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Ray Bonneville
On Sunday, April 15 at 5 p.m. WUSB-FM, The Greater Port Jefferson-Northern Brookhaven Arts Council, sundaystreet.org and the Long Island Museum will welcome singer-songwriter Ray Bonneville, performing live on the stage of the Carriage Museum’s Gillespie Room in Stony Brook.  

With a style that sometimes draws comparisons to JJ Cale and Daniel Lanois, this blues-influenced, New Orleans-inspired “song and groove man” holds dual U.S. and Canadian citizenship. He says he “found his grove” when he moved to New Orleans after serving in Vietnam as a Marine, earning a pilot’s license, and moving to Alaska, then Seattle, and Paris. Ray‘s songs involve gritty narratives inspired by a lifetime of hard-won knowledge set against his soulful guitar and harmonica playing.
Ray has earned many accolades, including a Juno (the Canadian equivalent of a Grammy). His post-Katrina ode, “I Am the Big Easy” received the International Folk Alliance’s 2009 Song of the Year Award, and in 2012 Bonneville won the solo/duet category in the Blues Foundation’s International Blues Challenge. His songs have been recorded by many other artists, among them Slaid Cleaves and Ellis Paul.
Ray will perform songs from a new album as well as fan favorites from his previous six releases. (www.raybonneville.com).
Tickets are $25 per person and may be purchased at the door. Please call the museum at (631) 751-0066 the day of the show to confirm ticket availability. Museum exhibitions close at 5 p.m. and are not included with concert tickets.
The Sunday Street Concert Series is presented by WUSB-FM, sundaystreet.org, the Greater Port Jefferson-Northern Brookhaven Arts Council and the Long Island Museum.
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About Sunday Street
The Sunday Street Series began in 2004 at The University Cafe at Stony Brook University, when Charlie Backfish, host of the long-running weekly radio program Sunday Street on WUSB-FM, began presenting concerts with many of the singer/songwriters featured on the program. In its first decade, the series presented 172 concerts with musicians from all over the world performing in an intimate venue. In 2015 the series moved from the University Café to the nearby Long Island Museum, where musicians may take advantage of the museum’s Steinway Boston Grand piano. For more information and a complete concert schedule visit www.sundaystreet.org

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About the Long Island Museum

Located at 1200 Route 25A in Stony Brook, the Long Island Museum is a Smithsonian Affiliate dedicated to enhancing the lives of adults and children with an understanding of Long Island’s rich history and diverse cultures. Regular exhibition hours (unless otherwise noted), are Thursday through Saturday,10 a.m. – 5 p.m. and Sunday, noon – 5 p.m.  For more information about programs and exhibitions, please call 631-751-0066 or visit the museum website at www.longislandmuseum.org.

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In addition to bananas, plenty of other foods are high in potassium. Above are just a few examples. Stock photo
Most Americans don’t consume enough potassium

By David Dunaief M.D.

Dr. David Dunaief

One of the most popular food additives is also one of the most dangerous: salt. We need salt, but not in excess. On the other hand, potassium is beneficial in our diet. However, we have the opposite problem with potassium: It is under-consumed.

More than 90 percent of people consume far too much sodium, with salt being the primary culprit (1). Sodium is found in foods that don’t even taste salty. Bread and rolls are the primary offenders, since we eat so much of them. Other foods with substantial amounts of sodium are cold cuts and cured meats, cheeses, pizza (which has both bread and cheese), fresh and processed poultry, soups, meat dishes, pastas and snack foods. Foods that are processed and those prepared by restaurants are where most of our consumption occurs (2).

By contrast, only about 2 percent of people get enough potassium from their diets (3). According to one study, we would need to consume about eight sweet potatoes or 10 bananas each day to reach appropriate levels. Why is it important to reduce sodium and increase potassium? A high sodium-to-potassium ratio increases the risk of cardiovascular disease by 46 percent, according to the study, which looked at more than 12,000 Americans over almost 15 years (4). In addition, both may have significant impacts on blood pressure and cardiovascular disease.

To improve our overall health, we need to tip the sodium-to-potassium scales, consuming less sodium and more potassium. Let’s look at the evidence.

Reduced sodium

There are two studies that illustrate the benefits of reducing sodium in high blood pressure and normotensive (normal blood pressure) patients, ultimately preventing cardiovascular disease, including heart disease and stroke.

