Columns

Scene from the Three Village Historical Society's 45th annual Candlelight House Tour. Photo by Bill Landon

From this weekend’s Three Village Historical Society’s 45th annual Candlelight House Tour, to the Port Jefferson Charles Dickens Festival, we live in an area of rich history and culture.

The quaint holiday atmosphere of villages like Huntington and Stony Brook take us back to a more simple time and place — one of one-horse towns, one story buildings and one community spirit.

The North Shore of Suffolk County has a cozy charm coupled with not only rich historical background, but the cutting edge of modern-day living. Take for example Stony Brook University. Located 20 miles or less from all of TBR’s coverage areas, it is a world-class university, brimming with state-of-the-art scientific research, a diverse student body and cultural heritage. With the musical performances, various film screenings and varied organizations, which the university provides, as a result, the residents of Stony Brook have a portal to some of the most intriguing cultural presentations around.

With a home as unique as Suffolk’s North Shore, our residents appear to have a sense of community that is unlike a major city. We are able to boast a sense of connection that is only possible in a small town. Just walking down the street, one is greeted with warmth. A possible run in with a friend from a dedicated civic association can happen.

So don’t write off the suburbs too quickly.

Photo of Gould General Store taken circa 1890. Photo courtesy of Three Village Historical Society.

By Beverly C. Tyler

The post office in Stony Brook has a long history of service to the community. Until the 20th century, the postmaster was the only person authorized to handle letters and write money orders. Each rural post office had one representative of the postal system, the postmaster, who was appointed by the president of the United States with the advice and consent of the Senate.

A postal system existed in Massachusetts as early as 1639. In 1672, New York Gov. Lovelace established service between New York and Boston along the future Boston Post Road. Benjamin Franklin was appointed Postmaster General for the British Colonies in America in 1753 and served until 1774, when he was dismissed by the Crown. He was reappointed by the Continental Congress in 1775 and served for 15 months, establishing a sound postal system. The U.S. postal system was created when Samuel Osgood was appointed the first Postmaster General on Sept. 26, 1789.

A portion from the 1873 Atlas from Beers, Comstock & Cline, showing Stony Brook Village. Photo courtesy of Three Village Historical Society.

The first Stony Brook postmaster was Nathaniel Hallock. According to National Archives records, he was appointed on March 21, 1826, and served until June 24, 1836. Little is known about Hallock or his post office, but it was likely part of a general store, as was typical of post offices on Long Island in the 19th century.

The cost of posting a letter weighing less than 1 ounce was six cents until 1847, when stamps were first issued. Letters were single sheets of paper folded, addressed, and delivered for six cents within 30 miles. Beyond 30 miles or for heavier letters, the cost increased slightly, with a maximum charge of 25 cents for a letter traveling more than 400 miles. For example, a letter sent to “Mr. William S. Mount – Stony Brook – Long Island – N.Y.” in 1841 from Monticello, Georgia, was marked, folded, sealed, and addressed in the customary manner of the time.

The second Stony Brook postmaster was James N. Gould, who was appointed in 1836 and served until 1861. He was reappointed on March 29, 1867, and served until 1870. Gould owned and operated a general store, which was located just north of where the Reboli Center now stands. The store was demolished before 1900, as was Gould’s home, which stood just north of the store. Both were removed to make way for the village improvements in the 1940s by Ward Melville.

According to local lore, it was said to be impossible to ask for any item James Gould didn’t have in his store. On a bet, a customer once asked for a pulpit, and Gould amazed everyone by producing one from the store’s attic.

The third postmaster, Edward Oakes, began his service in 1861 as the Civil War began at Fort Sumter. He served until 1867, when James Gould resumed the position. During this period, the post office introduced the money order system in 1864 to allow soldiers to send money home. Only the postmaster could process money orders, as he was the sole postal employee.

Oakes’ general store was located north of Gould’s store and home, on the west side of the business triangle along what was then Main Street. Residents recalled a long horse block in front of the store where men gathered for evening chats. Oakes served as postmaster again from 1870 to 1885. During this time, the store was known as “Oakes and Topping,” later “Topping and Smith,” and eventually, around 1901, “E.E. Topping.”

