Health

Mather Hospital changed its visitation policies Nov. 23. File photo by Alex Petroski

In the National Football League, it is widely believed that team success can be traced back to a long, stable relationship between head coach and quarterback. The longer those two have been working together and in perfect harmony, the likelihood for success usually goes up.

The board of directors at John T. Mather Memorial Hospital have followed a similar blueprint, and they couldn’t be happier with the results. Mather’s board chairman is Kenneth Jacoppi,  and he has held that position for about 10 years, though he began serving on the board in May 1977. Konrad Kuhn joined the board a year later. One year after that, Harold Tranchon joined. All three remain on the board of directors to this day.

“Honestly, when you have board members who have been there for a long length of time they have institutional memory and a long understanding of [the] changing field of medical care,” hospital President Kenneth Roberts said in a phone interview.

He has a long tenure as well: This June marks the 30th anniversary of when Roberts took over that post. Prior to becoming president he served four years as the vice president.

Jacoppi, 78, who was the president of his senior class at Port Jefferson High School and later went on to become a lawyer, reflected on his near 40 years at Mather and his lifetime in the community in a phone interview.

“Never in my wildest dreams did I think I would serve this long,” he said.

Jacoppi referred to others on the board as his “Mather family,” and said that his fondness and pride for his community have contributed to keeping him in the position for so long.

During the decades under the current leadership team, Mather has earned a Magnet designation for nursing excellence, achieved the highest patient experience scores in Suffolk County, been recognized as the only hospital in New York State to earn nine consecutive A ratings for patient safety and quality from the Leapfrog Group and established a new graduate medical education program, among many other accomplishments.

“You have a stability you don’t have in most organizations,” Jacoppi said. “We obviously want to provide the best possible care to people in the area.”

‘Never in my wildest dreams did I think I would serve this long.’
—Kenneth Jacoppi

Jacoppi added one of the things he’s picked up in his experience over the years is to be “a bit more laid back and patient.” He referred to himself when he started as a “hard-charging young lawyer” who had to learn to listen to other viewpoints and think about the effect decisions would have on doctors and the community.

Clearly Jacoppi and the rest of the board have figured out a way to stay on top of their game in what he and Roberts both referred to as an extremely challenging time for health care.

“In the old days, the volunteers held grand card parties under the huge old tree on the Mather lawn that helped raise money to provide exceptional health care for the community,” Jacoppi said in a statement from the hospital.

Times may have changed, but the Mather board of directors has not.

Participants from a previous Relay For Life at the high school take a lap. Photo from Alyssa Patrone

The fight to raise money and awareness for cancer research reaches far and wide, and on June 4, Northport High School’s track and football field will host nearly 900 people dedicated to doing their part to eradicate the disease.

Northport High School has held Relay for Life events since 2009, making the one this year its eighth annual. The popular American Cancer Society fundraiser starts with teams raising money from local businesses and individuals to be donated for the cause. During the event, which can last up to 24 hours, at least one participant from each team circles a track, usually at schools or parks, at all times as a reminder that cancer never sleeps. Campsites are set up for each team and laps during the relay are dedicated to various survivors and those who died of the illness.

Alyssa Patrone, the American Cancer Society representative overseeing Northport’s event, said Northport participants have raised more than $121,000 so far this year, bringing the total raised in eight years to about $1.3 million.

“There are so many incredible events that happen in our community, but Relay For Life really gives the Northport-East Northport community a place to gather and rally behind those who have been affected by cancer,” Patrone, a Northport resident herself, said in an email. “The volunteers that work to put the event together make sure that the Northport-East Northport community knows that if you’ve ever been touched by cancer in any way, we are here for you. At the event there really is a feeling of hope in the air that’s almost tangible. It’s hard to put into words, but it’s something truly special.”

Currently Deborah Kelly is listed as the top fundraiser on Northport’s page on the Relay for Life website, with more than $6,000 for her team “Steps for Christine.” Kelly’s page on the website says she is participating in the relay for “my sister and all the people who are battling this terrible disease.”

Ashleigh Basel of “Team Rainbow” has raised more than $4,000 for the cause. She also explained why she’s participating in the event on her Relay for Life page.

