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Long-term PPI use increases serious risks. Stock photo

By David Dunaief, M.D,

Dr. David Dunaief

Reflux is common after a large meal. This is when stomach contents flow backward up the esophagus. It occurs because the valve between the stomach and the esophagus, the lower esophageal sphincter, relaxes for no apparent reason. Many incidences of reflux are normal, especially after a meal, and don’t require medical treatment (1).

However, gastroesophageal reflux disease (GERD) is a more serious disorder. It can have long-term health effects, including erosion or scarring of the esophagus, ulcers, and increased cancer risk. Researchers estimate it affects as much as 28 percent of the U.S. adult population (2). No wonder pharmaceutical firms line drug store shelves with over-the-counter and prescription solutions.

GERD risk factors range from lifestyle — obesity, smoking and diet — to medications, like calcium channel blockers and antihistamines. Other medical conditions, like hiatal hernia and pregnancy, also contribute (3). Dietary triggers, such as spicy, salty, or fried foods, peppermint, and chocolate, can also play a role.

One study showed that both smoking and salt consumption increased GERD risk significantly, with increases of 70 percent in people who smoked or who used table salt regularly (4). Let’s examine available treatments and ways to reduce your risk.

What medical options can help with GERD?

The most common and effective medications for treating GERD are H2 receptor blockers (e.g., Zantac and Tagamet), which partially block acid production, and proton pump inhibitors (e.g., Nexium and Prevacid), which almost completely block acid production (5). Both classes of medicines have two levels: over-the-counter and prescription strength. Let’s focus on proton pump inhibitors (PPIs), for which just over 90 million prescriptions are written every year in the U.S. (6).

The most frequently prescribed PPIs include Prilosec (omeprazole) and Protonix (pantoprazole). Studies show they are effective with short-term use in treating Helicobacter pylori-induced peptic ulcers, GERD symptoms, and gastric ulcer prophylaxis associated with NSAID use (aspirin, ibuprofen, etc.) as well as upper gastrointestinal bleeds.

Most of the data in the package inserts is based on short-term studies lasting weeks, not years. The landmark study supporting long-term use approval was only one year. However, maintenance therapy usually continues over many years.

Concerns about long-term usage effects and overprescribing have led to calls among pharmacists to take an active role in educating patients about their risks – along with educating patients about the need to take them before eating for them to work (7).

What are PPI risks?

Side effects after years of use can include increased risk of bone fractures and calcium malabsorption; Clostridium difficile (C. difficile), a serious bacterial infection in the intestines; potential vitamin B12 deficiencies; and weight gain (8).

The FDA has amplified its warnings about the increased risk of C. difficile, which must be treated with antibiotics. Unfortunately, it only responds to a few antibiotics, and that number is dwindling. Patients need to contact their physicians if they develop diarrhea when taking PPIs and the diarrhea doesn’t improve (9).

Suppressing stomach acid over long periods can also result in malabsorption issues. In a study where PPIs were associated with B12 malabsorption, it usually took at least three years’ duration to cause this effect. While B12 was not absorbed properly from food, PPIs did not affect B12 levels from supplementation (10). If you are taking a PPI chronically, have your B12 and methylmalonic acid (a metabolite of B12) levels checked and discuss supplementation with your physician.

Before you stop taking PPIs, consult your physician. Rebound hyperacidity can result from stopping abruptly.

What non-medical options can improve GERD?

A number of modifications can improve GERD, such as raising the head of the bed about six inches, not eating prior to bedtime and obesity treatment, to name a few (11). 

Fiber and exercise. The study that quantified the increased risks of smoking and salt also found that fiber and exercise both had the opposite effect, reducing GERD risk (4). An analysis by Journal Watch suggests that the fiber effect may be due to its ability to reduce nitric oxide production, a relaxant for the lower esophageal sphincter (12).

Manage weight. In one study, researchers showed that obesity increases pressure on the lower esophageal sphincter significantly (13). Intragastric (within the stomach) pressures were higher in both overweight and obese patients on inspiration and on expiration, compared to those with a “normal” body mass index.

Avoid late night eating. One of the most powerful modifications we can make to avoid GERD is among the simplest. A study showed a 700 percent increased risk of GERD for those who ate within three hours of bedtime, compared to those who ate four hours or more before bedtime (14).

While drugs have their place in the arsenal of options to treat GERD, lifestyle changes are the first, safest, and most effective approach in many instances. 

