Home Health

North Shore lawmaker pushes drug stewardship plan

by Phil Corso - September 15, 2015

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Kara Hahn’s prescription medicine take-back proposal aims to enhance Long Island’s drinking water quality

WMHO-Check-presentation4-Kara-Hahn-020415-Donlon4w-prev — Suffolk Legislator Kara Hahn (D-Setauket) and Suffolk BOE Republican Commissioner Nick LaLota disagreed over the locations of Suffolk’s early voting places. File photo

A two-tiered piece of legislation on the county level is looking to tackle some of Long Island’s most pressing issues, from the medicine counter to the waterways, all in one fell swoop.

A proposal to establish a drug stewardship program throughout the county could potentially build upon existing drug take-back programs, playing off recent legislation enacted in Alameda County, California, and ultimately keep drugs out of our drinking water, lawmakers said. Suffolk County Legislator Kara Hahn (D-Setauket) introduced the piece of legislation earlier this summer with hopes of providing residents with more convenient ways to get rid of their unused medicine before the county’s next general meeting in October.

Suffolk County Legislator Kara Hahn is pushing a bill to make it easier to get rid of leftover medicine. File photo

“This is a duel benefit,” Hahn said. “I’ve wanted to find a way to get pharmacies to be required to take back prescription drugs, and this doesn’t quite require that, but it could be an end result.”

The local law proposal argued that while pharmaceuticals are essential to the treatment of illnesses and long-term conditions, residents at large still do not dispose of them properly, running the risk of certain drugs ending up in public drinking water supplies and causing harm to the environment. And with Suffolk County sitting on top of a sole source aquifer, which provides residents with necessary drinking water, Hahn argued that protecting the aquifer was critical to the health and safety of Long Island as a whole.

“The idea is to begin a discussion on this. Federal regulations have changed to allow pharmacies to take back certain drugs, but the state level has been dragging their feet on the local regulations in order to make this possible here,” Hahn said. “They can’t drag their feet any longer. All kinds of medicines are being found in our water when our health inspectors do their sampling. We have to find a way on both these fronts to control what is happening.”

The legislator said she was playing off the recently passed law in California, which also established a drug product stewardship policy requiring manufacturers to design and fund collection programs for medications. Similar programs have also sprouted up in Canada, France, Spain and Portugal.

A spokesman for Hahn said the bill would essentially establish a manufacturer-administered pharmaceutical take-back program that would provide residents with convenient ways to safely and environmentally responsibly dispose of expired and unneeded medications.

“This program, if adopted, will primarily impact and improve water quality rather than deal with drug abuse,” Seth Squicciarino, the spokesman, said. “However, it is reasonable to assume that if there are less unused, unneeded and forgotten prescription drugs in medicine cabinets, it could reduce drug experimentation especially among first time users.”

Currently, residents’ only course of action when looking to properly dispose of unused medicine is to bring their prescriptions to the 4th Precinct or 6th Precinct of the Suffolk County Police Department, which then dumps the drugs into an incinerator — which Hahn described as the most environmentally friendly way to dispose of drugs right now.

Mather Hospital takes trophy in regatta for pancreatic cancer research

by Elana Glowatz - September 14, 2015

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Port Jefferson Yacht Club hosted its sixth annual Village Cup Regatta on Saturday, raising funds for pancreatic cancer research through the Lustgarten Foundation and for John T. Mather Memorial Hospital’s palliative medicine program.

The regatta pits the hospital and Port Jefferson Village against one another in a friendly competition for the Village Cup, a trophy which the hospital has now won two years in a row following a village reign of three years.

Participants raised about $64,000 for the cause through this year’s race, according to yacht club member Chuck Chiaramonte. The sum will be split between the Lustgarten Foundation and the palliative care program, which is focused on improving patients’ quality of life.

Chiaramonte said over the six years of the regatta, the event has raised more than $300,000.