William O. Gould succeeded Oakes as postmaster in 1885, taking over his father’s general store. He served until 1889, during which time the post office expanded its services. In 1885, the special delivery service was introduced, allowing for prompt mail delivery, which marked a shift from the rural post office’s general store model to independent operations.

From 1889 through the end of the century, Stony Brook had five postmasters. John W. Copley was appointed in 1889, followed by David R. Rayner in 1892. Charles J. Williamson succeeded Rayner on Aug. 4 of that year. William O. Gould returned as postmaster in 1893. On May 1, 1895, Nellie E. Smith became Stony Brook’s first female postmaster. In 1898, Daniel W. Arnold became postmaster, serving for less than two years.

The turn of the century brought stability to the post office as it continued to grow and adapt to the needs of the community.

Beverly C. Tyler is the Three Village Historical Society historian and the author of books available from the Three Village Historical Society, 93 North Country Road, Setauket. Tel: 631-751-3730.

Brookhaven National Laboratory Director JoAnne Hewett. Photo by Jessica Rotkiewicz/BNL

By Daniel Dunaief

Instead of flying a plane through clouds and gathering data during a three to five second window of time, researchers at Brookhaven National Laboratory are one of three teams proposing constructing a cloud chamber.

This new research facility would allow them to control the environment and tweak it with different aerosols, enabling them to see how changes affect drizzle formation.

“This is fascinating,” said JoAnne Hewett, Director of BNL and a self-professed “science geek.”

Hewett, whose background is in theoretical physics and who came to BNL from SLAC National Accelerator Lab in Menlo Park, California, has been the director of the Upton-based lab since April of 2023.

In a celebrity podcast interview, which will be posted on TBR News Media’s website (tbrnewsmedia.com) and Spotify, Hewett addressed a wide range of issues, from updates on developing new technologies such as the Electron Ion Collider and the construction of buildings, to the return of students to the long-awaited reopening of the cafeteria.

The U.S. Department of Energy is currently considering the proposals for the cloud chamber and has taken the first steps towards initiating the project.

Hewett, who is the first woman to lead the national lab in its 77-year history, is hoping the winner will be announced this year.

More x-ray tools

In a discussion about the National Synchrotron Lightsource II, which is a circular electron accelerator ring that sends x-rays into the specialized beamlines, Hewett described a study at the recently opened High Energy X-ray Scattering beamline, or HEX.

The state-funded HEX, which is designed for battery research, recently hosted an experiment to examine the vertebrae from Triceratops.

The NSLS-II, which opened a decade ago and has produced important results in a range of fields, will continue to add beamlines. BNL recently received approval to build another eight to 12 beamlines, depending on available funding. The lab will add one beamline in 2025 and another two in 2026.

Electron-Ion Collider

BNL, meanwhile, is continuing to take important steps in planning for an Electron-Ion Collider (EIC), an ambitious $2.8 billion project the lab won the rights to construct.

The collider, which will reveal secrets of the quarks and gluons that make up atoms, will start construction in 2026 and is expected to generate data sometime in the early 2030’s.

As groups of scientists develop plans for the EIC, they apply to the government to reach various milestones.

In March of this year, the lab met a hurdle called CD3A, which provided $100 million in funding for long lead procurements for some of the parts for the 2.4 mile circumference particle collider.

The next review, called CD3B, will be in early January and will involve $50 million in funding.

The funding for these steps involves ordering parts that the lab knows will be necessary.

The EIC will address five key questions, including how does a proton acquire its spin, what is the nature of dense gluon matter, how do quarks and gluons interact within a nucleus, what is the role of gluons in generating nuclear binding energy, and how do the properties of a proton emerge from its quark and gluon constituents.

Researchers expect the results to have application in a wide range of fields, from materials science, to medicine, to creating tools for complex simulations in areas including climate change.

Return of students

After the Covid pandemic shut down visits from area primary schools, students are now returning in increasingly large numbers.

In 2023, around 22,000 students had a chance to find scientific inspiration at BNL, which is starting to approach the pre-pandemic levels of around 30,000.

School buses come to the science learning center on the campus almost every day.

In addition, BNL hosted a record number of student internships, which are typically for college-age students.

