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Chimichurrie Chickpea Salad

By Heidi Sutton

With spring and warmer weather comes salad season, offering a perfect canvas for creating refreshing meals centered around tasty greens, juicy tomatoes and chickpeas. A rich source of vitamins, minerals, and fiber, chickpeas are high in protein and makes an excellent replacement for meat in many vegetarian and vegan dishes. Give your salads an update and create tasty meals fit for the season like this Chimichurri Chickpea Salad and Mediterranean Orzo Salad, courtesy of Culinary.net.

Chimichurri Chickpea Salad

Chimichurrie Chickpea Salad

YIELD: Makes 4 servings

INGREDIENTS: 

1 cup fresh cilantro

2/3 cup fresh parsley

2 tablespoons dried oregano

2 garlic cloves, minced

1/4 cup red wine vinegar

2/3 cup olive oil

1/2 teaspoon salt

1/2 teaspoon pepper

1 can (14 1/2 ounces) chickpeas, drained

1 bag baby kale mix

1  cup cherry tomatoes, diced

1 medium avocado, diced

4 tablespoons Avocado Ranch Dressing

DIRECTIONS:

In food processor, combine cilantro, parsley, oregano, garlic, red wine vinegar, olive oil, salt and pepper. Pulse until sauce is smooth. 

Place chimichurri sauce in small bowl with chickpeas; toss to coat. Cover and refrigerate overnight, if possible. 

Divide kale, tomatoes and avocado between four bowls. Top each bowl evenly with marinated chickpeas. Drizzle with avocado ranch dressing and serve.

Mediterranean Orzo Salad

Mediterranean Orzo Salad

YIELD: Makes 4 servings

INGREDIENTS: 

2 cups cooked orzo

2 mini cucumbers, thinly sliced

3/4 cup cherry tomatoes, quartered

1/2 cup canned chickpeas, drained and rinsed

1/2 cup arugula

1/4 cup pitted Kalamata and green olives, cut in half

1/4 cup crumbled feta cheese

1/3 cup Garlic Vinaigrette & Marinade, plus additional for serving (optional)

DIRECTIONS:

In large bowl, combine orzo, cucumbers, tomatoes, chickpeas, arugula, olives and feta cheese. Toss with vinaigrette. Serve with additional vinaigrette, if desired.

METRO photo

By Fr. Francis Pizzarelli

Fr. Francis Pizzarelli

It’s hard to believe that we are in the midst of another college graduation season. As an educator, I have valued my time teaching college and graduate students.

Since the pandemic, educating college students has changed radically. Their academic skills could be stronger, as well as their critical thinking and analytical writing skills. However, I have still found them open to new ideas and broader perspectives on their view of the world. Like many of my colleagues, I am concerned about their tendency towards isolation and their disconnectedness from their peers.

This graduation season has been challenging with the college student protests around the country. Unfortunately, these protests have further polarized our nation.

The right to protest is every American’s right, whether we support the issue or not. What is important for those who protest to know and practice is peace and nonviolence at all costs. Hateful speech is not nonviolent; provocative speech often spurs on violence. In my Social Science classes and Graduate School classes we discussed the war in the Middle East and the senseless loss of innocent life, among the Israelis and the Palestinians. War never resolves conflict; it only perpetuates more violence and hate. 

Teaching Social Science and Graduate School Social Work provided a forum at the end of the semester to begin this important conversation. As always, I urged my students to be sociologically mindful and when it comes to this very sensitive issue to respond, not to react.

Graduates, as you continue your journey, do not let the social filters of our time enable bigotry, exclusivity and social injustice. Always speak up and work for human rights. Try to realize that being human and sensitive to others is more important than any successful academic record. Try showing compassion and understanding rooted in justice. 

May a kind word, a reassuring touch and a warm smile be yours every day of your life. Remember the sunshine when the storm seems unending. Teach love to those who only know hate. And let that love embrace you as you continue in the world.

Don’t be blinded by those who tend to use shame, blame, guilt and religion to shackle people down and divide them. Set people free with your respect and non-judgmental way.