The yacht club — formerly known as the Setauket Yacht Club — supplied the boats and captains for the event, which included a parade of boats, games and face painting for children at the harborfront park, and a trophy presentation at the adjacent Village Center.

Chiaramonte said the club looks forward to the event every year.

“It was really meant to just be a joyous occasion and share the love of the water and boating with our neighbors,” he said.

Suffolk County hosts Narcan training class

by TBR Staff - September 11, 2015

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narcan-kit_Suarezw — Narcan, a drug that stops opioid overdoses. File photo by Jessica Suarez

Suffolk County is hosting a Narcan training class to teach residents how to administer the life-saving drug that stops opioid overdoses.

According to the county health department, the training class meets New York State requirements and will teach attendees how to recognize and overdose on opioids such as heroin and Vicodin. They will also learn how to administer Narcan through an overdose victim’s nose and what additional steps to take until emergency medical personnel arrive on the scene.

Participants who complete the training will receive a certificate and an emergency resuscitation kit that contains Narcan, also known as naloxone.

The class will be held on Monday, Sept. 14, from 6 to 7:30 p.m. at the Office of Health Education in the North County Complex, 725 Veterans Highway, Bldg. C928, Hauppauge.

For more information on the class, contact Wanda Ortiz at 631-853-4017 or [email protected].

Animal group sues SBU for info on lab test dog

by Phil Corso - September 9, 2015

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An animal rights group has a bone to pick with Stony Brook University.

The Beagle Freedom Project, a national laboratory animal advocacy group, has filed a petition in the state Supreme Court against Stony Brook University with hopes of compelling the school to provide documents relating to Quinn, a dog being housed at the university for animal testing and research. The group, alongside supporter Melissa Andrews, made a Freedom of Information Law request to Stony Brook for documents as part of their “identity campaign,” which allows individuals to virtually adopt dogs or cats being held or used in experiments.

The petition accused Stony Brook University of failing to provide a full response to the FOIL request, providing only five pages of heavily redacted documents. Among the five pages provided was a form appearing to indicate that Quinn and his littermates had been purchased from Covance Research Products, Inc., the group said.

Currently, most universities routinely euthanize all such “purpose-bred for research” animals, the group said. In a statement, a spokesman for the Beagle Freedom Project said the group hopes that the documents help to identify opportunities to provoke post-research adoptions of healthy laboratory dogs and cats.

The petition also challenged Stony Brook University’s claim that it has no further documentation relating to Quinn, pointing out that certain documents are required to be maintained by the Animal Welfare Act and that other publicly funded universities responding to similar requests had produced hundreds of pages of documents. In the petition, BFP and Andrews argued that Stony Brook University and the other respondents did not articulate a particularized or specific justification for denying access, as required, and that there is no such justification.

“Stony Brook is either lying about the records they are keeping or they are in violation of federal recordkeeping requirements,” said Jeremy Beckham, research specialist for the Beagle Freedom Project. “Either way this is troubling and the taxpaying public, forced to fund these experiments, have a right to hold this school to account.”

Lauren Sheprow, a spokesman for Stony Brook University, said the university was unable to comment at this time.

The petition asked the Supreme Court of the State of New York to compel Stony Brook University and the other respondents to provide complete, unaltered documentation concerning Quinn. The Manhattan-based law firm Olshan Frome Wolosky LLP is representing BFP and Andrews in connection with the petition, through its pro bono program.

Through the Identity Campaign, the Beagle Freedom Project has uncovered a troubling pattern of laboratories using animals redundantly or unnecessarily for research or experimentation, providing these animals with poor veterinary care, and other abuses, a spokesman for the group said.

Treatment of those itchy animal ears

by Matthew Kearns - September 8, 2015

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By Matthew Kearns, DVM

In the Aug. 13 article we focused on the causes of chronic otitis externa (external ear infections). This article will focus on treatment. First, relieve yourself of the guilt that you did not treat the “infection” correctly. If your pet has chronic ear infections, that usually indicates some predisposing factor (usually genetic in origin). Second, get over the frustration of assuming that because we veterinarians use the term “ear infection” that if treated once, it will never return.

