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Firefighting foam erupts from fire hose a product that is a regular host of PFAS chemicals, resistant to oil and water. Pixabay photo

By Daniel Dunaief

Forever is wonderful when it comes to love, but not so much when it comes to chemicals that don’t break down and stay in the human body, accumulating over time and threatening people’s health.

In a move applauded by environmental advocates and health officials, the Environmental Protection Agency last week set a limit on the amount of so-called forever chemicals, such as per- and polyfluoroalkyl substances, called PFAS, of four parts per trillion in drinking water.

Water companies have until 2027 to complete initial monitoring to reduce chemicals that have been linked to damage to the kidney, testes, liver, thyroid, reproductive and immune system, according to the new regulations. Found in a host of products including fireman’s foam, carpets, clothing, food packaging and nonstick cookware, PFAS are resistant to oil and water.

New York State already had one of the toughest regulations in the country, as the Empire State set maximum contaminant levels of 10 parts per trillion for these chemicals in 2020.

Charles Lefkowitz, chairman of the Suffolk County Water Authority applauded the EPA for this new national standard.

The SCWA has been “preparing for this and we are well on our way to meeting all regulatory requirements within the time frame laid out by EPA,” Lefkowitz said in a statement. “Since 2020, when New York enacted its own PFAS rules, SCWA has been meeting or surpassing all standards. It has given us a great head start on the new rules, but there is still work to be done.”

Suffolk County Health Commissioner Dr. Gregson Pigott noted that the state’s water standards for emerging contaminants are among the most protective in the country.

“The new federal measures will have the greatest impact nationwide and will also further protect our drinking water on Long Island,” Dr. Pigott explained in an email.

Environmental groups recognized the ongoing work at the SCWA to meet these standards and appreciated the authority’s public disclosure of its testing results.

Adrienne Esposito, Executive Director of Citizens Campaign for the Environment, described the SCWA as “ready” for this rule change and “poised for action.”

Since 2016, the SCWA installed 27 new Granular Activated Carbon treatment systems that remove PFAS from drinking water, The authority expects to install as many as 80 new GAC systems to meet the new regulations.

“We are well within our way to achieving that within the timeframe set by the EPA,” Jeff Szabo, Chief Executive Officer of SCWA, explained in an email. 

Each new system costs about $1.5 million to install. SCWA had already instituted a $20 per quarter water quality treatment charge to customers in 2020, when New York State established its PFAS limits.

SCWA has also secured $9 million from New York State for GAC treatment, which, Szabo explained, would help reduce the cost to customers.

Rates won’t be increasing in the next fiscal year. The rates, which are based on the budget, may change in future years, depending on the operating budget, a spokesman said.

SCWA tests all of its wells at least semi-annually for PFAS. If the authority finds a well with these chemicals, it retests the well at least quarterly and, in some cases will test it every month or every two weeks.

Private  wells

Esposito urged people with private wells to test their water regularly.

“People think when they have a private well, it comes from a mysteriously clean spring,” said Esposito. “They must get their wells tested. Ignorance is not bliss. If there are PFAS, they must call and report it and see if they’re eligible to get federal funds for filtration.”

Esposito estimates the cost of testing for private well water could be $200 to $250.

Carbon filtration, using a process called reverse osmosis, can remove PFAS.

The cost of installing filters depends on the home and the type of filter. Several online providers estimate a cost between $800 and $3,000, although specific costs from different providers may vary.

Residents can call the Department of Health Services Office of Water Resources at (631) 852-5810 for information on testing by either the health department or a local contract laboratory. Health department staff are also available to provide treatment recommendations.

The New York State Department of Environmental Conservation has provided alternate water supplies to a limited number of private well owners on a case-by-case basis over the last several years.

The New York State legislature is considering proposed legislation to provide grant funding to private well owners with impacted wells to connect to public water or install treatment.

The county health department coordinates with the DEC and the state Department of Health when they receive information regarding water that exceeds PFAS containment levels.

People interested in further information about the health effects of the PFAS are urged to reach out to the New York State Department of Health.

Jaymie Meliker, Professor in the Department of Family, Population and Preventive Medicine in the Program in Public Health at Stony Brook University, added that private wells have numerous potential contaminants in part because Long Island has so many septic systems.