May your moral compass be grounded in respect for all human beings no matter what their color, their race, their creed or sexual orientation. May this 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 the world.”

Congratulations college graduates of 2024. Thank you for making the world a little richer, a little brighter, and a little bit more hopeful.

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

Anthony S. Fauci, MD, addressing the RSOM graduating Class of 2024. Credit: Arthur Fredericks

By Daniel Dunaief

Daniel Dunaief

Speaking in a front of a receptive, appreciative and celebratory audience of 125 graduates of the Renaissance School of Medicine at Stony Brook University who gave him a standing ovation before and after his commencement address, Dr Anthony Fauci, former Director of the National Institute of Allergy and Infectious Diseases, shared some thoughts on the hard lessons learned from the last four years.

Dr. Fauci currently serves as Distinguished University Professor at the Georgetown University School of Medicine and the McCourt School of Public Policy and also serves as Distinguished Senior Scholar at the O’Neill Institute for National and Global Health Law.

“I speak not only of lessons we have learned that can help us prepare for the next public health challenge, but, more importantly, of lessons that will apply to your future professional and personal experiences that are far removed from pandemic outbreaks,” Fauci said, after complimenting the class on persevering in their training despite the challenges and losses.

To start with, he suggested these new doctors expect the unexpected. In the early phase of the pandemic, the virus revealed multiple secrets, “some of which caught us somewhat by surprise,” Fauci said. “As well prepared as we thought we were, we learned that SARS-Cov2 is often transmitted from people who are infected but have no symptoms.”

Additionally, the virus continually mutated, forming more transmissable variants that caused illness even in those who had already contracted the virus.

“Each revelation not only humbled us, but served as a stark reminder that, when facing novel and unanticipated challenges in life, as you all will I promise, any predictions we might make about what will happen next or how the situation will unfold must always be provisional,” Fauci said.

Dealing with these challenges requires being open-minded and flexible in assessing situations as new information emerges.

He cautioned the new doctors and scientists to beware of the insidious nature of anti science.

Even as doctors have used data and evidence learning to gain new insights and as the stepping stones of science, anti science became “louder and more entrenched over time. This phenomenon is deeply disturbing” as it undermines evidence-based medicine and sends the foundation of the social order down a slippery slope.

Even as science was under attack, so, too, were scientists. “During the past four years, we have witnessed an alarming increase in the mischaracterization, distortion and even vilification of solid evidence-based findings and even of scientists themselves,” Fauci continued.

Mixing with these anti science notions were conspiracy theories, which created public confusion and eroded trust in evidence-based public health principals.

“This became crystal clear as we fought to overcome false rumors about the mRNA Covid vaccines during the roll out” of vaccines which Dr. Peter Igarashi, Dean of the Renaissance School of Medicine estimated in his introduction for Dr. Fauci saved more than 20 million lives in their first year of availability.

“I can confirm today that Bill Gates [the former CEO of Microsoft] and I did not put chips in the Covid vaccines,” Fauci said. “And, no, Covid vaccines are not responsible for more deaths than Covid.”

The worldwide disparagement of scientific evidence is threatening other aspects of public health, he said, as parents are opting out of immunizing their children, which is leading to the recent clusters of measles cases, he added.

Elements of society are “driven by a cacophony of falsehoods, lies and conspiracy theories that get repeated often enough that after a while, they become unchallenged,” he said. That leads to what he described as a “normalization of untruths.”

Fauci sees this happening on a daily basis, propagated by information platforms, social media and enterprises passing themselves off as news organizations. With doctors entering a field in which evidence and data-driven conclusions inform their decisions, they need to “push back on these distortions of truth and reality.”

He appealed to the graduates to accept a collective responsibility not to accept the normalization of untruths passively, which enables propaganda and the core principals of a just social order to begin to erode.

Fauci exhorted students to “seek and listen to opinions that differ from your own” and to analyze information which they have learned to do in medical school.

“Our collective future truly is in your hands,” Fauci said.

