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U.S. Rep. Lee Zeldin. Flie photo by Alex Petroski

Thousands of masks have come to Suffolk County over the past two days courtesy of the White House, both from purchases and donations.

After U.S. Rep. Lee Zeldin (R-NY1) put out a tweet asking for help for Suffolk County, where the number of positive diagnosis for COVID-19 continues to climb above 10,000, a member of the President Donald Trump (R) family connected with County Executive Steve Bellone (D). The county executive, who had run out of his supplies of personal protective equipment, purchased 150,000 surgical masks.

On Sunday night,  Trump announced that he would ship 200,000 coveted n95 masks to Suffolk County, which came from a federal procurement collection, said Zeldin.

“For the n95 masks to come in without a charge helps all of those local entities laying out a lot of cash at the moment,” Zeldin said.

Zeldin is continuing to reach out to other resources around the country, hoping to secure hospital gowns, among other equipment. Indeed, Zeldin spoke earlier today with the Ambassador to Iceland, who is “working the phones to see if he can help the county procure gowns.”

The 1st district representative said he believes the timing of his tweet seeking assistance for Suffolk County “connected with Americans who may not even live in New York, but who were feeling the spirit as fellow Americans to do whatever they can.”

As for ventilators, Zeldin indicated that the White House is likely to respond to any requests for additional equipment with a question about the location and use of the 4,000 ventilators the federal government already sent.

“It appears [the ventilators from the federal stock pile] haven’t been deployed yet,” Zeldin said. “If you went back to the White House right now and said, ‘I need another ventilator,’ it would be a fair question to be asked back, ‘Where are the ventilators that we sent you?’”

Zeldin said he understands the plan at the state level to increase the number of ventilators as the state prepares for any sudden increase in demand, adding he wouldn’t expect the state to provide a map of where every ventilator is located,  but he does believe an accounting of the life saving equipment would help the White House respond to any further requests.

Zeldin said putting together the location of ventilators in Suffolk County is, “something that [Bellone’s] office is working proactively on to identify. It appears that they know where every ventilator is in the county. They were working to obtain additional information beyond that and hopefully will yield some additional intelligence that helps in the process.”

Despite Gov. Andrew Cuomo (D) again today sharing he is optimistic New York could be hitting the apex of the virus, the number of cases on Long Island continue to grow as testing continues.

As of this morning, Bellone said the number of positive tests in Suffolk County for the virus had climbed to 13,487, which is an increase of over 1,000.

“We’re seeing a big increase in the number of people testing positive,” Bellone said.

The hospitalization rate, however, increased at a much slower pace than it had prior to Sunday as well. The number of people in the hospital with the virus stands at 1,463, which is up 26 patients, with 546 residents in the Intensive Care Unit, an increase of six patients.

“For the second day in a row, we’ve had a modest increase in the number of hospitalizations,” Bellone said “That is a good sign.”

Another positive piece of news, Bellone said, is that 63 people have left the hospital who had Covid-19.

These encouraging signs mean that the social distancing and New York Pause, which Cuomo extended until April 29, are working.

They do not, however, indicate that “we take our foot off the pedal,” Bellone said. “The worst thing is to see positive news and decide we can start adjusting our life back to normal. Then, we would see a rise in cases again and, instead of a plateau, we would go back up. We do not want to see that happen.”

As of today, Suffolk County had 710 hospital beds available, including 65 ICU beds.

The number of people who have died with coronavirus continues to rise. Bellone reported an additional 24 people who have died from complications related to coronavirus, which brings the total to 199. He expects those numbers may be under reported and the county may have crossed above 200 deaths.

Bellone continued to urge people who have recovered from a confirmed case of Covid-19 to donate blood plasma, which is rich in virus-fighting antibodies, to the Red Cross, to the New York Blood Center or to the Mount Sinai health system, which are available online at NYBloodCenter.org or MountSinai.org.

The Suffolk County Police Department continues to respond to calls about residents who are not complying with social distancing the New York Pause. Yesterday, the police department had 24 calls, of which three were non compliant. Once the officers spoke to those who were not compliant, they immediately changed their behavior and the officers didn’t have to issue any tickets.

Police Commissioner Geraldine Hart said some of those who were not complying with the ongoing social distancing rules have been in the hard-to-reach immigrant community. The police department is going out with signage and fliers. This morning,  Hart participated in a radio show with La Fiesta “to make sure we’re communicating.” The police department has also reached out to community leaders to ask for their help.

To reach younger people who may not be complying, the police department has also used social media. Over the weekend,  Hart partnered with school superintendents to do a robocall to ask families to follow the current public health mandates.

As of this morning, 56 sworn officers and six civilians had contracted COVID-19.

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Update: This story includes details about 200,000 n95 masks President Trump is delivering tomorrow to Suffolk County. The story also adds a quote from Representative Lee Zeldin.

With the well running dry for personal protective equipment from local resources as the viral pandemic spreads, Suffolk County is receiving much-needed help from President Donald Trump, White House Senior Advisor Jared Kushner and U.S. Rep. Lee Zeldin (R-NY1).

After Suffolk County received 150,000 n95 masks Sunday, President Donald Trump (R) said the White House is sending an additional 200,000 masks to the county tomorrow at no cost.

Zeldin, who is a member of the bipartisan Congressman Coronavirus Task Force, had been asking for help to find masks for a county where the number of people infected and dying from the virus continued to climb.

Soon after Zeldin’s request for assistance, Kushner told Zeldin he would like to ensure that Suffolk County receives all the personal protective equipment it will need over the next 30 days.

“We are all in this fight together, and I am encouraged by the Administration’s swift, effective and immediate response to Suffolk Suffolk County has the support of officials at every level of government, Bellone said, with ongoing help from Governor Andrew Cuomo (D) and the commitment Zeldin received from Jared Kushner, a senior advisor in the White House and President Donald Trump’s son-in-law.

