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Focus on reducing pain and improving mobility

By David Dunaief, M.D.

Dr. David Dunaief

Osteoarthritis has been diagnosed in over 54 million Americans, with 43.5 percent of them reporting symptoms that limit their activities and significantly impact their quality of life (1). Historically, the disorder was thought to be solely a wear-and-tear degeneration of the joint(s). However, Osteoarthritis (OA) also involves inflammation with the release of cytokines and prostaglandins — inflammatory factors — which cause joint destruction and pain (2).

The joints most commonly affected include the ankle, knee, hip, spine and hand. OA may affect joints asymmetrically, meaning that it affects a joint on only one side of the body.

Mainstays of treatment include analgesics and COX-2 inhibitors (Celebrex). Common analgesics used are acetaminophen and NSAIDs, such as ibuprofen (Advil), naproxen sodium (Aleve). A benefit of NSAIDs is that they have anti-inflammatory effects. Meanwhile, COX-2 inhibitors may also improve joint mobility.

There are adverse effects with NSAIDs, including increased gastrointestinal (or GI) bleed and, with long-term use, an increase in cardiovascular events, such as heart attacks, with the elderly being most susceptible.

Neither medication type, however, structurally modifies the joints. In other words, they may not slow OA’s progression nor rebuild cartilage or the joint space as a whole. Are there therapies that can accomplish these feats and, if so, what are they? We will look at hyaluronic acid, glucosamine and chondroitin, and lifestyle modifications such as exercise and weight loss.

Chondroitin sulfate beneficial for hand OA

The results with the use of glucosamine and chondroitin have been mixed, depending on the joints affected. In the FACTS trial, a randomized controlled trial, chondroitin sulfate by itself showed significant improvement in pain and function with OA of the hand (3). The dose of chondroitin used in the study was 800 mg once a day. The patients, all of whom were symptomatic at the trial’s start, also saw the duration of their morning stiffness shorten.

There was also a modest reduction in structural damage of hand joints after three months, compared to placebo. The benefit was seen with prescription chondroitin sulfate, so over-the-counter supplements may not work the same way. Patients were allowed to use acetaminophen, and there was no change in dose or frequency throughout the trial.

Crystalline glucosamine sulfate

In knee OA, crystalline glucosamine sulfate showed reduction in pain and improvement in functioning in a randomized controlled trial (4). When assessed by radiologic findings, it also slowed the progression of structural damage to the knee joint. In other words, the therapy may have disease-modifying effects over the long term. The glucosamine formulation may work by inhibiting inflammatory factors such as NF-kB. The trial used 1500 mg of prescription crystalline glucosamine sulfate over a three-year period. Again, it’s not clear whether an over-the-counter supplement works the same way.

Glucosamine and/or chondroitin for knee OA

In a meta-analysis (group of 10 studies), glucosamine, chondroitin or the combination did not show beneficial effects — reduced pain or mobility changes — in patients when compared to placebo (5). It was not clear whether supplemental or prescription-level therapies were used in each trial — or whether that makes a difference. This study was published prior to the crystalline glucosamine sulfate trial of the knee, discussed above, which did show statistical significance.

There is not much downside to using glucosamine and/or chondroitin for OA patients. However, use caution if taking an anticoagulant (blood thinner) like Coumadin, since glucosamine has anticoagulant effects. Also, those with shellfish allergies should not use glucosamine. If there is no effect within three months, it is unlikely that glucosamine and/or chondroitin are beneficial.

Hyaluronic acid

In a meta-analysis (a group of 89 trials), the risks outweighed the benefit of hyaluronic acid, a drug injected into the joint for the treatment of OA (6). Viscosupplementation involves a combination of hyaluronic acid types that act as a shock absorber and lubricant for the joints. Some of the studies did show a clinical benefit. However, the authors believe that adverse local events, which occurred in 30 to 50 percent of patients, and serious adverse events, with 14 trials showing a 41 percent increased risk, outweigh the benefits. Since there are mixed results with the trials, it is best to discuss this option with your physician.

Impact of weight loss and exercise

Obesity treatment with a weight-loss program actually has potential disease-modifying affects with OA (7). It may prevent cartilage loss in the medial aspect of the knee. The good news is that, even with as little as a seven percent weight loss in the obese patient, these results were still observed. The study’s average weight loss was nine to 10 pounds, and results were seen on a dose-response curve — the greater the weight loss, the thicker the knee cartilage.

