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By Daniel Dunaief

Daniel Dunaief

Hi, welcome to my store. It’s so good to see you after all these years. It hasn’t been years, I know, but it just feels like it because I’ve been a prisoner at home with my teenage children who have decided they are allergic to cooking, cleaning or almost anything else that has to do with helping around the house.

But, hey, this isn’t about me, it’s about you. You’re looking well, thank goodness. That’s the most important thing, right? This virus has been so hard on everyone, but I promised I wouldn’t say anything about the virus today.

Anyway, we have decided to move to a high touch environment because we can only have two people in our store at a time and one of them is me, which means you’ll have to leave the child you’re carrying in the stroller outside. 

You don’t have a stroller? No problem. I have a disinfected stroller just for this occasion that I can bring out from the back for you. In fact, I’m happy to sell it to you at a bargain price because I haven’t sold much of anything these days. I tried selling food to my teenage kids, but they just said I was a terrible cook, they weren’t hungry or they would be in their rooms and I shouldn’t bother them until 2021.

Oh, wait, there, I did it again. I’m so sorry. Silly me, I’m talking about myself. And, whoops, I see from your frown that you’re not happy I touched your shoulder when I made that joke. I have to make sure I socially distance. In fact, I have this new touch-the-shoulder-in-a-joking-way stick that’s exactly six feet long which I would also be happy to sell to you. I know it looks like two yard sticks taped together, which it kind of is, but it guarantees that you’ll be six feet away from everyone else. 

Yes, of course, I’m fine. Why do you ask? I’m so happy we’re entering Phase Two this week, you know? It’s a relief. I’m desperate for a haircut and I’m sure you are, too.

No, I didn’t mean to say that I thought you needed a haircut. Your hair looks great and the customer is always right.

Anyway, so I see you’re looking at those boots over there. What an excellent choice! You clearly have an eye for high fashion. I’m sure my daughter, who is on the other side of the plexiglass, wouldn’t mind taking them off and selling them to you.

Oh, you want new ones? Well, that may take a while because our shipment is in quarantine. Oh, no, wait, the shipment hasn’t even reached quarantine yet, so, ha ha, how about if you glance through the rest of the store while I pretend to read this dystopian book that I thought might be a good idea before we started to live in a dystopian society. 

What’s that? Oh, well, I’ve had a few cups of coffee this morning because I thought I’d need to be my sharpest and this stupid book kept me up all night. But, hey, I’m like a phoenix, returning to the world of selling and socializing and connecting with my customers, because that, after all, is the key to being successful in business.

Wait, no, please, don’t leave. I know your child is outside screaming. You can bring her in. It’s fine, really. In fact, can I give you a hug? I was kidding. That was a test and you passed, so, yay for you.

Oh, I see you’re really going. Well, tell your friends about the store. Did I mention that your hair looks great?

METRO photo

By Leah S. Dunaief

Leah Dunaief

This is the year we all disappeared behind our masks. “Who is that masked man?” people would ask about the Lone Ranger, as he rode the range decades ago in every child’s imagination and kept the peace. Now they might ask the same question of us, masked men and women and children, as we peacefully go about our new freedoms of shopping and ordering meals for alfresco dining. We are not always immediately recognizable behind the variety of face coverings we see on the streets. The importance of wearing a mask has been accepted by almost everyone, and with good reason. An example of the benefits can be found in Japan.

According to Motoko Rich, a reporter for The New York Times, face coverings are common in Japan during flu and hay fever seasons, on crowded public transportation when commuters commonly have colds and even when women “don’t want to bother putting on makeup.” Mask sightings are routine.

Could that be the explanation for Japan’s surprisingly low number of victims of COVID-19 compared to other countries?

Initially, we Americans were advised not to wear masks, that they were unnecessary and should be saved for hospital workers. We all know what happened next. Cases of novel coronavirus spiked and the number of deaths exceeded the capacity of morgues and funeral homes for weeks. We were directed to shelter-in-place. Yet in Japan, which did not order a lockdown or massive testing or emphasize social distancing, and kept karaoke bars open and public transportation packed, terrible spikes in cases and deaths did not occur. The numbers there were 17,000 infections and 900 deaths. Yes, they have a smaller population, but in the United States, whose residents number two-and-one-half times that of Japan, some 1.9 million have fallen ill and 110,000 have died.

