Arts & Entertainment

Carl Safina and Patricia Paladines. Photo from WMHO

Save the date! The Ward Melville Heritage Organization continues its Master Class series with Forces of Nature: Travel, Conservation and Love, on Wednesday, July 29 via Zoom at 1 p.m.

Forces of Nature brings you internationally renowned conservationist, Endowed Professor of Nature and Humanity at Stony Brook University, and Macarthur Genius recipient, Dr. Carl Safina and his wife, Patricia Paladines, a photographer, naturalist and writer.

The couple will engage you with powerful stories of travel, their drive to conserve the environment near and far, and their love of nature and each other. With each story, they will challenge you to see the natural world, how humankind is responsible for changing it, and what those changes mean for us and the nonhumans we share it with.

To register for this free event, please email [email protected] or call 631-751-2244.

Stock photo

By Elof Axel Carlson

Elof Axel Carlson

In the life sciences, progress works incrementally.

The cell theory, for example, began in the 1600s with the observation of a cellular composition of cork bark with one the first microscopes. There was no cell theory (all the organisms we see are composed of cells) until 1838. The cell doctrine (cells arise from preexisting cells) came a generation later in the 1850s. A decade later, stain technology was introduced. In the 1930s electron microscopes were introduced. Molecular biology wasn’t introduced until the 1950s.

With each incremental advance, new tools, new data and new experiments are carried out. This can result in new insights on how life works, and it can be applied to disease in humans and other living things.

We manipulate life when we treat it because nature has no doctors or living things are at the whim of luck for their survival and evolution allows the healthiest, the most adapted, to survive and pass on their lucky genes. But today’s scientists can use a great deal of that incremental knowledge and apply it to our benefit.

One lead I find very exciting to read about and I am confident the next generation of science students will be excited by the advances taking place — It is now possible to begin a field of molecular neurology. The physiology of nerve cells is well worked, and we know how nerve impulses are transmitted and how reflexes form, and many other experimental approaches have provided an understanding of normal and diseased functioning of the nervous system. But the genes involved have been elusive.

Two fields have been added to the arsenal of approaches for exploring this. One is the field of stem cell research. The other is the use of fruit flies as model organisms to study the molecular genetics of fruit fly brains. Flies have the advantage of a limited number of activities that can be explored. They have courtship rituals, they have innate responses to gravity or to light, and they have vision, hearing, and taste as well as response to pain.

Some of the biochemical pathways in fruit flies are also found in humans and there is a surge of interest in using two approaches. One is finding chemicals  that shift slumbering stem cells into active nerve cells. This would allow treatments in coming years for neuromuscular disorders like multiple sclerosis. It could also slow down the aging process in which our stem cells lose the capacity to replace aged and dying neurons in the brain causing senility and other neurological disorders like Parkinson disease.

I am also a realist and historian of science. I know that such imagined future worlds can take decades or generations to achieve. We do not live in a totally known universe, and we only know a fraction of the way life has evolved over 3 billion years on earth. But by studying gene mutations involved with neuron formation and function, of stem cell activation, and of how humans can devise interventions for our health, we can feel confident that a lot more useful knowledge will emerge.

My realist side also tells me that all knowledge can be abused and we have learned to enact legislation to regulate most of our scientific and technological and malevolent intentions or warped values so that some do not exploit new technologies and shut down the progress needed to enlighten us and benefit us in an always troubled world.

Elof Axel Carlson is a distinguished teaching professor emeritus in the Department of Biochemistry and Cell Biology at Stony Brook University.

Join the Smithtown Historical Society, 239 Middle Country Road, Smithtown for an old fashioned drive-in movie night under the stars on Monday, July 20 featuring“Night at the Museum” (2006) on the main lawn at 8 p.m. Suggested donation of $15. Snack packs are available for pre-order. Gates open at 7 p.m. Tickets available at www.eventbrite.com. Questions? Call 631-265-6768.

Eric Yee. Photo by Felicia Allard

By Daniel Dunaief

In the second of a two-part series, Times Beacon Record News Media will feature the work of Eric Yee, who, like his wife Felicia Allard who was featured last week, is joining the Pathology Department at Stony Brook University.