In addition to inspiring an understanding and potentially building careers in science, BNL is now opening a new facility. The science users and support center, which is just outside the gate for the lab, is a three-story building with meeting room space.

“It’s going to be a one-stop-shop” for visiting scientists who come to the lab, Hewett said. Visiting scientists can take care of details like badging and lodges, which they previously did in separate buildings.

Additionally, for staff and visitors, BNL reopened a cafeteria that had been closed for five years. The cafeteria will serve breakfast and lunch with hot food.

“That’s another milestone for the laboratory,” Hewett said. With the extended time when the cafeteria was closed, just about everything will be new on the menu. The reopening of the facility took years because of “all the legalese” in the contract, she added.

A new vision

Hewett spent the first nine months of her tenure getting to know the people and learning the culture of the lab.

She suggested she has a new vision that includes four strategic initiatives. These are: the building blocks of the universe, which includes the Electron-Ion Collider; leading in discovery with light-enabled science, which includes the National Synchrotron Lightsource II; development of the next generation information sciences, including quantum information sciences, microelectronics and artificial intelligence; and addressing environmental and societal challenges.

As for the political landscape and funding for science, Hewett suggested that new administrations always have a change in priorities.

“We’re in the business of doing science,” she said. “Science does not observe politics. It’s not red or blue: it’s just facts.”

She suggested that generally, traditional basic research tends to do fairly well.

The BNL lab director, however, is “always making a concerted effort to justify why this investment [of taxpayer dollars] is necessary,” she said. “That’s not going to change one bit.”

After a recent visit to Capitol Hill, Hewett described her relationship with the New York delegation as “great.” She appreciates how the division that affects people’s perspectives in different parts of the world and that has led to conflicts doesn’t often infect scientists or their goals.

In the field of particle physics, “you have Israelis and Palestinians literally working together side by side,” she said. “It all comes to down to the people doing the science and not the government they happen to live under.”

Hewett also continues to believe in the value of diverse experience in the workplace. “We need the best and the brightest,” she said. “I don’t care if they’re pink with purple polka dots: we want them here at the laboratory doing science for us. We want to develop the workforce of the future.”

Adding key hires

As Hewett has settled into her role, she would like to fill some important staff functions. “This is really two or three jobs that I have to get done in the time it takes to do one job,” she said. “A chief of staff is very much needed to help move some of these projects along.”

Additionally, she is looking for someone to lead research partnerships and technology transfer. “As you do the great science, you want to be able to work hand in hand with industry in order to do the development of that science,” she said.

She said this disconnect between research and industry was known as the “Valley of Death.” Institutions like BNL “do fundamental science and industry has a product, and you don’t do enough of the work to match the two with each other.”

Corn-Nut

Welcome to the 36th edition of Paw Prints, a monthly column for animal lovers dedicated to helping shelter pets find their furever home.

Corn-Nut

Meet Corn-Nut

A good source of protein and healthy fat, meet Corn-Nut, an eleven year old Maltese mix at Little Shelter in Huntington. Knowing the importance of staying fit and active in his senior years, he’s always ready for a walk, throwing in an occasional sprint as interval training! While a bit reserved when meeting new friends, word on the street is that you can win him over with a good butt scratch! Known to be intelligent, curious, and playful, Maltese have trusting and gentle dispositions. If you’re looking for someone bursting with flavor and fun, stop by Little Shelter to meet the one and only Corn-Nut! *Corn Nut is mostly housebroken* 631-368-877

Manny

Meet Manny

Meet little Manny about town, an adorable six year old Maltese mix available for adoption at Little Shelter in Huntington. Handsome and stylish, he’s always well dressed and ready for any occasion, the perfect plus one for this holiday season and beyond. This affectionate fellow loves belly rubs, treats, and sweet talk…in that order! Take a stroll around town to see the Christmas lights, and with Manny by your side, the winter blues will be a thing of the past. It’s not what’s under the tree (or menorah) that matters, it’s who’s gathered around it. Stop by to meet the one you’ll want to kiss under the mistletoe…his name is Manny. *Manny is not completely housebroken.* 631-368-8770

Shelby

Meet Shelby

This adorable 60 lb shar-pei mix at Brookhaven Animal Shelter is approximately 3 years old and ready to bring joy into your life! Shelby is a sweet and lovable girl with a happy-go-lucky personality. While she’s still learning how to play with toys, her enthusiasm for life is infectious.