“I know there are a lot of worthy causes to support, but I think participating in an event that helps save lives from cancer is about as worthy as it gets,” she wrote.

The American Cancer Society has invested more than $4.3 billion in cancer research since 1964, according to its website. The organization estimates that in 2016 more than 1.6 million new cancer diagnosis will occur, and nearly 600,000 people will die.

For more information about Relay for Life or to make a donation, visit www.relayforlife.org.

People at an anti-drug forum stay afterward to learn how to use the anti-overdose medication Narcan. Above, someone practices spraying into a dummy’s nostrils. Photo by Elana Glowatz

Residents from all Brookhaven communites are welcomed and encouraged to attend Brookhaven Town Youth Bureau’s free substance abuse awareness and opioid overdose prevention program training class, provided by Suffolk County EMS, on June 7 at Brookhaven Town Hall.

The training will discuss what an opioid overdose is, the signs and symptoms that will help identify an overdose, what to do until EMS arrives, and how to administer nasal Narcan to reverse an overdose.

Substance abose treatment information resources will be available from 5:30-6:30 p.m., and Narcan training will be held from 6:30-7:30 p.m.

Brookhaven Town Hall is located at 1 Independence Hill in Farmingville. Call 631-451-8011 for more information or to RSVP by May 27.

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When we hug our dog, we are removing their instinct to flee, which can lead to significant stress. Stock photo

By Matthew Kearns, DVM

I was somewhat taken aback when I saw plastered all over the internet that a hug is stressful to dogs. This hullabaloo came from an article published in Psychology Today. I didn’t have access to the entire article but the author, Stanley Coren, stated that in a review of over 250 images on the internet of dog owners hugging their dogs, he noted signs of stress in four out of five dogs. 

Coren is a psychologist and professor emeritus at the University of British Columbia, as well as an award-winning author. He has dedicated his career to researching dog behavior, so I truly believe he knows what he is talking about. 

Coren states that dogs are cursorial by nature. What does this mean? It means that dogs have limbs adapted for running and, as much as they will use their teeth to defend themselves if necessary, their first instinct is to flee. When we hug our dogs, what are we doing in their eyes? We are removing that first instinct to flee. This can lead to significant stress, even the potential for the dog’s perceived need to defend themselves. 

Now, I know that dogs are social beings and do like contact. However, I do agree that their idea of acceptable contact may not be the same as our own.  As much as we see dogs as part of the family, they see us as part of the pack. We may talk to a dog, but a dog will communicate with us as they would other dogs and this communication is mostly through body cues. If these cues are ignored by humans (particularly children who cannot understand the differences between human and canine behavior) or other dogs, the risk of aggression and bodily harm becomes very real. 

When we hug our dogs, we are removing their instinct to flee, which can lead to significant stress.

My own dog Jasmine loves to sleep in bed with my son Matthew. However, much to Matty’s chagrin, she will only sleep by his feet. Jasmine will tolerate Matty pulling her up to sleep next to him but always eventually moves back to his feet. If he tries too many times to change her position, she will jump off the bed and find another place to sleep. 

Jasmine’s reaction is nonconfrontational, but what if she were not of such a laid back temperament?  She would be face to face with my son where he is restraining her movement. Therefore, I think it is important to look for more subtle cues so we can intervene before disaster occurs. 

What are cues of stress in dogs?  In general terms a relaxed dog will have its ears forward, mouth open and a general look of happiness. A worried dog has its mouth closed, ears back or down, wrinkles around the eyes or forehead and is usually shrinking back.

Beyond these body cues are what are called “stress signals.”  Stress signals are signs that a dog is very worried and trying to communicate to others (another dog, a human) that, “I am not a threat.” However, if these stress signals are ignored (by other dogs or children), the dog may feel it has no option other than act aggressively to defend itself.

Stress signals include: a raised paw, yawning (when they are not tired), licking their nose, tail tucked, slouching or slinking, barking and retreating or hiding. If a dog is restrained (hugged) when showing these body signals or cues, things could get out of control quickly. 