Eric Yee

Eric Yee, who started as an Associate Professor and Director of Surgical Pathology at Stony Brook Renaissance School of Medicine on July 1, described the focus of his scientific research as translational.

He consults with and helps science researchers put together ideas for experiments, while he and his wife Felicia Allard focus on bringing that work into the clinical setting.

“We provide expertise mainly in clinical gastrointestinal and hepatobiliary pathology,” Yee explained in an email. “We also give insights and perspectives as practicing pathologists to help [with the] analysis of data and how that data in the lab or in animal models may be relevant to clinical medicine.”

Yee completed a gastrointestinal pathology fellowship, working on collaborative research projects and publishing manuscripts with investigators.

As one of the newest members of the staff at Stony Brook, he has worked on some studies looking at certain kinds of inflammatory diseases in the liver. He collaborated with senior investigator Zhenghui Gordon Jiang of Beth Israel Deaconess Medical Center to look at mediators of inflammation in the disease steatohepatitis. He has also worked on different cancer research projects, which is part of the appeal of Stony Brook.

Stony Brook has “important pancreatic research,” Yee said, adding that. Pathology Department Chair Ken Shroyer is a “renowned investigator whose research team has done great work that has led to important insights into pancreatic cancer biology.”

Pancreatic cancer is of particular interest to Yee in his clinical work and he hopes to explore the variety of research expertise at Stony Brook, to support ongoing efforts and to develop projects of his own.

Relocating to Stony Brook from the College of Medicine at the University of Arkansas for Medical Sciences, where Allard and Yee both worked in the Pathology Department, took some convincing for both of the scientists.

“We were very happy in Little Rock and purchased a home in Arkansas two years prior and were just starting to set down roots,” Yee described in an email. “We made lifelong friendships and very much enjoyed the camaraderie among our peers and other departments.”

Yee and Allard had no plans to leave as they approached their third year and were hesitant to move.

In his first visit, Yee said he was impressed with the amount of research in the Stony Brook department, which, he said, has more researchers compared to other institutions of similar size.

On the other side, however, Yee said he and Allard had to reconcile the higher cost of living in New York. They also weren’t eager to make too many moves in their career, especially when they were happy in Arkansas.

Even after the first visit, Yee said he was hesitant to make a move, which would require time to settle in, build relationships, find a home, learn a new system, and find new opportunities, among other challenges..

Shroyer was “very understanding of my hesitation,” Yee explained. “He’s been one of my mentors since medical school and knew exactly where I was coming from.

Clinically, the couple also believed in the potential for career growth.

“There’s a lot of energy in the department,” Yee said. He also appreciated the opportunity to be the Director of Surgical Pathology, where he could shape the operations that support the clinical mission. He would like to optimize the department by specialization, creating a sub-specialty model.

“This is something I want to do to increase the efficiency in the department,” Yee explained. “I’m hoping as we sub-specialize that we make our clinical work flow more efficient” which will create more consistency. “Part of what I’d like to do is to help [Shroyer] create a department where it’ll allow the clinical faculty to thrive.”

Yee thinks any work efficiencies will provide researchers with more time to build on their teaching efforts, and to develop new lectures and teaching models.

Yee will measure his success through a comprehensive report that includes an analysis of the efficiency of the response to clinical needs. He hopes to create a system that will enable the success of the entire anatomic pathology division. He will also become actively engaged in the academic mission, which is measured in the number of publications as well as in staff appointments to editorial boards or major national societies.

“The more people we can get into the national arena the better it is for the institution,” Yee said. These contributions bring good public relations and expertise to the institution.

Yee and Allard will also contribute to Stony Brook through their efforts in education.

Yee believes the school has an advantage in telepathology and distance learning. He believes the Department of Bioinformatics led by Dr. Joel Saltz facilitates telepathology and distance learning.

With the uncertainty caused by COVID-19, Yee believes maintaining social distancing and finding innovative ways for communication and education will provide valuable alternatives to communicate and collaborate.  Radiology has had digital methods in place to send MRIs and CAT scans for a longer period of time than pathologists, who still produce glass slides.

“There will always be some challenges and limitations that are unique to pathology,” Yee suggested.

A native of San Francisco, where he and his older brother, who now works in Boston, grew up, Yee was interested in medicine during the middle of his college career.