Chronic otitis externa is a problem that can be managed, not cured. Therefore, general maintenance of the ear is much better than waiting for things to get out of control. Talk to your veterinarian about ear cleaners, or if you look for an ear cleaner at the pet store make sure it states that it is a cleaner and a drying agent. This means it will have some isopropyl alcohol and usually propylene glycol to not only break up the wax but also to dry the lining of the ear canal.

Those dogs (or cats) that produce excessive wax should have their ears cleaned regularly (once to twice weekly). If your pet’s ears are really inflamed/infected, you will need medication from your veterinarian to get things under control. However, once the infection clears up, maintenance cleaning is imperative. I have many a pet owner tell me how guilty they feel about cleaning their pet’s ears because they know it hurts and the pet runs away.

However, these same owners usually wait until there is a full-blown infection. Therefore, it is much easier to clean the ears when there is no infection, as compared to waiting until the lining of the ear canal is inflamed and sensitive. Remember, “an ounce of prevention…”

There are some cases that get so out of hand that your veterinarian may suggest sedating your pet to obtain samples for testing (ear cultures, etc.), as well as a deep ear flush to evaluate the ear drum and the middle ear behind it. Although the problem may originate in the external ear canal, it can progress to a middle ear infection (otitis media) and systemic medication may be indicated.

Talk to your veterinarian about exploring the underlying causes of the ear infection. As we discussed in the previous article, it is estimated that 80 to 90 percent of recurrent ear infections are secondary to allergies. Newer, more accurate blood tests can diagnose food allergies, seasonal allergies or both. Avoiding certain foods (including treats), as well as managing seasonal allergies can decrease (or sometimes eliminate altogether) the need for cleaning the ears at all.

As a last resort, there are two surgical procedures that can be performed in severe cases. The first is called a lateral ear canal ablation. This procedure reconstructs a portion of the external ear canal so it more resembles a human ear canal. This allows better airflow and makes cleaning and treatment easier.

The second procedure is called a total ear canal ablation and bulla osteotomy, or TECA-BO (pronounced, “teeka-boo”) for short. This is reserved for end-stage ear canals where over the years so much scar tissue has developed, no medication can be introduced into the canal. This procedure involves removing the entire external ear canal and part of the middle ear as well.

A percentage of patients lose their hearing, but it will eliminate a significant source of chronic pain. The good news is that in almost every case, the patient is deaf before the surgery secondary to chronic disease.

I hope this sheds a little light on a confusing (and sometimes frustrating) disease in pets.

Dr. Kearns has been in practice for 16 years and is pictured with his son, Matthew, his dog, Jasmine.

Innovative e-glasses help Smithtown teen

by TBR Staff - September 4, 2015

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Passion for music thrives thanks to eSight glasses

eSIGHTS_Justin2_SIFORDw — Justin Crilly uses the eSight electronic glasses to perform simple tasks like using a computer. Photo by Rachel Siford

By Rachel Siford

Justin Crilly of Smithtown has had an eye-opening experience.

Legally blind 16-year-old Crilly had started using eSights on his eyes and is now able to pursue his passion for music. eSights are electronic glasses that utilize a high-definition camera in the headset to capture a real-time video feed. The headset connects to the processing unit that adjusts every pixel to allow Crilly to see and also houses the battery.

The tech company is fairly new since it launched in 2013.

“When I was first considered legally blind at 3 months old, the doctors said I would never see again,” he said.

Crilly’s mother, Stacy, said she saw an ad for eSight on Facebook and was intrigued. They went to a demo in the city and tried a pair out, and immediately fell in love with them.

“I don’t have to squint walking down the hallway anymore,” he said. “Now I can see when I go to a concert or a movie.”

Justin Crilly sports the eSight glasses, which help him overcome blindness. Photo by Rachel Siford

Crilly’s mother has noticed considerable differences in her son’s behavior since he started wearing the glasses this past March.