Fauci also urged these doctors and scientists to take care of their patients and to advance knowledge for the “good of humankind.”

Pictured above, from left to right: Simons Foundation President David Spergel, Jim and Marilyn Simon, Stony Brook University President Maurie McInnis and Governor Kathy Hochul. Photo by John Griffin/Stony Brook University

By Leah S. Dunaief

Leah Dunaief,
Publisher

“What can I do? I’m only one person.”

How many times have we heard that lament? People excuse themselves from doing what they could, since everyone has some skills, to rectify a situation or help a cause by falling back on that one-liner. Elsewhere in these papers, we tell you about one man (and woman) who made an enormous difference in the world. Of course, it helps if you are a genius. 

Jim Simons was a genius. I knew him a little. He lived in Old Field and was a self-deprecating genius, except for the time he referred to himself during a talk he was giving to a small group as “Midas.” And he was right; he turned his understanding of mathematics into investments that made unprecedented amounts of money in much the same way King Midas, in Greek mythology, turned everything he touched into pure gold.

I remember, years ago, when I was traveling in Australia and I walked by a newsstand. Some magazines were propped up with their front pages displayed. I had to stop and stare for a moment because there was Jim’s face above the headline, “Highest income earner in the world” that year. It seems he had grossed four billion dollars, if I recall correctly. That was after he founded Renaissance Technologies in, of all places, beautiful downtown East Setauket.

If you want to make the world a better place, it helps to be a genius and to have fabulous sums of money. But that’s just the beginning of the story. 

As Jim once said, “It’s really hard giving away money…well.” He spent the last third of his adult life figuring out how and to whom he and his wife, Marilyn, should be donating funds.

The philanthropy I am most familiar with is Math for America. Being a mathematician, it’s not a surprise Jim was most concerned early on about how math was taught in the schools. Data revealed that the answer was “not very well,” or at least, not as well as it could be taught.

How to proceed?

Jim got his arms around the problem by starting with math teachers. He founded a nonprofit organization to support NYC public school teachers that eventually turned into a four-year fellowship program to increase math and science teachers’ skills.

“MfA’s role is valuing excellence in teaching and doing everything we can to keep great teachers in the classroom,” Jim explained. Part of the problem was the low pay. Math teachers often got hired away by business and industry, leaving a void in the classrooms.

He outlined the five core beliefs of his organization.

First was that teaching is a true profession, giving teachers enormous respect and financing.

Second was that great teachers are always learning. They strive to improve their depth of content knowledge, their expertise in teaching, and their ability to teach to the strengths of every student in their classroom.

Third is the necessity for deep collaboration within  a community of fellow experts to achieve ongoing growth.

Fourth is that regular evaluation of teachers is required to advance the profession.

And finally, fifth is by honoring greatness in the profession. That is achieved by celebrating, promoting and advocating for the best teachers, which raises prestige and attracts the best possible candidates to a career in the classroom.

Here are some impressive numbers that have resulted from that single organization, Math for America, founded 2004.

There are 1078 total teachers that have participated across NYC. Some 125 professional development courses have been offered by MfA in 2022-2023 that are focused on topics of equity and inclusion in the classrooms.

82 percent of MfA teachers have led professional development for their school colleagues.

400+ high quality STEM-focused courses have resulted each semester of which 75 percent have been led by MfA teachers.

60 percent of MfA teachers in NYC said they might have left teaching during 2022-2023 if not for their fellowships.

MfA has been recognized by the legislature of NYS and the U.S.Congress.

Thank you, Jim Simons.

MEET BUNNIE XO!

This week’s featured shelter pet is Bunnie XO, a 5-year-old bully/mastiff mix who was abandoned in a park with her (presumed) boyfriend, Jelly Roll, but is now safe at the Smithtown Animal Shelter.

Bunnie XO warms up quickly to all new people, gently nudges for attention and treats and loves to play. This sweet lady was obviously used for breeding and discarded. While she and Jelly enjoy seeing each other, they are not bonded and she would love to be in a home that will dote on her and show her affection all day long. 