“It is a significant thing to know we have that commitment from the White House,” said County Executive Steve Bellone (D) on his daily conference call with reporters.

“I want to thank [Congressman] Zeldin,” Bellone said. “We will continue to work together.”

The Suffolk County Fire Chief’s Association, meanwhile, expressed its ongoing appreciation for the effort and sacrifice of health care workers throughout the county this evening at 7 pm. Throughout the county, Suffolk County fire trucks sounded their sirens in unison to “express their gratitude and support,” Bellone said.

Indeed, the number of positive diagnoses has increased to 12,405 in Suffolk County, which is an increase of 1,035 over the previous 24 hours,.

At the same time, the number of patients hospitalized with coronavirus increased to 1,435, which is a rise of 19 over the previous day. The increase is the second consecutive day when the number of hospitalizations has risen by a smaller amount.

“We’re hopeful that is a trend that will continue,” Bellone said. “We hopeful,” but it’s too early to say that is the case. At this point, it’s too early to predict when the surge will reach its peak.

The number of patients in the Intensive Care Unit climbed by 113, which is a “huge jump,” Bellone said, bringing the total in the ICU to 540 people.

Additionally, the number of people who have died with the virus has now climbed to 175

On a positive note, the number of patients with Covid-19 who were released from the hospital increased to 107 over the last day.

In addressing the Center for Disease Control and Prevention’s recommendation that people wear face coverings when they go out in public, Bellone urged people not to use the N95 surgical masks that the county is reserving for health care workers and others exposed to infected residents regularly as a part of their jobs. Instead, he suggested that people use cloth coverings.

On his facebook page and social media sites, Bellone is sharing ways residents can make their own masks, which can include wrapping a tee shirt around their heads.

The county executive said he would be “wearing one when I am out in public. If I’m out anymore and I haven’t been going to the store much, I will wear a face covering in alignment with guidance from the CDC. We are modeling what we are asking county residents to do.”

Separately, the county is revising the limitations for cultural and artistic grants. Those organizations that have received those grants can use them to fund payroll and offer virtual programming. Bellone said the county “understands that may be a necessity for a while.”

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Suffolk County lost 28 more residents to the coronavirus, bringing the total in the county to 124, according to County Executive Steve Bellone (D). The residents who succumbed to the disease Covid-19 ranged in age from their mid 30’s to their mid 90’s.

“We extend our heartfelt condolences,” said Bellone on his daily conference call with reporters. “We pray for all those who are in the hospital and are struggling without family and loved ones to be there for them.”

Bellone reminded residents that the reason for social distancing rules and for the pause in non essential businesses is to prevent the spread of the disease and to save lives.

Bellone also reported that the county has given out over 1.7 million pieces of personal protective equipment, which has become a critical need for health care workers and first responders who help the public. At this point, the county has emptied its entire cache of supplies and is working to continue to get donations and to purchase personal protective equipment from around the world.

Bellone thanks the Long Island Chinese American Association for donating 20,000 ear loop masks. The county will “make sure they get to emergency personnel and to places that need them.”

The county executive suggested several ways residents could contribute to the effort to combat the virus and the effects it has had on the community.

People who have recovered from Covid-19 can become a part of the solution for others who are battling against the virus. Anyone who has had a confirmed case of the disease and has recovered can donate plasma as a part of a treatment regime. Their antibodies, which helped them fight off the virus, could also prove effective in the molecular battle others are fighting.

Bellone encouraged everyone who has had the virus and recovered to reach out to the red cross, at redcrossblood.org to see if they are eligible to donate life-saving plasma.

Additionally, people can provide financial support to organizations that work tirelessly to feed people throughout Long Island by donating to Long Island Harvest and Long Island Cares at LIHarvest.org and LICares.org.

As for the number of cases of coronavirus, Suffolk County now has 11,370 people with the virus. That’s an increase of 1,216 people over a 24 hour period.

The number of people hospitalized increased by 118, which is “a little bit of good news,” Bellone said. “That is a lower number than we’ve seen in the last couple of days.”

Health care workers throughout the county are currently caring for 427 patients in Intensive Care Units, which is up 26 from yesterday. The number of available ICU beds, however, climbed to 72, which is up from 43 the day before.

Also on the positive side, 96 patients hospitalized with Covid-19 left the hospital over the last day.

As the Centers for Disease Control and Prevention has urged people to wear masks when they go out in public, Bellone said the Suffolk County Police Department has “had conversations” about officers wearing masks, but has not yet reached a decision on that.

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Ketogenic Diet
Making sense of the latest health trends

By Melissa Arnold

Low fat or full fat? Splenda, stevia or cane sugar? Three large meals or six small ones? New schools of thought and trends surrounding healthy eating are cropping up all the time, and it’s easy to feel overwhelmed or confused, especially when the advice is conflicting. 

Whether you’ve been using a particular weight loss plan with accurate information is key. Dr. Konstantinos Spaniolas, Associate Director of the Stony Brook Medicine Bariatric and Metabolic Weight Loss Center, has given us his take on three of the most popular diet trends, the Ketogenic Diet, Clean Eating and Intermittent Fasting.

The Ketogenic Diet 

(also known as keto)

The basics: The keto diet uses the body’s metabolic processes to its advantage. In keto, carbs are drastically limited, which lowers glucose and insulin levels. Without glucose to use as its typical fuel, the body enters a state called ketosis, where fat is burned almost exclusively. Lots of unsaturated (healthy) fats, dairy products and moderate amounts of protein are central to going keto. Say goodbye to carbs and sugar, not only in forms like bread and pasta, but also in most fruits and some vegetables.

What it’s like: Tom Walheim, Sr., a 56-year-old engineer from Mullica Hill, N.J., started to search for a diet plan in 2018 when he acknowledged he wasn’t feeling as good as he did when he was younger. After trying other diets, he chose keto because it was easy to implement and would fit in well with his lifestyle. All three of Walheim’s children have celiac disease, so their home was already gluten free.