I hope this article is helpful in not only explaining the differences between how dogs view certain behaviors compared to how we humans view them, as well as signs of stress to avoid conflict.  Now go give your dog a . . . scratch behind the ears!

Dr. Kearns practices veterinary medicine from his Port Jefferson office.

Dr. Shetal Shah gives Assemblyman Steve Englebright a shot at the press conference announcing that the Neonatal Infant Pertussis Act was signed into law in 2012. Photo from Maria Hoffman

A young state law is already breathing new life into the number of newborns burdened with whooping cough.

It has been three years since state Assemblyman Steve Englebright (D-Setauket) saw his Neonatal Infant Pertussis Act signed into law, and last week, members of the Pediatric Academic Societies said it’s already paying off, by reducing infections 50 percent. Both Englebright and Dr. Shetal Shah, who worked alongside the lawmaker in 2012 as a member of the neonatal intensive care unit at Stony Brook University, heralded the legislation as an effective measure to keep newborns healthy across New York State.

Englebright wrote the NPPA with Shah’s help, requiring Tdap, a vaccine against whooping cough, be offered to parents and caregivers in contact with a newborn during birth hospitalization as a way to promote “cocoon” immunity for the infant, according to Shah. Five months later the legislation was signed into law by New York Gov. Andrew Cuomo (D), codifying Shah’s common sense idea into law.

“That year, the New York Department of Health had already reported a three-fold increase in whooping cough since the previous year,” Englebright said. “It is gratifying to learn that this law is working and that children are being protected from whooping cough.”

Whooping cough, also known as pertussis, starts with “cold-like” symptoms such as fever, sneezing or a runny nose.  It may then morph into a mild cough, which becomes more severe in the first or second week.

The NPPA fight started in 2012 when Shah reached out to Englebright’s office with an idea that he said could prevent whooping cough in newborns. In a statement, Shah said newborns are typically the most at risk of serious illness or death if infected. But with help from Englebright’s legislation, vaccinations have been effective in combatting the infection for newborns.

Using the New York Communicable Disease Electronic Surveillance System, Heather L. Brumberg from Maria Fareri Children’s Hospital and her colleagues obtained data from 2010 to 2015 on pertussis cases and hospitalizations for 57 New York counties outside of the city. In addition, they used state population rates in 2011 and 2013 to determine the incidence per 100,000.

During the study period, 6,086 cases of pertussis were detected, 68.8 percent of which occurred before the law passed and 31.2 percent of which occurred after. Overall, the pertussis incidence rate decreased from 37.3 per 100,000 children before the law to 16.9 per 100,000 after.

For children aged younger than 1 year old, pertussis incidence decreased from 304 per 100,000 children to 165 per 100,000 and pertussis hospitalization decreased from 104 per 100,000 children to 63 per 100,000 children. The NPPA was associated with these reductions, especially for those at high-risk, the researchers wrote.

“The data shows that passage of the Neonatal Infant Pertussis Act [NPPA] was associated with a reduced incidence of disease in children in each age group studied,” said Shah, who now works at Maria Fareri Children’s Hospital of the Westchester Medical Center Health Network. “This is associative, as we were unable to track actual parental and caregiver Tdap immunization rates.”

Whooping cough vaccine is a five-shot series that is recommended for children at 2 months, 4 months, 6 months, 15 to 18 months, and again at 4 to 6 years of age.

The pertussis vaccine is short-lived and can wear off within a decade, so some people who were immunized as children are no longer protected in adolescence or adulthood unless they get another booster shot.

“This should provide some degree of scientific impetus to other states and counties to consider this measure as part of a comprehensive strategy to reduce whooping cough,” Shah said.

John Cincar uses the eye-tracking iPad device in Stony Brook. Photo from Long Island State Veterans Home

Two eyes and an iPad is all Vietnam veteran John Cincar needs to completely transform his day-to-day life.

Cincar, a resident at Stony Brook’s Long Island State Veterans Home, lost his ability to move his arms and hands, but only needs his eyes to operate a $12,000 iPad the home helped him secure this week as part of its mission to enhance residents’ independence. With help from the device and the home, Cincar said he could open the door to a world he had not been able to access on his own for years. By looking at control keys or cells displayed on the iPad screen, Cincar said he can generate speech, activate functions such as turning on a light or television, and even surf the internet.