Eventually bars and businesses did close, and schools were shut early, as cultural and sports events were canceled, but note that none of those restrictions was mandatory. What the people did do was to nearly universally don masks. That response follows a cultural tradition of hundreds of years. Between the 17th and 19th centuries, mining workers used masks to prevent inhaling dust. The Japanese wore them during the 1918 flu epidemic and more recently during SARS and MERS outbreaks, as well as to protect against pollution and pollen. The country was “relatively unscathed,” during the epidemics, according to Motoko Rich.

Members of the scientific community weigh in on the matter. “I think there is definitely evidence coming out of COVID that Japan, as well as other countries which practice mask-wearing, tend to do much better in flattening the curve,” said  Akiko Iwasaki, a professor of immunobiology at Yale, as quoted in the NYT. 

Masks can block respiratory droplets that are emitted when people speak, cough or sneeze. Those droplets may carry the virus, even when the wearer has no symptoms, and hence transmit the disease if not captured by the mask.

The reporter goes on to emphasize that masks alone are not sufficient to prevent disease, that social distancing is also required. Even with masks, crowds are a danger for the spread of infection. It will be informative to learn the unintended health consequences of the many protests against racism, triggered by George Floyd’s death under the knee of a police officer, that have occurred over the past two weeks. Most of those protesters, crowded together, seemed to be wearing masks.

From my travels to Japan, I would add a couple of cultural differences to this story. We found the Japanese to bow rather than shake hands and to be a little physically distant with each other rather than hugging often. Their country is, for the most part, amazingly clean and uncluttered, and they seem fastidious about themselves. These traits would also argue in favor of less contagion when disease is present.

I would also like to predict that masks — designer, decorated, color coordinated, whatever — will be with us well after the pandemic ends.

As a general goal, aim for at least 30 minutes of moderate physical activity every day. METRO photo
Low inflammation may play a significant role in healthy aging

By David Dunaief, M.D.

Dr. David Dunaief

What does it mean to you to “grow old gracefully?” For people I speak with, it means to be independent, mobile, mentally alert, and not burdened by chronic illnesses. In other words, to maintain a good quality of life.

The number of 90-year-olds is growing by leaps and bounds. According to the National Institutes of Health, those who were more than 90 years old increased by 2.5 times over a 30-year period from 1980 to 2010 (1). This group is among what researchers refer to as the “oldest-old,” which includes those aged 85 and older.

What do these people have in common? According to one study, they tend to have fewer chronic morbidities or diseases. Thus, they tend to have a better quality of life with a greater physical functioning and mental acuity (2).

In a study of centenarians, genetics played a significant role. Characteristics of this group were that they tended to be healthy and then die rapidly, without prolonged suffering (3).

Factors that predict one’s ability to reach this exclusive club may involve both genetics and life-style choices. Let’s look at the research.

Exercise

We are told time and time again to exercise. But how much do we need, and how can we get the best quality? In a 2014 study, the results showed that 5 to 10 minutes of daily running, regardless of the pace, can have a significant impact on life span by decreasing cardiovascular mortality and all-cause mortality (4).

Amazingly, even if participants ran fewer than six miles per week at a pace slower than 10-minute miles, and even if they ran only one to two days a week, there was still a decrease in mortality compared to nonrunners. Here is the kicker: Those who ran for this very short amount of time potentially added three years to their life span. There were 55,137 participants ranging in age from 18 to 100 years old.

An accompanying editorial to this study noted that more than 50 percent of people in the United States do not meet the current recommendation of at least 30 minutes of moderate exercise per day (5).

Diet

A long-standing paradigm has been that we need to eat sufficient animal protein. However, cracks have developed in this theory, especially as it relates to longevity. In an observational study using NHANES III data, results show that those who ate a high-protein diet (greater than 20 percent from protein) had a twofold increased risk of all-cause mortality, a four-times increased risk of cancer mortality and a four-times increased risk of dying from diabetes (6). This was over a considerable duration of 18 years and involved almost 7,000 participants ranging in age at the start of the study from 50 to 65.