The shelter staff is still learning about her as she settles in and reveals her true personality but they assume she will accept calmer dogs (Jelly is very laid back). If you are interested in meeting Bunnie XO, please call ahead to schedule an hour to properly interact with her in a domestic setting.

The Town of Smithtown Animal & Adoption Shelter is located at 410 Middle Country Road, Smithtown. Visitor hours are Monday to Saturday from 10 a.m. to 3 p.m. (Sundays and Wednesday evenings by appointment only). For more information, call 631-360-7575 or visit www.townofsmithtownanimalshelter.com.

A river otter caught on a trail camera in Bellport. Image courtesy of Luke Ormand

By John L. Turner

John Turner

I slung on the backpack, shut the car door and walked off quickly, fueled by excitement and expectation. After  a brisk walk on a shady forest path, bordered by a few small fields hinting at the property’s past farm use, I reached my destination — a wooden observation platform providing sweeping views of a freshwater pond situated within the North Fork’s Arshamomaque Preserve. I immediately began a binocular scan of the water and the far shore for any sign of movement revealing their presence. Nothing. Scanned for a few more minutes and nothing. I soon fall into a pattern of picking up the binoculars and looking first along the water surface and then the vegetated far shore. This goes on for an hour. Still no action. 

I learned a long time ago that nature is not a zoo and the comings and goings of animals are never done to please us humans, but always in response to their needs. So I will see them, if I see them at all, on their schedule. I continue to patiently sit, soaking in the beauty of the warm sunshine, bolstered by a large cup of strong coffee and a cinnamon-raisin bagel. 

 I was also enjoying the many marsh mallow shrubs blooming in profusion amidst the abundance of cattails ringing the pond. The flowers of this species border on the spectacular — three to five inches across, deep but bright pink petals with a red throat or base, and a prominent tower containing both the stamens and the stigmata. This species is related to the plant whose roots were once the source of that delicious confectioneries used to make s’mores — marshmallows.  

Suddenly, there was rippled movement along the far shore. It took me a moment to process what I was looking at but it was a family of  four river otters (Lontra canadensis) — two adults and two pups — weaving in and out of the wetland plants.  I enjoyed them for about 15 seconds until they all broke back into cover of the cattails at the eastern edge of the pond. A minute or two later they reappeared this time swimming along the wooded shoreline before doubling back to the cattails. 

What I was witnessing is a small part of a welcome recovery of the species taking place over several decades now, as an increasing number of otters are colonizing suitable wetland habitat on Long Island, after decades of their dearth. According to Paul Connor’s definitive Mammals of Long Island published by the New York State Museum in 1971, otters were thought to be extirpated from Long Island in the latter part of the 19th century. He states that Daniel Denton in his 1670 description of Long Island mammals noted the presence of otters, but goes on to mention that more than 170 years later J.E. DeKay declared the species extirpated from Long Island. 

Through the 20th century otters were occasionally seen or reported but there was no sense of a sustained recovery of the species on Long Island. Connor reports no sightings in all the field work (conducted over several field seasons in the late 1960’s) that formed the basis for his monograph. This began to change in the first few years of the 21st century when sightings of otters became more commonplace. One of the first sightings  was near the well-known Shu Swamp sanctuary in Mill Neck, Nassau County. 

Mike Bottini, a well-known Long Island naturalist and founder of the Long Island River Otter Project, has studied this recovery as well as other aspects of otter ecology and biology and published an informative published paper investigating the status of river otter in 2008. He states: “This survey estimates that there are at least eight river otters inhabiting Long Island: four on the north shore of Nassau County, one in the Nissequogue River watershed, one in the west end of the Peconic Estuary, one on the south shore, and one in the Southold-Shelter Island-East Hampton area.” Remarkably, a mere decade later otter signs were found in 26 watersheds; the recovery was well underway.