“It’s very easy for me to use,” he said. “It does everything. I can get in touch with the world again.”

The eye-tracking device, which the veterans home referred to as an “eye gazer,” was a by-product of a donation from Bowlers to Veterans Link Chairman John LaSpina, a Long Island native and owner of various bowling alleys across the Island. The BVL is a not-for-profit organization that works to support American veterans, raises about $1 million per year through bowlers and bowling centers nationwide, and has a working relationship with the Long Island State Veterans Home, LaSpina said.

John Cincar, center, accepts the eye-tracking iPad device in Stony Brook thanks to a donation from The Bowlers to Veterans Link. Photo from Long Island State Veterans Home
John Cincar, center, accepts the eye-tracking iPad device in Stony Brook thanks to a donation from The Bowlers to Veterans Link. Photo from Long Island State Veterans Home

“An opportunity like this just seemed so incredibly great that we couldn’t say no to it,” he said. “We’re talking about a facility totally dedicated to veterans. The place is immaculately clean. They do wonderful things.”

The BVL donation to the Long Island State Veterans Home was made possible from the proceeds of the “PBA50 Johnny Petraglia BVL Open,” which was held at the Farmingdale Lanes from Saturday, May 7 through Tuesday, May 10.

With the Vietnam era now more than four decades old, the Long Island State Veterans Home has been seeing more veterans who served in that war coming through its doors. And with each war comes a different kind of ailment that staff must combat.

“Many of these guys, their brains are fully intact, but their bodies are shot. They’re trapped,” said Jonathan Spier, deputy executive director for the Long Island State Veterans Home.

Just five years ago, Spier said, the home had only two Vietnam veterans living there. That number skyrocketed to more than 50 by 2016, he said, with former combat men suffering from specific injuries like exposure to Agent Orange and other muscle-related difficulties.

Fred Sganga, executive director of the veterans home, said the addition of the eye-tracking device only furthered his group’s mission to enhance the quality of life of more than 6,000 Long Island veterans.

“The goal is to maximize every veteran’s independence,” he said. “We want to be strategically ready for the next generation of veterans coming here, and this technology is transformational for someone who is a paraplegic.”

When asked how he planned on harnessing the power of the iPad to his benefit, Cincar said he hopes to study new languages, like Romanian — the language of the land he was born in.

Artist Jo-Ann Corretti and Huntington Hospital Board of Directors Chairman William Frazier unveil the painting. Photo by Alex Petroski

People don’t often get to celebrate a 100th birthday, but on May 5 the Huntington Hospital community came together to do just that.

The hospital cared for its first patient in May 1916. To commemorate the centenary, staffers unveiled a commissioned painting of the original, smaller facility and a display of photos and artifacts that spanned the 100-year history.

Hospital equipment from the 1930s. Photo by Alex Petroski
Hospital equipment from the 1930s. Photo by Alex Petroski

“This is a big day,” Huntington Hospital Board of Directors Chairman William Frazier said in the hospital’s main lobby prior to the unveiling. “You think back 100 years and how modest this institution was — now think where it is today.”

Artist Jo-Ann Corretti was commissioned by the hospital to create a likeness of the building. She used acrylic paint to do the job, which took her about three months.

“They gave me all of these old pictures, anything they could find for me to work from,” Corretti said after the painting was revealed. “I had to lay them all out and I had to take a little from here and a little from there.”

Hospital Executive Director Gerard Brogan spoke about the institution’s mission and how it has remained constant despite many changes to the building and surrounding area.

“I think it’s important just to think about what was the genesis of the hospital,” Brogan said. “It was a 70-year-old woman who was about 5-foot-1 [and] decided that this community needed to have the very best in medical care; care that rivaled any where else in the New York City area or anywhere else on Long Island. That was the spirit that started Huntington Hospital. It was not just to have a hospital, but to have a facility that served the community and provided them the best care that you could find anywhere.”