The first study used the prestigious Cochrane review to demonstrate that blood pressure is reduced by a significant mean of −4.18 mm Hg systolic (top number) and −2.06 mm Hg diastolic (bottom number) involving both normotensive and hypertensive participants (5). When looking solely at hypertensive patients, the reduction was even greater, with a systolic blood pressure reduction of −5.39 mm Hg and a diastolic blood pressure reduction of −2.82 mm Hg.

This was a meta-analysis (a group of studies) that evaluated data from randomized clinical trials, the gold standard of studies. There were 34 trials reviewed with more than 3,200 participants. Salt was reduced from 9 to 12 grams per day to 5 to 6 grams per day. These levels were determined using 24-hour urine tests. The researchers believe there is a direct linear effect with salt reduction. In other words, the more we reduce the salt intake, the greater the effect of reducing blood pressure. The authors concluded that these effects on blood pressure will most likely result in a decrease in cardiovascular disease.

In the second study, a meta-analysis of 42 clinical trials, there was a similarly significant reduction in both systolic and diastolic blood pressures (6). This meta-analysis included adults and children. Both demographics saw a reduction in blood pressure, though the effect, not surprisingly, was greater in adults. Interestingly, an increase in sodium caused a 24 percent increased risk of stroke incidence but, more importantly, a 63 percent increased risk of stroke mortality. The risk of mortality from heart disease was increased as well, by 32 percent.

In an epidemiology modeling study, the researchers projected that either a gradual or instantaneous reduction in sodium would save lives (7). For instance, a modest 40 percent reduction over 10 years in sodium consumed could prevent 280,000 premature deaths. These are only projections, but in combination with the above studies may be telling. The bottom line is: decrease sodium intake by almost half and increase potassium intake from foods.

Potassium’s positive effects

When we think of blood pressure, sodium comes to mind, but not enough attention is given to potassium. The typical American diet doesn’t contain enough of this mineral.

In a meta-analysis involving 32 studies, results showed that as the amount of potassium was increased, systolic blood pressure decreased significantly (8). When foods containing 3.5 to 4.7 grams of potassium were consumed, there was an impressive −7.16 mm Hg reduction in systolic blood pressure with high blood pressure patients. Anything more than this amount of potassium did not have any additional benefit. Increased potassium intake also reduced the risk of stroke by 24 percent. This effect was important. If this does not sound like a large reduction, consider that, by comparison, aspirin has been shown to reduce the risk of stroke by 20 percent.

The reduction in blood pressure was greater with increased potassium consumption than with sodium restriction, although there was no head-to-head comparison done. The good news is that potassium is easily attainable in the diet. Foods that are potassium rich include bananas, sweet potatoes, almonds, raisins and green leafy vegetables such as Swiss chard.

Lowering sodium intake may have far-reaching benefits, and it is certainly achievable. We need to reduce our intake and give ourselves a brief period to adapt — it takes about six weeks to retrain our taste buds, once we reduce our sodium intake. We can also improve our odds by increasing our dietary potassium intake, which also has a substantial beneficial effect, striking a better sodium-to-potassium balance.

References:

(1) Am J Clin Nutr. 2012 Sep;96(3):647-657. (2) www.cdc.gov. (3) Am J Clin Nutr. 2012 Sep;96(3):647-657. (4) Arch Intern Med. 2011;171(13):1183-1191. (5) BMJ. 2013 Apr 3;346:f1325. (6) BMJ. 2013 Apr 3;346:f1326. (7) Hypertension. 2013; 61: 564-570. (8) BMJ. 2013; 346:f1378.

Dr. 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.

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A young volunteer scours the dunes at Cedar Beach for trash in 2016. File photo by Erika Karp

Beach cleanup this weekend

The 2018 William Waltz Mount Sinai Harbor and Cedar Beach Cleanup will be held this Saturday, April 14 starting at 9 a.m. Volunteers are needed to help give the harbor and beach a proper spring cleaning. Meet at the Mount Sinai Yacht Club at 244 Harbor Beach Road where bags, gloves and pickers will be provided along with refreshments and lunch. Students and Scouts may use this activity for community service hours. Sponsored by the Mount Sinai Harbor Advisory Committee in conjunction with the Town of Brookhaven, Mount Sinai Yacht Club, Tuscany Gourmet Market, Ralph’s Fishing Station, Old Man’s Boat Yard and the Waltz family. For more information, please call 631-807-8437.

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Luna

MEET LUNA!

Luna

Look at that smile! Luna is a 7-year-old terrier with a huge heart. She had a loving family until her owners lost their home and she ended up at Kent Animal Shelter. She is a little shy with new people but warms up quickly. Luna has the sweetest personality and loves giving kisses, long walks and belly rubs. She is waiting patiently for a home to play and relax for the rest of her days. Could that be with you? Luna comes spayed, microchipped and up to date on all her vaccines.

