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Vegetables and fruits.
Dietary changes can help control or reverse chronic kidney disease

By David Dunaief, M.D.

Dr. David Dunaief

Your kidneys are workhorses; they perform an array of critical functions for you. Primarily, 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.

When 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 adopt techniques to stop its advance. However, of the estimated 37 million U.S. adults who have CKD, as many as 9 in 10 are not 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 high blood pressure, hand or feet swelling, urinary tract infections, and blood in your urine (2).

Fortunately, there are simple tests, such as a basic metabolic panel and a urinalysis, that will indicate whether you may have mild CKD. 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 stem early-stage CKD, before complications occur? There are several studies that have looked at lifestyle modifications and their impacts on its prevention, treatment and reversal.

How do other medical issues affect 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 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 levels of eGFR.

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 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 (5). 

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 lifestyle modifications, 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.

What are our takeaways?

It is important to have your kidney function checked with mainstream tests. If the 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 testing. 

Don’t wait until symptoms and complications occur. In my experience, it is much easier to treat and reverse a disease in its earlier stages, and CKD is no exception.

References:

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

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.

METRO photo

By Shannon L. Malone, Esq.

Shannon L. Malone, Esq.

Last month we explained in some detail what benefits New York automobile owners/drivers enjoy under its No-Fault Insurance Law. We also enumerated the instances where a motorist is not covered by the No-Fault Law. Today we explain how your No-Fault Insurance Application is processed by your insurance company and what rights you have under the New York No-Fault law.

The first crucial thing to remember is that you keep a copy of your No-Fault Application after you have filled it out, before you send it to your insurance carrier. If you have already consulted with or retained a lawyer, you should email your completed application to your attorney so he or she has the opportunity to make suggestions or approve the application.

After your application has been filed, you should receive a communication in writing from your insurance company acknowledging receipt. The insurance carrier should have already assigned what is known as a No-Fault claim number to your file, and the name and contact information of the representative who has been assigned your claim. 

If you do not receive such an acknowledgment within approximately 10 days of the date you filed your No-Fault Application, you should follow up by contacting the company. Anytime you speak to a representative, you should be sure to obtain their name and all their contact information.

What other obligations do I have in order to obtain or keep no-fault benefits?

Your automobile insurance policy requires you to cooperate with your insurance company at all times. This cooperation comes in several forms. Your claim representative may contact you with questions about the forms you have submitted. You must answer his or her questions, after you ascertain that they are actually a representative of your company. 

The insurance company representative often wants to ask you about your injuries and treatment, and you are obliged to respond. You should, however, be very careful in responding, as your insurance company has to the right to deny coverage for certain treatment it deems unnecessary.

Therefore, you should include all of the injuries you believe you have sustained and complained about to your physicians or other health care providers.

Your No-Fault Insurance representative will probably ask you exactly how the accident happened. Even though your own insurance company is obligated to pay your reasonable medical and out-of- pocket expenses regardless of fault, its representatives are permitted to ask about the accident. You should be careful describing the accident, as what you say may end up being discovered by the insurance company for the other driver and used against you.

Further, your insurance company is entitled to have you examined by a doctor of its own choosing after a certain period of time has elapsed. This is so it can have a doctor confirm your injuries and treatment plan. These doctors often recommend that the No-Fault carrier pay for a certain amount of visits to, for example, physical therapists, chiropractors, acupuncturists and specialties of various kinds. This examination is known as an IME (independent medical examination), but we contend that there is nothing independent about it. The doctor who examines you gets paid by your insurance company to render an opinion, so he or she may have a bias against recommending further treatment, or any treatment at all. Nonetheless, you must cooperate by submitting to these exams. 

Your lawyer can often intervene to set the time and place of these examinations so they are convenient for you and may attend if it is warranted.

What can I do if the No-Fault carrier denies coverage for, or limits, my treatment? 

There are several remedies you and your lawyer have in that situation. These will be discussed in our next article concerning No-Fault Insurance.

Shannon L. Malone, Esq. is an Associate Attorney at Glynn Mercep Purcell and Morrison LLP in Setauket. She graduated from Touro Law, where she wrote and served as an editor of the Touro Law Review. Ms. Malone is a proud Stony Brook University alumna.