Writing in The New England Journal of Medicine, Dr. David Felson observed there is an inverse relationship between the amount of muscle-strengthening exercise, especially of the quadriceps, and the amount of pain experienced in the knee joint. It is very important to do nonimpact exercises such as leg raises, squats, swimming, bicycling and on elliptical machines.

Fortunately, there are a number of options to prevent, treat and potentially modify the effects of OA. With weight loss in the obese patient, quality of life can dramatically increased. Glucosamine and/or chondroitin may be of benefit, depending on the joints affected. The benefits are potential improvements in pain, mobility and structural-modifying effects, which are worth the risk for many patients. When taking glucosamine and/or chondroitin in supplement form, ConsumerLab.com may be a good source for finding a supplement where you get the dose claimed on the box. I would also use formulations in the trials that showed results, even in supplement form.

References:

(1) MMWR Morb Mortal Wkly Rep. 2017 Mar 10;66(9):246-253. (2) Rheumatology. 2011;50(12):2157-2165. (3) Arthritis Rheum. 2011 Nov;63(11):3383-91. (4) Ther Adv Musculoskel Dis. 2012;4(3):167-180. (5) BMJ. 2010;341:c4675. (6) Ann Intern Med. 2012;157(3):180-191. (7) Ann Rheum Dis. 2012;71(1):26-32.

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.

Photo courtesy of Disney Enterprises/Pixar Animation Studios

By Barbara Beltrami

Although many of us fondly think of Ratatouille as the Disney movie with the eponymous cute little rat, it is actually a French vegetable stew of eggplant, zucchini, tomatoes, onions, peppers and fresh herbs that originated in Provence. It’s the best way I know of to enjoy late summer’s bounty all together in delicious mouthfuls of garden goodness. As with most regional dishes, each cook has her own adamant way of preparing her ratatouille.

Because it’s one of my favorite veggie dishes,  whenever I’ve visited France, I’ve managed  to come home with another recipe for ratatouille. Please note that these first two very traditional recipes call for cooking each veggie separately; that’s what makes them so colorful and preserves their distinct flavor and texture. The third recipe is a spin off of ratatouille, but equally savory. All recipes can be served hot, warm, at room temperature or cold. I think ratatouille goes well with almost anything!

Giselle Renouard’s Ratatouille

YIELD: Makes 4 servings

INGREDIENTS:

1 pound eggplant, sliced into 1/2” rounds

Salt and freshly ground pepper to taste

Olive oil

1 pound zucchini, diced

1 pound mixed red and green bell peppers, cored, seeded and thinly sliced

1/2 pound onions,  finely chopped

1 1/2 pounds fresh tomatoes, chopped

3 garlic cloves, peeled and minced

1/2 teaspoon sugar

Handful flat leaf parsley, finely chopped

Leaves from several sprigs thyme

Leaves from one large sprig basil, julienned

DIRECTIONS:

Place eggplant in a colander, sprinkle with salt and let drain 30 minutes. Pat dry and cut again into small chunks. In large skillet over medium heat, warm olive oil; add eggplant, stir occasionally and when brown on all sides remove and drain on paper towels. Add a little more oil and cook the zucchini just until soft; remove and drain. Next, add a little more oil, if needed, and cook peppers; remove them when tender; add onions, cook until soft but not brown, then add tomatoes, garlic, sugar, parsley and thyme and simmer for about 30 minutes. Return the rest of the vegetables to the pan and, stirring frequently but gently, simmer until heated through, about 5 minutes. Remove from heat, add basil, salt and pepper.

Mme. Marie Ouvrard’s Ratatouille

YIELD: Makes 6 servings

INGREDIENTS:

3 tablespoons extra virgin olive oil

2 medium onions, thinly sliced

2 garlic cloves, minced

1 red bell pepper, seeded, cored and diced

1 1/2 pounds small zucchini, cut into 1/2” cubes

3/4 pound eggplant, cut into 1/2” cubes

1 tablespoon fresh thyme leaves

5 medium tomatoes, diced

Salt and freshly ground black pepper

3 tablespoons chopped fresh basil

DIRECTIONS:

In large skillet heat olive oil over medium heat; add onions and garlic and, stirring often, sauté, for a minute or two until onion softens and garlic releases its aroma. Stir in red pepper and cook over medium heat, 4 to 5 minutes, until soft. Add zucchini and eggplant and simmer briefly. If mixture starts to stick to pan, add a little more oil or hot water. Stir in thyme and tomatoes; season with salt and pepper; simmer until all vegetables are soft but not mushy, about 5 minutes. Just before serving, add basil.