These wastewater systems are a source of nitrogen for waterways, leading to fish kills and can also add contaminants to drinking water.

Wastewater treatment is “vastly under resourced,” said Meliker. The county and the state need infrastructure investments.

As for PFAS, they can vary from one neighborhood to the next.

On the manufacturing side, companies are working to lower the toxins of PFAS, creating shorter chains that provide the same benefits without the negative effect on health.

Meliker was pleased that the EPA had established low level limits for these chemicals that accumulate in the human body.

The studies and concerns have been “going on for a couple of decades,” he said. “There’s enough evidence to suggest it’s prudent to do something.

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Sights from the 15th annual Health & Wellness Fest at the Meadow Club on April 13. Photo by Serena Carpino

By Serena Carpino

The Greater Port Jefferson Chamber of Commerce hosted its 15th annual Health & Wellness Fest at The Meadow Club in Port Jefferson Station on Saturday, April 13. Dozens of businesses — ranging from local clinics to internationally recognized organizations — attended the event to spread awareness of their efforts to help people create healthy habits and promote a wellness lifestyle. 

Both returning and new businesses set up booths around the club. Some had attended for 15 years. For most, it was their first time at the Health & Wellness Fest. 

Many of the booths were centered around heart and mental health, but there were also representatives from therapy groups, local gyms and several other related programs. However, there was one main theme across the board: preventative care. Officials spread awareness about early screenings for different illnesses, regular doctor checkups and healthy eating to prevent chronic diseases.

For example, the Fortunato Breast Health Center at Mather Hospital is promoting breast health through early mammograms — around age 40 for all women and earlier for those with a family history of breast cancer — as well as breast self-examinations. According to Maureen Burke, an employee at the center, they have many resources for women who have been diagnosed with cancer and are encouraging them to utilize these opportunities. 

“We’re just making them aware of different programs that we have,” Burke said. One such program is a navigation system in which nurses follow patients through their cancer journey and are always available via phone to help schedule appointments or answer any other questions. In addition, they educate people on lymphedema and offer different blood tests through their oncology department. 

Other programs, such as the Cornell Cooperative Extension of Suffolk County, focused on nutritious eating habits to promote longevity. This organization is advocating for the MyPlate meal plan, which stipulates that half of our plates should be filled with fruits and vegetables. In addition, Cornell encourages making better beverage choices and remaining physically active. 

Linda Altenburger, a registered dietitian and the program manager for the organization’s diabetes team, said that Cornell has also partnered with WIC and SNAP-Ed populations and has offered many free resources to the community.

“We’re an outreach, you know, to the community … [we have] a lot of hands-on programs for children and adults, and overall just provide great resources so the community knows where to turn,” she explained. “We’re trying to reduce the incidence of diabetes and help those that are trying to lose weight and just how to cook healthy with more fruits and vegetables.” 

Cornell Cooperative has also partnered with local farmers markets and Sun River Health to further their efforts for the community. 

There were representatives at the fest from mental health groups such as LightPath Counseling Group and Youth Enrichment Services. 

LightPath has 20 therapists that have various focuses. Janice Martin, director of LightPath and a clinical social therapist for over 20 years said, “We do anxiety, depression, relievement, pretty much everything. Each therapist specializes in something different.”

Youth Enrichment Services was founded in 1987, but recently added its Community Mental Health Promotion and Support division. The organization is mainly located in Brentwood and Islip, with several school programs focused on mental health and community drug misuse awareness. This is the first year YES has attended the Health & Wellness Fest. Fernando Hurtado, a member of the COMHPS division, explained that it “is a good opportunity because it gives everybody a way to bolster everybody’s mental health outreach.”

Other groups present at the event included Redefine Fitness, Stony Brook University Heart Institute, New York Blood Center, Port Jefferson Free Library, Countryside Animal Hospital and more. 

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Try eating a more plant-based, whole foods diet. METRO photo
Cardiac biomarkers can help you monitor your progress

By David Dunaief, M.D.

Dr. David Dunaief

Heart disease is on the decline in the U.S. Several factors have influenced this, including better awareness, improved medicines, earlier treatment of risk factors and lifestyle modifications (1). Still, we can do better. Heart disease still underpins one in four deaths, and it is preventable.