Yee and Allard met in medical school and, among numerous other parts of their lives they have in common, discovered they were both fans of the Star Wars films. Early on when they were dating, the pathology couple saw Star Wars: Episode III – Revenge of the Sith together.

Yee enjoys tennis, table tennis, riding road bikes and hiking. He has also developed an appreciation for bird watching, which has allowed him to practice amateur photography.

The couple also shares an interest in music, as Yee grew up playing the piano, while Allard played the trumpet.

When he was in medical school, Yee published his first  paper with Shroyer. He has remained in touch with the pathology chair over the years and appreciates the advice Shroyer has offered.

Yee described Shroyer as an “inspirational leader” and appreciates his energy, selflessness and passion, among other qualities.

Deer ticks are widely known as the sole carrier of the bacteria that causes Lyme disease in humans. Stock photo
The lingering effects of Lyme can be debilitating

By David Dunaief, M.D.

Dr. David Dunaief

After a spring where we’ve spent more than our fair share of time indoors, summer’s heat is finally here. Many of us are taking advantage of the weather to enjoy day hikes and picnics along the shoreline or bike rides through wooded areas.

The summer’s heat also means that tick season is in full swing. This means we need to be aware of Borrelia burgdorferi, better known as the bacterium that causes Lyme disease. This bacterium is typically found in the deer tick, also known as the blacklegged tick.

What do deer ticks look like? They are small and can be as tiny as a pencil tip or the size of a period at the end of a sentence. The CDC.gov site is a great resource for tick images and other information related to Lyme disease.

If you have been bitten by a tick, you should remove it with forceps, tweezers or protected fingers (paper) as close to the skin as possible and pull slow and steady straight up. Do not crush or squeeze the tick; doing so may spread infectious disease (1). In a study, petroleum jelly, fingernail polish, a hot kitchen match and 70 percent isopropyl alcohol all failed to properly remove a tick. The National Institutes of Health recommend not removing a tick with oil (2).

When a tick is removed within 36 to 48 hours, the risk of infection is quite low (3). However, a patient can be given a prophylactic dose of the antibiotic doxycycline, one dose of 200 mg, if a bulls-eye rash — a red outer ring and red spot in the center — has not occurred, and it is within 72 hours of tick removal (4). Those who took doxycycline had significantly lower risk of developing the bulls-eye rash and thus Lyme disease; however, treatment with doxycycline did sometimes cause nausea.

Lyme Symptoms

Stock photo

There are three stages of Lyme disease: early stage, where the bacteria are localized; early disseminated disease, where the bacteria have spread throughout the body; and late stage disseminated disease. Symptoms for early localized stage and early disseminated disease include the bulls-eye rash, which occurs in about 80 percent of patients, with or without systemic symptoms of fatigue (54 percent), muscle pain and joint pain (44 percent), headache (42 percent), neck stiffness (35 percent), swollen glands (23 percent) and fever (16 percent) (5).

Early disseminated disease may cause neurological symptoms such as meningitis, cranial neuropathy (Bell’s palsy) and motor or sensory radiculoneuropathy (nerve roots of spinal cord). Late disseminated disease can cause Lyme arthritis (inflammation in the joints), heart problems, facial paralysis, impaired memory, numbness, pain and decreased concentration (2).

Lyme carditis is a rare complication affecting 1.1 percent of those with disseminated disease, but it can result in sudden cardiac death (6). If there are symptoms of chest pain, palpitations, light-headedness, shortness of breath or fainting, clinicians should suspect Lyme carditis.

Preventing Lyme

According to the Centers for Disease Control and Prevention, we should wear protective clothing, spray ourselves with insect repellent that includes at least 20 percent DEET and treat our yards (4). Always check your skin and hair for ticks after walking through a woody or tall grassy area. Many of us on Long Island have ticks in the yard, so remember to check your pets; even if treated, they can carry ticks into the house.

Diagnosing Lyme

Lyme disease often can be diagnosed within the clinical setting or with a blood test. When it comes to serologic or blood tests, the CDC recommends an ELISA test followed by a confirmatory Western blot test (3). However, testing immediately after being bitten by a tick is not useful, since the test will tend to be negative, regardless of infection or not (4). It takes about one to two weeks for IgM antibodies to appear and two to six weeks for IgG antibodies (5). These antibodies sometimes remain elevated even after successful treatment with antibiotics.