References:

(1) Gastroenterol Clin North Am. 1996;25(1):75. (2) Gut. 2014; 63(6):871-80. (3) niddk.nih.gov. (4) Gut 2004 Dec; 53:1730-1735. (5) Gastroenterology. 2008;135(4):1392. (6) Kane SP. Proton Pump Inhibitor, ClinCalc DrugStats Database, Version 2022.08. Updated August 24, 2022. Accessed October 11, 2022. (7) US Pharm. 2019:44(12):25-31. (8) World J Gastroenterol. 2009;15(38):4794–4798. (9) FDA.gov. (10) Linus Pauling Institute; lpi.oregonstate.edu. (11) Arch Intern Med. 2006;166:965-971. (12) JWatch Gastro. Feb. 16, 2005. (13) Gastroenterology 2006 Mar; 130:639-649. (14) Am J Gastroenterol. 2005 Dec;100(12):2633-2636.

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.

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Photo by Raymond Janis

Reviewing Figliola’s campaign record

Voters deserve elected officials who are transparent and truthful about who they are.

When a politician is seeking elected office, we must consider the candidate’s views and whether they are a good fit for the office they seek to represent.

Consider the case of Anthony Figliola, who is running for Suffolk County Legislature after an unsuccessful bid for U.S. Congress in 2022.

2022’s Anthony Figliola ran as a MAGA Republican who opposed reproductive rights, sought to ban books and censor what is taught in public schools, and opposed lifesaving science in the form of vaccines. 2022’s Anthony Figliola happily posed with election denier Rudy Giuliani and was endorsed by extremist organizations, including Moms for Liberty and various “patriot” groups.

In 2023, there seems to be a new Anthony Figliola, who says he’s running for a “nonideological” position. This is patently false. We’ve seen how partisan politics have infected our county, with the Suffolk Republicans refusing to allow a referendum on water quality and sewer infrastructure on our November 2023 ballot.

Who is the real Anthony Figliola? The county’s 5th Legislative District deserves an honest legislator, not a political chameleon.

We have the opportunity to elect Steve Englebright [D-Setauket], whose decades-long record on environmental protection, public education and public health is clear and consistent. Englebright deserves our support on Nov. 7 to represent us in the Suffolk County Legislature.

Ian Farber, Setauket

Shoshana Hershkowitz, South Setauket

Anne Chimelis, Setauket

Christine Latham, Stony Brook

Challenging the assigned literature at Three Village school district

After learning about the book, “The Absolutely True Diary of a Part-Time Indian,” assigned to the juniors in the Three Village school district [see “High school novel stirs controversy among Three Village parents,” The Village Times Herald, Oct. 5, also TBR News Media website], I’m compelled to speak out.

Why would any educator encourage our innocent and still-developing children to be exposed to material that stains our magnificent heritage? With a few exceptions, we’ve been nothing but kind to the so-called Native Americans.

Didn’t we break bread with them on the very first Thanksgiving? Didn’t we tutor them about our advanced form of living?

Didn’t we provide them with many large reservations on some of the most fertile land available in all of America?

We even opened the National Museum of the American Indian in Manhattan.

However, that’s not the most offensive element of the book in question.

The truly decadent part practically serves as a manual for depraved sexual behavior. It subtly encourages our children to perform decadent acts on themselves.

We know that not fully mature children tend to mimic what they see and learn. If the children read this book, do we really want them closing bedroom doors and privately committing vulgar and unhealthy autoerotic acts? And what will it lead to?

Bruce Stasiuk

Setauket

Local elected officials can kickstart Port Jeff Branch electrification

Concerning “Staying On Track: Port Jefferson Branch electrification gains ground in MTA’s 20 Year plan” [TBR News Media, Oct. 12], it has still not left the station.

The $18 billion Phase One Gateway Hudson River Tunnel, $7.7 billion Second Avenue Subway Phase and $5.5 billion Brooklyn Queens Light Rail Interborough Express Connector for Gov. Kathy Hochul [D], Sens. Chuck Schumer [D-NY] and Kirsten Gillibrand [D-NY] and Metropolitan Transportation Authority Chairman Janno Lieber are still the top three transportation priorities.

In the race for federal funding, which is necessary for double tracking and electrification, the Port Jefferson Branch, along with 19 other expansion and enhancement projects, still has no committed funding.

Lieber recently announced that the agency will study extending a future subway line even farther along West 125th Street in Manhattan, if funding could be found. This third phase of the Second Avenue Subway could easily cost $7.5 billion. This is on top of $3.4 billion in Federal Transit Administration funding toward the hoped-for $7.7 billion Second Avenue Subway Phase 2.

The next opportunity for MTA to commit funding to advance Port Jeff Branch electrification would be within 15 months, when the 2025-2029 Five Year Capital Plan is adopted. This will be followed by the 2030-2034, 2035-2039 and 2040-2044 Five Year Capital Plans.

Funding needs to be programmed in increments. First, for preliminary design and engineering to support the National Environmental Policy Act review.

Local elected officials who support this project could tap into their own town, county or state funding to find several million dollars. This could pay for the environmental review and advance this project.