However, this did not hold true if the protein source was plants. In fact, a high-protein plant diet may reduce the risks, not increase them. The reason, according to the authors, is that animal protein may increase insulin growth factor-1 and growth hormones that have detrimental effects on the body.

Interestingly, those who are over age 65 may benefit from more animal protein in reducing the risk of cancer. However, there was a significantly increased risk of diabetes mortality across all age groups eating a high animal protein diet. The researchers therefore concluded that lower animal protein may be wise at least during middle age.

The Adventists Health Study 2 trial reinforced this data. It looked at Seventh-day Adventists, a group that emphasizes a plant-based diet, and found that those who ate animal protein up to once a week had a significantly reduced risk of dying over the next six years compared to those who were more frequent meat eaters (7). This was an observational trial with over 73,000 participants and a median age of 57 years old.

Inflammation

In the Whitehall II study, a specific marker for inflammation was measured, interleukin-6. The study showed that higher levels did not bode well for participants’ longevity (8). In fact, if participants had elevated IL-6 (>2.0 ng/L) at both baseline and at the end of the 10-year follow-up period, their probability of healthy aging decreased by almost half.

The takeaway from this study is that IL-6 is a relatively common biomarker for inflammation that can be measured with a simple blood test offered by most major laboratories. This study involved 3,044 participants over the age of 35 who did not have a stroke, heart attack or cancer at the beginning of the study.

The bottom line is that, although genetics are important for longevity, so too are lifestyle choices. A small amount of exercise, specifically running, can lead to a substantial increase in healthy life span. 

Protein from plants may trump protein from animal sources in reducing the risk of mortality from all causes, from diabetes and from heart disease. This does not necessarily mean that one needs to be a vegetarian to see the benefits. IL-6 may be a useful marker for inflammation, which could help predict healthy or unhealthy outcomes. Therefore, why not have a discussion with your doctor about testing to see if you have an elevated IL-6? Lifestyle modifications may be able to reduce these levels.

References:

(1) nia.nih.gov. (2) J Am Geriatr Soc. 2009;57:432-440. (3) Future of Genomic Medicine (FoGM) VII. Presented March 7, 2014. (4) J Am Coll Cardiol. 2014;64:472-481. (5) J Am Coll Cardiol. 2014;64:482-484. (6) Cell Metab. 2014;19:407-417. (7) JAMA Intern Med. 2013;173:1230-1238. (8) CMAJ. 2013;185:E763-E770.

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. 

Strawberry-Rhubarb Crisp

By Barbara Beltrami

There are certain magical combinations in the food world. Some are because their flavors or qualities complement each other, some are because they are what the earth and the barn and the sea provide, and some are because they grow and ripen simultaneously. And so it is with strawberries and rhubarb which are at their peak right now and abound at farm stands and in markets. The sweetness of the former and tartness of the latter form a perfect pair, particularly in desserts. 

While strawberry-rhubarb pie may be the most well known one, there are some others that are just as mouth-watering, maybe more so, than that old standby.  One is a strawberry-rhubarb custard pie where the creaminess of the custard is a perfect foil for the sweet-tartness of  the fruit. Another is a roll where cake and syrup create a perfect pair, especially when topped with whipped cream.  And finally, a strawberry-rhubarb crisp gives crunchiness to counter the soft fruit. They are all recipes that I remember from way back when.

Strawberry-Rhubarb Crisp

Strawberry-Rhubarb Crisp

YIELD: Makes 8 servings. 