Kent Animal Shelter is located at 2259 River Road in Calverton. The adoption center is open from 10 a.m. to 4 p.m. every day. For more information on Luna and other adoptable pets at Kent, visit www.kentanimalshelter.com or call 631-727-5731. 

UPDATE: Luna has been adopted!

 

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Reviewed by Jeffrey Sanzel

Michael Di Leo’s debut novella is a powerful and engaging look at the days leading up to and just following the murder of John Lennon. Focusing on the separate and yet not completely disparate stories of several unrelated people, it creates a vivid chronicle of a time of great sadness and unrest.

Author Michael Di Leo

It is December 1980 and the country is in the advent days before Ronald Reagan is to take office. Three very different people are facing the frustrations of day-to-day life. The story follows this trio as they attempt to tackle a series of emotionally difficult challenges.

Sixteen-year-old Angela is obsessed with the Beatles. She is struggling with the things that are modern and yearns for the ’60s, a time she never experienced but has come to venerate, epitomized by the music of the Beatles. Her friends do not understand her — in particular an insensitive but realistically portrayed boyfriend who has only one desire in their dysfunctional relationship. Angela is reaching back to a past era to try to make sense of her own.

Thirteen-year-old John is inspired to look at the ’60s by former hippie Mr. Watkins, his easygoing and inspiring teacher, who assigns John an extra-credit project to research the period.John is caught between his hard-edged, conservative father and a mother whose heart is connected to the freer time that she never allowed herself to fully experience.

Finally, Tommy, in his 20s, going nowhere, lives in a cramped Manhattan apartment, working a dead-end job selling typewriters, and trying to parse his exact feelings for his girlfriend, Mary, who is pressuring him for both a ring and a change in who he is. Like Angela, he is fixated on the Beatles. Tommy is also haunted by the death of his brother in Vietnam, a milestone that caused the implosion of his family and created his own sense of detachment from the world.  

Tommy makes a point of his dis-ease in the universe. He feels that the ’80s have not yet started because there has been no defining moment to herald an age. He sites the assassination of JFK and the landing of the Beatles for the ’60s and Nixon’s resignation for the ’70s. He does not realize that his worst nightmare will be the signal of this new epoch.

Short, crisp chapters create small fragments that are windows into each of the character’s lives and thoughts. As it progresses, the picture, like a mosaic, becomes clearer.

The first half of this delicate, slender novella follows their day-to-day existences that are then shattered by John Lennon’s tragic murder. The latter part of the book then tracks the repercussions of this terrible event. Both Tommy and Angela are broken by Lennon’s death as is John’s mother. But it is through this loss that they find themselves and, in the grand scheme, are stronger for it.

It is the teacher, Mr. Watkins, who is able to best express this new time: “There were a lot of people in the sixties who influenced my generation. JFK, his brother Robert, Martin Luther King. And yet, John Lennon may have had more of an influence than any of them. And he survived it all and was in a position to possibly influence us again to make things better. Something he always tried to do. And they killed him, too. They’re all gone now.” It is the indicator of both an end and a beginning.

The cover of Michael Di Leo’s latest book

Tommy had lived in hope of a Beatles reunion. For him, “It wasn’t supposed to end this way.” The Sgt. Pepper album had gotten him through the loss of his brother, giving him solace in the worst of times. It is now, through the music and the memory, that he survives this next challenge. A particularly poignant description follows Tommy’s visit to his childhood home. He sees his parents, who have never recovered from the death of their oldest son, in a new light. The scene resonates on many levels. It is in this trip that Tommy realizes that he can make something of himself, and it is John Lennon’s example that inspires him to do so.

John’s mother opens up to her son with pieces of her life and heart that she had kept tamped down to please her husband and his expectations. Lennon’s death releases her true spirit. “You know, I always had a secret thing for the Beatles, and John, he was always my favorite. He was so smart and funny, and he always did or said what he wanted, whatever the consequences, and now after everything, he was back, and he was happy, and now he’s gone. It just doesn’t make any sense. I guess maybe I really was a hippie at heart.” She, like Tommy, eventually finds release in embracing her true feelings.

Di Leo’s compassion for his characters gracefully shows the initial shock turning to profound mourning and, ultimately, to redemption. It is a visceral portrayal. He manages, with great sensitivity, to give us a glimpse into the turmoil of these people’s souls. In addition, Di Leo is not seeking easy answers. Instead, he presents the phenomenon of our attachment to these icons. He sheds light on our personal connection to distant stars (literally and figuratively) and how we take their deaths in a personal way. It is a strange truth but we often suffer these losses deeper than we do of those who are truly close to us. He reveals this fact without judgment but instead with nonjudgmental insight.