Following NEPA is necessary to preserve FTA funding eligibility. Next, request permission from FTA to enter the Capital Investment Grants New Starts/Core Capacity program.

Then comes final design and engineering, property easements, land acquisition and utility relocation. This would be followed by $1.5 to $2 billion in local MTA funding to leverage a similar amount in federal funding under a future FTA CIG Full Funding Grant Agreement. These actions would be spread out over several MTA Five Year Capital programs. As each Five Year Capital program comes and goes, it will delay any hope of seeing Port Jefferson Branch electrification in our lifetimes.

A completion date of 2040 is a moving target. Will it be 2040, 2045, 2050, 2055 or later? Who knows?

Larry Penner

Great Neck

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Pixabay image

Across the North Shore of Suffolk County, our roads are dangerous, and the public safety risks seem to multiply.

Statistics from the county website indicate that 546 of our fellow residents died while walking, bicycling, riding a motorcycle or driving in our county between 2017 and 2021. That startling figure is higher than any other New York county during the same period.

Some traffic fatalities and injuries are likely unavoidable. In a country that constitutionally protects the sale of alcohol and a state that legalizes recreational marijuana, some instances of intoxicated driving seem inevitable. For those who drive drunk or high, there should be stricter penalties.

But other traffic fatalities and injuries are preventable.

Many communities around the TBR News Media coverage area lack extensive sidewalk networks, meaning those who wish to walk, jog or bike do so along public roadways.

The glaring problem with this arrangement is that many of our roadways, such as state Route 25A, are far too narrow to accommodate lanes for vehicular traffic, pedestrians and bicyclists simultaneously. Poor street lighting further complicates the situation.

Earlier this year, the New York State Department of Transportation painted share markings onto 25A, signaling to drivers that they must share the roadways with bicyclists. We find NYSDOT’s striping efforts deeply counterproductive, suggesting the agency lacks familiarity with our dire roadway realities.

Especially along the North Shore, with its beautiful active-use transit options — such as the Setauket-Port Jefferson Station Greenway and the North Shore Rail Trail — pedestrians and bikers should be discouraged from using the roadways for leisure purposes. Why risk a fatal injury when there are miles of paved surfaces designed to offer a safe alternative?

We find most frustrating the numerous pedestrians who exercise little or no caution while walking at night. These reckless pedestrians add another unnecessary burden to our already overtaxed roads.

These nightwalkers, often wearing dark clothing without a flashlight or reflective gear — place too much responsibility on drivers, who have enough to worry about while behind the wheel. These are merely terrible accidents waiting to happen — and they recur week after week.

We encourage walkers to use the available hike-bike trails whenever possible instead of walking on the streets. If we must walk on local roadways late at night, we can, at a minimum, wear bright colors, use reflective gear for our dogs and ourselves, and shine the flashlights on our smartphones.

All these actions help alert drivers of our presence, reducing the risk of a traffic tragedy.

We encourage NYSDOT and our county, town and village officials to continue advocating for and promoting walkability by constructing new sidewalks while expanding and connecting linear parks. And we advise all drivers to stay on high alert — and respect speed limits. 

Let us take the appropriate safeguards to make our streets safe for all — because even one pedestrian fatality is one too many.

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Above, Miller Frank Schaefer feeds ducks and swans in front of his Stony Brook Grist Mill. Schaefer had kept the mill in operation until 1947. Photo courtesy Beverly C. Tyler

By Beverly C. Tyler

“Don’t change Stony Brook too much! Leave some dirt roads, some crooked lanes, some old trees, some old homes and the winding brook and creeks. Clean them up a bit, if you will. Restore for permanency, but don’t use 20th-century plastic surgery on a 17th-century face.” — Edward A. Lapham, “Stony Brook Secrets”

Author Beverly C. Tyler

Frank Melville, Ward’s father, was intrigued with Williamsburg and wanted to do something here. After Frank Melville died, Ward carried out the project and said in January 1940, “This project has been in my mind and in the minds of my mother and father before me going back some 10 years.”

Ward Melville envisioned the rehabilitated Stony Brook as a beautification project, an economic engine and a community social undertaking. As described in a pamphlet, “An interesting and most pleasant consequence of the Stony Brook project was the new interest the villagers took in the appearance of their own homes as the village green and shopping center took shape. … As pride of appearance asserted itself, the whole village began to acquire its present neat, clean-cut look of simplicity.”

Melville saw Stony Brook as a community where people would walk, greet one another, converse, discuss the day’s politics and be responsible, involved citizens. The village green and central post office were the keys to this concept. However, the inclusion of village shops and offices for doctors, dentists and real estate agents was designed to make this a functioning community.

Main Street in Stony Brook during the 19th and early part of the 20th century was an active commercial area with a wide variety of shops. This commercial and tourist-generated activity ended with World War I as Stony Brook became a small, locally used harbor village.