Lucie Durand’s Ratatouille

YIELD: Makes 4 servings

INGREDIENTS:

Nonstick cooking spray

2 large onions, sliced thin

2 pounds eggplant sliced 1/2” thick

2 orange or yellow bell peppers

2 red bell peppers

4 large tomatoes, cut into 1/2 slices

1 teaspoon fresh thyme leaves

Coarse salt and freshly ground pepper to taste

8 garlic cloves, halved

1/2 cup extra virgin olive oil

1 tablespoons minced flat leaf parsley

1 tablespoon minced fresh basil leaves

DIRECTIONS:

Preheat oven to 350 F. Spray bottom and sides of a casserole with nonstick cooking spray. Make a layer using  half each of the onion rings, eggplant, peppers, tomatoes, thyme, salt and pepper and garlic in that order. Repeat and drizzle with olive oil. Place in oven and bake about 50 to 60 minutes, until bubbling and tender. Occasionally, using the back of a wooden spoon, press down on the vegetables to make sure they are cooking evenly. Remove from oven, garnish with parsley and basil before serving.

METRO photo

By Fr. Francis Pizzarelli

Father Frank Pizzarelli

School has just begun. In our county, we have a wide range of educational opportunities and experiences. Each school district is attempting to respond responsibly to all families and their children. That is a very complex and challenging dynamic because every school community is so vastly different.

It continues to amaze me that very simple and basic practices that are evidence-based are so complicated to embrace for a number of people in our midst. We have allowed our destructive political rhetoric to impair our common sense and basic efforts to support some very basic common-sense practices that protect all of us.

My college students both on campus and online are an inspiration. They are open and insightful. They are hungering to learn and genuinely make a positive contribution to our community that will make a profound difference in the future.

This pandemic is a powerful opportunity for us to draw closer together. It’s an opportunity to build new bridges of understanding and compassion. It’s an opportunity to challenge the bigotry and hatred that has become so infectious.

These are challenging times. We can look at these challenges as burdens that are burying us under or we can see them as opportunities for change and transformation. There are so many life lessons to be learned, if we have the courage to take the blinders off and listen.

We will never return to the life we once knew before the pandemic. However, we have an opportunity to create a new tomorrow that is rich with opportunity and possibility that can be life-giving, if we have the courage to live differently.

There are so many life lessons to be learned. This pandemic has brought families together. People are talking and connecting in ways that were never imagined. Many of us have had to rearrange our priorities. A growing number of people have become more other-centered than self-centered. I have witnessed countless random acts of kindness that have changed people’s lives.

It has been refreshing to listen to the next generation of leaders talk about making tomorrow’s America better and stronger, more inclusive and respectful; a place where diversity and difference are seen as a blessing and not a curse.

The America that my students speak about is an America filled with promise and opportunity for all, grounded in a respect for the dignity of every human person. It is an America that will not tolerate hateful rhetoric; that will respect people’s right to peacefully protest injustice and give voice to the voiceless. It is an America that empowers every citizen to dream dreams and believes those dreams can come true.

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

The first evidence of coyotes appearing on Long Island happened on June 24, 2013, in Bridgehampton on the South Fork. Stock photo

By John L. Turner

In March of 1995 wildlife officials began a fascinating ecological experiment in Yellowstone National Park, one that is still playing out today twenty-five years later. For in that month they released fourteen grey wolves in the park. Wolves were, as recently as 75 years before, a key ecological component of the Greater Yellowstone Ecosystem but hatred and prejudice toward predators at the time resulted in their extermination.

With wolves eliminated from the park, elk populations flourished. Their abundance wasn’t such a good thing for the park’s vegetation though, especially in the richer, low-lying areas along rivers, creeks, and other wetlands where they overgrazed the vegetation, destroying habitat and creating erosion problems. The situation quickly changed with the reintroduction of the wolf and for the past two and a half decades wolves have fundamentally reshaped the park’s ecosystem, causing a series of expected, and a few unexpected, changes.

Elk became both less abundant due to predation and more dispersed in an effort to avoid wolves, allowing riverside forests of cottonwood and aspen to become reestablished. The return of these forests set the stage for beavers to increase. It also meant the growth of more berry producing plants which grizzly bears favored. Coyotes decreased as a direct result of wolf predation and less coyotes meant more foxes which, in turn, affected the abundance of birds, rabbits and other small mammals.