A prescient touching upon the discussion of gun control that occurred in the wake of the shooting reminds us that though time has passed, many things have not changed.

A gathering in Central Park of thousands of fans serves as a gentle climax to the book where the characters intersect but don’t truly interact. Di Leo chooses not to give us facile coincidence but instead reflects life as it is. A beautiful and honest coda provides both closure and hope — that out of even the darkest times can come good, and, in this case, light.

Much like the “Imagine” mosaic created in memory of Lennon, “Images of Broken Light” gives us broken figures that create a powerful and memorable whole.

“Images of Broken Light” is available in paperback and Kindle versions on Amazon.com, and E-books are also available on Barnesandnoble.com, iBooks and Kobo. This is the Nesconset resident’s second book. The first, titled “The Spy Who Thrilled Us,” covers the first 19 films in the James Bond series. For more information, visit his website at www.michaeldileoauthor.com.

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Local officials showed their support at last year's Walk Agains Addiction at Cedar Beach. Photo by Kevin Redding

By Fr. Francis Pizzarelli

Father Frank

Last year more than 64,000 people died of drug overdoses across our country. In Suffolk County alone over 600 deaths occurred due to opioids. That doesn’t include the countless deaths of young people written up in our newspapers as dying from “heart attacks” because too many families are embarrassed and ashamed that their sons and daughters are addicts.

So our count of deaths due to heroin overdoses I contend is much higher than the quoted 600 deaths. As one clergy person in our community, I preside over one overdose death every other week. At this point, in Suffolk County, we are burying at least two or three young people each week.

Two years ago this month, a young man from our community tragically passed away from an accidental heroin overdose. Billy had struggled with addiction for a number of years. He was totally supported by his family with all of his recovery efforts. He had extended periods where he was drug-free. Unfortunately, he was not able to sustain long-term abstinence and recovery.

His parents were beside themselves. Their grief was beyond words. It was overwhelming. Billy’s dad spoke at his son’s funeral; using his son’s voice to address the extremely large crowd of young people that gathered to honor their friend.

He urged them to take care of themselves, reminded them that life is fragile and that they need each other. Instead of burying their heads in the sand, Billy’s parents decided to become proactive to celebrate the gift of their son’s life, raise awareness and educate people specifically about heroin addiction.

Probably one of their greatest gifts to this war against addiction is their power of example. Their love and positive energy led to the creation of the Walk Against Addiction, which was held at Cedar Beach in Mount Sinai on April 22 of last year to honor their son’s life and struggle and provide support for other families who are struggling.

More than 600 people gathered on that rainy Saturday morning to make a statement that all life matters. Countless families came with signs honoring their children lost to addiction seeking the solidarity and support of other families.

Billy’s parents’ tenacity to raise awareness and educate people about the perils of recovery and wellness has been profound. As an addiction specialist, I know people do recover, reclaim their lives and live fully productive lives, but the journey is long and oftentimes very, very difficult!

Their energy and commitment gave birth to the War on Addiction Rally to be held on Saturday, April 21, 2018, at the Pennysaver Amphitheater at Bald Hill in Farmingville from 10:30 a.m. to noon. While this event is free to attend, donations are appreciated. The major purpose for this rally is to educate, raise awareness, rally for compassion, change and hope! The organizers are hoping to fill the amphitheater with more than 3,000 people.

This event is intended to be more than just a rally, to hopefully be the beginning of the movement that will inspire people to challenge the government to stop paying lip service to this national epidemic health crisis and actually begin to do something that matters. 

We need more treatment beds today, not tomorrow. We need to take on the insurance industry that is sentencing our kids to death in record numbers because they are denying residential treatment.

We need a greater network of support services for those battling addiction that is accessible to the person in early recovery. People who are afflicted with addiction need greater access to mental health services that are affordable and confident.

These are troubling times — disrespect, prejudice and discrimination are everywhere. We need to remove the stigma from people afflicted with addiction. We need to end the shame, blame and disrespect!

Our leadership on the federal and state level is a disgrace. They are an abysmal failure. They need to be challenged to give voice and support all those who are attempting to walk the difficult road of recovery, one day at a time. Sometimes it’s one hour at a time. However, hope is the anthem of our souls.