Shelby arrived at the shelter as a stray, so her previous history is a mystery, but she’s eager to create new memories with a loving family. She’s always excited for walks and enjoys those delightful Zoomies in the yard. Since she is so strong on leash and high energy Shelby would need a home with a yard to zoom around in. Shelby is also a people-person (or should we say, people-dog) who loves checking in for pets and being social.

Shelby seems to have a liking for other dogs, but a meet and greet would be necessary to ensure compatibility with your furry friend. We’re unsure about her compatibility with cats, so further testing would be needed. Shelby would thrive in a home with children aged 16 and up.

If you’re ready to provide Shelby with a loving home and help her continue to blossom, please fill out a match maker application at the shelter’s website. She can’t wait to be your loyal and loving companion! 631-451-6955

Fleetwood Mac

 

Meet Fleetwood Mac

This sweet and incredibly outgoing tabby cat was found as a stray in November and was never claimed. Estimated to be approximately 2 years old, he is now safe at the Smithtown Animal Shelter and looking forward to a bright future. If you are looking for a clingy cat that craves your attention, this is the boy for you. He does have a runny eye that needs to be cleaned periodically. Don’t “Go Your Own Way,” — come visit Mac today and be the hero of his “Dreams.” 631-360-7575

Mark Freeley and Storm

Good Boy Storm

The staff at TBR News Media would like to extend our heartfelt condolences to Mark T. Freeley and his family on the loss of their beloved dog Storm. The English Golden Retriever passed away on Nov. 12 at the age of 14. Storm became a local hero when he rescued a fawn who was struggling to stay afloat in Port Jefferson Harbor. We know the Three Village community and beyond will miss him. He was a good boy.

———————————

‘Home for the Holidays’

Did you know? The Town of Brookhaven Animal Shelter, 300 Horseblock Road, Brookhaven will waive all adoption fees for the month of December. Come meet their amazing dogs and cats looking for their forever homes this holiday season and make their only wish come true. 631-451-6955

Rescue is a lifestyle. Adopt, don’t shop.

Check out the next Paw Prints in the issue of January 23.

Paw Prints is generously sponsored by Mark T. Freeley, Esq.

 

METRO photo

By Britt Burner Esq.

Britt Burner Esq.

The holiday season is upon us!  Year-end often brings questions of gifting, whether it be to charity or to family and friends.  Gifting can be gratifying and can also provide an income tax benefit as the year comes to a close.  State and federal governments handle gifting differently, making it even more confusing and difficult to navigate.  

In New York State, there is no tax imposed on gifts made during your life.  However, if you do not live for three years beyond that gift, the amount given will be added back into your estate upon your death when determining if an estate tax is owed.  The estate tax exemption in New York is $6.94 million in 2024.  So if a person dies in 2024 and had given a gifts for the three preceding years, these would be added together with the other assets they owned at the time of death to see if they are beyond that number.  Staying under the New York exemption is critical because estates that go 5% beyond the exemption will be taxed on the entire amount, this is referred to as a “cliff.” 

The federal government operates under a different scheme when calculating gift taxes.  In 2024, you can give $18,000 per year, per person with no implications or filings required.  Gifts to a single person beyond that trigger a gift tax return filing and the amounts will be applied toward your individual lifetime exemption, currently $13.61 million.  This means that if your total estate is under that amount when you add together taxable gifts made during life and transfers at death, there will never be a gift or inheritance tax imposed by the federal government.  For individuals with estates above the threshold, individualized planning should be considered to minimize or eliminate estate taxes. 

If you are looking to make a charitable donation before the end of the year, there are several ways to accomplish this. One is an outright gift of a set sum of money. This can be done through a one-time or recurring donation to a charitable organization that qualifies as tax exempt under 501(c)(3) of the Internal Revenue Code.  Making a gift to your favorite cause can also provide you with an allowable deduction on your annual income tax returns.  