Alexandria Le

Save the date! Unitarian Universalist Fellowship at Stony Brook, 380 Nicolls Road, E. Setauket will host a Le Petit Salon de Musique classical music concert featuring acclaimed pianist and Yamaha featured artist Alexandria Le on Sunday, April 30 at 2 p.m. Tickets are $20 adults, $15 students with valid I.D., $10 for children ages 12 and under at the door or at www.lepetitsalon.org. Please call 631-751-0297 for group pricing (10 or more). 

Johanna Mitra was part of the rescue team to save the endangered greater bamboo lemur.

By Daniel Dunaief

Johanna Mitra traveled a long way from her childhood home on the Upper West Side of Manhattan to join an effort to save the critically endangered greater bamboo lemur.

A graduate of Stony Brook University, Mitra took a class led by Distinguished Professor Patricia Wright that set her on a memorable and extraordinary course.

Mitra “came up to me after class and asked if she could help” with her research and with conservation, Wright recalled.

Johanna Mitra was part of the rescue team to save the endangered greater bamboo lemur.

Mitra started by cataloging photos for about three months twice a week. Wright saw that Mitra had been writing blogs for an environmental nonprofit and had asked Mitra if she’d like to apply for the opening as the Communications Officer at Centre ValBio, a research station Wright created in Madagascar.

“The next thing I knew, a couple of months [and an undergraduate degree in Ecosystems and Human Impact] later, I was packing a bag to go to Madagascar!” Mitra explained in an email.

Mitra sent her parents, Nilo and Ursula Mitra, a group photo where it was “fairly evident that she was the youngest person and only woman,” Nilo Mitra said in an interview.

The Mitra parents felt reassured that the research station had been around for decades and that a large number of foreign researchers use the site, which gave her parents confidence that the team would be able to deal with any safety or health issues that arose during the translocation.

Still, that didn’t completely allay Nilo Mitra’s concerns when he learned about the crocodiles that lived in some of the rivers his daughter would cross.

After watching nature shows, Mitra’s father cautioned her not to stand too close to the shore. While she was away, he also wished he had told her not to go too close to the reeds, as crocodiles hide there before attacking.

Mitra’s trip didn’t involve any hair raising interactions with crocodiles. In fact, she felt disappointed because she “would have liked to see one – from a safe distance,” she said.

Mitra and the translocation team encountered individual zebus, which are a type of cow with a lump behind its head that makes it look like it’s wearing shoulder pads.

Mitra “could sense hesitation and tentativeness in the group when we were hiking” as the group gave the animal, which can be aggressive in defending its turf, a wide berth.

During the two-day trip to translocate the lemurs, Mitra rode in a car, truck, and canoe. When the roads, which were severely damaged by the raging waters and 80 mile per hour winds of Cyclone Freddy, were impossible to navigate, she and the team traversed difficult terrain on foot.

She hiked along rolling hills that “looked very beautiful but were degraded,” Mitra said. She walked up and down hills that had deep patches of mud.

The team also crossed streams, walked through rice paddies and fields and climbed steep, rocky slopes.

Johanna Mitra on a trip to NYC. Photo by Nilo Mitra

Fortunately for Mitra, the group hired porters to carry the equipment and her backpack. She only had responsibility for maneuvering herself and a camera bag. 

During the hike, she was concerned about getting a camera she had borrowed to document the journey wet, particularly when she was traveling in a canoe that sat low in the water.

When she waded through streams, she hoisted the camera on her shoulder or near her head.

Back home in Manhattan, her parents watched three videos about Madagascar, studied local roads and tried to track their daughter’s whereabouts.

When her journey started, they were able to track her phone for about 90 minutes, until the signal “vanished off the face of the Earth,” her father said.

After several days, her mother called Wright to ask if she’d heard anything. Wright assured her that the crew was fine and they had completed their mission of trying to bring back enough greater bamboo lemurs to increase the population from the current number of about 1,000.

“We are extraordinarily proud” of the work she did to get the job and to help in this conservation effort, her father said.

As for the experience, Mitra expressed awe at the opportunity.

“The whole thing felt unreal,” Mitra said. “I felt like I was a part of something incredibly meaningful.” The expedition “made it clear that a lot goes into saving species, but it’s worth it,” she concluded, despite the few rapid heart beats from her proud, concerned and supportive parents.

 

By Daniel Dunaief

Patricia Wright
Photo by Sam Levitan, Sam Levitan Photography

Patricia Wright isn’t getting much sleep these days.

Distinguished Professor in Anthropology at Stony Brook University, Wright recently orchestrated the translocation of 10 critically endangered greater bamboo lemurs to Ranomafana National Park, a park in Madagascar that she helped create and which has been named a UNESCO World Heritage Site.