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

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Janet Leatherwood demonstrates wheel throwing to guests at last Saturday's Open House
Ceramics studio and gallery find new home at Flowerfield

By Kyle Barr

As the potter’s wheel spins, ceramic artist Patrick Dooley plays his fingers along the side of the spinning clay like a harpist does a harp’s strings. The clay forms lips and edges. A thumb pressed clean in the center develops a hole and the lump of clay is slowly turned into an object, something tangible.

“You can turn clay into anything you want,“ Dooley said as his hands grow thick with the wet-brown of the clay. “There’s something about that tactile feel, being in control of that clay, turning it into something, something artistic, something functional. It’s creative.”

The nonprofit Brick Clay Studio & Gallery has finally opened in St. James. The new location at 2 Flowerfield joins others of its kind including The Atelier art studio and The Shard Art Shoppe. After two years of working to get it started, members are ecstatic to see their collective art education center and gallery finally become a reality. 

Patrick Dooley works on a clay piece.

“I feel the universe is on our side, I think we’re destined to be here,” gushed physical therapist and ceramic enthusiast Estrellita Ammirati during last weekend’s Open House as a huge smile stretched across her face. “If you saw what this place looked like 37 days ago … we had nothing, pretty much nothing.”

Many of the artists at The Brick Studio were artists who worked in the basement of Stony Brook University’s Union building, willing to teach community members and students who found their way into their space. In 2015 SBU declared it would be removing The Craft Center from the basement in preparation for the building’s renovations. 

“We were kicked out when the Union closed,” said member and ceramicist Astrid Wimmer.“There were 20 of us who wanted to go on and we had no place to go. So we formed this cooperative. We’re very excited and we worked very hard.”

Laura Peters gets ready to create.

Spearheaded by Miller Place High School art teacher Julia Vogelle and ceramicist Justine Moody, the group wanted to create their own space to practice their art and commune with each other. They set up a Kickstarter campaign in 2017 that had 123 people pledge over $18,000 to the project. The artists caught a break when they learned that Dowling College would be closing and they were able to acquire the ceramic department’s equipment including motorized pottery wheels, kilns and pugmill relatively cheap.

The original plan was to locate the studio in Rocky Point in a brick building near the Rocky Point Farmers Market at the corner of Prince and Broadway, but the group was unable to land the deal. 

“Rocky Point needed to be revitalized and Broadway was really suffering. They wanted something like this in town. A cultural center, not-for-profit, it was going to be bringing art into the community, and the community into art, and we really wanted that,” Vogelle said. “But we really couldn’t buy anything, and they were looking for someone to buy.”

Cat mugs by Russell Pulick for sale at the Open House last Saturday.

When the group settled on the space in St. James, they had originally walked into a barren warehouse-type room. The ceiling’s electric wires were hanging loose from the ceiling, the floor was bare, the concrete was unpainted and there was no counter space or shelving. It took several weeks of volunteer work to bring the space into a livable condition.

“The members are just amazing with their efforts. They’re workhorses, they’re worker bees,” Vogelle said. 

It’s hard to understate how important having a space to practice is to the artists at the brick studio. Stony Brook University Professor Janet Leatherwood had practiced as a child on a pottery wheel at home, some 30 years before she picked it up again when she found The Craft Center at the university. 

“I have a studio at home, so I could still make stuff, but it was such a community, such energy and so much input from other people,” Leatherwood shook her head. “It wasn’t the same.”

Russell Pulick describes his artistic process to visitors.

Longtime studio and production potter Russell Pulick was tasked with fixing many of the machines that were purchased from Dowling, and he said places like this are necessary for the community it provides.

“I have technical knowledge of these machines, and of glazing. Somebody else could probably do it, but it would be a learning process,” Pulick said. “I have most of this equipment at home, but this place is about the people, dedicated people, people who love clay, who love creating.” 

The Brick Clay Studio & Gallery is located at 2 Flowerfield, Suites 57 and 60, in St. James. The studio offers a variety of classes including Portraits in Clay and Wheel Throwing as well as eight-week workshops in advanced wheel throwing, summer camp for children and internships. 

Drop by this Friday, April 13, from 7 to 9:30 p.m. for the studio’s  first Clay Try-Day, a great opportunity to see if working with clay is something you would like to pursue. $30 per person. Preregistration is strongly recommended although walk-ins are welcome. For more information, call 631-250-9530 or visit www.thebrickstudio.org.

All photos by Kyle Barr

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The cast of ‘12 Angry Men’. Photo by Peter Lanscombe, Theatre Three Productions Inc.