“Having already eliminated carbs, I had already separated myself from the things that would be tough for a lot of people to give up,” Walheim said. The first 15 pounds came off quickly, and within about six months he’d lost 40 pounds. Ultimately, Walheim has maintained a ketogenic diet for more than two years and plans to continue. 

“I love to grill, and I’ve rediscovered cooking through learning different keto recipes, like Instant Pot chili. And I’ve never felt deprived — I will occasionally have a cheat day when celebrating a special occasion with my family. For example, I enjoyed the cake at my daughter’s wedding this fall.”

Pros: Weight loss can be significant and quick, especially early on. Lovers of fatty foods can enjoy plenty of their favorites — keto is sometimes nicknamed the “butter and bacon diet.”

Cons: It takes time for the body to adjust to going keto, and you may feel moody, groggy, constipated or just unwell. The body can rebel when you begin to transition off of keto as well, causing gastrointestinal issues and even weight gain.

Dr. Spaniolas’ take: “In the keto diet, there’s an introductory week that is very low calorie, and that can be a problem for some people. With any diet that restricts certain foods, you can expect a period of adjustment, but most people tolerate it well. It’s important to stay well-hydrated to minimize risk of constipation and boost your overall wellbeing.

Clean Eating 
Paleo Diet

(also known as the Paleo Diet or Whole30, among others)

The basics: Generally speaking, eating clean is about sticking to foods that are in their natural, whole or unprocessed form. According to the Paleo Diet’s official website, this healthy eating strategy emphasizes foods eaten by our hunter-gatherer ancestors. That means lots of veggies, fruits, meat, eggs and some fats and oils are in, whole grains, dairy, processed foods and refined sugars are out. Different plans will vary their lists of acceptable foods.

What it’s like: As a captain in the U.S. Air Force, Gemma Fiduk works hard to ensure she remains healthy and fit. When it comes to dieting, she takes a balanced approach of eating well-rounded, nutritious meals along with occasional treats.

“In 2015, I was stationed in Little Rock, Arkansas. I was a physical training officer at the time, so I was trying to take a lot of courses on fitness and nutrition to better support my airmen,” said Fiduk, who’s now stationed in Fairborn, Ohio. “The gym on base offered a lot of different seminars and workshops, and one of them was about Whole30.”

Armed with information from the seminar and the official Whole30 book by Melissa Hartwig Urban, Fiduk said she was excited to give the program a try. 

“The program doesn’t hide that it takes discipline, but they prepare you well for the experience and I love a good challenge. Besides, it’s only 30 days,” she said. “I came away with a better understanding of my own body and the foods that were and weren’t best for me.”

While she didn’t weigh herself after completing Whole30, Fiduk noted a definite reduction in bloating and positive changes in her figure. After the initial cravings passed, she loved the sense of physical wellbeing and accomplishment that came along with cooking at home.

She admits that it can be easy to fall into eating the same meals repetitively or feeling bored with the menu, but said it’s easy to find a wealth of clean recipes online for those willing to look. The Whole30 website offers meal planning and grocery delivery services for a fee.

Pros: In the case of Whole30, the diet has a defined start and end date.

Cons: Lots of advance planning and shopping is required, and finding compliant ingredients or condiments can be tricky in regular grocery stores.

Dr. Spaniolas’ take: “The idea with clean eating is to take yourself back to the most basic nutrients. It’s less about weight loss than it is about overall wellbeing, and in the case of Whole30, it’s not meant to be a forever plan — you take it on for a set period of time and then return to eating normally.

Intermittent Fasting
Intermittent Fasting

(Also known as intermittent energy restriction)

The basics: Fasting is as simple as it sounds — not eating anything for a set period of time. By restricting the time spent eating, the body is said to better regulate blood sugar and increase the ability to burn fat. Options abound with fasting, including daily fasts of 12 to 20 hours, restricting eating hours only on certain days, or not eating at all for one or two days each week. During eating periods, a normal diet is consumed — calories are not restricted.

Pros: You can eat whatever you want — there are no forbidden foods. Fasting requires little preparation and can be started and stopped as your lifestyle requires.

Cons: Getting used to hunger pangs can be tough, and social situations might be hard to deal with if you’re the only one not eating.

What it’s like: Jeena Rudy, 26, of Setauket, was a college athlete and swim coach in her native California before becoming a missionary three years ago. She admitted her work with college students can make it too easy to make unhealthy food choices or overeat.

“One of my brothers is two years older than I am, and a few years ago he mentioned that his cholesterol was too high,” Rudy said. “I started to gain a little weight once I wasn’t swimming 40 hours a week, and I didn’t want to end up developing health issues. That conversation really motivated me to try intermittent fasting.”

Rudy fasted daily for 16 to 20 hours over a period of several months. She ultimately lost some weight and said she became more mindful about what she was eating.

“Fasting changed the way I think about food. I learned more about what foods help me to feel my best, too. Like right now I need to eat breakfast and could just grab a bagel, but making eggs would be a better, healthier option for me. I’m planning to take up fasting again in the future.”

Dr. Spaniolas’ take: “Again, staying hydrated will help you in fasting because it can quell hunger pains by keeping something in your stomach. I tell people to aim for at least 64 ounces a day, and if they can get closer to 100 ounces, that’s even better. Very low caloric plans, where people consume 600 calories a day for extended periods of time, should only be done under medical supervision, especially if you have health issues.

The best dietary plan is the one that works well for you. But just because a particular plan works well for one person doesn’t mean it will be the right one for someone else. For some people, giving up carbohydrates is easy, while others can’t give up fruits or go longer periods without eating. It’s about finding what fits best with your preferences, habits and lifestyle, and ultimately whether or not you can stick with it. 