Gifting during life can also come in the form of a distribution from a tax deferred retirement account.  This gift is a qualified disclaimer and cannot exceed $100,000 in a given year.  The amount of the disclaimer counts towards the account owner’s annual required minimum distribution, providing you with an income tax benefit because it will not be counted as taxable income. 

Donor advised funds are another useful way to transfer assets to charitable organizations to receive an income tax deduction, all without making an immediate determination on the recipient of the funds.  The donor advised fund can be opened with a financial institution and the contribution you make will qualify as a charitable distribution for income tax purposes. 

However, rather than giving to a certain charity, you will actually be transferring the assets to an account that can be invested and enjoy tax-free growth.  Over time you can make distributions from the fund to qualifying charities in varying dollar amounts as you see fit.  The donor advised fund allows you to designate who will be responsible for determining the charities that will benefit from the account after your death. 

Understanding the rules and tax implications surrounding gifts to family, friends and individuals is an important first step.  In addition to gifting that is made while you are alive, it is also important to engage in estate planning to determine what will occur at your death to ensure your assets are distributed the people and organizations you care about most.  If you have not started this process, add estate planning to your list of 2025 resolutions. Happy Holidays! 

Britt Burner, Esq. is a Partner at Burner Prudenti Law, P.C. focusing her practice areas on Estate Planning and Elder Law. Burner Prudenti Law, P.C. serves clients from New York City to the east end of Long Island with offices located in East Setauket, Westhampton Beach, Manhattan and East Hampton.

By Heidi Sutton

Put a smile on everyone’s faces with these layered cheesecake and fudgy brownie bakes. Get creative with green and white frosting and festive sprinkles — a fun spin on brownies for the holidays and perfect with a glass of milk!

Christmas Tree Cheesecake Brownies

Christmas Tree Cheesecake Brownies

Recipe by Jenn Fillenworth 

YIELD: Makes 16 servings

INGREDIENTS: 

For the Cheesecake batter

8 ounces low-fat cream cheese at room temperature

1/3 cup granulated sugar

2 eggs

1 tablespoon all-purpose flour

For the Brownie batter

1 cup all-purpose flour

1/2 cup cocoa powder

1/2 teaspoon salt

1 cup granulated sugar

1/4 cup vegetable oil

1/4 cup milk

2 eggs

1 teaspoon pure vanilla extract

For decorating

green and white melting chocolate

assorted sprinkles

candy canes

DIRECTIONS:

Preheat the oven to 350° F. Coat an 8-inch square baking pan with non-stick baking spray and set aside.

For the cheesecake batter, place the cream cheese in the bowl of a stand mixer. Beat at medium speed until smooth and creamy. Add the sugar and beat well. Add the eggs, one at a time, beating well after each addition. Add flour and beat the mixture until blended.

For the brownie batter, add flour, cocoa and salt to a medium bowl and whisk until combined. In a separate bowl, whisk together the sugar, oil, milk, eggs and vanilla until well combined. Add the wet ingredients to the dry ingredients and mix until blended. Pour the brownie batter into the prepared pan evenly.

Carefully pour the cheesecake batter over the top, spreading it evenly. Carefully swirl the layers together using the tip of a knife.

Bake for 30 minutes, until the brownies are set. Cool the brownies completely in the pan on a wire rack before cutting into triangle pieces.

Decorate trees by placing green and white melted chocolate into a piping bag. Top with assorted sprinkles. Place a 3-inch piece of candy cane in the bottom of the brownie for the stump.

Pexels photo

By Daniel Dunaief

Daniel Dunaief

You can’t win.

I don’t have to tell you that. One way or another, in one context or another, you already know.

You see, I floss my teeth religiously. I mean, I don’t do it while praying or to some funky weird sounding music that you might hear in a massage parlor, where they speak in whispers and the room smells like scented candles.

No, my wife and I, and sometimes a good friend or two, will take out floss and work through our teeth. I’m not sure how it became a social activity, but we enjoy it and feel virtuous at the same time.

I’ve become so good at it and it’s become so routine that I know the space, or lack thereof, between my teeth better than I know the back of my hand, which, at the moment is cracking and dry because of the cold air and the dry weather.

I try to suppress a smirk when I go to the dentist and a hygienist tries to work floss between my teeth. I could tell them, like a tooth GPS system, where to go, how hard to push and at what angle.