By Heidi Sutton

For a play that takes place in a single room, “12 Angry Men” has had quite a ride. Written by Reginald Rose after he served as a juror on a manslaughter case, it was turned into a made-for-television movie and broadcast live on the CBS program Studio One in 1954. 

The success of the television production resulted in a film adaptation in 1957. Starring Henry Fonda and Jack Klugman, the movie is consistently ranked as one of the greatest courtroom dramas of all time and was selected for preservation in the United States Film Registry in 2007 for being “culturally, historically or aesthetically significant.”

From left, Michael Mingoia, John McNamara, Steven Uihlein, Jack Green, Gene Durney, Steve Ayle and Michael Newman.

And significant it is. Over 60 years later, the behind-closed-doors look at the American legal system continues to make an impact in community theaters all around the world. This month, it makes its way to the Mainstage of Theatre Three, a stark contrast to its last production, “Nunsense,” and is more relevant than ever.

Twelve men from different backgrounds sit on a jury where the accused has been charged with murder in the first degree … premeditated homicide. They are tasked with deliberating the guilty or innocent verdict beyond a reasonable doubt of a teenage boy who is accused of stabbing his father with a switchblade. If found guilty, he could face the electric chair. The judge orders the jury to “separate the facts from the fancy” and the deliberations begin.

Jim Pearsall, Michael Newman, Michael Mingoia and Gene Durney.

Directed by Bradlee Bing, the seasoned cast does a terrific job conveying the sense of grave responsibility. As the jurors are led into the deliberating room, the security guard (Alan Schelp) locks them in, giving the sense of being held hostage until a decision is made. 

The actors also effectively convey the temperature in the room by taking turns to fix the “broken” air conditioner, taking off their jackets, taking a sip of water and wiping their foreheads and back of necks. The audience feels the heat, which adds to the volatile environment that envelops the room.

The odds are stacked against the teenager. There are three witnesses, there’s a motive (his father beat him regularly), his alibi is shaky and the murder weapon belongs to him, “But sometimes the facts staring you in the face are wrong.”

A preliminary vote results in 11 guilty, one not guilty — Juror #8, played by Steve Ayle. “Boy, oh boy, there’s always one!” The majority of the jury just want to get out of there and get on with their lives. One has tickets to a baseball game, another wants to get back to running his business and so on. 

Foreground, from left, Mihcael Mingoia, Jack Green, Jules Jacobs, Steven Uihlein; background, from left, David Altman, Joseph Cavagnet and Leonard DeLorenzo

But Juror #8 has doubts and he’s not ready to give in to peer pressure. “A man’s life is on the line …” He asks to see the murder weapon again, to see the layout of one of the witness’ apartment, always questioning and pointing out inconsistencies as the other jurors change their vote one by one.

The characters and plot and suspense develop slowly and that’s the beauty of it. From “You couldn’t change my mind if you talked for a hundred years” and “We don’t owe this kid a thing” to “Maybe we should talk about it” and “We have a job to do, let’s do it” to the final “Let him live,” the emotional progression is an incredible thing to watch.

The end result is a powerful and thought-provoking evening at the theater. The endless clapping at the end of the first act and the standing ovation at the end of Saturday’s opening night performance was most well deserved.

The cast: Joseph Cavagnet, Leonard DeLorenzo, Jack Green, John McNamara, Steven Uihlein, Jim Pearsall, Michael Newman, Steve Ayle, Jules Jacobs, Gene Durney, David Altman, Michael Mingoia and Alan Schelp

Sponsored by Bridgehampton National Bank for the third year in a row, Theatre Three, 412 Main St., Port Jefferson will present “12 Angry Men” through May 5. Running time is two hours and 10 minutes with one 15-minute intermission. The Mainstage season closes with the musical comedy whodunit “Curtains” from May 19 to June 23. Tickets are $35 adults, $28 seniors and students, $20 children ages 5 to 12. To order, call 631-928-9100 or visit www.theatrethree.com.

All photos by Peter Lanscombe, Theatre Three Productions Inc.

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Concentrate on lifestyle modifications like going for walks if you want to see potentially disease-modifying effects. Stock photo
Diet and exercise changes may slow progression

By David Dunaief, M.D.

Not surprisingly, osteoarthritis is widespread. The more common joints affected are the knees, hips and hands. There are three types of treatment for this disease: surgery, involving joint replacements of the hips or knees; medications; and nonpharmacologic approaches. The most commonly used first-line medications are acetaminophen and nonsteroidal anti-inflammatory drugs, such as ibuprofen. Unfortunately, medications mostly treat the symptoms of pain and inflammation.