What are the baseline risks for heart disease?

Significant risk factors for heart disease include high cholesterol, high blood pressure and smoking. In addition, diabetes, excess weight and excessive alcohol intake increase your risks. Unfortunately, both obesity and diabetes rates are increasing. For patients with type 2 diabetes, 70 percent die of cardiovascular causes (2).

Inactivity and the standard American diet, which is rich in saturated fat and calories, also contribute to atherosclerosis, or fatty streaks in the arteries, the underlying culprit in heart disease risk (3).

A less-discussed risk factor is a resting heart rate greater than 80 beats per minute (bpm). A normal resting heart rate is typically between 60 and 100 bpm. If your resting heart rate is in the high-normal range, your risk increases.

In one study, healthy men and women had 18 and 10 percent increased risks of dying from a heart attack, respectively, for every increase of 10 bpm over 80 (4). The good news is that you can reduce your risks.

Does medication lower heart disease risk?

Cholesterol and blood pressure medications have been credited to some extent with reducing the risk of heart disease. Unfortunately, according to 2018 National Health and Nutrition Examination Survey (NHANES) data, only 43.7 percent of those with hypertension have it controlled (5). While the projected reasons are complex, a significant issue among those with diagnosed hypertension is their failure to consistently take their prescribed medications.

Statins have played a key role in primary prevention, as well. They lower lipid levels, including total cholesterol and LDL (“bad” cholesterol). They also lower inflammation levels that contribute to cardiovascular disease risk. The JUPITER trial showed a 55 percent combined reduction in heart disease, stroke and mortality from cardiovascular disease in healthy patients — those with a slightly elevated level of inflammation and normal cholesterol profile — with statins.

The downside of statins is their side effects. Statins have been shown to increase the risk of diabetes in intensive dosing, when compared to moderate dosing (6).

Unfortunately, another side effect of statins is myopathy (muscle pain). I have a number of patients who suffered from statin muscle pain and cramps shift their focus to diet and exercise to get off their prescriptions. Lifestyle modification is a powerful ally.

Do lifestyle changes really reduce heart disease risk?

The Baltimore Longitudinal Study of Aging, a prospective (forward-looking) study, investigated 501 healthy men and their risk of dying from cardiovascular disease. The authors concluded that those who consumed five servings or more of fruits and vegetables daily with <12 percent saturated fat had a 76 percent reduction in their risk of dying from heart disease compared to those who did not (7). The authors theorized that eating more fruits and vegetables helped to displace saturated fats from the diet. These results are impressive and, to achieve them, they only required modest dietary changes.

The Nurses’ Health Study shows that these results are also seen in women, with lifestyle modification reducing the risk of sudden cardiac death (SCD). Many times, this is the first manifestation of heart disease in women. The authors looked at four parameters of lifestyle modification, including a Mediterranean-type diet, exercise, smoking and body mass index. The decrease in SCD was dose-dependent, meaning the more parameters adopted, the greater the risk reduction. SCD risk was reduced up to 92 percent when all four parameters were followed (8). Thus, it is possible to almost eliminate the risk of SCD for women with lifestyle modifications.

How can you monitor your progress in lowering heart disease risk?

To monitor your progress, cardiac biomarkers, such as blood pressure, cholesterol, body mass index, and inflammatory markers like C-reactive protein can tell us a lot.

In a cohort study of high-risk participants and those with heart disease, patients began extensive lifestyle modifications: a plant-based, whole foods diet accompanied by exercise and stress management (9). The results showed improvements in biomarkers, as well as in cognitive function and overall quality of life. Most exciting is that results occurred over a very short period to time — three months from the start of the trial. Many of my patients have experienced similar results.

Ideally, if a patient needs medications to treat risk factors for heart disease, it should be for the short term. For some patients, it makes sense to use medication and lifestyle changes together; for others, lifestyle modifications may be sufficient, provided the patient takes an active role.