Sooner or later, they get that piece of floss in between my teeth.

So, now to the you-can’t-win-part. You see, I was flossing my teeth in bed the other day, sitting next to my wife as we navigated back and forth between TV stations, one with a Knicks game and the other with a game show.

Like a concert pianist, I worked the top teeth, gliding along the keys and opening my mouth just enough to get my fingers into position. I use much more floss than my wife, as I wrap rows of floss around my fingers and try not to reuse the same piece between teeth.

After moving to a new section of floss, it was on to the bottom, weaving around the misaligned center of the bottom teeth, which, despite a general straightening thanks to Invisalign from a few years ago, is still unwilling to form a perfect line.

As I got to the bottom left, I gave a tug and, poof! Out came half of a tooth. I thought it might be some larger piece of food that was hiding back there, but, no, the density, size and sharpness on my tongue suggested I shouldn’t swallow it.

“Hey,” I said to my wife, “I just broke a tooth.”

On further review with the piece in my hand, it was clearly a broken tooth.

Flossing, which should be as healthy and helpful as sit ups, stretching or overall general maintenance, shouldn’t be hazardous.

Then again, the previous week, a friend told me he had to have surgery because he brushed his teeth too vigorously. He described how a dentist took a piece of the roof of his mouth and transferred it to his gums. Fortunately, I don’t have the same aggressive brushing technique.

So, the next day, I called my dentist and described the problem. She fit me into her busy schedule.

When she came in the room and asked me to open my mouth, she flinched.

“Yup, that’s going to need a crown,” she offered, trying to keep her voice from reflecting the surprise at the size of the missing piece.

While she was numbing my mouth, a TV next to me was showing a food network competition. That seemed ironic. With a numbed jaw, eating even hours afterwards wasn’t much of an option. Watching people prepare food and hearing critiques of the way the food exploded in their mouths was like driving by a field of magnificent flowers with a bad head cold.

So, now that I’m back from the dentist with a temporary crown and numbness that spreads from my cheek around my lower jaw, I am left to wonder whether flossing is all it’s cracked up to be. Then again, I have had root canal for gum problems. That’s no picnic, either.

Photo by Andrea Piacquadio/Pexels

By Leah S. Dunaief

Leah Dunaief,
Publisher

A couple of my favorite restaurants will only accept payment in cash or check. My doctors’ offices will only take credit cards. Perhaps the next thing is that we’ll have to pay in beads, like the Europeans for Manhattan Island.

Those who only take credit cards explained to me that they are preventing robberies. They put up signs saying, “No cash” to dissuade potential thieves. And I suppose those who only take cash are refusing to share their revenue with the credit card companies. I can understand that, especially if the profit margin of the business is only a couple of percent.

But the swinging back and forth is taking its toll, especially on older consumers, who tend to use only cash and are hardest hit in a cashless situation.

“A Fight to Preserve the Value of Cash,” was an article in The New York Times by Paula Span this past Tuesday that addressed the subject.

“Some no-cash practices date to contagion fears after the outbreak of Covid; others are intended to discourage robberies,” explains the reporter. “But such policies are a disadvantage to several groups, including low-income people who don’t have bank accounts, people who have accounts but don’t qualify for credit or debit cards, the homeless, undocumented immigrants and older adults,” she goes on to say. 

Additionally, anyone can have a problem with electronic payments when it comes to paying, which can cause delay and frustration. Natural weather disasters can disrupt electricity and telecommunication networks that fail immediately disconnect a cashless society. Even international thieves can hack bank accounts on the internet. “With cash, a thief has to be within striking distance.”

Another disadvantage of credit cards is that consumers spend more when they are using them because it delays the “pain of paying” until the bill arrives at the end of the month.

And privacy concerns enter into the picture due to “middlemen facilitating digital transactions-credit card companies, banks, the tech giants behind mobile apps-(…) then sell consumers’ data.”

According to Pew Research, only 79 percent of people over 65 have a smartphone, which is often used in cashless systems, compared with 97 percent of those between 30-49. Those over 55 paid in cash 22 percent of the time last year, compared with 12 percent among younger groups, according to the Federal Reserve, as quoted by The NYT. 