INGREDIENTS:

3/4 cup flour

2/3 cup plus 1/2 cup sugar

Generous pinch salt

3/4 stick chilled unsalted butter, diced

1/2 cup old-fashioned oats

1/2 cup chopped toasted walnuts or almonds

Finely grated zest of one lemon

1 teaspoon vanilla extract

1 quart strawberries, washed, hulled and halved

3/4 pound rhubarb, washed, trimmed and cut into 1/2” slices

DIRECTIONS:

In medium bowl, thoroughly combine flour, 2/3 cup sugar and salt. With fingertips or pastry blender, work in butter until mixture resembles coarse oatmeal. Add oats and nuts and blend thoroughly. Preheat oven to 375 F. Grease or butter an 8 or 9” square nonreactive baking dish. In a medium bowl combine the one half cup sugar, lemon zest, vanilla extract, strawberries and rhubarb. Transfer to prepared baking dish; sprinkle oat mixture on top. Bake until filling is bubbly and top is golden and crisp, about 45 minutes. Serve hot or warm with vanilla ice cream or yogurt or whipped cream.

Strawberry-Rhubarb Roll

YIELD: Makes 4 to 6 servings. 

INGREDIENTS:

1 1/2 cups plus 1 tablespoon sugar

1 cup water

2 cups flour

1/2 teaspoon salt

2 1/2 teaspoons baking powder

1/3 cup unsalted butter

1/2 cup milk

1 cup washed, hulled strawberries, halved

1 cup diced, trimmed washed rhubarb

1 /2 tablespoon cinnamon

 DIRECTIONS:

Preheat oven to 400 F. In a medium saucepan combine one cup sugar with water. Boil 5 minutes,  until sugar is completely dissolved. Pour into an 8” x 8” baking dish. In a medium bowl, sift together the flour, salt, one tablespoon of remaining sugar and baking powder. With fingertips or a pastry blender, work the butter into the dry ingredients until the mixture resembles coarse oatmeal. Stir in milk just until mixture is thoroughly moistened. Turn onto lightly floured board and knead 30 seconds. Roll into a 8” x 15” rectangle; spread with fruit; combine remaining sugar and cinnamon and sprinkle over fruit. Starting at the long end, roll like a jellyroll. Cut into 8 to 12 slices and place in syrup in baking dish. Bake until done, about 20 to 30 minutes. Serve hot or warm with whipped cream.  

Strawberry-Rhubarb Custard Pie

Strawberry-Rhubarb Custard Pie

YIELD: Makes 6 servings.

INGREDIENTS:

Pastry for a 9” two crust pie

2 cups fresh strawberries, washed, hulled and halved (or quartered) depending on size

2 cups washed and trimmed rhubarb, cut into 1 inch pieces

1 1/4 cups sugar

3 tablespoons flour

1/2 teaspoon nutmeg

1  tablespoon unsalted butter

2 eggs, lightly beaten

DIRECTIONS:

Line pie plate with two-thirds of the pastry. Preheat oven to 400 F. Combine strawberries and rhubarb and place in pastry-lined pie plate. In a medium bowl combine, sugar, flour and nutmeg. Cut butter into tiny pieces and add, along with eggs, to flour mixture. Mix well. Pour mixture over fruit in pie plate. Roll out remaining third of pastry dough, cut into half-inch strips and arrange in lattice design over pie filling. Place pie in oven; immediately reduce heat to 350 F. Bake until rhubarb is tender, about 30 to 40 minutes. Serve warm or at room temperature.

 

By John L. Turner

Insight as to the value placed on a wild plant by past generations can be gained by how many common names it’s been given. Typically, a plant with the minimum of just one name has it as a means by which to recognize it and to distinguish the plant from other species. A plant with a number of names, though, suggests a species of greater significance, value, and utility, and such is the case with Shadbush, a common understory shrub or small tree which grows in Long Island’s deciduous forests.

The Shadbush blooms in late April to early May (top photo) and produces edible fruit in late spring to early summer (above). Stock photos

This attractive tree goes by a few names: Shadbush, Shadblow, Serviceberry, and Juneberry. The reference to shad stems from more ancient knowledge of recognizing patterns of nature. Many years ago shad, a species of river herring, was significantly more abundant than today and the spring shad runs up major rivers to reach their spawning grounds was an important event for many people, providing an ample supply of cheap protein. 

Perhaps it was the shad fisherman, or maybe others, but they noticed this tree blossomed at the time the shad were on the move. The five-petaled white blossoms meant migrating shad, hence the connection made permanent by the common name of Shadbush.