South of Harbor Road and the mill pond, there were several small homesteads and farms, a harness maker’s shop, a blacksmith shop and a schoolhouse. The business area began at the grist mill, and except for Jacinsky’s Saloon and a bakery opposite Harbor Road, all the stores were on the west side of the road between the mill pond and the harbor.

Shops included an ice cream parlor, drug store, hardware store, tea room, secondhand clothing store, Chinese laundry, a tailor shop, a harness maker’s shop that became a butcher shop and grocery store about 1900, a barber shop, livery stable, shoemaker’s shop, post office and at least two general stores.

The butcher in Stony Brook at the turn of the 20th century was Orlando G. Smith. His brother, Charles E. Smith, ran a butcher shop and general store in East Setauket. Orlando took over the butcher business from Bennie Wells, who died in 1875. In 1898, Orlando built a new store on the site of an earlier butcher shop run by George Hawkins.

In his booklet “A Century of Progress,” Percy Smith indicated, “In the mid-[1890s], farmers around Stony Brook began decreasing the sale of their livestock, and Orlando Smith was forced to find another source of supply. The closest place was Bridgeport, about 15 miles across the Sound, but Smith encountered many difficulties obtaining meat from even so short a distance.

“His order had to go to Bridgeport by mail. The meat was then hauled to the Bridgeport docks and shipped by boat to Port Jefferson. There, it was loaded into a wagon and brought to Stony Brook. During this time, Orlando bought what meat he could, but this had dwindled mostly to calves, lambs and pigs.”

Orlando Smith’s butcher shop was located south of the current Reboli Center. In 1913, Percy Smith took over the butcher business after it had been owned for less than a year by Captain Robert F. Wells and then by Percy’s father, W.H. Smith. In 1922, Percy moved to a new location in the old post office building located a few lots north of the Reboli Center.

Tom and Mamie Anderson stand outside their general store around 1920. Photo courtesy Beverly C. Tyler

Up Christian Avenue and just to the left, behind the house on the corner of Sand Street, was Tom and Mamie Anderson’s store. According to Edward A. Lapham’s “Stony Brook Secrets,” it had been a general store until World War I, when “groceries became so difficult to obtain that Tom gave up that end of the business and sold only ice cream and candy. He also sold real estate and looked after the town roads.”

When they first came to Stony Brook in the 1920s, Lapham and his wife Anna took a room at the Andersons’ home. Lapham noted that Mrs. Anderson “explained that her home was old fashioned, that there was no running water and that the outhouse was located on the hill above the store. However, if we wanted the room, she would try to make us comfortable.”

Many residents in Stony Brook would provide a room for visitors, especially during the summer when the Stony Brook Assembly was in operation.

Returning to the center of the business area of Stony Brook, the Bank of Suffolk County began its operation in 1907 in a building at the south corner of the old business triangle, which is now part of the Stony Brook Village Green. The building, featuring a shingled mansard roof, was owned by the Odd Fellows and contained a drug store and soda fountain, a library, lodge and dance hall in addition to the bank. The bank moved to the current Reboli Center in 1912, and the original building was torn down as part of the rehabilitation of the Stony Brook shopping area in 1941.

When the bank moved, it occupied a location formerly owned by Dan Sherry, who ran a livery stable before the turn of the century. Just north of Sherry’s was the home and general store of J.N. Gould. Gould’s house later became the home of Doctor Squire. North of Gould’s home was the general store and home of Edward Oaks. Oaks, in 1873, was a “dealer in dry goods, groceries and other supplies.”

According to Percy Smith, Oaks’ general store — later Toppings general store — was the “better” general store in town. “It had everything,” Smith commented, “Bales of hay, kerosene, hardware, patent medicine, food and clothing.”

When the rehabilitation of Stony Brook was completed, Percy Smith was the first shopkeeper to move into the new shopping center. Percy opened his butcher shop in what is now Wiggs Opticians. Many old stores and homes were moved and restored, while many others were demolished. The result was a modern Stony Brook business area with a strong flavor of the past.

An “Images of America” book on the history of Stony Brook is available from the Three Village Historical Society. For further information, contact the Society at 631-751-3730 or stop at the Society History Center and book/gift shop, 93 North Country Road, Setauket, Thursdays through Sundays from 12-4 p.m.

A copy of “Stony Brook Secrets” is available in the Long Island collection of the Emma S. Clark Memorial Library.

Beverly C. Tyler is a Three Village Historical Society historian and author of books available from the society.

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METRO photo

By Lisa Scott

The League of Women Voters is nonpartisan; we don’t support or oppose candidates or parties. We have a strong commitment to encourage the informed and active participation of citizens in government. We run debates, seek community input on issues, and via the phone and email, serve voters who are looking for information. LWVUS and state and local Leagues run the national Vote411.org voting information website (which encourages candidates to answer questions on issues of importance to their constituents).