Changes in these species affected other plants due to changes in their grazing and eating intensity of leaves, fruits, and seeds. All of these ripple effects, created by restoring wolves to their rightful place in the Yellowstone ecosystem, underscores the brilliance in John Muir’s famous quote:

When we try to pick out anything by itself, we find it hitched to

everything else in the universe.

Well, let’s fast forward to the present and focus locally for we have a similar ecological experiment involving the appearance of an apex predator unfolding before us — but its not Grey wolves and a western National Park but the Eastern coyote and the land mass we call Long Island, the last place in the continental United States the coyote was absent from.

The first evidence of coyotes appearing on Long Island happened on June 24, 2013, in Bridgehampton on the South  Fork. A potato farmer, working in one of his fields, spotted an animal that looked like a German Shepherd but it wasn’t any breed of domestic dog, nor was it a red or gray fox. He was able to snap a photograph and a review by experts confirmed it as an Eastern coyote, the first that had ever been sighted on Long Island.

Since then there have been several other conclusive sightings of coyotes in a few places and then, most notably, a breeding pair (and subsequent family) set up a territory near LaGuardia Airport. Unfortunately, people began to feed them. Adapting to human presence because of the feeding they became more visible and some neighbors began to view them as a safety threat. They were able to convince staff from the federal Department of Agriculture’s “Wildlife Services” Program (an agency that despite its innocuous sounding name kills wildlife as its main mission) to exterminate the family (save one fortunate individual that escaped).

This was a setback but through subsequent colonization attempts the wily coyote has established itself in northwestern Long Island where several breeding pairs now exist. These occurrences, and past efforts, suggest that it’s but a matter of time before coyotes extend their hold here and fully colonize Long Island. As they do, their presence will likely have far reaching impacts to both human and natural communities, as coyotes are likely to cause ecological effects that will ripple through the natural communities on Long Island and the wildlife species that make them up, not unlike what wolves caused at Yellowstone, although obviously involving different species.

Though generally shy and retiring and typically avoiding direct contact with humans, coyotes will, nevertheless, establish territories adjacent to, and within, suburban developments. This fact suggests Long Islanders should change some behavioral habits to minimize adverse interactions.

For example, coyotes are known to prey on pet and feral cats and small dogs in urban and suburban communities, so it is imperative that pet owners remain diligent and aware. Releasing a pet cat outside to “do its business” (a bad idea because of the ecological damage cats cause by preying on birds and small mammals) in areas where coyotes occur can put the cat’s life in peril. Letting small dogs out into the backyard unattended for the same reason may result in the same outcome.

There are a few strategies that can be employed to reduce the likelihood of coyotes visiting your yard in the first place. These include keeping pet dishes empty outside and securing household garbage.

Another potential source of conflict between humans and coyotes involves livestock and other domestic animals, although this is not likely to become a major issue here given the relatively few sheep, goats, and pigs. In view of the popularity of chickens though, predation might become an issue, so those who have free ranging chickens might want to consider another strategy like indoor enclosures, within which the birds can safely spend the night.

Coyotes have a highly varied diet and some of these diet items can be viewed favorably from a human perspective. For example, in addition to preying on feral cats (and pet cats as mentioned before) that have a devastating impact on backyard birds and small mammals, coyotes eat roadkill thereby helping to clean up roadsides. They also prey on white-tailed deer fawns which may help to reduce their current unhealthy population levels or at least slow down the growth in deer populations.

The current density of deer is having an adverse impact to Long Island forests by eating native plants to such an extent that many forest trees are unable to replace themselves, causing forests to lose their understory and overall diversity. One specific example is the loss of our native orchids such as pink ladies slippers which have become increasingly rare due to deer browsing.

Coyotes also prey on rabbits, opossums, reptile and bird eggs (including the eggs of the ubiquitous Canada Goose), and a variety of berries. Notably, they eat numerous rodents, the reduction of which may be positive in reducing the number of white-footed mice that play a fundamental role in the transmission of the Lyme’s disease spirochete.

Some studies have documented that coyotes often displace fox in shared habitat so one of the ecological effects scientists will look out for is the long-term impact of coyotes on fox populations. There will be interest in assessing their impact on other mammals, such as prey like woodchucks and mammalian competitors like raccoon and fox.