Three years later, in 2021, Mike noted: “otter home ranges included all the watersheds on the north shore from Oyster Bay east to Orient, the Peconic River watershed and a significant portion of the Peconic Estuary, and two watersheds on the south shore.”  Painting a rosy picture, Mike concludes: “Much excellent otter habitat on Long Island remains unoccupied, especially on the south shore. 

In addition to the obvious confirmation formed by actual sightings or finding their tracks in mud or snow, the use of latrines or “otter bathrooms” by this highly aquatic mammal is one of the ways researchers use to gain a better sense of their distribution on Long Island. For reasons that are not entirely clear, otters often defecate (known as scat) in upland areas adjacent to the waterways, these latrine sites thought to be used to communicate information. 

I have found their latrines in a few places, the closest being at Frank Melville Memorial Park in Setauket on both sides of the northern pond. Their scat often contains the remains of scales and bones of the fish they prey on, and such was the case by a recent inspection of the latrines at the park — scales and delicate fish bones were prevalent in the sushi meals the otter was consuming. While otters favor fish, they are opportunistic and will eat frogs, turtles, crayfish (yes, we do have crayfish species on Long Island), and freshwater clams and mussels. 

Otters are carnivores and are members of the weasel family whose other Long Island members include, according to Connor, Mink, Long-tailed weasel, and perhaps Short-tailed weasel. Further afield in the North American continent we have badgers, the federally endangered Black-footed ferret, and the famous and remarkable wolverine. Thirteen otter species occur around the globe. 

As evidenced by my North Fork experience and several other accounts, otters are reproducing on Long Island with their pups presumably helping to fuel the resurgence.  As their young (typically between 2-5 pups are born) are quite helpless at birth, being hairless and blind, they grow and develop in dens which provide some degree of protection from the elements. The dens are in close proximity to the water and may, in some cases, be connected to it. As of this writing I don’t know of anyone who has conclusively discovered an otter den here. 

The use of remote cameras installed in the field at sites likely to be utilized by otters have proven instrumental in learning some new streams and creeks otters are frequenting. Luke Ormand, a staff member in the Town of Brookhaven’s Division of Land Management, has placed several cameras in numerous locations in Brookhaven Town that have been successful in recording otters. With these cameras, otters have been confirmed in the Carmans River watershed and the Motts Creek drainage system in Bellport.

A significant damper on the continued recolonization and expansion of river otters on Long Island are motor vehicles, as otters are sometimes struck and killed. An otter was recently struck on Jericho Turnpike near the famous bull statue in Smithtown and the total number of road killed otters recorded for Long Island stands at 29 animals. 

Bottini notes that the peak time is between March and May both when males are searching for females in estrus (ready to mate) and yearling individuals are striking out on their own. The likelihood of being hit by a vehicle is especially high in places where otters are forced to cross a road that spans a stream containing too narrow a culvert or a dam where the dam is under the bridge; the dam face prevents downstream or upstream access, forcing the otter to climb up the banks and lope across the dangerous roadway.  Solutions involve  the placement of stacked cinder blocks to form a ramp or aluminum ramps which otters can negotiate.  

I had the pleasure of working with the aforementioned Mike and Luke one day a few years ago in constructing a cinder block ramp along a dam face on the Little Seatuck Creek in East Moriches. Camera footage soon showed otter use of the ramp although the two otters in the area illustrated different personalities; one otter immediately took to using it while the other was quite hesitant.  

Mike notes that otters are “ambassadors of wetlands” and given their broad appeal and popularity this is true. Who doesn’t remember wildlife films on Disney and other shows depicting otters tobogganing in the snow, frolicking about in what appears to be joyous play? Perhaps this iconic and charismatic species can help to generate public support on Long Island in better protecting our waterways — important habitats — which sustain so many species. 

 Let me end by stating the obvious: you “otter” take time out of your busy schedule to look for these furry, very attractive ambassadors. But please drive slowly to your intended destination, all the while keeping an eye out for a sleek, rich brown animal loping across the road.  

A resident of Setauket, author John L. 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.