Does chronic Lyme disease exist?

There has been a debate about whether there is something called “chronic Lyme” disease. The research, unfortunately, has not shown consistent results that indicate that it exists. In one analysis, the authors note that the definition of chronic Lyme disease is obfuscated and that extended durations of antibiotics do not prevent or alleviate post-Lyme syndromes, according to several prospective trials (7).

The authors do recognize that there are prolonged neurologic symptoms in a subset population that may be debilitating even after the treatment of Lyme disease. These authors also suggest that there may be post-Lyme disease syndromes with joint pain, muscle pain, neck and back pain, fatigue and cognitive impairment.

Ultimately, the IDSA (Infectious Diseases Society of America) argues in favor of recognizing post-Lyme disease syndromes, while the ILADS (International Lyme and Associated Diseases Society) believes chronic Lyme exists.

Regardless, the lingering effects of Lyme can be debilitating. This may be as a result of systemic inflammation (8). Systemic inflammation and its symptoms can be improved significantly with dietary and other lifestyle modifications.

The CDC recommends that physicians look beyond Lyme for other possible diagnoses before diagnosing someone with chronic Lyme disease (9).

Prevention is key to helping stem Lyme disease. If this is not possible, treating prophylactically when pulling off a tick is an important step. Contact your physician as soon as you notice a tick. If you have a bulls-eye rash and it is early, then treatment of antibiotics for two to three weeks needs to be started right away. If it is prolonged and disseminated, then treatment should be for approximately three to four weeks with antibiotics. If it has affected the central nervous system, then IV antibiotics could be needed.

References:

(1) Pediatrics. 1985;75(6):997. (2) nlm.nih.gov. (3) cdc.gov. (4) Clin Infect Dis. 2008;47(2):188. (5) uptodate.com. (6) MMWR. 2014;63(43):982-983. (7) Expert Rev Anti Infect Ther. 2011;9(7):787-797. (8) J Infect Dis. 2009;199(9:1379-1388). (9) JAMA Intern Med. online Nov. 3, 2014.

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.

Uno

MEET UNO THE NUMBER ONE PUP!

Uno

This week’s shelter pet is Uno, a handsome and loving 1 1/2 year old Australian Cattle Dog/Shepherd mix currently up for adoption at the Smithtown Animal Shelter.

Uno adores people and kids and is an energetic and highly intelligent young man that needs an active home where he is challenged with new tricks/tasks and exercised often. He makes a great running partner too! He does prefer to be the only pet in the home.

If you are interested in meeting Uno, please fill out an adoption application online at www.townofsmithtownanimalshelter.com. The Smithtown Animal & Adoption Shelter is located at 410 Middle Country Road, Smithtown. For more information, call 631-360-7575.

Above, a painting of Frank Melville Memorial Park in Setauket by artist John Koch at a previous Wet Paint Festival. Photo courtesy of Gallery North

By Melissa Arnold

It’s been a tough season for the plethora of local events that have either been canceled, postponed or restructured. Thankfully, technology like livestreaming and video chat have made it possible for some events to go on as scheduled, albeit a bit differently.

For the past 16 years, the Wet Paint Festival has given Three Village residents and visitors an up close look at the creative process of local artists as they work. The event was founded to honor the memory of beloved Long Island painter Joe Reboli, who died in 2004.

But inviting artists and community members to gather for creative fun and conversation doesn’t exactly fit in this quarantined, socially distant time. So what to do?

It’s been a baptism by fire of sorts for Ned Puchner of Gallery North in Setauket, which has sponsored the event from its beginnings. Puchner, who became the gallery’s executive director in December, was looking forward to his first Wet Paint Festival. Now, he’s been called upon to dream up an alternative.

“It’s been one of those unique experiences where you get to know people really fast,” Puchner joked. “But I’ve also learned very quickly how much support there is here for the arts and the art community, even despite the pandemic and its challenges. It’s been very encouraging for me to see that outpouring.”

Originally founded by former Gallery North director Colleen Hanson and the Reboli family, the Wet Paint Festival invites artists from Long Island and beyond for a relaxed weekend of plein air (outdoor) painting. The artists paint at the same location from vantage points of their choosing, allowing each put their own spin on well-known scenes and landmarks.