Try something out for a week or two and see how you like it, but don’t combine diets. For some, dieting isn’t the best way to lose weight. If you’re having difficulty losing weight on your own, checking in with a physician to consider more targeted options can help. Remember to stay active as well, aiming for at least 10,000 steps a day or 30 minutes of exercise several times a week.” 

Remember to talk with your doctor before making any significant changes to your diet or exercise routine.

 

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Image from CDC

A total of 93 confirmed coronavirus patients have been released from hospitals in Suffolk as County Executive Steve Bellone (D) said they have been cleared to go home. Meanwhile, however, Suffolk is trying to meet the hard task of staying ahead in the number of beds available before the number of hospitalized COVID-19 patients reaches its apex. 

Bellone said there are 648 hospital beds and 43 Intensive Care Unit beds available, and Gregson Pigott, Suffolk County’s health commissioner, said those were spread out among hospitals, though even still he admitted, “that’s not a lot of beds.”

As counties all across New York fight to stay ahead of the number of patients, all have seen a significant lack of personal protective equipment, including gloves, masks and gowns. Ventilators, which can be lifesaving to critically ill patients, have also been in extreme short supply. Stony Brook University Hospital, for instance, has been looking to detail plans and designs that could put two patients on a single ventilator at a time. 

Gov. Andrew Cuomo said Friday morning he would be signing an executive order allowing the National Guard to go to facilities that are not currently using equipment like ventilators and bring them to places that need them.

“I understand they don’t want to give up their ventilators … the theory is if the government gets them they will never get that back, I understand that, but I don’t have an option,” Cuomo said. 

In that same press conference, the governor named several locations as COVID-19 “hotspots,” which included Stony Brook University Hospital. 

Cuomo added the city could start running out of ventilators by next week.

While Suffolk County has exhausted “all” its PPE equipment for health care facilities and has hosted equipment donation drives, Bellone said they have increasingly called on companies who were interested to retool any kind of production for purpose of making medical equipment. The first of these companies, Hauppauge-based 71 Visuals, a sign making company, has retooled its facility to making face shields for health care workers. So far the county has purchased 25,000 of said face shields. 

“When we can have local manufacturers, we can purchase which can be utilized in this fight to save lives,” Bellone said.

The county executive has called on any other company who is considering retooling their operations to reach out to them, saying those businesses will be worked with and compensated for their efforts.

The number of deaths due to the coronavirus continues to rise. There are now 10,149 confirmed cases, according to the county’s data tracking website. This past day saw nine new deaths, bringing the total fatalities in Suffolk to 93. 

Yesterday, The New York Times reported the navy ship USNS Comfort, which is docked inside New York Harbor, is not accepting coronavirus patients, instead being used as a place for overflow, non-COVID related patients. The vast majority of its 1,000 beds are currently unused, especially since non-coronavirus related sickness and injuries has severely decreased thanks to current stay-at-home orders.

Bellone criticized the fact the ship was not being used to field the flood of new daily coronavirus patients.

“Patients need to go where there is space available to help save lives,” Bellone said.

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Suffolk County has been managing to keep the number of beds available above the rate of hospitalizations due to the coronavirus pandemic, though cases continue to climb.

In his daily call with reporters April 2, County Executive Steve Bellone (D) said the number of cases in Suffolk County has breached 8,927, climbing well over 1,000 by yesterday’s count. This has been attributed to the greater amount of testing being done, with over 21,000 being completed to date in Suffolk alone.

Meanwhile, the county has been trying to meet Gov. Andrew Cuomo’s (D) executive order to increase the number of available hospital beds by at least 50 percent, with the goal of reaching 100 percent increase. Bellone said Suffolk has increased its count of hospital beds to 2,831 beds countywide, with 438 Intensive Care Unit beds also available for the most severe cases. Currently, 472 hospital beds and 64 are vacant and available.

This is also while Cuomo said in this morning’s briefing he is becoming even more concerned with the limited number of ventilators for use during the crisis, now being down to about 2,200.

Healthcare workers on the front lines have struggled to deal with the number of cases now coming into hospitals. Bellone said the surge is still building, but the voices of health care workers are being heard.

“They’re operating in an incredibly difficult, stressful traumatic environment in which they are working overtime, double shifts, day after day after day, in a struggle to save peoples’ lives” Bellone said. “It is emotional, it is stressful and it is extraordinarily difficult.”

The number of deaths increased by 15 from the previous day. All had underlying health conditions. This includes eight individuals in their 80s, four in their 70s, and one in their 40s and 50s. One individual in his 60s died while in mandatory isolation at a local nursing home.

Currently, there are 1,323 cases in Brookhaven, 435 in Smithtown and 1,390 in Huntington townships. While close to 9,000 total cases are growing in Suffolk, New York State currently totals at more than 92,000.

The economic impact has also been felt far and wide, and Bellone said he is continuing to build out what the county can internally do to help businesses separately from the federal government’s response. So far, the county has been keeping a survey of businesses through their recently created Business Response Unit, and as of March 31, there were over 1,200 responses to said survey from businesses that employ more than 13,000 individuals, with over 7,000 responding they had lost their jobs or employment. The overall New York number, however, is much more staggering, with approximately 6.6 million filing for unemployment, a number not seen since the 1981 recession.

“Particularly our downtowns are facing tremendous hardships, and we will need a targeted effort there,” Bellone said. 

He added while some businesses have maintained some employees, “without assistance, they will not be able to keep that up much longer.”

The County Executive said he has spoken with financial institutions, who will be handling the disbursement of loans via the CARES Act, the federal financial assistance bill that promises loans to businesses to help keep people employed. The rollout of that has not been foolproof, however, with the federal Small Business Administration telling business owners they would need to reapply for their loans at https://covid19relief.sba.gov/#/

Anybody who previously applied via email, fax or snail mail will have to reapply.