References:

(1) cdc.gov/heartdisease/facts. (2) Diabetes Care. 2010 Feb; 33(2):442-449. (3) Lancet. 2004;364(9438):93. (4) J Epidemiol Community Health. 2010 Feb;64(2):175-181. (5) Hypertension. 2022;79:e1–e14. (6) JAMA. 2011;305(24):2556-2564. (7) J Nutr. March 1, 2005;135(3):556-561. (8) JAMA. 2011 Jul 6;306(1):62-69. (9) Am J Cardiol. 2011;108(4):498-507.

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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Northwell Family Health Center at Huntington. Photos courtesy Northwell Healt
Northwell Family Health Center at Huntington. Photos courtesy Northwell Healt
Northwell Family Health Center at Huntington. Photos courtesy Northwell Healt
Northwell Family Health Center at Huntington. Photos courtesy Northwell Healt
Northwell Family Health Center at Huntington. Photos courtesy Northwell Healt
Northwell Family Health Center at Huntington. Photos courtesy Northwell Healt

By Daniel Dunaief

Different name, different location, same mission.

On Monday, April 8, Northwell Health opened its family health center at 1572 New York Avenue in Huntington Station. The center will replace the Dolan Family Health Center in Greenlawn.

The new center, which occupies a space formerly held by Capital One Bank, will provide primary care, as well as multi-specialty care for women.

Easily accessible by bus lines, the center is “in the heart of the community we serve” with the majority of the expected 30,000 patient visits each year coming from Huntington Station, said Lee Raifrman, Assistant Vice President of Operations for Huntington Hospital and the Northwell Family Center Health Center. Instead of having patients travel to the center, “we’re moving to them.”

The center anticipates around 30,000 visits per year.

“The new location, nestled in the heart of the neighborhood it serves and conveniently close to bus lines, ensures that our care remains accessible to all,” Stephen Bello, regional executive director of Northwell’s Eastern region, said in a statement.

The almost 18,000 square-foot building will provide pediatric care, adult/ family medicine, OB/GYN, ophthalmology, podiatry, gastroenterology, orthopedics and infectious disease care specific to HIV.

The center’s prenatal care assistance program, which offers expanded Medicaid coverage for pregnant women and children under the age of 19, will continue to operate. The center also provides outreach through its Women, Infants and Children program, a supplemental nutriton offering that features nutritious foods for low-income pregnant, breastfeeding and postpartum women, infants and children through the age of five.

The center also features a Nutrition Pathways Program, which is a collaboration dating to 2020 with Island Harvest that offers personalized nutrition counseling sessions with a registered dietician, access to nutritious foods from the on-site healthy food pantry, referrals to community resources and assistance with SNAP enrollment.

Through Nutrition Pathways, the center screens patients for social determinants of health.

“One of the areas we found that’s becoming more prevalent, unfortunately,” said Raifman. The center directs patients who are food insecure to a registered dietician, who can not only help balance food intake, but who can also manage the financial aspect of finding food.

“Better eating equals improved outcomes,” said Raifman.

Staff at the center reflects the diversity of the patient population.

About 19 percent of the patients are self pay, while a small percentage are on medicare. The center accepts many insurance plans, including all types of medicaid.

Staff at the Family Health Center will reflect a staff that reflects the patient population.

“Our mission is clear: to elevate the health of the communities we serve,” Nick Fitterman, Executive Director of Huntington Hospital said in a statement. “From our homeless to immigrant patients, we open our doors to all, offering care that’s not just accessible but compassionate.”

The hours for the center will be the same as they were in the previous location, opening 8:30 am to 5 pm on Monday and Wednesday and 8 am to 8 pm on Tuesdays and Thursdays.

Northwell executives would like to build similar healthcare facilities in other places within its geographic range.

The health care provider “anticipates replicating this model throughout the system in other under-served communities,” said Raifman.

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Stony Brook University Hospital

Becker’s Healthcare has named Stony Brook Medicine to its 2024 list of 150 Top Places to Work in Healthcare. The list highlights hospitals, health systems and healthcare companies that prioritize workplace excellence and the happiness, satisfaction, well-being and fulfillment of their employees.

“Being recognized by Becker’s Healthcare as one of the Top Places to Work in Healthcare is a testament to our dedicated team. It’s a reflection of our commitment to create a culture where every member of Stony Brook Medicine feels valued, supported and empowered to thrive,” said William A. Wertheim, MD, MBA, Interim Executive Vice President for Stony Brook Medicine. “This achievement reaffirms our ongoing efforts to create an environment where everyone feels a connection to the important work that they do and the organization.”