And according to a federal survey, 85 percent used the internet for financial services in their 20s and 30s, but the percentage drops as the groups age. For people in their 60s, the number becomes 70 percent, for those in their 70s it is  64 percent, and in their 80s, it’s only about half.

Cash is so simple: no buttons, no passwords, no problems other than the possibility of counterfeit bills.

“Older adults are far more likely than younger ones to lose money to tech support fraud, lottery and sweepstakes swindles, and family impersonations”, according to the Federal Trade Commission and cited in The NYT. Losses to investment and romance cons continue to climb, too.

As a result of an experience I had some years ago, before plastic became so prevalent, I could personally attest to a cashless society working, at least for a few days. 

On my way out the door to my limo ride, I forgot my wallet. I realized half way to the airport and confessed to the driver. “No problem,” he said. “I take credit cards  Do you have one?” Fortunately I did. I then realized that I would depend solely on that card for all my expenses getting to, and from, and while I was at the convention. It was going to be an interesting experiment, I said to myself.

During those four days, I was able to manage quite well with only the card. The future for payments became clear to me.

METRO photo
Diabetes complications can include permanent vision loss

By David Dunaief, M.D.

Dr. David Dunaief

Diabetic retinopathy (DR) is the leading cause of blindness among U.S. adults, ages 20 to 74 years old (1). As the name implies, it’s a follow-on to diabetes, and it occurs when the blood vessels that feed the light-sensitive tissue at the back of your eye become damaged. It can progress to blurred vision and blindness, typically affecting both eyes.

As of 2023, only about 66 percent of adults with diabetes had a recommended annual eye screening (2). Why is this important? Because the earlier you catch it, the more likely you will be able to prevent or limit permanent vision loss with treatments that target its early stages.

A consequence of DR can be diabetic macular edema (DME) (3). With DME, swelling of the macula, which is an oval spot in the central portion of the retina, can cause significant vision loss. Those with the longest duration of diabetes have the greatest risk for DME.

Unfortunately, the symptoms of vision loss often don’t occur until the later stages of the disorder, after it’s too late to reverse the damage.

How do you treat diabetic macular edema?

DME treatments often include eye injections of anti-VEGF medications, either alone or alongside laser treatments. They work by inhibiting overproduction of a protein called vascular endothelial growth factor (VEGF) (4). These can slow the progression of DME or reverse it (4).

The results from a randomized controlled trial showed that eye injections with ranibizumab (Lucentis) in conjunction with laser treatments, whether laser treatments were given promptly or delayed for at least 24 weeks, were effective in treating DME (5).

Other treatments can include NSAID and/or steroid drops that attempt to reduce swelling of the macula.

Can you reduce DME risk by treating diabetes?

Unfortunately, medications that treat type 2 diabetes do not lower your risk of DME. The THIN trial, a retrospective study, found that a class of diabetes drugs, thiazolidinediones, which includes Avandia and Actos, actually increased the occurrence of DME compared to those who did not use these oral medications (6). Those receiving these drugs had a 1.3 percent incidence of DME at year one, whereas those who did not had a 0.2 percent incidence. This persisted through the 10 years of follow-up. In addition to DME occurrence, the FDA warns of other significant side effects from these drugs.

To make matters worse, of the 103,000 diabetes patients reviewed, those who received both thiazolidinediones and insulin had an even greater incidence of DME. It was unclear whether the findings were caused by the drugs or by the severity of the diabetes, itself.

This contradicts a previous ACCORD eye sub-study, a cross-sectional analysis, which did not show an association between thiazolidinediones and DME (7). This study involved review of 3,473 participants who had photographs taken of the fundus (the back of the eye).

What does this ultimately mean? Both studies had weaknesses. It was not clear how long the patients had been using the thiazolidinediones in either study or whether their sugars were controlled and to what degree. The researchers were also unable to control for all other possible confounding factors (8). There are additional studies underway to clarify these results.

Can glucose control and diet                   change the equation?