Bellone said any difficulties that said financial institutions may have must be overcome if the region is to see any kind of recovery by the time the crisis begins to ebb. 

“The public wasn’t expecting this, we weren’t expecting this, but we have to deal with it,” he said. “We were on call with financial institutions and continue to convene with them.”

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By Leah Chiappino

One of the most trying aspects of COVID-19 is the financial turmoil it has brought on both national and local business sectors. Financial adviser Michael Christodoulou of Edward Jones Investments in Stony Brook answered some commonly asked questions about how to secure investments and resources for small businesses, and the types of financial assistance offered through the recent stimulus package.

Q: What is your advice for people, especially those that are retired or nearing retirement, regarding their stocks and 401(k) plans?

A: For one thing, ask yourself this: When do you really need the money from your investment accounts, such as your IRA and your 401(k) or similar employer-sponsored plan? These are retirement accounts, so, depending on your age, you may not need to tap into them for 20, 30 or even 40 years. If so, your losses may be “paper” ones only for now and aren’t subjecting you to imminent financial jeopardy. This isn’t to minimize the effect this downturn will have on you, of course — it always takes time to recover lost ground, and there are no guarantees with investing. However, although past performance does not guarantee future results, it is useful to note that, over its long history, the U.S. stock market has typically trended in one direction — up — despite serious and sometimes lengthy declines such as we saw in the Great Depression and, to a lesser extent, the bursting of the dot.com bubble of the early 2000s and the financial crisis of 2008-09.

Nonetheless, you may have shorter-term goals — a wedding, down payment on a home, overseas trip, etc. — for which you need to save. For these goals, though, you wouldn’t want to touch your IRA or 401(k), anyway, as you’d likely face taxes and penalties. Instead, you’ll want your money invested in liquid, low-risk accounts that will be minimally affected, if at all, by declines in the financial markets. These vehicles might include Certificates of Deposit (CDs), money market accounts and even good old-fashioned U.S. savings bonds, all of which offer the protection of principal and can pay higher rates than traditional bank savings accounts.

Q: Should people stop contributing to retirement during this time?

A: Every investor has a different time horizon and risk tolerance. Depending on their time horizon and risk tolerance there may be a number of different recommendations.

For example, if a client has a longer-time horizon until retirement it may make sense to continue investing periodically in their retirement plan. But for someone who is looking to retire relatively soon, they might want to stop contributions or start saving those assets in low-risk accounts.

I highly recommend they work with their financial adviser in order to have a personalized strategy designed based on their goals for retirement.

Q: How would you advise small businesses go about applying for governmental assistance, especially through the federal stimulus bill?

A: Small businesses should work with their tax professionals/CPA and financial adviser in order to review their individual situation. I recommend they start by logging onto www.sba.gov/disaster. During this time, they should also be very cautious about scams. 

Q: The economic effects of this virus are already enormous, and will get exponentially worse. How do you think people can financially cope if this crisis continues?

The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) offers help for investors and small businesses. As we go through the coronavirus crisis, we are all, first and foremost, concerned about the health of our loved ones and communities. But the economic implications of the virus have also weighed heavily on our minds. However, if you’re an investor or a business owner, you just got some help from Washington, and it could make a big difference, at least in the short term, for your financial future. Specifically, the passage of the $2 trillion CARES Act offers, among other provisions, the following:

  • Expanded unemployment benefits: The CARES Act provides $250 billion for extended unemployment insurance, expands eligibility and provides workers with an additional $600 per week for four months, in addition to what state programs pay. The package will also cover the self-employed, independent contractors and “gig economy” workers. Obviously, if your employment has been affected, these benefits can be a lifeline. Furthermore, the benefits could help you avoid liquidating some long-term investments you’ve earmarked for retirement just to meet your daily cash flow needs.
  • Direct payments: Individuals will receive a one-time payment of up to $1,200, although this amount is reduced for incomes over $75,000 and eliminated altogether at $99,000. Joint filers will receive up to $2,400, which will be reduced for incomes over $150,000 and eliminated at $198,000 for joint filers with no children. Plus, taxpayers with children will receive an extra $500 for each dependent child under the age of 17. If you don’t need this money for an immediate need, you might consider putting it into a low-risk, liquid account as part of an emergency fund.
  • No penalty on early withdrawals: Typically, you’d have to pay a 10 percent penalty on early withdrawals from IRAs, 401(k)s and similar retirement accounts. Under the CARES Act, this penalty will be waived for individuals who qualify for COVID-19 relief and/or in plans that allow COVID-19 distributions. Withdrawals will still be taxable, but the taxes can be spread out over three years. Still, you might want to avoid taking early withdrawals, as you’ll want to keep your retirement accounts intact as long as possible.
  • Suspension of required withdrawals: Once you turn 72, you’ll be required to take withdrawals from your traditional IRA and 401(k). The CARES Act waives these required minimum distributions for 2020. If you’re in this age group, but you don’t need the money, you can let your retirement accounts continue growing on a tax-deferred basis.
  • Increase of retirement plan loan limit: Retirement plan investors who qualify for COVID-19 relief can now borrow up to $100,000 from their accounts, up from $50,000, provided their plan allows loans. We recommend that you explore other options, such as the direct payments, to bridge the gap on current expenses and if you choose to take a plan loan work with your financial adviser to develop strategies to pay back these funds over time to reduce any long-term impact to your retirement goals.
  • Small business loans: The CARES Act provides $349 billion to help small businesses — those with fewer than 500 employees — retain workers and avoid closing up shop. A significant part of this small business relief is the Paycheck Protection Program. This initiative provides federally guaranteed loans to small businesses who maintain payroll during this emergency. Significantly, these loans may be forgiven if borrowers use the loans for payroll and other essential business expenses, such as mortgage interest, rent and utilities, and maintain their payroll during the crisis. Please visit sba.gov/disaster for more information.