In the past, the festival has been held at West Meadow Beach and the adjoining Old Field Farm, Frank Melville Memorial Park, the Stony Brook railroad, the Thompson House, and Avalon Park & Preserve, among other places.

This year’s event will celebrate each artist’s originality as Wet Paint goes virtual. Painting sessions will be either livestreamed online or pre-recorded from a location the artist selects, whether it’s their own backyard or a public spot. During each session, the artist will talk about their creative process and take questions from viewers, just as they would in person.

To accommodate for the new format, the artists will paint for an entire week, from July 18 through July 25. The completed artwork will then be on display on the Gallery North website throughout the month of August.

The virtual festival is the latest in Gallery North’s ongoing effort to provide engaging online experiences during the pandemic.

“We had the Wet Paint Festival completely planned and were starting to gather sponsors and registrants when we had to close the gallery on March 14. When we closed, we decided to postpone the event, not realizing how long we would be unable to function and be outside,” Puchner explained.

“As time went on, we took it as an opportunity to get creative not only with Wet Paint, but with everything we do,” he said. The gallery began to share daily art activities, host “virtual open studio” events, film screenings, lectures, and opportunities to give and receive feedback on work in progress. As the staff grew more comfortable with video chat platforms such as Zoom, they knew they had to find a way to present the Wet Paint Festival, too.

Angela Stratton of Selden has enjoyed painting at the festival for the past 15 years, and while she’ll miss the connection and camaraderie of the typical event, she’s excited to see what comes of the online version.

“I’m the kind of person that likes to be outside anyway, so getting to paint at the same time is really a double treasure,” said Stratton, an oil painter. “Of course, there can be issues with painting outdoors ­— the sun goes in and out, it can be windy, it can rain — but it gives you the real depth of color you just can’t get from a photo.”

Stratton is still up in the air about where she’ll be painting, but she enjoys the challenge provided by the Old Field lighthouse.

Annette Napolitano, a realist painter who works in both watercolor and oil, would normally go out once a week to paint with a group of friends. She’s participated in Wet Paint for several years now.

“The first time I did the festival, I was so excited to be with the other artists, all of us working in the same place. The world is so big, and it can be a challenge to grab just a piece of it,” said Napolitano, of Rocky Point.

“I think bringing the festival online is a good solution because it’s like a pop-up event — people can come and go as they please. It’s also nice that we have a whole week to work, and it’s going to be fun to see people share their work from different parts of Long Island,” she said.

Puchner hopes that the event will inspire creativity not only in the participating artists, but people at home as well.

“At the center of the arts is expression. Everyone has had different experiences during the pandemic, but it has been significant for all of us,” he said. “There’s a fundamental need to discuss how we’re feeling, and the arts are a safe space for expression of all kinds.”

Livestreamed and recorded artist visits will be available for public viewing the week of July 27 at www.gallerynorth.org. Then, all completed works will be on the site for viewing and purchase throughout the month of August, with commissions split equally between the artist and the gallery. A virtual reception will be held from 3 to 5 p.m. Aug. 8 via Zoom; registration is free but required.

For further information, visit www.gallerynorth.org or call 631-751-2676.

*Article from TBR News Media’s Summer Times 2020, free on newstands today.

Suzanne McKenna Link with her third novel, 'Finding Edward'

By Jeffrey Sanzel

Looking for a life-affirming summer romance? Finding Edward, Suzanne McKenna Link’s third novel in her Save Me Series, is a first-rate diversion.

Author Suzanne McKenna Link

The stand-alone story follows Eddie Ruddack, a Long Island boy of twenty-six, in a time of challenge and transition.  The novel opens with him reluctantly leaving his family home. His brother, Ray, is moving in with his fiancée, so Eddie is going to live with his boss, Toby, his pregnant wife, Claire, and their two daughters. And while he lives in the basement, it is clear he is a welcomed addition to the household.

Toby is a benevolent and involved employer; Claire is the ideal confidant and surrogate mother; both are things that Eddie desperately needs. In the meantime, Eddie, Ray, and their mother are awaiting news of the maternal grandmother’s will and their shared inheritance. 

