Health

New trustee uses policy committee role to suggest better student accommodations

Smithtown Trustee Jeremy Thode is one of the newest members of the school board. Photo by Victoria Espinoza

The Smithtown board of education has decided to look into adopting policy for transgender students.

School board Trustee Jeremy Thode introduced the issue at the board meeting on Tuesday, Oct. 13.

Thode is a chairperson for the policy committee and said he thinks the board needs to start looking into this issue. He said that at some point in the near future the policy committee would try to obtain language for a policy on transgender students.

“It’s important to ensure that all students are accounted for,” Thode said. “So that they understand what their rights are.”

Thode said that this is purely the beginning and that there are not many other details currently about how the board will approach adopting local policy for transgender students.

New York State Education Commissioner MaryEllen Elia has had transgender issues in her sights since she first took office in May.

Elia released the Transgender and Gender Nonconforming Guidance Document in July to public school districts throughout New York State.

According to a press release from the New York State Education office, the document is intended to help districts foster an educational environment safe and free from discrimination for transgender and nonconforming students.

It includes information to help districts comply with federal, state and local laws concerning bullying, harassment, discrimination and student privacy.

“All students need a safe and supportive school setting to progress academically and developmentally,” Elia said. “We have a moral responsibility to foster civility in our schools, and to ensure that every student has equal access to educational programs and activities.”

This document also provides guidance on using pronouns and handling issues like restroom and changing room use. It will complement existing resources like the Dignity for All Students Act that was signed into law in 2010. DASA seeks to provide New York State’s public elementary and secondary students with a safe and supportive environment free from discrimination, intimidation, taunting, harassment and bullying on school property, a school bus and at school functions.

Smithtown school district Superintendent James Grossane recently renewed coordinators for this act throughout the school district. 

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Event raises money for cancer patients

Michele Pincus, a breast cancer survivor, walks in the show. Photo by Victoria Espinoza

Pink Aid Long Island hosted its second annual fashion show and luncheon to benefit victims of breast cancer at Mitchells|Marshs in Huntington on Thursday, Oct. 15.

Pink Aid is a nonprofit organization, with branches in Connecticut and Long Island and seeks to support breast cancer survivors and provide screenings to women in   financial need.

Pink Aid’s grant programs provide services like free breast cancer screenings and help cover nonmedical expenses such as wigs, recovery garments and transportation for patients undergoing treatment.

The event featured a fashion show with models wearing Mitchells fall 2015 and spring 2016 lines. There were also silent and live auctions, where items ranging from a Gucci iPad case to a two-night stay at an inn in Ireland were prizes.

Allison Mitchell, president of Pink Aid Long Island, said she was proud of how this event has grown in just one year. Last year, the event raised more than $225,000 from its 300 attendees.

She said while they can only fit a certain number of people in the store for the event, they also had the option of an online auction this year for those who didn’t have a chance to reserve a ticket.

“Pink Aid helps women that are underinsured or not insured to get through their treatment and their diagnosis,” Mitchell said. “I think it’s really important we’re giving back to women here on Long Island right in our backyard [who] are struggling with treatment and keeping their families together.”

Mitchell’s husband Chris heads the Huntington store, previously known as Marshs, which is part of an independent family chain. “We own a retail store [here] with a lot of amazing clothes,” he said. “Women love clothes and this event allows us to have women come and support other women while having a fun day that is really a celebration.”

During the Celebration of Life portion of the fashion show, breast cancer survivors walk the runway in Mitchells after the professional models. The survivors are accompanied by an escort, specifically someone who supported them during their journey, according to Diana Mitchnick, co-chair of the Celebration of Life fashion show.

“I am going to walk this year,” she said. “I am very excited and a little nervous.”

Mitchnick said the entire event is uplifting, and that the room is filled with love and support: “Everyone who has been through the breast cancer journey knows how much help you need. Many people don’t have it and they need it.”

This year’s guest speaker was Marisa Acocella Marchetto, a breast cancer survivor and award-winning cartoonist and graphic novelist. Her graphic novel, “Cancer Vixen: A True Story,” follows her journey from when she discovered she had breast cancer through to the end of her treatment.

“What a positive impact you’ve made creating real positive change,” Marchetto said to the room. “You’ve made Strong Island ever stronger.”