We’ll be in a challenging economic environment for some time, but the CARES Act should give us a positive jolt — and brighten our outlook.

Q: Do you have any information on how residents will know the exact number on their stimulus check for those above the $75,000 income threshold?

A: I would advise individuals to contact their tax professional/CPA. They will be able to give more accurate guidance based on their clients’ taxable situation and possible qualifications for the CARES Act direct payment program.

Q: What is your advice for those that have recently lost jobs and need to prioritize their loans? How can people cut back, and are there any specific loans that should be paid over others?

A: In the unfortunate event that you or a family member loses your job there are some easy steps to follow to help you better prepare yourself for this event. The federal government has taken a big step in protecting renters by issuing a 120-day moratorium on evictions from federally subsidized housing and property with federally backed mortgage loans. Some states have barred evictions for a few weeks. Please check with your landlord and or mortgage company.

Q: With stocks dipping, is now a good time to buy?

A: Before investing we recommend that investors understand their time horizon with the asset they are thinking about investing. What will that money be used for in the future? At what point in the future will you need the money?

For investors with a long-term outlook and time horizon, we remain confident that a rebound will take shape. It may take a while longer to materialize, but we think it will be robust and fueled by a return of confidence in the post-virus outlook. Long-term investors don’t need to capitalize on the pullback all at once but should consider opportunities to benefit from this decline. Consider:

  1. Rebalancing: Trimming overweight allocations and filling gaps in underrepresented asset classes and sectors.
  2. Systematic investing: Taking advantage of the ongoing volatility by systematically investing at regular intervals, reducing the “timing” aspect as the selloff plays out.
  3. Look for good buying opportunities, because they are certainly out there. A well-managed company with a solid business plan that produces quality products and services is going to be that same company after the coronavirus and oil price panics subside and, right now, that company’s stock shares may literally be “on sale.”

We recommend you consult with a financial adviser in order to make sure you completely understand your level of risk and time horizon.

Q: Do you have any recommendations for a set amount people should have in savings in case of an emergency? What is the best way to do so?

A:  I believe everyone should have an emergency fund. Unfortunately, there isn’t a universal dollar amount that applies for everyone.

If you don’t already have an emergency fund, take these first steps to prepare:

  1. Detail your current financial situation including your income, expenses, assets and debts and any money previously set aside for unexpected expenses.
  2. Create a detailed budget in order to figure out what your monthly and annual living expenses add up to.
  3. Consider saving between three and six months of living expenses if you are still working; 12 months or more if you are retired.

This is just a starting point. Depending on your age, your list may look considerably different. Your financial adviser can help you put together your cash flow analysis related to your financial goals and help you calculate how much cash you may need for your next unexpected event.

Q: How do you think people should go about negotiating with credit card companies and banks if they need relief?

A: If someone is facing some financial hardship, they should contact their credit card company or bank directly. In most cases these companies can provide guidance and options so the individual understands their options and can make a decision based on all the information provided to them.

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Dr. Bettina Fries and her neighbor Agjah Libohova holding new face shields that will soon be put into the PPE pipeline at Stony Brook Medicine and many metro area hospitals. Photo from SBU

By Kyle Barr and David Luces

In other years, the first day of April dawning would have been a time for celebration and maybe a few pranks. This year, during the coronavirus crisis, not many were up for such jubilation. 

In a daily call with reporters, Suffolk County Executive Steve Bellone (D) said as of today there were now 69 individual deaths from COVID-19 in Suffolk County. 25 of those individuals died in the past 48 hours and 16 in the past day. The vast majority of deaths were of people who had underlying medical issues.

“We are going to get through this but it is going to get worse before it gets better,” said County Executive Steve Bellone. “We all have the power to make this better by practicing social distancing. If you feel sick stay home.”
The total for all of New York was even more staggering, with Gov. Andrew Cuomo (D) announcing the morning of April 1 nearly 400 people have died in New York State in the span of 24 hours. 

Cuomo compared it to the movie “Groundhog Day,” where the main character keeps experiences the same day over and over.

“When does it end? how does it end? I don’t know,” he said during his morning press briefing.

In Suffolk, the current number of people confirmed with the virus is 7,605. Currently over 25,000 have been tested, including 5,400 from the Stony Brook site in the South P lot as of Wednesday morning, Bellone said. 

The County Executive also emphasized the 2020 Census, saying as we’re in the midst of this battle, we need to recognize the economic human service impacts. 

“If we don’t do what we need to do we will be experiencing shortfalls in aid for the next 10 years,” Bellone said. “We have to make sure we’re getting those census documents filled out.” 

The county executive added Child Protective Services continues to do house visits and they have done as many interviews as they can telephonically.

“The government does not close — we are here to deal with crises,” he said. “CPS is one of those they are continuing to operate.”

Stony Brook University Begins Drug Trials to Combat Coronavirus

In a COVID-19 briefing update, Stony Brook Medicine officials said that the hospital has begun a number of clinical trials designed to identify effective therapies for critically ill patients.

Remdesivir, an antiviral drug developed to treat two other RNA viruses, Ebola and Marburg, has been administered to two patients with severe coronavirus. The clinical trials on the drug are led by Dr. Sharon Nachman, chief of the Division of Pediatric Infectious Diseases at Stony Brook Children’s Hospital. Officials said the drug has appeared to be effective in treating COVID-19 in both China and Washington State. 

Doctors will also be involved in a Regeneron-sponsored clinical trial on Sarilumab (Kevzara), a monoclonal antibody which blocks binding of interleukin-6 to its receptor. Sarilumab is already FDA approved for the treatment of juvenile rheumatoid arthritis, and more recently for the cytokine storm that accompanies the use of CAR-T cells for acute leukemia. The first Regeneron patient was recruited on March 30. 