Pixabay photo

By Bob Lipinski

Bob Lipinski

Anderson Valley, an AVA (1983) grape-growing area west of Ukiah and north of Sonoma in Mendocino County, California, continues to garner praise as one of the premier regions for Pinot Noir and is one of California’s coolest climates. The valley is almost 15 miles long, with virtually no flat land and hills ranging from 80 to 1,300 feet in elevation and runs to the northwest parallel to the coast till it opens to the Pacific just south of Mendocino.

In 1851, a settler named Walter Anderson discovered the valley after getting separated from his hunting group, and it was named after him. Commercial wine production did not begin until the 1960s, when Donald Edmeades planted a vineyard to Chardonnay, Gewürztraminer, French Colombard, and Cabernet Sauvignon. The Husch Vineyards, established in 1971, was the first to plant Pinot Noir grapes in the Knoll Vineyard, in Anderson Valley.

Anderson Valley has almost 100 vineyards planted on 2,457 acres. The grapes grown are 69 percent Pinot Noir and 21 percent Chardonnay. Secondary grapes include Gewürztraminer, Pinot Gris, Riesling, Merlot, Sémillon, and Sauvignon Blanc. In addition to Pinot Noir, Anderson Valley produces some of California’s best sparkling wines… Scharffenberger Cellars, Handley Cellars, Navarro Vineyards, and Roederer Estate, to name but a few.

Recently tasted Pinot Noirs are…

2019 Domaine Anderson “Pinot Noir” Anderson Valley, California. (Made with organic grapes) Bouquet of dried herbs, black cherry, plum, and mulberry with flavors of mushrooms, bittersweet chocolate, and hints of smoke, and pomegranate. The aftertaste begs for another glass.

2021 Crosby Roamann Pinot Noir “Fiadh Vineyard” Anderson Valley, California. (Fiadh is an Irish girl’s name meaning “wild” and “untamed” like this small vineyard site.) Aged 18 months in new oak barrels. Ruby color with an earthy bouquet of mushrooms, black olives, leather, and tobacco. Subtle flavors of cola, cinnamon, vanilla, and dark berries with some tannin.

2021 Crosby Roamann Pinot Noir “Annie’s Old Vines” Sonoma Coast, California. (Aged 18 months in used oak barrels) Light cherry colored with a bouquet bursting with red fruit: cherries, cranberries, and strawberries. Flavors of jam, black pepper, black plums, cocoa, and mint with notes of roses and sandalwood. Very smooth finish and long aftertaste. 

2019 Handley Cellars “Pinot Noir,” Anderson Valley, California. Aromas of boysenberry, cherries, and dried fruit with a hint of bay and eucalyptus. Medium-bodied with plums, oak, jam, and some tannin to lose. Vibrant aftertaste with notes of clove and cardamom.

Bob Lipinski is the author of 10 books, including “101: Everything You Need To Know About Whiskey” and “Italian Wine & Cheese Made Simple” (available on Amazon.com). He consults and conducts training seminars on Wine, Spirits, and Food and is available for speaking engagements. He can be reached at www.boblipinski.com OR [email protected].

Simple tests can confirm your kidney's health. METRO photo
Simple tests can confirm your kidney’s health.

By David Dunaief, M.D.

Dr. David Dunaief

Your kidneys perform an array of critical functions that help maintain your body’s systems. They filter waste and fluid from your body and maintain your blood’s health. They also help control your blood pressure, make red blood cells and vitamin D, and control your body’s acid levels.

If your kidney function degrades, it can lead to hypertension or cardiovascular problems and it may require dialysis or a kidney transplant in later stages. For the best outcomes, it’s critical to identify chronic kidney disease (CKD) early and strive to arrest its advance to more serious stages. However, of the estimated 35.5 million U.S. adults who have CKD, as many as 9 in 10 are not even aware they have it (1).

One of the challenges with identifying early-stage CKD is that symptoms are not obvious and can be overlooked. Among them are foamy urine, urinating more or less frequently than usual, itchy or dry skin, fatigue, nausea, appetite loss, and unintended weight loss (2).