Throughout Suffolk County, voters are electing a new County Executive (the incumbent has served three 4-year terms, thus 12 years, which is the term permitted), as well as electing the 18 County Legislators (they serve 2-year terms, also limited to 12  years)

In Suffolk’s 10 Townships, there are a variety of offices on the ballot in 2023 such as Supervisor, Council Members, Receiver of Taxes, Town Clerk, Superintendent of Highways, Assessors and Town Justices and District Court Judges. Each Town has their own rules about term length and (if any) term limits. Village, library and school elections are managed separately —  they do not appear on the General Election ballot.

Candidates represent different points of view on many issues. On a county level, voters should consider water quality, which has significantly deteriorated in recent years. Voters have not been given the opportunity to vote on a ballot referendum involving a proposed .0825% sales tax increase and making state and federal funding available for sewers and septic systems. It was recessed (not moved forward) in August by the majority party of the Suffolk County Legislature. (Stay tuned — there may be a special election for the referendum in 2024. Because it would be a single issue ballot, it would incur significant cost, and voter turnout is generally very poor when only one issue or office is on a ballot). 

Other critical county issues include public safety, opioid and mental health crises, waste disposal, affordable senior and workforce housing, and campaign finance. The last refers to campaign contributions from public service unions or contractors, and elected officials voting on contracts for organizations from which they receive campaign contributions. Each Town also has its own hyperlocal issues as well — check your local media for debates and articles to become familiar with your local concerns, races and candidates.

All Suffolk voters should be sure to turn over the ballot to vote on two New York State proposals for NYS Constitution updates. The wording on the ballot, and an explanation for each is below.

PROPOSAL NUMBER 1: Removal of Small City School Districts From Special Constitutional Debt Limitation

Description of Proposal: The State Constitution limits how much debt a small city (a city with less than 125,000 people) school district, can incur. State law says their debt cannot be greater than five percent of the value of taxable real property; all other school districts’ debt cannot be greater than ten percent. If this Constitutional Amendment passes, small city school districts would be eligible to have the same debt limit as other school districts as determined by state law.

Question as it will appear on the Ballot: The proposed amendment to Article 8, section 4 of the Constitution removes the special constitutional debt limitation now placed on small city school districts, so they will be treated the same as all other school districts. Shall the proposed amendment be approved?

PROPOSAL NUMBER 2: Extending Sewage Project Debt Exclusion From Debt Limit

Description of Proposal: The State Constitution limits the debt counties, cities, towns, and villages can incur. This debt limit has an exception to not include debt for sewage treatment and disposal construction projects. The current sewer debt exception expires on January 1, 2024. This amendment extends the sewer debt exception for ten more years until January 1, 2034.

Question as it will appear on the Ballot: The proposed amendment to Article 8, section 5 of the Constitution extends for ten years the authority of counties, cities, towns, and villages to remove from their constitutional debt limits debt for the construction of sewage facilities. Shall the proposed amendment be approved?

Vote by Absentee ballot, Early Voting Oct. 28 to Nov. 5, or on Election Day Nov. 7. To register (by Oct. 28), check your registration, apply for an absentee ballot, or find your polling place, visit https://www.elections.ny.gov/. To find out who and what is on your ballot, visit Vote411.org 4 weeks before Election Day.

Lisa Scott is president of the League of Women Voters of Suffolk County a nonprofit, nonpartisan organization that encourages the informed and active participation of citizens in government and influences public policy through education and advocacy. For more information, visit https//my.lwv.org/new-york/suffolk-county.

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Maple Banana Bread Pancakes

By Heidi Sutton

Autumn is the perfect time to fall in love with maple syrup. There’s something about its sweet and savory taste that makes it the perfect addition to fall recipes and comfort food. Here are two delicious recipes, one for breakfast and one for dessert, that utilize this versatile ingredient.

Maple Banana Bread Pancakes

Recipe courtesy of Culinary.net

Maple Banana Bread Pancakes

YIELD: Makes 8 4-inch pancakes

INGREDIENTS:

2 very ripe large bananas

1 cup milk

1 large egg

1 tablespoon maple extract

2 teaspoons vanilla extract

1 cup all-purpose flour

3 tablespoons packed light brown sugar

2 teaspoons baking powder

1 teaspoon ground cinnamon

1/4 teaspoon salt

chopped walnuts for topping

DIRECTIONS:

Mash bananas in a large bowl with a fork until smooth. Add milk, egg, maple extract, and vanilla extract, and whisk until combined. Add flour, brown sugar, baking powder, ground cinnamon, and salt; mix until well blended.