The organizations that make up Becker’s Top Places to Work in Healthcare offer robust benefits packages, professional and personal development opportunities, diverse work environments and the resources necessary for work-life balance. To learn more and view the list, visit this link.

This recognition is the latest distinction the Stony Brook Medicine healthcare system has received in 2024. For the second year in a row, Stony Brook University Hospital (SBUH)achieved the highest level of national recognition as one of America’s 50 Best Hospitals from Healthgrades. SBUH was also ranked number 19 on Money magazine’s prestigious “Best Hospitals of 2024” list. This recognition gave SBUH an “A” ranking for General Practice and underscores Stony Brook’s unwavering commitment to providing the highest level of care to every Long Island resident.

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Photo courtesy of Let. Rob Trotta's office

Suffolk County Legislators Rob Trotta and Leslie Kennedy joined hospital officials at the return of its community health fair on the grounds of St. Catherine’s Medical Center in Smithtown on April 13. The event provided access to more than 50 specialties and programs offered at the hospital. Medical staff conducted free glucose, cholesterol and blood pressure screenings. Community organizations were also present to share their resources and answer questions.

“St. Catherine is our community hospital and I proud to have it located in my 13th Legislative District. I am a supporter of the hospital and its events,” said Suffolk County Legislator Rob Trotta.

Pictured at the health fair from left to right are Suffolk County Legislator Rob Trotta; Mary Ellen McCrossen, the hospital’s Community Relations and EMS Managers; Declan Doyle, President of St. Catherine; Suffolk County Legislator Leslie Kennedy; NYS Senator Mario Mattera; Randy Howard, COO of St. Catherine;  and Suffolk County Comptroller John Kennedy.

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Nicole Jellen with her nursing mentor, Lani Blanco. Photo courtesy Jeanne Neville

Nicole Jellen, a Stony Brook University School of Nursing student, has been named a 2024 recipient of the SUNY Chancellor’s Award for Student Excellence (CASE). This award is the highest honor that can bestowed upon a student by the University. A student leader, peer educator, and active volunteer, Jellen will receive this honor at a ceremony in Albany on April 11. This May she will graduate with a Bachelor of Science Degree from the School of Nursing.

According to the SUNY Chancellor’s office, the award “honors SUNY students who have successfully integrated SUNY excellence into many different aspects of their lives, including academics, leadership, campus involvement, community service, or creative and performing arts.” The award also celebrates students’ abilities to lead, give back, and be role models for fellow students.

Growing up in Port Jefferson Station, Jellen was intrigued by nursing as a young girl as she saw her mother, Jessica Jellen, work as a neonatal intensive care unit (NICU) nurse and make a huge difference in the lives of babies, and their families. Jellen decided early on to pursue nursing as a career.

She was nominated for the CASE award by four leading Nursing faculty. Jellen has flourished as a nursing student at Stony Brook in all areas of academics and service.

Jellen maintained academic excellence all four years and achieved a 3.94 GPA. She was elected President of the Pre-Nursing Society in 2023, where she served as a mentor and teacher to students. She is also a pathophysiology and pharmacology tutor to fellow students.

Additionally, Jellen is a certified nursing assistant, March of Dimes volunteer, a volunteer educator about domestic violence, and a member of and part of the social media committee for Sigma Kappa Gamma, an academic honor society in Nursing.

Jellen is setting the bar high for her future too. She aspires to be an Intensive Care Unit (ICU) nurse after graduation, specifically in the Cardiothoracic ICU, and hopes to become a Certified Registered Nurse Anesthetist.

“My mother inspired me to take on the path of nursing, and as a nurse I hope to make my patients’ darkest days a little brighter,” says Jellen. “The Stony Brook School of Nursingexperience has transformed me in the best way possible. The faculty, my classmates, and coworkers continue to remind me just how fulfilling nursing as a field truly is.”

Professor Lani Blanco, MA, RN, Jellen’s School of Nursing mentor, and one of the faculty who nominated her, describes Jellen as a student who has not only stood out in her academics and passion for nursing but also for her outstanding community service and compassion – all great qualities for a future nurse.