Fortunately, there are simple tests, such as a basic metabolic panel and a urinalysis, that will confirm your kidney function. These indices for kidney function include an estimated glomerular filtration rate (eGFR), creatinine level and protein in the urine. eGFR is a calculation and, while the other two indices have varying ranges depending on the laboratory used, a patient with an eGFR of 30 to 59 is considered to have mild disease. The eGFR and the kidney function are inversely related, meaning as eGFR declines, the severity of CKD increases.

What can be done to address early-stage CKD, before complications occur? There are several studies that have evaluated different lifestyle modifications and their impacts on its prevention, treatment and reversal.

What causes the greatest risk to your kidneys?

Among the greatest risks for your kidneys are uncontrolled diseases and medical disorders, such as diabetes and hypertension (1). If you have — or are at risk for — diabetes, be sure to control your blood sugar levels to limit kidney damage. Similarly, if you currently have hypertension, controlling it will put less stress on your kidneys. For these diseases, it’s crucial that you have your kidney function tested at least once a year.

In addition, obesity and smoking have been identified as risk factors and can be managed by making lifestyle changes to reduce your risk.

Can changing your diet help protect your kidneys?

Fruits and vegetables may play a role in helping patients with CKD. In a one-year study with 77 patients, results showed that fruits and vegetables work as well as sodium bicarbonate in improving kidney function by reducing metabolic acidosis levels (3).

What is the significance of metabolic acidosis? It means that body fluids become acidic, and it is associated with CKD. The authors concluded that both sodium bicarbonate and a diet including fruits and vegetables were renoprotective, helping to protect the kidneys from further damage in patients with CKD. Alkali diets are primarily plant-based, although not necessarily vegetarian or vegan. Animal products tend to cause an acidic environment.

In the Nurses’ Health Study, results show that animal fat, red meat and sodium all negatively impact kidney function (4). The risk of protein in the urine, a potential indicator of CKD, increased by 72 percent in those participants who consumed the highest amounts of animal fat compared to the lowest, and by 51 percent in those who ate red meat at least twice a week. With higher amounts of sodium, there was a 52 percent increased risk of having lower eGFR levels.

The most interesting part with sodium was that the difference between higher mean consumption and the lower mean consumption was not that large, 2.4 grams compared to 1.7 grams. In other words, a difference of approximately a quarter-teaspoon of sodium per day was responsible for the decrease in kidney function.

The National Kidney Foundation recommends diets that are higher in fruit and vegetable content and lower in animal protein, including the Dietary Approaches to Stop Hypertension (DASH) diet and plant-based diets (2). 

In my practice, when CKD patients follow a vegetable-rich, nutrient-dense diet, there are substantial improvements in kidney functioning. For instance, for one patient, his baseline eGFR was 54. After one month of dietary changes, his eGFR improved by 9 points to 63, which is a return to “normal” functioning of the kidney. Note that this is anecdotal, not a study.

When should you have your kidney function tested?

It is important to have your kidney function checked. If your levels are low, you should address the issue through medications and lifestyle modifications to manage and reverse early-stage CKD. If you have common risk factors, such as diabetes, smoking, obesity or high blood pressure, or if you are over 60 years old, talk to your doctor about regular testing. 

Don’t wait until symptoms and complications occur. In my experience, it is much easier to treat and reverse CKD in its earlier stages.

References:

(1) CDC.gov. (2) kidney.org. (3) Clin J Am Soc Nephrol. 2013;8:371-381. (4) Clin J Am Soc Nephrol. 2010; 5:836-843.

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.

Mixed Berry French Toast

By Heidi Sutton

Don’t let Mother’s Day pass by as just another day on the calendar. Make this year’s celebration a true ode to the moms in your life with some extra special touches.

Give her flowers

Flowers are a timeless Mother’s Day gift for a reason. They provide pops of color on dining room tables, kitchen counters, end tables or even nightstands. Consider mom’s favorite spot in the house and place them within eyeshot for a frequent reminder of how much she’s appreciated.