Stony Brook Medicine will soon be launching a clinical trial of donated, post-convalescent plasma from COVID-19 patients “very soon,” based on the level of antibody titers to SARS-CoV2 in the donor plasma. Serum or plasma therapy for infectious diseases dates to the 1890s, when serum made from immunized animals provided the first effective treatment for Clostridium tetani and Corynebacterium diphtheriae.

In addition, SBU professor Lily Mujica-Parodi has been part of a national effort to employ a wearable technology device called Oura to collect sufficient physiological data, and use deep learning algorithms to predict the onset of SARS-CoV2 infection. This type of device would be most productive and predictive in hospitals where there is a large number of healthcare workers in high-risk-for-infection roles. 

 LI Company to Begin New Face Shield Production. 

Clear-Vu Lighting, a Central Islip-based design company, will begin manufacturing an order of 20,000 new face shields that will be deployed to Stony Brook University Hospital. Mass production  is expected to start by early April. Clear-Vu Lighting is gearing up with an expectation to produce 40,000 faceshields per day and approximately 1.2 million per month. Production of face shields to Stony Brook will include supplies for Stony Brook University Hospital and all affiliated hospitals on Long Island. 

Preventing a Possible Shortage of Ventilators

Due to the projections of the COVID-19 pandemic, Stony Brook University Hospital is suggesting it may be required to use a single ventilator for up to two patients in case there is a shortage once the number of patients is at its peak. In a Stony Brook Medicine research laboratory, medical professionals are working on a solution to ventilating multiple patients with one ventilator. Putting two patients on one ventilator requires matching patients with similar characteristics, such as sex, height, age and lung sizes, to avoid one patient being over ventilated and the other being under ventilated.

Stony Brook said researchers and doctors are examining the forces that cause unequal distribution of lung volumes and airway pressures, while using complex test models of diseased lungs. With this research, doctors are able to vary airway resistance and compliance and mimic acute respiratory distress syndrome-like conditions, which allows to test the use of inline valves and resistance devices to solve these problems. 

Addressing the Growing Need for Additional Staff

To address potential staff shortfalls, the medical school is preparing to allow graduating students to volunteer on the front lines of the epidemic while awaiting the eventual surge of patients.

The Renaissance School of Medicine at Stony Brook University is allowing senior medical students to graduate in early April so they can begin their professional career as a physician at Stony Brook University Hospital. They will be able to work under the supervision of residents, fellows and attending physicians to address the growing number and complexity of patients being admitted to our hospital, precipitated by the COVID-19 pandemic. The graduates would then proceed to begin their residencies July 1.

 

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Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. Stock photo
Lifestyle plays an important role in reducing symptoms

By David Dunaief, M.D.

Dr. David Dunaief

According to estimates, 10 to 15 percent of the population suffers from irritable bowel syndrome (IBS) symptoms, although only five to seven percent have been diagnosed (1). The general perception is that IBS symptoms are somewhat vague. They include cramping, abdominal pain, bloating, constipation and diarrhea. 

Physicians use the Rome III criteria, an international effort to create scientific data to help diagnose and treat functional gastrointestinal disorders, plus a careful history and physical exam for diagnosis. 

What epitomizes IBS is the colonoscopy study, where IBS patients who underwent colonoscopy had diagnostic findings of nil. This tended to frustrate patients more, not reduce their worrying, as the study authors had hoped (2).

Rather, it plays into that idea that patients don’t have diagnostic signs, like in inflammatory bowel disease, yet their morbidity (sickness) has a profound effect on their quality of life. Socially, it is difficult and embarrassing to admit having IBS. Plus, with a potential psychosomatic component, it leaves patients wondering if it’s “all in their heads.”

So, what can be done to improve IBS? There are a number of possibilities to consider.

Mental state’s effect

The “brain-gut” connection is real. It refers to the direct connection between mental state, such as nervousness or anxiety, to gastrointestinal issues, and vice versa.

Mindfulness-based stress reduction was used in a small, but randomized, eight-week clinical trial with IBS (3). Those in the mindfulness group (treatment group) showed statistically significant results in decreased severity of symptoms compared to the control group, both immediately after training and three months post-therapy.

Those in the treatment group were instructed to do meditation, gentle yoga and “body scanning” — focusing on one area of the body for muscle tension detection. The control group attended an IBS support group once a week.

A preliminary study has suggested there may be a link between IBS and migraine and tension-type headaches. The study of 320 participants, 107 with migraine, 107 with IBS, 53 with episodic tension-type headaches (ETTH), and 53 healthy individuals, identified significant occurrence crossover among those with migraine, IBS and ETTH. Researchers also found that these three groups had at least one gene that was different from that of healthy participants. Their hope is that this information will lead to more robust studies that could result in new treatment options (4).

The role of gluten

In a small randomized clinical trial, patients who were given gluten were more likely to complain of uncontrolled symptoms than those who were given a placebo (68 percent vs. 40 percent, respectively).

These results were highly statistically significant (5). The authors concluded that nonceliac gluten intolerance may exist. Gluten sensitivity may be an important factor in the pathogenesis of a portion of IBS patients (6).

I suggest to my patients that they might want to start avoiding gluten and then add it back into their diets to see the results.

Fructose intolerance

Some IBS patients may suffer from fructose intolerance. In a prospective (forward-looking) study, IBS patients were tested for this with a breath test. The results showed a dose-dependent response. When patients were given a 10 percent fructose solution, only 39 percent tested positive for fructose intolerance, but when they were given a 33 percent solution, 88 percent of patients tested positive.

The symptoms of fructose intolerance included flatus, abdominal pain, bloating, belching and alternating bowel habits. The authors concluded that avoidance of fructose may reduce symptoms in IBS patients (7).

According to another study, about one-third of IBS patients are fructose intolerant. When on a fructose-restricted diet, symptoms appeared to improve (8). Foods with high levels of fructose include certain fruits, like apples and pears, but not bananas.