“The eSights have increased his independence tremendously,” his mother said. “It makes me less afraid for him to go out into the world.”

She went on to say that it gives him the freedom to do anything he wants, like go away to college when he graduates if he so chooses.

“There was always this worry about how far was he going to make it independently, but now I am elated to know that he can be as independent as anybody else,” Stacy Crilly said. “In a way these glasses freed him from his disability.”

According to his mother, since Justin Crilly was a baby, he always gravitated toward music. He has been looking into music schools for the past several years, excited about where to go to college to pursue a career in music production.

He has been taking music theory and recording at Hauppauge High School for the past year. He is able to plug his eSights directly into the computer, making using the software to make music, at home and at school, much easier. Justin Crilly has taken voice, piano and drum lessons throughout his life and has recently started learning how to DJ at Spin DJ Academy in Hauppauge.

Before he started using eSights, it took Justin Crilly about three hours or more to do homework every night, but now he can knock it out in an hour.

He said he wants to show people that anyone with disabilities can do anything they want.

“I want people to hear my music and think ‘despite that he has a disability, he still made music sound that good,’” Justin Crilly said. “No matter if you have a disability or not, you can do anything with your life.”

Tobacco free in Smithtown

by Phil Corso - September 2, 2015

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Bellone-signs-tobacco-age-law_ABBASw — Suffolk County Executive Steve Bellone signs the county’s tobacco age law. File photo by Rohma Abbas

Suffolk County Executive Steve Bellone and Health Commissioner James Tomarken encouraged residents who use tobacco to break their addiction through the “Learn to Be Tobacco Free” program.

“We are promoting good health to all residents in Suffolk County,” Bellone said. “For those who are addicted to tobacco or nicotine products, we urge them to get the support they need to prevent illnesses that are caused by tobacco.”

Smithtown’s session was scheduled at Smithtown Public Library, 1 North Country Road on Mondays from 6 to 7 p.m. on Sept. 21, 28, Oct. 5, 19, 26 and Nov. 2.

The classes are free to Suffolk County residents, though there is a nominal fee for medication for medically eligible participants.

“Breaking an addiction to nicotine can be very difficult,” Tomarken said. “Studies have shown that smokers who try to quit smoking using a combination of behavioral support and medicine are three times more likely to be successful than those who try to stop smoking without support.”

SBU ushers in largest medical class ever

by Phil Corso - September 2, 2015

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GroupSBU-Stethoscopes-w — A group of new Stony Brook medical students display their first stethoscopes, donated by the school’s alumni association. Photo from Stony Brook University School of Medicine

The 132 first-year students of the Stony Brook University School of Medicine Class of 2019 — the largest ever in the school’s history — officially began their training with the school’s annual White Coat Ceremony.

At the Aug. 23 event, the incoming medical students received their first physician-in-training white coats and took the Hippocratic oath for the first time. The Class of 2019 is a talented and diverse group coming from New York State, eight other states, and around the world.

Only 7.4 percent of the total 5,255 applicants were accepted. A larger portion of students in this class, compared to previous incoming classes, already have advanced degrees. A total of 23 hold advanced degrees, including one Ph.D., one Doctor of Pharmacy, 18 masters’ and three Masters in Public Health.

“Today is a celebratory and symbolic day for all of you. As you receive your first white coats, enjoy the honor and responsibility that comes with wearing the white coat,” said Kenneth Kaushansky, senior vice president of Health Sciences and dean of the School of Medicine. “Medicine is a field unmatched in the range of emotions you will experience. You will be struck by many firsts — your first newborn delivery, your first sharing of a diagnosis of cancer, the first patient you will see cured, and your first patient death. And never forget that your journey will require lifelong learning, as you take part in many advances in the art and the science of medicine in the years to come.”

Among the many accomplished members of the Class of 2019 include Tony Wan, the son of Chinese immigrants, who enlisted in the U.S. Marine Corps right after high school. He served two tours in Iraq — where his duties included providing first aid to fellow soldiers.