Hospital equipment from the 1930s. Photo by Alex Petroski
Hospital equipment from the 1930s. Photo by Alex Petroski

Brogan also detailed many of the awards and accolades the hospital has received in recent years, which he credited to the dedicated and caring staff.

“You do not need to leave your area to go into New York City to get outstanding, cutting-edge care,” Brogan said. “That is the commitment of this institution and all of the people that work in it. Everybody here is titled ‘caregiver,’ because everybody impacts the patient experience.”

The Huntington Historical Society helped to amass artifacts, like obstetrician/gynecologist equipment from the 1930s and a bill from 1960 with substantially lower prices than today, to be displayed around the hospital’s lobby.

The painting will be auctioned off in November at the hospital’s annual benefit gala. Prints are also for sale.

Congressman Lee Zeldin, joined by Suffolk County Police Commissioner Tim Sini, health professionals, community groups, parents, expresses his support for the package of bills coming to the House floor this week. File photo from Jennifer DiSiena

By Phil Corso

Congress is taking unprecedented steps to fight heroin and opioid abuse, and U.S. Rep. Lee Zeldin (R-Shirley) brought the battle to Kings Park to spread the word.

In the company of other lawmakers and activists, Zeldin spoke at VFW Post 5796 last Thursday to discuss a package of bipartisan legislation the congressman has been pushing that addresses different angles of the disturbing upward trend in heroin and prescription opioid abuse on Long Island and across the country. The momentum from his stumping also helped propel several pieces of such legislation to a vote on the House floor by the following week.

The proposed legislation would review and update guidelines for prescribing opioids and pain medication, and require a report to Congress on the availability of substance abuse treatment in the country, among other provisions.

In his remarks last week, the congressman cited an alarming statistic from the Centers for Disease Control: more than 28,000 overdose deaths were recorded in 2014 as a result of heroin or opioid abuse — the highest number on record. Zeldin, who joined the Bipartisan Task Force to Combat the Heroin Epidemic in November, said Suffolk County recorded one of the highest rates of overdose deaths across the state, and needed a multi-pronged approach to address it.

“Next week, the House of Representatives is dedicating a full week to passing legislation aimed at addressing this epidemic, with a package of several bills to combat the growing heroin and opioid crisis,” Zeldin said. “Addiction and overdose deaths on Long Island and across our country are skyrocketing as a direct result of the increase in heroin and opioid abuse.”

In a phone interview, Zeldin said this was the first time the House had taken such unified measures to combat the problem, as its consequences were becoming impossible to ignore. The congressman used strong language when outlining the heroin addiction problem to drive it home.

“The rates that overdoses are increasing, and the fact that it’s not isolated to any one kind of community, has led many to describe this as an epidemic,” he said.

Joining Zeldin was Suffolk County Police Commissioner Tim Sini, who has been working on the front lines of the addiction problem, as Suffolk County suffered 103 fatal heroin overdoses in 2015 alone — more than double its neighboring Nassau County, which recorded 50. Sini also used the term “epidemic” to describe the fight he and his fellow officers have been facing.

“The heroin epidemic that our nation is facing is the number one public health and public safety issue here in Suffolk County,” Sini said. “Partnerships between local law enforcement and our federal representatives is a crucial tool in the battle against this scourge.”

And North Shore natives who felt the hurt of that “epidemic” stood beside Zeldin and Sini to throw their support behind legislative resolutions. Kim Revere, president of the Kings Park in the kNOw Community Coalition, and Linda Ventura, founder of the Thomas’ Hope Foundation, both said there were several different approaches lawmakers must take to address addiction, from prevention to rehabilitation.

“I believe wholeheartedly that prevention should begin at home,” said Revere, referring to the legislation as a wakeup call. “I am seeing many adults abusing alcohol and [prescription] drugs and that does not bode well for our children. I would like to see permanent evidence-based prevention programs implemented in school grades kindergarten through 12.”

Ventura, whose son Thomas died at age 21 from a drug overdose four years ago, said measures like Narcan, a medication which is administered to help reverse the effects of a heroin overdose, were important but not the only tool emergency responders should lean on.