Heat 2 tablespoons of the unsalted butter in a large cast iron skillet, nonstick frying pan, or griddle on medium heat until melted. Pour 1/4 cup of batter per pancake onto griddle or skillet. Cook 1-2 minutes per side, or until golden brown, turning when pancakes begin to bubble.

Transfer the pancakes to a warm oven or plate. Serve immediately with sliced banana, walnuts and maple syrup.

Pumpkin Bread Pudding with Spiced Maple Syrup

Recipe courtesy of Culinary.net

Pumpkin Bread Pudding with Spiced Maple Syrup

YIELD: Makes 12 servings

INGREDIENTS:

Bread Pudding:

2 cans (13 2/3 ounces each) coconut milk

4 eggs, lightly beaten

1 cup sugar

1 cup canned pumpkin

1 tablespoon pumpkin pie spice

1 tablespoon vanilla extract

8 cups cubed challah bread (or cubed French or Italian bread)

1 cup flaked coconut

1 cup chopped pecans

Spiced Maple Syrup:

1 cup maple syrup

1 vanilla extract

1/4 teaspoon pumpkin pie spice

DIRECTIONS:

To make Bread Pudding: Heat oven to 350° F. Pour coconut milk into large bowl. Stir with wire whisk until smooth. Add eggs, sugar, pumpkin, pumpkin pie spice and vanilla; mix until well blended. Add bread cubes; toss to coat well. Pour into greased 13-by-9-inch baking dish. Let stand 10 minutes. Sprinkle evenly with coconut and pecans. Bake 35-40 minutes.

To make Spiced Maple Syrup: Mix syrup, vanilla extract and pumpkin pie spice in microwavable bowl or measuring cup. Microwave on high 1 minute, or until warm.

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Jon Heusel Photo by Henry David

By Daniel Dunaief

Growing up in Hooper, a small town in the central part of Nebraska, Jon Heusel considered following in his parents’ footsteps.

His father William took him on house calls where he provided for a wide range of medical needs.

Jon Heusel with his father William.

Along the way, however, Heusel, whose mother Mona was also an intensive care unit nurse towards the end of her career, discovered genetics and immunology as he earned his bachelor’s degree at the University of Nebraska and then his MD, PhD at the University of Washington in St. Louis.

Enamored with these sciences and inspired to pursue a path of patient care from a different perspective, Heusel blazed his own trail, albeit one in which health care remained a professional focus.

Indeed, the second-generation doctor, who became Vice Chair for Clinical Pathology at the Renaissance School of Medicine at Stony Brook University on October 2nd, has devoted his career to the translation of new technologies into healthcare solutions.

For the past decade, this involved next generation sequencing, but also other new technologies and computerized systems for analyzing the data.

Heusel is inspired by a drive to improve the healthcare at academic medical centers like Stony Brook and Washington University, where new discoveries can affect positive change.

“The more I learned about Stony Brook, which is an up-and-coming university, the more I thought it was a magnificent opportunity for me,” said Heusel, who admired the recent jump Stony Brook University has made in the U.S. News and World Report rankings.

Mandate

Pathology Chair Kenneth Shroyer described Heusel as a “wonderful recruitment” and believes his background makes him especially well suited to his role.

“We want to develop in-house capacity to do advanced molecular testing to find actionable mutations that could inform therapeutic decision making,” said Shroyer. “He’s extremely experienced in that area.”

John Heusel’s medical school graduation with his parents William and Mona Heusel.

Shroyer suggested Stony Brook wants to develop opportunities for advanced sequencing technology within the molecular pathology lab, with a focus on molecular oncology.

Heusel described the development of a comprehensive diagnostic service in cancer as a high priority.

The cost of building new services with new technologies will require significant investment. The Pathology Department will work in partnership with the Cancer Center to build services.

“Ideally, the clinical services we build will also be attractive in supporting research and contract testing from companies in the pharmaceutical and biotech spaces,” Heusel explained.

By using informatics and digital pathology, Stony Brook can become a place where medical students and professionals in related areas including computational biology, genetic counseling and oncology increasingly want to come.

Heusel particularly appreciates the opportunity to translate technology and science into healthcare solutions.

“If you do this correctly, the tests, systems, programs and people you have recruited to run them will extend far into the future,” he said. “When this happens, you leave behind a legacy of excellence.”

Heusel will replace Eric Spitzer, who will retain his role of medical director of labs until Heusel takes over that role in January.

Shroyer described Spitzer’s contributions to the department and hospital as “tremendous,” adding that he has “been outstanding in his position as leader of the hospital laboratory. While we know [Heusel] is going to be extremely successful in part due to [Spitzer’s] help in the transition phase, we’re still going to miss” Spitzer.

Spitzer has been a valuable counselor to Shroyer and a mentor to many and is an “outstanding educator” who has been a “very impactful educator for our residents and medical students,” Shroyer said.