Squad says it services highest call volume in town

Huntington Community First Aid Squad is the subject of a recent study. File photo

A report shows that Huntington Community First Aid Squad is requesting more help from neighboring fire departments than any other ambulance service in Huntington.

According to the report, commissioned by Huntington Town, five volunteer fire departments in the town approached town officials about an increase in requests from the Huntington ambulance squad to respond to calls in the squad’s service area.

HCFAS made more requests for ambulance support than those five departments combined, according to the report.

In a phone interview this week, Alyssa Axelrod, vice president of HCFAS, said that the study is misleading because it does not mention that the squad receives more calls than the five other departments combined.

HCFAS was formed in 1967 as a nonprofit and is the only exclusive volunteer ambulance program in the town. The taxpayers and Huntington Town fund the squad’s operations.

The chiefs at the respective fire departments started noticing an increase in requests starting in 2013, according to the study.

Huntington Town responded to those concerns by hiring Medic Health to assess the operational practices of HCFAS and provide recommendations to reduce the number of requests to neighboring fire departments and ambulance squads.

The study began in June 2014. Consultants worked with the Huntington ambulance squad, representatives of Suffolk County Fire Rescue and Emergency Services and Huntington Town to gather and analyze information.

The study found instances where HCFAS was understaffed during certain shifts.

In one graph, the study shows times of the day and days of the week where current staffing levels, which is a minimum of two staffed ambulances, may not be sufficient to cover the community’s demand. The study states that 1 and 5 p.m. are the two times of the day where resources are lacking the most, during six out of the seven days of the week, according to the study. Saturday from 1 to 7 p.m. is the busiest.

Currently the HCFAS services Huntington Town with a minimum of two on-duty ambulance crews based at the station for daytime shifts, and one crew for overnight shifts, according to Axelrod.

The study also highlighted a problem caused by the staff being made up entirely of volunteers.

Commitments from volunteers varied considerably for overnight and daytime coverage, according to the study. The report stated that 17 percent of the planned shifts had an insufficient number of members to staff the desired two ambulances. A chart showed the number of ambulances the HCFAS can field during different shifts based on member commitment. Friday, Saturday and Sunday overnight shifts only have enough member commitments to staff one or fewer ambulances, according to the chart. This is the same for 7 to 11:00 a.m. shifts on Friday and 3 to 7 p.m. shifts on Friday and Saturday.

Although there is no official time for how quickly an ambulance should respond to a call, organizations have given time limits to respond to life-threatening calls.

The Commission on Accreditation of Ambulance Services said a total response time standard of eight minutes and fifty-nine seconds is expected for life-threatening calls.

In 2014, the HCFAS was able to be on the scene to 62 percent of their calls within eight minutes of the call receipt, 76 percent within 10 minutes and 89 percent within 15 minutes. According to the study, 11 percent of the calls required more than 15 minutes for an ambulance to arrive on the scene.

If an ambulance can’t respond to the scene, mutual aid requests come into play.

Mutual aid requests were designed to allow surrounding departments to assist each other during times of unusual demand for services, like mass casualty situations or disasters. Volunteer-based organizations like HCFAS also resort to mutual aid requests when they are unable to muster sufficient resources to staff an ambulance and respond to a call.

During the first five months of 2015, HCFAS requested mutual aid 41 times compared to 23 times by all the adjacent departments.

The study concludes with eight recommendations for the HCFAS to reduce its mutual aid requests. They include employing dedicated staff to provide coverage for shifts that are too difficult to staff with current volunteer squad members, restructuring the recruitment and orientation process to reduce time investment for prospective members, and more.

It also states Huntington Town should mandate the submission of monthly performance measurements, including response time performance reports and establishing response time expectations.

Axelrod said she believes that there is a misunderstanding about what this study is about.

“We are a busy department,” Axelrod said. “This year we will do 60,000 calls. We’re stripped of our percentage of calls we get in this report. The report doesn’t show that we respond to more calls than the five other departments combined.”

She said this makes the report confusing, but there were helpful discoveries and some recommendations that HCFAS wants to integrate moving forward, according to Axelrod.

She said the squad is changing how it brings in members as it’s currently a lengthy process.

“The process is steeped in caution,” Axelrod said. “We are very careful when we vet people before we let them ride in an ambulance.”