“The United States needs to commit every resource imaginable to fight this insidious disease. The lifesaving tool Narcan needs to be accessible to all concerned to help save a life in the interim of an overdose to find treatment,” she said. “Treatment needs to be the appropriate level of care at the earliest intervention possible. Prevention — we must start educating and empowering our youngest of children with coping skills, relaxation techniques and communication skills.”

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By L. Reuven Pasternak, M.D.

For many patients who come to the hospital, their medical team — physicians, nurses and other health care professionals — serves as a lifeline. Skilled and compassionate, these dedicated caregivers help to ensure patients receive the care they need both physically and emotionally.

So it is with great pleasure that we celebrate and salute our nurses, physicians and all our health care professionals during National Nurses Week (May 6 to 12) and National Hospital Week (May 8 to 14). While we are grateful all year long for the jobs they do, these special weeks remind us to let these dedicated individuals know how much they are respected and appreciated.

Because Stony Brook Medicine is an academic medical center and the region’s only tertiary care center, unique medical issues confront our caregivers on a regular basis. Each day a new patient or situation challenges us to take the best ideas in medicine and turn them into practical solutions for our patients. With our nurses frequently on the front line of care, it is often up to them to lead those efforts.

But a hospital runs on more than care. From those who work to keep our hospital clean, to those who prepare nourishing food, from the experts who maintain our technology, to the landscapers who maintain our grounds, from first-year nurses to the most seasoned medical specialists, every single person at Stony Brook makes a meaningful contribution.

We are proud of all of the individuals who contribute to Stony Brook — proud of the expertise they offer and the compassionate care they deliver. They are the people behind our mission to always strive for excellence as a world-class institution, recognized for outstanding patient care, research and health care education.

Please join me in extending thanks to all of those who contribute to the exceptional care to our community and beyond.

L. Reuven Pasternak, M.D., is  CEO, Stony Brook University Hospital and Vice President for Health Systems, Stony Brook Medicine

Coldwell Banker offices across Long Island, like the office in Setauket, are helping veterans residing at the United Veterans Beacon House. Photo by Giselle Barkley

The Coldwell Banker Residential Brokerage typically help residents find a place to call home. But now, the company is on a mission to help veterans in need, with its Hometown Heroes Linen Drive.

Associate Broker Lorraine Marotta of the Coldwell Banker Residential Brokerage in Setauket said the company started the drive earlier this year in January. Coldwell Banker offices across Long Island are participating in this initiative. Their goal is to collect 3,700 sets of linens including twin sheet sets and standard pillowcases, new pillows, new bath towels and new comforters. They hope to collect 700 of each by July 4 of this year.

The linens will go toward the veterans living in homes provided by the United Veterans Beacon House in Bay Shore. Many of these veterans can’t live on their own, Marotta said. Hall-Lane Moving and Storage, which provided each office with large collection boxes, is responsible for picking up and delivering the supplies to Beacon House the associate broker added.

The Beacon House mission is to provide temporary and permanent housing for homeless veterans as well as “emergency, transitional and permanent residence for families” and single individuals. The organization strives for privacy when it comes to its veterans. Some of these veterans are housed discreetly throughout Long Island communities.

Of the organization’s more than 20 housing locations, around nine  homes are designated for veterans. One of these homes is dedicated to female veterans while another is for the frail and elderly, according to the organization’s site.

This isn’t the first time Coldwell Banker has worked with Beacon House and assisted veterans utilizing Beacon House services. In the past they’ve scheduled appointments to visit and provide new flags and a Thanksgiving meal among other items, to these veterans.

On April 14 the organization met with the Coldwell Banker Residential Brokerage of Long Island and Queens in Huntington to collect the first donations for the drive.

For Marotta caring for veterans hits close to home as her husband is a veteran as well. But her passion for the drive also stems from the fact that it’s a great cause.

“It’s nice to be able to recognize veterans,” Marotta said. “I feel like they’ve just been forgotten. Not only are they lonely they’re so appreciative.”

The community can drop off new linens at their local Coldwell Banker. For more information about the Hometown Heroes Linen Drive call 516-864-8104.