Educational opportunities

Heusel not only has ambitions for the university, but also for himself in his new job.

The new pathology vice chair is looking for opportunities to put his knowledge and instincts to work to make Stony Brook better — even if only in the slightest of ways, he said.

“The tumblers of fate must align themselves to become opportunities for transformational leadership; those are relatively rare,” he explained. “It’s my hope that I am well prepared and can recognize them when they cross my path.”

As for the public, Heusel recognizes that primary school teachers have a tough job in educating the public in general and in sharing the intricacies of science such as genetics. He admires them for their work.

He suggested that primary education could be reimagined amid the exponential growth in knowledge.

“I am hopeful that biology and genetics will be taught in a way that empowers people to understand their bodies and their health or disease better, but I think it is more important to teach our children to think critically,” he explained.

Part of Heusel’s job is to make the results of complex testing accessible to patients and, in many cases, their doctors.

“The growing importance of genetics in our understanding of health and disease means people will, over time, gain new insights simply because they are reading and hearing about these concepts much more often,” he explained. “It also highlights the critical role that well trained genetic counselors have in the healthcare of today and the foreseeable future.”

Jon Heusel with his wife Jean at a Gallery North art show.

Heusel and his wife Jean enjoy living in the Stony Brook area, where they have found the people welcoming. In the past, they have gone scuba diving and sky diving and have also done canoeing, hiking, kayaking and skiing.

As they have gotten older, they have tended towards quieter experiences. They have found the West Meadow Beach sunsets “amazing” and have enjoyed their introduction to shows at the Staller Center for the Arts.

Heusel also appreciates a life outside work that includes working with wood, painting, doing pottery, cooking and making up poems, songs on the ukulele and bad puns.

His parents generated a sense of compassion in Heusel and his sisters, with a “wonder of the human body, and with the ability to find humor in almost anything.”

As for his work, Heusel is thrilled that Shroyer recruited him to join the university. He admits, though, that he has had to adjust to local driving styles.

“I am surprised by the aggressive manner in which people drive inside their cars which is so very opposite from the friendliness they exude outside of them,” he said.

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Photo from Pixabay

By Leah S. Dunaief

Leah Dunaief

Here we are, once again feeling the excitement of starting a new venture the way we did, more than 47 years ago, when we published the first issue of The Village Times. Tomorrow we start the first of our weekly podcasts, “Press Room Afterhour.” It’s heady stuff to be an entrepreneur. All that adrenalin is addicting.

So what is “Press Room Afterhour”?

It’s the name of our podcast. We have been practicing Thursday evenings after the papers come out. We, the editorial board, sit around the conference table and talk about some of the news stories of the week, filling in more details that didn’t make it into print, giving our personal take on the articles we wrote. The sessions will be available to listeners each Friday and will last 20-30 minutes. Each story is discussed for about 3 minutes. We sometimes pepper each other with questions or add our reactions, even as we fill in the readers who perhaps haven’t had a chance to keep up with the news.

The permanent members on the podcast are : Managing Editor Raymond Janis, Co-Producer Mike Vincenti and me, Editor and Publisher. We are grateful for our Audio Editor and Co-Producer, Michael Dunaief, behind the scenes. There are also one or two reporters who have written some of each week’s news. And we might even have a distinguished guest attend the session.

Mike often asks questions, prompting us to expand on the information we are offering our readers and viewers. He represents the less well informed listener since he comes straight from a long-day’s work, and he hasn’t yet read that days’s paper or watched our website and wants to know what has happened in the villages and towns since last week. This works to tease out some of the facts we might not have included. Raymond, the reporters and I field the questions and sometimes add our perspectives. And we encourage the guest, if there is one that night, to add his or her thoughts relative to the subject. 

To lead off this week, we have invited Beverly Tyler to be our honored guest for tomorrow’s podcast since he was on the front page of The Village Times in the first issue April 8, 1976. Bev is a highly respected author, speaker and many-splendored historian who knows endless stories about the Revolutionary War and its local participants as it took place on Long Island. He also specializes in other aspects of our history.

So how do you hear the podcast?

For starters, you can hear it on our website: tbrnewsmedia.com. We also will have it on Spotify on Fridays after 12 pm, if you wish to go to that platform. 

So why have we begun this? Really for the same reason we started our papers, our website and our social media platforms. We know that information is vital for every resident to have if we are going to participate in a democratic form of government. Without news, without a discussion of the issues, residents would not be able to vote knowledgeably, would not participate in local issues that might affect them directly. They would not have the pleasure of reading about cultural offerings and their children’s sports teams. In short, there wouldn’t be the sense of community that a local news outlet provides.

Additionally we are sponsored by local businesses with brief advertising spots included among the news items. If you would like to be a sponsor please contact us. 

