of nine studies, PPIs increased the risk of low magnesium in patients by 43 percent, and when researchers looked only at higher quality studies, the risk increased to 63 percent (8). The authors note that a significant reduction in magnesium could lead to cardiovascular events.

The bottom line

It’s best if you confer with your doctor before starting PPIs. You may not need PPIs, but rather a milder medication, such as an H2 blocker (Zantac, Pepcid). In addition, PPIs may interfere with other drugs you are taking, such as Plavix (clopidogrel).

Even better, start with lifestyle modifications including diet, not eating later at night, raising the head of the bed, losing weight and stopping smoking, if needed, and then consider medications (9).

If you do need medications, know that PPIs don’t give immediate relief and should only be taken for a short duration.

References: 

(1) fda.gov. (2) JAMA Intern Med. 2016;176(2). (3) JAMA Intern Med. 2016;176(2):172-174. (4) JAMA Neurol. online Feb 15, 2016. (5) Osteoporos Int. online Oct 13, 2015. (6) Am J Med. 118:778-781. (7) PLoS Med. 2014;11(9):e1001736. (8) Ren Fail. 2015;37(7):1237-1241. (9) Am J Gastroenterol 2015; 110:393–400. 

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. 

 

Pixabay photo

By Father Francis Pizzarelli

Father Frank Pizzarelli

Spring is a time for new beginnings. As you read this column, many of our college graduates will have graduated or are preparing to graduate this month. They are closing one chapter and opening a new chapter across the landscape of great division and polarization.

Four years ago, when they began their college adventure, the world was radically different. They have seen the polarization of our nation. They have witnessed the senseless destruction of a sovereign nation in Europe. They have been profoundly affected by the coronavirus and everything associated with it; two years of total disruption and having to live in ways unimaginable. 

For the first time in 40 years of teaching, I have had a growing number of bright young men and women who were clearly ill-prepared for their first year of college. They had a very hard time with balancing school, work and life. College is not high school. College professors usually don’t pamper their students. They expect that students will attend class regularly, hand in assignments on time and engage in lively conversation and debate.

Time management has been a real challenge. The quality of their critical thinking and their writing skills is clearly impaired. The issues of depression and anxiety are profoundly present as well as a lacking of ability and skills to do something about these issues.

So many colleges this year have been ill-equipped to respond to the growing number of students needing mental health support. Many local college campuses do not have enough mental health professionals to respond to the growing need.

We need to reshape our college learning landscape. We need to collaborate with our local high school colleagues and identify the ways that we can support students preparing to go to college, to help them address those weaknesses that will impair their success.

Educators at every level have to work harder on behalf of our students and make adjustments that will empower students at every level of education to do their best. Learning is a process, not a product. Despite these challenges there are extraordinary men and women that are graduating this year from our community colleges, our local universities and our graduate schools.

This past semester I have been privileged to teach the best of the best at St. Joseph’s College, Suffolk County Community Honors College and Fordham University’s Graduate School of Social Services. These graduates at each level possess a passion for learning that I thought was lost. Their critical thinking and analytical skills are above the norm and their capacity for being sociologically mindful is beyond words and profoundly well-developed.

As a veteran educator, my spring semester students have inspired me to stay the course. They have taught me so many important life lessons. Each of them is committed to making a difference in their particular fields.

They really embody Gandhi’s words: “be the change you wish to see in the world.” Congratulations college graduates of 2022!  

Father Francis Pizzarelli, SMM, LCSW-R, ACSW, DCSW, is the director of Hope House Ministries in Port Jefferson.