However, the primary objectives in treating osteoarthritis should also include improving quality of life, slowing progression of the disease process and reducing its disabling effects (1).

Dairy and milk

When we think of dairy, specifically milk, there are two distinct camps: One believes in the benefits, and the other thinks it may contribute to the disease. In this case they both may be at least partly correct. In the Osteoarthritis Initiative study, an observational study of over 2,100 patients, results showed that low-fat (1 percent) and nonfat milk may slow the progression of osteoarthritis (2). The researchers looked specifically at joint space narrowing that occurs in those with affected knee joints. Radiographic imaging changes were used at baseline and then to follow the patients for up to 12 to 48 months for changes. Compared to those who did not drink milk, patients who did saw significantly less narrowing of knee joint space.

Was it a dose-dependent response? Not necessarily. Specifically, those who drank less than three glasses/week and those who drank four to six glasses/week both saw slower progression of joint space narrowing of 0.09 mm. Seven to 10 glasses/week resulted in a 0.12 mm preservation. However, those who drank more than 10 glasses/week saw less beneficial effect, 0.06 mm preservation compared to those who did not drink milk. Interestingly, there was no benefit seen in men or with the consumption of cheese or yogurt.

However, there are significant flaws with this study. First, the patients were only asked about their dietary intake of milk at baseline; therefore their consumption could have changed during the study. Second, there was a recall bias; patients were asked to recall their weekly milk consumption for the previous 12 months before the study began. I don’t know about you, but I can’t recall my intake of specific foods for the last week, let alone for the past year. Third, there could have been confounding factors, such as orange consumption.

Oddly, this was not a dose-response curve, since the most milk consumption had less beneficial effect than lower amounts. Also, why were these effects only seen in women? Finally, researchers could not explain why low-fat or nonfat milk had this potential benefit, but cheese was detrimental and yogurt did not show benefit. We are left with more questions than answers.

Would I recommend consuming low-fat or nonfat milk? Not necessarily, but I may not dissuade osteoarthritis patients from drinking it. There are very few approaches that slow the progression of joint space narrowing.

Vitamin D

Over the last five years or so, the medical community has gone from believing that vitamin D was potentially the solution to many diseases to wondering whether, in some cases, low levels were indicative of disease, but repletion was not a change-maker. Well, in a randomized controlled trial (RCT), the gold standard of studies, vitamin D had no beneficial symptom relief nor any disease-modifying effects (3). This two-year study of almost 150 men and women raised blood levels of vitamin D on average to 36 ng/ml, which is considered respectable. Researchers used MRI and X-rays to track their results.

Glucosamine

There is raging debate about whether glucosamine is an effective treatment for osteoarthritis. In the latest installment, there was an RCT, the results of which showed that glucosamine hydrochloride was not effective in treating osteoarthritis (4). In the trial, 201 patients with either mild or moderate knee pain drank diet lemonade with or without 1,500 mg of glucosamine hydrochloride.

There was no difference in cartilage changes in the knee nor in pain relief in those in the placebo or treatment groups over a six-month duration. Bone marrow lesions also did not improve with the glucosamine group. The researchers used 3T MRI scans (an advanced radiologic imaging technique) to follow the patients’ disease progression. This does not mean that glucosamine does not work for some patients. Different formulations, such as glucosamine sulfate, were not used in this study.

Weight

This could not be an article on osteoarthritis if I did not talk about weight. Do you remember analogies from the SATs? Well here is one for you: Weight loss, weight loss, weight loss is to osteoarthritis as location, location, location is to real estate. In a study involving 112 obese patients, there was not only a reduction of knee symptoms in those who lost weight, but there was also disease modification, with reduction in the loss of cartilage volume around the medial tibia (5).

On the other hand, those who gained weight saw the inverse effect. A reduction of tibial cartilage is potentially associated with the need for knee replacement. The relationship was almost one to one; for every 1 percent of weight lost, there was a 1.2 mm³ preservation of medial tibial cartilage volume, while the exact opposite was true with weight gain.

Exercise and diet

In a study, diet and exercise trumped the effects of diet or exercise alone (6). Patients with osteoarthritis of the knee who lost at least 10 percent of their body weight experienced significant improvements in function and a 50 percent reduction in pain, as well as reduction in inflammation, compared to those who lost 5 to 10 percent and those who lost less than 5 percent. This study was a well-designed, randomized controlled single-blinded study with a duration of 18 months.