Create a personalized card

Add a special final touch to an already memorable morning with a thoughtful card and handwritten message. Get the kids involved and create a card from scratch with construction paper, colored pencils, markers and more for a homemade gift she’ll cherish. If you didn’t fall from the artistic tree, don’t fret — a store bought card means all the same when paired with a heartfelt message that conveys your love.

Give her the day off

Whether she’s the culinary expert of the home or cooking is usually a team effort, make sure her morning is one of rest and relaxation while you handle kitchen duties from prep to cleanup. There may be no better way to start Mother’s Day than serving Mom some breakfast in bed. A homemade meal before Mom even gets out of bed can set the right tone for a day that celebrates all mothers have done and continue to do for their children.

If Mom loves a traditional hearty morning meal, this recipe for “Mixed Berry French Toast” courtesy of Taste of Home is sure to please.

Mixed Berry French Toast

YIELD: Makes 8 servings

INGREDIENTS: 

6 large eggs

1 3⁄4 cups fat-free milk

1 teaspoon sugar

1 teaspoon ground cinnamon

1 teaspoon vanilla extract

1⁄4 teaspoon salt

1 loaf (1 pound) French bread, cubed

1 package (12 ounces) frozen unsweetened mixed berries

2 tablespoons cold butter

1⁄3  cup packed brown sugar

Confectioners’ sugar and maple syrup (optional)

DIRECTIONS:

Whisk together the first 6 ingredients. Place bread cubes in a 13 x 9-inch or 3-quart baking dish coated with cooking spray. Pour egg mixture over top. Refrigerate, covered, 8 hours or overnight.

Preheat oven to 350 F. Remove berries from freezer and French toast from refrigerator and let stand while oven heats. Bake French toast, covered, 30 minutes.

In a small bowl, cut butter into brown sugar until crumbly. Top French toast with berries; sprinkle with brown sugar mixture. Bake, uncovered, until a knife inserted in the center comes out clean, 15 to 20 minutes. If desired, dust with confectioners’ sugar and serve with syrup.

Pixabay photo

In the heart of the medical field lies the nurturing presence of nurses.

As National Nurses Week unfolds from May 6 to 12, it’s time for communities everywhere to pause and reflect on the indispensable role nurses play in our health care ecosystem. Beyond being health care providers, nurses embody the essence of compassion, advocacy and expertise. They are heroes whose contributions resonate far beyond the confines of hospital walls.

They are not just caregivers; they are companions on the arduous journey of illness, offering solace and support when it’s needed most. In moments of vulnerability, it’s often the gentle reassurance of a nurse that brings comfort and hope to patients and their families. In this role, nurses serve as a beacon of empathy, providing not just medical care but also emotional sustenance.

Nurses serve as invaluable liaisons between patients, families and the broader health care team. They bridge the gap between complex medical jargon and everyday understanding, helping patients to make informed decisions about their health. Through clear communication and advocacy, nurses ensure that patients receive the personalized care they deserve. Whether it’s coordinating treatment plans, advocating for patient rights or providing vital education, nurses are the linchpins of effective health care delivery.

In the intricacy of individualized health care, nurses act as threads binding it all together. They possess a unique ability to see patients not merely as cases but as individuals with distinct needs and preferences. By tailoring care plans to suit each patient’s unique circumstances, nurses uphold the fundamental principle of patient-centered care.

“Nurses are the lifeline and lifeblood of our Stony Brook Medicine health care system,” said Carol Gomes, chief executive officer, Stony Brook University Hospital. “They provide exceptional and compassionate care for our patients. I’m so grateful and proud of their dedication and commitment to quality care. We celebrate our team during Nurses Week and applaud their talents every day of the year.” 

As we honor National Nurses Week, let us not only acknowledge the tireless dedication and sacrifices of nurses but also advocate for the recognition and support they truly deserve. Let us continue to invest in their professional development, provide them with the resources they need to thrive and ensure their voices are heard in shaping health care policies. Because a health care system that truly prioritizes the well-being of its citizens is one that honors and uplifts its nursing workforce.