Podcasts are another way of reaching you, the public, with the news you need and, we trust, want to know. And it’s a way for you to reach us and tell us how we can help. News deserts are popping up throughout the nation, and those communities without media to give them voice and protect them from various civic ills are much the poorer. They are without spokespeople who can and do speak truth to power on their behalf.

We would welcome your thoughts regarding this new venture. Email us your comments to [email protected].

Here we go.

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METRO photo

By Daniel Dunaief

Daniel Dunaief

We have a Rock And Roll Hall of Fame, a Baseball Hall of Fame, a US Space Walk of Fame, a Model Car Hall of Fame, and a World Video Hall of Fame, to name a few.

Why not a love hall of fame, which we could build right here on Long Island, with a picturesque view of the Long Island Sound or of one of the many glorious parks? After all, love is all around us, as the song and countless movies suggest.

Beyond the love for a child, spouse or family member, here are some of my nominees for the Love Hall of Fame. Feel free to share some of yours, if you’d like.

— Love of a pet. This is an easy place to start. After a tough day, what’s better than the feeling of a happy, furry, wet nose in your hands? Dogs and cats are popular not just because they’re great companions and don’t talk back when we’re rude or annoying, but because they are often so happy to see us that they run to get their favorite toy, chase balls for us, go on runs around the neighborhood, or lean against us while we read a book or watch our favorite films.

— Love of a song. Time disappears when we hear a song whose lyrics say exactly what we’re thinking or feeling or whose melody transports us to the moment we met our partner or spouse, learned that we’d been hired by our dream company or received admission to our top choice for college. Music can carry us back to that magic moment.

— Love of nature. We don’t all see or appreciate nature in the same way. Some of us adore snakes, mud puddles, and dark clouds, while others are moved by sunsets, water lapping on the shore, or a hawk soaring overhead. Whatever your favorite moments, nature provides an infinite array of spectacles, from the movements and behaviors of other animals to spectacular landscapes.

— Love of a sport. This one is particularly easy at this time of year. Passionate baseball fans are enjoying the last few innings of the playoffs, continuing whatever superstitions they think will help their teams win, while football is grinding through the first half of the season, hockey just started and basketball opens next Tuesday. Fans of a team, a sport, or all sports have plenty of choices for their agony and ecstasy.

— Love of cooking and eating. I’ve watched people, like my college roommate, who truly adore the fine art of cooking. They toss spices into the air, roll their wrists to stir pots, and conduct the scents of their creations into their receptive nostrils. When these same chefs eat, they appear filled and fulfilled, savoring the sauces, textures, flavors and combinations of tastes they brought to life.

— Love of art. People dedicate hours creating wood cabinets, landscape paintings, and portraits, as their imaginations shape the material in front of them.

— Love of religion. The world sometimes makes no sense. With its traditions, rituals, and, hopefully, spiritual encouragement, religion can help us find meaning and purpose and can connect us with our ancestors and with something larger than ourselves.

— Love of travel. People journey outside their immediate surroundings, visiting unfamiliar places and meeting new people whose lives differ but whose priorities – taking care of their children, contributing to the world, meeting their needs – are often the same. Undeterred by language differences, we can work through conversations, sharing moments with people who can become an ongoing part of our lives.

— Love of oneself. I know, I know. Numerous people have an overabundance of this that makes them insufferable. And yet, some people benefit from the right balance of enjoying their own company and sharing that sense of well-being and joy with others. I’m pretty sure Mary Poppins was able to love the children in her care because she – in the form of Julie Andrews or Emily Blunt – appreciated her own company.

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Lilly
Lilly

MEET LILLY!

Lilly is a Female Domestic Shorthair at the Smithtown Animal Shelter who is estimated to be around five years-old. Lilly and her housemate were brought to the Animal Shelter after a child in her old home discovered they had an allergy to cats. She is very sweet and affectionate with people, and an absolutely lovely friend to everyone she meets. She has experience living with two other cats and with an older child. Lilly can get along well with some cats, but may assert her dominance over others, and would prefer a home without any dogs.

Ophelia

MEET OPHELIA!

Ophelia is a gorgeous one year-old Female Border Collie Mix who was found during a storm. Ophelia is a sweet and kind girl with a gentle heart. She clearly has had no prior socialization, and this has led to her being very frightened and shy of new people. Despite this, Ophelia desperately craves love and affection from anyone who’s willing to give it. She needs a home that can help her work on her confidence and let her live the active life her breed requires. Ophelia would do well in a home with older children, and will likely get along with other pets.

If you are interested in meeting Lilly or Ophelia,  please call ahead to schedule an hour to properly interact with them in a domestic setting.

The Smithtown Animal and Adoption Shelter is located at 410 Middle Country Road, Smithtown. Visitor hours are currently 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.

 

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