We’re not sure of these ecological outcomes and how precisely these ecological effects will unfold; such is the unpredictability and complexity of the natural world. Perhaps coyotes will have no impact in reducing deer numbers, no role in assisting in the recovery of Long Island’s forests, displacing foxes, or play no part in affecting Lyme’s disease. But like the wolves of Yellowstone National Park, coyotes by their mere presence, as part of the Long Island environment, WILL have an ecological impact and, likely, a broad and significant one at that.

The coyotes have begun the experiment and naturalists and ecologists look forward to seeing how it plays out both for their sake and for the two and four-legged occupants who live here.

A resident of Setauket, John Turner is conservation chair of the Four Harbors Audubon Society, author of “Exploring the Other Island: A Seasonal Nature Guide to Long Island” and president of Alula Birding & Natural History Tours.

Tyson
Tyson

MEET TYSON!

This week’s shelter pet is sweet Tyson who arrived at the Smithtown Animal Shelter when his dad fell ill and could no longer care for him. 

Tyson is young and energetic, he loves meeting new people and playing with any toy! He does not enjoy other animals and should be the only pet in the home.  Because of his energy level, he should only be with older children. He would love an active lifestyle or a big yard.

This handsome boy is neutered, microchipped and up to date on all his vaccines.

If you are interested in meeting Tyson, please call ahead to schedule an hour to properly interact with him in the shelter’s Meet and Greet Room. The Smithtown Animal & Adoption Shelter is located at 410 Middle Country Road, Smithtown. For more information, please call 631-360-7575 or visit www.smithtownanimalshelter.com.

Supreme Court Justice Ruth Bader Ginsburg

It’s difficult to comprehend that women didn’t always have the rights that they have now, and many of those rights were only gained a few short decades ago.

Imagine when women weren’t able to open a bank account, have credit cards or a mortgage without a man’s signature until the passing of the Equal Credit Opportunity Act in 1974. Considering a woman founded our media company in 1976 and still sits in the publisher’s seat, the thought is unfathomable to many of us.

One of the trailblazers who worked for women’s rights to manage their own finances and their own lives was Supreme Court Justice Ruth Bader Ginsburg. She accomplished this feat as the co-founder of the Women’s Rights Project of the American Civil Liberties Union. The void her death leaves behind is immense. Let us remember all the work that’s been done and is still being fought for true equality. Now with her seat locked in political turmoil, we believe her legacy needs to be respected more than ever.

What we need to remember is sometimes the champion for equal rights, Ginsburg, needed to represent men to work toward the goal of all being treated equally. In 1972, Ginsburg argued in front of the Supreme Court when she and her husband represented Charles Moritz, a bachelor who was unable to take a tax deduction for taking care of his sick mother as a woman or a divorced/widowed man would have been able to do. It was an ingenious tactic, showing how any discrimination on the basis of sex was harmful to the whole, rather than one select group. Throughout her career, Ginsburg was the champion of many causes that have had a positive effect on both men and women of all colors and orientations. She believed that everyone has a right to vote, to access health care including birth control, to obtain an abortion, and that when two people of the same sex fall in love, they have the right to get married just like everyone else.

Replacing Ginsburg will be no easy task, and it shouldn’t be taken lightly. President Donald Trump (R) said he will nominate a woman to the seat and Senate Majority Leader Mitch McConnell (R) is eagerly waiting in the wings for the process to begin, despite arguing in 2016 that Supreme Court nominees should not be put to the bench in an election year. He and other Senate Republicans did not even hold a hearing for former President Barack Obama’s (D) court pick Merrick Garland that year. It’s the kind of House Rules situation you would expect more from a shady casino owner than the highest legislature in the land. It’s the kind of political skullduggery that does irrevocable lasting harm to democracy itself.

Locally, vigils held by two separate left-wing groups on Long Island’s North Shore have called for Ginsburg’s replacement to wait until after the election, and we’re inclined to agree. The dangerous precedent the U.S. Senate has engendered goes well beyond politics, but to the heart of democracy itself. There cannot be one rule for one party and another rule for the other, effectively eschewing several basic tenets of the Constitution.

There is a reason Ginsburg held on for so long, much longer than any of us would have stayed in such a stressful and high-profile position despite having five bouts with the cancer that eventually led to her death. One of her last statements dictated before her death was, “My most fervent wish is that I will not be replaced until a new president is installed.”