The risk of progression of DR was significantly lower with intensive blood sugar controls using medications, one of the few positive highlights of the ACCORD trial (9). Unfortunately, medication-induced intensive blood sugar control also resulted in increased mortality and no significant change in cardiovascular events. However, an inference can be made: a nutrient-dense, plant-based diet that intensively controls blood sugar is likely to decrease the risk of diabetic retinopathy and further vision complications (10, 11).

If you have diabetes, the best way to avoid DR and DME is to maintain effective control of your sugars. It is also crucial that you have a yearly eye exam by an ophthalmologist. This will help detect issues early, before permanent vision loss occurs. If you are taking the oral diabetes class thiazolidinediones, this is especially important.

References:

(1) cdc.gov. (2) odphp.health.gov. (3) mayoclinic.org. (4) Community Eye Health. 2014; 27(87): 44–46. (5) ASRS. Presented 2014 Aug. 11. (6) Arch Intern Med. 2012;172:1005-1011. (7) Arch Ophthalmol. 2010 March;128:312-318. (8) Arch Intern Med. 2012;172:1011-1013. (9) www.nei.nih.gov. (10) OJPM. 2012;2:364-371. (11) Am J Clin Nutr. 2009;89:1588S-1596S.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.

 

One Pan Japanese Salmon

By Heidi Sutton

Whether you’re celebrating a weekend meal or simply looking for a way to eat healthier, seafood night can make dinnertime a special treat. Next time you plan to make fish the focus of your menu, try one of these delicious recipes featuring the best fish in the sea.

Grilled Salmon with Spiced Almonds

Recipe courtesy of Fisher Nuts

Grilled Salmon with Spiced Almonds

YIELD: Makes 6 servings

INGREDIENTS: 

1 cup Greek yogurt

2 teaspoons red wine vinegar

2 teaspoons chopped fresh dill

1 tablespoon chopped fresh mint

1/4 teaspoon ground cumin

1/2 teaspoon paprika

kosher salt

1 small cucumber seeded and small diced

1/2 cup almonds

1 teaspoon extra-virgin olive oil

1/4 teaspoon curry powder

1/8 teaspoon paprika

1/8 teaspoon ground cumin

6 salmon fillets 6-ounces each

kosher salt and black pepper

2 tablespoons extra-virgin olive oil

1 large lime

DIRECTIONS:

To make yogurt sauce, whisk yogurt, red wine vinegar, dill, mint, cumin and paprika in medium bowl with a pinch of salt. Taste for seasoning and adjust as needed. Stir in cucumber. Set aside.

Heat oven to 350° F. Heat grill to medium. In small bowl, toss almonds with olive oil, curry powder, paprika, cumin and a pinch of salt. Spread almonds on baking sheet and toast until golden brown, about 5-8 minutes.

Arrange salmon fillets on baking sheet. Season fish on both sides with salt and pepper. Drizzle with oil. Place salmon on grill and allow to cook until fillets start to lightly char, 5-8 minutes. If desired, grill limes as well. Use metal spatula to gently flip salmon. For medium well or well done, cook a few minutes longer.

To serve, remove fish from grill and transfer to serving platter. Sprinkle fish with a squeeze of lime juice and curried almonds. Serve yogurt sauce on the side.

One-Pan Japanese Salmon

Recipe courtesy of Family Features

One Pan Japanese Salmon

YIELD: Makes 2 servings

INGREDIENTS: 

1 tablespoon sesame oil

1/4 cup tamarind sauce

1/2 tablespoon Dijon mustard

2 tablespoons sesame seeds

1 tablespoon honey

1 sweet potato cut into rounds

2 tablespoons coconut oil divided

1 tablespoon sesame seeds

sea salt

8 spears broccolini

2 salmon fillets 4 ounces each

brown rice for serving

DIRECTIONS:

Preheat oven to 400 F. Line tray with baking paper. To make marinade: In bowl, whisk sesame oil, tamarind sauce, Dijon mustard, sesame seeds and honey until combined. Place sweet potato on baking tray and drizzle with 1 tablespoon coconut oil. Toss to coat. Sprinkle with sesame seeds and sea salt. Roast 25 minutes. Remove tray from oven and add broccolini. Drizzle with remaining coconut oil and sea salt. Place salmon fillets in middle of tray and drizzle with marinade. Bake 12-15 minutes. Serve with brown rice.