Eddie is a nice “getting-by” guy in search of answers but isn’t sure of the questions.  And while he claims to want the perfect relationship (i.e., family, children), he just hasn’t found himself. He’s not so much a slacker as he is floater, much due to a spotty and inconsistent upbringing. His interests are clothes and art, without ever committing to a passion or landing on who he is or what he wants to be.

Even when taking a look at his room for the last time, there is a sense of disconnect: “A trash bag of dried up dreams filled with old tubes of paint, brittle paintbrushes, sketchbooks with yellowed pages, and several near-finished canvases. Bulky with squared edges that threatened to poke through the plastic, the bag was heavier than all the others. I dropped it off at the curb for waste pickup.” 

His beloved grandmother’s bequeathal brings forward some life-altering truths, the most important of which is that Tom Ruddack, the father who walked out his family years before, is actually not Eddie’s biological father. His mother had a brief affair with a man named Giovanni Lo Duca, an Italian who was on a short-term work visa.

According to his grandmother’s wishes, Eddie needs to travel to Positano, on the Amalfi Coast. After the trip, he will receive money that she hopes will go towards tuition for art school, the interest that had bonded them in his childhood.

Eddie departs bruised — both figuratively and literally:  the former from the news of his unknown paternity, the latter courtesy of her mother’s boyfriend, Mike. He arrives feeling “like a randomly placed pushpin on a wall map.” Immediately, the situation becomes fraught with problems, including the loss of his wallet with his debit card.

His disastrous first day in this idyllic setting is an excellent juxtaposition of a contradictory adventure. However, a chance act of bravery in the hotel lobby makes him a local hero, changing the course of his visit.

Through this he earns first the respect and then the friendship of the beautiful doctor, Ivayla, and ends up as her guest, staying in the house she shares with her two fathers, the gregarious Mario and the taciturn, reclusive, but gifted artist, Paolo. Ivayla becomes his guide as well as the object of his ardor. Their growing attraction fuels the book’s more personal and eventually intimate moments.

The cover of ‘Finding Edward’

The book is full of rich detail, painting a vibrant Italian countryside, along with celebrating its people, its culture, and, of course, its food. Link is an engaging storyteller and shows us this magical foreign country through Eddie’s eyes. The descriptions reflect Eddie’s artistic bent and enhance the sense of a potentially bright and welcoming new world.

“Sun-bleached pastel houses, in gold, peach, white, and red, stacked high like a seawall. Precariously perched, they appeared ready to tumble into the sea at any moment. I imagined the people who lived in such a vertically challenged geography would be mentally tenacious and squat, physical powerhouses.” It is this artistic whimsy through which Link gives us a glimpse of Eddie’s creative potential.

Eddie experiences a reluctant but powerful awakening. He realizes that prior to Italy he had been living but not alive. “If I’d been home, I probably would have been in my basement apartment on the computer. I was here in an Italian city sharing wine and olives on a warm sunny evening with a local man and a mature, beautiful woman. Heightened by the foreign sights, sounds, and smells, my senses were becoming acutely discriminating, picking up scents and flavors I hadn’t known I was capable of.”

Ultimately, art and love become deeply intertwined. Eddie needs both to take the next step in his growth. The tale comes to a satisfying conclusion:  Scritto nelle stelle … “It is written in the stars.” It is the incomplete Eddie who leaves for Italy but it is the maturing Edward who returns home. Finding Edward is a charming journey with just enough Italian sun to warm the heart.

A resident of Sayville, Suzanne McKenna Link (suzannemckennalink.com) is also the author of Saving Toby and Keeping Claudia. Pick up a copy of Finding Edward at bookrevue.com, Amazon.com or BarnesandNoble.com.

From left, Robyn Nevin, Emily Mortimer and Bella Heathcote. Photo courtesy IFC Midnight

Reviewed by Jeffrey Sanzel

First-time director Natalie Erika James takes a new spin on the possessed residence genre with the atmospheric psychological horror film, Relic. James has co-written the heady screenplay with Christian White, and the result is ninety minutes of introspective dread that are grounded more in family than in fright. Relic had a buzzy debut at Sundance last year; it is equally arthouse and haunted house.