The American value of equality for all is one that seems to be lost in our divisive times. We must honor Ginsburg’s legacy by remembering this ideal by moving toward the future and not slipping back to the 1950s where it was believed that women were only capable of being, as the saying goes, barefoot and pregnant in the kitchen. If that were true, we would have never experienced people like RBG.

United States Supreme Court Building

By Daniel Dunaief

Daniel Dunaief

Republican senators have abdicated their responsibility for vetting a candidate for the Supreme Court.

President Donald Trump (who is a Republican, as if you didn’t know) could nominate a toothpick, a swimming pool, or a face mask and those objects, appealing though they may be, would become the ninth member of the Supreme Court, replacing the late Ruth Bader Ginsburg.

The process was over before it began. The president, who is so fond of calling any event that might not proceed in his favor “rigged,” has exactly what he wants: a collection of at least 50 senators willing to rubber stamp the nominee to the Supreme Court, a lifelong appointment, for myriad reasons, not the least of which is to break a possible contentious election tie if and when the waters are muddy enough in the presidential election.

You have to hand it to them; they know a power grab when they see one, and this is a spectacular opportunity to reshape the court with Trump’s third nominee.

South Carolina Republican Senator Lindsey Graham didn’t say that his party agreed to consider the candidate when he spoke to one of the Republicans’ favorite publicists, Fox News’ Sean Hannity.

No, he said, “We’ve got the votes to confirm Justice [Ruth Bader] Ginsburg’s replacement before the election,” according to a report in the New York Post.

That doesn’t preclude the infinitesimally small possibility that one or more of them might actually consider the merits of any candidate Trump, who is, in case you missed it, a Republican, might nominate, but it certainly suggests that the game is over well before it began.

Yes, I’m sure many people are as confident that the Democrats will all vote “no” on the candidate as that the Republicans will vote “yeah, hooray, yippee, we won.”

But that doesn’t make the votes from either party, and, specifically, the votes by each individual senator any more legitimate.

The Republicans have so effectively lined up the members of their party that none of them will question the magnificent incredible choice of the justice-to-be-named later.

They have so much confidence that the choice will be the best possible candidate for the highest judicial appointment in the land that they have no real need to consider the merits of her candidacy.

This has become an all out sprint to fast-track their candidate directly onto that important bench, without even the token consideration for her past decisions, her views on the Constitution, or her thoughts on important legal precedents.

If Republican senators have so much faith in the president’s choice, they should forfeit their salaries, go back home and allow the president to vote for them on every issue. I suspect the president wouldn’t object to adding such responsibility to his daily routine.

I understand that we live in polarized and divided times. I get that Senators reflect and amplify the differences that are pulling this nation apart. Each of them has an opportunity, no, a responsibility, to consider the job they are supposed to do, and not the party they are expected to support.

I don’t even need a Republican to vote against the president’s candidate to give me hope that someone in that esteemed chamber gets it. I just need a Republican to ask a genuinely difficult question. The hearings will go something like this:

Democrat: You’re unqualified and here’s why.

Republican: My Democratic colleague is wrong, offensive and disgraceful (see my last column for the search for grace). You’re the best person to protect the legal interests of every American.

Candidate: Was there a question in there?

Debra Bowling, owner of Pasta Pasta in Port Jeff, set up tables outside for Phase Two reopening. Photo by Kyle Barr

By Leah S. Dunaief

Leah Dunaief

Half a year in, how are things going?

There are signs of normalcy returning. The world outside the home is slowly coming back to life. I just returned from the first general membership meeting of a local chamber of commerce that was held in person for the first time in six months and not via Zoom.

I must say, it was wonderful to see people whom I routinely work with in three dimension. We all felt like hugging, but we didn’t. We stayed apart and we were outside, under a three-sided tent. By having the fourth side open, the meeting qualified as “outside.” So we sat at picnic tables, four apiece, or stood outside the tent, and we wore our masks, which we intermittently unhitched as we sipped our coffee graciously supplied by Starbucks. And we got some real business accomplished even as we enjoyed the new reality of it.

New stores and businesses are opening. Three cheers to those optimists who are starting up during a pandemic-caused recession. Clearly they feel the time is right for them. There were over half a dozen that just joined the chamber, some of them pivoting from their prior businesses that did not sustain them. Owners of established stores in Port Jeff Village were looking better than glum.