She also said the squad has considered non-volunteers, and has added a line item to their budget for 2016 to add paid personnel. According to Axelrod, the squad’s budget for this year will be cut by 15 percent, so they will have to look into other funds if they want to hire employees.

“The bottom line is we do a great job and these other departments do a great job,” Axelrod said. “But when you take out the number of calls we respond to, it makes us look deficient.”

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A view of a healing garden at Mather Hospital’s new pavilion. Photo from the hospital

New facilities at John T. Mather Memorial Hospital aim to reduce infection rates and bring more doctors to the area.

The Port Jefferson hospital recently dedicated its new Arthur & Linda Calace Foundation Pavilion, adding more than 28,400 square feet of space to the north side of the hospital that is being used to house patient rooms as well as medical offices and conference rooms.

According to Mather spokesman Stuart Vincent, there are 35 one-bed rooms in the new pavilion. Rather than using the space to add to the hospital’s 248 beds, beds were moved from existing double rooms into the new pavilion, creating 70 new single-bed patient rooms throughout the hospital.

A view of a patient bedroom at Mather Hospital. Photo from the hospital
A view of a patient bedroom at Mather Hospital. Photo from the hospital

Taking away those 35 double rooms and adding the 70 single rooms means “for the first time, the majority of rooms at Mather are now single-bedded, which aids in both patient healing and in reducing the risk of infection spreading among patients,” Vincent said in an email.

The patient rooms in the new pavilion will be used for intermediate care and will each have their own medication cabinet and a computer for managing patient information, according to Vincent. The unit also keeps nurses close to patients, with nursing stations throughout the floor.

Joseph Wisnoski, CFO at Mather, said in a previous statement, “A single-bed patient room is no longer a luxury, but the standard for hospitals across the nation.”

That patient unit is located above two floors of new offices and conference rooms and a 180-seat conference center. When the hospital broke ground on the expansion project two years ago, officials said the office space would be used to combat a shortage of primary care physicians by training more of those professionals — who would then hopefully stay in the area — in a graduate education program that includes seminars and symposia.

The pavilion is Mather’s first expansion in more than a decade, and Vincent said it is the sixth expansion since the hospital opened in 1929. It was named for Arthur and Linda Calace, the primary donors on the project, who raised their family nearby and wanted to give back to the community. The Calaces and other donors combined to cover $5 million of the total construction cost.

Dr. Frederick Schiavone with emergency medicine residents in the Clinical Simulation Center. Photo from Melissa Weir

Stony Brook is sending some fresh faces to one of its neighboring hospitals.

Earlier this month, Stony Brook University Hospital heralded in a new partnership with John T. Mather Hospital that will transition the Port Jefferson facility from a community hospital into an academic teaching hub. But that doesn’t mean Mather will be losing its community-centric feel, hospital officials said.

The partnership began in 2012 when Mather officials started seeking advice from Stony Brook Medicine on how to establish a new graduate medical education program, and quickly evolved into Stony Brook Medicine’s sponsorship of the program. Mather welcomed its first class of 19 residents studying internal medicine in July 2014 and it has been all-systems-go ever since. And if all goes well, Mather said it aspired to reach 100 residents at the end of five years.

“It’s an investment in the future,” said Dr. Joan Faro, chief medical officer at Mather, who works as the site’s designated institutional officer for the graduate medical education team and initially reached out to Stony Brook Medicine to explore the partnership. “Our standards will be as high, or even higher, as they have been as they are passed down, and we are so fortunate to take advantage of [Stony Brook Medicine’s] expertise and guidance.”

Under the new system, Stony Brook’s graduate medical education program reviews Mather’s selections for residency program directors and then Faro sends recommended candidates back to Stony Brook. The candidates are then interviewed and authorized for appointments. When Mather residents graduate, they will receive a Stony Brook University Hospital crest alongside the Mather crest on their graduation certificates.

With Stony Brook Medicine’s help, Mather has instituted its own de facto recruiting system for promising prospects in the medical arena. By inviting residents into Mather, the hospital is not only ingraining its culture into the learners at an early stage, but it is also setting them on a path that could potentially lead to long stays working there, Faro said. And with the recent opening of a new 35-bed facility on the Mather campus, the time could not be better for residents to be learning on-site.