“Her achievements have made such a lasting impact to aspiring and current nursing students, the School of Nursing, the University, and to the communities we serve,” says Blanco. “The world needs nurses now more than ever, and I look forward to the wonderful and significant impact she will make in the field of nursing.”

 

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METRO photo
Focus less on balancing protein, carbohydrates and fats

By David Dunaeif, M.D.

Dr. David Dunaief

The road to weight loss, or even weight maintenance, is complex. There are many things that influence our eating behavior, including food addictions, boredom, lack of sleep and stress.

Knowing a food’s caloric impact doesn’t always matter, either. Studies assessing the impact of nutrition labeling in restaurants gave us a clear view of this issue: knowing an item’s calories either doesn’t alter behavior or can actually encourage higher calorie purchases (1, 2). The good news is that controlling weight isn’t solely about exercising willpower. Instead, we need to change our diet composition.

In my clinical experience, increasing food quality has a tremendous impact. Focusing on foods that are the most micronutrient dense tends to be the most satisfying, rather than focusing on foods’ macronutrient density, such as protein, carbohydrates and fats. In a week to a few months of emphasizing micronutrients, one of the first things patients notice is a significant reduction in cravings.

Are refined carbohydrates bad for you?

Generally, we know that refined carbohydrates don’t help. Looking deeper, a small, randomized control trial (RCT) showed refined carbohydrates actually may cause food addiction (3). Certain sections of the brain involved in cravings and reward are affected by high-glycemic foods, as shown with MRI scans of trial subjects.

Study participants consumed a 500-calorie shake with either a high-glycemic index or a low-glycemic index. They were unaware of which they were drinking. The ones who drank the high-glycemic shake had higher levels of glucose in their blood initially, followed by a significant decline in glucose levels and increased hunger four hours later. The region of the brain that is related to addiction, the nucleus accumbens, showed a spike in activity with the high-glycemic intake.

According to the authors, this effect may occur regardless of the number of calories consumed. Commonly found high-glycemic foods include items like white flour, sugar and white potatoes. The conclusion: Everyone, but especially those trying to lose weight, should avoid refined carbohydrates.

What’s the right balance of protein, carbohydrates and fats?

We tend to focus on macronutrients — protein, carbohydrates, and fats — when we look at diets. Which has the greatest impact on weight loss? In an RCT, when comparing different macronutrient combinations, there was very little difference among study groups, nor was there much success in helping obese patients reduce their weight (4, 5). Only 15 percent of patients achieved a 10 percent reduction in weight after two years.

The four different macronutrient diet combinations involved overall calorie restriction. In addition, each combination had either high protein, high fat; average protein, high fat; high protein, low fat; or low protein, low fat. Carbohydrates ranged from low to moderate (35 percent) in the first group to high (65 percent) in the last group. This was another well-designed study, involving 811 participants with an average BMI of 33 kg/m², which is classified as obese.

Focusing primarily on macronutrient levels and calorie counts did very little to improve results.

What’s the relationship between           micronutrients and weight?

In an epidemiological study looking at National Health and Nutrition Examination Survey data, results demonstrate that those who are overweight and obese tend to be micronutrient-deficient (6). Micronutrients include carotenoids, such as lutein, zeaxanthin, beta-carotene, alpha-carotene and beta-cryptoxanthin, as well as vitamin B12, folate and vitamins C, E and D.

Unfortunately, taking supplements doesn’t solve the problem; generally, micronutrients from supplements are not the same as those from foods. With a few exceptions, such as vitamin D and potentially B12, most micronutrient levels can be raised without supplementation, by increasing the variety of foods in your diet. Please ask your doctor.

Long-term benefits of reducing              cortisol levels

Cortisol raises blood-levels of glucose and is involved in promoting visceral or intra-abdominal fat. This type of fat can coat internal organs, such as the liver, and result in nonalcoholic fatty liver disease. Decreasing the level of cortisol metabolite may also result in a lower propensity toward insulin resistance and may decrease the risk of cardiovascular mortality.

The good news is that once people lose weight, it may be easier to continue to keep weight off. In a prospective (forward-looking) study, results show that once obese patients lost weight, the levels of cortisol metabolite excretion decreased significantly (7). This is an encouraging preliminary, yet small, study involving women.