He then left the military and pursued college at CUNY-York College, where he graduated as class valedictorian in 2012. After seeing too many of his fellow Marines with life-changing injuries, he’s motivated toward becoming a neurologist specializing in traumatic brain injuries. Wan said he particularly wants to work to improve the care of veterans.

Persis Puello, a mother of two and the oldest incoming student, at 34 years of age, is also part of the 2019 class. She earned advanced degrees from Columbia University, a Master of Science in Applied Physiology and Nutrition; and from Stony Brook, a Master of Science in Physiology and Biophysics. Her career as an athletic trainer and nutritionist inspired her to work toward becoming an orthopedic surgeon and, eventually, a team doctor.

She credited support from her husband and her sister for enabling her to raise her two young children, ages 3 and 8, while pursing the challenge of a career in medicine.

Nicholas Tsouris, who grew up in Stony Brook and is a former professional lacrosse player, was part of a team of fellow students hailed by Popular Mechanics magazine as “Backyard Geniuses” for their invention of a spoke-less bicycle. After graduating from Yale, he worked on Wall Street while playing major league lacrosse, later deciding to pursue medicine.

The school has steadily increased its incoming class size over the past several years in order to address the significant shortage of physicians nationally, as cited by the Association of American Medical Colleges.

New to the ceremony this year was the presentation of a stethoscope to each student to accompany with their white coats. The school’s alumni association donated the 132 stethoscopes for the event.

More mosquitoes test positive for West Nile on North Shore

by Phil Corso - August 31, 2015

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Nineteen more mosquitoes and two birds have tested positive for West Nile virus in various neighborhoods across Suffolk County, Health Commissioner Dr. James L. Tomarken announced on Monday.

The mosquito samples, collected from Aug. 17 to 19, hailed from: Lindenhurst, West Babylon, Northport, Huntington Station, South Huntington, Greenlawn, Commack, Nesconset, Smithtown, Saltaire on Fire Island, Port Jefferson, Farmingville, Holtsville, Yaphand, Southold and East Hampton. Two blue jays collected on Aug. 14 from Stony Brook and a blue jay collected on Aug. 24 and Aug. 25 from Smithtown, also tested positive for the virus.

“The confirmation of West Nile virus in mosquito samples or birds indicates the presence of West Nile virus in the area,” Tomarken said. “While there is no cause for alarm, we urge residents to cooperate with us in our efforts to reduce the exposure to the virus, which can be debilitating to humans.”

To date, this year Suffolk’s total West Nile count comes to 99 mosquitoes and seven birds. No humans or horses have tested positive for the virus in Suffolk this year.

First detected in birds and mosquito samples in Suffolk in 1999, and again each year thereafter, the virus is transmitted to humans by the bite of an infected mosquito.

While Dr. Tomarken said there’s no cause for alarm, the county is urging residents to reduce exposure to the virus, which “can be debilitating to humans.”

“The breed of mosquito known as culex pipiens/restuans lay their eggs in fresh water-filled containers, so dumping rainwater that collects in containers around your house is important,” he said.

Residents should try to eliminate stagnant water where mosquitoes breed, in order to reduce the mosquito population around homes. That includes: disposing of tin cans, plastic containers, ceramic pots or similar water-holding containers; removing discarded tires; cleaning clogged gutters; turning over plastic wading pools and wheelbarrows when they’re not being used; changing the water in bird baths; and draining water from pool covers

Most people infected with West Nile will experience mild or no symptoms, but some can develop severe symptoms, including high fever, headache, neck stiffness, stupor, disorientation, coma, tremors, convulsions, muscle weakness, vision loss, numbness and paralysis. The symptoms may last several weeks and neurological effects may be permanent. Individuals, especially those 50 years of age or older or those with compromised immune systems, who are most at risk, are urged to take precautions to avoid being bitten by mosquitoes.