Dr. Frederick Schiavone, vice dean of the graduate medical education program at Stony Brook Medicine, teamed up with Carrie Eckart, executive director of the same program, to help transition Mather into an academic teaching hospital over the past year and said it could not be going more smoothly, as Mather’s staff steps up to new teaching roles.

“It’s a passion,” Schiavone said. “People like to teach, love to teach. It’s built into what being a doctor means. When residents thank us for helping teach them, you couldn’t ask for a better reward.”

One of the benefits of becoming a teaching hospital for Mather, Faro said, is that the staff are required to stay on top of the latest developments in medical education and training, which means that Mather’s patients receive advanced methods of health care delivery. Schiavone said the affiliation was ideal for Stony Brook Medicine as it allows staffers to train residents from the beginning as they are brought up throughout the system.

“We need to reach out to our community,” Schiavone said. “The focus is always to deliver the best health care in Suffolk County. Mather’s success is our success.”

And by putting collaborative patient care at the center of the model of delivering health care, Schiavone said Stony Brook Medicine was benefitting from having more residency spots to dole out.

Having residents under the same roof as Mather’s experienced medical professionals would only raise the level of care the community hospital provides by reinforcing the facility’s standards, Faro said.

Editor’s note: This version of the story was updated to correctly reflect the number of residents Mather has taken in as its inaugural class.

Could the stuff you’re washing your face with end up in your sushi? It sounds crazy, but yes.

We don’t often agree with legislators who want to add more restrictions to businesses, but a recently approved law, drafted by Suffolk County Legislator Kara Hahn (D-Setauket), tries to take tiny pieces of plastic out of the equation.

The culprit is known as microbeads, which are used as exfoliants and are becoming more and more common in personal care products like facial scrubs and toothpastes. The tiny particles are too small for our treatment plants to filter out of wastewater, so they pick up toxins and are discharged into our waterways. Small creatures confuse them with food and ingest them, and those small creatures are consumed by larger creatures — which then reach us at the top of the food chain.

Hahn’s law passing this week means products containing microbeads are going to start disappearing from Suffolk County shelves, with complete removal by 2018.

While some of us may lose our exfoliant, we will all gain a healthier water supply and environment. It’s a sacrifice we’re willing to make, because without it, we may not have the clean water we need to exfoliate with in the first place.

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By Sen. Ken LaValle

Today, we live in a fast-paced society where change is no longer measured year-to-year but is determined in minute-to-minute increments.

By the time we master a new technology or system, it is time to upgrade to the next. Perhaps there is no better example of fast pace change than in the world of health care.

Doctors are now employed by hospitals, hospitals are joining hospital systems and hospital systems are expanding into new geographical areas creating an atmosphere of competition unprecedented in years past.

In this dynamic health care environment, I take great pride in the fact that two of our local hospitals have recognized that by working together, the quality of health care in our community significantly improves. We are fortunate to have Stony Brook Medicine — an outstanding, tertiary care hospital and research-intense medical school, in close proximity to John T. Mather Memorial Hospital — one of our region’s premiere community teaching hospitals.

In years past, a patient oftentimes had to choose between the two hospitals in determining their level of care. Today, the hospitals work together to provide access to quality care and services through state-of-the art technology.

For example, recent clinical research at Stony Brook established a new approach to the definitive diagnosis of cardiac disease in patients with chest pain. Stony Brook then spread this technology to Mather Hospital, so that a patient entering Mather with chest pain has their cardiac CT scan read remotely by doctors at Stony Brook, reducing unnecessary hospital admissions.

Mather has also teamed up with Stony Brook radiologists who read all of the radiology studies, CT, MRI and X-rays, for Mather Hospital patients. The two hospitals have implemented a seamless transfer process for patients with complex medical problems that require services available only at the tertiary care hospital.

For example, patients arriving at Mather Emergency Department with stroke symptoms are rapidly assessed and treated. Those patients who require neurointerventional therapies are transferred to Stony Brook where neurosurgeons can move quickly and remove or break up clots, saving brain tissue and thereby improving brain function following recovery.

On the educational front, Stony Brook currently sponsors the training of internal medicine residents at Mather Hospital, providing a mechanism to attract and maintain quality doctors in the years ahead.