What is the role of lactose?

Another small study found that about one-quarter of patients with IBS also have lactose intolerance. Two things are at play here. One, it is very difficult to differentiate the symptoms of lactose intolerance from IBS. The other is that most IBS trials are small and there is a need for larger trials.

Of the IBS patients who were also lactose intolerant, there was a marked improvement in symptomatology at both six weeks and five years when placed on a lactose-restrictive diet (9).

Though small, the trial results were statistical significant, which is impressive. Both the durability and the compliance were excellent, and visits to outpatient clinics were reduced by 75 percent. This demonstrates that it is most probably worthwhile to test patients for lactose intolerance who have IBS.

Do probiotics help?

Treatment with probiotics from a study that reviewed 42 trials shows that there may be a benefit to probiotics, although the endpoints were different in each trial. The good news is that most of the trials reached one of their endpoints (10).

Probiotics do show promise, including the two most common strains, Lactobacilli and Bifidobacteri, which were covered in the review.

All of the above gives IBS patients a sense of hope that there are options for treatments that involve modest lifestyle changes. I believe there needs to be a strong patient-doctor connection in order to choose the appropriate options that result in the greatest symptom reduction.

References:

(1) American College of Gastroenteroloy [GI.org]. (2) Gastrointest Endosc. 2005 Dec;62(6):892-899. (3) Am J Gastroenterol. 2011 Sep;106(9):1678-1688. (4) American Academy of Neurology 2016, Abstract 3367. (5) Am J Gastroenterol. 2011 Mar;106(3):508-514. (6) Am J Gastroenterol. 2011 Mar;106(3):516-518. (7) Am J Gastroenterol. 2003 June;98(6):1348-1353. (8) J Clin Gastroenterol. 2008 Mar;42(3):233-238. (9) Eur J Gastroenterol Hepatol. 2001 Aug;13(8):941-944. (10) Aliment Pharmacol Ther. 2012 Feb;35(4):403-413.

Dr. 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.      

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The Riverhead testing facility is located at 1149 Old Country Road at the ProHealth site. Photo from Google maps

Suffolk County is adding two additional testing sites for Covid-19 in the coming days, with AFC Urgent Care in West Islip expected to provide rapid testing with results in less than 15 minutes and ProHealth in Riverhead also offering mobile testing for the coronavirus.

John T. Mather Memorial Hospital in Port Jefferson is establishing an emergency fund to help staff. File photo from Mather Hospital

Suffolk County executive Steve Bellone, who announced the new testing sites, suggested that residents need to make appointments prior to visiting the facilities.

“No one should walk into an urgent care center and expect to get tested,” said Bellone on his daily conference call with reporters.

The phone number for the AFC site is 631-983-4084 and the number for ProHealth is 516-874-0411.

Bellone also reported that the crime rate in the county had gone down. In the two week period ending on March 29, burglaries declined by 30 percent, grand larceny fell by 18 percent, and felony assault came down 100 percent.

“We did expect to see a reduction in crime,” said Geraldine Hart, the Suffolk County Police Commissioner. “People are at home and businesses are shut down, taking away the opportunities” to commit crimes, as there are far fewer people on the street.

Separately, the Suffolk County Child Care Consortium has added a 13th site that will provide child care for health care workers, first responders and transit workers, Bellone said. The new site will be in Central Islip at the Cordello Avenue Elementary School and will be run by Youth Enrichment Services. The program will be open from Monday through Friday, from 8 a.m. until 6 p.m.

For businesses seeking support, Suffolk County has established a new Covid-19 public assistance web page, which residents can access through the web site suffolkcountyny.gov. At the site, residents can use the FEMA public assistance link, where they can fill out a form with any questions.

Amid the ongoing economic strain in the county, Bellone said he spoke with several financial institutions about a number of topics, including the challenge for many people of paying their mortgages once the pause is lifted and business resumes. Bellone said the institutions recognized that people who were struggling to pay their mortgages won’t suddenly be able to provide payments from several months.

Meanwhile, the number of positive coronavirus tests continues to rise, with 6,713 confirmed patients in the county, which is up about 1,000 in the last day. The number of people hospitalized with the virus has risen to 709, with 229 people in the Intensive Care Unit as a result of their infection.

The number of beds continues to rise, with the count adding about 500 beds, bringing the total to 2,803 beds, with 598 available. That includes 397 ICU beds, of which 67 are currently available.

Bellone reported an additional nine deaths from the virus, bringing the total to 53. One of the residents was around 90, with three others in their 80s, two in their 70s, one in their 40s and two in their 30’s. Most of the victims have had underlying medical conditions.

“A lot of people think this is a virus affecting the elderly, and it certainly is,” Bellone said “But is it not just the elderly. People with compromised immune systems, underlying medical conditions, and past illnesses” are all vulnerable to the virus.

The Suffolk County Police Department continues to see an increase in the number of people with the virus. As of today, 35 sworn officers and five civilians had tested positive. None of the county’s finest has required hospitalization. The police force continues to see an increase in the number of compliance incidents, with officers responding to 182 calls. Of those, 15 calls were not compliant. The officers decided that no enforcement actions were necessary as all locations voluntarily complied. The police have also installed intercom systems at the public entrance doors to all seven precincts to allow screening for visitors for potential COVID-19 infection.

While Governor Andrew Cuomo (D) has sought volunteer help from elsewhere in the country to assist with the anticipated need for more health care workers, the Police Department believes the staffing levels are sufficient and has taken measures to protect officers.

Separately, Mather Hospital has created an emergency fund to support hospital staff and patients during the pandemic. The hospital has received donations of food and medical supplies and is asking for monetary donations to the Covid-19 Emergency Fund. People can make donations through the web site: www.matherhospital.org/emergencyfund or they can mail them to JTM Foundation, Mather Hospital, 75 North Country Rd., Port Jefferson, NY 11777.
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