The white blossoms of the Shadbush in late April through early May also provided another signal — that winter was done, the ground has thawed, and the dead could receive burial service with caskets sometimes adorned with sprigs of the Serviceberry blossoms.

If the flowers are pollinated, berries form in late spring to early summer, giving rise to the last of its common names — Juneberry. The berrylike fruit is delicious and relished by numerous wildlife, including many birds. Us humans like them too and often turn the fruit into pies, jellies and jams. Technically, the fruit is known as a pome, as are apples, and this isn’t surprising since both apples and Shadbush are members of the Rose family.

The genus name Amelanchier is a french word first used to describe the species.

Four species of Shadbush occur on Long Island, with three of the species found in rich but well drained soils  and one on the eastern end located on sandier, more droughty soils. They range from being a modest multi-stemmed shrub just a few feet tall to a tree 20 to 30 feet high. In forest settings, given its smaller stature, Shadbush grows under taller oaks, black birch, and hickories and, where common, produces scattered “blossom clouds” of white beneath these taller trees. It has attractive smooth grey bark and its leaves are small and oval with toothed margins. Come autumn the foliage turn orange/red, adding a nice splash of color to the forest.

Whatever you wish to call it Shadbush has so much going for it — from its rich folklore, to pretty flowers, attractive bark, and tasty fruit — that I hope you make its acquaintance and perhaps try a berry or two.

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.

Stock photo

By Nancy Burner, Esq.

Nancy Burner, Esq.

Community Based (homecare) Medicaid is a program that can assist families in paying for the cost of home health aides as well as other programs, supplies and equipment, to help people age in place. Medicaid, unlike Medicare, is a need-based program with certain asset and income requirements.

These separate requirements for Medicaid eligibility must both be met by the applicant. To meet the Community Medicaid asset requirements, an individual is permitted to own a home, have liquid non-retirement assets that do not exceed $15,750.00, retirement savings in any amount, an irrevocable pre-paid funeral account and one car. With respect to income, an applicant may retain a monthly income of $875.00 plus a disregard of $20.00. The recipient must continue to take required monthly minimum distributions from retirement accounts.

Unlike nursing home Medicaid, any excess income can be directed to a Pooled Income Trust for the benefit of the Medicaid applicant and the monies deposited into that trust can be used to pay the household expenses of the Medicaid applicant. These household expenses are not limited to shelter but can include food, luxury items and any non-covered medical expenses.

Until recently, under the New York Medicaid guidelines, there has not been a look-back for Community Medicaid, meaning an applicant for Community Medicaid could transfer an unlimited amount of assets in one month and be eligible the 1st day of the following month. Soon, this will no longer be the case. 

An amendment was made to New York Social Service Law Section 366 subd.5 under the 2020-2021 New York State Budget, wherein a thirty (30) month lookback was instituted for Community Medicaid coverage. The change is set to roll out on October 1, 2020. 

This means that an individual applying for Community Medicaid post-October 2020, will have to submit 30 months of financial disclosure for eligibility purposes. To the extent there are uncompensated transfers or gifting, the applicant will be penalized and not enrolled in Community Medicaid for a specific period. The divisor currently used is $13,407.00, meaning that for every $13,407.00 the applicant transferred for less than fair market compensation, he or she will be penalized for a period of one month.

For example, if it is determined that an application gifted $60,000.00 within the 30-month lookback, the applicant will be ineligible to receive Community Medicaid for approximately 4.5 months, requiring an out of pocket payment for care received for those months. This raises the question of where the money for that care will come from. 

What if you gifted the money without an expectation of receiving it back and without taking into consideration your own care needs? It is still unclear how the penalty period will run, from which date it will be calculated and how applicants will be able to mitigate any transfers they did make during the lookback. 

Similarly, it is not clear if the 30-month lookback will affect those currently enrolled in the Community Medicaid program. The law does not address whether transfers made prior to the change in the law will be exempted from the lookback and whether there will be a post eligibility lookback assessed to those already on the program. 