The relationship between Stony Brook Medicine and Mather Hospital demonstrates what can be achieved when institutions make the commitment to reach out and complement each other’s strengths. In this case, the results have brought about improved and more efficient health care services at a cost savings achieved by eliminating duplication.

As we continue to navigate the quickly changing health care landscape and focus more on health management and prevention strategies, I am hopeful that opportunities for collaboration and cooperation continue to grow and that our local hospitals find new and innovative ways to provide residents with the best possible health care close to home.

Senator Ken LaValle (R-Port Jefferson) is a member of the New York State Senate, representing the First District.

Legislator Kara Hahn speaks about the harmful effects of microbeads on Tuesday. Photo from Hahn’s office

A push in the Suffolk County Legislature to ban the sale of personal care products containing microbeads was met with unanimous approval on Tuesday, as state and federal lawmakers are also signing on to the cause.

Suffolk County Legislator Kara Hahn (D-Setauket) celebrated the unanimous vote on Tuesday for legislation crafted with the goal of washing the county free of the tiny, potentially hazardous plastic particles linked to several issues affecting waterways. She stood alongside environmental experts at the county Legislature building in Riverhead, referring to the new ban as a means of keeping Long Island and its surrounding waterways safe.

“There is no place for plastics in our vulnerable bays and waterways,” said Hahn, chair of the Legislature’s Environment Committee and author of the bill. “Microbeads have been found in our precious Long Island Sound, and my legislation will protect our environment, protect our health and protect our fishing and tourism industries.”

Microbeads, which are usually between one and five millimeters in diameter, are typically not filtered out by most wastewater treatment systems. This poses the risk of the tiny beads making their way into surface waters, picking up toxins as they flow from one source to the next. Because of their tiny size, the toxin-laden particles can sometimes be mistaken for food by small fish and other aquatic species.

But it does not end there.

Once the aquatic life consumes the potentially harmful microbeads, they could then make their way into larger living organisms and eventually into the human food supply.

The county legislation said that manufacturers of several personal care products have added the small plastic beads to their facial scrubs, body washes, toothpaste products and select soaps and shampoos over the past 10 years. Now that it has passed, Hahn’s law will go into effect Jan. 1, 2018, and prohibit the sale of any personal care products that contain microbeads in Suffolk County.

Six months before that deadline, Hahn said the Department of Health Services will begin informing retailers selling products that contain microbeads of the new regulations, and enforcement will come through random inspections of at least 10 retailers per quarter in 2018. Anyone who violates the law will be subject to a civil fine of up to $500 for a first offense, a fine of up to $750 for a second offense and a fine of up to $1,000 for all subsequent violations.

Microbead legislation has been gaining traction beyond the Suffolk County level over the past year, with elected officials on both the state and federal levels stepping up to promote the ban of such products. U.S. Sen. Kirsten Gillibrand (D-NY) and state Attorney General Eric Schneiderman visited Long Island over the summer to announce the Microbead-Free Waters Act of 2015, a bipartisan federal bill that would also ban cosmetics containing the plastic pellets.

Gillibrand’s bill had sponsors and co-sponsors from both sides of the aisle, most of them from the Midwest, according to a press release from the senator’s office. It is similar to a New York state-level bill of the same name, which is Schneiderman’s effort to prohibit the sale and distribution of products containing microbeads.

Kym Laube, executive director of Human Understanding & Growth Services Inc., a nonprofit organization in Westhampton Beach that provides educational and recreational programs for youth in Suffolk County, discusses the effects of drugs and alcohol on the youth and student athletes at Legislator Sarah Anker’s Youth Sports Safety Forum. Photo by Giselle Barkley

Sports are fun until safety becomes an issue.

In light of two incidences in Shoreham-Wading River where children where harmed while playing sports, Legislator Sarah Anker (D-Mount Sinai) hosted a Youth Sports Safety Forum on Wednesday, Sept. 30 to raise awareness of the issue.

The death of 16-year-old Tom Cutinella, who died last year after a collision on the football field, and an incident involving 15-year-old Jack Crowley, who was revived after he was struck in the chest with a baseball at the batting cages, sparked an even greater desire to help prevent these incidents from occurring,

Despite the poor turnout, as about 20 community members attended, the forum’s goal remained the same: to educate the public about keeping student-athletes safe on and off the field. The forum consisted of several speakers, including Anker, County Executive Steve Bellone (D), school sports coaches and athletic professionals.