The conservation effort, which Wright had been working on since 2014, is designed to lower the risk that this particular lemur, which weighs about six pounds and has grey brown fur and white ear tufts, will go extinct.

Short on bamboo, which, as their name suggests, is their primary food source, greater bamboo lemurs, which are down to as few as 1,000 individuals, have been eating manioc and raiding farmer’s rice paddies. The people who farm these crops have hunted the greater bamboo lemur and used slingshots to hurl stones at them. 

The lemurs “think the rice is perfectly great,” said Wright. Some of the Malagasy people have injured or killed these lemurs. Two of the translocated lemurs have eye injuries.

Wright, who is teaching at Stony Brook this spring, applied for permits from a number of government officials to get the effort approved. 

From Stony Brook, she has been managing the care of these lemurs, often long after she might otherwise be asleep. During an acclimation period, the lemurs live, eat and interact in a large cage near the research station Centre ValBio and will be released into the wild within the next few weeks.

“I’m up every night texting,” Wright said. “When anything comes up, I give my advice.”

She said the process of watching these lemurs from afar is akin to those early days of parenting.

“You drift off, sleep for a couple of hours then you have to wake up and answer this or that problem,” said Wright, whose work with lemurs has won her numerous awards, including the Indianapolis Zoo Prize. 

Bamboo chefs

Wright has considerable help in working with and protecting the greater bamboo lemurs. While the rare lemurs are guests at Centre ValBio (CVB), about a dozen people are working with them each day, with five people going out daily to collect bamboo to feed them.

When the lemurs first arrived, they fought at night. The caretakers discovered that these primates were searching for food. By providing more bamboo, the staff at CVB ended the evening conflicts.

Johanna Mitra, a recent Stony Brook University graduate and the Communications Officer at CVB, attended the capture of these lemurs and has had the opportunity to observe them interacting in the cage.

She watched as an adult lemur sat facing two juveniles. The adult pulled up the bamboo shoot and the three of them took turns gnawing on it. After eating for about half an hour, the juveniles cuddled with the adult females.

Collaboration efforts

In addition to relying on her past experience working with primates at Duke University in the 1980’s and 1990’s, Wright collaborated with Dr. Mónica Ramírez, IUCN Species Survival Commission-Specialist, who is an expert in the relocation of woolly monkeys in Colombia.

Ramírez urged Wright to transport the monkeys in separate cages to reduce stress and overcrowding during the journey. Ramírez also wanted to ensure that the monkeys could see and hear each other. She recommended constant monitoring during transport. Stress could reduce how much food they ate.

Despite the lengthy journey, the lemurs traveled comfortably and ate along the way. Ramírez said that translocations can and often are emotionally taxing for conservationists.

“When I started working with translocations, it was so difficult for me to maintain calm because there are many factors that one cannot control, mainly after the release,” she explained.  “We do our best to guarantee the welfare of the individuals and the people involved.”

Bigger picture

In addition to the satisfaction of preventing a species on the brink of elimination from disappearing, Wright suggested that saving these lemurs could have numerous benefits. For one thing, these lemurs eat large quantities of bamboo, which contains cyanide. Such bamboo would be toxic to human systems. Learning how these animals tolerate and remove such a dangerous element could prove helpful.

Guides in Madagascar involved with the bio-tourism effort also appealed to Wright to save this species, which has unusual vocalizations that vary according to their circumstance. “It’s an important tourist attraction,” Wright said.

Questions on release

When Wright and her team release these translocated lemurs back into the wild, they recognize the enormous number of unknowns.

Predators such as fossa (pronounced “foo sah), hawks and eagles hunt lemurs. Fossa, which is a relative of the mongoose, hunt cooperatively.

Wright hopes the translocated lemurs “understand what a predator is” and take steps to stay alive.

Even before the release of these lemurs, Ranomafana National Park is home to one adult female greater bamboo lemur named Simone, who joined a social group with the golden bamboo lemur, which is half her size.

Wright doesn’t know how Simone, who grooms golden bamboo lemurs but doesn’t receive grooming from them in return, will react to her own species. “What happens when she finds out her own species are in the neighborhood?” Wright asked. “It’s going to be very exciting.”

She might encourage her new lemur family to attack or might ditch her adopted social group for the well-traveled members of her own species.

Ramirez suggested that recruiting and educating the public in conservation would increase the likelihood of its success.

“Involving the community in the project is essential to guarantee the security of both the people and the animals,” she said.