To remain eligible, a Medicaid recipient must recertify their Medicaid benefits annually. Under the current regulations, only financial documents showing assets and income as of the date of recertification need be provided. However, in light of the new lookback, it is uncertain if the recertification process will now require a 30-month lookback. Likewise, it is unknown whether the local department of social services will discontinue benefits for those recipients who had transferred assets in the last 30 months.

The Community Medicaid program in New York allows our seniors to remain in their home, receiving care. With careful planning this program can still allow many individuals to age in place. The changes to the Medicaid qualification process highlight the need for sound estate planning that includes consideration of asset protection planning.

Nancy Burner, Esq. practices elder law and estate planning from her East Setauket office. Visit www.burnerlaw.com.

Parker

MEET PARKER!

This week’s shelter pet is Parker, a 9-year-old male Chihuahua mix. Sadly, he is a COVID-19 orphan who lost his owner to the disease two months ago. His two geriatric doggy siblings went into foster care, while Parker was brought to the Smithtown Animal Shelter. 

Parker

This little boy is an absolute love mush who loves all people, and most other dogs and cats! He has a heart murmur that currently does not require any medications, but this may change in the future. 

Parker does have food aggression, so he cannot be placed in a home with small children. It may require a bit of extra attention and care to meet all of his needs, but the extra work is worth it when he snuggles up with you. 

Parker has been through a lot in his little life, and all he wants is love, attention and a comfy lap to sleep on. We know his hero and forever home is out there for him somewhere. If you are interested in meeting Parker 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.

Nancy Reich. Photo from SBU

By Daniel Dunaief

Even as pharmaceutical companies are working furiously to produce a vaccine for COVID-19, scientists are taking other approaches that might lead to treatment for this disease or for other viruses that might threaten public health.

Nancy Reich, a Professor in the Department of Microbiology and Immunology at the Renaissance School of Medicine at Stony Brook University, and several colleagues at SBU recently received a $450,000 grant from the G. Harold and Leila Y. Mathers Foundation to pursue the laboratory study of two possible interventions.

Reich and her colleagues plan to investigate the use of interferon-lambda, which is in clinical trials for Hepatitis D virus, and an inhibitor for bradykinin called icatibant, which is approved for angioedema.

“Although we are very hopeful for a vaccine in the near future, vaccines can take months or years” to develop and use, Reich said. “The likelihood is that there will be more emerging diseases” which increases the need for broad spectrum first line defense therapeutics that might provide relief and save lives.

A few months ago, several faculty in microbiology and immunology got together on a Zoom call to discuss what they could do to combat COVID-19. The group was “very enthusiastic” about interferon, which is a natural hormone and is the only cytokine that’s antiviral. It has the ability to prevent the spread of the virus by reducing replication.

Reich will work with Patrick Hearing and Erich Mackow, who are both professors in the Department of Microbiology and Immunology, on the molecular aspects of COVID-19. Associate Professor Janet Hearing and Assistant Professor Hwan Kim are certified to work in high containment biosafety laboratories.

COVID-19 seems to have figured out how to block the action or production of interferon, Reich said, although the lower levels of the hormone haven’t been confirmed yet.

Other researchers are testing how the virus that has caused the pandemic has blocked the production of this defense mechanism. The Reich-led group is also planning to test this process.

To get protection from interferon, people would likely need an increased amount of the antiviral molecule early in the infection process, Reich said. She and her team are focusing on interferon lambda, which is a specific type that primarily affect epithelial cells, which are the type of cells that line the respiratory and digestive systems.

Interferon alpha and beta cause systemic problems, which can trigger an overactive immune system to cause a cytokine storm. This can lead to severe symptoms, if the body’s reaction is strong enough.

“Because interferon lambda is more specialized in the targets it hits, it doesn’t cause this crazy, global effect in your body,” Reich said.

At this point, Reich is looking to use a pre-clinical animal model of COVID-19 to understand the processes involved with the virus and its reaction to different concentrations of this hormone at different times after infection.

Reich has reached out to a company called EIGR Pharmaceuticals, which is the only company that produces a pegylated version of interferon lambda. By adding polyethlylene glycol, or PEG, EIGR can extend the time that the drug remains in the body, reducing the need for new doses.