Residents are advised to avoid mosquito bites by: minimizing outdoor activities between dusk and dawn; wearing shoes and socks, long pants and long-sleeved shirts when outdoors for long periods of time or when mosquitoes are more active; using mosquito repellent when outdoors, following label directions carefully; and making sure all windows and doors have screens and that all screens are in good condition.

To report dead birds, call the West Nile virus hot line in Suffolk County at 631-787-2200 from 9 a.m. to 4 p.m., Monday through Friday. Residents are encouraged to take a photograph of any bird in question.

To report mosquito problems or stagnant pools of water, call the Department of Public Works’ Vector Control Division at 631-852-4270.

For medical questions related to West Nile virus, call 631-854-0333.

Ice Bucket Challenge returns to Mount Sinai

by Giselle Barkley - August 27, 2015

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ALS_25_Barkleyw — Members of the Comsewogue High School girls varsity and junior varsity field hockey team dump water on themselves at the second annual ALS Ice Bucket Challenge on Wednesday Aug. 26. Photo by Giselle Barkley

As the president of the Port Jefferson Station Teachers Association, Beth Dimino is rarely hit in the face with whipped cream. But on Aug. 26, Dimino sat wearing a large black garbage bag as whipped cream from a pie toss dripped down her face and body — all in support of the second annual ALS Ice Bucket Challenge at Heritage Park in Mount Sinai.

Hundreds of people attended the event, which aimed to raise awareness of amyotrophic lateral sclerosis and money for research into the disease, through the Stony Brook-based organization Ride for Life. People who purchased a ticket could trade it for a chance to throw a whipped cream-filled plate at volunteers like Dimino.

Councilwoman Jane Bonner (C-Rocky Point) was one of many, including local school principals and teachers, to participate in the event’s dunk tank or pie-throwing games. For Bonner, supporting the cause is important, as her grandfather died from the rare disease around 35 years.

“It robs your body, not your mind,” Bonner said.

ALS affects nerve cells in the brain and spinal cord, causing motor neurons to degenerate. People with the disease lose control over their muscles, leaving them unable to speak, eat, move or breathe on their own. The cause of the disease is not yet known.

Bonner jumped at the chance to participate in the event this week.

“Chris just makes you want to [be involved],” she said about Christopher Pendergast, who founded Ride For Life in 1997 and has lived with the disease for more than 20 years. “He just inspired so many people to participate and bring awareness.”

According to Ray Manzoni, a member of the Ride For Life Board of Directors, Pendergast wanted to make this year’s event at Heritage Park bigger and better than last year’s ice bucket challenge, which focused on the ice bucket challenge itself.

Last year’s event occurred during the height of a worldwide trend in which people dumped buckets of ice water over their heads, and challenged others to follow suit, in order to bring publicity to the disease. Lori Baldassare, president of the Mount Sinai Heritage Trust, Bonner and Legislator Sarah Anker (D-Mount Sinai), all of whom attended this year’s event, were “instrumental in getting [the event] approved quickly” last year, according to Manzoni. That inaugural event was organized in four days.

Manzoni said this year they added the pie-tossing event, balloon twisting and face painting booths, cotton candy, hot dogs and more.

The Comsewogue girls’ varsity and junior varsity field hockey teams were also at the event. While many of them were dancing to the music there, they also donated money and helped organize the buckets for people to dump water on themselves or others during the ice bucket challenge. The buckets were arranged at the end of the event to spell out “ICE ALS.”

“The goal is to have this and other events that Ride For Life supports and make them bigger and better,” Manzoni said.

Although he did not know how much money the group raised this year, Manzoni hoped it matched or exceeded the amount of money raised last year, $5,000. He added that successful research into ALS can also help research for Alzheimer’s and Parkinson’s disease, which are more common but have similarities.

According to the ALS Association’s website, the disease affects around 6,400 people annually in the United States alone. Only 10 percent of people who are diagnosed with the disease inherited it, while the rest are affected by the disease at random.

For people and organizations like Ride For Life, these events are important.

The goal is “to build awareness and money so that we can continue [our efforts],” Manzoni said.

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