Graph from Michael Ardolino

By Michael Ardolino

Michael Ardolino

Many real estate experts will tell you when selling a house, no matter what the market is like, the seller can get a great return on their investment if they understand market trends. This particular piece of advice is always worth repeating.

Right now 

Many buyers were starting to acclimate to raising mortgage rates, which doubled within months in 2022. Lately, things have been improving. As of April 6, Freddie Mac reported an average 30-year fixed-rate mortgage of 6.28%, which was down from 6.32% the week before, making it the fourth seven-day period in a row where rates decreased.

A dip in mortgage rates leads to more buyers returning to the market.  

For countless potential homeowners, the obstacle will not be the mortgage rates; it will be the low inventory.

“Mortgage rates continue to trend down entering the traditional spring homebuying season,” said Sam Khater, Freddie Mac’s chief economist, in a press release. “Unfortunately, those in the market to buy are facing a number of challenges, not the least of which is the low inventory of homes for sale, especially for aspiring first-time homebuyers.”

Low inventory combined with higher rates than last year means prices are remaining steady across Long Island.

In a recent article on the Keeping Current Matters website, Lawrence Yun, chief economist at the National Association of Realtors, projected home prices will remain steady. “We simply don’t have enough inventory,” Yun said. “Will some markets see a price decline? Yes. [But] with the supply not being there, the repeat of a 30% price decline is highly, highly unlikely.”

In other words, most real estate experts are not predicting another housing crash.

Be a savvy seller

While home prices remain steady, buyers are not offering more than the asking price for houses that need work. How do you get your house to sell quickly? Make any necessary repairs. As I have mentioned in past columns, this doesn’t mean elaborate renovations. It means you must fix that leaky faucet, running toilet or damaged flooring.

Sellers also need to be flexible with showings. Keep your home clean and organized so that when an agent calls to say a buyer wants to look at your home, it can be viewed at a moment’s notice.

Most important of all, now more than ever, you want to work with a real estate agent who prices your home realistically. Look at what similar homes sold for in the past couple of weeks, not the last few years.

Take away

Sellers who are practical regarding pricing — looking at today’s prices and not yesterday’s — and choose to work with a real estate professional can garner a great return on their investment. 

So … let’s talk.

Michael Ardolino is the Founder/Owner-Broker of Realty Connect USA

Suwasset Garden Club members gather around donated Kwanzan cherry tree. Photo courtesy of Kathleen Riley

For 25 years or more, a Kwanzan cherry tree has been planted at Rocketship Park in Port Jefferson by the Suwassett Garden Club. Entering the park area from Maple Place, an established row of trees will soon be blooming as the spring arrives. Over the years, other trees along the creek area were planted in memory of departed members. In photo on right, a representative group of club members gathered on April 5 prior to its monthly meeting to dedicate this year’s tree in honor of Arbor Day which will be held on April 28 this year. Brian Rowe of the Village Parks Department assisted members at the location near Barnum Avenue.

'Dance Siesta' by Cynthia Pascal

By Tara Mae

Art is a form of communication beyond words. It transcends language barriers and is accessible to those who seek to experience it. Cynthia Pascal’s creations speak through muted patterns, rich hues, softness imbued with strength. Her work tells stories of women, sometimes at rest or in repose, but always vibrantly alive. 

As a celebration of art and life, Pascal’s posthumous exhibit, Cynthia Pascal: A Retrospective, at the Art League of Long Island, honors the artist who passed away in 2022 at the age of 92. On view at the Jeanie Tengelsen Gallery from April 15 to 28, this showcase features 46 acrylic paintings and six clay sculptures from the late artist. It is an act of love; a tribute from a daughter to her mother in collaboration with the Art League.

‘Abstract of Women in Pink and Blue’ by Cynthia Pascal

“My son brought Cynthia to the Art League and showed her work to the curator, which resulted in booking the show — one last highlight of her life. After she passed, it was in my head to still do the exhibit. I also thought, that for my mom, there was no other way to honor her than to talk about her surrounded by her work,” said her daughter Jeanne Gambardella.

Pascal’s palette and art projects a subtle warmth, even innate safety, whether the female subjects stare assuredly and directly from the canvas, gaze at something only they see, or relax with eyes closed. The lines of the women may be soft but their presence is strong. 