Children are receiving some combination of regular education, in person and remotely, which makes them and their parents and teachers a lot happier. Restaurants have largely managed to survive thanks to outdoor dining and curbside pickup, but now their owners worry about the coming colder weather. Outdoor heaters will be allowed, a la Paris, with appropriate permits from local fire department officials to ensure safety. Shoppers with masks and hand sanitizers are routinely grocery shopping. Following medical guidelines, we have learned how to cope in such situations.

A few residents are even taking vacations to destinations mainly within driving distance.

As we wait for vaccines and anti-COVID medicines, we seem to have come to some semblance of equilibrium with the virus. Of course we are greatly helped in this by the low numbers of those falling ill in New York.

That is not to say that we have forgotten the thousands who have died or their families who will suffer the pain of their loss for a lifetime. Nor do we disregard the many unemployed and the men, women and children on food lines. So many people are holding their breaths with rent coming due and monthly bills to be paid, yet there is no Congressional relief funding in sight.

Churches and community organizations have mobilized to offer food. Local governments have stepped into the breach, and to some extent, offered financial help. The U.S. Small Business Administration and regional banks have also provided low interest financing. Nonetheless, for some there is true panic. And for many, salaries, hours of work and budgets have been reduced.

Behind the scenes, we at the newspaper and website offices are busy at work. We believe the latest relevant information we bring to the public and the sense of community that is defined by functioning local media are essential to coping in these unprecedented times.

While our offices continue to be closed to the public, we still maintain our five-day, 10 a.m. to 4 p.m. hours. Some of our staff work remotely part or all of the time, and unwillingly we have thinned our ranks. We can be reached by every sort of communication: telephone, email, texting, Facebook and just by knocking on our door. If the purpose for your visit is compelling enough, we will let you in, as long as you are wearing a face mask and that you maintain correct social distancing.

As we support our communities, we offer our resources and help to you, our readers and advertisers. For example, for several months we have run lists of restaurants open for curbside pickup and of other essential businesses open to the public at no charge. If we can help you with our communications platforms, please just ask us. If it is possible for us to do so, we will.

Even as we struggle to survive, we are committed to serving you.    

Stock photo

By Linda Toga, Esq.

Linda Toga, Esq.

THE FACTS: My husband, Fred, died recently. We are both on the deed to our house.

THE QUESTION: Do I need to change the deed?

THE ANSWER: Whether you need to change the deed depends on how you and Fred took title to the property when you first purchased it. You and Fred were co-owners of your property but, the ownership interest of co-owners of real property can be expressed on a deed in different ways.

Two or more co-owners can each own a specific percent of the property For example, two owners can each have a 50% interest in the piece of property. Each owner can dispose of his/her 50% interest as he/she pleases. Owners with this sort of arrangement are referred to as tenants in common.

Two or more people can also own property jointly with the right of survivorship. Such co-owners are referred to as joint tenants and the deed to the property will include the words “joint tenants with the right of survivorship” or “jt. tenants WROS.” Each joint tenant has an interest in the entire property and generally cannot dispose of their interest in the property without the consent of the other joint tenants.

Finally, when a married couple takes title to real property, they can do so jointly as tenants in the entirety. This designation is similar to jt. tenants WROS but, is only an option for married couples.

If you and Fred took title to your home as 50/50 tenants in common, a new deed should be prepared by which the executor or administrator of Fred’s estate transfers his 50% interest in the property to the person he named as the beneficiary in his will or the person entitled to his share under the intestacy statute. The new deed must be signed by the executor/administrator and filed/recorded in the office of the county clerk in the county in which the property is located.

If you and Fred held the property as joint tenants WROS or as tenants in the entirety, there is no need to change the deed. You became the sole owner of the property upon Fred’s death by operation of law. In other words, Fred’s ownership interest in the property was extinguished when he died and you automatically became the owner.

If you sell the property, you will need to provide proof that Fred died. Without such proof, the deed bearing only your signature will not be accepted for recording. If your house is not sold until after you die, the person selling your house will have to provide both Fred’s death certificate and letters testamentary or letters of administration from the surrogate’s court to establish that he/she has the authority to sell the property.

If you are still uncertain as to whether a new deed is needed, you should contact an attorney with experience in real estate who can review your deed and advise you as to how to proceed.   

Linda M. Toga, Esq provides legal services in the areas of real estate, estate planning and administration, small business services and litigation. She is available for email and phone consultations. Call 631-444-5605 or email Ms. Toga at [email protected]. She will respond to messages and emails as quickly as possible.