Although student-athlete safety is traditionally perceived as the coaches’ sole responsibility, guest speakers like Rick Mercurio said parents and players are also responsible for an athlete’s safety. Mercurio is currently part of the Federation of International Lacrosse’s Development Committee and used to coach the Sachem High School boys’ lacrosse team.

He also admitted that coaches have the power to make a student feel stressed or happy.

“We forget that when we talk about safety … it’s not just about an athlete’s physical safety,” Mercurio said during the forum. “It’s mental safety as well.”

While athletes may jeopardize their own safety during practices or games if they feel pressured to go above and beyond for their coach, Frank McCoy, an orthopedic physical therapist from Advanced Sports Physical Therapy in East Setauket, said parents are also a source of pressure for student-athletes. He mentioned some parents may push their children to reach the professional level in their sport. He added that that pressure causes young athletes to surpass their own limits.

“They don’t want to necessarily mention that they have pain or that they’ve had some discomfort during practice or a game because they don’t want to be taken out of the game,” McCoy said during the forum.

Mark Passamonte, Frank McCoy, Dan Nowlan, Rick Mercurio, Legislator Sarah Anker, Kym Laube, Don Webster, Jeremy Thode and Dr. Hayley Queller were all speakers at Anker's sports safety forum. Photo from Theresa Santoro
Mark Passamonte, Frank McCoy, Dan Nowlan, Rick Mercurio, Legislator Sarah Anker, Kym Laube, Don Webster, Jeremy Thode and Dr. Hayley Queller were all speakers at Anker’s sports safety forum. Photo from Theresa Santoro

According to McCoy, 90 percent of athletes sustain an injury while playing sports and 50 percent continue to play when they are injured. Injuries from overusing parts of the body becomes a concern when athletes are pushing past their pain to appease parents or coaches. These types of injuries are usually preventable provided that athletes do preventative exercises, which they don’t always learn from their coaches or parents.

McCoy also mentioned that athletes should not play more hours than their age and should not play one sport year-round or multiple sports in one season.

Aside from resting the body, Jeremy Thode, the athletic director at Center Moriches High School, said positive reinforcement is also vital to an athlete’s safety. Student-athletes may suffer added stress if they are faced with degrading comments like “you throw like a girl.”

“We’re telling little boys — number one that they’re not good enough in their performance, but we are also saying negative things about girls,” Thode said.

The idea is that these comments may encourage young athletes to ignore their mental or physical discomfort or both to prove their worth in their sport or sports.

Kym Laube, executive director of Human Understanding & Growth Services Inc., a nonprofit organization in Westhampton Beach that provides educational and recreational programs for the youth in Suffolk County, acknowledged how drugs and alcohol may affect players — especially those who may not have family support or a healthy living environment.

Laube said they can’t build treatment centers big enough or fast enough to accommodate the magnitude of athletes struggling with alcohol or drug issues. According to Laube, alcohol is still the number one killer of high school students. Combatting this issue, especially concerning student-athletes, is a group effort since athletes may drink to relieve stress and anxiety, but are more susceptible to injuries 24 hours after they drink.

“We know that if coaches take a strong policy — if families take a strong policy, we begin to stop saying it’s just kids being kids,” Laube said during the forum. “It’s about wanting to keep them safe on the playing field.”

Anker not only agreed with the forum’s guest speakers on their concerns and viewpoints regarding safety in sports, but reemphasized the importance of keeping athletes safe and informing the public how to ensure the safety of young athletes.

“As a community, we must learn from past incidences and go forward to create safe programs for our young athletes,” Anker said in an email. “Everyone has the ability to protect our kids, however, if they do not have important information regarding sports safety, our children may be at risk for injury. By providing valuable information we can limit injuries on the field and keep our kids safe. I will continue to work with our sports experts to bring their information to communities across Suffolk County.”

This version corrects the spelling of Jeremy Thode’s name.

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Port Jefferson community members decked out the village in pink to raise local awareness of breast cancer and breast health. John T. Mather Memorial Hospital spearheaded the ongoing initiative, which is also raising funds for the hospital’s Fortunato Breast Health Center.