The interferon lambda receptors are prevalent in hepatocytes, or liver cells. The liver is particularly important in capturing bacteria, viruses and macromolecules that might otherwise cause harm in the human body. The interest in the liver and interferon is mainly because of hepatitis viruses.

Interferon lambda’s higher specificity reduces potential side effects that other interferons trigger in the blood or in the central nervous system. EIGR has created this interferon to treat Hepatitis D.

“I have contacted [EIGR] to do some COVID work and now they are,” Reich said. “They have some clinical trials going on in the United States, Israel and Australia.” In addition to their research work with interferon lambda, the group will also study the effects of bradykinin, which is a small peptide hormone that the angiotensin-converting enzyme 2 (or ACE2) receptor inactivates.

The group is exploring the use of inhibitors for bradykinin, hoping to reduce a molecular trigger that exacerbates symptoms of the disease.

“We are taking two approaches; one is more about the symptoms, through bradykinin inhibition, and the other is trying to block virus replication,” said Reich.

In their research with interferon and inhibitors to bradykinin, Reich is hoping to generate data that will be ready within several months.

If both of the approaches proves effective independently, Reich said the next steps could involve combining them.

If the combination works better than either of the treatments alone, the researchers, and, down the road, the doctors, who might use this approach could use a lower dose of both drugs, which could reduce any potential side effects.

Reich said this research is possible at Stony Brook because it has a Biosafety Level 3.“We are able to do these experiments that others may not be able to do,” she said.

The animal facility that will house the mice for her studies is still not accepting new animals. Reich hopes they start to accept them in June.

Reich appreciated the speed at which the Mathers Charitable Foundation reacted to their request for funds.

The Foundation, which was created by a Santa Barbara, California couple who donated their wealth to research in 1983, made a decision within weeks, reflecting the urgency that the public health crisis triggered by COVID-19 has created.

Many foundations typically take six to eight months to decide on funding.

Reich appreciates that she and her colleagues will have a chance to contribute to a growing body of research about a virus that has caused close to 100,000 deaths in the United States and has disrupted billions of lives around the world.

“Everybody realizes the urgency,” Reich said.

Seniors from The Stony Brook School celebrated graduation last week with a car processional. Photo from The Stony Brook School

By Fr. Francis Pizzarelli

Father Frank Pizzarelli

A new day and a new way! The world as we know it is changed forever. Hopefully, as we slowly begin to embrace the new normal life, lessons learned will not be lost in the fragmented world.

Education on every level has changed. Time will tell if it’s for the better. Families have reclaimed and/or rediscovered the value of family life and being together. A new appreciation for the sacredness of life has emerged.

People seem to value human connecting on a whole different level, valuing intimacy over superficiality. Gratitude is much more present in big and small ways. People say thank you and express appreciation for the simple things people seem to take for granted.

This year our seniors will graduate from our high schools. Their graduation will be like no other. All the social trappings and traditions will be missing, but still we will profoundly celebrate their academic achievements. They will lead us tomorrow and hopefully change the world for the better.

During this pandemic, they have demonstrated heroic acts of kindness and compassion. They have done simple things that have made a profound difference in our community.

Seniors, as you graduate, continue to show compassion and understanding rooted in social justice. It is more important than any science formula or social platform. Remember the sunshine when the storm seems unending; teach love to those who only know hate; let that love embrace you as you continue in the world. It is the content and quality of your character that is important not merely the actions you take.

Don’t judge a book by its cover or stop at the introduction. Read it through, seeking meaning and value; everyone’s life is sacred; even those who are different from you or whom you do not like. Be more inclusive than exclusive. Don’t be blinded by those who tend to use shame, blame, and guilt to shackle people down and divide them. Set people free with your respect and nonjudgmental way.

Seniors, as you take leave, may your moral compass be grounded in integrity and respect for all human beings, no matter what their color, their race, their creed and/or their sexual orientation. May your moral compass guide you on a path that is committed to working for peace and social justice. As Gandhi once said, “be the change you hope for this world.”

Congratulations graduating class of 2020. Thanks for making our world a little richer, a little brighter and a little bit more hopeful place to be!

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