Three generations of women confront the dark but unexplained spirits possessing their family. When the elderly Edna (Robyn Nevin) disappears for three days and then suddenly reappears without explanation, daughter Kay (Emily Mortimer) and granddaughter Sam (Bella Heathcote) respond differently to the older woman’s erratic behavior.

The core of Relic is the portrait of a dysfunctional family staring down its matriarch’s slip into dementia. What is revealed is that years before, Edna’s grandfather suffered a fate similar to Edna’s.  He died alone in a cabin on the property — the first structure put up on the land.  (Kay has visions of both the old man and the cabin.) And while it no longer exists, pieces of it had been incorporated into the existing house, most notably the stained glass window now found in the front door.

It is as if the evil that destroyed the man followed it into the house, biding its time to possess its owner, in this case, Edna. But is it evil or illness? The answer is both.

While there are many traditional images, they feel fresh in James’s hands. In the opening moments, the house “breathes.” While an overflowing bathtub is a well-known trope, there is something about the water’s flow down the stairs that sets the tone for what will be the film’s creeping malevolence. 

Initially, the house itself looks benign and suburban, if a bit cluttered. Yes, it is large and well-appointed, but this is not a caricature of the old dark house, and this is a very different kind of haunting. The black mold appears to be an insidious manifestation of the dementia, and it is consuming the family homestead.

At first, Edna seems to have a bruise on her chest. In actuality, the same mold is overrunning house and body. The possession is a slow poison that hovers around the edges before taking over; the metaphor is clear. Scattered around the house are Edna’s notes to herself — ranging from the simple “Flush” to the alarming “Don’t let it in.”

The layers and twists are neatly woven, alternating between the ever weakening bond between Edna and Kay and the malign forces that are present. The fact that they are joined makes the film unique as it is impossible to disconnect one from the other.  The evil dwelling in the house is just as real as what has clearly been a disintegration of Edna’s mind.

This is a film that allows the narrative to slowly unravel. The scenes are short with staccato dialogue but the tempo remains at a slow burn for a majority of the time. It does not rely on gore or even visual scares.  Instead, it allows us to peer into the shadows, unsure of what they — or we  — are seeing.

It helps that all three actors — Mortimer, Nevin, and Heathcote — give understated and grounded performances. Nevin’s descent into confusion is marked by flashes of anger and disturbing behavior. There is a moment where she wanders away from the house and attempts to eat photographs before trying to bury the album itself. Wide-eyed, she looks at her daughter and cries, “Where is everyone?” It is a moment that is both horrifying and heart-breaking.

Mortimer’s struggle with ambivalence and obligation are palpable. Her love is mixed with resentment. She shows equal amounts of frustration and hurt in witnessing her mother’s desolation. Heathcote strikes the right balance in trying to be a loyal daughter and an attentive granddaughter. She also makes the climax (an extended sequence lost in the house’s impossible labyrinth) a showpiece in discovery. Both the spoken and unspoken pain and disappointment of this trio build the narrative.

Cinematographer Charlie Sarroff has effectively desaturated the color to the point of almost being absent. Robert Mackenzie’s eerie sound design — with ambient noise tamped down or oddly amplified — greatly enhances the off-kilter world. The distorted sounds of an empty washing machine and the gunshot bang of a bolt into a lock are jarring in just the right (wrong?) way.

For those looking for something different in the genre, Relic is an evasive but mysterious tale, cleverly flying in the face of traditional horror movie expectations. It masterfully blends many of the everyday fears for our loved ones with darker forces. Give it the time and it will stay with you long after its bizarre final moments.

Rated R, Relic is now streaming On Demand.

Photo from Sweetbriar

Visit Sweetbriar Nature Center, 62 Eckernkamp Drive, Smithtown for a special Creatures of the Night fundraiser program on Friday, July 17 from 7 to 8 p.m. Meet some nocturnal animals and embark on a walk into the darkness to enjoy the night and maybe call in an owl or two. Bug spray is highly recommended, bring a flashlight, and bring a mask for when you can’t physically distance more than 6 feet. The hike will be self guided and the trails will be lit with lanterns. Adults and teens only. Cost is $10 per person. To purchase tickets, visit www.sweetbriarnc.org. For more information, call 631-979-6344.