Controlling or losing weight is not solely about calorie-counting. While calorie intake has a role, food’s nutrient density may be more important to your success and may play a significant role in reducing your cravings, ultimately helping you manage your weight.

References:

(1) Am J Pub Health 2013 Sep 1;103(9):1604-1609. (2) Am J Prev Med.2011 Oct;41(4):434–438. (3) Am J Clin Nutr Online 2013;Jun 26. (4) N Engl J Med 2009 Feb 26;360:859. (5) N Engl J Med 2009 Feb 26;360:923. (6) Medscape General Medicine. 2006;8(4):59. (7) Clin Endocrinol.2013;78(5):700-705.

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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Left to right are Councilman Neil Manzella; Councilmember Jonathan Kornreich; Councilwoman Jane Bonner; Frank Rivera; Supervisor Dan Panico; Councilmember Karen Dunne Kesnig; Town Clerk Kevin LaValle and Councilman Michael Loguercio. Photo from TOB

 At the April 4 Brookhaven Town Board meeting, Councilwoman Jane Bonner presented a proclamation to Sarcoidosis of Long Island founder Frank Rivera declaring April as Sarcoidosis Month in the Town of Brookhaven.

Mr. Rivera is a Patients Rising Senate Member and Autoimmune Association volunteer, a Global Genes RARE Foundation Alliance Member and Advocate, an ambassador for The EveryLife Foundation and a Working Group Member.

The organization supports people afflicted with Sarcoidosis, a rare disease characterized by the formation of tiny clumps of inflammatory cells in one or more organs of the body. These clumps can interfere with an organ’s structure and function. Symptoms could include chest pain, seizures, meningitis, swelling of the joints, hearing loss and blurred vision. 

Mr. Rivera founded Sarcoidosis of Long Island in 2012 after being diagnosed with the disease in 2011. He has been a local, state, and federal advocate for Sarcoidosis and has spoken at two Congressional briefings. He is a former National Ambassador for the Foundation for Sarcoidosis Research, a Global Genes RARE Foundation Alliance Member and Advocate, an ambassador for The EveryLife Foundation and a Working Group Member. For more information about Sarcoidosis of Long Island, go to www.sarcoidosisofli.org.

 

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The School of Health Professions’ OT practice room where students learn how to use equipment designed for the rehabilitation process. Photo from Stony Brook University School of Health Professions

The Stony Brook University School of Health Professions is converting its Occupational Therapy (OT) educational offerings to a new doctoral program that begins with its first students in June. This will be the first State University of New York (SUNY) Doctor of Occupational Therapy (OTD) program on Long Island and in the NYC Metro Region, and only the second one on Long Island.

Occupational Therapy is a growing profession in the field of health sciences. According to the U.S. Bureau of Labor and Statistics, OT jobs in various sectors of healthcare are expected to increase by 12 percent or more from 2022 to 2032. Occupational therapists work in hospitals, rehabilitation centers, senior centers, academic environments and other settings in order to evaluate and treat people who have injuries, disabilities,  diseases and mental health issues. They provide a plan for these individuals to help them recover and improve physically and mentally to learn or re-learn how to complete tasks necessary for daily and productive living.

“Doctoral programs are designed to enhance the knowledge of occupational therapists to its highest level and help them be best prepared for applying evidence-based healthcare and for engaging in research,” says Dale A. Coffin, EdD, OTR/L, Clinical Associate Professor and Chair of Stony Brook’s OT Program.

She explains the importance to address physical rehabilitation and mental health during an era of advancing health procedures for many conditions, long-term health issues arising from the COVID-19 pandemic, and emerging settings for populations with limited mobility and abilities, such as “aging in place” living quarters for the elderly, as leading reasons to maximize OT education and services.

The School of Health Professions’ OTD program is three-years and follows a hybrid model, which limits the amount of class time on campus. It also offers students the opportunity to learn via simulation modules, new technologies, and how to conduct telehealth. The School’s existing Master of Science OT program is being phased out.

Currently there are 167 OTD programs nationwide, of which 65 are in pre-accreditation status similar to Stony Brook.

The School of Health Professions is now accepting applications for the 2024-2025 academic year.

 

 

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