“I believe that this exhibit covers all styles, but Pascal particularly leans towards abstract impressionism: figures are flattened with colorful brushstrokes and bright colors. She celebrates the world that she knew: her art focuses on women, friendships, relationships, their roles in society. It is full of life and energy,” said Susan Peragallo, coordinator and curator of the Jeanie Tengelsen Gallery.

A prodigious painter up until the very last months of her life, Pascal, who was a resident of Plainview, pursued both a personal and practical interest in interpersonal dynamics and emotions. She studied painting at Old Westbury College as well as the New School for Social Research in New York City, but was a licensed psychotherapist by profession and maintained a practice out of her home for more than 4 decades. 

“I think she innately had a very emotional IQ and got the degree so she could use it. She was really socially, emotionally smart…[and] provided a safe place for everyone who talked to her,” Gambardella said.  

This sense of security is evident in the self-assuredness of her subjects and the apparent ease with which they occupy space. That innate serenity can transcend to the audience and perhaps emanated from Pascal herself. She never lost her appreciation of beauty nor ability to create art, even as dementia dominated other aspects of her life during her last years. 

‘Two Girls Sitting’ by Cynthia Pascal

“We would talk about [her art]. Cynthia could still talk about the work and the process. We had that language until the end. My mother was painting at the highest level,” Gambardella said. “I thought her work would show deterioration, but her painting was still there. It was the one thing that she still had, in addition to her family. She could access painting, and it was a means by which to express herself.”

As her characters commune in the paintings, Pascal was able to communicate through and about art, although words might otherwise fail her. Her art, which includes pastels in addition to different paints and clay sculptures, is an ongoing dialogue that allows connections to continue to develop.

“I was not familiar with her work before she approached us, and I was really thrilled to become acquainted with it. Her work is exciting, it is vivacious. She was around for a long time and I am delighted to have her work up on our walls,” Peragallo said.

Gambardella estimates that Pascal had about 10 shows in her life but was in a constant state of creation. She painted 20 pieces between 2018 and 2022, and most of the 46 works included in Retrospective were made in the past 10 years.

“I really truly feel joy when I look at her work. It is interesting — over the years, her work reflected her growth as an artist and where she was in life. When she was going through a divorce, I can see it reflected. I derive more pleasure in the joy, color, and strength of the women my mother depicted,” Gambardella said, adding that organizing the exhibit and arranging the remembrance were cathartic exercises as she grieved and adjusted to her new normal, having been her mother’s primary caregiver. 

“Organizing this has absolutely been a labor of love for the last 5 months and beneficial to me in handling her passing, working on something to show who she was, her life’s work,” Gambardella said. “I kind of immersed myself in this project. It was a lot going through her decline and death with her, so this was healing. I am her supreme fan; my house has always been filled with her work.”

‘Dance Siesta’ by Cynthia Pascal

Now others will be able to surround themselves with Pascal’s art, and during the opening reception, envelop themselves in an environment resplendent with Pascal’s greatest joys including a soundtrack of her favorite classical music by Antonio Vivaldi, jazz interludes provided by a pianist hired for the evening, the easel she used for more than 60 years, and her favorite hat in her favorite color — pink. 

“I am creating an atmosphere that I know she would love. After she died, people were calling about service details, and we instead decided to have a memorial at the gallery. Everyone in my family was in on it,” Gambardella said. “My mom and I were very close, this was the right thing to do…art and painting were her passions in life.” 

The Art League of Long Island, 107 E. Deer Park Rd, Dix Hills presents the retrospective exhibit of Cynthia Pascal in the Jeanie Tengelsen Gallery from April 15 to 28 with an opening reception on April 15 from 6 to 8 p.m. A celebratory remembrance introduction will be held from 6 to 6:30 p.m., followed by light refreshments. For more information, visit www.artleagueli.org or call 631-462-5400. 

Garden volunteers wanted

Three Village Historical Society, 93 North Country Road, Setauket seeks volunteers to help transform their property into a native landscape that is welcoming to the birds and bees. Help is needed to remove invasive species, create new gardens and transform the 3-acre property into a bird and bee sanctuary. Call 631-751-3730 for further details.

Metro Photo

New York Marine hosts a Pick It Up Beach Clean-Up at Cedar Beach, 244 Harbor Beach Road, Mount Sinai on Sunday, April 16 from 10 a.m. to noon. Come join them in their effort to eradicate marine debris from our local beaches and help save our wildlife! Can’t make it? Beach clean-ups are also scheduled at various times for May 7, June 11, July 9, August 13, September 10 and October 15. To participate, register at www.nymarinerescue.org.