Researchers used a biomarker — IL6 — to measure inflammation. The diet and exercise group and the diet-only group lost significantly more weight than the exercise-only group, 23.3 and 19.6 pounds versus 4 pounds. The diet portion consisted of a meal replacement shake for breakfast and lunch and then a vegetable-rich, low-fat dinner. Low-calorie meals replaced the shakes after six months. The exercise regimen included one hour of a combination of weight training and walking with alacrity three times per week.

Therefore, concentrate on lifestyle modifications if you want to see potentially disease-modifying effects. These include both exercise and diet. In terms of low-fat or nonfat milk, while the study had numerous flaws, if you drink milk, you might continue for the sake of osteoarthritis, but stay on the low end of consumption. And remember, the best potential effects shown are with weight loss and with a vegetable-rich diet.

References:

(1) uptodate.com. (2) Arthritis Care Res online. 2014 April 6. (3) JAMA. 2013;309:155-162. (4) Arthritis Rheum online. 2014 March 10. (5) Ann Rheum Dis online. 2014 Feb. 11. (6) JAMA. 2013;310:1263-1273.

Dr. 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.

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Sherlock Gnomes saves the day in the sequel to ‘Gnomeo & Juliet.' Photo courtesy of Paramount Pictures

By Heidi Sutton

It’s been seven years since moviegoers were invited into the magical world of garden gnomes with Touchstone Pictures’ “Gnomeo & Juliet,” the charming animated film loosely based on William Shakespeare’s timeless tragedy while celebrating the music of Sir Elton John. 

Juliet and Gnomeo are back for a new adventure.

Set in the English town of Stratford-upon-Avon, the story, which features a star-studded cast, takes place in the backyard gardens of two feuding elderly neighbors — Mr. Montague and Miss Capulet. Their garden gnomes, which are blue and red, respectively, are also strict enemies until Gnomeo (blue) and Juliet (red) secretly fall in love and manage to unite the two gnome clans.

I remember taking my daughter and her friends to see this movie and being so enamored by it that I went to a bunch of garden centers the following day and snatched up all the red and blue garden gnomes I could find to put in my rock garden. 

Now Paramount Pictures and MGM Studios bring audiences a sequel to the adorable fairy tale, “Sherlock Gnomes,” with all of the original characters you love including Gnomeo (James McAvoy), Juliet (Emily Blunt), Lord Redbrick (Michael Caine), Lady Bluebury (Maggie Smith), Nanette the Frog (Ashley Jensen), Benny (Matt Lucas), Mankini (Julio Bonet) and Fawn (Ozzy Osbourne) in a brand new mystery adventure directed by John Stevenson.

The Montagues and Capulets have married and moved to London. Their collection of garden gnomes have also made the trip, albeit to a much smaller garden that needs a lot of work, “a fixer upper” of sorts. Gnomeo decides that the garden needs a centerpiece, Juliet’s favorite flower — a Cupid’s Arrow Orchid — and ventures out into the city to find one. When Juliet discovers Gnomeo’s plan, she follows him and ends up rescuing him when he becomes trapped in a florist shop.

Sherlock Gnomes and Watson are on the case of the missing garden gnomes.

When the couple returns home, they find that all of their friends as well as gnomes in seven other gardens have been kidnapped, “an ornamental crime on a scale never seen before.” They must be rescued within 24 hours or they’ll be smashed to smithereens. The police are too busy to help, so Sherlock Gnomes (Johnny Depp), sworn protector of garden gnomes, and his trusty sidekick Watson (Chiwetel Ejiofor) take the case. Sherlock is convinced this is the work of his arch nemesis Moriarity (Jamie Demetriou) and, along with Watson, Gnomeo and Juliet, follows a trail of clues to find the gnomes, with lots of plot twists and turns along the way. Will the case be solved in time?

A nice touch is the many places in London that the detective team visit to find clues including the Royal Green Park, the Natural History Museum, Chinatown and Tower Bridge. While Elton John recently announced he is retiring from touring, his music will live on in this film with catchy songs like “Don’t Go Breaking My Heart,” “Saturday Night’s Alright for Fighting” and “I’m Still Standing” peppered throughout.  

Although this sequel is not as good as the original, as sequels rarely are, “Sherlock Gnomes” is still worth a trip to the theater for its visually stunning and lifelike animation, wonderful music and positive message to not take your friends for granted. By the same token, it is highly recommended that “Gnomeo & Juliet” be seen first as it will help in relating to the humor and connecting to the characters better. And I’ll be visiting the garden center to stock up on green garden gnomes. Running time is 1 hour and 26 minutes. 

Rated PG for rude and suggestive humor, “Sherlock Gnomes” in now playing in local theaters.

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